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Webly-supervised fine-grained visual classification (WSL-FGVC) aims to learn similar sub-classes from cheap web images, which suffers from two major issues: label noises in web images and subtle differences among fine-grained classes. However, existing methods for WSL-FGVC only focus on suppressing noise at image-level, but neglect to mine cues at pixel-level to distinguish the subtle differences among fine-grained classes. In this paper, we propose a bag-level top-down attention framework, which could tackle label noises and mine subtle cues simultaneously and integrally. Specifically, our method first extracts high-level semantic information from a bag of images belonging to the same class, and then uses the bag-level information to mine discriminative regions in various scales of each image. Besides, we propose to derive attention weights from attention maps to weight the bag-level fusion for a robust supervision. We also propose an attention loss on self-bag attention and cross-bag attention to facilitate the learning of valid attention. Extensive experiments on four WSL-FGVC datasets, i.e., Web-Aircraft, Web-Bird, Web-Car, and WebiNat-5089, demonstrate the effectiveness of our method against the state-of-the-art methods.
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http://dx.doi.org/10.1109/TIP.2025.3562740 | DOI Listing |
Fluids Barriers CNS
September 2025
Department of Medical Sciences, Neurology, Uppsala University, Uppsala, Sweden.
Background: Idiopathic normal pressure hydrocephalus (iNPH) predominantly manifests with gait disturbances, yet clinical assessments are vulnerable to confirmation bias, particularly post-shunt surgery. Blinded video evaluations are a method to enhance objectivity in gait assessment, but their reliability has never been systematically investigated. The aim was to evaluate the inter-rater reliability of blinded gait assessments in iNPH patients and to investigate how these assessments correlate with the Hellström iNPH scale and patient-reported health status following shunt surgery.
View Article and Find Full Text PDFEarly Hum Dev
September 2025
Sivas Cumhuriyet University, Faculty of Medicine, Department of Pediatric Endocrinology, Sivas, Türkiye.
Background: The appearance of pubic or axillary hair before the age of eight in girls or nine in boys, without other signs of puberty, is defined as premature adrenarche (PA) and may be an early sign of the metabolic syndrome. The second to fourth digit ratio (2D:4D), thought to reflect prenatal androgen exposure, has been associated with a variety of behavioral, metabolic, and hormonal conditions.
Objective: To evaluate the relationship between 2D:4D digit ratios and anthropometric, metabolic, and hormonal parameters in children with PA.
Seizure
August 2025
Serviço de Neurologia, Departamento de Neurociências e Saúde Mental, Hospital Santa Maria, Unidade Local de Saúde Santa Maria, Lisboa, Portugal; Centro de Estudos Egas Moniz, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; Laboratório de EEG/Sono, Serviço de Neurologi
Introduction: Subtle involuntary movements in patients with impaired awareness may suggest non-convulsive status epilepticus (NCSE), but their diagnostic accuracy is unclear. Since electroencephalography (EEG) is not always available, clinicians often rely on motor signs for early diagnosis. We aimed to characterize these movements and evaluate interrater agreement and diagnostic accuracy among specialists.
View Article and Find Full Text PDFThromb Res
September 2025
Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany. Electronic address:
Warfarin is a widely used vitamin K antagonist (VKA) with known pleiotropic effects beyond anticoagulation. Preclinical and case-control evidence suggests that warfarin may affect hematopoiesis, but longitudinal human evidence is lacking. To explore this potential effect, we conducted a post-hoc analysis of participants in the Hokusai-VTE and ENGAGE AF-TIMI 48 trials, which randomized patients to warfarin or the direct oral anticoagulant edoxaban with routine laboratory testing at predefined follow-up visits.
View Article and Find Full Text PDFPLoS One
September 2025
Graduate Program in Public Health - PPGSC/UFES, Vitória, Espírito Santo, Brazil.
A comprehensive understanding of the factors influencing the epidemiological dynamics of COVID-19 across the pandemic waves-particularly in terms of disease severity and mortality-is critical for optimizing healthcare services and prioritizing high-risk populations. Here we aim to analyze the factors associated with short-term and prolonged hospitalization for COVID-19 during the first three pandemic waves. We conducted a retrospective observational study using data from individuals reported in the e-SUS-VS system who were hospitalized for COVID-19 in a state in a southeast state of Brazil.
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