1.3D-TV health assessment system by the multi-modal physiological signals.
Zhongqiang LI ; Lidong XING ; Zhiyu QIAN ; Xiao WANG ; Defei YU ; Baoyu LIU ; Shuai JIN
Chinese Journal of Medical Instrumentation 2014;38(2):84-87
In order to meet the requirements of the multi-physiological signal measurement of the 3D-TV health assessment, try to find the suitable biological acquisition chips and design the hardware system which can detect different physiological signals in real time. The systems mainly uses ARM11/S3C6410 microcontroller to control the EEG/EOG acquisition chip RHA2116 and the ECG acquisition chip ADS1298, and then the microcontroller transfer the data collected by the chips to the PC software by the USB port which can display and save the experimental data in real time, then use the Matlab software for further processing of the data, finally make a final health assessment. In the meantime, for the different varieties in the different brain regions of watching 3D-TV, developed the special brain electrode placement and the experimental data processing methods, then effectively disposed the multi-signal data in the multilevel.
Computer Simulation
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Equipment Design
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Microcomputers
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Physiological Phenomena
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Signal Processing, Computer-Assisted
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instrumentation
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Software
2.The value of D-dimer in assessing severity and predicting long-term prognosis in patients with community acquired pneumonia
Wei LONG ; Gaozhong HUANG ; Lijuan LI ; Wentao SU ; Lidong ZHAO ; Pengcheng XING ; Honglin KE
Chinese Journal of Emergency Medicine 2015;24(1):77-80
Objective To evaluate the value of D-dimer in assessing severity and predicting longterm prognosis in patients with community acquired pneumonia (CAP).Methods From June 2009 to December 2010,a total of 189 patients with CAP were enrolled.After admission,D-dimer,procalcitonin (PCT) and C-reactive protein (CRP) were measured,and Pneumonia Severity Index (PSI) was calculated.They were assigned into two groups according to their D-dimer levels:high D-dimer levels group (D-dimer levels≥500 μg/L) and normal D-dimer levels group (D-dimer levels < 500 μg/L).The followup time was one year.A Kaplan-Meier survive curve was constructed to assess the 1-year mortality,and multivariate logistic regression analysis were used to assess the value of D-dimer for predicting long-term prognosis.Results D-dimer levels increased with increasing PSI class [class Ⅰ-Ⅲ:378.37 μg/L (216.74,649.50) μg/L; class Ⅳ:673.41 μg/L (544.77,866.85) μg/L; class Ⅴ:831.58 μg/L (591.78,1066.39) μg/L,x2 =56.58,P < 0.01].The Kaplan-Meier survival curve showed that 1-year mortality rate of high D-dimer levels group was higher than normal D-dimer levels group (log-rank test,x2 =52.51,P < 0.01).The multivariate logistic regression analysis showed an independent relationship between higher D-dimer levels and long-term mortality (OR =2.05,95% CI:1.48-2.61,P < 0.01).Conclusion D-dimer is an independent predictor of severity and long-term prognosis in patients with CAP.
3.Procalcitonin-guided antibiotic treatment of stroke-associated pneumonia after spontaneous intracerebral hemorrhage:a randomized controlled trial
Wei LONG ; Lijuan LI ; Gaozhong HUANG ; Lidong ZHAO ; Pengcheng XING ; Wentao SU
International Journal of Cerebrovascular Diseases 2016;24(1):29-33
Objective To investigate the guiding value of serum procalcitonin (PCT) level in antibiotic treatment of stroke-associated pneumonia (SAP) after spontaneous intracerebral hemorrhage. Methods A total of 120 patients with SAP after acute cerebral hemorrhage were enroled and were randomly divided into either a conventional treatment group ( n=59) or a PCT guided group ( n=61). In accordance w ith the guidelines for the use of antibiotics in China, the conventional treatment group w as treated w ith antibiotics and the course of antibiotics w as determined by the treating physician. The serum PCT of the PCT group w as monitored continuously after using antibiotics for 5 days. When PCT w as < 0.25 μg/L and the body temperature of the patients w as normal, the antibiotics w ere stopped. When PCT w as ≥0.25 μg/L, the antibiotics w ere used continuously. When PCT w as <0.25 μg/L, but stil had a fever, and the antibiotics w ere used continuously til the temperature w as normal. The course of antibiotics, length of hospitalization, and 30-d mortality of both groups w ere compared. At day 90 after treatment, the modified Rankin scale (mRS) w as used to evaluate the neurological outcome. The mRS score 0-2 w as good outcome and >2 w as poor outcome. They were folowed up for 6 months after discharge. A Kaplan-Meier survive curve was use to compare the survival rate of both groups. Results The course of antibiotics ( 8.95 ±2.73 d vs.13.26 ± 4.11 d;t=6.407, P<0.001) and the length of hospitalization ( 15.64 ±2.63 d vs.18.36 ±4.27 d; t=3.967, P<0.001) of the PCT group w ere significantly shorter than those of the conventional treatment group. There w ere no significant differences in the proportions of 30 d mortality ( 9.8%vs.10.1%; χ2 =0.003, P=0.951) and 90 d good outcome ( 60.6%vs.59.3%; χ2 =0.022, P=0.881) betw een the PCT guided group and the conventional treatment group. At the end of the 6-month folow-up period, a total of 13 patients (12.0%) died, including 6 in the conventional treatment group and 7 in the PCT group. The Kaplan-Meier analysis show ed that there w as no significant difference in the 6-month survival rate betw een the 2 groups (χ2 = 0.070, P= 0.791 ). Conclusions Monitoring the serum PCT level for guiding antibiotic treatment of SAP after spontaneous intracerebral hemorrhage is safe, and it may shorten the course of antibiotics and reduce the length of hospitalization.
4.Research on an in vivo near-infrared real-time monitoring system and its application in pharmacokinetics.
Ningkun DENG ; Zhiyu QIAN ; Weitao LI ; Lidong XING ; Shangwen DING
Journal of Biomedical Engineering 2012;29(2):365-369
The real-time in vivo measurement method has been urgently needed in the research of pharmacokinetics. In the present paper a new in vivo detection method based on fluorescence spectroscopy has been proposed and the monitoring system has been built which is used for pharmacokinetics studies in rats. The relationship between fluorescence intensity and concentration was obtained. By detecting the fluorescent dye Cypate in real-time in rats, the properties of the system have been validated by comparing with the fluorescence imaging system in vitro. The results showed that the system could be feasible for: (1) The linear regression equation of Cypate concentration in the range of 0.098-25 microg/ml is y = 73.249x + 130.97 (R2 = 0.9991 and P < 0.001). RSD of high, medium and low concentration is 1.23%, 6.29% and 13.48%, respectively, and the detecting sensitivity is 0.0981 g/ml; (2) The fluorescent dye concentration from the system is consistent (r = 0.9925) with the fluorescence imaging system in vitro. The fluorescent dye metabolism in rats can be well detected. It can be concluded that a new real-time in vivo detecting method in the paper can be used in pharmacokinetics research.
Animals
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Fluorescent Dyes
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pharmacokinetics
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Rats
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Spectrometry, Fluorescence
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methods
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Spectroscopy, Near-Infrared
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methods
5.3D-TV Health Assessment System by the Multi-Modal Physiological Signals
Zhongqiang LI ; Lidong XING ; Zhiyu QIAN ; Xiao WANG ; Defei YU ; Baoyu LIU ; Shuai JIN
Chinese Journal of Medical Instrumentation 2014;(2):84-87
In order to meet the requirements of the multi-physiological signal measurement of the 3D-TV health assessment, try to find the suitable biological acquisition chips and design the hardware system which can detect different physiological signals in real time. The systems mainly uses ARM11/S3C6410 microcontrol er to control the EEG/EOG acquisition chip RHA2116 and the ECG acquisition chip ADS1298, and then the microcontrol er transfer the data col ected by the chips to the PC software by the USB port which can display and save the experimental data in real time, then use the Matlab software for further processing of the data, final y make a final health assessment. In the meantime, for the different varieties in the different brain regions of watching 3D-TV, developed the special brain electrode placement and the experimental data processing methods, then effectively disposed the multi-signal data in the multilevel.
6.Design of Pulse and Respiratory Signals Detection System
Rui ZHANG ; Lidong XING ; Xiao ZHANG ; Zhiyu QIAN
Chinese Journal of Medical Instrumentation 2024;48(2):167-172
A pulse and respiration synchronous detection system is designed to explore the changes of physiological signals in different situations.The system obtains the corresponding signal through STM32 control pulse and respiratory acquisition circuit,calculates and displays real-time parameters such as heart rate and respiratory rate,and transmits the data to the upper computer for storage in the database.The experimental test results show that the system can monitor pulse and respiratory waveform in different situations,and the waveform is in good condition.Compared with medical pulse oximeter,the error of measured heart rate and blood oxygen concentration is less than 3%,and the error of respiratory rate is less than 5%compared with the actual value,which verifies the accuracy of system signal acquisition.The system is small in size,low in cost,and comfortable to wear,and can be applied in experimental research related to pulse and respiratory signals.
7.Design of Portable EEG and Blood Oxygen Synchronous Acquisition System.
Weiqing LIU ; Lidong XING ; Liuye YAO ; Zhihan ZOU ; Yu ZHANG
Chinese Journal of Medical Instrumentation 2021;45(3):280-283
In order to obtain comprehensive brain activity information conveniently in real time, this study designs a portable EEG and blood oxygen synchronous acquisition system for real-time monitoring of brain functional activities. The EEG electrodes filter and amplify the detected EEG signals, and send them to the microprocessor via Bluetooth to analyze the EEG data; the photoelectric probe converts the optical signals into electrical signals, which are amplified and separated, filtered, and AD converted, calculates the brain's oxygenation and blood-red protein (ΔHbO
Brain
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Electrodes
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Electroencephalography
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Oxygen
8.Design of Paravertebral Muscle Monitoring System Based on Surface Electromyography.
Kexue YE ; Lidong XING ; Jun LU ; Zhiyu QIAN ; Weiqing LIU
Chinese Journal of Medical Instrumentation 2019;43(5):318-321
In order to diagnose and evaluate the human spinal lesions through the paravertebral muscles, a paravertebral muscle monitoring system based on surface EMG signals was designed. The system used surface mount electrodes to obtain the surface myoelectric signal (sEMG) of paravertebral muscle. The signal was filtered and amplified by the conditioning circuit. The signal was collected by the microcontroller NRF52832 and was sent to the mobile APP. After the signal was preprocessed by the wavelet threshold denoising algorithm in APP, the time and frequency characteristics of the sEMG signal reflecting the functional state of the muscle were extracted. The calculated characteristic parameters was displayed in real time in the application interface. The experimental results show that the system meets the design requirements in analog signal acquisition, digital processing of signals and calculation of characteristic parameters. The system has certain application value.
Algorithms
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Computers
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Electrodes
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Electromyography
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instrumentation
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Humans
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Monitoring, Physiologic
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Muscle, Skeletal
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Signal Processing, Computer-Assisted
9.Exploration of teaching approach of medical instrument development course with national defense features
Weitao LI ; Zhiyu QIAN ; Jun GU ; Lidong XING
Chinese Journal of Medical Education Research 2018;17(5):471-475
The aim of the development course in university is to expand the multidisciplinary knowledge.The students,who choose development course,are coming from many subjects.Therefore,the design and teaching methods of this course should have their own characteristics.This study introduces the exploration of medical instrument course with defense features and talent training mode.The core ideas of curriculum reform include the following.The course contents should be professionally subdivided,so that all the students from different majors can obtain the knowledge.Teaching methods should be guided by the national defense requirements using lectures and discussions.Multiply assessment modes,such as speech,discussion,paper poster,and creative exhibition,can be used to evaluate the students.The present reforms have been implemented in the reality of course teaching practice.The reform contents in this paper have a great significance to the creation of development courses based on the integration of preponderant disciplines in the university.
10.Design and Experimental Research of Synchronous Acquisition System of EMG and Blood Oxygen Signal.
Mengjie ZANG ; Lidong XING ; Zhiyu QIAN ; Liuye YAO
Chinese Journal of Medical Instrumentation 2023;47(1):54-60
In this study, a surface electromyography (sEMG) and blood oxygen signal real-time monitoring system is designed to explore the changes of physiological signals during muscle fatigue, so as to detect muscle fatigue. The analysis method of sEMG and the principle of blood oxygen detection are respectively introduced, and the system scheme is expounded. The hardware part of the system takes STM32 as the core. Conditioning module composition; blood oxygen signal acquisition is based on near infrared spectroscopy (NIRS), specifically including light source, light source driving, photoelectric conversion, signal conditioning and other modules. The system software part is based on the real-time uC/OS-III software system. The characteristic parameters of sEMG were extracted by isometric contraction local muscle fatigue experiment; the relative changes of oxyhemoglobin (HbO2) and deoxyhemoglobin (Hb) were calculated in the forearm blocking experiment, thereby verifying that the system collects two signals effectiveness.
Muscle, Skeletal
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Oxygen
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Electromyography
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Muscle Fatigue/physiology*
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Computers