Assessment of inter-examiner agreement and variability in the manual classification of auditory brainstem response

Abstract Background: The analysis of the Auditory Brainstem Response (ABR) is of fundamental importance to the investigation of the auditory system behaviour, though its interpretation has a subjective nature because of the manual process employed in its study and the clinical experience required for its analysis. When analysing the ABR, clinicians are often interested in the identification of ABR signal components referred to as Jewett waves. In particular, the detection and study of the time when these waves occur (i.e., the wave latency) is a practical tool for the diagnosis of disorders affecting the auditory system. Significant differences in inter-examiner results may lead to completely distinct clinical interpretations of the state of the auditory system. In this context, the aim of this research was to evaluate the inter-examiner agreement and variability in the manual classification of ABR. Methods: A total of 160 ABR data samples were collected, for four different stimulus intensity (80dBHL, 60dBHL, 40dBHL and 20dBHL), from 10 normal-hearing subjects (5 men and 5 women, from 20 to 52 years). Four examiners with expertise in the manual classification of ABR components participated in the study. The Bland-Altman statistical method was employed for the assessment of inter-examiner agreement and variability. The mean, standard deviation and error for the bias, which is the difference between examiners’ annotations, were estimated for each pair of examiners. Scatter plots and histograms were employed for data visualization and analysis. Results: In most comparisons the differences between examiner’s annotations were below 0.1 ms, which is clinically acceptable. In four cases, it was found a large error and standard deviation (>0.1 ms) that indicate the presence of outliers and thus, discrepancies between examiners. Conclusions: Our results quantify the inter-examiner agreement and variability of the manual analysis of ABR data, and they also allows for the determination of different patterns of manual ABR analysis.

Revisiting trends in wetness and dryness in the presence of internal climate variability and water limitations over land

A theoretically expected consequence of the intensification of the hydrological cycle under global warming is that on average, wet regions get wetter and dry regions get drier (WWDD). Recent studies, however, have found significant discrepancies between the expected pattern of change and observed changes over land. We assess the WWDD theory in four climate models. We find that the reported discrepancy can be traced to two main issues: (1) unforced internal climate variability strongly affects local wetness and dryness trends and can obscure underlying agreement with WWDD, and (2) dry land regions are not constrained to become drier by enhanced moisture divergence since evaporation cannot exceed precipitation over multiannual time scales. Over land, where the available water does not limit evaporation, a “wet gets wetter” signal predominates. On seasonal time scales, where evaporation can exceed precipitation, trends in wet season becoming wetter and dry season becoming drier are also found.

Temporal variability in a multicomponent trait : nuptial coloration of female two-spotted gobies

Animals that breed more than once may face different environmental and physiological conditions at each reproductive event. Costs and benefits of sexual ornaments could therefore vary both within and between breeding seasons. Despite this, the ornaments are often assumed to be fixed, and temporal changes in ornamentation have rarely been investigated. Female two-spotted gobies (Gobiusculus flavescens) have colorful orange bellies when sexually mature and nest-holding males prefer females with more colorful bellies. This nuptial coloration is caused both by the carotenoids-rich gonads being directly visible through the skin and by the chromatophore pigmentation of the abdominal skin. Toward the end of the breeding season, males become rare and females become the more competitive sex. We show that female ornamentation of G. flavescens is a complex multicomponent trait and that the separate components, as well as their interactions, are variable. As gonads matured, they became more colorful while the abdominal skin became more transparent, causing more intense belly coloration in sexually mature females. However, coloration varied greatly also among fully mature females, suggesting that it may not only be a signal of readiness to spawn. Indeed, belly coloration predicted gonad carotenoid concentration, but there were several important seasonal differences in color expression. Females sampled toward the end of the breeding season were more colorful. This was due to seasonal increases in both gonad carotenoid concentration and skin coloration. Thus, at a time when competition over males is stronger and the terminal reproductive event approaches, females appear to invest more in signaling.

Detection of respiratory arousals using photoplethysmography (PPG) signal in sleep apnea patients

Respiratory events during sleep induce cortical arousals and manifest changes in autonomic markers in sleep disorder breathing (SDB). Finger photoplethysmography (PPG) has been shown to be a reliable method of determining sympathetic activation. We hypothesize that changes in PPG signals are sufficient to predict the occurrence of respiratory-event-related cortical arousal. In this study, we develop a respiratory arousal detection model in SDB subjects by using PPG features. PPG signals from 10 SDB subjects (9 male, 1 female) with age range 43-75 years were used in this study. Time domain features of PPG signals, such as 1) PWA--pulse wave amplitude, 2) PPI--peak-to-peak interval, and 3) Area--area under peak, were used to detect arousal events. In this study, PWA and Area have shown better performance (higher accuracy and lower false rate) compared to PPI features. After investigating possible groupings of these features, combination of PWA and Area (PWA + Area) was shown to provide better accuracy with a lower false detection rate in arousal detection. PPG-based arousal indexes agreed well across a wide range of decision thresholds, resulting in a receiver operating characteristic with an area under the curve of 0.91. For the decision threshold (PC(thresh) = 25%) chosen for the final analyses, a sensitivity of 68.1% and a specificity of 95.2% were obtained. The results showed an accuracy of 84.68%, 85.15%, 86.93%, and 50.79% with a false rate of 21.80%, 55.41%, 64.78%, and 50.79% at PC(thresh) = 25% or PPI, PWA, Area , and PWA + Area features, respectively. This indicates that combining PWA and Area features reduced the false positive rate without much affecting the sensitivity of the arousal detection system. In conclusion, the PPG-based respiratory arousal detection model is a simple and promising alternative to the conventional electroencephalogram (EEG)-based respiratory arousal detection system.

Comparison of the Polar S810i monitor and the ECG for the analysis of heart rate variability in the time and frequency domains

The aim of the present study was to compare heart rate variability (HRV) at rest and during exercise using a temporal series obtained with the Polar S810i monitor and a signal from a LYNX® signal conditioner (BIO EMG 1000 model) with a channel configured for the acquisition of ECG signals. Fifteen healthy subjects aged 20.9 ± 1.4 years were analyzed. The subjects remained at rest for 20 min and performed exercise for another 20 min with the workload selected to achieve 60% of submaximal heart rate. RR series were obtained for each individual with a Polar S810i instrument and with an ECG analyzed with a biological signal conditioner. The HRV indices (rMSSD, pNN50, LFnu, HFnu, and LF/HF) were calculated after signal processing and analysis. The unpaired Student t-test and intraclass correlation coefficient were used for data analysis. No statistically significant differences were observed when comparing the values analyzed by means of the two devices for HRV at rest and during exercise. The intraclass correlation coefficient demonstrated satisfactory correlation between the values obtained by the devices at rest (pNN50 = 0.994; rMSSD = 0.995; LFnu = 0.978; HFnu = 0.978; LF/HF = 0.982) and during exercise (pNN50 = 0.869; rMSSD = 0.929; LFnu = 0.973; HFnu = 0.973; LF/HF = 0.942). The calculation of HRV values by means of temporal series obtained from the Polar S810i instrument appears to be as reliable as those obtained by processing the ECG signal captured with a signal conditioner.

Spatial variability of soil attributes and sugarcane yield in relation to topographic location

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

A snoring classifier based on heart rate variability analysis

The effect of snoring on the cardiovascular system is not well-known. In this study we analyzed the Heart Rate Variability (HRV) differences between light and heavy snorers. The experiments are done on the full-whole-night polysomnography (PSG) with ECG and audio channels from patient group (heavy snorer) and control group (light snorer), which are gender- and age-paired, totally 30 subjects. A feature Snoring Density (SND) of audio signal as classification criterion and HRV features are computed. Mann-Whitney statistical test and Support Vector Machine (SVM) classification are done to see the correlation. The result of this study shows that snoring has close impact on the HRV features. This result can provide a deeper insight into the physiological understand of snoring. © 2011 CCAL.

Defoliation patterns in signal grass tillers with varying heights in the same pasture

The experiment was carried out to evaluate the patterns of defoliation in plants of various heights in the same pasture of Brachiaria decumbens cv. Basilisk under continuous stocking with cattle. Four plant heights were evaluated (10, 20, 30 and 40 cm) in the same managed sward, with mean height equal to 25 cm. A randomized blocks design was used, with two replications. Defoliation frequency increased linearly along with plant height in the same pasture. Defoliation intensity, number of defoliations in leaf blade and percentage of leaf blade grazed per tiller also increased linearly along with plant height. The defoliation interval decreased linearly according to plant height. The quadratic model was adequately fitted into grazing efficiency data, reaching the highest value (98%) at the sward site with 35 cm plants. The percentage variation in signal grass height showed a negative linear response with initial plant height. The structure of the pasture, characterized by the diversity in plant heights, is simultaneously the cause and consequence of the variability in defoliation patterns in individual tillers, which occur on the horizontal plane of the pasture.

Karyotype variability in tropical maize sister inbred lines and hybrids compared with KYS standard line

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Solar-Terrestrial Signal Record in Tree Ring Width Time Series from Brazil

This work investigates the behavior of the sunspot number and Southern Oscillation Index (SOI) signal recorded in the tree ring time series for three different locations in Brazil: Humaita in Amaznia State, Porto Ferreira in So Paulo State, and Passo Fundo in Rio Grande do Sul State, using wavelet and cross-wavelet analysis techniques. The wavelet spectra of tree ring time series showed signs of 11 and 22 years, possibly related to the solar activity, and periods of 2-8 years, possibly related to El Nio events. The cross-wavelet spectra for all tree ring time series from Brazil present a significant response to the 11-year solar cycle in the time interval between 1921 to after 1981. These tree ring time series still have a response to the second harmonic of the solar cycle (5.5 years), but in different time intervals. The cross-wavelet maps also showed that the relationship between the SOI x tree ring time series is more intense, for oscillation in the range of 4-8 years.

Variability analysis of discrete event series and wavefront patterns in surface electrocardiogram: contributions to psychophysiological and clinical research

The surface electrocardiogram (ECG) is an established diagnostic tool for the detection of abnormalities in the electrical activity of the heart. The interest of the ECG, however, extends beyond the diagnostic purpose. In recent years, studies in cognitive psychophysiology have related heart rate variability (HRV) to memory performance and mental workload. The aim of this thesis was to analyze the variability of surface ECG derived rhythms, at two different time scales: the discrete-event time scale, typical of beat-related features (Objective I), and the “continuous” time scale of separated sources in the ECG (Objective II), in selected scenarios relevant to psychophysiological and clinical research, respectively. Objective I) Joint time-frequency and non-linear analysis of HRV was carried out, with the goal of assessing psychophysiological workload (PPW) in response to working memory engaging tasks. Results from fourteen healthy young subjects suggest the potential use of the proposed indices in discriminating PPW levels in response to varying memory-search task difficulty. Objective II) A novel source-cancellation method based on morphology clustering was proposed for the estimation of the atrial wavefront in atrial fibrillation (AF) from body surface potential maps. Strong direct correlation between spectral concentration (SC) of atrial wavefront and temporal variability of the spectral distribution was shown in persistent AF patients, suggesting that with higher SC, shorter observation time is required to collect spectral distribution, from which the fibrillatory rate is estimated. This could be time and cost effective in clinical decision-making. The results held for reduced leads sets, suggesting that a simplified setup could also be considered, further reducing the costs. In designing the methods of this thesis, an online signal processing approach was kept, with the goal of contributing to real-world applicability. An algorithm for automatic assessment of ambulatory ECG quality, and an automatic ECG delineation algorithm were designed and validated.

Sea-Level climate variability in the Mediterranean Sea

Sea-level variability is characterized by multiple interacting factors described in the Fourth Assessment Report (Bindoff et al., 2007) of the Intergovernmental Panel on Climate Change (IPCC) that act over wide spectra of temporal and spatial scales. In Church et al. (2010) sea-level variability and changes are defined as manifestations of climate variability and change. The European Environmental Agency (EEA) defines sea level as one of most important indicators for monitoring climate change, as it integrates the response of different components of the Earths system and is also affected by anthropogenic contributions (EEA, 2011). The balance between the different sea-level contributions represents an important source of uncertainty, involving stochastic processes that are very difficult to describe and understand in detail, to the point that they are defined as an enigma in Munk (2002). Sea-level rate estimates are affected by all these uncertainties, in particular if we look at possible responses to sea-level contributions to future climate. At the regional scale, lateral fluxes also contribute to sea-level variability, adding complexity to sea-level dynamics. The research strategy adopted in this work to approach such an interesting and challenging topic has been to develop an objective methodology to study sea-level variability at different temporal and spatial scales, applicable in each part of the Mediterranean basin in particular, and in the global ocean in general, using all the best calibrated sources of data (for the Mediterranean): in-situ, remote-sensig and numerical models data. The global objective of this work was to achieve a deep understanding of all of the components of the sea-level signal contributing to sea-level variability, tendency and trend and to quantify them.

Patterns of millennial variability over the last 500 ka

Millennial variability is a robust feature of many paleoclimate records, at least throughout the last several glacial cycles. Here we use the mean signal from Antarctic climate events 1 to 4 to probe the EPICA Dome C temperature proxy reconstruction through the last 500 ka for similar millennial-scale events. We find that clusters of millennial events occurred in a regular fashion over half of the time during this with a mean recurrence interval of 21 kyr. We find that there is no consistent link between ice-rafted debris deposition and millennial variability. Instead we speculate that changes in the zonality of atmospheric circulation over the North Atlantic form a viable alternative to freshwater release from icebergs as a trigger for millennial variability. We suggest that millennial changes in the zonality of atmospheric circulation over the North Atlantic are linked to precession via sea-ice feedbacks and that this relationship is modified by the presence of the large, Northern Hemisphere ice sheets during glacial periods.

Late Holocene air temperature variability reconstructed from the sediments of Laguna Escondida, Patagonia, Chile (45 degrees 30 ' S)

Climate and environmental reconstructions from natural archives are important for the interpretation of current climatic change. Few quantitative high-resolution reconstructions exist for South America which is the only land mass extending from the tropics to the southern high latitudes at 56°S. We analyzed sediment cores from two adjacent lakes in Northern Chilean Patagonia, Lago Castor (45°36′S, 71°47′W) and Laguna Escondida (45°31′S, 71°49′W). Radiometric dating (210Pb, 137Cs, 14C-AMS) suggests that the cores reach back to c. 900 BC (Laguna Escondida) and c. 1900 BC (Lago Castor). Both lakes show similarities and reproducibility in sedimentation rate changes and tephra layer deposition. We found eight macroscopic tephras (0.2–5.5 cm thick) dated at 1950 BC, 1700 BC, at 300 BC, 50 BC, 90 AD, 160 AD, 400 AD and at 900 AD. These can be used as regional time-synchronous stratigraphic markers. The two thickest tephras represent known well-dated explosive eruptions of Hudson volcano around 1950 and 300 BC. Biogenic silica flux revealed in both lakes a climate signal and correlation with annual temperature reanalysis data (calibration 1900–2006 AD; Lago Castor r = 0.37; Laguna Escondida r = 0.42, seven years filtered data). We used a linear inverse regression plus scaling model for calibration and leave-one-out cross-validation (RMSEv = 0.56 °C) to reconstruct sub decadal-scale temperature variability for Laguna Escondida back to AD 400. The lower part of the core from Laguna Escondida prior to AD 400 and the core of Lago Castor are strongly influenced by primary and secondary tephras and, therefore, not used for the temperature reconstruction. The temperature reconstruction from Laguna Escondida shows cold conditions in the 5th century (relative to the 20th century mean), warmer temperatures from AD 600 to AD 1150 and colder temperatures from AD 1200 to AD 1450. From AD 1450 to AD 1700 our reconstruction shows a period with stronger variability and on average higher values than the 20th century mean. Until AD 1900 the temperature values decrease but stay slightly above the 20th century mean. Most of the centennial-scale features are reproduced in the few other natural climate archives in the region. The early onset of cool conditions from c. AD 1200 onward seems to be confirmed for this region.

Centennial mineral dust variability in high-resolution ice core data from Dome C, Antarctica

Ice core data from Antarctica provide detailed insights into the characteristics of past climate, atmospheric circulation, as well as changes in the aerosol load of the atmosphere. We present high-resolution records of soluble calcium (Ca2+), non-sea-salt soluble calcium (nssCa2+), and particulate mineral dust aerosol from the East Antarctic Plateau at a depth resolution of 1 cm, spanning the past 800 000 years. Despite the fact that all three parameters are largely dust-derived, the ratio of nssCa2+ to particulate dust is dependent on the particulate dust concentration itself. We used principal component analysis to extract the joint climatic signal and produce a common high-resolution record of dust flux. This new record is used to identify Antarctic warming events during the past eight glacial periods. The phasing of dust flux and CO2 changes during glacial-interglacial transitions reveals that iron fertilization of the Southern Ocean during the past nine glacial terminations was not the dominant factor in the deglacial rise of CO2 concentrations. Rapid changes in dust flux during glacial terminations and Antarctic warming events point to a rapid response of the southern westerly wind belt in the region of southern South American dust sources on changing climate conditions. The clear lead of these dust changes on temperature rise suggests that an atmospheric reorganization occurred in the Southern Hemisphere before the Southern Ocean warmed significantly.