Benefit-cost analysis of commercially available activated carbon filters for indoor ozone removal in single-family homes

This study involved the development of a model for evaluating the potential costs and benefits of ozone control by activated carbon filtration in single-family homes. The modeling effort included the prediction of indoor ozone with and without activated carbon filtration in the HVAC system. As one application, the model was used to predict benefit-to-cost ratios for single-family homes in 12 American cities in five different climate zones. Health benefits were evaluated using disability-adjusted life-years and included city-specific age demographics for each simulation. Costs of commercially available activated carbon filters included capital cost differences when compared to conventional HVAC filters of similar particle removal efficiency, energy penalties due to additional pressure drop, and regional utility rates. The average indoor ozone removal effectiveness ranged from 4 to 20% across the 12 target cities and was largely limited by HVAC system operation time. For the parameters selected in this study, the mean predicted benefit-to-cost ratios for 1-inch filters were >1.0 in 10 of the 12 cities. The benefits of residential activated carbon filters were greatest in cities with high seasonal ozone and HVAC usage, suggesting the importance of targeting such conditions for activated carbon filter applications.

Anatomic variation and orgasm: Could variations in anatomy explain differences in orgasmic success?

Though the public consciousness is typically focused on factors such as psychology, penis size, and the presence of the "G-spot," there are other anatomical and neuro-anatomic differences that could play an equal, or more important, role in the frequency and intensity of orgasms. Discovering these variations could direct further medical or procedural management to improve sexual satisfaction. The aim of this study is to review the available literature of anatomical sexual variation and to explain why this variation may predispose some patients toward a particular sexual experience. In this review, we explored the available literature on sexual anatomy and neuro-anatomy. We used PubMed and OVID Medline for search terms, including orgasm, penile size variation, clitoral variation, Grafenberg spot, and benefits of orgasm. First we review the basic anatomy and innervation of the reproductive organs. Then we describe several anatomical variations that likely play a superior role to popular known variation (penis size, presence of g-spot, etc). For males, the delicate play between the parasympathetic and sympathetic nervous systems is vital to achieve orgasm. For females, the autonomic component is more complex. The clitoris is the primary anatomical feature for female orgasm, including its migration toward the anterior vaginal wall. In conclusions, orgasms are complex phenomena involving psychological, physiological, and anatomic variation. While these variations predispose people to certain sexual function, future research should explore how to surgically or medically alter these. Clin. Anat. 29:665-672, 2016. © 2016 Wiley Periodicals, Inc.

Expressive Arts Therapy with Hospitalized Children: A Pilot Study of Co-Creating Healing Sock Creatures©

A novel form of expressive arts therapy was developed in a pediatric unit and received enthusiastic support from hospital staff and family members because of their impressions that the children were calmer following therapy, as well as throughout the remainder of the hospital stay. A pilot study was conducted to assess the feasibility of quantifying such impressions by measuring changes in the children's mood by self-report. Twenty-five children (mean age 8.34 years, SD 3.77) were recruited for the study, coming from diverse social-economic backgrounds, ethnicities, and an array of medical diagnoses. The results document improvements in mood for children following therapy sessions, compared to children in a wait-list control group. Additionally, a meta-analysis examining external influences and changes in salivary cortisol levels measured before and after therapy sessions illustrates the importance of considering aspects of the clinical setting when assessing the effectiveness of this and other expressive arts therapies for reducing stress during hospitalization.

Antibacterial properties of palladium nanostructures sputtered on polyethylene naphthalate

Scheme of pen processing resulting in “curtain” effect of Pd.

Particle characterization in retail environments: concentrations, sources, and removal mechanisms

Particles in retail environments can have consequences for the occupational exposures of retail workers and customers, as well as the energy costs associated with ventilation and filtration. Little is known about particle characteristics in retail environments. We measured indoor and outdoor mass concentrations of PM10 and PM2.5 , number concentrations of submicron particles (0.02-1 μm), size-resolved 0.3-10 μm particles, as well as ventilation rates in 14 retail stores during 24 site visits in Pennsylvania and Texas. Overall, the results were generally suggestive of relatively clean environments when compared to investigations of other building types and ambient/occupational regulatory limits. PM10 and PM2.5 concentrations (mean ± s.d.) were 20 ± 14 and 11 ± 10 μg/m(3), respectively, with indoor-to-outdoor ratios of 1.0 ± 0.7 and 0.88 ± 1.0. Mean submicron particle concentrations were 7220 ± 7500 particles/cm(3) with an indoor-to-outdoor ratio of 1.18 ± 1.30. The median contribution to PM10 and PM2.5 concentrations from indoor sources (vs. outdoors) was 83% and 53%, respectively. There were no significant correlations between measured ventilation rates and particle concentrations of any size. When examining options to lower PM2.5 concentrations below regulatory limits, the required changes to ventilation and filtration efficiency were site specific and depended on the indoor and outdoor concentration, emission rate, and infiltration level.

PRACTICAL IMPLICATIONS

Little is known about particle concentrations, contribution of indoor sources, and emission rates in retail environments. Knowledge of these particle characteristics informs health scientists with input parameters to include in exposure modeling. The predicted concentration change in response to different ventilation rates and filtration efficiencies may be used for guidance to develop control strategies to lower particulate matter concentrations in retail environments.

High speed inscription of uniform, large-area laser-induced periodic surface structures in Cr films using a high repetition rate fs laser

We report on the fabrication of laser-induced periodic surface structures in Cr films upon high repetition rate fs laser irradiation (up to 1 MHz, 500 fs, 1030 nm), employing beam scanning. Highly regular large-area (9  cm2) gratings with a relative diffraction efficiency of 42% can be produced within less than 6 min. The ripple period at moderate and high fluences is 0.9 μm, with a small period of 0.5 μm appearing at lower energies. The role of the irradiation parameters on the characteristics of the laser-induced periodic surface structures (LIPSS) is studied and discussed in the frame of the models presently used. We have identified the polarization vector orientation with respect to the scan direction as a key parameter for the fabrication of high-quality, large-area LIPSS, which, for perpendicular orientation, allows the coherent extension of the sub-wavelength structure over macroscopic distances. The processing strategy is robust in terms of broad parameter windows and applicable to other materials featuring LIPSS.

Association of hospital construction with the development of healthcare associated environmental mold infections (HAEMI) in pediatric patients with leukemia

BACKGROUND

Healthcare associated mold infections (HAEMI) increase morbidity and mortality in children with leukemia. Excavation adjacent to Children's Medical Center Dallas (CMCD) April 2006-February 2007 provided an opportunity to determine if excavation adjacent to a hospital building is associated with increased risk of developing HAEMI in children receiving intensive chemotherapy for acute leukemia.

METHODS

Children who began receiving intensive chemotherapy for acute leukemia at CMCD from 2004 to 2008 were identified (n = 275). Exposures to the CMCD campus during intensive chemotherapy and duration of neutropenia per exposure were recorded. Proven, probable, or possible invasive fungal disease (IFD) was classified using EORTC/MSG guidelines. Institutional guidelines categorized mold infections as definite or possible HAEMI. A bivariate time-to-event model compared the association of excavation with HAEMI and yeast infections, controlling for neutropenia.

RESULTS

There were 7,454 CMCD exposures, 1,007 (13.5%) during excavation. Of 50 cases of IFD, 31 were HAEMI. By time-to-event analysis exposure to the CMCD campus during the excavation period was significantly associated with HAEMI (HR = 2.8, P = 0.01) but not yeast infections (HR = 0.75, P = 0.75). Neutropenia was significantly associated with both HAEMI and yeast infections (P < 0.001). Voriconazole prophylaxis did not prevent HAEMI in 42% of the 14 patients with AML who had been receiving this agent.

CONCLUSION

This study is the first to demonstrate an association between exposure to hospital construction that includes excavation and HAEMI in pediatric oncology patients. Since neutropenic patients need protection from aerosolized fungal spores during visits to expanding medical centers, preventive strategies with adherence monitoring need additional study.

Ion migration assisted inscription of high refractive index contrast waveguides by femtosecond laser pulses in phosphate glass

In this Letter, we report on the successful fabrication of low loss, high refractive index contrast waveguides via ion migration upon femtosecond laser writing in phosphate glass. Waveguides were produced in two different phosphate glass compositions with high and low La(2)O(3) content. In the La-rich glass, a large refractive index increase in the guiding region was observed due to the incoming migration of La accompanied by the out-diffusion of K. The much smaller refractive index change in the La-less glass is caused by rearrangements of the glass structure. These results confirm the feasibility of adapting the glass composition for enabling the laser writing of high refractive index contrast structures via spatially selective modification of the glass composition.

Reorganizing and shaping of embedded near-coalescence silver nanoparticles with off-resonance femtosecond laser pulses

We demonstrate that 2D distributions of non-spherical near-coalescence silver nanoparticles (NPs) embedded in an ultrathin dielectric film can be reorganized, shaped and aligned by exposure to ultrashort laser pulses. As-grown samples prepared by pulsed laser deposition show a broad absorption band with a surface plasmon resonance (SPR) at 650 nm, which can be blue-shifted down to 440 nm and transformed to show polarization anisotropy. In situ white light probing of the spectral sample transmission allows control during irradiation of the position and polarization anisotropy of the SPR, effectively controlling particle reorganization and shaping. Using the high spatial resolution of the optical probe technique (better than 10 μm), the dependence of the nanoparticle shape and distribution on the local fluence can be studied in a single irradiated region. The results inferred from the spectral measurements have been confirmed by TEM studies, showing the formation of nanoparticles with prolate shape, preferential alignment along the polarization axis of the laser and a narrow size distribution. This simple and efficient approach for NP shaping and the straightforward extension to multilayer systems offer excellent perspectives for optical encoding, multidimensional data storage and fabrication of complex, polarization-sensitive spectral masks starting from thin films with near-coalescence distributions of NPs.

Expressive arts therapy for hospitalized children: a pilot study measuring cortisol levels

This pilot study aimed at assessing the feasibility of capturing physiological evidence of reduced stress for hospitalized children following expressive arts therapy. Twenty-five patients were offered a novel form of expressive arts therapy, termed Healing Sock Creatures, during their stay in the hospital. Saliva samples were collected at two times in the afternoon for the purpose of measuring salivary cortisol levels. The patients were randomly assigned to two groups, a treatment group or a wait-list control group. A trend of decreased cortisol levels was apparent following therapy in the treatment group and concurrent steroid treatment, which is common in intensive care units, does not appear to interfere with the ability to measure decreased cortisol levels following therapy. Our results support the design of a formal study to assess physiological biomarkers of stress in hospital settings. To our knowledge, this is the first in-patient study assessing a biomarker of stress following expressive arts therapy for children.

Free vaccine programs to cocoon high-risk infants and children against influenza and pertussis

An adult immunization strategy called "cocooning" is a relatively new concept, referring to immunizing close contacts of infants and high-risk children, thereby limiting pathogen exposure. This report explores the adoption of free vaccine programs in US children's hospitals and shares our own institutions' experiences in implementing free vaccine programs for close contacts of our patients.