Exposure to the Asp f 1 allergen in nonindustrial occupational environments

Sick Building Syndrome is a prevalent problem with patient complaints similar to typical allergy symptoms. Unlike most household allergens, the Asp f 1 allergen is conceivably ubiquitous in the work environment. This project examined levels of the Asp f 1 allergen in office and non-industrial occupational environments, and studied the bioaerosol and dust reservoirs of Aspergillus fumigatus responsible for those levels. ^ Culturable bioaerosols of total mesophilic fungi were sampled with Andersen N6 impactors. Aggressive airborne and bulk dust samples were concurrently collected and assayed for Asp f 1. Bulk dusts were selectively cultured for A. fumigatus. Samples were collected during both wet and dry climatological conditions to examine the possibility of Asp f 1 increases due to fungal growth blooms. ^ Only very low levels of Asp f 1 were detected in relatively few samples. Analysis of wet versus dry period samples showed no differences in Asp f 1 levels, although A. fumigatus counts from dusts did fluctuate significantly with exterior moisture events as did indoor prevalence of total colony forming units. These results indicate that even in the presence of elevated fungal concentrations, levels of Asp f 1 are extremely low. These levels do not correlate with climatological moisture events, despite distinct fungal blooms in the days immediately following those events. Non-industrial office buildings devoid of indoor air quality issues did not demonstrate significant levels or occurrence of Asp f 1 contamination in the geographical region of this study. ^

Caracterización de la ventilación en la edificación residencial existente. Conciliación entre calidad del aire interior y eficiencia en la rehabilitación energética

La edificación residencial existente en España y en Europa se encuentra abocada a una rehabilitación profunda para cumplir los objetivos marcados en la estrategia europea para el año 2050. Estos, para el sector de la edificación, se proponen una reducción del 90% de emisiones de gases de efecto invernadero (GEI) respecto a niveles del año 1990. Este plan a largo plazo establece hitos intermedios de control, con objetivos parciales para el año 2020 y 2030. El objetivo último es aprovechar el potencial de reducción de demanda energética del sector de la edificación, del cual la edificación residencial supone el 85% en España. Dentro de estos requerimientos, de reducción de demanda energética en la edificación, la ventilación en la edificación residencial se convierte en uno de los retos a resolver por su vinculación directa a la salud y el confort de los ocupantes de la misma, y al mismo tiempo su relación proporcional con la demanda energética que presenta el edificio asociada al acondicionamiento térmico. Gran parte de las pérdidas térmicas de la edificación residencial se producen por el aire de renovación y la infiltración de aire a través de la envolvente. La directiva europea de eficiencia energética de la edificación (EPBD), que establece las directrices necesarias para alcanzar los objetivos de este sector en cuanto a emisiones de CO2 y gases de efecto invernadero (GEI), contempla la ventilación con aire limpio como un requisito fundamental a tener en cuenta de cara a las nuevas construcciones y a la rehabilitación energética de los edificios existentes. El síndrome del edificio enfermo, un conjunto de molestias y síntomas asociados a la baja calidad del aire de edificios no residenciales que surgió a raíz de la crisis del petróleo de 1973, tuvo su origen en una ventilación deficiente y una renovación del aire interior insuficiente de estos edificios, producto del intento de ahorro en la factura energética. Teniendo en cuenta que, de media, pasamos un 58% de nuestro tiempo en las viviendas, es fundamental cuidar la calidad del aire interior y no empeorarla aplicando medidas de “eficiencia energética” con efectos no esperados. Para conseguir esto es fundamental conocer en profundidad cómo se produce la ventilación en la edificación en bloque en España en sus aspectos de calidad del aire interior y demanda energética asociada a la ventilación. El objetivo de esta tesis es establecer una metodología de caracterización y de optimización de las necesidades de ventilación para los espacios residenciales existentes en España que aúne el doble objetivo de garantizar la calidad ambiental y reducir la demanda energética de los mismos. La caracterización del parque edificatorio residencial español en cuanto a ventilación es concluyente: La vivienda en España se distribuye principalmente en tres periodos en los que se encuentran más del 80% del total de las viviendas construidas. El periodo anterior a las normas básicas de la edificación (NBE), de 1960 a 1980, el periodo desde 1980 al año 2005, con el mayor número total de viviendas construidas, guiado por la NTE ISV 75, y el periodo correspondiente a la edificación construida a partir del Código Técnico de la Edificación, en 2006, cuyo documento básico de condiciones de salubridad (DB HS3) es la primera norma de obligado cumplimiento en diseño y dimensionamiento de ventilación residencial en España. La selección de un modelo de bloque de viviendas de referencia, un valor medio y representativo, seleccionado de entre estos periodos, pero con cualidades que se extienden más allá de uno de ellos, nos permite realizar un intensivo análisis comparativo de las condiciones de calidad de aire interior y la demanda energética del mismo, aplicando las distintas configuraciones que presenta la ventilación en viviendas dependiendo del escenario o época constructiva (o normativa) en que esta fuera construida. Este análisis se lleva a cabo apoyándose en un doble enfoque: el modelado numérico de simulaciones y el análisis de datos experimentales, para comprobar y afinar los modelos y observar la situación real de las viviendas en estos dos aspectos. Gracias a las conclusiones del análisis previo, se define una estrategia de optimización de la ventilación basada fundamentalmente en dos medidas: 1) La introducción de un sistema de extracción mecánica y recuperación de calor que permita reducir la demanda energética debida a la renovación del aire y a la vez diluir los contaminantes interiores más eficazmente para mejorar, de esta forma, la calidad del ambiente interior. 2) La racionalización del horario de utilización de estos sistemas, no malgastando la energía en periodos de no ocupación, permitiendo una leve ventilación de fondo, debida a la infiltración, que no incida en pérdidas energéticas cuantiosas. A esta optimización, además de aplicar la metodología de análisis previo, en cuanto a demanda energética y calidad del aire, se aplica una valoración económica integradora y comparativa basada en el reglamento delegado EU244/2012 de coste óptimo (Cost Optimal Methodology). Los resultados principales de esta tesis son: • Un diagnóstico de la calidad del aire interior de la edificación residencial en España y su demanda energética asociada, imprescindible para lograr una rehabilitación energética profunda garantizando la calidad del aire interior. • Un indicador de la relación directa entre calidad de aire y demanda energética, para evaluar la adecuación de los sistemas de ventilación, respecto de las nuevas normativas de eficiencia energética y ventilación. • Una estrategia de optimización, que ofrece una alternativa de intervención, y la aplicación de un método de valoración que permite evaluar la amortización comparada de la instalación de los sistemas. ABSTRACT The housing building stock already built in Spain and Europe faces a deep renovation in the present and near future to accomplish with the objectives agreed in the European strategy for 2050. These objectives, for the building sector, are set in a 90% of Green House Gases (GHG) reduction compared to levels in 1990. This long‐term plan has set milestones to control the correct advance of achievement in 2020 and 2030. The main objective is to take advantage of the great potential to reduce energy demand from the building sector, in which housing represents 85% share in Spain. Among this reduction on building energy demand requirements, ventilation of dwellings becomes one of the challenges to solve as it’s directly connected to the indoor air quality (IAQ) and comfort conditions for the users, as well as proportional to the building energy demand on thermal conditioning. A big share of thermal losses in housing is caused by air renovation and infiltration through the envelope leaks. The European Directive on Building energy performance (EPBD), establishes the roots needed to reach the building sector objectives in terms of CO2 and GHG emissions. This directive sets the ventilation and renovation with clean air of the new and existing buildings as a fundamental requirement. The Sick Building Syndrome (SBS), an aggregation of symptoms and annoys associated to low air quality in non residential buildings, appeared as common after the 1973 oil crisis. It is originated in defective ventilation systems and deficient air renovation rates, as a consequence of trying to lower the energy bill. Accounting that we spend 58% of our time in dwellings, it becomes crucial to look after the indoor air quality and focus in not worsening it by applying “energy efficient” measures, with not expected side effects. To do so, it is primary to research in deep how the ventilation takes place in the housing blocks in Spain, in the aspects related to IAQ and ventilation energy demand. This thesis main objective is to establish a characterization and optimization methodology regarding the ventilation needs for existing housing in Spain, considering the twofold objective of guaranteeing the air quality as reducing the energy demand. The characterization of the existing housing building stock in Spain regarding ventilation is conclusive. More of 80% of the housing stock is distributed in 3 main periods: before the implementation of the firsts regulations on building comfort conditions (Normas Básicas de la Edificación), from 1960 to 1980; the period after the first recommendations on ventilation (NTE ISV 75) for housing were set, around 1980 until 2005 and; the period corresponding to the housing built after the existing mandatory regulation in terms of indoor sanity conditions and ventilation (Spanish Building Code, DB HS3) was set, in 2006. Selecting a representative blueprint of a housing block in Spain, which has medium characteristics not just within the 3 periods mention, but which qualities extent beyond the 3 of them, allows the next step, analyzing. This comparative and intense analyzing phase is focused on the air indoor conditions and the related energy demand, applying different configurations to the ventilation systems according to the different constructive or regulation period in which the building is built. This analysis is also twofold: 1) Numerical modeling with computer simulations and 2) experimental data collection from existing housing in real conditions to check and refine the models to be tested. Thanks to the analyzing phase conclusions, an optimization strategy on the ventilation of the housing stock is set, based on two actions to take: 1) To introduce a mechanical exhaust and intake ventilation system with heat recovery that allows reducing energy demand, as improves the capacity of the system to dilute the pollutant load. This way, the environmental quality is improved. 2) To optimize the schedule of the system use, avoids waste of energy in no occupancy periods, relying ventilation during this time in a light infiltration ventilation, intended not to become large and not causing extra energy losses. Apart from applying the previous analyzing methodology to the optimization strategy, regarding energy demand and air quality, a ROI valorization is performed, based on the cost optimal methodology (delegated regulation EU244/2012). The main results from the thesis are: • To obtain a through diagnose regarding air quality and energy demand for the existing housing stock in Spain, unavoidable to reach a energy deep retrofitting scheme with no air quality worsening. • To obtain a marker to relate air quality and energy demand and evaluate adequateness of ventilation systems, for the new regulations to come. • To establish an optimization strategy to improve both air quality and energy demand, applying a compared valorization methodology to obtain the Return On Investment (ROI).

An office building occupant's guide to indoor air quality.

Includes index.

Microbiological assessment of indoor air quality at different hospital sites

Poor hospital indoor air quality (IAQ) may lead to hospital-acquired infections, sick hospital syndrome and various occupational hazards. Air-control measures are crucial for reducing dissemination of airborne biological particles in hospitals. The objective of this study was to perform a survey of bioaerosol quality in different sites in a Portuguese Hospital, namely the operating theater (OT), the emergency service (ES) and the surgical ward (SW). Aerobic mesophilic bacterial counts (BCs) and fungal load (FL) were assessed by impaction directly onto tryptic soy agar and malt extract agar supplemented with antibiotic chloramphenicol (0.05%) plates, respectively using a MAS-100 air sampler. The ES revealed the highest airborne microbial concentrations (BC range 240-736 CFU/m(3) CFU/m(3); FL range 27-933 CFU/m(3)), exceeding, at several sampling sites, conformity criteria defined in national legislation [6]. Bacterial concentrations in the SW (BC range 99-495 CFU/m(3)) and the OT (BC range 12-170 CFU/m(3)) were under recommended criteria. While fungal levels were below 1 CFU/m(3) in the OT, in the SW (range 1-32 CFU/m(3)), there existed a site with fungal indoor concentrations higher than those detected outdoors. Airborne Gram-positive cocci were the most frequent phenotype (88%) detected from the measured bacterial population in all indoor environments. Staphylococcus (51%) and Micrococcus (37%) were dominant among the bacterial genera identified in the present study. Concerning indoor fungal characterization, the prevalent genera were Penicillium (41%) and Aspergillus (24%). Regular monitoring is essential for assessing air control efficiency and for detecting irregular introduction of airborne particles via clothing of visitors and medical staff or carriage by personal and medical materials. Furthermore, microbiological survey data should be used to clearly define specific air quality guidelines for controlled environments in hospital settings.

The chronic fatigue syndrome: A comparative pathway analysis

In this paper, we introduce a method to detect pathological pathways of a disease. We aim to identify biological processes rather than single genes affected by the chronic fatigue syndrome (CFS). So far, CFS has neither diagnostic clinical signals nor abnormalities that could be diagnosed by laboratory examinations. It is also unclear if the CFS represents one disease or can be subdivided in different categories. We use information from clinical trials, the gene ontology (GO) database as well as gene expression data to identify undirected dependency graphs (UDGs) representing biological processes according to the GO database. The structural comparison of UDGs of sick versus non-sick patients allows us to make predictions about the modification of pathways due to pathogenesis.

Prevalencia de TSH neonatal elevada y factores perinatales relacionados con asfixia Bogotá 2012

Introducción: la asfixia perinatal es la tercera causa de muerte en menores de 5 años. Las secuelas neurológicas suponen una carga importante para las familias y los sistemas de salud (1). Los estudios que relacionan el efecto de la asfixia perinatal sobre las hormonas tiroideas son escasos. El estudio sobre predictores de asfixia es un tema de investigación permanente. El objetivo principal fue determinar la prevalencia de TSH de cordón elevada y su relación con factores perinatales asociados a asfixia. Métodos: estudio descriptivo retrospectivo. La muestra estuvo conformada por todos los recién nacidos con TSH de cordón elevada y un segundo grupo seleccionado de forma aleatoria con TSH de cordón normal. Tomada de una población de neonatos atendidos en una clínica de Bogotá durante el 2012. Resultados: la prevalencia de TSH de cordón elevada fue de 14,7%. Los resultados sugieren una posible asociación entre alteraciones en las pruebas de bienestar fetal, presencia de infección materna, parto distócico, dificultad respiratoria y APGAR bajo y la presencia de TSH elevada p<0,05. Discusión: La alta prevalencia de TSH de cordón elevada podría relacionarse con las características de alto riesgo que presenta esta población. La elevación transitoria de la TSH neonatal de cordón en neonatos con alteraciones del bienestar fetal asociada a eventos hipóxicos agudos, sugiere que esta hormona podría ser un marcador de asfixia perinatal.

Low triioothyronine (T-3) or reverse triioothyronine (rT(3)) syndrome modifies gene expression in rats with congestive heart failure

Heart failure (NF) is frequently associated with euthyroid sicksyndrome (low T-3 and elevated rT(3)). We investigated if altered thyroid hormone in HF could affect expression of the TH receptor (TR alpha 1), and alpha and beta myosin heavy chains (alpha-MHC beta-MHC). HF was provoked in rats by aortic stenosis. We showed that rT(3) generated front liver and kidney deiodination significantly increased and T-3 decreased in HE; there was significantly higher TR alpha 1 expression, no alpha-MHC expression, but beta-MHC expression. Changes in TR alpha 1 could be compensating for low T-3 from HF.

Hipotireoidismo em cães: revisão

Hypothyroidism is one of the most frequent endocrinopathies in dogs, affecting preferentially middle-aged, pure breed animals. Associated clinical signs are variable and often non-specific, including metabolic, dermatological or cardiovascular alterations. The main laboratorial findings are non-regenerative anemia and hypercholesterolemia. Hyponatremia and an increase in alanine transferase and alkaline phosphatase activities can also be observed with lower frequency. There are specific diagnostic tests that can be used to help diagnose hypothyroidism, and those should be interpreted in the light of the animal´s clinical symptoms. The levels of thyroxine stimulating hormone (TSH) and both free and total thyroxine (T4) are the most used hormonal tests. It is important to differentiate between hypothyroidism and the euthyroid sick syndrome, a condition that may be caused by severe diseases such as hyperadrenocorticism and lead to decreased TSH and T4 levels as well. Levothyroxine sodium is the standard treatment. The main objective of this paper is to review hypothyroidism in dogs, since this is a very common disease in small animal clinics, but with difficult diagnosis.

Sindrome da Asfissia Perinatale nel puledro neonato: protocolli diagnostico-terapeutici

La Sindrome da Asfissia Perinatale (PAS) è una delle più comuni patologie che colpiscono il puledro neonato nelle prime 72 h di vita. È una patologia difficile da diagnosticare in quanto non esistono parametri o segni clinici specifici, la sintomatologia è molto variabile in base alla durata e all’intensità dell’insulto ipossico ischemico e al tipo di organo maggiormente colpito. Lo scopo di questo studio è la ricerca e la valutazione di alcuni parametri biochimico-clinici e di alcuni biomarkers per la diagnosi precoce e il corretto trattamento dei puledri affetti da PAS. Nei puledri neonati che presentano questa patologia è stata riscontrata un’ipermagnesiemia al momento del ricovero associata a prognosi infausta, probabilmente causata da un grave danno cellulare con rilascio in circolo del magnesio intracellulare. La PAS potrebbe essere un’ulteriore causa di Euthyroid Sick Syndrome, in quanto abbiamo riscontrato una diminuzione delle concentrazioni di T3 e T4 nei puledri malati rispetto ai sani della stessa età, come avviene in altre malattie sistemiche. Lo studio del profilo proteomico ha permesso di separare le più importanti frazioni proteiche del liquido amniotico di cavalla, mettendo in evidenza similitudini e differenze qualitative e quantitative nei ferogrammi dei puledri sani e di quelli affetti da PAS ed una maggiore variabilità è stata riscontrata nei profili dei liquidi amniotici dei puledri malati. Il glutatione è risultato poco espresso nel puledro neonato, i puledri sani presentano concentrazioni più basse sia rispetto ai malati della stessa età sia agli adulti ma con una tendenza all’aumento nelle prime 24 ore di vita per i sani ed un calo nei malati. La somministrazione della terapia antiradicalica non influisce sulle concentrazioni di glutatione totale ed i puledri deceduti presentano concentrazioni più alte.

[Tremorgenic syndrome in a cattle herd after feeding silage contaminated with A. clavatus];;Tremorgenes Syndrom in einem Rinderbestand nach Verfütterung einer mit A. clavatus befallenen Silage

The clinical signs, pathological and laboratory findings of cattle suffering from a tremorgenic syndrome are described. Animals on a farm with a total of 22 cows, 18 heifers and 9 calves were fed mouldy grass and spent malt-grain silage. Five heifers were affected with muscular tremor, hyperexcitability and hypersensitivity. They were ataxic or in sternal recumbency, while their appetite remained normal. Haematology and blood chemistry in two heifers as well as cerebrospinal fluid from one sick animal were unremarkable. The pathological examination of one animal brought no macroscopic changes to light. Histological examination, however, revealed the degeneration of motor neurones in the midbrain, brain stem and spinal cord. Analysis of a silage sample provided evidence of the presence of Aspergillus clavatus, a mould capable of producing neurotoxic tremorgenic mycotoxins. Epidemiology, clinical findings, pathology and microbiological examination suggest that the five cattle were suffering from neuromycotoxicosis.

Quantitative electroencephalographic comodulation : an investigation of patterns in chronic fatigue syndrome

Introduction. This is a pilot study of quantitative electro-encephalographic (QEEG) comodulation analysis, which is used to assist in identifying regional brain differences in those people suffering from chronic fatigue syndrome (CFS) compared to a normative database. The QEEG comodulation analysis examines spatial-temporal cross-correlation of spectral estimates in the resting dominant frequency band. A pattern shown by Sterman and Kaiser (2001) and referred to as the anterior posterior dissociation (APD) discloses a significant reduction in shared functional modulation between frontal and centro-parietal areas of the cortex. This research attempts to examine whether this pattern is evident in CFS. Method. Eleven adult participants, diagnosed by a physician as having CFS, were involved in QEEG data collection. Nineteen-channel cap recordings were made in five conditions: eyes-closed baseline, eyes-open, reading task one, math computations task two, and a second eyes-closed baseline. Results. Four of the 11 participants showed an anterior posterior dissociation pattern for the eyes-closed resting dominant frequency. However, seven of the 11 participants did not show this pattern. Examination of the mean 8-12 Hz amplitudes across three cortical regions (frontal, central and parietal) indicated a trend of higher overall alpha levels in the parietal region in CFS patients who showed the APD pattern compared to those who did not have this pattern. All patients showing the pattern were free of medication, while 71% of those absent of the pattern were using antidepressant medications. Conclusions. Although the sample is small, it is suggested that this method of evaluating the disorder holds promise. The fact that this pattern was not consistently represented in the CFS sample could be explained by the possibility of subtypes of CFS, or perhaps co-morbid conditions. Further, the use of antidepressant medications may mask the pattern by altering the temporal characteristics of the EEG. The results of this pilot study indicate that further research is warranted to verify that the pattern holds across the wider population of CFS sufferers.