The results indicate that the proposed algorithm for the cuffless estimation of the BP can potentially enable mobile health-care gadgets to monitor the BP continuously.
Electrocardiogram (ECG) can be reliably used as a measure to monitor the functionality of the cardiovascular system. Recently, there has been a great attention towards accurate categorization of heartbeats. While there are many commonalities between different ECG conditions, the focus of most studies has been classifying a set of conditions on a dataset annotated for that task rather than learning and employing a transferable knowledge between different tasks. In this paper, we propose a method based on deep convolutional neural networks for the classification of heartbeats which is able to accurately classify five different arrhythmias in accordance with the AAMI EC57 standard. Furthermore, we suggest a method for transferring the knowledge acquired on this task to the myocardial infarction (MI) classification task. We evaluated the proposed method on PhysionNet's MIT-BIH and PTB Diagnostics datasets. According to the results, the suggested method is able to make predictions with the average accuracies of 93.4% and 95.9% on arrhythmia classification and MI classification, respectively.
This paper presents a novel blood pressure (BP) estimation method based on pulse transit time (PTT) and pulse arrival time (PAT) to estimate the systolic blood pressure (SBP) and diastolic blood pressure (DBP). A data acquisition hardware is designed for high-resolution sampling of phonocardiogram (PCG), photoplethysmogram (PPG) and electrocardiogram (ECG). PCG and ECG perform as the proximal timing reference to obtain PTT and PAT indexes, respectively. In order to derive a BP estimator model, a calibration procedure including a supervised physical exercise is conducted for each individual which causes changes in their BP and then, a number of reference BPs are measured alongside the acquisition of the signals per subject. It is suggested to use a force-sensing resistor (FSR) that is placed under the cuff of the BP reference device to mark the exact moments of reference BP measurements, which are corresponding to the inflation of the cuff. Additionally, a novel BP estimator nonlinear model, based on the theory of elastic tubes, is introduced to estimate the BP using PTT/PAT values precisely. The proposed method is evaluated on 32 subjects. Using the PTT index, the correlation coefficients for SBP and DBP estimation are 0.89 and 0.84, respectively. Using the PAT index, the correlation coefficients for SBP and DBP estimation are 0.95 and 0.84, respectively. The results show that the proposed method, exploiting the introduced nonlinear model with the use of PAT index or PTT index, provides a reliable estimation of SBP and DBP.Index Terms-cuff-less blood pressure, mobile health (mHealth), pulse transit time (PTT), pulse arrival time (PAT), vital signals
In real-world scenarios, different features have different acquisition costs at test-time which necessitates cost-aware methods to optimize the cost and performance trade-off. This paper introduces a novel and scalable approach for cost-aware feature acquisition at test-time. The method incrementally asks for features based on the available context that are known feature values. The proposed method is based on sensitivity analysis in neural networks and density estimation using denoising autoencoders with binary representation layers. In the proposed architecture, a denoising autoencoder is used to handle unknown features (i.e., features that are yet to be acquired), and the sensitivity of predictions with respect to each unknown feature is used as a context-dependent measure of informativeness. We evaluated the proposed method on eight different real-world datasets as well as one synthesized dataset and compared its performance with several other approaches in the literature. According to the results, the suggested method is capable of efficiently acquiring features at test-time in a cost-and contextaware fashion.
Background Social media networks provide an abundance of diverse information that can be leveraged for data-driven applications across various social and physical sciences. One opportunity to utilize such data exists in the public health domain, where data collection is often constrained by organizational funding and limited user adoption. Furthermore, the efficacy of health interventions is often based on self-reported data, which are not always reliable. Health-promotion strategies for communities facing multiple vulnerabilities, such as men who have sex with men, can benefit from an automated system that not only determines health behavior risk but also suggests appropriate intervention targets. Objective This study aims to determine the value of leveraging social media messages to identify health risk behavior for men who have sex with men. Methods The Gay Social Networking Analysis Program was created as a preliminary framework for intelligent web-based health-promotion intervention. The program consisted of a data collection system that automatically gathered social media data, health questionnaires, and clinical results for sexually transmitted diseases and drug tests across 51 participants over 3 months. Machine learning techniques were utilized to assess the relationship between social media messages and participants' offline sexual health and substance use biological outcomes. The F1 score, a weighted average of precision and recall, was used to evaluate each algorithm. Natural language processing techniques were employed to create health behavior risk scores from participant messages. Results Offline HIV, amphetamine, and methamphetamine use were correctly identified using only social media data, with machine learning models obtaining F1 scores of 82.6%, 85.9%, and 85.3%, respectively. Additionally, constructed risk scores were found to be reasonably comparable to risk scores adapted from the Center for Disease Control. Conclusions To our knowledge, our study is the first empirical evaluation of a social media–based public health intervention framework for men who have sex with men. We found that social media data were correlated with offline sexual health and substance use, verified through biological testing. The proof of concept and initial results validate that public health interventions can indeed use social media–based systems to successfully determine offline health risk behaviors. The findings demonstrate the promise of deploying a social media–based just-in-time adaptive intervention to target substance use and HIV risk behavior.
Effective representation learning of electronic health records is a challenging task and is becoming more important as the availability of such data is becoming pervasive. The data contained in these records are irregular and contain multiple modalities such as notes, and medical codes. They are preempted by medical conditions the patient may have, and are typically recorded by medical staff. Accompanying codes are notes containing valuable information about patients beyond the structured information contained in electronic health records. We use transformer networks and the recently proposed BERT language model to embed these data streams into a unified vector representation. The presented approach effectively encodes a patient's visit data into a single distributed representation, which can be used for downstream tasks. Our model demonstrates superior performance and generalization on mortality, readmission and length of stay tasks using the publicly available MIMIC-III ICU dataset.
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