Non-Linear Dynamic Analysis of Inter-Word Time Intervals in Psychotic Speech

Schizophrenia identification for phonetic coherence using SVM and blur approaches

The diagnosis cycle of schizophrenia is long, there is no objective diagnostic basis. The over-energy entropy product of the speech fluency rectangular parameter is designed in the paper, the fuzzy clustering is used to double locate speech pause areas and to assist in the diagnosis of schizophrenia. The pause area of speech is located based on the low speech fluency and flat energy in schizophrenia patients, an extraction algorithm is given for speech fluency quantification parameters, support vector machine (SVM) classifier is used in the approach. The fluency acoustic features of speech are taken from 28 schizophrenia patients and 28 normal controls, these are used to verify the effect of the method in schizophrenia recognition, there is a correct rate of over 85% . The automatic schizophrenia identification based on energy entropy product and fuzzy clustering can provide objective, effective and non-invasive auxiliary for clinical diagnosis of schizophrenia.

Leveraging Human Genetics to Identify Safety Signals Prior to Drug Marketing Approval and Clinical Use

INTRODUCTION

When a new drug or biologic product enters the market, its full spectrum of side effects is not yet fully understood, as use in the real world often uncovers nuances not suggested within the relatively narrow confines of preapproval preclinical and trial work.

OBJECTIVE

We describe a new, phenome-wide association study (PheWAS)- and evidence-based approach for detection of potential adverse drug effects.

METHODS

We leveraged our established platform, which integrates human genetic data with associated phenotypes in electronic health records from 29,722 patients of European ancestry, to identify gene-phenotype associations that may represent known safety issues. We examined PheWAS data and the published literature for 16 genes, each of which encodes a protein targeted by at least one drug or biologic product.

RESULTS

Initial data demonstrated that our novel approach (safety ascertainment using PheWAS [SA-PheWAS]) can replicate published safety information across multiple drug classes, with validated findings for 13 of 16 gene-drug class pairs.

CONCLUSIONS

By connecting and integrating in vivo and in silico data, SA-PheWAS offers an opportunity to supplement current methods for predicting or confirming safety signals associated with therapeutic agents.

Voice patterns in schizophrenia: A systematic review and Bayesian meta-analysis

Voice atypicalities have been a characteristic feature of schizophrenia since its first definitions. They are often associated with core negative symptoms such as flat affect and alogia, and with the social impairments seen in the disorder. This suggests that voice atypicalities may represent a marker of clinical features and social functioning in schizophrenia. We systematically reviewed and meta-analyzed the evidence for distinctive acoustic patterns in schizophrenia, as well as their relation to clinical features. We identified 46 articles, including 55 studies with a total of 1254 patients with schizophrenia and 699 healthy controls. Summary effect sizes (Hedges'g and Pearson's r) estimates were calculated using multilevel Bayesian modeling. We identified weak atypicalities in pitch variability (g = -0.55) related to flat affect, and stronger atypicalities in proportion of spoken time, speech rate, and pauses (g's between -0.75 and -1.89) related to alogia and flat affect. However, the effects were mostly modest (with the important exception of pause duration) compared to perceptual and clinical judgments, and characterized by large heterogeneity between studies. Moderator analyses revealed that tasks with a more demanding cognitive and social component showed larger effects both in contrasting patients and controls and in assessing symptomatology. In conclusion, studies of acoustic patterns are a promising but, yet unsystematic avenue for establishing markers of schizophrenia. We outline recommendations towards more cumulative, open, and theory-driven research.

Higher-order spectral analysis of spontaneous speech signals in Alzheimer's disease

An early and accurate diagnosis of Alzheimer's disease (AD) has been progressively attracting more attention in recent years. One of the main problems of AD is the loss of language skills. This paper presents a computational framework for classifying AD patients compared to healthy control subjects using information from spontaneous speech signals. Spontaneous speech data are obtained from 30 AD patients and 30 healthy controls. Because of the nonlinear and dynamic nature of speech signals, higher order spectral features (specifically bispectrum) were used for analysis. Four classifiers (k-Nearest Neighbor, Support Vector Machine, Naïve Bayes and Decision tree) were used to classify subjects into three different levels of AD and healthy group based on their performance in terms of the HOS-based features. Ten-fold cross-validation method was used to test the reliability of the classifier results. The results showed that the proposed method had a good potential in AD diagnosis. The proposed method was also able to diagnose the earliest stage of AD with high accuracy. The method has the great advantage of being non-invasive, cost-effective, and associated with no side effects. Therefore, the proposed method can be a spontaneous speech directed test for pre-clinical evaluation of AD diagnosis.

A novel method for early diagnosis of Alzheimer's disease based on higher-order spectral estimation of spontaneous speech signals

One main challenge for medical investigators is the early diagnosis of Alzheimer's disease (AD) because it provides greater opportunities for patients to be eligible for more clinical trials. In this study, higher order spectra of human speech signals during AD were explored to analyze and compare the quadratic phase coupling of spontaneous speech signals for healthy and AD subjects using bispectrum and bicoherence. The results showed that the quadratic phase couplings of spontaneous speech signal of persons with Alzheimer's were reduced compared to healthy subject. However, the speech phase coupled harmonics shifted to the higher frequencies in Alzheimer's than healthy subjects. In addition, it was shown not only are there significant differences between Alzheimer's and control subjects in parameters estimated, but also the speech patterns appeared to have fluctuated in both types of spontaneous speech.