Multiple Content Adaptive Intelligent Watermarking Schemes for the Protection of Blocks of a Document Image

Most of the documents contain different types of information such as white space, static information and dynamic information or mix of static and dynamic information. In this paper, multiple watermarking schemes are proposed for protection of the information content. The proposed approach comprises of three phases. In Phase-1, the edges of the source document image are extracted and the edge image is decomposed into blocks of uniform size. In Phase-2, GLCM features like energy, homogeneity, contrast and correlation are extracted from each block and the blocks are classified as no-information, static, dynamic and mix of static and dynamic information content blocks. The adjacent blocks of same type are merged together into a single block. Each block is watermarked in Phase-3. The type and amount of watermarking applied is decided intelligently and adaptively based on the classification of the blocks which results in improving embedding capacity and reducing time complexity incurred during watermarking. Experiments are conducted exhaustively on all the images in the corpus. The experimental evaluations exhibit better classification of segments based on information content in the block. The proposed technique also outperforms the existing watermarking schemes on document images in terms of robustness, accuracy of tamper detection and recovery

Outcomes from elective colorectal cancer surgery during the SARS‐CoV‐2 pandemic

Aim This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic. Method This was an international cohort study of patients undergoing elective resection of colon or rectal cancer without preoperative suspicion of SARS-CoV-2. Centres entered data from their first recorded case of COVID-19 until 19 April 2020. The primary outcome was 30-day mortality. Secondary outcomes included anastomotic leak, postoperative SARS-CoV-2 and a comparison with prepandemic European Society of Coloproctology cohort data. Results From 2073 patients in 40 countries, 1.3% (27/2073) had a defunctioning stoma and 3.0% (63/2073) had an end stoma instead of an anastomosis only. Thirty-day mortality was 1.8% (38/2073), the incidence of postoperative SARS-CoV-2 was 3.8% (78/2073) and the anastomotic leak rate was 4.9% (86/1738). Mortality was lowest in patients without a leak or SARS-CoV-2 (14/1601, 0.9%) and highest in patients with both a leak and SARS-CoV-2 (5/13, 38.5%). Mortality was independently associated with anastomotic leak (adjusted odds ratio 6.01, 95% confidence interval 2.58–14.06), postoperative SARS-CoV-2 (16.90, 7.86–36.38), male sex (2.46, 1.01–5.93), age >70 years (2.87, 1.32–6.20) and advanced cancer stage (3.43, 1.16–10.21). Compared with prepandemic data, there were fewer anastomotic leaks (4.9% versus 7.7%) and an overall shorter length of stay (6 versus 7 days) but higher mortality (1.7% versus 1.1%). Conclusion Surgeons need to further mitigate against both SARS-CoV-2 and anastomotic leak when offering surgery during current and future COVID-19 waves based on patient, operative and organizational risks