Knowledge and practices of barbers about hepatitis B and C transmission in Rawalpindi and Islamabad

Objective: To assess the knowledge and practices of barbers regarding transmission risk of HBV and HCV viruses.Methods: A cross-sectional survey of barber\u27s shops in Rawalpindi and Islamabad was conducted during September- November1998. Barbers were queried about hepatitis, knowledge regarding hepatitis transmission through razor, vaccination, sterilization, and the form of media they use for information and entertainment. Use of instruments on at least 2 clients were observed in each shop. Proportion and their 95% confidence intervals were computed.Results: Of 96 barbers approached, 12 (13%) knew that hepatitis is a disease of the liver, causing jaundice, it is transmitted through parenteral route and could also be transmitted by razor. During the actual observation of 192 clients, razors were cleaned with antiseptic solution for 22 (11.4%) and reused for 88 (46%) shaves.CONCLUSION: Level of awareness among barbers about hepatitis and risks of transmission is very low, and their practice of razor reuse that may spread hepatitis is very common. Messages about hepatitis need to be incorporated in media campaigns, in addition to regulation of practices

Opportunities for climate change adaptation in developing countries - a case of local governments in Pakistan

This thesis is one of the first attempts in the context of urban Pakistani local governments that starts with a comprehensive inventory of what is going on in the field of climate change adaptation and what sort of existing information is available in Pakistan. Further, it provides an analysis of what the major sources of resistance to climate change adaptation are, and what strategies could be used in urban Pakistani local governments to lower resistance to taking action on climate change adaptation. In particular, this thesis reflects on the applicability of the learning organisation paradigm to the climate change adaptation agenda, by providing a theoretical underpinning to the organisational learning and learning organisation concepts. Subsequently, it applies a learning perspective to the climate change adaptation debate in the context of urban Pakistani local governments. Further, from a critical analysis of conceptual evidence, this thesis identifies a framing of six key characteristics for climate change adaptation learning and action often attributed to a learning organisation (described in this thesis as “change model for climate adaptation”). The characteristics or elements of the change model presented are categorised as: • Leadership for adaptation; • Vision for adaptation; • Organisational culture for adaptation; • Good governance for adaptation; • Innovation and creativity for adaptation; and • Resources for adaptation Moreover, the thesis uses an actor-based approach to examine the key conceptual ideas noted above in the urban Pakistani local government context. It further assesses the broader applicability of the proposed change model for climate adaptation to local governments (around the globe) where climate change adaptation had been already planned, and to gain insight into the range of adaptation frameworks (strategies, plans) for designing a local level adaptation strategy in the context of urban Pakistani local governments. Finally, this thesis designs a Pakistan-specific strategy for building capacity to adapt to climate change impacts at the urban local government level in Pakistan. It discusses the proposed strategy itself by suggesting various initial practical actions for urban Pakistani local governments to take that would help assist in the implementation of relevant capacity-building

A novel augmented deep transfer learning for classification of COVID-19 and other thoracic diseases from X-rays

Deep learning has provided numerous breakthroughs in natural imaging tasks. However, its successful application to medical images is severely handicapped with the limited amount of annotated training data. Transfer learning is commonly adopted for the medical imaging tasks. However, a large covariant shift between the source domain of natural images and target domain of medical images results in poor transfer learning. Moreover, scarcity of annotated data for the medical imaging tasks causes further problems for effective transfer learning. To address these problems, we develop an augmented ensemble transfer learning technique that leads to significant performance gain over the conventional transfer learning. Our technique uses an ensemble of deep learning models, where the architecture of each network is modified with extra layers to account for dimensionality change between the images of source and target data domains. Moreover, the model is hierarchically tuned to the target domain with augmented training data. Along with the network ensemble, we also utilize an ensemble of dictionaries that are based on features extracted from the augmented models. The dictionary ensemble provides an additional performance boost to our method. We first establish the effectiveness of our technique with the challenging ChestXray-14 radiography data set. Our experimental results show more than 50% reduction in the error rate with our method as compared to the baseline transfer learning technique. We then apply our technique to a recent COVID-19 data set for binary and multi-class classification tasks. Our technique achieves 99.49% accuracy for the binary classification, and 99.24% for multi-class classification

Pre-text Representation Transfer for Deep Learning with Limited Imbalanced Data : Application to CT-based COVID-19 Detection

Annotating medical images for disease detection is often tedious and expensive. Moreover, the available training samples for a given task are generally scarce and imbalanced. These conditions are not conducive for learning effective deep neural models. Hence, it is common to 'transfer' neural networks trained on natural images to the medical image domain. However, this paradigm lacks in performance due to the large domain gap between the natural and medical image data. To address that, we propose a novel concept of Pre-text Representation Transfer (PRT). In contrast to the conventional transfer learning, which fine-tunes a source model after replacing its classification layers, PRT retains the original classification layers and updates the representation layers through an unsupervised pre-text task. The task is performed with (original, not synthetic) medical images, without utilizing any annotations. This enables representation transfer with a large amount of training data. This high-fidelity representation transfer allows us to use the resulting model as a more effective feature extractor. Moreover, we can also subsequently perform the traditional transfer learning with this model. We devise a collaborative representation based classification layer for the case when we leverage the model as a feature extractor. We fuse the output of this layer with the predictions of a model induced with the traditional transfer learning performed over our pre-text transferred model. The utility of our technique for limited and imbalanced data classification problem is demonstrated with an extensive five-fold evaluation for three large-scale models, tested for five different class-imbalance ratios for CT based COVID-19 detection. Our results show a consistent gain over the conventional transfer learning with the proposed method.Comment: Best paper at IVCN

Blinding Trachoma: A Disease of Poverty

Trachoma accounts for 15% of blindness worldwide, affecting the world's poorest communities. How can the disease be controlled

Going Deep in Medical Image Analysis: Concepts, Methods, Challenges and Future Directions

Medical Image Analysis is currently experiencing a paradigm shift due to Deep Learning. This technology has recently attracted so much interest of the Medical Imaging community that it led to a specialized conference in `Medical Imaging with Deep Learning' in the year 2018. This article surveys the recent developments in this direction, and provides a critical review of the related major aspects. We organize the reviewed literature according to the underlying Pattern Recognition tasks, and further sub-categorize it following a taxonomy based on human anatomy. This article does not assume prior knowledge of Deep Learning and makes a significant contribution in explaining the core Deep Learning concepts to the non-experts in the Medical community. Unique to this study is the Computer Vision/Machine Learning perspective taken on the advances of Deep Learning in Medical Imaging. This enables us to single out `lack of appropriately annotated large-scale datasets' as the core challenge (among other challenges) in this research direction. We draw on the insights from the sister research fields of Computer Vision, Pattern Recognition and Machine Learning etc.; where the techniques of dealing with such challenges have already matured, to provide promising directions for the Medical Imaging community to fully harness Deep Learning in the future

Conjoint utilization of structured and unstructured information for planning interleaving deliberation in supply chains

Effective business planning requires seamless access and intelligent analysis of information in its totality to allow the business planner to gain enhanced critical business insights for decision support. Current business planning tools provide insights from structured business data (i.e. sales forecasts, customers and products data, inventory details) only and fail to take into account unstructured complementary information residing in contracts, reports, user\u27s comments, emails etc. In this article, a planning support system is designed and developed that empower business planners to develop and revise business plans utilizing both structured data and unstructured information conjointly. This planning system activity model comprises of two steps. Firstly, a business planner develops a candidate plan using planning template. Secondly, the candidate plan is put forward to collaborating partners for its revision interleaving deliberation. Planning interleaving deliberation activity in the proposed framework enables collaborating planners to challenge both a decision and the thinking that underpins the decision in the candidate plan. The planning system is modeled using situation calculus and is validated through a prototype development

SAM-SoS: A stochastic software architecture modeling and verification approach for complex System-of-Systems

A System-of-Systems (SoS) is a complex, dynamic system whose Constituent Systems (CSs) are not known precisely at design time, and the environment in which they operate is uncertain. SoS behavior is unpredictable due to underlying architectural characteristics such as autonomy and independence. Although the stochastic composition of CSs is vital to achieving SoS missions, their unknown behaviors and impact on system properties are unavoidable. Moreover, unknown conditions and volatility have significant effects on crucial Quality Attributes (QAs) such as performance, reliability and security. Hence, the structure and behavior of a SoS must be modeled and validated quantitatively to foresee any potential impact on the properties critical for achieving the missions. Current modeling approaches lack the essential syntax and semantics required to model and verify SoS behaviors at design time and cannot offer alternative design choices for better design decisions. Therefore, the majority of existing techniques fail to provide qualitative and quantitative verification of SoS architecture models. Consequently, we have proposed an approach to model and verify Non-Deterministic (ND) SoS in advance by extending the current algebraic notations for the formal models as a hybrid stochastic formalism to specify and reason architectural elements with the required semantics. A formal stochastic model is developed using a hybrid approach for architectural descriptions of SoS with behavioral constraints. Through a model-driven approach, stochastic models are then translated into PRISM using formal verification rules. The effectiveness of the approach has been tested with an end-to-end case study design of an emergency response SoS for dealing with a fire situation. Architectural analysis is conducted on the stochastic model, using various qualitative and quantitative measures for SoS missions. Experimental results reveal critical aspects of SoS architecture model that facilitate better achievement of missions and QAs with improved design, using the proposed approach

Automatic seagrass detection: A survey

© 2017 IEEE. Seagrass is an important component of the marine ecosystem and plays a vital role in preserving the water quality. The traditional approaches for sea grass identification are either manual or semi-automated, resulting in costlier, time consuming and tedious solutions. There has been an increasing interest in the automatic identification of seagrasses and this article provides a survey of automatic classification techniques that are based on machine learning, fuzzy synthetic evaluation model and maximum likelihood classifier along with their performance. The article classifies the existing approaches on the basis of image types (i.e. aerial, satellite, and underwater digital), outlines the current challenges and provides future research directions