Sensitivity of Main Polarimetric Parameters of Multifrequency Polarimetric SAR Data to Soil Moisture and Surface Roughness Over Bare Agricultural Soils

International audienceThe potential of polarimetric synthetic aperture radar data for the soil surface characterization of bare agricultural soils was investigated by using air- and spaceborne data acquired by Radar Aéroporté Multi-Spectral d'Etude des Signatures (RAMSES), Système Expérimental de Télédétection Hyperfréquence Imageur (SETHI), and RADARSAT-2 sensors over several study sites in France. Fully polarimetric data at ultrahigh frequency, X-, C-, L-, and P-bands were compared. The results show that the main polarimetric parameters studied (entropy, α angle, and anisotropy) are not very sensitive to the variation of the soil surface parameters. Low correlations are observed between the polarimetric and soil parameters (moisture content and surface roughness). Thus, the polarimetric parameters are not very relevant to the characterization of the soil surface over bare agricultural areas

BIOSAR 2010 - A SAR campaign in support to the BIOMASS mission

The ESA funded campaign BioSAR 2010 was carried out at the forestry test site Remningstorp in southern Sweden, in support to the BIOMASS satellite mission under study. Fully polarimetric SAR data were successfully acquired at L- and P-band using ONERA's multi-frequency system SETHI. In addition with other data types gathered, e.g. LiDAR and in-situ measurements, the compiled data set will be used for analyses and comparisons with biomass estimation results obtained at the same test site in the campaign BioSAR 2007, in which DLR's E-SAR made the SAR imaging. Detection of forest changes, robustness of biomass retrieval algorithms and long-term P-band coherence will be in focus as well as cross-validations between the two SAR sensors

SETHI / RAMSES-NG: New performances of the flexible multi-spectral airborne remote sensing research platform

International audienceSETHI is an airborne SAR/GMTI system developed by the French Aerospace Lab. ONERA, and integrating various sensors. In 2016 ONERA invested in upgrade and improvement of all SETHI components. The microwave ones cover from VHF-UHF to X Band, full polarimetric and very high resolution, along track and cross track interferometry and very high precision multi-baseline capacity for interferometry and tomography applications. The optronic sensors offer very high spatial resolution visible images and fine spectral scene analysis in VNIR and SWIR bands. This paper presents the upgrade and new performances of this flexible platform and the qualification campaign results with various sensor configurations

Epidemiology of intra-abdominal infection and sepsis in critically ill patients: “AbSeS”, a multinational observational cohort study and ESICM Trials Group Project

Purpose: To describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock). Methods: We performed a multicenter (n = 309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis. Results: The cohort included 2621 patients. Setting of infection acquisition was community-acquired in 31.6%, early onset hospital-acquired in 25%, and late-onset hospital-acquired in 43.4% of patients. Overall prevalence of antimicrobial resistance was 26.3% and difficult-to-treat resistant Gram-negative bacteria 4.3%, with great variation according to geographic region. No difference in prevalence of antimicrobial resistance was observed according to setting of infection acquisition. Overall mortality was 29.1%. Independent risk factors for mortality included late-onset hospital-acquired infection, diffuse peritonitis, sepsis, septic shock, older age, malnutrition, liver failure, congestive heart failure, antimicrobial resistance (either methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, extended-spectrum beta-lactamase-producing Gram-negative bacteria, or carbapenem-resistant Gram-negative bacteria) and source control failure evidenced by either the need for surgical revision or persistent inflammation. Conclusion: This multinational, heterogeneous cohort of ICU patients with intra-abdominal infection revealed that setting of infection acquisition, anatomical disruption, and severity of disease expression are disease-specific phenotypic characteristics associated with outcome, irrespective of the type of infection. Antimicrobial resistance is equally common in community-acquired as in hospital-acquired infection

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Pine Forest Height Inversion Using Single-Pass X-Band Pol-InSAR Data

International audienceA sparse pine forest is investigated at X-band on a single-pass polarimetric synthetic aperture radar interferometry (PolInSAR) data set using HH and HV channels. These first preliminary results show that the associated phase centers present a significant vertical separation (about 6 m) allowed by penetration through gaps in the canopy. Forest parameter inversion using the random volume over ground (RVoG) model is evaluated and adapted at this frequency. The forest height can be retrieved accurately by supposing a high mean extinction coefficient (around 1.6 (dB/m). The penetration depth is estimated to be around 4 m, based on the forest height ground measurements. Finally, a time-frequency analysis using a sublook decomposition is performed to increase the vertical separation of the polarimetric phase centers. As a consequence, RVoG-inversion performance is improved, and a penetration depth that is in better accordance with a previous work (of the order of 2 m) is found. This paper has shown that the height inversion of a pine forest was possible using PolInSAR X-band data and that the performance was more dependent on the forest density than at lower frequencies