Inter-annual trends of ultrafine particles in urban Europe.

Ultrafine particles (UFP, those with diameters ≤ 100 nm), have been reported to potentially penetrate deeply into the respiratory system, translocate through the alveoli, and affect various organs, potentially correlating with increased mortality. The aim of this study is to assess long-term trends (5-11 years) in mostly urban UFP concentrations based on measurements of particle number size distributions (PNSD). Additionally, concentrations of other pollutants and meteorological variables were evaluated to support the interpretations. PNSD datasets from 12 urban background (UB), 5 traffic (TR), 3 suburban background (SUB) and 1 regional background (RB) sites in 15 European cities and 1 in the USA were evaluated. The non-parametric Theil-Sen's method was used to detect monotonic trends. Meta-analyses were carried out to assess the overall trends and those for different environments. The results showed significant decreases in NO, NO2, BC, CO, and particle concentrations in the Aitken (25-100 nm) and the Accumulation (100-800 nm) modes, suggesting a positive impact of the implementation of EURO 5/V and 6/VI vehicle standards on European air quality. The growing use of Diesel Particle Filters (DPFs) might also have clearly reduced exhaust emissions of BC, PM, and the Aitken and Accumulation mode particles. However, as reported by prior studies, there remains an issue of poor control of Nucleation mode particles (smaller than 25 nm), which are not fully reduced with current DPFs, without emission controls for semi-volatile organic compounds, and might have different origins than road traffic. Thus, contrasting trends for Nucleation mode particles were obtained across the cities studied. This mode also affected the UFP and total PNC trends because of the high proportion of Nucleation mode particles in both concentration ranges. It was also found that the urban temperature increasing trends might have also influenced those of PNC, Nucleation and Aitken modes.

Real-Time Measurements of Indoor-Outdoor Exchange of Gaseous and Particulate Atmospheric Pollutants in an Urban Area.

Air pollution is one of the greatest environmental risks to health, causing millions of deaths and deleterious health effects worldwide, especially in urban areas where citizens are exposed to high ambient levels of pollutants, also influencing indoor air quality (IAQ). Many sources of indoor air are fairly obvious and well known, but the contribution of outside sources to indoor air still leads to significant uncertainties, in particular the influence that environmental variables have on outdoor/indoor pollutant exchange mechanisms. This is a critical aspect to consider in IAQ studies. In this respect, an experimental study was performed at a public site such as a university classroom during a non-academic period in Madrid city. This includes two field campaigns, in summer (2021) and winter (2020), where instruments for measuring gases and particle air pollutants simultaneously measured outdoor and indoor real-time concentrations. This study aimed to investigate the dynamic variations in the indoor/outdoor (I/O) ratios in terms of ambient outdoor conditions (meteorology, turbulence and air quality) and indoor features (human presence or natural ventilation). The results show that the I/O ratio is pollutant-dependent. In this sense, the infiltration capacity is higher for gaseous compounds, and in the case of particles, it depends on the particle size, with a higher infiltration capacity for smaller particles (

Ambient air particulate total lung deposited surface area (LDSA) levels in urban Europe.

This study aims to picture the phenomenology of urban ambient total lung deposited surface area (LDSA) (including head/throat (HA), tracheobronchial (TB), and alveolar (ALV) regions) based on multiple path particle dosimetry (MPPD) model during 2017-2019 period collected from urban background (UB, n = 15), traffic (TR, n = 6), suburban background (SUB, n = 4), and regional background (RB, n = 1) monitoring sites in Europe (25) and USA (1). Briefly, the spatial-temporal distribution characteristics of the deposition of LDSA, including diel, weekly, and seasonal patterns, were analyzed. Then, the relationship between LDSA and other air quality metrics at each monitoring site was investigated. The result showed that the peak concentrations of LDSA at UB and TR sites are commonly observed in the morning (06:00-8:00 UTC) and late evening (19:00-22:00 UTC), coinciding with traffic rush hours, biomass burning, and atmospheric stagnation periods. The only LDSA night-time peaks are observed on weekends. Due to the variability of emission sources and meteorology, the seasonal variability of the LDSA concentration revealed significant differences (p = 0.01) between the four seasons at all monitoring sites. Meanwhile, the correlations of LDSA with other pollutant metrics suggested that Aitken and accumulation mode particles play a significant role in the total LDSA concentration. The results also indicated that the main proportion of total LDSA is attributed to the ALV fraction (50 %), followed by the TB (34 %) and HA (16 %). Overall, this study provides valuable information of LDSA as a predictor in epidemiological studies and for the first time presenting total LDSA in a variety of European urban environments.

Phenomenology of ultrafine particle concentrations and size distribution across urban Europe.

The 2017-2019 hourly particle number size distributions (PNSD) from 26 sites in Europe and 1 in the US were evaluated focusing on 16 urban background (UB) and 6 traffic (TR) sites in the framework of Research Infrastructures services reinforcing air quality monitoring capacities in European URBAN & industrial areaS (RI-URBANS) project. The main objective was to describe the phenomenology of urban ultrafine particles (UFP) in Europe with a significant air quality focus. The varying lower size detection limits made it difficult to compare PN concentrations (PNC), particularly PN10-25, from different cities. PNCs follow a TR > UB > Suburban (SUB) order. PNC and Black Carbon (BC) progressively increase from Northern Europe to Southern Europe and from Western to Eastern Europe. At the UB sites, typical traffic rush hour PNC peaks are evident, many also showing midday-morning PNC peaks anti-correlated with BC. These peaks result from increased PN10-25, suggesting significant PNC contributions from nucleation, fumigation and shipping. Site types to be identified by daily and seasonal PNC and BC patterns are: (i) PNC mainly driven by traffic emissions, with marked correlations with BC on different time scales; (ii) marked midday/morning PNC peaks and a seasonal anti-correlation with PNC/BC; (iii) both traffic peaks and midday peaks without marked seasonal patterns. Groups (ii) and (iii) included cities with high insolation. PNC, especially PN25-800, was positively correlated with BC, NO2, CO and PM for several sites. The variable correlation of PNSD with different urban pollutants demonstrates that these do not reflect the variability of UFP in urban environments. Specific monitoring of PNSD is needed if nanoparticles and their associated health impacts are to be assessed. Implementation of the CEN-ACTRIS recommendations for PNSD measurements would provide comparable measurements, and measurements of <10 nm PNC are needed for full evaluation of the health effects of this size fraction.

Impact of mixing layer height variations on air pollutant concentrations and health in a European urban area: Madrid (Spain), a case study.

The occurrence of local high-pollution episodes in densely populated urban areas, which have huge fleets of vehicles, is currently one of the most worrying problems associated with air pollution worldwide. Such episodes are produced under specific meteorological conditions, which favour the sudden increase of levels of air pollutants. This study has investigated the influence of the mixing layer height (MLH) on the concentration levels of atmospheric pollutants and daily mortality in Madrid, Spain, during the period 2011-2014. It may help to understand the causes and impact of local high-pollution episodes. MLH at midday over Madrid was daily estimated from meteorological radio soundings. Then, days with different MLH over this urban area were characterized by meteorological parameters registered at different levels of an instrumented tower and by composite sea level pressure maps, representing the associated synoptic meteorological scenarios. Next, statistically significant associations between MLH and levels of PM10, PM2.5, NO, NO2, CO and ultra-fine particles number concentrations registered at representative monitoring stations were evaluated. Finally, associations between all-natural cause daily mortality in Madrid, MLH, and air pollutants were estimated using conditional Poisson regression models. The reduction of MLH to values below 482 m above-ground level under strong atmospheric stagnation conditions was accompanied by a statistically significant increase in levels of NO, NO2, CO, PM2.5 and ultra-fine particle number concentrations at urban-traffic and suburban monitoring sites. The decrease of the MLH was also associated to a linear increase of the daily number of exceedances of the UE NO2 hourly limit value (200 µg/m3) and levels of air pollutants at hotspot urban-traffic monitoring stations. Also, a statistically significant association of the MLH with all-natural cause daily mortality was obtained. When the MLH increased by 830 m, the risk of mortality decreased by 2.5% the same day and by 3.3% the next day, when African dust episodic days were excluded. They were also higher in absolute terms than the increases in risk of mortality that were determined for the exposition to any other air pollutant. Our results suggest that when the prediction models foresee values of MLH below 482 m above-ground level in Madrid, the evolution of high-contamination episodes will be very favourable. Therefore, short-term policy measures will have to be implemented to reduce NO, NO2, CO, PM2.5 and ultra-fine particle emissions from anthropogenic sources in this southern European urban location.

Influence of the origin of the air mass on the background levels of atmospheric particulate matter and secondary inorganic compounds in the Madrid air basin.

This study has assessed the influence of the origin of air mass on levels of particulate matter (PM10) and chemical composition (SO42- and NO3-) in the air basin of Madrid. A data set of back-trajectories of air mass arriving to this area of study from 15 June 15 2009 to 8 July 2011 has been analyzed. Firstly, the cluster analysis statistical method has been used to group the back-trajectories into 5 sets according to the angle, direction, and speed of the air mass. Afterwards, the synoptic meteorological scenarios associated with each cluster were obtained and interpreted. Subsequently, an analysis was made on the influence of these clusters on the surface levels of particulate pollutants recorded in a regional background station ("El Atazar"), as well as in two urban background stations ("Casa de Campo" and "CIEMAT"). Finally, potential source areas of PM10, SO42-, and NO3- that contributed to the increase in their background levels in the Madrid air basin were detected by analyzing residence times of trajectories. Transport of mineral desert dust is probably the main cause of the increase of regional and urban background levels of PM10 in the Madrid air basin. In the case of SO42-, relatively high levels were registered, associated with air mass coming from Southern Europe and the Mediterranean Sea. In these regions, strong emissions of SO42- are produced due to industrial combustion and maritime traffic. Otherwise, relatively high levels of NO3- were registered during meteorological situations defined by a low baric gradient in the Iberian Peninsula. This meteorological pattern favors the accumulation of emissions from local and regional sources. Besides, the main urban centers of northeastern Europe and industrial areas located in the north African coast were also identified as potential source areas of NO3-. The statistical analysis of the back-trajectories by different methods and the comparison of the results obtained with observational data confirmed that numerous industrial areas in Europe and North Africa, as well as natural ones, such as deserts, had an influence on the regional and urban background levels of mass and chemical composition of particulate matter in the Madrid air basin, under the development of specific synoptic meteorological situations. Graphical abstract.

Application of a short term air quality action plan in Madrid (Spain) under a high-pollution episode - Part I: Diagnostic and analysis from observations.

Exceedances of NO2 hourly limit value (200 µg·m-3) imply the need to implement short term action plans to avoid adverse effects on human health in urban areas. The Madrid City Council applied the stage 3 of the NO2 protocol during a high-pollution episode under stable meteorological conditions on December 2016 for the first time. This included road traffic access restrictions to the city centre (50% of conventional private vehicles based on plate numbers). In this contribution we analyse different meteorological and air quality observations, including non-standard parameters (such as number of ultrafine particles and remote sensing techniques MAXDOAS) for a better understanding of the effectivity of short-term emission abatement measures under real conditions and to identify options to improve the NO2 protocol in the future. According to our results, the inversion base height computed from vertical temperature soundings is a meaningful index to anticipate very unfavourable conditions and trigger the actions included in the protocol. The analysis of the concentration levels of the main pollutants from the Madrid air quality monitoring network indicate that only stage 3 of the protocol had a significant effect on NO2 maximum concentrations. The restrictions applied may have prevented NO2 concentrations to further increase in the city centre (up to 15%) although pollution levels in the city outskirts, outside the area directly affected by the traffic restrictions, remained unchanged or may have been slightly increased. Nonetheless, further studies are needed to estimate more precisely the effect of the measures taken and to assess potential trade-offs. Our results suggest that emissions play an important role also under very strong stability conditions although drastic measures are needed to achieve a significant impact. This highlights the importance of an appropriate timing for short-term actions and the need of permanent abatement measures related to air quality plans and policies.

Análisis del control postural en tratamientos de la zona cervical / No disponible

Introducción: La cervicalgia mecánica crónica (CMC) es una patología común de la sociedad actual. Se define como aquel dolor con una duración de al menos 3 meses desde el inicio de los síntomas. Altera las funciones sensoriomotoras, por tanto la capacidad de mantener una postura correcta, incluyendo una reducción del rango de movimiento. Objetivos: El objetivo de esta revisión es conocer los distintos protocolos de análisis postural en pacientes con dolor cervical crónico. Material y métodos: Estudio de revisión sistemática. La búsqueda se realizó en las bases de datos bibliográficas Med-line, ScienceDirect, PubMed, Scopus, Sciverse. La consulta de estas bases de datos se inició en noviembre del año 2010

No disponible

Técnica semidirecta del atlas en rotación para una lesión de posterioridad / No disponible

La manipulación en rotación del atlas es la técnica manipulativa principal para poder corregir una posterioridad del atlas detectada con el test de flexión rotación del atlas, a la vez que suprime el espasmo de los músculos que pueden fijar la lesión. Está indicada en una lesión de rotación del atlas. Se realiza mediante un thrust directo sobre la posterioridad hacia el lado contrario, se considera una técnica de alta velocidad y corta amplitud

No disponible

Influencia postural de la técnica en rotación del atlas en pacientes con cervicalgia mecánica crónica / No disponible

Introducción: La cervicalgia mecánica crónica (CMC) es una patología común en la sociedad actual. Se define como dolor con una duración de al menos 3 meses desde el inicio de los síntomas, altera las funciones sensoriomotoras, y por tanto, la capacidad de mantener una postura correcta, incluyendo una reducción del rango de movimiento. Objetivos: Valorar el efecto de la manipulación en rotación del atlas (MRA) sobre la estabilometría en pacientes que padezcan: (i) dolor cervical de más de 3 meses de evolución y (ii) presenten un test de flexión-rotación cervical (TFRC) positivo. Material y Métodos: Estudio experimental, controlado, aleatorizado, doble ciego. Han participado 24 pacientes con CMC, 12 formaron parte del Grupo Experimental (GE) y 12 del Grupo Control (GC). Se midió la estabilometría con una plataforma de presiones, y el TFRC, estas mediciones se repitieron post-intervención inmediata, tras 7 y 15 días. Resultados: Encontramos que el gasto energético del paciente, para mantener la postura (L/S) mejora al final del estudio y se observa una mejora significativa (-79.20±5.45;p<0.001) a los 15 días, período en el que su organismo podría haberse adaptado a la nueva situación. Hay un claro aumento de los grados de rotación inmediatamente después de la manipulación (8.33±0.95;p<0.001). Conclusiones: La manipulación en rotación del atlas mejora la movilidad en rotación de la cabeza, y con el paso de los días hay una disminución en el esfuerzo para mantener la postura bípeda, con lo que mejora el gasto energético postural de los pacientes (AU)

No disponible