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Does improving indoor air quality lessen symptoms associated with chemical intolerance?
- Roger B. Perales, Raymond F. Palmer, Rudy Rincon, Jacqueline N. Viramontes, Tatjana Walker, Carlos R. Jaén, Claudia S. Miller
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- Journal:
- Primary Health Care Research & Development / Volume 23 / 2022
- Published online by Cambridge University Press:
- 12 January 2022, e3
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- Article
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Aim:
To determine whether environmental house calls that improved indoor air quality (IAQ) is effective in reducing symptoms of chemical intolerance (CI).
Background:Prevalence of CI is increasing worldwide. Those affected typically report symptoms such as headaches, fatigue, ‘brain fog’, and gastrointestinal problems – common primary care complaints. Substantial evidence suggests that improving IAQ may be helpful in reducing symptoms associated with CI.
Methods:Primary care clinic patients were invited to participate in a series of structured environmental house calls (EHCs). To qualify, participants were assessed for CI with the Quick Environmental Exposure and Sensitivity Inventory. Those with CI volunteered to allow the EHC team to visit their homes to collect air samples for volatile organic compounds (VOCs). Initial and post-intervention IAQ sampling was analyzed by an independent lab to determine VOC levels (ng/L). The team discussed indoor air exposures, their health effects, and provided guidance for reducing exposures.
Findings:Homes where recommendations were followed showed the greatest improvements in IAQ. The improvements were based upon decreased airborne VOCs associated with reduced use of cleaning chemicals, personal care products, and fragrances, and reduction in the index patients’ symptoms. Symptom improvement generally was not reported among those whose homes showed no VOC improvement.
Conclusion:Improvements in both IAQ and patients’ symptoms occur when families implement an action plan developed and shared with them by a trained EHC team. Indoor air problems simply are not part of most doctors’ differential diagnoses, despite relatively high prevalence rates of CI in primary care clinics. Our three-question screening questionnaire – the BREESI – can help physicians identify which patients should complete the QEESI. After identifying patients with CI, the practitioner can help by counseling them regarding their home exposures to VOCs. The future of clinical medicine could include environmental house calls as standard of practice for susceptible patients.
Further work at Kilise Tepe, 2007-2011: refining the Bronze to Iron Age transition
- Christina Bouthillier, Carlo Colantoni, Sofie Debruyne, Claudia Glatz, Mette Marie Hald, David Heslop, Ekin Kozal, Bob Miller, Peter Popkin, Nicholas Postgate, Caroline S. Steele, Adam Stone
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- Journal:
- Anatolian Studies / Volume 64 / 2014
- Published online by Cambridge University Press:
- 04 July 2014, pp. 95-161
- Print publication:
- 2014
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The excavations at Kilise Tepe in the 1990s inevitably left a range of research questions unanswered, and our second spell of work at the site from 2007 to 2011 sought to address some of these, relating to the later second and early first millennia. This article gathers the architectural and stratigraphie results of the renewed excavations, presenting the fresh information about the layout and character of the Late Bronze Age North-West Building and the initial phases of the Stele Building which succeeded it, including probable symbolic practices, and describing the complex stratigraphic sequence in the Central Strip sounding which covers the lapse of time from the 12th down to the seventh century. There follow short reports on the analyses of the botanical and faunal materials recovered, a summary of the results from the relevant radiocarbon dating samples and separate studies addressing issues resulting from the continuing study of the ceramics from the different contexts. Taken together, a complex picture emerges of changes in settlement layout, archi¬tectural traditions, use of external space, artefact production and subsistence strategies during the centuries which separate the Level III Late Bronze Age settlement from the latest Iron Age occupation around 700 BC.
Contributors
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- By Gregory S. Aldrete, Andreas Bendlin, Wim Broekaert, Christer Bruun, Elisha Ann Dumser, Catharine Edwards, Paul Erdkamp, Shawn Graham, Alexandre Grandazzi, Cameron Hawkins, Elisabeth Herrmann-Otto, Benjamin Kelly, Ray Laurence, A. D. Lee, Jinyu Liu, J. Bert Lott, Thomas A. J. McGinn, Michael MacKinnon, R. Don Miller, Claudia Moatti, Neville Morley, Nicholas Purcell, Beryl Rawson, Ingrid Rowland, Leonard V. Rutgers, Michele Renee Salzman, Walter Scheidel, Glenn R. Storey, Steven L. Tuck, Robert Witcher, Adam Ziolkowski, Arjan Zuiderhoek
- Edited by Paul Erdkamp, Vrije Universiteit Brussel
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- Book:
- The Cambridge Companion to Ancient Rome
- Published online:
- 05 September 2013
- Print publication:
- 29 August 2013, pp xiv-xix
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Contributors
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- By Shamsuddin Akhtar, Greg Albert, Sidney Allison, Muhammad Anwar, Haruo Arita, Amanda Barker, Mary Hanna Bekhit, Jeanna Blitz, Tyson Bolinske, David Burbulys, Asokumar Buvanendran, Gregory Cain, Keith A. Candiotti, Daniel B. Carr, Derek Chalmers, John Charney, Rex Cheng, Roger Chou, Keun Sam Chung, Anna Clebone, Frederick Conlin, Susan Dabu-Bondoc, Tiffany Denepitiya-Balicki, Jeanette Derdemezi, Anahat Kaur Dhillon, Ho Dzung, Juan Jose Egas, Stephen M. Eskaros, Zhuang T. Fang, Claudia R. Fernandez Robles, Victor A. Filadora, Ellen Flanagan, Dan Froicu, Allison Gandey, Nehal Gatha, Boris Gelman, Christopher Gharibo, Muhammad K. Ghori, Brian Ginsberg, Michael E. Goldberg, Jeff Gudin, Thomas Halaszynski, Martin Hale, Dorothea Hall, Craig T. Hartrick, Justin Hata, Lars E. Helgeson, Joe C. Hong, Richard W. Hong, Balazs Horvath, Eric S. Hsu, Gabriel Jacobs, Jonathan S. Jahr, Rongjie Jaing, Inderjeet Singh Julka, Zeev N. Kain, Clinton Kakazu, Kianusch Kiai, Mary Keyes, Michael M. Kim, Peter G. Lacouture, Ryan Lanier, Vivian K. Lee, Mark J. Lema, Oscar A. de Leon-Casasola, Imanuel Lerman, Philip Levin, Steven Levin, JinLei Li, Eric C. Lin, Sharon Lin, David A. Lindley, Ana M. Lobo, Marisa Lomanto, Mirjana Lovrincevic, Brenda C. McClain, Tariq Malik, Jure Marijic, Joseph Marino, Laura Mechtler, Alan Miller, Carly Miller, Amit Mirchandani, Sukanya Mitra, Fleurise Montecillo, James M. Moore, Debra E. Morrison, Philip F. Morway, Carsten Nadjat-Haiem, Hamid Nourmand, Dana Oprea, Sunil J. Panchal, Edward J. Park, Kathleen Ji Park, Kellie Park, Parisa Partownavid, Akta Patel, Bijal Patel, Komal D. Patel, Neesa Patel, Swati Patel, Paul M. Peloso, Danielle Perret, Anthony DePlato, Marjorie Podraza Stiegler, Despina Psillides, Mamatha Punjala, Johan Raeder, Siamak Rahman, Aziz M. Razzuk, Maggy G. Riad, Kristin L. Richards, R. Todd Rinnier, Ian W. Rodger, Joseph Rosa, Abraham Rosenbaum, Alireza Sadoughi, Veena Salgar, Leslie Schechter, Michael Seneca, Yasser F. Shaheen, James H. Shull, Elizabeth Sinatra, Raymond S. Sinatra, Neil Singla, Neil Sinha, Denis V. Snegovskikh, Dmitri Souzdalnitski, Julie Sramcik, Zoreh Steffens, Alexander Timchenko, Vadim Tokhner, Marc C. Torjman, Co T. Truong, Nalini Vadivelu, Ashley Vaughn, Anjali Vira, Eugene R. Viscusi, Dajie Wang, Shu-ming Wang, J. Michael Watkins-Pitchford, Steven J. Weisman, Ira Whitten, Bryan S. Williams, Jeremy M. Wong, Thomas Wong, Christopher Wray, Yaw Wu, Anthony T. Yarussi, Laurie Yonemoto, Bita H. Zadeh, Jill Zafar, Martha Zegarra, Keren Ziv
- Edited by Raymond S. Sinatra, Jonathan S. Jahr, University of California, Los Angeles, School of Medicine, J. Michael Watkins-Pitchford
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- Book:
- The Essence of Analgesia and Analgesics
- Published online:
- 06 December 2010
- Print publication:
- 14 October 2010, pp xi-xviii
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