An atypical presentation of granulomatosis with polyangiitis: A case report.

Granulomatosis with polyangiitis (GPA) is a systemic vasculitis that is associated with antineutrophil cytoplasmic antibodies (c-ANCA). It classically presents with sinonasal, pulmonary and renal involvement. We are presenting a case of a 32-year-old male who presented with septal perforation, crusting and nasal obstruction. He had been operated on twice for sinonasal polyposis. Relevant investigations revealed that he was actually suffering from GPA. The patient was started on remission induction therapy. A combination of methotrexate and prednisolone was started with a 2-weekly follow-up. The patient had experienced his symptoms for 2 years before presentation. This case highlights the importance of correlating ENT and pulmonary symptoms to reach the correct diagnosis.

DepTSol: An Improved Deep-Learning- and Time-of-Flight-Based Real-Time Social Distance Monitoring Approach under Various Low-Light Conditions

Social distancing is an utmost reliable practice to minimise the spread of coronavirus disease (COVID-19). As the new variant of COVID-19 is emerging, healthcare organisations are concerned with controlling the death and infection rates. Different COVID-19 vaccines have been developed and administered worldwide. However, presently developed vaccine quantity is not sufficient to fulfil the needs of the world’s population. The precautionary measures still rely on personal preventive strategies. The sharp rise in infections has forced governments to reimpose restrictions. Governments are forcing people to maintain at least 6 feet (ft) of safe physical distance to stay safe. With summers, low-light conditions can become challenging. Especially in the cities of underdeveloped countries, where poor ventilated and congested homes cause people to gather in open spaces such as parks, streets, and markets. Besides this, in summer, large friends and family gatherings mostly take place at night. It is necessary to take precautionary measures to avoid more drastic results in such situations. To support the law and order bodies in maintaining social distancing using Social Internet of Things (SIoT), the world is considering automated systems. To address the identification of violations of a social distancing Standard Operating procedure (SOP) in low-light environments via smart, automated cyber-physical solutions, we propose an effective social distance monitoring approach named DepTSol. We propose a low-cost and easy-to-maintain motionless monocular time-of-flight (ToF) camera and deep-learning-based object detection algorithms for real-time social distance monitoring. The proposed approach detects people in low-light environments and calculates their distance in terms of pixels. We convert the predicted pixel distance into real-world units and compare it with the specified safety threshold value. The system highlights people violating the safe distance. The proposed technique is evaluated by COCO evaluation metrics and has achieved a good speed–accuracy trade-off with 51.2 frames per second (fps) and a 99.7% mean average precision (mAP) score. Besides the provision of an effective social distance monitoring approach, we perform a comparative analysis between one-stage object detectors and evaluate their performance in low-light environments. This evaluation will pave the way for researchers to study the field further and will enlighten the efficiency of deep-learning algorithms in timely responsive real-world applications.

Monitoring social distancing under various low light conditions with deep learning and a single motionless time of flight camera.

The purpose of this work is to provide an effective social distance monitoring solution in low light environments in a pandemic situation. The raging coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 virus has brought a global crisis with its deadly spread all over the world. In the absence of an effective treatment and vaccine the efforts to control this pandemic strictly rely on personal preventive actions, e.g., handwashing, face mask usage, environmental cleaning, and most importantly on social distancing which is the only expedient approach to cope with this situation. Low light environments can become a problem in the spread of disease because of people's night gatherings. Especially, in summers when the global temperature is at its peak, the situation can become more critical. Mostly, in cities where people have congested homes and no proper air cross-system is available. So, they find ways to get out of their homes with their families during the night to take fresh air. In such a situation, it is necessary to take effective measures to monitor the safety distance criteria to avoid more positive cases and to control the death toll. In this paper, a deep learning-based solution is proposed for the above-stated problem. The proposed framework utilizes the you only look once v4 (YOLO v4) model for real-time object detection and the social distance measuring approach is introduced with a single motionless time of flight (ToF) camera. The risk factor is indicated based on the calculated distance and safety distance violations are highlighted. Experimental results show that the proposed model exhibits good performance with 97.84% mean average precision (mAP) score and the observed mean absolute error (MAE) between actual and measured social distance values is 1.01 cm.