Machine learning driven personal comfort prediction by wearable sensing of pulse rate and skin temperature

2020 ◽  
Vol 170 ◽  
pp. 106615 ◽  
Author(s):  
Tanaya Chaudhuri ◽  
Yeng Chai Soh ◽  
Hua Li ◽  
Lihua Xie
2021 ◽  
Author(s):  
Daisuke Hiraoka ◽  
Tomohiko Inui ◽  
Eiryo Kawakami ◽  
Megumi Oya ◽  
Ayumu Tsuji ◽  
...  

BACKGROUND Some attempts have been made to detect atrial fibrillation with a wearable device equipped with photoelectric volumetric pulse wave technology, and it is expected to be applied under real clinical conditions. OBJECTIVE This study is the second part of a two-phase study aimed at developing a method for immediate detection of paroxysmal atrial fibrillation (AF) using a wearable device with built-in PPG. The objective of this study is to develop an algorithm to immediately diagnose atrial fibrillation by wearing an Apple Watch equipped with a photoplethysmography (PPG) sensor on patients undergoing cardiac surgery and using machine learning of the pulse data output from the device. METHODS A total of 80 subjects who underwent cardiac surgery at a single institution between June 2020 and March 2021 were monitored for postoperative atrial fibrillation using telemetry monitored ECG and Apple Watch. Atrial fibrillation was diagnosed by qualified physicians from telemetry-monitored ECGs and 12-lead ECGs; a diagnostic algorithm was developed using machine learning on pulse rate data output from the Apple Watch. RESULTS One of the 80 patients was excluded from the analysis due to redness of the Apple Watch wearer. 27 (34.2%) of the 79 patients developed AF, and 199 events of AF, including brief AF, were observed. 18 events of AF lasting longer than 1 hour were observed, and Cross-correlation analysis (CCF) showed that pulse rate measured by Apple Watch was strongly correlated (CCF 0.6-0.8) with 8 events and very strongly correlated (CCF >0.8) with 3 events. The diagnostic accuracy by machine learning was 0.7952 (sensitivity 0.6312, specificity 0.8605 at the point closest to the top-left) for the AUC of the ROC curve. CONCLUSIONS We were able to safely monitor pulse rate in patients after cardiac surgery by wearing an Apple Watch. Although the pulse rate from the PPG sensor does not follow the heart rate of the telemetry monitoring ECG in some parts, which may reduce the accuracy of the diagnosis of atrial fibrillation by machine learning, we have shown the possibility of clinical application of early detection of atrial fibrillation using only the pulse rate collected by the PPG sensor. CLINICALTRIAL The use of wristband type continuous pulse measurement device with artificial intelligence for early detection of paroxysmal atrial fibrillation Clinical Research Protocol No. jRCTs032200032 https://jrct.niph.go.jp/latest-detail/jRCTs032200032


Author(s):  
Shin Morishima ◽  
Yingjie Xu ◽  
Akira Urashima ◽  
Tomoji Toriyama

2021 ◽  
Author(s):  
Duarte Fernandes ◽  
André G. Ferreira ◽  
Reza Abrishambaf ◽  
José Mendes ◽  
Jorge Cabral

1999 ◽  
Vol 27 (01) ◽  
pp. 11-18 ◽  
Author(s):  
Ching-Liang Hsieh ◽  
Jaung-Geng Lin ◽  
Tsai-Chung Li ◽  
Qwang-Yuen Chang

The purpose of this study was to investigate the effect of electroacupuncture stimulation (EA) of different frequency on pulse rate and skin temperature. Sixteen healthy male medical student volunteers received EA of 2 Hz, and 100 Hz, respectively on the both Zusanli acupoints (St-36) while resting. Their pulse rates were measured on the middle finger, and skin temperature was taken between the thumb and index finger before, during, and after EA stimulation. Each test took 35 minutes. The initial 10 min were defined as baseline period (no EA), the following 15 min as the EA period and the last 10 min as the post-EA period. Three assessments were performed on each subject as follows: A) control assessment: no EA was done throughout the test; B) 2 Hz EA assessment: 2 Hz EA was applied to both Zusanli acupoints during the EA period; and C) 100 Hz EA assessment: 100 Hz EA was applied to both Zusanli acupoints during the EA period. Our results indicate that both 2 Hz EA and 100 Hz EA decreased pulse rates during the EA period, and these changes remained throughout the post-EA period in 2 Hz EA assessment, but not in 100 Hz EA assessment. Both 2 Hz and 100 Hz EA resulted in decreases of skin temperature during the EA period. Our conclusions are that 2 Hz EA and 100 Hz EA applied to both Zusanli acupoints resulted in the decrease of pulse rate, which possibly evoked greater parasympathetic nerve activity on heart beats. 2 Hz EA had a more sustained effect on heart beats than 100 Hz EA. Decreased skin temperatures in the EA period may have resulted from cutaneous vasoconstriction caused by EA induced sympathetic stress response, suggesting EA at least remains for 15 min in clinical application.


1963 ◽  
Vol 18 (2) ◽  
pp. 383-386 ◽  
Author(s):  
B. A. Hertig ◽  
H. S. Belding ◽  
K. K. Kraning ◽  
D. L. Batterton ◽  
C. R. Smith ◽  
...  

Acclimatization to heat, repeatedly demonstrated in male subjects, has not been reported in females. This paper presents quantitative evidence for heat acclimatization in women. Nine women participated (five at University of Pittsburgh and four at University of Illinois, Urbana) in daily 2-hr walks in the heat for 2–3 weeks. By the usual criteria (reduced pulse rate, reduced rectal temperature rise, lower skin temperature, ability to complete the assigned task, and subjective comfort) all subjects became acclimatized to heat. Submitted on September 4, 1962


1993 ◽  
Vol 72 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Elizabeth J. Forbes ◽  
Ronald J. Pekala

The purpose of this study was to assess the psychophysiological stress-reducing properties of progressive relaxation compared with hypnosis, and deep abdominal breathing compared with a baseline condition, while controlling for hypnotizability. 231 nursing students experienced the baseline procedure and progressive relaxation in Session 1 and deep abdominal breathing and hypnosis in Session 2 about a week later. Before and after each technique peripheral skin temperature and pulse rate were assessed. Separate analyses of variance, computed for the first and second sets of techniques, indicated that progressive relaxation and hypnosis both increased skin temperature and reduced pulse rate, suggesting reduced psychophysiological responsivity. Deep abdominal breathing was associated with a significant reduction in physiological responsivity (skin temperature) relative to baseline. Hypnotic susceptibility had no effect on the psychophysiological measures.


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