Simultaneous Polysomnography and Cardiotocography Reveal Temporal Correlation Between Maternal Obstructive Sleep Apnea and Fetal Hypoxia

Background: Obstructive sleep apnea syndrome (OSAS) during pregnancy is common and can negatively affect fetal outcomes. However, studies on the immediate effects of maternal hypoxia on fetal heart rate (FHR) changes are lacking. Methods: We used time-synchronized polysomnography (PSG) and cardiotocography (CTG) data from two cohorts to analyze the correlation between maternal hypoxia and FHR changes (accelerations or decelerations). Maternal hypoxic event characteristics were analyzed using generalized linear modeling (GLM) to assess their associations with different FHR changes. Results: A total of 118 pregnant women participated. FHR changes were significantly associated with maternal hypoxia, primarily characterized by accelerations. A longer hypoxic duration correlated with more significant FHR accelerations (P < 0.05), while prolonged hypoxia and greater SpO2 drop were linked to FHR decelerations (P < 0.05). Both cohorts showed a transient increase in FHR during maternal hypoxia, which returned to baseline after the event resolved. Conclusion: Maternal hypoxia significantly affects FHR, suggesting that maternal OSAS may contribute to fetal hypoxia. These findings highlight the importance of maternal-fetal interactions and provide insights for future interventions.

DQnet: Cross-Model Detail Querying for Camouflaged Object Detection

Camouflaged objects are seamlessly blended in with their surroundings, which brings a challenging detection task in computer vision. Optimizing a convolutional neural network (CNN) for camouflaged object detection (COD) tends to activate local discriminative regions while ignoring complete object extent, causing the partial activation issue which inevitably leads to missing or redundant regions of objects. In this paper, we argue that partial activation is caused by the intrinsic characteristics of CNN, where the convolution operations produce local receptive fields and experience difficulty to capture long-range feature dependency among image regions. In order to obtain feature maps that could activate full object extent, keeping the segmental results from being overwhelmed by noisy features, a novel framework termed Cross-Model Detail Querying network (DQnet) is proposed. It reasons the relations between long-range-aware representations and multi-scale local details to make the enhanced representation fully highlight the object regions and eliminate noise on non-object regions. Specifically, a vanilla ViT pretrained with self-supervised learning (SSL) is employed to model long-range dependencies among image regions. A ResNet is employed to enable learning fine-grained spatial local details in multiple scales. Then, to effectively retrieve object-related details, a Relation-Based Querying (RBQ) module is proposed to explore window-based interactions between the global representations and the multi-scale local details. Extensive experiments are conducted on the widely used COD datasets and show that our DQnet outperforms the current state-of-the-arts.