18 research outputs found
Spectral Restoration Based Speech Enhancement for Robust Speaker Identification
Spectral restoration based speech enhancement algorithms are used to enhance quality of noise masked speech for robust speaker identification. In presence of background noise, the performance of speaker identification systems can be severely deteriorated. The present study employed and evaluated the Minimum Mean-Square-Error Short-Time Spectral Amplitude Estimators with modified a priori SNR estimate prior to speaker identification to improve performance of the speaker identification systems in presence of background noise. For speaker identification, Mel Frequency Cepstral coefficient and Vector Quantization is used to extract the speech features and to model the extracted features respectively. The experimental results showed significant improvement in speaker identification rates when spectral restoration based speech enhancement algorithms are used as a pre-processing step. The identification rates are found to be higher after employing the speech enhancement algorithms
Evaluating the Influence of China Pakistan Economic Corridor on Pakistan's Construction Industry: Opportunities and Challenges
The China-Pakistan Economic Corridor (CPEC) is a flagship project of the Belt and Road Initiative (BRI), aimed at connecting western China to the port of Gwadar in southwest Pakistan through an extensive network of infrastructure, trade, and investment linkages. The construction of CPEC in Pakistan has significant implications for the country's construction industry, which plays a vital role in economic growth, employment, and development. This research paper employs a mixed-methods approach, including a literature review, surveys of 100 construction firms in Pakistan, and in-depth interviews with government officials, industry experts, and environmental NGOs, to examine the impact of CPEC construction on Pakistan's construction industry. The main objective of the research is to identify potential opportunities and obstacles for transnational operation management of firms within the BRI environment. The findings of this study provide valuable insights for businesses and decision-makers aiming to maximize the benefits of CPEC development while mitigating potential negative repercussions
Enteric Fever as an Antecedent to Development of Miller-Fisher Syndrome and Possible Role of COVID-19 Vaccination
Summary: Guillain-Barre Syndrome is an immune-mediated demyelinating disorder. Miller-Fisher Syndrome is an uncommon subtype of GBS. It is characterized by findings of ophthalmoplegia, ataxia, and areflexia. Here we present the case of Miller-Fisher Syndrome following an episode of typhoidal diarrhea. The presentation was of rapidly progressing weakness beginning in the lower extremity with diplopia. Examination revealed diminished reflexes. CSF testing revealed albuminocytologic dissociation which was later supported by neurophysiological testing. The patient was treated with intravenous immunoglobulins (IVIG).
We conclude that Miller-Fisher syndrome should be considered in the diagnostic workup of patients presenting with new sensorimotor deficits following diarrheal illnesses and/or COVID-19 mRNA vaccination. Early recognition is essential given the propensity of GBS to cause life-threatening respiratory failure and prompt IVIG administration is associated with a better prognosis.
Keywords: Enteric Fever, Miller-Fisher Syndrome, COVID-19, Vaccinatio
Evaluating Unenhanced Multidetector Computed Tomography of Kidneys, Ureters and Bladder (CT KUB) as the Initial Imaging Service in Suspected Acute Renal Colic Patients
Objective: To assess the role of unenhanced multidetector computed tomography (CT) of kidneys, ureters and bladder (KUB) in the initial imaging of suspected acute renal colic.
Study Design: Retrospective longitudinal study.
Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, from Jan 2020 to Jan 2021.
Methodology: One hundred and thirty-eight cases of suspected acute renal colic underwent CT-KUB. The demographic,radiological, clinical, and follow-up data were recorded for each patient.
Results: There were 88(51.8%) males and 82(48.2%) females in the present study, with a mean age of 50.86±18.57 years. Out of 170 patients, only 138(81.17%) were indicated with acute findings, whereas 32(18.82%) individuals showed no acute findings.The mean stone size was found to be 4.77±0.98mm. Most of the stones had a location near the pelvic brim (n=47; 34.15%).
Conclusion: The use of CT KUB should be encouraged for the evaluation of renal colic.
Keywords: Acute renal colic, Computed tomography (CT), Computed tomography of Kidneys, ureter and bladder (CT-KUB)
Nickel Toxicity Interferes with NO3â/NH4+ Uptake and Nitrogen Metabolic Enzyme Activity in Rice (Oryza sativa L.)
The excessive use of nickel (Ni) in manufacturing and various industries has made Ni a serious pollutant in the past few decades. As a micronutrient, Ni is crucial for plant growth at low concentrations, but at higher concentrations, it can hamper growth. We evaluated the effects of Ni concentrations on nitrate (NO3â) and ammonium (NH4+) concentrations, and nitrogen metabolism enzyme activity in rice seedlings grown in hydroponic systems, using different Ni concentrations. A Ni concentration of 200 ”M significantly decreased the NO3â concentration in rice leaves, as well as the activities of nitrate reductase (NR), nitrite reductase (NiR), glutamine synthetase (GS), and glutamate synthetase (GOGAT), respectively, when compared to the control. By contrast, the NH4 + concentration and glutamate dehydrogenase (GDH) activity both increased markedly by 48% and 46%, respectively, compared with the control. Furthermore, the activity of most active aminotransferases, including glutamic pyruvic transaminase (GPT) and glutamic oxaloacetic transaminase (GOT), was inhibited by 48% and 36%, respectively, in comparison with the control. The results indicate that Ni toxicity causes the enzymes involved in N assimilation to desynchronize, ultimately negatively impacting the overall plant growth.This research was supported in part by National Key Research and Development Program (2018YFC1800305), Guangxi Major Special Project of Science and Technique (AA17202026-3), Hubei Special Project for Technique Innovation (2017ABA154), and Qatar Universityâs Vegetable Factory Project (QUEXâCASâMJFâVFâ18/19
Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial
Background: Tranexamic acid reduces surgical bleeding and reduces death due to bleeding in patients with trauma.
Meta-analyses of small trials show that tranexamic acid might decrease deaths from gastrointestinal bleeding. We
aimed to assess the effects of tranexamic acid in patients with gastrointestinal bleeding.
Methods: We did an international, multicentre, randomised, placebo-controlled trial in 164 hospitals in 15 countries.
Patients were enrolled if the responsible clinician was uncertain whether to use tranexamic acid, were aged above the
minimum age considered an adult in their country (either aged 16 years and older or aged 18 years and older), and
had significant (defined as at risk of bleeding to death) upper or lower gastrointestinal bleeding. Patients were
randomly assigned by selection of a numbered treatment pack from a box containing eight packs that were identical
apart from the pack number. Patients received either a loading dose of 1 g tranexamic acid, which was added to
100 mL infusion bag of 0·9% sodium chloride and infused by slow intravenous injection over 10 min, followed by a
maintenance dose of 3 g tranexamic acid added to 1 L of any isotonic intravenous solution and infused at 125 mg/h
for 24 h, or placebo (sodium chloride 0·9%). Patients, caregivers, and those assessing outcomes were masked to
allocation. The primary outcome was death due to bleeding within 5 days of randomisation; analysis excluded patients
who received neither dose of the allocated treatment and those for whom outcome data on death were unavailable.
This trial was registered with Current Controlled Trials, ISRCTN11225767, and ClinicalTrials.gov, NCT01658124.
Findings: Between July 4, 2013, and June 21, 2019, we randomly allocated 12 009 patients to receive tranexamic acid
(5994, 49·9%) or matching placebo (6015, 50·1%), of whom 11 952 (99·5%) received the first dose of the allocated
treatment. Death due to bleeding within 5 days of randomisation occurred in 222 (4%) of 5956 patients in the
tranexamic acid group and in 226 (4%) of 5981 patients in the placebo group (risk ratio [RR] 0·99, 95% CI 0·82â1·18).
Arterial thromboembolic events (myocardial infarction or stroke) were similar in the tranexamic acid group and
placebo group (42 [0·7%] of 5952 vs 46 [0·8%] of 5977; 0·92; 0·60 to 1·39). Venous thromboembolic events (deep vein
thrombosis or pulmonary embolism) were higher in tranexamic acid group than in the placebo group (48 [0·8%] of
5952 vs 26 [0·4%] of 5977; RR 1·85; 95% CI 1·15 to 2·98).
Interpretation: We found that tranexamic acid did not reduce death from gastrointestinal bleeding. On the basis of our
results, tranexamic acid should not be used for the treatment of gastrointestinal bleeding outside the context of a
randomised trial
Spectral Restoration Based Speech Enhancement for Robust Speaker Identification
Spectral restoration based speech enhancement algorithms are used to enhance quality of noise masked speech
for robust speaker identification. In presence of background noise, the performance of speaker identification
systems can be severely deteriorated. The present study employed and evaluated the Minimum Mean-SquareError Short-Time Spectral Amplitude Estimators with modified a priori SNR estimate prior to speaker
identification to improve performance of the speaker identification systems in presence of background noise.
For speaker identification, Mel Frequency Cepstral coefficient and Vector Quantization is used to extract the
speech features and to model the extracted features respectively. The experimental results showed significant
improvement in speaker identification rates when spectral restoration based speech enhancement algorithms
are used as a pre-processing step. The identification rates are found to be higher after employing the speech
enhancement algorithms
Spectral Restoration Based Speech Enhancement for Robust Speaker Identification
Spectral restoration based speech enhancement algorithms are used to enhance quality of noise masked speech for robust speaker identification. In presence of background noise, the performance of speaker identification systems can be severely deteriorated. The present study employed and evaluated the Minimum Mean-Square-Error Short-Time Spectral Amplitude Estimators with modified a priori SNR estimate prior to speaker identification to improve performance of the speaker identification systems in presence of background noise. For speaker identification, Mel Frequency Cepstral coefficient and Vector Quantization is used to extract the speech features and to model the extracted features respectively. The experimental results showed significant improvement in speaker identification rates when spectral restoration based speech enhancement algorithms are used as a pre-processing step. The identification rates are found to be higher after employing the speech enhancement algorithms