Characterisation of voice quality of Parkinson’s disease using differential phonological posterior features

Change in voice quality (VQ) is one of the first precursors of Parkinson’s disease (PD). Specifically, impacted phonation and articulation causes the patient to have a breathy, husky-semiwhisper and hoarse voice. A goal of this paper is to characterise a VQ spectrum – the composition of non-modal phonations – of voice in PD. The paper relates non-modal healthy phonations: breathy, creaky, tense, falsetto and harsh, with disordered phonation in PD. First, statistics are learned to differentiate the modal and non-modal phonations. Statistics are computed using phonological posteriors, the probabilities of phonological features inferred from the speech signal using a deep learning approach. Second, statistics of disordered speech are learned from PD speech data comprising 50 patients and 50 healthy controls. Third, Euclidean distance is used to calculate similarity of non-modal and disordered statistics, and the inverse of the distances is used to obtain the composition of non-modal phonation in PD. Thus, pathological voice quality is characterised using healthy non-modal voice quality “base/eigenspace”. The obtained results are interpreted as the voice of an average patient with PD and can be characterised by the voice quality spectrum composed of 30% breathy voice, 23% creaky voice, 20% tense voice, 15% falsetto voice and 12% harsh voice. In addition, the proposed features were applied for prediction of the dysarthria level according to the Frenchay assessment score related to the larynx, and significant improvement is obtained for reading speech task. The proposed characterisation of VQ might also be applied to other kinds of pathological speech

NeuroSpeech

NeuroSpeech is a software for modeling pathological speech signals considering different speech dimensions: phonation, articulation, prosody, and intelligibility. Although it was developed to model dysarthric speech signals from Parkinson's patients, its structure allows other computer scientists or developers to include other pathologies and/or measures. Different tasks can be performed: (1) modeling of the signals considering the aforementioned speech dimensions, (2) automatic discrimination of Parkinson's vs. non-Parkinson's, and (3) prediction of the neurological state according to the Unified Parkinson's Disease Rating Scale (UPDRS) score. The prediction of the dysarthria level according to the Frenchay Dysarthria Assessment scale is also provided

Multi-view representation learning via gcca for multimodal analysis of Parkinson's disease

Information from different bio-signals such as speech, handwriting, and gait have been used to monitor the state of Parkinson's disease (PD) patients, however, all the multimodal bio-signals may not always be available. We propose a method based on multi-view representation learning via generalized canonical correlation analysis (GCCA) for learning a representation of features extracted from handwriting and gait that can be used as a complement to speech-based features. Three different problems are addressed: classification of PD patients vs. healthy controls, prediction of the neurological state of PD patients according to the UPDRS score, and the prediction of a modified version of the Frenchay dysarthria assessment (m-FDA). According to the results, the proposed approach is suitable to improve the results in the addressed problems, specially in the prediction of the UPDRS, and m-FDA scores

Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID-19 en establecimientos de atención de la salud Recomendaciones basadas en consenso de expertos e informadas en la evidencia

The “Asociación Colombiana de Infectología” (ACIN) and the “Instituto de Evaluación de Nuevas Tecnologías de la Salud” (IETS) created a task force to develop recommendations for Covid 19 health care diagnosis, management and treatment informed, and based, on evidence. Theses reccomendations are addressed to the health personnel on the Colombian context of health services. © 2020 Asociacion Colombiana de Infectologia. All rights reserved

Automatic detection of laryngeal pathologies in running speech based on the HMM transformation of the nonlinear dynamics

This work describes a novel system for characterizing Laryngeal Pathologies using nonlinear dynamics, considering different complexity measures that are mainly based on the analysis of the time delay embedded space. The model is done by a kernel applied on Hidden Markov Model and decision of the Laryngeal pathology/control detection is performed by Support Vector Machine. Our system reaches accuracy up to 98.21%, improving the current reported results in the state of the art in the automatic classification of pathological speech signals (running speech) and showing the robustness of this proposal

NeuroSpeech: An open-source software for Parkinson's speech analysis

A new software for modeling pathological speech signals is presented in this paper. The software is called NeuroSpeech. This software enables the analysis of pathological speech signals considering different speech dimensions: phonation, articulation, prosody, and intelligibility. All the methods considered in the software have been validated in previous experiments and publications. The current version of NeuroSpeech was developed to model dysarthric speech signals from people with Parkinson's disease; however, the structure of the software allows other computer scientists or developers to include other pathologies and/or other measures in order to complement the existing options. Three different tasks can be performed with the current version of the software: (1) the modeling of the speech recordings considering the aforementioned speech dimensions, (2) the automatic discrimination of Parkinson's vs. non-Parkinson's speech signals (if the user has access to recordings of other pathologies, he/she can re-train the system to perform the detection of other diseases), and (3) the prediction of the neurological state of the patient according to the Unified Parkinson's Disease Rating Scale (UPDRS) score. The prediction of the dysarthria level according to the Frenchay Dysarthria Assessment scale is also provided (the user can also train the system to perform the prediction of other kind of scales or degrees of severity).To the best of our knowledge, this is the first software with the characteristics described above, and we consider that it will help other researchers to contribute to the state-of-the-art in pathological speech assessment from different perspectives, e.g., from the clinical point of view for interpretation, and from the computer science point of view enabling the test of different measures and pattern recognition techniques