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To utilize surface electromyographics (sEMG) for control purposes, it is necessary to perform real-time estimation of the neural drive to the muscles, which involves real-time decomposition of the EMG signals. In this paper, we propose a Bidirectional Gate Recurrent Unit (Bi-GRU) network with attention to perform online decomposition of high-density sEMG signals. The model can give different levels of attention to different parts of the sEMG signal according to their importance using the attention mechanism. The output of gradient convolutional kernel compensation (gCKC) algorithm was used as the training label, and simulated and experimental sEMG data were divided into windows with 120 sample points for model training, the sampling rate of sEMG signal is 2048 Hz. We test different attention mechanisms and find out the ones that could bring the highest F1-score of the model. The simulated sEMG signal is synthesized from Fuglevand method (J. Neurophysiol., 1993). For the decomposition of 10 Motor Units (MUs), the network trained on simulated data achieved an average F1-score of 0.974 (range from 0.96 to 0.98), and the network trained on experimental data achieved an average F1-score of 0.876 (range from 0.82 to 0.97). The average decomposition time for each window was 28 ms (range from 25.6 ms to 30.5 ms), which falls within the lower bound of the human electromechanical delay. The experimental results show the feasibility of using Bi-GRU-Attention network for the real-time decomposition of Motor Units. Compared to the gCKC algorithm, which is considered the gold standard in the medical field, this model sacrifices a small amount of accuracy but significantly improves computational speed by eliminating the need for calculating the cross-correlation matrix and performing iterative computations.
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http://dx.doi.org/10.3389/fnins.2024.1306054 | DOI Listing |
Respir Physiol Neurobiol
September 2025
Department of Pediatrics, School of Medicine, Duke University.
Pompe disease is an autosomal recessive neuromuscular disorder characterized by a deficiency of acid α-glucosidase (GAA), an enzyme responsible for lysosomal glycogen degradation in all cells. Respiratory distress is a common symptom among patients with Pompe disease resulting from weakness of primary respiratory neuromuscular units of the diaphragm and genioglossus and the motor neurons which innervate them. The only FDA approved treatment is enzyme replacement therapy (ERT) of recombinant human GAA (rhGAA) which slows the decline of motor function and extends life expectancy.
View Article and Find Full Text PDFSud Med Ekspert
September 2025
Bureau of Forensic Medical Examination of the Department of Health Care of the City of Moscow, Moscow, Russia.
The article considers the main phases of traffic injury (TI) described by A.A. Solokhin in 1968 and their modern application in forensic medical and automotive examination.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Importance: Exposure to inflammation from chorioamnionitis places the fetus at higher risk of premature birth and may increase the risk of neurodevelopmental impairments, though the evidence for the latter is mixed.
Objective: To evaluate whether moderate to severe histologic chorioamnionitis (HCA) is directly associated with adverse motor performance, independent of the indirect mediating effects of premature birth.
Design, Setting, And Participants: This prospective, population-based cohort study recruited participants between September 16, 2016, and November 19, 2019, from referral and nonreferral neonatal intensive care units of 5 southwestern Ohio hospitals.
A 52-year-old Myanmar man presented with bilateral progressive painless asymmetrical wrist and finger drop in 1 year without any sensory and sphincter problems. He has hypochromic microcytic anemia diagnosed as Hemoglobin E disease before. However, a serial full blood count revealed thrombocytopenia and a drop in hemoglobin disproportionate to HbE disease.
View Article and Find Full Text PDFNeurochirurgie
September 2025
Department of Neurosurgery, Toulouse University Hospital, Place du Docteur Baylac, Toulouse, France. Electronic address:
Background: Intracranial meningiomas are the most common benign central nervous system tumors, often managed with elective surgical resection. While outcomes are generally favorable, postoperative management remains variable, particularly regarding routine Intensive-Care Units (ICU) admission. Given increasing pressure on critical care resources, identifying patients who truly require ICU-level monitoring is essential.
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