Search Results (81)

Background: The wearable cardioverter defibrillator (WCD) has emerged as a valuable tool used for temporary protection from sudden cardiac death. However, since the WCD uses surface electrodes to detect arrhythmias, it is susceptible to inappropriate detection. Although shock conversion rates for the WCD are reported to be high for detected events, its efficacy in clinical practice tends to be degraded by patient noncompliance. Reasons for this include wearer discomfort and frequent false alarms, which may interrupt sleep and generate anxiety. Up to now, data on the incidence of false alarms emitted by the WCD and their predictors are rare. Objectives: The aim of our study was to assess the relationship between both artifact sensing and episode misclassification burden and wearing compliance in patients with a WCD (ZOLL LifeVest™ 4000 system, ZOLL CMS GmbH, Cologne, Germany). Methods and Results: We conducted a single-center retrospective observational study, analyzing patients with a WCD prescribed at our institution. A total of 134 patients (mean age 51.7 ± 13.8 years, 79.1% male) were included. Arrhythmia recordings were analyzed and categorized as non-sustained ventricular tachycardia, sustained ventricular tachycardia or fibrillation, artifact sensing or misclassified episodes. Indication for WCD prescription was both primary and secondary prophylaxis. A total of 3019 false WCD alarms were documented in 78 patients (average number of false alarms 38.7 ± 169.5 episodes per patient) over a mean WCD wearing time of 71.5 ± 70.9 days (daily WCD wearing time 20.2 ± 5.0 h). In a total of 78 patients (58.2% of the study population), either artifact sensing (76.9%), misclassified episodes (6.4%), or both (16.7%) occurred. Misclassified episodes included sinus tachycardias, atrial flutter, atrial fibrillation, premature ventricular contractions (PVCs), and intermittent bundle branch block. A multiple linear regression identified loop diuretics (regression coefficient [B] −0.11; 95% CI −0.21–(−0.0001); p = 0.049), angiotensin receptor–neprilysin inhibitors (ARNIs) (B −0.11; 95% CI 0.22–(−0.01); p = 0.033), and a higher R-amplitude of the WCD baseline electrocardiogram (ECG) (B −0.17; 95% CI −0.27–(−0.07); p = 0.001) as independent predictors for a lower number of artifact episodes per day. In addition, atrial fibrillation (B 0.05; 95% CI 0.01–0.08; p = 0.010), and calcium antagonists (B 0.07; 95% CI 0.02–0.12; p = 0.012) were independent predictors for increased numbers of misclassified episodes per day, while beta-blockers seemed to reduce them (B −0.06; 95% CI −0.10–(−0.01); p = 0.013). Patients terminated 61.0% of all false alarms manually by pressing the response button on average 1.9 times per false alarm with overall 3.6 manual terminations per affected patient per month. Conclusions: In conclusion, false alarms from the ZOLL LifeVest™ system were frequent, with artifact sensing being the most common cause. Hence, the occurrence of false alarms represents a significant side effect of WCD therapy, and efforts should be made to minimize false alarms. Full article

In recent years, dogs that appear to communicate with people by pressing buttons on soundboards that replay pre-recorded English words have become very popular on social media online. We explore how these dogs belong to a historical tradition that dates back at least to the Middle Ages and peaked in the early twentieth century. Through analyses of short videos, books, and training manuals, we identify several paradoxes inherent in this phenomenon. These include how the dogs appear to provide unmediated access to their thoughts, and yet, their button presses are typically incoherent and require interpretation. They also require months of training to “spontaneously” express themselves. There is also an anthropomorphism and -centrism in claiming that a human skill—language—is required for a dog to express mental states that it already possesses. This approach to communicating with dogs quiets canine forms of expression such as barking, whining, bodily postures, and odors and replaces them with endearing but infantile human voices. We suggest that, while this endeavor may be well intentioned and often playful, it runs the risk of skewing people’s perception of dogs towards fur-clad infants rather than adult members of a different species and of making people less attentive to canine nonverbal communication. Full article

Help-seeking behavior requires both components of metacognition—monitoring (being aware of the need for help) and control (initiating the help-seeking action). Difficulties in initiating help-seeking, therefore, can be indicative of a metacognitive breakdown, for instance, when a student believes that a gap in knowledge is something to hide. To explore the relationship between knowing that one needs help and actually seeking it, we examined the potential influences of impostorism, which refers to the feeling of being a “fraud”, despite one’s objective accomplishments. Participants were asked to solve math reasoning and verbal reasoning insight problems, while also being given a “help” button that could be pressed at any time in order to get the solution. Results showed that, overall, students were more likely to ask for help with math than verbal reasoning problems—help also correlated with boosted performance. There was also a slight indication that individuals who scored relatively high on impostorism were numerically less likely to seek help and waited longer to do so for the math problems. Our findings suggest that a fear of being exposed as an impostor may hinder one’s help-seeking behaviors, especially in more challenging subjects, such as math. Full article

This paper investigates the versatility of force feedback (FF) technology in enhancing user interfaces across a spectrum of applications. We delve into the human finger pad’s sensitivity to FF stimuli, which is critical to the development of intuitive and responsive controls in sectors such as medicine, where precision is paramount, and entertainment, where immersive experiences are sought. The study presents a case study in the automotive domain, where FF technology was implemented to simulate mechanical button presses, reducing the JND FF levels that were between 0.04 N and 0.054 N to the JND levels of 0.254 and 0.298 when using a linear force feedback scale and those that were 0.028 N and 0.033 N to the JND levels of 0.074 and 0.164 when using a logarithmic force scale. The results demonstrate the technology’s efficacy and potential for widespread adoption in various industries, underscoring its significance in the evolution of haptic feedback systems. Full article

Movement and muscle control are crucial for the survival of all free-living organisms. This study aimed to explore differential patterns of cortical and subcortical activation across different stages of muscle control using functional magnetic resonance imaging (fMRI). An event-related design was employed. In each trial, participants (n = 10) were instructed to gently press a button with their right index finger, hold it naturally for several seconds, and then relax the finger. Neural activation in these temporally separated stages was analyzed using a General Linear Model. Our findings revealed that a widely distributed cortical network, including the supplementary motor area and insula, was implicated not only in the pressing stage, but also in the relaxation stage, while only parts of the network were involved in the steady holding stage. Moreover, supporting the direct/indirect pathway model of the subcortical basal ganglia, their substructures played distinct roles in different stages of muscle control. The caudate nucleus exhibited greater involvement in muscle contraction, whereas the putamen demonstrated a stronger association with muscle relaxation; both structures were implicated in the pressing stage. Furthermore, the subthalamic nucleus was exclusively engaged during the muscle relaxation stage. We conclude that even the control of simple muscle movements involves intricate automatic higher sensory–motor integration at a neural level, particularly when coordinating relative muscle movements, including both muscle contraction and muscle relaxation; the cortical and subcortical regions assume distinct yet coordinated roles across different stages of muscle control. Full article

The present study investigated whether L1 and L2 Spanish speakers show sensitivity to matching/mismatching syllable structure and consonant sonority in lexical segmentation in Spanish. A total of 81 English–Spanish learners and 72 Spanish–English learners completed a fragment-monitoring task. They listened to lists of Spanish words as they saw a CV or CVC syllable (e.g., “pa” or “pal”) and pressed a button when the word began with the syllable shown on the screen. The task manipulated syllable structure (CV or CVC) and consonant sonority (fricative, nasal, or liquid) of target syllables and carrier words. Target syllables either matched or did not match the structure of the first syllable in target carrier words (e.g., “pa—pa.lo.ma”; “pa—pal.me.ra”). The results showed that consonant sonority modulated sensitivity to syllable structure in both groups of participants. Spanish–English learners responded faster to matching syllable structure in words that had a fricative or a nasal as the second consonant, and English–Spanish learners responded faster only with a fricative consonant. Higher L2 Spanish proficiency correlated with faster target-syllable identification, but sensitivity to matching/mismatching structure did not vary as a function of proficiency. The study highlights the influence of phonetic factors in the development of L2 lexical segmentation routines. Full article

Trust and distrust are constructs that have provoked and undergone lots of discussion in the fields of sociology and psychology. However, to our knowledge, there is little agreement about how these constructs should be treated in the future. The present study tries to help in this discussion by re-analyzing prior neurophysiological data highlighting differences between trust and distrust by connecting these data with two distinct personality dimensions. Thus, the objective was to analyze the connection between neurophysiological trust/distrust processing and distinct HEXACO personality dimensions. Differences were found in the event-related potentials (ERPs) calculated for visual presentations of political institution words and brand names, which were evaluated with respect to trust and distrust by button presses. Two time points (330 ms and 780 ms) showed brain activity differences between trust and distrust related to the two word categories at frontal electrode locations. For this study, these findings were taken and connected to HEXACO-60 personality inventory results collected from prior participants. Statistical analysis revealed a significant interaction between the ERPs and two HEXACO personality dimensions concerning trusted brands at the later time point (780 ms) at the right frontal electrode location F8. This result is taken as neurophysiological evidence that parameter values of the personality traits honesty–humility and agreeableness have an influence on brain functions related to trusted brands. Full article

Machine learning (ML) methods are increasingly being applied to analyze biological signals. For example, ML methods have been successfully applied to the human electroencephalogram (EEG) to classify neural signals as pathological or non-pathological and to predict working memory performance in healthy and psychiatric patients. ML approaches can quickly process large volumes of data to reveal patterns that may be missed by humans. This study investigated the accuracy of ML methods at classifying the brain’s electrical activity to cognitive events, i.e., event-related brain potentials (ERPs). ERPs are extracted from the ongoing EEG and represent electrical potentials in response to specific events. ERPs were evoked during a visual Go/NoGo task. The Go/NoGo task requires a button press on Go trials and response withholding on NoGo trials. NoGo trials elicit neural activity associated with inhibitory control processes. We compared the accuracy of six ML algorithms at classifying the ERPs associated with each trial type. The raw electrical signals were fed to all ML algorithms to build predictive models. The same raw data were then truncated in length and fitted to multiple dynamic state space models of order nx using a continuous-time subspace-based system identification algorithm. The 4nx numerator and denominator parameters of the transfer function of the state space model were then used as substitutes for the data. Dimensionality reduction simplifies classification, reduces noise, and may ultimately improve the predictive power of ML models. Our findings revealed that all ML methods correctly classified the electrical signal associated with each trial type with a high degree of accuracy, and accuracy remained high after parameterization was applied. We discuss the models and the usefulness of the parameterization. Full article

Controlling the in-car environment, including temperature and ventilation, is necessary for a comfortable driving experience. However, it often distracts the driver’s attention, potentially causing critical car accidents. In the present study, we implemented an in-car environment control system utilizing a brain-computer interface (BCI) based on steady-state visual evoked potential (SSVEP). In the experiment, four visual stimuli were displayed on a laboratory-made head-up display (HUD). This allowed the participants to control the in-car environment by simply staring at a target visual stimulus, i.e., without pressing a button or averting their eyes from the front. The driving performances in two realistic driving tests—obstacle avoidance and car-following tests—were then compared between the manual control condition and SSVEP-BCI control condition using a driving simulator. In the obstacle avoidance driving test, where participants needed to stop the car when obstacles suddenly appeared, the participants showed significantly shorter response time (1.42 ± 0.26 s) in the SSVEP-BCI control condition than in the manual control condition (1.79 ± 0.27 s). No-response rate, defined as the ratio of obstacles that the participants did not react to, was also significantly lower in the SSVEP-BCI control condition (4.6 ± 14.7%) than in the manual control condition (20.5 ± 25.2%). In the car-following driving test, where the participants were instructed to follow a preceding car that runs at a sinusoidally changing speed, the participants showed significantly lower speed difference with the preceding car in the SSVEP-BCI control condition (15.65 ± 7.04 km/h) than in the manual control condition (19.54 ± 11.51 km/h). The in-car environment control system using SSVEP-based BCI showed a possibility that might contribute to safer driving by keeping the driver’s focus on the front and thereby enhancing the overall driving performance. Full article

Household air pollution was responsible for an estimated 3.2 million deaths per year in 2020, including over 237,000 deaths of children under the age of 5. A large number of these death cases was particularly recorded in developing countries where many people rely heavily on biomass for energy. Burning biomass emits carbon monoxide and other pollutants resulting in indoor air pollution, exacerbations of asthma, hospitalizations for heart attacks and respiratory illness, birth defects, neurological diseases, and even mortality, which are all brought on by indoor air pollution. Because women and children typically do most of the cooking, they are most affected by indoor air pollution. In this research, an active sampling technique was adopted in estimating the amount of three major criteria gaseous pollutants (CO, H₂S, and SO₂) in the air in rural household kitchens within the Jos metropolis. The Attair 5X gas detector was used. The power button was pressed and the equipment was allowed to initialize for few minutes while the readings were taken downwind in-situ at a distance of 1 m, 2 m, 3 m, 4 m, and 5 m respectively from the emission source at the expiration of one (1) minute for each distance to check the impact of emissions on the environment and people in such areas. The results obtained shows that CO, H₂S, and SO₂ were higher from firewood emission sources when compared with charcoal emission sources from the 14 different rural kitchens in the Bauchi ring road, Jos, Plateau State, Nigeria. Hence, this study serves as a ready reference for environmentalists to make target decisions on air pollution reduction. Full article

A force plate is a device that measures the ground reaction force caused by a shift in the human body’s center of mass (CoM). Using a controlled change in the human body’s CoM, the human body’s center of pressure (CoP) is shifted in a 2D plane, along with an acceleration of the CoM along the plane perpendicular to the force plate, which allows for a generation of reference values for game control. In this paper, the development and validation of a system for game control based on a force plate are described. The game control system consists of a force plate, an electronic board used for measuring and PC communication via USB, and a PC application for data acquisition, system calibration, and game control. Based on the measured values of the player’s CoP and the CoM acceleration along a plane perpendicular to the force plate, the game control system simulates pressing the UP, DOWN, RIGHT, LEFT, and SPACE keyboard keys or moving the mouse and clicking the left mouse button, which allows players to control simple games. A mathematical model has been developed for the game control system which includes running system calibration procedures in the system for each individual player. The mechatronic game control system is described in detail, and experiments were run on said system for the purpose of system validation. Full article

Attentional biases toward body-related information increase body dissatisfaction. This can lead at-risk populations to develop psychopathologies. This phenomenon has not been extensively studied in girls affected by idiopathic scoliosis. This work aimed to study the cognitive processes that could contribute to the worsening and maintaining of body image disorders in adolescent idiopathic scoliosis. Twenty-eight girls were recruited and tested for body image dissatisfaction through the Scoliosis-Research-Society-22-revised (SRS-22r) questionnaire. Attentional biases towards disease-related body parts were assessed using a computerized visual match-to-sample task: girls were asked to answer as fast and accurately as possible to find the picture matching a target by pressing a button on a computer keyboard. Reaction times (RTs) and accuracy were collected as outcome variables and compared within and between groups and conditions. Lower scores in SRS-22r self-image, function, and total score were observed in scoliosis compared to the control group (p-value < 0.01). Faster response times (p-value = 0.02) and higher accuracy (p-value = 0.02) were detected in the scoliosis group when processing shoulders and backs (i.e., disease-relevant body parts). A self-body advantage effect emerged in the scoliosis group, showing higher accuracy when answering self-body stimuli compared to others’ bodies stimuli (p-value = 0.04). These results provide evidence of body image dissatisfaction and attentional bias towards disease-relevant body parts in girls with scoliosis, requiring clinical attention as highly predisposing to psychopathologies. Full article

Time-based prospective memory (TBPM) refers to performing intended actions at a specific time in the future. The TBPM task is very common in daily life, and whether it can be successfully completed can affect our quality of life. Repeated behavior training can usually improve social cognitive performance, and this study focused on exploring whether TBPM performance could improve with repeated behavior training. Meanwhile, we also focused on whether behavior training could reduce attention consumption, both internal and external, attention on TBPM tasks. In this study, a single-factor between-subject design was adopted. Seventy-three undergraduates were assigned to three groups: the control group, the baseline group, and the experimental group. The baseline group only needs to perform ongoing tasks, so the ongoing task performance of the control group will not be affected by TBPM tasks. The control group needs to perform both ongoing and TBPM tasks without practice. The experimental group needs to perform both ongoing and TBPM tasks after 30 exercises. The ongoing task is a typical working memory task. The TBPM task was to press a “1” button every 1 min. The results showed that the performance of ongoing tasks in the baseline group, experimental group, and control group decreased sequentially, and the experimental group had less time monitoring than the control group. The results indicated that behavior training could reduce attention consumption in both internal attention and external attention, but it could not reach the level of automatic processing. Full article

This study designed a control system for the automatic unloading and replenishment of baskets based on the cooperative detection of photoelectric sensors and pressure sensors based on analyzing the structure of the 4UM-120D electric leafy vegetable harvester. The goal of this study was to increase the operation efficiency of leafy vegetable harvesters and decrease the work intensity of operators. A control system for the automatic unloading and replenishment of baskets based on the cooperative detection of a photoelectric sensor and pressure sensor was designed and constructed after an analysis of the operating principle and system components of automatic basket unloading and basket replenishment control at the rear of the harvester. The bench test results showed that the bottom photoelectric sensor and top photoelectric sensors 1 and 2 on the touch screen were not lit and the pressure sensor value was displayed as −0.00075531 kg, after pressing the system start button on the touch screen. On the touch screen, only the basket feeding motor was on: the transverse conveyor motor and the basket unloading motor were not, indicating that there was no collection basket on the unloading basket conveyor belt at this time and that the basket feeding motor was conveying an empty basket to the unloading basket conveyor belt. At 26 s, on the touch screen, only the top photoelectric sensor 2 was not on: the top photoelectric sensor 1 and the bottom photoelectric sensor were on and the pressure sensor value was shown as 1.38488 kg. Only the transverse conveyor motor lit up on the touch screen, the basket unloading motor and the basket feeding motor did not light up, indicating that the leafy vegetables temporarily stored in the transverse conveyor belt started to fall into the collection basket at this time and had not yet reached the expected capacity of the collection basket. At 43 s, the bottom photoelectric sensor and top photoelectric sensors 1 and 2 were lit on the touch screen and the pressure sensor value was shown as 2.37229 kg. On the touch screen, only the basket unloading motor lit up: the transverse conveyor motor and the basket feeding motor were not lit up, indicating that the collection basket capacity had reached the expected capacity at this time and the unloading was in progress. At 83 s, the bottom photoelectric sensor and top photoelectric sensors 1 and 2 were not lit on the touch screen and the pressure sensor value was displayed as −0.0040102 kg. On the touch screen, only the basket feeding motor lit up: the transverse conveyor motor and the basket unloading motor did not light up, indicating that the collection basket with the expected capacity had been unloaded to the ground, and the basket feeding motor was transporting empty baskets to the basket unloading conveyor belt. Through bench simulation tests, it was determined that the control system for the automatic unloading and replenishment of baskets based on the cooperative detection control strategy of the photoelectric sensor and pressure sensor reduced the probability of misjudgment and misoperation and improved system performance. This was conducted with the probability of system misjudgment and misoperation serving as the main evaluation index. The simulation results demonstrated that the control system for the automatic unloading and replenishment of baskets based on a photoelectric sensor and pressure sensor cooperative detection control strategy could be error-free judgment and avoid misoperation, effectively improving the stability, accuracy, and rapidity of the system. The study’s findings could suggest a strategy to lessen the workload of operators and increase the operational effectiveness of harvesters for leafy vegetables. Full article

Audiovisual speech perception includes the simultaneous processing of auditory and visual speech. Deficits in audiovisual speech perception are reported in autistic individuals; however, less is known regarding audiovisual speech perception within the broader autism phenotype (BAP), which includes individuals with elevated, yet subclinical, levels of autistic traits. We investigate the neural indices of audiovisual speech perception in adults exhibiting a range of autism-like traits using event-related potentials (ERPs) in a phonemic restoration paradigm. In this paradigm, we consider conditions where speech articulators (mouth and jaw) are present (AV condition) and obscured by a pixelated mask (PX condition). These two face conditions were included in both passive (simply viewing a speaking face) and active (participants were required to press a button for a specific consonant–vowel stimulus) experiments. The results revealed an N100 ERP component which was present for all listening contexts and conditions; however, it was attenuated in the active AV condition where participants were able to view the speaker’s face, including the mouth and jaw. The P300 ERP component was present within the active experiment only, and significantly greater within the AV condition compared to the PX condition. This suggests increased neural effort for detecting deviant stimuli when visible articulation was present and visual influence on perception. Finally, the P300 response was negatively correlated with autism-like traits, suggesting that higher autistic traits were associated with generally smaller P300 responses in the active AV and PX conditions. The conclusions support the finding that atypical audiovisual processing may be characteristic of the BAP in adults. Full article