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Publicações

Publicações por Joana Isabel Paiva

2018

Psychophysiological Stress Assessment Among On-Duty Firefighters

Autores
Rodrigues, S; Dias, D; Paiva, JS; Cunha, JPS;

Publicação
40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018, Honolulu, HI, USA, July 18-21, 2018

Abstract
Firefighting is a hazardous profession commonly exposed to high stress that can interfere with firefighter's health and performance. Nevertheless, on-duty stress levels quantitative evaluations are very rare in the literature. In order to investigate firefighters' occupational health in terms of stress perceptions, symptoms, and quantified physiological reactions under real-world conditions, an ambulatory assessment protocol was developed. Therefore, cardiac signal from firefighters (N =6) was continuously monitored during two shifts within a working week with a medical clinically certified equipment (VitalJacket®), allowing continuous electrocardiogram (ECG) and actigraphy measurement. Psychological data were collected with an android application, collecting potential stressful events, stress symptoms, and stress appraisal. A total of 130 hours of medical-quality ECG were collected, from which heart rate variability (HRV) metrics were extracted and analyzed. Statistical significant differences were found in some HRV metrics - AVNN, RMSSD, pNN50 and LF/HF - between events and non-events, showing higher levels of physiological stress during events (p<0.05). Stress symptoms increase from the beginning to the end of the shift (from 1.54 ± 0.52 to 2.01 ± 0.73), however the mean stress self-perception of events was very low (3.22 ± 2.38 in a scale ranging from 0 to 10). Negative and strong correlations were also found between stress symptoms and some time-domain ECG measures (AVNN, SDNN and pNN50). It can be concluded that stress may not always be detected when using merely self-reports. These results enhance the importance of combining both self-report and ambulatory high-quality physiological stress measures in occupational health settings. Future studies should investigate not only what causes stress but also its impact on health and well-being of these professionals, in order to contribute to the design of efficient stress-management interventions. © 2018 IEEE.

2018

Stress among on-duty firefighters: an ambulatory assessment study

Autores
Rodrigues, S; Paiva, JS; Dias, D; Paulo, J;

Publicação
PEERJ

Abstract
Background. Stress at work has been broadly acknowledged as a worldwide problem and has been the focus of concern for many researchers. Firefighting, in particular, is frequently reported as a highly stressful occupation. In order to investigate firefighters' occupational health in terms of stress events, perceptions, symptoms, and physiological reactions under real-world conditions, an ambulatory assessment protocol was developed. Methods. Seventeen firefighters' cardiac signal was continuously monitored during an average of three shifts within a working week with medical clinically certified equipment (VitalJacket (R)), which allows for continuous electrocardiogram (ECG) and actigraphy measurement. Psychological data were collected with a software application running on smartphones, collecting potential stressful events, stress symptoms, and stress appraisal. Results. A total of 450.56 h of medical-quality ECG were collected, and heart rate variability (HRV) analysis was performed. Findings suggest that although 'fire' situations are more common, 'accidents' are more stressful. Additionally, firefighters showed high levels of physiological stress (based on AVNN and LF/HF HRV metrics) when compared to normative healthy population values that may not be diagnosed using merely self-reports. Discussion. The proposed ambulatory study seems to be useful for the monitoring of stress levels and its potential impact on health of first responders. Additionally, it could also be an important tool for the design and implementation of efficient interventions and informed management resolutions in real time. Potential applications of this research include the development of quantified occupational health (qOHealth) devices for real life monitoring of emergency personnel stress reactions.

2018

Wearable biomonitoring platform for the assessment of stress and its impact on cognitive performance of firefighters: An experimental study

Autores
Rodrigues, S; Paiva, JS; Dias, D; Pimentel, G; Kaiseler, M; Cunha, JPS;

Publicação
Clinical Practice and Epidemiology in Mental Health

Abstract
Background: Stress is a complex process with an impact on health and performance. The use of wearable sensor-based monitoring systems offers interesting opportunities for advanced health care solutions for stress analysis. Considering the stressful nature of firefighting and its importance for the community’s safety, this study was conducted for firefighters. Objectives: A biomonitoring platform was designed, integrating different biomedical systems to enable the acquisition of real time Electrocardiogram (ECG), computation of linear Heart Rate Variability (HRV) features and collection of perceived stress levels. This platform was tested using an experimental protocol, designed to understand the effect of stress on firefighter’s cognitive performance, and whether this effect is related to the autonomic response to stress. Method: The Trier Social Stress Test (TSST) was used as a testing platform along with a 2-Choice Reaction Time Task. Linear HRV features from the participants were acquired using an wearable ECG. Self-reports were used to assess perceived stress levels. Results: The TSST produced significant changes in some HRV parameters (AVNN, SDNN and LF/HF) and subjective measures of stress, which recovered after the stress task. Although these short-term changes in HRV showed a tendency to normalize, an impairment on cognitive performance was found after performing the stress event. Conclusion: Current findings suggested that stress compromised cognitive performance and caused a measurable change in autonomic balance. Our wearable biomonitoring platform proved to be a useful tool for stress assessment and quantification. Future studies will implement this biomonitoring platform for the analysis of stress in ecological settings. © 2018 Rodrigues et al.

2019

Optical fiber-based sensing method for nanoparticle detection through supervised back-scattering analysis: a potential contributor for biomedicine

Autores
Paiva, JS; Jorge, PAS; Ribeiro, RSR; Sampaio, P; Rosa, CC; Cunha, JPS;

Publicação
INTERNATIONAL JOURNAL OF NANOMEDICINE

Abstract
Background: In view of the growing importance of nanotechnologies, the detection/identification of nanoparticles type has been considered of utmost importance. Although the characterization of synthetic/organic nanoparticles is currently considered a priority (eg, drug delivery devices, nanotextiles, theranostic nanoparticles), there are many examples of "naturally" generated nanostructures - for example, extracellular vesicles (EVs), lipoproteins, and virus - that provide useful information about human physiology or clinical conditions. For example, the detection of tumor-related exosomes, a specific type of EVs, in circulating fluids has been contributing to the diagnosis of cancer in an early stage. However, scientists have struggled to find a simple, fast, and low-cost method to accurately detect/identify these nanoparticles, since the majority of them have diameters between 100 and 150 nm, thus being far below the diffraction limit. Methods: This study investigated if, by projecting the information provided from short-term portions of the back-scattered laser light signal collected by a polymeric lensed optical fiber tip dipped into a solution of synthetic nanoparticles into a lower features dimensional space, a discriminant function is able to correctly detect the presence of 100 nm synthetic nanoparticles in distilled water, in different concentration values. Results and discussion: This technique ensured an optimal performance (100% accuracy) in detecting nanoparticles for a concentration above or equal to 3.89 mu g/mL (8.74E+10 particles/mL), and a performance of 90% for concentrations below this value and higher than 1.22E-03 mu g/mL (2.74E+07 particles/mL), values that are compatible with human plasmatic levels of tumor-derived and other types of EVs, as well as lipoproteins currently used as potential biomarkers of cardiovascular diseases. Conclusion: The proposed technique is able to detect synthetic nanoparticles whose dimensions are similar to EVs and other "clinically" relevant nanostructures, and in concentrations equivalent to the majority of cell-derived, platelet-derived EVs and lipoproteins physiological levels. This study can, therefore, provide valuable insights towards the future development of a device for EVs and other biological nanoparticles detection with innovative characteristics.

2019

Optical Fiber-based Sensing Method for Nanoparticles Detection through Back-Scattering Signal Analysis

Autores
Paiva, JS; Ribeiro, RSR; Jorge, PAS; Rosa, CC; Sampaio, P; Cunha, JPS;

Publicação
OPTICAL FIBERS AND SENSORS FOR MEDICAL DIAGNOSTICS AND TREATMENT APPLICATIONS XIX

Abstract
In view of the growing importance of nanotechnologies, the detection of nanoparticles type in several contexts has been considered a relevant topic. Several organisms, including the National Institutes of Health, have been highlighting the urge of developing nanoparticles exposure risk assessment assays, since very little is known about their physiological responses. Although the identi fi cation/characterization of synthetically produced nanoparticles is considered a priority, there are many examples of \ naturally" generated nanostructures that provide useful information about food components or human physiology. In fact, several nanoscale extracellular vesicles are present in physiological fluids with high potential as cancer biomarkers. However, scientists have struggled to fi nd a simple and rapid method to accurately detect/identify nanoparticles, since their majority have diameters between 100-150 nm -far below the di ff raction limit. Currently, there is a lack of instruments for nanoparticles detection and the few instrumentation that is commonly used is costly, bulky, complex and time consuming. Thus, considering our recent studies on particles identi fi cation through back-scattering, we examined if the time/frequency-domain features of the back-scattered signal provided from a 100 nm polystyrene nanoparticles suspension are able to detect their presence only by dipping a polymeric lensed optical fi ber in the solution. This novel technique allowed the detection of synthetic nanoparticles in distilled water versus \ blank solutions" (only distilled water) through Multivariate Statistics and Arti fi cial Intelligence (AI)-based techniques. While the state-of-the-art methods do not o ff er a ff ordable and simple approaches for nanoparticles detection, our technique can contribute for the development of a device with innovative characteristics.

2019

A Novel Method for Scatterers Type Enumeration in Polydisperse Suspensions through Fiber Trapping and Unsupervised Scattering Analysis

Autores
Paiva, JS; Ribeiro, RSR; Jorge, PAS; Rosa, CC; Sampaio, P; Cunha, JPS;

Publicação
IMAGING, MANIPULATION, AND ANALYSIS OF BIOMOLECULES, CELLS, AND TISSUES XVII

Abstract
Colloids and suspensions are part of our daily routines. Even the blood is considered a "naturally" occurring colloid. However, the majority of colloids are complex and composed by a diversity of nano to microparticles. The characterization of both synthetic and physiological fluids in terms of particulate types, size and surface characteristics plays a vital role in products formulation, and in the early diagnosis through the identification of abnormal scatterers in physiological fluids, respectively. Several methods have been proposed for characterizing suspensions, including imaging, electrical sensing counters, hydrodynamic or field flow fractionation. However, the Dynamic Light Scattering (DLS) has evolved as the most convenient method from these. Based also on the scattering signal, we propose a novel, simple and fast method able to determine the number of different scatterers type present in a suspension, without any previous information about its composition (in terms of particle classes). This is achieved by collecting features from a 980 nm laser back-scattered signal acquired through a polymeric lensed optical fiber tip dipped into the solution. Unlike DLS, this technique allows the trapping of particles whose diameter >= 1 mu m. For smaller particles, despite not guaranteeing their immobilization, it is also able to determine the number of different nanoparticles classes in an ensemble. The number of particle types was correctly determined for suspensions of synthetic particles and yeasts; different bacteria; and 100 nm nanoparticles types, using both Principal Component Analysis and K-means algorithms. This method could be a valuable alternative to complex and time-consuming methods for particles separation, such as field flow fractionation.

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