Exposure to PM4 in Homes with Tobacco Smoke in and around Katowice, Poland

The results of a PM4 (airborne particles with an aerodynamic diameter less than 4 µm) study in Katowice and in the surrounding area in homes with and without environmental tobacco smoke (ETS) are presented. It was found that the average concentration of PM4 inside the homes with ETS was between 126 µg m−3 (in Jaworzno) and 208 µg m−3 (in Katowice)—significantly higher than in the homes without smokers (55–65 µg m−3). The mean of the indoor to outdoor ratios (I/O) for PM4 varied greatly, ranging from 0.6 in the apartments without smokers in Katowice to 5.2 in the homes with smokers in Jaworzno. The highly polluted by ETS indoor air causes children aged 14–15 living in these homes to inhale from 2.5 to 6.6 mg of PM4 more per day than their peers living in non-ETS homes. X-ray photoelectron spectroscopy (XPS) was used to determine the surface chemical composition of the studied indoor airborne particles. Carbon, including elemental carbon, and oxygen-containing species dominated the particulate surface, with traces of Si, N, S, Na, Al, Zn, and K present. The surface layer of PM4 from the homes with ETS contains significantly more carbon and less oxygen than the airborne particles collected in the homes without smokers, which can be explained by the high emission of carbon during tobacco smoking.

Visualization of Airborne Particles as a Risk for Microbial Contamination in Orthopedic Surgery

Background: The operating theater is recognized to involve a high frequency of occupational blood and body fluid contacts.Objectives: This study aimed to visualize the production of blood and body fluid airborne particles by surgical procedures and to investigate risks of microbial contamination of the conjunctival membranes of surgical staff during orthopedic operations.Methods: Two physicians simulated total knee arthroplasty (TKA) and total hip arthroplasty (THA) in a bio-clean theater using model bones. The generation and behaviors of airborne particles were filmed using a fine particle visualization system, and numbers of airborne particles per 2.83 L of air were counted at the height of the operating and instrument tables. Each action was repeated five times, and particle counts were evaluated statistically.Results: Numerous airborne particles were dispersed to higher and wider areas while “cutting bones in TKA” and “striking and driving the cup component on the pelvic bone in THA” compared to other surgical procedures. The highest particle counts were detected while “cutting bones in TKA” under unidirectional laminar air flow.Discussion: These results provide a clearer image of the dispersion and distribution of airborne particles and identified higher-risk surgical procedures for microbial contamination of the conjunctival membranes. Surgical staff including surgeons, nurses, anesthesiologists, and visitors, should pay attention to and take measures against occupational infection particularly in high-risk surgical situations.

Performance Analysis of the Ventilation System for a Surgical Operating Room in Egypt: A Case Study of Mataria Teaching Hospital in Cairo

The Design of the ventilation system in a hospital operating room plays a very important role, not only in providing thermal comfort and hygienic environment for the patients or staff, but also to ensure the scavenging of any contaminants or airborne particles in the operating room theatre that might leak from outside to the operating room or emitting from patients’ infections. The present study focuses at airflow distribution, temperature, humidity and velocity profiles in a surgical operating room. An operating room inside the Mataria teaching hospital in Cairo (Egypt) has been chosen for the study. Numerical and experimental studies were carried out, where the room was ventilated through laminar flow diffuser system and 100% fresh air. The air was released by four outlet grills: two grills at a low level of the floor and two grills at a high level of the floor. In this work, two cases are investigated. In case I, the air outlets have been installed on one side of the room (which already exists in the hospital); and in Case II, the air outlets have been installed on two opposite sides (the suggested case). The results showed that the proposed modification (Case II) performed better distribution of ventilation than Case I. Therefore, it is recommended to install air outlets in two different side areas inside the room in order to avoid the accumulation of contaminants.