Publications by authors named "Steve Hung Lam Yim"

Article Synopsis
  • Non-optimal temperature significantly contributes to global disease burden, but most studies have focused on outdoor temperatures, potentially leading to misclassification of personal temperature exposure.
  • The CKB-Air study analyzed temperature data from 477 participants across personal, household, and outdoor settings during summer and winter in China, recording around 88,000 person-hours of data.
  • The study found strong correlations between personal and household temperatures in winter and significant predictors for personal temperature exposure, achieving good prediction accuracy, while identifying a U-shaped relationship between personal temperature exposure and heart rate.
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To meet the goal of the Paris Agreement, China pledges to realize the "Dual Carbon" targets by 2060. As the capital of China, Beijing plays a leading role in becoming zero-emission or carbon neutral in the future. We project the pollutants emissions of building sector based on current strict clean air policies (PO scenario) and China's carbon neutrality target by 2060 (CN scenario) from 2019 to 2050.

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Unpredictable emergency department (ED) admissions challenge healthcare systems, causing resource allocation inefficiencies. This study analyses associations between air pollutants, meteorological factors, and 2,655,861 cause-specific ED admissions from 2014 to 2018 across 12 categories. Generalized additive models were used to assess non-linear associations for each exposure, yielding Incidence Rate Ratios (IRR), while the population attributable fraction (PAF) calculated each exposure's contribution to cause-specific ED admissions.

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Evidence regarding the link between long-term ambient ozone (O) exposure and childhood sleep disorders is little. This study aims to examine the associations between long-term exposure to O and sleep disorders in children. We conducted a population-based cross-sectional survey, including 185,428 children aged 6-18 years in 173 schools across 14 Chinese cities during 2012 and 2018.

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Southeast Asia has been experiencing severe air pollution due to its substantial local emissions and transboundary air pollution (TAP), causing significant health impacts. While literature focused on air pollution episodes in Southeast Asia, we have yet to fully understand the contributions of local emission sectors and TAP to air quality in the region annually. Herein we employed air quality modeling with the species tagging method to first assess the contributions of source sectors and locations to fine particulate matter (PM) and ozone (O) in Southeast Asia and to hence quantify the resultant health impacts.

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Cardiovascular diseases (CVDs) become a major public health concern. Evidence concerning the effects of outdoor artificial light at night (ALAN) on CVD in adults is scarce. We aimed to investigate the extent to which outdoor ALAN could affect the risk of CVD over a exposure range.

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Aircraft-induced clouds (AICs) are one of the most visible anthropogenic atmospheric phenomena, which mimic the natural cirrus clouds and perturb global radiation budget by reducing incoming shortwave (SW) radiation and trapping outgoing longwave (LW) radiation. The COVID-19 pandemic has caused a 70 % global decline in flight numbers from mid-March to October 2020, which provided a unique opportunity to examine the climatic impact of AICs. Among various regions, Western Europe and the Contiguous United States experienced the most substantial reduction in air traffic during the COVID-19 pandemic.

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Few studies have focused on the spatial distribution of the typical components and source tracers of PM and their associated health risks, despite the fact that the chemical components of PM pose potentially significant and independent risks to human health. The main objective of this study was to evaluate the spatial distribution of major PM components and their associated health risks in Hong Kong using a coupled land use regression and health risk assessment modeling approach. The established land use regression models of the major PM components and source tracers achieved a relatively high statistical performance, with training and leave-one-out cross-validation R values of 0.

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Background: Cooking and heating in households contribute importantly to air pollution exposure worldwide. However, there is insufficient investigation of measured fine particulate matter (PM) exposure levels, variability, seasonality, and inter-spatial dynamics associated with these behaviours.

Methods: We undertook parallel measurements of personal, household (kitchen and living room), and community PM in summer (May-September 2017) and winter (November 2017-Janauary 2018) in 477 participants from one urban and two rural communities in China.

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Background: Growing evidence suggests the detrimental impact of supine position and air pollution on obstructive sleep apnea (OSA), as well as the potential benefits of nonsupine positions. However, their interaction effects on OSA remain unclear.

Objectives: To evaluate the interaction effects of air pollution (NO/PM) and sleep position on OSA on additive and multiplicative scales.

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Article Synopsis
  • The study investigates how air pollution, specifically nitrogen oxides (NO) and particulate matter (PM), affects body composition and its relationship with obstructive sleep apnea (OSA) among 3,550 individuals.
  • Changes in lower-limb body composition were linked to air pollution levels, with NO exposure impacting both body composition and mild-OSA symptoms.
  • Findings suggest that certain body composition metrics, like muscle mass and impedance measurements from the legs, are significant predictors of OSA severity, indicating a complex interplay between air pollution and sleep-disordered breathing.
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Article Synopsis
  • The study investigates how vitamin D levels affect the relationship between particulate matter (PM) exposure and blood lipid levels in young, healthy adults.
  • Conducted in Guangzhou, China, the research included 88 participants and analyzed various sizes of PM alongside serum lipids and vitamin D concentrations over five weeks.
  • Findings reveal that lower vitamin D levels (under 15 ng/mL) were linked to significant increases in triglycerides and low-density lipoprotein cholesterol with higher PM exposure, while these associations were not significant in those with higher vitamin D levels (15 ng/mL or more).
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Past studies focused on ground-level air quality, whereas air quality in upper atmospheric boundary layer (ABL) remains unclear due to lack of long-term and high time-resolution profile data. This study utilized the 3-Dimensional Real-Time Atmospheric Monitoring System (3DREAMS) to provide vertical profiles of aerosol backscatter coefficients and wind for three years (2019-2021), along with DustTrak to describe and analyze the characteristics of aerosols in the upper ABL in a high-density city in Asia (Hong Kong, China). It is the first study to assess the long-term record and spatial variations of upper-level aerosol in a high-density city using a LiDAR network.

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Emerging evidence witnesses the association of air pollution exposure with sleep disorders or the risk of obstructive sleep apnea (OSA); however, the results are not consistent. OSA patients with or without a low arousal threshold (LAT) have different pathology and therapeutic schemes. No study has evaluated the potential diverse effects of air pollution on the phenotypes of OSA.

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This paper seeks to evaluate and calibrate data collected by low-cost particulate matter (PM) sensors in different environments and using different aggregated temporal units (i.e., 5-s, 1-min, 10-min, 30 min intervals).

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Background: Although recent studies have indicated an association between obstructive sleep apnea (OSA) and air pollution, they have reported inconsistent results. Moreover, few studies investigated the effects of short-term air pollution exposure.

Objective: To estimate the health effects of short- and long-term exposure to traffic air pollution on mild OSA in Taipei.

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Ambient PM was reported to be related to numerous negative health outcomes, leading to adverse public health impacts in many countries such as China. Despite the apparent reduction in PM levels over China due to its emission control policies in recent years, the health burdens were not reduced as much as expected. This calls for a comprehensive analysis to explain the reasons behind to provide a useful reference for formulating effective emission control strategies.

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An outdoor solar assisted large-scale cleaning system (SALSCS) was constructed to mitigate the levels of fine particulate matter (PM) in urban areas of Xi'an China, providing a quasi-experimental opportunity to examine the biologic responses to the changes in pollution level. We conducted this outdoor SALSCS based real-world quasi-interventional study to examine the associations of the SALSCS intervention and changes in air pollution levels with the biomarkers of systemic inflammation and oxidative stress in healthy elders. We measured the levels of 8-hydrox-2-deoxyguanosine (8-OHdG), Interlukin-6 (IL-6), as well as tumor necrosis factor alpha (TNF-α) from urine samples, and IL-6 from saliva samples of 123 healthy retired participants from interventional/control residential areas in two sampling campaigns.

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The spatiotemporal assessment of health risk due to exposure to particulate matter (PM) components should be well studied because of the different toxicity among PM components. However, this research topic has long been overlooked. This study aimed to examine the spatiotemporal variability in ambient respirable PM (PM) components associated inhalation carcinogenic and non-carcinogenic risk (ICR and INCR) in Hong Kong over 2015-2019.

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Indoor air purifiers are increasingly marketed for their health benefits, but their cardiovascular effects remain unclear. We systematically reviewed and meta-analysed randomized controlled trials (RCTs) on the cardiovascular effects of indoor air purification interventions in humans of all ages. We searched Embase, Medline, PubMed, and Web of Science from inception to 22 August 2020.

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Ozone (O) is a reactive oxidant exerting both inflammatory and oxidative damages to the respiratory system. With the ground-level O progressively increasing in the past decade, the reevaluation of the pneumonia hospitalization risk from exposure to O is of public health interest. We conducted an ecological time-series study to examine the city-specific association between short-term O exposure and pneumonia hospitalizations in Hong Kong and Taipei, respectively.

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Existing evidence is scarce concerning the various effects of different PM sizes and chemical constituents on blood lipids. A panel study that involved 88 healthy college students with five repeated measurements (440 blood samples in total) was performed. We measured mass concentrations of particulate matter with diameters ≤ 2.

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As important precursors of ozone and secondary organic aerosols, the harmful impact of exposure to ambient volatile organic compounds (VOCs) is of public health interest. However, few studies have investigated the health risks of numerous individual VOC species. This study linked the daily concentrations of 54 C2-C11 VOC species monitored from the Wanhua Photochemical Assessment Monitoring Station and hospital admissions for cardiorespiratory diseases in Taipei, Taiwan, from the National Health Insurance Research Database.

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High particulate matter (PM) and ozone (O) concentration in Hong Kong are frequently observed during the summertime typhoon season. Despite the critical effect of a typhoon on air pollution, contributions of vertical wind profile and cloud movement during transboundary air pollution (TAP) on surface PM and O concentration have yet to be fully understood. This work is the first study to apply a network of Doppler light detection and ranging (LiDAR) as well as back trajectory analysis to comprehensively analyze the effect of a weak Typhoon (Danas) occurring during 16-19 July 2019 on different variations in PM and O concentration.

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