Instrument to collect fogwater for chemical analysis

An instrument is presented which collects large samples of ambient fogwater by impaction of droplets on a screen. The collection efficiency of the instrument is determined as a function of droplet size, and it is shown that fog droplets in the range 3–100-µm diameter are efficiently collected. No significant evaporation or condensation occurs at any stage of the collection process. Field testing indicates that samples collected are representative of the ambient fogwater. The instrument may easily be automated, and is suitable for use in routine air quality monitoring programs

Does screening reduce lung cancer mortality?

Neither routine chest x-ray (with or without sputum cytology) nor low-dose computed tomography (CT) have been proven to reduce mortality when used for lung cancer screening, although low-dose CT screening does identify lung cancer at an early stage in high-risk patients (strength of recommendation: B, based on heterogeneous cohort studies). Large studies of both imaging approaches are ongoing

The H_2SO_4-HNO_3-NH_3 System at High Humidities and in Fogs: 1. Spatial and Temporal Patterns in the San Joaquin Valley of California

A systematic characterization of the atmospheric H_2SO_4-HNO_3-NH_3 system was conducted in the fog water, the aerosol, and the gas phase at a network of sites in the San Joaquin Valley of California. Spatial patterns of concentrations were established that reflect the distribution of SO_2, NO_x, and NH_3 emissions within the valley. The concept of atmospheric alkalinity was introduced to interpret these concentrations in terms of the buffering capacity of the atmosphere with respect to inputs of strong acids. Regions of predominantly acidic and alkaline fog water were identified. Fog water was found to be alkaline in most of the valley, but small changes in emission budgets could lead to widespread acid fog. An extended stagnation episode was studied in detail: progressive accumulation of H_2SO_4-HNO_3-NH_3 species was documented over the course of the episode and interpreted in terms of production and removal mechanisms. Secondary production of strong acids H_2SO_4 and HNO_3 under stagnant conditions resulted in a complete titration of available alkalinity at the sites farthest from NH_3 sources. A steady SO_2 conversion rate of 0.4–1.1% h^(−1) was estimated in the stagnant mixed layer under overcast conditions and was attributed to nonphotochemical heterogeneous processes. Removal of SO_2 was enhanced in fog, compared to nonfoggy conditions. Conversion of NO_x to HNO_3 slowed down during the stagnation episode because of reduced photochemical activity; fog did not appear to enhance conversion of NO_x. Decreases in total HNO_3 concentrations were observed upon acidification of the atmosphere and were attributed to displacement of NO_3− by H_2SO_4 in the aerosol, followed by rapid deposition of HNO_3(g). The occurrence of fog was associated with general decreases of aerosol concentrations due to enhanced removal by deposition

Fogwater chemistry in an urban atmosphere

Analyses of fogwater collected by inertial impaction in the Los Angeles basin and the San Joaquin Valley indicated unusually high concentrations of major and minor ions. The dominant ions measured were NO_3^−, SO_4^(2−), NH_4^+, and H^+. Nitrate exceeded sulfate on an equivalent basis by a factor of 2.5 in the central and coastal regions of the Los Angeles basin but was approximately equal in the eastern Los Angeles basin and the San Joaquin Valley. Maximum observed values for NH_4^+, NO_3^−, and SO_4^(2−) were 10.0, 12.0, and 5.0, meq 1^(−1), while the lowest p;H observed was 2.2. Iron and lead concentrations of over 0.1 mM and 0.01 mM, respectively, were observed. High concentrations of chemical components in fog appeared to correlate well with the occurrence of smog events. Concentrations in fogwater were also affected by the physical processes of condensation and evaporation. Light, dissipating fogs routinely showed the highest concentrations

The H_2SO_4-HNO_3-NH_3 System at High Humidities and in Fogs: 2. Comparison of Field Data With Thermodynamic Calculations

Concentrations of HNO_3(g) and NH_3(g) determined in the field were compared to predictions from aerosol equilibrium models. The products of HNO_3(g) and NH_3(g) concentrations measured under cool and humid nonfoggy conditions agreed in magnitude with predictions from a comprehensive thermodynamic model for the atmospheric H_2SO_4-HNO_3-NH_3-H_2O system. Observed concentrations of NH_3(g) in fogs were generally consistent with those predicted at equilibrium with fog water, but important discrepancies were noted in some cases. These discrepancies may be due to fluctuations in fog water composition over the course of sample collection or to the sampling of nonfoggy pockets of air present within the fog. Detectable concentrations of HNO_3(g) (up to 23 neq m^(−3)) were often found in fogs with pH 5 were below the detection limit of 4–8 neq m^(−3)

Characterization of Reactants Reaction Mechanisms and Reaction Products Leading to Extreme Acid Rain and Acid Aerosol Conditions in Southern California

Analyses of fogwater collected by inertial impaction in the Los Angeles basin and the San Joaquin Valley indicated unusually high concentrations of major and minor ions. The dominant ions measured were NO_3^-, SO_4^(2-), NH_4^+ and H^+ Nitrate exceeded sulfate on an equivalent basis by a factor of 2.5 in the central and coastal regions of the Los Angeles basin, but was approximately equal in the eastern Los Angeles basin and the San Joaquin Valley. Maximum observed values for NH_4^+, NO_3^- and SO_4^(2-) were 10., 12., and 5. meq L^(-1), while the lowest pH observed was 2.2. Iron and lead concentrations over 0.1 mM and 0.01 mM, respectively, were observed. High concentrations of chemical components in fog appeared to correlate well with the occurrence of smog events. Concentrations in fogwater were also affected by the physical processes of condensation and evaporation. Light, dissipating fogs routinely showed the highest concentrations. The chemistry of urban fog has been modelled using a hybrid kinetic and equilibrium computer code. Extreme acidity found in Southern California fog may be due either to condensation and growth on acidic condensation nuclei or in situ S(IV) oxidation. Important oxidants of S(IV) were found to be O_2 as catalyzed by Fe(III) and Mn(II), H_2)_2 and 0_3. formation of hydroxymethane sulfonate ion (HMSA) via the nucleophilic addition of HSO_3^-to CH_2 CH_2O(ℓ) significantly increased the droplet capacity for S(IV) but did not slow down the net S(IV) oxidation rate leading to fog acidification. Gas phase nitric acid, ammonia and hydrogen peroxide were scavenged efficiently, although aqueous phase hydrogen peroxide was depleted rapidly by reduction with S(IV). Nitrate production in the aqueous phase was found to be dominated by HNO_3 gas phase scavenging. Major aqueous-phase species concentrations were controlled primarily by condensation, evaporation, and pH

Parent and Medical Professional Willingness to Enroll Children in a Hypothetical Pediatric Optic Neuritis Treatment Trial

The optic neuritis treatment trial (ONTT) and subsequent studies have had a tremendous impact on the treatment and prognosis of optic neuritis and multiple sclerosis in adults. The results of these studies have been extrapolated to children; however, pediatric data are sparse. Using the method of prospective preference assessment, the willingness of parents and medical professionals to enroll children in a hypothetical Pediatric ONTT was assessed using a mock consent form and questionnaire. A three-arm trial was proposed: (1) intravenous corticosteroids, (2) high-dose oral corticosteroids, and (3) an oral placebo. The forms were completed by 198 parents and 49 physicians. After reviewing the hypothetical scenario, trial design, risks and benefits, and alternatives to the study, 21% of parents would enroll their children in the trial whereas 98% of medical professionals would enroll their patients. With medical professional recommendation, 43% of parents would enroll their children. The manner in which this hypothetical trial was presented to parents, specifically with respect to the recommendation of their child’s health care team, influenced a parent’s willingness to participate

Quantitative magnetisation transfer imaging in relapsing-remitting multiple sclerosis: a systematic review and meta-analysis

Myelin-sensitive MRI such as magnetization transfer imaging has been widely used in multiple sclerosis. The influence of methodology and differences in disease subtype on imaging findings is, however, not well established. Here, we systematically review magnetization transfer brain imaging findings in relapsing-remitting multiple sclerosis. We examine how methodological differences, disease effects and their interaction influence magnetization transfer imaging measures. Articles published before 06/01/2021 were retrieved from online databases (PubMed, EMBASE and Web of Science) with search terms including ‘magnetization transfer’ and ‘brain’ for systematic review, according to a pre-defined protocol. Only studies that used human in vivo quantitative magnetization transfer imaging in adults with relapsing-remitting multiple sclerosis (with or without healthy controls) were included. Additional data from relapsing-remitting multiple sclerosis subjects acquired in other studies comprising mixed disease subtypes were included in meta-analyses. Data including sample size, MRI acquisition protocol parameters, treatments and clinical findings were extracted and qualitatively synthesized. Where possible, effect sizes were calculated for meta-analyses to determine magnetization transfer (i) differences between patients and healthy controls; (ii) longitudinal change and (iii) relationships with clinical disability in relapsing-remitting multiple sclerosis. Eighty-six studies met inclusion criteria. MRI acquisition parameters varied widely, and were also underreported. The majority of studies examined the magnetization transfer ratio in white matter, but magnetization transfer metrics, brain regions examined and results were heterogeneous. The analysis demonstrated a risk of bias due to selective reporting and small sample sizes. The pooled random-effects meta-analysis across all brain compartments revealed magnetization transfer ratio was 1.17 per cent units (95% CI −1.42 to −0.91) lower in relapsing-remitting multiple sclerosis than healthy controls (z-value: −8.99, P < 0.001, 46 studies). Linear mixed-model analysis did not show a significant longitudinal change in magnetization transfer ratio across all brain regions [β = 0.12 (−0.56 to 0.80), t-value = 0.35, P = 0.724, 14 studies] or normal-appearing white matter alone [β = 0.037 (−0.14 to 0.22), t-value = 0.41, P = 0.68, eight studies]. There was a significant negative association between the magnetization transfer ratio and clinical disability, as assessed by the Expanded Disability Status Scale [r = −0.32 (95% CI −0.46 to −0.17); z-value = −4.33, P < 0.001, 13 studies]. Evidence suggests that magnetization transfer imaging metrics are sensitive to pathological brain changes in relapsing-remitting multiple sclerosis, although effect sizes were small in comparison to inter-study variability. Recommendations include: better harmonized magnetization transfer acquisition protocols with detailed methodological reporting standards; larger, well-phenotyped cohorts, including healthy controls; and, further exploration of techniques such as magnetization transfer saturation or inhomogeneous magnetization transfer ratio

Ariel - Volume 8 Number 3

Executive Editor James W. Lockard, Jr. Business Manager Neeraj K. Kanwal University News Richard J . Perry World News Doug Hiller Opinions Elizabeth A. McGuire Features Patrick P. Sokas Sports Desk Shahab S. Minassian Managing Editor Edward H. Jasper Managing Associate Brenda Peterson Photography Editor Robert D. Lehman. Jr. Graphics Christine M. Kuhnl