Interfaz humano-computador basada en gestos faciales y orientada a la aplicación WhatsApp para personas con limitación motriz de miembros superiores

People with reduced upper-limb mobility depend mainly on facial gestures to communicate with the world; nonetheless, current facial gesture-based interfaces do not take into account the reduction in mobility that most people with motor limitations experience during recovery periods. This study presents an alternative to overcome this limitation, a human-computer interface based on computer vision techniques over two types of images: images of the user’s face captured by a webcam and screenshots of a desktop application running on the foreground. The first type is used to detect, track, and estimate gestures, facial patterns in order to move and execute commands with the cursor, while the second one is used to ensure that the cursor moves to specific interaction areas of the desktop application. The interface was fully programmed in Python 3.6 using open source libraries and runs in the background in Windows operating systems. The performance of the interface was evaluated with videos of people using four interaction commands in WhatsApp Desktop. We conclude that the interface can operate with various types of lighting, backgrounds, camera distances, body postures, and movement speeds; and the location and size of the WhatsApp window does not affect its effectiveness. The interface operates at a speed of 1 Hz and uses 35 % of the capacity a desktop computer with an Intel Core i5 processor and 1.5 GB of RAM for its execution; therefore, this solution can be implemented in ordinary, low-end personal computers.En el caso de personas con limitación motriz de miembros superiores, los gestos faciales son la principal forma de comunicarse con el mundo. Sin embargo, las interfaces actuales basadas en gestos no tienen en cuenta la reducción de movilidad que la mayoría de las personas con limitación motriz experimentan durante sus periodos de recuperación. Como alternativa para superar esta limitación, se presenta una interfaz humana-computador basada en técnicas de visión por computador sobre dos tipos de imagen: la imagen del rostro capturada mediante webcam y la captura de pantalla de una aplicación de escritorio en primer plano. La primera imagen es utilizada para detectar, seguir y estimar la pose del rostro con el fin de desplazar y ejecutar comandos con el cursor; la segunda imagen es utilizada para lograr que los desplazamientos del cursor sean realizados a zonas específicas de interacción de la aplicación de escritorio. La interfaz es programada totalmente en Python 3.6 utilizando bibliotecas de código abierto y se ejecuta en segundo plano dentro del sistema operativo Windows. El desempeño de la interfaz se evalúa con videos de personas utilizando cuatro comandos de interacción con la aplicación WhatsApp versión de escritorio. Se encontró que la interfaz puede operar con varios tipos de iluminación, fondos, distancias a la cámara, posturas y velocidades de movimiento; la ubicación y el tamaño de la ventana de WhatsApp no afecta la efectividad de la interfaz. La interfaz opera a una velocidad de 1 Hz y utiliza el 35 % de la capacidad de un procesador Intel Core i5 y 1,5 GB de RAM para su ejecución lo que permite concebir esta solución en equipos de cómputo personales

Estudios de Caso sobre Ciencias Agropecuarias y Rurales en el siglo XXI.

Libro científico sobre estudios de casos en el medio agropecuario y ruralCon el advenimiento del siglo XXI y el avance de los procesos de globalización, el medio rural presenta diversos cambios económicos, sociales, políticos y culturales. Lo anterior significa que el campo es un objeto de estudio altamente dinámico, complejo e inasible. las ciencias agropecuarias y rurales, en la actualidad, requieren de un abordaje sistémico e interdisciplinario que den cuenta de la heterogeneidad de situaciones y contextos que enfrenta el campo mexicano. La presente obra agrupa 18 estudios de caso, que capturan algunas fotografías de las diversas problemáticas de la ruralidad mexicana, con lo cual se pretende dar cuenta tanto de los objetivos de estudio como de la perspectiva teórico metodológico desde que estos son abordados. lo anterior tiene que ver con el hecho de que las ciencias agropecuarias y rurales manifiestan un alto grado de observación empírica, motivo por el que los estudios de caso se convierten en la perspectiva metodológica idónea que permite ir y venir de la realidad a la teoría y viceversa para la construcción de objetos de estudio. En este volumen se aborda una gran diversidad de casos, que sintetizan la heterogeneidad de enfoques y perspectivas mediante las cuales los fenómenos agropecuarios y rurales han sido abordados en el Instituto de Ciencias Agropecuarias y Rurales de la Universidad Autónoma del Estado de México, en los últimos 30 años

Interfaz humano-computador basada en gestos faciales y orientada a la aplicación WhatsApp para personas con limitación motriz de miembros superiores

People with reduced upper-limb mobility depend mainly on facial gestures to communicate with the world; nonetheless, current facial gesture-based interfaces do not take into account the reduction in mobility that most people with motor limitations experience during recovery periods. This study presents an alternative to overcome this limitation, a human-computer interface based on computer vision techniques over two types of images: images of the user’s face captured by a webcam and screenshots of a desktop application running on the foreground. The first type is used to detect, track, and estimate gestures, facial patterns in order to move and execute commands with the cursor, while the second one is used to ensure that the cursor moves to specific interaction areas of the desktop application. The interface was fully programmed in Python 3.6 using open source libraries and runs in the background in Windows operating systems. The performance of the interface was evaluated with videos of people using four interaction commands in WhatsApp Desktop. We conclude that the interface can operate with various types of lighting, backgrounds, camera distances, body postures, and movement speeds; and the location and size of the WhatsApp window does not affect its effectiveness. The interface operates at a speed of 1 Hz and uses 35 % of the capacity a desktop computer with an Intel Core i5 processor and 1.5 GB of RAM for its execution; therefore, this solution can be implemented in ordinary, low-end personal computers.En el caso de personas con limitación motriz de miembros superiores, los gestos faciales son la principal forma de comunicarse con el mundo. Sin embargo, las interfaces actuales basadas en gestos no tienen en cuenta la reducción de movilidad que la mayoría de las personas con limitación motriz experimentan durante sus periodos de recuperación. Como alternativa para superar esta limitación, se presenta una interfaz humana-computador basada en técnicas de visión por computador sobre dos tipos de imagen: la imagen del rostro capturada mediante webcam y la captura de pantalla de una aplicación de escritorio en primer plano. La primera imagen es utilizada para detectar, seguir y estimar la pose del rostro con el fin de desplazar y ejecutar comandos con el cursor; la segunda imagen es utilizada para lograr que los desplazamientos del cursor sean realizados a zonas específicas de interacción de la aplicación de escritorio. La interfaz es programada totalmente en Python 3.6 utilizando bibliotecas de código abierto y se ejecuta en segundo plano dentro del sistema operativo Windows. El desempeño de la interfaz se evalúa con videos de personas utilizando cuatro comandos de interacción con la aplicación WhatsApp versión de escritorio. Se encontró que la interfaz puede operar con varios tipos de iluminación, fondos, distancias a la cámara, posturas y velocidades de movimiento; la ubicación y el tamaño de la ventana de WhatsApp no afecta la efectividad de la interfaz. La interfaz opera a una velocidad de 1 Hz y utiliza el 35 % de la capacidad de un procesador Intel Core i5 y 1,5 GB de RAM para su ejecución lo que permite concebir esta solución en equipos de cómputo personales

Consensus document on acute-on-chronic liver failure (ACLF) established by the Mexican Association of Hepatology

Acute-on chronic liver failure (ACLF) has been an intensively debated topic mainly due to the lack of a unified definition and diagnostic criteria. The growing number of publications describing the mechanisms of ACLF development, the progression of the disease, outcomes and treatment has contributed to a better understanding of the disease, however, it has also sparked the debate about this condition. As an attempt to provide medical professionals with a more uniform definition that could be applied to our population, the first Mexican consensus was performed by a panel of experts in the area of hepatology in Mexico. We used the most relevant and impactful publications along with the clinical and research experience of the consensus participants. The consensus was led by 4 coordinators who provided the most relevant bibliography by doing an exhaustive search on the topic. The entire bibliography was made available to the members of the consensus for consultation at any time during the process and six working groups were formed to develop the following sections: 1.- Generalities, definitions, and criteria, 2.- Pathophysiology of cirrhosis, 3.- Genetics in ACLF, 4.- Clinical manifestations, 5.- Liver transplantation in ACLF, 6.- Other treatments

Integrating climate adaptation and transboundary management:Guidelines for designing climate-smart marine protected areas

Climate change poses an urgent threat to biodiversity that demands societal responses. The magnitude of this challenge is reflected in recent international commitments to protect 30% of the planet by 2030 while adapting to climate change. However, because climate change is global, interventions must transcend political boundaries. Here, using the California Bight as a case study, we provide 21 biophysical guidelines for designing climate-smart transboundary marine protected area (MPA) networks and conduct analyses to inform their application. We found that future climates and marine heatwaves could decrease ecological connectivity by 50% and hinder the recovery of vulnerable species in MPAs. To buffer the impacts of climate change, MPA coverage should be expanded, focusing on protecting critical nodes for the network and climate refugia, where impacts might be less severe. For shared ecoregions, these actions require international coordination. Our work provides the first comprehensive framework for integrating climate resilience for MPAs in transboundary ecoregions, which will support other nations’ aspirations.</p

Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort.

Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies

Stoma-free survival after anastomotic leak following rectal cancer resection: worldwide cohort of 2470 patients

Background: The optimal treatment of anastomotic leak after rectal cancer resection is unclear. This worldwide cohort study aimed to provide an overview of four treatment strategies applied. Methods: Patients from 216 centres and 45 countries with anastomotic leak after rectal cancer resection between 2014 and 2018 were included. Treatment was categorized as salvage surgery, faecal diversion with passive or active (vacuum) drainage, and no primary/secondary faecal diversion. The primary outcome was 1-year stoma-free survival. In addition, passive and active drainage were compared using propensity score matching (2: 1). Results: Of 2470 evaluable patients, 388 (16.0 per cent) underwent salvage surgery, 1524 (62.0 per cent) passive drainage, 278 (11.0 per cent) active drainage, and 280 (11.0 per cent) had no faecal diversion. One-year stoma-free survival rates were 13.7, 48.3, 48.2, and 65.4 per cent respectively. Propensity score matching resulted in 556 patients with passive and 278 with active drainage. There was no statistically significant difference between these groups in 1-year stoma-free survival (OR 0.95, 95 per cent c.i. 0.66 to 1.33), with a risk difference of -1.1 (95 per cent c.i. -9.0 to 7.0) per cent. After active drainage, more patients required secondary salvage surgery (OR 2.32, 1.49 to 3.59), prolonged hospital admission (an additional 6 (95 per cent c.i. 2 to 10) days), and ICU admission (OR 1.41, 1.02 to 1.94). Mean duration of leak healing did not differ significantly (an additional 12 (-28 to 52) days). Conclusion: Primary salvage surgery or omission of faecal diversion likely correspond to the most severe and least severe leaks respectively. In patients with diverted leaks, stoma-free survival did not differ statistically between passive and active drainage, although the increased risk of secondary salvage surgery and ICU admission suggests residual confounding