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A high level approach to Arabic sentence recognition
The aim of this work is to develop sentence recognition system inspired by the human reading process. Cognitive studies observed that the human tended to read a word as a whole at a time. He considers the global word shapes and uses contextual knowledge to infer and discriminate a word among other possible words. The sentence recognition system is a fully integrated system; a word level recogniser (baseline system) integrated with linguistic knowledge post-processing module. The presented baseline system is holistic word-based recognition approach characterised as probabilistic ranked task. The output of the system is multiple recognition hypotheses (N-best word lattice). The basic unit is the word rather than the character; it does not rely on any segmentation or require baseline detection. The considered linguistic knowledge to re-rank the output of the existing baseline system is the standard n-gram Statistical Language Models (SLMs). The candidates are re-ranked through exploiting phrase perplexity score. The system is an OCR system that depends on HMM models utilizing the HTK Toolkit. The baseline system supported by global transformation features extracted from binary word images. The adopted features' extraction technique is the block-based Discrete Cosine Transform (DCT) applied to the whole word image. Feature vectors extracted using block-based DCT with non-overlapping sub-block of size 8x8 pixels. The applied HMMs to the task are mono-model discrete one-dimensional HMMs (Bakis Model). A balanced actual scanned and synthetic database of word-image has been constructed to ensure an even distribution of word samples. The Arabic words are typewritten in five fonts having a size 14 points in a plain style. The statistical language models and lexicon words are extracted from The Holy Qur‟an. The systems are applied on word images with no overlap between the training and testing datasets. The actual scanned database is used to evaluate the word recogniser. The synthetic database is a large amount of data acquired for a reliable training of sentence recognition systems. This word recogniser evaluated in mono-font and multi-font contexts. The two types of word recogniser have been used to achieve a final recognition accuracy of99.30% and 73.47% in mono-font and multi-font, respectively. The achieved average accuracy by the sentence recogniser is 67.24% improved to 78.35% on average when using 5-gram post-processing. The complexity and accuracy of the post-processing module are evaluated and found that 4-gram is more suitable than 5-gram; it is much faster at an average improvement of 76.89%
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030