IDOD-YOLOV7: Image-Dehazing YOLOV7 for Object Detection in Low-Light Foggy Traffic Environments.

Convolutional neural network (CNN)-based autonomous driving object detection algorithms have excellent detection results on conventional datasets, but the detector performance can be severely degraded in low-light foggy weather environments. Existing methods have difficulty in achieving a balance between low-light image enhancement and object detection. To alleviate this problem, this paper proposes a foggy traffic environment object detection framework, IDOD-YOLOV7. This network is based on joint optimal learning of image defogging module IDOD (AOD + SAIP) and YOLOV7 detection modules. Specifically, for low-light foggy images, we propose to improve the image quality by joint optimization of image defogging (AOD) and image enhancement (SAIP), where the parameters of the SAIP module are predicted by a miniature CNN network and the AOD module performs image defogging by optimizing the atmospheric scattering model. The experimental results show that the IDOD module not only improves the image defogging quality for low-light fog images but also achieves better results in objective evaluation indexes such as PSNR and SSIM. The IDOD and YOLOV7 learn jointly in an end-to-end manner so that object detection can be performed while image enhancement is executed in a weakly supervised manner. Finally, a low-light fogged traffic image dataset (FTOD) was built by physical fogging in order to solve the domain transfer problem. The training of IDOD-YOLOV7 network by a real dataset (FTOD) improves the robustness of the model. We performed various experiments to visually and quantitatively compare our method with several state-of-the-art methods to demonstrate its superiority over the others. The IDOD-YOLOV7 algorithm not only suppresses the artifacts of low-light fog images and improves the visual effect of images but also improves the perception of autonomous driving in low-light foggy environments.

First Report of Puccinia engleriana Causing Leaf Rust of Tabernaemontana bufalina in Hainan, China.

Tabernaemontana bufalina Lour. is extensively cultivated as an ornamental plant in Hainan, Guangdong, and other regions of southern China. In January 2020, we observed a rust disease on T. bufalina leaves in Sanya (18.15。N and 109.30。E) Hainan, China, and the rust occurred all year-round. In the early stage of rust, yellow chlorotic spots appeared, and then uredinia on the abaxial leaf surface became visible. Uredinia (approximately 200-700 µm in diameter) were mostly yellowish-brown in color, solitary, and irregularly scattered. In the late stage of the disease, spots were connected into lesions, and eventually, the whole leaf became severely chlorotic. Urediniospores were light brown, subglobose, measured 25-30 µm × 20-25 µm. They had two pores and were echinulate with spines spaced 2-5 µm. The teliospores were naked, scattered, or aggregated on severely infected leaves. They were two-celled, measured 33-40 µm × 25-30 µm, elliptic, dark brown, and covered with tiny spines. The teliospores had a colorless pedicel at one end which was approximately 28-34 µm long and enlarged at the lower part. The morphological characteristics of the spores were consistent with the descriptions of Puccinia engleriana Henn. (Hennings 1905). In China, P. engleriana was first identified on the leaves of Tabernaemontana divaricata (L.) in Yunnan province, and recorded as new to China in 2012 (Zhuang 2012). Untill now, no leaf rust caused by P. engleriana has been reported in Hainan. Urediniospores were collected and DNA was extracted using a Quick-DNA extraction Kit (TIANGEN Biotech, Beijing, China). The nuclear large subunit (28S) region of the ribosomal DNA repeat was amplified with primers Rust28SF (Aime et al. 2018) and LR5 (Vilgalys and Hester 1990) following the protocol of Aime and McTaggart (2021). The length of the large subunit sequence was 1,010 bp. When searched the GenBank database, the sequence showed 97.07% homology to the large subunit ribosomal RNA gene (Sequence ID: MW147048.1) of P. engleriana, and 92.5% similarity with 18S ribosomal RNA gene (Sequence ID: KM249855.1) of P. hemerocallidis. This result was consistent with the morphological identification. As for the 3% difference in large subunit ribosomal RNA gene, it was speculated that it may be related to the differences of geographical distribution and host plants, as the reference P. engleriana was obtained from Tabernaemontana orientalis in Australia (Aime and McTaggart 2021). The large subunit sequence was submitted into the GenBank database, with accession No. MZ314895. T. bufalina cutting seedlings with 4 available leaves were used in the Koch's postulate test. These seedlings were planted in a greenhouse with a 14 h/10 h light/dark photoperiod at 28°C and 65% humidity. The urediniospores suspension (5107/ml in 0.05% Tween 20 solution) was sprayed on 6 healthy seedlings and other 6 seedlings were sprayed with 0.05% Tween 20 solution as a negative control. Two weeks after inoculation, leaf chlorosis and yellowish uredinia were observed on the inoculated seedlings, whereas the non-inoculated seedlings stayed healthy. To our knowledge, this is the first report of P. engleriana causing leaf rust on T. bufalina in Hainan province. This report will provide the reference for future investigation of T. bufalina leaf rust, and for further improvement on the knowledge of the geographical distribution of P. engleriana in China.

Anesthetic management of children with congenital insensitivity to pain with anhidrosis.

INTRODUCTION: Congenital analgesia is a rare autosomal recessive hereditary disease. The primary damage of congenital analgesia is central structure damage of comprehensive pain perception. CASE PRESENTATION: A 1-year-old Han Chinese boy was admitted to hospital because of a tongue bite. He had no response to noxious stimulation of the body surface and was diagnosed with congenital analgesia. A small dose of remifentanil was intravenously injected during anesthetic induction to reduce the stress response caused by endotracheal intubation. A certain depth of anesthesia should be guaranteed during anesthetic induction and surgery to alleviate the stress response induced by endotracheal intubation and the operation. CONCLUSION: Opioid analgesics are not required for general anesthesia in patient with congenital insensitivity to pain. With a heat dissipation barrier in patients with congenital insensitivity to pain with anhidrosis, body temperature, end-tidal carbon dioxide and bispectral index should be monitored.

Identification of microRNA-451a as a Novel Circulating Biomarker for Colorectal Cancer Diagnosis.

BACKGROUND: Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. Successful treatment of CRC relies on accurate early diagnosis, which is currently a challenge due to its complexity and personalized pathologies. Thus, novel molecular biomarkers are needed for early CRC detection. METHODS: Gene and microRNA microarray profiling of CRC tissues and miRNA-seq data were analyzed. Candidate microRNA biomarkers were predicted using both CRC-specific network and miRNA-BD tool. Validation analyses were carried out to interrogate the identified candidate CRC biomarkers. RESULTS: We identified miR-451a as a potential early CRC biomarker circulating in patient's serum. The dysregulation of miR-451a was revealed both in primary tumors and in patients' sera. Downstream analysis validated the tumor suppressor role of miR-451a and high sensitivity of miR-451a in CRC patients, further confirming its potential role as CRC circulation biomarker. CONCLUSION: The miR-451a is a potential circulating biomarker for early CRC diagnosis.

Effects of dexmedetomidine on the expression of inflammatory factors in children with congenital heart disease undergoing intraoperative cardiopulmonary bypass: a randomized controlled trial.

IMPORTANCE: Dexmedetomidine inhibits the inflammatory response associated with cardiopulmonary bypass (CPB) and protects neural function. However, the mechanism of dexmedetomidine's anti-inflammatory pathway is unclear. OBJECTIVE: To investigate the effect of dexmedetomidine on the cognitive level and expression of inflammatory factors in children with congenital heart disease undergoing intraoperative CPB. METHODS: Ninety children with congenital heart disease were recruited and randomly divided into 3 groups of 30 children in each. In Group 1, a 1.0 µg·kg-1·h-1 intravenous bolus of dexmedetomidine was administered 10 minutes after induction of anesthesia, followed by a 0.2 µg·kg-1·h-1 infusion until the surgical incision. In Group 2, a 0.5 µg/kg intravenous bolus of dexmedetomidine was administered 10 minutes after induction of anesthesia, followed by a 0.1 µg·kg-1·h-1 infusion until the surgical incision. The control group was given physiological saline using the same method as in Groups 1 and 2. The serum levels of nuclear factor-kappa B (NF-κB), S-100ß protein, neuron-specific enolase (NSE), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) were measured before the surgery (T1), at the end of CPB (T2), 2 hours after CPB (T3), 6 hours after CPB (T4), and 24 hours after CPB (T5). The Wechsler Intelligence Scale for children (WISC) was measured before the operation and at 3, 6, and 12 months after the operation to evaluate the neurodevelopmental state of the children. RESULTS: The levels of the NF-κB, S-100ß protein, NSE, TNF-α, IL-6 were significantly higher at T2, T3, or T4 than before the surgery (T1) in the control group or the dexmedetomidine groups. However, the increases of NF-κB, TNF-α, IL-6, S-100ß and NSE levels were significantly smaller in the dexmedetomidine groups than those in the control group (P < 0.017). The WISC scores were similar among the three groups before or after the operation. INTERPRETATION: The increases in NF-κB, TNF-α, and IL-6 levels indicated aggravation of the inflammatory reaction and the increase S-100ß protein and NSE levels indicated that the nervous system was damaged. Administration of dexmedetomidine to children with congenital heart disease undergoing intraoperative CPB can inhibit the inflammatory response and may ameliorate the neurodevelopmental damage caused by CPB.

End-tidal carbon dioxide monitoring revealed severe complications during cardiothoracic surgery.

INTRODUCTION: With the continuous progress being made in medicine and surgery, increasingly more advanced technology and monitoring equipment are being used in anesthesia, end-tidal carbon dioxide (PETCO 2) monitoring revealed serious complications of cardiothoracic surgery. CASE PRESENTATION: A 3-year-old boy with a body weight of 15 kg presented with a >1-month history of a heart murmur. At the moment of arterial catheter ligation, the PETCO 2 decreased from 37 to 15 mmHg, while the blood pressure, heart rate, and airway resistance did not change significantly. After re-separation of the ligation catheter, the surgeons carefully exposed the ductus and left pulmonary artery again and ligated the ductus arteriosus. CONCLUSION: This case suggests that PETCO2 monitoring reflects the circulatory status and pulmonary blood flow.

Pectoralis major myocutaneous flap in salvage reconstruction following free flap failure in head and neck cancer surgery.

OBJECTIVE: This study aimed to compare the results of the pectoralis major myocutaneous (PMM) flap in primary and salvage head and neck cancer surgery. METHODS: A total of 160 patients were enrolled in this study. The salvage group consisted of 30 patients who received immediate PMM flap surgery following free flap failure. In the primary group, the PMM flap was primarily chosen for 130 patients. Related information was collected and analysed. The University of Washington (UW)-Quality of Life questionnaire, version 4, was mailed to every patient. RESULTS: Partial necrosis was significantly lower in the primary group (n = 13, 10.0%) than in the salvage group (n = 7, 23.3%). Surgical site infection was found in 10 (7.8%) patients in the primary group and in six (20.0%) patients in the salvage group. The mean composite quality of life scores were 66.8 ± 20.5 and 66.2 ± 22.1 in the two groups, respectively. Differences in scores for domains of activity, mood, and anxiety were significant. Disease-specific survival and recurrence-free survival rates were not different between the two groups. CONCLUSION: PMM flap salvage reconstruction has a higher complication rate and poorer functional results, but similar survival prognosis, compared with primary surgery.

Anesthesia with propofol-remifentanil combined with rocuronium for bronchial foreign body removal in children: Experience of 2 886 cases.

IMPORTANCE: The appropriate anesthetic method can reduce the complications of children with tracheal foreign body and reduce the mortality rate of children. What kind of anesthetic method to choose has always been the focus of debate. PURPOSE: To evaluate the efficacy and safety of anesthesia with propofolremifentanil combined with rocuronium for foreign body aspiration (FBA) removal with the positive-pressure ventilation technique. METHODS: Medical records of patients who underwent bronchoscopy for evaluation of FBA in our unit from January 2015 to January 2018 were retrospectively reviewed. Demographic data (age and sex), nature of foreign body and location, complications, length of hospital stay and outcome were analyzed. RESULTS: A total of 2 886 children were included in this study. The median age was 24 months (8 months to 10 years). FBA was detected and removed in 95.6% of patients. The average operation time was 17 ± 5 min and average length of hospital stay was 2 days. Observed peri-interventional complications included desaturation (n = 66), laryngospasm (n = 19), laryngeal or subglottic edema (n = 15), irritating cough (n = 3), body movement (n = 76) and pneumonia (n = 206). No deaths occurred during hospitalization or follow-up in this series. INTERPRETATION: Anesthesia with propofol-remifentanil combined with rocuronium under positive-pressure ventilation is an effective and safe technique during FBA removal in children.