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Fast and sensitive environmental analysis utilizing microextraction in packed syringe online with gas chromatography-mass spectrometry: determination of polycyclic aromatic hydrocarbons in water 2006 University College of South Stockholm, SE-141 89 Stockholm, Sweden.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of chromatography.A
Periodical, Abbrev.
J.Chromatogr.A
Pub Date Free Form
12-May
Volume
1114
Issue
2
Start Page
234
Other Pages
238
Notes
LR: 20090115; JID: 9318488; 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Water Pollutants, Chemical); 2005/12/01 [received]; 2006/01/29 [revised]; 2006/02/10 [accepted]; 2006/03/03 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
0021-9673; 0021-9673
Accession Number
PMID: 16515791
Language
eng
SubFile
Journal Article; Validation Studies; IM
DOI
S0021-9673(06)00371-2 [pii]
Output Language
Unknown(0)
PMID
16515791
Abstract
A new sensitive, selective, fast and accurate technique for online sample preparation was developed. Microextraction in a packed syringe (MEPS) is a new miniaturised, solid-phase extraction (SPE) technique that can be connected online to GC or LC without any modifications. In MEPS approximately 1mg of the solid packing material is inserted into a syringe (100-250 ml) as a plug. Sample preparation takes place on the packed bed. The bed can be coated to provide selective and suitable sampling conditions. The new method is very promising. It is very easy to use, fully automated, of low cost and rapid in comparison with previously used methods. The determination of polycyclic hydrocarbons (PAHs) in water was performed using MEPS as sample preparation method online with gas chromatography and mass spectrometry (MEPS-GC-MS). The results from MEPS as sample preparation were compared with other techniques such as stir bar sorptive extraction (SBSE) and solid-phase microextraction (SPME). The method was validated and the standard curves were evaluated by the means of quadratic regression and weighted by inverse of the concentration: 1/x for the calibration range 5-1,000 ng/L. The MEPS applied polymer (silica-C8) could be used more than 400 times before the syringe was discarded. The extraction recovery was about 70%. The results showed close correlation coefficients (R>0.998) for all analytes in the calibration range studied. The accuracy of MEPS-GC-MS was between 90 and 113% and the inter-day precision (n=3 days), expressed as the relative standard deviation (RSD%), was 8-16%. MEPS reduced the handling time by 30 and 100 times compared to SPME and SBSE, respectively.
Descriptors
Gas Chromatography-Mass Spectrometry/methods, Polycyclic Hydrocarbons, Aromatic/analysis, Reproducibility of Results, Sensitivity and Specificity, Syringes, Water Pollutants, Chemical/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
El-Beqqali,A., Kussak,A., Abdel-Rehim,M.
Original/Translated Title
URL
Date of Electronic
20060303
PMCID
Editors
Airborne exposure and biological monitoring of bar and restaurant workers before and after the introduction of a smoking ban 2006 National Institute of Occupational Health, P.O. Box 8149 Dep, N-0033, Oslo, Norway. dag.ellingsen@stami.no
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of environmental monitoring : JEM
Periodical, Abbrev.
J.Environ.Monit.
Pub Date Free Form
Mar
Volume
8
Issue
3
Start Page
362
Other Pages
368
Notes
LR: 20151119; JID: 100968688; 0 (Air Pollutants, Occupational); 0 (Dust); 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); K5161X06LL (Cotinine); 2006/02/20 [aheadofprint]; 2006/03/09 [epublish]; ppublish
Place of Publication
England
ISSN/ISBN
1464-0325; 1464-0325
Accession Number
PMID: 16528420
Language
eng
SubFile
Journal Article; IM
DOI
10.1039/b600050a [doi]
Output Language
Unknown(0)
PMID
16528420
Abstract
The aims were to assess the impact of a total smoking ban on the level of airborne contaminants and the urinary cotinine levels in the employees in bars and restaurants. In a follow up design, 13 bars and restaurants were visited before and after the implementation of a smoking ban. Ninety-three employees in the establishments were initially included into the study. The arithmetic mean concentration of nicotine and total dust declined from 28.3 microg m(-3) (range, 0.4-88.0) and 262 microg m(-3) (range, 52-662), respectively, to 0.6 microg m(-3) (range, not detected-3.7) and 77 microg m(-3) (range, not detected-261) after the smoking ban. The Pearson correlation coefficient between airborne nicotine and total dust was 0.86 (p < 0.001; n = 48). The post-shift geometric mean urinary cotinine concentration declined from 9.5 microg g(-1) creatinine (cr) (95% CI 6.5-13.7) to 1.4 microg g(-1) cr (95% CI 0.8-2.5) after the ban (p < 0.001) in 25 non-snuffing non-smokers. A reduction from 1444 microg g(-1) cr (95% CI 957-2180) to 688 microg g(-1) cr (95% CI 324-1458) was found (p < 0.05) in 29 non-snuffing smokers. The urinary cotinine levels increased from 11.7 microg g(-1) cr (95% CI 7.0-19.6) post-shift to 21.9 microg g(-1) cr (95% CI 13.3-36.3) (p < 0.01) in the next morning in 24 non-snuffing non-smokers before the smoking ban. A substantial reduction of airborne nicotine and total dust was observed after the introduction of a smoking ban in bars and restaurants. The urinary cotinine levels were reduced in non-smokers. The decline found in smokers may suggest a reduction in the amount of smoking after intervention. In non-smokers cotinine concentrations were higher based on urine sampled the morning after a shift than based on urine sampled immediately post-shift.
Descriptors
Adult, Air Pollutants, Occupational/analysis, Chromatography, High Pressure Liquid, Cotinine/urine, Dust/analysis, Environmental Monitoring, Female, Humans, Male, Middle Aged, Nicotine/analysis, Norway, Occupational Exposure/analysis, Public Facilities/legislation & jurisprudence, Restaurants, Smoking/legislation & jurisprudence, Time Factors, Tobacco Smoke Pollution/analysis/legislation & jurisprudence
Links
Book Title
Database
Publisher
Data Source
Authors
Ellingsen,D. G., Fladseth,G., Daae,H. L., Gjolstad,M., Kjaerheim,K., Skogstad,M., Olsen,R., Thorud,S., Molander,P.
Original/Translated Title
URL
Date of Electronic
20060220
PMCID
Editors
Relationship between smoking and folic acid, vitamin B12 and some haematological variables in patients with chronic periodontal disease 2006 Periodontology Department, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey. olgun_ebru@yahoo.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of clinical periodontology
Periodical, Abbrev.
J.Clin.Periodontol.
Pub Date Free Form
Dec
Volume
33
Issue
12
Start Page
878
Other Pages
884
Notes
LR: 20131121; JID: 0425123; 0 (Hemoglobins); 935E97BOY8 (Folic Acid); P6YC3EG204 (Vitamin B 12); ppublish
Place of Publication
Denmark
ISSN/ISBN
0303-6979; 0303-6979
Accession Number
PMID: 17092240
Language
eng
SubFile
Comparative Study; Journal Article; D; IM
DOI
CPE1003 [pii]
Output Language
Unknown(0)
PMID
17092240
Abstract
AIM: The purpose of this study was to investigate the relationship between cigarette smoking and the serum levels of folic acid, vitamin B(12) and some haematological variables in patients with periodontal disease. PATIENTS AND METHODS: The study base consisted of 88 volunteer patients with periodontal disease, including 45 current smokers in the age range 31-68 years and 43 non-smokers in the range 32-66 years. The clinical parameters included plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD) and clinical attachment loss (CAL). Folic acid, vitamin B(12) and haematological variables were determined from peripheral blood samples. RESULTS: PI, PD and CAL means were significantly higher in smokers than non-smokers (p<0.05). The serum folic acid concentration of smokers was lower than that of non-smokers (p<0.05), whereas the white blood cell count was higher in smokers than in non-smokers (p<0.05). CONCLUSION: The results of this study suggest that among patients with periodontal disease the serum folic acid concentration is lower in smokers compared with non-smokers.
Descriptors
Adult, Aged, Blood Cell Count, Chronic Disease, Dental Plaque Index, Female, Folic Acid/blood, Gingival Hemorrhage/classification, Gingivitis/classification, Hemoglobins/analysis, Humans, Leukocyte Count, Male, Middle Aged, Periodontal Attachment Loss/classification, Periodontal Diseases/blood/classification, Periodontal Index, Periodontal Pocket/classification, Smoking/blood, Vitamin B 12/blood
Links
Book Title
Database
Publisher
Data Source
Authors
Erdemir,E. O., Bergstrom,J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Transdermal nicotine-induced tobacco abstinence symptom suppression: nicotine dose and smokers&#39; gender 2006 Department of Psychology, Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, 23298-0205, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Experimental and clinical psychopharmacology
Periodical, Abbrev.
Exp.Clin.Psychopharmacol.
Pub Date Free Form
May
Volume
14
Issue
2
Start Page
121
Other Pages
135
Notes
LR: 20151119; GR: DA018447/DA/NIDA NIH HHS/United States; GR: DA07027/DA/NIDA NIH HHS/United States; GR: DA11082/DA/NIDA NIH HHS/United States; GR: R01 DA011082/DA/NIDA NIH HHS/United States; JID: 9419066; 6M3C89ZY6R (Nicotine); NIHMS11824; OID: NLM: NIHM
Place of Publication
United States
ISSN/ISBN
1064-1297; 1064-1297
Accession Number
PMID: 16756416
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM
DOI
2006-07129-003 [pii]
Output Language
Unknown(0)
PMID
16756416
Abstract
An aversive tobacco abstinence syndrome, thought to reflect an underlying level of nicotine dependence, contributes to cigarette smokers' failed quit attempts. Nicotine replacement therapy (NRT) suppresses tobacco abstinence, but high relapse rates suggest room for improvement. Improving NRT's efficacy might begin with identifying factors that influence tobacco abstinence symptom suppression. Two such factors are smokers' gender and NRT dose. The purpose of this study was to determine the dose-related effects of transdermal nicotine (TN) on tobacco abstinence symptoms in 75 men and 53 women who regularly smoked cigarettes but who had abstained from smoking for at least 8-12 hr. Participants completed 4 double-blind, randomized 6.5-hr laboratory sessions that differed by TN dose (0, 7, 21, or 42 mg). Each session included blood sampling for plasma nicotine level, measurement of heart rate, participants' ratings of tobacco abstinence symptoms and effects of nicotine, and psychomotor performance. Increases in plasma nicotine level were related to TN dose and were independent of gender. TN-induced abstinence symptom suppression was dose-related for items assessing craving and urge to smoke and largely was independent of gender. TN increased heart rate and ratings of aversive side effects (e.g., nausea, lightheadedness) in a dose-related manner, and women were more sensitive at higher doses. Results from this laboratory study support the continued use of TN as a pharmacotherapy. Higher doses may ameliorate some abstinence symptoms, although the side effect profile, at least in the short term, may limit effectiveness, especially for women.
Descriptors
Administration, Cutaneous, Adult, Dose-Response Relationship, Drug, Double-Blind Method, Female, Heart Rate/drug effects, Humans, Male, Nicotine/administration & dosage/adverse effects/blood, Sex Characteristics, Substance Withdrawal Syndrome/drug therapy/physiopathology, Tobacco Use Disorder/drug therapy/physiopathology
Links
Book Title
Database
Publisher
Data Source
Authors
Evans,S. E., Blank,M., Sams,C., Weaver,M. F., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC1564049
Editors
Effects of type of smoking (pipe, cigars or cigarettes) on biological indices of tobacco exposure and toxicity 2006 INSERM-AP-HP, Clinical Investigation Center, CIC-9304, Paris F-75012, France. christian.funck-brentano@sat.aphp.fr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Lung cancer (Amsterdam, Netherlands)
Periodical, Abbrev.
Lung Cancer
Pub Date Free Form
Oct
Volume
54
Issue
1
Start Page
11
Other Pages
18
Notes
LR: 20151119; JID: 8800805; 0 (Biomarkers); 0 (Nitrosamines); 0 (Pyrenes); 3417WMA06D (Benzo(a)pyrene); 5315-79-7 (1-hydroxypyrene); AYI8EX34EU (Creatinine); EC 1.14.14.1 (Cytochrome P-450 CYP1A2); K5161X06LL (Cotinine); 2006/04/04 [received]; 2006/06/24
Place of Publication
Ireland
ISSN/ISBN
0169-5002; 0169-5002
Accession Number
PMID: 16884817
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
S0169-5002(06)00345-X [pii]
Output Language
Unknown(0)
PMID
16884817
Abstract
Although all forms of smoking are harmful, smoking pipes or cigars is associated with lower exposure to the lethal products of tobacco products and lower levels of morbidity and mortality than smoking cigarettes. Cytochrome P-450-1A (CYP1A) is a major pathway activating carcinogens from tobacco smoke. Our primary aim was to compare CYP1A2 activity in individuals smoking pipes or cigars only, cigarettes only and in non-smokers. We studied 30 smokers of pipes or cigars only, 28 smokers of cigarettes only, and 30 non-smokers male subjects matched for age. CYP1A2 activity was assessed as the caffeine metabolic ratio in plasma. One-day urine collection was used for determining exposure to products of tobacco metabolism. Nitrosamine and benzo[a]pyrene DNA adducts were measured in lymphocytes. CYP1A2 activity was greater (p<0.0001) in cigarette smokers (median: 0.61; interquartile range: 0.52-0.76) than in pipe or cigar smokers (0.27; 0.21-0.37) and non-smokers (0.34; 0.25-0.42) who did not differ significantly. Urinary cotinine and 1-hydroxypyrene levels were higher in cigarette smokers than in pipe or cigar smokers and higher in the later than in non-smokers. DNA adducts levels were significantly lower in pipe or cigar smokers than in cigarette smokers. In multivariate analysis, cigarette smoking was the only independent predictor of CYP1A2 activity (p<0.0001) and of 1-hydroxypyrene excretion in urine (p=0.0012). In this study, pipe or cigar smoking was associated with lower exposure to products of tobacco metabolism than cigarette smoking and to an absence of CYP1A2 induction. Cigarette smoking was the only independent predictor of CYP1A2 activity in smokers. However, inhalation behaviour, rather than the type of tobacco smoked, may be the key factor linked to the extent of tobacco exposure and CYP1A2 induction. Our results provide a reasonable explanation for the results of epidemiological studies showing pipe or cigar smoking to present fewer health hazards than cigarette smoking.
Descriptors
Adult, Benzo(a)pyrene/metabolism, Biomarkers/metabolism, Chromatography, High Pressure Liquid, Cotinine/urine, Creatinine/urine, Cytochrome P-450 CYP1A2/metabolism, Humans, Male, Middle Aged, Nitrosamines/blood, Plants, Toxic, Pyrenes/metabolism, Smoking/adverse effects, Statistics, Nonparametric, Tobacco/toxicity
Links
Book Title
Database
Publisher
Data Source
Authors
Funck-Brentano,C., Raphael,M., Lafontaine,M., Arnould,J. P., Verstuyft,C., Lebot,M., Costagliola,D., Roussel,R.
Original/Translated Title
URL
Date of Electronic
20060801
PMCID
Editors
Cigarettes and oral snuff use in Sweden: Prevalence and transitions 2006 Department of Genetics, University of North Carolina at Chapel Hill, NC 27599-7264, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction (Abingdon, England)
Periodical, Abbrev.
Addiction
Pub Date Free Form
Oct
Volume
101
Issue
10
Start Page
1509
Other Pages
1515
Notes
LR: 20140908; GR: CA085739/CA/NCI NIH HHS/United States; GR: K07 CA118412/CA/NCI NIH HHS/United States; GR: K07 CA118412-04/CA/NCI NIH HHS/United States; JID: 9304118; NIHMS222036; OID: NLM: NIHMS222036; OID: NLM: PMC2909685; ppublish
Place of Publication
England
ISSN/ISBN
0965-2140; 0965-2140
Accession Number
PMID: 16968353
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Twin Study; IM
DOI
ADD1550 [pii]
Output Language
Unknown(0)
PMID
16968353
Abstract
AIMS: To investigate the prevalence and patterns of transitions between cigarette and snus use. DESIGN: Cross-sectional study within the population-based Swedish Twin Registry. SETTING AND PARTICIPANTS: A total of 31 213 male and female twins 42-64 years old. MEASUREMENTS: Age-adjusted prevalence odds ratios (POR) and 95% confidence intervals (CIs) described the association between gender and tobacco use, while Kaplan-Meier survival methods produced cumulative incidence curves of age at onset of tobacco use. Life-time tobacco use histories were constructed using ages at onset of tobacco use and current tobacco use status. FINDINGS: Although more males reported ever smoking (64.4%) than females (61.7%), more males were former smokers (POR: 1.33, 95% CI: 1.27-1.39). Males were far more likely to use snus than females (POR: 18.0, 95% CI: 16.17-20.04). Age at onset of cigarette smoking occurred almost entirely before age 25, while the age at onset of snus use among males occurred over a longer time period. Most men began using cigarettes first, nearly one-third of whom switched to using cigarettes and snus in combination. While 30.6% of these combined users quit tobacco completely, only 7.4% quit snus and currently use cigarettes, while 47.7% quit cigarettes and currently use snus. CONCLUSIONS: Current cigarette smoking is more prevalent among Swedish women than men, while snus use is more prevalent among men. Among men who reported using both cigarettes and snus during their life-time, it was more common to quit cigarettes and currently use snus than to quit snus and currently use cigarettes. Once snus use was initiated, more men continued using snus rather than quit tobacco completely.
Descriptors
Adult, Age of Onset, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prevalence, Smoking/epidemiology, Sweden/epidemiology, Tobacco, Smokeless
Links
Book Title
Database
Publisher
Data Source
Authors
Furberg,H., Lichtenstein,P., Pedersen,N. L., Bulik,C., Sullivan,P. F.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2909685
Editors
Spread of a green fluorescent protein-tagged Pseudomonas putida in a water pipe following airbone contamination 2006 Carpentier, B., Agence Française de Sécurité Sanitaire des Aliments, Laboratoire d'Etudes et de Recherches sur la Qualite des Aliments et des Procedes Alimentaires, F-94706 Maisons Alfort Cedex, France
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of food protection
Periodical, Abbrev.
J.Food Protection
Pub Date Free Form
/
Volume
69
Issue
11
Start Page
2692
Other Pages
2696
Notes
Place of Publication
ISSN/ISBN
0362-028X
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
An aerosol of green fluorescent protein-tagged Pseudomonas putida, created during high-pressure water cleaning of a coupon colonized by a biofilm of the green fluorescent protein bacterium, contaminated the water supply of an experimental setup. The upward spread of P. putida in a vertical pipe of supply water was 4.3 cm/day. Results highlight that a water supply to a food plant can be contaminated by an aerosol of environmental flora, created in typical cleaning operations, and become a reoccurring source of contamination. A practical response that could be taken in a food plant is briefly discussed. Copyright ©, International Association for Food Protection.
Descriptors
green fluorescent protein, aerosol, article, biofilm, food contamination, growth, development and aging, microbiology, physiology, Pseudomonas putida
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Gagnière,S., Auvray,F., Carpentier,B.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Parental smoking and children&#39;s respiratory health: independent effects of prenatal and postnatal exposure 2006 London School of Hygiene & Tropical Medicine, London, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Aug
Volume
15
Issue
4
Start Page
294
Other Pages
301
Notes
LR: 20151119; JID: 9209612; 0 (Tobacco Smoke Pollution); RF: 40; OID: NLM: PMC2563598; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 16885578
Language
eng
SubFile
Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review; IM
DOI
15/4/294 [pii]
Output Language
Unknown(0)
PMID
16885578
Abstract
OBJECTIVES: Adverse effects have been reported of prenatal and/or postnatal passive exposure to smoking on children's health. Uncertainties remain about the relative importance of smoking at different periods in the child's life. We investigate this in a pooled analysis, on 53,879 children from 12 cross-sectional studies--components of the PATY study (Pollution And The Young). METHODS: Effects were estimated, within each study, of three exposures: mother smoked during pregnancy, parental smoking in the first two years, current parental smoking. Outcomes were: wheeze, asthma, "woken by wheeze", bronchitis, nocturnal cough, morning cough, "sensitivity to inhaled allergens" and hay fever. Logistic regressions were used, controlling for individual risk factors and study area. Heterogeneity between study-specific results, and mean effects (allowing for heterogeneity) were estimated using meta-analytical tools. RESULTS: There was strong evidence linking parental smoking to wheeze, asthma, bronchitis and nocturnal cough, with mean odds ratios all around 1.15, with independent effects of prenatal and postnatal exposures for most associations. CONCLUSIONS: Adverse effects of both pre- and postnatal parental smoking on children's respiratory health were confirmed. Asthma was most strongly associated with maternal smoking during pregnancy, but postnatal exposure showed independent associations with a range of other respiratory symptoms. All tobacco smoke exposure has serious consequences for children's respiratory health and needs to be reduced urgently.
Descriptors
Air Pollution, Indoor/adverse effects, Child, Child Welfare, Cough/etiology, Cross-Sectional Studies, Epidemiologic Methods, Female, Humans, Male, Parents, Pregnancy, Prenatal Exposure Delayed Effects, Prevalence, Respiratory Sounds/etiology, Respiratory Tract Diseases/epidemiology/etiology, Surveys and Questionnaires, Tobacco Smoke Pollution/adverse effects
Links
Book Title
Database
Publisher
Data Source
Authors
Pattenden,S., Antova,T., Neuberger,M., Nikiforov,B., De Sario,M., Grize,L., Heinrich,J., Hruba,F., Janssen,N., Luttmann-Gibson,H., Privalova,L., Rudnai,P., Splichalova,A., Zlotkowska,R., Fletcher,T.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2563598
Editors
Legionella contamination in the hospital environment: monitoring of the hot water distribution systems of three hospitals in Catania (Italy) 2006 Dipartimento G.F. Ingrassia Igiene e Sanita Pubblica, Laboratorio di Riferimento Regionale per le Legionellosi, Universita di Catania.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Igiene e sanita pubblica
Periodical, Abbrev.
Ig.Sanita Pubbl
Pub Date Free Form
Nov-Dec
Volume
62
Issue
6
Start Page
635
Other Pages
652
Notes
LR: 20081121; JID: 0373022; ppublish
Place of Publication
Italy
ISSN/ISBN
0019-1639; 0019-1639
Accession Number
PMID: 17256019
Language
ita
SubFile
English Abstract; Journal Article; Multicenter Study; IM
DOI
Output Language
Unknown(0)
PMID
17256019
Abstract
This study evaluated the presence and extent of contamination with Legionella spp. in the hot water distribution systems of three hospitals in Catania (Italy). In total, 291 hot water samples were collected between September 2002 and August 2005 and these were examined in order to monitor the hospital distribution systems and evaluate the efficacy of decontamination measures. L. pneumophila was detected at variable concentrations up to over 10000 UFC/L at several collection sites in some hospital buildings and branches of the water distribution system while other buildings/branches were found to be free of contamination. The most frequently isolated serogroup was L. pneumophila serogroup 3, occasionally associated with serogroups 4, 5 and 6. Molecular typing of Legionella strains by pulsed-field gel electrophoresis of genomic DNA restriction fragments identified four different genotypes, each recovered from a different branch of the distribution system. Decontamination procedures, including shock hyperchloration and two different thermal shock methods, performed between October 2003 and August 2005, led to only temporary reductions in contamination. In fact, previous concentrations of the same L. pneumophila serogroup were found within 3 to 8 months of decontamination. In order to prevent and monitor Legionella infections, sterilizing filters were installed in water taps of all wards with high-risk patients and urinary antigen testing was performed on all patients diagnosed with nosocomial pneumonia. No cases of Legionella pneumonia were identified in 2005.
Descriptors
Cross Infection/microbiology/prevention & control, Decontamination/methods, Hospitals, Hot Temperature, Humans, Legionella/classification/isolation & purification, Legionnaires' Disease/prevention & control, Retrospective Studies, Sicily, Water Microbiology, Water Supply/standards
Links
Book Title
Database
Publisher
Data Source
Authors
Pignato,S., Coniglio,M. A., Faro,G., Cantaro,P., Carini,S. A., Mangano,G., Cunsolo,R., Coco,G., Giammanco,G.
Original/Translated Title
La contaminazione da legionelle in ambiente ospedaliero. Risultati del monitoraggio delle reti di distribuzione dell&#39;acqua calda in una Azienda ospedaliera
URL
Date of Electronic
PMCID
Editors
Six-minute walk distance in healthy Singaporean adults cannot be predicted using reference equations derived from Caucasian populations 2006 School of Physiotherapy, Curtin University of Technology, Perth, Western Australia, Australia.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Respirology (Carlton, Vic.)
Periodical, Abbrev.
Respirology
Pub Date Free Form
Mar
Volume
11
Issue
2
Start Page
211
Other Pages
216
Notes
LR: 20061115; JID: 9616368; CIN: Respirology. 2006 Sep;11(5):669-70; author reply 671-2. PMID: 16916347; ppublish
Place of Publication
Australia
ISSN/ISBN
1323-7799; 1323-7799
Accession Number
PMID: 16548908
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
RES [pii]
Output Language
Unknown(0)
PMID
16548908
Abstract
OBJECTIVES: The 6-min walk test (6MWT) is commonly used to assess the functional exercise capacity of individuals with cardiopulmonary disease. Recent studies have established regression equations to predict the 6-min walk distance (6MWD) in healthy Caucasian populations; however, regression equations have yet to be established for the Singaporean population. The aim of this study was to determine 6MWD in healthy Singaporeans and identify contributors to 6MWD in this population. We also compared measured 6MWD with predicted 6MWD from two regression equations derived in Caucasian subjects. METHODOLOGY: Thirty-five healthy subjects (32 Chinese, 16 men) aged between 45 and 85 years performed three walking tests using a standardized protocol. 6MWD was defined as the greatest distance achieved from the three tests. Heart rate (HR) was recorded each minute during the 6MWT. Other measurements included age, height, leg length, smoking history and self-reported physical activity. RESULTS: 6MWD was 560 +/- 105 m and was not significantly different between men and women (P = 0.19). 6MWD was related to age (r = -0.36, P = 0.03), height (r = 0.35, P = 0.04), leg length (r = 0.38, P = 0.02) and the maximum HR achieved on the 6MWT when expressed as a percentage of the predicted maximum HR (%predHRmax, r = 0.73, P < 0.001). Stepwise multiple regression analysis showed that age, height, weight and %predHRmax were independent contributors (P < 0.01) to 6MWD, explaining 78% of the variance. Predicted 6MWD using regression equations derived from Caucasian subjects exceeded measured 6MWD by more than 75 m (P < 0.001). CONCLUSIONS: This is the first study to report 6MWD for healthy Singaporeans aged 45-85 years. The regression equation developed in this study explained 78% of the variance in 6MWD. Published equations derived from Caucasian subjects overestimate 6MWD in Singaporean Chinese.
Descriptors
Aged, Aged, 80 and over, Asian Continental Ancestry Group, Body Composition, European Continental Ancestry Group, Exercise Test/standards, Female, Heart Rate, Humans, Male, Middle Aged, Reference Standards, Reference Values, Singapore, Spirometry, Walking/physiology
Links
Book Title
Database
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Data Source
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Poh,H., Eastwood,P. R., Cecins,N. M., Ho,K. T., Jenkins,S. C.
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