Displaying publications 321 - 340 of 469 in total

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  1. Ab Manan N, Noor Aizuddin A, Hod R
    Ann Glob Health, 2018 11 05;84(4):670-678.
    PMID: 30779516 DOI: 10.29024/aogh.2376
    IntroductionMany epidemiological studies have demonstrated associations between air pollution levels and human health in terms of hospital admissions. The aim of this paper is to gather evidence concerning air pollution effects on the risk of hospital admission. We hypothesised that increase in: particulate matter (PM), ozone (O3), carbon monoxide (CO), nitrogen dioxide (NO2), and sulphur dioxide (SO2) levels would be associated with the increasing trend of hospital admission.MethodsA systematic review of literature was carried out. Literature search was done in Sage, Ovid Medline, Science Direct, Wiley and ProQuest from 2010 to 2016 using keywords "hospital admission and air pollution". Studies of any relevant design were included if they presented original data, included at least one analysis where hospital admission was the specific outcome, and one or more of the following exposures were investigated: PM, O3, CO, NO2 and SO2.ResultsA total of 175 potential studies were identified by the search. Twenty two studies qualified for the review. Air pollution was noted to have an excessive risk of 3.46 (95%CI, 1.67, 5.27) of total hospital admissions. Cardiovascular admission was noted to have an increased risk of hospitalization for PM2.5 of 1.5 to 2.0; PM10 (1.007 to 2.7); NO2 (1.04 to 1.17) and SO2 (1.007). For respiratory admission, PM2.5 can caused an increased risk of hospitalization by 1.1 to 1.8; PM10 (1.007 to 1.13); NO2 (1.08 to 1.94) and SO2 (1.02). While O3 have minimal effect on COPD and stroke, CO does not influence in the effect of these hospitalization.ConclusionThe exposure to air pollutants confers an increased risk of admission of several disease. Our findings call for greater awareness of environmental protection and the implementation of effective measures to improve the quality of air, which may reduce the risks of adverse effects on the population's health.
    Matched MeSH terms: Air Pollution/adverse effects*
  2. Yeoh SY, Lubowa M, Tan TC, Murad M, Mat Easa A
    Food Chem, 2020 Dec 15;333:127425.
    PMID: 32683254 DOI: 10.1016/j.foodchem.2020.127425
    Zero-salted yellow alkaline noodles (YAN) were immersed in solutions of resistant starch HYLON™ VII (HC) or fruit coating Semperfresh™ (SC) containing a range of salt (NaCl) between 10 and 30% (w/v). The objective was to evaluate the effect of salt-coatings on the textural, handling, cooking, and sensory properties of YAN. Increasing salt in the coatings caused a reduction in optimum cooking time, cooking loss and increase in cooking yield. The mechanical and textural parameters, sensory hardness, springiness and overall sensory acceptability of the salt-coated noodles however decreased with increasing salt application. HC-Na10 and SC-Na10 showed the highest textural and mechanical parameters, sensory hardness and springiness. The differences in the parameters were attributed mainly to the water absorption properties of starch that was affected by salt application. Thus, the quality of salt-coated noodles was dependent mainly on the amounts of salt applied in the coatings rather than on the types of coatings used.
    Matched MeSH terms: Air*
  3. Othman M, Latif MT, Jamhari AA, Abd Hamid HH, Uning R, Khan MF, et al.
    Chemosphere, 2021 Jan;262:127767.
    PMID: 32763576 DOI: 10.1016/j.chemosphere.2020.127767
    This study aimed to determine the spatial distribution of PM2.5 and PM10 collected in four regions (North, Central, South and East Coast) of Peninsular Malaysia during the southwest monsoon. Concurrent measurements of PM2.5 and PM10 were performed using a high volume sampler (HVS) for 24 h (August to September 2018) collecting a total of 104 samples. All samples were then analysed for water soluble inorganic ions (WSII) using ion chromatography, trace metals using inductively coupled plasma-mass spectroscopy (ICP-MS) and polycyclic aromatic hydrocarbon (PAHs) using gas chromatography-mass spectroscopy (GC-MS). The results showed that the highest average PM2.5 concentration during the sampling campaign was in the North region (33.2 ± 5.3 μg m-3) while for PM10 the highest was in the Central region (38.6 ± 7.70 μg m-3). WSII recorded contributions of 22% for PM2.5 and 20% for PM10 mass, with SO42- the most abundant species with average concentrations of 1.83 ± 0.42 μg m-3 (PM2.5) and 2.19 ± 0.27 μg m-3 (PM10). Using a Positive Matrix Factorization (PMF) model, soil fertilizer (23%) was identified as the major source of PM2.5 while industrial activity (25%) was identified as the major source of PM10. Overall, the studied metals had hazard quotients (HQ) value of <1 indicating a very low risk of non-carcinogenic elements while the highest excess lifetime cancer risk (ELCR) was recorded for Cr VI in the South region with values of 8.4E-06 (PM2.5) and 6.6E-05 (PM10). The incremental lifetime cancer risk (ILCR) calculated from the PAH concentrations was within the acceptable range for all regions.
    Matched MeSH terms: Air Pollutants/analysis*
  4. Putri Anis Syahira MJ, Karmegam K, Nur Athirah Diyana MY, Irniza R, Shamsul Bahri MT, Vivien H, et al.
    Work, 2020;66(1):25-29.
    PMID: 32417810 DOI: 10.3233/WOR-203147
    BACKGROUND: Malaysian traffic policemen are constantly exposed to unhealthy air in the outdoor environment, which results in various health problems. This study investigates the relationship of the personal exposure level to PM2.5 and lung functions in traffic policemen in Kuala Lumpur and Johor Bahru.

    METHODS: A pulmonary function test using a spirometer was carried out to measure the lung function of the traffic policemen. The personal exposure level to PM2.5 was measured using a pump with a PVC filter and 5.0μm pore size. A questionnaire requesting the background data, such as age, height, and weight, was also used for testing lung function abnormalities.

    RESULTS: The PM2.5 personal exposure level was found to be significantly related to lung function (predicted FEV1 and predicted FVC) at p-value 

    Matched MeSH terms: Air Pollutants, Occupational/adverse effects*
  5. Lim E, Lan BL, Ooi EH, Low HL
    Sci Rep, 2020 08 12;10(1):13626.
    PMID: 32788610 DOI: 10.1038/s41598-020-70614-w
    This study investigates the effects of aircraft cabin pressure on intracranial pressure (ICP) elevation of a pneumocephalus patient. We propose an experimental setup that simulates the intracranial hydrodynamics of a pneumocephalus patient during flight. It consists of an acrylic box (skull), air-filled balloon [intracranial air (ICA)], water-filled balloon (cerebrospinal fluid and blood) and agarose gel (brain). The cabin was replicated using a custom-made pressure chamber. The setup can measure the rise in ICP during depressurization to levels similar to that inside the cabin at cruising altitude. ΔICP, i.e. the difference between mean cruising ICP and initial ICP, was found to increase with ICA volume and ROC. However, ΔICP was independent of the initial ICP. The largest ΔICP was 5 mmHg; obtained when ICA volume and ROC were 20 ml and 1,600 ft/min, respectively. The postulated ICA expansion and the subsequent increase in ICP in pneumocephalus patients during flight were successfully quantified in a laboratory setting. Based on the quantitative and qualitative analyses of the results, an ICA volume of 20 ml and initial ICP of 15 mmHg were recommended as conservative thresholds that are required for safe air travel among pneumocephalus patients. This study provides laboratory data that may be used by doctors to advise post-neurosurgical patients if they can safely fly.
    Matched MeSH terms: Air Pressure; Air Travel
  6. Isa KNM, Jalaludin J, Elias SM, Than LTL, Jabbar MA, Saudi ASM, et al.
    Ecotoxicol Environ Saf, 2021 Sep 15;221:112430.
    PMID: 34147866 DOI: 10.1016/j.ecoenv.2021.112430
    The exposure of school children to indoor air pollutants has increased allergy and respiratory diseases. The objective of this study were to determine the toxicodynamic interaction of indoor pollutants exposure, biological and chemical with expression of adhesion molecules on eosinophil and neutrophil. A self-administered questionnaire, allergy skin test, and fractional exhaled nitric oxide (FeNO) analyser were used to collect information on health status, sensitization to allergens and respiratory inflammation, respectively among school children at age of 14 years. The sputum induced were analysed to determine the expression of CD11b, CD35, CD63 and CD66b on eosinophil and neutrophil by using flow cytometry technique. The particulate matter (PM2.5 and PM10), NO2, CO2, and formaldehyde, temperature, and relative humidity were measured inside the classrooms. The fungal DNA were extracted from settled dust collected from classrooms and evaluated using metagenomic techniques. We applied chemometric and regression in statistical analysis. A total of 1869 unique of operational taxonomic units (OTUs) of fungi were identified with dominated at genus level by Aspergillus (15.8%), Verrucoconiothyrium (5.5%), and Ganoderma (4.6%). Chemometric and regression results revealed that relative abundance of T. asahii were associated with down regulation of CD66b expressed on eosinophil, and elevation of FeNO levels in predicting asthmatic children with model accuracy of 63.6%. Meanwhile, upregulation of CD11b expressed on eosinophil were associated with relative abundance of A. clavatus and regulated by PM2.5. There were significant association of P. bandonii with upregulation of CD63 expressed on neutrophil and exposure to NO2. Our findings indicate that exposure to PM2.5, NO2, T. asahii, P.bandonii and A.clavatus are likely interrelated with upregulation of activation and degranulation markers on both eosinophil and neutrophil.
    Matched MeSH terms: Air Pollution, Indoor/analysis
  7. Goh JC, Juliana J, Malina O, Ngah ZU, Norhafizalena O
    Trop Biomed, 2007 Jun;24(1):37-46.
    PMID: 17568376 MyJurnal
    Indoor fungal reservoirs, particularly airborne Penicillium species, were identified throughout the ventilation system of the building and dissemination of fungi from those reservoirs was found to be occurring all the time. The objectives of this study were to determine the association between air concentration of indoor mould (Penicillium) and allergy symptoms among office workers. The study design used in this research was a cross-sectional study. Risk factors were identified through the questionnaire survey. Office workers were selected based on the proximity of their workstations to the microbiological air sampler used for the mould sampling. Results from the current study suggests that individual susceptibility of exposed subjects might be influenced by several factors associated with mould exposure; for example, inhaled mycotoxins or volatile organic compounds, which may, in some complex way, affect the immune response. This study provides the much needed preliminary baseline data for developing guidelines with validated findings that will be of use for policy decisions in Malaysia regarding indoor air quality. Results from this study are recommended for use in planning and implementing control measures in order to reduce the exposure to indoor mould and promote healthy working environment among the workers.
    Matched MeSH terms: Air Pollution, Indoor/adverse effects*
  8. Wong TW, Musa N
    Int J Pharm, 2012 Jul 1;430(1-2):184-96.
    PMID: 22531845 DOI: 10.1016/j.ijpharm.2012.04.026
    Conventional melt pelletization and granulation processes produce round and dense, and irregularly shaped but porous agglomerates respectively. This study aimed to design centrifugal air-assisted melt agglomeration technology for manufacture of spherical and yet porous "granulets" for ease of downstream manufacturing and enhancing drug release. A bladeless agglomerator, which utilized shear-free air stream to mass the powder mixture of lactose filler, polyethylene glycol binder and poorly water-soluble tolbutamide drug into "granulets", was developed. The inclination angle and number of vane, air-impermeable surface area of air guide, processing temperature, binder content and molecular weight were investigated with reference to "granulet" size, shape, texture and drug release properties. Unlike fluid-bed melt agglomeration with vertical processing air flow, the air stream in the present technology moved centrifugally to roll the processing mass into spherical but porous "granulets" with a drug release propensity higher than physical powder mixture, unprocessed drug and dense pellets prepared using high shear mixer. The fast-release attribute of "granulets" was ascribed to porous matrix formed with a high level of polyethylene glycol as solubilizer. The agglomeration and drug release outcomes of centrifugal air-assisted technology are unmet by the existing high shear and fluid-bed melt agglomeration techniques.
    Matched MeSH terms: Air*
  9. Norbäck D, Hashim JH, Hashim Z, Cai GH, Sooria V, Ismail SA, et al.
    Sci Total Environ, 2017 Jan 15;577:148-154.
    PMID: 27802882 DOI: 10.1016/j.scitotenv.2016.10.148
    Few health studies exist on dampness and mould in schools in the tropics. We studied associations between fraction of exhaled nitric oxide (FeNO), respiratory symptoms and airway infections among students and dampness and fungal DNA in schools in Malaysia. A total of 368 randomly selected students from 32 classrooms in 8 secondary schools in Penang, Malaysia, participated (58% participation rate). Information on current respiratory symptoms and the home environment was collected by a standardised questionnaire. FeNO was measured by NIOX MINO (50ml/min). The classrooms were inspected and dust was collected by vacuuming on special filters and was analysed for five fungal DNA sequences by quantitative PCR. Linear mixed models and 3-level multiple logistic regression (school, classroom, student) were applied adjusting for demographic data and the home environment. Totally 10.3% reported doctor's diagnosed asthma, 15.1% current wheeze, 12.4% current asthma, 37.3% daytime breathlessness, 10.2% nocturnal breathlessness, 38.9% airway infections and 15.5% had pollen or furry pet allergy. The geometric mean of FeNO was 19.9ppb and 45% had elevated FeNO (>20ppb). Boys had higher levels of FeNO. Chinese had less daytime breathlessness than Malay (OR=0.30: p<0.001). Indoor carbon dioxide levels were low (380-720ppm). Dampness was observed in 18% of the classrooms and was associated with respiratory infections (OR=3.70; 95% CI 1.14-12.1) and FeNO (p=0.04). Aspergillus versicolor DNA was detected in 67% of the classrooms. Higher numbers of Aspergillus versicolor DNA in classroom dust were associated with wheeze (p=0.006), current asthma (p=0.002), respiratory infections (p=0.005) and elevated FeNO levels (p=0.02). In conclusion, respiratory symptoms were common among the students and the high FeNO levels indicate ongoing airway inflammation. Building dampness and the mould Aspergillus versicolor in schools in Malaysia can be risk factors for impaired respiratory health among the students.
    Matched MeSH terms: Air Pollution, Indoor/analysis*
  10. Jasim M. Rajab, Mat Jafri, M.Z, Lim, H.S., Abdullah, K.
    MyJurnal
    Carbon monoxide (CO) is a ubiquitous, an indoor and outdoor air pollutant. It is not a significant greenhouse gas as it absorbs little infrared radiation from the Earth. It is produced by the incomplete combustion of fossil fuels, and biomass burning. The CO data are obtained from Atmospheric Infrared Sounder (AIRS) onboard NASA’s Aqua satellite. The AIRS provides information for several greenhouse gases, CO2, CH4, CO, and O3 as a one goal of the AIRS instrument (included on the EOS Aqua satellite launched, May 4, 2002) as well as to improve weather prediction of the water and energy cycle. The results of the analysis of the retrieved CO total column amount (CO_total_column_A) as well as effective of the CO volume mixing ratio (CO_VMR_eff_A), Level-3 monthly (AIR*3STM) 1º*1º spatial resolution, ascending are used to study the CO distribution over the East and West Malaysia for the year 2003. The CO maps over the study area were generated by using Kriging Interpolation technique and analyzed by using Photoshop CS. Variations in the biomass burning and the CO emissions where noted, while the highest CO occurred at late dry season in the region which has experienced extensive biomass burning and greater draw down of CO occurred in the pristine continental environment (East Malaysia). In all cases, the CO concentration at West Malaysia is higher than East Malaysia. The southeastern Sarawak (lat. 3.5˚ - long. 115.5˚) is less polluted regions and less the CO in most of times in the year. Examining satellite measurements revealed that the enhanced CO emission correlates with occasions of less rainfall during the dry season.
    Matched MeSH terms: Air Pollutants; Air Pollution
  11. Cui J, Zhou F, Gao M, Zhang L, Zhang L, Du K, et al.
    Environ Pollut, 2018 Oct;241:810-820.
    PMID: 29909307 DOI: 10.1016/j.envpol.2018.06.028
    Six different approaches are applied in the present study to apportion the sources of precipitation nitrogen making use of precipitation data of dissolved inorganic nitrogen (DIN, including NO3- and NH4+), dissolved organic nitrogen (DON) and δ15N signatures of DIN collected at six sampling sites in the mountain region of Southwest China. These approaches include one quantitative approach running a Bayesian isotope mixing model (SIAR model) and five qualitative approaches based on in-situ survey (ISS), ratio of NH4+/NO3- (RN), principal component analysis (PCA), canonical-correlation analysis (CCA) and stable isotope approach (SIA). Biomass burning, coal combustion and mobile exhausts in the mountain region are identified as major sources for precipitation DIN while biomass burning and volatilization sources such as animal husbandries are major ones for DON. SIAR model results suggest that mobile exhausts, biomass burning and coal combustion contributed 25.1 ± 14.0%, 26.0 ± 14.1% and 27.0 ± 12.6%, respectively, to NO3- on the regional scale. Higher contributions of both biomass burning and coal combustion appeared at rural and urban sites with a significant difference between Houba (rural) and the wetland site (p 
    Matched MeSH terms: Air Pollutants/analysis*
  12. Khoshnava SM, Rostami R, Mohamad Zin R, Štreimikienė D, Mardani A, Ismail M
    PMID: 32290074 DOI: 10.3390/ijerph17072589
    Conventional building materials (CBMs) made from non-renewable resources are the main source of indoor air contaminants, whose impact can extend from indoors to outdoors. Given their sustainable development (SD) prospect, green building materials (GBMs) with non-toxic, natural, and organic compounds have the potential to reduce their overall impacts on environmental and human health. In this regard, biocomposites as GBMs are environmentally friendly, safe, and recyclable materials and their replacement of CBMs reduces environmental impacts and human health concerns. This study aims to develop a model of fully hybrid bio-based biocomposite as non-structural GBMs and compare it with fully petroleum-based composite in terms of volatile organic compound (VOC) emissions and human health impacts. Using a small chamber test (American Society for Testing and Materials (ASTM)-D5116) for VOC investigation and SimaPro software modeling with the ReCiPe method for evaluating human health impacts. Life cycle assessment (LCA) methodology is used, and the results indicate that switching the fully hybrid bio-based biocomposite with the fully petroleum-based composite could reduce more than 50% impacts on human health in terms of indoor and outdoor. Our results indicate that the usage of biocomposite as GBMs can be an environmentally friendly solution for reducing the total indoor and outdoor impacts on human health.
    Matched MeSH terms: Air Pollution, Indoor*
  13. Wong J, Abdul Aziz ABZ, Chaw L, Mahamud A, Griffith MM, Lo YR, et al.
    J Travel Med, 2020 08 20;27(5).
    PMID: 32365178 DOI: 10.1093/jtm/taaa066
    Matched MeSH terms: Air Travel*
  14. Idris SA', Hanafiah MM, Khan MF, Hamid HHA
    Chemosphere, 2020 Sep;255:126932.
    PMID: 32402880 DOI: 10.1016/j.chemosphere.2020.126932
    The aim of the present study was to investigate the potential sources of heavy metals in fine air particles (PM2.5) and benzene, toluene, ethylbenzene, and isomeric xylenes (BTEX) in gas phase indoor air. PM2.5 samples were collected using a low volume sampler. BTEX samples were collected using passive sampling onto sorbent tubes and analyzed using gas chromatography-mass spectrometry (GC-MS). For the lower and upper floors of the evaluated building, the concentrations of PM2.5 were 96.4 ± 2.70 μg/m3 and 80.2 ± 3.11 μg/m3, respectively. The compositions of heavy metals in PM2.5 were predominated by iron (Fe), zinc (Zn), and aluminum (Al) with concentration of 500 ± 50.07 ng/m3, 466 ± 77.38 ng/m3, and 422 ± 147.38 ng/m3. A principal component analysis (PCA) showed that the main sources of BTEX were originated from vehicle emissions and exacerbate because of temperature variations. Hazard quotient results for BTEX showed that the compounds were below acceptable limits and thus did not possess potential carcinogenic risks. However, a measured output of lifetime cancer probability revealed that benzene and ethylbenzene posed definite carcinogenic risks. Pollutants that originated from heavy traffic next to the sampling site contributed to the indoor pollution.
    Matched MeSH terms: Air Pollutants/analysis
  15. Ahmed Bhuiyan M, Rashid Khan HU, Zaman K, Hishan SS
    Environ Res, 2018 01;160:398-411.
    PMID: 29065379 DOI: 10.1016/j.envres.2017.10.013
    The aim of this study is to examine the impact of air pollutants, including mono-nitrogen oxides (NOx), nitrous oxide (N2O), sulfur dioxide (SO2), carbon dioxide emissions (CO2), and greenhouse gas (GHG) emissions on ecological footprint, habitat area, food supply, and biodiversity in a panel of thirty-four developed and developing countries, over the period of 1995-2014. The results reveal that NOx and SO2 emissions both have a negative relationship with ecological footprints, while N2O emission and real GDP per capita have a direct relationship with ecological footprints. NOx has a positive relationship with forest area, per capita food supply and biological diversity while CO2 emission and GHG emission have a negative impact on food production. N2O has a positive impact on forest area and biodiversity, while SO2 emissions have a negative relationship with them. SO2 emission has a direct relationship with per capita food production, while GDP per capita significantly affected per capita food production and food supply variability across countries. The overall results reveal that SO2, CO2, and GHG emissions affected potential habitat area, while SO2 and GHG emissions affected the biodiversity index. Trade liberalization policies considerably affected the potential habitat area and biological diversity in a panel of countries.
    Matched MeSH terms: Air Pollutants/toxicity*
  16. Engels S, Fong LSRZ, Chen Q, Leng MJ, McGowan S, Idris M, et al.
    Environ Pollut, 2018 Apr;235:907-917.
    PMID: 29353806 DOI: 10.1016/j.envpol.2018.01.007
    Fossil fuel combustion leads to increased levels of air pollution, which negatively affects human health as well as the environment. Documented data for Southeast Asia (SEA) show a strong increase in fossil fuel consumption since 1980, but information on coal and oil combustion before 1980 is not widely available. Spheroidal carbonaceous particles (SCPs) and heavy metals, such as mercury (Hg), are emitted as by-products of fossil fuel combustion and may accumulate in sediments following atmospheric fallout. Here we use sediment SCP and Hg records from several freshwater lentic ecosystems in SEA (Malaysia, Philippines, Singapore) to reconstruct long-term, region-wide variations in levels of these two key atmospheric pollution indicators. The age-depth models of Philippine sediment cores do not reach back far enough to date first SCP presence, but single SCP occurrences are first observed between 1925 and 1950 for a Malaysian site. Increasing SCP flux is observed at our sites from 1960 onward, although individual sites show minor differences in trends. SCP fluxes show a general decline after 2000 at each of our study sites. While the records show broadly similar temporal trends across SEA, absolute SCP fluxes differ between sites, with a record from Malaysia showing SCP fluxes that are two orders of magnitude lower than records from the Philippines. Similar trends in records from China and Japan represent the emergence of atmospheric pollution as a broadly-based inter-region environmental problem during the 20th century. Hg fluxes were relatively stable from the second half of the 20th century onward. As catchment soils are also contaminated with atmospheric Hg, future soil erosion can be expected to lead to enhanced Hg flux into surface waters.
    Matched MeSH terms: Air Pollution*
  17. Liu W, Zhang J, Hashim JH, Jalaludin J, Hashim Z, Goldstein BD
    Environ Health Perspect, 2003 Sep;111(12):1454-60.
    PMID: 12948883
    Burning mosquito coils indoors generates smoke that can control mosquitoes effectively. This practice is currently used in numerous households in Asia, Africa, and South America. However, the smoke may contain pollutants of health concern. We conducted the present study to characterize the emissions from four common brands of mosquito coils from China and two common brands from Malaysia. We used mass balance equations to determine emission rates of fine particles (particulate matter < 2.5 microm in diameter; PM(2.5)), polycyclic aromatic hydrocarbons (PAHs), aldehydes, and ketones. Having applied these measured emission rates to predict indoor concentrations under realistic room conditions, we found that pollutant concentrations resulting from burning mosquito coils could substantially exceed health-based air quality standards or guidelines. Under the same combustion conditions, the tested Malaysian mosquito coils generated more measured pollutants than did the tested Chinese mosquito coils. We also identified a large suite of volatile organic compounds, including carcinogens and suspected carcinogens, in the coil smoke. In a set of experiments conducted in a room, we examined the size distribution of particulate matter contained in the coil smoke and found that the particles were ultrafine and fine. The findings from the present study suggest that exposure to the smoke of mosquito coils similar to the tested ones can pose significant acute and chronic health risks. For example, burning one mosquito coil would release the same amount of PM(2.5) mass as burning 75-137 cigarettes. The emission of formaldehyde from burning one coil can be as high as that released from burning 51 cigarettes.
    Matched MeSH terms: Air Pollution, Indoor/analysis*
  18. Mudway IS, Dundas I, Wood HE, Marlin N, Jamaludin JB, Bremner SA, et al.
    Lancet Public Health, 2019 Jan;4(1):e28-e40.
    PMID: 30448150 DOI: 10.1016/S2468-2667(18)30202-0
    BACKGROUND: Low emission zones (LEZ) are an increasingly common, but unevaluated, intervention aimed at improving urban air quality and public health. We investigated the impact of London's LEZ on air quality and children's respiratory health.

    METHODS: We did a sequential annual cross-sectional study of 2164 children aged 8-9 years attending primary schools between 2009-10 and 2013-14 in central London, UK, following the introduction of London's LEZ in February, 2008. We examined the association between modelled pollutant exposures of nitrogen oxides (including nitrogen dioxide [NO2]) and particulate matter with a diameter of less than 2·5 μm (PM2·5) and less than 10 μm (PM10) and lung function: postbronchodilator forced expiratory volume in 1 s (FEV1, primary outcome), forced vital capacity (FVC), and respiratory or allergic symptoms. We assigned annual exposures by each child's home and school address, as well as spatially resolved estimates for the 3 h (0600-0900 h), 24 h, and 7 days before each child's assessment, to isolate long-term from short-term effects.

    FINDINGS: The percentage of children living at addresses exceeding the EU limit value for annual NO2 (40 μg/m3) fell from 99% (444/450) in 2009 to 34% (150/441) in 2013. Over this period, we identified a reduction in NO2 at both roadside (median -1·35 μg/m3 per year; 95% CI -2·09 to -0·61; p=0·0004) and background locations (-0·97; -1·56 to -0·38; p=0·0013), but not for PM10. The effect on PM2·5 was equivocal. We found no association between postbronchodilator FEV1 and annual residential pollutant attributions. By contrast, FVC was inversely correlated with annual NO2 (-0·0023 L/μg per m3; -0·0044 to -0·0002; p=0·033) and PM10 (-0·0090 L/μg per m3; -0·0175 to -0·0005; p=0·038).

    INTERPRETATION: Within London's LEZ, a smaller lung volume in children was associated with higher annual air pollutant exposures. We found no evidence of a reduction in the proportion of children with small lungs over this period, despite small improvements in air quality in highly polluted urban areas during the implementation of London's LEZ. Interventions that deliver larger reductions in emissions might yield improvements in children's health.

    FUNDING: National Institute for Health Research Biomedical Research Centre at Guy's and St Thomas' National Health Service (NHS) Foundation Trust and King's College London, NHS Hackney, Lee Him donation, and Felicity Wilde Charitable Trust.

    Matched MeSH terms: Air Pollution/statistics & numerical data*
  19. Monga D, Achanna S
    Singapore Med J, 1999 Feb;40(2):78-80.
    PMID: 10414162
    The Obstetric Flying Squad (OFS) has been operating in Peninsular Malaysia for over three decades. In the light of current controversies regarding its role in modern day obstetric practice, its status in Malaysia over the last 12 years is reviewed.
    Matched MeSH terms: Air Ambulances/organization & administration*
  20. Shaharom S, Latif MT, Khan MF, Yusof SNM, Sulong NA, Wahid NBA, et al.
    Environ Sci Pollut Res Int, 2018 Sep;25(27):27074-27089.
    PMID: 30019134 DOI: 10.1007/s11356-018-2745-0
    This study aims to determine the concentrations of surfactants in the surface microlayer (SML), subsurface water (SSW) and fine mode aerosol (diameter size
    Matched MeSH terms: Air Pollutants/analysis
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