Publications by authors named "Johan Stiens"

Background: Intra-abdominal pressure (IAP) is a critical parameter in the care of critically ill patients, as elevated IAP can lead to reduced cardiac output and organ perfusion, potentially resulting in multiple organ dysfunction and failure. The current gold standard for measuring IAP is an indirect technique via the bladder. According to the Abdominal Compartment Society's Guidelines, new measurement methods/devices for IAP must be validated against the gold standard.

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This paper presents a comprehensive study focusing on the detection and characterization of droplets with volumes in the nanoliter range. Leveraging the precise control of minute liquid volumes, we introduced a novel spectroscopic on-chip microsensor equipped with integrated microfluidic channels for droplet generation, characterization, and sensing simultaneously. The microsensor, designed with interdigitated ring-shaped electrodes (IRSE) and seamlessly integrated with microfluidic channels, offers enhanced capacitance and impedance signal amplitudes, reproducibility, and reliability in droplet analysis.

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Photoplethysmography (PPG) is a non-invasive method used for cardiovascular monitoring, with multi-wavelength PPG (MW-PPG) enhancing its efficacy by using multiple wavelengths for improved assessment. This study explores how contact force (CF) variations impact MW-PPG signals. Data from 11 healthy subjects are analyzed to investigate the still understudied specific effects of CF on PPG signals.

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: Intra-abdominal pressure (IAP) monitoring is crucial for the detection and prevention of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). In the 1970s, air-filled catheters (AFCs) for urodynamic studies were introduced as a solution to overcome the limitations of water-perfused catheters. Recent studies have shown that for correct IAP measurement with traditional AFC, the bladder needs to be primed with 25 mL of saline solution to allow pressure wave transmission to the transducer outside of the body, which limits continuous IAP monitoring.

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Intra-abdominal pressure (IAP) has been recognized as an important vital sign in critically ill patients. Due to the high prevalence and incidence of intra-abdominal hypertension in surgical (trauma, burns, cardiac) and medical (sepsis, liver cirrhosis, acute kidney injury) patients, continuous IAP (CIAP) monitoring has been proposed. This research was aimed at validating a new CIAP monitoring device, the TraumaGuard from Sentinel Medical Technologies, against the gold standard (height of a water column) in an in vitro setting and performing a comparative analysis among different CIAP measurement technologies (including two intra-gastric and two intra-bladder measurement devices).

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Over the past few years, there has been increased interest in photoplethysmography (PPG) technology, which has revealed that, in addition to heart rate and oxygen saturation, the pulse shape of the PPG signal contains much more valuable information. Lately, the wearable market has shifted towards a multi-wavelength and multichannel approach to increase signal robustness and facilitate the extraction of other intrinsic information from the signal. This transition presents several challenges related to complexity, accuracy, and reliability of algorithms.

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Photoplethysmography (PPG) is widely used to assess cardiovascular health. However, its usage and standardization are limited by the impact of variable contact force and temperature, which influence the accuracy and reliability of the measurements. Although some studies have evaluated the impact of these phenomena on signal amplitude, there is still a lack of knowledge about how these perturbations can distort the signal morphology, especially for multi-wavelength PPG (MW-PPG) measurements.

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Increased intra-abdominal pressure (IAP) is an important vital sign in critically ill patients and has a negative impact on morbidity and mortality. This study aimed to validate a novel non-invasive ultrasonographic approach to IAP measurement against the gold standard intra-bladder pressure (IBP) method. We conducted a prospective observational study in an adult medical ICU of a university hospital.

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Indirect calorimetry (IC) is considered the gold standard for measuring resting energy expenditure (REE). This review presents an overview of the different techniques to assess REE with special regard to the use of IC in critically ill patients on extracorporeal membrane oxygenation (ECMO), as well as to the sensors used in commercially available indirect calorimeters. The theoretical and technical aspects of IC in spontaneously breathing subjects and critically ill patients on mechanical ventilation and/or ECMO are covered and a critical review and comparison of the different techniques and sensors is provided.

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Article Synopsis
  • The review investigates the link between fluid administration and intra-abdominal pressure (IAP) in patients at risk of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).
  • A comprehensive literature search uncovered various studies indicating that fluid resuscitation often exacerbates IAH, creating a cyclical problem where patients require even more fluids for management.
  • While the timing and strategy for fluid management are critical, there is a lack of clear guidelines, and in severe cases, surgical intervention may be necessary to prevent serious complications.
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Increased intra-abdominal pressure (IAP) has an important impact on morbidity and mortality in critically ill patients. The SERENNO Sentinel system (Serenno Medical, Yokne'am Illit, Israel) is a novel device that allows automatic and continuous IAP measurements. Pre-clinical validation in a bench model study comparing the new device with the gold standard method and two other continuous IAP measurement devices.

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Rubber is one of the most used materials in the world; however, raw rubber shows a relatively very low mechanical strength. Therefore, it needs to be cured before its ultimate applicatios. Curing process specifications, such as the curing time and temperature, influence the material properties of the final cured product.

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The grown interest in healthcare applications has made biomedical engineering one of the fastest growing disciplines in recent years. Photoplethysmography (PPG) has gained popularity in recent years due to its versatility for noninvasive monitoring of vital signs such as heart rate, respiratory rate, blood oxygen saturation and blood pressure. In this work, an adjustable PPG-based educational device called PPG EduKit, which aims to facilitate the learning of the PPG technology for a wide range of engineering and medical disciplines is proposed.

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Intra-abdominal hypertension, defined as an intra-abdominal pressure (IAP) equal to or above 12 mmHg is one of the major risk-factors for increased morbidity (organ failure) and mortality in critically ill patients. Therefore, IAP monitoring is highly recommended in intensive care unit (ICU) patients to predict development of abdominal compartment syndrome and to provide a better care for patients hospitalized in the ICU. The IAP measurement through the bladder is the actual reference standard advocated by the abdominal compartment society; however, this measurement technique is cumbersome, non-continuous, and carries a potential risk for urinary tract infections and urethral injury.

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This review presents an overview of previously reported non-invasive intra-abdominal pressure (IAP) measurement techniques. Each section covers the basic physical principles and methodology of the various measurement techniques, the experimental results, and the advantages and disadvantages of each method. The most promising non-invasive methods for IAP measurement are microwave reflectometry and ultrasound assessment, in combination with an applied external force.

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Transient Radar Method (TRM) was recently proposed as a novel contact-free method for the characterization of multilayer dielectric structures including the geometric details. In this paper, we discuss and quantify the intrinsic and systematic errors of TRM. Also, solutions for mitigating these problems are elaborated extensively.

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Article Synopsis
  • Synthetic drugs for brain disorders often have serious side effects, leading to interest in natural compounds as alternative therapies.
  • Natural compounds from plants and arthropod venom show promise for their anti-inflammatory and antimicrobial properties, but further research is needed on their therapeutic potential, especially in brain disorders.
  • This paper reviews the pharmacological benefits of specific natural compounds, outlines methods for studying their properties, and emphasizes their viability as alternatives for treating nervous system diseases.
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This work explores an innovative strategy for increasing the efficiency of compressed sensing applied on mm-wave SAR sensing using multiple weighted side information. The approach is tested on synthetic and on real non-destructive testing measurements performed on a 3D-printed object with defects while taking advantage of multiple previous SAR images of the object with different degrees of similarity. The tested algorithm attributes autonomously weights to the side information at two levels: (1) between the components inside the side information and (2) between the different side information.

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Despite the numerous benefits of microwave applications in our daily life, microwaves were associated with diverse neurological complaints such as headaches and impaired sleep patterns, and changes in the electroencephalogram (EEG). To which extent microwaves influence the brain function remains unclear. This exploratory study assessed the behavior and neurochemistry in mice immediately or 4weeks after a 6-day exposure to low-intensity 10-GHz microwaves with an amplitude modulation (AM) of 2 or 8Hz.

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The increased interest in the separation of peptides, proteins, immunoglobulins, and polynucleotides, led to an increased demand for appropriate analytical methodologies and instrumentation. CE, because of its unique separation mechanism and high efficiency, is frequently used in the analysis of those molecules. In this study, a CE method for the separation of six angiotensin analogues was developed in the first step.

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Capillary electrophoresis (CE) is an electrodriven separation technique that is often used for the separation of chiral molecules. Advantages of CE are its flexibility, low cost and efficiency. On the other hand, the precision and transfer of CE methods are well-known problems of the technique.

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Capillary electrophoresis (CE) is an electrophoretic separation technique that was rapidly increasing in popularity some years ago and that led to high expectations. Because of their different separation mechanisms, CE and HPLC are alternative and complementary separation techniques. Chiral molecules can be directly separated with CE by simply adding a chiral selector to the running buffer solution, leading to flexible and cheap methods.

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Active millimeter-wave imaging systems for concealed object detection offer the possibility of much higher image contrast than passive systems, especially in indoor applications. By studying active millimeter-wave images of different test objects derived in the W band, we show that multispectral illumination is critical to the detectability of targets. We also propose to use image change detection techniques, including image differencing, normalized difference vegetation index, and principle component analysis to process the multispectral millimeter-wave images.

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Imaging concealed objects with millimeter-wave coherent radiation is accompanied by speckle. Like all interference phenomena, speckle depends on three light parameters of the millimeter-wave laser beam--phase, wavelength, and angle of incidence--and can be reduced by the diversity of these three parameters. Diversity tools to improve images of concealed objects have been compared.

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