Atrial fibrillation (AF) is a type of cardiac arrhythmia affecting millions of people every year. This disease increases the likelihood of strokes, heart failure, and even death. While dedicated medical-grade electrocardiogram (ECG) devices can enable gold-standard analysis, these devices are expensive and require clinical settings. Recent advances in the capabilities of general-purpose smartphones and wearable technology equipped with photoplethysmography (PPG) sensors increase diagnostic accessibility for most populations. This work aims to develop a single model that can generalize AF classification across the modalities of ECG and PPG with a unified knowledge representation. This is enabled by approximating the transformation of signals obtained from low-cost wearable PPG sensors in terms of Pulse Rate Variability (PRV) to temporal Heart Rate Variability (HRV) features extracted from medical-grade ECG. This paper proposes a one-dimensional deep convolutional neural network that uses HRV-derived features for classifying 30-s heart rhythms as normal sinus rhythm or atrial fibrillation from both ECG and PPG-based sensors. The model is trained with three MIT-BIH ECG databases and is assessed on a dataset of unseen PPG signals acquired from wrist-worn wearable devices through transfer learning. The model achieved the aggregate binary classification performance measures of accuracy: 95.50%, sensitivity: 94.50%, and specificity: 96.00% across a five-fold cross-validation strategy on the ECG datasets. It also achieved 95.10% accuracy, 94.60% sensitivity, 95.20% specificity on an unseen PPG dataset. The results show considerable promise towards seamless adaptation of gold-standard ECG trained models for non-ambulatory AF detection with consumer wearable devices through HRV-based knowledge transfer.
Obstructive sleep apnea (OSA) is a common, chronic, sleep-related breathing disorder characterized by partial or complete airway obstruction in sleep. The gold standard diagnosis method is polysomnography, which estimates disease severity through the Apnea-Hypopnea Index (AHI). However, this is expensive and not widely accessible to the public. For effective screening, this work implements machine learning algorithms for classification of OSA. The model is trained with routinely acquired clinical data of 1479 records from the Wisconsin Sleep Cohort dataset. Extracted features from the electronic health records include patient demographics, laboratory blood reports, physical measurements, habitual sleep history, comorbidities, and general health questionnaire scores. For distinguishing between OSA and non-OSA patients, feature selection methods reveal the primary important predictors as waist-to-height ratio, waist circumference, neck circumference, body-mass index, lipid accumulation product, excessive daytime sleepiness, daily snoring frequency and snoring volume. Optimal hyperparameters were selected using a hybrid tuning method consisting of Bayesian Optimization and Genetic Algorithms through a five-fold cross-validation strategy. Support vector machines achieved the highest evaluation scores with accuracy: 68.06%, sensitivity: 88.76%, specificity: 40.74%, F1-score: 75.96%, PPV: 66.36% and NPV: 73.33%. We conclude that routine clinical data can be useful in prioritization of patient referral for further sleep studies.
Distribution transformers are an integral part of the power distribution system network and emerging smart grids. With the increasing dynamic service requirements of consumers, there is a higher likelihood of transformer failures due to overloading, feeder line faults, and ineffective cooling. As a consequence, their general longevity has been diminished, and the maintenance efforts of utility providers prove inadequate in efficiently monitoring and detecting transformer conditions. Existing Supervisory Control and Data Acquisition (SCADA) metering points are sparsely allocated in the network, making fault detection in feeder lines limited. To address these issues, this work proposes an IoT system for real-time distribution transformer load monitoring and anomaly detection. The monitoring system consists of a low-cost IoT gateway and sensor module which collects a three-phase load current profile, and oil levels/temperature from a distributed transformer network, specifically at the feeder side. The data are communicated through the publish/subscribe paradigm to a cloud IoT pipeline and stored in a cloud database after processing. An anomaly detection algorithm in the form of Isolation Forest is implemented to intelligently detect likely faults within a time window of 24 h prior. A mobile application was implemented to interact with the cloud database, visualize the real-time conditions of the transformers, and track them geographically. The proposed work can therefore reduce transformer maintenance costs with real-time monitoring and facilitate predictive fault analysis.
With the increasing proliferation of embedded sensors in wearable devices, there is potential for modeling individual emotional and mental state variations. The popular measure for the quantification of emotions outlines the affective states of arousal and valences, with high and low being the discrete categories of interest. Recent works explore the discernability of digital behavior differences between groups with and without mental disorders. However, the interaction between physiological states and affective states within a predominantly depressive population remains to be studied with the aid of wearables. Despite the pervasiveness of emotional state inference through the tracking of ubiquitous physiological trackers such as heart rate, blood volume pulse, skin conductance, and motion, a dearth of work is noted in the exploration of physiological markers in single and multimodal settings. This work provides an extensive evaluation of a convolutional neural network with an attention mechanism ensembled with a random forest algorithm to effectively leverage multiple raw signal-to-image transformations as feature inputs to predict depression severity and affective state. The proposed models are assessed on the Daily Ambulatory Psychological and Physiological recording for Emotion Research (DAPPER) dataset, and achieve the sensitivity: specificity scores of 58.75%:45.59%, 62.34%:43.41%, 49.43%:51.70% for predicting depression, valence, and arousal with a mixture of uni- and bi- modality applying Continuous Wavelet Transforms and Short-time Fourier Transform to motion skin-conductance readings, respectively. This work is envisioned as a preliminary study to contribute towards the monitoring of affective states among a depressed population by utilizing low-frequency sensor recordings with the DAPPER dataset.
Depression is one of the most common mental health disorders, affecting approximately 280 million people worldwide. This condition is defined as emotional dysregulation resulting in persistent feelings of sadness, loss of interest and inability to experience pleasure. Early detection can facilitate timely intervention in the form of psychological therapy and/or medication. With the widespread public adoption of wearable devices such as smartwatches and fitness trackers, it is becoming increasingly possible to gain insights relating the mental states of individuals in an unobtrusive manner within free-living conditions. This work presents a machine learning (ML) approach that utilizes retrospectively collected data-derived consumer-grade wearables for passive detection of depression severity. The experiments conducted in this work reveal that multimodal analysis of physiological signals in terms of their discrete wavelet transform (DWT) features exhibit considerably better performance than unimodal scenarios. Additionally, we conduct experiments to view the impact of severity on emotional valence-arousal detection. We believe that our work has implications towards guiding development in the domain of multimodal wearable-based screening of mental health disorders and necessitates appropriate treatment interventions.