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Embolic material generated by multiple aortic crossclamping: a perfusion model with human cadaveric aorta.

BACKGROUND: Atherosclerosis of the ascending aorta and use of aortic crossclamping are risk factors for neurologic injury during cardiac surgery. OBJECTIVES: Repeated aortic manipulation is part of the surgical approach to most cardiac operations. The aim of this study was to assess the amount and size of particulate matter that is dislodged from the aortic wall as a function of repeated aortic crossclamping. METHODS: In 10 subjects undergoing autopsy the aorta was dissected and mounted in a perfusion model. The ascending aorta was crossclamped and washed out 10 times, with the perfusate collected in aliquots (1 to 10). The aliquots were examined by computerized image processing, both macroscopically and under the microscope for calcified and cellular material. RESULTS: Aortic crossclamping produced substantial output of particulate matter. After repeated aortic crossclamping the number of particles decreased (P =.012) and approached the baseline for aliquots 6 to 10. The average particle diameter was 0.63 +/- 0.03 mm, with a maximum of 4.74 mm. Similar variability in particle outputs were recorded microscopically, with findings of both calcified and cellular material. Nine of 10 aortas had calcifications seen during simple visual inspection. CONCLUSIONS: The washouts of dislodge material at aortic crossclamping had embolic potential. During the initial aortic crossclamping procedures the amount of particles was substantial, both macroscopically and microscopically. On the microscopic scale noncalcified cellular debris represents a significant pool of embolic material. Repeated aortic crossclamping reduced the amount of particles. These findings question surgical techniques associated with repeated aortic crossclamping.

Aged↗

Elemental source signatures of aerosols from the Canadian high Arctic.

The seasonal fluctuations of antimony, arsenic, indium, manganese and vanadium have been measured in airborne particulate matter from 1982-1987 at Alert in the Canadian high Arctic. Calculations of enrichment factors have shown that arsenic and antimony are very enriched in the wintertime aerosol. While wintertime ratios of non-crustal manganese/non-crustal vanadium were in agreement with previously published work, summertime ratios often resulted in negative values. A re-evaluation of the crustal Mn/V ratio was undertaken by looking at this ratio during the summertime and assuming that nearly all the airborne particulate matter was derived from crustal matter. Principal Source Contribution Function Analyses were performed for arsenic, indium and manganese. The results suggested that these important regional signatures can now be characterized as coming from distinct European and Asian areas. This improvement in area resolution is much more satisfactory than citing the usual attribution of an overall Eurasian source.

Journal Article↗

Geochemical survey and metal bioaccumulation of three bivalve species (Crassostrea gigas, Cerastoderma edule and Ruditapes philippinarum) in the Nord Medoc salt marshes (Gironde estuary, France).

A 15-month experiment combining a geochemical survey of Cd, Cu, Zn and Hg with a bioaccumulation study for three filter-feeding bivalve species (oysters, Crassostrea gigas; cockles, Cerastoderma edule; and clams, Ruditapes philippinarum) was conducted in a breeding basin of the Nord Medoc salt marshes connected to the Gironde estuary, which is affected by historic polymetallic pollution. Regular manual surface measurements of temperature, salinity, pH and dissolved O(2) concentration and hourly multiprobe in situ measurements throughout several periods for 6-8 weeks were performed. The geochemical behavior of metals in water, suspended particulate matter and sediment and their ecotoxicological impact on the three bivalve species were evaluated by in situ exposure of juvenile oysters (water column) and adult cockles and clams (sediment surface). The physico-chemical parameters reflected seasonal variations and basin management. A distinct daily periodicity (except salinity) indicated intense photosynthesis and respiration. In summer, low dissolved O(2) saturations ( approximately 40-50%) occurred in the early morning at 30 cm above the sediment, whereas in depressions, the water column near the sediment surface was suboxic. Cadmium, Zn and Cu concentrations in suspended particulate matter exceeded typical estuarine values and were much higher than the homogeneously distributed concentrations in different depth ranges of the basin sediment. Particles collected in sediment traps showed intermediate metal concentrations close to sediment values. These results suggest trace metal recycling due to reductive dissolution under suboxic conditions at the sediment surface resulting in trace metal release to the water column and adsorption onto suspended particles. Dissolved Cd, Zn and Hg concentrations (e.g. 13-136 ng l(-1); 0.3-25.1 microg l(-1) and 0.5-2.0 ng l(-1), respectively) in the basin corresponded to the concentration range typically observed in the Gironde estuary, except for some maximum values attributed to metal recycling. In contrast, dissolved Cu concentrations (1.08-6.08 microg l(-1)) were mostly higher than typical estuarine values, probably due to recycled Cu complexation by dissolved organic matter. Growth, bioaccumulation rates and kinetics in the whole soft body of the bivalves were analyzed every 40 days. Although Cd bioaccumulation of oysters was lower in the basin than in the estuary during the same period (27,000 ng g(-1), dry weight and 40,000 ng g(-1), respectively) these values are largely above the new human consumption safety level (5000 ng g(-1), dw; European Community, 2002). For cockles and clams, Cd bioaccumulation was lower, reaching 1400 ng g(-1) and 950 ng g(-1), respectively. Similar results were obtained for Zn and Cu suggesting physiological differences between the species and/or differences in the exposure of the organisms due to physico-chemical conditions and metal distribution between dissolved and particulate phases. In contrast, Hg bioaccumulation was highest for cockles reaching bioconcentration factors of approximately 200,000, which even exceeded that of Cd in oysters (50,000) for the same exposition period. Nevertheless, Hg concentrations remained relatively low in the three bivalve species.

Animals↗

Bursa of Fabricus: uptake of radioactive particles and radiotoxic "sealing" of bursal follicles.

Making use of the fact that the avian bursa is uniquely equiped for uptake, degradation and storage of particulate matter from the cloacal lumen, we administered 239Pu(IV) perorally or via the cloaca to cause radiotoxic damage to the bursal tissue. This resulted in a involution of the follicles, reduction of the lymphocyte mass, predominance of smaller lymphoid cells in the medulla as compared to controls, disappearance of tuft epithelia, formation of a sub-epithelial fibrous layer in many follicles and impairment or an almost complete loss of the capacity of the bursa to take up particulate matter. Concomitant with these changes was a reduction in the concentration of serum IgG. These findings are discussed in relation to the immunologic contact role of the bursa.

Animals↗

Point-of-sale glass bottle recycling: indoor airborne exposures and symptoms among employees.

AIMS: To assess the impact of newly introduced point-of-sale glass bottle recycling on indoor air quality and employee health. METHODS: Airborne exposures and both chronic and acute respiratory and somatic symptoms were surveyed among 226 employees at 36 randomly selected liquor stores with bottle recycling and in-house glass breaking. Each store was visited twice; between visits glass breaking was discontinued for one month in half the stores (selected at random), although bottles were still collected and stored on site. Rates of chronic symptoms were compared to an external, unexposed control population. RESULTS: Geometric mean exposure levels were 0.18 mg/m3 for inhalable particulate matter and 3.6 EU/m3 for endotoxin (270 personal samples); 1064 CFU/m3 for viable fungi (648 area samples). Fungal levels were associated with visibly mouldy bottles being broken, outdoor fungal counts, and uncovered glass bins. Exposures were not altered by the intervention of shutting down glass breaking machinery. Compared to controls, employees reported more work related chronic chest tightness and chronic nasal symptoms. Acute chest symptoms were associated with breaking visibly mouldy bottles, but not with measured fungal counts. Inhalable particulate matter levels >0.2 mg/m3 were associated with acute upper airway irritation. Somatic symptoms were associated with measures of psychosocial job strain. CONCLUSION: Results suggest that this type of recycling programme may generate fungal exposures sufficient to elicit upper airway and chest symptoms.

Acute Disease↗

A study of acute respiratory disease in families exposed to different levels of Air pollution in the Great Salt Lake basin, Utah, 1971-1972 and 1972-1973.

The reported incidence of acute respiratory illness in families exposed to different concentrations of air pollution was studied during two consecutive school years. The purpose of the study was to determine the effect of increased exposure to sulfur dioxide and suspended particulate matter. In each of four study communities, the mothers of approximately 250 white families were contacted biweekly to obtain information regarding the occurrence of respiratory symptoms in each family member. Annual mean ambient sulfur dioxide concentrations in one community for the three years included in the study (1971-1973) were well above the current air quality standard of 80 micrograms/m3, while in the other three communities the annual sulfur dioxide concentrations were much lower (usually less than 40 micrograms/m3). Suspended particulate matter concentrations in high sulfur dioxide community were close to the limit designated by the annual standard (75 micrograms/m3) but actual exposures in the four communities probably were not excessive. Regression analyses of the data collected showed inconsistent associations between illness rates and educational attainment of the head of household, crowding in the home, bronchitis in parents or smoking of parents. However, once the effects of these factors were removed the adjusted rates showed little association with community of residence. It was concluded that the higher concentrations of sulfur dioxide in the Utah atmosphere could not be the cause of increases in acute respiratory illness in the exposed populations.

Adult↗

Particulate and dissolved organic carbon in cloud water in southern Scotland.

Total particulate carbon (TPC), which includes both elemental carbon and particulate organic carbon, total suspended particulate matter (TSP) and dissolved organic carbon (DOC) were measured in 53 cloud water samples collected using a passive 'Harp-wire' cloud collector at weekly intervals at a hill-top site in southern Scotland (Dunslair Heights, 602 m above sea level) between December 1990 and April 1992. The concentrations of TPC, TSP and DOC were in the range 0.03-6.9 mg 1(-1) (median 1.05 mg l(-1)), 2.6-51.6 mg l(-1) (median 13.6 mg l(-1)) and 0.-14 mg l(-1) (median 3.6 mg l(-1)), respectively. The concentrations of TPC, TSP and DOC were greatest in winter (December-February), up to 6.9, 42 and 4.6 mg l(-1) respectively in 1990-1991 and up to 6.0, 51 and 14 mg l(-1), respectively, in 1991-1992. Particulate carbon in cloud water samples comprised 1-47% of the TSP. Concentrations of major anions (Cl(-), NO(-)(3), SO(2-)(4)) and pH were measured on the same water samples. Estimates of cloud liquid water content from January to April 1992 were derived from measured wind speeds and volumes of water collected. These estimates suggested that the air contained up to 1.2 microg TPC m(-3), 16 microg TSP m(-3) and 2.3 microg DOC m(-3), which are typical of concentrations to be expected in rural air. There was no correlation between concentrations of DOC in cloud water and either TPC or TSP, indicating that the sources and partitioning of DOC and TPC in the atmosphere are different. The largest concentrations of TPC coincided with the largest concentrations of non-marine sulphate, and although there was a significant linear correlation between the two sets of data, the log-transformed data were not correlated. Concentrations of TPC were significantly correlated with concentrations of other particulate matter (TSP-TPC), suggesting that similar sources and/or partitioning processes were involved in determining concentrations in cloud. Concentrations of DOC in cloud were significantly correlated (p < 0.02) with concentrations of nitrate, suggesting that sources of DOC were related to the emission and chemistry of nitrogen oxides. The very large concentrations of particulate carbon, especially in winter, indicate that carbon-catalysed oxidation of sulphur dioxide by molecular oxygen in cloud water may be a significant pathway when concentrations of hydrogen peroxide are small.

Journal Article↗

Emission factors for carbonaceous particles and polycyclic aromatic hydrocarbons from residential coal combustion in China.

Emission factors of carbonaceous particles, including black carbon (BC) and organic carbon (OC), and polycyclic aromatic hydrocarbons (PAHs) were determined for five coals, which ranged in maturity from sub-bituminous to anthracite. They were burned in the form of honeycomb briquettes in a residential coalstove, one of the most common fuel/stove combinations in China. Smoke samples were taken through dilution sampling equipment, with a high volume sampler that could simultaneously collect emissions in both particulate and gaseous phases, and a cascade impactor that could segregate particles into six fractions. Particulate BC and OC were analyzed by a thermal-optical method, and PAHs in emissions of both phases were analyzed by GC-MS. Burning of bituminous coals produced the highest emission factors of particulate matter (12.91 g/kg), BC (0.28 g/kg), OC (7.82 g/kg), and 20 PAHs (210.6 mg/kg) on the basis of burned dry ash-free (daf) coal, while the anthracite honeycomb-briquette was the cleanest household coal fuel. The size-segregated results show that more than 94% of the particles were submicron, and calculated mass median aerodynamic diameters (MMAD) of all particles were under 0.3 microm. Based on the coal consumption in the residential sector of China, 290.24 Gg (gigagrams) of particulate matter, 5.36 Gg of BC, 170.33 Gg of OC, and 4.72 Gg of 20 PAHs mass were emitted annually from household honeycomb-briquette burning during 2000. Anthracite coal should be selected preferentially and more advanced burning conditions should be applied in domestic combustion, from the viewpoint of both climate change and adverse health effects.

Air Pollutants↗

Heavy metals in Lake Balaton: water column, suspended matter, sediment and biota.

During the period 1999-2002, five sampling cruises have been carried out on Lake Balaton to assess trace metal distribution in the lake and to identify major sources. Eighteen elements, including Cr, Co, Ni, Cu, Zn, Cd, Pb (trace metals) and Al, Ba, Ca, Fe, K, Mg, Mn, Na, P, S, Sr (major metals), were determined in one or more of the lake's compartments. Lower trace metal concentrations in rainwater were observed in June and February 2000, while much higher levels were present in September 2001 (during a storm event) and in snow (February 2000). In the Northern and Western parts of the lake, especially at the inflow of river Zala and the locations of the yacht harbours, metal concentrations were higher in almost all compartments. Because the lake is very shallow, storm conditions also change significantly the metal distributions in the dissolved and particulate phases. The Kis-Balaton protection system located on Zala river functions very efficiently for retaining suspended particulate matter (SPM; 72% retention) and associated metals. Metal concentrations in surface sediments of the lake showed a high variability. After normalisation for the fine sediment fraction, only a few stations including Zala mouth appeared to be enriched in trace metals. In zooplankton, Zn seemed to be much more elevated compared to the other trace metals. Based on the molar ratios of the trace metals in the various compartments and input flows of the lake, several trends could be deduced. For example, molar ratios of the trace metals in the dissolved and solid (suspended particulate matter and sediments) phases in the lake are fairly similar to those in Zala River.

Animals↗

Source apportionment of visibility impairment using a three-dimensional source-oriented air quality model.

A three-dimensional source-oriented Eulerian air quality model is developed that can predict source contributions to the visibility reduction. Particulate matter and precursor gases from 14 different sources (crustal material, paved road dust, diesel engines, meat cooking, noncatalyst-equipped gasoline engines, catalyst-equipped gasoline engines, high-sulfur fuel, sea salt, refrigerant losses, residential production, animals, soil and fertilizer application, other anthropogenic sources, and background sources) are tracked though a mathematical simulation of emission, chemical reaction, gas-to-particle conversion, transport, and deposition. A visibility model based on Mie theory is modified to use the calculated source contributions to airborne particulate matter size and composition as well as gas-phase pollutant concentrations to quantify total source contributions to visibility impairment. The combined air quality-visibility model is applied to predict source contributions to visibility reduction in southern California for a typical air pollution episode (September 23-25, 1996). The model successfully predicts a severe visibility reduction in the eastern portion of the South Coast Air Basin where the average daytime visibility is measured to be less than 10 km. In the relatively clean coastal portion of the domain, the model successfully predicts that the average daytime visibility is greater than 65 km. Transportation-related sources directly account for approximately 50% of the visibility reduction (diesel engines approximately 15-20%, catalyst-equipped gasoline engines approximately 10-20%, noncatalyst-equipped gasoline engines approximately 3-5%, crustal and paved road dust approximately 5%) in the region with the most severe visibility impairment. Ammonia emissions from animal sources account for approximately 10-15% of the visibility reduction.

Air Movements↗

Mutagenicity of diesel exhaust particles from two fossil and two plant oil fuels.

Particulate matter of diesel engine exhaust from four different fuels was studied for content of polynuclear aromatic compounds and mutagenic effects. Two so-called biodiesel fuels, rapeseed oil methylesters (RME) and soybean oil methylesters (SME), were compared directly with two fossil diesel fuels with the normal (DF) and a low sulfur content (LS-DF). Diesel exhaust particles were sampled on filters from the diluted and cooled exhaust of a test engine at five different speeds and loads. Filters were weighed for total particulate matter, Soxhlet extracted with dichloromethane and the content of insoluble material determined. The soluble organic fraction was analysed for polynuclear aromatic compounds. Mutagenicity was determined using the Salmonella typhimurium/mammalian microsome assay with strains TA98 and TA100. Compared with DF, the exhaust particles of LS-DF, RME and SME contained less insoluble material, which consisted mainly of the carbon cores of diesel exhaust particles. The concentrations of individual polynuclear aromatic compounds varied widely among the different exhaust extracts, but total concentrations of the compounds were approximately double for DF and SME compared with LS-DF and RME. In TA98 significant increases in mutation rates were obtained for the soluble organic fractions of all fuels for engines running at full speed (load modes A and D), but for DF revertants were 2- to 10-fold more frequent as compared with LS-DF, RME and SME. Revertant frequencies for DF and partly for LS-DF were also elevated in TA100, while RME and SME gave no significant increase in mutations. The results indicate that diesel exhaust particles from RME, SME and LS-DF contain less black carbon and total polynuclear aromatic compounds and are significantly less mutagenic in comparison with DF. A high sulfur content of the fuel and high engine speeds (rated power) and loads are associated with an increase in mutagenicity of diesel exhaust particles.

Chromatography, High Pressure Liquid↗

Genotoxicity of fractionated organic material in airborne particles from São Paulo, Brazil.

Particulate matter less than 10 microns aerodynamic diameter (PM10) is associated with adverse health effects including increased respiratory problems and mortality. PM10 is also associated with increases in cancer in some urban areas. Identification of toxic compounds in PM10 is a step toward estimating exposure to these compounds and evaluating their public health risk. However, the toxic compounds on PM10 are part of a highly complex mixture of compounds that makes chemical characterization difficult. Before this study, there has been little investigation of genotoxic compounds in particulate matter from Latin American cities. Here, both bioassay (mutagenicity) and chemical analyses were conducted with organic solvent extracts of PM10 collected from São Paulo, a major Brazilian city. Sequential extraction in dichloromethane (DCM) followed by acetone (ACE) yielded 20.3% and 10.2% of the total mass, respectively. Non-polar and moderately polar organic material solubilized in DCM. ACE extracted more polar organic species and some inorganic ions. Both extracts were fractionated separately using cyanopropyl-bonded silica chromatography with organic solvents of increasing polarity. The mass distribution among the fractions was measured. The mutagenic activity of the fractions was assayed using the microsuspension procedure with the Salmonella typhimurium tester strain TA98, with and without addition of metabolic enzymes (S9). The DCM extract had about four times higher mutagenic activity than the ACE extract. In general, addition of S9 resulted in an increase in mutagenicity of DCM fractions, but a decrease for the ACE extract. Most of the activity was concentrated in fractions in the mid-range of polarity within both the DCM and ACE extracts. The fractions were analyzed by gas chromatography with mass selective detection (GC/MS) without derivatization. The most mutagenic fractions in the DCM extract contained ketones, aldehydes, and quinolines. The most mutagenic ACE fraction had ketones, carboxylic acids, and aldehydes.

Air Pollutants↗

Observations of formic and acetic acids at three sites of Mexico City.

Levels of atmospheric carboxylic acids in gas and particulate matter were measured at three sites in Mexico City within the month of March 2000. An annular denuder system was used for sampling and the analytical method was HPLC with UV detection. Formic and acetic acids were present in the PM2.5 fraction and in the gas phase. Total concentration of formic acid was between 0 and 7 ppbV and total concentration of acetic acid was between 1 and 17 ppbV. On average 53% of the formic acid and 67% of the acetic acid were present in particulate matter.

Acetic Acid↗

Factor XIII catalyzed formation of fibrinogen-fibronectin oligomers--a thiol enhanced process.

Fibrinogen and plasma fibronectin were shown to interact in the presence of factor XIIIa. The reaction was enhanced by dithiothreitol and was accompanied by an increase in the turbidity of the solution and the formation of particulate matter and gel structures. At a constant concentration of fibrinogen the turbidity increase was dependent on the fibronectin concentration and at a constant concentration of fibronectin, on the fibrinogen concentration. Kinetic experiments showed that an initial step in the reaction between fibrinogen and fibronectin was the formation of a transient intermediate containing 1 mole of fibrinogen and 1 mole of fibronectin. Transient intermediates of larger molecular weight and containing both fibrinogen and fibronectin were also formed. These heterooligomers eventually reached huge molecular sizes and at early times formed particulate matter that sedimented on centrifugation. The predominant molecular species formed in an equimolar mixture of fibrinogen and fibronectin were heteropolymers. Small amounts of homopolymers composed of fibrinogen and possibly also homopolymers of fibronectin were detected. The results are discussed in terms of reaction mechanism and potential importance of this novel oligomerization pathway in haemostasis, thrombosis and tissue repair.

Dithiothreitol↗

Respiratory hospital admissions and summertime haze air pollution in Toronto, Ontario: consideration of the role of acid aerosols.

A study of air pollution and daily hospital admissions for respiratory causes was conducted in Toronto, Ontario. Fine aerosol (da < 2.5 microns) samples were collected daily at a central city site during July and August 1986, 1987, and 1988 and were subsequently extracted and analyzed for daily particulate phase aerosol strong acidity (H+) and sulfates (SO4 =). Daily counts of respiratory admissions to 22 acute care hospitals and daily meteorological and environmental data (e.g. ozone [O3], total suspended particulate matter [TSP], and thoracic particle mass [PM10] were also obtained. Regression analyses indicated that only the O3, H+, and SO4 = associations with respiratory and asthma admissions remained consistently significant after controlling for temperature. Even after excluding days with maximum 1-hr O3 > 120 ppb, O3 was still strongly significant. In the various model specifications considered, the relative particle metric strengths of association with admissions were generally H+ > SO4 = > FP > PM10 > TSP, indicating that particle size and composition are of central importance in defining the adverse human health effects of particulate matter. On average, summertime haze air pollution was associated with 24% of all respiratory admissions (21% with O3, 3% with H+). On peak pollution days, however, aerosol acidity yielded the highest relative risk estimates (e.g., RR = 1.5 at 391 nmole/m3 H+), and summertime haze was associated with roughly half of all respiratory admissions.

Acids↗

Sources and seasonal variability of mutagenic agents in the Barcelona City aerosol.

Organic extracts (dichloromethane) isolated from airborne particulate matter, collected in two sampling sites located in the Barcelona City, were mutagenic in the Salmonella typhimurium (TA98 +/-S9) bioassay. The highest direct-acting mutagenicity (69-78 rev m-3) was detected during fall and spring, which corresponds to the highest levels of mutagenic nitroarenes (248 to 350 pg m-3). On the other hand, the highest level of indirect-acting mutagenicity was obtained in summer, paralleling with the highest concentrations of polycyclic aromatic ketones and polycyclic aromatic quinones. Furthermore, the sources of PAH in the urban particulate matter were estimated from the ratio of the less reactive components (i.e. benzofluranthenes/benzo[e]pyrene, indeno[1,2,3-cd]pyrene/benzo[ghi]perylene, methylphenantherenes/phenanthrene) and reflected a predominance of pyrolytic mobile sources (i.e. vehicular emissions). Nevertheless, a contribution of stationary sources in winter was also apparent. Finally, the seasonal variability of polycyclic aromatic ketones, quinones, aromatic lactones and aldehydes reflected a major contribution of the atmospheric transformation processes from related PAH rather than a direct emission from combustion sources.

Air Pollutants↗

Air pollution in asthma: effect of pollutants on airway inflammation.

OBJECTIVES: The objective of this review is to examine the impact of air pollutants on airway inflammation, with an emphasis on the interaction of the effect of ozone, particulate matter, and endotoxin exposure and immunoglobulin E-mediated airway inflammation. DATA SOURCES: This review examines the National Ambient Air Quality Standards and sources for different types of air pollution, as well as undertakes a review of epidemiologic and human challenge studies which address the impact of air contaminants in asthma and allergic inflammation. RESULTS: Epidemiologic and human challenge studies both demonstrate that ozone and endotoxin exposure can exacerbate allergic inflammation in the airway. Conversely, allergic processes may enhance individual response to air pollutants as well. CONCLUSIONS: Ozone and particulate matter are both important agents in inducing asthma exacerbation. However, these pollutants have not been implicated in development of immunoglobulin E responses to neoantigens. Decreased exposure to these pollutants or a better understanding of the processes by which they impact the airway may be useful in decreasing asthma severity.

Air Pollutants↗

Combining contingency tables with missing dimensions.

We propose a methodology for estimating the cell probabilities in a multiway contingency table by combining partial information from a number of studies when not all of the variables are recorded in all studies. We jointly model the full set of categorical variables recorded in at least one of the studies, and we treat the variables that are not reported as missing dimensions of the study-specific contingency table. For example, we might be interested in combining several cohort studies in which the incidence in the exposed and nonexposed groups is not reported for all risk factors in all studies while the overall numbers of cases and cohort size is always available. To account for study-to-study variability, we adopt a Bayesian hierarchical model. At the first stage of the model, the observation stage, data are modeled by a multinomial distribution with fixed total number of observations. At the second stage, we use the logistic normal (LN) distribution to model variability in the study-specific cells' probabilities. Using this model and data augmentation techniques, we reconstruct the contingency table for each study regardless of which dimensions are missing, and we estimate population parameters of interest. Our hierarchical procedure borrows strength from all the studies and accounts for correlations among the cells' probabilities. The main difficulty in combining studies recording different variables is in maintaining a consistent interpretation of parameters across studies. The approach proposed here overcomes this difficulty and at the same time addresses the uncertainty arising from the missing dimensions. We apply our modeling strategy to analyze data on air pollution and mortality from 1987 to 1994 for six U.S. cities by combining six cross-classifications of low, medium, and high levels of mortality counts, particulate matter, ozone, and carbon monoxide with the complication that four of the six cities do not report all the air pollution variables. Our goals are to investigate the association between air pollution and mortality by reconstructing the tables with missing dimensions, to determine the most harmful pollutant combinations, and to make predictions about these key issues for a city other than the six sampled. We find that, for high levels of ozone and carbon monoxide, the number of cases with a high number of deaths increases as the levels of particulate matter, PM10, increases and that the most harmful combinations corresponds to high levels of PM10, confirming prior findings that levels of PM10 higher than the NAAQS standard are harmful.

Air Pollution↗