Vocal features obtained through automated methods in verbal fluency tasks can aid the identification of mixed episodes in bipolar disorder.

There is a lack of consensus on the diagnostic thresholds that could improve the detection accuracy of bipolar mixed episodes in clinical settings. Some studies have shown that voice features could be reliable biomarkers of manic and depressive episodes compared to euthymic states, but none thus far have investigated whether they could aid the distinction between mixed and non-mixed acute bipolar episodes. Here we investigated whether vocal features acquired via verbal fluency tasks could accurately classify mixed states in bipolar disorder using machine learning methods. Fifty-six patients with bipolar disorder were recruited during an acute episode (19 hypomanic, 8 mixed hypomanic, 17 with mixed depression, 12 with depression). Nine different trials belonging to four conditions of verbal fluency tasks-letter, semantic, free word generation, and associational fluency-were administered. Spectral and prosodic features in three conditions were selected for the classification algorithm. Using the leave-one-subject-out (LOSO) strategy to train the classifier, we calculated the accuracy rate, the F1 score, and the Matthews correlation coefficient (MCC). For depression versus mixed depression, the accuracy and F1 scores were high, i.e., respectively 0.83 and 0.86, and the MCC was of 0.64. For hypomania versus mixed hypomania, accuracy and F1 scores were also high, i.e., 0.86 and 0.75, respectively, and the MCC was of 0.57. Given the high rates of correctly classified subjects, vocal features quickly acquired via verbal fluency tasks seem to be reliable biomarkers that could be easily implemented in clinical settings to improve diagnostic accuracy.

Brain Dynamics Induced by Pleasant/Unpleasant Tactile Stimuli Conveyed by Different Fabrics.

In this study, we investigated brain dynamics from electroencephalographic (EEG) signals during affective tactile stimulation conveyed by the dynamical contact with different fabrics. Thirty-three healthy subjects (16 females) were enrolled to interact with a haptic device able to mimic caress-like stimuli conveyed by strips of different fabrics moved back and forth at different velocities. Specifically, two velocity levels (i.e., 9.4 and 65 mm/sec) and two kinds of fabric (i.e., burlap and silk) were selected to deliver pleasant and unpleasant affective elicitations, according to subjects' self-assessment. EEG power spectra and functional connectivity were then calculated and analyzed. Experimental results, reported in terms of p-value topographic maps, demonstrated that caresses administered through unpleasant fabrics increased brain activity in the θ (4-8 Hz), α (8-14 Hz), and ß (14-30 Hz) bands, whereas the use of pleasant fabrics enhanced functional connections in specific areas (e.g., frontal, occipital, and temporal cortices) depending on the oscillations frequency and caressing velocity. Furthermore, we adopted K-NN algorithms to automatically recognize the pleasantness of the haptic stimulation at a single-subject level using EEG power spectra, achieving a recognition accuracy up to 74.24%. Finally, we showed how brain oscillation power in the α and ß bands over contralateral frontal- and central-cortex were the most informative features characterizing the pleasantness of a tactile stimulus on the forearm.

Muscle fatigue assessment through electrodermal activity analysis during isometric contraction.

We studied the effects of muscle fatigue on the Autonomic Nervous System (ANS) dynamics. Specifically, we monitored the electrodermal activity (EDA) on 32 healthy subjects performing isometric biceps contraction. As assessed by means of an electromyography (EMG) analysis, 15 subjects showed muscle fatigue and 17 did not. EDA signals were analyzed using the recently proposed cvxEDA model in order to decompose them into their phasic and tonic components and extract effective features to study ANS dynamics. A statistical comparison between the two groups of subjects was performed. Results revealed that relevant phasic EDA features significantly increased in the fatigued group. Moreover, a pattern recognition system was applied to the EDA dataset in order to automatically discriminate between fatigued and non-fatigued subjects. The proposed leave-one-subject-out KNN classifier showed an accuracy of 75.69%. These results suggest the use of EDA as correlate of muscle fatigue, providing integrative information to the standard indices extracted from the EMG signals.

The role of nonlinear coupling in Human-Horse Interaction: A preliminary study.

This study focuses on the analysis of human-horse dynamic interaction using cardiovascular information exclusively. Specifically, the Information Theoretic Learning (ITL) approach has been applied to a Human-Horse Interaction paradigm, therefore accounting for the nonlinear information of the heart-heart interplay between humans and horses. Heartbeat dynamics was gathered from humans and horses during three experimental conditions: absence of interaction, visual-olfactory interaction, and brooming. Cross Information Potential, Cross Correntropy, and Correntropy Coefficient were computed to quantitatively estimate nonlinear coupling in a group of eleven subjects and one horse. Results showed a statistical significant difference on all of the three interaction phases. Furthermore, a Support Vector Machine classifier recognized the three conditions with an accuracy of 90:9%. These preliminary and encouraging results suggest that ITL analysis provides viable metrics for the quantitative evaluation of human-horse interaction.

Heart rate variability analysis during muscle fatigue due to prolonged isometric contraction.

Fatigue can be defined as the muscular condition occurring before the inability to perform a task. It can be assessed through the evaluation of the median and mean frequency of the spectrum of the surface electromyography series. Previous studies investigated the relationship between heartbeat dynamics and muscular activity. However, exploitation of such cardiovascular measures to automatically identify muscle fatigue during fatiguing exercises is still missing. To this extent, HRV signals were gathered from 32 subjects during an isometric contraction task, and features defined in the time, frequency and nonlinear domains were investigated. We used surface electromyography to label the occurrence of muscle fatigue. Statistically significant differences were observed by comparing features related to fatigued subjects with the non-fatigued ones. Moreover, a pattern recognition system capable to achieve an average accuracy of 78.24% was implemented. These results confirmed the hypothesis that a relationship between heartbeat dynamics and muscle fatigue might exist.

Monitoring voluntary blink magnitude through a wearable eye-tracking system: A preliminary study.

This study proposes a novel approach to measure the contractile force of eye blink that is generally obtained from the orbicularis oculi activity through Ocular ElectroMyo-Graphy (O-EMG). Here, O-EMG is compared with the eye information acquired through a wearable head-mounted eye-tracking system in order to investigate the possibility of using the eye-tracking in place of the O-EMG. Eight subjects were simultaneously monitored through an O-EMG and the eye-tracker while they were performing a structured protocol implying a variation in the blink contractile strength. Results showed that eye-tracking features were able to statistically discriminate three kinds of contractile forces similarly to EMG features. The consequent correlation analysis revealed that all the EMG-related features were significantly correlated with the eye-tracking ones with a p-value <;10-6. Moreover, considering the extracted eye-tracking features, i.e. Integrated Gaze Path (IGP) and Eye-closed Duration (ECD), IGP reported a higher Spearman's correlation values with eye-blink reflex magnitude (EBM) than ECD. These encouraging results suggest that the ocular information extracted from the eye-tracking could be profitably used in non-invasive ecological environments where wearability and comfortability play a crucial role in detecting spontaneous response.

The Florentine Archives in Transition: Government, Warfare and Communication (1289-1530 ca.).

A turning point in European administrative and documentary practices was traditionally associated, most famously by Robert-Henri Bautier, with the monarchies of the late sixteenth and early seventeenth centuries. By summarizing previous research in this field, as well as by using both published and unpublished sources, this article intends to underline an earlier process of transition connected to the development of significant new techniques for the production and preservation of documents in Renaissance Italian city-states. Focusing on the important case of Florence, the administrative uses of records connected to government, diplomacy and military needs will be discussed, and evidence will be provided that such documentary practices accelerated significantly during the so-called Italian Wars (from 1494 onwards). A particular reason of interest for Florence at this time is that a major role in the production and storage of a large quantity of state papers was played by Niccolò Machiavelli, one of the outstanding political thinkers of the age. This was especially true in connection to the new militia which he himself created in 1506. By stressing the role of information management and the importance of correspondence networks at a time of war and crisis, this article also contributes to recent scholarship which has focused on the growth of public records relating to diplomacy in Italy during the second half of the fifteenth century, as well as to a recent field of historiography which has lately gained importance: namely the 'documentary history of institutions'.

A synergy-based hand control is encoded in human motor cortical areas.

How the human brain controls hand movements to carry out different tasks is still debated. The concept of synergy has been proposed to indicate functional modules that may simplify the control of hand postures by simultaneously recruiting sets of muscles and joints. However, whether and to what extent synergic hand postures are encoded as such at a cortical level remains unknown. Here, we combined kinematic, electromyography, and brain activity measures obtained by functional magnetic resonance imaging while subjects performed a variety of movements towards virtual objects. Hand postural information, encoded through kinematic synergies, were represented in cortical areas devoted to hand motor control and successfully discriminated individual grasping movements, significantly outperforming alternative somatotopic or muscle-based models. Importantly, hand postural synergies were predicted by neural activation patterns within primary motor cortex. These findings support a novel cortical organization for hand movement control and open potential applications for brain-computer interfaces and neuroprostheses.

Quantitative heartbeat coupling measures in human-horse interaction.

We present a study focused on a quantitative estimation of a human-horse dynamic interaction. A set of measures based on magnitude and phase coupling between heartbeat dynamics of both humans and horses in three different conditions is reported: no interaction, visual/olfactory interaction and grooming. Specifically, Magnitude Squared Coherence (MSC), Mean Phase Coherence (MPC) and Dynamic Time Warping (DTW) have been used as estimators of the amount of coupling between human and horse through the analysis of their heart rate variability (HRV) time series in a group of eleven human subjects, and one horse. The rationale behind this study is that the interaction of two complex biological systems go towards a coupling process whose dynamical evolution is modulated by the kind and time duration of the interaction itself. We achieved a congruent and consistent statistical significant difference for all of the three indices. Moreover, a Nearest Mean Classifier was able to recognize the three classes of interaction with an accuracy greater than 70%. Although preliminary, these encouraging results allow a discrimination of three distinct phases in a real human-animal interaction opening to the characterization of the empirically proven relationship between human and horse.

Automatic recognition of pleasant content of odours through ElectroEncephaloGraphic activity analysis.

This study presents a machine learning approach applied to ElectroEnchephaloGraphic (EEG) response in a group of subjects when exposed to a controlled olfactory stimulation experiment. In the literature, in fact, there are controversial results on EEG response to odorants. This study proposes a robust leave-one-subject-out classification method to recognize features extracted from EEG signals belonging to pleasant or unpleasant olfactory stimulation classes. An accuracy of 75% has been achieved in a group of 32 subjects. Moreover a set of features extracted from lateral electrodes emphasized that right and left hemispheres behave differently when the subjects are exposed to pleasant or unpleasant odours stimuli.

Smartphone Application for the Analysis of Prosodic Features in Running Speech with a Focus on Bipolar Disorders: System Performance Evaluation and Case Study.

Bipolar disorder is one of the most common mood disorders characterized by large and invalidating mood swings. Several projects focus on the development of decision support systems that monitor and advise patients, as well as clinicians. Voice monitoring and speech signal analysis can be exploited to reach this goal. In this study, an Android application was designed for analyzing running speech using a smartphone device. The application can record audio samples and estimate speech fundamental frequency, F0, and its changes. F0-related features are estimated locally on the smartphone, with some advantages with respect to remote processing approaches in terms of privacy protection and reduced upload costs. The raw features can be sent to a central server and further processed. The quality of the audio recordings, algorithm reliability and performance of the overall system were evaluated in terms of voiced segment detection and features estimation. The results demonstrate that mean F0 from each voiced segment can be reliably estimated, thus describing prosodic features across the speech sample. Instead, features related to F0 variability within each voiced segment performed poorly. A case study performed on a bipolar patient is presented.

A Novel Algorithm for Movement Artifact Removal in ECG Signals Acquired from Wearable Systems Applied to Horses.

This study reports on a novel method to detect and reduce the contribution of movement artifact (MA) in electrocardiogram (ECG) recordings gathered from horses in free movement conditions. We propose a model that integrates cardiovascular and movement information to estimate the MA contribution. Specifically, ECG and physical activity are continuously acquired from seven horses through a wearable system. Such a system employs completely integrated textile electrodes to monitor ECG and is also equipped with a triaxial accelerometer for movement monitoring. In the literature, the most used technique to remove movement artifacts, when noise bandwidth overlaps the primary source bandwidth, is the adaptive filter. In this study we propose a new algorithm, hereinafter called Stationary Wavelet Movement Artifact Reduction (SWMAR), where the Stationary Wavelet Transform (SWT) decomposition algorithm is employed to identify and remove movement artifacts from ECG signals in horses. A comparative analysis with the Normalized Least Mean Square Adaptive Filter technique (NLMSAF) is performed as well. Results achieved on seven hours of recordings showed a reduction greater than 40% of MA percentage (between before- and after- the application of the proposed algorithm). Moreover, the comparative analysis with the NLMSAF, applied to the same ECG recordings, showed a greater reduction of MA percentage in favour of SWMAR with a statistical significant difference (p-value < 0.0.5).

Removing movement artifacts from equine ECG recordings acquired with textile electrodes.

This study reports on the implementation of a novel system to detect and reduce movement artifact (MA) contribution in electrocardiogram (ECG) recordings acquired from horses in free movement conditions. The system comprises both integrated textile electrodes for ECG acquisition and one triaxial accelerometer for movement monitoring. Here, ECG and physical activity are continuously acquired from seven horses through the wearable system and a model that integrates cardiovascular and movement information to estimate the MA contribution is implemented. Moreover, in this study we propose a new algorithm where the Stationary Wavelet Transform (SWT) decomposition algorithm is employed to identify and remove movement artifacts from ECG recodigns. Achieved results showed a reduction of MA percentage greater than 40% between before- and after- the application of the proposed algorithm to seven hours of recordings.

Voice quality in patients suffering from bipolar disease.

People suffering from bipolar disease are more and more common. Such pathology can severely affect patients' lifestyle by wide, and sometimes extreme, mood swings. Biosignals can be very useful to understand this disease. Specifically, speech-related features have been seen to vary in depressed people with respect to healthy subjects. Usually prosodic, spectral and energy-related features are studied. Some further information, instead, can be provided studying voice quality. According to Laver's model, voice quality is sensitive and depends on both anatomic/physiologic issues and long-term muscular adjustments of the larynx or the supraglottal vocal tract. A pilot study on both bipolar patients and healthy control subjects, performed by means of the Long-Term Average Spectrum (LTAS) is presented. The effects on LTAS estimation of a F0-correction procedure are discussed. Pairwise statistical comparisons between subjects in euthymic and depressed states and euthymic and hypomanic states were performed. Significant differences were found in some frequency intervals in both cases. The F0-correction procedure modified the values of the significant frequency intervals in the euthymic/depressed comparison, that also was characterized by a change of F0. Noticeably, no statistically significant differences were found in control subjects acquired in the same mood state. Though the number of subjects is small, the results are encouraging given their coherence across patients and the lack of differences in the control group. Finally, this work suggests that particular vocal settings might be involved in different mood states.

Speech analysis for mood state characterization in bipolar patients.

Bipolar disorders are characterized by an unpredictable behavior, resulting in depressive, hypomanic or manic episodes alternating with euthymic states. A multi-parametric approach can be followed to estimate mood states by integrating information coming from different physiological signals and from the analysis of voice. In this work we propose an algorithm to estimate speech features from running speech with the aim of characterizing the mood state in bipolar patients. This algorithm is based on an automatic segmentation of speech signals to detect voiced segments, and on a spectral matching approach to estimate pitch and pitch changes. In particular average pitch, jitter and pitch standard deviation within each voiced segment, are estimated. The performances of the algorithm are evaluated on a speech database, which includes an electroglottographic signal. A preliminary analysis on subjects affected by bipolar disorders is performed and results are discussed.