A robust braille recognition system

Braille is the most effective means of written communication between visually-impaired and sighted people. This paper describes a new system that recognizes Braille characters in scanned Braille document pages. Unlike most other approaches, an inexpensive flatbed scanner is used and the system requires minimal interaction with the user. A unique feature of this system is the use of context at different levels (from the pre-processing of the image through to the post-processing of the recognition results) to enhance robustness and, consequently, recognition results. Braille dots composing characters are identified on both single and double-sided documents of average quality with over 99% accuracy, while Braille characters are also correctly recognised in over 99% of documents of average quality (in both single and double-sided documents)

Introductory clifford analysis

In this chapter an introduction is given to Clifford analysis and the underlying Clifford algebras. The functions under consideration are defined on Euclidean space and take values in the universal real or complex Clifford algebra, the structure and properties of which are also recalled in detail. The function theory is centered around the notion of a monogenic function, which is a null solution of a generalized Cauchy–Riemann operator, which is rotation invariant and factorizes the Laplace operator. In this way, Clifford analysis may be considered as both a generalization to higher dimension of the theory of holomorphic functions in the complex plane and a refinement of classical harmonic analysis. A notion of monogenicity may also be associated with the vectorial part of the Cauchy–Riemann operator, which is called the Dirac operator; some attention is paid to the intimate relation between both notions. Since a product of monogenic functions is, in general, no longer monogenic, it is crucial to possess some tools for generating monogenic functions: such tools are provided by Fueter’s theorem on one hand and the Cauchy–Kovalevskaya extension theorem on the other hand. A corner stone in this function theory is the Cauchy integral formula for representation of a monogenic function in the interior of its domain of monogenicity. Starting from this representation formula and related integral formulae, it is possible to consider integral transforms such as Cauchy, Hilbert, and Radon transforms, which are important both within the theoretical framework and in view of possible applications

Unsupervised automated retinal vessel segmentation based on Radon line detector and morphological reconstruction

Abstract Retinal blood vessel segmentation and analysis is critical for the computer‐aided diagnosis of different diseases such as diabetic retinopathy. This study presents an automated unsupervised method for segmenting the retinal vasculature based on hybrid methods. The algorithm initially applies a preprocessing step using morphological operators to enhance the vessel tree structure against a non‐uniform image background. The main processing applies the Radon transform to overlapping windows, followed by vessel validation, vessel refinement and vessel reconstruction to achieve the final segmentation. The method was tested on three publicly available datasets and a local database comprising a total of 188 images. Segmentation performance was evaluated using three measures: accuracy, receiver operating characteristic (ROC) analysis, and the structural similarity index. ROC analysis resulted in area under curve values of 97.39%, 97.01%, and 97.12%, for the DRIVE, STARE, and CHASE‐DB1, respectively. Also, the results of accuracy were 0.9688, 0.9646, and 0.9475 for the same datasets. Finally, the average values of structural similarity index were computed for all four datasets, with average values of 0.9650 (DRIVE), 0.9641 (STARE), and 0.9625 (CHASE‐DB1). These results compare with the best published results to date, exceeding their performance for several of the datasets; similar performance is found using accuracy

Large-scale phenotyping of patients with long COVID post-hospitalization reveals mechanistic subtypes of disease

One in ten severe acute respiratory syndrome coronavirus 2 infections result in prolonged symptoms termed long coronavirus disease (COVID), yet disease phenotypes and mechanisms are poorly understood1. Here we profiled 368 plasma proteins in 657 participants ≥3 months following hospitalization. Of these, 426 had at least one long COVID symptom and 233 had fully recovered. Elevated markers of myeloid inflammation and complement activation were associated with long COVID. IL-1R2, MATN2 and COLEC12 were associated with cardiorespiratory symptoms, fatigue and anxiety/depression; MATN2, CSF3 and C1QA were elevated in gastrointestinal symptoms and C1QA was elevated in cognitive impairment. Additional markers of alterations in nerve tissue repair (SPON-1 and NFASC) were elevated in those with cognitive impairment and SCG3, suggestive of brain–gut axis disturbance, was elevated in gastrointestinal symptoms. Severe acute respiratory syndrome coronavirus 2-specific immunoglobulin G (IgG) was persistently elevated in some individuals with long COVID, but virus was not detected in sputum. Analysis of inflammatory markers in nasal fluids showed no association with symptoms. Our study aimed to understand inflammatory processes that underlie long COVID and was not designed for biomarker discovery. Our findings suggest that specific inflammatory pathways related to tissue damage are implicated in subtypes of long COVID, which might be targeted in future therapeutic trials

SARS-CoV-2-specific nasal IgA wanes 9 months after hospitalisation with COVID-19 and is not induced by subsequent vaccination

BACKGROUND: Most studies of immunity to SARS-CoV-2 focus on circulating antibody, giving limited insights into mucosal defences that prevent viral replication and onward transmission. We studied nasal and plasma antibody responses one year after hospitalisation for COVID-19, including a period when SARS-CoV-2 vaccination was introduced. METHODS: In this follow up study, plasma and nasosorption samples were prospectively collected from 446 adults hospitalised for COVID-19 between February 2020 and March 2021 via the ISARIC4C and PHOSP-COVID consortia. IgA and IgG responses to NP and S of ancestral SARS-CoV-2, Delta and Omicron (BA.1) variants were measured by electrochemiluminescence and compared with plasma neutralisation data. FINDINGS: Strong and consistent nasal anti-NP and anti-S IgA responses were demonstrated, which remained elevated for nine months (p < 0.0001). Nasal and plasma anti-S IgG remained elevated for at least 12 months (p < 0.0001) with plasma neutralising titres that were raised against all variants compared to controls (p < 0.0001). Of 323 with complete data, 307 were vaccinated between 6 and 12 months; coinciding with rises in nasal and plasma IgA and IgG anti-S titres for all SARS-CoV-2 variants, although the change in nasal IgA was minimal (1.46-fold change after 10 months, p = 0.011) and the median remained below the positive threshold determined by pre-pandemic controls. Samples 12 months after admission showed no association between nasal IgA and plasma IgG anti-S responses (R = 0.05, p = 0.18), indicating that nasal IgA responses are distinct from those in plasma and minimally boosted by vaccination. INTERPRETATION: The decline in nasal IgA responses 9 months after infection and minimal impact of subsequent vaccination may explain the lack of long-lasting nasal defence against reinfection and the limited effects of vaccination on transmission. These findings highlight the need to develop vaccines that enhance nasal immunity. FUNDING: This study has been supported by ISARIC4C and PHOSP-COVID consortia. ISARIC4C is supported by grants from the National Institute for Health and Care Research and the Medical Research Council. Liverpool Experimental Cancer Medicine Centre provided infrastructure support for this research. The PHOSP-COVD study is jointly funded by UK Research and Innovation and National Institute of Health and Care Research. The funders were not involved in the study design, interpretation of data or the writing of this manuscript

Errors in crack closure measurements caused by flexure test fixture support effects

Flexural tests are sometimes used for the evaluation of fatigue and fracture properties, especially for thin cross sections such as plate material where compact tension specimens cannot be used, or where material thickness is limited in the direction required for data generation. The method is also useful for evaluation of crack closure provided the force transfer occurs correctly. This paper shows how the influence of incorrect test fixture supports, which are outside the standard testing arrangement for such test specimens, can affect the force-displacement cur ves as evidenced using the back-face strain method. The results show that incorrect test fixture supports may cause deviations in the force-displacement trace as an artifact of the testing conditions. This effect can severely influence crack closure measurements. The effect was also modeled with finite element analysis