Hypoglycaemia detection using fuzzy inference system with multi-objective double wavelet mutation Differential Evolution

In this paper, a fuzzy inference system (FIS) is developed to recognize hypoglycaemic episodes. Hypoglycaemia (low blood glucose level) is a common and serious side effect of insulin therapy for patients with diabetes. We measure some physiological parameters continuously to provide hypoglycaemia detection for Type 1 diabetes mellitus (TIDM) patients. The FIS captures the relationship between the inputs of heart rate (HR), corrected QT interval of the electrocardiogram (ECG) signal (QTc), change of HR, change of QT c and the output of hypoglycaemic episodes to perform the classification. An algorithm called Differential Evolution with Double Wavelet Mutation (DWM-DE) is introduced to optimize the FIS parameters that govern the membership functions and fuzzy rules. DWM-DE is an improved Differential Evolution algorithm that incorporates two wavelet-based operations to enhance the optimization performance. To prevent the phenomenon of overtraining (over-fitting), a validation approach is proposed. Moreover, in this problem, two targets of sensitivity and specificity should be met in order to achieve good performance. As a result, a multi-objective optimization using DWM-DE is introduced to perform the training of the FIS. Experiments using the data of 15 children with TIDM (569 data points) are studied. The data are randomly organized into a training set with 5 patients (199 data points), a validation set with 5 patients (177 data points) and a testing set with 5 patients (193 data points). The result shows that the proposed FIS tuned by the multi-objective DWM-DE can offer good performance of doing classification. © 2012 Elsevier B.V. All rights reserved

New Hybrid Non-Dominated Sorting Differential Evolutionary Algorithm

This paper presents a new multi objective optimization algorithm with the aim of complete coverage, faster global convergence and higher solution quality. In this technique, the high-speed characteristic of particle swarm optimization (PSO) is combined with non-dominated differential evolutionary (NSDE) and an efficient multi objective optimization algorithm is created. This method posses high convergence characteristic in quite less execution times. Generating fewer populations to find the Pareto front also makes the proposed algorithm use less memory. For the purpose of performance evaluation, the algorithm is verified with four benchmarking functions on its global optimal search ability and compared with two recognized algorithm to assess its diversity. The capability of the suggested algorithm in solving practical engineering problems such as power system protection is also studied and the results are discussed in detail

New Hybrid Non-Dominated Sorting Differential Evolutionary Algorithm

This paper presents a new multi objective optimization algorithm with the aim of complete coverage, faster global convergence and higher solution quality. In this technique, the high-speed characteristic of particle swarm optimization (PSO) is combined with non-dominated differential evolutionary (NSDE) and an efficient multi objective optimization algorithm is created. This method posses high convergence characteristic in quite less execution times. Generating fewer populations to find the Pareto front also makes the proposed algorithm use less memory. For the purpose of performance evaluation, the algorithm is verified with four benchmarking functions on its global optimal search ability and compared with two recognized algorithm to assess its diversity. The capability of the suggested algorithm in solving practical engineering problems such as power system protection is also studied and the results are discussed in detail

EDMON - Electronic Disease Surveillance and Monitoring Network: A Personalized Health Model-based Digital Infectious Disease Detection Mechanism using Self-Recorded Data from People with Type 1 Diabetes

Through time, we as a society have been tested with infectious disease outbreaks of different magnitude, which often pose major public health challenges. To mitigate the challenges, research endeavors have been focused on early detection mechanisms through identifying potential data sources, mode of data collection and transmission, case and outbreak detection methods. Driven by the ubiquitous nature of smartphones and wearables, the current endeavor is targeted towards individualizing the surveillance effort through a personalized health model, where the case detection is realized by exploiting self-collected physiological data from wearables and smartphones. This dissertation aims to demonstrate the concept of a personalized health model as a case detector for outbreak detection by utilizing self-recorded data from people with type 1 diabetes. The results have shown that infection onset triggers substantial deviations, i.e. prolonged hyperglycemia regardless of higher insulin injections and fewer carbohydrate consumptions. Per the findings, key parameters such as blood glucose level, insulin, carbohydrate, and insulin-to-carbohydrate ratio are found to carry high discriminative power. A personalized health model devised based on a one-class classifier and unsupervised method using selected parameters achieved promising detection performance. Experimental results show the superior performance of the one-class classifier and, models such as one-class support vector machine, k-nearest neighbor and, k-means achieved better performance. Further, the result also revealed the effect of input parameters, data granularity, and sample sizes on model performances. The presented results have practical significance for understanding the effect of infection episodes amongst people with type 1 diabetes, and the potential of a personalized health model in outbreak detection settings. The added benefit of the personalized health model concept introduced in this dissertation lies in its usefulness beyond the surveillance purpose, i.e. to devise decision support tools and learning platforms for the patient to manage infection-induced crises

Strategies for Untargeted Biomarker Discovery in Biological Fluids

The health status of an organism modulates the dynamic and complex interplay of biochemical species that make-up the body and fluids of the organism. As such, these biological fluids are routinely used for diagnostic testing, yet they are often not used to their full potential. For instance, amniotic fluid (AF), the fluid that surrounds the fetus during gestation, is collected primarily for genetic testing from women with identified risk factors. The AF proteome and/or metabolome are seldom considered and represent a largely untapped wealth of relevant clinical information. Extensive, multi-analyte data can be collected from biological samples with modern analytical instrumentation. However, sophisticated data preprocessing and analysis (i.e. chemometrics) are required to reveal the relationships between the biochemical signals and the health status. This thesis seeks to demonstrate that untargeted biomarker discovery strategies can be efficiently applied to the task of finding novel biomarkers and complement the traditional hypothesis driven approaches. In the work underlying this thesis, a chemometric data analysis strategy was developed to search for biomarkers in capillary electrophoresis (CE) separations data. The absorbance data from amniotic fluid samples (n=107) collected at 15 weeks gestation, at 195 +/- 4 nm, was normalized, time aligned with Correlation Optimized Warping and reduced to a smaller number of variables by Haar transformation. The reduced data was then classified into normal or abnormal health classes by using a Bayes classifier algorithm. The chemometric data analysis was first employed to find biomarkers of gestational diabetes mellitus (GDM) and revealed that human serum albumin (HSA) could predict the early onset of disease. The same approach was successfully used to identify cases of large-for-gestational age (LGA) with the same AF CE-UV data. It was also employed for the classification of embryos with high and low reproductive potential using in vitro fertilization (IVF) culture media analyzed by CE-UV. Overall, a chemometric method was developed to perform untargeted biomarker discovery in biological samples and provide new means to detect GDM pregnancies, LGA neonates and viable embryos in IVF. The method was successful at identifying biomarkers of interest and showed high flexibility and transferability to other biological fluids