Predicting black smoke levels from deposit gauge and SO2 data to estimate long-term exposure in the United Kingdom, 1956–1961

BackgroundIn the UK air quality has been monitored systematically since 1914, providing valuable data for studies of the long-term trends in air pollution and potentially for studies of health effects of air pollutants. There are, however, challenges in interpreting these data due to changes over time in the number and location of monitored sites, and in monitoring techniques. Particulate matter was measured as deposited matter (DM) using deposit gauge monitors until the 1950s when black smoke (BS) filters were introduced. Estimating long-term exposure to particulates using data from both deposit gauge and BS monitors requires an understanding of the relationships between DM, SO₂ and BS.AimsTo explore whether DM and/or SO₂, along with seasonal and location specific variables can be used to predict BS levels.MethodsAir quality data were abstracted from hard copies of the monthly Atmospheric Pollution Bulletins for the period April 1956–March 1961 for any sites with co-located DM, SO₂ and BS data for three or more consecutive years. The relationships between DM, SO₂, and BS were assessed using mixed models.ResultsThere were 34 eligible sites giving 1521 triplets of data. There was a consistent correlation between SO₂ and BS at all sites, but the association between DM and BS was less clear and varied by location. Mixed modelling allowing for repeat measurements at each site revealed that SO₂, year, rainfall and season of measurement explained 72% of the variability in BS levels.ConclusionsSO₂ can be used as a surrogate measure for BS in all monitoring locations. This surrogate can be improved upon by consideration of site specific characteristics, seasonal effects, rainfall and year of measurement. These findings will help in estimating historic, long-term exposure to particulates where BS or other measures are not available.     

Noninvasive screening by cell-free DNA for 22q11.2 deletion: Benefits,limitations, and challenges

Cell-free DNA (cfDNA) testing for fetal aneuploidy is one of the most important technical advances in prenatal care. Additional chromosome targets beyond common aneuploidies, including the 22q11.2 microdeletion, are now available because of this clinical testing technology. While there are numerous potential benefits, 22q11.2 microdeletion screening using cfDNA testing also presents significant limitations and pitfalls. Practitioners who are offering this test should provide comprehensive pretest and posttest prenatal counselling. The discussion should include the possibility of an absence of a result, as well as the risk of possible discordance between cfDNA screening results and the actual fetal genetic chromosomal constitution. The goal of this review is to provide an overview of the cfDNA testing technologies for 22q11.2 microdeletions screening, describe the current state of test validation and clinical experience, review “no results” and discordant findings based on differing technologies, and discuss management options.     

Developing the interaction matrix technique as a tool assessing the impact of traffic on air quality

This paper develops a technique which can be used as a preliminary tool for assessing air quality related to urban traffic. It combines a Geographic Information System (GIS) with an interaction matrix-type methodology based on a system analysis approach. The matrix identifies and quantifies interactions between all selected variables involved in a system as well as their interaction with the system as a whole. This matrix is used to determine the weightings to apply to spatial datasets within a GIS to develop a pollution vulnerability map. The focus of the paper is to introduce and assess a more versatile coding of the interaction matrix with respect to previously used coding. A case study is presented in which the modified interaction methodology is applied to data for a busy urban location. The resulting vulnerability map, in terms of pollution vulnerable hot spots, was compared to a pollution map derived from an advanced dispersion model. The interaction matrix technique with GIS can be used as a tool complementary to sophisticated numerical modelling and has potential as an analytical tool to evaluate multidisciplinary systems.