Recording of Falls in Elderly Fallers in Northern Greece and Evaluation of Aging Health-Related Factors and Environmental Safety Associated with Falls: A Cross-Sectional Study

Background. Elderly falls constitute a global problem with huge social and economic aspects. Fall risk factors are both intrinsic (physical and psychological) and extrinsic (related with environmental safety). Aim. To record both intrinsic and extrinsic risk factors and their correlation in elderly fallers in order to suggest specific guidelines for their medical care and environmental modification inside and outside the home. Method. The study involved 150 elderly fallers (median age 70 (67-74)), who completed a record containing information on known risk factors related to their health status, as well as information on the conditions and causes that led to the fall. Each fall was considered an independent event, while measurements were performed regarding balance, strength, their functional ability, and the fear of a possible fall. Descriptive analysis and frequency analysis were used to record the health and activity status of the participants as well as the fall-related environmental factors. Severity of each fall event across a variety of locations was examined using the Kruskal-Wallis one-way analysis of variance. Multiple linear regression was applied to examine the effect of the mean values of functional tests and medical records on the number of fall events. Results. In the span of 12 months, a total of 304 fall events were recorded. Regarding location, 77.6% occurred indoors; more frequent were the bedroom (28.6%) and the bathroom (28%). The interior stairs (10.5%), the kitchen (4.9%), and the living room (3.3%) were the less frequent locations. Concerning danger, falling on the interior stairs caused the longest hospitalization, followed by the kitchen and the bathroom. Extrinsic factors that led to both indoor and outdoor falls were the administration of psychotropic medication, poor space ergonomics, lack of basic safety standards, and poor lighting conditions. Vision problems and dizziness resulted in more falls than other intrinsic factors. Furthermore, reduced performance in the FICSIT-4 test and the 30-Second Chair Stand Test, as well as high scores in the CONFbal–GREEK questionnaire and the Short FES-I, shows a linear relationship with an increased number of falls. Conclusions. Ergonomic interventions can help prevent indoor elderly falls. Poor construction and lack of adequate lighting mainly cause outdoor falls. Regular eye examinations, management of vertigo, improvement of the balance and strength of the lower limbs, and reduction of fear of impending falls are the intrinsic factors that help prevent falls the most.

Research on Optimization of Climate Responsive Indoor Space Design in Residential Buildings

This paper first analyzes the climate characteristics of five typical cities in China, including Harbin, Beijing, Shanghai, Shenzhen and Kunming. Then, based on Grasshopper, Ladybug and Honeybee analysis software, according to the indoor layout of typical residential buildings, this research extracts design parameters such as the depth and width of different rooms and their window-to-wall ratios etc., to establish a climate responsive optimization design process with indoor lighting environment comfort, with heating and cooling demand as the objective functions. Meanwhile, based on Monte Carlo simulation data, ANN (Artificial Neural Network) is used to establish a prediction model to analyze the sensitivity of interior design parameters under different typical cities’ climatic conditions. The study results show that the recommended values for the total width and total depth of indoor units under the climatic conditions of each city are both approximately 14.97 m and 7.88 m. Among them, under the climatic conditions of Harbin and Shenzhen, the design parameters of residential interiors can take the recommended value of UDI optimal or nZEB optimal. While the recommended values of window-to-wall ratios for the north bedroom, master bedroom and living room in Shanghai residential interiors are 0.26, 0.32 and 0.33, respectively. The recommended value of the window-to-wall ratio of the master bedroom in Kunming residences is 0.36, and that of the remaining rooms is between 0.15 and 0.18. The recommended values of window-to-wall ratios for the master bedroom and living room in Beijing residences are 0.41 and 0.59, respectively, and that for the remaining rooms are 0.15. The multi-objective optimization process based on parametric performance simulation used in the study can effectively assist architects in making energy-saving design decisions in the preliminary stage, allowing architects to have a case to follow in the actual design operation process.

Randomized trial of a portable HEPA air cleaner intervention to reduce asthma morbidity among Latino children in an agricultural community

Background Data on pediatric asthma morbidity and effective environmental interventions in U.S. agricultural settings are few. We evaluated the effectiveness of HEPA air cleaners on asthma morbidity among a cohort of rural Latino children. Methods Seventy-five children with poorly controlled asthma and living in non-smoking homes were randomly assigned to asthma education alone or along with HEPA air cleaners placed in their sleeping area and home living room. The Asthma Control Test (ACT) score, asthma symptoms in prior 2 weeks, unplanned clinical utilization, creatinine-adjusted urinary leukotriene E4 (uLTE4 [ng/mg]), and additional secondary outcomes were evaluated at baseline, six, and 12 months. Group differences were assessed using multivariable-adjusted generalized estimating equations. Incident rate ratios of ever experiencing the metrics of poorer asthma health during follow-up (suboptimal asthma management) were estimated using Poisson regression models in secondary analysis. Results Mean child age was 9.2 and 8.6 years in intervention and control groups, respectively, and two-thirds of participants were male. Primary analysis of repeated measures of ACT score did not differ between groups (HEPA group mean change compared to controls 10% [95% CI: − 12-39%]). A suggestion of greater decrease in uLTE4 (ng/mg creatinine) was observed (− 10% [95% CI: − 20 -1%]). Secondary analysis showed children with HEPAs were less likely to have an ACT score meeting a clinically defined cutoff for poorly controlled asthma using repeated measures (IRR: 0.45 [95% CI: 0.21–0.97]). In Poisson models, intervention participants had reduced risk of ever meeting this cutoff (IRR: 0.43 [95% CI: 0.21–0.89]), ever having symptoms in the past 2 weeks (IRR: 0.71 [95% CI: 0.52–0.98]), and lower risk of any unplanned clinical utilization (IRR: 0.35 [95% CI: 0.13–0.94]) compared to control participants. Discussion The HAPI study showed generally improved outcomes among children in the HEPA air cleaner group. However, primary analyses did not meet statistical significance and many outcomes were subjective (self-report) in this unblinded study, so findings must be interpreted cautiously. HEPA air cleaners may provide additional benefit for child asthma health where traditional asthmagens (traffic, tobacco smoke) are not prominent factors, but larger studies with more statistical power and blinded designs are needed. Trial registration ClinicalTrials.gov Identifier: NCT04919915. Date of retrospective registration: May 19, 2021.

Living Room Instead of Hotel Room

The chapter explores shared accommodation platforms such as Airbnb and the primary motivations for its customers. This research will be based on the deductive process, which is focused on primary and secondary research. This research aims to analyze the motivation towards either the Airbnb platform or traditional hotel from different perspectives, such as economic, environmental, and social. Additionally, after secondary data research, the questionnaire has been constructed to understand the main concepts of the P2P platform and its customers' needs. The investigation tried to notice what are the motivations which drive individuals to use P2P accommodation service. Through the survey, it was possible to see the motivations mainly related to the economic factor and environmental. Primarily due to the lower price of Airbnb, there is a more significant intent to book through this specific platform.

CHILD SAFETY IN AUTONOMOUS VEHICLES: "LIVING ROOM" LAYOUT

Autonomous vehicles start to be introduced on our roads and will soon become a reality. Although fatal traffic accidents will be significantly reduced, remaining fatal passenger car crashes should be taken into account to ensure the safety of users. The new highly adaptable interior designs, with totally different layouts from the current ones, may significantly impact occupant safety, especially child passenger safety. Analyzing how these new vehicles affect child safety is a challenge that needs to be addressed. The "living room" layout (face-to-face seating position) is one of the preferences of families traveling with children. Young children need further support and supervision so the possibility of rotating seats to be able to be in front of the small children is a valuable feature for parents. Therefore, new seating orientations away from the forward facing position should be taken into account to ensure children protection. The objective of this study is to evaluate child occupant safety in a "living room" seating position (a possible option in full autonomous vehicles) versus the current forward facing position. Virtual testing methodology was used to perform this study. The virtual PIPER child human body model (HBM) was used. This model is one of the only HBMs developed and validated from child PMHS data (Paediatric Post-Mortem Human Surrogate). The two configurations were defined according with the EuroNCAP child occupant protection test protocol. It was found that the "living room" layout presents worse results according to the child's head injury patterns than in forward facing position. In conclusion, attending to the new seating orientations away from the forward facing position, it is necessary to adapt the restraint systems; otherwise children could suffer potentially dangerous situations.

Influence of road traffic noise peaks on reading task performance and disturbance in a laboratory context

The influence of fluctuating road traffic noise on perceived disturbance during a reading task as well as on performance, inside a living room with closed windows, is presented in this paper. Sixteen 2-min sound sequences were created combining two variables: the number of events (four levels varying from one to four car pass-bys) and the peak emergence above the background noise (four levels with a 5 dB(A) step) keeping limited variations of LAmax, 1s. The noise impact was evaluated through a reading task of texts synchronized with the sound sequences, for participants classified into fast or slow readers, and sensitive or non-sensitive to noise. The comprehension rate of the texts decreases as the background sound level increases. The reading speed decreases during the rising front of a peak, and goes back to its former regular reading speed during the descending front of the peak. This slowdown during the rising front reaches 14% for slow readers. The declared disturbance is higher for slow readers compared to fast readers, and higher for noise sensitive persons compared to non-sensitive persons. The influence of the acoustic indicators on the reading disturbance is very small compared to the influence of personal factors. There is even no influence of the number of events on this disturbance.

Noise Pollution Monitoring at Some Indoor Environments in Basrah City, Iraq

Noise is an unavoidable stressor nowadays; it adversely affects human health and the ability to perform mental and complex tasks. Eight selected points representing home environment were sampled in urban zones, the indoor and outdoor noise levels in these residential areas were evaluated during the summer and winter seasons. Also, nine points in educational institute represented by the College of Science through its lecture halls, laboratories and corridors, to compare them with WHO limits of sound pressure levels, to assess the level of noise experienced by people in indoor closed environments. The current study results showed higher sound levels than required inside homes and educational places. For homes, the highest sound level was 73.9 dB during summer in the living room and the lowest was 42.1 in winter in the bedroom, while the highest sound level in the educational environment was 72.37 dB in summer and the lowest was 61.75 dB in winter. Exposure of individuals to high levels of noise in educational institutions and in their homes means longer hours of exposure to noise pollution, which will negatively affect their health. Thus there is a serious need nowadays to adopt suitable control to reduce noise pollution at indoor points.