Uroloogia. MRT ja ultraheli ühendmeetodi kasutamine eesnäärmebiopsias

Eesti Arst 2017; 96(6):35

Primaarne kusitivähk – kirjanduse lühiülevaade ja haigusjuhu kirjeldus

58aastane naine pöördus günekoloogi vastuvõtule valutu sõlmekesega kubemes. Lümfisõlme biopsial oli tegemist lamerakulise vähi metastaasiga, mille algkollet ei leitud. Onkoloogide konsiiliumi otsusel määrati vaagnapiirkonna regionaalsete lümfisõlmede kiiritusravi. Umbes aasta pärast esmast visiiti avastati regulaarsel günekoloogilisel kontrollil patsiendi kusiti avas polüüpjas moodustis, mille histoloogiline uuring kinnitas lamerakulise vähi diagnoosi. Uretrektoomia järel rajatud epitsüstostoom põhjustas patsiendil kusepõie väljakannatamatut ärritust, mistõttu tehti tsüstektoomia ja rajati Brickeri juha uriini eemaldamiseks. Primaarne kusitivähk on väga harva esinev urotraktikasvaja, mille sümptomite varieeruva väljenduse tõttu võib olla haigus raskesti diagnoositav

Täiskasvanute sõeluuringud Eestis 2023. aasta seisuga

Eesti Arst 2023; 102(8):418–42

-WAVVAP) campaign

[1] We present a validation study for the ground-based Middle Atmospheric Water Vapour Radiometer (MIAWARA) operating at 22 GHz. MIAWARA measures the water vapor profile in the range of 20-80 km. The validation was conducted in two phases at different geographical locations. During the first operational period the radiometer was operated at middle latitudes in Bern, Switzerland, and the measured water vapor profiles were compared with the HALOE satellite instrument. The agreement between HALOE and MIAWARA was for most altitudes better than 10%. The agreement between the balloon instruments and MIAWARA was better than 2% for a total number of 10 comparable flights. This showed the potential of MIAWARA in water vapor retrieval down to 20 km. In addition, the northern Finland MIAWARA profiles were compared with POAM III water vapor profiles. This comparison confirmed the good agreement with the other instruments, and the difference between MIAWARA and POAM was generally less than 8%. Finally, the tipping curve calibration was validated with tipping curve measurements of the All-Sky Multi Wavelength Radiometer (ASMUWARA) which was operated 10 months side by side with MIAWARA. The agreement of the tropospheric opacity derived from these tipping curves agree within 1%

Reconciliation of essential process parameters for an enhanced predictability of Arctic stratospheric ozone loss and its climate interactions

Significant reductions in stratospheric ozone occur inside the polar vortices each spring when chlorine radicals produced by heterogeneous reactions on cold particle surfaces in winter destroy ozone mainly in two catalytic cycles, the ClO dimer cycle and the ClO/BrO cycle. Chlorofluorocarbons (CFCs), which are responsible for most of the chlorine currently present in the stratosphere, have been banned by the Montreal Protocol and its amendments, and the ozone layer is predicted to recover to 1980 levels within the next few decades. During the same period, however, climate change is expected to alter the temperature, circulation patterns and chemical composition in the stratosphere, and possible geo-engineering ventures to mitigate climate change may lead to additional changes. To realistically predict the response of the ozone layer to such influences requires the correct representation of all relevant processes. The European project RECONCILE has comprehensively addressed remaining questions in the context of polar ozone depletion, with the objective to quantify the rates of some of the most relevant, yet still uncertain physical and chemical processes. To this end RECONCILE used a broad approach of laboratory experiments, two field missions in the Arctic winter 2009/10 employing the high altitude research aircraft M55-Geophysica and an extensive match ozone sonde campaign, as well as microphysical and chemical transport modelling and data assimilation. Some of the main outcomes of RECONCILE are as follows: (1) vortex meteorology: the 2009/10 Arctic winter was unusually cold at stratospheric levels during the six-week period from mid-December 2009 until the end of January 2010, with reduced transport and mixing across the polar vortex edge; polar vortex stability and how it is influenced by dynamic processes in the troposphere has led to unprecedented, synoptic-scale stratospheric regions with temperatures below the frost point; in these regions stratospheric ice clouds have been observed, extending over >106km2 during more than 3 weeks. (2) Particle microphysics: heterogeneous nucleation of nitric acid trihydrate (NAT) particles in the absence of ice has been unambiguously demonstrated; conversely, the synoptic scale ice clouds also appear to nucleate heterogeneously; a variety of possible heterogeneous nuclei has been characterised by chemical analysis of the non-volatile fraction of the background aerosol; substantial formation of solid particles and denitrification via their sedimentation has been observed and model parameterizations have been improved. (3) Chemistry: strong evidence has been found for significant chlorine activation not only on polar stratospheric clouds (PSCs) but also on cold binary aerosol; laboratory experiments and field data on the ClOOCl photolysis rate and other kinetic parameters have been shown to be consistent with an adequate degree of certainty; no evidence has been found that would support the existence of yet unknown chemical mechanisms making a significant contribution to polar ozone loss. (4) Global modelling: results from process studies have been implemented in a prognostic chemistry climate model (CCM); simulations with improved parameterisations of processes relevant for polar ozone depletion are evaluated against satellite data and other long term records using data assimilation and detrended fluctuation analysis. Finally, measurements and process studies within RECONCILE were also applied to the winter 2010/11, when special meteorological conditions led to the highest chemical ozone loss ever observed in the Arctic. In addition to quantifying the 2010/11 ozone loss and to understand its causes including possible connections to climate change, its impacts were addressed, such as changes in surface ultraviolet (UV) radiation in the densely populated northern mid-latitudes

Reconciliation of essential process parameters for an enhanced predictability of Arctic stratospheric ozone loss and its climate interactions : (RECONCILE) ; activities and results

The international research project RECONCILE has addressed central questions regarding polar ozone depletion, with the objective to quantify some of the most relevant yet still uncertain physical and chemical processes and thereby improve prognostic modelling capabilities to realistically predict the response of the ozone layer to climate change. This overview paper outlines the scope and the general approach of RECONCILE, and it provides a summary of observations and modelling in 2010 and 2011 that have generated an in many respects unprecedented dataset to study processes in the Arctic winter stratosphere. Principally, it summarises important outcomes of RECONCILE including (i) better constraints and enhanced consistency on the set of parameters governing catalytic ozone destruction cycles, (ii) a better understanding of the role of cold binary aerosols in heterogeneous chlorine activation, (iii) an improved scheme of polar stratospheric cloud (PSC) processes that includes heterogeneous nucleation of nitric acid trihydrate (NAT) and ice on non-volatile background aerosol leading to better model parameterisations with respect to denitrification, and (iv) long transient simulations with a chemistry-climate model (CCM) updated based on the results of RECONCILE that better reproduce past ozone trends in Antarctica and are deemed to produce more reliable predictions of future ozone trends. The process studies and the global simulations conducted in RECONCILE show that in the Arctic, ozone depletion uncertainties in the chemical and microphysical processes are now clearly smaller than the sensitivity to dynamic variability

Synergetic use of IASI and TROPOMI space borne sensors for generating a tropospheric methane profile product

The thermal infrared nadir spectra of IASI (Infrared Atmospheric Sounding Interferometer) are successfully used for retrievals of different atmospheric trace gas profiles. However, these retrievals offer generally reduced information about the lowermost tropospheric layer due to the lack of thermal contrast close to the surface. Spectra of scattered solar radiation observed in the near and/or short wave infrared, for instance by TROPOMI (TROPOspheric Monitoring Instrument) offer higher sensitivity near ground and are used for the retrieval of total column averaged mixing ratios of a variety of atmospheric trace gases. Here we present a method for the synergetic use of IASI profile and TROPOMI total column data. Our method uses the output of the individual retrievals and consists of linear algebra a posteriori calculations (i.e. calculation after the individual retrievals). We show that this approach is largely equivalent to applying the spectra of the different sensors together in a single retrieval procedure, but with the substantial advantage of being applicable to data generated with different individual retrieval processors, of being very time efficient, and of directly benefiting from the high quality and most recent improvements of the individual retrieval processors.This research has largely benefit from funds of the Deutsche Forschungsgemeinschaft (provided for the two projects MOTIV and TEDDY with IDs/Geschäftszeichen 290612604/GZ:SCHN1126/2-1 and 416767181/GZ:SCHN1126/5-1, respectively) and from support by the European Space Agency in the context the "Sentinel-5p+Innovation (S5p+I) - Water Vapour Isotopologues (H2O-ISO)" activities. Furthermore, we acknowledge funds from the Ministerio de Economía y Competividad from Spain for the project INMENSE (CGL2016-80688-P)

Using Kinect sensor in observational methods for assessing postures at work

This paper examines the potential use of Kinect range sensor in observational methods for assessing postural loads. Range sensors can detect the position of the joints at high sampling rates without attaching sensors or markers directly to the subject under study. First, a computerized OWAS ergonomic assessment system was implemented to permit the data acquisition from Kinect and data processing in order to identify the risk level of each recorded postures. Output data were compared with the results provided by human observers, and were used to determine the influence of the sensor view angle relative to the worker. The tests show high inter-method agreement in the classification of risk categories (Proportion agreement index = 0.89 k = 0.83) when the tracked subject is facing the sensor. The camera’s point of view relative to the position of the tracked subject significantly affects the correct classification of the postures. Although the results are promising, some aspects involved in the use of low-cost range sensors should be further studied for their use in real environmentsDiego-Mas, JA.; Alcaide Marzal, J. (2014). Using Kinect sensor in observational methods for assessing postures at work. Applied Ergonomics. 1-10. doi:10.1016/j.apergo.2013.12.001S11

Synergetic use of IASI profile and TROPOMI total-column level 2 methane retrieval products

The thermal infrared nadir spectra of IASI (Infrared Atmospheric Sounding Interferometer) are successfully used for retrievals of different atmospheric trace gas profiles. However, these retrievals offer generally reduced information about the lowermost tropospheric layer due to the lack of thermal contrast close to the surface. Spectra of scattered solar radiation observed in the near-infrared and/or shortwave infrared, for instance by TROPOMI (TROPOspheric Monitoring Instrument), offer higher sensitivity near the ground and are used for the retrieval of total-column-averaged mixing ratios of a variety of atmospheric trace gases. Here we present a method for the synergetic use of IASI profile and TROPOMI total-column level 2 retrieval products. Our method uses the output of the individual retrievals and consists of linear algebra a posteriori calculations (i.e. calculation after the individual retrievals). We show that this approach has strong theoretical similarities to applying the spectra of the different sensors together in a single retrieval procedure but with the substantial advantage of being applicable to data generated with different individual retrieval processors, of being very time efficient, and of directly benefiting from the high quality and most recent improvements of the individual retrieval processors. We demonstrate the method exemplarily for atmospheric methane (CH$_4$). We perform a theoretical evaluation and show that the a posteriori combination method yields a total-column-averaged CH$_4$ product (XCH$_4$) that conserves the good sensitivity of the corresponding TROPOMI product while merging it with the high-quality upper troposphere–lower stratosphere (UTLS) CH$_4$ partial-column information of the corresponding IASI product. As a consequence, the combined product offers additional sensitivity for the tropospheric CH$_4$ partial column, which is not provided by the individual TROPOMI nor the individual IASI product. The theoretically predicted synergetic effect is verified by comparisons to CH$_4$ reference data obtained from collocated XCH$_4$ measurements at 14 globally distributed TCCON (Total Carbon Column Observing Network) stations, CH$_4$ profile measurements made by 36 individual AirCore soundings, and tropospheric CH$_4$ data derived from continuous ground-based in situ observations made at two nearby Global Atmospheric Watch (GAW) mountain stations. The comparisons clearly demonstrate that the combined product can reliably detect the actual variations of atmospheric XCH$_4$, CH$_4$ in the UTLS, and CH$_4$ in the troposphere. A similar good reliability for the latter is not achievable by the individual TROPOMI and IASI products