Lung sound auscultation in non-ideal or busy clinical settings is challenged by contaminations of environmental noise. Digital pulmonary measurements are inevitably degraded, impeding the physician's work or any further processing of the acquired signals. The task is even harder when the patient population includes young children. Agitation and/or crying are captured into the recordings, additionally to any existing ambient noise. This study focuses on characterizing the different types of signal contaminations, expected to be encountered during lung sound measurements in non-ideal environments. Different noise types were considered, including background talk, radio playing, subject's crying, electronic interference sounds and stethoscope displacement artifacts. The individual characteristics were extracted, discussed and further compared to characteristics of clean segments. Additional exploration of discriminatory features led to a spectro-temporal signal representation followed by a standard SVM classifier. Although pulmonary and ambient sounds were both dominant in most sound clips, such a complex representation was deemed to be adequate, capturing most of the signal's distinguishing characteristics.
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http://dx.doi.org/10.1109/EMBC.2013.6610060 | DOI Listing |
Lancet Rheumatol
January 2025
US Department of Veterans Affairs (VA) Nebraska-Western Iowa Health Care System, Omaha, NE, USA; University of Nebraska Medical Center, Omaha, NE, USA.
Background: Uncertainty exists regarding patient outcomes when using TNF inhibitors versus other biological and targeted synthetic disease-modifying antirheumatic drugs (DMARDs) in rheumatoid arthritis-associated interstitial lung disease (ILD). We compared survival and respiratory hospitalisation outcomes following initiation of TNF-inhibitor or non-TNF inhibitor biological or targeted synthetic DMARDs for treatment of rheumatoid arthritis-associated ILD.
Methods: We did a retrospective, active-comparator, new-user, observational cohort study with propensity score matching following the target trial emulation framework using US Department of Veterans Affairs (VA) electronic and administrative health records.
Ann Thorac Surg
January 2025
University of California, Davis Health, Sacramento, CA.
With the publication of CALGB 140503, an increase in wedge resections for small, peripheral non-small cell lung cancer is expected; however, a relative paucity of data exists as to what defines a high quality oncologic wedge resection. The Thoracic Surgery Outcomes Research Network (ThORN), through expert discussion, guided by review of what limited data does exist, and through use of a modified Delphi process, provides these consensus statements defining an oncologically sound, high quality wedge resection. The statements are classified into five categories: 1) Preoperative Considerations 2) Technical Aspects 3) Lymph Node Assessment 4) Margin Assessment and 5) Tissue Handling by Pathology.
View Article and Find Full Text PDFJ Voice
January 2025
Utah Center for Vocology, University of Utah, Salt Lake City, UT; National Center for Voice and Speech, Salt Lake City, UT. Electronic address:
Objectives: Acoustic and aerodynamic powers in infant cry are not scaled downward with body size or vocal tract size. The objective here was to show that high lung pressures and impedance matching are used to produce power levels comparable to those in adults.
Study Design And Methodology: A computational model was used to obtain power distributions along the infant airway.
Noise Health
January 2025
Department of Internal Medicine, Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Background: The effect of background noise on auscultation accuracy for different lung sound classes under standardised conditions, especially at lower to medium levels, remains largely unexplored. This article aims to evaluate the impact of three levels of Gaussian white noise (GWN) on the ability to identify three classes of lung sounds.
Methods And Materials: A pre-post pilot study assessing the impact of GWN on a group of students' ability to identify lung sounds was conducted.
JTCVS Open
December 2024
Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford School of Medicine, Stanford, Calif.
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