Scheme Based on Multi-Level Patch Attention and Lesion Localization for Diabetic Retinopathy Grading

Early screening of diabetes retinopathy(DR)plays an important role in preventing irreversible blindness.Existing research has failed to fully explore effective DR lesion information in fundus maps.Besides,traditional attention schemes have not considered the impact of lesion type differences on grading,resulting in unreasonable extraction of important lesion features.Therefore,this paper proposes a DR diagnosis scheme that integrates a multi-level patch attention generator(MPAG)and a lesion localization module(LLM).Firstly,MPAGis used to predict patches of different sizes and generate a weighted attention map based on the prediction score and the types of lesions contained in the patches,fully considering the impact of lesion type differences on grading,solving the problem that the attention maps of lesions cannot be further refined and then adapted to the final DR diagnosis task.Secondly,the LLM generates a global attention map based on localization.Finally,the weighted attention map and global attention map are weighted with the fundus map to fully explore effective DR lesion information and increase the attention of the classification network to lesion details.This paper demonstrates the effectiveness of the proposed method through extensive experiments on the public DDR dataset,obtaining an accuracy of 0.8064.

Mechanical response and dilatancy characteristics of deep marble under different stress paths:A sight from energy dissipation

Dilatancy is a fundamental volumetric growth behavior observed during loading and serves as a key index to comprehending the intricate nonlinear behavior and constitutive equation structure of rock.This study focuses on Jinping marble obtained from the Jinping Underground Laboratory in China at a depth of 2400 m.Various uniaxial and triaxial tests at different strain rates,along with constant confining pressure tests and reduced confining pressure tests under different confining pressures were conducted to analyze the mechanical response and dilatancy characteristics of the marble under four stress paths.Subsequently,a new empirical dilatancy coefficient is proposed based on the energy dissipation method.The results show that brittle failure characteristics of marble under uniaxial compression are more obvious with the strain rate increasing,and plastic failure characteristics of marble under triaxial compression are gradually strengthened.Furthermore,compared to the constant confining pressure,the volume expansion is relatively lower under unloading condition.The energy dissipation is closely linked to the process of dilatancy,with a rapid increase of dissipated energy coinciding with the beginning of dilatancy.A new empirical dilatancy coefficient is defined according to the change trend of energy dissipation rate curve,of which change trend is consistent with the actual dilatancy response in marble under different stress paths.The existing empirical and theoretical dilatancy models are analyzed,which shows that the empirical dilatancy coefficient based on the energy background is more universal.

Characteristics and Mechanisms of Persistent Wet–Cold Events with Different Cold-air Paths in South China

We investigate the characteristics and mechanisms of persistent wet–cold events(PWCEs)with different types of coldair paths.Results show that the cumulative single-station frequency of the PWCEs in the western part of South China is higher than that in the eastern part.The pattern of single-station frequency of the PWCEs are“Yangtze River(YR)uniform”and“east–west inverse”.The YR uniform pattern is the dominant mode,so we focus on this pattern.The cold-air paths for PWCEs of the YR uniform pattern are divided into three types—namely,the west,northwest and north types—among which the west type accounts for the largest proportion.The differences in atmospheric circulation of the PWCEs under the three types of paths are obvious.The thermal inversion layer in the lower troposphere is favorable for precipitation during the PWCEs.The positive water vapor budget for the three types of PWCEs mainly appears at the southern boundary.

Spatiotemporal variations,influencing factors,and configurational promotion paths of energy efficiency in China’s cities

The promotion of energy efficiency(EE)helps address energy constraints and promote environmental sustainability.This study comprehensively explores the spatiotemporal variations,influencing factors,and configuration promotion paths of EE in 284 Chinese cities during 2003‒2019 using the global super-efficiency minimum distance to strong efficient frontier(G-S-MinDS),exploratory spatial data analysis(ESDA),multiscale geographically weighted regression(MGWR),and fuzzy set qualitative comparative analysis(fsQCA)methods.The findings are:①China’s cities have an annual average EE of 0.658 with a growth rate of 0.53%,showing considerable promotion potential.②Industrial structure optimization,population agglomeration,economic development,and increased green coverage contribute positively,while government intervention and openness hinder China’s urban EE.③Four configurational promotion paths for enhancing China’s urban EE are identified,where among those paths population density is a core condition,while government intervention is not.This study provides valuable insights into substantially improving urban EE,emphasizing the need for targeted policies to address energy and environmental crises in China.

Strategies and Paths for Constructing Rural Landscape Ecological Security Pattern in the Context of Rural Revitalization

It is one of the fundamental research contents of rural revitalization by constructing a ecological security pattern of rural landscape,providing important basis for scientifically formulating rural spatial planning and sustainable rural development.The research on ecological security patterns of landscape at home and abroad is mainly focused on urban areas.In the context of rural revitalization,the research on strategies and paths for constructing the ecological security pattern of rural landscapes aims to provide important references for the overall planning and design of rural areas and the optimization of rural resource allocation.Using 3S(GPS,RS,GIS)technology methods,this paper systematically analyzes and elaborates on the construction strategies and paths of rural water ecological security pattern,rural biological protection security pattern,rural geological disaster security pattern,and local cultural landscape security pattern.Through the comprehensive superposition of the patterns,a comprehensive ecological security pattern of rural landscape is finally constructed.In the process of constructing and improving the ecological security pattern of rural landscape,emphasis is placed on top-level design,long-term planning,multi-party participation,mechanism improvement,technological innovation,and the strategy of“integrating knowledge with action”.

Green transformation paths of resource-based cities in China from the configuration perspective

Green transformation is an unavoidable choice for resource-based cities(RBCs)that face resource depletion and environmental pollution.Existing research has focused primarily on specific RBCs,making it challenging to apply green transformation strategies universally across cities.The fuzzy set qualitative comparative analysis(fsQCA)is a combination of qualitative and quantitative analyses that can handle multiple concurrent causality problems and determine how different conditions combine into configurations and generate an outcome.Thus,to address this gap,in this study,we established a research framework for green transformation and utilized the fsQCA to examine the configurations of 113 RBCs in China.By incorporating the element of time,this study explored the dynamic evolution of solutions in 2013,2016,and 2019.The main findings indicate that individual elements do not constitute the necessary conditions for improving the green transformation efficiency(GTE),and the systematic combination of multiple conditions is an effective path for realizing the improvement of the GTE in RBCs.Green transformation paths of RBCs exhibit the same destination through different paths.Additionally,the combination of system environment elements and system structure elements is both complementary and alternative.Differences in RBCs have led to various factor combinations and development paths,but there are some similarities in the key elements of the factor combinations at different stages.Economic environment,government support,and technological innovation are key factors that universally enhance the GTE in RBCs.These insights can assist city managers in formulating policies to drive green transformation and contribute to a better theoretical understanding of green transformation paths in RBCs.

Evolution of mechanical parameters of Shuangjiangkou granite under different loading cycles and stress paths

Surrounding rocks at different locations are generally subjected to different stress paths during the process of deep hard rock excavation.In this study,to reveal the mechanical parameters of deep surrounding rock under different stress paths,a new cyclic loading and unloading test method for controlled true triaxial loading and unloading and principal stress direction interchange was proposed,and the evolution of mechanical parameters of Shuangjiangkou granite under different stress paths was studied,including the deformation modulus,elastic deformation increment ratios,fracture degree,cohesion and internal friction angle.Additionally,stress path coefficient was defined to characterize different stress paths,and the functional relationships among the stress path coefficient,rock fracture degree difference coefficient,cohesion and internal friction angle were obtained.The results show that during the true triaxial cyclic loading and unloading process,the deformation modulus and cohesion gradually decrease,while the internal friction angle gradually increases with increasing equivalent crack strain.The stress path coefficient is exponentially related to the rock fracture degree difference coefficient.As the stress path coefficient increases,the degrees of cohesion weakening and internal friction angle strengthening decrease linearly.During cyclic loading and unloading under true triaxial principal stress direction interchange,the direction of crack development changes,and the deformation modulus increases,while the cohesion and internal friction angle decrease slightly,indicating that the principal stress direction interchange has a strengthening effect on the surrounding rocks.Finally,the influences of the principal stress interchange direction on the stabilities of deep engineering excavation projects are discussed.

The Opportunities,Dilemmas,and Paths for the Development of Adult Higher Education in the New Era

This paper comprehensively analyzes the development opportunities and realistic dilemmas faced by adult higher education in China in the new era,and puts forward corresponding strategies as solutions.With the construction of a learning society,the development of digital technology,and the popularization of the concept of lifelong learning,adult higher education has unprecedented development opportunities.At the same time,these forms of education are facing a series of dilemmas due to challenges such as unsound guarantee mechanisms and traditional enrollment competition.Through the establishment of perfect legal and policy guarantees,transformation of school running mode,meeting the diversified needs of learners,and other multi-faceted measures,the development of adult higher education can be effectively promoted to meet the needs of individual and social development.

A Study on the Problems and Solution Paths in the Conduct of Elderly Competency Assessment

Exploring the problems existing in the process of carrying out an elderly competency assessment aims to provide useful references for its improvement.Starting from the importance of elderly competency assessment in the field of elderly services,this paper analyses the problems in the process of carrying out elderly competency assessment and explores the corresponding solutions.The analysis finds that problems in the process of carrying out elderly competency assessment are inevitable,but as long as the study continues to explore and innovate and actively seek solution paths,the study will be able to overcome these difficulties and provide the elderly with better and more efficient elderly services.

The Existing Problems and Optimization Paths of Digital Textbooks Under Background of Internet

With the rapid development of information technology,the combination of terminal technology,big data and mobile Internet and textbooks has become an irresistible trend in the modern education field.Under the context of the Internet,carrying out education and teaching activities based on digital textbooks can give full play to the rich media,openness and interaction of digital textbooks,broaden students′horizon,enrich students′knowledge,and promote the improvement of students′ability and all-round development.However,in the specific teaching practice,there are also problems such as old compilation ideas,single compilation mode and low efficiency of personalized learning.Therefore,schools and teachers need to constantly innovate the presentation and arrangement of digital textbooks,strengthen technical support,deepen students′understanding of the teaching content of digital textbooks,promote the comprehensive development of students and improve the effectiveness of digital textbook teaching.

Research on the Improvement and Innovation Paths of Teaching Quality in Private Universities in Zhejiang Province in the Digital Era

In the digital era,the education and teaching of private undergraduate universities in China are undergoing innovative reform.This article uses the literature review method to conduct a survey and research on the quality of teaching resources,teaching platforms,and literature reserves,and proposes a series of strategies and innovative paths to improve the teaching quality of private undergraduate universities.The research results show that the rational use of digital technology can improve the quality of education and teaching,and achieve innovative development in education and teaching.The research results have certain theoretical value and guiding significance for the teaching reform of private undergraduate universities under the background of digital teaching.

The Influencing Factors and Improvement Paths of Applied Talent Training Mode under the Digital Informatization

This study takes the human resource management major of Guangzhou Institute of Science and Technology as an example to discuss the factors influencing the applied talent training mode and improvement paths under digital informatization.The research points out that digital informatization poses new challenges and opportunities to higher education and requires the applied talent training mode to practice and innovate.This study identified five key influencing factors of the applied talent training mode under digital informatization:curriculum setting,teaching methods,faculty structure,practical teaching,and student training.This research presents the improvement paths,including optimizing curriculum settings,innovating teaching methods,adjusting teacher structure,improving practical teaching,and creating student training.Implementing these paths will help students master the latest knowledge and skills of digital informatization,improve their practical ability and innovative thinking to meet the social demand for human resource management professionals,and promote the development of higher education system.

Differentiated Paths of Regional Green Development Driven by Industrial Enterprise Innovation

A fundamental shift in the regional development pattern is crucial to achieving a comprehensive green transformation in China.Currently,innovation-driven green development is a significant strategic option for regional development.As the main body of innovation and the basic unit of regional composition,enterprises have a profound impact on the development of regional economy,society,ecology,and other aspects.However,considering China’s vast territory and significant regional differences in natural environment and industrial structure,it’s necessary to further explore the specific impact paths of regional green development driven by enterprise innovation.Therefore,taking industrial enterprises as an example,based on the panel data of 30 provinces in China from 2016 to 2020,this study verifies the impact of industrial enterprise innovation on the regional green development level by constructing a parallel multiple mediating effect model and dividing the economy into eastern,central,and western regions to discuss the specific impact paths.The results show that industrial enterprise innovation has a significant positive effect on regional green development level,via different influencing paths in each region:(1)The eastern region improves the regional green development level by narrowing the urban-rural income gap;(2)The central region improves the regional green development level by reducing resource dependence;and(3)The western region raises the regional green development level by improving the rationalization of industrial structure.

Construction of Ideological and Political Education in English Teacher Education Courses in Local Normal Universities:Objectives,Connotations,and Implementation Paths

The integration of ideological and political education into university curricula represents a new trend in holistic,comprehensive,and all-around education.The concept of“ideological and political education in English teacher education courses”embodies an interdisciplinary approach to curriculum reform.Grounded in the principle of fostering moral integrity,it aims to create high-quality courses by seamlessly integrating the transmission of knowledge and skills with the guidance of ideological values.This study explores the status quo,significance,and implementation pathways for integrating ideological and political education into English teacher education courses,providing valuable insights for future curricular development.

Dual-Path Vision Transformer用于急性缺血性脑卒中辅助诊断

急性缺血性脑卒中是由于脑组织血液供应障碍导致的脑功能障碍,数字减影脑血管造影(DSA)是诊断脑血管疾病的金标准。基于患者的正面和侧面DSA图像,对急性缺血性脑卒中的治疗效果进行分级评估,构建基于Vision Transformer的双路径图像分类智能模型DPVF。为了提高辅助诊断速度,基于EdgeViT的轻量化设计思想进行了模型的构建;为了使模型保持轻量化的同时具有较高的精度,提出空间-通道自注意力模块,促进Transformer模型捕获更全面的特征信息,提高模型的表达能力;此外,对于DPVF的两分支的特征融合,构建交叉注意力模块对两分支输出进行交叉融合,促使模型提取更丰富的特征,从而提高模型表现。实验结果显示DPVF在测试集上的准确率达98.5%,满足实际需求。

The Coordinated Influence of Indian Ocean Sea Surface Temperature and Arctic Sea Ice on Anomalous Northeast China Cold Vortex Activities with Different Paths during Late Summer

The Northeast China cold vortex(NCCV)during late summer(from July to August)is identified and classified into three types in terms of its movement path using machine learning.The relationships of the three types of NCCV intensity with atmospheric circulations in late summer,the sea surface temperature(SST),and Arctic sea ice concentration(SIC)in the preceding months,are analyzed.The sensitivity tests by the Community Atmosphere Model version 5.3(CAM5.3)are used to verify the statistical results.The results show that the coordination pattern of East Asia-Pacific(EAP)and Lake Baikal high pressure forced by SST anomalies in the North Indian Ocean dipole mode(NIOD)during the preceding April and SIC anomalies in the Nansen Basin during the preceding June results in an intensity anomaly for the first type of NCCV.While the pattern of high pressure over the Urals and Okhotsk Sea and low pressure over Lake Baikal during late summer-which is forced by SST anomalies in the South Indian Ocean dipole mode(SIOD)in the preceding June and SIC anomalies in the Barents Sea in the preceding April-causes the intensity anomaly of the second type.The third type is atypical and is not analyzed in detail.Sensitivity tests,jointly forced by the SST and SIC in the preceding period,can well reproduce the observations.In contrast,the results forced separately by the SST and SIC are poor,indicating that the NCCV during late summer is likely influenced by the coordinated effects of both SST and SIC in the preceding months.

Mechanical behavior of iron ore tailings under standard compression and extension triaxial stress paths

The disposal of mining tailings has increasingly focused on the use of dry stacks.These structures offer more security since they use filtered and compacted material.Because of the construction method and the heights achieved,the material that compounds the structure can be subjected to different stress paths along the failure plane.The theoretical framework considered in the design of these structures generally is the critical state soil mechanics(CSSM).However,the data in the literature concerning the uniqueness of critical state line(CSL)is still controversial as the soil is subjected to different stress paths.With respect to tailings,this question is even more restricted.This paper studies two tailings with different gradings due to the beneficial processes over extension and compression paths.A series of drained and undrained triaxial tests was conducted over a range of initial densities and stress levels.In the q-p'plane,different critical stress ratio(M)values were obtained for compression and extension stress paths.However,the critical state friction angle is very similar with a slightly higher critical state friction angle for extension tests.Curved stress path dependent CSLs were obtained in the n-lnp0 plane with the extension tests below the CSL defined in compression.Regarding the fines content,the studied tailings presented very similar M and critical state friction angle values.However,the fines content af-fects the volumetric behavior of the studied tailings and the CSLs on the n-lnp0 plane shift downwards with the increasing fines content for compression and extension tests.In relation to dilatancy analysis,the fines content did not present an evident influence on the dilatancy of the materials.However,different values of mean stress ratio N were obtained between compression and extension tests and can corroborate the existence of non-unique CSLs for these materials.

Quantitatively characterizing sandy soil structure altered by MICP using multi-level thresholding segmentation algorithm

The influences of biological,chemical,and flow processes on soil structure through microbially induced carbonate precipitation(MICP)are not yet fully understood.In this study,we use a multi-level thresholding segmentation algorithm,genetic algorithm(GA)enhanced Kapur entropy(KE)(GAE-KE),to accomplish quantitative characterization of sandy soil structure altered by MICP cementation.A sandy soil sample was treated using MICP method and scanned by the synchrotron radiation(SR)micro-CT with a resolution of 6.5 mm.After validation,tri-level thresholding segmentation using GAE-KE successfully separated the precipitated calcium carbonate crystals from sand particles and pores.The spatial distributions of porosity,pore structure parameters,and flow characteristics were calculated for quantitative characterization.The results offer pore-scale insights into the MICP treatment effect,and the quantitative understanding confirms the feasibility of the GAE-KE multi-level thresholding segmentation algorithm.

Types and Optimization Paths Between Poverty Alleviation Effectiveness and Rural Revitalization:A Case Study of Hunan Province,China

Exploring the synergy types and optimization paths between Poverty Alleviation Effectiveness and Rural Revitalization is necessary for achieving the two centenary goals.Taking poverty alleviation counties in Hunan Province,China as an example,our study proposed an indicator to measure the synergistic development between Poverty Alleviation Effectiveness and Rural Revitalization using the multi-index integrated evaluation method.Then,the coupling types were classified based on both the proposed indicator and regional characteristics.Besides,the corresponding optimization path for each coupling type was proposed to promote the synergistic development of Poverty Alleviation and Rural Revitalization.Results are as follows:1)Lower synergy focused on the southwestern Hunan,while low synergy is widely distributed(such as the west,southwest,northwest,and midland).Moderate synergy is in the midland,such as Huaihua and Chenzhou cities.High synergy is distributed in Yongzhou,Huaihua,Xiangxi cities,etc.Besides,only Hecheng City belongs to the higher synergy.2)This paper proposes corresponding development paths for different development characteristics and main problems from multiple perspectives of the protection system,industrial planning,and rural market.Continuously consolidate and enhance the effectiveness of Poverty Alleviation and Rural Revitalization to achieve coupled and synergistic development of the two systems.Our research results can provide theoretical support for implementing Poverty Alleviation and Rural Revitalization in Hunan Province,China.

Exploration on Key Technologies and Practical Paths for Carbon Emission Reduction in Food System

On the basis of existing research,carbon emission reduction technologies in production,processing,packaging,transportation and storage of the food system were summarized,and their application effects were analyzed.In view of the inherent inadequacy of carbon emission reduction technologies in Chinese food system,starting from carbon labeling technologies and ESG system of the food industry,the unsoundness of the carbon emission reduction evaluation system and the high cost of related technology promotion,countermeasures such as strengthening top-level design,encouraging and supporting the development of new carbon emission reduction technologies,and improving carbon emission reduction technology subsidies were proposed by drawing on domestic and international experiences.