Speech Emotion Recognition Based on Selective Interpolation Synthetic Minority Over-Sampling Technique in Small Sample Environment

In-Hospital Mortality Prediction Model for Critically Ill Older Adult Patients Transferred from the Emergency Department to the Intensive Care Unit

Purpose

Studies on the prognosis of critically ill older adult patients admitted to the emergency department (ED) but requiring immediate admission to the intensive care unit (ICU) remain limited. This study aimed to develop an in-hospital mortality prediction model for critically ill older adult patients transferred from the ED to the ICU.

Patients and Methods

The training cohort was taken from the Medical Information Mart for Intensive Care IV (version 2.2) database, and the external validation cohort was taken from the Affiliated Dongyang Hospital of Wenzhou Medical University. In the training cohort, class balance was addressed using Random Over Sampling Examples (ROSE). Univariate and multivariate Cox regression analyses were performed to identify independent risk factors. These were then integrated into the predictive nomogram. In the validation cohort, the predictive performance of the nomogram was evaluated using the area under the curve (AUC) of the receiver operating characteristic curve, calibration curve, clinical utility decision curve analysis (DCA), and clinical impact curve (CIC).

Results

In the ROSE-balanced training cohort, univariate and multivariate Cox regression analysis identified that age, sex, Glasgow coma scale score, malignant cancer, sepsis, use of mechanical ventilation, use of vasoactive agents, white blood cells, potassium, and creatinine were independent predictors of in-hospital mortality in critically ill older adult patients, and were included in the nomogram. The nomogram showed good predictive performance in the ROSE-balanced training cohort (AUC [95% confidence interval]: 0.792 [0.783-0.801]) and validation cohort (AUC [95% confidence interval]: 0.780 [0.727-0.834]). The calibration curves were well-fitted. DCA and CIC demonstrated that the nomogram has good clinical application value.

Conclusion

This study developed a predictive model for early prediction of in-hospital mortality in critically ill older adult patients transferred from the ED to the ICU, which was validated by external data and has good predictive performance.

Tool Wear Monitoring in Milling Based on Fine-Grained Image Classification of Machined Surface Images

Cutting tool wear state assessment during the manufacturing process is extremely significant. The primary purpose of this study is to monitor tool wear to ensure timely tool change and avoid excessive tool wear or sudden tool breakage, which causes workpiece waste and could even damage the machine. Therefore, an intelligent system, that is efficient and precise, needs to be designed for addressing these problems. In our study, an end-to-end improved fine-grained image classification method is employed for workpiece surface-based tool wear monitoring, which is named efficient channel attention destruction and construction learning (ECADCL). The proposed method uses a feature extraction module to extract features from the input image and its corrupted images, and adversarial learning is used to avoid learning noise from corrupted images while extracting semantic features by reconstructing the corrupted images. Finally, a decision module predicts the label based on the learned features. Moreover, the feature extraction module combines a local cross-channel interaction attention mechanism without dimensionality reduction to characterize representative information. A milling dataset is conducted based on the machined surface images for monitoring tool wear conditions. The experimental results indicated that the proposed system can effectively assess the wear state of the tool.

Bidirectional parallel echo state network for speech emotion recognition

Speech is an effective way for communicating and exchanging complex information between humans. Speech signal has involved a great attention in human-computer interaction. Therefore, emotion recognition from speech has become a hot research topic in the field of interacting machines with humans. In this paper, we proposed a novel speech emotion recognition system by adopting multivariate time series handcrafted feature representation from speech signals. Bidirectional echo state network with two parallel reservoir layers has been applied to capture additional independent information. The parallel reservoirs produce multiple representations for each direction from the bidirectional data with two stages of concatenation. The sparse random projection approach has been adopted to reduce the high-dimensional sparse output for each direction separately from both reservoirs. Random over-sampling and random under-sampling methods are used to overcome the imbalanced nature of the used speech emotion datasets. The performance of the proposed parallel ESN model is evaluated from the speaker-independent experiments on EMO-DB, SAVEE, RAVDESS, and FAU Aibo datasets. The results show that the proposed SER model is superior to the single reservoir and the state-of-the-art studies.

Predictors of Maternal Death Among Women With Pulmonary Hypertension in China From 2012 to 2020: A Retrospective Single-Center Study

Background

Previous studies have suggested that pregnant women with pulmonary hypertension (PH) have high maternal mortality. However, indexes or factors that can predict maternal death are lacking.

Methods

We retrospectively reviewed pregnant women with PH admitted for delivery from 2012 to 2020 and followed them for over 6 months. The patients were divided into two groups according to 10-day survival status after delivery. Predictive models and predictors for maternal death were identified using four machine learning algorithms: naïve Bayes, random forest, gradient boosting decision tree (GBDT), and support vector machine.

Results

A total of 299 patients were included. The most frequent PH classifications were Group 1 PH (73.9%) and Group 2 PH (23.7%). The mortality within 10 days after delivery was 9.4% and higher in Group 1 PH than in the other PH groups (11.7 vs. 2.6%, P = 0.016). We identified 17 predictors, each with a P-value < 0.05 by univariable analysis, that were associated with an increased risk of death, and the most notable were pulmonary artery systolic pressure (PASP), platelet count, red cell distribution width, N-terminal brain natriuretic peptide (NT-proBNP), and albumin (all P < 0.01). Four prediction models were established using the candidate variables, and the GBDT model showed the best performance (F1-score = 66.7%, area under the curve = 0.93). Feature importance showed that the three most important predictors were NT-proBNP, PASP, and albumin.

Conclusion

Mortality remained high, particularly in Group 1 PH. Our study shows that NT-proBNP, PASP, and albumin are the most important predictors of maternal death in the GBDT model. These findings may help clinicians provide better advice regarding fertility for women with PH.