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Compensation for occupational pulmonary diseases requires the establishment of guidelines based on standardized and objective criteria, in order to provide compensation that is as fair as possible to patients who suffer from them. A review of the elements necessary for the examination of an individual file was carried out by a working group. It is accepted that respiratory functional exploration is the key element in assessing the level of permanent disability in all of these conditions, with the exception of thoracic malignancies. Guiding scales have been developed for the respiratory impairment of three types of conditions: occupational asthma, thoracic malignancy, and other respiratory diseases. Additional criteria for increasing the permanent disability level are also proposed in order to take into account professional prejudice, in particular the possibility or not of continuing the occupational activity, in the same job or after changing to another. For certain respiratory diseases, a periodic reassessment of the initially attributed permanent disability level is recommended as well as the initial one at the time of definitive cessation of occupational activity.

Resume La commande automatique de la ventilation prend son origine dans le tronc cerebral au niveau des neurones pacemaker du complexe pre-Botzinger et du groupe respiratoire parafacial. Le syndrome d’Ondine est le syndrome d’hypoventilation alveolaire centrale congenitale. Cette maladie est responsable d’une reduction voire d’une absence totale de reponse ventilatoire a l’hypercapnie, qui entraine des hypoventilations tres severes et mortelles pendant le sommeil et parfois a l’eveil. Le traitement en est l’assistance ventilatoire ou parfois pose de stimulateur phrenique. Il n’y a pas de noyau retrotrapezoide dans le bulbe rachidien. Des manifestations dysautonomiques sont presentes. Des formes a revelation tardive existent chez l’adulte.

Aim The neural structures responsible for the coupling between ventilatory control and pulmonary gas exchange during exercise have not been fully identified. Suprapontine mechanisms have been hypothesized but not formally evidenced. Because the involvement of a premotor circuitry in the compensation of inspiratory mechanical loads has recently been described, we looked for its implication in exercise-induced hyperpnea. Methods Electroencephalographical recordings were performed to identify inspiratory premotor potentials (iPPM) in eight physically fit normal men during cycling at 40 and 70% of their maximal oxygen consumption (O2max). Relaxed pedalling (0 W) and voluntary sniff manoeuvres were used as negative and positive controls respectively. Results Voluntary sniffs were consistently associated with iPPMs. This was also the case with voluntarily augmented breathing at rest (in three subjects tested). During the exercise protocol, no respiratory-related activity was observed whilst performing bouts of relaxed pedalling. Exercise-induced hyperpnea was also not associated with iPPMs, except in one subject. Conclusion We conclude that if there are cortical mechanisms involved in the ventilatory adaptation to exercise in physically fit humans, they are distinct from the premotor mechanisms activated by inspiratory load compensation.

The following is a review of some of the work that we have done since 2007 regarding the importance of molds in the phenomenon of sick building syndrome (SBS). In these studies we first examined mold contamination in air handling units (AHU). Our results showed that Cladosporium sp. were commonly recovered in AHU as growth sites and free spores. They were found mainly on the blower wheel fan blades, the ductwork, and cooling coil fans. Our results showed that the presence of species of molds other than Cladosporium in locations other than the blower wheel blades indicated that the AHU condition was not optimal. In a series of three papers, we examined growth and mycotoxin production by Chaetomium globosum (CG). In these studies we showed that CG produces two potent mycotoxins, chaetoglobosin A (Ch-A) and chaetoglobosin C (Ch-C) when grown on building material. We discovered that these toxins break down when exposed to temperatures in excess of 75 degrees C. We also showed that growth and mycotoxin production by CG is favored at a neutral pH. In another study, we showed that mycotoxins can be detected in body fluids and human tissues from patients exposed to mycotoxin producing molds, and we showed which human tissues or fluids were the most likely to give positive results for detection of these compounds. Finally, we showed that the macrocyclic trichothecene mycotoxins (MTM) produced by Stachybotrys chartarum (SC) are detectable in experimental animals soon after exposure and we described the dynamics of MTM tissue loading.

Damage to human neurological system cells resulting from exposure to mycotoxins confirms a previously controversial public health threat for occupants of water-damaged buildings. Leading scientific organizations disagree about the ability of inhaled mycotoxins in the indoor environment to cause adverse human health effects. Damage to the neurological system can result from exposure to trichothecene mycotoxins in the indoor environment. This study demonstrates that neurological system cell damage can occur from satratoxin H exposure to neurological cells at exposure levels that can be found in water-damaged buildings contaminated with fungal growth. The constant activation of inflammatory and apoptotic pathways at low levels of exposure in human brain capillary endothelial cells, astrocytes, and neural progenitor cells may amplify devastation to neurological tissues and lead to neurological system cell damage from indirect events triggered by the presence of trichothecenes.

The objectives of this study were to determine the concentration of endotoxin, determine 20 water quality variables, and identify and enumerate fungal and bacterial pathogens from United States southern High Plains dairy lagoons and control lakes during summer and winter. Water samples were collected in triplicate from the north, south, east, and west quadrants of each body of water. The mean (+/- SEM) winter dairy lagoon endotoxin concentration was significantly higher (9,678+/-1,834 ng/mL) than the summer concentration (3,220+/-810 ng/mL). The mean endotoxin concentration of the 2 control lakes (summer: 58.1+/-8.8 ng/mL; winter: 38.6+/-4.2 ng/mL) was significantly less than that of the dairy lagoons. Two hundred-one Salmonella enterica spp. isolates were identified, 7 serovars were recovered from the dairy lagoons, and 259 Salmonella ssp. were identified from 5 other dairy locations (milk barn, ditch effluent, settling basin, feed alley pad flush, and center pivots). Twenty-eight Salmonella spp. were identified from center pivot water. Escherichia coli O157:H7 pathogens were isolated from other dairy locations but not from lagoons. Neither Salmonella spp. nor E. coli O157:H7 were identified from control lakes. Enterobacteriaceae opportunistic pathogens were isolated from both dairies and control lakes. Important mesophilic and thermophilic catabolic (to manure biosolids) fungal isolates were identified from dairy effluent locations, but no thermophilic fungal isolates were cultured from the control lakes. Adequate curing of green forage following center pivot irrigation is important to kill lagoon water enteric pathogens, even though the lagoon water is mixed with fresh water. Recirculating lagoon water to flush the feed alley pad, where cows stand while eating, to remove manure and using lagoon water to abate dairy dust in loafing pens and unimproved dairy roads is inconsistent with good environmental practice management.

The objectives were to quantify and size ambient aerosolized dust in and around the facilities of 4 southern High Plains dairies of New Mexico and to determine where health of workers might be vulnerable to particulate aerosols, based on aerosol concentrations that exceed national air quality standards. Ambient dust air samples were collected upwind (background) and downwind of 3 dairy location sites (loafing pen boundary, commodity, and compost field). The indoor milking parlor, a fourth site, was monitored immediately upwind and downwind. Aerosolized particulate samples were collected using high-volume sequential reference air samplers, laser aerosol monitors, and cyclone air samplers. The overall (main effects and estimable interactions) statistical general linear model statement for particulate matter (PM(10); particulate matter with an aerodynamic diameter of up to 10 microm) and PM(2.5) resulted in a greater mean concentration of dust in the winter (PM(10) = 97.4 +/- 4.4 microg/m(3); PM(2.5) = 32.6 +/- 2.6 microg/m(3)) compared with the summer (PM(10) = 71.9 +/- 5.0 microg/m(3); PM(2.5) = 18.1 +/- 1.2 microg/m(3)). The upwind and downwind boundary PM(10) concentrations were significantly higher in the winter (upwind = 64.3 +/- 9.5 microg/m(3); downwind = 119.8 +/- 13.0 microg/m(3)) compared with the summer (upwind = 35.2 +/- 7.5 microg/m(3); downwind = 66.8 +/- 11.8 microg/m(3)). The milking parlor PM(10) and PM(2.5) concentration data were significantly higher in the winter (PM(10) = 119.5 +/- 5.8 microg/m(3); PM(2.5) = 55.3 +/- 5.8microg/m(3)) compared with the summer (PM(10) = 88.6.0 +/- 5.8 microg/m(3); PM(2.5) = 21.0 +/- 2.1 microg/m(3)). Personnel should be protected from high aerosol concentrations found at the commodity barn, compost field, and milking parlor during the winter.

Macrocyclic trichothecenes, mycotoxins produced by Stachybotrys chartarum, have been implicated in adverse reactions in individuals exposed to mold-contaminated environments. Cellular and humoral immune responses and the presence of trichothecenes were evaluated in patients with mold-related health complaints. Patients underwent history, physical examination, skin prick/puncture tests with mold extracts, immunological evaluations and their sera were analyzed for trichothecenes. T-cell proliferation, macrocyclic trichothecenes, and mold specific IgG and IgA levels were not significantly different than controls; however 70% of the patients had positive skin tests to molds. Thus, IgE mediated or other non-immune mechanisms could be the cause of their symptoms.

The following is a review of some of the work we have done since 2004 regarding the importance of molds and their mycotoxins in the phenomenon of sick building syndrome (SBS). In these studies we showed that the macrocyclic trichothecene mycotoxins (MTM) of Stachybotrys chartarum (SC) are easily dissociated from the surface of the organism as it grows and could therefore be consequently spread in buildings as the fungus experiences additional water events. We then showed that SC and Penicillium chrysogenum (PC) colonies remain viable long after a water source has been removed, and the MTM produced by SC remain toxic over extended periods of time. We next showed that PC when inhaled, can release in vivo, a protease allergen that can cause a significant allergic inflammatory reaction in the lungs of mice. We then showed, in a laboratory study, that the MTM of SC can become airborne attached to spores or SC particulates smaller than spores. Following that study, we next showed that the same phenomenon actually occurred in SC infested buildings where people were complaining of health problems potentially associated with SBS. Finally, we were able to demonstrate the presence of MTM in the sera of individuals who had been exposed to SC in indoor environments. This last study was done with enough mold exposed individuals to allow for the statistical significance of SC exposure to be evaluated.

This study demonstrates the detection and dynamics of macrocyclic trichothecene mycotoxin (MTM) tissue loading using a commercially available assay in a goat model. The detection of MTMs has been difficult and complex due to the uncertainty of what tissues to examine and when to sample. Twelve goats (two groups of each) were instilled with Stachybotrys chartarum conidial suspension via the trachea. The first group was challenged repeatedly with fungal conidia containing 1 mg/kg of MTM per instillation whereas the second group was exposed once, to spores with a calculated concentration of 5 µg/kg of mycotoxin. These toxin estimates were generated by the QuantiToxTM Kit assay; a conidium of S. chartarum possessed 8.5 pg of MTM. After repeated exposure of 3 days, MTM was detected in one of six animals. This animal and two others from the same group had mycotoxin detected in their serum 24 hours after challenge at a comparable level (1.69 ng/mL) to the six animals challenged with a single dose (2.02 ng/mL) at the same time post-instillation. Results showed that MTMs are detectable in experimental animals soon after challenge and contribute to the understanding of the role of these mycotoxins in the disease process following mold exposure.

In this article, we are interested in the impact of the mechanical characteristics of the bronchial tree and lung parenchyma on the gas exchange capacity of the human lungs. Objectives. The precise role of the airway smooth muscle (ASM) remains a matter of debate. ASM could have a structural function, to confer transport optimized mechanical properties to the bronchial tree. To test this hypothesis, the present model analysis investigates how ASM-dependent changes in respiratory mechanics can influence the efficiency of the lungas gas exchangers. Method. To this aim, two models have been elaborated. The first one is a single compartment model of the respiratory system that is accurate enough to predict the behaviour of the system during a complex dynamical situation (the forced inspiratory-expiratory maneuver that is performed during spirometric evaluations). The second one is an oxygen absorption model. The two models are coupled in series. The effects of changes in the parameters of the mechanical model on the performance of the gas exchange model are described. Results. The model shows that the mechanical response of the bronchial tree to the dilating forces related to inspiration is among the determinants of this efficiency. At one extreme, a fully rigid bronchial tree would be counterproductive by preventing sufficient amounts of gas to flow through it and reach the alveoli. At the other extreme, a fully distensible bronchial tree would allow greater inspiratory volumes to enter the thorax, but would compromise gas exchange efficiency by decreasing the alveolar volume, hence the membrane surface available for oxygen transfer (deadspace effect). This supports the hypothesis that ASM has a transport optimizing structural function. Conclusions. This is supported by physiological observations compatible with deadspace increases following the administration of ASM-relaxing agents, i. e. bronchodilators.

Forty-five, weanling goats of mixed-sex, were randomly allotted to five treatment groups: no dust (n = 16), raw organic dust exposure for 15 min (n = 6), raw organic dust exposure for 1 h (n = 7), raw organic dust exposure for 3 h (n = 7), and raw organic dust exposure for 4 h (n = 9). Inhalation exposures were performed in a closed tent for the allotted times. The amount of endotoxin calculated to be in the dust was shown to be 26.9 μg/g. The amounts of dust introduced into the tent for each time period were 4.58 g/m3 of air for 15 min; 7.46 g/m3 of air for 1 h; 14.82 g/m3 of air for 3 h; and 40.60 g/m3 of air for 4 h. There was a significant increase in the white blood cell count in the animals dusted for 4 h, at 8 and 12 h following exposure. There was a significant decrease in the peripheral lymphocyte cell count following the 15 min exposure at 12 h post exposure, and there was a significant increase in the peripheral lymphocyte cell count following the 4 h exposure, 24 h after the exposure. There was a significant increase in the neutrophil cell count 8 and 12 h following the 4 h exposure, while there was a significant decrease in the neutrophil cell count 48 h following the 4 h exposure. There was a significant increase in the rectal temperatures of all goats receiving the 4 h dust exposure at all time periods (0 time, 4, 12, 24, and 48 h). There was a significant increase in the rectal temperatures of goats following the 1 h exposure, 8 h later. These results indicate that the larger the dose of inhaled endotoxin, the higher the resultant fever and leukocytosis.

The objective of this study was to quantify, size, and examine the composition of particulates found in ambient aerosolized dust of four large feedyards in the Southern High Plains. Ambient air samples (concentration of dust) were collected upwind (background) and downwind of the feedyards. Aerosolized particulate samples were collected using high volume sequential reference ambient air samplers, PM 10 and PM 2.5 , laser strategic aerosol monitors, cyclone air samplers, and biological cascade impactors. Weather parameters were monitored at each feedyard. The overall (main effects and estimable interactions) statistical (P < 0.0001) general linear model statement (GLM) for PM 10 data showed more concentration of dust (μg/m 3 of air) downwind than upwind and more concentration of dust in the summer than in the winter. PM 2.5 concentrations of dust were comparable for 3 of 4 feedyards upwind and downwind, and PM 2.5 concentrations of dust were lower in the winter than in the summer. GLM (P < 0.0001) data for...

An environmental microbiologic investigation was conducted in an alligator (Alligator mississippiensis) holding facility in a zoo in the southeastern U.S. The facility had housed five alligators between March 1999 and February 2005. In the exhibit, one alligator died and all experienced poor health. It was hypothesized that environmental microbial contamination was associated with these issues. Samples were collected for fungal identification and quantification, microcystin analysis, and airborne mycotoxins. Analyses of air and water were conducted and an examination of the heating, ventilation, and air-conditioning system (HVAC) for design, maintenance, and operating issues was made. Two control sites, a facility for false gharials (Tomistoma schlegelii) and an off-site alligator breeding facility, were also tested. Morbidity and mortality records were examined for all sites. Results showed that, compared to the control sites, the test alligator facility and its HVAC system were extensively contaminated with a range of fungi. Nearly all sampled surfaces featured fungal growth. There were also significantly higher counts of Penicillium/Aspergillus-like and Chrysosporium-like spores in the air (P < 0.004). The design, maintenance, and operation of the HVAC system were all inadequate, resulting in poorly conditioned and mold-contaminated air being introduced to the facility. Morbidity records revealed solitary pulmonary disorders over time in three alligators, with one dying as a result. The other two alligators suffered from general malaise and a range of nonspecific symptoms. The control facilities had no morbidity or mortality issues. In conclusion, although no causal links could be demonstrated because of the nature of the morbidity data, environmental mold contamination appeared to be associated with the history of morbidity and mortality in the alligator exhibit.

Las pruebas funcionales respiratorias comprenden una amplia gama de estudios que permiten valorar el funcionamiento normal y patologico del aparato respiratorio. Casi todas requieren una buena cooperacion por parte de los pacientes. Los volumenes gaseosos movilizados pueden medirse con un espirometro o un neumotacografo. Este ultimo determina los flujos respiratorios, lo que permite construir curvas de flujo-volumen. Los volumenes no movilizados pueden medirse con tecnicas de dilucion de helio, de depuracion de nitrogeno o de pletismografia, que es la tecnica de referencia. Los volumenes pulmonares medidos con maniobras lentas y forzadas permiten definir los trastornos restrictivos y obstructivos de la ventilacion. Los musculos respiratorios, elementos activos del aparato respiratorio, pueden valorarse por su aptitud para producir presiones, tanto maximas y estaticas como de aspiracion. La exploracion del diafragma debe realizarse mediante tecnicas especificas, con estimulacion de los nervios frenicos. Los intercambios gaseosos se valoran midiendo la gasometria en reposo y, si es necesario, durante el ejercicio y por el factor de transferencia del CO. Para interpretar los resultados, es necesario que la realizacion de los estudios este bien estandardizada y se conozcan los valores normales para la poblacion considerada.

The existence of airborne mycotoxins in mold-contaminated buildings has long been hypothesized to be a potential occupant health risk. However, little work has been done to demonstrate the presence of these compounds in such environments. The presence of airborne macrocyclic trichothecene mycotoxins in indoor environments with knownStachybotrys chartarumcontamination was therefore investigated. In seven buildings, air was collected using a high-volume liquid impaction bioaerosol sampler (SpinCon PAS 450-10) under static or disturbed conditions. An additional building was sampled using an Andersen GPS-1 PUF sampler modified to separate and collect particulates smaller than conidia. Four control buildings (i.e., no detectableS. chartarumgrowth or history of water damage) and outdoor air were also tested. Samples were analyzed using a macrocyclic trichothecene-specific enzyme-linked immunosorbent assay (ELISA). ELISA specificity was tested using phosphate-buffered saline extracts of the fungal generaAspergillus,Chaetomium,Cladosporium,Fusarium,Memnoniella,Penicillium,Rhizopus, andTrichoderma, fiveStachybotrysstrains, and the indoor air allergens Can f 1, Der p 1, and Fel d 1. For test buildings, the results showed that detectable toxin concentrations increased with the sampling time and short periods of air disturbance. Trichothecene values ranged from 1,300 pg/m3of sampled air. The control environments demonstrated statistically significantly (P< 0.001) lower levels of airborne trichothecenes. ELISA specificity experiments demonstrated a high specificity for the trichothecene-producing strain ofS. chartarum. Our data indicate that airborne macrocyclic trichothecenes can exist inStachybotrys-contaminated buildings, and this should be taken into consideration in future indoor air quality investigations.

Resume Introduction L’hyperventilation neurogene centrale chez un patient avec un niveau de conscience parfaitement preserve est une entite rare. Observation Nous rapportons l’observation d’un patient âge de 54 ans ayant presente une hyperventilation neurogene centrale isolee, revelatrice d’un lymphome primitif du tronc cerebral. L’evolution fut favorable, parallelement a la reponse du lymphome au traitement par chimiotherapie. Discussion La plupart des cas decrits dans la litterature sont associes a une tumeur infiltrante du tronc cerebral, avec une sur-representation importante des lymphomes cerebraux primitifs. Les mecanismes physiopathologiques a l’origine de ce syndrome restent en grande partie meconnus. L’une des hypotheses est la deconnexion par la tumeur des influx inhibiteurs provenant en premier lieu du pont, mais egalement du cortex ou du thalamus, et diriges vers les centres respiratoires bulbaires.

The growth of indoor molds and their resulting products (e.g., spores and mycotoxins) can present health hazards for human beings. The efficacy of chlorine dioxide gas as a fumigation treatment for inactivating sick building syndrome-related fungi and their mycotoxins was evaluated. Filter papers (15 per organism) featuring growth of Stachybotrys chartarum , Chaetomium globosum , Penicillium chrysogenum , and Cladosporium cladosporioides were placed in gas chambers containing chlorine dioxide gas at either 500 or 1,000 ppm for 24 h. C. globosum was exposed to the gas both as colonies and as ascospores without asci and perithecia. After treatment, all organisms were tested for colony growth using an agar plating technique. Colonies of S. chartarum were also tested for toxicity using a yeast toxicity assay with a high specificity for trichothecene mycotoxins. Results showed that chlorine dioxide gas at both concentrations completely inactivated all organisms except for C. globosum colonies which were inactivated an average of 89%. More than 99% of ascospores of C. globosum were nonculturable. For all ascospore counts, mean test readings were lower than the controls ( P < 0.001), indicating that some ascospores may also have been destroyed. Colonies of S. chartarum were still toxic after treatment. These data show that chlorine dioxide gas can be effective to a degree as a fumigant for the inactivation of certain fungal colonies, that the perithecia of C. globosum can play a slightly protective role for the ascospores and that S. chartarum , while affected by the fumigation treatment, still remains toxic.

The efficacy of chlorine dioxide (ClO2) in detoxifying two potential bioterrorism agents, the trichothecene mycotoxins verrucarin A and roridin A, was evaluated. In the first experiment, verrucarin A (1, 5, or 10 μg) and roridin A (5 or 10 μg) were each inoculated onto square-inch sections of glass, paper, and cloth and exposed to 1000 ppm of ClO2 for either 24 or 72 h at room temperature. In the second experiment, verrucarin A and roridin A (1 or 2 ppm in water) were treated with 200, 500, or 1000 ppm ClO2 for up to 116 h at room temperature in light and dark conditions ( N = 9 per treatment for test and control). A yeast assay using Kluyveromyces marxianus was used to quantify the toxicity of verrucarin A and roridin A. Additionally, high-performance liquid chromatography was performed on selected samples. Results for the first experiment showed that ClO2 treatment had no detectable effect on either toxin. For the second experiment, both toxins were completely inactivated at all tested concentrations in as little as 2 h after treatment with 1000 ppm ClO2. For verrucarin A, an effect was seen at the 500 ppm level, but this effect was not as strong as that observed at the 1000 ppm level. Roridin A toxicity was decreased after treatment with 200 and 500 ppm ClO2, but this was not significant until the 24-h exposure time was reached. These data show that ClO2 (in solution) can be effective for detoxification of roridin A or verrucarin A at selected concentrations and exposure times.

Highly respirable particles (diameter

Two experiments were conducted regarding the culturability and toxicity of fungi located on building materials over time and the efficacy of seven laboratory techniques in recovering culturable fungi from sample swabs. In the first experiment, eight sections of drywall were inoculated with Stachybotrys chartarum and stored at 25 +/- 5 degrees Celsius and 20-60% relative humidity (RH) for up to two years. Another eight sections of ceiling tile were stored at 100% RH for 1 year. Six sections of ceiling tile and 15 swabs were also inoculated with Penicillium chrysogenum and S. chartarum respectively and stored under the same conditions for 8 months and 3.3 years. All materials were tested for culturability at the end of the storage period. S. chartarum-inoculated samples were also tested for toxicity. In the second experiment (replicated twice), S. chartarum and Chaetomium globosum were inoculated onto 84 swabs each. Storage was up to 266 days at 25 +/- 5 degrees Celsius and 20-60% RH. Seven techniques were compared regarding the recovery of culturable fungi from the swabs over different time points. Results for Experiment 1 showed that all samples were culturable after the storage period and that the S. chartarum-inoculated drywall samples were toxic. In Experiment 2, all techniques showed high rates of recovery. These data show that despite being without a water source, these organisms can be culturable and toxic after long periods of time under conditions similar to human-occupied dwellings and that a number of preparation techniques are suitable for the recovery of these fungi from inoculated swabs.

Background: Recent evidence has shown that viable conidia from the fungus Penicillium chrysogenum induce allergic effects in mice. The present study was conducted to determine the specific allergic dose response of C57BL/6 mice to the protease extract, Pen ch, isolated from viable P. chrysogenum conidia. Methods: Mice were treated with primary intraperitoneal (IP) injections of 10 or 100 μg of Pen ch adsorbed to alum, followed by weekly IP injections of 0.1, 1.0, or 10.0 μg Pen ch with alum for 4 weeks, and with 10.0 μg of Pen ch by intranasal (IN) inoculations the final 2 weeks before killing. Results: Intraperitoneal injections of 10 and 100 μg of Pen ch for 5 weeks followed by 2 weeks of IN instillation of 10 μg induced significant increases of total serum immunoglobulin (Ig)E and IgG1. Bronchoalveolar lavage cell counts revealed increased numbers of eosinophils and neutrophils. Histopathological examination of lungs detected perivascular inflammation by eosinophils and neutrophils and increased mucous production. Conclusions: The data presented in this study indicate that sensitization to protease allergens released by viable P. chrysogenum conidia in vivo induce a strong allergic inflammatory response in a murine model, which could have implications for people exposed to high levels of conidia of this organism.

To describe children symptoms before and after an indoor fungal problem was publicized. Children attending one of two elementary schools (one with indoor fungal problems and one without) were included in this study. The study included an analysis of symptoms reported by the nurses before and after the indoor fungal problem was publicized and a questionnaire responded to by the parents. Several symptoms related to exposure to mold were found to be statistically significant in the school with an indoor fungal problem before the problem was detected: the symptoms included coughing/wheezing, headaches and joint pains. After the problem was publicized the perception of symptoms increased.

Objective—To compareSalmonellaisolates cultured from feedyard and nonfeedyard (control) playas (ie, temporary shallow lakes) of the Southern High Plains.Sample Population—Water and muck (sediment) samples were obtained from 7 feedyard playas and 3 nonfeedyard playas in the winter and summer.Procedure—Each water and muck sample was enriched with sulfur-brilliant-green broth and incubated in a shaker at 37°C for 24 hours. A sample (100 mL) of the incubated bacterial-enriched broth was then mixed with 100 mL of fresh sulfur-brilliant-green enrichment broth and incubated in a shaker at 37°C for 24 hours. After the second incubation, a swab sample was streaked on differential media. SuspectSalmonellaisolates were further identified by use of biochemical tests, and Salmonella isolates were confirmed and serovar determinations made.Results—Salmonellaisolates were not recovered from the 3 control playas. SevenSalmonellaenterica serovars were isolated from 5 of 7 feedyard playas in the summer, and 13 S enterica serovars were isolated from 7 of 7 feedyard playas in the winter. In the summer, 296 isolates were cultured, and 47 wereSalmonellaorganisms. In the winter, 288 isolates were cultured, and 171 wereSalmonellaorganisms.Conclusions and Clinical Relevance—Results indicated that feedyard playas are frequently contaminated with manySalmonellaserovars. These pathogens should be considered whenever feedyard managers contemplate the use of water from these playas. Water from feedyard playas should not be used to cool cattle in the summer or for dust abatement. (Am J Vet Res2004;65:40–44)

Background: Previous evidence by our laboratory has shown that mice inoculated with viable Penicillium chrysogenum conidia or spores at levels comparable to those found in contaminated buildings induced spore antigen-specific allergic responses. We proposed that mice exposed to low levels of viable P. chrysogenum conidia would not develop allergic symptoms. We also hypothesized that the symptoms induced by high numbers of conidia were the result of sensitization to allergens released by the conidia. Methods: C57BL/6 and BALB/c mice were exposed to 1 × 102 viable P. chrysogenum conidia by intranasal instillation weekly for a period of 11 weeks. C57BL/6 mice were also sensitized to a viable P. chrysogenum conidia protease extract by intraperitoneal injections for a period of 6 weeks followed by intranasal challenge with protease extract, viable, or nonviable P. chrysogenum conidia for 2 weeks. Results: C57BL/6 mice inoculated with low numbers of conidia developed no significant lung inflammation or increased serum immunoglobulins. Mice sensitized to the protease extract and challenged with both protease extract and viable conidia produced significant increases in serum IgE and IgG1. Mice sensitized to and challenged with the protease extract developed significant eosinophilia and mucus hyperproduction as determined by bronchoalveolar lavage and histopathological examination of lung tissue. Conclusions: Mice did not develop allergic symptoms in response to challenge with low levels of P. chrysogenum conidia. Protease allergens from viable conidia induced specific allergic responses in mice, indicating the importance of P. chrysogenum conidia in allergic sensitization to the organism.

A total of 110 sites from five zoological institutions were examined to determine whether fungi associated with sick building syndrome (SBS) were prevalent in the exhibits or night-time holding facilities and to investigate whether the presence of these organisms was associated with declining breeding rates or increases in morbidity and mortality (or both). Each site was sampled with an Andersen two-stage air sampler using Sabourauds dextrose agar media and a Burkard personal volumetric air sampler. Suspect surfaces were also sampled. High levels of airborne Penicillium chrysogenum, a fungal species associated with poor indoor air quality, were recovered from 16 sites out of all five institutions. Five culturable growth sites of Stachybotrys chartarum, a species strongly associated with SBS and commonly known as "black mold," were recovered from surfaces at two institutions. A wide range of other fungal species was recovered in low numbers from all institutions. A Fisher exact test analysis showed a significant nonrandom association between high levels of P. chrysogenum and sites with records of poor animal health. This study indicated that significant numbers of airborne fungi associated with SBS and poor indoor air quality are present in zoological institutions and that they could affect animal health and reproduction rates and zoo staff.

Forty-two, mixed-sex, weanling goats were randomly allotted to six treatment groups: principal autoclaved dust ( n = 6), control non-autoclaved dust (n = 6), principal dry-heat dust (n = 6), and control non-dry-heat dust (n = 6). Principals were treated with appropriate dust for one 4 h treatment in a closed tent. The data from the principal dust group ( n = 9) and the control non-dust group (n = 9) were recorded after one 4 h dust treatment prior to the start of the present study. The endotoxin (ET) concentrations were determined for autoclaved dust (13.3g ET/g), dry-heated dust (0.173g ET/g), and non-treated dust 26.9g ET/g. The tent aerosolized dust concentrations were: autoclaved dust 0.369 g/(m 3 min) with 4.904g ET/(m 3 min); dry-heated dust 0.347 g/(m 3 min) with 0.0015g ET/(m 3 min); and non-treated dust 0.539 g/(m 3 min) with 4.904g ET/(m 3 min). These ET aerosol concentrations caused the autoclave dust goat group and the non-treated dust goat group to significantly increase their rectal temperatures at 4, and 8 h and total white blood cells (WBCs) increased at 12 and 24 h compared to their respective non-dust control groups. The dry-heat aerosol dust ET concentration in the tent did not induce an increased mean rectal temperature response or an increased mean total WBC count. Of the three principal dust products only the non-treated dust contained viable microbes. Published by Elsevier Science B.V.

Weanling female Spanish goats ( n =36) were randomly allotted to four treatment groups (each group, n =9): principal dust group with antibiotic; principal dust group without antibiotic; control group with antibiotic; and control group without antibiotic. The principals were exposed to twenty-two 4 h dust treatments in a closed tent. Dust treatments occurred as follows: one dust treatment, 18-day rest, seven daily dust treatments, 7-day rest, seven daily dust treatments, 7-day rest, and seven daily dust treatments. All principals and six controls were euthanatized and necropsied at the end of the experiment. There was an interaction between dust and tilmicosin antibiotic for feed intake and average daily gain following the first dust treatment. The interaction occurred because control goats not exposed to dust nor receiving tilmicosin protection had lower ( P P P ≤0.0003). Four hours ( P ≤0.0016) after dust treatment, the mean rectal temperature of the two principal groups was higher than the controls. On the first 7-day dust treatment series there was a significant ( P ≤0.0006) difference between the groups. The mean rectal temperatures of the two principal groups at 8 h on day 1 were significantly ( P ≤0.02) higher than the control groups. On the second 7-day dust treatments, there were no significant differences in mean rectal temperature between the groups. On the third 7-day treatment series there were significant ( P ≤0.0001) differences among the four groups. On the first day of the dust treatment series, at 8 h, the trend of the principal groups’ mean rectal temperature was higher than the controls. It appears that repeated endotoxin/dust exposures induces a state of tolerance for increased rectal temperatures that are characteristic after one dust exposure. There were no gross observable differences between the controls and principal respiratory tracts. The following histologic changes were observed in the principal goats: a mild alveolar septal hypercellularity, moderate multifocal airway exudation of neutrophils and macrophages containing foreign particulate material, and there was a marked increase in bronchial associated lymphoid tissue compared to controls. The diagnosis was mild acute exudative bronchointerstital pneumonia. No significant microscopic lesions were observed in the control goats.

International audience; Certain motor activities--like walking or breathing--present the interesting property of proceeding either automatically or under voluntary control. In the case of breathing, brainstem structures located in the medulla are in charge of the automatic mode, whereas cortico-subcortical brain networks--including various frontal lobe areas--subtend the voluntary mode. We speculated that the involvement of cortical activity during voluntary breathing could impact both on the "resting state" pattern of cortical-subcortical connectivity, and on the recruitment of executive functions mediated by the frontal lobe. In order to test this prediction we explored a patient suffering from central congenital hypoventilation syndrome (CCHS), a very rare developmental condition secondary to brainstem dysfunction. Typically, CCHS patients demonstrate efficient cortically-controlled breathing while awake, but require mechanically-assisted ventilation during sleep to overcome the inability of brainstem structures to mediate automatic breathing. We used simultaneous EEG-fMRI recordings to compare patterns of brain activity between these two types of ventilation during wakefulness. As compared with spontaneous breathing (SB), mechanical ventilation (MV) restored the default mode network (DMN) associated with self-consciousness, mind-wandering, creativity and introspection in healthy subjects. SB on the other hand resulted in a specific increase of functional connectivity between brainstem and frontal lobe. Behaviorally, the patient was more efficient in cognitive tasks requiring executive control during MV than during SB, in agreement with her subjective reports in everyday life. Taken together our results provide insight into the cognitive and neural costs of spontaneous breathing in one CCHS patient, and suggest that MV during waking periods may free up frontal lobe resources, and make them available for cognitive recruitment. More generally, this study reveals how the active maintenance of cortical control over a continuous motor activity impacts on brain functioning and cognition.

Buildings with poor indoor air quality (IAQ) frequently have many areas with surface fungal contamination. Studies have demonstrated that certain fungal genera (e.g., Cladosporium, Penicillium, and Stachybotrys) are able to grow on building materials such as wallpaper, drywall, and ceiling tiles, particularly after water damage has occurred. Due to the increasing awareness of sick building syndrome (SBS), it has become essential to identify building materials that prevent the interior growth of fungi. The objective of this study was to identify building materials that would not support the growth of certain fungal genera, regardless of whether an external food source was made available. The growth of three fungal genera (Cladosporium, Penicillium, and Stachybotrys) was evaluated on cellulose-containing ceiling tile (CCT) and inorganic ceiling tile (ICT). Both types of ceiling tile were exposed to environmental conditions which can occur inside a building. Our results show that ICT did not support the growth of these three fungal genera while CCT did. Our data demonstrate that ICT could serve as an ideal replacement for CCT.

Objective—To determine whether increased conglutinin titers are evident in stressed calves that do not develop respiratory tract disease in feedlots,compared with respiratory tract disease, and to determine the increase in immunoconglutinin titers. Animals—101 mixed-breed beef calves. Procedure—Calves were processed at 4 farms of origin and allowed to remain with their dams for another 100 days. Calves from each farm were brought to a centrally located order-buyer barn. In a feedlot, 101 calves were assigned to pens and observed daily for clinical signs of acute respiratory tract disease. When sick calves were detected, they were treated with antibiotics and isolated in a pen for 4 days. Conglutinin and immunoconglutinin titers were determined for all calves. Results—During the 28-day study, 73 calves developed respiratory tract disease, whereas 28 calves remained healthy. Mean conglutinin titers differed significantly among calves from the 4 farms. Significant differences were not detected in conglutinin titers among calves on the basis of sex, morbidity, or vaccination status against Mannheimia haemolytica at each farm, the order-buyer barn, or the feedlot on days 8, 15, and 28 after arrival. Immunoconglutinin titers in calves differed significantly among farms and morbidity status. Conclusions and Clinical Relevance—Mean conglutinin titers in calves do not appear to be associated with the incidence of acute respiratory tract disease; however, increased immunoconglutinin titers appear to be associated with recovery of stressed calves from respiratory tract disease during the first 15 days after arrival in a feedlot. (Am J Vet Res 2000;61:1403–1409)

Pasteurella haemolytica (Ph) is the most important cause of the bovine acute fibrinohemorrhagic pneumonia that occurs in market stressed calves after shipment to feedyards. Recent characterization of neuraminidase production by these organisms has shown that all 16 serotypes produce an immunologically similar form of the enzyme. Anti-neuraminidase antibody against PhA1 and PhA6 was determined in 101 2- to 5-month-old calves, on their farms of origin, at the order buyer barn (OBB), and through 28 days in the feedyard. Half of the calves were vaccinated with a killed Ph serotype-A1 (PhA1) product. Nasal secretion and tonsil wash specimens were cultured for Ph and Pasteurella multocida (Pm). Serum antibody against PhA1 and PhA6 was measured by indirect hemagglutination (IHA), and anti-neuraminidase antibody was determined by the neutralization assay. At the feedyard, 73 calves had respiratory tract disease. IHA values ranged between 1:2 and 1:1024 for PhA1 and between 1:2 and 1:512 for Ph serotype A6 (PhA6). Forty-two, 24, and 28% of the calves were infected with PhA1, PhA6, and Pm, respectively. Ninety-six percent of the calves experienced an increase in anti-PhA1 neuraminidase antibody when sera drawn on feedyard day 28 were compared with sera drawn on the farm. These data demonstrate that the enzyme neuraminidase is produced in vivo in market stressed cattle after a natural Ph infection.

OBJECTIVE: To examine the role of fungi in the production of sick building syndrome. METHODS: A 22 month study in the United States of 48 schools (in which there had been concerns about health and indoor air quality (IAQ). Building indoor air and surface samples, as well as outdoor air samples were taken at all sites to look for the presence of fungi or their viable propagules. RESULTS: Five fungal genera were consistently found in the outdoor air and comprised over 95% of the outdoor fungi. These genera were Cladosporium (81.5%), Penicillium (5.2%), Chrysosporium (4.9%), Alternaria (2.8%), and Aspergillus (1.1%). At 20 schools, there were significantly more colony forming units per cubic metre (CFU/m3) (p < 0.0001) of propagules of Penicillium species in the air samples from complaint areas when compared with the outdoor air samples and the indoor air samples from noncomplaint areas. At five schools, there were more, although not significant (p = 0.10), Penicillium propagules in the air samples from complaint areas when compared with the outdoor air samples and the indoor air samples from noncomplaint areas. In 11 schools, the indoor air (complaint areas) fungal ratios were similar to that in the outdoor air. In these 11 schools Stachybotrys atra was isolated from swab samples of visible growth under wetted carpets, on wetted walls, or behind vinyl wall coverings. In the remaining 11 schools, the fungal ratios and CFU/m3 of air were not significantly different in different areas. Many of the schools took remedial action that resulted in an indoor air fungal profile that was similar to that outdoors. CONCLUSIONS: Propagules of Penicillium and Stachybotrys species may be associated with sick building syndrome.

Cross-protection studies employing three serotypes of Pasteurella haemolytica (Ph) were performed in goats, with challenge exposure by transthoracic injection. Indirect hemagglutination (IHA) serum titers showed that the herd had been naturally infected with Ph biovar A, serovar 2 (PhA2) prior to the study. Sixty-four weanling male Spanish goats were randomly allotted to 16 groups. Fifteen goats were given two transthoracic injections into the lungs 21 days apart with live Pasteurella haemolytica biovar A, serovar 1 (PhA1) in agar beads. Fifteen goats were given two transthoracic injections into the lungs 21 days apart with live PhA2 in agar beads. Sixteen goats were given two transthoracic injections into the lungs 21 days apart with live P. haemolytica biovar A, serovar 6 (PhA6) in agar beads. Eighteen control (CON) goats were given two transthoracic injections into the lungs 21 days apart with agar beads alone. Fourteen days after the second injection, goats were challenge-exposed to either live PhA1, PhA2, or PhA6 by transthoracic injection into the lung, and 4 days later, all goats were euthanatized and necropsied. Serum antibody to P. haemolytica antigens was measured throughout the experiment. Mean volumes of consolidated lung tissue for the CON goats challenged with PhA1, PhA2, and PhA6 were 28.29 cm3, 8.36 cm3, and 16.29 cm3, respectively. Mean volumes of consolidated lung tissue for the PhA1-immunized goats challenged with PhA1, PhA2, and PhA6 were 4.38 cm3, 0.25 cm3, and 1.90 cm3, respectively. Mean volumes of consolidated lung tissue for the PhA2-immunized goats challenged with PhA1, PhA2, and PhA6 were 9.68 cm3, 0.05 cm3, and 3.39 cm3, respectively. Mean volumes of consolidated lung tissue for the PhA6-immunized goats challenged with PhA1, PhA2, and PhA6 were 14.05 cm3, 1.27 cm3, and 4.53 cm3, respectively. These data demonstrate protection in immunized goats challenged with the homologous serotype of P. haemolytica. PhA1-immunized animals were protected against serotype 2 challenge as well as against serotype 6 challenge. PhA2-immunized animals were not protected against serotype 1 challenge, but were protected against transthoracic PhA6 challenge. PhA6-immunized animals were not protected against serotype 1 challenge, but were protected against transthoracic PhA2 challenge. There appears to be some cross-protection among the P. haemolytica serotypes, and this fact should be taken into consideration when developing vaccines against this organism.

Ninety-one isolates of Pasteurella multocida (Pm) and 124 of Pasteurella haemolytica (Ph) were recovered from the lungs of calves that died of bovine respiratory tract disease (BRTD). Nine Pm enzyme profiles (A through I) and 9 Ph enzyme profiles (J through R) were determined for the Pasteurella isolates. The Pm isolates were relatively evenly divided among the enzyme profiles, with one exception, profile I. The Ph isolates were not evenly distributed among the profiles. Fifty of the 91 Pm isolates were serotyped. Forty-two Pm isolates were positive for capsule type A, and 8 were untypable. Five somatic type antigen profiles (3; 3,4; 3,7; 3,4,7; and 4) were identified among the 50 serotyped Pm isolates; one isolate was untypable. The Ph isolates were further divided through serotyping and grouped as follows: 74 (60%) Pasteurella haemolytica A1 (PhA1), 12 (10%) PhA2, 4 (3%) PhA5, and 34 (27%) PhA6. Eighty-one percent of the Ph serotypes were clustered in the M and N enzyme profile. The P enzyme profile was almost unique to PhA2 (8 of 12, 67% of PhA2 isolates). Results of this study indicate a need to collect more data on Ph serotypes at the state veterinary diagnostic laboratories.

The paper reports on a discovery field exercise used to examine how disaster responders can use an audio and video equipped robot to interact with a trapped victim. In the exercise, a small robot with two-way video and audio communication was inserted into a physically simulated building collapse next to a trapped victim, and was provided to a team of trained responders as a means for performing remote triage and victim monitoring. The interaction between the responders and the victim was examined, with emphasis on how the responders adapted to different video and audio capabilities, and how they might have responded to different populations and injuries that may limit communication. The ad hoc interaction protocols used by the responders were observed in the field exercise, and four interaction schemes were identified: Two-way Video with Two-way Audio, One-way Video (from Robot to Responders) with Two-way Audio, Two-way Video with no Audio, and One-way Video (from Robot to Responders) with no audio. The interaction schemes are defined according to the minimum capabilities of the robot and victim, the requirements of the responders, and preliminary protocols required for each interaction scheme. From observations made about the exercise, the paper identifies minimalistic interfaces and transparency of robot state as key areas for improving a robot-mediated interaction between responders and victims.

Neuraminidases produced by 16 strains of Pasteurella multocida (serotypes 1 to 16) were characterized by molecular weight, substrate specificity, and antigenic identity. After growth in a chemically defined medium, stage I (lyophilized) culture supernatants were assayed for activity with N-acetylneuramin lactose, human alpha-1-acid glycoprotein, fetuin, colominic acid, and bovine submaxillary mucin. Neuraminidase produced by P. multocida A:3 was purified by a combination of salt fractionation, ion-exchange chromatography on DEAE-Sephacel, and gel filtration on Sephadex G-200. Purified P. multocida A:3 neuraminidase was employed to immunize rabbits, and the resulting antiserum reduced the activity of the P. multocida A:3 enzyme by 40.3%. This antiserum also reduced the activities of the neuraminidases produced by other serotypes by between 30.8 and 59.6%. Molecular weight estimates of the neuraminidases produced by the various serotypes were obtained by gel filtration chromatography on Sephadex G-200. Each of the 16 serotypes examined produced a neuraminidase with a molecular weight of approximately 500,000. In addition, all 16 high-molecular-weight neuraminidases showed similar substrate specificities. On the basis of these data, it appears that the high-molecular-weight neuraminidases produced by different P. multocida serotypes are quite similar.