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Purpose: Moderate-intensity aerobic exercise is safe and beneficial in atrial fibrillation (AF) and coronary heart disease (CHD). Irregular or rapid heart rates (HR) in AF and other heart conditions create a challenge to using HR to monitor exercise intensity. The purpose of this study was to assess the potential of breathing frequency (BF) to monitor exercise intensity in people with AF and CHD without AF. Methods: This observational study included 30 AF participants (19 Male, 70.7 ± 8.7 yrs) and 67 non-AF CHD participants (38 Male, 56.9 ± 11.4 yrs). All performed an incremental maximal exercise test with pulmonary gas exchange. Results: Peak aerobic power in AF ( V ˙ O2peak; 17.8 ± 5.0 ml.kg−1.min−1) was lower than in CHD (26.7 ml.kg−1.min−1) (p <.001). BF responses in AF and CHD were similar (BF peak: AF 34.6 ± 5.4 and CHD 36.5 ± 5.0 breaths.min−1; p =.106); at the 1st ventilatory threshold (BF@VT-1: AF 23.2 ± 4.6; CHD 22.4 ± 4.6 breaths.min−1; p =.240). % V ˙ O2peak at VT-1 were similar in AF and CHD (AF: 59%; CHD: 57%; p =.656). Conclusion: With the use of wearable technologies on the rise, that now include BF, this first study provides an encouraging potential for BF to be used in AF and CHD. As the supporting data are based on incremental ramp protocol results, further research is required to assess BF validity to manage exercise intensity during longer bouts of exercise. [ABSTRACT FROM AUTHOR]

Preanesthetic drugs play an essential role in general anesthesia for smooth induction and recovery and have multiple pharmacodynamic properties; however, they are considered blockers of histamine receptor type 1. The fundamental goal was to determine the properties of orphenadrine as a pre-anesthetic in a chick model. Healthy, unsexed chicks were used. Up-and-down methods determined the safety profile of orphenadrine for the average lethal dose and the average analgesic dose. We administered orphenadrine at different doses and times. We then calculated the onset, duration, and recovery of anesthesia using xylazine and ketamine, as well as the body temperature and breathing rate of the chicks that had undergone general anesthesia. The median lethal dose was 121.10±8.49 mg/kg, intraperitoneal (IP), and the median analgesic dose was 2.49±0.21 mg/kg IP. Orphenadrine at 2.5, 5, and 10 mg/kg produced analgesia in a dose-dependent manner. Administration of orphenadrine at 5 mg/kg and IP at different times significantly prolonged the duration of anesthesia for xylazine and ketamine in a time-dependent manner, and body temperature and breathing rate were significantly decreased in the lateral recumbency situation in comparison with pre-lateral recumbency and post-lateral recumbency (recovery). Orphenadrine at 5,10, and 20 mg/kg, IP followed by 30 minutes produced a significant decrease in the onset of anesthesia, prolonged duration, and shortened recovery time compared with ketamine and xylazine alone. Orphenadrine also made a significant decrease in body temperature before lateral recumbency compared with xylazine and ketamine. Body temperature and breathing rate were significantly lower in lateral recumbency than in pre- and post-lateral recumbency. Conclusion: Orphenadrine is a safe drug because of the wide range between the average lethal and analgesic doses. It is also a good preanesthetic drug that prolongs the duration of anesthesia and shortens the recovery time in a Chick's model. However, because it has a hypothermic property, it must be used with caution when used as a preanesthetic.

Aircraft pilots face a high mental workload (MW) under environmental constraints induced by high altitude and sometimes sleep restriction (SR). Our aim was to assess the combined effects of hypoxia and sleep restriction on cognitive and physiological responses to different MW levels using the Multi-Attribute Test Battery (MATB)-II with an additional auditory Oddball-like task. Seventeen healthy subjects were subjected in random order to three 12-min periods of increased MW level (low, medium, and high): sleep restriction (SR, <3 h of total sleep time (TST)) vs. habitual sleep (HS, >6 h TST), hypoxia (HY, 2 h, FIO2 = 13.6%, ~3500 m vs. normoxia, NO, FIO2 = 21%). Following each MW level, participants completed the NASA-TLX subjective MW scale. Increasing MW decreases performance on the MATB-II Tracking task (p = 0.001, MW difficulty main effect) and increases NASA-TLX (p = 0.001). In the combined HY/SR condition, MATB-II performance was lower, and the NASA-TLX score was higher compared with the NO/HS condition, while no effect of hypoxia alone was observed. In the accuracy of the auditory task, there is a significant interaction between hypoxia and MW difficulty (F(2–176) = 3.14, p = 0.04), with lower values at high MW under hypoxic conditions. Breathing rate, pupil size, and amplitude of pupil dilation response (PDR) to auditory stimuli are associated with increased MW. These parameters are the best predictors of increased MW, independently of physiological constraints. Adding ECG, SpO2, or electrodermal conductance does not improve model performance. In conclusion, hypoxia and sleep restriction have an additive effect on MW. Physiological and electrophysiological responses must be taken into account when designing a MW predictive model and cross-validation. [ABSTRACT FROM AUTHOR]

This paper introduces and evaluates an innovative sensor for unobtrusive in-car respiration monitoring, mounted on the backrest of the driver's seat. The sensor seamlessly integrates into the vehicle, measuring breathing rates continuously without requiring active participation from the driver. The paper proves the feasibility of unobtrusive in-car measurements over long periods of time. Operation of the sensor was investigated over 12 participants sitting in the driver seat. A total of 107 min of driving in diverse conditions with overall coverage rate of 84.45% underscores the sensor potential to reliably capture physiological changes in breathing rate for fatigue and stress detection. [ABSTRACT FROM AUTHOR]

Vital sign monitoring is dominated by precise but costly contact-based sensors. Contactless devices such as radars provide a promising alternative. In this article, the effects of lateral radar positions on breathing and heartbeat extraction are evaluated based on a sleep study. A lateral radar position is a radar placement from which multiple human body zones are mapped onto different radar range sections. These body zones can be used to extract breathing and heartbeat motions independently from one another via these different range sections. Radars were positioned above the bed as a conventional approach and on a bedside table as well as at the foot end of the bed as lateral positions. These positions were evaluated based on six nights of sleep collected from healthy volunteers with polysomnography (PSG) as a reference system. For breathing extraction, comparable results were observed for all three radar positions. For heartbeat extraction, a higher level of agreement between the radar foot end position and the PSG was found. An example of the distinction between thoracic and abdominal breathing using a lateral radar position is shown. Lateral radar positions could lead to a more detailed analysis of movements along the body, with the potential for diagnostic applications. [ABSTRACT FROM AUTHOR]

Objectives: Chronic musculoskeletal pain is associated with decreased parasympathetic and increased sympathetic activity in the autonomic nervous system. The objective of this study was to determine the associations between objective measures of heart rate variability (a measure of autonomic nervous system function), actigraphy (a measure of activity and sleep quality), respiration rates, and subjective patient‐reported outcome measures (PROMs) of central sensitization, kinesiophobia, disability, the effect of pain on sleep, and life quality. Methods: Thirty‐eight study subjects were divided into two subgroups, including low symptoms of central sensitization (n = 18) and high symptoms of central sensitization (n = 20), based on patient‐reported scores on the Central Sensitization Inventory (CSI). Heart rate variability (HRV) and actigraphy measurements were carried out simultaneously in 24 h measurement during wakefulness and sleep. Results: A decrease in HRV during the first 2 h of sleep was stronger in the low CSI subgroup compared to the high CSI subgroup. Otherwise, all other HRV and actigraphy parameters and subjective measures of central sensitization, disability, kinesiophobia, the effect of pain on sleep, and quality of life showed only little associations. Discussion: The high CSI subgroup reported significantly more severe symptoms of disability, kinesiophobia, sleep, and quality of life compared to the low CSI subgroup. However, there were only small and nonsignificant trend in increased sympathetic nervous system activity and poorer sleep quality on the high central sensitization subgroup. Moreover, very little differences in respiratory rates were found between the groups. [ABSTRACT FROM AUTHOR]

The rapid growth of available wearable technologies, particularly in the healthcare sector, has ushered in a new era of digital health. This progress has introduced new possibilities for the monitoring of vital signs, including breathing rate (BR). BR is a crucial health parameter used to assess an individual's overall well-being; specifically, it can be considered a precise indicator of pathological conditions and stressors. The aim of this study is to conduct a metrological characterization of one of the most widely used BR sensors for the measurement of BR (i.e., Zephyr BioHarness 3.0), comparing it to a BR gold standard monitor (i.e., a spirometer), in determined test conditions, including both natural and defined BR patterns. Additionally, the Monte Carlo method (MCM) was applied to evaluate the propagation of the measurement uncertainty in the identification of the peaks of respiratory signal, used to calculate BR. Results reveal that the Zephyr BioHarness 3.0 sensor provides highly accurate BR measurements, with a precision of ±1 bpm. Bland-Altman analysis indicates a 95 % confidence interval of [-2; 3] bpm, demonstrating a close agreement with the reference instrument. The Pearson's correlation coefficient of 0.95 further validates the linear correlation between the reference/test measurements. The simulation based on MCM provides an expanded uncertainty of ±2 bpm (coverage factor k = 2) in BR estimation due to the uncertainty in the peaks identification (compatible with the accuracy provided by the manufacturer). These results highlight the Zephyr BioHarness 3.0 sensor reliability for BR monitoring while emphasizing the significance of accounting for different disturbing factors, e.g., uncertainty in peak detection during data analysis, also to provide a rigorous level of confidence in the measurement results, hence being able to properly interpret them in biomedical applications.

In this short article, we present a new method to use a smartphone placed unattached on a subject’s chest in the supine position to obtain heartbeat and breathing signals and estimate heart and breathing rates, simultaneously. We collected 3-axis accelerometer, gyroscope, and magnetometer signals and performed sensor fusion to extract a user’s breathing signal and breathing rate. A hidden Markov model was used to segment the ballistocardiograph/seismocardiograph signals and extract the heart rate. The smartphone application was verified against breathing belt measurements and electrocardiogram measurements. We modified and proposed several suitable signal quality metrics for seismocardiograph signals. The overall results show that the application accurately estimated the breathing and heart rates, achieving a minimum mean percent error of 2.52% for breathing and 2.33% for heart rate. This work is a big step forward for vital sign estimation using inexpensive pervasive devices.

Sleep regularity and chronotype can affect health, performance, and overall well-being. This observational study examines how sleep regularity and chronotype affect sleep quality and cardiorespiratory metrics. Data was collected from 1 January 2019 through 30 December 2019 from over 330 000 Sleep Number smart bed users across the United States who opted into this at-home study. A pressure signal from the smart bed reflected bed presence, movements, heart rate (HR), and breathing rate (BR). Participants (mean age: 55.69 years [SD: 14.0]; 51.2% female) were categorized by chronotype (16.8% early; 62.2% intermediate, 20.9% late) and regularity of sleep timing. Participants who were regular sleepers (66.1%) experienced higher percent restful sleep and lower mean HR and BR compared to the 4.8% categorized as irregular sleepers. Regular early-chronotype participants displayed better sleep and cardiorespiratory parameters compared to those with regular late-chronotypes. Significant variations were noted in sleep duration (Cohen's d = 1.54 and 0.88, respectively) and restful sleep (Cohen's d = 1.46 and 0.82, respectively) between early and late chronotypes, particularly within regular and irregular sleep patterns. This study highlights how sleep regularity and chronotype influence sleep quality and cardiorespiratory metrics. Irrespective of chronotype, sleep regularity demonstrated a substantial effect. Further research is necessary to confirm these findings. [ABSTRACT FROM AUTHOR]

This paper introduces and evaluates an innovative sensor for unobtrusive in-car respiration monitoring, mounted on the backrest of the driver’s seat. The sensor seamlessly integrates into the vehicle, measuring breathing rates continuously without requiring active participation from the driver. The paper proves the feasibility of unobtrusive in-car measurements over long periods of time. Operation of the sensor was investigated over 12 participants sitting in the driver seat. A total of 107 min of driving in diverse conditions with overall coverage rate of 84.45% underscores the sensor potential to reliably capture physiological changes in breathing rate for fatigue and stress detection.

Vital sign monitoring is dominated by precise but costly contact-based sensors. Contactless devices such as radars provide a promising alternative. In this article, the effects of lateral radar positions on breathing and heartbeat extraction are evaluated based on a sleep study. A lateral radar position is a radar placement from which multiple human body zones are mapped onto different radar range sections. These body zones can be used to extract breathing and heartbeat motions independently from one another via these different range sections. Radars were positioned above the bed as a conventional approach and on a bedside table as well as at the foot end of the bed as lateral positions. These positions were evaluated based on six nights of sleep collected from healthy volunteers with polysomnography (PSG) as a reference system. For breathing extraction, comparable results were observed for all three radar positions. For heartbeat extraction, a higher level of agreement between the radar foot end position and the PSG was found. An example of the distinction between thoracic and abdominal breathing using a lateral radar position is shown. Lateral radar positions could lead to a more detailed analysis of movements along the body, with the potential for diagnostic applications.

Personality traits, the consistent individual behavioral differences, are currently gaining much attention in studies of natural bird populations. However, associations between personality traits and parasite infections are not often investigated. Even less attention has been given to studies of birds in the high-elevation region such as the Tibetan plateau. This research aims to examine the relationship between avian malaria parasites and two personality traits in a population of the Chestnut Thrush (Turdus rubrocanus) breed in the Tibetan plateau.Our results revealed no evidence of sex bias in malaria parasite prevalence. Furthermore, we found no effect of infection status on two personality scores: activity and boldness. Additionally, no effects on the activity level or boldness were observed for different parasite lineages of Haemoproteus, Leucocytozoon, the sex of the birds, or their interactions. Similarly, we did not find any relationship between activity level and boldness with nestling numbers, sex, or their interactions. Notably, individuals with a larger number of offspring tended to display greater boldness. Our findings indicate that blood parasite infections are common in this population but do not significantly impact the personality of the birds.

Abnormalities in cardiorespiratory measurements have repeatedly been found in patients with panic disorder (PD) during laboratory-based assessments. However, recordings performed outside laboratory settings are required to test the ecological validity of these findings. Wearable devices, such as sensor-imbedded garments, biopatches, and smartwatches, are promising tools for this purpose. We systematically reviewed the evidence for wearables-based cardiorespiratory assessments in PD by searching for publications on the PubMed, PsycINFO, and Embase databases, from inception to 30 July 2022. After the screening of two-hundred and twenty records, eight studies were included. The limited number of available studies and critical aspects related to the uncertain reliability of wearables-based assessments, especially concerning respiration, prevented us from drawing conclusions about the cardiorespiratory function of patients with PD in daily life. We also present preliminary data on a pilot study conducted on volunteers at the Villa San Benedetto Menni Hospital for evaluating the accuracy of heart rate (HR) and breathing rate (BR) measurements by the wearable Zephyr BioPatch compared with the Quark-b2 stationary testing system. Our exploratory results suggested possible BR and HR misestimation by the wearable Zephyr BioPatch compared with the Quark-b2 system. Challenges of wearables-based cardiorespiratory assessment and possible solutions to improve their reliability and optimize their significant potential for the study of PD pathophysiology are presented. [ABSTRACT FROM AUTHOR]

This work proposes a computational algorithm which extracts the frequency, timings and signal segments corresponding to respiratory phases, through buccal and nasal acoustic signal processing. The proposal offers a computational solution for medical applications which require on-site or remote patient monitoring and evaluation of pulmonary pathologies, such as coronavirus disease 2019 (COVID-19). The state of the art presents a few respiratory evaluation proposals through buccal and nasal acoustic signals. Most proposals focus on respiratory signals acquired by a medical professional, using stethoscopes and electrodes located on the thorax. In this case the signal acquisition process is carried out through the use of a low cost and easy to use mask, which is equipped with strategically positioned and connected electret microphones, to maximize the proposed algorithm’s performance. The algorithm employs signal processing techniques such as signal envelope detection, decimation, fast Fourier transform (FFT) and detection of peaks and time intervals via estimation of local maxima and minima in a signal’s envelope. For the validation process a database of 32 signals of different respiratory modes and frequencies was used. Results show a maximum average error of 2.23% for breathing rate, 2.81% for expiration time and 3.47% for inspiration time. [ABSTRACT FROM AUTHOR]

Plant secondary metabolites in Tetrapleuratetraptera fruit meal (TTFM) could be exploited as natural safe feed additives alternative to non-nutritive chemical and antibiotics to enhance rumen fermentation and feed utilization efficiency with negative oxidative stress. The study investigated the responses of West African Dwarf (WAD) rams to the diets containing varying levels of supplemental Tetrapleura tetraptera fruit meal on the oxidative status and thermo-physiological parameters. Thirty five (35) WAD rams with an average live weight of 13.20±0.2 kg were used in a completely randomized design for 140 days. Five concentrate diets containing varying levels (0, 0.5, 1.0, 1.5 and 2.0 %) of TTFM were formulated while Panicum maximum was fed as a basal diet. The rectal temperature, pulse rate and respiratory rate were measured at two week intervals while blood was collected through jugular veins at the onset and at the end of feeding trial to determine oxidative status parameters in terms of superoxide dismutase (SOD), glutathione peroxidase, thiobarbituric acid reactive substance (TBARS). Data collected were subjected to one way Analysis of Variance (ANOVA). No significant difference observed (p>0.05) in the rectal temperature while the pulse rate and breathing rate increased significantly (p<0.05) till 12th week of the experiment. Increased glutathione peroxidase, superoxide dismutase and lowered thiobarbituric acid reactive substance were recorded on the rams at the end of the feeding trial. It was therefore concluded that inclusion of Tetrapleura tetraptera up to 2 % level reduced the oxidative stress in the experimental animals coupled with better thermo-physiological responses. [ABSTRACT FROM AUTHOR]

Vital sign monitoring is fundamental in daily patient care. Wearable technology has become an important tool in personalized medicine; however, there is a tradeoff problem between accuracy and comfort caused by the elastic textile used. Our study sought to examine the accuracy of heart rate (HR) and breathing rate (BR) monitoring as measured by iSmartweaR, a novel wearable and wireless sensor that uses the laser Doppler technique, with special focus on sex and different static postures. A total of 30 male and 23 female patients, including 23 patients with cardiovascular diseases and 30 healthy participants, were recruited. The HR and BR were measured with iSmartweaR and the gold standard method (CardioSoft and MasterScreen™ CPX) simultaneously in three static postures (supine rest, right lateral decubitus, and left lateral decubitus). The mean errors of HR and BR between iSmartweaR and the gold standard method were close to zero (0.55 and 0.71, respectively). The standard deviations of the HR error and BR error were 0.59 and 0.67, respectively. Disease, posture, sex, and measurement time did not cause clinically significant measurement errors. The overall percentage of missing data was 7.01%. The use of iSmartweaR was valid across different sexes and static postures. It is real-time, continuous and manpower-saving, and can be applied in patient care. [ABSTRACT FROM AUTHOR]

Breathing interventions have been shown to improve sport performance. Although evidence exists to support the role of perceived arousal as a critical underlying mechanism of breathing interventions, methodological differences in the literature preclude clear understanding of potential contributing factors to the effectiveness of such interventions. Under neutral contexts, we have demonstrated attention, dyspnea, and hindrance may need to be considered as mediators of how breathing frequency affects motor performance. We sought to extend our previous findings to determine how breathing frequency affects motor performance under varying emotional conditions. Participants (N =35, Mage =21.68, SD =2.96; 20 females) performed slow, normal, and fast metronomepaced breathing while viewing pleasant and unpleasant stimuli prior to executing a pinch grip task. Performance was assessed via reaction time (RT), variability (V) and error (AE). Assessment of indices of perceived arousal included measuring heart rate variability (HRV) and visual analog scale responses. Visual analog scales were also used to assess attention, dyspnea, and hindrance. Repeated measures ANOVAs showed slow breathing increased RT and HRV compared to normal and fast breathing under emotional conditions (all p's<0.05). Hierarchical multiple regression models revealed that decreased breathing frequency predicted increases in RT (β = -0.25, p <0.05) under pleasant conditions, while predicting increases in HRV for unpleasant conditions (β = -0.45, p <0.001). Increases in dyspnea (β =0.29, p <0.05) and hindrance (β =0.35, p <0.01) predicted increases in RT under pleasant conditions, while only increases in hindrance predicted increases in RT under unpleasant conditions (β =0.41, p <0.01). Decreases in breathing frequency predicted increases in HRV under unpleasant conditions (β = -0.45, p <0.001). Overall, our findings suggest under varying emotional contexts breathing frequency differentially affects movement, potentially mediated by factors other than perceived arousal. In addition, these results inform the use of breath regulation as an antecedent emotion regulation strategy. [ABSTRACT FROM AUTHOR]

Background&Purpose: One of the most important goals of any athlete is optimum performance during competitions, and biofeedback is one of the new and growing ways to improve athletes' performance. This study investigated the effect of biofeedback exercises on some physiological factors and the performance of skilled archers. Method: The present study was a semi-experimental type with pre-test and post-test design and a control group. Twenty four young men with an average age of 22.5 years were purposefully recruited among the participants who attended national ranking archery competitions and randomly assigned to an experimental and a control group, each consisting of 12 participants. After the pre-test (archery performance test), the experimental group first attended 10 sessions of biofeedback training related to heart rate control and breathing control based on the training protocol and then attended 10 sessions of the same biofeedback exercises with skin conduction guidance. Both groups continued their routine archery exercises under the supervision of the researchers during this period. After completing 20 training sessions, the archery performance was taken again as the post-test with the same pretest condition from both groups. Results: The results showed that the heart rate of the participants was higher in tension and stress conditions compared to the resting state (p < 0.05). Also, at the post-test, the experimental group showed a lower heart rate under stress conditions compared to the control group (p < 0.05). Moreover, the analysis of covariance showed that the performance of both groups improved compared to the pre-test, but the experimental group performed better than the control group (p < 0.05). Conclusion: According to the findings of this study, more attention should be given to biofeedback exercises, and it is suggested to emphasize its use along with other training protocols. [ABSTRACT FROM AUTHOR]

Breathing interventions have been shown to improve sport performance. Although evidence exists to support the role of perceived arousal as a critical underlying mechanism of breathing interventions, methodological differences in the literature preclude clear understanding of potential contributing factors to the effectiveness of such interventions. Under neutral contexts, we have demonstrated attention, dyspnea, and hindrance may need to be considered as mediators of how breathing frequency affects motor performance. We sought to extend our previous findings to determine how breathing frequency affects motor performance under varying emotional conditions. Participants (N = 35, Mage = 21.68, SD = 2.96; 20 females) performed slow, normal, and fast metronome-paced breathing while viewing pleasant and unpleasant stimuli prior to executing a pinch grip task. Performance was assessed via reaction time (RT), variability (V) and error (AE). Assessment of indices of perceived arousal included measuring heart rate variability (HRV) and visual analog scale responses. Visual analog scales were also used to assess attention, dyspnea, and hindrance. Repeated measures ANOVAs showed slow breathing increased RT and HRV compared to normal and fast breathing under emotional conditions (all p’s

The emotional reactions to social exclusion can be associated with physiological responses that could allow researchers to estimate the valence and intensity of the ongoing affective state. In this work, respiratory activity was analysed to verify whether breathing rate variations can be considered as predictive factors of subsequent positive and negative affect after inclusion and exclusion in young women. A standard Cyberball task was implemented and manipulated information was provided to the participants to create both conditions. The participants were socially excluded by limiting their participation to 6% of the total number of passes among three teammates and providing negative feedback about them. The results suggest that breathing rate can be a good option to infer subjective feelings during social interactions and a promising feature to incorporate into modern emotion monitoring systems as an alternative to other physiological measures. Furthermore, the interaction between metaemotion and physiology was studied by recording breathing rate while completing the Positive and Negative Affect Schedule, evidencing a breathing rate increase during the emotion self-assessment only after exclusion. [ABSTRACT FROM AUTHOR]

Competitive indoor climbing has increased in popularity at the youth, collegiate, and Olympic levels. A critical aspect for improving performance is characterizing the physiologic response to different climbing strategies (e.g., work/rest patterns, pacing) and techniques (e.g., body position and movement) relative to location on climbing wall with spatially varying characteristics (e.g., wall inclinations, position of foot/hand holds). However, this response is not well understood due to the limited capabilities of climbing-specific measurement and assessment tools. In this study, we developed a novel method to examine time-resolved sensor-based measurements of multiple personal biometrics at different microlocations (finely spaced positions; MLs) along a climbing route. For the ML-specific biometric system (MLBS), we integrated continuous data from wearable biometric sensors and smartphone-based video during climbing, with a customized visualization and analysis system to determine three physiologic parameters (heart rate, breathing rate, ventilation rate) and one body movement parameter (hip acceleration), which are automatically time-matched to the corresponding video frame to determine ML-specific biometrics. Key features include: (1) biometric sensors that are seamlessly embedded in the fabric of an athletic compression shirt, and do not interfere with climbing performance, (2) climbing video, and (3) an interactive graphical user interface to rapidly visualize and analyze the time-matched biometrics and climbing video, determine timing sequence between the biometrics at key events, and calculate summary statistics. To demonstrate the capabilities of MLBS, we examined the relationship between changes in ML-specific climbing characteristics and changes in the physiologic parameters. Our study demonstrates the ability of MLBS to determine multiple time-resolved biometrics at different MLs, in support of developing and assessing different climbing strategies and training methods to help improve performance. [ABSTRACT FROM AUTHOR]

Heart rate variability (HRV) is a noninvasive marker for the cardiovascular system and the substantial influence of this system on the autonomous nervous system (ANS). Contact and remote photoplethysmography (PPG) proved to be a reliable means of pulse rate variability (PRV) measurement as in wearable devices or imaging PPG using video cameras with evolved technical specifications. However, PRV effectiveness remains unclear during controlled breathing rate. Specifically, respiratory rate, among other physiological factors, applies profound effects on ANS balance. In this study, we demonstrated that PRV can be a reliable marker, as HRV, during various controlled breathing rates. We evaluated the proposed PRV monitoring study against reference HRV obtained from an ECG measurement device. PRV was measured from video streams captured using a smartphone and a webcam for the upper abdominal section of healthy volunteers while in standing position and performing six different respiratory maneuvers. We evaluated frequency and nonlinear HRV indices. Agreement between all indices was tested for camera-based devices and ground truth for all performed tasks. The agreement presented a consistent mean close to 95% limit of agreement (LoA). Also, we employed spectral analysis and measured the spectral divergences, normalized root mean squared error (NRMSE), and correlation. Kullback-Leibler Divergence median and percentiles results indicate congruent spectrums, where the maximum median was 0.18. A significant spectral correlation with minimum value of 0.98, and relatively low spectrum NRMSE of 0.24 were observed. Moreover, the results led to HRV physiological related phenomena which agreed with physiologically interpretations found in the literature. [ABSTRACT FROM AUTHOR]

Objective: Increased understanding of the role of cortical structures in respiratory control may help the understanding of seizure‐induced respiratory dysfunction that leads to sudden unexpected death in epilepsy (SUDEP). The aim of this study was to characterize respiratory responses to electrical stimulation (ES), including inhibition and enhancement of respiration. Methods: We prospectively recruited 19 consecutive patients with intractable epilepsy undergoing stereotactic electroencephalography (EEG) evaluation from June 2015 to June 2018. Inclusion criteria were patients ≥18 years in whom ES was indicated for clinical mapping of ictal onset or eloquent cortex as part of the presurgical evaluation. ES was carried out at 50 Hz, 0.2 msec, and 1–10 mA current intensity. Common brain regions sampled across all patients were amygdala (AMY), hippocampus (HG), anterior cingulate gyrus (CING), orbitofrontal cortex (OrbF), temporal neocortex (TNC), temporal pole (TP), and entorhinal cortex (ERC). Seven hundred fifty‐five stimulations were conducted. Quantitative analysis of breathing signal, that is, changes in breathing rate (BR), depth (TV), and minute ventilation (MV), was carried out during ES using the BreathMetrics breathing waveform analysis toolbox. Electrocardiography, arterial oxygen saturation, end‐tidal and transcutaneous carbon dioxide, nasal airflow, and abdominal and thoracic plethysmography were monitored continuously during stimulations. Results: Electrical stimulation of TP and CING (at lower current strengths <3 mA) increased TV and MV. At >7‐10 mA, CING decreased TV and MV. On the other hand, decreased TV and MV occurred with stimulation of mesial temporal structures such as AMY and HG. Breathing changes were dependent on stimulation intensity. Lateral temporal, entorhinal, and orbitofrontal cortices did not affect breathing either way. Significance: These findings suggest that breathing responses other than apnea can be induced by ES. Identification of two regions—the temporal pole and anterior cingulate gyrus—for enhancement of breathing may be important in paving the way to future development of strategies for prevention of SUDEP. [ABSTRACT FROM AUTHOR]

Waterless transportation for live grouper is a novel mode of transport that not only saves money, but also lowers wastewater pollution. Technical obstacles remain, however, in achieving intelligent monitoring and a greater survival rate. During live grouper waterless transportation, the stress response is a key indicator that affects the survival life-span of the grouper. Studies based on breathing rate analysis have demonstrated that among many stress response parameters, breathing rate is the most direct parameter to reflect the intensity. Conventional measurement methods, which set up sensors on the gills of groupers, interfere with the normal breathing of living aquatic products and are complex in system design. We designed a new breathing monitoring system based on a completely non-destructive approach. The system allows the real-time monitoring of living aquatic products' breathing rate by simply placing the millimeter wave radar on the inner wall of the incubator and facing the gills. The system we developed can detect more parameters in the future, and can replace the existing system to simplify the study of stress responses. [ABSTRACT FROM AUTHOR]

Purpose: To determine how repeatable thoracoabdominal compartmental contributions to tidal volume (VT) are across different intensities of exercise, and to examine if the pattern of breathing for a given minute ventilation (V̇E) is reproducible between constant-load and ramp exercise tests. Methods: Ten healthy adults (age: 27 ± 6 yr, peak oxygen uptake: 42 ± 5 mL min−1 kg−1) completed a 25 W·min−1 ramp cycling test to exhaustion and two repetitions of a step cycling test on separate days. VT, breathing rate (BR), and V̇E were assessed using a bi-directional turbine, and thoracic and abdominal contributions to VT were measured using respiratory inductance plethysmography. Repeatability (step vs. step) and reproducibility (step vs. ramp) of responses were assessed using the intra-class correlation coefficient (ICC). Results: The relative compartment contributions to VT during step exercise were highly repeatable for low (ICC = 0.87, p = 0.003), moderate (ICC = 0.89, p = 0.002) and heavy (ICC = 0.93, p = 0.001) exercise. Inter-individual differences in response to higher intensity exercise were observed, as two participants had significant relationships between VT and their percent compartmental contributions to VT, but five others did not. No differences were identified between ramp and step exercise tests for VT (main effect: p = 0.61) or BR (main effect: p = 0.77) at matched V̇E for each intensity, and the pattern of breathing was reproducible for each intensity. Conclusion: These findings suggest the way young healthy adults breathe for a given V̇E is repeatable day-to-day and reproducible between different exercise protocols. [ABSTRACT FROM AUTHOR]

The Sleep Number smart bed uses embedded ballistocardiography, together with network connectivity, signal processing, and machine learning, to detect heart rate (HR), breathing rate (BR), and sleep vs. wake states. This study evaluated the performance of the smart bed relative to polysomnography (PSG) in estimating epoch-by-epoch HR, BR, sleep vs. wake, mean overnight HR and BR, and summary sleep variables. Forty-five participants (aged 22–64 years; 55% women) slept one night on the smart bed with standard PSG. Smart bed data were compared to PSG by Bland–Altman analysis and Pearson correlation for epoch-by-epoch HR and epoch-by-epoch BR. Agreement in sleep vs. wake classification was quantified using Cohen's kappa, ROC analysis, sensitivity, specificity, accuracy, and precision. Epoch-by-epoch HR and BR were highly correlated with PSG (HR: r = 0.81, |bias| = 0.23 beats/min; BR: r = 0.71, |bias| = 0.08 breaths/min), as were estimations of mean overnight HR and BR (HR: r = 0.94, |bias| = 0.15 beats/min; BR: r = 0.96, |bias| = 0.09 breaths/min). Calculated agreement for sleep vs. wake detection included kappa (prevalence and bias-adjusted) = 0.74 ± 0.11, AUC = 0.86, sensitivity = 0.94 ± 0.05, specificity = 0.48 ± 0.18, accuracy = 0.86 ± 0.11, and precision = 0.90 ± 0.06. For all-night summary variables, agreement was moderate to strong. Overall, the findings suggest that the Sleep Number smart bed may provide reliable metrics to unobtrusively characterize human sleep under real life-conditions. [ABSTRACT FROM AUTHOR]

Breathing rate is considered one of the fundamental vital signs and a highly informative indicator of physiological state. Given that the monitoring of heart activity is less complex than the monitoring of breathing, a variety of algorithms have been developed to estimate breathing activity from heart activity. However, estimating breathing rate from heart activity outside of laboratory conditions is still a challenge. The challenge is even greater when new wearable devices with novel sensor placements are being used. In this paper, we present a novel algorithm for breathing rate estimation from photoplethysmography (PPG) data acquired from a head-worn virtual reality mask equipped with a PPG sensor placed on the forehead of a subject. The algorithm is based on advanced signal processing and machine learning techniques and includes a novel quality assessment and motion artifacts removal procedure. The proposed algorithm is evaluated and compared to existing approaches from the related work using two separate datasets that contains data from a total of 37 subjects overall. Numerous experiments show that the proposed algorithm outperforms the compared algorithms, achieving a mean absolute error of 1.38 breaths per minute and a Pearson's correlation coefficient of 0.86. These results indicate that reliable estimation of breathing rate is possible based on PPG data acquired from a head-worn device. [ABSTRACT FROM AUTHOR]

The article focuses on the study to assess different high-frequency (HF) band power calculations based on different frequency bandwidth values, and compare them with the time domain the root mean square of successive RR differences (RMSSD) value in preterm infants. It mentions that the RMSSD was highly and positively correlated with frequency bands that were based on each preterms BR range, or on a constant frequency with band limits of 0.4–2 Hz.

The characterization of breathing dynamics provides researchers and clinicians the ability to differentiate respiratory compensation, impairment, disease progression, ventilator assistance, and the onset of respiratory failure. However, within many sub-fields of respiratory physiology, we still have challenges identifying changes within the breathing dynamics and critical respiratory states. We discuss one fundamental modeling of breathing and how modeling imprecise assumptions decades ago regarding breathing are still propagating into our quantitative analysis today, limiting our characterization and modeling of breathing. The assumption that breathing is a continuous sinusoidal wave that can consist of a single frequency which is composed of a stationary time-invariant process has limited our expanded discussion of breathing dynamics, modeling, functional testings, and metrics. Therefore, we address major misnomers regarding breathing dynamics, specifically rate, rhythm, frequency, and period. We demonstrate how these misnomers impact the characterization and modeling through the force equations that are linked to the Work of Breathing (WoB) and our interpretation of breathing dynamics through the fundamental models and create possible erroneous evaluations of work of breathing. This discussion and simplified non-periodic WoB models ultimately sets the foundation for improved quantitative approaches needed to further our understanding of breathing dynamics, compensation, and adaptation. [ABSTRACT FROM AUTHOR]

The characterization of breathing dynamics provides researchers and clinicians the ability to differentiate respiratory compensation, impairment, disease progression, ventilator assistance, and the onset of respiratory failure. However, within many sub-fields of respiratory physiology, we still have challenges identifying changes within the breathing dynamics and critical respiratory states. We discuss one fundamental modeling of breathing and how modeling imprecise assumptions decades ago regarding breathing are still propagating into our quantitative analysis today, limiting our characterization and modeling of breathing. The assumption that breathing is a continuous sinusoidal wave that can consist of a single frequency which is composed of a stationary time-invariant process has limited our expanded discussion of breathing dynamics, modeling, functional testings, and metrics. Therefore, we address major misnomers regarding breathing dynamics, specifically rate, rhythm, frequency, and period. We demonstrate how these misnomers impact the characterization and modeling through the force equations that are linked to the Work of Breathing (WoB) and our interpretation of breathing dynamics through the fundamental models and create possible erroneous evaluations of work of breathing. This discussion and simplified non-periodic WoB models ultimately sets the foundation for improved quantitative approaches needed to further our understanding of breathing dynamics, compensation, and adaptation.

Abnormalities in cardiorespiratory measurements have repeatedly been found in patients with panic disorder (PD) during laboratory-based assessments. However, recordings performed outside laboratory settings are required to test the ecological validity of these findings. Wearable devices, such as sensor-imbedded garments, biopatches, and smartwatches, are promising tools for this purpose. We systematically reviewed the evidence for wearables-based cardiorespiratory assessments in PD by searching for publications on the PubMed, PsycINFO, and Embase databases, from inception to 30 July 2022. After the screening of two-hundred and twenty records, eight studies were included. The limited number of available studies and critical aspects related to the uncertain reliability of wearables-based assessments, especially concerning respiration, prevented us from drawing conclusions about the cardiorespiratory function of patients with PD in daily life. We also present preliminary data on a pilot study conducted on volunteers at the Villa San Benedetto Menni Hospital for evaluating the accuracy of heart rate (HR) and breathing rate (BR) measurements by the wearable Zephyr BioPatch compared with the Quark-b2 stationary testing system. Our exploratory results suggested possible BR and HR misestimation by the wearable Zephyr BioPatch compared with the Quark-b2 system. Challenges of wearables-based cardiorespiratory assessment and possible solutions to improve their reliability and optimize their significant potential for the study of PD pathophysiology are presented.

Background: Rapid development and implementation of vaccines constituted a crucial step in containing the COVID-19 pandemic. A comprehensive understanding of physiological responses to these vaccines is important to build trust in medicine., Objective: This study aims to investigate temporal dynamics before and after COVID-19 vaccination in 4 physiological parameters as well as the duration of menstrual cycle phases., Methods: In a prospective trial, 17,825 adults in the Netherlands wore a medical device on their wrist for up to 9 months. The device recorded their physiological signals and synchronized with a complementary smartphone app. By means of multilevel quadratic regression, we examined changes in wearable-recorded breathing rate, wrist skin temperature, heart rate, heart rate variability, and objectively assessed the duration of menstrual cycle phases in menstruating participants to assess the effects of COVID-19 vaccination., Results: The recorded physiological signals demonstrated short-term increases in breathing rate and heart rate after COVID-19 vaccination followed by a prompt rebound to baseline levels likely reflecting biological mechanisms accompanying the immune response to vaccination. No sex differences were evident in the measured physiological responses. In menstruating participants, we found a 0.8% decrease in the duration of the menstrual phase following vaccination., Conclusions: The observed short-term changes suggest that COVID-19 vaccines are not associated with long-term biophysical issues. Taken together, our work provides valuable insights into continuous fluctuations of physiological responses to vaccination and highlights the importance of digital solutions in health care., International Registered Report Identifier (irrid): RR2-10.1186/s13063-021-05241-5., (©Andjela Markovic, Vladimir Kovacevic, Timo B Brakenhoff, Duco Veen, Paul Klaver, Marianna Mitratza, George S Downward, Diederick E Grobbee, Maureen Cronin, Brianna M Goodale, COVID-19 Remote Early Detection (COVID-RED) consortium. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 31.07.2024.)

Thermal imaging-based techniques have recently emerged as a potential solution for the contactless measurement of breathing rate. However, these techniques were confined to detecting a single person’s breathing rate. In this paper, the simultaneous breathing monitoring of multiple persons is proposed by utilizing the cross-spectral visible-thermal image sequences. A cross-spectral multiple tracking-by-detection approach is used to detect multiple ROI in the visible spectrum and map the corresponding ROI in the thermal spectrum to extract the breathing signal. The linear coordinated mapping is performed by the use of a transformation matrix obtained from cross-spectral image registration. The results have been compared with the contact-based respiration belt for validation. The mean absolute error between estimated and belt-based measurements reached approximately 0.1 bpm (breaths per minute), 0.6 bpm, and 2.8 bpm for single, two, and three persons, respectively. The proposed method has a significant agreement and might be useful as a single measurement unit for contactless detection in the medical care centers, quarantine centers, and influenza screening at the airport. [ABSTRACT FROM AUTHOR]

Competitive indoor climbing has increased in popularity at the youth, collegiate, and Olympic levels. A critical aspect for improving performance is characterizing the physiologic response to different climbing strategies (e.g., work/rest patterns, pacing) and techniques (e.g., body position and movement) relative to location on climbing wall with spatially varying characteristics (e.g., wall inclinations, position of foot/hand holds). However, this response is not well understood due to the limited capabilities of climbing-specific measurement and assessment tools. In this study, we developed a novel method to examine time-resolved sensor-based measurements of multiple personal biometrics at different microlocations (finely spaced positions; MLs) along a climbing route. For the ML-specific biometric system (MLBS), we integrated continuous data from wearable biometric sensors and smartphone-based video during climbing, with a customized visualization and analysis system to determine three physiologic parameters (heart rate, breathing rate, ventilation rate) and one body movement parameter (hip acceleration), which are automatically time-matched to the corresponding video frame to determine ML-specific biometrics. Key features include: (1) biometric sensors that are seamlessly embedded in the fabric of an athletic compression shirt, and do not interfere with climbing performance, (2) climbing video, and (3) an interactive graphical user interface to rapidly visualize and analyze the time-matched biometrics and climbing video, determine timing sequence between the biometrics at key events, and calculate summary statistics. To demonstrate the capabilities of MLBS, we examined the relationship between changes in ML-specific climbing characteristics and changes in the physiologic parameters. Our study demonstrates the ability of MLBS to determine multiple time-resolved biometrics at different MLs, in support of developing and assessing different climbing strategies and training methods to help improve performance.

Waterless transportation for live grouper is a novel mode of transport that not only saves money, but also lowers wastewater pollution. Technical obstacles remain, however, in achieving intelligent monitoring and a greater survival rate. During live grouper waterless transportation, the stress response is a key indicator that affects the survival life-span of the grouper. Studies based on breathing rate analysis have demonstrated that among many stress response parameters, breathing rate is the most direct parameter to reflect the intensity. Conventional measurement methods, which set up sensors on the gills of groupers, interfere with the normal breathing of living aquatic products and are complex in system design. We designed a new breathing monitoring system based on a completely non-destructive approach. The system allows the real-time monitoring of living aquatic products’ breathing rate by simply placing the millimeter wave radar on the inner wall of the incubator and facing the gills. The system we developed can detect more parameters in the future, and can replace the existing system to simplify the study of stress responses.

Breathing rate is considered one of the fundamental vital signs and a highly informative indicator of physiological state. Given that the monitoring of heart activity is less complex than the monitoring of breathing, a variety of algorithms have been developed to estimate breathing activity from heart activity. However, estimating breathing rate from heart activity outside of laboratory conditions is still a challenge. The challenge is even greater when new wearable devices with novel sensor placements are being used. In this paper, we present a novel algorithm for breathing rate estimation from photoplethysmography (PPG) data acquired from a head-worn virtual reality mask equipped with a PPG sensor placed on the forehead of a subject. The algorithm is based on advanced signal processing and machine learning techniques and includes a novel quality assessment and motion artifacts removal procedure. The proposed algorithm is evaluated and compared to existing approaches from the related work using two separate datasets that contains data from a total of 37 subjects overall. Numerous experiments show that the proposed algorithm outperforms the compared algorithms, achieving a mean absolute error of 1.38 breaths per minute and a Pearson’s correlation coefficient of 0.86. These results indicate that reliable estimation of breathing rate is possible based on PPG data acquired from a head-worn device.

The Sleep Number smart bed uses embedded ballistocardiography, together with network connectivity, signal processing, and machine learning, to detect heart rate (HR), breathing rate (BR), and sleep vs. wake states. This study evaluated the performance of the smart bed relative to polysomnography (PSG) in estimating epoch-by-epoch HR, BR, sleep vs. wake, mean overnight HR and BR, and summary sleep variables. Forty-five participants (aged 22–64 years; 55% women) slept one night on the smart bed with standard PSG. Smart bed data were compared to PSG by Bland–Altman analysis and Pearson correlation for epoch-by-epoch HR and epoch-by-epoch BR. Agreement in sleep vs. wake classification was quantified using Cohen’s kappa, ROC analysis, sensitivity, specificity, accuracy, and precision. Epoch-by-epoch HR and BR were highly correlated with PSG (HR: r = 0.81, |bias| = 0.23 beats/min; BR: r = 0.71, |bias| = 0.08 breaths/min), as were estimations of mean overnight HR and BR (HR: r = 0.94, |bias| = 0.15 beats/min; BR: r = 0.96, |bias| = 0.09 breaths/min). Calculated agreement for sleep vs. wake detection included kappa (prevalence and bias-adjusted) = 0.74 ± 0.11, AUC = 0.86, sensitivity = 0.94 ± 0.05, specificity = 0.48 ± 0.18, accuracy = 0.86 ± 0.11, and precision = 0.90 ± 0.06. For all-night summary variables, agreement was moderate to strong. Overall, the findings suggest that the Sleep Number smart bed may provide reliable metrics to unobtrusively characterize human sleep under real life-conditions.

Personality traits, the consistent individual behavioral differences, are currently gaining much attention in studies of natural bird populations. However, associations between personality traits and parasite infections are not often investigated. Even less attention has been given to studies of birds in the high-elevation region such as the Tibetan plateau. This research aims to examine the relationship between avian malaria parasites and two personality traits in a population of the Chestnut Thrush ( Turdus rubrocanus ) breed in the Tibetan plateau. Our results revealed no evidence of sex bias in malaria parasite prevalence. Furthermore, we found no effect of infection status on two personality scores: activity and boldness. Additionally, no effects on the activity level or boldness were observed for different parasite lineages of Haemoproteus , Leucocytozoon , the sex of the birds, or their interactions. Similarly, we did not find any relationship between activity level and boldness with nestling numbers, sex, or their interactions. Notably, individuals with a larger number of offspring tended to display greater boldness. Our findings indicate that blood parasite infections are common in this population but do not significantly impact the personality of the birds., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)

Stocking density determines the welfare, growth performance, and even survival of aquatic organisms in aquaculture. However, how stocking density affects cephalopods are still unclear. Here we selected Amphioctopus fangsiao , a promising cephalopod for mariculture, to examine the effect of stocking density on survival, growth, physiology and behavior. Juvenile A. fangsiao (≈ two months post-hatch, 2.41 g ± 0.03) were reared for 21 days under different stocking density groups: 30, 45, 60 and 75 individual/m2 (ind./m2) (G1, G2, G3 and G4, respectively). Subsequently, the growth performance, aggressive acts, survival rate, stress response, oxidative stress and glucolipid metabolism were analyzed. This study showed that the high stocking density had a negative impact on growth performance. A. fangsiao reared in G3 and G4 had a significantly lower final body weight, weight gain and specific growth rate than those reared in G1 and G2 (p <.05), and hepatosomatic index in different treatment groups have a similar trend of difference (p <.05). Increased stocking density also caused more fights of A. fangsiao , resulting in a high mortality rate for farmed individuals. The individual numbers of released ink after touch and the recovery time of the breathing rate after air emersion showed that the low stocking density lowered the basal stress level and reduced the recovery time after acute stress of juvenile A. fangsiao. In addition, this study demonstrated that high stocking density has caused oxidative stress and lipid disturbance of A. fangsiao. There were significant differences in reactive oxygen species (ROS), lipid peroxidation's level (MDA content), the activities of superoxide dismutase (SOD) and catalase (CAT), pyruvic acid level (Pyr), total cholesterol level (T-CHO) and triglyceride (TG) between the highest density group (G4) and the lowest density group (G1). Overall, high stocking density (G3 and G4) had a negative effect on reared A. fangsiao. However, there were no significant differences between G1 and G2. Therefore, to improve the welfare of reared A. fangsiao and maximize the economic benefits for producers, juveniles are recommended to rear at a medium density (about 45 ind./m2). [Display omitted] • High stocking density reduced the growth performance and stress response in Amphioctopus fangsiao. • Increased stocking density caused more fights of A. fangsiao , resulting in a high mortality rate for farmed individuals. • High stocking density caused the oxidative stress and lipid disturbance of A. fangsiao. • The optimal stocking density in industrial aquaculture of A. fangsiao is about 45 octopuses/m2. [ABSTRACT FROM AUTHOR]