Automated quality analysis and decision support for rural midwifery at the edge

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Aghomo, Raisa-Claire Ngeniform
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Abstract
This thesis examines the optimization of exponential smoothing parameters (alpha values) for amplitude detection algorithms in fetal Doppler ultrasound quality assessment. Through systematic evaluation of seven alpha values (0.1-0.99), the research identified a fundamental trade-off between classification accuracy and notification stability. While higher alpha values achieved superior accuracy (up to 96.6% with α=0.99), they also generated significantly more frequent notification changes (95.5 changes/file), potentially affecting usability. Conversely, lower alpha values provided more stable notifications at the cost of reduced accuracy. The study introduced the "eye closing interval" as a metric for quantifying notification stability and demonstrated the potential value of a dual-threshold approach using different alpha values for low volume and high saturation detection. These findings provide a methodological framework for optimizing signal processing algorithms in resource-constrained healthcare settings, ultimately supporting improved fetal monitoring accessibility in low- and middle-income countries.
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Undergraduate Research Option Thesis
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