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Publicações

Publicações por Daniela Santos

2025

“Counting zzz’s” exploring and evaluating sleep apps across mobile platforms: scoping review (Preprint)

Autores
Araújo, MI; Ferreira-Santos, D;

Publicação

Abstract
BACKGROUND

Good sleep is crucial for human life. Research has shown that poor-quality sleep is related to several cardiovascular and metabolic disorders. Sleep disorders are well categorized, and most of them have defined diagnostic criteria, with level 1 polysomnography being the gold standard. With the increasing use of technology, specifically smartphones, in people’s everyday lives, the search for alternative ways of monitoring sleep disorders or certain sleep parameters has been gaining relevance.

OBJECTIVE

This scoping review aims to understand which mobile applications (apps) are available and might be useful in the Portuguese reality and explore their features.

METHODS

A search was performed in Google Play and Apple App Store for mobile applications that monitored sleep cycles, sleep movements, or sound recording and that were available in Portuguese until February 2025. Afterward, a search for scientific evidence of the selected apps was conducted.

RESULTS

Out of the 981 search results obtained, 34 applications met the study’s inclusion criteria. These were then divided into 5 categories according to their main functions: sleep cycle monitoring (SCM), sound recording (SR), SCM&SR, SCM and movement monitoring (MM), and SCM&SR&MM. 23 apps were available in both stores. Almost half of the selected apps (n=15) functioned better or needed wearable devices associated with a more thorough sleep analysis. To be fully operational, none of the mobile apps is entirely free for the user. Most of the applications did not have scientific evidence substantiating their features.

CONCLUSIONS

The mobile applications market is volatile, with little regulation and a lack of scientific evidence available to sustain the accuracy of its products. Even though mobile applications cannot substitute polysomnography in diagnosing sleep disorders, they might be relevant in monitoring sleep since they are easily available and do not require highly specific circumstances to be used. More studies are needed to validate apps, specifically in Portuguese.

2025

Predição da resposta à terapêutica de ressincronização cardíaca utilizando critérios eletrocardiográficos: revisão sistemática

Autores
Costa, PD; Bessa, JP; Pais, MC; Ferreira-Santos, D; Fernando Montenegro, S; Monteiro-Soares, M; Hipólito-Reis, A; Oliveira, MM; Rodrigues, PP;

Publicação
Revista Portuguesa de Cardiologia

Abstract

2025

Enhancing Obstructive Sleep Apnea Diagnosis: Integrating Automated Detection and Event Duration Analysis

Autores
Almeida, E; Pereira Rodrigues, P; Ferreira Santos, D;

Publicação
Studies in health technology and informatics

Abstract
Obstructive sleep apnea (OSA) is a sleep disorder marked by repeated episodes of airway obstruction, leading to apneas (complete blockage) or hypopneas (partial blockage) during sleep. The standard diagnostic metric, the apnea-hypopnea index (AHI), quantifies the number of these events per hour of sleep but has limitations, such as its dependence on manual interpretation and lack of attention to event duration, which can be clinically significant. To address these issues, this study developed an algorithm to detect respiratory events from nasal airflow signals and measure their duration, using data from 22 patients at St. Vincent's University Hospital, sourced from the PhysioNet dataset. Signal processing techniques, including filtering and envelope analysis, were applied to extract features, and apnea/hypopnea events were identified based on American Academy of Sleep Medicine (AASM) guidelines. Events were classified by duration into three groups: 10-20 seconds, 20-40 seconds, and over 40 seconds. Preliminary results showed detection accuracy of 60% for apnea and 93% for hypopnea events. The study also explored relations between event duration and demographic factors, such as age, gender, body mass index (BMI), and Epworth Sleepiness Scale (ESS) scores, to assess whether longer events were linked to greater severity. These findings suggest that incorporating event duration and automated detection into OSA diagnosis could improve accuracy and provide better insight into the condition, potentially leading to more personalized treatments.

2025

Automating Data Extraction from PDF Sleep Reports Using Data Mining Techniques

Autores
Teixeira, F; Costa, J; Amorim, P; Guimarães, N; Ferreira Santos, D;

Publicação
Studies in health technology and informatics

Abstract
This work introduces a web application for extracting, processing, and visualizing data from sleep studies reports. Using Optical Character Recognition (OCR) and Natural Language Processing (NLP), the pipeline extracts over 75 key data points from four types of sleep reports. The web application offers an intuitive interface to view individual reports' details and aggregate data from multiple reports. The pipeline demonstrated 100% accuracy in extracting targeted information from a test set of 40 reports, even in cases with missing data or formatting inconsistencies. The developed tool streamlines the analysis of OSA reports, reducing the need for technical expertise and enabling healthcare providers and researchers to utilize sleep study data efficiently. Future work aims to expand the dataset for more complex analyses and imputation techniques.

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