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V J Kumar

Publications and source records attributed to V J Kumar.

5 recordsLinked to original sources

A transform domain SVD filter for suppression of muscle noise artefacts in exercise ECG's.

The proposed filter assumes the noisy electrocardiography (ECG) to be modeled as a signal of deterministic nature, corrupted by additive muscle noise artefact. The muscle noise component is treated to be stationary with known second-order characteristics. Since noise-free ECG is shown to possess a narrow-band structure in discrete cosine transform (DCT) domain and the second-order statistical properties of the additive noise component is preserved due to the orthogonality property of DCT, noise abatement is easily accomplished via subspace decomposition in the transform domain. The subspace decomposition is performed using singular value decomposition (SVD). The order of the transform domain SVD filter required to achieve the desired degree of noise abatement is compared to that of a suboptimal Wiener filter using DCT. Since the Wiener filter assumes both the signal and noise structures to be statistical, with a priori known second-order characteristics, it yields a biased estimate of the ECG beat as compared to the SVD filter for a given value of mean-square error (mse). The filter order required for performing the subspace smoothing is shown to exceed a certain minimal value for which the mse profile of the SVD filter follows the minimum-mean-quare error (mmse) performance warranted by the suboptimal Wiener filter. The effective filter order required for reproducing clinically significant features in the noisy ECG is then set by an upper bound derived by means of a finite precision linear perturbation model. A significant advantage resulting from the application of the proposed SVD filter lies in its ability to perform noise suppression independently on a single lead ECG record with only a limited number of data samples.

Algorithms↗

Data processing of stress ECGs using discrete cosine transform.

The signal processing steps for the analysis of stress ECGs are aimed at improving the signal to noise ratio (SNR) of recordings in addition to eliminating artifacts due to respiration, movement of arms, etc. In this paper, we bring forth two important applications of the discrete cosine transform (DCT) for noise suppression and removal of baseline wander. The noise suppression algorithm has been framed on the basis of a two step procedure involving singular value decomposition (SVD) smoothing operation in transform domain followed by that in time domain. The mean square error (MSE) resulting from the first step is shown to effectively follow the trend obtained by using an ideal Wiener filter using DCT. In the second step, the degree of closeness to the minimum mean square error (MMSE) of the ideal Wiener filter is improved by subjecting the filtered outputs to a second SVD smoothing operation in time domain. Application of this scheme to noisy records has resulted in near perfect reproduction of the original noise free ECG without significant alterations in its morphological features.

Algorithms↗

IgA anti-endomysial antibody detection in the serum of patients with dermatitis herpetiformis following gluten challenge.

This study reports the appearance of IgA-class anti-endomysial antibodies in the serum of 8 out of 12 patients with dermatitis herpetiformis who were challenged with gluten after a number of years of control of the rash with a strict gluten-free diet. Although there was no evidence for the antibodies having any pathogenic role in the rash of dermatitis herpetiformis, their presence may be related to the deterioration in the gluten-sensitive enteropathy.

Adult↗

Urodynamic profile after Wertheim's hysterectomy.

Wertheim 's hysterectomy is likely to cause damage to innervation and anatomical support of the lower urinary tract. Urodynamic assessment was done in twenty patients of histopathologically proven cancer cervix who were about to undergo Wertheim's hysterectomy. The study was performed preoperatively, in the immediate postoperative period and six weeks after surgery. Urodynamic study included uroflowmetry, cystometry and urethral pressure profile. Urinary symptoms were also corelated with the urodynamic profile. It was concluded that the bladder was hypertonic in the immediate postoperative period and urethral closure pressures were low. Some regeneration of damaged nerve fibres was found to occur during the 6-8 weeks after surgery resulting in some improvement in sensory and motor functions of the bladder Post operatively continuous catheter drainage appeared to be the most important part of management of hypertonic bladder and the duration was individualised on the basis of urodynamic investigations.

Female↗