The characteristics and evolution of pulmonary fibrosis in patients with coronavirus disease 2019 (COVID-19) have not been adequately studied. AI-assisted chest high-resolution computed tomography (HRCT) was used to investigate the proportion of COVID-19 patients with pulmonary fibrosis, the relationship between the degree of fibrosis and the clinical classification of COVID-19, the characteristics of and risk factors for pulmonary fibrosis, and the evolution of pulmonary fibrosis after discharge. The incidence of pulmonary fibrosis in patients with severe or critical COVID-19 was significantly higher than that in patients with moderate COVID-19. There were significant differences in the degree of pulmonary inflammation and the extent of the affected area among patients with mild, moderate and severe pulmonary fibrosis. The IL-6 level in the acute stage and albumin level were independent risk factors for pulmonary fibrosis. Ground-glass opacities, linear opacities, interlobular septal thickening, reticulation, honeycombing, bronchiectasis and the extent of the affected area were significantly improved 30, 60 and 90 days after discharge compared with at discharge. The more severe the clinical classification of COVID-19, the more severe the residual pulmonary fibrosis was; however, in most patients, pulmonary fibrosis was improved or even resolved within 90 days after discharge.

The current discharge criteria for COVID-19 require that patients have two consecutive negative results for RT-PCR detection. Here, we observed that recurrently positive RT-PCR test results in patients with three consecutive negative results (3xNegRPos, 5.4%) were significantly decreased compared with those in patients with two consecutive negative results (2xNegRPos, 20.6%); such patients reported positive RT-PCR test results within 1 to 12 days after meeting the discharge criteria. These results confirmed that many recovered patients could show a positive RT-PCR test result, and most of these patients could be identified by an additional RT-PCR test prior to discharge.

Plenty of studies on exclusive lanes for Connected and Autonomous Vehicle (CAV) have been conducted recently about traffic efficiency and safety. However, most of the previous research studies neglected comprehensive consideration of the safety impact on different market penetration rates (MPRs) of CAVs, traffic demands, and proportion of trucks in mixture CAVs with human’s driven vehicle environment. On this basis, this study is to (1) identify the safety impact on exclusive lanes for CAVs under different MPRs with different traffic demands and (2) investigate the safety impact of trucks for CAV exclusive lanes on mixture environment. Based on the Intelligent Driver Model (IDM), a CAV platooning control algorithm is proposed for modeling the driving behaviors of CAVs. A calibrated 7-kilometer freeway section microscopic simulation environment is built by VISSIM. Four surrogate safety measures, including both longitudinal and lateral safety risk indexes, are employed to evaluate the overall safety impacts of setting exclusive lanes. Main results indicate that (1) setting one exclusive lane is capable to improve overall safety environment in low demand, and two exclusive lanes are more suitable for high-demand scenario; (2) existence of trucks worsens overall longitudinal safety environment, and improper setting of exclusive lanes in high trucks, low MPR scenario has adverse effect on longitudinal safety; and (3) setting exclusive lanes have better longitudinal and lateral safety improvement in high-truck proportion scenarios. Setting one or two exclusive lanes led to [+42.4% to −52.90%] and [+45.7% to −55.2%] of longitudinal risks while [−1.8% to −87.1%] and [−2.1% to −85.3%] of lateral conflicts compared with the base scenario, respectively. Results of this study provide useful insight for the setting of exclusive lanes for CAVs in a mixture environment.

No abstract

Intelligent and Connected Vehicle (ICV) technology is considered to be a solution to improve the traffic performance. Through the information exchange in real-time among the vehicles, the roadside infrastructures, and the cloud platform, the sensing of the vehicles can be enhanced. This also enables coordinated driving decisions, which can improve traffic operations, especially at bottleneck locations. This paper addresses the problem of coordinating the vehicles near the bottleneck locations to help the vehicles passing the area quickly and smoothly. A lane advisory algorithm is designed to reduce conflicts by encouraging early lane changes. A coordinated vehicle movement planning algorithm is proposed to achieve a smooth longitudinal reference speed profiles for vehicles in the subject area. The algorithm can open enough headway for vehicles to change the lane and continue their trips. The effectiveness of the algorithm is evaluated using SUMO (Simulation of Urban MObility) as the simulation tool with no communication between vehicles as the benchmark case as well as the case where the vehicular traffic follows the so-called First-in-First-Out (FIFO) principle. The results of the evaluation summarize and indicate that the Coordinated Control Algorithm (CCA) proposed in this paper can improve traffic performance in terms of the average speed, the waiting time, the total travel time, and the traffic flow rate under different levels of service. INDEX TERMS Coordinated control, coordinated movement planning, intelligent and connected vehicles, lane advisory, non-recurrent bottlenecks.