The aim of this work was to design a personalized BCI model to detect pedaling intention through EEG signals. The approach sought to select the best among many possible BCI models for each subject. The choice was between different processing windows, feature extraction algorithms and electrode configurations. Moreover, data was analyzed offline and pseudo-online (in a way suitable for real-time applications), with a preference for the latter case. A process for selecting the best BCI model was described in detail. Results for the pseudo-online processing with the best BCI model of each subject were on average 76.7% of true positive rate, 4.94 false positives per minute and 55.1% of accuracy. The personalized BCI model approach was also found to be significantly advantageous when compared to the typical approach of using a fixed feature extraction algorithm and electrode configuration. The resulting approach could be used to more robustly interface with lower limb exoskeletons in the context of the rehabilitation of stroke patients.

No abstract

The aim of this work was to test if a novel transcranial direct current stimulation (tDCS) montage boosts the accuracy of lower limb motor imagery (MI) detection by using a real-time brain-machine interface (BMI) based on electroencephalographic (EEG) signals. The tDCS montage designed was composed of two anodes and one cathode: one anode over the right cerebrocerebellum, the other over the motor cortex in Cz, and the cathode over FC2 (using the International 10–10 system). The BMI was designed to detect two MI states: relax and gait MI; and was based on finding the power at the frequency which attained the maximum power difference between the two mental states at each selected EEG electrode. Two different single-blind experiments were conducted, E1 and a pilot test E2. E1 was based on visual cues and feedback and E2 was based on auditory cues and a lower limb exoskeleton as feedback. Twelve subjects participated in E1, while four did so in E2. For both experiments, subjects were separated into two equally-sized groups: sham and active tDCS. The active tDCS group achieved 12.6 and 8.2% higher detection accuracy than the sham group in E1 and E2, respectively, reaching 65 and 81.6% mean detection accuracy in each experiment. The limited results suggest that the exoskeleton (E2) enhanced the detection of the MI tasks with respect to the visual feedback (E1), increasing the accuracy obtained in 16.7 and 21.2% for the active tDCS and sham groups, respectively. Thus, the small pilot study E2 indicates that using an exoskeleton in real-time has the potential of improving the rehabilitation process of cerebrovascular accident (CVA) patients, but larger studies are needed in order to further confirm this claim.

There has been much written about the importance of care that is centered on persons and their loved ones. Patientcentered care has been central to nursing practice and unique nursing knowledge. This central focus provides an opportunity for nurses to develop policies that may affect practice so that practice is consistent with a distinctive knowledge base. The purpose of this paper is to discuss patient-centered care and nursing theory.

The purpose of this human becoming hermeneutic research was to explore the meaning of lingering presence. The emergent meanings were: (a) A lingering presence surfaces in the cherished remembered which changes moment to moment as new experiences arise in the now and shed different light on the was and will be; (b) a lingering presence is lived in private ways, yet with others in a different alone-togetherness; and (c) a lingering presence is living with the familiar-unfamiliar in the now moment, while moving beyond with different possibles. The findings are discussed in relation to how they contribute to nursing knowledge development.