Automatic Speech Recognition (ASR) for the Diagnosis of pronunciation of Speech Sound Disorders in Korean children

This study presents a model of automatic speech recognition (ASR) designed to diagnose pronunciation issues in children with speech sound disorders (SSDs) to replace manual transcriptions in clinical procedures. Since ASR models trained for general purposes primarily predict input speech into real words, employing a well-known high-performance ASR model for evaluating pronunciation in children with SSDs is impractical. We fine-tuned the wav2vec 2.0 XLS-R model to recognize speech as pronounced rather than as existing words. The model was fine-tuned with a speech dataset from 137 children with inadequate speech production pronouncing 73 Korean words selected for actual clinical diagnosis. The model's predictions of the pronunciations of the words matched the human annotations with about 90% accuracy. While the model still requires improvement in recognizing unclear pronunciation, this study demonstrates that ASR models can streamline complex pronunciation error diagnostic procedures in clinical fields.Comment: 12 pages, 2 figure

Case report: atypical presentation of mpox with massive hematochezia and prolonged viral shedding despite tecovirimat treatment

Abstract Background The outbreak of mpox that occurred between 2022 and 2023 is primarily being transmitted through sexual contact. As of now, there is no consensus on the recommended duration of isolation to prevent sexual transmission of the virus. Moreover, this particular mpox outbreak has presented with distinct complications in comparison to previous occurrences. In this report, we present a case involving severe rectal bleeding from an ulcer in a mpox patient with a history of engaging in receptive sexual contact. Case presentation A 30-year-old Korean man presented at the hospital with complaints of fever, multiple skin lesions, and anal pain. Monkeypox virus polymerase chain reaction (PCR) results were positive for skin lesions on the penis and wrist. The patient received a 12-day course of tecovirimat due to anal symptoms and perianal skin lesions. Following isolation for 12 days and after all skin scabs had naturally fallen off, with no new skin lesions emerging for a consecutive 48 hours—conforming to the criteria of the Korean Disease Control and Prevention Agency—the patient was discharged. However, 1 day after discharge, the patient returned to the hospital due to hematochezia. His hemoglobin level had significantly dropped from 14.0 g/dL to 8.2 g/dL. Sigmoidoscopy unveiled a sizable rectal ulceration with exposed blood vessels, prompting the application of hemostasis through metal clipping. Subsequent monkeypox virus real-time PCR conducted on rectal tissue and swabs yielded positive results (with cycle threshold values of 28.48 and 31.23, respectively). An abdominal CT scan exposed a perirectal abscess, for which ampicillin-sulbactam was administered. Conclusion This case underscores the importance of monitoring for bleeding complications and confirming the resolution of rectal lesions before discharging patients from isolation, particularly in cases where patients have a history of engaging in receptive sexual contact with men or are presenting with anal symptoms

Case report: dual primary AIDS-defining cancers in an HIV-infected patient receiving antiretroviral therapy: Burkitt’s lymphoma and Kaposi’s sarcoma

Abstract Background The incidence of AIDS-defining cancers (ADCs) has decreased markedly in the era of highly active antiretroviral therapy (HAART). The occurrence of two ADCs is rare in people living with HIV or AIDS (PWHA) who are severely immunosuppressed or have incomplete virologic suppression. Case presentation We report a case of dual primary ADCs, especially NHL followed by KS, in a 70-year-old HIV-infected man who was on antiretroviral therapy and had successful virologic suppression. During HAART, he presented with generalized myalgia and abdominal pain. Multiple liver masses were detected and a biopsy revealed Burkitt’s lymphoma. After three cycles of anticancer chemotherapy with a favorable response, he was diagnosed with cytomegalovirus retinitis and the anti-cancer chemotherapy was discontinued. Despite successful virologic suppression with HAART, human herpes virus-8 associated Kaposi’s sarcoma was diagnosed in his right thigh. He underwent radiation therapy. Conclusion These findings suggest that multiple ADCs can occur in PWHA who are receiving HAART and have successful virologic suppression. Healthcare providers caring for PWHA should maintain vigilance for the development of a broad spectrum of cancers

A new approach to determine rheological percolation of carbon nanotubes in microstructured polymer matrices

We demonstrate the rheological percolation of carbon nanotubes (CNTs) in microstructured polymer matrices. Polymer/CNT composites are fabricated from polycarbonates with different molecular weights to diversify the microstructures, which vary with the polymer radius of gyration and entanglements. We propose a model for the dispersion of CNTs in polymer matrices, which explains the electrical and rheological properties. The percolation theory represented by a power-law relation cannot account for the rheological percolation of CNTs in this work. Therefore, we investigate the crossover points to provide a quantitative indication of the rheological percolation threshold of nanofillers in polymer matrices. For the first time, the rheological percolation threshold is determined experimentally with this definition. The effects of molecular weight and shear viscosity of the medium on the percolation of CNTs are demonstrated separately. © 2013 Elsevier Ltd. All rights reserved.