Microbial Air Monitoring in Turbulent Airflow Operating Theatres: Is It Possible to Calculate and Hypothesize New Benchmarks for Microbial Air Load?

Multiple studies have demonstrated the presence of microorganisms commonly associated with surgical site infections (SSIs), in the air within the operating theatre (OT). In some countries such Italy, the limit of microbial concentration in the air for OT with turbulent airflows is 35 CFU/m3 for an empty OT and 180 CFU/m3 during activity. This study aims to hypothesize new benchmarks for the airborne microbial load in turbulent airflow operating theatres in operational and at rest conditions using the percentile distribution of data through a 17-year environmental monitoring campaign in various Italian hospitals that implemented a continuous quality improvement policy. The quartile distribution analysis has shown how in operational and at rest conditions, 75% of the values were below 110 CFU/m3 and 18 CFU/m3, respectively, which can be considered a new benchmark for the monitored OTs. During the initial stages of the monitoring campaign, 28.14% of the concentration values in operational conditions and 29.29% of the values in at rest conditions did not conform to the Italian guidelines’ reference values. In contrast, during the last 5 years, all values in both conditions conformed to the reference values and 98.94% of these values were below the new benchmarks. Continuous improvement has allowed contamination to be reduced to levels well below the current reference values.

Mobile monitoring of traffic-related air pollution for a prospective cohort study in the greater Seattle area

Growing evidence links traffic-related air pollution (TRAP) to adverse health effects. Previous air pollution studies focused on a few commonly measured pollutants with poor spatial resolution. Well-designed mobile monitoring studies may address this limitation. We designed an extensive mobile monitoring campaign to characterize TRAP exposure levels for a Seattle-based cohort, the Adult Changes in Thought (ACT) study. The campaign measured particulate matter ≤ 2.5 µm in diameter (PM2.5), ultrafine particulates (UFP), black carbon (BC), nitrogen dioxide (NO2) and carbon dioxide (CO2) at 309 stop locations representative of the cohort. We collected about 29 two-minute measures at each location during all seasons, days of the week, and most times of day for a one-year period. Annual average concentrations of UFPs had similar degrees of spatial variability as BC and NO2 but higher degrees of variability as CO2 and PM2.5. UFPs had less temporal variability than other pollutants. Validation showed good agreement between our BC, NO2, and PM2.5 measurements and regulatory monitoring sites. The results from this campaign will be used to assess TRAP exposure in the ACT cohort.SynopsisWe assessed annual-average traffic-pollutant levels with high spatial resolution at locations representative of participant residences using a temporally balanced short-term mobile monitoring campaign.Abstract Figure

The Importance of In Situ Characterisation for the Mitigation of Poor Indoor Environmental Conditions in Social Housing

The energy efficiency improvements in existing buildings have become priority concerns of the European Union to encourage energy efficiency amongst residents and buildings as well as facility managers. The characterisation of the building stock plays an important role in the definition of energy renovation strategies. In Portugal, there are over 120,000 social housing flats. This paper focused on the holistic characterisation of a social housing neighbourhood concerning the “in situ” assessment of the indoor environmental conditions and thermal comfort over one year as well as air permeability tests of the flats and evaluation of the energy consumption. The hygrothermal monitoring campaign was carried out using thermo-hygrometer sensors to record the indoor air temperature and relative humidity of a large number of flats over a 12-month period. The airtightness of these flats was determined resourcing fan pressurisation test (blower door test). A relationship between the users’ modifications in the flats and their consequence over the air permeability was pursued and the importance of balconies and exhaust fans for the flats’ air permeability was discussed. The hygrothermal monitoring campaign of the case study was carried out, in order to assess the indoor thermal comfort according the ASHRAE 55 standard. The results show a significant discomfort rate, suggesting that the users are living in unhealthy environmental conditions and the issues that most contribute to the poor indoor environmental conditions that characterise this building stock. In addition, the energy, gas, and water consumption of the flats were collected, and a statistical analysis was performed. Correlations between the variables were observed and two clusters were identified. Cluster 1 includes the lower energy consumption flats, but no real impact on the thermal comfort was found as the entire dataset presented low indoor air temperatures.

The chameleon on the branches: spectral state transition and dips in NGC 247 ULX-1

Soft Ultra-Luminous X-ray (ULXs) sources are a sub-class of the ULXs that can switch from a supersoft spectral state, where most of the luminosity is emitted below 1 keV, to a soft spectral state with significant emission above 1 keV. In a few systems, dips have been observed. The mechanism behind this state transition and the dips nature are still debated. To investigate these issues, we obtained a long XMM-Newton monitoring campaign of a member of this class, NGC 247 ULX-1. We computed the hardness-intensity diagram for the whole data-set and identified two different branches: the normal branch and the dipping branch, which we study with four and three hardness-intensity resolved spectra, respectively. All seven spectra are well described by two thermal components: a colder (kTbb ∼ 0.1-0.2 keV) black-body, interpreted as emission from the photo-sphere of a radiatively-driven wind, and a hotter (kTdisk ∼ 0.6 keV) multi-colour disk black-body, likely due to reprocessing of radiation emitted from the innermost regions. In addition, a complex pattern of emission and absorption lines has been taken into account based on previous high-resolution spectroscopic results. We studied the evolution of spectral parameters and flux of the two thermal components along the two branches and discuss two scenarios possibly connecting the state transition and the dipping phenomenon. One is based on geometrical occultation of the emitting regions, the other invokes the onset of a propeller effect.

Tackling Energy Poverty through Collective Advisory Assemblies and Electricity and Comfort Monitoring Campaigns

The present work aims to describe and analyze the results of the interventions carried out in the Barcelona pilot site of the EmpowerMed project. The overall objective of EmpowerMed is to tackle energy poverty and to help improve the health of people in coastal areas of Mediterranean countries, with a particular focus on women. The main support approach implemented in Barcelona is Collective Advisory Assemblies (CAA), in the framework of Alliance against Energy Poverty. CAA is an innovative, collaborative empowering engagement tool that offers an alternative to the more traditional one-off individual household advice and support approaches. CAAs take place together with a monitoring campaign where: electricity consumption is analyzed to optimize the supply contracts, and indoor environmental comfort to provide recommendations for wellbeing improvement. Through the different approaches, a characterization of the people that have participated in the Barcelona pilot site was completed, from a socioeconomic, energy, thermal comfort and air quality perspective. Additionally, it was compared with a group of energy poverty non-affected households, which are involved in the monitoring campaign. Finally, the impact was quantified in terms of empowerment of energy poverty population and, potential economic savings.

Citizen-Led Sampling to Monitor Phosphate Levels in Freshwater Environments Using a Simple Paper Microfluidic Device

We demonstrate how a combination of paper microfluidic devices and handheld mobile technology can be used by citizen scientists to carry out a sustained water monitoring campaign. We have developed a paper-based analysis device and a 3 minute sampling workflow that requires no more than a container, a test device and a smartphone app. The contaminant measured in these pilots are phosphates, detectable down to 3 mg L^-1. Together these allow volunteers to successfully carry out cost-effective, high frequency, phosphate monitoring over an extended geographies and periods.

Citizen-Led Sampling to Monitor Phosphate Levels in Freshwater Environments Using a Simple Paper Microfluidic Device

We demonstrate how a combination of paper microfluidic devices and handheld mobile technology can be used by citizen scientists to carry out a sustained water monitoring campaign. We have developed a paper-based analysis device and a 3 minute sampling workflow that requires no more than a container, a test device and a smartphone app. The contaminant measured in these pilots are phosphates, detectable down to 3 mg L^-1. Together these allow volunteers to successfully carry out cost-effective, high frequency, phosphate monitoring over an extended geographies and periods.

Assessment of Integrated Aerosol Sampling Techniques in Indoor, Confined and Outdoor Environments Characterized by Specific Emission Sources

This paper highlights advantages and drawbacks due to the use of portable and low-cost devices for aerosol sampling, showing their performances during an aerosol monitoring campaign with the parallel use of the gravimetric sampling reference method and a cascade impactor. A specific monitoring campaign was held running all instruments in parallel in indoor, confined, and outdoor environments characterized by local emission sources or particulate matter background concentrations. PM2.5 concentrations were used to compare data emerging from the different instruments adopted. Significant underestimation of PM2.5 emerged when comparing data coming from optical sensors with those estimated by the cascade impactor, whose data resulted in being coherent with gravimetric determination, integrated over the same sampling time. A cause–effect relationship between PM2.5 concentrations and specific emission sources was found when observing the daily patterns of all the real-time sampling devices. It emerged that optical devices are useful for detecting concentration trends, the presence of peak values, or changes in the background value, even if with limited accuracy and precision. The comparison with particle size distributions obtained by the cascade impactor data allowed us to define which particle sizes are not detected by different optical devices, evidencing a low representativeness of optical low-cost sensors for health exposure measurements. The correlations among the specific particle size fractions detected by the cascade impactor and their specific emission sources were particularly high for car emissions in a semi-confined garage area.

The X-ray evolution and geometry of the 2018 outburst of XTE J1810–197

After 15 years, in late 2018, the magnetar XTE J1810–197 underwent a second recorded X-ray outburst event and reactivated as a radio pulsar. We initiated an X-ray monitoring campaign to follow the timing and spectral evolution of the magnetar as its flux decays using Swift, XMM–Newton, NuSTAR, and NICER observations. During the year-long campaign, the magnetar reproduced similar behaviour to that found for the first outburst, with a factor of two change in its spin-down rate from ∼7.2 × 10−12 s s−1 to ∼1.5 × 10−11 s s−1 after two months. Unique to this outburst, we confirm the peculiar energy-dependent phase shift of the pulse profile. Following the initial outburst, the spectrum of XTE J1810–197 is well-modelled by multiple blackbody components corresponding to a pair of non-concentric, hot thermal caps surrounded by a cooler one, superposed to the colder star surface. We model the energy-dependent pulse profile to constrain the viewing and surface emission geometry and find that the overall geometry of XTE J1810–197 has likely evolved relative to that found for the 2003 event.