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Gas-chromatographic determination of chlorostyrene and dichlorostyrene isomers in workplace air.

Conditions for a gas-chromatographic determination of vapors and aerosols of p-chlorostyrene and 2,6-dichlorostyrene contained in workplace air samples were determined. The method is based on the adsorption of p-chlorostyrene and 2,6-dichlorostyrene on activated charcoal and fiberglass, desorption with toluene and analysis of the obtained solution by capillary gas chromatography with flame ionization detection (FID). The determination limit of the method is 5 mg m(-3) for each substance.

Adsorption↗

Carbon monoxide neurotoxicity: transient inhibition of avoidance response and delayed microglia reaction in the absence of neuronal death.

Carbon monoxide exposure produces neurobehavioral effects associated with the level of carboxyhemoglobin (COHb) in the blood. A threshold has been proposed of approximately 35% COHb for the manifestation of disruption in neurobehavioral tasks. The effects of CO exposure producing 30-40% carboxyhemoglobin (COHb) levels in young adult male Fischer 344 rats were examined with regard to clinical signs of toxicity, performance on a previously learned avoidance procedure, and neuronal and glia histopathology. High levels of exposure (4000 ppm) for 15 min were imposed on either a background blood COHb level of 5% produced by a 2 h exposure to 50 ppm CO or a control background from conditioned-air exposure. Upon removal from the nose-only inhalation holder, signs of mild lethargy and decreased activity were evident for 2 min for conditioned-air controls and 50 ppm CO exposure groups and 3-4 min following 4000 ppm CO. Performance on a two-way shuttle box active avoidance task showed no differences between 50 ppm CO rats and conditioned-air controls while the 4000 ppm CO exposed groups showed a significant decrease in avoidance and escape responses. Histological examination showed no evidence of delayed neuronal death or astrocyte reactivity in the hippocampus or cerebellum; however, a distinct focal staining of reactive microglia in both regions was evident in animals exposed to 4000 ppm CO. While 50 ppm CO (5% COHb) alone produced no disruption in avoidance performance, microglia staining in the cerebellum was significantly increased over conditioned-air controls. This regional and focal response of microglia suggests the need for further study regarding such subtle cellular changes and their relationship with COHb levels.

Administration, Inhalation↗

A cytochrome o-type oxidase of the thermophilic bacterium PS3 grown under air-limited conditions.

A cytochrome o-type oxidase from the thermophilic bacterium PS3 grown under air-limited conditions was purified by ion-exchange chromatography in the presence of a non-ionic detergent. The enzyme was composed of three subunits (60, 30, and 16 kDa) and seemed to contain two molecules of heme b as prosthetic groups. It contained no detectable copper. The reduced enzyme showed absorption bands at 426 and 558.5 nm, and a characteristic spectral change upon binding CO. It oxidized several cytochromes c and artificial dyes such as N,N,N',N'-tetramethyl-p-phenylenediamine and phenazonium methosulfate at appreciable rates. Its Km for O2 was low (0.09 microM). It was capable of transmembrane electron transfer, because when reconstituted into liposomes, it generated a membrane potential upon oxidation without pumping protons.

Atmosphere Exposure Chambers↗

Indoor air climate and microbiological airborne: contamination in various hospital areas.

Indoor climate indices and microbiological airborne contamination were evaluated in a department of a general hospital in Bologna only partially equipped with an air conditioning system. To determine the environmental parameters, an ANADATA (LSI) climate analyzer with relative transducers was used. The Effective Temperature (ET), the New Effective Temperature (ET*) and the Fanger indices (PMV-PPD) were calculated using the parameters measured. Microbial count measurements were taken with an S.A.S. (Surface Air System) sampler, to ascertain the total bacterial count at 37 degrees C, and the fungal particle, Staphylococcus aureus and Pseudomonas aeruginosa counts. Carbon dioxide air concentrations were also measured to evaluate the efficacy of air exchange. The Fanger indices were not within the range of thermal comfort in most rooms (52% in winter, 62% in summer). Air microbial counts were higher in the hospital wards and surgeries than in the offices and laboratories. In particular, coagulase-positive staphylococci were present only in the air of the patients' rooms. The microbial contamination was not correlated with the air conditioning system, but probably caused by the turnover in the hospital population, the number of people and their behaviour. However the most important measure to prevent airborne contamination and to reduce the number of microorganisms in the air is an efficient source control. Better management of the air conditioning system, by means of adequate air exchange and thermal adjustment, would lead to a notable improvement in indoor air quality, especially in units with hospitalized patients.

Air Conditioning↗

Environmental microbial contamination. Pilot study in a dental surgery.

Environmental contamination by bacterial aerosols occurs every day in the dental surgery. The aim of this study was to determine bacterial levels in five different areas of a dental surgery during ultrasonic scaling procedures using bacterial cultures. Two areas with markedly different amounts of infective aerosols were identified. The role of the air conditioning system was also assessed. There was evidence that the air conditioning system could act as a vehicle for the transmission of microorganisms.

Aerosols↗

A lightweight ambient air-cooling unit for use in hazardous environments.

Recent research demonstrated (a) the effectiveness of intermittent conditioned air cooling during rest breaks to significantly reduce cumulative heat storage and (b) that longer work sessions were possible for individuals wearing chemical defense ensembles. To further advance this concept, a strategy for implementing continuous air cooling was conceived; ambient air cooling was added during work cycles and conditioned air cooling was delivered during rest periods. A compact battery-powered beltpack cooling unit (3.9 kg) designed and made at the U.S. Air Force Armstrong Laboratory was used to deliver 5.7 L/sec filtered ambient air during work cycles: 4.7 L/sec to the body and 1 L/sec to the face. Five experimental cycles were conducted in a thermally controlled chamber under warm conditions (32 degrees C, 40% relative humidity) with (1) no cooling-intermittent work, (2) intermittent cooling, (3) continuous cooling during intermittent exercise, and (4) no cooling-continuous work and (5) ambient air cooling during continuous exercise. Intermittent, conditioned, and continuous air cooling resulted in significant reductions in rectal temperature, mean skin temperature, and heart rate as compared with the no-cooling trials. The continuous air-cooling trial significantly improved thermal comfort and sweat evaporation. Results suggest that ambient air delivered during work cycles by a lightweight portable unit (in conjunction with conditioned air delivered during rest periods), can definitely improve personal comfort, reduce skin temperature, and decrease the cumulative fatigue common to repeated work/rest cycles in selected military and industrial applications in which individuals work in chemical defense ensembles.

Adult↗

[Is reduction of intraoperative heat loss and management of hypothermic patients with anesthetic gas climate control advisable? Heat and humidity exchangers vs. active humidifiers ina functional lung model].

UNLABELLED: Heated humidifiers (HH) as well as heat and moisture exchangers (HME) are commonly used in intubated patients as air-conditioning devices to raise the moisture content of the air, thus preventing mucosal damage and heat loss resulting from ventilation with dry inspired gases. In contrary to HME, HH are able to add heat and moisture to the inspired air in surplus, which is often stressed as an advantage in warming hypothermic patients or reducing major heat losses, e.g., during long operations. The impact of air conditioning on the energy balance of man was calculated comparing HME and HH. METHODS: The efficiency of a HME (Medisize Hygrovent) and a HH (Fisher & Paykel MR 730) was evaluated in a mechanically ventilated lung model simulating the physiological heat and humidity conditions of the upper airways. The gas flow from the central supply was dry; the model temperature varied between 32 and 40 degrees C. By using a HH in the inspiratory limb, a circle system was simulated with water-saturated inspired air at room temperature. The water content of the ventilated air was determined at the tracheal tube connection using a fast, high-resolution humidity meter and was compared with the moisture return of the HME. The energy balance was calculated according to thermodynamic laws. RESULTS: Both HME and HH were able to create physiological heat and humidity conditions in the airways. With the normothermic patient model, the moisture return of the HME was equal to that of the HH set at 34 degrees C. Increasing the heating temperature resulted only in reduced water loss from the lung; heat and water input in the normothermic model was not possible. This was only effective with almost negligible amounts under hypothermic patient model conditions. DISCUSSION: The water content in the inspired and expired air is the most important parameter for estimating pulmonary heat loss in mechanically ventilated patients. In adults (minute volume approximately 71/min) the main fraction of pulmonary heat loss results from water evaporation from the airways (approximately 6 kcal/h), whereas the heat loss due to convection is negligible (approximately 1.2 kcal/h). In intubated patients ventilated with dry air, the heat loss increases to approximately 8 kcal/h due to greater water evaporation from the airways. Both HME and HH are able to reduce the pulmonary heat loss to 1-2 kcal/h. In normothermic as well as hypothermic patients, HH do not offer significant advantages in heat balance compared to effective HME. In conclusion, air conditioning in intubated patients is neither a powerful too for maintaining body temperature during long-lasting anaesthesia nor a sufficient method of warming hypothermic patients in intensive care units.

Air Conditioning↗

[Occupational exposure in the hospital to laughing gas and the new inhalation anesthetics desflurane and sevoflurane].

BACKGROUND AND OBJECTIVE: There have been few studies of the occupational exposure of the new volatile anaesthetic agents desflurane and sevoflurane. Because a health risk through long-term exposure to these inhalants cannot as yet be definitely excluded, we undertook to measure the concentrations of these three anaesthetics in different parts of the Frankfurt University Medical Centre. Considering the results the relevance of exposure for surgical and anaesthesia personnel, possible consequences due to laws and possibilities of improvement were shown. METHODS: The concentration of the three anaesthetics was measured during and after 345 procedures under general anaesthesia, using photoacoustic infra-red-spectrometry every 90 sec in the breathing zone of the same operating room personnel or in the recovery room and the intensive care unit. RESULTS: Exposure of personnel in the air-conditioned operating rooms was very low, but in those rooms that were not or inadequately air conditioned was a times very high. The level of the concentrations was also significantly related to the anaesthesia system and the distance of the exposed person to the patient. The concentration of nitrous oxide was below the maximal working-place concentration (MWC) of 100 ppm, but it exceeded the threshold concentration of 0.1 MAC, as laid down in the "Maternal Protection Law" in the surgical intensive care unit and the recovery room. There are no limiting concentrations for desflurane and sevoflurane yet but their concentrations were clearly below the MWC laid down for isoflurane and enflurane. CONCLUSION: In principle the use of inhalation anaesthetics can be considered to be without occupational health risk under the present legally defined standards of air-conditioning and the requirements of a modern occupational protection law. Because of the increased concentrations in the recovery room and intensive care unit pregnant and breast-feeding women should not work in these areas.

Air Conditioning↗

Estimation of thermal sensation during varied air temperature conditions.

Seven male students were exposed to four varied air temperature environments: hot (37 degrees C) to neutral (27 degrees C) (HN), neutral to hot (NH), cool (17 degrees C) to neutral (CN), and neutral to cool (NC). The air temperature was maintained at the first condition for 20 min, then was changed to the second condition after 15 min and was held there for 20 min. Each subject wore a T-shirt, briefs, trunks, and socks. Each sat on a chair and was continuously evaluated for thermal sensation, thermal comfort, and air velocity sensation. Some physiological and thermal parameters were also measured every 5 s during the experiment. The correlation between thermal sensation and skin temperature at 15 sites was found to be poor. The subjects felt much warmer during the rising phase of the air temperature (CN, NH) than during the descending phase (HN, NC) at a given mean skin temperature. However, thermal sensation at the same heat flux or at the same value of the difference between skin and air temperature (delta(Tsk - Ta)) was not so different among the four experimental conditions, and the correlation between thermal sensation and heat flux or delta(Tsk - Ta) was fairly good. The multiple regression equation of the thermal sensation (TS) on 15 sites of skin temperature (Tsk; degrees C) was calculated and the coefficient of determination (R*2) was found to be 0.656. Higher coefficients of determination were found in the equations of thermal sensation for the heat flux (H; kcal.m-2.h-1) at the right and left thighs of the subjects and on delta(Tsk - Ta) (degrees C) at 4 sites. They were as follows: TS = 2.04 - 0.016 Hright - 0.036 Hleft; R*2 = 0.717, TS = 1.649 + 0.013 delta(Tsk - Ta)UpperArm - 0.036 delta(Tsk - Ta)Chest - 0.223 delta(Tsk - Ta)Thigh-0.083 delta(Tsk - Ta)LowerLeg; R*2 = 0.752, respectively.

Adult↗

Association of ventilation system type with SBS symptoms in office workers.

This paper provides a synthesis of current knowledge about the associations of ventilation system types in office buildings with sick building syndrome (SBS) symptoms and discusses potential explanations for the associations. Most studies completed to date indicate that relative to natural ventilation, air conditioning, with or without humidification, was consistently associated with a statistically significant increase in the prevalence of one or more SBS symptoms, by approximately 30 to 200%. In two of three analyses from a single study (assessments), symptom prevalences were also significantly higher in air-conditioned buildings than in buildings with simple mechanical ventilation and no humidification. The available data also suggest, with less consistency, an increase in risk of symptoms with simple mechanical ventilation relative to natural ventilation. Insufficient information was available for conclusions about the potential increased risk of SBS symptoms with humidification or recirculation of return air. The statistically significant associations of mechanical ventilation and air conditioning with SBS symptoms are much more frequent than expected from chance and also not likely to be a consequence of confounding by several potential personal, job, or building-related confounders. Multiple deficiencies in HVAC system design, construction, operation, or maintenance, including some which cause pollutant emissions from HVAC systems, may contribute to the increases in symptom prevalences but other possible reasons remain unclear.

Air Conditioning↗

Fertility and hormonal responses to temporary relief of heat stress in lactating dairy cows.

The influence of temporary cooling on pregnancy rate and ovarian secretion of cortisol, estradiol and progesterone in Holstein cows was evaluated during the months of June to September. Cows were randomly assigned to one of five treatment groups: 1) evaporative cooling, 8 d; 2) evaporative cooling, 16 d; 3) refrigerated air conditioning, 8 d; 4) refrigerated air conditioning, 16 d and 5) controls maintained outdoors with access to shade. Estrus was synchronized by giving two injections of prostaglandin (25 mg). Cows in the cooled groups were placed in box stalls at the time of the second prostaglandin injection, allowing them to be cooled for approximately 3 d prior to breeding. Blood samples were taken on days 0, 5, 10, 15, 20 and 25 postbreeding and serum was analyzed for estradiol, cortisol, progesterone and a pregnancy-specific protein. Pregnancy rates as determined by palpation per rectum at 40 to 60 d post breeding were not different between cows in cooled treatments, regardless of duration or type of cooling. Pregnancy rate was higher (P<0.05) in cooled as compared to control cows. Serum progesterone concentrations were higher on Day 15 in cooled cows as compared to control cows. No differences in serum estradiol or cortisol concentrations were observed between cooled and control cows. Pregnancy-specific protein determinations indicated that 50% of both cooled and control cows conceived. Results indicate that temporary cooling increased pregnancy rates by increasing embryonic survival rates.

Journal Article↗

Estimation of optimum requirements for indoor air quality and energy consumption in some residences in Kuwait.

Contrasting effects of the dilution of indoor generated pollutants and the energy efficiency of heating and ventilating air conditioning systems (HVAC) for indoor air quality (IAQ) and thermal comfort were studied for 10 Kuwaiti residences. The levels of volatile organic compounds (VOCs) and the calculated cooling load of the HVAC systems were used as indicators for the IAQ and for the energy consumption, respectively. Air exchange rates and VOCs levels (both indoor and outdoor) were measured. It was found that the outdoor VOC concentrations were always less than the indoor values. Therefore reduction of indoor VOC levels can be accomplished either by increasing the ratio of the makeup air to the recirculation air of the HVAC system or by increasing the infiltration airflow rate through openings. A single compartment IAQ model, modified by the authors, was used to test for the variation in the above two dilution modes and to test the performance sensitivity. Hence, the optimum parameters in terms of IAQ and energy consumption were determined. The results indicated that it was necessary to increase the ratio of the makeup air to the recirculation air from its typical design value of 0.5 to a range of 0.7-1.3 in order to reduce indoor VOC to acceptable levels.

Air Conditioning↗

The effect of ozone and PM10 on hospital admissions for pneumonia and chronic obstructive pulmonary disease: a national multicity study.

A case-crossover study was conducted in 36 US cities to evaluate the effect of ozone and particulate matter with an aerodynamic diameter of < or =10 microm (PM10) on respiratory hospital admissions and to identify which city characteristics may explain the heterogeneity in risk estimates. Respiratory hospital admissions and air pollution data were obtained for 1986-1999. In a meta-analysis based on the city-specific regression models, several city characteristics were evaluated as effect modifiers. During the warm season, the 2-day cumulative effect of a 5-ppb increase in ozone was a 0.27% (95% confidence interval (CI): 0.08, 0.47) increase in chronic obstructive pulmonary disease admissions and a 0.41% (95% CI: 0.26, 0.57) increase in pneumonia admissions. Similarly, a 10-microg/m(3) increase in PM10 during the warm season resulted in a 1.47% (95% CI: 0.93, 2.01) increase in chronic obstructive pulmonary disease at lag 1 and a 0.84% (95% CI: 0.50, 1.19) increase in pneumonia at lag 0. Percentage of households with central air conditioning reduced the effect of air pollution, and variability of summer apparent temperature reduced the effect of ozone on chronic obstructive pulmonary disease. The study confirmed, in a large sample of cities, that exposure to ozone and PM10 is associated with respiratory hospital admissions and provided evidence that the effect of air pollution is modified by certain city characteristics.

Aged↗

Role of air sampling in investigation of an outbreak of legionnaires' disease associated with exposure to aerosols from an evaporative condenser.

Epidemiologic studies have suggested that legionnaires' disease can be transmitted to susceptible hosts by contaminated aerosolized water from cooling towers and evaporative condensers; however, epidemic strains of Legionella have not been isolated by air sampling at such sites during epidemiologic investigations. An outbreak of legionnaires' disease occurred at a retirement hotel; Legionella pneumophila serogroup 1 was isolated from an evaporative condenser and from potable water. A case-control study showed that the only significant exposure risk was in area A. L. pneumophila serogroup 1 was isolated during air sampling near the evaporative condenser exhaust site, the air conditioning intake vent, and an air vent in area A, but not in shower stalls. Monoclonal antibody subtype patterns of L. pneumophila serogroup 1 isolates from patients matched those from the evaporative condenser but not from shower water. Air sampling and monoclonal antibody subtyping results support epidemiologic evidence that the evaporative condenser was the source of this outbreak.

Aerosols↗

[The design of air purification system and its effect on surgical ICU].

It is very important to protect air-cross infection and improve air quality in surgical intensive care unit. In the design and effect of "local air condition and purification control system", air microbe colony counter was greatly reduced to 48/m3 (control area), and 105/m3 (uncontrol area), compared to 618/m3 (untreatment), P < 0.01. This system shows stable function, sterilization effect, low cost, and is useful to protect air pollution in surgical intensive care unit.

Air Conditioning↗

A study of waste gas scavenging in operating theatres.

Measurements of atmospheric nitrous oxide concentrations were made in eight hospitals, using 30 anaesthetic machines and locations, during 41 anaesthetic administrations or simulations. All areas were air conditioned, two by laminar flow devices. All anaesthetic machines and ventilators were fitted with commercially available gas collector (scavenger) valves. In all areas except one, venturi suction was used to exhaust gases. Pollution levels during endotracheal anaesthesia did not exceed the recommended 30 ppm. except where leaking anaesthetic machines or nitrous oxide supplies were used. In two instances where paediatric anaesthesia was administered through uncuffed endotracheal tubes nitrous oxide levels were also excessive. Of nine anaesthetics administered through face masks, only in one was the ambient nitrous oxide concentration acceptable. During induction of anaesthesia using nitrous oxide, unacceptable peaks of concentration were encountered. In two air conditioned recovery rooms tested, nitrous oxide concentration was acceptable. The collector valves performed their function satisfactorily, but laminar flow air conditioning was insufficient in itself to maintain acceptably low nitrous oxide concentration without the use of scavenging.

Air Conditioning↗

Ventilation, sensible heat loss, broiler energy, and water balance under harsh environmental conditions.

Air velocity (AV) is one of the main environmental factors involved in thermoregulation, especially at high ambient temperatures. To elucidate the effect of AV on performance and thermoregulation of 4- to 7-wk-old broiler chickens, an experiment was conducted using 4 different AV (0.8, 1.5, 2.0, and 3.0 m/s) at constant ambient temperatature (35 +/- 1.0 degrees C) and RH (60 +/- 2.5%). BW, feed intake, and fecal and urinary excretions were monitored in individuals and were used to calculate the amount of energy expended for maintenance. Infrared thermal imaging radiometry was used to measure surface temperatures for the calculation of heat loss by radiation and convection. Brachial vein blood was collected for plasma osmolality and arginine vasotocin analysis. Broilers performed optimally at an AV of 2.0 m/s. Energy expenditure for maintenance was significantly higher under these conditions, suggesting the ability to direct a sufficient amount of energy to control body temperature, while maintaining relatively high growth rates. Convective heat loss increased significantly with increasing AV, whereas radiative heat loss was not affected. Sensible heat loss, expressed as a percentage of energy expenditure for maintenance, was significantly higher at 2.0 m/s compared with 0.8 m/s but significantly lower than that of 3.0 m/s. The high level of heat loss observed at 3.0 m/s probably affected body water balance, as supported by significantly higher plasma osmolality, arginine vasotocin concentration, and the hyperthermic status of these birds. It can be concluded that AV of 2.0 m/s enables broilers to maintain proper performance together with efficient thermoregulation and water balance under harsh environmental conditions.

Air Movements↗