Estimating the Impacts of Radiation Belt Electrons on Atmospheric Chemistry Using FIREBIRD II and Van Allen Probes Observations

This study considers the impact of electron precipitation from Earth's radiation belts on atmospheric composition using observations from the NASA Van Allen Probes and NSF Focused Investigations of Relativistic Electron Burst Intensity, Range, and Dynamics (FIREBIRD II) CubeSats. Ratios of electron flux between the Van Allen Probes (in near-equatorial orbit in the radiation belts) and FIREBIRD II (in polar low Earth orbit) during spacecraft conjunctions (2015–2017) allow an estimate of precipitation into the atmosphere. Total Radiation Belt Electron Content, calculated from Van Allen Probes RBSP-ECT MagEIS data, identifies a sustained 10-day electron loss event in March 2013 that serves as an initial case study. Atmospheric ionization profiles, calculated by integrating monoenergetic ionization rates across the precipitating electron flux spectrum, provide input to the NCAR Whole Atmosphere Community Climate Model in order to quantify enhancements of atmospheric HOx and NOx and subsequent destruction of O3 in the middle atmosphere. Results suggest that current APEEP parameterizations of radiation belt electrons used in Coupled Model Intercomparison Project may underestimate the duration of events as well as higher energy electron contributions to atmospheric ionization and modeled NOx concentrations in the mesosphere and upper stratosphere

Proposed follow up programme after curative resection for lower third oesophageal cancer

The incidence of oesophageal adenocarcinoma has risen throughout the Western world over the last three decades. The prognosis remains poor as many patients are elderly and present with advanced disease. Those patients who are suitable for resection remain at high risk of disease recurrence. It is important that cancer patients take part in a follow up protocol to detect disease recurrence, offer psychological support, manage nutritional disorders and facilitate audit of surgical outcomes. Despite the recognition that regular postoperative follow up plays a key role in ongoing care of cancer patients, there is little consensus on the nature of the process. This paper reviews the published literature to determine the optimal timing and type of patient follow up for those after curative oesophageal resection

Hormone replacement therapy and risks of oesophageal and gastric adenocarcinomas

Oesophageal and gastric adenocarcinoma share an unexplained male predominance, which would be explained by the hypothesis that oestrogens are protective in this respect. We carried out a nested case–control study of hormone replacement therapy (HRT) among 299 women with oesophageal cancer, 313 with gastric cancer, and 3191 randomly selected control women, frequency matched by age and calendar year in the General Practitioners Research Database in the United Kingdom. Data were adjusted for age, calendar year, tobacco smoking, alcohol consumption, body mass index, hysterectomy, and upper gastrointestinal disorders. Among 1 619 563 person-years of follow-up, more than 50% reduced risk of gastric adenocarcinoma was found among users of HRT compared to nonusers (odds ratio (OR), 0.48, 95% confidence interval (CI) 0.29–0.79). This inverse association appeared to be stronger for gastric noncardia (OR 0.34, 95% CI 0.14–0.78) and weaker for gastric cardia tumours (OR 0.68, 95% CI 0.23–2.01). There was no association between HRT and oesophageal adenocarcinoma (OR 1.17, 95% CI 0.41–3.32)