| 1. |
- Nourozi, Behrouz, 1986-, et al.
(författare)
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A systematic review of ventilation solutions for hospital wards : Addressing cross-infection and patient safety
- 2024
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Ingår i: Building and Environment. - : Elsevier Ltd. - 0360-1323 .- 1873-684X. ; 247
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Tidskriftsartikel (refereegranskat)abstract
- Despite various preventive interventions, nosocomial cross-infection remains a significant challenge in healthcare facilities worldwide. Consequently, prolonged hospitalization, elevated healthcare costs, and mortality rates are major concerns. Proper ventilation has been identified as one of the possible interventions for reducing the risk of cross-infection between patients and healthcare workers in hospital wards by diluting infectious agents and their carrying particles. The use of air cleaners in conjunction with the ventilation system further reduces the concentration of indoor pathogens. This article presents a systematic review of the ventilation solutions employed in hospital wards where pathogen removal performance can be enhanced using air-cleaning techniques while maintaining the thermal comfort of patients and healthcare staff. We provide a comparative analysis of the performance of different ventilation strategies adopted in one-, two-, or multi-bed hospital wards. Additionally, we discuss the parameters that influence the aerosol removal efficiency of ventilation systems and review various air-cleaning technologies that can further complement the ventilation system to reduce contaminant concentrations. Finally, we review and discuss the impact of different ventilation strategies on the perceived thermal comfort of patients and healthcare workers. This study provides insights into the cross-contamination risks associated with various hospital ward setups and the vital role of the ventilation system in reducing the adverse effects of infection risk. The findings of this review will contribute to the development of effective ventilation solutions that ensure improved patient outcomes and the well-being of healthcare workers.
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| 2. |
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| 3. |
- Gren, Louise, et al.
(författare)
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Lung function and self-rated symptoms in healthy volunteers after exposure to hydrotreated vegetable oil (HVO) exhaust with and without particles
- 2022
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Ingår i: Particle and Fibre Toxicology. - : Springer Science and Business Media LLC. - 1743-8977. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Diesel engine exhaust causes adverse health effects. Meanwhile, the impact of renewable diesel exhaust, such as hydrotreated vegetable oil (HVO), on human health is less known. Nineteen healthy volunteers were exposed to HVO exhaust for 3 h in a chamber with a double-blind, randomized setup. Exposure scenarios comprised of HVO exhaust from two modern non-road vehicles with 1) no aftertreatment system ('HVOPM+NOx' PM1: 93 mu g-m(-3), EC: 54 mu g-m(-3), NO: 3.4 ppm, -NO2: 0.6 ppm), 2) an aftertreatment system containing a diesel oxidation catalyst and a diesel particulate filter ('HVONOx' PM1: similar to 1 mu g-m(-3), NO: 2.0 ppm, -NO2: 0.7 ppm) and 3) filtered air (FA) as control. The exposure concentrations were in line with current EU occupational exposure limits (OELs) of NO, -NO2, formaldehyde, polycyclic aromatic hydrocarbons (PAHs), and the future OEL (2023) of elemental carbon (EC). The effect on nasal patency, pulmonary function, and self-rated symptoms were assessed. Calculated predicted lung deposition of HVO exhaust particles was compared to data from an earlier diesel exhaust study. Results: The average total respiratory tract deposition of PM1 during -HVO(PM+ NO)x was 27 mu g-h(-1). The estimated deposition fraction of HVO PM1 was 40-50% higher compared to diesel exhaust PM1 from an older vehicle (earlier study), due to smaller particle sizes of the -HVOPM+ NOx exhaust. Compared to FA, exposure to -HVOPM+ NOx and -HVONOx caused higher incidence of self-reported symptoms (78%, 63%, respectively, vs. 28% for FA, p < 0.03). Especially, exposure to -HVOPM+ NOx showed 40-50% higher eye and throat irritation symptoms. Compared to FA, a decrement in nasal patency was found for the -HVONOx exposures (- 18.1, 95% CI: - 27.3 to - 8.8 L-min(-1), p < 0.001), and for the -HVOPM+ NOx (- 7.4 (- 15.6 to 0.8) L -min(-1), p = 0.08). Overall, no clinically significant change was indicated in the pulmonary function tests (spirometry, peak expiratory flow, forced oscillation technique). Conclusion: Short-term exposure to HVO exhaust concentrations corresponding to EU OELs for one workday did not cause adverse pulmonary function changes in healthy subjects. However, an increase in self-rated mild irritation symptoms, and mild decrease in nasal patency after both HVO exposures, may indicate irritative effects from exposure to HVO exhaust from modern non-road vehicles, with and without aftertreatment systems.
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| 4. |
- Lovén, Karin, et al.
(författare)
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Effects of cleaning spray use on eyes, airways, and ergonomic load
- 2023
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundCleaning workers are exposed to chemicals and high physical workload, commonly resulting in airway problems and pain. In this study the response in the upper airways and the physical workload following airborne and ergonomic exposure of cleaning spray was investigated.MethodsA survey was answered by professional cleaning workers to investigate their use of cleaning sprays and the perceived effects on eyes, airways and musculoskeletal pain. A human chamber exposure study was then conducted with 11 professional cleaning workers and 8 non-professional cleaning workers to investigate the airborne exposure, acute effects on eyes and airways, and physical load during cleaning with sprays, foam application and microfiber cloths premoistened with water. All cleaning products used were bleach, chlorine, and ammonia free. The medical assessment included eye and airway parameters, inflammatory markers in blood and nasal lavage, as well as technical recordings of the physical workload.ResultsA high frequency of spray use (77%) was found among the 225 professional cleaning workers that answered the survey. Based on the survey, there was an eight times higher risk (p < 0.001) of self-experienced symptoms (including symptoms in the nose, eyes and throat, coughing or difficulty breathing) when they used sprays compared to when they cleaned with other methods. During the chamber study, when switching from spray to foam, the airborne particle and volatile organic compound (VOC) concentrations showed a decrease by 7 and 2.5 times, respectively. For the whole group, the peak nasal inspiratory flow decreased (-10.9 L/min, p = 0.01) during spray use compared to using only water-premoistened microfiber cloths. These effects were lower during foam use (-4.7 L/min, p = 0.19). The technical recordings showed a high physical workload regardless of cleaning with spray or with water.ConclusionSwitching from a spraying to a foaming nozzle decreases the exposure of both airborne particles and VOCs, and thereby reduces eye and airway effects, and does not increase the ergonomic load. If the use of cleaning products tested in this study, i.e. bleach, chlorine, and ammonia free, cannot be avoided, foam application is preferable to spray application to improve the occupational environment.
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| 5. |
- Pedersen, Eja, et al.
(författare)
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Tenant perceptions of post-renovation indoor environmental quality in rental housing: improved for some, but not for those reporting health-related symptoms
- 2020
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Ingår i: Building and Environment. - : Elsevier BV. - 1873-684X .- 0360-1323. ; 189
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Tidskriftsartikel (refereegranskat)abstract
- Much of the 1950–1970s building stock in Sweden and other European countries is being renovated to reduce energy use and for general upgrading. To realize the UN Sustainable Development Goals, the renovations should also improve indoor environmental quality (IEQ). The PEIRE (People-Environment-Indoor-Renovation-Energy) study followed the renovation of a multifamily housing area in Sweden comprising 14 buildings with 323 dwellings in total. We aimed to investigate tenant perception of IEQ changes after the renovation with focus on perceived control of IEQ, recalling of being informed how to control IEQ, and if tenants with self-reported symptoms perceive the changes differently. A post-renovation survey (n = 104, response rate 36%) showed that the renovation increased the proportion of residents experiencing satisfactory thermal comfort and air quality in the winter, as well as improved noise conditions. Perceiving reduced draught in the thermal environment was associated with experiencing being informed and being able to control heat and ventilation. Respondents reporting skin irritation symptoms were less likely than others to perceive any improvements of IEQ factors such as air quality, daylight, noise from installations and neighbours, and periods of excessive heat. Renovations targeting housing sustainability – here, decreasing energy use and mitigating wear and tear while keeping the rents low – could increase tenant perceptions of improved IEQ, especially if factors concerning information and tenants’ ability to control the regulating systems are addressed. Interestingly, results of this study point out that tenants experiencing IEQ-related symptoms may require enhanced IEQ improvements to experience the renovation as satisfactory.
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| 6. |
- Rasmussen, Berit B, et al.
(författare)
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Emissions of ultrafine particles from five types of candles during steady burn conditions
- 2021
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Ingår i: Indoor Air. - : Hindawi Limited. - 0905-6947 .- 1600-0668. ; 31:4, s. 1084-1094
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Tidskriftsartikel (refereegranskat)abstract
- Emissions from candles are of concern for indoor air quality. In this work, five different types of pillar candles were burned under steady burn conditions in a new laboratory scale system for repeatable and controlled comparison of candle emissions (temperature ~25°C, relative humidity ~13%, O2 >18%, air exchange rate 1.9 h-1 ). Burn rate, particle number concentrations, mass concentrations, and mode diameters varied between candle types. Based on the results, the burning period was divided in two phases: initial (0-1 h) and stable (1-6 h). Burn rates were in the range 4.4-7.3 and 4.7-7.1 g/h during initial and stable phase, respectively. Relative particle number emissions, mode diameters, and mass concentrations were higher during the initial phase compared to the stable phase for a majority of the candles. We hypothesize that this is due to elevated emissions of wick additives upon ignition of the candle together with a slightly higher burn rate in the initial phase. Experiments at higher relative humidity (~40%) gave similar results with a tendency toward larger particle sizes at the higher relative humidity. Chemical composition with respect to inorganic salts was similar in the emitted particles (dry conditions) compared to the candlewicks, but with variations between different candles.
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| 7. |
- Andersen, Christina, et al.
(författare)
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Emissions of soot, PAHs, ultrafine particles, NOx, and other health relevant compounds from stressed burning of candles in indoor air
- 2021
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Ingår i: Indoor Air. - : Hindawi Limited. - 0905-6947 .- 1600-0668. ; 31:6, s. 2033-2048
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Tidskriftsartikel (refereegranskat)abstract
- Burning candles release a variety of pollutants to indoor air, some of which are of concern for human health. We studied emissions of particles and gases from the stressed burning of five types of pillar candles with different wax and wick compositions. The stressed burning was introduced by controlled fluctuating air velocities in a 21.6 m3 laboratory chamber. The aerosol physicochemical properties were measured both in well-mixed chamber air and directly above the candle flame with online and offline techniques. All candles showed different emission profiles over time with high repeatability among replicates. The particle mass emissions from stressed burning for all candle types were dominated by soot (black carbon; BC). The wax and wick composition strongly influenced emissions of BC, PM2.5 , and particle-phase polycyclic aromatic hydrocarbons (PAHs), and to lower degree ultrafine particles, inorganic and organic carbon fraction of PM, but did not influence NOx , formaldehyde, and gas-phase PAHs. Measurements directly above the flame showed empirical evidence of short-lived strong emission peaks of soot particles. The results show the importance of including the entire burn time of candles in exposure assessments, as their emissions can vary strongly over time. Preventing stressed burning of candles can reduce exposure to pollutants in indoor air.
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| 8. |
- Anund Vogel, Jonas, et al.
(författare)
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Enbart avstånd och handhygien räcker inte
- 2023
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Ingår i: Fastighetstidningen. - 0348-5552.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- I denna debattartikel lyfter sex forskare frågan att myndigheter och branschorganisationer delvis gav olika råd kring åtgärder för att begränsa risken för smittspridning inomhus. För att klara nästa pandemi krävs bättre samordning av riktlinjer kring ventilation och luftkvalitet.
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| 9. |
- Ekberg, Lars, et al.
(författare)
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Covid 19 guidance for the Swedish construction and real estate sectors : results from a survey study
- 2023
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Ingår i: The REHVA European HVAC Journal. - 1307-3729. ; 60:2, s. 18-20
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Buildings Post Corona is a Swedish collaborative research project between Chalmers, KTH Royal Institute of Technology, Lund, and Umeå Universities. The project intends to provide knowledge related to designing, maintaining and operating sustainable buildings with a healthy and good indoor environment.The project aims to contribute to the knowledge and processes needed for the construction and real-estate sectors to meet the needs of the post-pandemic era.In this article, the authors describe the approach in the study and its results.
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| 10. |
- Eriksson, Axel Christian, et al.
(författare)
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Influence of airborne particles' chemical composition on SVOC uptake from PVC flooring - time resolved analysis with aerosol mass spectrometry
- 2020
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Ingår i: Environmental Science & Technology. - : American Chemical Society (ACS). - 1520-5851 .- 0013-936X. ; , s. 85-91
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Tidskriftsartikel (refereegranskat)abstract
- We sampled ammonium sulfate particles and indoor particles of outdoor origin through a small chamber covered with polyvinyl chloride (PVC) flooring. We measured the uptake of semi-volatile organic compounds (SVOC) by the airborne particles in real time. The particles acquired SVOC mass fractions up to 10%. The phthalate ester DEHP (di(2-ethylhexyl)phthalate), a known endocrine disruptor, contributed by approximately half of the sorbed SVOC mass. The indoor particles acquired higher DEHP fraction than laboratory generated ammonium sulfate aerosol. We attribute this increased uptake to absorption by organic matter present in the indoor particles. Using a thermodenuder to remove volatile components, predominantly organics, reduced SVOC uptake. Positive matrix factorization applied to the organic mass spectra suggests that hydrocarbon-like organic aerosol (typically fresh traffic exhaust) sorbs DEHP more efficiently than aged organic aerosol. SVOC uptake is one of the processes that modifies outdoor pollution particles after they penetrate buildings, where the majority of exposure occurs. Particles from indoor sources, typically dominated by organic matter, will undergo such processes as well. Aerosol mass spectrometry improves the time resolution of experimental investigations into these processes, and enables experiments with lower, relevant particle concentrations. Additionally, particle size resolved results are readily obtained.
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