Determination of formaldehyde levels in 100 furniture workshops in Ankara.
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One of the airborne pollutants in wood products industry is formaldehyde, which may pose some health effects. Therefore this study is conducted to determine formaldehyde levels in 100 furniture-manufacturing workshops in Ankara and also to determine the symptoms, which may be related with formaldehyde exposure among the workers. Indoor formaldehyde levels ranged from 0.02 ppm to 2.22 ppm with a mean of 0.6 +/- 0.3 ppm. Outdoor formaldehyde levels also ranged from 0.0 ppm to 0.08 ppm with a mean of 0.03 +/- 0.03 ppm. Formaldehyde levels were higher in workplaces located at basement than in workplaces located at or above ground level (p < 0.01). An association was found between indoor formaldehyde levels and the types of fuel used (p < 0.05). The levels were higher in workplaces where only sawdust was used for heating, than in workplaces where wood, coal, and sawdust are used (p = 0.02). An association was found between runny nose and indoor formaldehyde levels (p = 0.03). Formaldehyde levels were lower in workplaces where employees had no symptoms than in those where employees had 4 or more symptoms (p = 0.02). Of 229 employees 57 subjects (24.9%) work under the formaldehyde levels of 0.75 ppm and above. Thus, approximately one fourth of the employees in workplaces are working in environments with formaldehyde levels exceeding those permitted by Occupational Safety and Health Administration (OSHA). The employees working in small-scale furniture workshops are at risk of formaldehyde exposure. Measures, such as improved ventilation, have to be taken in these workplaces, in order to decrease the formaldehyde levels. (+info)
Molecular characterization of hand flora and environmental isolates in a community setting.
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We analyzed 69 bacterial isolates, comprising seven species of gram-negative bacterial rods and three species of coagulase-negative staphylococci, recovered from both the hands of caretakers and their environment in households sampled in upper Manhattan. Repetitive sequence-based PCR and dendrogram analysis were used to determine strain similarity. Greater than 25% of individual species of Acinetobacter, Enterobacter, and coagulase-negative staphylococci recovered from the hands and immediate environment within each household shared the same genotype. This study is the first to demonstrate the frequency of bacteria shared within community households. These strains may serve as potential reservoirs for either community- or hospital-acquired infections. (+info)
A kinematic comparison between elderly and young subjects standing up from and sitting down in a chair.
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BACKGROUND AND AIMS: The transfer from sitting to standing and back to sitting as the two phases of the same task has never been studied in elderly people. The purposes of this study were to analyse and compare kinematic features of the whole task (standing up and sitting down) and to determine whether there are age-related differences upon movement kinematics in healthy elderly persons during the whole sequence (standing up and sitting down). METHODS: The movements of various parts of the body were measured with a 100 Hz television image analyser that computed the co-ordinates of small reflective markers glued onto the skin of the subjects. The task was conducted using an armless chair set to 100% of knee height under four conditions: at normal speed in light, at normal speed in the dark, at fast speed in light and at fast speed in the dark. TYPE OF STUDY: Laboratory study. RESULTS: In young subjects, the task was characterized by similar acromion trajectories and angular displacement of trunk in standing up and sitting down and by a stabilization of the head in space during the two phases. However, the time required to achieve the movement was found to be greater in sitting down than in standing up, and an adjustment of velocity appeared in final part of the movement before reaching the chair. In sitting down, as in carrying out a pointing task of upper limb, an adjustment was required to achieve accuracy. This feature was not found in standing up. Age-related differences appeared to be more important during sitting down than during standing up. Moreover, deterioration of head stability was found in elderly subjects, particularly when the task was achieved rapidly and in darkness. CONCLUSION: There is a relationship between changes in the motor control of the task, which appeared during periods of potential postural instability, and the effects of ageing on postural stability. (+info)
Organizational aspects and implementation of data systems in large-scale epidemiological studies in less developed countries.
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BACKGROUND: In the conduct of epidemiological studies in less developed countries, while great emphasis is placed on study design, data collection, and analysis, often little attention is paid to data management. As a consequence, investigators working in these countries frequently face challenges in cleaning, analyzing and interpreting data. In most research settings, the data management team is formed with temporary and unskilled persons. A proper working environment and training or guidance in constructing a reliable database is rarely available. There is little information available that describes data management problems and solutions to those problems. Usually a line or two can be obtained in the methods section of research papers stating that the data are doubly-entered and that outliers and inconsistencies were removed from the data. Such information provides little assurance that the data are reliable. There are several issues in data management that if not properly practiced may create an unreliable database, and outcomes of this database will be spurious. RESULTS: We have outlined the data management practices for epidemiological studies that we have modeled for our research sites in seven Asian countries and one African country. CONCLUSION: Information from this model data management structure may help others construct reliable databases for large-scale epidemiological studies in less developed countries. (+info)
Staphylococcus aureus contamination on the surface of working tables in ward staff centers and its preventive methods.
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We investigated Staphylococcus aureus (S. aureus) contamination on the surface of working tables in ward staff centers and the effects of disinfection by wiping with 80% (v/v) ethyl alcohol on this contamination. When working tables were not regularly disinfected or washed, S. aureus [methicillin-sensitive S. aureus (MSSA) and/or methicillin-resistant S. aureus (MRSA)] was detected in 29 (51.8%) of 56 tables in 6 wards investigated. MRSA was detected in 17 (30.4%) of 56 tables and in all investigated wards. The S. aureus contamination density on the entire surface of the S. aureus-contaminated tables was 2081+/-8915 (mean+/-S.D.) colony-forming units (cfu) (n=29, range, 10-4.8x10(4) cfu), and the MRSA contamination density on the entire surface of the MRSA-contaminated tables was 158+/-200 cfu (n=17, range, 10-7.4x10(2) cfu). The second investigation was performed immediately after working tables not regularly disinfected or washed were disinfected by wiping once with 80% (v/v) ethyl alcohol, and MRSA was detected in 5 (8.9%) of 56 tables. The contamination density on the entire surface of the MRSA-contaminated tables was 36+/-30 cfu (n=5, range, 10-80 cfu). The third investigation was performed immediately after working tables not regularly disinfected or washed were disinfected by wiping with 80% (v/v) ethyl alcohol twice with a 1-min interval, and no S. aureus contamination was observed in any of 56 tables. These results suggest that disinfection by wiping once with 80% (v/v) ethyl alcohol could not completely eliminate MRSA in particulates. For the disinfection of the MRSA-contaminated surface of working tables and the removal of particulates, regular disinfection by wiping with 80% (v/v) ethyl alcohol is necessary. (+info)
Interior surface materials and asthma in adults: a population-based incident case-control study.
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The authors conducted a population-based incident case-control study to assess the relations between different types of interior surface materials and recent renovations at home and at work and the risk of asthma in adults. The authors systematically recruited all new cases of asthma during a 2.5-year study period (1997-2000) and randomly selected controls from a source population consisting of adults 21-63 years of age living in south Finland. The clinically diagnosed cases consisted of 521 adults with new asthma, and the controls consisted of 932 adults fulfilling eligibility criteria. In logistic regression analysis adjusting for confounding, the risk of asthma was related to the presence of plastic wall materials (adjusted odds ratio (OR) = 2.43, 95% confidence interval (CI): 1.03, 5.75) and wall-to-wall carpet at work (adjusted OR = 1.73, 95% CI: 0.74, 4.09), the latter in particular in the presence of mold problems (adjusted OR = 4.64, 95% CI: 1.11, 19.4). Use of floor-leveling plaster at home during the past 12 months was also a determinant of onset of asthma (adjusted OR = 1.81, 95% CI: 1.06, 3.08). These findings underline the need to consider the health aspects of materials used in floor, wall, and other indoor surfaces. (+info)
Destruction of spores on building decontamination residue in a commercial autoclave.
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The U.S. Environmental Protection Agency conducted an experiment to evaluate the effectiveness of a commercial autoclave for treating simulated building decontamination residue (BDR). The BDR was intended to simulate porous materials removed from a building deliberately contaminated with biological agents such as Bacillus anthracis (anthrax) in a terrorist attack. The purpose of the tests was to assess whether the standard operating procedure for a commercial autoclave provided sufficiently robust conditions to adequately destroy bacterial spores bound to the BDR. In this study we investigated the effects of several variables related to autoclaving BDR, including time, temperature, pressure, item type, moisture content, packing density, packing orientation, autoclave bag integrity, and autoclave process sequence. The test team created simulated BDR from wallboard, ceiling tiles, carpet, and upholstered furniture, and embedded in the BDR were Geobacillus stearothermophilus biological indicator (BI) strips containing 10(6) spores and thermocouples to obtain time and temperature profile data associated with each BI strip. The results indicated that a single standard autoclave cycle did not effectively decontaminate the BDR. Autoclave cycles consisting of 120 min at 31.5 lb/in2 and 275 degrees F and 75 min at 45 lb/in2 and 292 degrees F effectively decontaminated the BDR material. Two sequential standard autoclave cycles consisting of 40 min at 31.5 lb/in2 and 275 degrees F proved to be particularly effective, probably because the second cycle's evacuation step pulled the condensed water out of the pores of the materials, allowing better steam penetration. The results also indicated that the packing density and material type of the BDR in the autoclave could have a significant impact on the effectiveness of the decontamination process. (+info)
Experience-based design: from redesigning the system around the patient to co-designing services with the patient.
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Involving patients in service improvement and listening and responding to what they say has played a key part in the redesign of healthcare processes over the past five years and more. Patients and users have attended stakeholder events, participated in discovery interviews, completed surveys, mapped healthcare processes and even designed new hospitals with healthcare staff. However, to date efforts have not necessarily focused on the patient's experience, beyond asking what was good and what was not. Questions were not asked to find out details of what the experience was or should be like ("experience" being different from "attitudes") and the information then systematically used to co-design services with patients. Knowledge of the experience, held only by the patient, is unique and precious. In this paper, attention is drawn to the burgeoning discipline of the design sciences and experience-based design, in which the traditional view of the user as a passive recipient of a product or service has begun to give way to the new view of users as integral to the improvement and innovation process. (+info)