Search Results (5,207)

Early detection of potential infectious disease outbreaks is crucial for developing effective interventions. In this study, we introduce advanced anomaly detection methods tailored for health datasets collected from wearables, offering insights at both individual and population levels. Leveraging real-world physiological data from wearables, including heart rate and activity, we developed a framework for the early detection of infection in individuals. Despite the availability of data from recent pandemics, substantial gaps remain in data collection, hindering method development. To bridge this gap, we utilized Wasserstein Generative Adversarial Networks (WGANs) to generate realistic synthetic wearable data, augmenting our dataset for training. Subsequently, we use these augmented datasets to implement a cokurtosis-based technique for anomaly detection in multivariate time-series data. Our approach includes a comprehensive assessment of uncertainties in synthetic data compared to the actual data upon which it was modeled, as well as the uncertainty associated with fine-tuning anomaly detection thresholds in physiological measurements. Through our work, we present an enhanced method for early anomaly detection in multivariate datasets, with promising applications in healthcare and beyond. This framework could revolutionize early detection strategies and significantly impact public health response efforts in future pandemics. Full article

Heart disease remains the leading cause of death in both the United States and globally. Urban heat is increasingly recognized as a significant public health challenge, particularly in its connection to cardiovascular conditions. This study, conducted in Jefferson County, Kentucky, examines the distribution of coronary heart disease rates and develops an urban heat risk index to examine underlying socioeconomic and environmental factors. We applied bivariate spatial association (Lee’s L), Global Moran’s I, and multiple linear regression methods to examine the relationships between key variables and assess model significance. Global Moran’s I revealed clustered distributions of both coronary heart disease rates and land surface temperature across census tracts. Bivariate spatial analysis identified clusters of high heart disease rates and temperatures within the West End, while clusters of contiguous suburban tracts exhibited lower heart disease rates and temperatures. Regression analyses yielded significant results for both the ordinary least squares (OLS) model and the spatial regression model; however, the spatial error model explained a greater proportion of the variation in coronary heart disease rates across tracts compared to the OLS model. This study offers new insights into spatial disparities in coronary heart disease rates and their associations with environmental risk factors including urban heat, underscoring the challenges faced by many urban communities. Full article

Optical mapping, nanotechnology-based multielectrode arrays and automated patch-clamp allow transmembrane voltage mapping with high spatial resolution, as well as L-type calcium and inward rectifier currents measurements using native mammalian cardiomyocytes. However, these methods are limited to in vitro and ex vivo experiments, while magnetocardiography (MCG) might offer a novel approach for non-invasive preclinical safety assessments of new drugs in intact and even conscious rodents by reconstructing the ventricular action potential waveform (rVAPw) from MCG signals. Objective: This study aims to assess the feasibility of rVAPw reconstruction from MCG signals in Guinea pigs (GPs) and validate the results by comparison with simultaneously recorded epicardial ventricular monophasic action potentials (eVMAP). Methods: Unshielded MCG (uMCG) data of 18 GPs, investigated anaesthetized and awake at ages of 5, 14, and 26 months using a 36-channel DC-SQUID system, were analyzed to calculate rVAPw from MCG’s current arrow map. Results: Successful rVAPw reconstruction from averaged MCG showed good alignment with eVMAP waveforms. However, some rVAPw displayed incomplete or distorted repolarization at sites with lower MCG amplitude. Conclusions: 300-s uMCG averaging allowed rVAPw reconstruction in intact GPs. Occasionally distorted rVAPw suggests the need for dedicated MCG devices development, with higher density of optimized vector sensors, and modelling tailored for small animal hearts. Full article

Heart disease remains a leading cause of morbidity and mortality worldwide, necessitating the development of in vivo models for therapeutic development. Advances in biomedical engineering in the past decade have led to the promising rise of human-based engineered cardiac tissues (hECTs) using novel scaffolds and pluripotent stem cell derivatives. This has led to a new frontier of human-based models for improved preclinical development. At the same time, there has been significant progress in elucidating the importance of the immune system and, in particular, macrophages, particularly during myocardial injury. This review summarizes new methods and findings for deriving macrophages from human pluripotent stem cells (hPSCs) and advances in integrating these cells into cardiac tissue. Key challenges include immune cell infiltration in 3D constructs, maintenance of tissue architecture, and modeling aged or diseased cardiac microenvironments. By integrating immune components, hECTs can serve as powerful tools to unravel the complexities of cardiac pathology and develop targeted therapeutic strategies. Full article

Objective: To evaluate the feasibility and effectiveness of wrist-worn wearable devices combined with machine learning (ML) approaches for detecting a diverse array of seizure types beyond generalized tonic–clonic (GTC), including focal, generalized, and subclinical seizures. Materials and Methods: Twenty-eight patients undergoing inpatient video-EEG monitoring at Mayo Clinic were concurrently monitored using Empatica E4 wrist-worn devices. These devices captured accelerometry, blood volume pulse, electrodermal activity, skin temperature, and heart rate. Seizures were annotated by neurologists. The data were preprocessed to experiment with various segment lengths (10 s and 60 s) and multiple feature sets. Three ML strategies, XGBoost, deep learning models (LSTM, CNN, Transformer), and ROCKET, were evaluated using leave-one-patient-out cross-validation. Performance was assessed using area under the receiver operating characteristic curve (AUROC), seizure-wise recall (SW-Recall), and false alarms per hour (FA/h). Results: Detection performance varied by seizure type and model. GTC seizures were detected most reliably (AUROC = 0.86, SW-Recall = 0.81, FA/h = 3.03). Hyperkinetic and tonic seizures showed high SW-Recall but also high FA/h. Subclinical and aware-dyscognitive seizures exhibited the lowest SW-Recall and highest FA/h. MultiROCKET and XGBoost performed best overall, though no single model was optimal for all seizure types. Longer segments (60 s) generally reduced FA/h. Feature set effectiveness varied, with multi-biosignal sets improving performance across seizure types. Conclusions: Wrist-worn wearables combined with ML can extend seizure detection beyond GTC seizures, though performance remains limited for non-motor types. Optimizing model selection, feature sets, and segment lengths, and minimizing false alarms, are key to clinical utility and real-world adoption. Full article

The heart is essential to human life, so it is important to protect it and understand any kind of damage it can have. All the diseases related to hearts leads to heart failure. To help address this, a tool for predicting survival is needed. This study explores the use of several classification models for forecasting heart failure outcomes using the Heart Failure Clinical Records dataset. The outcome contrasts a deep learning (DL) model known as the Convolutional Neural Network (CNN) with many machine learning models, including Random Forest (RF), K-Nearest Neighbors (KNN), Decision Tree (DT), and Naïve Bayes (NB). Various data processing techniques, like standard scaling and Synthetic Minority Oversampling Technique (SMOTE), are used to improve prediction accuracy. The CNN model performs best by achieving 99%. In comparison, the best-performing ML model, Naïve Bayes, reaches 92.57%. This shows that deep learning provides better predictions of heart failure, making it a useful tool for early detection and better patient care. Full article

Background: Autonomic nervous system (ANS) and vascular factors are associated with glaucoma. However, the association between systemic comorbidity burden and ANS and hemodynamic function in patients with glaucoma remains unclear. This study aimed to examine the association between heart rate variability (HRV) and acceleration plethysmography (APG) parameters and the age-adjusted Charlson Comorbidity Index (ACCI) in patients with glaucoma. Methods: A total of 260 subjects (260 eyes), including 186 with primary open-angle glaucoma (PG) and 74 with exfoliation glaucoma (EG), were enrolled at Shimane University Hospital from June 2023 to July 2024. HRV and APG were assessed using a sphygmograph (TAS9 Pulse Analyzer Plus View). HRV parameters included time-domain measures (SDNN, RMSSD, CVRR) and frequency-domain measures (TP, VLF, LF, HF, LF/HF). APG parameters included the a, b, c, d, and e components of the accelerated pulse wave, and the following vascular types: Type A, Type B, and Type C. The association between ACCI and HRV and APG parameters was evaluated using Spearman’s rank correlation and multivariate regression adjusted for sex, body mass index, pulse rate, systolic and diastolic blood pressure, intraocular pressure, medication score, mean deviation, and glaucoma type. Results: By univariate analysis, against ACCI, significant inverse correlations were observed for several parameters: LnLF (R = −0.17, p = 0.0062); LnLF/LnHF (R = −0.24, p = 0.00012); b peak (R = −0.14, p = 0.031); d peak (R = −0.17, p = 0.0072); and e peak (R = −0.15, p = 0.015). Regarding HRV parameters, multivariate linear regression models showed that ACCI was significantly positively associated with RMSSD (coefficient: 2.861; 95% CI: 0.447 to 5.274) and significantly negatively associated with the frequency-domain parameters LnLF (coefficient: −0.127; 95% CI: −0.245 to −0.009) and LnLF/LnHF (coefficient: −0.038; 95% CI: −0.062 to −0.014). In APG parameters, the c peak was significant associated with ACCI (coefficient: −12.6; 95% CI: −22.5 to −2.69). ACCI was significantly associated with Type B (coefficient: 0.305; 95% CI: 0.057 to 0.552). Conclusions: Greater systemic comorbidity burden may be related to impaired ANS regulation and increased vascular stiffness in glaucoma patients. Full article

The junctional sarcoplasmic reticulum (jSR) is a critical organelle in cardiomyocytes, regulating calcium homeostasis and Excitation–Contraction Coupling (ECC). A quantitative understanding of its protein composition is essential for investigating cardiac physiology and related pathologies. However, isolating intact jSR vesicles, particularly those enriched in membrane proteins, remains a challenging task. Here, we describe our optimized protocol for reproducible enrichment of jSR vesicles from a single murine heart, without the use of antibodies. The protocol enables the recovery of low-abundance membrane proteins while preserving their native interactions with partners. This strategy facilitates the straightforward identification by Mass Spectrometry of highly relevant yet challenging jSR proteins, including the cardiac Ryanodine Receptor and calsequestrin. Our protocol provides a robust tool for studying the structural and stoichiometric organization of the cardiac jSR components in a widely used animal model. Full article

Background/Objectives: Cardiac sarcoidosis (CS) is a granulomatous inflammatory cardiomyopathy with heterogeneous presentations, from palpitations to heart failure and sudden cardiac arrest. Despite advances in imaging and immunosuppressive (IS) therapy, relapse patterns and long-term outcomes remain poorly defined. This study aimed to characterize relapse and identify predictors of relapse and major adverse cardiac events (MACE) in a real-world CS cohort. Methods: This retrospective single-center study included 25 adults diagnosed with CS at Geneva University Hospitals between 2016 and 2024, classified per the 2024 American Heart Association diagnostic criteria. Relapse was defined as clinical, arrhythmic, or imaging deterioration requiring treatment escalation. MACE included cardiovascular hospitalization, device therapy, left ventricular assist device, heart transplant, or death. Statistical methods included Kaplan–Meier analysis with log-rank tests and multivariable Cox regression adjusted for age and sex. Results: Relapse occurred in 13 patients (56%), frequently subclinical (61.5%) and detected incidentally on routine PET-CT during IS tapering. In the multivariate model, predictors of relapse included right ventricular FDG uptake (aHR 13.1; 95% CI 1.3–133.7; p = 0.03) and second-line immunosuppression duration ≤24 months (aHR 20.1; 95% CI 1.1–363.8; p = 0.04). Relapse-free patients were more often maintained on dual or triple IS therapy (71.4% vs. 15.4%; p = 0.02) and low-dose prednisone (<10 mg/day) (57.1% vs. 7.7%; p = 0.03). Conclusions: Relapse is common in CS, often subclinical, and associated with PET-CT findings and premature IS tapering. Maintenance therapy may reduce risk. Multimodal imaging remains critical for disease monitoring, though tracers with higher specificity are needed. Further research should refine relapse definitions and support personalized treatment strategies. Full article

Objectives: Virtual reality (VR) has emerged as a promising tool for assessing anxiety-related disorders through immersive exposure and physiological monitoring. This study aimed to evaluate whether multimodal data, including heart rate variability (HRV), skin conductance response (SCR), and self-reported anxiety, collected during VR exposure could classify patients with panic disorder and agoraphobia using machine learning models. Methods: Seventy-six participants (38 patients with panic disorder and agoraphobia, 38 healthy controls) completed 295 total VR exposure sessions. Each session involved two road and two supermarket scenarios designed to induce anxiety. Inside the sessions, self-reported anxiety was measured along with physiological signals recorded by photoplethysmography and SCR sensors. HRV measures of heart rate, standard deviation of normal-to-normal intervals, and low-frequency to high-frequency ratio were extracted along with SCR peak frequency and average amplitude. These features were analyzed using Gaussian Naïve Bayes (GNB), k-Nearest Neighbors (k-NN), Logistic Ridge Regression (LRR), C-Support Vector Machine (SVC), Random Forest (RF), and Stochastic Gradient Boosting (SGB) classifiers. Results: The best model achieved an accuracy of 0.83. Most models showed specificity and precision ≥0.80, while sensitivity varied across models, with several reaching ≥0.82. Performance was stable across major hyperparameters, VR-stimulus settings, and medication status. The patients reported higher subjective anxiety but exhibited blunted physiological responses, particularly in SCR amplitude. Self-reported anxiety demonstrated higher feature importance scores compared to other physiological properties. Conclusion: VR exposure with self-reported anxiety and physiological measures may serve as a feasible diagnostic aid for panic disorder and agoraphobia. Further refinement is needed to improve sensitivity and clinical applicability. Full article

Background: Sleep plays a crucial role in the health of older adults, and its quality is influenced by multiple physiological and functional factors. However, the relationship between sleep quality and physical fitness, body composition, and metabolic markers remains unclear. This exploratory study aimed to investigate the associations between sleep quality and physical, metabolic, and body composition variables in older adults, and to evaluate the preliminary performance of a logistic regression model in classifying sleep quality. Methods: A total of 32 subjects participated in this study, with a mean age of 69. The resting arterial pressure (systolic and diastolic), resting heart rate, anthropometrics (high waist girth), body composition (by bioimpedance), and physical fitness (Functional Fitness Test) and sleep quality (Pitsburg sleep-quality index) were evaluated. Group comparisons, associative analysis and logistic regression with 5-fold stratified cross-validation was used to classify sleep quality based on selected non-sleep-related predictors. Results: Individuals with good sleep quality showed significantly better back stretch (t = 2.592; p = 0.015; η² = 0.239), lower limb strength (5TSTS; t = 2.564; p = 0.016; η² = 0.476), and longer total sleep time (t = 6.882; p < 0.001; η² = 0.675). Exploratory correlations showed that poor sleep quality was moderately associated with reduced lower-limb strength and mobility. The logistic regression model including 5TSTS and TUG achieved a mean accuracy of 0.76 ± 0.15, precision of 0.79 ± 0.18, recall of 0.83 ± 0.21, and AUC of 0.74 ± 0.16 across cross-validation folds. Conclusions: These preliminary findings suggest that physical fitness and clinical variables significantly influence sleep quality in older adults. Sleep-quality-dependent patterns suggest that interventions to improve lower limb strength may promote better sleep outcomes. Full article

Heart failure with preserved ejection fraction (HFpEF) is a multifactorial cardiovascular disorder characterized by diastolic dysfunction, systemic inflammation, and myocardial fibrosis. Emerging evidence indicates that macrophage polarization imbalance plays a central role in HFpEF pathogenesis. Traditional Chinese medicine (TCM) has demonstrated therapeutic potential in modulating macrophage activity through pathways such as NO/cGMP/PKG, TGF-β/Smads, and PI3K/Akt, thereby exerting anti-inflammatory, antifibrotic, and antioxidant effects. In this review, we conducted a literature search in PubMed, Google Scholar, Web of Science, and CNKI for studies published up to May 2025, using the terms “HFpEF”, “Traditional Chinese Medicine”, and “macrophage”. A total of 19 relevant studies were included. We highlight representative TCM metabolites and TCM formulas, such as resveratrol, Qishen Yiqi Pill, Shenfu Injection, etc. And we summarize their mechanisms in regulating M1/M2 macrophage polarization. Finally, we identify current challenges, including limited HFpEF-specific models and insufficient mechanistic validation, and propose directions for future research. Full article

Background. Severe left ventricular hypertrophy (SLVH) is a high-risk structural cardiac abnormality associated with increased risk of heart failure. It is typically assessed using echocardiography or cardiac magnetic resonance imaging, but these modalities are limited by cost, accessibility, and workflow burden. We introduce a deep learning framework that classifies SLVH directly from chest radiographs, without intermediate anatomical estimation models or demographic inputs. A key contribution of this work lies in interpretability. We quantify how clinically relevant attributes are encoded within internal representations, enabling transparent model evaluation and integration into AI-assisted workflows. Methods. We construct class-balanced subsets from the CheXchoNet dataset with equal numbers of SLVH-positive and negative cases while preserving the original train, validation, and test proportions. ResNet-18 is fine-tuned from ImageNet weights, and a Vision Transformer (ViT) encoder is pretrained via masked autoencoding with a trainable classification head. No anatomical or demographic inputs are used during training. We apply Mutual Information Neural Estimation (MINE) to quantify dependence between learned features and five attributes: age, sex, interventricular septal diameter (IVSDd), posterior wall diameter (LVPWDd), and internal diameter (LVIDd). Results. ViT achieves an AUROC of 0.82 [95% CI: 0.78–0.85] and an AUPRC of 0.80 [95% CI: 0.76–0.85], indicating strong performance in SLVH detection from chest radiographs. MINE reveals clinically coherent attribute encoding in learned features: age > sex > IVSDd > LVPWDd > LVIDd. Conclusions. This study shows that SLVH can be accurately classified from chest radiographs alone. The framework combines diagnostic performance with quantitative interpretability, supporting reliable deployment in triage and decision support. Full article

Multimodal medical data provides a wide and real basis for disease diagnosis. Computer-aided diagnosis (CAD) powered by artificial intelligence (AI) is becoming increasingly prominent in disease diagnosis. CAD for multimodal medical data requires addressing the issues of data fusion and prediction. Traditionally, the prediction performance of CAD models has not been good enough due to the complicated dimensionality reduction. Therefore, this paper proposes a fusion and prediction model—EPGC—for multimodal medical data based on graph neural networks. Firstly, we select features from unstructured multimodal medical data and quantify them. Then, we transform the multimodal medical data into a graph data structure by establishing each patient as a node, and establishing edges based on the similarity of features between the patients. Normalization of data is also essential in this process. Finally, we build a node prediction model based on graph neural networks and predict the node classification, which predicts the patients’ diseases. The model is validated on two publicly available datasets of heart diseases. Compared to the existing models that typically involve dimensionality reduction, classification, or the establishment of complex deep learning networks, the proposed model achieves outstanding results with the experimental dataset. This demonstrates that the fusion and diagnosis of multimodal data can be effectively achieved without dimension reduction or intricate deep learning networks. We take pride in exploring unstructured multimodal medical data using deep learning and hope to make breakthroughs in various fields. Full article

Blood lactate (BLa) concentration is a pivotal biomarker of exercise intensity and physiological stress, which provides insights into athletic performance and recovery. However, traditional lactate measurement requires invasive blood sampling, which presents significant limitations, including procedural discomfort, infection risks, and impracticality for continuous monitoring. Though non-invasive measurements of BLa concentration have emerged, most rely on a single physiological indicator like heart rate and sweat rate, and their accuracy and reliability remain limited. To address these limitations, this study proposes an innovative multi-sensor fusion framework for non-invasive estimation of BLa. By leveraging the inherent multisystem and multidimensional coordination of human physiology during exercise, the framework integrates a range of physiological signals (e.g., heart rate variability and respiratory entropy) and biomechanical signals (e.g., motion data). We proposed a stacking ensemble model that leverages the complementary strengths of these signals and achieved exceptional predictive performance with near-perfect correlation (R² = 0.9661) while maintaining high precision (MAE = 0.1816 mmol/L) and robustness (RMSE = 0.5891 mmol/L). Furthermore, the model’s exceptional capability extends to blood lactate threshold detection with 98.15% classification accuracy, which is a critical metric for training intensity optimization. This approach provides a robust, non-invasive solution for continuous exercise intensity monitoring, demonstrating significant potential for optimizing athletic performance through real-time physiological assessment and data-driven training modulation. Full article