Code review is an essential practice in software engineering to spot code defects in the early stages of software development. Modern code reviews (e.g., acceptance or rejection of pull requests with Git) have become less formal than classic Fagan's inspections, lightweight, and more reliant on individuals (i.e., reviewers). However, reviewers may encounter mentally demanding challenges during the code review, such as code comprehension difficulties or distractions that might affect the code review quality. This work proposes a novel approach that evaluates the quality of code reviews in terms of bug-finding effectiveness and provides the reviewers with a clear message of whether the review should be repeated, indicating the code regions that may not have been well-reviewed. The proposed approach utilizes biometric information collected from the reviewer during the review process using non-intrusive biofeedback devices (e.g., smartwatches). Biometric measures such as Heart Rate Variability (HRV) and task-evoked pupillary response are captured as a surrogate of the cognitive state of the reviewer (e.g., mental workload) and inexpensive desktop eye-trackers compatible with the software development settings. This work uses Artificial Intelligence techniques to predict the cognitive load from the extracted biomarkers and classify each code region according to a set of features. The final evaluation considers various factors such as code complexity, time of the code review, the experience level of the reviewer, and other factors. Our experimental results show the approach could predict the review quality with 87.77%±4.65 accuracy and a Spearman correlation coefficient of 0.85 (p-value < 0.001) between the predicted and the actual review performance. This evaluation validates the cognitive load measurement using electroencephalography (EEG) signals as ground truth for the HRV and pupil signals.

Code reviews and software inspections are essential for building reliable software. However, current code reviews practice in the software industry (e.g., acceptance or rejection of pull requests with Git) deviates considerably from classic (and expensive) Fagan's inspections. Modern code reviews are lightweight and asynchronous and do not rely on a group of inspectors and inspection meetings any longer. The modern style of code reviews is much more flexible and cost-effective. Still, these advantages come with the price of reducing the quality of code reviews, as a single reviewer generally makes them with all the inherent and the very human limitations of one single look. The reviewer could be distracted, overloaded, under stress, or not even fully understand the code under review. This paper proposes a new tool (iReview) that evaluates the code review quality using biometric measures gathered from code reviewers (often called Biofeedback). Biometric measures such as Heart Rate Variability (HRV) and eye movement dynamics are used to assess the reviewer's comprehension of the code under review. iReview evaluates the quality of each review globally and indicates the code regions that have not been well-reviewed, explaining why those code regions should be reviewed again. The tool uses Artificial Intelligence techniques to classify the code regions into good and bad reviews based on various biometric and non-biometric features. The first results show that iReview can predict the review quality of medium or complex programs with an accuracy ranging from 75% to 87% in detecting bad reviews (i.e., code regions classified as bad reviewed still have undetected bugs). This tool is expected to improve software reliability by ensuring that good reviews have been carried out despite the current lightweight reviewing processes.

Our research explores a recent paradigm called Biofeedback Augmented Software Engineering (BASE) that introduces a strong new element in the software development process: the programmers' biofeedback. In this Practical Experience Report we present the results of an experiment to evaluate the possibility of using pupillography to gather biofeedback from the programmers. The idea is to use pupillography to get meta information about the programmers' cognitive and emotional states (stress, attention, mental effort level, cognitive overload,...) during code development to identify conditions that may precipitate programmers making bugs or bugs escaping human attention, and tag the corresponding code locations in the software under development to provide online warnings to the programmer or identify code snippets that will need more intensive testing. The experiments evaluate the use of pupillography as cognitive load predictor, compare the results with the mental effort perceived by programmers using NASATLX, and discuss different possibilities for the use of pupillography as biofeedback sensor in real software development scenarios.

Recent studies have shown that programmers' cognitive load during typical code development activities can be assessed using wearable and low intrusive devices that capture peripheral physiological responses driven by the autonomic nervous system. In particular, measures such as heart rate variability (HRV) and pupillography can be acquired by nonintrusive devices and provide accurate indication of programmers' cognitive load and attention level in code related tasks, which are known elements of human error that potentially lead to software faults. This paper presents an experimental study designed to evaluate the possibility of using HRV and pupillography together with eye tracking to identify and annotate specific code lines (or even finer grain lexical tokens) of the program under development (or under inspection) with information on the cognitive load of the programmer while dealing with such lines of code. The experimental data is discussed in the paper to assess different alternatives for using code annotations representing programmers' cognitive load while producing or reading code. In particular, we propose the use of biofeedback code highlighting techniques to provide online programmer's warnings for potentially problematic code lines that may need a second look at (to remove possible bugs), and biofeedback-driven software testing to optimize testing effort, focusing the tests on code areas with higher bug probability.

Neurally mediated syncope (NMS) patients suffer from sudden loss of consciousness, which is associated with a high rate of falls and hospitalization. NMS negatively impacts a subject's quality of life and is a growing cost issue in our aging society, as its incidence increases with age. In this paper, we present a solution for prediction of NMS, which is based on the analysis of the electrocardiogram (ECG) and photoplethysmogram (PPG) alone. Several parameters extracted from ECG and PPG, associated with reflectory mechanisms underlying NMS in previous publications, were combined in a single algorithm to detect impending syncope. The proposed algorithm was evaluated in a population of 43 subjects. The feature selection, distance metric selection, and optimal threshold were performed in a subset of 30 patients, while the remaining data from 13 patients were used to test the final solution. Additionally, a leave-one-out cross-validation scheme was also used to evaluate the performance of the proposed algorithm yielding the following results: sensitivity (SE)--95.2%; specificity (SP)--95.4%; positive predictive value (PPV)--90.9%; false-positive rate per hour (FPRh)-0.14 h(-1), and prediction time (aPTime)--116.4 s.

In this work, we propose a two-stage classifier based on the analysis of the heart sound's complexity for murmur identification and classification. The first stage of the classifier verifies if the heart sound (HS) exhibits murmurs. To this end, the chaotic nature of the signal is assessed using the Lyapunov exponents (LEs). The second stage of the method is devoted to the classification of the type of murmur. In opposition to current state of the art methods for murmur classification, a reduced set of features is proposed. This set includes both well-known as well as new features designed to capture the morphological and the chaotic nature of murmurs. The classification scheme is evaluated with three classification methods: Learning Vector Quantization, Gaussian Mixture Models and Support Vector Machines. The achieved results are comparable to reported results in literature, while relying on a significant smaller set of features.

Atrial fibrillation (AF) is an arrhythmia that can lead to several patient risks. This kind of arrhythmia affects mostly elderly people, in particular those who suffer from heart failure (one of the main causes of hospitalization). Thus, detection of AF becomes decisive in the prevention of cardiac threats. In this paper an algorithm for AF detection based on a novel algorithm architecture and feature extraction methods is proposed. The aforementioned architecture is based on the analysis of the three main physiological characteristics of AF: i) P wave absence ii) heart rate irregularity and iii) atrial activity (AA). Discriminative features are extracted using model-based statistic and frequency based approaches. Sensitivity and specificity results (respectively, 93.80% and 96.09% using the MIT-BIH AF database) show that the proposed algorithm is able to outperform state-of-the-art methods.