Multidimensional voiceprint feature assessment system for identifying the depression in children and adolescents: a diagnostic test.

Objective: We designed a diagnostic test to evaluate the effectiveness and accuracy of a multidimensional voiceprint feature diagnostic assessment (MVFDA) system vs. the 24-item Hamilton Rating Scale for Depression (HAMD-24) for adjunctive diagnosis of children and adolescents with major depressive disorder (MDD). Methods: This study included 55 children aged 6-16 years who were clinically diagnosed with MDD according to the DSM-5 and analyzed by professional physicians, and 55 healthy children (typically developing). Each subject completed a voice recording and was scored on the HAMD-24 scale by a trained rater. We calculated the validity indices, including sensitivity, specificity, Youden's index, likelihood ratio, and other indices including predictive value, diagnostic odds ratio, diagnostic accuracy, and area under the curve (AUC), to assess the effectiveness of the MVFDA system in addition to the HAMD-24. Results: The sensitivity (92.73 vs. 76.36%) and the specificity (90.91 vs. 85.45%) of the MVFDA system are significantly higher than those of the HAMD-24. The AUC of the MVFDA system is also higher than that of the HAMD-24. There is a statistically significant difference between the groups (p < 0.05), and both of them have high diagnostic accuracy. In addition, the diagnostic efficacy of the MVFDA system is higher than that of HAMD-24 in terms of the Youden index, diagnostic accuracy, likelihood ratio, diagnostic odds ratio, and predictive value. Conclusion: The MVFDA has performed well in clinical diagnostic trials for the identification of MDD in children and adolescents by capturing objective sound features. Compared with the scale assessment method, the MVFDA system could be further promoted in clinical practice due to its advantages of simple operation, objective rating, and high diagnostic efficiency.

[Distribution and Pollution Assessment of Nutrient and Heavy Metals in Surface Sediments from Lake Gehu in Southern Jiangsu Province, China].

This study investigated the horizontal distribution characteristics of nutrients and heavy metals (Zn, As, Cr, Cu, Ni, Pb, Cd and Hg) in January, 2014, and assessed the potential ecological risk of Lake Gehu. It was found that the average contents of TN and TP were 2,207.94 and 708.62 mg · kg⁻¹ respectively. TN and TP contents of the sediments at the centre were significantly highei than those in the north, while the TN content in the south was also significantly higher than that in the north of Lake Gehu. The average contents of Zn, As, Cr, Cu, Ni, Pb, Cd, Hg were 766.59, 350.66, 307.98, 59.54, 122.67, 168.97, 2.34, 0.41 mg · kg⁻¹, respectively. The content of Cu at the centre was significantly higher than that in the north, and the Zn content at the centre was significantly greater than that in the south of Lake Gehu, however the difference in the content of other heavy metals at these three areas was not significant. Furthermore, the obvious correlation between elements and granularity was only found in the aspect of TP, Cu and Hg. The comprehensive pollution index (PI) indicated that the Lake Gehu was heavily polluted, especially the centre and south areas. The potential ecological risk index (RI) showed that Cd, As and Hg had caused serious pollution in Lake Gehu while the other heavy metals only induced slight or medium pollution. According to the contribution of Cd, As and Hg to RI, it was concluded that the sediments in Lake Gehu were at a serious potential ecological risk.