Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic.

We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were treated by a neuro-emergency expert. We retrospectively obtained and analyzed the data on patients' clinical characteristics and outcome. The neuro-emergency expert treated 1155 patients (mean age, 62.9 years). The proportion of aged 18-40 years was the lowest, and the most common modes of arrival were public ambulance (50.6%) and walk-in (42.3%). CT and MRI examinations were performed in 94.4 and 33.1% of cases, respectively. The most frequent complaints were dizziness (31.8%), motor weakness (24.2%), and altered mental status (15.8%). The ED diagnoses were acute ischemic stroke (19.8%), benign paroxysmal positional vertigo (14.2%), vestibular neuritis (9.9%), and seizure (8.8%). The mean length of stay in the ED was 207 min. Of the patients, 55.0% were admitted to the hospital, and 41.8% were discharged for outpatient follow-up. Despite the longer stay and the complexity and difficulty of neurological diseases during the COVID-19 pandemic, the accurate diagnosis and treatment provided by a neuro-emergency expert can be presented as a good model in the ED.

Quantification of tire wear particles in road dust from industrial and residential areas in Seoul, Korea.

In this study, we examined tire and road wear microparticles (TRWMPs) in road dust along the Seoul metropolitan area, from industrial and residential areas. The road dust samples were collected via vacuum sweep methods and then filtered to obtain particles with diameters less than 75 µm. To quantify the TRWMPs in road dust, we used the raw materials of tire components, natural rubber (NR), and styrene-butadiene rubber (SBR), as standard materials. We evaluated the usability of the pyrolyzer-gas chromatography/mass spectrometry py-GC/MS method introduced in ISO/TS 20593 by confirming the decomposition temperatures of the NR and SBR by thermogravimetric (TG) and evolved gas analysis (EGA)-MS. The average of TRWMPs in industrial and residential area road dust were 22,581 and 9818 µg/g, respectively, indicating that the industrial area has 2.5 times higher TRWMPs concentration. Further, the NR, the main component of truck bus radial, to SBR, the main component of passenger car radial, ratio was slightly higher in the industrial area than in the residential area. This presumably means that the high traffic volume, including heavy duty vehicles in industrial areas, affected the higher concentration of TRWMPs. This study reveals the growing evidence of the importance of TRWMPs in road dust and how TRWMPs quantity can impact the air quality of the Seoul metropolitan area.

Development of PM10 and PM2.5 cyclones for small sampling ports at stationary sources: Numerical and experimental study.

Air pollution caused by particulate matter (PM) has become a serious issue, and significant research has focused on managing large stationary emission sources, i.e., the primary sources of PM. Currently, the U.S. Environmental Protection Agency (EPA) Method 201A and ISO 23210 are predominantly employed to measure the PM emissions at large stationary sources. Method 201A is designated as a standard test method in Korea, but it is difficult to measure PM10 and PM2.5 simultaneously owing to the size of the full-set cyclone. In large stationary emission sources, the use of a serial connection of PM10 and PM2.5 cyclones is unsuitable for measurements at conventional sampling ports featuring diameters of approximately 100 mm. Therefore, in this study, PM10 and PM2.5 cyclones were developed to replace the cyclones currently used in Method 201A. The developed cyclones featured a cutoff diameter, which was confirmed by numerical and experimental analyses that were close to Method 201A. Moreover, there was an increase in the stiffness of collection efficiency. The hook adaptor, which is a key accessory used in Method 201A, was found to be applicable to the newly developed cyclones. This alternative method will help reduce the measurement time by simultaneously measuring TSP, PM10, and PM2.5 and eliminates the costs of installing or refurbishing additional sampling ports at existing large stationary sources.

A new air-washing method to clean fabric filters clogged with submicron fume particles: A pilot-scale study.

This study investigates a new air-washing cleaning system that directly injects compressed air on the filter surface for filter regeneration in a fabric filter (FF) dust collector. A pilot-scale FF is designed to test the new system and to compare it with the conventional pulse-jet cleaning system with regard to filter clogging by fume particles. A pleated filter with a filtration area of 2.4 m2 is installed in the FF and a thermal steel spraying gun is used to supply the fume particles. Pressure drop and particle emission concentration are monitored to examine the effect of the new system on filter regeneration and collection efficiency. The results show that the air-washing cleaning is effective for filter regeneration, as it allows the FF to operate stably for a long time, whereas the pulse-jet cleaning fails to achieve filter regeneration, resulting in a continuously increasing pressure drop. In addition, air-washing cleaning shows better performance on collection efficiency than the pulse-jet cleaning method, as it reduces the outlet particulate matter concentration to less than half that of the pulse-jet cleaning.

Determination of the emission rate for ultrafine and accumulation mode particles as a function of time during the pan-frying of fish.

Particulate matter (PM) from cooking is considered one of the most harmful indoor air pollutants causing numerous adverse health effects, and it is essential to comprehend the characteristics of the particles generated from cooking to prevent these problems. In this study, we investigated PM from the pan-frying of salmon using number concentration and developed emission rates as a function of time for ultrafine particles (UFPs < 100 nm) and accumulation mode particles (AMPs 0.1-1 µm). The newly defined emission rates vary significantly with time and are very different from the conventionally determined rates that do not consider the variation of particle concentration with time. The emission rate of UFPs decreased over time after a sharp rise, whereas that of AMPs continued to increase, resulting in a change in the proportions of UFPs and AMPs in the total PM from 93 to 7% to 72 and 28%, respectively. Particle-particle interactions such as coagulation and coalescence were observed between primary particles via high resolution transmission electron microscopy (HR-TEM), which is a plausible reason for the decreasing emission rate of UFPs with time. The emission rate as a function of time can serve as a tool to estimate PM from cooking, as well as to monitor the change trends through phenomena such as agglomeration.

A study on the characteristics of silt loading on paved roads in the Seoul metropolitan area using a mobile monitoring system.

This study is considered the first attempt to apply a mobile monitoring system to estimating silt loading on paved roads in a megacity such as the Seoul metropolitan area. Using a mobile monitoring system developed in 2005, we estimated silt loadings on representative paved roads in the Seoul metropolitan area, including the city of Incheon, over a period of 3 yr. The temporal and spatial characteristics of silt loading were investigated for the carefully selected roads that may reflect the characteristics of the cities of Seoul and Incheon. In this study, changes in the average silt loading values were investigated in terms of land use, the temporal resolution of data acquisition (i.e., seasonal, daily, three-hour scale), the road width or number of lanes, and rainfall, which may affect the characteristics of the average silt loading significantly. It was found that the advantages of using the mobile monitoring system are its ability to obtain a large quantity of silt loading data in a short period of time and over a wide area and its ability to create a silt loading map showing the relative magnitude of silt loading in relation to a specific location, which makes it possible to easily locate hot spots.