Seasonal Variation in Generic and Disease-Specific Health-Related Quality of Life in Rhinologic Patients in Southern Finland

Background: Seasonal variation in exacerbations, hospitalisations, and mortality statistics has been reported for some diseases. To our knowledge, however, no published studies exist on the seasonality of health-related quality of life (HRQoL) amongst rhinologic patients. Aims/Objectives: This study, therefore, aimed to investigate the possible seasonal variation in rhinologic patients’ HRQoL using the rhinologic disease-specific Sino-Nasal Outcome Test-22 (SNOT-22) and the generic 15D HRQoL instrument. Material and Methods: We enrolled unselected adult rhinologic patients requiring specialist care at the Helsinki University Hospital in this cross-sectional, questionnaire-based prospective study during four seasons: February (winter), May (spring), August (summer), and November (autumn). Patients received SNOT-22 and 15D questionnaires via post. The Finnish Meteorological Institute supplied climate data from these months. Results: SNOT-22 and 15D data were available for 301 and 298 patients, respectively. We found no statistically significant differences (p = 0.948) between the mean monthly 15D scores or mean SNOT-22 scales. Furthermore, the mean SNOT-22 subscales did not differ between the monthly study periods. Conclusions and Significance: Our study shows that seasonality did not impact rhinologic patients’ SNOT-22 or 15D HRQoL scores. Thus, these questionnaires can be used for follow-up amongst rhinologic patients regardless of season

Seasonal Variation in Generic and Disease-Specific Health-Related Quality of Life in Rhinologic Patients in Southern Finland

Background: Seasonal variation in exacerbations, hospitalisations, and mortality statistics has been reported for some diseases. To our knowledge, however, no published studies exist on the seasonality of health-related quality of life (HRQoL) amongst rhinologic patients. Aims/Objectives: This study, therefore, aimed to investigate the possible seasonal variation in rhinologic patients’ HRQoL using the rhinologic disease-specific Sino-Nasal Outcome Test-22 (SNOT-22) and the generic 15D HRQoL instrument. Material and Methods: We enrolled unselected adult rhinologic patients requiring specialist care at the Helsinki University Hospital in this cross-sectional, questionnaire-based prospective study during four seasons: February (winter), May (spring), August (summer), and November (autumn). Patients received SNOT-22 and 15D questionnaires via post. The Finnish Meteorological Institute supplied climate data from these months. Results: SNOT-22 and 15D data were available for 301 and 298 patients, respectively. We found no statistically significant differences (p = 0.948) between the mean monthly 15D scores or mean SNOT-22 scales. Furthermore, the mean SNOT-22 subscales did not differ between the monthly study periods. Conclusions and Significance: Our study shows that seasonality did not impact rhinologic patients’ SNOT-22 or 15D HRQoL scores. Thus, these questionnaires can be used for follow-up amongst rhinologic patients regardless of season

Features in air ions measured by an air ion spectrometer (AIS) at Dome C

An air ion spectrometer (AIS) was deployed for the first time at the Concordia station at Dome C (75 degrees 06'S, 123 degrees 23'E; 3220 ma.s.l.), Antarctica during the period 22 December 2010-16 November 2011 for measuring the number size distribution of air ions. In this work, we present results obtained from this air ion data set together with aerosol particle and meteorological data. The main processes that modify the number size distribution of air ions during the measurement period at this high-altitude site included new particle formation (NPF, observed on 85 days), wind-induced ion formation (observed on 36 days), and ion production and loss associated with cloud/fog formation (observed on 2 days). For the subset of days when none of these processes seemed to operate, the concentrations of cluster ions (0.9-1.9 nm) exhibited a clear seasonality, with high concentrations in the warm months and low concentrations in the cold. Compared to event-free days, days with NPF were observed with higher cluster ion concentrations. A number of NPF events were observed with restricted growth below 10 nm, which were termed as suppressed NPF. There was another distinct feature, namely a simultaneous presence of two or three separate NPF and subsequent growth events, which were named as multi-mode NPF events. Growth rates (GRs) were determined using two methods: the appearance time method and the mode fitting method. The former method seemed to have advantages in characterizing NPF events with a fast GR, whereas the latter method is more suitable when the GR was slow. The formation rate of 2 nm positive ions (J(2)(+)) was calculated for all the NPF events for which a GR in the 2-3 nm size range could be determined. On average, J(2)(+) was about 0.014 cm(-3) s(-1). The ion production in relation to cloud/fog formation in the size range of 8-42 nm seemed to be a unique feature at Dome C, which has not been reported elsewhere. These ions may, however, either be multiply charged particles but detected as singly charged in the AIS, or be produced inside the instrument, due to the breakage of cloud condensation nuclei (CCN), possibly related to the instrumental behaviour under the extremely cold condition. For the wind-induced ion formation, our observations suggest that the ions originated more likely from atmospheric nucleation of vapours released from the snow than from mechanical charging of shattered snow flakes and ice crystals.Peer reviewe

Airborne measurements of aerosols and carbon dioxide during a prescribed fire experiment at a boreal forest site

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On the diurnal cycle of urban aerosols, black carbon and the occurrence of new particle formation events in springtime São Paulo, Brazil

Large conurbations are a significant source of the anthropogenic pollution and demographic differences between cities that result in a different pollution burden. The metropolitan area of São Paulo (MASP, population 20 million) accounts for one fifth of the Brazilian vehicular fleet. A feature of MASP is the amount of ethanol used by the vehicular fleet, known to exacerbate air quality. The study describes the diurnal behaviour of the submicron aerosol and relies on total particle number concentration, particle number size distribution, light scattering and light absorption measurements. Modelled planetary boundary layer (PBL) depth and air mass movement data were used to aid the interpretation. During morning rush-hour, stagnant air and a shallow PBL height favour the accumulation of aerosol pollution. During clear-sky conditions, there was a wind shift towards the edge of the city indicating a heat island effect with implications on particulate pollution levels at the site. The median total particle number concentration for the submicron aerosol typically varied in the range 1.6 × 10<sup>4</sup>–3.2 × 10<sup>4</sup> cm<sup>−3</sup> frequently exceeding 4 × 10<sup>4</sup> cm<sup>−3</sup> during the day. During weekdays, nucleation-mode particles are responsible for most of the particles by numbers. The highest concentrations of total particle number concentrations and black carbon (BC) were observed on Fridays. Median diurnal values for light absorption and light scattering (at 637 nm wavelength) varied in the range 12–33 Mm<sup>−1</sup> and 21–64 Mm<sup>−1</sup>, respectively. The former one is equal to 1.8–5.0 μg m<sup>−3</sup> of BC. The growth of the PBL, from the morning rush-hour until noon, is consistent with the diurnal cycle of BC mass concentrations. Weekday hourly median single-scattering albedo (ω<sub>0</sub>) varied in the range 0.59–0.76. Overall, this suggests a top of atmosphere (TOA) warming effect. However, considering the low surface reflectance of urban areas, for the given range of ω<sub>0</sub>, the TOA radiative forcing can be either positive or negative for the sources within the MASP. On the average, weekend ω<sub>0</sub> values were 0.074 higher than during weekdays. During 11% of the days, new particle formation (NPF) events occurred. The analysed events growth rates ranged between 9 and 25 nm h<sup>−1</sup>. Sulphuric acid proxy concentrations calculated for the site were less than 5% of the concentration needed to explain the observed growth. Thus, other vapours are likely contributors to the observed growth

Airborne measurements over the boreal forest of southern Finland during new particle formation events in 2009 and 2010

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Estimating cloud condensation nuclei number concentrations using aerosol optical properties : role of particle number size distribution and parameterization

The concentration of cloud condensation nuclei (CCN) is an essential parameter affecting aerosol–cloud interactions within warm clouds. Long-term CCN number concentration (NCCN) data are scarce; there are a lot more data on aerosol optical properties (AOPs). It is therefore valuable to derive parameterizations for estimating NCCN from AOP measurements. Such parameterizations have already been made, and in the present work a new parameterization is presented. The relationships between NCCN, AOPs, and size distributions were investigated based on in situ measurement data from six stations in very different environments around the world. The relationships were used for deriving a parameterization that depends on the scattering Ångström exponent (SAE), backscatter fraction (BSF), and total scattering coefficient (σsp) of PM10 particles. The analysis first showed that the dependence of NCCN on supersaturation (SS) can be described by a logarithmic fit in the range SS 4. At SS >0.4 % the average bias ranged from ∼0.7 to ∼1.3 at most sites. For the marine-aerosol-dominated site Ascension Island the bias was higher, ∼1.4–1.9. In other words, at SS >0.4 % NCCN was estimated with an average uncertainty of approximately 30 % by using nephelometer data. The biases were mainly due to the biases in the parameterization related to the scattering Ångström exponent (SAE). The squared correlation coefficients between the AOP-derived and measured NCCN varied from ∼0.5 to ∼0.8. To study the physical explanation of the relationships between NCCN and AOPs, lognormal unimodal particle size distributions were generated and NCCN and AOPs were calculated. The simulation showed that the relationships of NCCN and AOPs are affected by the geometric mean diameter and width of the size distribution and the activation diameter. The relationships of NCCN and AOPs were similar to those of the observed ones.The concentration of cloud condensation nuclei (CCN) is an essential parameter affecting aerosol-cloud interactions within warm clouds. Long-term CCN number concentration (N-CCN) data are scarce; there are a lot more data on aerosol optical properties (AOPs). It is therefore valuable to derive parameterizations for estimating N-CCN from AOP measurements. Such parameterizations have already been made, and in the present work a new parameterization is presented. The relationships between N-CCN, AOPs, and size distributions were investigated based on in situ measurement data from six stations in very different environments around the world. The relationships were used for deriving a parameterization that depends on the scattering Angstrom exponent (SAE), backscatter fraction (BSF), and total scattering coefficient (sigma(sp)) of PM10 particles. The analysis first showed that the dependence of N-CCN on supersaturation (SS) can be described by a logarithmic fit in the range SS 4. At SS > 0 :4% the average bias ranged from similar to 0.7 to similar to 1.3 at most sites. For the marine-aerosol-dominated site Ascension Island the bias was higher, similar to 1.4-1.9. In other words, at SS > 0:4% N-CCN was estimated with an average uncertainty of approximately 30% by using nephelometer data. The biases were mainly due to the biases in the parameterization related to the scattering Angstrom exponent (SAE). The squared correlation coefficients between the AOP-derived and measured N-CCN varied from similar to 0.5 to similar to 0.8. To study the physical explanation of the relationships between N-CCN and AOPs, lognormal unimodal particle size distributions were generated and N-CCN and AOPs were calculated. The simulation showed that the relationships of N-CCN and AOPs are affected by the geometric mean diameter and width of the size distribution and the activation diameter. The relationships of N-CCN and AOPs were similar to those of the observed ones.Peer reviewe

Biomass-burning smoke episodes in Finland from eastern European wildfires

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Assessing Cut-off Points of Eosinophils, Nasal Polyp, and Lund-Mackay Scores to Predict Surgery in Nasal Polyposis : A Real-World Study

Background: Developing tools to identify chronic rhinosinusitis with nasal polyps (CRSwNP) patients requiring surgical treatment would help clinicians treat patients more effectively. The aim of this retrospective cross-sectional study was to identify cut-off values for eosinophil percentage, nasal polyps (NP), and Lund-Mackay (LM) scores that may predict the need for surgical treatment in Finnish CRSwNP patients. Methods: Data of CRSwNP patients (N = 378) undergoing consultation for ESS in 2001-19 were used. Data was collected from patient records and Lund-Mackay scores were determined from sinus computed tomography scans. The percentage of eosinophils was microscopically evaluated from the polyp samples available (n = 81). Associations were analyzed by Mann Whitney U test, and cut-off values by the area under the receiver operating characteristic curve (AUROC). Results: ESS was performed to 293 (77.5%) of patients. Polyp eosinophilia was associated significantly with ESS (p = 0.001), whereas peripheral blood eosinophil count, LM- score and endoscopic NP- score were not (p > 0.05). AUROC values (95% CI) for detecting those needing ESS were for polyp eosinophilia 0.71 (0.60-0.83), p = 0.001, for LM score 0.59 (0.50-0.67), p = 0.054; for NP score 0.56 (0.48-0.64), p = 0.17, and for blood eosinophil count 0.68 (0.46-0.90), p = 0.08. With the threshold value of polyp eosinophilia (>25%), the sensitivity and specificity were optimal for detecting the group needing ESS from the group not undergoing ESS. The cut-off value of blood eosinophil count (>0.26 x 10(9)/L) had relatively good, yet statistically insignificant (underpowered), predictive potential. Moderate cut-off values were found for endoscopic LM score (>= 14/24) and NP score (>= 4/8). Conclusions: Polyp eosinophilia (>25%) predicted ESS among Finnish hospital-level CRSwNP patients. A future challenge would be to find less invasive and cost-effective clinical factors predicting uncontrolled CRSwNP.Peer reviewe