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Introduction: Haemodialysis (HD) is a treatment in which blood from the patient is lead through a tubing system into a dialysis device in a extracorporeal circuit. This circuit contains semipermeable membranes (dialyzer). Blood with uraemic toxins flows on one side, and a salt solution flows on the other side. The salt solution flushes away waste products that have passed the membrane by diffusion or convection through small pores. From there the blood returns to the patient through a tubing system that contains an air-trap and a sensor to avoid air contamination in the blood. Besides air contamination, this treatment is burdened with safety problems such as biocompatibility, electrical safety and mechanical safety. The aim of this thesis was to investigate the safety issues in haemodialysis devices regarding leakage current and air contamination during standard procedures and simulated fault conditions. Does the dialysis device constitute a risk for the patient? Methods: To determine the extent of leakage current in HD machines, measurements at the filter-coupling site were performed in vitro according to the safety standard, IEC 601-1, in 5 types of dialysis machines. To determine, in vitro, to what extent blood and priming fluid allowed leakage current to pass to the patient, leakage current were also measured in the blood lines. The blood line was filled with blood from donors or priming fluid in eight different runs. To determine if leakage current could influence biocompatibility, a Fresenius 2008C dialysis machine and 8 hemophan dialyzers were used. Blood lines contained about 400 ml heparinized blood from each of 8 different donors (in vitro). C3d was measured, in vitro, before start of a simulated dialysis and at 15, 30, 45 and 60 min. during standard dialysis procedure. Then 1.5 mA current was switched on and additional samples were drawn at 75 and 90 min. Some patients need a central dialysis catheter (CDC) for access, placed close to or within the heart. To analyze if leakage current during standard HD would influence the ECG, patients with CDC or with AV-fistula as access were investigated. To analyse if air contamination could occur without activating security alarms in the dialysis device, various modes of in vitro dialysis settings were studied, some using a dextran solution to mimic blood viscosity. Besides visual inspection an ultrasound detector for microemboli and microbubbles was also used. Results: The data showed leakage current at the filter coupling site that was significantly higher for some devices than for others. The leakage current could pass through blood and priming fluid. It exceeded the cardiac floating (CF)-safety limit (<50μA) at the top of the CDC using the test mains on applied part for saline (median 1008μA), for blood (median 610μA) and for a single fault condition using saline (median 68 μA) or blood (47 μA). The leakage current experiments showed that complement activation worsened as the leakage current increased. During standard dialysis arrhythmia could occur. Microbubbles were visible at the bottom of the air-trap and bubbles could pass the air-trap towards the venous line without triggering the alarm. During recirculation, several ml of air could be collected in an intermediate bag after the venous line. Ultrasound showed the presence of bubbles of sizes 2.5-50 μm as well as more than 50 μm silently passing to the venous line in all runs performed. In conclusion, the data showed that a leakage current in HD devices can be high enough to be a safety risk for the patient. This risk is greater if a single fault arises in the dialysis machine or another device connected to the same patient, or during mains contact to the patient. Then the current flow may be high enough to cause arrhythmia for the patient, especially when using a CDC. There is also reason for concern that micro bubble transmission may occur without inducing an alarm. These factors need to be looked over to improve safety regulations and optimize HD treatment and service schedules.

The cabin environment of a commercial aircraft, including cabin layout and the quality of air supply, is crucial to the airline operators. These aspects directly affect the passengers’ experience and willing to travel. This aim of this thesis is to design the cabin layout for flying wing aircraft as part of cabin environment work, followed by the air quality work, which is to understand what effect the ECS can have in terms of cabin air contamination. The project, initially, focuses on the cabin layout, including passenger cabin configuration, seat arrangement and its own size due to the top requirements, of a conventional aircraft and further into that of a flying wing aircraft. The cabin work in respect of aircraft conceptual design is discussed and conducted by comparing different design approaches. Before the evaluation of cabin air quality, an overall examination of the main ECS components involved in the contaminants access will be carried on and, therefore, attempt to discover how these components influence the property of the concerned contaminants. By case study in the B767 ECS, there are some comments and discussions regarding the relationship between the cabin air contaminations and the passing by ambient environment. The thesis ends up with a conclusion explaining whether or not the contaminated air enters the occupants’ compartments on aircraft and proposing some approaches and engineering solutions to the continue research.

Made available in DSpace on 2014-10-09T12:27:18Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T13:59:13Z (GMT). No. of bitstreams: 0 / Tese (Doutoramento) / IPEN/T / Instituto de Pesquisas Energeticas e Nucleares - IPEN-CNEN/SP

Made available in DSpace on 2014-10-09T12:27:18Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T13:59:13Z (GMT). No. of bitstreams: 0 / A poeira doméstica tem sido identificada como um importante vetor de exposição por substâncias inorgânicas e orgânicas, potencialmente tóxicas, em crianças e adultos. A composição da poeira tem uma forte influência de contaminantes provenientes de ambientes internos e externos. Durante o uso normal ou por intempéries, de uma variedade de artefatos e materiais, as substâncias químicas são desincorporadas para o meio ambiente. Uma vez liberadas, elas tendem a se acumular e enriquecer na poeira doméstica; e por meio de exposição contínua (mecanismos de inalação, ingestão e contato direto com a pele) afeta a saúde humana. Neste trabalho, foi realizada uma avaliação da contaminação por constituintes inorgânicos e ésteres ftálicos em poeira doméstica; e a correlação com as prováveis fontes antropogênicas. As amostras de poeira foram coletadas de 69 residências, nos bairros Pirituba, Freguesia do Ó, Jaraguá e Perus, da região metropolitana de São Paulo, entre 2006 e 2008. As amostras foram separadas nas frações: 850, 850-300, 300-150, 150-75, 75- 63 e <63 &mu;m. A análise por fluorescência de raios X (WDXRF) mostrou a presença de Na, Mg, Al, Si, P, S, Cl, K, Ca, Ti, Cr, Mn, Fe, Ni, Cu, Zn, Br, Rb, Sr, Zr e Pb. A análise por cromatografia de fase gasosa acoplada o espectrômetro de massa (GCMS) a presença de ésteres ftálicos (DEHP, DnBP, DEP, DEHA, BBP e DMP). A partir do fator de enriquecimento (FE), os elementos P, S, Cr, Ni, Cu, Zn e Pb foram classificados como sendo significantemente e extremamente enriquecidos na poeira. As contribuições naturais e antropogênicas foram identificadas por meio de ferramentas estatísticas como análise de fatores (AF) e cluster (AC). Os elementos Cr, Ni, Cu, Zn e Pb foram encontrados em concentrações significativamente elevadas com relação aos valores de exposição total (ingestão, inalação e contato dérmico) e de risco. / Tese (Doutoramento) / IPEN/T / Instituto de Pesquisas Energeticas e Nucleares - IPEN-CNEN/SP

Most people in the United States (US) spend considerable amount of time indoors—about 90% of their time as compared to outdoors, which makes the US population vulnerable to adverse health effects of indoor air contaminants. Volatile organic compound (VOC) concentrations are well-known to be higher in indoor air than outdoor air. One source of VOC concentrations in indoor air that has gained considerable attention in public health and environmental regulatory communities is vapor intrusion. Vapor intrusion is the process by which subsurface vapors enter indoor spaces from contaminated soil and groundwater. It has been documented to cause indoor air contamination within hundreds of thousands of communities across the US. Vapor intrusion is well-known to be difficult to characterize because indoor air concentrations exhibit considerable temporal and spatial variability in homes throughout impacted communities. Unexplained variations in field data have not been systematically investigated using theoretical fate and transport processes. This study incorporates the use of numerical models to better understand processes that influence spatial and temporal variability in field data. The overall research hypothesis is that variability in indoor air VOC concentrations can be (partially) explained by variations in building air exchange rate (AER) and pressure differentials between indoor spaces and outdoor spaces. Neither AER nor pressure differentials are currently calculated by existing vapor intrusion numerical models. To date, most vapor intrusion models have focused on subsurface fate and transport processes; however, there is a need to understand the role of aboveground processes in the context of vapor intrusion exposure risks, which are commonly measured as indoor air VOC concentrations. Recent field studies identify these parameters as potentially important and their important role within the broader field of indoor air quality sciences has been well-documented, but more research is needed to investigate these parameters within the specific context of vapor intrusion. To test the overall hypothesis, the dissertation research developed a new vapor intrusion modeling technique that combines subsurface fate and transport modeling with building science approaches for modeling driving forces, such as wind and stack effects. The modeling results are compared with field data measurements from actual vapor intrusion sites and confirms that the research is relevant to not only academic researchers, but also policy decision makers.