A new deep learning approach based on bilateral semantic segmentation models for sustainable estuarine wetland ecosystem management.

Nowadays, estuarial areas have been strongly affected by the construction of electrical power dams from upstream, downstream urbanization and many types of hazards along the coastal regions. It has resulted in significant changes in estuarine wetland ecosystems between rainy and dry seasons. To avoid estuary vulnerability, monitoring and evaluation of the estuarine ecosystems are very critical tasks. The main goal of this research is to propose and implement a novel deep learning method in monitoring various ecosystems in estuarine regions. The processing speed and accuracy of common neural networks is improved more than ten times through spatial and context paths integrated into a novel Bilateral Segmentation Network (BiSeNet). The multi-sensor and multi-temporal satellite images (including Sentinel-2, ALOS-DEM, and NOAA-DEM images) served as input data. As a result, four BiSeNet models out of 20 trained models achieved a greater than 90% accuracy, especially for interpreting estuarine waters, intertidal forested wetlands, and aquacultural lands in subtidal regions. These models outperformed Random Forest and Support Vector Machine approaches. The best one was used to map estuarine ecosystems from 12 satellite images over a five-year period in the largest estuary in northern Vietnam. The ecosystem changes between dry and rainy seasons were analyzed in detail to assess the ecological succession in estuaries. Furthermore, this model can potentially update new estuarine ecosystem types in other estuarine areas across the world, making possible real-time monitoring and assessing estuarine ecological conditions for sustainable management of wetland ecosystem.

Nonrecurrent laryngeal nerve in thyroid surgery: Frequency, anatomical variations according to a new classification and surgery consideration.

BACKGROUND: The nonrecurrent laryngeal nerve (NRLN) is a rare embryologically derived variant of the RLN. We aimed to identify the proportion of NRLN (during thyroidectomy), classify clinical NRLN types, and recommend some surgical considerations. METHOD: In this prospective study, from May 2017 to September 2018, our hospital carried out 2158 thyroid operations. We reported the NRLN rate and distinguished NRLN into four types. RESULTS: Overall, NRLN had an incidence rate of 0.74% (16 out of 2158 total thyroid surgeries). We did not detect any patient with left-sided NRLN. The traveling patterns of the nerves could be classified as descending (12.5%), vertical (25%), ascending (37.5%), or V-shaped (25%). CONCLUSION: The NRLN is a rare variation of the RLN. From our experience, we recommend the guidelines will help surgeons to avoid NRLN injury.