Personal formaldehyde exposure during the transportation of embalmed cadavers.

Occupational exposure to the known carcinogen formaldehyde during embalming (the preservation of cadavers) has been well documented. Cadavers may be transported to universities on loan for training medical professionals in human anatomy courses. However, occupational formaldehyde exposure levels associated with the transportation of cadavers have not previously been published. Therefore, the current pilot study examined formaldehyde exposure during this process. Preserved intact cadavers (room temperature or cooled) were loaded into cargo vans at the source (lending) lab, driven to the destination (borrowing) lab, and unloaded. Dissected cadavers (room temperature) were picked up and loaded into the cargo vans at the destination lab and driven to and unloaded at the source lab. Formaldehyde samples were collected in the breathing zone of employees engaged in cadaver transportation and handling. The number of intact cadavers or dissected cadavers in each cargo van ranged from 4 to 13 bodies. Sample collection times associated with cadaver transportation and handling tasks ranged from 15 to 216 min per sample with formaldehyde concentrations up to 1.6 ppm. Median exposure levels during cadaver transportation tasks were (1) 1.4 ppm (intact room temperature cadavers); (2) 0.13 ppm (dissected room temperature cadavers); and (3) 0.018 ppm (intact cooled cadavers). The median exposure during cadaver handling (loading/unloading) was 0.05 ppm. The 8-hr time-weighted averages during cadaver transportation and handling ranged from 0.030 ppm (intact cooled cadavers and dissected room temperature cadavers) to 0.51 ppm (intact room temperature cadavers, and dissected room temperature cadavers), the latter of which exceeded the American Conference of Governmental Industrial Hygienists recommended time-weighted average threshold limit value of 0.1 ppm. It is recommended that cadavers be transported cooled, however not all facilities may have access to or utilize specialized cadaver storage such as a walk-in cooler. Therefore, alternate exposure prevention approaches should also be identified and implemented.

"It makes me feel like good inside because I helped him do stuff" - Perceptions of psychological well-being in adolescents providing dementia care.

According to a 2018 report by the Alzheimer's Association, an estimated 250,000 children help support a family member with dementia, but few studies exist that describe their experience as family carers. This qualitative descriptive study sought to understand the perceived psychological well-being of adolescents who assist with providing care to family members with dementia. Eleven adolescents ages 12 to 17 caring for older non-parental family members with dementia in northwest Ohio participated in one of three focus group discussions. An adult family member was surveyed about family background and level of assistance provided. The data from the two questionnaires were analyzed using descriptive statistics. Focus group transcripts were analyzed using thematic content analysis. Thematic analysis revealed six themes related to psychological well-being: 1) Feeling compassion for the family member; 2) Finding connection through fun, humor, and mutual affection; 3) Helping even though it is not always pleasant; 4) Feeling good inside about helping family "do stuff"; 5) Believing no one can do it like family; and 6) Reflecting that it is just something that they do. The findings of this study provide new insight into adolescents' experiences of dementia family care and how it affects their psychological well-being. An examination of the themes suggests that secondary caring roles were mostly positive in nature and may help adolescents forge closer family relationships, find opportunities for personal growth and development, and overcome challenges to grow more confident. These findings may also suggest ways to include adolescents in family care as a means of positive growth opportunities.

Nursing Home Staff's Perceptions of Noise Compared to Measured Noise Levels: A Descriptive Study.

A noisy environment may cause annoyance to nursing home staff and affect their ability to provide quality care to residents. The current descriptive study examined differences between staff's perceived noise levels and measured noise levels in four nursing home facilities in Ohio. Most participants (N = 90) were White females. Consistent with measured noise levels, participants described all facilities as being moderately noisy. The loudest perceived noise sources included door/patient alarms and floor cleaners, which were confirmed by measured noise levels. Inconsistent with measured noise levels, most participants identified the nurses' station as one of the noisiest locations. Overall, participants at all facilities were neutral or disagreed that noise levels impacted themselves or residents. However, nursing home staff should be educated about how they contribute to noise levels and the potential effects of noise on work performance and quality of care provided to residents. [Journal of Gerontological Nursing, 46(9), 37-45.].

Perceptions of Water-related Environmental Concerns in Northwest Ohio One Year after a Lake Erie Harmful Algal Bloom.

Water is essential to human life around the world, but there are numerous threats to its quality both internationally and nationally. The purpose of this secondary data analysis was to examine public perceptions of water-related environmental concerns in northwest Ohio. In fall 2015, nine focus groups on environmental health conditions were conducted with Lucas County, Ohio residents. Each 90-min focus group was videotaped and professionally transcribed to maximize data capture and facilitate data analysis. Colaizzi's (1978) method of content analysis was applied to make sense of the participants' environmental concerns related to water. The majority of the 93 participants were white females between the ages of 40 and 59. A do-not-drink advisory related to a harmful algal bloom in the summer of 2014 and the possibility of a future bloom were still prominent in residents' minds that affected their perceptions and behaviors 1 year later. The emergent themes included: (1) avoiding the use of tap water due to concerns about water quality, (2) mourning the loss of a precious resource and their childhood recreational activities, (3) believing there are financial impacts associated with water problems, (4) distrusting the actions and decisions of persons in authority, (5) wanting to stop fighting about who is to blame and determine the problem's real cause, and (6) desiring actions and planning by authorities to prevent future problems. Understanding public perceptions of water-related environmental concerns can inform practitioners worldwide on successful approaches to restoring trust, educating about and communicating risk, and planning for future issues.

Task-specific noise exposure during manual concrete surface grinding in enclosed areas-influence of operation variables and dust control methods.

Noise exposure is a distinct hazard during hand-held concrete grinding activities, and its assessment is challenging because of the many variables involved. Noise dosimeters were used to examine the extent of personal noise exposure while concrete grinding was performed with a variety of grinder sizes, types, accessories, and available dust control methods. Noise monitoring was conducted in an enclosed area covering 52 task-specific grinding sessions lasting from 6 to 72 minutes. Noise levels, either in minute average noise level (Lavg, dBA) or in minute peak (dBC), during concrete grinding were significantly (P < 0.01) correlated with general ventilation (GV: on, off), dust control methods (uncontrolled, wet, Shop-Vac, HEPA, HEPA-Cyclone), grinding cup wheel (blade) sizes of 4-inch (100 mm), 5-inch (125 mm) and 6-inch (150 mm), and surface orientation (horizontal, inclined). Overall, minute Lavg during grinding was 97.0 ± 3.3 (mean ± SD), ranging from 87.9 to 113. The levels of minute Lavg during uncontrolled grinding (98.9 ± 5.2) or wet-grinding (98.5 ± 2.7) were significantly higher than those during local exhaust ventilation (LEV) grinding (96.2 ± 2.8). A 6-inch grinding cup wheel generated significantly higher noise levels (98.7 ± 2.8) than 5-inch (96.3 ± 3.2) or 4-inch (95.3 ± 3.5) cup wheels. The minute peak noise levels (dBC) during grinding was 113 ± 5.2 ranging from 104 to 153. The minute peak noise levels during uncontrolled grinding (119 ± 10.2) were significantly higher than those during wet-grinding (115 ± 4.5) and LEV-grinding (112 ± 3.4). A 6-inch grinding cup wheel generated significantly higher minute peak noise levels (115 ± 5.3) than 5-inch (112 ± 4.5) or 4-inch (111 ± 5.4) cup wheels. Assuming an 8-hour work shift, the results indicated that noise exposure levels during concrete grinding in enclosed areas exceeded the recommended permissible exposure limits and workers should be protected by engineering control methods, safe work practices, and/or personal protective devices.

Genetic evidence for the offsite transport of E. coli associated with land application of Class B biosolids on agricultural fields.

The land-application of Class B biosolids is tightly regulated to allow for natural attenuation of co-applied pathogens. Since many agricultural fields that receive biosolids are artificially drained through subsurface tiles, it is possible that under scenarios of excessive drainage associated with heavy rainfall events, co-applied pathogens might be carried offsite to contaminate nearby surface waters. To address this concern, we used genetic as well as traditional methods to investigate the impact of rainfall on the offsite drainage of Escherichia coli from agricultural fields during biosolids application. Water samples from field drain tiles and a reference field (no biosolids applied) were collected pre-, during and post-biosolids application, while samples of applied biosolids were collected on site during application. The samples were analyzed for E. coli-density and community- and isolate-fingerprinting to assess the genetic link between E. coli in drainage water and those co-applied with biosolids. In contrast to E. coli densities present in the reference field drainage, our results revealed that post-application drainage water collected from biosolids treated fields contained significantly higher E. coli densities following heavy rainfall events, as compared to light rainfall events. Also, in contrast to the reference field, heavy rainfall correlated significantly with increased similarity of E. coli community fingerprints occurring in biosolids to those draining from treated field. Fingerprinting of individual E. coli revealed a high similarity (>94%) between some isolates collected from biosolids and post-application drainage water. Using a combination of enumeration and genetic typing methods, we show that heavy rainfall following biosolids application to agricultural fields induced the offsite transport of biosolids-associated E. coli, potentially compromising the quality of water draining through the watershed.

Particulate matter (PM) exposure assessment--horizontal and vertical PM profiles in relation to agricultural activities and environmental factors in farm fields.

Reports profiling airborne particulate matter (PM) in farm fields, especially during a Class B biosolids land-injection process, are scarce. Thus, this study characterized PM in such a farm field located in northwest Ohio. For comparison, a control farm field with no biosolids application history was also monitored. During 11 days of varied agricultural activities, the concentrations of particle mass and number (count) and also metal content were monitored in the study field, and their interactions with environmental factors were examined. The monitoring was performed across the farm field at four heights of 0.5, 1.5, 2.5, and 3.5 m from the ground. The overall mean (SD) concentration (µg/m(3)) of respirable suspended particulate matter (RPM) was 30.8 (23.1) with means ranging from 15.9 (3.80) during post-tilling Event 1, 19.9 (12.4) during biosolids application to 56.1 (11.7) during post-harvest (including baling) activity. The maximum concentration of RPM (µg/m(3)) was 43 during biosolids application, 90 during post-harvest, and 183 during post-tilling Event 2 activities. Overall, 93.7% (8.98%) of the total suspended particulate matter (TPM) was respirable. The levels of RPM significantly (p < 0.01) correlated with TPM and particle counts of ultrafine particles (UFP) and 0.3 µm particle size. Ambient temperature showed no effect, whereas wind speed and relative humidity had an inverse effect on RPM concentration. Particle concentrations changed minimally during each set of monitoring across the field, except during major activities or sudden weather changes. For particles with sizes of 2, 5, and 10 µm, the counts decreased with increasing height from the ground and were significantly (p < 0.05) higher at 0.5 m than at other heights. The levels of nine metals within particles monitored were well below current recommended occupational exposure criteria. These results suggest that injection of the biosolids into agricultural land provides significant protection against exposure to biosolids particles.

Effectiveness of dust control methods for crystalline silica and respirable suspended particulate matter exposure during manual concrete surface grinding.

Concrete grinding exposes workers to unacceptable levels of crystalline silica dust, known to cause diseases such as silicosis and possibly lung cancer. This study examined the influence of major factors of exposure and effectiveness of existing dust control methods by simulating field concrete grinding in an enclosed workplace laboratory. Air was monitored during 201 concrete grinding sessions while using a variety of grinders, accessories, and existing dust control methods, including general ventilation (GV), local exhaust ventilation (LEV), and wet grinding. Task-specific geometric mean (GM) of respirable crystalline silica dust concentrations (mg/m³ for LEV:HEPA-, LEV:Shop-vac-, wet-, and uncontrolled-grinding, while GV was off/on, were 0.17/0.09, 0.57/0.13, 1.11/0.44, and 23.1/6.80, respectively. Silica dust concentrations (mg/m³ using 100-125 mm (4-5 inch) and 180 mm (7 inch) grinding cups were 0.53/0.22 and 2.43/0.56, respectively. GM concentrations of silica dust were significantly lower for (1) GV on (66.0%) vs. off, and (2) LEV:HEPA- (99.0%), LEV:Shop-vac- (98.1%) or wet- (94.4%) vs. uncontrolled-grinding. Task-specific GM of respirable suspended particulate matter (RSP) concentrations (mg/m³ for LEV:HEPA-, LEV:Shop-vac-, wet-, and uncontrolled grinding, while GV was off/on, were 1.58/0.63, 7.20/1.15, 9.52/4.13, and 152/47.8, respectively. GM concentrations of RSP using 100-125 mm and 180 mm grinding cups were 4.78/1.62 and 22.2/5.06, respectively. GM concentrations of RSP were significantly lower for (1) GV on (70.2%) vs. off, and (2) LEV:HEPA- (98.9%), LEV:Shop-vac- (96.9%) or wet- (92.6%) vs. uncontrolled grinding. Silica dust and RSP were not significantly affected by (1) orientation of grinding surfaces (vertical vs. inclined); (2) water flow rates for wet grinding; (3) length of task-specific sampling time; or, (4) among cup sizes of 100, 115 or 125 mm. No combination of factors or control methods reduced an 8-hr exposure level to below the recommended criterion of 0.025 mg/m³ for crystalline silica, requiring further refinement in engineering controls, administrative controls, or the use of respirators.

Dissipation and leaching potential of selected pharmaceutically active compounds in soils amended with biosolids.

Biosolids land application is an important pathway introducing pharmaceuticals into the environment. In this work, laboratory column and dissipation experiments were performed using soils of varying properties in order to study the fate and transport of pharmaceutical residues introduced by the land application of biosolids. For experimentation, five pharmaceutical compounds (carbamazepine, diphenhydramine, fluoxetine, diltiazem, and clindamycin) and two metabolites (carbamazepine-10,11-epoxide and norfluoxetine) commonly found in biosolids were selected. Leaching experiments indicate that the selected pharmaceuticals have low mobility in tested soils. However, small portions of the applied pharmaceuticals were recovered in the leachates, likely attributed to sorption to dissolved organic matter. Dissipation experiments show that carbamazepine, diphenhydramine, and fluoxetine were persistent in soils, whereas the dissipation of diltiazem and clindamycin was affected by redox conditions and soil properties.

Occupational silica exposure as a risk factor for scleroderma: a meta-analysis.

OBJECTIVES: Among potential environmental risk factors for systemic sclerosis (SSc), occupational exposures have received some attention. In this meta-analysis, we examined the association between SSc and occupational exposure to silica. METHODS: We searched Medline, Toxline, BIOSIS, and Embase (1949 and November 2009) for original articles published in any language. Sixteen studies are included in the analysis, of which, 3 are cohort studies, 9 case-control and 4 are of other designs. The combined estimator of relative risk (CERR) and 95% confidence interval (CI) were calculated using fixed or random effect models. RESULTS: Significant heterogeneity was detected (I (2) = 97.2%; P < 0.01), and the CERR was 3.20 (95% CI, 1.89-5.43). The CERR for studies in females was 1.03 (95% CI, 0.74-1.44) and was 3.02 (95% CI, 1.24-7.35) for males. The CERR for case-control studies was 2.24 (95% CI, 1.65-3.31) and was 15.49 (95% CI, 4.54-52.87) for cohort studies. CONCLUSIONS: The findings suggest that silica exposure may be a significant risk factor for developing SSc and specifically in males. Further observational studies examining the role of occupational silica exposure in the context of other risk factors are needed.

Occupational noise exposures among three farm families in northwest Ohio.

A pilot project was conducted to evaluate occupational noise exposures of three families living and working on farms in Northwest Ohio. Noise exposures were measured continuously for 7 consecutive days for each participant for 1 week each during planting, growing, and harvesting seasons. The dosimeters were programmed to evaluate noise exposures using both the Occupational Safety and Health Administration (OSHA) action level and the National Institute for Occupational Safety and Health (NIOSH)/American Conference of Governmental Industrial Hygienists (ACGIH) guidelines. One family was evaluated per year and a total of nine family members (six adults and three children) participated. Adult noise exposures for on-farm activities (occupational exposures) ranged from 46.1 to 89.6 decibels on the A-weighted scale (dBA) as an 8-hour time-weighted average (8HR TWA) using the OSHA action level and from 62.6 to 92.1 dBA 8HR TWA using the NIOSH/ACGIH guidelines. Occupational noise exposures for the children ranged from 15.4 to 81.2 dBA 8HR TWA using the OSHA action level and from 42.4 to 85.5 dBA 8HR TWA using the NIOSH/ACGIH guidelines. Six of 45 exposures among the adults and none of the 11 exposures among the children exceeded the OSHA action level. In addition, 10 of 45 exposures among the adults and 1 of 11 exposures among the children exceeded the NIOSH/ACGIH guidelines. The results of this pilot project indicate noise exposures among farm families can exceed recommended levels.

Crystalline silica dust and respirable particulate matter during indoor concrete grinding - wet grinding and ventilated grinding compared with uncontrolled conventional grinding.

The effectiveness of wet grinding (wet dust reduction method) and ventilated grinding (local exhaust ventilation method, LEV) in reducing the levels of respirable crystalline silica dust (quartz) and respirable suspended particulate matter (RSP) were compared with that of uncontrolled (no dust reduction method) conventional grinding. A field laboratory was set up to simulate concrete surface grinding using hand-held angle grinders in an enclosed workplace. A total of 34 personal samples (16 pairs side-by-side and 2 singles) and 5 background air samples were collected during 18 concrete grinding sessions ranging from 15-93 min. General ventilation had no statistically significant effect on operator's exposure to dust. Overall, the arithmetic mean concentrations of respirable crystalline silica dust and RSP in personal air samples during: (i) five sessions of uncontrolled conventional grinding were respectively 61.7 and 611 mg/m(3) (ii) seven sessions of wet grinding were 0.896 and 11.9 mg/m(3) and (iii) six sessions of LEV grinding were 0.155 and 1.99 mg/m(3). Uncontrolled conventional grinding generated relatively high levels of respirable silica dust and proportionally high levels of RSP. Wet grinding was effective in reducing the geometric mean concentrations of respirable silica dust 98.2% and RSP 97.6%. LEV grinding was even more effective and reduced the geometric mean concentrations of respirable silica dust 99.7% and RSP 99.6%. Nevertheless, the average level of respirable silica dust (i) during wet grinding was 0.959 mg/m(3) (38 times the American Conference of Governmental Industrial Hygienists [ACGIH] threshold limit value [TLV] of 0.025 mg/m(3)) and (ii) during LEV grinding was 0.155 mg/m(3) (6 times the ACGIH TLV). Further studies are needed to examine the effectiveness of a greater variety of models, types, and sizes of grinders on different types of cement in different positions and also to test the simulated field lab experimentation in the field.

Indoor air quality in restaurants with and without designated smoking rooms.

Indoor air quality in restaurants was studied in two cities in northwest Ohio after clean indoor air ordinances had been enacted. Carbon dioxide and ultrafine particles were measured in two restaurants in Toledo and two restaurants in Bowling Green. One restaurant in each city was smoke free, and one restaurant in each city contained a dedicated smoking room. A smoke free office space was also assessed as a reference site. Measurements were collected with datalogging instrumentation simultaneously in both the designated smoking room, if present, and in the nonsmoking section. For smoke free establishments, datalogging instrumentation was also used. Carbon dioxide levels were elevated in all four restaurants, with only 32% of the measurements meeting the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) criterion level of 1000 ppm. Ultrafine particles currently do not have any formal standard or guideline. Statistically significant differences were evident between all four restaurants and the reference site. The largest differences were found between the two designated smoking rooms and the reference site (p < 0.001), with the mean levels in the smoking rooms up to 43 times higher than in the reference site. The results from this study indicate inadequate fresh air supply in all four restaurants, particularly in the designated smoking rooms, and the possibility that the designated smoking rooms were not containing the environment tobacco smoke, based on the ultrafine particle concentrations measured in the nonsmoking areas of the smoking restaurants.

Effectiveness of clean indoor air ordinances in controlling environmental tobacco smoke in restaurants.

Clean indoor air (CIA) ordinances in Toledo, Ohio, and Bowling Green, Ohio, regulate smoking in restaurants to protect patrons and employees. Yet complete protection is questionable because the ordinances allow for smoking in certain dining sections. Two restaurants were studied in each city, one smoking and one nonsmoking. Levels of contaminants related to environmental tobacco smoke (ETS)--determined by personal and area air monitoring-in the nonsmoking restaurants were comparable to levels in a control environment. However, levels of ETS-related contaminants in the smoking restaurants, including designated nonsmoking sections, were significantly higher than levels in the control environment. ETS-related contamination of the nonsmoking sections in the smoking restaurants is attributable to direct openings between the smoking and nonsmoking sections. Reasonable protection of employees and patrons against ETS-related contaminants requires strict enforcement of CIA ordinances. Full protection is achievable only with 100% smoke-free policies.