Background
Access to neurological care for Parkinson disease (PD) is a rare privilege for millions of people worldwide, especially in resource-limited countries. In 2013, there were just 1200 neurologists in India for a population of 1.3 billion people; in Africa, the average population per neurologist exceeds 3.3 million people. In contrast, 60,000 people receive a diagnosis of PD every year in the United States alone, and similar patterns of rising PD cases—fueled mostly by environmental pollution and an aging population—can be seen worldwide. The current projection of more than 12 million patients with PD worldwide by 2040 is only part of the picture given that more than 20% of patients with PD remain undiagnosed. Timely diagnosis and frequent assessment are key to ensure timely and appropriate medical intervention, thus improving the quality of life of patients with PD.
Objective
In this paper, we propose a web-based framework that can help anyone anywhere around the world record a short speech task and analyze the recorded data to screen for PD.
Methods
We collected data from 726 unique participants (PD: 262/726, 36.1% were women; non-PD: 464/726, 63.9% were women; average age 61 years) from all over the United States and beyond. A small portion of the data (approximately 54/726, 7.4%) was collected in a laboratory setting to compare the performance of the models trained with noisy home environment data against high-quality laboratory-environment data. The participants were instructed to utter a popular pangram containing all the letters in the English alphabet, “the quick brown fox jumps over the lazy dog.” We extracted both standard acoustic features (mel-frequency cepstral coefficients and jitter and shimmer variants) and deep learning–based embedding features from the speech data. Using these features, we trained several machine learning algorithms. We also applied model interpretation techniques such as Shapley additive explanations to ascertain the importance of each feature in determining the model’s output.
Results
We achieved an area under the curve of 0.753 for determining the presence of self-reported PD by modeling the standard acoustic features through the XGBoost—a gradient-boosted decision tree model. Further analysis revealed that the widely used mel-frequency cepstral coefficient features and a subset of previously validated dysphonia features designed for detecting PD from a verbal phonation task (pronouncing “ahh”) influence the model’s decision the most.
Conclusions
Our model performed equally well on data collected in a controlled laboratory environment and in the wild across different gender and age groups. Using this tool, we can collect data from almost anyone anywhere with an audio-enabled device and help the participants screen for PD remotely, contributing to equity and access in neurological care.
Rice husk ash (RHA), is a widely available biobased source for high purity silica. In this work, zeolite Faujasite (FAU) is synthesized using extracted silica from RHA (collected from a local region of Bangladesh). The synthesized zeolite FAU was used as an adsorbent for Cr(VI) and Pb (II) batch-wise adsorptive removal from respective aqueous solution. The synthesized zeolite FAU was characterized using X-ray diffraction (XRD), scanning electron microscopy (SEM), nitrogen-sorption, and Fourier transfer infrared (FT-IR) spectroscopy. Metal ion adsorption studies were performed by varying metal concentration (20–100 mg/L for Cr(VI) and 900–133 mg/L for Pb(II)), sorbent dosage (2–10 g/L for chromium and 0.5–1.5 g/L for lead), and contact time (10–120 min for both metal ions). The maximum adsorption capacity of RHA-based zeolite FAU was found to be 3.56 mg/g and 342.16 mg/g for Cr(VI) and Pb(II), respectively. Since the sorption data was found to match with Langmuir isotherm, a monolayer adsorption was occurred. The regeneration of the RHA-based zeolite FAU by NaCl solution showed the potential of repeated as well as continuous operation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.