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Content Provider | IEEE Xplore Digital Library |
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Author | Nguyen, H.T. Ghevondian, N. Jones, T.W. |
Copyright Year | 2006 |
Description | Author affiliation: Key Univ. Res. Centre for Health Technol., Univ. of Technol., Sydney, NSW (Nguyen, H.T.) |
Abstract | The most common and highly feared adverse effect of intensive insulin therapy in patients with diabetes is the increased risk of hypoglycemia. Symptoms of hypoglycemia arise from the activation of the autonomous central nervous systems and from reduced cerebral glucose consumption. HypoMon is a non-invasive monitor that measures some physiological parameters continuously to provide detection of hypoglycemic episodes in Type 1 diabetes mellitus patients (T1DM). Based on heart rate, corrected QT interval of the ECG signal and skin impedance, a neural network detection algorithm has been developed to recognize the presence of hypoglycemic episodes. From a clinical study of 21 children with T1DM, associated with hypoglycemic episodes, their heart rates increased (1.16plusmn0.16 vs. 1.03plusmn0.11, P<0.0001), their corrected QT intervals increased (1.09plusmn0.09 vs. 1.02plusmn0.07, P<0.0001) and their skin impedances reduced significantly (0.66plusmn0.19 vs. 0.82plusmn0.21, P<0.0001). The overall data were obtained and grouped into a training set, a validation set and a test set, each with 7 patients randomly selected. Using a feedforward multi-layer neural network with 9 hidden nodes, and an algorithm developed from the training set and the validation set, a sensitivity of 0.9516 and specificity of 0.4142 were achieved for the test set. A more advanced neural network algorithm will be developed to improve the specificity of test sets in the near future |
Sponsorship | IEEE EMB |
Starting Page | 6053 |
Ending Page | 6056 |
File Size | 243613 |
Page Count | 4 |
File Format | |
ISBN | 1424400325 |
ISSN | 1557170X |
DOI | 10.1109/IEMBS.2006.259482 |
Language | English |
Publisher | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
Publisher Date | 2006-08-30 |
Publisher Place | USA |
Access Restriction | Subscribed |
Rights Holder | Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
Subject Keyword | Pediatrics Diabetes Testing Biomedical monitoring Heart rate Heart rate interval Skin Impedance Biological neural networks Insulin |
Content Type | Text |
Resource Type | Article |
Subject | Signal Processing Biomedical Engineering Health Informatics Computer Vision and Pattern Recognition |
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