Evaluation of 4 intervention strategies to prevent the mechanical transmission of porcine reproductive and respiratory syndrome virus.
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Four intervention strategies were tested for their ability to prevent the mechanical transmission of porcine reproductive and respiratory syndrome virus (PRRSV): the use of disposable plastic boots to prevent contamination of personal footwear, the use of boot baths to disinfect PRRSV-contaminated plastic boots, the use of plastic slatted (Polygrate) flooring in the anteroom to prevent PRRSV contamination of incoming personal footwear, and the use of bag-in-a-box shipping methods to prevent PRRSV contamination of the contents of a container destined for a swine farm. Ten PRRSV-positive replicates and 10 PRRSV-negative (sham-inoculated) replicates were used for each strategy. Swabs were collected from selected sites and tested by TaqMan polymerase chain reaction for PRRSV RNA and by swine bioassay to confirm the presence of infectious PRRSV. Results indicated that the use of disposable boots, bleach boot baths or bag-in-a-box shipping methods was highly efficacious in preventing mechanical transmission of PRRSV. In contrast, the use of Polygrate flooring in the anteroom did not prevent contamination of personal footwear. The numbers of PRRSV-positive samples from the Polygrate surface and the soles of incoming footwear placed directly on the Polygrate surface were not significantly different (P = 0.24) from those of footwear that directly contacted the floor of the contaminated anteroom. Although these results are promising, this study should be considered a pilot project and the intervention strategies not considered biosecurity protocols. The model used may or may not represent field conditions. Therefore, the information should be used to develop larger experimental studies, with sufficient statistical power, in combination with field-based epidemiologic studies to better assess the role of mechanical transmission of PRRSV under field conditions. (+info)
Detailed exposure assessment for a molecular epidemiology study of benzene in two shoe factories in China.
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OBJECTIVES: We carried out a detailed exposure assessment of benzene and toluene in two shoe factories in Tianjin, China. Our goal was to identify workers with a broad range of benzene exposures, for an epidemiologic study relating exposure to early biologic effects. METHODS: A comprehensive exposure survey program was initiated. Over a period of 16 months, 2783 personal solvent exposure samples were collected in two workplaces from 250 workers. Mixed-effects models were used to identify factors affecting exposure. Principal component analyses (PCA) and subsequent regression analyses on the scores of the identified principal components were used to relate potential co-exposures to various exposure sources present in the workplace. RESULTS: The mean benzene exposure level was 21.86 p.p.m. (10th-90th percentiles 5.23-50.63 p.p.m.) in the smaller shoe factory (factory A) and 3.46 p.p.m. (10th-90th percentiles 0.20-7.00 p.p.m.) in the larger shoe factory (factory B). Within-factory exposure levels differed among job titles and were higher for subjects directly involved in handling glues. In contrast, mean toluene levels were relatively similar in the two factories (factory A, 9.52 p.p.m.; factory B, 15.88 p.p.m.). A seasonal trend was identified for both benzene and toluene in factory B. This could be explained in part by changes in air movement and ventilation patterns occurring during the year. A seasonal trend was not present in the smaller shoe factory, where general ventilation was absent. Supplemental analysis showed that exposure levels to other hydrocarbons were low (< or =5 p.p.m.), less than 5% of their respective ACGIH threshold limit values, and generally comparable in the two factories. PCA showed that co-exposures in factory B could largely be explained by glue sources that were used in distinct areas in the workplace. CONCLUSIONS: We demonstrated the occurrence of a broad range of benzene exposure levels in two shoe manufacturing factories in Tianjin, China. Benzene and toluene exposures were determined in part by the degree of contact with glues, the benzene and toluene content of each glue, air movement and ventilation patterns. The availability of long-term monthly personal monitoring data provides an excellent opportunity to estimate individual exposures at different times during the 1 yr period of observation. (+info)
The use of footwear insulation values measured on a thermal foot model.
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The use of physiological data from human tests in modelling should consider background data, such as activity, environmental factors and clothing insulation on the whole body. The present paper focuses on local thermal comfort of feet with special attention on the effects of physical changes of footwear thermal properties. An alternative test method is available for footwear thermal testing besides the standard method. The possibility to use insulation values acquired on a thermal foot model in practice is shown here. The paper describes the correlation between cold and pain sensations, and foot skin temperatures of the subjects and relates these to insulation measured on a thermal foot model. Recommendations are made for footwear choice according to environmental temperature. (+info)
A successful conservative approach to managing lower leg pain in a university sports injury clinic: a two patient case study.
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There is a lack of information on the conservative treatment of lower leg pain induced by running. In this study, non-invasive treatment based on a change of footwear was applied to two patients, and, on the basis of pain scale questionnaires, deemed successful. (+info)
Mountaineer's heel.
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Mountaineers are at risk of skin lesions caused by constant boot friction. This is the case of a 35 year old mountaineer who presented with large and deeply ulcerated lesions over the medial aspects of both heels after a two and a half day climb using crampons. A number of factors such as the length of the climb in cold and thin air and the impossibility of removal of the footwear to allow rapid rewarming may have contributed to a more acute presentation of these lesions. (+info)
Diabetic heel ulcers: a major risk factor for lower extremity amputation.
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Of all the ulcers seen in patients with diabetes, heel ulcers are the most serious and often lead to below-the-knee amputation. Management of heel ulcers requires a thorough knowledge of the major risk factors for ulceration in the heel area and a standardized program of local ulcer care, metabolic control, early control of infection, and improvement of blood supply to the foot. The most common risk factors for ulceration in the heel region include immobility of the lower limbs, diabetic neuropathy, structural deformity, and peripheral arterial occlusive disease. Patient education regarding foot hygiene, skin care, and proper footwear is crucial to reducing the risk of an injury that can lead to heel ulceration. A careful foot examination that tests for neuropathy and arterial insufficiency can identify patients at risk for heel ulcers and appropriately classify patients with ulcers into different grades to design proper therapeutic plans for management. Team management programs that focus on education, prevention, regular foot examinations, aggressive intervention, and proper use of therapeutic measures can significantly reduce the risk of lower-extremity amputations from heel ulcers. (+info)
Making tracks: the forensic analysis of footprints and footwear impressions.
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Analysis of footwear characteristics, impressions, and track ways can provide important evidence in a crime scene investigation. In this article, we present examples of how students can be involved in hands-on laboratory-based activities as a means of introducing the forensic sciences. The teaching methodology employs active learning strategies that allow students to discover scientific principles for themselves, develop techniques of critical thinking and problem solving, and gain appreciation for how knowledge arises. By including forensic sciences in the science curriculum, students develop an appreciation for the interrelatedness of all the sciences. From this series of activities, i.e., examining analyses of footprint and footwear impressions, students working as teams will gather information, analyze data, and draw conclusions. Moreover, students will be able to assess the significance of the quality and variability in the data collection process as well as learn the value of controls and experimental design through comparison of results with other groups. (+info)
It's not what you put on, but what you take off: techniques for debriding and off-loading the diabetic foot wound.
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The basic etiology of neuropathic diabetic foot wounds involves pressure in conjunction with cycles of repetitive stress, leading to failure of skin and soft tissue. The central tenet of any treatment plan addressing neuropathic diabetic foot wounds is the appropriate debridement of nonviable tissue coupled with adequate pressure relief (off-loading). Although numerous advances have been made in the treatment of diabetic foot wounds, including bioengineered tissues, autologous and exogenous cytokine delivery systems, and potentially effective topical antimicrobial modalities, none will succeed without addressing effective debridement and off-loading. Specific debridement and off-loading techniques are discussed, along with available supporting evidence. This includes the use of the "instant" total contact cast, among other modalities. (+info)