Displaying publications 1 - 20 of 30 in total

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  1. Ahamed MRA, Babini MH, Namazi H
    Technol Health Care, 2020 Mar 13.
    PMID: 32200368 DOI: 10.3233/THC-192105
    BACKGROUND: The human voice is the main feature of human communication. It is known that the brain controls the human voice. Therefore, there should be a relation between the characteristics of voice and brain activity.

    OBJECTIVE: In this research, electroencephalography (EEG) as the feature of brain activity and voice signals were simultaneously analyzed.

    METHOD: For this purpose, we changed the activity of the human brain by applying different odours and simultaneously recorded their voices and EEG signals while they read a text. For the analysis, we used the fractal theory that deals with the complexity of objects. The fractal dimension of EEG signal versus voice signal in different levels of brain activity were computed and analyzed.

    RESULTS: The results indicate that the activity of human voice is related to brain activity, where the variations of the complexity of EEG signal are linked to the variations of the complexity of voice signal. In addition, the EEG and voice signal complexities are related to the molecular complexity of applied odours.

    CONCLUSION: The employed method of analysis in this research can be widely applied to other physiological signals in order to relate the activities of different organs of human such as the heart to the activity of his brain.

  2. Ahamed NU, Sundaraj K, Alqahtani M, Altwijri O, Ali MA, Islam MA
    Technol Health Care, 2014 Oct 15.
    PMID: 25318958
    BACKGROUND: The relationship between surface electromyography (EMG) and force have been the subject of ongoing investigations and remain a subject of controversy. Even under static conditions, the relationships at different sensor placement locations in the biceps brachii (BB) muscle are complex.

    OBJECTIVE: The aim of this study was to compare the activity and relationship between surface EMG and static force from the BB muscle in terms of three sensor placement locations.

    METHODS: Twenty-one right hand dominant male subjects (age 25.3 ± 1.2 years) participated in the study. Surface EMG signals were detected from the subject's right BB muscle. The muscle activation during force was determined as the root mean square (RMS) electromyographic signal normalized to the peak RMS EMG signal of isometric contraction for 10 s. The statistical analysis included linear regression to examine the relationship between EMG amplitude and force of contraction [40-100% of maximal voluntary contraction (MVC)], repeated measures ANOVA to assess differences among the sensor placement locations, and coefficient of variation (CoV) for muscle activity variation.

    RESULTS: The results demonstrated that when the sensor was placed on the muscle belly, the linear slope coefficient was significantly greater for EMG versus force testing (r^{2} = 0.61, P > 0.05) than when placed on the lower part (r^{2}=0.31, P< 0.05) and upper part of the muscle belly (r^{2}=0.29, P > 0.05). In addition, the EMG signal activity on the muscle belly had less variability than the upper and lower parts (8.55% vs. 15.12% and 12.86%, respectively).

    CONCLUSION: These findings indicate the importance of applying the surface EMG sensor at the appropriate locations that follow muscle fiber orientation of the BB muscle during static contraction. As a result, EMG signals of three different placements may help to understand the difference in the amplitude of the signals due to placement.

  3. Ahmad HAB, El-Badawy IM, Singh OP, Hisham RB, Malarvili MB
    Technol Health Care, 2018;26(4):573-579.
    PMID: 29758955 DOI: 10.3233/THC-171067
    BACKGROUND: Fetal heart rate (FHR) monitoring device is highly demanded to assess the fetus health condition in home environments. Conventional standard devices such as ultrasonography and cardiotocography are expensive, bulky and uncomfortable and consequently not suitable for long-term monitoring. Herein, we report a device that can be used to measure fetal heart rate in clinical and home environments.

    METHODS: The proposed device measures and displays the FHR on a screen liquid crystal display (LCD). The device consists of hardware that comprises condenser microphone sensor, signal conditioning, microcontroller and LCD, and software that involves the algorithm used for processing the conditioned fetal heart signal prior to FHR display. The device's performance is validated based on analysis of variance (ANOVA) test.

    RESULTS: FHR data was recorded from 22 pregnant women during the 17th to 37th week of gestation using the developed device and two standard devices; AngelSounds and Electronic Stethoscope. The results show that F-value (1.5) is less than F𝑐𝑟𝑖𝑡, (3.1) and p-value (p> 0.05). Accordingly, there is no significant difference between the mean readings of the developed and existing devices. Hence, the developed device can be used for monitoring FHR in clinical and home environments.

  4. Ahmad RF, Malik AS, Kamel N, Reza F, Amin HU, Hussain M
    Technol Health Care, 2017;25(3):471-485.
    PMID: 27935575 DOI: 10.3233/THC-161286
    BACKGROUND: Classification of the visual information from the brain activity data is a challenging task. Many studies reported in the literature are based on the brain activity patterns using either fMRI or EEG/MEG only. EEG and fMRI considered as two complementary neuroimaging modalities in terms of their temporal and spatial resolution to map the brain activity. For getting a high spatial and temporal resolution of the brain at the same time, simultaneous EEG-fMRI seems to be fruitful.

    METHODS: In this article, we propose a new method based on simultaneous EEG-fMRI data and machine learning approach to classify the visual brain activity patterns. We acquired EEG-fMRI data simultaneously on the ten healthy human participants by showing them visual stimuli. Data fusion approach is used to merge EEG and fMRI data. Machine learning classifier is used for the classification purposes.

    RESULTS: Results showed that superior classification performance has been achieved with simultaneous EEG-fMRI data as compared to the EEG and fMRI data standalone. This shows that multimodal approach improved the classification accuracy results as compared with other approaches reported in the literature.

    CONCLUSIONS: The proposed simultaneous EEG-fMRI approach for classifying the brain activity patterns can be helpful to predict or fully decode the brain activity patterns.

  5. Ali MA, Sundaraj K, Ahmad RB, Ahamed NU, Islam MA, Sundaraj S
    Technol Health Care, 2014;22(4):617-25.
    PMID: 24990168 DOI: 10.3233/THC-140833
    Normally, surface electromyography electrodes are used to evaluate the activity of superficial muscles during various kinds of voluntary contractions of muscle fiber. The objective of the present study was to investigate the effect of repetitive isometric contractions on the three heads of the triceps brachii muscle during handgrip force exercise.
  6. Ambusam S, Omar B, Joseph L, Meng SP, Padzil FA
    Technol Health Care, 2015;23(5):691-7.
    PMID: 26410131 DOI: 10.3233/THC-151015
    The reliability of a triaxial accelerometer in measuring the head excursion during typing task among occupational typists has not been reported so far.
  7. Arasteh MA, Shamshirband S, Yee PL
    Technol Health Care, 2018;26(2):279-295.
    PMID: 29309042 DOI: 10.3233/THC-170947
    The most appropriate organizational software is always a real challenge for managers, especially, the IT directors. The illustration of the term "enterprise software selection", is to purchase, create, or order a software that; first, is best adapted to require of the organization; and second, has suitable price and technical support. Specifying selection criteria and ranking them, is the primary prerequisite for this action. This article provides a method to evaluate, rank, and compare the available enterprise software for choosing the apt one. The prior mentioned method is constituted of three-stage processes. First, the method identifies the organizational requires and assesses them. Second, it selects the best method throughout three possibilities; indoor-production, buying software, and ordering special software for the native use. Third, the method evaluates, compares and ranks the alternative software. The third process uses different methods of multi attribute decision making (MADM), and compares the consequent results. Based on different characteristics of the problem; several methods had been tested, namely, Analytic Hierarchy Process (AHP), Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), Elimination and Choice Expressing Reality (ELECTURE), and easy weight method. After all, we propose the most practical method for same problems.
  8. Azeez D, Gan KB, Mohd Ali MA, Ismail MS
    Technol Health Care, 2015;23(4):419-28.
    PMID: 25791174 DOI: 10.3233/THC-150907
    BACKGROUND: Triage of patients in the emergency department is a complex task based on several uncertainties and ambiguous information. Triage must be implemented within two to five minutes to avoid potential fatality and increased waiting time.
    OBJECTIVE: An intelligent triage system has been proposed for use in a triage environment to reduce human error.
    METHODS: This system was developed based on the objective primary triage scale (OPTS) that is currently used in the Universiti Kebangsaan Malaysia Medical Center. Both primary and secondary triage models are required to develop this system. The primary triage model has been reported previously; this work focused on secondary triage modelling using an ensemble random forest technique. The randomized resampling method was proposed to balance the data unbalance prior to model development.
    RESULTS: The results showed that the 300% resampling gave a low out-of-bag error of 0.02 compared to 0.37 without pre-processing. This model has a sensitivity and specificity of 0.98 and 0.89, respectively, for the unseen data.
    CONCLUSION: With this combination, the random forest reduces the variance, and the randomized resembling reduces the bias, leading to the reduced out-of-bag error.
    KEYWORDS: Decision support system; emergency department; random forest; randomized resampling
  9. Bindal P, Bindal U, Lin CW, Kasim NHA, Ramasamy TSAP, Dabbagh A, et al.
    Technol Health Care, 2017 Dec 04;25(6):1041-1051.
    PMID: 28800347 DOI: 10.3233/THC-170922
    Dental stem cells isolated for human dental pulp are an excellent source for regenerative medicine and dentistry. Simulation of clinical scenario is one of the crucial challenges for evaluation of the efficacy of DPSCs in various regenerative therapies. In this study we evaluated the viability of DPSCs after treatment with artificial bacterial lipopolysaccharides (LPS) as the main component responsible for inducing inflammatory response in majority of the inflammatory conditions in clinical scenario. Although a number of studies have previously treated stem cells with LPS from bacteria, however the accuracy level of the outcome was not established. Here we have analyzed the outcome using adaptive neuro-fuzzy inferences system (ANFIS) to predict the viability of human DPSCs after treatment with bacterial LPS.
  10. Chia KP, Li OK, Yuong TS, Singh OP, Faudzi AABM, Sornambikai S, et al.
    Technol Health Care, 2021;29(4):829-836.
    PMID: 33492252 DOI: 10.3233/THC-202414
    BACKGROUND: Force Monitoring Devices (FMDs) reported in the literature to monitor applied force during Joint Mobilization Technique (JMT) possess complex design/bulky which alters the execution of treatment, has poor accuracy and is unable to feel the resistance provided by soft tissues limits its usage in the clinical settings.

    OBJECTIVES: This study aims to develop a highly accurate, portable FMD and to demonstrate real-time monitoring of force applied by health professionals during JMT without altering its execution.

    METHODS: The FMD was constructed using the FlexiForce sensor, potential divider, ATmega 328 microcontroller, custom-written software, and liquid crystal display. The calibration, accuracy, and cyclic repeatability of the FMD were tested from 0 to 90 N applied load with a gold standard universal testing machine. For practical demonstration, the FMD was tested for monitoring applied force by a physiotherapist while performing Maitland's grade I to IV over the 6th cervical vertebra among 30 healthy subjects.

    RESULTS: The obtained Bland-Altman plot limits agreement for accuracy, and cyclic repeatability was -1.57 N to 1.22 N, and -1.26 N to 1.26 N, respectively with standard deviation and standard error of the mean values of 3.77% and 0.73% and 2.15% and 0.23%, respectively. The test-retest reliability of the FMD tested by the same researcher at an interval of one week showed an excellent intra-class correlation coefficient of r= 1.00. The obtained force readings for grade I to IV among 30 subjects ranged from 10.33 N to 45.24 N.

    CONCLUSIONS: Appreciable performance of the developed FMD suggested that it may be useful to monitor force applied by clinicians during JMT among neck pain subjects and is a useful educational tool for academicians to teach mobilization skills.

  11. El-Badawy IM, Singh OP, Omar Z
    Technol Health Care, 2021;29(1):59-72.
    PMID: 32716337 DOI: 10.3233/THC-202198
    BACKGROUND: The quantitative features of a capnogram signal are important clinical metrics in assessing pulmonary function. However, these features should be quantified from the regular (artefact-free) segments of the capnogram waveform.

    OBJECTIVE: This paper presents a machine learning-based approach for the automatic classification of regular and irregular capnogram segments.

    METHODS: Herein, we proposed four time- and two frequency-domain features experimented with the support vector machine classifier through ten-fold cross-validation. MATLAB simulation was conducted on 100 regular and 100 irregular 15 s capnogram segments. Analysis of variance was performed to investigate the significance of the proposed features. Pearson's correlation was utilized to select the relatively most substantial ones, namely variance and the area under normalized magnitude spectrum. Classification performance, using these features, was evaluated against two feature sets in which either time- or frequency-domain features only were employed.

    RESULTS: Results showed a classification accuracy of 86.5%, which outperformed the other cases by an average of 5.5%. The achieved specificity, sensitivity, and precision were 84%, 89% and 86.51%, respectively. The average execution time for feature extraction and classification per segment is only 36 ms.

    CONCLUSION: The proposed approach can be integrated with capnography devices for real-time capnogram-based respiratory assessment. However, further research is recommended to enhance the classification performance.

  12. Gan KB, Yahyavi ES, Ismail MS
    Technol Health Care, 2016 Sep 14;24(5):761-8.
    PMID: 27163300 DOI: 10.3233/THC-161161
    BACKGROUND: At the emergency triage center, assessment of the present of the danger signs and measurement of vital signs are measured according to the guidelines. The respiration rate is still posing a challenge to the doctor as it is impractical to use conventional devices. Attaching measurement devices to the patient will induce artificial measurements (self-awareness stress effects) besides being time-consuming. Currently, the medical officers visually count the number of times the chest movement in a minute, sometimes poses cultural challenges especially for female patients.

    OBJECTIVE: The main objective of this paper is to develop a robust algorithm to extract respiration rate using the contactless displacement sensor.

    METHODS: In this study, chest movements were used as an indicative of inspiration and expiration to measure respiratory rate using the contactless displacement sensor. The contactless optical signals were recorded from 32 healthy subjects in four different controlled breathing conditions: rest, coughing, talking and hand movement to obtain the motion artifacts that the patients may have in the emergency department. The Empirical mode decomposition (EMD) algorithm was used to derive continuous RR signal from the contactless optical signal.

    RESULTS: The analysis showed that there is a good correlation (0.9702) with RMSE of 0.33 breaths per minutes between the contact respiration rate and contactless respiration rate using empirical mode decomposition method.

    CONCLUSION: It can be concluded that the empirical mode decomposition method can extract the respiration rate of the contactless optical signal from chest movement.

  13. Kamal SM, Dawi NBM, Sim S, Tee R, Nathan V, Aghasian E, et al.
    Technol Health Care, 2020;28(6):675-684.
    PMID: 32200366 DOI: 10.3233/THC-192034
    BACKGROUND: Walking is one of the important actions of the human body. For this purpose, the human brain communicates with leg muscles through the nervous system. Based on the walking path, leg muscles act differently. Therefore, there should be a relation between the activity of leg muscles and the path of movement.

    OBJECTIVE: In order to address this issue, we analyzed how leg muscle activity is related to the variations of the path of movement.

    METHOD: Since the electromyography (EMG) signal is a feature of muscle activity and the movement path has complex structures, we used entropy analysis in order to link their structures. The Shannon entropy of EMG signal and walking path are computed to relate their information content.

    RESULTS: Based on the obtained results, walking on a path with greater information content causes greater information content in the EMG signal which is supported by statistical analysis results. This allowed us to analyze the relation between muscle activity and walking path.

    CONCLUSION: The method of analysis employed in this research can be applied to investigate the relation between brain or heart reactions and walking path.

  14. Kamal SM, Sim S, Tee R, Nathan V, Aghasian E, Namazi H
    Technol Health Care, 2020;28(4):381-390.
    PMID: 31796717 DOI: 10.3233/THC-191965
    BACKGROUND: The human brain controls all actions of the body. Walking is one of the most important actions that deals with the movement of the body. In fact, the brain controls and regulates human walking based on different conditions. One of the conditions that affects human walking is the complexity of path of movement. Therefore, the brain activity should change when a person walks on a path with different complexities.

    OBJECTIVE: In this research we benefit from fractal analysis to study the effect of complexity of path of movement on the complexity of human brain reaction.

    METHODS: For this purpose we calculate the fractal dimension of the electroencephalography (EEG) signal when subjects walk on different paths with different fractal dimensions (complexity).

    RESULTS: The results of the analysis show that the complexity of brain activity increases with the increment of complexity of path of movement.

    CONCLUSION: The method of analysis employed in this research can also be employed to analyse the reaction of the human heart and respiration when subjects move on paths with different complexities.

  15. Kamal SM, Dawi NM, Namazi H
    Technol Health Care, 2021;29(6):1109-1118.
    PMID: 33749623 DOI: 10.3233/THC-202744
    BACKGROUND: Walking like many other actions of a human is controlled by the brain through the nervous system. In fact, if a problem occurs in our brain, we cannot walk correctly. Therefore, the analysis of the coupling of brain activity and walking is very important especially in rehabilitation science. The complexity of movement paths is one of the factors that affect human walking. For instance, if we walk on a path that is more complex, our brain activity increases to adjust our movements.

    OBJECTIVE: This study for the first time analyzed the coupling of walking paths and brain reaction from the information point of view.

    METHODS: We analyzed the Shannon entropy for electroencephalography (EEG) signals versus the walking paths in order to relate their information contents.

    RESULTS: According to the results, walking on a path that contains more information causes more information in EEG signals. A strong correlation (p= 0.9999) was observed between the information contents of EEG signals and walking paths. Our method of analysis can also be used to investigate the relation among other physiological signals of a human and walking paths, which has great benefits in rehabilitation science.

  16. Kamal SM, Babini MH, Tee R, Krejcar O, Namazi H
    Technol Health Care, 2023;31(1):205-215.
    PMID: 35848002 DOI: 10.3233/THC-220191
    BACKGROND: One of the important areas of heart research is to analyze heart rate variability during (HRV) walking.

    OBJECTIVE: In this research, we investigated the correction between heart activation and the variations of walking paths.

    METHOD: We employed Shannon entropy to analyze how the information content of walking paths affects the information content of HRV. Eight healthy students walked on three designed walking paths with different information contents while we recorded their ECG signals. We computed and analyzed the Shannon entropy of the R-R interval time series (as an indicator of HRV) versus the Shannon entropy of different walking paths and accordingly evaluated their relation.

    RESULTS: According to the obtained results, walking on the path that contains more information leads to less information in the R-R time series.

    CONCLUSION: The analysis method employed in this research can be extended to analyze the relation between other physiological signals (such as brain or muscle reactions) and the walking path.

  17. Lua PL, Neni WS, Lee JK, Abd Aziz Z
    Technol Health Care, 2013;21(6):547-56.
    PMID: 24284547 DOI: 10.3233/THC-130758
    Being well-informed and knowledgeable about their illnesses would be a great advantage to children with epilepsy (CWE). Subsequently, an effective education programme which could secure interest and simultaneously improve their awareness, knowledge and attitudes (AKA) is essential in enhancing well-being and health outcomes.
  18. Namazi H, Aghasian E, Ala TS
    Technol Health Care, 2020;28(1):57-66.
    PMID: 31104032 DOI: 10.3233/THC-181579
    Analysis of human brain activity is an important topic in human neuroscience. Human brain activity can be studied by analyzing the electroencephalography (EEG) signal. In this way, scientists have employed several techniques that investigate nonlinear dynamics of EEG signals. Fractal theory as a promising technique has shown its capabilities to analyze the nonlinear dynamics of time series. Since EEG signals have fractal patterns, in this research we analyze the variations of fractal dynamics of EEG signals between four datasets that were collected from healthy subjects with open-eyes and close-eyes conditions, patients with epilepsy who did and patients who did not face seizures. The obtained results showed that EEG signal during seizure has greatest complexity and the EEG signal during the seizure-free interval has lowest complexity. In order to verify the obtained results in case of fractal analysis, we employ approximate entropy, which indicates the randomness of time series. The obtained results in case of approximate entropy certified the fractal analysis results. The obtained results in this research show the effectiveness of fractal theory to investigate the nonlinear structure of EEG signal between different conditions.
  19. Namazi H, Aghasian E, Ala TS
    Technol Health Care, 2019;27(3):233-241.
    PMID: 30829625 DOI: 10.3233/THC-181497
    Brain activity analysis is an important research area in the field of human neuroscience. Moreover, a subcategory in this field is the classification of brain activity in terms of different brain disorders. Since the Electroencephalography (EEG) signal is, in fact, a non-linear time series, employing techniques to investigate its non-linear structure is rather crucial. In this study, we evaluate the non-linear structure of the EEG signal between healthy and schizophrenic adolescents using fractal theory. The results of our analysis revealed that in terms of all recording channels, the EEG signal of healthy subjects is more complex compared to the ones suffering from schizophrenia. The statistical analysis also indicated that there is a significant difference in the complex structure of the EEG signal between these two groups of subjects. We also utilized approximate entropy in our analysis in order to verify the obtained results of the fractal analysis. The result of the entropy analysis suggested that EEG signal for healthy subjects is less random compared to the EEG signal in schizophrenic individuals. In addition, the employed methodology in this research can be further investigated in order to classify the brain activity in terms of other brain disorders, where one can explore how the complex structure of the EEG signal alters between them.
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