Residence location has long been used to indicate environmental exposure in many epidemiological studies. This indicator is easy to establish, requires little exposure or monitoring data, and is potentially applicable to many types of investigations. The validity, accuracy and utility of residence location as an exposure indicator, however, is challenged by current concerns regarding multiple exposure pathways, persistent and toxic contaminants, and cumulative exposures from non -point, mobile and point sources. This paper reviews 45 epidemiological studies that use residence location to identify study populations and estimate air pollution exposures. Thirteen ( 29% ) of the studies determined environmental exposures based on``proximity'' measures, usually the distance from a subject's residence to a pollutant source. Other studies used``zones'' presumed to have equal pollutant levels. Several studies combined zone and proximity approaches. Exposures were quantified using monitoring data in 27 ( 60% ) studies and dispersion modeling in two ( 4% ) studies. Sixteen ( 36% ) studies did not use any environmental data to quantify exposure. A total of 31 ( 69% ) of the studies reported significant associations between health endpoints and the pollutant exposures represented by residence location. In general, comprehensive and systematic approaches to identify and estimate population exposures were not used, and the exposure estimates were therefore deemed likely to have great uncertainty. Unless exposure levels among groups are verified, it cannot be determined whether nonsignificant associations between exposures and health endpoints indicate a lack of measurable health effects, or are merely a result of exposure misclassification. Site -specific and quantitative exposure assessments are needed to better quantify and confirm exposures within such studies, as well as to permit interpretations and comparisons across studies. Journal of Exposure Analysis and Environmental Epidemiology (2000) 10, 66 ± 85.

Abstract. Carbonaceous aerosols including organic carbon and black carbon have significant implications for both climate and air quality. In the current global climate or chemical transport models, a fixed hydrophobic-to-hydrophilic conversion lifetime for carbonaceous aerosol (τ) is generally assumed, which is usually around one day. We have implemented a new detailed aging scheme for carbonaceous aerosols in a chemical transport model (GEOS-Chem) to account for both the chemical oxidation and the physical condensation-coagulation effects, where τ is affected by local atmospheric environment including atmospheric concentrations of water vapor, ozone, hydroxyl radical and sulfuric acid. The updated τ exhibits large spatial and temporal variations with the global average (up to 11 km altitude) calculated to be 2.6 days. The chemical aging effects are found to be strongest over the tropical regions driven by the low ozone concentrations and high humidity there. The τ resulted from chemical aging generally decreases with altitude due to increases in ozone concentration and decreases in humidity. The condensation-coagulation effects are found to be most important for the high-latitude areas, in particular the polar regions, where the τ values are calculated to be up to 15 days. When both the chemical aging and condensation-coagulation effects are considered, the total atmospheric burdens and global average lifetimes of BC, black carbon, (OC, organic carbon) are calculated to increase by 9% (3%) compared to the control simulation, with considerable enhancements of BC and OC concentrations in the Southern Hemisphere. Model evaluations against data from multiple datasets show that the updated aging scheme improves model simulations of carbonaceous aerosols for some regions, especially for the remote areas in the Northern Hemisphere. The improvement helps explain the persistent low model bias for carbonaceous aerosols in the Northern Hemisphere reported in literature. Further model sensitivity simulations focusing on the continental outflow of carbonaceous aerosols demonstrate that previous studies using the old aging scheme could have significantly underestimated the intercontinental transport of carbonaceous aerosols.

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Purpose - The purpose of this paper is to develop evident-based predictive no-show models considering patients' each past appointment status, a time-dependent component, as an independent predictor to improve predictability. Design/methodology/approach - A ten-year retrospective data set was extracted from a pediatric clinic. It consisted of 7,291 distinct patients who had at least two visits along with their appointment characteristics, patient demographics, and insurance information. Logistic regression was adopted to develop no-show models using two-thirds of the data for training and the remaining data for validation. The no-show threshold was then determined based on minimizing the misclassification of show/no-show assignments. There were a total of 26 predictive model developed based on the number of available past appointments. Simulation was employed to test the effective of each model on costs of patient wait time, physician idle time, and overtime. Findings - The results demonstrated the misclassification rate and the area under the curve of the receiver operating characteristic gradually improved as more appointment history was included until around the 20th predictive model. The overbooking method with no-show predictive models suggested incorporating up to the 16th model and outperformed other overbooking methods by as much as 9.4 per cent in the cost per patient while allowing two additional patients in a clinic day. Research limitations/implications - The challenge now is to actually implement the no-show predictive model systematically to further demonstrate its robustness and simplicity in various scheduling systems. Originality/value - This paper provides examples of how to build the no-show predictive models with time-dependent components to improve the overbooking policy. Accurately identifying scheduled patients' show/no-show status allows clinics to proactively schedule patients to reduce the negative impact of patient no-shows.

Urban areas are increasingly recognized as an important source of methane (CH4), but we have limited seasonally resolved observations of these regions. In this study, we quantify seasonal and annual urban CH4 emissions over the Baltimore, Maryland, and Washington, DC metropolitan regions. We use CH4 atmospheric observations from four tall tower stations and a Lagrangian particle dispersion model to simulate CH4 concentrations at these stations. We directly compare these simulations with observations and use a geostatistical inversion method to determine optimal emissions to match our observations. We use observations spanning four seasons and employ an ensemble approach considering multiple meteorological representations, emission inventories, and upwind CH4 values. Forward simulations in winter, spring, and fall underestimate observed atmospheric CH4 while in summer, simulations overestimate observations because of excess modeled wetland emissions. With ensemble geostatistical inversions, the optimized annual emissions in DC/Baltimore are 39 ± 9 Gg/month (1 δ), 2.0 ± 0.4 times higher than the ensemble mean of bottom-up emission inventories. We find a modest seasonal variability of urban CH4 emissions not captured in current inventories, with optimized summer emissions ∼41% lower than winter, broadly consistent with expectations if emissions are dominated by fugitive natural gas sources that correlate with natural gas usage.

h i g h l i g h t sWe investigate the potential impacts of global change on wildfire frequencies.We account for changing fire meteorology, lightning, population, land use/land cover. Fire frequencies are projected to increase by~27% due to 2000e2050 global change. Fire meteorology change is the most important factor, followed by land cover. a b s t r a c tThe occurrence of wildfires is very sensitive to fire meteorology, vegetation type and coverage. We investigate the potential impacts of global change (including changes in climate, land use/land cover, and population density) on wildfire frequencies over the period of 2000e2050. We account for the impacts associated with the changes in fire meteorology (such as temperature, precipitation, and relative humidity), vegetation density, as well as lightning and anthropogenic ignitions. Fire frequencies under the 2050 conditions are projected to increase by approximately 27% globally relative to the 2000 levels. Significant increases in fire occurrence are calculated over the Amazon area, Australia and Central Russia, while Southeast Africa shows a large decreasing trend due to significant increases in land use and population. Changes in fire meteorology driven by 2000e2050 climate change are found to increase the global annual total fires by around 19%. Modest increases (~4%) in fire frequency at tropical regions are calculated in response to climate-driven changes in lightning activities, relative to the present-day levels. Changes in land cover by 2050 driven by climate change and increasing CO 2 fertilization are expected to increase the global wildfire occurrences by 15% relative to the 2000 conditions while the 2000e2050 anthropogenic land use changes show little effects on global wildfire frequency. The 2000e2050 changes in global population are projected to reduce the total wildfires by about 7%. In general, changes in future fire meteorology plays the most important role in enhancing the future global wildfires, followed by land cover, lightning activities and land use while changes in population density exhibits the opposite effects during the period of 2000e2050.

Abstract. We apply the NCAR CAM5-Chem global aerosolclimate model to quantify the net global radiative effects of black and organic carbon aerosols from global and Indian solid fuel cookstove emissions for the year 2010. Our assessment accounts for the direct radiative effects, changes to cloud albedo and lifetime (aerosol indirect effect, AIE), impacts on clouds via the vertical temperature profile (semidirect effect, SDE) and changes in the surface albedo of snow and ice (surface albedo effect). In addition, we provide the first estimate of household solid fuel black carbon emission effects on ice clouds. Anthropogenic emissions are from the IIASA GAINS ECLIPSE V5a inventory. A global dataset of black carbon (BC) and organic aerosol (OA) measurements from surface sites and aerosol optical depth (AOD) from AERONET is used to evaluate the model skill. Compared with observations, the model successfully reproduces the spatial patterns of atmospheric BC and OA concentrations, and agrees with measurements to within a factor of 2. Globally, the simulated AOD agrees well with observations, with a normalized mean bias close to zero. However, the model tends to underestimate AOD over India and China by ∼ 19 ± 4 % but overestimate it over Africa by ∼ 25 ± 11 % (± represents modeled temporal standard deviations for n = 5 run years). Without BC serving as ice nuclei (IN), global and Indian solid fuel cookstove aerosol emissions have net global cooling radiative effects of −141 ± 4 mW m −2 and −12 ± 4 mW m −2 , respectively (± represents modeled temporal standard deviations for n = 5 run years). The net radiative impacts are dominated by the AIE and SDE mechanisms, which originate from enhanced cloud condensation nuclei concentrations for the formation of liquid and mixedphase clouds, and a suppression of convective transport of water vapor from the lower troposphere to the upper troposphere/lower stratosphere that in turn leads to reduced ice cloud formation. When BC is allowed to behave as a source of IN, the net global radiative impacts of the global and Indian solid fuel cookstove emissions range from −275 to +154 mW m −2 and −33 to +24 mW m −2 , with globally averaged values of −59 ± 215 and 0.3 ± 29 mW m −2 , respectively. Here, the uncertainty range is based on sensitivity simulations that alter the maximum freezing efficiency of BC across a plausible range: 0.01, 0.05 and 0.1. BC-ice cloud interactions lead to substantial increases in high cloud (< 500 hPa) fractions. Thus, the net sign of the impacts of carbonaceous aerosols from solid fuel cookstoves on global climate (warming or cooling) remains ambiguous until improved constraints on BC interactions with mixed-phase and ice clouds are available.

Abstract. There has been significant stratospheric ozone depletion since the late 1970s due to ozone-depleting substances (ODSs). With the implementation of the Montreal Protocol and its amendments and adjustments, stratospheric ozone is expected to recover towards its pre-1980 level in the coming decades. In this study, we examine the implications of stratospheric ozone recovery for the tropospheric chemistry and ozone air quality with a global chemical transport model (GEOS-Chem). With a full recovery of the stratospheric ozone, the projected increases in ozone column range from 1 % over the low latitudes to more than 10 % over the polar regions. The sensitivity factor of troposphere ozone photolysis rate, defined as the percentage changes in surface ozone photolysis rate for 1 % increase in stratospheric ozone column, shows significant seasonal variation but is always negative with absolute value larger than one. The expected stratospheric ozone recovery is found to affect the tropospheric ozone destruction rates much more than the ozone production rates. Significant decreases in surface ozone photolysis rates due to stratospheric ozone recovery are simulated. The global average tropospheric OH decreases by 1.7 %, and the global average lifetime of tropospheric ozone increases by 1.5 %. The perturbations to tropospheric ozone and surface ozone show large seasonal and spatial variations. General increases in surface ozone are calculated for each season, with increases by up to 0.8 ppbv in the remote areas. Increases in ozone lifetime by up to 13 % are found in the troposphere. The increased lifetimes of tropospheric ozone in response to stratospheric ozone recovery enhance the intercontinental transport of ozone and global pollution, in particular for the summertime. The global background ozone attributable to Asian emissions is calculated to increase by up to 15 % or 0.3 ppbv in the Northern Hemisphere in response to the projected stratospheric ozone recovery.