Blind Normalization of Speech From Different Channels

We show how to construct a channel-independent representation of speech that has propagated through a noisy reverberant channel. This is done by blindly rescaling the cepstral time series by a non-linear function, with the form of this scale function being determined by previously encountered cepstra from that channel. The rescaled form of the time series is an invariant property of it in the following sense: it is unaffected if the time series is transformed by any time-independent invertible distortion. Because a linear channel with stationary noise and impulse response transforms cepstra in this way, the new technique can be used to remove the channel dependence of a cepstral time series. In experiments, the method achieved greater channel-independence than cepstral mean normalization, and it was comparable to the combination of cepstral mean normalization and spectral subtraction, despite the fact that no measurements of channel noise or reverberations were required (unlike spectral subtraction).Comment: 25 pages, 7 figure

RydIQule: A Graph-based Paradigm for Modelling Rydberg and Atomic Systems

We describe a numerical technique and accompanying open-source Python software package called RydIQule. RydIQule uses a directional graph, relying on adjacency matrices and path-finding to generate a Hamiltonian for multi-level atomic systems. RydIQule then constructs semi-classical equations of motion (Bloch equations) into a tensor which can store an entire simulation consisting of varied system parameters. Using this framework, RydIQule returns solutions significantly faster than typical for interpreted programming languages. RydIQule extends beyond the capabilities of currently-available tools, facilitating rapid development in atomic and Rydberg spectroscopy. To demonstrate its utility, we use RydIQule to simulate a Doppler-broadened Rydberg atomic sensor that simultaneously demodulates five rf tones spanning from 1.7 to 116 GHz. Using RydIQule, this simulation can be solved in several hours on a commercial off-the-shelf desktop computer.Comment: 5 pages, 3 figure

Nephrotoxicity During Vancomycin Therapy in Combination with Piperacillin-Tazobactam or Cefepime

Recent reports have demonstrated that vancomycin (VAN) may lead to an increase in the incidence of acute kidney injury (AKI) when it is combined with antipseudomonal beta-lactams. This study compared the incidence of AKI associated with VAN plus piperacillin-tazobactam (TZP) or cefepime (FEP). This was a retrospective, matched cohort study that was conducted at an academic medical center between September 2010 and September 2014 and that included adult patients without severe chronic or structural kidney disease, dialysis, pregnancy, cystic fibrosis, or a hospital transfer receiving TZP-VAN or FEP-VAN for at least 48 h. The primary outcome was the difference in the AKI incidence between the TZP-VAN and FEP-VAN groups, evaluated using the risk, injury, failure, loss of kidney function, and end-stage kidney disease (RIFLE) criteria. Patients in the two groups were matched on the basis of age, sex, severity of illness, baseline creatinine clearance, hypotension, number of nephrotoxicity risk factors, and intravenous contrast exposure. In total, 4,193 patients met all inclusion criteria (3,605 received TZP-VAN and 588 received FEP-VAN). The unadjusted AKI incidence was 21.4% in patients receiving TZP-VAN, whereas it was 12.6% in patients receiving FEP-VAN (P \u3c 0.001). After the patients were matched, 1,633 patients receiving TZP-VAN and 578 patients receiving FEP-VAN were evaluated. The AKI incidence remained higher in patients receiving TZP-VAN than in those receiving FEP-VAN (21.4% versus 12.5%, P \u3c 0.0001). This trend remained true for all classifications of the RIFLE criteria. After controlling for remaining confounders, TZP-VAN therapy was associated with 2.18 times the odds of AKI than FEP-VAN therapy (95% confidence interval, 1.64 to 2.94 times) in logistic regression. AKI was significantly more common in patients receiving vancomycin in combination with piperacillin-tazobactam than in those receiving vancomycin in combination with cefepime. This finding reinforces the need for the judicious use of combination empirical antimicrobial therapy

Channel-Independent and Sensor-Independent Stimulus Representations

This paper shows how a machine, which observes stimuli through an uncharacterized, uncalibrated channel and sensor, can glean machine-independent information (i.e., channel- and sensor-independent information) about the stimuli. First, we demonstrate that a machine defines a specific coordinate system on the stimulus state space, with the nature of that coordinate system depending on the device's channel and sensor. Thus, machines with different channels and sensors "see" the same stimulus trajectory through state space, but in different machine-specific coordinate systems. For a large variety of physical stimuli, statistical properties of that trajectory endow the stimulus configuration space with differential geometric structure (a metric and parallel transfer procedure), which can then be used to represent relative stimulus configurations in a coordinate-system-independent manner (and, therefore, in a channel- and sensor-independent manner). The resulting description is an "inner" property of the stimulus time series in the sense that it does not depend on extrinsic factors like the observer's choice of a coordinate system in which the stimulus is viewed (i.e., the observer's choice of channel and sensor). This methodology is illustrated with analytic examples and with a numerically simulated experiment. In an intelligent sensory device, this kind of representation "engine" could function as a "front-end" that passes channel/sensor-independent stimulus representations to a pattern recognition module. After a pattern recognizer has been trained in one of these devices, it could be used without change in other devices having different channels and sensors.Comment: The results of a numerically simulated experiment, which illustrates the proposed method, have been added to the version submitted on October 27, 2004. This paper has been accepted for publication in the Journal of Applied Physics. For related papers, see http://www.geocities.com/dlevin2001

CRISPR/Cas9 cleavage of viral DNA efficiently suppresses hepatitis B virus

Chronic hepatitis B virus (HBV) infection is prevalent, deadly, and seldom cured due to the persistence of viral episomal DNA (cccDNA) in infected cells. Newly developed genome engineering tools may offer the ability to directly cleave viral DNA, thereby promoting viral clearance. Here, we show that the CRISPR/Cas9 system can specifically target and cleave conserved regions in the HBV genome, resulting in robust suppression of viral gene expression and replication. Upon sustained expression of Cas9 and appropriately chosen guide RNAs, we demonstrate cleavage of cccDNA by Cas9 and a dramatic reduction in both cccDNA and other parameters of viral gene expression and replication. Thus, we show that directly targeting viral episomal DNA is a novel therapeutic approach to control the virus and possibly cure patients.United States. National Institutes of Health (DK085713)National Cancer Institute (U.S.) (P30-CA14051)National Institute of Environmental Health Sciences (P30-ES002109)United States. National Institutes of Health (1K08DK101754

The complete management of extremity vascular injury in a local population: A wartime report from the 332nd Expeditionary Medical Group/Air Force Theater Hospital, Balad Air Base, Iraq

Background: Although the management of vascular injury in coalition forces during Operation Iraqi Freedom has been described, there are no reports on the in-theater treatment of wartime vascular injury in the local population. This study reports the complete management of extremity vascular injury in a local wartime population and illustrates the unique aspects of this cohort and management strategy. Methods: From September 1, 2004, to August 31, 2006, all vascular injuries treated at the Air Force Theater Hospital (AFTH) in Balad, Iraq, were registered. Those in non-coalition troops were identified and retrospectively reviewed. Results: During the study period, 192 major vascular injuries were treated in the local population in the following distribution: extremity 70% (n = 134), neck and great vessel 17% (n = 33), and thoracoabdominal 13% (n = 25). For the extremity cohort, the age range was 4 to 68 years and included 12 pediatric injuries. Autologous vein was the conduit of choice for these vascular reconstructions. A strict wound management strategy providing repeat operative washout and application of the closed negative pressure adjunct was used. Delayed primary closure or secondary coverage with a split-thickness skin graft was required in 57% of extremity wounds. All patients in this cohort remained at the theater hospital through definitive wound healing, with an average length of stay of 15 days (median 11 days). Patients required an average of 3.3 operations (median 3) from the initial injury to definitive wound closure. Major complications in extremity vascular patients, including mortality, were present in 15.7% (n = 21). Surgical wound infection occurred in 3.7% (n = 5), and acute anastomotic disruption in 3% (n = 4). Graft thrombosis occurred in 4.5% (n = 6), and early amputation and mortality rates during the study period were 3.0% (n = 4) and 1.5% (n = 2), respectively. Conclusions: To our knowledge, this study represents the first large report of wartime extremity vascular injury management in a local population. These injuries present unique challenges related to complex wounds that require their complete management to occur in-theater. Vascular reconstruction using vein, combined with a strict wound management strategy, results in successful limb salvage with remarkably low infection, amputation and mortality rates

Baseline Surface Radiation Network (BSRN): structure and data description (1992–2017)

Small changes in the radiation budget at the earth's surface can lead to large climatological responses when persistent over time. With the increasing debate on anthropogenic influences on climatic processes during the 1980s the need for accurate radiometric measurements with higher temporal resolution was identified, and it was determined that the existing measurement networks did not have the resolution or accuracy required to meet this need. In 1988 the WMO therefore proposed the establishment of a new international Baseline Surface Radiation Network (BSRN), which should collect and centrally archive high-quality ground-based radiation measurements in 1 min resolution. BSRN began its work in 1992 with 9 stations; currently (status 2018-01-01), the network comprises 59 stations (delivering data to the archive) and 9 candidates (stations recently accepted into the network with data forthcoming to the archive) distributed over all continents and oceanic environments. The BSRN database is the World Radiation Monitoring Center (WRMC). It is hosted at the Alfred Wegener Institute (AWI) in Bremerhaven, Germany, and now offers more than 10 300 months of data from the years 1992 to 2017. All data are available at https://doi.org/10.1594/PANGAEA.880000 free of charge