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1
2
3
4
5
6
7
8
9
10
Obstructive sleep
apnea (OSA)
Apnea-hypopnea
index (AHI)
11
80%
20%
ADULTS
Non-OSA 5< AHI <15
75%
25%
MIDDLE-AGED MEN
Non-OSA OSA
12
13
14
Sleeping Wakefulness
15
16
17
18
R
Input Output
𝑅 =
𝜌𝐿
𝐴
maintain the power of
high frequencies
Stiffness
𝑷𝒐𝒘𝒆𝒓
∝ 𝑭𝒓𝒆𝒒𝒖𝒆𝒏𝒄𝒚 𝟐
∗ 𝑨𝒎𝒑𝒍𝒊𝒕𝒖𝒅𝒆 𝟐
∗ 𝑺𝒕𝒊𝒇𝒇𝒏𝒆𝒔𝒔
Low High
ƒ
Severe-OSA
19
Shift down in
formant
frequencies
ƒ 𝒓 =
𝝑
𝟐𝝅
𝑨
𝑽 𝒐 𝑳 𝒆𝒒
Spontaneous oscillations
Page | 20
From Helmholtz resonance
equation, we got that
First formant frequency
is shifted down as AHI
increases
As AHI is increased,
the airway get narrower
So increasing variability
as AHI increases
Forcing air to flow through a
deformable tube, will
generate spontaneous
oscillations.
21
Mild & Severe
subjects
Mild & Moderate
subjects
Moderate &
Severe subjects
2 features 3 features2 features
F(1,81) = 30.58, P = 3.81*10-7
22
Feature 1 is the ratio between mean of the
inspiration and expiration phases’ summation at
130-250 Hz over 1200-1300 Hz during breathing
from mouth.
Feature 2 is the
skewness in frequency
within 120-400 Hz.
Expiration phase from
nose
Feature 3 is the slope
within 210-370 Hz.
Inspiration phase from
mouth
Feature 4 is the mean of the
subtraction of signals come out from
mouth and nose during inspiration
phase within 1100-1350 Hz.
Feature 5 is the slope within
210-400 Hz.
Inspiration phase from mouth
Feature 6 is the skewness in
frequency within 120-400 Hz.
Inspiration phase from mouth
23
6 features’
values /subject
Classifier 3
using
features 4, 5, & 6
Classifier 2
using
features 1 & 3
Classifier 1
using
features 1 & 2
votingmild-OSA or moderate-OSA
moderate-OSA or severe-OSA
mild-OSA or severe-OSA
Decision
Mild, Moderate, and Severe OSA groups Mild and High OSA groups
AHI>10
Majority voting
Mild Mild X Mild
Else High
24
Assigned Class Total
True Class
AHI < 5 10 ≤ AHI ≤
25
AHI ≥ 30
AHI < 5 47 6 3 56
10 ≤ AHI ≤
25
4 20 3 27
AHI ≥ 30 1 5 16 22
Assigned Class Total
True Class
AHI < 5 AHI ≥ 10
AHI < 5 47 9 56
AHI ≥ 10 5 43 49
Sensitivity = 87.8% Specificity = 84%
Data set
Classifier 1
Mild & Severe
Classifier 2
Mild & Moderate
Classifier 3
Moderate & Severe
Sensitivity 95.5% 85.2% 88.9%
Specificity 82.1% 84% 77.3%
Classifying training data (105
subjects)
Total classification accuracy79.1% 85.7%
25
Classifying 30 new
subjects
Total classification accuracy66.7% 83.78%
Classifying 37 new
subjectsData set
Classifier 1
Mild & Severe
Classifier 2
Mild & Moderate
Classifier 3
Moderate & Severe
Sensitivity 90% 80% 70%
Specificity 90% 90% 70%
Assigned Class Total
True Class
AHI < 5 10 ≤ AHI ≤
25
AHI ≥ 30
AHI < 5 8 1 1 10
10 ≤ AHI ≤
25
2 5 3 10
AHI ≥ 30 0 3 7 10
Assigned Class Total
True Class
AHI < 5 AHI ≥ 10
AHI < 5 8 2 10
AHI ≥ 10 4 23 27
Sensitivity = 85.2% Specificity = 80%
26
Comfort sleep
2/3 of our life
Alternatives
Breathing sound
Help in
27
Quick Medication
Decreasing expenses
Decrease waiting
Saving $11.1 billion & 980
lives annually
Developing new assessment tool
28
29
30
31
32

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Sleep and Happiness

  • 1. 1
  • 2. 2
  • 3. 3
  • 4. 4
  • 5. 5
  • 6. 6
  • 7. 7
  • 8. 8
  • 9. 9
  • 11. 11 80% 20% ADULTS Non-OSA 5< AHI <15 75% 25% MIDDLE-AGED MEN Non-OSA OSA
  • 12. 12
  • 13. 13
  • 15. 15
  • 16. 16
  • 17. 17
  • 18. 18 R Input Output 𝑅 = 𝜌𝐿 𝐴 maintain the power of high frequencies Stiffness 𝑷𝒐𝒘𝒆𝒓 ∝ 𝑭𝒓𝒆𝒒𝒖𝒆𝒏𝒄𝒚 𝟐 ∗ 𝑨𝒎𝒑𝒍𝒊𝒕𝒖𝒅𝒆 𝟐 ∗ 𝑺𝒕𝒊𝒇𝒇𝒏𝒆𝒔𝒔 Low High ƒ Severe-OSA
  • 19. 19 Shift down in formant frequencies ƒ 𝒓 = 𝝑 𝟐𝝅 𝑨 𝑽 𝒐 𝑳 𝒆𝒒 Spontaneous oscillations
  • 20. Page | 20 From Helmholtz resonance equation, we got that First formant frequency is shifted down as AHI increases As AHI is increased, the airway get narrower So increasing variability as AHI increases Forcing air to flow through a deformable tube, will generate spontaneous oscillations.
  • 21. 21 Mild & Severe subjects Mild & Moderate subjects Moderate & Severe subjects 2 features 3 features2 features F(1,81) = 30.58, P = 3.81*10-7
  • 22. 22 Feature 1 is the ratio between mean of the inspiration and expiration phases’ summation at 130-250 Hz over 1200-1300 Hz during breathing from mouth. Feature 2 is the skewness in frequency within 120-400 Hz. Expiration phase from nose Feature 3 is the slope within 210-370 Hz. Inspiration phase from mouth Feature 4 is the mean of the subtraction of signals come out from mouth and nose during inspiration phase within 1100-1350 Hz. Feature 5 is the slope within 210-400 Hz. Inspiration phase from mouth Feature 6 is the skewness in frequency within 120-400 Hz. Inspiration phase from mouth
  • 23. 23 6 features’ values /subject Classifier 3 using features 4, 5, & 6 Classifier 2 using features 1 & 3 Classifier 1 using features 1 & 2 votingmild-OSA or moderate-OSA moderate-OSA or severe-OSA mild-OSA or severe-OSA Decision Mild, Moderate, and Severe OSA groups Mild and High OSA groups AHI>10 Majority voting Mild Mild X Mild Else High
  • 24. 24 Assigned Class Total True Class AHI < 5 10 ≤ AHI ≤ 25 AHI ≥ 30 AHI < 5 47 6 3 56 10 ≤ AHI ≤ 25 4 20 3 27 AHI ≥ 30 1 5 16 22 Assigned Class Total True Class AHI < 5 AHI ≥ 10 AHI < 5 47 9 56 AHI ≥ 10 5 43 49 Sensitivity = 87.8% Specificity = 84% Data set Classifier 1 Mild & Severe Classifier 2 Mild & Moderate Classifier 3 Moderate & Severe Sensitivity 95.5% 85.2% 88.9% Specificity 82.1% 84% 77.3% Classifying training data (105 subjects) Total classification accuracy79.1% 85.7%
  • 25. 25 Classifying 30 new subjects Total classification accuracy66.7% 83.78% Classifying 37 new subjectsData set Classifier 1 Mild & Severe Classifier 2 Mild & Moderate Classifier 3 Moderate & Severe Sensitivity 90% 80% 70% Specificity 90% 90% 70% Assigned Class Total True Class AHI < 5 10 ≤ AHI ≤ 25 AHI ≥ 30 AHI < 5 8 1 1 10 10 ≤ AHI ≤ 25 2 5 3 10 AHI ≥ 30 0 3 7 10 Assigned Class Total True Class AHI < 5 AHI ≥ 10 AHI < 5 8 2 10 AHI ≥ 10 4 23 27 Sensitivity = 85.2% Specificity = 80%
  • 26. 26 Comfort sleep 2/3 of our life Alternatives Breathing sound Help in
  • 27. 27 Quick Medication Decreasing expenses Decrease waiting Saving $11.1 billion & 980 lives annually Developing new assessment tool
  • 28. 28
  • 29. 29
  • 30. 30
  • 31. 31
  • 32. 32

Editor's Notes

  1. From Passive electrical resistance analogy, Power is higher at wider airway cavity systems Power is maintained at high frequencies in high compliance systems From Hook’s law, Power is higher at high frequencies in high stiffness systems
  2. Need to put meaning of skewness in frequency
  3. Decreasing car accidents