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How far is that by air? The derivation of an air: ground coefficient.

The objective of this study was to derive a simple equation to convert distances between air miles traveled by a helicopter and ground miles traveled by an ambulance. We performed a retrospective analysis of a convenience sampling of 245 "lights and sirens" ground ambulance transports between 1993 and 1997. Ground distances were recorded from odometer miles for each transport. Air miles were calculated using the Global Positioning System (GPS), measuring the distance in a straight line from the scene to the hospital. Air and ground distances were entered into a computerized spreadsheet, and the correlation coefficient and regression equation were derived. A simple approximation equation was developed and compared against the derived regression equation. There was a strong linear correlation between ground miles and air miles at virtually all distances studied (R = 0.932, R(2) = 0.869). Regression analysis revealed the following relationship: Ground miles = 0.94 + 1.25 (air miles). This was simplified to an approximation of: Ground miles = 1.3 (air miles). The approximation equation yielded an answer within 1 mile of the regression equation for distances up to 40 air miles. It is concluded that in a mixed rural and urban EMS system, one may convert air and ground mileage estimates by using the simple relationship: Ground miles = 1.3 (air miles). This conversion coefficient may prove useful for EMS personnel in designing reasonable helicopter utilization policies, making accurate transport decisions and conducting research.

Air Ambulances↗

Inconsistent correlation between aerobic bacterial surface and air counts in operating rooms with ultra clean laminar air flows: proposal of a new bacteriological standard for surface contamination.

The relationship between surface contamination (cfus/m2/h) with particles carrying aerobic bacteria and corresponding air contamination rates (cfus/m3) was evaluated in operating rooms (OR) equipped with ultra clean vertical or horizontal laminar airflow (LAF). For the evaluation we collected data during strictly standardized sham operations using non-woven disposable or cotton clothing. Air contamination in the wound and instrument areas (Casella slit sampler) was related to the surface contamination rate (settle plates) in the same areas and in addition, on the patient chest. Typically, the mean surface counts were 20-70 cfus/m2/h and the air counts 1-2 cfus/m3 in disposable clothing experiments, whilst the use of cotton clothing resulted in higher counts of 100-200 cfus/m2/h (wound P > 0.05, patient P > 0.05, instruments P < 0.01) and 4 cfus/m3 (P < 0.02-0.001). In the vertical LAF, taking both disposable and cotton clothing operations together, the surface and air contamination rates (surface/air ratio SAR) were highly correlated (P = 0.02-0.004) and the ratio varied between 18:1 and 50:1 with a mean for wound air of 36:1. Using only disposable clothing in the vertical LAF, the number of significant correlations was reduced. With cotton clothing experiments in vertical LAF and in the horizontal LAF using disposable clothing, no significant correlation between surface and air contamination was found. The wide variation of SAR values and the inconsistent relationship between surface and air counts indicates that measurement of OR air contamination represents an unhelpful method for assessment of surgical site contamination in LAF units. We propose instead that colony counts on sedimentation plates is a clinically more relevant indicator of bacterial OR contamination in LAF units. In addition to the current bacteriological standard for ultra clean OR air of (< 10 cfus/m3) we suggest a corresponding standard for the surface contamination rate of < 350 cfus/m2/h.

Air Microbiology↗

Evidence for membrane-bound carbonic anhydrase in the air bladder of bowfin (Amia calva), a primitive air-breathing fish.

The purpose of this study was to examine the subcellular distribution and isoenzyme characteristics of carbonic anhydrase from the gills and respiratory air bladder of bowfin Amia calva, a primitive air-breathing fish. Separation of subcellular fractions by differential centrifugation revealed that the vast majority of carbonic anhydrase from the gills of bowfin originated from the cytoplasmic fraction. Washing of the gill microsomal pellet also indicated that the carbonic anhydrase originally associated with this pellet was largely due to contamination from the cytoplasmic fraction. Experiments with a carbonic anhydrase inhibitor, sulphanilamide, and the plasma carbonic anhydrase inhibitor from this species confirmed that the bowfin gill probably contains only one carbonic anhydrase isoenzyme which had properties resembling those of CA II. In contrast to the situation in the gills, a relatively large percentage (27%) of the total air bladder carbonic anhydrase was associated with the microsomal fraction. Washing of the air bladder microsomal pellet removed little of the carbonic anhydrase activity, indicating that most of the carbonic anhydrase in the microsomal fraction was associated with the membranes. Like the mammalian pulmonary CA IV isoenzyme, microsomal carbonic anhydrase from the bowfin air bladder was less sensitive to the bowfin plasma carbonic anhydrase inhibitor, sodium dodecylsulphate (SDS) and sulphanilamide than was cytoplasmic carbonic anhydrase from the air bladder. Microsomal carbonic anhydrase from the bowfin air bladder also resembled CA IV in that it appears to be anchored to the membrane via a phosphatidylinositol-glycan linkage which could be cleaved by phosphatidylinositol-specific phospholipase C. Taken together, these results suggest that a membrane-bound carbonic anhydrase isoenzyme resembling mammalian CA IV in terms of inhibition characteristics and membrane attachment is present in the air-breathing organ of one of the most primitive air-breathing vertebrates.

Air Sacs↗

Changes in ocular and nasal signs and symptoms among air crew in relation to air humidification on intercontinental flights.

OBJECTIVE: This study evaluates the influence of air humidification in aircraft on symptoms, tear-film stability, nasal patency, and peak expiratory flow. METHODS: Commercial air crew (N=71) were given a medical examination during eight flights from Stockholm to Chicago and eight flights in the opposite direction. Examinations were done onboard one Boeing 767 aircraft equipped with an evaporation humidifier in the forward part of the cabin. The investigators followed the air crew, staying one night in Chicago and returning with the same crew. Four of the flights had the air humidification device active in-flight to Chicago and deactivated when returning to Stockholm. The other four flights had the inverse humidification sequence. The humidification sequence was randomized and double blind. Hygienic measurements were performed. RESULTS: The humidification increased the relative air humidity by 10% in the 1st row in business class, by 3% in the last row (39th row) in tourist class, and by 3% in the cockpit. Air humidification increased tear-film stability and nasal patency and decreased ocular, nasal, and dermal symptoms and headache. The mean concentration of viable bacteria [77-108 colony-forming units (cfu)/m(3)], viable molds (74-84 cfu/m(3)), and particulate matter (1-8 microg/m(3)) was low, both during the humidified and non-humidified flights. CONCLUSIONS: Relative air humidity is low (10-12%) during intercontinental flights and can be increased by the use of a ceramic evaporation humidifier, without any measurable increase of microorganisms in cabin air. Air humidification could increase passenger and crew comfort by increasing tear-film stability and nasal patency and reducing various symptoms.

Adult↗

Hypocapnic hyperventilation versus isocapnic hyperventilation with ambient air or with dry air in asthmatics.

The effects of three types of hyperventilation challenge tests (free hypocapnic, ambient air; controlled isocapnic, ambient air; controlled isocapnic, dry air), on FEV1 and on Raw were compared in 12 asymptomatic asthmatics. Controlled isocapnic hyperventilation of dry air as well as of ambient air caused bronchoconstriction lasting for more than 8 min, but the degree of bronchoconstriction was significantly greater with the former. Free hypocapnic hyperventilation of ambient air caused peak bronchoconstriction after 1 min, followed by a steady functional improvement; the values after 1 min were similar to those following isocapnic dry air hyperventilation, and values after 8 and 15 min were similar to those following isocapnic ambient air hyperventilation. The changes in Raw induced by the three types of hyperventilation were not influenced by a preceding full inspiration. In the eight subjects in whom the lung function had returned to within 10% of control after 30 min, identical duplicate hyperventilation challenge tests performed at that time demonstrated a significant, partial refractoriness for all tests. Thus the simple, free hypocapnic, hyperventilation test with ambient air was found to be as reliable as the more sophisticated controlled isocapnic tests.

Adult↗

Elemental carbon and respirable particulate matter in the indoor air of apartments and nursery schools and ambient air in Berlin (Germany).

UNLABELLED: This study was performed to examine exposure to typical carcinogenic traffic air pollutants in the city center of an urban area. In all, 123 apartments and 74 nursery schools were analyzed with and without tobacco smoke interference and the households in two measuring periods. Simultaneously, the air outside 61 apartment windows as well as the average daily traffic volume were measured. Elemental carbon (EC), the marker for particulate diesel exhaust and respirable particulate matter (RPM) were determined. The thermographic EC analysis was conducted with and without prior solvent extraction of the soluble carbon fraction. Comparison of these two thermographic EC measurements clearly showed that method-related differences in the results, especially for indoor measurements, when high background loads of organic material were present (e.g. tobacco smoke), existed. Solvent extraction prior to EC determination was therefore appropriate. For the first winter measuring period, the EC concentration levels without solvent extraction in the indoor air were about 50% higher than those measured in the spring/summer period. In the second measuring period (i.e. spring/summer), the median EC concentrations after solvent extraction were 1.9 microg/m3 for smokers' apartments and 2.1 microg/m3 for non-smokers' apartments, with RPM concentrations of 57 and 27 microg/m3, respectively. Nursery schools showed high concentrations with median values of 53 microg/m3 for RPM and 2.9 microg/m3 for EC after solvent extraction. A significant correlation between the fine dust and EC concentrations (after solvent extraction) in the indoor and ambient air was determined. Outdoor EC values were also correlated with the average daily traffic volume. The EC ratios between indoor and ambient concentration showed a median of 0.8 (range: 0.3-4.2) in non-smoker households and 0.9 (range: 0.4-1.5) in smoker apartments. Furthermore, the EC/RPM ratio in indoor and ambient air was 0.01-0.15 (median 0.06) and 0.04-0.37 (median 0.09), respectively. PRACTICAL IMPLICATIONS: In the absence of indoor sources a significant correlation with regard to respirable particulate matter (RPM) and elemental carbon concentrations between the indoor and ambient air of apartments was observed. The high degree of certainty resulting from this correlation underscores the importance of ambient air concentrations for indoor air quality. In nursery schools we found higher concentrations of RPM. An explanation of these results could be the high number of occupants in the room, their activity and the cleaning intensity.

Adult↗

Effects of light intensity and air velocity on air temperature, water vapor pressure, and CO2 concentration inside a plant canopy under an artificial lighting condition.

In order to characterize environmental variables inside a plant canopy under artificial lighting in the CELSS, we investigated the effects of light intensity and air velocity on air temperature, water vapor pressure, and CO2 concentration inside a plant canopy. Under a PPF of 500 micromoles m-2 s-1, air temperature was 2-3 degrees C higher, water vapor pressure was 0.6 kPa higher, and CO2 concentration was 25-35 micromoles mol-1 lower at heights ranging from 0 to 30 mm below the canopy than at a height 60 mm above the canopy. Increasing the PPF increased air temperature and water vapor pressure and decreased CO2 concentration inside the canopy. The air temperature was lower and the CO2 concentration was higher inside the canopy at an air velocity of 0.3 m s-1 than at an air velocity of 0.1 m s-1. The environmental variables inside the canopy under a high light intensity were characterized by higher air temperature, higher vapor pressure, and lower CO2 concentration than those outside the canopy.

Air Conditioning↗

Air Sampling System for use in monitoring viable and non-viable particulate air quality under dynamic operating conditions of blow/fill/seal processing.

An Air Sampling Link (ASL), employed in conjunction with an Air Sampling Device (ASD) or a laser particle counter, has been developed for sampling flowing air for viable and non-viable particulate analyses. Typically, the ASL could be used to sample filtered air supplied to an air shower of a Blow/Fill/Seal machine operating in the dynamic state. The ASL allows sample volumes of air to be taken from flowing air without significant loss from the sample flow of airborne particles possessing aerodynamic sizes relevant to those found in practice. The link has no moving parts, is steam sterilizable in-situ, and allows for the taking of continuous samples of air without the need for intervention into the 'critical zone' of the filling machine. This article describes (i) the design criteria for the ASL and the ASD, (ii) the rationale underlying the concept of the ASL design, (iii) the collection performance of the ASL against that of a conventional sampling arrangement, and (iv) a functionality assessment of the ASL-based sampling system installed on a Rommelag style 305 B/F/S machine over a seven week period.

Air Microbiology↗

[The effect of the ventilation rate on air particle and air microbe concentration in operating rooms with conventional ventilation. 1. Measurement without surgical activity].

The question was if a reduction of airborne particles and bacteria in conventionally (turbulently), ventilated operating theatres in comparison to Laminar-Airflow (LAF) operating theatres does occur at high air-exchange-rates. Within the framework of energy consumption measures the influence of air-exchange-rates on airborne particle and bacteria concentrations was determined in two identical operating theatres with conventional ventilation (wall diffusor panel) at the air-exchange-rates 7.5, 10, 15 and 20/h without surgical activity. This was established by means of the statistical procedure of analysis of variance. Especially for the comparison of the air-exchange-rates 7.5 and 15/h statistical differences were found for airborne particle concentrations in supply and ambient air. Concerning airborne bacteria concentrations no differences were found among the various air-exchange-rates. Explanation of variance is quite high for non-viable particles (supply air: 37%, ambient air: 81%) but negligible for viable particles (bacteria) with values below 15%.

Air Microbiology↗

Site 5 air sparging pilot test, Naval Air Station Cecil Field, Jacksonville, Florida.

A 72-h air sparging pilot test was conducted at Site 5 (Operable Unit 2), Naval Air Station Cecil Field, Jacksonville, FL, to determine performance parameters necessary for full-scale design. The sparge well was completed to a depth of 29 ft, several feet below the groundwater plume contaminated with volatile organic compounds (VOCs), primarily benzene, toluene, ethylbenzene, and xylenes (BTEX). Air flow rates supplied to the sparge well were 3 cubic feet/min (cfm) during the first day, 2 cfm during the second day, and 1 cfm during the third day. Water levels in monitoring wells initially rose approximately 2 ft during the first 4-5 h of the test, then receded back to pre-test equilibrium levels over the next 15 h, for a total duration of water mounding of about 20 h. A small (approximately 0.5 ft) water table drop, with subsequent recovery to equilibrium level, occurred each time the air sparging rate was decreased. Although there is considerable variation depending on direction from the sparge well, the average radius of influence varied from approximately 30 ft at 1 cfm to 50 ft at 3 cfm. The air sparge system was capable of increasing the dissolved oxygen from 0 to 6 or 7 mg/l within 12-15 h of air channels reaching a given location. A lag time of approximately 13 h was observed before air channels reached a radius of 30 ft and dissolved oxygen levels began to increase at that radius. CO(2) (stripped out of the groundwater by the sparging) decreased from a pre-test concentration of 150 to 20 mg/l at r=5 ft, and from 150 to 50 mg/l at r=30 ft, within a period of about 24 h. The rate of VOC mass removal during the pilot test was 0.06 lb/day at a sparge rate of 3 cfm, and it appears that air sparging will effect a rapid cleanup of the VOCs in the Site 5 groundwater plume.

Air↗

The influence of rapid air cooling and carbon dioxided cooling and subsequent storage in air and carbon dioxide on shell egg quality.

This study examined the effect of rapid cooling with air and CO2 on shell egg quality over 14 wk. The 240 fresh eggs were initially heated to 47 C for 24 h in an incubator, cooled using rapid air cooling or CO2 cooling, and then stored in air or CO2 in 250-mL jars for 14 wk. The CO2 levels were recorded of the jar atmosphere, of the egg air cell, and of the egg albumen. The Haugh units of each egg, pH, and of albumen from five eggs per group were also recorded. Haugh units are a logarithmic, empirical relationship between albumen height and egg weight (Stadelman, 1995). Haugh units for the control eggs averaged 70.8 over 10 wk of the study. The control eggs were of such poor quality that they could not be sampled after 10 wk. The air-cooled and CO2-stored eggs averaged 70.3 Haugh units over the 14-wk storage period; however, the egg quality significantly deteriorated after 10 wk. The CO2-cooled and CO2-stored eggs averaged 75.9 Haugh units over the 14 wk study, with no observable decrease in quality. Rapid air-cooling produces a lower quality egg than rapid cooling with CO2. Subsequent storage of rapidly air-cooled eggs in C02 may increase shelf life, but Haugh units were not statistically different from rapid air-cooled eggs. CO2-cooling and subsequent storage in CO2 increased Haugh units. The shelf life of shell eggs could be extended to greater than 14 wk when the eggs were CO2-cooled and CO2-stored.

Air↗

The performance and subjective responses of call-center operators with new and used supply air filters at two outdoor air supply rates.

UNLABELLED: A 2 x 2 replicated field intervention experiment was conducted in a call-center providing a telephone directory service: outdoor air supply rate was adjusted to be 8% or 80% of the total airflow of 430 l/s (3.5 /h) and the supply air filters were either new or had been in place for 6 months. One of these independent variables was changed each week for 8 weeks. The interventions did not affect room temperature, relative humidity or noise level. The 26 operators were blind to conditions and each week returned questionnaires recording their environmental perceptions and Sick Building Syndrome (SBS) symptoms. Their performance was continuously monitored by recording the average talk-time every 30 min. Replacing a used filter with a clean filter reduced talk-time by about 10% at the high ventilation rate but had no significant effect at the low rate. Increasing the outdoor air supply rate reduced talk-time by 6% with a new filter in place but increased talk-time by 8% with a used filter in place. The interventions also had significant effects on some SBS symptoms and environmental perceptions. The present results indicate that increasing outdoor air supply rate and replacing filters can have positive effects on health, comfort and performance. PRACTICAL IMPLICATIONS: Supply air filters should be changed frequently not just because their airflow resistance increases progressively but because they degrade air quality with negative consequences for health, comfort and the performance of office work, all of which are factors that affect office productivity (profitability). Increasing outdoor air supply rates may only be beneficial when new filters are installed. Unwanted negative effects may be produced when used filters are in place. Filter condition (used or new) should always be recorded to make it possible to draw sound conclusions in studies of the effects of outdoor air supply rates on building occupants.

Air Movements↗