Person: Gómez Fernández, Marisol
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Gómez Fernández
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Marisol
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Matemática e Informática
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0000-0003-3431-1256
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279
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Publication Open Access Relevance of sex, age and gait kinematics when predicting fall-risk and mortality in older adults(Elsevier, 2020) Porta Cuéllar, Sonia; Martínez Ramírez, Alicia; Millor Muruzábal, Nora; Gómez Fernández, Marisol; Izquierdo Redín, Mikel; Ingeniería Eléctrica, Electrónica y de Comunicación; Estadística, Informática y Matemáticas; Ciencias de la Salud; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio Ingeniaritzaren; Estatistika, Informatika eta Matematika; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua, 87/10Approximately one-third of elderly people fall each year with severe consequences, including death. The aim of this study was to identify the most relevant features to be considered to maximize the accuracy of a logistic regression model designed for prediction of fall/mortality risk among older people. This study included 261 adults, aged over 65 years. Men and women were analyzed separately because sex stratification was revealed as being essential for our purposes of feature ranking and selection. Participants completed a 3-m walk test at their own gait velocity. An inertial sensor attached to their lumbar spine was used to record acceleration data in the three spatial directions. Signal processing techniques allowed the extraction of 21 features representative of gait kinematics, to be used as predictors to train and test the model. Age and gait speed data were also considered as predictors. A set of 23 features was considered. These features demonstrate to be more or less relevant depending on the sex of the cohort under analysis and the classification label (risk of falls and mortality). In each case, the minimum size subset of relevant features is provided to show the maximum accuracy prediction capability. Gait speed has been largely used as the single feature for the prediction fall risk among older adults. Nevertheless, prediction accuracy can be substantially improved, reaching 70% in some cases, if the task of training and testing the model takes into account some other features, namely, sex, age and gait kinematic parameters. Therefore we recommend considering sex, age and step regularity to predict fall-risk.Publication Open Access Impacto en el personal sanitario de urgencias extrahospitalarias de las cargas elevadas en la movilización de pacientes con silla de transporte(Asociación de Especialistas en Enfermería del Trabajo, 2018) Arenal Gota, Tania; Viana Gárriz, Juan Luis; Millor Muruzábal, Nora; Martínez Ramírez, Alicia; Gómez Fernández, Marisol; Belzunegui Otano, Tomás; Estadística, Informática y Matemáticas; Estatistika, Informatika eta Matematika; Ciencias de la Salud; Osasun ZientziakIntroducción. El objetivo del estudio es valorar el esfuerzo físico realizado por el personal de la urgencia extrahospitalaria al trasladar pacientes de su domicilio a la ambulancia. Material y métodos. Estudio observacional transversal con un muestreo no probabilístico de conveniencia. Se comparan tres grupos: bomberos, mujeres y hombres técnicos en emergencias sanitarias (TES), utilizando sensores inerciales con los que obtenemos datos relativos del movimiento que ejecutan 10 profesionales sanitarios del ámbito extrahospitalario (4 bomberos y 6 TES) al bajar un paciente por las escaleras en condiciones similares a una urgencia. Resultados. Los sujetos que se encuentran en la posición de arriba en el desplazamiento de la carga presentan mayor aceleración en el plano suelo-techo y en la pierna izquierda. Las mujeres presentaron mayor aceleración en piernas y brazos que el resto, sin embargo, es en los brazos donde es significativamente superior. Cuando el sujeto que está en la posición de abajo en el desplazamiento de la carga, bajando la silla de espaldas, la aceleración de las piernas es superior que al bajarla en sentido de la marcha. Conclusiones. Los sujetos presentan mayor aceleración en piernas, siendo el lugar del cuerpo que sufre la suma del peso del paciente y del trabajador. Las mujeres presentan una mayor aceleración por lo que su esfuerzo físico es más acusado. Bajar la silla en sentido de la marcha, disminuye la aceleración en las piernas por lo que está posición es ergonómicamente mejor. Cuanto mayor es la estabilidad al bajar la silla y mayor seguridad del trabajador al desempeñar este trabajo, disminuye su aceleración y por lo tanto el esfuerzo físico que realiza.Publication Open Access An evaluation of the 30-s chair stand test in older adults: frailty detection based on kinematic parameters from a single inertial unit(BioMed Central, 2013) Millor Muruzábal, Nora; Lecumberri Villamediana, Pablo; Gómez Fernández, Marisol; Martínez Ramírez, Alicia; Izquierdo Redín, Mikel; Matemáticas; Ciencias de la Salud; Matematika; Osasun Zientziak; Gobierno de Navarra / Nafarroako GobernuaBackground: A growing interest in frailty syndrome exists because it is regarded as a major predictor of co-morbidities and mortality in older populations. Nevertheless, frailty assessment has been controversial, particularly when identifying this syndrome in a community setting. Performance tests such as the 30-second chair stand test (30-s CST) are a cornerstone for detecting early declines in functional independence. Additionally, recent advances in body-fixed sensors have enhanced the sensors’ ability to automatically and accurately evaluate kinematic parameters related to a specific movement performance. The purpose of this study is to use this new technology to obtain kinematic parameters that can identify frailty in an aged population through the performance the 30-s CST. Methods: Eighteen adults with a mean age of 54 years, as well as sixteen pre-frail and thirteen frail patients with mean ages of 78 and 85 years, respectively, performed the 30-s CST while threir trunk movements were measured by a sensor-unit at vertebra L3. Sit-stand-sit cycles were determined using both acceleration and orientation information to detect failed attempts. Movement-related phases (i.e. impulse, stand-up, and sit-down) were differentiated based on seat off and seat on events. Finally, the kinematic parameters of the impulse, stand-up and sit-down phases were obtained to identify potential differences across the three frailty groups. Results: For the stand-up and sit-down phases, velocity peaks and “modified impulse” parameters clearly differentiated subjects with different frailty levels (p < 0.001). The trunk orientation range during the impulse phase was also able to classify a subject according to his frail syndrome (p < 0.001). Furthermore, these parameters derived from the inertial units (IUs) are sensitive enough to detect frailty differences not registered by the number of completed cycles which is the standard test outcome. Conclusions: This study shows that IUs can enhance the information gained from tests currently used in clinical practice, such as the 30-s CST. Parameters such as velocity peaks, impulse, and orientation range are able to differentiate between adults and older populations with different frailty levels. This study indicates that early frailty detection could be possible in clinical environments, and the subsequent interventions to correct these disabilities could be prescribed before further degradation occurs.Publication Open Access Women, Science and Technology Chair—Promoting women’s careers in stem fields(IEEE, 2023) Pérez Artieda, Miren Gurutze; Gómez Fernández, Marisol; Aranguren Garacochea, Patricia; Barrenechea Tartas, Edurne; Catalán Ros, Leyre; Díaz Lucas, Silvia; Jurío Munárriz, Aránzazu; Martínez Ramírez, Alicia; Millor Muruzábal, Nora; Ortiz Nicolás, Amalia; San Martín Biurrun, Idoia; Estadística, Informática y Matemáticas; Ingeniería; Ingeniería Eléctrica, Electrónica y de Comunicación; Estatistika, Informatika eta Matematika; Ingeniaritza; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio IngeniaritzarenThe Chair of Women, Science and Technology of the Universidad Pública de Navarra (UPNA) aims to increase the participation of women in the fields of science and technology. Scientific culture and dissemination are the main focus of the different actions of the Chair. These activities include: the theatrical performance "Yo quiero ser científica", experimental workshops and conferences and exhibitions for all audiences and ages. More than 6.000 people have seen the play, more than 1.500 secondary school students have participated in the workshops and the audiovisual material has received more than 20.000 visits.Publication Open Access Frailty assessment based on trunk kinematic parameters during walking(BioMed Central, 2015) Martínez Ramírez, Alicia; Martinikorena Aranburu, Ion; Gómez Fernández, Marisol; Lecumberri Villamediana, Pablo; Millor Muruzábal, Nora; Rodríguez Mañas, Leocadio; García García, Francisco José; Izquierdo Redín, Mikel; Matemáticas; MatematikaBackground: Physical frailty has become the center of attention of basic, clinical and demographic research due to its incidence level and gravity of adverse outcomes with age. Frailty syndrome is estimated to affect 20 % of the population older than 75 years. Thus, one of the greatest current challenges in this field is to identify parameters that can discriminate between vulnerable and robust subjects. Gait analysis has been widely used to predict frailty. The aim of the present study was to investigate whether a collection of parameters extracted from the trunk acceleration signals could provide additional accurate information about frailty syndrome. Methods: A total of 718 subjects from an elderly population (319 males, 399 females; age: 75.4 ± 6.1 years, mass: 71.8 ± 12.4 kg, height: 158 ± 6 cm) volunteered to participate in this study. The subjects completed a 3-m walk test at their own gait velocity. Kinematic data were acquired from a tri-axial inertial orientation tracker. Findings: The spatio-temporal and frequency parameters measured in this study with an inertial sensor are related to gait disorders and showed significant differences among groups (frail, pre-frail and robust). A selection of those parameters improves frailty classification obtained to gait velocity, compared to classification model based on gait velocity solely. Interpretation: Gait parameters simultaneously used with gait velocity are able to provide useful information for a more accurate frailty classification. Moreover, this technique could improve the early detection of pre-frail status, allowing clinicians to perform measurements outside of a laboratory environment with the potential to prescribe a treatment for reversing their physical decline.Publication Open Access Modeling of noisy acceleration signals from quasi-periodic movements for drift-free position estimation(IEEE, 2019) Zivanovic, M; Millor, N; Gomez, M; Gómez Fernández, Marisol; Millor Muruzábal, Nora; Zivanovic Jeremic, Miroslav; Estadística, Informática y Matemáticas; Ingeniería Eléctrica, Electrónica y de Comunicación; Estatistika, Informatika eta Matematika; Ingeniaritza Elektrikoa, Elektronikoaren eta Telekomunikazio IngeniaritzarenWe present a novel approach to drift-free position estimation from noisy acceleration signals which often arise from quasi-periodic small-amplitude body movements. In contrast to the existing methods, this data-driven strategy is designed to properly describe time-variant harmonic structures in single-channel acceleration signals for low signal-to-noise ratios. Methods: It comprises three processing steps: (1) shorttime modeling of acceleration dynamics (instantaneous harmonic amplitudes and phases) in the analysis frame, (2) analytical integration which yields short-time position, and (3) overlap-add recombination for full length position synthesis. Results: The comparative results, obtained from the medio-lateral Xacceleration components from 30s Chair Stand Test recordings, suggest that the proposed method outperforms two state-of-theart reference methods in terms of Euclidean error, root mean square error, correlation coefficient and harmonic-to-noise ratio. Conclusion: A major benefit of the method is that acceleration signal components unrelated to movement are suppressed in the whole analysis bandwidth, which allows for position estimation completely free of low-frequency artifacts. Significance: We believe that the method can be useful in frailty assessment in elderly population, as well as in clinical applications related to gait analysis in aging and rehabilitation.