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Impact of indoor air temperature and humidity in an office on perceived air quality, SBS symptoms and performance.

UNLABELLED: Perceived air quality (PAQ), sick building syndrome (SBS) symptoms and performance of office work were studied in a real office space at three levels of air temperature and humidity and two levels of ventilation rate (20 degrees C/40%, 23 degrees C/50%, 26 degrees C/60% RH at 10 l s(-1) p(-1) outside air, and 20 degrees C/40% RH at 3.5 l s(-1) p(-1) outside air). Thirty female subjects participated in the experiment. They were exposed to each environmental condition for 280 min. Thermal comfort was maintained at different thermal environments by self-adjustment of clothing. The subjects performed simulated office work throughout each exposure and repeatedly marked a set of visual-analog scales to indicate their perception of environmental conditions and of the intensity of SBS symptoms at the time. The study confirmed the previously observed impact of temperature and humidity on perceived air quality and the linear correlation between acceptability and enthalpy. The impact on perceived air quality of decreasing the ventilation rate from 10 to 3.5 l s(-1) per person could be counteracted by a decrement of temperature and humidity from 23 degrees C/50% RH to 20 degrees C/40% RH. Performance of office work was not significantly affected by indoor air temperature and humidity. However, several SBS symptoms were alleviated when the subjects worked at low levels of air temperature and humidity, which implies that a longer term exposure to low indoor air temperature and humidity might help to improve the performance of office work. PRACTICAL IMPLICATIONS: The findings of this study indicate the importance of indoor air temperature and humidity on perceived air quality and SBS symptoms. In practice, the required ventilation rate for comfort and health should no longer be independent of indoor air temperature and humidity.

Adult↗

An experimental study of air entrainment and oxygen transfer at a water jet from a nozzle with air holes.

An adequate supply of dissolved oxygen is important in natural rivers and in some water treatment processes. The dissolved oxygen concentration can be enhanced by entraining air bubbles in a receiving pool. When a water jet impinges a receiving pool at rest, air bubbles may be entrained and carried away below the pool free surface. This process is called plunging water jet entrainment and aeration. This paper describes an experimental study of the air entrainment rate and oxygen transfer efficiency of circular nozzles with and without air holes. In particular, the effect of varying the number, positions, and open/close status of the air holes is investigated. A negative pressure occurred depending on the air holes opened on the circular nozzles. This phenomenon affected the water jet expansion, water jet shape, air entrainment, and bubble penetration depth and, hence, the oxygen transfer efficiency. It was demonstrated that the air entrainment rate and the oxygen transfer efficiency of the circular nozzles with air holes were better than those of the circular nozzles without air holes. Therefore, adding air holes to a simple, circular nozzle could lead to a significantly increased air entrainment rate and oxygen transfer efficiency.

Air Movements↗

Lymphatic air embolism: a new hypothesis regarding the pathogenesis of neonatal systemic air embolism.

Objective. Neonatal systemic air embolism (NSAE) has been thought to result from introduction of air into the pulmonary veins through hypothesized alveolar-capillary fistula. The objective of this paper is to reassess the distribution of intravascular air visualized radiographically in this entity. Based on these data, an alternative theory for the pathogenesis of NSAE is proposed. Materials and methods. Four cases from our institutions and 21 additional reviewable published radiographs of NSAE were evaluated for the presence and location of intravascular air. Nonparametric statistical analysis was performed to determine if the predominance of intravascular air was venous or arterial in location, and to determine the presence or absence of pulmonary interstitial emphysema (PIE), pneumothorax, pneumomediastinum, and pneumopericardium. Results. Isolated systemic venous air was present significantly more often than isolated systemic arterial air (p < 0.0005). In addition, the presence of isolated right-sided cardiac air was found significantly more often than air within left heart chambers alone (p < 0.0005). PIE in patients with NSAE was found to be statistically more prevalent than pneumomediastinum or pneumopericardium, though similar in prevalence to pneumothorax. Conclusion. Our data support the hypothesis that intravascular air in NSAE is predominantly venous in location. PIE was found to be a very common associated finding in NSAE. Based on our current knowledge of pulmonary lymphatics, radiographic anatomy, and the lymphatic location of PIE, we propose that air within the pulmonary lymphatic system (PIE) gains access to the systemic venous system via lymphatic ducts, which results in the clinical entity NSAE. This readily explains the venous predominance of air in NSAE.

Embolism, Air↗

Nasal mucosal temperature after exposure to cold, dry air and hot, humid air.

OBJECTIVE: To determine the influence of variations in the temperature and humidity of inhaled air on the nasal mucosal temperature at various sites in the nasal airways. MATERIAL AND METHODS: Fifteen volunteers were enrolled in the study. The temperature was measured on the mucosal surface of the nasal septum at the level of the nasal vestibule, in the nasal valve area, anterior turbinate area and choanae. Temperature measurements were made using a miniaturized thermocouple. Continuous temperature readings were performed before and after 10 min of exposure to either cold, dry air, ambient air or hot, humid air. RESULTS: Inhalation of cold, dry air significantly reduced the temperature of the septal mucosa at each location of measurement compared to the breathing of ambient air. Inhalation of hot, humid air significantly increased the septal mucosal temperature at all detection sites CONCLUSIONS: The climatic condition of inhaled air can lead to significant changes in nasal mucosal temperature. As the nasal mucosa is important for nasal air conditioning, short-term exposure to air of extreme temperature and humidity can rapidly compromise nasal air conditioning.

Adult↗

Can an oxygenator design potentially contribute to air embolism in cardiopulmonary bypass? A novel method for the determination of the air removal capabilities of neonatal membrane oxygenators.

At present, air handling of a membrane oxygenator is generally studied by using an ultrasonic sound bubble counter. However, this is not a quantitative method and it does not give any information on where air was entrapped in the oxygenator and if it eventually was removed through the membrane for gas exchange. The study presented here gives a novel technique for the determination of the air-handling characteristics of a membrane oxygenator. The study aimed at defining not only the amount of air released by the oxygenator, but also the amount of air trapped within the oxygenator and/or removed through the gas exchange membrane. Two neonatal membrane oxygenators without the use of an arterial filter were investigated: the Polystan Microsafe and the Dideco Lilliput. Although the air trap function of both oxygenators when challenged with a bolus of air was similar, the Microsafe obtained this effect mainly by capturing the air in the heat exchanger compartment while the Lilliput did remove a large amount of air through the membrane. In conclusion, the difference in trap function was most striking during continuous infusion of air. Immediate contact with a microporous membrane, avoidance of high velocities within the oxygenator, pressure drop, transit time and construction of the fibre mat all contribute to the air-handling characteristics of a membrane oxygenator.

Air↗

Arterial air embolism after venous air infusion in newborn piglets.

UNLABELLED: In the newborn period, decreased right atrial pressure results in functional closure of the foramen ovale (FO). The objective of this study was to investigate whether air bubbles infused in the vena cava will pass through the FO into the arterial circulation in a newborn animal. Since air tends to rise to the highest point in a fluid, the study also investigated whether the animal's position could influence arterialization of air. Twelve 1-3-d-old piglets were anaesthetized and mechanically ventilated, and had catheters placed in the vena cava for infusion of air, in the aorta for blood gas and blood pressure measurements, and in the pulmonary artery for pressure measurements. After stabilization, 0.05 ml kg(-1) per minute of air was infused for 25 min followed by a 3 h observation period. Six piglets were placed in the left, and six in the right lateral recumbent position. Air bubbles in the left atrium or ventricle was monitored by echocardiography. Ultrasound Doppler probes were placed on both carotid arteries for detection of air embolism. Gas bubbles were detected in the left ventricle within 45 s of air infusion in 11 of 12 piglets. Eight piglets had air bubbles in the carotid arteries. Mean pulmonary arterial pressure (PAP) increased significantly after 1 min of air infusion, whereas mean systemic arterial pressure remained unchanged. When arterial air embolism occurred, PAP had not increased significantly. The time to reach maximum PAP with the animals in the left recumbent position was significantly shorter than in the right. CONCLUSION: This study shows that venous gas bubbles enter the arterial circulation through the FO in newborn piglets and that body position may influence the haemodynamic effect of these bubbles.

Air↗

[Quantitative monitoring of microorganisms in incoming air of air conditioning systems in hospitals].

In eight hospitals the quantity of microorganisms in the supply air of air conditioning systems was determined. A Reuter-Centrifugal-Sampler (by Biotest, Frankfurt) sampled 160 litres of air in four minutes and blew the particles with microorganisms on a culture medium (GKA-medium, by Biotest, Frankfurt). The Agar was breeded for 48 hours at 37 degrees C. The colonic-forming-units were counted and transformed to a volume of a cubic meter (CFU/m3). - In other publications you can find determinations of microorganisms in the supply air for operating theatres up to 15 CFU/m3. We found up to 40 CFU/m3 in the supply air after three step filtration (with an high efficiency filter) and 20-85 CFU/m3 after two step filtration. - The recommendations of other authors and some directives say that in the supply air up to 10 CFU/m3 are acceptable. According to our experiences the supply air should not contain more than 10 CFU/m3 after a 3-step-filtration and not more than 50 CFU/m3 after a 2-step-filtration. Otherwise the function of the air conditioning system should be controlled and the maintenance, too. - We think that according to the different requirements in hygiene a supply air with less than 10 CFU/m3 in the mean allows an unlimited use of the air conditioned room, while mean values up to 50 CFU/m3 are acceptable for normal operating rooms and other rooms, except for operating rooms with special hygienic requirements as for example for transplantation, arthroplasty, heart-operations (corresponds to II. and III. classification of rooms, DIN 1946/4). - Values up to 150 CFU/m3 are acceptable for rooms with normal hygienic requirements for supply air (III. classification of rooms, DIN 1946/4) and for labour-, intensive-care, newborn- and infant rooms.

Air Conditioning↗

Genesis and diagnostic value of leukocyte and platelet accumulations around "air bubbles" in blood after venous air embolism.

Leukocyte and platelet accumulations around apparently empty spaces ("air bubbles") in the blood of the right heart or branches of the pulmonary artery should constitute histomorphological evidence of a venous air embolism prior to death. Such findings have been evaluated as the result of active cellular reactions to air bubbles and as a vital reaction. This interpretation was reviewed by injecting a frothy mixture of blood and air into the pulmonary artery of six human lungs 12-110 h post mortem. The lungs were fixed and (immuno)histologically prepared (haematoxylin-eosin staining, immunohistological visualization of platelets, fibrinogen and fibrin). Leukocyte and platelet accumulations around "air bubbles" in blood were provoked late post mortem by injection of the frothy blood-air mixture and are thus possibly not the result of vital cellular reactions. The case is rather that attachment of particles (cells) to flowing air bubbles in an aqueous medium (blood) could correspond physicochemically to a flotation process such as those used in industry for separation techniques. A flotation process would, however, require an intensive dynamic blood-air bubble contact, which would only be obtainable if cardiac action is maintained for a sufficient length of time after air embolism. Leukocyte and platelet accumulations around "air bubbles" in the blood would then indeed be properly interpreted as a vital reaction (albeit possibly not resulting from vital cellular reactions) and could be used as evidence of an air embolism prior to death.

Aged↗

The effect on airway function of inspired air conditions after isocapnic hyperventilation with dry air.

The magnitude of postexercise or posthyperventilation bronchoconstriction in patients with asthma is related to the temperature and the water content of the inspired air during the exercise or hyperventilation period. Recent studies have suggested that the inspired air conditions during recovery from exercise may also be important in determining the magnitude of postexercise airway narrowing. In the present study, normal subjects (n = 8) and patients with asthma (n = 12) were studied on separate days. On day 1 the subjects performed isocapnic hyperventilation with warm dry air and recovered breathing warm dry air. On the second day, an identical warm dry air challenge was administered, but recovery occurred while they were breathing warm humid air. There was no significant bronchoconstriction in the normal subjects, irrespective of the inspired air conditions during recovery. The patients with asthma showed greater bronchoconstriction during recovery in warm, humid air (maximal decrease in FEV1 31% +/- 17%) than in dry air (maximal decrease in FEV1 19% +/- 20%; p less than 0.05). These results suggest that the inspired air condition during recovery from isocapnic hyperventilation of dry air is also a determinant of the magnitude of the bronchoconstrictor response.

Adult↗

Air flow paths and porosity/permeability change in a saturated zone during in situ air sparging.

This study develops methods to estimate the change in soil characteristics and associated air flow paths in a saturated zone during in situ air sparging. These objectives were achieved by performing combined in situ air sparging and tracer testing, and comparing the breakthrough curves obtained from the tracer gas with those obtained by a numerical simulation model that incorporates a predicted change in porosity that is proportional to the air saturation. The results reveal that revising the porosity and permeability according to the distribution of gas saturation is helpful in breakthrough curve fitting, however, these changes are unable to account for the effects of preferential air flow paths, especially in the zone closest to the points of air injection. It is not known the extent to which these preferential air flow paths were already present versus created, increased, or reduced as a result of the air sparging experiment. The transport of particles from around the sparging well could account for the overall increase in porosity and permeability observed in the study. Collection of soil particles in a monitoring well within 2m of the sparging well provided further evidence of the transport of particles. Transport of particles from near the sparging well also appeared to decrease the radius of influence (ROI). Methods for predicting the effects of pressurized air injection and water flow on the creation or modification of preferential air flow paths are still needed to provide a full description of the change in soil conditions that accompany air sparging.

Air↗

Air sparging effectiveness: laboratory characterization of air-channel mass transfer zone for VOC volatilization.

Air sparging in conjunction with soil vapor extraction is one of many technologies currently being applied for the remediation of groundwater contaminated with volatile organic compounds (VOCs). Mass transfer at the air-water interface during air sparging is affected by various soil and VOC properties. In this study with a single air-channel apparatus, mass transfer of VOCs was shown to occur within a thin layer of saturated porous media next to the air channel. In this zone, the VOCs were found to rapidly deplete during air sparging resulting in a steep concentration gradient while the VOC concentration outside the zone remained fairly constant. The sizes of the mass transfer zone were found to range from 17 to 41 mm or 70d(50) and 215d(50) (d(50)=mean particle size) for low organic carbon content media (<0.01% OC). The size of the mass transfer zone was found to be proportional to the square root of the aqueous diffusivity of the VOC, and was affected by the mean particle size, and the uniformity coefficient. Effects of the volatility of the VOCs as represented by the Henry's law constants and the airflow rates on the mass transfer zone were found to be negligible but VOC mass transfer from air-water interface to bulk air phase seems to play a role. A general correlation for predicting the size of the mass transfer zone was developed. The model was developed using data from nine different VOCs and verified by two other VOCs. The existence of the mass transfer zone provides an explanation for the tailing effect of the air phase concentration under prolonged air sparging and the rebound in the VOC air phase concentration after the sparging system is turned off.

Air Movements↗

Relationships between air swallowing, intragastric air, belching and gastro-oesophageal reflux.

BACKGROUND: With each swallow a certain amount of air is transported to the stomach. The stomach protects itself against excessive distention by swallowed air through belching (gas reflux). The mechanism of belching (transient lower oesophageal sphincter relaxation) is also one of the mechanisms underlying gastro-oesophageal reflux. AIM: To investigate whether swallowing of air leads to an increase in size of the intragastric air bubble and to gastro-oesophageal reflux. METHODS: Multichannel intraluminal impedance measurement was used to quantify the incidence of swallowing of air in 20 healthy volunteers before and after a meal. Radiography was used to measure the size of the intragastric air bubble. Gastro-oesophageal reflux was assessed by concurrent impedance and pH measurement. RESULTS: The rate of air swallowing was correlated to the size of the intragastric air bubble postprandially and to the rate of gaseous gastro-oesophageal reflux. The number of air swallows and the size of the intragastric air bubble did not correlate with the number of liquid acid and non-acid reflux episodes. CONCLUSIONS: In healthy subjects, air swallowing promotes belching but does not facilitate acid reflux.

Adult↗

Comparing methods for assessing bronchial responsiveness in children: single step cold air challenge, multiple step cold air challenge, and histamine provocation.

Cold air challenge (CACh) can be applied by either a single step (SSCACh) or a multiple step (MSCACh) protocol. The interrelationship of the responses of the different protocols has not yet been studied. Furthermore, there is contradictory information on the correlation of cold air challenge responses to the outcome of pharmacological provocations. A single and a multiple step cold air challenge and a histamine provocation were performed in random order on three consecutive days on 28 children and adolescents with bronchial asthma, who were currently symptom- and medication-free. Single step cold air challenge consisted of a 4 min isocapnic hyperventilation of dry, -10 degrees C air; the subjects's response was quantified by the induced change in forced expiratory volume in one second (FEV1). Multiple step cold air challenge consisted of a series of 3 min, cold dry air hyperventilation steps from 20 to 80% of maximal voluntary ventilation (MVV); response was expressed as the provocative dose causing a 10% fall in FEV1 (PD10). Histamine provocation consisted of a series of 2 min inhalations of stepwise increasing histamine concentrations from 0.03 to 8.0 mg.mL-1; response was expressed as the provocative concentration of histamine causing a 20% fall in FEV1 (PC20). Change in FEV1 (delta FEV1) (SSCACh) correlated closely with PD10 (MSCACh); scatter around the regression line was minimal. With one exception, both types of CACh identified the same subjects as hyper- and normoresponsive. delta FEV1 (SSCACh) correlated significantly to PC20 (histamine), but scatter around the regression line was substantial. The correlation of PD10 (MSCACh) to PC20 (histamine) failed to reach statistical significance. These results indicate that the stimulus applied and the bronchoconstrictor mechanism activated, and not the challenge protocol, determine the outcome of a cold air challenge. In clinical practice, a brief single step cold air challenge can substitute for a more time-consuming multiple step cold air challenge. As nonpharmacological challenges seem to measure a different type of bronchial responsiveness, neither a single step nor a multiple step cold air challenge can substitute for a pharmacological provocation.

Adolescent↗

Identification of the epidural space: loss of resistance with air, lidocaine, or the combination of air and lidocaine.

The ideal technique for identifying the epidural space remains unclear. Five-hundred-forty-seven women in labor who requested epidural analgesia were randomly allocated to three groups according to the technique by which the epidural space was identified: 1) loss-of-resistance with air (air; n = 180), 2) loss-of-resistance with lidocaine (lidocaine; n = 185), and 3) loss-of-resistance with both air and lidocaine (air-plus-lidocaine; n = 182). We assessed ease of epidural catheter insertion, characteristics of the blockade, quality of analgesia, and complications. The inability to thread the epidural catheter occurred in 16% of the air, 4% of the lidocaine, and 3% of the air-plus-lidocaine patients (P < 0.001). More patients from the air group had unblocked segments (6.6% versus 3.2% and 2.2%, respectively; P < 0.02). The incidence of accidental dural puncture was greater in the air group (1.7% versus 0% in the other two groups; P < 0.02). Pain scores, time to onset of analgesia, upper sensory level, motor blockade, and the incidence of hypotension, transient neurological deficits, postpartum urinary retention, and postdural puncture headache were comparable. Identification of the epidural space with air was more difficult and caused more dural punctures than with lidocaine or air plus lidocaine. Additionally, sequential use of air and lidocaine had no advantage over lidocaine alone.

Adolescent↗

Oral air pressure and nasal air flow rate on levator veli palatini muscle activity in patients wearing a speech appliance.

This study was designed to determine if levator veli palatini muscle activity can be elicited by simultaneous changes in oral air pressure and nasal air flow when a speech appliance is in place. The speech appliances routinely worn by 15 subjects were each modified experimentally by drilling a hole in the vertical center of the pharyngeal bulb. The air flow rate into the nasal cavity through the opening in the bulb was altered by changing the circular area of the opening in the bulb from the occluded condition (Condition I), to circular area of 12.6 mm2 (4 mm in diameter; Condition II), and then to 38.5 mm2 (7 mm in diameter; Condition III). Electromyographic activity was measured from the levator veli palatini muscle with changes in nasal air flow rate and oral air pressure. Levator veli palatini muscle activity was correlated with changes in nasal air flow and oral air pressure. Increases in levator veli palatini muscle activity were associated with increases in nasal air flow rate compared to oral air pressure changes. The results indicated that aerodynamic variables of nasal air flow and oral air pressure might be involved in the neural control of speech production in individuals wearing a speech appliance, even if the subjects exhibit velopharyngeal incompetence without using a speech appliance. Also, the stimulating effect of bulb reduction therapy on velopharyngeal function might be achieved through the change in aerodynamic variables in association with the bulb reduction.

Adolescent↗

Intraoral air pressure of alaryngeal speakers during a no-air insufflation maneuver.

Intraoral air pressure was recorded during the production of the consonant cognate pairs /p/-/b, /t/-/d, and /s/-/z/ by eight esophageal speakers. These consonants were combined with the vowel /a/ to form CV, VCV, and VC syllables and produced under two experimental conditions: after the insufflation of air and without air insufflation. The purpose was to determine if the voiced-voiceless pressure difference associated with the production of cognate pairs would occur in the absence of an insufflated air flow source. The results revealed that peak intraoral air pressure magnitudes were significantly greater following the insufflation of air than without it. Moreover, the voiceless consonants were generally produced with greater peak air pressures than the voiced consonants under both experimental conditions, although not all contrasts were significantly different. Finally, peak air pressure magnitudes were significantly more variable in the air insufflation condition. The finding that the esophageal speakers exhibited a pressure difference relative to voicing in the absence of an insufflated air flow source provides support to the concept that intraoral air pressure may be an important variable in regulating and controlling consonant production.

Aged↗

Air distribution in the Borden aquifer during in situ air sparging.

A field experiment was conducted at Canadian Forces Base Borden (CFB Borden) to assess the air distribution from a single in situ air sparging injection point. This aquifer consists of fine to medium sand deposited in horizontal layers. The permeability at the study location varied from 10(-10) to 10(-14) m2 and distinct low permeability horizons were present at approximately 1.2, 2.0, and 2.9 m below the water table. Prior to air injection, a 15x15-m portion of the vadose zone was excavated to the water table (approximately 1 m below ground surface) in order to visually observe air release distribution at the water table. The water table was actively maintained 5 cm above the excavated surface. The sparging system operated for a period of 7 days with an injection flow rate of 200 m3/days (5 scfm). The resulting subsurface air distribution was assessed using a variety of techniques including neutron logging, borehole and surface ground penetrating radar, piezometric head measurements, surface visualization, and hydraulic testing. Through this combination of tests, it was demonstrated that variations in permeability and, hence, capillary pressure at the site were sufficient to cause the injected air to spread laterally, forming stratigraphically trapped air pockets beneath the low permeability horizons. The formation of these air pockets eventually resulted in a buildup of capillary pressure that exceeded the air entry pressure and allowed some air to migrate up through the lower permeability layers. Each of the assessment techniques employed generated information at different spatial scales that prevented a direct comparison of the results from the various techniques; however, the results from all techniques proved to be critical in the interpretation of the experimental data. As a consequence, the different assessment techniques should not be viewed as alternatives, but rather as complimentary techniques.

Air↗

Simultaneous liquid chromatographic determination of 39 polycyclic aromatic hydrocarbons in indoor and outdoor air and application to a survey on indoor air pollution in Fuji, Japan.

An analytical method was established for the simultaneous determination of 39 polycyclic aromatic hydrocarbons (PAHs) in air. The method was applied to a survey of gaseous and particulate PAHs in household indoor air. The survey was performed in 21 houses in the summer of 1999 and in 20 houses in the winter of 1999-2000 in Fuji, Japan. Thirty-eight PAHs were determined in indoor and outdoor air in the summer, and 39 PAHs were determined in indoor and outdoor air in the winter. The concentrations of gaseous PAHs in indoor air tended to be higher than those in outdoor air in the summer and winter. The concentrations of particulate PAHs in indoor air were the same as or lower than those in outdoor air in the summer and winter. PAH profiles, correlations between PAH concentrations, and multiple regression analysis were used to determine the factors affecting the indoor PAH concentrations. These results showed that gaseous PAHs in indoor air were primarily from indoor emission sources, especially during the summer, and that indoor particulate PAH concentrations were significantly influenced by outdoor air pollution.

Air Pollutants, Occupational↗