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Chang I, Osman S, Bentley R, Mihailidis A, Mak S. BALLISTOCARDIOGRAPHY TO CHARACTERIZE PULMONARY ARTERY PRESSURE IN ADVANCED HEART FAILURE PATIENTS AND HEALTHY ADULTS. Can J Cardiol 2022. [DOI: 10.1016/j.cjca.2022.08.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Theodoridis K, Aggelidou E, Manthou ME, Keklikoglou K, Tsimponis A, Demiri E, Bakopoulou A, Mihailidis A, Kritis A. An effective device and method for enhanced cell growth in 3D scaffolds: Investigation of cell seeding and proliferation under static and dynamic conditions. Mater Sci Eng C Mater Biol Appl 2020; 114:111060. [PMID: 32993978 DOI: 10.1016/j.msec.2020.111060] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Revised: 04/26/2020] [Accepted: 05/05/2020] [Indexed: 12/26/2022]
Abstract
Cell adhesion on 3D-scaffolds is a challenging task to succeed high cell densities and even cell distribution. We aimed to design a 3D-cell Culture Device (3D-CD) for static seeding and cultivation, to be used with any kind of scaffold, limiting cell loss and facilitating nutrient supply. 3D printing technology was used for both scaffold and device fabrication. Apart from testing the device, the purpose of this study was to assess and compare static and dynamic seeding and cultivation methods, of wet and dry scaffolds, under normoxic and hypoxic conditions and their effects on parameters such as cell seeding efficiency, cell distribution and cell proliferation. Human adipose tissue was harvested and cultured in 3D-printed poly(epsilon-caprolactone) scaffolds. Micro-CT scans were performed and projection images were reconstructed into cross section images. We created 3D images to visualize cell distribution and orientation inside the scaffolds. The group of prewetted scaffolds was the most favorable to cell attachment. The 3D-cell Culture Device (3D-CD) enhanced cell seeding efficiency with almost no cell loss. We suggest that the most favorable outcome can be produced with static seeding in the device for 24 h, followed either by static cultivation in the same device or by dynamic cultivation.
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Affiliation(s)
- Konstantinos Theodoridis
- Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece; cGMP Regenerative Medicine Facility, Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece.
| | - Eleni Aggelidou
- Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece; cGMP Regenerative Medicine Facility, Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece
| | - Maria-Eleni Manthou
- cGMP Regenerative Medicine Facility, Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece; Laboratory of Histology, Embryology and Anthropology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece
| | - Kleoniki Keklikoglou
- Institute of Marine Biology, Biotechnology and Aquaculture, Hellenic Centre for Marine Research (HCMR), Thalassocosmos, 71003 Heraklion, Crete, Greece
| | - Antonios Tsimponis
- Department of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece
| | - Efterpi Demiri
- Department of Plastic Surgery, Medical School, Papageorgiou Hospital, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece
| | - Athina Bakopoulou
- cGMP Regenerative Medicine Facility, Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece; Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), GR-54124 Thessaloniki, Greece
| | - Athanasios Mihailidis
- Laboratory of Machine Elements and Machine Design, School of Mechanical Engineering, Aristotle University of Thessaloniki (A.U.Th.), GR-54624 Thessaloniki, Greece
| | - Aristeidis Kritis
- Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece; cGMP Regenerative Medicine Facility, Department of Physiology and Pharmacology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (A.U.Th), Thessaloniki, Greece
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Hadjistavropoulos T, Browne ME, Prkachin KM, Taati B, Ashraf A, Mihailidis A. Pain in severe dementia: A comparison of a fine-grained assessment approach to an observational checklist designed for clinical settings. Eur J Pain 2018; 22:915-925. [PMID: 29359875 PMCID: PMC5947563 DOI: 10.1002/ejp.1177] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2017] [Indexed: 11/16/2022]
Abstract
Background Fine‐grained observational approaches to pain assessment (e.g. the Facial Action Coding System; FACS) are used to evaluate pain in individuals with and without dementia. These approaches are difficult to utilize in clinical settings as they require specialized training and equipment. Easy‐to‐use observational approaches (e.g. the Pain Assessment Checklist for Limited Ability to Communicate‐II; PACSLAC‐II) have been developed for clinical settings. Our goal was to compare a FACS‐based fine‐grained system to the PACSLAC‐II in differentiating painful from non‐painful states in older adults with and without dementia. Method We video‐recorded older long‐term care residents with dementia and older adult outpatients without dementia, during a quiet baseline condition and while they took part in a physiotherapy examination designed to identify painful areas. Videos were coded using pain‐related behaviours from the FACS and the PACSLAC‐II. Results Both tools differentiated between painful and non‐painful states, but the PACSLAC‐II accounted for more variance than the FACS‐based approach. Participants with dementia scored higher on the PACSLAC‐II than participants without dementia. Conclusion The results suggest that easy‐to‐use observational approaches for clinical settings are valid and that there may not be any clinically important advantages to using more resource‐intensive coding approaches based on FACS. We acknowledge, as a limitation of our study, that we used as baseline a quiet condition that did not involve significant patient movement. In contrast, our pain condition involved systematic patient movement. Future research should be aimed at replicating our results using a baseline condition that involves non‐painful movements. Significance Examining older adults with and without dementia, a brief observational clinical approach was found to be valid and accounted for more variance in differentiating pain‐related and non‐pain‐related states than did a detailed time‐consuming fine‐grained approach.
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Affiliation(s)
- T Hadjistavropoulos
- Department of Psychology, University of Regina, SK, Canada.,Centre on Aging and Health, University of Regina, SK, Canada.,AGE-WELL NCE Inc., Toronto, ON, Canada
| | - M E Browne
- Department of Psychology, University of Regina, SK, Canada.,AGE-WELL NCE Inc., Toronto, ON, Canada
| | - K M Prkachin
- AGE-WELL NCE Inc., Toronto, ON, Canada.,Department of Psychology, University of Northern British Columbia, Prince George, BC, Canada
| | - B Taati
- AGE-WELL NCE Inc., Toronto, ON, Canada.,Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.,Department of Computer Science, University of Toronto, ON, Canada.,Institute of Biomaterials & Biomedical Engineering, University of Toronto, ON, Canada
| | - A Ashraf
- AGE-WELL NCE Inc., Toronto, ON, Canada.,Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
| | - A Mihailidis
- AGE-WELL NCE Inc., Toronto, ON, Canada.,Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.,Department of Occupational Science & Occupational Therapy, University of Toronto, ON, Canada
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Fang M, Battersby L, Grigorovich A, Sixsmith J, Kontos P, Moreno L, Mihailidis A, Sixsmith A. ENHANCING KNOWLEDGE MOBILIZATION AND COMMERCIAL OUTCOMES IN AGING AND TECHNOLOGY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- M. Fang
- STAR Institute, Simon Fraser University, Vancouver, British Columbia, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
- Heriot-Watt University, Edinburgh, United Kingdom,
| | - L. Battersby
- STAR Institute, Simon Fraser University, Vancouver, British Columbia, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
| | - A. Grigorovich
- University of Toronto, Toronto, Ontario, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
- Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada
| | - J. Sixsmith
- University of Dundee, Dundee, United Kingdom,
- AGE-WELL NCE, Toronto, Ontario, Canada,
| | - P. Kontos
- University of Toronto, Toronto, Ontario, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
- Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada
| | - L. Moreno
- University of Toronto, Toronto, Ontario, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
| | - A. Mihailidis
- University of Toronto, Toronto, Ontario, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
| | - A. Sixsmith
- STAR Institute, Simon Fraser University, Vancouver, British Columbia, Canada,
- AGE-WELL NCE, Toronto, Ontario, Canada,
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Affiliation(s)
- D.H. Sullivan
- Central Arkansas Veterans Healthcare System, Little Rock, Arkansas
| | - W. Kearns
- University of South Florida, Tampa, Florida
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Mihailidis A, Melonis M, Keyfitz R, Lanning M, Van Vuuren S, Bodine C. A nonlinear contextually aware prompting system (N-CAPS) to assist workers with intellectual and developmental disabilities to perform factory assembly tasks: system overview and pilot testing. Disabil Rehabil Assist Technol 2015; 11:604-12. [PMID: 26135042 DOI: 10.3109/17483107.2015.1063713] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE This paper presents a new cognitive assistive technology, nonlinear contextually aware prompting system (N-CAPS) that uses advanced sensing and artificial intelligence to monitor and provide assistance to workers with cognitive disabilities during a factory assembly task. METHODS The N-CAPS system was designed through the application of various computer vision and artificial intelligence algorithms that allows the system to track a user during a specific assembly task, and then provide verbal and visual prompts to the worker as needed. A pilot study was completed with the N-CAPS solution in order to investigate whether it was an appropriate intervention. Four participants completed the required assembly task five different times, using the N-CAPS system. RESULTS The participants completed all of the trials that they attempted with 85.7% of the steps completed without assistance from the job coach. Of the 85.7% of steps completed independently, 32.5% of these were completed in response to prompts given by N-CAPS. Overall system accuracy was 83.3%, the overall sensitivity was 86.2% and the overall specificity was 82.4%. CONCLUSIONS The results from the study were positive in that they showed that this type of technology does have merit with this population. Implications for Rehabilitation It provides a concise summary of the importance of work in the lives of people with intellectual disabilities and how technology can support this life goal. It describes the first artificially intelligent system designed to support workers with intellectually disabilities. It provides evidence that individuals with intellectual disabilities can perform a work task in response to technology.
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Affiliation(s)
- A Mihailidis
- a Department of Occupational Science & Occupational Therapy , University of Toronto , Toronto , Ontario , Canada .,b Toronto Rehabilitation Institute-UHN , Toronto , Ontario , Canada .,c Institute of Biomaterials and Biomedical Engineering, University of Toronto , Toronto , Ontario , Canada
| | - M Melonis
- d Assistive Technology Partners, University of Colorado , Anschutz Medical Campus, Denver, CO , USA , and
| | - R Keyfitz
- b Toronto Rehabilitation Institute-UHN , Toronto , Ontario , Canada
| | - M Lanning
- d Assistive Technology Partners, University of Colorado , Anschutz Medical Campus, Denver, CO , USA , and
| | - S Van Vuuren
- e Institute of Cognitive Science at the University of Colorado , Boulder , CO , USA
| | - C Bodine
- d Assistive Technology Partners, University of Colorado , Anschutz Medical Campus, Denver, CO , USA , and
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Holliday PJ, Mihailidis A, Rolfson R, Fernie G. Understanding and measuring powered wheelchair mobility and manoeuvrability. Part I. Reach in confined spaces. Disabil Rehabil 2006; 27:939-49. [PMID: 16096247 DOI: 10.1080/09638280500052799] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE To determine: (1) what wheelchair manoeuvrability factors are important and (2) the effects of powered wheelchair design on the ability to reach in a confined space. METHOD The relative importance of five aspects of wheelchair manoeuvrability was determined through a survey of users of wheelchairs (N = 52) and health care professionals and others (N = 89). A single young, non-disabled subject undertook repeated trials of reach distance on to a counter at the end of a corridor whose width could be adjusted by moving Styrofoam walls. RESULTS Reaching, moving in confined spaces and avoiding collisions were more important than speed and avoiding the need to drive backwards. The rear wheel drive powered wheelchair was found to allow the greatest reach when driving backwards into the space and the wheelchair which moved in a sideways direction allowed greatest reach in the narrowest corridor. CONCLUSIONS The survey concluded that manoeuvring in small spaces and reaching without collisions were important. The powered wheelchair with sideways capability afforded the greatest reach in confined spaces except when the rear wheel drive chair was driven in backwards. The survey respondents did not place a high priority on avoiding backwards driving but some people find this difficult to do safely.
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Affiliation(s)
- P J Holliday
- Centre for Studies in Aging, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada, M4N 3M5.
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Mihailidis A, Fernie GR, Barbenel JC. The use of artificial intelligence in the design of an intelligent cognitive orthosis for people with dementia. Assist Technol 2002; 13:23-39. [PMID: 12212434 DOI: 10.1080/10400435.2001.10132031] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Dementia often reduces a person's ability to perform activities of daily living because he or she becomes confused and cannot remember the sequence of steps to perform. The current solution is to have a caregiver continually supervise and assist the person using verbal reminders or cues. This loss of privacy and increased dependency may cause the affected person to become embarrassed and agitated. We propose that this situation might be improved by using a computerized device that monitors progress and provides the reminders needed. The COACH is a first prototype of such a device. It uses artificial intelligence to observe a user, learn from his or her actions, and issue prerecorded cues of varying detail. The device was developed using a personal computer and a video camera that unobtrusively tracked the user. Preliminary testing with subjects who simulated confused behavior as they washed their hands showed that the device was performing its functions with an efficacy of approximately 95%. More extensive clinical testing and evaluation has begun, and the results will be reported in future publications.
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Affiliation(s)
- A Mihailidis
- Centre for Studies in Aging, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada
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