scholarly journals Ictal quantitative surface electromyography correlates with postictal EEG suppression

Neurology ◽  
2020 ◽  
Vol 94 (24) ◽  
pp. e2567-e2576 ◽  
Author(s):  
Anca A. Arbune ◽  
Isa Conradsen ◽  
Damon P. Cardenas ◽  
Luke E. Whitmire ◽  
Shannon R. Voyles ◽  
...  
Keyword(s):  
Muscle Activation ◽  
Silent Period ◽  
Deltoid Muscle ◽  
Surface Emg ◽  
Stepwise Multiple Regression ◽  
Unexpected Death ◽  
Increased Risk ◽  
Convulsive Seizures

ObjectiveTo test the hypothesis that neurophysiologic biomarkers of muscle activation during convulsive seizures reveal seizure severity and to determine whether automatically computed surface EMG parameters during seizures can predict postictal generalized EEG suppression (PGES), indicating increased risk for sudden unexpected death in epilepsy. Wearable EMG devices have been clinically validated for automated detection of generalized tonic-clonic seizures. Our goal was to use quantitative EMG measurements for seizure characterization and risk assessment.MethodsQuantitative parameters were computed from surface EMGs recorded during convulsive seizures from deltoid and brachial biceps muscles in patients admitted to long-term video-EEG monitoring. Parameters evaluated were the durations of the seizure phases (tonic, clonic), durations of the clonic bursts and silent periods, and the dynamics of their evolution (slope). We compared them with the duration of the PGES.ResultsWe found significant correlations between quantitative surface EMG parameters and the duration of PGES (p < 0.001). Stepwise multiple regression analysis identified as independent predictors in deltoid muscle the duration of the clonic phase and in biceps muscle the duration of the tonic-clonic phases, the average silent period, and the slopes of the silent period and clonic bursts. The surface EMG-based algorithm identified seizures at increased risk (PGES ≥20 seconds) with an accuracy of 85%.ConclusionsIctal quantitative surface EMG parameters correlate with PGES and may identify seizures at high risk.Classification of evidenceThis study provides Class II evidence that during convulsive seizures, surface EMG parameters are associated with prolonged postictal generalized EEG suppression.

scholarly journals Concurrent surface electromyography and force myography classification during times of prosthetic socket shift and user fatigue

2017 ◽  
Vol 4 ◽  
pp. 205566831770873 ◽  
Author(s):  
Joe Sanford ◽  
Rita Patterson ◽  
Dan O Popa
Keyword(s):  
Surface Electromyography ◽  
Muscle Activation ◽  
Surface Emg ◽  
Training Data ◽  
Control Input ◽  
Prosthetic Devices ◽  
Prosthetic Socket ◽  
User Fatigue ◽  
Force Myography

Objective Surface electromyography has been a long-standing source of signals for control of powered prosthetic devices. By contrast, force myography is a more recent alternative to surface electromyography that has the potential to enhance reliability and avoid operational challenges of surface electromyography during use. In this paper, we report on experiments conducted to assess improvements in classification of surface electromyography signals through the addition of collocated force myography consisting of piezo-resistive sensors. Methods Force sensors detect intrasocket pressure changes upon muscle activation due to changes in muscle volume during activities of daily living. A heterogeneous sensor configuration with four surface electromyography–force myography pairs was investigated as a control input for a powered upper limb prosthetic. Training of two different multilevel neural perceptron networks was employed during classification and trained on data gathered during experiments simulating socket shift and muscle fatigue. Results Results indicate that intrasocket pressure data used in conjunction with surface EMG data can improve classification of human intent and control of a powered prosthetic device compared to traditional, surface electromyography only systems. Significance Additional sensors lead to significantly better signal classification during times of user fatigue, poor socket fit, as well as radial and ulnar wrist deviation. Results from experimentally obtained training data sets are presented.

scholarly journals Association of peri-ictal brainstem posturing with seizure severity and breathing compromise in patients with generalized convulsive seizures

Neurology ◽  
2020 ◽  
pp. 10.1212/WNL.0000000000011274
Author(s):  
Laura Vilella ◽  
Nuria Lacuey ◽  
Johnson P. Hampson ◽  
Liang Zhu ◽  
Shirin Omidi ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Central Apnea ◽  
Class Iii ◽  
Seizure Severity ◽  
Increased Risk ◽  
Multicenter Analysis ◽  
Convulsive Seizures ◽  
Tonic Phase

ObjectiveTo analyze the association between peri-ictal brainstem posturing semiologies with post-ictal generalized electroencephalographic suppression (PGES) and breathing dysfunction in generalized convulsive seizures (GCS).MethodsProspective, multicenter analysis of GCS. Ictal brainstem semiology was classified as (1) decerebration: bilateral symmetric tonic arm extension, (2) decortication: bilateral symmetric tonic arm flexion only, (3) hemi-decerebration: unilateral tonic arm extension with contralateral flexion and (4) absence of ictal tonic phase. Post-ictal posturing was also assessed. Respiration was monitored using thoraco-abdominal belts, video and pulse oximetry.ResultsTwo hundred ninety-five seizures (180 patients) were analyzed. Ictal decerebration was observed in 122/295 (41.4%), decortication in 47/295 (15.9%) and hemi-decerebration in 28/295 (9.5%) seizures. Tonic phase was absent in 98/295 (33.2%) seizures. Postictal posturing occurred in 18/295 (6.1%) seizures. PGES risk increased with ictal decerebration (OR 14.79, 95% CI [6.18–35.39], p < 0.001), decortication (OR 11.26, 95% CI [2.96–42.93], p < 0.001), or hemi-decerebration (OR 48.56, 95% CI [6.07–388.78], p < 0.001) Ictal decerebration was associated with longer PGES (p = 0.011). Post-ictal posturing was associated with post-convulsive central apnea (PCCA) (p = 0.004), longer hypoxemia (p < 0.001) and SpO2 recovery (p = 0.035).ConclusionsIctal brainstem semiology is associated with increased PGES risk. Ictal decerebration is associated with longer PGES. Post-ictal posturing is associated with a threefold increased risk of PCCA, longer hypoxemia and SpO2 recovery. Peri-ictal brainstem posturing may be surrogate biomarkers for GCS severity identifiable without in-hospital monitoring.Classification of evidenceThis study provides Class III evidence that peri-ictal brainstem posturing is associated with the GCS with more prolonged PGES and more severe breathing dysfunction.

scholarly journals Classification of Walking Environments Using Deep Learning Approach Based on Surface EMG Sensors Only

Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4204
Author(s):  
Pankwon Kim ◽  
Jinkyu Lee ◽  
Choongsoo S. Shin
Keyword(s):  
Muscle Activation ◽  
Lower Extremities ◽  
Surface Emg ◽  
High Accuracy ◽  
Triceps Surae ◽  
Assistive Device ◽  
Artificial Neural Network Ann ◽  
Walking Environment ◽  
Semg Signals

Classification of terrain is a vital component in giving suitable control to a walking assistive device for the various walking conditions. Although surface electromyography (sEMG) signals have been combined with inputs from other sensors to detect walking intention, no study has yet classified walking environments using sEMG only. Therefore, the purpose of this study is to classify the current walking environment based on the entire sEMG profile gathered from selected muscles in the lower extremities. The muscle activations of selected muscles in the lower extremities were measured in 27 participants while they walked over flat-ground, upstairs, downstairs, uphill, and downhill. An artificial neural network (ANN) was employed to classify these walking environments using the entire sEMG profile recorded for all muscles during the stance phase. The result shows that the ANN was able to classify the current walking environment with high accuracy of 96.3% when using activation from all muscles. When muscle activation from flexor/extensor groups in the knee, ankle, and metatarsophalangeal joints were used individually to classify the environment, the triceps surae muscle activation showed the highest classification accuracy of 88.9%. In conclusion, a current walking environment was classified with high accuracy using an ANN based on only sEMG signals.

Four-Corner Arthrodesis versus Proximal Row Carpectomy: Risk Factors and Complications Associated with Prolonged Postoperative Opioid Use

2020 ◽  
Author(s):  
Neill Y. Li ◽  
Alexander S. Kuczmarski ◽  
Andrew M. Hresko ◽  
Avi D. Goodman ◽  
Joseph A. Gil ◽  
...  
Keyword(s):  
Risk Factors ◽  
International Classification Of Diseases ◽  
Opioid Use ◽  
Proximal Row Carpectomy ◽  
Use Patterns ◽  
Patient Demographics ◽  
Implant Complications ◽  
Increased Risk ◽  
Classification Of Diseases

Abstract Introduction This article compares opioid use patterns following four-corner arthrodesis (FCA) and proximal row carpectomy (PRC) and identifies risk factors and complications associated with prolonged opioid consumption. Materials and Methods The PearlDiver Research Program was used to identify patients undergoing primary FCA (Current Procedural Terminology [CPT] codes 25820, 25825) or PRC (CPT 25215) from 2007 to 2017. Patient demographics, comorbidities, perioperative opioid use, and postoperative complications were assessed. Opioids were identified through generic drug codes while complications were defined by International Classification of Diseases, Ninth and Tenth Revisions, Clinical Modification codes. Multivariable logistic regressions were performed with p < 0.05 considered statistically significant. Results A total of 888 patients underwent FCA and 835 underwent PRC. Three months postoperatively, more FCA patients (18.0%) continued to use opioids than PRC patients (14.7%) (p = 0.033). Preoperative opioid use was the strongest risk factor for prolonged opioid use for both FCA (odds ratio [OR]: 4.91; p < 0.001) and PRC (OR: 6.33; p < 0.001). Prolonged opioid use was associated with an increased risk of implant complications (OR: 4.96; p < 0.001) and conversion to total wrist arthrodesis (OR: 3.55; p < 0.001) following FCA. Conclusion Prolonged postoperative opioid use is more frequent in patients undergoing FCA than PRC. Understanding the prevalence, risk factors, and complications associated with prolonged postoperative opioid use after these procedures may help physicians counsel patients and implement opioid minimization strategies preoperatively.

Long-Term Unemployment in Poland in 2008-2012 - Tendencies, Structure and Selected Determinants

2013 ◽  
Vol 8 (4) ◽  
pp. 347-359
Author(s):  
Leszek Kucharski
Keyword(s):  
Secondary Education ◽  
Young People ◽  
Level Of Education ◽  
Low Level ◽  
Increased Risk

This study presents the structure and tendencies in long-term unemployment in Poland in the years 2008-2012. This study identifies the groups of people with an increased risk of long-term unemployment. The analyses produced the following conclusions. The groups with the highest risk of long-term unemployment include: singles, people aged of 55 and above and people with a low level of education. Young people with university and general secondary education faced the lowest risk of long-term unemployment. 

MODERN PROBLEMATICS AND ANALYSIS OF EFFICIENCY OF APPLICATION OF DIFFERENT APPROACHES TO DESTRUCTION OF INFORMATION ON MAGNETIC MEDIA

2019 ◽  
Vol 2 (12) ◽  
pp. 154-164
Author(s):  
O. Semenenko ◽  
O. Vodchyts ◽  
V. Koverga ◽  
R. Lukash ◽  
O. Lutsenko
Keyword(s):  
Armed Forces ◽  
Information Storage ◽  
Storage Device ◽  
Magnetic Media ◽  
Long Term Storage ◽  
Physical Impact ◽  
And Storage ◽  
Term Storage

The introduction and active use of information transmission and storage systems in the Ministry of Defense (MoD) of Ukraine form the need to develop ways of guaranteed removal of data from media after their use or long-term storage. Such a task is an essential component of the functioning of any information security system. The article analyzes the problems of guaranteed destruction of information on magnetic media. An overview of approaches to the guaranteed destruction of information on magnetic media of different types is presented, and partial estimates of the effectiveness of their application are given by some generally accepted indicators of performance evaluation. The article also describes the classification of methods of destruction of information depending on the influence on its medium. The results of the analysis revealed the main problems of application of software methods and methods of demagnetization of the information carrier. The issue of guaranteed destruction of information from modern SSD devices, which are actively used in the formation of new systems of information accumulation and processing, became particularly relevant in the article. In today's conditions of development of the Armed Forces of Ukraine, methods of mechanical and thermal destruction are more commonly used today. In the medium term, the vector of the use of information elimination methods will change towards the methods of physical impact by the pulsed magnetic field and the software methods that allow to store the information storage device, but this today requires specialists to develop new ways of protecting information in order to avoid its leakage.

ECG-Patterns of Focal Epileptic Seizures, the Role in Sudden Unexpected Death in Epilepsy: A Prospective Long-Term Study

2019 ◽  
Author(s):  
Svetlana Serdyuk ◽  
Karapet V. Davtyan ◽  
Sergey G. Burd ◽  
Oksana M. Drapkina ◽  
Sergey A. Boytsov ◽  
...  
Keyword(s):  
Epileptic Seizures ◽  
Sudden Unexpected Death ◽  
Unexpected Death ◽  
Term Study ◽  
Long Term Study

Influence of internal and external risks on sustainability of financial system of Аltai krai

2018 ◽  
Vol 35 (4) ◽  
pp. 133-136
Author(s):  
R. N. Ibragimov
Keyword(s):  
Sustainable Development ◽  
Financial Stability ◽  
Management Strategy ◽  
Financial System ◽  
Risk Management Strategy ◽  
The Sustainable Development ◽  
The Stability ◽  
The Impact

The article examines the impact of internal and external risks on the stability of the financial system of the Altai Territory. Classification of internal and external risks of decline, affecting the sustainable development of the financial system, is presented. A risk management strategy is proposed that will allow monitoring of risks, thereby these measures will help reduce the loss of financial stability and ensure the long-term development of the economy of the region.

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