Explainable Depression Detection via Head Motion Patterns

While depression has been studied via multimodal non-verbal behavioural cues, head motion behaviour has not received much attention as a biomarker. This study demonstrates the utility of fundamental head-motion units, termed \emph{kinemes}, for depression detection by adopting two distinct approaches, and employing distinctive features: (a) discovering kinemes from head motion data corresponding to both depressed patients and healthy controls, and (b) learning kineme patterns only from healthy controls, and computing statistics derived from reconstruction errors for both the patient and control classes. Employing machine learning methods, we evaluate depression classification performance on the \emph{BlackDog} and \emph{AVEC2013} datasets. Our findings indicate that: (1) head motion patterns are effective biomarkers for detecting depressive symptoms, and (2) explanatory kineme patterns consistent with prior findings can be observed for the two classes. Overall, we achieve peak F1 scores of 0.79 and 0.82, respectively, over BlackDog and AVEC2013 for binary classification over episodic \emph{thin-slices}, and a peak F1 of 0.72 over videos for AVEC2013

Cortical Network Response to Acupuncture and the Effect of the Hegu Point:An FNIRS study

Acupuncture is a practice of treatment based on influencing specific points on the body by inserting needles. According to traditional Chinese medicine, the aim of acupuncture treatment for pain management is to use specific acupoints to relieve excess, activate qi (or vital energy), and improve blood circulation. In this context, the Hegu point is one of the most widely-used acupoints for this purpose, and it has been linked to having an analgesic effect. However, there exists considerable debate as to its scientific validity. In this pilot study, we aim to identify the functional connectivity related to the three main types of acupuncture manipulations and also identify an analgesic effect based on the hemodynamic response as measured by functional near-infrared spectroscopy (fNIRS). The cortical response of eleven healthy subjects was obtained using fNIRS during an acupuncture procedure. A multiscale analysis based on wavelet transform coherence was employed to assess the functional connectivity of corresponding channel pairs within the left and right somatosensory region. The wavelet analysis was focused on the very-low frequency oscillations (VLFO, 0.01–0.08 Hz) and the low frequency oscillations (LFO, 0.08–0.15 Hz). A mixed model analysis of variance was used to appraise statistical differences in the wavelet domain for the different acupuncture stimuli. The hemodynamic response after the acupuncture manipulations exhibited strong activations and distinctive cortical networks in each stimulus. The results of the statistical analysis showed significant differences ( p < 0.05 ) between the tasks in both frequency bands. These results suggest the existence of different stimuli-specific cortical networks in both frequency bands and the anaesthetic effect of the Hegu point as measured by fNIRS

Analysis of Pain Hemodynamic Response Using Near-Infrared Spectroscopy (NIRS)

Despite recent advances in brain research, understanding the various signals for pain and pain intensities in the brain cortex is still a complex task due to temporal and spatial variations of brain hemodynamics. In this paper we have investigated pain based on cerebral hemodynamics via near-infrared spectroscopy (NIRS). This study presents a pain stimulation experiment that uses three acupuncture manipulation techniques to safely induce pain in healthy subjects. Acupuncture pain response was presented and hemodynamic pain signal analysis showed the presence of dominant channels and their relationship among surrounding channels, which contribute the further pain research area.Comment: 11 pages, 11 figure

Explainable Depression Detection via Head Motion Patterns

While depression has been studied via multimodal non-verbal behavioural cues, head motion behaviour has not received much attention as a biomarker. This study demonstrates the utility of fundamental head-motion units, termed \emph{kinemes}, for depression detection by adopting two distinct approaches, and employing distinctive features: (a) discovering kinemes from head motion data corresponding to both depressed patients and healthy controls, and (b) learning kineme patterns only from healthy controls, and computing statistics derived from reconstruction errors for both the patient and control classes. Employing machine learning methods, we evaluate depression classification performance on the \emph{BlackDog} and \emph{AVEC2013} datasets. Our findings indicate that: (1) head motion patterns are effective biomarkers for detecting depressive symptoms, and (2) explanatory kineme patterns consistent with prior findings can be observed for the two classes. Overall, we achieve peak F1 scores of 0.79 and 0.82, respectively, over BlackDog and AVEC2013 for binary classification over episodic \emph{thin-slices}, and a peak F1 of 0.72 over videos for AVEC2013

Multimodal physiological sensing for the assessment of acute pain

Pain assessment is a challenging task encountered by clinicians. In clinical settings, patients’ self-report is considered the gold standard in pain assessment. However, patients who are unable to self-report pain are at a higher risk of undiagnosed pain. In the present study, we explore the use of multiple sensing technologies to monitor physiological changes that can be used as a proxy for objective measurement of acute pain. Electrodermal activity (EDA), photoplethysmography (PPG), and respiration (RESP) signals were collected from 22 participants under two pain intensities (low and high) and on two different anatomical locations (forearm and hand). Three machine learning models were implemented, including support vector machines (SVM), decision trees (DT), and linear discriminant analysis (LDA) for the identification of pain. Various pain scenarios were investigated, identification of pain (no pain, pain), multiclass (no pain, low pain, high pain), and identification of pain location (forearm, hand). Reference classification results from individual sensors and from all sensors together were obtained. After feature selection, results showed that EDA was the most informative sensor in the three pain conditions, 93.2±8% in identification of pain, 68.9±10% in the multiclass problem, and 56.0±8% for the identification of pain location. These results identify EDA as the superior sensor in our experimental conditions. Future work is required to validate the obtained features to improve its feasibility in more realistic scenarios. Finally, this study proposes EDA as a candidate to design a tool that can assist clinicians in the assessment of acute pain of nonverbal patients

Global maps of soil temperature

Research in global change ecology relies heavily on global climatic grids derived from estimates of air temperature in open areas at around 2 m above the ground. These climatic grids do not reflect conditions below vegetation canopies and near the ground surface, where critical ecosystem functions occur and most terrestrial species reside. Here, we provide global maps of soil temperature and bioclimatic variables at a 1-km² resolution for 0–5 and 5–15 cm soil depth. These maps were created by calculating the difference (i.e., offset) between in-situ soil temperature measurements, based on time series from over 1200 1-km² pixels (summarized from 8500 unique temperature sensors) across all the world’s major terrestrial biomes, and coarse-grained air temperature estimates from ERA5-Land (an atmospheric reanalysis by the European Centre for Medium-Range Weather Forecasts). We show that mean annual soil temperature differs markedly from the corresponding gridded air temperature, by up to 10°C (mean = 3.0 ± 2.1°C), with substantial variation across biomes and seasons. Over the year, soils in cold and/or dry biomes are substantially warmer (+3.6 ± 2.3°C) than gridded air temperature, whereas soils in warm and humid environments are on average slightly cooler (-0.7 ± 2.3°C). The observed substantial and biome-specific offsets emphasize that the projected impacts of climate and climate change on near-surface biodiversity and ecosystem functioning are inaccurately assessed when air rather than soil temperature is used, especially in cold environments. The global soil-related bioclimatic variables provided here are an important step forward for any application in ecology and related disciplines. Nevertheless, we highlight the need to fill remaining geographic gaps by collecting more in-situ measurements of microclimate conditions to further enhance the spatiotemporal resolution of global soil temperature products for ecological applications

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700