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Dissertation
Heart-rate response to physical and mental activities in acute changing environmental temperature

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In this master thesis an experiment was performed to research the influences of the ambient air temperature changes on the heart rate for three different activities. The first activity was rest, the second was executing a mental load activity which was generated by answering mathematical questions. The third was with a light physical exercise, cycling. The experiment consisted of a condition sequence whereby first the rest activity was performed in a condition of 24 °C (neutral), then 5 °C (cold) and 37 °C (hot). The succession of all activities in the given conditions was directly executed one after the other without any time interval. After the rest activity, the mental load and physical exercise followed with the temperature condition sequence in the same order. Heart rate, three skin temperatures, the core temperature, oxygen consumption and physical activity were measured. 25 healthy subjects with an age of 26 ± 4 years old joined this experiment. The data was first statistically analysed by using a timeframe of five minutes in each combination of activity and temperature. This showed that the heart rate was significantly lower in the cold temperature for the rest and mental load with a difference of 6.67 bpm and 5.66 bpm. For the change from cold to hot temperature there was an increase of 4.46 bpm and 2.09 bpm for rest and mental load. For the physical activity phase there was no significant decrease from neutral towards the cold temperature, but an increase of 9.91 bpm from cold to hot temperature. After data analysis, the data went through the BioRICS Mindstretch algorithm to decompose the heart rate in four components: the basal metabolism, circadian rhythm, mental and physical component. The mental and physical component were analysed to find out where the temperature impact would be seen versus the initial heart rate at rest. The mental component carried the whole heart rate impact, when there was no physical activity. When there was physical activity, the temperature change impact was spread across the mental and physical component of the algorithm. Next, models were created using the mental heart rate component as output and only the ambient air temperature as input. This modelling was done to estimate the magnitude of temperature changes had on the heart rate. Time variant models were chosen over time invariant models, since time variant models explained better the power of the dynamic heart rate. Related to the first order models, the Steady State Gains were calculated. The Steady State Gains showed that due to ambient air temperature the heart rate was different in the neutral and cold condition, but not for the hot one. The Steady State Gain comparison between the conditions showed that the temperature influence on the heart rate was not proportional to the temperature in °C.

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Dissertation
Monitoren van cardiovasculaire responsies tijdens sportvissen

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Om allerlei chronische niet-overdraagbare aandoeningen zoals cardiovasculaire ziektes, diabetes, overgewicht en kanker te voorkomen heeft de mens nood aan een bepaalde hoeveelheid fysieke activiteit. Al sinds het ontstaan van de mensheid werd voldoende fysieke activiteit gehaald uit dagelijkse bezigheden, zij het in de oudheid door jagen en eten verzamelen, of in modernere tijden door fysieke inspanningen op het werk of door het uitvoeren van huishoudelijke taken. De fysieke inspanning tijdens vele van deze dagelijkse bezigheden is in de hedendaagse samenleving echter sterk afgenomen door de automatisering van zowel de werk- als de privéomgeving. Ondanks de vele voordelen van deze automatisering ondervindt de globale bevolking dan ook één groot nadeel: het gebrek aan fysieke activiteit en de daarmee verbonden risico’s voor de menselijke gezondheid. Dit eindwerk kadert dan ook in het doel naar het vinden voor een alternatief om voldoende fysiek actief te zijn. Concreter worden de volgende twee onderzoeksvragen opgesteld: Ten eerste wat is de hartslagrespons tijdens het sportvissen op activiteiten die typisch zijn voor het vissen met een vaste hengel en een werphengel onder gecontroleerde omstandigheden? Ten tweede wat is de hartslagrespons tijdens het sportvissen op activiteiten die typisch zijn voor het vissen met een vaste hengel in de praktijk? In een eerste experiment werd de fysieke activiteit op basis van hartslag en 3D acceleratie geschat tijdens het simuleren van hengelen met een vaste hengel en het simuleren van actief hengelen met een werphengel en kunstaas op roofvis. Ter vergelijking werden hartslag en 3D acceleratie ook gemeten tijdens rustperiodes en wanneer er gewandeld werd. Uit de resultaten bleek dat voor het simuleren van hengelen met de vaste hengel de hartslag wel hoger lag ten opzichte van de rustperiodes, maar dat deze gemiddeld gezien 20.00% (75 BPM ten opzichte van 90 BPM) onder de hartslag tijdens het wandelen bleef. Enkel tijdens het simuleren van hengelen met de werphengel steeg de hartslag significant in vergelijking met deze tijdens het wandelen (respectievelijk 90 BPM en 94 BPM, of dus een stijging van 4.44%). Het actief hengelen met een werphengel lijkt dan ook een inspanning te zijn met voldoende fysieke activiteit. In een tweede experiment werd er effectief gevist langs de waterkant. Er werd geopteerd om enkel met de vaste hengel te vissen en dit op stromend water aangezien dat het meest voorkomende type hengelen is in Vlaanderen. Opnieuw werden hartslag en 3D acceleratie gemeten tijdens het experiment om nadien te kunnen vergelijken met rust. Opvallend was dat dit maal de hartslag gemiddeld gezien lager lag tijdens het hengelen dan tijdens de rustperiodes, namelijk 2.94% in vergelijking met de hartslag tijdens het zitten en 14.71% met die tijdens het staan. Hier kon dus uit afgeleid worden dat het hengelen met een vaste hengel eerder een relaxerende en dus anti-stresserende werking heeft, maar dus geen oplossing biedt voor het probleem van de fysieke inactiviteit. De fysieke activiteit tijdens het recreatief sportvissen is dus sterk afhankelijk van het type hengelen waarvoor geopteerd wordt. Actievere vormen zoals het hengelen met de werphengel met kunstaas op roofvis bieden een goed alternatief om het probleem van de fysieke inactiviteit aan te pakken, rustigere vormen zoals het hengelen met de vaste hengel echter niet. Belangrijk is wel om in het achterhoofd te houden dat het niet zo is

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Dissertation
The Development of an Automated Cell Monitoring System Based on Image Analysis and Data-Based Modelling

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In this work the development of a platform to monitor and predict cell culture growth is discussed. The aim is to provide a non-invasive method of cell imaging to continuously follow culture growth in real time that can be easily integrated in other applications such as bioreactors. The goal of the platform is eliminating the need to manually check-up on cells being cultured. The platform will run in parallel with the cultures being grown and replace the manual procedure of estimating cell growth with a system that mimics the conditions of the cell cultures and provides a reference from which culture parameters such as cell count and culture growth rate are autonomously extracted. The platform provides a stable foundation to add extra functionality to. Extra cell parameters such as cell size, cell shape, rate of mitosis etc. could also be determined using the platform. The platform consists of a cell chamber integrated into a perfusion system which periodically and automatically refreshes the cell medium to mimic the cell culturing protocol followed for conventional manually refreshed cell cultures. Data of the cell development is recorded by means of holographic lens-free microscopy, of which the raw data is processed by newly developed scripts.

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Dissertation
Mental workload in truck drivers: “Ready for the next ride?”

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The goal of this thesis was to show the potential of continuously monitoring mental workload and recovery to improve the working conditions of truck drivers. For this purpose, 19 truck drivers were monitored. By using Mindstretch’s algorithms, their mental workload and recovery could be determined. In the first part of the data analysis, the main energy drainer and recovering activities were defined, and a recommendation plan was proposed. The most recovering activity was ‘resting’, during which 69% of the drivers showed more recovery than mental workload. The most demanding activity was ‘uncoupling’, of which the effort-recovery score was lower than -20 for 55% of the drivers, indicating high mental demand. Although there were these general trends, it turned out that the energy drainer and recovering activities were individually different (SDaverage=14.90). Concrete examples were used to show how a recommendation plan can be made, with both the individual and group perspectives providing useful insights. To advocate the usefulness of mental state management, the relation between driver’s performance and mental state was assessed. In 25%/75% of the cases, a negative/no correlation was found between overload and performance. Underload was negatively/not/positively correlated to performance for 17%/76%/7% of the cases. On average, models, with overload and/or underload as independent variables, were able to explain 15%, 15%, 10% and 3% of the variance in braking hard, accelerating hard, speeding offences and fuel efficiency. These results show overload/underload having a relatively small negative impact on performance. Furthermore, in a second analysis on six drivers, it was found that in 13% of the cases, the effect of overload on performance was influenced by how mentally demanding the recent past had been. In two-thirds of these cases, it was seen that the effect reduced if the recent past was less demanding, advocating the importance of a balanced mental workload to prevent not being able to cope with overload. The effect of mental state on performance seems small. However, improving performance with a few percentages by good mental state management could significantly save costs for trucking companies over time. Although the results are not entirely conclusive, this thesis has shown the potential of monitoring mental workload and recovery in a real-life work environment. Future research could leverage the insights provided to make an even more convincing argument.

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Dissertation
Development of a monitoring system for the microenvironment and metabolic response of bone tissue forming stem cells in a bioreactor

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Hartslagsturing op basis van de individuele conditie van wielrenners

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Measuring and monitoring training load in young freestyle snowboarders within the discipline of 'big air'

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Binnen de snowboard discipline 'big air' voeren snowboarders trucs uit in de lucht na het nemen van een sprong op een grote schans en moeten ze continu hun grenzen verleggen om nieuwe en uitdagendere trucs uit te voeren om de eerste plaats op het podium te behalen. Het leren van nieuwe trucs tijdens intensieve trainingssessies kan fysiek en mentaal uitdagend zijn, met een hoog risico op blessures. De huidige technologie maakt het mogelijk om de belasting van trainingen in sport continu te meten en te monitoren om blessures te voorkomen en sportprestaties te verbeteren. In dit eindwerk wordt de trainingsbelasting gemeten tijdens zes big air trainingssessies van vijf jonge freestyle snowboarders op een dry slope en dit met behulp van sensoren. Tijdens het afdalen van de schans en de afzet van de sprong wordt er een verhoogde acceleratie gemeten alsook een maximale acceleratie of impact tijdens het landen en de navolgende val op een luchtkussen. Deze verhoogde acceleraties en impacten zorgen voor een belasting op het musculoskeletaal systeem (beenderen, spieren, gewrichten, etc.) van het lichaam zoals de knieën, enkels, zitvlak en borstkas. Voorafgaand aan een sprong wanneer de snowboarder zich bovenaan de schans bevindt, is een verhoogde hartslag eerder te wijten aan een intensieve trainingssessie dan aan angst om te springen. Tijdens het nemen van een sprong verhoogt de hartslag als gevolg van de fysieke inspanning en de adrenalinekick. Na het nemen van een sprong is er een verhoging van de hartslag omdat de snowboarder van het luchtkussen af moet komen. Ook bij het terug naar boven gaan met een lopende bandlift blijft de hartslag ongeveer hetzelfde als wanneer men van het luchtkussen af komt omdat de snowboarder niet altijd helemaal stil blijft staan. Weinig verbanden werden gevonden tussen de hartslag- en acceleratiemetingen van de sprongen. Het nemen van een sprong op een grotere schans, vergeleken met een middelgrote schans, toont een hogere belasting op het musculoskeletaal systeem tijdens het afdalen en de afzet van de sprong, maar niet altijd tijdens de landing en navolgende val. Tijdens het nemen van een sprong op een grotere schans is ook de hartslag van de snowboarder hoger. Het meten en monitoren van trainingsbelasting bij jonge freestyle snowboarders binnen de discipline 'big air' is zeker mogelijk met de huidige technologie en kan belangrijke inzichten geven in hun fysieke toestand.

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Dissertation
Towards model-based feedback control of bioreactors for bone tissue engineering : monitoring of cellular response in a defined bioreactor environmnent.
Authors: --- --- --- ---
Year: 2012 Publisher: Leuven K.U.Leuven. Faculteit Bio-ingenieurswetenschappen

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Despite the significant advances in tissue engineering (TE) research there is still a very limited number of regularly used clinical applications in this area. One of the reasons for this difficult transition is the lack of consistent product quality caused by inadequately controlled production systems. This thesis was performed within the scope of an interdisciplinary research program on bone TE which aims at developing and quantitatively evaluating clinically relevant osteoinductive TE constructs. Within this context a model-based feedback control strategy was proposed for perfusion bioreactors. This strategy was based on (i) using control inputs (like flow rate or oxygen concentration) to create a well defined micro-environment, (ii) on-line measurements of the cell response to its process environment and (iii) data-based mechanistic models of the input/output relation which could be used to continuously adjust the control inputs of the bioreactor in such a way that the output reaches the desired value. The aim of this thesis was to develop the tools which make such process control possible for bone TE.In the light of this aim, a 2D+ perfusion bioreactor concept was developed, which allows to use microscopic imaging of cells in a 3D-like environment. This bioreactor system was validated for human periosteum derived cells (hPDCs) on a titanium scaffold made with additive manufacturing. Next, a combination of experiments and modelling was used to quantify the fluid flow environment in this 2D+ scaffold during perfusion. Subsequently, an image processing algorithm was developed to quantify cell number and cell distribution. This algorithm could be used for images of the 2D+ scaffolds, but also for other typical TE scaffolds, like hydro gels and 3D titanium scaffolds.These tools (2D+ bioreactor, fluid flow quantification and image based cell counting) were used together to study the effect of fluid flow induced shear stress on hPDCs cultured on 2D+ titanium scaffolds. Finally, a data-based modelling approach was used to characterize the dynamic response (change in outlet oxygen concentration) of a bioreactor to changes in flow rate and inlet oxygen concentration.In conclusion, during this work several innovative tools were developed and validated to study the concepts of process control for bone TE bioreactors. It shows how quantification of the micro-environment and the local cell response can lead to a better insight in the complex process of 3D cell culture. In a next step, the knowledge and methods developed in this thesis can be used to design model-based feedback control strategies for perfusion bioreactors.

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Dissertation
Sleep analysis based on wearable technology in competitive swimming

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In the pursuit of optimal physical performance, elite athletes are constantly striving for the perfect balance between physical training load and recovery. To achieve optimal performance and training effects, athletes need to recover continuously from performed training load. Therefore, athletes and coaches should not only consider optimal training methods and schedules, but also recovery optimisation. A good night's sleep is therefore crucial. Various wearables that make gaining insight into sleep statistics straightforward, are nowadays on the market. In this study, we use a wearable, the Polar M600 smartwatch, to determine the sleep quality of young elite swimmers. The sleep of five elite athletes was monitored from November 2019 to January 2020. The wearable measured physical activity and heart rate during the night. An algorithm was developed to extract sleep quality features from this data, which were used to quantify sleep. These features were first examined separately. Next, the influence of training load on athletes' sleep was investigated. Finally, objectively measured features were compared with subjective ratings that athletes use in their daily routine to examine their night's rest and fitness. Lowest resting heart rate (LRHR) decreased significantly (r=-0.206; p=0.013) when training load increased, indicating a stronger need for recovery after heavy training days. This was individually significant (p<0.05) for two out of five athletes. LRHR occurrence was highly variable in time. Many factors, apart from training, might influence LRHR timing. For actigraphy-based sleep quality features, no increasing need for recovery after heavy training days or weeks was found. For rock-solid conclusions, device-specific parameters of the developed algorithm should be compared with a reference measurement. When subjective methods were examined, we found morning pulse (65.3±7.1 bpm) to be significantly (p=1.06e-06) higher than lowest resting heart rate (53.8±7.7 bpm), but nevertheless morning pulse remained useful to estimate LRHR. A subjective sleep score does not represent true sleep quantity and quality. Although, outliers in morning pulse and sleep score could suggest the presence of other mental stressors. Finally, waking up extremely early causes a significant (p<0.05) decrease in sleep quality and quantity, which is not true for going to bed extremely late. To conclude, the use of wearable devices to monitor recovery during the night will have to conquer several challenges such as accuracy, robustness, and user-friendliness, to result in a usable end product for both athlete and coach.

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Monitoring thermoregulation for driver drowsiness detection

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According to numerous reports, driver drowsiness in one of the leading causes of traffic accidents. Nowadays, various drowsiness detection methods have been developed based on behavioural, vehicular and physiological features. In this master’s thesis, the use of physiological changes related to thermoregulation is tested for driver drowsiness detection. During an 80-minute monotonous driving task, the core body temperature (CBT) and two distal-to-proximal skin temperature gradients (DPG) were monitored. The DPG1 was obtained by subtracting the forehead temperature (proximal region) from the middle finger temperature (distal region), the DPG2 by subtracting the forehead temperature from the wrist temperature (distal region). Due to missing data and indistinct drowsiness levels, only 23 out of 30 completed driving simulations were available for analysis. On average, an increase in both DPG’s and a delayed decrease in CBT was observed in the drowsy drivers. Similar but less pronounced trends were observed in the non-drowsy drivers. However, due to the large variation in data between subjects within the drowsy and non-drowsy population, only the difference in increase in DPG2 between both groups was proved to be statistically significant. Next, univariate decision trees based on the CBT, DPG1 and DPG2 resulted in an accuracy of 65.2%, 73.9% and 78.3%, respectively. After validation, these were 30.4%, 73.9% and 69.6%. Combining the information of all three body temperature variables resulted in an accuracy of 87.0%, meaning that 20 out of 23 drivers were correctly classified as “drowsy” or “non-drowsy”. After validation, the accuracy was reduced to 65.2%. Additionally, since each subject had completed the driving simulation once in the afternoon and another time in the evening, it was shown that for only 3 out of 15 participants there was a significant difference in sleepiness scores given during the afternoon test and those given during the evening test. Therefore, no clear dominant effect of the circadian pacemaker or of the homeostatic hourglass mechanism on the drowsiness level was found. Finally, the disadvantage of using driver drowsiness detection based on vehicular features was demonstrated as the expected deterioration in driving behaviour of the drowsy drivers only became apparent at the end of the driving task or when it came to the total number of road edge excursions. Apart from these incidental analyses, the main conclusion of this master’s thesis is that physiological changes related to thermoregulation offer potential for use in driver drowsiness detection systems.

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