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Mental health wellbeing is a critical element in the overall wellbeing of an individual. Severe mental health issues are directly connected with the individual's functioning and negatively impacts the quality of life. Inpatient psychiatric hospitalization does help significantly in stabilizing the acute serious mental health problems; however, the utility of community partial hospitalization program (PHP) has not been studied extensively. We undertook this study to assess the usefulness of community partial hospitalization program (PHP) in reducing severity of psychosomatic symptoms of patients; to study the epidemiology of the referred patients; and to elucidate the characteristics and predictors of psychosomatic symptom response. 164 patients were assessed by a baseline Behavioral and Symptom Identification Scale-32 (BASIS-32) at a tertiary healthcare center, out of which 82 patients subsequently followed up and were assessed using the same scale and the data was then stratified and compiled. Out of the initial 164 patients, at a 50% adherence rate, 13 patients showed an improvement greater than 30% with a significant co-relation to the race of the patients. Partial Hospitalization Program proved to be moderately effective in improving psychosomatic symptoms, with better results noticed in the White/Caucasian race. We need to consider several variables before generalizing this finding and more studies are needed in this area. However, we are able to highlight this valuable tool in addressing the severe mental health issues in a community-based populations. [ABSTRACT FROM AUTHOR]

In combination with copper(II) ions, disulfiram (DSF) has been reported to be a potentially potent anticancer agent based on in vitro results. The interaction of DSF with copper(II) chloride in solution has been studied using a range of spectroscopic techniques. There is strong evidence for the rapid formation of the bis(N,N-diethyl dithiocarbamato)copper(II) complex in situ. Kinetic experiments were used to determine rate laws for the reaction that give insight into the mechanism of the process which may help to explain the observed in vitro cytotoxicity. [ABSTRACT FROM AUTHOR]

The answer for treating pathologic aggression (PA) in children on inpatient psychiatry units (based on various factors like severity of aggression and co-morbidities) is less likely to be restrictive interventions or sedating the patient. Using seclusion and restraints or medications to calm down the aggression is not free of adverse consequences. A protocol is needed to safely and effectively address aggressive and violent children and adolescents seen very commonly in psychiatry inpatient units. [ABSTRACT FROM AUTHOR]

Communities near transportation sources can be impacted by higher concentrations of particulate matter (PM) and other air pollutants. Few studies have reported on air quality in complex urban environments with multiple transportation sources. To better understand these environments, the Kansas City Transportation and Local-Scale Air Quality Study (KC-TRAQS) was conducted in three neighborhoods in Southeast Kansas City, Kansas. This area has several emissions sources including transportation (railyards, vehicles, diesel trucks), light industry, commercial facilities, and residential areas. Stationary samples were collected for 1-year (October 24, 2017, to October 31, 2018) at six sites using traditional sampling methods and lower-cost air sensor packages. This work examines PM less than 2.5 μm in diameter (PM2.5), black carbon (BC), and trace metals data collected during KC-TRAQS. PM2.5 filter samples showed the highest 24-h mean concentrations (9.34 μg/m3) at the sites located within 20–50 m of the railyard. Mean 24-h PM2.5 concentrations, ranging from 7.96 to 9.34 μg/m3, at all sites were lower than that of the nearby regulatory site (9.83 μg/m3). Daily maximum PM2.5 concentrations were higher at the KC-TRAQS sites (ranging from 25.31 to 43.76 μg/m3) compared to the regulatory site (20.50 μg/m3), suggesting short-duration impacts of localized emissions sources. Across the KC-TRAQS sites, 24-h averaged PM2.5 concentrations from the sensor package (P-POD) ranged from 3.24 to 5.69 µg/m3 showing that, out-of-the-box, the PM sensor underestimated the reference concentrations. KC-TRAQS was supplemented by elemental and organic carbon (EC/OC) and trace metal analysis of filter samples. The EC/OC data suggested the presence of secondary organic aerosol formation, with the highest mean concentrations observed at the site within 20 m of the railyard. Trace metals data showed daily, monthly, and seasonal variations for iron, copper, zinc, chromium, and nickel, with elevated concentrations occurring during the summer at most of the sites. Implications: This work reports on findings from a year-long air quality study in Southeast Kansas City, Kansas to understand micro-scale air quality in neighborhoods impacted by multiple emissions sources such as transportation sources (including a large railyard operation), light industry, commercial facilities, and residential areas. While dozens of studies have reported on air quality near roadways, this work will provide more information on PM2.5, black carbon, and trace metals concentrations near other transportation sources in particular railyards. This work can also inform additional field studies near railyards. [ABSTRACT FROM AUTHOR]

With increasing population, rapid urbanization, and increased migration to cities, the local impacts of increasing transportation and industrial-related air pollution are of growing concern worldwide. Elevated air pollution concentrations near these types of sources have been linked to adverse health effects including acute and chronic respiratory and cardiovascular diseases. Mobile monitoring has proven to be a useful technique to characterize spatial variability of air pollution in urban areas and pollution concentration gradients from specific sources. A study was conducted in the Kansas City, Kansas (USA) metropolitan area using mobile monitoring to characterize the spatial variability and gradients of air pollutants to identify the contribution of multiple sources on community-level air quality in a complex urban environment. Measurements focused on nitrogen dioxide (NO 2), black carbon (BC), and ultrafine particulate matter (UFP). Mobile monitoring showed that median concentrations of these pollutants ranged by up to a factor of three between the communities, with individual measurements ranging over an order of magnitude within the community. Evaluating these air quality measurements with wind direction data highlighted the influence of specific and combinations of air pollution sources on these elevated concentrations, which can provide valuable information to environmental and public health officials in prioritizing and implementing cost-effect air quality management strategies to reduce exposures for urban populations. Unlabelled Image • Mobile monitoring provided spatially-resolved air quality data in a complex urban area. • Mobile sampling identified how transport source contributed to local pollution variability. • Combining meteorology and mobile monitoring identified key source impacts. • Community hot spots were over an order of magnitude higher than background. • Knowledge of source impacts needed to design effective pollution control strategies. [ABSTRACT FROM AUTHOR]

Studies based on field measurements, wind tunnel experiments, and controlled tracer gas releases indicate that solid, roadside noise barriers can lead to reductions in downwind near-road air pollutant concentrations. A tracer gas study showed that a solid barrier reduced pollutant concentrations as much as 80% next to the barrier relative to an open area under unstable meteorological conditions, which corresponds to typical daytime conditions when residents living or children going to school near roadways are most likely to be exposed to traffic emissions. The data from this tracer gas study and a wind tunnel simulation were used to develop a model to describe dispersion of traffic emissions near a highway in the presence of a solid noise barrier. The model is used to interpret real-world data collected during a field study conducted in a complex urban environment next to a large highway in Phoenix, Arizona, USA. We show that the analysis of the data with the model yields useful information on the emission factors and the mitigation impact of the barrier on near-road air quality. The estimated emission factors for the four species, ultrafine particles, CO, NO 2 , and black carbon, are consistent with data cited in the literature. The results suggest that the model accounted for reductions in pollutant concentrations from a 4.5 m high noise barrier, ranging from 40% next to the barrier to 10% at 300 m from the barrier. [ABSTRACT FROM AUTHOR]

Public health concerns regarding adverse health effects for populations spending significant amounts of time near high traffic roadways has increased substantially in recent years. Roadside features, including solid noise barriers, have been investigated as potential methods that can be implemented in a relatively short time period to reduce air pollution exposures from nearby traffic. A field study was conducted to determine the influence of noise barriers on both on-road and downwind pollutant concentrations near a large highway in Phoenix, Arizona, USA. Concentrations of nitrogen dioxide, carbon monoxide, ultrafine particles, and black carbon were measured using a mobile platform and fixed sites along two limited-access stretches of highway that contained a section of noise barrier and a section with no noise barrier at-grade with the surrounding terrain. Results of the study showed that pollutant concentrations behind the roadside barriers were significantly lower relative to those measured in the absence of barriers. The reductions ranged from 50% within 50 m from the barrier to about 30% as far as 300 m from the barrier. Reductions in pollutant concentrations generally began within the first 50 m of the barrier edge; however, concentrations were highly variable due to vehicle activity behind the barrier and along nearby urban arterial roadways. The concentrations on the highway, upwind of the barrier, varied depending on wind direction. Overall, the on-road concentrations in front of the noise barrier were similar to those measured in the absence of the barrier, contradicting previous modeling results that suggested roadside barriers increase pollutant levels on the road. Thus, this study suggests that noise barriers do reduce potential pollutant exposures for populations downwind of the road, and do not likely increase exposures to traffic-related pollutants for vehicle passengers on the highway. [ABSTRACT FROM AUTHOR]

Abstract: One proposed method for reducing exposure to mobile source air pollution is the construction or preservation of vegetation barriers between major roads and nearby populations. This study combined stationary and mobile monitoring approaches to determine the effects of an existing, mixed-species tree stand on near-road black carbon (BC) and particulate matter concentrations. Results indicated that wind direction and time of day significantly affected pollutant concentrations behind the tree stand. Continuous sampling revealed reductions in BC behind the barrier, relative to a clearing, during downwind (12.4% lower) and parallel (7.8% lower) wind conditions, with maximum reductions of 22% during the late afternoon when winds were from the road. Particle counts in the fine and coarse particle size range (0.5–10μm aerodynamic diameter) did not show change. Mobile sampling revealed BC concentration attenuation, a result of the natural dilution and mixing that occur with transport from the road, was more gradual behind the vegetation barrier than in unobstructed areas. These findings suggest that a mature tree stand can modestly improve traffic-related air pollution in areas located adjacent to the road; however, the configuration of the tree stand can influence the likelihood and extent of pollutant reductions. [Copyright &y& Elsevier]

With increasing evidence that exposures to air pollution near large roadways increases risks of a number of adverse human health effects, identifying methods to reduce these exposures has become a public health priority. Roadside vegetation barriers have shown the potential to reduce near-road air pollution concentrations; however, the characteristics of these barriers needed to ensure pollution reductions are not well understood. Designing vegetation barriers to mitigate near-road air pollution requires a mechanistic understanding of how barrier configurations affect the transport of traffic-related air pollutants. We first evaluated the performance of the Comprehensive Turbulent Aerosol Dynamics and Gas Chemistry (CTAG) model with Large Eddy Simulation (LES) to capture the effects of vegetation barriers on near-road air quality, compared against field data. Next, CTAG with LES was employed to explore the effects of six conceptual roadside vegetation/solid barrier configurations on near-road size-resolved particle concentrations, governed by dispersion and deposition. Two potentially viable design options are revealed: a) a wide vegetation barrier with high Leaf Area Density (LAD), and b) vegetation–solid barrier combinations, i.e., planting trees next to a solid barrier. Both designs reduce downwind particle concentrations significantly. The findings presented in the study will assist urban planning and forestry organizations with evaluating different green infrastructure design options. [ABSTRACT FROM AUTHOR]

Many countries have adopted portable emissions measurement system (PEMS) testing in their latest regulations to measure real-world vehicular emissions. However, its fleetwide implementation is severely limited by the high equipment costs and lengthy setup procedures, posing a need to develop more cost-effective, efficient emission measurement methods, such as mobile chasing tests. We conducted conjoint PEMS-chasing experiments for twelve heavy-duty diesel vehicles (HDDTs) to evaluate the accuracy of mobile measurement results. Two data processing approaches were integrated to automate the calculations of fuel consumption-based emission factors of nitrogen oxides (NO X). With a total of 245 plume chasing tests conducted, and then averaged by vehicle and road types, we found that the relative errors of vehicle-specific emission factors using an algorithm developed for this project were within approximately ±20% of the PEMS results for all tested vehicles. Stochastic simulations suggested reasonable results could be obtained using fewer chasing tests per vehicle (e.g., 71% for freeways and 94% for local road, equivalent to two chase tests per vehicle). This study improves the understanding of the accuracy of the mobile chasing method, and provides a practical approach for real-time emission measurements for future scaled-up mobile chasing studies. Unlabelled Image • Concurrent PEMS-Chasing tests were conducted for 12 diesel trucks in China. • Various data processing methods were optimized to automate emission calculation. • The relative errors of vehicle-specific emission factors of NOx were within ±20%. • The overall errors of fleet-average emission factors of NO X were within ±4%. • CO 2 incremental threshold is key factor affecting freeway NOx emission results. [ABSTRACT FROM AUTHOR]

Communities located in near-road environments face adverse health effects due to elevated exposures to traffic-related air pollution (TRAP). While the use of a combination of solid structures (i.e. sound walls) and vegetation barriers can be an effective TRAP mitigation tool, installing these barriers can also present challenges to local communities. Sound walls are costly, and building these structures often requires the involvement of federal, state, and local permitting agencies. In this paper, we proposed that the use of low-cost, impermeable, solid structures (LISS), e.g., an impermeable thin wooden, plastic or metal fence, combined with vegetation can provide an effective option for local communities to improve near-road air quality due to lower costs and easier implementation. We conducted Large Eddy Simulations (LES) for different design scenarios of LISS and vegetation barriers under various conditions. Our results indicate that (i) combining LISS and vegetation is more effective than either alone, (ii) combining a less dense vegetation and LISS can be as effective as a dense vegetation barrier, (iii) In certain scenarios, depending on wind speed and particle size, vegetation barriers alone might lead to elevated pollutant concentrations; however, combining LISS with vegetation can mitigate those negative impacts, (iv) placing LISS closer to the freeway and in front of the vegetation barrier enhances vertical dispersion of pollutants, and (v) increasing LISS height promotes pollutant concentration reduction. These design recommendations can be used by urban planners, developers, and local community leaders to evaluate and implement green infrastructure to mitigate TRAP. Unlabelled Image • We introduced the concept of low-cost, impermeable, solid structures (LISS). • A combination of LISS and vegetation is better than either alone in pollution mitigation. • Combining LISS with less dense vegetation is as effective as dense vegetation. • LISS can mitigate the elevated concentration vegetation alone might cause. • Increasing LISS height promotes pollutant concentration reduction. [ABSTRACT FROM AUTHOR]

Spatially and temporally resolved air quality characterization is critical for community-scale exposure studies and for developing future air quality mitigation strategies. Monitoring-based assessments can characterize local air quality when enough monitors are deployed. However, modeling plays a vital role in furthering the understanding of the relative contributions of emissions sources impacting the community. In this study, we combine dispersion modeling and measurements from the Kansas City TRansportation local-scale Air Quality Study (KC-TRAQS) and use data fusion methods to characterize air quality. The KC-TRAQS study produced a rich dataset using both traditional and emerging measurement technologies. We used dispersion modeling to support field study design and analysis. In the study design phase, the presumptive placement of fixed monitoring sites and mobile monitoring routes have been corroborated using a research screening tool C-PORT to assess the spatial and temporal coverage relative to the entire study area extent. In the analysis phase, dispersion modeling was used in combination with observations to help interpret the KC-TRAQS data. We extended this work to use data fusion methods to combine observations from stationary, mobile measurements, and dispersion model estimates. [ABSTRACT FROM AUTHOR]