The European Radiological Data Exchange Platform (EURDEP): 25 years of monitoring data exchange

Abstract. During the early phase of an accident with the release of radioactive material to the environment at the local or transboundary scale, a rapid and continuous system of information exchange, including real-time monitoring data to competent authorities and the public, is critical for setting up countermeasures. This information and data exchange must be carried out in a harmonized and consistent manner to facilitate its interpretation and analysis. After the Chernobyl accident in 1986, and in order to avoid the competent authorities being unprepared again for a similar event, the European Commission (EC) defined and put in place a directive (Council Decision 87/600/EURATOM, 1987) which essentially obliges a member state that decides to implement widespread countermeasures to protect its population to notify the European Commission without delay. The same Council Decision also specifies that the results of radiological monitoring must be made available to the European Commission and all potentially affected member states. Over the past 30 years, the European Commission has invested resources in developing and improving a complete system to carry out this delicate task, currently composed of two platforms: the European Community Urgent Radiological Information Exchange (ECURIE) and the European Radiological Data Exchange Platform (EURDEP). This paper aims to increase knowledge of the latter system as a valuable tool for understanding and analysing the radioactivity levels in Europe. Commencing with background information, in this paper, we will describe the EURDEP system in detail, with an emphasis on its status, data availability, and how these data are diffused depending on the audience. Within the scope of this publication, we describe an example of measurements available in the EURDEP system, which to be used for scientific purposes. We provide two complete datasets (air-concentration samples – https://doi.org/10.2905/23CBC7C4-4FCC-47D5-A286-F8A4EDC8215F; De Cort et al., 2019a; and gamma dose rates – https://doi.org/10.2905/0F9F3E2D-C8D7-4F46-BBE7-EACF3EED1560; De Cort et al., 2019b) for the recent radiological release of 106Ru in Europe, which occurred between the end of September and early October 2017. Records stored are publicly accessible through an unrestricted repository called COLLECTION belonging to the JRC Data Public Catalogue (https://data.jrc.ec.europa.eu, last access: 1 July 2019)

Real-World Urban Light Emission Functions and Quantitative Comparison with Spacecraft Measurements

We provide quantitative results from GIS-based modelling of urban emission functions for a range of representative low- and mid-rise locations, ranging from individual streets to residential communities within cities, as well as entire towns and city regions. Our general aim is to determine whether lantern photometry or built environment has the dominant effect on light pollution and whether it is possible to derive a common emission function applicable to regions of similar type. We demonstrate the scalability of our work by providing results for the largest urban area modelled to date, comprising the central 117 km2 area of Dublin City and containing nearly 42,000 public lights. Our results show a general similarity in the shape of the azimuthally averaged emission function for all areas examined, with differences in the angular distribution of total light output depending primarily on the nature of the lighting and, to a smaller extent, on the obscuring environment, including seasonal foliage effects. Our results are also consistent with the emission function derived from the inversion of worldwide skyglow data, supporting our general results by an independent method. Additionally, a comparison with global satellite observations shows that our results are consistent with the deduced angular emission function for other low-rise areas worldwide. Finally, we validate our approach by demonstrating very good agreement between our results and calibrated imagery taken from the International Space Station of a range of residential locations. To our knowledge, this is the first such detailed quantitative verification of light loss calculations and supports the underlying assumptions of the emission function model. Based on our findings, we conclude that it should be possible to apply our approach more generally to produce estimates of the energy and environmental impact of urban areas, which can be applied in a statistical sense. However, more accurate values will depend on the details of the particular locations and require treatment of atmospheric scattering, as well as differences in the spectral nature of the sources

The European Union Radiological Data Exchange Platform (EURDEP): 25 years of monitoring data exchange

During the early phase of an accident with release of radioactive material to the atmosphere having an environmental impact at local or transboundary scale, a rapid and continuous notification and exchange of information including real-time environmental monitoring data to competent authorities and the public is essential to effect appropriate countermeasures. A rapid exchange of information and data must be carried out in a harmonised and consistent manner to facilitate its interpretation and analysis. After the Chernobyl accident in 1986, and in order to avoid that competent authorities be unprepared again for a similar event, the European Commission defined and put in place a Directive (Council Decision 87/600/EURATOM) which essentially obliges a member state that decides to implement widespread countermeasures to protect its population to notify the European Commission without delay. The same Council Decision also specifies that the results of radiological monitoring must be made available to the Commission and all potentially affected member states. Over the past 30 years, the European Commission has invested resources in developing and improving a complete system to carry out this delicate task, currently composed of two platforms: the European Community Urgent Radiological Information Exchange, ECURIE, and the European Radiological Data Exchange Platform, EURDEP. This paper aims to increase knowledge of this latter system as a valuable tool to understand and analyse the radioactivity levels in Europe. Commencing with background information, in this paper, we will describe the EURDEP system in detail, with an emphasis on its status, data availability, and how these data are diffused depending on the audience. Within the scope of this publication, we describe an example of measurements available in the EURDEP system, to be used for scientific purposes. We provide two complete datasets (air concentration samples, http://data.europa.eu/89h/23cbc7c4-4fcc-47d5-a286-f8a4edc8215f (De Cort et al., 2019a) and gamma dose rates, http://data.europa.eu/89h/0f9f3e2d-c8d7-4f46-bbe7-eacf3eed1560 (De Cort et al., 2019b)) for the recent radiological release of 106Ru in Europe which occurred between the end of September and early October 2017. Records stored are publicly accessible through an unrestricted repository called “COLLECTION” belonging to JRC Data Public Catalogue ( https://data.jrc.ec.europa.eu).JRC.G.10-Knowledge for Nuclear Security and Safet

Stoma-free survival after anastomotic leak following rectal cancer resection: worldwide cohort of 2470 patients

Background: The optimal treatment of anastomotic leak after rectal cancer resection is unclear. This worldwide cohort study aimed to provide an overview of four treatment strategies applied. Methods: Patients from 216 centres and 45 countries with anastomotic leak after rectal cancer resection between 2014 and 2018 were included. Treatment was categorized as salvage surgery, faecal diversion with passive or active (vacuum) drainage, and no primary/secondary faecal diversion. The primary outcome was 1-year stoma-free survival. In addition, passive and active drainage were compared using propensity score matching (2: 1). Results: Of 2470 evaluable patients, 388 (16.0 per cent) underwent salvage surgery, 1524 (62.0 per cent) passive drainage, 278 (11.0 per cent) active drainage, and 280 (11.0 per cent) had no faecal diversion. One-year stoma-free survival rates were 13.7, 48.3, 48.2, and 65.4 per cent respectively. Propensity score matching resulted in 556 patients with passive and 278 with active drainage. There was no statistically significant difference between these groups in 1-year stoma-free survival (OR 0.95, 95 per cent c.i. 0.66 to 1.33), with a risk difference of -1.1 (95 per cent c.i. -9.0 to 7.0) per cent. After active drainage, more patients required secondary salvage surgery (OR 2.32, 1.49 to 3.59), prolonged hospital admission (an additional 6 (95 per cent c.i. 2 to 10) days), and ICU admission (OR 1.41, 1.02 to 1.94). Mean duration of leak healing did not differ significantly (an additional 12 (-28 to 52) days). Conclusion: Primary salvage surgery or omission of faecal diversion likely correspond to the most severe and least severe leaks respectively. In patients with diverted leaks, stoma-free survival did not differ statistically between passive and active drainage, although the increased risk of secondary salvage surgery and ICU admission suggests residual confounding

Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort.

Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies