Social Media Mining of Long-COVID Self-Medication Reported by Reddit Users: Feasibility Study to Support Drug Repurposing.

BACKGROUND: Since the beginning of the COVID-19 pandemic, over 480 million people have been infected and more than 6 million people have died from COVID-19 worldwide. In some patients with acute COVID-19, symptoms manifest over a longer period, which is also called "long-COVID." Unmet medical needs related to long-COVID are high, since there are no treatments approved. Patients experiment with various medications and supplements hoping to alleviate their suffering. They often share their experiences on social media. OBJECTIVE: The aim of this study was to explore the feasibility of social media mining methods to extract important compounds from the perspective of patients. The goal is to provide an overview of different medication strategies and important agents mentioned in Reddit users' self-reports to support hypothesis generation for drug repurposing, by incorporating patients' experiences. METHODS: We used named-entity recognition to extract substances representing medications or supplements used to treat long-COVID from almost 70,000 posts on the "/r/covidlonghaulers" subreddit. We analyzed substances by frequency, co-occurrences, and network analysis to identify important substances and substance clusters. RESULTS: The named-entity recognition algorithm achieved an F1 score of 0.67. A total of 28,447 substance entities and 5789 word co-occurrence pairs were extracted. "Histamine antagonists," "famotidine," "magnesium," "vitamins," and "steroids" were the most frequently mentioned substances. Network analysis revealed three clusters of substances, indicating certain medication patterns. CONCLUSIONS: This feasibility study indicates that network analysis can be used to characterize the medication strategies discussed in social media. Comparison with existing literature shows that this approach identifies substances that are promising candidates for drug repurposing, such as antihistamines, steroids, or antidepressants. In the context of a pandemic, the proposed method could be used to support drug repurposing hypothesis development by prioritizing substances that are important to users.

Hierarchical Denoising of Ordinal Time Series of Clinical Scores.

Clinical scores (disease rating scales) are ordinal in nature. Longitudinal studies which use clinical scores produce ordinal time series. These time series tend to be noisy and often have a short-duration. This paper proposes a denoising method for such time series. The method uses a hierarchical approach to draw statistical power from the entire population of a study's patients to give reliable, subject-specific results. The denoising method is applied to MDS-UPDRS motor scores for Parkinson's disease.

Social media mining in drug development-Fundamentals and use cases.

The incorporation of patients' perspectives into drug discovery and development has become critically important from the viewpoint of accounting for modern-day business dynamics. There is a trend among patients to narrate their disease experiences on social media. The insights gained by analyzing the data pertaining to such social-media posts could be leveraged to support patient-centered drug development. Manual analysis of these data is nearly impossible, but artificial intelligence enables automated and cost-effective processing, also referred as social media mining (SMM). This paper discusses the fundamental SMM methods along with several relevant drug-development use cases.

Hierarchical MAP Denoising of Longitudinal Hamilton Depression Rating Scores.

The Hamilton Depression Rating Scale provides ordinal ratings for evaluating different aspects of depression. These ratings are usually quite noisy, and longitudinal patterns in the ratings can be difficult to discern. This paper proposes a hierarchical maximum-a-posteriori (MAP) method for denoising the ordinal time series of such ratings. Real-world data from a clinical trial are analyzed using the model. Denoising reveals subject-specific longitudinal patterns, predicts future ratings, and reveals progression patterns via principal component analysis.

Investigating Evoked EEG Responses to Targets Presented in Virtual Reality.

Virtual reality (VR) offers the potential to study brain function in complex, ecologically realistic environments. However, the additional degrees of freedom make analysis more challenging, particularly with respect to evoked neural responses. In this paper we designed a target detection task in VR where we varied the visual angle of targets as subjects moved through a three dimensional maze. We investigated how the latency and shape of the classic P300 evoked response varied as a function of locking the electroencephalogram data to the target image onset, the target-saccade intersection, and the first fixation on the target. We found, as expected, a systematic shift in the timing of the evoked responses as a function of the type of response locking, as well as a difference in the shape of the waveforms. Interestingly, single-trial analysis showed that the peak discriminability of the evoked responses does not differ between image locked and saccade locked analysis, though it decreases significantly when fixation locked. These results suggest that there is a spread in the perception of visual information in VR environments across time and visual space. Our results point to the importance of considering how information may be perceived in naturalistic environments, specifically those that have more complexity and higher degrees of freedom than in traditional laboratory paradigms.