4 research outputs found

    A Comparison of Front-Ends for Bitstream-Based ASR over IP

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    Automatic speech recognition (ASR) is called to play a relevant role in the provision of spoken interfaces for IP-based applications. However, as a consequence of the transit of the speech signal over these particular networks, ASR systems need to face two new challenges: the impoverishment of the speech quality due to the compression needed to fit the channel capacity and the inevitable occurrence of packet losses. In this framework, bitstream-based approaches that obtain the ASR feature vectors directly from the coded bitstream, avoiding the speech decoding process, have been proposed ([S.H. Choi, H.K. Kim, H.S. Lee, Speech recognition using quantized LSP parameters and their transformations in digital communications, Speech Commun. 30 (4) (2000) 223–233. A. Gallardo-Antolín, C. Pelàez-Moreno, F. Díaz-de-María, Recognizing GSM digital speech, IEEE Trans. Speech Audio Process., to appear. H.K. Kim, R.V. Cox, R.C. Rose, Performance improvement of a bitstream-based front-end for wireless speech recognition in adverse environments, IEEE Trans. Speech Audio Process. 10 (8) (2002) 591–604. C. Peláez-Moreno, A. Gallardo-Antolín, F. Díaz-de-María, Recognizing voice over IP networks: a robust front-end for speech recognition on the WWW, IEEE Trans. Multimedia 3(2) (2001) 209–218], among others) to improve the robustness of ASR systems. LSP (Line Spectral Pairs) are the preferred set of parameters for the description of the speech spectral envelope in most of the modern speech coders. Nevertheless, LSP have proved to be unsuitable for ASR, and they must be transformed into cepstrum-type parameters. In this paper we comparatively evaluate the robustness of the most significant LSP to cepstrum transformations in a simulated VoIP (voice over IP) environment which includes two of the most popular codecs used in that network (G.723.1 and G.729) and several network conditions. In particular, we compare ‘pseudocepstrum’ [H.K. Kim, S.H. Choi, H.S. Lee, On approximating Line Spectral Frequencies to LPC cepstral coefficients, IEEE Trans. Speech Audio Process. 8 (2) (2000) 195–199], an approximated but straightforward transformation of LSP into LP cepstral coefficients, with a more computationally demanding but exact one. Our results show that pseudocepstrum is preferable when network conditions are good or computational resources low, while the exact procedure is recommended when network conditions become more adverse.Publicad

    Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind, randomised placebo-controlled trial

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    Environmental and societal factors associated with COVID-19-related death in people with rheumatic disease: an observational study

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    Published by Elsevier Ltd.Background: Differences in the distribution of individual-level clinical risk factors across regions do not fully explain the observed global disparities in COVID-19 outcomes. We aimed to investigate the associations between environmental and societal factors and country-level variations in mortality attributed to COVID-19 among people with rheumatic disease globally. Methods: In this observational study, we derived individual-level data on adults (aged 18-99 years) with rheumatic disease and a confirmed status of their highest COVID-19 severity level from the COVID-19 Global Rheumatology Alliance (GRA) registry, collected between March 12, 2020, and Aug 27, 2021. Environmental and societal factors were obtained from publicly available sources. The primary endpoint was mortality attributed to COVID-19. We used a multivariable logistic regression to evaluate independent associations between environmental and societal factors and death, after controlling for individual-level risk factors. We used a series of nested mixed-effects models to establish whether environmental and societal factors sufficiently explained country-level variations in death. Findings: 14 044 patients from 23 countries were included in the analyses. 10 178 (72·5%) individuals were female and 3866 (27·5%) were male, with a mean age of 54·4 years (SD 15·6). Air pollution (odds ratio 1·10 per 10 Όg/m3 [95% CI 1·01-1·17]; p=0·0105), proportion of the population aged 65 years or older (1·19 per 1% increase [1·10-1·30]; p<0·0001), and population mobility (1·03 per 1% increase in number of visits to grocery and pharmacy stores [1·02-1·05]; p<0·0001 and 1·02 per 1% increase in number of visits to workplaces [1·00-1·03]; p=0·032) were independently associated with higher odds of mortality. Number of hospital beds (0·94 per 1-unit increase per 1000 people [0·88-1·00]; p=0·046), human development index (0·65 per 0·1-unit increase [0·44-0·96]; p=0·032), government response stringency (0·83 per 10-unit increase in containment index [0·74-0·93]; p=0·0018), as well as follow-up time (0·78 per month [0·69-0·88]; p<0·0001) were independently associated with lower odds of mortality. These factors sufficiently explained country-level variations in death attributable to COVID-19 (intraclass correlation coefficient 1·2% [0·1-9·5]; p=0·14). Interpretation: Our findings highlight the importance of environmental and societal factors as potential explanations of the observed regional disparities in COVID-19 outcomes among people with rheumatic disease and lay foundation for a new research agenda to address these disparities.MAG is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (grant numbers K01 AR070585 and K24 AR074534 [JY]). KDW is supported by the Department of Veterans Affairs and the Rheumatology Research Foundation Scientist Development award. JAS is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (grant numbers K23 AR069688, R03 AR075886, L30 AR066953, P30 AR070253, and P30 AR072577), the Rheumatology Research Foundation (K Supplement Award and R Bridge Award), the Brigham Research Institute, and the R. Bruce and Joan M. Mickey Research Scholar Fund. NJP is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (T32-AR-007258). AD-G is supported by grants from the Centers for Disease Control and Prevention and the Rheumatology Research Foundation. RH was supported by the Justus-Liebig University Giessen Clinician Scientist Program in Biomedical Research to work on this registry. JY is supported by grants from the National Institutes of Health (K24 AR074534 and P30 AR070155).info:eu-repo/semantics/publishedVersio
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