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Molecular evolution of Pediculus humanus and the origin of clothing.

The human head louse (Pediculus humanus capitis) and body louse (P. humanus corporis or P. h. humanus) are strict, obligate human ectoparasites that differ mainly in their habitat on the host : the head louse lives and feeds exclusively on the scalp, whereas the body louse feeds on the body but lives in clothing. This ecological differentiation probably arose when humans adopted frequent use of clothing, an important event in human evolution for which there is no direct archaeological evidence. We therefore used a molecular clock approach to date the origin of body lice, assuming that this should correspond with the frequent use of clothing. Sequences were obtained from two mtDNA and two nuclear DNA segments from a global sample of 40 head and body lice, and from a chimpanzee louse to use as an outgroup. The results indicate greater diversity in African than non-African lice, suggesting an African origin of human lice. A molecular clock analysis indicates that body lice originated not more than about 72,000 +/- 42,000 years ago; the mtDNA sequences also indicate a demographic expansion of body lice that correlates with the spread of modern humans out of Africa. These results suggest that clothing was a surprisingly recent innovation in human evolution.

Africa↗

Bacterial dispersion in relation to operating room clothing.

The effect of operating clothing on the dispersal of bacterial particles from the wearers was studied in a dispersal chamber. A comparison was made of six gowns as well as four types of trousers. The gowns were of three basic types, namely a conventional cotton type, disposable types made of non-woven fabric and those of the total-body exhaust system (Charnley type). The dispersal chamber could simulate conditions as expected both in down-flow unidirectional ultra-clean systems and in a conventional turbulent plenum-ventilated system. It was found that the disposable gowns would reduce the dispersal rate by about 30% in the simulated conventionally ventilated system and about 65% in the laminar flow system. The total-body exhaust system (Charnley) would reduce the count by 10-fold in the conventional ventilated system and by 66-fold in the laminar-flow system. The poor performance of the gowns in conventionally ventilated systems was caused by the dispersal of bacterial particles from underneath the gown (about 80%). This was not reduced by the disposable gown and only partially by the Charnley type. This small drop would be further decreased in a conventionally ventilated operating-room as only scrubbed staff would wear the gown. In order to overcome this poor performance in conventionally ventilated operating-rooms impervious trousers would be required. Four types were studied and it was demonstrated that those made either from Ventile or non-woven fabric would reduce the bacterial dispersion fourfold. As these tests had been carried out in an artificial environment checks were carried out in the unidirectional-flow operating-room during total-hip arthroplasty. This was done by comparing conventional cotton gowns with non-woven gowns and total-body exhaust gowns. The results showed good correlation between the operating room and the chamber with the non-woven fabric gown but the total-body exhaust system did not perform as well in the operating room (12-fold compared to 66-fold) the difference being possibly due to the contribution from the patient. However, as this comparison was that which would be most open to influence from other variables confidence could be placed on the chamber test results. Values were also obtained for the total number of bacterial particles dispersed by persons during a standard exercise wearing different clothing. This count was dependent on the clothing worn but a median count of between 1000 and 1500 bacterial particles/min. would be expected when conventional clothing was worn, with a range of between 300 and 19,000. This count could be reduced to about 100/min. if a total-body exhaust suit was worn (range 30-400).

Air Microbiology↗

[Is the lead-equivalent suited for rating protection properties of lead-free radiation protective clothing?].

PURPOSE: Currently, lead-free x-ray-protective clothing is classified by the European production standard EN 61 331-3. To evaluate protective effects of lead-free materials according to this standard, the certifying offices as well as customers solely refer to the lead equivalent (LE). The LE of lead-free protective clothing, however, depends on the tube voltage (energy spectrum). Therefore, stating a single value for x-ray-protective clothing does not reveal the protective efficacy for the complete range of energy as applied in clinical practice. Moreover, the method of narrow beam geometry does not account for information on secondary radiation (scattered and fluorescent radiation) generated within the material. Lead-free materials, however, generate large-scale fluorescent radiation, especially for elements with atomic numbers below 60. As a consequence, full-scale secondary radiation of a given material can only be detected with a broad beam setup. MATERIALS AND METHODS: In accordance with IEC 61 331-1, we compared commercially available radiation-protective aprons manufactured with lead-free or partially lead-free materials with aprons manufactured on a lead-oxide basis. In addition to the LE, attenuation ratios and dose-build-up-factors under broad beam-conditions were evaluated. RESULTS: In comparison with lead-oxide materials, protection efficacy of lead-free materials is reduced by up to 70 %, particularly for a tube voltage below 80 kV. Lead-composite materials (partially lead-free materials) are less affected. CONCLUSION: Users and patients wearing lead-free x-ray-protective clothing might unknowingly be exposed to a much larger dose than generally assumed. In the future, radiation protection rating should exclusively refer to the "attenuation ratio", which is based on broad beam geometry and characterizes radiation attenuation much more precisely than the lead equivalent.

Fluorescence↗

Work tolerance and subjective responses to wearing protective clothing and respirators during physical work.

This study examined work tolerance and subjective responses while performing two levels of work and wearing four types of protective ensembles. Nine males (mean age = 24.8 years, weight = 75.3 kg, VO2 max = 44.6 ml/kg min) each performed a series of eight experimental tests in random order, each lasting up to 180 min in duration. Work was performed on a motor-driven treadmill at a set walking speed and elevation which produced work intensities of either 30% or 60% of each subject's maximum aerobic capacity. Work/rest intervals were established based on anticipated SCBA refill requirements. Environmental temperature averaged 22.6 degrees C and average relative humidity was 55%. The four protective ensembles were: a control ensemble consisting of light work clothing (CONTROL); light work clothing with an open circuit self-contained breathing apparatus (SCBA); firefighter's turnout gear with SCBA (FF); and chemical protective clothing with SCBA (CHEM). Test duration (tolerance time) was determined by physiological responses reaching a predetermined indicator of high stress or by a 180-min limit. Physiological and subjective measurements obtained every 2.5 min included: heart rate, skin temperature, rectal temperature, and subjective ratings of perceived exertion, thermal sensation, and perspiration. The mean tolerance times were 155, 130, 26, and 73 min, respectively, for the CONTROL, SCBA, FF, and CHEM conditions during low intensity work; and 91, 23, 4, and 13 min, respectively, during high intensity work. Differences between ensemble and work intensity were significant. FF and CHEM heart rate responses did not reach a steady state, and rose rapidly compared to CONTROL and SCBA values. SCBA heart rates remained approximately 15 beats higher than the CONTROL ensemble during the tests. At the low work intensity, mean skin temperatures at the end of the test were 32.7, 33.1, 36.7, and 36.3 degrees C, while mean core temperatures were 37.6, 37.9, 37.9, and 38.5 degrees C, respectively. The subjective data indicated that, in general, subjects were able to perceive relative degrees of physiologic strain under laboratory conditions. Wearing protective clothing and respirators results in significant and potentially dangerous thermoregulatory and cardiovascular stress to the wearer even at low work intensities in a neutral environment. Physiologically and subjectively, firefighter's turnout gear (the heaviest ensemble) produced the most stress, followed by the CHEM, SCBA, and CONTROL protective ensembles.

Body Temperature↗

Reproducibility of body temperature response to standardized test conditions when assessing clothing.

The traditional use of core temperature to assess the thermal effects of clothing has recently been questioned. The purpose of this study was to assess the reproducibility of body temperature in five subjects (mean age, 22.6 +/- 1.5 years) wearing either athletic clothing or a chemical protective overgarment while exercising at 20 degrees C and at 40 degrees C. The exercise was preceded by a 1 h adaptation period in a controlled environmental chamber. Results indicated that mean group change in rectal temperature (delta Tr) appeared to be reproducible for both garment ensembles at 20 degrees C but not at 40 degrees C. For mean change in oesophageal temperature (delta T(oes)) at 20 degrees C, reproducibility was obtained for the overgarment but not for the athletic garment; at 40 degrees C, mean delta T(oes) appeared to be reproducible with both garments. However, when individual responses were examined, there was little reproducibility for either delta Tr or delta T(oes). In addition, these measurements failed to show differences in the types of clothing worn. It was concluded that the use of core temperature to assess heat stress imposed by wearing clothing during exercise may lead to erroneous conclusions.

Adult↗

Effects of condensation in clothing on heat transfer.

A condensation theory is presented that enables the calculation of the rate of vapour transfer with its associated effects on temperature and total heat transfer inside a clothing ensemble consisting of underclothing, enclosed air, and outer garment. The model is experimentally tested by three experiments: (1) impermeable garments worn by subjects with and without plastic wrap around the skin, blocking sweat evaporation underneath the clothing; (2) comparison of heat loss in impermeable and semi-permeable garments and the associated discomfort and strain; (3) subjects working in impermeable garments in cool and warm environments at two work rates, until tolerance. The measured heat exchange and temperatures are calculated with satisfying accuracy by the model (mean error = 11, SD = 10 Wm-2 for heat flows and 0.3 and 0.9 degree C for temperatures, respectively). A numerical analysis shows that for total heat loss the major determinants are vapour permeability of the outer garment, skin vapour concentration and air temperature. In the cold the condensation mechanism may completely compensate for the lack of permeability of the clothing as far as heat dissipation is concerned, but in the heat impermeable clothing is more stressful.

Body Temperature Regulation↗

Thermal responses and physiological strain in men wearing impermeable and semipermeable protective clothing in the cold.

The purpose of the present study was to examine the effects of long term cold exposure on thermal responses and physical performance in men while wearing nuclear, biological and chemical (NBC) protective clothing. Six healthy men performed 60 min work/60 min rest cycles during 8 hours at an ambient temperature of -10 degrees C. Work was performed by stepping on a 20 cm high bench 15 times.min-1. Subjects were tested while wearing two different types of NBC clothing: impermeable rubber suit (IP) or semipermeable charcoal impregnated suit (SP) with cold weather underwear layers, as well as rubber gloves, boots and a full-face mask. During the tests oxygen consumption (VO2), rectal (Tre) and skin temperatures and sweat production were measured. Rectal and skin temperatures and body heat content followed the work/rest cycles in both types of NBC clothing. T(re) averaged 37.1 +/- 0.04 and 37.3 +/- 0.1 degrees C for IP and SP (NS), respectively. On average, mean skin temperature (Tsk) was 28.6 +/- 0.2 and 29.7 +/- 0.2 degrees C for IP and SP (p < 0.01), respectively. Finger skin temperature decreased rapidly to below 10 degrees C in both ensembles during the rest periods. During work the finger rewarming rate was 0.49 +/- 0.06 and 0.70 +/- 0.02 degree C.min-1 for IP and SP (p < 0.01), respectively. Decrease in body heat storage (S) during cold exposure was smaller in SP than in IP and S was restored to the level of -0.6 +/- 0.3 and -3.0 +/- 0.6 kJ.kg-1 in SP and IP (p < 0.01), respectively, during the work. Work load, according to VO2 measurements, was 1.5 +/- 0.1 and 1.3 +/- 0.11.min-1 for IP and SP (p < 0.05), respectively. Furthermore, during rest VO2 was 30% (p < 0.001) higher in IP than in SP. In conclusion, both types of NBC protective clothing could be used for long periods in cold conditions at a moderate work load without marked whole body heat debt or heat load. However, peripheral parts of the body experienced a rapid and severe cooling during the rest periods. The semipermeable suit enabled higher body heat storage and faster rewarming of extremities during work than the impermeable suit.

Acclimatization↗

The non-contact monitoring of heart and respiratory rates using laser irradiation: an experimental simultaneous monitoring with and without clothes during biochemical hazards.

The purpose of this study is to develop a non-contact method to evaluate the heart and respiratory rates simultaneously using a single optical sensor which can be used without the removal of clothes before a decontamination procedure in biochemical hazards. We measured the heart and respiratory rates with and without clothes to assess the vital sign monitoring before decontamination. In order to monitor the heart and respiratory rates of rabbits simultaneously, the respiratory and cardiac peaks were separated using fast Fourier transform from a 5 mW helium-neon laser (wavelength 632.8 nm) reflected off the chest walls of rabbits. A cloth (50 mm x 50 mm, 2 mm thick) was placed on the chest of the rabbits to simulate the vital sign monitoring with clothes. The heart rate measured using this method agreed with the rate derived from an electrocardiogram (r = 0.82, p<0.05). The respiratory rate correlated with the manually measured respirator rate (r = 0.93, p<0.05). This method appears promising as a non-contact method for monitoring the heart and respiratory rates of patients under biochemically hazardous conditions.

Animals↗

Age-related thermal strain in men while wearing radiation protective clothing during short-term exercise in the heat.

The aim of the study was to compare heat strain among different age groups of men in protective clothing during short-term physical work. Eight young (20-29 years), 6 middle-aged (41-55 years), and 6 older (58-65 years) men exercised for 30 min on a cycle ergometer (40% V(O2 max)) in 2 hot environments with a similar WBGT (ca. 26 degrees C): once with minimal clothing without infrared radiation (E1), and once with aluminized protective clothing under infrared radiation (E2). All subjects had sedentary jobs, but only the older subjects were physically active in their leisure-time. Body temperatures, heart rate, sweat rate, and subjective feelings were determined during the tests. Higher thermal strain was observed in E2 than in E1. No age-related differences in thermal strain were observed in either experiment indicating that active older men can tolerate short work periods with protective clothing in the heat as well as younger sedentary men.

Adult↗

Methyl isocyanate liquid and vapor permeation through selected respirator diaphragms and chemical protective clothing.

Initially, a study was undertaken to evaluate selected chemical protective clothing suitable for use by emergency response personnel confronted with methyl isocyanate (MIC). Twenty-two chemical protective clothing materials were tested against liquid methyl isocyanate. Chemical permeation breakthrough times for these clothing materials demonstrate that only one of these garments can be considered as a candidate material against liquid MIC. In a subsequent study, three chemical protective clothing materials were evaluated against approximately 800 ppm MIC vapor. Chemical permeation breakthrough times demonstrate that these materials can be considered candidate materials. A final study tested self-contained breathing apparatus (SCBA) diaphragms. Four SCBA diaphragms were tested and all experienced rapid breakthrough when exposed to liquid MIC. Next, three SCBA diaphragms were exposed to approximately 800 ppm MIC vapor. The data demonstrate that the SCBA should be worn inside a total encapsulating suit.

Cyanates↗

Special considerations for conducting permeation testing of protective clothing materials with gases and chemical vapors.

Testing the permeation resistance of protective clothing materials against chemical gases and vapors requires attention to additional factors over conventional material permeation testing with liquids. Permeation testing factors relevant to gas and vapor challenges are described, and results for testing various material-gas combinations are reported. Challenging protective clothing materials with gases presents a series of special problems including gas delivery, cell integrity, sufficient analytical detection, and disposal. The concentration and other properties of gases and vapors are very sensitive to small changes in temperature and pressure. The method of delivering gases or vapors to the test cell must provide for careful regulation of these variables and maintain homogeneous contact of the chemical with the material over the test period. While many organic vapors are easily and directly detectable by gas chromatographic methods, several gases require special collection media and analytical procedures to achieve detection limits below 1 ppm. Handling of exhaust gas from the challenge chamber of the test cell must reflect safe laboratory practices without creating unnecessary chemical waste. Recommended procedures and results are presented for the six new gases added to ASTM Standard Guide F1001, Selection of Chemical Liquids and Gases to Evaluate Protective Clothing Materials, as well as for other difficult test gases used in evaluating protective clothing materials.

Air Pollutants↗

Clothing fabric does not affect thermoregulation during exercise in moderate heat.

PURPOSE: We investigated whether temperature regulation is improved during exercise in moderate heat by the use of clothing constructed from fabric that was purported to promote sweat evaporation compared with traditional fabrics. METHODS: Eight well-trained, euhydrated males performed three exercise bouts wearing garments made from an evaporative polyester fabric (SYN), wearing garments made from traditional cotton fabric (COT), or dressed seminude (S-N) in random order. Bouts consisted of 15 min seated rest, 30 min running at 70% .VO(2max), 15 min walking at 40% .VO(2max), and 15 min seated rest, all at 30 +/- 1 degrees C and 35 +/- 5% relative humidity. COT and SYN clothing ensembles consisted of crew neck, short sleeve T-shirts, cycling shorts, and anklet socks made from their respective materials, and running shoes. The S-N condition consisted of a Lycra swim suit, polyester socks, and running shoes. RESULTS: Mean skin temperature was lower for S-N during preexercise rest when compared with SYN and COT. No differences in mean body temperature, rectal temperature, or mean skin temperature were observed during or after exercise. No differences in VO2 or heart rate were observed. No differences in comfort sensations were observed. CONCLUSION: In summary, before, during, or after exercise in a moderately warm environmental condition, neither the addition of a modest amount of clothing nor the fabric characteristics of this clothing alters physiological, thermoregulatory, or comfort sensation responses.

Adult↗

[Effectiveness of antibacterial clothes and wall material against methicillin resistant Staphylococcus aureus and Pseudomonas aeruginosa].

To evaluate the antibacterial activities of antibacterial clothes and wall material, we measured the reduction rates of MRSA and P. aeruginosa using four products of antibacterial clothes and one wall material. Antibacterial activities are judged by the reduction rates of bacteria after 18 hours incubation at 35.0 degrees C. In the 50 strains of MRSA tested, two of four brands of clothes showed over 99% reduction rates, while only one brand showed a reduction rates over 99% in the 13 strains of P. aeruginosa. The wall material tested showed a reduction rates over 99% for the 50 strains of MRSA and over 90% for the 50 strains of P. aeruginosa. These data indicate that usage of some products of antibacterial clothes and wall material in the hospital may be useful the prevention of nosocomial infection.

Cross Infection↗

Protective clothing for accident and emergency personnel.

There is a significant risk of clothing soilure and skin contamination from patients' blood or other body fluids whilst working in an accident and emergency (A&E) department. It is therefore unhygienic to wear personal clothing and traditional uniforms do not provide adequate protection. Contamination occurs despite operating 'universal precautions' and emergency presentations often preclude adopting such precautions despite the anticipation of possible contact with blood or other body fluids. The protection afforded to medical staff working in an A&E department by a suit made from a liquid repellent polyester fabric was assessed during the period 2 November 1992-1 January 1993. Ninety-one splash incidents were recorded. A total of 85.7% of splashes (78) were with patients' blood, 13.1% with vomitus (12) and 1.1% with pus (1). There were no instances of splashes to the suit that resulted in strike through to the inner surface or visible contamination of underlying skin. However, some 15.4% of splashes (14) resulted in contamination of exposed skin and 78.6% of these (11) occurred between glove and sleeve. Clothing of appropriated design and fabric can afford skin protection from blood and body fluid contamination. Such clothing alone does not provide overall protection and other precautions currently recommended should be taken.

Accidents, Occupational↗

[Study of skin temperature, microclimate and comfort of clothing of old females at rest--ambient temperature x humidity: 30 degrees C. R.H.80%, 30 degrees C. R.H.45%, 20 degrees C. R.H.45%].

Old females are compared to young females for the purpose of studying the difference in comfort caused by the environmental variables of temperature and humidity as well as the form of clothing. Eight experiments were performed in three settings: (a) 30 degrees C R.H.80%; 30 degrees C R.H.45%; and 20 degrees C R.H.45%. The ages of the subjects range from 62 to 68 (Mean = 65.17, S.D. = 1.68) among old females and from 20 to 23 (Mean = 20.83, S.D. = 0.76) among young females. The following results were obtained: (1) The young females were sensitive to hot temperatures, while the old females were not. On the other hand, the old females were more sensitive to cold temperatures, under 20 degrees C R.H.45%, than the young females. In temperatures under 30 degrees C R.H.80%, the heat radiation from the young females was higher than that of the old females. Under 20 degrees C R.H.45%, the heat radiation from the old females was higher than from the young females. The old females are thought to decline in physiogenic function due to enduring both hot and cold temperatures. (2) The correlation between the temperature in clothes and comfort among the old females is not different from the same correlation among the young females. This conclusion agrees with previously published studies of the young females. (3) Skin temperature and bloodstream are measured, according to clothing form. As a result, a long skirt is the highest in thermal insulation, long pants the next highest, and a short skirt is the lowest. (4) The effect of thermal insulation provided by a lap robe was tested in both groups. The lap robe was found to be more effective for the older group than the younger in temperatures under 20 degrees C R.H.45%. Hence, the role of clothes in offsetting for the decline in the thermoregulation function that compensates for environmental change is more important for old females than for young.

Aged↗

Body-exhaust suit versus occlusive clothing. A randomised, prospective trial using air and wound bacterial counts.

We randomly allocated 50 total knee replacements to scrub teams wearing body-exhaust suits (BES) or Rotecno occlusive clothing. The effectiveness of the clothing was assessed using air andwound bacterial counts. Bacteria were recovered from 62% of wounds (64% BES, 60% Rotecno). The mean air count was 0.5 CFU/ m3 with BES and 1.0 CFU/m3 with Rotecno (p = 0.014). The mean wound counts were 14 bacteria/wound with BES and eight bacteria/wound with Rotecno (p = 0.171). There was no correlation between the air and wound counts (r = -0.011, Spearman's). The higher air counts suggest that Rotecno occlusive clothing is less effective than BES, but wounds were equally contaminated with both types of clothing suggesting that at very low levels of air contamination the contribution of bacteria to the wound from the air is irrelevant. Even doubling the air counts from 0.5 to 1.0 CFU/m3 had no detectable effect on the wound. This allows a reassessment to be made of other sources of contamination the effect of which would previously have been overwhelmed by contamination from air.

Air Microbiology↗

Effects of clothing pressure caused by different types of brassieres on autonomic nervous system activity evaluated by heart rate variability power spectral analysis.

The present study was designed to investigate the effects of clothing skin pressures exerted by two different types of brassieres (a conventional higher skin-pressured brassiere and a newly devised low skin-pressured brassiere) on the autonomic nervous system (ANS) activity. Six healthy young women (22.8 +/- 1.4 yrs.) with regular menstrual cycles participated in this study. The ANS activities were assessed by means of heart rate variability power spectral analysis. The skin pressures exerted by the brassieres were measured with an air-pack type contact surface pressure sensor at five different points. The total amount of clothing pressure, and the pressures at the center and the side regions of the brassieres were significantly greater in the high than in the low skin-pressured brassiere (Total 9816.1 +/- 269.0 vs. 6436.8 +/- 252.4 Pa, P < 0.01; Center 2212.1 +/- 336.3 vs. 353.8 +/- 85.8 Pa, P < 0.01; Side 2556.8 +/- 316.1 vs. 1747.2 +/- 199.2 Pa, P < 0.05). Concerning the ANS activity, the Total power, and the very low frequency (VLF) and the high frequency (HF) components were significantly decreased in the high skin-pressured brassiere than those in the low skin-pressured brassiere (Total 531.6 +/- 57.3 vs. 770.5 +/- 54.2 ms2, P < 0.01; VLF 60.7 +/- 14.6 vs. 179.2 +/- 38.1 ms2, P < 0.05; HF 209.5 +/- 33.2 vs. 283.2 +/- 61.5 ms2, P < 0.01). Our data indicate that the higher clothing pressures exerted by a conventional brassiere have a significant negative impact on the ANS activity, which is predominantly attributable to the significant decrease in the parasympathetic as well as the thermoregulatory sympathetic nerve activities. Since the ANS activity plays an important role in modulating the internal environment in the human body, excess clothing pressures caused by constricting types of foundation garments on the body would consequently undermine women's health.

Adult↗

Teachers' perceptions of students' feelings of clothing deprivation.

The purpose of this study was to compare teachers' perceptions of the feelings of perceived clothing deprivation among their students with the students' actual feelings. The samples consisted of 336 home economics students in Grades 9 through 12 from 6 high schools and 140 teachers employed by the same 6 schools. Results indicated that there was no difference between teachers and students on two measures of clothing deprivation, Inability to Buy and Clothing Deprivation Relative to Peers. In addition, a number of programs for meeting students' clothing needs were identified by the teachers.

Adolescent↗