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    951 research outputs found

    Smooth Attention: Improving Image Semantic Segmentation

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    This document shows the required format and appearance of a manuscript prepared for SPIE journals. It is prepared using LaTeX2e with the class file spieman. cls. Please note that the following journals require the use of structured abstracts in manuscript submissions: Neurophotonics, the Journal of Biomedical Optics, and the Journal of Medical Imaging. Structured abstracts are encouraged for the Journal of Micro/Nanolithography, MEMS, and MOEMS. Guidelines are available on the journal website. Whether structured or single-paragraph, the abstract should be a summary of the paper and not an introduction. Because the abstract may be used in abstracting and indexing databases, it should be self-contained (i.e., no numerical references) and substantive in nature, presenting concisely the objectives, methodology used, results obtained, and their significance. A list of up to six keywords should immediately follow

    The Anarchic Growth of the Central Region of Mexico. Current and Future Consequences

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    This is an essay on the consequences of the indiscriminate growth of the central region of Mexico. It is a mixed research, in which the qualitative and quantitative approaches interact with the objectives, on the one hand, to facilitate the understanding of the serious multifaceted situation of the inhabitants and the ecological imbalance of this region, and on the other to propose a drastic paradigm shift in the policy of human settlements and the fight against corruption that is ultimately the root cause of the problem at hand. The procedural part includes statistical data on population, extension, and population density of seven entities in the region: Mexico City, and the States of Mexico, Tlaxcala, Puebla, Quer�taro, Hidalgo and Morelos. The propositional part is based on the methodology called "creative imagination" of Giambattista Vico, an Italian philosopher who lived five centuries ago, but whose thought is still valid today. The results of the research were based on the systems approach and the theory of constraints supported respectively by Fritjof Capra and Eliyahu Goldratt

    Assessing and Addressing Risks to Crop Production Caused by Extreme Weather: A Case Study in Rural Kashkadarya

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    This work evaluates the impact of climate-induced damage to wheat production in Kashkadarya (Uzbekistan), was conducted in April and June of 2023, and examines the effectiveness of various management strategies to mitigate these risks. Based on a survey of 120 wheat growers, this study applies parametric and non-parametric econometric techniques to assess the production risks associated with extreme weather events and the role of innovative management strategies in reducing crop damage. The findings highlight the significant adverse effects of severe weather events, such as thunderstorms, windstorms, and hailstorms, on wheat yield, and demonstrate that the adoption of strategies like those for watercourse availability, shelterbelt plantation, and adjustments to irrigation schedules can significantly reduce wheat losses. This study underscores the importance of financial and technical support for farmers to adopt such strategies and suggests further research to explore effective adaptation measures to protect crops from weather shocks. By integrating empirical data with sophisticated econometric models, this study offers a comprehensive view on the adaptation processes necessary for sustaining agricultural productivity in the face of climatic uncertainties. In addition, this work serves as a call to action for policymakers, researchers, and practitioners to prioritize climate-smart agriculture practices to safeguard food security in rural Kashkadarya, Uzbekistan, and similar agro-ecological zones

    Spatial Polarization in the System of International Tourism

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    In tourism, the region has come to be seen as an important driving force, linking disparate segments of the industry and enabling the formation of destination networks (Milne 1998). This dependence is deepened by the fact that complex ecosystems, models of culture and economic identity, on which the development of tourism depends, are also regional in nature. Currently, community-oriented approaches occupy a prominent place in tourism development plans of various taximetric calibers around the world. Also, stakeholders are aware that local cooperation, trust and networking are important components of successful tourism development. Tourism is often seen as a key element that allows local communities that have suffered the devastating effects of economic restructuring to rebuild and strengthen their economic position in the regional and national economy. That is, it becomes expedient to talk about the transformation of the essence of city-forming factors that lead to the life sustainability of the settlement

    Total Ischemic Time has Prognostic Implications on Short Term Outcome of Primary Percutaneous Coronary Intervention (pPCI)

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    Objectives: Primary percutaneous coronary intervention (pPCI) is being increasingly done as the treatment of acute ST elevation myocardial infarction (STEMI). Time until treatment is paramount in the management of STEMI. But the total ischemic time before pPCI how much influencing the outcome is a matter of interest. So we evaluated the influence of total ischemic time on myocardial reperfusion and short term clinical outcome in patients with STEMI treated with primary PCI. Methods: This prospective observational study was conducted from August 2017 to July 2018 in the Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka. Forty eight (48) acute STEMI patients were selected by purposive sampling based on inclusion and exclusion criteria dividing into two groups as short total ischemic time in whom pain to pPCI time was <6 hours and long total ischemic time in whom pain to pPCI time was 6-12 hours. Angiographic (TIMI flow grade 3 & MBG 3) & short term clinical outcome (MACE, heart failure, major bleeding, minor bleeding, cardiogenic shock, significant arrhythmia, instent thrombosis) were observed and compared between these two groups. Results: The 30-day mortality & morbidity were assessed and compared between short and long total ischemic time before pPCI. The overall 30-day mortality rate was 4.2%, heart failure was 6.2%, cardiogenic shock was 4.2%, major bleeding was 2.1% and minor bleeding was 14.6%. Mortality and morbidity were higher in longer ischemic time group than shorter ischemic time group. In multivariate regression analysis, the factors independently influencing the adverse short term outcome were advance age (OR 1.51, 95% CI 1.105 to 4.101, p=0.03), hypertension (OR 2.44, 95% CI 1.102 to 4.281, p=0.02), diabetes mellitus (OR 2.51, 95% CI 1.200 to 4.987, p=0.02), anterior MI (OR 1.38, 95% CI 1.001 to 2.872, p=0.03), multivessel disease (OR 2.35, 95% CI 1.010 to 5.371, p=0.02), pain to door time (OR 1.66, CI 1.099 to 2.2.722, p=0.04), and total ischemic time (OR 2.67, 95% CI 1.122 to 5.784, p=0.02). Even after correction for predictive baseline and procedural variables of the univariate analysis, longer total ischemic time was the most significant independent predictor (OR 2.67, p=0.02) of short term adverse outcome of primary PCI. Conclusion: According to this study finding, there is prognostic implication of total ischemic time in patients with STEMI undergoing primary PCI. Therefore, all efforts should be made to shorten total ischemic time, including reduction in patient related delays, to improve clinical outcome of STEMI patients

    Role of Molecular-Genetic Profiling and Artificial Intelligence in Breast Cancer Diagnosis and insight into Targeted Pharmacotherapeutics

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    Breast cancer is a complex and diverse disease with varying responses to therapeutics.� To address this diversity and offer personalized treatment plans, molecular and genetic analysis of breast tumors is crucial. The World Health Organization classifies breast cancer into different subtypes, including precursor lesions like Ductal carcinoma in-situ (DCIS), lobular carcinoma in-situ (LCIS), and Pleomorphic LCIS, which have the potential to develop into cancer. Invasive breast carcinomas infiltrate nearby tissues and can metastasize. These subtypes are categorized based on their microscopic appearances, such as Invasive Ductal Carcinoma (NOS), Invasive Lobular Carcinoma, Triple-Negative Breast Cancer (Estrogen receptor-, Progesterone receptor-, and, HER2-), HER2-Positive Breast Cancer (HER2 overexpression), and less common types like Mucinous, Metaplastic, and Papillary carcinomas. Molecular and genetic profiling are powerful tools to aid in treatment decisions. Understanding the underlying biology of the disease helps physicians develop personalized treatment plans that consider the unique characteristics of each patient\u27s tumor. Ongoing advancements in technology and research are improving our ability to diagnose and treat breast cancer effectively.� This review presents an insight into molecular genetic profile, the role of artificial intelligence in breast cancer, and a concise overview of targeted pharmacotherapeutics for treating hormone receptor-based breast cancer

    Emergence of Supranational Powers Melts the Political Regime of Freedoms: Media Views Regarding the Shake-up of Democracy

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    The perception of journalistic media regarding government measures has the potential to shape the culture of a society and determine actions favorable or against democracy. The way in which narratives are constructed, whether with attributes of positive or negative polarity, serves as a thermometer in relation to the direction of decisions and their political and socioeconomic consequences. From the middle of the last decade, the emphasis on the demands of journalistic making, including discourses and debates on social networks, began to privilege the need to protect the signifier of democracy, reaching the point of eroding its meaning, opening up space for contrary powers to collective and, particularly, individual freedoms. In view of this, new concepts emerge and shake the supporting tripod of democracy, providing opportunities for the advance of the tentacles of supranational powers. When check the watch words built by the media enunciators on digital platforms since 2020, one can understand the scenario created with a view to breaking with the democratic regime, tracing a boundary line between before and after, between democracy and authoritarianism

    School Library as a Mediator of Reader Education in a Secondary School between 2019 and 2022

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    Critical Didactics: An Opportunity of Resistance to Pedagogical Practices Instituted by Neoliberal Policies

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    This text analyzes the impacts of neoliberal policies on Didactics and proposes that the following guiding questions: How can Didactics resist the impact of neoliberal policies that have invaded pedagogical practices, taking away their meaning and autonomy? How to reverse the distortion in the epistemological consideration of Pedagogy and Didactics? How to organize resistance practices? The methodology used derives from action research undertaken with the Observatory of Teaching Practices and analyzed using critical hermeneutics in dialogues with a group of teachers from a public education network. After collective analysis based on critical theory and recent research, the creation of Renewed Critical Didactics (DCR) is indicated using the theoretical assumptions that underlie Critical Pedagogy

    Improving Family Ties and Adolescent Relationships in Open Schooling

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    .In this paper, we attempt to clarify the concept of open school and to highlight relevant actions and main characteristics. A school can be described as open when a culture of cooperation and mutual trust prevails among students, teachers and parents. Hereby, a pedagogical practice is presented that was implemented in two sections of the 1st class at the 1st Lyceum of Spata , with the aim of a) preventing intra-school violence cases, b) fostering the integration and inclusion of foreign students by looking at common adolescent concerns and problems, and c) strengthening the institution of the family. The action, which took place at the beginning of the 2023-2024 school year and is expected to be completed at the end of January, was accompanied by a sample survey using questionnaires answered by 47 students, 28 teachers and 36 parents. The students were given a questionnaire before and after the action to identify the effects of the pedagogical practice. Of particular interest are the answers to the questionnaire given to the students after the action. ? part of the action was presented on January 20 at the International conference "learning from the extremes

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