Objectives: Atrial fibrillation (AF) is a common heart rhythm disorder associated with deadly and debilitating consequences including heart failure, stroke, poor mental health, reduced quality of life and death. Having an automatic system that diagnoses various types of cardiac arrhythmias would assist cardiologists to initiate appropriate preventive measures and to improve the analysis of cardiac disease. To this end, this paper introduces a new approach to detect and classify automatically cardiac arrhythmias in electrocardiograms (ECG) recordings.Methods: The proposed approach used a combination of Convolution Neural Networks (CNNs) and a sequence of Long Short-Term Memory (LSTM) units, with pooling, dropout and normalization techniques to improve their accuracy. The network predicted a classification at every 18th input sample and we selected the final prediction for classification. Results were cross-validated on the Physionet Challenge 2017 training dataset, which contains 8,528 single lead ECG recordings lasting from 9s to just over 60s.Results: Using the proposed structure and no explicit feature selection, 10-fold stratified cross-validation gave an overall F-measure of 0.83.10±0.015 on the held-out test data (mean ± standard deviation over all folds) and 0.80 on the hidden dataset of the Challenge entry server.

Tannins represent a heterogeneous group of high-molecular-weight polyphenols that are ubiquitous among plant families, especially in cereals, as well as in many fruits and vegetables. Hydrolysable and condensed tannins, in addition to phlorotannins from marine algae, are the main classes of these bioactive compounds. Despite their low bioavailability, tannins have many beneficial pharmacological effects, such as anti-inflammatory, antioxidant, antidiabetic, anticancer, and cardioprotective effects. Microbiota-mediated hydrolysis of tannins produces highly bioaccessible metabolites, which have been extensively studied and account for most of the health effects attributed to tannins. This review article summarises the effect of the human microbiota on the metabolism of different tannin groups and the expected health benefits that may be induced by such mutual interactions. Microbial metabolism of tannins yields highly bioaccessible microbial metabolites that account for most of the systemic effects of tannins. This article also uses explainable artificial intelligence to define the molecular signatures of gut-biotransformed tannin metabolites that are correlated with chemical and biological activity. An understanding of microbiota–tannin interactions, tannin metabolism-related phenotypes (metabotypes) and chemical tannin-metabolites motifs is of great importance for harnessing the biological effects of tannins for drug discovery and other health benefits.

Without employing a time-consuming feature engineering step, the ensemble classifier trained with this architecture provided a robust solution to the problem of detecting cardiac arrhythmia from noisy ECG signals. In addition, interpretation of the classifier by inspection of its network parameters and predictions revealed what aspects of the ECG signal the classifier considered most discriminating.

Objective: Early detection of sleep arousal in polysomnographic (PSG) signals is crucial for monitoring or diagnosing sleep disorders and reducing the risk of further complications, including heart disease and blood pressure fluctuations. Approach: In this paper, we present a new automatic detector of nonapnea arousal regions in multichannel PSG recordings. This detector cascades four different modules: a second-order scattering transform (ST) with Morlet wavelets; depthwise-separable convolutional layers; bidirectional long short-term memory (BiLSTM) layers; and dense layers. While the first two are shared across all channels, the latter two operate in a multichannel formulation. Following a deep learning paradigm, the whole architecture is trained in an end-to-end fashion in order to optimize two objectives: the detection of arousal onset and offset, and the classification of the type of arousal. Main results and Significance: The novelty of the approach is three-fold: it is the first use of a hybrid ST-BiLSTM network with biomedical signals; it captures frequency information lower (0.1 Hz) than the detection sampling rate (0.5 Hz); and it requires no explicit mechanism to overcome class imbalance in the data. In the follow-up phase of the 2018 PhysioNet/CinC Challenge the proposed architecture achieved a state-of-the-art area under the precision-recall curve (AUPRC) of 0.50 on the hidden test data, tied for the second-highest official result overall.

Sleep disorders are implicated in a growing number of health problems. In this paper, we present a signal-processing/machine learning approach to detecting arousals in the multi-channel polysomnographic recordings of the Physionet/CinC Challenge2018 dataset.Methods: Our network architecture consists of two components. Inputs were presented to a Scattering Transform (ST) representation layer which fed a recurrent neural network for sequence learning using three layers of Long Short-Term Memory (LSTM). The STs were calculated for each signal with downsampling parameters chosen to give approximately 1 s time resolution, resulting in an eighteen-fold data reduction. The LSTM layers then operated at this downsampled rate.Results: The proposed approach detected arousal regions on the 10% random sample of the hidden test set with an AUROC of 88.0% and an AUPRC of 42.1%.

Abstract

The approach of our proposed method helped reduce overfitting and improved classification performance, achieving an overall score on the hidden test set of 80.1% (79.6% sensitivity and 80.6% specificity).

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