Low-Grade Appendiceal Mucinous Neoplasm Involving the Endometrium and Presenting with Mucinous Vaginal Discharge.

Primary appendiceal mucinous lesions are uncommon and represent a spectrum from nonneoplastic mucous retention cysts to invasive adenocarcinoma. Low-grade appendiceal mucinous neoplasms (LAMNs) represent an intermediate category on this spectrum and can be classified according to whether or not they are confined to the appendix. Although LAMNs are frequently confined to the appendix, they can also spread to the peritoneum and clinically progress as pseudomyxoma peritonei (i.e., mucinous ascites). Thus, the appropriate classification of appendiceal primary neoplasia is essential for prognosis and influences clinical management. In addition, the precise classification, management, and clinical outcome of patients with disseminated peritoneal disease remain controversial. Here, we report an unusual case of LAMN with pseudomyxoma peritonei that initially presented with mucinous and bloody vaginal discharge. Pathological evaluation revealed low-grade appendiceal mucinous neoplasm with secondary involvement of the peritoneum, ovaries, and endometrial surface. Therefore, LAMN should be considered in the differential diagnosis of mucinous vaginal discharge

Novel and Simple High-Frequency Single-Port Vector Network Analyzer

Portable, accurate, and relatively inexpensive high-frequency vector network analyzers (VNAs) have great utility for a wide range of applications, encompassing microwave circuit characterization, reflectometry, imaging, material characterization, and nondestructive testing to name a few. To meet the rising demand for VNAs possessing the aforementioned attributes, we present a novel and simple VNA design based on a standing-wave probing device and an electronically controllable phase shifter. The phase shifter is inserted between a device under test (DUT) and a standing-wave probing device. The complex reflection coefficient of the DUT is then obtained from multiple standing-wave voltage measurements taken for several different values of the phase shift. The proposed VNA design eliminates the need for expensive heterodyne detection schemes required for tuned receiver-based VNA designs. Compared with previously developed VNAs that operate based on performing multiple power measurements, the proposed VNA utilizes a single power detector without the need for multiport hybrid couplers. In this paper, the efficacy of the proposed VNA is demonstrated via numerical simulations and experimental measurements. For this purpose, measurements of various DUTs obtained using an X-band (8.212.4 GHz) prototype VNA are presented and compared with results obtained using an Agilent HP8510C VNA. The results show that the proposed VNA provides highly accurate vector measurements with typical errors on the order of 0.02 and 1° for magnitude and phase, respectively

Slocum gliders provide accurate near real-time estimates of baleen whale presence from human-reviewed passive acoustic detection information

© The Author(s), 2020. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Baumgartner, M. F., Bonnell, J., Corkeron, P. J., Van Parijs, S. M., Hotchkin, C., Hodges, B. A., Thornton, J. B., Mensi, B. L., & Bruner, S. M. Slocum gliders provide accurate near real-time estimates of baleen whale presence from human-reviewed passive acoustic detection information. Frontiers in Marine Science, 7, (2020):100, doi:10.3389/fmars.2020.00100.Mitigating the effects of human activities on marine mammals often depends on monitoring animal occurrence over long time scales, large spatial scales, and in real time. Passive acoustics, particularly from autonomous vehicles, is a promising approach to meeting this need. We have previously developed the capability to record, detect, classify, and transmit to shore information about the tonal sounds of baleen whales in near real time from long-endurance ocean gliders. We have recently developed a protocol by which a human analyst reviews this information to determine the presence of marine mammals, and the results of this review are automatically posted to a publicly accessible website, sent directly to interested parties via email or text, and made available to stakeholders via a number of public and private digital applications. We evaluated the performance of this system during two 3.75-month Slocum glider deployments in the southwestern Gulf of Maine during the spring seasons of 2015 and 2016. Near real-time detections of humpback, fin, sei, and North Atlantic right whales were compared to detections of these species from simultaneously recorded audio. Data from another 2016 glider deployment in the same area were also used to compare results between three different analysts to determine repeatability of results both among and within analysts. False detection (occurrence) rates on daily time scales were 0% for all species. Daily missed detection rates ranged from 17 to 24%. Agreement between two trained novice analysts and an experienced analyst was greater than 95% for fin, sei, and right whales, while agreement was 83–89% for humpback whales owing to the more subjective process for detecting this species. Our results indicate that the presence of baleen whales can be accurately determined using information about tonal sounds transmitted in near real-time from Slocum gliders. The system is being used operationally to monitor baleen whales in United States, Canadian, and Chilean waters, and has been particularly useful for monitoring the critically endangered North Atlantic right whale throughout the northwestern Atlantic Ocean.Funding for this project was provided by the Environmental Security Technology Certification Program of the U.S. Department of Defense and the U.S. Navy’s Living Marine Resources Program

Pan American Climate Studies (PACS) data report

The surface mooring component of the NOAA Pan American Climate Study (PACS) took place from April 1997 to September 1998 in the eastern tropical Pacific. PACS was a NOAA funded study with the goal of investigating links between sea surface temperature variability in the tropical oceans near the Americas and climate over the American continents. Two air-sea interaction surface moorings were deployed along 125°W, spanning a strong meridional sea-surface temperature gradient. One mooring site was located in the cold tongue south of the equator, and the other site was in the region of warm ocean found north of the equator, near the northernmost summer location of the Intertropical Convergence Zone. The moorings were deployed to improve our understanding of air-sea fluxes and the procsses that control the evolution of the sea surface temperature field in the region. Four air-sea interaction buoys were deployed to occupy two sites for a period of 17 months. The sites were along 125°W near 3°S and 10°N. The Upper Ocean Processes Group at WHOI deployed the first two moorings in April 1997. These moorings were replaced with a second pair of moorings in December 1997. The final recovery occurred in September 1998. Each of these buoys on these moorings were equipped with meteorological instrumentation, including a Vector Averaging Wind Recorder (VAWR) and an Improved METeorological (IMET) system. The moorings also carried Vector Measuring Current Meters (VMCMS), single point temperature recorders and a few conductivity sensors on the mooring line to monitor the upper 200m of the ocean. In addition to the traditional instruments, several other experimental instruments were deployed with limited success on the mooring line including acoustic current meters, acoustic rain gauges and bio-optical instrument packages. This report describes the instrumentation deployed on the PACS surface moorings, along with information on the processing and quality control of the returned data. It presents a detailed overview of the meteorological and physical oceanographic data including time series plots, statistics and spectra of key parameters. It also presents analysis of the estimated air-sea heat, moisture and momentum fluxes.Funding was provided by the National Oceanic and Atmospheric Administration Contract No. NA96GP0428

Baleen whale acoustic presence and behaviour at a Mid-Atlantic migratory habitat, the Azores Archipelago

This work was supported by Fundação para a Ciência e Tecnologia (FCT), Azores 2020 Operational Programme and Fundo Regional da Ciência e Tecnologia (FRCT) through research projects TRACE (PTDC/MAR/74071/2006), MAPCET (M2.1.2/F/012/2011) and AWARENESS (PTDC/BIA-BMA/30514/201), co-funded by FEDER, COMPETE, QREN, POPH, ERDF, ESF, the Lisbon Regional Operational Programme, and the Portuguese Ministry for Science and Education. Funding for publication fees was provided by Project AWARENESS (PTDC/BIA-BMA/30514/201). Okeanos R&D Centre is supported by FCT, through the strategic fund (UIDB/05634/2020). MR was supported by a DRCT doctoral grant (M3.1.a/F/028/2015) and MAS by an FCT-Investigator contract (IF/00943/2013). TAM thanks partial support by CEAUL (funded by FCT - Fundação para a Ciência e a Tecnologia, Portugal, through the project UID/MAT/00006/2013).The identification of important areas during the annual life cycle of migratory animals, such as baleen whales, is vital for their conservation. In boreal springtime, fin and blue whales feed in the Azores on their way to northern latitudes while sei whales migrate through the archipelago with only occasional feeding. Little is known about their autumn or winter presence or their acoustic behaviour in temperate migratory habitats. This study used a 5-year acoustic data set collected by autonomous recorders in the Azores that were processed and analysed using an automated call detection and classification system. Fin and blue whales were acoustically present in the archipelago from autumn to spring with marked seasonal differences in the use of different call types. Diel patterns of calling activity were only found for fin whales with more calls during the day than night. Sei whales showed a bimodal distribution of acoustic presence in spring and autumn, corresponding to their expected migration patterns. Diel differences in sei whale calling varied with season and location. This work highlights the importance of the Azores as a migratory and wintering habitat for three species of baleen whales and provides novel information on their acoustic behaviour in a mid-Atlantic region.Publisher PDFPeer reviewe

Spatial and temporal distribution of cetaceans in the mid-Atlantic waters around the Azores

Author Posting. © The Author(s), 2013. This is the author's version of the work. It is posted here by permission of Taylor & Francis for personal use, not for redistribution. The definitive version was published in Marine Biology Research 10 (2014): 123-137, doi:10.1080/17451000.2013.793814.Cetaceans living in offshore waters are under increasing pressure from anthropogenic activities. Yet, due to the lack of survey effort, relatively little is known about the demography or ecology of these populations. Spatial and temporal distribution of cetaceans in mid-Atlantic waters were investigated using a long term dataset collected from boat surveys and land-based observations around the Azores. From 1999 to 2009, 7307 cetacean schools were sighted during 271717 km of survey effort. In 4944 h of land-based observations, 2968 cetacean groups were detected. Twenty-four species were recorded: seven baleen whales, six beaked whales, eight dolphin species, Physeter macrocephalus, Kogia breviceps and K. sima. Overall, Delphinus delphis was the most frequently sighted species but its encounter rate decreased in June- November, coinciding with presence of Stenella frontalis in the region. Tursiops truncatus, P. macrocephalus and Grampus griseus were frequently encountered yearround, whereas large baleen whales showed a distinct peak in encounter rates in March-May. Mesoplodonts were fairly common and appear to be present throughout the year. These findings fill-in a significant gap in the knowledge of cetaceans occurring in a poorly studied region of the North Atlantic, providing much needed data to inform management initiatives.This work was supported by FEDER funds, through the Competitiveness Factors Operational Programme – COMPETE, by national funds, through FCT – Foundation for Science and Technology, under projects CETAMARH (POCTI/BSE/38991/01) and TRACE (PTDC/MAR/74071/2006), and by regional funds, through DRCT/SRCTE, under project MAPCET (M2.1.2/F/012/2011). We thank the Azorean Regional Government for funding POPA, the Shipowners Proprietors and the Association of the Tuna Canning Industries for their support to the programme. MAS was supported by an FCT postdoctoral grant (SFRH/BPD/29841/2006), and IC and RP were supported by doctoral grants SFRH/BD/41192/2007 and SFRH/BD/32520/2006. IMAR-DOP/UAç is the R&D Unit #531 and part of the Associated Laboratory #9 (ISR) funded through the pluri-annual and programmatic funding schemes of FCT-MCTES and DRCTAzores

Evidence of a North Atlantic right whale calf (Eubalaena glacialis) born in northeastern U.S. waters

Author Posting. © The Author(s), 2008. This is the author's version of the work. It is posted here by permission of John Wiley & Sons for personal use, not for redistribution. The definitive version was published in Marine Mammal Science 25 (2009): 462-477, doi:10.1111/j.1748-7692.2008.00261.x.The general temporal and geographical patterns of North Atlantic right whale (Eubalaena glacialis) calving events have been clarified during the last quarter century of research (Kraus and Rolland 2007). Right whales give birth to a single calf every three to five years after a twelve- to thirteen-month gestation period (Best 1994; Kraus and Hatch 2001). Most calves are born between December and March in the coastal waters of the southeastern U.S., the only known calving ground for this species (Kraus et al. 2007; Winn et al. 1986). Although historical whaling records suggest that there were once two winter calving grounds, one off the southeastern U.S. and the other off northwestern Africa, it appears that only the former is still used today (Notarbartolo di Sciara et al. 1998; Reeves and Mitchell 1986; 1988). In the late winter, right whales leave the calving grounds and migrate to their foraging grounds off the northeastern U.S. and Canadian Maritimes. North Atlantic right whales can be found in Cape Cod and Massachusetts Bays throughout the late winter and early spring (Hamilton and Mayo 1990; Mayo and Marx 1990; Schevill et al. 1986), in the Great South Channel during mid-spring to early summer (Kenney et al. 1995), and in the Bay of Fundy (Kraus et al. 1982) and on the Scotian Shelf (Mitchell et al. 1986; Stone et al. 1988) during the summer and fall. Some individuals (mostly pregnant females and juveniles) return to the calving grounds off the southeastern U.S. in December and January, but the location of the rest of the population during those months is currently unknown (although recent evidence suggests that right whales are present in the Gulf of Maine and on the Scotian Shelf throughout the winter (Mellinger et al. 2007; T. Cole pers comm. ; S. Van Parijs pers comm. )

Statin therapy and long-term adverse limb outcomes in patients with peripheral artery disease: insights from the REACH registry

Aims Due to a high burden of systemic cardiovascular events, current guidelines recommend the use of statins in all patients with peripheral artery disease (PAD). We sought to study the impact of statin use on limb prognosis in patients with symptomatic PAD enrolled in the international REACH registry. Methods Statin use was assessed at study enrolment, as well as a time-varying covariate. Rates of the primary adverse limb outcome (worsening claudication/new episode of critical limb ischaemia, new percutaneous/surgical revascularization, or amputation) at 4 years and the composite of cardiovascular death/myocardial infarction/stroke were compared among statin users vs. non-users. Results A total of 5861 patients with symptomatic PAD were included. Statin use at baseline was 62.2%. Patients who were on statins had a significantly lower risk of the primary adverse limb outcome at 4 years when compared with those who were not taking statins [22.0 vs. 26.2%; hazard ratio (HR), 0.82; 95% confidence interval (CI), 0.72-0.92; P = 0.0013]. Results were similar when statin use was considered as a time-dependent variable (P = 0.018) and on propensity analysis (P < 0.0001). The composite of cardiovascular death/myocardial infarction/stroke was similarly reduced (HR, 0.83; 95% CI, 0.73-0.96; P = 0.01). Conclusion Among patients with PAD in the REACH registry, statin use was associated with an ∼18% lower rate of adverse limb outcomes, including worsening symptoms, peripheral revascularization, and ischaemic amputations. These findings suggest that statin therapy not only reduces the risk of adverse cardiovascular events, but also favourably affects limb prognosis in patients with PA

Long distance passive localization of vocalizing sei whales using an acoustic normal mode approach

Author Posting. © Acoustical Society of America, 2012. This article is posted here by permission of Acoustical Society of America for personal use, not for redistribution. The definitive version was published in Journal of the Acoustical Society of America 131 (2012): 1814-1825, doi:10.1121/1.3666015.During a 2 day period in mid-September 2006, more than 200, unconfirmed but identifiable, sei whale (Balaenoptera borealis) calls were collected as incidental data during a multidisciplinary oceanography and acoustics experiment on the shelf off New Jersey. Using a combined vertical and horizontal acoustic receiving array, sei whale movements were tracked over long distances (up to tens of kilometers) using a normal mode back propagation technique. This approach uses low-frequency, broadband passive sei whale call receptions from a single-station, two-dimensional hydrophone array to perform long distance localization and tracking by exploiting the dispersive nature of propagating normal modes in a shallow water environment. The back propagation approach is examined for accuracy and application to tracking the sei whale vocalizations identified in the vertical and horizontal array signals. This passive whale tracking, combined with the intensive oceanography measurements performed during the experiment, was also used to examine sei whale movements in relation to oceanographic features observed in this region.Office of Naval Researc