Unique Challenges for Mental Health in Inpatient Settings Amid the COVID-19 Pandemic

COVID-19 has impacted the world in many ways due to fears of contracting the pandemic, social distancing, and large-scale movement control rules. These have especially grave consequences for inpatient psychiatry. This article reviews measures taken to adapt to the new norm in inpatient care, both for standalone psychiatry units and consultation-liaison units. For inpatient units, changes have been made for personal protective equipment usage, screening and triaging policies, and training and educational policies. Consultation liaison units together with inpatient units have been required to expand the scope of coverage and difficulties by providing certain teleconsultation services. As the new norm takes precedence, Sabah has to embrace and empower community-based psychiatry services for better outreach and coverage. This article discusses the issues underlying the new norm in the management of inpatient psychiatry patients in both units and presents some points and practical solutions on the ground to instil hope

Unique challenges for mental health in inpatient settings amid the COVID-19 pandemic: Perspective from Sabah

COVID-19 has impacted the world in many ways due to fears of contracting the pandemic, social distancing, and large-scale movement control rules. These have especially grave consequences for inpatient psychiatry. This article reviews measures taken to adapt to the new norm in inpatient care, both for standalone psychiatry units and consultation-liaison units. For inpatient units, changes have been made for personal protective equipment usage, screening and triaging policies, and training and educational policies. Consultation liaison units together with inpatient units have been required to expand the scope of coverage and difficulties by providing certain teleconsultation services. As the new norm takes precedence, Sabah has to embrace and empower community-based psychiatry services for better outreach and coverage. This article discusses the issues underlying the new norm in the management of inpatient psychiatry patients in both units and presents some points and practical solutions on the ground to instil hope

Extremely Low-light Image Enhancement with Scene Text Restoration

Deep learning-based methods have made impressive progress in enhancing extremely low-light images - the image quality of the reconstructed images has generally improved. However, we found out that most of these methods could not sufficiently recover the image details, for instance, the texts in the scene. In this paper, a novel image enhancement framework is proposed to precisely restore the scene texts, as well as the overall quality of the image simultaneously under extremely low-light images conditions. Mainly, we employed a self-regularised attention map, an edge map, and a novel text detection loss. In addition, leveraging synthetic low-light images is beneficial for image enhancement on the genuine ones in terms of text detection. The quantitative and qualitative experimental results have shown that the proposed model outperforms state-of-the-art methods in image restoration, text detection, and text spotting on See In the Dark and ICDAR15 datasets

Treatment for identical twins simultaneously developing an eating disorder precipitated by COVID-19 pandemic home quarantine

An eating disorder presenting simultaneously in identical twins remains a rarity in the literature. In this case report, we describe monozygotic twins who presented simultaneously with anorexia nervosa as a psychological effect of COVID-19 home quarantine. Both twins were previously well but developed food restriction, exercise, and mutual surveillance behaviours in competition with each other over three months in early 2020. There were no features of other mood, anxiety or psychotic disorders, and there was no organic disease. However, a strong family history of anxiety disorders and highly permeable familial boundaries were identified. Non-pharmacological management modalities including family therapy and psychotherapy were implemented, and tailored to the twins. We discuss the unique genetic and psychological interactions that conceivably explain the aetiology of this simultaneous presentation of an eating disorder in a pair of twins and examine a simple psychodynamic formulation of this simultaneous emergence. Lastly, we look at the sequelae of COVID-19 related quarantines and isolation as potentiators of eating disorders in adolescents whose education and potential employment were drastically curtailed by movement restrictions

Extremely Low-light Image Enhancement with Scene Text Restoration

Deep learning based methods have made impressive progress in enhancing extremely low-light images - the image quality of the reconstructed images has generally improved.\ua0However, we found out that most of these methods could not sufficiently recover the image details, for instance the texts inthe scene. In this paper, a novel image enhancement framework is proposed to specifically restore the scene texts, as well as the overall quality of the image simultaneously under extremely low-light images conditions. Particularly, we employed a selfregularised attention map, an edge map, and a novel text detection loss. The quantitative and qualitative experimental results have shown that the proposed model outperforms stateof-the-art methods in terms of image restoration, text detection,\ua0and text spotting on See In the Dark and ICDAR15 datasets

Systems approach to designing a maritime Phase Zero Force for the year 2020

Includes supplementary materialThis report details the construct of a maritime force designed solely for the accomplishment of Phase Zero missions. Accomplishment of Phase Zero missions will increase a region's stability thus decreasing the spread of radical ideologies that could spawn large scale terrorist attacks and prevent smaller conflicts from growing into larger more expensive ones. To devise this force the integrated study team had to take the broad idea of Phase Zero operations and determine which specific missions contribute to the completion of what they defined as the overall Phase Zero mission. Based on these missions, the integrated study team built scenarios that were representative of the entire Phase Zero mission area. These scenarios were used to establish what capabilities were important to a maritime Phase Zero Force. With these capabilities in mind, the team constructed maritime forces and then evaluated them against the same scenarios to determine which ones performed better. The recommended force can be fielded for an annual cost of $360 million and could accomplish all of the Phase Zero scenarios that the integrated study team built.http://archive.org/details/systemspproachto109456941N