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4th IEEE International Conference on Electronic Communications, Internet of Things and Big Data, ICEIB 2024

作者： Lai, Ming-Hui Liu, Don-Gey Cheng, Ching-Hwa Lai, Chung-Yu Master's Program of Biomedical Informatics and Biomedical Engineering Feng Chia University Taichung Taiwan Feng Chia University Department of Electronic Engineering Taichung Taiwan Hungkuang University Department of Medical Equipment Development and Application Taichung Taiwan

ISBN: (纸本)9798350360721

Spinocerebellar ataxia is a neurological disorder characterized by impaired neural coordination, leading to unstable gait, coordination difficulties, and other motor abnormalities. This disease significantly impacts patients' daily lives, making it challenging for them to maintain balance, walk smoothly, and even perform fine motor skills. The causes of spinocerebellar ataxia are diverse, including genetic factors, brain injuries, or certain diseases. Many patients with spinocerebellar ataxia require specialized medical care and ongoing monitoring to manage its effects. This study aims to utilize Human Posture Estimation to detect the gait patterns of patients with spinocerebellar ataxia and integrate it with a deep learning model to distinguish between normal and affected individuals. The outcomes offer physicians an objective diagnostic tool and facilitate early detection and intervention for patients with impaired gait, thereby supporting the enhancement or preservation of their quality of life. The current prediction accuracy for the risk of ataxia gait is 80%, with an F1 score of 78.26%. It is necessary to conduct a detailed quantitative assessment by analyzing the gait of patients with spinocerebellar ataxia. Quantitative evaluation of the data allows for an objective assessment of the patient's gait, which helps healthcare professionals to more accurately understand and assess the gait status of patients with spinocerebellar ataxia. © 2024 IEEE.

关键词： Gait analysis

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Analyzing Significance of Facial Features for Detection of Parkinson's Disease via Static Images 4

Analyzing Significance of Facial Features for Detection of P...

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4th IEEE International Conference on Electronic Communications, Internet of Things and Big Data, ICEIB 2024

作者： Chiu, Chuang-Chien Yeh, Shoou-Jeng Sun, Yen-Chi Feng Chia University Department of Automatic Control Engineering Taichung Taiwan Cheng-Ching General Hospital Section of Neurology and Neurophysiology Taichung Taiwan Feng Chia University Master's Program of Biomedical Informatics and Biomedical Engineering Taichung Taiwan

ISBN: (纸本)9798350360721

Parkinson's disease (PD) is a neurodegenerative disorder often characterized by motor symptoms such as hypomimia, and a reduction in facial expression. We explored the significance of facial features in identifying PD through static images, focusing on detecting hypomimia. A dataset comprised of PD patients and healthy controls' static facial images were collected and analyzed. Facial feature detection was conducted using OpenCV and Dlib libraries for the precise localization of key landmarks. In the subsequent feature extraction, parameters such as symmetry, eye aspect ratio, mouth corner distance, muscle tension, and mouth aperture ratio were used. Through the standardization of these features, meaningful comparisons across diverse images were made. By analyzing hypomimia-related features alongside traditional facial parameters, the results provide a comprehensive understanding of the role of facial expressions in PD diagnosis. The findings suggested that examining facial features in static images enhances the accuracy of PD detection and understanding of the nuanced motor symptoms associated with the disease. © 2024 IEEE.

关键词： Feature extraction

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Usability evaluation of high-fidelity simulation manikin for cardiopulmonary resuscitation training for medical students

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Research on biomedical engineering 2024年第1期40卷 253-264页

作者： Silva, Lucas de Brito Gonçalves, Fabrícia Torres Arantes, Henrique Pierotti Garcia, Rodrigo Alves Gasparin, Maria Regina Franco Ribeiro dos Reis, Melissa Mariane Andrade, Adriano de Oliveira Pereira, Adriano Alves Milagre, Selma Terezinha Santos, Fernando Pasquini Faculty of Electrical Engineering Graduate Program in Biomedical Engineering Federal University of Uberlândia Campus Santa Mônica Bloco 1E MG Uberlândia38400-902 Brazil Instituto Master de Ensino Presidente Antônio Carlos MG Araguari Brazil

Purpose: With the increasing incidence of cardiac arrests in non-critical areas, it is crucial to provide comprehensive training to healthcare professionals. Simulation-based training using manikins offers a morally sound alternative to traditional methods and allows students to apply clinical skills in realistic scenarios. Usability evaluation, including assessment of efficiency, effectiveness, and user satisfaction, is essential for ensuring the effectiveness of the training. This research focuses on evaluating the usability of the simulation manikin for teaching cardiopulmonary resuscitation to medical students. Methods: Twenty-one volunteers participated in the experiments: 18 students and three teaching doctors (one instructor professor and two evaluator professors). The instructor professor was instructed to follow the same procedure used in the classroom setting. The evaluating professors were provided with appropriately labeled data collection instruments to evaluate the usability of manikins. The student performed the tasks as instructed, and after completion, they were directed to the debriefing room, where they filled out the feedback form. Results: The experimental data and the statistical analyses showed that regarding effectiveness, the study findings indicated that participants encountered difficulties in certain tasks, as evidenced by the need for significant intervention from the instructor professor. In relation to efficiency, the results demonstrated a clear correlation between the successful execution of tasks and the duration of instruction provided by the instructor, thereby indicating the presence of a usability problem associated with the simulation manikin. And users are not entirely satisfied with the manikin, considering the room for improvement indicated by the SUS score. Conclusion: The experiment and the results reported in this paper contribute to addressing the existing gap in the literature concerning the usability of high-fidelity s

关键词： Efficiency

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Ultrasonic interfacial crosslinking of TiO2-based nanocomposite hydrogels through thiol-norbornene reactions for sonodynamic antibacterial treatment

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Biomaterials Science 2023年第12期11卷 4184-4199页

作者： Yang, Su-Rung Wang, Reuben Yan, Chen-Jie Lin, Yi-Yun Yeh, Yu-Jia Yeh, Ying-Yu Yeh, Yi-Cheun Institute of Polymer Science and Engineering National Taiwan University Taipei Taiwan Institute of Food Safety and Health National Taiwan University Taipei Taiwan Master of Public Health Program National Taiwan University Taipei Taiwan GIP-TRIAD Master's Degree in Agro-Biomedical Science National Taiwan University Taipei Taiwan

Nanocomposite (NC) hydrogels used for sonodynamic therapy (SDT) face challenges such as lacking interfacial interactions between the polymers and nanomaterials as well as presenting uneven dispersion of nanomaterials in the hydrogel network, reducing their mechanical properties and treatment efficiency. Here, we demonstrate a promising approach of co-engineering nanomaterials and interfacial crosslinking to expand the materials construction and biomedical applications of NC hydrogels in SDT. In this work, mesoporous silica-coated titanium dioxide nanoparticles with thiolated surface functionalization (TiO2@MS-SH) are utilized as crosslinkers to react with norbornene-functionalized dextran (Nor-Dex) through ultrasound-triggered thiol-norbornene reactions, forming TiO2@MS-SH/Nor-Dex NC hydrogels. The TiO2@MS-SH nanoparticles act not only as multivalent crosslinkers to improve the mechanical properties of hydrogels under ultrasound irradiation but also as reactive oxygen species (ROS) generators to allow the use of TiO2@MS-SH/Nor-Dex NC hydrogels in SDT applications. Particularly, the TiO2@MS-SH/Nor-Dex NC hydrogels present tailorable microstructures, properties, and sonodynamic killing of bacteria through the modulation of the ultrasound frequency. Taken together, a versatile TiO2-based NC hydrogel platform prepared under ultrasonic interfacial crosslinking reactions is developed for advancing the applications in SDT. © 2023 The Royal Society of Chemistry.

关键词： Titanium dioxide

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Entropy-Based Analysis of Electromyography Signal Complexity During Flexion of the Flexor Carpi Radialis Muscle Under Varied Load Conditions 4th

Entropy-Based Analysis of Electromyography Signal Complexity...

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4th International Conference on Electronics, biomedical engineering, and Health Informatics, ICEBEHI 2023

作者： Katherine Putra, Alfian Pramudita Kurniawan, Angeline Shane Istiqomah, Dezy Zahrotul Sholihah, Nisa’ul Al-Salehi, Khalid Ali Salem Ain, Khusnul Sapuan, Imam Andarini, Esti Biomedical Engineering Master Program Department of Physics Faculty of Science and Technology Universitas Airlangga Surabaya60115 Indonesia Biomedical Engineering Study program Department of Physics Faculty of Science and Technology Universitas Airlangga Surabaya Indonesia Department of Physics Faculty of Science and Technology Universitas Airlangga Surabaya Indonesia School of Nursing Southern Medical University Guangdong Guangzhou510515 China

ISBN: (纸本)9789819714629

The motor impairments that stroke patients experience as a primary contributor to death and disability also impact their quality of life. Due to its characteristics as complex muscle signals, the Electromyograph (EMG) signal may be one of the markers in rehabilitation and a substitute that may be used to judge the success of rehabilitation. This study aims to analyze the complexity of EMG signals originating from the flexion of the flexor carpi radialis muscle with various weights indicating the rehabilitation state. It is important to monitor the progress of rehabilitation, and it can be done by using complexity analysis. The complexity of the EMG is examined in this work utilizing entropy measurement, namely Approximate Entropy (ApEn), Sample Entropy (SampEn), and Fuzzy Approximate Entropy (fApEn). We concentrated on the flexor carpi radialis muscle using flexion–extension exercises and varying the weight load. This study’s results indicate differences in the complexity of the EMG signal in the flexor carpi radialis when performing flexion–extension movements. Three differences showed a correlation based on the value of ApEN, SampEn, and fApEn. Complexity Analysis using fApEn showed the best correlation at R = 0.9966, which can be used to evaluate the rehabilitation process. The increase in weight was followed by the increase of the fApEn value, indicating that the value can be used to evaluate the rehabilitation process. The use of complexity analysis of EMG signal from flexion movement in flexor carpi radialis with various weights can be used to indicate the progress in the rehabilitation process. © The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2024.

关键词： Entropy

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Fabrication of versatile poly(xylitol sebacate)-co-poly(ethylene glycol) hydrogels through multifunctional crosslinkers and dynamic bonds for wound healing

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Acta Biomaterialia 2023年 170卷 344-359页

作者： Yeh, Ying-Yu Lin, Yi-Yun Wang, Ting-Teng Yeh, Yu-Jia Chiu, Ting-Hsiang Wang, Reuben Bai, Meng-Yi Yeh, Yi-Cheun Institute of Polymer Science and Engineering National Taiwan University Taipei Taiwan Institute of Biomedical Engineering National Taiwan University Taipei Taiwan Biomedical Engineering Program Graduate Institute of Applied Science and Technology National Taiwan University of Science and Technology Taipei Taiwan Institute of Food Safety and Health National Taiwan University Taipei Taiwan Graduate Institute of Biomedical Engineering National Taiwan University of Science and Technology Taipei Taiwan Adjunct Appointment to the Department of Biomedical Engineering National Defense Medical Center Taipei Taiwan Program National Taiwan University Taipei Taiwan GIP-TRIAD Master's Degree in Agro-Biomedical Science National Taiwan University Taipei Taiwan

Poly(polyol sebacate) (PPS) polymer family has been recognized as promising biomaterials for biomedical applications with their characteristics of easy production, elasticity, biodegradation, and cytocompatibility. Poly(xylitol sebacate)-co-poly(ethylene glycol) (PXS-co-PEG) has been developed to fabricate PPS-based hydrogels;however, current PXS-co-PEG hydrogels presented limited properties and functions due to the limitations of the crosslinkers and crosslinking chemistry used in the hydrogel formation. Here, we fabricate a new type of PXS-co-PEG hydrogels through the use of multifunctional crosslinkers as well as dynamic bonds. In our design, polyethyleneimine-polydopamine (PEI-PDA) macromers are utilized to crosslink aldehyde-functionalized PXS-co-PEG (APP) through imine bonds and hydrogen bonds. PEI-PDA/APP hydrogels present multiple functional properties (e.g., fluorescent, elastomeric, biodegradable, self-healing, bioadhesive, antioxidant, and antibacterial behaviors). These properties of PEI-PDA/APP hydrogels can be fine-tuned by changing the PDA grafting degrees in the PEI-PDA crosslinkers. Most importantly, PEI-PDA/APP hydrogels are considered promising wound dressings to promote tissue remodeling and prevent bacterial infection in vivo. Taken together, PEI-PDA/APP hydrogels have been demonstrated as versatile biomaterials to provide multiple tailorable properties and desirable functions to expand the utility of PPS-based hydrogels for advanced biomedical applications. Statement of significance: Various strategies have been developed to fabricate poly(polyol sebacate) (PPS)-based hydrogels. However, current PPS-based hydrogels present limited properties and functions due to the limitations of the crosslinkers and crosslinking chemistry used in the hydrogel formation. This work describes that co-engineering crosslinkers and interfacial crosslinking is a promising approach to synthesizing a new type of poly(xylitol sebacate)-co-poly(ethylene glycol) (PXS-co-

关键词： Polyols

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A novel label-free electrochemical immunosensor for the detection of heat shock protein 70 of lung adenocarcinoma cell line following paclitaxel treatment using l-cysteine-functionalized Au@MnO2/MoO3 nanocomposites

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RSC Advances 2023年第43期13卷 29847-29861页

作者： Chen, Yi-An Shie, Ming-You Ho, Chia-Che Ye, Sheng-Wen Chen, I.-Wen Peter Shih, Yu-Yin Shen, Yu-Fang Chen, Yi-Wen x-Dimension Center for Medical Research and Translation China Medical University Hospital Taichung City404332 Taiwan The Master Program for Biomedical Engineering China Medical University Taichung City406040 Taiwan Department of Biomedical Engineering China Medical University Taichung City40447 Taiwan Department of Bioinformatics and Medical Engineering Asia University Taichung City41354 Taiwan Department of Chemistry National Cheng Kung University Tainan70101 Taiwan Graduate Institute of Biomedical Sciences China Medical University Taichung City40447 Taiwan

The future trend in achieving precision medicine involves the development of non-invasive cancer biomarker sensors that offer high accuracy, low cost, and time-saving benefits for risk clarification, early detection, disease detection, and therapeutic monitoring. A facile approach for the synthesis of MoO3 nanosheets was developed by thermally oxidizing MoS2 nanosheets in air followed by thermal annealing. Subsequently, Au@MnO2 nanocomposites were prepared using a combined hydrothermal process and in situ chemical synthesis. In this study, we present a novel immunosensor design strategy involving the immobilization of antiHSP70 antibodies on Au@MnO2/MoO3 nanocomposites modified on a screen-printed electrode (SPE) using EDC/NHS chemistry. This study establishes HSP70 as a potential biomarker for monitoring therapeutic response during anticancer therapy. Impedance measurements of HSP70 on the Au@MnO2/MoO3/SPE immunosensor using EIS showed an increase in impedance with an increase in HSP70 concentration. The electrochemical immunosensor demonstrated a good linear response in the range of 0.001 to 1000 ng mL−1 with a detection limit of 0.17 pg mL−1 under optimal conditions. Moreover, the immunosensor was effective in detecting HSP70 at low concentrations in a lung adenocarcinoma cell line following Paclitaxel treatment, indicating its potential for early detection of the HSP70 biomarker in organ-on-a-chip and clinical applications. © 2023 The Royal Society of Chemistry.

关键词： Nanosheets

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Beyond the Scroll: Eye-Tracking Evaluations on the National Gallery of Indonesia’s Instagram 26th

Beyond the Scroll: Eye-Tracking Evaluations on the National ...

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26th International Conference on Asia-Pacific Digital Libraries, ICADL 2024

作者： Sari, Desy Novita Prameswari, Clarissa Rahmi Anshori, Isa Master’s Program in Library Science Universitas Indonesia Kota Depok Indonesia Department of Library and Information Sciences Universitas Indonesia Kota Depok Indonesia Biomedical Engineering Department School of Electrical Engineering and Informatics Bandung Institute of Technology Bandung Indonesia National Gallery of Indonesia Central Jakarta Indonesia

ISBN: (纸本)9789819608676

Eye-tracking studies focused on art galleries and museums within the realm of Instagram, especially in the Indonesian context, are notably scant. This investigation elucidates the user interaction and experience of the art gallery’s Instagram account, @galerinasional. Employing a quantitative approach, we implemented eye-tracking experiments using the well-known online eye-tracking software RealEye. The study participants were followers of the National Gallery of Indonesia’s (Galnas) Instagram profile, seven women and three men, in two age brackets: 18–24 years (n = 5) and 25–34 years (n = 5). The experimental protocol required participants to execute five tasks centered on locating exhibition details and artwork on the Galnas Instagram platform, with a duration of 100 s allocated to each task. The Participant Quality Grade (PQG), examination duration, optimal browser dimensionality, K-factor mean, gaze and fixation frequencies, and heat maps were determined for the participants. The key findings are as follows. (1) The participants’ PQG scores were predominantly between 4 and 6. (2) Investigative browsing typically exceeded the 100-s limit. (3) The consensus on the ideal browser dimensions hovered around 1,368.6 × 814.8 px. (4) The K-factor mean across participants tended toward K > 0. (5) The average gaze occurrence was 27 items per second for most participants. (6) A noticeable disparity in fixation counts was observed between the two age groups, with individuals aged 25–34 demonstrating prolonged engagement with Galnas’ content. (7) Heat maps accentuated a pronounced concentration on visual content, encompassing photographs, videos, and their associated captions. © The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2025.

关键词： Economic and social effects

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Overcoming the Blood-Brain Tumor Barrier with Docetaxel-Loaded Mesoporous Silica Nanoparticles for Treatment of Temozolomide-Resistant Glioblastoma

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ACS Applied Materials and Interfaces 2024年第17期16卷 21722-21735页

作者： Hsu, Tsung-I Chen, Yi-Ping Zhang, Rong-Lin Chen, Zih-An Wu, Cheng-Hsun Chang, Wen-Chang Mou, Chung-Yuan Chan, Hardy Wai-Hong Wu, Si-Han Ph.D. Program in Medical Neuroscience College of Medical Science and Technology Taipei Medical University and National Health Research Institutes Taipei110 Taiwan International Master Program in Medical Neuroscience College of Medical Science and Technology Taipei Medical University Taipei110 Taiwan Graduate Institute of Nanomedicine and Medical Engineering Taipei Medical University Taipei110 Taiwan International Ph.D. Program in Biomedical Engineering College of Biomedical Engineering Taipei Medical University Taipei110 Taiwan Nano Targeting & Therapy Biopharma Inc. Taipei110 Taiwan Graduate Institute of Medical Sciences College of Medicine Taipei Medical University Taipei110 Taiwan Department of Chemistry National Taiwan University Taipei106 Taiwan

While temozolomide (TMZ) has been a cornerstone in the treatment of newly diagnosed glioblastoma (GBM), a significant challenge has been the emergence of resistance to TMZ, which compromises its clinical benefits. Additionally, the nonspecificity of TMZ can lead to detrimental side effects. Although TMZ is capable of penetrating the blood-brain barrier (BBB), our research addresses the need for targeted therapy to circumvent resistance mechanisms and reduce off-target effects. This study introduces the use of PEGylated mesoporous silica nanoparticles (MSN) with octyl group modifications (C8-MSN) as a nanocarrier system for the delivery of docetaxel (DTX), providing a novel approach for treating TMZ-resistant GBM. Our findings reveal that C8-MSN is biocompatible in vitro, and DTX@C8-MSN shows no hemolytic activity at therapeutic concentrations, maintaining efficacy against GBM cells. Crucially, in vivo imaging demonstrates preferential accumulation of C8-MSN within the tumor region, suggesting enhanced permeability across the blood-brain tumor barrier (BBTB). When administered to orthotopic glioma mouse models, DTX@C8-MSN notably prolongs survival by over 50%, significantly reduces tumor volume, and decreases side effects compared to free DTX, indicating a targeted and effective approach to treatment. The apoptotic pathways activated by DTX@C8-MSN, evidenced by the increased levels of cleaved caspase-3 and PARP, point to a potent therapeutic mechanism. Collectively, the results advocate DTX@C8-MSN as a promising candidate for targeted therapy in TMZ-resistant GBM, optimizing drug delivery and bioavailability to overcome current therapeutic limitations. © 2024 The Authors. Published by American Chemical Society.

关键词： Tumors

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Understanding age-related middle ear properties and basilar membrane damage in hearing loss: A finite element analysis and retrospective cohort study

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Computers in Biology and Medicine 2025年 184卷 109376-109376页

作者： Shih, Tzu-Ching Yu, You-Cheng Wang, Tang-Chuan Department of Biomedical Imaging and Radiological Science College of Medicine China Medical University Taichung404328 Taiwan The PhD Program for Medical Engineering and Rehabilitation Science College of Biomedical Engineering China Medical University Taichung404328 Taiwan Master Program for Biomedical Engineering College of Biomedical Engineering China Medical University Taichung404328 Taiwan Department of Otolaryngology-Head and Neck Surgery China Medical University Hsinchu Hospital Zhubei City Hsinchu302056 Taiwan

Age-related hearing loss (ARHL) is primarily attributed to inner-ear factors, yet the role of age-related middle ear characteristics remains elusive. Employing a finite element (FE) model, we conducted a comparative analysis with clinical data extracted from a retrospective cohort study involving 90 younger adults (mean age = 38.1 ± 7.7) and 111 older adults (mean age = 63.8 ± 8.4). The clinical dataset encompassed air-bone gap (ABG) measurements obtained through pure-tone audiometry (PTA) at frequencies of 0.5, 1.0, 2.0, and 4.0 kHz. FE results quantified the normalized stapes displacement value of the simulated form of air-bone gap (ABGSim) between the two age groups. The Mann-Whitney U test, with a significance threshold set at P © 2024

关键词： Bone

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