A. Dittmar

Flexible technologies and smart clothing for citizen medicine, home healthcare, and disease prevention

Improvement of the quality and efficiency of healthcare in medicine, both at home and in hospital, is becoming more and more important for patients and society at large. As many technologies (micro technologies, telecommunication, low-power design, new textiles, and flexible sensors) are now available, new user-friendly devices can be developed to enhance the comfort and security of the patient. As clothes and textiles are in direct contact with about 90% of the skin surface, smart sensors and smart clothes with noninvasive sensors are an attractive solution for home-based and ambulatory health monitoring. Moreover, wearable devices or smart homes with exosensors are also potential solutions. All these systems can provide a safe and comfortable environment for home healthcare, illness prevention, and citizen medicine.

Autonomic nervous system response patterns specificity to basic emotions

The aim of this study was to test the assumption that the autonomic nervous system responses to emotional stimuli are specific. A series of six slides was randomly presented to the subjects while six autonomic nervous system (ANS) parameters were recorded: skin conductance, skin potential, skin resistance, skin blood flow, skin temperature and instantaneous respiratory frequency. Each slide induced a basic emotion: happiness, surprise, anger, fear, sadness and disgust. Results have been first considered with reference to electrodermal responses (EDR) and secondly through thermo-vascular and respiratory variations. Classical as well as original indices were used to quantify autonomic responses. The six basic emotions were distinguished by Friedman variance analysis. Thus, ANS values corresponding to each emotion were compared two-by-two. EDR distinguished 13 emotion-pairs out of 15. 10 emotion-pairs were separated by skin resistance as well as skin conductance ohmic perturbation duration indices whereas conductance amplitude was only capable of distinguishing 7 emotion-pairs. Skin potential responses distinguished surprise and fear from sadness, and fear from disgust, according to their elementary pattern analysis in form and sign. Two-by-two comparisons of skin temperature, skin blood flow (estimated by the new non-oscillary duration index) and instantaneous respiratory frequency, enabled the distinction of 14 emotion-pairs out of 15. 9 emotion-pairs were distinguished by the non-oscillatory duration index values. Skin temperature was demonstrated to be different i.e. positive versus negative in response to anger and fear. The instantaneous respiratory frequency perturbation duration index was the only one capable of separating sadness from disgust. From the six ANS parameters study, different autonomic patterns were identified, each characterizing one of the six basic emotion used as inducing signals. No index alone, nor group of parameters (EDR and thermovascular for instance) were capable of distinguishing each emotion from another. However, electrodermal, thermo-vascular and respiratory responses taken as a whole, redundantly separated each emotion thus demonstrating the specificity of autonomic patterns.

Relationship between mental imagery and sporting performance

Simultaneous measurement of six autonomic nervous system (ANS) variable responses during mental rehearsal of an action, makes it possible to draw a parallel between mental imagery of a task and its actual execution. The experiment was carried out in the field during precision shooting competitions and in the laboratory for imagery activity, on 22 subjects. Results show that there is similarity of ANS response in the three situations: the period of concentration prior to shooting, actual shooting and mental representation of shooting. The ratio formed by ANS response during concentration and imagery of actual firing tends towards the value one, therefore towards some identity. All subjects may be classified around this value; it is worth noting that subject distribution around this value corresponds to performance value. It seems that the better the subject, the closer his concentration/shooting or imagery/actual shooting ratio is to the theoretical value one. These results show the utmost importance of the quality of mental representation for performance improvement. It can be supposed that subject classification above the theoretical value one corresponds to overflowing emotional reactivity in one of the two phases and that this interferes with accuracy; a placing below the theoretical value one shows a lack of similarity between mental representation and the action.

The ohmic perturbation duration, an original temporal index to quantify electrodermal responses

The reactivity of the autonomic nervous system was (D.C.) recorded using six parameters simultaneously. Such a device permitted to describe a new index of skin resistance response (SRR). The ohmic perturbation duration (O.P.D. index) was defined as the period during which the subject is effectively responding to the stimulation. O.P.D. index was easily quantified because the specific part of the response, showing many fluctuations at a low resistance level, can be distinguished from the recovery part without fluctuations or with smaller microevents of different kinds. Moreover, the slope of this fluctuation is identical to that observed just before the stimulation. The comparison between the values of the O.P.D. index and classically used SRR durations enabled us to calculate the identity percentages from five other neurovegetative parameters. Results showed high values for the skin potential (91%) and skin blood flow (82.5%). These values were smaller as far as skin superficial temperature (50.5%), heart (40.8%) and respiratory (46.5%) variations were concerned. Nonetheless these last three percentages were still higher than those usually obtained with the values of the correlation coefficients from different, simultaneously recorded parameters. O.P.D. index comparison with four other classical used temporal indices (recovery time, 1/3, 1/2 and 2/3 of the recovery time) show a high significant concordance in O.P.D. index opposed to aleatory one obtained with these four other durations. Thus, the O.P.D. index could be an appropriate measure of electrodermal response (EDA) allowing any stimulus to be temporarily quantified towards sympathetic activation induced response.

Autonomic nervous system response patterns correlate with mental imagery

New findings related to autonomic nervous system (ANS) functions may reveal some brain functions, since they can be observed by real time analysis. ANS parameters (skin potential and resistance, skin temperature and blood flow, instantaneous heart rate) and instantaneous respiratory frequency are quantified by original techniques and indices. Results show that ANS responses correlate with mental imagery. Imagery contents influence autonomic responses, thus making it comparable to real activity. Therefore, by using two shooting events as models, the almost identical nature of the ANS response is evidenced during real shooting and in mental concentration before shooting. Next, shooting activity imagery can be distinguished from neutral imagery but is comparable to the activity itself as far as ANS responses are concerned.

Autonomic nervous system responses correlate with mental rehearsal in volleyball training

Abstract The aim of this study was to assess objectivèly the processes of mental rehearsing (imagery) by measuring variations of the autonomic nervous system (or ANS responses) during an open-ended complex motor skill in two actual experiments (volleyball) and during mental rehearsing taking place between them. Comparison between pre- and post-test (volleyball) scores related to imagining and non-imagining performances revealed significant improvement in the former (2=20.9, P<0.00001) while in the latter 2=27, P<0.9, NS. The ANS parameters (skin potential and resistance, skin temperature and heat clearance, instantaneous heart rate and respiratory frequency) were quantified by original techniques and indices. Results from a principal component analysis showed a strong correlation between the responses in actual tasks (pre- and post-test volleyball) and during mental imagery, since the same preferential variables appeared on the main axis in 87% of cases. Thus the same autonomic channels seemed to be used during the actual activity and during the mental imagery of this activity. So far as phasic results were concerned, the main finding was a differing development of skill between imagining and non-imagining volleyball players. No clear difference was seen between pre- and post-tests in non-imaginers, except an increase in the median of the duration of the response observed in heat clearance, m1 and m2 respectively [m1= 5.8 (SD 4.1) s, m2= 7.6 (SD 3.9) s, P<0.001]. Conversely, for other ANS parameters, a significant decrease was seen in the post-test responses compared to pre-test responses in the imagining group [for instance, the median of the duration of the resistance responses decreased from m1= 12.6 (SD 4.3) s, and m2= 7.8 (SD 4.5) s, P<0.0001 in imaginers, while no change was observed in non-imaginers: 9.6 (SD 6.0) s vs 9.5 (SD 6.1) s, NS] except in the duration of the heat clearance response where an␣increase was seen [m1= 7.3 (SD 5.0) s vs m2= 7.6 (SD␣3.1) s, NS]. Compared to the non-imagining group, the latter result may also have been associated with a response decrease in the imagining group. Thus mental rehearsing induced a specific pattern of autonomic response: decreased amplitude, shorter duration and negative skin potentials compared to the control group. As this pattern was associated with better performance in the tests it can be suggested that in the case of open-ended motor activity, mental rehearsing may help in the construction of schema which can be reproduced, without thinking, in actual practice. Thus a neural information process might develop in the central nervous system changing from a parallel into a serial treatment.

Gender influence on emotional responses to primary tastes

Several studies have examined the gender differences in the area of emotion, but few data are available in the field of gustation. Yet, such differences are observed in clinical manifestations of nutritional disorders, such as a greater incidence of carbohydrate cravings in women. The aim of this study was consequently to examine the influence of gender on emotional responses to taste, by comparing autonomic responses and basic emotions associated with primary tastes between men and women. Thirty-four subjects (17 males, 17 females, mean age=28) participated in the experiment. Taste stimuli were solutions of 0.3 M sucrose (sweet), 0.15 M NaCl (salty), 0.02 M citric acid (sour) and 0.00015 M quinine sulfate (bitter). Evian mineral water served as the diluent and control (neutral taste). Five autonomic parameters [skin potential (SP) and resistance (SR), skin blood flow (SBF) and temperature (ST), instantaneous heart rate (IHR)] were simultaneously and continuously recorded when subjects tasted the five solutions. The patterns of autonomic responses, obtained for each primary taste and each subject, were transcribed into one of the six basic emotions defined by Ekman (happiness, surprise, sadness, fear, anger and disgust), according to a previously described method for odorants. Results evidenced that the mean variations of each autonomic parameter did not significantly differ between men and women, even if skin resistance and cardiac responses were stronger in men than in women. Concerning the basic emotions associated with each primary taste, a similar distribution for men and women was obtained for sweet, bitter and control solutions, whereas more differences were observed for salt (P=.02) and sour solutions.

Thick oxidised porous silicon layers for the design of a biomedical thermal conductivity microsensor

Abstract Porous silicon (PS) offers new possibilities to be applied as thermal insulating material for microsensor design due to its low thermal conductivity (TC) value compared with TC of SiO2. A biomedical TC microsensor based on differential thermoelectric measurements has been designed using a PS substrate. In order to ensure an efficient thermal isolation in the microsensor, main thermal and geometrical characteristics of the PS layers as well as of the whole microsensor have been numerically simulated. PS layers with low TC have to be thick and mechanically stable under further processing. To form thick (50–200 μm) and stable PS layers, a new approach based on progressive changing of anodisation current density (from 100 to 25 mA/cm2) during PS formation has been elaborated. To find a suitable compromise between low TC and mechanical stability of thick PS layers, an adapted thermal oxidation recipe at moderate temperatures (500–600°C) in dry oxygen atmosphere has been applied. It leads to 20–50% oxidation fraction in PS layers (measured by Energy Dispersive Spectroscopy) corresponding to SiO2 TC value. A test device has been realised and characterised. A Seebeck coefficient of 400 μV/°C per junction has been measured for a Poly-Si/Al thermopile deposited on the PS layer.

Wearable Medical Devices Using Textile and Flexible Technologies for Ambulatory Monitoring

Health smart clothes are in contact with almost all the surface of the skin offer large possibilities for the location of sensors for non invasive measurements. Head band, collar, tee-shirt, socks, shoes, belts for chest, arm, wrist, legs ... provide localization with specific purpose taking into account their proximity of an organ or a source of biosignal, and also its ergonomic possibility (user friendly) to fix a sensor, and the associated instrumentations (batteries, amplifiers, signal processing, telecom, alarm, display ...). Progress in science and technology offers, for the first time, intelligence, speed, miniaturization, sophistication and new materials at low cost. In this new landscape, microtechnologies, information technologies and telecommunications are a key factor. Microsensors:Microtechnologies offer the possibility of small size, but also intelligent, active device, working with low energy, wireless and non invasive or mini invasive. These sensors have to be thin, flexible and compatible with textile, or made using textile technologies, new fibers with specific properties: mechanical, electrical, optical... The field of applications is very large, e.g. continuous monitoring on elderly population, professional and military activities, athletes performance and condition, and people with disabilities. The research are oriented toward two complementary directions: Improving the relevancy of each sensor and increasing the number of sensors for having a more global synthetic and robust information

Study of Nano-Porous Silicon with Low Thermal Conductivity as Thermal Insulating Material

Recently discovered phenomenon of extremely low thermal conductivity of nano-porous silicon (nano-PS) is discussed in detail. A theoretical model describing specific mechanisms of heat transport in as-prepared and oxidized nano-PS layers is described. The theoretical estimations are in a good agreement with experimental data obtained earlier. The low thermal conductivity values allow to use this promising material as thermal insulator in microsensors and microsystems. To ensure an efficient thermal isolation, a nano-PS layer has to be as thick as possible and mechanically stable. We describe here the procedures to form thick (up to 200 μm) and stable nano-PS layers. Distribution of Si oxidized fraction along the layer thickness after thermal oxidation in dry O2 atmosphere at 300°C during 1 h is studied.