Trung Q. Le

Dang Nguyen, Phat K. Huynh, Vinh Duc An Bui et al.

The COVID-19 pandemic underscored the importance of reliable, noninvasive diagnostic tools for robust public health interventions. In this work, we fused magnetic respiratory sensing technology (MRST) with machine learning (ML) to create a diagnostic platform for real-time tracking and diagnosis of COVID-19 and other respiratory diseases. The MRST precisely captures breathing patterns through three specific breath testing protocols: normal breath, holding breath, and deep breath. We collected breath data from both COVID-19 patients and healthy subjects in Vietnam using this platform, which then served to train and validate ML models. Our evaluation encompassed multiple ML algorithms, including support vector machines and deep learning models, assessing their ability to diagnose COVID-19. Our multi-model validation methodology ensures a thorough comparison and grants the adaptability to select the most optimal model, striking a balance between diagnostic precision with model interpretability. The findings highlight the exceptional potential of our diagnostic tool in pinpointing respiratory anomalies, achieving over 90% accuracy. This innovative sensor technology can be seamlessly integrated into healthcare settings for patient monitoring, marking a significant enhancement for the healthcare infrastructure.

Duy Nguyen, Ca Hoang, Phat K. Huynh et al.

Cardiovascular diseases (CVDs) are notably prevalent among patients with obstructive sleep apnea (OSA), posing unique challenges in predicting CVD progression due to the intricate interactions of comorbidities. Traditional models typically lack the necessary dynamic and longitudinal scope to accurately forecast CVD trajectories in OSA patients. This study introduces a novel multi-level phenotypic model to analyze the progression and interplay of these conditions over time, utilizing data from the Wisconsin Sleep Cohort, which includes 1,123 participants followed for decades. Our methodology comprises three advanced steps: (1) Conducting feature importance analysis through tree-based models to underscore critical predictive variables like total cholesterol, low-density lipoprotein (LDL), and diabetes. (2) Developing a logistic mixed-effects model (LGMM) to track longitudinal transitions and pinpoint significant factors, which displayed a diagnostic accuracy of 0.9556. (3) Implementing t-distributed Stochastic Neighbor Embedding (t-SNE) alongside Gaussian Mixture Models (GMM) to segment patient data into distinct phenotypic clusters that reflect varied risk profiles and disease progression pathways. This phenotypic clustering revealed two main groups, with one showing a markedly increased risk of major adverse cardiovascular events (MACEs), underscored by the significant predictive role of nocturnal hypoxia and sympathetic nervous system activity from sleep data. Analysis of transitions and trajectories with t-SNE and GMM highlighted different progression rates within the cohort, with one cluster progressing more slowly towards severe CVD states than the other. This study offers a comprehensive understanding of the dynamic relationship between CVD and OSA, providing valuable tools for predicting disease onset and tailoring treatment approaches.