1,370 research outputs found

    Boosted Audio Recall for Music Matching

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    Music is frequently modified from an original version before uploading to music-sharing or video-sharing websites or social media networks. For example, the music can be remixed, have voice-overs added, or have other edits. In several use cases, e.g., search, deduplication, ensuring fair use, etc. it is of interest to determine if an uploaded audio track is substantially similar to existing audio tracks in a database. However, modifications made to the original version can in some instances be enough that a match is not obtained with any track in the reference database even when the tracks match substantially. This disclosure describes neural network based techniques to ignore modifications, e.g., voice-overs, from an audio track such that a match, if any, with a reference audio track is easier to detect

    Psychological adjustment to lung transplantation

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    Lung transplantation (LTx) is an effective treatment for end-stage lung failure. Despite great advances in transplant medicine over the last few decades, LTx does not result in complete recovery of health, as transplant recipients continue to be confronted by various health problems that must be psychologically processed and overcome. Many suffer from frequent emotional distress and psychological disorders that can negatively influence their ability to cope with their new organ, negatively impacting both their adherence to immunosuppressive therapy and health-related quality of life (HRQoL). Therefore, it is both clinically and scientifically relevant to assess the postoperative HRQoL and mental health of LTx recipients to identify those at risk for poor post-transplant outcomes and to improve patients’ symptom experience. This manuscript consists of three studies that review psychological adjustment to lung transplantation in terms of HRQoL and psychosocial outcomes via three different approaches. Study 1 is a systematic review of the literature to compile and interpret the evidence on measures to assess HRQoL and psychological outcomes following LTx, summarizing psychological outcomes in studies published between 1994 and 2013. Of 371 articles, 63 studies were selected for final review. Considerable heterogeneity was found in methodology, operational concepts and applied outcome measures in the existing literature on HRQoL and psychological outcomes after LTx. Nevertheless, eligible studies generally point to significant improvements in both mental health and HRQoL post-transplant. A huge opportunity for future research lies in the development of guidelines to aid in the selection of outcome measures to assess psychological outcomes of lung transplant recipients. The second study investigated the psychosocial outcome trajectories of 40 lung transplant recipients related to psychological distress and HRQoL over their first six months posttransplant. Three distinctive clusters were identified: (1) patients with optimal postoperative trajectories (35%); (2) patients with good postoperative trajectories (42%); and (3) patients with poor postoperative trajectories (23%). The last group tended to be older, to suffer from more severe disease, to have more co-morbid conditions, and to have had a prolonged ICU and/or hospital stay. Disease severity, length of stay, and HRQoL two weeks post-transplant were strong predictors of psychological distress and impaired HRQoL at six months of follow-up. The results underscore the psychosocial needs of patients with poor post-transplant trajectories. The third study qualitatively analyzed patient experiences with transplantation and their adjustment to normal life within the first six months post-transplant. ‘Physical benefits’, ‘fear of rejection’, ‘gratitude towards the donor’, and ‘side effects’ were the most frequently named themes with respect to the transplantation process, new lungs, donor and medication regimen. Most themes remained unchanged over time. While comments about ‘intensive care unit delirium’ and ‘worries regarding donated organ quality’ diminished significantly over time, mentions of ‘restrictions in everyday life’ increased significantly. Gender comparison revealed only marginal differences in the response categories. Improvements in physical function during the early postoperative phase may be limited by the onset of clinical complications, fear of rejection and infections, medication side effects, and restrictions in everyday life. Generally, studies on HRQoL and psychological outcomes after lung transplantation have been limited by lost to follow-up, cross-sectional designs, small sample sizes and, great variability in the use of validated and non-validated outcome measures, such that comparisons between different studies are difficult. One area of future research is the development of consensus guidelines to aid in the selection of outcome measures to assess HRQoL and psychological outcomes among LTx patients. In addition, longitudinal studies, including pre- vs. post-transplant assessment with adequately-sized samples are needed to further investigate outcome profiles and identify additional outcome predictors in these patients

    Crack propagation in thermal barrier coating systems

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    Thermal barrier coating systems are used on top of highly stressed components in gas turbines to protect the nickel-based substrates. A well-established thermal barrier coating system consist of the bond-coat (BC) and the thermal barrier coating (TBC). A third layer is grown during service: the thermally grown oxide (TGO) between the BC and the TBC. The coatings fail in service because of different failure mechanism which are not fully understood yet because of the complex interaction of different phenomena (e.g., creep, sintering, thermal differential expansion, diffusion, and oxidation). Therefore, a simplified model system is presented which consists of a FeCrAlY bulk material and a TBC applied as a top coat by atmospheric plasma spraying. This simplified model system is used to study the influence of BC and TGO creep and the influence of the interfacial roughnesses. A finite element (FE) model of crack propagation in the model system was developed and compared to experimental series. The crack direction in the FE model is calculated by using short trial cracks in different directions. The direction of the crack in the coating system is defined as the crack direction with the maximum energy release rate. It was found that microcracks form primarily near the roughness valleys and are more likely in the fast-creeping samples inside the TBC despite of the low creep strength. The higher probability of microcracks in these samples is because of the high energy release rate of initial delaminations. The highest life-time was measured in fast-creeping Fecralloy samples in combination with fast-creeping TGOs. The decelerated delamination growth rate in this sample is because of the interaction of delaminations with segmentation cracks. Therefore, an initial and fast-creeping TGO has the high potential to extend the life-time of the model systems. Hence, applying an initial and fast-creeping TGO on a fast-creeping BC is a possible optimization strategy for real thermal barrier coating systems

    Robust interactive cutting based on an adaptive octree simulation mesh

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    We present an adaptive octree based approach for interactive cutting of deformable objects. Our technique relies on efficient refine- and node split-operations. These are sufficient to robustly represent cuts in the mechanical simulation mesh. A high-resolution surface embedded into the octree is employed to represent a cut visually. Model modification is performed in the rest state of the object, which is accomplished by back-transformation of the blade geometry. This results in an improved robustness of our approach. Further, an efficient update of the correspondences between simulation elements and surface vertices is proposed. The robustness and efficiency of our approach is underlined in test examples as well as by integrating it into a prototype surgical simulato

    On the Role of Nuclear Motion in Singlet Exciton Fission: The Case of Single-Crystal Pentacene

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    Singlet exciton fission (SF), the formation of two triplet excitons from one singlet exciton, involves electronic, nuclear, and spin degrees of freedom as well as their couplings. Despite almost 60 years of research on this process, a complete microscopic understanding is still missing. One important open question concerns the role of nuclear motion in SF. In this perspective, recent results on the exciton dynamics are related to the structural dynamics of single-crystal pentacene and how they provide insights into that open question is shown. To probe the electronic dynamics, orbital-resolved measurements of the electronic structure are carried out using time- and angle-resolved photoemission spectroscopy. With femtosecond electron diffraction and with ab initio computations, the complementary nuclear dynamics is tracked. The results from both techniques are summarized, and how they relate to each other is discussed. Then, remaining open questions are outlined and potential routes are identified to tackle them, hopefully guiding future studies

    Collateral and collateral-adjacent hyperemic vascular resistance changes and the ipsilateral coronary flow reserve: Documentation of a mechanism causing coronary steal in patients with coronary artery disease

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    Objectives: The goal of this clinical study was to assess the influence of hyperemic ipsilateral, collateral and contralateral vascular resistance changes on the coronary flow velocity reserve (CFVR) of the collateral-receiving (i.e. ipsilateral) artery, and to test the validity of a model describing the development of collateral steal. Methods: In 20 patients with one- to two-vessel coronary artery disease (CAD) undergoing angioplasty of one stenotic lesion, adenosine induced intracoronary (i.c.) CFVR during vessel patency was measured using a Doppler guidewire. During stenosis occlusion, simultaneous i.c. distal ipsilateral flow velocity and pressure (Poccl, using a pressure guidewire) as well as contralateral flow velocity measurements via a third i.c. wire were performed before and during intravenous adenosine. From those measurements and simultaneous mean aortic pressure (Pao), a collateral flow index (CFI), and the ipsilateral, collateral, and contralateral vascular resistance index (Ripsi, Rcoll, Rcontra) were calculated. The study population was subdivided into groups with CFI<0.15 and with CFI≥0.15. Results: The percentage-diameter coronary artery stenosis (%-S) to be dilated was similar in the two groups: 78±10% versus 82±12% (NS). CFVR was not associated with %-S. In the group with CFI≥0.15 but not with CFI<0.15, CFVR was directly and inversely associated with Rcoll and Rcontra, respectively. Conclusions: A hemodynamic interaction between adjacent vascular territories can be documented in patients with CAD and well developed collaterals among those regions. The CFVR of a collateralized region may, thus, be more dependent on hyperemic vascular resistance changes of the collateral and collateral-supplying area than on the ipsilateral stenosis severity, and may even fall below

    Color dielectric model with two scalar fields

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    SU(2) Yang-Mills theory coupled in a non-minimal way to two scalar fields is discussed. For the massless scalar fields a family of finite energy solutions generated by an external, static electric charge is found. Additionally, there is a single solution which can be interpreted as confining one. Similar solutions have been obtained in the magnetic sector. In case of massive scalar fields the Coulomb problem is investigated. We find that asymptotic behavior of the fields can also, for some values of the parameter of the model, give confinement of the electric charge. Quite interesting one glueball--meson coupling gives the linear confining potential. Finally, it is shown that for one non-dynamical scalar field we derive the color dielectric generalization of the Pagels--Tomboulis model.Comment: 20 pages, LaTeX, Accepted for publication in Eur. Phys. J.

    Quark confinement and the bosonic string

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    Using a new type of simulation algorithm for the standard SU(3) lattice gauge theory that yields results with unprecedented precision, we confirm the presence of a γ/r\gamma/r correction to the static quark potential at large distances rr, with a coefficient γ\gamma as predicted by the bosonic string theory. In both three and four dimensions, the transition from perturbative to string behaviour is evident from the data and takes place at surprisingly small distances.Comment: TeX source, 21 pages, figures include

    Frequency and Clinical Presentation of Mucocutaneous Disease Due to Mycoplasma pneumoniae Infection in Children With Community-Acquired Pneumonia

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    Importance The diagnosis of Mycoplasma pneumoniae infection as the cause of mucocutaneous disease is challenging because current diagnostic tests are not able to differentiate M pneumoniae infection from carriage. Objective To examine the frequency and clinical presentation of M pneumoniae-induced mucocutaneous disease in children with community-acquired pneumonia (CAP) using improved diagnostics. Design, Setting, and Participants This prospective, longitudinal cohort study included 152 children aged 3 to 18 years with CAP enrolled in a CAP study from May 1, 2016, to April 30, 2017, at the University Children's Hospital Zurich. Children were inpatients or outpatients with clinically defined CAP according to the British Thoracic Society guidelines. Data analysis was performed from July 10, 2017, to June 29, 2018. Main Outcomes and Measures Frequency and clinical presentation of M pneumoniae-induced mucocutaneous disease in childhood CAP. Mycoplasma pneumoniae infection was diagnosed by polymerase chain reaction (PCR) of oropharyngeal samples and confirmed with the measurement of specific peripheral blood IgM antibody-secreting cells by enzyme-linked immunospot assay to differentiate M pneumoniae-infected patients from carriers with CAP caused by other pathogens. Mucocutaneous disease was defined as any eruptive lesion that involved skin and/or mucous membranes occurring during the CAP episode. Results Among 152 enrolled children with CAP (median [interquartile range] age, 5.7 [4.3-8.9] years; 84 [55.3%] male), 44 (28.9%) tested positive for M pneumoniae by PCR; of these, 10 children (22.7%) developed mucocutaneous lesions. All 10 patients with mucocutaneous eruptions tested positive for specific IgM antibody-secreting cells. Skin manifestations were found in 3 cases (2.8%) of M pneumoniae PCR-negative CAP (P < .001). The spectrum of M pneumoniae-induced mucocutaneous disease included M pneumoniae-induced rash and mucositis (3 cases [6.8%]), urticaria (2 cases [4.5%]), and maculopapular skin eruptions (5 cases [11.4%]). Two patients had ocular involvement as the sole mucosal manifestation (bilateral anterior uveitis and nonpurulent conjunctivitis). Patients with M pneumoniae-induced mucocutaneous disease had longer duration of prodromal fever (median [interquartile range], 10.5 [8.3-11.8] vs 7.0 [5.5-9.5] days; P = .02) and higher C-reactive protein levels (median [interquartile range], 31 [22-59] vs 16 [7-23] mg/L; P = .04) than patients with CAP due to M pneumoniae without mucocutaneous manifestations. They were also more likely to require oxygen (5 [50%] vs 1 [5%]; P = .007), to require hospitalization (7 [70%] vs 4 [19%]; P = .01), and to develop long-term sequelae (3 [30%] vs 0; P = .03). Conclusions and Relevance Mucocutaneous disease occurred significantly more frequently in children with CAP due to M pneumoniae than in children with CAP of other origins. Mycoplasma pneumoniae-induced mucocutaneous disease was associated with increased systemic inflammation, morbidity, and a higher risk of long-term sequelae
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