13 research outputs found

    Multiple Bandwidth FIR Filter Design with Adaptive Algorithms for Hearing Aid Systems

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    Digital Filter design plays a vital role in signal processing and communication applications. This paper proposes a hearing loss system model with Variable Bandwidth FIR Filter (VBF) and adaptive algorithms for the application to listening. The tunable band filter is designed to provide an appropriate sound level. This filter has several sub-filters each of which is designed with set of selected bandwidths. The sub-bands obtained are adjusted with proper magnitude by trial and error method. Algorithms such as Least Mean Square (LMS), Normalized Least Mean Square (NLMS) and Recursive Least Squares (RLS) are incorporated to improve the quality of the signal. The filter thus designed is examined by taking a number of audio signals. The tests on various hearing loss cases with different type of input signal suggest that this method is capable of reproducing a signal which sounds exactly the same as the original signal. The multiple bandwidth filters is analyzed with mild, moderate, profound and severe hearing loss patterns and the results are reported. The matching error is calculated between ideal response and actual response. The result show that the designed filter provides acceptable minimum matching error and it lies in the range 0 to 2.5dB.This filter design is implemented in TMS320C6711 processor and is tested for sinusoidal input signal

    Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

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    SummaryBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatoryactions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19.Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospitalwith COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients wererandomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once perday by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatmentgroups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment andwere twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants andlocal study staff were not masked to the allocated treatment, but all others involved in the trial were masked to theoutcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treatpopulation. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) wereeligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomlyallocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall,561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days(rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days(rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, nosignificant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilationor death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24).Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or otherprespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restrictedto patients in whom there is a clear antimicrobial indication

    Effectiveness of Treatment-Based Drug Courts in Reducing Criminal Recidivism

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    This study examined outcomes for two treatment-based drug court programs during a 30-month follow-up period. Outcomes for drug court graduates were contrasted with those of nongraduates and of comparison groups that consisted of offenders who were placed on probation supervision during the same period and did not receive drug court services. Drug court graduates from both programs were significantly less likely to be arrested and had fewer arrests during follow-up in comparison to matched probationers and nongraduates. For both drug courts, the rates of arrest during the 30-month follow-up period declined in direct relationship to the duration of drug court involvement. Drug court graduates had lower rates of substance abuse than comparable groups of treated offenders. The implications for clinical practice and the need for additional drug court outcome research are discussed
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