The perceived importance of appearance and oral function,comfort and health for severely demented persons rated by relatives,nursing staff and hospital dentists

Dental health is an aspect of the quality of life. Oral treatment goals for, the severely demented and the benefits of oral treatment are complex issues. Severely demented people can neither express their wishes nor make rational decisions about oral care. Acting “in the best interests” of a demented person who refuses or does not understand the purpose of treatment depends on what perspective and treatment priorities the advocate has. For oral treatment of a demented person the advocate may be a relative, a member of the ward staff or a hospital dentist. In a structured interview, the relatives of demented patients in a Stockholm hospital and members of the nursing staff were asked to rate the importance of goals for dental care. These ratings were also recorded for hospital dentists. In this study there was agreement on the importance of freedom from oral pain and fear of aspiration. Nursing personnel gave priority to aspects of good care such as being able to chew and enjoy eating. Relatives were also concerned with social behaviour and communication such as fresh breath, normal speech, and normal appearance. The ratings by the hospital dentists were generally lower which might reflect professional awareness of the limitations of treatment success implied by cognitive impairment.     

Calculation of the"Net Additions to Stock" Indicator for the Czech Republic Using a Direct Method

Abstract: Net additions to stock (NAS) are an indicator based on economy-wide material flow accounting and analysis. NAS, a measure of the physical growth rate of an economy, can be used for estimates of future waste flows. It is calculated using two methods: The indirect method of calculation is a simple difference between all input and output flows, whereas the direct method involves measuring the amounts of materials added to particular categories of physical stock and the amounts of waste flows from these stocks.
The study described in this article had one leading objective: to make available direct NAS data for the Czech Republic, which could later be used for predicting future waste flows. Two additional objectives emerged from the first: (1) to develop a method for direct NAS calculation from data availability in the Czech Republic; (2) to calculate NAS directly, compare the results with those achieved in indirect NAS calculation, and discuss the identified differences.
The NAS for the Czech Republic calculated by the direct method is equal to approximately 65 million tonnes on average in 2000–2002 and is approximately 27% lower than the NAS acquired by the indirect method of calculation. The actual values of directly calculated NAS and its uncertainties suggest that the indirect NAS is more likely to be an overestimation than an underestimation. Durables account for about 2% of the total direct NAS, whereas the rest is attributed to infrastructure and buildings. The direct NAS is dominated by nonmetal construction commodities such as building stone and bricks, which equal approximately 89% of the total direct NAS.
Calculation of NAS by the direct method has been proved to be feasible in the Czech Republic. Moreover, uncertainties related to direct NAS are lower than those related to indirectly acquired NAS.     

A study on body temperature regulation and residential thermal environments of the elderly—I. whole country survey of residential thermal environment and evaluation methods: RTE-index

1. 1. As part of “research on environmental comfort,” that is, research which aims to make people's living environment more comfortable, we attempted to clarify the relation between the living environment of elderly people and physiological and psychological factors. We carried out a comprehensive study with a view to establishing comfort standards for the residential thermal environment, and for creating evaluation and control systems.

2. 2. The comfort of the living environment is closely related to the thermal environment and the temperature-regulation ability of the human body. This ability of the body to regulate temperature develops during childhood and recedes as the adult ages.

3. 3. We therefore carried out: (a) experiments on body-temperature regulation and on special characteristics of the body-temperature regulation of elderly people, (b) a nationwide survey of the actual residential thermal environments of elderly people and (c) a survey of the daily activities of elderly people, and how elderly people's physiological and psychological conditions change when they are engaged in these activities.

4. 4. As a result of these experiments and surveys, we were able to: (d) formulate standards for evaluation of the residential thermal environment and (e) numerically express the results of systematic evaluation of residential thermal environments of elderly people, by means of a RTE-index.

云南居民区鼠类体外寄生蚤物种多样性调查

【目的】了解云南居民区鼠类寄生蚤的群落结构和空间分布特征。【方法】根据云南不同经纬度、 海拔等自然环境条件, 于2007年4月-2012年11月, 选取云南17个县(市) 居民区作为样区, 系统开展鼠类体外寄生蚤的调查, 运用群落结构指标对居民区鼠类寄生蚤的群落特征和沿环境梯度的空间分布进行研究。【结果】结果显示： 在调查的17个县(市)室内共检获鼠类体外寄生蚤521头, 隶属4科7亚科9属12种。居民区寄生蚤的纬度和垂直分布类似, 低纬度和低海拔范围的种类相对较少, 印鼠客蚤和缓慢细蚤是室内寄生蚤的优势种。相对纬度和海拔较高的区域, 居民区寄生蚤种类增多, 但优势种不突出; 在经度水平分布上, 蚤种类于99°~101°E经度带形成一个高峰, 室内寄生的优势种印鼠客蚤和缓慢细蚤几乎在所有经度带都可见到分布, 显示了较宽的生态幅。另外, 居民区寄生蚤物种丰富度和多样性指数水平分布（纬度）和垂直分布呈现为单峰格局, 总体显示随着纬度和海拔的升高, 先升高后降低的分布特征, 而在另一个水平分布（经度）, 则呈现由西向东呈递减的趋势。【结论】研究认为, 云南居民区蚤类的空间分布表现为独特的地理区域特征, 气候环境、 森林植被和人类生活生产方式通过影响蚤类栖息生境来影响蚤类的分布。     

Registry of Buildings With Transformer Stations as a Basis for Epidemiological Studies on Health Effects of Extremely Low-Frequency Magnetic Fields

Buildings with indoor transformer stations may serve as a basis for improved epidemiological studies on the health effects of extremely low-frequency magnetic fields (ELF MFs). Previous studies have shown that ELF MF exposure can be adequately assessed based on the fact that MF levels are high in apartments directly above transformers. In this paper, we describe the creation of a registry of Finnish residential buildings with built-in transformer stations and discuss its usability in epidemiological studies. Information obtained from electric utilities and building blueprints were used to identify 677 buildings in which an apartment was located above or adjacent to a transformer station. All apartments in these buildings were classified into exposure categories based on their location in relation to the transformer. Residential histories of these buildings were obtained from the Population Register Centre. Out of the 287,668 individuals who have resided in the buildings, 9,126 of them have resided in an apartment located directly above a transformer station. All information was collected without contacting residents, thus avoiding selection bias. The registry can be linked with data from high-quality nationwide registries to confirm or challenge the reported associations of ELF MF exposure and diseases such as cancer, miscarriage, and Alzheimer's disease. Bioelectromagnetics. 2020;41:34–40 © 2019 Bioelectromagnetics Society.     

Construction Matters: Comparing Environmental Impacts of Building Modular and Conventional Homes in the United States

Modular construction practices are used in many countries as an alternative to conventional on‐site construction for residential homes. While modular home construction has certain advantages in terms of material and time efficiency, it requires a different infrastructure than conventional home construction, and the overall environmental trade‐offs between the two methods have been unclear. This study uses life cycle assessment to quantify the environmental impacts of constructing a typical residential home using the two methods, based on data from several modular construction companies and conventional homebuilders. The study includes impacts from material production and transport, off‐site and on‐site energy use, worker transport, and waste management. For all categories considered, the average impacts of building the home are less for modular construction than for conventional construction, although these averages obscure significant variation among the individual projects and companies.     

Residential magnetic and electric fields

A magnetic flux density (MFD) and electric-field (E-field) data-acquisition system was built for characterizing extremely low-frequency fields in residences. Every 2 min during 24-h periods, MFD and E-field measurements were made in 43 homes in King, Pierce, and Snohomish counties of Washington State. The total electrical energy used in each residence during the 24-h measurement period was also recorded, and maps were drawn to scale of the distribution wiring within 43 m (140 ft) of these homes. Finally, on a separate date, field measurements were made in each home during an epidemiological interview. The results of this study can be summarized as follows: 1) 24-h-average MFD measured at two separate points in the family room were correlated, as were a 24-h-average bedroom measurement and the mean of the two family-room measurements. 2) The 24-h-average family-room MFD and E-field measurements were uncorrelated. 3) The 24-h-average total harmonic distortions of family-room MFD and E-fields were less than about 24% and 7%, respectively. 4) Residential MFD exhibited a definite 24-h (diurnal) cycle. 5) The 24-h-average and interviewer-measured MFD were correlated. 6) Residential 24-h-average MFD were correlated with the wiring code developed by Wertheimer and Leeper. 7) An improved prediction of 24-h-average residential MFD was obtained using the total number of service drops, the distance to neighboring transmission lines, and the number of primary phase conductors.