Transparency-changing elastomers by controlling of the refractive index of liquid inclusions.

Complex materials that change their optical properties in response to changes in environmental conditions can find applications in displays, smart windows, and optical sensors. Here a class of biphasic composites with stimuli-adaptive optical transmittance is introduced. The biphasic composites comprise aqueous droplets (a mixture of water, glycerol, and surfactant) embedded in an elastomeric matrix. The biphasic composites are tuned to be optically transparent through a careful match of the refractive indices between the aqueous droplets and the elastomeric matrix. We demonstrate that stimuli (e.g., salinity and temperature change) can trigger variations in the optical transmittance of the biphasic composite. The introduction of such transparency-changing soft matter with liquid inclusions offers a novel approach to designing advanced optical devices, optical sensors, and metamaterials.

Self-Timed and Spatially Targeted Delivery of Chemical Cargo by Motile Liquid Crystal.

A key challenge underlying the design of miniature machines is encoding materials with time- and space-specific functional behaviors that require little human intervention. Dissipative processes that drive materials beyond equilibrium and evolve continuously with time and location represent one promising strategy to achieve such complex functions. This work reports how internal nonequilibrium states of liquid crystal (LC) emulsion droplets undergoing chemotaxis can be used to time the delivery of a chemical agent to a targeted location. During ballistic motion, hydrodynamic shear forces dominate LC elastic interactions, dispersing microdroplet inclusions (microcargo) within double emulsion droplets. Scale-dependent colloidal forces then hinder the escape of dispersed microcargo from the propelling droplet. Upon arrival at the targeted location, a circulatory flow of diminished strength allows the microcargo to cluster within the LC elastic environment such that hydrodynamic forces grow to exceed colloidal forces and thus trigger the escape of the microcargo. This work illustrates the utility of the approach by using microcargo that initiate polymerization upon release through the outer interface of the carrier droplet. These findings provide a platform that utilizes nonequilibrium strategies to design autonomous spatial and temporal functions into active materials.

Assembly and manipulation of responsive and flexible colloidal structures by magnetic and capillary interactions.

The long-ranged interactions induced by magnetic fields and capillary forces in multiphasic fluid-particle systems facilitate the assembly of a rich variety of colloidal structures and materials. We review here the diverse structures assembled from isotropic and anisotropic particles by independently or jointly using magnetic and capillary interactions. The use of magnetic fields is one of the most efficient means of assembling and manipulating paramagnetic particles. By tuning the field strength and configuration or by changing the particle characteristics, the magnetic interactions, dynamics, and responsiveness of the assemblies can be precisely controlled. Concurrently, the capillary forces originating at the fluid-fluid interfaces can serve as means of reconfigurable binding in soft matter systems, such as Pickering emulsions, novel responsive capillary gels, and composites for 3D printing. We further discuss how magnetic forces can be used as an auxiliary parameter along with the capillary forces to assemble particles at fluid interfaces or in the bulk. Finally, we present examples how these interactions can be used jointly in magnetically responsive foams, gels, and pastes for 3D printing. The multiphasic particle gels for 3D printing open new opportunities for making of magnetically reconfigurable and "active" structures.

Fluid Flow Templating of Polymeric Soft Matter with Diverse Morphologies.

It is challenging to find a conventional nanofabrication technique that can consistently produce soft polymeric matter of high surface area and nanoscale morphology in a way that is scalable, versatile, and easily tunable. Here, the capabilities of a universal method for fabricating diverse nano- and micro-scale morphologies based on polymer precipitation templated by the fluid streamlines in multiphasic flow are explored. It is shown that while the procedure is operationally simple, various combinations of its intertwined mechanisms can controllably and reproducibly lead to the formation of an extraordinary wide range of colloidal morphologies. By systematically investigating the process conditions, 12 distinct classes of polymer micro- and nano-structures including particles, rods, ribbons, nanosheets, and soft dendritic colloids (dendricolloids) are identified. The outcomes are interpreted by delineating the physical processes into three stages: hydrodynamic shear, capillary and mechanical breakup, and polymer precipitation rate. The insights into the underlying fundamental mechanisms provide guidance toward developing a versatile and scalable nanofabrication platform. It is verified that the liquid shear-based technique is versatile and works well with many chemically diverse polymers and biopolymers, showing potential as a universal tool for simple and scalable nanofabrication of many morphologically distinct soft matter classes.

Non-equilibrium ordering of liquid crystalline (LC) films driven by external gradients in surfactant concentration.

HYPOTHESIS: Gradients in the concentration of amphiphiles play an important role in many non-equilibrium processes involving complex fluids. Here we explore if non-equilibrium interfacial behaviors of thermotropic (oily) liquid crystals (LCs) can amplify microscopic gradients in surfactant concentration into macroscopic optical signals. EXPERIMENTS: We use a milli-fluidic system to generate gradients in aqueous sodium dodecyl sulfate (SDS) concentration and optically quantify the dynamic ordering of micrometer-thick nematic LC films that contact the gradients. FINDINGS: We find that the reordering of the LCs is dominated by interfacial shearing by Marangoni flows, thus providing simple methods for rapid mapping of interfacial velocities from a single optical image and investigating the effects of confinement of surfactant-driven interfacial flows. Additionally, we establish that surface advection and surfactant desorption are the two key processes that regulate the interfacial flows, revealing that the dynamic response of the LC can provide rapid and potentially high throughput approaches to measurement of non-equilibrium interfacial properties of amphiphiles. We also observe flow-induced assemblies of microparticles to form at the LC interface, hinting at new non-equilibrium approaches to microparticle assembly. We conclude that dynamic states adopted by LCs in the presence of surfactant concentration gradients provide new opportunities for engineering complex fluids beyond equilibrium.

Superhydrophobic and Anti-Icing Coatings Made of Hierarchically Nanofibrillated Polymer Colloids.

The deposition of coatings with hierarchical morphology from hydrophobic and hydrophilic polymers is a common approach for making superhydrophobic and superhydrophilic coatings. The water-repellent, water-wicking, and anti-icing coatings reported here are made from a class of materials called soft dendritic colloids (SDCs). The branched, nanofibrous SDCs are produced in suspension through nonsolvent-induced phase separation in a turbulent medium. The properties of coatings formed by drying ethanol suspensions of SDCs made of polystyrene, polyvinyl alcohol, and polyester are compared. The highly branched SDC morphology creates entangled, porous coating layers with strong physical adhesion to the substrate due to the multitude of nanofiber sub-contacts analogous to the "gecko leg effect". Polystyrene SDC coatings show excellent superhydrophobicity but weaker adhesion due to low surface energy. Alternatively, polyvinyl alcohol SDC coatings show superhydrophilicity and strong adhesion from their high surface energy. Two strategies to improve the adhesivity and cohesivity of the SDCs layers are shown effective - use of intertwined networks and of silicone droplet microbinders. The water repulsion, together with the air trapped in the blended superhydrophobic coatings also makes them effective against ice nucleation and adhesion. Finally, these SDCs make thin, flexible, and durable nonwovens with similar properties.

Programming Solitons in Liquid Crystals Using Surface Chemistry.

AC electric fields cause three-dimensional orientational fluctuations (solitons) to form and rapidly propagate in confined films of liquid crystals (LCs), offering the basis of a new class of active soft matter (e.g., for accelerating mixing and transport processes in microscale chemical systems). How surface chemistry impacts the formation and trajectories of solitons, however, is not understood. Here, we show that self-assembled monolayers (SAMs) formed from alkanethiols on gold, which permit precise control over surface chemistry, are electrochemically stable over voltage and frequency windows (<100 V; 1 kHz) that lead to soliton formation in achiral nematic films of 4'-butyl-4-heptyl-bicyclohexyl-4-carbonitrile (CCN-47). By comparing soliton formation in LC films confined by SAMs formed from hexadecanethiol (C16SH) or pentadecanethiol (C15SH), we reveal that the electric field required for soliton formation increases with the LC anchoring energy: surfaces patterned with regions of C16SH and C15SH SAMs thus permit spatially controlled creation and annihilation of solitons necessary to generate a net flux of solitons. We also show that solitons propagate in orthogonal directions when confined by obliquely deposited gold films decorated with SAMs formed from C16SH or C15SH and that the azimuthal direction of propagation of solitons within achiral LC films possessing surface-induced twists is not unique but reflects variation in the spatial location of the solitons across the thickness of the twisted LC film. Finally, discontinuous changes in LC orientation induced by patterned surface anchoring lead to a range of new soliton behaviors including refraction, reflection, and splitting of solitons at the domain boundaries. Overall, our results provide new approaches for the controlled generation and programming of solitons with complex and precise trajectories, principles that inform new designs of chemical soft matter.

Surfaces Decorated with Enantiomorphically Pure Polymer Nanohelices via Hierarchical Chirality Transfer across Multiple Length Scales.

Mesoscale chiral materials are prepared by lithographic methods, assembly of chiral building blocks, and through syntheses in the presence of polarized light. Typically, these processes result in micrometer-sized structures, require complex top-down manipulation, or rely on tedious asymmetric separation. Chemical vapor deposition (CVD) polymerization of chiral precursors into supported films of liquid crystals (LCs) are discovered to result in superhierarchical arrangements of enantiomorphically pure nanofibers. Depending on the molecular chirality of the 1-hydroxyethyl [2.2]paracyclophane precursor, extended arrays of enantiomorphic nanohelices are formed from achiral nematic templates. Arrays of chiral nanohelices extend over hundreds of micrometers and consistently display enantiomorphic micropatterns. The pitch of individual nanohelices depends on the enantiomeric excess and the purity of the chiral precursor, consistent with the theoretical model of a doubly twisted LC director configuration. During CVD of chiral precursors into cholesteric LC films, aspects of molecular and mesoscale asymmetry combine constructively to form regularly twisted nanohelices. Enantiomorphic surfaces permit the tailoring of a wide range of functional properties, such as the asymmetric induction of weak chiral systems.

Ethylene oxide burn in a chemical plant worker: a case report.

BACKGROUND: Ethylene oxide is a chemical agent that is widely used for the sterilization of medical equipment and the manufacture of chemicals. Although ethylene oxide burns are frequent and can be severe, many workers are unaware of their risks. CASE PRESENTATION: A 45-year-old man presented with painful exudative lesions on the right foot after working with ethylene oxide solution in a chemical plant. The patient stated that the solution had percolated through his shoe and he had not washed the solution off for 5 hours. Symptoms, including pain and erythema, appeared after a delay of more than 12 hours from the time of initial exposure. The skin of his right foot was irrigated with saline and covered with a wet dressing and topical antibiotics in the emergency department. The patient was followed up for 4 weeks at an outpatient clinic. CONCLUSIONS: Ethylene oxide causes skin irritation, dermatitis, and burns in severe cases. Since skin reactions can be delayed for more than 12 hours after exposure, it is important to remove contaminated shoes and clothing immediately and wash the exposed area even in the absence of symptoms. It is also necessary to provide the appropriate protective equipment and educate workers on the dangers of ethylene oxide.

Using Liquid Crystals for In Situ Optical Mapping of Interfacial Mobility and Surfactant Concentrations at Flowing Aqueous-Oil Interfaces.

Flow-induced states of fluid interfaces decorated with amphiphiles underlie phenomena such as emulsification, foaming, and spreading. While past studies have shown that interfacial mass transfer, the kinetics of surfactant adsorption and desorption, interfacial mobility, and surfactant reorganization regulate the dynamic properties of surfactant-laden interfaces, few simple methods permit simultaneous monitoring of this interplay. Here, we explore the optical responses of micrometer-thick films of oils (4-cyano-4'-pentylbiphenyl, 5CB) with a liquid crystalline order in contact with flowing aqueous phases of soluble [e.g., sodium dodecyl sulfate (SDS)] or insoluble (e.g., 1,2-dilauroyl-sn-glycero-3-phosphocholine) amphiphiles. We observe the onset of flow of 0.5 mM SDS solutions within a millifluidic channel (area-average velocity of 200 mm/s) to transform a liquid crystal (LC) film with an alignment along the interface normal into a bright birefringent state (average LC tilt angle of 30°), consistent with an initially mobile interface that shears and thus tilts the LC along the flow direction. Subsequently, we observed the LC film to evolve to a steady state (over ∼10 s) with position-dependent optical retardance controlled by gradients in surfactant concentration and thus Marangoni stresses. For 0.5 mM SDS solutions, by using particle tracking and a simple hydrodynamic model, we reveal that the dominant role of the flow-induced interfacial surfactant concentration gradient is to change the mobility of the interface (and thus shear rate of LC) and not to change the easy axis (equilibrium orientation) or anchoring energy (orientation-dependent interfacial energy) of the LC. At lower surfactant concentrations (0.015 mM SDS), however, we show that the LC directly maps flow-induced interfacial surfactant concentration gradients via a change in the local easy axis of the LC. When combined with additional measurements obtained with simple salts and insoluble amphiphiles, these results hint that LC oils may offer the basis of general and facile methods that permit mapping of both interfacial mobilities and surfactant distributions at flowing interfaces.

Printable homocomposite hydrogels with synergistically reinforced molecular-colloidal networks.

The design of hydrogels where multiple interpenetrating networks enable enhanced mechanical properties can broaden their field of application in biomedical materials, 3D printing, and soft robotics. We report a class of self-reinforced homocomposite hydrogels (HHGs) comprised of interpenetrating networks of multiscale hierarchy. A molecular alginate gel is reinforced by a colloidal network of hierarchically branched alginate soft dendritic colloids (SDCs). The reinforcement of the molecular gel with the nanofibrillar SDC network of the same biopolymer results in a remarkable increase of the HHG's mechanical properties. The viscoelastic HHGs show >3× larger storage modulus and >4× larger Young's modulus than either constitutive network at the same concentration. Such synergistically enforced colloidal-molecular HHGs open up numerous opportunities for formulation of biocompatible gels with robust structure-property relationships. Balance of the ratio of their precursors facilitates precise control of the yield stress and rate of self-reinforcement, enabling efficient extrusion 3D printing of HHGs.

Assessment of relationship between farmer's syndrome and neurotoxic symptoms in farming couples.

The purpose of this study was to evaluate the relationship between farmer's syndrome and neurotoxic symptoms in farming couples. The study was conducted on 348 farmers (174 couples) in Chungnam Province of South Korea. We obtained information on general and agricultural characteristics, farmer's syndrome, and neurotoxic symptoms through face-to-face surveys from 2014 to 2019. The Korean version of the diagnostic standard scale was used for farmer's syndrome, and the Swedish Q16 questionnaire was used for neurotoxic symptoms. Logistic regression analysis was used to identify neurotoxic symptoms affected by farmer's syndrome. The prevalence of 'positive' neurotoxic symptoms was higher in wives (72.4%) than in husbands (56.9%). Compared with husbands with 'negative and probable' farmer's syndrome (reference), husbands with 'positive' farmer's syndrome were more likely to have 'positive' neurotoxic symptoms (odds ratio [OR] = 5.37, 95% confidence interval [CI] = 2.01-14.30). Compared with wives with 'negative and probable' farmer's syndrome (reference), wives with 'positive' farmer's syndrome were more likely to have 'positive' neurotoxic symptoms (OR = 7.07, 95% CI = 2.58-19.38). Therefore, neurotoxic symptoms in both husbands and wives were significantly associated with farmer's syndrome. However, wives had a higher risk of neurotoxic symptoms than husbands. The findings of this study might be useful as important data for establishing and training agricultural safety and health policy.

Severe chemical burns related to dermal exposure to herbicide containing glyphosate and glufosinate with surfactant in Korea.

BACKGROUND: Glyphosate and glufosinate use widely used as herbicide ingredients. There have been several reported cases of chemical burns caused by dermal exposure to glyphosate-containing herbicide, and patients in these cases were discharged without fatal complications. There were no cases of severe symptoms due to non-oral exposure of glufosinate-containing herbicides. Here, we report a case of fatality accompanied with severe chemical burns in an 81-year-old man who did not wash his skin for more than 48 hours after dermal exposure to herbicide containing glyphosate and glufosinate with surfactant (HGlyGluS). CASE PRESENTATION: An 81-year-old male with no underlying disease was admitted to the emergency department (ED). He had sprayed HGlyGluS with a manual knapsack sprayer 3 days ago and had not wash away the herbicide. On arrival, he was drowsy and had multiple severe corrosive skin lesions. Skin necrosis (10 × 15 cm) on the right shoulder and skin lesions with subcutaneous fat exposure (15 × 20 cm) on the right thigh were observed. Although he was treated including continuous renal replacement therapy, antibiotic apply, debridement operations, and so on, he was unable to recover and expired. CONCLUSIONS: We suggest that prolonged dermal exposure to HGlyGluS induces fatality. Further studies including prolonged dermal exposure and ingredients of surfactants should be carried out. Also, it is necessary to educate farmers that it is very important to wash immediately after dermal exposure to pesticide.

Soft dendritic microparticles with unusual adhesion and structuring properties.

The interplay between morphology, excluded volume and adhesivity of particles critically determines the physical properties of numerous soft materials and coatings1-6. Branched particles2 or nanofibres3, nanofibrillated cellulose4 or fumed silica5 can enhance the structure-building abilities of colloids, whose adhesion may also be increased by capillarity or binding agents6. Nonetheless, alternative mechanisms of strong adhesion found in nature involve fibrillar mats with numerous subcontacts (contact splitting)7-11 as seen in the feet of gecko lizards and spider webs12-17. Here, we describe the fabrication of hierarchically structured polymeric microparticles having branched nanofibre coronas with a dendritic morphology. Polymer precipitation in highly turbulent flow results in microparticles with fractal branching and nanofibrillar contact splitting that exhibit gelation at very low volume fractions, strong interparticle adhesion and binding into coatings and non-woven sheets. These soft dendritic particles also have potential advantages for food, personal care or pharmaceutical product formulations.

A study of risk factors for the possible cases of acute occupational pesticide poisoning of orchard farmers in some parts of south Chungcheong province.

BACKGROUND: The objective of the present study is to identify differences in the prevalence of acute occupational pesticide poisoning across Korean orchard farmers' farming characteristics and the risk factors that have an effect on acute occupational pesticide poisoning. METHODS: For 3 years (2014, 2015, and 2017), a questionnaire survey was conducted on 394 orchard farmers in some parts of south Chungcheong Province in relation to pesticide poisoning. 323 orchard farmers who responded to acute occupational pesticide poisoning were included for final analysis. With acute occupational pesticide poisoning as the dependent variable, a χ2 test and a multiple logistic regression analysis were conducted. RESULTS: The results of the prevalence of acute occupational pesticide poisoning across farming characteristics showed that the group wearing 4 or more pesticide personal protective equipment (PPE) had a lower prevalence of acute occupational pesticide poisoning than the group wearing 3 or less pesticide PPE (p < 0.05). Furthermore, an analysis by area of fruit farming revealed that the group with more than 12,000m2 in the area of fruit farming had a higher prevalence of acute occupational pesticide poisoning (p < 0.05). Orchard farmers mainly use a speed sprayer to spray pesticides, and the speed sprayer can be categorized by presence of cabin. The analysis of the prevalence of acute occupational pesticide poisoning by speed sprayer's cabin existence found that existence of speed sprayer's cabin did not show a statistically significant difference in the prevalence of acute occupational pesticide poisoning. CONCLUSIONS: The present study analyzed the prevalence of acute occupational pesticide poisoning depending on the speed sprayer's cabin existence and found no significant difference. The fact that famers using the cabinless style speed sprayer shows a higher percentage in wearing PPE than those using the cabin style speed sprayer is suggested to elucidate the result. As the first study in Korea which examined the prevalence of acute occupational pesticide poisoning by speed sprayer's cabin existence, the present study proposes the expected effect that increase of wearing pesticide PPE along with employ of speed sprayer's cabin can reduce the prevalence of acute occupational pesticide poisoning among orchard farmers.

The relationship between spontaneous abortion and female workers in the semiconductor industry.

BACKGROUND: This study investigated the relationship between job type and the risk for spontaneous abortion to assess the reproductive toxicity of female workers in the semiconductor industry. METHODS: A questionnaire survey was administered to current female workers of two semiconductor manufacturing plants in Korea. We included female workers who became pregnant at least 6 months after the start of their employment with the company. The pregnancy outcomes of 2,242 female workers who experienced 4,037 pregnancies were investigated. Personnel records were used to assign the subjects to one of three groups: fabrication process workers, packaging process workers, and clerical workers. To adjust for within-person correlations between pregnancies, a generalized estimating equation was used. The logistic regression analysis was limited to the first pregnancy after joining the company to satisfy the assumption of independence among pregnancies. Moreover, we stratified the analysis by time period (pregnancy in the years prior to 2008 vs. after 2009) to reflect differences in occupational exposure based on semiconductor production periods. RESULTS: The risk for spontaneous abortion in female semiconductor workers was not significantly higher for fabrication and packaging process workers than for clerical workers. However, when we stratified by time period, the odds ratio for spontaneous abortion was significantly higher for packaging process workers who became pregnant prior to 2008 when compared with clerical workers (odds ratio: 2.21; 95% confidence interval: 1.01-4.81). CONCLUSIONS: When examining the pregnancies of female semiconductor workers that occurred prior to 2008, packaging process workers showed a significantly higher risk for spontaneous abortions than did clerical workers. The two semiconductor production periods in our study (prior to 2008 vs. after 2009) had different automated processes, chemical exposure levels, and working environments. Thus, the conditions prior to 2008 may have increased the risk for spontaneous abortions in packaging process workers in the semiconductor industry.

3D Printing by Multiphase Silicone/Water Capillary Inks.

3D printing of polymers is accomplished easily with thermoplastics as the extruded hot melt solidifies rapidly during the printing process. Printing with liquid polymer precursors is more challenging due to their longer curing times. One curable liquid polymer of specific interest is polydimethylsiloxane (PDMS). This study demonstrates a new efficient technique for 3D printing with PDMS by using a capillary suspension ink containing PDMS in the form of both precured microbeads and uncured liquid precursor, dispersed in water as continuous medium. The PDMS microbeads are held together in thixotropic granular paste by capillary attraction induced by the liquid precursor. These capillary suspensions possess high storage moduli and yield stresses that are needed for direct ink writing. They could be 3D printed and cured both in air and under water. The resulting PDMS structures are remarkably elastic, flexible, and extensible. As the ink is made of porous, biocompatible silicone that can be printed directly inside aqueous medium, it can be used in 3D printed biomedical products, or in applications such as direct printing of bioscaffolds on live tissue. This study demonstrates a number of examples using the high softness, elasticity, and resilience of these 3D printed structures.

Risk factors associated with depression and suicidal ideation in a rural population.

OBJECTIVES: This study aimed to evaluate the risk factors associated with depression and suicidal ideation in a rural population. METHODS: A survey was conducted with 543 farmers from Chungcheongnam-do Province using the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, Lubben Social Network Scale (LSNS) for social support, Swedish Q16 for neurotoxicity symptoms and a survey tool for farmer's syndrome. RESULTS: After adjusting for socioeconomic factors using logistic regression analysis, poor self-rated health, low social support and neurotoxicity were positively associated with the risk of depression (odds ratio [OR], 15.96; 95% confidence interval [CI], 3.11 to 81.97; OR, 3.14; 95% CI, 1.26 to 7.82; and OR, 3.68; 95% CI, 1.08 to 12.57, respectively). The risk of suicidal ideation significantly increased with low social support, neurotoxicity and farmer's syndrome (OR, 2.28; 95% CI, 1.18 to 4.40; OR, 6.17; 95% CI, 2.85 to 13.34; and OR, 3.70; 95% CI, 1.51 to 9.07, respectively). CONCLUSIONS: Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.Conclusions: Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.

Relationship between residential district and health-related quality of life in Chungnam industrial complex area.

OBJECTIVES: This study aimed to evaluate the relationship between residential district of people, such as power plant, steel-mill and petrochemical industries, and health-related quality of life (HRQoL). METHODS: Using a cross-sectional study design, we randomly recruited participants for our study from industrial areas (thermoelectric power plant, steel-mill, petrochemical industry) and rural areas. Logistic regression analysis was used to identify the relationships between Euro quality of life-5 dimension (EQ-5D) scores and living region, while controlling for sociodemographic characteristics. RESULTS: In adjusted model, quality of life decreased with increasing category of age and were lower for females than males. EQ-5D scores of people living in the vicinity of thermoelectric power plant were significant lower than those of people living the vicinity of comparison region (odds ratio, 1.59; 95% confidence interval, 1.00 to 2.53). CONCLUSIONS: Living region of thermoelectric power plant, was strongly associated with scores on the EQ-5D. More research is needed to elucidate the mechanisms which makes the relationship with the living regions and HRQoL.

Respiratory effects of the hebei spirit oil spill on children in taean, Korea.

PURPOSE: The oil spill from the Heibei Spirit in December 2007 contaminated the Yellow Coast of South Korea. We evaluated the respiratory effects of that spill on children who lived along the Yellow Coast. METHODS: Of 662 children living in the area exposed to the oil spill, 436 (65.9%) were enrolled as subjects. All subjects completed a modified International Study of Asthma and Allergies in Childhood questionnaire. A health examination, including a skin prick test, pulmonary function test, and methacholine bronchial provocation test (MBPT), was administered. The children were assigned to two groups: those who lived close to the oil spill area and those who lived far from the oil spill area. RESULTS: The children who lived close to the oil spill area showed a significantly lower forced expiratory volume in one second (FEV1), an increased prevalence of 'asthma ever' (based on a questionnaire), and 'airway hyperresponsiveness' (based on the MBPT) than those who lived far from the oil spill area (FEV1; P=0.011, prevalence of 'asthma ever' based on a questionnaire; P=0.005, prevalence of 'airway hyperresponsiveness' based on the MBPT; P=0.001). The onset of wheezing after the oil spill was significantly higher in children who lived close to the oil spill area than in those who lived far from the oil spill area among the 'wheeze ever' group (P=0.002). In a multiple logistic regression analysis, male sex, family history of asthma, and residence near the oil spill area were significant risk factors for asthma (sex [male/female]: odds ratio [OR], 2.54; 95% confidence interval [CI], 1.31-4.91; family history of asthma [No/Yes]: OR, 3.77; 95% CI, 1.83-7.75; exposure group [low/high]; OR, 2.43; 95% CI, 1.27-4.65). CONCLUSIONS: This study suggests that exposure to an oil spill is a risk factor for asthma in children.