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PubMedDate not supplied

Carbon monoxide toxicity with neurological and cardiac complications.

A family suffered carbon monoxide toxicity, with cerebral and / or cardiac complications, while sleeping in the cabin on a recreational boat. This article describes a couple exposed to a malfunctioning air-conditioning system on the boat, which subsequently developed the unique combination of cerebral symptoms and a non Q/non-ST elevation myocardial infarction, with enzyme elevations and electrocardiographic abnormalities. This interesting complication of a myocardial infarction secondary to carbon monoxide toxicity, associated with neurological manifestations, is reviewed.

Adult↗
PubMed2001

Analyzing and correcting spectrometer temperature sensitivity.

Stability and reproducibility of the spectrometer are fundamental to the success of many modern NMR experiments. Variation in room temperature is a particularly important source of instability, in part because it can cause coherent artifacts in NMR spectra. Small changes in room temperature lead to corresponding changes in the phases, amplitudes, and frequencies of NMR signals. These can lead in turn to apparently random spectral artifacts such as t(1)-noise in two-dimensional (2D) NMR and to the incomplete cancellation of signals in difference spectra, but also, importantly, to F(1) satellite signals in 2D spectra. These "parallel diagonals" arise from the use of air conditioning, which typically forces room temperature to oscillate within a fixed band. Work to identify, quantify, and suppress sources of temperature sensitivity in a modern 300-MHz spectrometer has led to a greater than 10-fold improvement in the signal-to-artifact ratio.

Air Conditioning↗
PubMedDate not supplied

Oxygen enrichment of room air to improve well-being and productivity at high altitude.

Increasingly, commercial activities, such as mines, and scientific facilities, such as telescopes, are being placed at very high altitudes, up to 5,000 m. Frequently workers commute to these locations from much lower altitudes, or even from sea level. In addition, large numbers of people permanently live and work at high altitudes. The hypoxia of high altitude impairs sleep quality, mental performance, productivity, and general well-being. Recently it has become feasible to raise the oxygen concentration of room air by injecting oxygen into the air conditioning. This is remarkably effective at reducing the equivalent altitude. For example, increasing the oxygen concentration by 1% (e.g., from 21% to 22%) reduces the equivalent altitude by about 300 m. In other words, a room at an altitude of 4,500 m containing 26% oxygen is effectively at an altitude of 3,000 m. Oxygen enrichment has now been tested in several studies and shown to improve sleep quality and cognitive function. The fire hazard is less than in air at sea level. This innovative technique promises to improve productivity and well-being at high altitude.

Air Conditioning↗
PubMed2002

The use of heteroduplex analysis of polymerase chain reaction products to support the possible transmission of Legionella pneumophila from a malfunctioning automobile air conditioner.

Air conditioner condensates have not been previously associated with cases of Legionnaires' disease. We report the possible transmission of Legionella pneumophila serogroup 1 from a malfunctioning automobile air conditioning system's leaking water onto the floorboard of a car driven for a long distance by the patient. Heteroduplex analysis of polymerase chain reaction products was used to help establish an epidemiologic link between the water specimen and the patient.

Air Conditioning↗
PubMed1980

The cardiovascular stress of photochemotherapy (PUVA).

The recently devised therapy for psoriasis and related skin diseases, consisting of long-wave ultraviolet light and oral 8-methoxypsoralen (PUVA), was investigated for its cardiovascular effects. In seventeen patients, long-wave ultraviolet light therapy in a treatment enclosure (mean duration, 19.3 minutes) resulted in ambient temperatures of 39.2 degrees C +/- 2.1 degrees C (SD) and skin temperatures of 38.2 degrees C +/- 1.4 degrees C. In upright subjects, heart rate rose 30.8% to 114.4 +/- 25.2 beats per minute (bpm). Intensive room air conditioning, outside of the treatment enclosure, although significantly lowering skin and ambient temperatures, did not affect the heart rates significantly. PUVA therapy is associated with a definite cardiovascular stress when the box type of therapeutic unit is used. Possible modifications are discussed.

Adult↗
PubMed1991

Trimming energy costs. A well-conceived conservation program can provide significant savings for hospitals.

Healthcare facilities can realize significant savings on their energy costs if they adopt an effective energy management program. For hospitals beginning such a program, an energy audit is a good first step. Auditors observe and evaluate all energy-using systems and study factors that affect energy use. They then write a report containing on-site observations, an analysis of at least one year's energy bills, and recommendations for low-cost and no-cost energy-reducing measures and capital projects, including new installations and retrofits. Lighting is one area where costs can be cut significantly. During the past few years a revolution in lighting technology has provided many choices for new installation and retrofit. Many utility companies have established rebate programs for certain relamping projects. In addition, integrated heating, ventilating, and air-conditioning systems can present hospitals opportunities to improve patient comfort and energy efficiency. Maintaining and upgrading system boilers and chillers and installing equipment designed to adapt efficiently to changing seasonal needs can generate significant energy savings. Improved energy distribution and control systems should also be a part of a hospital's energy management program.

Air Conditioning↗
PubMed1979

Epidemiology of Legionnaires' disease.

Ten recorded epidemics of Legionnaires' disease are reviewed to gain a working perspective on the epidemiology of the disease. Salient features have included a summer-fall seasonality, a male predominance that may largely reflect increased exposure risk among men, and a striking absence of person-to-person spread. That the disease is spread primarily via the airborne route is well established; air-treatment and air-conditioning equipment has been implicated as the amplification and delivery system in four epidemics. Soils and excavation sites have been suggested as sources of the organism in at least one recorded epidemic. Evidence to date suggests that the Legionnaires' disease bacterium may be widespread in nature. More complete epidemiologic understanding must await development of improved microbiologic and immunologic tests.

Air Conditioning↗
PubMed1985

Prevalence of dental mottling in school-aged lifetime residents of 16 Texas communities.

The severity of dental mottling in 2,592 school-aged, lifetime residents of 16 Texas communities was investigated in 1980-81 to identify factors associated with mottling and to construct a prediction model for the prevalence of mottling. The communities were selected to obtain a wide range of levels of fluoride in the drinking water. The children within each of the communities were contacted through their schools and received a dental examination to assess the severity of mottling. Information on demographic, dental health practice, and other candidate predictor variables was obtained from a questionnaire completed by a parent. A number of water quality measurements were also recorded for each community. White and Spanish-surname children had about the same prevalence of mottling while Blacks had a higher prevalence, odds ratio (OR) = 2.3, 95% confidence interval = 1.4, 3.7. Children from homes which had air conditioning had a lower prevalence of mottling (OR = .6, (0.4, 0.8)). The use of fluoride toothpaste or drops and the number of fluoride treatments were almost identical among those who did and did not develop moderate mottling. In addition to fluoride, total dissolved solids and zinc were water quality variables associated with mottling.

Adolescent↗
PubMed1999

Concerns of the dry-cleaning industry: a qualitative investigation of labor and management.

BACKGROUND: Occupational scientists agree there are hazards associated with dry-cleaning, but do dry-cleaning owners and workers concur? Knowledge of owners' and workers' perceptions can help guide intervention efforts to reduce worker exposure. To better understand these issues, a qualitative study was conducted using focus group methodology and constant comparative analysis. METHODS: Two owner and four worker focus groups were held. RESULTS: Findings suggest that overall, health and safety issues were not of great concern. Owners were primarily concerned with the economic impact of regulations. Workers did express some anxiety about solvent exposure and burns, but most felt that these hazards were "just part of the job." Also, other than the installation of air-conditioning in the shops and the provision of health benefits, workers could not think of ways health and safety on the job could be improved. CONCLUSIONS: These findings will be used to develop comprehensive safety and health interventions (e.g., engineering plus education and training) in dry-cleaning shops.

Air Conditioning↗
PubMed1979

[Review of the development of air humidifiers working on the principle of evaporation with reference to their experimentally assured efficacy].

Basing on own measurements of the efficiency of customary water-bath humidifiers (humidifier of the ventilator RO-5 R, humidifier of the ventilator Engström ER 200, Bennett Cascade Humidifier, Hydrotrop 200 and Nicholas Humidifier) a critical review is given. As the results show only 3 of the humidifiers (Bennett Cascade Humidifier, Hydrotrop 200 and Nicholas Humidifer) make sure a really breathing air "conditioning" (moistening and rewarming). The humidifers of the ventilators RO-5 R and Engström ER 200 have only a very low efficiency, therefore they are not suitable for long term ventilation. Finally, the safety for the patient (the dangers of watercondensation, watertransport into the lungs, overheating, hypothermia and superhumidication) and the different expenditure of the clinical use of the humidifiers should be mentioned.

Aerosols↗
PubMed2003

Texas lifestyle limits transmission of dengue virus.

Urban dengue is common in most countries of the Americas, but has been rare in the United States for more than half a century. In 1999 we investigated an outbreak of the disease that affected Nuevo Laredo, Tamaulipas, Mexico, and Laredo, Texas, United States, contiguous cities that straddle the international border. The incidence of recent cases, indicated by immunoglobulin M antibody serosurvey, was higher in Nuevo Laredo, although the vector, Aedes aegypti, was more abundant in Laredo. Environmental factors that affect contact with mosquitoes, such as air-conditioning and human behavior, appear to account for this paradox. We conclude that the low prevalence of dengue in the United States is primarily due to economic, rather than climatic, factors.

Aedes↗
PubMed1978

Occupational hypersensitivity lung disease.

A case of occupational hypersensitivity pneumonitis caused by an air conditioning unit is presented. Aspergillus fumigatus and aureobasidium pullulans were cultured from this unit and antibodies to these organisms were found the patient's blood. The case shows that this disease may present in a very subtle form and may be diagnosed by a culture from the patient's environment and an easily performed blood precipitin test. The importance of searching for this type of lung disease and the need for obtaining precipitin tests are stressed.

Air Conditioning↗
PubMedDate not supplied

Dampness and airway inflammation and systemic symptoms in office building workers.

To evaluate dose-response relationships between airway inflammation/systemic symptoms and dampness exposure, we conducted a self-reported questionnaire study on risk factors among 1237 employees in 19 air-conditioned office buildings in the Taipei area. The odds ratio for eye irritation was 1.34 when either stuffy odor or mold was present in the buildings. The odds ratio increased to 1.72 when both stuffy odor and mold were present, to 3.14 when water damage was also present, and to 5.03 when four dampness exposure factors were present. Dampness in the building had a dose-response effect on eye irritation, cough, and lethargy/fatigue.

Adult↗
PubMed1991

Legionella adelaidensis, a new species isolated from cooling tower water.

A Legionella-like organism (strain 1762-AUS-E) was isolated from a cooling tower of an air-conditioning system in Adelaide, South Australia, Australia. The isolate was presumptively identified as a Legionella strain by its growth requirement for L-cysteine and its cellular branched-chain fatty acids. Strain 1762-AUS-E was serologically distinct in the slide agglutination test with absorbed antisera. DNA hybridization confirmed that it is a new Legionella species for which the name Legionella adelaidensis is proposed.

Air Conditioning↗
PubMed2004

Towards a holistic approach for the urban environment and its impact on energy utilisation in buildings: the ATREUS project.

Enhanced urbanisation and its impact on the urban climate have a significant impact on the energy behaviour of buildings. Rising standards in indoor environmental quality lead to higher energy consumption values for heating, ventilation and air-conditioning purposes. ATREUS is a research and training network launched recently aiming to cover some of these aspects to enable a better understanding of the phenomena as well as providing high quality training for young European researchers. Having completed one year of work, some indicative results of the approach used within ATREUS have already produced both methodological approaches and combinatorial case studies; an example of the latter, based on the Thessaloniki experiment and the results produced by an extended field survey, will be discussed.

Air Conditioning↗
PubMed2006

Outbreak of bloodstream infection with the mold Phialemonium among patients receiving dialysis at a hemodialysis unit.

BACKGROUND: Molds are a rare cause of disseminated infection among dialysis patients. OBJECTIVE: We evaluated a cluster of intravascular infections with the mold Phialemonium among patients receiving hemodialysis at the same facility in order to identify possible environmental sources and prevent further infection. DESIGN: Environmental assessment and case-control study. SETTING: A hemodialysis center affiliated with a tertiary care hospital. METHODS: We reviewed surveillance and clinical microbiology records and performed a blood culture survey for all patients. The following data for case patients were compared with those for control patients: underlying illness, dialysis characteristics, medications, and other possible exposure for 120 days prior to infection. Environmental assessment of water treatment, dialysis facilities, and heating, ventilation, and air-conditioning (HVAC) systems of the current and previous locations of the dialysis center was performed. Samples were cultured for fungus; Phialemonium isolates were confirmed by sequencing of DNA. Investigators observed dialysis access site disinfection technique. RESULTS: Four patients were confirmed as case patients, defined as a patient having intravascular infection with Phialemonium species; 3 presented with fungemia, and 1 presented with an intravascular graft infection. All case patients used a fistula or graft for dialysis access, as did 12 (75%) of 16 of control patients (P=.54). Case and control patients did not differ in other dialysis characteristics, medications received, physiologic findings, or demographic factors. Phialemonium species were not recovered from samples of water or dialysis machines, but were recovered from the condensation drip pans under the blowers of the HVAC system that supplied air to the dialysis center. Observational study of 21 patients detected suboptimal contact time with antiseptic agents used to prepare dialysis access sites. CONCLUSION: The report of this outbreak adds to previous published reports of Phialemonium infection occurring in immunocompromised patients who likely acquired infection in the healthcare setting. Recovery of this mold from blood culture should be considered indicative of infection until proven otherwise. Furthermore, an investigation into possible healthcare-related environmental reservoirs should be considered.

Adult↗
PubMed1997

[Simulation of a decoupling generalized predictive control algorithm for temperature-humidity system].

A decoupling generalized predictive control algorithm was presented in this paper. This algorithm was proposed to control the temperature-humidity system of a practical air-conditioning environmental chamber. By introducing absolute humidity as an intermediate variable, temperature and humidity of the system can be decoupled. Then the two decoupled systems are controlled by generalized predictive control (GPC) algorithm at different sample rates. Many simulation experiments demonstrated the effectiveness of the algorithm. Besides, decoupling of temperature and humidity will be extremely helpful to the application of GPC on the real system. This is also the effective method to control the temperature and humidity system.

Air Conditioning↗
PubMed1996

Analysis of the allergenic composition of rat dust.

BACKGROUND: Allergy to rats is an important occupational health problem. The allergens of rat urine have been well defined but those in rat room dust, a potentially important source of inhalant exposure, have not. OBJECTIVE: To describe the allergens present in rat room dust and to identify a suitable marker protein which may be used to quantify airborne rat allergen. METHODS: Dust collected from the air-conditioning system (bulk dust, 'bd') and with an air sampler (airborne dust, 'ad') were analysed by radioallergosorbent test (RAST) inhibition, immunoblotting and immunoblot inhibition techniques and comparisons made with hair and urine extracts prepared from adult male Wistar rats. RESULTS: Extensive crossreactivity was found between the extracts by RAST inhibition under different experimental conditions. Dust was more potent as an inhibitor than other extracts. The immunoblotting patterns of both dusts were similar although 'ad' contained an allergen at 29 kDa not found in 'bd'. Forty-two sera from rat allergic subjects were used to identify 18 allergens in 'bd'. Three 'major' allergens were found; 100% of subjects had immunoglobulin (Ig)E to a 44 kDa allergen and 74% and 88% of subjects had IgE with bound to the 20.5 and 17 kDa allergens respectively. Immunoblot inhibition experiments identified the 17 kDa dust allergen as alpha 2u-globulin (Rat nI). CONCLUSIONS: Rat dust is a complex allergenic source. The 17 kDa dust allergen has immunological identity with Rat nI and is a suitable marker protein for the quantitation of airborne rat allergen.

Air Pollutants↗