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Prevention of abnormal pulmonary mechanics in the postmortem guinea pig lung.

Severe postmortem bronchoconstriction has been shown previously in guinea pig lungs and linked to pulmonary blood loss during exsanguination (Lai et al., J. Appl. Physiol. 56: 308-314, 1984). To reexamine this phenomenon we measured postmortem airway function in anesthetized open-chest guinea pigs after sudden circulatory arrest. Animals were divided into 4 groups of 10 and ventilated for 15 min postmortem with different gases: 1) room air, 2) conditioned air, 3) dry 5% CO2-21% O2-74% N2, and 4) conditioned 5% CO2-21% O2-74% N2. In room air-ventilated lungs there was a 50% decrease in dynamic compliance (Cdyn) by 15 min and marked gas trapping compared with control lungs. Conditioning the room air did not attenuate these changes, but when 5% CO2 was added to the conditioned postmortem inspirate, gas trapping was eliminated and the fall in Cdyn was almost abolished. Ventilation with a dry 5% CO2 gas mixture at room temperature resulted in a 31% fall in Cdyn at 15 min but no gas trapping. We conclude that marked abnormalities of airway function occur postmortem in room air-ventilated guinea pig lungs in the absence of pulmonary blood loss. The changes are mainly due to airway hypocarbia, a known cause of bronchoconstriction, but a reduction in Cdyn can also occur if there is marked airway cooling and drying. Acute postmortem airway dysfunction can be prevented in the guinea pig by maintaining normal airway gas composition.

Animals↗

Evidence of inadequate ventilation in portable classrooms: results of a pilot study in Los Angeles County.

UNLABELLED: The prevalence of prefabricated, portable classrooms (portables) for United States public schools has increased; in California, approximately one of three students learn inside portables. Limited research has been conducted on indoor air and environmental quality in American schools, and almost none in portables. Available reports and conference proceedings suggest problems from insufficient ventilation due to poor design, operation, and/or maintenance of heating, ventilation and air conditioning (HVAC) systems; most portables have one mechanical, wall-mounted HVAC system. A pilot assessment was conducted in Los Angeles County, including measurements of integrated ventilation rates based on a perfluorocarbon tracer gas technique and continuous monitoring of temperature (T) and relative humidity (RH). Measured ventilation rates were low [mean school day integrated average 0.8 per hour (range: 0.1-2.9 per hour)]. Compared with relevant standards, results suggested adequate ventilation and associated conditioning of indoor air for occupant comfort were not always provided to these classrooms. Future school studies should include integrated and continuous measurements of T, RH, and ventilation with appropriate tracer gas methods, and other airflow measures. PRACTICAL IMPLICATIONS: Adequate ventilation has the potential to mitigate concentrations of chemical pollutants, particles, carbon dioxide, and odors in portable and traditional classrooms, which should lead to a reduction in reported health outcomes, e.g., symptoms of 'sick building syndrome', allergies, asthma. Investigations of school indoor air and environmental quality should include continuous temperature and relative humidity data with inexpensive instrumentation as indicators of thermal comfort, and techniques to measure ventilation rates.

Air Conditioning↗

Vegetative survival and reproduction under submerged and air-exposed conditions and vegetative survival as affected by salts, pesticides, and metals in aerial green alga Trentepohlia aurea.

Trentepohlia aurea vegetative cells do not survive submerged conditions for more than 5 months, but can survive air-exposed conditions for more than 1 year. Disintegration and rapid death of algal cells was observed to a higher extent under submerged than air-exposed condition. Under submerged conditions T. aurea did not form any sporangium while prolific formation occurred under air-exposed conditions. Under submerged conditions algal cells formed few-celled, filamentous, cytoplasmic type setae. Vegetative cells were resistant to some extent to various levels of salt (NaCl, < or = 0.8 mol/L), pesticides (DDT, 2,4-D or captan, 2000 ppm) and 'heavy' metals (zinc or nickel, 200 ppm; cobalt, < or = 100 ppm.)

Aerobiosis↗

Sick-building symptoms in office workers in northeastern France: a pilot study.

STUDY OBJECTIVES: To verify that sick building symptoms are present in north-eastern France office workers; to try to identify new confounding factors. METHODS: The design was that of a cross-sectional study with control group. We studied with the same methods the personnel of an air-conditioned building (n=425), and of a naturally ventilated building (n=351). Air temperature and humidity, bacterial and fungal densities were measured by the same technical staff in the two buildings. A standard questionnaire on irritative and respiratory symptoms, personal and family history, and lifestyle was completed by the participants. RESULTS: In univariate analysis, exposure to air-conditioning was associated with an increased prevalence of symptoms (odds ratios-OR-between 1.54 and 2.84). A significant increase in sickness absence was also found among subjects working in air-conditioned offices. As a series of factors were suspected to interfere with these associations, logistic regression was applied. This method confirmed exposure to be an independent determinant of 7 symptoms, and also identified two determinants not previously described: a family history of respiratory diseases and "do-it-yourself' activities. IN CONCLUSION: we found the sick building symptoms to be present in a group of French office workers exposed to air-conditioning. We confirmed the influence of a number of confounding factors and described two further confounders - do-it-yourself activities at home and a history of familial respiratory disease.

Absenteeism↗

[The bacteria stop system of Meierhans-Weber as room air technical alternative to laminar-air-flow and its air hygienic effectiveness].

Statistics of wound infections demonstrate the linear dependence between postoperative wound infection and the quantity of bacteria in the air of operating theatres. In the most extensive examination series we have made as yet with a special work group of DGOT the quantity of bacteria in the air of non air-conditioned operating theatres and such fitted out with different aircleaning systems was determined. Non air-conditioned operating theatres proved so extremely infected that the risk of wound infection cannot be borne any more in the future. Also air-conditioned systems according to DIN 1946/4 with an average of 190 bacteria/m3 are not sufficiently secure for bone and joint surgery. In Switzerland for such operations a value of 10/m3 at the most is admissible. Such equivalents have been attained only with LAF until today. After extensive air tests the so-called "Keimstop"-system by Meierhans and Weber is to be considered the sole system suitable to supplement air conditioning DIN 1946/4. This combination yields the same effect as the expensive LAF systems.

Air Conditioning↗

Volatile metabolite production of spoilage micro-organisms on a mixed-lettuce agar during storage at 7 degrees C in air and low oxygen atmosphere.

This paper describes the volatile metabolite production of spoilage bacteria (Pantoea agglomerans and Rahnella aquatilis) and spoilage yeasts (Pichia fermentans and Cryptococcus laurentii), previously isolated from mixed lettuce, on a simulation medium of shredded mixed lettuce (mixed-lettuce agar) both under air conditions and modified atmosphere (MA)-conditions at 7 degrees C. These latter conditions simulated the equilibrium modified atmosphere packaging, which is used to extend the shelf-life of shredded mixed lettuce. Besides volatile metabolites, organic acid metabolites and consumption of sugars were measured. Microbiological growth on the mixed-lettuce agar resulted in metabolite production and consumption of sugars. Bacteria and yeasts produced a range of volatile organic compounds both under air conditions and MA-conditions: ethanol, ethyl acetate, 2-methyl-1-propanol, 2-methyl-1-butanol, 3-methyl-1-butanol, 2,3-butanedione, 3-methyl-1-pentanol, 1-butanol and 1-hexanol. Under MA-conditions, 2-methyl-1-butanol, 3-methyl-1-butanol and ethanol were the first compounds that were detected in the headspace as being produced by the inoculated micro-organisms. In the case of the yeast P. fermentans, production of these compounds was detected from a count of 5.0+/-0.1 log cfu/cm(2) with a fast increase when exceeding 6.0-6.5 log cfu/cm(2). Unlike P. fermentans, the yeast C. laurentii showed a slow metabolism under MA-conditions, compared to air conditions. In the case of the bacteria, production of 2-methyl-1-butanol and 3-methyl-1-butanol was detected starting from a count of 6.7+/-0.1 log cfu/cm(2) in the case of R. aquatilis and from a count of 7.1+/-0.4 log cfu/cm(2) in the case of P. agglomerans with a fast increase when exceeding 8 log cfu/cm(2). No production of ethanol by the bacteria under MA-conditions was detected in contradiction to air conditions. It could be concluded that, if these counts are reached on the cut surfaces of shredded mixed lettuce which are simulated by the mixed-lettuce agar, sensorial quality of shredded mixed lettuce could be influenced by the microbiological production of metabolites.

Bacteria↗

Nasal air temperature and airflow during respiration in numerical simulation based on multislice computed tomography scan.

BACKGROUND: Adequate nasal air-conditioning is of greatest importance. Because detailed processes of nasal air-conditioning still are not completely understood, numerical simulations of intranasal temperature distribution and airflow patterns during inspiration and expiration were performed. METHODS: A three-dimensional model of the human nose based on computed tomography scans was reconstructed. A computational fluid dynamics application was used displaying temperature and airflow during respiration based on time-dependent boundary conditions. RESULTS: Absolute air temperature and velocity values vary depending on detection site and time of detection. Areas of low velocities and turbulence show distinct changes in air temperature. The turbinate areas prove to be the main regions for heat exchange. The numerical results showed excellent comparability to our in vivo measurements. CONCLUSION: Numerical simulation of temperature and airflow based on computational fluid dynamics is feasible providing entirely novel information and an insight into air-conditioning of the human nose.

Adult↗

[Temporary cardiac pacing in patients with acute myocardial infarction in the conditions of air medical service].

Temporary electrical cardiac pacing in the conditions of air medical service was used in 183 patients with myocardial infarction complicated with life threatening disturbances of cardiac rhythm and conduction. Immediate results of treatment, complications, and causes of lethal outcomes are presented. Two groups of patients were distinguished: in which traditional and improved by authors methods of temporary electrical pacing were employed. It was established that the use in urgent situations of improved techniques of control of endocardial electrode position, transesophageal, cutaneous, and atrial dependent endocardial ventricular electrical pacing allowed to decrease number of complications 2.6 times, and to lower mortality in acute period of myocardial infarction by 12.8%.

Acute Disease↗

[Microbiological aspects of the performance of life support systems during prolonged operation].

The environmental control system using superoxides, sillicagels or synthetic ceolites is capable of purifying the atmosphere from microorganisms. The air conditioning system is another means for air purification from microorganisms. The possibility of microbial build-up and multiplication in the atmospheric condensate makes it necessary to assume that an air conditioning system may contribute to the transfer of conditionally pathogenic microorganisms in a space cabin. The reliability of a life support system may degrade due to an accumulation of microorganisms in its components. Further extensive studies are needed to clarify this problem.

Air Conditioning↗

Hourly and seasonal variation in photosynthesis and stomatal conductance of soybean grown at future CO(2) and ozone concentrations for 3 years under fully open-air field conditions.

It is anticipated that enrichment of the atmosphere with CO(2) will increase photosynthetic carbon assimilation in C3 plants. Analysis of controlled environment studies conducted to date indicates that plant growth at concentrations of carbon dioxide ([CO(2)]) anticipated for 2050 ( approximately 550 micromol mol(-1)) will stimulate leaf photosynthetic carbon assimilation (A) by 20 to 40%. Simultaneously, concentrations of tropospheric ozone ([O(3)]) are expected to increase by 2050, and growth in controlled environments at elevated [O(3)] significantly reduces A. However, the simultaneous effects of both increases on a major crop under open-air conditions have never been tested. Over three consecutive growing seasons > 4700 individual measurements of A, photosynthetic electron transport (J(PSII)) and stomatal conductance (g(s)) were measured on Glycine max (L.) Merr. (soybean). Experimental treatments used free-air gas concentration enrichment (FACE) technology in a fully replicated, factorial complete block design. The mean A in the control plots was 14.5 micromol m(-2) s(-1). At elevated [CO(2)], mean A was 24% higher and the treatment effect was statistically significant on 80% of days. There was a strong positive correlation between daytime maximum temperatures and mean daily integrated A at elevated [CO(2)], which accounted for much of the variation in CO(2) effect among days. The effect of elevated [CO(2)] on photosynthesis also tended to be greater under water stress conditions. The elevated [O(3)] treatment had no statistically significant effect on mean A, g(s) or J(PSII) on newly expanded leaves. Combined elevation of [CO(2)] and [O(3)] resulted in a slightly smaller increase in average A than when [CO(2)] alone was elevated, and was significantly greater than the control on 67% of days. Thus, the change in atmospheric composition predicted for the middle of this century will, based on the results of a 3 year open-air field experiment, have smaller effects on photosynthesis, g(s) and whole chain electron transport through photosystem II than predicted by the substantial literature on relevant controlled environment studies on soybean and likely most other C3 plants.

Carbon Dioxide↗

Reducing relative humidity is a practical way to control dust mites and their allergens in homes in temperate climates.

BACKGROUND: Maintaining a relative humidity (RH) of less than 50% is one recommendation for reducing numbers of house dust mites and their allergens in homes. OBJECTIVE: The purpose of this study was to determine whether, in a humid temperate climate, indoor RH could be sufficiently lowered to control dust mites and their allergens. METHODS: During a period spanning 2 humid summers (May 1998 to October 1999), dust mite and allergen densities were determined in 3 groups of homes. One group (low RH group, n = 23) maintained an RH of less than 51%. Most of these homes used a high-efficiency dehumidifier and air conditioning. A second group of homes (group A) used air conditioning only (n = 19) or air conditioning and dehumidification (n = 5) but did not maintain an RH of less than 51%. A third group of homes (group C, n = 24) controlled climate by opening windows and had an RH of greater than 51%. Normal housecleaning was maintained in all homes during the study. RESULTS: The low RH group homes started in June with a mean +/- SE of 401 +/- 124 live mites and 17 +/- 3 microg of total Der 1 allergen per gram of dust. After 17 months of maintaining an RH of less than 51%, these declined significantly to 8 +/- 3 live mites per gram (P =. 004) and 4 +/- 1 microg of Der 1 per gram of dust (P <.001). In contrast, group A and C homes exhibited seasonal peaks of 500 to 1000 mites and 40 to 70 microg of Der 1 per gram of dust. At all time points after the baseline sample, the low RH group homes had significantly less (P <.001) allergen than the group A and C homes. After 17 months, allergen levels were more than 10 times lower in low RH homes compared with humid homes. CONCLUSION: This study showed that it is practical to maintain an indoor RH of less than 51% during the humid summer season in a temperate climate, and this resulted in significant reductions in mite and allergen levels.

Air Pollution, Indoor↗

[Microorganisms in operating room air--selected aspects].

Test results of total number of bacteria and fungi in air of operating rooms were presented. The investigation was performed during "warm season" of the year--from June to September. Concentration of bacteria and fungi in the air of operating rooms with and without air conditioning system are compared, as well between hospitals where continuous inspections and regulations of air conditioning systems are practiced and those where inspections and regulations were done periodically. Results from operating rooms with faulty air conditioning are presented separately.

Air Conditioning↗

Fungal contamination in hospital environments.

OBJECTIVES: To assess the degree of fungal contamination in hospital environments and to evaluate the ability of air conditioning systems to reduce such contamination. METHODS: We monitored airborne microbial concentrations in various environments in 10 hospitals equipped with air conditioning. Sampling was performed with a portable Surface Air System impactor with replicate organism detection and counting plates containing a fungus-selective medium. The total fungal concentration was determined 72-120 hours after sampling. The genera most involved in infection were identified by macroscopic and microscopic observation. RESULTS: The mean concentration of airborne fungi in the set of environments examined was 19 +/- 19 colony-forming units (cfu) per cubic meter. Analysis of the fungal concentration in the different types of environments revealed different levels of contamination: the lowest mean values (12 +/- 14 cfu/m(3)) were recorded in operating theaters, and the highest (45 +/- 37 cfu/m(3)) were recorded in kitchens. Analyses revealed statistically significant differences between median values for the various environments. The fungal genus most commonly encountered was Penicillium, which, in kitchens, displayed the highest mean airborne concentration (8 +/- 2.4 cfu/m(3)). The percentage (35%) of Aspergillus documented in the wards was higher than that in any of the other environments monitored. CONCLUSIONS: The fungal concentrations recorded in the present study are comparable to those recorded in other studies conducted in hospital environments and are considerably lower than those seen in other indoor environments that are not air conditioned. These findings demonstrate the effectiveness of air-handling systems in reducing fungal contamination.

Air Conditioning↗

Application and evaluation of QBC malaria diagnosis in a holoendemic area.

Quantitative Buffy Coat Analysis was used in practical diagnosis situations. In the first place, sensitivity and specificity was measured in an active search survey (720 schoolchildren under 10 years of age, in nine field trips) under unfavourable laboratory conditions (onsite school diagnosis being conducted with electricity supplied by a diesel-powered generator). In this group, the QBC-based study revealed sensitivity and specificity ratings of 99.6% and 81.7% respectively. QBC proved 5.5% more sensitive than the thick-film method, but specificity was greater with the latter. QBC returned good results when used in adverse situations, viz., in the absence of air conditioning and with a diesel generator as the only power supply. QBC was used in a passive search survey (hospital group, 618 children) under good laboratory conditions (air conditioning) with patients enrolled in a trial to measure resistance to antimalarial drugs. In this survey we targeted at assessing the efficacy of chloroquine treatment at dose of 25 mg/kg/3 days. QBC proved more sensitive than the thick-film method, detecting - on day 14 of the in vivo test - low parasitaemias that had gone undetected by thick film. Lastly, this study reports on the conversion of QBC readings (parasitaemia per field) into thick-field terms (number of parasites per microliter of blood), with the aim of measuring the degree of recurring parasitaemia.

Acridine Orange↗

[Immunologic response to microorganisms from a polluted ventilation system in a working environment].

UNLABELLED: Authors point out the morbidity of employees working in ventilation systems contaminated with various microorganisms. They analysed 96 workers exposed to air conditioning system (Group A), and 71 workers (Group B) breathing normal ambient air. The workers of both groups were subjected clinically by functionally and immunologically. Preparation of antigens "MMM" (Monday morning miseries) was used as an original method by Ajello et al. for producing antigens from systemic mycotic agents and subsequently modified. The aim of the present study is to evaluate the possibility of using ELISA in clinical practice for respiratory allergy diagnosis, and especially Hypersensitivity pneumonitis. Atopic status was determined by skin prick tests with common airborne allergens including Dermatophagoides pteronyssinus, ragweed, grasses and Aspergillus fumigatus., by Enzygnost--IgE (Behringwerke AG, Marburg) and for specific IgE by RAST technique (Pharmacia, Uppsala). The skin prick tests were performed with "MMM"-antigens. PEFR (Peak Expiratory Flow-Rate) was measured by using a Wright's peak flow meter. PEFR was recorded on Monday (first day at work) and Friday (the end of the working week). Measured values of PEFR in both groups of employees from Monday to Friday were elaborated by the Wilcoxon test. RESULTS AND DISCUSSION: Culture of scrapings from air conditioning vents were obtained and water from the humidifier system also cultured. They were grown: T. vulgaris, Aspergillus fumigatus, Thermoactinomyces vulgaris and others. Results of questionnaires, clinical evaluation and diagnostical procedures in employees of Group A and B are as follows: Thirty eight workers in Group A had a positive clinical history of "Monday illness". In the symptomatic Group A we found in 8 cases abnormal chest roentgenogram. Further, there was no correlation between the presence of antibodies (ELISA) against MMM and pulmonary function abnormalities, as measured by either spirometry or DLCO. Further, we found good agreement between ELISA and prick test results with antigen MMM. Wilcoxon test showed a statistically significant difference between the two groups (0.01). The median or central value of PEFR reduction in Group A is 10.23 per cent, and in Group B 1.49 per cent. A 30 per cent reduction of PEFR was observed in 5.21 per cent of subjects in Group A. Exposure to ventilation systems contaminated with Thermophilic actinomyces may be responsible for increased morbidity and reduced performance of employees working in air conditioning systems. Particularly the main filter should be checked regularly. Moreover, regular microbiologic examinations of dust and water from air preventing chronic obstructive lung diseases in employees working in areas served by contaminated air conditioning systems.

Adolescent↗

Maximum effort breath-hold times for males and females of similar pulmonary capacities during sudden face-only immersion at water temperatures from 0 to 33 degrees C.

For non breath-hold-trained males and females matched for pulmonary capacity and body size, the effects of sex, water temperature, and end-tidal gas tensions were studied for their potential influences on breath-holding ability. Maximum breath-hold time (BHTmax) was measured a total of 546 times in 13 males and 13 females, each repeating 3 trials of sudden face immersion (i.e., no prior hyperventilation) in water at 0, 5, 10, 15, 20, and 33 degrees C and in an air control condition (AIR). End-tidal carbon dioxide (P(ET)CO2) and oxygen (P(ET)O2) gas tensions were measured before and after breath-holding in a subset of 11 males and 11 females. For BHTmax there was no main effect of sex (p = 0.20), but there was a main effect of immersion condition (p < 0.001). Relative to pre-immersion rest values, end-tidal gas tensions were significantly higher in males than in females (p <or= 0.05) and significantly lower at decreased water temperatures relative to AIR (p <or= 0.05). In conclusion, for these matched groups (i) sex did not influence BHTmax; (ii) irrespective of sex, decreases in water temperature at 0, 5, 10, and 15 degrees C gave proportionate decreases of BHTmax; (iii) significantly greater deviations in both P(ET)CO2 and P(ET)O2 following breath-holding were evident in males relative to females; and (iv) irrespective of sex, there were significantly smaller changes in both (PET)CO2 and P(ET)O2 at lower water temperatures relative to AIR, with or without removing the variance due to breath holding.

Body Size↗

Qualitative detection of Volatile Organic Compounds in outdoor and indoor air.

The present work attempts to identify VOC's in outdoor and indoor air in Mumbai City India. Ambient air was adsorbed on especially fabricated stainless steel cartridge packed with activated coconut charcoal at uniform flow rate. Qualitative identification of VOC's was done by thermally desorbing air from the cartridges and subsequent analysis on Varian GC-MS using NIST Library. The outdoor monitoring locations include residential area, commercial area, industrial, airport, petrol pumps, traffic junctions, arterial roads, highways, slums, parking area, service garages and municipal dump sites. The indoor locations comprised of air-conditioned and non air-conditioned offices, bedrooms, shops and instrumentation laboratory. The identified VOC's include aldehydes, ketones, polynuclear aromatic hydrocarbons, aromatic acids, oxygenated hydrocarbons, amines, esters and halogenated compounds. Thirteen VOCs in outdoor air and seven in indoor air amongst those identified, figure in the list of Hazardous Air Pollutants listed in Title III of the U.S. EPA Clean Air Act Amendments of 1990.

Air Pollutants↗

Building sickness syndrome in healthy and unhealthy buildings: an epidemiological and environmental assessment with cluster analysis.

OBJECTIVES: Building sickness syndrome remains poorly understood. Aetiological factors range from temperature, humidity, and air movement to internal pollutants, dust, lighting, and noise factors. The reported study was designed to investigate whether relations between symptoms of sick building syndrome and measured environmental factors existed within state of the art air conditioned buildings with satisfactory maintenance programmes expected to provide a healthy indoor environment. METHODS: Five buildings were studied, three of which were state of the art air conditioned buildings. One was a naturally ventilated control building and one a previously studied and known sick building. A questionnaire was administered to the study population to measure the presence of building related symptoms. This was followed by a detailed environmental survey in identified high and low symptom areas within each building. These areas were compared for their environmental performance. RESULTS: Two of the air conditioned buildings performed well with a low prevalence of building related symptoms. Both of these buildings out performed the naturally ventilated building for the low number of symptoms and in many of the environmental measures. One building (C), expected to perform well from a design viewpoint had a high prevalence of symptoms and behaved in a similar manner to the known sick building. Environmental indices associated with symptoms varied from building to building. Consistent associations between environmental variables were found for particulates (itchy eyes, dry throat, headache, and lethargy) across all buildings. There were persisting relations between particulates and symptoms (headache, lethargy, and dry skin) even in the building with the lowest level of symptoms and of measured airborne particulates (building B). There were also consistent findings for noise variables with low frequency noise being directly associated with symptoms (stuffy nose, itchy eyes, and dry skin) and higher frequency noise being relatively protective across all buildings. CONCLUSIONS: This is the first epidemiological study of expected state of the art, air conditioned buildings. These buildings can produce an internal environment better than that of naturally ventilated buildings for both reported symptoms and environmental variables. The factors associated with symptoms varied widely across the different buildings studied although consistent associations for symptoms were found with increased exposure to particulates and low frequency noise.

Adult↗