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Abstract: The strong ozone depletion event that occurred in Arctic during spring 2011 was found to cause appreciable reduction in the ozone column (OC) in Europe, even at lower latitudes. The features of this episode have been analysed using the data recorded at 34 ground-based stations located in the European area and compared with the similar events in 2000 and 2005. The results provided evidence that OC as far south as 40°N latitude was considerably influenced by the Arctic ozone loss in spring 2011. The reduction of OC at the northernmost sites was about 40% with respect to the mean value calculated over the previous six-year period, while a similar decrease at the southern extreme ranged between 15 and 18%, and were delayed by nearly two weeks compared to the Arctic region. The ozone distributions reconstructed for the West Europe sector show that the decline of OC lasted from late March to late April 2011. The echo of the Arctic ozone depletion on mid-latitude UV irradiance has been analysed trough model computations that show an increase of the midday erythemal dose by 3–4 SED (1 SED = 100 J m−2) that was slightly higher than at polar regions. On the other hand it was assessed that the biosystems in the northernmost regions were a subject of about 4 times higher UV stress than those at mid-latitudes. Despite indications of an OC recovery, the event examined here shows that the issue of ozone depletion episodes cannot be belittled. [Copyright &y& Elsevier]

Abstract: The time-patterns of ground-level solar irradiance during the solar eclipse of 29 March, 2006, were observed at three Italian stations (Lampedusa, Mt. Cimone and Bologna) using different radiometric techniques. The global irradiance measured at the sites was found to reach the minimum at times not coinciding with those predicted by radiative transfer model evaluations, with ahead or lag times depending on the optical characteristics of the surface–atmosphere system in the areas surrounding of the stations. This different behaviour has been mainly attributed to the different influence of the environmental conditions on the diffuse radiance component measured at the observation sites. The present results indicate that the incoming diffuse radiance recorded at the three stations was appreciably affected by contributions arising from extended regions of about 30–100km range from the stations. Such an explanation agrees very well with the theoretical evaluations obtained in earlier studies. The surrounding environmental areas of impact at ultraviolet wavelengths have been found to be wider than those in the visible and near-infrared spectral ranges. [Copyright &y& Elsevier]

Bladder cancer is the second most frequent tumour of the urogenital tract. Tobacco smoke has been shown to increase the risk of bladder cancer two- to fivefold as well as the exposure to metabolites of aniline dyes and other aromatic amines. Seventy-five per cent of bladder cancers are superficial at initial presentation, limited to the mucosa, submucosa, or lamina propria. Recurrence rates after initial treatment are 50–80%, with progression to muscle-invading tumour in 10–25%. In muscle-invading bladder cancers, there is a 50% risk of distant metastases. Surgery is the mainstay of standard treatment both in the form of transurethral endoscopic resection, mainly for superficial disease, and in the form of open ablative surgery with urinary diversion for muscle invasive disease. Endovesical administration of BCG has been employed after endoscopic resection as the most effective agent for both prophylaxis of disease recurrence and progression from superficial to invasive disease. The accepted treatment for muscle infiltrative disease is radical cystectomy. Response rates to combination chemotherapy regimens of up to 70% in patients with advanced metastatic disease have led to an investigation of its use for locally invasive disease in combination with conventional modalities of treatment. [Copyright &y& Elsevier]

This work focuses on the near-surface O 3 variability over the eastern Antarctic Plateau. In particular, eight years (2006–2013) of continuous observations at the WMO/GAW contributing station “Concordia” (Dome C–DMC: 75°06′S, 123°20′E, 3280 m) are presented, in the framework of the Italian Antarctic Research Programme (PNRA). First, the characterization of seasonal and diurnal O 3 variability at DMC is provided. Then, for the period of highest data coverage (2008–2013), we investigated the role of specific atmospheric processes in affecting near-surface summer O 3 variability, when O 3 enhancement events (OEEs) are systematically observed at DMC (average monthly frequency peaking up to 60% in December). As deduced by a statistical selection methodology, these OEEs are affected by a significant interannual variability, both in their average O 3 values and in their frequency. To explain part of this variability, we analyzed OEEs as a function of specific atmospheric variables and processes: (i) total column of O 3 (TCO) and UV-A irradiance, (ii) long-range transport of air masses over the Antarctic Plateau (by Lagrangian back-trajectory analysis – LAGRANTO), (iii) occurrence of “deep” stratospheric intrusion events (by using the Lagrangian tool STLEFLUX). The overall near-surface O 3 variability at DMC is controlled by a day-to-day pattern, which strongly points towards a dominating influence of processes occurring at “synoptic” scales rather than “local” processes. Even if previous studies suggested an inverse relationship between OEEs and TCO, we found a slight tendency for the annual frequency of OEEs to be higher when TCO values are higher over DMC. The annual occurrence of OEEs at DMC seems related to the total time spent by air masses over the Antarctic plateau before their arrival to DMC, suggesting the accumulation of photochemically-produced O 3 during the transport, rather than a more efficient local production. Moreover, the identification of recent (i.e., 4-day old) stratospheric intrusion events by STEFLUX suggested only a minor influence (up to 3% of the period, in November) of “deep” events on the variability of near-surface summer O 3 at DMC. [ABSTRACT FROM AUTHOR]

Abstract: A year-round study, which was conducted from November 2004 to November 2007, of atmospheric oxidised sulphur compounds (methanesulphonic acid (MSA) and sulphate) was carried out in the east Antarctic Plateau at Dome C (75° 06′ S, 123° 20′ E, 3220m a.s.l. and 1100km away from the nearest coast). The two sulphur-derived species exhibit a seasonal cycle characterised by maxima in the summer from November to March. Size-segregated sampling performed with Andersen 8-stage impactors revealed that SO4 2− and MSA have different size distributions in early summer (November) in comparison with mid-late summer (February). In November, the size distribution exhibited two distinct modes, the accumulation (0.4–0.7μm) and the micrometric mode (1.1–2.1μm), which is in contrast to February when only the accumulation mode was observed. The two modes exhibited different speciation; in the finest mode, sulphate and methanesulphonate were present primarily in the acidic form, whereas they were present primarily as sodium or ammonium salts in the micrometric mode. The different size distributions and speciation patterns in the two months are related to different transport pathways from oceanic areas to the central Antarctic Plateau. In the early summer months, air masses came primarily from the Indian Ocean and lingered for a long time over the Antarctic continent. The transport of sulphur compounds is related to sea spray aerosols and the resulting condensation of H2SO4 and MSA over sea salt particles to form sodium salts. In contrast, a rapid transport of H2SO4 and MSA formed above the boundary layer over oceanic areas leads to higher concentrations of the acidic species in the fine fraction of aerosols reaching Dome C in February relative to other summer months. [Copyright &y& Elsevier]

Abstract: An updated set of time series of derived aerosol optical depth (AOD) and Ångström’s exponent α from a number of Arctic and Antarctic stations was analyzed to determine the long-term variations of these two parameters. The Arctic measurements were performed at Ny-Ålesund (1991–2010), Barrow (1977–2010) and some Siberian sites (1981–1991). The data were integrated with Level 2.0 AERONET sun-photometer measurements recorded at Hornsund, Svalbard, and Barrow for recent years, and at Tiksi for the summer 2010. The Antarctic data-set comprises sun-photometer measurements performed at Mirny (1982–2009), Neumayer (1991–2004), and Terra Nova Bay (1987–2005), and at South Pole (1977–2010). Analyses of daily mean AOD were made in the Arctic by (i) adjusting values to eliminate volcanic effects due to the El Chichón, Pinatubo, Kasatochi and Sarychev eruptions, and (ii) selecting the summer background aerosol data from those affected by forest fire smoke. Nearly null values of the long-term variation of summer background AOD were obtained at Ny-Ålesund (1991–2010) and at Barrow (1977–2010). No evidence of important variations in AOD was found when comparing the monthly mean values of AOD measured at Tiksi in summer 2010 with those derived from multi-filter actinometer measurements performed in the late 1980s at some Siberian sites. The long-term variations of seasonal mean AOD for Arctic Haze (AH) conditions and AH episode seasonal frequency were also evaluated, finding that these parameters underwent large fluctuations over the 35-year period at Ny-Ålesund and Barrow, without presenting well-defined long-term variations. A characterization of chemical composition, complex refractive index and single scattering albedo of ground-level aerosol polydispersions in summer and winter–spring is also presented, based on results mainly found in the literature. The long-term variation in Antarctic AOD was estimated to be stable, within ±0.10% per year, at the three coastal sites, and nearly null at South Pole, where a weak increase was only recently observed, associated with an appreciable decrease in α, plausibly due to the formation of thin stratospheric layers of ageing volcanic particles. The main characteristics of chemical composition, complex refractive index and single scattering albedo of Antarctic aerosols are also presented for coastal particles sampled at Neumayer and Terra Nova Bay, and continental particles at South Pole. [Copyright &y& Elsevier]

Purpose: To describe long-term late consequences in children who received total body irradiation (TBI) for hematopoietic stem cell transplantation 10 years earlier. Methods and Materials: A cohort of 42 children treated with TBI between 1985 and 1993, still alive at least 10 years after fractionated TBI (FTBI), was evaluated. Twenty-five patients received FTBI at 330 cGy/day for 3 days (total dose 990 cGy), whereas 17 children were administered fractions of 200 cGy twice daily for 3 days (total dose 1200 cGy). Twenty-seven patients received autologous and 16 allogeneic hematopoietic stem cell transplantation. Median age at TBI was 6.3 years, and 18.4 years at most recent follow-up. Results: Cataract was diagnosed in 78% of patients after a median of 5.7 years. Hypothyroidism was detected in 12%, whereas thyroid nodules were observed in 60% of our population after a median interval of 10.2 years. Patients treated with 990 cGy developed thyroid nodules more frequently than those treated with 1200 cGy (p = 0.0002). Thyroid carcinoma was diagnosed in 14% of the total population. Females who received FTBI after menarche more frequently developed temporary ovarian dysfunction than those treated before menarche, but cases of persistent ovarian dysfunction did not differ between the two groups. Indirect signs of germinal testicular dysfunction were detected in 87% of males. Restrictive pulmonary disease was observed in 74% of patients. Osteochondroma was found in 29% of patients after a median interval of 9.2 years. This latter complication appeared more frequently in patients irradiated before the age of 3 years (p < 0.001). Conclusions: This study shows that late effects that are likely permanent, although not fatal, are frequent in survivors 10 years after TBI. However, some of the side effects observed shortly after TBI either disappeared or remained unchanged without signs of evolution. Monitoring is recommended to pursue secondary prevention strategies and counseling on family planning. [Copyright &y& Elsevier]

Background and purpose: The European Society for Therapeutic Radiology and Oncology was funded by the EU for a project on recording providing education, and ameliorating the consequences of treatment (REACT). An European audit was carried out as part of which to assess the usefulness of current follow-up practices.Patients and methods: Over a 4-month period in 15 cancer centres in 10 countries, patients attending for routine follow-up completed a questionnaire covering their expectations of and satisfaction with the visit. This was matched with a questionnaire completed by the physician about the content and usefulness of the consultation. The feasibility of a short toxicity scale developed by Dische and Saunders was also investigated.Results: In total, 2303 matched questionnaires were analysed. Forty percent of the patients had symptoms or medical problems related to their disease. In 18% there was a positive finding on clinical examination. In 28% investigations were undertaken part of departmental routine practice. Ten percent of the investigations showed an abnormal result. Ninety nine percent of physicians and 85% of the patients expressed satisfaction. Using the short toxicity scale rates of recording toxicity could be increased from 28 to 93%.Conclusions: There is wide variation in follow-up practices among European centres. There was a low incidence of positive findings clinically or with routine investigations. A simple scale for recording morbidity has proved easy to use by departments, which have not routinely used one of the standard measures. Further work will attempt to produce an European guideline for effective routine follow-up after radiotherapy. [Copyright &y& Elsevier]

Purpose: The shrinking effect of 3-month neoadjuvant androgen deprivation (NAD) on preradiotherapy prostate gland volume is well documented. However, recently, it has been shown that the cancerous prostate gland keeps shrinking up to 12 months after NAD start. Thus, if such a reduction is not taken into account, a larger than planned portion of the surrounding normal tissues might shift in the high-dose region during conformal radiotherapy (3DCRT) course. The present study was undertaken to quantify this issue.Materials and Methods: Prostate gland volume reduction between planning CT (plCT) and the last week of 3DCRT (tmtCT) was prospectively assessed in 33 consecutive patients with localized prostate carcinoma. The median time interval between plCT and tmtCT was 2.5 months (2.1–2.7 months). A single observer was asked to draw on each slice prostate gland volume as appropriate. The observer was ‘blind’ to the timing of CT (plCT vs. tmtCT). In order to estimate intra-observer variability, prostate gland delineation was repeated twice for each data set. Mean prostate gland change, plCT and tmtCT cumulative dose volume histogram (DVH) calculations for the rectum were analyzed for each patient. Results were correlated to AD status and its duration before plCT. Means were compared by non-parametric rank tests.Results: Based on an internal protocol, 14 patients (42%) did not receive AD, while 19 patients (58%) had undergone neoadjuvant and concomitant AD. The median duration of AD before plCT ranged from 0.2 to 6 months (median: 2.9 months). Although individual data were highly variable, compared to plCT volume, mean prostate gland volume change at the end of 3DCRT was similar for patients receiving (−7.3%) or not (−7%) androgen deprivation (P=0.77). However, within the group of patients treated with hormones, patients starting AD within 3 months from plCT had a significantly larger reduction in prostate volume (−14.2%) than patients with longer NAD duration (−1.1%, P=0.03). At tmtCT, on average, patients undergoing 3DCRT within 3 months from AD start showed an increase of the amount of rectum receiving 40–75 Gy compared to plCT values. At 40 Gy (V40) the mean difference between tmtCT and plCT was +7.5%. In the other two groups, average variations of V40–70 were within ±2% of plCT values. However, these differences are not significant.Conclusion: For patients who undergo plCT and 3DCRT shortly after AD start, prostate gland shrinkage may be substantial. In some of these patients, this might lead to an unexpected increase of the percentage of rectal wall exposed to intermediate doses. [Copyright &y& Elsevier]