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  1. Article ; Online: Your blush gives you away: detecting hidden mental states with remote photoplethysmography and thermal imaging.

    Liu, Ivan / Liu, Fangyuan / Zhong, Qi / Ma, Fei / Ni, Shiguang

    PeerJ. Computer science

    2024  Volume 10, Page(s) e1912

    Abstract: Multimodal emotion recognition techniques are increasingly essential for assessing mental states. Image-based methods, however, tend to focus predominantly on overt visual cues and often overlook subtler mental state changes. Psychophysiological research ...

    Abstract Multimodal emotion recognition techniques are increasingly essential for assessing mental states. Image-based methods, however, tend to focus predominantly on overt visual cues and often overlook subtler mental state changes. Psychophysiological research has demonstrated that heart rate (HR) and skin temperature are effective in detecting autonomic nervous system (ANS) activities, thereby revealing these subtle changes. However, traditional HR tools are generally more costly and less portable, while skin temperature analysis usually necessitates extensive manual processing. Advances in remote photoplethysmography (r-PPG) and automatic thermal region of interest (ROI) detection algorithms have been developed to address these issues, yet their accuracy in practical applications remains limited. This study aims to bridge this gap by integrating r-PPG with thermal imaging to enhance prediction performance. Ninety participants completed a 20-min questionnaire to induce cognitive stress, followed by watching a film aimed at eliciting moral elevation. The results demonstrate that the combination of r-PPG and thermal imaging effectively detects emotional shifts. Using r-PPG alone, the prediction accuracy was 77% for cognitive stress and 61% for moral elevation, as determined by a support vector machine (SVM). Thermal imaging alone achieved 79% accuracy for cognitive stress and 78% for moral elevation, utilizing a random forest (RF) algorithm. An early fusion strategy of these modalities significantly improved accuracies, achieving 87% for cognitive stress and 83% for moral elevation using RF. Further analysis, which utilized statistical metrics and explainable machine learning methods including SHapley Additive exPlanations (SHAP), highlighted key features and clarified the relationship between cardiac responses and facial temperature variations. Notably, it was observed that cardiovascular features derived from r-PPG models had a more pronounced influence in data fusion, despite thermal imaging's higher predictive accuracy in unimodal analysis.
    Language English
    Publishing date 2024-03-20
    Publishing country United States
    Document type Journal Article
    ISSN 2376-5992
    ISSN (online) 2376-5992
    DOI 10.7717/peerj-cs.1912
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online: Your blush gives you away

    Liu, Ivan / Liu, Fangyuan / Zhong, Qi / Ma, Fei / Ni, Shiguang

    detecting hidden mental states with remote photoplethysmography and thermal imaging

    2024  

    Abstract: Multimodal emotion recognition techniques are increasingly essential for assessing mental states. Image-based methods, however, tend to focus predominantly on overt visual cues and often overlook subtler mental state changes. Psychophysiological research ...

    Abstract Multimodal emotion recognition techniques are increasingly essential for assessing mental states. Image-based methods, however, tend to focus predominantly on overt visual cues and often overlook subtler mental state changes. Psychophysiological research has demonstrated that HR and skin temperature are effective in detecting ANS activities, thereby revealing these subtle changes. However, traditional HR tools are generally more costly and less portable, while skin temperature analysis usually necessitates extensive manual processing. Advances in remote-PPG and automatic thermal ROI detection algorithms have been developed to address these issues, yet their accuracy in practical applications remains limited. This study aims to bridge this gap by integrating r-PPG with thermal imaging to enhance prediction performance. Ninety participants completed a 20-minute questionnaire to induce cognitive stress, followed by watching a film aimed at eliciting moral elevation. The results demonstrate that the combination of r-PPG and thermal imaging effectively detects emotional shifts. Using r-PPG alone, the prediction accuracy was 77% for cognitive stress and 61% for moral elevation, as determined by SVM. Thermal imaging alone achieved 79% accuracy for cognitive stress and 78% for moral elevation, utilizing a RF algorithm. An early fusion strategy of these modalities significantly improved accuracies, achieving 87% for cognitive stress and 83% for moral elevation using RF. Further analysis, which utilized statistical metrics and explainable machine learning methods including SHAP, highlighted key features and clarified the relationship between cardiac responses and facial temperature variations. Notably, it was observed that cardiovascular features derived from r-PPG models had a more pronounced influence in data fusion, despite thermal imaging's higher predictive accuracy in unimodal analysis.

    Comment: 28 pages, 6 figures
    Keywords Computer Science - Computers and Society
    Subject code 670
    Publishing date 2024-01-17
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Racial disparities in readmission rates following surgical treatment of pediatric developmental dysplasia of the hip.

    Tarawneh, Omar H / Quan, Theodore / Liu, Ivan Z / Pizzarro, Jordan / Marquardt, Caillin / Tabaie, Sean A

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2023  Volume 33, Issue 7, Page(s) 2847–2852

    Abstract: Purpose: Across orthopedic subspecialties, significant racial disparities have been identified with regard to postoperative outcomes. Despite these findings among adult patients, the literature assessing these disparities within pediatric orthopedics is ...

    Abstract Purpose: Across orthopedic subspecialties, significant racial disparities have been identified with regard to postoperative outcomes. Despite these findings among adult patients, the literature assessing these disparities within pediatric orthopedics is limited. The purpose of this study was to determine the independent predictors for unplanned readmission following surgical treatment of developmental dysplasia of the hip.
    Methods: Pediatric patients undergoing hip dysplasia surgery from 2012 to 2019 were identified in the National Surgical Quality Improvement Program-Pediatric database. Two patient groups were defined: patients who had unplanned hospital readmission within 30 days of surgery and patients who were not readmitted. Clinical characteristics assessed included gender, race, and American Society of Anesthesiologists (ASA) class. Risk factors for complications were assessed using bivariate and multivariate analysis.
    Results: Of 6561 pediatric patients undergoing surgical treatment for hip dysplasia, 540 (8.2%) had unplanned readmission. On bivariate analysis, non-white race (Black, Asian, Hispanic, American Indian, and Native Hawaiian), an ASA class of III, IV, or V, pulmonary, renal, neurological, and gastrointestinal comorbidities, as well as immune disease, steroid use, and nutritional support were significantly associated with unplanned readmission (p < 0.05 for all). After controlling for confounding variables on multivariate analysis, non-white race (OR 1.46; p = 0.042) and ASA class of III-V (OR 2.21; p = 0.002) were found to be independent predictors for readmission.
    Conclusion: Clinicians should be advised of the increased readmission rates observed in non-white patients and those of higher ASA scores. Further work is needed to combat existing disparities within pediatric orthopedics.
    MeSH term(s) Adult ; Humans ; Child ; Patient Readmission ; Developmental Dysplasia of the Hip ; Hip Dislocation/complications ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Risk Factors ; Retrospective Studies
    Language English
    Publishing date 2023-02-28
    Publishing country France
    Document type Journal Article
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-023-03496-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Enhancing the Robustness of Smartphone Photoplethysmography: A Signal Quality Index Approach.

    Liu, Ivan / Ni, Shiguang / Peng, Kaiping

    Sensors (Basel, Switzerland)

    2020  Volume 20, Issue 7

    Abstract: Heart rate variability (HRV) provides essential health information such as the risks of heart attacks and mental disorders. However, inconvenience related to the accurate detection of HRV limits its potential applications. The ubiquitous use of ... ...

    Abstract Heart rate variability (HRV) provides essential health information such as the risks of heart attacks and mental disorders. However, inconvenience related to the accurate detection of HRV limits its potential applications. The ubiquitous use of smartphones makes them an excellent choice for regular and portable health monitoring. Following this trend, smartphone photoplethysmography (PPG) has recently garnered prominence; however, the lack of robustness has prevented both researchers and practitioners from embracing this technology. This study aimed to bridge the gap in the literature by developing a novel smartphone PPG quality index (SPQI) that can filter corrupted data. A total of 226 participants joined the study, and results from 1343 samples were used to validate the proposed sinusoidal function-based model. In both the correlation coefficient and Bland-Altman analyses, the agreement between HRV measurements generated by both the smartphone PPG and the reference electrocardiogram improved when data were filtered through the SPQI. Our results support not only the proposed approach but also the general value of using smartphone PPG in HRV analysis.
    MeSH term(s) Adult ; Electrocardiography/methods ; Female ; Heart Rate/physiology ; Humans ; Male ; Myocardial Infarction/prevention & control ; Photoplethysmography/methods ; Signal Processing, Computer-Assisted ; Smartphone
    Keywords covid19
    Language English
    Publishing date 2020-03-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2052857-7
    ISSN 1424-8220 ; 1424-8220
    ISSN (online) 1424-8220
    ISSN 1424-8220
    DOI 10.3390/s20071923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Happiness at Your Fingertips: Assessing Mental Health with Smartphone Photoplethysmogram-Based Heart Rate Variability Analysis.

    Liu, Ivan / Ni, Shiguang / Peng, Kaiping

    Telemedicine journal and e-health : the official journal of the American Telemedicine Association

    2020  Volume 26, Issue 12, Page(s) 1483–1491

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Adult ; China ; Female ; Happiness ; Heart Rate ; Humans ; Male ; Mental Health ; Photoplethysmography ; Smartphone ; Young Adult
    Language English
    Publishing date 2020-02-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2035659-6
    ISSN 1556-3669 ; 1530-5627
    ISSN (online) 1556-3669
    ISSN 1530-5627
    DOI 10.1089/tmj.2019.0283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reply to "Pityriasis rosea during COVID-19 and its pathogenesis".

    Nussbaum, Dillon / Wei, Chapman / Pakhchanian, Haig / Raiker, Rahul / Liu, Ivan Z / Friedman, Adam

    JAAD international

    2022  Volume 9, Page(s) 153–154

    Language English
    Publishing date 2022-09-27
    Publishing country United States
    Document type Journal Article
    ISSN 2666-3287
    ISSN (online) 2666-3287
    DOI 10.1016/j.jdin.2022.05.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Reduction in new pityriasis rosea diagnoses during the COVID-19 pandemic: Evidence in support of a viral etiology.

    Nussbaum, Dillon / Wei, Chapman / Pakhchanian, Haig / Raiker, Rahul / Liu, Ivan Z / Friedman, Adam

    JAAD international

    2022  Volume 7, Page(s) 124–125

    Language English
    Publishing date 2022-03-17
    Publishing country United States
    Document type Journal Article
    ISSN 2666-3287
    ISSN (online) 2666-3287
    DOI 10.1016/j.jdin.2022.03.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Quantifying the Impact of COVID-19 on Hand and Wrist Surgery Procedural Volume: A National Analysis of 381,046 Cases.

    Liu, Ivan Z / Whitehead, Jonathon / Schlafly, Madeleine / Pakhchanian, Haig / Raiker, Rahul / Snoddy, Mark C

    Journal of hand surgery global online

    2022  Volume 5, Issue 2, Page(s) 151–158

    Abstract: Purpose: To quantify and describe the impact of the COVID-19 pandemic on procedural volume trends in hand and wrist surgery from 2020 to early 2022 at multiple centers.: Methods: In this retrospective comparative study, a real-time, national, ... ...

    Abstract Purpose: To quantify and describe the impact of the COVID-19 pandemic on procedural volume trends in hand and wrist surgery from 2020 to early 2022 at multiple centers.
    Methods: In this retrospective comparative study, a real-time, national, federated research database was used to identify patients of interest from 56 health care organizations across the United States. Patients were queried from March 1, 2018, to February 28, 2022. Current Procedural Terminology codes were chosen using the Accreditation Council for Graduate Medical Education's hand fellowship procedure requirements.
    Results: Common hand and wrist surgeries exhibited substantial fluctuations in procedural volume per health care organization during the COVID-19 pandemic. Time periods with considerable procedural volume decreases corresponded with surges in increased COVID-19 caseloads and emergence of COVID-19 variants. Periods of procedural volume increase occurred in the summer of 2020 and immediately following distribution of the COVID-19 vaccine to the public. Fixation of metacarpal fracture, fixation of phalangeal fracture, tendon transfer, flexor tendon repair, and extensor tendon repair consistently showed decreased volumes over the study period. In contrast, ulnar nerve decompression was the only procedure to experience a statistically significant increase in volume over an entire year (2021, +19.2%,
    Conclusions: Major milestones of the COVID-19 pandemic correlated with fluctuations in the number of hand and wrist procedures performed across the United States. Future studies should seek to evaluate the impact of patient backlogs and individual procedure fluctuations on financial impacts, patient outcomes, and orthopedic trainee experience.
    Type of study/level of evidence: Economic/Decision Analysis IV.
    Language English
    Publishing date 2022-12-22
    Publishing country United States
    Document type Journal Article
    ISSN 2589-5141
    ISSN (online) 2589-5141
    DOI 10.1016/j.jhsg.2022.12.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Ophthalmology procedure trends in the United States during the COVID-19 pandemic.

    DeYoung, Charles / Asahi, Masumi G / Rosenberg, Sedona / Pakhchanian, Haig / Liu, Ivan Z / Bellur, Sunil / Raiker, Rahul / Dalal, Monica

    International ophthalmology

    2023  Volume 43, Issue 12, Page(s) 4651–4668

    Abstract: Purpose: To evaluate the relationship between the COVID-19 pandemic and ophthalmic procedural volume.: Methods: A retrospective cohort study using TriNetX, a federated electronic health record's research network was done. Monthly Current Procedural ... ...

    Abstract Purpose: To evaluate the relationship between the COVID-19 pandemic and ophthalmic procedural volume.
    Methods: A retrospective cohort study using TriNetX, a federated electronic health record's research network was done. Monthly Current Procedural Terminology-specific volumes per healthcare organization were clustered chronologically to calculate average volumes into 3-month seasons to calculate average procedural volumes. An aggregate of the total pandemic period (March 2020-August 2021) was compared to corresponding figures in pre-pandemic timeframes.
    Results: Intravitreal injections were the most prevalent procedure in this time period with 320,106 occurrences. Phacoemulsification cataract surgery was the second most prevalent (N = 176,095) procedure. From March 2020 to August 2021, a mean pandemic volume of 266.7 (SD = 15) was observed, a 5% decrease (p < 0.05) in procedures compared to the pre-pandemic mean of 280.8 (SD = 26.1). Spring 2020 exhibited the sharpest seasonal decrease in procedural volume (- 88%). The largest count of statistically significant increases in procedure volume was in Spring 2021 (+ 18%). The aggregate mean volume per HCO showed significant decreases for 11 out of 17 procedures in the 12 month March 2020-February 2021 timeframe and significant decreases for 10 out of 17 procedures over the 18-month March 2020-August 2021 pandemic period.
    Conclusions: This study highlights the relative inverse relationship between COVID-19 cases and ophthalmic procedure volume in America. Quantifying ophthalmic procedure trends is important in retrospectively assessing surgical disruptions and prospectively accommodating delayed surgeries. Furthermore, awareness of these trends could help ophthalmologists prepare should similar disruptions occur in the setting of future pandemics or national disasters.
    MeSH term(s) United States/epidemiology ; Humans ; Ophthalmology ; COVID-19/epidemiology ; Pandemics ; Retrospective Studies ; Cataract Extraction
    Language English
    Publishing date 2023-09-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 800087-6
    ISSN 1573-2630 ; 0165-5701
    ISSN (online) 1573-2630
    ISSN 0165-5701
    DOI 10.1007/s10792-023-02865-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Creation of Data-Driven Preoperative Hemoglobin A1c and Same-Day Glucose Strata to Stratify Complication Risk Following Total Hip Arthroplasty.

    Rocks, Madeline C / Zhao, Amy Y / Liu, Ivan Z / Agarwal, Amil R / Harris, Andrew B / Gu, Alex / Unger, Anthony S / Thakkar, Savyasachi C

    The Journal of arthroplasty

    2023  Volume 39, Issue 4, Page(s) 1013–1018

    Abstract: Background: This study identifies data-driven strata for preoperative Hemoglobin A1c (HbA1c) and same-day glucose levels that maximize differences in the likelihood of complications following total hip arthroplasty (THA).: Methods: Patients who ... ...

    Abstract Background: This study identifies data-driven strata for preoperative Hemoglobin A1c (HbA1c) and same-day glucose levels that maximize differences in the likelihood of complications following total hip arthroplasty (THA).
    Methods: Patients who underwent THA from 2013 to 2022 were identified using a national database. In total, 18,728 patients were identified with a mean age of 67 years (range, 18 to 80). Stratum specific likelihood ratio (SSLR) analysis determined separate strata for HbA1c and same-day glucose levels that minimized the likelihood of 90-day complications following THA. Each stratum was propensity-score matched based on age, sex, hypertension, heart failure, chronic obstructive pulmonary disease, and obesity to the lowest respective stratum. The risk ratio (RR) with respect to the lowest matched stratum was observed.
    Results: Our SSLR analysis identified 3 data-driven HbA1c strata (4.5 to 5.9, 6.0 to 6.9, and 7.0+) and two same-day glucose strata (60 to 189 and 190+) that predicted 90-day major complications. For HbA1c, when compared to the lowest strata (4.5 to 5.9), the risk of 90-day major complications sequentially increased as the HbA1c strata increased: 6.0 to 6.9 (RR: 1.21; P = .041), 7+ (RR: 1.82; P < .001). For same-day glucose, when compared to the matched lowest strata (60 to 189), the risk of 90-day major complications was higher for the 190+ strata (RR: 1.5; P < .001).
    Conclusions: Our results support the use of multiple HbA1c strata that can be incorporated into preoperative risk-stratification models. Additionally, we identified a single cut-off level of 190 as a maximum target blood glucose level perioperatively.
    MeSH term(s) Humans ; Aged ; Arthroplasty, Replacement, Hip/adverse effects ; Glycated Hemoglobin ; Glucose ; Retrospective Studies ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Risk Factors
    Chemical Substances Glycated Hemoglobin ; Glucose (IY9XDZ35W2)
    Language English
    Publishing date 2023-10-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632770-9
    ISSN 1532-8406 ; 0883-5403
    ISSN (online) 1532-8406
    ISSN 0883-5403
    DOI 10.1016/j.arth.2023.10.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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