Multichannel queueing behaviour in urban bicycle traffic

The objective of this paper is to propose a method to analyse and describe cyclists’ behaviour at signalized intersections with specific focus on the multichannel (multi-lane) queue phenomenon. As we observed, cyclists form queues without a fixed-lane and FIFO discipline, for which the classical, car-oriented analytical approach becomes insufficient. Cyclists’ multichannel queueing behaviour is common and characterized by substantial degree of variability, especially in case of shorter queues which emerge regularly at cycle crossings. Although cyclist behaviour has been widely studied by transportation research community, their queueing behaviour picture is still incomplete. Namely, there is no method addressed to analyse the full scope of these phenomena and to quantify their impact on the cyclist queue performance. To bridge this gap, we introduce the technique to observe multichannel queues and report relevant observations, which we then complement with a methodological framework to analyse obtained results and provide a complete multichannel queue description. We video-record cyclists as they enqueue to one of multiple channels, form the queue and smoothly merge into a single lane again as the queue discharges. We apply the method to analyse results from a pilot study of 160 cyclists forming 50 queues in the city of Krakow, Poland. The proposed method allows us to analyse and quantify the observed queue performance and its characteristics: the number of channels, their emergence process, channel and queue lengths, discharge process with FIFO violations, starting and discharging times. Findings from pilot study reveal that both queue length and discharge times strongly depend on queue formation process. The contribution of this paper is the method to describe multichannel cyclist queueing behaviour, enriching current picture of bicycle flow and cyclists’ behaviour. Since the method has been developed on relatively short queues (up to 10 cyclists), findings included in this paper primarily refer to such queue sizes. Nonetheless, the method is formulated in a generic way, applicable also for longer bicycle queues. Possible practical implications are new estimates for queue lengths and discharge times - useful for bicycle infrastructure design and traffic engineering purposes

Diagnosis and treatment of thyroid cancer in adult patients — Recommendations of Polish Scientific Societies and the National Oncological Strategy. 2022 Update [Diagnostyka i leczenie raka tarczycy u chorych dorosłych — Rekomendacje Polskich Towarzystw Naukowych oraz Narodowej Strategii Onkologicznej. Aktualizacja na rok 2022]

The guidelines Thyroid Cancer 2022 are prepared based on previous Polish recommendations updated in 2018. They consider international guidelines — American Thyroid Association (ATA) 2015 and National Comprehensive Cancer Network (NCCN); however, they are adapted according to the ADAPTE process. The strength of the recommendations and the quality of the scientific evidence are assessed according to the GRADE system and the ATA 2015 and NCCN recommendations. The core of the changes made in the Polish recommendations is the inclusion of international guidelines and the results of those scientific studies that have already proven themselves prospectively.These extensions allow de-escalation of the therapeutic management in low-risk thyroid carcinoma, i.e., enabling active surveillance in papillary microcarcinoma to be chosen alternatively to minimally invasive techniques after agreeing on such management with the patient. Further extensions allow the use of thyroid lobectomy with the isthmus (hemithyroidectomy) in low-risk cancer up to 2 cm in diameter, modification of the indications for postoperative radioiodine treatment toward personalized approach, and clarification of the criteria used during postoperative L-thyroxine treatment. At the same time, the criteria for the preoperative differential diagnosis of nodular goiter in terms of ultrasonography and fine-needle aspiration biopsy have been clarified, and the rules for the histopathological examination of postoperative thyroid material have been updated. New, updated rules for monitoring patients after treatment are also presented.The updated recommendations focus on ensuring the best possible quality of life after thyroid cancer treatment while maintaining the good efficacy of this treatment