Electroencephalogram variability analysis for monitoring depth of anesthesia

Author(s):  
Yi-Feng Chen ◽  
Yi-Feng Chen ◽  
Shou-Zen Fan ◽  
Maysam F Abbod ◽  
Jiann-Shing Shieh ◽  
...  

Abstract In this paper, a new approach of extracting and measuring the variability in electroencephalogram (EEG) was proposed to assess the depth of anesthesia (DOA) under general anesthesia. The EEG variability (EEGV) was extracted as a fluctuation in time interval that occurs between two local maxima of EEG. Eight parameters related to EEGV were measured in time and frequency domains, and compared with state-of-the-art DOA estimation parameters, including sample entropy, permutation entropy, median frequency and spectral edge frequency of EEG. The area under the receiver-operator characteristics curve (AUC) and Pearson correlation coefficient were used to validate its performance on 56 patients. Our proposed EEGV-derived parameters yield significant difference for discriminating between awake and anesthesia stages at a significance level of 0.05, as well as improvement in AUC and correlation coefficient on average, which surpasses the conventional features of EEG in detection accuracy of unconscious state and tracking the level of consciousness. To sum up, EEGV analysis provides a new perspective in quantifying EEG and corresponding parameters are powerful and promising for monitoring DOA under clinical situations.

2018 ◽  
Vol 7 (4) ◽  
pp. 42-49 ◽  
Author(s):  
Korkmaz YİĞİTER ◽  
Hakan TOSUN

The aim of this study is to investigate the effects of participation in a 1-week summer camp on thehopelessness and self-esteem of the university students attending Sport Sciences Faculty. Participants were 36university students assigned to experiment group using a random procedure. Coopersmith Self-esteem and Beck Hopelessness Scales were completed at the beginning and end of the summer camp by designed the university. The obtained data were analysed in the SPSS 18.0 program and the significance level was taken as 0.05. The descriptive statistics, independent simple t test, paired simple t test and Pearson correlation were used for analyse the data in the study. According to the results of the research, no significant difference was observed in the comparison of the hopelessness and self-esteem levels between pre and post-test. In addition, there was a significant difference in the hopelessness level of male and female students but any significant difference was not observed in terms of self-esteem. There was a significant relationship between hopelessness and self-esteem pre and post-test. These result shows that a 1-week summer camp cannot change the hopelessness or self-esteem level. However, as the self-esteem rises, the rate of despair decreases whereas as the despair rises, the selfesteem decreases.


2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Atefeh Khavid ◽  
Mojgan Sametzadeh ◽  
Mostafa Godiny ◽  
Mohammad Mehdi Moarrefpour

Background and objective: In recent years, cone-beam computed tomography (CBCT) has become a key diagnostic tool in dentistry. CBCT can provide 3D images of the maxillofacial area to help dental practitioners in diagnosis and treatment, especially implant placement and treatment of pathogenic lesions. This study aimed to compare the Hounsfield Unit (HU) values obtained from CBCT images for bones of different densities with the corresponding HU values from MDCT images. Materials and methods: cube-shaped bone blocks of identical size were cut from the middle section of the cow ribs and femur area such that they had a layer of cortical bone in their buccal, lingual, and top surfaces and trabecular bone in the middle. MDCT scans were performed using a Somatom Sensation Ct Scanner. After determining HU from the results of these scans, nine suitable specimens from different ranges of HU were chosen for comparison. HU of the CBCT images was computed by the dedicated software of the CBCT machine. Finally, HU values obtained from MDCT and CBCT were compared. Data analysis was performed using SPSS version 25 at the 0.05 significance level. Results: The results showed a statistically significant difference between the mean HU from MDCT images and the mean HU from CBCT images (P<0.05). For similar specimens, CBCT produced higher mean HU values than MDCT. The Pearson correlation test detected a significant direct relationship between the HU values of specimens in MDCT and CBCT (P<0.05). Conclusion: For the tools and software used in this study, there was no significant difference between the HU values obtained from MDCT and CBCT, but the mean HU obtained from CBCT was higher than that from MDCT.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Marc Xipell ◽  
Elena Guillen Olmos ◽  
Lida Rodas ◽  
Jose J Broseta ◽  
Angeles Mayordomo ◽  
...  

Abstract Background and Aims The ratio D/P-Creatinine (DP-Cr) obtained by the peritoneal equilibrium test (PET) is the most widely used parameter to characterize the type of peritoneal membrane transport, and it is used to determine the dialysis regimen for ultrafiltration (UF). It has been suggested that net UF influences the final clearance of solutes, so guiding ultrafiltration by D/P-Phosphorus (DP-P) instead of DP-Cr could have some added value in the management of hyperphosphatemia. The objective of this study is to define if there is a correlation between DP-P and DP-Cr, and if these are related to the clearance of phosphorus (P) and creatinine (Cr). Method retrospective analysis of PETs performed during 2016 and 2017 in our center. DP-Cr and DP-P were calculated, and in patients with 24h effluent sample the day of the PET, it was also analyzed weekly Kt/V-urea, and peritoneal Cr and P clearance (CrCl and PCl, respectively). Statistical analysis was done using t-Student test for independent data and Pearson correlation coefficient, with SPSS Statistical Package program v.23, establishing a significance level of p&lt;0.05. Results 68 PETs were analyzed in 54 patients, mean age 60.4 years (SD 17), predominantly men (69% vs 31%). The mean plasma P, DP-Cr and DP-P were respectively 4.5 mg/dL (SD 1.2), 0.74 (SD 0.12) and 0.71 (SD 0.17). The correlation coefficient DP-P/DP-Cr showed a significant relationship (r=0.84, p&lt;0.001), which was maintained when analyzing patients according to phosphorus levels: DP-P/DP-Cr with P&lt;5 mg/dL (r=0.81); and P≥5 mg/dL (r=0.93) (p&lt;0.001).Patients in DP-P ≥50th percentile had P levels of 4.2 (± 1.05), and those in&lt;50th percentile had levels of 4.88 (± 1.38) (p &lt;0.031). Moreover, in patients with 24h effluent analyzed the day of the PET (n=35), the average PCl and CrCl was 4.1 and 2.85 ml/min, with statistical significant correlation (r=0.92, p&lt;0.001).However, in these patients no relationship was found between DP-Cr and CrCl (r=0.068, p=0.7), nor between DP-P and PCl (r=0.052, p=0.7). Conclusion The DP-P/DP-Cr high correlation suggests that both parameters could be useful to classify the type of peritoneal transport. However, although patients with higher DP-P had better control of hyperphosphatemia, thus suggesting a direct positive relationship between DP-P and PCl, our data showed no correlation between them.


Author(s):  
Hanan Nassir Hussein ◽  
Firas Ayal Mater

This research-aims to investigate (the effectiveness of teaching SWOM strategy in achievement and second-graders intermediate students retention in the sciences subject) The experimental design (with-partial-control) was chosen for two equivalent groups, experimental and control, the sample was randomly selected-from-students (Hittin intermediate school( for girls in Thi-Qar Governorate), the groups were equivalent in-variables (Age calculated in months – female students’ achievement in-science for the first-grade (previous-year) –previous information testin science- subject – intelligence test (Raven), behavioral objectives in cognitive domain were set reached (100) behavioral objectives, the necessary teaching plans were prepared for two research. The research tools, the researcher prepared a test comprises (40) MC items with four alternatives. Validity, reliability, discrimination-coefficient, difficulty-and-alternatives effectiveness were calculated. At the end of second semester (2018-2019),the experiment was applied. After the experiment was completed, the achievement test was applied on two research groups. Then, the same achievement test was applied again after a two weeks period-from first application to check information retention, and for processing statistical data, the statistical methods were used (t-test for two independent samples, difficulty-equations, items-discrimination, wrong alternatives-effectiveness and Pearson-correlation-equation), the-research was reached the results: There is a statistical significant difference at the significance level (0.05) between second grade students means scores who study science subject according-to the SWOM strategy and the second-grade students mean-scores who study the-same subject by traditional method in achievement and retention test in favor of the experimental group, depend on the results, several conclusions were formulated, conclusions and recommendations-were reached, to complete th- research, several studies-were proposed.


Author(s):  
M. N. Shankar ◽  
V. Saravana Selvan ◽  
Nigil Sreedharan

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The use of the sphenopalatine artery block to reduce bleeding during FESS, has been a debatable issue. This cross sectional observational study aims to study whether sphenopalatine artery block has any significant effect on bleeding. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">55 patients coming to the ENT department of Stanley Medical College from 2015–2016 were included in this study. All patients had bilateral nasal sinus disease and endoscopic sinus surgery was performed on both sides. 20 minutes prior to surgery one side was chosen randomly and sphenopalatine artery block was administered via the greater palatine canal approach. A mixture of lignocaine (2%) and adrenaline (1:80000) was used for infiltration. The surgery was done in an alternating fashion where the surgeon would operate for 15 minutes on one side and then moved onto the other side. The field was graded using the Wormald Grading at 30 minute intervals. The results were tabulated and the Wilcoxon Signed Rank Test was done at each time interval to see if there was a statistically significant difference in the grades of bleeding on both sides at each time interval. SPSS version 22.0 was used to analyse the data. Significance level was fixed as 5% (α=0.05).  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">It was found that for each time interval up to 120 minutes there was a significant decrease in the bleeding on the blocked side. However after 120 minutes the bleeding on both sides appeared to be same. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Sphenopalatine artery block given prior to surgery will be effective in reducing bleeding in FESS for the first 2 hours after which the effect of the block wears away.</span></p>


1969 ◽  
Vol 88 (3-4) ◽  
pp. 123-134
Author(s):  
Miguel A. Muñoz ◽  
Nydia Rafols ◽  
Julia M. O’Hallorans

A field experiment was established on Coto clay (Typic Eutrustox) to evaluate the use of chicken manure as fertilizer for papaya. Four manure rates (0, 5,10 and 15 t/ha) were evaluated in all possible combinations with four rates of inorganic fertilizer (0, 56, 112 and 224 g/plant/month of 15-15-15). Fresh and dry weight of papaya leaves (petioles and blades) increased significantly with manure applications, but no effect of inorganic fertilizer treatments was observed. Phosphorus and potassium concentration in papaya blades was higher in plots receiving 15 t/ha of chicken manure. Fertilizer applications increased K content in blades and decreased magnesium content. Both manure and fertilizer treatments increased fruit yield. The application of 10 and 15 t/ha of manure resulted in fruit yields of 42.19 and 54.76 t/ha. These yields were significantly higher than the yields obtained with the 0 and 5 t/ha treatments. The 0, 56,112 and 224 g/plant/month fertilizer treatments resulted in fruit yields of 28.11, 42.60, 37.22 and 38.25 t/ha, respectively. The yield of the 0 fertilizer treatment was significantly lower, but no significant difference was observed among the other fertilizer treatments. Chicken manure applications increased soil available phosphorus (Bray 1-P) from 16.57 to 28.64 mg/kg, and soil exchangeable potassium from 0.12 to 0.19 cmolc/kg. Fertilizer applications had no significant effect on these two parameters. A significant correlation was observed between papaya yield and Bray 1-P. A Pearson correlation coefficient of 0.65 was obtained when both manure and inorganic fertilizer plots were considered. The correlation coefficient increased to 0.82 when only manure-treated plots were considered, but decreased to 0.25 when only fertilizer-treated plots were considered. Manure applications were more effective in increasing soil available phosphorus than fertilizer applications. Manure applications apparently prevent phosphorus fixation on Coto clay, increasing soil available phosphorus and thus favoring higher fruit yields. 


2013 ◽  
Vol 20 (1) ◽  
pp. 14 ◽  
Author(s):  
Supriatno Supriatno

Volatile sulfur compounds (VSCs) oral dihasilkan dari produk putrifikasi mikroba gas hidrogen sulfida (H2S), metil merkaptan (CH3SH) dan dimetil sulfida [(CH3)2S] yang merupakan gas utama penyebab halitosis. Ritma circadian mempunyai pengaruh terhadap fungsi beberapa organ tubuh termasuk sekresi saliva, produksi hormon, fungsi sistem tubuh, dan aktivitas mikroorganisma. Penelitian bertujuan menguji pengaruh ritma circadian terhadap produksi VSC oral yang diukur menggunakan OralChroma portable. Penelitian dilakukan dengan mengukur gas VSC individu yang sama pada pagi, siang dan malam hari di laboratorium riset terpadu FKG UGM. Hasil pengukuran H2S, CH3SH dan (CH3)2S diuji menggunakan analisis statistik Anava dua jalur dilanjutkan uji LSD dan uji korelasi Pearson dengan derajat kemaknaan 95%. Hasil penelitian menunjukkan terdapat perbedaan yang sangat bermakna antara produksi gas H2S, CH3SH dan (CH3)2S dengan waktu pengukuran (efek circadian) (p=0,000). Perbedaan sangat bermakna diketahui pula pada pengukuran gas H2S dan (CH3)2S antara pagi, siang dan malam (p=0,01 dan p= 0,00), serta pengukuran gas CH3SH siang dan malam (p=0,006), tetapi tidak pada CH3SH pagi hari (p=0,061). Produksi gas H2S tertinggi diketahui pada pagi hari (mean 1,198 ng/10 ml, CH3SH pada malam hari (mean 0,099 ng/10 ml), dan (CH3)2S pada siang hari (mean 1,216 ng/10 ml). Kekuatan hubungan pengukuran antara ke tiga gas dengan efek circadian diketahui sebesar r=0,738. Disimpulkan bahwa ritma circadian berpengaruh terhadap produksi VSCs oral. Produksi gas H2S dan (CH3)2S berbeda antara pagi, siang dan malam hari, sedangkan produksi gas CH3SH berbeda hanya pengukuran siang dan malam hari. Produksi gas H2S tertinggi diketahui pada pagi hari, gas CH3SH pada malam hari, dan gas (CH3)2S pada siang hari. Maj Ked Gi. Juni 2013; 20(1): 14 - 20.The Effect Of Circadian Rhythm To Oral Volatile Sulfur Compounds Production. Oral volatile sulfur compound (VSC) is produced from microbial purification of hydrogen sulfide (H2S), methyl mercaptan (CH3SH) and dimethyl sulfide [(CH32S] gases. They are the main gases that cause halitosis. Circadian rhythm influenced the function of several organs of the human body including salivary secretion, hormone production, the body’s systems function, and activity of microorganisms. The purpose of this research is to examine the influence of circadian rhythm to oral VSC production measured by using a portable Oral Chroma. The research was carried-out by measuring the individual VSC gases in the morning, afternoon and evening at the integrated research laboratory, Faculty of Dentistry, UGM. Gases of H2S, CH3SH and (CH3)2S were tested by two-way ANOVA followed by Post-hoc LSD and Pearson correlation test with 95% significance level. The results showed the positive significant differences among the production of H2S, CH3SH and (CH3)2S with circadian time (p=0.000). Highly significant difference was also detected in amount of H2S and (CH3)2S gases in the morning, afternoon and evening (p=0.01 and p=0.00), as well as the amount of CH3SH gas in the afternoon and night (p=0.006), but not in amount of CH3SH gas in the morning (p=0.061). The highest production of H2S gas was known in the morning (mean 1.198 ng/10 ml), CH3SH gas was detected in the night (mean 0.099 ng/10 ml), and (CH3)2S gas was observed in the afternoon (mean 1.216 ng/10 ml). The strength of relationship among amount of three gases with circadian effects was r = 0.738. It is concluded that circadian rhythm markedly influences the production of oral VSCs. H2S and (CH3)2S gases production were significantly different among in the morning, afternoon and evening. However, amount of CH3SH gas production was significantly different only in the afternoon and the night. The highest gas production of H2S, CH3SH, and (CH3)2S was observed in the morning, in the night, and in the afternoon, respectively.


Sensors ◽  
2019 ◽  
Vol 19 (11) ◽  
pp. 2499 ◽  
Author(s):  
Yue Gu ◽  
Zhenhu Liang ◽  
Satoshi Hagihira

The electroencephalogram (EEG) can reflect brain activity and contains abundant information of different anesthetic states of the brain. It has been widely used for monitoring depth of anesthesia (DoA). In this study, we propose a method that combines multiple EEG-based features with artificial neural network (ANN) to assess the DoA. Multiple EEG-based features can express the states of the brain more comprehensively during anesthesia. First, four parameters including permutation entropy, 95% spectral edge frequency, BetaRatio and SynchFastSlow were extracted from the EEG signal. Then, the four parameters were set as the inputs to an ANN which used bispectral index (BIS) as the reference output. 16 patient datasets during propofol anesthesia were used to evaluate this method. The results indicated that the accuracies of detecting each state were 86.4% (awake), 73.6% (light anesthesia), 84.4% (general anesthesia), and 14% (deep anesthesia). The correlation coefficient between BIS and the index of this method was 0.892 ( p < 0.001 ). The results showed that the proposed method could well distinguish between awake and other anesthesia states. This method is promising and feasible for a monitoring system to assess the DoA.


2016 ◽  
Vol 6 (3) ◽  
pp. 63
Author(s):  
Fatemeh Forootan Eghlidi ◽  
Fariba Karimi

Aim: The present research was conducted with the aim of determining the relationship between the components of work engagement and organizational commitment of female employees working at University of Isfahan. Methods: The type of the research was an applied research by purpose and a descriptive correlational-type research by nature. The study population consisted of female employees at University of Isfahan, 428 individuals, of whom 202 individuals were chosen as sample according to stratified random sampling fit for the size. The measuring instrument was a questionnaire about organizational commitment by Mowday el al and a questionnaire on work engagement by Shaufeli et al. In the analysis of the findings of the research, Pearson correlation coefficient, stepwise regression, and multiple-way analysis of variance were used to examine the research hypotheses. Result: The results of the analyses indicated that correlation coefficient between work engagement and its components vigor (the desire for job), dedication, and absorption and organizational commitment is significant. Among the components of work engagement, dedication to work was the best predictor for organizational commitment. No significant difference was observed between opinions of respondents according to demographic factors concerning work engagement and organizational commitment. Conclusions: Manager implement professional standards and rules in organizations in order to maintain and promote the variables, provide employees with freedom of action and power in accordance with their duties and provide an intimate climate by involving them in decision makings


2000 ◽  
Vol 93 (4) ◽  
pp. 981-985 ◽  
Author(s):  
Jörgen Bruhn ◽  
Heiko Röpcke ◽  
Benno Rehberg ◽  
Thomas Bouillon ◽  
Andreas Hoeft

Background Approximate entropy, a measure of signal complexity and regularity, quantifies electroencephalogram changes during anesthesia. With increasing doses of anesthetics, burst-suppression patterns occur. Because of the high-frequency bursts, spectrally based parameters such as median electroencephalogram frequency and spectral edge frequency 95 do not decrease, incorrectly suggesting lightening of anesthesia. The authors investigated whether the approximate entropy algorithm correctly classifies the occurrence of burst suppression as deepening of anesthesia. Methods Eleven female patients scheduled for elective major surgery were studied. After propofol induction, anesthesia was maintained with isoflurane only. Before surgery, the end-tidal isoflurane concentration was varied between 0.6 and 1.3 minimum alveolar concentration. The raw electroencephalogram was continuously recorded and sampled at 128 Hz. Approximate entropy, electroencephalogram median frequency, spectral edge frequency 95, burst-suppression ratio, and burst-compensated spectral edge frequency 95 were calculated offline from 8-s epochs. The relation between burst-suppression ratio and approximate entropy, electroencephalogram median frequency, spectral edge frequency 95, and burst-compensated spectral edge frequency 95 was analyzed using Pearson correlation coefficient. Results Higher isoflurane concentrations were associated with higher burst-suppression ratios. Electroencephalogram median frequency (r = 0.34) and spectral edge frequency 95 (r = 0.29) increased, approximate entropy (r = -0.94) and burst-compensated spectral edge frequency 95 (r = -0.88) decreased with increasing burst-suppression ratio. Conclusion Electroencephalogram approximate entropy, but not electroencephalogram median frequency or spectral edge frequency 95 without burst compensation, correctly classifies the occurrence of burst-suppression pattern as increasing anesthetic drug effect.


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