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In recent years, many efforts have been made to promote a healthcare paradigm shift from the traditional reactive hospital-centered healthcare approach towards a proactive, patient-oriented and self-managed approach that could improve service quality and help reduce costs while contributing to sustainability. Managing and caring for patients with chronic diseases accounts over 75% of healthcare costs in developed countries. One of the most resource demanding diseases is chronic kidney disease (CKD), which often leads to a gradual and irreparable loss of renal function, with up to 12% of the population showing signs of different stages of this disease. Peritoneal dialysis and home haemodialysis are life-saving home-based renal replacement treatments that, compared to conventional in-center hemodialysis, provide similar long-term patient survival, less restrictions of life-style, such as a more flexible diet, and better flexibility in terms of treatment options and locations. Bioimpedance has been largely used clinically for decades in nutrition for assessing body fluid distributions. Moreover, bioimpedance methods are used to assess the overhydratation state of CKD patients, allowing clinicians to estimate the amount of fluid that should be removed by ultrafiltration. In this work, the initial validation of a handheld bioimpedance system for the assessment of body fluid status that could be used to assist the patient in home-based CKD treatments is presented. The body fluid monitoring system comprises a custom-made handheld tetrapolar bioimpedance spectrometer and a textile-based electrode garment for total body fluid assessment. The system performance was evaluated against the same measurements acquired using a commercial bioimpedance spectrometer for medical use on several voluntary subjects. The analysis of the measurement results and the comparison of the fluid estimations indicated that both devices are equivalent from a measurement performance perspective, allo, QC 20170119

Determining the stress level of a subject in real time could be of special interest in certain professional activities to allow the monitoring of soldiers, pilots, emergency personnel and other professionals responsible for human lives. Assessment of current mental fitness for executing a task at hand might avoid unnecessary risks. To obtain this knowledge, two physiological measurements were recorded in this work using customized non-invasive wearable instrumentation that measures electrocardiogram (ECG) and thoracic electrical bioimpedance (TEB) signals. The relevant information from each measurement is extracted via evaluation of a reduced set of selected features. These features are primarily obtained from filtered and processed versions of the raw time measurements with calculations of certain statistical and descriptive parameters. Selection of the reduced set of features was performed using genetic algorithms, thus constraining the computational cost of the real-time implementation. Different classification approaches have been studied, but neural networks were chosen for this investigation because they represent a good tradeoff between the intelligence of the solution and computational complexity. Three different application scenarios were considered. In the first scenario, the proposed system is capable of distinguishing among different types of activity with a 21.2% probability error, for activities coded as neutral, emotional, mental and physical. In the second scenario, the proposed solution distinguishes among the three different emotional states of neutral, sadness and disgust, with a probability error of 4.8%. In the third scenario, the system is able to distinguish between low mental load and mental overload with a probability error of 32.3%. The computational cost was calculated, and the solution was implemented in commercially available Android-based smartphones. The results indicate that execution of such a monitoring solution is negligible compar, QC 20160111

La comunicación presenta el primer informe de la investigación realizada por el grupo de estudios erp (Estudio Rutinas Periodísticas), compuesto por académicos de Chile, Ecuador, Colombia, Argentina y México, orientado a identificar las limitaciones que afectan la labor informativa de los periodistas latinoamericanos. El documento permite conocer la relación entre los periodistas y el poder político, y las restricciones que este sector tiene en el acceso y difusión de la información. Asimismo, ahonda en la influencia de la audiencia en la reconstrucción de la realidad social, que también se configura como un efecto condicionante. De esta forma, y en la voz de sus propios protagonistas, se expone la compleja realidad laboral de los periodistas, observados tradicionalmente como agentes mediadores entre la agenda política y la agenda pública. La exposición de los resultados obtenidos permite determinar tendencias generales aplicables al conjunto de Latinoamérica y también realidades específicas de cada país y, a partir de allí, plantear cambios necesarios para asegurar que la profesión cumpla efectivamente su rol social., This text presents the first report of the research done by the erp research team (Estudio Rutinas Periodísticas), integrated by academicians from Chile, Ecuador, Colombia, Argentina and México, oriented to identify the conditions that affect the informative labor of Latin American journalists. The document allows getting to know the relation between journalists and political power and the restrictions that this sector has in the access to and the broadcasting of information. Furthermore, the research deepens on the influence of audiences in the construction of social reality that also configures as a condition to information work. In this way, and in the voice of journalists themselves, often observed as intermediators between the politic and the public agenda, the complex labor reality of journalists is exposed. The exposition and comparison between the obtained results allows to determine general tendencies applicable to Latin America as a whole and also to specific realities in each country, and to propose the general changes needed to secure that the profession will be able to fulfill effectively its social role., A comunicação apresenta o primeiro informe da pesquisa realizada pelo grupo de estudos erp Estudo de Rotinas Jornalísticas (Estudio Rutinas Periodísticas), composto por académicos do Chile, Equador, Colômbia, Argentina, e México, orientado a identificar as limitações que afetam o trabalho informativo dos jornalistas latino-americanos. O documento permite conhecer a relação entre os jornalistas e o poder político, e as restrições que este setor tem no acesso e difusão da informação. Igualmente, aprofunda na influência da audiência na reconstrução da realidade social, que também se configura como um efeito condicionante. Desta forma, e na voz de seus próprios protagonistas, se expõe a complexa realidade laboral dos jornalistas, observados tradicionalmente como agentes mediadores entre a agenda política e a agenda pública. A exposição dos resultados obtidos permite determinar tendências gerais aplicáveis ao conjunto de Latino-América e também realidades específicas de cada país e, a partir dali, apresentar mudanças necessárias para assegurar que a profissão cumpra efetivamente seu rol social.

The Spanish Ministry of Defense, through its Future Combatant program, has sought to develop technology aids with the aim of extending combatants' operational capabilities. Within this framework the ATREC project funded by the Coincidente program aims at analyzing diverse biometrics to assess by real time monitoring the stress levels of combatants. This project combines multidisciplinary disciplines and fields, including wearable instrumentation, textile technology, signal processing, pattern recognition and psychological analysis of the obtained information. In this work the ATREC project is described, including the different execution phases, the wearable biomedical measurement systems, the experimental setup, the biomedical signal analysis and speech processing performed. The preliminary results obtained from the data analysis collected during the first phase of the project are presented, indicating the good classification performance exhibited when using features obtained from electrocardiographic recordings and electrical bioimpedance measurements from the thorax. These results suggest that cardiac and respiration activity offer better biomarkers for assessment of stress than speech, galvanic skin response or skin temperature when recorded with wearable biomedical measurement systems., QC 20140710

Advances in textile materials, technology and miniaturization of electronics for measurement instrumentation has boosted the development of wearable measurement systems. In several projects sensorized garments and non-invasive instrumentation have been integrated to assess on emotional, cognitive responses as well as physical arousal and status of mental stress through the study of the autonomous nervous system. Assessing the mental state of workers under stressful conditions is critical to identify which workers are in the proper state of mind and which are not ready to undertake a mission, which might consequently risk their own life and the lives of others. The project Assessment in Real Time of the Stress in Combatants (ATREC) aims to enable real time assessment of mental stress of the Spanish Armed Forces during military activities using a wearable measurement system containing sensorized garments and textile-enabled non-invasive instrumentation. This work describes the multiparametric sensorized garments and measurement instrumentation implemented in the first phase of the project required to evaluate physiological indicators and recording candidates that can be useful for detection of mental stress. For such purpose different sensorized garments have been constructed: a textrode chest-strap system with six repositionable textrodes, a sensorized glove and an upper-arm strap. The implemented textile-enabled instrumentation contains one skin galvanometer, two temperature sensors for skin and environmental temperature and an impedance pneumographer containing a 1-channel ECG amplifier to record cardiogenic biopotentials. With such combinations of garments and non-invasive measurement devices, a multiparametric wearable measurement system has been implemented able to record the following physiological parameters: heart and respiration rate, skin galvanic response, environmental and peripheral temperature. To ensure the proper functioning of the implemented garment, QC 20140117

The assessment of mental stress on workers under hard and stressful conditions is critical to identify which workers are not ready to undertake a mission that might put in risk their own life and the life of others. The ATREC project aims to enable Real Time Assessment of Mental Stress of the Spanish Armed Forces during military activities. Integrating sensors with garments and using wearable measurement devices, the following physiological measurements were recorded: heart and respiration rate, skin galvanic response as well as peripheral temperature. The measuring garments are the following: a sensorized glove, an upper-arm strap and a repositionable textrode chest strap system with 6 textrodes. The implemented textile-enabled instrumentation contains: one skin galvanometer, two temperature sensors, for skin and environmental, and an Impedance Cardiographer/Pneumographer containing a 1 channel ECG amplifier to record cardiogenic biopotentials. The implemented wearable systems operated accordingly to the specifications and are ready to be used for the mental stress experiments that will be executed in the coming phases of the project in healthy volunteers., QC 20131209

This paper presents a novel frequency distribution scheme intended to provide more accurate estimations of Cole parameters. Nowadays a logarithmic frequency distribution is mostly used in Electrical Bioimpedance Spectroscopy (EBIS) applications. However it is not optimized following any criterion. Our hypothesis is that an EBIS signal contains more information where the variation of the measurement regarding the frequency is larger; and that there ought to be more measuring frequencies where there is more information. Results show that for EBIS data with characteristic frequencies up to 200 kHz the error obtained with both frequency distribution schemes is similar. However, for EBIS data with higher values of characteristic frequency the error produced when estimating the values from EBIS measurements using an adaptive frequency distribution is smaller. Thus it may useful for EBIS applications with high values of characteristic frequency, e.g. cerebral bioimpedance., QC 20130118

Best Poster Award. QC 20130118, Elektrodress: Seamless Textile Electronic Integration

Advances on System-On-Chip and Textile technology allows the development of Textile-enabled measurement instrumentation. Textile Electrodes (Textrodes) have been proven reliable for performing Electrical Bioimpedance Spectroscopy (EBIS) measurements, and the availability of a integrated circuit impedance spectrometer, the AD5933, has allowed the implementation of small size EBIS spectrometers. In this work an AD5933-based spectrometer has been implemented, and its performance on 2R1C circuits and for tetrapolar total right side EBIS measurements has been compared against the commercially available spectrometer SFB7. The study has been focused on the working upper frequency range and the estimation of the Cole parameters required for assessment of body fluid distribution: R(0) and R(∞). The results indicate that AD5933-based spectrometer implemented in this work can perform accurate impedance measurements well above the upper limits recommended in the datasheet. The AD5933-EBIS presents a good performance compared with the SFB7 on the 2R1C circuit and the total right side measurements, showing a smaller error in the resistance spectrum and small deviation error in the reactance when measuring over 270 kHz. The comparison on the Cole parameters estimation obtained with the SFB7 and the AD5933-based spectrometer exhibit a difference below 1% for the estimation of R(0) and R(∞). Consequently the overall measurement performance shown by the implemented AD5933-based spectrometer suggests its feasible use for EBIS measurements using dry Textrodes. This is of special relevance for the proliferation of EBI-based personalized health monitoring systems for patients that require to monitor the distribution of body fluids, like in dialysis., QC 20120203

Introduction: After several years of progresses in textile technology and wearable measurement instrumentation, applications of wearable textile-electronics systems are arising providing a stable background for commercial applications. So far, the available commercial solutions are centered on fitness applications and mostly based in the acquisition of heart rate through Textile Electrodes (Textrodes) based on metallic threads or on conductive rubber compounds. Methods and Materials: In this work a novel material approach is presented to produce Textrodes for acquisition of Electrocardiographic (ECG) signals using a conductive polypropylene (PP1386 from Premix, Finland) polymer material. The polymer was film extruded into thin films, and used as such in the Textrode. Conductive Polymer Films (CPF) have been used to produce Textrodes, and its measurement performance has been compared with the ECG signals obtained with commercial Textrode fabrics and conventional Ag/AgCl electrodes. In order to set up the same measurement conditions, a chest strap tailored to host the testing electrodes has been used. Results: The close resemblance of the ECG acquired with the textile fabric electrodes, the Ag/AgCl electrodes and the PP1386 CPF electrodes suggest that the Polymer Electrodes PP1386 are a feasible alternative to the current textile fabrics that use silver thread as conductive material and also to conductive rubber material. Discussion & Conclusion: The availability of the Conductive Polymer Electrode PP1386 in a film form allows the manufacturing of electrodes by conventional textile processes, like lamination or sewing, therefore facilitating the transition from lab prototyping to industrial manufacturing. Replacing the traditional silver thread as conductive element in the fabrication of Textrodes will definitely reduce the material cost per Textrode. Biocompatibility issues and manufacturability issues must be addressed but the exhibited functional performance is, QC 20120413

QC 20120412

To build an Electrical Bioimpedance (EBI) spectrometer using the Impedance Measurement System-On-Chip AD5933 together with a 4-Electrode Analog Front End (4E-AFE) has been proven practicable. Such small measurement devices can make possible several new applications of EBI technology, especially when combined with functional textiles, which can enable wearable applications for personal health and home monitoring. After the implementation and functional validation of the 4E-AFE-enabled spectrometer, the next natural step is to validate for which EBI applications the 4E-AFE-enabled system is suitable. To test the applicability of this novel spectrometer on several EBI applications, 2R1C equivalent models have been experimentally obtained and impedance spectroscopy measurements have been performed with the system under study and with the SFB7 EBI spectrometer manufactured by ImpediMed. The 2R1C circuit parameters have been estimated with the BioImp software from the spectra obtained with both EBI spectrometers and the estimated values have been compared with the original values used in each circuit model implementation. The obtained results indicated that the 4E-AFE-enabled system cannot beat the performance of the SFB7 in accuracy but it performs better in preciseness. In any case the overall performance indicates that the 4E-AFE-enabled system can perform spectroscopy measurements in the frequency range from 5 to 100 kHz., QC 20120206

Electrical Bioimpedance (EBI) is one of the non-invasive monitoring technologies that could benefit from the emerging textile based measurement systems. If reliable and reproducible EBI measurements could be done with textile electrodes, that would facilitate the utilization of EBI-based personalized healthcare monitoring applications. In this work the performance of a custom-made dry-textile electrode prototype is tested. Four-electrodes ankle-to-wrist EBI measurements have been taken on healthy subjects with the Impedimed spectrometer SFB7 in the frequency range 5 kHz to 1 MHz. The EBI spectroscopy measurements taken with dry electrodes were analyzed via the Cole and Body Composition Analysis (BCA) parameters, which were compared with EBI measurements obtained with standard electrolytic electrodes. The analysis of the obtained results indicate that even when dry textile electrodes may be used for EBI spectroscopy measurements, the measurements present remarkable differences that influence in the Cole parameter estimation process and in the final production of the BCA parameters. These initial results indicate that more research work must be done to in order to obtain a textile-based electrode that ensures reliable and reproducible EBI spectroscopy measurements., QC 20120210

The increasing number of applications of electrical bioimpedance measurements in biomedical practice, together with continuous advances in textile technology, has encouraged several researchers to make the first attempts to develop portable, even wearable, electrical bioimpedance measurement systems. The main target of these systems is personal and home monitoring. Analog Devices has made available AD5933, a new system-on-chip fully integrated electrical impedance spectrometer, which might allow the implementation of minimum-size instrumentation for electrical bioimpedance measurements. However, AD5933 as such is not suitable for most applications of electrical bioimpedance. In this work, we present a relatively simple analog front-end that adapts AD5933 to a four-electrode strategy, allowing its use in biomedical applications for the first time. The resulting impedance measurements exhibit a very good performance in aspects like load dynamic range and accuracy. This type of minimum-size, system-on-chip-based bioimpedance measurement system would lead researchers to develop and implement light and wearable electrical bioimpedance systems for home and personal health monitoring applications, a new and huge niche for medical technology development., QC 20120208