Innovative Horizons in Aerial Imagery: LSKNet Meets DiffusionDet for Advanced Object Detection

In the realm of aerial image analysis, object detection plays a pivotal role, with significant implications for areas such as remote sensing, urban planning, and disaster management. This study addresses the inherent challenges in this domain, notably the detection of small objects, managing densely packed elements, and accounting for diverse orientations. We present an in-depth evaluation of an object detection model that integrates the Large Selective Kernel Network (LSKNet)as its backbone with the DiffusionDet head, utilizing the iSAID dataset for empirical analysis. Our approach encompasses the introduction of novel methodologies and extensive ablation studies. These studies critically assess various aspects such as loss functions, box regression techniques, and classification strategies to refine the model's precision in object detection. The paper details the experimental application of the LSKNet backbone in synergy with the DiffusionDet heads, a combination tailored to meet the specific challenges in aerial image object detection. The findings of this research indicate a substantial enhancement in the model's performance, especially in the accuracy-time tradeoff. The proposed model achieves a mean average precision (MAP) of approximately 45.7%, which is a significant improvement, outperforming the RCNN model by 4.7% on the same dataset. This advancement underscores the effectiveness of the proposed modifications and sets a new benchmark in aerial image analysis, paving the way for more accurate and efficient object detection methodologies. The code is publicly available at https://github.com/SashaMatsun/LSKDiffDe

Corticosteroids in Generalized Autoimmune Myasthenia Gravis: A Narrative Review

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Exercise Training for autoimmune myasthenia gravis: A review of safety and effectiveness based on existing literature

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Septic-associated encephalopathy - everything starts at a microlevel

Sepsis-associated encephalopathy is associated with increased mortality and morbidity. Its pathophysiology remains insufficiently elucidated, although there is evidence for a neuroinflammatory process sequentially involving endothelial activation, blood-brain barrier alteration and cellular dysfunction and alteration in neurotransmission. Experimental studies have shown that microcirculatory dysfunction, a consequence of endothelial activation, is an early pathogenic step. To date, we do not know whether it is present in septic patients, whether it accounts for clinical features and whether it is treatable

Delirium in the ICU: time to probe the hard questions

Prevalent in critically ill patients, delirium remains poorly understood and difficult to treat. In a cross-sectional study conducted in 12 countries, delirium was identified in close to one third of patients and was independently associated with increased mortality. While such epidemiological accounts represent an important cornerstone for research, scientific efforts are needed to elucidate the causes of delirium and the mechanisms underlying its association with poor outcomes

Praćenje akcesornih spolnih žlijezda i testisa u ovnova pasmine barki pomoću Dopplera i ultrazvuka u B modu tijekom rasplodne sezone

The aim of this study was to perform ultrasonographic imaging of the testes and accessory sex glands in adult Barki rams during the breeding season. The impact of testosterone on the Doppler indices of accessory sex glands was also investigated. Scrotal contents, pelvic urethra and accessory sex glands of twelve mature Barki rams were scanned with multiple imaging of B-mode and colour Doppler ultrasonography. Serum concentrations of testosterone, FSH and LH were determined. The results revealed that the breeding season changed the echogenicity of testicular parenchyma, spermatic cord, epididymal tail, glans penis and echotexture of accessory sex glands. Serum testosterone was 7.27±0.37 ng/mL, FSH was 6.46±0.2 and LH was 5.6±0.28 m IU/mL. The pulsatility index (PI) for the supra-testicular artery (STA), marginal artery (MA) of the testes and epididymal tail was 1.01±0.07, 0.58±0.04 and 0.5±0.04. The resistive index (RI) for the same structures was 0.6±0.04, 0.33±0.04 and 0.3±0.03, respectively. Importantly, testosterone downregulated PI and RI of the ampulla, vesicular gland, prostate gland and bulbourethral gland. In conclusion, the breeding season changed the echogenicity of reproductive organs and accessory genital glands of rams, and testosterone regulated the hemodynamic parameters of the accessory sex glands.Ovo je istraživanje provedeno radi uspostavljanja normalnog ultrazvučnog (UZV) snimanja testisa i akcesornih spolnih žlijezda u odraslih ovnova pasmine barki tijekom rasplodne sezone. Osim toga, istraživan je i utjecaj testosterona na akcesorne spolne žlijezde temeljem uporabe Dopplera. Višestrukim snimanjem u B-modu i ultrazvučnim kolor Dopplerom pretraživan je sadržaj skrotuma, zdječna uretra te akcesorne spolne žlijezde u 12 odraslih ovnova pasmine barki. Određivane su serumske koncentracije testosterona, FSH i LH. Dobiveni su rezultati pokazali da u rasplodnoj sezoni dolazi do promjena u ehogenosti parenhima testisa, sjemenskog užeta, repa epididimisa, glansa penisa i ehoteksture akcesornih spolnih žlijezda. Razina serumskog testosterona iznosila je 7,27±0,37 ng/mL, FSH 6,46±0,2, a LH 5,6±0,28 m IU/mL. Pulzirajući indeksi (PI) supra arterije testisa (SAT), periferne arterije (PA) testisa i repa epididimisa bili su 1,01±0,07, 0,58±0,04, odnosno 0,5±0,04. Istovremeno, indeksi rezistentnosti (RI) gornjih kriterija su bili 0,6±0,04, 0,33±0,04, odnosno 0,3±0,03. Važno je spomenuti da je testosteron snižavao PI i RI ampule (a), vezikularne žlijezde, prostate i bulbouretralne žlijezde. Zaključno, rasplodna je sezona utjecala na promjene ehogenosti reproduktivnih organa i akcesornih spolnih žlijezda u ovnova. Nadalje, testosteron je regulirao hemodinamične pokazatelje akcesornih spolnih žlijezda tijekom rasplodne sezone u ovnova

Science review: The brain in sepsis – culprit and victim

On one side, brain dysfunction is a poorly explored complication of sepsis. On the other side, brain dysfunction may actively contribute to the pathogenesis of sepsis. The current review aimed at summarizing the current knowledge about the reciprocal interaction between the immune and central nervous systems during sepsis. The immune-brain cross talk takes part in circumventricular organs that, being free from blood-brain-barrier, interface between brain and bloodstream, in autonomic nuclei including the vagus nerve, and finally through the damaged endothelium. Recent observations have confirmed that sepsis is associated with excessive brain inflammation and neuronal apoptosis which clinical relevance remains to be explored. In parallel, damage within autonomic nervous and neuroendocrine systems may contribute to sepsis induced organ dysfunction

Učinak nalbufina ili ketamina na sposobnost ksilazina da održi sedaciju konja u stojećem stavu

Despite the pivotal role of α2-agonists for standing sedation in horses, these drugs possess several dose-dependent side effects. Therefore, this study aimed to determine the effect of nalbuphine or ketamine on xylazine requirements necessary to provide constantly moderate sedation in horses. Five healthy adult horses were subjected to three randomized treatments at one-week intervals as follows: xylazine (XYL) (xylazine: 0.55 mg/kg, IV; saline: bolus & CRI); xylazine/nalbuphine (XYL/NAL) (xylazine: 0.55 mg/kg, IV; nalbuphine: 0.3 mg/kg, IV & 0.23 mg/kg/hour CRI) and xylazine/ketamine (XYL/KET) (xylazine: 0.55 mg/kg, IV; ketamine: 0.1 mg/kg, IV & 0.5 mg/kg/hour CRI). On all occasions, moderate sedation was maintained for 120 minutes by administering additional xylazine boluses (0.14 mg/kg, IV) whenever lower sedation was demonstrated. All treatments were assessed in terms of the degree of sedation, the time of administering the first additional xylazine bolus, and xylazine requirements (presented as mg/kg/hour) for maintaining moderate sedation for 120 minutes. The degree of ataxia and adverse events were also monitored. Sedation scores were significantly higher than the baseline for all treatments over 120 minutes. A longer time before the first additional xylazine bolus and lower xylazine requirements (lower calculated infusion rates) for maintaining moderate sedation were evident following the XYL/NAL and XYL/KET treatments compared to the XYL treatment. All treatments were associated with an acceptable degree of ataxia and limited behavioral effects. In conclusion, both nalbuphine and ketamine were efficient in reducing xylazine requirements for constant sedation in horses. Further study is required for comprehensive testing of all studied combinations to elucidate the potential advantages of the demonstrated xylazine sparing effect.Unatoč ključnoj ulozi α2-agonista u sedaciji konja u stojećem stavu, ovi lijekovi imaju nekoliko nuspojava koje ovise o njihovoj dozi. Cilj je istraživanja bio odrediti učinak nalbufina ili ketamina na sposobnost ksilazina da održi umjerenu sedaciju u konja. Pet zdravih odraslih konja podvrgnuto je trima randomiziranim pokusima u intervalima od tjedan dana prema sljedećem protokolu: ksilazin (XYL; ksilazin 0,55 mg/kg, iv., fiziološka otopina bolus i CRI); ksilazin/nalbufin (XYL/NAL ksilazin 0,55 mg/kg, iv., nalbufin 0.3 mg/kg, iv. i 0,23 mg/kg/h CRI) i ksilazin/ketamin (XYL/KET; ksilazin 0,55 mg/kg, iv., ketamin 0.1 mg/kg, iv. i 0,5 mg/kg/h CRI). U sve je tri skupine održana umjerena sedacija tijekom 120 minuta. Kad god se pokazala niža sedacija, dodavan je bolus ksilazina (0,14 mg/kg, iv.). Procjenjivan je stupanj sedacije, vrijeme primjene prvog dodatnog bolusa ksilazina i potrebe za ksilazinom (prikazane u mg/kg/h) kako bi se održala umjerena sedacija tijekom 120 minuta. Praćeni su i stupanj ataksije odnosno štetnih događaja. Pokazatelji sedacije bili su znakovito veći u sva tri pokusa tijekom 120 minuta. Dulje vrijeme prije prvog dodatnog bolusa ksilazina i manje potrebe za ksilazinom (niža stopa infuzije) kako bi se održala umjerena sedacija uočeni su nakon primjene XYL/NAL i XYL/KET lijekova u usporedbi sa skupinom koja je primila samo XYL. U sve je tri skupine zapažen prihvatljiv stupanj ataksije i ograničeni učinci na ponašanje. Zaključeno je da su i nalbufin i ketamin učinkoviti u smanjenju potreba za ksilazinom kako bi se održala sedacija u konja. Potrebna su daljnja istraživanja i sveobuhvatno testiranje ovih kombinacija kako bi se ustanovile potencijalne prednosti smanjene primjene ksilazina uočene u ovom istraživanju

Weakness in the ICU: a call to action

Muscle weakness is prevalent in critically ill patients and can have a dramatic effect on short- and long-term outcomes, yet there are currently no interventions with proven efficacy in preventing or treating this complication. In a new randomized trial, researchers found that serial electrical muscle stimulation significantly mitigated ultrasound-defined muscle atrophy, and the treatment was not linked to adverse effects. Although preliminary, these results, together with other recent studies, indicate a paradigm shift to a proactive approach in managing neuromuscular complications in the ICU