Detecting Topic Shifts Using A Cache Memory

The use of cache memories and symmetric Kullback-Leibler distances is proposed for topic classification and topic-shift detection. Experiments with a large corpus of articles from the French newspaper "Le Monde show tangible advantages when different models are combined with a suitable strategy. Experimental results show that different strategies for topic shift detection have to be used depending on whether high recall or high precision are sought. Furthermore, methods based on topic independent distributions provide complementary candidates with respect to the use of topicdependent distributions leading to an increase in recall with a minor loss in precision. 1. INTRODUCTION Statistical methods for topic spotting and the detection of topic shifts are now the object of research efforts because of their potential in important applications [6]. It is also possible to use topic-dependent language models (LM) for improving Automatic Speech Recognition (ASR) [3]. Topic spotting is a de..

Ensuring Sustainability of Continuous Kidney Replacement Therapy in the Face of Extraordinary Demand: Lessons From the COVID-19 Pandemic

With the exponential surge in patients with coronavirus disease 2019 (COVID-19) worldwide, the resources needed to provide continuous kidney replacement therapy (CKRT) for patients with acute kidney injury or kidney failure may be threatened. This article summarizes subsisting strategies that can be implemented immediately. Pre-emptive weekly multicenter projections of CKRT demand based on evolving COVID-19 epidemiology and routine workload should be made. Corresponding consumables should be quantified and acquired, with diversification of sources from multiple vendors. Supply procurement should be stepped up accordingly so that a several-week stock is amassed, with administrative oversight to prevent disproportionate hoarding by institutions. Consumption of CKRT resources can be made more efficient by optimizing circuit anticoagulation to preserve filters, extending use of each vascular access, lowering blood flows to reduce citrate consumption, moderating the CKRT intensity to conserve fluids, or running accelerated KRT at higher clearance to treat more patients per machine. If logistically feasible, earlier transition to intermittent hemodialysis with online-generated dialysate, or urgent peritoneal dialysis in selected patients, may help reduce CKRT dependency. These measures, coupled to multicenter collaboration and a corresponding increase in trained medical and nursing staffing levels, may avoid downstream rationing of care and save lives during the peak of the pandemic