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Biomedical subjects

R E Barr

Publications and source records attributed to R E Barr.

13 recordsLinked to original sources

Frequency-domain digital filtering techniques for the removal of powerline noise with application to the electrocardiogram.

This paper presents two new local processing frequency-domain methods for the removal of powerline noise from electrophysiological signals. The first is based on an iterative division or a multiplication of a set of frequencies centered at 60 Hz. The second users a basic property of the natural logarithm to smooth the 60-Hz noise. Both methods are intended to reduce powerline noise without affecting the frequency spectrum of the signal in the regions surrounding 60 Hz. For illustration, these local processing methods are applied to artificial and real electrocardiographic (ECG) data and are compared to a fixed IIR notch digital filter which is designed by pole-zero placements on the unit circle. The performance of each method is measured by the error squared, which is the square of the difference between the original noise-free signal and the filtered noisy ECG. Finally, since the two methods are iterative processes, comparison of their rate of convergence to a predefined noise reduction level is considered.

Electrocardiography

Alterations in the pulsatile mode of growth hormone release in men and women with insulin-dependent diabetes mellitus.

The mechanisms responsible for the elevated levels of circulating GH observed in diabetes mellitus (DM) remain incompletely defined. To assess the episodic fluctuations in serum GH as a reflection of hypothalamic-pituitary activity, we accumulated GH concentration-time series in a total of 48 adult men and women with and without insulin-dependent DM by obtaining serum samples at 10-min intervals over 24 h. Significant pulses of GH release were subsequently identified and characterized by an objective, statistically based pulse detection algorithm (Cluster) and fixed circadian (24-h) periodicities of secretory activity, resolved using Fourier expansion time-series analysis. Compared to those in age-matched controls, integrated 24-h concentrations of GH were 2- to 3.5-fold higher in diabetic men (P = 0.002) and women (P = 0.0005). Both men and women with DM had over 50% more GH pulses per 24 h than their non-DM counterparts. In addition, maximal GH pulse amplitude was markedly elevated in the men and women with DM (P = 0.0019 and 0.0189, respectively). That the increase in maximal pulse amplitude was accounted for by greater baseline levels was documented by a higher interpulse valley mean GH concentration in the diabetics compared to the controls (P = 0.0437 and 0.0056, men and women, respectively) and the absence of any difference in incremental pulse amplitude for either sex (P greater than 0.05). DM men had larger GH pulse areas (P = 0.039) than control men, apparently accounted for by greater pulse width (P = 0.0037). Pulse areas in DM and non-DM women were indistinguishable. Time-series analysis revealed that the 24-h (circadian) rhythms of serum GH concentrations exhibited significantly increased amplitudes in the diabetic group as a whole (compared to the controls, P = 0.011). However, the times of maximal GH concentrations (acrophases) were not significantly different. As a group, serum insulin-like growth factor-I was lower in DM vs. non-DM individuals (P = 0.0014), although when separated by sex this difference did not reach statistical significance in women (P = 0.317). The present data confirm the higher circulating levels of GH previously reported to occur in individuals with poorly controlled DM. The altered frequency of GH pulses together with enhanced interpulse GH concentrations and an amplified circadian GH rhythm are compatible with hypothalamic dysfunction associated with dysregulation of somatostatin and/or GHRH secretion.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult

Peak-detection algorithm for EEG analysis.

A peak-detection method is described for computer analysis of the the electroencephalogramme (EEG). The technique consists of measuring the amplitude and time interval between successive maxima (peaks) and minima (troughs) in the signal. A critical feature of the peak-detection algorithm is the inclusion of an amplitude threshold criterion which eliminates the registration of low-voltage activity riding on EEG waves. The peak-detection procedure permits the formulation of a variety of intra-band and inter-band EEG statistics which can be useful in on-line computer applications. The peak-detection algorithm has been successfully applied to a number of normal and clinical EEG recordings. Although no computer procedure for EEG analysis has yet been universally adopted, the peak-detection algorithm reported in this paper presents a standardised approach which can be used between EEG clinics.

Diagnosis, Computer-Assisted

Computerized evaluation of electroencephalographic changes accompanying exchange transfusion in Reye's syndrome.

The EEGs of 7 children with Reye's syndrome (fatty liver and encephalopathy) were continuously recorded on magnetic tape for times ranging from 12 to 80 h. During these times the major therapy consisted of exchange blood transfusions. The tapes were automatically processed on a LINC-8 computer using a peak-detection algorithm. The main parameters investigated were the delta and theta indices, the mean EEG frequency, the mean peak-to-peak amplitude, and the frequency versus amplitude characteristics of the delta waves. In 5 patients who responded to therapy, a marked decrease in the delta activity and an increase in mean frequency were noted subsequent to exchange transfusions. In all 5 cases the delta waves exhibited a similar pattern of decreasing amplitude and increasing frequency following therapy. However, in 2 patients with a fatal outcome, no favorable EEG response was observed during treatment, and a simultaneous decline in both delta frequency and delta amplitude was noted as the clinical condition worsened. The results of this study indicate that continuous EEG monitoring in Reye's syndrome may be an important clinical adjunct in evaluating the effectiveness of exchange transfusion therapy and in signaling the need for further treatment.

Adolescent

Diffusion of oxygen at the endothelial surface of the rabbit cornea.

1. An in vitro investigation was made to determine the oxygen tension level required at the endothelial surface of rabbit cornea to produce a net oxygen flux into the cornea across this surface when the epithelial surface was exposed to air. 2. The experimental design was based on a mathematical model which showed that the direction of oxygen flux measured in an agar layer adjacent to the endothelium was the same as the direction of oxygen flux across the endothelial surface. 3. From micro-electrode measurements of oxygen tension in the agar layer, it was found that an oxygen tension greater than 102 mmHg at the endothelial surface was required tocause a net flux of oxygen into the cornea. 4. Comparing this result to the in vivo situation,it was concluded that all layers of the rabbit cornea receive oxygen from the atmosphere under open eye conditions.

Animals

Variations on the response characteristics of oxygen electrodes.

To summarize: The works presented in this and the previous paper (2) have produced an operational model for describing the oxygen reduction process in common medical grade sterile saline media at a platinum disc shaped electrode with a fairly specific surface conditioning. This paper has illustrated some of the variations possible in electrode current responses. An important feature of these data is that they are highly consistent and repeatable and can be discussed in terms of the model. However, the question still remains: What is the aging process? Is it due to a decrease of active sites for the electrochemical reduction process, brought about by the reduction process itself, or is it a process caused by other species in the media? To answer these questions, it may be necessary to employ some of the sophisticated techniques such as angle-resolved photoelectron spectroscopy (4) and extended x-ray absorption fine structure (5), available today for the study of atomic and molecular arrangements on solid surfaces.

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