Comprehensive user requirements engineering methodology for secure and interoperable health data exchange.

BACKGROUND: Increased digitalization of healthcare comes along with the cost of cybercrime proliferation. This results to patients' and healthcare providers' skepticism to adopt Health Information Technologies (HIT). In Europe, this shortcoming hampers efficient cross-border health data exchange, which requires a holistic, secure and interoperable framework. This study aimed to provide the foundations for designing a secure and interoperable toolkit for cross-border health data exchange within the European Union (EU), conducted in the scope of the KONFIDO project. Particularly, we present our user requirements engineering methodology and the obtained results, driving the technical design of the KONFIDO toolkit. METHODS: Our methodology relied on four pillars: (a) a gap analysis study, reviewing a range of relevant projects/initiatives, technologies as well as cybersecurity strategies for HIT interoperability and cybersecurity; (b) the definition of user scenarios with major focus on cross-border health data exchange in the three pilot countries of the project; (c) a user requirements elicitation phase containing a threat analysis of the business processes entailed in the user scenarios, and (d) surveying and discussing with key stakeholders, aiming to validate the obtained outcomes and identify barriers and facilitators for HIT adoption linked with cybersecurity and interoperability. RESULTS: According to the gap analysis outcomes, full adherence with information security standards is currently not universally met. Sustainability plans shall be defined for adapting existing/evolving frameworks to the state-of-the-art. Overall, lack of integration in a holistic security approach was clearly identified. For each user scenario, we concluded with a comprehensive workflow, highlighting challenges and open issues for their application in our pilot sites. The threat analysis resulted in a set of 30 user goals in total, documented in detail. Finally, indicative barriers of HIT acceptance include lack of awareness regarding HIT risks and legislations, lack of a security-oriented culture and management commitment, as well as usability constraints, while important facilitators concern the adoption of standards and current efforts for a common EU legislation framework. CONCLUSIONS: Our study provides important insights to address secure and interoperable health data exchange, while our methodological framework constitutes a paradigm for investigating diverse cybersecurity-related risks in the health sector.

Bone Scan Index predicts outcome in patients with metastatic hormone-sensitive prostate cancer.

OBJECTIVE: To evaluate the Bone Scan Index (BSI) for prediction of castration resistance and prostate cancer-specific survival (PCSS). In this retrospective study, we used novel computer-assisted software for automated detection/quantification of bone metastases by BSI. Patients with prostate cancer are M-staged by whole-body bone scintigraphy (WBS) and categorised as M0 or M1. Within the M1 group, there is a wide range of clinical outcomes. The BSI was introduced a decade ago providing quantification of bone metastases by estimating the percentage of bone involvement. Being too time consuming, it never gained widespread clinical use. PATIENTS AND METHODS: In all, 88 patients with prostate cancer awaiting initiation of androgen-deprivation therapy due to metastases were included. WBS was performed using a two-headed γ-camera. BSI was obtained using the automated platform EXINI bone (EXINI Diagnostics AB, Lund, Sweden). In Cox proportional hazard models, time to castration-resistant prostate cancer (CRPC) and PCSS were modelled as the dependent variables, whereas prostate-specific antigen (PSA) level, Gleason score and BSI were used as explanatory factors. For Kaplan-Meier estimates, BSI groups were dichotomously split into: BSI <1 and BSI ≥1. Discrimination between prognostic models was explored using the concordance index (C-index). RESULTS: The mean (range) age of the patients was 72 (52-92) years, the median (range) PSA level was 73 (4-5 740) ng/mL, the mean (range) Gleason score was 7.7 (2-10), and the mean (range) BSI was 1.0 (0-9.2). During a mean (range) follow-up of 26 (8-49) months, 48 patients became castration resistant and 15 had died; most (13) from prostate cancer. In multivariate analysis including PSA level, Gleason score and BSI, only prediction by BSI was statistically significant. This was true both for time to CRPC (hazard ratio [HR] 1.45, 95% confidence interval [CI] 1.22-1.74; C-index increase from 0.49 to 0.69) and for PCSS (HR 1.34, 95% CI 1.07-1.67; C-index increase from 0.76 to 0.95). CONCLUSION: BSI obtained using a novel automated computer-assisted algorithm appears to be a useful predictor of outcome for time to CRPC and PCSS in patients with hormone-sensitive metastatic prostate cancer.

The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients.

The proportion of orbital blow-out fractures (BOFs) which are operated upon varies. The purpose of this study was to determine the treatment pattern of BOFs at our tertiary trauma centre and to evaluate the functional outcomes in patients according to whether they were managed surgically or conservatively. The study design is a retrospective cohort study and the setting is Tertiary care University Hospital. The participants include patients with isolated BOFs admitted to our Trauma Unit from 2010 to 2013. Of the 100 consecutive patients included, 60 had available follow-up data. The presence of diplopia and enophthalmus was determined by reviewing the medical records. Data from the patients' initial consultation and their 3-month follow-up were also collected. Of the 60 patients whose data could be analysed, 36 had been managed surgically and 24 conservatively. Of the patients managed surgically, 25 had diplopia in peripheral gaze before surgery and 12 at 3-month follow-up. Nine had diplopia in primary gaze before surgery and none at 3-month follow-up. Five had enophthalmus before surgery and two at 3-month follow-up. Of the patients managed conservatively, eight had diplopia in peripheral gaze initially and seven at 3-month follow-up. Three had diplopia in primary gaze initially and one at 3-month follow-up. One had enophthalmus initially which was still present at 3-month follow-up. Primary gaze diplopia disappeared while secondary gaze diplopia was present in about a third of patients, whether managed surgically or conservatively at the 3-month follow-up. Standardised follow-up as well as clear indications for and against surgery are warranted.

PAHs in high Arctic copepods Calanus hyperboreus following exposure of residues from in situ burning of oil spill.

In situ burning of marine oil spills reduces the total amount of oil in the environment, but a negative side effect may be the generation of environmentally hazardous polycyclic aromatic hydrocarbons (PAHs) that may pose a risk for bioaccumulation, particularly in organisms having a high lipid content. In this study uptake of PAHs from oil and burn residue were examined in the high arctic copepod Calanus hyperboreus. A major part of the low ring number petrogenic PAHs in the oil was removed during burning and relative higher concentrations of pyrogenic high ring number PAHs was found in the burn residue. This suggests that burning markedly reduces the general PAH exposure load. Furthermore, the pyrogenic PAHs generated during the burn were not bioconcentrated to quantifiable levels in the copepods. We conclude that in situ burning can mitigate the potential risk of PAH uptake for copepods and other pelagic organisms in the marine environment as the pyrogenic PAHs only pose low risk for uptake from the water by the copepods and other pelagic organisms.

EOS - Environment & Oil Spill Response. An analytic tool for environmental assessments to support oil spill response planning: Framework, principles, and proof-of-concept by an Arctic example.

The Environment & Oil Spill Response tool (EOS), supports oil spill response planning and decision making. This tool is developed on a research basis, and is an index based, generic and open-source analytic tool, which environmentally can optimise the choice of oil spill response methods for a given spill situation and for a given sea area with respect to environment and nature. The tool is not linked to a particular oil spill simulation model, although it is recommended using oil spill simulation models to have detailed data available for the analysis. The EOS tool consists of an Excel workbook with formulas for calculations and scores followed by screening through decision trees. As case for the EOS tool proof-of-concept, the area of Store Hellefiskebanke, West Greenland, is used. The tool can be downloaded from the Aarhus University home page as a free-of-charge application and is accompanied by a handbook for guidance.

Effects of chemical dispersants on feathers from Arctic seabirds.

Chemical dispersion is an oil spill response strategy where dispersants are sprayed onto the oil slick to enhance oil dispersion into the water. However, accidental application could expose seabirds to dispersants, thereby negatively affecting their plumage. To understand the possible impacts on seabirds, feathers from common eider (Somateria mollissima) and thick-billed murre (Uria lomvia) were exposed to different dosages of the dispersant Dasic Slickgone NS. For all exposure dosages the feathers increased in weight, and mostly for common eider. Analysing the feather microstructure, e.g., the Amalgamation Index, showed that larger damages were found on thick-billed murre than common eider. A no-sinking limit was established at 0.109 ml/m2. Relating this value to desktop simulations of potential sea-surface dosages in real-life situations, and to published accounts of response operations, showed that the limit is likely to be exceeded. Thus, our results show that chemical dispersants in realistic dosages could impact seabirds.

A model for assessment of telemedicine applications: mast.

OBJECTIVES: Telemedicine applications could potentially solve many of the challenges faced by the healthcare sectors in Europe. However, a framework for assessment of these technologies is need by decision makers to assist them in choosing the most efficient and cost-effective technologies. Therefore in 2009 the European Commission initiated the development of a framework for assessing telemedicine applications, based on the users' need for information for decision making. This article presents the Model for ASsessment of Telemedicine applications (MAST) developed in this study. METHODS: MAST was developed through workshops with users and stakeholders of telemedicine. RESULTS: Based on the workshops and using the EUnetHTA Core HTA Model as a starting point a three-element model was developed, including: (i) preceding considerations, (ii) multidisciplinary assessment, and (iii) transferability assessment. In the multidisciplinary assessment, the outcomes of telemedicine applications comprise seven domains, based on the domains in the EUnetHTA model. CONCLUSIONS: MAST provides a structure for future assessment of telemedicine applications. MAST will be tested during 2010-13 in twenty studies of telemedicine applications in nine European countries in the EC project Renewing Health.

A Deep Learning Algorithm for Radiographic Measurements of the Hip in Adults-A Reliability and Agreement Study.

Hip dysplasia (HD) is a frequent cause of hip pain in skeletally mature patients and may lead to osteoarthritis (OA). An accurate and early diagnosis may postpone, reduce or even prevent the onset of OA and ultimately hip arthroplasty at a young age. The overall aim of this study was to assess the reliability of an algorithm, designed to read pelvic anterior-posterior (AP) radiographs and to estimate the agreement between the algorithm and human readers for measuring (i) lateral center edge angle of Wiberg (LCEA) and (ii) Acetabular index angle (AIA). The algorithm was based on deep-learning models developed using a modified U-net architecture and ResNet 34. The newly developed algorithm was found to be highly reliable when identifying the anatomical landmarks used for measuring LCEA and AIA in pelvic radiographs, thus offering highly consistent measurement outputs. The study showed that manual identification of the same landmarks made by five specialist readers were subject to variance and the level of agreement between the algorithm and human readers was consequently poor with mean measured differences from 0.37 to 9.56° for right LCEA measurements. The algorithm displayed the highest agreement with the senior orthopedic surgeon. With further development, the algorithm may be a good alternative to humans when screening for HD.

Coastline in-situ burning of oil spills in the Arctic. Studies of the environmental impacts on the littoral zone community.

In-situ burning (ISB) has been an oil combat technique studied since the 1950s. However, burning of the oil on the sea surface along the coastline, coastline ISB (cISB), is novel and was tested for the first time in the Arctic along a rocky coast in the summer 2017. A light crude oil was burned and effects of the cISB operation on the littoral zone communities investigated. The impact on macroalgal vegetation and associated fauna was analysed in three littoral zone levels. The analyses revealed limited effects on the littoral community, and that variation between sample plots and years in macroalgal biomass and coverage, as well as fauna biomass and abundance was higher than the impact from cISB. Therefore, it is concluded that cISB in the Arctic along a rocky shore may be an oil spill response option with relatively low environmental side effects for the specific oil type used.

Comparative toxicity assessment of in situ burn residues to initial and dispersed heavy fuel oil using zebrafish embryos as test organisms.

In situ burning (ISB) is discussed to be one of the most suitable response strategies to combat oil spills in extreme conditions. After burning, a highly viscous and sticky residue is left and may over time pose a risk of exposing aquatic biota to toxic oil compounds. Scientific information about the impact of burn residues on the environment is scarce. In this context, a comprehensive ISB field experiment with approx. 1000L IFO 180 was conducted in a fjord in Greenland. The present study investigated the toxicity of collected ISB residues to early life stages of zebrafish (Danio rerio) as a model for potentially exposed pelagic organisms. The toxicity of ISB residues on zebrafish embryos was compared with the toxicity of the initial (unweathered) IFO 180 and chemically dispersed IFO 180. Morphological malformations, hatching success, swimming behavior, and biomarkers for exposure (CYP1A activity, AChE inhibition) were evaluated in order to cover the toxic response on different biological organization levels. Across all endpoints, ISB residues did not induce greater toxicity in zebrafish embryos compared with the initial oil. The application of a chemical dispersant increased the acute toxicity most likely due to a higher bioavailability of dissolved and particulate oil components. The results provide insight into the adverse effects of ISB residues on sensitive life stages of fish in comparison with chemical dispersant application.

Online communication between doctors and patients in Europe: status and perspectives.

BACKGROUND: Use of the Internet for health purposes is steadily increasing in Europe, while the eHealth market is still a niche. Online communication between doctor and patient is one aspect of eHealth with potentially great impact on the use of health systems, patient-doctor roles and relations and individuals' health. Monitoring and understanding practices, trends, and expectations in this area is important, as it may bring invaluable knowledge to all stakeholders, in the Health 2.0 era. OBJECTIVE: Our two main goals were: (1) to investigate use of the Internet and changes in expectations about future use for particular aspects of communication with a known doctor (obtaining a prescription, scheduling an appointment, or asking a particular health question), and (2) to investigate how important the provision of email and Web services to communicate with the physician is when choosing a new doctor for a first time face-to-face appointment. The data come from the second survey of the eHealth Trends study, which addressed trends and perspectives of health-related Internet use in Europe. This study builds on previous work that established levels of generic use of the Internet for self-help activities, ordering medicine or other health products, interacting with a Web doctor/unknown health professional, and communicating with a family doctor or other known health professional. METHODS: A representative sample of citizens from seven European countries was surveyed (n = 7022) in April and May of 2007 through computer-assisted telephone interviews (CATI). Respondents were questioned about their use of the Internet to obtain a prescription, schedule an appointment, or ask a health professional about a particular health question. They were also asked what their expectations were regarding future use of the Internet for health-related matters. In a more pragmatic approach to the subject, they were asked about the perceived importance when choosing a new doctor of the possibility of using email and the Web to communicate with that physician. Logistic regression analysis was used to draw the profiles of users of related eHealth services in Europe among the population in general and in the subgroup of those who use the Internet for health-related matters. Changes from 2005 to 2007 were computed using data from the first eHealth Trends survey (October and November 2005, n = 7934). RESULTS: In 2007, an estimated 1.8% (95% confidence interval [CI], 1.5 - 2.1) of the population in these countries had used the Internet to request or renew a prescription; 3.2% (95% CI 2.8 - 3.6) had used the Internet to schedule an appointment; and 2.5% (95% CI 2.2 - 2.9) had used the Internet to ask a particular health question. This represents estimated increases of 0.9% (95% CI 0.5 - 1.3), 1.7% (95% CI 1.2 - 2.2), and 1.4% (95% CI 0.9 - 1.8). An estimated 18.0% (95% CI 17.1 - 18.9) of the populations of these countries expected that in the near future they would have consultations with health professionals online, and 25.4% (95% CI 24.4 - 26.3) expected that in the near future they would be able to schedule an appointment online. Among those using the Internet for health-related purposes, on average more than 4 in 10 people considered the provision of these eHealth services to be important when choosing a new doctor. CONCLUSIONS: Use of the Internet to communicate with a known health professional is still rare in Europe. Legal context, health policy issues, and technical conditions prevailing in different countries might be playing a major role in the situation. Interest in associated eHealth services is high among citizens and likely to increase.

Smooth or smothering? The self-cleaning potential and photosynthetic effects of oil spill on arctic macro-algae Fucus distichus.

Due to increased sea transport and offshore gas and oil exploration, the Arctic is facing an unprecedented risk of marine oil spills. Although beached oil spills can lead to acute and chronic impacts on intertidal ecosystems, the effects of oil spills on macro-algae in Arctic ecosystems is lacking. Here, we assessed the effect and response of the tidal macro-algae Fucus distichus to oiling, i.e. self-cleaning potential by seawater wash and photosynthetic activity. Oiling with four oil types (ANS, Grane, IFO30 and MGO) was simulated by exposing F. distichus tips to oil. Oil removal half-times ranged between 0.8 - 4.5 days, indicating that oiling of macro-algae with the tested oils was short-term. Further, Grane oil mostly inhibited photosynthetic activity whereas oil from ANS, IFO30 and MGO stimulated it. The photosynthetic activity of F. distichus continued to be affected (inhibited or stimulated), even after oil on the tip surface was washed off.

eHealth trends in Europe 2005-2007: a population-based survey.

BACKGROUND: In the last decade, the number of Internet users worldwide has dramatically increased. People are using the Internet for various health-related purposes. It is important to monitor such use as it may have an impact on the individual's health and behavior, patient-practitioner roles, and on general health care provision. OBJECTIVES: This study investigates trends and patterns of European health-related Internet use over a period of 18 months. The main study objective was to estimate the change in the proportion of the population using the Internet for health purposes, and the importance of the Internet as a source of health information compared to more traditional sources. METHODS: The survey data were collected through computer-assisted telephone interviews. A representative sample (N = 14,956) from seven European countries has been used: Denmark, Germany, Greece, Latvia, Norway, Poland, and Portugal. The European eHealth Consumer Trends Survey was first conducted in October-November 2005 and repeated in April-May 2007. In addition to providing background information, respondents were asked to rate the importance of various sources of health information. They were also queried as to the frequency of different online activities related to health and illness and the effects of such use on their disposition. RESULTS: The percentage of the population that has used the Internet for health purposes increased from an estimated 42.3% (95% CI [Confidence Interval] 41.3 - 43.3) in 2005 to an estimated 52.2% (95% CI 51.3 - 53.2) in 2007. Significant growth in the use of the Internet for health purposes was found in all the seven countries. Young women are the most active Internet health users. The importance of the Internet as a source of health information has increased. In 2007, the Internet was perceived as an important source of health information by an estimated 46.8% (95% CI 45.7 - 47.9) of the population, a significant increase of 6.5 % (95% CI 4.9 - 8.1) from 2005. The importance of all the traditional health information channels has either decreased or remained the same. An estimated 22.7% (95% CI 21.7 - 23.6) are using it for more interactive services than just reading health information. CONCLUSION: The Internet is increasingly being used as a source of health information by the European population, and its perceived importance is rising. Use of the Internet for health purposes is growing in all age groups and for both men and women, with especially strong growth among young women. We see that experienced Internet health users are also using the Internet as an active communication channel, both for reaching health professionals and for communicating with peers.

Biodegradation of marine oil spills in the Arctic with a Greenland perspective.

New economic developments in the Arctic, such as shipping and oil exploitation, bring along unprecedented risks of marine oil spills. Microorganisms have played a central role in degrading and reducing the impact of the spilled oil during past oil disasters. However, in the Arctic, and in particular in its pristine areas, the self-cleaning capacity and biodegradation potential of the natural microbial communities have yet to be uncovered. This review compiles and investigates the current knowledge with respect to environmental parameters and biochemical constraints that control oil biodegradation in the Arctic. Hereby, seawaters off Greenland are considered as a case study. Key factors for biodegradation include the bioavailability of hydrocarbons, the presence of hydrocarbon-degrading bacteria and the availability of nutrients. We show how these key factors may be influenced by the physical oceanographic conditions in seawaters off Greenland and other environmental parameters including low temperature, sea ice, sunlight regime, suspended sediment plumes and phytoplankton blooms that characterize the Arctic. Based on the acquired insights, a first qualitative assessment of the biodegradation potential in seawaters off Greenland is presented. In addition to the most apparent Arctic characteristics, such as low temperature and sea ice, the impact of typical Arctic features such as the oligotrophic environment, poor microbial adaptation to hydrocarbon degradation, mixing of stratified water masses, and massive phytoplankton blooms and suspended sediment plumes merit to be topics of future investigation.

Effectiveness of a chemical herder in association with in-situ burning of oil spills in ice-infested water.

The average herded slick thickness, surface distribution and burning efficiency of a light crude oil were studied in ice-infested water to determine the effectiveness of a chemical herder in facilitating the in-situ burning of oil. Experiments were performed in a small scale (1.0m2) and an intermediate scale (19m2) setup with open water and 3/10, 5/10 and 7/10 brash ice coverages. The herded slick thicknesses (3-8mm) were ignitable in each experiment. The presence of ice caused fracturing of the oil during the herding process, which reduced the size of the herded slicks and, as a consequence, their ignitability, which in turn decreased the burning efficiency. Burning efficiencies relative to the ignited fraction of the oil were in the expected range (42-86%). This shows that the herder will be an effective tool for in-situ burning of oil when the ignitability issues due to fracturing of the oil are resolved.

Effects of oil and oil burn residues on seabird feathers.

It is well known, that in case of oil spill, seabirds are among the groups of animals most vulnerable. Even small amounts of oil can have lethal effects by destroying the waterproofing of their plumage, leading to loss of insulation and buoyancy. In the Arctic these impacts are intensified. To protect seabirds, a rapid removal of oil is crucial and in situ burning could be an efficient method. In the present work exposure effects of oil and burn residue in different doses was studied on seabird feathers from legally hunted Common eider (Somateria mollissima) by examining changes in total weight of the feather and damages on the microstructure (Amalgamation Index) of the feathers before and after exposure. The results of the experiments indicate that burn residues from in situ burning of an oil spill have similar or larger fouling and damaging effects on seabird feathers, as compared to fresh oil.

Electrodialytic removal of cadmium from wastewater sludge.

This paper presents for the first time laboratory results demonstrating electrodialytic removal of Cd from wastewater sludge, which is a method originally developed for soil remediation. During the remediation a stirred suspension of wastewater sludge was exposed to an electric dc field. The liquid/solid (ml/g fresh sludge) ratio was between 1.4 and 2. Three experiments were performed where the sludge was suspended in distilled water, citric acid or HNO3. The experimental conditions were otherwise identical. The Cd removal in the three experiments was 69, 70 and 67%, respectively, thus the removal was approximately the same. Chemical extraction experiments with acidic solutions showed that 5-10 times more Cd could be extracted from decomposed sludge than from fresh sludge. It is likely that the mobilization of Cd during decomposition of the sludge contributes to the efficient removal of Cd by the electrodialytic method. Extraction experiments and electrodialytic remediation using distilled water as enhancement agent showed that 0.3% Cd could be extracted from decomposed sludge during 1 week in closed flasks, whereas 69% was removed during 2 weeks of electrodialytic remediation in a stirred solution in contact with atmospheric air. A combination of aerobic decomposition and electrodialytic treatment could be a promising method for Cd removal from wastewater sludge, and thus Cd could be removed without the addition of chemicals to the sludge.

Suitability of oil bioremediation in an Artic soil using surplus heating from an incineration facility.

A 168-day period field study, carried out in Sisimiut, Greenland, assessed the potential to enhance soil remediation with the surplus heating from an incineration facility. This approach searches a feasible ex situ remediation process that could be extended throughout the year with low costs. Individual and synergistic effects of biostimulation were also tested, in parallel. An interim evaluation at the end of the first 42 days showed that biostimulation and active heating, as separate treatments, enhanced petroleum hydrocarbon (PHC) removal compared to natural attenuation. The coupling of both technologies was even more effective, corroborating the benefits of both techniques in a remediation strategy. However, between day 42 and day 168, there was an opposite remediation trend with all treatments suggesting a stabilization except for natural attenuation, where PHC values continued to decrease. This enforces the "self-purification" capacity of the system, even at low temperatures. Coupling biostimulation with active heating was the best approach for PHC removal, namely for a short period of time (42 days). The proposed remediation scheme can be considered a reliable option for faster PHC removal with low maintenance and using "waste heating" from an incineration facility.

Composition of in situ burn residue as a function of weathering conditions.

Troll B crude oil was weathered under Arctic conditions with different ice coverage: open water, 50% ice and 90% ice. Samples (100 mL) were taken during the experiment and tested for ignitability in a burning cell. From each burning a residue sample was taken for analysis. The burning process removed the light compounds eluting before C13. No effect from the prior weathering time or the different ice coverage was seen in the burn residue composition. The content of selected Poly Aromatic Hydrocarbons (PAHs) was determined and it was noted that the concentration of PAHs with more than 4 rings were increased. The source origin of the PAHs was investigated by use of relative ratios of PAH isomers and indicated that some formation of PAHs was additionally taking place during burning.

Measuring ignitability for in situ burning of oil spills weathered under Arctic conditions: from laboratory studies to large-scale field experiments.

This paper compares the ignitability of Troll B crude oil weathered under simulated Arctic conditions (0%, 50% and 90% ice cover). The experiments were performed in different scales at SINTEF's laboratories in Trondheim, field research station on Svalbard and in broken ice (70-90% ice cover) in the Barents Sea. Samples from the weathering experiments were tested for ignitability using the same laboratory burning cell. The measured ignitability from the experiments in these different scales showed a good agreement for samples with similar weathering. The ice conditions clearly affected the weathering process, and 70% ice or more reduces the weathering and allows a longer time window for in situ burning. The results from the Barents Sea revealed that weathering and ignitability can vary within an oil slick. This field use of the burning cell demonstrated that it can be used as an operational tool to monitor the ignitability of oil spills.