Bridging the gap between traffic generated health stressors in urban areas: predicting xylene levels in EU cities.

Many citizens live, work, commute, or visit traffic intensive spaces and are exposed to high levels of chemical health stressors. However, urban conurbations worldwide present monitoring "shortage" - due to economical and/or practical constraints - for toxic stressors such as xylene isomers, which can pose human health risks. This "shortage" may be covered by the establishment of associations between rarely monitored substances such as xylenes and more frequently monitored (i.e. benzene) or usually monitored (i.e. CO). Regression analysis is used and strong statistical relationships are detected. The adopted models are applied to EU cities and comparison between measurements and predictions depicts their representativeness. The analysis provides transferability insights in an effort to bridge the gap between traffic-related stressors. Strong associations between substances of the air pollution mixture may be influential to interpret the complexity of the causal chain, especially if a synergetic exposure assessment in traffic intensive spaces is considered.

Building statistical associations to forecast ethylbenzene levels in European urban-traffic environments.

Emission from road traffic has become the most important source of local air pollution in numerous European cities. Epidemiological research community has established consistent associations between traffic-related substances and various health outcomes. Nevertheless, the vast majority of urban areas are characterised by infrastructure's absence to routinely monitor chemical health stressors, such as ethylbenzene. This paper aims at developing and presenting a tractable approach to reliably - and inexpensively - predict ethylbenzene trends in EU urban environments. The establishment of empirical relationships between rarely monitored pollutants such as ethylbenzene and more frequently or usually monitored, such as benzene and CO respectively, may cover the infrastructure's absence and support decision-making. Multiple regression analysis is adopted and the resulting statistical associations are applied to EU cities with available data for validation purposes. The results demonstrate that this approach is capable of capturing ethylbenzene concentration trends and should be considered as complementary to air quality monitoring.

Measuring combined exposure to environmental pressures in urban areas: an air quality and noise pollution assessment approach.

This study presents a methodological scheme developed to provide a combined air and noise pollution exposure assessment based on measurements from personal portable monitors. Provided that air and noise pollution are considered in a co-exposure approach, they represent a significant environmental hazard to public health. The methodology is demonstrated for the city of Thessaloniki, Greece. The results of an extensive field campaign are presented and the variations in personal exposure between modes of transport, routes, streets and transport microenvironments are evaluated. Air pollution and noise measurements were performed simultaneously along several commuting routes, during the morning and evening rush hours. Combined exposure to environmental pollutants is highlighted based on the Combined Exposure Factor (CEF) and Combined Dose and Exposure Factor (CDEF). The CDEF takes into account the potential relative uptake of each pollutant by considering the physical activities of each citizen. Rather than viewing environmental pollutants separately for planning and environmental sustainability considerations, the possibility of an easy-to-comprehend co-exposure approach based on these two indices is demonstrated. Furthermore, they provide for the first time a combined exposure assessment to these environmental pollutants for Thessaloniki and in this sense they could be of importance for local public authorities and decision makers. A considerable environmental burden for the citizens of Thessaloniki, especially for VOCs and noise pollution levels is observed. The material herein points out the importance of measuring public health stressors and the necessity of considering urban environmental pollution in a holistic way.

Effect of exemestane on the lipidemic profile of post-menopausal operable breast cancer patients following 5-7 years of adjuvant tamoxifen: preliminary results of the ATENA substudy.

Long-term endocrine therapy for breast cancer may have clinical implications as drugs that potentially alter the lipid profile may increase the risk of developing cardiovascular disease. In this study, a companion subprotocol to the ATENA (Adjuvant post-Tamoxifen Exemestane versus Nothing Applied) trial, we compared the effect of the steroidal aromatase inactivator exemestane on the lipid profile of post-menopausal women with operable breast cancer in the adjuvant setting to that of observation alone following deprivation of 5-7 years primary treatment with tamoxifen. In this open-label, randomized, parallel group study, 340 post-menopausal patients with operable breast cancer who had been treated with tamoxifen for 5-7 years were randomized to either 5 additional years of exemestane (25 mg/day; n=172) or observation alone (n=168). Assessments of total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL) and total serum triglycerides (TRG) were performed at baseline, and at 6 and 12 months. Total TRG levels were significantly reduced compared with baseline for the exemestane and the observational arm. Both total cholesterol and LDL levels were significantly increased above that of baseline values by 6 months, maintained through to 12 months, with no significant difference between the two treatment arms. There was no significant alteration observed for HDL over time or between the two arms. We conclude that sequential adjuvant treatment with exemestane in post-menopausal operable breast cancer patients following cessation of 5-7 years of tamoxifen does not appear to significantly alter the lipidemic profile for at least 12 months compared with an observational arm.