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Introduction Falls are a major health problem in elderly institutionalised patients, due to the associated high morbidity and mortality rates and the impact on future quality of life. Objective To analyse the incidence and patient profile for falls, and to identify potential causes and effects. We also assess the efficacy of intervention in selected patients in preventing further falls. Methods We performed a prospective study at a long-term care centre for 12 months. Data were collected via fall reports. The falls committee drafted a monthly data collection form. Results A total of 155 falls were recorded in 80 patients, with 40% presenting more than one fall. Patients aged over 70 years accounted for 84.5% of falls; 42.7% of patients are able to walk independently; 55.5% of falls occurred in the bedroom; 74.8% of patients had been prescribed sedatives or psychoactive, or antihypertensive drugs; 27.7% of falls were due to loss of balance and 22.5% were due to patients performing an activity for which they did not have the capacity. Fractures occurred in 1.9% of patients. Conclusions Patients aged over 70 years, walking independently, receiving sedatives or psychoactive or antihypertensive drugs, and with history of falls were at greatest risk. The majority of falls occurred in the bedroom. Physiotherapy interventions were highly effective in cases selected by the falls committee.

Mobility inside and outside the home, and in the community, is important to independence of lifestyle after stroke. Existing measures lack content validity relating to these three environments. The aim of this study was to contribute to the content validity phase of developing a new scale for assessing mobility of people with stroke in these settings. An open–ended questionnaire was used to obtain responses from 15 physiotherapists with substantial experience in neurological physiotherapy. Responses were coded to provide a comprehensive list of tasks and destinations. A wide range of destinations was identified for i) inside the home: bedroom, bathroom/toilet, living room, kitchen; ii) outside the home: access to and from property, outside buildings, clothesline, garden and letterbox; and iii) in the community: access to health and shopping facilities, leisure sites and public transport. Although a diverse range of tasks was identified, a common theme emerged to emphasise the impact of the environment on mobility. Responses were recorded in all dimensions of a recently published conceptual model of mobility that focused on environment. These dimensions included distance, time constraints, ambient conditions, terrain characteristics, external physical load, attentional demands, postural transitions and traffic level. Further work is required to quantify environmental dimensions which are relevant to the destinations identified in the three environmental settings of this study.

Hospices for children and adolescents in the United Kingdom provide care to the bodies of deceased children in specially designed chilled bedrooms called "cool rooms." In an effort to develop resources to support hospice practitioners to provide this specialist area of care, this study aimed to identify the factors that influence decision making when moving and handling children's bodies after death in a hospice cool bedroom. An internet-based survey was sent to all practitioners employed by 1 children's hospice. A total of 94.9% of eligible staff responded (n = 56). An inductive approach to thematic analysis was undertaken, using a 6-phase methodological framework. Three core themes were identified that inform practitioners' perception of the appropriateness of moving and handling decisions: care of the body, stages of care, and method of handling. The complexity of decision making and variation in practice was identified. Practitioners relied on both analytical and initiative decision making, with more experienced practitioners using an intuitive approach. Evidence-based policy and training influence the perception of appropriateness and the decisions and behavior of practitioners. The development of a policy and education framework would support practitioners in caring for children's bodies after death, standardizing expectations and measures of competence in relation to moving and handling tasks.

Five studies (using U.S. samples) examined whether men’s higher entitlement contributes to a sexual pleasure gap that disadvantages women. Participants indicated that men receive more sexual pleasure from their partners, whereas women provide more pleasure (Study 1a). Participants believed that men have more of a right to experience orgasm in both hook-up and relationship encounters and attributed higher negative affect to the male target than to the female target when the target did not experience an orgasm in a sexual scenario (Study 1b). In concert with the idea that pleasure is a privilege that men are perceived as being more entitled to, participants preferred men’s orgasm when forced to choose between the male and the female partner in an orgasm allocation task (Study 1c) and in an experiment (Study 2). Study 3 examined why people believe that men are more entitled to pleasure than women. Men’s higher sense of entitlement as an obstacle to gender equality in sexuality is discussed.

Romantic partners often regulate their emotions and affection to achieve certain goals, but research has yet to explore how partners regulate their expression of sexual desire during sex and its implications for couples’ well-being. In two multi-part dyadic diary studies of primarily mixed-gender couples in longer-term relationships residing in North America, we examined three questions. First, is amplifying desire and suppressing disinterest during sex associated with both partners’ daily sexual and relationship satisfaction? Second, do these associations differ by level of sexual desire and gender? Third, tested in our second sample, can these associations be explained by feelings of sexual inauthenticity? Across both samples (Ntotal = 225 couples, 450 participants), amplifying desire was associated with lower sexual satisfaction, while suppressing disinterest was not associated with daily satisfaction. Importantly, sexual desire played a role in the links between desire regulation during sex and satisfaction: on days when people were low in sexual desire, amplification was associated with both partners’ lower sexual satisfaction, while suppression was associated with a partner’s higher relationship satisfaction. In addition, amplification (on low desire days) and suppression (regardless of desire level) were associated with lower sexual authenticity which, in turn, was linked to lower relationship satisfaction. The findings suggest that desire regulation during sex plays an important role in couples’ daily sexual satisfaction and relationship satisfaction—in part because it feels sexually inauthentic—with the implications of this regulation being particularly strong when people feel low sexual desire.

This study investigated the variability of indoor radon concentrations in 518 100 homes in the UK. The statistical analysis included measurements in 395 720 homes with downstairs living rooms and upstairs bedrooms. The radon concentration in these bedrooms was found to be on average 63% of the living room value. The analysis of 122 380 homes with living rooms and bedrooms situated on the same floor found that there is a small difference in radon concentration of 9% between the two rooms. The results showed that the ratios of the living room to bedroom radon concentrations were approximately lognormally distributed. The geometric mean of the ratio was found to be 1.6 for rooms situated on different storeys and 1.1 for rooms situated on the same floor. It was found that house characteristics and energy efficiency measures affect the distribution of radon within homes. Detached houses and those with suspended floors had higher radon levels in their upstairs bedroom, 66.7% and 76.9% of the downstairs living room values, respectively. For homes built between 1993 and 2007, the bedroom to living room ratio increased from 58.8% to 76.9% due to the increased airtightness and improved energy performance of the modern buildings. Homes with installed wall and loft insulation had much higher bedroom to living room ratio (76.9%) than those without energy efficiency measures (52.6%).

Background The ability to capture people’s movement throughout their home is a powerful approach to inform spatiotemporal patterns of routines associated with cognitive impairment. The study estimated indoor room activities over 24 hours and investigated relationships between diurnal activity patterns and mild cognitive impairment (MCI). Methods One hundred and sixty-one older adults (26 with MCI) living alone (age = 78.9 ± 9.2) were included from 2 study cohorts—the Oregon Center for Aging & Technology and the Minority Aging Research Study. Indoor room activities were measured by the number of trips made to rooms (bathroom, bedroom, kitchen, living room). Trips made to rooms (transitions) were detected using passive infrared motion sensors fixed on the walls for a month. Latent trajectory models were used to identify distinct diurnal patterns of room activities and characteristics associated with each trajectory. Results Latent trajectory models identified 2 diurnal patterns of bathroom usage (high and low usage). Participants with MCI were more likely to be in the high bathroom usage group that exhibited more trips to the bathroom than the low-usage group (odds ratio [OR] = 4.1, 95% CI [1.3–13.5], p = .02). For kitchen activity, 2 diurnal patterns were identified (high and low activity). Participants with MCI were more likely to be in the high kitchen activity group that exhibited more transitions to the kitchen throughout the day and night than the low kitchen activity group (OR = 3.2, 95% CI [1.1–9.1], p = .03). Conclusions The linkage between bathroom and kitchen activities with MCI may be the result of biological, health, and environmental factors in play. In-home, real-time unobtrusive-sensing offers a novel way of delineating cognitive health with chronologically-ordered movement across indoor locations.

The Covid-19 pandemic triggered an experiment in enforced home-working across the globe. In the UK, the home-based workforce jumped from 14 per cent to almost 50 per cent of the overall working population, a trend mirrored in countries across the world. Largely welcomed by both employees and employers, many organizations predict a hybrid future that combines working at home and in a centralized collective workplace. This has major consequences for the way we inhabit, conceptualize and design the city and the suburbs, as more (and different) space is needed in the home and employers realize that they can reduce their property footprints. The 24-hour inhabitation of residential areas brings new life to local streets and economies, while Central Business Districts and High Streets lie silent. This paper approaches this as a paradigm shift: for more than a century mono-functional homes and workplaces have been systematically separated – ways now have to be found to reintegrate them. Covid has shone a spotlight on major social and spatial inequalities, with the poor and the young disproportionately impacted. Priorities for researchers and policy-makers include the future use of redundant commercial buildings, and analyses of policy and law, including planning, space standards, tenancy agreements, Bedroom Tax and social housing allocations, that obstruct home-based work – and proposals for alternatives. © 2021. All Rights Reserved.

Purpose To evaluate whether home hazards and lighting levels are associated with higher fall rates in adults with varying degrees of visual field (VF) damage from glaucoma. Methods Participants with diagnosed or suspected glaucoma provided three years of prospective falls data via monthly falls diaries. A post-fall telephone questionnaire determined fall locations. Seven home areas were evaluated for hazards and lighting via an in-home assessment. Multivariate models adjusting for relevant confounders, including age, sex, comorbidity, and severity of VF damage, evaluated the influence of hazards and lighting on fall rates in each home region. Results Mean baseline age for the 170 participants was 71.0 (7.6) years and 78 (46%) of participants were female. Fifty-nine participants experienced a total of 83 home falls, with the greatest number of falls occurring on the indoor stairs (n = 24, 29%) and bedroom (n = 17, 21%). Neither the number nor the percentage of hazardous items graded as hazardous was associated with the rate of falls (P > .26). Each 10-fold increase in room lighting was associated with 35% fewer falls in that home region (P = .02). The relation between lighting and the rate of falls did not differ with the degree of visual field damage (P > .3), and a lower fall rate was noted with better lighting even in participants with mild or no VF damage (rate ratio = 0.52/10-fold better lighting; P = 0.01). Conclusions Fewer home falls were found with better lighting, but not with fewer home hazards. Lighting improvements at home may reduce fall rates in older adults. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.

Background: Asthma is a chronic respiratory disease most often found in children and has the highest prevalence in developing countries. House dust mites are the second most common trigger of asthma whose habitat is influenced by the criteria for a healthy.Objective: Understanding the correlation between sleep density and asthma status in pediatric patients and criteria for a healthy house.Methods: This study was an analytical observational method with a cross sectional study design that took place from June to October 2020. It involved 25 respondents of children with asthma patients aged 3-11 years. There is a confounding variable, namely the criterion score for a healthy house. Dust samples were collected in the bedroom of the respondent diagnosed with bronchial asthma. The identification process using the floating method was carried out at the Parasitology Laboratory, Faculty of Medicine, Diponegoro University, Semarang Indonesia. Respondent data were analyzed using statistical software programs. Non-parametric test with lambda correlation test.Results: The mean of house dust mite’s density in the respondent's house was 3.68 ± 2.32. House dust mite’s density was associated with the criteria for a healthy house (p 0.05).Conclusion: There is no correlation between pediatric asthma status and house dust mite density.

Introduction: The COVID-19 was the emerging disease caused by SARS-COV 2. Efficient transmission of this disease occurs through droplets and fomites. As COVID-19 has high transmission and hence susceptible household & non-household close contacts are at high risk of developing disease. Study Objectives: 1) To estimate secondary attack rate of COVID-19 among the contacts during the pandemic in Pune city; 2) To identify factors associated with transmission and development of COVID-19 disease. Material & Methods: This was a retrospective cohort study conducted in the month of June 2020. The sample includes 741 contacts of 119 Laboratory confirmed cases for COVID-19, resides in 15 ward offices areas of PuneMunicipal Corporation after written informed consent. A confidential telephonic interview was taken by using a prestructured questionnaire which includes socio demographic data, duration of stay, family background,outcome, type of house, development of symptoms etc. Results: The overall Secondary Attack Rate estimated to be 32.5%, 33.7% among the high risk contacts while 13.3% among the low risk contacts. In this city, 6 wards (40%) out of 15 wards showed SAR of more than 40%.The characteristics of primary cases associated with spread of disease were presence of symptoms and duration between onset of disease and isolation of primary case. The factors significantly affecting SAR were age, comorbidity, no. of family members, type of family, type of house, overcrowding, no. of rooms, bedroom attached with toilet, type of contact & containment zone. Conclusion: Higher SAR was seen in the household contacts. It is necessary to adopt rigorous measures to cut the transmission chain in this area of close contact. How to cite this article: Jagdale GR, Parande MA, Borle PS, Tapare VS, Tambe MP, Wavare S, Hatnapure M, Salunke P, Shinde P, Paunikar A. Secondary Attack Rate among the Contacts of COVID-19 Patients at the Beginning of the Pandemic in Pune City of Western Maharashtra, India. J Commun Dis. 2021;53(3):51-59. DOI: https://doi.org/10.24321/0019.5138.202138

This essay examines late nineteenth-century advice literature, such as the magazines for young adults, domestic advice manuals, and home decoration books, to determine how guidelines about the spat...

Investigation into correlates across all levels of the socio-ecological model predictive of objectively measured physical activity has rarely been assessed in adults. While considering a diversity of correlates, we determined which correlates best predict sensor-based moderate-to-vigorous physical activity (MVPA) and sedentary-time (ST) in adults. A Chi-squared Automatic Interaction Detection algorithm was used to hierarchize the correlates associated with high ST (≥66.6thpercentile) and sufficient MVPA (≥150 min/week) in 865 adults. The main correlate predictive of being active was currently partaking in sport/exercise. The following relevant correlates were being male for the exercisers and having trees in the neighbourhood for the non-exercisers. The final correlate to boost male exercisers' MVPA was having lots of shops in the neighbourhood and not having television in the bedroom for women. The primary correlate for high ST was job activity level, with individuals having highly active jobs being less likely to exhibit high levels of ST; being single, male, and a former athlete also increased the chances of being highly sedentary. To increase adults' MVPA, promotion of sport participation, neighbourhood landscape planning, shop availability, as well as limiting television in the bedroom must be prioritized. For counteracting ST, increasing workplace activity level is warranted.

OBJECTIVE: This study investigates the viability of personal support homes – a policy concept that reduces alternative level of care (ALC) days in Ontario hospitals. It allows people to leverage their empty bedrooms to temporarily house patients awaiting hospital discharge. METHOD: Data from the Municipal Property Assessment Corporation are used to map geographic supply of empty bedrooms, and Ontario Ministry of Health administrative data are used to assess potential demand. RESULTS: By remunerating certified homeowners $120–150/day, this concept could help decrease ALC patient days by 20% and save the province $1.13–1.95 billion in foregone hospital construction along with relieving current system pressures. CONCLUSION: As part of a multifaceted policy solution to ALC, this concept is particularly suited for rural/remote locations where excess bedroom supply per capita is the highest.

We conducted a randomized trial of portable HEPA air cleaners in the homes of children age 6-12 years with asthma in the Yakima Valley, Washington. All families received asthma education while intervention families also received two HEPA cleaners (child's bedroom, living room). We collected 14-day integrated samples of endotoxin in settled dust and PM10 and PM10-2.5 in the air of the children's bedrooms at baseline and one-year follow-up, and used linear regression to compare follow-up levels, adjusting for baseline. Seventy-one families (36 HEPA, 35 control) completed the study. Baseline geometric mean (GSD) endotoxin loadings were 1565 (6.3) EU/m2 and 2110 (4.9) EU/m2 , respectively, in HEPA vs. control homes while PM10 and PM10-2.5 were 22.5 (1.9) μg/m3 and 9.5 (2.9) μg/m3 , respectively, in HEPA homes, and 19.8 (1.8) μg/m3 and 7.7 (2.0) μg/m3 , respectively, in control homes. At follow-up, HEPA families had 46% lower (95% CI, 31%-57%) PM10 on average than control families, consistent with prior studies. In the best-fit heterogeneous slopes model, HEPA families had 49% (95% CI, 6%-110%) and 89% lower (95% CI, 28%-177%) PM10-2.5 at follow-up, respectively, at 50th and 75th percentile baseline concentrations. Endotoxin loadings did not differ significantly at follow-up (4% lower, HEPA homes; 95% CI, -87% to 50%).

For years I painted the sky, always in oils, always hyperreal, and always as it appeared from where I was. The first fifteen were from my bedroom window, the same set of Midlands rooftops framed ar...

Objectives The aim of this study was twofold. First, to confirm the deleterious aspect of evening screen exposure in school-aged children, in particular the effect of screens in the bedroom. Second, to explore the three-way association between degree of screen exposure, sleep disturbance, and ADHD symptoms. Solid evidence exists on the link between sleep disturbance and ADHD symptoms, and screen exposure and sleep disturbance. However, no studies have formally assessed the impact of screen exposure on ADHD symptoms in children, as a function of sleep disturbance. Methods Parents of 374 French children (201 girls, 173 boys, mean age of 10.8 ± 2.8 years old) completed the Sleep Disturbance Scale for Children (SDSC), the Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale, and a questionnaire about their children's screen habits (total hours in the morning, afternoon, and evening per day). Correlational analyses between evening screen exposure, sleep quality and behavioral problems were conducted. Then, formal mediation analyses were run in order to quantify the relationship between variables. Results School-aged children with screens in their bedrooms demonstrated more sleep and behavioral problems. Evening TV exposure was associated with higher SDSC and ADHD scores. Furthermore, the Structural Equation Modelling approach confirmed that evening screen exposure is directly associated with more disrupted sleep, which in turn is directly associated with behavioral problems. Conclusions These findings encourage families to avoid putting screens in their children's bedrooms, and limit evening screen exposure. They furthermore demonstrate the importance of taking into account screen exposure time (morning, afternoon, evening) and location (bedroom or elsewhere) in future studies.

Acute respiratory infections (ARI) is a disease that attacks one or more parts of the respiratory tract from the nose to the alveoli or lung. This disease which is caused by various factors (multifactorial) is the top rank disease in Indonesia, and is the biggest cause (17%) of the death of children under five years (toddlers). This study aims to determine the environmental risk factors for the incidence of ARI in children under five in the working area of the Panambungan Health Center. This type of research uses an observational analytic study with a cross-sectional design with a sample of 88 respondents obtained by simple random sampling technique. Data analysis was performed by using chi-square test and the magnitude of the risk with the odds ratio value. The results of statistical tests showed that the use of anti-mosquito coils (p = 0.021; OR = 3.573), kitchen ventilation (p = 0.000; OR = 0.112), and smoking habits of family members significantly affected ARI cases on toddlers in the working area of Panambungan Health Center, Makassar in 2020. Meanwhile, bedroom ventilation (p = 0.538; OR = 0.570) and the type of house floor (p = 0.269; OR = 1.889) did not significantly affect ARI cases on toddlers in the working area of Panambungan Health Center, Makassar in 2020.

This study aimed to examine the environmental and operational factors that disrupt sleep in the acute, non-ICU hospital setting. This was a prospective study of adult patients admitted to an acute tertiary hospital ward (shared versus single room) and sleep laboratory (single room conducive to sleep). This study measured ambient light (lux) and sound (dB), number of operational interruptions, and questionnaires assessing sleep and mental health. Sixty patients were enrolled, 20 in a double bedroom located close to the nursing station (‘shared ward’), 20 in a single bedroom located distant to the nursing station (‘single ward’) and 20 attending the sleep laboratory for overnight polysomnography (‘sleep laboratory’). Sleep was disturbed in 45% of patients in the shared and single ward groups (Pittsburgh Sleep Quality Index > 5). Light levels were appropriately low across all 3 locations. Sound levels (significant effect of room F(1.38) = 6.452, p = 0.015) and operational interruptions (shared ward 5.6 ± 2.5, single ward 6.2 ± 2.9, sleep laboratory 2.7 ± 2.1 per night, p

The current Suchet bedroom in the Can Papiol house is the result of the traditional belief that French general Louis Gabriel Suchet stayed at the great manor of the Papiol family in Vilanova i la Geltru during the Spanish War of Independence. However, there is no documentation that allows us to confirm whether or not he stayed at Can Papiol. The supposed chamber of the general allows us to analyse and understand how and why the Louis XVI style was used in Vilanova and applied, precisely, in the bedroom destined to host the supposed stay of the general. On the other hand, the documentation of the Papiol archive has brought relevant information on the original distribution of the house through unprecedented plans from the mid 19th century, an 1817 inventory, the family accounts and the receipts of the craftsmen who worked in the manor during its construction and its later maintenance.

Aims Caregivers of persons living with ventricular assist devices (VADs) are integrally involved in both medical and non-medical care. We sought to understand tasks caregivers perform after surgical recovery, ways the home is adapted for those tasks, and presence of home safety hazards. Methods and results We conducted semi-structured interviews with persons living with a VAD and their caregivers. Pictures were taken of areas in the home where: (i) caregiving activities occurred, (ii) VAD or medical supplies were kept, and (iii) home adaptations were made for VAD care. Pictures were described in written detail and analysed. A qualitative descriptive approach was used for analysis. The sample consisted of 10 dyads, with mostly spousal relationships (60%) between male patients (60%) and female caregivers (80%). Three themes were identified: (i) Evolution of Caregiving and Support: Patients gain independence, but caregivers are still needed, (ii) Adapting the Home Environment: Changes are focused on functional needs, and (iii) Hidden Dangers: Illumination of safety concerns by photographs. Assistance with bathing, driveline care, and medication management were common caregiving tasks. Most home adaptations occurred in the bathroom and bedroom including sleeping recliners, shower chairs, removable shower heads, and hanging hooks to hold VAD equipment. Safety hazards included minimal space for safe ambulation, infection risk, and home-made adaptations to the environment. Conclusions These findings describe key home caregiving tasks, home adaptations, and safety concerns that require further education and support. Utilizing pictures may be a feasible method for assessing VAD teaching, caregiving needs, and identifying potential risks.

Ceiling fans are the most common equipment in any household with electricity to induce a higher air movement since the potential of natural ventilation is limited. However, the higher airflow region is generally limited to the zone below the fan. The non-uniform distribution of airflow is also affected by the furniture layout and airflow from window openings. This study attempts to evaluate the effect of the different window-opening patterns on the airflow inside naturally ventilated bedrooms, having a ceiling fan for air movement with numerical simulations and on-site measurements. The airflow pattern created by a ceiling fan in a room with furniture is modelled and simulated with ANSYS Fluent 2019 R3. The results were validated with on-site measurements and compared with the literature. The air velocity was measured in bedrooms of three different sizes. It was observed that the opening of windows created a better distribution of air irrespective of room size. The non-uniformity of the air velocity is reduced from 76% to 39% with the opening of windows in the larger-sized room. The reduction in non-uniformity is influenced by the location of windows also. The practice of opening windows along with the induced air movement by ceiling fans results in a better distribution of air in the space. Practical application: People tend to depend mainly on ceiling fans even if windows are open in naturally ventilated rooms. A study of patterns of non-uniform distribution of airflow can help designers to improve comfort conditions by specifying the number and location of fans and windows while designing room furniture layout. This aids the building services engineers to provide thermal comfort without always depending on alternative active ventilation strategies.

BACKGROUND: Indoor environments contain a broad diversity of non-pathogenic Basidiomycota yeasts, but their role in exacerbating adverse health effects has remained unclear. OBJECTIVE: To understand the role of Vishniacozyma victoriae exposure and its impact on human health. METHODS: A qPCR assay was developed to detect and quantify an abundant indoor yeast species, Vishniacozyma victoriae (syn. Cryptococcus victoriae), from homes participating in the New York City Neighborhood Asthma and Allergy Study (NAAS). We evaluated the associations between V. victoriae, housing characteristics, and asthma relevant health endpoints. RESULTS: V. victoriae was quantified in 236 of the 256 bedroom floor dust samples ranging from less than 300 to 45,918 cell equivalents/mg of dust. Higher concentrations of V. victoriae were significantly associated with carpeted bedroom floors (P=0.044), mean specific humidity (P=0.004), winter (P

The elderly's perception of their environment largely depends on acquired visual information. This study provides a quantitative analytical method for designing bedrooms in nursing homes by developing a computational model that uses viewing distance, viewing angle, and viewing field as variables. The model is utilized to measure a range of visual environmental properties, including privacy, accessibility, permeability, and visibility, which reflect the quality of bedrooms in nursing homes. The suitability levels of bedroom planes for the elderly and their main living functions as well as the fitting degree of the functional layout are calculated based on these data. After validating the computational model's feasibility, this study optimizes the typical schemes of single and double rooms in nursing homes. Results reveal certain advantages of the arrangement where bathroom doors are set toward the inside of the bedroom and double rooms have a large width. The computational model can be used in measuring the spatial quality of bedrooms in nursing homes and as a mathematical model for related algorithm design and software programming to assist in the design and optimization of bedrooms for the elderly.

Chinese feng shui is well-researched in social sciences but under-researched regarding its impact on the well-being of users. The main problem is the isolation of feng shui effects. Participants (n=134) provided a photograph of their bedroom onto which feng shui recommendations were sent long distance (for 4 months), using an instrumental biocommunication device with a computer, white-noise diode and fengshui recommendations database. Three groups were formed, one acted as control (double-blind protocol). Data was collected through self- evaluating questionnaires (n=10) on the quality of sleep and well-being. Data were statistically evaluated with R environment using linear mixed models and the analyses of variables: feng shui support, stress, age and bedroom evaluation. Results for sleep show feng shui as the most statistically significant variable (p=

The study of the fungal community composition in house dust is useful to assess the cumulative exposure to fungi in indoor environments. The objective of this research was to characterize the fungal diversity of house dust and its association with the environmental conditions of bedrooms. For this, the dust was collected from 41 bedrooms of children between the ages of 8 and 9 with a family history of asthma, residents of Havana, Cuba. The fungal content of each sample was determined by two methods: plate culture with Malt Extract Agar and by direct microscopy. An ecological analysis was carried out from the fungal diversity detected. To describe the factors associated with the fungi detected, bivariate logistic regression was used. Through direct microscopy, between 10-2311 fragments of hyphae and spores corresponding mainly to Cladosporium, Coprinus, Curvularia, Aspergillus/Penicillium, Xylariaceae, and Periconia were identified. Through the culture, 0–208 CFU were quantified, where Aspergillus, Cladosporium, and Penicillium predominated. The culturability evidenced the differences between the quantification determined by both methods. A positive relationship was found between the type of cleaning of the furniture, the presence of trees in front of the bedroom, indoor relative humidity, indoor temperature, the presence of air conditioning by air conditioning and natural ventilation with specific spore types and genders. The use of two different identification methods allowed to detect a greater fungal diversity in the residences evaluated. Monitoring the exposure to these fungal allergens in childhood can help to prevent sensitization in the allergic child, the development of asthma and other respiratory diseases.

Boudoir photography is going through a renaissance. Having being rediscovered by whole new generation of amateur smartphone photographers and influencers, the genre has taken a new and exciting direction. The intimacy and erotic nature of this genre is now also injected with a dose of raw realism that further adds to the legitimacy of the image. This newly evolved aesthetic has been equally influential on fashion editorials and fashion ad campaigns from streetwear to luxury brands. In this series of photographs and the accompanying essay, the author/photographer aims to document such aesthetic by capturing the mood and fashion of the current times and analysis the background for such fashion editorial images.

This article is an analysis of “bedroom community” - a residential neighborhood – in the prospects for its transformations, as in the past and so in the future. Attention is focused on residential neighborhoods, primarily in post-Soviet cities. The “bedroom community” is considered here from the economic, cultural and spatial aspects in the context of the formation of the memory of the place in the city and in the everyday life of a separate social subject - a resident of the city place. In a biographical context, as an element of identity. Local identity is often more significant for a person than state or national. Residents of settlements mostly rather positively assess the environment of their everyday life, than outside observers and analysts. They are sometimes biased in their assessments. But they should form their analysis not exclusively from the standpoint of “best experience”, but from immersion in the specifics of local history and everyday life practices. The article analyzes the elements of criticism of dormitory areas in the advocacy position: what has been defined as a negative characteristic for a long time, has been rethought from the perspective of positive effects and prospects for renovation. Indeed, there is a sense in transforming the social space of «bedroom community», but moderate ones, with attention to the elements of the local sociocultural space. The article pays attention to the fact that the predicate “bedroom” in modern realities no longer corresponds to reality and is gradually becoming rudimentary. Because gradually the so-called “bedroom community” are turning into residential areas, or, as they are more accurately defined, “large residential complexes”, which include small business and trade, educational services, sports and leisure locations, and often branched transport systems. Large residential complexes – micro-districts - spaces of wide opportunities for the formation and strengthening of local urban communities through the development of “third places” - institutions and spaces that form communication links between local residents that satisfy such needs as small purchases of goods, beauty and recreation services, and etc. “Bedroom community”, being formed mainly by “first places” (home), actively form the memory of the locals - those who spend a significant part of their lives there, satisfy the basic needs of comfortable rest and a place free from work. Accordingly, when analyzing social memory, it is worth paying attention to the contexts of everyday life, which are no less significant in the formation of identity as a component of a broader context - historical memory.

A series of fire experiments were conducted in an ISO 9705 room in an attempt to reconstruct a multi-item room fire produced by individual items. Fuel items represented typical shapes and sizes of furniture in a bedroom including a double bed, bedside tables, wardrobe, dressing table and chair. As all of the fuel items were made of seasoned pine timber, these are termed as “mock furniture”. Double bed and bedside tables also had cotton sheets above them. The ignition was attained by using a steel tray of methylated spirit. This study is motivated by the fact that multi-item solid fuel-burning experimental results are rarely available. First, a number of standalone items within the ISO room were burnt separately. Then, all of the items were placed within the ISO room, and the fire was allowed to spread throughout the room from one item to another. An attempt was made to reconstruct the full room burning from individual item burning. The heat release rate of the reconstructed fire is different from that of the full room multi-item furniture burn experiment. A list of possible causes has been explained.

This study aimed to conduct an ozone application within a triage area that receives patients with suspected cases of COVID-19 The ozone application was carried out for 10 min to disinfect the air and surfaces of different rooms within the triage area A 3D model for ozone spread in the doctor’s office was developed Higher counts of bacteria (3 3 × 102 CFU · m−3) and fungi (1 3 × 103 CFU · m−3) before ozone treatment were observed in the administrative room, which experienced greater circulation by healthcare workers In this room, ozone was highly effective in reducing bacterial (95%;P

Background Customarily, bedrooms in Japan are left unheated. Although several studies have reported that the use of a heating system has positive outcomes on respiratory infection and asthma, the preventive effect of heating systems against infectious diseases in children is not well known. Methods We conducted a cohort study using two questionnaire surveys, one before the winter season in November, 2018 and the second after winter in March, 2019. Participants were 155 children who did not use a heating system in the bedroom and 156 children who did. Results Having a heated bedroom with a heating system was associated with decreased odds for the frequency of cold (≥3 times) (adjust odds ratio [AOR] 0.35; 95% confidence interval [CI], 0.19-0.65), duration of fever (≥3 days) (AOR 0.38; 95% CI, 0.22-0.66), duration of medicine for a cold (≥3 days) (AOR 0.91; 95% CI, 0.87-0.95), hospital visit due to cold (≥3 days) (AOR 0.54; 95% CI, 0.31-0.94), absence from school or nursery (≥3 days) (AOR 0.43; 95% CI, 0.27-0.70), influenza infection (AOR 0.43; 95% CI, 0.26-0.71), and gastroenteritis (AOR 0.39; 95% CI, 0.21-0.72). Influenza vaccination reduced the odds of influenza infection (AOR 0.36; 95% CI, 0.22-0.59) and absence from school or nursery (≥3 days) (AOR 0.62; 95% CI, 0.39-0.99). Conclusion This study implies that the heating of bedrooms may have a preventive effect against infections among children. Broader dissemination of this knowledge in Japan will require cultural change through public health awareness.

This field study aimed to investigate naturally ventilated bedroom environment and its effects on subjective perception and sleep quality. Totally, 104 healthy subjects living in urban areas of Beijing participated in the study for one night during transition seasons. Bedroom environment parameters, including temperature, relative humidity, and CO2 concentration, were recorded before and during sleep. Objective sleep quality was measured by Fitbit Alta 2, a wrist-type actigraphy sensor. Subjective assessments were collected by paper-based questionnaires on sleep quality and environmental perceptions. The results showed that neutral temperature for waking state (before sleep) was estimated to be 23.8°C while for sleep state it was 26.5°C. Furthermore, pre-sleep thermal sensation vote was found to be positively correlated with deep sleep percentage. Indoor air quality was correlated with sleep quality as indicated by statistically significant correlations between odor intensity assessment, air quality acceptability, average nightly CO2 concentration, and measures of sleep quality. For naturally ventilated bedrooms during transition seasons with a mild outdoor climate, present findings suggest that a bedroom with slightly warm pre-sleep environment than neutral, and with high ventilation as indicated by low indoor CO2 concentration, could be beneficial for sleep quality of residents.

Background Our objective was the validation of a scale to assess the hygiene hypothesis and the link between hygiene, and asthma among 3 to 5 years old Lebanese children in preschool.Methods Between November 2018 and March 2019, this cross-sectional study was carried out, enrolled 515 preschool children’ asthma and potential risk factors, including hygiene, were assessed using a standardized questionnaire. A specific hygiene hypothesis related scale was generated and validated for this purpose.Results Items related to the hygiene hypothesis scale have led to a convergence over a nine factors solution, having over than 1 Eigenvalue, which explains the variance total of 65.86%. Cronbach’s alpha values corresponding to the hygiene hypothesis related scale (0.696) was deemed acceptable. The backward logistic regression, taking as dependent variable the asthma’s presence or absence in child, showed that living in prairie (ORa=2.42), playing outside (ORa=2.80), having respiratory problems (ORa=4.18), attending a kindergarten (ORa=2.76), and having a sister with seasonal allergy (ORa=6.86) had significant association with increased odds of occurrence of children’s asthma. The hygiene hypothesis related score was not found to be associated with increased asthma odds (p=0.663).Conclusion Current findings suggested that home cleaning and personal cleanliness were not correlated with asthma in preschool children. Future studies will require more in-depth analyses of microbial exposure, allowing proper identification of unequivocal species and functional characteristics.

COVID-19 has highlighted the disruptive, cross-sectorial effects a sudden-onset pandemic has on a globally interconnected world. A particularly insidious component is the high percentage of asymptomatic cases allowing the virus to seed undetected. The design of residential architecture will need to adapt to the new reality that COVID-19 will not be the last coronavirus epidemic. This paper discusses the implications of COVID-19 for new residential construction. It argues for a containment space, separating the largely uncontrollable external environment from the internal threat-reduced residential space, for a separation of visitor entertainment areas and private sleeping areas, as well as the design of a spatially separated master bedroom that can double as a self-isolation space if the need arises. The implications of this new design on existing housing stock are also discussed. The advocated concepts are novel and advance the design considerations for future residential developments.

Highlights • Evidence of correlates for physical activity rely mostly on subjective metrics. • We included sensor-based physical activity, sedentary time, and self-reported cell phone time. • A multiplicity of correlates were hierarchized using Chi-squared Automatic Interaction Detection analysis in 2179 youths. • Girls, sport participation/facilities, neighborhood, and family must be prioritized., Background Evidence on correlates relies on subjective metrics and fails to include correlates across all levels of the ecologic model. We determined which correlates best predict sensor-based physical activity (PA), sedentary time (ST), and self-reported cell phone screen time (CST) in a large sample of youth, while considering a multiplicity of correlates. Methods Using sensor-based accelerometry, we assessed the PA and ST of 2179 youths. A χ2 automatic interaction detection algorithm was used to hierarchize the correlates associated with too much ST (> 50th percentile), insufficient moderate-to-vigorous PA (MVPA) (, Graphical abstract Image, graphical abstract

Introduction Pharmacists, and thus pharmacy students, must participate in promoting awareness about proper storage and disposal of expired or unused medications. This study aimed to determine Saudi Arabian pharmacy students' knowledge and personal practices regarding storing and disposing of household medications. Methods This was a descriptive, cross-sectional, questionnaire-based study of pharmacy undergraduates or postgraduates across Saudi Arabia. The online survey was distributed to a convenience sample of participants and supplemented with snowball sampling on social media. Results: Of 807 pharmacy students who viewed the questionnaire, 464 students completed it (response rate 57.5%). Common reasons for keeping medications included having left-over medication (74%) and self-discontinuation of therapy (63.5%). The majority of students (79%) stored their medication in a bedroom or kitchen. Gender-specific variables revealed a gender difference in storing and disposing of these medications. Many students reported previously discarding medicines in the garbage (89%) or giving them to someone else to use (22%). More than half of the sample (60%) had not received any information on how to store or dispose of medications. Conclusions The current practice and knowledge of Saudi Arabian pharmacy students regarding storage and disposal of household medications was inappropriate. Concerned authorities (e.g., Ministry of Health, Ministry of Education) should provide proper education to all students on the safe storage and disposal of medications, which may necessitate curriculum reform.

The article describes the application of Python for verification of a newly designed method of CO2 prediction from measurements of indoor parameters of temperature and relative humidity within occupancy monitoring in real conditions of a family home. The article describes the implementation of non-electric quantities (indoor CO2 concentration, indoor temperature, indoor relative humidity) measurement in five rooms of a family home (living room, kitchen, children’s room, bathroom, bedroom) using Loxone technology sensors. The IBM IoT (Internet Of Things) was used for storing and subsequent processing of the measured values within the time interval of December 22, 2018, to December 31, 2018. The devised method used radial basis function (artificial neural networks (ANN)) mathematical method (implementation in Python environment) to perform accurate predictions. For further increase of the accuracy and reduction of prediction noise from the obtained course of the predicted signal, multiple variations of the LMS adaptive filter algorithm (Sign, Sign-Sign, Sign-Regressor) were used (implemented in the MATLAB SW tool). The accuracy of the newly proposed CO2 concentration prediction method exceeds 95% in the selected experiments.

Throughout Book III, Chapter 4 of Finnegans Wake—the penultimate chapter of Joyce's last book—Joyce uses references to the Biblical stories of Lot and Noah, and the myth of Tristan and Isolde, to set up the sexual dynamics of the chapter. This essay examines the connections of each of these stories of sexual transgression to the others and to the park incident. It also demonstrates how the chapter's bedroom scene is complicated by the husband's anxieties about incest and the wife's anxieties about pregnancy.

The first time the little green video icon lit up on Epic, my heart rate kicked up a notch After years of providing diabetes education to both individuals and groups, delivering virtual health care was making my palms sweat Like many educators, I rely on a variety of props, visual aids, drawings, and handouts to explain diabetes and how to manage it Many of us employ a multimedia approach to drive home key messages We look for physical clues from patients that indicate if they are engaged and comprehending We watch for the moment they lean in, when the light bulb goes off, and they respond, “Nobody has ever explained it that way before ”Over the years, I had developed an arsenal of tools and strategies to tackle the variety of questions that come up in diabetes education I had mastered the art of whiteboard illustrations and explaining digestion, absorption, insulin release, and glucose uptake in a way a fifth grader could understand Then COVID-19 hit, and I had to find a different way Ambulatory clinics were shut down In-person care was limited to necessary and urgent procedures only We were told to work from home, but just figuring out how to log into the health care system from my bedroom raised my cortisol level How was I going to empower patients through a video camera?

Background: screen-based sedentary behaviours likely have a negative impact on many aspects of youth health and development. The purpose of this study was to describe the screen-based sedentary behaviours and to examine factors associated in a sample of Italian school children. Methods: 2129 children, aged 8-9 years, from the three main geographical areas of Italy were involved. Body weight and height were measured. Screen-based sedentary behaviours were evaluated using a parent-reported questionnaire that included items about the time spent watching television (TV) and using computer/playstation and other electronic games. Pearson’s chi-square test and logistic regression analysis were conducted to study possible associated factors.Results: more time was spent in screen-based sedentary activities during non-school days rather than on school days. More males than females watched television more than the recommended 2 hours a day and spent the same time using computer (PC), playstation and other electronic games. The presence of a TV in the child’s bedroom was significantly associated with geographical area, and inversely associated with mother’s education. Moreover, children with a TV in the bedroom had higher odds of being overweight/obese and watching TV more than 2 hours a day than those without a TV. According to multiple logistic regression gender, mother’s age and mother’s education were predictors of the total screen time.Conclusions: Italian children spent a significant amount of time in screen-based sedentary behaviours, exceeding media recommendations. In addition gender, mother’s age and mother’s education were predictors of the total screen time.

The study aimed to know the factors contributing to the design of a bedroom in elderly housing. Sixty elderly women in the age of sixty and above who were able to perform their daily tasks independently were chosen for the study. Purposive sampling technique was adopted to draw the sample from the randomly selected study locations. Ex post facto research design was adopted for the study. The area selected to conduct the study was Kurnool district of Andhra Pradesh. The study was conducted in the year 2019-2020.The design guidelines for bedroom in elderly housing proposed by various organizations and authors served as a base for identifying the features to measure the existing bedroom in the elderly houses. An interview cum observation schedule was designed for collecting information about the existing bedroom in elderly houses. The elderly houses were physically observed by the researcher. The existing bedroom features were measured in terms of above the recommended guidelines, exactly as per the recommended guidelines, below the recommended guidelines with scores 3,2 and 1 respectively. Frequencies and percentages were calculated for the existing bedroom features. Analysis of Variance was done to find out the relationship between independent and dependent variables of the study and Regression analysis was performed to know the factors contributing towards bedroom design. The clearance spaces in the bedroom between was found to be satisfactory in slightly more than half of the study sample. The Significant mean difference was found between the existing bedroom and (i)type of house and (ii)family income. The two major variables that contributed to designing a bedroom as per the design guidelines were the ‘Type of the house’ followed by ‘Family income’ of the elderly people.

The continual increase of the elderly population will render Malaysia with an ageing nation status by 2030. However, less emphasise was taken to accommodate the needs and preferences. This study aims to provide a comprehensive overview of the Elderly-Friendly Housing Design Features Preferences among Malaysians by using the mixed-method research strategy. Six (6) identified elderly-friendly housing design features preferences were; (1) Bathroom; (2) Bedroom; (3) Kitchen; (4) Floor; (5) Living Room; and (6) Staircase. The revealed findings will assist the industry in understanding the elderly housing needs and preferences better to enhance the quality of life of the Malaysian generations. Keyword: Elderly (Senior) Generation, Elderly-friendly housing, Elderly-Friendly Housing Design Features eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2510.

This article looks at the appearance of domestic spaces on the popular livestreaming platform Twitch.tv, with a focus on livestreams that appear to be shot in streamers’ bedrooms. Many Twitch streamers broadcast from their homes, making domestic space central to questions of placemaking for this rapidly growing digital media form. Within the home, bedrooms merit particular attention because they carry particular cultural connotations; they are associated with intimacy, embodiment, and erotics. Drawing from observations of gaming and nongaming streams, we map where bedrooms do and do not appear on Twitch. We locate the majority of bedrooms in categories that foreground connections between streamers and viewers, like Just Chatting, Music & Performing Arts, and autonomous sensory meridian response (ASMR). By contrast, across a wide range of video game genres, bedrooms remain largely absent from gaming streams. The presence of bedrooms on Twitch also breaks down along gender lines, with women streaming being far more likely to broadcast from their bedrooms than men. Here, we build from existing research on both livestreaming and digital placemaking to argue for an understanding of place on Twitch as fundamentally performative. This performance is inherently gendered and bound up with the affective labor of streaming. In addition, we demonstrate how the bedroom, even when it does not appear on screen, can be understood as a ‘structuring logic’ of placemaking on Twitch. Given the history of livestreaming, which grows out of women’s experiments with online ‘lifecasting’, the bedroom sets expectations for the type of spatial and emotional access a stream is imagined to offer viewers. In this sense, the absence of bedrooms in gaming streams can be understood as a disavowal of intimate domestic space: an attempt by predominantly male streamers to distance themselves from the implicit parallels between livestreaming and practices like webcam modeling.

The films of Chantal Akerman explore one of the key issues in the representation of female desire: the debate about the mechanisms of a language which, according to Laura Mulvey, is based on a male gaze founded on scopophilia, voyeurism, and fetishism. This article uses the film La captive (2000) and the desire between its two protagonists, Ariane and Simon, to reconsider the link established in feminist theory between language, the gaze, and desire. My hypothesis is that the confinement of Akerman’s female protagonist, expressed through the two dimensions of submission and intimacy, takes an approach to female desire that constitutes an alternative to the forms of the gaze associated with the male tradition of representation. This approach engages in a close dialogue with the concept of desire posited by Emmanuel Levinas, whose ideas had a huge influence on Akerman’s understanding of how to film the Other, as well as the relationship between the image and its observer.

Are memes theory? Memes and femmes are both marked by failure; femmes fail to be sufficiently feminine, or sufficiently queer, memes fail as cultural productions, plagued by low-culture. Together, ...

Bedroom ventilation is crucial for providing good indoor air quality, which may contribute to achieving undisturbed sleep. This study presents a detailed characterization of bedroom carbon dioxide ...

The use of natural ventilation strategy in a building is currently encouraged by the emergence of a pandemic Covid-19. In addition to its advantages in minimizing the use of electrical energy, the natural ventilation system is believed could reduce the possibility of spreading the virus. One design approach to this system is by using the window's design properly. Air movement inside a building should be utilized well to allow the movement from inlet to outlet. The position of the window was one of the variables examined in this study besides the types of the window. This study found that the use of a combination of 300 awnings produced the highest airspeed in the living room (R1), while a combination of horizontal sliding windows resulted in the highest air velocity in the bedroom (R2). Still, the airspeed generated from the two combinations less than the minimum level of it is generally required, 0.75 – 0.9 m/s.

Background The Golden Retriever Lifetime Study (GRLS) is one of the largest canine cohort studies undertaken in the United States to date. This study design allows for evaluation of multiple exposures and outcomes throughout the lifetime of each dog, but relies on participants to comply with study requirements over a long period of time. Failure to do so can lead to biased reporting of results. Objectives To examine factors associated with dog owner compliance for GRLS. Animals Golden Retrievers (n = 3044) whose owners elected to participate in GRLS. Methods Prospective, cohort study. A logistic regression model was constructed to examine associations between data collected at the time of initial enrollment in GRLS and the outcome of failure to fulfill all study obligations at the end of the first year after enrollment in GRLS. Results There were 192 (6.3%) owners who did not comply with study requirements 1 year after enrollment. Owners of dogs without a record of vaccination had nearly 4 times higher odds (adjusted OR: 3.7, 95% CI: 1.5, 9.2) of being noncompliant than owners of vaccinated dogs and owners of dogs that slept in the garage had nearly 6 times higher odds (adjusted OR: 5.7, 95% CI: 1.9, 17.0) of being noncompliant than owners of dogs that slept in their bedroom. Conclusions and clinical importance Survey questions about a dog's sleeping location at night and vaccination status are important indicators of an owner's odds of compliance in a prospective study. Use of similar questions during enrollment in cohort studies might help to predict owner compliance that can aid in subject selection.