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We wish to thank all patients, who came from several Midwestern states, for their participation. We also wish to thank Kristen Pickett and Carly Salminen of the Sensorimotor Control Laboratory for their help in collecting and analysing the data. The study was supported by a grant from the Deutsche Forschungsgemeinschaft to M.M. DFG MA 2209 31 ; , by grants from the National Institutes of Health to C.M.G. NIH RO1 NS37211 ; and by grants from the Minnesota Medical Foundation and the College of Education and Human Development, for example, buy tenormin.

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Fig. 7 and Fig. 8 show the recognition rate for digit and medicine utterances with multiple codebook and independent component codebook. There is an increase in recognition rate of almost all the utterances when independent component codebook is used. 4. Conclusion The concept of Independent Component Codebook for different categories of entries in the Health record card helped in an increase of 18% in recognition rate. A maximum increase of 12% recognition rate is achieved with mixed cepstral weighting. With distance frame weighting method a maximum increase of 45% recognition rate for digit utterance "three" is achieved. This method has led to a slight reduction in recognition rate of other digits. The advantage of online medical transcription system is immediacy; the clinician works with the system in real time. Some of the many applications of this technology include electronic clinical charting and patient documentation. References: [1] S. Prajit Nair, Speech to Text based Medical Transcription System, Master's thesis, Dept. ECE, Indian Institute of Technology Guwahati, Guwahati, India, January 2002. [2] Maisie Wang, Christopher Lau, Frederick A. Masten, and Yongmin Kim, Personal Health Information Management System and its Applications in Referral Management, IEEE Transactions on Information Technology in Biomedicine, vol. 8, September 2004. [3] L. R. Rabiner and R.W. Schafer, Fundamentals of Speech Recognition Prentice Hall: NJ, 1983 ; . [4] S. Itasi, Consideration on common speech database, Recent Research Towards Advanced Man Machine Interface through Spoken Language, pp. 503-514, Science University of Tokyo, Tokyo: Elsevier Science, 1996. [5] Jim Beveridge and Robert Wiener, Multithreading Applications in Win32 AddisonWesley Developers Press, 1997 ; . [6] Atif Zafar, MD, J. Marc Overhage, MD and Clement J. McDonald, MD, Continuous Speech Recognition for Clinicians, Journal of The American Medical Informatics Association, vol. 6, pp. 195-204, May June 1999. [7] K.K. Paliwal, On the performance of the frequency-weighted cepstral coefficients in vowel recognition, Speech Communication, vol. 1, pp. 151-154, May 1982. [8] Douglas O'Shaughnessy, Speech Communications: Human and Machine, IEEE Press and John Wiley and Sons Inc, 1999.
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