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Background: Cancer incidence and mortality projections are important for understanding the evolving landscape for cancer risk factors as well as anticipating future burden on the health service. Methods: We used an age–period–cohort model with natural cubic splines to estimate cancer cases and deaths from 2015 to 2035 based on 1979–2014 UK data. This was converted to rates using ONS population projections. Modified data sets were generated for breast and prostate cancers. Results: Cancer incidence rates are projected to decrease by 0.03% in males and increase by 0.11% in females yearly between 2015 and 2035; thyroid, liver, oral and kidney cancer are among the fastest accelerating cancers. 243 690 female and 270 261 male cancer cases are projected for 2035. Breast and prostate cancers are projected to be the most common cancers among females and males, respectively in 2035. Most cancers' mortality rate is decreasing; there are notable increases for liver, oral and anal cancer. For 2035, there are 95 961 female deaths projected and 116 585 male deaths projected. Conclusions: These findings stress the need to continue efforts to address cancer risk factors. Furthermore, the increased burden of the number of cancer cases and deaths as a result of the growing and ageing population should be taken into consideration by healthcare planners.

ABAT deficiency (OMIM 613163) is a rare inborn error of metabolism caused by recessive variants in the gene 4-aminobutyric acid transaminase (ABAT), which is responsible for both the catalysis of GABA and maintenance of nucleoside pools in the mitochondria. To date, only a few patients have been reported worldwide. Their clinical presentation has been remarkably consistent with primary features of severe psychomotor retardation, encephalopathy, hypotonia, and infantile-onset refractory epilepsy. We report a new case of ABAT deficiency that marks an important departure from previous clinical findings. The patient presented at age 6 months with global developmental delay, hypotonia, hypersomnolence and mild choreiform movements. At age 18 months, the subject’s clinical presentation was still milder than all previously reported patients and, most notably, did not include seizures. Clinical whole exome sequencing revealed two heterozygous ABAT missense variants that are rare and predicted damaging, but never before reported in a patient and were reported as variants of unknown significance. To test the potential pathogenicity of the variants identified in this patient we developed a cell-based system to test both functions of the ABAT protein via GABA transaminase enzyme activity and mtDNA copy number assays. This systematic approach was validated using vigabatrin, the irreversible inhibitor of ABAT, and leveraged to test the functionality of all ABAT variants in previously reported patients plus the variants in this new case. This work confirmed the novel variants compromised ABAT function to similar levels as variants in previously characterized cases with more severe clinical presentation, thereby confirming the molecular diagnosis of this patient. Additionally, functional studies conducted in cells from both mild and severe patient fibroblasts showed similar levels of compromise in mitochondrial membrane potential, respiratory capacity, ATP production and mtDNA depletion. These results illustrate how cell-based functional studies can aid in the diagnosis of a rare, neurological disorder. Importantly, this patient marks an expansion in the clinical phenotype for ABAT deficiency to a milder presentation that is more commonly seen in pediatric genetics and neurology clinics.

Total columns measured with the ground-based solar FTIR technique are highly variable in time due to atmospheric chemistry and dynamics in the atmosphere above the measurement station. In this paper, a multiple regression model with anomalies of air pressure, total columns of hydrogen fluoride (HF) and carbon monoxide (CO) and tropopause height are used to reduce the variability in the methane (CH4) and nitrous oxide (N2O) total columns to estimate reliable linear trends with as small uncertainties as possible. The method is developed at the Harestua station (60° N, 11° E, 600 m a.s.l.) and used on three other European FTIR stations, i.e. Jungfraujoch (47° N, 8° E, 3600 m a.s.l.), Zugspitze (47° N, 11° E, 3000 m a.s.l.), and Kiruna (68° N, 20° E, 400 m a.s.l.). Linear CH4 trends between 0.13 ± 0.01-0.25 ± 0.02 % yr−1 were estimated for all stations in the 1996-2009 period. A piecewise model with three separate linear trends, connected at change points, was used to estimate the short term fluctuations in the CH4 total columns. This model shows a growth in 1996–1999 followed by a period of steady state until 2007. From 2007 until 2009 the atmospheric CH4 amount increases between 0.57 ± 0.22–1.15 ± 0.17 % yr−1. Linear N2O trends between 0.19 ± 0.01–0.40 ± 0.02 % yr−1 were estimated for all stations in the 1996-2007 period, here with the strongest trend at Harestua and Kiruna and the lowest at the Alp stations. From the N2O total columns crude tropospheric and stratospheric partial columns were derived, indicating that the observed difference in the N2O trends between the FTIR sites is of stratospheric origin. This agrees well with the N2O measurements by the SMR instrument onboard the Odin satellite showing the highest trends at Harestua, 0.98 ± 0.28 % yr−1, and considerably smaller trends at lower latitudes, 0.27 ± 0.25 % yr−1. The multiple regression model was compared with two other trend methods, the ordinary linear regression and a Bootstrap algorithm. The multiple regression model estimated CH4 and N2O trends that differed up to 31 % compared to the other two methods and had uncertainties that were up to 300 % lower. Since the multiple regression method were carefully validated this stresses the importance to account for variability in the total columns when estimating trend from solar FTIR data.

Introduction: Patients diagnosed with (muscle-) invasive bladder cancer (IBC) are more likely to harbour comorbidities due to their advanced age at diagnosis. Under-nutrition is a predictor for postoperative morbidity and mortality in cancer patients, but under-reported in urology. Understanding the IBC patient profile before major surgery could facilitate and optimise outcome of the surgical patient. Background/objectives: To identify preoperative risk factors for early rehabilitation before radical cystectomy (RC). Subjects/methods: A historical registry-based study of 76 patients referred for RC at Aarhus University Hospital, Denmark (DK) in 2009. Early rehabilitation was defined by length of stay (LOS) postoperatively with a cutoff ⩽11 days. High comorbidity was expressed by the charlson comorbidity index score (CCI) ⩾3. LOS was calculated by linking the unique Civil Registration Number with the National Patient Registry. Preoperative nutritional risk was identified using the screening tool, nutritional risk score 2002 (NRS) of the European Society of Clinical Nutrition and Metabolism. Multivariate analysis was used to identify risk factors for early rehabilitation. Results: The proportion of patients at preoperative nutritional risk was 26% (95% confidence interval (CI): (95% CI: 17; 37) and 43% of patients held a high CCI (95% CI: 33; 55). Prolonged LOS was independently associated with female gender ( P =0.02) and age ⩾70 years ( P =0.04). NRS and CCI were not associated with LOS. Conclusions: Attention should be focused on women and elderly patients undergoing RC to optimise early rehabilitation and reduce LOS. It is still unknown whether preoperative nutritional risk and comorbidity are obstacles in early rehabilitation of RC patients.

Trends in the CO andC2H6 partial columns ~0–15 km) have been estimated from four European ground-based solar FTIR (Fourier Transform InfraRed) stations for the 1996–2006 time period. The CO trends from the four stations Jungfraujoch, Zugspitze, Harestua and Kiruna have been estimated to −0.45 ± 0.16% yr−1, −1.00 ± 0.24% yr−1, −0.62 ± 0.19 % yr−1 and −0.61 ± 0.16% yr−1, respectively. The corresponding trends for C2H6 are −1.51 ± 0.23% yr−1, −2.11 ± 0.30% yr−1, −1.09 ± 0.25% yr−1 and −1.14 ± 0.18% yr−1. All trends are presented with their 2-σ confidence intervals. To find possible reasons for the CO trends, the global-scale EMEP MSC-W chemical transport model has been used in a series of sensitivity scenarios. It is shown that the trends are consistent with the combination of a 20% decrease in the anthropogenic CO emissions seen in Europe and North America during the 1996–2006 period and a 20% increase in the anthropogenic CO emissions in East Asia, during the same time period. The possible impacts of CH4 and biogenic volatile organic compounds (BVOCs) are also considered. The European and global-scale EMEP models have been evaluated against the measured CO and C2H6 partial columns from Jungfraujoch, Zugspitze, Bremen, Harestua, Kiruna and Ny-Ålesund. The European model reproduces, on average the measurements at the different sites fairly well and within 10–22% deviation for CO and 14–31% deviation for C2H6. Their seasonal amplitude is captured within 6–35% and 9–124% for CO and C2H6, respectively. However, 61–98% of the CO and C2H6 partial columns in the European model are shown to arise from the boundary conditions, making the global-scale model a more suitable alternative when modeling these two species. In the evaluation of the global model the average partial columns for 2006 are shown to be within 1–9% and 37–50% of the measurements for CO and C2H6, respectively. The global model sensitivity for assumptions made in this paper is also analyzed.

Total column concentrations of methane have been retrieved from ground-based solar absorption FTIR spectra in the near-infrared recorded in Paramaribo (Suriname). The methane FTIR observations are compared with TM5 model simulations and satellite observations from SCIAMACHY, and represent the first validation of SCIAMACHY retrievals in the inner tropics using ground-based remote sensing techniques. Apart from local biomass burning features, our methane FTIR observations agree well with TM5 model simulations. The comparison of the direct measured CH4 /CO2 ratios by FTIR and satellite reveals that the satellite can hardly detect methane emissions of tropical biomass burning due to the used retrieval method.

The first ground-based remote sensing measurements of the column averaged volume mixing ratio of CO2 (XCO2 ) in tropical South America have been obtained at Paramaribo, Suriname (5.8° N, 55.2° W). The remote sensing observations are complemented by surface air-samples collected at the site, analyzed for CO2 and 13 CO2 . The surface in-situ measurements are strongly influenced by local sources. From the isotopic composition of the air samples the local source component is suggested to be dominated by the terrestrial biosphere. Using δ13 C from the NOAA/ESRL stations Ascension Is. (ASC), 7.9° S, 14.4° W, and Ragged Point (RPB), 13.2° N, 59.4° W, the data has been corrected for the local source component. Due to the migration of the Intertropical Convergence Zone (ITCZ) over the measurement site the sampled air masses belong to the Northern or Southern Hemisphere depending on the time of the year. Comparison to analyzed CO2 fields based on TM3 model simulations using optimized fluxes indicate agreement for the seasonality in XCO2 as well as for the corrected CO2 mixing ratios at the surface for the long dry season, when Paramaribo belongs to the Southern Hemisphere. A slightly worse agreement during the short dry season is attributed to a larger representation error during this time of the year. Overall the comparison indicates that the TM3 model is capable to simulate the seasonal variation of surface concentrations as well as column densities of CO2 correctly at Paramaribo. It has been also shown that the column measurements currently performed at Paramaribo have a limited precision and lack the link to the in situ measurements. Solutions for future improvements have been suggested.

Atmospheric mercury pollution related to gold mining activities is a matter of concern in the Republic of Suriname. The first measurements of total gaseous mercury (TGM) in ambient air in Suriname at different sites are presented in this study. Our study shows that Suriname has a TGM mercury background level of 1.45–1.52 ng/m 3 , with a mean of 1.4 ng/m 3 which is in agreement with global background concentrations (1.5–2.0 ng/m 3 ) (Feng et al. Sci Total Environ 304:61–72, 2003 ; Li et al. Sci Total Environ 395:72–79, 2008 ). Emissions of mercury from gold buy up shops in the City of Paramaribo result in TGM maximum concentrations of 109.4 ng/m 3 (15 min average) and a mean concentration level of 5.6 ng/m 3 at this urban measurement location. These levels are comparable with that of world cities in Asia and North America. However, per capita Paramaribo loads 3.5–6.5 times more TGM into the atmosphere than Changchun City (Fang et al. Sci Total Environ 330:159–170, 2004 ) and the occurring spikes are 5.3 times higher and much longer in duration then those in New York City (Carpi and Chen Water Air Soil Pollut 140:371–379, 2002 ). According to health standard institutions these concentrations represent no risk for the general public. However, a survey inside and in the close vicinity (<100 m) of the gold buy up shops shows mercury concentration levels that surpass the National Institute for Occupational Safety and Health recommended exposure level of 50 μg/m 3 inside and the minimal risk level of 0.2 μg/m 3 of the Agency for Toxic Substances and Disease Registry outside.

Increased use of wood can substitute more energy demanding products and thus contribute to a long-term solution to the global warming problem. The aim of this article is to provide an empirical study on this substitution impact, its cost-effectiveness, and which methodological assumptions that are of highest importance for the results obtained. We have made a case study where we compare use of various flooring materials. The results show that floor covering in solid oak causes lower greenhouse gas (GHG) emissions than the other materials. The difference can be ranked in the following order, after their potential for reduction in GHG emissions: Carpet in wool, carpet in polyamide, vinyl, and linoleum. At 2% pro anno discount rate, the avoided GHG emission in tons per m3 of oak flooring used is 0.1-1.9 for linoleum, and 11.8-15.5 for wool carpets. Unless the solution in solid oak is on total less expensive over the lifetime of the building, only the price of avoided emissions from a substitution between solid oak and carpet in wool is reasonable, compared to present carbon fees. The assumptions that influence the result most are choice of discount rate, carbon fixation on forest area, and waste handling. Empirical case studies like this indicate GHG emission reduction potentials caused by substitution, but should be complemented by dynamic input/output analyses and econometric studies. To analyse the flow of CO2 over time, they should also be linked to forest management models. [PUBLICATION ABSTRACT]