Purpose
To evaluate the mutagen sensitivity phenotype on the risk of second primary cancer (SPC) in patients with head and neck squamous cell carcinoma (HNSCC), and to estimate the long-term rate of ...SPC and the outcome with SPC.
Methods
A survey was made regarding SPC among 124 younger (≤ 50 years) adults with HNSCC who were enrolled in a pretreatment mutagen sensitivity investigation during 1996–2006. Mutagen sensitivity was assessed by exposing lymphocytes to bleomycin in vitro and quantifying the bleomycin-induced chromatid breaks per cell (b/c). Patients were classified as hypersensitive (> 1 b/c) or not hypersensitive (≤ 1 b/c).
Results
Mean follow-up time for all patients was 68 months (range: 5–288 months), and the 15-year cancer-specific survival was 15%. Twenty patients (16%) developed a SPC (15-year estimated rate: 41%), and half of them was hypersensitive. The crude rate of SPC for hypersensitive (
n
= 65) or not hypersensitive (
n
= 59) patients were 15 and 17%, respectively (
p
= 0.4272). The 15-year estimated rate of SPC for hypersensitive and not hypersensitive patients was 36 and 48%, respectively (
p
= 0.3743). Gender, UICC stages, anatomical sites of index cancer did not prove to be a significant risk factor for SPC. Forty-five percent of SPC developed after the 10-year follow-up. The 3‑year cancer-specific survival was 23% with SPC.
Conclusion
According to our findings, mutagen hypersensitivity was not associated with an increased SPC risk in HNSCC patients. Patients are at a lifelong risk of developing a SPC. Survival with SPC is very poor.
A new method is presented in this paper which analyses the scattered light of individual aerosol particles simultaneously at two different wavelengths in order to retrieve information on the particle ...type. We show that dust-like particles, such as volcanic ash, can be unambiguously discriminated from water droplets on a single-particle level. As a future application of this method, the detection of volcanic ash particles should be possible in a humid atmosphere in the presence of cloud droplets. The characteristic behaviour of pure water's refractive index can be used to separate water droplets and dust-like particles which are commonly found in the micrometre size range in the ambient air. The low real part of the water's refractive index around 2700–2800 nm results in low scattered light intensities compared to e.g. the visible wavelength range, and this feature can be used for the desired particle identification. The two-wavelength measurement set-up was theoretically and experimentally tested and studied. Theoretical calculations were done using Mie theory. Comparing the ratio of the scattered light at the two wavelengths (visible-to-IR (infrared), R value) for water droplets and different dust types (basalt, andesite, African mineral dust, sand, volcanic ash, pumice) showed at least 9-times-higher values (on average 70 times) for water droplets than for the dust types at any diameter within the particle size range of 2–20 μm. The envisaged measurement set-up was built up into a laboratory prototype and was tested with different types of aerosols. We generated aerosols from the following powders, simulating dust-like particles: cement dust, ISO 12103-1 A1 Ultrafine Test Dust and ash from the 2012 eruption of the Etna volcano. Our measurements verified the theoretical considerations; the median experimental R value is 8–21 times higher for water than for the "dust" particles.
Cloud condensation nuclei counter (CCNC) measurements performed at 14 locations around the world within the European Integrated project on Aerosol Cloud Climate and Air Quality interactions (EUCAARI) ...framework have been analysed and discussed with respect to the cloud condensation nuclei (CCN) activation and hygroscopic properties of the atmospheric aerosol. The annual mean ratio of activated cloud condensation nuclei (NCCN) to the total number concentration of particles (NCN), known as the activated fraction A, shows a similar functional dependence on supersaturation S at many locations – exceptions to this being certain marine locations, a free troposphere site and background sites in south-west Germany and northern Finland. The use of total number concentration of particles above 50 and 100 nm diameter when calculating the activated fractions (A50 and A100, respectively) renders a much more stable dependence of A on S; A50 and A100 also reveal the effect of the size distribution on CCN activation. With respect to chemical composition, it was found that the hygroscopicity of aerosol particles as a function of size differs among locations. The hygroscopicity parameter κ decreased with an increasing size at a continental site in south-west Germany and fluctuated without any particular size dependence across the observed size range in the remote tropical North Atlantic and rural central Hungary. At all other locations κ increased with size. In fact, in Hyytiälä, Vavihill, Jungfraujoch and Pallas the difference in hygroscopicity between Aitken and accumulation mode aerosol was statistically significant at the 5 % significance level. In a boreal environment the assumption of a size-independent κ can lead to a potentially substantial overestimation of NCCN at S levels above 0.6 %. The same is true for other locations where κ was found to increase with size. While detailed information about aerosol hygroscopicity can significantly improve the prediction of NCCN, total aerosol number concentration and aerosol size distribution remain more important parameters. The seasonal and diurnal patterns of CCN activation and hygroscopic properties vary among three long-term locations, highlighting the spatial and temporal variability of potential aerosol–cloud interactions in various environments.
Aerosol hygroscopicity and refractory black carbon (rBC) properties were characterised during wintertime at a suburban site in Paris, one of the biggest European cities. Hygroscopic growth factor ...(GF) frequency distributions, characterised by distinct modes of more-hygroscopic background aerosol and non- or slightly hygroscopic aerosol of local (or regional) origin, revealed an increase of the relative contribution of the local sources compared to the background aerosol with decreasing particle size. BC-containing particles in Paris were mainly originating from fresh traffic emissions, whereas biomass burning only gave a minor contribution. The mass size distribution of the rBC cores peaked on average at an rBC core mass equivalent diameter of DMEV ~ 150 nm. The BC-containing particles were moderately coated (coating thickness Δcoat ~ 33 nm on average for rBC cores with DMEV = 180–280 nm) and an average mass absorption coefficient (MAC) of ~ 8.6 m2 g−1 at the wavelength λ = 880 nm was observed. Different time periods were selected to investigate the properties of BC-containing particles as a function of source and air mass type. The traffic emissions were found to be non-hygroscopic (GF ≈ 1.0), and essentially all particles with a dry mobility diameter (D0) larger than D0 = 110 nm contained an rBC core. rBC from traffic emissions was further observed to be uncoated within experimental uncertainty (Δcoat ~ 2 nm ± 10 nm), to have the smallest BC core sizes (maximum of the rBC core mass size distribution at DMEV ~ 100 nm) and to have the smallest MAC (~ 7.3 m2g−1 at λ = 880 nm). The biomass burning aerosol was slightly more hygroscopic than the traffic emissions (with a distinct slightly-hygroscopic mode peaking at GF ≈ 1.1–1.2). Furthermore, only a minor fraction ( 10%) of the slightly-hygroscopic particles with 1.1 GF 1.2 (and D0 = 265 nm) contained a detectable rBC core. The BC-containing particles from biomass burning were found to have a medium coating thickness as well as slightly larger mean rBC core sizes and MAC values compared to traffic emissions. The aerosol observed under the influence of aged air masses and air masses from Eastern Continental Europe was dominated by a~more-hygroscopic mode peaking at GF ≈ 1.6. Most particles (95%), in the more-hygroscopic mode at D0 = 265 nm, did not contain a detectable rBC core. A significant fraction of the BC-containing particles had a substantial coating with non-refractory aerosol components. MAC values of ~ 8.8 m2g−1 and ~ 8.3 m2g−1 at λ = 880 nm and mass mean rBC core diameters of 150 nm and 200 nm were observed for the aged and continental air mass types, respectively. The reason for the larger rBC core sizes compared to the fresh emissions – transport effects or a different rBC source – remains unclear. The dominant fraction of the BC-containing particles was found to have no or very little coating with non-refractory matter. The lack of coatings is consistent with the observation that the BC-containing particles are non- or slightly-hygroscopic, which makes them poor cloud condensation nuclei. It can therefore be expected that wet removal through nucleation scavenging is inefficient for fresh BC-containing particles in urban plumes. The mixing-state-specific cloud droplet activation behaviour of BC-containing particles including the effects of atmospheric aging processes should be considered in global simulations of atmospheric BC, as the wet removal efficiency remains a major source of uncertainty in its life-cycle.
Between May 2008 and September 2009 the cloud condensation nuclei (CCN) number concentration, NCCN, was measured at the high alpine site Jungfraujoch, which is located in the free troposphere most of ...the time. Measurements at 10 different supersaturations (0.12%–1.18%) were made using a CCN counter (CCNC). The monthly median NCCN values show a distinct seasonal variability with ∼5–12 times higher values in summer than in winter. The major part of this variation can be explained by the seasonal amplitude of total aerosol number concentration (∼4.5 times higher values in summer), but it is further amplified (factor of ∼1.1–2.6) by a shift of the particle number size distribution toward slightly larger sizes in summer. In contrast to the extensive properties, the monthly median of the critical dry diameter, above which the aerosols activate as CCN, does not show a seasonal cycle (relative standard deviations of the monthly median critical dry diameters at the different supersaturations are 4–9%) or substantial variability (relative standard deviations of individual data points at the different supersaturations are less than 18–37%). The mean CCN‐derived hygroscopicity of the aerosol corresponds to a value of the hygroscopicity parameter κ of 0.20 (assuming a surface tension of pure water) with moderate supersaturation dependence. NCCN can be reliably predicted throughout the measurement period with knowledge of the above‐mentioned averaged κ value and highly time‐resolved (∼5 min) particle number size distribution data. The predicted NCCN was within 0.74 to 1.29 times the measured value during 80% of the time (94,499 data points in total at 10 different supersaturations).
Key Points
Characterization of the seasonal cycle of the CCN concentration at Jungfraujoch
No seasonal cycle of the supersaturation‐dependent CCN activation diameter
Long‐term CCN concentration prediction from time‐resolved size distribution
The new portable ice nucleation chamber (PINC) developed by the Institute for Atmospheric and Climate Sciences of ETH Zurich was operated during two measurement campaigns at the high alpine research ...station Jungfraujoch situated at 3580 m a.s.l, in March and June 2009. During this time of the year, a high probability of Saharan dust events (SDE) at the Jungfraujoch has been observed. We used an impactor with a cutoff size of 1 μm aerodynamic diameter and operated the system at −31 °C and relative humidities of 127 % and 91 % with respect to ice and water, respectively. Investigation of the ambient number concentration of ice nuclei (IN) in the deposition nucleation mode and during a SDE in the free troposphere is reported. The results discussed in this paper are the first continuous IN measurements over a period of several days at the Jungfraujoch. The average IN concentration found during the campaign in March was 8 particles per liter whereas during the campaign in June, the average number concentration was higher up to 14 particles per liter. Two SDEs were detected on 15 and 16 June 2009. Our measurements show that the SDEs had IN number concentration up to several hundreds per liter. We found the best correlation between the number concentration of the larger particle fraction measured by an optical particle counter and the IN number concentration during a Saharan dust event. This correlation factor is higher for particles larger than 0.5 μm meaning that a higher concentration of larger particles induced higher IN number concentration. No correlation could be found between the black carbon mass concentration and the variations in IN number concentration.
Atmospheric aerosol particles are able to act as cloud condensation nuclei (CCN) and are therefore important for the climate and the hydrological cycle, but their properties are not fully understood. ...Total CCN number concentrations at 10 different supersaturations in the range of SS=0.12–1.18% were measured in May 2008 at the remote high alpine research station, Jungfraujoch, Switzerland (3580 m a.s.l.). In this paper, we present a closure study between measured and predicted CCN number concentrations. CCN predictions were done using dry number size distribution (scanning particle mobility sizer, SMPS) and bulk chemical composition data (aerosol mass spectrometer, AMS, and multi-angle absorption photometer, MAAP) in a simplified Köhler theory. The predicted and the measured CCN number concentrations agree very well and are highly correlated. A sensitivity study showed that the temporal variability of the chemical composition at the Jungfraujoch can be neglected for a reliable CCN prediction, whereas it is important to know the mean chemical composition. The exact bias introduced by using a too low or too high hygroscopicity parameter for CCN prediction was further quantified and shown to be substantial for the lowest supersaturation. Despite the high average organic mass fraction (~45%) in the fine mode, there was no indication that the surface tension was substantially reduced at the point of CCN activation. A comparison between hygroscopicity tandem differential mobility analyzer (HTDMA), AMS/MAAP, and CCN derived κ values showed that HTDMA measurements can be used to determine particle hygroscopicity required for CCN predictions if no suitable chemical composition data are available.
The refractory black carbon (rBC) mass, size distribution (190–720 nm) and mixing state in sub-micron aerosols were characterized from late February to March 2007 using a single particle ...incandescence method at the high alpine research station Jungfraujoch (JFJ), Switzerland (46.33° N, 7.59° E, 3580 m a.s.l.). JFJ is a ground based location, which is at times exposed to continental free tropospheric air. A median mass absorption coefficient (MAC) of 10.2±3.2 m2 g−1 at λ=630 nm was derived by comparing single particle incandescence measurements of black carbon mass with continuous measurements of absorption coefficient. This value is comparable with other estimates at this location. The aerosols measured at the site were mostly well mixed and aged during transportation via the free troposphere. Pollutant sources were traced by air mass back trajectories, trace gases concentrations and the mass loading of rBC. In southeasterly wind directions, mixed or convective weather types provided the potential to vent polluted boundary layer air from the southern Alpine area and industrial northern Italy, delivering enhanced rBC mass loading and CN concentrations to the JFJ. The aerosol loadings at this site were also significantly influenced by precipitation, which led to the removal of rBC from the atmosphere. Precipitation events were shown to remove about 65% of the rBC mass from the free tropospheric background reducing the mean loading from 13±5 ng m−3 to 6±2 ng m−3(corrected to standard temperature and pressure). Overall, 40±15% of the observed rBC particles within the detectable size range were mixed with large amounts of non-refractory materials present as a thick coating. The growth of particle size into the accumulation mode was positively linked with the degree of rBC mixing, suggesting the important role of condensable materials in increasing particle size and leading to enhanced internal mixing of these materials with rBC. It is the first time that BC mass, size distribution and mixing state are reported in the free troposphere over Europe. These ground based measurements also provide the first temporal study of rBC in the European free troposphere quantitatively measured by single particle methods. At the present time there is only limited information of BC and its mixing state in the free troposphere, especially above Europe. The results reported in this paper provide an important constraint on modelled representation of BC.
Aerosols influence the Earth's radiation budget directly through absorption and scattering of solar radiation in the atmosphere but also indirectly by modifying the properties of clouds. However, ...climate models still suffer from large uncertainties as a result of insufficient understanding of aerosol-cloud interactions. At the high altitude research station Jungfraujoch (JFJ; 3580 m a.s.l., Switzerland) cloud condensation nuclei (CCN) number concentrations at eight different supersaturations (SS) from 0.24% to 1.18% were measured using a CCN counter during Summer 2011. Simultaneously, in-situ aerosol activation properties of the prevailing ambient clouds were investigated by measuring the total and interstitial (non-activated) dry particle number size distributions behind two different inlet systems. Combining all experimental data, a new method was developed to retrieve the so-called effective peak supersaturation SSpeak, as a measure of the SS at which ambient clouds are formed. A 17-month CCN climatology was then used to retrieve the SSpeak values also for four earlier summer campaigns (2000, 2002, 2004 and 2010) where no direct CCN data were available. The SSpeak values varied between 0.01% and 2.0% during all campaigns. An overall median SSpeak of 0.35% and dry activation diameter of 87 nm was observed. It was found that the difference in topography between northwest and southeast plays an important role for the effective peak supersaturation in clouds formed in the vicinity of the JFJ, while differences in the number concentration of potential CCN only play a minor role. Results show that air masses coming from the southeast (with the slowly rising terrain of the Aletsch Glacier) generally experience lower SSpeak values than air masses coming from the northwest (steep slope). The observed overall median values were 0.41% and 0.22% for northwest and southeast wind conditions, respectively, corresponding to literature values for cumulus clouds and shallow-layer clouds. These cloud types are consistent with weather observations routinely performed at the JFJ.
The volcanic aerosol plume resulting from the Eyjafjallajökull eruption in Iceland in April and May 2010 was detected in clear layers above Switzerland during two periods (17–19 April 2010 and 16–19 ...May 2010). In-situ measurements of the airborne volcanic plume were performed both within ground-based monitoring networks and with a research aircraft up to an altitude of 6000 m a.s.l. The wide range of aerosol and gas phase parameters studied at the high altitude research station Jungfraujoch (3580 m a.s.l.) allowed for an in-depth characterization of the detected volcanic aerosol. Both the data from the Jungfraujoch and the aircraft vertical profiles showed a consistent volcanic ash mode in the aerosol volume size distribution with a mean optical diameter around 3 ± 0.3 μm. These particles were found to have an average chemical composition very similar to the trachyandesite-like composition of rock samples collected near the volcano. Furthermore, chemical processing of volcanic sulfur dioxide into sulfate clearly contributed to the accumulation mode of the aerosol at the Jungfraujoch. The combination of these in-situ data and plume dispersion modeling results showed that a significant portion of the first volcanic aerosol plume reaching Switzerland on 17 April 2010 did not reach the Jungfraujoch directly, but was first dispersed and diluted in the planetary boundary layer. The maximum PM10 mass concentrations at the Jungfraujoch reached 30 μgm−3 and 70 μgm−3 (for 10-min mean values) duri ng the April and May episode, respectively. Even low-altitude monitoring stations registered up to 45 μgm−3 of volcanic ash related PM10 (Basel, Northwestern Switzerland, 18/19 April 2010). The flights with the research aircraft on 17 April 2010 showed one order of magnitude higher number concentrations over the northern Swiss plateau compared to the Jungfraujoch, and a mass concentration of 320 (200–520) μgm−3 on 18 May 2010 over the northwestern Swiss plateau. The presented data significantly contributed to the time-critical assessment of the local ash layer properties during the initial eruption phase. Furthermore, dispersion models benefited from the detailed information on the volcanic aerosol size distribution and its chemical composition.