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Player ratings as the USA dismantled St. Kitts and Nevis 6-0 in Matchday two of the 2023 Gold Cup.

A new artificial intelligence (AI) tool may be able to look for early signs of dementia and Alzheimer’s disease, speeding up diagnosis. The technology, which could help doctors assess the early signs of the condition more efficiently, has been developed by researchers at the University of Sheffield. Known as CognoSpeak, the system uses a virtual character displayed on a screen to engage a patient in a conversation. It asks questions to test memory, inspired by those used in outpatient consultations and conducts cognitive tests, such as picture descriptions and verbal fluency tests. This tool could help patients start treatments sooner, reduce waiting times and give people certainty earlier Dr Dan Blackburn, University of Sheffield After that, the tool uses AI and speech technology to analyse language and speech patterns to look for signs of dementia, Alzheimer’s disease and other memory disorders. Researchers behind the technology suggest it could play a key role in reducing the burden on dementia assessment services, once further testing in GP and memory clinics across the UK is complete. The National Audit of Memory Assessment Services in England and Wales, conducted between January and August 2021 by the Royal College of Psychiatrists and supported by Alzheimer’s Society, found that the average waiting time from referral to dementia diagnosis had increased to 17.7 weeks. This was up from 13 weeks in 2019, with waiting times across services nationwide ranging between zero and 104 weeks (two years), compared to three and 34 in 2019. There are currently around 900,000 people in the UK living with dementia, and this is projected to almost double by 2040, according to the Alzheimer’s Society. Dr Dan Blackburn, from the University of Sheffield’s Department of Neuroscience, said: “Waiting for a possible diagnosis of dementia can be a very anxious time for patients and their families. “This tool could help patients start treatments sooner, reduce waiting times and give people certainty earlier. “The CognoSpeak system could transform how dementia and other memory disorders are diagnosed by speeding up assessments. “This would also free up clinicians’ valuable time and mean that those who need specialist care get access to it as quickly as possible.” Also an Honorary Consultant Neurologist at Sheffield Teaching Hospitals NHS Foundation Trust and researcher at NIHR Sheffield BRC, he added: “There is a real clinical need for this kind of technology. “There are long waiting lists for memory clinics across the UK, but there are also inequalities in accessing the memory clinics service. “The CognoSpeak tool can reduce these inequalities and help make the service more efficient.” The CognoSpeak system could transform how dementia and other memory disorders are diagnosed by speeding up assessments Dr Dan Blackburn Professor Heidi Christensen, from the University of Sheffield’s Department of Computer Science, added: “The way a person speaks can tell us a great deal about their cognitive health and emotional wellbeing, and give us a very early indication of any signs of cognitive decline that may not otherwise have been detected. “The system we’ve developed here at Sheffield uses speech technology to automatically extract these signs and the automation means we can provide a consistent, accurate and fast assessment for everyone. “CognoSpeak is advanced, high tech and based on world-leading research in this field. “We have the biggest collection of data for this type of assessment anywhere in the world, which we’re using to advance the technology and improve its accuracy.” The system is being designed in a way that means once it is fully rolled out, a GP could refer a person with memory complaints to use the technology. CognoSpeak would send the test results back to the GP and then they would decide whether to refer the patient to a memory clinic for further assessment. The programme can be accessed through a web browser – meaning patients are able to take the test in the comfort of their home, rather than having to wait for a hospital appointment to take a pen-and-paper-based assessment. Researchers say early trials have shown the technology is as accurate at predicting Alzheimer’s as the current written tests used to assess or screen for cognitive, memory or thinking impairments. According to the team, previous research has demonstrated accuracies of 90% for distinguishing people with Alzheimer’s from people that are cognitively healthy. Developed by Dr Blackburn and Prof Christensen, the system is still in the research phase, but a £1.4 million National Institute for Health and Care Research (NIHR) grant will allow it to be trialled more widely. The researchers are recruiting 700 participants from memory clinics across the UK to help develop the system further. The tool has been developed in collaboration with Therapy Box – a company specialising in speech and language technology – and the National Institute for Health and Care Research (NIHR) Devices for Dignity MedTech Cooperative (D4D). Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Reading for pleasure in childhood boosts brain health in teenage years – study Stan Wawrinka on setbacks, preparing for Wimbledon and friendship with Roger Federer Hacks for saving money on school uniforms

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Chrissy Teigen and John Legend have announced the arrival of their fourth child, a baby boy born via surrogate. On Wednesday, the cookbook author, 37, and the “All of Me” singer, 44, shared the news that their family had expanded once more on Instagram, where they revealed they’d welcomed a son named Wren Alexander Stephens on 19 June. On Teigen’s Instagram, she reflected on the couple’s surrogacy journey in a lengthy post, in which she revealed that she’s wanted four children for “as long as [she] can remember”. In the emotional post, Teigen then reflected on the loss of her and Legend’s unborn child, Jack, in 2020, with the model revealing that she didn’t think she’d be able to “carry any more babies on my own”. According to Teigen, who gave birth to her and Legend’s third child, a daughter named Esti, in January 2023, she and the singer reached out to a surrogacy agency in 2021 about the possibility of “having two tandem surrogates, each to bring us a healthy baby boy or girl”. However, Teigen revealed that, early on in the surrogacy journey, she also decided that she wanted to try getting pregnant “just one more time”. “If it doesn’t work, we will be okay. We’ve already seen the worst,” she wrote. “I promised I would be okay no matter what happened.” According to the Cravings author, at that point, she and Legend started undergoing IVF, which she noted was the same process that allowed the couple to welcome their daughter Luna, seven, and son Miles, four. “We made new embryos. We did my transfer, and were so happy to learn it worked - we were pregnant with our little girl, Esti,” Teigen wrote, adding that “around this same time,” the couple also met the “most incredible, loving, compassionate surrogate we could ever imagine”. In the candid post, Teigen revealed that the first embryo transfer to their surrogate “didn’t survive,” before noting how “hard” their surrogate fought to prepare for a second transfer. According to Teigen, she and Legend didn’t want to rush the process, and so they were “patient” as she enjoyed the first trimester of her pregnancy “with, of course, a little bit of fear that isn’t any different from any other expecting couple”. Teigen said she and Legend learned that their surrogate was pregnant with a boy as they “crept toward the safe zone” of her own pregnancy, with the celebrity chef writing that she and the family’s surrogate celebrated together with their “growing bellies, our families blending into one for the past year”. In the post, Teigen then revealed that she’d gotten to witness as the “most beautiful woman, my friend, our surrogate,” gave birth “just minutes before midnight” on 19 June. Teigen concluded the lengthy post expressing her gratitude to her surrogate for the “incredible gift” before sharing a photo of their surrogate and one of the couple holding their newborn child in the hospital. The final photo showed a close-up shot of the baby. “Our hearts, and our home, are officially full. And to our Jack, we know both their angel kisses are from you,” she wrote. Legend also shared the news of the baby’s arrival on his Instagram, where he posted a photo of himself surrounded by his and Teigen’s four children, as well as the photo of the couple cradling their newborn. “Wren Alexander Stephens, our new love,” Legend captioned the album. More follows… Read More Chrissy Teigen responds to critics claiming she has a ‘new face’: ‘I gained weight’ Chrissy Teigen praised for thanking team of four nannies in Mother’s Day tribute ‘My small rash turned out to be a parasite living in my leg after a beach trip’ Bre Tiesi reveals whether she’d have another child with Nick Cannon How do I get a mammogram screening?