Clicking throughout the year : sperm whale clicks in relation to environmental conditions off the west coast of South Africa

Knowledge of cetacean occurrence and behaviour in southern African waters is limited, and passive acoustic monitoring has the potential to address this gap efficiently. Seasonal acoustic occurrence and diel-vocalizing patterns of sperm whales in relation to environmental conditions are described here using passive acoustic monitoring data collected off the west coast of South Africa. Four autonomous acoustic recorders (AARs) were deployed on 3 oceanographic moorings from July 2014 to January 2017. Sperm whale clicks were detected year round in most recording sites, with peaks in acoustic occurrence in summer and late winter through spring. Dielvocalizing patterns were detected in winter, spring and summer. Higher percentages of sperm whale clicks were recorded by AARs deployed at 1100 m water depth compared to those concurrently deployed at 850 and 4500 m, likely inferring that the whales exhibited some preference to water depths around 1100 m. Acoustic propagation modelling suggested a maximum detection range of 83 km in winter for sperm whale clicks produced at 1100 m. Random forest models classified daylight regime, sea surface height anomaly and month of the year as the most important predictors of sperm whale acoustic occurrence. The continuous acoustic occurrence of sperm whales suggests that the study area supports large biomasses of prey to sustain this species’ food requirements year round. This is the first study to describe the seasonal acoustic occurrence and diel-vocalizing patterns of sperm whales off the west coast of South Africa, extending knowledge of the species previously available only through whaling records.http://www.int-res.com/journals/esr/esr-homepm2021Mammal Research Institut

Impact of scribing history and physical notes and procedure reports on endoscopist efficiency during routine procedures: a proof-of-concept study

BACKGROUND: Efficiency is an important aspect of endoscopic practice that has received limited study. We evaluated the impact of scribing electronic pre-procedure history and physical examinations, and electronic procedure reports on endoscopist efficiency. METHODS: We used a stopwatch to measure the time between the procedures (scope out to scope in), pre-procedure patient assessment time, and procedure report generation time for 180 consecutive procedures performed by a single endoscopist with or without a scribe for recording history and physical and procedure reports. Schedulers were unaware of whether a scribe would be present. RESULTS: Mean times for recording the pre-procedure history and physical and procedure reports were reduced by 34% (p = 0.001) and 71% (p < 0.0001), respectively, when scribes were used. The mean time saved by the endoscopist from scribing the history and the physical and procedure reports was 2.12 and 1.59 min, respectively. When both processes were scribed, the endoscopist spent 42% (p = 0.033) longer in the recovery area (absolute mean increase 1.01 min) compared with when no scribes were utilized. The total time saved per 6.5-h procedure block with both scribes averaged to 41.7 min. CONCLUSION: The use of scribes to record history and physical examination notes and procedure reports saved enough endoscopist time to allow additional procedures or longer procedures, or to free the time for other tasks

Comparing adenoma and polyp miss rates for total underwater colonoscopy versus standard CO2: a randomized controlled trial using a tandem colonoscopy approach

Background and Aims Although water exchange may improve adenoma detection when compared to CO2, it is unclear whether water is a better medium to fill the lumen during withdrawal and visualize the mucosa. Total underwater (TUC) involves the use of water exchange with the air valve off during insertion followed by the inspection of the mucosa under water. Our goal was to use a tandem colonoscopy design to compare miss rates for TUC to standard CO2 for polyps and adenomas. Methods We randomized participants (NCT03231917; clinicaltrials.gov) to undergo tandem colonoscopies using TUC or CO2 first. In TUC, water exchange was performed during insertion and withdrawal was performed under water. For the CO2 colonoscopy both insertion and withdrawal were performed with CO2. The main outcomes were miss rates for polyps and adenomas for the first examination calculated as the number of additional polyps/adenomas detected during the second examination divided by the total number of polyps/adenomas detected for both examinations. Inspection times were calculated by subtracting time for polypectomy and care was given to keep the times equal for both examinations. Results A total of 121 participants were randomized with 61 having CO2 first. The overall miss rate for polyps was higher for the TUC first group (81/237; 34%) as compared to the CO2 first cohort (57/264; 22%)(p=0.002). In addition, the overall miss rate for all adenomas was higher for the TUC first group (52/146; 36%) as compared with the CO2 group (37/159; 23%) (p=0.025). However, 1 of the 3 endoscopists had higher polyp/adenoma miss rates for CO2 but these were not statistically significant differences. The insertion time was longer for TUC than CO2. After adjusting for times, participant characteristics and bowel preparation, the miss rate for polyps was higher for TUC than CO2. Conclusions We found that TUC had an overall higher polyp and adenoma miss rate than colonoscopy performed with CO2, and TUC took longer to perform. However, TUC may benefit some endoscopists, an issue that requires further study

Faster colonoscope withdrawal time without impaired detection using EndoRings

Background and study aims:  Mucosal exposure devices on the colonoscope tip have improved detection. We evaluated detection and procedure times in colonoscopies performed with EndoRings. Patients and methods:  We had 14 endoscopists in a university practice trial EndoRings. We compared detection and procedure times to age- and indication-matched procedures by the same endoscopists. Results:  There were 137 procedures with EndoRings. The adenoma detection rate was 44 % with EndoRings vs. 39 % without ( P  = 0.39). Mean adenomas per colonoscopy (standard deviation) was 1.2 (2.3) with EndoRings vs. 0.9 (1.6) without ( P  = 0.055). Mean insertion time with EndoRings was 6.2 (3.2) minutes vs. 6.6 (6.7) minutes without ( P  = 0.81). Mean withdrawal time with EndoRings in all patients with or without polypectomy was 12.2 (5.3) minutes and 16.1 (10.3) minutes without ( P  = 0.0005). Conclusion:  EndoRings may allow faster withdrawal during colonoscopy without any reduction in detection. Prospective trials with mucosal exposure devices targeting procedure times as primary endpoints are warranted

Weakly dispersive modal pulse propagation in the North Pacific Ocean

Author Posting. © Acoustical Society of America, 2013. This article is posted here by permission of Acoustical Society of America or personal use, not for redistribution. The definitive version was published in Journal of the Acoustical Society of America 134 (2013): 3386, doi:10.1121/1.4820882.The propagation of weakly dispersive modal pulses is investigated using data collected during the 2004 long-range ocean acoustic propagation experiment (LOAPEX). Weakly dispersive modal pulses are characterized by weak dispersion- and scattering-induced pulse broadening; such modal pulses experience minimal propagation-induced distortion and are thus well suited to communications applications. In the LOAPEX environment modes 1, 2, and 3 are approximately weakly dispersive. Using LOAPEX observations it is shown that, by extracting the energy carried by a weakly dispersive modal pulse, a transmitted communications signal can be recovered without performing channel equalization at ranges as long as 500 km; at that range a majority of mode 1 receptions have bit error rates (BERs) less than 10%, and 6.5% of mode 1 receptions have no errors. BERs are estimated for low order modes and compared with measurements of signal-to-noise ratio (SNR) and modal pulse spread. Generally, it is observed that larger modal pulse spread and lower SNR result in larger BERs.This work was supported by the Office of Naval Research, Code 322, Grant Nos. N00014-06-1-0245, N00014-08-1-0195, and N00014-11-1-0194

Analysis of Deep Seafloor Arrivals observed on NPAL04

This report gives an overview of the analysis that was done on Deep Seafloor Arrivals since they were initially presented in Stephen et al (2009). All of the NPAL04/LOAPEX (North Pacific Acoustic Laboratory, 2004/ Long Range Ocean Acoustic Propagation Experiment) data on three ocean bottom seismometers (OBSs) at ~5,000m depth and the deepest element of the deep vertical line array (DVLA) at 4250m depth has been analyzed. A distinctive pattern of late arrivals was observed on the three OBSs for transmissions from T500 to T2300. The delays of these arrivals with respect to the parabolic equation predicted (PEP) path were the same for all ranges from 500 to 2300km, indicating that the delay was introduced near the receivers. At 500km range the same arrival was observed throughout the water column on the DVLA. We show that arrivals in this pattern converted from a PEP path to a bottom-diffracted surface reflected (BDSR) path at an off-geodesic seamount.Funding was provided by the Office of Naval Research under Contract No. N00014-10-1-0510

Modal analysis of the range evolution of broadband wavefields in the North Pacific Ocean : low mode numbers

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): 4409-4427, doi:10.1121/1.4707431.The results of mode-processing measurements of broadband acoustic wavefields made in the fall of 2004 as part of the Long-Range Ocean Acoustic Propagation Experiment (LOAPEX) in the eastern North Pacific Ocean are reported here. Transient wavefields in the 50–90 Hz band that were recorded on a 1400 -m long 40 element vertical array centered near the sound channel axis are analyzed. This array was designed to resolve low-order modes. The wavefields were excited by a ship-suspended source at seven ranges, between approximately 50 and 3200 km, from the receiving array. The range evolution of broadband modal arrival patterns corresponding to fixed mode numbers (“modal group arrivals”) is analyzed with an emphasis on the second (variance) and third (skewness) moments. A theory of modal group time spreads is described, emphasizing complexities associated with energy scattering among low-order modes. The temporal structure of measured modal group arrivals is compared to theoretical predictions and numerical simulations. Theory, simulations, and observations generally agree. In cases where disagreement is observed, the reasons for the disagreement are discussed in terms of the underlying physical processes and data limitations.This work was supported by the Office of Naval Research, Code 322, Grant Nos. N00014-08-1-0195, N00014-06-1-0245, and N0014-11-1-0194

Rectal Optical Markers for In-vivo Risk Stratification of Premalignant Colorectal Lesions.

Purpose: Colorectal cancer remains the second leading cause of cancer deaths in the U.S. despite being eminently preventable by colonoscopy via removal of premalignant adenomas. In order to more effectively reduce colorectal cancer mortality, improved screening paradigms are needed. Our group pioneered the use of low coherence enhanced backscattering (LEBS) spectroscopy to detect the presence of adenomas throughout the colon via optical interrogation of the rectal mucosa. In a previous ex-vivo biopsy study of 219 patients, LEBS demonstrated excellent diagnostic potential with 89.5% accuracy for advanced adenomas. The objective of the current cross-sectional study is to assess the viability of rectal LEBS in-vivo. Experimental Design: Measurements from 619 patients were taken using a minimally invasive 3.4 mm diameter LEBS probe introduced into the rectum via anoscope or direct insertion, requiring ~1 minute from probe insertion to withdrawal. The diagnostic LEBS marker was formed as a logistic regression of the optical reduced scattering coefficient μs∗ and mass density distribution factor D. Results: The rectal LEBS marker was significantly altered in patients harboring advanced adenomas and multiple non-advanced adenomas throughout the colon. Blinded and cross-validated test performance characteristics showed 88% sensitivity to advanced adenomas, 71% sensitivity to multiple non-advanced adenomas, and 72% specificity in the validation set. Conclusions: We demonstrate the viability of in-vivo LEBS measurement of histologically normal rectal mucosa to predict the presence of clinically relevant adenomas throughout the colon. The current work represents the next step in the development of rectal LEBS as a tool for colorectal cancer risk stratification

Bottom interacting sound at 50 km range in a deep ocean environment

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 132 (2012): 2224-2231, doi:10.1121/1.4747617.Data collected during the 2004 Long-range Ocean Acoustic Propagation Experiment provide absolute intensities and travel times of acoustic pulses at ranges varying from 50 to 3200 km. In this paper a subset of these data is analyzed, focusing on the effects of seafloor reflections at the shortest transmission range of approximately 50 km. At this range bottom-reflected (BR) and surface-reflected, bottom-reflected energy interferes with refracted arrivals. For a finite vertical receiving array spanning the sound channel axis, a high mode number energy in the BR arrivals aliases into low mode numbers because of the vertical spacing between hydrophones. Therefore, knowledge of the BR paths is necessary to fully understand even low mode number processes. Acoustic modeling using the parabolic equation method shows that inclusion of range-dependent bathymetry is necessary to get an acceptable model-data fit. The bottom is modeled as a fluid layer without rigidity, without three dimensional effects, and without scattering from wavelength-scale features. Nonetheless, a good model-data fit is obtained for sub-bottom properties estimated from the data.This work was supported by the Office of Naval Research, Code 322, Grant Nos. N00014- 10-1-0987, N00014-11-1-0194, and N00014-10-1-0510