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At least 1,603 records · Page 89Linked to original sources
PubMed1993

Pulmonary sarcoidosis and chronic cutaneous atypical mycobacter ulcer.

This interesting case of pulmonary sarcoidosis and Mycobacterium ulcerans ulcers raises many issues: 1. Our paucity of knowledge of deficient immune status in individuals; the multifarious presentation as recognisable ill health, its early detection, treatment and its prevention. In this present case the management of the immune status of the patient has not yet been fully addressed. The relationship between his pulmonary sarcoidosis as being an 'immune' response to the Mycobacterium ulcerans remains speculative; for example, did this patient have the Mycobacterium infection before he was diagnosed as having sarcoidosis? There is no evidence of this. With the history of repeated cellulitis associated with his business trips to Asia and the Middle East, the likelihood seems speculative--as would infection with Mycobacterium ulcerans contracted from swimming in pools and rivers. 2. As sarcoidosis is thought to have an association with Mycobacterium tuberculosis it is tempting to suggest that as, in this case, the Mycobacterium ulcerans is the caus-ative agent for his sarcoidosis. Additionally, should we be looking for sarcoidosis in every other case of Mycobacterium ulcerans infection? Other cases of Mycobacterium ulcerans could be assessed. 3. It is suggested that corticosteroids do pave the way for opportunistic infection as in this case. How often does this occur in 'usual practice' where patients are exposed to corticosteroids? Further comments are invited. 4. The question of sterility techniques in the home (daily dressings), the surgery, and at work as a food handler, is noted as a matter of concern. 5. The implications of the problem having any work-related association is also noted in passing.

Cellulitis↗
PubMedDate not supplied

Fresh water swimming as a risk factor for otitis externa: a case-control study.

A case-control study was conducted in which the amount and sites (fresh-water lakes and rivers, chlorinated pools, or the ocean) of recent swimming by 105 patients with otitis externa were compared with that of 239 controls. Swimming during the week prior to the visit was strongly associated with otitis externa. When the 80 cases and 127 controls with a history of recent swimming were compared, otitis externa was positively associated with the amount of swimming during the preceding week. Otitis externa was also positively associated with swimming in fresh water compared with ocean or pool swimming with the magnitude of this association being more pronounced at higher levels of exposure.

Adult↗
PubMed1998

Risk factors for intestinal microsporidiosis in patients with human immunodeficiency virus infection: a case-control study.

A prospective unmatched case-control study was conducted to determine risk factors for intestinal microsporidiosis in persons infected with human immunodeficiency virus (HIV) who had < or = 200 CD4 cells/mm3. In multivariate analysis, case-patients (n = 30) were more likely than were control-subjects (n = 56) to have < or = 100 CD4 cells/mm3 (odds ratio [OR], 6.5; 95% confidence interval [CI], 1-42), to report male homosexual preference (OR, 7.6; 95% CI, 1-59.5), and to report swimming in a pool in the previous 12 months (OR, 9.2; 95% CI, 2.1-38.9). In summary, intestinal microsporidiosis in persons with HIV infection and < or = 200/mm3 CD4 cells is associated with male homosexuality and swimming in pools, suggesting fecal-oral transmission, including sexual and waterborne routes.

AIDS-Related Opportunistic Infections↗
PubMed1997

Exhaled human breath measurement method for assessing exposure to halogenated volatile organic compounds.

The organic constituents of exhaled human breath are representative of blood-borne concentrations through gas exchange in the blood/breath interface in the lungs. The presence of specific compounds can be an indicator of recent exposure or represent a biological response of the subject. For volatile organic compounds (VOCs), sampling and analysis of breath is preferred to direct measurement from blood samples because breath collection is noninvasive, potentially infectious waste is avoided, and the measurement of gas-phase analytes is much simpler in a gas matrix rather than in a complex biological tissue such as blood. To exploit these advantages, we have developed the "single breath canister" (SBC) technique, a simple direct collection method for individual alveolar breath samples, and adapted conventional gas chromatography-mass spectrometry analytical methods for trace-concentration VOC analysis. The focus of this paper is to describe briefly the techniques for making VOC measurements in breath, to present some specific applications for which these methods are relevant, and to demonstrate how to estimate exposure to example VOCs on the basis of breath elimination. We present data from three different exposure scenarios: (a) vinyl chloride and cis-1,2-dichloroethene from showering with contaminated water from a private well, (b) chloroform and bromodichloromethane from high-intensity swimming in chlorinated pool water, and (c) trichloroethene from a controlled exposure chamber experiment. In all cases, for all subjects, the experiment is the same: preexposure breath measurement, exposure to halogenated VOC, and a postexposure time-dependent series of breath measurements. Data are presented only to demonstrate the use of the method and how to interpret the analytical results.

Breath Tests↗
PubMed1982

Yeasts in spa establishments.

It was investigated occurrence of yeasts on bathsurfaces, in sauna rooms, in swimming and therapeutic pool water. The number of yeasts decreased depending on patients age, if the rooms were furnished with bath. The lowest contamination was found after bath of 40-60 years-old women. In the saunas were yeasts not found on the upper benches with temperature above 55 degrees C. Much higher counts on lower benches and wood mats with temperature 35-40 degrees C, on basin walls and bottom-up to 10(4)-10(6)/100 cm2. It was isolated 172 yeast strains. The occurrence of some selected strains is given in Table 7, with the toxic effect of disinfectants. The most strains were resistant to Peracetic acid and Chloramin B. Since most of the isolated and determinated strains were found in contaminated environment or during various diseases, the yeasts of the genus Cryptococcus, Candida, Rhodotorula, Torulopsis and Metschnikowia should not occur in bath establishment, and should be classified among indicators of contamination of environment including water.

Adult↗
PubMed2006

Effect of pool length on blood lactate, heart rate, and velocity in swimming.

Exercise testing in water has been used to follow the progression of conditioning during regular training in swimmers. The present study examined the effects of pool length in eleven male swimmers on a set of 5 x 200-m freestyle swims with increasing speed from submaximal to maximal. Mean velocity of swimming, blood lactate and heart rate were examined in both 25-m and 50-m pools. Turning benefit as a marker for turning skill was measured separately by a underwater video system (speed difference between pre- and post-turning) during short all-out swims. Maximum force during swimming was measured in tethered swimming and explosive strength of leg extensor muscles was evaluated by a counter movement jump. The significantly higher (p=0.033 - 0.000) blood lactate values for the 50-m pool as compared to the 25-m pool were found at each point of swimming velocity versus blood lactate curve. The highest post-test lactate level was 7.36 +/- 1.47 mmol x l (-1) in the short course and 8.24 +/- 1.55 mmol x l (-1) (p=0.033) in the long course. The maximum swimming velocity was significantly greater (4.5 %) in the 25-m pool swimming (1.38 +/- 0.11 m x s (-1) vs. 1.32 +/- 0.12 m x s (-1); p=0.000). The heart rate values were significantly (p=0.020 - 0.000) lower in the short course than in the long course at all points of submaximal velocity with a mean difference of 7.3 +/- 0.7 bpm. Heart rate was equal (172 +/- 14 vs. 172 +/- 14 bpm) after the maximum swims in both short and long course. The turning benefit in the short maximum swim was 0.12 +/- 0.05 m x s (-1) (8.1 +/- 3.2 %), correlating positively with the difference in maximal swimming velocity between the short and long-pool swims (r = 0.59; p = 0.029), with the maximum force during tethered swimming (r=0.75; p=0.004) and with the vertical jumping height in the counter movement jump (r=0.55; p=0.039). We conclude that the pool length has a strong effect on blood lactate concentration and heart rate with greater swimming velocity in the short course pool.

Environment↗
PubMed1994

Rotational swimming tendencies in the dolphin (Tursiops truncatus).

Anecdotal evidence suggests that dolphins placed in a pool exhibit stereotypic swimming in circles. The present study confirmed these observations in a sample of thirteen dolphins. The majority of dolphins (84.6%) showed highly consistent directional swimming in counterclockwise circles. The latter directionality held throughout the circadian cycle and resisted environmental manipulations. Only social interaction was capable of altering the directionality of circumnavigation. The consistency of unidirectional swimming is considered paradoxical in view of the existing evidence regarding the alternating of hemispheric activity in sleeping dolphins.

Animals↗
PubMed2004

Surveillance for waterborne-disease outbreaks associated with recreational water--United States, 2001-2002.

PROBLEM/CONDITION: Since 1971, CDC, the U.S. Environmental Protection Agency, and the Council of State and Territorial Epidemiologists have maintained a collaborative surveillance system for collecting and periodically reporting data related to occurrences and causes of waterborne-disease outbreaks (WBDOs) related to drinking water; tabulation of recreational water-associated outbreaks was added to the surveillance system in 1978. This surveillance system is the primary source of data concerning the scope and effects of waterborne disease outbreaks on persons in the United States. REPORTING PERIOD COVERED: This summary includes data on WBDOs associated with recreational water that occurred during January 2001-December 2002 and on a previously unreported outbreak that occurred during 1998. DESCRIPTION OF SYSTEM: Public health departments in the states, territories, localities, and the Freely Associated States are primarily responsible for detecting and investigating WBDOs and voluntarily reporting them to CDC on a standard form. The surveillance system includes data for outbreaks associated with both drinking water and recreational water; only outbreaks associated with recreational water are reported in this summary. RESULTS: During 2001-2002, a total of 65 WBDOs associated with recreational water were reported by 23 states. These 65 outbreaks caused illness among an estimated 2,536 persons; 61 persons were hospitalized, eight of whom died. This is the largest number of recreational water-associated outbreaks to occur since reporting began in 1978; the number of recreational water-associated outbreaks has increased significantly during this period (p<0.01). Of these 65 outbreaks, 30 (46.2%) involved gastroenteritis. The etiologic agent was identified in 23 (76.7%) of these 30 outbreaks; 18 (60.0%) of the 30 were associated with swimming or wading pools. Eight (12.3%) of the 65 recreational water-associated disease outbreaks were attributed to single cases of primary amebic meningoencephalitis caused by Naegleria fowleri; all eight cases were fatal and were associated with swimming in a lake (n = seven; 87.5%) or river (n = one; 12.5%). Of the 65 outbreaks, 21 (32.3%) involved dermatitis; 20 (95.2%) of these 21 outbreaks were associated with spas or pools. In addition, one outbreak of Pontiac fever associated with a spa was reported to CDC. Four (6.1%) of the 65 outbreaks involved acute respiratory illness associated with chemical exposure at pools. INTERPRETATION: The 30 outbreaks involving gastroenteritis comprised the largest proportion of recreational water-associated outbreaks during this reporting period. These outbreaks were associated most frequently with Cryptosporidium (50.0%) in treated water venues and with toxigenic Escherichia coli (25.0%) and norovirus (25.0%) in freshwater venues. The increase in the number of outbreaks since 1993 could reflect improved surveillance and reporting at the local and state level, a true increase in the number of WBDOs, or a combination of these factors. PUBLIC HEALTH ACTION: CDC uses surveillance data to identify the etiologic agents, types of aquatics venues, water-treatment systems, and deficiencies associated with outbreaks and to evaluate the adequacy of efforts (e.g., regulations and public awareness activities) for providing safe recreational water. Surveillance data are also used to establish public health prevention priorities, which might lead to improved water-quality regulations at the local, state, and federal levels.

Dermatitis↗