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  • 1
    Online Resource
    Online Resource
    Acoustical Society of America (ASA) ; 2017
    In:  The Journal of the Acoustical Society of America Vol. 141, No. 3 ( 2017-03-01), p. 1940-1946
    In: The Journal of the Acoustical Society of America, Acoustical Society of America (ASA), Vol. 141, No. 3 ( 2017-03-01), p. 1940-1946
    Abstract: The present study introduces a detailed methodology which can be applied for objective evaluation and comparison of the acoustic parameters of medical stethoscopes using auscultation sounds as test signals. The described approach allows taking into account the acoustic coupling between the body of an auscultated patient and the chest piece of a stethoscope. Information obtained from additional, synchronized electrocardiography measurements is used to extract short, specific fragments of recordings, defined as acoustic events. Analysis of the spectral characteristics of many acoustic events allows us to compare the acoustic properties of various stethoscopes and to estimate the measurement uncertainty. The exemplary results of the comparative evaluation of acoustic properties of bell and diaphragm-type chest pieces of a single stethoscope are presented. The results show that the frequency characteristics of the signals obtained using both examined chest pieces under the conditions of the performed examinations are very similar.
    Type of Medium: Online Resource
    ISSN: 0001-4966 , 1520-8524
    RVK:
    Language: English
    Publisher: Acoustical Society of America (ASA)
    Publication Date: 2017
    detail.hit.zdb_id: 1461063-2
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  • 2
    Online Resource
    Online Resource
    Acoustical Society of America (ASA) ; 2015
    In:  The Journal of the Acoustical Society of America Vol. 138, No. 3_Supplement ( 2015-09-01), p. 1830-1830
    In: The Journal of the Acoustical Society of America, Acoustical Society of America (ASA), Vol. 138, No. 3_Supplement ( 2015-09-01), p. 1830-1830
    Abstract: The acoustic properties of a stethoscope are largely determined by the construction of its chest piece, which can either be open or closed with a diaphragm. Different solutions are offered on the market and advertised for their advantages in sound quality. However, no objective data, neither supporting nor disproving the benefits resulting from implementing the specific features, are available. The aim of the present study is to provide such data. A laboratory stand for measuring velocities of vibrations of different points of diaphragms or skin surface during the actual auscultation examination was developed and constructed. Those vibrations are the primary source of the acoustic signal in a stethoscope, and thus, the obtained results provide important conclusions regarding the reasonability of using various types of terminals in chest pieces. It is shown, that thin, stiff diaphragms mounted on susceptible suspension rings ensure significantly better acoustic performance than the other investigated solutions. The influence of the shape and construction of the chest piece on the acoustic properties were evaluated during independent, complementary research, conducted using precision microphone placed in the earpiece of a stethoscope. The obtained results deny the common opinions regarding advantages of the bell-type chest pieces in low-frequency acoustic band.
    Type of Medium: Online Resource
    ISSN: 0001-4966 , 1520-8524
    RVK:
    Language: English
    Publisher: Acoustical Society of America (ASA)
    Publication Date: 2015
    detail.hit.zdb_id: 1461063-2
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  • 3
    Online Resource
    Online Resource
    Wiley ; 2016
    In:  Journal of Applied Polymer Science Vol. 133, No. 8 ( 2016-02-20)
    In: Journal of Applied Polymer Science, Wiley, Vol. 133, No. 8 ( 2016-02-20)
    Abstract: In this article, we present a potential use of biodegradable polymers as a drug‐delivery system designed for alveolar osteitis (AO) management. The release characteristics of lidocaine hydrochloride from alginate or hyaluronate xerogels, which covered the microcrystalline chitosan scaffold, were examined as drug carriers, wound dressings, and potential devices in bone regeneration. The materials were characterized by Fourier transform infrared spectroscopy to confirm that there was no additional covalent bonding between the polymeric membranes and the anesthetic agent. Surface‐eroding matrices (ca. 120 μm) encapsulated the main substance, and the morphologies of all of the structures were measured by scanning electron microscopy. Positive results were obtained, and the data suggested an important impact of materials selection on the physicochemical properties and drug release. Additionally, the mechanical properties, such as the hardness, adhesiveness, springiness, and cohesiveness, of the tested materials were evaluated. A study of the swelling confirmed one of the assumptions that the materials could be used as a potential wound dressing and emphasized the resistance of the materials in the condition imitating the movement of the masticatory system. A cytotoxicity test of the formulations was performed to prove the materials’ nontoxicity. The aim of this study was to design and propose an in vitro evaluation of a new drug formulation as a potential application for the treatment of AO. © 2015 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2016 , 133 , 42991.
    Type of Medium: Online Resource
    ISSN: 0021-8995 , 1097-4628
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 1491105-X
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  • 4
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2017
    In:  Postgraduate Medical Journal Vol. 93, No. 1103 ( 2017-09-01), p. 523-527
    In: Postgraduate Medical Journal, Oxford University Press (OUP), Vol. 93, No. 1103 ( 2017-09-01), p. 523-527
    Abstract: The force with which the diaphragm chestpiece of a stethoscope is pressed against the body of a patient during an auscultation examination introduces the initial stress and deformation to the diaphragm and the underlying tissues, thus altering the acoustic parameters of the sound transmission path. If the examination is performed by an experienced physician, he will intuitively adjust the amount of the force in order to achieve the optimal sound quality. However, in case of becoming increasingly popular auto-diagnosis and telemedicine auscultation devices with no such feedback mechanisms, the question arises regarding the influence of the possible force mismatch on the parameters of the recorded signal. Design The present study describes the results of the experimental investigations on the relation between pressure applied to the chestpiece of a stethoscope and parameters of the transmitted bioacoustic signals. The experiments were carried out using various stethoscopes connected to a force measurement system, which allowed to maintain fixed pressure during auscultation examinations. The signals were recorded during examinations of different volunteers, at various auscultation sites. Results The obtained results reveal strong individual and auscultation-site variability. Conclusions It is concluded that the underlying tissue deformation is the primary factor that alters the parameters of the recorded signals.
    Type of Medium: Online Resource
    ISSN: 1469-0756 , 0032-5473
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2009568-5
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  • 5
    Online Resource
    Online Resource
    Elsevier BV ; 2019
    In:  Applied Acoustics Vol. 155 ( 2019-12), p. 24-31
    In: Applied Acoustics, Elsevier BV, Vol. 155 ( 2019-12), p. 24-31
    Type of Medium: Online Resource
    ISSN: 0003-682X
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 1501311-X
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  • 6
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2018
    In:  BioMedical Engineering OnLine Vol. 17, No. 1 ( 2018-12)
    In: BioMedical Engineering OnLine, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2018-12)
    Type of Medium: Online Resource
    ISSN: 1475-925X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 2084374-4
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  • 7
    Online Resource
    Online Resource
    Acoustical Society of America (ASA) ; 2016
    In:  Journal of the Acoustical Society of America Vol. 140, No. 4_Supplement ( 2016-10-01), p. 3372-3372
    In: Journal of the Acoustical Society of America, Acoustical Society of America (ASA), Vol. 140, No. 4_Supplement ( 2016-10-01), p. 3372-3372
    Abstract: The modern stethoscopes implement different technologies and features in order to better transmit the sounds from the inside of a body of a patient to the doctor’s ears. However, the objective evaluation of the actual influence of various solutions on the acoustic parameters of the diagnostic device is difficult. This is due to the fact, that the acoustic coupling between the body of an auscultated patient and the chest piece of a stethoscope can significantly alter the determined parameters, and due to the variable and noisy nature of the auscultation signals. The present study introduces a detailed methodology for acoustic characterization of the stethoscopes using the auscultation sounds as test signals. Information obtained from additional, synchronized electrocardiography measurements is used to extract short, specific fragments of recordings, defined as acoustic events. Analysis of the spectral characteristics of many acoustic events allows to compare the acoustic properties of various stethoscopes and to estimate the measurement uncertainty. The determined statistical acoustic parameters of the auscultation signals are presented, showing relatively large variation even within a single patient examination. The example results concerning various commonly used acoustic stethoscopes are introduced, showing discrepancies between the declared and the actual acoustic properties.
    Type of Medium: Online Resource
    ISSN: 0001-4966 , 1520-8524
    RVK:
    Language: English
    Publisher: Acoustical Society of America (ASA)
    Publication Date: 2016
    detail.hit.zdb_id: 1461063-2
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  • 8
    Online Resource
    Online Resource
    Acoustical Society of America (ASA) ; 2017
    In:  The Journal of the Acoustical Society of America Vol. 142, No. 4_Supplement ( 2017-10-01), p. 2613-2613
    In: The Journal of the Acoustical Society of America, Acoustical Society of America (ASA), Vol. 142, No. 4_Supplement ( 2017-10-01), p. 2613-2613
    Abstract: Various databases of auscultation sounds recordings are available for teaching purposes for physicians. The sounds included in these databases were recorded using different equipment, and—in some cases—generated artificially. Thus, an important question arises regarding the differences in acoustic parameters between the recordings of bioacoustic signals obtained using different techniques and hardware, and the sounds heard by a physician during an actual patient auscultation through a typical acoustic stethoscope. The acoustic stethoscopes are the most widespread diagnostic devices and are far more popular in clinical practice than the electronic ones. The present study introduces the results of an analysis of acoustic characteristics of sounds included in various databases, compared to the parameters of sounds recorded with a microphone placed in an earpiece of an acoustic stethoscope. It is shown that the differences in time- and frequency characteristics are large enough to question the legitimacy of using various databases for teaching purposes. An alternative method and setup for recording bioacousic signals that could be used for developing auscultation skills is introduced.
    Type of Medium: Online Resource
    ISSN: 0001-4966 , 1520-8524
    RVK:
    Language: English
    Publisher: Acoustical Society of America (ASA)
    Publication Date: 2017
    detail.hit.zdb_id: 1461063-2
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  • 9
    Online Resource
    Online Resource
    Acoustical Society of America (ASA) ; 2019
    In:  The Journal of the Acoustical Society of America Vol. 146, No. 3 ( 2019-09-01), p. 1769-1773
    In: The Journal of the Acoustical Society of America, Acoustical Society of America (ASA), Vol. 146, No. 3 ( 2019-09-01), p. 1769-1773
    Abstract: Stethoscopes are used to transmit body sounds related to various physiological processes to ears of a physician, providing basic or supportive information for eventual diagnosis. Unfavorably, the dominant frequency components of most of the auscultation signals are localized close to the lower frequency limits of the human auditory system, restricting the achievable selectivity and specificity. The present study introduces an approach that aims at overcoming the existing limitations. A signal processing scheme utilizing knock rejection, dynamic compressor, and pseudo-stereo synthesizer blocks is described, along with hardware implementation and results of the initial subjective evaluation.
    Type of Medium: Online Resource
    ISSN: 0001-4966 , 1520-8524
    RVK:
    Language: English
    Publisher: Acoustical Society of America (ASA)
    Publication Date: 2019
    detail.hit.zdb_id: 1461063-2
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  • 10
    Online Resource
    Online Resource
    Acoustical Society of America (ASA) ; 2016
    In:  Journal of the Acoustical Society of America Vol. 140, No. 4_Supplement ( 2016-10-01), p. 3372-3372
    In: Journal of the Acoustical Society of America, Acoustical Society of America (ASA), Vol. 140, No. 4_Supplement ( 2016-10-01), p. 3372-3372
    Abstract: The electronic stethoscopes implement selectable low- and high-pass digital filters in order to mimic the declared acoustic characteristics of the bell and diaphragm chest pieces of the acoustic stethoscopes. However, the question arises if such a simple approach can exactly reproduce the actual, complex spectral characteristics of the acoustic stethoscopes, which are strongly affected by the acoustic coupling between the body of a patient and the chest piece? The present study introduces the results of the relevant experimental investigations. The acoustic characteristics of four different electronic stethoscopes operating in bell and diaphragm modes were determined during the heart auscultation examinations combined with the synchronized ECG recordings. The heart sounds were recorded using a microphone placed in one of the earpieces, while the ECG signals were used to extract interference-free fragments corresponding to single heartbeats. The averaged spectra of a large numbers of such fragments were used to determine the acoustic parameters of the investigated devices. The obtained results are compared to the corresponding results obtained for the acoustic stethoscopes, showing significant discrepancies. The potential diagnostic consequences of such discrepancies are discussed based on the available auscultation guidelines for physicians, which do not take into account the described effects.
    Type of Medium: Online Resource
    ISSN: 0001-4966 , 1520-8524
    RVK:
    Language: English
    Publisher: Acoustical Society of America (ASA)
    Publication Date: 2016
    detail.hit.zdb_id: 1461063-2
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