With direct intracarotid propofol injection, the Wada test was satisfactorily performed in all 12 patients and 2 more patients with left-handedness or with different injection dose for each side without any complications. Clinical usefulness of propofol as an alternative drug to amobarbital for the Wada test was indicated.

As a leading cause of death and morbidity, heart failure (HF) is responsible for a large portion of healthcare and disability costs worldwide. Current approaches to define specific HF subpopulations may fail to account for the diversity of etiologies, comorbidities, and factors driving disease progression, and therefore have limited value for clinical decision making and development of novel therapies. Here we present a novel and data-driven approach to understand and characterize the real-world manifestation of HF by clustering disease and symptom-related clinical concepts (complaints) captured from unstructured electronic health record clinical notes. We used natural language processing to construct vectorized representations of patient complaints followed by clustering to group HF patients by similarity of complaint vectors. We then identified complaints that were significantly enriched within each cluster using statistical testing. Breaking the HF population into groups of similar patients revealed a clinically interpretable hierarchy of subgroups characterized by similar HF manifestation. Importantly, our methodology revealed well-known etiologies, risk factors, and comorbid conditions of HF (including ischemic heart disease, aortic valve disease, atrial fibrillation, congenital heart disease, various cardiomyopathies, obesity, hypertension, diabetes, and chronic kidney disease) and yielded additional insights into the details of each HF subgroup’s clinical manifestation of HF. Our approach is entirely hypothesis free and can therefore be readily applied for discovery of novel insights in alternative diseases or patient populations.

No abstract

Deep neural networks (DNNs) are widely utilized for acoustic modeling in speech recognition systems. Through training, DNNs used for phoneme recognition nonlinearly transform the time-frequency representation of a speech signal into a sequence of invariant phonemic categories. However, little is known about how this nonlinear mapping is performed and what its implications are for the classification of individual phones and phonemic categories. In this paper, we analyze a sigmoid DNN trained for a phoneme recognition task and characterized several aspects of the nonlinear transformations that occur in hidden layers. We show that the function learned by deeper hidden layers becomes increasingly nonlinear, and that network selectively warps the feature space so as to increase the discriminability of acoustically similar phones, aiding in their classification. We also demonstrate that the nonlinear transformation of the feature space in deeper layers is more dedicated to the phone instances that are more difficult to discriminate, while the more separable phones are dealt with in the superficial layers of the network. This study describes how successive nonlinear transformations are applied to the feature space non-uniformly when a deep neural network model learns categorical boundaries, which may partly explain their superior performance in pattern classification applications.

In this paper, we introduce the Neural Acoustic Processing Library (NAPLib), a toolbox containing novel processing methods for real-time and offline analysis of neural activity in response to speech. Our method divides the speech signal and resultant neural activity into segmental units (e.g., phonemes), allowing for fast and efficient computations that can be implemented in real-time. NAPLib contains a suite of tools that characterize various properties of the neural representation of speech, which can be used for functionality such as characterizing electrode tuning properties, brain mapping and brain computer interfaces. The library is general and applicable to both invasive and non-invasive recordings, including electroencephalography (EEG), electrocorticography (ECoG) and magnetoecnephalography (MEG). In this work, we describe the structure of NAPLib, as well as demonstrating its use in both EEG and ECoG. We believe NAPLib provides a valuable tool to both clinicians and researchers who are interested in the representation of speech in the brain.