Malignant melanoma (non-metastatic): sentinel lymph node biopsy.

PubMed

Pay, Andy

2016-01-19

The incidence of malignant melanoma has increased over the past 25 years in the UK, but death rates have remained fairly constant. The 5-year survival rate ranges from 20% to 95%, depending on disease stage. Risks are greater in white populations and in people with higher numbers of skin naevi. We conducted a systematic overview, aiming to answer the following clinical question: What is the evidence for performing a sentinel lymph node biopsy in people with malignant melanoma with clinically uninvolved lymph nodes? We searched: Medline, Embase, The Cochrane Library and other important databases up to October 2014 (Clinical Evidence overviews are updated periodically; please check our website for the most up-to-date version of this overview). At this update, searching of electronic databases retrieved 221 studies. After deduplication and removal of conference abstracts, 99 records were screened for inclusion in the overview. Appraisal of titles and abstracts led to the exclusion of 58 studies and the further review of 41 full publications. Of the 41 full articles evaluated, one systematic review and three RCTs were added at this update. We performed a GRADE evaluation for two PICO combinations. In this systematic overview, we evaluated the evidence for performing sentinel lymph node biopsy in people with malignant melanoma with clinically uninvolved lymph nodes.

The ESA Scientific Exploitation of Operational Missions element

NASA Astrophysics Data System (ADS)

Desnos, Yves-Louis; Regner, Peter; Zehner, Claus; Engdahl, Marcus; Benveniste, Jerome; Delwart, Steven; Gascon, Ferran; Mathieu, Pierre-Philippe; Bojkov, Bojan; Koetz, Benjamin; Arino, Olivier; Donlon, Craig; Davidson, Malcolm; Goryl, Philippe; Foumelis, Michael

2014-05-01

The objectives of the ESA Scientific Exploitation of Operational Missions (SEOM) programme element are • to federate, support and expand the research community • to strengthen the leadership of European EO research community • to enable the science community to address new scientific research As a preparation for the SEOM element a series of international science users consultation has been organized by ESA in 2012 and 2013 In particular the ESA Living Planet Symposium was successfully organized in Edinburgh September 2013 and involving 1700 participants from 60 countries. The science users recommendations have been gathered and form the basis for the 2014 SEOM work plan approved by ESA member states. The SEOM element is organized along the following action lines: 1. Developing open-source, multi-mission, scientific toolboxes : the new toolboxes for Sentinel 1/2/3 and 5P will be introduced 2. Research and development studies: the first SEOM studies are being launched such as the INSARAP studies for Sentinel 1 interferometry in orbit demonstration , the IAS study to generate an improved spectroscopic database of the trace gas species CH4, H2O, and CO in the 2.3 μm region and SO2 in the UV region for Sentinel 5 P. In addition larger Sentinels for science call will be tendered in 2014 covering grouped studies for Sentinel 1 Land , Sentinel 1 Ocean , Sentinel 2 Land, Sentinel 3 SAR Altimetry ,Sentinel 3 Ocean color, Sentinel 3 Land and Sentinels Synergy . 3. Science users consultation : the Sentinel 2 for Science workshop is planned from 20 to 22 may 2014 at ESRIN to prepare for scientific exploitation of the Sentinel-2 mission (http://seom.esa.int/S2forScience2014 ) . In addition the FRINGE workshop focusing on scientific explotation of Sentinel1 using SAR interferometry is planned to be held at ESA ESRIN in Q2 2015 4. Training the next generation of European EO scientists on the scientific exploitation of Sentinels data: the Advanced Training course Land Remote sensing will be held in University of Valencia , Valencia, Spain from 8 to 12 September 2014 (see http://seom.esa.int/landtraining2014/index.php ). The bi-annual ESA EO summer school on "Earth System Monitoring & Modelling" will be held in ESRIN next summer (4-14 Aug 2014). (See: http://earth.eo.esa.int/trainingcourses/EOSummerSchool2012/index.php ) 5. Promoting Science data use and results : A web site has been prepared for the SEOM element and is available at: http://seom.esa.int/. Proceedings of the ESA Living Planet Symposium are in preparation to be published Q1-2014. The SEOM element plans for 2014 will be further detailed and the first results will be presented.

PROFILES OF GREAT LAKES CRITICAL POLLUTANTS: A SENTINEL ANALYSIS OF HUMAN BLOOD AND URINE

EPA Science Inventory

To determine the contaminants that should be studied further in the subsequent population-based study, a profile of Great Lakes (GL) sport fish contaminant residues were studied in human blood and urine specimens from 32 sport fish consumers from three Great Lakes: Lake Michigan ...

Sentinel-2: presentation of the CAL/VAL commissioning phase

NASA Astrophysics Data System (ADS)

Trémas, Thierry L.; Déchoz, Cécile; Lacherade, Sophie; Nosavan, Julien; Petrucci, Beatrice

2015-10-01

In partnership with the European Commission and in the frame of the Copernicus program, the European Space Agency (ESA) has developed the Sentinel-2 optical imaging mission devoted to the operational monitoring of land and coastal areas. The Sentinel-2 mission is based on a satellites constellation deployed in polar sun-synchronous orbits. Sentinel-2 will offer a unique combination of global coverage with a wide field of view (290km), a high revisit (5 days with two satellites), a high resolution (10m, 20m and 60m) and multi-spectral imagery (13 spectral bands in visible and shortwave infra-red domains). The first sentinel 2A has been launched on June 22nd, 2015, from Kourou, French Guyana. In this context, the Centre National d'Etudes Spatiales (CNES) supports ESA to insure the cal/val commissioning phase, for Image Quality aspects. This paper provides first, an overview of the Sentinel-2 system after the launch. Then the articles focuses on the means implemented and activated in CNES to perform the In Orbit Commissioning, the availability and performances of the different devices involved in the ground segment : the GPP in charge of producing the level 1 files, the "radiometric unit" that processes sensitivity parameters, the "geometric unit" in charge of fitting the images on a reference map, MACCS that will produce Level 2A files (computing reflectances at the Bottom of Atmosphere) and the TEC-S2 that will coordinate all the previous software and drive a database in which will be gather the incoming Level 0 files and the processed Level 1 files.

Malignant melanoma (non-metastatic): sentinel lymph node biopsy

PubMed Central

2016-01-01

Introduction The incidence of malignant melanoma has increased over the past 25 years in the UK, but death rates have remained fairly constant. The 5-year survival rate ranges from 20% to 95%, depending on disease stage. Risks are greater in white populations and in people with higher numbers of skin naevi. Methods and outcomes We conducted a systematic overview, aiming to answer the following clinical question: What is the evidence for performing a sentinel lymph node biopsy in people with malignant melanoma with clinically uninvolved lymph nodes? We searched: Medline, Embase, The Cochrane Library and other important databases up to October 2014 (BMJ Clinical Evidence overviews are updated periodically; please check our website for the most up-to-date version of this overview). Results At this update, searching of electronic databases retrieved 221 studies. After deduplication and removal of conference abstracts, 99 records were screened for inclusion in the overview. Appraisal of titles and abstracts led to the exclusion of 58 studies and the further review of 41 full publications. Of the 41 full articles evaluated, one systematic review and three RCTs were added at this update. We performed a GRADE evaluation for two PICO combinations. Conclusions In this systematic overview, we evaluated the evidence for performing sentinel lymph node biopsy in people with malignant melanoma with clinically uninvolved lymph nodes. PMID:26788739

16 CFR 1102.6 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Background and Definitions... Product Safety Information Database. (2) Commission or CPSC means the Consumer Product Safety Commission... Information Database, also referred to as the Database, means the database on the safety of consumer products...

Filariasis in Travelers Presenting to the GeoSentinel Surveillance Network

PubMed Central

Lipner, Ettie M.; Law, Melissa A.; Barnett, Elizabeth; Keystone, Jay S.; von Sonnenburg, Frank; Loutan, Louis; Prevots, D. Rebecca; Klion, Amy D.; Nutman, Thomas B.

2007-01-01

Background As international travel increases, there is rising exposure to many pathogens not traditionally encountered in the resource-rich countries of the world. Filarial infections, a great problem throughout the tropics and subtropics, are relatively rare among travelers even to filaria-endemic regions of the world. The GeoSentinel Surveillance Network, a global network of medicine/travel clinics, was established in 1995 to detect morbidity trends among travelers. Principal Findings We examined data from the GeoSentinel database to determine demographic and travel characteristics associated with filaria acquisition and to understand the differences in clinical presentation between nonendemic visitors and those born in filaria-endemic regions of the world. Filarial infections comprised 0.62% (n = 271) of all medical conditions reported to the GeoSentinel Network from travelers; 37% of patients were diagnosed with Onchocerca volvulus, 25% were infected with Loa loa, and another 25% were diagnosed with Wuchereria bancrofti. Most infections were reported from immigrants and from those immigrants returning to their county of origin (those visiting friends and relatives); the majority of filarial infections were acquired in sub-Saharan Africa. Among the patients who were natives of filaria-nonendemic regions, 70.6% acquired their filarial infection with exposure greater than 1 month. Moreover, nonendemic visitors to filaria-endemic regions were more likely to present to GeoSentinel sites with clinically symptomatic conditions compared with those who had lifelong exposure. Significance Codifying the filarial infections presenting to the GeoSentinel Surveillance Network has provided insights into the clinical differences seen among filaria-infected expatriates and those from endemic regions and demonstrated that O. volvulus infection can be acquired with short-term travel. PMID:18160987

One-Step Nucleic Acid Amplification (OSNA): A fast molecular test based on CK19 mRNA concentration for assessment of lymph-nodes metastases in early stage endometrial cancer.

PubMed

Fanfani, Francesco; Monterossi, Giorgia; Ghizzoni, Viola; Rossi, Esther D; Dinoi, Giorgia; Inzani, Frediano; Fagotti, Anna; Gueli Alletti, Salvatore; Scarpellini, Francesca; Nero, Camilla; Santoro, Angela; Scambia, Giovanni; Zannoni, Gian F

2018-01-01

The aim of the current study is to evaluate the detection rate of micro- and macro-metastases of the One-Step Nucleic Acid Amplification (OSNA) compared to frozen section examination and subsequent ultra-staging examination in early stage endometrial cancer (EC). From March 2016 to June 2016, data of 40 consecutive FIGO stage I EC patients were prospectively collected in an electronic database. The sentinel lymph node mapping was performed in all patients. All mapped nodes were removed and processed. Sentinel lymph nodes were sectioned and alternate sections were respectively examined by OSNA and by frozen section analysis. After frozen section, the residual tissue from each block was processed with step-level sections (each step at 200 micron) including H&E and IHC slides. Sentinel lymph nodes mapping was successful in 29 patients (72.5%). In the remaining 11 patients (27.5%), a systematic pelvic lymphadenectomy was performed. OSNA assay sensitivity and specificity were 87.5% and 100% respectively. Positive and negative predictive values were 100% and 99% respectively, with a diagnostic accuracy of 99%. As far as frozen section examination and subsequent ultra-staging analysis was concerned, we reported sensitivity and specificity of 50% and 94.4% respectively; positive and negative predictive values were 14.3% and 99%, respectively, with an accuracy of 93.6%. In one patient, despite negative OSNA and frozen section analysis of the sentinel node, a macro-metastasis in 1 non-sentinel node was found. The combination of OSNA procedure with the sentinel lymph node mapping could represent an efficient intra-operative tool for the selection of early-stage EC patients to be submitted to systematic lymphadenectomy.

16 CFR 1102.6 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.6 Definitions. (a... Database. (2) Commission or CPSC means the Consumer Product Safety Commission. (3) Consumer product means a... private labeler. (7) Publicly Available Consumer Product Safety Information Database, also referred to as...

16 CFR 1102.6 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.6 Definitions. (a... Database. (2) Commission or CPSC means the Consumer Product Safety Commission. (3) Consumer product means a... private labeler. (7) Publicly Available Consumer Product Safety Information Database, also referred to as...

16 CFR § 1102.6 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.6 Definitions. (a... Database. (2) Commission or CPSC means the Consumer Product Safety Commission. (3) Consumer product means a... private labeler. (7) Publicly Available Consumer Product Safety Information Database, also referred to as...

75 FR 29155 - Publicly Available Consumer Product Safety Information Database

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-24

...The Consumer Product Safety Commission (``Commission,'' ``CPSC,'' or ``we'') is issuing a notice of proposed rulemaking that would establish a publicly available consumer product safety information database (``database''). Section 212 of the Consumer Product Safety Improvement Act of 2008 (``CPSIA'') amended the Consumer Product Safety Act (``CPSA'') to require the Commission to establish and maintain a publicly available, searchable database on the safety of consumer products, and other products or substances regulated by the Commission. The proposed rule would interpret various statutory requirements pertaining to the information to be included in the database and also would establish provisions regarding submitting reports of harm; providing notice of reports of harm to manufacturers; publishing reports of harm and manufacturer comments in the database; and dealing with confidential and materially inaccurate information.

U.S. domestic cats as sentinels for perfluoroalkyl substances: Possible linkages with housing, obesity, and disease

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bost, Phillip C.

Perfluoroalkyl substances (PFAS), such as perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA), are persistent, globally distributed, anthropogenic compounds. The primary source(s) for human exposure are not well understood although within home exposure is likely important since many consumer products have been treated with different PFAS, and people spend much of their lives indoors. Herein, domestic cats were used as sentinels to investigate potential exposure and health linkages. PFAS in serum samples of 72 pet and feral cats, including 11 healthy and 61 with one or more primary disease diagnoses, were quantitated using high-resolution time-of-flight mass spectroscopy. All but one samplemore » had detectable PFAS, with PFOS and perfluorohexane sulfonate (PFHxS) ranging from« less

Deploying digital health data to optimize influenza surveillance at national and local scales

PubMed Central

Arab, Ali; Viboud, Cécile; Grenfell, Bryan T.; Bansal, Shweta

2018-01-01

The surveillance of influenza activity is critical to early detection of epidemics and pandemics and the design of disease control strategies. Case reporting through a voluntary network of sentinel physicians is a commonly used method of passive surveillance for monitoring rates of influenza-like illness (ILI) worldwide. Despite its ubiquity, little attention has been given to the processes underlying the observation, collection, and spatial aggregation of sentinel surveillance data, and its subsequent effects on epidemiological understanding. We harnessed the high specificity of diagnosis codes in medical claims from a database that represented 2.5 billion visits from upwards of 120,000 United States healthcare providers each year. Among influenza seasons from 2002-2009 and the 2009 pandemic, we simulated limitations of sentinel surveillance systems such as low coverage and coarse spatial resolution, and performed Bayesian inference to probe the robustness of ecological inference and spatial prediction of disease burden. Our models suggest that a number of socio-environmental factors, in addition to local population interactions, state-specific health policies, as well as sampling effort may be responsible for the spatial patterns in U.S. sentinel ILI surveillance. In addition, we find that biases related to spatial aggregation were accentuated among areas with more heterogeneous disease risk, and sentinel systems designed with fixed reporting locations across seasons provided robust inference and prediction. With the growing availability of health-associated big data worldwide, our results suggest mechanisms for optimizing digital data streams to complement traditional surveillance in developed settings and enhance surveillance opportunities in developing countries. PMID:29513661

Sentinel 2: implementation of the means and methods for the CAL/VAL commissioning phase

NASA Astrophysics Data System (ADS)

Trémas, Thierry L.; Déchoz, Cécile; Lacherade, Sophie; Nosavan, Julien; Petrucci, Beatrice; Martimort, P.; Isola, Claudia

2013-10-01

In partnership with the European Commission and in the frame of the Copernicus program, the European Space Agency (ESA) is developing the Sentinel-2 optical imaging mission devoted to the operational monitoring of land and coastal areas. The Sentinel-2 mission is based on a satellites constellation deployed in polar sun-synchronous orbit. Sentinel-2 will offer a unique combination of global coverage with a wide field of view (290km), a high revisit (5 days with two satellites), a high resolution (10m, 20m and 60m) and multi-spectral imagery (13 spectral bands in visible and shortwave infra-red domains). The first satellite is planned to be launched in late 2014. In this context, the Centre National d'Etudes Spatiales (CNES) supports ESA to insure the cal/val commissioning phase. This paper provides first, an overview of the Sentinel-2 system and the image products delivered by the ground processing. Then the paper will present the ground segment, presently under preparation at CNES, and the various devices that compose it : the GPP in charge of producing the level 1 files, the "radiometric unit" that processes sensitivity parameters, the "geometric unit" in charge of fitting the images on a reference map, MACCS that will produce Level 2A files (computing reflectances at the Bottom of Atmosphere) and the TEC-S2 that will coordinate all the previous software and drive a database in which will be gather the incoming Level 0 files and the processed Level 1 files.

Active surveillance of postmarket medical product safety in the Federal Partners' Collaboration.

PubMed

Robb, Melissa A; Racoosin, Judith A; Worrall, Chris; Chapman, Summer; Coster, Trinka; Cunningham, Francesca E

2012-11-01

After half a century of monitoring voluntary reports of medical product adverse events, the Food and Drug Administration (FDA) has launched a long-term project to build an adverse events monitoring system, the Sentinel System, which can access and evaluate electronic health care data to help monitor the safety of regulated medical products once they are marketed. On the basis of experience gathered through a number of collaborative efforts, the Federal Partners' Collaboration pilot project, involving FDA, the Centers for Medicare & Medicaid Services, the Department of Veteran Affairs, and the Department of Defense, is already enabling FDA to leverage the power of large public health care databases to assess, in near real time, the utility of analytical tools and methodologies that are being developed for use in the Sentinel System. Active medical product safety surveillance is enhanced by use of these large public health databases because specific populations of exposed patients can be identified and analyzed, and can be further stratified by key variables such as age, sex, race, socioeconomic status, and basis for eligibility to examine important subgroups.

Activity concentrations of (137)Caesium and (210)Polonium in seafood from fishing regions of New Zealand and the dose assessment for seafood consumers.

PubMed

Pearson, Andrew J; Gaw, Sally; Hermanspahn, Nikolaus; Glover, Chris N

2016-01-01

A study was undertaken to determine activity concentrations for (134)Caesium, (137)Caesium and (210)Polonium in New Zealand seafood, and establish if activity concentrations varied with respect to species/ecological niche and coastal region. Thirty seafood samples were obtained from six fishing regions of New Zealand along with a further six samples of two commercially important species (hoki and arrow squid) with well-defined fisheries. (134)Caesium was not detected in any sample. (137)Caesium was detected in 47% of samples, predominantly in pelagic fish species, with most activities at a trace level. Detections of (137)Caesium were evenly distributed across all regions. Activity concentrations were consistent with those expected from the oceanic inventory representing residual fallout from global nuclear testing. (210)Polonium was detected above the minimum detectable concentration in 33 (92%) of the analysed samples. Molluscs displayed significantly elevated activity concentrations relative to all other species groups. No significant regional variation in activity concentrations were determined. Two dose assessment models for high seafood consumers were undertaken. Dose contribution from (137)Caesium was minimal and far below the dose exemption limit of 1 mSv/year. Exposure to (210)Polonium was significant in high seafood consumers at 0.44-0.77 mSv/year (5th-95th percentile). (137)Caesium is concluded to be a valuable sentinel radionuclide for monitoring anthropogenic releases, such as global fallout and reactor releases, in the marine environment. (210)Polonium is of importance as a natural radionuclide sentinel due to its high contribution to dietary committed dose in seafood consumers. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Consumer attitudes towards the establishment of a national Australian familial cancer research database by the Inherited Cancer Connect (ICCon) Partnership.

PubMed

Forrest, Laura; Mitchell, Gillian; Thrupp, Letitia; Petelin, Lara; Richardson, Kate; Mascarenhas, Lyon; Young, Mary-Anne

2018-01-01

Clinical genetics units hold large amounts of information which could be utilised to benefit patients and their families. In Australia, a national research database, the Inherited Cancer Connect (ICCon) database, is being established that comprises clinical genetic data held for all carriers of mutations in cancer predisposition genes. Consumer input was sought to establish the acceptability of the inclusion of clinical genetic data into a research database. A qualitative approach using a modified nominal group technique was used to collect data through consumer forums conducted in three Australian states. Individuals who had previously received care from Familial Cancer Centres were invited to participate. Twenty-four consumers participated in three forums. Participants expressed positive attitudes about the establishment of the ICCon database, which were informed by the perceived benefits of the database including improved health outcomes for individuals with inherited cancer syndromes. Most participants were comfortable to waive consent for their clinical information to be included in the research database in a de-identified format. As major stakeholders, consumers have an integral role in contributing to the development and conduct of the ICCon database. As an initial step in the development of the ICCon database, the forums demonstrated consumers' acceptance of important aspects of the database including waiver of consent.

Bordetella pertussis infections in travelers: data from the GeoSentinel global network.

PubMed

Barbosa, Felipe; Barnett, Elizabeth D; Gautret, Philippe; Schlagenhauf, Patricia; van Genderen, Perry J J; Grobusch, Martin P; Connor, Bradley A; Hamer, Davidson H; Hochberg, Natasha S

2017-05-01

Pertussis is a highly contagious, vaccine-preventable respiratory infection that is endemic worldwide. There are limited data regarding the occurrence of pertussis in travelers. The objective of this study is to identify travel-related pertussis cases reported to the GeoSentinel Surveillance Network. This is a descriptive, retrospective analysis of GeoSentinel records from 25 travel/tropical medicine clinics in 16 countries. Frequencies of demographic and travel-related characteristics and symptoms of 74 cases of pertussis in travelers and new immigrants from 1999 to 2015 were analysed. There were 74 probable and confirmed cases of pertussis in the GeoSentinel database; median age was 44 years, and 38 (51%) patients were female. Tourism was the most common reason for travel (41; 55%). Country of exposure was determined in 66 cases with travelers returning from India and China constituting the highest number of cases (10 cases each; 15% each). Seventy of 74 (95%) patients had respiratory symptoms, while fatigue and fever were reported by 21 (28%) and 20 (27%), respectively. Immunization status against pertussis was unknown. Most cases were reported after 2005 (69; 93%). Our study describes 74 cases of pertussis acquired during travel and reported to the GeoSentinel Network. Pertussis should be considered in returned travelers who present with respiratory symptoms. Surveillance and detection of imported cases are important to prevent onward transmission in the community. The pre-travel consultation provides an opportunity to verify immunization status and provide routine vaccinations such as pertussis. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

PREOPERATIVE MRI IMPROVES PREDICTION OF EXTENSIVE OCCULT AXILLARY LYMPH NODE METASTASES IN BREAST CANCER PATIENTS WITH A POSITIVE SENTINEL LYMPH NODE BIOPSY

PubMed Central

Loiselle, Christopher; Eby, Peter R.; Kim, Janice N.; Calhoun, Kristine E.; Allison, Kimberly H.; Gadi, Vijayakrishna K.; Peacock, Sue; Storer, Barry; Mankoff, David A.; Partridge, Savannah C.; Lehman, Constance D.

2014-01-01

Rationale and Objectives To test the ability of quantitative measures from preoperative Dynamic Contrast Enhanced MRI (DCE-MRI) to predict, independently and/or with the Katz pathologic nomogram, which breast cancer patients with a positive sentinel lymph node biopsy will have ≥ 4 positive axillary lymph nodes upon completion axillary dissection. Methods and Materials A retrospective review was conducted to identify clinically node-negative invasive breast cancer patients who underwent preoperative DCE-MRI, followed by sentinel node biopsy with positive findings and complete axillary dissection (6/2005 – 1/2010). Clinical/pathologic factors, primary lesion size and quantitative DCE-MRI kinetics were collected from clinical records and prospective databases. DCE-MRI parameters with univariate significance (p < 0.05) to predict ≥ 4 positive axillary nodes were modeled with stepwise regression and compared to the Katz nomogram alone and to a combined MRI-Katz nomogram model. Results Ninety-eight patients with 99 positive sentinel biopsies met study criteria. Stepwise regression identified DCE-MRI total persistent enhancement and volume adjusted peak enhancement as significant predictors of ≥4 metastatic nodes. Receiver operating characteristic (ROC) curves demonstrated an area under the curve (AUC) of 0.78 for the Katz nomogram, 0.79 for the DCE-MRI multivariate model, and 0.87 for the combined MRI-Katz model. The combined model was significantly more predictive than the Katz nomogram alone (p = 0.003). Conclusion Integration of DCE-MRI primary lesion kinetics significantly improved the Katz pathologic nomogram accuracy to predict presence of metastases in ≥ 4 nodes. DCE-MRI may help identify sentinel node positive patients requiring further localregional therapy. PMID:24331270

76 FR 1137 - Publicly Available Consumer Product Safety Information Database: Notice of Public Web Conferences

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-07

...: Notice of Public Web Conferences AGENCY: Consumer Product Safety Commission. ACTION: Notice. SUMMARY: The Consumer Product Safety Commission (``Commission,'' ``CPSC,'' or ``we'') is announcing two Web conferences... database (``Database''). The Web conferences will be webcast live from the Commission's headquarters in...

Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study.

PubMed

Javitt, Jonathan C; Steinberg, Gregory; Locke, Todd; Couch, James B; Jacques, Jeffrey; Juster, Iver; Reisman, Lonny

2005-02-01

To demonstrate the potential effect of deploying a sentinel system that scans administrative claims information and clinical data to detect and mitigate errors in care and deviations from best medical practices. Members (n = 39 462; age range, 12-64 years) of a midwestern managed care plan were randomly assigned to an intervention or a control group. The sentinel system was programmed with more than 1000 decision rules that were capable of generating clinical recommendations. Clinical recommendations triggered for subjects in the intervention group were relayed to treating physicians, and those for the control group were deferred to study end. Nine hundred eight clinical recommendations were issued to the intervention group. Among those in both groups who triggered recommendations, there were 19% fewer hospital admissions in the intervention group compared with the control group (P < .001). Charges among those whose recommendations were communicated were dollar 77.91 per member per month (pmpm) lower and paid claims were dollar 68.08 pmpm lower than among controls compared with the baseline values (P = .003 for both). Paid claims for the entire intervention group (with or without recommendations) were dollar 8.07 pmpm lower than those for the entire control group. In contrast, the intervention cost dollar 1.00 pmpm, suggesting an 8-fold return on investment. Ongoing use of a sentinel system to prompt clinically actionable, patient-specific alerts generated from administratively derived clinical data was associated with a reduction in hospitalization, medical costs, and morbidity.

Elaboration of a nomogram to predict nonsentinel node status in breast cancer patients with positive sentinel node, intraoperatively assessed with one step nucleic amplification: Retrospective and validation phase.

PubMed

Di Filippo, Franco; Di Filippo, Simona; Ferrari, Anna Maria; Antonetti, Raffaele; Battaglia, Alessandro; Becherini, Francesca; Bernet, Laia; Boldorini, Renzo; Bouteille, Catherine; Buglioni, Simonetta; Burelli, Paolo; Cano, Rafael; Canzonieri, Vincenzo; Chiodera, Pierluigi; Cirilli, Alfredo; Coppola, Luigi; Drago, Stefano; Di Tommaso, Luca; Fenaroli, Privato; Franchini, Roberto; Gianatti, Andrea; Giannarelli, Diana; Giardina, Carmela; Godey, Florence; Grassi, Massimo M; Grassi, Giuseppe B; Laws, Siobhan; Massarut, Samuele; Naccarato, Giuseppe; Natalicchio, Maria Iole; Orefice, Sergio; Palmieri, Fabrizio; Perin, Tiziana; Roncella, Manuela; Roncalli, Massimo G; Rulli, Antonio; Sidoni, Angelo; Tinterri, Corrado; Truglia, Maria C; Sperduti, Isabella

2016-12-08

Tumor-positive sentinel lymph node (SLN) biopsy results in a risk of non sentinel node metastases in micro- and macro-metastases ranging from 20 to 50%, respectively. Therefore, most patients underwent unnecessary axillary lymph node dissections. We have previously developed a mathematical model for predicting patient-specific risk of non sentinel node (NSN) metastases based on 2460 patients. The study reports the results of the validation phase where a total of 1945 patients were enrolled, aimed at identifying a tool that gives the possibility to the surgeon to choose intraoperatively whether to perform or not axillary lymph node dissection (ALND). The following parameters were recorded: Clinical: hospital, age, medical record number; Bio pathological: Tumor (T) size stratified in quartiles, grading (G), histologic type, lymphatic/vascular invasion (LVI), ER-PR status, Ki 67, molecular classification (Luminal A, Luminal B, HER-2 Like, Triple negative); Sentinel and non-sentinel node related: Number of NSNs removed, number of positive NSNs, cytokeratin 19 (CK19) mRNA copy number of positive sentinel nodes stratified in quartiles. A total of 1945 patients were included in the database. All patient data were provided by the authors of this paper. The discrimination of the model quantified with the area under the receiver operating characteristics (ROC) curve (AUC), was 0.65 and 0.71 in the validation and retrospective phase, respectively. The calibration determines the distance between predicted outcome and actual outcome. The mean difference between predicted/observed was 2.3 and 6.3% in the retrospective and in the validation phase, respectively. The two values are quite similar and as a result we can conclude that the nomogram effectiveness was validated. Moreover, the ROC curve identified in the risk category of 31% of positive NSNs, the best compromise between false negative and positive rates i.e. when ALND is unnecessary (<31%) or recommended (>31%). The results of the study confirm that OSNA nomogram may help surgeons make an intraoperative decision on whether to perform ALND or not in case of positive sentinel nodes, and the patient to accept this decision based on a reliable estimation on the true percentage of NSN involvement. The use of this nomogram achieves two main gools: 1) the choice of the right treatment during the operation, 2) to avoid for the patient a second surgery procedure.

Development of a consumer product ingredient database for chemical exposure screening and prioritization.

PubMed

Goldsmith, M-R; Grulke, C M; Brooks, R D; Transue, T R; Tan, Y M; Frame, A; Egeghy, P P; Edwards, R; Chang, D T; Tornero-Velez, R; Isaacs, K; Wang, A; Johnson, J; Holm, K; Reich, M; Mitchell, J; Vallero, D A; Phillips, L; Phillips, M; Wambaugh, J F; Judson, R S; Buckley, T J; Dary, C C

2014-03-01

Consumer products are a primary source of chemical exposures, yet little structured information is available on the chemical ingredients of these products and the concentrations at which ingredients are present. To address this data gap, we created a database of chemicals in consumer products using product Material Safety Data Sheets (MSDSs) publicly provided by a large retailer. The resulting database represents 1797 unique chemicals mapped to 8921 consumer products and a hierarchy of 353 consumer product "use categories" within a total of 15 top-level categories. We examine the utility of this database and discuss ways in which it will support (i) exposure screening and prioritization, (ii) generic or framework formulations for several indoor/consumer product exposure modeling initiatives, (iii) candidate chemical selection for monitoring near field exposure from proximal sources, and (iv) as activity tracers or ubiquitous exposure sources using "chemical space" map analyses. Chemicals present at high concentrations and across multiple consumer products and use categories that hold high exposure potential are identified. Our database is publicly available to serve regulators, retailers, manufacturers, and the public for predictive screening of chemicals in new and existing consumer products on the basis of exposure and risk. Published by Elsevier Ltd.

US Domestic Cats as Sentinels for Perfluoroalkyl Substances ...

EPA Pesticide Factsheets

Perfluoroalkyl substances (PFAS), such as perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA) , are persistent, globally distributed, anthropogenic compounds. The primary source(s) for human exposure are not well understood although within home exposure is likely important since many consumer products have been treated with different PFAS, and people spend much of their lives indoors. Herein, domestic cats were used as sentinels to investigate potential exposure and health linkages. PFAS in serum samples of 72 pet and feral cats, including 11 healthy and 61 with one or more primary disease diagnoses, were quantitated using high-resolution time-of-flight mass spectroscopy. All but one sample had detectable PFAS, with PFOS and perfluorohexane sulfonate (PFHxS) ranging from

Signals from the south; humpback whales carry messages of Antarctic sea-ice ecosystem variability.

PubMed

Bengtson Nash, Susan M; Castrillon, Juliana; Eisenmann, Pascale; Fry, Brian; Shuker, Jon D; Cropp, Roger A; Dawson, Amanda; Bignert, Anders; Bohlin-Nizzetto, Pernilla; Waugh, Courtney A; Polkinghorne, Bradley J; Dalle Luche, Greta; McLagan, David

2018-04-01

Southern hemisphere humpback whales (Megaptera novaeangliae) rely on summer prey abundance of Antarctic krill (Euphausia superba) to fuel one of the longest-known mammalian migrations on the planet. It is hypothesized that this species, already adapted to endure metabolic extremes, will be one of the first Antarctic consumers to show measurable physiological change in response to fluctuating prey availability in a changing climate; and as such, a powerful sentinel candidate for the Antarctic sea-ice ecosystem. Here, we targeted the sentinel parameters of humpback whale adiposity and diet, using novel, as well as established, chemical and biochemical markers, and assembled a time trend spanning 8 years. We show the synchronous, inter-annual oscillation of two measures of humpback whale adiposity with Southern Ocean environmental variables and climate indices. Furthermore, bulk stable isotope signatures provide clear indication of dietary compensation strategies, or a lower trophic level isotopic change, following years indicated as leaner years for the whales. The observed synchronicity of humpback whale adiposity and dietary markers, with climate patterns in the Southern Ocean, lends strength to the role of humpback whales as powerful Antarctic sea-ice ecosystem sentinels. The work carries significant potential to reform current ecosystem surveillance in the Antarctic region. © 2017 John Wiley & Sons Ltd.

Data Extraction and Management in Networks of Observational Health Care Databases for Scientific Research: A Comparison of EU-ADR, OMOP, Mini-Sentinel and MATRICE Strategies

PubMed Central

Gini, Rosa; Schuemie, Martijn; Brown, Jeffrey; Ryan, Patrick; Vacchi, Edoardo; Coppola, Massimo; Cazzola, Walter; Coloma, Preciosa; Berni, Roberto; Diallo, Gayo; Oliveira, José Luis; Avillach, Paul; Trifirò, Gianluca; Rijnbeek, Peter; Bellentani, Mariadonata; van Der Lei, Johan; Klazinga, Niek; Sturkenboom, Miriam

2016-01-01

Introduction: We see increased use of existing observational data in order to achieve fast and transparent production of empirical evidence in health care research. Multiple databases are often used to increase power, to assess rare exposures or outcomes, or to study diverse populations. For privacy and sociological reasons, original data on individual subjects can’t be shared, requiring a distributed network approach where data processing is performed prior to data sharing. Case Descriptions and Variation Among Sites: We created a conceptual framework distinguishing three steps in local data processing: (1) data reorganization into a data structure common across the network; (2) derivation of study variables not present in original data; and (3) application of study design to transform longitudinal data into aggregated data sets for statistical analysis. We applied this framework to four case studies to identify similarities and differences in the United States and Europe: Exploring and Understanding Adverse Drug Reactions by Integrative Mining of Clinical Records and Biomedical Knowledge (EU-ADR), Observational Medical Outcomes Partnership (OMOP), the Food and Drug Administration’s (FDA’s) Mini-Sentinel, and the Italian network—the Integration of Content Management Information on the Territory of Patients with Complex Diseases or with Chronic Conditions (MATRICE). Findings: National networks (OMOP, Mini-Sentinel, MATRICE) all adopted shared procedures for local data reorganization. The multinational EU-ADR network needed locally defined procedures to reorganize its heterogeneous data into a common structure. Derivation of new data elements was centrally defined in all networks but the procedure was not shared in EU-ADR. Application of study design was a common and shared procedure in all the case studies. Computer procedures were embodied in different programming languages, including SAS, R, SQL, Java, and C++. Conclusion: Using our conceptual framework we found several areas that would benefit from research to identify optimal standards for production of empirical knowledge from existing databases.an opportunity to advance evidence-based care management. In addition, formalized CM outcomes assessment methodologies will enable us to compare CM effectiveness across health delivery settings. PMID:27014709

Development of a Consumer Product Ingredient Database for ...

EPA Pesticide Factsheets

Consumer products are a primary source of chemical exposures, yet little structured information is available on the chemical ingredients of these products and the concentrations at which ingredients are present. To address this data gap, we created a database of chemicals in consumer products using product Material Safety Data Sheets (MSDSs) publicly provided by a large retailer. The resulting database represents 1797 unique chemicals mapped to 8921 consumer products and a hierarchy of 353 consumer product “use categories” within a total of 15 top-level categories. We examine the utility of this database and discuss ways in which it will support (i) exposure screening and prioritization, (ii) generic or framework formulations for several indoor/consumer product exposure modeling initiatives, (iii) candidate chemical selection for monitoring near field exposure from proximal sources, and (iv) as activity tracers or ubiquitous exposure sources using “chemical space” map analyses. Chemicals present at high concentrations and across multiple consumer products and use categories that hold high exposure potential are identified. Our database is publicly available to serve regulators, retailers, manufacturers, and the public for predictive screening of chemicals in new and existing consumer products on the basis of exposure and risk. The National Exposure Research Laboratory’s (NERL’s) Human Exposure and Atmospheric Sciences Division (HEASD) conducts resear

Consumer Attitudes About Renewable Energy. Trends and Regional Differences

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bird, Lori; Sumner, Jenny

2011-04-01

The data in this report are taken from Natural Marketing Institute's (NMI's) Lifestyles of Health and Sustainability Consumer Trends Database. Created in 2002, the syndicated consumer database contains responses from 2,000 to 4,000 nationally representative U.S. adults (meaning the demographics of the sample are consistent with U.S. Census findings) each year. NMI used the database to analyze consumer attitudes and behavior related to renewable energy and to update previously conducted related research. Specifically, this report will explore consumer awareness, concerns, perceived benefits, knowledge of purchase options, and usage of renewable energy as well as provide regional comparisons and trends overmore » time.« less

Consumer Attitudes About Renewable Energy: Trends and Regional Differences

DOE Office of Scientific and Technical Information (OSTI.GOV)

Natural Marketing Institute, Harleysville, Pennsylvania

The data in this report are taken from Natural Marketing Institute's (NMI's) Lifestyles of Health and Sustainability Consumer Trends Database. Created in 2002, the syndicated consumer database contains responses from 2,000 to 4,000 nationally representative U.S. adults (meaning the demographics of the sample are consistent with U.S. Census findings) each year. NMI used the database to analyze consumer attitudes and behavior related to renewable energy and to update previously conducted related research. Specifically, this report will explore consumer awareness, concerns, perceived benefits, knowledge of purchase options, and usage of renewable energy as well as provide regional comparisons and trends overmore » time.« less

Wide-area mapping of snow water equivalent by Sentinel-1&2 data

NASA Astrophysics Data System (ADS)

Conde, Vasco; Nico, Giovanni; Catalao, Joao; Kontu, Anna; Gritsevich, Maria

2017-04-01

The mapping of snow physical properties over large mountain areas of remote areas is an important topic in both climatological studies and hydrological models where the effects of snow melting are modeled and used to forecast extreme flood events. Usually, these models are run using in-situ measurements of snow which are expensive and statistically not representative of the spatial distribution of snow properties due to slope orientation of terrain, local terrain morphology and height as well as vegetation cover. In this work we investigate the use of data acquired by Sentinel-1 and 2 missions using a C-band SAR and multispectral sensor, respectively. The Sentinel-1 SAR data are processed to estimate the Snow Water Equivalent (SWE) using both the radar amplitude and the output of the SAR interferometry processing. Both approaches need in-situ data to process SAR data and calibrate SWE estimates. The use of SAR amplitude to estimate the SWE is well established and the basic idea is that the radar signal backscattered by snow is related to the SWE so, after modeling the relationship between these two quantities at the site of in-situ measurements this relationship can be used to map the SWE at all site where the SAR amplitude information is available. The physical principle used by SAR interferometry is that of phase delay due to propagation in a non-dispersive medium. This implies that the snow is supposed to be dry in order to allow the propagation of the SAR signal. Sentinel-2 images have been used to get land-use maps and identify areas covered by vegetation. Finland has been chosen as a study region with in-situ measurements acquired thanks to the availability of rich database of in-situ measurements of SWE. Sentinel data used in this work have been acquired starting from November 2015. Publication supported by FCT- project UID/GEO/50019/2013 - Instituto Dom Luiz.

Endometrial Cancer and the Role of Lymphadenectomy.

PubMed

Clark, Leslie H; Soper, John T

2016-06-01

The role of lymph node dissection in early-stage endometrial cancer is highly debated, but staging and prognosis are dependent on knowledge of lymph node metastasis. We sought to review the available data on the use of lymph node assessment in presumed early-stage endometrial cancer. A comprehensive literature review was performed using MEDLINE, the Cochrane Collaborative Database, and PubMed. There is limited retrospective data that suggest a therapeutic benefit to lymphadenectomy. Prospective randomized trials have not shown a benefit to lymphadenectomy in low-risk patients, but found significant morbidity in patients undergoing lymphadenectomy. Selective lymph node assessment should be used in low-risk endometrial cancer. Sentinel lymph node assessment is emerging as a potential strategy for lymph node assessment. Selective use of lymphadenectomy in early-stage endometrial cancer can reduce the morbidity associated with lymph node dissection without compromising clinical outcomes. Multiple strategies are available including sentinel lymph nodes and risk factor based lymphadenectomy.

16 CFR 1102.42 - Disclaimers.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Notice and Disclosure Requirements § 1102.42... Consumer Product Safety Information Database, particularly with respect to the accuracy, completeness, or adequacy of information submitted by persons outside of the CPSC. The Database will contain a notice to...

16 CFR 1102.42 - Disclaimers.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Notice and Disclosure Requirements § 1102.42... Consumer Product Safety Information Database, particularly with respect to the accuracy, completeness, or adequacy of information submitted by persons outside of the CPSC. The Database will contain a notice to...

16 CFR 1102.42 - Disclaimers.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Notice and Disclosure... of the contents of the Consumer Product Safety Information Database, particularly with respect to the accuracy, completeness, or adequacy of information submitted by persons outside of the CPSC. The Database...

16 CFR § 1102.2 - Purpose.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.2 Purpose. This... establishment and maintenance of a Publicly Available Consumer Product Safety Information Database (also referred to as the “Database”) on the safety of consumer products and other products or substances...

16 CFR 1102.2 - Purpose.

Code of Federal Regulations, 2011 CFR

2011-01-01

... CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Background and Definitions § 1102.2... establishment and maintenance of a Publicly Available Consumer Product Safety Information Database (also referred to as the “Database”) on the safety of consumer products and other products or substances...

16 CFR § 1102.42 - Disclaimers.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Notice and Disclosure Requirements § 1102.42... Consumer Product Safety Information Database, particularly with respect to the accuracy, completeness, or adequacy of information submitted by persons outside of the CPSC. The Database will contain a notice to...

Clostridium difficile infection in returning travellers

PubMed Central

Stevens, A. Michal; Esposito, Douglas H.; Stoney, Rhett J.; Hamer, Davidson H.; Flores-Figueroa, Jose; Bottieau, Emmanuel; Connor, Bradley A.; Gkrania-Klotsas, Effrossyni; Goorhuis, Abraham; Hynes, Noreen A.; Libman, Michael; Lopez-Velez, Rogelio; McCarthy, Anne E.; von Sonnenburg, Frank; Schwartz, Eli; van Genderen, Perry J.J.; Benson, L. Scott; Leung, Daniel T.

2017-01-01

Background There is increasing recognition of the contribution of community-acquired cases to the global burden of Clostridium difficile infection (CDI). The epidemiology of CDI among international travellers is poorly understood, and factors associated with international travel, such as antibiotic use and changes in gut microbiota, could potentially put travellers at higher risk. Methods We summarized demographic, travel-associated and geographic characteristics of travellers with CDI in the GeoSentinel database from 1997 to 2015. We also surveyed GeoSentinel sites to compare various testing indications, approaches, and diagnostic modalities. Results We identified 260 GeoSentinel records, including 187 that satisfied criteria for analysis (confirmed cases in non-immigrant travellers aged >2 years, seen <12 weeks post-travel). CDI was reported in all age groups and in travellers to all world regions; the largest proportions of cases having destinations in Asia (31%), Central/South America or the Caribbean (30%) and Africa (24%). Our site survey revealed substantial heterogeneity of testing approaches between sites; the most commonly used test was the C. difficile toxin gene PCR. Conclusions CDI is encountered in returning international travellers, although there is considerable variability in testing practices. These data underscore the importance of awareness of C. difficile as a potential cause of travel-associated diarrhoea. PMID:28355613

Building a pan-Canadian primary care sentinel surveillance network: initial development and moving forward.

PubMed

Birtwhistle, Richard; Keshavjee, Karim; Lambert-Lanning, Anita; Godwin, Marshall; Greiver, Michelle; Manca, Donna; Lagacé, Claudia

2009-01-01

The development of a pan-Canadian network of primary care research networks for studying issues in primary care has been the vision of Canadian primary care researchers for many years. With the opportunity for funding from the Public Health Agency of Canada and the support of the College of Family Physicians of Canada, we have planned and developed a project to assess the feasibility of a network of networks of family medicine practices that exclusively use electronic medical records. The Canadian Primary Care Sentinel Surveillance Network will collect longitudinal data from practices across Canada to assess the primary care epidemiology and management of 5 chronic diseases: hypertension, diabetes, depression, chronic obstructive lung disease, and osteoarthritis. This article reports on the 7-month first phase of the feasibility project of 7 regional networks in Canada to develop a business plan, including governance, mission, and vision; develop memorandum of agreements with the regional networks and their respective universities; develop and obtain approval of research ethics board applications; develop methods for data extraction, a Canadian Primary Care Sentinel Surveillance Network database, and initial assessment of the types of data that can be extracted; and recruitment of 10 practices at each network that use electronic medical records. The project will continue in phase 2 of the feasibility testing until April 2010.

16 CFR 1102.2 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-01-01

... CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.2 Purpose. This part sets... maintenance of a Publicly Available Consumer Product Safety Information Database (also referred to as the “Database”) on the safety of consumer products and other products or substances regulated by the Commission. ...

16 CFR 1102.2 - Purpose.

Code of Federal Regulations, 2012 CFR

2012-01-01

... CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.2 Purpose. This part sets... maintenance of a Publicly Available Consumer Product Safety Information Database (also referred to as the “Database”) on the safety of consumer products and other products or substances regulated by the Commission. ...

16 CFR 1102.4 - Scope.

Code of Federal Regulations, 2011 CFR

2011-01-01

... CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Background and Definitions § 1102.4 Scope... Available Consumer Product Safety Information Database, including all information published therein. ...

16 CFR 1102.10 - Reports of harm.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.10 Reports of harm. (a... they have a public safety purpose. (b) Manner of submission. To be entered into the Database, reports... Commission will publish in the Publicly Available Consumer Product Safety Information Database reports of...

16 CFR 1102.10 - Reports of harm.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.10 Reports of harm. (a... they have a public safety purpose. (b) Manner of submission. To be entered into the Database, reports... Commission will publish in the Publicly Available Consumer Product Safety Information Database reports of...

16 CFR 1102.10 - Reports of harm.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Content Requirements § 1102.10... they have a public safety purpose. (b) Manner of submission. To be entered into the Database, reports... Commission will publish in the Publicly Available Consumer Product Safety Information Database reports of...

New models and online calculator for predicting non-sentinel lymph node status in sentinel lymph node positive breast cancer patients.

PubMed

Kohrt, Holbrook E; Olshen, Richard A; Bermas, Honnie R; Goodson, William H; Wood, Douglas J; Henry, Solomon; Rouse, Robert V; Bailey, Lisa; Philben, Vicki J; Dirbas, Frederick M; Dunn, Jocelyn J; Johnson, Denise L; Wapnir, Irene L; Carlson, Robert W; Stockdale, Frank E; Hansen, Nora M; Jeffrey, Stefanie S

2008-03-04

Current practice is to perform a completion axillary lymph node dissection (ALND) for breast cancer patients with tumor-involved sentinel lymph nodes (SLNs), although fewer than half will have non-sentinel node (NSLN) metastasis. Our goal was to develop new models to quantify the risk of NSLN metastasis in SLN-positive patients and to compare predictive capabilities to another widely used model. We constructed three models to predict NSLN status: recursive partitioning with receiver operating characteristic curves (RP-ROC), boosted Classification and Regression Trees (CART), and multivariate logistic regression (MLR) informed by CART. Data were compiled from a multicenter Northern California and Oregon database of 784 patients who prospectively underwent SLN biopsy and completion ALND. We compared the predictive abilities of our best model and the Memorial Sloan-Kettering Breast Cancer Nomogram (Nomogram) in our dataset and an independent dataset from Northwestern University. 285 patients had positive SLNs, of which 213 had known angiolymphatic invasion status and 171 had complete pathologic data including hormone receptor status. 264 (93%) patients had limited SLN disease (micrometastasis, 70%, or isolated tumor cells, 23%). 101 (35%) of all SLN-positive patients had tumor-involved NSLNs. Three variables (tumor size, angiolymphatic invasion, and SLN metastasis size) predicted risk in all our models. RP-ROC and boosted CART stratified patients into four risk levels. MLR informed by CART was most accurate. Using two composite predictors calculated from three variables, MLR informed by CART was more accurate than the Nomogram computed using eight predictors. In our dataset, area under ROC curve (AUC) was 0.83/0.85 for MLR (n = 213/n = 171) and 0.77 for Nomogram (n = 171). When applied to an independent dataset (n = 77), AUC was 0.74 for our model and 0.62 for Nomogram. The composite predictors in our model were the product of angiolymphatic invasion and size of SLN metastasis, and the product of tumor size and square of SLN metastasis size. We present a new model developed from a community-based SLN database that uses only three rather than eight variables to achieve higher accuracy than the Nomogram for predicting NSLN status in two different datasets.

16 CFR § 1102.10 - Reports of harm.

Code of Federal Regulations, 2013 CFR

2013-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.10 Reports of... they have a public safety purpose. (b) Manner of submission. To be entered into the Database, reports... Commission will publish in the Publicly Available Consumer Product Safety Information Database reports of...

78 FR 65293 - Collection of Information; Proposed Extension of Approval; Comment Request-Publicly Available...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-31

... Extension of Approval; Comment Request--Publicly Available Consumer Product Safety Information Database... Publicly Available Consumer Product Safety Information Database. The Commission will consider all comments... intention to seek extension of approval of a collection of information for a database on the safety of...

Agreement between coding schemas used to identify bleeding-related hospitalizations in claims analyses of nonvalvular atrial fibrillation patients.

PubMed

Coleman, Craig I; Vaitsiakhovich, Tatsiana; Nguyen, Elaine; Weeda, Erin R; Sood, Nitesh A; Bunz, Thomas J; Schaefer, Bernhard; Meinecke, Anna-Katharina; Eriksson, Daniel

2018-01-01

Schemas to identify bleeding-related hospitalizations in claims data differ in billing codes used and coding positions allowed. We assessed agreement across bleeding-related hospitalization coding schemas for claims analyses of nonvalvular atrial fibrillation (NVAF) patients on oral anticoagulation (OAC). We hypothesized that prior coding schemas used to identify bleeding-related hospitalizations in claim database studies would provide varying levels of agreement in incidence rates. Within MarketScan data, we identified adults, newly started on OAC for NVAF from January 2012 to June 2015. Billing code schemas developed by Cunningham et al., the US Food and Drug Administration (FDA) Mini-Sentinel program, and Yao et al. were used to identify bleeding-related hospitalizations as a surrogate for major bleeding. Bleeds were subcategorized as intracranial hemorrhage (ICH), gastrointestinal (GI), or other. Schema agreement was assessed by comparing incidence, rates of events/100 person-years (PYs), and Cohen's kappa statistic. We identified 151 738 new-users of OAC with NVAF (CHA2DS2-VASc score = 3, [interquartile range = 2-4] and median HAS-BLED score = 3 [interquartile range = 2-3]). The Cunningham, FDA Mini-Sentinel, and Yao schemas identified any bleeding-related hospitalizations in 1.87% (95% confidence interval [CI]: 1.81-1.94), 2.65% (95% CI: 2.57-2.74), and 4.66% (95% CI: 4.55-4.76) of patients (corresponding rates = 3.45, 4.90, and 8.65 events/100 PYs). Kappa agreement across schemas was weak-to-moderate (κ = 0.47-0.66) for any bleeding hospitalization. Near-perfect agreement (κ = 0.99) was observed with the FDA Mini-Sentinel and Yao schemas for ICH-related hospitalizations, but agreement was weak when comparing Cunningham to FDA Mini-Sentinel or Yao (κ = 0.52-0.53). FDA Mini-Sentinel and Yao agreement was moderate (κ = 0.62) for GI bleeding, but agreement was weak when comparing Cunningham to FDA Mini-Sentinel or Yao (κ = 0.44-0.56). For other bleeds, agreement across schemas was minimal (κ = 0.14-0.38). We observed varying levels of agreement among 3 bleeding-related hospitalizations schemas in NVAF patients. © 2018 Wiley Periodicals, Inc.

[Evaluation of the efficacy of sentinel node detection in breast cancer: chronological course and influence of the incorporation of an intra-operative portable gamma camera].

PubMed

Goñi Gironés, E; Vicente García, F; Serra Arbeloa, P; Estébanez Estébanez, C; Calvo Benito, A; Rodrigo Rincón, I; Camarero Salazar, A; Martínez Lozano, M E

2013-01-01

To define the sentinel node identification rate in breast cancer, the chronological evolution of this parameter and the influence of the introduction of a portable gamma camera. A retrospective study was conducted using a prospective database of 754 patients who had undergone a sentinel lymph node biopsy between January 2003 and December 2011. The technique was mixed in the starting period and subsequently was performed with radiotracer intra-peritumorally administered the day before of the surgery. Until October 2009, excision of the sentinel node was guided by a probe. After that date, a portable gamma camera was introduced for intrasurgical detection. The SN was biopsied in 725 out of the 754 patients studied. The resulting technique global effectiveness was 96.2%. In accordance with the year of the surgical intervention, the identification percentage was 93.5% in 2003, 88.7% in 2004, 94.3% in 2005, 95.7% in 2006, 93.3% in 2007, 98.8% in 2008, 97.1% in 2009 and 99.1% in 2010 and 2011. There was a significant difference in the proportion of identification before and after the incorporation of the portable gamma camera of 4.6% (95% CI of the difference 2-7.2%, P = 0.0037). The percentage of global identification exceeds the recommended level following the current guidelines. Chronologically, the improvement for this parameter during the study period has been observed. These data suggest that the incorporation of a portable gamma camera had an important role. Copyright © 2013 Elsevier España, S.L. and SEMNIM. All rights reserved.

Consumer attitudes, knowledge, and behavior related to salt consumption in sentinel countries of the Americas.

PubMed

Claro, Rafael Moreira; Linders, Hubert; Ricardo, Camila Zancheta; Legetic, Branka; Campbell, Norm R C

2012-10-01

To describe individual attitudes, knowledge, and behavior regarding salt intake, its dietary sources, and current food-labeling practices related to salt and sodium in five sentinel countries of the Americas. A convenience sample of 1 992 adults (≥ 18 years old) from Argentina, Canada, Chile, Costa Rica, and Ecuador (approximately 400 from each country) was obtained between September 2010 and February 2011. Data collection was conducted in shopping malls or major commercial areas using a questionnaire containing 33 questions. Descriptive estimates are presented for the total sample and stratified by country and sociodemographic characteristics of the studied population. Almost 90% of participants associated excess intake of salt with the occurrence of adverse health conditions, more than 60% indicated they were trying to reduce their current intake of salt, and more than 30% believed reducing dietary salt to be of high importance. Only 26% of participants claimed to know the existence of a recommended maximum value of salt or sodium intake and 47% of them stated they knew the content of salt in food items. More than 80% of participants said that they would like food labeling to indicate high, medium, and low levels of salt or sodium and would like to see a clear warning label on packages of foods high in salt. Additional effort is required to increase consumers' knowledge about the existence of a maximum limit for intake and to improve their capacity to accurately monitor and reduce their personal salt consumption.

In vivo and ex vivo sentinel node mapping does not identify the same lymph nodes in colon cancer.

PubMed

Andersen, Helene Schou; Bennedsen, Astrid Louise Bjørn; Burgdorf, Stefan Kobbelgaard; Eriksen, Jens Ravn; Eiholm, Susanne; Toxværd, Anders; Riis, Lene Buhl; Rosenberg, Jacob; Gögenur, Ismail

2017-07-01

Identification of lymph nodes and pathological analysis is crucial for the correct staging of colon cancer. Lymph nodes that drain directly from the tumor area are called "sentinel nodes" and are believed to be the first place for metastasis. The purpose of this study was to perform sentinel node mapping in vivo with indocyanine green and ex vivo with methylene blue in order to evaluate if the sentinel lymph nodes can be identified by both techniques. Patients with colon cancer UICC stage I-III were included from two institutions in Denmark from February 2015 to January 2016. In vivo sentinel node mapping with indocyanine green during laparoscopy and ex vivo sentinel node mapping with methylene blue were performed in all patients. Twenty-nine patients were included. The in vivo sentinel node mapping was successful in 19 cases, and ex vivo sentinel node mapping was successful in 13 cases. In seven cases, no sentinel nodes were identified. A total of 51 sentinel nodes were identified, only one of these where identified by both techniques (2.0%). In vivo sentinel node mapping identified 32 sentinel nodes, while 20 sentinel nodes were identified by ex vivo sentinel node mapping. Lymph node metastases were found in 10 patients, and only two had metastases in a sentinel node. Placing a deposit in relation to the tumor by indocyanine green in vivo or of methylene blue ex vivo could only identify sentinel lymph nodes in a small group of patients.

Declining incidence of chickenpox in the absence of universal childhood immunisation

PubMed Central

Lowe, G; Salmon, R; Thomas, D; Evans, M

2004-01-01

Objective: To examine the epidemiology of chickenpox in Wales from 1986 to 2001. Design: Descriptive analysis of chickenpox consultations reported by the Welsh general practice sentinel surveillance scheme for infectious diseases, compared with annual shingles consultation rates from the same scheme to exclude reporting fatigue and data from a general practice morbidity database to validate results. Setting: A total of 226 884 patients registered with one of 30 volunteer general practices participating in the sentinel surveillance scheme. Main outcome measures: Age standardised and age specific incidence of chickenpox. Results: Crude and age standardised consultation rates for chickenpox declined from 1986 to 2001, with loss of epidemic cycling. Rates remained stable in 0–4 year olds but declined in all older age groups, particularly those aged 5–14 years. Shingles consultation rates remained constant over the same period. Data from the morbidity database displayed similar trends. Conclusion: General practitioner consultation rates for chickenpox are declining in Wales except in pre-school children. These findings are unlikely to be a reporting artefact but may be explained either by an overall decline in transmission or increased social mixing in those under 5 years old, through formal child care and earlier school entry, and associated increasing rates of mild or subclinical infection in this age group. Further investigation, particularly by serological surveillance, is necessary before universal varicella immunisation can be considered in the UK. PMID:15383443

Korean Ministry of Environment's web-based visual consumer product exposure and risk assessment system (COPER).

PubMed

Lee, Hunjoo; Lee, Kiyoung; Park, Ji Young; Min, Sung-Gi

2017-05-01

With support from the Korean Ministry of the Environment (ME), our interdisciplinary research staff developed the COnsumer Product Exposure and Risk assessment system (COPER). This system includes various databases and features that enable the calculation of exposure and determination of risk caused by consumer products use. COPER is divided into three tiers: the integrated database layer (IDL), the domain specific service layer (DSSL), and the exposure and risk assessment layer (ERAL). IDL is organized by the form of the raw data (mostly non-aggregated data) and includes four sub-databases: a toxicity profile, an inventory of Korean consumer products, the weight fractions of chemical substances in the consumer products determined by chemical analysis and national representative exposure factors. DSSL provides web-based information services corresponding to each database within IDL. Finally, ERAL enables risk assessors to perform various exposure and risk assessments, including exposure scenario design via either inhalation or dermal contact by using or organizing each database in an intuitive manner. This paper outlines the overall architecture of the system and highlights some of the unique features of COPER based on visual and dynamic rendering engine for exposure assessment model on web.

Preoperative Sentinel Node Mapping in Sentinel Node Biopsy in Early Breast Cancers - Is It Cost-Effective?

PubMed

Co, Michael; Kwong, Ava

2017-04-01

Sentinel lymph node (SLN) biopsy is currently the gold standard of treatment in early breast cancers. Identification of SLNs by preoperative scintigraphy has been carried out to improve the detection of SLNs intraoperatively, but the evidence of its cost-effectiveness is lacking. Here, we analyze the cost-effectiveness of the utilization of scintigraphy in detection of SLNs. Clinical and operative details were retrieved from a prospectively maintained database. The resources and cost data from each patient who had undergone SLN biopsy with preoperative scintigraphy were retrieved. From January 2008 to December 2012, 400 patients underwent SLN biopsy for breast cancer. A total of 329 had preoperative SLN mapping with scintigraphy, Baseline patient demographic data for both arms were comparable. The relapse and recurrence rate of both arms were not statistically different. The detection rate of SLNs of both arms was the same (100%), and there were no grade 2 or above lymphedema in both groups of patients. However, the cost of each patient undergoing SLN mapping was USD $345.8. Preoperative SLN mapping does not improve the SLN detection rate. In addition, it does not affect the surgical outcomes in terms of complication, local relapse, and recurrence. The use of preoperative SLN mapping is no longer cost-effective. Copyright © 2016 Elsevier Inc. All rights reserved.

Clostridium difficile infection in returning travellers.

PubMed

Michal Stevens, A; Esposito, Douglas H; Stoney, Rhett J; Hamer, Davidson H; Flores-Figueroa, Jose; Bottieau, Emmanuel; Connor, Bradley A; Gkrania-Klotsas, Effrossyni; Goorhuis, Abraham; Hynes, Noreen A; Libman, Michael; Lopez-Velez, Rogelio; McCarthy, Anne E; von Sonnenburg, Frank; Schwartz, Eli; van Genderen, Perry J J; Scott Benson, L; Leung, Daniel T

2017-05-01

There is increasing recognition of the contribution of community-acquired cases to the global burden of Clostridium difficile infection (CDI). The epidemiology of CDI among international travellers is poorly understood, and factors associated with international travel, such as antibiotic use and changes in gut microbiota, could potentially put travellers at higher risk. We summarized demographic, travel-associated and geographic characteristics of travellers with CDI in the GeoSentinel database from 1997 to 2015. We also surveyed GeoSentinel sites to compare various testing indications, approaches, and diagnostic modalities. We identified 260 GeoSentinel records, including 187 that satisfied criteria for analysis (confirmed cases in non-immigrant travellers aged >2 years, seen <12 weeks post-travel). CDI was reported in all age groups and in travellers to all world regions; the largest proportions of cases having destinations in Asia (31%), Central/South America or the Caribbean (30%) and Africa (24%). Our site survey revealed substantial heterogeneity of testing approaches between sites; the most commonly used test was the C. difficile toxin gene PCR. CDI is encountered in returning international travellers, although there is considerable variability in testing practices. These data underscore the importance of awareness of C. difficile as a potential cause of travel-associated diarrhoea. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

Consumer Product Category Database

EPA Pesticide Factsheets

The Chemical and Product Categories database (CPCat) catalogs the use of over 40,000 chemicals and their presence in different consumer products. The chemical use information is compiled from multiple sources while product information is gathered from publicly available Material Safety Data Sheets (MSDS). EPA researchers are evaluating the possibility of expanding the database with additional product and use information.

Sentinel nodes identified by computed tomography-lymphography accurately stage the axilla in patients with breast cancer

PubMed Central

2013-01-01

Background Sentinel node biopsy often results in the identification and removal of multiple nodes as sentinel nodes, although most of these nodes could be non-sentinel nodes. This study investigated whether computed tomography-lymphography (CT-LG) can distinguish sentinel nodes from non-sentinel nodes and whether sentinel nodes identified by CT-LG can accurately stage the axilla in patients with breast cancer. Methods This study included 184 patients with breast cancer and clinically negative nodes. Contrast agent was injected interstitially. The location of sentinel nodes was marked on the skin surface using a CT laser light navigator system. Lymph nodes located just under the marks were first removed as sentinel nodes. Then, all dyed nodes or all hot nodes were removed. Results The mean number of sentinel nodes identified by CT-LG was significantly lower than that of dyed and/or hot nodes removed (1.1 vs 1.8, p <0.0001). Twenty-three (12.5%) patients had ≥2 sentinel nodes identified by CT-LG removed, whereas 94 (51.1%) of patients had ≥2 dyed and/or hot nodes removed (p <0.0001). Pathological evaluation demonstrated that 47 (25.5%) of 184 patients had metastasis to at least one node. All 47 patients demonstrated metastases to at least one of the sentinel nodes identified by CT-LG. Conclusions CT-LG can distinguish sentinel nodes from non-sentinel nodes, and sentinel nodes identified by CT-LG can accurately stage the axilla in patients with breast cancer. Successful identification of sentinel nodes using CT-LG may facilitate image-based diagnosis of metastasis, possibly leading to the omission of sentinel node biopsy. PMID:24321242

A Cloud-Based System for Automatic Hazard Monitoring from Sentinel-1 SAR Data

NASA Astrophysics Data System (ADS)

Meyer, F. J.; Arko, S. A.; Hogenson, K.; McAlpin, D. B.; Whitley, M. A.

2017-12-01

Despite the all-weather capabilities of Synthetic Aperture Radar (SAR), and its high performance in change detection, the application of SAR for operational hazard monitoring was limited in the past. This has largely been due to high data costs, slow product delivery, and limited temporal sampling associated with legacy SAR systems. Only since the launch of ESA's Sentinel-1 sensors have routinely acquired and free-of-charge SAR data become available, allowing—for the first time—for a meaningful contribution of SAR to disaster monitoring. In this paper, we present recent technical advances of the Sentinel-1-based SAR processing system SARVIEWS, which was originally built to generate hazard products for volcano monitoring centers. We outline the main functionalities of SARVIEWS including its automatic database interface to Sentinel-1 holdings of the Alaska Satellite Facility (ASF), and its set of automatic processing techniques. Subsequently, we present recent system improvements that were added to SARVIEWS and allowed for a vast expansion of its hazard services; specifically: (1) In early 2017, the SARVIEWS system was migrated into the Amazon Cloud, providing access to cloud capabilities such as elastic scaling of compute resources and cloud-based storage; (2) we co-located SARVIEWS with ASF's cloud-based Sentinel-1 archive, enabling the efficient and cost effective processing of large data volumes; (3) we integrated SARVIEWS with ASF's HyP3 system (http://hyp3.asf.alaska.edu/), providing functionality such as subscription creation via API or map interface as well as automatic email notification; (4) we automated the production chains for seismic and volcanic hazards by integrating SARVIEWS with the USGS earthquake notification service (ENS) and the USGS eruption alert system. Email notifications from both services are parsed and subscriptions are automatically created when certain event criteria are met; (5) finally, SARVIEWS-generated hazard products are now being made available to the public via the SARVIEWS hazard portal. These improvements have led to the expansion of SARVIEWS toward a broader set of hazard situations, now including volcanoes, earthquakes, and severe weather. We provide details on newly developed techniques and show examples of disasters for which SARVIEWS was invoked.

Using LiCSAR as a fast-response system for the detection and the monitoring of volcanic unrest

NASA Astrophysics Data System (ADS)

Albino, F.; Biggs, J.; Hatton, E. L.; Spaans, K.; Gaddes, M.; McDougall, A.

2017-12-01

Based on the Smithsonian Institution volcano database, a total of 13256 volcanoes exist on Earth with 1273 having evidence of eruptive or unrest activity during the Holocene. InSAR techniques have proven their ability to detect and to quantify volcanic ground deformation on a case-by-case basis. However, the use of InSAR for the daily monitoring of every active volcano requires the development of automatic processing that can provide information in a couple of hours after a new radar acquisition. The LiCSAR system (http://comet.nerc.ac.uk/COMET-LiCS-portal/) answers this requirement by processing the vast amounts of data generated daily by the EU's Sentinel-1 satellite constellation. It provides now high-resolution deformation data for the entire Alpine-Himalayan seismic belt. The aim of our study is to extend LiCSAR system to the purpose of volcano monitoring. For each active volcano, the last Sentinel products calculated (phase, coherence and amplitude) will be available online in the COMET Volcano Deformation Database. To analyse this large amount of InSAR products, we develop an algorithm to automatically detect ground deformation signals as well as changes in coherence and amplitude in the time series. This toolbox could be a powerful fast-response system for helping volcanological observatories to manage new or ongoing volcanic crisis. Important information regarding the spatial and the temporal evolution of each ground deformation signal will also be added to the COMET database. This will benefit to better understand the conditions in which volcanic unrest leads to an eruption. Such worldwide survey enables us to establish a large catalogue of InSAR products, which will also be suitable for further studies (mapping of new lava flows, modelling of magmatic sources, evaluation of stress interactions).

Surgeon bias in sentinel lymph node dissection: Do tumor characteristics influence decision making?

PubMed

Robinson, Kristin A; Pockaj, Barbara A; Wasif, Nabil; Kaufman, Katie; Gray, Richard J

2014-12-01

Determining sentinel lymph nodes (SLNs) in breast cancer staging involves subjective interpretation by the surgeon. We hypothesized patient and tumor characteristics influence number of SLNs harvested. A single-institution, prospectively collected database was queried for breast cancer patients undergoing SLN surgery (2002-2013) and mean SLN counts were compared. There were 2394 SLN biopsies. Mean number of SLNs per patient for the entire cohort was 2.6. Mean number of SLNs removed was greater for patients ≤50 years (2.9 versus 2.6; p < 0.0001). Fewer SLNs were removed with tumors ≤1 cm (2.5 versus 2.6; p = 0.002). Patients with grades 2 or 3 tumors had more SLNs removed than grade 1 (2.6 versus 2.5; p = 0.03). Receipt of neoadjuvant therapy was associated with more SLNs removed (3.0 versus 2.6; p = 0.005). Number of SLNs removed varies based on risk factors for SLN metastasis or false-negative SLN biopsy. Copyright © 2014 Elsevier Ltd. All rights reserved.

Age as predictor in patients with cutaneous melanoma submitted to sentinel lymph node biopsy.

PubMed

Caracò, C; Marone, U; Botti, G; Celentano, E; Lastoria, S; Mozzillo, N

2006-11-01

To analyse the age as prognostic factor exploring the melanoma database at the National Cancer Institute in Naples. Three hundred and ninety-nine patients with cutaneous melanoma were treated with sentinel lymph node biopsy from 1996 to 2003 at the National Cancer Institute of Naples. The results were analysed with particular attention to the overall survival among patients younger or older than 50 years of age. No differences were recorded between the younger and older group in terms of the identification rate and incidence of metastases. The analyses of disease-free survival and overall survival showed a significantly more favourable outcome in younger patients. The 5-year overall survival and the 5-year disease free survival were 81.8% vs. 68.0% and 76.3% vs. 59.1% for the younger and older group, respectively. The results suggest that in the management of cutaneous melanoma, age might be considered as prognostic factor both for disease free survival and overall survival.

Landslide Inventory Mapping from Bitemporal 10 m SENTINEL-2 Images Using Change Detection Based Markov Random Field

NASA Astrophysics Data System (ADS)

Qin, Y.; Lu, P.; Li, Z.

2018-04-01

Landslide inventory mapping is essential for hazard assessment and mitigation. In most previous studies, landslide mapping was achieved by visual interpretation of aerial photos and remote sensing images. However, such method is labor-intensive and time-consuming, especially over large areas. Although a number of semi-automatic landslide mapping methods have been proposed over the past few years, limitations remain in terms of their applicability over different study areas and data, and there is large room for improvement in terms of the accuracy and automation degree. For these reasons, we developed a change detection-based Markov Random Field (CDMRF) method for landslide inventory mapping. The proposed method mainly includes two steps: 1) change detection-based multi-threshold for training samples generation and 2) MRF for landslide inventory mapping. Compared with the previous methods, the proposed method in this study has three advantages: 1) it combines multiple image difference techniques with multi-threshold method to generate reliable training samples; 2) it takes the spectral characteristics of landslides into account; and 3) it is highly automatic with little parameter tuning. The proposed method was applied for regional landslides mapping from 10 m Sentinel-2 images in Western China. Results corroborated the effectiveness and applicability of the proposed method especially the capability of rapid landslide mapping. Some directions for future research are offered. This study to our knowledge is the first attempt to map landslides from free and medium resolution satellite (i.e., Sentinel-2) images in China.

Financial aspects of sentinel lymph node biopsy in early breast cancer.

PubMed

Severi, S; Gazzoni, E; Pellegrini, A; Sansovini, M; Raulli, G; Corbelli, C; Altini, M; Paganelli, G

2012-02-01

At present, early breast cancer is treated with conservative surgery of the primary lesion (BCS) along with axillary staging by sentinel lymph node biopsy (SLNB). Although the scintigraphic method is standardized, its surgical application is different for patient compliance, work organization, costs, and diagnosis related group (DRG) reimbursements. We compared four surgical protocols presently used in our region: (A) traditional BCS with axillary lymph node dissection (ALND); (B) BCS with SLNB and concomitant ALND for positive sentinel nodes (SN); (C) BCS and SLNB under local anaesthesia with subsequent ALND under general anaesthesia according to the SN result; (D) SLNB under local anaesthesia with subsequent BCS under local anaesthesia for negative SN, or ALND under general anaesthesia for positive SN. For each protocol, patient compliance, use of consumables, resources and time spent by various dedicated professionals, were analyzed. Furthermore, a detailed breakdown of 1-/2-day hospitalization costs was calculated using specific DRGs. We reported a mean costs variation that ranged from 1,634 to 2,221 Euros (protocols C and D). The number of procedures performed and the pathologists' results are the most significant variables affecting the rate of DRG reimbursements, that were the highest for protocol D and the lowest for protocol B. In our experience protocol C is the most suitable in terms of patient compliance, impact of surgical procedures, and work organization, and is granted by an appropriate DRG. We observed that a multidisciplinary approach enhances overall patient care and that a revaluation of DRG reimbursements is opportune.

16 CFR § 1102.44 - Applicability of sections 6(a) and (b) of the CPSA.

Code of Federal Regulations, 2013 CFR

2013-01-01

... CONSUMER PRODUCT SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE... § 1102.10(d) in the Database. (b) Limitation on construction. Section 1102.44(a) shall not be construed...

A Comparative Object-Based Sugarcane Classification from Sentinel-2 Data Using Random Forests and Support Vector Machines

NASA Astrophysics Data System (ADS)

Chen, C. R.; Chen, C. F.; Nguyen, S. T.; Lau, K.; Lay, J. G.

2016-12-01

Sugarcane mostly grown in tropical and subtropical regions is one of the important commercial crops worldwide, providing significant employment, foreign exchange earnings, and other social and environmental benefits. The sugar industry is a vital component of Belize's economy as it provides employment to 15% of the country's population and 60% of the national agricultural exports. Sugarcane mapping is thus an important task due to official initiatives to provide reliable information on sugarcane-growing areas in respect to improved accuracy in monitoring sugarcane production and yield estimates. Policymakers need such monitoring information to formulate timely plans to ensure sustainably socioeconomic development. Sugarcane monitoring in Belize is traditionally carried out through time-consuming and costly field surveys. Remote sensing is an indispensable tool for crop monitoring on national, regional and global scales. The use of high and low resolution satellites for sugarcane monitoring in Belize is often restricted due to cost limitations and mixed pixel problems because sugarcane fields are small and fragmental. With the launch of Sentinel-2 satellite, it is possible to collectively map small patches of sugarcane fields over a large region as the data are free of charge and have high spectral, spatial, and temporal resolutions. This study aims to develop an object-based classification approach to comparatively map sugarcane fields in Belize from Sentinel-2 data using random forests (RF) and support vector machines (SVM). The data were processed through four main steps: (1) data pre-processing, (2) image segmentation, (3) sugarcane classification, and (4) accuracy assessment. The mapping results compared with the ground reference data indicated satisfactory results. The overall accuracies and Kappa coefficients were generally higher than 80% and 0.7, in both cases. The RF produced slightly more accurate mapping results than SVM. This study demonstrates the realization of the potential application of Sentinel-2 data for sugarcane mapping in Belize with the aid of RF and SVM methods. The methods are thus proposed for monitoring purposes in the country.

Improved Survival in Male Melanoma Patients in the Era of Sentinel Node Biopsy.

PubMed

Koskivuo, I; Vihinen, P; Mäki, M; Talve, L; Vahlberg, T; Suominen, E

2017-03-01

Sentinel node biopsy is a standard method for nodal staging in patients with clinically localized cutaneous melanoma, but the survival advantage of sentinel node biopsy remains unsolved. The aim of this case-control study was to investigate the survival benefit of sentinel node biopsy. A total of 305 prospective melanoma patients undergoing sentinel node biopsy were compared with 616 retrospective control patients with clinically localized melanoma whom have not undergone sentinel node biopsy. Survival differences were calculated with the median follow-up time of 71 months in sentinel node biopsy patients and 74 months in control patients. Analyses were calculated overall and separately in males and females. Overall, there were no differences in relapse-free survival or cancer-specific survival between sentinel node biopsy patients and control patients. Male sentinel node biopsy patients had significantly higher relapse-free survival ( P = 0.021) and cancer-specific survival ( P = 0.024) than control patients. In females, no differences were found. Cancer-specific survival rates at 5 years were 87.8% in sentinel node biopsy patients and 85.2% in controls overall with 88.3% in male sentinel node biopsy patients and 80.6% in male controls and 87.3% in female sentinel node biopsy patients and 89.8% in female controls. Sentinel node biopsy did not improve survival in melanoma patients overall. While females had no differences in survival, males had significantly improved relapse-free survival and cancer-specific survival following sentinel node biopsy.

Use of Indocyanine Green for Sentinel Lymph Node Biopsy: Case Series and Methods Comparison.

PubMed

McGregor, Andrew; Pavri, Sabrina N; Tsay, Cynthia; Kim, Samuel; Narayan, Deepak

2017-11-01

Sentinel lymph node biopsy is indicated for patients with biopsy-proven thickness melanoma greater than 1.0 mm. Use of lymphoscintigraphy along with vital blue dyes is the gold standard for identifying sentinel lymph nodes intraoperatively. Indocyanine green (ICG) has recently been used as a method of identifying sentinel lymph nodes. We herein describe a case series of patients who have successfully undergone ICG-assisted sentinel lymph node biopsy for melanoma. We compare 2 imaging systems that are used for ICG-assisted sentinel lymph node biopsy. Fourteen patients underwent ICG-assisted sentinel lymph node biopsy for melanoma using the SPY Elite system (Novadaq, Mississigua, Canada) and the Hamamatsu PDE-Neo probe system (Mitaka USA, Park City, Utah). We analyzed costs for 2 systems that utilize ICG for sentinel lymph node biopsies. Intraoperative use of ICG for sentinel lymph node biopsies was successful in correctly identifying sentinel lymph nodes. There was no difference between the Hamamatsu PDE-Neo probe and SPY Elite systems in the ability to detect sentinel lymph nodes; however, the former was associated with a lower operating cost and ease of use compared with the latter. ICG-assisted sentinel lymph biopsy using the SPY Elite or the Hamamatsu PDE-Neo probe systems for melanoma are comparable in terms of sentinel node detection. The Neo probe system delivers pertinent clinical data with the advantages of lower cost and ease of operation.

75 FR 76018 - Third Annual Sentinel Initiative Public Workshop

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-07

...] Third Annual Sentinel Initiative Public Workshop AGENCY: Food and Drug Administration, HHS. ACTION... workshop: Third Annual Sentinel Initiative Public Workshop. Hosted by the Engelberg Center for Health Care..., including an update on Mini-Sentinel and related activities, near-term plans for FDA's Sentinel Initiative...

Sentinel lymph node biopsy under fluorescent indocyanin green guidance: Initial experience.

PubMed

Aydoğan, Fatih; Arıkan, Akif Enes; Aytaç, Erman; Velidedeoğlu, Mehmet; Yılmaz, Mehmet Halit; Sager, Muhammet Sait; Çelik, Varol; Uras, Cihan

2016-01-01

Sentinel lymph node biopsy can be applied by using either blue dye or radionuclide method or both in breast cancer. Fluorescent imaging with indocyanine green is a new defined method. This study evaluates the applicability of sentinel lymph node biopsy via fluorescent indocyanine green. IC-VIEW (Pulsion Medical Systems AG, Munich, Germany) infrared visualization system was used for imaging. Two mL of indocyanine green was injected to visualize sentinel lymph nodes. After injection, subcutaneous lymphatics were traced and sentinel lymph nodes were found with simultaneous imaging. Sentinel lymph nodes were excised under fluorescent light guidance, and excised lymph nodes were examined histopathologically. Patients with sentinel lymph node metastases underwent axillary dissection. Four patients with sentinel lymph node biopsy due to breast cancer were included in the study. Sentinel lymph nodes were visualized with indocyanine green in all patients. The median number of excised sentinel lymph node was 2 (2-3). Two patients with lymph node metastasis underwent axillary dissection. No metastasis was detected in lymph nodes other than the sentinel nodes in patients with axillary dissection. There was no complication during and after the operation related to the method. According to our limited experience, sentinel lymph node biopsy under fluorescent indocyanine green guidance, which has an advantage of simultaneous visualization, is technically feasible.

75 FR 27051 - Privacy Act of 1974: System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-13

... address and appears below: DOT/FMCSA 004 SYSTEM NAME: National Consumer Complaint Database (NCCDB.... A system, database, and procedures for filing and logging consumer complaints relating to household... are stored in an automated system operated and maintained at the Volpe National Transportation Systems...

76 FR 15953 - Agency Information Collection Activities; Announcement of Office of Management and Budget...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-22

... CONSUMER PRODUCT SAFETY COMMISSION Agency Information Collection Activities; Announcement of Office of Management and Budget Approval; Publicly Available Consumer Product Safety Information Database... Product Safety Information Database has been approved by the Office of Management and Budget (OMB) under...

Defining Product Intake Fraction to Quantify and Compare Exposure to Consumer Products.

PubMed

Jolliet, Olivier; Ernstoff, Alexi S; Csiszar, Susan A; Fantke, Peter

2015-08-04

There is a growing consciousness that exposure studies need to better cover near-field exposure associated with products use. To consistently and quantitatively compare human exposure to chemicals in consumer products, we introduce the concept of product intake fraction, as the fraction of a chemical within a product that is eventually taken in by the human population. This metric enables consistent comparison of exposures during consumer product use for different product-chemical combinations, exposure duration, exposure routes and pathways and for other life cycle stages. We present example applications of the product intake fraction concept, for two chemicals in two personal care products and two chemicals encapsulated in two articles, showing how intakes of these chemicals can primarily occur during product use. We demonstrate the utility of the product intake fraction and its application modalities within life cycle assessment and risk assessment contexts. The product intake fraction helps to provide a clear interface between the life cycle inventory and impact assessment phases, to identify best suited sentinel products and to calculate overall exposure to chemicals in consumer products, or back-calculate maximum allowable concentrations of substances inside products.

Creating and Using a Consumer Chemical Molecular Graphics Database: The "Molecule of the Day" - A Great Way To Begin Your Lecture

NASA Astrophysics Data System (ADS)

Scharberg, Maureen A.; Cox, Oran E.; Barelli, Carl A.

1997-07-01

"The Molecule of the Day" consumer chemical database has been created to allow introductory chemistry students to explore molecular structures of chemicals in household products, and to provide opportunities in molecular modeling for undergraduate chemistry students. Before class begins, an overhead transparency is displayed which shows a three-dimensional molecular structure of a household chemical, and lists relevant features and uses of this chemical. Within answers to questionnaires, students have commented that this molecular graphics database has helped them to visually connect the microscopic structure of a molecule with its physical and chemical properties, as well as its uses in consumer products. It is anticipated that this database will be incorporated into a navigational software package such as Netscape.

Convergence of service, policy, and science toward consumer-driven mental health care.

PubMed

Carroll, Christopher D; Manderscheid, Ronald W; Daniels, Allen S; Compagni, Amelia

2006-12-01

A common theme is emerging in sentinel reports on the United States health care system. Consumer relevance and demands on service systems and practices are influencing how mental health care is delivered and how systems will be shaped in the future. The present report seeks to assemble a confluence of consumer-driven themes from noteworthy reports on the state of the mental health system in the U.S. It also explores innovative efforts, promising practices, collaborative efforts, as well as identification of barriers to consumer-directed care, with possible solutions. The report reviews the relevant public mental health policy and data used in published work. The findings indicate an increasing public and private interest in promoting consumer-driven care, even though historical systems of care predominate, and often create, barriers to wide-spread redesign of a consumer-centered mental health care system. Innovative consumer-driven practices are increasing as quality, choice, and self-determination become integral parts of a redesigned U.S. mental health care system. The use of consumer-driven approaches in mental health is limited at best. These programs challenge industry norms and traditional practices. Limitations include the need for additional and thorough evaluations of effectiveness (cost and clinical) and replicability of consumer-directed programs. Consumer-driven services indicate that mental health consumers are expecting to be more participative in their mental health care. This expectation will influence how traditional mental health services and providers become more consumer-centric and meet the demand. Public and private interest in consumer-driven health care range from creating cost-conscious consumers to individualized control of recovery. The health care sector should seek to invest more resources in the provision of consumer-driven health care programs. The results of this study have implications and are informative for other countries where consumer-directed care is delivered in either the private or public health care systems. More research is needed to obtain further evidence on the use of consumer-driven services and their overall effectiveness.

Surgical management of sentinel lymph node biopsy outside major nodal basin in patients with cutaneous melanoma.

PubMed

Caracò, Corrado; Marone, Ugo; Di Monta, Gianluca; Aloj, Luigi; Caracò, Corradina; Anniciello, Annamaria; Lastoria, Secondo; Botti, Gerardo; Mozzillo, Nicola

2014-01-01

To assess the incidence of nonmajor lymphatic basin sentinel nodes in patients with cutaneous melanoma in order to propose a correct nomenclature and inform appropriate surgical management. This was a retrospective review of 1,045 consecutive patients with cutaneous melanoma who underwent sentinel lymph node biopsy and dynamic lymphoscintigraphy to identify sentinel node site. Nonmajor drainage sites were classified as uncommon (located in a minor lymphatic basin along the lymphatic drainage to a major classical nodal basin) or interval (located anywhere along the lymphatics between the primary tumor site and the nearest lymphatic basin) sentinel nodes. Nonclassical sentinel nodes were identified in 32 patients (3.0 %). Uncommon sentinel nodes were identified in 3.2 % (n = 17) of trunk melanoma primary disease and in 1.5 % (n = 7) of upper and lower extremity sites. Interval sentinel nodes were identified in 1.3 % (n = 7) of trunk primary lesions, with none from upper and lower extremities melanomas. The incidence of tumor-positive sentinel nodes was 24.1 % (245 of 1,013) in classical sites and 12.5 % (4 of 32) in uncommon/interval sites. The definition of uncommon and interval sentinel nodes allows the identification of different lymphatic pathways and inform appropriate surgical treatment. Wider experience with uncommon/interval sentinel nodes will better clarify the clinical implications and surgical management to be adopted in the management of uncommon and interval sentinel node sites.

Sentinel lymph node biopsy under fluorescent indocyanin green guidance: Initial experience

PubMed Central

Aydoğan, Fatih; Arıkan, Akif Enes; Aytaç, Erman; Velidedeoğlu, Mehmet; Yılmaz, Mehmet Halit; Sager, Muhammet Sait; Çelik, Varol; Uras, Cihan

2016-01-01

Objective: Sentinel lymph node biopsy can be applied by using either blue dye or radionuclide method or both in breast cancer. Fluorescent imaging with indocyanine green is a new defined method. This study evaluates the applicability of sentinel lymph node biopsy via fluorescent indocyanine green. Material and Methods: IC-VIEW (Pulsion Medical Systems AG, Munich, Germany) infrared visualization system was used for imaging. Two mL of indocyanine green was injected to visualize sentinel lymph nodes. After injection, subcutaneous lymphatics were traced and sentinel lymph nodes were found with simultaneous imaging. Sentinel lymph nodes were excised under fluorescent light guidance, and excised lymph nodes were examined histopathologically. Patients with sentinel lymph node metastases underwent axillary dissection. Results: Four patients with sentinel lymph node biopsy due to breast cancer were included in the study. Sentinel lymph nodes were visualized with indocyanine green in all patients. The median number of excised sentinel lymph node was 2 (2–3). Two patients with lymph node metastasis underwent axillary dissection. No metastasis was detected in lymph nodes other than the sentinel nodes in patients with axillary dissection. There was no complication during and after the operation related to the method. Conclusion: According to our limited experience, sentinel lymph node biopsy under fluorescent indocyanine green guidance, which has an advantage of simultaneous visualization, is technically feasible. PMID:26985159

Discordance in histopathologic evaluation of melanoma sentinel lymph node biopsy with clinical follow-up: results from a prospectively collected database.

PubMed

Dandekar, Monisha; Lowe, Lori; Fullen, Douglas R; Johnson, Timothy M; Sabel, Michael S; Wong, Sandra L; Patel, Rajiv M

2014-10-01

Sentinel lymph node (SLN) status currently represents the single most important prognostic factor in clinically localized melanoma and is widely used in patients with melanoma at significant risk for nodal micrometastasis. Although several studies have looked at the rates and implications of inaccuracies in the histopathologic diagnosis of melanocytic lesions, accuracy in the histologic interpretation of the SLN in melanoma has not been addressed. The goal of this study was to determine the rates of discordance in the histopathologic evaluation of the SLN and the potential clinical impact on patients referred to a comprehensive melanoma center. A prospectively collected database was queried for melanoma patients who had SLN biopsies performed at outside institutions before referral to the University of Michigan Multidisciplinary Melanoma Program between 2006 and 2009. These cases were reviewed and clinical follow-up obtained. After internal review of the SLN material, 13 (8 %) of 167 cases had major discrepancies in diagnosis that impacted patient management and prognosis. The disease of five patients was subsequently downstaged and the disease of eight patients was upstaged after internal review of the SLNs and reversal in diagnoses. There appears to be a small yet significant rate of discordance in diagnosis of the SLN for melanoma after expert histopathologic review. The implications of this discordance and revision of diagnosis is substantial. Expert histopathologic review of the SLN warrants consideration to provide the most accurate prognostic information and optimal patient care.

Sentinel Lymph Node Biopsy for Cutaneous Head and Neck Melanoma: Mapping the Parotid Gland.

PubMed

Picon, Antonio I; Coit, Daniel G; Shaha, Ashok R; Brady, Mary S; Boyle, Jay O; Singh, Bhuvanesh B; Wong, Richard J; Busam, Klaus J; Shah, Jatin P; Kraus, Dennis H

2016-12-01

Sentinel lymph node biopsy (SLNB) for primary cutaneous head and neck melanoma (CHNM) has been shown to be successful and is the current standard of care for intermediate-thickness melanoma. We evaluated our experience with CHNM associated with SLNB mapping to the region of the parotid gland. Retrospective review of a prospectively collected melanoma database identified 1014 CHNMs. Two-hundred twenty-three patients underwent SLNB, and 72 (32%) had mapping in the region of the parotid gland between May 1995 and June 2003. The mean number of SLNs per patient was 2.5. A sentinel lymph node (SLN) was successfully identified in 94% of patients, and in 12%, the SLN was positive for metastatic disease. Biopsy of intraparotid SLNs was performed in 51.4% and of periparotid SLNs in 26.4%, and a superficial parotidectomy was performed in 22.2%. Ten patients were found to have lymph nodes in the parotid region with metastatic disease (eight identified by SLNB), and two (20%) patients developed intraparotid lymph node recurrence in the setting of a negative SLNB. Same-basin recurrence in SLN-negative patients was 3.3% with a median follow-up of 26 months. Facial nerve dysfunction was identified in seven (10%) patients. Facial nerve function returned to preoperative status in all patients. SLNB for patients with primary CHNM mapping to the parotid gland can be performed with a high degree of accuracy and a low morbidity consisting of temporary facial nerve paresis.

Validation of statistical predictive models meant to select melanoma patients for sentinel lymph node biopsy.

PubMed

Sabel, Michael S; Rice, John D; Griffith, Kent A; Lowe, Lori; Wong, Sandra L; Chang, Alfred E; Johnson, Timothy M; Taylor, Jeremy M G

2012-01-01

To identify melanoma patients at sufficiently low risk of nodal metastases who could avoid sentinel lymph node biopsy (SLNB), several statistical models have been proposed based upon patient/tumor characteristics, including logistic regression, classification trees, random forests, and support vector machines. We sought to validate recently published models meant to predict sentinel node status. We queried our comprehensive, prospectively collected melanoma database for consecutive melanoma patients undergoing SLNB. Prediction values were estimated based upon four published models, calculating the same reported metrics: negative predictive value (NPV), rate of negative predictions (RNP), and false-negative rate (FNR). Logistic regression performed comparably with our data when considering NPV (89.4 versus 93.6%); however, the model's specificity was not high enough to significantly reduce the rate of biopsies (SLN reduction rate of 2.9%). When applied to our data, the classification tree produced NPV and reduction in biopsy rates that were lower (87.7 versus 94.1 and 29.8 versus 14.3, respectively). Two published models could not be applied to our data due to model complexity and the use of proprietary software. Published models meant to reduce the SLNB rate among patients with melanoma either underperformed when applied to our larger dataset, or could not be validated. Differences in selection criteria and histopathologic interpretation likely resulted in underperformance. Statistical predictive models must be developed in a clinically applicable manner to allow for both validation and ultimately clinical utility.

Value of sentinel lymph node biopsy and adjuvant interferon treatment in thick (>4 mm) cutaneous melanoma: an observational study.

PubMed

Morera-Sendra, Natalia; Tejera-Vaquerizo, Antonio; Traves, Víctor; Requena, Celia; Bolumar, Isidro; Pla, Angel; Vázquez, Carlos; Soriano, Virtudes; Nagore, Eduardo

2016-01-01

The role of sentinel lymph node biopsy and the benefit of immunotherapy with interferon in thick (>4 mm) melanomas remain uncertain. Our aim was to assess the value of both sentinel lymph node (SLN) biopsy and immunotherapy in the prognosis of thick melanomas. A retrospective study based on a computerized patient database in which patients have been prospectively collected since 2005 was performed. Age, sex, location, Breslow thickness, tumor ulceration, regression, Clark level, tumor infiltrating lymphocytes, tumor mitotic rate, microscopic satellite and vascular invasion were included in the analysis. Disease-free (DFS), disease-specific (DSS) and overall (OS) survivals were evaluated by the Kaplan-Meier method and Cox regression analysis. A series of 141 patients with melanomas thicker than 4 mm were included. Multivariate regression showed a worse prognosis in SLN-positive patients with respect to SLN biopsy-negative patients (DFS, hazard ratio [HR] 2, p = 0.04; DSS, HR 2.2, p = 0.002; OS, HR 2.4, p = 0.02). The observational group was shown to have a worse prognosis than the SLN-positive group but was very similar to the clinically positive group. Immunotherapy with high-dose interferon showed a protective effect (DFS, HR 0.5, p = 0.02; DSS, HR 0.3, p = 0.001; OS, HR 0.3, p = 0.001). Our data indicate that SLN biopsy and adjuvant interferon should be considered for patients with thick melanomas.

Exploring consumer exposure pathways and patterns of use for chemicals in the environment through the Chemical/Product Categories Database

EPA Pesticide Factsheets

Exploring consumer exposure pathways and patterns of use for chemicals in the environment through the Chemical/Product Categories Database (CPCat) (Presented by: Kathie Dionisio, Sc.D., NERL, US EPA, Research Triangle Park, NC (1/23/2014).

The Black Sea coastal zone in the high resolution satellite images

NASA Astrophysics Data System (ADS)

Yurovskaya, Maria; Dulov, Vladimir; Kozlov, Igor

2016-04-01

Landsat data with spatial resolution of 30-100 m provide the ability of regular monitoring of ocean phenomena with scale of 100-1000 m. Sentinel-1 is equipped with C-band synthetic aperture radar. The images allow recognizing the features that affect either the sea surface roughness, or its color characteristics. The possibilities of using the high spatial resolution satellite data are considered for observation and monitoring of Crimean coastal zone. The analyzed database includes all Landsat-8 (Level 1) multi-channel images from January 2013 to August 2015 and all Sentinel-1 radar images in May-August 2015. The goal of the study is to characterize the descriptiveness of these data for research and monitoring of the Crimean coastal areas. The observed marine effects are reviewed and the physical mechanisms of their signatures in the satellite images are described. The effects associated with the roughness variability are usually manifested in all bands, while the subsurface phenomena are visible only in optical data. Confidently observed structures include internal wave trains, filamentous natural slicks, which reflect the eddy coastal dynamics, traces of moving ships and the oil films referred to anthropogenic pollution of marine environment. The temperature fronts in calm conditions occur due to surfactant accumulation in convergence zone. The features in roughness field can also be manifested in Sentinel-1 data. Subsurface processes observed in Landsat-8 images primarily include transport and distribution of suspended matter as a result of floods and sandy beach erosion. The surfactant always concentrates on the sea surface in contaminated areas, so that these events are also observed in Sentinel-1 images. A search of wastewater discharge manifestations is performed. The investigation provides the basis for further development of approaches to obtain quantitative characteristics of the phenomena themselves. Funding by Russian Science Foundation under grant 15-17-20020 is gratefully acknowledged.

Immune response in melanoma: an in-depth analysis of the primary tumor and corresponding sentinel lymph node

PubMed Central

Ma, Michelle W.; Medicherla, Ratna C.; Qian, Meng; de Miera, Eleazar Vega-Saenz; Friedman, Erica B.; Berman, Russell S.; Shapiro, Richard L.; Pavlick, Anna C.; Ott, Patrick A.; Bhardwaj, Nina; Shao, Yongzhao; Osman, Iman; Darvishian, Farbod

2013-01-01

The sentinel lymph node is the initial site of metastasis. Down-regulation of anti-tumor immunity plays a role in nodal progression. Our objective was to investigate the relationship between immune modulation and sentinel lymph node positivity, correlating it with outcome in melanoma patients. Lymph node/primary tissues from melanoma patients prospectively accrued and followed at New York University Medical Center were evaluated for the presence of regulatory T-cells (Foxp3+) and dendritic cells (conventional: CD11c+, mature: CD86+) using immunohistochemistry. Primary melanoma immune cell profiles from sentinel lymph node-positive/-negative patients were compared. Logistic regression models inclusive of standard-of-care/immunologic primary tumor characteristics were constructed to predict the risk of sentinel lymph node positivity. Immunological responses in the positive sentinel lymph node were also compared to those in the negative non-sentinel node from the same nodal basin and matched negative sentinel lymph node. Decreased immune response was defined as increased regulatory T-cells or decreased dendritic cells. Associations between the expression of these immune modulators, clinicopathologic variables, and clinical outcome were evaluated using univariate/multivariate analyses. Primary tumor conventional dendritic cells and regression were protective against sentinel lymph node metastasis (odds ratio=0.714, 0.067; P=0.0099, 0.0816, respectively). Anti-tumor immunity was down-regulated in the positive sentinel lymph node with an increase in regulatory T-cells compared to the negative non-sentinel node from the same nodal basin (P=0.0005) and matched negative sentinel lymph node (P=0.0002). The positive sentinel lymph node also had decreased numbers of conventional dendritic cells compared to the negative sentinel lymph node (P<0.0001). Adding sentinel lymph node regulatory T-cell expression improved the discriminative power of a recurrence risk assessment model using clinical stage. Primary tumor regression was associated with prolonged disease-free (P=0.025) and melanoma-specific (P=0.014) survival. Our results support an assessment of local immune profiles in both the primary tumor and sentinel lymph node to help guide therapeutic decisions. PMID:22425909

Repeat sentinel lymph node biopsy in patients with ipsilateral recurrent breast cancer after breast-conserving therapy and negative sentinel lymph node biopsy: a prospective study.

PubMed

Folli, Secondo; Falco, Giuseppe; Mingozzi, Matteo; Buggi, Federico; Curcio, Annalisa; Ferrari, Guglielmo; Taffurelli, Mario; Regolo, Lea; Nanni, Oriana

2016-04-01

Patients with ipsilateral breast tumor recurrence or new ipsilateral primary tumor after previous breast conservative surgery with negative sentinel lymph node biopsy need a new axillary staging procedure. However, the best surgical option, i.e. repeat sentinel lymph node biopsy or axillary lymph node dissection, is still debated. Purpose of the study is to assess the performance of repeat sentinel lymph node biopsy. In a multicenter study, lymph node biopsy completed by back-up axillary lymph node dissection was undertaken for ipsilateral breast tumor recurrence or new ipsilateral primary tumor. Tracer uptake was used to identify and isolate the sentinel lymph node during surgery, and it was classified after staining with hematoxylin and eosin and monoclonal anti-cytokeratin antibodies. Aside from negative predictive value, overall accuracy and false-negative rate of repeat sentinel lymph node biopsy were assessed. A multicenter, prospective study was conducted performing 30 repeat sentinel lymph node biopsy completed by back-up axillary lymph node dissection for ipsilateral breast tumor recurrence or new ipsilateral primary tumor in patients formerly treated with previous breast conservative surgery and negative sentinel lymph node biopsy. Negative predictive value, overall accuracy and false-negative rate of repeat sentinel lymph node biopsy were assessed. Sentinel lymph nodes were mapped in 27 patients out of 30 (90%). Aberrant drainage pathways were observed in one patient (3.7%). Tracer uptake was sufficient to identify and isolate the sentinel lymph node during surgery in 23 cases (76.6%); the patients in whom lymphoscintigraphy failed or no sentinel lymph nodes could be isolated underwent axillary lymph node dissection. The negative predictive value was 95.2%, the accuracy was 95.6% and the false-negative rate was 33%. Repeat sentinel lymph node biopsy is feasible and accurate, with a high negative predictive value. Patients with ipsilateral breast tumor recurrence or new ipsilateral primary tumor after previous breast conservative surgery and negative sentinel lymph node biopsy can be treated with repeat sentinel lymph node biopsy for the axillary staging and can be spared axillary dissection in case of absence of metastases. However, repeat sentinel lymph node biopsy may prove technically impracticable in about one quarter of cases and thus axillary lymph node dissection remains the only viable option in such instance.

Copernicus POD Service: Ready for Sentinel-3

NASA Astrophysics Data System (ADS)

Peter, H.; Fernández, J.; Escobar, D.; Féménias, P.; Flohrer, C.; Otten, M.

2015-12-01

The Copernicus POD Service is part of the Copernicus PDGS Ground Segment of the Sentinel missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS. The Sentinel-1, -2 & -3 missions have different but very demanding requirements in terms of orbital accuracy and timeliness. Orbital products in Near Real Time (latency: 30 min), Short Time Critical (1.5 days) and Non-time Critical (20-30 days) are required. The accuracy requirements are very challenging, targeting 5 cm in 3D for Sentinel-1 and 2-3 cm in radial direction for Sentinel-3. Sentinel-3A carries, in addition to a GPS receiver a laser retro reflector and a DORIS receiver. On the one hand, the three different techniques GPS, SLR and DORIS make POD more complex but, on the other hand, it is very helpful to have independent techniques available for validation of the orbit results. The successful POD processing for Sentinel-1A is a good preparation for Sentinel-3A due to the similar demanding orbit accuracy requirements. The Copernicus POD Service is ready for Sentinel-3A and the service will process GPS and SLR data routinely and has the capacity to process DORIS in NTC and reprocessing campaigns. The three independent orbit determination techniques on Sentinel-3 offer big potential for scientific exploitation. Carrying all three techniques together makes the satellite, e.g., very useful for combining all the techniques on observation level as it could only be done for Jason-2 until now. The Sentinel POD Quality Working Group strongly supporting the CPOD Service delivers additional orbit solutions to validate the CPOD results independently. The recommendations from this body guarantee that the CPOD Service is updated following state-of-the-art algorithms, models and conventions. The QWG also focuses on the scientific exploitation of the Sentinel missions. The current status of the CPOD Service is presented operating Sentinel-1A and -2A and its readiness for Sentinel-3A. It is shown how the quality and the timeliness of the products are guaranteed. Possibilities for scientific exploitation of the Sentinel-3 mission also in synergy with other Earth Observation and Sentinel missions are presented.

Cyber-Community for Housing, Consumer Economics Created

ERIC Educational Resources Information Center

Manley, Kelly Shannon; Sweaney, Anne L.

2007-01-01

This article discusses a curriculum resource database project for housing and consumer economics educators. This database, along with message boards, an event calendar, and discipline-related articles, is available at www.GetYourFACtS.com (Sweaney, Manley, Valente, & Black, 2002). Given the overwhelming volume of information available on the…

Development of a Consumer Product Ingredient Database for Chemical ExposureScreening and Prioritization

EPA Science Inventory

Consumer products are a primary source of chemical exposures, yet little structured information is available on the chemical ingredients of these products and the concentrations at which ingredients are present. To address this data gap, we created a database of chemicals in cons...

Sentinel Node Detection in Head and Neck Malignancies: Innovations in Radioguided Surgery

PubMed Central

Vermeeren, L.; Klop, W. M. C.; van den Brekel, M. W. M.; Balm, A. J. M.; Nieweg, O. E.; Valdés Olmos, R. A.

2009-01-01

Sentinel node mapping is becoming a routine procedure for staging of various malignancies, because it can determine lymph node status more precisely. Due to anatomical problems, localizing sentinel nodes in the head and neck region on the basis of conventional images can be difficult. New diagnostic tools can provide better visualization of sentinel nodes. In an attempt to keep up with possible scientific progress, this article reviews new and innovative tools for sentinel node localization in this specific area. The overview comprises a short introduction of the sentinel node procedure as well as indications in the head and neck region. Then the results of SPECT/CT for sentinel node detection are described. Finally, a portable gamma camera to enable intraoperative real-time imaging with improved sentinel node detection is described. PMID:20016804

Simplified intraoperative sentinel-node detection performed by the urologist accurately determines lymph-node stage in prostate cancer.

PubMed

Kjölhede, Henrik; Bratt, Ola; Gudjonsson, Sigurdur; Sundqvist, Pernilla; Liedberg, Fredrik

2015-04-01

The reference standard for lymph-node staging in prostate cancer is currently an extended pelvic lymph-node dissection (ePLND), which detects most, but not all, regional lymph-node metastases. As an alternative to ePLND, sentinel-node dissection with preoperative isotope injection and imaging has been reported. The objective was to determine whether intraoperative sentinel-node detection with a simplified protocol can accurately determine lymph-node stage in prostate cancer patients. Patients with biopsy-verified high-risk prostate cancer with tumour stage T2-3 were included in the study. All patients underwent both ePLND and sentinel-node detection. (99m)Tc-marked nanocolloid was injected peritumourally by the operating urologist after induction of anaesthesia just before surgery. Sentinel nodes were detected both in vivo and ex vivo intraoperatively using a gamma probe. Sentinel nodes and metastases and their locations were recorded. Sensitivity and specificity were calculated. At least one sentinel node was detected in 72 (87%) of the 83 patients. In 13 (18%) of these 72 patients sentinel nodes were detected outside the ePLND template. In six of these 13 patients, the Sentinel nodes from outside the template contained metastases, which proved to be the only metastases in two. For 12 patients the only metastatic deposit found was a micrometastasis (≤2 mm) in a sentinel node. In the 72 patients with detectable sentinel nodes, pathological analysis of the sentinel node correctly categorized 71 and ePLND 70 patients. This protocol yielded results comparable to the commonly used technique of sentinel-node detection, but with more cases of non-detection.

Sentinel node biopsy in thin and thick melanoma.

PubMed

Mozzillo, Nicola; Pennacchioli, Elisabetta; Gandini, Sara; Caracò, Corrado; Crispo, Anna; Botti, Gerardo; Lastoria, Secondo; Barberis, Massimo; Verrecchia, Francesco; Testori, Alessandro

2013-08-01

Although sentinel node biopsy (SNB) has become standard of care in patients with melanoma, its use in patients with thin or thick melanomas remains a matter of debate. This was a retrospective analysis of patients with thin (≤1 mm) or thick (≥4 mm) melanomas who underwent SNB at two Italian centers between 1998 and 2011. The associations of clinicopathologic features with sentinel lymph node positive status and overall survival (OS) were analyzed. In 492 patients with thin melanoma, sentinel node was positive for metastatic melanoma in 24 (4.9 %) patients. No sentinel node positivity was detected in patients with primary tumor thickness <0.3 mm. Mitotic rate was the only factor significantly associated with sentinel node positivity (p = 0.0001). Five-year OS was 81 % for patients with positive sentinel node and 93 % for negative sentinel node (p = 0.001). In 298 patients with thick melanoma, 39 % of patients had positive sentinel lymph nodes (median Breslow thickness 5 mm). In patients with positive sentinel node, 93 % had mitotic rate >1/mm(2). Five-year OS was 49 % for patients with positive sentinel lymph nodes and 56 % for patients with negative sentinel nodes (p = 0.005). The rate of sentinel node positivity in patients with thin melanoma was 4.9 %. The only clinicopathologic factor related to node positivity was mitotic rate. Given its prognostic importance, SNB should be considered in such patients. SNB should also be the standard method for melanoma ≥4 mm, not only for staging, but also for guiding therapeutic decisions.

A mathematical prediction model incorporating molecular subtype for risk of non-sentinel lymph node metastasis in sentinel lymph node-positive breast cancer patients: a retrospective analysis and nomogram development.

PubMed

Wang, Na-Na; Yang, Zheng-Jun; Wang, Xue; Chen, Li-Xuan; Zhao, Hong-Meng; Cao, Wen-Feng; Zhang, Bin

2018-04-25

Molecular subtype of breast cancer is associated with sentinel lymph node status. We sought to establish a mathematical prediction model that included breast cancer molecular subtype for risk of positive non-sentinel lymph nodes in breast cancer patients with sentinel lymph node metastasis and further validate the model in a separate validation cohort. We reviewed the clinicopathologic data of breast cancer patients with sentinel lymph node metastasis who underwent axillary lymph node dissection between June 16, 2014 and November 16, 2017 at our hospital. Sentinel lymph node biopsy was performed and patients with pathologically proven sentinel lymph node metastasis underwent axillary lymph node dissection. Independent risks for non-sentinel lymph node metastasis were assessed in a training cohort by multivariate analysis and incorporated into a mathematical prediction model. The model was further validated in a separate validation cohort, and a nomogram was developed and evaluated for diagnostic performance in predicting the risk of non-sentinel lymph node metastasis. Moreover, we assessed the performance of five different models in predicting non-sentinel lymph node metastasis in training cohort. Totally, 495 cases were eligible for the study, including 291 patients in the training cohort and 204 in the validation cohort. Non-sentinel lymph node metastasis was observed in 33.3% (97/291) patients in the training cohort. The AUC of MSKCC, Tenon, MDA, Ljubljana, and Louisville models in training cohort were 0.7613, 0.7142, 0.7076, 0.7483, and 0.671, respectively. Multivariate regression analysis indicated that tumor size (OR = 1.439; 95% CI 1.025-2.021; P = 0.036), sentinel lymph node macro-metastasis versus micro-metastasis (OR = 5.063; 95% CI 1.111-23.074; P = 0.036), the number of positive sentinel lymph nodes (OR = 2.583, 95% CI 1.714-3.892; P < 0.001), and the number of negative sentinel lymph nodes (OR = 0.686, 95% CI 0.575-0.817; P < 0.001) were independent statistically significant predictors of non-sentinel lymph node metastasis. Furthermore, luminal B (OR = 3.311, 95% CI 1.593-6.884; P = 0.001) and HER2 overexpression (OR = 4.308, 95% CI 1.097-16.912; P = 0.036) were independent and statistically significant predictor of non-sentinel lymph node metastasis versus luminal A. A regression model based on the results of multivariate analysis was established to predict the risk of non-sentinel lymph node metastasis, which had an AUC of 0.8188. The model was validated in the validation cohort and showed excellent diagnostic performance. The mathematical prediction model that incorporates five variables including breast cancer molecular subtype demonstrates excellent diagnostic performance in assessing the risk of non-sentinel lymph node metastasis in sentinel lymph node-positive patients. The prediction model could be of help surgeons in evaluating the risk of non-sentinel lymph node involvement for breast cancer patients; however, the model requires further validation in prospective studies.

Segmentation and Classification of Nepal Earthquake Induced Landslides Using SENTINEL-1 Product

NASA Astrophysics Data System (ADS)

Kunwar, Saket

2016-06-01

On April 26, 2015, an earthquake of magnitude 7.8 on the Richter scale occurred, with epicentre at Barpak (28°12'20''N,84°44'19''E), Nepal. Landslides induced due to the earthquake and its aftershock added to the natural disaster claiming more than 9000 lives. Landslides represented as lines that extend from the head scarp to the toe of the deposit were mapped by the staff of the British Geological Survey and is available freely under Open Data Commons Open Database License(ODC-ODbL) license at the Humanitarian Data Exchange Program. This collection of 5578 landslides is used as preliminary ground truth in this study with the aim of producing polygonal delineation of the landslides from the polylines via object oriented segmentation. Texture measures from Sentinel-1a Ground Range Detected (GRD) Amplitude data and eigenvalue-decomposed Single Look Complex (SLC) polarimetry product are stacked for this purpose. This has also enabled the investigation of landslide properties in the H-Alpha plane, while developing a classification mechanism for identifying the occurrence of landslides.

Anatomical classification of breast sentinel lymph nodes using computed tomography-lymphography.

PubMed

Fujita, Tamaki; Miura, Hiroyuki; Seino, Hiroko; Ono, Shuichi; Nishi, Takashi; Nishimura, Akimasa; Hakamada, Kenichi; Aoki, Masahiko

2018-05-03

To evaluate the anatomical classification and location of breast sentinel lymph nodes, preoperative computed tomography-lymphography examinations were retrospectively reviewed for sentinel lymph nodes in 464 cases clinically diagnosed with node-negative breast cancer between July 2007 and June 2016. Anatomical classification was performed based on the numbers of lymphatic routes and sentinel lymph nodes, the flow direction of lymphatic routes, and the location of sentinel lymph nodes. Of the 464 cases reviewed, anatomical classification could be performed in 434 (93.5 %). The largest number of cases showed single route/single sentinel lymph node (n = 296, 68.2 %), followed by multiple routes/multiple sentinel lymph nodes (n = 59, 13.6 %), single route/multiple sentinel lymph nodes (n = 53, 12.2 %), and multiple routes/single sentinel lymph node (n = 26, 6.0 %). Classification based on the flow direction of lymphatic routes showed that 429 cases (98.8 %) had outward flow on the superficial fascia toward axillary lymph nodes, whereas classification based on the height of sentinel lymph nodes showed that 323 cases (74.4 %) belonged to the upper pectoral group of axillary lymph nodes. There was wide variation in the number of lymphatic routes and their branching patterns and in the number, location, and direction of flow of sentinel lymph nodes. It is clinically very important to preoperatively understand the anatomical morphology of lymphatic routes and sentinel lymph nodes for optimal treatment of breast cancer, and computed tomography-lymphography is suitable for this purpose.

Breast cancer sentinel node scintigraphy: differences between imaging results 1 and 2 h after injection.

PubMed

Wondergem, Maurits; Hobbelink, Monique G G; Witkamp, Arjen J; van Hillegersberg, Richard; de Keizer, Bart

2012-11-01

Timing of image acquisition in breast cancer sentinel node scintigraphy remains a subject of debate. Therefore, the performance of our protocol in which images are acquired 1 and 2 h after injection was evaluated. The results of sentinel node scintigraphy 1 and 2 h after injection were compared with regard to the sentinel lymph nodes visualized. We studied 132 patients who were consecutively referred for sentinel lymph node biopsy. 99mTc-albumine nanocolloid (120 MBq) was injected peritumourally into patients with palpable tumours and intratumourally into patients with nonpalpable tumours. All scintigraphic images taken for the sentinel node procedure were evaluated. The number of sentinel nodes per anatomic localization and the interpretability of the images were scored. A total of 132 patients underwent sentinel node scintigraphy 1 h after injection. Of these, 117 patients also underwent sentinel node scintigraphy 2 h after injection. An axillary sentinel node was visualized in 79.5 and 95.7% of patients, respectively, 1 and 2 h after injection. In 20.5% of the patients the images acquired 1 h after injection did not show a sentinel node. Furthermore, in all procedures, the images 1 h after injection were of no added value to those acquired 2 h after injection. Scintigraphic imaging 2 h after a single peritumoural or intratumoural administration of about 120 MBq 99mTc-albumine nanocolloid yields an axillary sentinel node in over 95% of cases. Imaging 1 h after injection is of no additional value and can be omitted.

Sentinel Lymph Nodes for Breast Carcinoma: A Paradigm Shift.

PubMed

Maguire, Aoife; Brogi, Edi

2016-08-01

-Sentinel lymph node biopsy has been established as the new standard of care for axillary staging in most patients with invasive breast carcinoma. Historically, all patients with a positive sentinel lymph node biopsy result underwent axillary lymph node dissection. Recent trials show that axillary lymph node dissection can be safely omitted in women with clinically node negative, T1 or T2 invasive breast cancer treated with breast-conserving surgery and whole-breast radiotherapy. This change in practice also has implications on the pathologic examination and reporting of sentinel lymph nodes. -To review recent clinical and pathologic studies of sentinel lymph nodes and explore how these findings influence the pathologic evaluation of sentinel lymph nodes. -Sources were published articles from peer-reviewed journals in PubMed (US National Library of Medicine) and published guidelines from the American Joint Committee on Cancer, the Union for International Cancer Control, the American Society of Clinical Oncology, and the National Comprehensive Cancer Network. -The main goal of sentinel lymph node examination should be to detect all macrometastases (>2 mm). Grossly sectioning sentinel lymph nodes at 2-mm intervals and evaluation of one hematoxylin-eosin-stained section from each block is the preferred method of pathologic evaluation. Axillary lymph node dissection can be safely omitted in clinically node-negative patients with negative sentinel lymph nodes, as well as in a selected group of patients with limited sentinel lymph node involvement. The pathologic features of the primary carcinoma and its sentinel lymph node metastases contribute to estimate the extent of non-sentinel lymph node involvement. This information is important to decide on further axillary treatment.

Sentinel-1 mission scientific exploitation activities

NASA Astrophysics Data System (ADS)

Desnos, Yves louis; Foumelis, Michael; Engdahl, Marcus

2017-04-01

The Sentinel-1 mission is the European Imaging Radar Observatory for the Copernicus joint initiative of the European Commission (EC) and the European Space Agency (ESA). Sentinel-1 mission is composed of a constellation of two satellites, Sentinel-1A and Sentinel-1B (launched in April 2014 and April 2016, respectively), sharing the same orbital plane and featuring a short repeat cycle of 6 days optimised for Synthetic Aperture Radar (SAR) interferometry science and applications. The full operation capacity was achieved after the completion of the Sentinel-1B in-orbit commissioning on 14 September 2016. Sentinel-1 data are freely available via the ESA's Sentinels Scientific Data Hub since October 2014. The data uptake by the science community has been unprecedented and numerous results have been published to date. The objective of the current paper is to provide a brief overview of the latest ESA activities, in the frame of the Scientific Exploitation of Operational Missions (SEOM) programme, aimed to facilitate the scientific exploitation of Sentinel-1 mission as well as discuss future opportunities for research.

Intraoperative Injection of Technetium-99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer Patients: A Single Institution Experience.

PubMed

Berrocal, Julian; Saperstein, Lawrence; Grube, Baiba; Horowitz, Nina R; Chagpar, Anees B; Killelea, Brigid K; Lannin, Donald R

2017-01-01

Background . Most institutions require a patient undergoing sentinel lymph node biopsy to go through nuclear medicine prior to surgery to be injected with radioisotope. This study describes the long-term results using intraoperative injection of radioisotope. Methods . Since late 2002, all patients undergoing a sentinel lymph node biopsy at the Yale-New Haven Breast Center underwent intraoperative injection of technetium-99m sulfur colloid. Endpoints included number of sentinel and nonsentinel lymph nodes obtained and number of positive sentinel and nonsentinel lymph nodes. Results . At least one sentinel lymph node was obtained in 2,333 out of 2,338 cases of sentinel node biopsy for an identification rate of 99.8%. The median number of sentinel nodes found was 2 and the mean was 2.33 (range: 1-15). There were 512 cases (21.9%) in which a sentinel node was positive for metastatic carcinoma. Of the patients with a positive sentinel lymph node who underwent axillary dissection, there were 242 cases (54.2%) with no additional positive nonsentinel lymph nodes. Advantages of intraoperative injection included increased comfort for the patient and simplification of scheduling. There were no radiation related complications. Conclusion . Intraoperative injection of technetium-99m sulfur colloid is convenient, effective, safe, and comfortable for the patient.

Generating PubMed Chemical Queries for Consumer Health Literature

PubMed Central

Loo, Jeffery; Chang, Hua Florence; Hochstein, Colette; Sun, Ying

2005-01-01

Two popular NLM resources that provide information for consumers about chemicals and their safety are the Household Products Database and Haz-Map. Search queries to PubMed via web links were generated from these databases. The query retrieves consumer health-oriented literature about adverse effects of chemicals. The retrieval was limited to a manageable set of 20 to 60 citations, achieved by successively applying increasing limits to the search until the desired number of references was reached. PMID:16779322

78 FR 67168 - Sixth Annual Sentinel Initiative; Public Workshop

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-08

...] Sixth Annual Sentinel Initiative; Public Workshop AGENCY: Food and Drug Administration, HHS. ACTION... workshop entitled ``Sixth Annual Sentinel Initiative.'' Convened by the Engelberg Center for Health Care... product surveillance. Topics will include an overview of the status of FDA's Sentinel Initiative and...

Sentinel Lymph Nodes for Breast Carcinoma A Paradigm Shift

PubMed Central

Maguire, Aoife; Brogi, Edi

2016-01-01

Context Sentinel lymph node biopsy has been established as the new standard of care for axillary staging in most patients with invasive breast carcinoma. Historically, all patients with a positive sentinel lymph node biopsy result underwent axillary lymph node dissection. Recent trials show that axillary lymph node dissection can be safely omitted in women with clinically node negative, T1 or T2 invasive breast cancer treated with breast-conserving surgery and whole-breast radiotherapy. This change in practice also has implications on the pathologic examination and reporting of sentinel lymph nodes. Objective To review recent clinical and pathologic studies of sentinel lymph nodes and explore how these findings influence the pathologic evaluation of sentinel lymph nodes. Data Sources Sources were published articles from peer-reviewed journals in PubMed (US National Library of Medicine) and published guidelines from the American Joint Committee on Cancer, the Union for International Cancer Control, the American Society of Clinical Oncology, and the National Comprehensive Cancer Network. Conclusions The main goal of sentinel lymph node examination should be to detect all macrometastases (>2 mm). Grossly sectioning sentinel lymph nodes at 2-mm intervals and evaluation of one hematoxylin-eosin–stained section from each block is the preferred method of pathologic evaluation. Axillary lymph node dissection can be safely omitted in clinically node-negative patients with negative sentinel lymph nodes, as well as in a selected group of patients with limited sentinel lymph node involvement. The pathologic features of the primary carcinoma and its sentinel lymph node metastases contribute to estimate the extent of non–sentinel lymph node involvement. This information is important to decide on further axillary treatment. PMID:27472237

SENTINEL-2 Services Library - efficient way for exploration and exploitation of EO data

NASA Astrophysics Data System (ADS)

Milcinski, Grega; Batic, Matej; Kadunc, Miha; Kolaric, Primoz; Mocnik, Rok; Repse, marko

2017-04-01

With more than 1.5 million scenes available covering over 11 billion sq. kilometers of area and containing half a quadrillion of pixels, Sentinel-2 is becoming one of the most important MSI datasets in the world. However, the vast amount of data makes it difficult to work with. This is certainly an important reason, why the number of Sentinel based applications is not as high as it could be at this point. We will present a Copernicus Award [1] winning service for archiving, processing and distribution of Sentinel data, Sentinel Hub [2]. It makes it easy for anyone to tap into global Sentinel archive and exploit its rich multi-sensor data to observe changes in the land. We will demonstrate, how one is able not just to observe imagery all over the world but also to create its own statistical analysis in a matter of seconds, performing comparison of different sensors through various time segments. The result can be immediately observed in any GIS tool or exported as a raster file for post-processing. All of these actions can be performed on a full, worldwide, S-2 archive (multi-temporal and multi-spectral). To demonstrate the technology, we created a publicly accessible web application, called "Sentinel Playground" [3], which makes it possible to query Sentinel-2 data anywhere in the world, and experts-oriented tool "EO Browser" [4], where it is also possible to observe land changes through longer period by using historical Landsat data as well. [1] http://www.copernicus-masters.com/index.php?anzeige=press-2016-03.html [2] http://www.sentinel-hub.com [3] http://apps.sentinel-hub.com/sentinel-playground/ [4] http://apps.eocloud.sentinel-hub.com/eo-browser/

Radionavigated detection of sentinel nodes in breast carcinoma--first experiences of our department.

PubMed

Duchaj, B; Chvalny, P; Vesely, J; Makaiova, I; Durdik, S; Straka, V; Palaj, J; Procka, V; Aksamitova, K; Skraskova, S; Banki, P; Kovacova, S; Galbavy, S

2010-01-01

Biopsy and histological evaluation of sentinel lymphatic node limits the axillary node dissection only in cases of positive histological finding and decreases the occurrence of postoperative complications related to the axillary node dissection. We used radiotracer SentiScint, Medi-Radiopharma Ltd, Hungary and preoperatively administered blue dye--Blue Patenté V, Guebert, Aulnay-Sous-Bios, France. 11 (18%) patients were subdued to deep peritimorous application of radiotracer, 10 (16.4%) to sub/intradermal application over the lesions and n 40 (65.6%) patients the application was sub/intradermal and periareolar. The patients underwent an operation protocol of corresponding quadrantectomy, radionavigated blue-dye sentinel node biopsy and axillary dissection. From May 2006 to June 2008, we examined 61 patients with breast carcinoma. They underwent radionavigated and blue-dye sentinel node biopsy. We detected 57 (93.4%) sentinel nodes with preoperative scintigraphy, of which only 51 (83.6%) were detected peroperatively and underwent histological evaluation. In six (9.8%) cases, the "frozen cut" histology of the primary lesion had shown a benign lesion; hence no sentinel node biopsy or axillary disection was performed. 12 (19.7%) of 51 histologically evaluated sentinel nodes had metastatic invasion. We retrospectively compared the histological fund in sentinel and axillary nodes in patients with metastatic sentinel nodes. In 6 (16.6%) cases, the sentinel node was positive of metastatic invasion but axillary nodes were histologically negative, in 6 (16.6%) cases the sentinel node and axillary nodes were positive for metastatic invasion. We observed falsely negative findings in 3 (8.3%) patients with negative histological fund in the sentinel node, but positive axillary nodes (Tab. 3, Fig. 2, Ref. 11). Full Text (Free, PDF) www.bmj.sk.

12 CFR 1070.60 - Exempt records.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Supervision Database (2) CFPB.003 Non-Depository Institution Supervision Database (3) CFPB.004 Enforcement Database (4) CFPB.005 Consumer Response System (b) Information compiled for civil actions or proceedings...

A dual-modal magnetic nanoparticle probe for preoperative and intraoperative mapping of sentinel lymph nodes by magnetic resonance and near infrared fluorescence imaging

PubMed Central

Zhou, Zhengyang; Chen, Hongwei; Lipowska, Malgorzata; Wang, Liya; Yu, Qiqi; Yang, Xiaofeng; Tiwari, Diana; Yang, Lily; Mao, Hui

2016-01-01

The ability to reliably detect sentinel lymph nodes for sentinel lymph node biopsy and lymphadenectomy is important in clinical management of patients with metastatic cancers. However, the traditional sentinel lymph node mapping with visible dyes is limited by the penetration depth of light and fast clearance of the dyes. On the other hand, sentinel lymph node mapping with radionucleotide technique has intrinsically low spatial resolution and does not provide anatomic details in the sentinel lymph node mapping procedure. This work reports the development of a dual modality imaging probe with magnetic resonance and near infrared imaging capabilities for sentinel lymph node mapping using magnetic iron oxide nanoparticles (10 nm core size) conjugated with a near infrared molecule with emission at 830 nm. Accumulation of magnetic iron oxide nanoparticles in sentinel lymph nodes leads to strong T2 weighted magnetic resonance imaging contrast that can be potentially used for preoperative localization of sentinel lymph nodes, while conjugated near infrared molecules provide optical imaging tracking of lymph nodes with a high signal to background ratio. The new magnetic nanoparticle based dual imaging probe exhibits a significant longer lymph node retention time. Near infrared signals from nanoparticle conjugated near infrared dyes last up to 60 min in sentinel lymph node compared to that of 25 min for the free near infrared dyes in a mouse model. Furthermore, axillary lymph nodes, in addition to sentinel lymph nodes, can be also visualized with this probe, given its slow clearance and sufficient sensitivity. Therefore, this new dual modality imaging probe with the tissue penetration and sensitive detection of sentinel lymph nodes can be applied for preoperative survey of lymph nodes with magnetic resonance imaging and allows intraoperative sentinel lymph node mapping using near infrared optical devices. PMID:23812946

A Phenology-based Approach for Rice Crop Mapping from Multi-temporal Sentinel-1A Data in Taiwan

NASA Astrophysics Data System (ADS)

Chen, C. F.; Chen, J. B.; Nguyen, S. T.; Chen, C. R.; Chiang, S. H.

2016-12-01

Rice is the most important food crop in Taiwan, accounting for approximately 5% (166,616 ha) of the total cultivated area. Besides its nutritional value, rice agriculture remains the primary source of livelihood for the majority of rural populations in the country. Rice monitoring is a crucial activity due to official initiatives to ensure the national food security. Because the size of rice fields in Taiwan is relatively small, rice monitoring is traditionally implemented through time-consuming and costly visual interpretation of aerial photos. The Sentinel-1A launched on 3 April 2014 provides the data that have sufficient spatial and temporal resolutions (i.e., 10 m resolution and 12-day revisit cycle) for monitoring small patches of rice fields in the country. This study aimed to develop a phenology-based approach to map rice-growing areas in Taiwan from multi-temporal descending Sentinel-1A VH and VV data. The data were processed for the second rice cropping season (July‒December) in 2015, consisting four main steps: (1) data pre-processing, including radiometric and geometric corrections, and speckle noise filtering of the VH and VV backscattering coefficient data, (2) normalization difference sigma-naught index (NDSI) calculation based on the sowing and heading periods obtained from the analysis of rice crop phenology in the region, (3) threshold-based rice classification using the expectation-maximization method, and (4) accuracy assessment of the mapping results. The mapping results compared with the ground reference data indicated that the overall accuracies and Kappa coefficients achieved for the VH data were 92.0% and 0.84, while the values for the VV data were 81.1% and 0.62, respectively. The mapping results further verified with the government's rice area statistics reaffirmed the consistency between these two datasets with the root mean square error (RMSE) less than 1%, in both cases. This study demonstrates the potential application of multi-temporal Sentinel-1A data for rice crop monitoring in Taiwan using information of rice crop phenology. The methods were thus proposed for rice monitoring in the country and other regions around the world.

Management of perineural invasion in sebaceous carcinoma of the eyelid.

PubMed

Connor, Michael; Droll, Lilly; Ivan, Doina; Cutlan, Jonathan; Weber, Randal S; Frank, Steven J; Esmaeli, Bita

2011-01-01

To report the occurrence and management of perineural invasion in patients with sebaceous carcinoma of the eyelid. An ophthalmology database was searched for all patients treated for sebaceous carcinoma of the eyelid by the principal investigator between May 1999 and May 2010. The clinical records and pathology specimens of the patients with microscopic perineural invasion as an incidental finding in their eyelid surgical specimen were reviewed. Forty-two patients with sebaceous carcinoma of the eyelid were treated by the principal investigator during the study period. Three of them had evidence of microscopic perineural invasion in the surgical specimen. Each patient was treated with surgery with or without radiotherapy. The first patient underwent orbital exenteration and negative sentinel lymph node biopsy, subsequently developed distant metastasis, and died 20 months after exenteration. The second patient underwent resection of the tumor and positive sentinel lymph node biopsy, postoperative irradiation of the eyelid, completion neck dissection and parotidectomy for the positive sentinel lymph node, and irradiation of nodal basins; she was free of disease at last follow up (12 months after tumor resection). The third patient underwent resection of the tumor, developed regional lymph node metastasis 3 months later, underwent lymph node dissection and postoperative nodal irradiation, and was free of disease at last follow up (9 months after tumor resection). Perineural invasion was encountered in 7% of patients with eyelid sebaceous carcinoma. The authors' preference is to treat patients with an incidental finding of microscopic perineural invasion with postoperative adjuvant radiotherapy, ideally within 4 to 6 weeks after surgical resection of the primary eyelid tumor.

Database documentation of marine mammal stranding and mortality: current status review and future prospects.

PubMed

Chan, Derek K P; Tsui, Henry C L; Kot, Brian C W

2017-11-21

Databases are systematic tools to archive and manage information related to marine mammal stranding and mortality events. Stranding response networks, governmental authorities and non-governmental organizations have established regional or national stranding networks and have developed unique standard stranding response and necropsy protocols to document and track stranded marine mammal demographics, signalment and health data. The objectives of this study were to (1) describe and review the current status of marine mammal stranding and mortality databases worldwide, including the year established, types of database and their goals; and (2) summarize the geographic range included in the database, the number of cases recorded, accessibility, filter and display methods. Peer-reviewed literature was searched, focussing on published databases of live and dead marine mammal strandings and mortality and information released from stranding response organizations (i.e. online updates, journal articles and annual stranding reports). Databases that were not published in the primary literature or recognized by government agencies were excluded. Based on these criteria, 10 marine mammal stranding and mortality databases were identified, and strandings and necropsy data found in these databases were evaluated. We discuss the results, limitations and future prospects of database development. Future prospects include the development and application of virtopsy, a new necropsy investigation tool. A centralized web-accessed database of all available postmortem multimedia from stranded marine mammals may eventually support marine conservation and policy decisions, which will allow the use of marine animals as sentinels of ecosystem health, working towards a 'One Ocean-One Health' ideal.

The sentinel behaviour of Arabian babbler floaters

PubMed Central

Heifetz, Aviad

2017-01-01

The sentinel behaviour of 38 Arabian babbler adult floaters, who lived alone within a territory belonging to a foreign group, was studied and compared with their own sentinel behaviour in the past, when they were group members. All floaters acted as sentinels and uttered ‘alarm calls’. This suggests that sentinel activity is due at least, in part, to selfish motives. Floaters sentinelled less than they did as group members, with the decrease in sentinel activity sharper for ex-dominants than for ex-subordinates. One possible explanation for these differences is that sentinel activity is aimed not only at detecting predators, but also at detecting foreign conspecifics. Within a group, the latter incentive is stronger for breeding dominants than for subordinates, whereas all floaters alike may be trying to detect the owners of the territory in which they were roaming but also to avoid being detected by them. Other possible explanations are that floaters have less time and energy for sentinel activity because they are weaker or because foraging is more difficult in a foreign territory. This may be especially so for dominants who used to enjoy privileged access to food in their group. No significant difference was found in the rate of sentinels' ‘alarm calls’ between floaters and group members, suggesting that their main purpose is predator–prey communication, of which warning groupmates may be a side benefit. PMID:28386429

The sentinel behaviour of Arabian babbler floaters.

PubMed

Ostreiher, Roni; Heifetz, Aviad

2017-02-01

The sentinel behaviour of 38 Arabian babbler adult floaters, who lived alone within a territory belonging to a foreign group, was studied and compared with their own sentinel behaviour in the past, when they were group members. All floaters acted as sentinels and uttered 'alarm calls'. This suggests that sentinel activity is due at least, in part, to selfish motives. Floaters sentinelled less than they did as group members, with the decrease in sentinel activity sharper for ex-dominants than for ex-subordinates. One possible explanation for these differences is that sentinel activity is aimed not only at detecting predators, but also at detecting foreign conspecifics. Within a group, the latter incentive is stronger for breeding dominants than for subordinates, whereas all floaters alike may be trying to detect the owners of the territory in which they were roaming but also to avoid being detected by them. Other possible explanations are that floaters have less time and energy for sentinel activity because they are weaker or because foraging is more difficult in a foreign territory. This may be especially so for dominants who used to enjoy privileged access to food in their group. No significant difference was found in the rate of sentinels' 'alarm calls' between floaters and group members, suggesting that their main purpose is predator-prey communication, of which warning groupmates may be a side benefit.

The use of isotope injections in sentinel node biopsy for breast cancer: are the 1- and 2-day protocols equally effective?

PubMed

Dodia, Nazera; El-Sharief, Deena; Kirwan, Cliona C

2015-01-01

Sentinel lymph nodes are mapped using (99m)Technetium, injected on day of surgery (1-day protocol) or day before (2-day protocol). This retrospective cohort study compares efficacy between the two protocols. Histopathology for all unilateral sentinel lymph node biopsies (March 2012-March 2013) in a single centre were reviewed. Number of sentinel lymph nodes, non-sentinel lymph nodes and pathology was compared. 2/270 (0.7 %) in 1-day protocol and 8/192 (4 %) in 2-day protocol had no sentinel lymph nodes removed (p = 0.02). The median (range) number of sentinel lymph nodes removed per patient was 2 (0-7) and 1 (0-11) in the 1- and 2-day protocols respectively (p = 0.08). There was a trend for removing more non-sentinel lymph nodes in 2-day protocol [1-day: 52/270 (19 %); 2-day: 50/192 (26 %), p = 0.07]. Using 2-day, sentinel lymph node identification failure rate is higher, although within acceptable rates. The 1 and 2 day protocols are both effective, therefore choice of protocol should be driven by patient convenience and hospital efficiency. However, this study raises the possibility that 1-day may be preferable when higher sentinel lymph node count is beneficial, for example following neoadjuvant chemotherapy.

Intraoperative Injection of Technetium-99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer Patients: A Single Institution Experience

PubMed Central

Berrocal, Julian; Saperstein, Lawrence; Grube, Baiba; Horowitz, Nina R.; Chagpar, Anees B.

2017-01-01

Background. Most institutions require a patient undergoing sentinel lymph node biopsy to go through nuclear medicine prior to surgery to be injected with radioisotope. This study describes the long-term results using intraoperative injection of radioisotope. Methods. Since late 2002, all patients undergoing a sentinel lymph node biopsy at the Yale-New Haven Breast Center underwent intraoperative injection of technetium-99m sulfur colloid. Endpoints included number of sentinel and nonsentinel lymph nodes obtained and number of positive sentinel and nonsentinel lymph nodes. Results. At least one sentinel lymph node was obtained in 2,333 out of 2,338 cases of sentinel node biopsy for an identification rate of 99.8%. The median number of sentinel nodes found was 2 and the mean was 2.33 (range: 1–15). There were 512 cases (21.9%) in which a sentinel node was positive for metastatic carcinoma. Of the patients with a positive sentinel lymph node who underwent axillary dissection, there were 242 cases (54.2%) with no additional positive nonsentinel lymph nodes. Advantages of intraoperative injection included increased comfort for the patient and simplification of scheduling. There were no radiation related complications. Conclusion. Intraoperative injection of technetium-99m sulfur colloid is convenient, effective, safe, and comfortable for the patient. PMID:28492062

Sexually selected sentinels? Evidence of a role for intrasexual competition in sentinel behavior

PubMed Central

Walker, Lindsay A.; York, Jenny E.

2016-01-01

Although the evolutionary mechanisms that favor investment in cooperative behaviors have long been a focus of research, comparatively few studies have considered the role that sexual selection may play. For example, evolutionary explanations for sentinel behavior (where 1 individual assumes an elevated position and scans the surroundings while other group members forage nearby) have traditionally focused on the inclusive fitness benefits arising from its effects on predation risk, while its potential role in defense against intrasexual competitors remains largely unexplored. Here, we provide experimental evidence of a role for sentinel behavior in intrasexual competition, in a cooperatively breeding songbird, the white-browed sparrow weaver (Plocepasser mahali). First, dominant males sentinel substantially more than other group members (even when controlling for variation in age and body condition), consistent with a role for sentineling in intrasexual competition for mates and/or territory. Second, experimental playback of an unfamiliar male’s solo song elicited a marked increase in sentineling by the dominant male, and the vocal response to the playback also positively predicted his sentinel effort following the simulated intrusion. A second experiment also suggests that sentineling may facilitate mounting rapid anti-intruder responses, as responses to intruder-playback occurred significantly earlier when the dominant male was sentineling rather than foraging at playback onset. Together, our findings provide rare support for the hypothesis that sentinel behavior plays a role in intrasexual competition, and so highlight the potential for sexually selected direct benefits to shape its expression in this and other social vertebrates. PMID:27656086

Indocyanine green SPY elite-assisted sentinel lymph node biopsy in cutaneous melanoma.

PubMed

Korn, Jason M; Tellez-Diaz, Alejandra; Bartz-Kurycki, Marisa; Gastman, Brian

2014-04-01

Sentinel lymph node biopsy is the standard of care for intermediate-depth and high-risk thin melanomas. Recently, indocyanine green and near-infrared imaging have been used to aid in sentinel node biopsy. The present study aimed to determine the feasibility of sentinel lymph node biopsy with indocyanine green SPY Elite navigation and to critically evaluate the technique compared with the standard modalities. A retrospective review of 90 consecutive cutaneous melanoma patients who underwent sentinel lymph node biopsy was performed. Two cohorts were formed: group A, which had sentinel lymph node biopsy performed with blue dye and radioisotope; and group B, which had sentinel lymph node biopsy performed with radioisotope and indocyanine green SPY Elite navigation. The cohorts were compared to assess for differences in localization rates, sensitivity and specificity of sentinel node identification, and length of surgery. The sentinel lymph node localization rate was 79.4 percent using the blue dye method, 98.0 percent using the indocyanine green fluorescence method, and 97.8 percent using the radioisotope/handheld gamma probe method. Indocyanine green fluorescence detected more sentinel lymph nodes than the vital dye method alone (p = 0.020). A trend toward a reduction in length of surgery was noted in the SPY Elite cohort. Sentinel lymph node mapping and localization in cutaneous melanoma with the indocyanine green SPY Elite navigation system is technically feasible and may offer several advantages over current modalities, including higher sensitivity and specificity, decreased number of lymph nodes sampled, decreased operative time, and potentially lower false-negative rates. Diagnostic, II.

Leads Detection Using Mixture Statistical Distribution Based CRF Algorithm from Sentinel-1 Dual Polarization SAR Imagery

NASA Astrophysics Data System (ADS)

Zhang, Yu; Li, Fei; Zhang, Shengkai; Zhu, Tingting

2017-04-01

Synthetic Aperture Radar (SAR) is significantly important for polar remote sensing since it can provide continuous observations in all days and all weather. SAR can be used for extracting the surface roughness information characterized by the variance of dielectric properties and different polarization channels, which make it possible to observe different ice types and surface structure for deformation analysis. In November, 2016, Chinese National Antarctic Research Expedition (CHINARE) 33rd cruise has set sails in sea ice zone in Antarctic. Accurate leads spatial distribution in sea ice zone for routine planning of ship navigation is essential. In this study, the semantic relationship between leads and sea ice categories has been described by the Conditional Random Fields (CRF) model, and leads characteristics have been modeled by statistical distributions in SAR imagery. In the proposed algorithm, a mixture statistical distribution based CRF is developed by considering the contexture information and the statistical characteristics of sea ice for improving leads detection in Sentinel-1A dual polarization SAR imagery. The unary potential and pairwise potential in CRF model is constructed by integrating the posteriori probability estimated from statistical distributions. For mixture statistical distribution parameter estimation, Method of Logarithmic Cumulants (MoLC) is exploited for single statistical distribution parameters estimation. The iteration based Expectation Maximal (EM) algorithm is investigated to calculate the parameters in mixture statistical distribution based CRF model. In the posteriori probability inference, graph-cut energy minimization method is adopted in the initial leads detection. The post-processing procedures including aspect ratio constrain and spatial smoothing approaches are utilized to improve the visual result. The proposed method is validated on Sentinel-1A SAR C-band Extra Wide Swath (EW) Ground Range Detected (GRD) imagery with a pixel spacing of 40 meters near Prydz Bay area, East Antarctica. Main work is listed as follows: 1) A mixture statistical distribution based CRF algorithm has been developed for leads detection from Sentinel-1A dual polarization images. 2) The assessment of the proposed mixture statistical distribution based CRF method and single distribution based CRF algorithm has been presented. 3) The preferable parameters sets including statistical distributions, the aspect ratio threshold and spatial smoothing window size have been provided. In the future, the proposed algorithm will be developed for the operational Sentinel series data sets processing due to its less time consuming cost and high accuracy in leads detection.

Goats as sentinel hosts for the detection of tick-borne encephalitis risk areas in the Canton of Valais, Switzerland.

PubMed

Rieille, Nadia; Klaus, Christine; Hoffmann, Donata; Péter, Olivier; Voordouw, Maarten J

2017-07-11

Tick-borne encephalitis (TBE) is an important tick-borne disease in Europe. Detection of the TBE virus (TBEV) in local populations of Ixodes ricinus ticks is the most reliable proof that a given area is at risk for TBE, but this approach is time-consuming and expensive. A cheaper and simpler approach is to use immunology-based methods to screen vertebrate hosts for TBEV-specific antibodies and subsequently test the tick populations at locations with seropositive animals. The purpose of the present study was to use goats as sentinel animals to identify new risk areas for TBE in the canton of Valais in Switzerland. A total of 4114 individual goat sera were screened for TBEV-specific antibodies using immunological methods. According to our ELISA assay, 175 goat sera reacted strongly with TBEV antigen, resulting in a seroprevalence rate of 4.3%. The serum neutralization test confirmed that 70 of the 173 ELISA-positive sera had neutralizing antibodies against TBEV. Most of the 26 seropositive goat flocks were detected in the known risk areas in the canton of Valais, with some spread into the connecting valley of Saas and to the east of the town of Brig. One seropositive site was 60 km to the west of the known TBEV-endemic area. At two of the three locations where goats were seropositive, the local tick populations also tested positive for TBEV. The combined approach of screening vertebrate hosts for TBEV-specific antibodies followed by testing the local tick population for TBEV allowed us to detect two new TBEV foci in the canton of Valais. The present study showed that goats are useful sentinel animals for the detection of new TBEV risk areas.

Substantial Mortality of Cabbage Looper (Lepidoptera: Noctuidae) From Predators in Urban Agriculture Is not Influenced by Scale of Production or Variation in Local and Landscape-Level Factors.

PubMed

Lowenstein, David M; Gharehaghaji, Maryam; Wise, David H

2017-02-01

As Midwestern (United States) cities experience population decline, there is growing interest in converting underutilized vacant spaces to agricultural production. Urban agriculture varies in area and scope, yet most growers use similar cultivation practices such as avoiding chemical control of crop pests. For community gardens and farms that sell produce commercially, effective pest suppression by natural enemies is important for both societal, economic, and marketing reasons. To gauge the amount of prey suppression at 28 urban food-production sites, we measured removal of sentinel eggs and larvae of the cabbage looper Trichoplusia ni (Hubner), a caterpillar pest that defoliates Brassica. We investigated how landscape and local factors, such as scale of production, influence cabbage looper mortality caused by predators. Predators removed 50% of eggs and 25% of larvae over a 3-d period. Landscape factors did not predict mortality rates, and the amount of loss and damage to sentinel prey were similar across sites that differed in scale (residential gardens, community gardens, and farms). To confirm that removal of sentinel items was likely caused by natural enemies, we set up a laboratory assay that measured predation of cabbage looper eggs and larvae by several predators occurring in urban gardens. Lady beetles caused the highest mortality rates, suggesting their potential value for biocontrol; spiders and pirate bugs also consumed both eggs and larvae at high rates. Our results suggest that urban growers benefit from high consumption rates of cabbage looper eggs and larvae by arthropod predators. © The Authors 2016. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

"helix Nebula - the Science Cloud", a European Science Driven Cross-Domain Initiative Implemented in via AN Active Ppp Set-Up

NASA Astrophysics Data System (ADS)

Lengert, W.; Mondon, E.; Bégin, M. E.; Ferrer, M.; Vallois, F.; DelaMar, J.

2015-12-01

Helix Nebula, a European science cross-domain initiative building on an active PPP, is aiming to implement the concept of an open science commons[1] while using a cloud hybrid model[2] as the proposed implementation solution. This approach allows leveraging and merging of complementary data intensive Earth Science disciplines (e.g. instrumentation[3] and modeling), without introducing significant changes in the contributors' operational set-up. Considering the seamless integration with life-science (e.g. EMBL), scientific exploitation of meteorological, climate, and Earth Observation data and models open an enormous potential for new big data science. The work of Helix Nebula has shown that is it feasible to interoperate publicly funded infrastructures, such as EGI [5] and GEANT [6], with commercial cloud services. Such hybrid systems are in the interest of the existing users of publicly funded infrastructures and funding agencies because they will provide "freedom and choice" over the type of computing resources to be consumed and the manner in which they can be obtained. But to offer such freedom and choice across a spectrum of suppliers, various issues such as intellectual property, legal responsibility, service quality agreements and related issues need to be addressed. Finding solutions to these issues is one of the goals of the Helix Nebula initiative. [1] http://www.egi.eu/news-and-media/publications/OpenScienceCommons_v3.pdf [2] http://www.helix-nebula.eu/events/towards-the-european-open-science-cloud [3] e.g. https://sentinel.esa.int/web/sentinel/sentinel-data-access [5] http://www.egi.eu/ [6] http://www.geant.net/

Leveraging hospital big data to monitor flu epidemics.

PubMed

Bouzillé, Guillaume; Poirier, Canelle; Campillo-Gimenez, Boris; Aubert, Marie-Laure; Chabot, Mélanie; Chazard, Emmanuel; Lavenu, Audrey; Cuggia, Marc

2018-02-01

Influenza epidemics are a major public health concern and require a costly and time-consuming surveillance system at different geographical scales. The main challenge is being able to predict epidemics. Besides traditional surveillance systems, such as the French Sentinel network, several studies proposed prediction models based on internet-user activity. Here, we assessed the potential of hospital big data to monitor influenza epidemics. We used the clinical data warehouse of the Academic Hospital of Rennes (France) and then built different queries to retrieve relevant information from electronic health records to gather weekly influenza-like illness activity. We found that the query most highly correlated with Sentinel network estimates was based on emergency reports concerning discharged patients with a final diagnosis of influenza (Pearson's correlation coefficient (PCC) of 0.931). The other tested queries were based on structured data (ICD-10 codes of influenza in Diagnosis-related Groups, and influenza PCR tests) and performed best (PCC of 0.981 and 0.953, respectively) during the flu season 2014-15. This suggests that both ICD-10 codes and PCR results are associated with severe epidemics. Finally, our approach allowed us to obtain additional patients' characteristics, such as the sex ratio or age groups, comparable with those from the Sentinel network. Conclusions: Hospital big data seem to have a great potential for monitoring influenza epidemics in near real-time. Such a method could constitute a complementary tool to standard surveillance systems by providing additional characteristics on the concerned population or by providing information earlier. This system could also be easily extended to other diseases with possible activity changes. Additional work is needed to assess the real efficacy of predictive models based on hospital big data to predict flu epidemics. Copyright © 2017 Elsevier B.V. All rights reserved.

U.S. domestic cats as sentinels for perfluoroalkyl substances: Possible linkages with housing, obesity, and disease.

PubMed

Bost, Phillip C; Strynar, Mark J; Reiner, Jessica L; Zweigenbaum, Jerry A; Secoura, Patricia L; Lindstrom, Andrew B; Dye, Janice A

2016-11-01

Perfluoroalkyl substances (PFAS), such as perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA), are persistent, globally distributed, anthropogenic compounds. The primary source(s) for human exposure are not well understood although within home exposure is likely important since many consumer products have been treated with different PFAS, and people spend much of their lives indoors. Herein, domestic cats were used as sentinels to investigate potential exposure and health linkages. PFAS in serum samples of 72 pet and feral cats, including 11 healthy and 61 with one or more primary disease diagnoses, were quantitated using high-resolution time-of-flight mass spectroscopy. All but one sample had detectable PFAS, with PFOS and perfluorohexane sulfonate (PFHxS) ranging from

Oral health sentinel-based surveillance: a pilot study on dentinal hypersensitivity pain.

PubMed

Guerra, F; Corridore, D; Cocco, F; Arrica, M; Rinaldo, F; Mazur, M; Sanavia, C; Nardi, G M; Campus, G; Ottolenghi, L

2017-01-01

Aim of the study is to assess the development of a structured sentinel system for oral health data collection at national level. Furthermore, this pilot study aims to investigate the prevalence data on dentinal sensitivity pain collected through a nationwide network of epidemiological sentinels (dental hygienists). Each sentinel was given a specific number of examinees and periodicity of data collection. Overall, 116 adults were recruited from 19 Regions, 42,24% male and 57,76% female, with a mean age of 26. DH result was consistent with literature data, being 45%. All sentinel completed the standard forms and assured a good compliance. The overall good customer satisfaction assures adhesion of the sentinels to the procedure, and the regular data collection. The pilot study proved the effectiveness of a structured nationwide network of epidemiological sentinels (dental hygienists) for oral health data collection at national level. This methodology can be an essential starting point for periodic comparative studies.

Sentinel-5: the new generation European operational atmospheric chemistry mission in polar orbit

NASA Astrophysics Data System (ADS)

Pérez Albiñana, Abelardo; Erdmann, Matthias; Wright, Norrie; Martin, Didier; Melf, Markus; Bartsch, Peter; Seefelder, Wolfgang

2017-08-01

Sentinel-5 is an Earth Observation instrument to be flown on the Metop Second Generation (Metop-SG) satellites with the fundamental objective of monitoring atmospheric composition from polar orbit. The Sentinel-5 instrument consists of five spectrometers to measure the solar spectral radiance backscattered by the earth atmosphere in five bands within the UV (270nm) to SWIR (2385nm) spectral range. Data provided by Sentinel-5 will allow obtaining the distribution of important atmospheric constituents such as ozone, on a global daily basis and at a finer spatial resolution than its precursor instruments on the first generation of Metop satellites. The launch of the first Metop-SG satellite is foreseen for 2021. The Sentinel-5 instrument is being developed by Airbus DS under contract to the European Space Agency. The Sentinel-5 mission is part of the Space Component of the Copernicus programme, a joint initiative by ESA, EUMETSAT and the European Commission. The Preliminary Design Review (PDR) for the Sentinel-5 development was successfully completed in 2015. This paper provides a description of the Sentinel-5 instrument design and data calibration.

Sentinel-2 mission status

NASA Astrophysics Data System (ADS)

Hoersch, Bianca

2017-04-01

The SENTINEL-2 mission is the European Multispectral Imaging Mission for the Copernicus joint initiative of the European Commission (EC) and the European Space Agency (ESA). The SENTINEL-2 mission includes 13-spectral band multispectral optical imager with different resolution (down to 10 m) and a swath width of 290km. It provides very short revisit times and rapid product delivery. The mission is composed of a constellation of two satellite units, SENTINEL-2A and SENTINEL-2B, sharing the same orbital plane and featuring a short repeat cycle of 5 days at the equator optimized to mitigate the impact of clouds for science and applications. SENTINEL-2 enables exploitation for a variety of land and coastal applications such as agriculture, forestry, land cover and land cover change, urban mapping, emergency, as well as inland water, ice, glaciers and also coastal zone and closed seas applications. Following the launch of the Sentinel-2A in June 2015 and successful operations and data delivery since December 2015, the Sentinel-2B satellite is set for launch in March 2017. The full operation capacity is foreseen after the in-orbit commissioning phase of the Sentinel-2B unit in early summer 2017. The objective of the talk is to provide information about the mission status, and the way to achieve full operational capacity with 2 satellites.

Sentinel Node Mapping Using a Fluorescent Dye and Visible Light During Laparoscopic Gastrectomy for Early Gastric Cancer: Result of a Prospective Study From a Single Institute.

PubMed

Lee, Chang Min; Park, Sungsoo; Park, Seong-Heum; Jung, Sung Woo; Choe, Jung Wan; Sul, Ji-Young; Jang, You Jin; Mok, Young-Jae; Kim, Jong-Han

2017-04-01

The aim of this study was to investigate the feasibility of sentinel node mapping using a fluorescent dye and visible light in patients with gastric cancer. Recently, fluorescent imaging technology offers improved visibility with the possibility of better sensitivity or accuracy in sentinel node mapping. Twenty patients with early gastric cancer, for whom laparoscopic distal gastrectomy with standard lymphadenectomy had been planned, were enrolled in this study. Before lymphadenectomy, the patients received a gastrofiberoscopic peritumoral injection of fluorescein solution. The sentinel basin was investigated via laparoscopic fluorescent imaging under blue light (wavelength of 440-490 nm) emitted from an LED curing light. The detection rate and lymph node status were analyzed in the enrolled patients. In addition, short-term clinical outcomes were also investigated. No hypersensitivity to the dye was identified in any enrolled patients. Sentinel nodes were detected in 19 of 20 enrolled patients (95.0%), and metastatic lymph nodes were found in 2 patients. The latter lymph nodes belonged to the sentinel basin of each patient. Meanwhile, 1 patient (5.0%) experienced a postoperative complication that was unrelated to sentinel node mapping. No mortality was recorded among enrolled cases. Sentinel node mapping with visible light fluorescence was a feasible method for visualizing sentinel nodes in patients with early gastric cancer. In addition, this method is advantageous in terms of visualizing the concrete relationship between the sentinel nodes and surrounding structures.

Improvement of the sentinel lymph node detection rate of cervical sentinel lymph node biopsy using real-time fluorescence navigation with indocyanine green in head and neck skin cancer.

PubMed

Nakamura, Yasuhiro; Fujisawa, Yasuhiro; Nakamura, Yoshiyuki; Maruyama, Hiroshi; Furuta, Jun-ichi; Kawachi, Yasuhiro; Otsuka, Fujio

2013-06-01

The standard technique using lymphoscintigraphy, blue dye and a gamma probe has established a reliable method for sentinel node biopsy for skin cancer. However, the detection rate of cervical sentinel lymph nodes (SLN) is generally lower than that of inguinal or axillary SLN because of the complexity of lymphatic drainage in the head and neck region and the "shine-through" phenomenon. Recently, indocyanine green fluorescence imaging has been reported as a new method to detect SLN. We hypothesized that fluorescence navigation with indocyanine green in combination with the standard technique would improve the detection rate of cervical sentinel nodes. We performed cervical sentinel node biopsies using the standard technique in 20 basins of 18 patients (group A) and using fluorescence navigation in combination with the standard technique in 12 basins of 16 patients (group B). The mean number of sentinel nodes was two per basin (range, 1-4) in group A and three per basin (range, 1-5) in group B. The detection rate of sentinel nodes was 83% (29/35) in group A and 95% (36/38) in group B. The false-negative rate was 6% (1/18 patients) in group A and 0% in group B. Fluorescence navigation with indocyanine green may improve the cervical sentinel node detection rate. However, greater collection of data regarding the usefulness of cervical sentinel node biopsy using indocyanine green is necessary. © 2013 Japanese Dermatological Association.

The Copernicus Sentinel 4 mission: a geostationary imaging UVN spectrometer for air quality monitoring

NASA Astrophysics Data System (ADS)

Bazalgette Courrèges-Lacoste, G.; Sallusti, M.; Bulsa, G.; Bagnasco, G.; Veihelmann, Ben; Riedl, S.; Smith, D. J.; Maurer, R.

2017-09-01

Sentinel-4 is an imaging UVN (UV-VIS-NIR) spectrometer, developed by Airbus Defence and Space under ESA contract in the frame of the joint EU/ESA COPERNICUS program. The mission objective is the operational monitoring of trace gas concentrations for atmospheric chemistry and climate applications - hence the motto of Sentinel-4 "Knowing what we breathe". Sentinel-4 will provide accurate measurements of key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, methane, and aerosol properties over Europe and adjacent regions from a geostationary orbit (see Fig. 1). In the family of already flown UVN spectrometers (SCIAMACHY, OMI, GOME and GOME 2) and of those spectrometers currently under development (Sentinel-5p and Sentinel-5), Sentinel-4 is unique in being the first geostationary UVN mission. Furthermore, thanks to its 60-minutes repeat cycle measurements and high spatial resolution (8x8 km2), Sentinel-4 will increase the frequency of cloud-free observations, which is necessary to assess troposphere variability. Two identical Sentinel-4 instruments (PFM and FM-2) will be embarked, as Customer Furnished Item (CFI), fully verified, qualified and calibrated respectively onto two EUMETSAT satellites: Meteosat Third Generation-Sounder 1 and 2 (MTG-S1 and MTG-S2), whose Flight Acceptance Reviews are presently planned respectively in Q4 2021 and Q1 2030. This paper gives an overview of the Sentinel-4 system1 architecture, its design and development status, current performances and the key technological challenges.

Sentinel node biopsy before neoadjuvant chemotherapy spares breast cancer patients axillary lymph node dissection.

PubMed

van Rijk, Maartje C; Nieweg, Omgo E; Rutgers, Emiel J T; Oldenburg, Hester S A; Olmos, Renato Valdés; Hoefnagel, Cornelis A; Kroon, Bin B R

2006-04-01

Neoadjuvant chemotherapy in breast cancer patients is a valuable method to determine the efficacy of chemotherapy and potentially downsize the primary tumor, which facilitates breast-conserving therapy. In 18 studies published about sentinel node biopsy after neoadjuvant chemotherapy, the sentinel node was identified in on average 89%, and the false-negative rate was on average 10%. Because of these mediocre results, no author dares to omit axillary clearance just yet. In our institute, sentinel lymph node biopsy is performed before neoadjuvant chemotherapy. The aim of this study was to evaluate our experience with this approach. Sentinel node biopsy was performed before neoadjuvant chemotherapy in 25 T2N0 patients by using lymphoscintigraphy, a gamma ray detection probe, and patent blue dye. Axillary lymph node dissection was performed after chemotherapy if the sentinel node contained metastases. Ten patients had a tumor-positive axillary sentinel node, and one patient had an involved lateral intramammary node. Four patients had additional involved nodes in the completion lymph node dissection specimen. The other 14 patients (56%) had a tumor-negative sentinel node and did not undergo axillary lymph node dissection. No recurrences have been observed after a median follow-up of 18 months. Fourteen (56%) of the 25 patients were spared axillary lymph node dissection when the sentinel node was found to be disease free. Performing sentinel node biopsy before neoadjuvant chemotherapy seems successful and reliable in patients with T2N0 breast cancer.

Sentinel node localization in oral cavity and oropharynx squamous cell cancer.

PubMed

Taylor, R J; Wahl, R L; Sharma, P K; Bradford, C R; Terrell, J E; Teknos, T N; Heard, E M; Wolf, G T; Chepeha, D B

2001-08-01

To evaluate the feasibility and predictive ability of the sentinel node localization technique for patients with squamous cell carcinoma of the oral cavity or oropharynx and clinically negative necks. Prospective, efficacy study comparing the histopathologic status of the sentinel node with that of the remaining neck dissection specimen. Tertiary referral center. Patients with T1 or T2 disease and clinically negative necks were eligible for the study. Nine previously untreated patients with oral cavity or oropharyngeal squamous cell carcinoma were enrolled in the study. Unfiltered technetium Tc 99m sulfur colloid injections of the primary tumor and lymphoscintigraphy were performed on the day before surgery. Intraoperatively, the sentinel node(s) was localized with a gamma probe and removed after tumor resection and before neck dissection. The primary outcome was the negative predictive value of the histopathologic status of the sentinel node for predicting cervical metastases. Sentinel nodes were identified in 9 previously untreated patients. In 5 patients, there were no positive nodes. In 4 patients, the sentinel nodes were the only histopathologically positive nodes. In previously untreated patients, the sentinel node technique had a negative predictive value of 100% for cervical metastasis. Our preliminary investigation shows that sentinel node localization is technically feasible in head and neck surgery and is predictive of cervical metastasis. The sentinel node technique has the potential to decrease the number of neck dissections performed in clinically negative necks, thus reducing the associated morbidity for patients in this group.

Sentinel Node Biopsy for the Head and Neck Using Contrast-Enhanced Ultrasonography Combined with Indocyanine Green Fluorescence in Animal Models: A Feasibility Study.

PubMed

Kogashiwa, Yasunao; Sakurai, Hiroyuki; Akimoto, Yoshihiro; Sato, Dai; Ikeda, Tetsuya; Matsumoto, Yoshifumi; Moro, Yorihisa; Kimura, Toru; Hamanoue, Yasuhiro; Nakamura, Takehiro; Yamauchi, Koichi; Saito, Koichiro; Sugasawa, Masashi; Kohno, Naoyuki

2015-01-01

Sentinel node navigation surgery is gaining popularity in oral cancer. We assessed application of sentinel lymph node navigation surgery to pharyngeal and laryngeal cancers by evaluating the combination of contrast-enhanced ultrasonography and indocyanine green fluorescence in animal models. This was a prospective, nonrandomized, experimental study in rabbit and swine animal models. A mixture of indocyanine green and Sonazoid was used as the tracer. The tracer mixture was injected into the tongue, larynx, or pharynx. The sentinel lymph nodes were identified transcutaneously by infra-red camera and contrast-enhanced ultrasonography. Detection time and extraction time of the sentinel lymph nodes were measured. The safety of the tracer mixture in terms of mucosal reaction was evaluated macroscopically and microscopically. Sentinel lymph nodes were detected transcutaneously by contrast-enhanced ultrasonography alone. The number of sentinel lymph nodes detected was one or two. Despite observation of contrast enhancement of Sonazoid for at least 90 minutes, the number of sentinel lymph nodes detected did not change. The average extraction time of sentinel lymph nodes was 4.8 minutes. Indocyanine green fluorescence offered visual information during lymph node biopsy. The safety of the tracer was confirmed by absence of laryngeal edema both macro and microscopically. The combination method of indocyanine green fluorescence and contrast-enhanced ultrasonography for detecting sentinel lymph nodes during surgery for head and neck cancer seems promising, especially for pharyngeal and laryngeal cancer. Further clinical studies to confirm this are warranted.

Sentinel events predicting later unwanted sex among girls: A national survey in Haiti, 2012.

PubMed

Sumner, Steven A; Marcelin, Louis H; Cela, Toni; Mercy, James A; Lea, Veronica; Kress, Howard; Hillis, Susan D

2015-12-01

Sexual violence against children is a significant global public health problem, yet limited studies exist from low-resource settings. In Haiti we conducted the country's first, nationally representative survey focused on childhood violence to help inform the development of a national action plan for violence against children. The Haiti Violence Against Children Survey was a household-level, multistage, cluster survey among youth age 13-24. In this analysis we sought to determine whether sexual violence sentinel events (unwanted sexual touching or unwanted attempted sex) were predictive of later unwanted, completed, penetrative sex in Haiti. We also sought to explore characteristics of sentinel events and help-seeking behavior among Haitian children. Multivariable logistic regression was used to test associations between sentinel events and later unwanted, completed, penetrative sex. Overall, 1,457 females reported on experiences of sexual violence occurring in childhood (before age 18). A sentinel event occurred in 40.4% of females who experienced subsequent unwanted completed sex. Females experiencing a sentinel event were approximately two and a half times more likely to experience later unwanted completed sex (adjusted odds ratio=2.40, p=.004) compared to individuals who did not experience a sentinel event. The mean lag time from first sentinel event to first unwanted completed sex was 2.3 years. Only half (54.6%) of children experiencing a sentinel event told someone about their experience of sexual violence. Among children, sentinel events occur frequently before later acts of completed unwanted sex and may represent a useful point of intervention. Reporting of sexual violence by children in Haiti is low and can be improved to better act on sentinel events. Published by Elsevier Ltd.

Impact of false-negative sentinel lymph node biopsy on survival in patients with cutaneous melanoma.

PubMed

Caracò, C; Marone, U; Celentano, E; Botti, G; Mozzillo, N

2007-09-01

Sentinel lymph node biopsy is widely accepted as standard care in melanoma despite lack of pertinent randomized trials results. A possible pitfall of this procedure is the inaccurate identification of the sentinel lymph node leading to biopsy and analysis of a nonsentinel node. Such a technical failure may yield a different prognosis. The purpose of this study is to analyze the incidence of false negativity and its impact on clinical outcome and to try to understand its causes. The Melanoma Data Base at National Cancer Institute of Naples was analyzed comparing results between false-negative and tumor-positive sentinel node patients focusing on overall survival and prognostic factors influencing the clinical outcome. One hundred fifty-one cases were diagnosed to be tumor-positive after sentinel lymph node biopsy and were subjected to complete lymph node dissection. Thirty-four (18.4%)patients with tumor-negative sentinel node subsequently developed lymph node metastases in the basin site of the sentinel procedure. With a median follow-up of 42.8 months the 5-year overall survival was 48.4% and 66.3% for false-negative and tumor-positive group respectively with significant statistical differences (P < .03). The sensitivity of sentinel lymph node biopsy was 81.6%, and a regional nodal basin recurrence after negative-sentinel node biopsy means a worse prognosis, compared with patients submitted to complete lymph node dissection after a positive sentinel biopsy. The evidence of higher number of tumor-positive nodes after delayed lymphadenectomy in false-negative group compared with tumor-positive sentinel node cases, confirmed the importance of an early staging of lymph nodal involvement. Further data will better clarify the role of prognostic factors to identify cases with a more aggressive biological behavior of the disease.

Lymphatic Drainage from Renal Tumors In Vivo: A Prospective Sentinel Node Study Using SPECT/CT Imaging.

PubMed

Kuusk, Teele; De Bruijn, Roderick; Brouwer, Oscar R; De Jong, Jeroen; Donswijk, Maarten; Grivas, Nikolaos; Hendricksen, Kees; Horenblas, Simon; Prevoo, Warner; Valdés Olmos, Renato A; Van Der Poel, Henk G; Van Rhijn, Bas W G; Wit, Esther M; Bex, Axel

2018-06-01

Lymphatic drainage from renal tumors is unpredictable. In vivo drainage studies of primary lymphatic landing sites may reveal the variability and dynamics of lymphatic connections. The purpose of this study was to investigate the lymphatic drainage pattern of renal tumors in vivo with single photon emission/computerized tomography after intratumor radiotracer injection. We performed a phase II, prospective, single arm study to investigate the distribution of sentinel nodes from renal tumors on single photon emission/computerized tomography. Patients with cT1-3 (less than 10 cm) cN0M0 renal tumors of any subtype were enrolled in analysis. After intratumor ultrasound guided injection of 0.4 ml 99m Tc-nanocolloid we performed preoperative imaging of sentinel nodes with lymphoscintigraphy and single photon emission/computerized tomography. Sentinel and locoregional nonsentinel nodes were resected with a γ probe combined with a mobile γ camera. The primary study end point was the location of sentinel nodes outside the locoregional retroperitoneal templates on single photon emission/computerized tomography. Using a Simon minimax 2-stage design to detect a 25% extralocoregional retroperitoneal template location of sentinel nodes on imaging at α = 0.05 and 80% power at least 40 patients with sentinel node imaging on single photon emission/computerized tomography were needed. Of the 68 patients 40 underwent preoperative single photon emission/computerized tomography of sentinel nodes and were included in primary end point analysis. Lymphatic drainage outside the locoregional retroperitoneal templates was observed in 14 patients (35%). Eight patients (20%) had supradiaphragmatic sentinel nodes. Sentinel nodes from renal tumors were mainly located in the respective locoregional retroperitoneal templates. Simultaneous sentinel nodes were located outside the suggested lymph node dissection templates, including supradiaphragmatic sentinel nodes in more than a third of the patients. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Household Products Database: Personal Care

MedlinePlus

... Names Types of Products Manufacturers Ingredients About the Database FAQ Product Recalls Help Glossary Contact Us More ... holders. Information is extracted from Consumer Product Information Database ©2001-2018 by DeLima Associates. All rights reserved. ...

Household Products Database: Pesticides

MedlinePlus

... Names Types of Products Manufacturers Ingredients About the Database FAQ Product Recalls Help Glossary Contact Us More ... holders. Information is extracted from Consumer Product Information Database ©2001-2018 by DeLima Associates. All rights reserved. ...

The impact of superficial injections of radiocolloids and dynamic lymphoscintigraphy on sentinel node identification in oral cavity cancer: a same-day protocol.

PubMed

Tartaglione, Girolamo; Vigili, Maurizio G; Rahimi, Siavash; Celebrini, Alessandra; Pagan, Marco; Lauro, Luigi; Al-Nahhas, Adil; Rubello, Domenico

2008-04-01

To evaluate the role of dynamic lymphoscintigraphy with a same-day protocol for sentinel node biopsy in oral cavity cancer. Twenty-two consecutive patients affected by cT1-2N0 squamous cell carcinoma of the oral cavity were enrolled between September 2001 and November 2005. After a local anaesthetic (10% lidocaine spray), a dose of 30-50 MBq of Tc human serum albumin nanocolloid, in ml saline, was injected superficially (1-2 mm subendothelial injection) into four points around the lesion. Dynamic lymphoscintigraphy was acquired immediately (256x256 matrix, 5 min pre-set time, LEGP collimator) in lateral and anterior projections. The imaging was prolonged until the lymph nodes of at least two neck levels were visualized (time required min). About 3 h later (same-day protocol) the patients had a radioguided sentinel node biopsy. Elective neck dissection was performed in the first 13 patients; whereas the last nine patients had elective neck dissection only if the sentinel node was positive. Sentinel nodes were dissected into 1 mm thick block sections and studied by haematoxylin & eosin staining and immunohistochemistry (anticytokeratin antibody). The sentinel nodes were found on the 1st neck level in 13 cases, on the 2nd neck level in eight cases, and on the 3rd neck level in one case (100% sensitivity). The average number of sentinel nodes was 2.2 for each patient. The sentinel node was positive in eight patients (36%); with six of them having the sentinel node as the exclusive site of metastasis. No skip metastases were found in the 14 patients with negative sentinel node (100% specificity). Our preliminary data indicate that superficial injections of radiocolloid and dynamic lymphoscintigraphy provide a high success rate in sentinel node identification in oral cavity cancers. Dynamic lymphoscintigraphy helps in distinguishing sentinel node from second-tier lymph nodes. The same-day protocol is advisable in order to correctly identify the first sentinel node, avoiding multiple and unnecessary node biopsies, without reducing sensitivity.

Copernicus POD Service: Orbit Determination of the Sentinel Satellites

NASA Astrophysics Data System (ADS)

Peter, Heike; Fernández, Jaime; Ayuga, Francisco; Féménias, Pierre

2016-04-01

The Copernicus POD (Precise Orbit Determination) Service is part of the Copernicus Processing Data Ground Segment (PDGS) of the Sentinel-1, -2 and -3 missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS. Sentinel-1A was launched in April 2014 while Sentinel-2A was on June 2015 and both are routinely operated since then. Sentinel-3A is expected to be launched in February 2016 and Sentinel-1B is planned for spring 2016. Thus the CPOD Service will be operating three to four satellites simultaneously in spring 2016. The satellites of the Sentinel-1, -2, and -3 missions are all equipped with dual frequency high precision GPS receivers delivering the main observables for POD. Sentinel-3 satellites will additionally be equipped with a laser retro reflector for Satellite Laser Ranging and a receiver for DORIS tracking. All three types of observables (GPS, SLR and DORIS) will be used routinely for POD. The POD core of the CPOD Service is NAPEOS (Navigation Package for Earth Orbiting Satellites) the leading ESA/ESOC software for precise orbit determination. The careful selection of models and inputs is important to achieve the different but very demanding requirements in terms of orbital accuracy and timeliness for the Sentinel -1, -2 & -3 missions. The three missions require orbital products with various latencies from 30 minutes up to 20-30 days. The accuracy requirements are also different and partly very challenging, targeting 5 cm in 3D for Sentinel-1 and 2-3 cm in radial direction for Sentinel-3. Although the characteristics and the requirements are different for the three missions the same core POD setup is used to the largest extent possible. This strategy facilitates maintenance of the complex system of the CPOD Service. Updates in the dynamical modelling of the satellite orbits, e.g. improvements of the box-wing models, have been done to deliver best possible orbit solutions for the satellite. Quality control of the CPOD orbits is done by validating them with independent orbit solutions provided by the Copernicus POD Quality Working Group. The cross-comparison of orbit solutions from different institutions is essential to monitor and to improve the orbit accuracy because for Sentinel-1 and -2 this is the only possibility to externally assess the quality of the orbits. Sentinel-3 orbits may additionally be validated by using SLR and DORIS observations. This paper presents the Copernicus POD Service in terms of operations and orbital accuracy achieved by the different orbit products of the different missions. For Sentinel-1 and Sentinel-2, this paper presents the impact of the box-wing models. For Sentinel-3, the orbital accuracy will be assessed using the very first data after launch.

76 FR 22038 - Revision to the South Coast Portion of the California State Implementation Plan, CPV Sentinel...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-20

... California SIP. This source-specific SIP revision is known as the CPV Sentinel Energy Project AB 1318... list of those emissions credits. The Sentinel Energy Project is a source that is not authorized to... District to transfer certain emissions credits to one stationary source, the Sentinel Energy Project. The...

Proposed concept and preliminary design for the sentinel-5 UVNs spectrometer

NASA Astrophysics Data System (ADS)

Windpassinger, R.; Schubert, J.; Kampf, D.

2017-11-01

Sentinel-5 is an atmospheric monitoring mission within the European Copernicus programme, formerly GMES (Global Monitoring for Environment and Security). Its main objective is trace-gas and aerosol optical depth measurements for air quality and climate monitoring and forecast with daily global coverage. Constituents of interest are O3, SO2, HCHO (formaldehyde), BrO, NO2, CHCHO (glyoxal), O2, CH4 (methane), and CO. Sentinel-5 will complement the Sentinel-4 GEO data over Europe. Both Sentinel-4 and -5 are intended to start operation in 2020.

78 FR 39290 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-01

... project, known as the ``National Mortgage Database,'' which is a joint effort of FHFA and the Consumer... a database of timely and otherwise unavailable residential mortgage market information to be made... Mortgage Database. The key purpose of the National Mortgage Database is to make accessible accurate...

Sensitivity and specificity of indocyanine green near-infrared fluorescence imaging in detection of metastatic lymph nodes in colorectal cancer: Systematic review and meta-analysis.

PubMed

Emile, Sameh H; Elfeki, Hossam; Shalaby, Mostafa; Sakr, Ahmad; Sileri, Pierpaolo; Laurberg, Søren; Wexner, Steven D

2017-11-01

This review aimed to determine the overall sensitivity and specificity of indocyanine green (ICG) near-infrared (NIR) fluorescence in sentinel lymph node (SLN) detection in Colorectal cancer (CRC). A systematic search in electronic databases was conducted. Twelve studies including 248 patients were reviewed. The median sensitivity, specificity, and accuracy rates were 73.7, 100, and 75.7. The pooled sensitivity and specificity rates were 71% and 84.6%. In conclusion, ICG-NIR fluorescence is a promising technique for detecting SLNs in CRC. © 2017 Wiley Periodicals, Inc.

Decline in Frozen Section Diagnosis for Axillary Sentinel Lymph Nodes as a Result of the American College of Surgeons Oncology Group Z0011 Trial.

PubMed

Bishop, Julie Anne; Sun, Jihong; Ajkay, Nicolas; Sanders, Mary Ann G

2016-08-01

-Results of the American College of Surgeons Oncology Group Z0011 trial showed that patients with early-stage breast cancer and limited sentinel node metastasis treated with breast conservation and systemic therapy did not benefit from axillary lymph node dissection. Subsequently, most pathology departments have likely seen a decrease in frozen section diagnosis of sentinel lymph nodes. -To determine the effect of the Z0011 trial on pathology practice and to examine the utility of intraoperative sentinel lymph node evaluation for this subset of patients. -Pathology reports from cases of primary breast cancer that met Z0011 clinical criteria and were initially treated with lumpectomy and sentinel lymph node biopsy from 2009 to 2015 were collected. Clinicopathologic data were recorded. -Sentinel lymph node biopsies sent for frozen section diagnosis occurred in 22 of 22 cases (100%) in 2009 and 15 of 22 cases (68%) in 2010 during the pre-Z0011 years, and in 3 of 151 cases (2%) collected in 2011 through 2015, considered to be post-Z0011 years. Of the 151 post-Z0011 cases, 28 (19%) had sentinel lymph nodes with metastasis, and 147 (97%) were spared axillary lymph node dissection. -Following Z0011, intraoperative sentinel lymph node evaluation has significantly decreased at our institution. Prior to surgery, all patients had clinically node-negative disease. After sentinel lymph node evaluation, 97% (147 of 151) of the patients were spared axillary lymph node dissection. Therefore, routine frozen section diagnosis for sentinel lymph node biopsies can be avoided in these patients.

INDIRECT COMPUTED TOMOGRAPHIC LYMPHOGRAPHY FOR ILIOSACRAL LYMPHATIC MAPPING IN A COHORT OF DOGS WITH ANAL SAC GLAND ADENOCARCINOMA: TECHNIQUE DESCRIPTION.

PubMed

Majeski, Stephanie A; Steffey, Michele A; Fuller, Mark; Hunt, Geraldine B; Mayhew, Philipp D; Pollard, Rachel E

2017-05-01

Sentinel lymph node mapping can help to direct surgical oncologic staging and metastatic disease detection in patients with complex lymphatic pathways. We hypothesized that indirect computed tomographic lymphography (ICTL) with a water-soluble iodinated contrast agent would successfully map lymphatic pathways of the iliosacral lymphatic center in dogs with anal sac gland carcinoma, providing a potential preoperative method for iliosacral sentinel lymph node identification in dogs. Thirteen adult dogs diagnosed with anal sac gland carcinoma were enrolled in this prospective, pilot study, and ICTL was performed via peritumoral contrast injection with serial caudal abdominal computed tomography scans for iliosacral sentinel lymph node identification. Technical and descriptive details for ICTL were recorded, including patient positioning, total contrast injection volume, timing of contrast visualization, and sentinel lymph nodes and lymphatic pathways identified. Indirect CT lymphography identified lymphatic pathways and sentinel lymph nodes in 12/13 cases (92%). Identified sentinel lymph nodes were ipsilateral to the anal sac gland carcinoma in 8/12 and contralateral to the anal sac gland carcinoma in 4/12 cases. Sacral, internal iliac, and medial iliac lymph nodes were identified as sentinel lymph nodes, and patterns were widely variable. Patient positioning and timing of imaging may impact successful sentinel lymph node identification. Positioning in supported sternal recumbency is recommended. Results indicate that ICTL may be a feasible technique for sentinel lymph node identification in dogs with anal sac gland carcinoma and offer preliminary data to drive further investigation of iliosacral lymphatic metastatic patterns using ICTL and sentinel lymph node biopsy. © 2017 American College of Veterinary Radiology.

Sentinel lymph node biopsy in endometrial cancer-Feasibility, safety and lymphatic complications.

PubMed

Geppert, Barbara; Lönnerfors, Céline; Bollino, Michele; Persson, Jan

2018-03-01

To compare the rate of lymphatic complications in women with endometrial cancer undergoing sentinel lymph node biopsy versus a full pelvic and infrarenal paraaortic lymphadenectomy, and to examine the overall feasibility and safety of the former. A prospective study of 188 patients with endometrial cancer planned for robotic surgery. Indocyanine green was used to identify the sentinel lymph nodes. In low-risk patients the lymphadenectomy was restricted to removal of sentinel lymph nodes whereas in high-risk patients also a full lymphadenectomy was performed. The impact of the extent of the lymphadenectomy on the rate of complications was evaluated. The bilateral detection rate of sentinel lymph nodes was 96% after cervical tracer injection. No intraoperative complication was associated with the sentinel lymph node biopsy per se. Compared with hysterectomy alone, the additional average operative time for removal of sentinel lymph nodes was 33min whereas 91min were saved compared with a full pelvic and paraaortic lymphadenectomy. Sentinel lymph node biopsy alone resulted in a lower incidence of leg lymphedema than infrarenal paraaortic and pelvic lymphadenectomy (1.3% vs 18.1%, p=0.0003). The high feasibility, the absence of intraoperative complications and the low risk of lymphatic complications supports implementing detection of sentinel lymph nodes in low-risk endometrial cancer patients. Given that available preliminary data on sensitivity and false negative rates in high-risk patients are confirmed in further studies, we also believe that the reduction in lymphatic complications and operative time strongly motivates the sentinel lymph node concept in high-risk endometrial cancer. Copyright © 2017. Published by Elsevier Inc.

Automatic Sub-Pixel Co-Registration of LandSat-8 OLI and Sentinel-2A MSI Images Using Phase Correlation and Machine Learning Based Mapping

NASA Technical Reports Server (NTRS)

Skakun, Sergii; Roger, Jean-Claude; Vermote, Eric F.; Masek, Jeffrey G.; Justice, Christopher O.

2017-01-01

This study investigates misregistration issues between Landsat-8/OLI and Sentinel-2A/MSI at 30 m resolution, and between multi-temporal Sentinel-2A images at 10 m resolution using a phase correlation approach and multiple transformation functions. Co-registration of 45 Landsat-8 to Sentinel-2A pairs and 37 Sentinel-2A to Sentinel-2A pairs were analyzed. Phase correlation proved to be a robust approach that allowed us to identify hundreds and thousands of control points on images acquired more than 100 days apart. Overall, misregistration of up to 1.6 pixels at 30 m resolution between Landsat-8 and Sentinel-2A images, and 1.2 pixels and 2.8 pixels at 10 m resolution between multi-temporal Sentinel-2A images from the same and different orbits, respectively, were observed. The non-linear Random Forest regression used for constructing the mapping function showed best results in terms of root mean square error (RMSE), yielding an average RMSE error of 0.07+/-0.02 pixels at 30 m resolution, and 0.09+/-0.05 and 0.15+/-0.06 pixels at 10 m resolution for the same and adjacent Sentinel-2A orbits, respectively, for multiple tiles and multiple conditions. A simpler 1st order polynomial function (affine transformation) yielded RMSE of 0.08+/-0.02 pixels at 30 m resolution and 0.12+/-0.06 (same Sentinel-2A orbits) and 0.20+/-0.09 (adjacent orbits) pixels at 10 m resolution.

Contrast-enhanced ultrasound mapping of sentinel lymph nodes in oral tongue cancer-a pilot study.

PubMed

Gvetadze, Shalva R; Xiong, Ping; Lv, Mingming; Li, Jun; Hu, Jingzhou; Ilkaev, Konstantin D; Yang, Xin; Sun, Jian

2017-03-01

To assess the usefulness of contrast-enhanced ultrasound (CEUS) with peritumoral injection of microbubble contrast agent for detecting the sentinel lymph nodes for oral tongue carcinoma. The study was carried out on 12 patients with T1-2cN0 oral tongue cancer. A radical resection of the primary disease was planned; a modified radical supraomohyoid neck dissection was reserved for patients with larger lesions (T2, n = 8). The treatment plan and execution were not influenced by sentinel node mapping outcome. The Sonovue ™ contrast agent (Bracco Imaging, Milan, Italy) was utilized. After detection, the position and radiologic features of the sentinel nodes were recorded. The identification rate of the sentinel nodes was 91.7%; one patient failed to demonstrate any enhanced areas. A total of 15 sentinel nodes were found in the rest of the 11 cases, with a mean of 1.4 nodes for each patient. The sentinel nodes were localized in: Level IA-1 (6.7%) node; Level IB-11 (73.3%) nodes; Level IIA-3 (20.0%) nodes. No contrast-related adverse effects were observed. For oral tongue tumours, CEUS is a feasible and potentially widely available approach of sentinel node mapping. Further clinical research is required to establish the position of CEUS detection of the sentinel nodes in oral cavity cancers.

The Sentinel 4 focal plane subsystem

NASA Astrophysics Data System (ADS)

Hohn, Rüdiger; Skegg, Michael P.; Hermsen, Markus; Hinger, Jürgen; Williges, Christian; Reulke, Ralf

2017-09-01

The Sentinel 4 instrument is an imaging spectrometer, developed by Airbus under ESA contract in the frame of the joint European Union (EU)/ESA COPERNICUS program with the objective of monitoring trace gas concentrations. Sentinel 4 will provide accurate measurements of key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, formaldehyde, as well as aerosol and cloud properties. Sentinel 4 is unique in being the first geostationary UVN mission. The SENTINEL 4 space segment will be integrated on EUMETSAT's Meteosat Third Generation Sounder satellite (MTG-S). Sentinel 4 will provide coverage of Europe and adjacent regions. The Sentinel 4 instrument comprises as a major element two Focal Plane Subsystems (FPS) covering the wavelength ranges 305 nm to 500 nm (UVVIS) and 750 nm to 775 nm (NIR) respectively. The paper describes the Focal Plane Subsystems, comprising the detectors, the optical bench and the control electronics. Further the design and development approach will be presented as well as first measurement results of FPS Qualification Model.

Contribution of the new satellites (Sentinel-1, Sentinel-2 and SPOT-6) to the coastal vegetation monitoring in the Pays de Brest (France)

NASA Astrophysics Data System (ADS)

Talab-Ou-Ali, Halima; Niculescu, Simona; Sellin, Vanessa; Bougault, Christophe

2017-10-01

This paper presents a methodology for monitoring vegetation in the Pays de Brest using new series of Sentinel-1 satellite images combining with Sentinel-2 and SPOT-6. This work consists of establishing an interferogram method of the main types of vegetation in order to achieve the coherence of a multi-temporal Sentinel-1 radar image series, in SLC format (C band, VV and VH polarization), between 2015 and 2016. We then proceed to calculating the radar backscatter coefficient based on Sentinel 1 images in GRD format. Multi-date and multipolarized color compositions will be made to detect changes. It also shows the importance of data synergy to obtain an excellent accuracy using Random Forest classification.

A prospective investigation of fluorescence imaging to detect sentinel lymph nodes at robotic-assisted endometrial cancer staging.

PubMed

Paley, Pamela J; Veljovich, Dan S; Press, Joshua Z; Isacson, Christina; Pizer, Ellen; Shah, Chirag

2016-07-01

The accuracy of sentinel lymph node mapping has been shown in endometrial cancer, but studies to date have primarily focused on cohorts at low risk for nodal involvement. In our practice, we acknowledge the lack of benefit of lymphadenectomy in the low-risk subgroup and omit lymph node removal in these patients. Thus, our aim was to evaluate the feasibility and accuracy of sentinel node mapping in women at sufficient risk for nodal metastasis warranting lymphadenectomy and in whom the potential benefit of avoiding nodal procurement could be realized. To evaluate the detection rate and accuracy of fluorescence-guided sentinel lymph node mapping in endometrial cancer patients undergoing robotic-assisted staging. One hundred twenty-three endometrial cancer patients undergoing sentinel lymph node sentinel node mapping using indocyanine green were prospectively evaluated. Two mL (1.0 mg/mL) of dye were injected into the cervical stroma divided between the 2-3 and 9-10 o'clock positions at the time of uterine manipulator placement. Before hysterectomy, the retroperitoneal spaces were developed and fluorescence imaging was used for sentinel node detection. Identified sentinel nodes were removed and submitted for touch prep intraoperatively, followed by permanent assessment with routine hematoxylin and eosin levels. Patients then underwent hysterectomy, bilateral salpingo-oophorectomy, and completion bilateral pelvic and periaortic lymphadenectomy based on intrauterine risk factors determined intraoperatively (tumor size >2 cm, >50% myometrial invasion, and grade 3 histology). Of 123 patients enrolled, at least 1 sentinel node was detected in 119 (96.7%). Ninety-nine patients (80%) had bilateral pelvic or periaortic sentinel nodes detected. A total of 85 patients met criteria warranting completion lymphadenectomy. In 14 patients (16%) periaortic lymphadenectomy was not feasible, and the mean number of pelvic nodes procured was 13 (6-22). Of the 71 patients undergoing pelvic and periaortic lymphadenectomy, the mean nodal count was 23.2 (8-51). Of patients undergoing lymphadenectomy, 10.6% had lymph node metastasis on final hematoxylin and eosin evaluation. Notably, the sentinel node was the only positive node in 44% of cases. There were no cases in which final pathology of the sentinel node was negative and metastatic disease was detected upon completion lymphadenectomy in the non-sentinel nodes (no false negatives), yielding a sensitivity of 100%. Of the 14 sentinel nodes ultimately found to harbor metastases, 3 were negative on touch prep, yielding a sensitivity of 78.6% for intraoperative detection of sentinel node involvement. In all 3 of the false-negative touch preps, final pathology detected a single micrometastasis (0.24 mm, 1.4 mm, 1.5 mm). As expected, there were no false-positive results, yielding a specificity of 100%. No complications related to sentinel node mapping or allergic reactions to the dye were encountered. Intraoperative sentinel node mapping using fluorescence imaging with indocyanine green in endometrial cancer patients is feasible and yields high detection rates. In our pilot study, sentinel node mapping identified all women with Stage IIIC disease. Low false-negative rates are encouraging, and if confirmed in multi-institutional trials, this approach would be anticipated to reduce the morbidity, operative times, and costs associated with complete pelvic and periaortic lymphadenectomy. Copyright © 2015 Elsevier Inc. All rights reserved.

Vitamin and Mineral Supplement Fact Sheets

MedlinePlus

... Dictionary of Dietary Supplement Terms Dietary Supplement Label Database (DSLD) Información en español Consumer information in Spanish ... Analytical Methods and Reference Materials Dietary Supplement Label Database (DSLD) Dietary Supplement Ingredient Database (DSID) Computer Access ...

Development of an effective dose coefficient database using a computational human phantom and Monte Carlo simulations to evaluate exposure dose for the usage of NORM-added consumer products.

PubMed

Yoo, Do Hyeon; Shin, Wook-Geun; Lee, Jaekook; Yeom, Yeon Soo; Kim, Chan Hyeong; Chang, Byung-Uck; Min, Chul Hee

2017-11-01

After the Fukushima accident in Japan, the Korean Government implemented the "Act on Protective Action Guidelines Against Radiation in the Natural Environment" to regulate unnecessary radiation exposure to the public. However, despite the law which came into effect in July 2012, an appropriate method to evaluate the equivalent and effective doses from naturally occurring radioactive material (NORM) in consumer products is not available. The aim of the present study is to develop and validate an effective dose coefficient database enabling the simple and correct evaluation of the effective dose due to the usage of NORM-added consumer products. To construct the database, we used a skin source method with a computational human phantom and Monte Carlo (MC) simulation. For the validation, the effective dose was compared between the database using interpolation method and the original MC method. Our result showed a similar equivalent dose across the 26 organs and a corresponding average dose between the database and the MC calculations of < 5% difference. The differences in the effective doses were even less, and the result generally show that equivalent and effective doses can be quickly calculated with the database with sufficient accuracy. Copyright © 2017 Elsevier Ltd. All rights reserved.

Sensor sentinel computing device

DOEpatents

Damico, Joseph P.

2016-08-02

Technologies pertaining to authenticating data output by sensors in an industrial environment are described herein. A sensor sentinel computing device receives time-series data from a sensor by way of a wireline connection. The sensor sentinel computing device generates a validation signal that is a function of the time-series signal. The sensor sentinel computing device then transmits the validation signal to a programmable logic controller in the industrial environment.

Sentinel-3 For Land Applications

NASA Astrophysics Data System (ADS)

Goryl, Philippe; Gobron, Nadine; Mecklenburg, Susanne; Donlon, Craig; Bouvet, Marc; Buongiorno, Alessandra; Wilson, Hilary

2016-07-01

The Copernicus Programme, being Europe's Earth Observation and Monitoring Programme led by the European Union, aims to provide, on a sustainable basis, reliable and timely services related to environmental and security issues. The Sentinel-3 mission forms part of the Copernicus Space Component. Its main objectives, building on the heritage and experience of the European Space Agency's (ESA) ERS and ENVISAT missions, are to measure sea-surface topography, sea- and land-surface temperature and ocean- and land-surface colour in support of ocean forecasting systems, and for environmental and climate monitoring. The series of Sentinel-3 satellites will ensure global, frequent and near-real time ocean, ice and land monitoring, with the provision of observation data in a routine, long-term (up to 20 years of operations) and continuous fashion, with a consistent quality and a high level of reliability and availability. The launch of Sentinel-3 was successful last February 2016. The Sentinel-3 missions are jointly operated by ESA and EUMETSAT. ESA will be responsible for the operations, maintenance and evolution of the Sentinel-3 ground segment on land related products and EUMETSAT on the marine products and the satellite monitoring and control. All facilities supporting the Sentinel-3 operations are in place. The Sentinel-3 ground segment systematically acquires, processes and distributes a set of pre-defined core data products to the users. For a detailed description of the core data products please see https://earth.esa.int/web/sentinel/missions/sentinel-3/data-products. On request from the European Commission, ESA and EUMETSAT are presently assessing the possibility to include further core data products, in particular on aerosol optical depth, fire monitoring and synergistic products over land. This paper will provide an update on the status of the mission operations after the initial months in orbit and provide in particular an overview on the status of the Sentinel-3 core land products and their provision in the mission's ramp-up phase.

Availability of tissue rinse liquid-based cytology for the rapid diagnosis of sentinel lymph node metastasis and improved bilateral detection by photodynamic eye camera.

PubMed

Kato, Hidenori; Ohba, Yoko; Yamazaki, Hiroyuki; Minobe, Shin-Ichiro; Sudo, Satoko; Todo, Yukiharu; Okamoto, Kazuhira; Yamashiro, Katsushige

2015-08-01

On sentinel lymph node navigation surgery for early invasive cervical cancers, to gain high sensitivity and specificity, the sentinel nodes should be detected bilaterally and pathological diagnosis should be sensitive to detect micrometastasis. To improve these problems, we tried tissue rinse liquid-based cytology and the photodynamic eye. From 2005 to 2013, 102 patients with Stage Ib1 uterine cervical cancer were subjected to sentinel lymph node navigation surgery with Technetium-99 m colloid and blue dye. For the recent 11 patients with whom bilateral sentinel node detection was not available, the photodynamic eye was selectively examined. The detected sentinel node was cut along the minor axis into 2 mm slices, soaked in 10 ml CytoRich red and then subjected to tissue rinse liquid-based cytology at the time of surgery. With the accumulation of 102 Ib1 patients subjected to sentinel lymph node navigation surgery, the bilateral sentinel node detection rate was 67.7%. The photodynamic eye was examined for the recent 11 patients who did not have bilateral signals. Out of the 11, 10 patients obtained bilateral signals successfully. During the period of examining the photodynamic eye, a total of 34 patients were subjected to sentinel lymph node navigation surgery. Thus, the overall bilateral detection rate increased to 97% in this subset. Two hundred and five lymph nodes were available as sentinel nodes. The sensitivity of tissue rinse liquid-based cytology was 91.7%, and the specificity was 100%. False positivity was 0% and false negativity was 8.3%. Detection failure was observed only with one micrometastasis and one case of isolated tumor cells. Combination of photodynamic eye detection and tissue rinse liquid-based cytology pathology can be a promising method for more rewarding sentinel node detection. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Efficacy of Sentinel Lymph Node Biopsy in Detecting Axillary Metastasis in Breast Cancer Using Methylene Blue.

PubMed

Nandu, Vipul V; Chaudhari, Milind S

2017-06-01

Breast cancer is the leading malignancy and the second leading cause of cancer-related deaths. Axillary lymph node status is a very important prognostic factor in breast cancer patients; nodal evaluation is therefore a critical part of breast cancer management. Axillary lymph node dissection results in significant morbidity. Sentinel lymph node biopsy (SLNB) is being used in many centers to stage the axilla in planning axillary dissection management of patients and hence plays an important part in reducing morbidity among patients with carcinoma breast. The objectives of this paper is to study the (1) efficacy of sentinel lymph node biopsy in detecting axillary metastasis, (2) location of sentinel lymph node in the axilla, (3) rate of involvement of sentinel lymph nodes, and (4) incidence of skip metastasis. Thirty-five patients with breast cancer with clinically node-negative axilla were selected for the study. Methylene blue dye was injected intralesional and perilesional 20 min prior to surgery. All patients underwent modified radical mastectomy with sentinel lymph node biopsy and axillary dissection and after pathological examination diagnostic statics, namely sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were computed. Sentinel lymph node was identified in all of these patients. Sixty percent patients had pathologically positive lymph nodes in the axilla. 90.48% patients of these had sentinel lymph nodes positive for malignant cells. Incidence of skip metastasis is 9.52%. 88.57% patients had sentinel lymph node mapped to level I lymph nodes. Sensitivity of SLNB is 90.48%, specificity is 85.71%, PPV of is 90.48%, NPV is 85.71%, and accuracy is 88.57%. Sentinel lymph node biopsy is an effective method of staging the axilla and deciding on axillary clearance in patients of carcinoma breast. Unnecessary axillary dissection and associated complications can be prevented in most of patients due to sentinel lymph node biopsy.

Sentinel Node and Ovarian Tumors: A Series of 20 Patients.

PubMed

Nyberg, Reita H; Korkola, Pasi; Mäenpää, Johanna U

2017-05-01

Intraoperative detection of ovarian sentinel nodes has been shown to be feasible. We examined the detection rate and locations of sentinel nodes in patients with ovarian tumors. We also aimed to assess the reliability of sentinel node method in predicting regional lymph node metastasis. Twenty patients scheduled for laparotomy because of a pelvic mass were recruited to the study. In the beginning of the laparotomy, radioisotope and blue dye were injected under the serosa next to the junction of the ovarian tumor and suspensory ligament. The number and locations of the hot and/or blue nodes/spots were recorded during the operation. If the tumor was malignant according to the frozen section, systematic lymphadenectomies were performed, the sentinel nodes sampled separately, and their status compared with other regional lymph nodes. Eleven patients had a right-sided ovarian tumor, 7 patients a left-sided tumor, and 2 patients had bilateral tumors. A median of 2 sentinel nodes/locations per patient (range, 1-3) were found. Sixty percent of all sentinel nodes were located in the para-aortic region only, compared with 30% in both para-aortic and pelvic areas and 10% in pelvic area only. Both unilateral and bilateral locations were found. In 83% of the cases with more than 1 sentinel node location, they were located in separate anatomical regions. In 3 patients, systematic lymphadenectomies were performed. One of them had nodal metastases in 2 regions and also a metastasis in 1 of her 2 sentinel nodes in 1 of those regions. In patients with ovarian tumor(s), the detection of sentinel nodes is feasible. They are located in different anatomic areas both ipsilaterally and contralaterally, although most of them are found in the para-aortic region. The reliability of the sentinel node concept should be evaluated in the framework of a multicenter trial.

Sen2Cor for Sentinel-2

NASA Astrophysics Data System (ADS)

Main-Knorn, Magdalena; Pflug, Bringfried; Louis, Jerome; Debaecker, Vincent; Müller-Wilm, Uwe; Gascon, Ferran

2017-10-01

In the frame of the Copernicus programme, ESA has developed and launched the Sentinel-2 optical imaging mission that delivers optical data products designed to feed downstream services mainly related to land monitoring, emergency management and security. The Sentinel-2 mission is the constellation of two polar orbiting satellites Sentinel-2A and Sentinel-2B, each one equipped with an optical imaging sensor MSI (Multi-Spectral Instrument). Sentinel-2A was launched on June 23rd, 2015 and Sentinel-2B followed on March 7th, 2017. With the beginning of the operational phase the constellation of both satellites enable image acquisition over the same area every 5 days or less. To use unique potential of the Sentinel-2 data for land applications and ensure the highest quality of scientific exploitation, accurate correction of satellite images for atmospheric effects is required. Therefore the atmospheric correction processor Sen2Cor was developed by Telespazio VEGA Deutschland GmbH on behalf of ESA. Sen2Cor is a Level-2A processor which main purpose is to correct single-date Sentinel-2 Level-1C Top-Of-Atmosphere (TOA) products from the effects of the atmosphere in order to deliver a Level-2A Bottom-Of-Atmosphere (BOA) reflectance product. Additional outputs are an Aerosol Optical Thickness (AOT) map, a Water Vapour (WV) map and a Scene Classification (SCL) map with Quality Indicators for cloud and snow probabilities. Telespazio France and DLR have teamed up in order to provide the calibration and validation of the Sen2Cor processor. Here we provide an overview over the Sentinel-2 data, processor and products. It presents some processing examples of Sen2Cor applied to Sentinel-2 data, provides up-to-date information about the Sen2Cor release status and recent validation results at the time of the SPIE Remote Sensing 2017.

High-Resolution Enhanced Product based on SMAP Active-Passive Approach using Sentinel 1A and 1B SAR Data

NASA Astrophysics Data System (ADS)

Das, N. N.; Entekhabi, D.; Dunbar, R. S.; Colliander, A.; Kim, S.; Yueh, S. H.

2017-12-01

NASA's Soil Moisture Active Passive (SMAP) mission was launched on January 31st, 2015. SMAP utilizes an L-band radar and radiometer sharing a rotating 6-meter mesh reflector antenna. However, on July 7th, 2015, the SMAP radar encountered an anomaly and is currently inoperable. During the SMAP post-radar phase, many ways are explored to recover the high-resolution soil moisture capability of the SMAP mission. One of the feasible approaches is to substitute the SMAP radar with other available SAR data. Sentinel 1A/1B SAR data is found more suitable for combining with the SMAP radiometer data because of almost similar orbit configuration that allow overlapping of their swaths with minimal time difference that is key to the SMAP active-passive algorithm. The Sentinel SDV mode acquisition also provide the co-pol and x-pol observations required for the SMAP active-passive algorithm. Some differences do exist between the SMAP SAR data and Sentinel SAR data, they are mainly: 1) Sentinel has C-band SAR and SMAP is L-band; 2) Sentinel has multi incidence angle within its swath, where as SMAP has single incidence angle; and 3) Sentinel swath width is 300 km as compare to SMAP 1000 km swath width. On any given day, the narrow swath width of the Sentinel observations will significantly reduce the spatial coverage of SMAP active-passive approach as compared to the SMAP swath coverage. The temporal resolution (revisit interval) is also degraded from 3-days to 12-days when Sentinel 1A/1B data is used. One bright side of using Sentinel 1A/1B data in the SMAP active-passive algorithm is the potential of obtaining the disaggregated brightness temperature and soil moisture at much finer spatial resolutions of 3 km and 9 km with optimal accuracy. The Beta version of SMAP-Sentinel Active-Passive high-resolution product will be made available to public in September 2017.

16 CFR 1102.28 - Publication of reports of harm.

Code of Federal Regulations, 2011 CFR

2011-01-01

... REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Procedural..., the Commission will publish reports of harm that meet the requirements for publication in the Database...(d) in the Database beyond the 10-business-day time frame set forth in paragraph (a) of this section...

“Gone are the days of mass-media marketing plans and short term customer relationships”: tobacco industry direct mail and database marketing strategies

PubMed Central

Lewis, M Jane; Ling, Pamela M

2015-01-01

Background As limitations on traditional marketing tactics and scrutiny by tobacco control have increased, the tobacco industry has benefited from direct mail marketing which transmits marketing messages directly to carefully targeted consumers utilising extensive custom consumer databases. However, research in these areas has been limited. This is the first study to examine the development, purposes and extent of direct mail and customer databases. Methods We examined direct mail and database marketing by RJ Reynolds and Philip Morris utilising internal tobacco industry documents from the Legacy Tobacco Document Library employing standard document research techniques. Results Direct mail marketing utilising industry databases began in the 1970s and grew from the need for a promotional strategy to deal with declining smoking rates, growing numbers of products and a cluttered media landscape. Both RJ Reynolds and Philip Morris started with existing commercial consumer mailing lists, but subsequently decided to build their own databases of smokers’ names, addresses, brand preferences, purchase patterns, interests and activities. By the mid-1990s both RJ Reynolds and Philip Morris databases contained at least 30 million smokers’ names each. These companies valued direct mail/database marketing’s flexibility, efficiency and unique ability to deliver specific messages to particular groups as well as direct mail’s limited visibility to tobacco control, public health and regulators. Conclusions Database marketing is an important and increasingly sophisticated tobacco marketing strategy. Additional research is needed on the prevalence of receipt and exposure to direct mail items and their influence on receivers’ perceptions and smoking behaviours. PMID:26243810

Application of Remote Sensing Data to Improve the Water and Soil Resource Management of Rwanda

NASA Astrophysics Data System (ADS)

Csorba, Ádám; Bukombe, Benjamin; Naramabuye, Francois Xavier; Szegi, Tamás; Vekerdy, Zoltán; Michéli, Erika

2017-04-01

The Rwandan agriculture strongly relies in the dry seasons on the water stored in artificial reservoirs of various sizes for irrigation purposes. Furthermore, the success of irrigation depends on a wide range of soil properties which directly affect the moisture regime of the growing medium. By integrating remote sensing and auxiliary data the objectives of our study are to monitor the water level fluctuation in the reservoirs, estimate the volume of water available for irrigation and to combine this information with soil property maps to support the decision making for sustainable irrigation water management in a study area in Southern Rwanda. For water level and volume estimation a series of Sentinel-1 (product type: GRD, acquisition mode: IW, polarizations HH and VH) data were obtained covering the study area and spanning over a period of two years. To map the extent of water bodies the Radar-Based Water Body Mapping module of the Water Observation and Information System (WOIS) was used. High-resolution optical data (Sentinel-2) were used for validation in cloud-free periods. To estimate the volume changes in the reservoirs, we combined the information derived from the water body mapping procedure and digital elevation models. For sustainable irrigation water management, digital soil property maps were developed by the application of wide range of environmental covariates related to soil forming factors. To develop covariates which represent the land use a time series analysis of the 2 years of Sentinel-1 data was performed. As auxiliary soil data, the ISRIC-WISE harmonized soil profile database was used. The developed digital soil mapping approach is integrated into a new WOIS workflow.

Sentinel node biopsy performance after neoadjuvant chemotherapy in locally advanced breast cancer: A systematic review and meta-analysis.

PubMed

Mocellin, Simone; Goldin, Elena; Marchet, Alberto; Nitti, Donato

2016-01-15

The use of sentinel node biopsy (SNB) after neoadjuvant chemotherapy (NAC) in patients with locally advanced breast cancer is debated. Our aim was to quantitatively review the available evidence on the performance of SNB after NAC in patients with locally advanced breast cancer. We performed a systematic review (by searching the PubMed, Cochrane and Scopus databases) and random effects meta-analysis to investigate on the feasibility and accuracy of SNB in these patients. The two outcomes of interest were the sentinel node identification rate (SIR) and the false negative rate (FNR). Sensitivity analysis and meta-regression were used to investigate the potential sources of between-study heterogeneity. We retrieved 72 eligible studies enrolling 7,451 patients. Upon meta-analysis, summary SIR resulted 89.6% [95% confidence interval (CI): 87.8-91.2; heterogeneity I(2): 76.9%], which poorly compares with the 95% SIR observed in some recent series of early breast cancer. The summary FNR resulted 14.2% (CI: 12.5-16.0; heterogeneity I(2): 29.1%), which was significantly higher than the 8-10% reference value. Considering an average post-NAC lymph node positivity rate of 50%, the downstaging due to false negative SNB would occur in 7/100 patients (with an excess error rate of 2-3/100 as compared to the early-stage setting). No plausible source of between-study heterogeneity was found. Based on the largest series of studies ever meta-analyzed, our findings highlight the limits of SNB performance in this population, where the impact of SNB on patient survival is still to be defined. © 2015 UICC.

Sentinel lymph node mapping in minimally invasive surgery: Role of imaging with color-segmented fluorescence (CSF).

PubMed

Lopez Labrousse, Maite I; Frumovitz, Michael; Guadalupe Patrono, M; Ramirez, Pedro T

2017-09-01

Sentinel lymph node mapping, alone or in combination with pelvic lymphadenectomy, is considered a standard approach in staging of patients with cervical or endometrial cancer [1-3]. The goal of this video is to demonstrate the use of indocyanine green (ICG) and color-segmented fluorescence when performing lymphatic mapping in patients with gynecologic malignancies. Injection of ICG is performed in two cervical sites using 1mL (0.5mL superficial and deep, respectively) at the 3 and 9 o'clock position. Sentinel lymph nodes are identified intraoperatively using the Pinpoint near-infrared imaging system (Novadaq, Ontario, CA). Color-segmented fluorescence is used to image different levels of ICG uptake demonstrating higher levels of perfusion. A color key on the side of the monitor shows the colors that coordinate with different levels of ICG uptake. Color-segmented fluorescence may help surgeons identify true sentinel nodes from fatty tissue that, although absorbing fluorescent dye, does not contain true nodal tissue. It is not intended to differentiate the primary sentinel node from secondary sentinel nodes. The key ranges from low levels of ICG uptake (gray) to the highest rate of ICG uptake (red). Bilateral sentinel lymph nodes are identified along the external iliac vessels using both standard and color-segmented fluorescence. No evidence of disease was noted after ultra-staging was performed in each of the sentinel nodes. Use of ICG in sentinel lymph node mapping allows for high bilateral detection rates. Color-segmented fluorescence may increase accuracy of sentinel lymph node identification over standard fluorescent imaging. The following are the supplementary data related to this article. Copyright © 2017 Elsevier Inc. All rights reserved.

Joint Sentinel-1 and SMAP data assimilation to improve soil moisture estimates

NASA Astrophysics Data System (ADS)

Lievens, H.; Reichle, R. H.; Liu, Q.; De Lannoy, G.; Dunbar, R. S.; Kim, S.; Das, N. N.; Cosh, M. H.; Walker, J. P.; Wagner, W.

2017-12-01

SMAP (Soil Moisture Active and Passive) radiometer observations at 40 km resolution are routinely assimilated into the NASA Catchment Land Surface Model (CLSM) to generate the SMAP Level 4 Soil Moisture product. The use of C-band radar backscatter observations from Sentinel-1 has the potential to add value to the radiance assimilation by increasing the level of spatial detail. The specifications of Sentinel-1 are appealing, particularly its high spatial resolution (5 by 20 m in interferometric wide swath mode) and frequent revisit time (6 day repeat cycle for the Sentinel-1A and Sentinel-1B constellation). However, the shorter wavelength of Sentinel-1 observations implies less sensitivity to soil moisture. This study investigates the value of Sentinel-1 data for hydrologic simulations by assimilating the radar observations into CLSM, either separately from or simultaneously with SMAP radiometer observations. To facilitate the assimilation of the radar observations, CLSM is coupled to the water cloud model, simulating the radar backscatter as observed by Sentinel-1. The innovations, i.e. differences between observations and simulations, are converted into increments to the model soil moisture state through an Ensemble Kalman Filter. The assimilation impact is assessed by comparing 3-hourly, 9 km surface and root-zone soil moisture simulations with in situ measurements from 9 km SMAP core validation sites and sparse networks, from May 2015 to 2017. The Sentinel-1 assimilation consistently improves surface soil moisture, whereas root-zone impacts are mostly neutral. Relatively larger improvements are obtained from SMAP assimilation. The joint assimilation of SMAP and Sentinel-1 observations performs best, demonstrating the complementary value of radar and radiometer observations.

Results of Sentinel Lymph Node Biopsy in Patients with Breast Cancer in 10-Year Own Material of the 4th Military Teaching Hospital with Polyclinic in Wrocław.

PubMed

Kabziński, Piotr; Rac, Jacek; Dorobisz, Tadeusz; Pawłowski, Wiktor; Ziomek, Agnieszka; Chabowski, Mariusz; Janczak, Dawid; Leśniak, Michał; Janczak, Dariusz

2016-05-01

At present, sentinel lymph node biopsy is a standard procedure to assess the advancement of breast cancer and cutaneous melanoma. The aim of the study was to assess the role of the sentinel lymph node biopsy in the treatment of patients with breast cancer in our own material. Analyzed was medical documentation of 258 patients with initially operable breast cancer, qualified for operation with sentinel lymph node biopsy in 2004-2014 in the Department of Surgery of the 4th Military Teaching Hospital. A few hours prior to the planned surgery, radioisotope (technitium-99 sulfur colloid) was applied in the area of tumor or under the areola. 1-2 hours after administering the tracer, the lymphoscintigraphy with the labelling of the sentinel lymph node on the skin was performed. On the basis of the gathered material, obtained were the following parameters: sensitivity - 100%, and specificity - 94.6%. Four cases were false negative (5.5%). 1. Marking the sentinel lymph node in breast cancer, based on the single visualisation method with the use of radioisotope, is a useful and effective technique. 2. The factor influencing the results of the sentinel lymph node biopsy (true positive and negative results and false negative result) was the number of the excised lymph nodes except for the sentinel lymph node. 3. Patients with estrogen receptor expression had often metastases to sentinel lymph node (145 cases - 56%). 4. The false negative rate, i.e. 5.5% in our material, is within the limits of acceptability given in the literature. 5. The sentinel lymph node biopsy performed by the experienced surgical team is a reliable diagnostic tool with a low complication rate.

16 CFR 1102.24 - Designation of confidential information.

Code of Federal Regulations, 2014 CFR

2014-01-01

... ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural... allegedly confidential information is not placed in the database, a request for designation of confidential... publication in the Database until it makes a determination regarding confidential treatment. (e) Assistance...

16 CFR 1102.24 - Designation of confidential information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural... allegedly confidential information is not placed in the database, a request for designation of confidential... publication in the Database until it makes a determination regarding confidential treatment. (e) Assistance...

Copernicus POD Service Operations

NASA Astrophysics Data System (ADS)

Fernandez, Jaime; Ayuga, Francisco; Fernandez, Carlos; Peter, Heike; Femenias, Pierre

2016-08-01

The Copernicus POD (Precise Orbit Determination) Serviceis part of the Copernicus PDGS Ground Segment of the Sentinel missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files of Sentinel-1, -2, & -3 missions, for their use as part of the processing chains of the respective Sentinel PDGS.Although the characteristics and the requirements are different for the three missions, the same core POD setup is used to the largest possible extent. At the moment, the CPOD Service is operating 3 satellites: Sentinel-1A, -2A and -3A, and is ready to support operations of Sentinel-1B.This paper presents the status of the CPOD Service in terms of operations and orbital accuracy achieved for the different orbit products of the different missions, focusing on Sentinel-3A preliminary results.

Discovering Sentinel Rules for Business Intelligence

NASA Astrophysics Data System (ADS)

Middelfart, Morten; Pedersen, Torben Bach

This paper proposes the concept of sentinel rules for multi-dimensional data that warns users when measure data concerning the external environment changes. For instance, a surge in negative blogging about a company could trigger a sentinel rule warning that revenue will decrease within two months, so a new course of action can be taken. Hereby, we expand the window of opportunity for organizations and facilitate successful navigation even though the world behaves chaotically. Since sentinel rules are at the schema level as opposed to the data level, and operate on data changes as opposed to absolute data values, we are able to discover strong and useful sentinel rules that would otherwise be hidden when using sequential pattern mining or correlation techniques. We present a method for sentinel rule discovery and an implementation of this method that scales linearly on large data volumes.

U.S. Geological Survey distribution of European Space Agency's Sentinel-2 data

USGS Publications Warehouse

Pieschke, Renee L.

2017-03-31

A partnership established between the European Space Agency (ESA) and the U.S. Geological Survey (USGS) allows for USGS storage and redistribution of images acquired by the MultiSpectral Instrument (MSI) on the European Union's Sentinel-2 satellite mission. The MSI data are acquired from a pair of satellites, Sentinel-2A and Sentinel-2B, which are part of a larger set of ESA missions focusing on different aspects of Earth observation. The primary purpose of the Sentinel-2 series is to collect multispectral imagery over the Earth’s land surfaces, large islands, and inland and coastal waters. Sentinel-2A was launched in 2015 and Sentinel-2B launched in 2017.The collaborative effort between ESA and USGS provides for public access and redistribution of global acquisitions of Sentinel-2 data at no cost, which allows users to download the MSI imagery from USGS access systems such as Earth- Explorer, in addition to the ESA Sentinels Scientific Data Hub. The MSI sensor acquires 13 spectral bands that are highly complementary to data acquired by the USGS Landsat 8 Operational Land Imager (OLI) and Landsat 7 Enhanced Thematic Mapper Plus (ETM+). The product options from USGS include a Full-Resolution Browse (FRB) image product generated by USGS, along with a 100-kilometer (km) by 100-km tile-based Level-1C top-of-atmosphere (TOA) reflectance product that is very similar (but not identical) to the currently (2017) distributed ESA Level 1C product.

Concordance between peri-areolar blue dye and peri-incisional radiotracer injections for sentinel node mapping in patients with a history of primary breast cancer excisonal biopsy.

PubMed

Mehrabibahar, M; Azizi, S; Jangjoo, A; Saremi, E; Kakhki, V R Dabbagh; Sadeghi, R; Chicken, D W; Keshtgar, M

2014-01-01

We evaluated the concordance between peri-areolar blue dye and peri-incisional radiotracer injections for axillary sentinel node mapping of patients with the history of previous breast lesion excisional biopsy. 80 patients with the history of previous excisional biopsy of the breast lesions were included. All patients received two injections of 99mTc-antimony sulfide colloid in both ends of incision line in an intradermal fashion. 2 mL patient blue V dye was injection to all patients in the peri-areolar area of the index quadrant after induction of anesthesia. All blue or hot nodes were harvested as sentinel lymph nodes. At least one sentinel node could be detected during surgery in 79 patients. In total 94 sentinel nodes were detected. All detected sentinel nodes were hot. In three patients sentinel nodes were detected by gamma probe but not blue dye. The tumor location in all of these patients was in the upper lateral quadrant and the incision line was extended into the axillary tail of the breast in all of them. 91 out of 94 sentinel nodes were stained blue, which amounts to 95.8% concordance between blue dye and radiotracer on a per node analysis. Single peri-areolar injection in the index quadrant would suffice for sentinel node mapping of patients with history of excisional biopsy. Care should be taken in patients with large excisional biopsy in the extreme proximity to axilla.

16 CFR § 1102.4 - Scope.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Background and Definitions § 1102.4 Scope. This part... Product Safety Information Database, including all information published therein. ...

Interspecific signalling between mutualists: food-thieving drongos use a cooperative sentinel call to manipulate foraging partners

PubMed Central

Baigrie, Bruce D.; Thompson, Alex M.; Flower, Tom P.

2014-01-01

Interspecific communication is common in nature, particularly between mutualists. However, whether signals evolved for communication with other species, or are in fact conspecific signals eavesdropped upon by partners, is often unclear. Fork-tailed drongos (Dicrurus adsimilis) associate with mixed-species groups and often produce true alarms at predators, whereupon associating species flee to cover, but also false alarms to steal associating species' food (kleptoparasitism). Despite such deception, associating species respond to drongo non-alarm calls by increasing their foraging and decreasing vigilance. Yet, whether these calls represent interspecific sentinel signals remains unknown. We show that drongos produced a specific sentinel call when foraging with a common associate, the sociable weaver (Philetairus socius), but not when alone. Weavers increased their foraging and decreased vigilance when naturally associating with drongos, and in response to sentinel call playback. Further, drongos sentinel-called more often when weavers were moving, and weavers approached sentinel calls, suggesting a recruitment function. Finally, drongos sentinel-called when weavers fled following false alarms, thereby reducing disruption to weaver foraging time. Results therefore provide evidence of an ‘all clear’ signal that mitigates the cost of inaccurate communication. Our results suggest that drongos enhance exploitation of a foraging mutualist through coevolution of interspecific sentinel signals. PMID:25080343

Use of sentinel mallards for epizootiologic studies of avian botulism

USGS Publications Warehouse

Rocke, T.E.; Brand, C.J.

1994-01-01

Captive-reared mallards (Anas platyrhynchos) were used as sentinels to study the epizootiology of avian botulism at the Sacramento National Wildlife Refuge, Willows, California (USA) from 1986 to 1989. Sentinel mallards were wing-clipped, and 40 to 50 birds were confined in 1.6-ha enclosures in 11 selected wetlands (pools). Enclosures were searched intensively three to four times weekly from July through October. Sick and dead wild and sentinel birds were collected, necropsied, and tested for type C botulism toxin. Botulism epizootics occurred in sentinel mallards in 1986, 1987, and 1989, but only a few isolated cases of botulism were detected in 1988. In most epizootics, botulism also was detected simultaneously in wild birds using the same pool outside the enclosure. Epizootics in sentinels were initiated and perpetuated in the absence of vertebrate carcasses. A sex-specific trend in the probability of intoxication was detected, with males contracting botulism at a higher rate than females. Daily mortality rates of sentinels during botulism epizootics ranged from 0.0006 to 0.0600, with a mean of 0.0190. These rates would result in the daily loss of 0.6 to 60 birds per thousand at risk. The use of sentinel birds provided an effective means of gathering site-specific epizootiologic data.

Sentinel lymph node detection in patients with endometrial cancer.

PubMed

Niikura, Hitoshi; Okamura, Chikako; Utsunomiya, Hiroki; Yoshinaga, Kosuke; Akahira, Junichi; Ito, Kiyoshi; Yaegashi, Nobuo

2004-02-01

The purpose of this study was to examine the feasibility of sentinel lymph node (SLN) detection in patients with endometrial cancer using preoperative lymphoscintigraphy and an intraoperative gamma probe. Between June 2001 and January 2003, 28 consecutive patients with endometrial cancer who were scheduled for total abdominal hysterectomy, bilateral salpingo-oophorectomy, total pelvic lymphadenectomy, and paraaortic lymphadenectomy at Tohoku University School of Medicine underwent sentinel lymph node detection. On the day before surgery, preoperative lymphoscintigraphy was performed by injection of 99m-Technetium ((99m)Tc)-labeled phytate into the endometrium during hysteroscopy. At the time of surgery, a gamma-detecting probe was used to locate radioactive lymph nodes. At least one sentinel node was detected in each of 23 of the 28 patients (82%). The mean number of sentinel nodes detected was 3.1 (range, 1-9). Sentinel nodes could be identified in 21 of 22 patients (95%) whose tumor did not invade more than halfway into the myometrium. Eighteen patients had radioactive nodes in the paraaortic area. Most patients had a sentinel node in one of the following three sites: paraaortic, external iliac, and obturator. The sensitivity and specificity for detecting lymph node metastases were both 100%. The combination of preoperative lymphoscintigraphy with intraoperative gamma probe detection may be useful in identifying sentinel nodes in early-stage endometrial cancer.

[Exclusive use of blue dye to detect sentinel lymph nodes in breast cancer].

PubMed

Bühler H, Simón; Rojas P, Hugo; Cayazzo M, Daniela; Cunill C, Eduardo; Vesperinas A, Gonzalo; Hamilton S, James

2008-08-01

The use of a dye and radiocolloid to detect sentinel lymph nodes in breast cancer increases the detection rates. However the use of either method alone does not modify the false negative rate. Therefore there is no formal contraindication for the exclusive use of dye to detect nodes. To report a prospective analysis of the exclusive blue dye technique for sentinel node biopsy in patients with early breast cancer. We analyzed the first 100 women with pathologically proven breast cancer who met the inclusion criteria. Patent blue dye was used as colorant. In the first 25 cases sentinel node was identified using radiocolloid and blue dye an then an axillary dissection performed. In the next 25 women, blue dye was used exclusively for detection and an axillary dissection was performed. In the next 50 cases, blue dye was used and only isolated sentinel node biopsy was performed. In 92 of the 100 women a sentinel node was successfully detected. In the first 50 women, the false negative rate of sentinel lymph node detection was 6.9%. No complications occurred. During follow-up, lasting three to 29 months, no axillary relapse was observed. Sentinel node biopsy in patients with early breast cancer using exclusively blue dye is feasible and safe.

. Cheminformatic exploration of the chemical landscape of consumer products

EPA Science Inventory

Although Consumer products are a primary source of chemical exposures, little information is available on the chemical ingredients of these products and the concentrations at which they are present. To address this data gap, we have created a database of chemicals in consumer pro...

A comparison of sentinel lymph node biopsy to lymphadenectomy for endometrial cancer staging (FIRES trial): a multicentre, prospective, cohort study.

PubMed

Rossi, Emma C; Kowalski, Lynn D; Scalici, Jennifer; Cantrell, Leigh; Schuler, Kevin; Hanna, Rabbie K; Method, Michael; Ade, Melissa; Ivanova, Anastasia; Boggess, John F

2017-03-01

Sentinel-lymph-node mapping has been advocated as an alternative staging technique for endometrial cancer. The aim of this study was to measure the sensitivity and negative predictive value of sentinel-lymph-node mapping compared with the gold standard of complete lymphadenectomy in detecting metastatic disease for endometrial cancer. In the FIRES multicentre, prospective, cohort study patients with clinical stage 1 endometrial cancer of all histologies and grades undergoing robotic staging were eligible for study inclusion. Patients received a standardised cervical injection of indocyanine green and sentinel-lymph-node mapping followed by pelvic lymphadenectomy with or without para-aortic lymphadenectomy. 18 surgeons from ten centres (tertiary academic and community non-academic) in the USA participated in the trial. Negative sentinel lymph nodes (by haematoxylin and eosin staining on sections) were ultra-staged with immunohistochemistry for cytokeratin. The primary endpoint, sensitivity of the sentinel-lymph-node-based detection of metastatic disease, was defined as the proportion of patients with node-positive disease with successful sentinel-lymph-node mapping who had metastatic disease correctly identified in the sentinel lymph node. Patients who had mapping of at least one sentinel lymph node were included in the primary analysis (per protocol). All patients who received study intervention (injection of dye), regardless of mapping result, were included as part of the assessment of mapping and in the safety analysis in an intention-to-treat manner. The trial was registered with ClinicalTrials.gov, number NCT01673022 and is completed and closed. Between Aug 1, 2012, and Oct 20, 2015, 385 patients were enrolled. Sentinel-lymph-node mapping with complete pelvic lymphadenectomy was done in 340 patients and para-aortic lymphadenectomy was done in 196 (58%) of these patients. 293 (86%) patients had successful mapping of at least one sentinel lymph node. 41 (12%) patients had positive nodes, 36 of whom had at least one mapped sentinel lymph node. Nodal metastases were identified in the sentinel lymph nodes of 35 (97%) of these 36 patients, yielding a sensitivity to detect node-positive disease of 97·2% (95% CI 85·0-100), and a negative predictive value of 99·6% (97·9-100). The most common grade 3-4 adverse events or serious adverse events were postoperative neurological disorders (4 patients) and postoperative respiratory distress or failure (4 patients). 22 patients had serious adverse events, with one related to the study intervention: a ureteral injury incurred during sentinel-lymph-node dissection. Sentinel lymph nodes identified with indocyanine green have a high degree of diagnostic accuracy in detecting endometrial cancer metastases and can safely replace lymphadenectomy in the staging of endometrial cancer. Sentinel lymph node biopsy will not identify metastases in 3% of patients with node-positive disease, but has the potential to expose fewer patients to the morbidity of a complete lymphadenectomy. Indiana University Health, Indiana University Health Simon Cancer Center, and the Indiana University Department of Obstetrics and Gynecology. Copyright © 2017 Elsevier Ltd. All rights reserved.

16 CFR 1102.12 - Manufacturer comments.

Code of Federal Regulations, 2012 CFR

2012-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.12 Manufacturer... Database if such manufacturer comment meets the following requirements: (1) Manufacturer comment relates to... publication in the Database. (2) Unique identifier. A manufacturer comment must state the unique identifier...

16 CFR § 1102.24 - Designation of confidential information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural... allegedly confidential information is not placed in the database, a request for designation of confidential... publication in the Database until it makes a determination regarding confidential treatment. (e) Assistance...

16 CFR 1102.12 - Manufacturer comments.

Code of Federal Regulations, 2011 CFR

2011-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Content Requirements... private labeler in the Database if such manufacturer comment meets the following requirements: (1... that is submitted for publication in the Database. (2) Unique identifier. A manufacturer comment must...

16 CFR 1102.12 - Manufacturer comments.

Code of Federal Regulations, 2014 CFR

2014-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.12 Manufacturer... Database if such manufacturer comment meets the following requirements: (1) Manufacturer comment relates to... publication in the Database. (2) Unique identifier. A manufacturer comment must state the unique identifier...

Fish and wildlife species as sentinels of environmental endocrine disruption

USGS Publications Warehouse

Sheffield, S.R.; Matter, J.M.; Rattner, B.A.; Guiney, P.D.; Kendall, Ronald J.; Dickerson, Richard L.; Giesy, John P.; Suk, William P.

1998-01-01

This chapter provides an overview of the history and criteria for use of captive and free-ranging fish and wildlife (amphibians, reptiles, birds, and mammals) species as sentinels of potential environmental endocrine disruption. Biochemical, behavioral, physiological, immunological, genetic, reproductive, developmental, and ecological correlates of endocrine disruption in these sentinels are presented and reviewed. In addition, data needs to promote better use of sentinel species in the assessment of endocrine disruption are discussed.

Review of the role of sentinel node biopsy in cutaneous head and neck melanoma.

PubMed

Roy, Jennifer M; Whitfield, Robert J; Gill, P Grantley

2016-05-01

Sentinel node biopsy (SNB) is recommended for selected melanoma patients in many parts of the world. This review examines the evidence surrounding the accuracy and prognostic value of SNB and completion neck dissection in head and neck melanoma. Sentinel nodes were identified in an average of 94.7% of head and neck cases compared with 95.3-100% in all melanoma cases. More false-negative sentinel nodes were found in head and neck cases. A positive sentinel node was associated with both lower disease-free survival (53.4 versus 83.2%) and overall survival (40 versus 84%). We conclude that SNB should be offered to all patients with intermediate and high-risk melanomas in the head and neck area. To date, evidence does not exist to demonstrate the safety of avoiding completion lymph node dissection in sentinel node-positive patients with head and neck melanoma. © 2015 Royal Australasian College of Surgeons.

The history of sentinel node biopsy in head and neck cancer: From visualization of lymphatic vessels to sentinel nodes.

PubMed

de Bree, Remco; Nieweg, Omgo E

2015-09-01

The aim of this report is to describe the history of sentinel node biopsy in head and neck cancer. Sentinel node biopsy is a minimally invasive technique to select patients for treatment of metastatic lymph nodes in the neck. Although this procedure has only recently been accepted for early oral cancer, the first studies on visualization of the cervical lymphatic vessels were reported in the 1960s. In the 1980s mapping of lymphatic drainage from specific head and neck sites was introduced. Sentinel node biopsy was further developed in the 1990s and after validation in this century the procedure is routinely performed in early oral cancer in several head and neck centers. New techniques may improve the accuracy of sentinel node biopsy further, particularly in difficult subsites like the floor of mouth. Copyright © 2015 Elsevier Ltd. All rights reserved.

Sentinel 2 products and data quality status

NASA Astrophysics Data System (ADS)

Clerc, Sebastien; Gascon, Ferran; Bouzinac, Catherine; Touli-Lebreton, Dimitra; Francesconi, Benjamin; Lafrance, Bruno; Louis, Jerome; Alhammoud, Bahjat; Massera, Stephane; Pflug, Bringfried; Viallefont, Francoise; Pessiot, Laetitia

2017-04-01

Since July 2015, Sentinel-2A provides high-quality multi-spectral images with 10 m spatial resolution. With the launch of Sentinel-2B scheduled for early March 2017, the mission will create a consistent time series with a revisit time of 5 days. The consistency of the time series is ensured by some specific performance requirements such as multi-temporal spatial co-registration and radiometric stability, routinely monitored by the Sentinel-2 Mission Performance Centre (S2MPC). The products also provide a rich set of metadata and auxiliary data to support higher-level processing. This presentation will focus on the current status of the Sentinel-2 L1C and L2A products, including dissemination and product format aspects. Up-to-date mission performance estimations will be presented. Finally we will provide an outlook on the future evolutions: commissioning tasks for Sentinel-2B, geometric refinement, product format and processing improvements.

Evolution of the Copernicus Space Component: preparing for tomorrow

NASA Astrophysics Data System (ADS)

Aschbacher, Josef

2016-04-01

Copernicus, the ambitious and unique worldwide Earth Observation programme led by the EU, ensures the regular observation and monitoring of Earth's atmosphere, oceans, and continental surfaces, and provides reliable, timely and accurate information to support a broad range of environmental and security policies. The space component of Copernicus is composed of a fleet of satellite missions specifically developed to satisfy Copernicus user needs (the Sentinel families) and also of satellites from other space agencies or organisations, not designed originally for Copernicus, but contributing to the programme (Contributing Missions). The data from the Copernicus satellites, along with some in-situ data, feeds a range of information services in six thematic domains: ocean, land, atmosphere, emergency response, climate change and security. The first two Sentinel satellites (an imaging all-weather night-and-day radar mission, called Sentinel-1, and a high resolution multi-spectral optical mission, Sentinel-2) have already been launched in 2014 and 2015, respectively. The third one (a multi-instrument global sea/land monitoring mission, called Sentinel-3) will be launched in the next weeks. The remaining families will join in the following years and will cover all environmental domains: Sentinel-4, Sentinel-5 precursor and Sentinel-5 will be aimed at monitoring the air quality, stratospheric ozone and solar radiation at high temporal and spatial resolution, while Sentinel-6 will provide high precision ocean altimetry measurements. With two spacecraft of each Sentinel type flying simultaneously and two additional identical spacecraft in the making to replace the first couples at the end of their lifetimes, the provision of environmental information of our planet will be guaranteed until at least 2035. In the meantime, new priorities have been introduced in the EU policies arising from recent events in Europe and new societal needs; migration issue, better management of EU external borders, natural resources handling and climate change among others. Copernicus has therefore to respond to the dynamics of the EU policies' priorities with the required rapidity and flexibility, bringing concrete results in terms of information and growth (Sentinels' evolution) and, at the same time, taking account of the continuity of existing Sentinels data and Services (Second Generation). The Sentinels' evolution, more time stringent than the Second Generation, is a joint EU-ESA endeavour just started concerning a CO2 monitoring mission. Other domains/techniques under investigation for future missions are: polar ice/ocean interferometric altimetry, thermal Infrared, soil moisture or hyper-spectral land imaging. This presentation will therefore give an overview of the current status and future perspectives of the Copernicus space component.

[Application of digital 3D technique combined with nanocarbon-aided navigation in endoscopic sentinel lymph node biopsy for breast cancer].

PubMed

Zhang, Pu-Sheng; Luo, Yun-Feng; Yu, Jin-Long; Fang, Chi-Hua; Shi, Fu-Jun; Deng, Jian-Wen

2016-08-20

To study the clinical value of digital 3D technique combined with nanocarbon-aided navigation in endoscopic sentinel lymph node biopsy for breast cancer. Thirty-nine female patients with stage I/II breast cancer admitted in our hospital between September 2014 and September 2015 were recruited. CT lymphography data of the patients were segmented to reconstruct digital 3D models, which were imported into FreeForm Modeling Surgical System Platform for visual simulation surgery before operation. Endoscopic sentinel lymph node biopsy and endoscopic axillary lymph node dissection were then carried out, and the accuracy and clinical value of digital 3D technique in endoscopic sentinel lymph node biopsy were analyzed. s The 3D models faithfully represented the surgical anatomy of the patients and clearly displayed the 3D relationship among the sentinel lymph nodes, axillary lymph nodes, axillary vein, pectoralis major, pectoralis minor muscle and latissimus dorsi. In the biopsy, the detection rate of sentinel lymph nodes was 100% in the patients with a coincidence rate of 87.18% (34/39), a sensitivity of 91.67% (11/12), and a false negative rate of 8.33% (1/12). Complications such as limb pain, swelling, wound infection, and subcutaneouseroma were not found in these patients 6 months after the operation. Endoscopic sentinel lymph node biopsy assisted by digital 3D technique and nanocarbon-aided navigation allows a high detection rate of sentinel lymph nodes with a high sensitivity and a low false negative rate and can serve as a new method for sentinel lymph node biopsy for breast cancer.

Geocoding uncertainty analysis for the automated processing of Sentinel-1 data using Sentinel-1 Toolbox software

NASA Astrophysics Data System (ADS)

Dostálová, Alena; Naeimi, Vahid; Wagner, Wolfgang; Elefante, Stefano; Cao, Senmao; Persson, Henrik

2016-10-01

One of the major advantages of the Sentinel-1 data is its capability to provide very high spatio-temporal coverage allowing the mapping of large areas as well as creation of dense time-series of the Sentinel-1 acquisitions. The SGRT software developed at TU Wien aims at automated processing of Sentinel-1 data for global and regional products. The first step of the processing consists of the Sentinel-1 data geocoding with the help of S1TBX software and their resampling to a common grid. These resampled images serve as an input for the product derivation. Thus, it is very important to select the most reliable processing settings and assess the geocoding uncertainty for both backscatter and projected local incidence angle images. Within this study, selection of Sentinel-1 acquisitions over 3 test areas in Europe were processed manually in the S1TBX software, testing multiple software versions, processing settings and digital elevation models (DEM) and the accuracy of the resulting geocoded images were assessed. Secondly, all available Sentinel-1 data over the areas were processed using selected settings and detailed quality check was performed. Overall, strong influence of the used DEM on the geocoding quality was confirmed with differences up to 80 meters in areas with higher terrain variations. In flat areas, the geocoding accuracy of backscatter images was overall good, with observed shifts between 0 and 30m. Larger systematic shifts were identified in case of projected local incidence angle images. These results encourage the automated processing of large volumes of Sentinel-1 data.

Leveraging Publicly-Available Consumer Product and Chemical Data in Support of Exposure Modeling

EPA Science Inventory

Near-field contact with chemicals in consumer products has been identified as a significant source of human exposure. To predict such exposures, information about chemical occurrence in consumer products is required, but is often not available. The Chemicals and Products Database...

16 CFR 1102.16 - Additional information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.16 Additional... in the Database any additional information it determines to be in the public interest, consistent...

16 CFR 1102.16 - Additional information.

Code of Federal Regulations, 2014 CFR

2014-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.16 Additional... in the Database any additional information it determines to be in the public interest, consistent...

16 CFR 1102.24 - Designation of confidential information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011... allegedly confidential information is not placed in the database, a request for designation of confidential... publication in the Database until it makes a determination regarding confidential treatment. (e) Assistance...

16 CFR § 1102.12 - Manufacturer comments.

Code of Federal Regulations, 2013 CFR

2013-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Content Requirements § 1102.12 Manufacturer... Database if such manufacturer comment meets the following requirements: (1) Manufacturer comment relates to... publication in the Database. (2) Unique identifier. A manufacturer comment must state the unique identifier...

Sentinel node detection in cervical cancer with (99m)Tc-phytate.

PubMed

Silva, Lucas B; Silva-Filho, Agnaldo L; Traiman, Paulo; Triginelli, Sérgio A; de Lima, Carla Flávia; Siqueira, Cristiano Ferrari; Barroso, Adelanir; Rossi, Telma Maria F F; Pedrosa, Moises Salgado; Miranda, Dairton; Melo, José Renan Cunha

2005-05-01

The aim of this study was to investigate the feasibility of sentinel lymph node (SLN) identification using radioisotopic lymphatic mapping with technetium-99 m-labeled phytate in patients undergoing radical hysterectomy with pelvic lymphadenectomy for treatment of early cervical cancer. Between July 2001 and February 2003, 56 patients with cervical cancer FIGO stage I (n = 53) or stage II (n = 3) underwent sentinel lymph node detection with preoperative lymphoscintigraphy ((99m)Tc-labeled phytate injected into the uterine cervix, at 3, 6, 9, and 12 o'clock, at a dose of 55-74 MBq in a volume of 0.8 ml) and intraoperative lymphatic mapping with a handheld gamma probe. Radical hysterectomy was aborted in three cases because parametrial invasion was found intraoperatively and we performed only sentinel node resection. The remaining 53 patients underwent radical hysterectomy with complete pelvic lymphadenectomy. Sentinel nodes were detected using a handheld gamma-probe and removed for pathological assessment during the abdominal radical hysterectomy and pelvic lymphadenectomy. One or more sentinel nodes were detected in 52 out of 56 eligible patients (92.8%). A total of 120 SLNs were detected by lymphoscintigraphy (mean 2.27 nodes per patient) and intraoperatively by gamma probe. Forty-four percent of SLNs were found in the external iliac area, 39% in the obturator region, 8.3% in interiliac region, and 6.7% in the common iliac area. Unilateral sentinel nodes were found in thirty-one patients (59%). The remaining 21 patients (41%) had bilateral sentinel nodes. Microscopic nodal metastases were confirmed in 17 (32%) cases. In 10 of these patients, only SLNs had metastases. The 98 sentinel nodes that were negative on hematoxylin and eosin were submitted to cytokeratin immunohistochemical analysis. Five (5.1%) micrometastases were identified with this technique. The sensitivity of the sentinel node was 82.3% (CI 95% = 56.6-96.2) and the negative predictive value was 92.1% (CI 95% = 78.6-98.3). The accuracy of sentinel node in predicting the lymph node status was 94.2%. Preoperative lymphoscintigraphy and intraoperative lymphatic mapping with (99m)Tc-labeled phytate are effective in identifying sentinel nodes in patients undergoing radical hysterectomy and to select women in whom lymph node dissection can be avoided.

Evaluation of consumer drug information databases.

PubMed

Choi, J A; Sullivan, J; Pankaskie, M; Brufsky, J

1999-01-01

To evaluate prescription drug information contained in six consumer drug information databases available on CD-ROM, and to make health care professionals aware of the information provided, so that they may appropriately recommend these databases for use by their patients. Observational study of six consumer drug information databases: The Corner Drug Store, Home Medical Advisor, Mayo Clinic Family Pharmacist, Medical Drug Reference, Mosby's Medical Encyclopedia, and PharmAssist. Not applicable. Not applicable. Information on 20 frequently prescribed drugs was evaluated in each database. The databases were ranked using a point-scale system based on primary and secondary assessment criteria. For the primary assessment, 20 categories of information based on those included in the 1998 edition of the USP DI Volume II, Advice for the Patient: Drug Information in Lay Language were evaluated for each of the 20 drugs, and each database could earn up to 400 points (for example, 1 point was awarded if the database mentioned a drug's mechanism of action). For the secondary assessment, the inclusion of 8 additional features that could enhance the utility of the databases was evaluated (for example, 1 point was awarded if the database contained a picture of the drug), and each database could earn up to 8 points. The results of the primary and secondary assessments, listed in order of highest to lowest number of points earned, are as follows: Primary assessment--Mayo Clinic Family Pharmacist (379), Medical Drug Reference (251), PharmAssist (176), Home Medical Advisor (113.5), The Corner Drug Store (98), and Mosby's Medical Encyclopedia (18.5); secondary assessment--The Mayo Clinic Family Pharmacist (8), The Corner Drug Store (5), Mosby's Medical Encyclopedia (5), Home Medical Advisor (4), Medical Drug Reference (4), and PharmAssist (3). The Mayo Clinic Family Pharmacist was the most accurate and complete source of prescription drug information based on the USP DI Volume II and would be an appropriate database for health care professionals to recommend to patients.

Sentinel lymph node biopsy from the vantage point of an oncologic surgeon.

PubMed

Wilson, Lori L

2009-01-01

Sentinel lymph node biopsy has greatly influenced the surgical management of clinically localized primary melanoma. Lymphatic mapping and sentinel lymph node biopsy have been used for the selective management of the draining regional lymph node basin of primary cutaneous melanoma. Oncologic surgeons have adopted this procedure to selectively identify occult nodal status in melanoma patients who are at a higher risk of regional metastasis. The current standard of treatment of tumor-positive sentinel lymph node metastasis is immediate completion lymphadenectomy, but considerable debate surrounds the utility of this procedure. This contribution reviews development, technical aspects, selective management of the lymph node basin, and sentinel lymph node biopsy techniques.

Sentinel node detection in pre-operative axillary staging.

PubMed

Trifirò, Giuseppe; Viale, Giuseppe; Gentilini, Oreste; Travaini, Laura Lavinia; Paganelli, Giovanni

2004-06-01

The concept of sentinel lymph node biopsy in breast cancer surgery is based on the fact that the tumour drains in a logical way via the lymphatic system, from the first to upper levels. Since axillary node dissection does not improve the prognosis of patients with breast cancer, sentinel lymph node biopsy might replace complete axillary dissection for staging of the axilla in clinically N0 patients. Sentinel lymph node biopsy would represent a significant advantage as a minimally invasive procedure, considering that about 70% of patients are found to be free from metastatic disease, yet axillary node dissection can lead to significant morbidity. Subdermal or peritumoural injection of small aliquots (and very low activity) of radiotracer is preferred to intratumoural administration, and (99m)Tc-labelled colloids with most of the particles in the 100-200 nm size range would be ideal for radioguided sentinel node biopsy in breast cancer. The success rate of radioguidance in localising the sentinel lymph node in breast cancer surgery is about 97% in institutions where a high number of procedures are performed, and the success rate of lymphoscintigraphy in sentinel node detection is about 100%. The sentinel lymph node should be processed for intraoperative frozen section examination in its entirety, based on conventional histopathology and, when necessary, immune staining with anti-cytokeratin antibody. Nowadays, lymphoscintigraphy is a useful procedure in patients with different clinical evidence of breast cancer.

Operational marine products from Copernicus Sentinel-3 mission

NASA Astrophysics Data System (ADS)

Tomazic, Igor; Montagner, Francois; O'Carroll, Anne; Kwiatkowska, Ewa; Scharroo, Remko; Nogueira Loddo, Carolina; Martin-Puig, Cristina; Bonekamp, Hans; Lucas, Bruno; Dinardo, Salvatore; Dash, Prasanjit; Taberner, Malcolm; Coto Cabaleiro, Eva; Santacesaria, Vincenzo; Wilson, Hilary

2017-04-01

The first Copernicus Sentinel-3 satellite, Sentinel-3A, was launched in early 2016, with the mission to provide a consistent, long-term collection of marine and land data for operational analysis, forecasting and environmental and climate monitoring. The marine centre is part of the Sentinel-3 Payload Data Ground Segment, located at EUMETSAT. This centre together with the existing EUMETSAT facilities provides a routine centralised service for operational meteorology, oceanography, and other Sentinel-3 marine users as part of the European Commission's Copernicus programme. The EUMETSAT marine centre delivers operational Sea Surface Temperature, Ocean Colour and Sea Surface Topography data products based on the measurements from the Sea and Land Surface Temperature Radiometer (SLSTR), Ocean and Land Colour Instrument (OLCI) and Synthetic Aperture Radar Altimeter (SRAL), respectively, all aboard Sentinel-3. All products have been developed together with ESA and industry partners and EUMETSAT is responsible for the production, distribution, and future evolution of Level-2 marine products. We will give an overview of the scientific characteristics and algorithms of all marine Level-2 products, as well as instrument calibration and product validation results based on on-going Sentinel-3 Cal/Val activities. Information will be also provided about the current status of the product dissemination and the future evolutions that are envisaged. Also, we will provide information how to access Sentinel-3 data from EUMETSAT and where to look for further information.

"Gone are the days of mass-media marketing plans and short term customer relationships": tobacco industry direct mail and database marketing strategies.

PubMed

Lewis, M Jane; Ling, Pamela M

2016-07-01

As limitations on traditional marketing tactics and scrutiny by tobacco control have increased, the tobacco industry has benefited from direct mail marketing which transmits marketing messages directly to carefully targeted consumers utilising extensive custom consumer databases. However, research in these areas has been limited. This is the first study to examine the development, purposes and extent of direct mail and customer databases. We examined direct mail and database marketing by RJ Reynolds and Philip Morris utilising internal tobacco industry documents from the Legacy Tobacco Document Library employing standard document research techniques. Direct mail marketing utilising industry databases began in the 1970s and grew from the need for a promotional strategy to deal with declining smoking rates, growing numbers of products and a cluttered media landscape. Both RJ Reynolds and Philip Morris started with existing commercial consumer mailing lists, but subsequently decided to build their own databases of smokers' names, addresses, brand preferences, purchase patterns, interests and activities. By the mid-1990s both RJ Reynolds and Philip Morris databases contained at least 30 million smokers' names each. These companies valued direct mail/database marketing's flexibility, efficiency and unique ability to deliver specific messages to particular groups as well as direct mail's limited visibility to tobacco control, public health and regulators. Database marketing is an important and increasingly sophisticated tobacco marketing strategy. Additional research is needed on the prevalence of receipt and exposure to direct mail items and their influence on receivers' perceptions and smoking behaviours. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Estimation and mapping of above-ground biomass of mangrove forests and their replacement land uses in the Philippines using Sentinel imagery

NASA Astrophysics Data System (ADS)

Castillo, Jose Alan A.; Apan, Armando A.; Maraseni, Tek N.; Salmo, Severino G.

2017-12-01

The recent launch of the Sentinel-1 (SAR) and Sentinel-2 (multispectral) missions offers a new opportunity for land-based biomass mapping and monitoring especially in the tropics where deforestation is highest. Yet, unlike in agriculture and inland land uses, the use of Sentinel imagery has not been evaluated for biomass retrieval in mangrove forest and the non-forest land uses that replaced mangroves. In this study, we evaluated the ability of Sentinel imagery for the retrieval and predictive mapping of above-ground biomass of mangroves and their replacement land uses. We used Sentinel SAR and multispectral imagery to develop biomass prediction models through the conventional linear regression and novel Machine Learning algorithms. We developed models each from SAR raw polarisation backscatter data, multispectral bands, vegetation indices, and canopy biophysical variables. The results show that the model based on biophysical variable Leaf Area Index (LAI) derived from Sentinel-2 was more accurate in predicting the overall above-ground biomass. In contrast, the model which utilised optical bands had the lowest accuracy. However, the SAR-based model was more accurate in predicting the biomass in the usually deficient to low vegetation cover non-forest replacement land uses such as abandoned aquaculture pond, cleared mangrove and abandoned salt pond. These models had 0.82-0.83 correlation/agreement of observed and predicted value, and root mean square error of 27.8-28.5 Mg ha-1. Among the Sentinel-2 multispectral bands, the red and red edge bands (bands 4, 5 and 7), combined with elevation data, were the best variable set combination for biomass prediction. The red edge-based Inverted Red-Edge Chlorophyll Index had the highest prediction accuracy among the vegetation indices. Overall, Sentinel-1 SAR and Sentinel-2 multispectral imagery can provide satisfactory results in the retrieval and predictive mapping of the above-ground biomass of mangroves and the replacement non-forest land uses, especially with the inclusion of elevation data. The study demonstrates encouraging results in biomass mapping of mangroves and other coastal land uses in the tropics using the freely accessible and relatively high-resolution Sentinel imagery.

Assimilation of Sentinel-1 and SMAP observations to improve GEOS-5 soil moisture

NASA Astrophysics Data System (ADS)

Lievens, Hans; Reichle, Rolf; Wagner, Wolfgang; De Lannoy, Gabrielle; Liu, Qing; Verhoest, Niko

2017-04-01

The SMAP (Soil Moisture Active and Passive) mission carries an L-band radiometer that provides brightness temperature observations at a nominal resolution of 40 km. These radiance observations are routinely assimilated into GEOS-5 (Goddard Earth Observing System version 5) to generate the SMAP Level 4 Soil Moisture product. The use of C-band radar backscatter observations from Sentinel-1 has the potential to add value to the radiance assimilation by increasing the level of spatial detail. The specifications of Sentinel-1 are appealing, particularly its high spatial resolution (5 by 20 m in interferometric wide swath mode) and frequent revisit time (potentially every 3 days for the Sentinel-1A and Sentinel-1B constellation). However, the shorter wavelength of Sentinel-1 observations implies less sensitivity to soil moisture. This study investigates the value of Sentinel-1 data for hydrologic simulations by assimilating the radar observations into GEOS-5, either separately from or simultaneously with SMAP radiometer observations. The assimilation can be performed if either or both Sentinel-1 or SMAP observations are available, and is thus not restricted to synchronised overpasses. To facilitate the assimilation of the radar observations, GEOS-5 is coupled to the water cloud model, simulating the radar backscatter as observed by Sentinel-1. The innovations, i.e. differences between observations and simulations, are converted into increments to the model soil moisture state through an Ensemble Kalman Filter. The model runs are performed at 9-km spatial and 3-hourly temporal resolution, over the period from May 2015 to October 2016. The impact of the assimilation on surface and root-zone soil moisture simulations is assessed using in situ measurements from SMAP core validation sites and sparse networks. The assimilation of Sentinel-1 backscatter is found to consistently improve surface and root-zone soil moisture, relative to the open loop (no assimilation). However, the improvements are less pronounced than those with the assimilation of SMAP observations, likely because of less frequent observations. The best performance was obtained with the simultaneous assimilation of Sentinel-1 and SMAP data, indicating the complementary value of both types of observations for improving hydrologic simulations.

Sentinel-2 data exploitation with ESA's Sentinel-2 Toolbox

NASA Astrophysics Data System (ADS)

Gascon, Ferran; Ramoino, Fabrizzio; deanos, Yves-louis

2017-04-01

The Sentinel-2 Toolbox is a project kicked off by ESA in early 2014, under the umbrella of the ESA SEOM programme with the aim to provide a tool for visualizing, analysing, and processing the Sentinel-2 datasets. The toolbox is an extension of the SeNtinel Application Platform (SNAP), a project resulting from the effort of the developers of the Sentinel-1, Sentinel-2 and Sentinel-3 toolbox to provide a single common application framework suited for the mixed exploitation of SAR, high resolution optical and medium resolution optical datasets. All three development teams collaborate to drive the evolution of the common SNAP framework in a developer forum. In this triplet, the Sentinel-2 toolbox is dedicated to enhance SNAP support for high resolution optical imagery. It is a multi-mission toolbox, already providing support for Sentinel-2, RapidEye, Deimos, SPOT 1 to SPOT 5 datasets. In terms of processing algorithms, SNAP provides tools specific to the Sentinel-2 mission : • An atmospheric correction module, Sen2Cor, is integrated into the toolbox, and provides scene classification, atmospheric correction, cirrus detection and correction. The output L2A products can be opened seamlessly in the toolbox. • A multitemporal synthesis processor (L3) • A biophysical products processor (L2B) • A water processor • A deforestation detector • OTB tools integration • SNAP Engine for Cloud Exploitation along with a set of more generic tools for high resolution optical data exploitation. Together with the generic functionalities of SNAP this provides an ideal environment for designing multi-missions processing chains and producing value-added products from raw datasets. The use of SNAP is manifold and the desktop tools provides a rich application for interactive visualization, analysis and processing of data. But all tools available from SNAP can be accessed via command-line through the Graph Processing Framework (GPT), the kernel of the SNAP processing engine. This makes it a perfect candidate for driving the processing of data on servers for bulk processing.

16 CFR § 1102.30 - Publication of manufacturer comments.

Code of Federal Regulations, 2013 CFR

2013-01-01

... SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural....26, the Commission will publish in the Database manufacturer comments submitted in response to a...

Snow Cover Mapping and Ice Avalanche Monitoring from the Satellite Data of the Sentinels

NASA Astrophysics Data System (ADS)

Wang, S.; Yang, B.; Zhou, Y.; Wang, F.; Zhang, R.; Zhao, Q.

2018-04-01

In order to monitor ice avalanches efficiently under disaster emergency conditions, a snow cover mapping method based on the satellite data of the Sentinels is proposed, in which the coherence and backscattering coefficient image of Synthetic Aperture Radar (SAR) data (Sentinel-1) is combined with the atmospheric correction result of multispectral data (Sentinel-2). The coherence image of the Sentinel-1 data could be segmented by a certain threshold to map snow cover, with the water bodies extracted from the backscattering coefficient image and removed from the coherence segment result. A snow confidence map from Sentinel-2 was used to map the snow cover, in which the confidence values of the snow cover were relatively high. The method can make full use of the acquired SAR image and multispectral image under emergency conditions, and the application potential of Sentinel data in the field of snow cover mapping is exploited. The monitoring frequency can be ensured because the areas obscured by thick clouds are remedied in the monitoring results. The Kappa coefficient of the monitoring results is 0.946, and the data processing time is less than 2 h, which meet the requirements of disaster emergency monitoring.

Human and Animal Sentinels for Shared Health Risks

PubMed Central

Rabinowitz, Peter; Scotch, Matthew; Conti, Lisa

2009-01-01

Summary The tracking of sentinel health events in humans in order to detect and manage disease risks facing a larger population is a well accepted technique applied to influenza, occupational conditions, and emerging infectious diseases. Similarly, animal health professionals routinely track disease events in sentinel animal colonies and sentinel herds. The use of animals as sentinels for human health threats, or of humans as sentinels for animal disease risk, dates back at least to the era when coal miners brought caged canaries into mines to provide early warning of toxic gases. Yet the full potential of linking animal and human health information to provide warning of such “shared risks” from environmental hazards has not been realized. Reasons appear to include the professional segregation of human and animal health communities, the separation of human and animal surveillance data, and evidence gaps in the linkages between human and animal responses to environmental health hazards. The One Health initiative and growing international collaboration in response to pandemic threats, coupled with development the fields of informatics and genomics, hold promise for improved sharing of knowledge about sentinel events in order to detect and reduce environmental health threats shared between species. PMID:20148187

Clinical relevance of sentinel lymph node status examined with conventional histology and molecular biology.

PubMed

Micciolo, Rocco; Boi, Sebastiana; Paoli, Loredana; Cristofolini, Paolo; Girlando, Salvatore; Dalla Palma, Paolo; Cristofolini, Mario

2009-01-01

The presence of nodal metastases in patients with primary cutaneous melanoma adversely affects the biological behavior and is related to a poor prognosis. The role of sentinel lymph node biopsy is still debated. The aim of this study was to evaluate the prognostic role of sentinel lymph node biopsy with respect to disease-free period and overall survival. Patients with invasive cutaneous melanoma who underwent sentinel lymph node biopsy in the Santa Chiara Hospital of Trento between October 1997 and December 2002 were evaluated. The lymph nodes were examined with conventional histology, S100 and tyrosinase in immunohistochemistry, and tyrosinase in molecular biology. There were 144 patients with 198 sentinel lymph nodes. A significant association was found in conventional histology with Clark level and Breslow thickness. The prognostic role of sentinel lymph node status was independent of the other considered variables. However, no significant association was found with the molecular biology test. A significant excess of positive results at molecular biology was found. Sentinel lymph node biopsy is an important independent prognostic factor for invasive cutaneous melanoma, but only when evaluated with conventional histology. As a result of this study, we stopped performing the tyrosinase test in molecular biology.

The added value of a portable gamma camera for intraoperative detection of sentinel lymph node in squamous cell carcinoma of the oral cavity: A case report.

PubMed

Mayoral, M; Paredes, P; Sieira, R; Vidal-Sicart, S; Marti, C; Pons, F

2014-01-01

The use of sentinel lymph node biopsy in squamous cell carcinoma of the oral cavity is still subject to debate although some studies have reported its feasibility. The main reason for this debate is probably due to the high false-negative rate for floor-of-mouth tumors per se. We report the case of a 54-year-old man with a T1N0 floor-of-mouth squamous cell carcinoma who underwent the sentinel lymph node procedure. Lymphoscintigraphy and SPECT/CT imaging were performed for lymphatic mapping with a conventional gamma camera. Sentinel lymph nodes were identified at right Ib, left IIa and Ia levels. However, these sentinel lymph nodes were difficult to detect intraoperatively with a gamma probe owing to the activity originating from the injection site. The use of a portable gamma camera made it possible to localize and excise all the sentinel lymph nodes. This case demonstrates the usefulness of this tool to improve sentinel lymph node detecting in floor-of-mouth tumors, especially those close to the injection area. Copyright © 2013 Elsevier España, S.L. and SEMNIM. All rights reserved.

A critical review of variables affecting the accuracy and false-negative rate of sentinel node biopsy procedures in early breast cancer.

PubMed

Vijayakumar, Vani; Boerner, Philip S; Jani, Ashesh B; Vijayakumar, Srinivasan

2005-05-01

Radionuclide sentinel lymph node localization and biopsy is a staging procedure that is being increasingly used to evaluate patients with invasive breast cancer who have clinically normal axillary nodes. The most important prognostic indicator in patients with invasive breast cancer is the axillary node status, which must also be known for correct staging, and influences the selection of adjuvant therapies. The accuracy of sentinel lymph node localization depends on a number of factors, including the injection method, the operating surgeon's experience and the hospital setting. The efficacy of sentinel lymph node mapping can be determined by two measures: the sentinel lymph node identification rate and the false-negative rate. Of these, the false-negative rate is the most important, based on a review of 92 studies. As sentinel lymph node procedures vary widely, nuclear medicine physicians and radiologists must be acquainted with the advantages and disadvantages of the various techniques. In this review, the factors that influence the success of different techniques are examined, and studies which have investigated false-negative rates and/or sentinel lymph node identification rates are summarized.

16 CFR 1102.26 - Determination of materially inaccurate information.

Code of Federal Regulations, 2012 CFR

2012-01-01

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16 CFR 1102.26 - Determination of materially inaccurate information.

Code of Federal Regulations, 2014 CFR

2014-01-01

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78 FR 24420 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-25

... academics and other interested parties outside of the government. Generally, the National Mortgage Database... project, known as the ``National Mortgage Database,'' which is a joint effort of FHFA and the Consumer... a database of timely and otherwise unavailable residential mortgage market information to be made...

16 CFR § 1102.16 - Additional information.

Code of Federal Regulations, 2013 CFR

2013-01-01

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16 CFR 1102.16 - Additional information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011) Content Requirements... notices, the CPSC shall include in the Database any additional information it determines to be in the...

16 CFR 1102.30 - Publication of manufacturer comments.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10, 2011....24, and 1102.26, the Commission will publish in the Database manufacturer comments submitted in...

Lymphatic mapping and sentinel node biopsy in ovarian tumors: a study using intra-operative Tc-99m-Phytate and lymphoscintigraphy imaging.

PubMed

Hassanzadeh, Malihe; Hosseini Farahabadi, Elham; Yousefi, Zohreh; Kadkhodayan, Sima; Zarifmahmoudi, Leili; Sadeghi, Ramin

2016-09-07

Experience on sentinel node mapping in ovarian tumors is very limited. We evaluated the sentinel node concept in ovarian tumors using intra-operativeTc-99m-Phytate injection and lymphoscintigraphy imaging. Thirty-five patients with a pelvic mass due to an ovarian pathology were included in the study. The radiotracer was injected just after laparotomy and before removal of the tumor either beneath the normal cortex (10 patients) or in the utero-ovarian and suspensory ligaments of the ovary just beneath the peritoneum two injections of the radiotracer (25 patients). For malignant masses, the sentinel nodes were identified using a hand held gamma probe. Then standard pelvic and para-aortic lymphadenectomy was performed. In case of benign pathologies or borderline ovarian tumors on frozen section, lymphadenectomy was not performed. The morning after surgery, all patients were sent for lymphoscintigraphy imaging of the abdomen and pelvis. Sentinel node was identified only in 4 patients of the cortical injection group. At least one sentinel node could be identified in 21 patients of the sub-peritoneal group. Sentinel nodes were identified only in the para-aortic area in 21, pelvic/para-aortic areas in 2, and pelvic only area in 2 patients. Three patients had lymph node involvement and all had involved sentinel nodes (no false negative case). Sentinel node mapping using intra-operative injection of the radiotracer (in the utero-ovarian and suspensory ligaments of the ovary just beneath the peritoneum) is feasible in ovarian tumors. Technical aspects of this method should be explored in larger multicenter studies in the future.

Comparison of SPECT/CT and Planar Lympho-scintigraphy in Sentinel Node Biopsies of Oral Cavity Squamous Cell Carcinomas.

PubMed

Chandra, Piyush; Dhake, Sanket; Shah, Sneha; Agrawal, Archi; Purandare, Nilendu; Rangarajan, Venkatesh

2017-01-01

Evidence supporting the use of Sentinel node biopsy (SNB) for nodal staging of early oral squamous cell carcinomas (OSCC) appears to be very promising. Pre-operative lymphatic mapping using planar lymphoscinitigraphy (PL) with or without SPECT/CT in the SNB procedure is useful in sentinel node localization and for planning appropriate surgery. Recently, a large prospective multi-centric study evaluating SNB in cutaneous melanoma, breast and pelvic malignancies, demonstrated that adding SPECT to PL leads to surgical adjustments in a considerable number of patients. Our aim of this study was to evaluate the incremental value of additional SPECT/CT over PL alone in SNB for OSCC. This was a retrospective analysis of 44 patients (40- tongue, 4- buccal mucosa) with T1-T2, clinically N0 oral cavity SCC who underwent sentinel node biopsy procedure. PL and SPECT lymphoscinitigraphy images were compared for pre-operative mapping of sentinel nodes. Using a handheld gamma probe, a total of 179 sentinel nodes were harvested, with a mean of 4.06 per patient. PL revealed 75 hotspots with a mean of 1.70 per patient, and SPECT/CT revealed 92 hotspots with a mean of 2.09 per patient. Additional hotpots were identified in 14 patients on SPECT/CT, which included 4 patients, where PL did not detect any sentinel nodes. Pre-operative SPECT/CT in addition to planar lympho-scinitigraphy in sentinel node biopsies of oral cavity SCC detects more number of sentinel nodes compared to planar imaging alone. The higher sensitivity of SPECT combined with better anatomical localization using diagnostic CT may further improve the precision of SNB procedure.

Zika beyond the Americas: Travelers as sentinels of Zika virus transmission. A GeoSentinel analysis, 2012 to 2016.

PubMed Central

Grobusch, Martin P.; Gautret, Philippe; Kuhn, Susan; Lim, Poh Lian; Yates, Johnnie; McCarthy, Anne E.; Rothe, Camilla; Kato, Yasuyuki; Huber, Kristina; Schwartz, Eli; Shaw, Marc T. M.; Rapp, Christophe; Blumberg, Lucille; Jensenius, Mogens; van Genderen, Perry J. J.

2017-01-01

Background Zika virus (ZIKV) was first isolated in Africa; decades later, caused large outbreaks in the Pacific, and is considered endemic in Asia. We aim to describe ZIKV disease epidemiology outside the Americas, the importance of travelers as sentinels of disease transmission, and discrepancies in travel advisories from major international health organizations. Methods and findings This descriptive analysis using GeoSentinel Surveillance Network records involves sixty-four travel and tropical medicine clinics in 29 countries. Ill returned travelers with a confirmed or probable diagnosis of ZIKV disease acquired in Africa, Asia and the Pacific seen between 1 January 2012 and 31 December 2016 are included, and the frequencies of demographic, trip, and diagnostic characteristics described. ZIKV was acquired in Asia (18), the Pacific (10) and Africa (1). For five countries (Indonesia, Philippines, Thailand, Vietnam, Cameroon), GeoSentinel patients were sentinel markers of recent Zika activity. Additionally, the first confirmed ZIKV infection acquired in Kiribati was reported to GeoSentinel (2015), and a probable case was reported from Timor Leste (April 2016), representing the only case known to date. Review of Zika situation updates from major international health authorities for country risk classifications shows heterogeneity in ZIKV country travel advisories. Conclusions Travelers are integral to the global spread of ZIKV, serving as sentinel markers of disease activity. Although GeoSentinel data are collected by specialized clinics and do not capture all imported cases, we show that surveillance of imported infections by returned travelers augments local surveillance system data regarding ZIKV epidemiology and can assist with risk categorization by international authorities. However, travel advisories are variable due to risk uncertainties. PMID:28973011

Synergy between Sentinel-1 radar time series and Sentinel-2 optical for the mapping of restored areas in Danube delta

NASA Astrophysics Data System (ADS)

Niculescu, Simona; Lardeux, Cédric; Hanganu, Jenica

2018-05-01

Wetlands are important and valuable ecosystems, yet, since 1900, more than 50 % of wetlands have been lost worldwide. An example of altered and partially restored coastal wetlands is the Danube Delta in Romania. Over time, human intervention has manifested itself in more than a quarter of the entire Danube surface. This intervention was brutal and has rendered ecosystem restoration very difficult. Studies for the rehabilitation / re-vegetation were started immediately after the Danube Delta was declared as a Biosphere Reservation in 1990. Remote sensing offers accurate methods for detecting and mapping change in restored wetlands. Vegetation change detection is a powerful indicator of restoration success. The restoration projects use vegetative cover as an important indicator of restoration success. To follow the evolution of the vegetation cover of the restored areas, satellite images radar and optical of last generation have been used, such as Sentinel-1 and Sentinel-2. Indeed the sensor sensitivity to the landscape depends on the wavelength what- ever radar or optical data and their polarization for radar data. Combining this kind of data is particularly relevant for the classification of wetland vegetation, which are associated with the density and size of the vegetation. In addition, the high temporal acquisition frequency of Sentinel-1 which are not sensitive to cloud cover al- low to use temporal signature of the different land cover. Thus we analyse the polarimetric and temporal signature of Sentinel-1 data in order to better understand the signature of the different study classes. In a second phase, we performed classifications based on the Random Forest supervised classification algorithm involving the entire Sentinel-1 time series, then starting from a Sentinel-2 collection and finally involving combinations of Sentinel-1 and -2 data.

Sentinel-2B image quality commissioning phase results and Sentinel2 constellation performances

NASA Astrophysics Data System (ADS)

Languille, F.; Gaudel, A.; Vidal, B.; Binet, R.; Poulain, V.; Trémas, T.

2017-09-01

In the frame of the Copernicus program of the European Commission, Sentinel-2 is a constellation of 2 satellites on a polar sun-synchronous orbit with a revisit time of 5 days (with both satellites), a high field of view - 290km, 13 spectral bands in visible and shortwave infrared, and high spatial resolution - 10m, 20m and 60m. The Sentinel-2 mission offers a global coverage over terrestrial surfaces. The satellites acquire systematically terrestrial surfaces under the same viewing conditions in order to have temporal images stacks. The first satellite was launched in June 2015 and the second in March 2017. In cooperation with the European Space Agency (ESA), the French space agency (CNES) is in charge of the image quality of the project, and so ensured the CAL/VAL commissioning phase during the months following the launch. This cooperation is also extended to routine phase as CNES supports European Space Research Institute (ESRIN) and the Sentinel-2 Mission performance Centre (MPC) for validation in geometric and radiometric image quality aspects, and in Sentinel-2 Global Reference Image (GRI) geolocation performance assessment. This paper points on geometric image quality on Sentinel-2B commissioning phase. It relates to the methods and the performances obtained, as well as the comparison between S2A and S2B. This deals with geolocation and multispectral registration. A small focus is also done on the Sentinel-2 GRI which is a set of S2A images at 10m resolution covering the whole world with a good and consistent geolocation. This ground reference leads to ensure an accurate multi-temporal registration -on refined Sentinel-2 products over GRI- which is also presented in this paper.

Intraoperative Fluorescence Imaging for Detection of Sentinel Lymph Nodes and Lymphatic Vessels during Open Prostatectomy using Indocyanine Green.

PubMed

Yuen, Keiji; Miura, Tetsuya; Sakai, Iori; Kiyosue, Akiko; Yamashita, Masuo

2015-08-01

We investigated the feasibility and validity of intraoperative fluorescence imaging using indocyanine green for the detection of sentinel lymph nodes and lymphatic vessels during open prostatectomy. Indocyanine green was injected into the prostate under transrectal ultrasound guidance just before surgery. Intraoperative fluorescence imaging was performed using a near-infrared camera system in 66 consecutive patients with clinically localized prostate cancer after a 10-patient pilot test to optimize indocyanine green dosing, observation timing and injection method. Lymphatic vessels were visualized and followed to identify the sentinel lymph nodes. Confirmatory pelvic lymph node dissection including all fluorescent nodes and open radical prostatectomy were performed in all patients. Lymphatic vessels were successfully visualized in 65 patients (98%) and sentinel lymph nodes in 64 patients (97%). Sentinel lymph nodes were located in the obturator fossa, internal and external iliac regions, and rarely in the common iliac and presacral regions. A median of 4 sentinel lymph nodes per patient was detected. Three lymphatic pathways, the paravesical, internal and lateral routes, were identified. Pathological examination revealed metastases to 9 sentinel lymph nodes in 6 patients (9%). All pathologically positive lymph nodes were detected as sentinel lymph nodes using this imaging. No adverse reactions due to the use of indocyanine green were observed. Intraoperative fluorescence imaging using indocyanine green during open prostatectomy enables the detection of lymphatic vessels and sentinel lymph nodes with high sensitivity. This novel method is technically feasible, safe and easy to apply with minimal additional operative time. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Sentinel Lymphadenectomy in Vulvar Cancer Using Near-Infrared Fluorescence From Indocyanine Green Compared With Technetium 99m Nanocolloid.

PubMed

Soergel, Philipp; Hertel, Hermann; Nacke, Anna Kaarina; Klapdor, Rüdiger; Derlin, Thorsten; Hillemanns, Peter

2017-05-01

Nowadays, sentinel diagnostic is performed using technetium 99m (Tc) nanocolloid as a radioactive marker and sometimes patent blue. In the last years, indocyanine green has been evaluated for sentinel diagnostic in different tumor entities. Indocyanine green is a fluorescent molecule that emits a light signal in the near-infrared band after excitation. Our study aimed to evaluate indocyanine green compared with the criterion-standard Tc-nanocolloid. We included patients with primary, unifocal vulvar cancer of less than 4 cm with clinically node-negative groins in this prospective trial. Sentinel diagnostic was carried out using Tc-nanocolloid, indocyanine green, and patent blue. We examined each groin for light signals from the near-infrared band, for radioactivity, and for blue staining. A sentinel lymph node was defined as a Tc-nanocolloid-positive lymph node. All sentinel lymph nodes and all additional blue or fluorescent lymph nodes were excised and tested and then sent for histologic examination. In all, 27 patients were included in whom we found 91 sentinel lymph nodes in 52 groins. All these lymph nodes were positive for indocyanine green, also giving a sensitivity of 100% (95% confidence interval [CI], 96.0%-100%) compared with Tc-nanocolloid. Eight additional lymph nodes showed indocyanine green fluorescence but no Tc positivity, so that the positive predictive value was 91.9% (95% confidence interval, 84.6%-96.5%). In 1 patient, a false-negative sentinel missed by all 3 modalities was found. Our results show that indocyanine green is a promising approach for inguinal sentinel identification in vulvar cancer with a similar sensitivity as radioactive Tc-nanocolloid and worth to be evaluated in further studies.

Synergetic Use of Sentinel-1 and Sentinel-2 Data for Soil Moisture Mapping at 100 m Resolution.

PubMed

Gao, Qi; Zribi, Mehrez; Escorihuela, Maria Jose; Baghdadi, Nicolas

2017-08-26

The recent deployment of ESA's Sentinel operational satellites has established a new paradigm for remote sensing applications. In this context, Sentinel-1 radar images have made it possible to retrieve surface soil moisture with a high spatial and temporal resolution. This paper presents two methodologies for the retrieval of soil moisture from remotely-sensed SAR images, with a spatial resolution of 100 m. These algorithms are based on the interpretation of Sentinel-1 data recorded in the VV polarization, which is combined with Sentinel-2 optical data for the analysis of vegetation effects over a site in Urgell (Catalunya, Spain). The first algorithm has already been applied to observations in West Africa by Zribi et al., 2008, using low spatial resolution ERS scatterometer data, and is based on change detection approach. In the present study, this approach is applied to Sentinel-1 data and optimizes the inversion process by taking advantage of the high repeat frequency of the Sentinel observations. The second algorithm relies on a new method, based on the difference between backscattered Sentinel-1 radar signals observed on two consecutive days, expressed as a function of NDVI optical index. Both methods are applied to almost 1.5 years of satellite data (July 2015-November 2016), and are validated using field data acquired at a study site. This leads to an RMS error in volumetric moisture of approximately 0.087 m³/m³ and 0.059 m³/m³ for the first and second methods, respectively. No site calibrations are needed with these techniques, and they can be applied to any vegetation-covered area for which time series of SAR data have been recorded.

Synergetic Use of Sentinel-1 and Sentinel-2 Data for Soil Moisture Mapping at 100 m Resolution

PubMed Central

Gao, Qi; Zribi, Mehrez

2017-01-01

The recent deployment of ESA’s Sentinel operational satellites has established a new paradigm for remote sensing applications. In this context, Sentinel-1 radar images have made it possible to retrieve surface soil moisture with a high spatial and temporal resolution. This paper presents two methodologies for the retrieval of soil moisture from remotely-sensed SAR images, with a spatial resolution of 100 m. These algorithms are based on the interpretation of Sentinel-1 data recorded in the VV polarization, which is combined with Sentinel-2 optical data for the analysis of vegetation effects over a site in Urgell (Catalunya, Spain). The first algorithm has already been applied to observations in West Africa by Zribi et al., 2008, using low spatial resolution ERS scatterometer data, and is based on change detection approach. In the present study, this approach is applied to Sentinel-1 data and optimizes the inversion process by taking advantage of the high repeat frequency of the Sentinel observations. The second algorithm relies on a new method, based on the difference between backscattered Sentinel-1 radar signals observed on two consecutive days, expressed as a function of NDVI optical index. Both methods are applied to almost 1.5 years of satellite data (July 2015–November 2016), and are validated using field data acquired at a study site. This leads to an RMS error in volumetric moisture of approximately 0.087 m3/m3 and 0.059 m3/m3 for the first and second methods, respectively. No site calibrations are needed with these techniques, and they can be applied to any vegetation-covered area for which time series of SAR data have been recorded. PMID:28846601

[Selective biopsy of the sentinel lymph node in patients with breast cancer and previous excisional biopsy: is there a change in the reliability of the technique according to time from surgery?].

PubMed

Sabaté-Llobera, A; Notta, P C; Benítez-Segura, A; López-Ojeda, A; Pernas-Simon, S; Boya-Román, M P; Bajén, M T

2015-01-01

To assess the influence of time on the reliability of sentinel lymph node biopsy (SLNB) in breast cancer patients with previous excisional biopsy (EB), analyzing both the sentinel lymph node detection and the lymph node recurrence rate. Thirty-six patients with cT1/T2 N0 breast cancer and previous EB of the lesion underwent a lymphoscintigraphy after subdermal periareolar administration of radiocolloid, the day before SLNB. Patients were classified into two groups, one including 12 patients with up to 29 days elapsed between EB and SLNB (group A), and another with the remaining 24 in which time between both procedures was of 30 days or more (group B). Scintigraphic and surgical detection of the sentinel lymph node, histological status of the sentinel lymph node and of the axillary lymph node dissection, if performed, and lymphatic recurrences during follow-up, were analyzed. Sentinel lymph node visualization at the lymphoscintigraphy and surgical detection were 100% in both groups. Histologically, three patients showed macrometastasis in the sentinel lymph node, one from group A and two from group B. None of the patients, not even those with malignancy of the sentinel lymph node, relapsed after a medium follow-up of 49.5 months (24-75). Time elapsed between EB and SLNB does not influence the reliability of this latter technique as long as a superficial injection of the radiopharmaceutical is performed, proving a very high detection rate of the sentinel lymph node without evidence of lymphatic relapse during follow-up. Copyright © 2014 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

Influence of previous breast surgery in sentinel lymph node biopsy in patients with breast cancer.

PubMed

López-Prior, V; Díaz-Expósito, R; Casáns Tormo, I

The aim of this study was to review the feasibility of selective sentinel lymph node biopsy in patients with previous surgery for breast cancer, as well as to examine the factors that may interfere with sentinel node detection. A retrospective review was performed on 91 patients with breast cancer and previous breast surgery, and who underwent sentinel lymph node biopsy. Patients were divided into two groups according to their previous treatment: aesthetic breast surgery in 30 patients (group I) and breast-conserving surgery in 61 (group II). Lymphoscintigraphy was performed after an intra-tumour injection in 21 cases and a peri-areolar injection in 70 cases. An analysis was made of lymphatic drainage patterns and overall sentinel node detection according to clinical, pathological and surgical variables. The overall detection of the sentinel lymph node in the lymphoscintigraphy was 92.3%, with 7.7% of extra-axillary drainages. The identification rate was similar after aesthetic breast surgery (93.3%) and breast-conserving surgery (91.8%). Sentinel lymph nodes were found in the contralateral axilla in two patients (2.2%), and they were included in the histopathology study. The non-identification rate in the lymphoscintigraphy was 7.7%. There was a significantly higher non-detection rate in the highest histological grade tumours (28.6% grade III, 4.5% grade I and 3.6% grade II). Sentinel lymph node biopsy in patients with previous breast surgery is feasible and deserves further studies to assess the influence of different aspects in sentinel node detection in this clinical scenario. A high histological grade was significantly associated with a lower detection. Copyright © 2017 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Zika beyond the Americas: Travelers as sentinels of Zika virus transmission. A GeoSentinel analysis, 2012 to 2016.

PubMed

Leder, Karin; Grobusch, Martin P; Gautret, Philippe; Chen, Lin H; Kuhn, Susan; Lim, Poh Lian; Yates, Johnnie; McCarthy, Anne E; Rothe, Camilla; Kato, Yasuyuki; Bottieau, Emmanuel; Huber, Kristina; Schwartz, Eli; Stauffer, William; Malvy, Denis; Shaw, Marc T M; Rapp, Christophe; Blumberg, Lucille; Jensenius, Mogens; van Genderen, Perry J J; Hamer, Davidson H

2017-01-01

Zika virus (ZIKV) was first isolated in Africa; decades later, caused large outbreaks in the Pacific, and is considered endemic in Asia. We aim to describe ZIKV disease epidemiology outside the Americas, the importance of travelers as sentinels of disease transmission, and discrepancies in travel advisories from major international health organizations. This descriptive analysis using GeoSentinel Surveillance Network records involves sixty-four travel and tropical medicine clinics in 29 countries. Ill returned travelers with a confirmed or probable diagnosis of ZIKV disease acquired in Africa, Asia and the Pacific seen between 1 January 2012 and 31 December 2016 are included, and the frequencies of demographic, trip, and diagnostic characteristics described. ZIKV was acquired in Asia (18), the Pacific (10) and Africa (1). For five countries (Indonesia, Philippines, Thailand, Vietnam, Cameroon), GeoSentinel patients were sentinel markers of recent Zika activity. Additionally, the first confirmed ZIKV infection acquired in Kiribati was reported to GeoSentinel (2015), and a probable case was reported from Timor Leste (April 2016), representing the only case known to date. Review of Zika situation updates from major international health authorities for country risk classifications shows heterogeneity in ZIKV country travel advisories. Travelers are integral to the global spread of ZIKV, serving as sentinel markers of disease activity. Although GeoSentinel data are collected by specialized clinics and do not capture all imported cases, we show that surveillance of imported infections by returned travelers augments local surveillance system data regarding ZIKV epidemiology and can assist with risk categorization by international authorities. However, travel advisories are variable due to risk uncertainties.

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Sentinel lymph node mapping in melanoma with technetium-99m dextran.

PubMed

Neubauer, S; Mena, I; Iglesis, R; Schwartz, R; Acevedo, J C; Leon, A; Gomez, L

2001-06-01

The aim of this work is to evaluate the capability of Tc99m B Dextran as a lymphoscintigraphic agent in the detection of the sentinel node in skin lesions. Forty-one patients with melanomas (39) and Merkel cell tumors (2) had perilesional intradermal injection of Tc99m-Dextran 2 hours before surgery. Serial gamma camera images and a handheld gamma probe were used to direct sentinel node biopsy. In 39/41 patients, lymph channels and 52 sentinel nodes (one to three sentinel nodes/patient) could be visualized. In one patient, with a dorsal melanoma, no lymph channels or lymph nodes could be demonstrated on the images and only minimal radioactivity was found in the regional nodes with the probe. Another patient with a facial lesion failed to demonstrate lymph channels or nodes. No adverse reactions were observed. Tc99m-Dextran provided good definition of lymph channels and sentinel node localization, without the risks related to the use of potentially hazardous labeled materials of biological origin.

EANM-EORTC general recommendations for sentinel node diagnostics in melanoma.

PubMed

Chakera, Annette H; Hesse, Birger; Burak, Zeynep; Ballinger, James R; Britten, Allan; Caracò, Corrado; Cochran, Alistair J; Cook, Martin G; Drzewiecki, Krzysztof T; Essner, Richard; Even-Sapir, Einat; Eggermont, Alexander M M; Stopar, Tanja Gmeiner; Ingvar, Christian; Mihm, Martin C; McCarthy, Stanley W; Mozzillo, Nicola; Nieweg, Omgo E; Scolyer, Richard A; Starz, Hans; Thompson, John F; Trifirò, Giuseppe; Viale, Giuseppe; Vidal-Sicart, Sergi; Uren, Roger; Waddington, Wendy; Chiti, Arturo; Spatz, Alain; Testori, Alessandro

2009-10-01

The accurate diagnosis of a sentinel node in melanoma includes a sequence of procedures from different medical specialities (nuclear medicine, surgery, oncology, and pathology). The items covered are presented in 11 sections and a reference list: (1) definition of a sentinel node, (2) clinical indications, (3) radiopharmaceuticals and activity injected, (4) dosimetry, (5) injection technique, (6) image acquisition and interpretation, (7) report and display, (8) use of dye, (9) gamma probe detection, (10) surgical techniques in sentinel node biopsy, and (11) pathological evaluation of melanoma-draining sentinel lymph nodes. If specific recommendations given cannot be based on evidence from original, scientific studies, referral is given to "general consensus" and similar expressions. The recommendations are designed to assist in the practice of referral to, performance, interpretation and reporting of all steps of the sentinel node procedure in the hope of setting state-of-the-art standards for good-quality evaluation of possible spread to the lymphatic system in intermediate-to-high risk melanoma without clinical signs of dissemination.

16 CFR § 1102.26 - Determination of materially inaccurate information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... PRODUCT SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural... reviewing a report of harm or manufacturer comment, either before or after publication in the Database, may... manufacturer comment, be excluded from the Database or corrected by the Commission because it contains...

FoxP3 and indoleamine 2,3-dioxygenase immunoreactivity in sentinel nodes from melanoma patients.

PubMed

Ryan, Marisa; Crow, Jennifer; Kahmke, Russel; Fisher, Samuel R; Su, Zuowei; Lee, Walter T

2014-01-01

1) Assess FoxP3/indoleamine 2,3-dioxygenase immunoreactivity in head and neck melanoma sentinel lymph nodes and 2) correlate FoxP3/indoleamine 2,3-dioxygenase with sentinel lymph node metastasis and clinical recurrence. Retrospective cohort study. Patients with sentinel lymph node biopsy for head and neck melanoma between 2004 and 2011 were identified. FoxP3/indoleamine 2,3-dioxygenase prevalence and intensity were determined from the nodes. Poor outcome was defined as local, regional or distant recurrence. The overall immunoreactivity score was correlated with clinical recurrence and sentinel lymph node metastasis using the chi-square test for trend. Fifty-six sentinel lymph nodes were reviewed, with 47 negative and 9 positive for melanoma. Patients with poor outcomes had a statistically significant trend for higher immunoreactivity scores (p=0.03). Positive nodes compared to negative nodes also had a statistically significant trend for higher immunoreactivity scores (p=0.03). Among the negative nodes, there was a statistically significant trend for a poor outcome with higher immunoreactivity scores (p=0.02). FoxP3/indoleamine 2,3-dioxygenase immunoreactivity correlates with sentinel lymph node positivity and poor outcome. Even in negative nodes, higher immunoreactivity correlated with poor outcome. Therefore higher immunoreactivity may portend a worse prognosis even without metastasis in the sentinel lymph node. This could identify a subset of patients that may benefit from future trials and treatment for melanoma through Treg and IDO suppression. Published by Elsevier Inc.

[The historical perspective of the sentinel lymph node concept].

PubMed

Bekker, J; Meijer, S

2008-01-05

The sentinel lymph node procedure is currently standard care in the treatment of breast cancer. The introduction of this procedure in 1992 would not have been possible without the pioneering discoveries regarding lymph nodes and cancer. The Italian surgeon Gaspar Asellius (1581-1626) visualized the lymphatic vessels of a dog after it had been fed and shortly before dissection. At the end of the 17th century, the French anatomists Lauth and Sappey visualized the lymphatics by injecting deceased criminals with mercury. In 1858, the German pathologist Virchow (1821-1902) launched the theory that lymph nodes act as defensive barriers. He also made the first microscopical illustration ofa sentinel lymph node. Gould et al. and Cabaãs independently launched the precursors of the current modern sentinel lymph node concept in 1959 and 1977 respectively. Gould et al. were the first people to use the term "sentinel node'. Cabañas used lymphangiography for the visualisation of the sentinel lymph node. Controversies about the barrier function of the lymph nodes, the fear of skip metastasis and the difficulties of performing the Cabañas procedure, prevented a breakthrough of this concept. In 1992 Morton et al. rediscovered the valuable sentinel node biopsy concept and introduced blue dye for the investigation of patients with melanoma. The combination of lymphoscintigraphy, intra-operative gamma probe guidance and patent blue further increased the reliability of the sentinel lymph node biopsy procedure. Unnecessary lymph gland dissection procedures with considerable morbidity can be prevented by this procedure.

Land science with Sentinel-2 and Sentinel-3 data series synergy

NASA Astrophysics Data System (ADS)

Moreno, Jose; Guanter, Luis; Alonso, Luis; Gomez, Luis; Amoros, Julia; Camps, Gustavo; Delegido, Jesus

2010-05-01

Although the GMES/Sentinel satellite series were primarily designed to provide observations for operational services and routine applications, there is a growing interest in the scientific community towards the usage of Sentinel data for more advanced and innovative science. Apart from the improved spatial and spectral capabilities, the availability of consistent time series covering a period of over 20 years opens possibilities never explored before, such as systematic data assimilation approaches exploiting the time-series concept, or the incorporation in the modelling approaches of processes covering time scales from weeks to decades. Sentinel-3 will provide continuity to current ENVISAT MERIS/AATSR capabilities. The results already derived from MERIS/AATRS will be more systematically exploited by using OLCI in synergy with SLST. Particularly innovative is the case of Sentinel-2, which is specifically designed for land applications. Built on a constellation of two satellites operating simultaneously to provide 5 days geometric revisit time, the Sentinel-2 system will providing global and systematic acquisitions with high spatial resolution and with a high revisit time tailored towards the needs of land monitoring. Apart from providing continuity to Landsat and SPOT time series, the Sentinel-2 Multi-Spectral Instrument (MSI) incorporates new narrow bands around the red-edge for improved retrievals of biophysical parameters. The limitations imposed by the need of a proper cloud screening and atmospheric corrections have represented a serious constraint in the past for optical data. The fact that both Sentinel-2 and 3 have dedicated bands to allow such needed corrections for optical data represents an important step towards a proper exploitation, guarantying consistent time series showing actual variability in land surface conditions without the artefacts introduced by the atmosphere. Expected operational products (such as Land Cover maps, Leaf Area Index, Fractional Vegetation Cover, Fraction of Absorbed Photosynthetically Active Radiation, and Leaf Chlorophyll and Water Contents), will be enhanced with new scientific applications. Higher level products will also be provided, by means of mosaicking, averaging, synthesising or compositing of spatially and temporally resampled data. A key element in the exploitation of the Sentinel series will be the adequate use of data synergy, which will open new possibilities for improved Land Models. This paper analyses in particular the possibilities offered by mosaicking and compositing information derived from Sentinel-2 observations in high spatial resolution to complement dense time series derived from Sentinel-3 data with more frequent coverage. Interpolation of gaps in high spatial resolution time series (from Sentinel-2 data) by using medium/low resolution data from Sentinel-3 (OLCI and SLSTR) is also a way of making series more temporally consistent with high spatial resolution. The primary goal of such temporal interpolation / spatial mosaicking techniques is to derive consistent surface reflectance data virtually for every date and geographical location, no matter the initial spatial/temporal coverage of the original data used to produce the composite. As a result, biophysical products can be derived in a more consistent way from the spectral information of Sentinel-3 data by making use of a description of surface heterogeneity derived from Sentinel-2 data. Using data from dedicated experiments (SEN2FLEX, CEFLES2, SEN3EXP), that include a large dataset of satellite and airborne data and of ground-based measurements of atmospheric and vegetation parameters, different techniques are tested, including empirical / statistical approaches that builds nonlinear regression by mapping spectra to a high dimensional space, up to model inversion / data assimilation scenarios. Exploitation of the temporal domain and spatial multi-scale domain becomes then a driver for the systematic exploitation of GMES/Sentinels data time series. This paper review current status, and identifies research priorities in such direction.

Programmatic overview of GMES Space Component and implementation status

NASA Astrophysics Data System (ADS)

Aschbacher, Josef; Milagro, Maria Pilar

2010-05-01

GMES, the Global Monitoring for Environment and Security initiative, is a programme to provide the most comprehensive understanding of the state of land, air and water. Created in 1998 as an independent joint initiative of the European Commission (EC) and the European Space Agency (ESA), GMES will combine information from the world's biggest fleet of satellites and from thousands of atmospheric and Earth based sensors across the world in order to provide joined-up, timely, reliable and easily accessible information in domains such as natural disaster planning and response, the environment, agriculture, land use, climate change and security. GMES is made up of an In-situ Component, a Services Component and a Space Component. ESA is responsible for coordinating the Space Component which is composed of dedicated satellite missions, called Sentinels, and so called Contributing Missions, owned and operated by national agencies or commercial entities of ESA/EU Member States, EUMETSAT or other third parties. It also comprises the associated Ground Segment infrastructure necessary to access, process and disseminate the data from the multitude of missions contributing to GMES. ESA is also responsible for the development and procurement of the dedicated Sentinel satellites. Lastly, ESA will act as interim operator for Sentinel missions -1, -2 and land part of Sentinel-3 while EUMETSAT will operate the ocean part of Sentinel-3 as well as the S-4/-5 instruments which are flying on-board EUMETSAT's MTG and post-EPS respectively. The Sentinels will be the first series of dedicated operational satellites to meet the Earth observation needs of GMES users concerning atmosphere, ocean and land monitoring as well as emergency response and security. The Sentinel-1 constellation is a pair of synthetic aperture radar (SAR) imaging satellites. It ensures continuity of C-band SAR data and builds upon heritage and experience with the ERS and Envisat satellites. Sentinel-1 satellites will provide almost 10 times the data obtained by Envisat's ASAR instrument. A pair of Sentinel-2 satellites will routinely provide high resolution (10-60 m) optical images globally with frequent revisits tailored to the needs of GMES land and emergency services. Sentinel-2 aims at ensuring continuity of SPOT and LANDSAT type data, with improvements to allow service evolution. A pair of Sentinel-3 satellites will provide global near real time ocean, ice and land monitoring. It continues observations of ERS, Envisat and SPOT/Vegetation. Sentinel 4 and 5 will be dedicated to monitor atmospheric trace gases from geostationary and low Earth orbit respectively. A Sentinel-5 precursor satellite will be launched at the end of 2014 to fill the gap until the arrival of Sentinel-5 on board post-EPS. The Contributing Missions are satellite missions operated by national agencies or commercial entities of Member States, EUMETSAT or other third parties, which do not replace nor duplicate the capacities of the dedicated Sentinel missions but rather complement them. The GMES data will feed the different services: Land, Marine, Atmosphere, Emergency and Security. Data from the former 3 services will also feed Climate Change applications. Some of these services will become fully operational in the next years. As part of the ESA led GMES Space Component, ESA and the EC are working together to define the principles and implementation scheme of the Sentinel Data Policy. The new data policy aims at providing free-of-charge access to all Sentinel data, both for public, commercial and scientific use. These "free and open" data policy principles have been approved by ESA Member States. EU approval is expected in the course of 2010.

76 FR 52879 - Changes in Flood Elevation Determinations

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-24

... Commerce City Commerce City, 7887 East Sentinel Express. 60th Avenue, Commerce City, CO 80022. Adams (FEMA... Sentinel. Civic Center Drive, Thornton, CO 80229. Adams (FEMA Docket No.: B- Unincorporated areas February...; ``Skip'' Fischer, 08-0748P). The Northglenn- Chairman, Adams County Thornton Sentinel. Board of...

Sentinel-2A: Orbit Modelling Improvements and their Impact on the Orbit Prediction

NASA Astrophysics Data System (ADS)

Peter, Heike; Otten, Michiel; Fernández Sánchez, Jaime; Fernández Martín, Carlos; Féménias, Pierre

2016-07-01

Sentinel-2A is the second satellite of the European Copernicus Programme. The satellite has been launched on 23rd June 2015 and it is operational since mid October 2015. This optical mission carries a GPS receiver for precise orbit determination. The Copernicus POD (Precise Orbit Determination) Service is in charge of generating precise orbital products and auxiliary files for Sentinel-2A as well as for the Sentinel-1 and -3 missions. The accuracy requirements for the Sentinel-2A orbit products are not very stringent with 3 m in 3D (3 sigma) for the near real-time (NRT) orbit and 10 m in 2D (3 sigma) for the predicted orbit. The fulfilment of the orbit accuracy requirements is normally not an issue. The Copernicus POD Service aims, however, to provide the best possible orbits for all three Sentinel missions. Therefore, a sophisticated box-wing model is generated for the Sentinel-2 satellite as it is done for the other two missions as well. Additionally, the solar wing of the satellite is rewound during eclipse, which has to be modelled accordingly. The quality of the orbit prediction is dependent on the results of the orbit estimation performed before it. The values of the last estimation of each parameter is taken for the orbit propagation, i.e. estimating ten atmospheric drag coefficients per 24h, the value of the last coefficient is used as a fix parameter for the subsequent orbit prediction. The question is whether the prediction might be stabilised by, e.g. using an average value of all ten coefficients. This paper presents the status and the quality of the Sentinel-2 orbit determination in the operational environment of the Copernicus POD Service. The impact of the orbit model improvements on the NRT and predicted orbits is studied in detail. Changes in the orbit parametrization as well as in the settings for the orbit propagation are investigated. In addition, the impact of the quality of the input GPS orbit and clock product on the Sentinel-2A orbit prediction results is checked. The results of this study do not only improve the Sentinel-2 orbit products but will also support the generation of reliable orbit predictions for the Sentinel-3 mission. The Sentinel-3 satellite is equipped with a laser retro-reflector and reliable orbit predictions are, therefore, very important to guarantee a continuous support of the satellite laser tracking stations.

Fun Databases: My Top Ten.

ERIC Educational Resources Information Center

O'Leary, Mick

1992-01-01

Provides reviews of 10 online databases: Consumer Reports; Public Opinion Online; Encyclopedia of Associations; Official Airline Guide Adventure Atlas and Events Calendar; CENDATA; Hollywood Hotline; Fearless Taster; Soap Opera Summaries; and Human Sexuality. (LRW)

16 CFR 1102.28 - Publication of reports of harm.

Code of Federal Regulations, 2012 CFR

2012-01-01

... REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural Requirements § 1102.28... publish reports of harm that meet the requirements for publication in the Database. The Commission will... Commission may publish a report of harm that meets the requirements of § 1102.10(d) in the Database beyond...

16 CFR 1102.26 - Determination of materially inaccurate information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan. 10... publication in the Database, may request that the report of harm or manufacturer comment, or portions of such report of harm or manufacturer comment, be excluded from the Database or corrected by the Commission...

16 CFR 1102.28 - Publication of reports of harm.

Code of Federal Regulations, 2014 CFR

2014-01-01

... REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural Requirements § 1102.28... publish reports of harm that meet the requirements for publication in the Database. The Commission will... Commission may publish a report of harm that meets the requirements of § 1102.10(d) in the Database beyond...

Preventable statin adverse reactions and therapy discontinuation. What can we learn from the spontaneous reporting system?

PubMed

Sessa, Maurizio; Rafaniello, Concetta; Scavone, Cristina; Mascolo, Annamaria; di Mauro, Gabriella; Fucile, Annamaria; Rossi, Francesco; Sportiello, Liberata; Capuano, Annalisa

2018-05-01

Statin treatment is often associated with poor adherence, which may be due to the onset of adverse drug reactions (ADRs). We investigated on potential risk factors related to preventable cases of statin-induced ADRs and to the discontinuation of statin therapy. We performed a study using the database of Italian spontaneous reporting. The target population for the preventability assessment was all patients with suspected statin-induced ADRs deriving from Campania Region (a territory of Southern Italy) between 2012 and 2017. Additionally, a local sentinel surveillance site involving General Practitioners was selected to countercheck in routine clinical practice the role of ADRs for statin discontinuation. In total, 34 of 655 (5.19%) regional cases were preventable and among detected risk factors 90.0% was related to healthcare professionals' practices and 10.0% to patient behaviour. In 81.4% (533/655) of cases, statin therapy was discontinued due to ADRs, mainly classified as not serious and associated with a positive prognosis. These results were also confirmed in the active sentinel site. Our findings suggest an inappropriate use of statins among the identified preventable cases and a potential inappropriate statin discontinuation due to ADRs. These factors may be useful for targeting interventions to improve statin adherence.

Sentinel Node Biopsy in Melanoma: A Short Update

PubMed Central

Ferrara, Gerardo; Partenzi, Antonietta; Filosa, Alessandra

2018-01-01

Several controversies are still ongoing about sentinel node biopsy in melanoma. It is basically a staging procedure for melanoma > 0.75 mm in thickness or for thinner melanoma in the presence of ulceration, high mitotic rate, and/or lymphovascular invasion. Complete lymph node dissection after a positive sentinel node can also allow a better locoregional disease control but seems not to prevent the development of distant metastases. The use of sentinel node biopsy in atypical Spitz tumors should be discouraged because of their peculiar biological properties. PMID:29719827

History, present status and future of sentinel node biopsy in breast cancer. The Mary Béves Lecture.

PubMed

Mansel, R E; Khonji, N I; Clarke, D

2000-01-01

The word Sentinel' is defined in The Oxford English Dictionary as 'a guard, one who keeps watch or a sentry'. When translated to the concept of a tumour and its lymph node drainage, the sentinel node could be interpreted to mean the lymph node that guards or keeps watch over a tumour. The sentinel lymph node can thus be defined as the first lymph node that drains a primary tumour within the regional lymphatic basin of that tumour. We know that tumour progression in breast cancer often occurs in an orderly, progressive fashion. So in theory, if the sentinel node is tumour free then the rest of the nodes in the lymphatic basin should also be uninvolved by the tumour.

Discrete call types referring to predation risk enhance the efficiency of the meerkat sentinel system

PubMed Central

Rauber, R.; Manser, M. B.

2017-01-01

Sentinel behaviour, a form of coordinated vigilance, occurs in a limited range of species, mostly in cooperative breeders. In some species sentinels confirm their presence vocally by giving a single sentinel call type, whereby the rate and subtle acoustic changes provide graded information on the variation of perceived predation risk. In contrast, meerkat (Suricata suricatta) sentinels produce six different sentinel call types. Here we show that manipulation of perception of danger has different effects on the likelihood of emitting these different call types, and that these call types affect foraging individuals differently. Increasing the perceived predation risk by playing back alarm calls decreased the production rate of the common short note calls and increased the production rate of the rare long calls. Playbacks of short note calls increased foraging behaviour and decreased vigilance in the rest of the group, whereas the opposite was observed when playing long calls. This suggests that the common call types act as all-clear signals, while the rare call types have a warning function. Therefore, meerkats increase the efficiency of their sentinel system by producing several discrete call types that represent changes in predation risk and lead to adjustments of the group’s vigilance behaviour. PMID:28303964

Animals as sentinels of chemical terrorism agents: an evidence-based review.

PubMed

Rabinowitz, Peter; Wiley, James; Odofin, Lynda; Wilcox, Matthew; Dein, F Joshua

2008-02-01

The goal of this systematic review was to identify evidence that animals could serve as sentinels of an attack with a chemical terrorism agent. The biomedical literature was systematically searched for evidence that wild or domestic animals exposed to certain chemical weapons of terrorism had either greater susceptibility, shorter latency period, or increased exposure risk versus humans. Additionally, we searched for documented reports of such animals historically serving as sentinels for chemical warfare agents. For a small number of agents, there was limited evidence that domestic and/or wild animals could provide sentinel information to humans following an airborne attack with chemical agents, usually related to increased potential for environmental exposure. Some of this evidence was based on anecdotal case reports, and in many cases high quality chemical terrorism agent evidence regarding comparative susceptibility, exposure, and latency between humans and sentinel animal species was not found. Currently, there is insufficient evidence for routine use of animals as sentinels for airborne chemical warfare agents. At the same time, Poison Center surveillance systems should include animal calls, and greater communication between veterinarians and physicians could help with preparedness for a chemical terrorism attack. Further analysis of comparative chemical warfare agent toxicity between sentinel animal species and humans is needed.

Use of sentinel lymph node biopsy for melanoma of the head and neck.

PubMed

Kilpatrick, Lauren A; Shen, Perry; Stewart, John H; Levine, Edward A

2007-08-01

Sentinel lymph node biopsy (SLN) is a well-accepted procedure for truncal and extremity melanoma (T&E). However, its role in melanoma of the head and neck (H&N) remains controversial. Complex lymphatic and vascular drainage make SLN more challenging in this region. This study was done to evaluate the results of SLN for H&N versus T&E melanoma. Three hundred sixteen patients who underwent SLN for melanoma using a double indicator technique were identified from a prospective database. Records were analyzed retrospectively. Statistical analysis was performed using chi2, t test, or Mann-Whitney U test to evaluate the results, as appropriate. H&N was found in 87 cases (27.5%). The mean age was 63.2 and 53.2 years for H&N and T&E melanoma (P < 0.001), respectively. 99Technetium positivity (89.7% H&N versus 99.6% T&E, P < 0.001) and isosulfan blue positivity (85.1% H&N versus 91.7% T&E, P = 0.08) were more likely in T&E melanoma. There was a significant difference between H&N and T&E melanoma with respect to the incidence of failed SLN, defined as no sentinel nodes identified intraoperatively (8.0% versus 0%, P < 0.001). Both groups had similar rates of positive intraoperative imprint cytologic examination (4.6% H&N versus 6.1% T&E, P > 0.5). There was a trend suggesting a higher mean number of sentinel lymph nodes found (3.1 versus 2.7, P = 0.1) in H&N melanoma. The total number of lymph nodes found in dissection specimens (20.9 versus 21.9, P = 0.45), the total number of positive lymph nodes (3.5 versus 1.6, P = 0.32), the incidence of any recurrence (19.5% versus 12.7%, P = 0.2), and time to recurrence (14.2 versus 20.6 months, P = 0.18) were similar between H&N and T&E melanoma. SLN mapping of H&N lesions is more difficult than at other sites. However, rates of nodal positivity are similar to melanoma of the trunk and extremities. Therefore, despite being more demanding, SLN is useful in diagnosis and treatment of melanomas of the head and neck.

Examining the strength of the newly-launched Sentinel 2 MSI sensor in detecting and discriminating subtle differences between C3 and C4 grass species

NASA Astrophysics Data System (ADS)

Shoko, C.; Mutanga, O.

2017-07-01

C3 and C4 grass species discrimination has increasingly become relevant in understanding their response to environmental changes and to monitor their integrity in providing goods and services. While remotely-sensed data provide robust, cost-effective and repeatable monitoring tools for C3 and C4 grasses, this has been largely limited by the scarcity of sensors with better earth imaging characteristics. The recent launch of the advanced Sentinel 2 MultiSpectral Instrument (MSI) presents a new prospect for discriminating C3 and C4 grasses. The present study tested the potential of Sentinel 2, characterized by refined spatial resolution and more unique spectral bands in discriminating between Festuca (C3) and Themeda (C4) grasses. To evaluate the performance of Sentinel 2 MSI; spectral bands, vegetation indices and spectral bands plus indices were used. Findings from Sentinel 2 were compared with those derived from the widely-used Worldview 2 commercial sensor and the Landsat 8 Operational Land Imager (OLI). Overall classification accuracies have shown that Sentinel 2 bands have potential (90.36%), than indices (85.54%) and combined variables (88.61%). The results were comparable to Worldview 2 sensor, which produced slightly higher accuracies using spectral bands (95.69%), indices (86.02%) and combined variables (87.09%), and better than Landsat 8 OLI spectral bands (75.26%), indices (82.79%) and combined variables (86.02%). Sentinel 2 bands produced lower errors of commission and omission (between 4.76 and 14.63%), comparable to Worldview 2 (between 1.96 and 7.14%), than Landsat 8 (between 18.18 and 30.61%), when classifying the two species. The classification accuracy from Sentinel 2 also did not differ significantly (z = 1.34) from Worldview 2, using standard bands; it was significantly (z > 1.96) different using indices and combined variables, whereas when compared to Landsat 8, Sentinel 2 accuracies were significantly different (z > 1.96) using all variables. These results demonstrated that key vegetation species discrimination could be improved by the use of the freely and improved Sentinel 2 MSI data.

Interval sentinel lymph nodes in melanoma: a digital pathology analysis of Ki67 expression and microvascular density.

PubMed

Marinaccio, Christian; Giudice, Giuseppe; Nacchiero, Eleonora; Robusto, Fabio; Opinto, Giuseppina; Lastilla, Gaetano; Maiorano, Eugenio; Ribatti, Domenico

2016-08-01

The presence of interval sentinel lymph nodes in melanoma is documented in several studies, but controversies still exist about the management of these lymph nodes. In this study, an immunohistochemical evaluation of tumor cell proliferation and neo-angiogenesis has been performed with the aim of establishing a correlation between these two parameters between positive and negative interval sentinel lymph nodes. This retrospective study reviewed data of 23 patients diagnosed with melanoma. Bioptic specimens of interval sentinel lymph node were retrieved, and immunohistochemical reactions on tissue sections were performed using Ki67 as a marker of proliferation and CD31 as a blood vessel marker for the study of angiogenesis. The entire stained tissue sections for each case were digitized using Aperio Scanscope Cs whole-slide scanning platform and stored as high-resolution images. Image analysis was carried out on three selected fields of equal area using IHC Nuclear and Microvessel analysis algorithms to determine positive Ki67 nuclei and vessel number. Patients were divided into positive and negative interval sentinel lymph node groups, and the positive interval sentinel lymph node group was further divided into interval positive with micrometastasis and interval positive with macrometastasis subgroups. The analysis revealed a significant difference between positive and negative interval sentinel lymph nodes in the percentage of Ki67-positive nuclei and mean vessel number suggestive of an increased cellular proliferation and angiogenesis in positive interval sentinel lymph nodes. Further analysis in the interval positive lymph node group showed a significant difference between micro- and macrometastasis subgroups in the percentage of Ki67-positive nuclei and mean vessel number. Percentage of Ki67-positive nuclei was increased in the macrometastasis subgroup, while mean vessel number was increased in the micrometastasis subgroup. The results of this study suggest that the correlation between tumor cell proliferation and neo-angiogenesis in interval sentinel lymph nodes in melanoma could be used as a good predictive marker to distinguish interval positive sentinel lymph nodes with micrometastasis from interval positive lymph nodes with macrometastasis subgroups.

Exploring consumer pathways and patterns of use for ...

EPA Pesticide Factsheets

Background: Humans may be exposed to thousands of chemicals through contact in the workplace, home, and via air, water, food, and soil. A major challenge is estimating exposures to these chemicals, which requires understanding potential exposure routes directly related to how chemicals are used. Objectives: We aimed to assign “use categories” to a database of chemicals, including ingredients in consumer products, to help prioritize which chemicals will be given more scrutiny relative to human exposure potential and target populations. The goal was to identify (a) human activities that result in increased chemical exposure while (b) simplifying the dimensionality of hazard assessment for risk characterization. Methods: Major data sources on consumer- and industrial-process based chemical uses were compiled from multiple countries, including from regulatory agencies, manufacturers, and retailers. The resulting categorical chemical use and functional information are presented through the Chemical/Product Categories Database (CPCat). Results: CPCat contains information on 43,596 unique chemicals mapped to 833 terms categorizing their usage or function. Examples presented demonstrate potential applications of the CPCat database, including the identification of chemicals to which children may be exposed (including those that are not identified on product ingredient labels), and prioritization of chemicals for toxicity screening. The CPCat database is availabl

Sentinel lymph node biopsy for early oral cancers: Westmead Hospital experience.

PubMed

Abdul-Razak, Muzib; Chung, Hsiang; Wong, Eva; Palme, Carsten; Veness, Michael; Farlow, David; Coleman, Hedley; Morgan, Gary

2017-01-01

Sentinel lymph node biopsy (SLNB) has become an alternative option to elective neck dissection (END) for early oral cavity squamous cell carcinoma (OCSCC) outside of Australia. We sought to assess the technical feasibility of SLNB and validate its accuracy against that of END in an Australian setting. We performed a prospective cohort study consisting of 30 consecutive patients with cT 1 - 2 N 0 OCSCC referred to the Head and Neck Cancer Service, Westmead Hospital, Sydney, between 2011 and 2014. All patients underwent SLNB followed by immediate selective neck dissection (levels I-III). A total of 30 patients were diagnosed with an early clinically node-negative OCSCC (seven cT1 and 23 cT2), with the majority located on the oral tongue. A median of three (range: 1-14) sentinel nodes were identified on lymphoscintigraphy, and all sentinel nodes were successfully retrieved, with 50% having a pathologically positive sentinel node. No false-negative sentinel nodes were identified using selective neck dissection as the gold standard. The negative predictive value (NPV) of SLNB was 100%, with 40% having a sentinel node identified outside the field of planned neck dissection on lymphoscintigraphy. Of these, one patient had a positive sentinel node outside of the ipsilateral supraomohyoid neck dissection template. SLNB for early OCSCC is technically feasible in an Australian setting. It has a high NPV and can potentially identify at-risk lymphatic basins outside the traditional selective neck dissection levels even in well-lateralized lesions. © 2016 Royal Australasian College of Surgeons.

Technetium-99m-labeled rituximab for use as a specific tracer of sentinel lymph node biopsy: a translational research study.

PubMed

Wang, Xuejuan; Yang, Zhi; Lin, Baohe; Zhang, Yan; Zhai, Shizhen; Zhao, Qichao; Xie, Qing; Liu, Fei; Han, Xuedi; Li, Jinfeng; Ouyang, Tao

2016-06-21

We aimed to develop and translate a CD20-antigen-targeted radiopharmaceutical, Technetium-99 m-labeled (99mTc) rituximab, for sentinel lymph node (SLN) detection. 99mTc-rituximab was synthesized and tested for stability in human serum. The binding affinity to CD20 was evaluated in Raji cells by flow cytometric analysis. Biodistribution and sentinel node mapping were carried out in bal b/c mice. Eighty-five patients with breast cancer participated in this study. Dynamic sentinel lymphoscintigraphy was first assessed in 12 patients before planar lymphoscintigraphy was assessed in a larger cohort. All patients underwent sentinel lymph node biopsy (SLNB), followed by axillary lymph node dissection. The cell-binding study showed that 99mTc-rituximab possessed compatible affinity to human CD20. In the mechanism study, 99mTc-labeled anti-mouse CD20 monoclonal antibodies could bind to mouse CD20 and accumulate in the SLN with 2.62±1.25 % of the percentage of injected activity, which could be blocked by excessive unlabeled antibody. Low uptake of non-sentinel nodes and fast clearance from the injection site were observed in the mice. Sentinel nodes were identified in 82 of 85 breast cancer patients (96.5%) by lymphoscintigraphy and SLNB. The sensitivity, specificity, and accuracy were 96.8% (30/31), 100% (51/51), and 98.8% (81/82), respectively. 99mTc-rituximab, specifically binding to CD20, met most of the requirements of an ideal sentinel mapping agent for use in clinical settings.

Application of carbon nanoparticles in laparoscopic sentinel lymph node detection in patients with early-stage cervical cancer.

PubMed

Lu, Yan; Wei, Jin-Ying; Yao, De-Sheng; Pan, Zhong-Mian; Yao, Yao

2017-01-01

To investigate the value of carbon nanoparticles in identifying sentinel lymph nodes in early-stage cervical cancer. From January 2014 to January 2016, 40 patients with cervical cancer stage IA2-IIA, based on the International Federation of Gynecology and Obstetrics (FIGO) 2009 criteria, were included in this study. The normal cervix around the tumor was injected with a total of 1 mL of carbon nanoparticles (CNP)at 3 and 9 o'clock. All patients then underwent laparoscopic pelvic lymph node dissection and radical hysterectomy. The black-dyed sentinel lymph nodes were removed for routine pathological examination and immunohistochemical staining. Among the 40 patients, 38 patients had at least one sentinel lymph node (SLN). The detection rate was 95% (38/40). One hundred seventy-three SLNs were detected with an average of 3.9 SLNs per side. 25 positive lymph nodes, which included 21 positive SLNs, were detected in 8 (20%) patients. Sentinel lymph nodes were localized in the obturator (47.97%), internal lilac (13.87%), external lilac (26.59%), parametrial (1.16%), and common iliac (8.67%) regions. The sensitivity of the SLN detection was 100% (5/5), the accuracy was 97.37% (37/38), and the negative predictive value was 100. 0% and the false negative rate was 0%. Sentinel lymph nodes can be used to accurately predict the pathological state of pelvic lymph nodes in early cervical cancer. The detection rates and accuracy of sentinel lymph node were high. Carbon nanoparticles can be used to trace the sentinel lymph node in early cervical cancer.

Intraoperative sentinel node identification in early stage cervical cancer using a combination of radiolabeled albumin injection and isosulfan blue dye injection.

PubMed

Martínez-Palones, José M; Gil-Moreno, Antonio; Pérez-Benavente, María A; Roca, Isabel; Xercavins, Jordi

2004-03-01

We investigated the feasibility of sentinel lymph node identification using radioisotopic lymphatic mapping with technetium-99m-labeled human serum albumin and isosulfan blue dye injection in patients undergoing radical hysterectomy with pelvic lymphadenectomy for treatment of early cervical cancer. Between September 2000 and October 2002, 25 patients with cervical cancer FIGO stage I (n=24) or stage II (n=1) underwent sentinel lymph node detection with preoperative lymphoscintigraphy (technetium-99m colloid albumin injection around the tumor) and intraoperative lymphatic mapping with blue dye and a handheld or laparoscopic gamma probe. Complete pelvic or paraaortic lymphadenectomy was performed in all cases by open surgery or laparoscopic surgery. In 23 evaluable patients, a total of 51 sentinel lymph nodes were detected by lymphoscintigraphy (mean 2.21 nodes per patient). Intraoperatively, 61 sentinel lymph nodes were identified, with a mean of 2.52 nodes per patient by gamma probe and a mean of 1.94 nodes per patient after isosulfan blue injection. Forty percent of sentinel nodes were found in the interiliac region and 25% in the external iliac area. Microscopic nodal metastases (four nodes) were confirmed in 12% of cases. All these lymph nodes were previously detected as sentinel lymph nodes. The remaining 419 nodes after pelvic lymphadenectomy were histologically negative. Sentinel lymph node identification with technetium-99m-labeled nanocolloid combined with blue dye injection is feasible and showed a 100% negative predictive value, and potentially identified women in whom lymph node dissection can be avoided.

Predictors of sentinel lymph node metastases in breast cancer-radioactivity and Ki-67.

PubMed

Thangarajah, Fabinshy; Malter, Wolfram; Hamacher, Stefanie; Schmidt, Matthias; Krämer, Stefan; Mallmann, Peter; Kirn, Verena

2016-12-01

Since the introduction of the sentinel node technique for breast cancer in the 1990s patient's morbidity was reduced. Tracer uptake is known to be dependent from lymph node integrity and activity of macrophages. The aim of this study was to assess whether radioactivity of the tracer can predict sentinel lymph node metastases. Furthermore, a potential association with Ki-67 index was examined. Non-invasive prediction of lymph node metastases could lead to a further decrease of morbidity. We retrospectively analyzed patients with primary breast cancer who underwent surgery at the Department of Obstetrics and Gynecology in the University Hospital of Cologne between 2012 and 2013. Injection of radioactive tracer was done a day before surgery in the department of Nuclear Medicine. Clinical data and radioactivity of the sentinel node measured the day before and intraoperatively were abstracted from patient's files. Of 246 patients, 64 patients had at least one, five patients had two and one patient had three positive sentinel lymph nodes. Occurrence of sentinel lymph node metastases was not associated with preoperative tracer activity (p = 0,319), intraoperative tracer activity of first sentinel node (p = 0,086) or with loss of tracer activity until operation (p = 0,909). There was no correlation between preoperative Ki-67 index and occurrence of lymph node metastases (p = 0,403). In our cohort, there was no correlation between radioactivity and sentinel node metastases. Tracer uptake might not only be influenced by lymph node metastases and does not predict metastatic lymph node involvement. Copyright © 2016 Elsevier Ltd. All rights reserved.

Sentinel 2B: the image quality performances at the beginning of the mission

NASA Astrophysics Data System (ADS)

Trémas, T.; Lonjou, V.; Dick, A.; Languille, F.; Gaudel-Vacaresse, A.; Vidal, B.; Revel, C.

2017-09-01

Launched on March 6th, 2017 from Kourou, Sentinel 2B has passed the phase of commissioning. Sentinel 2B will work together with Sentinel 2A launched in June 2015. The building and implementation of the satellite has been made under the responsibility of ESA, for the European Commission. The subset of Image Quality commissioning was delegated by ESA to CNES, referring to the experience of the French Space Agency on previous imagers. This phase lasted 4 months after the launch, a little longer than the formal In Orbit Calibration period conducted by ESA, some Image Quality parameters requiring several months before converging to a stable state. This paper presents the status of the satellite, from an IQ prospective, just before it entered its operational phase. The radiometric and geometric performances are listed, including: the absolute radiometric calibration, the equalization, the SNR, the absolute and the multi-temporal location accuracy. The performances of both satellites Sentinel and Sentinel 2B working together, will be addressed. A particular focus will be done on multi-temporal location performances, homogeneity of radiometric inter calibrations. The accomplishment of the Global Reference Image over Europe is evoked as well. The IQ commissioning phase ended on June 2017. From this date, the monitoring of IQ parameters is under the responsibility of ESA/ESRIN. Nevertheless, CNES continues to support ESA to survey the accuracy of S2A and S2B performances. The article ends by dealing with the prospective offered by the couple Sentinel 2A + Sentinel 2B.

76 FR 2294 - Revision to the South Coast Portion of the California State Implementation Plan, CPV Sentinel...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

... precursors, sulfur oxides (SO X ), to the CPV Sentinel Energy Project. The District's SIP approved NSR... Management District shall transfer sulfur oxides and particulate emission credits from the CPV Sentinel... needed to issue permits to construct and to meet requirements for sulfur oxides and particulate matter...

Estimating meningitis hospitalization rates for sentinel hospitals conducting invasive bacterial vaccine-preventable diseases surveillance.

PubMed

2013-10-04

The World Health Organization (WHO)-coordinated Global Invasive Bacterial Vaccine-Preventable Diseases (IB-VPD) sentinel hospital surveillance network provides data for decision making regarding use of pneumococcal conjugate vaccine and Haemophilus influenzae type b (Hib) vaccine, both recommended for inclusion in routine childhood immunization programs worldwide. WHO recommends that countries conduct sentinel hospital surveillance for meningitis among children aged <5 years, including collection of cerebrospinal fluid (CSF) for laboratory detection of bacterial etiologies. Surveillance for pneumonia and sepsis are recommended at selected hospitals with well-functioning laboratories where meningitis surveillance consistently meets process indicators (e.g., surveillance performance indicators). To use sentinel hospital surveillance for meningitis to estimate meningitis hospitalization rates, WHO developed a rapid method to estimate the number of children at-risk for meningitis in a sentinel hospital catchment area. Monitoring changes in denominators over time using consistent methods is essential for interpreting changes in sentinel surveillance incidence data and for assessing the effect of vaccine introduction on disease epidemiology. This report describes the method and its use in The Gambia and Senegal.

Evaluation of automated urban surface water extraction from Sentinel-2A imagery using different water indices

NASA Astrophysics Data System (ADS)

Yang, Xiucheng; Chen, Li

2017-04-01

Urban surface water is characterized by complex surface continents and small size of water bodies, and the mapping of urban surface water is currently a challenging task. The moderate-resolution remote sensing satellites provide effective ways of monitoring surface water. This study conducts an exploratory evaluation on the performance of the newly available Sentinel-2A multispectral instrument (MSI) imagery for detecting urban surface water. An automatic framework that integrates pixel-level threshold adjustment and object-oriented segmentation is proposed. Based on the automated workflow, different combinations of visible, near infrared, and short-wave infrared bands in Sentinel-2 image via different water indices are first compared. Results show that object-level modified normalized difference water index (MNDWI with band 11) and automated water extraction index are feasible in urban surface water mapping for Sentinel-2 MSI imagery. Moreover, comparative results are obtained utilizing optimal MNDWI from Sentinel-2 and Landsat 8 images, respectively. Consequently, Sentinel-2 MSI achieves the kappa coefficient of 0.92, compared with that of 0.83 from Landsat 8 operational land imager.

MedlinePlus FAQ: What is MedlinePlus?

MedlinePlus

... supplement information is available from the American Society of Health-System Pharmacists (ASHP) via AHFS ® Consumer Medication Information, and Natural Medicines Comprehensive Database Consumer Version. AHFS ® ... of information on alternative treatments. MedlinePlus has 100 monographs ...

Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments.

PubMed

Zaleski, Rosemary T; Egeghy, Peter P; Hakkinen, Pertti J

2016-07-22

This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children's toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment.

Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments

PubMed Central

Zaleski, Rosemary T.; Egeghy, Peter P.; Hakkinen, Pertti J.

2016-01-01

This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children’s toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment. PMID:27455300

The coastal environment and human health: microbial indicators, pathogens, sentinels and reservoirs

PubMed Central

Stewart, Jill R; Gast, Rebecca J; Fujioka, Roger S; Solo-Gabriele, Helena M; Meschke, J Scott; Amaral-Zettler, Linda A; del Castillo, Erika; Polz, Martin F; Collier, Tracy K; Strom, Mark S; Sinigalliano, Christopher D; Moeller, Peter DR; Holland, A Fredrick

2008-01-01

Innovative research relating oceans and human health is advancing our understanding of disease-causing organisms in coastal ecosystems. Novel techniques are elucidating the loading, transport and fate of pathogens in coastal ecosystems, and identifying sources of contamination. This research is facilitating improved risk assessments for seafood consumers and those who use the oceans for recreation. A number of challenges still remain and define future directions of research and public policy. Sample processing and molecular detection techniques need to be advanced to allow rapid and specific identification of microbes of public health concern from complex environmental samples. Water quality standards need to be updated to more accurately reflect health risks and to provide managers with improved tools for decision-making. Greater discrimination of virulent versus harmless microbes is needed to identify environmental reservoirs of pathogens and factors leading to human infections. Investigations must include examination of microbial community dynamics that may be important from a human health perspective. Further research is needed to evaluate the ecology of non-enteric water-transmitted diseases. Sentinels should also be established and monitored, providing early warning of dangers to ecosystem health. Taken together, this effort will provide more reliable information about public health risks associated with beaches and seafood consumption, and how human activities can affect their exposure to disease-causing organisms from the oceans. PMID:19025674

Copernicus POD Service Operations

NASA Astrophysics Data System (ADS)

Fernandez, Jaime; Escobar, Diego; Ayuga, Francisco; Peter, Heike; Femenias, Pierre

2015-12-01

The Copernicus POD (Precise Orbit Determination) Service is part of the Copernicus PDGS Ground Segment of the Sentinel missions. A GMV-led consortium is operating the Copernicus POD Service (CPOD) being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS (Payload Data Ground Segment). This paper describes the CPOD Service and presents the current status operating Sentinel-1A and its readiness to support the Sentinel-2A and in particular Sentinel-3A incoming Commissioning Phases, with an especial emphasis on describing the Calibration and Validation (Cal/Val) activities to be performed during the Comm. Phase. Then, it is shown how the quality of the orbital products is guaranteed through external validation activities and the role of the Copernicus POD QWG (Quality Working Group).

Finfish and aquatic invertebrate pathology resources for now and the future✩

PubMed Central

Spitsbergen, Jan M.; Blazer, Vicki S.; Bowser, Paul R.; Cheng, Keith C.; Cooper, Keith R.; Cooper, Timothy K.; Frasca, Salvatore; Groman, David B.; Harper, Claudia M.; (Mac) Law, Jerry M.; Marty, Gary D.; Smolowitz, Roxanna M.; Leger, Judy St.; Wolf, Douglas C.; Wolf, Jeffrey C.

2009-01-01

Utilization of finfish and aquatic invertebrates in biomedical research and as environmental sentinels has grown dramatically in recent decades. Likewise the aquaculture of finfish and invertebrates has expanded rapidly worldwide as populations of some aquatic food species and threatened or endangered aquatic species have plummeted due to overharvesting or habitat degradation. This increasing intensive culture and use of aquatic species has heightened the importance of maintaining a sophisticated understanding of pathology of various organ systems of these diverse species. Yet, except for selected species long cultivated in aquaculture, pathology databases and the workforce of highly trained pathologists lag behind those available for most laboratory animals and domestic mammalian and avian species. Several factors must change to maximize the use, understanding, and protection of important aquatic species: 1) improvements in databases of abnormalities across species; 2) standardization of diagnostic criteria for proliferative and nonproliferative lesions; and 3) more uniform and rigorous training in aquatic morphologic pathology. PMID:18948226

Subserosal uterine injection of blue dye for the identification of the sentinel node in patients with endometrial cancer: a feasibility study.

PubMed

Biliatis, Ioannis; Thomakos, Nikolaos; Koutroumpa, Ioanna; Haidopoulos, Dimitris; Sotiropoulou, Maria; Antsaklis, Aris; Vlachos, George; Akrivos, Nikolaos; Rodolakis, Alexandros

2017-09-01

To define the detection rate, sensitivity, and negative predictive value (NPV) of the sentinel node technique in patients with endometrial cancer. Patients with endometrial cancer after informed consent underwent subserosal injection of blue dye during hysterectomy in a tertiary gynae/oncology department between 2010 and 2014. The procedure was performed in all cases by the same team including two gynae/oncologist consultants and one trainee. All relevant perioperative clinicopathological characteristics of the population were recorded prospectively. The identified sentinel nodes were removed separately and a completion bilateral pelvic lymphadenectomy followed in all cases. Simple statistics were used to calculate the sensitivity and NPV of the method on per patient basis. Fifty-four patients were included in this study. At least one sentinel node was mapped in 46 patients yielding a detection rate of 85.2%. Bilateral detection of sentinel nodes was accomplished in only 31 patients (57.4%). The mean number of sentinel nodes was 2.6 per patient and the commonest site of identification was the external iliac artery and vein area (66%). Six patients (11%) had a positive lymph node, and in five of them, this was the sentinel one yielding a sensitivity of 83.3% and an NPV of 97.5%. The overall detection rate improved significantly after the first 15 cases; however, this was not the case for the bilateral detection rate. Our study is in accordance with previous studies of sentinel node in endometrial cancer and further demonstrates and enhances the confidence in the technique. In the current era of an ongoing debate on whether a systematic lymphadenectomy in patients with endometrial cancer is still necessary, we believe that the sentinel node is an acceptable alternative and should be applied routinely in tertiary centres following a strict algorithm.

Comparative evaluation of the efficiency of the BG-Sentinel trap, CDC light trap and Mosquito-oviposition trap for the surveillance of vector mosquitoes.

PubMed

Li, Yiji; Su, Xinghua; Zhou, Guofa; Zhang, Hong; Puthiyakunnon, Santhosh; Shuai, Shufen; Cai, Songwu; Gu, Jinbao; Zhou, Xiaohong; Yan, Guiyun; Chen, Xiao-Guang

2016-08-12

The surveillance of vector mosquitoes is important for the control of mosquito-borne diseases. To identify a suitable surveillance tool for the adult dengue vector Aedes albopictus, the efficacy of the BG-Sentinel trap, CDC light trap and Mosquito-oviposition trap (MOT) on the capture of vector mosquitoes were comparatively evaluated in this study. The capture efficiencies of the BG-Sentinel trap, CDC light trap and Mosquito-oviposition trap for common vector mosquitoes were tested in a laboratory setting, through the release-recapture method, and at two field sites of Guangzhou, China from June 2013 to May 2014. The captured mosquitoes were counted, species identified and compared among the three traps on the basis of species. In the release-recapture experiments in a laboratory setting, the BG-Sentinel trap caught significantly more Aedes albopictus and Culex quinquefasciatus than the CDC light trap and Mosquito-ovitrap, except for Anopheles sinensis. The BG-Sentinel trap had a higher efficacy in capturing female rather than male Ae. albopictus and Cx. quinquefasciatus, but the capture in CDC light traps displayed no significant differences. In the field trial, BG-Sentinel traps collected more Aedes albopictus than CDC light traps and MOTs collected in both urban and suburban areas. The BG-Sentinel trap was more sensitive for monitoring the population density of Aedes albopictus than the CDC light trap and MOT during the peak months of the year 2013. However, on an average, CDC light traps captured significantly more Cx. quinquefasciatus than BG-Sentinel traps. The population dynamics of Cx. quinquefasciatus displayed a significant seasonal variation, with the lowest numbers in the middle of the year. This study indicates that the BG-Sentinel trap is more effective than the commonly used CDC light trap and MOT in sampling adult Aedes albopictus and Culex quinquefasciatus. We recommend its use in the surveillance of dengue vector mosquitoes in China.

Preoperative 18F-FDG-PET/CT imaging and sentinel node biopsy in the detection of regional lymph node metastases in malignant melanoma.

PubMed

Singh, Baljinder; Ezziddin, Samer; Palmedo, Holger; Reinhardt, Michael; Strunk, Holger; Tüting, Thomas; Biersack, Hans-Jürgen; Ahmadzadehfar, Hojjat

2008-10-01

The objective of this study was to evaluate the role of preoperative 18F-fluorodeoxyglucose-positron emission tomography/computed tomography scanning, preoperative lymphoscintigraphy (LS), and sentinel lymph node biopsy in patients with malignant melanoma. Fifty-two patients (36 men: 16 women; mean age 55.0+/-13.0 years; median age 61 years; range 17-76 years) with malignant melanoma were selected. According to the latest version of the American Joint Committee on Cancer staging system, the disease in the study patients was initially classified as either stage I or II. The other primary tumor characteristics were mean Breslow depth=2.87 mm and median=2 mm; range 1-12.0 mm and Clarks levels III-V. None of the study patients had clinical or radiological evidence of regional lymph node metastatic disease. At least one sentinel node was identified in all patients. Preoperative LS detected a total of 111 sentinel lymph nodes (average 2.13 sentinel lymph node per patient) and demonstrated a single nodal draining basin in 38 (73%) patients and multiple (2-3 draining basins) in the remaining 14 (27%) patients. Fourteen out of the 52 patients (27%) had at least one involved sentinel node. Positron emission tomography was true positive in two patients with a sentinel node greater than 1 cm and false positive in two other patients. In this study, the detection of sentinel lymph node by LS and gamma probe had a sensitivity of 100%. In contrast, 18F-FDG-PET imaging demonstrated very low sensitivity (14.3%; 95% CI, 2.5 to 44%) and positive predictive value (50%; 95% CI, 9 to 90%) for localizing the subclinical nodal metastases. The specificity, net present value, and diagnostic accuracy were 94.7, 75, and 73%, respectively. Preoperative fluorodeoxyglucose-positron emission tomography/computed tomography imaging is not able to substitute LS/sentinel lymph node biopsy in patients at stage I or II.

16 CFR § 1102.28 - Publication of reports of harm.

Code of Federal Regulations, 2013 CFR

2013-01-01

... REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Procedural Requirements § 1102.28... publish reports of harm that meet the requirements for publication in the Database. The Commission will... Commission may publish a report of harm that meets the requirements of § 1102.10(d) in the Database beyond...

Sentinel Lymph Node Evaluation in Women with Cervical Cancer

PubMed Central

Holman, Laura L.; Levenback, Charles F.; Frumovitz, Michael

2014-01-01

Lymph node status is the most important prognosticator of survival among women with early stage cervical cancer. This means that many cervical cancer patients will undergo pelvic lymphadenectomy as part of their treatment. Unfortunately, this procedure is associated with significant morbidity. Utilizing the sentinel lymph node technique for women with cervical cancer has the potential to decrease this morbidity. Multiple studies have suggested that sentinel lymph node mapping in these patients is feasible with excellent detection rates and sensitivity. This review examines the current body of literature regarding sentinel lymph node biopsy among women with cervical cancer. PMID:24407177

The Utility of Sentinel Node Biopsy for Sinonasal Melanoma.

PubMed

Oldenburg, Michael S; Price, Daniel L

2017-10-01

Objective  Report two positive sentinel node biopsies for sinonasal melanoma. Design  Retrospective review. Setting  Academic tertiary care center. Participants  Patients who underwent sentinel node biopsy for sinonasal melanoma between November 1, 2014 and November 1, 2015. Main Outcome Measures  Clinical course. Results  Two patients were identified. Patient 1 (83M) presented with a sinonasal melanoma anterior to the left inferior turbinate and was clinically N0 neck. Lymphoscintigraphy revealed two sentinel nodes in the ipsilateral and three in the contralateral cervical basins. The left level I sentinel node was positive for melanoma and lymphadenectomy showed no additional metastases. Patient 2 (71F) presented after incomplete resection of a sinonasal melanoma of the left posterior maxillary sinus wall and was clinically N0 neck. Lymphoscintigraphy with single-photon emission computed tomography (SPECT/CT) localization revealed one sentinel node in the parapharyngeal space and another in the ipsilateral cervical basin. Metastatic melanoma was found in both nodes and completion lymphadenectomy was negative for additional disease. Both patients developed distant metastasis in less than 1 year after surgical resection but responded well to adjuvant immunomodulatory chemotherapeutic agents. Conclusion  Sentinel node biopsy for sinonasal melanoma can provide crucial clinical evidence of regional metastasis prior to overt clinical signs and symptoms. This intraoperative tool has the potential to improve detection of regional metastasis and improve long-term outcomes of this aggressive malignancy.

Lymphatic Mapping and Sentinel Lymph Node Biopsy in Women With Squamous Cell Carcinoma of the Vulva: A Gynecologic Oncology Group Study

PubMed Central

Levenback, Charles F.; Ali, Shamshad; Coleman, Robert L.; Gold, Michael A.; Fowler, Jeffrey M.; Judson, Patricia L.; Bell, Maria C.; De Geest, Koen; Spirtos, Nick M.; Potkul, Ronald K.; Leitao, Mario M.; Bakkum-Gamez, Jamie N.; Rossi, Emma C.; Lentz, Samuel S.; Burke, James J.; Van Le, Linda; Trimble, Cornelia L.

2012-01-01

Purpose To determine the safety of sentinel lymph node biopsy as a replacement for inguinal femoral lymphadenectomy in selected women with vulvar cancer. Patients and Methods Eligible women had squamous cell carcinoma, at least 1-mm invasion, and tumor size ≥ 2 cm and ≤ 6 cm. The primary tumor was limited to the vulva, and there were no groin lymph nodes that were clinically suggestive of cancer. All women underwent intraoperative lymphatic mapping, sentinel lymph node biopsy, and inguinal femoral lymphadenectomy. Histologic ultra staging of the sentinel lymph node was prescribed. Results In all, 452 women underwent the planned procedures, and 418 had at least one sentinel lymph node identified. There were 132 node-positive women, including 11 (8.3%) with false-negative nodes. Twenty-three percent of the true-positive patients were detected by immunohistochemical analysis of the sentinel lymph node. The sensitivity was 91.7% (90% lower confidence bound, 86.7%) and the false-negative predictive value (1-negative predictive value) was 3.7% (90% upper confidence bound, 6.1%). In women with tumor less than 4 cm, the false-negative predictive value was 2.0% (90% upper confidence bound, 4.5%). Conclusion Sentinel lymph node biopsy is a reasonable alternative to inguinal femoral lymphadenectomy in selected women with squamous cell carcinoma of the vulva. PMID:22753905

The SENTINEL-3 Mission: Overview and Status

NASA Astrophysics Data System (ADS)

Benveniste, J.; Mecklenburg, S.

2015-12-01

The Copernicus Programme, being Europe's Earth Observation and Monitoring Programme led by the European Union, aims to provide, on a sustainable basis, reliable and timely services related to environmental and security issues. The Sentinel-3 mission forms part of the Copernicus Space Component. Its main objectives, building on the heritage and experience of the European Space Agency's (ESA) ERS and ENVISAT missions, are to measure sea-surface topography, sea- and land-surface temperature and ocean- and land-surface colour in support of ocean forecasting systems, and for environmental and climate monitoring. The series of Sentinel-3 satellites will ensure global, frequent and near-real time ocean, ice and land monitoring, with the provision of observation data in routine, long term (up to 20 years of operations) and continuous fashion, with a consistent quality and a high level of reliability and availability. The Sentinel-3 missions will be jointly operated by ESA and EUMETSAT. ESA will be responsible for the operations, maintenance and evolution of the Sentinel-3 ground segment on land related products and EUMETSAT for the marine products. The Sentinel-3 ground segment systematically acquires, processes and distributes a set of pre-defined core data products. Sentinel-3A is foreseen to be launched at the beginning of November 2015. The paper will give an overview on the mission, its instruments and objectives, the data products provided, the mechanisms to access the mission's data, and if available first results.

Analysis of signal-dependent sensor noise on JPEG 2000-compressed Sentinel-2 multi-spectral images

NASA Astrophysics Data System (ADS)

Uss, M.; Vozel, B.; Lukin, V.; Chehdi, K.

2017-10-01

The processing chain of Sentinel-2 MultiSpectral Instrument (MSI) data involves filtering and compression stages that modify MSI sensor noise. As a result, noise in Sentinel-2 Level-1C data distributed to users becomes processed. We demonstrate that processed noise variance model is bivariate: noise variance depends on image intensity (caused by signal-dependency of photon counting detectors) and signal-to-noise ratio (SNR; caused by filtering/compression). To provide information on processed noise parameters, which is missing in Sentinel-2 metadata, we propose to use blind noise parameter estimation approach. Existing methods are restricted to univariate noise model. Therefore, we propose extension of existing vcNI+fBm blind noise parameter estimation method to multivariate noise model, mvcNI+fBm, and apply it to each band of Sentinel-2A data. Obtained results clearly demonstrate that noise variance is affected by filtering/compression for SNR less than about 15. Processed noise variance is reduced by a factor of 2 - 5 in homogeneous areas as compared to noise variance for high SNR values. Estimate of noise variance model parameters are provided for each Sentinel-2A band. Sentinel-2A MSI Level-1C noise models obtained in this paper could be useful for end users and researchers working in a variety of remote sensing applications.

77 FR 67767 - Revision to the South Coast Portion of the California State Implementation Plan, CPV Sentinel...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-14

...'') portion of the California SIP. This source-specific SIP revision is known as the CPV Sentinel Energy... South Coast Portion of the California State Implementation Plan, CPV Sentinel Energy Project AB 1318... Environmental Protection Agency (EPA) is taking final action to approve a source-specific State Implementation...

77 FR 6107 - CPV Sentinel, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-07

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER12-911-000] CPV Sentinel... 204 Authorization This is a supplemental notice in the above-referenced proceeding of CPV Sentinel...-8659. Dated: February 1, 2012. Kimberly D. Bose, Secretary. [FR Doc. 2012-2701 Filed 2-6-12; 8:45 am...

16 CFR 1102.44 - Applicability of sections 6(a) and (b) of the CPSA.

Code of Federal Regulations, 2012 CFR

2012-01-01

... PRODUCT SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Notice and...) in the Database. (b) Limitation on construction. Section 1102.44(a) shall not be construed to exempt...

16 CFR 1102.44 - Applicability of sections 6(a) and (b) of the CPSA.

Code of Federal Regulations, 2014 CFR

2014-01-01

... PRODUCT SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE Notice and...) in the Database. (b) Limitation on construction. Section 1102.44(a) shall not be construed to exempt...

Beyond the Briganti nomogram: Individualisation of lymphadenectomy using selective sentinel node biopsy during radical prostatectomy for prostate cancer.

PubMed

Monserrat-Monfort, J J; Martinez-Sarmiento, M; Vera-Donoso, C D; Vera-Pinto, V; Sopena-Novales, P; Bello-Arqués, P; Boronat-Tormo, F

To validate the technique of selective sentinel node biopsy for diagnosing and staging intermediate to high-risk prostate cancer by comparing the technique with conventional extended lymphadenectomy (eLFD) in a prospective, longitudinal comparative study. We applied the technique to 45 patients. After an intraprostatic injection of 99m Tc-nanocolloid and preoperative single-photon emission computed tomography (SPECT/CT), we extracted the sentinel lymph nodes, guided by a portable Sentinella® gamma camera and a laparoscopic gamma-ray detection probe. The eLFD was completed to establish the negative predictive value of the technique. SPECT/CT showed radiotracer deposits outside the eLFD territory in 73% of the patients and the laparoscopic gamma probe in 60%. The mean number of active foci per patient was 4.3 in the SPECT/CT and 3.2 in the laparoscopic gamma probe. The mean number of extracted sentinel lymph nodes was 4.3 (0-14), with 26% outside the eLFD territory. The lymph nodes were metastatic in 10 patients (22%), 6/40 (15%) when the prostatectomy was the primary treatment. In all cases with metastatic lymph nodes, there was at least one positive sentinel node. Metastatic sentinel lymph nodes were found outside the eLFD territory in 3/10 patients (30%). The sensitivity was 100%, the specificity was 94.73%, the positive predictive value was 81.81%, and the negative predictive value was 100%. Selective sentinel node biopsy is superior to eLFD for diagnosing lymph node involvement and can avoid eLFD when metastatic sentinel lymph nodes are not found (85%), with the consequent functional advantages. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Outcome following sentinel lymph node biopsy-guided decisions in breast cancer patients with conversion from positive to negative axillary lymph nodes after neoadjuvant chemotherapy.

PubMed

Kang, Young-Joon; Han, Wonshik; Park, Soojin; You, Ji Young; Yi, Ha Woo; Park, Sungmin; Nam, Sanggeun; Kim, Joo Heung; Yun, Keong Won; Kim, Hee Jeong; Ahn, Sei Hyun; Park, Seho; Lee, Jeong Eon; Lee, Eun Sook; Noh, Dong-Young; Lee, Jong Won

2017-11-01

Many breast cancer patients with positive axillary lymph nodes achieve complete node remission after neoadjuvant chemotherapy. The usefulness of sentinel lymph node biopsy in this situation is uncertain. This study evaluated the outcomes of sentinel biopsy-guided decisions in patients who had conversion of axillary nodes from clinically positive to negative following neoadjuvant chemotherapy. We reviewed the records of 1247 patients from five hospitals in Korea who had breast cancer with clinically axillary lymph node-positive status and negative conversion after neoadjuvant chemotherapy, between 2005 and 2012. Patients who underwent axillary operations with sentinel biopsy-guided decisions (Group A) were compared with patients who underwent complete axillary lymph node dissection without sentinel lymph node biopsy (Group B). Axillary node recurrence and distant recurrence-free survival were compared. There were 428 cases in Group A and 819 in Group B. Kaplan-Meier analysis showed that recurrence-free survivals were not significantly different between Groups A and B (4-year axillary recurrence-free survival: 97.8 vs. 99.0%; p = 0.148). Multivariate analysis also indicated the two groups had no significant difference in axillary and distant recurrence-free survival. For breast cancer patients who had clinical conversion of axillary lymph nodes from positive to negative following neoadjuvant chemotherapy, sentinel biopsy-guided axillary surgery, and axillary lymph node dissection without sentinel lymph node biopsy had similar rates of recurrence. Thus, sentinel biopsy-guided axillary operation in breast cancer patients who have clinically axillary lymph node positive to negative conversion following neoadjuvant chemotherapy is a useful strategy.

On Clear-Cut Mapping with Time-Series of Sentinel-1 Data in Boreal Forest

NASA Astrophysics Data System (ADS)

Rauste, Yrjo; Antropov, Oleg; Mutanen, Teemu; Hame, Tuomas

2016-08-01

Clear-cutting is the most drastic and wide-spread change that affects the hydrological and carbon-balance proper- ties of forested land in the Boreal forest zone1.A time-series of 36 Sentinel-1 images was used to study the potential for mapping clear-cut areas. The time series covered one and half year (2014-10-09 ... 2016-03-20) in a 200-km-by-200-km study site in Finland. The Sentinel- 1 images were acquired in Interferometric Wide-swath (IW), dual-polarized mode (VV+VH). All scenes were acquired in the same orbit configuration. Amplitude im- ages (GRDH product) were used. The Sentinel-1 scenes were ortho-rectified with in-house software using a digi- tal elevation model (DEM) produced by the Land Survey of Finland. The Sentinel-1 amplitude data were radio- metrically corrected for topographic effects.The temporal behaviour of C-band backscatter was stud- ied for areas representing 1) areas clear-cut during the ac- quisition of the Sentinel-1 time-series, 2) areas remaining forest during the acquisition of the Sentinel-1 time-series, and 3) areas that had been clear-cut before the acquisition of the Sentinel-1 time-series.The following observations were made:1. The separation between clear-cut areas and forest was generally low;2. Under certain acquisition conditions, clear-cut areas were well separable from forest;3. The good scenes were acquired: 1) in winter during thick snow cover, and 2) in late summer towards the end of a warm and dry period;4. The separation between clear-cut and forest was higher in VH polarized data than in VV-polarized data.5. The separation between clear-cut and forest was higher in the winter/snow scenes than in the dry summer scenes.

The ground prototype processor: Level-1 production during Sentinel-2 in-orbit acceptance

NASA Astrophysics Data System (ADS)

Petrucci, B.; Dechoz, C.; Lachérade, S.; L'Helguen, C.; Raynaud, J.-L.; Trémas, T.; Picard, C.; Rolland, A.

2015-10-01

Jointly with the European Commission, the Sentinel-2 earth observation optical mission is developed by the European Space Agency (ESA). Relying on a constellation of satellites put in orbit starting mid-2015, Sentinel-2 will be devoted to the monitoring of land and coastal areas worldwide thanks to an imagery at high revisit (5 days with two satellites), high resolution (10m, 20m and 60m) with large swath (290km), and multi-spectral imagery (13 bands in visible and shortwave infra-red). In this framework, the French Space Agency (CNES: Centre National d'Etudes Spatiales) supports ESA on the activities related to Image Quality, defining the image products and prototyping the processing techniques. Scope of this paper is to present the Ground Prototype Processor (GPP) that will be in charge of Level-1 production during Sentinel-2 In Orbit Acceptance phase. GPP has been developed by a European industrial consortium composed of Advanced Computer Systems (ACS), Magellium and DLR on the basis of CNES technical specification of Sentinel-2 data processing and under the joint management of ESA-ESTEC and CNES. It will assure the generation of the products used for Calibration and Validation activities and it will provide the reference data for Sentinel-2 Payload Data Ground Segment Validation. At first, Sentinel-2 end-users products definition is recalled with the associated radiometric and geometric performances; secondly the methods implemented will be presented with an overview of the Ground Image Processing Parameters that need to be tuned during the In Orbit Acceptance phase to assure the required performance of the products. Finally, the complexity of the processing having been showed, the challenges of the production in terms of data volume and processing time will be highlighted. The first Sentinel-2 Level-1 products are shown.

10 % fluorescein sodium vs 1 % isosulfan blue in breast sentinel lymph node biopsy.

PubMed

Ren, Lidong; Liu, Zhao; Liang, Mengdi; Wang, Li; Song, Xingli; Wang, Shui

2016-11-03

Sentinel lymph node biopsy (SLNB) is well accepted to be a standard procedure in breast cancer surgery with clinically negative lymph nodes. Isosulfan blue is the first dye approved by the USA Food and Drug Administration for the localization of the lymphatic system. Few alternative tracers have been investigated. In this study, we aimed to compare the differences between 10 % fluorescein sodium and 1 % isosulfan blue in breast sentinel lymph node biopsy and to investigate the feasibility of using 10 % fluorescein sodium as a new dye for breast sentinel lymph node biopsy. A total of 30 New Zealand rabbits were randomly divided into the fluorescein sodium group and the isosulfan blue group (15 rabbits per group). Fluorescein sodium or isosulfan blue was injected subcutaneously into the second pair of mammary areolas. The average fading time of the second lymph nodes in the isosulfan blue group was significantly shorter than that in the fluorescein sodium group. Moreover, the detection rates of SLNs were higher in the fluorescein sodium group than in the isosulfan blue group. No significant differences between the fluorescein sodium group and isosulfan blue group were observed regarding the distances between the detected sentinel lymph nodes and second pair of mammary areolas, the distances between the second lymph nodes and second pair of mammary areolas, the number of detected sentinel lymph nodes and second lymph nodes, the average dyeing time of the sentinel and the second lymph nodes, and the average fading time of the second lymph nodes. In summary, we first reported that fluorescein sodium is a potential new tracer for breast sentinel lymph node biopsy.

Satellite radar interferometry for monitoring subsidence induced by longwall mining activity using Radarsat-2, Sentinel-1 and ALOS-2 data

NASA Astrophysics Data System (ADS)

Ng, Alex Hay-Man; Ge, Linlin; Du, Zheyuan; Wang, Shuren; Ma, Chao

2017-09-01

This paper describes the simulation and real data analysis results from the recently launched SAR satellites, ALOS-2, Sentinel-1 and Radarsat-2 for the purpose of monitoring subsidence induced by longwall mining activity using satellite synthetic aperture radar interferometry (InSAR). Because of the enhancement of orbit control (pairs with shorter perpendicular baseline) from the new satellite SAR systems, the mine subsidence detection is now mainly constrained by the phase discontinuities due to large deformation and temporal decorrelation noise. This paper investigates the performance of the three satellite missions with different imaging modes for mapping longwall mine subsidence. The results show that the three satellites perform better than their predecessors. The simulation results show that the Sentinel-1A/B constellation is capable of mapping rapid mine subsidence, especially the Sentinel-1A/B constellation with stripmap (SM) mode. Unfortunately, the Sentinel-1A/B SM data are not available in most cases and hence real data analysis cannot be conducted in this study. Despite the Sentinel-1A/B SM data, the simulation and real data analysis suggest that ALOS-2 is best suited for mapping mine subsidence amongst the three missions. Although not investigated in this study, the X-band satellites TerraSAR-X and COSMO-SkyMed with short temporal baseline and high spatial resolution can be comparable with the performance of the Radarsat-2 and Sentinel-1 C-band data over the dry surface with sparse vegetation. The potential of the recently launched satellites (e.g. ALOS-2 and Sentinel-1A/B) for mapping longwall mine subsidence is expected to be better than the results of this study, if the data acquired from the ideal acquisition modes are available.

Simplifying Logistics and Avoiding the Unnecessary in Patients With Breast Cancer Undergoing Sentinel Node Biopsy. A Prospective Feasibility Trial of the Preoperative Injection of Super Paramagnetic Iron Oxide Nanoparticles.

PubMed

Karakatsanis, A; Olofsson, H; Stålberg, P; Bergkvist, L; Abdsaleh, S; Wärnberg, F

2018-06-01

Sentinel node is routinely localized with the intraoperative use of a radioactive tracer, involving challenging logistics. Super paramagnetic iron oxide nanoparticle is a non-radioactive tracer with comparable performance that could allow for preoperative localization, would simplify the procedure, and possibly be of value in axillary mapping before neoadjuvant treatment. The current trial aimed to determine the a priori hypothesis that the injection of super paramagnetic iron oxide nanoparticles in the preoperative period for the localization of the sentinel node is feasible. This is a prospective feasibility trial, conducted from 9 September 2014 to 22 October 2014 at Uppsala University Hospital. In all, 12 consecutive patients with primary breast cancer planned for resection of the primary and sentinel node biopsy were recruited. Super paramagnetic iron oxide nanoparticles were injected in the preoperative visit in the outpatient clinic. The radioactive tracer ( 99 mTc) and the blue dye were injected perioperatively in standard fashion. A volunteer was injected with super paramagnetic iron oxide nanoparticles to follow the decline in the magnetic signal in the sentinel node over time. The primary outcome was successful sentinel node detection. Super paramagnetic iron oxide nanoparticles' detection after preoperative injection (3-15 days) was successful in all cases (100%). In the volunteer, axillary signal was presented for 4 weeks. No adverse effects were noted. Conclusion and relevance: Preoperative super paramagnetic iron oxide nanoparticles' injection is feasible and leads to successful detection of the sentinel node. That may lead to simplified logistics as well as the identification, sampling, and marking of the sentinel node in patients planned for neoadjuvant treatment.

Exploring Capabilities of SENTINEL-2 for Vegetation Mapping Using Random Forest

NASA Astrophysics Data System (ADS)

Saini, R.; Ghosh, S. K.

2018-04-01

Accurate vegetation mapping is essential for monitoring crop and sustainable agricultural practice. This study aims to explore the capabilities of Sentinel-2 data over Landsat-8 Operational Land Imager (OLI) data for vegetation mapping. Two combination of Sentinel-2 dataset have been considered, first combination is 4-band dataset at 10m resolution which consists of NIR, R, G and B bands, while second combination is generated by stacking 4 bands having 10 m resolution along with other six sharpened bands using Gram-Schmidt algorithm. For Landsat-8 OLI dataset, six multispectral bands have been pan-sharpened to have a spatial resolution of 15 m using Gram-Schmidt algorithm. Random Forest (RF) and Maximum Likelihood classifier (MLC) have been selected for classification of images. It is found that, overall accuracy achieved by RF for 4-band, 10-band dataset of Sentinel-2 and Landsat-8 OLI are 88.38 %, 90.05 % and 86.68 % respectively. While, MLC give an overall accuracy of 85.12 %, 87.14 % and 83.56 % for 4-band, 10-band Sentinel and Landsat-8 OLI respectively. Results shown that 10-band Sentinel-2 dataset gives highest accuracy and shows a rise of 3.37 % for RF and 3.58 % for MLC compared to Landsat-8 OLI. However, all the classes show significant improvement in accuracy but a major rise in accuracy is observed for Sugarcane, Wheat and Fodder for Sentinel 10-band imagery. This study substantiates the fact that Sentinel-2 data can be utilized for mapping of vegetation with a good degree of accuracy when compared to Landsat-8 OLI specifically when objective is to map a sub class of vegetation.

[Sentinel lymph node metastasis in patients with ductal breast carcinoma in situ].

PubMed

Ruvalcaba-Limón, Eva; de Jesús Garduño-Raya, María; Bautista-Piña, Verónica; Trejo-Martínez, Claudia; Maffuz-Aziz, Antonio; Rodríguez-Cuevas, Sergio

2014-01-01

Sentinel lymph node biopsy in patients with ductal carcinoma in situ still controversial, with positive lymph node in range of 1.4-12.5% due occult invasive breast carcinoma in surgical specimen. To know the frequency of sentimel node metastases in patients with ductal carcinoma in situ, identify differences between positive and negative cases. Retrospective study of patients with ductal carcinoma in situ treated with sentinel lymph node biopsy because mastectomy indication, palpable tumor, radiological lesion = 5 cm, non-favorable breast-tumor relation and/or patients whom surgery could affect lymphatic flow drainage. Of 168 in situ carcinomas, 50 cases with ductal carcinoma in situ and sentinel lymph node biopsy were included, with a mean age of 51.6 years, 30 (60%) asymptomatic. The most common symptoms were palpable nodule (18%), nipple discharge (12%), or both (8%). Microcalcifications were common (72%), comedonecrosis pattern (62%), grade-2 histology (44%), and 28% negative hormonal receptors. Four (8%) cases had intra-operatory positive sentinel lymph node and one patient at final histo-pathological study (60% micrometastases, 40% macrometastases), all with invasive carcinoma in surgical specimen. Patients with intra-operatory positive sentinel lymph node where younger (44.5 vs 51 years), with more palpable tumors (50% vs 23.1%), and bigger (3.5 vs 2 cm), more comedonecrosis pattern (75% vs 60.8%), more indifferent tumors (75% vs 39.1%), and less cases with hormonal receptors (50% vs 73.9%), compared with negative sentinel lymph node cases, all these differences without statistic significance. One of each 12 patients with ductal carcinoma in situ had affection in sentinel lymph node, so we recommend continue doing this procedure to avoid second surgeries due the presence of occult invasive carcinoma.

Murine norovirus detection in the exhaust air of IVCs is more sensitive than serological analysis of soiled bedding sentinels.

PubMed

Zorn, Julia; Ritter, Bärbel; Miller, Manuel; Kraus, Monika; Northrup, Emily; Brielmeier, Markus

2017-06-01

One limitation to housing rodents in individually ventilated cages (IVCs) is the ineffectiveness of traditional health monitoring programs that test soiled bedding sentinels every quarter. Aerogen transmission does not occur with this method. Moreover, the transmission of numerous pathogens in bedding is uncertain, and sentinel susceptibility to various pathogens varies. A novel method using particle collection from samples of exhaust air was developed in this study which was also systematically compared with routine health monitoring using soiled bedding sentinels. We used our method to screen these samples for the presence of murine norovirus (MNV), a mouse pathogen highly prevalent in laboratory animal facilities. Exhaust air particles from prefilters of IVC racks with known MNV prevalence were tested by quantitative reverse transcription polymerase chain reaction (RT-qPCR). MNV was detected in exhaust air as early as one week with one MNV-positive cage per rack, while sentinels discharged MNV RNA without seroconverting. MNV was reliably and repeatedly detected in particles collected from samples of exhaust air in all seven of the three-month sampling rounds, with increasing MNV prevalence, while sentinels only seroconverted in one round. Under field conditions, routine soiled bedding sentinel health monitoring in our animal facility failed to identify 67% ( n = 85) of positive samples by RT-qPCR of exhaust air particles. Thus, this method proved to be highly sensitive and superior to soiled bedding sentinels in the reliable detection of MNV. These results represent a major breakthrough in hygiene monitoring of rodent IVC systems and contribute to the 3R principles by reducing the number of animals used and by improving experimental conditions.

Sentinel-2 radiometric image quality commissioning: first results

NASA Astrophysics Data System (ADS)

Lachérade, S.; Lonjou, V.; Farges, M.; Gamet, P.; Marcq, S.; Raynaud, J.-L.; Trémas, T.

2015-10-01

In partnership with the European Commission and in the frame of the Copernicus program, the European Space Agency (ESA) is developing the Sentinel-2 optical imaging mission devoted to the operational monitoring of land and coastal areas. The Sentinel-2 mission is based on a satellites constellation deployed in polar sun-synchronous orbit. Sentinel-2 offers a unique combination of global coverage with a wide field of view (290km), a high revisit (5 days with two satellites), a high spatial resolution (10m, 20m and 60m) and multi-spectral imagery (13 spectral bands in visible and shortwave infrared domains). The first satellite, Sentinel-2A, has been launched in June 2015. The Sentinel-2A Commissioning Phase starts immediately after the Launch and Early Orbit Phase and continues until the In-Orbit Commissioning Review which is planned three months after the launch. The Centre National d'Etudes Spatiales (CNES) supports ESA/ESTEC to insure the Calibration/Validation commissioning phase during the first three months in flight. This paper provides first an overview of the Sentinel-2 system and a description of the products delivered by the ground segment associated to the main radiometric specifications to achieve. Then the paper focuses on the preliminary radiometric results obtained during the in-flight commissioning phase. The radiometric methods and calibration sites used in the CNES image quality center to reach the specifications of the sensor are described. A status of the Sentinel-2A radiometric performances at the end of the first three months after the launch is presented. We will particularly address in this paper the results in term of absolute calibration, pixel to pixel relative sensitivity and MTF estimation.

Analysing trends and forecasting malaria epidemics in Madagascar using a sentinel surveillance network: a web-based application.

PubMed

Girond, Florian; Randrianasolo, Laurence; Randriamampionona, Lea; Rakotomanana, Fanjasoa; Randrianarivelojosia, Milijaona; Ratsitorahina, Maherisoa; Brou, Télesphore Yao; Herbreteau, Vincent; Mangeas, Morgan; Zigiumugabe, Sixte; Hedje, Judith; Rogier, Christophe; Piola, Patrice

2017-02-13

The use of a malaria early warning system (MEWS) to trigger prompt public health interventions is a key step in adding value to the epidemiological data routinely collected by sentinel surveillance systems. This study describes a system using various epidemic thresholds and a forecasting component with the support of new technologies to improve the performance of a sentinel MEWS. Malaria-related data from 21 sentinel sites collected by Short Message Service are automatically analysed to detect malaria trends and malaria outbreak alerts with automated feedback reports. Roll Back Malaria partners can, through a user-friendly web-based tool, visualize potential outbreaks and generate a forecasting model. The system already demonstrated its ability to detect malaria outbreaks in Madagascar in 2014. This approach aims to maximize the usefulness of a sentinel surveillance system to predict and detect epidemics in limited-resource environments.

Use of C-band Sentinel-1 and L-band UAVSAR data for flood extent mapping during Hurricane Harvey

NASA Astrophysics Data System (ADS)

Lakshmi, V.; Kundu, S.; Torres, R.

2017-12-01

Hurricane Harvey was one of the most destructive storms that struck the Houston area in August 2017 causing loss of life and property. In this study, an estimation of flooding extent is done using two sets of microwave remote sensing data, Unmanned Aerial Vehicle Synthetic Aperture Radar (UAVSAR) and Sentinel-1. UAVSAR is an L-band SAR (Synthetic Aperture Radar) data which is an airborne repeat-pass interferometric observation system and has 16 km swath. Sentinel-1 is the C band microwave data developed by European Space Agency covering a large area (250 km). Data are analyzed to examine the flood extent over Houston during Harvey. Flood extent mapping is carried out using the Sentinel-1 data and UAVSAR using backscatter signatures which displays the extent of changes and destruction during the flood. Keywords: Harvey, UAVSAR, Sentinel-1, flood extent

Coastal Sea Level along the North Eastern Atlantic Shelf from Delay Doppler Altimetry

NASA Astrophysics Data System (ADS)

Fenoglio-Marc, L.; Benveniste, J.; Andersen, O. B.; Gravelle, M.; Dinardo, S.; Uebbing, B.; Scharroo, R.; Kusche, J.; Kern, M.; Buchhaupt, C.

2017-12-01

Satellite altimetry data of the CryoSat-2 and Sentinel-3 missions processed with Delay Doppler methodology (DDA) provide improved coastal sea level measurements up to 2-4 km from coast, thanks to an along-track resolution of about 300m and a higher signal to noise ratio. We investigate the 10 Kilometre stripe along the North-Eastern Atlantic shelf from Lisbon to Bergen to detect the possible impacts in sea level change studies of this enhanced dataset. We consider SAR CryoSat-2 and Sentinel-3 altimetry products from the ESA GPOD processor and in-house reduced SAR altimetry (RDSAR) products. Improved processing includes in RDSAR the application of enhanced retrackers for the RDSAR waveform. Improved processing in SAR includes modification both in the generation of SAR waveforms, (as Hamming weighting window on the burst data prior to the azimuth FFT, zero-padding prior to the range FFT, doubling of the extension for the radar range swath) and in the SAMOSA2 retracker. Data cover the full lifetime of CryoSat-2 (6 years) and Sentinel-3 (1 year). Conventional altimetry are from the sea level CCI database. First we analyse the impact of these SAR altimeter data on the sea level trend and on the estimation of vertical motion from the altimeter minus tide gauge differences. VLM along the North-Eastern Atlantic shelf is generally small compared to the North-Western Atlantic Coast VLM, with a smaller signal to noise ratio. Second we investigate impact on the coastal mean sea level surface and the mean dynamic topography. We evaluate a mean surface from the new altimeter data to be combined to state of the art geoid models to derive the mean dynamic topography. We compare the results to existing oceanographic and geodetic mean dynamic topography solutions, both on grid and pointwise at the tide gauge stations. This study is supported by ESA through the Sea Level CCI and the GOCE++DYCOT projects

Incorporating Sentinel-2-like remote sensing products in the hydrometeorological modelling over an agricultural area in south west France

NASA Astrophysics Data System (ADS)

Rivalland, Vincent; Gascoin, Simon; Etchanchu, Jordi; Coustau, Mathieu; Cros, Jérôme; Tallec, Tiphaine

2016-04-01

The Sentinel-2 mission will enable to monitor the land cover and the vegetation phenology at high-resolution (HR) every 5 days. However, current Land Surface Models (LSM) typically use land cover and vegetation parameters derived from previous low to mid resolution satellite missions. Here we studied the effect of introducing Sentinel-2-like data in the simulation of the land surface energy and water fluxes in a region dominated by cropland. Simulations were performed with the ISBA-SURFEX LSM, which is used in the operational hydrometeorological chain of Meteo-France for hydrological forecasts and drought monitoring. By default, SURFEX vegetation land surface parameters and temporal evolution are from the ECOCLIMAP II European database mostly derived from MODIS products at 1 km resolution. The model was applied to an experimental area of 30 km by 30 km in south west France. In this area the resolution of ECOCLIMAP is coarser than the typical size of a crop field. This means that several crop types can be mixed in a pixel. In addition ECOCLIMAP provides a climatology of the vegetation phenology and thus does not account for the interannual effects of the climate and land management on the crop growth. In this work, we used a series of 26 Formosat-2 images at 8-m resolution acquired in 2006. From this dataset, we derived a land cover map and a leaf area index map (LAI) at each date, which were substituted to the ECOCLIMAP land cover map and the LAI maps. The model output water and energy fluxes were compared to a standard simulation using ECOCLIMAP only and to in situ measurements of soil moisture, latent and sensible heat fluxes. The results show that the introduction of the HR products improved the timing of the evapotranspiration. The impact was the most visible on the crops having a growing season in summer (maize, sunflower), because the growth period is more sensitive to the climate.

The Prognostic Significance of Sentinel Lymph Node Status for Patients with Thick Melanoma.

PubMed

Bello, Danielle M; Han, Gang; Jackson, Laura; Bulloch, Kaleigh; Ariyan, Stephan; Narayan, Deepak; Rothberg, Bonnie Gould; Han, Dale

2016-12-01

Sentinel lymph node biopsy (SLNB) is recommended for patients with intermediate-thickness melanoma, but the use of SLNB for patients with thick melanoma is debated. This report presents a single-institution study investigating factors predictive of sentinel lymph node (SLN) metastasis and outcome for thick-melanoma patients . A retrospective review of a single-institution database from 1997 to 2012 identified 147 patients with thick primary cutaneous melanoma (≥4 mm) who had an SLNB. Clinicopathologic characteristics were correlated with nodal status and outcome. The median age of the patients was 67 years, and 61.9 % of the patients were men. The median tumor thickness was 5.5 mm, and 54 patients (36.7 %) had a positive SLN. Multivariable analysis showed that only tumor thickness significantly predicted SLN metastasis (odds ratio 1.14; 95 % confidence interval (CI) 1.02-1.28; P = 0.02). The overall median follow-up period was 34.6 months. Overall survival (OS) and melanoma-specific survival (MSS) were significantly worse for the positive versus negative-SLN patients. Multivariable analysis showed that age [hazard ratio (HR) 1.04; 95 % CI 1.01-1.07; P = 0.02] and SLN status (HR 2.24; 95 % CI 1.03-4.88; P = 0.04) significantly predicted OS, whereas only SLN status (HR 3.85; 95 % CI 2.13-6.97; P < 0.01) significantly predicted MSS. Tumor thickness predicts SLN status in thick melanomas. Furthermore, SLN status is prognostic for OS and MSS in thick-melanoma patients, with positive-SLN patients having significantly worse OS and MSS. These findings show that SLNB should be recommended for thick-melanoma patients, particularly because detection of SLN metastasis can identify patients for potential systemic therapy and treatment of nodal disease at a microscopic stage.

Multifunctional Polymer Microbubbles for Advanced Sentinel Lymph Node Imaging and Mapping

DTIC Science & Technology

2012-03-01

undesired PMA attached to microbubble surface. Figure 1: One-pot polymer -lipid microbubbles. (a) Synthesis of thiolated poly(acrylic acid) with...Award Number: W81XWH-11-1-0215 TITLE: Multifunctional Polymer Microbubbles for Advanced Sentinel...February 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Multifunctional Polymer Microbubbles for Advanced Sentinel Lymph Node Imaging and Mapping 5b

Knowing what we breathe: Sentinel 4: a geostationary imaging UVN spectrometer for air quality monitoring

NASA Astrophysics Data System (ADS)

Bazalgette Courrèges-Lacoste, G.; Sallusti, M.; Bulsa, G.; Bagnasco, G.; Gulde, S.; Kolm, M. G.; Smith, D. J.; Maurer, R.

2017-09-01

Sentinel-4 is an imaging UVN (UV-VIS-NIR) spectrometer, developed by Airbus DS under ESA contract in the frame of the joint EU/ESA COPERNICUS program. The mission objective is the operational monitoring of trace gas concentrations for atmospheric chemistry and climate applications - hence the motto of Sentinel-4 "Knowing what we breathe".

Sentinel-1 - the radar mission for GMES operational land and sea services

NASA Astrophysics Data System (ADS)

Attema, Evert; Bargellini, Pierre; Edwards, Peter; Levrini, Guido; Lokas, Svein; Moeller, Ludwig; Rosich-Tell, Betlem; Secchi, Patrizia; Torres, Ramon; Davidson, Malcolm; Snoeij, Paul

2007-08-01

The ESA Sentinels will be the first series of operational satellites to meet the Earth observation needs of the European Union - ESA Global Monitoring for Environment and Security (GMES) programme. Existing and planned space assets will be complemented by new developments from ESA. The first is Sentinel-1, a pair of synthetic aperture radar (SAR) imaging satellites.

Lymphatic drainage patterns of oral maxillary tumors: Approachable locations of sentinel lymph nodes mainly at the cervical neck level.

PubMed

Boeve, Koos; Schepman, Kees-Pieter; Vegt, Bert van der; Schuuring, Ed; Roodenburg, Jan L; Brouwers, Adrienne H; Witjes, Max J

2017-03-01

There is debate if the lymphatic drainage pattern of oral maxillary cancer is to the retropharyngeal lymph nodes or to the cervical lymph nodes. Insight in drainage patterns is important for the indication for neck treatment. The purpose of this study was to identify the lymphatic drainage pattern of oral maxillary cancer via preoperative lymphoscintigraphy. Eleven consecutive patients with oral maxillary cancer treated in our center between December 1, 2012, and April 22, 2016 were studied. Sentinel lymph nodes identified by preoperative lymphoscintigraphy after injection of 99m Tc-nanocolloid and by intraoperative detection using a γ-probe, were surgically removed and histopathologically examined. In 10 patients, sentinel lymph nodes were detected and harvested at cervical levels I, II, or III in the neck. In 2 patients, a parapharyngeal sentinel lymph node was detected. One of the harvested sentinel lymph nodes (1/19) was tumor positive. This study suggests the likelihood of 73% of exclusively cervical level I to III sentinel lymph nodes in oral maxillary cancer. © 2016 Wiley Periodicals, Inc. Head Neck 39: 486-491, 2017. © 2016 Wiley Periodicals, Inc.

Technique for reliable sentinel node biopsy in squamous cell carcinomas of the floor of mouth.

PubMed

Stoeckli, Sandro J; Huebner, Thomas; Huber, Gerhard F; Broglie, Martina A

2016-09-01

Applicability of sentinel node biopsy (SNB) for tumors of the floor of mouth (FOM) is controversial. Prospective evaluation of the accuracy of gamma-probe-guided superselective neck dissection of the preglandular triangle of level I for SNB in FOM squamous cell carcinoma (SCC) after preoperative lymphoscintigraphy and single photon emission CT (SPECT)/CT. In total, 22 sentinel lymph nodes were harvested in level I. Eight of 22 (36%) were seen on lymphoscintigraphy and 11 (50%) on SPECT/CT. Eleven sentinel lymph nodes (50%) were only detected intraoperatively. In unilateral tumors, 20% were contralateral, and, in midline tumors, 93% showed bilateral level I sentinel lymph nodes. The false-negative rate was 8.3%, the negative predictive value was 96.4%, and the false-omission rate was 3.6%. The ultimate neck control rate, including salvage treatment, was 100%. SNB in FOM can be reliably performed using the presented surgical technique. Level I exploration, bilaterally in midline tumors, is mandatory irrespective of the visualization of sentinel lymph nodes in other levels. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1367-1372, 2016. © 2016 Wiley Periodicals, Inc.

Developments in the Aerosol Layer Height Retrieval Algorithm for the Copernicus Sentinel-4/UVN Instrument

NASA Astrophysics Data System (ADS)

Nanda, Swadhin; Sanders, Abram; Veefkind, Pepijn

2016-04-01

The Sentinel-4 mission is a part of the European Commission's Copernicus programme, the goal of which is to provide geo-information to manage environmental assets, and to observe, understand and mitigate the effects of the changing climate. The Sentinel-4/UVN instrument design is motivated by the need to monitor trace gas concentrations and aerosols in the atmosphere from a geostationary orbit. The on-board instrument is a high resolution UV-VIS-NIR (UVN) spectrometer system that provides hourly radiance measurements over Europe and northern Africa with a spatial sampling of 8 km. The main application area of Sentinel-4/UVN is air quality. One of the data products that is being developed for Sentinel-4/UVN is the Aerosol Layer Height (ALH). The goal is to determine the height of aerosol plumes with a resolution of better than 0.5 - 1 km. The ALH product thus targets aerosol layers in the free troposphere, such as desert dust, volcanic ash and biomass during plumes. KNMI is assigned with the development of the Aerosol Layer Height (ALH) algorithm. Its heritage is the ALH algorithm developed by Sanders and De Haan (ATBD, 2016) for the TROPOMI instrument on board the Sentinel-5 Precursor mission that is to be launched in June or July 2016 (tentative date). The retrieval algorithm designed so far for the aerosol height product is based on the absorption characteristics of the oxygen-A band (759-770 nm). The algorithm has heritage to the ALH algorithm developed for TROPOMI on the Sentinel 5 precursor satellite. New aspects for Sentinel-4/UVN include the higher resolution (0.116 nm compared to 0.4 for TROPOMI) and hourly observation from the geostationary orbit. The algorithm uses optimal estimation to obtain a spectral fit of the reflectance across absorption band, while assuming a single uniform layer with fixed width to represent the aerosol vertical distribution. The state vector includes amongst other elements the height of this layer and its aerosol optical thickness. We will present the development work around the ALH retrieval algorithm in the framework of the Sentinel-4/UVN instrument. The main challenges are highlighted and retrieval simulation results are provided. Also, an outlook towards application of the S4 bread board algorithm to Sentinel-5 Precursor data later this year will be discussed.

Orbit determination of the Sentinel satellites - preparations for GPS L2C-tracking

NASA Astrophysics Data System (ADS)

Peter, Heike; Fernández, Jaime; Fernández, Carlos; Féménias, Pierre

2017-04-01

The Copernicus POD (Precise Orbit Determination) Service is part of the Copernicus Processing Data Ground Segment (PDGS) of the Sentinel-1, -2 and -3 missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS. Since April 2014 four Sentinel satellites have been launched (1A, 2A, 3A, and 1B). Sentinel-2B is expected to be launched in March 2017. Thus the CPOD Service will be operating five satellites simultaneously in spring 2017. The satellites of the Sentinel-1, -2, and -3 missions are all equipped with dual frequency high precision GPS receivers delivering the main observables for POD. Sentinel-3 satellites are additionally equipped with a laser retro reflector for Satellite Laser Ranging and a receiver for DORIS tracking. This allows an additional external validation of the Sentinel-3 orbit accuracy. The three missions require orbital products with various latencies from 30 minutes up to 20-30 days. The accuracy requirements are also different and partly very challenging, targeting 5 cm in 3D for Sentinel-1 and 2-3 cm in radial direction for Sentinel-3. The main quality control of the CPOD orbits is done by validating them with independent orbit solutions provided by the Copernicus POD Quality Working Group. The cross-comparison of orbit solutions from different institutions is essential to monitor and to improve the orbit accuracy. The GPS receivers on the B-satellites have the capability to track L2C signal. The option is, however, not yet activated, because if enabled the old L2 signal can no longer be tracked by the receiver. The measurements of many old GPS IIA and IIR satellites would have to be discarded because of the missing second frequency. To be prepared for the future, tests and simulations are foreseen to learn about the impact of the new observable on the POD results. This paper presents the Copernicus POD Service in terms of operations and orbital accuracy achieved by the different orbit products of the different missions. The long-term evolution and progress of the service is presented and the impact and challenges following a future switch to L2C tracking are analysed.

Monitoring Earth's reservoir and lake dynamics from space

NASA Astrophysics Data System (ADS)

Donchyts, G.; Eilander, D.; Schellekens, J.; Winsemius, H.; Gorelick, N.; Erickson, T.; Van De Giesen, N.

2016-12-01

Reservoirs and lakes constitute about 90% of the Earth's fresh surface water. They play a major role in the water cycle and are critical for the ever increasing demands of the world's growing population. Water from reservoirs is used for agricultural, industrial, domestic, and other purposes. Current digital databases of lakes and reservoirs are scarce, mainly providing only descriptive and static properties of the reservoirs. The Global Reservoir and Dam (GRanD) database contains almost 7000 entries while OpenStreetMap counts more than 500 000 entries tagged as a reservoir. In the last decade several research efforts already focused on accurate estimates of surface water dynamics, mainly using satellite altimetry, However, currently they are limited only to less than 1000 (mostly large) water bodies. Our approach is based on three main components. Firstly, a novel method, allowing automated and accurate estimation of surface area from (partially) cloud-free optical multispectral or radar satellite imagery. The algorithm uses satellite imagery measured by Landsat, Sentinel and MODIS missions. Secondly, a database to store reservoir static and dynamic parameters. Thirdly, a web-based tool, built on top of Google Earth Engine infrastructure. The tool allows estimation of surface area for lakes and reservoirs at planetary-scale at high spatial and temporal resolution. A prototype version of the method, database, and tool will be presented as well as validation using in-situ measurements.

16 CFR 1102.44 - Applicability of sections 6(a) and (b) of the CPSA.

Code of Federal Regulations, 2011 CFR

2011-01-01

... PRODUCT SAFETY ACT REGULATIONS PUBLICLY AVAILABLE CONSUMER PRODUCT SAFETY INFORMATION DATABASE (Eff. Jan... publication in § 1102.10(d) in the Database. (b) Limitation on construction. Section 1102.44(a) shall not be...

What Is a False Negative Sentinel Node Biopsy: Definition, Reasons and Ways to Minimize It?

PubMed

Kataria, Kamal; Srivastava, Anurag; Qaiser, Darakhshan

2016-10-01

Sentinel node biopsy helps in assessing the involvement of axillary lymph node without the morbidity of full axillary lymph node dissection, namely arm and shoulder pain, paraesthesia and lymphoedema. The various methods described in the literature identify the sentinel lymph nodes in approximately 96 % of cases and associated with a false negativity rate of 5 to 10 %. A false negative sentinel node is defined as the proportion of cases in whom sentinel node biopsy is reported as negative, but the rest of axillary lymph node(s) harbours cancer cells. The possible causes of a false negative sentinel lymph node may be because of blocked lymphatics either by cancer cells or following fibrosis of previous surgery/radiotherapy, and an alternative pathway opens draining the blue dye or isotope to another uninvolved node . The other reasons may be two lymphatic pathways for a tumour area, the one opening to a superficial node and the other in deep nodes. Sometimes, lymphatics do not relay into a node but traverse it going to a higher node. In some patients, the microscopic focus of metastasis inside a lymph node is so small-micrometastasis (i.e. between 0.2 and 2 mm) or isolated tumour cells (i.e. less than 0.2 mm) that is missed by the pathologist. The purpose of this review is to clear some fears lurking in the mind of most surgeons about the false negative sentinel lymph node (FNSLN).

[Feasibility analysis of sentinel lymph node biopsy in patients with breast cancer after local lumpectomy].

PubMed

Wang, J; Wang, X; Wang, W Y; Liu, J Q; Xing, Z Y; Wang, X

2016-07-01

To explore the feasibility, safety and clinical application value of sentinel lymph node biopsy(SLNB)in patients with breast cancer after local lumpectomy. Clinical data of 195 patients who previously received local lumpectomy from January 2005 to April 2015 were retrospectively analyzed. All the patients with pathologic stage T1-2N0M0 (T1-2N0M0) breast cancer underwent SLNB. Methylene blue, carbon nanoparticles suspension, technetium-99m-labeled dextran, or in combination were used in the SLNB. The interval from lumpectomy to SLNB was 1-91 days(mean, 18.3 days)and the maximum diameter of tumors before first operation was 0.2-4.5 cm (mean, 1.8 cm). The sentinel lymph node was successfully found in all the cases and the detection rate was 100%. 42 patients received axillary lymph node dissection (ALND), 19 patients had pathologically positive sentinel lymph node, with an accuracy rate of 97.6%, sensitivity of 95.0%, false negative rate of 5.0%, and specificity of 100%, and the false positive rate was 0. Logistic regression analysis suggested that the age of patients was significantly associated with sentinel lymph node metastasis after local lumpectomy. For early breast cancer and after breast tumor biopsy, the influence of local lumpectomy on detection rate and accuracy of sentinel lymph node is not significant. Sentinel lymph node biopsy with appropriately chosen tracing technique may still provide a high detection rate and accuracy.

Feasibility of contrast-enhanced ultrasound-guided biopsy of sentinel lymph nodes in dogs.

PubMed

Gelb, Hylton R; Freeman, Lynetta J; Rohleder, Jacob J; Snyder, Paul W

2010-01-01

Our goal was to develop and validate a technique to identify the sentinel lymph nodes of the mammary glands of healthy dogs with contrast-enhanced ultrasound, and evaluate the feasibility of obtaining representative samples of a sentinel lymph node under ultrasound guidance using a new biopsy device. Three healthy intact female adult hounds were anesthetized and each received an injection of octafluoropropane-filled lipid microspheres and a separate subcutaneous injection of methylene blue dye around a mammary gland. Ultrasound was then used to follow the contrast agent through the lymphatic channel to the sentinel lymph node. Lymph node biopsy was performed under ultrasound guidance, followed by an excisional biopsy of the lymph nodes and a regional mastectomy procedure. Excised tissues were submitted for histopathologic examination and evaluated as to whether they were representative of the node. The ultrasound contrast agent was easily visualized with ultrasound leading up to the sentinel lymph nodes. Eight normal lymph nodes (two inguinal, one axillary in two dogs; two inguinal in one dog) were identified and biopsied. Lymphoid tissue was obtained from all biopsy specimens. Samples from four of eight lymph nodes contained both cortical and medullary lymphoid tissue. Contrast-enhanced ultrasound can be successfully used to image and guide minimally invasive biopsy of the normal sentinel lymph nodes draining the mammary glands in healthy dogs. Further work is needed to evaluate whether this technique may be applicable in patients with breast cancer or other conditions warranting evaluation of sentinel lymph nodes in animals.

Preoperative lymphoscintigraphy and tumor histologic grade are associated with surgical detection of the sentinel lymph node.

PubMed

Arias Ortega, M; Torres Sousa, M Y; González García, B; Pardo García, R; González López, A; Delgado Portela, M

2014-01-01

To study which variables involved in the process of selective sentinel node biopsy (SSNB) influence the intraoperative detection of the sentinel lymph node. This was a prospective cross-sectional study in 210 patients (mean age, 54 years) diagnosed with breast cancer who underwent SSNB. We recorded clinical, radiological, radioisotope administration, surgical, and histological data as well as follow-up data. We did a descriptive analysis of the data and an associative analysis using multivariable regression. Deep injection alone was the most common route of radioisotope administration (72.7%). Most lesions were palpable (57.1%), presented as nodules (67.1%), measured less than 2 cm in diameter (64.8%), were located in the upper outer quadrant (49.1%), were ductal carcinomas (85.7%), were accompanied by infiltration (66.2%), and had a histologic grade of differentiation of ii (44.8%). Preoperative scintigraphy detected the sentinel node in 97.6% of cases and 95.7% were detected during the operation. One axillary relapse was observed. In the associative study, the variables "preoperative lymphoscintigraphy" and "histologic grade of differentiation of the tumor" were significantly associated with the detection of the sentinel lymph node during the operation. The probability of not detecting the sentinel lymph node during the surgical intervention is higher in patients with high histologic grade tumors or in patients in whom preoperative lymphoscintigraphy failed to detect the sentinel node. Copyright © 2012 SERAM. Published by Elsevier Espana. All rights reserved.

The NCBI BioSystems database.

PubMed

Geer, Lewis Y; Marchler-Bauer, Aron; Geer, Renata C; Han, Lianyi; He, Jane; He, Siqian; Liu, Chunlei; Shi, Wenyao; Bryant, Stephen H

2010-01-01

The NCBI BioSystems database, found at http://www.ncbi.nlm.nih.gov/biosystems/, centralizes and cross-links existing biological systems databases, increasing their utility and target audience by integrating their pathways and systems into NCBI resources. This integration allows users of NCBI's Entrez databases to quickly categorize proteins, genes and small molecules by metabolic pathway, disease state or other BioSystem type, without requiring time-consuming inference of biological relationships from the literature or multiple experimental datasets.

Sentinel-1 interferometry and modelling of the 2014 Fogo volcano crisis

NASA Astrophysics Data System (ADS)

Nikkhoo, Mehdi; Walter, Thomas R.; Prats-Iraola, Pau

2015-04-01

The Sentinel-1 mission is a European Space Agency's mission with the aim of earth surface monitoring on land and sea. Through the ESA project INSARAP, we aim at studying the Sentinel-1 InSAR performance for different study areas, and developing new routines for TOPS data analysis. Here we describe results achieved from Sentinel-1 acquisitions over Fogo Island, Cape Verdes. A new volcanic eruption occurred on Fogo volcano in November 2014, leading to a request for assistance communicated by the European ERCC (Emergency Response Coordination Centre). The eruption occurred after a 20 yr period of quiescence inside the Cha das Caldeiras, the embayment of a pre-historic giant landslide. The eruption affected populated areas and has lead to significant loss and destruction, forcing thousands of inhabitants to leave their homes. The timely acquisitions of Sentinel-1 data allows us the comparison of the amplitude and phase differences before and after the eruption. This is one of the first applications of Sentinel-1 data, allowing testing the system and accurate measurements of the deformation processes associated with the volcano eruption. Sentinel-1 InSAR results processed by us in ascending and descending geometry, allows developing numerical models to explain the deformation. To this aim we make use of a novel boundary element code that is based on the artifact free analytical solution of triangular dislocation elements (see Nikkhoo and Walter, 2015, Geophys. J. Int., doi:10.1093/gji/ggv035). The models consider topography and complex source geometries. We find that the magma dike is largely emplaced within the subaerial part of the volcano edifice, where the steep topography has large effects on InSAR results, the surface displacement, and the parameters of the models. Embedded in an inversion scheme, we could reproduce most of the deformation signals as determined in the Sentinel-1 InSAR data, although residuals remain in localized areas that might be associated to processes different than the considered dike. This work hence shows one of the first use of Sentinel-1 data in a volcanic crisis and helps assessing the magma path at depth and associated deformation complexities, relevant for preparation and designing monitoring networks for future eruptions.

Evaluation of Electronic Healthcare Databases for Post-Marketing Drug Safety Surveillance and Pharmacoepidemiology in China.

PubMed

Yang, Yu; Zhou, Xiaofeng; Gao, Shuangqing; Lin, Hongbo; Xie, Yanming; Feng, Yuji; Huang, Kui; Zhan, Siyan

2018-01-01

Electronic healthcare databases (EHDs) are used increasingly for post-marketing drug safety surveillance and pharmacoepidemiology in Europe and North America. However, few studies have examined the potential of these data sources in China. Three major types of EHDs in China (i.e., a regional community-based database, a national claims database, and an electronic medical records [EMR] database) were selected for evaluation. Forty core variables were derived based on the US Mini-Sentinel (MS) Common Data Model (CDM) as well as the data features in China that would be desirable to support drug safety surveillance. An email survey of these core variables and eight general questions as well as follow-up inquiries on additional variables was conducted. These 40 core variables across the three EHDs and all variables in each EHD along with those in the US MS CDM and Observational Medical Outcomes Partnership (OMOP) CDM were compared for availability and labeled based on specific standards. All of the EHDs' custodians confirmed their willingness to share their databases with academic institutions after appropriate approval was obtained. The regional community-based database contained 1.19 million people in 2015 with 85% of core variables. Resampled annually nationwide, the national claims database included 5.4 million people in 2014 with 55% of core variables, and the EMR database included 3 million inpatients from 60 hospitals in 2015 with 80% of core variables. Compared with MS CDM or OMOP CDM, the proportion of variables across the three EHDs available or able to be transformed/derived from the original sources are 24-83% or 45-73%, respectively. These EHDs provide potential value to post-marketing drug safety surveillance and pharmacoepidemiology in China. Future research is warranted to assess the quality and completeness of these EHDs or additional data sources in China.

Influence of dietary carbon on mercury bioaccumulation in streams of the Adirondack Mountains of New York and the Coastal Plain of South Carolina, USA

USGS Publications Warehouse

Riva-Murray, Karen; Bradley, Paul M.; Chasar, Lia C.; Button, Daniel T.; Brigham, Mark E.; Eikenberry, Barbara C. Scudder; Journey, Celeste A.; Lutz, Michelle A.

2013-01-01

We studied lower food webs in streams of two mercury-sensitive regions to determine whether variations in consumer foraging strategy and resultant dietary carbon signatures accounted for observed within-site and among-site variations in consumer mercury concentration. We collected macroinvertebrates (primary consumers and predators) and selected forage fishes from three sites in the Adirondack Mountains of New York, and three sites in the Coastal Plain of South Carolina, for analysis of mercury (Hg) and stable isotopes of carbon (δ13C) and nitrogen (δ15N). Among primary consumers, scrapers and filterers had higher MeHg and more depleted δ13C than shredders from the same site. Variation in δ13C accounted for up to 34 % of within-site variation in MeHg among primary consumers, beyond that explained by δ15N, an indicator of trophic position. Consumer δ13C accounted for 10 % of the variation in Hg among predatory macroinvertebrates and forage fishes across these six sites, after accounting for environmental aqueous methylmercury (MeHg, 5 % of variation) and base-N adjusted consumer trophic position (Δδ15N, 22 % of variation). The δ13C spatial pattern within consumer taxa groups corresponded to differences in benthic habitat shading among sites. Consumers from relatively more-shaded sites had more enriched δ13C that was more similar to typical detrital δ13C, while those from the relatively more-open sites had more depleted δ13C. Although we could not clearly attribute these differences strictly to differences in assimilation of carbon from terrestrial or in-channel sources, greater potential for benthic primary production at more open sites might play a role. We found significant variation among consumers within and among sites in carbon source; this may be related to within-site differences in diet and foraging habitat, and to among-site differences in environmental conditions that influence primary production. These observations suggest that different foraging strategies and habitats influence MeHg bioaccumulation in streams, even at relatively small spatial scales. Such influence must be considered when selecting lower trophic level consumers as sentinels of MeHg bioaccumulation for comparison within and among sites.

Sentinel Lymph Node Biopsy in Breast Cancer: A Clinical Review and Update

PubMed Central

Haji, Altaf; Battoo, Azhar; Qurieshi, Mariya; Mir, Wahid; Shah, Mudasir

2017-01-01

Sentinel lymph node biopsy has become a standard staging tool in the surgical management of breast cancer. The positive impact of sentinel lymph node biopsy on postoperative negative outcomes in breast cancer patients, without compromising the oncological outcomes, is its major advantage. It has evolved over the last few decades and has proven its utility beyond early breast cancer. Its applicability and efficacy in patients with clinically positive axilla who have had a complete clinical response after neoadjuvant chemotherapy is being aggressively evaluated at present. This article discusses how sentinel lymph node biopsy has evolved and is becoming a useful tool in new clinical scenarios of breast cancer management. PMID:28970846

Sentinel-4: the geostationary component of the GMES atmosphere monitoring missions

NASA Astrophysics Data System (ADS)

Bazalgette Courrèges-Lacoste, G.; Arcioni, M.; Meijer, Y.; Bézy, J.-L.; Bensi, P.; Langen, J.

2017-11-01

The implementation of operational atmospheric composition monitoring missions is foreseen in the context of the Global Monitoring for Environment and Security (GMES) initiative. Sentinel-4 will address the geostationary observations and Sentinel-5 the low Earth orbit ones. The two missions are planned to be launched on-board Eumetsat's Meteosat Third Generation (MTG) and Post-EPS satellites, respectively. This paper presents an overview of the GMES Sentinel- 4 mission, which has been assessed at Phase-0 level. It describes the key requirements and outlines the main aspects of the candidate implementation concepts available at completion of Phase-0. The paper will particularly focus on the observation mode, the estimated performance and the related technology developments.

The Lunar Transit Telescope (LTT) - An early lunar-based science and engineering mission

NASA Technical Reports Server (NTRS)

Mcgraw, John T.

1992-01-01

The Sentinel, the soft-landed lunar telescope of the LTT project, is described. The Sentinel is a two-meter telescope with virtually no moving parts which accomplishes an imaging survey of the sky over almost five octaves of the electromagnetic spectrum from the ultraviolet into the infrared, with an angular resolution better than 0.1 arsec/pixel. The Sentinel will incorporate innovative techniques of interest for future lunar-based telescopes and will return significant engineering data which can be incorporated into future lunar missions. The discussion covers thermal mapping of the Sentinel, measurement of the cosmic ray flux, lunar dust, micrometeoroid flux, the lunar atmosphere, and lunar regolith stability and seismic activity.

Sentinel Lymph Node Biopsy in Breast Cancer: A Clinical Review and Update.

PubMed

Zahoor, Sheikh; Haji, Altaf; Battoo, Azhar; Qurieshi, Mariya; Mir, Wahid; Shah, Mudasir

2017-09-01

Sentinel lymph node biopsy has become a standard staging tool in the surgical management of breast cancer. The positive impact of sentinel lymph node biopsy on postoperative negative outcomes in breast cancer patients, without compromising the oncological outcomes, is its major advantage. It has evolved over the last few decades and has proven its utility beyond early breast cancer. Its applicability and efficacy in patients with clinically positive axilla who have had a complete clinical response after neoadjuvant chemotherapy is being aggressively evaluated at present. This article discusses how sentinel lymph node biopsy has evolved and is becoming a useful tool in new clinical scenarios of breast cancer management.

Black sentinel lymph node and 'scary stickers'.

PubMed

Yang, Arthur S; Creagh, Terrence A

2013-04-01

An unusual case is presented of a young adult patient with two black-stained, radio-nucleotide tracer-active sentinel lymph nodes biopsied following her primary cutaneous melanoma treatment. This was subsequently confirmed to be secondary to cutaneous tattoos, averting the need of an elective regional node dissection. History of tattooing and tattoo removal should therefore be obtained as a routine in all melanoma patients considered for sentinel node biopsy (SLN). SLN biopsy and any subsequent completion node dissection should be strictly staged so that proper histologic diagnosis of the sentinel node is available for correct decision making and treatment. Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Networking consumer health information: bringing the patient into the medical information loop.

PubMed

Martin, E R; Lanier, D

1996-04-01

The Library of the Health Sciences at the University of Illinois at Chicago obtained a grant from the Illinois State Library to implement a statewide demonstration project that would provide consumer health information (CHI) using InfoTrac's Health Reference Center CD-ROM database. The goals of the project were to cooperate with targeted public libraries and clinics in providing CHI at the earliest point of need; to provide access to the database via a dial-up network server and a toll-free telephone number; and to work with targeted sites on database training, core CHI reference sources, and referral procedures. This paper provides background information about the project; describes the major systems and technical issues encountered; and discusses the outcomes, impact, and envisioned enhancements.

Getting ready for the arrival of Sentinel data

NASA Astrophysics Data System (ADS)

Aschbacher, Josef; Milagro Perez, Maria Pilar

2013-04-01

The European Union (EU) and the European Space Agency (ESA) have developed the Global Monitoring for Environment and Security (GMES), being renamed to Copernicus, programme as Europe's answer to the vital need for joined-up data about our climate, environment and security. Through a unique combination of satellite, atmospheric and Earth-based monitoring systems, the initiative will provide new insight into the state of the land, sea and air, providing policymakers, scientists, businesses and the public with accurate and timely information. GMES capabilities include monitoring and forecasting of climatic change, flood risks, soil and coastal erosion, crop and fish resources, air pollution, greenhouse gases, iceberg distribution and snow cover, among others. To accomplish this, GMES has been divided into three main components: Space, In-situ and Services. The Space Component, led by ESA, comprises five types of new dedicated satellites called Sentinels. These missions carry a range of technologies, such as radar and multi-spectral imaging instruments for land, ocean and atmospheric monitoring. While the Sentinel satellites are currently being developed by ESA specifically to meet the needs of GMES, the Contributing Missions, operated by national agencies or commercial entities, are already providing a wealth of data for GMES services, and will continue to deliver complementary data after the Sentinels are in orbit. An integrated Ground Segment ensures access to Sentinels and Contributing Missions data. Access to Sentinel data is governed by the Sentinel data policy, which is part of a wider GMES data and information access policy. The Sentinel data policy envisages free and open access, subject to restrictions only if security or other European interests need to be preserved. As regards the Contributing Missions, the data policy of the mission owners will be respected for the purpose of providing data to GMES service users. The first in the fleet of dedicated satellites to be launched at the end of 2013 is Sentinel-1. This is a radar mission and will be engaged in wide range of land and ocean surveillance tasks, such as oil-spill monitoring and earthquake hazard assessment. It will be followed early next year by Sentinel-2 and Sentinel-3, dedicated mainly to the mapping of the Earth's surface and to the monitoring of ocean temperature and colour. The arrival of the first Sentinel data will provide systematic continuity of data already widely used within the science and application communities. It will also ensure long-term operational commitment and data consistency. The in-situ component, under the coordination of the European Environment Agency (EEA), is composed of atmospheric and Earth based monitoring systems, and based on established networks and programmes at European and international levels. The European Commission is in charge of implementing the services component of GMES and of leading GMES overall. GMES services, fed with data from the Space and In-situ components, will provide essential information in five main domains, atmosphere, ocean and land monitoring as well as emergency response and security. Climate change has been added as a new GMES service and cross-cuts all these domains. This session aims at informing users about the current programme's overall status and its potential for users in the services and scientific fields, in particular, in view of the upcoming launch of the first in the fleet of Sentinel satellites.

Use of sentinel lymph node biopsy to select patients for local–regional therapy after neoadjuvant chemotherapy

PubMed Central

Erdahl, Lillian M.; Boughey, Judy C.

2014-01-01

Use of sentinel lymph node biopsy for axillary staging of patients with breast cancer treated with neoadjuvant chemotherapy has been widely debated. Questions arise regarding the accuracy of sentinel lymph node biopsy in axillary staging for these patients and its use to determine further local–regional therapy, including surgery and radiation therapy. For patients who are clinically node-negative at presentation, sentinel lymph node biopsy enables accurate staging of the axilla after neoadjuvant chemotherapy, and determination of which patients should go on to further axillary surgery and regional nodal radiation therapy. Importantly, performing axillary staging after completion of chemotherapy, rather than before chemotherapy, enables assessment of response to chemotherapy and the extent of residual disease. This information can assist the planning of adjuvant treatment. Recent data indicate that sentinel node biopsy can also be used to assess disease response after neoadjuvant chemotherapy for patients with clinical N1 disease at presentation. PMID:24683440

Solar Sentinels: Report of the Science and Technology Definition Team

NASA Technical Reports Server (NTRS)

2006-01-01

The goal of NASA s Living With a Star (LWS) program is to develop the scientific understanding necessary to effectively address those aspects of the connected Sun Earth system that directly affect life and society. Along with the other elements of LWS, Solar Sentinels aims to discover, understand, and model the heliospheric initiation, propagation, and solar connection of those energetic phenomena that adversely affect space exploration and life and society here on Earth. The Solar Sentinels mission will address the following questions: (1) How, where, and under what circumstances are solar energetic particles (SEPs) accelerated to high energies and how do they propagate through the heliosphere? And (2) How are solar wind structures associated with these SEPs, like CMEs, shocks, and high-speed streams, initiated, propagate, evolve, and interact in the inner heliosphere? The Sentinels STDT recommends implementing this mission in two portions, one optimized for inner heliospheric in-situ measurements and the other for solar remote observations. Sentinels will greatly enhance the overall LWS science return.

Early Validation of Sentinel-2 L2A Processor and Products

NASA Astrophysics Data System (ADS)

Pflug, Bringfried; Main-Knorn, Magdalena; Bieniarz, Jakub; Debaecker, Vincent; Louis, Jerome

2016-08-01

Sentinel-2 is a constellation of two polar orbiting satellite units each one equipped with an optical imaging sensor MSI (Multi-Spectral Instrument). Sentinel-2A was launched on June 23, 2015 and Sentinel-2B will follow in 2017.The Level-2A (L2A) processor Sen2Cor implemented for Sentinel-2 data provides a scene classification image, aerosol optical thickness (AOT) and water vapour (WV) maps and the Bottom-Of-Atmosphere (BOA) corrected reflectance product. First validation results of Sen2Cor scene classification showed an overall accuracy of 81%. AOT at 550 nm is estimated by Sen2Cor with uncertainty of 0.035 for cloudless images and locations with dense dark vegetation (DDV) pixels present in the image. Aerosol estimation fails if the image contains no DDV-pixels. Mean difference between Sen2Cor WV and ground-truth is 0.29 cm. Uncertainty of up to 0.04 was found for the BOA- reflectance product.

Transected thin melanoma: Implications for sentinel lymph node staging.

PubMed

Herbert, Garth; Karakousis, Giorgos C; Bartlett, Edmund K; Zaheer, Salman; Graham, Danielle; Czerniecki, Brian J; Fraker, Douglas L; Ariyan, Charlotte; Coit, Daniel G; Brady, Mary S

2018-03-01

Indications for sentinel lymph node (SLN) biopsy in patients with thin melanoma (≤1 mm thick) are controversial. We asked whether deep margin (DM) positivity at initial biopsy of thin melanoma is associated with SLN positivity. Cases were identified using prospectively maintained databases at two melanoma centers. Patients who had undergone SLN biopsy for melanoma ≤1 mm were included. DM status was assessed for association with SLN metastasis in univariate and multivariate analyses. 1413 cases were identified, but only 1129 with known DM status were included. 39% of patients had a positive DM on original biopsy. DM-positive and DM-negative patients did not differ significantly in primary thickness, ulceration, or mitotic activity. DM-positive and DM-negative patients had similar incidence of SLN metastasis (5.7% vs 3.5%; P = 0.07). Positive DM was not associated with SLN metastasis on univariate analysis (OR 1.69, 95% CI: 0.95-3.00, P = 0.07) or on multivariate analysis adjusted for Breslow depth, Clark level, mitotic rate, and ulceration (OR = 1.59, 95% CI: 0.89-2.85; P = 0.12). For patients with thin melanoma, a positive DM on initial biopsy is not associated with risk of SLN metastasis, so DM positivity should not be considered an indication for SLN staging in an otherwise low-risk patient. © 2017 Wiley Periodicals, Inc.

Analysis of sentinel node positivity in primary cutaneous melanoma: an 8-year single institution experience.

PubMed

Joyce, K M; McInerney, N M; Piggott, R P; Martin, F; Jones, D M; Hussey, A J; Kerin, M J; Kelly, J L; Regan, P J

2017-11-01

Sentinel lymph node biopsy (SLNB) is a standard method for determining the pathologic status of the regional lymph nodes. The aim of our study was to determine the incidence and clinicopathologic factors predictive of SLN positivity, and to evaluate the prognostic importance of SLNB in patients with cutaneous melanoma. We performed a retrospective analysis of a prospectively maintained database of all patients who underwent SLNB for primary melanoma at our institution from 2005 to 2012. Statistical analysis was performed using χ 2 and Fischer exact test. In total, 318 patients underwent SLNB, of which 65 were for thin melanoma (≤1 mm). There were 36 positive SLNB, 278 negative SLNB and in four cases the SLN was not located. The incidence rate for SLNB was 11.3% overall and 1.5% in thin melanomas alone. Statistical analysis identified Breslow thickness >1 mm (P = 0.006), Clark level ≥ IV (P = 0.004) and age <75 years (P = 0.035) as the strongest predictors of SLN positivity. Our overall false negativity rate was 20% (9/45) with one case of false-negative SLNB in thin melanomas. Breslow thickness of the primary tumour remains the strongest predictor of SLN positivity. Our findings point to a possible limited role for SLNB in thin melanoma due to its low positivity rate, associated false-negative rate and related morbidity.

A systematic review of validated methods for identifying anaphylaxis, including anaphylactic shock and angioneurotic edema, using administrative and claims data.

PubMed

Schneider, Gary; Kachroo, Sumesh; Jones, Natalie; Crean, Sheila; Rotella, Philip; Avetisyan, Ruzan; Reynolds, Matthew W

2012-01-01

The Food and Drug Administration's Mini-Sentinel pilot program initially aims to conduct active surveillance to refine safety signals that emerge for marketed medical products. A key facet of this surveillance is to develop and understand the validity of algorithms for identifying health outcomes of interest from administrative and claims data. This article summarizes the process and findings of the algorithm review of anaphylaxis. PubMed and Iowa Drug Information Service searches were conducted to identify citations applicable to the anaphylaxis health outcome of interest. Level 1 abstract reviews and Level 2 full-text reviews were conducted to find articles using administrative and claims data to identify anaphylaxis and including validation estimates of the coding algorithms. Our search revealed limited literature focusing on anaphylaxis that provided administrative and claims data-based algorithms and validation estimates. Only four studies identified via literature searches provided validated algorithms; however, two additional studies were identified by Mini-Sentinel collaborators and were incorporated. The International Classification of Diseases, Ninth Revision, codes varied, as did the positive predictive value, depending on the cohort characteristics and the specific codes used to identify anaphylaxis. Research needs to be conducted on designing validation studies to test anaphylaxis algorithms and estimating their predictive power, sensitivity, and specificity. Copyright © 2012 John Wiley & Sons, Ltd.

CTC Sentinel. Volume 10, Issue 3

DTIC Science & Technology

2017-03-01

Mining Matthew C . DuPée MARCH 2017 C TC SENTINEL 1 Among the most recent evolutions of jihadi terrorist tactics in the West has been...arrest him. Soofi and Simpson committed the attack with assistance from Adbul Malik Abdul Kareem. Source: court documents. c They are Avin Brown (2014...State’s Virtual Entrepreneurs By Seamus Hughes and Alexander Meleagrou-Hitchens 2 C TC SENTINEL MARCH 2017 jihadi propaganda. Together

Mission Design for NASA's Inner Heliospheric Sentinels and ESA's Solar Orbiter Missions

NASA Technical Reports Server (NTRS)

Downing, John; Folta, David; Marr, Greg; Rodriquez-Canabal, Jose; Conde, Rich; Guo, Yanping; Kelley, Jeff; Kirby, Karen

2007-01-01

This paper will document the mission design and mission analysis performed for NASA's Inner Heliospheric Sentinels (IHS) and ESA's Solar Orbiter (SolO) missions, which were conceived to be launched on separate expendable launch vehicles. This paper will also document recent efforts to analyze the possibility of launching the Inner Heliospheric Sentinels and Solar Orbiter missions using a single expendable launch vehicle, nominally an Atlas V 551.

Portable gamma camera guidance in sentinel lymph node biopsy: prospective observational study of consecutive cases.

PubMed

Peral Rubio, F; de La Riva, P; Moreno-Ramírez, D; Ferrándiz-Pulido, L

2015-06-01

Sentinel lymph node biopsy is the most important tool available for node staging in patients with melanoma. To analyze sentinel lymph node detection and dissection with radio guidance from a portable gamma camera. To assess the number of complications attributable to this biopsy technique. Prospective observational study of a consecutive series of patients undergoing radioguided sentinel lymph node biopsy. We analyzed agreement between nodes detected by presurgical lymphography, those detected by the gamma camera, and those finally dissected. A total of 29 patients (17 women [62.5%] and 12 men [37.5%]) were enrolled. The mean age was 52.6 years (range, 26-82 years). The sentinel node was dissected from all patients; secondary nodes were dissected from some. In 16 cases (55.2%), there was agreement between the number of nodes detected by lymphography, those detected by the gamma camera, and those finally dissected. The only complications observed were seromas (3.64%). No cases of wound dehiscence, infection, hematoma, or hemorrhage were observed. Portable gamma-camera radio guidance may be of use in improving the detection and dissection of sentinel lymph nodes and may also reduce complications. These goals are essential in a procedure whose purpose is melanoma staging. Copyright © 2014 Elsevier España, S.L.U. and AEDV. All rights reserved.

Sentinel lymph node biopsy in periocular merkel cell carcinoma: a case report.

PubMed

Filitis, Dan C; Paragh, Gyorgy; Samie, Faramarz H; Zeitouni, Nathalie C

2017-09-20

The National Comprehensive Cancer Network guidelines for Merkel cell carcinoma recommend performance of the sentinel lymph node biopsy in all patients with clinically negative nodal disease for staging and treatment. Nevertheless, sentinel lymph node biopsy in the periocular region is debated as tumors are typically smaller and lymphatic variability can make performance procedurally problematic. We present a case of a Caucasian patient in their seventies who presented with a 1.0 cm periocular Merkel cell carcinoma, who underwent Mohs surgery with a Tenzel flap repair, that was found to have a positive sentinel lymph node biopsy, but who, despite parotidectomy, selective neck dissection, and radiation, succumbed to the disease. Evidence in both the site-specific and non-specific literature demonstrates: (1) Worsening prognosis with extent of lymph node burden, (2) improvements in our abilities to perform lymphoscintigraphy, (3) locoregional and distant metastatic disease in patients with tumor sizes ≤1 cm, and (4) significant rates of sentinel lymph node positivity in patients with tumor sizes ≤1 cm. Our case supports that sentinel lymph node biopsy should be considered in all clinically nodal negative periocular Merkel cell carcinoma, regardless of size, and despite limited site-specific studies on the subject.

Application of Deep Learning of Multi-Temporal SENTINEL-1 Images for the Classification of Coastal Vegetation Zone of the Danube Delta

NASA Astrophysics Data System (ADS)

Niculescu, S.; Ienco, D.; Hanganu, J.

2018-04-01

Land cover is a fundamental variable for regional planning, as well as for the study and understanding of the environment. This work propose a multi-temporal approach relying on a fusion of radar multi-sensor data and information collected by the latest sensor (Sentinel-1) with a view to obtaining better results than traditional image processing techniques. The Danube Delta is the site for this work. The spatial approach relies on new spatial analysis technologies and methodologies: Deep Learning of multi-temporal Sentinel-1. We propose a deep learning network for image classification which exploits the multi-temporal characteristic of Sentinel-1 data. The model we employ is a Gated Recurrent Unit (GRU) Network, a recurrent neural network that explicitly takes into account the time dimension via a gated mechanism to perform the final prediction. The main quality of the GRU network is its ability to consider only the important part of the information coming from the temporal data discarding the irrelevant information via a forgetting mechanism. We propose to use such network structure to classify a series of images Sentinel-1 (20 Sentinel-1 images acquired between 9.10.2014 and 01.04.2016). The results are compared with results of the classification of Random Forest.

[Ambulatory surgical treatment for breast carcinoma].

PubMed

Barillari, P; Leuzzi, R; Bassiri-Gharb, A; D'Angelo, F; Aurello, P; Naticchioni, E

2001-02-01

The aim of the study is to demonstrate the feasibility and the oncologic effectiveness of quadrantectomy plus sentinel node biopsy performed under local anesthesia, and to demonstrate the economic and psychologic advantages. From October 1996 to March 2000, 71 patients affected with clinical T1 N0 breast cancer, underwent quadrantectomy or tumor resection plus sentinel node biopsy and clinically suspicion axillary nodes biopsy, under local anesthesia at the Casa di Cura "Villa Mafalda" in Rome. Twenty tumors were T1a, 26 T1b e 25 T1c. A mean of 2 sentinel nodes (range 1-4) and a mean of 8 axillary nodes were removed during the procedure. In 2 cases sentinel nodes were not identified. Intraoperative histologic examination showed metastatic sentinel nodes in 11 cases. An axillary node dissection was performed in all cases (>12 nodes) and no other metastatic nodes were found. In all patients clinically suspected nodes were removed. In two cases no evidence of metastasis was found in sentinel nodes, while histologic examination revealed in a patient micrometastasis in one node, and in another patient two metastatic nodes. Fifty-three patients rated the overall surgical, anesthetic and recovery experience as "very satisfactory", 13 "satisfactory" and 5 "unsatisfactory". Patients typically expressed their pleasure at the possibility to return home and stressed the ease of recovery.

SENTINEL-1 and SENTINEL-2 Data Fusion for Wetlands Mapping: Balikdami, Turkey

NASA Astrophysics Data System (ADS)

Kaplan, G.; Avdan, U.

2018-04-01

Wetlands provide a number of environmental and socio-economic benefits such as their ability to store floodwaters and improve water quality, providing habitats for wildlife and supporting biodiversity, as well as aesthetic values. Remote sensing technology has proven to be a useful and frequent application in monitoring and mapping wetlands. Combining optical and microwave satellite data can help with mapping and monitoring the biophysical characteristics of wetlands and wetlands` vegetation. Also, fusing radar and optical remote sensing data can increase the wetland classification accuracy. In this paper, data from the fine spatial resolution optical satellite, Sentinel-2 and the Synthetic Aperture Radar Satellite, Sentinel-1, were fused for mapping wetlands. Both Sentinel-1 and Sentinel-2 images were pre-processed. After the pre-processing, vegetation indices were calculated using the Sentinel-2 bands and the results were included in the fusion data set. For the classification of the fused data, three different classification approaches were used and compared. The results showed significant improvement in the wetland classification using both multispectral and microwave data. Also, the presence of the red edge bands and the vegetation indices used in the data set showed significant improvement in the discrimination between wetlands and other vegetated areas. The statistical results of the fusion of the optical and radar data showed high wetland mapping accuracy, showing an overall classification accuracy of approximately 90 % in the object-based classification method. For future research, we recommend multi-temporal image use, terrain data collection, as well as a comparison of the used method with the traditional image fusion techniques.

The Value of Sentinel Lymph Node Biopsy in Oral Cavity Cancers

PubMed Central

Kaya, İsa; Göde, Sercan; Öztürk, Kerem; Turhal, Göksel; Aliyev, Araz; Akyıldız, Serdar; Duygun, Ülkem Yararbaş; Uluöz, Ümit; Yavuzer, Atilla

2015-01-01

Objective The aim of this study was to establish the effectiveness of sentinel lymph node biopsy in the detection of metastasis in N0 necks of T1–T2 early-stage oral cavity cancers. Materials and Methods Twenty neck dissections were performed in 18 patients diagnosed with T1 and T2 oral cavity cancer, with an indication for elective neck dissection between November 2007 and January 2011. The male to female ratio was 12:8, with a mean age of 54.5 years (range 28–76). Eight of the dissections were performed for lower lip cancer, 7 for tongue cancer, and 5 for floor of the mouth cancer. Sentinel lymph node biopsy was used to detect metastatic lymph nodes. Tc99m radionuclide injection was administered to the periphery of the tumor 24 h before the operation, and a lymphoscintigraphy image was obtained 30 min after the injection. Sentinel lymph nodes were localized and excised on the day of surgery using static lymphoscintigraphy images and a gamma probe. Sentinel lymph nodes were sent for a frozen section examination, and either a selective or a comprehensive neck dissection was performed for each neck according to the results. Results After the final histopathological examination of the specimens, the negative predictive value, the positive predictive value, the accuracy of the sentinel lymph node biopsy, and frozen section accuracy were found to be 100%. Conclusion Sentinel lymph node biopsy was found to be an efficient method in the pathological staging and management of the N0 neck in early T-stage oral cavity cancers. PMID:29391982

Novel Indocyanine Green-Phytate Colloid Technique for Sentinel Node Detection in Head and Neck: Mouse Study.

PubMed

Araki, Koji; Mizokami, Daisuke; Tomifuji, Masayuki; Yamashita, Taku; Ohnuki, Kazunobu; Umeda, Izumi O; Fujii, Hirofumi; Kosuda, Shigeru; Shiotani, Akihiro

2014-08-01

Sentinel node navigation surgery using real-time, near-infrared imaging with indocyanine green is becoming popular by allowing head and neck surgeons to avoid unnecessary neck dissection. The major drawback of this method is its quick migration through the lymphatics, limiting the diagnostic time window and undesirable detection of downstream nodes. We resolved this problem by mixing indocyanine green (ICG) with phytate colloid to retard its migration and demonstrated its feasibility in a nude mouse study. Experimental prospective animal study. Animal laboratory. Indocyanine green at 3 concentrations was tested to determine the optimal concentration for sentinel lymph node detection in a mouse model. Effect of indocyanine green with phytate colloid mixture solutions was also analyzed. Indocyanine green or mixture solution at different mixing ratios were injected into the tongue of nude mice and near-infrared fluorescence images were captured sequentially for up to 48 hours. The brightness of fluorescence in the sentinel lymph node and lymph nodes further downstream were assessed. Indocyanine green concentration >50 μg/mL did not improve sentinel lymph node detection. The addition of phytate colloid to indocyanine green extended the period when sentinel lymph node was detectable. Second echelon lymph nodes were not imaged in mice injected with the mixture, while these were visualized in mice injected with indocyanine green alone. This novel technique of ICG-phytate colloid mixture allows prolonged diagnostic time window, prevention of downstream subsequent nodes detection, and improved accuracy for the detection of true sentinel lymph nodes. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

A first assessment of Sentinel-3 SAR altimetry over ice sheets

NASA Astrophysics Data System (ADS)

McMillan, M.; Muir, A. S.; Shepherd, A.

2017-12-01

The first Sentinel-3 satellite was launched in 2016 and carries onboard a Ku-band Synthetic Aperture Radar (SAR) altimeter. With coverage up to a latitude of 81.5 degrees and a repeat period of 27 days, it offers the opportunity to measure surface topography and elevation change across much of the Antarctic and Greenland Ice Sheets, therefore continuing the existing 25 year radar altimeter record. The global operation of Sentinel-3 in SAR mode differs from all past Ku-band instruments; for the first time SAR measurements are routinely acquired across the interiors of the ice sheets; however unlike CryoSat-2 it does not carry an interferometer to aid signal retrieval in regions of complex coastal terrain. In view of these differences and the novel characteristics of the Sentinel-3 system, assessments of the performance of the instrument are required, to evaluate the satellite's utility for monitoring Earth's Polar regions. Here, we analyse data acquired during the first year of routine operations, to assess the performance of the Sentinel-3 SAR altimeter to date. We focus both on inland ice sheet regions, where Sentinel-3 provides the first operational SAR altimeter measurements, and also on coastal areas with more complex topography. We investigate SAR waveforms and retrieved elevations in both regions, and through comparison to measurements from earlier missions examine the impact of the different modes of operation. We also conduct a high level evaluation of the data, by comparing it to reference airborne altimetry, to provide an assessment of Sentinel-3 performance to date over ice sheets.

SENTINEL-2 Global Reference Image Validation and Application to Multitemporal Performances and High Latitude Digital Surface Model

NASA Astrophysics Data System (ADS)

Gaudel, A.; Languille, F.; Delvit, J. M.; Michel, J.; Cournet, M.; Poulain, V.; Youssefi, D.

2017-05-01

In the frame of the Copernicus program of the European Commission, Sentinel-2 is a constellation of 2 satellites with a revisit time of 5 days in order to have temporal images stacks and a global coverage over terrestrial surfaces. Satellite 2A was launched in June 2015, and satellite 2B will be launched in March 2017. In cooperation with the European Space Agency (ESA), the French space agency (CNES) is in charge of the image quality of the project, and so ensures the CAL/VAL commissioning phase during the months following the launch. This cooperation is also extended to routine phase as CNES supports European Space Research Institute (ESRIN) and the Sentinel-2 Mission performance Centre (MPC) for validation in geometric and radiometric image quality aspects, and in Sentinel-2 GRI geolocation performance assessment whose results will be presented in this paper. The GRI is a set of S2A images at 10m resolution covering the whole world with a good and consistent geolocation. This ground reference enables accurate multi-temporal registration of refined Sentinel-2 products. While not primarily intended for the generation of DSM, Sentinel-2 swaths overlap between orbits would also allow for the generation of a complete DSM of land and ices over 60° of northern latitudes (expected accuracy: few S2 pixels in altimetry). This DSM would benefit from the very frequent revisit times of Sentinel-2, to monitor ice or snow level in area of frequent changes, or to increase measurement accuracy in areas of little changes.

Creating a Common Data Model for Comparative Effectiveness with the Observational Medical Outcomes Partnership.

PubMed

FitzHenry, F; Resnic, F S; Robbins, S L; Denton, J; Nookala, L; Meeker, D; Ohno-Machado, L; Matheny, M E

2015-01-01

Adoption of a common data model across health systems is a key infrastructure requirement to allow large scale distributed comparative effectiveness analyses. There are a growing number of common data models (CDM), such as Mini-Sentinel, and the Observational Medical Outcomes Partnership (OMOP) CDMs. In this case study, we describe the challenges and opportunities of a study specific use of the OMOP CDM by two health systems and describe three comparative effectiveness use cases developed from the CDM. The project transformed two health system databases (using crosswalks provided) into the OMOP CDM. Cohorts were developed from the transformed CDMs for three comparative effectiveness use case examples. Administrative/billing, demographic, order history, medication, and laboratory were included in the CDM transformation and cohort development rules. Record counts per person month are presented for the eligible cohorts, highlighting differences between the civilian and federal datasets, e.g. the federal data set had more outpatient visits per person month (6.44 vs. 2.05 per person month). The count of medications per person month reflected the fact that one system's medications were extracted from orders while the other system had pharmacy fills and medication administration records. The federal system also had a higher prevalence of the conditions in all three use cases. Both systems required manual coding of some types of data to convert to the CDM. The data transformation to the CDM was time consuming and resources required were substantial, beyond requirements for collecting native source data. The need to manually code subsets of data limited the conversion. However, once the native data was converted to the CDM, both systems were then able to use the same queries to identify cohorts. Thus, the CDM minimized the effort to develop cohorts and analyze the results across the sites.

Histologic pattern of Merkel cell carcinoma sentinel lymph node metastasis improves stratification of Stage III patients

PubMed Central

Ko, Jennifer S; Prieto, Victor G; Elson, Paul; Vilain, Ricardo E; Pulitzer, Melissa; Scolyer, Richard A; Reynolds, Jordan P; Piliang, Melissa; Ernstoff, Marc S; Gastman, Brian; Billings, Steven D

2016-01-01

Sentinel lymph node biopsy is used to stage Merkel cell carcinoma, but its prognostic value has been questioned. Furthermore, predictors of outcome in sentinel lymph node positive Merkel cell carcinoma patients are poorly defined. In breast carcinoma, isolated immunohistochemically positive tumor cells have no impact, but in melanoma they are considered significant. The significance of sentinel lymph node metastasis tumor burden (including isolated tumor cells) and pattern of involvement in Merkel cell carcinoma are unknown. In this study, 64 Merkel cell carcinomas involving sentinel lymph nodes and corresponding immunohistochemical stains were reviewed and clinicopathologic predictors of outcome were sought. Five metastatic patterns were identified: 1, sheet-like (n=38, 59%); 2, non-solid parafollicular (n=4, 6%); 3, sinusoidal, (n=11, 17%); 4, perivascular hilar (n=1, 2%) and 5, rare scattered parenchymal cells (n=10, 16%). At the time of follow-up, 30/63 (48%) patients had died with 21(33%) attributable to Merkel cell carcinoma. Patients with pattern 1 metastases had poorer overall survival compared with patients with patterns 2–5 metastases (p=0.03), with 22/30 (73%) deaths occurring in pattern 1 patients. 3 (10%) deaths occurred in patients showing pattern 5, all of whom were immunosuppressed. 4 (13%) deaths occurred in pattern 3 patients and 1 (3%) death occurred in a pattern 2 patient. In multivariable analysis, the number of positive sentinel lymph node (1 or 2 versus >2, p<.0001), age (<70 versus ≥70, p=.01), sentinel lymph node metastasis pattern (patterns 2–5 versus 1, p=.02), and immune status (immunocompetent versus suppressed, p=.03) were independent predictors of outcome, and could be used to stratify Stage III patients into 3 groups with markedly different outcomes. In Merkel cell carcinoma, the pattern of sentinel lymph node involvement provides important prognostic information and utilizing this data with other clinicopathologic features facilitates risk stratification of Merkel cell carcinoma patients that may have management implications. PMID:26541273

Lymphoscintigraphy and SPECT/CT in multicentric and multifocal breast cancer: does each tumour have a separate drainage pattern? Results of a Dutch multicentre study (MULTISENT).

PubMed

Brouwer, O R; Vermeeren, L; van der Ploeg, I M C; Valdés Olmos, R A; Loo, C E; Pereira-Bouda, L M; Smit, F; Neijenhuis, P; Vrouenraets, B C; Sivro-Prndelj, F; Jap-a-Joe, S M; Borgstein, P J; Rutgers, E J Th; Oldenburg, H S A

2012-07-01

To investigate whether lymphoscintigraphy and SPECT/CT after intralesional injection of radiopharmaceutical into each tumour separately in patients with multiple malignancies in one breast yields additional sentinel nodes compared to intralesional injection of the largest tumour only. Patients were included prospectively at four centres in The Netherlands. Lymphatic flow was studied using planar lymphoscintigraphy and SPECT/CT until 4 h after administration of (99m)Tc-nanocolloid in the largest tumour. Subsequently, the smaller tumour(s) was injected intratumorally followed by the same imaging sequence. Sentinel nodes were intraoperatively localized using a gamma ray detection probe and vital blue dye. Included in the study were 50 patients. Additional lymphatic drainage was depicted after the second and/or third injection in 32 patients (64%). Comparison of planar images and SPECT/CT images after consecutive injections enabled visualization of the number and location of additional sentinel nodes (32 axillary, 11 internal mammary chain, 2 intramammary, and 1 interpectoral. A sentinel node contained metastases in 17 patients (34%). In five patients with a tumour-positive node in the axilla that was visualized after the first injection, an additional involved axillary node was found after the second injection. In two patients, isolated tumour cells were found in sentinel nodes that were only visualized after the second injection, whilst the sentinel nodes identified after the first injection were tumour-negative. Lymphoscintigraphy and SPECT/CT after consecutive intratumoral injections of tracer enable lymphatic mapping of each tumour separately in patients with multiple malignancies within one breast. The high incidence of additional sentinel nodes draining from tumours other than the largest one suggests that separate tumour-related tracer injections may be a more accurate approach to mapping and sampling of sentinel nodes in patients with multicentric or multifocal breast cancer.

Histological pattern of Merkel cell carcinoma sentinel lymph node metastasis improves stratification of Stage III patients.

PubMed

Ko, Jennifer S; Prieto, Victor G; Elson, Paul J; Vilain, Ricardo E; Pulitzer, Melissa P; Scolyer, Richard A; Reynolds, Jordan P; Piliang, Melissa P; Ernstoff, Marc S; Gastman, Brian R; Billings, Steven D

2016-02-01

Sentinel lymph node biopsy is used to stage Merkel cell carcinoma, but its prognostic value has been questioned. Furthermore, predictors of outcome in sentinel lymph node positive Merkel cell carcinoma patients are poorly defined. In breast carcinoma, isolated immunohistochemically positive tumor cells have no impact, but in melanoma they are considered significant. The significance of sentinel lymph node metastasis tumor burden (including isolated tumor cells) and pattern of involvement in Merkel cell carcinoma are unknown. In this study, 64 Merkel cell carcinomas involving sentinel lymph nodes and corresponding immunohistochemical stains were reviewed and clinicopathological predictors of outcome were sought. Five metastatic patterns were identified: (1) sheet-like (n=38, 59%); (2) non-solid parafollicular (n=4, 6%); (3) sinusoidal, (n=11, 17%); (4) perivascular hilar (n=1, 2%); and (5) rare scattered parenchymal cells (n=10, 16%). At the time of follow-up, 30/63 (48%) patients had died with 21 (33%) attributable to Merkel cell carcinoma. Patients with pattern 1 metastases had poorer overall survival compared with patients with patterns 2-5 metastases (P=0.03), with 22/30 (73%) deaths occurring in pattern 1 patients. Three (10%) deaths occurred in patients showing pattern 5, all of whom were immunosuppressed. Four (13%) deaths occurred in pattern 3 patients and 1 (3%) death occurred in a pattern 2 patient. In multivariable analysis, the number of positive sentinel lymph nodes (1 or 2 versus >2, P<0.0001), age (<70 versus ≥70, P=0.01), sentinel lymph node metastasis pattern (patterns 2-5 versus 1, P=0.02), and immune status (immunocompetent versus suppressed, P=0.03) were independent predictors of outcome, and could be used to stratify Stage III patients into three groups with markedly different outcomes. In Merkel cell carcinoma, the pattern of sentinel lymph node involvement provides important prognostic information and utilizing this data with other clinicopathological features facilitates risk stratification of Merkel cell carcinoma patients who may have management implications.

Sentinels for snow science

NASA Astrophysics Data System (ADS)

Gascoin, S.; Grizonnet, M.; Baba, W. M.; Hagolle, O.; Fayad, A.; Mermoz, S.; Kinnard, C.; Fatima, K.; Jarlan, L.; Hanich, L.

2017-12-01

Current spaceborne sensors do not allow retrieving the snow water equivalent in mountain regions, "the most important unsolved problem in snow hydrology" (Dozier, 2016). While the NASA is operating an airborne mission to survey the SWE in the western USA, elsewhere, however, snow scientists and water managers do not have access to routine SWE measurements at the scale of a mountain range. In this presentation we suggest that the advent of the Copernicus Earth Observation programme opens new perspectives to address this issue in mountain regions worldwide. The Sentinel-2 mission will provide global-scale multispectral observations at 20 m resolution every 5-days (cloud permitting). The Sentinel-1 mission is already imaging the global land surface with a C-band radar at 10 m resolution every 6 days. These observations are unprecedented in terms of spatial and temporal resolution. However, the nature of the observation (radiometry, wavelength) is in the continuity of previous and ongoing missions. As a result, it is relatively straightforward to re-use algorithms that were developed by the remote sensing community over the last decades. For instance, Sentinel-2 data can be used to derive maps of the snow cover extent from the normalized difference snow index, which was initially proposed for Landsat. In addition, the 5-days repeat cycle allows the application of gap-filling algorithms, which were developed for MODIS based on the temporal dimension. The Sentinel-1 data can be used to detect the wet snow cover and track melting areas as proposed for ERS in the early 1990's. Eventually, we show an example where Sentinel-2-like data improved the simulation of the SWE in the data-scarce region of the High Atlas in Morocco through assimilation in a distributed snowpack model. We encourage snow scientists to embrace Sentinel-1 and Sentinel-2 data to enhance our knowledge on the snow cover dynamics in mountain regions.

The NCBI BioSystems database

PubMed Central

Geer, Lewis Y.; Marchler-Bauer, Aron; Geer, Renata C.; Han, Lianyi; He, Jane; He, Siqian; Liu, Chunlei; Shi, Wenyao; Bryant, Stephen H.

2010-01-01

The NCBI BioSystems database, found at http://www.ncbi.nlm.nih.gov/biosystems/, centralizes and cross-links existing biological systems databases, increasing their utility and target audience by integrating their pathways and systems into NCBI resources. This integration allows users of NCBI’s Entrez databases to quickly categorize proteins, genes and small molecules by metabolic pathway, disease state or other BioSystem type, without requiring time-consuming inference of biological relationships from the literature or multiple experimental datasets. PMID:19854944

Consumers' views on generic medicines: a review of the literature.

PubMed

Hassali, Mohamed A A; Shafie, Asrul A; Jamshed, Shazia; Ibrahim, Mohamed I M; Awaisu, Ahmed

2009-04-01

To review the literature on consumers' knowledge, attitudes and opinions of the use of generic medicines. A narrative review of studies conducted from 1970 to 2008 on consumers perceptions and views towards generic medicines was performed. An extensive literature search was undertaken using indexing services available at the authors' institution library. The following keywords were used for the search: brand, generic, multisource, medications, medicines, drugs, pharmaceuticals and consumers, customers, and patients. Electronic databases searched were Medline, Inside Web, ISI Web of Knowledge, Science Direct, Springer Link, JSTOR, Proquest, Ebsco Host and Google Scholar. These electronic databases were searched for full text papers published in English from 1970 to October 2008. Twenty studies were identified. Eleven were from the USA, four were from Europe, two were from Canada and one each was from Australia, Brazil and Malaysia. In general, consumers showed mixed reactions towards the use of generic medicines. This was evident from the divergence of views observed by country development level, consumers' socioeconomic characteristics, drug product characteristics, pharmaceutical reimbursement system, policy environment, contact with health care professionals, past experience with medications, and knowledge of the seriousness of a medical condition. Patient confidence and knowledge pertaining to generic medicines use have increased over the past four decades, especially in developed countries. Mass educational efforts, financial incentives, and greater communication among patients and health care professionals were seen as major drivers to the uptake of generic medicines among consumers.

Advancing Consumer Product Composition and Chemical Use Information to Facilitate Risk-Based Decision Making

EPA Science Inventory

This presentation describes EPA efforts to collect, model, and measure publically available consumer product data for use in exposure assessment. The development of the ORD Chemicals and Products database will be described, as will machine-learning based models for predicting ch...

Development of a Harmonized Database of Reported and Predicted Consumer Product Ingredient Information

EPA Science Inventory

Near-field exposure to chemicals in consumer products has been identified as a significant source of exposure for many chemicals. Quantitative data on product chemical composition and weight fraction is a key parameter for characterizing this exposure. While data on product compo...

77 FR 37558 - Disclosure of Certain Credit Card Complaint Data

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-22

... publication of a public consumer complaint database that, instead of aiding complainants, enables data mining... Certain Credit Card Complaint Data AGENCY: Bureau of Consumer Financial Protection. ACTION: Notice of... Bureau plans to exercise its discretion to publicly disclose certain credit card complaint data that do...

Accuracy of blood transfusion in postpartum hemorrhage to assess maternal morbidity.

PubMed

Sagot, P; Mourtialon, P; Benzenine, E; Bardou, M; Ferdynus, C; Morel, P; Quantin, C

2012-06-01

To measure the accuracy of blood transfusion (timing and number of blood units) in postpartum hemorrhage (PPH) in a perinatal network. (1) The ANONYMAT software system was used for anonymization and linkage of two large stand-alone databases, the Burgundy Perinatal Network (BPN) and the National Blood Centre (EFS) databases, which contain, respectively, clinical data from hospital discharges and information concerning any blood transfusion in France (considered as the gold standard database for identifying any transfusion). (2) Identification of prescriptions of at least one red blood cell (RBC) unit at the day of delivery (≥22 weeks) and up to 42 days, with manual reviewing of medical records in case of discordant recording. (3) Assessing the sensitivity and positive predictive value of data from the BPN database. Among the 9736 women receiving at least one blood product dispensed between 01/01/2006 and 12/31/2007 and the 35,779 women who delivered, 233 women (0.65% of deliveries) received at least one RBC unit for post partum hemorrhage. In the BPN database according to the type of hospital stay in our perinatal network (delivery stay only, delivery and post-delivery stays), sensitivity and positive predictive value for RBC transfusion ranged from 61.4% (55.1-67.6) to 67.8% (61.8-73.8) and 82.2% (76.5-87.9) to 83.2% (77.8-88.5), respectively. Linkage of both BPN and EFS databases allowed accurate recording of all but one RBC transfusion. Our approach allowed 100% electronic recording of PPH requiring blood transfusion, making it an important sentinel event of maternal morbidity to assess the perinatal network. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Missing effects of anthropogenic nutrient deposition on sentinel alpine ecosystems.

PubMed

Vinebrooke, Rolf D; Maclennan, Megan M; Bartrons, Mireia; Zettel, James P

2014-07-01

Anthropogenic nitrogen (N) deposition affects unproductive remote alpine and circumpolar ecosystems, which are often considered sentinels of global change. Human activities and forest fires can also elevate phosphorus (P) deposition, possibly compounding the ecological effects of increased N deposition given the ubiquity of nutrient co-limitation of primary producers. Low N : P ratios coupled with evidence of NP-limitation from bioassays led us to hypothesize that P indirectly stimulates phytoplankton by amplifying the direct positive effect of N (i.e. serial N-limitation) in alpine ponds. We tested the hypothesis using the first replicated N × P enrichment experiment conducted at the whole-ecosystem level, which involved 12 alpine ponds located in the low N deposition backcountry of the eastern Front Range of the Canadian Rockies. Although applications of N and P elevated ambient N and P concentrations by 2-5×, seston and plankton remained relatively unaffected in the amended ponds. However, additions of ammonium nitrate elevated the δ(15) N signals of both primary producers and herbivores (fairy shrimp; Anostraca), attesting to trophic transfer of N deposition to consumers. Further, in situ bioassays revealed that grazing by high ambient densities of fairy shrimp together with potential competition from algae lining the pond bottoms suppressed the otherwise serially N-limited response by phytoplankton. Our findings highlight how indirect effects of biotic interactions rather the often implicit direct effects of chemical changes can regulate the sensitivities of extreme ecosystems to nutrient deposition. © 2014 John Wiley & Sons Ltd.

Sentinel Network

Cancer.gov

The Sentinel Network is an integrated, electronic, national medical product safety initiative that compiles information about the safe and effective use of medical products accessible to patients and healthcare practitioners.

Sentinel-3a: commissioning phase results of its optical payload

NASA Astrophysics Data System (ADS)

Nieke, J.; Mavrocordatos, C.

2017-09-01

The Sentinel-3 (S3) is a Global Land and Ocean Mission [1] currently in development as part of the European Commission's Copernicus programme (former: Global Monitoring for Environment and Security (GMES) [2]). The multi-instrument Sentinel-3 mission measures sea-surface topography, sea- and land-surface temperature, ocean colour and land colour to support ocean forecasting systems, as well as environmental and climate monitoring with near-real time data.

CTC Sentinel. Volume 1, Issue, July 2008

DTIC Science & Technology

2008-07-01

1 I n recent months, there has been a spate of seemingly good news in the counter- terrorism arena, as former terrorist leaders and clerics have...28 CTC Sentinel Staff & Contacts JULy 2008 . VoL 1 . IssUE 8 About the CTC Sentinel The Combating Terrorism Center is an independent educational... the Center’s global network of scholars and practitioners in order to understand and confront contemporary threats posed by terrorism and other

Global Lakes Sentinel Services: Water Quality Parameters Retrieval in Lakes Using the MERIS and S3-OLCI Band Sets

NASA Astrophysics Data System (ADS)

Peters, Steef; Alikas, Krista; Hommersom, Annelies; Latt, Silver; Reinart, Anu; Giardino, Claudia; Bresciani, Mariano; Philipson, Petra; Ruescas, Ana; Stelzer, Kerstin; Schenk, Karin; Heege, Thomas; Gege, Peter; Koponen, Sampsa; Kallio, Karri; Zhang, Yunlin

2015-12-01

The European collaborative project GLaSS aims to prepare for the use of the data streams from Sentinel 2 and Sentinel 3. Its focus is on inland waters, since these are considered to be sentinels for land-use- and climate change and need to be monitored closely. One of the objectives of the project is to compare existing water quality algorithms and parameterizations on the basis of in-situ spectral observations and Hydrolight simulations. A first achievement of the project is the collection of over 400 Rrs spectra with accompanying data on CHL, TSM, aCDOM and Secchi depth. Especially the dataset on Lake CDOM measurements represents a rather unique reference dataset.

Performance analysis of static locking in replicated distributed database systems

NASA Technical Reports Server (NTRS)

Kuang, Yinghong; Mukkamala, Ravi

1991-01-01

Data replication and transaction deadlocks can severely affect the performance of distributed database systems. Many current evaluation techniques ignore these aspects, because it is difficult to evaluate through analysis and time consuming to evaluate through simulation. A technique is used that combines simulation and analysis to closely illustrate the impact of deadlock and evaluate performance of replicated distributed database with both shared and exclusive locks.

Private and Efficient Query Processing on Outsourced Genomic Databases.

PubMed

Ghasemi, Reza; Al Aziz, Md Momin; Mohammed, Noman; Dehkordi, Massoud Hadian; Jiang, Xiaoqian

2017-09-01

Applications of genomic studies are spreading rapidly in many domains of science and technology such as healthcare, biomedical research, direct-to-consumer services, and legal and forensic. However, there are a number of obstacles that make it hard to access and process a big genomic database for these applications. First, sequencing genomic sequence is a time consuming and expensive process. Second, it requires large-scale computation and storage systems to process genomic sequences. Third, genomic databases are often owned by different organizations, and thus, not available for public usage. Cloud computing paradigm can be leveraged to facilitate the creation and sharing of big genomic databases for these applications. Genomic data owners can outsource their databases in a centralized cloud server to ease the access of their databases. However, data owners are reluctant to adopt this model, as it requires outsourcing the data to an untrusted cloud service provider that may cause data breaches. In this paper, we propose a privacy-preserving model for outsourcing genomic data to a cloud. The proposed model enables query processing while providing privacy protection of genomic databases. Privacy of the individuals is guaranteed by permuting and adding fake genomic records in the database. These techniques allow cloud to evaluate count and top-k queries securely and efficiently. Experimental results demonstrate that a count and a top-k query over 40 Single Nucleotide Polymorphisms (SNPs) in a database of 20 000 records takes around 100 and 150 s, respectively.

Private and Efficient Query Processing on Outsourced Genomic Databases

PubMed Central

Ghasemi, Reza; Al Aziz, Momin; Mohammed, Noman; Dehkordi, Massoud Hadian; Jiang, Xiaoqian

2017-01-01

Applications of genomic studies are spreading rapidly in many domains of science and technology such as healthcare, biomedical research, direct-to-consumer services, and legal and forensic. However, there are a number of obstacles that make it hard to access and process a big genomic database for these applications. First, sequencing genomic sequence is a time-consuming and expensive process. Second, it requires large-scale computation and storage systems to processes genomic sequences. Third, genomic databases are often owned by different organizations and thus not available for public usage. Cloud computing paradigm can be leveraged to facilitate the creation and sharing of big genomic databases for these applications. Genomic data owners can outsource their databases in a centralized cloud server to ease the access of their databases. However, data owners are reluctant to adopt this model, as it requires outsourcing the data to an untrusted cloud service provider that may cause data breaches. In this paper, we propose a privacy-preserving model for outsourcing genomic data to a cloud. The proposed model enables query processing while providing privacy protection of genomic databases. Privacy of the individuals is guaranteed by permuting and adding fake genomic records in the database. These techniques allow cloud to evaluate count and top-k queries securely and efficiently. Experimental results demonstrate that a count and a top-k query over 40 SNPs in a database of 20,000 records takes around 100 and 150 seconds, respectively. PMID:27834660

49 CFR 575.106 - Tire fuel efficiency consumer information program.

Code of Federal Regulations, 2013 CFR

2013-10-01

... tires, deep tread, winter-type snow tires, space-saver or temporary use spare tires, tires with nominal... deep tread, winter-type snow tires and limited production tires that it manufactures which are exempt... to have included in the database of information available to consumers on NHTSA's Web site. (ii...

49 CFR 575.106 - Tire fuel efficiency consumer information program.

Code of Federal Regulations, 2014 CFR

2014-10-01

... tires, deep tread, winter-type snow tires, space-saver or temporary use spare tires, tires with nominal... deep tread, winter-type snow tires and limited production tires that it manufactures which are exempt... to have included in the database of information available to consumers on NHTSA's Web site. (ii...

49 CFR 575.106 - Tire fuel efficiency consumer information program.

Code of Federal Regulations, 2012 CFR

2012-10-01

... tires, deep tread, winter-type snow tires, space-saver or temporary use spare tires, tires with nominal... deep tread, winter-type snow tires and limited production tires that it manufactures which are exempt... to have included in the database of information available to consumers on NHTSA's Web site. (ii...

New chemical use databases to support interpretation and dissemination of non-targeted analysis exposure data

EPA Science Inventory

Exposure to chemicals in consumer products has been identified as a significant source of human exposure. To predict such exposures, information about the ingredients and their quantities in consumer products is required, but is often not available. The Chemicals and Products Dat...

SaferProducts.gov

MedlinePlus

... Register & Respond Search Recalls & Reports About Questions Welcome Consumers Report your unsafe product on SaferProducts.gov. Tell CPSC. ... Unsafe Product Business Sign In Search Recalls/Repairs & Reports Advanced Search Most ... does not guarantee the accuracy, completeness, or adequacy of the contents of the Publicly Available Consumer Product Safety Information Database on SaferProducts.gov, particularly ...

Pilot-study on the feasibility of sentinel node navigation surgery in combination with thoracolaparoscopic lymphadenectomy without esophagectomy in early esophageal adenocarcinoma patients.

PubMed

Künzli, H T; van Berge Henegouwen, M I; Gisbertz, S S; van Esser, S; Meijer, S L; Bennink, R J; Wiezer, M J; Seldenrijk, C A; Bergman, J J G H M; Weusten, B L A M

2017-11-01

High-risk submucosal esophageal adenocarcinoma's might be treated curatively by means of radical endoscopic resection, followed by thoracolaparoscopic lymphadenectomy without concomitant esophagectomy. A preclinical study has shown the feasibility and safety of this approach; however, no studies are performed in a clinical setting. In addition, sentinel node navigation surgery could be valuable in tailoring the extent of the lymphadenectomy. This study aimed to evaluate the feasibility and safety of thoracolaparoscopic lymphadenectomy without esophagectomy (phase I) and sentinel node navigation surgery (phase II) in patients with early esophageal adenocarcinoma. Patients with T1N0M0 early esophageal adenocarcinoma scheduled for esophagectomy without neoadjuvant therapy were included. Phase I: Two-field, esophagus preserving, thoracolaparoscopic lymphadenectomy was performed, followed by esophagectomy in the same session. Primary outcome parameters were the number of lymph nodes resected, and number of retained lymph nodes in the esophagectomy specimen. Phase II: A radioactive tracer was injected endoscopically the day before surgery. Static imaging was performed 15 and 120 minutes after injection. The day of surgery, sentinel node navigation surgery followed by esophagectomy was performed. Primary outcome parameters were the percentage of patients with a detectable sentinel node, and the concordance between static imaging and probe-based detection of sentinel node. Phase I: Five patients were included, and a median of 30 (IQR: 25-46) lymph nodes was resected. A median of 6 (IQR: 2-9) retained lymph nodes was found in the esophagectomy specimen. No acute adverse events occurred, but near the end of lymphadenectomy esophageal discoloration was observed, possibly indicating ischemia. Phase II: In all five included patients sentinel nodes could be visualized and resected, at a median of 3 (IQR: 2-5) locations. There was a high concordance between imaging and probe-based detection of sentinel nodes. In conclusion, sentinel node navigation surgery followed by lymphadenectomy without concomitant esophagectomy seems feasible in patients with high-risk submucosal early esophageal adenocarcinoma. More evidence is however needed before applying this technique in clinical practice. © The Authors 2017. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Immune cell profile of sentinel lymph nodes in patients with malignant melanoma – FOXP3+ cell density in cases with positive sentinel node status is associated with unfavorable clinical outcome

PubMed Central

2013-01-01

Background Besides being a preferential site of early metastasis, the sentinel lymph node (SLN) is also a privileged site of T-cell priming, and may thus be an appropriate target for investigating cell types involved in antitumor immune reactions. Methods In this retrospective study we determined the prevalence of OX40+ activated T lymphocytes, FOXP3+ (forkhead box P3) regulatory T cells, DC-LAMP+ (dendritic cell-lysosomal associated membrane protein) mature dendritic cells (DCs) and CD123+ plasmacytoid DCs by immunohistochemistry in 100 SLNs from 60 melanoma patients. Density values of each cell type in SLNs were compared to those in non-sentinel nodes obtained from block dissections (n = 37), and analyzed with regard to associations with clinicopathological parameters and disease outcome. Results Sentinel nodes showed elevated amount of all cell types studied in comparison to non-sentinel nodes. Metastatic SLNs had higher density of OX40+ lymphocytes compared to tumor-negative nodes, while no significant difference was observed in the case of the other cell types studied. In patients with positive sentinel node status, high amount of FOXP3+ cells in SLNs was associated with shorter progression-free (P = 0.0011) and overall survival (P = 0.0014), while no significant correlation was found in the case of sentinel-negative patients. The density of OX40+, CD123+ or DC-LAMP+ cells did not show significant association with the outcome of the disease. Conclusions Taken together, our results are compatible with the hypothesis of functional competence of sentinel lymph nodes based on the prevalence of the studied immune cells. The density of FOXP3+ lymphocytes showed association with progression and survival in patients with positive SLN status, while the other immune markers studied did not prove of prognostic importance. These results, together with our previous findings on the prognostic value of activated T cells and mature DCs infiltrating primary melanomas, suggest that immune activation-associated markers in the primary tumor may have a higher impact than those in SLNs on the prognosis of the patients. On the other hand, FOXP3+ cell density in SLNs, but not in the primary tumor, was found predictive of disease outcome in melanoma patients. PMID:23418928

Soil moisture retrieval from Sentinel-1 satellite data

NASA Astrophysics Data System (ADS)

Benninga, Harm-Jan; van der Velde, Rogier; Su, Zhongbo

2016-04-01

Reliable up-to-date information on the current water availability and models to evaluate management scenarios are indispensable for skilful water management. The Sentinel-1 radar satellite programme provides an opportunity to monitor water availability (as surface soil moisture) from space on an operational basis at unprecedented fine spatial and temporal resolutions. However, the influences of soil roughness and vegetation cover complicate the retrieval of soil moisture states from radar data. In this contribution, we investigate the sensitivity of Sentinel-1 radar backscatter to soil moisture states and vegetation conditions. The analyses are based on 105 Sentinel-1 images in the period from October 2014 to January 2016 covering the Twente region in the Netherlands. This area is almost flat and has a heterogeneous landscape, including agricultural (mainly grass, cereal and corn), forested and urban land covers. In-situ measurements at 5 cm depth collected from the Twente soil moisture monitoring network are used as reference. This network consists of twenty measurement stations (most of them at agricultural fields) distributed across an area of 50 km × 40 km. The Normalized Difference Vegetation Index (NDVI) derived from optical images is adopted as proxy to represent seasonal variability in vegetation conditions. The results from this sensitivity study provide insight into the potential capability of Sentinel-1 data for the estimation of soil moisture states and they will facilitate the further development of operational retrieval methods. An operationally applicable soil moisture retrieval method requires an algorithm that is usable without the need for area specific model calibration with detailed field information (regarding roughness and vegetation). Because it is not yet clear which method provides the most reliable soil moisture retrievals from Sentinel-1 data, multiple soil moisture retrieval methods will be studied in which the fine spatiotemporal resolution and the dual-polarized information of Sentinel-1 are utilized. Three candidate algorithms are presented at the conference, which are a data-driven algorithm, inversion of a radar scattering model and downscaling of coarser resolution soil moisture products. The research is part of the OWAS1S project (Optimizing Water Availability with Sentinel-1 Satellites), which stands for integration of the freely available global Sentinel-1 data and local knowledge on soil physical processes, to optimize water management of regional water systems and to develop value-added products for agriculture.

The Surveillance and On-demand Sentinel-1 SBAS Services on the Geohazards Exploitation Platforms

NASA Astrophysics Data System (ADS)

Casu, F.; de Luca, C.; Zinno, I.; Manunta, M.; Lanari, R.

2017-12-01

The Geohazards Exploitation Platform (GEP) is an ESA R&D activity of the EO ground segment to demonstrate the benefit of new technologies for large scale processing of EO data. GEP aims at providing on-demand processing services for specific user needs, as well as systematic processing services to address the need of the geohazards community for common information layers and, finally, to integrate newly developed processors for scientists and other expert users. In this context, a crucial role is played by the recently launched Sentinel-1 (S1) constellation that, with its global acquisition policy, has flooded the scientific community with a huge amount of data acquired over large part of the Earth on a regular basis (down to 6-days with both Sentinel-1A and 1B passes). The Sentinel-1 data, as part of the European Copernicus program, are openly and freely accessible, thus fostering their use for the development of automated and systematic tools for Earth surface monitoring. In particular, due to their specific SAR Interferometry (InSAR) design, Sentinel-1 satellites can be exploited to build up operational services for the easy and rapid generation of advanced InSAR products useful for risk management and natural hazard monitoring. In this work we present the activities carried out for the development, integration, and deployment of two SBAS Sentinel-1 services of CNR-IREA within the GEP framework, namely the Surveillance and On-demand services. The Surveillance service consists on the systematic and automatic processing of Sentinel-1 data over selected Areas of Interest (AoI) to generate updated surface displacement time series via the SBAS-InSAR algorithm. We built up a system that is automatically triggered by every new Sentinel-1 acquisition over the AoI, once it is available on the S1 catalogue. Then, the system processes the new acquisitions only, thus saving storage space and computing time. The processing, which relies on the Parallel version of the SBAS (P-SBAS) chain, allows us to effectively perform massive, systematic and automatic analysis of S1 SAR data. It is worth noting that the SBAS Sentinel-1 services on GEP represent the core of the EPOSAR service, which will deliver S1 displacement time series of Earth surface for the European Plate Observing System (EPOS) Research Infrastructure community.

Illinois hospital using Web to build database for relationship marketing.

PubMed

Rees, T

2000-01-01

Silver Cross Hospital and Medical Centers, Joliet, Ill., is promoting its Web site as a tool for gathering health information about patients and prospective patients in order to build a relationship marketing database. The database will enable the hospital to identify health care needs of consumers in Joliet, Will County and many southwestern suburbs of Chicago. The Web site is promoted in a multimedia advertising campaign that invites residents to participate in a Healthy Living Quiz that rewards respondents with free health screenings. The effort is part of a growing planning and marketing strategy in the health care industry called customer relationship management (CRM). Not only does a total CRM plan offer health care organizations the chance to discover the potential for meeting consumers' needs; it also helps find any marketplace gaps that may exist.

A review of consumer involvement in evaluations of case management: consistency with a recovery paradigm.

PubMed

Marshall, Sarah L; Crowe, Trevor P; Oades, Lindsay G; Deane, Frank F; Kavanagh, David J

2007-03-01

This Open Forum examines research on case management that draws on consumer perspectives. It clarifies the extent of consumer involvement and whether evaluations were informed by recovery perspectives. Searches of three databases revealed 13 studies that sought to investigate consumer perspectives. Only one study asked consumers about experiences of recovery. Most evaluations did not adequately assess consumers' views, and active consumer participation in research was rare. Supporting an individual's recovery requires commitment to a recovery paradigm that incorporates traditional symptom reduction and improved functioning, with broader recovery principles, and a shift in focus from illness to well-being. It also requires greater involvement of consumers in the implementation of case management and ownership of their own recovery process, not just in research that evaluates the practice.

Determining the best phenological state for accurate mapping of Phragmites australis in wetlands using time series multispectral satellite data

NASA Astrophysics Data System (ADS)

Rupasinghe, P. A.; Markle, C. E.; Marcaccio, J. V.; Chow-Fraser, P.

2017-12-01

Phragmites australis (European common reed), is a relatively recent invader of wetlands and beaches in Ontario. It can establish large homogenous stands within wetlands and disperse widely throughout the landscape by wind and vehicular traffic. A first step in managing this invasive species includes accurate mapping and quantification of its distribution. This is challenging because Phragimtes is distributed in a large spatial extent, which makes the mapping more costly and time consuming. Here, we used freely available multispectral satellite images taken monthly (cloud free images as available) for the calendar year to determine the optimum phenological state of Phragmites that would allow it to be accurately identified using remote sensing data. We analyzed time series, Landsat-8 OLI and Sentinel-2 images for Big Creek Wildlife Area, ON using image classification (Support Vector Machines), Normalized Difference Vegetation Index (NDVI) and Normalized Difference Water Index (NDWI). We used field sampling data and high resolution image collected using Unmanned Aerial Vehicle (UAV; 8 cm spatial resolution) as training data and for the validation of the classified images. The accuracy for all land cover classes and for Phragmites alone were low at both the start and end of the calendar year, but reached overall accuracy >85% by mid to late summer. The highest classification accuracies for Landsat-8 OLI were associated with late July and early August imagery. We observed similar trends using the Sentinel-2 images, with higher overall accuracy for all land cover classes and for Phragmites alone from late July to late September. During this period, we found the greatest difference between Phragmites and Typha, commonly confused classes, with respect to near-infrared and shortwave infrared reflectance. Therefore, the unique spectral signature of Phragmites can be attributed to both the level of greenness and factors related to water content in the leaves during late summer. Landsat-8 OLI or Sentinel-2 images acquired in late summer can be used as a cost effective approach to mapping Phragmites at a large spatial scale without sacrificing accuracy.

Accurate evaluation of axillary sentinel lymph node metastasis using contrast-enhanced ultrasonography with Sonazoid in breast cancer: a preliminary clinical trial.

PubMed

Matsuzawa, Fumihiko; Omoto, Kiyoka; Einama, Takahiro; Abe, Hironori; Suzuki, Takashi; Hamaguchi, Jun; Kaga, Terumi; Sato, Mami; Oomura, Masako; Takata, Yumiko; Fujibe, Ayako; Takeda, Chie; Tamura, Etsuya; Taketomi, Akinobu; Kyuno, Kenichi

2015-01-01

Breast cancer is the most common type of cancer in women. The 5-year survival rate in patients with breast cancer ranges from 74 to 82 %. Sentinel lymph node biopsy has become an alternative to axillary lymph node dissection for nodal staging. We evaluated the detection of the sentinel lymph node and metastasis of the lymph node using contrast enhanced ultrasonography with Sonazoid. Between December 2013 and May 2014, 32 patients with operable breast cancer were enrolled in this study. We evaluated the detection of axillary sentinel lymph nodes and the evaluation of axillary lymph nodes metastasis using contrast enhanced computed tomography, color Doppler ultrasonography and contrast enhanced ultrasonography with Sonazoid. All the sentinel lymph nodes were identified, and the sentinel lymph nodes detected by contrast enhanced ultrasonography with Sonazoid corresponded with those detected by computed tomography lymphography and indigo carmine method. The detection of metastasis based on contrast enhanced computed tomography were sensitivity 20.0 %, specificity 88.2 %, PPV 60.0 %, NPV 55.6 %, accuracy 56.3 %. Based on color Doppler ultrasonography, the results were sensitivity 36.4 %, specificity 95.2 %, PPV 80.0 %, NPV 74.1 %, accuracy 75.0 %. Based on contrast enhanced ultrasonography with Sonazoid, the results were sensitivity 81.8 %, specificity 95.2 %, PPV 90.0 %, NPV 90.9 %, accuracy 90.6 %. The results suggested that contrast enhanced ultrasonography with Sonazoid was the most accurate among the evaluations of these modalities. In the future, we believe that our method would take the place of conventional sentinel lymph node biopsy for an axillary staging method.

Molecular markers to complement sentinel node status in predicting survival in patients with high-risk locally invasive melanoma.

PubMed

Rowe, Casey J; Tang, Fiona; Hughes, Maria Celia B; Rodero, Mathieu P; Malt, Maryrose; Lambie, Duncan; Barbour, Andrew; Hayward, Nicholas K; Smithers, B Mark; Green, Adele C; Khosrotehrani, Kiarash

2016-08-01

Sentinel lymph node status is a major prognostic marker in locally invasive cutaneous melanoma. However, this procedure is not always feasible, requires advanced logistics and carries rare but significant morbidity. Previous studies have linked markers of tumour biology to patient survival. In this study, we aimed to combine the predictive value of established biomarkers in addition to clinical parameters as indicators of survival in addition to or instead of sentinel node biopsy in a cohort of high-risk melanoma patients. Patients with locally invasive melanomas undergoing sentinel lymph node biopsy were ascertained and prospectively followed. Information on mortality was validated through the National Death Index. Immunohistochemistry was used to analyse proteins previously reported to be associated with melanoma survival, namely Ki67, p16 and CD163. Evaluation and multivariate analyses according to REMARK criteria were used to generate models to predict disease-free and melanoma-specific survival. A total of 189 patients with available archival material of their primary tumour were analysed. Our study sample was representative of the entire cohort (N = 559). Average Breslow thickness was 2.5 mm. Thirty-two (17%) patients in the study sample died from melanoma during the follow-up period. A prognostic score was developed and was strongly predictive of survival, independent of sentinel node status. The score allowed classification of risk of melanoma death in sentinel node-negative patients. Combining clinicopathological factors and established biomarkers allows prediction of outcome in locally invasive melanoma and might be implemented in addition to or in cases when sentinel node biopsy cannot be performed. © 2016 UICC.

Multi-Feature Classification of Multi-Sensor Satellite Imagery Based on Dual-Polarimetric Sentinel-1A, Landsat-8 OLI, and Hyperion Images for Urban Land-Cover Classification.

PubMed

Zhou, Tao; Li, Zhaofu; Pan, Jianjun

2018-01-27

This paper focuses on evaluating the ability and contribution of using backscatter intensity, texture, coherence, and color features extracted from Sentinel-1A data for urban land cover classification and comparing different multi-sensor land cover mapping methods to improve classification accuracy. Both Landsat-8 OLI and Hyperion images were also acquired, in combination with Sentinel-1A data, to explore the potential of different multi-sensor urban land cover mapping methods to improve classification accuracy. The classification was performed using a random forest (RF) method. The results showed that the optimal window size of the combination of all texture features was 9 × 9, and the optimal window size was different for each individual texture feature. For the four different feature types, the texture features contributed the most to the classification, followed by the coherence and backscatter intensity features; and the color features had the least impact on the urban land cover classification. Satisfactory classification results can be obtained using only the combination of texture and coherence features, with an overall accuracy up to 91.55% and a kappa coefficient up to 0.8935, respectively. Among all combinations of Sentinel-1A-derived features, the combination of the four features had the best classification result. Multi-sensor urban land cover mapping obtained higher classification accuracy. The combination of Sentinel-1A and Hyperion data achieved higher classification accuracy compared to the combination of Sentinel-1A and Landsat-8 OLI images, with an overall accuracy of up to 99.12% and a kappa coefficient up to 0.9889. When Sentinel-1A data was added to Hyperion images, the overall accuracy and kappa coefficient were increased by 4.01% and 0.0519, respectively.

Prognostic relevance of an epigenetic biomarker panel in sentinel lymph nodes from colon cancer patients.

PubMed

Lind, Guro E; Guriby, Marianne; Ahlquist, Terje; Hussain, Israr; Jeanmougin, Marine; Søreide, Kjetil; Kørner, Hartwig; Lothe, Ragnhild A; Nordgård, Oddmund

2017-01-01

Patients with early colorectal cancer (stages I-II) generally have a good prognosis, but a subgroup of 15-20% experiences relapse and eventually die of disease. Occult metastases have been suggested as a marker for increased risk of recurrence in patients with node-negative disease. Using a previously identified, highly accurate epigenetic biomarker panel for early detection of colorectal tumors, we aimed at evaluating the prognostic value of occult metastases in sentinel lymph nodes of colon cancer patients. The biomarker panel was analyzed by quantitative methylation-specific PCR in primary tumors and 783 sentinel lymph nodes from 201 patients. The panel status in sentinel lymph nodes showed a strong association with lymph node stage ( P  = 8.2E-17). Compared with routine lymph node diagnostics, the biomarker panel had a sensitivity of 79% (31/39). Interestingly, among 162 patients with negative lymph nodes from routine diagnostics, 13 (8%) were positive for the biomarker panel. Colon cancer patients with high sentinel lymph node methylation had an inferior prognosis (5-year overall survival P  = 3.0E-4; time to recurrence P  = 3.1E-4), although not significant. The same trend was observed in multivariate analyses ( P  = 1.4E-1 and P  = 6.7E-2, respectively). Occult sentinel lymph node metastases were not detected in early stage (I-II) colon cancer patients who experienced relapse. Colon cancer patients with high sentinel lymph node methylation of the analyzed epigenetic biomarker panel had an inferior prognosis, although not significant in multivariate analyses. Occult metastases in TNM stage II patients that experienced relapse were not detected.

Fear-based niche shifts in neotropical birds.

PubMed

Martínez, Ari E; Parra, Eliseo; Muellerklein, Oliver; Vredenburg, Vance T

2018-06-01

Predation is a strong ecological force that shapes animal communities through natural selection. Recent studies have shown the cascading effects of predation risk on ecosystems through changes in prey behavior. Minimizing predation risk may explain why multiple prey species associate together in space and time. For example, mixed-species flocks that have been widely documented from forest systems, often include birds that eavesdrop on sentinel species (alarm calling heterospecifics). Sentinel species may be pivotal in (1) allowing flocking species to forage in open areas within forests that otherwise incur high predation risk, and (2) influencing flock occurrence (the amount of time species spend with a flock). To test this, we conducted a short-term removal experiment in an Amazonian lowland rainforest to test whether flock habitat use and flock occurrence was influenced by sentinel presence. Antshrikes (genus Thamnomanes) act as sentinels in Amazonian mixed-species flocks by providing alarm calls widely used by other flock members. The alarm calls provide threat information about ambush predators such as hawks and falcons which attack in flight. We quantified home range behavior, the forest vegetation profile used by flocks, and the proportion occurrence of other flocking species, both before and after removal of antshrikes from flocks. We found that when sentinel species were removed, (1) flock members shifted habitat use to lower risk habitats with greater vegetation cover, and (2) species flock occurrence decreased. We conclude that eavesdropping on sentinel species may allow other species to expand their realized niche by allowing them to safely forage in high-risk habitats within the forest. In allowing species to use extended parts of the forest, sentinel species may influence overall biodiversity across a diverse landscape. © 2018 by the Ecological Society of America.

The predictive value of single-photon emission computed tomography/computed tomography for sentinel lymph node localization in head and neck cutaneous malignancy.

PubMed

Remenschneider, Aaron K; Dilger, Amanda E; Wang, Yingbing; Palmer, Edwin L; Scott, James A; Emerick, Kevin S

2015-04-01

Preoperative localization of sentinel lymph nodes in head and neck cutaneous malignancies can be aided by single-photon emission computed tomography/computed tomography (SPECT/CT); however, its true predictive value for identifying lymph nodes intraoperatively remains unquantified. This study aims to understand the sensitivity, specificity, and positive and negative predictive values of SPECT/CT in sentinel lymph node biopsy for cutaneous malignancies of the head and neck. Blinded retrospective imaging review with comparison to intraoperative gamma probe confirmed sentinel lymph nodes. A consecutive series of patients with a head and neck cutaneous malignancy underwent preoperative SPECT/CT followed by sentinel lymph node biopsy with a gamma probe. Two nuclear medicine physicians, blinded to clinical data, independently reviewed each SPECT/CT. Activity within radiographically defined nodal basins was recorded and compared to intraoperative gamma probe findings. Sensitivity, specificity, and negative and positive predictive values were calculated with subgroup stratification by primary tumor site. Ninety-two imaging reads were performed on 47 patients with cutaneous malignancy who underwent SPECT/CT followed by sentinel lymph node biopsy. Overall sensitivity was 73%, specificity 92%, positive predictive value 54%, and negative predictive value 96%. The predictive ability of SPECT/CT to identify the basin or an adjacent basin containing the single hottest node was 92%. SPECT/CT overestimated uptake by an average of one nodal basin. In the head and neck, SPECT/CT has higher reliability for primary lesions of the eyelid, scalp, and cheek. SPECT/CT has high sensitivity, specificity, and negative predictive value, but may overestimate relevant nodal basins in sentinel lymph node biopsy. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Visualization of tumor blockage and rerouting of lymphatic drainage in penile cancer patients by use of SPECT/CT.

PubMed

Leijte, Joost A P; van der Ploeg, Iris M C; Valdés Olmos, Renato A; Nieweg, Omgo E; Horenblas, Simon

2009-03-01

The reliability of sentinel node biopsy is dependent on the accurate visualization and identification of the sentinel node(s). It has been suggested that extensive metastatic involvement of a sentinel node can lead to blocked inflow and rerouting of lymph fluid to a "neo-sentinel node" that may not yet contain tumor cells, causing a false-negative result. However, there is little evidence to support this hypothesis. Recently introduced hybrid SPECT/CT scanners provide both tomographic lymphoscintigraphy and anatomic detail. Such a scanner enabled the present study of the concept of tumor blockage and rerouting of lymphatic drainage in patients with palpable groin metastases. Seventeen patients with unilateral palpable and cytologically proven metastases in the groin underwent bilateral conventional lymphoscintigraphy and SPECT/CT before sentinel node biopsy of the contralateral groin. The pattern of lymphatic drainage in the 17 palpable groin metastases was evaluated for signs of tumor blockage or rerouting. On the CT images, the palpable node metastases could be identified in all 17 groins. Four of the 17 palpable node metastases (24%) showed uptake of radioactivity on the SPECT/CT images. In 10 groins, rerouting of lymphatic drainage to a neo-sentinel node was seen; one neo-sentinel node was located in the contralateral groin. A complete absence of lymphatic drainage was seen in the remaining 3 groins. The concept of tumor blockage and rerouting was visualized in 76% of the groins with palpable metastases. Precise physical examination and preoperative ultrasound with fine-needle aspiration cytology may identify nodes with considerable tumor invasion at an earlier stage and thereby reduce the incidence of false-negative results.

Availability of sentinel lymph node biopsy for cutaneous squamous cell carcinoma.

PubMed

Maruyama, Hiroshi; Tanaka, Ryota; Fujisawa, Yasuhiro; Nakamura, Yasuhiro; Ito, Shusaku; Fujimoto, Manabu

2017-04-01

Cutaneous squamous cell carcinoma is the second common cutaneous cancer, especially in the elderly. Sentinel lymph node biopsy is generally performed in breast cancers and cutaneous melanomas to detect occult nodal metastases. The benefit of sentinel lymph node biopsy in improving cutaneous squamous cell carcinoma prognosis is doubtful. One hundred and sixty-nine patients who underwent treatment for cutaneous squamous cell carcinoma between 2004 and 2015, and who were followed up for at least 6 months or developed metastases within the follow-up period were included. Forty-nine patients underwent sentinel lymph node biopsy, whereas 120 patients did not, including 13 who exhibited clinical lymph node metastases before treatment. Of these 49 patients, nine (18.4%) presented with sentinel lymph node metastasis, which occurred after treatment in three (6.1%) of them (false-negative). Among the 107 patients who did not undergo lymph node biopsy, 12 (11.2%) developed post-treatment metastases. The metastasis-free and disease-specific survival rates were not significantly different in those who did or did not undergo sentinel lymph node biopsy. Patients with clinical lymph node metastases had a higher risk compared with those without. Patients with T2-T4 tumors had a higher risk compared with those with T1 tumors. When selecting for those with T2 tumors or greater, the same lack of relationship was observed. In conclusion, in this small retrospective cohort, in patients with cutaneous squamous cell carcinoma, there were no significant differences in metastasis-free and disease-specific survival rates between those who did or did not undergo sentinel lymph node biopsy, regardless of T staging. © 2016 Japanese Dermatological Association.

Copernicus Space Component: Status and Evolution

NASA Astrophysics Data System (ADS)

Jutz, Simon; Milagro Perez, Maria Pilar

2017-04-01

The Copernicus environment-monitoring programme with its fleet of Sentinel satellites forming the heart of the programme's space component, entered its operational phase in 2014 with the launch of the first dedicated satellite, Sentinel-1 A. In the meantime three more spacecraft have been launched in 2015 and 2016 and other three will be launched this year. To complete the caravan of Sentinel satellites, eight more spacecraft and 5 additional Sentinel instruments, embarked on European meteorological satellites, will be put in orbit and will cover all environmental domains. The data are distributed free of charge as part of a European policy seeking to stimulate downstream value-added Earth observation-related business. With this space configuration, an uninterrupted data delivery to users is guaranteed until at least 2030. Over 54000 users world-wide are accessing Sentinel data from several data access hubs developed by ESA. Over 13 PB of data have been already downloaded with an average of several TB of data products downloaded every day, making Copernicus a Big Data challenge. These figures will grow as new satellites will be put in orbit. In the meantime, and thinking of a near term future, new priorities have been introduced in the EU policies and new societal needs and challenges have arisen requiring new observations. This will lead to what has been called the Sentinels' expansion. The expansion of the Sentinel family is a joint EU-ESA endeavour which just started concerning the investigation of new domains/techniques for future satellite missions like a greenhouse gases emissions mission, polar ice/ocean interferometric altimetry, thermal Infrared, soil moisture or hyper-spectral land imaging. This presentation will therefore give an overview of the current status of the space component and corresponding data access, and some hints on the future perspectives of the Copernicus space component.

Readiness of the Belgian network of sentinel general practitioners to deliver electronic health record data for surveillance purposes: results of survey study.

PubMed

Boffin, Nicole; Bossuyt, Nathalie; Vanthomme, Katrien; Van Casteren, Viviane

2010-06-25

In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR), knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research, expressed in the compliance rate with three criteria: recording of home visits, use of prescription module and diagnostic subject headings. Data were collected by annual postal surveys between 2005 and 2009 among all sentinel GPs. We tested relations between four key GP characteristics (age, gender, language community, practice organisation) and use of a certified EHR system by multivariable logistic regression. The relation between EHR software package, GP characteristics and compliance with three quality criteria was equally measured by multivariable logistic regression. A response rate of 99% was obtained. Of 221 sentinel GPs, 55% participated in the surveillance without interruption from 2005 onwards, i.e. all five years, and 78% were participants in 2009. Sixteen certified EHR systems were used among 91% of the Dutch and 63% of the French speaking sentinel GPs. The EHR software package was strongly related to the community and only one EHR system was used by a comparable number of sentinel GPs in both communities. Overall, the prescription module was always used and home visits were usually recorded. Uniform subject headings were only sometimes used and the compliance with this quality criterion was almost exclusively related to the EHR software package in use. The challenge is to progress towards a sentinel network of GPs delivering care-based data that are (partly) extracted from well performing EHR systems and still representative for Belgian general practice.

Surveying the Inner Solar System with an Infrared Space Telescope

NASA Astrophysics Data System (ADS)

Buie, Marc W.; Reitsema, Harold J.; Linfield, Roger P.

2016-11-01

We present an analysis of surveying the inner solar system for objects that may pose some threat to Earth. Most of the analysis is based on understanding the capability provided by Sentinel, a concept for an infrared space-based telescope placed in a heliocentric orbit near the distance of Venus. From this analysis, we show that (1) the size range being targeted can affect the survey design, (2) the orbit distribution of the target sample can affect the survey design, (3) minimum observational arc length during the survey is an important metric of survey performance, and (4) surveys must consider objects as small as D=15{--}30 m to meet the goal of identifying objects that have the potential to cause damage on Earth in the next 100 yr. Sentinel will be able to find 50% of all impactors larger than 40 m in a 6.5 yr survey. The Sentinel mission concept is shown to be as effective as any survey in finding objects bigger than D = 140 m but is more effective when applied to finding smaller objects on Earth-impacting orbits. Sentinel is also more effective at finding objects of interest for human exploration that benefit from lower propulsion requirements. To explore the interaction between space and ground search programs, we also study a case where Sentinel is combined with the Large Synoptic Survey Telescope (LSST) and show the benefit of placing a space-based observatory in an orbit that reduces the overlap in search regions with a ground-based telescope. In this case, Sentinel+LSST can find more than 70% of the impactors larger than 40 m assuming a 6.5 yr lifetime for Sentinel and 10 yr for LSST.

Sentinel lymph node biopsy in cutaneous melanoma of the head and neck using the indocyanine green SPY Elite system.

PubMed

Vahabzadeh-Hagh, Andrew M; Blackwell, Keith E; Abemayor, Elliot; St John, Maie A

2018-05-17

Lymph node status is the single most important prognostic factor for patients with early-stage cutaneous melanoma. Sentinel lymph node biopsy (SLNB) has become the standard of care for intermediate depth melanomas. Modern SLNB implementation includes technetium-99 lymphoscintigraphy combined with local administration of a vital blue dye. However, sentinel lymph nodes may fail to localize in some cases and false-negative rates range from 0 to 34%. Here we demonstrate the feasibility of a new sentinel lymph node biopsy technique using indocyanine green (ICG) and the SPY Elite near-infrared imaging system. Cases of primary cutaneous melanoma of the head and neck without locoregional metastasis, underwent SLNB at a single quaternary care institution between May 2016 and June 2017. Intraoperatively, 0.25 mL of ICG was injected intradermal in 4 quadrants around the primary lesion. 10-15 minute circulation time was permitted. SPY Elite identified the sentinel lymph node within the nodal basin marked by lymphoscintigraphy. Target first echelon lymph nodes were confirmed with a gamma probe and ICG fluorescence. 14 patients were included with T1a to T4b cutaneous melanomas. Success rates for sentinel lymph node identification using lymphoscintigraphy and the SPY Elite system were both 86%. Zero false negatives occurred. Median length of follow-up was 323 days. In this pilot study, Indocyanine green near-infrared fluorescence demonstrates a safe, and facile method of sentinel lymph node biopsy for cutaneous melanoma of the head and neck compared with lymphoscintigraphy and vital blue dyes. Copyright © 2018 Elsevier Inc. All rights reserved.

The impact of previous para-areolar incision in the upper outer quadrant of the breast on the localization of the sentinel lymph node in a canine model

PubMed Central

Vasques, Paulo Henrique Diógenes; Pinheiro, Luiz Gonzaga Porto; de Meneses e Silva, João Marcos; de Moura Torres-de-Melo, José Ricardo; Pinheiro, Karine Bessa Porto; Rocha, João Ivo Xavier

2011-01-01

OBJECTIVES: This paper discusses the influence of a para-areolar incision in the upper outer quadrant of the breast on the location of the sentinel lymph node in a canine model. METHODS: The sentinel lymph node was marked with technetium-99, which was injected into the subareolar skin of the cranial breast. After the marker had migrated to the axilla, an arcuate para-areolar incision was performed 2 cm from the nipple in the upper outer quadrant. Patent blue dye was then injected above the upper border of the incision. At the marked site, an axillary incision was made, and the sentinel lymph node was identified by gamma probe and/or by direct visualization of the dye. The agreement between the two injection sites and the two sentinel lymph node identification methods was determined. Our sample group consisted of 40 cranial breasts of 23 adult females of the species Canis familiaris. The data were analyzed by using the McNemar test and by determining the kappa agreement coefficient. RESULT: Our findings showed that in 95% of the breasts, the sentinel lymph node was identified by the injection of technetium-99 m into the subareolar region, and in 82% of the cases, the sentinel lymph node was identified by the injection of patent blue dye above the upper border of the incision. The methods agreed 82% of the time. CONCLUSIONS: Previous para-areolar incisions in the upper outer quadrant did not interfere significantly with the biopsy when the dye was injected above the upper border of the incision. PMID:21915493

Selective sentinel node biopsy after intratumour administration of radiotracer in breast cancer patients treated with neoadjuvant chemotherapy in relation to the level of tumour response.

PubMed

Díaz-Expósito, R; Martí-Bonmatí, L; Burgués, O; Casáns-Tormo, I; Bermejo-de Las Heras, B; Julve-Parreño, A; Caballero-Garate, A

Our objective was to analyse the accuracy of the sentinel node biopsy, taking into consideration the scintigraphy detection rate after the intratumoural administration of the radiopharmaceutical in patients with breast cancer who received neoadjuvant chemotherapy. The study included 60 patients with a diagnosis of invasive breast carcinoma, stage T1-T3, who received treatment with neoadjuvant chemotherapy, and were subsequently subjected to breast surgery and sentinel node biopsy after intra-tumour administration of the radiopharmaceutical. Scintigraphic detection of some sentinel node was achieved in 55/60 patients (91.6%). When those cases that received a second injection of the radiopharmaceutical, performed peri-areolarly due to a lack of tracer migration, were excluded, the detection rate dropped to 70% (42/60). When the detection of sentinel node, or its absence, was compared in those 42 patients, no differences were found with age, laterality-location of the lesion, size pre- and post-neoadjuvant chemotherapy, histological grade, or immunohistochemical profile. There were significant differences when comparing the groups according to the degree of pathological tumour response, both with the Miller-Payne system (non-detection 44.4%-detection 16.7%, p = 0.003) as well as the residual cancer burden (72.2%-28.6%, p<0.01). The scintigraphic detection of the sentinel node after intratumoural administration of the radiopharmaceutical in patients with breast cancer who received neoadjuvant chemotherapy was below the optimal value, and sometimes a further, peri-areolar, injection was necessary, probably in relation to an alteration in the lymphatic drainage pathways. There was a significant inverse relationship between the detection of the sentinel node and level of pathological tumour response. Copyright © 2016 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Acute Perinatal Sentinel Events, Neonatal Brain Injury Pattern and Outcome of Infants Undergoing a Trial of Hypothermia for Neonatal Hypoxic-Ischemic Encephalopathy

PubMed Central

Shankaran, Seetha; Laptook, Abbot R.; McDonald, Scott A.; Hintz, Susan R; Barnes, Patrick D.; Das, Abhik; Higgins, Rosemary D.

2016-01-01

Infants with perinatal sentinel events in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network Hypothermia for Encephalopathy Trial had more basal ganglia and thalamus lesions on brain magnetic resonance imaging but similar neurodevelopmental outcomes at 18 months of age than infants without perinatal sentinel events. Outcomes correlated with the neonatal magnetic resonance imaging findings. PMID:27776752

Evaluating the capabilities of vegetation spectral indices on chlorophyll content estimation at Sentinel-2 spectral resolutions

NASA Astrophysics Data System (ADS)

Sun, Qi; Jiao, Quanjun; Dai, Huayang

2018-03-01

Chlorophyll is an important pigment in green plants for photosynthesis and obtaining the energy for growth and development. The rapid, nondestructive and accurate estimation of chlorophyll content is significant for understanding the crops growth, monitoring the disease and insect, and assessing the yield of crops. Sentinel-2 equipped with the Multi-Spectral Instrument (MSI), which will provide images with high spatial, spectral and temporal resolution. It covers the VNIR/SWIR spectral region in 13 bands and incorporates two new spectral bands in the red-edge region and a spatial resolution of 20nm, which can be used to derive vegetation indices using red-edge bands. In this paper, we will focus on assessing the potential of vegetation spectral indices for retrieving chlorophyll content from Sentinel-2 at different angles. Subsequently, we used in-situ spectral data and Sentinel-2 data to test the relationship between VIs and chlorophyll content. The REP, MTCI, CIred-edge, CIgreen, Macc01, TCARI/OSAVI [705,750], NDRE1 and NDRE2 were calculated. NDRE2 index displays a strongly similar result for hyperspectral and simulated Sentinel-2 spectral bands (R2 =0.53, R2 =0.51, for hyperspectral and Sentinel-2, respectively). At different observation angles, NDRE2 has the smallest difference in performance (R2 = 0.51, R2 =0.64, at 0° and 15° , respectively).

Effect of time to sentinel-node biopsy on the prognosis of cutaneous melanoma.

PubMed

Tejera-Vaquerizo, Antonio; Nagore, Eduardo; Puig, Susana; Robert, Caroline; Saiag, Philippe; Martín-Cuevas, Paula; Gallego, Elena; Herrera-Acosta, Enrique; Aguilera, José; Malvehy, Josep; Carrera, Cristina; Cavalcanti, Andrea; Rull, Ramón; Vilalta-Solsona, Antonio; Lannoy, Emilie; Boutros, Celine; Benannoune, Naima; Tomasic, Gorana; Aegerte, Philippe; Vidal-Sicart, Sergi; Palou, Josep; Alos, L Lúcia; Requena, Celia; Traves, Víctor; Pla, Ángel; Bolumar, Isidro; Soriano, Virtudes; Guillén, Carlos; Herrera-Ceballos, Enrique

2015-09-01

In patients with primary cutaneous melanoma, there is generally a delay between excisional biopsy of the primary tumour and sentinel-node biopsy. The objective of this study is to analyse the prognostic implications of this delay. This was an observational, retrospective, cohort study in four tertiary referral hospitals. A total of 1963 patients were included. The factor of interest was the interval between the date of the excisional biopsy of the primary melanoma and the date of the sentinel-node biopsy (delay time) in the prognosis. The primary outcome was melanoma-specific survival and disease-free survival. A delay time of 40 days or less (hazard ratio (HR), 1.7; confidence interval (CI), 1.2-2.5) increased Breslow thickness (Breslow ⩾ 2 mm, HR, > 3.7; CI, 1.4-10.7), ulceration (HR, 1.6; CI, 1.1-2.3), sentinel-node metastasis (HR, 2.9; CI, 1.9-4.2), and primary melanoma localised in the head or neck were independently associated with worse melanoma-specific survival (all P < 0.03). The stratified analysis showed that the effect of delay time was at the expense of the patients with a negative sentinel-node biopsy and without regression. Early sentinel-node biopsy is associated with worse survival in patients with cutaneous melanoma. Copyright © 2015 Elsevier Ltd. All rights reserved.

Factors affecting sentinel lymph node metastasis in Turkish breast cancer patients: Predictive value of Ki-67 and the size of lymph node.

PubMed

Ozemir, I A; Orhun, K; Eren, T; Baysal, H; Sagiroglu, J; Leblebici, M; Ceyran, A B; Alimoglu, O

We aimed to analyze the factors that affect the axillary lymph node involvement in Turkish breast cancer patients with clinically non-palpable axillary lymph node. Sentinel lymph node biopsy is the gold standard technique to evaluate the axillary lymph node status that directly influences the prognosis and the treatment options in breast cancer. Breast cancer patients without axillary lymph node involvement in clinic examination were enrolled the study. Patients were categorized into the two groups according to existence of axillary lymph node metastasis or not. Demographic, histopathological and clinical data of patients were revealed retrospectively. One-hundred and eighty-seven patients were analyzed and 101 of patients fulfilled the criteria and were included the study. Metastatic lymph node was detected in 38 (37.6 %) patients (Group 1), and was negative in 63 (62.4 %) patients (Group 2). Sentinel lymph node metastasis were statistically significant higher in patients with Ki-67 ≥ 14 % than patients with Ki-67 < 14 % (51.9 % vs 22.4 %; p < 0.01). Likewise, the mean size of the sentinel lymph node was statistically significant higher in Group 1 compared to Group 2 (p < 0.01). Ki-67 proliferation index and sentinel lymph node size may provide a higher prediction about the sentinel lymph node involvement in patients with clinically negative axillary lymph nodes (Tab. 3, Fig. 1, Ref. 31).

Potential of the Sentinel-2 Red Edge Spectral Bands for Estimation of Eco-Physiological Plant Parameters

NASA Astrophysics Data System (ADS)

Malenovsky, Zbynek; Homolova, Lucie; Janoutova, Ruzena; Landier, Lucas; Gastellu-Etchegorry, Jean-Philippe; Berthelot, Beatrice; Huck, Alexis

2016-08-01

In this study we investigated importance of the space- borne instrument Sentinel-2 red edge spectral bands and reconstructed red edge position (REP) for retrieval of the three eco-physiological plant parameters, leaf and canopy chlorophyll content and leaf area index (LAI), in case of maize agricultural fields and beech and spruce forest stands. Sentinel-2 spectral bands and REP of the investigated vegetation canopies were simulated in the Discrete Anisotropic Radiative Transfer (DART) model. Their potential for estimation of the plant parameters was assessed through training support vector regressions (SVR) and examining their P-vector matrices indicating significance of each input. The trained SVR were then applied on Sentinel-2 simulated images and the acquired estimates were cross-compared with results from high spatial resolution airborne retrievals. Results showed that contribution of REP was significant for canopy chlorophyll content, but less significant for leaf chlorophyll content and insignificant for leaf area index estimations. However, the red edge spectral bands contributed strongly to the retrievals of all parameters, especially canopy and leaf chlorophyll content. Application of SVR on Sentinel-2 simulated images demonstrated, in general, an overestimation of leaf chlorophyll content and an underestimation of LAI when compared to the reciprocal airborne estimates. In the follow-up investigation, we will apply the trained SVR algorithms on real Sentinel-2 multispectral images acquired during vegetation seasons 2015 and 2016.

Hydrothermal Alteration Mineral Mapping Using Sentinel-2A MSI and ASTER Data in the Duolong Ore Concentrating Area,Tibetau Plateau,China

NASA Astrophysics Data System (ADS)

Hu, B.; Wan, B.

2017-12-01

The porphyry copper deposits are characterized by alteration zones. Hydrothermal alteration minerals have diagnostic spectral absorption properties in the visible and near-infrared (VNIR) through the shortwave infrared (SWIR) regions. In order to identify the alteration zones in the study area, the Sentinel-2A Multi-Spectral Instrument(MSI) * Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) data and field inspection were combined. The Sentinel-2A MSI has ten bands in the visible and near-infrared (VNIR) regions, which has advantages of detecting ferric iron alteration minerals. Six ASTER bands in the shortwave infrared(SWIR) regions have been demonstrated to be effective in the mapping of Al-OH * Mg-OH group minerals. Integrating ASTER and Sentinel-2A MSI (AM) for mineral mapping can compensate each other's defect. The methods of minimum noise fraction(MNF) * band combination * matched filtering were applied to get Al-OH and Mg-OH group minerals information from AM data. The anomaly-overlaying selection method was used to process three temporal Sentinel-2A MSI data for extracting iron oxides minerals. The ground inspection has confirmed the validity of AM and Sentinel-2A MSI data in mineral mapping. The methodology proved effective in an arid area of Duolong ore concentrating area,Tibet and hereby suggested for application in similar geological settings.

Evaluating Sentinel-2 for Lakeshore Habitat Mapping Based on Airborne Hyperspectral Data.

PubMed

Stratoulias, Dimitris; Balzter, Heiko; Sykioti, Olga; Zlinszky, András; Tóth, Viktor R

2015-09-11

Monitoring of lakeshore ecosystems requires fine-scale information to account for the high biodiversity typically encountered in the land-water ecotone. Sentinel-2 is a satellite with high spatial and spectral resolution and improved revisiting frequency and is expected to have significant potential for habitat mapping and classification of complex lakeshore ecosystems. In this context, investigations of the capabilities of Sentinel-2 in regard to the spatial and spectral dimensions are needed to assess its potential and the quality of the expected output. This study presents the first simulation of the high spatial resolution (i.e., 10 m and 20 m) bands of Sentinel-2 for lakeshore mapping, based on the satellite's Spectral Response Function and hyperspectral airborne data collected over Lake Balaton, Hungary in August 2010. A comparison of supervised classifications of the simulated products is presented and the information loss from spectral aggregation and spatial upscaling in the context of lakeshore vegetation classification is discussed. We conclude that Sentinel-2 imagery has a strong potential for monitoring fine-scale habitats, such as reed beds.

Forest Area Derivation from SENTINEL-1 Data

NASA Astrophysics Data System (ADS)

Dostálová, Alena; Hollaus, Markus; Milenković, Milutin; Wagner, Wolfgang

2016-06-01

The recently launched Sentinel-1A provides the high resolution Synthetic Aperture Radar (SAR) data with very high temporal coverage over large parts of European continent. Short revisit time and dual polarization availability supports its usability for forestry applications. The following study presents an analysis of the potential of the multi-temporal dual-polarization Sentinel-1A data for the forest area derivation using the standard methods based on Otsu thresholding and K-means clustering. Sentinel-1 data collected in winter season 2014-2015 over a test area in eastern Austria were used to derive forest area mask with spatial resolution of 10m and minimum mapping unit of 500 m2. The validation with reference forest mask derived from airborne full-waveform laser scanning data revealed overall accuracy of 92 % and kappa statistics of 0.81. Even better results can be achieved when using external mask for urban areas, which might be misclassified as forests when using the introduced approach based on SAR data only. The Sentinel-1 data and the described methods are well suited for forest change detection between consecutive years.

The organizational structure and governing principles of the Food and Drug Administration's Mini-Sentinel pilot program.

PubMed

Forrow, Susan; Campion, Daniel M; Herrinton, Lisa J; Nair, Vinit P; Robb, Melissa A; Wilson, Marcus; Platt, Richard

2012-01-01

The US Food and Drug Administration's Mini-Sentinel pilot program is developing an organizational structure as well as principles and policies to govern its operations. These will inform the structure and function of the eventual Sentinel System. Mini-Sentinel is a collaboration that includes 25 participating institutions. We describe the program's current organizational structure and its major principles and policies. The organization includes a coordinating center with program leadership provided by a principal investigator; a planning board and subcommittees; an operations center; and data, methods, and protocol cores. Ad hoc workgroups are created as needed. A privacy panel advises about protection of individual health information. Principles and policies are intended to ensure that Mini-Sentinel conforms to the principles of fair information practices, protects the privacy of individual health information, maintains the security and integrity of data, assures the confidentiality of proprietary information, provides accurate and timely communications, prevents or manages conflicts of interest, and preserves respect for intellectual property rights. Copyright © 2012 John Wiley & Sons, Ltd.

Sentinel-5 instrument: status of design, performance, and development

NASA Astrophysics Data System (ADS)

Gühne, T.; Keim, C.; Bartsch, P.; Weiß, S.; Melf, M.; Seefelder, W.

2017-09-01

The Sentinel-5 instrument is currently under development by a consortium led by Airbus Defence and Space in the frame of the European Union Copernicus program. It is a customer furnished item to the MetOp Second Generation satellite platform, which will provide operational meteorological data for the coming decades. Mission objective of the Sentinel-5 is to monitor the composition of the Earth atmosphere for Copernicus Atmosphere Services by taking measurements of trace gases and aerosols impacting air quality and climate with high resolution and daily global coverage. Therefore the Sentinel-5 provides five dispersive spectrometers covering the UV-VIS (270…500 nm), NIR (685 …773 nm) and SWIR (1590…1675 and 2305…2385 nm) spectral bands with resolutions <=1nm. Spatially the Sentinel-5 provides a 108° field of view with a ground sampling of 7.5 x 7 km2 at Nadir. The development program is post PDR and the build-up of the industrial team is finalised. We report on the instrument architecture and design derived from the driving requirements, the predicted instrument performance, and the general status of the program.

[The validity of the sentinel node concept in gastrointestinal cancers].

PubMed

Kitagawa, Y; Fujii, H; Mukai, M; Ando, N; Kubota, T; Ikeda, T; Ohgami, M; Watanabe, M; Otani, Y; Ozawa, S; Hasegawa, H; Furukawa, T; Nakahara, T; Kubo, A; Kumai, K; Kitajima, M

2000-03-01

Although the sentinel node concept has been validated and clinically applied to breast cancer and malignant melanoma, its clinical significance in other solid tumors has not been thoroughly investigated. With regard to gastrointestinal (GI) cancers in particular, our surgeons have been cautious because of the high frequency of skip metastasis and the complicated lymphatic system in the GI tract. We would like to emphasize that so-called skip metastasis has been defined according to anatomic classification of regional lymph nodes and that the lymphatic drainage route must be patient or lesion specific. To test the validity and feasibility of this concept in GI cancers, we have established a radio-guided intraoperative sentinel node navigation system using preoperative endoscopic submucosal injection of radioactive tracer followed by intra-operative gamma-probing. In 131 patients with GI cancers (esophagus: 22, stomach: 71, colorectum: 38), the detection rate of sentinel nades was 91% and overall diagnostic accuracy of lymph node metastasis by sentinel node status was 97%. Initial results suggest further investigation of this procedure as an accurate staging and a minimally invasive approach to early GI cancers.

Evaluation of registration accuracy between Sentinel-2 and Landsat 8

NASA Astrophysics Data System (ADS)

Barazzetti, Luigi; Cuca, Branka; Previtali, Mattia

2016-08-01

Starting from June 2015, Sentinel-2A is delivering high resolution optical images (ground resolution up to 10 meters) to provide a global coverage of the Earth's land surface every 10 days. The planned launch of Sentinel-2B along with the integration of Landsat images will provide time series with an unprecedented revisit time indispensable for numerous monitoring applications, in which high resolution multi-temporal information is required. They include agriculture, water bodies, natural hazards to name a few. However, the combined use of multi-temporal images requires an accurate geometric registration, i.e. pixel-to-pixel correspondence for terrain-corrected products. This paper presents an analysis of spatial co-registration accuracy for several datasets of Sentinel-2 and Landsat 8 images distributed all around the world. Images were compared with digital correlation techniques for image matching, obtaining an evaluation of registration accuracy with an affine transformation as geometrical model. Results demonstrate that sub-pixel accuracy was achieved between 10 m resolution Sentinel-2 bands (band 3) and 15 m resolution panchromatic Landsat images (band 8).

Validating MODIS and Sentinel-2 NDVI Products at a Temperate Deciduous Forest Site Using Two Independent Ground-Based Sensors.

PubMed

Lange, Maximilian; Dechant, Benjamin; Rebmann, Corinna; Vohland, Michael; Cuntz, Matthias; Doktor, Daniel

2017-08-11

Quantifying the accuracy of remote sensing products is a timely endeavor given the rapid increase in Earth observation missions. A validation site for Sentinel-2 products was hence established in central Germany. Automatic multispectral and hyperspectral sensor systems were installed in parallel with an existing eddy covariance flux tower, providing spectral information of the vegetation present at high temporal resolution. Normalized Difference Vegetation Index (NDVI) values from ground-based hyperspectral and multispectral sensors were compared with NDVI products derived from Sentinel-2A and Moderate-resolution Imaging Spectroradiometer (MODIS). The influence of different spatial and temporal resolutions was assessed. High correlations and similar phenological patterns between in situ and satellite-based NDVI time series demonstrated the reliability of satellite-based phenological metrics. Sentinel-2-derived metrics showed better agreement with in situ measurements than MODIS-derived metrics. Dynamic filtering with the best index slope extraction algorithm was nevertheless beneficial for Sentinel-2 NDVI time series despite the availability of quality information from the atmospheric correction procedure.

Validating MODIS and Sentinel-2 NDVI Products at a Temperate Deciduous Forest Site Using Two Independent Ground-Based Sensors

PubMed Central

Lange, Maximilian; Rebmann, Corinna; Cuntz, Matthias; Doktor, Daniel

2017-01-01

Quantifying the accuracy of remote sensing products is a timely endeavor given the rapid increase in Earth observation missions. A validation site for Sentinel-2 products was hence established in central Germany. Automatic multispectral and hyperspectral sensor systems were installed in parallel with an existing eddy covariance flux tower, providing spectral information of the vegetation present at high temporal resolution. Normalized Difference Vegetation Index (NDVI) values from ground-based hyperspectral and multispectral sensors were compared with NDVI products derived from Sentinel-2A and Moderate-resolution Imaging Spectroradiometer (MODIS). The influence of different spatial and temporal resolutions was assessed. High correlations and similar phenological patterns between in situ and satellite-based NDVI time series demonstrated the reliability of satellite-based phenological metrics. Sentinel-2-derived metrics showed better agreement with in situ measurements than MODIS-derived metrics. Dynamic filtering with the best index slope extraction algorithm was nevertheless beneficial for Sentinel-2 NDVI time series despite the availability of quality information from the atmospheric correction procedure. PMID:28800065

Comparing the Potential of the Sentinel-2 MSI and the Future EnMAP HSI for the Retrieval of Winter Wheat Crop Parameters in Southern Germany

NASA Astrophysics Data System (ADS)

Danner, Martin; Hank, Tobias; Mauser, Wolfram

2016-08-01

This study tests the effect of improved spectral resolution on different approaches for the estimation of crop biophysical variables of winter wheat in Southern Germany by comparing the existing Sentinel-2 MSI with the future EnMAP HSI. The experiment is based on simulated sensor data of both Sentinel-2 and EnMAP, with their individual spectral configurations and radiometric properties taken into account. An advanced multispectral setup, such as provided by Sentinel-2, proved to enable reasonable estimation of biophysical variables by applying machine learning algorithms. The augmented information content inherent in hyperspectral signatures, however, marks an advantage for the creation of novel narrow-band indices (RMSE improvement of 10.0%) and for the inversion of canopy reflectance models like PROSAIL independent from in-situ data (RMSE improvement of 18.7%). With the notable advantages of Sentinel-2 - higher revisit rates and better spectral resolution - new synergies are expected to arise, once both instruments will be operating in parallel configuration.

Evaluating Sentinel-2 for Lakeshore Habitat Mapping Based on Airborne Hyperspectral Data

PubMed Central

Stratoulias, Dimitris; Balzter, Heiko; Sykioti, Olga; Zlinszky, András; Tóth, Viktor R.

2015-01-01

Monitoring of lakeshore ecosystems requires fine-scale information to account for the high biodiversity typically encountered in the land-water ecotone. Sentinel-2 is a satellite with high spatial and spectral resolution and improved revisiting frequency and is expected to have significant potential for habitat mapping and classification of complex lakeshore ecosystems. In this context, investigations of the capabilities of Sentinel-2 in regard to the spatial and spectral dimensions are needed to assess its potential and the quality of the expected output. This study presents the first simulation of the high spatial resolution (i.e., 10 m and 20 m) bands of Sentinel-2 for lakeshore mapping, based on the satellite’s Spectral Response Function and hyperspectral airborne data collected over Lake Balaton, Hungary in August 2010. A comparison of supervised classifications of the simulated products is presented and the information loss from spectral aggregation and spatial upscaling in the context of lakeshore vegetation classification is discussed. We conclude that Sentinel-2 imagery has a strong potential for monitoring fine-scale habitats, such as reed beds. PMID:26378538

Monitoring Forest Degradation for a Case Study in Cambodia: Comparison of Landsat 8 and Sentinel-2 Imagery

NASA Astrophysics Data System (ADS)

Langner, Andreas; Miettinen, Jukka; Stibig, Hans-Jurgen

2016-08-01

We use a Normalized Burned Ratio (NBR) differential approach for detecting forest canopy disturbance caused by selective logging in evergreen tropical moist forests of central Cambodia. The general disturbance pattern obtained from Landsat 8 (30 m) imagery is largely compatible to Sentinel-2 (10 m), showing good conformity to high resolution RapidEye reference data. However, the 10 m spatial resolution of Sentinel-2 provides notably higher spatial detail and purer pixel values, increasing the potential for detecting fine and subtle forest canopy changes as indicators for potential forest degradation. We can expect further improvement for detecting short-lived disturbance signals in tropical forest canopies due to an increased revisit frequency (5 days) after the Sentinel-2B launch.

Performance analysis of static locking in replicated distributed database systems

NASA Technical Reports Server (NTRS)

Kuang, Yinghong; Mukkamala, Ravi

1991-01-01

Data replications and transaction deadlocks can severely affect the performance of distributed database systems. Many current evaluation techniques ignore these aspects, because it is difficult to evaluate through analysis and time consuming to evaluate through simulation. Here, a technique is discussed that combines simulation and analysis to closely illustrate the impact of deadlock and evaluate performance of replicated distributed databases with both shared and exclusive locks.

Examine Your Skin

MedlinePlus Videos and Cool Tools

... Suggestions Examine Your Skin Newly Diagnosed? Understanding Your Pathology Biopsy: The First Step Sentinel Node Biopsy Melanoma ... Suggestions Examine Your Skin Newly Diagnosed? Understanding Your Pathology Biopsy: The First Step Sentinel Node Biopsy Melanoma ...

Sentinel 4: a geostationary imaging UVN spectrometer for air quality monitoring: status of design, performance and development

NASA Astrophysics Data System (ADS)

Gulde, S. T.; Kolm, M. G.; Smith, D. J.; Maurer, R.; Bazalgette Courrèges-Lacoste, G.; Sallusti, M.; Bagnasco, G.

2017-11-01

SENTINEL 4 is an imaging UVN (UV-VIS-NIR) spectrometer, developed by Airbus Defence and Space under ESA contract in the frame of the joint European Union (EU)/ESA COPERNICUS program. The mission objective is the operational monitoring of trace gas concentrations for atmospheric chemistry and climate applications. To this end SENTINEL 4 will provide accurate measurements of key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, formaldehyde, as well as aerosol and cloud properties.

CTC Sentinel. Volume 9, Issue 8

DTIC Science & Technology

2016-08-01

607 Cullum Road, Lincoln Hall West Point, NY 10996 Phone: (845) 938-8495 Email: sentinel@usma.edu Web : www.ctc.usma.edu/sentinel/ SUBSMISSIONS...Hallberg Tønnes- sen, “The Islamic Emirate of Fallujah,” paper presented at ISA conference, Montreal, March 16-19, 2011. See also Ben Hubbard, “Iraq...It’s difficult, therefore, to dry up the financing to a point where the money isn’t there to sponsor it. What we do set as our goal is to weaken the

A critical assessment on the role of sentinel node mapping in endometrial cancer.

PubMed

Bogani, Giorgio; Ditto, Antonino; Martinelli, Fabio; Signorelli, Mauro; Perotto, Stefania; Lorusso, Domenica; Raspagliesi, Francesco

2015-10-01

Endometrial cancer is the most common gynecologic malignancy in the developed countries. Although the high incidence of this occurrence no consensus, about the role of retroperitoneal staging, still exists. Growing evidence support the safety and efficacy of sentinel lymph node mapping. This technique is emerging as a new standard for endometrial cancer staging procedures. In the present paper, we discuss the role of sentinel lymph node mapping in endometrial cancer, highlighting the most controversies features.

Exploring Global Exposure Factors Resources for Use in ...

EPA Pesticide Factsheets

This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children’s toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment. Review article in the International Journal of Environmental Research and Public Health

Second Line of Defense Master Spares Catalog

DOE Office of Scientific and Technical Information (OSTI.GOV)

Henderson, Dale L.; Muller, George; Mercier, Theresa M.

This catalog is intended to be a comprehensive listing of repair parts, components, kits, and consumable items used on the equipment deployed at SLD sites worldwide. The catalog covers detection, CAS, network, ancillary equipment, and tools. The catalog is backed by a Master Parts Database which is used to generate the standard report views of the catalog. The master parts database is a relational database containing a record for every part in the master parts catalog along with supporting tables for normalizing fields in the records. The database also includes supporting queries, database maintenance forms, and reports.

Multicenter Trial of Sentinel Node Biopsy for Breast Cancer Using Both Technetium Sulfur Colloid and Isosulfan Blue Dye

PubMed Central

Tafra, Lorraine; Lannin, Donald R.; Swanson, Melvin S.; Van Eyk, Jason J.; Verbanac, Kathryn M.; Chua, Arlene N.; Ng, Peter C.; Edwards, Maxine S.; Halliday, Bradford E.; Henry, C. Alan; Sommers, Linda M.; Carman, Claire M.; Molin, Melinda R.; Yurko, John E.; Perry, Roger R.; Williams, Robert

2001-01-01

Objective To determine the factors associated with false-negative results on sentinel node biopsy and sentinel node localization (identification rate) in patients with breast cancer enrolled in a multicenter trial using a combination technique of isosulfan blue with technetium sulfur colloid (Tc99). Summary Background Data Sentinel node biopsy is a diagnostic test used to detect breast cancer metastases. To test the reliability of this method, a complete lymph node dissection must be performed to determine the false-negative rate. Single-institution series have reported excellent results, although one multicenter trial reported a false-negative rate as high as 29% using radioisotope alone. A multicenter trial was initiated to test combined use of Tc99 and isosulfan blue. Methods Investigators (both private-practice and academic surgeons) were recruited after attending a course on the technique of sentinel node biopsy. No investigator participated in a learning trial before entering patients. Tc99 and isosulfan blue were injected into the peritumoral region. Results Five hundred twenty-nine patients underwent 535 sentinel node biopsy procedures for an overall identification rate in finding a sentinel node of 87% and a false-negative rate of 13%. The identification rate increased and the false-negative rate decreased to 90% and 4.3%, respectively, after investigators had performed more than 30 cases. Univariate analysis of tumor showed the poorest success rate with older patients and inexperienced surgeons. Multivariate analysis identified both age and experience as independent predictors of failure. However, with older patients, inexperienced surgeons, and patients with five or more metastatic axillary nodes, the false-negative rate was consistently greater. Conclusions This multicenter trial, from both private practice and academic institutions, is an excellent indicator of the general utility of sentinel node biopsy. It establishes the factors that play an important role (patient age, surgical experience, tumor location) and those that are irrelevant (prior surgery, tumor size, Tc99 timing). This widens the applicability of the technique and identifies factors that require further investigation. PMID:11141225

An Ultralow-Dose 1-Day Protocol With Activities Lower Than 20 MBq for the Detection of Sentinel Lymph Nodes in Breast Cancer-Experiences After 150 Cases.

PubMed

Kolberg, Hans-Christian; Afsah, Shabnam; Kuehn, Thorsten; Winzer, Ute; Akpolat-Basci, Leyla; Stephanou, Miltiades; Wetzig, Sarah; Hoffmann, Oliver; Liedtke, Cornelia

2017-01-01

Common protocols for the detection of sentinel lymph nodes in early breast cancer often include the injection of the tracer 1 day before surgery. In order to detect enough activity on the day of surgery, the applied activity in many protocols is as high as several hundred MBq. So far, very few protocols with an activity below 20 MBq have been reported. We developed an ultralow-dose 1-day protocol with a mean activity lower than 20 MBq in order to reduce radiation exposure for patients and staff. Here, we are presenting our experiences in 150 consecutive cases. A total of 150 patients with clinically and sonographically negative axilla and no multicentricity underwent a sentinel lymph node biopsy using an ultralow-dose protocol performed on the day of surgery. No patient received systemic therapy prior to sentinel node biopsy. After peritumoral injection of the tracer Technetium-99m, a lymphoscintigraphy was performed in all cases. Seven minutes before the first cut, we injected 5 mL of blue dye in the region of the areola. In 148 (98.7%) of 150 patients, at least 1 sentinel lymph node could be identified by lymphoscintigraphy; the detection rate during surgery with combined tracers Technetium-99m and blue dye was 100%. The mean applied activity was 17.8 MBq (9-20). A mean number of 1.3 (0-5) sentinel lymph nodes were identified by lymphoscintigraphy and a mean number of 1.8 (1-5) sentinel lymph nodes were removed during sentinel lymph node biopsy. Ultralow-dose 1-day protocols with an activity lower than 20 MBq are a safe alternative to 1-day or 2-day protocols with significantly higher radiation doses in primary surgery for early breast cancer. Using Technetium-99m and blue dye in a dual tracer approach, detection rates of 100% are possible in clinical routine in order to reduce radiation exposure for patients and staff.

Feasibility and optimal dosage of indocyanine green fluorescence for sentinel lymph node detection using robotic single-site instrumentation: preclinical study.

PubMed

Levinson, Kimberly L; Mahdi, Haider; Escobar, Pedro F

2013-01-01

The present study was performed to determine the optimal dosage of indocyanine green (ICG) to accurately differentiate the sentinel node from surrounding tissue and then to test this dosage using novel single-port robotic instrumentation. The study was performed in healthy female pigs. After induction of anesthesia, all pigs underwent exploratory laparotomy, dissection of the bladder, and colpotomy to reveal the cervical os. With use of a 21-gauge needle, 0.5 mL normal saline solution was injected at the 3- and 9-o'clock positions as control. Four concentrations of ICG were constituted for doses of 1000, 500, 250, and 175 μg per 0.5 mL. ICG was then injected at the 3- and 9-o'clock positions on the cervix. The SPY camera was used to track ICG into the sentinel nodes and to quantify the intensity of light emitted. SPY technology uses an intensity scale of 1 to 256; this scale was used to determine the difference in intensity between the sentinel node and surrounding tissues. The optimal dosage was tested using single-port robotic instrumentation with the same injection techniques. A sentinel node was identified at all doses except 175 μg, at which ICG stayed in the cervix and vasculature only. For both the 500- and 250-μg doses, the sentinel node was identified before reaching maximum intensity. At maximum intensity, the difference between the surrounding tissue and the node was 207 (251 vs 44) for the 500-μg dose and 159 (251 vs 92) for the 250-μg dose. Sentinel lymph node (SLN) biopsy was successfully performed using single-port robotic technology with both the 250- and 500-μg doses. For SLN detection, the dose of ICG is related to the ability to differentiate the sentinel node from the surrounding tissue. An ICG dose of 250 to 500 μg enables identification of a SLN with more distinction from the surrounding tissues, and this procedure is feasible using single-port robotics instrumentation. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.

Co- and post-seismic deformation for the 2014 Napa Valley Earthquake from Sentinel-1A interferometry

NASA Astrophysics Data System (ADS)

Elliott, J. R.; Wright, T. J.; Elliott, A. J.; González, P. J.; Hooper, A. J.; Larsen, Y.; Marinkovic, P.; Plain, M.; Walters, R. J.

2014-12-01

Here we present analysis of co- and post-seismic deformation for the 24 August 2014 Napa Valley Earthquake derived from Sentinel-1A interferometry. We use these to derive the co-seismic slip distribution and map the evolution of post-seismic afterslip. The 24 August 2014 Napa Valley earthquake was the first earthquake for which surface deformation was measured by Sentinel-1A, a new radar satellite launched by the European Space Agency on 3 April 2014, and operated by the European Commission's Copernicus program. Sentinel-1A reached its final operational orbit on 7 August, and fortuitously acquired a pre-earthquake image of the San Francisco Bay area on that day in StripMap mode. By comparing it with an image acquired on 31 August, we formed a co-seismic interferogram, which reveals the surface deformation that occurred during the earthquake and the first 7 days of the post-seismic period. We use this to constrain a simple elastic model of the co-seismic slip distribution; preliminary inversion results show that the slip at depth reached a peak of >1.5 m at a depth of ~4 km. Following the earthquake, Sentinel-1A has acquired further acquisitions in both StripMap and Interferometric Wide Swath modes. The first 12-day post-seismic StripMap interferogram shows a sharp discontinuity along the entire fault rupture, consistent with field observations of rapid afterslip. We will use the full time series from August to December to measure the spatio-temporal behaviour of the afterslip, and discuss the implications for the frictional properties of the fault. The results from Napa point to an exciting and impactful future for the Sentinel-1 radar constellation. By mid-2014, Sentinel-1A will be acquiring data systematically over all the seismic belts, and the launch of Sentinel-1B in 2016 will increase the temporal frequency of acquisitions. The data will be available free of charge and will transform our ability to conduct tectonic geodesy, particularly in remote areas of the planet or developing countries unable to afford dense ground-based GNSS networks.

A Harmonized Landsat-Sentinel-2 Surface Reflectance product: a resource for Agricultural Monitoring

NASA Astrophysics Data System (ADS)

Masek, J. G.; Claverie, M.; Ju, J.; Vermote, E.; Justice, C. O.

2015-12-01

The combination of Landsat and Sentinel-2 data offers a unique opportunity to observe globally the land every 2-3 days at medium (<30m) spatial resolution. The Harmonized Landsat-Sentinel-2 (HLS) project is a NASA initiative aiming to produce surface reflectance data from Landsat and Sentinel-2 missions and to deliver them to the community in a combined, seamless form. The HLS will be beneficial for global agricultural monitoring applications that require medium spatial resolution and weekly or more frequent observations. In particular, the provided opportunity to track crop phenology at the scale of individual fields will support detailed mapping of crop type and type-specific vegetation conditions. To create a compatible set of radiometric measurements, the HLS product relies on rigorous pre- and post-launch cross-calibration (Landsat-8 OLI and Sentinel-2 MSI) activities. The processing chain includes the following components: atmospheric correction, cloud/shadow masking, nadir BRDF-adjustment, spectral-adjustment, regridding, and temporal composite. The atmospheric correction and cloud masking is based on the OLI atmospheric correction developed at NASA-GSFC and has been adapted to the MSI data. The BRDF-adjustment is based on a disaggregation technique using MODIS-based BRDF coefficients. The technique has been evaluated using the multi-angular acquisition from the SPOT 4 and 5 (Take5) experiments. The spectral-adjustment relies on a linear regression that has been calibrated and evaluated using synthetic data and surface reflectance processed from a large number of hyperspectral EO-1 Hyperion scenes. Finally, significant effort is placed on product validation and evaluation. The delivered data set will include surface reflectance products at different levels: Using the native gridding, i.e. UTM, 30m for Landsat-8, and UTM, 10-20m for Sentinel-2 Using a common global gridding (Sinusoidal, 30m) Temporal composite (Sinusoidal, 30m, 5-day) During the first year of operation of Sentinel-2A, the HLS will be prototyped over a selection of 30 sites that includes some of the JECAM sites, Aeronet sites and Cal/Val sites. Then, the HLS spatial coverage will be increased as more Sentinel-2A data become available.

Tracking surface and subsurface lakes on the Greenland Ice Sheet using Sentinel-1 SAR and Landsat-8 OLI imagery

NASA Astrophysics Data System (ADS)

Miles, Katie; Willis, Ian; Benedek, Corinne; Williamson, Andrew; Tedesco, Marco

2017-04-01

Supraglacial lakes (SGLs) on the Greenland Ice Sheet (GrIS) are an important component of the ice sheet's mass balance and hydrology, with their drainage affecting ice dynamics. This study uses imagery from the recently launched Sentinel-1A Synthetic Aperture Radar (SAR) to investigate SGLs in West Greenland. SAR can image through cloud and in darkness, overcoming some of the limitations of commonly used optical sensors. A semi automated algorithm is developed to detect surface lakes from Sentinel images during the 2015 summer. It generally detects water in all locations where a Landsat-8 NDWI classification (with a relatively high threshold value) detects water. A combined set of images from Landsat-8 and Sentinel-1 is used to track lake behaviour at a comparable temporal resolution to that which is possible with MODIS, but at a higher spatial resolution. A fully automated lake drainage detection algorithm is used to investigate both rapid and slow drainages for both small and large lakes through the summer. Our combined Landsat-Sentinel dataset, with a temporal resolution of three days, could track smaller lakes (mean 0.089 km2) than are resolvable in MODIS (minimum 0.125 km2). Small lake drainage events (lakes smaller than can be detected using MODIS) were found to occur at lower elevations ( 200 m) and slightly earlier in the melt season than larger events, as were slow lake drainage events compared to rapid events. The Sentinel imagery allows the analysis to be extended manually into the early winter to calculate the dates and elevations of lake freeze-through more precisely than is possible with optical imagery (mean 30 August, 1270 m mean elevation). Finally, the Sentinel imagery allows subsurface lakes (which are invisible to optical sensors) to be detected, and, for the first time, their dates of appearance and freeze-through to be calculated (mean 9 August and 7 October, respectively). These subsurface lakes occur at higher elevations than the surface lakes detected in this study (1593 m mean elevation). Sentinel imagery therefore provides great potential for tracking melting, water movement and freezing within the firn zone of the GrIS.

76 FR 45575 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-29

...: Health Insurance Assistance Database; Use: In October 2010, the Office of Consumer Support began to take..., utility, and clarity of the information to be collected; and (4) the use of automated collection...: Consumer Assistance Program Grants; Use: Section 1002 of the Affordable Care Act provides for the...

Face masks and basketball: NCAA division I consumer trends and a review of over-the-counter face masks.

PubMed

Gandy, Jessica R; Fossett, Lela; Wong, Brian J F

2016-05-01

This study aims to: 1) determine the current consumer trends of over-the-counter (OTC) and custom-made face mask usage among National Collegiate Athletic Association (NCAA) Division I athletic programs; and 2) provide a literature review of OTC face guards and a classified database. Literature review and survey. Consumer trends were obtained by contacting all 352 NCAA Division I programs. Athletic trainers present in the office when called answered the following questions: 1) "When an athlete breaks his or her nose, is a custom or generic face guard used?" and 2) "What brand is the generic face guard that is used?" Data was analyzed to determine trends among athletic programs. Also, a database of OTC devices available was generated using PubMed, Google, and manufacturer Web sites. Among the 352 NCAA Division I athletic programs, 254 programs participated in the survey (72% response rate). The majority preferred custom-made guards (46%). Disadvantages included high cost and slow manufacture turnaround time. Only 20% of the programs strictly used generic brands. For the face mask database, 10 OTC products were identified and classified into four categories based on design, with pricing ranging between $35.99 and $69.95. Only a handful of face masks exist for U.S. consumers, but none of them have been reviewed or classified by product design, sport application, price, and collegiate consumer use. This project details usage trends among NCAA Division I athletic programs and provides a list of available devices that can be purchased to protect the nose and face during sports. NA. Laryngoscope, 126:1054-1060, 2016. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

A Note on the Temporary Misregistration of Landsat-8 Operational Land Imager (OLI) and Sentinel-2 Multi Spectral Instrument (MSI) Imagery

NASA Technical Reports Server (NTRS)

Storey, James; Roy, David P.; Masek, Jeffrey; Gascon, Ferran; Dwyer, John; Choate, Michael

2016-01-01

The Landsat-8 and Sentinel-2 sensors provide multi-spectral image data with similar spectral and spatial characteristics that together provide improved temporal coverage globally. Both systems are designed to register Level 1 products to a reference image framework, however, the Landsat-8 framework, based upon the Global Land Survey images, contains residual geolocation errors leading to an expected sensor-to-sensor misregistration of 38 m (2sigma). These misalignments vary geographically but should be stable for a given area. The Landsat framework will be readjusted for consistency with the Sentinel-2 Global Reference Image, with completion expected in 2018. In the interim, users can measure Landsat-to-Sentinel tie points to quantify the misalignment in their area of interest and if appropriate to reproject the data to better alignment.

A note on the temporary misregistration of Landsat-8 Operational Land Imager (OLI) and Sentinel-2 Multi Spectral Instrument (MSI) imagery

USGS Publications Warehouse

Storey, James C.; Roy, David P.; Masek, Jeffrey; Gascon, Ferran; Dwyer, John L.; Choate, Michael J.

2016-01-01

The Landsat-8 and Sentinel-2 sensors provide multi-spectral image data with similar spectral and spatial characteristics that together provide improved temporal coverage globally. Both systems are designed to register Level 1 products to a reference image framework, however, the Landsat-8 framework, based upon the Global Land Survey images, contains residual geolocation errors leading to an expected sensor-to-sensor misregistration of 38 m (2σ). These misalignments vary geographically but should be stable for a given area. The Landsat framework will be readjusted for consistency with the Sentinel-2 Global Reference Image, with completion expected in 2018. In the interim, users can measure Landsat-to-Sentinel tie points to quantify the misalignment in their area of interest and if appropriate to reproject the data to better alignment.

Comparison of Positron Emission Tomography Scanning and Sentinel Node Biopsy in the Detection of Inguinal Node Metastases in Patients With Anal Cancer

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mistrangelo, Massimiliano, E-mail: mistrangelo@katamail.co; Centre of Minimally Invasive Surgery, University of Turin; Pelosi, Ettore

2010-05-01

Background: Inguinal lymph node metastases in patients with anal cancer are an independent prognostic factor for local failure and overall mortality. Inguinal lymph node status can be adequately assessed with sentinel node biopsy, and the radiotherapy strategy can subsequently be changed. We compared this technique vs. dedicated 18F-fluorodeoxyglucose positron emission tomography (PET) to determine which was the better tool for staging inguinal lymph nodes. Methods and Materials: In our department, 27 patients (9 men and 18 women) underwent both inguinal sentinel node biopsy and PET-CT. PET-CT was performed before treatment and then at 1 and 3 months after treatment. Results:more » PET-CT scans detected no inguinal metastases in 20 of 27 patients and metastases in the remaining 7. Histologic analysis of the sentinel lymph node detected metastases in only three patients (four PET-CT false positives). HIV status was not found to influence the results. None of the patients negative at sentinel node biopsy developed metastases during the follow-up period. PET-CT had a sensitivity of 100%, with a negative predictive value of 100%. Owing to the high number of false positives, PET-CT specificity was 83%, and positive predictive value was 43%. Conclusions: In this series of patients with anal cancer, inguinal sentinel node biopsy was superior to PET-CT for staging inguinal lymph nodes.« less

Impact of a structured surgical curriculum on ophthalmic resident cataract surgery complication rates.

PubMed

Rogers, Gina M; Oetting, Thomas A; Lee, Andrew G; Grignon, Connie; Greenlee, Emily; Johnson, A Tim; Beaver, Hilary A; Carter, Keith

2009-11-01

To determine whether institution of a structured surgical curriculum for ophthalmology residents decreased the rate of sentinel surgical complications. Veterans Affairs Medical Center, Des Moines, Iowa, USA. A retrospective review was performed of third-year ophthalmic resident quality-assurance surgical outcomes data at a single residency-training site from 1998 to 2008. The primary outcome measure was defined as a sentinel event; that is, a posterior capsule tear (with or without vitreous loss) or vitreous loss (from any cause) occurring during a resident-performed case. The study population was divided into 2 groups. Group 1 comprised surgical cases of residents trained before the surgical curriculum change (academic years 1998 to 2003) and Group 2, surgical cases of residents trained with the enhanced curriculum (academic years 2004 to 2008). Data from 1 year (academic year 2003 to 2004) were excluded because the transition to the enhanced curriculum occurred during that period. The data were analyzed and adjusted for surgical experience. In Group 1 (before institution of surgical curriculum), there were 823 cases with 59 sentinel complications. In Group 2 (after institution of surgical curriculum), there were 1009 cases with 38 sentinel complications. There was a statistically significant reduction in the sentinel complication rate, from 7.17% before the curriculum changes to 3.77% with the enhanced curriculum (P = .001, unpaired 2-tailed t test). Implementation of a structured surgical curriculum resulted in a statistically significant reduction in sentinel event complications, even after adjusting for surgical experience.

Atmospheric, Non-Tidal Oceanic and Hydrological Loading Effects Observed with GPS Measurements

NASA Astrophysics Data System (ADS)

Boy, J. P.; Memin, A.; Watson, C.; Tregoning, P.

2014-12-01

The Copernicus Programme, being Europe's Earth Observation and Monitoring Programme led by the European Union, aims to provide, on a sustainable basis, reliable and timely services related to environmental and security issues. The Sentinel-3 mission forms part of the Copernicus Space Component. Its main objectives, building on the heritage and experience of the European Space Agency's (ESA) ERS and ENVISAT missions, are to measure sea-surface topography, sea- and land-surface temperature and ocean- and land-surface colour in support of ocean forecasting systems, and for environmental and climate monitoring. The series of Sentinel-3 satellites will ensure global, frequent and near-real time ocean, ice and land monitoring, with the provision of observation data in routine, long term (up to 20 years of operations) and continuous fashion, with a consistent quality and a high level of reliability and availability. The Sentinel-3 missions will be jointly operated by ESA and EUMETSAT. ESA will be responsible for the operations, maintenance and evolution of the Sentinel-3 ground segment on land related products and EUMETSAT for the marine products. The Sentinel-3 ground segment systematically acquires, processes and distributes a set of pre-defined core data products. Sentinel-3A is foreseen to be launched at the beginning of November 2015. The paper will give an overview on the mission, its instruments and objectives, the data products provided, the mechanisms to access the mission's data, and if available first results.

Application Analysis and Decision with Dynamic Analysis

DTIC Science & Technology

2014-12-01

pushes the application file and the JSON file containing the metadata from the database . When the 2 files are in place, the consumer thread starts...human analysts and stores it in a database . It would then use some of these data to generate a risk score for the application. However, static analysis...and store them in the primary A2D database for future analysis. 15. SUBJECT TERMS Android, dynamic analysis 16. SECURITY CLASSIFICATION OF: 17

Influenza activity in Europe during eight seasons (1999–2007): an evaluation of the indicators used to measure activity and an assessment of the timing, length and course of peak activity (spread) across Europe

PubMed Central

Paget, John; Marquet, Richard; Meijer, Adam; van der Velden, Koos

2007-01-01

Background The European Influenza Surveillance Scheme (EISS) has collected clinical and virological data on influenza since 1996 in an increasing number of countries. The EISS dataset was used to characterise important epidemiological features of influenza activity in Europe during eight winters (1999–2007). The following questions were addressed: 1) are the sentinel clinical reports a good measure of influenza activity? 2) how long is a typical influenza season in Europe? 3) is there a west-east and/or south-north course of peak activity ('spread') of influenza in Europe? Methods Influenza activity was measured by collecting data from sentinel general practitioners (GPs) and reports by national reference laboratories. The sentinel reports were first evaluated by comparing them to the laboratory reports and were then used to assess the timing and spread of influenza activity across Europe during eight seasons. Results We found a good match between the clinical sentinel data and laboratory reports of influenza collected by sentinel physicians (overall match of 72% for +/- 1 week difference). We also found a moderate to good match between the clinical sentinel data and laboratory reports of influenza from non-sentinel sources (overall match of 60% for +/- 1 week). There were no statistically significant differences between countries using ILI (influenza-like illness) or ARI (acute respiratory disease) as case definition. When looking at the peak-weeks of clinical activity, the average length of an influenza season in Europe was 15.6 weeks (median 15 weeks; range 12–19 weeks). Plotting the peak weeks of clinical influenza activity reported by sentinel GPs against the longitude or latitude of each country indicated that there was a west-east spread of peak activity (spread) of influenza across Europe in four winters (2001–2002, 2002–2003, 2003–2004 and 2004–2005) and a south-north spread in three winters (2001–2002, 2004–2005 and 2006–2007). Conclusion We found that: 1) the clinical data reported by sentinel physicians is a valid indicator of influenza activity; 2) the length of influenza activity across the whole of Europe was surprisingly long, ranging from 12–19 weeks; 3) in 4 out of the 8 seasons, there was a west-east spread of influenza, in 3 seasons a south-north spread; not associated with type of dominant virus in those seasons. PMID:18047685

Mental health consumer parents' recommendations for designing psychoeducation interventions for their minor children.

PubMed

Riebschleger, Joanne; Onaga, Esther; Tableman, Betty; Bybee, Deborah

2014-09-01

This research explores consumer parents' recommendations for developing psychoeducation programs for their minor children. Data were drawn from a purposive sample of 3 focus groups of parent consumers of a community mental health agency. The research question was: "What do consumer parents recommend for developing psychoeducation programs for their minor children?" Parents recommended content foci of mental illness, recovery, heritability, stigma, and coping. The next step is youth psychoeducation intervention development and evaluation. Parents, youth, and professionals should be included in the program planning. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

Excision margins and sentinel lymph node status as prognostic factors in thick melanoma of the head and neck: A retrospective analysis.

PubMed

Ruskin, Olivia; Sanelli, Alexandra; Herschtal, Alan; Webb, Angela; Dixon, Ben; Pohl, Miklos; Donahoe, Simon; Spillane, John; Henderson, Michael A; Gyorki, David E

2016-09-01

Recommended margins for thick cutaneous melanoma (Breslow thickness >4 mm; T4) have decreased over recent decades. Optimal margins and the role of sentinel node biopsy (SNB) in thick head and neck melanoma remain controversial. A single-center review was conducted of patients treated between 2002 and 2012 assessing the impact of excision margins and sentinel lymph node status on locoregional recurrence and melanoma-specific survival (MSS). One hundred eight patients were identified. Median age was 71.1 years and median Breslow thickness was 6.0 mm. Median follow-up was 40 months. Locoregional recurrence occurred in 27% and there was no significant reduction in recurrence with margins ≥2 cm (p = .17). Increasing margins did not improve survival (p = .58). Fifty-nine patients (55%) underwent SNB, of which 27% were positive. There was a trend toward longer survival for patients who were sentinel lymph node-negative (p = .097). Wider margins do not significantly improve locoregional recurrence or MSS. Sentinel lymph node involvement reflects a poor prognosis. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1373-1379, 2016. © 2016 Wiley Periodicals, Inc.

Sentinel lymph node biopsy does not change melanoma-specific survival among patients with Breslow thickness greater than four millimeters.

PubMed

Caracò, Corrado; Celentano, Egidio; Lastoria, Secondo; Botti, Gerardo; Ascierto, Paolo Antonio; Mozzillo, Nicola

2004-03-01

Management of patients with cutaneous melanoma in the absence of lymph node metastases is still controversial. The experience at the National Cancer Institute in Naples was analyzed to evaluate 3-year disease-free survival and overall survival for all patients who underwent sentinel lymph node biopsy (SLB) with Breslow thickness greater than 4 mm. Data from 359 sentinel biopsies performed in the past 5 years were reviewed to determine the effect of the treatment on disease-free survival and overall survival after stratifying patients for node status, tumor ulceration, and Breslow thickness. Statistical analysis showed a better 3-year survival for sentinel node-negative patients than for sentinel node-positive cases (88.4% and 72.9%, respectively; P <.05). Tumor ulceration retained its prognostic significance despite lymph node status, indicating a higher risk for development of distant metastases. Survival curves associated with thicker melanomas did not show significant differences between negative- and positive-SLB patients. SLB provides accurate staging of nodal status in melanoma patients who have no clinical evidence of metastases. Longer follow-up and final results from ongoing trials are necessary to definitively clarify the role of this procedure.

[Role of sentinel lymph nodes and lymphatic mapping of colorectal cancer].

PubMed

Ivanov, K; Kolev, N; Ignatov, V; Temelkov, T; Madzhov, R

2005-01-01

The accuracy of staging of colorectal cancer is dependable of number of lymph nodes, colected and investegated from the pathologist. Moreover 50% of newfounded cases with colorectal cancer are diagnosed as I or II stage of the desease. Between 15% and 20% of these patients develop regional or distant metastases around 5 years after the examination, despite of the radical surgery. This may be due to pathological "understaging" (decrease of the stage), becouse of missed micrometastases, which size often is smaller than 5 mm. High accurate and specific pathologoanatomical methods for "ultrastaging" are cost-expensive, therefore their selective application to labeled sentinel lymph nodes has a economical benefit and saves a time. Moreover it is decreasing the understaging effect, assosiated with convectional pathologoanatomical investigaton. In the future, the technical progress will develop the intensive competiton between the sentinel lymph node mapping and the improved imaging diagnostic techniques as flurodeoxyglucose (18FDG), positron emision tomography (PET), or the other molecular imaging techniques. Unfortunately, the limited spatial resolution of these techniques, do not allow to be used for tumor staging as sentinel lymph node techniques. Therefore the sentinel lymphnode mapping become the choice of the lymphnode staging technique.

Landsat and Sentinel-2A Surface Albedo Estimation and Evaluation Against In Situ Measurements Across the US SURFRAD Network

NASA Astrophysics Data System (ADS)

Franch, B.; Skakun, S.; Vermote, E.; Roger, J. C.

2017-12-01

Surface albedo is an essential parameter not only for developing climate models, but also for most energy balance studies. While climate models are usually applied at coarse resolution, the energy balance studies, which are mainly focused on agricultural applications, require a high spatial resolution. The albedo, estimated through the angular integration of the BRDF, requires an appropriate angular sampling of the surface. However, Sentinel-2A sampling characteristics, with nearly constant observation geometry and low illumination variation, prevent from deriving a surface albedo product. In this work, we apply an algorithm developed to derive a Landsat surface albedo to Sentinel-2A. It is based on the BRDF parameters estimated from the MODerate Resolution Imaging Spectroradiometer (MODIS) CMG surface reflectance product (M{O,Y}D09) using the VJB method (Vermote et al., 2009). Sentinel-2A unsupervised classification images are used to disaggregate the BRDF parameters to the Sentinel-2 spatial resolution. We test the results over five different sites of the US SURFRAD network and plot the results versus albedo field measurements. Additionally, we also test this methodology using Landsat-8 images.

SENTINEL-1/2 Data for Ship Traffic Monitoring on the Danube River

NASA Astrophysics Data System (ADS)

Negula, I. Dana; Poenaru, V. D.; Olteanu, V. G.; Badea, A.

2016-06-01

After a long period of drought, the water level of the Danube River has significantly dropped especially on the Romanian sector, in July-August 2015. Danube reached the lowest water level recorded in the last 12 years, causing the blockage of the ships in the sector located close to Zimnicea Harbour. The rising sand banks in the navigable channel congested the commercial traffic for a few days with more than 100 ships involved. The monitoring of the decreasing water level and the traffic jam was performed based on Sentinel-1 and Sentinel-2 free data provided by the European Space Agency and the European Commission within the Copernicus Programme. Specific processing methods (calibration, speckle filtering, geocoding, change detection, image classification, principal component analysis, etc.) were applied in order to generate useful products that the responsible authorities could benefit from. The Sentinel data yielded good results for water mask extraction and ships detection. The analysis continued after the closure of the crisis situation when the water reached the nominal level again. The results indicate that Sentinel data can be successfully used for ship traffic monitoring, building the foundation of future endeavours for a durable monitoring of the Danube River.

Surveillance for travel-related disease--GeoSentinel Surveillance System, United States, 1997-2011.

PubMed

Harvey, Kira; Esposito, Douglas H; Han, Pauline; Kozarsky, Phyllis; Freedman, David O; Plier, D Adam; Sotir, Mark J

2013-07-19

In 2012, the number of international tourist arrivals worldwide was projected to reach a new high of 1 billion arrivals, a 48% increase from 674 million arrivals in 2000. International travel also is increasing among U.S. residents. In 2009, U.S. residents made approximately 61 million trips outside the country, a 5% increase from 1999. Travel-related morbidity can occur during or after travel. Worldwide, 8% of travelers from industrialized to developing countries report becoming ill enough to seek health care during or after travel. Travelers have contributed to the global spread of infectious diseases, including novel and emerging pathogens. Therefore, surveillance of travel-related morbidity is an essential component of global public health surveillance and will be of greater importance as international travel increases worldwide. September 1997-December 2011. GeoSentinel is a clinic-based global surveillance system that tracks infectious diseases and other adverse health outcomes in returned travelers, foreign visitors, and immigrants. GeoSentinel comprises 54 travel/tropical medicine clinics worldwide that electronically submit demographic, travel, and clinical diagnosis data for all patients evaluated for an illness or other health condition that is presumed to be related to international travel. Clinical information is collected by physicians with expertise or experience in travel/tropical medicine. Data collected at all sites are entered electronically into a database, which is housed at and maintained by CDC. The GeoSentinel network membership program comprises 235 additional clinics in 40 countries on six continents. Although these network members do not report surveillance data systematically, they can report unusual or concerning diagnoses in travelers and might be asked to perform enhanced surveillance in response to specific health events or concerns. During September 1997-December 2011, data were collected on 141,789 patients with confirmed or probable travel-related diagnoses. Of these, 23,006 (16%) patients were evaluated in the United States, 10,032 (44%) of whom were evaluated after returning from travel outside of the United States (i.e., after-travel patients). Of the 10,032 after-travel patients, 4,977 (50%) were female, 4,856 (48%) were male, and 199 (2%) did not report sex; the median age was 34 years. Most were evaluated in outpatient settings (84%), were born in the United States (76%), and reported current U.S. residence (99%). The most common reasons for travel were tourism (38%), missionary/volunteer/research/aid work (24%), visiting friends and relatives (17%), and business (15%). The most common regions of exposure were Sub-Saharan Africa (23%), Central America (15%), and South America (12%). Fewer than half (44%) reported having had a pretravel visit with a health-care provider. Of the 13,059 diagnoses among the 10,032 after-travel patients, the most common diagnoses were acute unspecified diarrhea (8%), acute bacterial diarrhea (5%), postinfectious irritable bowel syndrome (5%), giardiasis (3%), and chronic unknown diarrhea (3%). The most common diagnostic groupings were acute diarrhea (22%), nondiarrheal gastrointestinal (15%), febrile/systemic illness (14%), and dermatologic (12%). Among 1,802 patients with febrile/systemic illness diagnoses, the most common diagnosis was Plasmodium falciparum malaria (19%). The rapid communication component of the GeoSentinel network has allowed prompt responses to important health events affecting travelers; during 2010 and 2011, the notification capability of the GeoSentinel network was used in the identification and public health response to East African trypanosomiasis in Eastern Zambia and North Central Zimbabwe, P. vivax malaria in Greece, and muscular sarcocystosis on Tioman Island, Malaysia. The GeoSentinel Global Surveillance System is the largest repository of provider-based data on travel-related illness. Among ill travelers evaluated in U.S. GeoSentinel sites after returning from international travel, gastrointestinal diagnoses were most frequent, suggesting that U.S. travelers might be exposed to unsafe food and water while traveling internationally. The most common febrile/systemic diagnosis was P. falciparum malaria, suggesting that some U.S. travelers to malarial areas are not receiving or using proper malaria chemoprophylaxis or mosquito-bite avoidance measures. The finding that fewer than half of all patients reported having made a pretravel visit with a health-care provider indicates that a substantial portion of U.S. travelers might not be following CDC travelers' health recommendations for international travel. GeoSentinel surveillance data have helped researchers define an evidence base for travel medicine that has informed travelers' health guidelines and the medical evaluation of ill international travelers. These data suggest that persons traveling internationally from the United States to developing countries remain at risk for illness. Health-care providers should help prepare travelers properly for safe travel and provide destination-specific medical evaluation of returning ill travelers. Training for health-care providers should focus on preventing and treating a variety of travel-related conditions, particularly traveler's diarrhea and malaria.

Validation of the sentinel lymph node biopsy technique in head and neck cancers of the oral cavity.

PubMed

Radkani, Pejman; Mesko, Thomas W; Paramo, Juan C

2013-12-01

The purpose of this study was to present our experience and validate the use of sentinel lymph node (SLN) mapping in patients with head and neck cancers. A retrospective review of a prospectively collected database of patients with a diagnosis of squamous cell carcinomas of the head and neck from 2008 to 2011 was done. The group consisted of a total of 20 patients. The first node(s) highlighted with blue, or identified as radioactive by Tc99-sulfur radioactive colloid, was (were) identified as the SLNs. In the first seven patients, formal modified neck dissection was performed. In the remaining 13 patients, only a SLN biopsy procedure was done. At least one SLN was identified in all 20 patients (100%). Only one patient (5%) had positive nodes. In this case, the SLN was also positive. In the remaining 19 cases, all lymph nodes were negative. After an average of 24 months of follow-up, there have been three local recurrences (15%) but no evidence of distant metastatic disease. SLN mapping in head and neck cancers is a feasible technique with a high identification rate and a low false-negative rate. Although the detection rate of regional metastatic disease compares favorably with published data as well as the disease-free and overall survival, further studies are warranted before considering this technique to be the "gold standard" in patients with oral squamous cell carcinoma and a negative neck by clinical examination and imaging studies.

Validation of Statistical Predictive Models Meant to Select Melanoma Patients for Sentinel Lymph Node Biopsy

PubMed Central

Sabel, Michael S.; Rice, John D.; Griffith, Kent A.; Lowe, Lori; Wong, Sandra L.; Chang, Alfred E.; Johnson, Timothy M.; Taylor, Jeremy M.G.

2013-01-01

Introduction To identify melanoma patients at sufficiently low risk of nodal metastases who could avoid SLN biopsy (SLNB). Several statistical models have been proposed based upon patient/tumor characteristics, including logistic regression, classification trees, random forests and support vector machines. We sought to validate recently published models meant to predict sentinel node status. Methods We queried our comprehensive, prospectively-collected melanoma database for consecutive melanoma patients undergoing SLNB. Prediction values were estimated based upon 4 published models, calculating the same reported metrics: negative predictive value (NPV), rate of negative predictions (RNP), and false negative rate (FNR). Results Logistic regression performed comparably with our data when considering NPV (89.4% vs. 93.6%); however the model’s specificity was not high enough to significantly reduce the rate of biopsies (SLN reduction rate of 2.9%). When applied to our data, the classification tree produced NPV and reduction in biopsies rates that were lower 87.7% vs. 94.1% and 29.8% vs. 14.3%, respectively. Two published models could not be applied to our data due to model complexity and the use of proprietary software. Conclusions Published models meant to reduce the SLNB rate among patients with melanoma either underperformed when applied to our larger dataset, or could not be validated. Differences in selection criteria and histopathologic interpretation likely resulted in underperformance. Development of statistical predictive models must be created in a clinically applicable manner to allow for both validation and ultimately clinical utility. PMID:21822550

Sentinel lymph node biopsy versus observation in thick melanoma: A multicenter propensity score matching study.

PubMed

Boada, Aram; Tejera-Vaquerizo, Antonio; Ribero, Simone; Puig, Susana; Moreno-Ramírez, David; Descalzo-Gallego, Miguel A; Fierro, María T; Quaglino, Pietro; Carrera, Cristina; Malvehy, Josep; Vidal-Sicart, Sergi; Bennássar, Antoni; Rull, Ramón; Alos, Llucìa; Requena, Celia; Bolumar, Isidro; Traves, Víctor; Pla, Ángel; Fernández-Figueras, María T; Ferrándiz, Carlos; Pascual, Iciar; Manzano, José L; Sánchez-Lucas, Marina; Giménez-Xavier, Pol; Ferrandiz, Lara; Nagore, Eduardo

2018-02-01

The clinical value of sentinel lymph node (SLN) biopsy in thick melanoma patients (Breslow >4 mm) has not been sufficiently studied. The aim of the study is to evaluate whether SLN biopsy increases survival in patients with thick cutaneous melanoma, and, as a secondary objective, to investigate correlations between survival and lymph node status. We included 1,211 consecutive patients with thick melanomas (>4 mm) registered in the participating hospitals' melanoma databases between 1997 and 2015. Median follow-up was 40 months. Of these patients, 752 were matched into pairs by propensity scores based on sex, age, tumor location, histologic features of melanoma, year of diagnosis, hospital and adjuvant interferon therapy. The SLN biopsy vs. observation was associated with better DFS [adjusted hazard ratio (AHR), 0.74; 95% confidence interval (CI) 0.61-0.90); p = 0.002] and OS (AHR, 0.75; 95% CI, 0.60-0.94; p = 0.013) but not MSS (AHR, 0.84; 95% CI, 0.65-1.08; p = 0.165). SLN-negative patients had better 5- and 10-year MSS compared with SLN-positive patients (65.4 vs. 51.9% and 48.3 vs. 38.8%; p = 0.01, respectively). As a conclusion, SLN biopsy was associated with better DFS but not MSS in thick melanoma patients after adjustment for classic prognostic factors. SLN biopsy is useful for stratifying these patients into different prognostic groups. © 2017 UICC.

77 FR 4048 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Initial Review

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-26

... announced below concerns Evaluation of Dengue Epidemiology, Outcomes, and Prevention in Sentinel... applications received in response to ``Evaluation of Dengue Epidemiology, Outcomes and Prevention in Sentinel...

2013-2014 Food and Nutrient Database for Dietary Studies Items Designated as Fortified

USDA-ARS?s Scientific Manuscript database

The Food and Nutrient Database for Dietary Studies (FNDDS) is used to convert food and beverages consumed in What We Eat in America, National Health and Nutrition Examination Survey (WWEIA, NHANES) into gram amounts and determine their nutrient values. The file of Items Designated as Fortified in F...

Food Intakes Converted to Retail Commodities Databases 2003-08: Methodology and User Guide

USDA-ARS?s Scientific Manuscript database

The purpose for developing the Food Intakes Converted to Retail Commodities Databases (FICRCD) 2003-08 is to convert foods consumed in What We Eat In America, National Health and Nutrition Examination Survey (WWEIA, NHANES) 2003-2004, 2005-2006, and 2007-2008 to respective amounts of retail-level fo...

Fidget Spinner Ingestions in Children-A Problem that Spun Out of Nowhere.

PubMed

Reeves, Patrick T; Nylund, Cade M; Noel, James M; Jones, David S; Chumpitazi, Bruno P; Milczuk, Henry A; Noel, R Adam

2018-06-01

The Consumer Product Safety Risk Management System's injury and potential injury database records 13 cases of fidget spinner ingestion since 2016. In addition to a database query, we report 3 additional cases of fidget spinner ingestion to describe patient presentations and subsequent management strategies. Published by Elsevier Inc.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chernyshova, A. L.; Lyapunov, A. Yu., E-mail: Lyapunov1720.90@mail.ru; Kolomiets, L. A.

The study included 26 patients with FIGO stage Ia1–Ib1 cervical cancer who underwent fertility-sparing surgery (transabdominaltrachelectomy). To visualize sentinel lymph nodes, lymphoscintigraphy with injection of 99mTc-labelled nanocolloid was performed the day before surgery. Intraoperative identification of sentinel lymph nodes using hand-held gamma probe was carried out to determine the radioactive counts over the draining lymph node basin. The sentinel lymph node detection in cervical cancer patients contributes to the accurate clinical assessment of the pelvic lymph node status, precise staging of the disease and tailoring of surgical treatment to individual patient.

Brief behavioural surveys in routine HIV sentinel surveillance: a new tool for monitoring the HIV epidemic in Viet Nam

PubMed Central

Hien, Nguyen Tran; Tuan, Nguyen Anh; Ha, Hoang Thi Thanh; Thang, Pham Hong; Ha, Nguyen Thi Thanh; Tuan, Le Anh; Quang, Tran Dai; Tram, Tran Hong; Le Hai, Nguyen; Huong, Phan Thi Thu; Son, Vo Hai; Duc, Bui Hoang; Nga, Nguyen Thien; Jacka, David; Sabin, Keith

2015-01-01

In this report we describe a new approach in HIV sentinel surveillance that was piloted in Viet Nam in 2009 and is currently being rolled out in all provinces. It comprises a brief behavioural questionnaire added to the HIV sentinel surveillance surveys conducted routinely among people who inject drugs, female sex workers and men who have sex with men. Timely reporting of data from this system has resulted in improvements to HIV prevention efforts for most at-risk populations. PMID:25960922

Brief behavioural surveys in routine HIV sentinel surveillance: a new tool for monitoring the HIV epidemic in Viet Nam.

PubMed

Thanh, Duong Cong; Hien, Nguyen Tran; Tuan, Nguyen Anh; Ha, Hoang Thi Thanh; Thang, Pham Hong; Ha, Nguyen Thi Thanh; Tuan, Le Anh; Quang, Tran Dai; Tram, Tran Hong; Le Hai, Nguyen; Huong, Phan Thi Thu; Son, Vo Hai; Duc, Bui Hoang; Nga, Nguyen Thien; Jacka, David; Sabin, Keith

2015-01-01

In this report we describe a new approach in HIV sentinel surveillance that was piloted in Viet Nam in 2009 and is currently being rolled out in all provinces. It comprises a brief behavioural questionnaire added to the HIV sentinel surveillance surveys conducted routinely among people who inject drugs, female sex workers and men who have sex with men. Timely reporting of data from this system has resulted in improvements to HIV prevention efforts for most at-risk populations.

Retrospective hospital based surveillance of intussusception in children in a sentinel paediatric hospital: benefits and pitfalls for use in post-marketing surveillance of rotavirus vaccines.

PubMed

Lloyd-Johnsen, C; Justice, F; Donath, S; Bines, J E

2012-04-27

Evaluation of the safety of rotavirus vaccines, particularly with respect to the risk of intussusception, is recommended for countries planning to introduce rotavirus vaccines into the National Immunisation Program. However, as prospective studies are costly, require time to conduct and may be difficult to perform in some settings, retrospective hospital based surveillance at sentinel sites has been suggested as an option for surveillance for intussusception following introduction of rotavirus vaccines. To assess the value of retrospective hospital based surveillance to describe clinical and epidemiological features of intussusception in children aged <24 months and to investigate any temporal association between receipt of a rotavirus vaccine and intussusception. A retrospective chart review of all patients diagnosed with intussusception at Royal Children's Hospital, Melbourne, Australia over an 8-year period including before and after rotavirus vaccine introduction into the National Immunisation Program, was conducted using patients identified by a medical record database (ICD-10-CM 56.1). Patient profile, clinical presentation, treatment and outcome were analysed along with records of immunisation status obtained using the Australian Childhood Immunisation Register. A 9% misclassification rate of discharge diagnosis of intussusception was identified on critical chart review. The incidence rate of intussusception at the Royal Children's Hospital over the study period was 1.91 per 10,000 infants <24 months (95% CI 1.65-2.20). Intestinal resection was required in 6.5% of infants (95% CI 3.6%, 11.0%). Intussusception occurred within 30 days after vaccination in 2 of 27 patients who had received at least 1 dose of a rotavirus vaccine. Valuable data on the incidence, clinical presentation and treatment outcomes of intussusception can be obtained from data retrieved from hospital medical records in a sentinel paediatric hospital using standardised methodology. However, there are methodological limitations and the quality of the data is highly dependent on the accuracy and completeness of the patient information recorded, the system of coding and record retrieval. Copyright © 2011 Elsevier Ltd. All rights reserved.

Meta-Analysis Research: A Potential Choice for CTE Researchers and Consumers

ERIC Educational Resources Information Center

Gordon, Howard R. D.

2007-01-01

A search of the ERIC database, Academic Search Premier, and a review of literature suggests that meta-analysis is ignored by career and technical education (CTE) researchers, a situation that is regrettable but remediable. The purpose of this paper was to provide CTE researchers and consumers with selected procedures and guidelines for conducting…

Distribution of Prostate Sentinel Nodes: A SPECT-Derived Anatomic Atlas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ganswindt, Ute, E-mail: ute.ganswindt@med.uni-muenchen.d; Schilling, David; Mueller, Arndt-Christian

2011-04-01

Purpose: The randomized Radiation Therapy Oncology Group 94-13 trial revealed that coverage of the pelvic lymph nodes in high-risk prostate cancer confers an advantage (progression-free survival and biochemical failure) in patients with {>=}15% risk of lymph node involvement. To facilitate an improved definition of the adjuvant target volume, precise knowledge regarding the location of the relevant lymph nodes is necessary. Therefore, we generated a three-dimensional sentinel lymph node atlas. Methods and Materials: In 61 patients with high-risk prostate cancer, a three-dimensional visualization of sentinel lymph nodes was performed using a single photon emission computed tomography system after transrectal intraprostatic injectionmore » of 150 to 362 (median 295) mega becquerel (MBq) {sup 99m}Technetium-nanocolloid (1.5-3h after injection) followed by an anatomic functional image fusion. Results: In all, 324 sentinel nodes in 59 of 61 patients (96.7%) were detected, with 0 to 13 nodes per patient (median 5, mean 5.3). The anatomic distribution of the sentinel nodes was as follows: external iliac 34.3%, internal iliac 17.9%, common iliac 12.7%, sacral 8.6%, perirectal 6.2%, left paraaortic 5.3%, right paraaortic 5.3%, seminal vesicle lymphatic plexus 3.1%, deep inguinal 1.5%, superior rectal 1.2%, internal pudendal 1.2%, perivesical 0.9%, inferior rectal 0.9%, retroaortic 0.3%, superficial inguinal 0.3%, and periprostatic 0.3%. Conclusions: The distribution of sentinel nodes as detected by single photon emission computed tomography imaging correlates well with the distribution determined by intraoperative gamma probe detection. A lower detection rate of sentinels in close proximity to the bladder and seminal vesicles is probably caused by the radionuclide accumulation in the bladder. In regard to intensity-modulated radiotherapy techniques, the presented anatomic atlas may allow optimized target volume definitions.« less

Clinically node negative breast cancer patients undergoing breast conserving therapy, sentinel lymph node procedure versus follow-up: a Dutch randomized controlled multicentre trial (BOOG 2013-08).

PubMed

van Roozendaal, L M; Vane, M L G; van Dalen, T; van der Hage, J A; Strobbe, L J A; Boersma, L J; Linn, S C; Lobbes, M B I; Poortmans, P M P; Tjan-Heijnen, V C G; Van de Vijver, K K B T; de Vries, J; Westenberg, A H; Kessels, A G H; de Wilt, J H W; Smidt, M L

2017-07-01

Studies showed that axillary lymph node dissection can be safely omitted in presence of positive sentinel lymph node(s) in breast cancer patients treated with breast conserving therapy. Since the outcome of the sentinel lymph node biopsy has no clinical consequence, the value of the procedure itself is being questioned. The aim of the BOOG 2013-08 trial is to investigate whether the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients treated with breast conserving therapy. The BOOG 2013-08 is a Dutch prospective non-inferiority randomized multicentre trial. Women with pathologically confirmed clinically node negative T1-2 invasive breast cancer undergoing breast conserving therapy will be randomized for sentinel lymph node biopsy versus no sentinel lymph node biopsy. Endpoints include regional recurrence after 5 (primary endpoint) and 10 years of follow-up, distant-disease free and overall survival, quality of life, morbidity and cost-effectiveness. Previous data indicate a 5-year regional recurrence free survival rate of 99% for the control arm and 96% for the study arm. In combination with a non-inferiority limit of 5% and probability of 0.8, this result in a sample size of 1.644 patients including a lost to follow-up rate of 10%. Primary and secondary endpoints will be reported after 5 and 10 years of follow-up. If the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients undergoing breast conserving therapy, this study will cost-effectively lead to a decreased axillary morbidity rate and thereby improved quality of life with non-inferior regional control, distant-disease free survival and overall survival. The BOOG 2013-08 study is registered in ClinicalTrials.gov since October 20, 2014, Identifier: NCT02271828. https://clinicaltrials.gov/ct2/show/NCT02271828.

Sentinel-2 Mission status

NASA Astrophysics Data System (ADS)

Hoersch, Bianca; Colin, Olivier; Gascon, Ferran; Arino, Olivier; Spoto, Francois; Marchese, Franco; Krassenburg, Mike; Koetz, Benjamin

2016-04-01

Copernicus is a joint initiative of the European Commission (EC) and the European Space Agency (ESA), designed to establish a European capacity for the provision and use of operational monitoring information for environment and security applications. Within the Copernicus programme, ESA is responsible for the development of the Space Component, a fully operational space-based capability to supply earth-observation data to sustain environmental information Services in Europe. The Sentinel missions are Copernicus dedicated Earth Observation missions composing the essential elements of the Space Component. In the global Copernicus framework, they are complemented by other satellites made available by third-parties or by ESA and coordinated in the synergistic system through the Copernicus Data-Access system versus the Copernicus Services. The Copernicus Sentinel-2 mission provides continuity to services relying on multi-spectral high-resolution optical observations over global terrestrial surfaces. Sentinel-2 capitalizes on the technology and the vast experience acquired in Europe and the US to sustain the operational supply of data for services such as forest monitoring, land cover changes detection or natural disasters management. The Sentinel-2 mission offers an unprecedented combination of the following capabilities: ○ Systematic global coverage of land surfaces: from 56°South to 84°North, coastal waters and Mediterranean sea; ○ High revisit: every 5 days at equator under the same viewing conditions with 2 satellites; ○ High spatial resolution: 10m, 20m and 60m; ○ Multi-spectral information with 13 bands in the visible, near infra-red and short wave infra-red part of the spectrum; ○ Wide field of view: 290 km. The data from the Sentinel-2 mission are available openly and freely for all users with online easy access since December 2015. The presentation will give a status report on the Sentinel-2 mission, and outlook for the remaining ramp-up Phase, the completion of the constellation and a view to ongoing evolutions, together with a view on data exploitation.

Evaluation of forest fires in Portugal Mainland during 2016 summer considering different satellite datasets

NASA Astrophysics Data System (ADS)

Teodoro, A. C.; Amaral, A.

2017-10-01

Portugal is one of the most affected countries in Europe by forest fires. Every year in the summer, hundreds of hectares burn, destroying goods and forests at an alarming rate. The objective of this work was to analyze the forest areas burned in Portugal in 2016 (summer) using different satellite data with different spatial resolution (Sentinel-2A MSI and Landsat 8 OLI) in two affected areas. Data from spring from 2016 and 2017 were chosen (pre-fire event and post-fire event) in order to maximize the Normalized Difference Vegetation Index (NDVI) values. The QGIS software's plugin - Semi- Automatic Classification Plugin- which allowed to obtain NDVI values for the Landsat 8 OLI and Sentinel- 2A was used. The results showed that the NDVI decreased considerably in Arouca and Vila Nova de Cerveira after de fire event, meaning a marked drop in vegetation level. In Sintra municipality this change was not verified because non forest fire was registered in this area during the study period. The results from the Sentinel-2A and Landsat 8 OLI data analysis are in agreement, however the Sentinel-2A satellite gives results more accurate than Landsat-8 OLI since it has best spatial resolution. This study could help the experts to understand both the causes and consequences of spatial variability of post-fire effects. Other vegetation spectral indices related with fire and burnt areas could also be calculated in order to discriminate burnt areas. Added to the best spatial resolution of Sentinel-2A (10 m), the temporal resolution of Sentinel- 2A (10 days) was increased with the launch of the twin Sentinel-2B (very recently) and therefore the frequency of the combined constellation revisit will be 5 days. However, for historical studies, the Landsat program remains the best option.

Ultrasound-Guided Fine-Needle Aspiration of Non-palpable and Suspicious Axillary Lymph Nodes with Subsequent Removal after Tattooing: False-Negative Results and Concordance with Sentinel Lymph Nodes.

PubMed

Kim, Won Hwa; Kim, Hye Jung; Jung, Jin Hyang; Park, Ho Yong; Lee, Jeeyeon; Kim, Wan Wook; Park, Ji Young; Cheon, Hyejin; Lee, So Mi; Cho, Seung Hyun; Shin, Kyung Min; Kim, Gab Chul

2017-11-01

Ultrasonography-guided fine-needle aspiration (US-guided FNA) for axillary lymph nodes (ALNs) is currently used with various techniques for the initial staging of breast cancer and tagging of ALNs. With the implementation of the tattooing of biopsied ALNs, the rate of false-negative results of US-guided FNA for non-palpable and suspicious ALNs and concordance with sentinel lymph nodes were determined by node-to node analyses. A total of 61 patients with breast cancer had negative results for metastasis on US-guided FNA of their non-palpable and suspicious ALNs. The biopsied ALNs were tattooed with an injection of 1-3 mL Charcotrace (Phebra, Lane Cove West, Australia) ink and removed during sentinel lymph node biopsy or axillary dissection. We determined the rate of false-negative results and concordance with the sentinel lymph nodes by a retrospective review of surgical and pathologic findings. The association of false-negative results with clinical and imaging factors was evaluated using logistic regression. Of the 61 ALNs with negative results for US-guided FNA, 13 (21%) had metastases on final pathology. In 56 of 61 ALNs (92%), tattooed ALNs corresponded to the sentinel lymph nodes. Among the 5 patients (8%) without correspondence, 1 patient (2%) had 2 metastatic ALNs of 1 tattooed node and 1 sentinel lymph node. In multivariate analysis, atypical cells on FNA results (odds ratio = 20.7, p = 0.040) was independently associated with false-negative FNA results. False-negative ALNs after US-guided FNA occur at a rate of 21% and most of the tattooed ALNs showed concordance with sentinel lymph nodes. Copyright © 2017 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

Multi-Feature Classification of Multi-Sensor Satellite Imagery Based on Dual-Polarimetric Sentinel-1A, Landsat-8 OLI, and Hyperion Images for Urban Land-Cover Classification

PubMed Central

Pan, Jianjun

2018-01-01

This paper focuses on evaluating the ability and contribution of using backscatter intensity, texture, coherence, and color features extracted from Sentinel-1A data for urban land cover classification and comparing different multi-sensor land cover mapping methods to improve classification accuracy. Both Landsat-8 OLI and Hyperion images were also acquired, in combination with Sentinel-1A data, to explore the potential of different multi-sensor urban land cover mapping methods to improve classification accuracy. The classification was performed using a random forest (RF) method. The results showed that the optimal window size of the combination of all texture features was 9 × 9, and the optimal window size was different for each individual texture feature. For the four different feature types, the texture features contributed the most to the classification, followed by the coherence and backscatter intensity features; and the color features had the least impact on the urban land cover classification. Satisfactory classification results can be obtained using only the combination of texture and coherence features, with an overall accuracy up to 91.55% and a kappa coefficient up to 0.8935, respectively. Among all combinations of Sentinel-1A-derived features, the combination of the four features had the best classification result. Multi-sensor urban land cover mapping obtained higher classification accuracy. The combination of Sentinel-1A and Hyperion data achieved higher classification accuracy compared to the combination of Sentinel-1A and Landsat-8 OLI images, with an overall accuracy of up to 99.12% and a kappa coefficient up to 0.9889. When Sentinel-1A data was added to Hyperion images, the overall accuracy and kappa coefficient were increased by 4.01% and 0.0519, respectively. PMID:29382073

GeoSentinel: the global emerging infections sentinel network of the International Society of Travel Medicine.

PubMed

Freedman, D O; Kozarsky, P E; Weld, L H; Cetron, M S

1999-06-01

GeoSentinel is a network of 22 member travel/tropical medicine clinics (14 in the United States and 8 in other countries) initiated in 1995 by the International Society of Travel Medicine (ISTM). GeoSentinel is based on the concept that these clinics are ideally situated to effectively detect geographic and temporal trends in morbidity among travelers. The core surveillance tool is a single-page faxable form submitted to a central data site for each post-travel patient, including immigrants, refugees, and foreign visitors. Diagnoses are entered either as specific etiologies or as syndromes and are then linked to geographic locations, reference dates, and clinical presentations. In addition, electronic communication with the larger body of worldwide ISTM member clinics is periodically done to obtain broader data collection in response to specific inquiries. The scope of GeoSentinel has broadened from the initial vision of a provider-based sentinel network tracking emerging infections at their point of entry into developed countries. Its present goals are (1) to monitor global trends in disease occurrence among travelers; (2) to ascertain risk factors and morbidity in groups of travelers categorized by travel purpose and type of traveler; (3) to respond to urgent public health queries; (4) to develop educational priorities for travelers' health; and (5) to effect a rapid response by electronically disseminating alerts to surveillance sites, to all ISTM members in 55 countries, and to public health authorities. In addition, a major byproduct of the network, and now one of its strongest assets, has been the growth of partnerships between ISTM, Centers for Disease Control and Prevention and health-care providers around the world, as well as other medical societies, government, and private organizations. The demographic data, travel patterns, and clinical presentations for the first 2813 patient records analyzed from the GeoSentinel sites are summarized in this paper.

Manatees as sentinels of marine ecosystem health: are they the 2000-pound canaries?

USGS Publications Warehouse

Bonde, R.K.; Aguirre, A.A.; Powell, J.

2004-01-01

The order Sirenia is represented by three species of manatees and one species of dugong distributed in tropical and subtropical regions of the world and considered vulnerable to extinction. The sentinel species concept is useful to identify indicators of the environment and may reflect the quality of health in marine ecosystems. The single species approach to evaluate ecological health may provide a series of “snap shots” of environmental changes to determine if animal, human, or ecosystem health may be affected. Under this concept, marine vertebrates may be good integrators of changes over space and time, and excellent sentinels of ecosystem health. Based on their life history, manatees may or may not be ideal sentinels, as they are robust, long-lived species and appear remarkably resilient to natural disease and the effects of human-related injury and trauma. These characteristics might be the result of an efficient and responsive immune system compared to other marine mammals. Although relatively immune to infectious agents, manatees face other potentially serious threats, including epizootic diseases and pollution while in large aggregations. Manatees can serve as excellent sentinels of harmful algal blooms due to their high sensitivity, specifically to brevetoxicosis, which has caused at least two major die-offs in recent times. Threats to manatees worldwide, such as illegal hunting and boat collisions, are increasing. Habitat is being lost at an alarming rate and the full effects of uncontrolled human population growth on the species are unknown. The manatee may serve as a sentinel species, prognosticating the deleterious effects of unhealthy marine and aquatic ecosystems on humans. We have identified a number of critical research needs and opportunities for transdisciplinary collaboration that could help advance the use of the sentinel species concept in marine ecosystem health and monitoring of disease emergence using our knowledge on these magnificent sirenians.

Comparison of Landsat-8 and Sentinel-2A reflectance and normalized difference vegetation index

NASA Astrophysics Data System (ADS)

Zhang, H.; Roy, D. P.; Yan, L.; Li, Z.; Huang, H.

2017-12-01

The moderate spatial resolution satellite data from the polar-orbiting Landsat-8 (launched 2013) and Sentinel-2A (launched 2015) sensors provide 10 m to 30 m multi-spectral global coverage with a better than 5-day revisit. Although a national laboratory traceable cross-calibration comparison of the Landsat-8 Operational Land Imager (OLI) and the Sentinel-2A MultiSpectral Instrument (MSI) was undertaken pre-launch, there are a number of other sensor differences, notably due to spectral, spatial and angular differences. To examine these in a comprehensive way, Landsat-8 and Sentinel-2A data for approximately 20° × 10° of southern Africa acquired in the summer (January to March) and winter (July to September) of 2016 were compared. Only Landsat-8 and Sentinel-2A observations acquired within one-day apart were considered. The sensor data were registered and then each orbit projected into 30 m fixed global Web Enabled Landsat Data (GWELD) tiles defined in the MODIS sinusoidal equal area projection. Only corresponding sensor observations of each 30 m tile pixel that were flagged as cloud and snow-free, unsaturated, and that had no significant change in their one day separation, were compared. Both the Landsat-8 and Sentinel-2A data were atmospherically corrected using the Landsat Surface Reflectance Code (LaSRC) and were also corrected to nadir BRDF adjusted reflectance (NBAR). Top of atmosphere and surface reflectance for the spectrally corresponding visible, near infrared and shortwave infrared OLI and MSI bands, and derived normalized difference vegetation index (NDVI), were compared and their differences quantified using regression analyses. The resulting statistical transformations may be used to improve the consistency between the Landsat-8 OLI and Sentinel-2A MSI data. The importance and sensitivity of the results to correct filtering, atmospheric correction and adjustment to NBAR is demonstrated.

Fluorescence-guided mapping of sentinel lymph nodes in gynecological malignancies

NASA Astrophysics Data System (ADS)

Hirsch, Ole; Szyc, Łukasz; Muallem, Mustafa Zelal; Ignat, Iulia; Chekerov, Radoslav; Macdonald, Rainer; Sehouli, Jalid; Braicu, Ioana; Grosenick, Dirk

2017-07-01

We have successfully applied a custom-made handheld fluorescence camera for intraoperative fluorescence detection of indocyanine green in a feasibility study on sentinel lymph node mapping in patients with vulvar, cervical, endometrial and ovarian cancer.

Eradication of Murine Norovirus from a Mouse Barrier Facility

PubMed Central

Kastenmayer, Robin J; Perdue, Kathy A; Elkins, William R

2008-01-01

Murine norovirus (MNV) is a common viral infection of mice in many research facilities. MNV infects hematopoietic cells and alters their cellular morphology. Because of MNV's probable effects on the systemic immune response of infected mice the decision was made to eradicate the virus from 2 rooms containing infected animals in our vivarium. Two different eradication methods were selected. One room, in which most of the indirectly exposed sentinels had antibodies to MNV, was depopulated and thoroughly cleaned prior to repopulation. In the other room, in which only 13% of the sentinels had positive MNV titers, selective testing was used, and MNV-positive animals were removed. Data from surveillance of the sentinel mice exposed to dirty bedding indicate that the test-and-removal method was ineffective in eliminating MNV from the room, whereas sentinel mice in the room that underwent depopulation and cleaning prior to repopulation have not shown any evidence of MNV since December 2006. PMID:18210995

Evaluation of Sentinel Lymph Node Dose Distribution in 3D Conformal Radiotherapy Techniques in 67 pN0 Breast Cancer Patients.

PubMed

Witucki, Gerlo; Degregorio, Nikolaus; Rempen, Andreas; Schwentner, Lukas; Bottke, Dirk; Janni, Wolfgang; Ebner, Florian

2015-01-01

Introduction. The anatomic position of the sentinel lymph node is variable. The purpose of the following study was to assess the dose distribution delivered to the surgically marked sentinel lymph node site by 3D conformal radio therapy technique. Material and Method. We retrospectively analysed 70 radiotherapy (RT) treatment plans of consecutive primary breast cancer patients with a successful, disease-free, sentinel lymph node resection. Results. In our case series the SN clip volume received a mean dose of 40.7 Gy (min 28.8 Gy/max 47.6 Gy). Conclusion. By using surgical clip markers in combination with 3D CT images our data supports the pathway of tumouricidal doses in the SN bed. The target volume should be defined by surgical clip markers and 3D CT images to give accurate dose estimations.

Novel Handheld Magnetometer Probe Based on Magnetic Tunnelling Junction Sensors for Intraoperative Sentinel Lymph Node Identification

PubMed Central

Cousins, A.; Balalis, G. L.; Thompson, S. K.; Forero Morales, D.; Mohtar, A.; Wedding, A. B.; Thierry, B.

2015-01-01

Using magnetic tunnelling junction sensors, a novel magnetometer probe for the identification of the sentinel lymph node using magnetic tracers was developed. Probe performance was characterised in vitro and validated in a preclinical swine model. Compared to conventional gamma probes, the magnetometer probe showed excellent spatial resolution of 4.0 mm, and the potential to detect as few as 5 μg of magnetic tracer. Due to the high sensitivity of the magnetometer, all first-tier nodes were identified in the preclinical experiments, and there were no instances of false positive or false negative detection. Furthermore, these preliminary data encourage the application of the magnetometer probe for use in more complex lymphatic environments, such as in gastrointestinal cancers, where the sentinel node is often in close proximity to other non-sentinel nodes, and high spatial resolution detection is required. PMID:26038833

The Sentinel-4 detectors: architecture and performance

NASA Astrophysics Data System (ADS)

Skegg, Michael P.; Hermsen, Markus; Hohn, Rüdiger; Williges, Christian; Woffinden, Charles; Levillain, Yves; Reulke, Ralf

2017-09-01

The Sentinel-4 instrument is an imaging spectrometer, developed by Airbus under ESA contract in the frame of the joint European Union (EU)/ESA COPERNICUS program. SENTINEL-4 will provide accurate measurements of trace gases from geostationary orbit, including key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, formaldehyde, as well as aerosol and cloud properties. Key to achieving these atmospheric measurements are the two CCD detectors, covering the wavelengths in the ranges 305 nm to 500 nm (UVVIS) and 750 to 775 nm (NIR) respectively. The paper describes the architecture, and operation of these two CCD detectors, which have an unusually high full-well capacity and a very specific architecture and read-out sequence to match the requirements of the Sentinel- 4 instrument. The key performance aspects and their verification through measurement are presented, with a focus on an unusual, bi-modal dark signal generation rate observed during test.

Sentinel-3A Views Ocean Variability More Accurately at Finer Resolution

NASA Astrophysics Data System (ADS)

Heslop, E. E.; Sánchez-Román, A.; Pascual, A.; Rodríguez, D.; Reeve, K. A.; Faugère, Y.; Raynal, M.

2017-12-01

This is the first multiplatform evaluation involving data from the new Sentinel-3A altimeter. An experiment was undertaken in the Algerian Basin, employing an ocean glider and a ship mission, along the same track and synchronous with an overpass of the Sentinel-3A mission. This provided three independent views of the ocean velocity field, along a section that encompassed three different oceanographic regimes. The results demonstrate the capacity of Sentinel-3A to retrieve fine-scale oceanographic features ( 20 km). The intercomparison with in situ platforms showed a significant improvement, order 30% in resolution and 42% in velocity accuracy using a synthetic aperture radar mode with respect to lower-resolution mode of conventional altimetry. In addition, the three-platform view provided valuable insight into the variability of evolving oceanographic features, in an area of the Mediterranean that remains chronically under sampled.

High Resolution Mapping of Wetland Ecosystems SPOT-5 Take 5 for Evaluation of Sentinel-2

NASA Astrophysics Data System (ADS)

Ade, Christiana; Hestir, Erin L.; Khanna, Shruti; Ustin, Susan L.

2016-08-01

Around the world wetlands are critical to human societies and ecosystems, providing services such as habitat, water, food and fiber, flood and nutrient control, and cultural, recreational and religious value. However, the dynamic nature of tidal wetlands makes measuring ecosystem responses to climate change, seasonal inundation regimes, and anthropogenic disturbance from current and previous Earth observing sensors challenging due to limited spatial and temporal resolutions. Sentinel- 2 will directly address this challenge by providing high spatial resolution data with frequent revisit time. This pilot study aims to develop methodology for future Sentinel-2 products and highlight the variability of tidal wetland ecosystems, thereby demonstrating the necessity of improved spatial particularly temporal resolution. Here the simulated Sentinel-2 dataset from the SPOT-5 Take 5 experiment reveals the capacity of the new sensor to simultaneously assess tidal wetland ecosystem phenology and water quality in inland waters.

Sentinel pigeon surveillance for West Nile virus by using lard-can traps at differing elevations and canopy cover classes.

PubMed

Deegan, Carrie S; Burns, Joseph E; Huguenin, Michael; Steinhaus, Eliza Y; Panella, Nicholas A; Beckett, Susan; Komar, Nicholas

2005-11-01

Sentinel pigeons, Columba livia, were installed in lard-can traps at heights of 1.5 m and 7.6-9.1 m within differing canopy cover classes in New York City. Adult mosquitoes were collected weekly from July to October 2002, as were serum samples from each pigeon. Culex pipiens L. and Culex restuans Theobald comprised 97% of mosquitoes collected and were most numerous in canopy-level, forested traps. The West Nile virus (family Flaviviridae, genus Flavivirus, WNV) seroconversion rate was significantly greater for pigeons in canopy-level traps, although seroconversions occurred concurrently with human cases in the city and were of little prognostic value to public health agencies. Our results indicate that sentinel pigeons were most effective for monitoring enzootic transmission of WNV when placed in single-sentinel caging 7.6-9.1 m above ground level.

Extreme warming challenges sentinel status of kelp forests as indicators of climate change.

PubMed

Reed, Daniel; Washburn, Libe; Rassweiler, Andrew; Miller, Robert; Bell, Tom; Harrer, Shannon

2016-12-13

The desire to use sentinel species as early warning indicators of impending climate change effects on entire ecosystems is attractive, but we need to verify that such approaches have sound biological foundations. A recent large-scale warming event in the North Pacific Ocean of unprecedented magnitude and duration allowed us to evaluate the sentinel status of giant kelp, a coastal foundation species that thrives in cold, nutrient-rich waters and is considered sensitive to warming. Here, we show that giant kelp and the majority of species that associate with it did not presage ecosystem effects of extreme warming off southern California despite giant kelp's expected vulnerability. Our results challenge the general perception that kelp-dominated systems are highly vulnerable to extreme warming events and expose the more general risk of relying on supposed sentinel species that are assumed to be very sensitive to climate change.

Efficient surveillance for healthcare-associated infections spreading between hospitals

PubMed Central

Ciccolini, Mariano; Donker, Tjibbe; Grundmann, Hajo; Bonten, Marc J. M.; Woolhouse, Mark E. J.

2014-01-01

Early detection of new or novel variants of nosocomial pathogens is a public health priority. We show that, for healthcare-associated infections that spread between hospitals as a result of patient movements, it is possible to design an effective surveillance system based on a relatively small number of sentinel hospitals. We apply recently developed mathematical models to patient admission data from the national healthcare systems of England and The Netherlands. Relatively short detection times are achieved once 10–20% hospitals are recruited as sentinels and only modest reductions are seen as more hospitals are recruited thereafter. Using a heuristic optimization approach to sentinel selection, the same expected time to detection can be achieved by recruiting approximately half as many hospitals. Our study provides a robust evidence base to underpin the design of an efficient sentinel hospital surveillance system for novel nosocomial pathogens, delivering early detection times for reduced expenditure and effort. PMID:24469791

Sentinel-1 Precise Orbit Calibration and Validation

NASA Astrophysics Data System (ADS)

Monti Guarnieri, Andrea; Mancon, Simone; Tebaldini, Stefano

2015-05-01

In this paper, we propose a model-based procedure to calibrate and validate Sentinel-1 orbit products by the Multi-Squint (MS) phase. The technique allows to calibrate an interferometric pair geometry by refining the slave orbit with reference to the orbit of a master image. Accordingly, we state the geometric model of the InSAR phase as function of positioning errors of targets and slave track; and the MS phase model as derivative of the InSAR phase geometric model with respect to the squint angle. In this paper we focus on the TOPSAR acquisition modes of Sentinel-1 (IW and EW) assuming at the most a linear error in the known slave trajectory. In particular, we describe a dedicated methodology to prevent InSAR phase artifacts on data acquired by the TOPSAR acquisition mode. Experimental results obtained by interferometric pairs acquired by Sentinel-1 sensor will be displayed.

[Is there still a place for extemporaneous exam in breast cancer?].

PubMed

Michy, T; Le Bouëdec, G; Mishellany, F; Penault-Llorca, F; Dauplat, J

2006-02-01

The rise of preoperative diagnosis thanks to new methods of micro and macrobiopsy and the development of sentinel lymph node have dramatically modified the surgical management of patients with breast tumor. The purpose of this study is to know if extemporaneous exams still have a place in the management of breast cancer. Retrospective study which compares the qualitiative evolution of frozen sections in breast tumor at Jean-Perrin center before the practice of percutaneous strereotaxic biopsy and after the training of sentinel lymph node operative biopsy. The results were in favour of a different distribution of anatomocytopathological activity with a decrease of frozen section in breast tumor and an increase of cytological imprints on sentinel nodes. The interest of histologic preoperative diagnosis and the failure of consensus in the sentinel lymph node just leave a restrictive position to frozen section in breast cancer.

Extreme warming challenges sentinel status of kelp forests as indicators of climate change

NASA Astrophysics Data System (ADS)

Reed, Daniel; Washburn, Libe; Rassweiler, Andrew; Miller, Robert; Bell, Tom; Harrer, Shannon

2016-12-01

The desire to use sentinel species as early warning indicators of impending climate change effects on entire ecosystems is attractive, but we need to verify that such approaches have sound biological foundations. A recent large-scale warming event in the North Pacific Ocean of unprecedented magnitude and duration allowed us to evaluate the sentinel status of giant kelp, a coastal foundation species that thrives in cold, nutrient-rich waters and is considered sensitive to warming. Here, we show that giant kelp and the majority of species that associate with it did not presage ecosystem effects of extreme warming off southern California despite giant kelp's expected vulnerability. Our results challenge the general perception that kelp-dominated systems are highly vulnerable to extreme warming events and expose the more general risk of relying on supposed sentinel species that are assumed to be very sensitive to climate change.

First experience with Remote Sensing methods and selected sensors in the monitoring of mining areas - a case study of the Belchatow open cast mine

NASA Astrophysics Data System (ADS)

Wajs, Jaroslaw

2018-01-01

The paper presents satellite imagery from active SENTINEL-1A and passive SENTINEL-2A/2B sensors for their application in the monitoring of mining areas focused on detecting land changes. Multispectral scenes of SENTINEL-2A/2B have allowed for detecting changes in land-cover near the region of interest (ROI), i.e. the Szczercow dumping site in the Belchatow open cast lignite mine, central Poland, Europe. Scenes from SENTINEL-1A/1B satellite have also been used in the research. Processing of the SLC signal enabled creating a return intensity map in VV polarization. The obtained SAR scene was reclassified and shows a strong return signal from the dumping site and the open pit. This fact may be used in detection and monitoring of changes occurring within the analysed engineering objects.

Epidemiology and potential land-sea transfer of enteric bacteria from terrestrial to marine species in the Monterey Bay Region of California.

PubMed

Oates, Stori C; Miller, Melissa A; Byrne, Barbara A; Chouicha, Nadira; Hardin, Dane; Jessup, David; Dominik, Clare; Roug, Annette; Schriewer, Alexander; Jang, Spencer S; Miller, Woutrina A

2012-07-01

Marine mammals are at risk for infection by fecal-associated zoonotic pathogens when they swim and feed in polluted nearshore marine waters. Because of their tendency to consume 25-30% of their body weight per day in coastal filter-feeding invertebrates, southern sea otters (Enhydra lutris nereis) can act as sentinels of marine ecosystem health in California. Feces from domestic and wildlife species were tested to determine prevalence, potential virulence, and diversity of selected opportunistic enteric bacterial pathogens in the Monterey Bay region. We hypothesized that if sea otters are sentinels of coastal health, and fecal pollution flows from land to sea, then sea otters and terrestrial animals might share the same enteric bacterial species and strains. Twenty-eight percent of fecal samples tested during 2007-2010 were positive for one or more potential pathogens. Campylobacter spp. were isolated most frequently, with an overall prevalence of 11%, followed by Vibrio cholerae (9%), Salmonella spp. (6%), V. parahaemolyticus (5%), and V. alginolyticus (3%). Sea otters were found positive for all target bacteria, exhibiting similar prevalences for Campylobacter and Salmonella spp. but greater prevalences for Vibrio spp. when compared to terrestrial animals. Fifteen Salmonella serotypes were detected, 11 of which were isolated from opossums. This is the first report of sea otter infection by S. enterica Heidelberg, a serotype also associated with human clinical disease. Similar strains of S. enterica Typhimurium were identified in otters, opossums, and gulls, suggesting the possibility of land-sea transfer of enteric bacterial pathogens from terrestrial sources to sea otters.

Automation of daphtoxkit-F biotest using a microfluidic lab-on-a-chip technology

NASA Astrophysics Data System (ADS)

Huang, Yushi; Nugegoda, Dayanthi; Wlodkowic, Donald

2015-12-01

An increased rigor in water quality monitoring is not only a legal requirement, but is also critical to ensure timely chemical hazard emergency responses and protection of human and animal health. Bioindication is a method that applies very sensitive living organisms to detect environmental changes using their natural responses. Although bioindicators do not deliver information on an exact type or intensity of toxicants present in water samples, they do provide an overall snapshot and early-warning information about presence of harmful and dangerous parameters. Despite the advantages of biotests performed on sentinel organisms, their wider application is limited by the nonexistence of high-throughput laboratory automation systems. As a result majority of biotests used in ecotoxicology require time-consuming and laborious manual procedures. In this work, we present development of a miniaturized Lab-on-a-Chip (LOC) platform for automation and enhancement of acute ecotoxicity test based on immobilization of a freshwater crustacean Daphnia magna (Daphtoxkit-FTM). Daphnids' immobilization in response to sudden changes in environment parameters is fast, unambiguous, and easy to record optically. We also for the first time demonstrate that LOC system enables studies of sub-lethal ecotoxic effects using behavioral responses of Daphnia magna as sentinels of water pollution. The system working principle incorporated a high definition (HD) time-resolved video data analysis to dynamically assess impact of the reference toxicant on swimming behavior of D. magna. Our system design combined: (i) microfluidic device for caging of Daphnia sp.; (ii) mechatronic interface for fluidic actuation; (iii) video data acquisition; and (iv) algorithms for animal movement tracking and analysis.

Exploring the potential of Sentinel-1 data for regional scale slope instability detection using multi-temporal interferometry

NASA Astrophysics Data System (ADS)

Wasowski, Janusz; Bovenga, Fabio; Nutricato, Raffaele; Nitti, Davide Oscar; Chiaradia, Maria Teresa; Refice, Alberto; Pasquariello, Guido

2016-04-01

Launched in 2014, the European Space Agency (ESA) Sentinel-1 satellite carrying a medium resolution (20 m) C-Band Synthetic Aperture Radar (SAR) sensor holds much promise for new applications of multi-temporal interferometry (MTI) in landslide assessment. Specifically, the regularity of acquisitions, timeliness of data delivery, shorter repeat cycle (currently 12 days with Sentinel-1A sensor), and flexible incidence angle geometry, all imply better practical utility of MTI relying on Sentinel-1 with respect to MTI based on data from earlier ESA's satellite radar C-band sensors (ERS1/2, ENVISAT). Furthermore, the upcoming launch of Sentinel-1B will cut down the repeat cycle to 6 days, thereby further improving temporal coherence and quality and coverage of MTI products. Taking advantage of the Interferometric Wide (IW) Swath acquisition mode of Sentinel-1 (images covering a 250 km swath on the ground), in this work we test the potential of such data for regional scale slope instability detection through MTI. Our test area includes the landslide-prone Apennine Mountains of Southern Italy. We rely on over 30 Sentinel-1 images, most of which acquired in 2015, and MTI processing through the SPINUA algorithm (Stable Points INterferometry in Un-urbanized Areas). The potential of MTI results based on Sentinel-1 data is assessed by comparing the detected ground surface displacements with the MTI results obtained for the same test area using the C-Band data acquired by ERS1/2 and ENVISAT in 1990s and 2000s. Although the initial results are encouraging, it seems evident that longer-term (few years) acquisitions of Sentinel-1 are necessary to reliably detect some extremely slow movements, which were observed in the last two decades and are likely to be still present in peri-urban areas of many hilltop towns in the Apennine Mts. The MTI results obtained from Sentinel-1 data are also locally compared with the MTI outcomes based on the high resolution (3 m) TerraSAR-X imagery. Again, even though there is lack of temporal overlap in the two datasets, the comparison shows some potential benefits of the exploitation different resolution sensor datasets. For example, when considering the costs of MTI applications, an effective approach to slope hazard assessment could rely on the use of coarser imagery MTI to secure long-term wide-area coverage, to be integrated by higher resolution MTI with more focus on urbanized or greater value areas (cf., Wasowski and Bovenga et al., 2014a,b). Now these approaches are facilitated by the regular global coverage and free medium resolution imagery guaranteed by the background satellite radar mission of Sentinel-1. Acknowledgments Study carried out in the framework of the Apulia Space project (PON&REC 2007-2013, Cod: PON03PE_00067_6). We also thank ESA and the German Space Agency (DLR) for providing us radar data. References Wasowski J., Bovenga F. 2014a. Investigating landslides and unstable slopes with satellite Multi Temporal Interferometry: Current issues and future perspectives. Engineering Geology 174: 103-138. http://dx.doi.org/10.1016/j.enggeo.2014.03.003 Wasowski J., Bovenga F. 2014. Remote Sensing of Landslide Motion with Emphasis on Satellite Multitemporal Interferometry Applications: An Overview. In T. Davies (Ed). Landslide Hazards, Risks and Disasters. p. 345-403. http://dx.doi.org/10.1016/B978-0-12-396452-6.00011-2

Evaluation of sentinel lymph node biopsy prior to axillary lymph node dissection: the role of isolated tumor cells/micrometastases and multifocality/multicentricity-a retrospective study of 1214 breast cancer patients.

PubMed

Schröder, Lars; Fricker, Roland; Stein, Roland Gregor; Rink, Thomas; Fitz, Hartmut; Blasius, Sebastian; Wöckel, Achim; Müller, Thomas

2018-06-01

Sentinel lymph node biopsy (SLNB) alone has thus become an accepted surgical approach for patients with limited axillary metastatic disease. We investigated to what extent isolated tumor cells (ITC) or micrometastasis in SLNBs is associated with proven tumor cells or metastasis in non-sentinel lymph nodes. Furthermore, we investigated the feasibility of SLNB in multifocal and multicentric tumors as both entities have been considered a contraindication for this technique. 1214 women suffering from T1 and T2 invasive breast cancer, with clinically and sonographically insuspect axillary status and undergoing primary breast cancer surgery including SLNB and axillary staging in case of SLN (sentinel lymph node) metastases, were recruited into this multicentered study. ITC and micrometastases were found in 2.01 and 21.4% of patients with SLN metastases (n = 299). Among patients with sentinel micrometastases, 4.7% showed further axillary micrometastases, while only two patients (3.1%) had two axillary macrometastases. Multifocal and multicentric tumors were diagnosed in 9.3 and 2.6% of our patients who at least had one SLN resected, respectively. Detection rates of SLNs did not differ between the cohorts suffering from unicentric and multifocal or multicentric disease. Moreover, the portion of tumor-free SLNs, the number of SLNs with metastasis as well as the mean number of resected SLNs did not differ. No patient with sentinel node micrometastases showed more than two axillary macrometastases. Multifocal and multicentric disease is no contraindication for SLNB.

Sentinel lymph node biopsy as a prognostic factor in non-metastatic colon cancer: a prospective study.

PubMed

Estrada, O; Pulido, L; Admella, C; Hidalgo, L-A; Clavé, P; Suñol, X

2017-04-01

Around a third of node-negative patients with colon cancer experience a recurrence after surgery, suggesting poor staging. Sentinel lymph node techniques combined with immunochemistry could improve colon cancer staging. We prospectively assessed the effect of Sentinel node mapping on staging and survival in patients with non-metastatic colon cancer. An observational and prospective study was designed. 105 patients with colon cancer were selected. Patients were classified according to node involvement as: N1, with node invasion detected by the conventional techniques; up-staged, with node invasion detected only by sentinel node mapping; and N0, with negative lymph node involvement by both techniques. Five-year survival and disease-free survival rates were analysed. Multivariate regression analyses were performed to identify prognostic factors for disease-free and overall survival. Sentinel node mapping was successfully applied in 78 patients: 33 % were N1; 24.5 % were up-staged (18 patients with isolated tumour cells and 1 patient with micrometastases); and 42.5 % were N0. N1 patients had the poorest overall 5-year survival (65.4 %) and 5-year disease-free survival (69.2 %) rates compared with the other two groups. No significant 5-year survival differences were observed between N0 patients (87.9 %) and up-staged patients (84.2 %). Patients up-staged after sentinel node mapping do not have a poorer prognosis than patients without node involvement. Detection of isolated cancer cells was not a poor prognosis factor in these patients.

Image quality validation of Sentinel 2 Level-1 products: performance status at the beginning of the constellation routine phase

NASA Astrophysics Data System (ADS)

Francesconi, Benjamin; Neveu-VanMalle, Marion; Espesset, Aude; Alhammoud, Bahjat; Bouzinac, Catherine; Clerc, Sébastien; Gascon, Ferran

2017-09-01

Sentinel-2 is an Earth Observation mission developed by the European Space Agency (ESA) in the frame of the Copernicus program of the European Commission. The mission is based on a constellation of 2-satellites: Sentinel-2A launched in June 2015 and Sentinel-2B launched in March 2017. It offers an unprecedented combination of systematic global coverage of land and coastal areas, a high revisit of five days at the equator and 2 days at mid-latitudes under the same viewing conditions, high spatial resolution, and a wide field of view for multispectral observations from 13 bands in the visible, near infrared and short wave infrared range of the electromagnetic spectrum. The mission performances are routinely and closely monitored by the S2 Mission Performance Centre (MPC), including a consortium of Expert Support Laboratories (ESL). This publication focuses on the Sentinel-2 Level-1 product quality validation activities performed by the MPC. It presents an up-to-date status of the Level-1 mission performances at the beginning of the constellation routine phase. Level-1 performance validations routinely performed cover Level-1 Radiometric Validation (Equalisation Validation, Absolute Radiometry Vicarious Validation, Absolute Radiometry Cross-Mission Validation, Multi-temporal Relative Radiometry Vicarious Validation and SNR Validation), and Level-1 Geometric Validation (Geolocation Uncertainty Validation, Multi-spectral Registration Uncertainty Validation and Multi-temporal Registration Uncertainty Validation). Overall, the Sentinel-2 mission is proving very successful in terms of product quality thereby fulfilling the promises of the Copernicus program.

Soiled-bedding Sentinel Detection of Murine Norovirus 4

PubMed Central

Manuel, Christopher A; Hsu, Charlie C; Riley, Lela K; Livingston, Robert S

2008-01-01

According to serologic surveys, murine norovirus (MNV) is the most prevalent viral pathogen infecting mice used in biomedical research. However, the use of sentinel mice to detect MNV-infected mouse populations has not been evaluated thoroughly. To this end, an experimental method of soiled bedding transfer was created to mimic a quarterly sentinel monitoring program. Soiled bedding (15 or 30 cm3) from ICR mice experimentally infected with MNV4 was transferred weekly to cages of pair-housed 4-wk-old ICR mice. After 12 wk, both mice in 80% (4 of 5) of cages receiving either 15 or 30 cm3 of soiled bedding were seropositive for MNV and were shedding virus in feces. To evaluate the stability of MNV RNA in mouse feces, fecal pellets from MNV-infected sentinel mice were stored at room temperature for as long as 14 d. After storage, all fecal samples tested positive for MNV by RT-PCR. To determine whether fecal samples could be pooled for MNV detection, 1 MNV-positive fecal pellet was combined with either 9 or 19 MNV-negative fecal pellets. All pooled fecal samples were positive for MNV by RT-PCR at both dilutions. These data indicate that although MNV-infected mouse populations can be detected by exposing sentinel mice to MNV-contaminated bedding, detection failures can occur. In addition, there was high agreement in the MNV infection status of cohoused sentinel mice. These data also demonstrate that MNV is readily detectable in pooled fecal samples and in mouse feces stored at room temperature for 2 wk. PMID:18459710

The Lymphatic Anatomy of the Breast and its Implications for Sentinel Lymph Node Biopsy: A Human Cadaver Study

PubMed Central

Pan, Wei-Ren; Mann, G. Bruce; Taylor, G. Ian

2007-01-01

Background Current understanding of the lymphatic system of the breast is derived mainly from the work of the anatomist Sappey in the 1850s, with many observations made during the development and introduction of breast lymphatic mapping and sentinel node biopsy contributing to our knowledge. Methods Twenty four breasts in 14 fresh human cadavers (5 male, 9 female) were studied. Lymph vessels were identified with hydrogen peroxide and injected with a lead oxide mixture and radiographed. The specimens were cross sectioned and radiographed to provide three dimensional images. Lymph (collecting) vessels were traced from the periphery to the first-tier lymph node. Results Lymph collecting vessels were found evenly spaced at the periphery of the anterior upper torso draining radially into the axillary lymph nodes. As they reached the breast some passed over and some through the breast parenchyma, as revealed in the cross-section studies. The pathways showed no significant difference between male and female specimens. We found also perforating lymph vessels that coursed beside the branches of the internal mammary vessels, draining into the ipsilateral internal mammary lymphatics. In some studies one sentinel node in the axilla drained almost the entire breast. In most more than one sentinel node was represented. Conclusion These anatomical findings are discordant with our current knowledge based on previous studies and demand closer examination by clinicians. These anatomical studies may help explain the percentage of false-negative sentinel node biopsy studies and suggest the peritumoral injection site for accurate sentinel lymph node detection. PMID:18043970

5. GLACIER POINT ROAD VIEW AT SENTINEL DOME PARKING AREA. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. GLACIER POINT ROAD VIEW AT SENTINEL DOME PARKING AREA. LOOKING E. GIS: N-37 42 43.8 / W-119 35 12.1 - Glacier Point Road, Between Chinquapin Flat & Glacier Point, Yosemite Village, Mariposa County, CA

7. YOSEMITE VALLEY SHUTTLE BUS AT SENTINEL BRIDGE SHUTTLE BUS ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. YOSEMITE VALLEY SHUTTLE BUS AT SENTINEL BRIDGE SHUTTLE BUS AND PARKING LOT AREA. LOOKING WNW. GIS: N-37 40 36.2 / W-119 44 45.0 - Yosemite National Park Roads & Bridges, Yosemite Village, Mariposa County, CA

Development of the flight models for the Sentinel-4/UVN NIR-grating unit

NASA Astrophysics Data System (ADS)

Zeitner, U. D.; Kamm, A.; Benkenstein, T.; Flügel-Paul, T.; Leibeling, G.

2017-09-01

In the frame of ESA`s earth-observation program "Copernicus", the Fraunhofer IOF develops for the Sentinel-4/UVN spectrometer, the optical gratings for the near-infrared spectral channel together with its isostatic mounts.

Use of a Sentinel System for Field Measurements of Cryptosporidium parvum Oocyst Inactivation in Soil and Animal Waste

PubMed Central

Jenkins, M. B.; Walker, M. J.; Bowman, D. D.; Anthony, L. C.; Ghiorse, W. C.

1999-01-01

A small-volume sentinel chamber was developed to assess the effects of environmental stresses on survival of sucrose-Percoll-purified Cryptosporidium parvum oocysts in soil and animal wastes. Chambers were tested for their ability to equilibrate with external chemical and moisture conditions. Sentinel oocysts were then exposed to stresses of the external environment that affected their viability (potential infectivity), as indicated by results of a dye permeability assay. Preliminary laboratory experiments indicated that temperatures between 35 and 50°C and decreases in soil water potential (−0.003 to −3.20 MPa) increased oocyst inactivation rates. The effects of two common animal waste management practices on oocyst survival were investigated on three dairy farms in Delaware County, N.Y., within the New York City watershed: (i) piling wastes from dairy youngstock (including neonatal calves) and (ii) spreading wastes as a soil amendment on an agricultural field. Sentinel containers filled with air-dried and sieved (2-mm mesh) youngstock waste or field soil were wetted and inoculated with 2 million oocysts in an aqueous suspension and then placed in waste piles on two different farms and in soil within a cropped field on one farm. Controls consisted of purified oocysts in either phosphate-buffered saline or distilled water contained in sealed microcentrifuge tubes. Two microdata loggers recorded the ambient temperature at each field site. Sentinel experiments were conducted during the fall and winter (1996 to 1997) and winter (1998). Sentinel containers and controls were removed at 2- to 4-week intervals, and oocysts were extracted and tested by the dye permeability assay. The proportions of potentially infective oocysts exposed to the soil and waste pile material decreased more rapidly than their counterpart controls exposed to buffer or water, indicating that factors other than temperature affected oocyst inactivation in the waste piles and soil. The effect of soil freeze-thaw cycles was evident in the large proportion of empty sentinel oocysts. The potentially infective sentinel oocysts were reduced to <1% while the proportions in controls did not decrease below 50% potentially infective during the first field experiment. Microscopic observations of empty oocyst fragments indicated that abrasive effects of soil particles were a factor in oocyst inactivation. A similar pattern was observed in a second field experiment at the same site. PMID:10223991

Use of a sentinel system for field measurements of Cryptosporidium parvum oocyst inactivation in soil and animal waste.

PubMed

Jenkins, M B; Walker, M J; Bowman, D D; Anthony, L C; Ghiorse, W C

1999-05-01

A small-volume sentinel chamber was developed to assess the effects of environmental stresses on survival of sucrose-Percoll-purified Cryptosporidium parvum oocysts in soil and animal wastes. Chambers were tested for their ability to equilibrate with external chemical and moisture conditions. Sentinel oocysts were then exposed to stresses of the external environment that affected their viability (potential infectivity), as indicated by results of a dye permeability assay. Preliminary laboratory experiments indicated that temperatures between 35 and 50 degrees C and decreases in soil water potential (-0.003 to -3.20 MPa) increased oocyst inactivation rates. The effects of two common animal waste management practices on oocyst survival were investigated on three dairy farms in Delaware County, N.Y., within the New York City watershed: (i) piling wastes from dairy youngstock (including neonatal calves) and (ii) spreading wastes as a soil amendment on an agricultural field. Sentinel containers filled with air-dried and sieved (2-mm mesh) youngstock waste or field soil were wetted and inoculated with 2 million oocysts in an aqueous suspension and then placed in waste piles on two different farms and in soil within a cropped field on one farm. Controls consisted of purified oocysts in either phosphate-buffered saline or distilled water contained in sealed microcentrifuge tubes. Two microdata loggers recorded the ambient temperature at each field site. Sentinel experiments were conducted during the fall and winter (1996 to 1997) and winter (1998). Sentinel containers and controls were removed at 2- to 4-week intervals, and oocysts were extracted and tested by the dye permeability assay. The proportions of potentially infective oocysts exposed to the soil and waste pile material decreased more rapidly than their counterpart controls exposed to buffer or water, indicating that factors other than temperature affected oocyst inactivation in the waste piles and soil. The effect of soil freeze-thaw cycles was evident in the large proportion of empty sentinel oocysts. The potentially infective sentinel oocysts were reduced to <1% while the proportions in controls did not decrease below 50% potentially infective during the first field experiment. Microscopic observations of empty oocyst fragments indicated that abrasive effects of soil particles were a factor in oocyst inactivation. A similar pattern was observed in a second field experiment at the same site.

Capturing pre-failure signs of slope instability using multi-temporal interferometry and Sentinel-1 data

NASA Astrophysics Data System (ADS)

Wasowski, Janusz; Bovenga, Fabio; Nitti, Davide Oscar; Tijani, Khalid; Morea, Alberto; Nutricato, Raffaele; Chiaradia, Maria Teresa

2017-04-01

The shorter repeat cycle (6 days since October 2016) and regularity of acquisitions of Sentinel-1A/B with respect to earlier European Space Agency (ESA) satellites with C-band sensors (ERS1/2, ENVISAT) represent the key advantages for the research-oriented and practical applications of multi-temporal interferometry (MTI). The applicability of the Interferometric Wide Swath acquisition mode of Sentinel-1 (images covering a 250 km swath on the ground) to regional scale slope instability detection through MTI has already been demonstrated, e.g., via studies of landslide-prone areas in Italy. Here we focus on the potential of Sentinel-1 data for local (site-specific), MTI-based monitoring and capturing pre-failure signs of slope instability, by exploiting the Persistent and Distributed Scatterers processing capability of the SPINUA algorithm. In particular, we present an example of a retrospective study of a large (over 2 km long) landslide, which took place in 2016 in an active open-cast coal mine in central Europe. This seemingly sudden failure caused destruction of the mining equipment, blocked the mining operations thereby resulting in significant economic losses. For the study, we exploited over 60 Sentinel-1A/B images acquired since November 2014. The MTI results furnished a valuable overview of the ground instability/stability conditions within and around the active mine, even though considerable spatial gaps in information were encountered due to surface disturbance by mining operations. Significantly, the ground surface displacement time series revealed that the 2016 slope failure was preceded by very slow (generally 1-3 cm/yr) creep-like deformations, already present in 2014. The MTI results also indicated that the slope experienced a phase of accelerated movement several weeks prior to the landslide event. Furthermore, the spatio-temporal analysis of interferometric coherence changes in the unstable area (mapped on Sentinel-2 Bottom Of Atmosphere reflectance images processed by using the ESA Sen2Cor processor), indicated a sharp coherence loss in the last few weeks before the slope collapse. The availability of more frequent measurements represents a key improvement for MTI-based ground surface displacement monitoring and this will better support research on slope destabilization processes over time and, ultimately, on slope failure forecasting. Acknowledgments We thank ESA for Sentinel-1 & Sentinel-2 images.

Characterising and improving the performance of the Sentinel-3 SRAL altimeter: A Report from SCOOP, SHAPE & SPICE Projects

NASA Astrophysics Data System (ADS)

Restano, Marco; Ambrózio, Américo; Cotton, David; Scoop Team; Fabry, Pierre; Shape Team; McMillan, Malcolm; Spice Team; Benveniste, Jérôme

2017-04-01

Under the ESA Scientific Exploitation of Operational Missions (SEOM) Programme, 3 Projects are currently underway to accurately characterise and improve the performance of the Sentinel-3 SRAL SAR mode altimeter. They are: 1) SCOOP (SAR Altimetry Coastal & Open Ocean Performance Exploitation and Roadmap Study) for Coastal and Open Ocean; 2) SHAPE (Sentinel-3 Hydrologic Altimetry PrototypE) for Inland Water; 3) SPICE (Sentinel-3 Performance improvement for ICE sheets) for Ice Sheets. As projects started before the launch of Sentinel-3 (a full SAR mission), calibrated Cryosat-2 data have been used as input to a processor replicating the Sentinel-3 baseline processing. For the SCOOP project, a first test dataset has been released to end users including data from 10 regions of interest. The successful SAMOSA retracker, adopted in the previous CP4O Project (CryoSat Plus for Oceans), has been readapted to re-track Sentinel-3 waveforms. An improved version of SAMOSA will be released at the end of the project. The SHAPE project is working towards the design and assessment of alternative/innovative techniques not implemented in the Sentinel-3 ground segment (performing no Inland Water dedicated processing). Both rivers and lakes will be studied. Amazon, Brahmaputra and Danube have been selected as rivers, whereas Titicaca and Vanern have been chosen as lakes. The study will include the assimilation of output products into hydrological models for all regions of interest. A final dataset will be provided to end users. The SPICE project is addressing four high level objectives: 1) Assess and improve the Delay-Doppler altimeter processing for ice sheets. 2) Assess and develop SAR waveform retrackers for ice sheets. 3) Evaluate the performance of SAR altimetry relative to conventional pulse limited altimetry. 4) Assess the impact on SAR altimeter measurements of radar wave interaction with the snowpack. Dataset used for validation include ICESat and IceBridge products. Vostok, Dome C and the Spirit Sector (all located in Antarctica) have been selected, along with the Russell Glacier in Greenland, as regions of interest. In the frame of both SCOOP and SHAPE projects, improved wet troposphere corrections will be estimated for all regions of interest.

Sentinel lymph node scintigraphy in cutaneous melanoma using a planar calibration phantom filled with Tc-99m pertechnetate solution for body contouring.

PubMed

Peştean, Claudiu; Bărbuş, Elena; Piciu, Andra; Larg, Maria Iulia; Sabo, Alexandrina; Moisescu-Goia, Cristina; Piciu, Doina

2016-01-01

Melanoma is a disease that has an increasing incidence worldwide. Sentinel lymph node scintigraphy is a diagnostic tool that offers important information regarding the localization of the sentinel lymph nodes offering important input data to establish a pertinent and personalized therapeutic strategy. The golden standard in body contouring for sentinel lymph node scintigraphy is to use a planar flood source of Cobalt-57 (Co-57) placed behind the patients, against the gamma camera. The purpose of the study was to determine the performance of the procedure using a flood calibration planar phantom filled with aqueous solution of Technetion-99m (Tc-99m) in comparison with the published data in literature where the gold standard was used. The study was conducted in the Department of Nuclear Medicine of Oncology Institute "Prof. Dr. Ion Chiricuţă" Cluj-Napoca in 95 patients, 31 males and 64 females. The localization of the lesions was grouped by anatomical regions as follows: 23 on lower limbs, 17 on upper limbs, 45 on thorax and 10 on abdomen. The calibration flood phantom containing aqueous solution of Tc-99m pertechnetate was used as planar source to visualize the body contour of the patients for a proper anatomic localization of detected sentinel lymph nodes. The radiopharmaceutical uptake in sentinel lymph nodes has been recorded in serial images following peritumoral injection of 1 ml solution of Tc-99m albumin nanocolloids with an activity of 1 mCi (37 MBq). The used protocol consisted in early acquired planar images within 15 minutes post-injection and delayed images at 2-3 hours and when necessary, additional images at 6-7 hours. The acquisition matrix used was 128×128 pixels for an acquisition time of 5 - 7 minutes. The skin projection of the sentinel lymph nodes was marked on the skin and surgical removal of detected sentinel lymph nodes was performed the next day using a gamma probe for detection and measurements. The sentinel lymph nodes were detected in 92 cases and confirmed with the gamma probe during the surgical procedure. The localization of the lymph nodes was as follows: for the tumors localized on lower limb 23 lymph nodes were localized in inguinal region, for the tumors localized on upper limb, 17 lymph nodes were localized in axilla, for the tumors localized on the thorax, 40 lymph nodes were localized in axilla and 3 were localized in the inguinal region; for the tumors localized on the abdomen, 1 lymph node was localized in axilla and 8 lymph nodes was localized in inguinal region. Regarding the negative sentinel lymph node cases, 2 cases were registered for primarily lesions localized on thorax and 1 for a lesion localized on abdomen. According to histology, 26 cases revealed lymphatic metastatic invasion. Dose rates measured at 1m from the calibrator phantom had an average value of 3.46 μSv/h (SD 0.19) and at 1.4m, the value was 2.57 μSv/h (SD 0.22). Dose rates measured at the same distances from the Co-57 planar flood source had a average values of 32.5μSv/h (SD 0.11) respectively 24.1 μSv/h (SD 0.14). The planar calibration flood phantom is an effective tool for body contouring in sentinel lymph node scintigraphy and offers accurate anatomical information to efficiently localize the detected sentinel lymph nodes in melanoma, being for the first time used and mentioned as a pertinent alternative in our department.

Nutrient database improvement project: Separable components and proximate composition of retail cuts from the beef loin and round

USDA-ARS?s Scientific Manuscript database

Beef nutrition research has become increasingly important domestically and internationally for the beef industry and its consumers. The objective of this study was to analyze the nutrient composition of ten beef loin and round cuts to update the nutrient data in the USDA National Nutrient Database f...

What do we learn about the impact of extreme hydrological events on tropical wetlands from the synergistic use of altimetry from Sentinel-3/SARAL-Altika and L-Band radiometry from SMOS/SMAP ?

NASA Astrophysics Data System (ADS)

Al Bitar, Ahmad; Parrens, Marie; Frappart, Frederic; Cauduro Dias de Paiva, Rodrigo; Papa, Fabrice; Kerr, Yann

2017-04-01

What do we learn about the impact of extreme hydrological events on tropical wetlands from the synergistic use of altimetry from Sentinel-3/SARAL-Altika and L-Band radiometry from SMOS/SMAP ? The question of the contribution of the tropical basins to the carbon and water cycle remains an open question in the science community. The tropical basins are highly impact by the wetlands dynamics but the also the link with extreme events like El-Nino are yet to be clarified. The main reason to this uncertainty is that the monitoring of inland water surfaces via remote sensing over tropical areas is a difficult task because of impact of vegetation and cloud cover. The most common solution is to use microwave remote sensing. In this study we combine the use of L-band microwave brightness temperatures and altimetric data from SARAL/ALTIKA and Sentinel-3 to derive water storage maps at relatively high (7days) temporal frequency. This study concerns the Amazon and Congo basin. The water fraction in inland are estimated by inversing a first order radiative model is used to derive surface water over land from the brightness temperature measured by ESA SMOS and SMAP mission at coarse resolution (25 km x 25 km) and 7-days frequency. The product is compared to the static land cover map such as ESA CCI and the International Geosphere-Biosphere Program (IGBP) and also dynamic maps from GIEMS and SWAPS products. Water storage is then obtained by combining the altimetric data from SARAL/ALTIKA and Sentinel-3 to the water surface fraction using an hypsometric approach. The water surfaces and water storage products are then compared to precipitation data from GPM TRMM datasets and river discharge data from field data. The amplitudes and time shifts of the signals is compared based on the sub-basin definition from Hydroshed database. The dataset is then divided into years of strong and weak El-Nino signal and the anomaly is between the two dataset is compared. The results show a strong influence of EL-Nino on the time shift of the different components showing that the hydrological regime of wetlands is highly impacted by these extreme events with a differentiated impact when compared to precipitation. Since the wetlands have particular impacts on the dynamics of the water and carbon cycle of the tropical basins, the results suggest that the current approach using future more accurate SWOT mission data can help better understand the physical processes in these basins.

FEMA’s Disaster Declaration Process: A Primer

DTIC Science & Technology

2009-01-23

welfare programs ( Landis 1999; Landis 1998; Moss 1999). As Michele Landis argues, 5 42...Kestin and Megan O’Matz, “FEMA ruled on disaster before verifying Dade damage,” South Florida Sun- Sentinel, at http://www.sun-sentinel.com/news/sfl