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PubMed2006

Maximum sustainable work rate for five protective clothing ensembles with respect to moisture vapor transmission rate and air permeability.

The fabrics associated with protective clothing affect heat stress, which influences productivity and risks of heat-related disorders. This study compared the work limiting effects of five protective coveralls and a semiclothed condition (t-shirt and shorts). Two fabric characteristics determined from bench tests, moisture vapor transmission rate (MVTR), and air permeability were also examined as possible predictors of ensemble performance. A progressive metabolic rate protocol was used where environmentalconditions (T(db) = 32 degrees C; T(pwb) = 26 degrees C) were held constant while treadmill speed was slowly increased. The limiting metabolic rate to just maintain thermal equilibrium was the critical point. At this point, critical speed and critical metabolic rate were noted and total evaporative resistance was calculated for each ensemble. Five acclimatized subjects wore each of the six clothing conditions in a random order. Statistically significant differences were found among the five protective garments and a semiclothed ensemble for critical treadmill speed (S(crit)), critical metabolic rate (M(crit)), and total evaporative resistance (R(e-t)). The semiclothed condition (S(crit) = 1.77 m/sec; M(crit) = 580 W; R(e-t) = 0.0099 kPa m2/W) and ensembles made from spunbonded, melt blown, spunbonded polypropylene (SMS) (1.72 m/sec; 560 W; 0.0135 kPa m2/W) and spunbonded polypropylene (1.67 m/sec; 550 W; 0.0126 kPa m2/W) were able to support higher work rates than fabrics made from Tyvek 1422-A (a nonwoven spunbonded olefin) (1.48 m/sec; 470 W; 0.0183 kPa m2/W) and a microporous film supported by spunbonded polypropylene (1.34 m/sec; 420 W; 0.0231 kPa m2/W). A tightly woven polyester ensemble (1.59 m/sec; 510 W; 0.0130 kPa m2/W) had intermediate values and was not significantly different from either group. Air permeability was a better predictor of fabric work limiting performance than MVTR. An air permeability on the order of 10,000 L/min cm2 bar would have little effect on maximum sustainable work.

Adult↗
PubMed1992

Clothing impregnations of dibutylphthalate and permethrin as protectants against a chigger mite, Eutrombicula hirsti (Acari: Trombiculidae).

A field study to compare the effects of wearing military uniforms treated with permethrin or dibutylphthalate as protection against the chigger Eutrombicula hirsti (Sambon) was conducted in northern Queensland, Australia, during November 1990. Volunteers who wore treated uniforms received significantly fewer chigger attachments than individuals who wore untreated uniforms. Australian military uniforms treated with dibutylphthalate provided a 97.6% increase in protection, whereas uniforms treated with 0.058-0.101 mg/cm2 permethrin provided 96.4% protection. U.S. Army uniforms treated with 0.125 mg/cm2 permethrin provided 83.2% protection. The differences between the clothing treatments were not significant. The results show that wearing clothing impregnated with either compound is an effective method for personal protection against E. hirsti.

Animals↗
PubMed1998

Sunscreen use, wearing clothes, and number of nevi in 6- to 7-year-old European children. European Organization for Research and Treatment of Cancer Melanoma Cooperative Group.

BACKGROUND: Previous epidemiologic studies have suggested that sunscreen use is associated with an increased risk of melanoma skin cancer. Because high nevi (mole) count in adults is a strong predictor of melanoma, we conducted a study examining the number of nevi in 6- to 7-year-old European children, according to their sunscreen use. METHODS: Whole-body and site-specific counts of nevi 2 mm or larger were performed in 631 children in their first year of primary school in four European cities. Independently, parents were interviewed regarding sun exposure, sunscreen use, and physical sun protection of their child. RESULTS: After adjustment for sun exposure and host characteristics (e.g., skin phototype, eye color), the relative risk for high nevus count on the trunk was 1.68 (95% confidence interval [CI] = 1.09-2.59) for the highest level of sunscreen use and 0.59 (95% CI = 0.36-0.97) for the highest level of wearing of clothes while in the sun. The sun protection factor had no effect on nevus counts despite a high median value of 17.4. Sunburn number was not associated with nevus count. The highest risk associated with sunscreen use was found among children who had never experienced sunburn. CONCLUSIONS: In white, European children, sunscreen use appears to be associated with development of nevi, probably because it allows longer sun exposures. Wearing clothes may be an effective way to prevent proliferation of nevi. Since a high nevus count is a strong predictor of melanoma, sunscreen use may be involved in melanoma occurrence because it may encourage recreational sun exposure.

Child↗
PubMed1995

Bleeding as a source of lead particulates on clothing.

A review of several criminal cases where individuals were injured or killed by small-arms fire was conducted to ascertain the source of lead particulates discovered on the clothing of the shooting victims. In each of the reviewed cases, the garments were found to be free of gunpower particles. Additionally, the victims all sustained perforating gunshots from bullets possessing exposed lead on either the bearing surface or ogive. We theorized that the passage of the bullet through the body produces a trail of microscopic lead particles that are subsequently flushed out onto the clothing in the vicinity of the entrance and exit bullet holes. The discovery of these particles could lead to the mistaken opinion that their source is a close-proximity gunshot.

Clothing↗
PubMed1997

Fast measurements of transmission of erythema effective irradiance through clothing fabrics.

For efficiently measuring ultraviolet transmission through clothing materials for a large number of samples, an automated measuring system with a broad-band method has been built and calibrated against a spectroradiometer based instrument. The apparatus can be used to test 60 samples in 25 min. A selection of clothing materials of known composition, weave, color and state have been tested, using the broad band method and the automated measuring system together with a solar ultraviolet simulator. Variations of about eleven times for different weave structure, about two times in the ultraviolet transmittance for different colors, and about 20 times for some stretched samples were observed. For wet conditions, an increment in ultraviolet transmittance for cotton and lycra materials and a decrement for polyester and polyester(65%)/cotton(35%) were also observed.

Clothing↗
PubMed1997

UV protection by clothing: an intercomparison of measurements and methods.

In an attempt to reduce the incidence of skin cancer, cancer foundations have run educational campaigns which encourage the general population to limit their solar UVR exposures. An important part of these campaigns, in particular in Australia, but also more recently in Europe and the U.S., has been the adoption of protective measures such as sunscreens, hats, sunglasses and clothing. The protective properties of fabrics and clothing against ultraviolet radiation (UVR) have been known for some time, but recently there has been considerable interest in quantifying the degree of protection. This has been generated, in part, by the requirements for occupational protection for outdoor workers as well as the provision of UVR protection for the recreational market. The quantification of UVR protection has been laboratory based using in vitro test methods. Development of a standard test method has become an important part of the testing process, and this paper presents results from an intercomparison involving five independent testing laboratories. Agreement is good, in particular for samples with protection factors below 50. Technical difficulties and sources of errors associated with the measurements are discussed.

Australia↗
PubMed2005

Flexible technologies and smart clothing for citizen medicine, home healthcare, and disease prevention.

Improvement of the quality and efficiency of healthcare in medicine, both at home and in hospital, is becoming more and more important for patients and society at large. As many technologies (micro technologies, telecommunication, low-power design, new textiles, and flexible sensors) are now available, new user-friendly devices can be developed to enhance the comfort and security of the patient. As clothes and textiles are in direct contact with about 90% of the skin surface, smart sensors and smart clothes with noninvasive sensors are an attractive solution for home-based and ambulatory health monitoring. Moreover, wearable devices or smart homes with exosensors are also potential solutions. All these systems can provide a safe and comfortable environment for home healthcare, illness prevention, and citizen medicine.

Biomedical Engineering↗
PubMed1990

The sun protective effect of clothing, including beachwear.

Clothing represents a significant though underutilised form of sun protection but the literature reveals few studies dealing with this subject. This study used a solar simulator to assess in vivo sun protection factors (SPF) for two clothing items of beachwear - a synthetic surf shirt and a combination cotton/polyester T-shirt. The tests showed that the T-shirt had a relative SPF of 15, and the surf shirt an SPF of 36. This however decreased by a factor of 1/3 in both cases when the material was wet. Overall, this compares favourably with conventional sunscreens and also has the advantage of a wide spectrum of cover.

Adult↗
PubMed1997

Sun protective clothing in Australia and the Australian/New Zealand standard: an overview.

Clothing has been part of the sun protection strategy for many years. However, it is only recently that studies have been undertaken to investigate the protectiveness of fabrics and to place clinical advice on a sound scientific basis. Fabrics can now be rated and an ultraviolet protection factor assigned. Several factors influence photoprotection such as construction, stretch, hydration, colour, fibre type and various manufacturing processes. In 1996 the Australian/New Zealand Standard for sun protective clothing was published. This is the first of its kind in the world.

Australia↗
PubMed1994

Clothing and bedding and its relevance to sudden infant death syndrome: further results from the New Zealand Cot Death Study.

As part of a large nationwide case-control study covering a region with 78% of all births in New Zealand during 1987-90, the clothing and bedding of infants dying of sudden infant death syndrome (SIDS) and that of an appropriate control group were recorded. Cases consisted of 81% (n = 393) of all cases of SIDS in the study area and 88.4% (n = 1592) of 1800 control infants randomly selected from the hospital births and who completed a home interview. Use of a wool 'waterproof' underblanket was associated with a significantly reduced risk of SIDS (adjusted OR 0.44; 95% CI: 0.26-0.73) while sheepskin use was not. Firm tucking was identified as contributing to a reduced risk of SIDS even after adjusting for potentially confounding variables (adjusted OR 0.63, 95% CI: 0.46-0.86). Sixty case infants (15.6% of cases) were found dead with the head covered but there were no equivalent data for controls. Having been found previously completely covered by bedding was equally common in cases and controls (28.8% cases and 30.6% of control infants). Other differences of bedding and clothing between cases and controls were small; mattress characteristics were not studied. The exact methods in which babies are cared for are important and this study suggests that infants are at lower risk of SIDS when firmly tucked in and when sleeping on a 'waterproof' wool underblanket.

Bedding and Linens↗
PubMed1985

Nickel allergy: analysis of metal clothing objects and patch testing to metal samples.

In 22 nickel-sensitive subjects, 57 metal clothing objects were said to be not tolerated (37) or tolerated (20). They were analysed by X-ray energy dispersion in electron microscopy, and by the dimethylglyoxime spot test. The correlation between the analytical results and the statements of patients is discussed. Patch tests to nickel-plated metal samples with various thicknesses of chromium (0.25 mu to 1 mu) or gold/copper/cadmium (0.5 mu) were performed in human subjects or in guinea pigs sensitive to nickel. Surface-plating and anticorrosive techniques, as well as the results in nickel-sensitive subjects, are described and discussed. Good tolerance will not be obtained under experimental conditions if nickel in any form is a component of the object. It is to be hoped that appropriate regulations will prohibit the use of nickel in the manufacture of clothing objects.

Adolescent↗
PubMedDate not supplied

Solar urticaria enhanced through clothing.

Solar urticaria is characterized by itching, erythema and wheeling immediately after exposure to radiation in the ultraviolet (UVB, UVA) and visible spectra. Although its exact mechanism remains unknown, evidence supports an immunologic pathogenesis. We describe an unusual patient with solar urticaria who had more severe involvement in skin irradiated with UVA light through white clothing. We propose that optical whiteners in clothing and detergents had absorbed UVA radiation, transforming it into visible light, which was responsible for the urticarial response.

Clothing↗
PubMed2005

Pre-vitamin D effective ultraviolet transmission through clothing during simulated wear.

BACKGROUND/PURPOSE: Clothing is an important protective layer used to reduce ultraviolet (UV) exposures to the skin surface. However, not all UV exposure is linked to detrimental health effects with some exposure to UVB wavelengths below 316 nm required for the synthesis of pre-vitamin D(3). The aim of the current research was to investigate the effect of fabric type, color, fit, and wetness on the transmission of pre-vitamin D(3) effective UV through garments during simulated wear, in a high UV exposure environment. METHODS: Dosimeters fabricated from polysulfone film were positioned at eight selected body sites on the skin surface and clothing surface of identically designed, loose and fitted, black and white T-shirts made up in two knitted fabric types and tested when both dry and when drying after initial wetting (n=3 replicates). The T-shirts were placed on manikins set to simulate humans in the sun between 09:30 and 12:30 Eastern Standard Time during the Southern Hemisphere summer period. The post-exposure absorbance was measured and the dosimeters were calibrated for biologically effective UV for pre-vitamin D(3) synthesis with a UV spectroradiometer. The effect of fit, fabric type, color, and wetness on pre-vitamin D(3) effective UV transmission during simulated wear was assessed. RESULTS: Irradiances varied among body sites with the highest erythemal exposures to a horizontal plane over the 3 h period reaching approximately 14.5 minimal erythema dose (MED) while the highest exposure under the garment was 0.22 MED which may not be above the threshold for pre-vitamin D(3) synthesis for the time period investigated. Fabric and fit were the main variables affecting transmission of pre-vitamin D(3) effective UV. Some interactions were identified between the fabric color and wetness and between fabric type and color; however, while significantly modifying transmission these effects were small. CONCLUSION: Transmission of pre-vitamin D(3) effective UV occurred through the high UPF knitted fabrics investigated. However, the length of exposure will influence whether the irradiances are sufficient to be above the threshold for pre-vitamin D(3) synthesis. The main effect on transmission of pre-vitamin D(3) effective UV was the fit of the T-shirt and its fabric type (probably structure) rather than color or degree of wetness.

Clothing↗
PubMed1978

Reduction of skin bacteria in theatre air with comfortable, non-woven disposable clothing for operating-theatre staff.

Conventional loose-weave cotton operating garments were compared with clothing of a non-woven fabric to test their efficacy in reducing the dispersal of skin bacteria into theatre air. When men wore operating suits made of the non-woven fabric dispersal of skin bacteria was reduced by 72%. When all the operating-theatre staff wore suits and dresses of this fabric air bacterial counts during operating sessions were reduced by 55%; no reduction occurred when the fabric was worn by only the scrubbed team. The lowest levels of microbial contamination of the air in the operating theatre occurred when both the unscrubbed and scrubbed theatre staff wore clothes of non-woven fabric.

Air Microbiology↗
PubMed1995

Predicting heart rate response to various metabolic rates, environments, and clothing.

A mathematical model that describes heart rate (HR) responses to different combinations of metabolic levels, climatic conditions, and clothing ensembles was developed. The database that served to construct the model consisted of 48 variations representing a wide range of environmental conditions, clothing ensembles, and metabolic rates. The model, which correlates highly with the observed values (r = 0.88, P < 0.0001), is based on physiological and environmental parameters: HR = 57.1 + 0.6HRi + [0.07M - 19.06 - 0.011(Emax - Ereq)] log t, where HRi is initial HR in beats per minute (at rest before the exposure), t is the time of exposure in minutes, M is the metabolic rate in watts, Ereq is the required sweat evaporation for thermal equilibrium in watts, and Emax is the maximal evaporative capacity of the environment in watts. The model's validity was tested by using two independent databases representing wide ranges of conditions; the correlation between measured and predicted values was found to be highly significant (r = 0.83, P < 0.001 and r = 0.77, P < 0.001, respectively). In summary, the present study suggests a valid predictive model for HR that overcomes some of the difficulties observed in other models.

Adult↗
PubMed2001

Assessment of dry heat exchanges in newborns: influence of body position and clothing in SIDS.

A dramatic decrease of sudden infant death syndrome (SIDS) has been noted following the issuance of recommendations to adopt the supine sleeping position for infants. It has been suggested that the increased risk could be related to heat stress associated with body position. In the present study, the dry heat losses of small-for-gestational-age newborns nude or clothed were assessed and compared to see whether there is a difference in the ability to lose heat between the prone and supine positions. An anthropomorphic thermal mannequin was exposed to six environmental temperatures, ranging between 25 and 37 degrees C, in a single-walled, air-heated incubator. The magnitudes of heat losses did not significantly differ between the two body positions for the nude (supine 103.46 +/- 29.67 vs. prone 85.78 +/- 34.91 W/m(2)) and clothed mannequin (supine 59.35 +/- 21.51 vs. prone 63.17 +/- 23.06 W/m(2)). With regard to dry heat exchanges recorded under steady-state conditions, the results show that there is no association between body position and body overheating.

Body Temperature Regulation↗
PubMed2001

Protection against ultraviolet radiation by commercial summer clothing: need for standardised testing and labelling.

BACKGROUND: The use of clothing as a means of sun protection has been recommended in recent education campaigns. Contrary to popular opinion, however, some fabrics provide insufficient ultraviolet (UV) protection. MATERIAL AND METHODS: We investigated 236 apparel textiles of the spring/summer collections 2000 and 2001. In accordance with the forthcoming European standard the UV protection factor (UPF) of the fabrics was determined spectrophotometrically. RESULTS: Seventy-eight (33%) fabrics had UPF < 15, 45 (19%) had UPF = or > 15 and < 30, and 113 (48%) had UPF = or > 30 (30+). More than 70% of the wool, polyester, and fabric blends, and only less than 30% of the cotton, linen, and viscose fabrics had UPF values of 30+. Fabrics with black, navy-blue, white, green, or beige colours provided most frequently UPF values of 30+. CONCLUSIONS: It is difficult for the sun-aware consumer to choose the 'right' garment, with a third of summer clothing providing insufficient UV protection and only half of the fabrics having UPF 30+, the UPF recommended by the European standard. Therefore, apparel summer fabrics should be measured and labelled in accordance with a standard document.

Adult↗
PubMed2006

Accidental strangulation of a mentally retarded patient by a clothing collar: a case report.

A 40-year-old mentally retarded woman died of accidental strangulation in a nursing home. She was found in a kneeling position with her hands on her knees and the collar of her clothing compressing the front and sides of the neck. Before the accident, a nurse had dressed the patient in one-piece overall-style pyjamas put on back to front so that she could not remove the garment herself. The post-mortem findings and reconstruction of the scene of death suggested that the patient had been strangled by the collar of her backward-facing clothing while in a kneeling position. Because patients with psychiatric illnesses may have a limited ability to recognize or communicate symptoms of physical danger, they must be closely monitored by knowledgeable medical and nursing staff. This case highlights the importance of preventing the accidental deaths of mentally retarded patients in nursing homes.

Accidents, Home↗