Precipitation regime changes in High Mountain Asia driven by cleaner air.

High Mountain Asia (HMA) has experienced a spatial imbalance in water resources in recent decades, partly because of a dipolar pattern of precipitation changes known as South Drying-North Wetting1. These changes can be influenced by both human activities and internal climate variability2,3. Although climate projections indicate a future widespread wetting trend over HMA1,4, the timing and mechanism of the transition from a dipolar to a monopolar pattern remain unknown. Here we demonstrate that the observed dipolar precipitation change in HMA during summer is primarily driven by westerly- and monsoon-associated precipitation patterns. The weakening of the Asian westerly jet, caused by the uneven emission of anthropogenic aerosols, favoured a dipolar precipitation trend from 1951 to 2020. Moreover, the phase transition of the Interdecadal Pacific Oscillation induces an out-of-phase precipitation change between the core region of the South Asian monsoon and southeastern HMA. Under medium- or high-emission scenarios, corresponding to a global warming of 0.6-1.1 °C compared with the present, the dipolar pattern is projected to shift to a monopolar wetting trend in the 2040s. This shift in precipitation patterns is mainly attributed to the intensified jet stream resulting from reduced emissions of anthropogenic aerosols. These findings underscore the importance of considering the impact of aerosol emission reduction in future social planning by policymakers.

[Stem cell transplantation unit: Guidelines from the francophone Society of bone marrow transplantation and cellular therapy (SFGM-TC)]. / Unité de greffe : recommandations de la Société francophone de greffe de moelle et de thérapie cellulaire (SFGM-TC).

Allogeneic hematopoietic cell transplantation (HCT) is part of the standard of care for many hematological diseases. Over the last decades, significant advances in patient and donor selection, conditioning regimens as well as supportive care of patients undergoing allogeneic HCT leading to improved overall survival have been made. In view of many new treatment options in cellular and molecular targeted therapies, the place of allogeneic transplantation in therapy concepts must be reviewed. Most aspects of HCT are well standardized by national guidelines or laws as well as by certification labels such as FACT-JACIE. However, the requirements for human resources, construction and layout of a unit treating patients during the transplantation procedure and for different complications are not well defined. Here, we describe the process of planning a transplant unit in order to open a discussion that could lead to more precise guidelines in the field of personnel and infrastructural requirements for hospitals caring for people with severe immunosuppression.

Aerially guided leak detection and repair: A pilot field study for evaluating the potential of methane emission detection and cost-effectiveness.

Novel aerial methane (CH4) detection technologies were used in this study to identify anomalously high-emitting oil and gas (O&G) facilities and to guide ground-based "leak detection and repair" (LDAR) teams. This approach has the potential to enable a rapid and effective inspection of O&G facilities under voluntary or regulatory LDAR programs to identify and mitigate anomalously large CH4 emissions from a disproportionately small number of facilities. This is the first study of which the authors are aware to deploy, evaluate, and compare the CH4 detection volumes and cost-effectiveness of aerially guided and purely ground-based LDAR techniques. Two aerial methods, the Kairos Aerospace infrared CH4 column imaging and the Scientific Aviation in situ aircraft CH4 mole fraction measurements, were tested during a 2-week period in the Fayetteville Shale region contemporaneously with conventional ground-based LDAR. We show that aerially guided LDAR can be at least as cost-effective as ground-based LDAR, but several variable parameters were identified that strongly affect cost-effectiveness and which require field research and improvements beyond this pilot study. These parameters include (i) CH4 minimum dectectable limit of aerial technologies, (ii) emission rate size distributions of sources, (iii) remote distinction of fixable versus nonfixable CH4 sources ("leaks" vs. CH4 emissions occurring by design), and (iv) the fraction of fixable sources to total CH4 emissions. Suggestions for future study design are provided. Implications: Mitigation of methane leaks from existing oil and gas operations currently relies on on-site inspections of all applicable facilities at a prescribed frequency. This approach is labor- and cost-intensive, especially because a majority of oil and gas-related methane emissions originate from a disproportionately small number of facilities and components. We show for the first time in real-world conditions how aerial methane measurements can identify anomalously high-emitting facilities to enable a rapid, focused, and directed ground inspection of these facilities. The aerially guided approach can be more cost-effective than current practices, especially when implementing the aircraft deployment improvements discussed here.

Water exchange versus air insufflation for colonoscopy: A meta-analysis.

BACKGROUND/AIMS: To compare water exchange (WE) method with conventional air insufflation (AI) method for colonoscopy, evaluating the technical quality, screening efficacy, and patients' acceptance. MATERIALS AND METHODS: Electronic databases were systematically searched for randomized controlled trials comparing WE colonoscopy with AI colonoscopy. The pooled data of procedure-associated and patient-related outcomes were assessed, using the weighted mean difference (WMD) with 95% confidence interval (CI) for continuous variables and relative risk (RR) with 95% CI for dichotomous variables, respectively. RESULTS: A total of 13 studies involving 7056 patients were included. The cecum intubation rate was similar between WE and AI methods (RR = 1.01, 95% CI = 0.99-1.02,P = 0.37); however, a significantly longer cecum intubation time was shown in WE group (WMD = 1.56, 95% CI = 0.75-2.37,P = 0.002). Compared with AI, WE was associated with a higher risk of adenoma detection rate (ADR) (RR = 1.28, 95% CI = 1.18-1.38,P < 0.00001) and polyp detection rate (PDR) (RR = 1.30, 95% CI = 1.21-1.39,P < 0.00001). Patients in WE group experienced significantly less maximum pain score (WMD = -1.99, 95% CI = -2.68 to -1.30,P < 0.00001) and less requested on-demand sedation (RR = 0.58, 95% CI = 0.44-0.77,P = 0.0002). Likewise, they also experienced less abdominal compression (RR = 0.62, 95% CI = 0.51-0.74,P < 0.00001) and reposition (RR = 0.74, 95% CI = 0.63-0.86,P = 0.0001). Moreover, patients' willingness to repeat colonoscopy was significantly greater for WE (RR = 1.14, 95% CI = 1.07-1.21,P < 0.0001). CONCLUSION: This meta-analysis confirmed that WE method could significantly increase ADR/PDR and improve patients' acceptance of colonoscopy, while reducing the degree of pain and minimize the need for on-demand sedation and adjunct maneuvers, despite requiring more cecal intubation time.

Seasonal Fluctuation of Endotoxin and Protein Concentrations in Outdoor Air in Sasebo, Japan.

To determine the levels of endotoxin, which is a major component of outer membrane of Gram-negative bacteria, and protein in the atmosphere in Sasebo, Japan, we measured these biological materials in fine (aerodynamic diameter ≤2.5 µm) and coarse (≥2.5 µm) particles collected for 81 weeks (September 2014 to May 2016). The monthly concentrations (i.e., the mean value of weekly concentrations for each month) of endotoxin were higher in coarse particles than in fine particles. Fluctuations in monthly endotoxin concentrations were large in both fine (0.0005-0.0208 EU/m3) and coarse (0.0032-0.1164 EU/m3) particles. Furthermore, the endotoxin concentrations in coarse particles were highest in October 2014 and 2015 as well as September 2014 (0.0407-0.1164 EU/m3). However, the monthly protein concentrations were higher in fine particles than in coarse particles. Compared to the endotoxin concentrations, the fluctuations in the monthly protein concentrations were smaller in both coarse and fine particles. To our knowledge, this study is the first to report long-term atmospheric concentrations of endotoxin and protein in Japan. Since the endotoxin concentrations in coarse particles were positively associated with the concentrations of Na+ and Cl-, it suggests the involvement of Gram-negative bacteria from seawater to the endotoxin levels in the atmosphere. For fine particles, the protein concentrations were positively associated with the concentrations of particles, NO3- and SO42-. These results suggest that combustion of organic materials, such as biomass burning, may be a contributor to atmospheric protein during this study period.

Evaluation of airborne sensory irritants for setting exposure limits or guidelines: A systematic approach.

Sensory irritation of eyes and upper airways is an important endpoint for setting occupational exposure limits (OELs) and indoor air guidelines. Sensory irritants cause a painful burning, stinging and itching sensation. Controlled chamber studies are the "golden standard" for evaluations. Well conducted workplace studies offer another possibility. For generalization, the number of participants and their age, smoking, gender, and prior exposure, experience and mood has to be considered. Exposure assessments have to be reliable and exposure duration sufficiently long to establish time-response relationships. A potential confounding by odour has to be assessed. For workplace exposures, mixed exposure and healthy worker effects have to be evaluated. The "Alarie test" is the only validated animal bioassay for prediction of sensory irritation in humans. The mouse bioassay uses the trigeminal reflex-induced decrease in the respiratory rate. The 50% decrease (RD50) has been correlated with OELs set for sensory irritants; predicted OELs for sensory irritants are 0.03xRD50. Evaluation of the bioassay comprises the number of mice and the strain, the reliability of the exposure concentrations and exposure-response relationships, and the similar mode-of-action in mice and humans. These approaches can be used for quality assurance of reported data to set air quality guidelines.

Stable isotope analyses of precipitation nitrogen sources in Guiyang, southwestern China.

To constrain sources of anthropogenic nitrogen (N) deposition is critical for effective reduction of reactive N emissions and better evaluation of N deposition effects. This study measured δ15N signatures of nitrate (NO3-), ammonium (NH4+) and total dissolved N (TDN) in precipitation at Guiyang, southwestern China and estimated contributions of dominant N sources using a Bayesian isotope mixing model. For NO3-, the contribution of non-fossil N oxides (NOx, mainly from biomass burning (24 ± 12%) and microbial N cycle (26 ± 5%)) equals that of fossil NOx, to which vehicle exhausts (31 ± 19%) contributed more than coal combustion (19 ± 9%). For NH4+, ammonia (NH3) from volatilization sources (mainly animal wastes (22 ± 12%) and fertilizers (22 ± 10%)) contributed less than NH3 from combustion sources (mainly biomass burning (17 ± 8%), vehicle exhausts (19 ± 11%) and coal combustions (19 ± 12%)). Dissolved organic N (DON) accounted for 41% in precipitation TDN deposition during the study period. Precipitation DON had higher δ15N values in cooler months (13.1‰) than in warmer months (-7.0‰), indicating the dominance of primary and secondary ON sources, respectively. These results newly underscored the importance of non-fossil NOx, fossil NH3 and organic N in precipitation N inputs of urban environments.

El control de la contaminación atmosférica en México (1970-1980): tensiones y coincidencias entre el sector salud y los industriales / Tensions and coincidences between the health and industrial sectors over the control of atmospheric contamination in Mexico (1970-1980)

Una vez que el gobierno mexicano adoptó las políticas y soluciones esbozadas por organismos internacionales y países altamente industrializados, para combatir la contaminación atmosférica, en la década de l970, se pueden observar las controversias, derivadas del marco legislativo y administrativo, entre el sector salud, gestor de la calidad del aire, y los industriales, sobre los que recaían buena parte de las acciones contra la contaminación. La hipótesis es la siguiente: Los problemas actuales que enfrenta México en el manejo de la contaminación atmosférica persisten debido a que, desde sus orígenes cada sector no solamente estaba poco convencido de la relevancia del problema, sino que cada uno defendió particulares conceptos de contaminación, de gestión y uso de la tecnología, mediados por intereses económicos y políticos, que impidieron soluciones de raíz. Para confirmar lo anterior se analizan los discursos tanto de la Subsecretaria de Mejoramiento del Ambiente de la Secretaria de Salubridad y Asistencia, como de la Cámara Nacional de la Industria de Transformación y de la Subsecretaria de Industria de la Secretaría de Industria y Comercio, durante la «I Reunión Nacional sobre Problemas de Contaminación Ambiental», realizada en 1973, donde públicamente expusieron sus prioridades gremiales. Los resultados de esta investigación apuntan a comprender porque a más de cuarenta años de la institucionalización del manejo de la contaminación atmosférica en México permanece un discurso reduccionista donde el parque vehicular sigue siendo el principal responsable (AU)

n the l970s, the Mexican government adopted air pollution policies and solutions recommended by international organizations and applied in highly industrialized countries. However, this move was accompanied by controversies on the legislative and administrative framework involving healthcare, air quality management, and industrial sectors, with a large part of anti-pollution action being aimed at industry. Our hypothesis was that persistent problems with air pollution management in Mexico can be attributed to: the lack of belief in each sector on the importance of this issue from the very beginning; and the support by each sector for different concepts of pollution, management and the application of technology. Each stakeholder was driven by economic and political interests that prevented radical solutions. This hypothesis was tested by analysing speeches at the "1st National Meeting on Air Pollution Problems" in 1973, where the priorities of each sector were publicly stated by representatives from the Under-Secretariat for Environmental Improvement of the Ministry of Health and Welfare, the National Chamber of Manufacturing Industry, and the Under-Secretariat of Industry of the Ministry of Industry and Commerce. Results of this research help to explain why, despite the institutionalization of air pollution management in Mexico for more than 40 years, a simplistic discourse still prevails in which the vehicle park is considered the main cause of the problem

Impact assessment of PM10 cement plants emissions on urban air quality using the SCIPUFF dispersion model.

The Second-order Closure Integrated Puff (SCIPUFF) model was used to study the impact on urban air quality caused by two cement plants emissions located near the city of Caserta, Italy, during the entire year of 2015. The simulated and observed PM10 concentrations were compared using three monitoring stations located in urban and sub-urban area of Caserta city. Both simulated and observed concentrations are shown to be highest in winter, lower in autumn and spring and lowest in summer. Model results generally follow the pattern of the observed concentrations but have a systematic under-prediction of the concentration values. Measures of the bias, NMSE and RMSE indicate a good correlation between observed and estimated values. The SCIPUFF model data analysis suggest that the cement plants are major sources for the measured PM10 values and are responsible for the deterioration of the urban air quality in the city of Caserta.

[Spatial representativeness of monitoring stations for air quality in Florence (Tuscany Region, Central Italy) according to ARPAT e LaMMA. Critical observations]. / La rappresentatività spaziale delle stazioni di monitoraggio della qualità dell'aria di Firenze secondo ARPAT e LaMMA. Considerazioni critiche.

On March 2015, the Environmental Protection Agency of Tuscany Region (Central Italy) and the Laboratory of monitoring and environmental modelling published a Report on spatial representativeness of monitoring stations for Tuscan air quality, where they supported the decommissioning of modelling stations located in the Florentine Plain. The stations of Signa, Scandicci, and Firenze-Bassi, located in a further South area, were considered representative Believing that air quality of the Plain could be evaluated by these stations is a stretch. In this text the author show the inconsistency of the conclusion of the Report through correlation graphs comparing daily means of PM10 detected in the disposed stations and in the active ones, showing relevant differences between the reported values and the days when the limits are exceeded. The discrepancy is due to the fact that uncertainty of theoretical estimates is greater than the differences recorded by the stations considered as a reference and the areas they may represent. The area of the Plain has a population of 150,000 individuals and it is subject to a heavy environmental pression, which will change for the urban works planned for the coming years. The population's legitimate request for the analytical monitoring of air pollution could be met through the organization of participated monitoring based on the use of low-cost innovative tools.

Potential health benefits of controlling dust emissions in Beijing.

Although the adverse impact of fine particulate matter (i.e., PM2.5) on human health has been well acknowledged, little is known of the health effects of its specific constituents. Over the past decade, the annual average dust concentrations in Beijing were approximately ∼14 µg m(-3), a value that poses a great threat to the city's 20 million residents. In this study, we quantify the potential long-term health damages in Beijing resulting from the dust exposure that occurred from 2000 to 2011. Each year in Beijing, nearly 4000 (95% CI: 1000-7000) premature deaths may be associated with long-term dust exposure, and ∼20% of these deaths are attributed to lung cancer. A decomposition analysis of the inter-annual variability of premature deaths in Beijing indicates that dust concentrations determine the year-to-year tendency, whereas population growth and lung cancer mortality rates drive the increasing tendency of premature death. We suggest that if Beijing takes effective measures towards reducing dust concentrations (e.g., controlling the resuspension of road dust and the fugitive dust from construction sites) to a level comparable to that of New York City's, the associated premature deaths will be significantly reduced. This recommendation offers "low-hanging fruit" suggestions for pollution control that would greatly benefit the public health in Beijing.

Interprovincial Reliance for Improving Air Quality in China: A Case Study on Black Carbon Aerosol.

Black carbon (BC) is of global concern because of its adverse effects on climate and human health. It can travel long distances via atmospheric movement and can be geographically relocated through trade. Here, we explored the integrated patterns of BC transport within 30 provinces in China from the perspective of meteorology and interprovincial trade using the Weather Research and Forecasting with Chemistry (WRF/Chem) model and multiregional input-output analysis. In general, cross-border BC transport, which accounts for more than 30% of the surface concentration, occurs mainly between neighboring provinces. Specifically, Hebei contributes 1.2 µg·m(-3) BC concentration in Tianjin. By contrast, trade typically drives virtual BC flows from developed provinces to heavily industrial provinces, with the largest net flow from Beijing to Hebei (4.2 Gg). Shanghai is most vulnerable to domestic consumption with an average interprovincial consumption influence efficiency of 1.5 × 10(-4) (µg·m(-3))/(billion Yuan·yr(-1)). High efficiencies (∼8 × 10(-5) (µg·m(-3))/(billion Yuan·yr(-1))) are also found from regions including Beijing, Jiangsu, and Shanghai to regions including Hebei, Shandong, and Henan. The above source-receptor relationship indicates two control zones: Huabei and Huadong. Both mitigating end-of-pipe emissions and rationalizing the demand for pollution-intense products are important within the two control zones to reduce BC and other pollutants.

Long-term variation of black carbon and PM2.5 in Beijing, China with respect to meteorological conditions and governmental measures.

Black carbon (BC) and PM2.5 were studied for nine years from 2005 to 2013 in the Beijing urban area. The overall weekly average mass concentrations of BC and PM2.5 were 4.3 and 66.8 µg/m³. PM2.5 annual means of the nine years are around 2 times of the standard (GB3095-2012) in China, and are 5-7 times higher than the WHO standard. The Beijing Olympic Games in 2008 was a milestone to mitigate aerosol pollution. Temporal distribution of BC shows a distinct declining trend, and annual mean mass concentrations of PM2.5 after 2008 were lower than those before 2008 but increased from 2011 to 2013. Wind rose plots show that high BC concentrations are usually associated with low wind speed of northeastern or southwestern winds, generally causing poor visibility. Governmental mitigation measures such as traffic restriction despite increased motor vehicle numbers and gasoline consumption and industry relocation with declining consumption of coal and coke were successful in reducing BC emissions. Annual mean of BC was reduced by 38% in 2013 compared to 2005. However, BC contamination in Beijing is still severe when compared to other urban areas around the world.

An assessment of air quality reflecting the chemosensory irritation impact of mixtures of volatile organic compounds.

We present a method to assess the air quality of an environment based on the chemosensory irritation impact of mixtures of volatile organic compounds (VOCs) present in such environment. We begin by approximating the sigmoid function that characterizes psychometric plots of probability of irritation detection (Q) versus VOC vapor concentration to a linear function. First, we apply an established equation that correlates and predicts human sensory irritation thresholds (SIT) (i.e., nasal and eye irritation) based on the transfer of the VOC from the gas phase to biophases, e.g., nasal mucus and tear film. Second, we expand the equation to include other biological data (e.g., odor detection thresholds) and to include further VOCs that act mainly by "specific" effects rather than by transfer (i.e., "physical") effects as defined in the article. Then we show that, for 72 VOCs in common, Q values based on our calculated SITs are consistent with the Threshold Limit Values (TLVs) listed for those same VOCs on the basis of sensory irritation by the American Conference of Governmental Industrial Hygienists (ACGIH). Third, we set two equations to calculate the probability (Qmix) that a given air sample containing a number of VOCs could elicit chemosensory irritation: one equation based on response addition (Qmix scale: 0.00 to 1.00) and the other based on dose addition (1000*Qmix scale: 0 to 2000). We further validate the applicability of our air quality assessment method by showing that both Qmix scales provide values consistent with the expected sensory irritation burden from VOC mixtures present in a wide variety of indoor and outdoor environments as reported on field studies in the literature. These scales take into account both the concentration of VOCs at a particular site and the propensity of the VOCs to evoke sensory irritation.

Fractionation of airborne particulate-bound elements in haze-fog episode and associated health risks in a megacity of southeast China.

Haze caused by high particulate matter loadings is an important environmental issue. PM2.5 was collected in Nanjing, China, during a severe haze-fog event and clear periods. The particulate-bound elements were chemically fractionated using sequential extractions. The average PM2.5 concentration was 3.4 times higher during haze-fog (96-518 µg/m(3)) than non-haze fog periods (49-142 µg/m(3)). Nearly all elements showed significantly higher concentrations during haze-fog than non-haze fog periods. Zn, As, Pb, Cd, Mo and Cu were considered to have higher bioavailability and enrichment degree in the atmosphere. Highly bioavailable fractions of elements were associated with high temperatures. The integrated carcinogenic risk for two possible scenarios to individuals exposed to metals was higher than the accepted criterion of 10(-6), whereas noncarcinogenic risk was lower than the safe level of 1. Residents of a city burdened with haze will incur health risks caused by exposure to airborne metals.

Annual and diurnal variations of gaseous and particulate pollutants in 31 provincial capital cities based on in situ air quality monitoring data from China National Environmental Monitoring Center.

Long-term air quality data with high temporal and spatial resolutions are needed to understand some important processes affecting the air quality and corresponding environmental and health effects. The annual and diurnal variations of each criteria pollutant including PM2.5 and PM10 (particulate matter with aerodynamic diameter less than 2.5 µm and 10 µm, respectively), CO (carbon monoxide), NO2 (nitrogen dioxide), SO2 (sulfur dioxide) and O3 (ozone) in 31 provincial capital cities between April 2014 and March 2015 were investigated by cluster analysis to evaluate current air pollution situations in China, and the cities were classified as severely, moderately, and slightly polluted cities according to the variations. The concentrations of air pollutants in winter months were significantly higher than those in other months with the exception of O3, and the cities with the highest CO and SO2 concentrations were located in northern China. The annual variation of PM2.5 concentrations in northern cities was bimodal with comparable peaks in October 2014 and January 2015, while that in southern China was unobvious with slightly high PM2.5 concentrations in winter months. The concentrations of particulate matter and trace gases from primary emissions (SO2 and CO) and NO2 were low in the afternoon (~16:00), while diurnal variation of O3 concentrations was opposite to that of other pollutants with the highest values in the afternoon. The most polluted cities were mainly located in North China Plain, while slightly polluted cities mostly focus on southern China and the cities with high altitude such as Lasa. This study provides a basis for the formulation of future urban air pollution control measures in China.

Air quality impacts of a CicLAvia event in Downtown Los Angeles, CA.

CicLAvia in Los Angeles, CA is the open streets program that closes streets to motorized vehicles and invites people to walk, run, play or ride their bicycles on these streets, allowing them to experience the city in a new way and get exercise at the same time. Since the events reduce the motorized traffic flow, which is a significant source of air pollution, on the streets, it is reasonable to hypothesize that the CicLAvia events can reduce the concentrations of traffic-emitted air pollutants during the road closure. This study is the first experiment to test this hypothesis. The on-road and community-wide ultrafine particle (UFP) and PM2.5 were measured on the Event-Sunday (October 5th, 2014) and the Pre- and Post- Sundays (September 28(th) and October 12(th), 2014). Data analysis results showed the on-road UFP and PM2.5 reduction was 21% and 49%, respectively, and the community-wide PM2.5 reduction was 12%.

Characterizing air quality data from complex network perspective.

Air quality depends mainly on changes in emission of pollutants and their precursors. Understanding its characteristics is the key to predicting and controlling air quality. In this study, complex networks were built to analyze topological characteristics of air quality data by correlation coefficient method. Firstly, PM2.5 (particulate matter with aerodynamic diameter less than 2.5 µm) indexes of eight monitoring sites in Beijing were selected as samples from January 2013 to December 2014. Secondly, the C-C method was applied to determine the structure of phase space. Points in the reconstructed phase space were considered to be nodes of the network mapped. Then, edges were determined by nodes having the correlation greater than a critical threshold. Three properties of the constructed networks, degree distribution, clustering coefficient, and modularity, were used to determine the optimal value of the critical threshold. Finally, by analyzing and comparing topological properties, we pointed out that similarities and difference in the constructed complex networks revealed influence factors and their different roles on real air quality system.

A case study of air quality above an urban roof top vegetable farm.

The effect of elevation and rooftop configuration on local air quality was investigated at the Brooklyn Grange rooftop farm during a short-term observational campaign. Using multiple particle counters and sonic anemometers deployed along vertical gradients, we found that PM2.5 concentration decayed with height above the street. Samples adjacent to the street had the highest average PM2.5 concentration and frequent stochastic spikes above background. Rooftop observations 26 m above ground showed 7-33% reductions in average PM2.5 concentration compared with the curbside and had far fewer spikes. A relationship between the vertical extinction rate of PM2.5 and atmospheric stability was found whereby less unstable atmosphere and greater wind shear led to greater PM2.5 extinction due to damped vertical motion of air.

Air quality improvement during 2010 Asian games on blood coagulability in COPD patients.

Exposure to elevated levels of ambient air pollutants can lead to adverse cardiovascular effects. Perturbation of the coagulation balance is one of the potential mechanisms. However, evidence regarding the impact of improvement in air pollution on blood coagulability in COPD patients has never been reported. Coagulation processes are known to be of relevance for cardiovascular pathology; therefore, this study aimed to investigate the association of short-term air pollution exposure with blood marker (D-dimer) of coagulation. A 3-year (through the Asian game) cohort study based on the GIRD COPD Biobank Project was conducted in 36 COPD patients to estimate whether changes in measurements of D-dimer were associated with changes in pollutant concentration, comparing for 51 intervention days (November 1-December 21) in 2010 with the same calendar date of baseline years (2009 and 2011). Daily mean concentrations of air pollutants and meteorological variables were measured during the time. Daily PM10 decreased from 65.86 µg/m(3) during the baseline period to 62.63 µg/m(3) during the Asian Games period; daily NO2 decreased from 51.33 to 42.63 µg/m(3). SO2 and other weather variables did not differ substantially. We did not observe statistically significant improvements in D-dimer levels by 9.86% from a pre-Asian game mean of 917 ng/ml to a during-Asian game mean of 1007 ng/ml, platelet number by 11.66%, PH by -0.15%, PCO2 by -6.54%, and PO2 by -1.16%. In the post-Asian game period, when pollutant concentrations increased, most outcomes approximated pre-Asian game levels, and similar effects were also demonstrated in D-dimer, platelet number, and arterial blood gas. For D-dimer and platelet number, we observed statistically significant increases associated with increases in NO2 at lag 1-3 and SO2 at lag 2-4. For PH, PCO2, and PO2, any significant effect was not demonstrated. This study gives no support to the hypothesis that reduction in air pollution levels during the 2010 Asian game is associated with activation of blood coagulation with COPD patients. However, one step forward has been made on the gap between improved air pollution and blood coagulability. Meanwhile, our study also provides evidence for the presence of a hypercoagulative state in systemic circulation in COPD patients. Additional studies employing other susceptible populations and endpoints are pending.