Nonlinear dynamical analysis of sleep electroencephalography using fractal and entropy approaches

Obstructive Sleep Apnea and Its Treatment in Aging: Effects on Alzheimer's disease Biomarkers, Cognition, Brain Structure and Neurophysiology

Here we review the impact of obstructive sleep apnea (OSA) on biomarkers of Alzheimer's disease (AD) pathogenesis, neuroanatomy, cognition and neurophysiology, and present the research investigating the effects of continuous positive airway pressure (CPAP) therapy. OSA is associated with an increase in AD markers amyloid-β and tau measured in cerebrospinal fluid (CSF), by Positron Emission Tomography (PET) and in blood serum. There is some evidence suggesting CPAP therapy normalizes AD biomarkers in CSF but since mechanisms for amyloid-β and tau production/clearance in humans are not completely understood, these findings remain preliminary. Deficits in the cognitive domains of attention, vigilance, memory and executive functioning are observed in OSA patients with the magnitude of impairment appearing stronger in younger people from clinical settings than in older community samples. Cognition improves with varying degrees after CPAP use, with the greatest effect seen for attention in middle age adults with more severe OSA and sleepiness. Paradigms in which encoding and retrieval of information are separated by periods of sleep with or without OSA have been done only rarely, but perhaps offer a better chance to understand cognitive effects of OSA than isolated daytime testing. In cognitively normal individuals, changes in EEG microstructure during sleep, particularly slow oscillations and spindles, are associated with biomarkers of AD, and measures of cognition and memory. Similar changes in EEG activity are reported in AD and OSA, such as "EEG slowing" during wake and REM sleep, and a degradation of NREM EEG microstructure. There is evidence that CPAP therapy partially reverses these changes but large longitudinal studies demonstrating this are lacking. A diagnostic definition of OSA relying solely on the Apnea Hypopnea Index (AHI) does not assist in understanding the high degree of inter-individual variation in daytime impairments related to OSA or response to CPAP therapy. We conclude by discussing conceptual challenges to a clinical trial of OSA treatment for AD prevention, including inclusion criteria for age, OSA severity, and associated symptoms, the need for a potentially long trial, defining relevant primary outcomes, and which treatments to target to optimize treatment adherence.

A Novel Method for Sleep-Stage Classification Based on Sonification of Sleep Electroencephalogram Signals Using Wavelet Transform and Recurrent Neural Network

INTRODUCTION

Visual sleep-stage scoring is a time-consuming technique that cannot extract the nonlinear characteristics of electroencephalogram (EEG). This article presents a novel method for sleep-stage differentiation based on sonification of sleep-EEG signals using wavelet transform and recurrent neural network (RNN).

METHODS

Two RNNs were designed and trained separately based on a database of classical guitar pieces and Kurdish tanbur Makams using a long short-term memory model. Moreover, discrete wavelet transform and wavelet packet decomposition were used to determine the association between the EEG signals and musical pitches. Continuous wavelet transform was applied to extract musical beat-based features from the EEG. Then, the pretrained RNN was used to generate music. To test the proposed model, 11 sleep EEGs were mapped onto the guitar and tanbur frequency intervals and presented to the pretrained RNN. Next, the generated music was randomly presented to 2 neurologists.

RESULTS

The proposed model classified the sleep stages with an accuracy of >81% for tanbur and more than 93% for guitar musical pieces. The inter-rater reliability measured by Cohen's kappa coefficient (κ) revealed good reliability for both tanbur (κ = 0.64, p < 0.001) and guitar musical pieces (κ = 0.85, p < 0.001).

CONCLUSION

The present EEG sonification method leads to valid sleep staging by clinicians. The method could be used on various EEG databases for classification, differentiation, diagnosis, and treatment purposes. Real-time EEG sonification can be used as a feedback tool for replanning of neurophysiological functions for the management of many neurological and psychiatric disorders in the future.

Approximate Entropy of Brain Network in the Study of Hemispheric Differences

Human brain, a dynamic complex system, can be studied with different approaches, including linear and nonlinear ones. One of the nonlinear approaches widely used in electroencephalographic (EEG) analyses is the entropy, the measurement of disorder in a system. The present study investigates brain networks applying approximate entropy (ApEn) measure for assessing the hemispheric EEG differences; reproducibility and stability of ApEn data across separate recording sessions were evaluated. Twenty healthy adult volunteers were submitted to eyes-closed resting EEG recordings, for 80 recordings. Significant differences in the occipital region, with higher values of entropy in the left hemisphere than in the right one, show that the hemispheres become active with different intensities according to the performed function. Besides, the present methodology proved to be reproducible and stable, when carried out on relatively brief EEG epochs but also at a 1-week distance in a group of 36 subjects. Nonlinear approaches represent an interesting probe to study the dynamics of brain networks. ApEn technique might provide more insight into the pathophysiological processes underlying age-related brain disconnection as well as for monitoring the impact of pharmacological and rehabilitation treatments.

Representation based on ordinal patterns for seizure detection in EEG signals

EEG signals carry rich information about brain activity and play an important role in the diagnosis and recognition of epilepsy. Numerous algorithms using EEG signals to detect seizures have been developed in recent decades. However, most of them require well-designed features that highly depend on domain-specific knowledge and algorithm expertise. In this study, we introduce the unigram ordinal pattern (UniOP) and bigram ordinal pattern (BiOP) representations to capture the different underlying dynamics of time series, which only assumes that time series derived from different dynamics can be characterized by repeated ordinal patterns. Specifically, we first transform each subsequence in a time series into the corresponding ordinal pattern in terms of the ranking of values and consider the distribution of ordinal patterns of all subsequences as the UniOP representation. Furthermore, we consider the distribution of the cooccurrence of ordinal patterns as the BiOP representation to characterize the contextual information for each ordinal pattern. We then combine the proposed representations with the nearest neighbor algorithm to evaluate its effectiveness on three publicly available seizure datasets. The results on the Bonn EEG dataset demonstrate that this method provides more than 90% accuracy, sensitivity, and specificity in most cases and outperforms several state-of-the-art methods, which proves its ability to capture the key information of the underlying dynamics of EEG time series at healthy, seizure-free, and seizure states. The results on the second dataset are comparable with the state-of-the-art method, showing the good generalization ability of the proposed method. All performance metrics on the third dataset are approximately 89%, which demonstrates that the proposed representations are suitable for large-scale datasets.

Electrocardiogram-based sleep analysis for sleep apnea screening and diagnosis

PURPOSE

Despite the increasing number of research studies of cardiopulmonary coupling (CPC) analysis, an electrocardiogram-based technique, the use of CPC in underserved population remains underexplored. This study aimed to first evaluate the reliability of CPC analysis for the detection of obstructive sleep apnea (OSA) by comparing with polysomnography (PSG)-derived sleep outcomes.

METHODS

Two hundred five PSG data (149 males, age 46.8 ± 12.8 years) were used for the evaluation of CPC regarding the detection of OSA. Automated CPC analyses were based on ECG signals only. Respiratory event index (REI) derived from CPC and apnea-hypopnea index (AHI) derived from PSG were compared for agreement tests.

RESULTS

CPC-REI positively correlated with PSG-AHI (r = 0.851, p < 0.001). After adjusting for age and gender, CPC-REI and PSG-AHI were still significantly correlated (r = 0.840, p < 0.001). The overall results of sensitivity and specificity of CPC-REI were good.

CONCLUSION

Compared with the gold standard PSG, CPC approach yielded acceptable results among OSA patients. ECG recording can be used for the screening or diagnosis of OSA in the general population.

Constructing a Consciousness Meter Based on the Combination of Non-Linear Measurements and Genetic Algorithm-Based Support Vector Machine

OBJECTIVE

Constructing a framework to evaluate consciousness is an important issue in neuroscience research and clinical practice. However, there is still no systematic framework for quantifying altered consciousness along the dimensions of both level and content. This study builds a framework to differentiate the following states: coma, general anesthesia, minimally conscious state (MCS), and normal wakefulness.

METHODS

This study analyzed electroencephalography (EEG) recorded from frontal channels in patients with disorders of consciousness (either coma or MCS), patients under general anesthesia, and healthy participants in normal waking consciousness (NWC). Four non-linear methods-permutation entropy (PE), sample entropy (SampEn), permutation Lempel-Ziv complexity (PLZC), and detrended fluctuation analysis (DFA)-as well as relative power (RP), extracted features from the EEG recordings. A genetic algorithm-based support vector machine (GA-SVM) classified the states of consciousness based on the extracted features. A multivariable linear regression model then built EEG indices for level and content of consciousness.

RESULTS

The PE differentiated all four states of consciousness (p<0.001). Altered contents of consciousness for NWC, MCS, coma, and general anesthesia were best differentiated by the SampEn, and PLZC. In contrast, the levels of consciousness for these four states were best differentiated by RP of Gamma and PE. A multi-dimensional index, combined with the GA-SVM, showed that the integration of PE, PLZC, SampEn, and DFA had the highest classification accuracy (92.3%). The GA-SVM was better than random forest and neural networks at differentiating these four states. The 'coordinate value' in the dimensions of level and content were constructed by the multivariable linear regression model and the non-linear measures PE, PLZC, SampEn, and DFA.

CONCLUSIONS

Multi-dimensional measurements, especially the PE, SampEn, PLZC, and DFA, when combined with GA-SVM, are promising methods for constructing a framework to quantify consciousness.

Low Complexity Automatic Stationary Wavelet Transform for Elimination of Eye Blinks from EEG

The electroencephalogram signal (EEG) often suffers from various artifacts and noises that have physiological and non-physiological origins. Among these artifacts, eye blink, due to its amplitude is considered to have the most influence on EEG analysis. In this paper, a low complexity approach based on Stationary Wavelet Transform (SWT) and skewness is proposed to remove eye blink artifacts from EEG signals. The proposed method is compared against Automatic Wavelet Independent Components Analysis (AWICA) and Enhanced AWICA. Normalized Root Mean Square Error (NRMSE), Peak Signal-to-Noise Ratio (PSNR), and correlation coefficient ( ρ ) between filtered and pure EEG signals are utilized to quantify artifact removal performance. The proposed approach shows smaller NRMSE, larger PSNR, and larger correlation coefficient values compared to the other methods. Furthermore, the speed of execution of the proposed method is considerably faster than other methods, which makes it more suitable for real-time processing.

Nonlinear dynamics captures brain states at different levels of consciousness in patients anesthetized with propofol

The information processing capability of the brain decreases during unconscious states. Capturing this decrease during anesthesia-induced unconsciousness has been attempted using standard spectral analyses as these correlate relatively well with breakdowns in corticothalamic networks. Much of this work has involved the use of propofol to perturb brain activity, as it is one of the most widely used anesthetics for routine surgical anesthesia. Propofol administration alone produces EEG spectral characteristics similar to most hypnotics; however, inter-individual and drug variation render spectral measures inconsistent. Complexity measures of EEG signals could offer better measures to distinguish brain states, because brain activity exhibits nonlinear behavior at several scales during transitions of consciousness. We tested the potential of complexity analyses from nonlinear dynamics to identify loss and recovery of consciousness at clinically relevant timepoints. Patients undergoing propofol general anesthesia for various surgical procedures were identified as having changes in states of consciousness by the loss and recovery of response to verbal stimuli after induction and upon cessation of anesthesia, respectively. We demonstrate that nonlinear dynamics analyses showed more significant differences between consciousness states than spectral measures. Notably, attractors in conscious and anesthesia-induced unconscious states exhibited significantly different shapes. These shapes have implications for network connectivity, information processing, and the total number of states available to the brain at these different levels. They also reflect some of our general understanding of the network effects of consciousness in a way that spectral measures cannot. Thus, complexity measures could provide a universal means for reliably capturing depth of consciousness based on EEG changes at the beginning and end of anesthesia administration.

On the development of sleep states in the first weeks of life

Human newborns spend up to 18 hours sleeping. The organization of their sleep differs immensely from adult sleep, and its quick maturation and fundamental changes correspond to the rapid cortical development at this age. Manual sleep classification is specifically challenging in this population given major body movements and frequent shifts between vigilance states; in addition various staging criteria co-exist. In the present study we utilized a machine learning approach and investigated how EEG complexity and sleep stages evolve during the very first weeks of life. We analyzed 42 full-term infants which were recorded twice (at week two and five after birth) with full polysomnography. For sleep classification EEG signal complexity was estimated using multi-scale permutation entropy and fed into a machine learning classifier. Interestingly the baby’s brain signal complexity (and spectral power) revealed developmental changes in sleep in the first 5 weeks of life, and were restricted to NREM (“quiet”) and REM (“active sleep”) states with little to no changes in state wake. Data demonstrate that our classifier performs well over chance (i.e., >33% for 3-class classification) and reaches almost human scoring accuracy (60% at week-2, 73% at week-5). Altogether, these results demonstrate that characteristics of newborn sleep develop rapidly in the first weeks of life and can be efficiently identified by means of machine learning techniques.

The reliability and psychometric structure of Multi-Scale Entropy measured from EEG signals at rest and during face and object recognition tasks

BACKGROUND

Multi-Scale Entropy (MSE) is a widely used marker of Brain Signal Complexity (BSC) at multiple temporal scales.

METHODOLOGICAL IMPROVEMENT

There is no systematic research addressing the psychometric quality and reliability of MSE. It is unknown how recording conditions of EEG signals affect individual differences in MSE. These gaps can be addressed by means of Structural Equation Modeling (SEM).

RESULTS

Based on a large sample of 210 young adults, we estimated measurement models for MSE derived from multiple epochs of EEG signal measured during resting state conditions with closed and open eyes, and during a visual task with multiple experimental manipulations. Factor reliability estimates, quantified by the McDonald's ω coefficient, are high at lower and acceptable at higher time scales. Above individual differences in signal entropy observed across all recording conditions, persons specifically differ with respect to their BSC in open eyes resting state condition as compared with closed eyes state, and in task processing state MSE as compared with resting state.

COMPARISON WITH EXISTING METHODS

By means of SEM, we decomposed individual differences in BSC into different factors depending on the recording condition of EEG signals. This goes beyond existing methods that aim at estimating average MSE differences across recording conditions, but do not address whether individual differences are additionally affected by the type of EEG recording condition.

CONCLUSION

Eyes closed and open and task conditions strongly influence individual differences in MSE. We provide recommendations for future studies aiming to address BSC using MSE as a neural marker of cognitive abilities.

Automatic detection of epileptic seizure based on approximate entropy, recurrence quantification analysis and convolutional neural networks

Epilepsy is the most common neurological disorder in humans. Electroencephalogram is a prevalent tool for diagnosing the epileptic seizure activity in clinical, which provides valuable information for understanding the physiological mechanisms behind epileptic disorders. Approximate entropy and recurrence quantification analysis are nonlinear analysis tools to quantify the complexity and recurrence behaviors of non-stationary signals, respectively. Convolutional neural networks are powerful class of models. In this paper, a new method for automatic epileptic electroencephalogram recordings based on the approximate entropy and recurrence quantification analysis combined with a convolutional neural network were proposed. The Bonn dataset was used to assess the proposed approach. The results indicated that the performance of the epileptic seizure detection by approximate entropy and recurrence quantification analysis is good (all of the sensitivities, specificities and accuracies are greater than 80%); especially the sensitivity, specificity and accuracy of the recurrence rate achieved 92.17%, 91.75% and 92.00%. When combines the approximate entropy and recurrence quantification analysis features with convolutional neural networks to automatically differentiate seizure electroencephalogram from normal recordings, the classification result can reach to 98.84%, 99.35% and 99.26%. Thus, this makes automatic detection of epileptic recordings become possible and it would be a valuable tool for the clinical diagnosis and treatment of epilepsy.

Quantifying interdependence using the missing joint ordinal patterns

In this paper, we develop the concept of forbidden/missing ordinal patterns into the forbidden/missing joint ordinal patterns and propose the ratio of the number of missing joint ordinal patterns (RMJPs) as a sign of interdependence. RMJP in a surrogate analysis can be used to differentiate the forbidden joint ordinal patterns from the missing joint ordinal patterns due to small sample effects. We first apply RMJP to the simulated time series: a two-component autoregressive fractionally integrated moving average process, the Hénon map, and the Rössler system using active control and discuss the effect of the length of the time series, embedding dimension, and noise contamination. RMJP has been proven to be capable of measuring the interdependence in the numerical simulation. Then, RMJP is further used on the electroencephalogram (EEG) time series for empirical analysis to explore the interdependence of brain waves. With results by RMJP obtained from a widely used open dataset of the sleep EEG time series from healthy subjects, we find that RMJP can be used to quantify the brain wave interdependence under different sleep/wake stages, reveal the overall sleep architecture, and indicate a higher level of interdependence as sleep gets deeper. The findings are consistent with existing knowledge in sleep medicine. The proposed RMJP method has shown its validity and applicability and may assist automatic sleep quantification or bring insight into the understanding of the brain activity during sleep. Furthermore, RMJP can be used on sleep EEG under various pathological conditions and in large-scale sleep studies, helping to investigate the mechanisms of the sleep process and neuron synchronization.

Comparative analysis of different characteristics of automatic sleep stages

BACKGROUND AND OBJECTIVE

With the acceleration of social rhythm and the increase of pressure, there are various sleep problems among people. Sleep staging is an important basis for the diagnosis of sleep disorders and other related diseases. The process of automatic staging of sleep is mainly divided into three core steps: data preprocessing, feature extraction, and classification. Accurate analysis of the features of sleep electroencephalogram (EEG) signals is not only helpful to improve the accuracy of sleep staging, but also help people to understand their sleep status.

METHODS

This paper focuses on the analysis of EEG features during sleep staging, and reviews many feature extraction methods and classification methods for sleep staging and sums up these algorithms used in literatures and its staging results. Besides, this paper lists a total of 22 features based on time domain, time-frequency, and nonlinear analysis methods, including kurtosis, skewness, Hjorth parameters, and standard deviations, wavelets energy; sample entropy (SampEn), fuzzy entropy, Tsallis entropy, fractal dimension (FD), complexity. The data set comes from EDF database. Wavelet transform (WT) and support vector machine (SVM) are used to achieve the sleep staging based on single-channel EEG signal. And the characteristic feature data was analyzed by ANOVA.

RESULTS

By comparison, the SampEn, fuzzy entropy, FD and complexity can achieve ideal sleep staging. The highest accuracy of sleep staging is 85.93%. The FD and complexity are simpler than the entropy value, but their accuracies are lower. Furthermore, the distribution of these methods in different sleep period is more significant than others, which is content with the results of sleep staging.

CONCLUSION

In a word, due to the non-stationary and non-linear characteristics of EEG signals, time domain and time-frequency analysis methods all have some limitations. Nonlinear analysis was more effective and practical for the analysis of sleep EEG.

EEG functional connectivity metrics wPLI and wSMI account for distinct types of brain functional interactions

The weighted Phase Lag Index (wPLI) and the weighted Symbolic Mutual Information (wSMI) represent two robust and widely used methods for MEG/EEG functional connectivity estimation. Interestingly, both methods have been shown to detect relative alterations of brain functional connectivity in conditions associated with changes in the level of consciousness, such as following severe brain injury or under anaesthesia. Despite these promising findings, it was unclear whether wPLI and wSMI may account for distinct or similar types of functional interactions. Using simulated high-density (hd-)EEG data, we demonstrate that, while wPLI has high sensitivity for couplings presenting a mixture of linear and nonlinear interdependencies, only wSMI can detect purely nonlinear interaction dynamics. Moreover, we evaluated the potential impact of these differences on real experimental data by computing wPLI and wSMI connectivity in hd-EEG recordings of 12 healthy adults during wakefulness and deep (N3-)sleep, characterised by different levels of consciousness. In line with the simulation-based findings, this analysis revealed that both methods have different sensitivity for changes in brain connectivity across the two vigilance states. Our results indicate that the conjoint use of wPLI and wSMI may represent a powerful tool to study the functional bases of consciousness in physiological and pathological conditions.

Facing High EEG Signals Variability during Classification Using Fractal Dimension and Different Cutoff Frequencies

In the development of a brain-computer interface (BCI), some issues should be regarded in order to improve its reliability and performance. Perhaps, one of the most challenging issues is related to the high variability of the brain signals, which directly impacts the accuracy of the classification. In this sense, novel feature extraction techniques should be explored in order to select those able to face this variability. Furthermore, to improve the performance of the selected feature extraction technique, the parameters of the filter applied in the preprocessing stage need to be properly selected. Then, this work presents an analysis of the robustness of the fractal dimension as feature extraction technique under high variability of the EEG signals, particularly when the training data are recorded one day and the testing data are obtained on a different day. The results are compared with those obtained by an autoregressive model, which is a technique commonly used in BCI applications. Also, the effect of properly selecting the cutoff frequencies of the filter in the preprocessing stage is evaluated. This research is supported by several experiments carried out using a public data set from the BCI international competition, specifically data set 2a from BCIIC IV, related to motor tasks. By a statistical test, it is demonstrated that the performance achieved using the fractal dimension is significantly better than that reached by the AR model. Also, it is demonstrated that the selection of the appropriate cutoff frequencies improves significantly the performance in the classification. The increase rate is approximately of 17%.

Changes in EEG multiscale entropy and power-law frequency scaling during the human sleep cycle

We explored changes in multiscale brain signal complexity and power-law scaling exponents of electroencephalogram (EEG) frequency spectra across several distinct global states of consciousness induced in the natural physiological context of the human sleep cycle. We specifically aimed to link EEG complexity to a statistically unified representation of the neural power spectrum. Further, by utilizing surrogate-based tests of nonlinearity we also examined whether any of the sleep stage-dependent changes in entropy were separable from the linear stochastic effects contained in the power spectrum. Our results indicate that changes of brain signal entropy throughout the sleep cycle are strongly time-scale dependent. Slow wave sleep was characterized by reduced entropy at short time scales and increased entropy at long time scales. Temporal signal complexity (at short time scales) and the slope of EEG power spectra appear, to a large extent, to capture a common phenomenon of neuronal noise, putatively reflecting cortical balance between excitation and inhibition. Nonlinear dynamical properties of brain signals accounted for a smaller portion of entropy changes, especially in stage 2 sleep.

Nonlinear Analysis of Electroencephalogram Signals while Listening to the Holy Quran

Background:

Electrical activity of the brain, resulting from electrochemical signaling between neurons, is recorded by electroencephalogram (EEG). The neural network has complex behavior at different levels that strongly confirms the nonlinear nature of interactions in the human brain. This study has been designed and implemented with the aim of determining the effects of religious beliefs and the effect of listening to Holy Quran on electrical activity of the brain of the Iranian Persian-speaking Muslim volunteers.

Methods:

The brain signals of 47 Persian-speaking Muslim volunteers while listening to the Holy Quran consciously, and while listening to the Holy Quran and the Arabic text unconsciously were used. Therefore, due to the nonlinear nature of EEG signals, these signals are studied using approximate entropy, sample entropy, Hurst exponent, and Detrended Fluctuation Analysis.

Results:

Statistical analysis of the results has shown that listening to the Holy Quran consciously increases approximate entropy and sample entropy, and decreases Hurst Exponent and Detrended Fluctuation Analysis compared to other cases.

Conclusion:

Consciously listening to the Holy Quran decreases self-similarity and correlation of brain signal and instead increases complexity and dynamicity in the brain.

Portable Drowsiness Detection through Use of a Prefrontal Single-Channel Electroencephalogram

Drowsiness detection has been studied in the context of evaluating products, assessing driver alertness, and managing office environments. Drowsiness level can be readily detected through measurement of human brain activity. The electroencephalogram (EEG), a device whose application relies on adhering electrodes to the scalp, is the primary method used to monitor brain activity. The many electrodes and wires required to perform an EEG place considerable constraints on the movement of users, and the cost of the device limits its availability. For these reasons, conventional EEG devices are not used in practical studies and businesses. Many potential practical applications could benefit from the development of a wire-free, low-priced device; however, it remains to be elucidated whether portable EEG devices can be used to estimate human drowsiness levels and applied within practical research settings and businesses. In this study, we outline the development of a drowsiness detection system that makes use of a low-priced, prefrontal single-channel EEG device and evaluate its performance in an offline analysis and a practical experiment. Firstly, for the development of the system, we compared three feature extraction methods: power spectral density (PSD), autoregressive (AR) modeling, and multiscale entropy (MSE) for detecting characteristics of an EEG. In order to efficiently select a meaningful PSD, we utilized step-wise linear discriminant analysis (SWLDA). Time-averaging and robust-scaling were used to fit the data for pattern recognition. Pattern recognition was performed by a support vector machine (SVM) with a radial basis function (RBF) kernel. The optimal hyperparameters for the SVM were selected by the grind search method so as to increase drowsiness detection accuracy. To evaluate the performance of the detections, we calculated classification accuracy using the SVM through 10-fold cross-validation. Our model achieved a classification accuracy of 72.7% using the PSD with SWLDA and the SVM. Secondly, we conducted a practical study using the system and evaluated its performance in a practical situation. There was a significant difference (* p < 0.05) between the drowsiness-evoked task and concentration-needed task. Our results demonstrate the efficacy of our low-priced portable drowsiness detection system in quantifying drowsy states. We anticipate that our system will be useful to practical studies with aims as diverse as measurement of classroom mental engagement, evaluation of movies, and office environment evaluation.

Complexity of Wake Electroencephalography Correlates With Slow Wave Activity After Sleep Onset

Sleep electroencephalography (EEG) provides an opportunity to study sleep scientifically, whose chaotic, dynamic, complex, and dissipative nature implies that non-linear approaches could uncover some mechanism of sleep. Based on well-established complexity theories, one hypothesis in sleep medicine is that lower complexity of brain waves at pre-sleep state can facilitate sleep initiation and further improve sleep quality. However, this has never been studied with solid data. In this study, EEG collected from healthy subjects was used to investigate the association between pre-sleep EEG complexity and sleep quality. Multiscale entropy analysis (MSE) was applied to pre-sleep EEG signals recorded immediately after light-off (while subjects were awake) for measuring the complexities of brain dynamics by a proposed index, CI₁₋₃₀. Slow wave activity (SWA) in sleep, which is commonly used as an indicator of sleep depth or sleep intensity, was quantified based on two methods, traditional Fast Fourier transform (FFT) and ensemble empirical mode decomposition (EEMD). The associations between wake EEG complexity, sleep latency, and SWA in sleep were evaluated. Our results demonstrated that lower complexity before sleep onset is associated with decreased sleep latency, indicating a potential facilitating role of reduced pre-sleep complexity in the wake-sleep transition. In addition, the proposed EEMD-based method revealed an association between wake complexity and quantified SWA in the beginning of sleep (90 min after sleep onset). Complexity metric could thus be considered as a potential indicator for sleep interventions, and further studies are encouraged to examine the application of EEG complexity before sleep onset in populations with difficulty in sleep initiation. Further studies may also examine the mechanisms of the causal relationships between pre-sleep brain complexity and SWA, or conduct comparisons between normal and pathological conditions.

Endogenous Chemiluminescence from Germinating Arabidopsis Thaliana Seeds

It is well known that all biological systems which undergo oxidative metabolism or oxidative stress generate a small amount of light. Since the origin of excited states producing this light is generally accepted to come from chemical reactions, the term endogenous biological chemiluminescence is appropriate. Apart from biomedicine, this phenomenon has potential applications also in plant biology and agriculture like monitoring the germination rate of seeds. While chemiluminescence capability to monitor germination has been measured on multiple agriculturally relevant plants, the standard model plant Arabidopsis thaliana has not been analyzed for this process so far. To fill in this gap, we demonstrate here on A. thaliana that the intensity of endogenous chemiluminescence increases during the germination stage. We showed that the chemiluminescence intensity increases since the second day of germination, but reaches a plateau on the third day, in contrast to other plants germinating from larger seeds studied so far. We also showed that intensity increases after topical application of hydrogen peroxide in a dose-dependent manner. Further, we demonstrated that the entropy of the chemiluminescence time series is similar to random Poisson signals. Our results support a notion that metabolism and oxidative reactions are underlying processes which generate endogenous biological chemiluminescence. Our findings contribute to novel methods for non-invasive and label-free sensing of oxidative processes in plant biology and agriculture.

Automatic anesthesia depth staging using entropy measures and relative power of electroencephalogram frequency bands

Many of the surgeries performed under general anesthesia are aided by electroencephalogram (EEG) monitoring. With increased focus on detecting the anesthesia states of patients in the course of surgery, more attention has been paid to analyzing the power spectra and entropy measures of EEG signal during anesthesia. In this paper, by using the relative power of EEG frequency bands and the EEG entropy measures, a new method for detecting the depth of anesthesia states has been presented based on the least squares support vector machine (LS-SVM) classifiers. EEG signals were recorded from 20 patients before, during and after general anesthesia in the operating room at a sampling rate of 200 Hz. Then, 12 features were extracted from each EEG segment, 10 s in length, which are used for anesthesia state monitoring. No significant difference was observed (p > 0.05) between these features and the bispectral index (BIS), which is the commonly used measure of anesthetic effect. The used LS-SVM classifier based method is able to identify the anesthesia states with an accuracy of 80% with reference to the BIS index. Since the underlying equation of the utilized LS-SVM is linear, the computational time of the algorithm is not significant and therefore it can be used for online application in operation rooms.

Computational models of memory consolidation and long-term synaptic plasticity during sleep

The brain stores memories by persistently changing the connectivity between neurons. Sleep is known to be critical for these changes to endure. Research on the neurobiology of sleep and the mechanisms of long-term synaptic plasticity has provided data in support of various theories of how brain activity during sleep affects long-term synaptic plasticity. The experimental findings - and therefore the theories - are apparently quite contradictory, with some evidence pointing to a role of sleep in the forgetting of irrelevant memories, whereas other results indicate that sleep supports the reinforcement of the most valuable recollections. A unified theoretical framework is in need. Computational modeling and simulation provide grounds for the quantitative testing and comparison of theoretical predictions and observed data, and might serve as a strategy to organize the rather complicated and diverse pool of data and methodologies used in sleep research. This review article outlines the emerging progress in the computational modeling and simulation of the main theories on the role of sleep in memory consolidation.

New complexity measures reveal that topographic loops of human alpha phase potentials are more complex in drowsy than in wake

A number of measures, stemming from nonlinear dynamics, exist to estimate complexity of biomedical objects. In most cases they are appropriate, but sometimes unconventional measures, more suited for specific objects, are needed to perform the task. In our present work, we propose three new complexity measures to quantify complexity of topographic closed loops of alpha carrier frequency phase potentials (CFPP) of healthy humans in wake and drowsy states. EEG of ten adult individuals was recorded in both states, using a 14-channel montage. For each subject and each state, a topographic loop (circular directed graph) was constructed according to CFPP values. Circular complexity measure was obtained by summing angles which directed graph edges (arrows) form with the topographic center. Longitudinal complexity was defined as the sum of all arrow lengths, while intersecting complexity was introduced by counting the number of intersections of graph edges. Wilcoxon's signed-ranks test was used on the sets of these three measures, as well as on fractal dimension values of some loop properties, to test differences between loops obtained in wake vs. drowsy. While fractal dimension values were not significantly different, longitudinal and intersecting complexities, as well as anticlockwise circularity, were significantly increased in drowsy. Graphical abstract An example of closed topographic carrier frequency phase potential (CFPP) loops, recorded in one of the subjects in the wake (A) and drowsy (C) states. Lengths of loop graph edges, r(c _j, c _j + 1), plotted against the series of EEG channels with decreasing CFPP values, c _j , in the wake (B) and drowsy (D) states. Conventional fractal analysis did not reveal any difference between them; therefore, three new complexity measures were introduced.

A New Method for Automatic Sleep Stage Classification

Traditionally, automatic sleep stage classification is quite a challenging task because of the difficulty in translating open-textured standards to mathematical models and the limitations of handcrafted features. In this paper, a new system for automatic sleep stage classification is presented. Compared with existing sleep stage methods, our method can capture the sleep information hidden inside electroencephalography (EEG) signals and automatically extract features from raw data. To translate open sleep stage standards into machine rules recognized by computers, a new model named fast discriminative complex-valued convolutional neural network (FDCCNN) is proposed to extract features from raw EEG data and classify sleep stages. The new model combines complex-valued backpropagation and the Fisher criterion. It can learn discriminative features and overcome the negative effect of imbalance dataset. More importantly, the orthogonal decision boundaries for the real and imaginary parts of a complex-valued convolutional neuron are proven. A speed-up algorithm is proposed to reduce computational workload and yield improvements of over an order of magnitude compared to the normal convolution algorithm. The classification performances of handcrafted features and different convolutional neural networks are compared with that of the FDCCNN. The total accuracy and kappa coefficient of the proposed method are 92% and 0.84, respectively. Experiment results demonstrated that the performance of our system is comparable to those of human experts.

Evaluation of pulse oximeter derived photoplethysmographic signals for obstructive sleep apnea diagnosis

High prevalence of obstructive sleep apnea (OSA) has increased the demands for more convenient and accessible diagnostic devices other than standard in-lab polysomnography (PSG). Despite the increasing utility of photoplethysmograph (PPG), it remains understudied in underserved populations. This study aimed to evaluate the reliability of a standard pulse oximeter system with an automated analysis based on the PPG signal for the diagnosis of OSA, as compared with PSG derived measures.Consecutive out-patients with suspect OSA completed a PPG monitoring simultaneous with an overnight in-lab standard PSG. Forty-nine OSA patients (38 males, age 43.5 ± 16.9 years, BMI 26.9 ± 0.5 kg/m) were included in this study. Automated analyses were based on PPG and oximetry signals only. The PPG calculated measures were compared with PSG derived measures for agreement tests.Respiratory events index derived from PPG significantly correlated with PSG-derived apnea-hypopnea index (r = 0.935, P < .001). The calculation of total sleep time and oxygen desaturation index from PPG and PSG also significantly correlated (r = 0.418, P = .003; r = 0.933, P < .001, respectively). Bland-Altman plots showed good agreement between the PPG and the PSG measures. The overall sensitivity and specificity of PPG are good, especially in moderate and severe OSA groups.The tested PPG approach yielded acceptable results compared to the gold standard PSG among moderate to severe OSA patients. A pulse oximeter system with PPG recording can be used for the diagnosis or screening of OSA in high risk population.

Cardiac Autonomic Alteration and Metabolic Syndrome: An Ambulatory ECG-based Study in A General Population

Metabolic syndrome (MetS) has been associated with chronic damage to the cardiovascular system. This study aimed to evaluate early stage cardiac autonomic dysfunction with electrocardiography (ECG)-based measures in MetS subjects. During 2012–2013, 175 subjects with MetS and 226 healthy controls underwent ECG recordings of at least 4 hours starting in the morning with ambulatory one-lead ECG monitors. MetS was diagnosed using the criteria defined in the Adult Treatment Panel III, with a modification of waist circumference for Asians. Conventional heart rate variability (HRV) analysis, and complexity index (CI_1–20) calculated from 20 scales of entropy (multiscale entropy, MSE), were compared between subjects with MetS and controls. Compared with the healthy controls, subjects with MetS had significantly reduced HRV, including SDNN and pNN20 in time domain, VLF, LF and HF in frequency domain, as well as SD2 in Poincaré analysis. MetS subjects have significantly lower complexity index (CI_1–20) than healthy subjects (1.69 ± 0.18 vs. 1.77 ± 0.12, p < 0.001). MetS severity was inversely associated with the CI_1–20 (r = −0.27, p < 0.001). MetS is associated with significant alterations in heart rate dynamics, including HRV and complexity.