Multi-Level Image Thresholding Based on Modified Spherical Search Optimizer and Fuzzy Entropy.

Multi-level thresholding is one of the effective segmentation methods that have been applied in many applications. Traditional methods face challenges in determining the suitable threshold values; therefore, metaheuristic (MH) methods have been adopted to solve these challenges. In general, MH methods had been proposed by simulating natural behaviors of swarm ecosystems, such as birds, animals, and others. The current study proposes an alternative multi-level thresholding method based on a new MH method, a modified spherical search optimizer (SSO). This was performed by using the operators of the sine cosine algorithm (SCA) to enhance the exploitation ability of the SSO. Moreover, Fuzzy entropy is applied as the main fitness function to evaluate the quality of each solution inside the population of the proposed SSOSCA since Fuzzy entropy has established its performance in literature. Several images from the well-known Berkeley dataset were used to test and evaluate the proposed method. The evaluation outcomes approved that SSOSCA showed better performance than several existing methods according to different image segmentation measures.

An Improved Marine Predators Algorithm With Fuzzy Entropy for Multi-Level Thresholding: Real World Example of COVID-19 CT Image Segmentation.

Medical imaging techniques play a critical role in diagnosing diseases and patient healthcare. They help in treatment, diagnosis, and early detection. Image segmentation is one of the most important steps in processing medical images, and it has been widely used in many applications. Multi-level thresholding (MLT) is considered as one of the simplest and most effective image segmentation techniques. Traditional approaches apply histogram methods; however, these methods face some challenges. In recent years, swarm intelligence methods have been leveraged in MLT, which is considered an NP-hard problem. One of the main drawbacks of the SI methods is when searching for optimum solutions, and some may get stuck in local optima. This because during the run of SI methods, they create random sequences among different operators. In this study, we propose a hybrid SI based approach that combines the features of two SI methods, marine predators algorithm (MPA) and moth-?ame optimization (MFO). The proposed approach is called MPAMFO, in which, the MFO is utilized as a local search method for MPA to avoid trapping at local optima. The MPAMFO is proposed as an MLT approach for image segmentation, which showed excellent performance in all experiments. To test the performance of MPAMFO, two experiments were carried out. The first one is to segment ten natural gray-scale images. The second experiment tested the MPAMFO for a real-world application, such as CT images of COVID-19. Therefore, thirteen CT images were used to test the performance of MPAMFO. Furthermore, extensive comparisons with several SI methods have been implemented to examine the quality and the performance of the MPAMFO. Overall experimental results confirm that the MPAMFO is an efficient MLT approach that approved its superiority over other existing methods.

Maternal mortality in obstetrics and gynaecology in a tertiary care hospital.

Maternal mortality is the leading causes of death and disability of reproductive age in the developing countries. Bangladesh is one of the developing countries where maternal mortality is very high. The purpose of the present study was to see the causes of maternal deaths at Obstetrics and Gynaecology ward. This retrospective study was carried out in the Department of Obstetrics and Gynaecology at Dhaka Medical College Hospital (DMCH). All maternal deaths were included in this study from July 2003 to June 2004 for a period of one year. The incidence of maternal death was 18.5/1000 live birth. Hypertensive disorder of pregnancy (41.84%) was the most common cause of maternal death followed by unsafe abortions (21.4%), PPH (10.2%), obstructed labour (8.2%). Among 98 patients 36(36.7%) cases are died due to eclampsia. Death due to pre-eclampsia (5.1%), unsafe Abortion (21.4%), Obstetric haemorrhage (18.4%) and obstructed labour (8.3%) were commonly found in this study. The study permits to conclude that Hypertensive disorder of pregnancy is the leading cause of pregnancy related deaths followed by unsafe abortions and obstetric haemorrhage. Other causes include obstructed labour, anaesthetic complications and others.

Analysis of long-term stress reactions in emergency room patients: An initial study.

The psychological stress reactions of 44 family medicine patients who were treated in the emergency room were examined approximately a year after the event. Patients were assessed on several psychological measures, including one for posttraumatic stress disorder (PTSD), and on their perception of how stressful the event was initially and now. Results show continuing stress reactions related to the emergency room event. Three patients endorsed symptoms indicating full PTSD and 13 appeared to have at least partial PTSD. Age appeared to be a factor in the presence of stress symptoms and in degree of perceived communication with the physician.

Some transfusion-induced parasitic infections in Zambia.

The risk of acquiring a transfusion-induced infection in Zambia was studied for the first time. Blood slide examination of donors, despite the insensitivity of the method, established malaria as the most serious hazard. The species involved was Plasmodium falciparum, the cause of cerebral malaria, and which could be rapidly fatal in a non-immune host visiting an endemic area. Microfilariae of Dipetalonema perstans and Wuchereria bancrofti were also found in donor populations. While no disease may be induced, allergic reactions due to the breakdown products of dead microfilariae may manifest themselves. Several cases of transfusion-induced malaria, a case of relapsing fever and a case of rhodesian trypanosomiasis are reported. Toxoplasmosis and kalatazar, which may also be transfusion-induced, are both known to occur in the country but no cases were observed. It is emphasized that prophylactic measures should be mandatory in areas where no regular, screened, donor panel is available. The awareness and ackowledgement of the risk of transfusion-induced infections may be the best safeguard against the serious consequences in developing countries.