A Ott John

h-index1
2papers
2citations

2 Papers

2.1ARJul 16
Toward Energy-Efficient and Low-Power Arrhythmia Detection for Wearable Devices

Floriaan Bulten, Yawar Rasheed, Arlene John et al.

Cardiovascular diseases are the leading cause of death worldwide, and conditions such as arrhythmia often require long-term monitoring for effective detection and diagnosis. However, current wearable monitoring devices are bulky, uncomfortable, and typically rely on clinicians to manually evaluate electrocardiograms (ECGs). While Deep Learning (DL) algorithms have shown superior performance in arrhythmia detection and classification, their computational complexity coupled with high power consumption limit deployment in wearable devices. To address this challenge, this paper investigates the use of approximation techniques to reduce the power and energy consumption of DL architectures while maintaining acceptable classification performance. Specifically, techniques such as data precision reduction and approximate multiplication are investigated in a state-of-the-art DL model and its corresponding hardware architecture. The model is trained and validated using the MIT-BIH Arrhythmia Database, and hardware implementations employing various approximate multipliers are synthesized and evaluated. Compared with the state-of-the-art 8.75 μW (and 2.08 μJ) reference architecture, our proposed architecture consumes 3.07 μW (and 2.17 μJ) at 12 kHz, showing 64.9% reduction in power consumption while providing an acceptable output quality, i.e., 93.7% classification accuracy and 92.1% sensitivity. At 100 MHz, our proposed architecture consumes 9.45 mW (and 0.8 μJ), showing 61.5% reduction in energy consumption as compared to the state-of-the-art architecture. These results demonstrate that our proposed approximations significantly extend wearable device battery life while preserving the required arrhythmia classification performance.

11.0HCMay 10
"Are you an AI?" Analyzing Client Suspicion of AI Use in Crisis Counseling

Shreya Shah, Akshay Swaminathan, Meghana Simhadri et al.

As artificial intelligence (AI) tools get increasingly deployed for mental healthcare, public trust in these systems remains uncertain. It is unclear how clients perceive AI involvement in counseling interactions, particularly in moments of crisis that require empathy and connection. To address this gap, we analyzed 75,777 crisis counseling conversations from a human-staffed WhatsApp helpline in India to characterize how often clients suspected they were speaking to AI, what triggered those doubts, and how counselors responded. Though no conversations actually involved AI assistance, the proportion of conversations where clients suspected AI use increased from 0.8% in June 2024 to 2.6% in March 2025. Within suspicious conversations, 21.5% of clients stated an explicit preference for humans. Client suspicion primarily arose in the first half of messages (68.3%), and when counselors offered reassurance (e.g. 'I assure you; this is not ai!'), clients continued to press or ended the conversation 17.6% of the time. As AI tools get increasingly integrated into counselor workflows, understanding these dynamics is essential for designing AI systems that preserve the therapeutic relationship between counselors and clients.