Large language models(LLMs),such as ChatGPT developed by OpenAI,represent a significant advancement in artificial intelligence(AI),designed to understand,generate,and interpret human language by analyzing extensive te...Large language models(LLMs),such as ChatGPT developed by OpenAI,represent a significant advancement in artificial intelligence(AI),designed to understand,generate,and interpret human language by analyzing extensive text data.Their potential integration into clinical settings offers a promising avenue that could transform clinical diagnosis and decision-making processes in the future(Thirunavukarasu et al.,2023).This article aims to provide an in-depth analysis of LLMs’current and potential impact on clinical practices.Their ability to generate differential diagnosis lists underscores their potential as invaluable tools in medical practice and education(Hirosawa et al.,2023;Koga et al.,2023).展开更多
Time and environmental physical activity are involved in timing of many medical events. In a recent study published by the National Academy of Science, USA it was shown that month of birth is related to longevity. The...Time and environmental physical activity are involved in timing of many medical events. In a recent study published by the National Academy of Science, USA it was shown that month of birth is related to longevity. The aim of this study was to check the month of birth distribution in a great group of AMI patients of both gender, one of the great killers in the developed countries, to check the mentioned paradigm of month of birth and longevity. Methods & Patients: Patients admitted to Cardiology Departments of a tertiary University Hospital in Kaunas, Lithuania with AMI at years 1990-2010 (n-22047) were studied. Month of birth of these patients, total and both gender were checked. Monthly, quarterly and trimester comparison were done. Statistical differences established using t-Student test and distribution by percents of the yearly months of birth. Results: It was a significant difference in the month of birth of the studied AMI population. January and first quarter and trimester born patients were more often in the studied AMI patients group. The higher morbidity by Cardiovascular diseases can be a significant ingredient in the structure of population longevity. Possible mechanisms explaining our findings are discussed. Conclusion: In the AMI population people born in January, first quarter or trimester of the year are dominating in both gender groups. The results of this study can be an additional confirmation of the paradigm about links between month of birth and longevity.展开更多
传统编目分类和规则匹配方法存在工作效能低、过度依赖专家知识、缺乏对古籍文本自身语义的深层次挖掘、编目主题边界模糊、较难实现对古籍文本领域主题的精准推荐等问题。为此,本文结合古籍语料特征探究如何实现精准推荐符合研究者需...传统编目分类和规则匹配方法存在工作效能低、过度依赖专家知识、缺乏对古籍文本自身语义的深层次挖掘、编目主题边界模糊、较难实现对古籍文本领域主题的精准推荐等问题。为此,本文结合古籍语料特征探究如何实现精准推荐符合研究者需求的文本主题内容的方法,以推动数字人文研究的进一步发展。首先,选取本课题组前期标注的古籍语料数据进行主题类别标注和视图分类;其次,构建融合BERT(bidirectional encoder representation from transformers)预训练模型、改进卷积神经网络、循环神经网络和多头注意力机制的语义挖掘模型;最后,融入“主体-关系-客体”多视图的语义增强模型,构建DJ-TextRCNN(DianJi-recurrent convolutional neural networks for text classification)模型实现对典籍文本更细粒度、更深层次、更多维度的语义挖掘。研究结果发现,DJ-TextRCNN模型在不同视图下的古籍主题推荐任务的准确率均为最优。在“主体-关系-客体”视图下,精确率达到88.54%,初步实现了对古籍文本的精准主题推荐,对中华文化深层次、细粒度的语义挖掘具有一定的指导意义。展开更多
以编目分类和规则匹配为主的古籍文本主题分类方法存在工作效能低、专家知识依赖性强、分类依据单一化、古籍文本主题自动分类难等问题。对此,本文结合古籍文本内容和文字特征,尝试从古籍内容分类得到符合研究者需求的主题,推动数字人...以编目分类和规则匹配为主的古籍文本主题分类方法存在工作效能低、专家知识依赖性强、分类依据单一化、古籍文本主题自动分类难等问题。对此,本文结合古籍文本内容和文字特征,尝试从古籍内容分类得到符合研究者需求的主题,推动数字人文研究范式的转型。首先,参照东汉古籍《说文解字》对文字的分析方式,以前期标注的古籍语料数据集为基础,构建全新的“字音(说)-原文(文)-结构(解)-字形(字)”四维特征数据集。其次,设计四维特征向量提取模型(speaking,word,pattern,and font to vector,SWPF2vec),并结合预训练模型实现对古籍文本细粒度的特征表示。再其次,构建融合卷积神经网络、循环神经网络和多头注意力机制的古籍文本主题分类模型(dianji-recurrent convolutional neural networks for text classification,DJ-TextRCNN)。最后,融入四维语义特征,实现对古籍文本多维度、深层次、细粒度的语义挖掘。在古籍文本主题分类任务上,DJ-TextRCNN模型在不同维度特征下的主题分类准确率均为最优,在“说文解字”四维特征下达到76.23%的准确率,初步实现了对古籍文本的精准主题分类。展开更多
Purpose:A text generation based multidisciplinary problem identification method is proposed,which does not rely on a large amount of data annotation.Design/methodology/approach:The proposed method first identifies the...Purpose:A text generation based multidisciplinary problem identification method is proposed,which does not rely on a large amount of data annotation.Design/methodology/approach:The proposed method first identifies the research objective types and disciplinary labels of papers using a text classification technique;second,it generates abstractive titles for each paper based on abstract and research objective types using a generative pre-trained language model;third,it extracts problem phrases from generated titles according to regular expression rules;fourth,it creates problem relation networks and identifies the same problems by exploiting a weighted community detection algorithm;finally,it identifies multidisciplinary problems based on the disciplinary labels of papers.Findings:Experiments in the“Carbon Peaking and Carbon Neutrality”field show that the proposed method can effectively identify multidisciplinary research problems.The disciplinary distribution of the identified problems is consistent with our understanding of multidisciplinary collaboration in the field.Research limitations:It is necessary to use the proposed method in other multidisciplinary fields to validate its effectiveness.Practical implications:Multidisciplinary problem identification helps to gather multidisciplinary forces to solve complex real-world problems for the governments,fund valuable multidisciplinary problems for research management authorities,and borrow ideas from other disciplines for researchers.Originality/value:This approach proposes a novel multidisciplinary problem identification method based on text generation,which identifies multidisciplinary problems based on generative abstractive titles of papers without data annotation required by standard sequence labeling techniques.展开更多
Text perception is crucial for understanding the semantics of outdoor scenes,making it a key requirement for building intelligent systems for driver assistance or autonomous driving.Text information in car-mounted vid...Text perception is crucial for understanding the semantics of outdoor scenes,making it a key requirement for building intelligent systems for driver assistance or autonomous driving.Text information in car-mounted videos can assist drivers in making decisions.However,Car-mounted video text images pose challenges such as complex backgrounds,small fonts,and the need for real-time detection.We proposed a robust Car-mounted Video Text Detector(CVTD).It is a lightweight text detection model based on ResNet18 for feature extraction,capable of detecting text in arbitrary shapes.Our model efficiently extracted global text positions through the Coordinate Attention Threshold Activation(CATA)and enhanced the representation capability through stacking two Feature Pyramid Enhancement Fusion Modules(FPEFM),strengthening feature representation,and integrating text local features and global position information,reinforcing the representation capability of the CVTD model.The enhanced feature maps,when acted upon by Text Activation Maps(TAM),effectively distinguished text foreground from non-text regions.Additionally,we collected and annotated a dataset containing 2200 images of Car-mounted Video Text(CVT)under various road conditions for training and evaluating our model’s performance.We further tested our model on four other challenging public natural scene text detection benchmark datasets,demonstrating its strong generalization ability and real-time detection speed.This model holds potential for practical applications in real-world scenarios.展开更多
To remove handwritten texts from an image of a document taken by smart phone,an intelligent removal method was proposed that combines dewarping and Fully Convolutional Network with Atrous Convolutional and Atrous Spat...To remove handwritten texts from an image of a document taken by smart phone,an intelligent removal method was proposed that combines dewarping and Fully Convolutional Network with Atrous Convolutional and Atrous Spatial Pyramid Pooling(FCN-AC-ASPP).For a picture taken by a smart phone,firstly,the image is transformed into a regular image by the dewarping algorithm.Secondly,the FCN-AC-ASPP is used to classify printed texts and handwritten texts.Lastly,handwritten texts can be removed by a simple algorithm.Experiments show that the classification accuracy of the FCN-AC-ASPP is better than FCN,DeeplabV3+,FCN-AC.For handwritten texts removal effect,the method of combining dewarping and FCN-AC-ASPP is superior to FCN-AC-ASP alone.展开更多
Introduction: Low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight strictly below 2500 g, whatever the term of pregnancy. It constitutes a major public health problem, both in dev...Introduction: Low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight strictly below 2500 g, whatever the term of pregnancy. It constitutes a major public health problem, both in developed and developing countries, due to its magnitude and its strong association with infant morbidity and mortality. Main objective was to study the factors associated with the occurrence of small-for-gestational-age newborns in Douala. Methodology: We carried out a cross-sectional analytical study with prospective data collection using a technical pretested sheet in the maternity wards of the Douala General Hospital, the Laquintinie Hospital, and the District hospitals of Deido, Nylon and Bonassama over a period of 4 months (January to April 2020). We were interested in any newborn, born alive, vaginally or by cesarean section, of low weight, seen in the first 24 hours from a full-term single-fetal pregnancy whose mother had given her consent. Our sampling was consecutive and non-exhaustive. We excluded newborns whose term was unclear and those with congenital malformations or signs of embryo-foetopathy. Data collection was done using survey sheets. Statistical analyzes were carried out with CS Pro 7.3 and SPSS version 25.0 software. The Student, Chi-square and Fischer tests were used to compare the means of the variables, the percentages with a significance threshold P value Results: During the study period, 305 full-term newborns were included, divided into 172 boys and 133 girls. The percentage of small-for-gestational-age newborns was 9.8%;after multivariate analysis by logistic regression to eliminate confounding factors, we found maternal factors associated with small for gestational age newborns;maternal age less than 20 years, primiparity, gestational age (37 - 38), a delay in prenatal visits greater than 14 weeks, anemia in pregnancy, positive toxoplasmosis serology in pregnancy, a body mass index of Conclusion: Our study revealed the potential determinants of low birth weight at term in the Cameroonian urban context and specifically in Douala.展开更多
Magnesium(Mg)based materials hold immense potential for various applications due to their lightweight and high strength-to-weight ratio.However,to fully harness the potential of Mg alloys,structured analytics are esse...Magnesium(Mg)based materials hold immense potential for various applications due to their lightweight and high strength-to-weight ratio.However,to fully harness the potential of Mg alloys,structured analytics are essential to gain valuable insights from centuries of accumulated knowledge.Efficient information extraction from the vast corpus of scientific literature is crucial for this purpose.In this work,we introduce MagBERT,a BERT-based language model specifically trained for Mg-based materials.Utilizing a dataset of approximately 370,000 abstracts focused on Mg and its alloys,MagBERT is designed to understand the intricate details and specialized terminology of this domain.Through rigorous evaluation,we demonstrate the effectiveness of MagBERT for information extraction using a fine-tuned named entity recognition(NER)model,named MagNER.This NER model can extract mechanical,microstructural,and processing properties related to Mg alloys.For instance,we have created an Mg alloy dataset that includes properties such as ductility,yield strength,and ultimate tensile strength(UTS),along with standard alloy names.The introduction of MagBERT is a novel advancement in the development of Mg-specific language models,marking a significant milestone in the discovery of Mg alloys and textual information extraction.By making the pre-trained weights of MagBERT publicly accessible,we aim to accelerate research and innovation in the field of Mg-based materials through efficient information extraction and knowledge discovery.展开更多
Scene text detection is an important task in computer vision.In this paper,we present YOLOv5 Scene Text(YOLOv5ST),an optimized architecture based on YOLOv5 v6.0 tailored for fast scene text detection.Our primary goal ...Scene text detection is an important task in computer vision.In this paper,we present YOLOv5 Scene Text(YOLOv5ST),an optimized architecture based on YOLOv5 v6.0 tailored for fast scene text detection.Our primary goal is to enhance inference speed without sacrificing significant detection accuracy,thereby enabling robust performance on resource-constrained devices like drones,closed-circuit television cameras,and other embedded systems.To achieve this,we propose key modifications to the network architecture to lighten the original backbone and improve feature aggregation,including replacing standard convolution with depth-wise convolution,adopting the C2 sequence module in place of C3,employing Spatial Pyramid Pooling Global(SPPG)instead of Spatial Pyramid Pooling Fast(SPPF)and integrating Bi-directional Feature Pyramid Network(BiFPN)into the neck.Experimental results demonstrate a remarkable 26%improvement in inference speed compared to the baseline,with only marginal reductions of 1.6%and 4.2%in mean average precision(mAP)at the intersection over union(IoU)thresholds of 0.5 and 0.5:0.95,respectively.Our work represents a significant advancement in scene text detection,striking a balance between speed and accuracy,making it well-suited for performance-constrained environments.展开更多
Introduction: Vaginal birth after cesarean (VBAC) plays an essential role in lowering cesarean rates. Despite endorsement, trial of labor after cesarean (TOLAC) attempt rates remain low, in part due to fear of lawsuit...Introduction: Vaginal birth after cesarean (VBAC) plays an essential role in lowering cesarean rates. Despite endorsement, trial of labor after cesarean (TOLAC) attempt rates remain low, in part due to fear of lawsuits. Zavanelli maneuver is a last resort procedure in the management of shoulder dystocia. We discuss a case of a woman determined to have a vaginal birth after her prior birth was complicated by shoulder dystocia requiring a Zavanelli maneuver. Her physicians were reluctant to allow her a TOLAC given her prior obstetric history. Case: A 34-year-old para 1 with prior cesarean delivery due to shoulder dystocia that required Zavanelli maneuver presents determined to pursue VBAC in her current pregnancy. She considered her delivery route options and addressed her modifiable risk factors. She consulted with multiple perinatologists who agreed that a TOLAC was reasonable, however she had to travel more than 70 miles (from Pennsylvania to New Jersey) to find an obstetrical practice and hospital willing to consider VBAC. She transferred care and the remainder of her prenatal course was uncomplicated. She went into labor at 41 weeks and had a successful VBAC without complication. In a thank you letter to her obstetrician, she described her birth experience as euphoric. Conclusion: This case illustrates how a woman’s choice of delivery route may be impacted by fear of litigation. Local providers focused on her prior delivery instead of her overall improved risk profile. Delivery route decisions should be based on a thorough evaluation of all risk factors and individualized to meet the reproductive goals of each woman. .展开更多
Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic a...Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic and associated factors influencing vaginal birth after one cesarean (VBAC-1) success focusing on variables like pre-pregnancy BMI, diabetes, hypertension, education, and smoking. Study Design and Methods: In this retrospective study, we analyzed 285 cases (81 unsuccessful VBAC-1, 204 successful VBAC-1) from San Juan City Hospital (Puerto Rico) between January 1, 2019, and December 31, 2020. We used odds ratios and model selection comparison to assess the impact of variables on successful VBAC-1, using a significance threshold of 95% CI. Model selection assessed binomial model combinations using a generalized linear approach to identify key risk factors. Results: Unsuccessful VBAC-1 (a repeat cesarean), was associated with diabetes (OR: 0.376, p = 0.086), hypertension (OR: 0.23, p = 0.006), and university-educated women (OR: 1.372, p = 0.711). High school-educated women had an OR of 3.966 (p = 0.105), while overweight women were 0.481 times more likely to have unsuccessful VBAC-1 (p = 0.041). Significant associations were not found with obesity (OR: 0.574, p = 0.122), underweight/normal (OR: 1.01, p = 0.810), or smoking (OR: 1.227, p = 0.990). Conclusion: Results revealed women with higher education levels, hypertension, or diabetes are less likely to have a successful VBAC-1. Understanding the complex interactions affecting these outcomes is aimed at establishing guidelines for healthcare professionals to conduct systematic risk/benefit assessments. This study lays a foundation for evidence-based practices and policies, offering initial insights into VBAC-1 success factors in Puerto Rico.展开更多
文摘Large language models(LLMs),such as ChatGPT developed by OpenAI,represent a significant advancement in artificial intelligence(AI),designed to understand,generate,and interpret human language by analyzing extensive text data.Their potential integration into clinical settings offers a promising avenue that could transform clinical diagnosis and decision-making processes in the future(Thirunavukarasu et al.,2023).This article aims to provide an in-depth analysis of LLMs’current and potential impact on clinical practices.Their ability to generate differential diagnosis lists underscores their potential as invaluable tools in medical practice and education(Hirosawa et al.,2023;Koga et al.,2023).
文摘Time and environmental physical activity are involved in timing of many medical events. In a recent study published by the National Academy of Science, USA it was shown that month of birth is related to longevity. The aim of this study was to check the month of birth distribution in a great group of AMI patients of both gender, one of the great killers in the developed countries, to check the mentioned paradigm of month of birth and longevity. Methods & Patients: Patients admitted to Cardiology Departments of a tertiary University Hospital in Kaunas, Lithuania with AMI at years 1990-2010 (n-22047) were studied. Month of birth of these patients, total and both gender were checked. Monthly, quarterly and trimester comparison were done. Statistical differences established using t-Student test and distribution by percents of the yearly months of birth. Results: It was a significant difference in the month of birth of the studied AMI population. January and first quarter and trimester born patients were more often in the studied AMI patients group. The higher morbidity by Cardiovascular diseases can be a significant ingredient in the structure of population longevity. Possible mechanisms explaining our findings are discussed. Conclusion: In the AMI population people born in January, first quarter or trimester of the year are dominating in both gender groups. The results of this study can be an additional confirmation of the paradigm about links between month of birth and longevity.
文摘传统编目分类和规则匹配方法存在工作效能低、过度依赖专家知识、缺乏对古籍文本自身语义的深层次挖掘、编目主题边界模糊、较难实现对古籍文本领域主题的精准推荐等问题。为此,本文结合古籍语料特征探究如何实现精准推荐符合研究者需求的文本主题内容的方法,以推动数字人文研究的进一步发展。首先,选取本课题组前期标注的古籍语料数据进行主题类别标注和视图分类;其次,构建融合BERT(bidirectional encoder representation from transformers)预训练模型、改进卷积神经网络、循环神经网络和多头注意力机制的语义挖掘模型;最后,融入“主体-关系-客体”多视图的语义增强模型,构建DJ-TextRCNN(DianJi-recurrent convolutional neural networks for text classification)模型实现对典籍文本更细粒度、更深层次、更多维度的语义挖掘。研究结果发现,DJ-TextRCNN模型在不同视图下的古籍主题推荐任务的准确率均为最优。在“主体-关系-客体”视图下,精确率达到88.54%,初步实现了对古籍文本的精准主题推荐,对中华文化深层次、细粒度的语义挖掘具有一定的指导意义。
文摘以编目分类和规则匹配为主的古籍文本主题分类方法存在工作效能低、专家知识依赖性强、分类依据单一化、古籍文本主题自动分类难等问题。对此,本文结合古籍文本内容和文字特征,尝试从古籍内容分类得到符合研究者需求的主题,推动数字人文研究范式的转型。首先,参照东汉古籍《说文解字》对文字的分析方式,以前期标注的古籍语料数据集为基础,构建全新的“字音(说)-原文(文)-结构(解)-字形(字)”四维特征数据集。其次,设计四维特征向量提取模型(speaking,word,pattern,and font to vector,SWPF2vec),并结合预训练模型实现对古籍文本细粒度的特征表示。再其次,构建融合卷积神经网络、循环神经网络和多头注意力机制的古籍文本主题分类模型(dianji-recurrent convolutional neural networks for text classification,DJ-TextRCNN)。最后,融入四维语义特征,实现对古籍文本多维度、深层次、细粒度的语义挖掘。在古籍文本主题分类任务上,DJ-TextRCNN模型在不同维度特征下的主题分类准确率均为最优,在“说文解字”四维特征下达到76.23%的准确率,初步实现了对古籍文本的精准主题分类。
基金supported by the General Projects of ISTIC Innovation Foundation“Problem innovation solution mining based on text generation model”(MS2024-03).
文摘Purpose:A text generation based multidisciplinary problem identification method is proposed,which does not rely on a large amount of data annotation.Design/methodology/approach:The proposed method first identifies the research objective types and disciplinary labels of papers using a text classification technique;second,it generates abstractive titles for each paper based on abstract and research objective types using a generative pre-trained language model;third,it extracts problem phrases from generated titles according to regular expression rules;fourth,it creates problem relation networks and identifies the same problems by exploiting a weighted community detection algorithm;finally,it identifies multidisciplinary problems based on the disciplinary labels of papers.Findings:Experiments in the“Carbon Peaking and Carbon Neutrality”field show that the proposed method can effectively identify multidisciplinary research problems.The disciplinary distribution of the identified problems is consistent with our understanding of multidisciplinary collaboration in the field.Research limitations:It is necessary to use the proposed method in other multidisciplinary fields to validate its effectiveness.Practical implications:Multidisciplinary problem identification helps to gather multidisciplinary forces to solve complex real-world problems for the governments,fund valuable multidisciplinary problems for research management authorities,and borrow ideas from other disciplines for researchers.Originality/value:This approach proposes a novel multidisciplinary problem identification method based on text generation,which identifies multidisciplinary problems based on generative abstractive titles of papers without data annotation required by standard sequence labeling techniques.
基金This work is supported in part by the National Natural Science Foundation of China(Grant Number 61971078)which provided domain expertise and computational power that greatly assisted the activity+1 种基金This work was financially supported by Chongqing Municipal Education Commission Grants forMajor Science and Technology Project(KJZD-M202301901)the Science and Technology Research Project of Jiangxi Department of Education(GJJ2201049).
文摘Text perception is crucial for understanding the semantics of outdoor scenes,making it a key requirement for building intelligent systems for driver assistance or autonomous driving.Text information in car-mounted videos can assist drivers in making decisions.However,Car-mounted video text images pose challenges such as complex backgrounds,small fonts,and the need for real-time detection.We proposed a robust Car-mounted Video Text Detector(CVTD).It is a lightweight text detection model based on ResNet18 for feature extraction,capable of detecting text in arbitrary shapes.Our model efficiently extracted global text positions through the Coordinate Attention Threshold Activation(CATA)and enhanced the representation capability through stacking two Feature Pyramid Enhancement Fusion Modules(FPEFM),strengthening feature representation,and integrating text local features and global position information,reinforcing the representation capability of the CVTD model.The enhanced feature maps,when acted upon by Text Activation Maps(TAM),effectively distinguished text foreground from non-text regions.Additionally,we collected and annotated a dataset containing 2200 images of Car-mounted Video Text(CVT)under various road conditions for training and evaluating our model’s performance.We further tested our model on four other challenging public natural scene text detection benchmark datasets,demonstrating its strong generalization ability and real-time detection speed.This model holds potential for practical applications in real-world scenarios.
基金Sponsored by the Scientific Research Project of Zhejiang Provincial Department of Education(Grant No.KYY-ZX-20210329).
文摘To remove handwritten texts from an image of a document taken by smart phone,an intelligent removal method was proposed that combines dewarping and Fully Convolutional Network with Atrous Convolutional and Atrous Spatial Pyramid Pooling(FCN-AC-ASPP).For a picture taken by a smart phone,firstly,the image is transformed into a regular image by the dewarping algorithm.Secondly,the FCN-AC-ASPP is used to classify printed texts and handwritten texts.Lastly,handwritten texts can be removed by a simple algorithm.Experiments show that the classification accuracy of the FCN-AC-ASPP is better than FCN,DeeplabV3+,FCN-AC.For handwritten texts removal effect,the method of combining dewarping and FCN-AC-ASPP is superior to FCN-AC-ASP alone.
文摘Introduction: Low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight strictly below 2500 g, whatever the term of pregnancy. It constitutes a major public health problem, both in developed and developing countries, due to its magnitude and its strong association with infant morbidity and mortality. Main objective was to study the factors associated with the occurrence of small-for-gestational-age newborns in Douala. Methodology: We carried out a cross-sectional analytical study with prospective data collection using a technical pretested sheet in the maternity wards of the Douala General Hospital, the Laquintinie Hospital, and the District hospitals of Deido, Nylon and Bonassama over a period of 4 months (January to April 2020). We were interested in any newborn, born alive, vaginally or by cesarean section, of low weight, seen in the first 24 hours from a full-term single-fetal pregnancy whose mother had given her consent. Our sampling was consecutive and non-exhaustive. We excluded newborns whose term was unclear and those with congenital malformations or signs of embryo-foetopathy. Data collection was done using survey sheets. Statistical analyzes were carried out with CS Pro 7.3 and SPSS version 25.0 software. The Student, Chi-square and Fischer tests were used to compare the means of the variables, the percentages with a significance threshold P value Results: During the study period, 305 full-term newborns were included, divided into 172 boys and 133 girls. The percentage of small-for-gestational-age newborns was 9.8%;after multivariate analysis by logistic regression to eliminate confounding factors, we found maternal factors associated with small for gestational age newborns;maternal age less than 20 years, primiparity, gestational age (37 - 38), a delay in prenatal visits greater than 14 weeks, anemia in pregnancy, positive toxoplasmosis serology in pregnancy, a body mass index of Conclusion: Our study revealed the potential determinants of low birth weight at term in the Cameroonian urban context and specifically in Douala.
基金supported by the National Research Foundation of Korea(NRF)grant funded by the Korea government(MSIT)(No.RS-2023-00221186).
文摘Magnesium(Mg)based materials hold immense potential for various applications due to their lightweight and high strength-to-weight ratio.However,to fully harness the potential of Mg alloys,structured analytics are essential to gain valuable insights from centuries of accumulated knowledge.Efficient information extraction from the vast corpus of scientific literature is crucial for this purpose.In this work,we introduce MagBERT,a BERT-based language model specifically trained for Mg-based materials.Utilizing a dataset of approximately 370,000 abstracts focused on Mg and its alloys,MagBERT is designed to understand the intricate details and specialized terminology of this domain.Through rigorous evaluation,we demonstrate the effectiveness of MagBERT for information extraction using a fine-tuned named entity recognition(NER)model,named MagNER.This NER model can extract mechanical,microstructural,and processing properties related to Mg alloys.For instance,we have created an Mg alloy dataset that includes properties such as ductility,yield strength,and ultimate tensile strength(UTS),along with standard alloy names.The introduction of MagBERT is a novel advancement in the development of Mg-specific language models,marking a significant milestone in the discovery of Mg alloys and textual information extraction.By making the pre-trained weights of MagBERT publicly accessible,we aim to accelerate research and innovation in the field of Mg-based materials through efficient information extraction and knowledge discovery.
基金the National Natural Science Foundation of PRChina(42075130)Nari Technology Co.,Ltd.(4561655965)。
文摘Scene text detection is an important task in computer vision.In this paper,we present YOLOv5 Scene Text(YOLOv5ST),an optimized architecture based on YOLOv5 v6.0 tailored for fast scene text detection.Our primary goal is to enhance inference speed without sacrificing significant detection accuracy,thereby enabling robust performance on resource-constrained devices like drones,closed-circuit television cameras,and other embedded systems.To achieve this,we propose key modifications to the network architecture to lighten the original backbone and improve feature aggregation,including replacing standard convolution with depth-wise convolution,adopting the C2 sequence module in place of C3,employing Spatial Pyramid Pooling Global(SPPG)instead of Spatial Pyramid Pooling Fast(SPPF)and integrating Bi-directional Feature Pyramid Network(BiFPN)into the neck.Experimental results demonstrate a remarkable 26%improvement in inference speed compared to the baseline,with only marginal reductions of 1.6%and 4.2%in mean average precision(mAP)at the intersection over union(IoU)thresholds of 0.5 and 0.5:0.95,respectively.Our work represents a significant advancement in scene text detection,striking a balance between speed and accuracy,making it well-suited for performance-constrained environments.
文摘Introduction: Vaginal birth after cesarean (VBAC) plays an essential role in lowering cesarean rates. Despite endorsement, trial of labor after cesarean (TOLAC) attempt rates remain low, in part due to fear of lawsuits. Zavanelli maneuver is a last resort procedure in the management of shoulder dystocia. We discuss a case of a woman determined to have a vaginal birth after her prior birth was complicated by shoulder dystocia requiring a Zavanelli maneuver. Her physicians were reluctant to allow her a TOLAC given her prior obstetric history. Case: A 34-year-old para 1 with prior cesarean delivery due to shoulder dystocia that required Zavanelli maneuver presents determined to pursue VBAC in her current pregnancy. She considered her delivery route options and addressed her modifiable risk factors. She consulted with multiple perinatologists who agreed that a TOLAC was reasonable, however she had to travel more than 70 miles (from Pennsylvania to New Jersey) to find an obstetrical practice and hospital willing to consider VBAC. She transferred care and the remainder of her prenatal course was uncomplicated. She went into labor at 41 weeks and had a successful VBAC without complication. In a thank you letter to her obstetrician, she described her birth experience as euphoric. Conclusion: This case illustrates how a woman’s choice of delivery route may be impacted by fear of litigation. Local providers focused on her prior delivery instead of her overall improved risk profile. Delivery route decisions should be based on a thorough evaluation of all risk factors and individualized to meet the reproductive goals of each woman. .
文摘Background: Cesarean section (CS) has increased steadily over the last decade, with an estimated one-third of women delivering by cesarean section worldwide. Objective: Our study aimed to investigate the demographic and associated factors influencing vaginal birth after one cesarean (VBAC-1) success focusing on variables like pre-pregnancy BMI, diabetes, hypertension, education, and smoking. Study Design and Methods: In this retrospective study, we analyzed 285 cases (81 unsuccessful VBAC-1, 204 successful VBAC-1) from San Juan City Hospital (Puerto Rico) between January 1, 2019, and December 31, 2020. We used odds ratios and model selection comparison to assess the impact of variables on successful VBAC-1, using a significance threshold of 95% CI. Model selection assessed binomial model combinations using a generalized linear approach to identify key risk factors. Results: Unsuccessful VBAC-1 (a repeat cesarean), was associated with diabetes (OR: 0.376, p = 0.086), hypertension (OR: 0.23, p = 0.006), and university-educated women (OR: 1.372, p = 0.711). High school-educated women had an OR of 3.966 (p = 0.105), while overweight women were 0.481 times more likely to have unsuccessful VBAC-1 (p = 0.041). Significant associations were not found with obesity (OR: 0.574, p = 0.122), underweight/normal (OR: 1.01, p = 0.810), or smoking (OR: 1.227, p = 0.990). Conclusion: Results revealed women with higher education levels, hypertension, or diabetes are less likely to have a successful VBAC-1. Understanding the complex interactions affecting these outcomes is aimed at establishing guidelines for healthcare professionals to conduct systematic risk/benefit assessments. This study lays a foundation for evidence-based practices and policies, offering initial insights into VBAC-1 success factors in Puerto Rico.