Data acquisition systems with intelligent trigger capability

Two data acquisition systems, based on two solutions for improving the performance, are here presented. The first one, fully analog, is able to generate a voltage impulse at the occurrence of a transient phenomenon on the stationary waveform being monitored. In the second system the acquisition process is regulated by absolute value of the derivative of the signal under analysis. This system is realized with Field Programmable Gate Array technology. All theoretical relations underlying the proposed solutions are first discussed. Their most relevant hardware and software features are then described. A suitable measurement apparatus is set up for assessing the performance of both solutions, and the obtained results are finally given. (c) 2005 Elsevier Ltd. All rights reserved

Buttressing staples with cholecyst-derived extracellular matrix (CEM) reinforces staple lines in an ex vivo peristaltic inflation model

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ Springer Science + Business Media, LLC 2008Background - Staple line leakage and bleeding are the most common problems associated with the use of surgical staplers for gastrointestinal resection and anastomotic procedures. These complications can be reduced by reinforcing the staple lines with buttressing materials. The current study reports the potential use of cholecyst-derived extracellular matrix (CEM) in non-crosslinked (NCEM) and crosslinked (XCEM) forms, and compares their mechanical performance with clinically available buttress materials [small intestinal submucosa (SIS) and bovine pericardium (BP)] in an ex vivo small intestine model. Methods - Three crosslinked CEM variants (XCEM0005, XCEM001, and XCEM0033) with different degree of crosslinking were produced. An ex vivo peristaltic inflation model was established. Porcine small intestine segments were stapled on one end, using buttressed or non-buttressed surgical staplers. The opened, non-stapled ends were connected to a peristaltic pump and pressure transducer and sealed. The staple lines were then exposed to increased intraluminal pressure in a peristaltic manner. Both the leak and burst pressures of the test specimens were recorded. Results - The leak pressures observed for non-crosslinked NCEM (137.8 ± 22.3 mmHg), crosslinked XCEM0005 (109.1 ± 14.1 mmHg), XCEM001 (150.1 ± 16.0 mmHg), XCEM0033 (98.8 ± 10.5 mmHg) reinforced staple lines were significantly higher when compared to non-buttressed control (28.3 ± 10.8 mmHg) and SIS (one and four layers) (62.6 ± 11.8 and 57.6 ± 12.3 mmHg, respectively) buttressed staple lines. NCEM and XCEM were comparable to that observed for BP buttressed staple lines (138.8 ± 3.6 mmHg). Only specimens with reinforced staple lines were able to achieve high intraluminal pressures (ruptured at the intestinal mesentery), indicating that buttress reinforcements were able to withstand pressure higher than that of natural tissue (physiological failure). Conclusions - These findings suggest that the use of CEM and XCEM as buttressing materials is associated with reinforced staple lines and increased leak pressures when compared to non-buttressed staple lines. CEM and XCEM were found to perform comparably with clinically available buttress materials in this ex vivo model.Enterprise Irelan

Prevalence Of Functional Gastrointestinal Disorders According To Rome III Criteria In Italian Morbidly Obese Patients

The relationship between GI symptoms and obesity has yet to be completely clarified. Aim. To determine in a morbidly obese southern Italy adult population the prevalence of Functional Gastrointestinal Disorders (FGID) and its association with the presence of a Binge Eating (BE) behavior pattern. Methods. Consecutive obese patients eligible for bariatric surgery and 100 Healthy Controls (HC) were recruited. All participants were questioned and scored for the presence of FGID according to Rome III criteria and for the presence or the frequency-intensity of a number of upper and lower GI symptoms. BE behavior pattern was assessed. Results. One-hundred obese patients met the inclusion criteria. The prevalence of FGID was similar between obese patients and HC. There was a significant association between obese patients with BE behavior and postprandial distress syndrome (P = 0.04). Moreover, a significantly higher frequency-intensity score for epigastric fullness (1.23 ± 0.45 versus 0.35 ± 0.13, P = 0.01) was found in obese patients with BE behavior compared to obese patients without. Conclusions. Obese patients with a BE behavior pattern showed a significantly higher prevalence of postprandial distress syndrome. A greater knowledge of the GI symptoms associated with obesity along with the pathophysiological mechanisms underlying will be important in the clinical management of these patients

A Wearable Brain-Computer Interface Instrument for Augmented Reality-Based Inspection in Industry 4.0

This paper proposes a wearable monitoring system for inspection in the framework of Industry 4.0. The instrument integrates augmented reality (AR) glasses with a noninvasive single-channel brain-computer interface (BCI), which replaces the classical input interface of AR platforms. Steady-state visually evoked potentials (SSVEP) are measured by a single-channel electroencephalography (EEG) and simple power spectral density analysis. The visual stimuli for SSVEP elicitation are provided by AR glasses while displaying the inspection information. The real-time metrological performance of the BCI is assessed by the receiver operating characteristic curve on the experimental data from 20 subjects. The characterization was carried out by considering stimulation times from 10.0 down to 2.0 s. The thresholds for the classification were found to be dependent on the subject and the obtained average accuracy goes from 98.9% at 10.0 s to 81.1% at 2.0 s. An inspection case study of the integrated AR-BCI device shows encouraging accuracy of about 80% of lab values

Latest Advancements in SSVEPs Classification for Single-Channel, Extended Reality-based Brain-Computer Interfaces

This work details the latest advancements on a single-channel, reactive Brain-Computer Interfaces developed at the Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS) of the University of Naples Federico II. The proposed instrumentation is based on Extended Reality (XR) and exploits the acquisition and classification of the Steady-State Visually Evoked Potentials (SSVEPs). In particular, an XR headset is employed for generating the flickering stimuli necessary to the SSVEP elicitation. The users brain signals are captured by means of a highly wearable and portable electroencephalografic acquisition unit, which is connected to a portable processing unit in charge of processing in real time the incoming data. In this way, a deeper interaction between users and external devices with respect to traditional architectures is guaranteed. The classification capability of the proposed instrument has been significantly improved over the years. Currently, in fact, a classification accuracy up to 90 % is obtained with at least 2 s of acquisition time

Sarcopenia: What a Surgeon Should Know

Sarcopenia is an increasingly frequent syndrome characterized by generalized and progressive loss of muscle mass, reduction in muscle strength, and resultant functional impairment. This condition is associated with increased risk of falls and fractures, disability, and increased risk of death. When a sarcopenic patient undergoes major surgery, it has a higher risk of complications and postoperative mortality because of less resistance to surgical stress. It is not easy to recognize a sarcopenic patient preoperatively, but this is essential to evaluate the correct risk to benefit ratio. The role of sarcopenia in surgical patients has been studied for both oncological and non-oncological surgery. For correct surgical planning, data about sarcopenia are essential to design a correct tailored treatment