We have observed a wide area of air pollutant impact downwind of a freeway during pre-sunrise hours in both winter and summer seasons. In contrast, previous studies have shown much sharper air pollutant gradients downwind of freeways, with levels above background concentrations extending only 300 m downwind of roadways during the day and up to 500 m at night. In this study, real-time air pollutant concentrations were measured along a 3 600 m transect normal to an elevated freeway 1–2 hours before sunrise using an electric vehicle mobile platform equipped with fast-response instruments. In winter pre-sunrise hours, the peak ultrafine particle (UFP) concentration (~95 000 cm−3) occurred immediately downwind of the freeway. However, downwind UFP concentrations as high as ~ 40 000 cm−3 extended at least 1 200 m from the freeway, and did not reach background levels (~15 000 cm−3) until a distance of about 2 600 m. UFP concentrations were also elevated over background levels up to 600 m upwind of the freeway. Other pollutants, such as NO and particle-bound polycyclic aromatic hydrocarbons, exhibited similar long-distance downwind concentration gradients. In contrast, air pollutant concentrations measured on the same route after sunrise, in the morning and afternoon, exhibited the typical daytime downwind decrease to background levels within ~300 m as found in earlier studies. Although pre-sunrise traffic volumes on the freeway were much lower than daytime congestion peaks, downwind UFP concentrations were significantly higher during pre-sunrise hours than during the daytime; UFP and NO concentrations were also strongly correlated with traffic counts on the freeway. We associate these elevated pre-sunrise concentrations over a wide area with a nocturnal surface temperature inversion, low wind speeds, and high relative humidity. Observation of a wide air pollutant impact area downwind of a major roadway prior to sunrise has important exposure assessment implications since it demonstrates extensive roadway impacts on residential areas during pre-sunrise hours, when most people are at home.

Change in carotid corrected flow time can predict fluid responsiveness status after a passive leg raise maneuver. Using point-of-care ultrasound to assess change in carotid corrected flow time is an acceptable and reproducible method for noninvasive identification of fluid responsiveness in critically ill patients with undifferentiated shock.

Abstract. In this study, two different types of assays were used to quantitatively measure the redox activity of PM and to examine its intrinsic toxicity: 1) in vitro exposure to rat alveolar macrophage (AM) cells using dichlorofluorescin diacetate (DCFH-DA) as the fluorescent probe (macrophage ROS assay), and: 2) consumption of dithiothreitol (DTT) in a cell-free system (DTT assay). Coarse (PM10–2.5), accumulation (PM2.5–0.25), and quasi-ultrafine (quasi-UF, PM0.25) mode particles were collected weekly at five sampling sites in the Los Angeles-Long Beach harbor and at one site near the University of Southern California campus (urban site). All PM samples were analyzed for organic (total and water-soluble) and elemental carbon, organic species, inorganic ions, and total and water-soluble elements. Quasi-UF mode particles showed the highest redox activity at all Long Beach sites (on both a per-mass and per-air volume basis). A significant association (R2=0.61) was observed between the two assays, indicating that macrophage ROS and DTT levels are affected at least partially by similar PM species. Relatively small variation was observed for the DTT measurements across all size fractions and sites, whereas macrophage ROS levels showed more significant ranges across the three different particle size modes and throughout the sites (coefficients of variation, or CVs, were 0.35, 0.24 and 0.53 for quasi-UF, accumulation, and coarse mode particles, respectively). Association between the PM constituents and the redox activity was further investigated using multiple linear regression models. The results showed that OC was the most important component influencing the DTT activity of PM samples. The variability of macrophage ROS was explained by changes in OC concentrations and water-soluble vanadium (probably originating from ship emissions – bunker oil combustion). The multiple regression models were used to predict the average diurnal DTT levels as a function of the OC concentration at one of the sampling sites.

BackgroundViral infections such as influenza have been shown to predispose hosts to increased colonization of the respiratory tract by pathogenic bacteria and secondary bacterial pneumonia. To examine how viral infections and host antiviral immune responses alter the upper respiratory microbiota, we analyzed nasal bacterial composition by 16S ribosomal RNA (rRNA) gene sequencing in healthy adults at baseline and at 1 to 2 weeks and 4 to 6 weeks following instillation of live attenuated influenza vaccine or intranasal sterile saline. A subset of these samples was submitted for microarray host gene expression profiling.ResultsWe found that live attenuated influenza vaccination led to significant changes in microbial community structure, diversity, and core taxonomic membership as well as increases in the relative abundances of Staphylococcus and Bacteroides genera (both p < 0.05). Hypergeometric testing for the enrichment of gene ontology terms in the vaccinated group reflected a robust up-regulation of type I and type II interferon-stimulated genes in the vaccinated group relative to controls. Translational murine studies showed that poly I:C administration did in fact permit greater nasal Staphylococcus aureus persistence, a response absent in interferon alpha/beta receptor deficient mice.ConclusionsCollectively, our findings demonstrate that although the human nasal bacterial community is heterogeneous and typically individually robust, activation of a type I interferon (IFN)-mediated antiviral response may foster the disproportionate emergence of potentially pathogenic species such as S. aureus.Trial registrationThis study was registered with Clinicaltrials.gov on 11/3/15, NCT02597647.Electronic supplementary materialThe online version of this article (doi:10.1186/s40168-015-0133-2) contains supplementary material, which is available to authorized users.

Abstract. In this study, two different types of assays were used to quantitatively measure the redox activity of PM and to examine its intrinsic toxicity: 1) in vitro exposure to rat alveolar macrophage (AM) cells using dichlorofluorescin diacetate (DCFH-DA) as the fluorescent probe (macrophage ROS assay), and: 2) consumption of dithiothreitol (DTT) in a cell-free system (DTT assay). Coarse (PM10–2.5), accumulation (PM2.5–0.25), and quasi-ultrafine (quasi-UF, PM0.25) mode particles were collected weekly at five sampling sites in the Los Angeles-Long Beach Harbor and at one site near the University of Southern California campus (urban site). All PM samples were analyzed for organic (total and water-soluble) and elemental carbon, organic species, inorganic ions, and total and water-soluble elements. Quasi-UF mode particles showed the highest redox activity at all Long Beach sites (on both a per-mass and per-air volume basis). A significant association (R2=0.61) was observed between the two assays, indicating that macrophage ROS and DTT levels are affected at least partially by similar PM species. Relatively small variation was observed for the DTT measurements across all size fractions and sites, whereas macrophage ROS levels showed more significant ranges across the three different particle size modes and throughout the sites (coefficients of variation, or CVs, were 0.35, 0.24 and 0.53 for quasi-UF, accumulation, and coarse mode particles, respectively). Association between the PM constituents and the redox activity was further investigated using multiple linear regression models. The results showed that OC was the most important component influencing the DTT activity of PM samples. The variability of macrophage ROS was explained by changes in OC concentrations and water-soluble vanadium (probably originating from ship emissions – bunker oil combustion). The multiple regression models were used to predict the average diurnal macrophage ROS and DTT levels as a function of the OC concentration at one of the sampling sites.