Äitiyspakkaus käyttäjien puntarissa VII

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Relapsing sepsis episodes of Escherichia coli with CTX-M ESBL or derepressed ampC genes in a patient with chronic autoimmune pancreatitis complicated by IgG4 hypergammaglobulinaemia

Bloodstream recurrent infections have been reported for a variety of opportunistic bacteria. These are often either catheter related or are caused by indwelling devices. A case of relapsing sepsis with two Escherichia coli strains carrying extended-spectrum β-lactamase and derepressed ampC genes is reported. The patient had seven episodes of bloodstream infections within 1 year and was diagnosed with chronic autoimmune pancreatitis and IgG4 hypergammaglobulinaemia. Abscesses were found in his spleen and pancreas cauda, which was finally resected. Relapses of bacteraemia with resistant enterobacteria should be considered during perioperative protection. Surgical removal of the infective focus could be curative.Peer reviewe

Electrode thickness measurement of a Si(Li) detector for the SIXA array

Cathode electrodes of the Si(Li) detector elements of the SIXA X-ray spectrometer array are formed by gold-palladium alloy contact layers. The equivalent thickness of gold in one element was measured by observing the characteristic L-shell X-rays of gold excited by monochromatised synchrotron radiation with photon energies above the L3 absorption edge of gold. The results obtained at 4 different photon energies below the L2 edge yield an average value of 22.4(35) nm which is consistent with the earlier result extracted from detection efficiency measurements. PACS: 29.40.Wk; 85.30.De; 07.85.Nc; 95.55.Ka Keywords: Si(Li) detectors, X-ray spectrometers, X-ray fluorescence, detector calibration, gold electrodes, synchrotron radiationComment: 10 pages, 4 PostScript figures, uses elsart.sty, submitted to Nucl. Instrum. Meth.

Anisotropic excitonic effects in the energy loss function of hexagonal boron nitride

We demonstrate that the valence energy-loss function of hexagonal boron nitride (hBN) displays a strong anisotropy in shape, excitation energy and dispersion for momentum transfer q parallel or perpendicular to the hBN layers. This is manifested by e.g. an energy shift of 0.7 eV that cannot be captured by single-particle approaches and is a demonstration of a strong anisotropy in the two-body electron-hole interaction. Furthermore, for in-plane directions of q we observe a splitting of the -plasmon in the M direction that is absent in the K direction and this can be traced back to band-structure effects.Comment: 10 pages, 4 figure

Speaker age estimation for elderly speech recognition in European Portuguese

Phone-like acoustic models (AMs) used in large-vocabulary automatic speech recognition (ASR) systems are usually trained with speech collected from young adult speakers. Using such models, ASR performance may decrease by about 10% absolute when transcribing elderly speech. Ageing is known to alter speech production in ways that require ASR systems to be adapted, in particular at the level of acoustic modeling. In this study, we investigated automatic age estimation in order to select age-specific adapted AMs. A large corpus of read speech from European Portuguese speakers aged 60 or over was used. Age estimation (AE) based on i-vectors and support vector regression achieved mean error rates of about 4.2 and 4.5 years for males and females, respectively. Compared with a baseline ASR system with AMs trained using young adult speech and a WER of 13.9%, the selection of five-year-range adapted AMs, based on the estimated age of the speakers, led to a decrease in WER of about 9.3% relative (1.3% absolute). Comparable gains in ASR performance were observed when considering two larger age ranges (60-75 and 76-90) instead of six five-year ranges, suggesting that it would be sufficient to use the two large ranges only.info:eu-repo/semantics/acceptedVersio

A Bayesian test for the appropriateness of a model in the biomagnetic inverse problem

This paper extends the work of Clarke [1] on the Bayesian foundations of the biomagnetic inverse problem. It derives expressions for the expectation and variance of the a posteriori source current probability distribution given a prior source current probability distribution, a source space weight function and a data set. The calculation of the variance enables the construction of a Bayesian test for the appropriateness of any source model that is chosen as the a priori infomation. The test is illustrated using both simulated (multi-dipole) data and the results of a study of early latency processing of images of human faces. [1] C.J.S. Clarke. Error estimates in the biomagnetic inverse problem. Inverse Problems, 10:77--86, 1994.Comment: 13 pages, 16 figures. Submitted to Inverse Problem

Bilingualism Is Associated with a Delayed Onset of Dementia but Not with a Lower Risk of Developing it: a Systematic Review with Meta-Analyses.

Some studies have linked bilingualism with a later onset of dementia, Alzheimer's disease (AD), and mild cognitive impairment (MCI). Not all studies have observed such relationships, however. Differences in study outcomes may be due to methodological limitations and the presence of confounding factors within studies such as immigration status and level of education. We conducted the first systematic review with meta-analysis combining cross-sectional studies to explore if bilingualism might delay symptom onset and diagnosis of dementia, AD, and MCI. Primary outcomes included the age of symptom onset, the age at diagnosis of MCI or dementia, and the risk of developing MCI or dementia. A secondary outcome included the degree of disease severity at dementia diagnosis. There was no difference in the age of MCI diagnosis between monolinguals and bilinguals [mean difference: 3.2; 95% confidence intervals (CI): -3.4, 9.7]. Bilinguals vs. monolinguals reported experiencing AD symptoms 4.7 years (95% CI: 3.3, 6.1) later. Bilinguals vs. monolinguals were diagnosed with dementia 3.3 years (95% CI: 1.7, 4.9) later. Here, 95% prediction intervals showed a large dispersion of effect sizes (-1.9 to 8.5). We investigated this dispersion with a subgroup meta-analysis comparing studies that had recruited participants with dementia to studies that had recruited participants with AD on the age of dementia and AD diagnosis between mono- and bilinguals. Results showed that bilinguals vs. monolinguals were 1.9 years (95% CI: -0.9, 4.7) and 4.2 (95% CI: 2.0, 6.4) older than monolinguals at the time of dementia and AD diagnosis, respectively. The mean difference between the two subgroups was not significant. There was no significant risk reduction (odds ratio: 0.89; 95% CI: 0.68-1.16) in developing dementia among bilinguals vs. monolinguals. Also, there was no significant difference (Hedges' g = 0.05; 95% CI: -0.13, 0.24) in disease severity at dementia diagnosis between bilinguals and monolinguals, despite bilinguals being significantly older. The majority of studies had adjusted for level of education suggesting that education might not have played a role in the observed delay in dementia among bilinguals vs. monolinguals. Although findings indicated that bilingualism was on average related to a delayed onset of dementia, the magnitude of this relationship varied across different settings. This variation may be due to unexplained heterogeneity and different sources of bias in the included studies. Registration: PROSPERO CRD42015019100

Multilingual speech recognition for the elderly: The AALFred personal life assistant

The PaeLife project is a European industry-academia collaboration in the framework of the Ambient Assisted Living Joint Programme (AAL JP), with a goal of developing a multimodal, multilingual virtual personal life assistant to help senior citizens remain active and socially integrated. Speech is one of the key interaction modalities of AALFred, the Windows application developed in the project; the application can be controlled using speech input in four European languages: French, Hungarian, Polish and Portuguese. This paper briefly presents the personal life assistant and then focuses on the speech-related achievements of the project. These include the collection, transcription and annotation of large corpora of elderly speech, the development of automatic speech recognisers optimised for elderly speakers, a speech modality component that can easily be reused in other applications, and an automatic grammar translation service that allows for fast expansion of the automatic speech recognition functionality to new languages.info:eu-repo/semantics/publishedVersio