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SeaWiFS technical report series. Volume 26: Results of the SeaWiFS Data Analysis Round-Robin, July 1994 (DARR-1994)

The accurate determination of upper ocean apparent optical properties (AOP's) is essential for the vicarious calibration of the sea-viewing wide field-of-view sensor (SeaWiFS) instrument and the validation of the derived data products. To evaluate the role that data analysis methods have upon values of derived AOP's, the first Data Analysis Round-Robin (DARR-94) workshop was sponsored by the SeaWiFS Project during 21-23 July, 1994. The focus of this intercomparison study was the estimation of the downwelling irradiance spectrum just beneath the sea surface, E(sub d)(0(sup -), lambda); the upwelling nadir radiance just beneath the sea surface, L(sub u)(0(sup -), lambda); and the vertical profile of the diffuse attenuation coefficient spectrum, K(sub d)(z, lambda). In the results reported here, different methodologies from four research groups were applied to an identical set of 10 spectroradiometry casts in order to evaluate the degree to which data analysis methods influence AOP estimation, and whether any general improvements can be made. The overall results of DARR-94 are presented in Chapter 1 and the individual methods of the four groups are presented in Chapters 2-5. The DARR-94 results do not show a clear winner among data analysis methods evaluated. It is apparent, however, that some degree of outlier rejection is required in order to accurately estimate L(sub u)(0(sup -), lambda) or E(sub d)(0(sup -), lambda). Furthermore, the calculation, evaluation and exploitation of confidence intervals for the AOP determinations needs to be explored. That is, the SeaWiFS calibration and validation problem should be recast in statistical terms where the in situ AOP values are statistical estimates with known confidence intervals.

Hooker, Stanford B.↗

Air Traffic Management Technology Demonstration 1 (ATD-1) Tech Transfer Document Summary: Version 3.0

This document summarizes transfer of NASA's terminal sequencing and spacing (TSS) and interval management (IM) technologies to the FAA (Federal Aviation Administration), as part of its Air Traffic Management Technology (ATM) Demonstration 1 activity. This activity, referred to as ATD-1, is part of NASA's Airspace Systems Program (ASP) specifically, its System Analysis, Integration, and Evaluation (SAIE) Project. ATD-1 is a multi-year research and development effort aimed at accelerating implementation and deployment of NASA-developed ATM technologies by the FAA. These technologies are designed to improve the utilization of Performance-Based Navigation (PBN) procedures inside congested terminal airspace. In terms of NASA's Technology Readiness Levels (TRLs), ATD-1 is focused on maturing its associated technologies from the Technology Development stage (TRL 4) to the Technology Demonstration stage (TRL 6). In order to ensure that the products of this tech-transfer are relevant and useful, NASA has created strong partnerships with the FAA and key industry stakeholders.

Technology transfer↗

Mass Spectra Deconvolution of Gaseous Mixtures Containing Volatile Organic Compounds

The Spacecraft Atmosphere Monitor (S.A.M.) analyzes all gaseous pollutants in the 1-150Th mass-to-charge range based on their positive-ion mass spectra. Of particular interest is the Trace Gas Analysis (TGA) mode of operation in which S.A.M detects minute amounts of volatile organic compounds (VOC). Pollutant component of the ambient air is sampled on demand in twenty full mass spectra per second. All spectra is accumulated in two-second intervals by an on-board Field Programmable Gate Arrays (FPGA) unit. Mass spectra represents the number of detected fragment ions in a given mass-to-charge ratio channel. Electron impact ionization of neutral molecules results in creation of numerous fragment ions and most of organic compounds will contribute several identical fragments. Despite the presence of these molecular isobars, we developed the deconvolution algorithm capable of identifying target species based on their characteristic fragmentation patterns. We investigate the efficiency of deconvolution algorithm as a function of mass resolution with which mass spectrum is acquired. Higher the mass resolution, better the chances are to distinguish between stereoisomers using their fragmentation propensities, but also results in higher data volumes to be processed by a set of small footprint software stacks hosted by an on-board computer. Finding the balance between deconvolution accuracy and generated data volume under time constrains and limited computing resources is the main topic of this study.

Darrach, M.↗

Dynamics Explorer measurements of particles, fields, and plasma drifts over a horse-collar auroral pattern

As shown from ground-based measurements and satellite-borne imagers, one type of global auroral pattern characteristic of quiet (usually northward IMF) intervals is that of a contracted but thickened emission region of a pattern referred to as 'horse-collar' aurora (Hones et al., 1989). In this report we use the Dynamics Explorer data set to examine a case in which this horse-collar pattern was observed by the DE-1 auroral imager, while at the same time DE-2, at lower altitude, measured precipitating particles, electric and magnetic fields, and plasma drifts. Our analysis shows that, in general, there is close agreement between the optical signatures and the particle precipitation patterns. In many instances, over scales ranging from tens to a few hundred kilometers, electron precipitation features and upward field-aligned currents are observed at locations where the plasma flow gradients indicate negative V-average x E. The particle, plasma, and field measurements made along the satellite track and the 2D perspective of the imager provide a means of determining the configuration of convective flows in the high-latitude ionosphere during this interval of northward IMF. Recent mapping studies are used to relate the low-altitude observations to possible magnetospheric source regions.

Sharber, J. R.↗

Land Resources for Wind Energy Development Requires Regionalized Characterizations

Estimates of the land area occupied by wind energy differ by orders of magnitude due to data scarcity and inconsistent methodology. Here, we developed a method that combines machine learning-based imagery analysis and geographic information systems and examined the land area of 318 wind farms (15,871 turbines) in the U.S. portion of the Western Interconnection. We found that prior land use and human modification in the project area are critical for land-use efficiency and land transformation of wind projects. Projects developed in areas with little human modification have a land-use efficiency of 63.8 ± 8.9 W/m 2 (mean ±95% confidence interval) and a land transformation of 0.24 ± 0.07 m 2 /MWh, while values for projects in areas with high human modification are 447 ± 49.4 W/m 2 and 0.05 ± 0.01 m 2 /MWh, respectively. We show that land resources for wind can be quantified consistently with our replicable method, a method that obviates >99% of the workload using machine learning. To quantify the peripheral impact of a turbine, buffered geometry can be used as a proxy for measuring land resources and metrics when a large enough impact radius is assumed (e.g., >4 times the rotor diameter). Our analysis provides a necessary first step toward regionalized impact assessment and improved comparisons of energy alternatives.

17 WIND ENERGY↗

Vegetable intake and the risk of bladder cancer in the BLadder Cancer Epidemiology and Nutritional Determinants (BLEND) international study

Although a potential inverse association between vegetable intake and bladder cancer risk has been reported, epidemiological evidence is inconsistent. This research aimed to elucidate the association between vegetable intake and bladder cancer risk by conducting a pooled analysis of data from prospective cohort studies. Vegetable intake in relation to bladder cancer risk was examined by pooling individual-level data from 13 cohort studies, comprising 3203 cases among a total of 555,685 participants. Pooled multivariate hazard ratios (HRs), with corresponding 95% confidence intervals (CIs), were estimated using Cox proportional hazards regression models stratified by cohort for intakes of total vegetable, vegetable subtypes (i.e. non-starchy, starchy, green leafy and cruciferous vegetables) and individual vegetable types. In addition, a diet diversity score was used to assess the association of the varied types of vegetable intake on bladder cancer risk. The association between vegetable intake and bladder cancer risk differed by sex ( P -interaction = 0.011) and smoking status ( P -interaction = 0.038); therefore, analyses were stratified by sex and smoking status. With adjustment of age, sex, smoking, energy intake, ethnicity and other potential dietary factors, we found that higher intake of total and non-starchy vegetables were inversely associated with the risk of bladder cancer among women (comparing the highest with lowest intake tertile: HR = 0.79, 95% CI = 0.64–0.98, P = 0.037 for trend, HR per 1 SD increment = 0.89, 95% CI = 0.81–0.99; HR = 0.78, 95% CI = 0.63–0.97, P = 0.034 for trend, HR per 1 SD increment = 0.88, 95% CI = 0.79–0.98, respectively). However, no evidence of association was observed among men, and the intake of vegetable was not found to be associated with bladder cancer when stratified by smoking status. Moreover, we found no evidence of association for diet diversity with bladder cancer risk. Higher intakes of total and non-starchy vegetable are associated with reduced risk of bladder cancer for women. Further studies are needed to clarify whether these results reflect causal processes and potential underlying mechanisms.

59 BASIC BIOLOGICAL SCIENCES↗

Swift and extensive Omicron outbreak in China after sudden exit from ‘zero-COVID’ policy

In late 2022, China transitioned from a strict ‘zero-COVID’ policy to rapidly abandoning nearly all interventions and data reporting. This raised great concern about the presumably-rapid but unreported spread of the SARS-CoV-2 Omicron variant in a very large population of very low pre-existing immunity. By modeling a combination of case count and survey data, we show that Omicron spread extremely rapidly, at a rate of 0.42/day (95% credibility interval: [0.35, 0.51]/day), translating to an epidemic doubling time of 1.6 days ([1.6, 2.0] days) after the full exit from zero-COVID on Dec. 7, 2022. Consequently, we estimate that the vast majority of the population (97% [95%, 99%], sensitivity analysis lower limit of 90%) was infected during December, with the nation-wide epidemic peaking on Dec. 23. Overall, our results highlight the extremely high transmissibility of the variant and the importance of proper design of intervention exit strategies to avoid large infection waves.

60 APPLIED LIFE SCIENCES↗

Integration of fixed-frequency and FM-CW (frequency-modulated continuous-wave) reflectometers for coincident turbulence measurements on LTX- β (Lithium Tokamak eXperiment- β )

The fixed-frequency and frequency-modulated continuous-wave (FM-CW) reflectometers on LTX-β (Lithium Tokamak eXperiment-β) have been configured to use the same transmission lines and antenna arrays for coincident views of the core and edge plasma. The fixed-frequency channels (13.1–20.5 and 20–40 GHz, tunable between discharges) provide time-resolved measurements of density fluctuations, while the FM-CW channels (13.1–20.2 and 19.5–33.5 GHz) measure the density profile and fluctuations, with high spatial resolution and a sampling rate determined by the frequency sweep interval (5 μs). Data from both reflectometers are synchronously acquired to simultaneously leverage the wide bandwidth and high spatial resolution of the respective systems. Experiments showed that mutual crosstalk interference is momentary and does not diminish the capability of either system. Spectral analysis indicated broad power spectra (several hundreds of kHz) and suggests that the signals from the FM-CW system are consistent with under-sampled fixed-frequency signals. Radial correlations were explored using data from the two reflectometers, as well as from the FM-CW system alone. The core channels showed high levels of agreement between these two comparisons, suggesting that the data from the reflectometers are interchangeable for statistical estimates. For the edge channels, comparisons using data from the FM-CW reflectometer alone showed significant decorrelation due to time lag caused by the finite frequency up-sweep duration. Alternatively, this effect is eliminated when cross-correlating data from the different reflectometers. Finally, these results highlight the advantages of operating the fixed-frequency and FM-CW reflectometers in this manner, where the combined system can overcome the limitations of each separate system.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Merged Aerosol Value-Added Product Report

The Merged Aerosol Value-Added Product (VAP) simplifies scientists’ use of Atmospheric Radiation Measurement (ARM) User Facility aerosol data by performing several tedious, time-consuming tasks for the users. First, the VAP identifies the best data available when multiple datastreams exist for a single geophysical quantity so that ARM users do not have to research this for themselves. Second, the VAP consolidates multiple ARM aerosol datastreams into a single file for ARM data users so that they do not have to download, open, and read multiple files for their analysis. Next, the VAP transforms all measurements onto a common one-hour timestamp. The one-hour resolution matches the time resolution of the slowest instrument. Instruments with faster sampling rates than one measurement per hour are averaged over the time interval. Finally, the VAP reads the QA/QC variables and marks data with known issues as missing, so that users do not have to spend excessive time cleaning data. This includes incorporating Data Quality Reports (DQRs) that exist at the time when the VAP data is generated. DQRs are reports filed by instrument mentors or data users that indicate a problem with the output data of individual instruments.

54 ENVIRONMENTAL SCIENCES↗

A preliminary study of containment concepts for aircraft landing on elevated STOL-ports

A preliminary study of containment systems for aircraft landing on elevated STOL-ports was conducted as part of an overall study of human acceptance problems associated with STOL operations. The study included a survey and feasibility study of different concepts and a computer analysis of four arrestment systems. The principal conclusion was that a system referred to as the FAA system appears to offer the greatest promise. In this system, standard arresting gear cables are stretched across the roof-top, at roughly 100-foot intervals, but are shielded over the 100-foot-wide primary landing strip. Thus a pilot can land with an arresting hook down, but will not contact the cable unless he swerves off the landing strip, either because he has made a bad landing, or because his landing gear has failed. It was also noted that a suitable curb or guard rail should be developed. Presently available arresting gears and nylon net barriers were considered satisfactory for the overshoot problem.

Haviland, J. K.↗

Dual periodicity of the Jovian magnetosphere

Using data from the 1979 Voyager flybys of Jupiter and two sets of ground-based observations of the Io torus, this paper presents an extensive analysis concerning the nature of the second magnetospheric periodicity of the Jupiter's magnetic field, along with a definition of a new Jovian matching coordinate system (referred to as system IV). It is shown that available independent data sets covering a time interval of 4 years, which either drift or show no particular organization in system III, fit mutually consistent patterns in system IV. Provisional values are derived for a transformation between systems III and IV. It is emphasized that system IV needs to be tested against additional data before its durability is assured.

Sandel, B. R.↗

Changes in the Radiometric Sensitivity of SeaWiFS

We report on the lunar and solar measurements used to determine the changes in the radiometric sensitivity of the Sea-viewing Wide Field-of-view Sensor (SeaWiFS). Radiometric sensitivity is defined as the output from the instrument (or from one of the instrument bands) per unit spectral radiance at the instrument's input aperture. Knowledge of the long-term repeatability of the SeaWiFS measurements is crucial to maintaining the quality of the ocean scenes derived from measurements by the instrument. For SeaWiFS bands 1 through 6 (412 nm through 670 rim), the change in radiometric sensitivity is less than 0.2% for the period from November 1997 through November 1998. For band 7 (765 nm), the change is about 1.5%, and for band 8 (865 nm) about 5%. The rates of change of bands 7 and 8, which were linear with time for the first eight months of lunar measurements, are now slowing. The scatter in the data points about the trend lines in this analysis is less than 0.3% for all eight SeaWiFS bands. These results are based on monthly measurements of the moon. Daily solar measurements using an onboard diffuser show that the radiometric sensitivities of the SeaWiFS bands have changed smoothly during the time intervals between lunar measurements. Since SeaWiFS measurements have continued past November 1998, the results presented here are considered as a snapshot of the instrument performance as of that date.

McClain, Charles R.↗

NASA/SPoRT's GOES-R Activities in Support of Product Development, Management, and Training

The NASA Short-term Prediction Research and Transition (SPoRT) Center supports many activities within the GOES-R Proving Grounds (PG). These include the development of imagery from existing instrumentation as a proxy to future Advanced Baseline Imager (ABI) capabilities on GOES-R. The Moderate Resolution Imaging Spectroradiometer (MODIS) and the Visible/Infrared Imager/Radiometer Suite (VIIRS) instruments are used to provide a glimpse of the multi-spectral capabilities that will become the norm as the number of channels and data rate dramatically increase with GOES-R. The NOAA/NWS has plans to provide operational users with all ABI channels at the highest resolution. Data fusion of individual channels into composite red, green, and blue imagery products will assist the end user with this future wave of information. While increasing the efficiency in the operational use of ABI channels, these composites provide only qualitative information. Within the GOES-R PG, SPoRT and other partners are exploring ways to include quantitative information as part of the composite imagery. However, limitations in local hardware processing and/or data bandwidth for users of the GOES-R data stream are challenges to overcome. This presentation will discuss the creation of these composite images as well as possible solutions to address these processing challenges. In a similar manner the Geostationary Lightning Mapper (GLM) to be launched on GOES-R presents several data management challenges. The GLM is a pioneering instrument to quantify total lightning from a geostationary platform. The expected data frequency from the GLM is to be at a sub-minute interval. Users of such a data set may have little experience in handling such a rapid update of information. To assist users, SPoRT is working with the NWS to develop tools within the user fs decision support system to allow tracking and analysis of total lightning from a storm-based perspective. This presentation will discuss the challenges and progress of this tool development work. With new data and products comes the need for user Training. Within the GOES-R PG SPoRT is supporting the demonstration of these future products by providing various training materials to end users. A summary of training provided to operational users will be discussed.

Fuell, Kevin K.↗

A Supplementary Clear-Sky Snow and Ice Recognition Technique for CERES Level 2 Products

Identification of clear-sky snow and ice is an important step in the production of cryosphere radiation budget products, which are used in the derivation of long-term data series for climate research. In this paper, a new method of clear-sky snow/ice identification for Moderate Resolution Imaging Spectroradiometer (MODIS) is presented. The algorithm's goal is to enhance the identification of snow and ice within the Clouds and the Earth's Radiant Energy System (CERES) data after application of the standard CERES scene identification scheme. The input of the algorithm uses spectral radiances from five MODIS bands and surface skin temperature available in the CERES Single Scanner Footprint (SSF) product. The algorithm produces a cryosphere rating from an aggregated test: a higher rating corresponds to a more certain identification of the clear-sky snow/ice-covered scene. Empirical analysis of regions of interest representing distinctive targets such as snow, ice, ice and water clouds, open waters, and snow-free land selected from a number of MODIS images shows that the cryosphere rating of snow/ice targets falls into 95% confidence intervals lying above the same confidence intervals of all other targets. This enables recognition of clear-sky cryosphere by using a single threshold applied to the rating, which makes this technique different from traditional branching techniques based on multiple thresholds. Limited tests show that the established threshold clearly separates the cryosphere rating values computed for the cryosphere from those computed for noncryosphere scenes, whereas individual tests applied consequently cannot reliably identify the cryosphere for complex scenes.

Radkevich, Alexander↗

The String Stability of a Trajectory-Based Interval Management Algorithm in the Midterm Airspace

NASA's first Air Traffic Management (ATM) Technology Demonstration (ATD-1) was created to facilitate the transition of mature ATM technologies from the laboratory to operational use. The technologies selected for demonstration are the Traffic Management Advisor with Terminal Metering (TMA-TM), which provides precise time-based scheduling in the terminal airspace; Controller Managed Spacing (CMS), which provides terminal controllers with decision support tools enabling precise schedule conformance; and Interval Management (IM), which consists of flight deck automation that enables aircraft to achieve or maintain a precise spacing interval behind a target aircraft. As the percentage of IM equipped aircraft increases, controllers may provide IM clearances to sequences, or strings, of IM-equipped aircraft. It is important for these strings to maintain stable performance. This paper describes an analytic analysis of the string stability of the latest version of NASA's IM algorithm and a fast-time simulation designed to characterize the string performance of the IM algorithm. The analytic analysis showed that the spacing algorithm has stable poles, indicating that a spacing error perturbation will be reduced as a function of string position. The fast-time simulation investigated IM operations at two airports using constraints associated with the midterm airspace, including limited information of the target aircraft's intended speed profile and limited information of the wind forecast on the target aircraft's route. The results of the fast-time simulation demonstrated that the performance of the spacing algorithm is acceptable for strings of moderate length; however, there is some degradation in IM performance as a function of string position.

Swieringa, Kurt A.↗

MERRA-2 Data and Analytic Services at NASA GES DISC for Climate Extremes Study

NASA's climate reanalysis datasets from the Modern Era Retrospective-analysis for Research and Applications, Version 2 (MERRA-2) contains numerous long-term atmosphere, land, and ocean data products from 1980-present. MERRA-2 datasets, such as precipitation, soil moisture, and temperature, have been used widely to study extreme events. The native archived MERRA-2 data files are day-file (hourly time interval) and month-file, containing up to 125 parameters in one file. Due to the large number of data files and volumes, it is challenging for users, especially the applications research community, to handle the original hourly data files for long time periods to analyze extreme events. In this presentation, we review MERRA-2 data for studies of extreme conditions, and demonstrate analytic services at the NASA Goddard Earth Sciences Data and Information Services Center (GES DISC). One of the current operational services, 'subsetter', allows users to download only specific data of interest, i.e. data selected by parameter, region, and time period. New services are under development that will provide more 'on-the-fly' statistical calculations when downloading data; improve efficiency when accessing long time-series data. We will provide additional "How-to" resources that include step-by-step instructions on data access and usage. We have tested restructuring of day-files in an optimized data cube, which has significantly improved system performance for accessing long time-series. Overall performance is associated with cube size and structure, data compression method, and how the data are accessed. The optimized data cube structure will enable better online analytic services for statistical analysis and extreme events mining. To demonstrate the service, we use an extreme drought associated with the anomalous 2016 monsoon over southern Asia. This prototype time-series service may be augmented in the cloud infrastructure in the future.

data access↗

Analysis of Near Simultaneous Jimsphere and AMPS High Resolution Wind Profiles

The high-resolution wind profile of the Automated Meteorological Profiling System (HRAMPS) is the proposed replacement for the Jimsphere measurement system used to support NASA Shuttle launches from the Eastern Test Range (ETR). Samples of twenty-six ETR near simultaneous Jimsphere and HRAMPS wind profiles were obtained for Shuttle program HRAMPS certification studies. Shuttle systems engineering certification is to ensure that spacecraft and launch vehicle systems performance and safety evaluations for each launch (derived from flight simulations with Jimsphere wind profile data bases) retain their validity when HRAMPS profiles are used on day-of-launch (DOL) in trajectory and loads simulations to support the commit-to-launch decision. This paper describes a statistical analysis of the near simultaneous profiles. In principle the differences between a Jimsphere profile and an HRAMPS profile should be attributed to tracking technology (radar versus GPS tracking of a Jimsphere flight element) and the method for derivation of wind vectors from the raw tracking data. In reality, it is not technically feasible to track the same Jimsphere balloon with the two systems. The aluminized Mylar surface of the standard Jimsphere flight element facilitates radar tracking, but it interferes with HRAMPS during simultaneous tracking. Suspending a radar reflector from an HRAMPS flight element (Jimsphere without aluminized coating) does not produce satisfactory Jimsphere profiles because of intermittent radar returns. Thus, differences between the Jimsphere and HRAMPS profiles are also attributed to differences in the trajectories of separate flight elements. Because of small sample size and a test period limited to one winter season, test measurements during extreme high winds aloft could not have been expected and did not occur. It is during the highest winds that the largest differences between Jimsphere and HRAMPS would occur because the distance between flight elements would be larger. Jimsphere radar tracking noise increases as a function of balloon displacement downrange. The Jimsphere data processing compensates for tracking signal/noise degradation by increasing the smoothing interval. The Jimsphere wind profile effective resolution is a function of downrange distance and altitude, whereas the effective resolution of the HRAMPS should be independent of those variables. The procedure used for editing Jimsphere spikes in Shuttle DOL profiles was not implemented for the Jimsphere profile measurements during the AMPS field tests. For this analysis a code was developed that essentially mimics DOL Jimsphere spike editing. Jimsphere profiles have somewhat more noise in the wavelength range less than 200m defined as the noise floor. No differences between Jimsphere and HRAMPS wind profile pairs have been found that would support denial of HRAMPS certification for application in Shuttle DOL applications. The reliability of the HRAMPS system, which is an important certification issue, is not addressed in this study.

Adelfang, S. I.↗

Alcohol consumption and breast cancer risk in Japan: A pooled analysis of eight population‐based cohort studies

Abstract Although alcohol consumption is reported to increase the incidence of breast cancer in European studies, evidence for an association between alcohol and breast cancer in Asian populations is insufficient. We conducted a pooled analysis of eight large‐scale population‐based prospective cohort studies in Japan to evaluate the association between alcohol (both frequency and amount) and breast cancer risk with categorization by menopausal status at baseline and at diagnosis. Estimated hazard ratios (HR) and 95% confidence intervals were calculated in the individual cohorts and combined using random‐effects models. Among 158 164 subjects with 2 369 252 person‐years of follow‐up, 2208 breast cancer cases were newly diagnosed. Alcohol consumption had a significant association with a higher risk of breast cancer in both women who were premenopausal at baseline (regular drinker compared to nondrinker: HR 1.37, 1.04‐1.81, ≥23 g/d compared to 0 g/d: HR 1.74, 1.25‐2.43, P for trend per frequency category: P = .017) and those who were premenopausal at diagnosis (≥23 g/d compared to 0 g/d: HR 1.89, 1.04‐3.43, P for trend per frequency category: P = .032). In contrast, no significant association was seen in women who were postmenopausal at baseline or at diagnosis, despite a substantial number of subjects and long follow‐up period. Our results revealed that frequent and high alcohol consumption are both risk factors for Asian premenopausal breast cancer, similarly to previous studies in Western countries. The lack of a clear association in postmenopausal women in our study warrants larger investigation in Asia.

Iwase, Madoka↗