Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Urban tree classification using discrete-return LiDAR and an object-level local binary pattern algorithm

Urban trees have the potential to mitigate some of the harm brought about by rapid urbanization and population growth, as well as serious environmental degradation (e.g. soil erosion, carbon pollution and species extirpation), in cities. This paper presents a novel urban tree extraction modelling approach that uses discrete laser scanning point clouds and object-based textural analysis to (1) develop a model characterised by four sub-models, including (a) height-based split segmentation, (b) feature extraction, (c) texture analysis and (d) classification, and (2) apply this model to classify urban trees. The canopy height model is integrated with the object-level local binary pattern algorithm (LBP) to achieve high classification accuracy. The results of each sub-model reveal that the classification of urban trees based on the height at 47.14 (high) and 2.12 m (low), respectively, while based on crown widths were highest and lowest at 22.5 and 2.55 m, respectively. Results also indicate that the proposed algorithm of urban tree modelling is effective for practical use

A Joint Bayesian Optimization for the Classification of Fine Spatial Resolution Remotely Sensed Imagery Using Object-Based Convolutional Neural Networks

In recent years, deep learning-based image classification has become widespread, especially in remote sensing applications, due to its automatic and strong feature extraction capability. However, as deep learning methods operate on rectangular-shaped image patches, they cannot accurately extract objects’ boundaries, especially in complex urban settings. As a result, combining deep learning and object-based image analysis (OBIA) has become a new avenue in remote sensing studies. This paper presents a novel approach for combining convolutional neural networks (CNN) with OBIA based on joint optimization of segmentation parameters and deep feature extraction. A Bayesian technique was used to find the best parameters for the multiresolution segmentation (MRS) algorithm while the CNN model learns the image features at different layers, achieving joint optimization. The proposed classification model achieved the best accuracy, with 0.96 OA, 0.95 Kappa, and 0.96 mIoU in the training area and 0.97 OA, 0.96 Kappa, and 0.97 mIoU in the test area, outperforming several benchmark methods including Patch CNN, Center OCNN, Random OCNN, and Decision Fusion. The analysis of CNN variants within the proposed classification workflow showed that the HybridSN model achieved the best results compared to 2D and 3D CNNs. The 3D CNN layers and combining 3D and 2D CNN layers (HybridSN) yielded slightly better accuracies than the 2D CNN layers regarding geometric fidelity, object boundary extraction, and separation of adjacent objects. The Bayesian optimization could find comparable optimal MRS parameters for the training and test areas, with excellent quality measured by AFI (0.046, −0.037) and QR (0.945, 0.932). In the proposed model, higher accuracies could be obtained with larger patch sizes (e.g., 9 × 9 compared to 3 × 3). Moreover, the proposed model is computationally efficient, with the longest training being fewer than 25 s considering all the subprocesses and a single training epoch. As a result, the proposed model can be used for urban and environmental applications that rely on VHR satellite images and require information about land use

Integration of object-based image analysis and convolutional neural network for the classification of high-resolution satellite image: a comparative assessment

During the past decade, deep learning-based classification methods (e.g., convolutional neural networks—CNN) have demonstrated great success in a variety of vision tasks, including satellite image classification. Deep learning methods, on the other hand, do not preserve the precise edges of the targets of interest and do not extract geometric features such as shape and area. Previous research has attempted to address such issues by combining deep learning with methods such as object-based image analysis (OBIA). Nonetheless, the question of how to integrate those methods into a single framework in such a way that the benefits of each method complement each other remains. To that end, this study compared four integration frameworks in terms of accuracy, namely OBIA artificial neural network (OBIA ANN), feature fusion, decision fusion, and patch filtering, according to the results. Patch filtering achieved 0.917 OA, whereas decision fusion and feature fusion achieved 0.862 OA and 0.860 OA, respectively. The integration of CNN and OBIA can improve classification accuracy; however, the integration framework plays a significant role in this. Future research should focus on optimizing the existing CNN and OBIA frameworks in terms of architecture, as well as investigate how CNN models should use OBIA outputs for feature extraction and classification of remotely sensed images

A joint Bayesian optimization for the classification of fine spatial resolution remotely sensed imagery using object-based convolutional neural networks

In recent years, deep learning-based image classification has become widespread, especially in remote sensing applications, due to its automatic and strong feature extraction capability. However, as deep learning methods operate on rectangular-shaped image patches, they cannot accurately extract objects’ boundaries, especially in complex urban settings. As a result, combining deep learning and object-based image analysis (OBIA) has become a new avenue in remote sensing studies. This paper presents a novel approach for combining convolutional neural networks (CNN) with OBIA based on joint optimization of segmentation parameters and deep feature extraction. A Bayesian technique was used to find the best parameters for the multiresolution segmentation (MRS) algorithm while the CNN model learns the image features at different layers, achieving joint optimization. The proposed classification model achieved the best accuracy, with 0.96 OA, 0.95 Kappa, and 0.96 mIoU in the training area and 0.97 OA, 0.96 Kappa, and 0.97 mIoU in the test area, outperforming several benchmark methods including Patch CNN, Center OCNN, Random OCNN, and Decision Fusion. The analysis of CNN variants within the proposed classification workflow showed that the HybridSN model achieved the best results compared to 2D and 3D CNNs. The 3D CNN layers and combining 3D and 2D CNN layers (HybridSN) yielded slightly better accuracies than the 2D CNN layers regarding geometric fidelity, object boundary extraction, and separation of adjacent objects. The Bayesian optimization could find comparable optimal MRS parameters for the training and test areas, with excellent quality measured by AFI (0.046, −0.037) and QR (0.945, 0.932). In the proposed model, higher accuracies could be obtained with larger patch sizes (e.g., 9 × 9 compared to 3 × 3). Moreover, the proposed model is computationally efficient, with the longest training being fewer than 25 s considering all the subprocesses and a single training epoch. As a result, the proposed model can be used for urban and environmental applications that rely on VHR satellite images and require information about land use

A Joint Bayesian Optimization for the Classification of Fine Spatial Resolution Remotely Sensed Imagery Using Object-Based Convolutional Neural Networks

In recent years, deep learning-based image classification has become widespread, especially in remote sensing applications, due to its automatic and strong feature extraction capability. However, as deep learning methods operate on rectangular-shaped image patches, they cannot accurately extract objects’ boundaries, especially in complex urban settings. As a result, combining deep learning and object-based image analysis (OBIA) has become a new avenue in remote sensing studies. This paper presents a novel approach for combining convolutional neural networks (CNN) with OBIA based on joint optimization of segmentation parameters and deep feature extraction. A Bayesian technique was used to find the best parameters for the multiresolution segmentation (MRS) algorithm while the CNN model learns the image features at different layers, achieving joint optimization. The proposed classification model achieved the best accuracy, with 0.96 OA, 0.95 Kappa, and 0.96 mIoU in the training area and 0.97 OA, 0.96 Kappa, and 0.97 mIoU in the test area, outperforming several benchmark methods including Patch CNN, Center OCNN, Random OCNN, and Decision Fusion. The analysis of CNN variants within the proposed classification workflow showed that the HybridSN model achieved the best results compared to 2D and 3D CNNs. The 3D CNN layers and combining 3D and 2D CNN layers (HybridSN) yielded slightly better accuracies than the 2D CNN layers regarding geometric fidelity, object boundary extraction, and separation of adjacent objects. The Bayesian optimization could find comparable optimal MRS parameters for the training and test areas, with excellent quality measured by AFI (0.046, −0.037) and QR (0.945, 0.932). In the proposed model, higher accuracies could be obtained with larger patch sizes (e.g., 9 × 9 compared to 3 × 3). Moreover, the proposed model is computationally efficient, with the longest training being fewer than 25 s considering all the subprocesses and a single training epoch. As a result, the proposed model can be used for urban and environmental applications that rely on VHR satellite images and require information about land use