The influence of weather and environment on pulmonary embolism: pollutants and fossil fuels.

Previous publications have highlighted seasonal variations in the incidence of thrombosis and pulmonary embolism, and that weather patterns can influence these. While medical risk factors for pulmonary thrombo-embolism such as age, obesity, hypercoagulable states, cancer, previous thrombo-embolism, immobility, limb paralysis, surgery, major illness, trauma, hypotension, tachypnoea and right ventricular hypokinesis are not directly implicated regarding environmental factors such as weather, they could be influenced indirectly by these. This would be especially relevant in polluted areas that are associated with a higher pulmonary embolism risk. Routine nuclear medicine lung ventilation/perfusion studies (V/Q scans) of 2071 adult patients referred to the nuclear medicine department of the Royal Surrey County Hospital in Guildford, UK, between January 1998 and October 2002 were reviewed and 316 of these patients were classified as positive for pulmonary embolism with high probability scan on PIOPED criteria. The occurrence of positive scans was compared to environmental factors such as temperature, humidity, vapour pressure, air pressure and rainfall. Multiple linear regression was used to establish the significance of these relations. The incidence of pulmonary embolism was positively related to vapour pressure and rainfall. The most significant relation was to vapour pressure (p=0.010) while rainfall was less significant (p=0.017). There was no significant relation between pulmonary embolism and air pressure, humidity or temperature. It is postulated that rainfall and water vapour may be contributary factors in thrombosis and pulmonary embolism by way of pollutants that are carried as condensation nuclei in micro-droplets of water. In particular, fossil fuel pollutants are implicated as these condensation nuclei. Pollutants may be inhaled by populations exposed to windborne vapour droplets in cities or airports. Polluted vapour droplets may be absorbed by the lung to hasten coagulation cascades in the blood. This may lead to thrombosis and increased pulmonary embolism under high vapour pressure conditions. With combined factors such as pre-existing ill health or immobility on long flights, the risk of thrombosis and consequent embolism might increase substantially.

Effects of thinning treatment on an ectomycorrhizal succession under Scots pine.

We describe a 16 yr dataset of ectomycorrhizal fruit bodies under Scots pine (Pinus sylvestris), starting from seedlings, and explore the effects of a 50% thinning treatment imposed in year 12. The over-riding pattern in the data was of successional development, with Paxillus involutus and Laccaria proxima in the earliest years, followed by Suillus species, while in later years Amanita and Cortinarius species became prominent. The typical pattern was for each species in turn to increase to a maximum count then gradually decline without actually disappearing from the community (an addition succession). For nine out of the 30 species recorded the time profiles were fitted significantly by a long-normal curve, although the best-fit lognormal models consistently under-estimated the peak count. Thinning increased counts of Suillus bovinus, Gomphidius roseus and Cortinarius semisanguineus, but overall its effect on the community was minor. Rainfall in September was weakly correlated with successional advancement (measured as DCA first axis scores). Mean fruiting date increased significantly as the stands aged.