Implementation Of Protection Measures Research Articles

Megabenthic assemblages on bathyal escarpments off the west Corsican margin (Western Mediterranean)

Deep-sea environments in the Mediterranean Sea have been widely degraded over the past decades and thus there is an urgent need to implement protection measures. Within European Union's Mediterranean waters vast extensions of the deep-sea ecologically relevant ecosystems have been protected by integrating them to the Natura 2000 network. Inside the French Exclusive Economic Zone, this network is currently expanding to off-shore areas, beyond 12 nautical miles. In this study, we characterized megabenthic biodiversity on target features located inside a designed site of the south west Corsican margin, particularly on a volcanic promontory on the south flank of the Ajaccio submarine canyon and a wall of the Valinco Canyon, between 1690 and 2250 m depth. By means of a fine scale three-dimensional photogrammetric analysis, four megabenthic assemblages segregated by substrate were identified. Hard substrate assemblages were characterized by the presence of sponges, polychaetes, gastropods and the squat lobster Munida tenuimana while soft sediment assemblages were characterized by the elpidiid holothurian Penilpidia ludwigi and an unidentified sabellid. Highest densities were registered on serpulid thanatocoenoses, which hosted widespread patches of an unidentified encrusting sponge. Lebensspuren had a diverse origin likely deriving from the activity of epibenthic, infaunal and bathypelagic organisms. In general, litter was not abundant at these offshore sites: in the Valinco site, it had both a marine and land-based origin while at the even more offshore Ajaccio site, it was mainly marine based. More extensive surveys would be advisable to confirm this trend. This study provides new insight on the ecology and diversity of Mediterranean deep-sea environments in the 2000 m bathymetric zone, highlighting the enduring knowledge gap surrounding orographically complex deep-sea escarpments in the basin.

Beyond the Expected\u2014Residual Risk and Cases of Overload in the Context of Managing Alpine Natural Hazards

Structural protection measures are designed to protect the population and infrastructure against natural hazards up to a specific predefined protection goal. Extreme events with intensities that exceed the capacity of these protection structures are called “cases of overload” and are associated with “residual risks” that remain after the implementation of protection measures. In order to address residual risks and to reduce the damages from overload events, a combination of structural protection measures with additional, nonstructural measures is required. Based on data collected through a literature review, a questionnaire survey, expert interviews, and an expert workshop we highlight the status quo as well as key challenges of dealing with residual risks and cases of overload in Alpine countries in the context of geohydrological hazards and gravitational mass movements. We present a holistic conceptual framework that describes the relationships of residual risks, cases of overload, and protection goals in the context of both risk governance and integrated risk management. This framework is valuable for decision makers aiming at an improved management of natural hazards that takes adequate account of residual risk and cases of overload in Alpine countries and mountain areas worldwide.

Experiences of nurses who have children when caring for COVID-19 patients.

AimThis study was conducted to examine the experiences and feelings of nurses who have children when caring for patients with coronavirus disease (COVID‐19).BackgroundThe COVID‐19 pandemic has affected the whole world, including Turkey where this study was conducted. Nurses are among healthcare professionals who are intensively working at the forefront during this pandemic. Countries are implementing many policies to fight this pandemic. Turkey also has implemented protective measures related to travel, sports, and cultural activities and has prohibited social meetings.MethodThe study was conducted with 26 nurses working in COVID‐19 clinics of two hospitals in eastern Turkey between May and July 2020 using a qualitative descriptive design.FindingsNurses who had children longed for their children and worried about them. They were afraid of getting infected with the disease and transmitting it. Based on content analysis, the themes of the study were determined as follows: (1) longing (longing for children and longing for the pre‐pandemic period), (2) fear (fear of transmitting the disease and fear of death), (3) despair, (4) concern (concern resulting from working in a different clinic, concern resulting from lack of knowledge, and concern resulting from lack of protective equipment), and (5) professional responsibility (professional awareness and love for the profession).ConclusionNurses were away from their families for a long time because of the fear of getting infected with COVID‐19 and transmitting it. They longed for their children and experienced desperation, fear, and anxiety. They loved their profession and were not considering quitting their profession.Implications for nursing and health policyNurses working in COVID‐19 units wear protective equipment and work for a long time under difficult conditions. In addition, nurses who have children are separated from their children because of the fear of transmitting COVID‐19. Therefore, nurses caring for COVID‐19 patients should alternately be replaced by nurses working in other services. They should be given the opportunity to rest and spend time with their loved ones if they are not carriers of COVID‐19.

Biyoçeşitlilik İndisleri Kullanılarak Öncelikli Koruma Alanı Seçimine Bir Örnek: Kargı Çayı ve Karpuz Çayı Vadileri (Akdeniz Bölgesi-Türkiye)

Diversity components are explained with different concepts, approaches, and methods. Biodiversity conservation in specific areas of rich plant species diversity and endemism rate in Turkey is significant enough to be managed sustainably. Identifying biodiversity at different scales is one of the most critical steps before implementing protection measures. In the Mediterranean region, plant species are in danger due to various factors: expansion of urban areas, rapid population growth, and fire. Against these threats, it will be a useful initiative to focus on areas with diverse species and to give priority to conservation in these regions. In this study, plant species diversity was calculated with the alpha (α) and beta (β) biodiversity indices, using data collected from fieldwork in the two river valleys, Kargi and Karpuz. The Shannon–Wiener index (αH) was used for alpha species diversity, and Whittaker’s index (βw) was preferred for the beta diversity index. As a result, the areas with the least alpha diversity in the Karpuz River valley are the source and the upper course of the river and the areas with the highest diversity are the lower and middle courses. Beta diversity is high in the upper course and less in the lower and middle courses where anthropogenic activities are dominant. In contrast, in the Kargi River valley, alpha and beta diversity is low in the middle part and more in the upper and lower courses. For all plant species diversity of the two valleys, Whittaker’s gamma diversity index (γ) was used and the Kargi River valley was identified as the priority area for conservation.

Possibilities and limitations of the organization of anticorrosion protection at gas production facilities

Products of several going and promising onshore and offshore hydrocarbon extraction sites both in Russia and foreign countries are known due to elevated level of corrosive СО2. The article analyzes present procedures aimed at rating corrosive hazard of extracted fluids, selection and implementation of measures for protection of equipment and pipelines against of inner corrosion. Onshore and offshore facilities work within specific environment, which affects arrangement of corrosion protection and corrosion monitoring systems. Presence of СО2in the extracted products together with other factors stimulate intensive growth of corrosion, and require attentive and reasonable attitude to choose engineering solutions providing safe and reliable operation of production facilities.

Intrafamilial Spread of COVID-19 Infection Within Population in Bosnia and Herzegovina.

Background:The corona virus is transmitted in three ways: by direct contact with an infected person, by droplets, and by air. Transmission control according to official guidelines can be prevented by keeping a distance, wearing a mask and washing hands. Sharing a space with several members of the immediate or extended family increases the risk of transmission in all three ways. In Traditional Bosnian families two or three generations live in one household. The family doctor is informed with living conditions of the residents and has the opportunity to monitor the rate of secondary transmission from the index case, and then recommend additional preventative and treatment measures.Objective:The aim of the study was to determine the first occurrence of the symptoms and to monitor possible intrafamilial transmission of the disease through clinical examinations and microbiological-serological tests.Methods:The study was conducted in a family medicine clinic in the region of northeastern Bosnia and Herzegovina from March to December 2020. Patients with symptoms that could indicate the presence of COVID-19 disease were registered. If COVID-19 was proven, the patient became an index case. The other members of the family would be monitored for the secondary transmission via laboratory (PCA SARS-CoV-2 and IgM and IgG antibodies) and clinical parameters.Results:Characteristics of 25 index cases were analyzed. All 25 of them were middle-aged men that worked outside the home. In 25 households, there was a total of 123 members that shared a home with the index patient. Secondary transmission developed in 76 out of 123 family members (61.8%). Only one patient had a severe form of the disease and was hospitalized. 2 patients died.Conclusion:Intrafamiliar transmission of Covid-19 in households of Bosnia and Herzegovina is high. The secondary attack rate of SARS- CoV-2 in households is 61,8%. In the surveyed households, family members use common rooms with an infected patient, and the customs of family gatherings are maintained, without the implementation of protective measures. The family medicine team has the opportunity to apply appropriate preventive action, education and early prehospital treatment as well as adequate selection for the hospital admission.

Predicting Deformations of the Surrounding Buildings Foundations with Regard to Protective Measures

The results of numerical and field studies of deformations of the foundations of buildings and structures in the zone of underground construction influence during the implementation of protective measures are presented. Methods for predicting additional settlement of buildings in the surrounding development, taking into account the technology of protective measures, have been developed. Recommendations on the selection of protective measures for buildings of different statuses and technical condition categories are proposed.

Risk Management in Selected Public Passenger Transport During a Pandemic

The work concerns the important issue of the risk of contracting the COVID-19 infectious disease caused by the SARS-CoV-2 coronavirus in selected means of transport. Coronavirus, the risk of infection with it, and methods to limit its spread, are the main topic of almost every media every day. Therefore, it is important to raise the topic of occupational risk both at the workplaces serving selected means of passenger transport and the risk of infection for travelers. In the study, an attempt was made to assess the risk of being infected with the SARS-CoV-2 coronavirus at the service workplaces of selected means of passenger transport and among passengers of these means of transport using the Risk Score method. The research was conducted based on data resulting from generally accepted procedures in selected means of passenger transport and on the basis of expert interviews.It has been proven that properly organized and implemented protective measures can reduce the risk of contracting coronavirus.

РЕЗУЛЬТАТЫ ИССЛЕДОВАНИЯ МОРФОЛОГИЧЕСКИХ ОСОБЕННОСТЕЙ ЩИТОВОК ДРЕВЕСНО-КУСТАРНИКОВЫХ КУЛЬТУР РЕСПУБЛИКИ КРЫМ (INSECTA: HEMIPTERA: STERNORRHYNCHA: COCCOIDEA: DIASPIDIDAE)

The paper presents the results of a laboratory study of scientific collections of plant material samples with colonies of scale insects identified on tree and shrubbery crops of the Crimea (on fruit crops: pear, peach, apricot, on conifers: pine, juniper, on subtropical: laurel, olive; and on ornamental: oak, poplar, euonymus). The research goal was to study the morphological features of the identified species of scale insects, including the collection of photographic material according to the structural features of the scutes, preparation of micropreparations from the bodies of female scale insects, and collection of photographic material based on the results of microscopic examination of the diagnostic structures of the female scale insects. The research was carried out on samples of aboveground parts of plants (leaves, pieces of bark, shoots) with colonies of Diaspididae, collected by the authors in 2018 on the territory of the Republic of Crimea. Samples with colonies were viewed under a Carl Zeiss Stemmi 508 binocular microscope, and female specimens from the colony were selected. Females infected with fungal infections were discarded. Selected specimens of females were later used for the preparation of total micropreparations for microscopic examination of the female pygidium and identification of the species. Microscopic examination was carried out using an Axio Imager A2 microscope and Zen 2.3 software (Carl Zeiss Microscopy GmbnH). The species were identified in 2 stages: preliminary – according to the structural features of the scutellum and final – according to the results of microscopic examination of the body and pygidium morphology of females. As a result, 11 species of the identified scutes were identified, an original illustrative photographic material was prepared on the morphology of scutes of the identified species (structural features, location of larval skins). An illustrative photographic material was prepared from the prepared micropreparations, which indicates the main diagnostic structures of the pygidium of female scale insects, which should be paid attention to when identifying scale insects to species. Since the morphology of scale insects in monographs by domestic authors is often presented in the form of drawings and diagrams, the offered illustrative photographic material can be used as an additional reference material by specialists in quarantine and plant protection who diagnose pests, as well as when conducting survey measures to establish phytosanitary state of the territory and timely implementation of protective measures.

Исследование безопасности пользовательских данных мессенджера Signal в операционной системе Android

The article presents the security analysis of locally stored enduser data, as well as the specifics of working with them in the application called “Signal” based on Android OS. The investigated version 5.3.12 was the most recent one up to the time of writing this article. According to a certain scenario, test user data was generated in the application, and then the sources information with critical data was extracted from this data. Using the open-source code available, the mechanisms of the application's operation, including the implementation of protection measures, wit the specified critical data were identified and analyzed. A qualitative assessment of implementing protection mechanisms for locally stored critical data was made to distinguish the data with typical protection measures inherent for any mobile applications, and the one specific for applications of this particular class of messengers. As a result, the flaws were discovered related to the inaccessibility of certain protective mechanisms on specific versions of the Android operating system, which could compromise the user data. As an advantage of the messenger protection, the database encryption module could be specified, which provides strong protection against unauthorized access to information due to the lack of a specific version of the assembly for personal computers. This article also proposes an approach to decrypt messenger databases, which requires either an emulator of an Android-based device, or a real mobile device with a specially developed application

Spomenik prirode "Akademski park" - nastanak, razvoj i kulturno-istorijsko nasleđe

The Academic Park (Serb. Akademski park), located in the city core of Belgrade, is characterized by a rich history, and the very origin and development of the park have a close connection with the beginning of the development of Belgrade, while the concept of the park has been preserved to this day. The Academic Park is like a green oasis, a biologically-ecologically, functionally but also aesthetically important part of the city milieu. Having in mind the importance of this green area as an element of the urban environment, its ecological and landscape values, it has been determined that it is necessary to implement protection measures of this park, which is why in 2007 the park was designated as a botanical monument. The development of the Academic Park was commenced at the Turkish cemetery, continued with the market - King's Square and "Small Park" - Pančić's Park, to today's appearance, in a very interesting historical tale.

Poorly adapted but nothing to lose? A study on the flood risk – income relationship with a focus on low-income households

Flood risk may differ across income levels. In this paper, I employ unique survey data from more than 8000 households in Germany to derive an integrated flood risk indicator that accounts for local flood exposure, assets-at-risk, housing characteristics, and household coping behavior. The results suggest that low-income households, due to their smaller homes and less valuable assets, face lower monetary flood risks than wealthier households despite the former’s limited capacity to implement protection measures and purchase insurance. Relative to the available financial budget, however, expected flood damage weighs higher for low-income households.

Práctica quirúrgica en Uruguay durante la Pandemia COVID-19

A causa de la pandemia por infección SARS-CoV-2 en Uruguay, se establecieron pautas y recomendaciones que modificaron radicalmente las prestaciones quirúrgicas habituales. Estas medidas se basaron en recomendaciones fundadas en la experiencia internacional previa, tendientes a realizar solamente cirugías de urgencia/emergencia, pacientes oncológicos e impostergables.
 Objetivo. Analizar el impacto de la pandemia COVID-19 en la práctica de los especialistas quirúrgicos en nuestro país. 
 Material y métodos. Se realizó una encuesta que fue difundida a través de las sociedades científicas quirúrgicas de Uruguay, que se mantuvo abierta por un periodo de 10 días (20 al 30 de abril de 2020), recabándose un total de 262 respuestas, de las cuales 212 fueron completas.
 Resultados: El 52% de los encuestados realizo cirugías programadas y el 55% realizo abordajes video-asistidos; el 51% de quienes practicaron cirugías negó haber tomado medidas de protección adicionales durante las mismas.
 Veintitrés (9%) de los especialistas operaron pacientes sospechosos de portar Covid.19 y 3 (1.1 %) casos positivos COVID-19.
 El 57% se consideró “parcialmente capacitado” y 21% “poco capacitado” (21%), mientras que el 19 % se definió como “totalmente capacitado” para la utilización de los elementos de protección.
 Conclusiones: Se verifico alto acatamiento a las medidas de suspensión de las cirugías de coordinación (descenso de 82). Las cirugías en pacientes cursando COVID-19 fue excepcional y la frecuencia de casos con sospecha de enfermedad fue baja.
 El exceso de información y la existencia de múltiples protocolos han determinado una considerable heterogeneidad en la implementación de las medidas de protección y baja participación en actividades de capacitación.

Beyond Physical Threats: Cyber-attacks on Critical Infrastructure as a Challenge of Changing Security Environment – Overview of Cyber-security legislation and implementation in SEE Countries

States, organizations and individuals are becoming targets of both individual and state-sponsored cyber-attacks, by those who recognize the impact of disrupting security systems and effect to people and governments. The energy sector is seen as one of the main targets of cyber-attacks against critical infrastructure, but transport, public sector services, telecommunications and critical (manufacturing) industries are also very vulnerable. One of most used example of cyber-attack is the Ukraine power grid attack in 2015 that left 230,000 people without power for up to 6 hours. Another most high profile example of a cyber-attack against critical infrastructure is the Stuxnet computer virus (first used on Iranian nuclear facility) which could be adapted to attack the SCADA systems (industrial control systems) used by many critical infrastructures in Europe.Wide range of critical infrastructure sectors are reliant on industrial control systems for monitoring processes and controlling physical devices (sensors, pumps, etc.) and for that reason, physical connected devices that support industrial processes are becoming more vulnerable. Not all critical infrastructure operators in all sectors are adequately prepared to manage protection (and raise resilience) effectively across both cyber and physical environments. Additionally there are few challenges in implementation of protection measures, such as lack of collaboration between private and public sector and low levels of awareness on existence of national key legislation.From supranational aspect, in relation to this papers topic, the European Union has took first step in defense to cyber threats in 2016 with „Directive on security of network and information systems“ (NIS Directive) by prescribing member states to adopt more rigid cyber-security standards. The aim of directive is to improve the deterrent and increase the EU’s defenses and reactions to cyber attacks by expanding the cyber security capacity, increasing collaboration at an EU level and introducing measures to prevent risk and handle cyber incidents. There are lot of other „supporting tools“ for Member States countries, such as European Union Agency for Network and Information Security – ENISA (which organize regular cyber security exercises at an EU level, including a large and comprehensive exercise every two years, raising preparedness of EU states); Network of National Coordination Centers and the European Cybersecurity Industrial, Technology and Research Competence Centre; and Coordinated response to major cyber security incidents and crises (Blueprint) with aim to ensure a rapid and coordinated response to large-scale cyber attacks by setting out suitable processes within the EU.Yet, not all Member States share the same capacities for achieving the highest level of cyber-security. They need to continuously work on enhancing the capability of defense against cyber threats as increased risk to state institutions information and communication systems but also the critical infrastructure objects. In Southeast Europe there are few additional challenges – some countries even don't have designated critical infrastructures (lower level of protection; lack of „clear vision“ of criticality) and critical infrastructures are only perceived through physical prism; non-EU countries are not obligated to follow requirements of European Union and its legislation, and there are interdependencies and transboundary cross-sector effects that needs to be taken in consideration. Critical infrastructure Protection (CIP) is the primary area of action, and for some of SEE countries (like the Republic of Croatia) the implementation of cyber security provisions just complements comprehensive activities which are focused on physical protection.This paper will analyze few segments of how SEE countries cope with new security challenges and on which level are they prepared for cyber-attacks and threats: 1. Which security mechanisms they use; 2. The existing legislation (Acts, Strategies, Plan of Action, etc.) related to cyber threats in correlation with strategic critical infrastructure protection documents. Analysis will have two perspectives: from EU member states and from non-EU member states point of view. Additionally, for EU member states it will be analyzed if there were any cyber security legislation before NIS directive that meets same aims. The aim of research is to have an overall picture of efforts in region regarding cyber-security as possibility for improvement thorough cooperation, organizational measures, etc. providing also some recommendations to reduce the gap in the level of cyber-security development with other regions of EU.

COVID-19 and residential care facilities: issues and concerns identified by the international network prevention of elder abuse (INPEA)

PurposeThe COVID-19 pandemic has affected the physical, psychological, social and financial health of older persons. On this subject, the United Nations published a policy brief on the impact of COVID-19 on older persons in May 2020. In line with this, the purpose of this general review is to address three issues affecting older persons living in residential care facilities: protective measures implemented to block the virus’ entry, the types of mistreatment most frequently experienced and the necessity to promote and defend the rights of these persons.Design/methodology/approachThe design of this study is based on input gathered since the end of April during meetings of the International Network for the Prevention of Elder Abuse (INPEA) and the results of a July survey of its members.FindingsThe survey results indicate variability in the implementation of protective measures in different countries and the significant presence of mistreatment and violation of the rights of older persons. Three major issues demand attention: ageism, systemic and managerial problems and the effects of implemented measures. All these prompt the INPEA to once again plea for the adoption of an international convention of human rights of older persons.Originality/valueTo our knowledge, this is the first article sharing the views of the INPEA from a global perspective in the context of COVID-19.

Triplex Real-Time PCR Approach for the Detection of Crucial Fungal Berry Pathogens-Botrytis spp., Colletotrichum spp. and Verticillium spp.

Phytopathogens cause undeniably serious damage in agriculture by harming fruit cultivations and lowering harvest yields, which as a consequence substantially reduces food production efficiency. Fungi of the Botrytis, Colletotrichum and Verticillium genera are a main concern in berry production. However, no rapid detection method for detecting all of these pathogens simultaneously has been developed to date. Therefore, in this study, a multiplex real-time PCR assay for this purpose was established. Universal fungal primers for the D2 region of the large subunit ribosomal DNA and three multiplexable fluorogenic probes specific for the chosen fungi were designed and deployed. The triplex approach for the molecular detection of these fungi, which was developed in this study, allows for the rapid and effective detection of crucial berry pathogens, which contributes to a more rapid implementation of protective measures in plantations and a significant reduction in losses caused by fungal diseases.

Salient features of the national power grid and its management during an emergency: A case study in India

This paper analyzes the effects of the 9-min pan-India voluntary lights-off policy that was planned and executed by the Government of India in April 2020 on the National Grid and the steps that were taken to maintain grid stability during the event. The policy was a symbolic gesture of public solidarity with frontline healthcare and emergency workers in the nation's war against the COVID-19 pandemic. The event entailed nationwide switching-off of electric lights and lighting of earthen lamps or switching-on of torch lights. This 9-min event posed a significant challenge to the country's power systems engineers in managing grid stability during the large-scale load reduction, and meticulous planning and implementation of protective measures were carried out. In this article, the strategy implemented by the Indian power sector to manage the grid during the nine-minute event is described. The variations of grid parameters such as frequency, voltage, and load at all dispatch centers before, during, and after the nine-minutes are analyzed, and the generation schedule that was followed is also presented, along with real-time results. This case study provides an overview of power systems management that involves strategic scheduling of generators throughout the country to tackle sudden and mass-reductions of load on the power system.

Preventing Occupational Tuberculosis in Health Workers: An Analysis of State Responsibilities and Worker Rights in Mozambique.

Given the very high incidence of tuberculosis (TB) among health workers in Mozambique, a low-income country in Southern Africa, implementation of measures to protect health workers from occupational TB remains a major challenge. This study explores how Mozambique’s legal framework and health system governance facilitate—or hinder—implementation of protective measures in its public (state-provided) healthcare sector. Using a mixed-methods approach, we examined international, constitutional, regulatory, and policy frameworks. We also recorded and analysed the content of a workshop and policy discussion group on the topic to elicit the perspectives of health workers and of officials responsible for implementing workplace TB policies. We found that despite a well-developed legal framework and national infection prevention and control policy, a number of implementation barrier persisted: lack of legal codification of TB as an occupational disease; absence of regulations assigning specific responsibilities to employers; failure to deal with privacy and stigma fears among health workers; and limited awareness among health workers of their legal rights, including that of collective action. While all these elements require attention to protect health workers from occupational TB, a stronger emphasis on their human and labour rights is needed alongside their perceived responsibilities as caregivers.

Guardians of play: early childhood teachers’ perceptions and actions to protect children’s play from digital technologies

ABSTRACT This paper reports on the perceptions early childhood teachers hold about digital technologies, children and childhood and how their perceptions influence their pedagogical decision-making. Symbolic interactionism was the theoretical lens used to give insights and meanings to the early childhood teachers views, experiences and ascribed meanings. The findings revealed that early childhood teachers were concerned and challenged by children’s motivation to play with digital technologies, valued traditional early childhood pedagogies and conceptualised play as being exclusive of digital technologies. In response to the perceptions they held, early childhood teachers implemented protective measures to restrict and regulate children’s digital experiences.

A Potential Link Between Prolonged Cork Exposure and Intestinal-Type Sinonasal Adenocarcinoma - Special Findings of a Retrospective Cohort Analysis.

Introductionintestinal-type sinonasal adenocarcinoma (ITAC) is a rare epithelium tumor of the nasal cavities and paranasal sinuses. Exposure to wood and leather dusts is a strong etiological factor related to its development. Prolonged cork exposure has rarely been associated.Materials and Methodsthirty-seven-year (1981–2018) retrospective cohort analysis of all consecutive patients with sinonasal cancer (SNC) followed at our institution. Medical records were reviewed to determine patient demographics, occupational/environmental exposure, location and extent of the tumor, stage, histopathology findings, treatment strategies, and oncologic outcomes. Survival analysis was done using Kaplan–Meier method.Resultswe evaluated 379 patients with SNC, including 39 (10.3%) ITAC. Patient median age was 73 years (range 49–87), 56% male and 69% with identified professional occupational exposure (54% for cork; 69.2% considering only those for which an agent has been identified). Seventy-two percent had locally advanced disease (stage III or IVA–B). The initial treatment was surgery in 77%, and 54% received adjuvant radiotherapy. The median time to progression, progression-free survival, and overall-survival was 2.36 years (95% CI 1.54–8.70), 1.96 years (95% CI 1.43–3.74), and 3.51 years (95% CI 2.33–10.02), respectively.ConclusionITAC is an uncommon malignancy that grows silently, which contributes to delayed diagnosis, advanced stage and low survival rates. In our cohort, we observed a high prevalence of cork occupational exposure. This finding may lead to the implementation of protection measures and suggest a potential link to be further studied.