The topic of automatic detection of sleep apnea which is a respiratory sleep disorder, affecting millions of patients worldwide, is continuously being explored by researchers. Electroencephalogram signal (EEG) represents a promising tool due to its direct correlation to neural activity and ease of extraction. Here, an innovative approach is proposed to automatically detect apnea by incorporating local variations of temporal features for identifying the global feature variations over a broader window. An EEG data frame is divided into smaller sub-frames to effectively extract local feature variation within one larger frame. A fully convolutional neural network (FCNN) is proposed that will take each sub-frame of a single frame individually to extract local features. Following that, a dense classifier consisting of a series of fully connected layers is trained to analyze all the local features extracted from subframes for classifying the entire frame as apnea/non-apnea. Finally, a unique post-processing technique is applied which significantly improves accuracy. Both the EEG frame length and post-processing parameters are varied to find optimal detection conditions. Large-scale experimentation is executed on publicly available data of patients with varying apnea-hypopnea indices for performance evaluation of the suggested method.
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http://dx.doi.org/10.1109/EMBC44109.2020.9176433 | DOI Listing |
J Oral Rehabil
January 2025
Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, India.
Background: Obstructive sleep apnea syndrome (OSAS) is a prevalent condition characterised by repeated episodes of partial or complete obstruction of the upper airway during sleep, leading to disrupted sleep and associated morbidities. Orthognathic surgery (OGS) has been proposed as a treatment option for OSAS, aimed at anatomically repositioning the maxillofacial structures to alleviate airway obstruction. This systematic review and meta-analysis aimed to evaluate the efficacy of OGS in reducing apnea-hypopnea index (AHI) and Epworth Sleepiness Scale (ESS) scores among OSAS patients.
View Article and Find Full Text PDFSensors (Basel)
January 2025
Department of Information Engineering, University of Padova, 35122 Padova, Italy.
Sleep posture is a key factor in assessing sleep quality, especially for individuals with Obstructive Sleep Apnea (OSA), where the sleeping position directly affects breathing patterns: the side position alleviates symptoms, while the supine position exacerbates them. Accurate detection of sleep posture is essential in assessing and improving sleep quality. Automatic sleep posture detection systems, both wearable and non-wearable, have been developed to assess sleep quality.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Sleep Medicine and Metabolic Disorder, Medical University of Lodz, 6/8 Mazowiecka, 92-215 Lodz, Poland.
: Serotonin and the serotonin transporter (SERT) may have a multifaceted, but not fully understood, role in obstructive sleep apnea (OSA) and its impact on mental health in this group of patients. This study aimed to investigate changes in serotonin and the serotonin transporter (SERT) and their association with depressive and insomnia symptoms. : This study included 76 participants (OSA group: = 36, control group (CG): = 40) who underwent polysomnography, while venous blood samples (evening and morning) were analyzed for serotonin and the SERT using ELISA.
View Article and Find Full Text PDFJ Clin Med
January 2025
Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Patients on chronic anticoagulation undergoing metabolic surgery represent an increased risk of complications, including both bleeding and thrombotic events, such as deep vein thrombosis (DVT) and pulmonary embolism (PE). The optimal perioperative management of patients who are receiving chronic anticoagulation therapy (CAT) is complex. In the colorectal surgery literature, patients on CAT have a 10% rate of peri-procedural bleeding and a 3% rate of thromboembolism.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
: Obstructive sleep apnea is a sleep-related breathing disorder associated with craniofacial morphology and dental arches. The aim of this study was to evaluate the correlation between obstructive sleep apnea and the morphometry of dental arches and upper airways. : Forty patients were enrolled in the study, and the polysomnographic parameters evaluated were the apnea hypopnea index (AHI) and the oxygen desaturation index (ODI).
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