Correlation of textile 'resistance to damage' scores with actual physical survival of long-lasting insecticidal nets in the field.

BACKGROUND: Attempts have been made to link procurement of long-lasting insecticidal nets (LLIN) not only to the price but also the expected performance of the product. However, to date it has not been possible to identify a specific textile characteristic that predicts physical durability in the field. The recently developed resistance to damage (RD) score could provide such a metric. This study uses pooled data from durability monitoring to explore the usefulness of the RD methodology. METHODS: Data from standardized, 3-year, prospective LLIN durability monitoring for six LLIN brands in 10 locations and four countries involving 4672 campaign LLIN were linked to the RD scores of the respective LLIN brands. The RD score is a single quantitative metric based on a suite of standardized textile tests which in turn build on the mechanisms of damage to a mosquito net. Potential RD values range from 0 to 100 where 100 represents optimal resistance to expected day-to-day stress during reasonable net use. Survival analysis was set so that risk of failure only started when nets were first hung. Cox regression was applied to explore RD effects on physical survival adjusting for known net use environment variables. RESULTS: In a bivariate analysis RD scores showed a linear relationship with physical integrity suggesting that the proportion of LLIN with moderate damage decreased by 3%-points for each 10-point increase of the RD score (p = 0.02, R2 = 0.65). Full adjustment for net care and handling behaviours as well as other relevant determinants and the country of study showed that increasing RD score by 10 points resulted in a 36% reduction of risk of failure to survive in serviceable condition (p < 0.0001). LLINs with RD scores above 50 had an additional useful life of 7 months. CONCLUSIONS: This study provides proof of principle that the RD metric can predict physical durability of LLIN products in the field and could be used to assess new products and guide manufacturers in creating improved products. However, additional validation from other field data, particularly for next generation LLIN, will be required before the RD score can be included in procurement decisions for LLINs.

Relative Efficiency of Drag Fabrics for Collection of Blacklegged Tick (Acari: Ixodidae) Larvae, Nymphs, and Adults.

The blacklegged tick (Ixodes scapularis Say) vectors several bacterial, protozoan, and viral human pathogens. The known distribution, abundance, and phenology of I. scapularis within its estimated range are incomplete. This gap in knowledge is problematic because these factors are important for determining acarological risk of exposure to infected ticks. Consequently, enhanced surveillance of I. scapularis is being promoted and supported in the United States. Although the most common method for collecting I. scapularis is by dragging a sturdy cloth along the ground, there are no published empirical data showing which drag fabric is most effective. We used a randomized block design to directly compare the relative efficiencies of canvas, corduroy, and flannel drags for the collection of larval, nymphal, and adult I. scapularis. Overall, flannel was the most effective fabric and canvas was the least effective. Significantly more adults were collected on flannel than on canvas or corduroy, and the same number of nymphs was collected on flannel and corduroy. Significantly more larvae were collected on flannel than on canvas, but one-third of larvae could not be removed from the former fabric by lint-rolling, and handpicking was difficult. Our findings support the use of flannel drags to maximize sampling effort for collection of I. scapularis, especially adults to determine the presence of ticks and tick-borne pathogens when density and infection prevalence are low, with the caveat that detection and removal of larvae are time-consuming.

Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits.

As many scholars and practitioners study personalization and relationship marketing, it is important to provide personalization such as mass customization through marketing technology. The purpose of this study is to examine how to conduct consumer research using an online survey and analysis of data. This study examines consumers' perceived benefits while customizing a product as well as emotional product attachment, attitudes toward a customization program, and loyalty intentions in the context of online retailing. In addition, this study investigates how consumer responses are different based on individual characteristics such as fashion innovativeness. An online survey company in South Korea recruited 290 female apparel shoppers who purchased apparel online. To enhance external validity, this study used an existing retail website with a well-established mass customization program. After completing the customization program, participants complete the online questionnaire. Structural equation modeling (SEM) and latent mean analyses (LMAs) are then performed for analyses. This study stresses the importance of testing measurement invariance for mean comparisons. Before the SEM and LMA, this study follows the hierarchy of invariance tests (configural invariance test, metric invariance test, and scalar invariance test), which are not considered by traditional approaches such as ANOVA. These statistical analyses provide applicability of the invariance test procedures and LMA to consumer behaviors. The conclusions of mean differences have integrity and validity because they are guided by a sophisticated statistical procedure to ensure measurement invariance.

Electronic textile electrocardiogram monitoring in cardiac patients: a scoping review protocol.

REVIEW QUESTION/OBJECTIVE: This scoping review aims to explore and scope the literature and research on the use of e-textile electrocardiogram (ECG) monitoring in cardiac patients and provide a unique contribution to the available evidence. The objectives of this scoping review are:The questions of this review are.

Development of a Polyphenol Oxidase Biosensor from Jenipapo Fruit Extract (Genipa americana L.) and Determination of Phenolic Compounds in Textile Industrial Effluents.

In this work, an innovative polyphenol oxidase biosensor was developed from Jenipapo (Genipa americana L.) fruit and used to assess phenolic compounds in industrial effluent samples obtained from a textile industry located in Jaraguá-GO, Brasil. The biosensor was prepared and optimized according to: the proportion of crude vegetal extract, pH and overall voltammetric parameters for differential pulse voltammetry. The calibration curve presented a linear interval from 10 to 310 µM (r² = 0.9982) and a limit of detection of 7 µM. Biosensor stability was evaluated throughout 15 days, and it exhibited 88.22% of the initial response. The amount of catechol standard recovered post analysis varied between 87.50% and 96.00%. Moreover, the biosensor was able to detect phenolic compounds in a real sample, and the results were in accordance with standard spectrophotometric assays. Therefore, the innovatively-designed biosensor hereby proposed is a promising tool for phenolic compound detection and quantification when environmental contaminants are concerned.

Release of polyester and cotton fibers from textiles in machine washings.

Microplastics are widely spread in the environment, which along with still increasing production have aroused concern of their impacts on environmental health. The objective of this study is to quantify the number and mass of two most common textile fibers discharged from sequential machine washings to sewers. The number and mass of microfibers released from polyester and cotton textiles in the first wash varied in the range 2.1 × 105 to 1.3 × 107 and 0.12 to 0.33% w/w, respectively. Amounts of released microfibers showed a decreasing trend in sequential washes. The annual emission of polyester and cotton microfibers from household washing machines was estimated to be 154,000 (1.0 × 1014) and 411,000 kg (4.9 × 1014) in Finland (population 5.5 × 106). Due to the high emission values and sorption capacities, the polyester and cotton microfibers may play an important role in the transport and fate of chemical pollutants in the aquatic environment.

A first overview of textile fibers, including microplastics, in indoor and outdoor environments.

Studies about microplastics in various environments highlighted the ubiquity of anthropogenic fibers. As a follow-up of a recent study that emphasized the presence of man-made fibers in atmospheric fallout, this study is the first one to investigate fibers in indoor and outdoor air. Three different indoor sites were considered: two private apartments and one office. In parallel, the outdoor air was sampled in one site. The deposition rate of the fibers and their concentration in settled dust collected from vacuum cleaner bags were also estimated. Overall, indoor concentrations ranged between 1.0 and 60.0 fibers/m3. Outdoor concentrations are significantly lower as they range between 0.3 and 1.5 fibers/m3. The deposition rate of the fibers in indoor environments is between 1586 and 11,130 fibers/day/m2 leading to an accumulation of fibers in settled dust (190-670 fibers/mg). Regarding fiber type, 67% of the analyzed fibers in indoor environments are made of natural material, primarily cellulosic, while the remaining 33% fibers contain petrochemicals with polypropylene being predominant. Such fibers are observed in marine and continental studies dealing with microplastics. The observed fibers are supposedly too large to be inhaled but the exposure may occur through dust ingestion, particularly for young children.

Reduction of health care-associated infection indicators by copper oxide-impregnated textiles: Crossover, double-blind controlled study in chronic ventilator-dependent patients.

BACKGROUND: Copper oxide has potent wide-spectrum biocidal properties. The purpose of this study is to determine if replacing hospital textiles with copper oxide-impregnated textiles reduces the following health care-associated infection (HAI) indicators: antibiotic treatment initiation events (ATIEs), fever days, and antibiotic usage in hospitalized chronic ventilator-dependent patients. METHODS: A 7-month, crossover, double-blind controlled trial including all patients in 2 ventilator-dependent wards in a long-term care hospital. For 3 months (period 1), one ward received copper oxide-impregnated textiles and the other received untreated textiles. After a 1-month washout period of using regular textiles, for 3 months (period 2) the ward that received the treated textiles received the control textiles and vice versa. The personnel were blinded to which were treated or control textiles. There were no differences in infection control measures during the study. RESULTS: There were reductions of 29.3% (P = .002), 55.5% (P < .0001), 23.0% (P < .0001), and 27.5% (P < .0001) in the ATIEs, fever days (>37.6°C), days of antibiotic treatment, and antibiotic defined daily dose per 1,000 hospitalization days, respectively, when using the copper oxide-impregnated textiles. CONCLUSIONS: Use of copper oxide-impregnated biocidal textiles in a long-term care ward of ventilator-dependent patients was associated with a significant reduction of HAI indicators and antibiotic utilization. Using copper oxide-impregnated biocidal textiles may be an important measure aimed at reducing HAIs in long-term care medical settings.

[Use of Reusable Textile Undergloves for Medical Procedures: A Feasibility Study]. / Einsatz wiederaufbereitbarer textiler Unterziehhandschuhe für medizinische Tätigkeiten: eine Machbarkeitsstudie.

OBJECTIVE: Undergloves are a way to reduce moisture-related skin damage. The aim of this feasibility study was to gain experience with logistics, applicability, acceptability and cost of the routine use of reusable textile undergloves in a hospital setting. METHODS: Undergloves were tested with 18 health-care workers on an intensive care unit over three months. Data on usage as well as logistics were recorded. At baseline, personal data and knowledge and use of cotton undergloves, existing skin problems and the nursing behaviour of the hands by the subjects were determined by means of an input questionnaire. After each wearing, data on usage were collected by a questionnaire. Participants were interviewed by means of a questionnaire with respect to their experience with the use of the undergloves. RESULTS: Acceptance and compliance with the use of undergloves was remarkably good. This was partly due to the properties of the gloves, and partly to the reduction of sweating and very positive effect on the skin of the hands. In the study period 2165 underglove uses were documented, resulting in an average daily consumption of four pairs per person per day. The average wearing time was 28.6 min. The undergloves were suitable for application as well as reprocessing. Reprocessment-related fatigue was relatively low and did not lead to the loss of the properties, only few gloves had to be sorted out. Even if one assumes a complete write-off of the gloves with end of the study, costs for reprocessing were about 0.46 € or 64 % less than the single use. CONCLUSION: The routine use of textile, reprocessable undergloves is feasible. Major challenges for broad usage are within logistics and acceptance by the user.

Functional textiles for atopic dermatitis: a systematic review and meta-analysis.

Atopic dermatitis (AD) is a relapsing inflammatory skin disease with a considerable social and economic burden. Functional textiles may have antimicrobial and antipruritic properties and have been used as complementary treatment in AD. We aimed to assess their effectiveness and safety in this setting. We carried out a systematic review of three large biomedical databases. GRADE approach was used to rate the levels of evidence and grade of recommendation. Meta-analyses of comparable studies were carried out. Thirteen studies (eight randomized controlled trials and five observational studies) met the eligibility criteria. Interventions were limited to silk (six studies), silver-coated cotton (five studies), borage oil, and ethylene vinyl alcohol (EVOH) fiber (one study each). Silver textiles were associated with improvement in SCORAD (2 of 4), fewer symptoms, a lower need for rescue medication (1 of 2), no difference in quality of life, decreased Staphyloccosus aureus colonization (2 of 3), and improvement of trans-epidermal water loss (1 of 2), with no safety concerns. Silk textile use was associated with improvement in SCORAD and symptoms (2 of 4), with no differences in quality of life or need for rescue medication. With borage oil use only skin erythema showed improvement, and with EVOH fiber, an improvement in eczema severity was reported. Recommendation for the use of functional textiles in AD treatment is weak, supported by low quality of evidence regarding effectiveness in AD symptoms and severity, with no evidence of hazardous consequences with their use. More studies with better methodology and longer follow-up are needed.

Assessing the efficacy of different microfibre cloths at removing surface micro-organisms associated with healthcare-associated infections.

This study investigated the ability of 10 different microfibre cloths to remove microbial contamination from three surfaces commonly found in hospital settings (stainless steel, furniture laminate and ceramic tile), under controlled laboratory conditions. Tests were conducted using organisms known to cause healthcare-associated infections, i.e. meticillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (in spore form) and Escherichia coli. For all the cloths tested, there was significant statistical evidence to suggest a difference in cleaning performance between them on first and single use (P<0.001). However, the overall performance of the nine re-useable cloths did not differ in practice with differences in log10 reductions of <1. The performance of the disposable microfibre cloth was notably worse. The performance of all cloths decreased with repeated use on a succession of contaminated surfaces. After repeated washing, re-usable cloth performance improved at 75 washes, and reduced after 150 washes, although, in most instances, performance after 150 washes was better than at first wash. For all cloths, price was not an indication of performance. Based on these laboratory findings, it is concluded that use of the microfibre cloths investigated is an effective way to reduce the levels of MRSA, E. coli and C. difficile (in spore form) on a range of surfaces found in the clinical environment and could therefore be of benefit to these environments.

The accumulation of dust mite allergens on mattresses made of different kinds of materials.

BACKGROUND: Different mattress materials may affect the accumulation of allergens. OBJECTIVE: To compare the amount of group 1 dust mite allergens (Der p1 + Der f1) on mattresses made of different kinds of materials before and after use. METHODS: Sixty new mattresses made of kapok, synthetic fiber, coconut fiber and sponge-like polyurethane, were placed in the house officers' dormitory at Siriraj hospital, Thailand. The dust samples were collected before (0), 1, 2, 3, 6, 9 and 12 months after the mattresses were used. Group 1 dust mite allergens were analyzed using two-site monoclonal antibody ELISA. RESULTS: Der f1 made up 86.7 % of group 1 allergens found in the matress dust. After the 2nd month, only the mean level in sponge-like polyurethane mattress was under 2 microg/g dust (sensitized level). At the 6th month, the mean levels were 13.1 in coconut, 21.7 in kapok and 17.3 microg/g dust in synthetic fiber, all of which were more than 10 microg/g dust (symptomatic level). At the 9th month, the level in sponge-like polyurethane mattress was increased to 11.2 microg/g. At 12th month the level in coconut fiber, sponge-like polyurethane synthetic fiber and kapok mattresses were 20.2, 22.4, 28.9 and 32.2 microg/g dust respectively. CONCLUSIONS: The accumulation rate in kapok and synthetic mattresses was significantly higher than coconut and sponge-like polyurethane mattresses. The mean level of group 1 mite allergens exceeded 10 microg/g dust after the 6th month of use in coconut fiber, kapok and synthetic fiber and at the 9th month in sponge-like polyurethane mattress.

Simple respiratory protection--evaluation of the filtration performance of cloth masks and common fabric materials against 20-1000 nm size particles.

A shortage of disposable filtering facepiece respirators can be expected during a pandemic respiratory infection such as influenza A. Some individuals may want to use common fabric materials for respiratory protection because of shortage or affordability reasons. To address the filtration performance of common fabric materials against nano-size particles including viruses, five major categories of fabric materials including sweatshirts, T-shirts, towels, scarves, and cloth masks were tested for polydisperse and monodisperse aerosols (20-1000 nm) at two different face velocities (5.5 and 16.5 cm s⁻¹) and compared with the penetration levels for N95 respirator filter media. The results showed that cloth masks and other fabric materials tested in the study had 40-90% instantaneous penetration levels against polydisperse NaCl aerosols employed in the National Institute for Occupational Safety and Health particulate respirator test protocol at 5.5 cm s⁻¹. Similarly, varying levels of penetrations (9-98%) were obtained for different size monodisperse NaCl aerosol particles in the 20-1000 nm range. The penetration levels of these fabric materials against both polydisperse and monodisperse aerosols were much higher than the penetrations for the control N95 respirator filter media. At 16.5 cm s⁻¹ face velocity, monodisperse aerosol penetrations slightly increased, while polydisperse aerosol penetrations showed no significant effect except one fabric mask with an increase. Results obtained in the study show that common fabric materials may provide marginal protection against nanoparticles including those in the size ranges of virus-containing particles in exhaled breath.

An on-the-road experiment into the thermal comfort of car seats.

This paper presents an evaluation of thermal comfort in an extended road trial study. Automobile seats play an important role in improving the thermal comfort. In the assessment of thermal comfort in autos, in general subjective and objective measurements are used. Testing on the road is very difficult but real traffic conditions affect the comfort level directly, as well as the driver's experience to real conditions. Thus, for such cases real traffic situations should not be neglected in the evaluation of comfort. The aim of this study was to carry out, on an extended road trial study, an evaluation of thermal comfort using human subjects. In the experiments used, the 100% polyester seat cover had three different cover materials, which were velvet, jacquard and micro fiber. All experiments were carried out on a sunny day with ten participants over 1h. They were carried out at air temperatures of 25 degrees C in a Fiat Marea 2004, which had an automatic climate function. Skin temperature at eight points and skin wettedness at two points on the human body were measured during the trials. Participants were required to complete a questionnaire of 15 questions, every 5 min. It can be concluded that there was negligible difference in participants' reported thermal sensation between the three seats. According to objective measurement results, all seat cover materials have the same degree of thermal comfort. On the road the participants feel warmer around their waist than any other area of the body. It was suggested that the effects of real traffic conditions must be accounted for in comfort predictions.

Statistical model of pesticide penetration through woven work clothing fabrics.

Statistical models estimating the level of protection and thermal comfort performance of woven fabrics were developed using simple fabric and liquid parameters. Eighteen woven fabrics were evaluated against three pesticide mixtures of atrazine and pendimethalin at different concentrations. Using three mixtures that represent a range of both surface tension and viscosity, percentages of pesticide penetration are measured, along with fabric thickness, fabric cover factor, yarn twist factor, yarn packing factor, solid volume fraction, wicking height, and air permeability. Statistical analyses are performed to examine the relationship between liquid/fabric parameters and pesticide penetration. Statistical analyses show that fabric cover factor, yarn twist factor, viscosity of pesticide mixture, critical surface tension of solid, and wicking height are significant parameters affecting pesticide penetration. For this purpose, cover factor and twist factor are better parameters in describing the geometry of woven fabrics than solid volume fraction. Modeling of comfort performance of woven fabric based on simple textile parameters shows that the combination of fabric thickness, cover factor, yarn twist factor and yarn packing factor can be used to estimate air permeability of woven fabric. These findings could be used for developing selection charts or tools as guidelines for the selection of personal protective equipment for use in hot, humid environments.

Tuberculosis among garment workers in an Arabian developing country: State of Qatar.

Tuberculosis (TB) continues to be a leading infectious cause of death worldwide, and it remains a serious public health problem in developing countries. To determine the prevalence of tuberculosis infection among garment workers, the authors conducted a retrospective prevalence survey of employees working in garment factories in Qatar from January 2000 to June 2003. A mass screening of garment factory workers was carried out by chest X-ray and Mantoux skin test at the Rumailah Hospital, Hamad Medical Corporation. The authors considered those workers with a purified protein derivative (tuberculin) reaction of > or = 15 mm to be infected with TB, or to have a latent TB infection. Workers with active TB diseases were confirmed by histopathological and mycobacteriological examinations. The authors studied a total of 2,774 garment factory workers, and they found 43% of them to be infected (reaction > or = 15 mm). The mean age of the infected subjects was significantly higher than that of the noninfected subjects (p < .001); 53% of the infected subjects were between 30 and 40 years of age. Indians and Pakistanis made up the most frequent nationalities among the infected subjects (50.0%), followed by Nepalis (44.1%). The prevalence rate of tuberculosis infection in garment workers was high. Overcrowding in factories and residential facilities increases the risk of TB transmission.

Antecedents and outcomes of decision speed in different environmental contexts.

This study refined and extended some findings of previous research on decision-making speed. Decision speed was associated with simultaneous consideration of many alternatives, regardless of context. In contrast, the relationship between board experience and decision speed was context-specific. Similarly, decision speed was associated with higher performance only in high-velocity environments.