Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on l...Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on local features,thus encountering difficulties in handling global features.In contrast to natural images,Structural Magnetic Resonance Imaging(sMRI)images exhibit a higher number of channel dimensions.However,during the Position Embedding stage ofMulti Head Self Attention(MHSA),the coded information related to the channel dimension is disregarded.To tackle these issues,we propose theRepBoTNet-CESA network,an advanced AD-aided diagnostic model that is capable of learning local and global features simultaneously.It combines the advantages of CNN networks in capturing local information and Transformer networks in integrating global information,reducing computational costs while achieving excellent classification performance.Moreover,it uses the Cubic Embedding Self Attention(CESA)proposed in this paper to incorporate the channel code information,enhancing the classification performance within the Transformer structure.Finally,the RepBoTNet-CESA performs well in various AD-aided diagnosis tasks,with an accuracy of 96.58%,precision of 97.26%,and recall of 96.23%in the AD/NC task;an accuracy of 92.75%,precision of 92.84%,and recall of 93.18%in the EMCI/NC task;and an accuracy of 80.97%,precision of 83.86%,and recall of 80.91%in the AD/EMCI/LMCI/NC task.This demonstrates that RepBoTNet-CESA delivers outstanding outcomes in various AD-aided diagnostic tasks.Furthermore,our study has shown that MHSA exhibits superior performance compared to conventional attention mechanisms in enhancing ResNet performance.Besides,the Deeper RepBoTNet-CESA network fails to make further progress in AD-aided diagnostic tasks.展开更多
The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials...The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials, A<sub>μ</sub>. We assumed that the fundamental form of the Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-S<sub>μ</sub>)Ψ=0 should describe the stable particles (the electron, the proton and the dark-matter-particle (dmp)) bound to themselves under the action of their own potentials S<sub>μ</sub>. The new equation reveals that self energy is consequence of self action, it also reveals that the spin angular momentum is consequence of the dynamic structure of the stable particles. The quantitative results are the determination of their relative masses as well as the determination of the electromagnetic coupling constant.展开更多
The key challenge of industrial water electrolysis is to design catalytic electrodes that can stabilize high current density with low power consumption(i.e.,overpotential),while industrial harsh conditions make the ba...The key challenge of industrial water electrolysis is to design catalytic electrodes that can stabilize high current density with low power consumption(i.e.,overpotential),while industrial harsh conditions make the balance between electrode activity and stability more difficult.Here,we develop an efficient and durable electrode for water oxidation reaction(WOR),which yields a high current density of 1000 mA cm−2 at an overpotential of only 284 mV in 1M KOH at 25°C and shows robust stability even in 6M KOH strong alkali with an elevated temperature up to 80°C.This electrode is fabricated from a cheap nickel foam(NF)substrate through a simple one-step solution etching method,resulting in the growth of ultrafine phosphorus doped nickel-iron(oxy)hydroxide[P-(Ni,Fe)O_(x)H_(y)]nanoparticles embedded into abundant micropores on the surface,featured as a self-stabilized catalyst–substrate fusion electrode.Such self-stabilizing effect fastens highly active P-(Ni,Fe)O_(x)H_(y)species on conductive NF substrates with significant contribution to catalyst fixation and charge transfer,realizing a win–win tactics for WOR activity and durability at high current densities in harsh environments.This work affords a cost-effective WOR electrode that can well work at large current densities,suggestive of the rational design of catalyst electrodes toward industrial-scale water electrolysis.展开更多
Tumour segmentation in medical images(especially 3D tumour segmentation)is highly challenging due to the possible similarity between tumours and adjacent tissues,occurrence of multiple tumours and variable tumour shap...Tumour segmentation in medical images(especially 3D tumour segmentation)is highly challenging due to the possible similarity between tumours and adjacent tissues,occurrence of multiple tumours and variable tumour shapes and sizes.The popular deep learning‐based segmentation algorithms generally rely on the convolutional neural network(CNN)and Transformer.The former cannot extract the global image features effectively while the latter lacks the inductive bias and involves the complicated computation for 3D volume data.The existing hybrid CNN‐Transformer network can only provide the limited performance improvement or even poorer segmentation performance than the pure CNN.To address these issues,a short‐term and long‐term memory self‐attention network is proposed.Firstly,a distinctive self‐attention block uses the Transformer to explore the correlation among the region features at different levels extracted by the CNN.Then,the memory structure filters and combines the above information to exclude the similar regions and detect the multiple tumours.Finally,the multi‐layer reconstruction blocks will predict the tumour boundaries.Experimental results demonstrate that our method outperforms other methods in terms of subjective visual and quantitative evaluation.Compared with the most competitive method,the proposed method provides Dice(82.4%vs.76.6%)and Hausdorff distance 95%(HD95)(10.66 vs.11.54 mm)on the KiTS19 as well as Dice(80.2%vs.78.4%)and HD95(9.632 vs.12.17 mm)on the LiTS.展开更多
Attacks on the cyber space is getting exponential in recent times.Illegal penetrations and breaches are real threats to the individuals and organizations.Conventional security systems are good enough to detect the kno...Attacks on the cyber space is getting exponential in recent times.Illegal penetrations and breaches are real threats to the individuals and organizations.Conventional security systems are good enough to detect the known threats but when it comes to Advanced Persistent Threats(APTs)they fails.These APTs are targeted,more sophisticated and very persistent and incorporates lot of evasive techniques to bypass the existing defenses.Hence,there is a need for an effective defense system that can achieve a complete reliance of security.To address the above-mentioned issues,this paper proposes a novel honeypot system that tracks the anonymous behavior of the APT threats.The key idea of honeypot leverages the concepts of graph theory to detect such targeted attacks.The proposed honey-pot is self-realizing,strategic assisted which withholds the APTs actionable tech-niques and observes the behavior for analysis and modelling.The proposed graph theory based self learning honeypot using the resultsγ(C(n,1)),γc(C(n,1)),γsc(C(n,1))outperforms traditional techniques by detecting APTs behavioral with detection rate of 96%.展开更多
Contrastive self‐supervised representation learning on attributed graph networks with Graph Neural Networks has attracted considerable research interest recently.However,there are still two challenges.First,most of t...Contrastive self‐supervised representation learning on attributed graph networks with Graph Neural Networks has attracted considerable research interest recently.However,there are still two challenges.First,most of the real‐word system are multiple relations,where entities are linked by different types of relations,and each relation is a view of the graph network.Second,the rich multi‐scale information(structure‐level and feature‐level)of the graph network can be seen as self‐supervised signals,which are not fully exploited.A novel contrastive self‐supervised representation learning framework on attributed multiplex graph networks with multi‐scale(named CoLM^(2)S)information is presented in this study.It mainly contains two components:intra‐relation contrast learning and interrelation contrastive learning.Specifically,the contrastive self‐supervised representation learning framework on attributed single‐layer graph networks with multi‐scale information(CoLMS)framework with the graph convolutional network as encoder to capture the intra‐relation information with multi‐scale structure‐level and feature‐level selfsupervised signals is introduced first.The structure‐level information includes the edge structure and sub‐graph structure,and the feature‐level information represents the output of different graph convolutional layer.Second,according to the consensus assumption among inter‐relations,the CoLM^(2)S framework is proposed to jointly learn various graph relations in attributed multiplex graph network to achieve global consensus node embedding.The proposed method can fully distil the graph information.Extensive experiments on unsupervised node clustering and graph visualisation tasks demonstrate the effectiveness of our methods,and it outperforms existing competitive baselines.展开更多
Diabetes mellitus has spread throughout many nations of the world and is now a serious threat.A lack of patient self‑management has been linked to this drain on global health.The consequences of diabetic patients’poo...Diabetes mellitus has spread throughout many nations of the world and is now a serious threat.A lack of patient self‑management has been linked to this drain on global health.The consequences of diabetic patients’poor self‑management have increased a variety of complications and lengthened hospital stays.Poor information and skill acquisition have been linked to poor self‑management.Participating in a co‑operative approach known as diabetes self‑management education will help diabetes patients who want to successfully self‑manage their condition and any associated conditions.Information is one of the most important components of a diabetes management strategy.In conclusion,numerous studies have shown that patients with diabetes have poor self‑management skills and knowledge in all areas,making training in diabetes self‑management necessary to minimize the complications that may result from diabetes mellitus among the patients.This review discussed the severity of diabetes mellitus,diabetes self‑management,and the benefits and challenges of diabetes self‑management,which may aid individuals in understanding the significance of diabetes self‑management and how it relates to diabetes self‑care.展开更多
With the continuous growth of online news articles,there arises the necessity for an efficient abstractive summarization technique for the problem of information overloading.Abstractive summarization is highly complex...With the continuous growth of online news articles,there arises the necessity for an efficient abstractive summarization technique for the problem of information overloading.Abstractive summarization is highly complex and requires a deeper understanding and proper reasoning to come up with its own summary outline.Abstractive summarization task is framed as seq2seq modeling.Existing seq2seq methods perform better on short sequences;however,for long sequences,the performance degrades due to high computation and hence a two-phase self-normalized deep neural document summarization model consisting of improvised extractive cosine normalization and seq2seq abstractive phases has been proposed in this paper.The novelty is to parallelize the sequence computation training by incorporating feed-forward,the self-normalized neural network in the Extractive phase using Intra Cosine Attention Similarity(Ext-ICAS)with sentence dependency position.Also,it does not require any normalization technique explicitly.Our proposed abstractive Bidirectional Long Short Term Memory(Bi-LSTM)encoder sequence model performs better than the Bidirectional Gated Recurrent Unit(Bi-GRU)encoder with minimum training loss and with fast convergence.The proposed model was evaluated on the Cable News Network(CNN)/Daily Mail dataset and an average rouge score of 0.435 was achieved also computational training in the extractive phase was reduced by 59%with an average number of similarity computations.展开更多
Several anatomical,demographic,clinical,electrocardiographic,procedural,and valve-related variables can be used to predict the probability of developing con-duction abnormalities after transcatheter aortic valve repla...Several anatomical,demographic,clinical,electrocardiographic,procedural,and valve-related variables can be used to predict the probability of developing con-duction abnormalities after transcatheter aortic valve replacement(TAVR)that necessitate permanent pacemaker(PPM)implantation.These variables include calcifications around the device landing zone and in the mitral annulus;pre-existing electrocardiographic abnormalities such as left and right bundle branch blocks(BBB),first-and second-degree atrioventricular blocks,as well as bifas-cicular and trifascicular blocks;male sex;diabetes mellitus(DM);hypertension;history of atrial fibrillation;renal failure;dementia;and use of self-expanding valves.The current study supports existing literature by demonstrating that type 2 DM and baseline right BBB are significant predictors of PPM implantation post-TAVR.Regardless of the side of the BBB,this study demonstrated,for the first time,a linear association between the incidence of PPM implantation post-TAVR and every 20 ms increase in baseline QRS duration(above 100 ms).After a 1-year follow-up,patients who received PPM post-TAVR had a higher rate of hospital-ization for heart failure and nonfatal myocardial infarction.展开更多
Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outc...Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outcomes.Materials and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management promotion.Assessments included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported outcomes.Joint count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)postintervention.Patient-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),respectively.Conclusion:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.展开更多
The black hole model of the Universe evolution, accompanied by matter creation, already successfully accounting for many features of the past is discussed and further justified. It is once more stressed that even a ve...The black hole model of the Universe evolution, accompanied by matter creation, already successfully accounting for many features of the past is discussed and further justified. It is once more stressed that even a very large object but with a big mass is in its own right a black hole. As a consequence, the extrapolation of the past predicts for the future no big crunch, nor big bounce but a steady expansion with smaller matter density.展开更多
Mrs.Dalloway has two stories about the same woman.Mrs.Dalloway is her social self,busy with her party,seemingly happy but with some hidden problems.The individual self as Clarissa is lost in deep thought of her true s...Mrs.Dalloway has two stories about the same woman.Mrs.Dalloway is her social self,busy with her party,seemingly happy but with some hidden problems.The individual self as Clarissa is lost in deep thought of her true self.The textual analysis will apply Lacan's theory of name-of-the-father or symbolic order to explore the causes of Clarissa's problematic social self.It concludes that the protagonist begins the process of self-discovery by thinking about and talking with her close friends,trying to dig out her individual self which is suppressed by social self.展开更多
Development of computational agent organizations or “societies” has become the domiant computing paradigm in the arena of Distributed Artificial Intelligence, and many foreseeable future applications need agent orga...Development of computational agent organizations or “societies” has become the domiant computing paradigm in the arena of Distributed Artificial Intelligence, and many foreseeable future applications need agent organizations, in which diversified agents cooperate in a distributed manner, forming teams. In such scenarios, the agents would need to know each other in order to facilitate the interactions. Moreover, agents in such an environment are not statically defined in advance but they can adaptively enter and leave an organization. This begs the question of how agents locate each other in order to cooperate in achieving organizational goals. Locating agents is a quite challenging task, especially in organizations that involve a large number of agents and where the resource avaiability is intermittent. The authors explore here an approach based on self organization map (SOM) which will serve as a clustering method in the light of the knowledge gathered about various agents. The approach begins by categorizing agents using a selected set of agent properties. These categories are used to derive various ranks and a distance matrix. The SOM algorithm uses this matrix as input to obtain clusters of agents. These clusters reduce the search space, resulting in a relatively short agent search time.展开更多
基金the Key Project of Zhejiang Provincial Natural Science Foundation under Grants LD21F020001,Z20F020022the National Natural Science Foundation of China under Grants 62072340,62076185the Major Project of Wenzhou Natural Science Foundation under Grants 2021HZSY0071,ZS2022001.
文摘Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on local features,thus encountering difficulties in handling global features.In contrast to natural images,Structural Magnetic Resonance Imaging(sMRI)images exhibit a higher number of channel dimensions.However,during the Position Embedding stage ofMulti Head Self Attention(MHSA),the coded information related to the channel dimension is disregarded.To tackle these issues,we propose theRepBoTNet-CESA network,an advanced AD-aided diagnostic model that is capable of learning local and global features simultaneously.It combines the advantages of CNN networks in capturing local information and Transformer networks in integrating global information,reducing computational costs while achieving excellent classification performance.Moreover,it uses the Cubic Embedding Self Attention(CESA)proposed in this paper to incorporate the channel code information,enhancing the classification performance within the Transformer structure.Finally,the RepBoTNet-CESA performs well in various AD-aided diagnosis tasks,with an accuracy of 96.58%,precision of 97.26%,and recall of 96.23%in the AD/NC task;an accuracy of 92.75%,precision of 92.84%,and recall of 93.18%in the EMCI/NC task;and an accuracy of 80.97%,precision of 83.86%,and recall of 80.91%in the AD/EMCI/LMCI/NC task.This demonstrates that RepBoTNet-CESA delivers outstanding outcomes in various AD-aided diagnostic tasks.Furthermore,our study has shown that MHSA exhibits superior performance compared to conventional attention mechanisms in enhancing ResNet performance.Besides,the Deeper RepBoTNet-CESA network fails to make further progress in AD-aided diagnostic tasks.
文摘The Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-eA<sub>μ</sub>)Ψ=mc<sup>2</sup>Ψ describes the bound states of the electron under the action of external potentials, A<sub>μ</sub>. We assumed that the fundamental form of the Dirac equation γ<sub>μ</sub>(δ<sub>μ</sub>-S<sub>μ</sub>)Ψ=0 should describe the stable particles (the electron, the proton and the dark-matter-particle (dmp)) bound to themselves under the action of their own potentials S<sub>μ</sub>. The new equation reveals that self energy is consequence of self action, it also reveals that the spin angular momentum is consequence of the dynamic structure of the stable particles. The quantitative results are the determination of their relative masses as well as the determination of the electromagnetic coupling constant.
基金National Natural Science Foundation of China,Grant/Award Numbers:11974303,12074332Qinglan Project of Jiangsu Province,Grant/Award Number:137050317the Interdisciplinary Research Project of Chemistry Discipline,Grant/Award Number:yzuxk202014 and High‐End Talent Program of Yangzhou University,Grant/Award Number:137080051。
文摘The key challenge of industrial water electrolysis is to design catalytic electrodes that can stabilize high current density with low power consumption(i.e.,overpotential),while industrial harsh conditions make the balance between electrode activity and stability more difficult.Here,we develop an efficient and durable electrode for water oxidation reaction(WOR),which yields a high current density of 1000 mA cm−2 at an overpotential of only 284 mV in 1M KOH at 25°C and shows robust stability even in 6M KOH strong alkali with an elevated temperature up to 80°C.This electrode is fabricated from a cheap nickel foam(NF)substrate through a simple one-step solution etching method,resulting in the growth of ultrafine phosphorus doped nickel-iron(oxy)hydroxide[P-(Ni,Fe)O_(x)H_(y)]nanoparticles embedded into abundant micropores on the surface,featured as a self-stabilized catalyst–substrate fusion electrode.Such self-stabilizing effect fastens highly active P-(Ni,Fe)O_(x)H_(y)species on conductive NF substrates with significant contribution to catalyst fixation and charge transfer,realizing a win–win tactics for WOR activity and durability at high current densities in harsh environments.This work affords a cost-effective WOR electrode that can well work at large current densities,suggestive of the rational design of catalyst electrodes toward industrial-scale water electrolysis.
基金supported by the National Key Research and Development Program of China under Grant No.2018YFE0206900the National Natural Science Foundation of China under Grant No.61871440 and CAAI‐Huawei Mind-Spore Open Fund.
文摘Tumour segmentation in medical images(especially 3D tumour segmentation)is highly challenging due to the possible similarity between tumours and adjacent tissues,occurrence of multiple tumours and variable tumour shapes and sizes.The popular deep learning‐based segmentation algorithms generally rely on the convolutional neural network(CNN)and Transformer.The former cannot extract the global image features effectively while the latter lacks the inductive bias and involves the complicated computation for 3D volume data.The existing hybrid CNN‐Transformer network can only provide the limited performance improvement or even poorer segmentation performance than the pure CNN.To address these issues,a short‐term and long‐term memory self‐attention network is proposed.Firstly,a distinctive self‐attention block uses the Transformer to explore the correlation among the region features at different levels extracted by the CNN.Then,the memory structure filters and combines the above information to exclude the similar regions and detect the multiple tumours.Finally,the multi‐layer reconstruction blocks will predict the tumour boundaries.Experimental results demonstrate that our method outperforms other methods in terms of subjective visual and quantitative evaluation.Compared with the most competitive method,the proposed method provides Dice(82.4%vs.76.6%)and Hausdorff distance 95%(HD95)(10.66 vs.11.54 mm)on the KiTS19 as well as Dice(80.2%vs.78.4%)and HD95(9.632 vs.12.17 mm)on the LiTS.
文摘Attacks on the cyber space is getting exponential in recent times.Illegal penetrations and breaches are real threats to the individuals and organizations.Conventional security systems are good enough to detect the known threats but when it comes to Advanced Persistent Threats(APTs)they fails.These APTs are targeted,more sophisticated and very persistent and incorporates lot of evasive techniques to bypass the existing defenses.Hence,there is a need for an effective defense system that can achieve a complete reliance of security.To address the above-mentioned issues,this paper proposes a novel honeypot system that tracks the anonymous behavior of the APT threats.The key idea of honeypot leverages the concepts of graph theory to detect such targeted attacks.The proposed honey-pot is self-realizing,strategic assisted which withholds the APTs actionable tech-niques and observes the behavior for analysis and modelling.The proposed graph theory based self learning honeypot using the resultsγ(C(n,1)),γc(C(n,1)),γsc(C(n,1))outperforms traditional techniques by detecting APTs behavioral with detection rate of 96%.
基金support by the National Natural Science Foundation of China(NSFC)under grant number 61873274.
文摘Contrastive self‐supervised representation learning on attributed graph networks with Graph Neural Networks has attracted considerable research interest recently.However,there are still two challenges.First,most of the real‐word system are multiple relations,where entities are linked by different types of relations,and each relation is a view of the graph network.Second,the rich multi‐scale information(structure‐level and feature‐level)of the graph network can be seen as self‐supervised signals,which are not fully exploited.A novel contrastive self‐supervised representation learning framework on attributed multiplex graph networks with multi‐scale(named CoLM^(2)S)information is presented in this study.It mainly contains two components:intra‐relation contrast learning and interrelation contrastive learning.Specifically,the contrastive self‐supervised representation learning framework on attributed single‐layer graph networks with multi‐scale information(CoLMS)framework with the graph convolutional network as encoder to capture the intra‐relation information with multi‐scale structure‐level and feature‐level selfsupervised signals is introduced first.The structure‐level information includes the edge structure and sub‐graph structure,and the feature‐level information represents the output of different graph convolutional layer.Second,according to the consensus assumption among inter‐relations,the CoLM^(2)S framework is proposed to jointly learn various graph relations in attributed multiplex graph network to achieve global consensus node embedding.The proposed method can fully distil the graph information.Extensive experiments on unsupervised node clustering and graph visualisation tasks demonstrate the effectiveness of our methods,and it outperforms existing competitive baselines.
文摘Diabetes mellitus has spread throughout many nations of the world and is now a serious threat.A lack of patient self‑management has been linked to this drain on global health.The consequences of diabetic patients’poor self‑management have increased a variety of complications and lengthened hospital stays.Poor information and skill acquisition have been linked to poor self‑management.Participating in a co‑operative approach known as diabetes self‑management education will help diabetes patients who want to successfully self‑manage their condition and any associated conditions.Information is one of the most important components of a diabetes management strategy.In conclusion,numerous studies have shown that patients with diabetes have poor self‑management skills and knowledge in all areas,making training in diabetes self‑management necessary to minimize the complications that may result from diabetes mellitus among the patients.This review discussed the severity of diabetes mellitus,diabetes self‑management,and the benefits and challenges of diabetes self‑management,which may aid individuals in understanding the significance of diabetes self‑management and how it relates to diabetes self‑care.
文摘With the continuous growth of online news articles,there arises the necessity for an efficient abstractive summarization technique for the problem of information overloading.Abstractive summarization is highly complex and requires a deeper understanding and proper reasoning to come up with its own summary outline.Abstractive summarization task is framed as seq2seq modeling.Existing seq2seq methods perform better on short sequences;however,for long sequences,the performance degrades due to high computation and hence a two-phase self-normalized deep neural document summarization model consisting of improvised extractive cosine normalization and seq2seq abstractive phases has been proposed in this paper.The novelty is to parallelize the sequence computation training by incorporating feed-forward,the self-normalized neural network in the Extractive phase using Intra Cosine Attention Similarity(Ext-ICAS)with sentence dependency position.Also,it does not require any normalization technique explicitly.Our proposed abstractive Bidirectional Long Short Term Memory(Bi-LSTM)encoder sequence model performs better than the Bidirectional Gated Recurrent Unit(Bi-GRU)encoder with minimum training loss and with fast convergence.The proposed model was evaluated on the Cable News Network(CNN)/Daily Mail dataset and an average rouge score of 0.435 was achieved also computational training in the extractive phase was reduced by 59%with an average number of similarity computations.
文摘Several anatomical,demographic,clinical,electrocardiographic,procedural,and valve-related variables can be used to predict the probability of developing con-duction abnormalities after transcatheter aortic valve replacement(TAVR)that necessitate permanent pacemaker(PPM)implantation.These variables include calcifications around the device landing zone and in the mitral annulus;pre-existing electrocardiographic abnormalities such as left and right bundle branch blocks(BBB),first-and second-degree atrioventricular blocks,as well as bifas-cicular and trifascicular blocks;male sex;diabetes mellitus(DM);hypertension;history of atrial fibrillation;renal failure;dementia;and use of self-expanding valves.The current study supports existing literature by demonstrating that type 2 DM and baseline right BBB are significant predictors of PPM implantation post-TAVR.Regardless of the side of the BBB,this study demonstrated,for the first time,a linear association between the incidence of PPM implantation post-TAVR and every 20 ms increase in baseline QRS duration(above 100 ms).After a 1-year follow-up,patients who received PPM post-TAVR had a higher rate of hospital-ization for heart failure and nonfatal myocardial infarction.
文摘Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outcomes.Materials and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management promotion.Assessments included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported outcomes.Joint count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)postintervention.Patient-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),respectively.Conclusion:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.
文摘The black hole model of the Universe evolution, accompanied by matter creation, already successfully accounting for many features of the past is discussed and further justified. It is once more stressed that even a very large object but with a big mass is in its own right a black hole. As a consequence, the extrapolation of the past predicts for the future no big crunch, nor big bounce but a steady expansion with smaller matter density.
文摘Mrs.Dalloway has two stories about the same woman.Mrs.Dalloway is her social self,busy with her party,seemingly happy but with some hidden problems.The individual self as Clarissa is lost in deep thought of her true self.The textual analysis will apply Lacan's theory of name-of-the-father or symbolic order to explore the causes of Clarissa's problematic social self.It concludes that the protagonist begins the process of self-discovery by thinking about and talking with her close friends,trying to dig out her individual self which is suppressed by social self.
文摘Development of computational agent organizations or “societies” has become the domiant computing paradigm in the arena of Distributed Artificial Intelligence, and many foreseeable future applications need agent organizations, in which diversified agents cooperate in a distributed manner, forming teams. In such scenarios, the agents would need to know each other in order to facilitate the interactions. Moreover, agents in such an environment are not statically defined in advance but they can adaptively enter and leave an organization. This begs the question of how agents locate each other in order to cooperate in achieving organizational goals. Locating agents is a quite challenging task, especially in organizations that involve a large number of agents and where the resource avaiability is intermittent. The authors explore here an approach based on self organization map (SOM) which will serve as a clustering method in the light of the knowledge gathered about various agents. The approach begins by categorizing agents using a selected set of agent properties. These categories are used to derive various ranks and a distance matrix. The SOM algorithm uses this matrix as input to obtain clusters of agents. These clusters reduce the search space, resulting in a relatively short agent search time.