Search Results (3,642)

Background/Objectives: The transformation of nursing and midwifery education through digital technologies has gained momentum worldwide, with algorithm-based video instruction and virtual reality (VR) emerging as promising tools for improving clinical learning. This quasi-experimental study explores the impact of an enhanced flipped classroom model on Bulgarian nursing and midwifery students’ self-perceived competence. Methods: A total of 228 participants were divided into a control group receiving traditional instruction (lectures and simulations with manikins) and an experimental group engaged in a digitally enhanced preparatory phase. The latter included pre-class video algorithms, VR, and clinical problem-solving tasks for learning and improving nursing skills. A 25-item self-report questionnaire was administered before and after the intervention to measure perceived competence in injection techniques, hygiene care, midwifery skills, and digital readiness. Results: Statistical analysis using Welch’s t-test revealed significant improvements in the experimental group in all domains (p < 0.001). Qualitative data from focus group interviews further confirmed increased student engagement, motivation, and receptiveness to digital learning tools. Conclusions: The findings highlight the pedagogical value of integrating structured video learning, VR components, and case-based learning within flipped classrooms. The study advocates for the wider adoption of blended learning models to foster clinical confidence and digital competence in healthcare education. The results of the study may be useful for curriculum developers aiming to improve clinical readiness through technology-enhanced learning. Full article

This study proposes an improved YOLO11n-seg instance segmentation model to address the limitations of existing models in accurately identifying mature blueberries in complex greenhouse environments. Current methods often lack sufficient accuracy when dealing with complex scenarios, such as fruit occlusion, lighting variations, and target overlap. To overcome these challenges, we developed a novel approach that integrates a Spatial–Channel Adaptive (SCA) attention mechanism and a Dual Attention Balancing (DAB) module. The SCA mechanism dynamically adjusts the receptive field through deformable convolutions and fuses multi-scale color features. This enhances the model’s ability to recognize occluded targets and improves its adaptability to variations in lighting. The DAB module combines channel–spatial attention and structural reparameterization techniques. This optimizes the YOLO11n structure and effectively suppresses background interference. Consequently, the model’s accuracy in recognizing fruit contours improves. Additionally, we introduce Normalized Wasserstein Distance (NWD) to replace the traditional intersection over union (IoU) metric and address bias issues that arise in dense small object matching. Experimental results demonstrate that the improved model significantly improves target detection accuracy, recall rate, and mAP@0.5, achieving increases of 1.8%, 1.5%, and 0.5%, respectively, over the baseline model. On our self-built greenhouse blueberry dataset, the mask segmentation accuracy, recall rate, and mAP@0.5 increased by 0.8%, 1.2%, and 0.1%, respectively. In tests across six complex scenarios, the improved model demonstrated greater robustness than mainstream models such as YOLOv8n-seg, YOLOv8n-seg-p6, and YOLOv9c-seg, especially in scenes with dense occlusions. The improvement in mAP@0.5 and F1 scores validates the effectiveness of combining attention mechanisms and multiple metric optimizations, for instance, segmentation tasks in complex agricultural scenes. Full article

Object detection in remote sensing imagery is critical in environmental monitoring, urban planning, and land resource management. However, the task remains challenging due to significant scale variations, arbitrary object orientations, and complex background clutter. To address these issues, we propose a novel orientation module (SOAM Block) that jointly models object scale and directional features while exploiting geometric symmetry inherent in many remote sensing targets. The SOAM Block is constructed upon a lightweight and efficient Adaptive Multi-Scale (AMS) Module, which utilizes a symmetric arrangement of parallel depth-wise convolutional branches with varied kernel sizes to extract fine-grained multi-scale features without dilation, thereby preserving local context and enhancing scale adaptability. In addition, a Strip-based Context Attention (SCA) mechanism is introduced to model long-range spatial dependencies, leveraging horizontal and vertical 1D strip convolutions in a directionally symmetric fashion. This design captures spatial correlations between distant regions and reinforces semantic consistency in cluttered scenes. Importantly, this work is the first to explicitly analyze the coupling between object scale and orientation in remote sensing imagery. The proposed method addresses the limitations of fixed receptive fields in capturing symmetric directional cues of large-scale objects. Extensive experiments are conducted on two widely used benchmarks—DOTA and HRSC2016—both of which exhibit significant scale variations and orientation diversity. Results demonstrate that our approach achieves superior detection accuracy with fewer parameters and lower computational overhead compared to state-of-the-art methods. The proposed SOAM Block thus offers a robust, scalable, and symmetry-aware solution for high-precision object detection in complex aerial scenes. Full article

Background: Polycystic ovary syndrome (PCOS) is a complex and multifactorial disorder affecting reproductive, endocrine, and metabolic functions in women of reproductive age. While environmental and lifestyle factors play a role, increasing evidence highlights the contribution of genetic and epigenetic mechanisms to its pathogenesis. Objective: This narrative review aims to provide an updated overview of the current evidence regarding the role of genetic variants, gene expression patterns, and epigenetic modifications in the etiopathogenesis of PCOS, with a focus on their impact on ovarian function, fertility, and systemic alterations. Methods: A comprehensive search was conducted across MEDLINE, EMBASE, PubMed, Web of Science, and the Cochrane Library using MeSH terms including “PCOS”, “Genes involved in PCOS”, and “Etiopathogenesis of PCOS” from January 2015 to June 2025. The selection process followed the SANRA quality criteria for narrative reviews. Seventeen studies published in English were included, focusing on original data regarding gene expression, polymorphisms, and epigenetic changes associated with PCOS. Results: The studies analyzed revealed a wide array of molecular alterations in PCOS, including the dysregulation of SIRT and estrogen receptor genes, altered transcriptome profiles in cumulus cells, and the involvement of long non-coding RNAs and circular RNAs in granulosa cell function and endometrial receptivity. Epigenetic mechanisms such as the DNA methylation of TGF-β1 and inflammation-related signaling pathways (e.g., TLR4/NF-κB/NLRP3) were also implicated. Some genetic variants—particularly in DENND1A, THADA, and MTNR1B—exhibit signs of positive evolutionary selection, suggesting possible ancestral adaptive roles. Conclusions: PCOS is increasingly recognized as a syndrome with a strong genetic and epigenetic background. The identification of specific molecular signatures holds promise for the development of personalized diagnostic markers and therapeutic targets. Future research should focus on large-scale genomic studies and functional validation to better understand gene–environment interactions and their influence on phenotypic variability in PCOS. Full article

Automated surface defect detection in steel manufacturing is pivotal for ensuring product quality, yet it remains an open challenge owing to the extreme heterogeneity of defect morphologies—ranging from hairline cracks and microscopic pores to elongated scratches and shallow dents. Existing approaches, whether classical vision pipelines or recent deep-learning paradigms, struggle to simultaneously satisfy the stringent demands of industrial scenarios: high accuracy on sub-millimeter flaws, insensitivity to texture-rich backgrounds, and real-time throughput on resource-constrained hardware. Although contemporary detectors have narrowed the gap, they still exhibit pronounced sensitivity–robustness trade-offs, particularly in the presence of scale-varying defects and cluttered surfaces. To address these limitations, we introduce MBY (MBDNet-Attention-YOLO), a lightweight yet powerful framework that synergistically couples the MBDNet backbone with the YOLO detection head. Specifically, the backbone embeds three novel components: (1) HGStem, a hierarchical stem block that enriches low-level representations while suppressing redundant activations; (2) Dynamic Align Fusion (DAF), an adaptive cross-scale fusion mechanism that dynamically re-weights feature contributions according to defect saliency; and (3) C2f-DWR, a depth-wise residual variant that progressively expands receptive fields without incurring prohibitive computational costs. Building upon this enriched feature hierarchy, the neck employs our proposed MultiSEAM module—a cascaded squeeze-and-excitation attention mechanism operating at multiple granularities—to harmonize fine-grained and semantic cues, thereby amplifying weak defect signals against complex textures. Finally, we integrate the Inner-SIoU loss, which refines the geometric alignment between predicted and ground-truth boxes by jointly optimizing center distance, aspect ratio consistency, and IoU overlap, leading to faster convergence and tighter localization. Extensive experiments on two publicly available steel-defect benchmarks—NEU-DET and PVEL-AD—demonstrate the superiority of MBY. Without bells and whistles, our model achieves 85.8% mAP@0.5 on NEU-DET and 75.9% mAP@0.5 on PVEL-AD, surpassing the best-reported results by significant margins while maintaining real-time inference on an NVIDIA Jetson Xavier. Ablation studies corroborate the complementary roles of each component, underscoring MBY’s robustness across defect scales and surface conditions. These results suggest that MBY strikes an appealing balance between accuracy, efficiency, and deployability, offering a pragmatic solution for next-generation industrial quality-control systems. Full article

Plant disease classification is critical for effective crop management. Recent advances in deep learning, especially Vision Transformers (ViTs), have shown promise due to their strong global feature modeling capabilities. However, ViTs often overlook local features and suffer from feature extraction degradation during patch merging as channels increase. To address these issues, we propose PLTransformer, a hybrid model designed to symmetrically capture both global and local features. We design a symmetric multi-scale convolutional module that combines two different-scale receptive fields to simultaneously extract global and local features so that the model can better perceive multi-scale disease morphologies. Additionally, we propose an overlap-attentive channel downsampler that utilizes inter-channel attention mechanisms during spatial downsampling, effectively preserving local structural information and mitigating semantic loss caused by feature compression. On the PlantVillage dataset, PLTransformer achieves 99.95% accuracy, outperforming DeiT (96.33%), Twins (98.92%), and DilateFormer (98.84%). These results demonstrate its superiority in handling multi-scale disease features. Full article

Semantic segmentation is one of the key tasks in the intelligent interpretation of remote sensing images with extensive potential applications. However, when ultra-high resolution (UHR) remote sensing images exhibit complex background intersections and significant variations in object sizes, existing multimodal fusion segmentation methods based on convolutional neural networks and Transformers face challenges such as limited receptive fields and high secondary complexity, leading to inadequate global context modeling and multimodal feature representation. Moreover, the lack of accurate boundary detail feature constraints in the final segmentation further limits segmentation accuracy. To address these challenges, we propose a novel boundary-enhanced multilevel multimodal fusion Mamba-Large Strip Convolution network (FMLSNet) for remote sensing image segmentation, which offers the advantages of a global receptive field and efficient linear complexity. Specifically, this paper introduces a new multistage Mamba multimodal fusion framework (FMB) for UHR remote sensing image segmentation. By employing an innovative multimodal scanning mechanism integrated with disentanglement strategies to deepen the fusion process, FMB promotes deep fusion of multimodal features and captures cross-modal contextual information at multiple levels, enabling robust and comprehensive feature integration with enriched global semantic context. Additionally, we propose a Large Strip Spatial Detail (LSSD) extraction module, which adaptively combines multi-directional large strip convolutions to capture more precise and fine-grained boundary features. This enables the network to learn detailed spatial features from shallow layers. A large number of experimental results on challenging remote sensing image datasets show that our method exhibits superior performance over state-of-the-art models. Full article

This article analyzes the work of Fr. Elias Friedman, whose legacy of theological work on Jewish identity and Jewish conversion to Catholicism serves as the foundation of the Association of Hebrew Catholics, of which he is the founder. Friedman frames his work as a sensitive approach to Jewish identity and Catholic faith, but as this paper demonstrates, his work reveals a reiteration of some of the most entrenched and historically devastating tropes of Christian anti-Judaism, as well as racial antisemitism. This article presents three main arguments. First, it demonstrates that Friedman’s work evidences a theological anti-Judaism characteristic of Catholicism prior to the Second Vatican Council, which he maintained firmly even after the theological revision of Vatican II rejected such views; and furthermore, that his work also expresses an antisemitism that reflects the modern racial antisemitism adopted by the Nazi regime. Second, this article examines the positive reception of Friedman’s work, as evidenced not only in the revered position he holds within the Association for Hebrew Catholics, but also by the nihil obstat and imprimatur on both of Friedman’s monographs, that is, the official stamp of ecclesiastical approval within the Catholic Church, which declares that the work is “free of doctrinal and moral error.” It proposes that these factors evidence the uncritical reception of his work not only within the Association of Hebrew Catholics, but also on behalf of the institutional Catholic Church. Third, it raises the question of the extent to which Friedman’s identity as a Jewish convert to Catholicism is relevant in the analysis and reception of his work. It argues that his Jewish identity makes his concoction of religious anti-Judaism and racial antisemitism particularly potent, rendering anodyne even the most virulently antisemitic of his statements. Full article

Background: Transcranial direct current stimulation (tDCS) has emerged as a promising neuromodulatory tool for language rehabilitation in chronic aphasia. However, the effects of bi-hemispheric, multisite stimulation remain largely unexplored, especially in people with chronic and treatment-resistant language impairments. The goal of this study is to look at the effects on behavior and brain activity of an individualized language training program that combines bi-hemispheric multisite anodal tDCS with personalized language training for Albert, a patient with long-standing, treatment-resistant non-fluent aphasia. Methods: Albert, a right-handed retired physician, had transcortical motor aphasia (TCMA) subsequent to a left-hemispheric ischemic stroke occurring more than six years before the operation. Even after years of traditional treatment, his expressive and receptive language deficits remained severe and persistent despite multiple rounds of traditional therapy. He had 15 sessions of bi-hemispheric multisite anodal tDCS aimed at bilateral dorsal language streams, administered simultaneously with language training customized to address his particular phonological and syntactic deficiencies. Psycholinguistic evaluations were performed at baseline, immediately following the intervention, and at 1, 2, 3, and 6 months post-intervention. Resting-state fMRI was conducted at baseline and following the intervention to evaluate alterations in functional connectivity (FC). Results: We noted statistically significant enhancements in auditory sentence comprehension and oral reading, particularly at the 1- and 3-month follow-ups. Neuroimaging showed decreased functional connectivity (FC) in the left inferior frontal and precentral regions (dorsal stream) and in maladaptive right superior temporal regions, alongside increased FC in left superior temporal areas (ventral stream). This pattern suggests that language networks may be reorganizing in a more efficient way. There was no significant improvement in phonological processing, which may indicate reduced connectivity in the left inferior frontal areas. Conclusions: This case underscores the potential of combining individualized, network-targeted language training with bi-hemispheric multisite tDCS to enhance recovery in chronic, treatment-resistant aphasia. The convergence of behavioral gains and neuroplasticity highlights the importance of precision neuromodulation approaches. However, findings are preliminary and warrant further validation through controlled studies to establish broader efficacy and sustainability of outcomes. Full article

In intelligent vehicular networks, the accuracy of semantic segmentation in road scenes is crucial for vehicle-mounted artificial intelligence to achieve environmental perception, decision support, and safety control. Although deep learning methods have made significant progress, two main challenges remain: first, the difficulty in balancing global and local features leads to blurred object boundaries and misclassification; second, conventional convolutions have limited ability to perceive irregular objects, causing information loss and affecting segmentation accuracy. To address these issues, this paper proposes a global–local collaborative attention module and a spider web convolution module. The former enhances feature representation through bidirectional feature interaction and dynamic weight allocation, reducing false positives and missed detections. The latter introduces an asymmetric sampling topology and six-directional receptive field paths to effectively improve the recognition of irregular objects. Experiments on the Cityscapes, CamVid, and BDD100K datasets, collected using vehicle-mounted cameras, demonstrate that the proposed method performs excellently across multiple evaluation metrics, including mIoU, mRecall, mPrecision, and mAccuracy. Comparative experiments with classical segmentation networks, attention mechanisms, and convolution modules validate the effectiveness of the proposed approach. The proposed method demonstrates outstanding performance in sensor-based semantic segmentation tasks and is well-suited for environmental perception systems in autonomous driving. Full article

Fault diagnosis is of great significance for the maintenance of rotating machinery. Deep learning is an intelligent diagnostic technique that is receiving increasing attention. To address the issues of industrial data with small samples and varying working conditions, a residual convolutional neural network based on the attention mechanism is put forward for the fault diagnosis of rotating machinery. The method incorporates channel attention and spatial attention simultaneously, implementing channel-wise recalibration for frequency-dependent feature adjustment and performing spatial context aggregation across receptive fields. Subsequently, a residual module is introduced to address the vanishing gradient problem of the model in deep network structures. In addition, LSTM is used to realize spatiotemporal feature fusion. Finally, label smoothing regularization (LSR) is proposed to balance the distributional disparities among labeled samples. The effectiveness of the method is evaluated by its application to the vibration signal data from the safe injection pump and the Case Western Reserve University (CWRU). The results show that the method has superb diagnostic accuracy and strong robustness. Full article

This article presents VRF-DETR, a lightweight real-time object detection framework for aerial remote sensing images, aimed at addressing the challenge of insufficient receptive fields for easily confused categories due to differences in height and perspective. Based on the RT-DETR architecture, our approach introduces three key innovations: the multi-scale receptive field adaptive fusion (MSRF²) module replaces the Transformer encoder with parallel dilated convolutions and spatial-channel attention to adjust receptive fields for confusing objects dynamically; the gated multi-scale context (GMSC) block reconstructs the backbone using Gated Multi-Scale Context units with attention-gated convolution (AGConv), reducing parameters while enhancing multi-scale feature extraction; and the context-guided fusion (CGF) module optimizes feature fusion via context-guided weighting to resolve multi-scale semantic conflicts. Evaluations were conducted on both the VisDrone2019 and UAVDT datasets, where VRF-DETR achieved the mAP₅₀ of 52.1% and the mAP_50-95 of 32.2% on the VisDrone2019 validation set, surpassing RT-DETR by 4.9% and 3.5%, respectively, while reducing parameters by 32% and FLOPs by 22%. It maintains real-time performance (62.1 FPS) and generalizes effectively, outperforming state-of-the-art methods in accuracy-efficiency trade-offs for aerial object detection. Full article

This paper proposes a novel dual-functional radar-communication (DFRC) framework that integrates unmanned aerial vehicle (UAV) communications into an integrated sensing and communication (ISAC) system, termed the ISAC-UAV architecture. In this system, the UAV’s mobility is leveraged to simultaneously serve multiple single-antenna uplink users (UEs) and perform radar-based sensing tasks. A key challenge stems from the target position uncertainty due to movement, which impairs matched filtering and beamforming, thereby degrading both uplink reception and sensing performance. Moreover, UAV energy consumption associated with mobility must be considered to ensure energy-efficient operation. We aim to jointly maximize radar sensing accuracy and minimize UAV movement energy over multiple time steps, while maintaining reliable uplink communications. To address this multi-objective optimization, we propose a deep reinforcement learning (DRL) framework based on a long short-term memory (LSTM)-enhanced deep deterministic policy gradient (DDPG) network. By leveraging historical target trajectory data, the model improves prediction of target positions, enhancing sensing accuracy. The proposed DRL-based approach enables joint optimization of UAV trajectory and uplink power control over time. Extensive simulations validate that our method significantly improves communication quality and sensing performance, while ensuring energy-efficient UAV operation. Comparative results further confirm the model’s adaptability and robustness in dynamic environments, outperforming existing UAV trajectory planning and resource allocation benchmarks. Full article

The demand for high data rates and large system capacity has posed significant challenges for medium access control (MAC) methods. Successive interference cancellation (SIC) is a classical multi-user detection (MUD) method; however, it suffers from an error propagation problem. To address this deficiency, we propose a method called Virtual Signal Processing-Based Integrated Multi-User Detection (VSP-IMUD). In VSP-IMUD, the received mixed multi-user signals are treated as an equivalent signal. The channel ambiguity corresponding to each user’s signal is then examined. For channels with non-zero ambiguity values, the signal components are detected using zero-forcing (ZF) reception. Next, the detected ambiguous signal components are reconstructed and subtracted from the received mixed signal using SIC. Once all the ambiguous signals are detected, the remaining signal components with zero ambiguity values are equated to a virtual integrated signal, to which a matched filter (MF) is applied. Finally, by selecting the signal with the highest channel gain and adopting its data as the reference symbol, the remaining signals’ dataset can be determined. Our theoretical analysis and simulation results demonstrate that VSP-IMUD effectively reduces the frequency of SIC applications and mitigates its error propagation effects, thereby improving the system’s bit-error rate (BER) performance. Full article

This paper presents a novel harmonic-selective clocking scheme that facilitates concurrent downconversion of spectrally distant radio frequency (RF) signals using a single low-frequency local oscillator (LO) in an N-path receiver architecture. The proposed scheme selectively generates LO harmonics aligned with multiple RF bands, enabling simultaneous downconversion without modification of the passive mixer topology. The receiver employs a 4-path passive mixer configuration to enhance harmonic selectivity and provide flexible frequency planning.The architecture is implemented on a printed circuit board (PCB) and validated through comprehensive simulation and experimental measurements under continuous wave and modulated signal conditions. Measured results demonstrate a sensitivity of $-55\mathrm{dBm}$ and a conversion gain varying from $-2.5\mathrm{dB}$ to $-9\mathrm{dB}$ depending on the selected harmonic pair. The receiver’s performance is further corroborated by concurrent (dual band) reception of real-world signals, including a GPS signal centered at 1575 MHz and an LTE signal at 1179 MHz, both downconverted using a single 393 MHz LO. Signal fidelity is assessed via Normalized Mean Square Error (NMSE) and Error Vector Magnitude (EVM), confirming the proposed architecture’s effectiveness in maintaining high-quality signal reception under concurrent multiband operation. The results highlight the potential of harmonic-selective clocking to simplify multiband receiver design for wireless communication and global navigation satellite system (GNSS) applications. Full article