This study delves into Personal Narratives (PN), which encompass both oral and written recounting of individual experiences, encompassing facts, events, people, and thoughts. Traditional emotion recognition and sentiment analysis primarily focus on broader categories like utterances or documents. Our research, however, centers on identifying Emotion Carriers (EC), which are specific segments within speech or text that elucidate the narrator's emotional state (e.g.,"losing a parent", "decision-making moments"). Extracting these ECs enriches the representation of a user's emotional state, thereby enhancing natural language understanding and the sophistication of dialogue models. While previous studies have utilized lexical attributes to identify ECs, we argue that incorporating spoken narratives offers a more nuanced view of the context and emotional state. This paper explores the integration of speech and textual embeddings at the word level, alongside both early and late fusion techniques, for improved EC detection in spoken narratives. We employ Residual Neural Networks (ResNet), initially pre-trained on diverse speech emotion datasets and subsequently fine-tuned for EC detection. Our experimental findings demonstrate that late fusion, in particular, significantly enhances EC detection capabilities.

Background: Surgical decompression (SD) with and without posterior stabilization followed by radiotherapy is an established treatment for patients with metastatic spinal disease with epidural spinal cord compression (ESCC). This study aims to identify risk factors for occurrence of neurologic comprise resulting from local recurrence. Methods: All patients who received surgical treatment for metastatic spinal disease at our center between 2011 and 2022 were included in this study. Cases were evaluated for tumor entity, surgical technique for decompression (decompression, hemilaminectomy, laminectomy, corpectomy) neurological deficits, grade of ESCC, time interval to radiotherapy and perioperative complications. Results: A total of 747 patients were included in the final analysis, with a follow-up of 296.8 days (95% CI (263.5, 330.1)). During the follow-up period 7.5% of patients developed spinal cord/cauda syndrome (SCS). Multivariate analysis revealed prolonged time (> 35 d) to radiation therapy as solitary risk factor (p < 0.001) for occurrence of SCS during follow-up. Conclusion: Surgical treatment of spinal metastatic disease improves patients’ quality of life and Frankel grade but radiation therapy needs to be scheduled within a time frame of few weeks in order to reduce the risk of tumor-induced neurologic comprise.