A Novel Technique for Detecting Depressive Disorder: A Speech Database-Based Approach.

Depression is the second most diagnosed disease in the world and is predicted to be the highest by the year 2030. Depressive disorder impacts both on mentally and physically, thus diagnosing this disorder in early stage is essential. Automatic Depression Detection (ADD) system via speech can greatly facilitate early-stage depression diagnosis. Development of such systems demands a standard balanced database. In this work, we present a novel labeled audio distress interview database. To our knowledge, this is the first depression database in Bengali language that contains audio responses from depressed and non-depressed subjects. Alongside this, we present a set of hand-crafted acoustic features that effectively detect depression mood using speech signals. Finally, we justify the quality of our developed database and the efficacy of the feature set in predicting depression using a baseline machine learning (ML) model. We believe that the annotated database will be a valuable resource for use by treating clinicians.Clinical Relevance-This research reports a new speech database in Bengali language for depression detection. This database can be used in healthcare by developing an automatic prediction model for depression detection.

Critically ill patients: Histopathological evidence of thyroid dysfunction.

PURPOSE: Critical illness is characterized by severe biphasic physical and metabolic stress as result of systemic inflammatory response syndrome and/or multiple organ dysfunction syndrome, and is frequently associated with non-thyroidal illness. Purpose of this study is to better understand the cytomorphological basis of NTI by performing histopathological examinations of thyroid gland on autopsies of patients who died from critical illness. METHODS: Histopathological examination of thyroid gland of 58 critically ill patients was performed in our hospital. The cases included 24 cases of burn injury, 24 cases of traumatic brain injury, and 10 cases of cerebral stroke. Thyroid samples obtained during autopsy were preserved in formol saline and stained with hematoxylin and eosin. The sections were visualized under light microscopy. RESULTS: Out of 58 cases examined, 21 patients showed normal thyroid findings, and rest of the cases had unusual thyroid findings in the histopathological study. The principal finding was distortion of thyroid follicular architecture. Other findings include mononuclear cell infiltration, clumping of thyroglobulin, and exhaustion of thyroid follicles. CONCLUSION: Critical illness produces metabolically damaging effects on thyroid gland, which functionally corresponds to a state of low T3 syndrome. These changes are more pronounced in BI and cerebral stroke than in TBI.

Exploring 'Little-c' Creativity Through Eye-parameters.

Creativity can be divided into four factors, namely, mini c, little c, Pro C and Big C. Little c measures creativity required in doing daily activities which are essential for stable living. In this study little c is categorized into three levels of high, medium and low and its relationship with occulometric is studied to see if higher values obtained in the test also reflect in their eye movement patterns. Occulometric is studied using eye movement patterns such as fixations, saccades, and pupil diameter. Analysis by One way Anova shows differences in the three groups. It is found that high creativity group has higher number of fixations, low peak velocity, higher saccadic duration and larger mean pupil duration in comparison to its other counterparts. Clinical Relevance- Creativity is an important aspect of everyday living. Understanding this cognitive process through a bio-marker would help in validating a mental capability through eye parameters.

PTPRJ is downregulated in cervical squamous cell carcinoma.

Squamous cell carcinoma of the uterine cervix (CSCC) is one of the leading causes of death in Indian women. Protein tyrosine phosphatase receptor (PTPR) type J (also known as DEP1) is a recently reported tumour suppressor receptor phosphatase. Critical molecular analysis of PTPRJ/DEP1 (11p11.2) has not performed in CSCC to date. Here, we observed frequent downregulation of cancer samples (n=31) at the transcriptional level. Immunohistochemistry revealed concordant low expression of PTPRJ protein with a few samples showing intermediate expression. To probe for the cause of such downregulation of the gene in CSCC (n=155), we analysed the copy number and promoter methylation of PTPRJ. The genetic locus showed deletion (14.8%) and the promoter showed methylation (33.5%) of PTPRJ. To the best of our knowledge, for the first time we explored the molecular status of PTPRJ although we observed no statistically significant association with the prognosis of Indian CSCC patients (n=76). However, we observed enhanced expression of PTPRJ protein levels that contributes to effective cisplatin chemotherapy in the SiHa cell line. Thus, the present study paves the way for further research into the plausible mechanisms of downregulation of PTPRJ in cervical cancer.

A Study of CD44 Positive Cancer Cells in Epithelial Ovarian Cancer and their Correlation with P53 And Ki67.

Context Epithelial ovarian carcinomas are one of the most common lethal gynecological malignancies. There is no specific symptom or biomarker for detection of this malignancy in early stage. So, the advanced stage, nature of frequent recurrences, and resistance to chemotherapies make it very difficult to deliver proper treatment to patients. Efforts are on to identify the presence of cancer stem cell by using a specific biomarker in epithelial ovarian cancer in the early stage. Objectives This study aims to identify the CD44 positive cancer cells in epithelial ovarian carcinoma of different histopathological types. It also intends to correlate the expression of CD44 with the expression of p53 and Ki67. Materials and Methods Sections from diagnosed specimens of ovarian epithelial neoplasm had been fixed in 10% formalin and embedded in paraffin, and they were used for immunohistochemical (IHC) staining for CD44, p53, and Ki67, using a peroxidase kit with mouse monoclonal antibodies. Then, the slides were evaluated for both tumor cell percentage and intensity of immunoreactivity. Statistical Analysis Chi-square had been used to find the significance of study. Significance level was considered at p value < 0.05 Results In this study, 40 patients were included in a period of one and a half years. The present study suggested that the levels of CD44 expression were increased in epithelial ovarian cancer compared to borderline tumor. CD44 was positively correlated with the ki67 expression and tumor grade. High-grade serous, mucinous, and endometrioid tumors were associated with high CD44 expression. Positivity of CD44 was found significantly higher in case of positive status of p53 (z = 3.65; p < 0.0001). Conclusion We can correlate CD44 positive cancer stem cells with grade of ovarian carcinomas, but for prognostic significance and therapeutic applications, more corroborative and multicentric works in this field are needed. CD44 can be targeted for therapy in recurrent and resistant cases of ovarian cancer.

Pediatric intrahepatic bile duct adenoma - rare liver tumor: A case report.

BACKGROUND: Intrahepatic bile duct adenoma (BDA) is one of the rarest of the rare benign tumors of the liver in the pediatric age group. It arises from the epithelial lining of intrahepatic bile ducts. The overall incidence of BDA is 1.3% of all primary benign liver tumors. Few case reports of this rare tumor occurring in adult population are present in the literature and to date, only one pediatric case has been reported worldwide. CASE SUMMARY: An 18-month-old male child presented with chief complaints of mass per abdomen for 8 mo. Computerized tomography abdomen revealed a well-defined exophytic solid tumor arising from the posteroinferior margin of the right lobe of the liver with heterogenous enhancement and cystic changes, suggesting a suspicion of hepatoblastoma. Non-anatomical liver resection was done and a tumor of 10 cm × 9.5 cm was excised. Histopathology of the specimen was conclusive with the diagnosis of intrahepatic bile duct adenoma, which was further supported by immunohistochemistry panel testing. The post-operative period was uneventful. On follow-up, the child was doing well and had no post-operative complication. CONCLUSION: Intrahepatic bile duct adenoma in children is very rare and to date only one case has been reported. This is the second pediatric case of intrahepatic bile duct adenoma in the world. Additionally this is the first ever case of such a large tumor presenting in a child.

Development of Objective Evidence in Rorschach Ink Blot Test: An Eye Tracking Study.

The Rorschach inkblot test (RIBT) is a standardized projective technique. It uses a subjective way of collecting and mapping responses of different regions like large (D) and small details (d). In this paper, eye tracking parameters like Initial Fixation Location, SF Ratio, Mean Fixation Duration and Mean Return are used to develop some objective measures which would be helpful in the assessment of the Rorschach responses. The study was conducted on 25 normal subjects who were administered RIBT cards I, II and X. The result shows an initial tendency to fixate in the central regions of the Rorschach cards. Computation of SF ratio helps in understanding most frequently fixated regions leading to popular response. Certain locations of each card have high attentional value where most shifts and fixations occur. The study supplements to the information obtained by the subjective scoring of RIBT and also indicates that specific eye tracking parameters could be an objective marker for personality assessment with RIBT.

Doped graphene/Cu nanocomposite: A high sensitivity non-enzymatic glucose sensor for food.

An amperometric non-enzymatic glucose sensor was developed based on nitrogen-doped graphene with dispersed copper nanoparticles (Cu-NGr). The sensing element was tested in conjunction with a modified glassy carbon electrode for glucose detection. The Cu-NGr composite was prepared by one pot synthesis from a mixture of graphene oxide, copper nitrate and uric acid, followed by thermal annealing at 900°C for 1h. Detailed characterizations showed homogeneous copper nanoparticle dispersion and the presence of significant proportion of graphitic nitrogen. The developed electrode presented high electrocatalytic activity towards glucose through synergetic effect of copper nanoparticles and nitrogen-doped graphene. Amperometric analysis confirmed high glucose sensitivity and ultra-low detection of 10nM glucose over a linear range. The sensor was tested for direct application to detect glucose in food samples for which the sensor displayed high selectivity with excellent reproducibility and recovery in complex food materials.