2017
Authors
Teles, AS; Rocha, A; da Silva e Silva, FJDE; Lopes, JC; O'Sullivan, D; Van de Ven, P; Endler, M;
Publication
SENSORS
Abstract
Current mobile devices allow the execution of sophisticated applications with the capacity for identifying the user situation, which can be helpful in treatments of mental disorders. In this paper, we present SituMan, a solution that provides situation awareness to MoodBuster, an ecological momentary assessment and intervention mobile application used to request self-assessments from patients in depression treatments. SituMan has a fuzzy inference engine to identify patient situations using context data gathered from the sensors embedded in mobile devices. Situations are specified jointly by the patient and mental health professional, and they can represent the patient's daily routine (e.g., "studying", "at work", "working out"). MoodBuster requests mental status self-assessments from patients at adequate moments using situation awareness. In addition, SituMan saves and displays patient situations in a summary, delivering them for consultation by mental health professionals. A first experimental evaluation was performed to assess the user satisfaction with the approaches to define and identify situations. This experiment showed that SituMan was well evaluated in both criteria. A second experiment was performed to assess the accuracy of the fuzzy engine to infer situations. Results from the second experiment showed that the fuzzy inference engine has a good accuracy to identify situations.
2017
Authors
Rodrigues, S; Kaiseler, M; Queirós, C; Basto Pereira, M;
Publication
International Journal of Emergency Services
Abstract
Purpose: Police in Europe are facing increased demands and diminished resources, and this is particularly prominent among emergency response officers (EROs) working in poorer countries such as Portugal. Considering that daily stress and limited coping skills can result in detrimental consequences for officers’ health and society welfare, the purpose of this paper is to investigate stress and coping among Portuguese EROs. Design/methodology/approach: EROs completed daily diaries over 11 working days. Each diary entry included an open-ended stressor, coping section and a Likert-type scale to evaluate coping effectiveness. Data were analyzed using inductive and deductive content analysis procedures. The frequency of stressors, coping and coping effectiveness were calculated. Findings: EROs reported facing more operational stressors, particularly public disorder situations. However, gun situations were perceived as the most intense stressor. Emotion-focused coping (i.e. peer support) was more used than problem-focused. Despite variation in coping effectiveness in accordance to stressor experienced, longitudinal analysis suggests that problem-focused coping is more effective. Research limitations/implications: Longitudinal methodologies should contemplate stress appraisal and coping effectiveness in order to fully understand stress and coping. Future studies should employ this methodology at a larger scale and over longer periods. Practical implications: Intervention programs for EROs should be multidimensional, targeting work conditions and resources, stress management, and coping effectiveness. Originality/value: Findings provide strong recommendations for future research and applied implications for stress prevention and effective coping interventions. © 2017, © Emerald Publishing Limited.
2017
Authors
Aresta, G; Cunha, A; Campilho, A;
Publication
Medical Imaging 2017: Computer-Aided Diagnosis, Orlando, Florida, United States, 11-16 February 2017
Abstract
A method to detect juxta-pleural nodules with radius smaller than 5mm is presented. The intensity difference between nodules and parenchymal tissue as well as the nodules' natural roundness are exploited. Solid nodules are detected by selecting an appropriate threshold over a sliding window, whereas sub-solid/non-solid nodules are enhanced using multi-scale Laplacian-of-Gaussian filters. The 2D-wise outputs are combined to 3D, producing a final candidate list. False positive reduction is achieved with fixed rules and supervised learning. The achieved sensitivity is 57% with 4 false positives/scan, increasing to 62% if only solid nodules are considered. © 2017 SPIE.
2017
Authors
Pereira, T; Simoes, R;
Publication
Thermal Imaging: Types, Advancements and Applications
Abstract
The ability to detect pathological changes early and in a non-invasive way represents important advantages in the medical field. Diagnosis should become less intrusive, more accurate and less expensive in order to implement in the clinical routine. Infrared thermography has the advantages of being non-invasive, fast, reliable, capable of producing multiple recordings in short intervals, and absolutely safe for patients and clinicians. Thermographic image (TI) came to be an extensively studied technique to quantify sensitive changes in skin temperature in relation to certain diseases: early in the pathological process (lesions, inflammation and infection) the circulation fluxes are altered and, consequently, the tissues’ temperature is reflected in thermography pattern, before structural or functional changes can be observed. This technique proved to be able to give relevant clinical information, such as breast cancer, foot disease in diabetes, rheumatoid arthritis and sports injuries. Monitoring the temperature profile of a patient will allow understanding the physiological evolution of some diseases or monitoring the pharmacologic therapy effect. However, the high cost of this technology and the small number of commercial solutions do not allow a general implementation in the clinical environmental. The future direction is the combination of this technique with the other images techniques in order to add clinical information for a more reliable diagnostic.
2017
Authors
Rozanski, VE; da Silva, NM; Ahmadi, SA; Mehrkens, J; Cunha, JD; Houde, JC; Vollmar, C; Botzel, K; Descoteaux, M;
Publication
HUMAN BRAIN MAPPING
Abstract
Background: Deep Brain Stimulation (DBS) of the Globus pallidus internus (GPi) is gold standard treatment in medically refractory dystonia. Recent evidence indicates that stimulation effects are also due to axonal modulation and affection of a fibre network. For the GPi, the pallidothalamic tracts are known to be the major motor efferent pathways. The aim of this study is to explore the anatomic vicinity of these tracts and DBS electrodes in dystonia applying diffusion tractography. Methods: Diffusion MRI was acquired in ten patients presenting for DBS for dystonia. We applied both a conventionally used probabilistic tractography algorithm (FSL) as well as a probabilistic streamline tracking approach, based on constrained spherical deconvolution and particle filtering with anatomic priors, to the datasets. DBS electrodes were coregistered to the diffusion datasets. Results: We were able to delineate the pallidothalamic tracts in all patients. Using the streamline approach, we were able to distinguish between the two sub-components of the tracts, the ansa lenticularis and the fasciculus lenticularis. Clinically efficient DBS electrodes displayed a close anatomic vicinity pathway of the pallidothalamic tracts, and their course was consistent with previous tracer labelling studies. Although we present only anatomic data, we interpret these findings as evidence of the possible involvement of fibre tracts to the clinical effect in DBS. Electro-physiological intraoperative recordings would be needed to complement our findings. In the future, a clear and individual delineation of the pallidothalamic tracts could optimize the stereotactic process of optimal electrode localization. (C) 2016 Wiley Periodicals, Inc.
2017
Authors
Galdran, Adrian; Gila, AitorAlvarez; Meyer, MariaInes; Saratxaga, CristinaLopez; Araujo, Teresa; Garrote, Estibaliz; Aresta, Guilherme; Costa, Pedro; Mendonça, AnaMaria; Campilho, AurelioJ.C.;
Publication
CoRR
Abstract
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