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Metrics matter: conflicting air quality rankings from different indices of air pollution.

Comparisons of air quality policies involve numerous considerations such as cost, health, effects on vegetation and materials, and aesthetics. Such assessments require difficult scientific and value judgments. These difficulties can also characterize comparisons that consider only physical and chemical air quality indices. We compare ambient tropospheric ozone concentrations from a baseline scenario and seven emissions scenarios for a case study. The resulting air qualities are evaluated based upon spatial and temporal distribution of impacts, exceedances of regulatory standards, concentrations weighted by population density, and a variety of averaging times. Results reveal that even when only a single pollutant is considered, comparisons of air quality can be ambiguous. Which scenario has better air quality depends on how (e.g., choice of averaging times, absolute vs. relative changes in concentrations), where (e.g., effects in specific areas vs. effects over the entire region), and when (e.g., the percent of time for which one alternative has higher concentrations than another) the comparison is made. This indicates that general descriptors of air quality such as the annual average ozone concentration do not fully describe the complexity of air quality. Use of such averages can result in different policy rankings than consideration of the full distribution of impacts.

Air Pollutants↗

Validity of annoyance scores for estimation of long term air pollution exposure in epidemiologic studies: the Swiss Study on Air Pollution and Lung Diseases in Adults (SAPALDIA).

In air pollution epidemiology, estimates of long term exposure are often based on measurements made at one fixed site monitor per area. This may lead to exposure misclassification. The present paper validates a questionnaire-based indicator of ambient air pollution levels and its applicability to assess their within-area variability. Within the framework of the SAPALDIA (Swiss Study on Air Pollution and Lung Diseases in Adults) cross-sectional study (1991), 9,651 participants reported their level of annoyance caused by air pollution on an 11-point scale. This subjective measure was compared with annual mean concentrations of particulate matter less than 10 microm in diameter (PM10) and nitrogen dioxide. The impact of individual factors on reported scores was evaluated. Nitrogen dioxide concentrations at home outdoors (measured in 1993), smoking, workplace dust exposure, and respiratory symptoms were found to be predictors of individual annoyance scores. Regression of population mean annoyance scores against annual mean PM10 and nitrogen dioxide concentrations (measured in 1993 and 1991, respectively) across areas showed a linear relation and strong correlations (r>0.85). Analysis within areas yielded consistent results. The observed associations between subjective and objective air pollution exposure estimates suggest that population mean scores, but not individual scores, may serve as a simple tool for grading air quality within areas. Reported annoyance due to air pollution should be considered an indicator for a complex environmental condition and thus might be used for evaluating the implementation of environmental policies.

Adolescent↗

Air bags alone compared with the combination of mechanical restraints and air bags: implications for the emergency evaluation of crash victims.

BACKGROUND: Air bags (ABs) may be perceived by the public and physicians as protection for thoracoabdominal injuries. This study compares injury patterns when air bags are used alone with injury patterns when air bags plus mechanical restraints (MRs) are used. METHODS: Patients treated over a 4-year period with emergency medical services-documented AB deployment alone (n = 16) or AB plus MR (n = 22) were identified by trauma registry query. Medical records were reviewed and injuries recorded. RESULTS: Air bag-alone users had more severe overall (injury severity score > or = 15:9 vs 5), chest (abbreviated injury score [AIS] > or = 3:5 vs 1), and abdominal injuries (AIS > or = 3:6 vs 0). They required more tube thoracostomies (5 vs 0) and laparotomies (6 vs 0), longer hospitalizations (11.9 +/- 3.2 vs 5.3 +/- 1.4 days), and more intensive care unit admissions (8 vs 1). Craniofacial injuries (AIS > or = 3:6 vs 6) and fractures were similar. More victims using air bags alone required impatient rehabilitation and some patients died (6 vs 1). CONCLUSIONS: Crash victims using air bags alone (vs AB plus MR) had increased injury severity, hospitalizations, thoracoabdominal procedures, and rehabilitation. Physicians must be aware of the incomplete protection by air bags alone.

Abbreviated Injury Scale↗

In vitro analysis of the effects of two air-abrasive prophylaxis systems and inlet air pressure on the surface of titanium abutment cylinders.

PURPOSE: The purpose of this study was to investigate the effects of two air-abrasive prophylaxis systems and the effect of inlet air pressure on the surface of Brånemark titanium abutment cylinders. MATERIALS AND METHODS: Single abutment cylinders were treated with either the Prophy-Jet system (sodium bicarbonate abrasive) (Dentsply International, York, PA) or the Microprophy system (aluminum oxide abrasive) (Danville Engineering Co, Danville, CA) for 60 seconds at an inlet air pressure of 60 psi or 90 psi. The effects on the surface of each abutment cylinder were visually inspected by scanning electron microscopy. RESULTS: A comparison of abutment cylinder surfaces after treatment showed that the Prophy-Jet system removed machining marks to a greater degree than the Microprophy system. Sodium bicarbonate particles from the Prophy-Jet system were significantly larger than the aluminum oxide particles used with the Microprophy system, potentially accounting for the difference in abrasivity. In addition, inlet air pressure of 60 psi caused removal of machining marks to a greater degree than an inlet air pressure of 90 psi. The principle of phase separation may account for the lower inlet air pressure causing more removal of machining marks than the higher inlet air pressure. CONCLUSIONS: Under the experimental conditions tested, neither of the two systems tested seemed to cause significant abrasion of the surface of titanium abutment cylinders.

Air Pressure↗

Effect of combined recompression and air, oxygen, or heliox breathing on air bubbles in rat tissues.

The fate of bubbles formed in tissues during the ascent from a real or simulated air dive and subjected to therapeutic recompression has only been indirectly inferred from theoretical modeling and clinical observations. We visually followed the resolution of micro air bubbles injected into adipose tissue, spinal white matter, muscle, and tendon of anesthetized rats recompressed to and held at 284 kPa while rats breathed air, oxygen, heliox 80:20, or heliox 50:50. The rats underwent a prolonged hyperbaric air exposure before bubble injection and recompression. In all tissues, bubbles disappeared faster during breathing of oxygen or heliox mixtures than during air breathing. In some of the experiments, oxygen breathing caused a transient growth of the bubbles. In spinal white matter, heliox 50:50 or oxygen breathing resulted in significantly faster bubble resolution than did heliox 80:20 breathing. In conclusion, air bubbles in lipid and aqueous tissues shrink and disappear faster during recompression during breathing of heliox mixtures or oxygen compared with air breathing. The clinical implication of these findings might be that heliox 50:50 is the mixture of choice for the treatment of decompression sickness.

Adipose Tissue↗

Intra-cage air change rate on forced-air-ventilated micro-isolation system--environment within cages: carbon dioxide and oxygen concentration.

Recently, a forced-air-ventilated micro-isolation system (FVMIS) has been recognized to accurately maintain microenvironmental conditions inside cages, but the details of the relationship between the concentrations of carbon dioxide (CO2) and oxygen (O2) and the air change rate inside the cages have never been reported. In this study, the proper intra-cage air change rate was examined based on the CO2 concentration and O2 concentration inside the cages measured by changing the ventilation volume inside the closed cages of the FVMIS while housing animals. In the experiments, three 8-week-old Wistar strain male rats weighing 303 g on average were housed in each FVMIS cage (capacity: 0.0223 m3), and the temperature, relative humidity, CO2 concentration and O2 concentration were measured when the air change rate inside the cages was varied from 10 air changes per hour (ACH) to 120 ACH. It proved that the CO2 concentration in the FVMIS cages decreased uniformly with the increase in the air change rate. As a result, 60 ACH was required to maintain the CO2 concentration level inside the FVMIS cages equivalent to or less than that in the conventional housing. Otherwise, when based on the O2 concentration, 50 ACH was required. In consideration of these results and others based on ventilation, airflow, temperature and the ammonia concentration reported previously, we concluded that the proper air change rate inside the FVMIS cages should be approximately 60 ACH.

Air↗

Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury.

Pressure distribution patterns of the seating interface on the multi-cell air cushion (ROHO High Profile) of 36 adults with spinal cord injury (SCI) (Neurological level Th3 -L1) were measured at different air pressure levels by a pressure mat measurement system. Stress distribution relative to the inflated air pressure in the air cushion on the patients' wheelchairs was analyzed to determine the appropriate inflated air pressure of the cushion for patients. The maximum pressure points in all subjects were at the areas of the ischial tuberosities (82 to 347 mmHg). The optimal reduction in interface pressure at the ischial tuberosities was obtained just before bottoming out. The cushion air pressure at that point was between 17 and 42 mmHg, and correlated well to body weight (r = 0.495, P = 0.0021). In contrast, the maximum pressure levels did not correlate to body weight or the Body Mass Index (BMI). Pressure at the ischial area could be reduced, but not eliminated, by adjusting the air pressure. The maximum pressure levels seemed to be related to the shape of the buttocks, especially the amount of soft tissue, and exceeded the defined threshold for pressure ulcers (> 80 g/cm2).

Adolescent↗

Comparison of rotational speeds and torque properties between air-bearing and ball-bearing air-turbine handpieces.

We examined the effects of air pressure on the free-running speed of air-bearing and torque-type ball-bearing air-turbine handpieces. The air pressure for the former should be kept at a certain high level to maintain the stable super-thin air-bearing film and to provide the quasi-constant speed of around 420,000 to 480,000 rpm. On the other hand, the air pressure for the latter could be adjusted to provide some varieties of speeds, ranging from about 150,000 to 320,000 rpm. Subsequently, to compare torque properties and cutting effectiveness between these two handpieces, weight-load cutting tests were conducted, using a glass-ceramic workpiece and a commercial diamond point. It was confirmed that the air-bearing handpiece had the lower torque power but exhibited better cutting effectiveness, compared with its counterpart.

Air Pressure↗

[Studies on the performance of the dental air turbine handpieces. (Part 2) Classification and rotational performance of the dental air turbine handpieces (author's transl)].

For the purpose of the clinical and technical uses, air turbine handpieces are widely used for the high speed cutting instruments. And then, there are the many kinds of air turbine handpieces which are classified with the standard, minutia and torque types etc. So, in this paper, we examined the rotational properties of air turbine handpieces in the consideration of these classifications. And the relations between the reduction of the rotational speed and the rotational loads on the handpieces are fundamentally investigated. As the results of these investigations, it was revealed that rotational forces of the toque type air turbine are very excellent and the rotational speed of the air bearing type air turbine is higher than that of other type handpieces. And we obtained the practical properties of the rotational ability of air hand pieces.

Air↗

Air pollution modeling: a tool for management of regional air quality.

Ambient air composition over the earth has undergone several changes. Anthropogenic pollutants generated locally often have regional air quality affected significantly. In addition to the short-term episodic effects, atmospheric pollutants are known to generate long-term adverse effects, which are difficult to forecast statistically. The air pollution dispersion modeling exercise forecasts fairly accurate air quality for a given emission scenario, incorporating geographical and meteorological conditions. Industrial Source Complex Dispersion Model is used to forecast ground level concentrations (GLC) of an industrial region as case study. The usefulness of mathematical modeling and computational simulation techniques used to predict the horizontal and vertical pollutant concentrations of pollutants are explained in this paper. Finally a case study of an industrial area in Gujarat region is presented to arrive at setting up of air quality monitoring station for monitoring/management of regional air quality.

Air Movements↗

Determination of methylmercury fluxes across the air-water and air-soil interfaces by gas chromatography with electron capture detection.

A method for the determination of methylmercury (MeHg) fluxes across the air-water and air-soil interfaces was developed using an in situ chamber. The MeHg in the air coming out of the chamber was captured by a column containing sulfhydryl cotton fiber adsorbent. MeHg was then desorbed from the column by using 2 mol L(-1) HCl. The MeHg in the effluent was extracted with benzene, and determined by gas chromatography with electron capture detection. Finally, the MeHg flux was calculated using the chamber. The method was applied to simulated experiments, and the results showed that the MeHg fluxes in the air-water system were higher than those in the air-soil-water system. The method was also successfully applied to the field measurements of an environment polluted by a chemical factory, and the results showed that the MeHg fluxes across the air-soil and air-water interfaces were 0.21-3.09 and 0.14-0.79 ng m(-2) h(-1), respectively. The method will be a useful tool in the environmental study of MeHg.

Journal Article↗

The Italian Air Force rehabilitation programme for air-sickness.

Motion Sickness, or kinetosis, is a complex clinical syndrome usually classified according to the environmental situation evoking the symptoms. Among the various forms of motion sickness, air sickness has a significant impact on aircrew readiness and is often a cause for the grounding of aircrew. Unfortunately, standards for clinical testing to accurately predict the sensitivity of each individual to air-sickness are currently lacking. Furthermore, pharmacological prevention is contraindicated for aircrews, whose cognitive tasks involve a high level of vigilance. Therefore, a number of Air Forces have developed their own rehabilitation programmes to counteract air-sickness effects on flight personnel. These programmes may differ in several aspects, such as their duration, instruments used, costs and the technical characteristics of the rehabilitation team. However, reports in the specialized literature, refer to high rates of success, despite the above-mentioned differences. In the autumn of 2000, the Italian Air Force (ITAF) also began its own rehabilitation programme for air-sickness desensitisation. The programme was developed at the Aerospace Medicine Department of the ITAF Flight Test Centre, at the Pratica di Mare Air Force Base, Italy. The ITAF rehabilitation course lasts two weeks, and candidates are first classified according to their clinical history and to their reaction to the Coriolis Stress Test. Thereafter, subjects undergo a personalized desensitisation programme, involving increasingly more intense nauseogenic stimuli by means of various devices. At the same time, a psychological approach, based on autogenous training and cognitive-behavioural therapy, is adopted. The present report refers to data from 17 subjects treated from January 2001. The current clinical outcome is extremely encouraging, with a success rate of 88%. Nevertheless, several aspects of motion sickness rehabilitation are still under investigation, and further research programmes, aimed at improving the final clinical outcome and prolonging the benefits of rehabilitation, are needed.

Adolescent↗

[Studies on the performance of the dental air turbine handpieces. (Part 4) Analysis of the rotational performance of air turbine handpieces (N = N0 - CvFv gamma (author's transl)].

By the introduction of the diamond instruments and carbide burs measurably improved the quality and ease of cavity preparation, the several kinds of the air turbine handpieces, that is, standard type, torque type and miniature type air handpieces have been recently developed. In this paper, the performance tests of these air turbine handpieces have been carried out, and obtained the relations are indicated speeds and the vertical and horizontal loads or torque using the test bur. These relations are indicated by the logarithmic expressions, N = N0 - CvFv gamma, where N is the rotational speed of the air turbine handpieces during rotation, N0 is the free rotational speed of the air turbine handpieces, Fv is the vertical loads on the tests burs and Cv and gamma is the experimental constants. And then, the maximum performed work or the air turbine handpieces is presented by the expression as follows. W max = pimicrod/60(1/Cv)1/ gamma gamma (N0/gamma + 1)(1 + gamma)/gamma And we proposed the formula to be calculated for the performance ability of the air turbine handpieces.

Dental High-Speed Equipment↗

The impact of draught related to air velocity, air temperature and workload.

This experimental study was designed to test the hypotheses that the effects of draught increase with higher air velocity, with lower air temperature, and with lower workload. Thirty healthy young males were exposed to horizontal draught during 55 min while they operated an arm ergometer in a standing posture. Air velocity, air temperature, and workload were varied in 3 steps each, between 11 and 23 degrees C, 0.1 and 0.3 m/s, and 104 to 156 W/m2, respectively. The 27 combinations were distributed over subjects in a fractional factorial 3(3)-design. The participants were clothed for thermal neutrality. Workload was measured at the end of the sessions by respirometry. Draught-induced annoyance was determined every 5 min, separately for 10 body sites. Corresponding skin temperature was also recorded. The hypotheses were verified for the influence of air velocity and air temperature. Regarding workload, local heat production is probably decisive, meaning that draft-induced local annoyance is inversely related to workload in active but independent from workload in non-active body areas. To improve the situation for the workers concerned it is suggested to apply protective gloves that cover an as great area of the forearms as possible and to limit airflows to mean velocities of less than 0.2 m/s (with turbulence intensities of 50%).

Adult↗

Air contamination during total hip arthroplasty in an ultraclean air enclosure using different types of staff clothing.

Air contamination was measured in a down-flow, clean air enclosure during 50 total hip arthroplasties to compare the effect of different scrub suits and operating gowns. In one series, with cotton clothes, the operating gowns used were either disposable nonwoven operating gowns or total body exhaust gowns. With the exhaust gowns the median air contamination, measured as colony-forming units (cfu)/m3, was reduced by about 5 times, to 0.3. In another series, nonwoven operating gowns were used together with scrub suits made of either cotton or one of two types of synthetic materials. The latter two scrub suits were equipped with elastic sealings at the openings. With both of these types the median air contamination, compared to cotton scrub suits, was reduced by about one half, to 0.4 cfu/m3. The authors conclude that both specially designed scrub suits and exhaust gowns can further reduce an already low level of bacterial air contamination in a down-flow, clean air enclosure.

Air Microbiology↗

The effects of outdoor air supply rate in an office on perceived air quality, sick building syndrome (SBS) symptoms and productivity.

Perceived air quality, Sick Building Syndrome (SBS) symptoms and productivity were studied in a normally furnished office space (108 m3) ventilated with an outdoor airflow of 3, 10 or 30 L/s per person, corresponding to an air change rate of 0.6, 2 or 6 h-1. The temperature of 22 degrees C, the relative humidity of 40% and all other environmental parameters remained unchanged. Five groups of six female subjects were each exposed to the three ventilation rates, one group and one ventilation rate at a time. Each exposure lasted 4.6 h and took place in the afternoon. Subjects were unaware of the intervention and remained thermally neutral by adjusting their clothing. They assessed perceived air quality and SBS symptoms at intervals, and performed simulated normal office work. Increasing ventilation decreased the percentage of subjects dissatisfied with the air quality (P < 0.002) and the intensity of odour (P < 0.02), and increased the perceived freshness of air (P < 0.05). It also decreased the sensation of dryness of mouth and throat (P < 0.0006), eased difficulty in thinking clearly (P < 0.001) and made subjects feel generally better (P < 0.0001). The performance of four simulated office tasks improved monotonically with increasing ventilation rates, and the effect reached formal significance in the case of text-typing (P < 0.03). For each two-fold increase in ventilation rate, performance improved on average by 1.7%. This study shows the benefits for health, comfort and productivity of ventilation at rates well above the minimum levels prescribed in existing standards and guidelines. It confirms the results of a previous study in the same office when the indoor air quality was improved by decreasing the pollution load while the ventilation remained unchanged.

Adolescent↗

Estimating the public health burden attributable to air pollution: an illustration using the development of an alternative air quality index.

The example of the development of an alternative air quality index (AQI) is used to illustrate issues related to quantifying the public health burden attributable to air pollution. These issues include: (1) appropriately representing the weight of evidence; (2) extrapolation of risk measures over time and space; (3) attribution of health effects to air pollution versus other risk factors and to individual pollutants versus the rest of the mix; (4) application of complementary approaches from health economics; and (5) effective risk communication. A no-threshold, multipollutant AQI was developed, based on the relationship of CO, NO(2), O(3), SO(2) and PM(2.5) with mortality in Canadian cities in a daily time-series study. Risk coefficients were applied to daily air pollution concentrations to calculate multipollutant percent excess mortality, and results were scaled to a 0 to 10 range. The observed distribution of values was used to characterize days as low, medium, high, or extreme risk. Considerable day-to-day variability in the index value was observed, and the percent of days falling in the high or extreme risk categories ranged from 0.3 to 33.2 among the cities considered. The new index was moderately correlated with conventionally derived AQIs. Results did not appear to be sensitive to an alternative choice of risk coefficients based on a worldwide meta-analysis. Additional efforts will be required to validate this AQI formulation against one based on the association between air pollution and other health outcomes, and to most effectively utilize the AQI as a communication tool regarding acute health risks associated with air pollution.

Air Pollutants↗

Use of multi-objective air pollution monitoring sites and online air pollution monitoring system for total health risk assessment in Hyderabad, India.

A consensus has been emerging among public health experts in developing countries that air pollution, even at current ambient levels, aggravates respiratory and cardiovascular diseases and leads to premature mortality. Recent studies have also presented well-founded theories concerning the biological mechanisms involved and the groups of people that are probably more susceptible to health effects caused or exacerbated by inhalation of ambient particulate matter (PM.). On the basis of prognostic studies carried out in Center for Environment, JNT University, Hyderabad "it has been estimated that in Hyderabad some 1,700 to 3,000 people per year die prematurely as a result of inhaling PM". These figures reflect only the effects of acute exposure to air pollution. If the long-term effects of chronic exposure are taken into account, 10,000-15,000 people a year could die prematurely in Hyderabad. This estimate of the chronic effects is based on other studies, which are not completely comparable with the Hyderabad situation. While the study designs and analyses in these other studies may indeed be different or irrelevant to Hyderabad, the fact they were carried out in other countries is irrelevant. Taking into account these considerations, a model for total health risk assessment for the city of Hyderabad, and its state of Andhra Pradesh in India has been developed using a multi-objective air pollution monitoring network and online and real time air pollution monitoring stations. For the model studies a number of potential monitoring sites were screened for general and site-specific criteria in a geographic information system (GIS) environment that may, on a local basis, affect the representativeness of the data collected. Local features that may affect either the chemical or meteorological parameters are evaluated to assure a minimum of interference. Finally, for monitoring air pollution, an online and real-time monitoring system was designed using advanced electrochemical sensor systems (sulphur dioxide, oxides of nitrogen, carbon monoxide, hydrocarbons, ozone, mercaptans and hydrogen sulphide) and a particulate matter analyzer (total suspended particulate matter TSPM), PM2.5 and PM10). The sensor and data acquisition systems are programmed to monitor pollution levels at 1/2 hour durations during peak hours and at 1-hour intervals at other times. Presently, extensive statistical and numerical simulations are being carried out at our center to correlate the individuals living in the monitored areas with respiratory infections with air pollution.

Air Pollutants↗