1,720,965 research outputs found

    Voice for Decision Support in Healthcare Applied to Chronic Obstructive Pulmonary Disease Classification : A Machine Learning Approach

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    Background: Advancements in machine learning (ML) techniques and voice technology offer the potential to harness voice as a new tool for developing decision-support tools in healthcare for the benefit of both healthcare providers and patients. Motivated by technological breakthroughs and the increasing integration of Artificial Intelligence (AI) and Machine Learning (ML) in healthcare, numerous studies aim to investigate the diagnostic potential of ML algorithms in the context of voice-affecting disorders. This thesis focuses on respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD) and explores the potential of a decision support tool that utilizes voice and ML. This exploration exemplifies the intricate relationship between voice and overall health through the lens of applied health technology (AHT. This interdisciplinary nature of research recognizes the need for accurate and efficient diagnostic tools. Objective: The objectives of this licentiate thesis are twofold. Firstly, a Systematic Literature Review (SLR) thoroughly investigates the current state of ML algorithms in detecting voice-affecting disorders, pinpointing existing gaps and suggesting directions for future research. Secondly, the study focuses on respiratory health, specifically COPD, employing ML techniques with a distinct emphasis on the vowel "A". The aim is to explore hidden information that could potentially be utilized for the binary classification of COPD vs no COPD. The creation of a new Swedish COPD voice classification dataset is anticipated to enhance the experimental and exploratory dimensions of the research. Methods: In order to have a holistic view of a research field, one of the commonly utilized methods is to scan and analyze the literature. Therefore, Paper I followed the methodology of an SLR where existing journal publications were scanned and synthesized to create a holistic view in the realm of ML techniques employed to experiment on voice-affecting disorders. Based on the results from the SLR, Paper II focused on the data collection and experimentation for the binary classification of COPD, which was one of the gaps identified in the first study. Three distinct ML algorithms were investigated on the collected datasets through voice features, which consisted of recordings collected through a mobile application from participants 18 years old and above, and the most utilized performance measures were computed for the best outcome.  Results: The summary of findings from Paper I reveals the dominance of Support Vector Machine (SVM) classifiers in voice disorder research, with Parkinson's Disease and Alzheimer's Disease as the most studied disorders. Gaps in research include underrepresented disorders, limited datasets in terms of number of participants, and a lack of interest in longitudinal studies. Paper II demonstrates promising results in COPD classification using ML and a newly developed dataset, offering insights into potential decision support tools for COPD diagnosis. Conclusion: The studies covered in this dissertation provide a comprehensive literature summary of ML techniques used to support decision-making on voice-affecting disorders for clinical outcomes. The findings contribute to understanding the diagnostic potential of using ML on vocal features and highlight avenues for future research and technology development. Nonetheless, the experiment reveals the potential of employing voice as a digital biomarker for COPD diagnosis using ML

    Voice as a Digital Biomarker : Machine Learning Applications for Chronic Obstructive Pulmonary Disease Assessment

    No full text
    Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide, with high underdiagnosis rates due to limitations in current diagnostic methods such as spirometry. This doctoral thesis explores the potential of voice as a digital biomarker to support the assessment of COPD, guided by the principles of Applied Health Technology (AHT), which emphasizes interdisciplinary collaboration and real-world applicability. The research includes four interconnected studies. Study I presents a systematic literature review of machine learning (ML) applications for voice-affecting disorders, identifying COPD as underrepresented in current research. Study II addresses this gap by collecting a new dataset of vowel [a:] recordings from Swedish-speaking COPD patients and healthy controls once a week in self-determined quiet settings. Voice features, including baseline acoustic (BLA) parameters and Mel-Frequency Cepstral Coefficients (MFCCs), were extracted and used to train three ML classifiers: CatBoost (CB), Random Forest (RF), and Support Vector Machine (SVM). CB demonstrated the highest test accuracy at 78%.  Study III investigates the effects of signal segmentation on model performance and shows that certain temporal segments of voice recordings contain more informative patterns, enhancing classification outcomes by increasing accuracy to 85%. Study IV applies statistical and practical significance tests to compare voice features between COPD and healthy groups. A total of 34 features, including shimmer measures and higher-order MFCC derivatives, were found to meaningfully differentiate the groups.  This thesis reframes the human voice as a source of clinically relevant data, demonstrating how it can be digitized, analyzed, and interpreted using ML to aid COPD assessment. The results indicate that voice-based analysis can provide an accessible, non-invasive, and scalable complement to existing diagnostic tools. By integrating technical, clinical, and ethical perspectives, the thesis contributes new knowledge and practical methodologies that align with AHT's goal of creating value-driven, user-centered healthcare solutions. The findings support future development of mobile and remote voice-based screening tools for COPD and other conditions

    Wireless Sensor System for Monitoring Sportsmen Exposed to Hazardous Concussions

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    Sport-related Traumatic Brain injuries (TBI) are a major problem in ice hockey. Reports show that it occurs 160 concussion per 1000 hours of play time and 4.6% of head injuries leads to a concussion in Sweden. A system that can monitor the players in real time and indicate an impact can contribute to better understanding the biomechanical etiology of a concussion. Purpose of this project is to test the ability of a wireless sensor network for monitoring the g-Forces that affect the head of the ice hockey players in real-time. We build a wireless sensor network system called g-Force Monitoring System (GFMS) by implementing a Web Socket connection between the sensor nodes and the server. The sensor measures and transmits the data over the Web Socket protocol to the server and the server registers and allows monitoring of the g-Force values in real-time. We achieved a 6 ms sampling rate by using the g-Force Monitoring System. The system was able to operate during one hour play time without any significant problem. The stored data shows that the GFMS has an ability to indicate impact and its duration over a predefined threshold. The user of the system can monitor the g-Force data in real time or can do analyzes on stored values. The GFMS can deliver valuable indications. If the system can come to existence and be implemented into the ice hockey helmets, by letting medical experts to look at and analyze the g-Force data, it can decrease the diagnosis and recovery time of a concussion. It can help to make the Ice hockey arena to a safer place without having to change the rhythm of the game

    Voice for Decision Support in Healthcare Applied to Chronic Obstructive Pulmonary Disease Classification : A Machine Learning Approach

    No full text
    Background: Advancements in machine learning (ML) techniques and voice technology offer the potential to harness voice as a new tool for developing decision-support tools in healthcare for the benefit of both healthcare providers and patients. Motivated by technological breakthroughs and the increasing integration of Artificial Intelligence (AI) and Machine Learning (ML) in healthcare, numerous studies aim to investigate the diagnostic potential of ML algorithms in the context of voice-affecting disorders. This thesis focuses on respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD) and explores the potential of a decision support tool that utilizes voice and ML. This exploration exemplifies the intricate relationship between voice and overall health through the lens of applied health technology (AHT. This interdisciplinary nature of research recognizes the need for accurate and efficient diagnostic tools. Objective: The objectives of this licentiate thesis are twofold. Firstly, a Systematic Literature Review (SLR) thoroughly investigates the current state of ML algorithms in detecting voice-affecting disorders, pinpointing existing gaps and suggesting directions for future research. Secondly, the study focuses on respiratory health, specifically COPD, employing ML techniques with a distinct emphasis on the vowel "A". The aim is to explore hidden information that could potentially be utilized for the binary classification of COPD vs no COPD. The creation of a new Swedish COPD voice classification dataset is anticipated to enhance the experimental and exploratory dimensions of the research. Methods: In order to have a holistic view of a research field, one of the commonly utilized methods is to scan and analyze the literature. Therefore, Paper I followed the methodology of an SLR where existing journal publications were scanned and synthesized to create a holistic view in the realm of ML techniques employed to experiment on voice-affecting disorders. Based on the results from the SLR, Paper II focused on the data collection and experimentation for the binary classification of COPD, which was one of the gaps identified in the first study. Three distinct ML algorithms were investigated on the collected datasets through voice features, which consisted of recordings collected through a mobile application from participants 18 years old and above, and the most utilized performance measures were computed for the best outcome.  Results: The summary of findings from Paper I reveals the dominance of Support Vector Machine (SVM) classifiers in voice disorder research, with Parkinson's Disease and Alzheimer's Disease as the most studied disorders. Gaps in research include underrepresented disorders, limited datasets in terms of number of participants, and a lack of interest in longitudinal studies. Paper II demonstrates promising results in COPD classification using ML and a newly developed dataset, offering insights into potential decision support tools for COPD diagnosis. Conclusion: The studies covered in this dissertation provide a comprehensive literature summary of ML techniques used to support decision-making on voice-affecting disorders for clinical outcomes. The findings contribute to understanding the diagnostic potential of using ML on vocal features and highlight avenues for future research and technology development. Nonetheless, the experiment reveals the potential of employing voice as a digital biomarker for COPD diagnosis using ML

    Voice as a Digital Biomarker : Machine Learning Applications for Chronic Obstructive Pulmonary Disease Assessment

    No full text
    Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide, with high underdiagnosis rates due to limitations in current diagnostic methods such as spirometry. This doctoral thesis explores the potential of voice as a digital biomarker to support the assessment of COPD, guided by the principles of Applied Health Technology (AHT), which emphasizes interdisciplinary collaboration and real-world applicability. The research includes four interconnected studies. Study I presents a systematic literature review of machine learning (ML) applications for voice-affecting disorders, identifying COPD as underrepresented in current research. Study II addresses this gap by collecting a new dataset of vowel [a:] recordings from Swedish-speaking COPD patients and healthy controls once a week in self-determined quiet settings. Voice features, including baseline acoustic (BLA) parameters and Mel-Frequency Cepstral Coefficients (MFCCs), were extracted and used to train three ML classifiers: CatBoost (CB), Random Forest (RF), and Support Vector Machine (SVM). CB demonstrated the highest test accuracy at 78%.  Study III investigates the effects of signal segmentation on model performance and shows that certain temporal segments of voice recordings contain more informative patterns, enhancing classification outcomes by increasing accuracy to 85%. Study IV applies statistical and practical significance tests to compare voice features between COPD and healthy groups. A total of 34 features, including shimmer measures and higher-order MFCC derivatives, were found to meaningfully differentiate the groups.  This thesis reframes the human voice as a source of clinically relevant data, demonstrating how it can be digitized, analyzed, and interpreted using ML to aid COPD assessment. The results indicate that voice-based analysis can provide an accessible, non-invasive, and scalable complement to existing diagnostic tools. By integrating technical, clinical, and ethical perspectives, the thesis contributes new knowledge and practical methodologies that align with AHT's goal of creating value-driven, user-centered healthcare solutions. The findings support future development of mobile and remote voice-based screening tools for COPD and other conditions

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods
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