Perception-Oriented Single Image Super-Resolution using Optimal Objective Estimation

Single-image super-resolution (SISR) networks trained with perceptual and adversarial losses provide high-contrast outputs compared to those of networks trained with distortion-oriented losses, such as L1 or L2. However, it has been shown that using a single perceptual loss is insufficient for accurately restoring locally varying diverse shapes in images, often generating undesirable artifacts or unnatural details. For this reason, combinations of various losses, such as perceptual, adversarial, and distortion losses, have been attempted, yet it remains challenging to find optimal combinations. Hence, in this paper, we propose a new SISR framework that applies optimal objectives for each region to generate plausible results in overall areas of high-resolution outputs. Specifically, the framework comprises two models: a predictive model that infers an optimal objective map for a given low-resolution (LR) input and a generative model that applies a target objective map to produce the corresponding SR output. The generative model is trained over our proposed objective trajectory representing a set of essential objectives, which enables the single network to learn various SR results corresponding to combined losses on the trajectory. The predictive model is trained using pairs of LR images and corresponding optimal objective maps searched from the objective trajectory. Experimental results on five benchmarks show that the proposed method outperforms state-of-the-art perception-driven SR methods in LPIPS, DISTS, PSNR, and SSIM metrics. The visual results also demonstrate the superiority of our method in perception-oriented reconstruction. The code and models are available at https://github.com/seungho-snu/SROOE.Comment: Code and trained models will be available at https://github.com/seungho-snu/SROO

Cultural variability in the effects of question design features on respondent comprehension

Um Charakteristika gleicher Fragen in Gesundheitsumfragen im Zusammenhang mit interkulturellen Unterschieden im Verständnis dieser Fragen zu identifizieren, analysieren die Verfasser Befragungen zum Gesundheitssystem, wobei die Befragten vier verschiedene kulturelle Subgruppen in den USA repräsentieren (weiße Nicht-Hispanics, Afroamerikaner, mexikanische Amerikaner und Puerto Ricaner) mit Hilfe des Instruments des Behaviour Coding. Untersucht werden die Auswirkungen von vier Merkmalen der Fragebogenkonstruktion auf kulturelle Schwierigkeiten beim Verständnis der Fragen. Die empirische Datenbasis bilden 13514 Antworten von 345 Befragten auf 42 Fragen. Es zeigt sich, dass das Antwortformat, die Länge der Frage sowie das Lese- und Abstraktionsniveau der Fragen einen wesentlichen Einfluss auf das Verständnis der Fragen bei den Befragten haben. Die Kultur der Befragen hatte einen moderierenden Einfluss auf die Effekte von Antwortformat, Fragenlänge und Leseniveau. Verschiedene Aspekte des Fragebogendesigns, die den Fragebogen allgemein verständlicher machen sollen, haben ebenfalls kulturspezifische Auswirkungen. (ICEÜbers

Metastatic Lymph Node Ratio of Central Neck Compartment Has Predictive Values for Locoregional Recurrence in Papillary Thyroid Microcarcinoma

Objectives This study aimed to evaluate the significance of metastatic lymph node ratio (the ratio between the metastatic lymph node and the harvested lymph nodes; MLNR) in the central neck for the prediction of locoregional recurrence in patients with papillary thyroid microcarcinoma. Methods After reviewing medical records of papillary thyroid microcarcinoma patients who received total thyroidectomy with central neck node dissection, 573 consecutive adult patients were enrolled in this study, with a follow-up period of more than 36 months. Regarding the risk of recurrence, multivariate analyses were performed with the following variables; sex, age, multiplicity of the primary tumor, presence of pathological extrathyroidal extension, the level of postoperative stimulated serum thyroglobulin, the number of harvested lymph nodes, the number of lymph node metastasis and MLNR. Results The MLNR showed a predictive significance for the locoregional recurrence (P<0.05). Most recurrences were occurred in the lateral neck (n=12, 80%) with a median interval of 20 months. The lowest cutoff value of the MLNR for a meaningful separation of disease recurrence was 0.44 (hazard ratio, 8.86; 95% confidence interval, 1.49 to 52.58; P=0.001). Conclusion When the MLNR is higher than 0.44, there is an increased risk of locoregional recurrence mostly in the lateral neck. Therefore, MLNR of the central neck in a permanent or frozen biopsy may be helpful in decision making in the extent of thyroidectomy and/or the need for contralateral central neck lymph nodes dissection

Reversible Proximal Renal Tubular Dysfunction after One-Time Ifosfamide Exposure

The alkylating agent ifosfamide is an anti-neoplastic used to treat various pediatric and adult malignancies. Its potential urologic toxicities include glomerulopathy, tubulopathy and hemorrhagic cystitis. This report describes a case of proximal renal tubular dysfunction and hemorrhagic cystitis in a 67-year-old male given ifosfamide for epitheloid sarcoma. He was also receiving an oral hypoglycemic agent for type 2 diabetes mellitus and had a baseline glomerular filtration rate of 51.5 mL/min/1.73 m2. Despite mesna prophylaxis, the patient experienced dysuria and gross hematuria after a single course of ifosfamide plus adriamycin. The abrupt renal impairment and serum/urine electrolyte imbalances that ensued were consistent with Fanconi's syndrome. However, normal renal function and electrolyte status were restored within 14 days, simply through supportive measures. A score of 8 by Naranjo adverse drug reaction probability scale indicated these complications were most likely treatment-related, although they developed without known predisposing factors. The currently undefined role of diabetic nephropathy in adult ifosfamide nephrotoxicity merits future investigation

Glucagon-Like Peptide-1 Receptor Agonist Differentially Affects Brain Activation in Response to Visual Food Cues in Lean and Obese Individuals with Type 2 Diabetes Mellitus

Background: To investigate the effects of a glucagon-like peptide-1 receptor agonist on functional brain activation in lean and obese individuals with type 2 diabetes mellitus (T2DM) in response to visual food cues. Methods: In a randomized, single-blinded, crossover study, 15 lean and 14 obese individuals with T2DM were administered lixisenatide or normal saline subcutaneously with a 1-week washout period. We evaluated brain activation in response to pictures of high-calorie food, low-calorie food, and nonfood using functional magnetic resonance imaging and measured appetite and caloric intake in participants who were given access to an ad libitum buffet. Results: Obese individuals with T2DM showed significantly greater activation of the hypothalamus, pineal gland, parietal cortex (high-calorie food vs. low-calorie food, P&lt;0.05), orbitofrontal cortex (high-calorie food vs. nonfood, P&lt;0.05), and visual cortex (food vs. nonfood, P&lt;0.05) than lean individuals with T2DM. Lixisenatide injection significantly reduced the functional activation of the fusiform gyrus and lateral ventricle in obese individuals with T2DM compared with that in lean individuals with T2DM (nonfood vs. high-calorie food, P&lt; 0.05). In addition, in individuals who decreased their caloric intake after lixisenatide injection, there were significant interaction effects between group and treatment in the posterior cingulate, medial frontal cortex (high-calorie food vs. low-calorie food, P &lt; 0.05), hypothalamus, orbitofrontal cortex, and temporal lobe (food vs. nonfood, P&lt; 0.05). Conclusion: Brain responses to visual food cues were different in lean and obese individuals with T2DM. In addition, acute administration of lixisenatide differentially affected functional brain activation in these individuals, especially in those who decreased their caloric intake after lixisenatide injection.Y