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1.
Sensors (Basel) ; 24(15)2024 Jul 23.
Article in English | MEDLINE | ID: mdl-39123813

ABSTRACT

The analysis of biomedical signals is a very challenging task. This review paper is focused on the presentation of various methods where biomedical data, in particular vital signs, could be monitored using sensors mounted to beds. The presented methods to monitor vital signs include those combined with optical fibers, camera systems, pressure sensors, or other sensors, which may provide more efficient patient bed monitoring results. This work also covers the aspects of interference occurrence in the above-mentioned signals and sleep quality monitoring, which play a very important role in the analysis of biomedical signals and the choice of appropriate signal-processing methods. The provided information will help various researchers to understand the importance of vital sign monitoring and will be a thorough and up-to-date summary of these methods. It will also be a foundation for further enhancement of these methods.


Subject(s)
Beds , Vital Signs , Humans , Vital Signs/physiology , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Signal Processing, Computer-Assisted , Sleep/physiology
2.
Sensors (Basel) ; 24(15)2024 Jul 26.
Article in English | MEDLINE | ID: mdl-39123912

ABSTRACT

Quality prediction in additive manufacturing (AM) processes is crucial, particularly in high-risk manufacturing sectors like aerospace, biomedicals, and automotive. Acoustic sensors have emerged as valuable tools for detecting variations in print patterns by analyzing signatures and extracting distinctive features. This study focuses on the collection, preprocessing, and analysis of acoustic data streams from a Fused Deposition Modeling (FDM) 3D-printed sample cube (10 mm × 10 mm × 5 mm). Time and frequency-domain features were extracted at 10-s intervals at varying layer thicknesses. The audio samples were preprocessed using the Harmonic-Percussive Source Separation (HPSS) method, and the analysis of time and frequency features was performed using the Librosa module. Feature importance analysis was conducted, and machine learning (ML) prediction was implemented using eight different classifier algorithms (K-Nearest Neighbors (KNN), Support Vector Machine (SVM), Gaussian Naive Bayes (GNB), Decision Trees (DT), Logistic Regression (LR), Random Forest (RF), Extreme Gradient Boosting (XGB), and Light Gradient Boosting Machine (LightGBM)) for the classification of print quality based on the labeled datasets. Three-dimensional-printed samples with varying layer thicknesses, representing two print quality levels, were used to generate audio samples. The extracted spectral features from these audio samples served as input variables for the supervised ML algorithms to predict print quality. The investigation revealed that the mean of the spectral flatness, spectral centroid, power spectral density, and RMS energy were the most critical acoustic features. Prediction metrics, including accuracy scores, F-1 scores, recall, precision, and ROC/AUC, were utilized to evaluate the models. The extreme gradient boosting algorithm stood out as the top model, attaining a prediction accuracy of 91.3%, precision of 88.8%, recall of 92.9%, F-1 score of 90.8%, and AUC of 96.3%. This research lays the foundation for acoustic based quality prediction and control of 3D printed parts using Fused Deposition Modeling and can be extended to other additive manufacturing techniques.

3.
Med Biol Eng Comput ; 2024 Jul 20.
Article in English | MEDLINE | ID: mdl-39031328

ABSTRACT

Current research focuses on improving electrocardiogram (ECG) monitoring systems to enable real-time and long-term usage, with a specific focus on facilitating remote monitoring of ECG data. This advancement is crucial for improving cardiovascular health by facilitating early detection and management of cardiovascular disease (CVD). To efficiently meet these demands, user-friendly and comfortable ECG sensors that surpass wet electrodes are essential. This has led to increased interest in ECG capacitive electrodes, which facilitate signal detection without requiring gel preparation or direct conductive contact with the body. This feature makes them suitable for wearables or integrated measurement devices. However, ongoing research is essential as the signals they measure often lack sufficient clinical accuracy due to susceptibility to interferences, particularly Motion Artifacts (MAs). While our primary focus is on studying MAs, we also address other limitations crucial for designing a high Signal-to-Noise Ratio (SNR) circuit and effectively mitigating MAs. The literature on the origins and models of MAs in capacitive electrodes is insufficient, which we aim to address alongside discussing mitigation methods. We bring attention to digital signal processing approaches, especially those using reference signals like Electrode-Tissue Impedance (ETI), as highly promising. Finally, we discuss its challenges, proposed solutions, and offer insights into future research directions.

4.
Ann Biomed Eng ; 52(8): 2247-2257, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38740729

ABSTRACT

This research aims to enhance the understanding of the acoustic processes occurring during sonotubometry, a method used to assess the Eustachian tube (ET) function. Recent advancements in digital signal processing enable a more comprehensive data analysis. In this project, a silicone model of the ET was developed to systematically study the existing noise and sound sources. These measurements were then compared with recordings from human subjects. Three distinct 'noise sources' were identified, which can influence the assessment of the ET opening using transmission measurements of the imposed signal: sound leakage from the speaker, a clicking noise at the initiation of ET opening, and rumbling/swallowing noise. Through spectral analysis, it was also possible to ascertain the spectral and temporal occurrence of these sound and noise types. The silicone model exhibited remarkable similarity to the healthy human ET, making it a robust experimental model for investigating the acoustics of sonotubometry. The findings underscore the significance of delving deeper into the analysed sound, as the noise occurring during sonotubometry can be easily misconstrued as an actual ET opening. Particularly, careful consideration is warranted when evaluating data involving clicking and swallowing noise.


Subject(s)
Eustachian Tube , Noise , Eustachian Tube/physiology , Eustachian Tube/physiopathology , Humans , Sound , Models, Biological , Acoustics , Male , Female
5.
Sensors (Basel) ; 24(8)2024 Apr 09.
Article in English | MEDLINE | ID: mdl-38676006

ABSTRACT

Due to their user-friendliness and reliability, biometric systems have taken a central role in everyday digital identity management for all kinds of private, financial and governmental applications with increasing security requirements. A central security aspect of unsupervised biometric authentication systems is the presentation attack detection (PAD) mechanism, which defines the robustness to fake or altered biometric features. Artifacts like photos, artificial fingers, face masks and fake iris contact lenses are a general security threat for all biometric modalities. The Biometric Evaluation Center of the Institute of Safety and Security Research (ISF) at the University of Applied Sciences Bonn-Rhein-Sieg has specialized in the development of a near-infrared (NIR)-based contact-less detection technology that can distinguish between human skin and most artifact materials. This technology is highly adaptable and has already been successfully integrated into fingerprint scanners, face recognition devices and hand vein scanners. In this work, we introduce a cutting-edge, miniaturized near-infrared presentation attack detection (NIR-PAD) device. It includes an innovative signal processing chain and an integrated distance measurement feature to boost both reliability and resilience. We detail the device's modular configuration and conceptual decisions, highlighting its suitability as a versatile platform for sensor fusion and seamless integration into future biometric systems. This paper elucidates the technological foundations and conceptual framework of the NIR-PAD reference platform, alongside an exploration of its potential applications and prospective enhancements.


Subject(s)
Biometric Identification , Humans , Biometric Identification/methods , Skin/diagnostic imaging , Biometry/methods , Computer Security , Reproducibility of Results , Infrared Rays , Spectroscopy, Near-Infrared/methods , Dermatoglyphics , Signal Processing, Computer-Assisted
6.
Sensors (Basel) ; 24(8)2024 Apr 10.
Article in English | MEDLINE | ID: mdl-38676040

ABSTRACT

The advantageous applications of magnetic bistable microwires have emerged during long-lasting research. They have a wide range of applications in the scientific sphere or technical practice. They can be used for various applications, including magnetic memories, biomedicine, and sensors. This manuscript is focused on the last-mentioned application of microwires-sensors-discussing various digital signal processing techniques used in practical applications. Thanks to the highly sensitive properties of microwires and their two stable states of magnetization, it is possible to perform precise measurements with less demanding digital processing. The manuscript presents four practical signal-processing methods of microwire response using three different experiments. These experiments are focused on detecting the signal in a simple environment without an external magnetic background, measuring with the external background of a ferromagnetic core, and measuring in harsh conditions with a strong magnetic background. The experiments aim to propose the best method under various conditions, emphasizing the quality and signal processing speed of the microwire signal.

7.
J Lightwave Technol ; 42(2): 560-571, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38586243

ABSTRACT

While probabilistic constellation shaping (PCS) enables rate and reach adaption with finer granularity [1], it imposes signal processing challenges at the receiver. Since the distribution of PCS-quadrature amplitude modulation (QAM) signals tends to be Gaussian, conventional blind polarization demultiplexing algorithms are not suitable for them [2]. It is known that independently and identically distributed (iid) Gaussian signals, when mixed, cannot be recovered/separated from their mixture. For PCS-QAM signals, there are algorithms such as [3], [4] which are designed by extending conventional blind algorithms used for uniform QAM signals. In these algorithms, an initialization point is obtained by processing only a part of the mixed signal, which have non-Gaussian statistics. In this paper, we propose an alternative method wherein we add temporal correlations at the transmitter, which are subsequently exploited at the receiver in order to separate the polarizations. We will refer to the proposed method as frequency domain (FD) joint diagonalization (JD) probability aware-multi modulus algorithm (pr-MMA), and it is suited to channels with moderate polarization mode dispersion (PMD) effects. Furthermore, we extend our previously proposed JD-MMA [5] by replacing the standard MMA with a pr-MMA, improving its performance. Both FDJD-pr-MMA and JD-pr-MMA are evaluated for a diverse range of PCS (entropy 𝓗) over a first-order PMD channel that is simulated in a proof-of-concept setup. A MMA initialized with a memoryless constant modulus algorithm (CMA) is used as a benchmark. We show that at a differential group delay (DGD) of 10% of symbol period Tsymb and 18 dB SNR/pol., JD-pr-MMA successfully demultiplexes the PCS signals, while CMA-MMA fails drastically. Furthermore, we demonstrate that the newly proposed FDJD-pr-MMA is robust against moderate PMD effects by evaluating it over a DGD of up to 40% of Tsymb. Our results show that the proposed FDJD-pr-MMA successfully equalizes PMD channels with a DGD up to 20% of Tsymb.

8.
Sensors (Basel) ; 24(7)2024 Mar 26.
Article in English | MEDLINE | ID: mdl-38610331

ABSTRACT

Recent advancements in the Internet of Things (IoT) wearable devices such as wearable inertial sensors have increased the demand for precise human activity recognition (HAR) with minimal computational resources. The wavelet transform, which offers excellent time-frequency localization characteristics, is well suited for HAR recognition systems. Selecting a mother wavelet function in wavelet analysis is critical, as optimal selection improves the recognition performance. The activity time signals data have different periodic patterns that can discriminate activities from each other. Therefore, selecting a mother wavelet function that closely resembles the shape of the recognized activity's sensor (inertial) signals significantly impacts recognition performance. This study uses an optimal mother wavelet selection method that combines wavelet packet transform with the energy-to-Shannon-entropy ratio and two classification algorithms: decision tree (DT) and support vector machines (SVM). We examined six different mother wavelet families with different numbers of vanishing points. Our experiments were performed on eight publicly available ADL datasets: MHEALTH, WISDM Activity Prediction, HARTH, HARsense, DaLiAc, PAMAP2, REALDISP, and HAR70+. The analysis demonstrated in this paper can be used as a guideline for optimal mother wavelet selection for human activity recognition.


Subject(s)
Internet of Things , Wearable Electronic Devices , Humans , Algorithms , Entropy , Human Activities
9.
Sensors (Basel) ; 24(7)2024 Mar 29.
Article in English | MEDLINE | ID: mdl-38610401

ABSTRACT

In recent years, headphones have become increasingly popular worldwide. There are numerous models on the market today, varying in technical characteristics and offering different listening experiences. This article presents an application for simulating the sound response of specific headphone models by physically wearing others. In the future, for example, this application could help to guide people who already own a pair of headphones during the decision-making process of purchasing a new headphone model. However, the potential fields of application are much broader. An in-depth study of digital signal processing was carried out with the implementation of a computational model. Prior to this, an analysis was performed on impulse response measurements of specific headphones, which allowed for a better understanding of the behavior of each set of headphones. Finally, an evaluation of the entire system was conducted through a listening test. The analysis of the results showed that the software works reasonably well in replicating the target headphones. We hope that this work will stimulate further efforts in the same direction.

10.
Spectrochim Acta A Mol Biomol Spectrosc ; 313: 124152, 2024 May 15.
Article in English | MEDLINE | ID: mdl-38503254

ABSTRACT

Colorectal cancer is the third most common malignancy worldwide and one of the leading causes of death in oncological patients with its diagnosis typically involving confirmation by tissue biopsy. In vivo Raman spectroscopy, an experimental diagnostic method less invasive than a biopsy, has shown great potential to discriminate between normal and cancerous tissue. However, the complex and often manual processing of Raman spectra along with the absence of a suitable instant classifier are the main obstacles to its adoption in clinical practice. This study aims to address these issues by developing a real-time automated classification pipeline coupled with a user-friendly application tailored for non-spectroscopists. First, in addition to routine colonoscopy, 377 subjects underwent in vivo acquisitions of Raman spectra of healthy tissue, adenomatous polyps, or cancerous tissue, which were conducted using a custom-made microprobe. The spectra were then loaded into the pipeline and pre-processed in several steps, including standard normal variate transformation and finite impulse response filtration. The quality of the pre-processed spectral data was checked based on their signal-to-noise ratio before the suitable spectra were decomposed and classified using a combination of principal component analysis and a support vector machine, respectively. After five-fold cross-validation, the developed classifier exhibited 100% sensitivity toward adenocarcinoma and adenomatous polyps. The overall accuracy was 96.9% and 79.2% for adenocarcinoma and adenomatous polyps respectively. In addition, an application with a graphical user interface was developed to facilitate the use of our data pipeline by medical professionals in a clinical environment. Overall, the combination of supervised and unsupervised machine learning with algorithmic pre-processing of in vivo Raman spectra appears to be a viable way of reducing the relatively large number of biopsies currently needed to definitively diagnose colorectal cancer.


Subject(s)
Adenocarcinoma , Adenomatous Polyps , Colorectal Neoplasms , Humans , Spectrum Analysis, Raman/methods , Colonoscopy/methods , Adenomatous Polyps/diagnosis , Colorectal Neoplasms/diagnosis
11.
Sensors (Basel) ; 24(5)2024 Feb 23.
Article in English | MEDLINE | ID: mdl-38474980

ABSTRACT

This study investigates the biomechanical impact of a passive Arm-Support Exoskeleton (ASE) on workers in wool textile processing. Eight workers, equipped with surface electrodes for electromyography (EMG) recording, performed three industrial tasks, with and without the exoskeleton. All tasks were performed in an upright stance involving repetitive upper limbs actions and overhead work, each presenting different physical demands in terms of cycle duration, load handling and percentage of cycle time with shoulder flexion over 80°. The use of ASE consistently lowered muscle activity in the anterior and medial deltoid compared to the free condition (reduction in signal Root Mean Square (RMS) -21.6% and -13.6%, respectively), while no difference was found for the Erector Spinae Longissimus (ESL) muscle. All workers reported complete satisfaction with the ASE effectiveness as rated on Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST), and 62% of the subjects rated the usability score as very high (>80 System Usability Scale (SUS)). The reduction in shoulder flexor muscle activity during the performance of industrial tasks is not correlated to the level of ergonomic risk involved. This preliminary study affirms the potential adoption of ASE as support for repetitive activities in wool textile processing, emphasizing its efficacy in reducing shoulder muscle activity. Positive worker acceptance and intention to use ASE supports its broader adoption as a preventive tool in the occupational sector.


Subject(s)
Exoskeleton Device , Humans , Pilot Projects , Upper Extremity/physiology , Muscle, Skeletal/physiology , Shoulder/physiology , Electromyography , Biomechanical Phenomena
12.
Cell ; 187(2): 345-359.e16, 2024 01 18.
Article in English | MEDLINE | ID: mdl-38181787

ABSTRACT

Cells self-organize molecules in space and time to generate complex behaviors, but we lack synthetic strategies for engineering spatiotemporal signaling. We present a programmable reaction-diffusion platform for designing protein oscillations, patterns, and circuits in mammalian cells using two bacterial proteins, MinD and MinE (MinDE). MinDE circuits act like "single-cell radios," emitting frequency-barcoded fluorescence signals that can be spectrally isolated and analyzed using digital signal processing tools. We define how to genetically program these signals and connect their spatiotemporal dynamics to cell biology using engineerable protein-protein interactions. This enabled us to construct sensitive reporter circuits that broadcast endogenous cell signaling dynamics on a frequency-barcoded imaging channel and to build control signal circuits that synthetically pattern activities in the cell, such as protein condensate assembly and actin filamentation. Our work establishes a paradigm for visualizing, probing, and engineering cellular activities at length and timescales critical for biological function.


Subject(s)
Bacterial Proteins , Eukaryotic Cells , Signal Transduction , Animals , Mammals , Synthetic Biology/methods , Eukaryotic Cells/metabolism
13.
Sensors (Basel) ; 23(18)2023 Sep 20.
Article in English | MEDLINE | ID: mdl-37766052

ABSTRACT

This paper presents a high-precision component-type vertical pendulum tiltmeter based on an FPGA (Field Programmable Gate Array) that improves the utility and reliability of geophysical field tilt observation instruments. The system is designed for rapid deployment and offers flexible and efficient adaptability. It comprises a pendulum body, a triangular platform, a locking motor and sealing cover, a ratiometric measurement bridge, a high-speed ADC, and an FPGA embedded system. The pendulum body is a plumb-bob-type single-suspension wire vertical pendulum capable of measuring ground tilt in two orthogonal directions simultaneously. It is installed on a triangular platform, sealed as a whole, and equipped with a locking motor to withstand a free-fall impact of 2 m. The system utilizes a differential capacitance ratio bridge in the measurement circuit, replacing analog circuits with high-speed AD sampling and FPGA digital signal processing technology. This approach reduces hardware expenses and interferences from active devices. The system also features online compilation functionality for flexible measurement parameter settings, high reliability, ease of use, and rapid deployment without the need for professional technical personnel. The proposed tiltmeter holds significant importance for further research in geophysics.

14.
Biosens Bioelectron ; 237: 115490, 2023 Oct 01.
Article in English | MEDLINE | ID: mdl-37393766

ABSTRACT

This paper describes a novel signal processing method to characterize the activity of ion channels on a lipid bilayer system in a real-time and quantitative manner. Lipid bilayer systems, which enable single-channel level recordings of ion channel activities against physiological stimuli in vitro, are gaining attention in various research fields. However, the characterization of ion channel activities has heavily relied on time-consuming analyses after recording, and the inability to return the quantitative results in real time has long been a bottleneck to incorporating the system into practical products. Herein, we report a lipid bilayer system that integrates real-time characterization of ion channel activities and real-time response based on the characterization result. Unlike conventional batch processing, an ion channel signal is divided into short segments and processed during the recording. After optimizing the system to maintain the same characterization accuracy as conventional operation, we demonstrated the usability of the system with two applications. One is quantitative control of a robot based on ion channel signals. The velocity of the robot was controlled every second, which was around tens of times faster than the conventional operation, in proportion to the stimulus intensity estimated from changes in ion channel activities. The other is the automation of data collection and characterization of ion channels. By constantly monitoring and maintaining the functionality of a lipid bilayer, our system enabled continuous recording of ion channels over 2 h without human intervention, and the time of manual labor has been reduced from conventional 3 h to 1 min at a minimum. We believe the accelerated characterization and response in the lipid bilayer systems presented in this work will facilitate the transformation of lipid bilayer technology toward a practical level, finally leading to its industrialization.


Subject(s)
Biosensing Techniques , Lipid Bilayers , Humans , Ion Channels , Automation
15.
Sensors (Basel) ; 23(13)2023 Jun 25.
Article in English | MEDLINE | ID: mdl-37447743

ABSTRACT

This paper introduces a one-dimensional convolutional neural network (CNN) hardware accelerator. It is crafted to conduct real-time assessments of bearing conditions using economical hardware components, implemented on a field-programmable gate array evaluation platform, negating the necessity to transfer data to a cloud-based server. The adoption of the down-sampling technique augments the visible time span of the signal in an image, thereby enhancing the accuracy of the bearing condition diagnosis. Furthermore, the proposed method of quaternary quantization enhances precision and shrinks the memory demand for the neural network model by an impressive 89%. Provided that the current signal data sampling rate stands at 64 K samples/s, the proposed design can accomplish real-time fault diagnosis at a clock frequency of 100 MHz. Impressively, the response duration of the proposed CNN hardware system is a mere 0.28 s, with the fault diagnosis precision reaching a remarkable 96.37%.


Subject(s)
Computers , Neural Networks, Computer
16.
Sensors (Basel) ; 23(13)2023 Jun 27.
Article in English | MEDLINE | ID: mdl-37447800

ABSTRACT

This work proposes an efficient and easy-to-implement single-layer artificial neural network (ANN)-based equalizer with improved compensation performance. The proposed equalizer is used for effectively mitigating the distortions induced in the short-haul fiber-optic communication systems based on intensity modulation and direct detection (IMDD). The compensation performance of the ANN equalizer is significantly improved, exploiting an introduced advanced training scheme. The efficiency and robustness of the proposed ANN equalizer are illustrated through 10- and 28-Gbaud short-reach optical-fiber communication systems. Compared to the efficient but computationally expensive maximum likelihood sequence estimator (MLSE), the proposed ANN equalizer not only significantly reduces its computational equalization cost and storage memory requirements, but it also outperforms its bit error rate performance.


Subject(s)
Fiber Optic Technology , Optical Fibers , Communication , Neural Networks, Computer
17.
Sensors (Basel) ; 23(14)2023 Jul 21.
Article in English | MEDLINE | ID: mdl-37514876

ABSTRACT

Wideband beamforming and interference cancellation for phased array antennas requires advances in signal processing algorithms, software, and specialized hardware platforms. A high-throughput array receiver has been developed that enables communication in radio frequency interference-rich environments with field programmable gate array (FPGA)-based frequency channelization and packetization. In this study, a real-time interference mitigation algorithm was implemented on graphics processing units (GPUs) contained in the data pipeline. The key contribution is a hardware and software pipeline for subchannelized wideband array signal processing with 150 MHz instantaneous bandwidth and interference cancellation with a heterogeneous, distributed, and scaleable digital signal processing (DSP) architecture that achieves 30 dB interferer cancellation null depth in real time with a moving interference source.

18.
Educ Inf Technol (Dordr) ; : 1-24, 2023 May 12.
Article in English | MEDLINE | ID: mdl-37361843

ABSTRACT

In the present research the typical triangle on formative research was extended to a double triangle for an overall career programme (here expander/ compressor) and funnel proposal was explored in a single course (as a "fractal" method). Array processing and ElectroEncephaloGram (EEG) techniques have been incorporated into a Digital Signal Processing (DSP) course and research projects. The present research question was: is it possible to insert array sensing on formative research in an undergraduate course of DSP? From over eight years, two semesters with different homework loads (homogeneous triangle vs expander-compressor-supplier distributions) were analysed in detail within the DSP evaluations and students chose between experimental applied analysis and a formative research project. Results showed that cognitive load was influenced positively in the expander-compressor-supplier distribution, showing that an increase of the efficiency undertook more undergraduate research on array processing and the decrease of the number of formative applied projects. Over a longer term (48 months) students undertook more undergraduate research works on array processing and DSP techniques. Supplementary Information: The online version contains supplementary material available at 10.1007/s10639-023-11837-y.

19.
Sensors (Basel) ; 23(11)2023 Jun 01.
Article in English | MEDLINE | ID: mdl-37299985

ABSTRACT

In audio transduction applications, virtualization can be defined as the task of digitally altering the acoustic behavior of an audio sensor or actuator with the aim of mimicking that of a target transducer. Recently, a digital signal preprocessing method for the virtualization of loudspeakers based on inverse equivalent circuit modeling has been proposed. The method applies Leuciuc's inversion theorem to obtain the inverse circuital model of the physical actuator, which is then exploited to impose a target behavior through the so called Direct-Inverse-Direct Chain. The inverse model is designed by properly augmenting the direct model with a theoretical two-port circuit element called nullor. Drawing on this promising results, in this manuscript, we aim at describing the virtualization task in a broader sense, including both actuator and sensor virtualizations. We provide ready-to-use schemes and block diagrams which apply to all the possible combinations of input and output variables. We then analyze and formalize different versions of the Direct-Inverse-Direct Chain describing how the method changes when applied to sensors and actuators. Finally, we provide examples of applications considering the virtualization of a capacitive microphone and a nonlinear compression driver.


Subject(s)
Acoustics , Transducers , Equipment Design
20.
JMIR Hum Factors ; 10: e42714, 2023 May 04.
Article in English | MEDLINE | ID: mdl-37140971

ABSTRACT

BACKGROUND: Medication adherence is a global public health challenge, as only approximately 50% of people adhere to their medication regimens. Medication reminders have shown promising results in terms of promoting medication adherence. However, practical mechanisms to determine whether a medication has been taken or not, once people are reminded, remain elusive. Emerging smartwatch technology may more objectively, unobtrusively, and automatically detect medication taking than currently available methods. OBJECTIVE: This study aimed to examine the feasibility of detecting natural medication-taking gestures using smartwatches. METHODS: A convenience sample (N=28) was recruited using the snowball sampling method. During data collection, each participant recorded at least 5 protocol-guided (scripted) medication-taking events and at least 10 natural instances of medication-taking events per day for 5 days. Using a smartwatch, the accelerometer data were recorded for each session at a sampling rate of 25 Hz. The raw recordings were scrutinized by a team member to validate the accuracy of the self-reports. The validated data were used to train an artificial neural network (ANN) to detect a medication-taking event. The training and testing data included previously recorded accelerometer data from smoking, eating, and jogging activities in addition to the medication-taking data recorded in this study. The accuracy of the model to identify medication taking was evaluated by comparing the ANN's output with the actual output. RESULTS: Most (n=20, 71%) of the 28 study participants were college students and aged 20 to 56 years. Most individuals were Asian (n=12, 43%) or White (n=12, 43%), single (n=24, 86%), and right-hand dominant (n=23, 82%). In total, 2800 medication-taking gestures (n=1400, 50% natural plus n=1400, 50% scripted gestures) were used to train the network. During the testing session, 560 natural medication-taking events that were not previously presented to the ANN were used to assess the network. The accuracy, precision, and recall were calculated to confirm the performance of the network. The trained ANN exhibited an average true-positive and true-negative performance of 96.5% and 94.5%, respectively. The network exhibited <5% error in the incorrect classification of medication-taking gestures. CONCLUSIONS: Smartwatch technology may provide an accurate, nonintrusive means of monitoring complex human behaviors such as natural medication-taking gestures. Future research is warranted to evaluate the efficacy of using modern sensing devices and machine learning algorithms to monitor medication-taking behavior and improve medication adherence.

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