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Public health importance of triggers of myocardial infarction: a comparative risk assessment.
Nawrot, TS, Perez, L, Künzli, N, Munters, E, Nemery, B
Lancet (London, England). 2011;(9767):732-40
Abstract
BACKGROUND Acute myocardial infarction is triggered by various factors, such as physical exertion, stressful events, heavy meals, or increases in air pollution. However, the importance and relevance of each trigger are uncertain. We compared triggers of myocardial infarction at an individual and population level. METHODS We searched PubMed and the Web of Science citation databases to identify studies of triggers of non-fatal myocardial infarction to calculate population attributable fractions (PAF). When feasible, we did a meta-regression analysis for studies of the same trigger. FINDINGS Of the epidemiologic studies reviewed, 36 provided sufficient details to be considered. In the studied populations, the exposure prevalence for triggers in the relevant control time window ranged from 0.04% for cocaine use to 100% for air pollution. The reported odds ratios (OR) ranged from 1.05 to 23.7. Ranking triggers from the highest to the lowest OR resulted in the following order: use of cocaine, heavy meal, smoking of marijuana, negative emotions, physical exertion, positive emotions, anger, sexual activity, traffic exposure, respiratory infections, coffee consumption, air pollution (based on a difference of 30 μg/m3 in particulate matter with a diameter <10 μm [PM10]). Taking into account the OR and the prevalences of exposure, the highest PAF was estimated for traffic exposure (7.4%), followed by physical exertion (6.2%), alcohol (5.0%), coffee (5.0%), a difference of 30 μg/m3 in PM10 (4.8%), negative emotions (3.9%), anger (3.1%), heavy meal (2.7%), positive emotions (2.4%), sexual activity (2.2%), cocaine use (0.9%), marijuana smoking (0.8%) and respiratory infections (0.6%). Interpretation In view of both the magnitude of the risk and the prevalence in the population, air pollution is an important trigger of myocardial infarction, it is of similar magnitude (PAF 5-7%) as other well accepted triggers such as physical exertion, alcohol, and coffee. Our work shows that ever-present small risks might have considerable public health relevance. FUNDING The research on air pollution and health at Hasselt University is supported by a grant from the Flemish Scientific Fund (FWO, Krediet aan navorsers/G.0873.11), tUL-impulse financing, and bijzonder onderzoeksfonds (BOF) and at the Katholieke Universiteit Leuven by the sustainable development programme of BELSPO (Belgian Science Policy).
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2.
The Air Pollution Exposure Laboratory (APEL) for controlled human exposure to diesel exhaust and other inhalants: characterization and comparison to existing facilities.
Birger, N, Gould, T, Stewart, J, Miller, MR, Larson, T, Carlsten, C
Inhalation toxicology. 2011;(4):219-25
Abstract
OBJECTIVE The Air Pollution Exposure Laboratory (APEL) was designed for the controlled inhalation of human subjects to aged and diluted diesel exhaust (DE) to mimic "real-world" occupational and environmental conditions. METHODS An EPA Tier 3-compliant, 6.0 kW diesel generator is operated under discrete cyclic loads to simulate diesel on-road emissions. The engine accepts standard ultra-low sulfur diesel or a variety of alternative fuels (such as biodiesel) via a partitioned tank. A portion of raw exhaust is drawn into the primary dilution system and is diluted 9:1 with compressed air at standard temperature (20°C) and humidity (40%) levels. The exhaust is further diluted approximately 25:1 by high efficiency particulate air (HEPA)-filtered air (FA) and then aged for 4 min before entering the 4 × 6 × 7-foot exposure booth. An optional HEPA filter path immediately proximal to the booth can generate a particle-reduced (gas-enriched) exposure. In-booth particulate is read by a nephelometer to provide an instantaneous light scattering coefficient for closed-loop system control. A Scanning Mobility Particle Sizer and multi-stage impactor measures particle size distribution. Filter sampling allows determination of sessional average concentrations of size-fractionated and unfractionated particulate oxidative potential, elemental carbon, organic carbon and trace elements. RESULTS Approximately 300 μg/m(3) PM(2.5) is routinely achievable at APEL and is well characterized in terms of oxidative potential and elemental components. CONCLUSION APEL efficiently creates fresh DE, appropriately aged and diluted for human experimentation at safe yet realistic concentrations. Description of exposure characteristics allows comparison to other international efforts to deepen the current evidence base regarding the health effects of DE.
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A comparative study of physical and chemical processes for removal of biomass in biofilters.
Flores-Valle, SO, Ríos-Bernÿ, O, Chanona-Pérez, J, Fregoso-Aguilar, T, Morales-González, JA, Prado-Rubianes, OJ, Herrera-Bucio, R, López-Albarán, P, Morales-González, Á, Garibay-Febles, V, et al
Molecules (Basel, Switzerland). 2011;(8):6927-49
Abstract
After 6 months of operation a long-term biofilter was stopped for two weeks and then it was started up again for a second experimental period of almost 1.3 years, with high toluene loads and submitted to several physical and chemical treatments in order to remove excess biomass that could affect the reactor's performance due to clogging, whose main effect is a high pressure drop. Elimination capacity and removal efficiency were determined after each treatment. The methods applied were: filling with water and draining, backwashing, and air sparging. Different flows and temperatures (20, 30, 45 and 60 °C) were applied, either with distilled water or with different chemicals in aqueous solutions. Treatments with chemicals caused a decrease of the biofilter performance, requiring periods of 1 to 2 weeks to recover previous values. The results indicate that air sparging with pure distilled water as well as with solutions of NaOH (0.01% w/v) and NaOCl (0.01% w/v) were the treatments that removed more biomass, working either at 20, 30 or 45 °C and at relatively low flow rates (below 320 L h(-1)), but with a high biodegradation inhibition after the treatments. Dry biomass (g VS) content was determined at three different heights of the biofilter in order to carry out each experiment under the same conditions. The same amount of dry biomass when applying a treatment was established so it could be considered that the biofilm conditions were identical. Wet biomass was used as a control of the biofilter's water content during treatments. Several batch assays were performed to support and quantify the observed inhibitory effects of the different chemicals and temperatures applied.
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Leaching behavior of Pb and Zn in air pollution control residues and their modeling prediction.
Zhang, H, He, PJ, Shao, LM, Feng, JH, Cao, QK
Journal of environmental sciences (China). 2006;(3):583-6
Abstract
Increasing attention has been paid to air pollution control (APC) residues in China recently due to the rising proportion of waste incineration and the hazardous characteristics of the residues, among which heavy metal leaching toxicity plays an important role. Leaching behavior and potential risk of Pb and Zn in the APC residues from a Shanghai municipal solid waste (MSW) incinerator was studied, based on the leaching tests under different conditions and theoretical calculation using a geochemical thermodynamic equilibrium model MINTEQA2. Results showed that, extractant species and liquid to solid (L/S) ratio predominantly controlled the leaching toxicity of Pb and Zn, while ionic strength, vibration method and leaching time had less effect on the metals release. Leachate/final pH determined the metal leaching behavior, which changed the speciation of heavy metals in the extraction system. The equilibrium aqueous speciation, precipitation-dissolution of Pb and Zn was investigated according to the model computation, which was well in agreement with the experimental results.
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Microbial degradation of selected odorous substances.
Rappert, S, Müller, R
Waste management (New York, N.Y.). 2005;(9):940-54
Abstract
A biological odor treatment system has several advantages compared to conventional physical and chemical treatment technologies: (1) it is highly efficient in the treatment of waste gases characterized by high flow rates and low concentrations of contaminants; (2) the biodegradable pollutants are completely destroyed; and (3) it has low cost [Devinny, J.S., Deshusses, M.A., Webster, T.S., 1999. Biofiltration for Air Pollution Control. Lewis Publisher, New York, USA; Kennes, C., Veiga, M.C., 2001. Bioreactors for waste gas treatment. Kluwer Academic Publishers, London]. Because microorganisms play the major role in the successful biological odor treatment system, the understanding of microbial degradation of the key odorants is very important. This article describes the occurrence and the characteristics of selected key odorous compounds such as sulphides, amines, and pyrazine compounds. The article reviews available information in the literature and our experimental results of microbial degradation of the selected compounds. This is the first article that presents the isolation and characterization of bacterial strains that can utilize dimethyl trisulfide (DMTS), triethylamine (TEA) or different pyrazines, as a sole carbon and energy source. The biological degradation pathways of some of these compounds are postulated. Moreover, the influence of the presence of other odorous compounds in the culture medium on the degradation of the target odorous compounds by the isolated bacteria is presented. The information presented in the paper can be used to develop new systems for biological odor treatment.
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Haloalkane hydrolysis by Rhodococcus erythropolis cells: comparison of conventional aqueous phase dehalogenation and nonconventional gas phase dehalogenation.
Erable, B, Goubet, I, Lamare, S, Legoy, MD, Maugard, T
Biotechnology and bioengineering. 2004;(1):47-54
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Abstract
Biofiltration of air polluted by volatile organic compounds is now recognized by the industrial and research communities as an effective and viable alternative to standard environmental technologies. Whereas many studies have focused on solid/liquid/gas biofilters, there have been fewer reports on waste air treatment using other biological processes, especially in a solid/gas biofilter. In this study, a comparison was made of the hydrolysis of halogenated compounds (such as 1-chlorobutane) by lyophilized Rhodococcus erythropolis cells in a novel solid/gas biofilter and in the aqueous phase. We first determined the culture conditions for the production of R. erythropolis cells with a strong dehalogenase activity. Four different media were studied and the amount of 1-chlorobutane was optimized. Next, we report the possibility to use R. erythropolis cells in a solid/gas biofilter in order to transform halogenated compounds in corresponding alcohols. The effect of experimental parameters (total flow into the biofilter, thermodynamic activity of the substrates, temperature, carbon chain length of halogenated substrates) on the activity and stability of lyophilized cells in the gas phase was determined. A critical water thermodynamic activity (a(w)) of 0.4 is necessary for the enzyme to become active and optimal dehalogenase activity for the lyophilized cells is obtained for an a(w) of 0.9. A temperature of reaction of 40 degrees C represents the best compromise between stability and activity. Activation energy of the reaction was determined and found equal to 59.5 KJ/mol. The pH effect on the dehalogenase activity of R. erythropolis cells was also studied in the gas phase and in the aqueous phase. It was observed that pH 9.0 provided the best activity in both systems. We observed that in the aqueous phase R. erythropolis cells were less sensitive to the variation in pH than R. erythropolis cells in the gas phase. Finally, the addition of volatile Lewis base (triethylamine) in the gaseous phase and the action of the lysozyme in order to permeabilize the cells was found to be highly beneficial to the effectiveness of the biofilter.