QC-SANE: Robust Control in DRL using Quantile Critic with Spiking Actor and Normalized Ensemble

Recently Introduced Deep Reinforcement Learning (DRL) Techniques in Discrete-Time Have Resulted in Significant Advances in Online Games, Robotics, and So On. Inspired from Recent Developments, We Have Proposed an Approach Referred to as Quantile Critic with Spiking Actor and Normalized Ensemble (QC-SANE) for Continuous Control Problems, Which Uses Quantile Loss to Train Critic and a Spiking Neural Network (NN) to Train an Ensemble of Actors. the NN Does an Internal Normalization using a Scaled Exponential Linear Unit (SELU) Activation Function and Ensures Robustness. the Empirical Study on Multijoint Dynamics with Contact (MuJoCo)-Based Environments Shows Improved Training and Test Results Than the State-Of-The-Art Approach: Population Coded Spiking Actor Network (PopSAN)

To compare the efficacy of tamsulosin and alfuzosin as medical expulsive therapy for ureteric stones

Aims and Objectives: This study aims to evaluate the efficacy of tamsulosin and alfuzosin for the distal ureteral stone. This study assessed the spontaneous passage and expulsion of the stone. Materials and Methods: The study was conducted in the Department of Surgery at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, from May 2013 to May 2014. A total number of 136 patients diagnosed as distal ureteric stone (US) of size <10 mm were included in this study. It was divided into two groups (I and II) out of which 36 cases were excluded. Group I received tablet tamsulosin 0.4 mg/day, and Group II received alfuzosin 10 mg/day. The efficacy of tamsulosin and alfuzosin as an adjunctive medical therapy was determined. Results: Both the drugs can be safely used for the distal USs. The stone expulsion rate was seen in 36 patients (72.0%) in Group I, and in 34 patients (68.0%) in Group II (P = 0.545). The passage of stones noticed by 32 patients in each Groups I and II (P = 1.000). The mean number of pain attacks was 2.91 ± 1.01 for Group I, and 1.8 ± 0.83 for Group II (P < 0.001 and P < 0.001). Thus, we propagate the use of alfuzosin significantly lower number of pain attacks. The drug-related side-effects were postural hypertension (four in Group I and one in Group II) and retrograde ejaculation (eight in Group I, and one in Group II). Thus, the difference was statistically significant in terms of retrograde ejaculation but insignificant for postural hypotension. Conclusion: There is no difference between both medications in term of efficacy (passing stones) for the management of distal ureteral stones. Both medications are safe and effective. In addition, alfuzosin was better tolerated than tamsulosin as it has fewer side effects

Unusual course of interferon-related retinopathy in chronic hepatitis C

Interferon Alfa retinopathy usually presents as cotton wool spots, superficial hemorrhages and macular edema. We describe a rare case of severe retinopathy involving hard exudates at macula that lead to permanent visual loss in one eye. Elderly male presented with diminution of vision in right eye of 8 month duration. He was a diagnosed case of compensated chronic hepatitis C and had received interferon Alfa therapy before. Fundus examination of both eye showed multiple hard exudates at macula with a plaque involving the foveal center in right eye. OCT and FFA confirmed the findings seen clinically. Patient was advised regular follow up and on 3 months follow up his clinical picture was same. Ours is the first case report where patient had significant visual loss secondary to hard exudate plaque at center of fovea and ischemic fovea in right eye.Presence of hard exudates at any stage of therapy of hepatitis C could be an indicator of the severity of retinopathy with possible indication for stopping the drug

QEST: Quantized and Efficient Scene Text Detector Using Deep Learning

Scene text detection is complicated and one of the most challenging tasks due to different environmental restrictions, such as illuminations, lighting conditions, tiny and curved texts, and many more. Most of the works on scene text detection have overlooked the primary goal of increasing model accuracy and efficiency, resulting in heavy-weight models that require more processing resources. A novel lightweight model has been developed in this article to improve the accuracy and efficiency of scene text detection. The proposed model relies on ResNet50 and MobileNetV2 as backbones with quantization used to make the resulting model lightweight. During quantization, the precision has been changed from float32 to float16 and int8 for making the model lightweight. In terms of inference time and Floating-Point Operations Per Second, the proposed method outperforms the state-of-The-Art techniques by around 30-100 times. Here, well-known datasets, i.e., ICDAR2015 and ICDAR2019, have been utilized for training and testing to validate the performance of the proposed model. Finally, the findings and discussion indicate that the proposed model is more efficient than the existing schemes

A Web-Based Patient Tool for Preventive Health

Background: The Internet is a promising medium for engaging the community in preventive care and health promotion, particularly among those who do not routinely access health care. Objective: The authors pilot-tested a novel website that translates evidence-based preventive health guidelines into a patient health education tool. The web-based tool allows individuals to enter their health risk factors and receive a tailored checklist of recommended preventive health services based on up-to-date guidelines from the US Preventive Services Task Force and the Advisory Committee on Immunization Practices. Methods: The authors conducted surveys and in-depth interviews among a purposive sample of adults from an urban African American community who pilot-tested the website in a standardized setting. Interviews were designed to assess the usability, navigability, and content of the website and capture patient perceptions about its educational value and usefulness. Each interview was audiotaped, transcribed, and examined using the constant comparative method. Results: Twenty-five participants piloted the tool: 96% found it easy to use and 64% reported learning something new. Many participants reported that, in addition to improving clinical preventive care (the intended purpose), the website could serve as a stand-alone tool to improve self-awareness and motivate behavior change. Conclusions: A web-based tool designed to translate preventive health guidelines for the community may serve the dual purpose of improving the delivery of preventive health care and encouraging health promotion. The website developed here is publicly available for use by practitioners and the community

MCLSPM: Multi-constraints Link Stable Multicast Routing Protocol in Adhoc Networks.

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