Longwall shearer cutting force estimation

Longwall mining is an underground coal mining method that is widely used. A shearer traverses the coal panel to cut coal that falls to a conveyor. Operation of the longwall can benefit from knowledge of the cutting forces at the coal/shearer interface, particularly in detecting pick failures and to determine when the shearer may be cutting outside of the coal seam. It is not possible to reliably measure the cutting forces directly. This paper develops a method to estimate the cutting forces from indirect measurements that are practical to make. The structure of the estimator is an extended Kalman filter with augmented states whose associated dynamics encode the character of the cutting forces. The methodology is demonstrated using a simulation of a longwall shearer and the results suggest this is a viable approach for estimating the cutting forces. The contributions of the paper are a formulation of the problem that includes: the development of a dynamic model of the longwall shearer that is suitable for forcing input estimation, the identification of practicable measurements that could be made for implementation and, by numerical simulation, verification of the efficacy of the approach. Inter alia, the paper illustrates the importance of considering the internal model principle of control theory when designing an augmented-state Kalman filter for input estimation

How do ICP variants perform when used for scan matching terrain point clouds?

Many variants of the Iterative Closest Point (ICP) algorithm have been proposed for registering point clouds. This paper explores the performance of 20,736 ICP variants applied to the registration of point clouds for the purpose of terrain mapping, using data obtained from a mobile platform. The methodology of the study has involved taking sequences of 100 consecutive scans at three distinct scenes along the route of a mining haul truck operating in a typical surface mining environment. The scan sequences were obtained at 20 Hz from a Velodyne HDL-64E mounted on the truck. The aim is to understand how well the ICP variants perform in consolidating these scans into sub-maps. Variants are compared against three metrics: accuracy, precision, and relative computational cost. The main finding of the paper is that none of the variants is simultaneously accurate, precise, and fast to compute, across all three scenes. The best performing variants employed strategies that filtered the data sets, used local surface geometry in the form normals, and used the distance between points in one point cloud to a corresponding surface from a reference point cloud as a measure of the fit between two point clouds. The significance of this work is that it: (i) provides guidance in the construction of ICP variants for terrain mapping; and (ii) identifies the significant limitations of existing ICP variants for this application

Outcome of a screening programme for the prevention of neonatal invasive early-onset group B Streptococcus infection in a UK maternity unit: an observational study

ABSTRACT Background: Against a background of failure to prevent neonatal invasive early-onset group B Streptococcus infections (GBS) in our maternity unit using risk-based approach for intrapartum antibiotic prophylaxis, we introduced an antenatal GBS carriage screening programme to identify additional women to target for prophylaxis. Objectives: To describe the implementation and outcome of an antepartum screening programme for prevention of invasive early-onset GBS infection in a UK maternity unit. Design: Observational study of outcome of screening programme intervention) with comparison to historical controls ( pre-intervention). Setting: Hospital and community-based maternity services provided by Northwick Park and Central Middlesex Hospitals in North West London. Participants: Women who gave birth between March 2014 and December 2015 at Northwick Park Hospital. Methods: Women were screened for GBS at 35–37 weeks and carriers offered intrapartum antibiotic prophylaxis. Screening programme was first introduced in hospital (March 2014) and then in community (August 2014). Compliance was audited by review of randomly selected case records. Invasive early-onset GBS infections were defined through GBS being cultured from neonatal blood, cerebrospinal fluid or sterile fluids within 0–6 days of birth. Main outcome: Incidence of early-onset GBS infections. Results: 6309 (69%) of the 9098 eligible women were tested. Screening rate improved progressively from 42% in 2014 to 75% in 2015. Audit showed that 98% of women accepted the offer of screening. Recto-vaginal GBS carriage rate was 29.4% (1822/6193). All strains were susceptible to penicillin but 11.3% (206/1822) were resistant to clindamycin. Early onset GBS rate fell from 0.99/1000 live births (25/25276) in the pre-screening period to 0.33/1000 in the screening period (Rate Ratio=0.33; p=0.08). In the subset of mothers actually screened, the rate was 0.16/1000 live births (1/6309), (Rate Ratio=0.16; p<0.05). Conclusions: Our findings confirm that an antenatal screening programme for prevention of early-onset GBS infection can be implemented in a UK maternity setting and is associated with a fall in infection rates

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

Younger age as a prognostic indicator in breast cancer: A cohort study

<p>Abstract</p> <p>Background</p> <p>The debate continues as to whether younger women who present with breast cancer have a more aggressive form of disease and a worse prognosis. The objectives of this study were to determine the incidence of breast cancer in women under 40 years old and to analyse the clinicopathological characteristics and outcome compared to an older patient cohort.</p> <p>Methods</p> <p>Data was acquired from a review of charts and the prospectively reviewed GUH Department of Surgery database. Included in the study were 276 women diagnosed with breast cancer under the age of forty and 2869 women over forty. For survival analysis each women less than 40 was matched with two women over forty for both disease stage and grade.</p> <p>Results</p> <p>The proportion of women diagnosed with breast cancer under the age of forty in our cohort was 8.8%. In comparison to their older counterparts, those under forty had a higher tumour grade (p = 0.044) and stage (p = 0.046), a lower incidence of lobular tumours (p < 0.001), higher estrogen receptor negativity (p < 0.001) and higher <it>HER2 </it>over-expression (p = 0.002); there was no statistical difference as regards tumour size (p = 0.477). There was no significant difference in overall survival (OS) for both groups; and factors like tumour size (p = 0.026), invasion (p = 0.026) and histological type (p = 0.027), PR (p = 0.031) and <it>HER2 </it>(p = 0.002) status and treatment received were independent predictors of OS</p> <p>Conclusion</p> <p>Breast cancer in younger women has distinct histopathological characteristics; however, this does not result in a reduced survival in this population.</p

Depredation influences anglers’ perceptions on coastal shark management and conservation in the United States Gulf of Mexico

Overfishing, habitat degradation, and climate change have caused declines in shark populations throughout the world’s oceans. However, in the United States Gulf of Mexico (GoM), populations of several coastal shark species are starting to stabilize following decades of successful regulations and enforcement. The stabilization of coastal shark populations, coupled with increases in recreational fishing effort, has the potential to escalate human-wildlife interactions. The most often reported conflict is shark depredation, the partial or complete removal of a hooked species by a shark. Reported increases in shark depredation within the last several years have begun to erode angler support for shark conservation, potentially undermining decades of previous work. To address these concerns, we implemented a GoM-wide online survey to characterize the impact of depredation on recreational reef fish anglers’ fishing satisfaction and perceptions of shark management and conservation. Our results revealed that most recreational anglers in the GoM have witnessed depredation but have not changed their fishing behaviors. In contrast, anglers’ viewpoints on managing shark populations were split between reducing population sizes and maintaining current population levels. As coastal shark populations in the GoM continue to recover, shark depredation is likely to increase. Consequently, efforts to characterize anglers’ satisfaction and perceptions are a critical component of future shark conservation initiatives

Glacier algae accelerate melt rates on the western Greenland Ice Sheet

Melting of the Greenland Ice Sheet (GrIS) is the largest single contributor to eustatic sea level and is amplified by the growth of pigmented algae on the ice surface that increase solar radiation absorption. This biological albedo reducing effect and its impact upon sea level rise has not previously been quantified. Here, we combine field spectroscopy with a novel radiative transfer model, supervised classification of UAV and satellite remote sensing data and runoff modelling to calculate biologically-driven ice surface ablation and compare it to the albedo reducing effects of local mineral dust. We demonstrate that algal growth led to an additional 5.5–8.0 Gt of runoff from the western sector of the GrIS in summer 2016, representing 6–9 % of the total. Our analysis confirms the importance of the biological albedo feedback and that its omission from predictive models leads to the systematic underestimation of Greenland’s future sea level contribution, especially because both the bare ice zones available for algal colonization and the length of the active growth season are set to expand in the future

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks