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Enumeration of air-borne bacteria in hospital.

An investigation of the "normal" bacterial content of the air of a large general hospital is described. In many different places within five different areas 70 to 200 settle-plate or slit-sampler bacterial counts were carried out. Average counts were most often of the same order as or lower than other published results and were proportional to human activity. The use of the logarithms of the counts showed no advantage, and conventional statistics should be applied with caution in evaluating such studies. Slitsampler and settle-plate counts of all bacteria showed no correlation, whereas those of Staph. aureus were correlated. There is a lack of parallelism between hospital infection and air bacteria counted by current methods, which are, therefore, not suitable for routine use.

Air Conditioning↗

Effect of hyperoxia on the arousal response to airway occlusion during sleep in normal subjects.

The effect of hyperoxia on the arousal response to airway occlusion during non-rapid eye movement (NREM) sleep was studied in six normal male subjects with a mean age (+/- SD) of 23.5 +/- 8.7 yr by testing the response to the occlusion of a face mask covering the nose and mouth. Occlusion trials while the subjects breathed room air (room air condition) were alternated with trials in which subjects breathed a mixture of room air and oxygen adjusted to maintain a sleeping baseline arterial oxygen saturation of 98% (hyperoxic condition). The time to arousal (mean +/- SEM) was significantly longer during oxygen administration (4.1 +/- 4.5 versus 28.9 +/- 4.6 s; p < 0.002). The maximal deflections in airway pressure were measured at a supraglottic location during airway occlusion to reflect the degree of inspiratory effort. The maximal airway suction pressure preceding arousal did not differ between the room air (27.4 +/- 5.4 cm H2O) and hyperoxic conditions (26.6 +/- 5.9 cm H2O). Conversely, the rate of increase in inspiratory effort (maximal pressure) during occlusion was decreased by oxygen administration. We conclude that hyperoxia prolongs the time to arousal after airway occlusion by decreasing the rate of increase in the magnitude of inspiratory efforts, but it does not change the arousal threshold.

Adolescent↗

Excreted corticosterone metabolites co-vary with ambient temperature and air pressure in male Greylag geese (Anser anser).

In many species, seasonal activities such as reproduction or migration need to be fine-tuned with weather conditions. Air pressure and temperature changes are the best parameters for such conditions. Adapting to climatic changes invariably involves physiological and behavioral reactions associated with the adrenals. In the present study, we investigated the effects of ambient temperature and air pressure on excreted immuno-reactive metabolites of corticosterone (BM) and androgens (AM). Focal individuals were 14 paired male greylag geese (Anser anser) from a semi-tame, unrestrained flock. BM and AM were measured in individual fecal samples over 25 days in November and December. Two different ACTH-validated assays were used for the assessment of BM: the first one cross-reacting with 11beta,21-diol-20-one structures ("old assay") and the second one with 5beta,3alpha,11beta-diol structures ("new assay"). With the "new assay," BM correlated negatively with the minimum ambient temperature of the night before, which may reflect corticosterone involvement in thermoregulation. BM also correlated positively with the minimum air pressure of the previous afternoon, which supports the value of air pressure for predicting weather conditions. Together, these reactions suggest a role of the adrenals in responding behaviorally and physiologically to changes in weather. Preliminary analysis indicated a higher sensitivity to the excreted glucocorticosteroid metabolites in the "new assay." As expected for outside the mating season, no relationships were found between excreted AM and the weather parameters considered. The gradual changes in BM excretion in parallel with weather conditions may be part of the fine-tuning of physiology and behavior by environmental clues.

Adrenocorticotropic Hormone↗

Methylmercuric iodide modification of lipoxygenase-1. Effects on the anaerobic reaction and pigment bleaching.

The effect of methylmercuric iodide modification of sulfhydryl groups in soybean lipoxygenase-1 on linoleate oxidation, carbonyl production and beta-carotene and chlorophyll alpha bleaching were determined under aerobic and anaerobic conditions. Linoleate oxidation at pH 9.0 was strongly inhibited by modification of the enzyme. On the other hand, pigment bleaching was enhanced with the modified enzyme. Unmodified lipoxygenase-1 was not sensitive to chlorophyll inhibition, but activity of modified lipoxygenase-1 was affected. Linoleate oxidation was inhibited up to 70% when 2.2 microM chlorophyll was present in the reaction mixture. Chlorophyll inhibition was similar with affinity chromatography-purified lipoxygenase-2 and modified lipoxygenase-1. Unmodified lipoxygenase-1 exhibited high bleaching activity under anaerobic conditions and relatively low activity under aerobic (oxygen or air) conditions. Modified lipoxygenase-1 showed a significant increase in carotene and chlorophyll bleaching under both anaerobic and aerobic conditions. Under anaerobic conditions in the presence of either pigment, both modified and unmodified lipoxygenase-1 exhibited high 285 nm absorbing material production. Antioxidants (butylated hydroxyanisole, butylated hydroxytoluene, alpha-tocopherol, propyl gallate and tertiary butylated hydroxyquinone ) were powerful inhibitors of pigment bleaching by modified lipoxygenase-1. However, only tertiary butylated hydroxyquinone and propyl gallate blocked the increase in the rate of absorbance at 285 nm.

Anaerobiosis↗

Exposure time and place: do COPD patients differ from the general population?

Time-activity patterns in a panel of 70 patients with COPD (35 males) are compared to an age-matched subgroup from the randomly sampled Canadian Human Activity Pattern Survey. Total time indoors and outdoors were similar in both groups but significantly more indoor time in COPD subjects was spent at home than the indoor time of controls, who were more often indoors elsewhere. As part of improving their indoor air at home, COPD subjects were significantly more likely to have air conditioning at home. These results suggest that while outdoor air exposure strategies need not differ in COPD subjects from normals, indoor mitigation strategies should emphasize source pollutant control in the patient's home.

Aged↗

[Air-conditioner disease. Results of an industrial medicine survey (author's transl)].

The results of a survey conducted in a company employing 1850 persons working in air-conditioned premises are reported. One hundred and five persons were examined, including 790 who mostly complained of respiratory disorders and 20 controls. Regular check-ups during the last two years have failed to reveal any serious disease. The most frequent complaints were rhinitis and tracheitis, especially among female employees. No alveolitis was observed. The finding of Bacillus subtilis in samples of ambient air and air-conditioner filters in conjunction with the presence of precipitating antibodies against crude extracts from these samples, suggested that the respiratory disorders might have been due to this microorganism. A multifactorial analysis demonstrated a statistically significant correlation between clinical symptoms and immunological disorders. The air-conditioner disease, therefore, may present as a benign condition.

Adult↗

Analysis of air flow patterns in the human nose.

The nasal cavity is the main passage for air flow between the ambient atmosphere and the lungs. A preliminary requisite for any investigation of the mechanisms of each of its main physiological functions, such as filtration, air-conditioning and olfaction, is a basic knowledge of the air-flow pattern in this cavity. However, its complex three-dimensional structure and inaccessibility has traditionally prevented a detailed examination of internal in vivo or in vitro airflow patterns. To gain more insight into the flow pattern in inaccessible regions of the nasal cavity we have conducted a mathematical simulation of asymmetric airflow patterns through the nose. Development of a nose-like model, which resembles the complex structure of the nasal cavity, has allowed for a detailed analysis of various boundary conditions and structural parameters. The coronal and sagittal cross-sections of the cavity were modeled as trapezoids. The inferior and middle turbinates were represented by curved plates that emerge from the lateral walls. The airflow was considered to be incompressible, steady and laminar. Numerical computations show that the main air flux is along the cavity floor, while the turbinate structures direct the flow in an anterior-posterior direction. The presence of the turbinates and the trapezoidal shape of the cavity force more air flux towards the olfactory organs at the top of the cavity.

Humans↗

Influence of the boundary thermal conditions on the air change efficiency indexes.

The influence of a thermal heterogeneity boundary conditions on the air change efficiency (ACE) of a mechanical ventilation system in a test room was experimentally evaluated by means of the "step-down" tracer gas technique in 24 different experimental conditions. The experiments were performed under isothermal condition, varying the air supply temperature with respect to the walls and varying the surface temperature of a wall with respect to the other walls and the supply air, simulating both heating and cooling situations. Changing the position of the outlet grid two different configurations of the ventilation system were tested. The nominal supply air velocity varied between 0.04 and 0.11 m/s, corresponding to a range from 1 to 3 ach, and the temperature differences varied from 0 to 5 degrees C. Results are reported in terms of air change efficiency indexes, both local and global. The global air change efficiency (ACE), values are presented as a function of the Archimedes number (Ar), whose values were in the range 0 to 181. The reported results suggest that the Ar number may be used to organize the ACE values when in the presence of thermal heterogeneity, both in the external envelope and in the supplied air. The obtained results show that there is a logarithmic relation between Ar and ACE. In particular, for both ventilation strategies tested, the increase of the absolute value of Ar leads to an increase of ACE when the supply air is warmer than the walls, and to a decrease of ACE when the supply air is colder than the walls. Under isothermal conditions the Reynolds number (Re) fairly correlates the experimental results.

Air↗

Particulate matter in animal rooms housing mice in microisolation caging.

Reactions to allergens created by laboratory animals are among the most frequently encountered occupational illnesses associated with research animals. Personnel are exposed to these allergens through airborne particulate matter. Although the use of microisolation caging systems can reduce particulate matter concentrations in rooms housing mice, the operating parameters of ventilated caging systems vary extensively. We compared room air in mouse rooms containing 5 different types of caging: 1) individually ventilated caging under positive pressure with filtered intake air and exhaust air returned to the room (VCR+), 2) individually ventilated caging under negative pressure with exhaust air returned to the room (VCR-), 3) individually ventilated caging under positive pressure with exhaust air returned to the heating, ventilation, and air-conditioning (HVAC) system, 4) individually ventilated caging under negative pressure with exhaust air returned to the HVAC system, and 5) static microisolation cages. We found that rooms under VCR conditions had fewer large particles than did those under other conditions, but the numbers of 0.3 microm particles did not differ significantly among systems. Static, positive or negative pressure applied to caging units as well as route of air exhaust were found to have little influence on the total number of particles in the atmosphere. Therefore, considering the heat load, odor, and overall particulate concentration in the room, placing individually ventilated caging under negative pressure with exhaust air returned to the HVAC system appears to be the optimal overall choice when using microisolation housing for rodents.

Air Pollutants, Occupational↗

[The temperature-humidity profile of the PhysioFlex. Studies on a model].

UNLABELLED: Closed-system anaesthesia provides the best prerequisites for optimal warming and humidification of anaesthetic gases. The PhysioFlex anaesthesia machine fascilitates quantitative closed-system anaesthesia. Furthermore, its design may improve the climatization of the anaesthetic gases by revolving the system volume at 70 l/min, using a small soda-lime canister to allow optimal usage of the heat and moisture generated by CO2 absorption and by integrating all system components in thermally isolating housing. To determine the capacity of the PhysioFlex to climatize anaesthetic gases, we evaluated the heat and humidity profile at four characteristic places in the anaesthetic circuit under standardised conditions in a model. MATERIALS AND METHODS: In an air-conditioned room at 19-20 degrees C ambient temperature, the PhysioFlex was operated with a fresh gas flow of less than 500 ml/min, similar to quantitative closed-system anaesthesia in adults. With a respiratory rate of 10/min and a tidal volume of 600 ml, a humidifier was ventilated, that delivered humidity-saturated gas at 33-34 degrees C; 200 ml/min CO2 were added to the system at the humidifier to mimic the heat, moisture, and CO2 input of a patient into the anaesthetic circuit. A total of six series were performed, each starting with a cold and dry anaesthetic circuit. For 2 h the time-courses of temperature and humidity of the anaesthetic gases were measured at four distinct places: (1) in the soda-lime canister (M1); (2) at the outlet of the anaesthesia machine (M2); (3) at the inlet of the anaesthesia machine (M3); and (4) in the inspiratory limb close to the Y-piece (M4). Capacitive humidity sensors (VAISALA Type HMM 30 D without a protective cap) and very small thermocouples were used to measure relative humidity (rH) and temperature. The data were recorded at 5 min intervals. Due to the continuous gas stream in the system, the response time of the sensors, which is in the range of a few seconds, did not affect the accuracy of the measurement. With the temperature-dependent humidity content of 100% rH obtained from equation 1, absolute humidity was calculated. RESULTS: The time courses of temperature and humidity at the different measuring points are depicted in Figs. 2 and 3, respectively. The steepest increase in temperature and humidity was observed at M1. Within 10 min 100% rH was achieved at all measuring points. Initially, there was a considerable temperature gradient between M1 and M2; this became gradually smaller, indicating system components with high heat capacities. There was only a small gradient between M2 and M4, indicating that there was only a small heat loss compared to the heat input. The recommended minimal climatization of the anaesthetic gases of 20 mg H2O/l [20] was obtained within 10 min at M4. During the whole measuring period heat and humidity increased in the system, reaching a maximum at M4 after 120 min with average values of more than 28 degrees C and 27 mg H2O/l, respectively. CONCLUSION: With the PhysioFlex anaesthesia machine employing closed-system conditions, minimal climatization of anaesthetic gases was reached within 10 min. After a period of 120 min, the anaesthetic gases were nearly climatized to the extent recommended for long-term respiratory therapy. To date, no comparable temperature and humidity level has been reported with conventional anaesthesia machines. The time course of the gradient between M1 and M2 may give an opportunity for further optimising the system in reducing heat loss after the soda-lime canister, the active heat and moisture source in the circuit. At about 32 degrees C, the temperature in the soda-lime canister is 10-15 degrees C less than in conventional anaesthesia machines. Thus, the use of thermally instable volatile anaesthetics in the PhysioFlex under closed-system conditions may be less critical than in conventional anaesthesia machines under minimal-flow conditions.

Adult↗

Effect of hypoxia and exercise on the distribution of 65Zn in rat muscles.

The aim of this study was to determine the influence of hypoxia and exercise in 65Zn distribution in various rat muscles. A total of 80 male wistar rats weighting 250 +/- 10 g were randomly separated into eight groups: four groups in air, two at rest, and the other two after exercise; four groups in hypoxia (3 days exposure), two at rest, and the other two after exercise. Two groups (n = 10) in air and two other groups under hypoxia were injected with 65Zn. The 65Zn uptake by blood, pH, and PaO2 decreased significantly during hypoxia. The Zn concentration increased significantly in serum, diaphragm, gastrocnemius, and heart Zn after exercise in air. After hypoxia, at res, Zn increased in serum and in diaphragm. After chronic hypoxia, at rest, radioactivity of 65Zn increased in heart, gastrocnemius, and bone, and it was similar in air condition after exercise with respect to rest. In both cases (air and hypoxia), the uptake of 65Zn by the tissues was higher at rest. After exercise in hypoxia, endogenous Zn decreased in heart and in diaphragm.

Animals↗

[Excess mortality in people over 65 years old during summer heat waves in Marseille. Comparison before and after a preventive campaign].

INTRODUCTION: High temperatures induce excess mortality in the population, even in our country. The 1983 heat wave in Marseille led to the development of warning messages in a preventive campaign since 1984. OBJECTIVE: To compare mortality of people over 65 years old during summer heat waves before and after a campaign in Marseille. METHOD: The INSEE mortality data were analysed according to the mean temperatures supplied by the National Meteorological Office from 1968 to 1997. A mortality index was developed to limit the effect of the progression in mortality over the last 30 years. The heat wave was defined as a temperature >or=26 degrees C lasting for 2 days during the months of June to August. RESULTS: The mean summer temperature in Marseille has increased from 22 to 23 degrees C in 30 years. The number of days of heat wave has also increased during this period. The mean index of daily excess mortality has dropped from 3.27 (1968-82) to 1.32 (1984-97) (p=0.008). CONCLUSION: The effects of global warming have been noted in Marseilles over the last 30 years. There has been no disappearance in excess mortality, but the warning messages appear to have been partially effective, even if other factors may have intervened (air-conditioning...). This prevention, like that for the risks related to air pollution, should be generalized because it is inexpensive, although assessment of its efficacy is difficult.

Aged↗

Thermal characteristics of clothing ensembles for use in heat stress analysis.

The Heat Stress Index was an early model for the assessment of heat stress. The International Organization for Standardization (ISO) standard for required sweat rate is the current generation of heat balance methods for occupational heat stress. The method assumes cotton clothing and works adequately for cotton/polyester blends. To extend the usefulness of the model, the thermal characteristics of a variety of commercially available and prototype protective clothing ensembles have been determined for application in the ISO method. The fundamental principle for assessing thermal characteristics of work clothing is establishing the critical environmental conditions in which test subjects were just able to maintain thermal equilibrium. Critical conditions were found for warm, humid conditions; hot, dry conditions; intermediate conditions of temperature and humidity; and/or moderate conditions in which metabolic rate was increased to a limiting thermal load. Typically, five subjects at each condition for each ensemble were used. Metabolic rate, average skin temperature, and the environmental conditions (air temperature and vapor pressure) were noted at the critical conditions, and the total insulation was estimated for each ensemble. From these values, the total evaporative resistance, the clothing factor for dry heat exchange (CFcl), and the clothing factor for evaporative cooling (CFpcl) were determined. When compared with reports of others on thermal characteristics the results agreed when pumping factors and clothing wetness were considered. The result was higher than expected values for CFcl and lower values for CFpcl.

Adult↗

[Tuberculosis in the crew of a submarine].

We report the apparent spread of mycobacterial tuberculosis among a submarine crew from a crew member with a low grade of infectivity. The air-conditioning system of submarines requires completely closed recirculation of ambient air. If a person with pulmonary tuberculosis were in a submarine, one would expect to find a high incidence of tuberculosis among others on the ship. The index patient was a 35-year-old member of a submarine crew. An abnormal shadow was found on a chest roentgenogram during an annual medical checkup, and he was hospitalized for examination. Acid-fast bacilli were found in his gastric secretions, but he did not complain of coughing and no tuberculosis bacilli were found in his sputum. All members of the submarine crew were examined, and some who were on board with the index patient reacted strongly. Because those who were also suspected to be infected were usually not close to the index patient's living quarters and had little contact with the patient in the submarine, we strongly suspect that the closed ventilation system contributed to the spread of the infection. Control of tuberculosis in a sealed environment requires detailed investigation of the environment and completion of chemoprophylaxis. Adequate ventilation and ultraviolet radiation are more effective than decontamination with disinfectants for the control of infectious droplet nuclei. Ships should be equipped with those systems.

Adult↗

Reduction of contamination at total hip replacement by special working clothes.

We assessed wound, air and operative field contamination at 50 total hip operations, performed in a zonal ventilation system. Theatre staff wore either a specially designed polypropylene non-woven coverall or conventional cotton shirt and trousers. The surgeons wore partially impermeable operating gowns. The polypropylene coverall was associated with significantly lower air and wound counts. The coverall was warmer than cotton but judged to be acceptable. The combined use of zonal ventilation and the coverall achieved ultra-clean air conditions.

Air Microbiology↗

Normal oxygen atmosphere is essential for the solitary long-term culture of early preantral mouse follicles.

This study compares the effects of reduced (5%) or normal (5% CO2 in air; 20% O2) oxygen tension on the in vitro maturation of early preantral ovarian follicles isolated from 14-day-old (C57BI/6J x CBAca) F1 mice. Intact follicles (100-130 microns) are singly cultured in 20 microliters droplets alpha-MEM enriched with FCS and rFSH under mineral oil at 37 degrees C and 100% humidity. In this culture system the follicles are allowed to attach to the bottom of the petri dishes. Follicle in vitro growth, hormone secretory capacity, and in vitro ovulation were studied under the two oxygen tensions. Spontaneous oocyte release from the follicle during a 16-day culture period was observed significantly more under 5% oxygen. Antral-like cavity formation was not observed under 5% O2. The follicles in the 5% O2 cultures reaching day 16 were stripped of their granulosa cell layers, and 83% of the retrieved oocytes had already undergone spontaneous germinal-vesicle breakdown (GVBD). Under 20% O2, the GV stage was maintained until day 16 in 77% of the oocytes. Under 5% O2, intact follicle survival up to day 12 was significantly reduced as compared to the 5% CO2 in air conditioning. The hCG stimulus on day 12 induced mucification in a significantly larger proportion of follicles cultured under 20% O2 (79% vs. 47%). Germinal-vesicle breakdown (20% O2:95, 5%, O2:42%) and first polar body extrusion (20% O2:40%, 5% O2:15%) were significantly more prevalent under normal oxygen tension. A reduced secretory capacity of E2 and inhibin was demonstrated for follicles cultured under 5% O2. The histological study of serially sectioned follicles showed increased areas of centrally located granulosa cell necrosis and pyknosis in the cumulus cells. Gassing follicle cultures using 5% CO2 in air provided appropriate conditions for normal growth, enhanced whole-follicle survival, differentiation, and hormone production, and improved the yield of meiotic competent oocytes.

Animals↗

Physical and chemical aspects of long-term biodeterioration of some polymers and composites.

A biodeterioration study was performed on synthetic polymeric materials including homogenous film made from poly(tetrafluorine ethylene), copolymer film made from tetrafluorine ethylene and perfluoromethyl vinyl ether, vulcanized rubber containing natural caoutchouc, and vulcanized rubber, the main component of which was synthetic butadiene nitrile caoutchouc. The materials were exposed for 12 years to the open air, in mycological containers, and in a cellar in maritime climate conditions: air humidity 72%-90% and seasonal average temperature of 17 degrees C in summer and -2.5 degrees C in winter. The studies of optical and electron microscopy revealed that microorganisms were able to develop not only on the surface of the materials but also to penetrate inside into deeper layers. The fungi that produced the most intensive deterioration in the fluorine polymers and vulcanized rubbers belonged to the Alternaria, Aspergillus, Aureobasidium, Cladosporium, Penicillium, Oidiodendron and Trichoderma genera. The fungi Aspergillus fumigatus, A. niger, Aureobasidium pullulans, and Trichoderma viride produced the most intensive deterioration in the fluorine films, whereas Alternaria tenuissima, Cladosporium herbarum, C. sphaerospermum, and fungi of the Oidiodendron genus were widespread on vulcanized rubbers. Fungi of the Aspergillus and Penicillium genera prevailed on both fluorine films and rubbers exposed in a cellar. Infrared spectroscopy indicated that the structures of poly(tetrafluorine ethylene) and the copolymer of tetrafluorine ethylene and perfluoromethyl vinyl ether did not change after the 12-year exposure; only insignificant changes in surface morphology were observed by optical microscopy. Vulcanized rubber made both from natural and from synthetic caoutchouc exposed for the same length of time showed rather evident changes in appearance and structure. X-ray graphical analysis revealed that new crystallization of the caoutchouc and a possible change in chemical composition of the fillers had occurred.

Biodegradation, Environmental↗