Turvallista liikkumista tukevat sisäkengät ikäihmisille vanhuskeskusympäristöön

Tutkimuksen tarkoituksena oli selvittää, minkälaisia sisäkenkiä ikäihmiset käyttävät vanhustenkeskuksessa ja arvioida, millä tavalla he kävelevät. Tutkimus toteutettiin Helsingissä Kustaankartanon vanhustenkeskuksen F1-osastolla maalis-huhtikuussa 2007 osana IKU-pojektia. Tutkimukseen osallistui seitsemän 70 - 94-vuotiasta, itsenäisesti ja ilman apuvälineitä liikkuvaa naisasukasta. Viisi tutkittavista käytti Pirka-sisäkenkiä, yksi sandaaleja ja yksi tohveleita. Tutkimusstrategia oli kvantitatiivis-kvalitatiivinen ja tietoa kerättiin havainnointi- ja arviointilomakkeilla sekä videotallentein. Tulokset esitettiin frekvensseinä ja prosenttiosuuksina sekä kävelyn arviointi laadullisena kuvauksena. Lähes kaikilla asukkailla oli ehjä ja terve iho. Melkein kaikilla tutkituista todettiin vaivaisenluu ja levinnyt päkiä. Vasaravarpaita ja kynsimuutoksia havaittiin alle puolella. Ikäihmisten kengistä suurin osa oli pituudeltaan sopivia, eikä kantakapissa ollut muutoksia. Kahdella oli venymisjälkiä kengän kärkiosassa. Kävelyssä oli havaittavissa normaaleja ikääntymiseen liittyviä muutoksia, jotka olivat yksilöllisiä. Osalla asukkaista varvastyöntö oli heikentynyt ja nilkan liikelaajuus koukistussuuntaan oli pienentynyt sekä osalla kävely oli matalaa ja laahaavaa. Osalla ikäihmisistä kengät olivat huonosti kiinnitetty. Kantapään ja kengän kantaosan väliin jäi 1 - 2 cm:n rako, jolloin kengät ei tue jalkaterän toimintoja ja kaatumisriski lisääntyy. Tulosten mukaan ikäihmiset näyttäisivät tarvitsevan ohjausta oikeanlaisten sisäkenkien valinnassa. Kenkien valinnassa keskeistä on huomioida yksilölliset tarpeet, jotta jokainen ikäihminen saa kävellä omille jalkaterille sopivilla kengillä. Pirka-kenkiä olisi hyvä kehittää ikäihmisten tarpeiden mukaisesti. Jalkaterapeutit ja jalkojenhoitajat voivat hyödyntää tutkimustuloksia antaessa ohjeita sisäkenkien valinnassa. Koska osalla asukkaista on jalkaterän etuosan virheasentoja, jotka vaativat leveämmän lestin sekä kärjen muodon naisten malliin, Pirka-kengässä voisi olla naisten koossa kahta erimallista kärkiosaa sekä leveyttä.

An inertial sensor-based system for spatio-temporal analysis in classic cross-country skiing diagonal technique.

The present study proposes a method based on ski fixed inertial sensors to automatically compute spatio-temporal parameters (phase durations, cycle speed and cycle length) for the diagonal stride in classical cross-country skiing. The proposed system was validated against a marker-based motion capture system during indoor treadmill skiing. Skiing movement of 10 junior to world-cup athletes was measured for four different conditions. The accuracy (i.e. median error) and precision (i.e. interquartile range of error) of the system was below 6ms for cycle duration and ski thrust duration and below 35ms for pole push duration. Cycle speed precision (accuracy) was below 0.1m/s (0.005m/s) and cycle length precision (accuracy) was below 0.15m (0.005m). The system was sensitive to changes of conditions and was accurate enough to detect significant differences reported in previous studies. Since capture volume is not limited and setup is simple, the system would be well suited for outdoor measurements on snow.

Hepatitis C Virus Awareness Among Men Who Have Sex With Men in Southwest Switzerland.

BACKGROUND: In Switzerland, the incidence of hepatitis C virus (HCV) infection in HIV-positive men who have sex with men (MSM) rose 18-fold between 1998 and 2011. We aimed to evaluate transmission risk factors, awareness, and seroprevalence of HCV among MSM in southwest Switzerland. METHODS: From 1st June 2011 to 31st August 2012, trained health care professionals invited individuals attending (1) MSM screening clinics and (2) indoor and outdoor meeting areas to complete an anonymous questionnaire. Consenting participants were rapid tested for HCV (OraQuick HCV Rapid Antibody Test). RESULTS: Of 918 MSM approached, 654 agreed to participate, most of whom (536, 82%) were enrolled via MSM screening clinics. Of 654 participants, 21 (3.2%) disclosed being HIV positive; 140 (21%) had unknown HIV status. In the preceding 12 months, 357 (55%) of 654 participants reported unprotected anal intercourse (UAI) and 321 (49%) of 654 participants reported UAI with partners of different/unknown HIV status. Not HIV serosorting was reported more frequently among HIV-positive individuals (76%, P < 0.001). Three hundred two participants (46%) were aware of HCV, awareness being higher among clinic than meeting area participants (49% vs. 33%, P = 0.04). One individual (of 654; 0.2%), with a negative HIV test result 18 months previously was newly diagnosed as being HCV positive on rapid testing. CONCLUSIONS: In this sample of predominantly HIV-negative MSM, half the participants were aware of HCV and HCV seroprevalence was low. However, high rates of UAI and of UAI without HIV serosorting were reported. Given the increasing incidence of HCV among HIV-positive men, we propose that HCV counseling should be offered to MSM regardless of HIV status, with testing offered to those at high risk.

Persistent spatial clusters of high body mass index in a Swiss urban population as revealed by the 5-year GeoCoLaus longitudinal study.

OBJECTIVE: Body mass index (BMI) may cluster in space among adults and be spatially dependent. Whether and how BMI clusters evolve over time in a population is currently unknown. We aimed to determine the spatial dependence of BMI and its 5-year evolution in a Swiss general adult urban population, taking into account the neighbourhood-level and individual-level characteristics. DESIGN: Cohort study. SETTING: Swiss general urban population. PARTICIPANTS: 6481 georeferenced individuals from the CoLaus cohort at baseline (age range 35-74 years, period=2003-2006) and 4460 at follow-up (period=2009-2012). OUTCOME MEASURES: Body weight and height were measured by trained healthcare professionals with participants standing without shoes in light indoor clothing. BMI was calculated as weight (kg) divided by height squared (m(2)). Participants were geocoded using their postal address (geographic coordinates of the place of residence). Getis-Ord Gi statistic was used to measure the spatial dependence of BMI values at baseline and its evolution at follow-up. RESULTS: BMI was not randomly distributed across the city. At baseline and at follow-up, significant clusters of high versus low BMIs were identified and remained stable during the two periods. These clusters were meaningfully attenuated after adjustment for neighbourhood-level income but not individual-level characteristics. Similar results were observed among participants who showed a significant weight gain. CONCLUSIONS: To the best of our knowledge, this is the first study to report longitudinal changes in BMI clusters in adults from a general population. Spatial clusters of high BMI persisted over a 5-year period and were mainly influenced by neighbourhood-level income.

Tuotannon ja ostotoiminnan tarkastelu SCOR-mallilla

Diplomityössä perehdyttiin toimitusketjun hallinnan ja johtamisen apuvälineenä käytettävään SCOR-malliin (Supply Chain Operations Refence-model). SCOR on standardimalli, josta jokaisen tulee poimia oman toiminnan kehittämisen ja tehostamisen kannalta tärkeät asiat. SCOR on hyvä instrumentti kasvun hallinnassa.Työn teoriaosa käsittelee logistiikkaa, toimitusketjun hallintaa, ostotoimintaa ja SCOR-mallia. Soveltavassa osassa käsitellään SCOR-mallin avulla sisäilma alalla toimivan yrityksen prosesseja. Työssä keskityttiin tarkastelemaan yrityksen ostotoiminta ja valmistusprosesseja SCOR-mallin avulla.SCOR-mallin käyttö oston ja tuotannon analysoinnissa toi esiin useita toiminnan kehitysajatuksia. Näitä olivat uusien menetelmien käyttöönotto varaston ja tuotannon hallittavuuden parantamiseksi, osto-organisaation selkiyttäminen ja toiminnanohjausjärjestelmän kehittäminen.

Avancées sur la source, la taille et la nature des particules microbiennes aéroportées présentes dans l'environnement intérieur

L'exposition à certaines particules fongiques et bactéries présentes dans les aérosols de l'environnement intérieur a été associée au développement ou à l'exacerbation d'affections respiratoires telles que l'asthme, la rhinite allergique ou encore l'aspergillose (1-4). Le réservoir principal identifié dans cet environnement pour les bactéries aéroportées est constitué par les habitants eux-mêmes, alors que celui des particules fongiques est l'environnement extérieur, ou, lorsque les conditions sont réunies, l'environnement intérieur (5-7). Néanmoins, la nature et la taille de ces particules fongiques, ainsi que l'impact de l'occupation humaine sur ces paramètres n'ont été que peu explorés. Les articles de cette note s'intéressent justement à ces aspects et illustrent l'importance de leur prise en compte dans l'évaluation du risque d'exposition aux microorganismes dans l'environnement intérieur. L'étude de Hospodsky et coll. (2014) apporte une information quantitative sur le niveau d'émission de bactéries et particules fongiques résultant d'une occupation humaine dans des environnements intérieurs sains. Alors que l'étude de Afanou et coll. (2014) montre la complexité des particules fongiques qui peuvent être générées dans l'environnement intérieur, différentes espèces de moisissures pouvant participer en proportions différentes au nombre de particules submicroniques1 grâce à leurs fragments de spores ou hyphes.

A presença de mercúrio em casa constitui um risco de contaminação humana e / ou ambiental? Relato de um caso

Mercury kept in a garage of a residencial building in Rio de Janeiro was accidentally released and caused local (environmental and human) contamination. The concentration of mercury in indoor air of the most critical site reached 15.5 mg/m³. Outdoor air samples showed concentrations ranging from 0.37 to 6.6 mg/m³ . Seventy five per cent of the urine samples collected from 22 residents in the contaminated building showed levels of mercury higher than those observed in non exposed individuals (>6.9 mg/L); in 30% of these samples, the concentration was higher than 20 mg/L. These values show a high level of human contamination and the final consequences were not so serious owing to the quick action taken by one of the residents.

Trophic versus geographic structure in stable isotope signatures of pelagic seabirds breeding in the northeast Atlantic

Feeding ecology and geographic location are 2 major factors influencing animal stable isotope signatures, but their relative contributions are poorly understood, which limits the usefulness of stable isotope analysis in the study of animal ecology. To improve our knowledge of the main sources of isotopic variability at sea, we determined δ15N and δ13C signatures in the first primary feather of adult birds from 11 Procellariiform species (n = 609) across 16 northeast Atlantic localities, from Cape Verde (20°N) to Iceland (60°N). Post-breeding areas (where the studied feather is thought to be grown) were determined using light-level geolocation for 6 of the 11 species. Isotopic variability was geographically unstructured within the mid-northeast Atlantic (Macaronesian archipelagos), but trophically structured according to species and regardless of the breeding location, presumably as a result of trophic segregation among species. Indeed, the interspecific isotopic overlap resulting from combining δ15N and δ13C signatures of seabirds was low, which suggests that most species exploited exclusive trophic resources consistently across their geographic range. Species breeding in north temperate regions (Iceland, Scotland and Northern Ireland) showed enriched δ15N compared to the same or similar species breeding in tropical and subtropical regions, suggesting some differences in baseline levels between these regions. The present study illustrates a noticeable trophic segregation of northeast Atlantic Procellariiformes. Our results show that the isotopic approach has limited applicability for the study of animal movements in the northeast Atlantic at a regional scale, but is potentially useful for the study of long-distance migrations between large marine systems

Metals and Selenium as bioindicators of geographic and trophic segregation in Giant Petrels Macronectes spp.

We analysed concentrations of cadmium, lead, mercury and selenium in blood from males and females of the 2 sibling species of giant petrels, the northern Macronectes halli and the southern M. giganteus, breeding sympatrically at Bird Island (South Georgia, Antarctica). Blood samples were collected in 1998 during the incubation period, from 5 November to 10 December. Between species, cadmium and lead concentrations were significantly higher for northern than for southern giant petrels, which probably resulted from northern giant petrels wintering in more polluted areas (mainly on the Patagonian Shelf and Falkland Islands) compared to southern giant petrels (wintering mainly around South Georgia and the South Sandwich Islands). Between sexes, cadmium concentrations were significantly higher for females than for males in both species, corresponding to the more pelagic habits of females compared to the more scavenging habits of males. Lead and cadmium concentrations in circulating blood decreased significantly over the incubation period, suggesting that when breeding at Bird Island, exposure to the source of pollution had ended, and these metals had been cleared from the blood and excreted, or rapidly transferred to other tissues. Association of lead and cadmium with a common source of pollution was further corroborated by a significant positive correlation between the levels of the 2 elements found. Mercury levels were similar between the species, but showed an opposite trend between sexes, with males showing higher levels than females in northern giant petrels, and the opposite was true in southern giant petrels, with no changes throughout incubation. Selenium levels were similar between sexes, but significantly greater for northern than for southern giant petrels. Moreover, there was a significant increase in the selenium levels over the incubation period in northern giant petrels. Age of adult birds did not affect metal concentrations. Coefficients of variation of metal levels were consistently lower for northern than for southern giant petrels, particularly for mercury, suggesting that the former species is more dietary specialised than the latter. Contaminant analyses, when combined with accurate information on seabird movements, obtained through geolocation or satellite tracking, help us to understand geographic variation of pollution in the marine environment.

A qualidade do ar de interiores e a química

In Brazil, very little experimental work on measurements of indoor air pollutant levels has been done. Nowadays, increasing attention is being given to indoor air quality and the health problems associated with buildings and the indoor work environment. The scope of this paper is to review the major pollutants found in indoor environments and their sources. Subsequently, exposure to indoor air pollutants and health effects are considered. The review concludes by briefly addressing assessment of indoor air quality in Brazil and research needs.

Proposta per a la mobilitat en transport públic : MoveOnApp

This paper wants to show a solution for mobility in public transport. Nowadays, the high number of mobile devices with wireless geolocation and Internet data connection has become commonly used tools, as well as partial solutions to facilitate public transport focused on one means of transport (Bus, Underground ...). We collect information from public transport (means of transport, routes, schedules, fare information ...) and adapt it to different users (residents, visitors, public service staff ...). MoveOnApp is the solution adapting its user interface: finding nearby stops, planning a route, knowing schedules or real time service (connecting to the available services), or showing the route of the line. The system could incorporate new cities and regions, or new means of transport with updating service; at first we offered information of public transport from Palma (Majorca Island, Spain): moveOn Palma.

Eina d'orientació gràfica a partir de punts d'interès (TrobaT)

Disseny d'una aplicació per a dispositius mòbils basats en el sistema operatiu Android anomenada TrobaT. És tracta d'una eina d'orientació geogràfica que aprofita els sensors i els mecanismes de geolocalització que són habituals en els smartphones actuals. L'objectiu principal de l'aplicació és facilitar tres dades bàsiques per adreçar-se a un lloc: la distància a la que es troba, el desnivell que cal superar i l'orientació en forma d'azimut, és a dir, l'angle de deriva respecte al nord magnètic.

Presença de compostos carbonílicos no ar em ambientes internos na cidade de São Paulo

The presence of low carbonyl compounds (C1-C4) and glutaraldehyde was observed in 14 work-locations in São Paulo city, Brazil, during January to July 1997 period. The quantification of other carbonyls was not possible due to a sampling artifact caused probably by undesirable reactions between the ambient ozone and the organic substract of C18 cartridge used to collect carbonyls. High indoor concentrations, compared to outdoor levels, were observed for all compounds. Formaldehyde was the most abundant species (29 ppb) followed by acetone and acetaldehyde (25 and 17 ppb) with a small contribution of propanal, crotonaldehyde and C4 isomers (0.7 to 1.5 ppb) when related to the total indoor carbonyls level. Glutaraldehyde was observed only in two different occupational locations in a hospital at high concentrations (121 ppb). In general, high individual carbonyl levels as well as total carbonyls levels found in several locations indicated an unpropitious air quality for the occupants of these non-industrial sites.

Influència del nombre d'usuaris en sistemes de localització en interiors basats en Wi-Fi

El present estudi descriu el procés de creació d'un sistema de localització en interiors que permet investigar les possibles diferències de la precisió de les localitzacions en entorns buits i amb presència d'altres persones. Posteriorment es presenten una sèrie de proves realitzades, s'exposen els seus resultats, així com les conclusions sobre com influencia el nombre d'usuaris a la precisió del sistema.

Gota suspensa para avaliação de aldeído total no ar interno e externo do ambiente

A sensitive and simple system was proposed for the in situ measurement of total aldehyde in outdoor or indoor ambient. The method is based on the use of a reagent drop as an useful interface to preconcentrate the sample prior to determination of total aldehyde as formaldehyde. The drop is formed at the tip of a cylindrical tube that contains two optical fibers placed on opposite sides and in contact with the reagent solution. One optical fiber carries the red light to the drop form a light emitting diode (LED). The transmitted light is measured by a second optical fiber/photodiode system. The analytical signal is read and converted into absorbance. The reagent solution of 3-methyl-2-benzothiazoline hydrazone (MBTH) forms a blue cation during reaction with formaldehyde that can be measured at 660 nm. Some aspects of kinetics reaction formation of dye were reevaluated. The formaldehyde reacts with MBTH and forms the azine in about 12 min. The oxidation of MBTH by Fe (III) and the formation of dye requires 3 min. The absorbance of the reagent drop is proportional to the sampling time and to the analyte concentration. The absorbance signal increases with increased sample gas flow until a maximum is reached then decreases until it forms a plateau. The proposed method was evaluated using both outdoor and indoor samples, and it was shown to viable provide an accurate measure of total aldehyde.