Methods Inf Med - Assessment of pain expression in infant cry signals using empirical mode decomposition.

Tópicos

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Resumo

CKGROUND: The presence of decoupling, i.e. the absence of coupling between fundamental frequency variation and intensity contour during phonetic crying, and its extent, reflects the degree of maturation of the central nervous system.OBJECTIVES: The aim of this work was to evaluate whether Empirical Mode Decomposition (EMD) is a suitable technique for analyzing infant cries. We hereby wanted to assess the existence and extent of decoupling in term neonates and whether an association between decoupling (derived from EMD) and clinical pain expression could be unveiled.METHODS: To assess decoupling in healthy term neonates during procedural pain, 24 newborns were videotaped and crying was recorded during venous blood sampling. Besides acoustic analysis, pain expression was quantified based on the Modified Behavioral Pain Scale (MBPS). Fundamental frequency and the intensity contour of the cry signals were extracted by applying the EMD to the data, and the correlation between the two was studied.RESULTS: Based on data collected in healthy term neonates, correlation coefficients varied between 0.39 and 0.83. The degree of decoupling displayed extended variability between the neonates and also in different cry bouts in a crying sequence within an individual neonate.CONCLUSION: When considering the individual ratio between the mean correlation of cry bouts during a crying sequence and their standard deviation, there seems to be a positive trend with increasing MBPS value. This might indicate that higher stressed subjects have less consistency in the investigated acoustic cry features, concluding that EMD has potential in the assessment of infant cry analysis.

Resumo Limpo

ckground presenc decoupl ie absenc coupl fundament frequenc variat intens contour phonet cri extent reflect degre matur central nervous systemobject aim work evalu whether empir mode decomposit emd suitabl techniqu analyz infant cri herebi want assess exist extent decoupl term neonat whether associ decoupl deriv emd clinic pain express unveiledmethod assess decoupl healthi term neonat procedur pain newborn videotap cri record venous blood sampl besid acoust analysi pain express quantifi base modifi behavior pain scale mbps fundament frequenc intens contour cri signal extract appli emd data correl two studiedresult base data collect healthi term neonat correl coeffici vari degre decoupl display extend variabl neonat also differ cri bout cri sequenc within individu neonateconclus consid individu ratio mean correl cri bout cri sequenc standard deviat seem posit trend increas mbps valu might indic higher stress subject less consist investig acoust cri featur conclud emd potenti assess infant cri analysi

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