scholarly journals Thoracic Outlet Syndrome: Fingertip Cannot Replace Forearm Photoplethysmography in the Evaluation of Positional Venous Outflow Impairments

2021 ◽  
Vol 12 ◽  
Author(s):  
Jeanne Hersant ◽  
Pierre Ramondou ◽  
Sylvain Durand ◽  
Mathieu Feuilloy ◽  
Mickael Daligault ◽  
...  

Objective: Fingertip photoplethysmography (PPG) resulting from high-pass filtered raw PPG signal is often used to record arterial pulse changes in patients with suspected thoracic outlet syndrome (TOS). Results from venous (low-pass filtered raw signal) forearm PPG (V-PPG) during the Candlestick-Prayer (Ca + Pra) maneuver were recently classified into four different patterns in patients with suspected TOS, two of which are suggestive of the presence of outflow impairment. We aimed to test the effect of probe position (fingertip vs. forearm) and of red (R) vs. infrared (IR) light wavelength on V-PPG classification and compared pattern classifications with the results of ultrasound (US).Methods: In patients with suspected TOS, we routinely performed US imaging (US + being the presence of a positional compression) and Ca + Pra tests with forearm V-PPGIR. We recruited patients for a Ca + Pra maneuver with the simultaneous fingertip and forearm V-PPGR. The correlation of each V-PPG recording to each of the published pattern profiles was calculated. Each record was classified according to the patterns for which the coefficient of correlation was the highest. Cohen’s kappa test was used to determine the reliability of classification among forearm V-PPGIR, fingertip V-PPGR, and forearm V-PPGR.Results: We obtained 40 measurements from 20 patients (40.2 ± 11.3 years old, 11 males). We found 13 limbs with US + results, while V-PPG suggested the presence of venous outflow impairment in 27 and 20 limbs with forearm V-PPGIR and forearm V-PPGR, respectively. Fingertip V-PPGR provided no patterns suggesting outflow impairment.Conclusion: We found more V-PPG patterns suggesting venous outflow impairment than US + results. Probe position is essential if aiming to perform upper-limb V-PPG during the Ca + Pra maneuver in patients with suspected TOS. V-PPG during the Ca + Pra maneuver is of low cost and easy and provides reliable, recordable, and objective evidence of forearm swelling. It should be performed on the forearm (close to the elbow) with either PPGR or PPGIR but not at the fingertip level.

2007 ◽  
Vol 16 (04) ◽  
pp. 507-516 ◽  
Author(s):  
SHAHRAM MINAEI ◽  
ERKAN YUCE

In this paper, a universal current-mode second-order active-C filter for simultaneously realizing low-pass, band-pass and high-pass responses is proposed. The presented filter employs only three plus-type second-generation current-controlled conveyors (CCCII+s). This filter needs no critical active and passive component matching conditions and no additional active and passive elements for realizing high output impedance low-pass, band-pass and high-pass characteristics. The angular resonance frequency (ω0) and quality factor (Q) of the proposed resistorless filter can be tuned electronically. To verify the theoretical analysis and to exhibit the performance of the proposed filter, it is simulated with SPICE program.


2005 ◽  
Vol 14 (01) ◽  
pp. 159-164 ◽  
Author(s):  
SUDHANSHU MAHESHWARI ◽  
IQBAL A. KHAN

A novel voltage-mode universal filter employing only two current differencing buffered amplifiers (CDBAs) is proposed. The filter uses four inputs and single output to realize six responses, viz. low-pass, high-pass, inverting band-pass, noninverting band-pass, band-elimination, and all-pass through input selection with independent pole-Q control. Computer simulation results using SPICE are also given to verify the theory.


1993 ◽  
Vol 47 (4) ◽  
pp. 489-500 ◽  
Author(s):  
J. F. Power ◽  
M. C. Prystay

Homodyne photothermal spectrometry (HPS) is a very wide bandwidth signal recovery technique which uses many of the elements of lock-in detection at very low cost. The method uses a frequency sweep, with a high-frequency bandwidth of up to 10 MHz, to excite a linear photothermal system. The response sweep of the photothermal system is downshifted into a bandwidth of a few kilohertz by means of in-phase mixing with the excitation sweep with the use of a four-quadrant double-balanced mixer and a low-pass filter. Under conditions derived from theory, the filter output gives a good approximation to the real part of the photothermal system's frequency response, dispersed as a function of time. From a recording of this signal, the frequency and impulse response of the photothermal system are rapidly recovered at very high resolution. The method has been tested with the use of laser photopyroelectric effect spectrometry and provides an inexpensive, convenient method for the recovery of high-frequency photothermal signals.


1991 ◽  
Vol 65 (3) ◽  
pp. 424-445 ◽  
Author(s):  
A. S. Feng ◽  
J. C. Hall ◽  
S. Siddique

1. Physiological recordings were made from single auditory fibers in the frog eighth nerve to determine quantitatively how the different behaviorally relevant temporal parameters (the signal rise-fall time, duration, and rate of amplitude modulation) of complex sounds are encoded in the auditory periphery. Individual temporal parameters were varied. Response functions (RFs) were constructed with respect to each of these parameters using each unit's best excitatory frequency (BF) as the carrier. 2. In response to a change in signal rise-fall time, auditory nerve fibers showed little change in the mean spike count or firing rate, i.e., all fibers displayed ALL-PASS RFrfts. But the transient components, particularly the early phasic component, of responses varied with rise-fall times; these components were more pronounced in the responses to stimuli with shorter rise-fall times. 3. In response to an increase in signal duration, auditory nerve fibers showed a corresponding increase in firing duration and thus in the mean spike count, giving rise to HIGH-PASS RFdurs. The shape of response curves differed among fibers; the difference appeared to be related to the fiber's temporal adaptation characteristic. When the firing rate was measured, all fibers displayed higher mean firing rates in response to shorter duration stimuli than they did to longer duration stimuli, thus giving rise to LOW-PASS response functions. 4. To determine the response transfer functions to modulation rate, pulsed (PAM) and sinusoidally (SAM) amplitude-modulated signals were used. These signals differed substantially in terms of their envelopes and how they varied with AM rate. Data were analyzed by 1) plotting spike counts against the AM rate to derive modulation transfer functions (MTFspks) and 2) plotting synchronization coefficients (SCs) against the AM rate to generate MTFscs. 5. In response to PAM stimuli, all fibers showed an increase in mean spike count with modulation frequency over the range examined, giving rise to HIGH-PASS MTFspks. 6. For SAM stimuli, the average energy and duty cycle are independent of AM rate. Most (79%) auditory fibers showed little selectivity for AM rate over a range of 5-400 Hz, giving rise to ALL-PASS MTFspks. The remaining auditory fibers displayed LOW-PASS MTFspks, i.e., there was a distinct decline in the mean spike count with increasing AM rate. 7. In response to PAM stimuli, most fibers showed good response synchrony at low AM rates but the SC declined with an increase in the AM rate (i.e., LOW-PASS MTFscs). The cut-off frequency was typically very high, averaging 90 pulses/s.(ABSTRACT TRUNCATED AT 400 WORDS)


Author(s):  
Darine Kaddour ◽  
Jean-Daniel Arnould ◽  
Philippe Ferrari

In this paper, a miniaturized bandpass filter for ultra-wide-band applications is proposed. It is based on the embedding of high-pass structures in a low-pass filter. A semi-lumped technology combining surface-mounted capacitors and transmission lines has been used. The filter design rules have been carried out. Furthermore, two filters having a 3-dB fractional bandwidth of 142 and 150%, centered at 0.77 and 1 GHz, respectively, have been realized for a proof of concept. Measured characteristics, in good agreement with simulations, show attractive properties of return loss (|S11| <−18 dB), insertion loss (<0.3 dB), and a maximum group delay and group delay variation of 2 and 1.3 ns, respectively. A distributed filter based on the same low-pass/high-pass approach has been also realized and measured for comparison. The size reduction reaches 85% for the semi-lumped filter, and its selectivity is improved with a shape factor of 1.3:1 instead of 1.5:1. The semi-lumped filter's drawback is related to a smaller rejection bandwidth compared to the distributed one. To improve the high-frequency stopband, an original technique for spurious responses suppression based on capacitively loaded stubs has been proposed. Even if the performances do not reach that obtained for the distributed approach, with this technique spurious responses are pushed until eight times the center frequency. A sensitivity study vs. critical parameters has also been carried out, showing the robustness of the design.


2019 ◽  
pp. 84-84
Keyword(s):  
Low Pass ◽  

Освоение диапазона терагерцовых (ТГц) частот электромагнитного спектра (0,1–10 ТГц) делает актуальными задачи разработки и изготовления эффективных оптических элементов для управления характеристиками пучков ТГц-излучения. С инструментальной точки зрения данный спектральный диапазон, соответствующий интервалу длин волн 30÷3000 мкм, удобно позиционирован между примыкающими к нему СВЧ и ИК областями, поскольку позволяет сочетать в терагерцовой аппаратуре инструментальные решения как оптической, так и микроволновой техники. Примером таких решений служат тонкие планарные метало-диэлектрические структуры субволновой топологии, известные в технологии метаматериалов как «метаповерхности» (МП). МП являются, как правило, резонансными электродинамическими структурами, которые эксплуатируются в режиме, когда их характерные резонансные частоты лежат значительно ниже точки возбуждения высших дифракционных гармоник, что отличает такие структуры от дифракционных решеток. Последнее достигается малостью периода расположения элементарных ячеек МП в ее латеральной плоскости в сравнении с рабочей длиной волны. Существенно, что амплитудные, фазовые и поляризационные характеристики МП в заданной полосе частот определяются дизайном ее ячеек, соответствующий выбор которого обеспечивает требуемые функциональные свойства МП-устройств. Последние выгодно сочетают малость толщины/веса и высокую эффективность, которая зачастую не может быть достигнута в рамках решений классической оптики. При этом в ТГц-диапазоне характерный размер элементов топологического рисунка МП в большинстве случаев составляет от нескольких единиц до сотен мкм, что позволяет применять для его производства сравнительно недорогие и хорошо отработанные литографические технологии. В настоящем докладе представлен обзор экспериментальных результатов по разработке оптических элементов и устройств на основе метаповерхностей традиционных и новых конфигураций, которые предназначены как для автономного применения, так и для интеграции с различными метрологическими системами, работающими в области частот от сотни ГГц до нескольких ТГц. Составляя неотъемлемую часть российской элементной базы радиофотоники, разработанные элементы в ряде случаев опережают по функциональным характеристикам отечественные и зарубежные аналоги. Обсуждаются вопросы электродинамического моделирования, технологического производства, спектральной характеризации, а также практического использования следующих типов терагерцовых МП-устройств и систем на их основе: 1) частотные фильтры различных видов: band-pass, low-pass, high-pass; дихроичные мультиплексоры пучков излучения; спектрорадиометрические системы на базе полосовых фильтров; 2) поляризаторы; преобразователи фазы и поляризации; 3) плоские фокусирующие элементы, включая голографические структуры; 4) ультратонкие резонансные поглотители и тепловые детекторы на их основе, включая многоканальные пироэлектрические линейки для спектральных и поляризационных измерений с пространственным разрешением; 5) перестраиваемые ЖК-устройства на основе высокоимпедансных поверхностей; 6) сенсоры тонкопленочных аналитов, включая SEIRA-структуры.


2020 ◽  
Author(s):  
Stephen Mang ◽  
Kate J. McKnelly ◽  
Michael Morris

The Department of Chemistry at the University of California, Irvine (UCI) instituted an upper-division “Writing for Chemists” course in fall 2017 that fulfills part of UCI’s writing graduation requirement. During the 2019-2020 school year, we re-designed the course using a specifications grading system with the following goals: 1) to teach students how to develop their own writing practice, while mastering chemistry discipline-specific writing conventions, 2) to provide students with frequent and constructive instructor and teaching assistant (TA) feedback by providing ample revision opportunities, 3) to increase transparency in how students can achieve course SLOs, and 4) to provide students with consistent and clear assessment rubrics. This specifications grading approach uses a high-pass, low-pass, unsatisfactory system predicated on whether students meet a certain number of criteria for each assignment. Achievement of Student Learning Outcomes (SLOs) was assessed using criteria instead of points so that instructors and students could more objectively measure student learning. Standardized rubrics and a student grade tracker helped students understand the relationship between meeting criteria, achieving SLOs, and earning grades. Students completed surveys at the end of the course to determine if their writing habits and attitudes towards writing changed. After the course, students self-reported increased propensities to pre-write and edit, and several students mentioned that they appreciated the transparency of the specifications rubrics and the control the specifications system gave them over their grades.


Author(s):  
Emre Cancioglu ◽  
Gokberk Cakiroglu ◽  
Alkim Gokcen ◽  
Yilmaz Sefa Altanay

This study provides design and implementation of four digital filters (low pass, high pass, band pass and band stop) for ECG (electrocardiogram) data on FPGA with MATLAB by a serial communication. The study is conducted with using ECG data which is obtained from PhysioBank Database platform. SysGen (System Generator for DSP) which is a toolbox for MATLAB is used for designing and implementing the digital filters. The aim of the study is to perform four different digital filters with various blocks on the SysGen Toolbox. The study then examines the results of four different digital filters.


Author(s):  
Sude Pehlivan ◽  
Yalcin Isler

Surface EEG measurements that can be performed in hospitals and laboratories have reached a wearable and portable level with the development of today's technologies. Artificial intelligence-assisted brain-computer interface (BCI) systems play an important role in individuals with disabilities to process EEG signals and interact with the outside world. In particular, the research is becoming widespread to meet the basic needs of individuals in need of home care with an increasing population. In this study, it is aimed to design the BCI system that will detect the hunger and satiety status of the people on the computer platform through EEG measurements. In this context, a database was created by recording EEG signals with eyes open and eyes closed by 20 healthy participants in the first stage of the study. The noise of the EEG signal is eliminated by using a low pass, high pass, and notch filters. In the classification, using Wavelet Packet Transform (WPT) with Coiflet 1 and Daubechies 4 wavelets, 77.50% accuracy was achieved in eyes closed measurement, and 81% in eyes open measurement.


Author(s):  
Manoj Kumar Jain

Some time back, Kircay reported an electronically-tunable current-mode square-root-domain first-order filter capable of realizing low-pass (LP), high-pass (HP) and all-pass (AP) filter functions. When simulated in SPICE, Kircay’s circuit has been found to exhibit DC offsets in case of LP and AP responses and incorrect transient response in case of HP response. In this paper, an improved circuit overcoming these difficulties/deficiencies has been suggested and its workability of the improved circuit as well as its capability in meeting the intended objectives has been demonstrated by SPICE simulation results.


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