Active Intensity Research Articles

Conceptualising mass death through Palestinian texts amidst Gaza events 2023/24

ABSTRACT Following the Gaza events of 2023/24, this study examines how Palestinians understand mass death and mass destruction, exploring how can such a humanitarian catastrophe be framed within a coherent narrative. The focus is on the concept of sacrifice, analysed through a theoretical framework that distinguishes between meaningful sacrifices and absurd, meaningless deaths that categorises the victims as homo-sacer. Hence, this study aims to investigate the language and literature of the Palestinian people that regards to the 2023/24 Gaza events, and the way it re-conceptualises the mass death and destruction and its victims, between the concepts of sacrifice and homo-sacer. A sample of 120 literary and creative texts from the cultural magazine ‘Fusha for Palestinian Culture,’, 1 was examined using the methodology of thematic analysis. Four primary themes emerged from the texts: the active documentation, the speed and intensity of death and destruction, the form of death, namely handling of bodies and burial rituals, and lastly the implementation of myths from various traditions, including the duality of mythologising and demythologising Gaza and its inhabitants. I conclude that these four themes were elemental in the rhetoric process of sanctification of the mass and random death and destruction.

Unattended noise measurements: use of new technologies to automatically qualify noise events for greater efficiency, precision and time savings

For more than 40 years, the noise assessment in the environment has consisted of measuring and storing the time history typically every second, then marking the events using post-processing software or automatically or manually by coding. Technological advances now make it possible to enrich the simple measurement of the time history thanks to additional data allowing a better evaluation of the measured phenomena: audio recording and AI analysis of the type of noise, analysis of the predominant direction during a noise event. We propose to present an innovative solution based on a 3D sound intensity probe allowing the determination of the azimuth and the elevation every time a noise event occurs. The results are expressed by frequency bands and A weighted filter. The influence of the type of field (active and reactive intensity) will be developed. Particular attention will be paid to the accuracy and the validity of the measurement as well as the limits of the principle.

Higher-fidelity analysis of air source heat pump noise via scanning intensity measurement

The need to shift to reduce carbon emissions to hit Net Zero is currently driving plans for large scale rollouts of Air Source Heat Pumps (ASHPs), due to their increased thermal efficiency and lack of direct carbon emissions. Concern exists, however, over the potential environmental noise impact that these units could generate. The noise generated by ASHPs is measured according to BS EN 12102-2:2019. This allows a choice of several laboratory test procedures for the acoustic part, but in each of these methods only overall sound power is measured. Such measurements are crucial, but they cannot give insight into the directivity of the noise from the unit - as is required for accurate acoustic propagation modelling - and they cannot give diagnostic information that would aid improvements to designs, e.g., by showing which parts of an ASHP radiate the most noise. This paper explores the benefits offered by scanning intensity measurement, here using a Microflown Scan and Paint 3D system. This can provide a map of active and reactive intensity around the unit - in addition to pressure and particle velocity - allowing noise from components and directivity to be estimated. Advantages and challenges are discussed.

Acoustic near field effects in distribution transformer noise measurement

This paper examines the near field effect, including the active and reactive acoustic field around a liquid-filled distribution transformer with heat-dissipating corrugated fins on the tank walls. The analysis was carried out on the basis of measurements of sound pressure and sound intensity levels along with acoustic maps including the phase correlation of acoustic waves. The acoustic field around the transformer was evaluated in the measurement planes showing normal direction radiation of up to 1,0 m distance. Discrete point measurements made with the PU (pressure - velocity) probe was used to obtain parameters such as particle velocity, active and reactive sound intensity as well as the transfer function associated with the reference microphone. The last parameter, the transfer function, allows to show the phase correlation between acoustic wave propagation, which contributes to a better understanding of acoustic near-field effects where energy circulates, creating a sound field that can have overestimated sound pressure and intensity levels.

Response of submarine braided channels to varying inflow hydrographs: Geomorphic experiments and stratigraphic implications

AbstractSubmarine channels on the seafloor experience a range of turbidity current‐flood hydrographs. The characteristics of the flood hydrograph influence channel dimensions, the number of channel threads (i.e. braiding intensity) and the depositional properties of sandbars within the channels. However, the morphodynamic response of submarine braided channels to different hydrograph patterns is poorly understood. In this study, six geomorphic experiments are used to test how varied flood hydrographs affect the braiding intensity and sandbar geometry within submarine channels. Three experiments represent the control group with constant density‐current inflow, and three experiments use different time‐varying hydrograph patterns. The experiments show that, as the inflow‐to‐sediment discharge ratio increases, multiple small channels coalesce into a few main channels, causing a decrease in active braiding intensity defined by the channel threads with flow. When the flow returns to the initial low flow rate, active braiding intensity increases again. These observations show that the inflow‐to‐sediment discharge ratio determines the value of active braiding intensity. Additionally, active braiding intensity is directly proportional to dimensionless sediment‐stream power and dimensionless stream power, in agreement with previously established trends for both submarine and fluvial braided channels. In contrast to active braiding intensity changes, the measured sandbar aspect ratio and compactness ratio (i.e. ratio of planform area to perimeter) of submarine braided channels is insensitive to changes in the hydrograph. However, when inflows reach peak discharge, the higher transport capacity erodes pre‐existing deposits, forming noticeable erosional surfaces, and subsequently depositing thicker sandbars during that stage. These observations imply that sandbar planform morphology is largely insensitive to hydrograph, but hydrograph variability induces a greater variability in the resultant stratigraphic packages. The experimental results predict that field‐scale stratigraphy should be dominated by strata deposited during intervals of high flow, but that these strata will also exhibit reduced lateral continuity compared to formation scenarios with constant discharge.

Absorptive nature of scattering coefficients in stress-energy tensor formalism for room acoustics.

In the stress-energy tensor formalism, the symmetry between absorption and scattering coefficients, as proven by measurements combined with simulations, is counterintuitive. By introducing the wall admittance, we show that the scattering coefficient is partly created by the real part of the wall admittance combined with the active intensity, that is, is partly due to absorption. However, for curved surfaces or finite source distances, it also depends on the imaginary part of the wall admittance in combination with the reactive intensity, which confers its genuine scattering properties inversely proportional to the distances to the sources. Thus, for plane waves impinging on plane boundaries, or purely real admittances, scattering reduces to absorption.

Effects of Dry Needling on Active Myofascial Trigger Points and Pain Intensity in Tension-Type Headache: A Randomized Controlled Study.

Tension-type headache is the most prevalent type of headache and is commonly associated with myofascial pain syndrome and the presence of active myofascial trigger points. This randomized controlled trial aimed to assess the impact of dry needling on the total number of active trigger points, pain intensity, and perceived clinical change in tension-type headache subjects. Thirty-two subjects were randomly assigned to the control and dry needling groups. The presence of active trigger points in 15 head and neck muscles, the headache intensity, and the perceived clinical change were evaluated. A single dry needling technique was administered at each active trigger point across three sessions. Significant differences were observed in the post-treatment measures favouring the dry needling group, including reductions in the headache intensity scores (p = 0.034) and the total number of active trigger points (p = 0.039). Moreover, significant differences in the perception of clinical change were found between the control and treatment groups (p = 0.000). Dry needling demonstrated positive effects in reducing the number of active trigger points and improving the short-term headache intensity in tension-type headache patients. A single dry needling session applied in the cranio-cervical area resulted in a self-perceived improvement compared to the control subjects.

Diffuse sound field synthesis: Ideal source layers

Can uncorrelated surrounding sound sources be used to generate extended diffuse sound fields? By definition, targets are a constant sound pressure level, a vanishing active sound intensity, and uncorrelated sound waves arriving isotropically from all directions. Are there ideal source layouts to synthesize a maximum diffuse sound field within? As methods, we employ numeric simulations and undertake a series of considerations based on uncorrelated source layouts at a finite radius. Statistically expected active sound intensity and sound energy density are insightful and highlight the relation of active sound intensity to potential theory. Correspondingly, both Gauß’ divergence and Newton’s spherical shell theorem apply, and they provide valuable insights. In a circular layout, uncorrelated elementary point-source fields decaying by 1/√r ideally compose an extended sound field of vanishing active sound intensity; in spherical layouts this is the case with a 1/r decay. None of the layouts synthesizes a perfectly constant sound energy density inside. Theory and simulation offer a broad basis for understanding the synthesis of diffuse sound fields with uncorrelated sources in the free sound field.

Stimulus triggered release of actives from composite microcapsules based on sporopollenin from Lycopodium clavatum.

Smart drug delivery systems (SDDSs) are a paradigm shift in drug delivery, particularly in microencapsulation technology where the drug is released in response to an internal and/or external stimulus. In this study, a smart microencapsulation platform was developed using three different types of stimuli triggered release of a model active (rhodamine 6G) from sporopollenin from Lycopodium clavatum. Triggers were based on pH-, thermal- and near infrared light-sensitive polymer composition. Carbopol nanogel and methylcellulose were used as responsive aqueous polymers for pH and thermally triggered release, respectively. Methylcellulose loaded with active and gold nanoparticles was used for photothermal triggered release. The formulations were encapsulated into the empty cores of sporopollenin microcapsules using the compressed tablet technique. The pH triggered release of the active was achieved above pH 7, which was mediated by the swelling of the carbopol nanogel that forced its way out of the elastic trilite scars of the sporopollenin. Results from measuring the active fluorescent intensity and its content over time confirmed the crucial role of carbopol in the pH triggered release. For the thermo-sensitive polymer methylcellulose, it was found that the release of the active from methylcellulose loaded sporopollenin was triggered upon heating the system reaching 90% whereas it levelled out at 40% for methylcellulose-free sporopollenin. The maximum amount of active was released at around 55 °C, where the sol-gel transition of the methylcellulose starts. Photothermally triggered release using near infrared (NIR) laser revealed that the amount of active released from sporopollenin loaded with both gold nanoparticles and methylcellulose was approximately four times higher than that from sporopollenin loaded with methylcellulose/active only, confirming the key role of gold nanoparticles in the release via photothermal heating of the polymer formulation.

Image-fusion-based object detection using a time-of-flight camera.

In this work, we demonstrate an innovative object detection framework based on depth and active infrared intensity images fusion with a time-of-flight (ToF) camera. A slide window weight fusion (SWWF) method provides fuse image with two modalities to localize targets. Then, the depth and intensity information is extracted to construct a joint feature space. Next, we utilize four machine learning methods to achieve object recognition. To verify this method, experiments are performed on an in-house dataset containing 1066 images, which are categorized into six different surface materials. Consequently, the approach performs well on localization with a 0.778 intersection over union (IoU). The best classification results are obtained with K-Nearest Neighbor (KNN) with a 98.01% total accuracy. Furthermore, our demonstrated method is less affected by various illumination conditions.

Analysis of the energy transfer process for multiple scattering problems involving lossy media

The energy transfer process for acoustic propagation and scattering in inhomogeneous, lossy media is rigorously investigated. Two problems are considered: an arbitrarily composed cluster of lossy scatterers, excited by a single point source and a layered, lossy medium excited by an internal point-source distribution. Energy conservation laws and optical theorems are established. The connection of active intensity with the scattering cross section and the relation between reactive intensity and Lagrangian density are determined. Furthermore, the influence of the losses of the involved media to the kinetic energy is unveiled. Reductions to lossless media and near-zero frequency values are derived.

Active Differential Fiber Coupled Plasmon Waveguide Resonance Sensor Based on the Mode Competition Effect

We proposed an active differential intensity (DI) fiber coupled plasmon waveguide resonance (CPWR) sensor based on the mode competition effect in the C-band, aiming to enhance the sensitivity. The sensing head is a fiber probe with a sensing layer of ITO/Au/ITO/TiO2 film, enabling the excitation of CPWR in the C-band. The narrow CPWR spectrum allows DI interrogation by tracking the intensity of light at two wavelengths. The fiber probe is inserted into a dual-wavelength fiber laser to adjust the intra-cavity loss at the two lasing wavelengths. By using the differential modulation of the reflectivity from the refractive index variations, the mode competition effect is triggered. The powers at two lasing wavelengths change oppositely, enlarging the power difference and then resulting in enhanced sensitivity. The average sensitivity is up to 5702 dB/RIUs, which is 10 times higher than that of conventional DI interrogation. The sensitivity enhancement mechanism based on the mode competition effect provides a new technical approach for enhancing the sensitivity of DI SPR sensors.

Active intensity vortex and stagnation point singularities in a shallow underwater waveguide.

Vector acoustic properties of a narrowband acoustic field are observed as a function of range from a source towed in waters of depth 77 m on the New England Mud Patch. At the source frequency (43 Hz), the waveguide supported three trapped modes, with mode 2 weakly excited owing to the towed source depth. The receiving sensor was positioned 1.45 m above the seafloor with a sampling range aperture of 2500 m. The vector acoustics observations enabled study of vortex regions that encompass two singular points for active acoustic intensity: the vortex point, which is co-located with a dislocation, and stagnation point. Interpretative modeling, based on the normal modes and using a geoacoustic model consistent with those emerging from studies conducted at this location, is in agreement with these measurements. Model-data comparisons were based on the first-order variables of acoustic pressure and velocity along with inverse Hankel transforms, which yield normalized horizontal wavenumber spectra, and second-order variables in the form of horizontal and vertical intensity as well as non-dimensional intensity-based ratios. These measures provide a degree of observational confirmation of some vortex region properties. Both observations and modeling point to a gradual deepening of such regions with increasing range owing to sediment attenuation.

A Power-Based Framework for Quantifying Parameter Uncertainties in Finite Vibroacoustic Metamaterial Plates.

Vibroacoustic metamaterials (VAMMs) are artificial materials that are specifically designed to control, direct, and manipulate sound waves by creating a frequency gap, known as the stop band, which blocks free wave propagation. In this paper, a new power-based approach that relies on the active structural intensity (STI) for predicting the stop band behavior of finite VAMM structures is presented. The proposed method quantifies the power loss in a locally resonant finite VAMM plate in terms of percentage, such as STI99% and STI90%, for stop band prediction. This allows for the quantitative analysis of the vibration attenuation capabilities of a VAMM structure. This study is presented in the context of a two-dimensional VAMM plate with 25 resonators mounted in the middle section of the plate. It has been demonstrated that this method can predict the stop band limits of a finite VAMM plate more accurately than using negative effective mass, unit cell dispersion analysis, or the frequency response function methods. The proposed approach is then implemented to establish a framework for investigating the influence of parameter uncertainties on the stop band behavior of the VAMM plate. Based on the STI99% method, which aims for significant vibration reduction, stricter tolerances in the mass fabrication process are required to ensure the robustness of VAMM. Conversely, the STI90% method suggests that larger fabrication tolerances can be leveraged to achieve a broader stop band range while still meeting the desired performance level, leading to cost savings in manufacturing.

Confinement width and inflow-to-sediment discharge ratio control the morphology and braiding intensity of submarine channels: insights from physical experiments and reduced-complexity models

Abstract. Submarine channels conveying sediment gravity flows are often topographically confined, but the effect of confinement width on channel morphodynamics is incompletely understood. We use physical experiments and a reduced-complexity model to investigate the effects of confinement width (B) and the inflow-to-sediment discharge ratio (Qin/Qs) on the evolution of submarine braided channels. The results show that a larger confinement width results in increased active braiding intensity (BIA) and that BIA takes longer to stabilize (i.e., a longer critical time; tc). At a fixed confinement width, a higher Qin/Qs slightly decreases the BIA. Digital elevation models of difference (DoD) of the experiments allow measurement of the morphological active width (Wa) of the submarine channels and the bulk morphological change (Vbulk) within an experiment, defined as the sum of total erosion and deposition. We find that Wa and Vbulk are proportional to B. We further confirm that BIA is proportional to both dimensionless sediment–stream power (ω**) and dimensionless stream power (ω*). These trends are consistent for submarine braided channels both with and without confinement width effects. Furthermore, we built a reduced-complexity model (RCM) that can simulate flow bifurcation and confluence of submarine braided channels. The simulated flow distribution provides reliable predictions of flow depth and sediment transport rate in the experiments. Using kernel density estimation (KDE) to forecast the probability and trends of cross-sectional flow distribution and corresponding BIA under extreme events, we find that skewness of the flow distribution decreases as discharge increases. The development of braided submarine channels, shown here to extend to conditions of topographic confinement, suggests that factors not modeled here (e.g., fine sediment) may be necessary to explain the abundance of single-thread submarine channels in nature.

Machine-learning based characteristic estimation method in printed circuit board production lines

In this study, software and hardware that supported automatic optical inspection (AOI) for printed circuit board production line was proposed and demonstrated. The proposed method showed an effective solution that predicts off-line electromagnetic (EM) characteristic of manufactured components through in-line pattern integrity. A spiral antenna that represented complex patterns was used as the evaluation target with imitated production variations. Numerical evaluation on EM properties, batch fabrication, hardware setup and optimization, algorithm and graphical user interface development, machine learning and artificial intelligence modeling, and data verification and analysis were thoroughly conducted in this study. Results indicated that when the antenna showed pattern distortion, its passive capacitance, active intensity, and active frequency increased, decreased, and decreased, respectively. These results proved that the developed system and method overcame the inability of in-line EM measurement in conventional setup. The results also showed high estimation accuracy that was not yet achieved in the past. Compared to existing or similar AOI ideas, the proposed method supports analyses on complex pattern, provides solutions on target design, and efficient algorithm generation. This work also proved active and passive EM signals with evidences, and exhibited outstanding confidence levels for characteristic estimations. The proposed system and method indicated their potential in smart manufacturing.

Spatiotemporal Patterns in Land Use/Land Cover Observed by Fusion of Multi-Source Fine-Resolution Data in West Africa

Land Use/Land Cover (LULC) change is a major global concern and a topic of scientific debate. In West Africa, the key trend among the changes of the past few years is the loss of natural vegetation related to changes in different LULC categories, e.g., water bodies, wetland, and bare soil. However, not all detected changes in these LULC categories are relevant for LULC change management intervention in a resource-constrained continent, as a massive change in the dominant LULC types may be due to errors in the LULC maps. Previous LULC change analysis detected large discrepancies in the existing LULC maps in Africa. Here, we applied an open and synergistic framework to update and improve the existing LULC maps for West Africa at five-year intervals from 1990 to 2020—updating them to a finer spatial resolution of 30 m. Next, we detected spatial–temporal patterns in past and present LULC changes with the intensity analysis framework, focusing on the following periods: 1990–2000, 2000–2010, and 2010–2020. A faster annual rate of overall transition was detected in 1990–2000 and 2010–2020 than in 2000–2010. We observed consistent increases in shrubland and grassland in all of the periods, which confirms the observed re-greening of rangeland in West Africa. By contrast, forestland areas experienced consistent decreases over the entire period, indicating deforestation and degradation. We observed a net loss for cropland in the drought period and net gains in the subsequent periods. The settlement category also gained actively in all periods. Net losses of wetland and bare land categories were also observed in all of the periods. We observed net gains in water bodies in the 1990–2000 period and net losses in the 2010–2020 period. We highlighted the active forestland losses as systematic and issued a clarion call for an intervention. The simultaneous active gross loss and gain intensity of cropland raises food security concerns and should act as an early warning sign to policy makers that the food security of marginal geographic locations is under threat, despite the massive expansion of cropland observed in this study area. Instead of focusing on the dynamics of all the LULC categories that may be irrelevant, the intensity analysis framework was vital in identifying the settlement category relevant for LULC change management intervention in West Africa, as well as a cost-effective LULC change management approach.

Effects of different artificial photosynthetically active radiation (PAR) sources and intensity on the growth and nutrient uptake in Ulva prolifera and Neopyropia yezoensis

Fluorescent lamps and semiconductor light-emitting diodes (LEDs) lamps are commonly used as artificial light sources in the indoor algae cultivation system. In this study, we tested the effect of two types of fluorescent lamps (T8 and T5) and white LED lamp on the growth, photosynthesis, and nutrient uptake rates of Neopyropia yezoensis and Ulva prolifera under three photosynthetically active radiation (PAR) conditions (80, 150 and 300 μmol photon m2 s−1). White LED and T8 fluorescent light induced the highest and the lowest growth rates, respectively, in both species under each PAR. The effect of T5 fluorescent light on growth rate depends on the species and PAR. Interestingly, the T8 fluorescent light significantly increased the uptake rate of phosphorus under all PARs and nitrogen uptake rate was enhanced under 150 μmol photon m2 s−1 in U. prolifera, which was not observed in N. yezoensis. Our results suggest that white LED lamp is a more economical and efficient artificial light source than fluorescent lamps because of their highest enhancement of growth. The optimal PAR of T5 fluorescent light for growth is lower than T8 fluorescent light in the cultivation of U. prolifera. T8 fluorescent increases phosphorous uptake rate in U. prolifera.

MP79-11 A SHAM-CONTROLLED RANDOMIZED TRIAL OF LOW INTENSITY SHOCKWAVE THERAPY FOR ERECTILE DYSFUNCTION

You have accessJournal of UrologyCME1 Apr 2023MP79-11 A SHAM-CONTROLLED RANDOMIZED TRIAL OF LOW INTENSITY SHOCKWAVE THERAPY FOR ERECTILE DYSFUNCTION Irwin Goldstein, Sue W. Goldstein, and Noel N. Kim Irwin GoldsteinIrwin Goldstein More articles by this author , Sue W. GoldsteinSue W. Goldstein More articles by this author , and Noel N. KimNoel N. Kim More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003356.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We performed a sham-controlled, randomized prospective trial in men with ED using an electrohydraulic shockwave device FDA cleared for connective tissue activation and improved blood flow. METHODS: This single-blind study was performed in men with ED naïve to acoustic wave and shockwave therapy. Patients were randomized to treatment and assigned to active low intensity shockwave therapy (LiSWT) (4 Hz, 0.12 mJ/mm2) or sham treatment, 2:1. Arm 1 consisted of 3 treatments of 5000 shocks every 3 weeks. Arm 2 consisted of 5000, 3000, and 3000 shocks during weeks 1, 2, and 3, respectively, followed by an identical cycle of treatment 3 weeks later. Doppler ultrasound and grayscale imaging with a 15.4 MHz probe were performed under pharmacologic erection at weeks 20 and 32. Subjects completing sham treatment were unblinded and crossed over to the opposite arm for active treatment. Post-treatment end diastolic velocity (EDV) and peak systolic velocity (PSV) were measured, and visual grading scores were used to assess extent of hypoechoic regions in the corpora cavernosa. Data were analyzed by 2-way repeated measures ANOVA with Geisser-Greenhouse correction. Pairwise comparisons were performed to baseline used Dunnett’s multiple comparison test. Missing data were imputed by “last observation carried forward”. RESULTS: Although powered for 60, recruitment was limited due to COVID and 36 subjects (22 active, 14 sham) were randomized. Sham treatments showed no significant changes in outcome measures. The number of subjects with improved visual grading scores in the proximal region was consistently higher in active LiSWT vs sham (Arm 1=88.9% vs. 11.1%; Arm 2=40.0% vs. 20.0%, respectively) with statistical significance in Arm 1 at weeks 20 (p=0.005) and 32 (p=0.001). Sham subjects rolled over to active LiSWT also had improved grayscale ratings (Arm 1=33.3% vs. 11.1%; Arm 2=40.0% vs. 20.0%). After LiSWT, greater numbers of patients had higher PSV, lower EDV, or no worsening of blood flow parameters relative to baseline. Decrease in EDV was statistically significant in active treatment Arm 2 at Week 32 (p=0.003). Mean IIEF-EF scores were nominally higher in subjects in active treatment who had improved visual grading scores vs those with no improvement. Adverse events were transient. CONCLUSIONS: Flaccid penile LiSWT appears to be safe and efficacious for treating ED based on statistically significant changes from baseline between sham and active treatments in primary outcome measures. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1145 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Irwin Goldstein More articles by this author Sue W. Goldstein More articles by this author Noel N. Kim More articles by this author Expand All Advertisement PDF downloadLoading ...

Structure-preserving Contrast Enhancement of Fundus Images using Dualistic Sub-Image Bi-histogram Bezier Curve

Diabetic retinopathy is a common eye disease among diabetic patients which is caused by excessive sugar in the blood vessels that damage the retina. Fundus images are retina images that are captured and diagnosed by ophthalmologists. Ophthalmologists diagnose the progressive stages of diabetic retinopathy so that early detection of pre-diabetic retinopathy can be carried out. However, the quality of the fundus image can be associated with the brightness of the background and the indistinctive vessel contrast. This paper presents a novel extension of Bi-histogram Bezier curve contrast enhancement (BBCCE) based on the mean partition of its histogram. The disadvantage of having mean as the threshold partition is that the histogram distribution can be skewed due to an outlier. The proposed Dualistic Sub-Image Bi-histogram Bezier Curve Contrast Enhancement (DSI-BBCCE) method partitions the original histogram into two, using the median of the active dynamic intensity range of the input image and process two Bezier transform curves separately to replace the original cumulative density function curve as the median is not affected by the outlier. This DSI-BBCCE has the advantage of preserving the structure, median brightness and preventing over enhancement. The result shows that DSI-BBCCE has achieved a power signal to noise ratio (PSNR) of 20.08±0.94 dB, absolute mean brightness error (AMBE) of 20.15±1.89, structural similarity index model (SSIM) of 0.8096±0.0185, structure measure operator (SMO) of 3.2±1.10 and lightness measure order (LMO) of 200.90±44.19.