Electrical and Electronic Engineering - Research Publications

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    Suicidal Ideation Is Associated with Altered Variability of Fingertip Photo-Plethysmogram Signal in Depressed Patients.
    Khandoker, AH ; Luthra, V ; Abouallaban, Y ; Saha, S ; Ahmed, KIU ; Mostafa, R ; Chowdhury, N ; Jelinek, HF (Frontiers Media S.A., 2017-07-19)
    Physiological and psychological underpinnings of suicidal behavior remain ill-defined and lessen timely diagnostic identification of this subgroup of patients. Arterial stiffness is associated with autonomic dysregulation and may be linked to major depressive disorder (MDD). The aim of this study was to investigate the association between arterial stiffness by photo-plethysmogram (PPG) in MDD with and without suicidal ideation (SI) by applying multiscale tone entropy (T-E) variability analysis. Sixty-one 10-min PPG recordings were analyzed from 29 control, 16 MDD patients with (MDDSI+) and 16 patients without SI (MDDSI-). MDD was based on a psychiatric evaluation and the Mini-International Neuropsychiatric Interview (MINI). Severity of depression was assessed using the Hamilton Depression Rating Scale (HAM-D). PPG features included peak (systole), trough (diastole), pulse wave amplitude (PWA), pulse transit time (PTT) and pulse wave velocity (PWV). Tone (Diastole) at all lags and Tone (PWA) at lags 8, 9, and 10 were found to be significantly different between the MDDSI+ and MDDSI- group. However, Tone (PWA) at all lags and Tone (PTT) at scales 3-10 were also significantly different between the MDDSI+ and CONT group. In contrast, Entropy (Systole), Entropy (Diastole) and Tone (Diastole) were significantly different between MDDSI- and CONT groups. The suicidal score was also positively correlated (r = 0.39 ~ 0.47; p < 0.05) with systolic and diastolic entropy values at lags 2-10. Multivariate logistic regression analysis and leave-one-out cross-validation were performed to study the effectiveness of multi-lag T-E features in predicting SI risk. The accuracy of predicting SI was 93.33% in classifying MDDSI+ and MDDSI- with diastolic T-E and lag between 2 and 10. After including anthropometric variables (Age, body mass index, and Waist Circumference), that accuracy increased to 96.67% for MDDSI+/- classification. Our findings suggest that tone-entropy based PPG variability can be used as an additional accurate diagnostic tool for patients with depression to identify SI.
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    Clinical profiles, comorbidities and complications of type 2 diabetes mellitus in patients from United Arab Emirates.
    Jelinek, HF ; Osman, WM ; Khandoker, AH ; Khalaf, K ; Lee, S ; Almahmeed, W ; Alsafar, HS (BMJ, 2017)
    OBJECTIVE: To assess clinical profiles of patients with type 2 diabetes in the United Arab Emirates (UAE), including patterns, frequencies, and risk factors of microvascular and macrovascular complications. RESEARCH DESIGN AND METHODS: Four hundred and ninety patients with type 2 diabetes were enrolled from two major hospitals in Abu Dhabi. The presence of microvascular and macrovascular complications was assessed using logistic regression, and demographic, clinical and laboratory data were collected. Significance was set at p<0.05. RESULTS: Hypertension (83.40%), obesity (90.49%) and dyslipidemia (93.43%) were common type 2 diabetes comorbidities. Most of the patients had relatively poor glycemic control and presented with multiple complications (83.47% of patients had one or more complication), with frequent renal involvement. The most frequent complication was retinopathy (13.26%). However, the pattern of complications varied based on age, where in patients <65 years, a single pattern presented, usually retinopathy, while multiple complications was typically seen in patients >65 years old. Low estimated glomerular filtration rate in combination with disease duration was the most significant risk factor in the development of a diabetic-associated complication especially for coronary artery disease, whereas age, lipid values and waist circumference were significantly associated with the development of diabetic retinopathy. CONCLUSIONS: Patients with type 2 diabetes mellitus in the UAE frequently present with comorbidities and complications. Renal disease was found to be the most common comorbidity, while retinopathy was noted as the most common diabetic complication. This emphasizes the need for screening and prevention program toward early, asymptomatic identification of comorbidities and commence treatment, especially for longer disease duration.
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    A Hybrid EMD-Kurtosis Method for Estimating Fetal Heart Rate from Continuous Doppler Signals.
    Al-Angari, HM ; Kimura, Y ; Hadjileontiadis, LJ ; Khandoker, AH (Frontiers Media SA, 2017)
    Monitoring of fetal heart rate (FHR) is an important measure of fetal wellbeing during the months of pregnancy. Previous works on estimating FHR variability from Doppler ultrasound (DUS) signal mainly through autocorrelation analysis showed low accuracy when compared with heart rate variability (HRV) computed from fetal electrocardiography (fECG). In this work, we proposed a method based on empirical mode decomposition (EMD) and the kurtosis statistics to estimate FHR and its variability from DUS. Comparison between estimated beat-to-beat intervals using the proposed method and the autocorrelation function (AF) with respect to RR intervals computed from fECG as the ground truth was done on DUS signals from 44 pregnant mothers in the early (20 cases) and late (24 cases) gestational weeks. The new EMD-kurtosis method showed significant lower error in estimating the number of beats in the early group (EMD-kurtosis: 2.2% vs. AF: 8.5%, p < 0.01, root mean squared error) and the late group (EMD-kurtosis: 2.9% vs. AF: 6.2%). The EMD-kurtosis method was also found to be better in estimating mean beat-to-beat with an average difference of 1.6 ms from true mean RR compared to 19.3 ms by using the AF method. However, the EMD-kurtosis performed worse than AF in estimating SNDD and RMSSD. The proposed EMD-kurtosis method is more robust than AF in low signal-to-noise ratio cases and can be used in a hybrid system to estimate beat-to-beat intervals from DUS. Further analysis to reduce the estimated beat-to-beat variability from the EMD-kurtosis method is needed.
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    Enhanced inter-subject brain computer interface with associative sensorimotor oscillations.
    Saha, S ; Ahmed, KI ; Mostafa, R ; Khandoker, AH ; Hadjileontiadis, L (Institution of Engineering and Technology (IET), 2017-02)
    Electroencephalography (EEG) captures electrophysiological signatures of cortical events from the scalp with high-dimensional electrode montages. Usually, excessive sources produce outliers and potentially affect the actual event related sources. Besides, EEG manifests inherent inter-subject variability of the brain dynamics, at the resting state and/or under the performance of task(s), caused probably due to the instantaneous fluctuation of psychophysiological states. A wavelet coherence (WC) analysis for optimally selecting associative inter-subject channels is proposed here and is being used to boost performances of motor imagery (MI)-based inter-subject brain computer interface (BCI). The underlying hypothesis is that optimally associative inter-subject channels can reduce the effects of outliers and, thus, eliminate dissimilar cortical patterns. The proposed approach has been tested on the dataset IVa from BCI competition III, including EEG data acquired from five healthy subjects who were given visual cues to perform 280 trials of MI for the right hand and right foot. Experimental results have shown increased classification accuracy (81.79%) using the WC-based selected 16 channels compared to the one (56.79%) achieved using all the available 118 channels. The associative channels lie mostly around the sensorimotor regions of the brain, reinforced by the previous literature, describing spatial brain dynamics during sensorimotor oscillations. Apparently, the proposed approach paves the way for optimised EEG channel selection that could boost further the efficiency and real-time performance of BCI systems.
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    Fetal Cardiac Doppler Signal Processing Techniques: Challenges and Future Research Directions.
    Alnuaimi, SA ; Jimaa, S ; Khandoker, AH (Frontiers Media SA, 2017)
    The fetal Doppler Ultrasound (DUS) is commonly used for monitoring fetal heart rate and can also be used for identifying the event timings of fetal cardiac valve motions. In early-stage fetuses, the detected Doppler signal suffers from noise and signal loss due to the fetal movements and changing fetal location during the measurement procedure. The fetal cardiac intervals, which can be estimated by measuring the fetal cardiac event timings, are the most important markers of fetal development and well-being. To advance DUS-based fetal monitoring methods, several powerful and well-advanced signal processing and machine learning methods have recently been developed. This review provides an overview of the existing techniques used in fetal cardiac activity monitoring and a comprehensive survey on fetal cardiac Doppler signal processing frameworks. The review is structured with a focus on their shortcomings and advantages, which helps in understanding fetal Doppler cardiogram signal processing methods and the related Doppler signal analysis procedures by providing valuable clinical information. Finally, a set of recommendations are suggested for future research directions and the use of fetal cardiac Doppler signal analysis, processing, and modeling to address the underlying challenges.
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    A Comparative Study on Fetal Heart Rates Estimated from Fetal Phonography and Cardiotocography.
    Ibrahim, EA ; Al Awar, S ; Balayah, ZH ; Hadjileontiadis, LJ ; Khandoker, AH (Frontiers Media S.A., 2017-10-17)
    The aim of this study is to investigate that fetal heart rates (fHR) extracted from fetal phonocardiography (fPCG) could convey similar information of fHR from cardiotocography (CTG). Four-channel fPCG sensors made of low cost (<$1) ceramic piezo vibration sensor within 3D-printed casings were used to collect abdominal phonogram signals from 20 pregnant mothers (>34 weeks of gestation). A novel multi-lag covariance matrix-based eigenvalue decomposition technique was used to separate maternal breathing, fetal heart sounds (fHS) and maternal heart sounds (mHS) from abdominal phonogram signals. Prior to the fHR estimation, the fPCG signals were denoised using a multi-resolution wavelet-based filter. The proposed source separation technique was first tested in separating sources from synthetically mixed signals and then on raw abdominal phonogram signals. fHR signals extracted from fPCG signals were validated using simultaneous recorded CTG-based fHR recordings.The experimental results have shown that the fHR derived from the acquired fPCG can be used to detect periods of acceleration and deceleration, which are critical indication of the fetus' well-being. Moreover, a comparative analysis demonstrated that fHRs from CTG and fPCG signals were in good agreement (Bland Altman plot has mean = -0.21 BPM and ±2 SD = ±3) with statistical significance (p < 0.001 and Spearman correlation coefficient ρ = 0.95). The study findings show that fHR estimated from fPCG could be a reliable substitute for fHR from the CTG, opening up the possibility of a low cost monitoring tool for fetal well-being.
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    Fetal Heart Sounds Detection Using Wavelet Transform and Fractal Dimension.
    Koutsiana, E ; Hadjileontiadis, LJ ; Chouvarda, I ; Khandoker, AH (Frontiers Media SA, 2017)
    Phonocardiography is a non-invasive technique for the detection of fetal heart sounds (fHSs). In this study, analysis of fetal phonocardiograph (fPCG) signals, in order to achieve fetal heartbeat segmentation, is proposed. The proposed approach (namely WT-FD) is a wavelet transform (WT)-based method that combines fractal dimension (FD) analysis in the WT domain for the extraction of fHSs from the underlying noise. Its adoption in this field stems from its successful use in the fields of lung and bowel sounds de-noising analysis. The efficiency of the WT-FD method in fHS extraction has been evaluated with 19 simulated fHS signals, created for the present study, with additive noise up to (3 dB), along with the simulated fPCGs database available at PhysioBank. Results have shown promising performance in the identification of the correct location and morphology of the fHSs, reaching an overall accuracy of 89% justifying the efficacy of the method. The WT-FD approach effectively extracts the fHS signals from the noisy background, paving the way for testing it in real fHSs and clearly contributing to better evaluation of the fetal heart functionality.
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    Automatic Detection and Classification of Convulsive Psychogenic Nonepileptic Seizures Using a Wearable Device
    Gubbi, J ; Kusmakar, S ; Rao, AS ; Yan, B ; O'Brien, T ; Palaniswami, M (IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC, 2016-07)
    Epilepsy is one of the most common neurological disorders and patients suffer from unprovoked seizures. In contrast, psychogenic nonepileptic seizures (PNES) are another class of seizures that are involuntary events not caused by abnormal electrical discharges but are a manifestation of psychological distress. The similarity of these two types of seizures poses diagnostic challenges that often leads in delayed diagnosis of PNES. Further, the diagnosis of PNES involves high-cost hospital admission and monitoring using video-electroencephalogram machines. A wearable device that can monitor the patient in natural setting is a desired solution for diagnosis of convulsive PNES. A wearable device with an accelerometer sensor is proposed as a new solution in the detection and diagnosis of PNES. The seizure detection algorithm and PNES classification algorithm are developed. The developed algorithms are tested on data collected from convulsive epileptic patients. A very high seizure detection rate is achieved with 100% sensitivity and few false alarms. A leave-one-out error of 6.67% is achieved in PNES classification, demonstrating the usefulness of wearable device in the diagnosis of PNES.
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    Crowd Event Detection on Optical Flow Manifolds
    Rao, AS ; Gubbi, J ; Marusic, S ; Palaniswami, M (IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC, 2016-07)
    Analyzing crowd events in a video is key to understanding the behavioral characteristics of people (humans). Detecting crowd events in videos is challenging because of articulated human movements and occlusions. The aim of this paper is to detect the events in a probabilistic framework for automatically interpreting the visual crowd behavior. In this paper, crowd event detection and classification in optical flow manifolds (OFMs) are addressed. A new algorithm to detect walking and running events has been proposed, which uses optical flow vector lengths in OFMs. Furthermore, a new algorithm to detect merging and splitting events has been proposed, which uses Riemannian connections in the optical flow bundle (OFB). The longest vector from the OFB provides a key feature for distinguishing walking and running events. Using a Riemannian connection, the optical flow vectors are parallel transported to localize the crowd groups. The geodesic lengths among the groups provide a criterion for merging and splitting events. Dispersion and evacuation events are jointly modeled from the walking/running and merging/splitting events. Our results show that the proposed approach delivers a comparable model to detect crowd events. Using the performance evaluation of tracking and surveillance 2009 dataset, the proposed method is shown to produce the best results in merging, splitting, and dispersion events, and comparable results in walking, running, and evacuation events when compared with other methods.
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    Real-time Monitoring of the Great Barrier Reef Using Internet of Things with Big Data Analytics
    Palaniswami, M ; Sridhara Rao, A ; Bainbridge, S (International Telecommunication Union, 2017)
    The Great Barrier Reef (GBR) of Australia is the largest size of coral reef system on the planet stretching over 2300 kilometers. Coral reefs are experiencing a range of stresses including climate change, which has resulted in episodes of coral bleaching and ocean acidification where increased levels of carbon dioxide from the burning of fossil fuels are reducing the calcification mechanism of corals. In this article, we present a successful application of big data analytics with Internet of Things (IoT)/wireless sensor networks (WSNs) technology to monitor complex marine environments of the GBR. The paper presents a two-tiered IoT/WSN network architecture used to monitor the GBR and the role of artificial intelligence (AI) algorithms with big data analytics to detect events of interest. The case study presents the deployment of a WSN at Heron Island in the southern GBR in 2009. It is shown that we are able to detect Cyclone Hamish patterns as an anomaly using the sensor time series of temperature, pressure and humidity data. The article also gives a perspective of AI algorithms from the viewpoint to monitor, manage and understand complex marine ecosystems. The knowledge obtained from the large-scale implementation of IoT with big data analytics will continue to act as a feedback mechanism for managing a complex system of systems (SoS) in our marine ecosystem.