Living Room Research Articles

The UT Health Living Room: Expanding the Psychiatric Crisis Continuum of Care.

Traditional forms of psychiatric crisis treatment increasingly are being buttressed by services along the Psychiatric Crisis Continuum of Care, such as short-term crisis stabilization services and peer crisis services. The UT Health Living Room (LR) is an outpatient crisis counseling service that adds three promising elements to the Continuum: (1) it integrates outpatient treatment plans into crisis counseling, (2) provides care in a space and with staff who are familiar to patients, and (3) provides training in evidence-based crisis intervention. We examined two-year LR feasibility and outcome data. Mixed-method analyses used longitudinal clinic data and patient self-report measures. Results provide initial support for the feasibility, cost effectiveness and clinical effectiveness of the LR. Limitations include non-blinded ratings, limited experimental control, and simple cost-effectiveness methodology. The UT Living Room is feasible and offers novel elements to help patients in community clinics address emotional crises.

Combining Music and Indoor Spatial Factors Helps to Improve College Students’ Emotion During Communication

Against the background of weakening face-to-face social interaction, the mental health of college students deserves attention. There are few existing studies on the impact of audiovisual interaction on interactive behavior, especially emotional perception in specific spaces. This study aims to indicate whether the perception of one’s music environment has influence on college students’ emotion during communication in different indoor conditions including spatial function, visual and sound atmospheres, and interior furnishings. The three-dimensional pleasure–arousal–dominance (PAD) emotional model was used to evaluate the changes of emotions before and after communication. An acoustic environmental measurement was performed and the evaluations of emotion during communication was investigated by a questionnaire survey with 331 participants at six experimental sites [including a classroom (CR), a learning corridor (LC), a coffee shop (CS), a fast food restaurant (FFR), a dormitory (DT), and a living room(LR)], the following results were found: Firstly, the results in different functional spaces showed no significant effect of music on communication or emotional states during communication. Secondly, the average score of the musical evaluation was 1.09 higher in the warm-toned space compared to the cold-toned space. Thirdly, the differences in the effects of music on emotion during communication in different sound environments were significant and pleasure, arousal, and dominance could be efficiently enhanced by music in the quiet space. Fourthly, dominance was 0.63 higher in the minimally furnished space. Finally, we also investigated influence of social characteristics on the effect of music on communication in different indoor spaces, in terms of the intimacy level, the gender combination, and the group size. For instance, when there are more than two communicators in the dining space, pleasure and arousal can be efficiently enhanced by music. This study shows that combining the sound environment with spatial factors (for example, the visual and sound atmosphere) and the interior furnishings can be an effective design strategy for promoting social interaction in indoor spaces.

Influence of modern plastic furniture on the fire development in fires in homes: large‐scale fire tests in living rooms

SUMMARYAbout 80% of all fire fatalities in Germany occur because of fires in homes. It has been known for some time that modern materials (synonym for materials consisting mostly of synthetic polymers) tend to burn differently from older materials (synonym for materials consisting mostly of fibrous cellulosic substances) and it has been acknowledged that the amount of combustible plastics in homes has increased significantly over the last decades. To investigate the influence of modern furniture and ventilation conditions of fires in homes, a series of four large‐scale tests in two living rooms (LRs) with adjacent rooms (ARs) was performed by BAM and the Frankfurt fire service. Two LRs, one with older furniture and one with modern furniture, were tested twice each. Each test started with the ignition of a paper cushion on an upholstered chair. The influence of modern materials on the fire development was investigated, as well as the influence of the ventilation on the fire development. In all settings, an upholstered chair was the first burning item. Results of the test series show that fires in rooms with modern furniture develop faster than fires in rooms with older furniture. This is true for temperature development in the rooms as well as for smoke production.

Load and Household Profiles Analysis for Air-Conditioning and Total Electricity in Malaysia

Load profile of household air-conditioning (AC) and total electricity consumption is essential to increase the stability of the energy demand on the grid. Therefore, field measurements on time series data of total and AC electricity consumption from 20 households were conducted from March 2016 to August 2017. The questionnaire survey was carried out simultaneously to grasp the profile of each family. The average total daily and AC consumption were 14.5 kWh/day and 3.9 kWh/day, respectively. The average hourly electricity consumption for total was 0.6 kWh/hour, meanwhile for AC was 0.2 kWh/hour. About 20% of the total peak demand was contributed by the consumption of AC. The indoor air temperature was measured in the bedroom (BR) when AC was switched ON and OFF with an average of 27 ∘C and 29 ∘C, respectively. However, the indoor air temperature in the living room (LR) was 2∘C and 1∘C higher if compared to BR for both conditions. Based on the questionnaire survey, 92% of the occupants preferred a temperature setting below than the level recommended by the Malaysian standard i.e., 24 ∘C. These results might be beneficial to understand the occupant behavior of electricity demand in Malaysia for designing smart grid energy systems in the future.

Higher measured moisture in California homes with qualitative evidence of dampness.

Relationships between measured moisture and qualitative dampness indicators (mold odor, visible mold, visible water damage, or peeling paint) were evaluated using data collected from California homes in a prospective birth cohort study when the infants were 6 or 12months of age (737 home visits). For repeated visits, agreement between observation of the presence/absence of each qualitative indicator at both visits was high (71-87%, P<0.0001). Among individual indicators, musty odor and visible mold were most strongly correlated with elevated moisture readings. Measured moisture differed significantly between repeated visits in opposite seasons (P<0.0001), and dampness increased with the number of indicators in a home. Linear mixed-effect models showed that 10-unit increases in maximum measured moisture were associated with the presence of 0.5 additional dampness indicators (P<0.001). Bedroom (BR) walls were damper than living room (LR) walls in the same homes (P<0.0001), although both average and maximum readings were positively correlated across room type (r=0.75 and 0.67, respectively, both P<0.0001). Exterior walls were significantly damper than interior walls (P<0.0001 in both LRs and BRs), but no differences were observed between maximum wall readings and measurements at either window corners or sites of suspected dampness.

Validating Trace Metals Levels in PM&lt;sub&gt;2.5&lt;/sub&gt; Aerosols from Indoor and Outdoor Polluting Premises

Problem statement: Our studies revealed high trace metals concentrations in PM2.5 aerosols from Residential Buildings (RB-I) and enclosed Car Parks (CP-I) indoor than in outdoor Residential Buildings (RB-O) and Car Parks Outdoor (CP-O), indicating possible dust accumulation in confined premises from six Kuwait Governorate areas. Approach: Trace metals in PM2.5 was high in the sequence of Bed Room (BR) >kitchen (FR) >Living Room (LR) due to improper ventilation and space-resident ratio. Results: Buildings Without Cars Parks (WCP) showed low PM2.5 trace metals concentrations when compared to buildings with Car Parks (CP). High PM2.5 trace metals in Governorate-IV were reflected by commercialization. Analysis showed high Al and Fe concentrations in all the categorized samples. The I/O ratio was >1 in all the samples indicating the influence of indoor attributes superseding the outdoor pollution sources. Conclusion/Recommendations: This study characterizes the trace metals variations in different areas, buildings with and without car parks and building components besides the application of preventive measures to air pollution.

Home warmth and health status of COPD patients

Home Energy Efficiency guidelines recommend domestic indoor temperatures of 21 degrees C for at least 9 h per day in living areas. Is health status of patients with Chronic Obstructive Pulmonary Disease (COPD) associated with maintaining this level of warmth in their homes? In a cross-sectional observational study of patients, living in their own homes, living room (LR) and bedroom (BR) temperatures were measured at 30 min intervals over 1 week using electronic dataloggers. Health status was measured with the St George's Respiratory Questionnaire (SGRQ) and EuroQol: EQ VAS. Outdoor temperatures were provided by Met Office. One hundred and forty eight patients consented to temperature monitoring. Patients' mean age was 69 (SD 8.5) years, 67 (45%) male, mean percentage of predicted Forced Expiratory Volume in one second (FEV(1)) 41.7 (SD 17.4). Fifty-eight (39%) were current smokers. Independent of age, lung function, smoking and outdoor temperatures, poorer respiratory health status was significantly associated (P = 0.01) with fewer days with 9 h of warmth at 21 degrees C in the LR. A sub analysis showed that patients who smoked experienced more health effects than non-smokers (P < 0.01). Maintaining the warmth guideline of 21 degrees C in living areas for at least 9 h per day was associated with better health status for COPD patients. Patients who were continuing smokers were more vulnerable to reduction in warmth.

Predictors of group 5 grass‐pollen allergens in settled house dust: comparison between pollination and nonpollination seasons

Some sensitive pollen-allergic patients may experience perennial symptoms, and for these patients it is vitally important to know the concentration of grass-pollen allergens in their homes. The main objective of this study was to detect predictors associated with high grass allergen concentration in settled house dust during and outside the grass pollination season. We detected group 5 grass-pollen allergens in dust samples from randomly selected homes of three counties in the region of Sachsen-Anhalt: Hettstedt (n=183), Zerbst (n=152), and Bitterfeld (n=119). Dust samples were collected from the floors of living rooms (LR) and children's rooms (CR) from April 1996 to March 1998. Phl p 5 was detected in settled house dust in 91% of the homes. The range was between undetectable (<30 ng/m2) and 4300 ng Phl p 5/m2 sampling area during grass pollination, and 1300 ng Phl p 5/m2 outside the pollination season, respectively. We observed a partially higher concentration of indoor allergenic activity several weeks after the grass-pollen peak. A positive association was found between Phl p 5 levels and total dust amounts throughout the year. Thus, we assume that grass allergens accumulate in settled house dust. During pollination, the Phl p 5 levels are 1.8 times higher in homes where vacuuming of carpets takes place only once a week or less than in those vacuumed daily. Furthermore, higher concentrations of Phl p 5 in settled floor dust can be expected in homes located within suburban areas (mean ratio [MR] 1.74) and prefabricated slab buildings (MR=1.54). Quite high levels of Phl p 5 accumulate in settled house dust even during periods when no grass pollen is present in the atmosphere. The removal of dust by frequent cleaning reduces the indoor exposure to grass allergens. Such information is essential to train patients in allergen avoidance.

Quantification of group 5 grass pollen allergens in house dust.

It is widely known and accepted that grass pollen is a major outdoor cause of hay fever. However, it is of virtual importance for grass pollen allergic patients with symptoms all the year round to know the concentration of grass pollen allergens in their homes. The main objective of this study was to quantify the amount of grass pollen allergen in mass units (microg Phl p 5) in dust settled indoors and to detect the distribution of allergenic activity in different sampling locations of homes. Furthermore, we studied the seasonal fluctuation of allergen content in dust samples. We adapted the two site binding assay for detection of group 5 grass pollen allergens in samples from randomly selected homes in Hamburg (n = 371), Erfurt (n = 396), Hettstedt (n = 353), Zerbst (n = 289) and Bitterfeld (n = 226), Germany. Dust samples were collected from floor of living room (LR), bedroom (BR) or children's room (CR) and mattress (MA) during period of June 1995 to August 1998. The amount of the major grass group 5 allergens was detected in microg/g dust. Phl p 5 was detected in 67% of the samples analysed (n = 4760). The range was between undetectable (< 0.03 microg/g dust) and 81 microg/g dust. Phl p 5 levels were significantly higher in the dust from LR (geometric mean 0.117 microg/g dust) or BR/CR floors (geometric mean 0.098 microg/g dust) than in mattresses (geometric mean 0.043 microg/g dust). We observed seasonal fluctuation of indoor Phl p 5 levels with peak in June but also annual differences. Thus Phl p 5 content indoors reflects also the different quantities of pollen counts of annual courses. During pollination period we found two times higher Phl p 5 levels (0.172 microg/g dust, P < 0.001) than outside of grass pollination season (0.095 microg/g dust). The indoor Phl p 5 levels outside of season seem to be independent of pollination before. We suppose that settled pollen grains or allergenic material from outdoor particles carried indoors via footwear and clothes accumulates in house dust. Although we not known how the allergens in settled dust are equilibrated with those in the air, the considerable high level of Phl p 5 in indoor dust even during periods when no grass pollen is present in the atmosphere may be an important cause of pollen-allergy symptoms outside of season.