Fernando Molano Ortiz

Modern vehicles are equipped with a myriad of sensors. Proprioceptive sensors monitor the vehicle status and operation, whereas exteroceptive ones sense the external environment, i.e., outside the vehicle’s mechanics domain. A myriad of vehicular applications, from monitoring to autonomous driving, rely on the information provided by sensors. In this paper, we focus those which depend on exteroceptive sensors, which are critical for modern Advanced Driving Assistance Systems (ADAS) and autonomous vehicles, regardless of their automation level. Initially, we provide an overview of vehicular sensors and Off-the-Shelf (OTS) devices. Then, we focus on exteroceptive sensors, identifying different technologies, usages, pros and cons, as well as their availability in existing OTS devices. Next, we review the services and applications using exteroceptive sensors, especially regarding safety, navigation, and driving profiling. Besides referencing the most relevant literature on exteroceptive sensors, we also identify the datasets available in the literature. We conclude with open challenges using exteroceptive sensors from both industry and research perspectives.

Objective The aim of the present study was to analyze relapse rates and patterns in patients with endometrial cancer with the aim of evaluating the effectiveness of current follow-up procedures in terms of patient survival, as well as the convenience of modifying the surveillance strategy. Methods Retrospective descriptive study including all patients diagnosed with endometrial cancer relapse at the Department of Gynecology and Obstetrics of the Complejo Hospitalario Insular-Materno Infantil de Canarias, between 2005 and 2014. Results Recurrence was observed in 81 patients (10.04% of the sample); 66.7% of them suffered relapse within 2 years and 80.2% within 3 years after the termination of the primary treatment; 41.9% showed distant metastases while the rest corresponded to local-regional (40.7%) or ganglionar (17.4%) relapse; 42% of these were symptomatic; 14 patients showed more than 1 site of relapse. Relapse was detected mainly through symptoms and physical examination findings (54.3%), followed by elevated serum marker levels (29.6%), computed tomography (CT) images (9.9%) and abnormal vaginal cytology findings (6.2%). No differences in global survival were found between patients with symptomatic or asymptomatic relapse. Conclusion Taking into account that the recurrence rate of endometrial cancer is low, that relapse occurs mainly within the first 3 years post-treatment and that symptom evaluation and physical examination are the most effective follow-up methods, we postulate that a modification of the current model of hospital follow-up should be considered.

Objective Tumor rupture during surgery is a risk factor for recurrence of sarcomas in other locations. However, the independent impact of rupture on prognosis is uncertain in uterine sarcomas. The aim of this study was to evaluate whether uterine rupture impacts outcomes in patients with uterine sarcoma. Methods A retrospective analysis was carried out of all consecutive patients with uterine sarcoma managed at the Department of Gynecology and Obstetrics of the Complejo Hospitalario Universitario Insular-Materno Infantil of the Canary Islands, Spain between January 1990 and December 2016. Inclusion criteria included all patients with histologically proven uterine sarcoma. Exclusion criteria included patients with endometrial carcinoma (non-sarcomatous) and carcinosarcomas. During this period, 1981 patients were diagnosed with a uterine malignancy; 1799 were excluded because of a diagnosis of endometrial carcinoma and 85 patients were excluded for a diagnosis of carcinosarcoma. Thus, the final sample included 97 patients with uterine sarcoma (4.9%). These included leiomyosarcoma, endometrial stromal sarcoma, adenosarcoma, and liposarcoma. Surgical resection was the primary treatment, including open, laparoscopic and vaginal surgery. Survival rates were analyzed using the Kaplan–Meier method. Results The median age was 52 years (range 25–90); 49.5% (48) were pre-menopausal. Distribution per histological type was: 46.4% (45) leiomyosarcoma, 23.7% (23) high-grade endometrial stromal sarcoma, 17.5% (17) low-grade endometrial stromal sarcoma, 11.3% (11) adenosarcoma, and 1% (1) liposarcoma. Uterine leiomyoma was the most frequent pre-operatively suspected diagnosis (49.5%). Iatrogenic rupture of the tumor during surgery occurred in 25.3% of cases (23). International Federation of Gynecology and Obstetrics stages I–II and III–IV were identified in 74.2% (72) and 25.8% (25) of patients, respectively. The median tumor size was 8 cm (range 2–40). The recurrence rate was 47.8% (11) for patients with intra-operative tumor rupture and 25% (17) for patients without uterine rupture (p=0.03). Disease-free survival rates at 1, 2, and 5 years for patients with uterine rupture were 72.7%, 55.4%, and 13.9%, respectively, with a median time of 39 months (95% CI 2.9 to 75). For those patients without uterine rupture, disease-free survival rates at 1, 2, and 5 years were 84.8%, 76.1%, and 71.3%, respectively, with a mean time of 208.6 months (95% CI 169 to 248.3) (p=0.01). Multivariate analysis showed that stage, histological type, and iatrogenic tumor rupture during surgery were all independent prognostic factors for overall survival (OR 7.9, 95% CI 1.6 to 38.2, p=0.01); OR 5.3, 95% CI 2.1 to 13, pConclusion Considering that uterine sarcomas, especially leiomyosarcomas, often occur in pre-menopausal women as bulky tumors requiring laparotomy and that they are rarely diagnosed pre-operatively, efforts should be made to avoid iatrogenic uterine rupture during surgery as it impairs patient survival.

Vehicular communications based on IEEE,802.11p promise to improve traffic efficiency and safety in the near future. Embedded with 802.11p-compliant devices, the cooperation among connected vehicles will provide a shift in the way transportation systems operate. Nevertheless, before widespread adoption, extensive performance evaluation of the standard is in need. Due to the high cost and reasonably low availability of commercial devices, most work on VANETs is still performed using simulations. To investigate the equivalence between real experiments and simulations involving 802.11p, this article evaluates the behavior obtained by periodic beacon messages, the basis of safety applications in VANETs. Using commercial OBUs and RSUs, the results are compared with those obtained with NS-3/PhySim and Veins/MiXiM simulators. In V2I and V2V communication scenarios, three key metrics are evaluated: the maximum communication range, packet delivery rate, and packet inter-reception time. The influence of different modulations supported by 802.11p and varying vehicle speeds are also analyzed.

Ecotourism activities are attracting more people each day, including national forest parks. Unfortunately, the number of incidents involving visitors to natural parks grows at the same pace. Among the most prevalent risks inside forests are getting lost and the occurrence of natural disasters. In this work, we propose a system for monitoring and assisting visitors of forest parks, based on a low power wide range wireless network, LoRa. The proposed visitor assisting system is composed of mobile terminals that communicate between them and with fixed infrastructure, using a protocol designed for exchanging visitor locations data. The infrastructure consists of wireless gateways distributed on the trails, the totems. User terminals, the mobile nodes, work collaboratively through a Delay and Disruption Tolerant Network (DTN), to cope with the possibility that the gateway infrastructure does not cover the whole trail. In addition to improvements and gains for minimizing risks, the proposal also brings contributions to the preservation of the environment, raising awareness of the influence of human presence in the natural environment and to the development of environmental education actions.