If you’re interested in making keynote
speech or oral report in IWMH2018, please send your latest CV, speech title and
abstract to iwmh@a-scie.org, we will
reply you in 3 days. After verification, we will send you invitation letter and
keep you noted with the proceeding of conference.
Look forward to future correspondence with all of scholars and experts in
medicine and health management.
Keynote Speaker
Jean-Marie Aerts
Professor
Faculty of Bioscience Engineering, KU Leuven, Belgian
Title: Monitoring
and controlling of complex biological systems: challenges and lessons learned
Abstract: Thanks to the ever growing possibilities in terms of
sensors and sensing systems and the ever increasing computing power, the
possibilities for measuring and processing biological signals in real-time have
significantly grown during the last two decades. As a consequence, it becomes
more and more realistic to apply schemes of model-based monitoring and control
to biological systems in practice. However, unlike many mechanical systems,
biological systems are very complex, individually different, time-varying and
dynamic, making the management (i.e. monitoring and/or control) of these
systems often very challenging.
A first challenge is to model these biological systems using compact, accurate
and biologically meaningful models that can be applied in monitoring and
controlling schemes. It is argued that dynamic data-based mechanistic modelling
approaches are potential candidates for model-based management of biological
systems. A second challenge is to extract model features that can be used as
biomarkers for monitoring the status of individual biological systems. A third
challenge is to define proper control targets that take into account the
physiological/physical boundary conditions of the considered biological system.
These challenges will be illustrated using examples of a wide variety of biological
systems, ranging: from cellular up to organism level, from animal to human
applications and from physiological to mental processes. The main lessons
learned will be discussed and future research needs will be identified.
Long Ba
Professor
State Key Laboratory of Bioelectronics, School of Biology and Medical Engineering, Southeast University, Nanjing, China
Title: Non-invasive
wearable blood pressure monitoring based on flexible strain sensor and Artery
Tonometry
Abstract: A wearable pulse wave and blood pressure monitoring
system was designed and fabricated based on flexible strain sensor and
micro-actuator. The flexible strain sensor was fabricated by using a surface
structured elastomer with electric conducting surface layer as gate electrode
of a vertical field effect transistor. This strain sensitive vertical
transistor exhibits excellent strain sensitivity and repeatability within the
stress range below 100kPa. The flexible sensor enables compact contact to the
deformable epidermal artery and quantitative pressure sensing to the pulse
wave. The micro-actuator was designed and fabricated based on shape memory alloy
(SMA) elements, which is controlled through a power electronic circuit
programmed by microcontroller unit (MCU). The whole system was fabricated and
integrated on the flexible printed circuit board with strain sensor pressured
by micro-actuator on the radial artery. The systolic and diastolic blood
pressure was obtained according to the artery tonometry method and compared
with the results from sphygmomanometer. By calibrating the sensor and the
tonometry cofficients using either cuff or micro-acuator, the measured errors
can be as small as several mmHg. The data were transmitted to personal mobil
data terminal through Bluetooth protocols for data processing, storage, display
and uploading. The system demonstrates the capability of wide applications from
healthcare maintenance to continuous cardiovascular disease diagnose.
Hui Sun
Tenured full professor
Chinese Academy of Science, Beijing, China
Title: Human
Cadaver Retina Model for Retinal Heating During Corneal Surgery with a
Femtosecond Laser
Abstract: Purpose: Femtosecond lasers are widely used in everyday
clinical procedures to perform minimally invasive corneal refractive surgery.
The Intralase femtosecond laser (AMO Corp. Santa Ana, CA) is a common example
of such a laser. In the present study a numerical simulation was developed to
quantify the temperature rise in the retina during femtosecond intracorneal
(Intralase) surgery. Also, transmission measurements were performed on the
excised human fundus. Additionally, ex-vivo retinal heating due to IntraLase
irradiation was measured with an infrared thermal camera (Fluke corp. Everett,
WA) as a validation of the simulation.
Methods: A computer simulation was developed using Comsol
Multiphysics and Matlab to calculate the temperature rise in the retina during
Intralase surgery. Human retinas were excised from two eyes and transmission
measurements with a 60kHz Intralase machine were performed. 4 human retinas
were irradiated with a 150kHz Intralase and the temperature rise was measured
with an infrared thermal camera.
Results: The simulation showed a temperature rise of less than 0.3
degrees for realistic pulse energies for the various repetition rates. Thermal
camera measurements are in agreement with the simulation.
Conclusions: During routine Intralase surgery with normal clinical
parameters, the temperature rise is well beneath the threshold for retina
damage. The simulation predictions are in agreement with thermal measurements
providing a level of experimental validation.
Chen Bin
Professor
Xi'an Jiaotong University, Xi'an, China
Title: New
strategy for Laser Dermatology: microvascular responses to 755nm Alexandrite
lasers, 595nm pulse dye laser and 1064nm Nd:YAG laser
Abstract: Port Wine Stain birthmarks (PWS) are congenital vascular
birthmarks that occur in approximately 0.3% of children. Histopathological
analysis of PWS reveals a normal epidermis overlying an abnormal plexus of
benign vascular malformations consisting of ectatic capillaries of diameters
varying from 10 to 300 μm. Based on the selective photothermolysis theory,
laser therapy is the most commonly utilized treatment for PWS. The pulsed dye
laser (PDL) with a wavelength of 585 or 595 nm is most often used, however less
than 20% patients exhibit complete clearing due to the shallow penetration and
competitive absorption between epidermal melanin and dermal hemoglobin. The
long pulsed Nd:YAG laser with a wavelength of 1064 nm allows for tissue
penetration of up to 5 to 6 mm. However, high incident energy density caused by
low absorption of hemoglobin increases risk of collagen damage and subsequent
scarring. In comparison, the 755-nm Alexandrite laser has a higher absorption
than 1064nm Nd:YAG laser, and deeper penetration then 585/595nm PDL, which
shows great potential in laser treatment of PWS.
In this study, an animal model study by dorsal skin chamber and numerical
simulations were conducted to compare blood vessel thermal responses to
irradiation by 755nm laser with 585/595 nm PDL and the 1064 nm Nd:YAG laser. In
the in vivo experiment, the laser was triggered with the aiming beam directly
overlying the target blood vessels of the Danforth’s short tail (SD) mouse.
After each irradiation, the immediate blood vessel effects were qualitatively
examined using the microscopy camera. Numerical simulations of the light
transport and heat diffusion in skin tissue were conducted by Monte Carlo
method and discrete-blood-vessel model. A series of thermal effects were
observed after irradiation, including blood coagulation, diameter decrease,
complete constriction, hemorrhage and collagen damage. The thermal effect, rate
of hemorrhage and collagen damage and heating pattern of 755nm laser were all
between these of 595nm PDL and 1064nm Nd: YAG laser. Compared with the 595 nm
laser, 755 nm laser what is easy to cause target vessel to produce
disappearance has a good bleaching effect with less hemorrhage happening.
Excessive incident energy should be avoided to generate the bad phenomena such as
hemorrhage and collagen damage.
Lukui Chen
Professor
Department of Neurosurgery, Zhongda Hospital Southeast University, Nanjing, China
Title: Comparative
analysis of microRNA expression profiles of exosomes derived from normal and
ischemic preconditioning human neural stem cells by next generation sequencing
Abstract: Stroke recovery is associated with neural stem cell (NSC)
development and neurovascular unit reconstruction. Exosomes, as important
intercellular players in neurovascular communication, mediate neuro-restorative
events by transferring exosomal protein and RNA cargoes. In order to study the
role of exosomal microRNAs (miRNAs) in human NSCs (hNSCs), we analyzed the
expression profiles of miRNAs in hNSC-derived and ischemic preconditioning hNSC-derived
exosomes by next generation sequencing (NGS). The results showed that a certain
proportion of miRNAs were differentially expressed in both exosomes. In
addition, target gene prediction and Gene Ontology (GO) enrichment analysis
showed that these genes associated with differential miRNAs primarily
participated in biological process, cellular component, and molecular function.
Kyoto Encyclopedia of Genes and Genomes pathway (KEGG) enrichment data
suggested that most of targeted genes were involved in PI3K-Akt, Hippo, MAPK,
mTOR, and Endocytosis etc. signaling pathways. Then we identified the
interesting and important expressed miRNA and considered that miR-98-3p might
be a special hNSC-derived exosomal-miRNA which were significantly downregulated
under ischemic preconditioning. hNSCs-derived exosomes were promising in
modulating gene expression or in stroke therapy, and after ischemic
preconditioned, the functions of these exosomes were changed, such as
exosomal-miRNAs expression profile difference. In summary, our study suggested
that hNSC-derived exosomal miRNAs including ischemic preconditioning exosomal
miRNAs will provide a new strategy for the diagnosis and treatment of stroke
patients.