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The efficacy of supervised deep learning in medical image analyses, particularly in pathology, is hindered by the necessity for extensive manual annotations. Annotating images at the gigapixel level manually proves to be a highly labor-intensive and time-consuming task. Semi-supervised learning (SSL) has emerged as a promising approach that leverages unlabeled data to reduce labeling efforts. In this work, we introduce Semi-Path, a practical SSL framework enhanced with active learning (AL) for gigapixel pathology tasks. Unlike existing methods that treat SSL and AL as independent components where AL incurs significant computational complexity to SSL, we propose a deep fusion of SSL and AL into a unified framework. Our framework introduces Informative Active Annotation (IAA) that employs a SSL-AL iterative structure to effectively extract knowledge from unlabeled pathology data. This structure significantly minimizes labeling efforts and computational complexity. Then, we propose Adaptive Pseudo-Labeling (APL) to address heterogeneity in class distribution, and prediction difficulty that are often observed in real-world pathology tasks. We evaluate Semi-Path on pathology image classification and segmentation tasks over three datasets that include WSIs from breast, colorectal, and brain tissues. The experimental results demonstrate the consistent superiority of Semi-Path over state-of-the-art methods.

Three subjects in polymer and soft matter physics are outlined in the present article. The first relates to concepts of an ideal glass transition. We describe work on ultra-stable glass, either a 20-million-year-old amber or a vapor deposited amorphous fluoropolymer, which examines the temperature dependence of the dynamics in a window between a low fictive temperature and the glass transition temperature. From this 'finesse' of the problem of the geological time scales in sub-glass temperature systems strong evidence that the divergence of the relaxation times at finite temperature from WLF-types of extrapolation is not correct. The second topic is polymer nonlinear viscoelasticity as it relates to dynamic heterogeneity. We show results from mechanical hole burning experiments that suggest that dynamic heterogeneity arises from the nature of specific relaxation mechanisms rather than heterogeneous changes in, for example, the fictive temperature. Included is a discussion of large amplitude oscillatory shear testing and how it relates to characterization of nonlinear viscoelastic materials. The last topic addressed is the rheology of circular macromolecules. Here, we take a historical perspective and describe important new results from several laboratories that seem inconsistent. New works from our own studies on circular DNA are also discussed. KEYWORDS cyclic macromolecules, DNA, fictive temperature, glass and glass transition, ideal glass, LAOS, macromolecular rings, mechanical spectral hole burning, molecular rheology, nonlinear viscoelasticity, polymer dynamics, ultrastable glass, 1 | INTRODUCTION Polymers are great materials from scientific and engineering perspectives. At the local scale, sometimes referred to as the segmental scale, they behave like other molecular substances. But [...]

This study evaluates the effect of returnee directors on corporate tax avoidance by using data on publicly listed Chinese companies from 2000 to 2012. Returnee directors grow up in China and then study or work abroad before returning home to be listed firms' board directors. We use the introduction of provincial policies toward attracting skilled individuals with foreign experience as an instrumental variable for Returnee directors, which is the fraction of returnee directors divided by the total number of directors within a firm. Using quantile regression, we find a positive relation between Returnee directors and corporate tax avoidance for low levels of tax avoidance but a negative relation for high levels of tax avoidance. The result is robust to a battery of tests. The relation between returnee directors and tax avoidance is stronger for state-owned enterprises (SOEs) than non-SOEs and stronger for returnees who hold MBA degrees, possess a background in accounting or auditing, or are independent directors than other returnees. [ABSTRACT FROM AUTHOR]

Invasive aspergillosis (IA) significantly increases mortality in critically ill patients in the ICU and its occurrence is closely related to immunocompromise. Dissemination of IA is easily misdiagnosed and mistreated due to its ability to invade multiple systems throughout the body and lack of typical clinical manifestations. In this case, a 25-year-old previously healthy woman was hospitalized with fulminant myocarditis and treated with veno-arterial extracorporeal membrane pulmonary oxygenation (VA-ECMO) support and intravenous acyclovir, high-dose methylprednisolone, and immunoglobulin. 6 days later, she was successfully weaned from VA-ECMO and underwent cardiac rehabilitation. On day 10, she developed a fever (Tmax 38.3°C) and an irritating cough and began to experience reduced vision over the right eye with eye pain, redness, photophobia, and tearing 2 days later. Administration of levofloxacin eye drops and tobramycin/dexamethasone eye ointment was ineffective. The patient was positive for serum Aspergillus galactomannan antigen. Positron emission tomography/computed tomography (PET/CT) scan showed multiple hypermetabolic cavitary nodules in both lungs (SUVmax3.6) and thickening of the ocular ring wall with hypermetabolism in the right eye (SUVmax3.2). Ophthalmologic examination revealed that her best-corrected visual acuity in the right eye was reduced to light perception with an intraocular pressure of 21 mmHg, and B-scan ultrasonography showed vitreous opacity and retinal edema with mild detachment in the right eye. Metagenomic next-generation sequencing (mNGS) identified a large number of Aspergillus fumigatus sequences in bronchoalveolar lavage fluid, blood, and aqueous humor from the right eye, supporting the diagnosis of pulmonary and ocular involvement due to disseminated IA. Vitrectomy, anterior chamber irrigation, combined with intravenous and intravitreal injections of voriconazole and liposomal amphotericin B eventually cured the patient. This case highlights the importance of early identification and intervention regarding disseminated IA in immunocompromised critically ill patients, especially in the presence of multiple organ involvement. [ABSTRACT FROM AUTHOR]

Purpose: Hippocampal-avoidance whole-brain radiotherapy (HA-WBRT) planning can present challenges. This study examines the influence of head tilt angles on the dosimetric characteristics of target and organs at risk (OARs), aiming to identify the optimal tilt angle that yields optimal dosimetric outcomes using tomotherapy (TOMO). Methods: Eight patients diagnosed with brain metastases underwent CT scans at five tilt angles: [0°, 10°), [10°, 20°), [20°, 30°), [30°, 40°), and [40°, 45°]. Treatment plans were generated using TOMO and volumetric modulated arc therapy (VMAT). Dosimetric parameters including conformity index (CI), homogeneity index (HI), D2cc, D98%, and Dmean of PTV, as well as Dmax, and Dmean of OARs were analyzed. Furthermore, a comparison was made between the dosimetric parameters of TOMO and VMAT plans. Finally, delivery efficiency of TOMO plans were assessed. Results: For the PTV, [40°, 45°] tilt angle demonstrated significantly better conformity, homogeneity, lower D2cc, and lower Dmean for the PTV. Regarding the OARs, the [40°, 45°] head tilt angle demonstrated significantly lower Dmax and Dmean in hippocampus, eyes, optic chiasm, and optic nerves. The [40°, 45°] tilt angle also showed significantly lower Dmax for brainstem and cochleas, as well as a lower Dmean for lens. In the [40°,45°] tilt angle for HA-WBRT, TOMO showed superior performance over VMAT for the PTV. TOMO achieved lower Dmax for brainstem, cochleas, optic nerves, and optic chiasm, as well as a lower Dmean for hippocampus. Furthermore, a significant correlation was found between delivery time and the PTV projection length in the sagittal plane. Conclusion: The TOMO plan utilizing a tilt angle range of [40°, 45°] demonstrated superior PTV conformity and uniformity, along with enhanced OARs sparing. Furthermore, it exhibited a dosimetric advantage over VMAT for PTV and most OARs at the same angle range. [ABSTRACT FROM AUTHOR]