Survival following surgical treatment for anorectal melanoma seems similar for local excision and extensive resection regardless of nodal involvement

Background: Anorectal melanoma is a rare malignancy with a dismal prognosis. The purpose of this study was to investigate whether the survival per stage is influenced by the surgical approaches (local excision or extensive resection), to assess prognostic factors of survival, and to answer the question whether the practiced surgical approaches changed over time. Methods: Dutch cancer registry organizations (IKNL and PALGA) were queried for all patients with a diagnosis of anorectal melanoma (1989-2019). Patients with disseminated disease at diagnosis were excluded. Survival outcomes were compared for the two surgical approaches stratified by stage (clinical node negative (cN0) and clinical node positive (cN+)) and date of diagnosis. Results: A total of 103 patients were included in this study. In both cN0 and cN+ patients the surgical strategy did not significantly influence survival (cN0: 21.7% 5-year survival, median 25 months for local excision versus 13.7% 5-year survival, median 17 months for extensive resection (p = 0.228), cN+: 11.1% 5-year survival for local excision, median 17 months versus 8.7% 5-year survival, median 14 months for extensive resection (p = 0.741)). Stage and date of diagnosis showed to be prognostic factors of survival. The ratio between the two surgical approaches was unchanged over three decades. Conclusions: Extensive resection does not seem to improve survival in both cN0 and cN+ anorectal melanoma patients compared to local excision. However in the past three decades no shift towards local excision has been found. cN+ stage and an older date of diagnosis are predictors for worse survival

A large synoptic dataset of coastal in situ observations

Since the beginning of 2004 MUMM has performed a series of moorings in the Belgian Coastal Zone with a tripod or benthic lander, equipped with a series of oceanographic sensors. Current meters such as an Acous1c Doppler Profiler (ADP) and an Acoustic Doppler Velocimeter (ADV), a CT-­sensor capable of measuring temperature and salinity, op1cal (OBS) and acous1c backsca\er sensors (ADP and ADV) to measure suspended sediment concentra1on, a LISST 100 suspended par1cle sizer, a passive Cetacean monitoring device (C-­PoD) and a passive sampling device for chemical monitoring have ever since been moored for more than 1750 days. From autumn 2009 a permanent coastal observatory has been installed at MOW1, located to the west of the entrance to the Zeebrugge harbor. Other mooring sites include more offshore loca1ons, such as the Kwintebank, Gootebank, MOW0 and the offshore windmill farms and a very nearshore loca1on (Blankenberge)

Insights into the short-term tidal variability of multibeam backscatter from field experiments on different seafloor types

Three experiments were conducted in the Belgian part of the North Sea to investigate short-term variation in seafloor backscatter strength (BS) obtained with multibeam echosounders (MBES). Measurements were acquired on predominantly gravelly (offshore) and sandy and muddy (nearshore) areas. Kongsberg EM3002 and EM2040 dual MBES were used to carry out repeated 300-kHz backscatter measurements over tidal cycles (~13 h). Measurements were analysed in complement to an array of ground-truth variables on sediment and current nature and dynamics. Seafloor and water-column sampling was used, as well as benthic landers equipped with different oceanographic sensors. Both angular response (AR) and mosaicked BS were derived. Results point at the high stability of the seafloor BS in the gravelly area (2 dB and 4 dB at 45° respectively. The high-frequency backscatter sensitivity and short-term variability are interpreted and discussed in the light of the available ground-truth data for the three experiments. The envelopes of variability differed considerably between areas and were driven either by external sources (not related to the seafloor sediment), or by intrinsic seafloor properties (typically for dynamic nearshore areas) or by a combination of both. More specifically, within the gravelly areas with a clear water mass, seafloor BS measurements where unambiguous and related directly to the water-sediment interface. Within the sandy nearshore area, the BS was shown to be strongly affected by roughness polarization processes, particularly due to along- and cross-shore current dynamics, which were responsible for the geometric reorganization of the morpho-sedimentary features. In the muddy nearshore area, the BS fluctuation was jointly driven by high-concentrated mud suspension dynamics, together with surficial substrate changes, as well as by water turbidity, increasing the transmission losses. Altogether, this shows that end-users and surveyors need to consider the complexity of the environment since its dynamics may have severe repercussions on the interpretation of BS maps and change-detection applications. Furthermore, the experimental observations revealed the sensitivity of high-frequency BS values to an array of specific configurations of the natural water-sediment interface which are of interest for monitoring applications elsewhere. This encourages the routine acquisition of different and concurrent environmental data together with MBES survey data. In view of promising advances in MBES absolute calibration allowing more straightforward data comparison, further investigations of the drivers of BS variability and sensitivity are required

Impact evaluation of marine aggregate extraction through adaptive monitoring of bottom shear stress in bedform areas

Dedicated monitoring programmes are needed for the evaluation of the effects of the exploitation of non-living resources on the territorial sea and the continental shelf. Related to physical impacts, hydrodynamics and sediment transport, together with sedimentological and morphological evolution, need investigation. Overall aim is to increase process and system knowledge of both natural and exploited areas, with a particular focus on thecompliancy of extraction activities with respect to European Directives (e.g., European Marine Strategy Framework Directive and Habitat Directive). More specifically assessments are needed of changes in seafloor integrity and hydrographic conditions, two descriptors to define Good Environmental Status within Europe’sMarine Strategy Framework Directive.An important parameter is the bottom shear stress, with knowledge needed on both natural and anthropogenically induced variability. Bottom shear stress measurements are used for the validation of numerical models, necessary for impact quantification in the far field. Extensive data-model integration is critical for adequate assessments of the status of the marine environment, a prerequisite for sustainable use of living, and non-living resources

Microgeometry capture using an elastomeric sensor

We describe a system for capturing microscopic surface geometry. The system extends the retrographic sensor [Johnson and Adelson 2009] to the microscopic domain, demonstrating spatial resolution as small as 2 microns. In contrast to existing microgeometry capture techniques, the system is not affected by the optical characteristics of the surface being measured---it captures the same geometry whether the object is matte, glossy, or transparent. In addition, the hardware design allows for a variety of form factors, including a hand-held device that can be used to capture high-resolution surface geometry in the field. We achieve these results with a combination of improved sensor materials, illumination design, and reconstruction algorithm, as compared to the original sensor of Johnson and Adelson [2009].National Science Foundation (U.S.) (Grant 0739255)National Institutes of Health (U.S.) (Contract 1-R01-EY019292-01