Models and Analysis of Vocal Emissions for Biomedical Applications

The MAVEBA Workshop proceedings, held on a biannual basis, collect the scientific papers presented both as oral and poster contributions, during the conference. The main subjects are: development of theoretical and mechanical models as an aid to the study of main phonatory dysfunctions, as well as the biomedical engineering methods for the analysis of voice signals and images, as a support to clinical diagnosis and classification of vocal pathologies

Wearable and Nearable Biosensors and Systems for Healthcare

Biosensors and systems in the form of wearables and “nearables” (i.e., everyday sensorized objects with transmitting capabilities such as smartphones) are rapidly evolving for use in healthcare. Unlike conventional approaches, these technologies can enable seamless or on-demand physiological monitoring, anytime and anywhere. Such monitoring can help transform healthcare from the current reactive, one-size-fits-all, hospital-centered approach into a future proactive, personalized, decentralized structure. Wearable and nearable biosensors and systems have been made possible through integrated innovations in sensor design, electronics, data transmission, power management, and signal processing. Although much progress has been made in this field, many open challenges for the scientific community remain, especially for those applications requiring high accuracy. This book contains the 12 papers that constituted a recent Special Issue of Sensors sharing the same title. The aim of the initiative was to provide a collection of state-of-the-art investigations on wearables and nearables, in order to stimulate technological advances and the use of the technology to benefit healthcare. The topics covered by the book offer both depth and breadth pertaining to wearable and nearable technology. They include new biosensors and data transmission techniques, studies on accelerometers, signal processing, and cardiovascular monitoring, clinical applications, and validation of commercial devices

Signal Processing and Machine Learning Techniques Towards Various Real-World Applications

abstract: Machine learning (ML) has played an important role in several modern technological innovations and has become an important tool for researchers in various fields of interest. Besides engineering, ML techniques have started to spread across various departments of study, like health-care, medicine, diagnostics, social science, finance, economics etc. These techniques require data to train the algorithms and model a complex system and make predictions based on that model. Due to development of sophisticated sensors it has become easier to collect large volumes of data which is used to make necessary hypotheses using ML. The promising results obtained using ML have opened up new opportunities of research across various departments and this dissertation is a manifestation of it. Here, some unique studies have been presented, from which valuable inference have been drawn for a real-world complex system. Each study has its own unique sets of motivation and relevance to the real world. An ensemble of signal processing (SP) and ML techniques have been explored in each study. This dissertation provides the detailed systematic approach and discusses the results achieved in each study. Valuable inferences drawn from each study play a vital role in areas of science and technology, and it is worth further investigation. This dissertation also provides a set of useful SP and ML tools for researchers in various fields of interest.Dissertation/ThesisDoctoral Dissertation Electrical Engineering 201

A Hybrid Hierarchical Framework for Gym Physical Activity Recognition and Measurement Using Wearable Sensors

Due to the many beneficial effects on physical and mental health and strong association with many fitness and rehabilitation programs, physical activity (PA) recognition has been considered as a key paradigm for internet of things (IoT) healthcare. Traditional PA recognition techniques focus on repeated aerobic exercises or stationary PA. As a crucial indicator in human health, it covers a range of bodily movement from aerobics to anaerobic that may all bring health benefits. However, existing PA recognition approaches are mostly designed for specific scenarios and often lack extensibility for application in other areas, thereby limiting their usefulness. In this paper, we attempt to detect more gym physical activities (GPAs) in addition to traditional PA using acceleration, A two layer recognition framework is proposed that can classify aerobic, sedentary and free weight activities, count repetitions and sets for the free weight exercises, and in the meantime, measure quantities of repetitions and sets for free weight activities. In the first layer, a one-class SVM (OC-SVM) is applied to coarsely classify free weight and non-free weight activities. In the second layer, a neural network (NN) is utilized for aerobic and sedentary activities recognition; a hidden Markov model (HMM) is to provide a further classification in free weight activities. The performance of the framework was tested on 10 healthy subjects (age: 30 ± 5; BMI: 25 ± 5.5 kg/ and compared with some typical classifiers. The results indicate the proposed framework has better performance in recognizing and measuring GPAs than other approaches. The potential of this framework can be potentially extended in supporting more types of PA recognition in complex applications

Vocal Manifestations of Reported Past Trauma

Introduction: The human voice carries a wealth of information about a speaker’s physical and emotional states, personality, and perhaps even their past experiences. For many people, these experiences include the endurance of traumatic events, which can have an effect on psychological, physical, and neurobiological development. In turn, one’s past experiences of trauma might impact their vocal function and/or quality. The aims of this preliminary study are (1) to identify whether a connection exists between an individual’s past experiences and their vocal characteristics, and (2) to explore the extent to which so-called “laryngoresponders” display a unique set of acoustic features compared to “non-laryngoresponders”. Methods: Data were collected from 29 vocally healthy females between 18 and 65 years of age. Participants completed self-report measures wherein they identified their somatic responses to stress, i.e., their vulnerable body pathway(s), allowing them to be characterized either as laryngoresponders or non-laryngoresponders. Additionally, participants completed self-report measures of personality and past traumatic experiences, and provided repeated samples of brief speech recordings for acoustic analysis. Descriptive statistics are reported for all data obtained. Pearson’s Product-Moment Correlation tests were performed to determine if acoustic measure change scores were related to scores obtained from the trauma questionnaires, and independent samples t-tests were performed on acoustic measure change scores for self-reported laryngoresponders versus non-laryngoresponders. iv Results: No significant relationships were found between acoustic measure change scores and self-reported laryngoresponders, or between acoustic measure change scores and past experiences of trauma. However, laryngoresponders exhibited worse scores in 70.58% of all trauma measures. Unexpectedly low representation of traumatic experiences and laryngoresponders in the present cohort limited statistical power in this study, yet exploratory analyses were fruitful in identifying meaningful trends in the data to pursue in future studies. Conclusions: The present study serves as a novel and innovative exploration of the relationship between past traumatic experiences and current vocal quality and voice-related somatic complaints. Although acoustic measures of dysphonia may lack sensitivity for identifying past trauma, preliminary findings do support a relationship between voice and trauma, specifically, with regards to the larynx as an underlying “vulnerable body pathway” in which stress can distinctly manifest

Models and Analysis of Vocal Emissions for Biomedical Applications

The International Workshop on Models and Analysis of Vocal Emissions for Biomedical Applications (MAVEBA) came into being in 1999 from the particularly felt need of sharing know-how, objectives and results between areas that until then seemed quite distinct such as bioengineering, medicine and singing. MAVEBA deals with all aspects concerning the study of the human voice with applications ranging from the newborn to the adult and elderly. Over the years the initial issues have grown and spread also in other fields of research such as occupational voice disorders, neurology, rehabilitation, image and video analysis. MAVEBA takes place every two years in Firenze, Italy. This edition celebrates twenty-two years of uninterrupted and successful research in the field of voice analysis

Individual identification via electrocardiogram analysis

Background: During last decade the use of ECG recordings in biometric recognition studies has increased. ECG characteristics made it suitable for subject identification: it is unique, present in all living individuals, and hard to forge. However, in spite of the great number of approaches found in literature, no agreement exists on the most appropriate methodology. This study aimed at providing a survey of the techniques used so far in ECG-based human identification. Specifically, a pattern recognition perspective is here proposed providing a unifying framework to appreciate previous studies and, hopefully, guide future research. Methods: We searched for papers on the subject from the earliest available date using relevant electronic databases (Medline, IEEEXplore, Scopus, and Web of Knowledge). The following terms were used in different combinations: electrocardiogram, ECG, human identification, biometric, authentication and individual variability. The electronic sources were last searched on 1st March 2015. In our selection we included published research on peer-reviewed journals, books chapters and conferences proceedings. The search was performed for English language documents. Results: 100 pertinent papers were found. Number of subjects involved in the journal studies ranges from 10 to 502, age from 16 to 86, male and female subjects are generally present. Number of analysed leads varies as well as the recording conditions. Identification performance differs widely as well as verification rate. Many studies refer to publicly available databases (Physionet ECG databases repository) while others rely on proprietary recordings making difficult them to compare. As a measure of overall accuracy we computed a weighted average of the identification rate and equal error rate in authentication scenarios. Identification rate resulted equal to 94.95 % while the equal error rate equal to 0.92 %. Conclusions: Biometric recognition is a mature field of research. Nevertheless, the use of physiological signals features, such as the ECG traits, needs further improvements. ECG features have the potential to be used in daily activities such as access control and patient handling as well as in wearable electronics applications. However, some barriers still limit its growth. Further analysis should be addressed on the use of single lead recordings and the study of features which are not dependent on the recording sites (e.g. fingers, hand palms). Moreover, it is expected that new techniques will be developed using fiducials and non-fiducial based features in order to catch the best of both approaches. ECG recognition in pathological subjects is also worth of additional investigations

Beyond Accuracy: A Critical Review of Fairness in Machine Learning for Mobile and Wearable Computing

The field of mobile, wearable, and ubiquitous computing (UbiComp) is undergoing a revolutionary integration of machine learning. Devices can now diagnose diseases, predict heart irregularities, and unlock the full potential of human cognition. However, the underlying algorithms are not immune to biases with respect to sensitive attributes (e.g., gender, race), leading to discriminatory outcomes. The research communities of HCI and AI-Ethics have recently started to explore ways of reporting information about datasets to surface and, eventually, counter those biases. The goal of this work is to explore the extent to which the UbiComp community has adopted such ways of reporting and highlight potential shortcomings. Through a systematic review of papers published in the Proceedings of the ACM Interactive, Mobile, Wearable and Ubiquitous Technologies (IMWUT) journal over the past 5 years (2018-2022), we found that progress on algorithmic fairness within the UbiComp community lags behind. Our findings show that only a small portion (5%) of published papers adheres to modern fairness reporting, while the overwhelming majority thereof focuses on accuracy or error metrics. In light of these findings, our work provides practical guidelines for the design and development of ubiquitous technologies that not only strive for accuracy but also for fairness

Deep sleep: deep learning methods for the acoustic analysis of sleep-disordered breathing

Sleep-disordered breathing (SDB) is a serious and prevalent condition that results from the collapse of the upper airway during sleep, which leads to oxygen desaturations, unphysiological variations in intrathoracic pressure, and sleep fragmentation. Its most common form is obstructive sleep apnoea (OSA). This has a big impact on quality of life, and is associated with cardiovascular morbidity. Polysomnography, the gold standard for diagnosing SDB, is obtrusive, time-consuming and expensive. Alternative diagnostic approaches have been proposed to overcome its limitations. In particular, acoustic analysis of sleep breathing sounds offers an unobtrusive and inexpensive means to screen for SDB, since it displays symptoms with unique acoustic characteristics. These include snoring, loud gasps, chokes, and absence of breathing. This thesis investigates deep learning methods, which have revolutionised speech and audio technology, to robustly screen for SDB in typical sleep conditions using acoustics. To begin with, the desirable characteristics for an acoustic corpus of SDB, and the acoustic definition of snoring are considered to create corpora for this study. Then three approaches are developed to tackle increasingly complex scenarios. Firstly, with the aim of leveraging a large amount of unlabelled SDB data, unsupervised learning is applied to learn novel feature representations with deep neural networks for the classification of SDB events such as snoring. The incorporation of contextual information to assist the classifier in producing realistic event durations is investigated. Secondly, the temporal pattern of sleep breathing sounds is exploited using convolutional neural networks to screen participants sleeping by themselves for OSA. The integration of acoustic features with physiological data for screening is examined. Thirdly, for the purpose of achieving robustness to bed partner breathing sounds, recurrent neural networks are used to screen a subject and their bed partner for SDB in the same session. Experiments conducted on the constructed corpora show that the developed systems accurately classify SDB events, screen for OSA with high sensitivity and specificity, and screen a subject and their bed partner for SDB with encouraging performance. In conclusion, this thesis makes promising progress in improving access to SDB diagnosis through low-cost and non-invasive methods