{"title":"Concordance between dual indirect methods for assessing fat percentage.","authors":"Hurtado B, Colina E, Gonzalez-Correa C H","doi":"10.2478/joeb-2024-0004","DOIUrl":"10.2478/joeb-2024-0004","url":null,"abstract":"<p><p>In the last decades there is a growing interest in the evaluation of human body composition for being an important part of the integral assessment of individuals. Its use has been extended to different disciplines associated with health care (medicine, nutrition, physiotherapy), and to sports and population fields. Specifically, fat percentage can be related to innumerable diseases. However, there are discrepancies in the results of fat percentage measurement measured by different methods.</p><p><strong>Objective: </strong>To evaluate the concordance between two low-cost and easily accessible double indirect methods, which have been used indistinctly in different studies where access to more accurate methods is not available, and to determine fat percentage and its relationship with age, sex, body mass index (BMI), waist circumference, level of physical activity and sedentary hours.</p><p><strong>Materials and method: </strong>Twenty-four persons between 18 and 38 years and 28 between 39 and 59 years from a university community were evaluated. Calculations were made: BMI, fat % was estimated by anthropometry with a digital adipometer (Skyndex System I USA) and by Electrical Bioimpedance Analysis - BIA (Biody Expert ZM II FRA), physical activity level and sedentary hours were determined with the short IPAQ questionnaire. Pearson's correlation coefficient, Bland & Altman's graphical method and Lin's concordance correlation index were calculated. The significance level p<0.05 was estimated.</p><p><strong>Results: </strong>The fat percentage by anthropometry was: 30.5% ±8.5 (18-38 years) 35.0% ±6.7 (39-59 years); by BIA 27.0% ±7.3 (18-38 years) and 29.2% ±7.0 (39-59 years). Both techniques showed good correlation, but low degree of concordance (Lin index less than 0.9) except for the group of young persons with moderate level of physical activity (0.95).</p><p><strong>Conclusions: </strong>The doubly indirect methods used in the study showed strong correlation, but low concordance, so their use is not recommended indistinctly for the follow-up of a particular case. According to the study data for this specific population in young people with moderate physical activity, follow-up could be performed with either of the two methods.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"15 1","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandor Szabo, Zsolt Totka, Jozsef Nagy-Bozsoky, Istvan Pinter, Mihaly Bagany, Michael Bodo
{"title":"Rheoencephalography: A non-invasive method for neuromonitoring.","authors":"Sandor Szabo, Zsolt Totka, Jozsef Nagy-Bozsoky, Istvan Pinter, Mihaly Bagany, Michael Bodo","doi":"10.2478/joeb-2024-0003","DOIUrl":"10.2478/joeb-2024-0003","url":null,"abstract":"<p><p>In neurocritical care, the gold standard method is intracranial pressure (ICP) monitoring for the patient's lifesaving. Since it is an invasive method, it is desirable to use an alternative, noninvasive technique. The computerized real-time invasive cerebral blood flow (CBF) autoregulation (AR) monitoring calculates the status of CBF AR, called the pressure reactivity index (PRx). Studies documented that the electrical impedance of the head (Rheoencephalography - REG) can detect the status of CBF AR (REGx) and ICP noninvasively. We aimed to test REG to reflect ICP and CBF AR. For nineteen healthy subjects we recorded bipolar bifrontal and bitemporal REG derivations and arm bioimpedance pulses with a 200 Hz sampling rate. The challenges were a 30-second breath-holding and head-down-tilt (HDT - Trendelenburg) position. Data were stored and processed offline. REG pulse wave morphology and REGx were calculated. The most relevant finding was the significant morphological change of the REG pulse waveform (2<sup>nd</sup> peak increase) during the HDT position. Breath-holding caused REG amplitude increase, but it was not significant. REGx in male and female group averages have similar trends during HDT by indicating the active status of CBF AR. The morphological change of REG pulse wave during HDT position was identical to ICP waveform change during increased ICP, reflecting decreased intracranial compliance. A correlation study between ICP and REG was initiated in neurocritical care patients. The noninvasive REG monitoring would also be useful in space research as well as in military medicine during the transport of wounded service members as well as for fighter pilots to indicate the loss of CBF and consciousness.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"15 1","pages":"10-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140120948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dindar S Bari, Zana K Ali, Soleen A Hameed, Haval Y Yacoob Aldosky
{"title":"Evaluation of the effect of several moisturizing creams using the low frequency electrical susceptance approach.","authors":"Dindar S Bari, Zana K Ali, Soleen A Hameed, Haval Y Yacoob Aldosky","doi":"10.2478/joeb-2024-0002","DOIUrl":"10.2478/joeb-2024-0002","url":null,"abstract":"<p><p>Moisturizers are cosmetic compounds designed to increase the moisture content of the skin. There are many types of these products in the market making it difficult for consumers to select the most effective moisturizer according to their age and gender. Hence, the aim of this study was to evaluate the effects of different moisturizers on skin hydration as well as to figure out any dependencies of the effects of these products on age or gender-related differences. We investigated the short-term moisturizing effects of five different skin moisturizers on 60 participants by using a low frequency electrical instrument. Skin surface susceptance was recorded and compared before and after the application of moisturizers. Statistically significant differences were observed in the moisturizing effect among different types of products. However, with respect to gender and age differences, there were insignificant differences in the effects of the moisturizers. Results of this study suggest that some types of moisturizers that exist in the markets are not as effective as required, which calls for a further evaluation of the moisturizers before entering markets and offering them for sale. In addition, findings suggest that gender or age differences are perhaps not important to consider in the application of moisturizers.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"15 1","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electrical bioimpedance in the era of artificial intelligence.","authors":"Jie Hou, Naimahmed Nesaragi, Christian Tronstad","doi":"10.2478/joeb-2024-0001","DOIUrl":"10.2478/joeb-2024-0001","url":null,"abstract":"","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"15 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Detection of physiological concentrations of GABA using dielectric spectroscopy - A pilot study.","authors":"Jie Hou, Runar Strand-Amundsen, Ørjan G Martinsen","doi":"10.2478/joeb-2023-0006","DOIUrl":"10.2478/joeb-2023-0006","url":null,"abstract":"<p><p>Gamma-aminobutyric acid (GABA) is a major inhibitory neurotransmitter that is present at a relatively low level throughout the normal adult human brain. Abnormal GABA levels are found in people with neurodegenerative disorders such as Parkinson's disease, epilepsy, schizophrenia, depression, and others. Being able to measure the GABA concentration would be beneficial for patient groups with fluctuating GABA levels for better diagnosis and treatment. In this study, we explore the feasibility of using dielectric relaxation spectroscopy for the detection of GABA concentrations within a physiological range, with the perspective of miniaturization and use during implantation. Utilizing machine learning techniques, we were able to differentiate GABA concentrations down to 5 μm. This work investigates a novel use of dielectric relaxation spectroscopy, to assess if physiological GABA concentrations can be detected through permittivity measurements.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"14 1","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing biomedical engineering: Leveraging Hjorth features for electroencephalography signal analysis.","authors":"Wissam H Alawee, Ali Basem, Luttfi A Al-Haddad","doi":"10.2478/joeb-2023-0009","DOIUrl":"10.2478/joeb-2023-0009","url":null,"abstract":"<p><p>Biomedical engineering stands at the forefront of medical innovation, with electroencephalography (EEG) signal analysis providing critical insights into neural functions. This paper delves into the utilization of EEG signals within the MILimbEEG dataset to explore their potential for machine learning-based task recognition and diagnosis. Capturing the brain's electrical activity through electrodes 1 to 16, the signals are recorded in the time-domain in microvolts. An advanced feature extraction methodology harnessing Hjorth Parameters-namely Activity, Mobility, and Complexity-is employed to analyze the acquired signals. Through correlation analysis and examination of clustering behaviors, the study presents a comprehensive discussion on the emergent patterns within the data. The findings underscore the potential of integrating these features into machine learning algorithms for enhanced diagnostic precision and task recognition in biomedical applications. This exploration paves the way for future research where such signal processing techniques could revolutionize the efficiency and accuracy of biomedical engineering diagnostics.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"14 1","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edel Whelton, Lisa Helen, Brian O'Donnell, Martin O'Sullivan, Justina Ugwah, Walter Messina, Yineng Wang, Niamh O'Mahoney, Eric Moore
{"title":"Smart needle electrical bioimpedance to provide information on needle tip relationship to target nerve prior to local anesthetic deposition in peripheral nerve block (USgPNB) procedures.","authors":"Edel Whelton, Lisa Helen, Brian O'Donnell, Martin O'Sullivan, Justina Ugwah, Walter Messina, Yineng Wang, Niamh O'Mahoney, Eric Moore","doi":"10.2478/joeb-2023-0007","DOIUrl":"10.2478/joeb-2023-0007","url":null,"abstract":"<p><p>Ultrasound guided peripheral nerve block (USgPNB) refers to anaesthetic techniques to deposit local anesthetic next to nerves, permitting painful surgery without necessitating general anesthesia. Needle tip position prior to local anesthetic deposition is a key determinant of block success and safety. Nerve puncture and intra-neural injection of local anesthetic can cause permanent nerve injury. Currently ultrasound guidance is not sufficiently sensitive to reliably detect needle to nerve proximity. Feedback with bioimpedance data from the smart needle tip might provide the anesthetist with information as to the relationship between the needle tip and the target nerve prior to local anesthetic deposition. Bioimpedance using a smart needle integrated with a two-electrode impedance sensor has been developed to determine needle to nerve proximity during USgPNB. Having obtained all necessary ethical and regulatory approvals, <i>in vivo</i> data on brachial plexus, vagus, femoral and sciatic nerves were obtained from seven pig models using the smart needle bioimpedance system. The excision and histological analysis of above peripheral nerves and observation of the architecture and structure of nerves by means of histology allow the calculation of the ratios of connective tissue to neural tissue to determine the influence of this variable on absolute impedance. The ratio results give extra clinical data and explain the hetrogeneity of impedance data in the pig models and the hypothesis that connective tissue with intra-neural fat has higher impedance than neural tissue.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"14 1","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael C Marinier, Ayobami S Ogunsola, Jacob M Elkins
{"title":"Whole-body phase angle correlates with pre-operative markers in total joint arthroplasty.","authors":"Michael C Marinier, Ayobami S Ogunsola, Jacob M Elkins","doi":"10.2478/joeb-2023-0008","DOIUrl":"10.2478/joeb-2023-0008","url":null,"abstract":"<p><strong>Background: </strong>Bioimpedance derived whole body phase angle (ϕ), a measure of cellular integrity, has been identified as an independent marker of morbidity and mortality in many medical and surgical specialties. While similar measures of water homeostasis like extracellular edema (EE) have been associated with pre-operative risk, ϕ has not been studied in orthopaedics, despite potential to serve as a pre-operative marker. This study aims to identify relationships between ϕ, EE, and body composition metrics, laboratory values, patient reported outcomes, and comorbidities.</p><p><strong>Methods: </strong>Multi-frequency bioimpedance analysis (BIA) records, laboratory values, and patient reported outcomes of adult patients presenting to an academic arthroplasty clinic were retrospectively reviewed. Correlation coefficients between ϕ, EE, and reviewed information were conducted.</p><p><strong>Results: </strong>ϕ was significantly correlated (p<0.001) most positively with measures of lean tissue such as skeletal muscle mass (r=0.48), appendicular skeletal muscle index (r=0.39), lean body mass (r=0.43), and dry lean mass (r=0.47), while it held negative correlations (p<0.001) with age (r= -0.55), and body fat mass (r= -0.11). ϕ was not correlated with body mass index (BMI, p = 0.204). In contrast, EE demonstrated its strongest positive correlations (p<0.001) with body fat mass (r=0.32), age (r=0.50), and BMI (r=0.26), and its strongest negative correlations (p<0.001) with serum albumin (r= -0.37) and total protein (r= -0.23).</p><p><strong>Conclusions: </strong>Based on their associations with markers of health and fitness, BIA determined ϕ and EE demonstrate relationships to markers currently implemented in orthopaedic practice. This likely indicates that ϕ has potential as a comprehensive surrogate for several commonly used markers to quantify pre-operative risk. In the future, ϕ may aid in developing risk-stratifications for intervention and prevention of complications.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"14 1","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expert knowledge-based peak current mode control of electrosurgical generators for improved output power regulation.","authors":"Muhammad Mohsin Rafiq, Asier Ibeas, Nasim Ullah","doi":"10.2478/joeb-2023-0005","DOIUrl":"10.2478/joeb-2023-0005","url":null,"abstract":"<p><p>Electrosurgical generators (ESG) are widely used in medical procedures to cut and coagulate tissue. Accurate control of the output power is crucial for surgical success, but can be challenging to achieve. In this paper, a novel expert knowledge-based peak current mode controller (EK-PCMC) is proposed to regulate the output power of an ESG. The EK-PCMC leverages expert knowledge to adapt to changes in tissue impedance during surgical procedures. We compared the performance of the EK-PCMC with the classical peak current mode controller (PCMC) and fuzzy PID controller. The results demonstrate that the EK-PCMC significantly outperformed the PCMC, reducing the integral square error (ISE) and integral absolute error (IAE) by a factor of 3.88 and 4.86, respectively. In addition, the EK-PCMC outperformed the fuzzy PID controller in terms of transient response and steady-state performance. Our study highlights the effectiveness of the proposed EK-PCMC in improving the regulation of the output power of an ESG and improving surgical outcomes.</p>","PeriodicalId":38125,"journal":{"name":"Journal of Electrical Bioimpedance","volume":"14 1","pages":"32-46"},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}