Deep neural network (DNN) models have shown remarkable success in many real-world scenarios, such as object detection and classification. Unfortunately, these models are not yet widely adopted in health monitoring due to exceptionally high requirements for model robustness and deployment in highly resource-constrained devices. In particular, the acquisition of biosignals, such as electrocardiogram (ECG), is subject to large variations between training and deployment, necessitating domain generalization (DG) for robust classification quality across sensors and patients. The continuous monitoring of ECG also requires the execution of DNN models in convenient wearable devices, which is achieved by specialized ECG accelerators with small form factor and ultra-low power consumption. However, combining DG capabilities with ECG accelerators remains a challenge. This article provides a comprehensive overview of ECG accelerators and DG methods and discusses the implication of the combination of both domains, such that multi-domain ECG monitoring is enabled with emerging algorithm-hardware co-optimized systems. Within this context, an approach based on correction layers is proposed to deploy DG capabilities on the edge. Here, the DNN fine-tuning for unknown domains is limited to a single layer, while the remaining DNN model remains unmodified. Thus, computational complexity (CC) for DG is reduced with minimal memory overhead compared to conventional fine-tuning of the whole DNN model. The DNN model-dependent CC is reduced by more than 2.5 × compared to DNN fine-tuning at an average increase of F1 score by more than 20% on the generalized target domain. In summary, this article provides a novel perspective on robust DNN classification on the edge for health monitoring applications.
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http://dx.doi.org/10.1109/TBCAS.2024.3418085 | DOI Listing |
Drug Alcohol Depend
January 2025
RAND, Boston, MA, United States. Electronic address:
Importance: States have implemented multiple policies likely to influence opioid prescribing; few national general population studies examine those policies' effects on per-capita opioid morphine milligram equivalents (MME) dispensed.
Objective: To examine state policies' effects on opioids per-capita MMEs dispensed at retail pharmacies.
Design: A longitudinal study of associations between MME per capita and implementation of policy interventions at different times across states.
J Hypertens
November 2024
Robert Koch Institute, Department of Epidemiology and Health Monitoring.
Objectives: Home blood pressure monitoring (HBPM) is valuable for the detection and monitoring of hypertension. Despite logistical advantages, HBPM has not yet been used in national blood pressure (BP) surveys. We investigated randomly selected adults' willingness to participate in an HBPM study (attitude survey) and piloted this approach (feasibility study).
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Department of Psychiatry, Catholic Kwandong University International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
Background: Perinatal mental health problems, such as anxiety, stress, and depression, warrant particularly close monitoring and intervention, but they are often unaddressed in both obstetric and psychiatric clinics, with limited accessibility and treatment resources. Mobile health interventions may provide an effective and more accessible solution for addressing perinatal mental health. Development and evaluation of a mobile mental health intervention specifically for pregnant women are warranted.
View Article and Find Full Text PDFEuropace
January 2025
Department of Cardiovascular Sciences, UZ Leuven, Leuven, Belgium.
Background And Aims: Atrial fibrillation (AF) or atrial flutter (AFL) after cardiac surgery are common and associated with adverse outcomes. The increased risk related to AF or AFL may extend beyond discharge. This study aims to determine whether photoplethysmography (PPG)-based smartphone monitoring to detect AF or AFL after hospital discharge following cardiac surgery improves AF management.
View Article and Find Full Text PDFPLoS One
January 2025
Interventional Psychiatry Program, St. Michael's Hospital, Toronto, Ontario, Canada.
Background: Posttraumatic stress disorder (PTSD) affects 3.9% of the general population. While massed cognitive processing therapy (CPT) has demonstrated efficacy in treating chronic PTSD, a substantial proportion of patients still continue to meet PTSD criteria after treatment, highlighting the need for novel therapeutic approaches.
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