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As a further benefit, we elaborately design a multi-label clustering loss based on the sub-prototypes to learn compact features under the multi-label setting. Extensive experiments on three datasets demonstrate the effectiveness of the proposed method and superior performance over state-of-the-art methods.Systems that are based on recursive Bayesian updates for classification limit the cost of evidence collection through certain stopping/termination criteria and accordingly enforce decision making. Conventionally, two termination criteria based on pre-defined thresholds over (i) the maximum of the state posterior distribution; and (ii) the state posterior uncertainty are commonly used. In this paper, we propose a geometric interpretation over the state posterior progression and accordingly we provide a point-by-point analysis over the disadvantages of using such conventional termination criteria. For example, through the proposed geometric interpretation we show that confidence thresholds defined over maximum of the state posteriors suffer from stiffness that results in unnecessary evidence collection whereas uncertainty based thresholding methods are fragile to number of categories and terminate prematurely if some state candidates are already discovered to be unfavorable. Moreover, both types of termination methods neglect the evolution of posterior updates. We then propose a new stopping/termination criterion with a geometrical insight to overcome the limitations of these conventional methods and provide a comparison in terms of decision accuracy and speed. We validate our claims using simulations and using real experimental data obtained through a brain computer interfaced typing system.Depth estimation from stereo images is carried out with unmatched results by convolutional neural networks trained end-to-end to regress dense disparities. Like for most tasks, this is possible if large amounts of labelled samples are available for training, possibly covering the whole data distribution encountered at deployment time. Being such an assumption systematically unmet in real applications, the capacity of adapting to any unseen setting becomes of paramount importance. Purposely, we propose a continual adaptation paradigm for deep stereo networks designed to deal with challenging and ever-changing environments. We design a lightweight and modular architecture, Modularly ADaptive Network (MADNet), and formulate Modular ADaptation algorithms (MAD, MAD++) which permit efficient optimization of independent sub-portions of the entire network. In our paradigm, the learning signals needed to continuously adapt models online can be sourced from self-supervision via right-to-left image warping or from traditional stereo algorithms. With both sources, no other data than the input images being gathered at deployment time are needed. Thus, our network architecture and adaptation algorithms realize the first real-time self-adaptive deep stereo system and pave the way for a new paradigm that can facilitate practical deployment of end-to-end architectures for dense disparity regression.

Bioresorbable materials represent a promising technology for the treatment of coronary disease. Among the different materials employed, magnesium stents display favourable mechanical properties. One of the main uncertainties regarding use is their behaviour when deployed on coronary bifurcations, especially when their retardant coating has been damaged during the implantation process. This paper analyses the temporal evolution of the degradation of a damaged magnesium stent inserted into a coronary bifurcation.

The rate of erosion-corrosion and the effect of the flow configuration on the mass transfer coefficient were estimated on the basis of previous experimental studies and numerical simulations. This coefficient has been employed to reproduce the conditions that can appear in real stent configurations, and computational fluid dynamics simulations were performed.

The diffusion coefficient for this particular case has been calculated from the mass transfer coefficient and the Sherwood number. The results of the simulation show how the presence of the inner artery wall has a positive effect, preventing a premature degradation of the stent, and how the distal strut is protected by the presence of the proximal struts.

This study demonstrates the usefulness of the proposed methodology to evaluate the temporal evolution of the degradation of struts made of magnesium alloys. In addition, this methodology can be applied to a study of different materials and geometric configurations.

The proposed technique can contribute to expanding existing knowledge concerning bioresorbable stent flow-corrosion, thus improving their design and implantation.

The proposed technique can contribute to expanding existing knowledge concerning bioresorbable stent flow-corrosion, thus improving their design and implantation.

The objectives of this study was to explore the accuracy of the Cornell Assessment for Pediatric Delirium (CAP-D), Pediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU), and Preschool Confusion Assessment Method for the Intensive Care Unit (psCAM-ICU) when implemented inroutine care as delirium screening tools, and to assess patient characteristics and clinical variables that may affect their validity.

This is a prospective observational study.

The study was conducted in a 36-bed, mixed paediatric intensive care unit (PICU) at an Australian tertiary hospital.

The study included critically ill children developmentally aged 6 months to 17 years, with a PICU length of stay >18 h.

No interventions were provided in the study.

Patients were screened for delirium by their bedside nurse (CAP-D and pCAM-ICU/psCAM-ICU) once daily, for up to 5 d. Delirium status identified using screening instruments was compared with delirium diagnosis using the diagnostic criteria for delirium (Divalidation studies, when implemented in routine care, their performance can be variable. The CAP-D performed well in routine clinical practice, but follow-up diagnosis is required to confirm delirium. The psCAM-ICU and pCAM-ICU both provide valuable, objective assessments of delirium in critically ill children; however, further evaluation of their implementation in routine clinical practice is needed.

Evidence for the complete nicotine cessation is inadequate among electronic cigarettes (ECs) single users (SUs, use only ECs), and dual users (DUs, use both ECs and conventional cigarettes (CCs). The primary aim of this study was to evaluate the nicotine cessation among SUs and DUs who used ECs over one year.

We observed 70 SUs and 148 DUs for 52 weeks and tested their exhaled carbon monoxide and saliva cotinine to confirm their complete nicotine cessation status through cotinine in saliva. Safety issues were to be identified through self-report. Smoking cessation, CCs reduction of ≥ 50%, and relapsed to CCs smoking and safety issues were also documented.

The nicotine cessation rate was higher in SUs then DUs (15.9% vs. 6.8%; P = 0.048; 95% CI (2.328-0.902). A similar result for smoking cessation (34.8% SUs vs. 17.1% DUs; P = 0.005; 95% CI 2.031-0.787), whereas CCs ≥ 50% reduction was 23.3% DUs vs 21.7% SUs (P = 0.863; 95% CI 1.020-0.964). Relapse to CC smoking was 47.3% in DUs versus 30.4% in SUs (P = 0.026; 95% CI 1.555-0.757). The adverse effects reported were coughing and breathing problems, whereas craving smoking was documented as a major withdrawal symptom. Smoking-related diseases were also identified, five in DUs and two in SUs, during the one-year study period.

Study showed SUs achieved higher complete nicotine and smoking cessation rates as compared to DUs. However, the rates of reduced CC use were not different between both the groups. No serious adverse effects related to the sole use of ECs were detected. However, the safety of the sole use of ECs in absolute terms needs to be further validated in different populations.

Study showed SUs achieved higher complete nicotine and smoking cessation rates as compared to DUs. However, the rates of reduced CC use were not different between both the groups. No serious adverse effects related to the sole use of ECs were detected. However, the safety of the sole use of ECs in absolute terms needs to be further validated in different populations.

Prostaglandins play a pivotal role in modulating hair growth cycle. Prostaglandin F2α and prostaglandin E have stimulating and prostaglandin D has inhibitory effects on hair follicle. Cetirizine inhibits release of prostaglandin D2 and stimulates the release of prostaglandin E2. In the present study, the efficacy and safety of twice daily application of topical cetirizine 1% versus minoxidil 5% solutions for 16 weeks were compared in male androgenetic alopecia (AGA).

Forty men, aged 18 to 49 years, ‎were randomly divided into two equal groups to apply either cetirizine 1% or minoxidil 5% solutions. The study was divided into two phases, a 16-week treatment phase either with cetirizine or minoxidil (anagen phase), followed by an 8-week ‎ drug-free (telogen phase) with a follow-up when patients used placebo. Efficacy outcomes included the change in total hair density, vellus and terminal hair density, hair diameter and the percentage of hair in anagen and telogen phases from baseline in 16 and 24 weeks.

After 16 weeks, we observed a significant increase in total and vellus hair density in both minoxidil and cetirizine groups, but the improvement was much higher in the minoxidil group. The percentage of hair in the anagen phase also increased in both groups after 16 weeks of treatment, but then diminished after 8 weeks of placebo consumption. No significant adverse reactions associated with the administration of cetirizine solution were reported.

Cetirizine 1% solution was effective in hair growth without any complications for treatment of male AGA.

Cetirizine 1% solution was effective in hair growth without any complications for treatment of male AGA.Introduction. Mycobacterium abscessus complex (MABSC) is an environmental organism and opportunistic pathogen. MABSC pulmonary infections in people with cystic fibrosis are of growing clinical concern. Resistance data guide the use of macrolides and amikacin in MABSC pulmonary disease treatment. MABSC can acquire resistance against macrolides or amikacin via 23S or 16S rRNA gene mutations, respectively.Gap Statement. selleck products Current culture-based methods for MABSC detection and antibiotic resistance characterization are typically prolonged, limiting their utility to directly inform treatment or clinical trials. Culture-independent molecular methods may help address this limitation.Aim. To develop real-time PCR assays for characterization of key 23S or 16S rRNA gene mutations associated with constitutive resistance in MABSC.Methodology. We designed two real-time PCR assays to detect the key 23S and 16S rRNA gene mutations. The highly conserved nature of rRNA genes was a major design challenge. To reduce potential cros currently possible via culture-based antibiotic susceptibility testing.Candida albicans is an opportunistic pathogen accounting for the majority of cases of Candida infections. Currently, C. albicans are developing resistance towards different classes of antifungal drugs and this has become a global health burden that does not spare Lebanon. This study aims at determining point mutations in genes known to be involved in resistance acquisition and correlating resistance to virulence and ergosterol content in the azole resistant C. albicans isolate CA77 from Lebanon. This pilot study is the first of its kind to be implemented in Lebanon. We carried out whole genome sequencing of the azole resistant C. albicans isolate CA77 and examined 18 genes involved in antifungal resistance. To correlate genotype to phenotype, we evaluated the virulence potential of this isolate by injecting it into BALB/c mice and we quantified membrane ergosterol. Whole genome sequencing revealed that eight out of 18 genes involved in antifungal resistance were mutated in previously reported and novel residues.

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