Shafiq Muhammad, Kavitha J, Rinku Dhruva R, Senthil Kumar N K, Poon Kamal, Jaffar Amar Y, Saravanan V
School of Information Engineering, Qujing Normal University, Yunnan, China.
Department of Computer Science and Engineering, Koneru Lakshmaiah Education Foundation, Bowrampet, Hyderabad, 500043, Telangana, India.
Sci Rep. 2025 Jul 2;15(1):23442. doi: 10.1038/s41598-025-03864-1.
In general, deficient birth weight neonates suffer from hypoglycemia, and this can be quite disadvantageous. Like oxygen, glucose is a building block of life and constitutes the significant share of energy produced by the fetus and the neonate during gestation. The fetus receives glucose from the placenta continuously during gestation, but this substrate delivery changes abruptly, and the fetus's metabolism changes significantly at birth. Hypoglycemia is one of the most frequent pathologies affecting the change of newborns in neonatal critical care units. This work is now introducing a system, HAPI-BELT, empowered by dual intelligent sensors and Deep Learning (DL) algorithms for tracking and continuously detecting hypoglycemia in preterm newborns. This article comprises a smart belt with an intelligent camera and photoplethysmography (PPG) attached. This device tracks changes in the infant's motion, skin colour, and breathing patterns; this is done through a PPG sensor strapped either on the belly or chest of an infant, logging information on heart functioning. The digital data gathered by this PPG sensor and image data captured from the smart camera are then processed by a Raspberry Pi Zero 2 W. It does most of the data analysis and decision-making. Feature Extraction (FE) is done through CAT-Swarm Optimization. Based on features, the sorted-out data gets evaluated through a GRU-LSTM (Gated Recurrent Unit - Long Short-Term Memory) network to identify the state of the infant as usual and suggestive of hypoglycemia-blood glucose below 70 mg/dL, pale complexion, profuse perspiration. When hypoglycemia is identified, an alert is sent to the medical professionals to take necessary action with utmost urgency. Therefore, an integrated approach ensuring timely medical interventions and real-time monitoring can help better outcomes for preterm newborns.
一般来说,低出生体重新生儿会出现低血糖,这可能相当不利。与氧气一样,葡萄糖是生命的组成部分,在胎儿和新生儿妊娠期间产生的能量中占很大比例。胎儿在妊娠期间持续从胎盘获得葡萄糖,但这种底物供应会突然改变,胎儿的新陈代谢在出生时也会发生显著变化。低血糖是新生儿重症监护病房中影响新生儿变化的最常见病症之一。这项工作现在正在引入一种名为HAPI-BELT的系统,该系统由双智能传感器和深度学习(DL)算法赋能,用于跟踪和持续检测早产儿的低血糖情况。本文介绍了一种带有智能摄像头和光电容积脉搏波描记法(PPG)的智能腰带。该设备可跟踪婴儿的运动、肤色和呼吸模式的变化;这是通过绑在婴儿腹部或胸部的PPG传感器来完成的,记录心脏功能信息。然后,由这个PPG传感器收集的数字数据和从智能摄像头捕获的图像数据由Raspberry Pi Zero 2 W进行处理。它负责大部分的数据分析和决策。特征提取(FE)通过CAT-Swarm优化来完成。基于这些特征,经过整理的数据通过门控循环单元-长短期记忆(GRU-LSTM)网络进行评估,以识别婴儿的正常状态以及低血糖的迹象——血糖低于70 mg/dL、面色苍白、大量出汗。当识别出低血糖时,会向医疗专业人员发送警报,以便他们立即采取必要行动。因此,一种确保及时医疗干预和实时监测的综合方法有助于为早产儿带来更好的治疗结果。