Monitoring and detection of agitation in dementia: towards real-time and big-data solutions

The changing demographic profile of the population has potentially challenging social, geopolitical, and financial consequences for individuals, families, the wider society, and governments globally. The demographic change will result in a rapidly growing elderly population with healthcare implications which importantly include Alzheimer type conditions (a leading cause of dementia). Dementia requires long term care to manage the negative behavioral symptoms which are primarily exhibited in terms of agitation and aggression as the condition develops. This paper considers the nature of dementia along with the issues and challenges implicit in its management. The Behavioral and Psychological Symptoms of Dementia (BPSD) are introduced with factors (precursors) to the onset of agitation and aggression. Independent living is considered, health monitoring and implementation in context-aware decision-support systems is discussed with consideration of data analytics. Implicit in health monitoring are technical and ethical constraints, we briefly consider these constraints with the ability to generalize to a range of medical conditions. We postulate that health monitoring offers exciting potential opportunities however the challenges lie in the effective realization of independent assisted living while meeting the ethical challenges, achieving this remains an open research question remains.Peer ReviewedPostprint (author's final draft

Use of nonintrusive sensor-based information and communication technology for real-world evidence for clinical trials in dementia

Cognitive function is an important end point of treatments in dementia clinical trials. Measuring cognitive function by standardized tests, however, is biased toward highly constrained environments (such as hospitals) in selected samples. Patient-powered real-world evidence using information and communication technology devices, including environmental and wearable sensors, may help to overcome these limitations. This position paper describes current and novel information and communication technology devices and algorithms to monitor behavior and function in people with prodromal and manifest stages of dementia continuously, and discusses clinical, technological, ethical, regulatory, and user-centered requirements for collecting real-world evidence in future randomized controlled trials. Challenges of data safety, quality, and privacy and regulatory requirements need to be addressed by future smart sensor technologies. When these requirements are satisfied, these technologies will provide access to truly user relevant outcomes and broader cohorts of participants than currently sampled in clinical trials

A Unified System for Aggression Identification in English Code-Mixed and Uni-Lingual Texts

Wide usage of social media platforms has increased the risk of aggression, which results in mental stress and affects the lives of people negatively like psychological agony, fighting behavior, and disrespect to others. Majority of such conversations contains code-mixed languages[28]. Additionally, the way used to express thought or communication style also changes from one social media plat-form to another platform (e.g., communication styles are different in twitter and Facebook). These all have increased the complexity of the problem. To solve these problems, we have introduced a unified and robust multi-modal deep learning architecture which works for English code-mixed dataset and uni-lingual English dataset both.The devised system, uses psycho-linguistic features and very ba-sic linguistic features. Our multi-modal deep learning architecture contains, Deep Pyramid CNN, Pooled BiLSTM, and Disconnected RNN(with Glove and FastText embedding, both). Finally, the system takes the decision based on model averaging. We evaluated our system on English Code-Mixed TRAC 2018 dataset and uni-lingual English dataset obtained from Kaggle. Experimental results show that our proposed system outperforms all the previous approaches on English code-mixed dataset and uni-lingual English dataset.Comment: 10 pages, 5 Figures, 6 Tables, accepted at CoDS-COMAD 202

Ubiquitous emotion-aware computing

Emotions are a crucial element for personal and ubiquitous computing. What to sense and how to sense it, however, remain a challenge. This study explores the rare combination of speech, electrocardiogram, and a revised Self-Assessment Mannequin to assess people’s emotions. 40 people watched 30 International Affective Picture System pictures in either an office or a living-room environment. Additionally, their personality traits neuroticism and extroversion and demographic information (i.e., gender, nationality, and level of education) were recorded. The resulting data were analyzed using both basic emotion categories and the valence--arousal model, which enabled a comparison between both representations. The combination of heart rate variability and three speech measures (i.e., variability of the fundamental frequency of pitch (F0), intensity, and energy) explained 90% (p < .001) of the participants’ experienced valence--arousal, with 88% for valence and 99% for arousal (ps < .001). The six basic emotions could also be discriminated (p < .001), although the explained variance was much lower: 18–20%. Environment (or context), the personality trait neuroticism, and gender proved to be useful when a nuanced assessment of people’s emotions was needed. Taken together, this study provides a significant leap toward robust, generic, and ubiquitous emotion-aware computing

Predictive Analysis on Twitter: Techniques and Applications

Predictive analysis of social media data has attracted considerable attention from the research community as well as the business world because of the essential and actionable information it can provide. Over the years, extensive experimentation and analysis for insights have been carried out using Twitter data in various domains such as healthcare, public health, politics, social sciences, and demographics. In this chapter, we discuss techniques, approaches and state-of-the-art applications of predictive analysis of Twitter data. Specifically, we present fine-grained analysis involving aspects such as sentiment, emotion, and the use of domain knowledge in the coarse-grained analysis of Twitter data for making decisions and taking actions, and relate a few success stories

AI and Non AI Assessments for Dementia

Current progress in the artificial intelligence domain has led to the development of various types of AI-powered dementia assessments, which can be employed to identify patients at the early stage of dementia. It can revolutionize the dementia care settings. It is essential that the medical community be aware of various AI assessments and choose them considering their degrees of validity, efficiency, practicality, reliability, and accuracy concerning the early identification of patients with dementia (PwD). On the other hand, AI developers should be informed about various non-AI assessments as well as recently developed AI assessments. Thus, this paper, which can be readable by both clinicians and AI engineers, fills the gap in the literature in explaining the existing solutions for the recognition of dementia to clinicians, as well as the techniques used and the most widespread dementia datasets to AI engineers. It follows a review of papers on AI and non-AI assessments for dementia to provide valuable information about various dementia assessments for both the AI and medical communities. The discussion and conclusion highlight the most prominent research directions and the maturity of existing solutions.Comment: 49 page