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1.
Nature ; 598(7879): 188-194, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34616074

RESUMO

The cortico-basal ganglia-thalamo-cortical loop is one of the fundamental network motifs in the brain. Revealing its structural and functional organization is critical to understanding cognition, sensorimotor behaviour, and the natural history of many neurological and neuropsychiatric disorders. Classically, this network is conceptualized to contain three information channels: motor, limbic and associative1-4. Yet this three-channel view cannot explain the myriad functions of the basal ganglia. We previously subdivided the dorsal striatum into 29 functional domains on the basis of the topography of inputs from the entire cortex5. Here we map the multi-synaptic output pathways of these striatal domains through the globus pallidus external part (GPe), substantia nigra reticular part (SNr), thalamic nuclei and cortex. Accordingly, we identify 14 SNr and 36 GPe domains and a direct cortico-SNr projection. The striatonigral direct pathway displays a greater convergence of striatal inputs than the more parallel striatopallidal indirect pathway, although direct and indirect pathways originating from the same striatal domain ultimately converge onto the same postsynaptic SNr neurons. Following the SNr outputs, we delineate six domains in the parafascicular and ventromedial thalamic nuclei. Subsequently, we identify six parallel cortico-basal ganglia-thalamic subnetworks that sequentially transduce specific subsets of cortical information through every elemental node of the cortico-basal ganglia-thalamic loop. Thalamic domains relay this output back to the originating corticostriatal neurons of each subnetwork in a bona fide closed loop.


Assuntos
Gânglios da Base/citologia , Córtex Cerebral/citologia , Vias Neurais , Neurônios/citologia , Tálamo/citologia , Animais , Gânglios da Base/anatomia & histologia , Córtex Cerebral/anatomia & histologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Tálamo/anatomia & histologia
2.
Inhal Toxicol ; 32(3): 110-114, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32279591

RESUMO

Objective: Electronic Cigarettes (EC) use continues to increase with many efforts underway to develop dose-response relationships for clinical and sub-clinical purposes. This study investigated the battery performance of several variable voltage (VV) ECs capable of varied voltage outputs.Materials and Methods: Six brands of VV EC batteries were tested for dial setting accuracy (voltage) and power supplied during simulated vaping. All measurements were conducted using a single atomizer with two different resistance coils at four voltage settings in a blocked randomized structure. Battery dial settings were accurate when disconnected from an atomizer.Results: When powering an atomizer during simulated vaping, all batteries supplied power linearly up to approximately 8.5 watts. Beyond 8.5 watts all batteries began to undersupply power, plateauing around 9-10 watts, depending on the specific battery.Discussion: This behavior was not consistent with battery internal resistance. Undersupply of power at higher device settings will result in lower-than-expected nicotine (or THC) delivery and potentially lower pyrolysis products such as aldehydes.Conclusion: Studies seeking to associate VV EC power with psychological, physiological or toxicological effects should measure the actual power supplied or else a negative bias is likely to be observed in trials above 8.5 watts.


Assuntos
Equipamentos e Provisões Elétricas , Sistemas Eletrônicos de Liberação de Nicotina , Vaping
3.
J Occup Environ Hyg ; 16(5): 349-354, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30870115

RESUMO

Nicotine from electronic cigarette aerosol will deposit on surfaces immediately after vaping, but how long deposited nicotine will persist on various surfaces is unknown. This work exposed glass and terrycloth (cotton) materials to electronic cigarette aerosols for 1 hr, assessed the initial nicotine sorption, and characterized surface persistence over a 72-hr period. Exponential decay of surface concentration was observed for both materials. Terrycloth had higher initial nicotine deposition and retained nicotine substantially longer than glass. Residual nicotine concentrations persisted on both surface types for 72 hr. Statistical modeling predicted surface concentrations to reach background levels after 4 and 16 days for glass and terrycloth, respectively. Nicotine persistence was long enough to pose a potential thirdhand nicotine exposure risk, and reactions to produce tobacco-specific nitrosamines may be possible from nicotine deposition from electronic cigarette aerosols, but further study is needed.


Assuntos
Sistemas Eletrônicos de Liberação de Nicotina , Nicotina/análise , Vaping , Aerossóis , Poluição do Ar em Ambientes Fechados/análise , Fibra de Algodão/análise , Exposição Ambiental/análise , Vidro/química , Nicotina/química
4.
J Occup Environ Hyg ; 15(4): 334-340, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29283316

RESUMO

BACKGROUND: OSHA regulations state that an employer shall not permit tight-fitting respirators to be worn by employees who have facial hair that comes between the skin and facepiece seal. Studies have shown that facial hair in the face seal zone can increase penetration and decrease the fit factor (FF), although the relationship between the amount and characteristics of facial hair and the increase in penetration is not well quantified. This article examines the influence of facial hair length, areal density, and coarseness on FF for one model of half-face elastomeric negative-pressure air purifying respirator. APPROACH: Quantitative fit tests (QNFT) were performed on 19 subjects with beards initially 0.500-in long and subsequently trimmed to 0.250, 0.125, and 0.063 in, then after a razor shave. Three fit tests were performed at each of the 5 lengths, for 285 total tests. The average diameter and areal density of cheek and chin hair were measured. Penetration was modeled as a function of hair length category, beard areal density, and hair coarseness. RESULTS: FF decreased with beard length, especially beyond 0.125 in. However, passing FF scores were achieved on all tests by all subjects at the smooth shave and 0.063 in conditions, and 98% of tests were passed at 0.125 in; seven subjects passed all tests at all conditions. Chin and cheek areal densities were significantly different and were only weakly correlated. Beard hair diameters were normally distributed across subjects (mean 76 µm, standard deviation 7.4 µm). Beard length and areal density, but not coarseness, were statistically significant predictors of fit using an arcsine transformed penetration model. FF decreased with increasing beard length, especially beyond 0.125 in, although FF with a "stubble" beard did not differ significantly from a smooth shave. FF also decreased with increasing areal beard hair density. CONCLUSION: Beard length and areal density negatively influence FF. However, tight-fitting half-face negative-pressure respirator fit tests can achieve adequate fit factor scores even with substantial facial hair in the face seal area.


Assuntos
Face , Cabelo , Dispositivos de Proteção Respiratória , Adolescente , Adulto , Idoso , Remoção de Cabelo , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto
5.
J Environ Health ; 80(3): 34-49, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29651169

RESUMO

Toilets contaminated with infectious organisms are a recognized contact disease transmission hazard. Previous studies indicate that toilet bowl water can remain contaminated for several flushes after the contamination occurs. This study characterized contamination persistence over an extended series of flushes using both indicator particles and viable bacteria. For this study, toilets were seeded with microbe-size microbial surrogates and with Pseudomonas fluorescens or Clostridium difficile bacteria and flushed up to 24 times. Bowl water samples collected after seeding and after each flush indicated the clearance per flush and residual bowl water contaminant concentration. Toilets exhibited 3 + log10 contaminant reductions with the first flush, only 1-2 logs with the second flush, and less than 1 log thereafter. Contamination still was present 24 flushes post contamination. Clearance was modeled accurately by a two-stage exponential decay process. This study shows that toilet bowl water will remain contaminated many flushes after initial contamination, posing a risk of recurring environmental contamination and associated infection incidence.

6.
Ann Occup Hyg ; 59(1): 122-6, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25326187

RESUMO

PURPOSE: To assess the relative efficacy of three types of controls in reducing respirable silica exposure during artificial stone countertop cutting with a handheld circular saw. APPROACH: A handheld worm drive circular saw equipped with a diamond segmented blade was fitted with water supply to wet the blade as is typical. The normal wetted-blade condition was compared to (i) wetted-blade plus 'water curtain' spray and (ii) wetted-blade plus local exhaust ventilation (LEV). Four replicate 30-min trials of 6-mm deep, 3-mm wide cuts in artificial quartz countertop stone were conducted at each condition in a 24-m(3) unventilated tent. One dry cutting trial was also conducted for comparison. Respirable cyclone breathing zone samples were collected on the saw operator and analyzed gravimetrically for respirable mass and by X-ray diffraction for respirable quartz mass. RESULTS: Mean quartz content of the respirable dust was 58.5%. The ranges of 30-min mass and quartz task concentrations in mg m(-3) were as follows-wet blade alone: 3.54-7.51 and 1.87-4.85; wet blade + curtain: 1.81-5.97 and 0.92-3.41; and wet blade + LEV: 0.20-0.69 and <0.12-0.20. Dry cutting task concentrations were 69.6 mg m(-3) mass and 44.6 mg m(-3) quartz. There was a statistically significant difference (α = 0.05) between the wet blade + LEV and wet blade only conditions, but not between the wet blade + curtain and wet blade only conditions, for both respirable dust and respirable silica. CONCLUSIONS: Sawing with a wetted blade plus LEV reduced mean respirable dust and quartz task exposures by a factor of 10 compared to the wet blade only condition. We were unable to show a statistically significant benefit of a water curtain in the ejection path, but the data suggested some respirable dust suppression.


Assuntos
Materiais de Construção , Poeira/análise , Exposição por Inalação/prevenção & controle , Exposição Ocupacional/prevenção & controle , Dióxido de Silício/análise , Poluentes Ocupacionais do Ar/análise , Desenho de Equipamento , Humanos , Exposição por Inalação/análise , Quartzo/análise , Ventilação , Água
7.
J Cardiovasc Electrophysiol ; 24(1): 33-9, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23067340

RESUMO

BACKGROUND: Esophageal injury during left atrial ablation is associated with a significant risk of mortality and morbidity. There are no validated approaches to reduce injury outside of avoidance, a strategy critically dependent on a precise understanding of the esophageal anatomy and location. Intracardiac ultrasound (ICE) can provide a real-time assessment of the esophagus during ablation. We hypothesized that ICE can accurately define esophageal anatomy and location to enhance avoidance strategies during ablation. METHODS: Fifty patients underwent atrial fibrillation (AF) ablation. The left atrium and pulmonary vein anatomies were rendered by traditional electroanatomic mapping (CARTO). A Navistar catheter within the esophagus was used to create a traditional electroanatomic esophageal anatomy. ICE imaging was used to create a second geometry of the esophagus. The traditional and ICE anatomies of the esophagus were compared and the greatest border dimensions used to avoid injury. RESULTS: The average age was 66 ± 10 years, 45% had persistent/longstanding persistent AF, and 18% had a prior AF ablation. The esophagus location was leftward in 17 (34%), midline in 22 (44%), and rightward in 11 (22%). Traditional esophagus and ICE imaging correlated within 1 cm in the greatest distance in 26 (52%) patients. Traditional imaging underestimated the esophageal location by >1-1.5 cm in 9 (18%) and >1.5 cm in 15 (30%). In those with poor correlation (>1.5 cm), the most common cause was the presence of a hiatal hernia. Ablation energy delivery was performed outside the greatest esophagus anatomy borders. Of those with 12-month follow-up, 75% were AF/atrial flutter free without antiarrhythmic drugs. No esophageal injuries were observed. One patient experienced a TIA greater than 6 months postablation. CONCLUSION: These data demonstrate that traditional means of mapping the esophagus using a catheter within the esophagus are insufficient and often grossly underestimate the actual anatomy. Imaging techniques that define the complete esophageal lumen should be considered to truly minimize esophageal injury risk.


Assuntos
Fibrilação Atrial/diagnóstico por imagem , Fibrilação Atrial/cirurgia , Ablação por Cateter/métodos , Esôfago/diagnóstico por imagem , Imageamento Tridimensional/métodos , Cirurgia Assistida por Computador/métodos , Ultrassonografia/métodos , Idoso , Feminino , Humanos , Masculino , Resultado do Tratamento
8.
J Occup Environ Hyg ; 10(7): 368-73, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23668829

RESUMO

A preliminary study of personal exposure to respirable quartz was conducted in four shops that used a variety of wet and dry methods to fabricate countertops from granite and quartz-containing synthetic stone-like materials. Full-shift time-weighted average (TWA) exposures exceeded the ACGIH threshold limit value of 0.025 mg/m(3) for all workers who used dry fabrication methods, even for very limited time, during any part of the work shift (n = 15 person-days). The geometric mean of exposures for workers who used dry methods extensively was about 1 mg/m(3) (n = 12 person-days). Workers who operated only automated or remotely controlled stone cutting or shaping equipment had calculated TWA exposures of approximately 0.02 mg/m(3) (n = 3 person-days). Task-specific geometric mean exposures for various wet and dry manual operations were ranked based on estimated concentrations extracted from multi-task partial-shift sample results using a linear algebra procedure. Limited use of dry methods was observed in shops that had previously reported using only wet methods. These results suggest that even shops that report using only wet methods might, in fact, resort to brief use of dry methods for specific operations. Therefore, there may be reason for concern over potential overexposure to respirable quartz in all stone countertop shops.


Assuntos
Exposição por Inalação/análise , Exposição Ocupacional/análise , Dióxido de Silício/análise , Poeira/análise , Monitoramento Ambiental , Humanos , Indústrias/métodos , Quartzo/análise , Fatores de Risco
9.
Environ Geochem Health ; 34(3): 355-63, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21769574

RESUMO

Contamination of the indoor environment by tracked-in outdoor soil has the potential to pose a significant human health threat through exposure to hazardous soil constituents. The indoor distribution of (contaminated) soil following ingress is important when evaluating exposure risk. Here, the time evolution of size-resolved airborne particulate matter aerosolized as a result of mechanical (i.e., footfall or step-on) impacts on a floor surface with a layer of dry soil was investigated using laser particle counters. Suspended particle levels were recorded after step-on impacts that aerosolized soil particles at a single contact point by the action of a human tester who followed a pre-determined walking pattern. The experimental design presumed that the floor area immediately upon entrance indoors is the location of maximum deposition of outdoor soil transferred on footwear. The suspension of soil resulting from the first step-on floor contact and the subsequent resuspension of soil resulting from additional step-on events were quantified by various arrangements of four laser particle counters. Step-on impacts produced a transient increase in particle levels at various lateral distances and heights from the contact point. Also, with increasing distance and height from the step-on contact point, the level of suspended particles after successive step-on events decreased markedly. The results suggested that a lateral component of the dispersion process was more significant than a vertical one under these experimental conditions. A wall jet effect created by the impact of the footfalls on the floor surface was considered responsible for the apparent greater lateral dispersion of the soil particles.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar em Ambientes Fechados/análise , Poeira/análise , Monitoramento Ambiental/métodos , Lasers Semicondutores , Pisos e Cobertura de Pisos , Humanos , Tamanho da Partícula , Sapatos , Solo/análise , Poluentes do Solo/análise
10.
J Environ Qual ; 40(3): 742-50, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21546660

RESUMO

Operator-controlled and computer-controlled scanning electron microscopy (CCSEM) are used extensively to characterize particulate matter in environmental media. Analysis in a scanning electron microscope (SEM) coupled with chemical extraction is a potentially powerful tool that is capable of determining how various sample components are associated at the individual particle level. This involves initial characterization in a SEM, after which the material is exposed to a liquid or gas phase reaction for a specified time, and once exposure is concluded, the particles are reanalyzed in the SEM. This particle analysis by difference, or differential individual particle analysis (DIPA), possesses considerable potential for describing the behavior of environmental particles under changing chemical conditions. Here we describe DIPA applications with illustrative examples drawn from the analysis of particulate matter modified by reactions in a fluid environment. In situ DIPA permits the same particles to be analyzed in the SEM before and after modification. Repeated exposure to the same, or different modifying conditions, provides information on the time dependence of specific reactions. Significant numbers of particles can be analyzed using CCSEM, and the same particles can be analyzed after the reaction by accurate sample relocation in the SEM. Ex situ DIPA, which involves a bulk sample modification, uses CCSEM to characterize significant numbers of particles pre- and postreaction. The CCSEM approach is extremely efficient; recent developments in silicon drift detectors have increased the speed of characteristic X-rays detection, and very large numbers of particles can be analyzed in a short period of time.


Assuntos
Monitoramento Ambiental/métodos , Chumbo/análise , Material Particulado/análise , Poluentes do Solo/análise , Computadores , Monitoramento Ambiental/instrumentação , Hidrodinâmica , Microscopia Eletrônica de Varredura/instrumentação , Microscopia Eletrônica de Varredura/métodos
11.
Nat Commun ; 12(1): 2859, 2021 05 17.
Artigo em Inglês | MEDLINE | ID: mdl-34001873

RESUMO

The basolateral amygdalar complex (BLA) is implicated in behaviors ranging from fear acquisition to addiction. Optogenetic methods have enabled the association of circuit-specific functions to uniquely connected BLA cell types. Thus, a systematic and detailed connectivity profile of BLA projection neurons to inform granular, cell type-specific interrogations is warranted. Here, we apply machine-learning based computational and informatics analysis techniques to the results of circuit-tracing experiments to create a foundational, comprehensive BLA connectivity map. The analyses identify three distinct domains within the anterior BLA (BLAa) that house target-specific projection neurons with distinguishable morphological features. We identify brain-wide targets of projection neurons in the three BLAa domains, as well as in the posterior BLA, ventral BLA, posterior basomedial, and lateral amygdalar nuclei. Inputs to each nucleus also are identified via retrograde tracing. The data suggests that connectionally unique, domain-specific BLAa neurons are associated with distinct behavior networks.


Assuntos
Potenciais de Ação/fisiologia , Complexo Nuclear Basolateral da Amígdala/fisiologia , Medo/fisiologia , Rede Nervosa/fisiologia , Neurônios/fisiologia , Algoritmos , Animais , Complexo Nuclear Basolateral da Amígdala/citologia , Medo/psicologia , Feminino , Masculino , Camundongos Endogâmicos C57BL , Modelos Neurológicos , Rede Nervosa/citologia , Optogenética/métodos
12.
J Nutr ; 140(12): 2260-5, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20980659

RESUMO

Valid methods for assessing regional muscle mass in children are needed. The aim of this study was to determine whether dual-energy X-ray absorptiometry (DXA) can accurately estimate midthigh muscle mass from MRI (muscle(MRI)) in typically developing children and children with quadriplegic cerebral palsy (CP). A mathematical model predicting muscle(MRI) from midthigh, fat-free soft tissue mass from DXA (FFST(DXA)) was developed using 48 typically developing children (6-13 y) and was validated using the leave-one-out method. The model was also tested in children with quadriplegic CP (n = 10). The model produced valid estimates of midthigh muscle mass (muscle(DXA)) in typically developing children, as indicated by a very strong relationship between muscle(DXA) and muscle(MRI) (r(2) = 0.95; SEE = 68 g; P < 0.001), no difference in muscle(DXA) and muscle(MRI) (P = 0.951), and visual examination using a Bland-Altman plot. Muscle(DXA) was very strongly related to muscle(MRI) in children with CP (r(2) = 0.96; SEE = 54 g; P < 0.001); however, muscle(DXA) overestimated muscle(MRI) by 15% (P = 0.006). The overestimation of muscle(MRI) by muscle(DXA) was strongly related to the lower ratio of muscle(MRI) to FFST(DXA) (muscle(MRI)/FFST(DXA)) in children with CP (r(2) = 0.75; P = 0.001). The findings suggest that the DXA-based mathematical model developed in the current study can accurately estimate midthigh muscle mass in typically developing children. However, a population-specific model that takes into account the lower muscle(MRI)/FFST(DXA) is needed to estimate midthigh muscle mass in children with quadriplegic CP.


Assuntos
Absorciometria de Fóton , Paralisia Cerebral/patologia , Modelos Teóricos , Músculo Esquelético/anatomia & histologia , Adolescente , Estudos de Casos e Controles , Criança , Humanos
13.
Am J Infect Control ; 48(11): 1354-1360, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32334002

RESUMO

BACKGROUND: Environmental contamination of patient rooms and adjacent areas with C. difficile spores is a recognized transmission risk. Previous studies have shown that spores are aerosolized during patient care. These spores can remain airborne for extended periods and may contaminate distant surfaces. High-volume air sampling equipment allows for the collection of a large volume of air and was evaluated in the collection of C. difficile aerosol. METHOD: Air samplers evaluated in this research included the DFU-1000, XMX/2L-MIL, Biocapture-650, and a MB2. Aerosols of C. difficile were generated in a 5-m3 chamber and each air sampler sampled in the aerosol test chamber simultaneously with referee air samplers. RESULTS: The DFU-1000 achieved the highest efficiency of the 4 air samplers (P = .0145) with a mean efficiency of 38.60%. The relative efficiencies of the Biocapture-650, XMX/2L-MIL, and MB2 were 28.16%, 10.51%, and 3.05%, respectively. DISCUSSION/CONCLUSIONS: This study demonstrated high variation based on the sampling method employed. Based on the results of these studies, high-volume air samplers may be effectively applied to sample for airborne C. difficile in health care environments. The high sampling flow rate of the DFU-1000 would allow for the complete sampling of a patient room-sized volume in less than 1 hour.


Assuntos
Clostridioides difficile , Clostridioides , Aerossóis/análise , Atenção à Saúde , Monitoramento Ambiental , Humanos , Esporos Bacterianos
14.
J Pediatr ; 154(5): 715-20, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19111321

RESUMO

OBJECTIVE: To determine whether children with quadriplegic cerebral palsy (QCP) have a greater adipose tissue (AT) infiltration of skeletal muscle than typically developing children (12/group and 5-14 years). STUDY DESIGN: Cross-sectional area (CSA) of AT and muscle in the midthigh were assessed with magnetic resonance imaging. Physical activity was assessed with an activity monitor. RESULTS: Children with QCP had 2.3-fold higher intermuscular AT CSA and 51% lower muscle CSA in the midthigh than control subjects. Midthigh intermuscular, subfascial, and subcutaneous AT CSA adjusted for midthigh muscle CSA were higher in children with QCP (all P < .05). Moreover, the proportion of intermuscular AT CSA and subfascial AT CSA relative to subcutaneous AT CSA in the midthigh were 2.5-fold and 1.8-fold higher in children with QCP than control subjects (all P < .05). Children with QCP also had 70% fewer physical activity counts, which was inversely related to intermuscular AT CSA (r = -0.76) and subfascial AT CSA (r = -0.63) adjusted for muscle CSA in the midthigh of children with QCP (both P < 0.05), but not in control subjects. CONCLUSION: Children with QCP have a greater AT infiltration of skeletal muscle than typically developing children, which is related to their low level of physical activity.


Assuntos
Tecido Adiposo/patologia , Paralisia Cerebral/patologia , Músculo Esquelético/patologia , Adolescente , Estatura , Índice de Massa Corporal , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Atividade Motora , Quadriplegia/patologia , Coxa da Perna
15.
Am J Infect Control ; 47(5): 515-520, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30554881

RESUMO

INTRODUCTION: Clostridium difficile is the leading cause of health care-associated gastric illness. Environmental contamination with C difficile spores is a risk factor for contact transmission, and toilet flushing causes such contamination. This work explores toilet contamination persistence and environmental contamination produced over a series of flushes after contamination. METHODS: A flushometer toilet was seeded with C difficile spores in a sealed chamber. The toilet was flushed 24times, with postflush bowl water samples and settle plates periodically collected for culturing and counting. Air samples were collected after each of 12 flushes using rotating plate impactors. RESULTS: Spores were present in bowl water even after 24 flushes. Large droplet spore deposition accumulated over the 24-flush period. Droplet nuclei spore bioaerosol was produced over at least 12 flushes. CONCLUSIONS: Toilets contaminated with C difficile spores are a persistent source of environmental contamination over an extended number of flushes.


Assuntos
Aerossóis/análise , Aparelho Sanitário/microbiologia , Clostridioides difficile/crescimento & desenvolvimento , Poluição Ambiental/prevenção & controle , Esporos Bacterianos/crescimento & desenvolvimento , Banheiros/estatística & dados numéricos , Microbiologia do Ar , Desinfecção/métodos , Humanos , Água
16.
J Occup Environ Hyg ; 5(4): 271-7, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18286424

RESUMO

The containment performance of patient isolation enclosures, particularly expedient surge capacity enclosures, must be verified to protect health care providers and staff, other patients, and hospital visitors. Tracer gas methods are often used, but requirements for special equipment and training limit the technique's utility. A technologically simple yet accurate and precise particle-based technique is needed to measure the low count concentrations of escaping airborne particles that might be present outside an isolation enclosure. Reported here is the performance of such a technique employing micrometer-sized fluorescent polystyrene latex microspheres as a surrogate for pathogenic bioaerosols. Particles are released into the isolation enclosure, air is sampled inside and outside the room to capture airborne particles on 25 mm diameter filters, and the number of particles deposited on a filter is quantified using an optimized random field counting approach. The technique accurately estimates the number of surrogate bioaerosol particles on the filter, allowing calculation of the airborne particle concentrations inside and outside the enclosure, and the containment efficiency. This technique can be employed using generally available equipment and inexpensive supplies and also can minimize the number of particle counts that must be performed. The method is shown to be specific, sensitive, and accurate.


Assuntos
Microbiologia do Ar , Poluição do Ar em Ambientes Fechados/análise , Monitoramento Ambiental/métodos , Microesferas , Exposição Ocupacional/análise , Isoladores de Pacientes , Poluentes Ocupacionais do Ar/análise , Ambiente Controlado , Segurança de Equipamentos/métodos , Fluorescência , Humanos , Saúde Ocupacional
17.
PLoS One ; 13(12): e0210147, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30596800

RESUMO

INTRODUCTION: Electronic cigarettes (EC) have evolved rapidly toward higher powered devices that produce more vaping aerosol and a more satisfying vaping experience. This research characterized the particle size distribution and estimated the mass concentration of vaping aerosols produced at power outputs spanning the operating range typical of second generation variable voltage EC devices. METHODS: EC aerosol was characterized from a single coil atomizer powered by a variable voltage EC battery at the minimum and maximum dial settings (3.3, 11.2 Watts, W), and a lab controlled power supply (3-11.9 W). Aerosol particle size distribution was measured by a Scanning Mobility Particle Sizer and Aerodynamic Particle Sizer, spanning 16 nm to 19.8 µm. A mouth puff was simulated using a 100 mL glass syringe. RESULTS: Consistent with prior studies, sub-micron EC aerosol size distributions were bimodal, with peaks at 40 and 200 nm, however a previously unreported third mode was observed at approximately 1000 nm. The ~1000 nm mode accounted for 7-20x the aerosol mass of the smaller modes. Increasing atomizer power decreased count concentration of particles <600 nm but increased particle count >600 nm. Particle mass distribution shifted toward micron sized particles with increasing power and increased the respirable fraction of aerosol, likely due to increased coagulation and condensation around nano-sized particles. CONCLUSIONS: Vaping power greatly affects EC aerosol count and mass distribution. Mouth puffed EC aerosol spans a much wider particle size range than previously reported, although the major portion of the mass is still well within the alveolar size range the larger particles will deposit within the oro-pharyngeal cavity at 2-3x greater efficiency than in alveoli. These observations have major clinical implications, as aerosol particle size distribution determines deposition sites along the respiratory tract. The results of this experiment stress the need for further research to inform the design, regulation and use of e-cigarette products.


Assuntos
Aerossóis/química , Sistemas Eletrônicos de Liberação de Nicotina , Tamanho da Partícula , Vaping , Humanos , Nicotina/química
18.
JAMA Pediatr ; 177(10): 1102-1105, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37578771

RESUMO

This cohort study uses a natural experimental design to assess the impact of the COVID-19 lockdown on weight gain as associated with socioeconomic disadvantage in a diverse population of US youth.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Pandemias , Aumento de Peso , Fatores Socioeconômicos
19.
Ann Work Expo Health ; 61(6): 711-723, 2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28927166

RESUMO

OBJECTIVES: Workers who fabricate stone countertops using hand tools are at risk of silicosis from overexposure to respirable crystalline silica. This study explored the efficacy of simple engineering controls that can be used for dust suppression during use of hand tools by stone countertop fabricators. METHODS: Controlled experiments were conducted to measure whether wet methods and on-tool local exhaust ventilation (LEV) reduced respirable dust (RD) exposures during use of various powered hand tools on quartz-rich engineered stone. RD samples collected during edge grinding with a diamond cup wheel and a silicon carbide abrasive wheel were analyzed gravimetrically as well as by X-ray diffraction to determine silica content. A personal optical aerosol monitor was used simultaneously with the RD samples and also for rapid assessment of controls for polishing, blade cutting, and core drilling. RESULTS: On-tool LEV and sheet-flow-wetting were effective in reducing exposures, especially when used in combination. Sheet-flow-wetting with LEV reduced geometric mean exposures by as much as 95%. However, typical water-spray-wetting on a grinding cup was less effective when combined with LEV than without LEV. Mean silica content of RD samples from grinding operations was 53%, and respirable mass and silica mass were very highly correlated (r = 0.980). Optical concentration measures were moderately well correlated with gravimetric measures (r = 0.817), but on average the optical measures during a single trial using the factory calibration were only one-fifth the simultaneous gravimetric measures. CONCLUSIONS: Sheet-flow-wetting combined with on-tool LEV is an effective engineering control for reducing RD exposures during engineered stone edge grinding and blade cutting. On the other hand, addition of LEV to some water-spray-wetted tools may reduce the effectiveness of the wet method.


Assuntos
Poluentes Ocupacionais do Ar/análise , Materiais de Construção , Poeira/análise , Engenharia , Exposição por Inalação/análise , Exposição Ocupacional/análise , Quartzo/análise , Engenharia/métodos , Humanos , Exposição por Inalação/prevenção & controle , Exposição Ocupacional/prevenção & controle , Projetos Piloto , Silicose , Ventilação/métodos , Agentes Molhantes
20.
Sci Total Environ ; 370(2-3): 360-71, 2006 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-16962161

RESUMO

Inadvertent soil ingestion, especially by young children, can be an important route of exposure for many environmental contaminants. The introduction of exterior soil into the interior environment is a significant element of the exposure pathway. The unintentional collection of outside soil on footwear followed by subsequent deposition indoors is a principal route of soil ingress. Here we have investigated likely rates of dry and wet soil deposition on indoor hard surface flooring as a result of mass transfer from soiled footwear. In this pilot study, testing involved both single track-in events (with deposition resulting from a single progression of transfer steps) and multiple tracking actions (with deposition and dispersion resulting from repeated transfer steps). Based on soil mass recovery from the floor surface it was found that any contamination introduced by one-time track-in events was of limited spatial extent. In contrast, under repeated tracking conditions, with multiple soil incursions, widespread floor surface contamination was possible. Soil mass recovery was accomplished by brushing, by vacuum cleaner removal and by wet wiping. All the clean-up methods operated imperfectly and failed to remove all initially deposited soil. The level of floor surface soiling that resulted from the track-in tests, and the incomplete clean-up strongly suggest that under unrestricted transfer conditions rapid accumulation and dispersal of soil on indoor flooring is likely.


Assuntos
Poeira/análise , Pisos e Cobertura de Pisos , Solo/análise , Exposição Ambiental , Microscopia Eletrônica de Varredura , Tamanho da Partícula , Sapatos
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