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Residual tetrachloroethylene in dry-cleaned clothes.

A large amount of residual tetrachloroethylene (TCE), up to 13.6 mg/g, was found in dry-cleaned clothes. The amounts varied among dry-cleaning establishments as well as with the type of fiber. The causes of these variations are discussed. Air TCE concentrations in the closed environment of dry-cleaning outlets were elevated: the highest reading was 4.8 mg/m3. The expired air of outlet employees also showed an increased level of TCE (average, 36.9 micrograms/m3). Increased air contamination from TCE released from dry-cleaned clothes was also observed in the home of a consumer. To reduce environmental contamination from TCE released from any of these sources, the amount of residual TCE in dry-cleaned clothes should be minimized.

Air Pollutants↗

A simple method for collection of gunshot residues from clothing.

Simple equipment for the sampling of gunshot residue particles from clothing, inside of bags, pockets, etc, is described. Collection was achieved by vacuuming through a double filtration system constructed from a Nucleopore aerosol holder connected to an ordinary vacuum cleaner. The collected particles were examined by scanning electron microscopy. Good results were observed in functional tests of this equipment and the method has been introduced into casework in our laboratory. Various experiments on possible contamination of clothing by GSR particles were performed. The usefulness of clothing as evidence material in searching for GSR particles is discussed.

Clothing↗

Clothing in laminar-flow operating theatres.

Bacterial shedding, wound contamination and clinical-infection rates in clean wounds are influenced by operating-theatre dress. The aim of this study was to clarify the relative contribution of hats, masks and clothing to the control of wound contamination in both ultraclean (enclosed vertical laminar-flow) and conventional (plenum ventilated) airflow theatres. Personnel wore varying combinations of dress in both types of theatre. Colony forming units (cfus) were measured on settle plates at head and waist height, and in the air by a centrifugal air sampler. Bacterial counts in conventional theatres were consistently high and were not significantly influenced by theatre dress. There was a 22-fold increase in cfus on settle plates at waist height when neither hat nor mask were worn, a 15-fold increase when a hat but no mask was worn and a fourfold increase with a mask but no hat in vertical laminar airflow enclosures, although air sample counts remained low. When balloon-cotton clothing was worn, rather than cuffed polyester with microfilament barrier-fabric gowns, cfu counts rose by a factor of six. The bacterial inoculum in conventionally ventilated theatres, or in ultraclean theatres if hat or mask are omitted or balloon-cotton clothing worn, is theoretically sufficient to infect a prosthetic arthroplasty. Theatre-air sampling alone does not reflect local contamination when a surgeon stands over a wound in a vertical laminar-flow enclosure, and both hats and masks are an important part of dress in such environments.

Air Microbiology↗

The transfer of petrol on to clothing and shoes while pouring petrol around a room.

This study was aimed at measuring the approximate amount of petrol transferred on to the clothing and shoes of a person during the action of pouring petrol around a room. Two different heights of pouring and two different types of floor surface (carpet and concrete) were investigated. Results show that for all the combinations examined petrol was always transferred to the shoes and often transferred to the upper and lower clothing. This information illustrates the necessity of analysing the clothing and particularly the shoes of any suspected arsonists for the presence of hydrocarbon fuels.

Chromatography, Gas↗

An instrument for measuring bacterial penetration through fabrics used for barrier clothing.

A new instrument has been designed to measure the penetration by rubbing of bacteria from cloth contaminated in the nursing of burn patients through fabrics designed for barrier garments. Most fabrics tested dry reduced the transfer of bacteria from the source cloth to about 10%, irrespective of the results of air filter tests, which agrees with mock nursing results. When the fabrics were tested against a wet surface, the transfer of bacteria rapidly reached 100% if the fabrics had a high wettability, but was slower for fabrics with a low wettability. Through closely woven waterproofed cotton, transfer was 5--25%, but increased three- to four-fold after ten launderings, in line with the water absorption. Transfer through plastic-laminated material was less than 1%. The results suggest that barrier garments should be made either of plastic or of recently waterproofed closely woven cotton at points of contact between nurse and patient where the clothes may be wetted by bacteria-containing wound secretions.

Asepsis↗

Attempts to control clothes-borne infection in a burn unit, 3. An open-roofed plastic isolator or plastic aprons to prevent contact transfer of bacteria.

An open-roofed plastic isolator was built in a single patient isolation room in a burn unit. It was designed to prevent contact contamination only, as this had been shown to be the important route of cross-colonization in the unit. To exclude any possible effect on airborne transfer of bacteria, the isolator was first examined by means of an airborne particle tracer of the same size as bacteria-carrying particles. Such experiments indicated that the isolator might prevent some transfer out of but not into the isolator. This was not confirmed in simulated nursing experiments nor in a patient study, where the air counts of bacteria were practically the same inside and outside the isolator wall. Two patients only were nursed in the isolator. Both patients acquired exogenous colonizations from other patients, one with Ps. aeruginosa and the other with S. aureus. Nursing in the isolator was difficult and staff-demanding. In simulated nursing experiments, plastic aprons and gauntlets as the only protective measures against contact contamination gave as much protection to a mock patient as did the isolator. S. aureus were released from nurses' clothes more easily during work with the isolator than in open nursing with aprons and gauntlets. In conclusion, the isolator did not seem to be a realistic alternative to impermeable clothes such as plastic aprons as a means of preventing clothes-borne cross-contamination between burn patients.

Adult↗

Lineup identification by children: effects of clothing bias.

This study examined effects of clothing cues on children's identification accuracy from lineups. Four- to 14-year-olds (n = 228) saw 12 video clips of individuals, each wearing a distinctly colored shirt. After watching each clip children were presented with a target-present or target-absent photo lineup. Three clothing conditions were included. In 2 conditions all lineup members wore the same colored shirt; in the third, biased condition, the shirt color of only one individual matched that seen in the preceding clip (the target in target-present trials and the replacement in target-absent trials). Correct identifications of the target in target-present trials were most frequent in the biased condition, whereas in target-absent trials the biased condition led to more false identifications of the target replacement. Older children were more accurate than younger children, both in choosing the target from target-present lineups and rejecting target-absent lineups. These findings suggest that a simple clothing cue such as shirt color can have a significant impact on children's lineup identification accuracy.

Adolescent↗

Validation of the BOD POD with hydrostatic weighing: influence of body clothing.

OBJECTIVE: Whole body air-displacement plethysmography (BOD POD), a new body composition technique, was validated against hydrodensitometry (UWW) in 67 women wearing a one-piece swimsuit (OP) who represent a wide range of body fatness and age. Additionally, the effect of trapped isothermic air in clothing while in the BOD POD was examined by comparing different clothing schemes (a one-piece swimsuit (OP), two-piece swimsuit (TP), a hospital gown (HG), and a hospital gown previously included in a volume calibration (GC)) in a subset of 25 women. DESIGN: Cross-sectional data analysis. SUBJECTS: 67 healthy Caucasian females. MEASUREMENTS: Body density g/cm3 (Db) by BOD POD and UWW. RESULTS: In 67 females UWW Db (1.030+/-0.020 g/cm3) was higher (P<0.01) than BOD POD Db (1. 028+/-0.020 g/cm3). This is a difference of 1.0% fat. The R2 was 0. 94, SEE was 0.005 g/cm3 and the regression between Db by UWW and BOD POB did not significantly deviate from the line of identity. In the subset group of 25 subjects, OP Db (1.040+/-0.014 g/cm3) and TP Db (1.040+/-0.014 g/cm3) were significantly lower (P<0.01) than UWW Db (1.044+/-0.014 g/cm3) or a difference of 1.9% fat. The R2 was 0.86 and the SEE was 0.005 g/cm3 and the regression between Db by UWW and both OP and TP did not significantly deviate from the line of identity. HG Db (1.056+/-0.016 g/cm3) and GC Db (1.037+/-0.016 g/cm3) were significantly different (P<0.01) from UWW Db (1.044+/-0. 014 g/cm3). This difference in density translates to a difference of 5.5% and 3.2% fat respectively. The regression between Db by UWW and both HG and GC significantly deviated from the line of identity. CONCLUSION: This study supports the use of the BOD POD as a substitute for UWW. However, caution should be made in using the BOD POD if subjects are clothed in anything other than a tight fitting swimsuit.

Adolescent↗

Photoprotection by clothing.

Wearing of clothing, hats, and sunglasses to protect from exposure to sunlight should be part of a package of protection. Clothing specifically designed to avoid exposure is now available and recently standards have been published in several countries to measure the degree of protection. The ultraviolet protection factor (UPF) is likely to be as ubiquitous in clothing aisles as the sun protection factor (SPF) is now in the sunscreen aisle of your local department store.

Humans↗

Influence of mild cold on 24 h energy expenditure in 'normally' clothed adults.

Ten subjects aged 19-35 years (four men and six women) underwent two measurements of 24 h energy expenditure (EE) in a whole-body respiration calorimeter, one at a temperature of 28 degrees and one at 20 degrees. Choice of clothing was allowed. Dietary intake was standardized and subjects were asked to follow the same pattern of activity during both measurements. Mean 24 h EE was significantly greater at the cooler temperature by 5.0 (SD 5.5)%, with individual differences ranging from 4.6% lower to 12.6% higher. The difference in EE at the two temperatures was similar during the day and the night and occurred even though subjects wore more clothes and used more bedding at 20 degrees. No relationship was observed between response to 20 degrees and body-weight status. In conclusion, the assumption that mild cold is unlikely to affect EE in subjects wearing normal clothing may be incorrect.

Adult↗

Effects of wearing aircrew protective clothing on physiological and cognitive responses under various ambient conditions.

Heat stress can be a significant problem for pilots wearing protective clothing during flights, because they provide extra insulation which prevents evaporative heat loss. Heat stress can influence human cognitive activity, which might be critical in the flying situation, requiring efficient and error-free performance. This study investigated the effect of wearing protective clothing under various ambient conditions on physiological and cognitive performance. On several occasions, eight subjects were exposed for 3 h to three different environmental conditions; 0 degrees C at 80% RH, 23 degrees C at 63% RH and 40 degrees C at 19% RH. The subjects were equipped with thermistors, dressed as they normally do for flights (including helmet, two layers of underwear and an uninsulated survival suit). During three separate exposures the subjects carried out two cognitive performance tests (Vigilance test and DG test). Performance was scored as correct, incorrect, missed reaction and reaction time. Skin temperature, deep body temperature, heart rate, oxygen consumption, temperature and humidity inside the clothing, sweat loss, subjective sensation of temperature and thermal comfort were measured. Rises in rectal temperature, skin temperature, heart rate and body water loss indicated a high level of heat stress in the 40 degrees C ambient temperature condition in comparison with 0 degrees C and 23 degrees C. Performance of the DG test was unaffected by ambient temperature. However, the number of incorrect reactions in the Vigilance test was significantly higher at 40 degrees C than at 23 degrees C (p = 0.006) or 0 degrees C (p = 0.03). The effect on Vigilance performance correlated with changes in deep-body temperature, and this is in accordance with earlier studies that have demonstrated that cognitive performance is virtually unaffected unless environmental conditions are sufficient to change deep body temperature.

Adaptation, Physiological↗

Effects of thermal environment and chemical protective clothing on work tolerance, physiological responses, and subjective ratings.

This study examined the physiological and subjective responses of nine healthy men who performed work while wearing two types of protective ensembles in each of three thermal environments. The subjects, all experienced with the use of protective ensembles, each performed low intensity treadmill exercise (23% of VO2 max while not wearing a Self-Contained Breathing Apparatus [SCBA] or protective clothing) under six experimental conditions: two ensembles (SCBA--light work clothing and SCBA; and CHEM--a two-piece chemical protective ensemble with SCBA) during exposure to 'cool' (10.6 degrees C/water vapour pressure [Pw] 0.76 kPa), 'neutral' (22.6 degrees C/Pw 1.52 kPa), and 'hot' (34 degrees C/Pw 2.90 kPa) environments. Each test was intended to continue for 120 min; however the duration and number of work/rest periods within the testing session varied according to the specific responses of each individual. At the completion of each test seven subjective responses were recorded. Physiological data, collected every minute during each test, included heart rate, and skin and rectal temperature. The total worktime was significantly shorter in the hot environment while wearing the CHEM ensemble (53.4 min) compared to all the other conditions (103-105 min). The mean maximum physiological values also indicated significant differences due to thermal environment and/or ensemble. Work performance did not appear to be limited in a cold environment with either ensemble tested. The physiological responses to working in the CHEM/neutral condition were very similar to those occurring in a hot environment wearing the SCBA ensemble. The subjective responses also indicated significant differences due to thermal environment and ensemble, with subjects perceiving the CHEM ensemble as less favourable than the SCBA ensemble. The results suggested that, even at a low work intensity, individuals wearing chemical protective clothing in the heat will require progressively shorter work periods, and more frequent and longer rest periods.

Adult↗

Evaluating functional clothing in climatic chamber tests versus field tests: a comparison of quantitative and qualitative methods in product development.

For the evaluation of clothing by human beings, two different approaches can be identified--laboratory tests (i.e. climatic chamber tests) or field trials/wear trials. It has been suggested that the performance of clothing can be adequately predicted on the basis of the data obtained from climatic chamber tests and that field trials may be expendable altogether. From a product development perspective, this paper discusses the information provided by standard data collection methods and tools for the assessment of thermal comfort used in laboratory settings and compares this information with that acquired in field trials. When assessing the information provided in the laboratory test against those questions posed in a development process, the results highlight the insufficiency of objectively measurable criteria. Therefore, objective measurements alone cannot verify the adequacy of stated requirements for thermal comfort. The use of appropriate and sensitive tools for collecting subjective votes should also be noted, since small differences in thermal sensation affected the individual's preference for clothing. Exposed differences between subjects, in terms of thermophysiological as well as subjective responses, illustrate the importance of studying individual values and deviations as opposed to strict mean values for large populations in order to satisfy a potential user group. It is argued that complementary interviews form a basis for further understanding of ratings and preferences and that they should also be included in the climatic chamber evaluation 'tool box'. User satisfaction is based on a simultaneous assessment of partly opposing properties into a satisfying use value. Although laboratory test procedures can be developed and improved in relation to design issues, field evaluations must be regarded as an integrated part of an iterative development process. Only the actual use situation can provide the total spectrum of conditions on which basis requirements and/or properties can be prioritized or downgraded. This information forms the prerequisite for successful product development.

Acclimatization↗

Benefit of heat acclimation is limited by the evaporative potential when wearing chemical protective clothing.

Heat acclimation-induced sweating responses have the potential of reducing heat strain for chemical protective garment wearers. However, this potential benefit is strongly affected by the properties of the garment. If the clothing ensemble permits sufficient evaporative heat dissipation, then heat acclimation becomes helpful in reducing heat strain. On the other hand, if the garment creates an impenetrable barrier to moisture, no benefit can be gained from heat acclimation as the additional sweating cannot be evaporated. Ten subjects were studied exercising on a treadmill while wearing two different chemical protective ensembles. Skin heat flux, skin temperature, core temperature, metabolic heat production and heart rate were measured. It was found that the benefit of heat acclimation is strongly dependent on the ability of the body to dissipate an adequate amount of heat evaporatively. The evaporative potential (EP), a measure of thermal insulation modified by moisture permeability, of the clothing ensemble offers a quantitative index useful to determine, a priori, whether heat acclimation would be helpful when wearing protective clothing system. The data show that when EP is < 15%, heat acclimation affords no benefit. An evaporative potential graph is created to aid in this determination.

Acclimatization↗

The effect of clothes on sphygmomanometric and oscillometric blood pressure measurement.

AIM: We determined the effect of wearing clothes under the manometer's cuff on blood pressure in manual auscultatory sphygmomanometric and automatic oscillometric blood pressure measurement. METHODS: Two hundred and one subjects were examined with the auscultatory sphygmomanometric and the automatic oscillometric method, each with and without sleeved arm in random order. The auscultatory readings were blinded for the subjects' state of clothing. Common shirts and sweaters (thinner than 2 mm) were used. RESULTS: Based on confidence intervals of the differences between sleeved and non-sleeved arm measurements and equivalence test, sleeves did not lead to statistically significant effects. Measurements with and without sleeve can be accepted equal within an a priori defined interval of equivalence of +/-4 mmHg. DISCUSSION: This study shows that measuring blood pressure with the manometer's cuff over the subject's sleeve does not differ significantly from non-sleeved arm measurements. This is true for a sample that includes normotensive as well as hypertensive persons with a wide age range. For clinical practice, the not significant mean differences of 0.5-1.1 mmHg are interpreted as not relevant. In this study with a statistical power to find a difference of 4 mmHg, blood pressure measurements were found to be equivalent with and without clothes thinner than 2 mm.

Adult↗

Permethrin transfer from treated cloth to the skin surface: potential for exposure in humans.

Permethrin is an agricultural insecticide of great interest to the military because of its repellency toward disease-bearing insects when impregnated into uniforms. However, migration of the substance from clothing to the skin surface is of toxicological importance. To quantitate leaching from treated clothing, studies were performed in which swatches of fabric impregnated with 14C-labeled permethrin were applied to the backs of rabbits for 1 wk. Permethrin migration was quantitated by measuring the fate of the 14C label. Conditions that could affect leaching and/or absorption were also evaluated, that is, varying environments, the presence of sweat, different fabric types, and the effects of prelaundering. Results showed that fabric treated with permethrin at a rate of 0.125 mg/cm2 lost the substance to the skin surface at an average rate of 0.49%/d. At the end of the 7-d exposures in rabbits, about 3.2% of the available permethrin had reached the skin, 2% having been recovered from excreta (absorbed) and 1.2% remaining on the skin surface. Prelaundering the treated fabric had little effect on migration rate, nor did the other variables tested. Exposure dose to humans from wearing permethrin-treated (0.125 mg/cm2) military clothing is predicted to be 6 x 10(-4) mg/kg/d.

Animals↗

Psychrometric limits to prolonged work in protective clothing ensembles.

When work is performed by workers in protective clothing, sweat evaporation is limited and body temperature rises. In an attempt to quantify the limits such ensembles place on safe work, 6 acclimated men and women walked at 30% VO2max (150-200 W/m2) in 2 protocols involving environmental transients. In one, ambient water vapor pressure (Pw) was fixed at 10 torr, and after rectal temperature (Tre) plateaued, ambient dry-bulb temperature (Tdb) was raised 2 degrees C every 10 min. In the second, Tdb was constant and Pw was increased 2 torr every 10 min. Critical temperature (Tcrit) and pressure (Pcrit) were defined as the Tdb or Pw at which thermal balance could no longer be maintained and Tre rose sharply. Each test was performed in various clothing ensembles ranging from light cotton work clothes to "impermeable" suits. Lines connecting mean Tcrit and mean Pcrit define a limit for safe prolonged exposure/exercise for approximately 50% of the population in each ensemble. Similar lines, drawn to represent values 2 standard deviations below the mean, should provide critical environmental limits for 95% of the population.

Body Temperature↗

Physiological evaluation of liquid-barrier, vapor-permeable protective clothing ensembles for work in hot environments.

Work clothes using fabrics with vapor-transmitting characteristics are in limited use in various industrial applications, and there is a growing interest in their purported ability to help reduce heat stress. This study was performed to compare two vapor-transmitting ensembles with other clothing ensembles previously tested. The evaluation was based on an established experimental protocol that determines the critical values of air temperature and water-vapor pressure so that an individual maintains thermal balance, while controlling other factors that contribute to worker heat stress (e.g., air motion and metabolism). There were no differences between the two vapor-transmitting garments in their effects on worker heat stress. When compared to the results of other studies, the two vapor-transmitting garments had critical environmental characteristics similar to two layers of cotton coveralls and they performed better from a heat stress standpoint than a disposable vapor-barrier suit worn over cloth coveralls.

Adult↗