Overview
Associate Professor Shieak Tzeng.
We are dedicated to improving patient outcomes through innovation at the point of care. Optimised monitoring and objective, informed decision-making can revolutionise patient care and save lives.
Using our translational expertise, we marry medical engineering and statistical modelling with the aim of empowering clinicians to make better informed decisions at the bedside.
Our extensive team includes clinicians, neonatologists, physicists, neuroscientists, data scientists, and animal technicians.
Contact
Associate Professor Shieak Tzeng
Tel +64 4 918 5229
Email shieak.tzeng@otago.ac.nz
Research
Decision-making software
The Precision Health in Surgical and Intensive Care (PHySIC) group, is combining active clinical research, novel clinical databases, and machine learning, to determine patient status and needs in critical care.
PHySIC is an open source, anonymous archive database holding continuous wave-form data alongside the usual clinical information sourced from ICU’s and intraoperative spaces across New Zealand’s District Health Boards.
Through relationships with Wellington Regional Hospital, Capital Coast DHB, and clinical collaborators, our team are actively working towards the creation of a novel, New Zealand-specific medical database based on MIT’s MIMIC (Multi-parameter Intelligent Monitoring in Intensive Care).
Data scientists and machine learning experts at the University of Otago, Wellington, and Victoria University Wellington are using the PHySIC database to create predictive models for the likes of sepsis and cardiac surgery risk, the potential for innovating treatment with predictive models extends to every corner of New Zealand critical care.
Medical engineering
Translational and clinical researchers at the University of Otago Wellington campus have partnered with physicists and engineers at Victoria University Wellington with the aim to innovate bedside brain-health detection.
Through this collaboration, they hope to validate brain diagnoses and monitoring in an accessible paradigm. Making these capabilities more available will empower more clinicians in their decision making and lead to better care of critical neurological disorders.
Research facilities
The Centre for Translational Physiology at the University of Otago can offer unique research facilities such as:
- GENESIS environmental chamber able to simulate a variety of extreme environmental conditions by altering temperature, humidity and altitude.
- Whole body room calorimeter
- DXA scanner
- Ultrasound (transcranial, vascular, cardiac)
- Near-infrared spectroscopy
- Cardiopulmonary bypass
- Wireless physiological monitoring
Our people
The team, led from University of Otago Wellington campus, includes physiologists, surgeons, neonatologists, and engineers.
Point-of-care research leader
Associate Professor Shieak Tzeng, systems physiology and biomedical signal processing
Investigators
- Mr Waqar Aziz, PhD student, PHySIC
- Dr Max Berry, PHySIC
- Dr Maria Saito-Benz, PhD student, PHySIC
- Associate Professor Paul Teal, PHySIC
External collaborators
- Dr Sergei Obruchkov, Victoria University of Wellington
- Mr Dion Thomas, PhD student, Victoria University of Wellington
Publications
Barclay, H., Mukerji, S., Kayser, B., O'Donnell, T., Tzeng, Y.-C., Hill, S., … Fan, J.-L. (2021). Respiratory alkalinization and posterior cerebral artery dilatation predict acute mountain sickness severity during 10 h normobaric hypoxia. Experimental Physiology, 106, 175-190. doi: 10.1113/EP088938
Fan, J.-L., O'Donnell, T., Lanford, J., Croft, K., Watson, E., Smyth, D., … Tzeng, Y.-C. (2020). Dietary nitrate reduces blood pressure and cerebral artery velocity fluctuations and improve cerebral autoregulation in transient ischemic attack patients. Journal of Applied Physiology, 129, 547-557. doi: 10.1152/japplphysiol.00160.2020
Ali, H., Brooks, C., Crane, J., Beasley, R., Le Gros, G., Holgate, S., … Pattemore, P., Tzeng, S., … Douwes, J. (2020). Autonomic nervous system activity in adolescent asthma. Respirology, 25(Suppl. 1), (pp. 38). doi: 10.1111/resp.13777
Fan, J.-L., O'Donnell, T., Gray, C. L., Croft, K., Noakes, A. K., Koch, H., & Tzeng, Y.-C. (2019). Dietary nitrate supplementation enhances cerebrovascular CO2 reactivity in a sex-specific manner. Journal of Applied Physiology, 127, 760-769. doi: 10.1152/japplphysiol.01116.2018
Saito-Benz, M., Gray, C., Tzeng, Y.-C., Atkinson, G., & Berry, M. J. (2019). Cerebral oxygenation and cardiorespiratory stability following liberal transfusion in preterm neonates [Brief report]. Acta Paediatrica, 108, 559-561. doi: 10.1111/apa.14631
Journal - Research Article
Barclay, H., Mukerji, S., Kayser, B., O'Donnell, T., Tzeng, Y.-C., Hill, S., … Fan, J.-L. (2021). Respiratory alkalinization and posterior cerebral artery dilatation predict acute mountain sickness severity during 10 h normobaric hypoxia. Experimental Physiology, 106, 175-190. doi: 10.1113/EP088938
Fan, J.-L., O'Donnell, T., Lanford, J., Croft, K., Watson, E., Smyth, D., … Tzeng, Y.-C. (2020). Dietary nitrate reduces blood pressure and cerebral artery velocity fluctuations and improve cerebral autoregulation in transient ischemic attack patients. Journal of Applied Physiology, 129, 547-557. doi: 10.1152/japplphysiol.00160.2020
Fan, J.-L., O'Donnell, T., Gray, C. L., Croft, K., Noakes, A. K., Koch, H., & Tzeng, Y.-C. (2019). Dietary nitrate supplementation enhances cerebrovascular CO2 reactivity in a sex-specific manner. Journal of Applied Physiology, 127, 760-769. doi: 10.1152/japplphysiol.01116.2018
Allan, P. D., O'Donnell, T., & Tzeng, Y.-C. (2018). Agreement between finger plethysmography- and brachial oscillometry-derived blood pressure measurements. Clinical Physiology & Functional Imaging, 38(3), 439-446. doi: 10.1111/cpf.12435
Allan, P. D., Tzeng, Y.-C., Gowing, E. K., Clarkson, A. N., & Fan, J.-L. (2018). Dietary nitrate supplementation reduces low frequency blood pressure fluctuations in rats following distal middle cerebral artery occlusion. Journal of Applied Physiology, 125(3), 862-869. doi: 10.1152/japplphysiol.01081.2017
Saleem, S., Vucina, D., Sarafis, Z., Lee, A. H. X., Squair, J. W., Barak, O. F., … Tzeng, Y.-C., & Phillips, A. A. (2018). Wavelet decomposition analysis is a clinically relevant strategy to evaluate cerebrovascular buffering of blood pressure after spinal cord injury. American Journal of Physiology: Heart & Circulatory Physiology, 314(5), H1108-H1114. doi: 10.1152/ajpheart.00152.2017
Saleem, S., Teal, P. D., Howe, C. A., Tymko, M. M., Ainslie, P. N., & Tzeng, Y.-C. (2018). Is Cushing mechanism a dynamic blood pressure stabilizing system? Insights from Granger causality analysis of spontaneous blood pressure and cerebral blood flow. American Journal of Physiology: Regulatory, Integrative & Comparative Physiology, 315(3), R484-R495. doi: 10.1152/ajpregu.00032.2018
Malenfant, S., Brassard, P., Paquette, M., Le Blanc, O., Chouinard, A., Nadeau, V., Allan, P. D., Tzeng, Y.-C., … Provencher, S. (2017). Compromised cerebrovascular regulation and cerebral oxygenation in pulmonary arterial hypertension. Journal of the American Heart Association, 6(10), e006126. doi: 10.1161/jaha.117.006126
Faulkner, J., Tzeng, Y.-C., Lambrick, D., Woolley, B., Allan, P. D., O'Donnell, T., Lanford, J., Wong, L., & Stoner, L. (2017). A randomized controlled trial to assess the central hemodynamic response to exercise in patients with transient ischaemic attack and minor stroke. Journal of Human Hypertension, 31, 172-177. doi: 10.1038/jhh.2016.72
Phillips, A. A., Squair, J., Currie, K., Tzeng, Y.-C., Ainslie, P., & Krassioukov, A. V. (2017). 2015 ParaPan American Games: Autonomic function, but not physical activity, is associated with vascular-cognitive impairment in spinal cord injury. Journal of Neurotrauma, 34(6), 1283-1288. doi: 10.1089/neu.2016.4751
Saleem, S., Tzeng, Y.-C., Kleijn, W. B., & Teal, P. D. (2017). Detection of impaired sympathetic cerebrovascular control using functional biomarkers based on principal dynamic mode analysis. Frontiers in Physiology, 7, 685. doi: 10.3389/fphys.2016.00685
Witter, T., Tzeng, Y.-C., O'Donnell, T., Kusel, J., Walker, B., Berry, M., & Taylor, C. E. (2017). Inter-individual relationships between sympathetic arterial baroreflex function and cerebral perfusion control in healthy males. Frontiers in Neuroscience, 11, 457. doi: 10.3389/fnins.2017.00457
Saleem, S., Teal, P. D., Kleijn, W. B., Ainslie, P. N., & Tzeng, Y.-C. (2016). Identification of human sympathetic neurovascular control using multivariate wavelet decomposition analysis. American Journal of Physiology: Heart & Circulatory Physiology, 311(3), H837-H848. doi: 10.1152/ajpheart.00254.2016
Smirl, J. D., Hoffman, K., Tzeng, Y.-C., Hansen, A., & Ainslie, P. N. (2016). The relationship between blood pressure and cerebral blood flow during supine cycling: Influence of aging. Journal of Applied Physiology, 120(5), 552-563. doi: 10.1152/japplphysiol.00667.2015
Saleem, S., Teal, P. D., Kleijn, W. B., O'Donnell, T., Witter, T., & Tzeng, Y.-C. (2015). Non-linear characterisation of cerebral pressure-flow dynamics in humans. PLoS ONE, 10(9), e0139470. doi: 10.1371/journal.pone.0139470
Horsman, H. M., Peebles, K. C., & Tzeng, Y. C. (2015). Interactions between breathing rate and low-frequency fluctuations in blood pressure and cardiac intervals. Journal of Applied Physiology, 119, 793-798. doi: 10.1152/japplphysiol.00525.2015
Rickards, C. A., Sprick, J. D., Colby, H. B., Kay, V., & Tzeng, Y.-C. (2015). Coupling between arterial pressure, cerebral blood velocity, and cerebral tissue oxygenation with spontaneous and forced oscillations. Physiological Measurement, 36(4), 785-801. doi: 10.1088/0967-3334/36/4/785
Smirl, J. D., Hoffman, K., Tzeng, Y.-C., Hansen, A., & Ainslie, P. N. (2015). Methodological comparison of active- and passive-driven oscillations in blood pressure: Implications for the assessment of cerebral pressure-flow relationships. Journal of Applied Physiology, 119(5), 487-501. doi: 10.1152/japplphysiol.00264.2015
Allan, P. D., Faulkner, J., O'Donnell, T., Lanford, J., Wong, L., Saleem, S., … Tzeng, Y.-C. (2015). Hemodynamic variability and cerebrovascular control after transient cerebral ischemia. Physiological Reports, 3(11), e12602. doi: 10.14814/phy2.12602
Rickards, C. A., & Tzeng, Y.-C. (2014). Arterial pressure and cerebral blood flow variability: Friend or foe? A review. Frontiers in Physiology, 5, 120. doi: 10.3389/fphys.2014.00120
Meel-van den Abeelen, A. S. S., Simpson, D. M., Wang, L. J. Y., Slump, C. H., Zhang, R., Tarumi, T., … Tzeng, Y.-C., … Claassen, J. A. H. R. (2014). Between-centre variability in transfer function analysis, a widely used method for linear quantification of the dynamic pressure-flow relation: The CARNet study. Medical Engineering & Physics, 36(5), 620-627. doi: 10.1016/j.medengphy.2014.02.002
Smirl, J. D., Tzeng, Y. C., Monteleone, B. J., & Ainslie, P. N. (2014). Influence of cerebrovascular resistance on the dynamic relationship between blood pressure and cerebral blood flow in humans. Journal of Applied Physiology, 116(12), 1614-1622. doi: 10.1152/japplphysiol.01266.2013
Horsman, H. M., Tzeng, Y. C., Galletly, D. C., & Peebles, K. C. (2014). The repeated sit-to-stand manoeuvre is a superior method for cardiac baroreflex assessment: A comparison with the modified Oxford method and Valsalva manoeuvre. American Journal of Physiology: Regulatory, Integrative & Comparative Physiology, 307(11), R1345-R1352. doi: 10.1152/ajpregu.00376.2014
Berry, M., Tzeng, Y., & Marsland, C. (2014). Percutaneous transtracheal ventilation in an obstructed airway model in post-apnoeic sheep. British Journal of Anaesthesia, 113(6), 1039-1045. doi: 10.1093/bja/aeu188
Tzeng, Y.-C., & Ainslie, P. N. (2014). Blood pressure regulation IX: Cerebral autoregulation under blood pressure challenges. European Journal of Applied Physiology, 114(3), 545-559. doi: 10.1007/s00421-013-2667-y
