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1.
Cell ; 167(1): 43-44, 2016 Sep 22.
Artículo en Inglés | MEDLINE | ID: mdl-27662082

RESUMEN

Stepping out of an aggressively air-conditioned building into the sweltering heat evokes a number of thermoregulatory responses, both autonomic (sweating) and behavioral (peeling off a layer of clothing or seeking an iced beverage). Just as we come out of the hottest part of the summer, a study by Tan and colleagues provides an exciting breakthrough in our ability to study the neural mechanisms of keeping cool when it's hot.


Asunto(s)
Regulación de la Temperatura Corporal , Marcadores Genéticos , Vestuario , Calor , Humanos , Sudoración
2.
Nature ; 569(7758): 698-702, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31142856

RESUMEN

Humans can feel, weigh and grasp diverse objects, and simultaneously infer their material properties while applying the right amount of force-a challenging set of tasks for a modern robot1. Mechanoreceptor networks that provide sensory feedback and enable the dexterity of the human grasp2 remain difficult to replicate in robots. Whereas computer-vision-based robot grasping strategies3-5 have progressed substantially with the abundance of visual data and emerging machine-learning tools, there are as yet no equivalent sensing platforms and large-scale datasets with which to probe the use of the tactile information that humans rely on when grasping objects. Studying the mechanics of how humans grasp objects will complement vision-based robotic object handling. Importantly, the inability to record and analyse tactile signals currently limits our understanding of the role of tactile information in the human grasp itself-for example, how tactile maps are used to identify objects and infer their properties is unknown6. Here we use a scalable tactile glove and deep convolutional neural networks to show that sensors uniformly distributed over the hand can be used to identify individual objects, estimate their weight and explore the typical tactile patterns that emerge while grasping objects. The sensor array (548 sensors) is assembled on a knitted glove, and consists of a piezoresistive film connected by a network of conductive thread electrodes that are passively probed. Using a low-cost (about US$10) scalable tactile glove sensor array, we record a large-scale tactile dataset with 135,000 frames, each covering the full hand, while interacting with 26 different objects. This set of interactions with different objects reveals the key correspondences between different regions of a human hand while it is manipulating objects. Insights from the tactile signatures of the human grasp-through the lens of an artificial analogue of the natural mechanoreceptor network-can thus aid the future design of prosthetics7, robot grasping tools and human-robot interactions1,8-10.


Asunto(s)
Vestuario , Análisis de Datos , Fuerza de la Mano/fisiología , Mano/fisiología , Redes Neurales de la Computación , Tacto/fisiología , Conjuntos de Datos como Asunto , Humanos , Sistemas Hombre-Máquina
3.
Br J Dermatol ; 190(3): 342-354, 2024 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-37936331

RESUMEN

BACKGROUND: Increased Staphylococcus aureus (SA) colonization is considered an important factor in the pathogenesis of atopic dermatitis (AD). Antibacterial therapeutic clothing aims to reduce SA colonization and AD inflammation; however, its role in the management of AD remains poorly understood. OBJECTIVES: To investigate the effectiveness of antibacterial therapeutic clothing + standard topical treatment in patients with moderate-to-severe AD vs. standard therapeutic clothing + standard topical treatment; and, if effectiveness was demonstrated, to demonstrate its cost-effectiveness. METHODS: A pragmatic double-blinded multicentre randomized controlled trial (NCT04297215) was conducted in patients of all ages with moderate-to-severe AD. Patients were centrally randomized 1 : 1 : 1 to receive standard therapeutic clothing or antibacterial clothing based on chitosan or silver. The primary outcome was the between-group difference in Eczema Area and Severity Index (EASI) measured over 52 weeks. Secondary outcomes included patient-reported outcomes (PROs), topical corticosteroid (TCS) use, SA colonization, safety and cost-effectiveness. Outcomes were assessed by means of (generalized) linear mixed-model analyses. RESULTS: Between 16 March 2020 and 20 December 2021, 171 patients were enrolled. In total, 159 patients were included (54 in the standard therapeutic clothing group, 50 in the chitosan group and 55 in the silver group). Adherence was high [median 7 nights a week wear (interquartile range 3-7)]. Median EASI scores at baseline and at 4, 12, 26 and 52 weeks were 11.8, 4.3, 4.6, 4.2 and 3.6, respectively, in the standard therapeutic clothing group vs. 11.3, 5.0, 3.0, 3.0 and 4.4, respectively, in the chitosan group, and 11.6, 5.0, 5.4, 4.6 and 5.8, respectively, in the silver group. No differences in EASI over 52 weeks between the standard therapeutic clothing group, the chitosan group [-0.1, 95% confidence interval (CI) -0.3 to 0.2; P = 0.53] or the silver group (-0.1, 95% CI -0.3 to 0.2; P = 0.58) were found. However, a small significant group × time interaction effect between the standard and silver groups was found (P = 0.03), in which the silver group performed worse after 26 weeks. No differences between groups were found in PROs, TCS use, SA skin colonization and healthcare utilization. No severe adverse events or silver absorption were observed. CONCLUSIONS: The results of this study suggest no additional benefits of antibacterial agents in therapeutic clothing in patients with moderate-to-severe AD.


Asunto(s)
Quitosano , Dermatitis Atópica , Fármacos Dermatológicos , Infecciones Estafilocócicas , Humanos , Corticoesteroides/uso terapéutico , Antibacterianos/efectos adversos , Quitosano/uso terapéutico , Vestuario , Dermatitis Atópica/tratamiento farmacológico , Fármacos Dermatológicos/uso terapéutico , Método Doble Ciego , Glucocorticoides/uso terapéutico , Índice de Severidad de la Enfermedad , Plata/uso terapéutico , Resultado del Tratamiento
4.
J Surg Res ; 302: 376-384, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39153358

RESUMEN

INTRODUCTION: Recent studies have evaluated patient perception of physician attire; however, few studies have considered physician perceptions of workplace attire. This study aimed to assess current trends regarding attire preferences among surgeons. METHODS: A national, population-based survey was distributed via email and "X" (Twitter). Participants were asked to complete an online questionnaire regarding their perception of the white coat, preferred attire in clinical settings, and reasons for choice of attire. RESULTS: Of 481 participants, 172 (36%) were attendings, 164 (34%) were residents, 125 (26%) were medical students, and 20 (4%) were fellows. Those who practiced in the Midwest region were more likely to wear a white coat daily (35.1% versus 28.5% South, 23.5% Northeast, 20.0% West, P < 0.05). Late career surgeons (practicing >20 y) were more likely to wear a white coat in the hospital and wear it daily (56% versus 36% of middle-career surgeons, 34% early-career surgeons, and 26% in training, P < 0.05). Women surgeons more frequently wore a white coat in clinic (64% versus 54% men, P < 0.05), reported that wearing a white coat was influenced by their program's culture (61% versus 46% of men surgeons, P < 0.05), that they would stop wearing a white coat if other members of their department stopped (50% versus 35% of men, P < 0.05), and that they believe the white coat helps distinguish female doctors from nurses (61% versus 50% of men surgeons, P < 0.05). CONCLUSIONS: This study demonstrates generational, regional, and gender differences among surgeons in their perception of the white coat at a national level.


Asunto(s)
Vestuario , Cirujanos , Humanos , Femenino , Masculino , Cirujanos/psicología , Cirujanos/estadística & datos numéricos , Adulto , Vestuario/psicología , Factores Sexuales , Encuestas y Cuestionarios/estadística & datos numéricos , Persona de Mediana Edad , Actitud del Personal de Salud , Médicos Mujeres/psicología , Médicos Mujeres/estadística & datos numéricos , Estados Unidos
5.
Int J Legal Med ; 138(1): 229-238, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36764944

RESUMEN

The Turin Shroud (TS) is a Christian relic interpreted to be the burial cloth of Jesus of Nazareth. It exhibits red discolorations that have been interpreted as blood stains and that are the subjects of a highly controversial discussion. We conducted experiments to identify theoretically possible explanations for the stains attributed to the crown of thorns, the lance wound and the belt of blood. In the experiments with a focus on the stains attributed to the crown of thorns, a very similar stain pattern as on the TS could be provoked by simulating the following sequence of events: blood from antemortem scalp wounds is covering hair and face; blood is coagulating and/or drying; blood components are mobilised by postmortem washing and oiling. A stain pattern very similar to the belt of blood on the TS was successfully provoked by simulating the following sequence of events: The body is lying in a supine position, blood or bloodied water flowing from a wound at the right lateral chest wall; the body is rotated to the left side; the Shroud is tucked under the back; the body is rotated back to a supine position and laid onto the Shroud. The so-called serum ring surrounding the stain attributed to the lance wound could be reproduced by sequential application of serum and whole blood samples or of pleural effusion and whole blood samples onto cotton cloth. It is obvious that any attempt to interpret the assumed blood stain pattern on the TS has serious limitations. Nevertheless, it seems remarkable that we were able to reproduce findings that appear to be very similar to stains on the TS.


Asunto(s)
Manchas de Sangre , Humanos , Colorantes , Cristianismo , Autopsia , Vestuario
6.
Int J Legal Med ; 138(4): 1669-1684, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38374286

RESUMEN

The identification of unknown human remains is a significant and ongoing challenge in South Africa, worsened by the country's high murder rate. The rate of decomposition in South Africa is significantly influenced by vertebrate scavenging, which, if not considered, can impede the accurate estimation of the post-mortem interval. Scavenging patterns vary greatly depending on the environment and ecological region, and there is limited data for the Western Cape province. To address this gap, two clothed and uncaged pig carcasses weighing 60 kg each were placed in the field in July 2021 and January 2022, respectively. Motion-activated infrared-capable trail cameras were used to observe decomposition, scavenger species, and their activities. Additionally, a comparative sample of 16 unclothed carcasses deployed between 2014 and 2016 in the same habitat were analyzed to assess the impact of clothing and biomass load. The study found three main results: (1) Regardless of habitat or biomass load, it took significantly less time to reach decomposition milestones (25%, 50%, and 75%) during the summer season; (2) the presence of mongoose scavengers had a greater impact on the time required to reach milestones during winter compared to summer; and (3) single carcass deployments reached the milestones faster than multi-carcass deployments in both seasons. This research highlights the potential inaccuracy of current methods for estimating the post-mortem interval when scavenging activity is not considered or documented in the underlying experimental data, particularly for environments or ecological biomes where scavengers actively impact decomposition rates.


Asunto(s)
Biomasa , Vestuario , Conducta Alimentaria , Cambios Post Mortem , Estaciones del Año , Animales , Sudáfrica , Porcinos , Modelos Animales , Patologia Forense/métodos
7.
Int J Legal Med ; 138(4): 1343-1349, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38289367

RESUMEN

Lethal accidents caused by lightning are divided into observed and unobserved events. Pathognomonic or characteristic findings are often overlooked during external postmortem examination. Classical mistakes may be made which may often lead to an incorrect diagnosis. An analysis of 270 fatalities was performed on a historical collection of the Committee for Lightning Conductor Construction for the United Economic Area e. V. (ABBW) on lethal accidents due to lightning that occurred in Germany for the period 1951-1965. Furthermore, a selective literature research was carried out. The aim of the study was to analyze the death scene, the clothing, and the victim. The authors focused on chief findings which were relevant to the correct diagnosis of "death by lightning." Both Lichtenberg figures and singed body hair were considered pathognomonic for a lightning strike. The question arose as to whether Lichtenberg figures, for example, represented the finding that most often led to the correct diagnosis. Of the 270 lightning-struck victims from the case collection, 129 (47.8%) had singed body hair and 25 (9.3%) had Lichtenberg figures. A comparison of the frequency of the two reported findings, singed body hair versus Lichtenberg figures, has only been performed in the literature for case numbers below 40. This study is the first evaluation of a relatively large number of lethal accidents due to lightning. Singed body hair was reported more frequently in lightning-struck victims than Lichtenberg figures. This study showed that singed body hair is probably more diagnostically important than Lichtenberg figures.


Asunto(s)
Cabello , Traumatismos por Acción del Rayo , Humanos , Alemania/epidemiología , Traumatismos por Acción del Rayo/patología , Cabello/química , Masculino , Femenino , Adulto , Adolescente , Patologia Forense , Persona de Mediana Edad , Vestuario , Adulto Joven
8.
Pediatr Blood Cancer ; 71(9): e31167, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38963191

RESUMEN

BACKGROUND: Attire bolsters identity, self-expression, and comfort. Hospital gowns are known to be distressing in adults. Attitudes of children with cancer toward hospital attire remain uninvestigated and may be a modifiable factor in overall well-being. METHODS: A 39-item mixed methods survey evaluated perceptions of patient attire in children with cancer. Children aged 7-18 years were recruited at an academic medical center. Data analysis included simple statistics and thematic analysis. RESULTS: Forty children with cancer receiving oncologic care participated. Participants' mean age was 12.4 (SD = 3.0, range = 7-17) years, and 25 (62%) were male. Quantitative data revealed 81% of participants preferred their own attire when admitted to the hospital, feeling more comfortable in such when well (91%) or sick (75%). They did not feel like they "must" wear a gown when admitted (60%) and did not want to be asked about preferred inpatient attire (63%). Thematic analysis revealed that children had strong negative views of gowns and preferred to wear their own attire in the hospital, which provided physical and emotional comfort. Children worried wearing their own clothing could impede their care. CONCLUSION: Children with cancer prefer wearing their own clothes in the hospital for physical and emotional comfort. They are willing to wear gowns for ease of care; however, they do not want to arbitrate when they need to make that choice. Providers may ease distress by considering a child's own clothes as default hospital attire with instructions for when a gown is necessary for good clinical care.


Asunto(s)
Vestuario , Neoplasias , Humanos , Niño , Masculino , Femenino , Adolescente , Neoplasias/psicología , Neoplasias/terapia , Vestuario/psicología , Pacientes Internos/psicología , Encuestas y Cuestionarios , Percepción
9.
Environ Sci Technol ; 58(14): 6305-6312, 2024 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-38530277

RESUMEN

Microplastics have littered the globe, with synthetic fibers being the largest source of atmospheric microplastics. Many atmospheric particles can act as ice nucleators, thereby affecting the microphysical and radiative properties of clouds and, hence, the radiative balance of the Earth. The present study focused on the ice-nucleating ability of fibers from clothing textiles (CTs), which are commonly shed from the normal wear of apparel items. Results from immersion ice nucleation experiments showed that CTs were effective ice nucleators active from -6 to -12 °C, similar to common biological ice nucleators. However, subsequent lysozyme and hydrogen peroxide digestion stripped the ice nucleation properties of CTs, indicating that ice nucleation was biological in origin. Microscopy confirmed the presence of biofilms (i.e., microbial cells attached to a surface and enclosed in an extracellular polysaccharide matrix) on CTs. If present in sufficient quantities in the atmosphere, biological particles (biofilms) attached to fibrous materials could contribute significantly to atmospheric ice nucleation.


Asunto(s)
Hielo , Microplásticos , Plásticos , Atmósfera , Vestuario
10.
Kidney Blood Press Res ; 49(1): 295-301, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38643750

RESUMEN

INTRODUCTION: The effect of clothing on the recording of blood pressure in a normotensive and hypertensive population remains essential to diagnosing and managing. METHODS: This is a cross-sectional study to measure blood pressure using a validated oscillometric sphygmomanometer in two populations. The records were made over the thicker sleeve arm and non-sleeved arm (either on bare arm or indicating the removal of the outermost garment). Clothing was categorized according to how patients attended the outpatient clinic based on the real world. RESULTS: A total of 75 patients were included with a diagnosis of hypertension whose mean age was 67.1 years (SD ± 16.3). The group of normotension included 63 patients whose mean age was 21.1 years (SD ± 2.2). There was not variability related to technique or inherent to the condition of the subject on the first and second measurements of blood pressure. In the comparative analysis, the group with normotension did not report a significant difference in systolic or diastolic blood pressure due to the effect of clothing during the first or second measurement (p > 0.05). In the group with hypertension, a significant difference was observed in the first measurement, between the group over-the-sleeve and non-sleeved arm (systolic blood pressure, p: 0.021 and diastolic, p: 0.001). However, when the variable order of measurement was analyzed by randomizing the initial registry with or without clothing was not found a statistical difference. CONCLUSION: Clothing does not a significant difference in the measure of blood pressure in a normotensive or hypertensive population.


Asunto(s)
Determinación de la Presión Sanguínea , Presión Sanguínea , Vestuario , Hipertensión , Humanos , Hipertensión/diagnóstico , Hipertensión/fisiopatología , Estudios Transversales , Anciano , Masculino , Femenino , Determinación de la Presión Sanguínea/métodos , Persona de Mediana Edad , Presión Sanguínea/fisiología , Adulto , Anciano de 80 o más Años , Adulto Joven
11.
Nature ; 614(7948): 392, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36750698
12.
Environ Res ; 242: 117761, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-38036214

RESUMEN

This paper describes a simple phyto-remediation of feather-like silver/copper bi-matrix (BMs) was constructed by employing pommagrant waste peel (PWP) extract as crucial role of reducing agent and chelating agents. Numerous strategies, including UV-Visible, XRD, SEM-EDX, and TEM and BET isotherm were used to analysis the optical, structural, surface area and functional properties. Ag/Cu BPNMs of TEM characterization shows feather-like architectural features with constrained size and shape. The Ag/Cu co-catalytic nanoparticles have a particle size of 34-64 nm. The photocatalytic efficiency of Ag/Cu BMs was investigated using a garment dye, Congo red (CR), at successive time intervals under halogen lamp exposure. For Ag/Cu bimetallic nanoparticles, the photocatalytic degradation rate was recorded to be 100% after 40 min which is caused by adsorption of Congo red dye molecules on Ag/Cu and their degradation by reactive oxygen species (ROS). ROS are free hydroxyl radicals such as •OH and O2• ions that have high oxidizing capacity. The developed Ag/Cu BMs shown effective bacteriostatic action against many infections.


Asunto(s)
Rojo Congo , Nanopartículas del Metal , Animales , Cobre/química , Plumas , Especies Reactivas de Oxígeno , Vestuario , Nanopartículas del Metal/química
13.
Arch Sex Behav ; 53(6): 2063-2082, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38326671

RESUMEN

Assessing another person's intention to flirt and, relatedly, their sexual interest is based on the interpretation and weighting of global (e.g., clothing style) and specific (e.g., facial expression) cues. Since cue incongruency increases the risk of erroneous judgments and thus can entail undesirable outcomes for both parties involved, detection of an individual propensity for overly relying on global (sexual) rather than specific (affective) cues is of social and clinical-forensic importance. Using a purpose-designed and pre-validated stimulus set, we developed a mouse-tracking task as an indirect behavioral measure for males' overreliance on global cues (OGC) in the context of sexual flirting. In a convenience sample of heterosexual cisgender men (N = 79), experimentally induced sexual arousal was shown to increase the probability of OGC as a function of task difficulty (i.e., congruent or incongruent combinations of global and specific cues displayed by a potential female flirting partner). While error rate and reaction time proved to be indicators of OGC, the spatial measures maximum deviation and area under the curve provided less consistent results. In addition, error rate suggested sex drive and sexual objectification to act as moderators of the relationship between sexual arousal and OGC. Exploratory analysis further revealed a theoretically meaningful pattern of correlations between mouse-tracking measures and self-report measures of problematic (e.g., disinhibited, exploitative) sexuality. Implications of the results are discussed and a framework for differentiating potential causes of OGC (i.e., misperception, lack of self-control, and egocentric hedonism) is proposed.


Asunto(s)
Señales (Psicología) , Conducta Sexual , Humanos , Masculino , Adulto , Conducta Sexual/psicología , Adulto Joven , Femenino , Excitación Sexual , Vestuario/psicología , Adolescente
14.
Eur J Appl Physiol ; 124(5): 1499-1508, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38129698

RESUMEN

PURPOSE: Soccer substitutes are exposed to periods of limited activity before entering match-play, likely negating benefits of active warm-ups. This study aimed to determine the effects of using a passive heat intervention following a pre-match, and half-time warm-up, on muscle and core temperature in soccer players during ambient (18 °C) and cold (2 °C) conditions. METHODS: On four occasions, 8 male players, completed a pre-match warm-up, followed by 45 min of rest. Following this, participants completed a half-time re-warm-up followed by an additional 45 min of rest, simulating a full match for an unplaying substitute. During periods of rest, participants wore either standardised tracksuit bottoms (CON), or heated trousers (HEAT), over typical soccer attire. RESULTS: Vastus lateralis temperature declined less in HEAT compared to CON following the 1st half in 2 °C (Δ - 4.39 ± 0.81 vs. - 6.21 ± 1.32 °C, P = 0.002) and 18 °C (Δ - 2.48 ± 0.71 vs. - 3.54 ± 0.88 °C, P = 0.003). These findings were also observed in the 2nd half for the 2 °C (Δ - 4.36 ± 1.03 vs. - 6.26 ± 1.04 °C, P = 0.002) and 18 °C (Δ - 2.85 ± 0.57 vs. - 4.06 ± 1 °C, P = 0.018) conditions. In addition, core temperature declined less in HEAT compared to CON following the 1st (Δ - 0.41 ± 0.25 vs. - 0.84 ± 0.41 °C, P = 0.037) and 2nd (Δ - 0.25 ± 0.33 vs. - 0.64 ± 0.34 °C, P = 0.028) halves of passive rest in 2 °C, with no differences in the 18 °C condition. Perceptual data confirmed that participants were more comfortable in HEAT vs. CON in 2 °C (P < 0.01). CONCLUSIONS: Following active warm-ups, heated trousers attenuate the decline in muscle temperature in ambient and cold environments.


Asunto(s)
Calor , Fútbol , Humanos , Fútbol/fisiología , Masculino , Adulto , Regulación de la Temperatura Corporal/fisiología , Temperatura Corporal/fisiología , Ejercicio de Calentamiento/fisiología , Adulto Joven , Músculo Esquelético/fisiología , Vestuario
15.
BMC Health Serv Res ; 24(1): 874, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39090626

RESUMEN

INTRODUCTION: Non-pneumatic Anti-Shock Garment (NASG) is a lightweight, reusable first aid compression device that squeezes blood from the lower extremities and centralizes blood circulation to vital organs of the body. Postpartum hemorrhage followed by severe preeclampsia/eclampsia is the leading primary cause of maternal death (A reduction in extreme maternal adverse outcomes and faster recovery from shock are more likely to occur with earlier NASG intervention. The median blood loss reduced by half when the NASG was used for obstetric hemorrhage management, which was associated with significantly reduced maternal mortality among the most severe cases. OBJECTIVE: To estimate the pooled prevalence of NASG utilization and its predictors in Ethiopia. METHODS: Appropriate and comprehensive searches of PubMed, MEDLINE, EMBASE, Google Scholar, HINARI, and Scopus were performed. The electronic literature search was last performed on November 18/2023. All observational study designs were eligible for this SRMA. All cross sectional studies reporting the prevalence/proportion of NASG utilization for obstetric hemorrhage management among obstetric care providers and associated factors were included in this SRMA. Primary studies lacking the outcome of interest were excluded from the SRMA. The extracted Microsoft Excel spreadsheet data were imported into STATA software version 17 (STATA Corporation, Texas, USA) for analysis. A random-effects model was used to estimate the pooled prevalence of NASG utilization among obstetric care providers in Ethiopia. The Cochrane Q-test and I2 statistics were computed to assess the heterogeneity among the studies included in the SRMA. RESULT: A total of 1623 articles were found by using our search strategies and seven studies comprising 2335 participants were ultimately included in the SRMA. The pooled prevalence of NASG utilization for obstetric hemorrhage in Ethiopia was 43.34% (95% CI: 35.25, 51.42%). The findings of this subgroup analysis by sample size showed that the pooled prevalence of NASG utilization for obstetric hemorrhage was greater in studies with sample sizes of less than the mean sample size (48.6%; 95% CI: 32.34, 64.86%). Receiving training (AOR = 3.88, 95% CI: 2.08-5.37), having good knowledge (AOR = 1.99, 95% CI: 1.28-3.16), positive attitude (AOR = 2.16, 95% CI: 1.62-2.75) and having available NASGs in the facility (AOR = 4.89, 95%CI: 2.88-8.32) were significantly associated with the use of NASGs for obstetric hemorrhage management. CONCLUSION: The level of NASG utilization for obstetric hemorrhage in Ethiopia is low. Receiving training, good knowledge, positive attitudes and availability of NASG were significantly associated with the utilization of NASG. Therefore, policy makers and other stakeholders should emphasize enhancing the knowledge and attitudes of obstetric care providers through continuous support and training. At the same time, they should work strictly in providing devices for all the health facilities.


Asunto(s)
Hemorragia Posparto , Humanos , Etiopía/epidemiología , Femenino , Embarazo , Hemorragia Posparto/terapia , Hemorragia Posparto/epidemiología , Primeros Auxilios/métodos , Personal de Salud/estadística & datos numéricos , Adulto , Vestuario
16.
Risk Anal ; 44(1): 108-125, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37055918

RESUMEN

The second-hand clothing imports are very popular in the least developed countries (LDCs). The social health risk (SHR) associated with second-hand clothing products and the lack of relevant legislations in LDCs, however, bring substantial challenges. This article is therefore developed to explore the sterilization legislation design for second-hand clothing supply chains in LDCs. To address LDCs' different import requirements of fumigation, both the extended exporter responsibility (EER) legislation scheme and the extended importer responsibility (EIR) legislation scheme are considered. We also examine whether the perception of public-sector corruption in LDCs may affect the performance of sterilization legislation schemes. We compare the performance of sterilization legislation schemes under different public-sector corruption cases, different sterilization legislation structures, as well as market competition. Interestingly, our analyses show that the EER and EIR legislation schemes can achieve the same performance under a per unit SHR duty, no matter whether there is public-sector corruption or not. However, these two legislation schemes perform differently under the lump-sum SHR duty. Besides, with the presence of the public-sector corruption perception, the prospect of financial benefits from bribing the regulatory agency can induce the firm to choose a higher optimal sterilization level when the bribe is sufficiently small. These implications complement the extant knowledge on risk management of second-hand clothing in LDCs, and provide an important guidance regarding the design of sterilization legislations on second-hand clothing imports.


Asunto(s)
Países en Desarrollo , Sector Público , Gestión de Riesgos , Percepción , Vestuario
17.
BMC Med Inform Decis Mak ; 24(1): 71, 2024 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-38475812

RESUMEN

BACKGROUND: Wearable devices have the advantage of always being with individuals, enabling easy detection of their movements. Smart clothing can provide feedback to family caregivers of older adults with disabilities who require in-home care. METHODS: This study describes the process of setting up a smart technology-assisted (STA) home-nursing care program, the difficulties encountered, and strategies applied to improve the program. The STA program utilized a smart-vest, designed specifically for older persons with dementia or recovering from hip-fracture surgery. The smart-vest facilitated nurses' and family caregivers' detection of a care receiver's movements via a remote-monitoring system. Movements included getting up at night, time spent in the bathroom, duration of daytime immobility, leaving the house, and daily activity. Twelve caregivers of older adults and their care receiver participated; care receivers included persons recovering from hip fracture (n = 5) and persons living with dementia (n = 7). Data about installation of the individual STA in-home systems, monitoring, and technical difficulties encountered were obtained from researchers' reports. Qualitative data about the caregivers' and care receivers' use of the system were obtained from homecare nurses' reports, which were explored with thematic analysis. RESULTS: Compiled reports from the research team identified three areas of difficulty with the system: incompatibility with the home environment, which caused extra hours of manpower and added to the cost of set-up and maintenance; interruptions in data transmissions, due to system malfunctions; and inaccuracies in data transmissions, due to sensors on the smart-vest. These difficulties contributed to frustration experienced by caregivers and care receivers. CONCLUSIONS: The difficulties encountered impeded implementation of the STA home nursing care. Each of these difficulties had their own unique problems and strategies to resolve them. Our findings can provide a reference for future implementation of similar smart-home systems, which could facilitate ease-of-use for family caregivers.


Asunto(s)
Demencia , Fracturas de Cadera , Servicios de Atención de Salud a Domicilio , Humanos , Anciano , Anciano de 80 o más Años , Cuidadores , Atención Domiciliaria de Salud , Vestuario
18.
Int J Biometeorol ; 68(10): 2029-2040, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38963428

RESUMEN

The purpose of this study is to understand a physical mechanism to determine the surface temperature of clothes in calm and fine conditions of outdoors. We observed surface temperatures of polo shirts of the same material and design but different colors. The shirts were placed in unshaded and well-ventilated outdoor, open spaces on sunny summer days. The maximum difference between dark green or black and white was more than 15 °C during calm, fine weather and was greatest when the solar radiation was strong. If the transmission of solar radiation energy through a shirt is ignored to calculate the absorption by the shirt, the difference in solar radiation absorption due to different colors is as much as 24% in the maximum, and if considered, we concluded that an absorption difference of 34% led to a temperature difference of 15℃. When we compared the brightness of the colors, we found that the albedo of both the visible and NIR bands explained why the red and green colors were so different with respect to the surface temperatures we observed. The reflection in the NIR bands was also an important determinant of the surface temperature. An additional experiment using masks showed that the temperature difference between white and black was almost eliminated at a wind speed of ~ 3 m/s. The color of clothing is therefore a target for small-scale adaptation to climate change.


Asunto(s)
Cambio Climático , Vestuario , Color , Temperatura , Humanos , Luz Solar , Viento
19.
Int J Biometeorol ; 68(11): 2333-2355, 2024 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-39231866

RESUMEN

This study focuses on assessing tourists' perception of bioclimatic comfort in the urban context of Porto, Portugal, specifically in the areas of Avenida dos Aliados and Praça da Liberdade. The study examines the relationship between meteorological conditions, tourists' clothing choices, and their physical activity levels. The study integrates microclimatic measurements and questionnaire surveys carried out during the summers of 2019 and 2020, and the winter of 2019-2020. A comprehensive questionnaire following international standards was administered to a representative sample of 563 tourists. The results show significant variations in mean air temperature (AT), wind speed (Wχ), relative humidity (RH), global radiation (GRAD), and total mean radiant temperature (TMRT) over the study periods. The assessment of Outdoor Thermal Comfort (OTC) is based on ASHRAE 55 standards, using the Thermal Sensation Vote (TSV) scale and the tourists' opinions on their thermal preferences. Clothing choices are found to be influenced by AT, with tourists choosing lighter clothing in warmer conditions. Gender and age differences in clothing insulation (Icl) are identified, suggesting potential differences in OTC perception. AT varied significantly, with an inflection point in clothing choices at 21.7°C and a correlation between AT and reduction in clothing layers (r2 = 0.846; p < 0.05). The study also observes seasonal variations in physical activity levels of tourists, with higher activity levels in summer due to milder weather (110.0 W·m⁻2). More thermally comfortable environments tend to promote a sense of well-being among visitors, which directly affects their satisfaction during their stay in the city. When tourists feel comfortable with the thermal conditions of the urban environment, they are more likely to explore and enjoy local attractions for longer periods of time, thereby enhancing their cultural and leisure experiences. Women tend to wear fewer layers of clothing than men in summer, reflecting potential differences in OTC perception. Results align with previous studies, indicating the impact of clothing insulation of individual subject (Icl) on OTC varies across locations and cultures. Cultural factors influence clothing preferences and thermal tolerance, emphasizing the need for nuanced considerations in understanding OTC perceptions. The study provides to the understanding of the OTC of tourists in the city of Porto, but also offers relevant contributions for improving the visitor experience and sustainable development, namely in other geographical contexts. The major contribution of this research lies in the comparative analysis of Icl and OTC between tourists, based on physical measurements and questionnaire surveys conducted in summer and winter, providing valuable insights for tourist spot design.


Asunto(s)
Vestuario , Sensación Térmica , Humanos , Portugal , Masculino , Femenino , Adulto , Persona de Mediana Edad , Adulto Joven , Turismo , Anciano , Adolescente , Ejercicio Físico , Tiempo (Meteorología) , Temperatura , Encuestas y Cuestionarios
20.
J Wound Care ; 33(3): 171-179, 2024 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-38451791

RESUMEN

OBJECTIVE: This study aimed to formulate a numerical approach (finite element modelling (FEM)) to calculate pressure values generated by compression garments on a compressible limb analogue, and to validate the numerical approach using experimental measurements. Existing models were also compared. METHOD: Experimentally measured pressure values and deformation caused by compression bands on a compressible human limb analogue were compared with values predicted using the Young-Laplace equation, a previously formulated analytical model and the FEM. RESULTS: The FEM provided greater accuracy in predicting the pressure generated by compression bands compared to existing models. The FEM also predicted deformation of the limb analogue with good agreement relative to experimental values. CONCLUSION: It was concluded that modelling the non-uniform manner in which the way a limb analogue is compressed should be incorporated into future modelling of the pressures generated by compression garments on a compressible limb analogue. DECLARATION OF INTEREST: The authors have no conflicts of interest to declare.


Asunto(s)
Vestuario , Humanos , Análisis de Elementos Finitos , Presión
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