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Biomedical subjects

J Moyers

Publications and source records attributed to J Moyers.

11 recordsLinked to original sources

A longitudinal study of children exposed to sulfur oxides.

This study is a longitudinal comparison of the health of children exposed to markedly different concentrations of sulfur dioxide (SO2) and moderately different concentrations of particulate sulfate (SO4=). The four groups of subjects lived in two areas of one smelter town and in two other towns, one of which was also a smelter town. In the area of highest pollution, children were intermittently exposed to high SO2 levels (peak three-hour average concentration exceeded 2,500 micrograms/m3) and moderate particulate SO4= levels (average concentration was 10.1 micrograms/m3). When the children were grouped by the four gradients of pollution observed, the prevalence of cough (measured by questionnaire) correlated significantly with pollution levels (trend chi-square = 5.6, p = 0.02). No significant differences in the incidence of cough or other symptoms occurred among the groups of subjects over three years, and pulmonary function and lung function growth over the study were roughly equal among all the groups. These results suggest that intermittent elevations in SO2 concentration, in the presence of moderate particulate SO4= concentration, produced evidence of bronchial irritation in the subjects, but no chronic effect on lung function or lung function growth was detected.

Air Pollutants↗

Sterile anesthesia breathing circuits do not prevent postoperative pulmonary infection.

In a prospective, randomized trial, the effectiveness of sterile anesthesia breathing circuits having bacterial filters in decreasing the incidence of postoperative pulmonary infection was evaluated. Two hundred ninety-three patients undergoing major surgical procedures were assigned randomly to receive anesthetics through a sterile, disposable circuit having a bacterial filter, or a reusable circuit that had been washed and dried after previous use. The two groups were well matched for age, sex, type of surgical procedure, type of anesthetic, and history of smoking or obstructive lung disease. A physician observer, who was unaware of these assignments, reviewed the patients' post-operative status for evidence of pulmonary infection. The over-all rate of infection was 3.5 per cent; no significant difference in the rates of infection occurred between the two groups. Five (3.6 per cent) of the 138 patients anesthetized with sterile circuits had postoperative respiratory infection, compared with four (2.6 per cent) of the 155 patients anesthetized with unsterile circuits. In both groups, maximum postoperative temperature, white-blood-cell count, and the lowest values for arterial oxygen tension were similar. The authors therefore conclude that when simple hygienic measures are followed, the routine use of sterile anesthesia breathing circuits with bacterial filters does not decrease the risk of postoperative infection.

Anesthesia, Inhalation↗

Anesthesiology.

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Anesthesiology↗

Harding of Iowa.

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Anesthesia↗