Typhoon- and pollution-driven enhancement of reactive bromine in the mid-latitude marine boundary layer.

Tropospheric reactive bromine is important for atmospheric chemistry, regional air pollution, and global climate. Previous studies have reported measurements of atmospheric reactive bromine species in different environments, and proposed their main sources, e.g. sea-salt aerosol (SSA), oceanic biogenic activity, polar snow/ice, and volcanoes. Typhoons and other strong cyclonic activities (e.g. hurricanes) induce abrupt changes in different earth system processes, causing widespread destructive effects. However, the role of typhoons in regulating reactive bromine abundance and sources remains unexplored. Here, we report field observations of bromine oxide (BrO), a critical indicator of reactive bromine, on the Huaniao Island (HNI) in the East China Sea in July 2018. We observed high levels of BrO below 500 m with a daytime average of 9.7 ± 4.2 pptv and a peak value of ∼26 pptv under the influence of a typhoon. Our field measurements, supported by model simulations, suggest that the typhoon-induced drastic increase in wind speed amplifies the emission of SSA, significantly enhancing the activation of reactive bromine from SSA debromination. We also detected enhanced BrO mixing ratios under high NOx conditions (ppbv level) suggesting a potential pollution-induced mechanism of bromine release from SSA. Such elevated levels of atmospheric bromine noticeably increase ozone destruction by as much as ∼40% across the East China Sea. Considering the high frequency of cyclonic activity in the northern hemisphere, reactive bromine chemistry is expected to play a more important role than previously thought in affecting coastal air quality and atmospheric oxidation capacity. We suggest that models need to consider the hitherto overlooked typhoon- and pollution-mediated increase in reactive bromine levels when assessing the synergic effects of cyclonic activities on the earth system.

Halogens Enhance Haze Pollution in China.

Severe and persistent haze events in northern China, characterized by high loading of fine aerosol especially of secondary origin, negatively impact human health and the welfare of ecosystems. However, current knowledge cannot fully explain the formation of this haze pollution. Despite field observations of elevated levels of reactive halogen species (e.g., BrCl, ClNO2, Cl2, HBr) at several sites in China, the influence of halogens (particularly bromine) on haze pollution is largely unknown. Here, for the first time, we compile an emission inventory of anthropogenic bromine and quantify the collective impact of halogens on haze pollution in northern China. We utilize a regional model (WRF-Chem), revised to incorporate updated halogen chemistry and anthropogenic chlorine and bromine emissions and validated by measurements of atmospheric pollutants and halogens, to show that halogens enhance the loading of fine aerosol in northern China (on average by 21%) and especially its secondary components (∼130% for secondary organic aerosol and ∼20% for sulfate, nitrate, and ammonium aerosols). Such a significant increase is attributed to the enhancement of atmospheric oxidants (OH, HO2, O3, NO3, Cl, and Br) by halogen chemistry, with a significant contribution from previously unconsidered bromine. These results show that higher recognition of the impact of anthropogenic halogens shall be given in haze pollution research and air quality regulation.

Chemical Interactions Between Ship-Originated Air Pollutants and Ocean-Emitted Halogens.

Ocean-going ships supply products from one region to another and contribute to the world's economy. Ship exhaust contains many air pollutants and results in significant changes in marine atmospheric composition. The role of reactive halogen species (RHS) in the troposphere has received increasing recognition and oceans are the largest contributors to their atmospheric burden. However, the impact of shipping emissions on RHS and that of RHS on ship-originated air pollutants have not been studied in detail. Here, an updated Weather Research Forecasting coupled with Chemistry model is utilized to explore the chemical interactions between ship emissions and oceanic RHS over the East Asia seas in summer. The emissions and resulting chemical transformations from shipping activities increase the level of NO and NO2 at the surface, increase O3 in the South China Sea, but decrease O3 in the East China Sea. Such changes in pollutants result in remarkable changes in the levels of RHS (>200% increase of chlorine; ∼30% and ∼5% decrease of bromine and iodine, respectively) as well as in their partitioning. The abundant RHS, in turn, reshape the loadings of air pollutants (∼20% decrease of NO and NO2; ∼15% decrease of O3) and those of the oxidants (>10% reduction of OH and HO2; ∼40% decrease of NO3) with marked patterns along the ship tracks. We, therefore, suggest that these important chemical interactions of ship-originated emissions with RHS should be considered in the environmental policy assessments of the role of shipping emissions in air quality and climate.

Potential Effect of Halogens on Atmospheric Oxidation and Air Quality in China.

Air pollution has been a hazard in China over recent decades threatening the health of half a billion people. Much effort has been devoted to mitigating air pollution in China leading to a significant reduction in primary pollutants emissions from 2013 to 2017, while a continuously worsening trend of surface ozone (O3, a secondary pollutant and greenhouse gas) was observed over the same period. Atmospheric oxidation, dominated by daytime reactions involving hydroxyl radicals (OH), is the critical process to convert freshly-emitted compounds into secondary pollutants, and is underestimated in current models of China's air pollution. Halogens (chlorine, bromine, and iodine) are known to profoundly influence oxidation chemistry in the marine environment; however, their impact on atmospheric oxidation and air pollution in China is unknown. In the present study, we report for the first time that halogens substantially enhance the total atmospheric oxidation capacity in polluted areas of China, typically 10% to 20% (up to 87% in winter) and mainly by significantly increasing OH level. The enhanced oxidation along the coast is driven by oceanic emissions of bromine and iodine, and that over the inland areas by anthropogenic emission of chlorine. The extent and seasonality of halogen impact are largely explained by the dynamics of Asian monsoon, location and intensity of halogen emissions, and O3 formation regime. The omission of halogen emissions and chemistry may lead to significant errors in historical re-assessments and future projections of the evolution of atmospheric oxidation in polluted regions.

[Nursing care in the patient with an artificial airway in the intensive care unit]. / Paciente con vía aérea artificial. Atención de enfermería en cuidados intensivos.

INTRODUCTION: Complications related to the artificial airway (endotracheal tube and tracheotomy) in intensive care units are a major health problem that depends largely on the management and care applied to these devices. The daily challenge of nursing professionals is to minimize the incidence of these complications (among which highlights the pneumonia associated with mechanical ventilation). INTERVENTIONS: We analyzed 21 measures related to management of these devices in order to reflect the recommendations based on scientific evidence and provide quality care applied to the patient that need these devices. CONCLUSIONS: Compliance with the standards for care and management of patients with an artificial airways is vital in reducing the incidence of complications associated with these devices. Not all management rules are standardized.