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At least 73 records · Page 4Linked to original sources

House-dust mite (Pyroglyphidae) populations in mattresses, and their control by electric blankets.

A reduction in house-dust-mite populations of 19-84% in beds in regular use could be achieved by heating the mattresses with electric blankets, when the beds were not being slept on. The effect of the heating treatment on the temperature and relative humidity inside the mattress is discussed. House-dust mites in the heated portions of the mattress migrated deeper inside the mattress to a depth of 3.5-5.0 cm. Evidence was also found that house-dust mites in non-heated mattresses do not only live near the surface, but that they are also present deep inside the mattress.

Animals↗

Evaluation of antidecubitus mattresses.

Pressure sores are a current problem in hospitals and care of the elderly, leading to protracted hospital stays and a high care burden. The trauma for the patients is severe, and the cost of pressure sore prevention and treatment, is considerable. Antidecubitus mattresses are used for prevention and in treatment, but they also contribute to the cost of treating pressure sores. The problem highlighted in the review is that the mattresses' effectiveness in preventing and treating pressure sores has not been sufficiently evaluated. When antidecubitus mattresses are evaluated, it is often only with regard to aspects of the interface pressure and the mattresses' ability to redistribute the pressure. The review points out the important observation that, to be able to evaluate the efficacy of the antidecubitus mattress, the mattress's effect on tissue viability needs to be studied. The parameters that ought to be considered when evaluating a support surface are: interface pressure, pressure and blood flow distribution, temperature and humidity in the skin-support surface interface. The authors propose that the effect on tissue viability of external loading can be assessed by simultaneous measurement of the interface pressure and tissue perfusion.

Beds↗

[Associations between back pain, quality of sleep and quality of mattresses. Double-blind pilot study with hotel guests].

BACKGROUND: Associations between back pain, the quality of sleep and the quality of mattress have not yet been investigated systematically. METHODS: At check-out we asked 265 consecutive guests of a trade fair hotel about the subjective quality of sleep in the previous night. Nine rooms had been equipped with new mattresses of three different qualities and prices, but this was kept blind to the hotel staff and the guests. Sleep quality was assessed on an analog scale between 1 (very good) and 5 (very bad) and was analyzed in comparison to the remaining 8-year old mattresses of the hotel, but also with respect to social (e.g. private vs. professional reason for the stay) as well as personal (e.g. previous experience with low back and sleep complaints) characteristics of the guests. RESULTS: The three qualities of the mattresses correlated significantly and positively with the perceived quality of sleep, but the difference to the "old" mattresses was most pronounced for those guests who were staying overnight for professional reasons, or who frequently were suffering from low back pain or sleep disturbances. CONCLUSION: At least for chronic sufferers from back pain and sleep problems, the association between sleep quality and quality of the mattress is significant.

English Abstract↗

Biomechanical evaluation of four different mattresses.

This study provided an objective, biomechanical comparison of four "top of the line" mattresses from four different manufacturers using two different measurements. One, which has been used in other studies, was pressure distribution patterns-evaluating maximum pressures generated by an individual lying supine on the mattresses. The other was a novel approach developed specifically for this study-quantifying the degree of spinal distortion induced when in the side posture position. Eighteen normal adult males of similar height but in three different weight groups were tested using both of these approaches on each of four mattresses. As expected, greater maximum pressure directly related to subject's weight group and was greater in the pelvic compared to the thoracic region. One mattress did induce significantly lower maximum pressures than the other three in both the pelvic and thoracic regions. Spinal distortion was not reliably different across the four mattresses in five of the seven spine regions evaluated. However, at the T1/T3 and the T6/T8 spinal segments, inconsistent but statistically significant separation between some mattresses was observed.

Adult↗

Utility of fully buried horizontal mattress sutures.

BACKGROUND: Deep absorbable stitches should provide a firm closure, hemostasis, and good wound-edge eversion, but this is not always achieved with standard techniques. OBJECTIVE: We sought to investigate alternative techniques that can rapidly and reliably achieve these results. METHODS: We evaluated the fully buried horizontal mattress suture. We compared this technique with the previously described fully buried vertical mattress, partially buried mattresses, and standard reticular dermal and subcutaneous sutures. RESULTS: The fully buried horizontal mattress can provide excellent wound-edge approximation and eversion. It is particularly useful for shallow defects and narrow spaces where a deep stitch is required but technically difficult to insert. Overall, this method offers excellent final cosmesis, and individual sutures can be quickly and reproducibly placed with minimal practice. For very deep defects that require dead-space closure, the fully buried vertical mattress may be preferable. CONCLUSIONS: The buried horizontal mattress suture has wide applicability as the buried stitch in a bilayer repair.

Dermatologic Surgical Procedures↗

Pressure-reducing capability of the Therarest hospital replacement mattress.

Pressure readings over the sacral and trochanter areas were compared between a standard hospital mattress and a hospital replacement mattress with a healthy population (n = 23). There was a 28% reduction in sacral pressures and a 29% reduction in trochanter pressures. The mean sacral pressures for 10 subjects on the standard hospital mattress were greater than 32 mm Hg, whereas only one subject on the replacement mattress had a mean sacral pressure greater than 32 mm Hg. The mean trochanter pressures for 17 subjects on the standard hospital mattress were greater than 32 mm Hg, whereas only 12 subjects on the replacement mattress had mean trochanter pressures greater than 32 mm Hg. Further research is warranted to determine the validity of applying findings from research with healthy adults to persons considered to be at risk for pressure ulcer development. Research is also indicated to determine the effects of pressure-reducing variables in an at-risk population with different pressure-reducing products.

Adult↗

Comparison of house dust mites found on different mattress surfaces.

BACKGROUND: House dust mites have been considered the most important source of allergens for humans. These allergens have been encountered at different indoor sites, mainly on mattresses and pillows. OBJECTIVE: To evaluate the number and different specimens of mites on Brazilian bunk-bed mattresses. METHODS: Dust samples were collected once using a standardized method on the upper mattress surface (US) and lower mattress surface (LS) (bed frame also included in the latter) of 58 mattresses. RESULTS: The total number of mite bodies on the LS was 3.5-fold higher than on the US, with a mean concentration of 932 mites per gram of fine dust (mites/g) on the US (range, 0-3,375 mites/g) and 3,254 mites/g on the LS (range, 125-14,500 mites/g) (P < .001). Additionally, the number of house dust mite bodies on the LS was 2.4 higher than on the US (P < .001); the mean concentration was 750 mites/g on the US (range, 0-2,875 mites/g) and 1,816 mites/g on the LS (range, 0-10,875 mites/g). Approximately 91% (n = 52) of the US and all LS dust samples had more than the limit of 100 mites/g. The most frequent family was Pyroglyphidae in both mattress surfaces, with Dermatophagoides pteronyssinus the most important species found. Storage mites, including Glycyphagidae (P < .001), Acaridae (P < .001), and other families (P < .001), also showed significant differences in the number of mites between both sample counts. CONCLUSIONS: This study shows a significant difference in US and LS mite counts, with higher counts on the LS. Mite allergen avoidance should include the LS and bed frame as potential targets.

Air Pollution, Indoor↗

Partial mattress encasing significantly reduces house dust mite antigen on bed sheet surface: a controlled trial.

BACKGROUND: The most effective measure in house dust mite antigen reduction is mattress encasing with an impermeable membrane. A reduction in encasing costs will help increase patients' compliance in mite antigen avoidance. OBJECTIVE: To investigate the effectiveness of partial mattress encasing with a nylon sheet produced in Thailand on the reduction of group I mite antigens from beddings. METHODS: Sixty regularly-used beds from the house officers' dormitory of the Siriraj Hospital Mahidol University, Thailand, were randomly matched into two groups according to mite antigen levels. The control group (CG) used only regular cotton bed sheets whereas the partial encasing group (PG) used mattresses partially covered with a locally produced nylon sheet underneath the regular cotton bed sheets. Dust collection from the beddings was performed at baseline, 2, 4 and 6 months after application of the nylon sheet. Mite antigen levels were detected by a two step monoclonal antibody ELISA. RESULTS: Mite antigen levels in both groups were not different at the beginning of the study. The PG had significantly lower group I antigen levels on regular bed sheet surfaces than the CG (P < .004) at the 2, 4 and 6 month timepoints. However, antigen levels on the mattress surface of the PG was significantly higher than the CG at the end of the study (P < .004). The barrier efficacy of the nylon sheet in preventing migration of group I mite antigens from the mattress to the surface of the regular cotton bed sheet was 94% whereas that of the regular cotton bed sheet was 66% (P = .007). CONCLUSION: Partial mattress encasing with a locally made nylon sheet can reduce mite antigens on the regular cotton bed sheet surfaces for up to 6 months.

Animals↗

Respiratory toxicity of mattress emissions in mice.

Groups of male Swiss-Webster mice breathed emissions of several brands of crib mattresses for two 1-hr periods. The authors used a computerized version of ASTM-E-981 test method to monitor respiratory frequency, pattern, and airflow velocity and to diagnose abnormalities when statistically significant changes appeared. The emissions of four mattresses caused various combinations of upper-airways irritation (i.e., sensory irritation), lower-airways irritation (pulmonary irritation), and decreases in mid-expiratory airflow velocity. At the peak effect, a traditional mattress (wire springs with fiber padding) caused sensory irritation in 57% of breaths, pulmonary irritation in 23% of breaths, and airflow decrease in 11% of breaths. All mattresses caused pulmonary irritation, as shown by 17-23% of breaths at peak. The largest airflow decrease (i.e., affecting 26% of the breaths) occurred with a polyurethane foam pad covered with vinyl. Sham exposures produced less than 6% sensory irritation, pulmonary irritation, or airflow limitation. Organic cotton padding caused very different effects, evidenced by increases in both respiratory rate and tidal volume. The authors used gas chromatography/mass spectrometry to identify respiratory irritants (e.g., styrene, isopropylbenzene, limonene) in the emissions of one of the polyurethane foam mattresses. Some mattresses emitted mixtures of volatile chemicals that had the potential to cause respiratory-tract irritation and decrease airflow velocity in mice.

Air Pollutants↗

Respiratory monitoring using an air-mattress system.

This paper describes a non-invasive respiratory monitoring system using an air mattress. The air-mattress system features multiple air compartments to monitor movements of the thorax and the abdomen separately. To evaluate the performance of the air-mattress system, four subjects were selected for the study and their separate ribcage and abdominal movements were monitored simultaneously by respiratory inductive phlethysmography belts and the air-mattress system. The sensitivity and accuracy indices of the air-mattress system for the detection of hypopnoeas scored remarkably well (above 90%). In addition, it was noted that the mean error in the measurement of the respiratory rate between the two systems was very small. This paper shows that the air-mattress system can be a reliable non-invasive respiratory monitoring system to detect simple abnormalities in breathing, such as respiration rate and hypopnoeas.

Abdomen↗

Preventing pressure sores in elderly patients: a comparison of seven mattress overlays.

Long-term elderly patients at risk of pressure sores as shown by superficial skin breaks in the pressure areas were randomly allocated to seven low-priced mattress overlays, alternating pressure (AP): Large Cell Ripplebed; constant low pressure (CLP): Preventix, a 'Groove' prototype, Modular Propad (contoured foam); Ardo Watersoft; Spenco, Surgicgoods Hollowcore Mattress Pad (fibrefills). Assessments of the patients' medical condition, nursing management and pressure areas were carried out twice weekly for a mean of 17.7 days. If the pressure areas deteriorated significantly the trials were stopped and the patients were transferred to other supports. Thirteen per cent of trials on Ripplebeds had to be stopped compared with 32%, 35% and 37% respectively on contoured foam mattresses (p = 0.0005), 47% on the water mattress (p < 0.001) and 51% and 54% on fibrefills (p < 0.0001). Respective healing rates were: 45%, 37%, 24% and 20% (p = 0.001). Although the contoured foam mattresses provided better protection than the fibrefills (p < 0.01), only the AP mattress effectively prevented and healed sores in these patients who could not be regularly repositioned.

Aged↗

Evaluation of a simplified water mattress in the prevention and treatment of pressure sores.

Using a simplified pressure-measuring device, we determined the pressures under 4 anatomical sites in 11 human subjects to compare 3 commercially available sleeping surfaces. The 3 surfaces tested were a water mattress, a water bed, and our standard hospital bed. There were no significant differences in the recorded pressures of the water mattress and the water bed, except in the region of the scapula. Both the water mattress and the water bed were found to be superior to our standard hospital mattress. The advantages and disadvantages of this water mattress are discussed. The concept of using a water mattress seems to be an affordable approach to preventing pressure ulcers.

Bedding and Linens↗

Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part I. Experimental results.

Prior studies indicated that horizontal mattress sutures can control the curvature of a convex lateral crus. This study undertook to ascertain the ideal spacing for mattress sutures, determine what effect they have on the subsequent strength of the cartilage, and compare that to the resultant strength after scoring procedures used to control curvature. Curved fresh cadaver septa of various thicknesses (0.5, 1, and 1.5 mm) were used. The ideal spacing (gap between suture purchases) for the mattress suture was sought in 15 specimens. The consequent change in stiffness (modulus) of the cartilage was measured in nine other specimens before and after suture placement and after scoring. If the spacing was too large, instability resulted. If it was too small, curvature correction could not be obtained. An ideal mattress spacing (6 to 8 mm for 0.5-mm specimens and 8 to 10 mm for 1.5-mm specimens) removed most curvature and provided stability. The mattress suture increased the stiffness (modulus) above normal and far above that when the curvature was removed by scoring. The mean composite modulus before suturing was 4.6 MPa. After ideally spaced sutures, it was 6.2 MPa, a 35 percent increase in stiffness. After scoring to improve curvature, it was 2.4 MPa, a 48 percent reduction in stiffness (p = 0.02, Wilcoxon signed rank test). The horizontal mattress suture technique corrects cartilage curvature if the appropriate spacing is used. The corrected cartilage is stiffer/stronger than normal cartilage and much stiffer/stronger than if scored.

Cadaver↗

Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part II. Clinical results.

Horizontal mattress sutures have previously been shown to remove unwanted bulbosity and convexity of nasal tip cartilages. The purpose of this study was to extend that concept by investigating the universal applicability of the horizontal mattress suture to change and control the curvature (e.g., convexity or concavity) of a wide variety of nasal cartilages and warped cartilage grafts. The horizontal mattress suture was applied to a variety of clinical situations, including nasal tip bulbosity caused by convex lateral crura, collapsed external nasal valves, warped grafts and struts, crooked L-shaped septal struts, and collapsed internal nasal valves. Twenty-nine cases were studied over a period of 10 to 23 months. The horizontal mattress suture proved to be a simple, effective means of achieving satisfactory control of the curvature of various cartilages of the nose (including external valves, internal valves, and septum) and warped cartilage grafts. Curvature control was obtained in all cases where the cartilage was supple. Moreover, the resultant strength was increased above normal. Partial recurrence of the curvature was seen in only two cases. Clinical results indicated that the horizontal mattress suture is universally applicable to a variety of situations in which the curvature of nasal cartilage and cartilage grafts needs to be removed or modified. The mattress suture drastically reduces the need for scoring (with its inherent problems of weakness) and the need for cartilage grafting.

Cartilage↗

A comparison of mite populations in mattress dust from hospital and from private houses in Cardiff, Wales.

Fifty mattress dust samples from private houses were examined--all were mite infested. Dermatophagoides pteronyssinus occurred in all samples and accounted for 81% of all mites. In thirty-two paired samples the total mite population of bedroom floor dust was only 10% of that found in the corresponding mattress dust. D. pteronyssinus was the dominant species in both and the population of this mite amounted to 7-5% of that found in the mattress dust. An analysis of mattress dust from 100 hospital beds showed that ninety-four mattresses were mite free; the other six contained only seven mites, all D. pteronyssinus. It is suggested that frequent changing and washing of bed linen and brushing and cleaning of mattresses were the main factors in preventing mite infestation in the Cardiff hospitals.

Bedding and Linens↗

Der p I concentrations in mattress surface and floor dust collected from infants' bedrooms.

BACKGROUND: Allergen exposure in early childhood is thought to be important for sensitization and subsequent development of asthma. Not much is known, however, about exposure of young children to allergens in the home. OBJECTIVES: This study was designed to document dust mite allergen exposure in young children, and to determine whether infants from atopic mothers (= 'high-risk' infants) are exposed to lower concentrations of house dust mite allergen than infants from non-atopic parents (= 'low-risk' infants). METHODS: Dust samples were taken in the homes of 104 infants (48 'high-risk' and 56 'low-risk' infants, selected by questionnaire) aged 3-15 months, from floors in different rooms and from the child's mattress surface. RESULTS: The majority of the infants were found to be exposed to Der p I concentrations of more than 2000 ng/g in dust collected from the surface of their mattresses. Lower Der p I concentrations were found in mattress surface dust from the beds of infants from atopic mothers than of infants from non-atopic parents. Also, lower Der p I concentrations were found in floor dust from the homes of infants from atopic mothers. Infant beds equipped with new mattresses, new blankets and top plastic sheeting had significantly lower Der p I concentrations than beds equipped with used mattresses and blankets, without top plastic sheeting. CONCLUSIONS: Young children in the Netherlands are exposed to significant concentrations of Der p I in mattress surface dust. Allergic parents appear to provide their children with environments somewhat less rich in mite allergen than non-allergic parents.

Allergens↗

Sudden infant death syndrome (SIDS) and the toxic gas hypothesis: microbiological studies of cot mattresses.

1. Fifty infants' mattresses were studied to investigate the occurrence of viable fungal and bacterial propagules, with particular reference to Scopulariopsis brevicaulis which had been suggested to be implicated in SIDS cases. A total of 19 SIDS cases mattresses, 1 non-SIDS death, 20 used controls, and 10 new unused controls were examined. 2. Differences were found between SIDS and used controls in the variety of fungal species isolated and the numbers isolated from fillings; bacterial numbers were similar. 3. S. brevicaulis was isolated from only four mattresses, three of which were SIDS cases. It was not found in most of those on which death had occurred. 4. A number of potentially pathogenic or allergenic fungi, including Aspergillus fumigatus, were isolated more frequently from SIDS cases mattresses than new or used controls. 5. Scanning electron microscopy of mattress covers and fillings showed microbial 'biofilms' in the head areas of all SIDS cases examined. This was not seen on other samples. 6. The limited number of mattresses studied and the use of unmatched controls precludes the drawing of any general conclusions as to the significance of the biofilms or other fungi isolated. 7. Reports of the existence of a dimorphism in general growth forms of S. brevicaulis were investigated by growing and transferring authentic strains between a variety of growth media. 8. No 'slimy' state of this fungus was observed and dimorphism was not confirmed.

Bacteria↗

Bedding on geotextile mattresses: how much is needed to improve cow comfort?

The objective of our study was to evaluate how the amount of sawdust bedding on mattresses affects dairy cattle behavior and preferences. Eleven nonlactating, multiparous cows were housed individually in pens with access to 3 free stalls. Each stall was fitted with a geotextile mattress covered with either 0, 1, or 7.5 kg of kiln-dried sawdust. The experiment began with 7 d of acclimatization to all 3 stalls. Cows were then allowed access to only 1 of the 3 stalls at a time, each for 3 d (restriction phase). At the end of this restriction phase, cows were allowed free access to all 3 stalls for 3 d (free-choice phase). Time spent lying and the number of lying bouts increased significantly with the amount of bedding, from 12.3 +/- 0.53 h lying and 8.5 +/- 0.62 bouts per 24 h on bare mattresses to 13.8 +/- 0.53 h lying and 10.0 +/- 0.62 bouts per 24 h on mattresses with 7.5 kg of sawdust. In addition, the animals spent less time standing with only the front hooves in the stalls when more sawdust was present. When allowed free access to all 3 options, all 11 animals spent a majority of their time lying and standing in the 7.5-kg option. In conclusion, cows preferred mattresses bedded with 7.5 kg of sawdust, on which they spent more time lying down and less time standing with only the front hooves in stalls. These results indicate that more sawdust bedding improves cow comfort in stalls with geotextile mattresses.

Animals↗