Airborne Multi-Channel Ground Penetrating Radar for Improvised Explosive Devices and Landmine Detection

An improved Ground Penetrating Radar (GPR) system on board an Unmanned Aerial Vehicle (UAV) is presented in this contribution. The system has been designed for the detection and imaging of buried targets and, in particular, landmines and Improvised Explosive Devices (IEDs). Resting on the hardware and architecture of a previous aerial platform, in the proposed system the scanning area is increased and the detection capabilities are improved. These improvements are achieved by employing two receiving antennas and new processing techniques that increase the Signal-to-Clutter Ratio of the GPR images. Besides, parameters affecting the GPR image resolution, such as the flight speed and the amount of measurements that can be processed together using Synthetic Aperture Radar (SAR) techniques, are also studied. The developed system exhibits several advantages: safety and faster scanning speeds, together with the capability to detect both metallic and non-metallic targets, as shown in the examples presented in this contribution

Development of an Airborne-Based GPR System for Landmine and IED Detection: Antenna Analysis and Intercomparison

Airborne-based Ground Penetrating Radar (GPR) systems have proved to be an efficient solution for safe and accurate detection of buried threats such as Improvised Explosive Devices (IEDs) and anti-personnel and anti-tank landmines. The design of these prototypes is influenced by several parameters such as the working frequency band or the maximum weight and size of the payload to be placed on board the Unmanned Aerial Vehicle (UAV). In this sense, one of the main bottlenecks found in the design of these systems is the proper selection of the GPR antenna. This contribution focuses on the analysis of different Ultra Wideband (UWB) Vivaldi antennas and their performance in the context of an airborne-based GPR system. First, the Vivaldi antennas are characterized in terms of $S_{11}$ , radiation pattern, directivity, and phase center. Next, they are placed on board the implemented airborne-based GPR prototype to assess their impact on the detection capabilities of the system. In addition, other criteria such as the weight and size of the antennas are considered to make the final selection. Finally, the selected UWB Vivaldi antennas are tested in a realistic scenario

Patients awaiting surgery for neurosurgical diseases during the first wave of the COVID-19 pandemic in Spain: a multicentre cohort study.

The large number of infected patients requiring mechanical ventilation has led to the postponement of scheduled neurosurgical procedures during the first wave of the COVID-19 pandemic. The aims of this study were to investigate the factors that influence the decision to postpone scheduled neurosurgical procedures and to evaluate the effect of the restriction in scheduled surgery adopted to deal with the first outbreak of the COVID-19 pandemic in Spain on the outcome of patients awaiting surgery. This was an observational retrospective study. A tertiary-level multicentre study of neurosurgery activity between 1 March and 30 June 2020. A total of 680 patients awaiting any scheduled neurosurgical procedure were enrolled. 470 patients (69.1%) were awaiting surgery because of spine degenerative disease, 86 patients (12.6%) due to functional disorders, 58 patients (8.5%) due to brain or spine tumours, 25 patients (3.7%) due to cerebrospinal fluid (CSF) disorders and 17 patients (2.5%) due to cerebrovascular disease. The primary outcome was mortality due to any reason and any deterioration of the specific neurosurgical condition. Second, we analysed the rate of confirmed SARS-CoV-2 infection. More than one-quarter of patients experienced clinical or radiological deterioration. The rate of worsening was higher among patients with functional (39.5%) or CSF disorders (40%). Two patients died (0.4%) during the waiting period, both because of a concurrent disease. We performed a multivariate logistic regression analysis to determine independent covariates associated with maintaining the surgical indication. We found that community SARS-CoV-2 incidence (OR=1.011, p Patients awaiting neurosurgery experienced significant collateral damage even when they were considered for scheduled procedures

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)