Classifying obstructive sleep apnea using smartphones

AbstractObstructive sleep apnea (OSA) is a serious sleep disorder which is characterized by frequent obstruction of the upper airway, often resulting in oxygen desaturation. The serious negative impact of OSA on human health makes monitoring and diagnosing it a necessity. Currently, polysomnography is considered the gold standard for diagnosing OSA, which requires an expensive attended overnight stay at a hospital with considerable wiring between the human body and the system. In this paper, we implement a reliable, comfortable, inexpensive, and easily available portable device that allows users to apply the OSA test at home without the need for attended overnight tests. The design takes advantage of a smatrphone’s built-in sensors, pervasiveness, computational capabilities, and user-friendly interface to screen OSA. We use three main sensors to extract physiological signals from patients which are (1) an oximeter to measure the oxygen level, (2) a microphone to record the respiratory effort, and (3) an accelerometer to detect the body’s movement. Finally, we examine our system’s ability to screen the disease as compared to the gold standard by testing it on 15 samples. The results showed that 100% of patients were correctly identified as having the disease, and 85.7% of patients were correctly identified as not having the disease. These preliminary results demonstrate the effectiveness of the developed system when compared to the gold standard and emphasize the important role of smartphones in healthcare

ARTIFICIAL INTELLIGENCE-ENABLED EDGE-CENTRIC SOLUTION FOR AUTOMATED ASSESSMENT OF SLEEP USING WEARABLES IN SMART HEALTH

ARTIFICIAL INTELLIGENCE-ENABLED EDGE-CENTRIC SOLUTION FOR AUTOMATED ASSESSMENT OF SLEEP USING WEARABLES IN SMART HEALT

Bionic for Training: Smart Framework Design for Multisensor Mechatronic Platform Validation

: Home monitoring supports the continuous improvement of the therapy by sharing data with healthcare professionals. It is required when life-threatening events can still occur after hospital discharge such as neonatal apnea. However, multiple sources of external noise could affect data quality and/or increase the misdetection rate. In this study, we developed a mechatronic platform for sensor characterizations and a framework to manage data in the context of neonatal apnea. The platform can simulate the movement of the abdomen in different plausible newborn positions by merging data acquired simultaneously from three-axis accelerometers and infrared sensors. We simulated nine apnea conditions combining three different linear displacements and body postures in the presence of self-generated external noise, showing how it is possible to reduce errors near to zero in phenomena detection. Finally, the development of a smart 8Ws-based software and a customizable mobile application were proposed to facilitate data management and interpretation, classifying the alerts to guarantee the correct information sharing without specialized skills

Bionic for training: Smart framework design for multisensor mechatronic platform validation

Home monitoring supports the continuous improvement of the therapy by sharing data with healthcare professionals. It is required when life-threatening events can still occur after hospital discharge such as neonatal apnea. However, multiple sources of external noise could affect data quality and/or increase the misdetection rate. In this study, we developed a mechatronic platform for sensor characterizations and a framework to manage data in the context of neonatal apnea. The platform can simulate the movement of the abdomen in different plausible newborn positions by merging data acquired simultaneously from three-axis accelerometers and infrared sensors. We simulated nine apnea conditions combining three different linear displacements and body postures in the presence of self-generated external noise, showing how it is possible to reduce errors near to zero in phenomena detection. Finally, the development of a smart 8Ws-based software and a customizable mobile application were proposed to facilitate data management and interpretation, classifying the alerts to guarantee the correct information sharing without specialized skills

IoT-Based Wireless Polysomnography Intelligent System for Sleep Monitoring

© 2013 IEEE. Polysomnography (PSG) is considered the gold standard in the diagnosis of obstructive sleep apnea (OSA). The diagnosis of OSA requires an overnight sleep experiment in a laboratory. However, due to limitations in relation to the number of labs and beds available, patients often need to wait a long time before being diagnosed and eventually treated. In addition, the unfamiliar environment and restricted mobility when a patient is being tested with a polysomnogram may disturb their sleep, resulting in an incomplete or corrupted test. Therefore, it is posed that a PSG conducted in the patient's home would be more reliable and convenient. The Internet of Things (IoT) plays a vital role in the e-Health system. In this paper, we implement an IoT-based wireless polysomnography system for sleep monitoring, which utilizes a battery-powered, miniature, wireless, portable, and multipurpose recorder. A Java-based PSG recording program in the personal computer is designed to save several bio-signals and transfer them into the European data format. These PSG records can be used to determine a patient's sleep stages and diagnose OSA. This system is portable, lightweight, and has low power-consumption. To demonstrate the feasibility of the proposed PSG system, a comparison was made between the standard PSG-Alice 5 Diagnostic Sleep System and the proposed system. Several healthy volunteer patients participated in the PSG experiment and were monitored by both the standard PSG-Alice 5 Diagnostic Sleep System and the proposed system simultaneously, under the supervision of specialists at the Sleep Laboratory in Taipei Veteran General Hospital. A comparison of the results of the time-domain waveform and sleep stage of the two systems shows that the proposed system is reliable and can be applied in practice. The proposed system can facilitate the long-Term tracing and research of personal sleep monitoring at home

A Declaratory Model of Generalized Regression Neural Network (GRNN) for Estimating Sleep Apnea Index in the Elderly Suffering from Sleep Disturbance

Objective: The main objective of this paper is to present a novel model for classifying senior patients into different apnea/hypopnea index (AHI) categories based on their clinical variables.Methods and Materials: The proposed model is a generalized regression neural network (GRNN). Three important variables were first selected from the original 30 clinical variables. The GRNN was trained using 75 patients that were randomly selected from the total117 patients. The remaining 42 patients were used for testing GRNN model. The design parameter of the network, i.e., the spread of the radial basis function, was empirically optimized. To alleviate the model complexity, the original AHI values were dichotomized into two different groups, i.e., AHI>13 and AHI<=13. The use of GRNN for this application appear fairly novel, notwithstanding that there is a host of literatures on predicting obstructive sleep apnea (OSA) syndrome from demographic or other easy means to assess clinical variables.Results: The proposed model has sensitivity and specificity of 95.7% and 50.0%, respectively, for the training cases, while 88.0% and 52.9%, respectively, for the testing cases.Conclusion: The proposed neural network model has outperformed existing classification approaches in terms of classification accuracy and generalization, thus it can be potentially used in clinical applications, which would lead to a reduction of the necessity of in-laboratory nocturnal sleep studies

Chapter 5: RetroGuide Evaluation

Journal ArticleThis chapter presents a RetroGuide (RG) evaluation study which was conducted to assess the flowchart-based modeling approach. This study complements the previously presented case studies in an overall effort to evaluate the RG project. The evaluation was targeted at informatics users with small to moderate analytical experience. Due to RG's key developmental goal to lower the technological barriers for novice users to analyze data stored in an Enterprise Data Warehouse (EDW), this specific target group was deemed most appropriate for the evaluation. A literature review was conducted, looking at how projects similar in nature to RG were evaluated and what study designs and potential measures were used. This review is described in section 5.2. The rest of the chapter describes the design, methodology, results, and discussion of the RG evaluation. This resource structure validation study compared RG with SQL-based tools using a sample of nonexpert users. Using the R G approach, the subjects achieved significantly higher scores in solving analytical tasks, and also scored higher in tasks which required understanding of given analytical solutions. The study demonstrated that most users preferred RG to SQL because RG was easier to learn, it better supported temporal tasks, and it seemed to be a more logical modeling paradigm. Using UTAUT technology acceptance prediction model, the study results suggest that a fully developed, RG-like technology likely would be well accepted by users

Social analytics for health integration, intelligence, and monitoring

Nowadays, patient-generated social health data are abundant and Healthcare is changing from the authoritative provider-centric model to collaborative and patient-oriented care. The aim of this dissertation is to provide a Social Health Analytics framework to utilize social data to solve the interdisciplinary research challenges of Big Data Science and Health Informatics. Specific research issues and objectives are described below. The first objective is semantic integration of heterogeneous health data sources, which can vary from structured to unstructured and include patient-generated social data as well as authoritative data. An information seeker has to spend time selecting information from many websites and integrating it into a coherent mental model. An integrated health data model is designed to allow accommodating data features from different sources. The model utilizes semantic linked data for lightweight integration and allows a set of analytics and inferences over data sources. A prototype analytical and reasoning tool called “Social InfoButtons” that can be linked from existing EHR systems is developed to allow doctors to understand and take into consideration the behaviors, patterns or trends of patients’ healthcare practices during a patient’s care. The tool can also shed insights for public health officials to make better-informed policy decisions. The second objective is near-real time monitoring of disease outbreaks using social media. The research for epidemics detection based on search query terms entered by millions of users is limited by the fact that query terms are not easily accessible by non-affiliated researchers. Publically available Twitter data is exploited to develop the Epidemics Outbreak and Spread Detection System (EOSDS). EOSDS provides four visual analytics tools for monitoring epidemics, i.e., Instance Map, Distribution Map, Filter Map, and Sentiment Trend to investigate public health threats in space and time. The third objective is to capture, analyze and quantify public health concerns through sentiment classifications on Twitter data. For traditional public health surveillance systems, it is hard to detect and monitor health related concerns and changes in public attitudes to health-related issues, due to their expenses and significant time delays. A two-step sentiment classification model is built to measure the concern. In the first step, Personal tweets are distinguished from Non-Personal tweets. In the second step, Personal Negative tweets are further separated from Personal Non-Negative tweets. In the proposed classification, training data is labeled by an emotion-oriented, clue-based method, and three Machine Learning models are trained and tested. Measure of Concern (MOC) is computed based on the number of Personal Negative sentiment tweets. A timeline trend of the MOC is also generated to monitor public concern levels, which is important for health emergency resource allocations and policy making. The fourth objective is predicting medical condition incidence and progression trajectories by using patients’ self-reported data on PatientsLikeMe. Some medical conditions are correlated with each other to a measureable degree (“comorbidities”). A prediction model is provided to predict the comorbidities and rank future conditions by their likelihood and to predict the possible progression trajectories given an observed medical condition. The novel models for trajectory prediction of medical conditions are validated to cover the comorbidities reported in the medical literature