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Biomedical subjects

F Perdelli

Publications and source records attributed to F Perdelli.

At least 19 recordsLinked to original sources

Fungal contamination in hospital environments.

OBJECTIVES: To assess the degree of fungal contamination in hospital environments and to evaluate the ability of air conditioning systems to reduce such contamination. METHODS: We monitored airborne microbial concentrations in various environments in 10 hospitals equipped with air conditioning. Sampling was performed with a portable Surface Air System impactor with replicate organism detection and counting plates containing a fungus-selective medium. The total fungal concentration was determined 72-120 hours after sampling. The genera most involved in infection were identified by macroscopic and microscopic observation. RESULTS: The mean concentration of airborne fungi in the set of environments examined was 19 +/- 19 colony-forming units (cfu) per cubic meter. Analysis of the fungal concentration in the different types of environments revealed different levels of contamination: the lowest mean values (12 +/- 14 cfu/m(3)) were recorded in operating theaters, and the highest (45 +/- 37 cfu/m(3)) were recorded in kitchens. Analyses revealed statistically significant differences between median values for the various environments. The fungal genus most commonly encountered was Penicillium, which, in kitchens, displayed the highest mean airborne concentration (8 +/- 2.4 cfu/m(3)). The percentage (35%) of Aspergillus documented in the wards was higher than that in any of the other environments monitored. CONCLUSIONS: The fungal concentrations recorded in the present study are comparable to those recorded in other studies conducted in hospital environments and are considerably lower than those seen in other indoor environments that are not air conditioned. These findings demonstrate the effectiveness of air-handling systems in reducing fungal contamination.

Air Conditioning↗

Factors affecting individual exposure to NO2 in Genoa (northern Italy).

The individual exposure to nitrogen dioxide (NO2) of 89 volunteers living in Genoa, a large port city of northern Italy, was investigated with personal passive diffusion tubes in February-March 2000. The data were related to NO2 concentration in the kitchen and bedroom as measured by static samplers. Volunteers included students, workers and housewives living in three areas of Genoa differing by street traffic and industrial plant location. The kitchen samples showed higher (47.00+/-16.5 microg/m3) NO2 concentrations than those from the bedroom (24.78+/-9.8 microg/m3); overall indoor NO2 concentrations were lower in the Eastern area of Genoa, where outdoor pollution is lower. Students were the volunteer group with the lowest exposure rate (24.9+/-7.8 microg/m3 vs. 44.3+/-10.1 microg/m3 for workers and 40.0+/-13.4 microg/m3 for housewives). This difference is related to the fact that students spend more time indoors, where pollution levels are lower. The main household characteristics which were shown to affect personal NO2 exposure were (a) the presence of a chimney equipped with an active aspiration device in the kitchen and (b) the heating system.

Activities of Daily Living↗

Long-term decline of radiocesium concentration in seafood from the Ligurian sea (northern Italy) after Chernobyl.

The activity of 137Cs, 134Cs and 40K in tissues from fish, molluse and shellfish of the Ligurian sea was measured during 1987-1988. The mean annual concentrations in 1987 were 5.92 +/- 4.1 Bq/kg (wet tissue) for 137Cs and 2.7 +/- 1.5 Bq/kg for 134Cs and 2.46 +/- 1.82 and 0.33 +/- 0.57 Bq/kg respectively in 1988. The mean value of 40K activity was 138.6 +/- 22.1 Bq/kg. Contamination was significantly higher in the littoral area up to 1000 m from the coast (8.39 +/- 7.6 and 1.74 +/- 2.08 Bq/kg respectively versus 2.91 +/- 1.87 and 0.58 +/- 0.59 Bq/kg respectively in the open sea). The common octopus (Octopus vulgaris) had the highest radioactivity values and could be utilized as an indicator of radioactivity pollution. There were no significant differences regarding the trophic level, the seafood phylum, or the east and west Ligurian sea areas. Long-term reduction in the sea habitat was estimated at about 200 days for 137Cs and 110 days for 134Cs, reflecting differences in the physical half-life of these radionuclides. These values were lower than those found in terrestrial foodstuff and could have reflected dilution of the contaminants in the open sea. The effective dose equivalent for the Ligurian population of radiocesium originating from seafood was estimated at 1.3 microSv in 1987 and 0.5 microSv in 1988. These va ues represent 0.8 and 0.3% respectively of the annual dose (180 microSv/year) due to 40K intake with the diet.

Analysis of Variance↗

Environmental and personal monitoring of exposure to urban noise and community response.

Noise exposure of a population sample living in a city in northern Italy (Genoa) was assessed by measuring the noise in the area as well as with personal sound detectors. Sampling was conducted during a standard day and covered a period of time spent out-of-doors, at work (service sector) and at home. Ambient noise at home and at work was assessed with sound-level meters, personal exposure levels were assessed with personal sound-level/dosimeters. Information regarding each environment was obtained with an interview including also a subjective judgement on traffic intensity and noise levels. The mean individual equivalent continuous sound level (Leq) of recorded noise was 74.5 dB(A) for 24 h and 63.9 dB(A) at night. A further distinction was made between noise exposure at home (Leq 74.4), work (Leq 74.0) and during city transfers (Leq 79.3). Leq values for individual hours, Leq daytime (Leq, d), Leq nighttime (Leq,n) and Leq day-night (Ldn) indices calculated in the different environments, i.e. at work, home and out-of-doors, are reported here. Individual noise levels have then been compared with environmental data and with subjective noise exposure judgement.

Environmental Monitoring↗

Blood lead levels in shopkeepers and car traffic pollution in Liguria, Italy.

A study was conducted into the exposure to atmospheric pollution caused by car traffic by measuring blood lead (PbB) levels in a sample of 657 adult individuals (shopkeepers) all living in Liguria. The mean level of blood lead in all examined individuals was 9.39 micrograms dl-1 (0.45 mumol per liter; C.I. 95%: 9.06-9.75 micrograms dl-1; 0.44-0.47 mumol per liter) with a range between 2.0 and 46.03 micrograms dl-1 (0.10-2.22 mumol per liter). The average Pb values in individuals working in streets with high and very high traffic was 8.30 micrograms dl-1 (0.40 mumol per liter; C.I. 95%: 7.41-9.31 micrograms dl-1; 0.36-0.45 mumol per liter) and 9.98 micrograms dl-1 (0.48 mumol per liter; C.I. 95%: 9.62-10.37 micrograms dl-1; 0.46-0.50 mumol per liter), respectively. These average blood lead levels were statistically greater than the average PbB values of those working in low traffic streets (7.06 micrograms dl-1; 0.34 mumol per liter; C.I. 95%: 6.22-7.94 micrograms dl-1; 0.30-0.38 mumol per liter). The percentile distribution (50th, 90th and 98th P) for all subgroups surveyed has always proved to be below the maximum limits specified by EC Directive No. 77/312.

Adolescent↗

[Determination of cesium in human placenta 3 years after Chernobyl].

Three years after the nuclear reactor accident in Chernobyl, 80 human placentae were tested to determine concentrations of cesium 134 and cesium 137 radionuclides. The activities of radionuclides were measured using a low-back ground gamma-ray spectrometry system. Human placentae were obtained from normal and at term pregnancies in women who lived in rural areas of northern-Italy and north-west of Yugoslavia and who in particular used locally grown vegetables and meats. According to the data of other Authors, the low cesium isotopes 134 and 137 levels detected (inferior to 2 Bq/kg) in human placentae suggest that, in the observed geographic areas, the fetal risk following the reactor accident in Chernobyl was negligible.

Accidents↗

[Possible correlations between urinary cadmium and fetal growth retardation in pregnant women who smoke].

The results of a study on Ligurian women at the third day of puerperium are presented. The data obtained from the analysis of urinary cadmium levels in puerperae are related to their smoking habits and to the newborn weight. We found that women who smoked during pregnancy run the risk of giving birth to small-weight children one-and-a-half times higher than women who didn't smoke; moreover, cadmium levels in the urine of the women who smoked are higher too. The cadmium levels in urine on average are higher in women who gave birth to small-weight children, independently of smoke habits. We didn't find a significant relationship between cadmium levels in urine and newborn weight.

Adult↗

Amniotic fluid prolactin and fetal lung maturity.

Prolactin concentration and palmitic acid/stearic acid ratio were measured in 92 samples of amniotic fluid at various gestational ages. There was no correlation between prolactin concentration and palmitic acid/stearic acid ratio, when this ratio was greater than 5, that is when there was an obvious indication that fetal pulmonary maturation was complete. On the contrary there was a statistically significant negative correlation between prolactin levels and palmitic acid/stearic acid ratio when this ratio was lower than 5 (incomplete fetal pulmonary maturation).

Amniotic Fluid↗

Thickening of the basement membrane of cortical capillaries in Alzheimer's disease.

Data concerning width and surface of the basement membrane of cortical capillaries in three patients with Alzheimer's disease and five age-matched controls, have been submitted to statistical analysis to ascertain the role of the aging process upon thickening of the basement membrane itself. The analysis showed that there was a significant difference between patients with Alzheimer's disease and controls (P less than 0.01) as to both width and surface of the basement membrane, so suggesting that in these patients aging was not the only factor which thickening of the basement membrane of cortical capillaries was related to.

Age Factors↗

Loss of striatal neurons in Parkinson's disease: a cytometric study.

By means of a cell-counting technique, it has been shown that patients with Parkinson's disease underwent decreased density of striatal nerve cell population. Large cells were more severely affected than small cells. These findings support the view that striatal involvement, although not severe enough to be easily recognized by conventional neuropathological examination, might be responsible of the progressive loss of benefit that most patients experience during chronic L-dopa treatment.

Aged↗

Nerve cell loss with aging in the putamen.

A significant correlation between age and decrease in the number of nerve cells has been found in the putamen. Both small and large cells in this nucleus were proportionally involved. A possible relationship with the outfall of cells in other structures of the brain, with which the putamen is connected, in order to balance the activity of the extrapyramidal system has been suggested.

Adolescent↗

Increased urinary excretion of hydroxyproline in runners training in urban areas.

In this study, the authors investigated urinary excretion of hydroxyproline in 120 subjects to test the hypothesis that physical activity is associated with increased exposure to pollution derived from traffic exhaust. The study population comprised active noncompetitive runners (i.e., 21.1% trained < 2.5 hr/wk, 20% trained for 2.5-5.0 hr/wk, and 54.4% trained > 5 hr/wk) who lived in Genoa, an urban area of Northern Italy. The mean hydroxyproline value (24.39 +/- 8.38 standard deviation] mg/24 hr x m2) in a group of 69 runners who trained in tracks and streets located in downtown Genoa was higher (p < .05) than the mean value recorded in a group of 21 runners (13.33 +/- 2.51 mg/24 hr x m2) who trained mainly in a rural environment of Genoa. The difference was even greater (p < .01) when a third comparable group of 30 nonrunners was considered (mean = 12.54 +/- 3.41 [standard deviation] mg/24 hr x m2). In the urban environment, urinary levels of hydroxyproline were correlated significantly with intensity and frequency of running, but they were unrelated to smoking status.

Adult↗

Increased blood lead levels in runners training in urban areas.

In an attempt to examine the hypothesis of whether physical activity causes increased uptake of lead in humans, blood lead levels were measured in 231 individuals. Included in the study were subjects who lived in Northern Italy and who practiced noncompetitive running in urban areas or along the countryside. The mean values (1.25 +/- 0.27 mumol/l) measured in a group of 28 runners who trained at tracks and on roads of a large town, characterized by heavy traffic and high atmospheric lead levels, were slightly higher than those recorded in a group of 10 runners of the same town who trained mostly in a rural environment (0.99 +/- 0.29 mumol/l) and, with a striking and significant difference, in a comparable group of 182 nonrunners (0.46 +/- 0.22 mumol/l). These background figures were similar to those found in 11 runners who lived in a smaller, less polluted urban area who trained in country roads (0.40 +/- 0.11 mumol/l). Blood lead levels were correlated significantly with the intensity and frequency of the running practice and were unrelated to smoking habits.

Adult↗

[Occupational exposure to formaldehyde in three pathology departments].

Although formaldehyde has recently been classified by the IARC as "carcinogenic in humans" (class 1), it is still widely used in pathology departments for the fixing and conservation of biological tissues. Its use therefore raises the question of occupational exposure. The present paper reports the results of an environmental monitoring campaign to evaluate pollution by formaldehyde in various areas of three pathology departments. Chemi-adsorbent cartridges able to adsorb airborne formaldehyde were used to detect the substance. Quantitative determination of the formaldehyde was carried out by means of liquid chromatography (HPLC). The concentrations of airborne formaldehyde in the areas monitored were fairly modest, being below the limits of indoor concentration proposed by the OSHA. In one of the three departments, however these limits were exceeded in 40% of the samples taken in the room used for the storage of containers. As yet, in spite of the recent class 1 classification by the IARC, no provisions have been made to ban the use of formaldehyde. It is therefore essential to draw up environmental monitoring programmes in order to evaluate occupational exposure and to assess the efficacy of any preventive measures adopted.

Air Pollution, Indoor↗