Drought Impact on Phenology and Green Biomass Production of Alpine Mountain Forest—Case Study of South Tyrol 2001–2012 Inspected with MODIS Time Series

Ecological balance and biodiversity of the alpine forest is endangered by global and local climatic extremes. It spurs a need for comprehensive forest monitoring, including in depth analyses of drought impact on the alpine woodland ecosystems. Addressing an arising knowledge gap, we identified and analyzed 2002–2012 aridity related responses within the alpine mountain forest of South Tyrol. The study exploited a S-mode PCA (Principal Component Analysis) based synergy between meteorological conditions rendered by the scPDSI (self-calibrated Palmer Drought Severity Index) and forest status approximated through MODIS (Moderate Resolution Imaging Spectroradiometer) derived NDVI (Normalized Difference Vegetation Index) and NDII7 (Normalized Difference Infrared Index based on MODIS band 7) time series. Besides characterizing predominant forest temporal response to drought, we identified corresponding spatial footprints of drought impact, as well as examined aridity-related changes in forest phenology and biomass production. The latter was further evaluated in relation to forest type, elevation, aspect and slope. Recognized meteorological conditions highlighted: prolonged 2003–2007 mild to extreme drought, and overall regional drying tendencies. Arising remotely sensed forest responses accounted on localized decline in foliage water content and/or photosynthetic activity, but also indicated regions where forest condition improved despite the meteorological stress. Perceived variability in the forest response to drought conditions was governed by geographic location, species structure, elevation and exposition, and featured complexity of the alpine forest ecosystem. Among the inspected biophysical factors elevation had the strongest influence on forest phenology and green biomass production under meteorological stress conditions. Stands growing above 1400 m a.s.l. demonstrated initial increase in annual biomass growth at the beginning of the dry spell in 2003. Conversely, woodlands at lower altitudes comprising considerable share of hardwood species were more prone to biomass decline in 2003, but experienced an overall upturn in biomass production during the following years of the dry spell. Aspect showed moderate effect on drought-related phenology and green biomass production responses. Diverse forest ecosystem responses identified in this study were in line with known local and regional analyses, but also shed some new light on drought induced alternation of forest status

Rekomendacje Polskich Towarzystw Naukowych „Diagnostyka i leczenie raka tarczycy”. Aktualizacja na rok 2018

Significant advances have been made in thyroid can­cer research in recent years, therefore relevant clinical guidelines need to be updated. The current Polish guidelines “Diagnostics and Treatment of Thyroid Carcinoma” have been formulated at the “Thyroid Cancer and Other Malignancies of Endocrine Glands” conference held in Wisła in November 2015 [1].Gwałtowny postęp, dokonujący się w ostatnich latach w badaniach nad rakiem tarczycy spowodował, że konieczne jest aktualizowanie bieżących rekomendacji klinicznych. Obowiązujące dotychczas Rekomendacje „Diagnostyka i leczenie raka tarczycy” zostały ustalone na Konferencji „Rak Tarczycy” w Wiśle w listopadzie 2015 roku [1]

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