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(PDF) A preliminary fuzzy cognitive map - Based desicion support tool for geriatric depression assessment | Antonis Billis and Evdokimos Konstantinidis - Academia.edu

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Among these, timely detection and forecasting of early signs of pathological physical, cognitive or emotional health is of paramount importance, since it will allow for certain medicative strategies to be applied. The USEFIL project as such, aims at developing services that would contribute to the prolongation of seniors' independent living and support them during their daily life activities. An unobtrusive sensor network along with several intelligent processing algorithms will result to a better understanding of the senior population health course.","publication_date":"2013,,","grobid_abstract_attachment_id":"45621269"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"A preliminary fuzzy cognitive map - Based desicion support tool for geriatric depression assessment","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [3799322,3806260]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;swp-splash-paper-cover&quot;,&quot;attachmentId&quot;:45621269,&quot;attachmentType&quot;:&quot;pdf&quot;}"><img alt="First page of “A preliminary fuzzy cognitive map - 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The USEFIL decision support system</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="3799322" href="https://authfdf.academia.edu/EvdokimosKonstantinidis">Evdokimos Konstantinidis</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Towards a hierarchically-structured decision support tool for improving seniors&#39; independent living. The USEFIL decision support system&quot;,&quot;attachmentId&quot;:39391878,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/17223453/Towards_a_hierarchically_structured_decision_support_tool_for_improving_seniors_independent_living_The_USEFIL_decision_support_system&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/17223453/Towards_a_hierarchically_structured_decision_support_tool_for_improving_seniors_independent_living_The_USEFIL_decision_support_system"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="22836476" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/22836476/A_study_on_Fuzzy_Cognitive_Map_structures_for_Medical_Decision_Support_Systems">A study on Fuzzy Cognitive Map structures for Medical Decision Support Systems</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31758301" href="https://teiep.academia.edu/CStylios">Chrysostomos Stylios</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Proceedings of the 8th conference of the European Society for Fuzzy Logic and Technology, 2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A study on Fuzzy Cognitive Map structures for Medical Decision Support Systems&quot;,&quot;attachmentId&quot;:43381544,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/22836476/A_study_on_Fuzzy_Cognitive_Map_structures_for_Medical_Decision_Support_Systems&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/22836476/A_study_on_Fuzzy_Cognitive_Map_structures_for_Medical_Decision_Support_Systems"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="31459580" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31459580/Fuzzy_Cognitive_Maps_Structure_for_Medical_Decision_Support_Systems">Fuzzy Cognitive Maps Structure for Medical Decision Support Systems</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="713166" href="https://teiep.academia.edu/Chrysostomosstylios">Chrysostomos Stylios</a></div><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Fuzzy Cognitive Maps Structure for Medical Decision Support Systems&quot;,&quot;attachmentId&quot;:51816568,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/31459580/Fuzzy_Cognitive_Maps_Structure_for_Medical_Decision_Support_Systems&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31459580/Fuzzy_Cognitive_Maps_Structure_for_Medical_Decision_Support_Systems"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="4394443" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/4394443/_Novel_Architecture_for_supporting_medical_decision_making_of_different_data_types_based_on_Fuzzy_Cognitive_Map_Framework_">“Novel Architecture for supporting medical decision making of different data types based on Fuzzy Cognitive Map Framework”</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="713166" href="https://teiep.academia.edu/Chrysostomosstylios">Chrysostomos Stylios</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Medical problems involve different types of variables and data, which have to be processed, analyzed and synthesized in order to reach a decision and/or conclude to a diagnosis. Usually, information and data set are both symbolic and numeric but most of the well-known data analysis methods deal with only one kind of data. Even when fuzzy approaches are considered, which are not depended on the scales of variables, usually only numeric data is considered. The medical decision support methods usually are accessed in only one type of available data. Thus, sophisticated methods have been proposed such as integrated hybrid learning approaches to process symbolic and numeric data for the decision support tasks. Fuzzy Cognitive Maps (FCM) is an efficient modelling method, which is based on human knowledge and experience and it can handle with uncertainty and it is constructed by extracted knowledge in the form of fuzzy rules. The FCM model can be enhanced if a fuzzy rule base (IF-THEN rules) is available. This rule base could be derived by a number of machine learning and knowledge extraction methods. Here it is introduced a hybrid attempt to handle situations with different types of available medical and /or clinical data and with difficulty to handle them for decision support tasks using soft computing techniques.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;“Novel Architecture for supporting medical decision making of different data types based on Fuzzy Cognitive Map Framework”&quot;,&quot;attachmentId&quot;:31824927,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/4394443/_Novel_Architecture_for_supporting_medical_decision_making_of_different_data_types_based_on_Fuzzy_Cognitive_Map_Framework_&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/4394443/_Novel_Architecture_for_supporting_medical_decision_making_of_different_data_types_based_on_Fuzzy_Cognitive_Map_Framework_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="63036535" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/63036535/Prediction_of_Severity_of_Diabetes_Mellitus_using_Fuzzy_Cognitive_Maps">Prediction of Severity of Diabetes Mellitus using Fuzzy Cognitive Maps</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="3348498" href="https://davjalandhar.academia.edu/NitinBhatia">Nitin Bhatia</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Advances in Life Science and Technology, 2015</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Prediction of Severity of Diabetes Mellitus using Fuzzy Cognitive Maps&quot;,&quot;attachmentId&quot;:75598239,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/63036535/Prediction_of_Severity_of_Diabetes_Mellitus_using_Fuzzy_Cognitive_Maps&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/63036535/Prediction_of_Severity_of_Diabetes_Mellitus_using_Fuzzy_Cognitive_Maps"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="4195074" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/4195074/Fuzzy_cognitive_map_architectures_for_medical_decision_support_systems"> Fuzzy cognitive map architectures for medical decision support systems</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="713166" href="https://teiep.academia.edu/Chrysostomosstylios">Chrysostomos Stylios</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Medical decision support systems can provide assistance in crucial clinical judgments, particularly for inexperienced medical professionals. Fuzzy cognitive maps (FCMs) is a soft computing technique for modeling complex systems, which follows an approach similar to human reasoning and the human decision-making process. FCMs can successfully represent knowledge and human experience, introducing concepts to represent the essential elements and the cause and effect relationships among the concepts to model the behavior of any system. Medical decision systems are complex systems that can be decomposed to non-related and related subsystems and elements, where many factors have to be taken into consideration that may be complementary, contradictory, and competitive; these factors influence each other and determine the overall clinical decision with a different degree. Thus, FCMs are suitable for medical decision support systems and appropriate FCM architectures are proposed and developed as well as the corresponding examples from two medical disciplines, i.e. speech and language pathology and obstetrics, are described.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot; Fuzzy cognitive map architectures for medical decision support systems&quot;,&quot;attachmentId&quot;:31691315,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/4195074/Fuzzy_cognitive_map_architectures_for_medical_decision_support_systems&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/4195074/Fuzzy_cognitive_map_architectures_for_medical_decision_support_systems"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="13340590" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/13340590/Clinical_Decision_Support_System_based_on_Fuzzy_Cognitive_Maps">Clinical Decision Support System based on Fuzzy Cognitive Maps</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32580297" href="https://obs-vlfr.academia.edu/DrDoualiNassim">Nassim Douali</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Computer Science &amp; Systems Biology, 2015</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Clinical Decision Support System based on Fuzzy Cognitive Maps&quot;,&quot;attachmentId&quot;:38018771,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/13340590/Clinical_Decision_Support_System_based_on_Fuzzy_Cognitive_Maps&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/13340590/Clinical_Decision_Support_System_based_on_Fuzzy_Cognitive_Maps"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="31459578" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31459578/Fuzzy_Cognitive_Map_Decision_Support_System_for_Successful_Triage_to_Reduce_Unnecessary_Emergency_Room_Admissions_for_the_Elderly">Fuzzy Cognitive Map Decision Support System for Successful Triage to Reduce Unnecessary Emergency Room Admissions for the Elderly</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="713166" href="https://teiep.academia.edu/Chrysostomosstylios">Chrysostomos Stylios</a></div><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Fuzzy Cognitive Map Decision Support System for Successful Triage to Reduce Unnecessary Emergency Room Admissions for the Elderly&quot;,&quot;attachmentId&quot;:51816567,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/31459578/Fuzzy_Cognitive_Map_Decision_Support_System_for_Successful_Triage_to_Reduce_Unnecessary_Emergency_Room_Admissions_for_the_Elderly&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31459578/Fuzzy_Cognitive_Map_Decision_Support_System_for_Successful_Triage_to_Reduce_Unnecessary_Emergency_Room_Admissions_for_the_Elderly"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="9245787" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/9245787/A_Decision_Support_Framework_for_promoting_Independent_Living_and_Ageing_Well">A Decision-Support Framework for promoting Independent Living and Ageing Well</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="6270551" href="https://academic.academia.edu/MariannaTsatali">Marianna Tsatali</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Abstract— Artificial intelligence and decision support systems offer a plethora of health monitoring capabilities in Ambient Assisted Living (AAL) environment. Continuous assessment of health indicators for elderly people living on their own is of utmost importance, so as to prolong their independence and quality of life. Slow varying, long-term deteriorating health trends are not easily identifiable in seniors. Thus, early sign detection of a specific condition, as well as, any likely transition from a healthy state to a pathological one are key problems that the herein proposed framework aims at resolving. Statistical process control concepts offer a personalized approach towards identification of trends that are away from the atypical behavior or state of the seniors, while Fuzzy Cognitive Maps knowledge representation and inference schema have proved to be efficient in terms of disease classification. Geriatric depression is used as a case study throughout the paper, so to prove the validity of the framework, which is planned to be pilot tested with a series of lone-living seniors in their own homes.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A Decision-Support Framework for promoting Independent Living and Ageing Well&quot;,&quot;attachmentId&quot;:40092342,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/9245787/A_Decision_Support_Framework_for_promoting_Independent_Living_and_Ageing_Well&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/9245787/A_Decision_Support_Framework_for_promoting_Independent_Living_and_Ageing_Well"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="57036038" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/57036038/Health_Symptom_Checking_System_for_Elderly_People_Using_Fuzzy_Analytic_Hierarchy_Process">Health Symptom Checking System for Elderly People Using Fuzzy Analytic Hierarchy Process</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="66766918" href="https://independent.academia.edu/HuangYoPing">Yo-Ping Huang</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Applied System Innovation</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Health Symptom Checking System for Elderly People Using Fuzzy Analytic Hierarchy Process&quot;,&quot;attachmentId&quot;:72128417,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/57036038/Health_Symptom_Checking_System_for_Elderly_People_Using_Fuzzy_Analytic_Hierarchy_Process&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/57036038/Health_Symptom_Checking_System_for_Elderly_People_Using_Fuzzy_Analytic_Hierarchy_Process"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:45621269,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:45621269,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_45621269" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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