123 research outputs found

    A directionally tunable but frequency-invariant beamformer on an acoustic velocity-sensor triad to enhance speech perception

    Get PDF
    Herein investigated are computationally simple microphone-array beamformers that are independent of the frequency-spectra of all signals, all interference, and all noises. These beamformers allow the listener to tune the desired azimuth-elevation “look direction.” No prior information is needed of the interference. These beamformers deploy a physically compact triad of three collocated but orthogonally oriented velocity sensors. These proposed schemes’ efficacy is verified by a jury test, using simulated data constructed with Mandarin Chinese (a.k.a. Putonghua) speech samples. For example, a desired speech signal, originally at a very adverse signal-to-interference-and-noise power ratio (SINR) of -30 dB, may be processed to become fully intelligible to the jury

    Host gene expression signatures to identify infection type and organ dysfunction in children evaluated for sepsis: a multicentre cohort study.

    Get PDF
    BackgroundSepsis is defined as dysregulated host response to infection that leads to life-threatening organ dysfunction. Biomarkers characterising the dysregulated host response in sepsis are lacking. We aimed to develop host gene expression signatures to predict organ dysfunction in children with bacterial or viral infection.MethodsThis cohort study was done in emergency departments and intensive care units of four hospitals in Queensland, Australia, and recruited children aged 1 month to 17 years who, upon admission, underwent a diagnostic test, including blood cultures, for suspected sepsis. Whole-blood RNA sequencing of blood was performed with Illumina NovaSeq (San Diego, CA, USA). Samples with completed phenotyping, monitoring, and RNA extraction by March 31, 2020, were included in the discovery cohort; samples collected or completed thereafter and by Oct 27, 2021, constituted the Rapid Paediatric Infection Diagnosis in Sepsis (RAPIDS) internal validation cohort. An external validation cohort was assembled from RNA sequencing gene expression count data from the observational European Childhood Life-threatening Infectious Disease Study (EUCLIDS), which recruited children with severe infection in nine European countries between 2012 and 2016. Feature selection approaches were applied to derive novel gene signatures for disease class (bacterial vs viral infection) and disease severity (presence vs absence of organ dysfunction 24 h post-sampling). The primary endpoint was the presence of organ dysfunction 24 h after blood sampling in the presence of confirmed bacterial versus viral infection. Gene signature performance is reported as area under the receiver operating characteristic curves (AUCs) and 95% CI.FindingsBetween Sept 25, 2017, and Oct 27, 2021, 907 patients were enrolled. Blood samples from 595 patients were included in the discovery cohort, and samples from 312 children were included in the RAPIDS validation cohort. We derived a ten-gene disease class signature that achieved an AUC of 94·1% (95% CI 90·6-97·7) in distinguishing bacterial from viral infections in the RAPIDS validation cohort. A ten-gene disease severity signature achieved an AUC of 82·2% (95% CI 76·3-88·1) in predicting organ dysfunction within 24 h of sampling in the RAPIDS validation cohort. Used in tandem, the disease class and disease severity signatures predicted organ dysfunction within 24 h of sampling with an AUC of 90·5% (95% CI 83·3-97·6) for patients with predicted bacterial infection and 94·7% (87·8-100·0) for patients with predicted viral infection. In the external EUCLIDS validation dataset (n=362), the disease class and disease severity predicted organ dysfunction at time of sampling with an AUC of 70·1% (95% CI 44·1-96·2) for patients with predicted bacterial infection and 69·6% (53·1-86·0) for patients with predicted viral infection.InterpretationIn children evaluated for sepsis, novel host transcriptomic signatures specific for bacterial and viral infection can identify dysregulated host response leading to organ dysfunction.FundingAustralian Government Medical Research Future Fund Genomic Health Futures Mission, Children's Hospital Foundation Queensland, Brisbane Diamantina Health Partners, Emergency Medicine Foundation, Gold Coast Hospital Foundation, Far North Queensland Foundation, Townsville Hospital and Health Services SERTA Grant, and Australian Infectious Diseases Research Centre

    List of books on furniture, with descriptive notes, issued in connection with the Hundredth furniture market in Grand Rapids, January, 1928.

    No full text
    Accompanied by "Supplement." (45 p. 23 cm.) Published: Grand Rapids [1955]At head of title: The Grand Rapids Public Library.Mode of access: Internet

    A trace of equity in Utopia

    No full text

    Bulletin ...

    No full text
    v. 13 contains Special book-lists in v. 1-13, 1904-1917."From 1924 to 1927 only six nos. were pub. each year."Issued monthly from the Ryerson public library building.Mode of access: Internet

    Annual report of the Board of Trustees for the school year ...

    No full text
    Mode of access: Internet

    Spiritual resources during COVID-19

    No full text
    In an article on the Catholic Diocese of Grand Rapids, Michigan website, online and virtual resources are provided for members of the community. Resources include live broadcasts of Mass, guidelines for returning to in-person worship, hospitals and Sacramental care, and doctrine related to COVID-19, such as the Plenary indulgence for the Faithful
    corecore