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103-402: The use of "comfort" as a verb generally implies that the subject is in a state of pain , suffering or affliction, and requires alleviation from that state. Where the term is used to describe the support given to someone who has experienced a tragedy, the word is synonymous with consolation or solace . However, comfort is used much more broadly, as one can provide physical comfort to someone who

206-468: A Thanksgiving dinner can produce very high concentrations of particulate matter, exceeding 300 μg/m . Particulates can penetrate deep into the lungs and brain from blood streams, causing health problems such as heart disease , lung disease , cancer and preterm birth . Other small particles include airborne microplastics , for example in the form of microplastic dust produced during renovation , building, bridge and road reconstruction projects and

309-486: A decreased appetite and decreased nutritional intake. A change in condition that deviates from baseline, such as moaning with movement or when manipulating a body part, and limited range of motion are also potential pain indicators. In patients who possess language but are incapable of expressing themselves effectively, such as those with dementia, an increase in confusion or display of aggressive behaviors or agitation may signal that discomfort exists, and further assessment

412-568: A gaseous and a particulate materials which, with particular hazards arising from levels of carbon monoxide and very small particulates (fine particulate matter, especially PM2.5 and PM10 ) which get into the bronchioles and alveoles in the lung. Inhaling secondhand smoke on multiple occasions can cause asthma , pneumonia , lung cancer , and sudden infant death syndrome , among other conditions. Thirdhand smoke (THS) refers to chemicals that settle on objects and bodies indoors after smoking. Exposure to thirdhand smoke can happen even after

515-488: A credible and convincing signal of the need for relief, help, and care. Idiopathic pain (pain that persists after the trauma or pathology has healed, or that arises without any apparent cause) may be an exception to the idea that pain is helpful to survival, although some psychodynamic psychologists argue that such pain is psychogenic, enlisted as a protective distraction to keep dangerous emotions unconscious. In pain science, thresholds are measured by gradually increasing

618-422: A few conclusions. The idea of comfort varies among each person; however, there are a few universal themes of comfort that apply to everyone. Most of these universal themes falls under the physical comfort such as contact comfort, comfort food, and thermal comfort. Contact comfort is satisfaction with someone's touch, like a parent's embrace. This is essential to a child's development. Harry Harlow study One of

721-525: A higher risk of being stigmatized, leading to less urgent treatment of women based on social expectations of their ability to accurately report it. This has been postulated to lead to extended emergency room wait times for women and frequent dismissal of their ability to accurately report pain. Pain is a symptom of many medical conditions. Knowing the time of onset, location, intensity, pattern of occurrence (continuous, intermittent, etc.), exacerbating and relieving factors, and quality (burning, sharp, etc.) of

824-427: A much greater risk of developing asthma and allergic rhinitis . More than half of adult workers in moldy or humid buildings suffer from nasal or sinus symptoms due to mold exposure. Some varieties of mold contain toxic compounds ( mycotoxins ). However, exposure to hazardous levels of mycotoxin via inhalation is not possible in most cases, as toxins are produced by the fungal body and are not at significant levels in

927-454: A non-communicative person, observation becomes critical, and specific behaviors can be monitored as pain indicators. Behaviors such as facial grimacing and guarding (trying to protect part of the body from being bumped or touched) indicate pain, as well as an increase or decrease in vocalizations, changes in routine behavior patterns and mental status changes. Patients experiencing pain may exhibit withdrawn social behavior and possibly experience

1030-467: A range of temperature. This was labeled temperature neutrality, which is the rate that the person's metabolism is shifting the same rate as the surrounding temperature. The average comfortable temperature is 30 °C (86 °F). Temperatures too hot (35 °C (95 °F) and above) and temperatures too low (12 °C (54 °F) and below) are considered uncomfortable to many people. Thermal neutrality Thermal neutrality ( thermal neutral zone )

1133-556: A reduction in negative affect . Across studies, participants that were subjected to acute physical pain in the laboratory subsequently reported feeling better than those in non-painful control conditions, a finding which was also reflected in physiological parameters. A potential mechanism to explain this effect is provided by the opponent-process theory . Before the relatively recent discovery of neurons and their role in pain, various body functions were proposed to account for pain. There were several competing early theories of pain among

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1236-424: A relative humidity of indoor air below 60%, in agreement with the guidelines for thermal comfort that recommend a relative humidity between 40 and 60 %. Moisture buildup in buildings may arise from water penetrating areas of the building envelope or fabric, from plumbing leaks, rainwater or groundwater penetration, or from condensation due to improper ventilation, insufficient heating or poor thermal quality of

1339-707: A result of decreased sensation. A much smaller number of people are insensitive to pain due to an inborn abnormality of the nervous system, known as " congenital insensitivity to pain ". Children with this condition incur carelessly-repeated damage to their tongues, eyes, joints, skin, and muscles. Some die before adulthood, and others have a reduced life expectancy. Most people with congenital insensitivity to pain have one of five hereditary sensory and autonomic neuropathies (which includes familial dysautonomia and congenital insensitivity to pain with anhidrosis ). These conditions feature decreased sensitivity to pain together with other neurological abnormalities, particularly of

1442-436: A role in consuming comfort foods. Most people tend to eat simply because "it's lunch time" and only 20% of the time is due to actual hunger. Food preferences Food preferences split into two categories: snack-related and meal-related. If a child was exposed to many snacks growing up, they may focus on more snack-related comfort foods later on in life. Food preference ranges through male/female, and younger/older. Females and

1545-449: A significantly higher hazard as they are more likely to release fibers to the air. Indoors ozone (O 3 ) is produced by certain high-voltage electric devices (such as air ionizers ), and as a by-product of other types of pollution. It appears in lower concentrations indoors than outdoors, usually at 0.2-0.7 of the outdoor concentration. Typically, most ozone is lost to surface reactions indoors, rather than to reactions in air, due to

1648-448: A state known as pain asymbolia, described as intense pain devoid of unpleasantness, with morphine injection or psychosurgery . Such patients report that they have pain but are not bothered by it; they recognize the sensation of pain but suffer little, or not at all. Indifference to pain can also rarely be present from birth; these people have normal nerves on medical investigations, and find pain unpleasant, but do not avoid repetition of

1751-432: Is "pain that extends beyond the expected period of healing". Chronic pain may be classified as " cancer-related " or "benign." Allodynia is pain experienced in response to a normally painless stimulus. It has no biological function and is classified by characteristics of the stimuli as cold, heat, touch, pressure or a pinprick. Phantom pain is pain felt in a part of the body that has been amputated , or from which

1854-506: Is 4 mg/m . Acute exposure should not exceed 10 mg/m in 8 hours, 35 mg/m in one hour and 100 mg/m in 15 minutes. Secondhand smoke is tobacco smoke which affects people other than the 'active' smoker. It is made up of the exhaled smoke (15%) and mostly of smoke coming from the burning end of the cigarette, known as sidestream smoke (85%). Secondhand smoke contains more than 7000 chemicals, of which hundreds are harmful to health. Secondhand tobacco smoke includes both

1957-438: Is 60 μg/m for long-term exposure and 100 μg/m as the maximum average over an 8-hour period. The EPA standard for ozone concentration is 0.07 ppm average over an 8-hour period. Occupants in buildings can be exposed to fungal spores, cell fragments, or mycotoxins which can arise from a host of means, but there are two common classes: (a) excess moisture induced growth of mold colonies and (b) natural substances released into

2060-701: Is a common, reproducible tool in the assessment of pain and pain relief. The scale is a continuous line anchored by verbal descriptors, one for each extreme of pain where a higher score indicates greater pain intensity. It is usually 10 cm in length with no intermediate descriptors as to avoid marking of scores around a preferred numeric value. When applied as a pain descriptor, these anchors are often 'no pain' and 'worst imaginable pain". Cut-offs for pain classification have been recommended as no pain (0–4mm), mild pain (5–44mm), moderate pain (45–74mm) and severe pain (75–100mm). The Multidimensional Pain Inventory (MPI)

2163-601: Is a parasite of protozoans such as amoeba , and thus requires conditions suitable for both organisms. The bacterium forms a biofilm which is resistant to chemical and antimicrobial treatments, including chlorine. Remediation for Legionella outbreaks in commercial buildings vary, but often include very hot water flushes (160 °F (71 °C)), sterilisation of standing water in evaporative cooling basins, replacement of shower heads, and, in some cases, flushes of heavy metal salts. Preventive measures include adjusting normal hot water levels to allow for 120 °F (49 °C) at

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2266-447: Is a particular concern in low and middle-income countries where such practices are common. Cooking using natural gas (also called fossil gas, methane gas or simply gas) is associated with poorer indoor air quality. Combustion of gas produces nitrogen dioxide and carbon monixide, and can lead to increased concentrations of nitrogen dioxide throughout the home environment which is linked to respiratory issues and diseases . One of

2369-496: Is a questionnaire designed to assess the psychosocial state of a person with chronic pain. Combining the MPI characterization of the person with their IASP five-category pain profile is recommended for deriving the most useful case description. Non-verbal people cannot use words to tell others that they are experiencing pain. However, they may be able to communicate through other means, such as blinking, pointing, or nodding. With

2472-475: Is also associated with increased depression, anxiety, fear, and anger. If I have matters right, the consequences of pain will include direct physical distress, unemployment, financial difficulties, marital disharmony, and difficulties in concentration and attention… Although pain is considered to be aversive and unpleasant and is therefore usually avoided, a meta-analysis which summarized and evaluated numerous studies from various psychological disciplines, found

2575-570: Is caused by stimulation of sensory nerve fibers that respond to stimuli approaching or exceeding harmful intensity ( nociceptors ), and may be classified according to the mode of noxious stimulation. The most common categories are "thermal" (e.g. heat or cold), "mechanical" (e.g. crushing, tearing, shearing, etc.) and "chemical" (e.g. iodine in a cut or chemicals released during inflammation ). Some nociceptors respond to more than one of these modalities and are consequently designated polymodal. Indoor air quality Indoor air quality ( IAQ )

2678-547: Is distinctly located also activates the primary and secondary somatosensory cortex . Spinal cord fibers dedicated to carrying A-delta fiber pain signals and others that carry both A-delta and C fiber pain signals to the thalamus have been identified. Other spinal cord fibers, known as wide dynamic range neurons , respond to A-delta and C fibers and the much larger, more heavily myelinated A-beta fibers that carry touch, pressure, and vibration signals. Ronald Melzack and Patrick Wall introduced their gate control theory in

2781-474: Is essential for protection from injury, and recognition of the presence of injury. Episodic analgesia may occur under special circumstances, such as in the excitement of sport or war: a soldier on the battlefield may feel no pain for many hours from a traumatic amputation or other severe injury. Although unpleasantness is an essential part of the IASP definition of pain, it is possible in some patients to induce

2884-403: Is initially described as burning or tingling but may evolve into severe crushing or pinching pain, or the sensation of fire running down the legs or of a knife twisting in the flesh. Onset may be immediate or may not occur until years after the disabling injury. Surgical treatment rarely provides lasting relief. Breakthrough pain is transitory pain that comes on suddenly and is not alleviated by

2987-507: Is necessary. Changes in behavior may be noticed by caregivers who are familiar with the person's normal behavior. Infants do feel pain , but lack the language needed to report it, and so communicate distress by crying. A non-verbal pain assessment should be conducted involving the parents, who will notice changes in the infant which may not be obvious to the health care provider. Pre-term babies are more sensitive to painful stimuli than those carried to full term. Another approach, when pain

3090-424: Is not in a position to be uncomfortable. For example, a person might sit in a chair without discomfort, but still find the addition of a pillow to the chair to increase their feeling of comfort. Something that provides this type of comfort, which does not seek to relieve hardship, can also be referred to as being " comfy ". There are various psychological studies about the feeling of comfort, and they have resulted in

3193-421: Is often described as shooting, crushing, burning or cramping. If the pain is continuous for a long period, parts of the intact body may become sensitized, so that touching them evokes pain in the phantom limb. Phantom limb pain may accompany urination or defecation . Local anesthetic injections into the nerves or sensitive areas of the stump may relieve pain for days, weeks, or sometimes permanently, despite

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3296-452: Is part of indoor environmental quality (IEQ), along with other factors that exert an influence on physical and psychological aspects of life indoors (e.g., lighting, visual quality, acoustics, and thermal comfort). Indoor air pollution is a major health hazard in developing countries and is commonly referred to as " household air pollution " in that context. It is mostly relating to cooking and heating methods by burning biomass fuel , in

3399-460: Is related to various perceptions, physiological, social, and psychological needs, and after food, clothing is one of the significant objects that suffices for comfort requirements. Clothing provides aesthetic, tactile, thermal, moisture, and pressure comfort. Human comfort can also be categorized by areas such visual comfort, acoustic comfort, and respiratory comfort. Visual comfort is defined as "the state of mind that expresses satisfaction with

3502-538: Is significant for human health as humans spend a large proportion of their time in indoor environments. Americans and Europeans on average spend approximately 90% of their time indoors. The World Health Organization (WHO) estimates that 3.2 million people die prematurely every year from illnesses attributed to indoor air pollution caused by indoor cooking, with over 237 thousand of these being children under 5. These include around an eighth of all global ischaemic heart disease , stroke , and lung cancer deaths. Overall

3605-412: Is suspected, is to give the person treatment for pain, and then watch to see whether the suspected indicators of pain subside. The way in which one experiences and responds to pain is related to sociocultural characteristics, such as gender, ethnicity, and age. An aging adult may not respond to pain in the same way that a younger person might. Their ability to recognize pain may be blunted by illness or

3708-650: Is the air quality within buildings and structures . Poor indoor air quality due to indoor air pollution is known to affect the health, comfort, and well-being of building occupants. It has also been linked to sick building syndrome , respiratory issues, reduced productivity, and impaired learning in schools. Common pollutants of indoor air include: secondhand tobacco smoke , air pollutants from indoor combustion , radon , molds and other allergens , carbon monoxide , volatile organic compounds , legionella and other bacteria, asbestos fibers , carbon dioxide , ozone and particulates . Source control, filtration, and

3811-458: Is the temperature range where it is neither comfortable nor uncomfortable. The human body's metabolism is burning calories at the same rate as the temperature around. This would be around 24 °C (75 °F) (room temperature), and people have no opinion about the temperature. Thermal neutrality is often also used in animal raising. For example, farmers maintain the neutral temperature for cattle to prevent cold stress . Everyday uses Comfort

3914-416: Is used in the home. Benzene is emitted from fuel stored in attached garages. Human activities such as cooking and cleaning can also emit VOCs. Cooking can release long-chain aldehydes and alkanes when oil is heated and terpenes can be released when spices are prepared and/or cooked. Leaks of natural gas from cooking appliances have been linked to elevated levels of VOCs including benzene in homes in

4017-527: The autonomic nervous system . A very rare syndrome with isolated congenital insensitivity to pain has been linked with mutations in the SCN9A gene, which codes for a sodium channel ( Na v 1.7 ) necessary in conducting pain nerve stimuli. Experimental subjects challenged by acute pain and patients in chronic pain experience impairments in attention control, working memory capacity , mental flexibility , problem solving, and information processing speed. Pain

4120-405: The medial , paleospinothalamic tract . The neospinothalamic tract carries the fast, sharp A-delta signal to the ventral posterolateral nucleus of the thalamus . The paleospinothalamic tract carries the slow, dull C fiber pain signal. Some of the paleospinothalamic fibers peel off in the brain stem—connecting with the reticular formation or midbrain periaqueductal gray—and the remainder terminate in

4223-473: The 1965 Science article "Pain Mechanisms: A New Theory". The authors proposed that the thin C and A-delta (pain) and large diameter A-beta (touch, pressure, vibration) nerve fibers carry information from the site of injury to two destinations in the dorsal horn of the spinal cord, and that A-beta fiber signals acting on inhibitory cells in the dorsal horn can reduce the intensity of pain signals sent to

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4326-447: The 19th-century development of specificity theory . Specificity theory saw pain as "a specific sensation, with its own sensory apparatus independent of touch and other senses". Another theory that came to prominence in the 18th and 19th centuries was intensive theory , which conceived of pain not as a unique sensory modality, but an emotional state produced by stronger than normal stimuli such as intense light, pressure or temperature. By

4429-415: The C fibers. These A-delta and C fibers enter the spinal cord via Lissauer's tract and connect with spinal cord nerve fibers in the central gelatinous substance of the spinal cord . These spinal cord fibers then cross the cord via the anterior white commissure and ascend in the spinothalamic tract . Before reaching the brain, the spinothalamic tract splits into the lateral , neospinothalamic tract and

4532-453: The Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage." Pain motivates organisms to withdraw from damaging situations, to protect a damaged body part while it heals, and to avoid similar experiences in the future. Most pain resolves once the noxious stimulus is removed and

4635-903: The US. Due to these initiatives an increasing number of low-emitting products became available to purchase. At least 18 microbial VOCs (MVOCs) have been characterised including 1-octen-3-ol (mushroom alcohol), 3-Methylfuran , 2-pentanol , 2-hexanone , 2-heptanone , 3-octanone , 3-octanol , 2-octen-1-ol , 1-octene , 2-pentanone , 2-nonanone , borneol , geosmin , 1-butanol , 3-methyl-1-butanol , 3-methyl-2-butanol , and thujopsene . The last four are products of Stachybotrys chartarum , which has been linked with sick building syndrome . Many common building materials used before 1975 contain asbestos , such as some floor tiles, ceiling tiles, shingles, fireproofing, heating systems, pipe wrap, taping muds, mastics, and other insulation materials. Normally, significant releases of asbestos fiber do not occur unless

4738-861: The USA. Cleaning products contain a range of VOCs, including monoterpenes , sesquiterpenes , alcohols and esters . Once released into the air, VOCs can undergo reactions with ozone and hydroxyl radicals to produce other VOCs, such as formaldehyde. Health effects include eye, nose, and throat irritation ; headaches , loss of coordination, nausea ; and damage to the liver , kidney, and central nervous system . Testing emissions from building materials used indoors has become increasingly common for floor coverings, paints, and many other important indoor building materials and finishes. Indoor materials such as gypsum boards or carpet act as VOC 'sinks', by trapping VOC vapors for extended periods of time, and releasing them by outgassing . The VOCs can also undergo transformation at

4841-574: The WHO estimated that poor indoor air quality resulted in the loss of 86 million healthy life years in 2019. Studies in the UK and Europe show exposure to indoor air pollutants, chemicals and biological contamination can irritate the upper airway system, trigger or exacerbate asthma and other respiratory or cardiovascular conditions, and may even have carcinogenic effects. Poor indoor air quality can cause sick building syndrome . Symptoms include burning of

4944-556: The actual cigarette smoke is not present anymore and affect those entering the indoor environment much later. Toxic substances of THS can react with other chemicals in the air and produce new toxic chemicals that are otherwise not present in cigarettes. The only certain method to improve indoor air quality as regards secondhand smoke is to eliminate smoking indoors. Indoor e-cigarette use also increases home particulate matter concentrations. Atmospheric particulate matter, also known as particulates , can be found indoors and can affect

5047-429: The affective-motivational dimension. Thus, excitement in games or war appears to block both the sensory-discriminative and affective-motivational dimensions of pain, while suggestion and placebos may modulate only the affective-motivational dimension and leave the sensory-discriminative dimension relatively undisturbed. (p. 432) The paper ends with a call to action: "Pain can be treated not only by trying to cut down

5150-520: The air breathed is of sufficiently high quality. In indoor spaces this type of comfort can be predicted by the indoor air quality (IAQ) . IAQ is dependent on the quantity of pollutants in the air, the ventilation rate, and the turnover rate of pollutants. In outdoor spaces respiratory comfort can be associated with the air quality index . Pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for

5253-948: The air such as animal dander and plant pollen. While mold growth is associated with high moisture levels, it is likely to grow when a combination of favorable conditions arises. As well as high moisture levels, these conditions include suitable temperatures, pH and nutrient sources. Mold grows primarily on surfaces, and it reproduces by releasing spores, which can travel and settle in different locations. When these spores experience appropriate conditions, they can germinate and lead to mycelium growth. Different mold species favor different environmental conditions to germinate and grow, some being more hydrophilic (growing at higher levels of relative humidity) and other more xerophilic (growing at levels of relative humidity as low as 75–80%). Mold growth can be inhibited by keeping surfaces at conditions that are further from condensation, with relative humidity levels below 75%. This usually translates to

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5356-465: The air. Inhalation of asbestos fibers over long exposure times is associated with increased incidence of lung cancer , mesothelioma , and asbestosis . The risk of lung cancer from inhaling asbestos fibers is significantly greater for smokers. The symptoms of disease do not usually appear until about 20 to 30 years after the first exposure to asbestos. Although all asbestos is hazardous, products that are friable, e.g. sprayed coatings and insulation, pose

5459-407: The ancient Greeks: Hippocrates believed that it was due to an imbalance in vital fluids . In the 11th century, Avicenna theorized that there were a number of feeling senses, including touch, pain, and titillation. In 1644, René Descartes theorized that pain was a disturbance that passed along nerve fibers until the disturbance reached the brain. The work of Descartes and Avicenna prefigured

5562-647: The bathroom floor drains, exacerbated by the draw of bathroom exhaust fans, resulting in the rapid spread of SARS in Amoy Gardens in Hong Kong . Elsewhere in Hong Kong, SARS CoV RNA was found on the carpet and in the air intake vents of the Metropole Hotel, which showed that secondary environmental contamination could generate infectious aerosols and resulted in superspreading events. Humans are

5665-932: The body has healed, but it may persist despite removal of the stimulus and apparent healing of the body. Sometimes pain arises in the absence of any detectable stimulus, damage or disease. Pain is the most common reason for physician consultation in most developed countries. It is a major symptom in many medical conditions, and can interfere with a person's quality of life and general functioning. People in pain experience impaired concentration, working memory , mental flexibility , problem solving and information processing speed, and are more likely to experience irritability, depression, and anxiety. Simple pain medications are useful in 20% to 70% of cases. Psychological factors such as social support , cognitive behavioral therapy , excitement, or distraction can affect pain's intensity or unpleasantness. First attested in English in 1297,

5768-471: The brain no longer receives signals. It is a type of neuropathic pain. The prevalence of phantom pain in upper limb amputees is nearly 82%, and in lower limb amputees is 54%. One study found that eight days after amputation, 72% of patients had phantom limb pain, and six months later, 67% reported it. Some amputees experience continuous pain that varies in intensity or quality; others experience several bouts of pain per day, or it may reoccur less often. It

5871-719: The brain of oxygen, acute exposure to carbon monoxide may have effects on the neurological system (headache, nausea, dizziness, alteration in consciousness and subjective weakness), the cardiovascular and respiratory systems ( myocardial infarction , shortness of breath, or rapid breathing, respiratory failure ). Acute exposure can also lead to long-term neurological effects such as cognitive and behavioural changes. Severe CO poisoning may lead to unconsciousness, coma and death. Chronic exposure to low concentrations of carbon monoxide may lead to lethargy, headaches, nausea, flu-like symptoms and neuropsychological and cardiovascular issues. The WHO recommended levels of indoor CO exposure in 24 hours

5974-506: The brain. In 1968, Ronald Melzack and Kenneth Casey described chronic pain in terms of its three dimensions: They theorized that pain intensity (the sensory discriminative dimension) and unpleasantness (the affective-motivational dimension) are not simply determined by the magnitude of the painful stimulus, but "higher" cognitive activities can influence perceived intensity and unpleasantness. Cognitive activities may affect both sensory and affective experience, or they may modify primarily

6077-443: The building envelope. Even something as simple as drying clothes indoors on radiators can increase the risk of mold growth, if the humidity produced is not able to escape the building via ventilation. Mold predominantly affects the airways and lungs. Known effects of mold on health include asthma development and exacerbation, with children and elderly at greater risk of more severe health impacts. Infants in homes with mold have

6180-433: The building materials are disturbed, such as by cutting, sanding, drilling, or building remodelling. Removal of asbestos-containing materials is not always optimal because the fibers can be spread into the air during the removal process. A management program for intact asbestos-containing materials is often recommended instead. When asbestos-containing material is damaged or disintegrates, microscopic fibers are dispersed into

6283-413: The drug wearing off in a matter of hours; and small injections of hypertonic saline into the soft tissue between vertebrae produces local pain that radiates into the phantom limb for ten minutes or so and may be followed by hours, weeks, or even longer of partial or total relief from phantom pain. Vigorous vibration or electrical stimulation of the stump, or current from electrodes surgically implanted onto

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6386-434: The eater into a pleasurable state. This could be credited to food preferences and childhood experiences (like a parent's cooking). Physiological responses Comfort food is usually chosen because of previous experiences of happiness linked with it. For example, chocolate is held as a popular comfort food as it is followed by the pleasurable sweetness and the positive association with gifts/rewards. The time of day also play

6489-489: The end of the experiment, the psychologist saw that the monkeys would choose the cloth surrogate over the wire surrogate. They concluded that having basic needs is essential, but there is the need for closeness and affection. This experiment justified that importance of comfort and warmth for child development. All the monkeys that grew up from the experiment expressed a behavior of aggression and atypical sexual behaviors. Comfort foods are foods intentionally consumed to move

6592-656: The eyes, scratchy throat, blocked nose, and headaches. Indoor combustion, such as for cooking or heating, is a major cause of indoor air pollution and causes significant health harms and premature deaths. Hydrocarbon fires cause air pollution. Pollution is caused by both biomass and fossil fuels of various types, but some forms of fuels are more harmful than others. Indoor fire can produce black carbon particles, nitrogen oxides , sulfur oxides , and mercury compounds , among other emissions. Around 3 billion people cook over open fires or on rudimentary cook stoves. Cooking fuels are coal, wood, animal dung, and crop residues. IAQ

6695-452: The form of wood , charcoal , dung , and crop residue , in indoor environments that lack proper ventilation. Millions of people, primarily women and children, face serious health risks. In total, about three billion people in developing countries are affected by this problem. The World Health Organization (WHO) estimates that cooking-related indoor air pollution causes 3.8 million annual deaths. The Global Burden of Disease study estimated

6798-623: The gas-phase, or on surfaces. VOCs presenting health hazards include benzene , formaldehyde , tetrachloroethylene and trichloroethylene . VOCs are emitted by thousands of indoor products. Examples include: paints, varnishes, waxes and lacquers, paint strippers, cleaning and personal care products, pesticides, building materials and furnishings, office equipment such as copiers and printers, correction fluids and carbonless copy paper , graphics and craft materials including glues and adhesives, permanent markers, and photographic solutions. Chlorinated drinking water releases chloroform when hot water

6901-603: The health of occupants. Indoor particulate matter can come from different indoor sources or be created as secondary aerosols through indoor gas-to-particle reactions. They can also be outdoor particles that enter indoors. These indoor particles vary widely in size, ranging from nanomet (nanoparticles/ultrafine particles emitted from combustion sources) to micromet (resuspensed dust). Particulate matter can also be produced through cooking activities. Frying produces higher concentrations than boiling or grilling and cooking meat produces higher concentrations than cooking vegetables. Preparing

7004-513: The indoor air. Air pollutants can enter a building in many ways, including through open doors or windows. Poorly maintained air conditioners/ventilation systems can harbor mold, bacteria, and other contaminants, which are then circulated throughout indoor spaces, contributing to respiratory problems and allergies. There have been many debates among indoor air quality specialists about the proper definition of indoor air quality and specifically what constitutes "acceptable" indoor air quality. IAQ

7107-400: The intensity of a stimulus in a procedure called quantitative sensory testing which involves such stimuli as electric current , thermal (heat or cold), mechanical (pressure, touch, vibration), ischemic , or chemical stimuli applied to the subject to evoke a response. The " pain perception threshold " is the point at which the subject begins to feel pain, and the "pain threshold intensity" is

7210-400: The intralaminar nuclei of the thalamus. Pain-related activity in the thalamus spreads to the insular cortex (thought to embody, among other things, the feeling that distinguishes pain from other homeostatic emotions such as itch and nausea) and anterior cingulate cortex (thought to embody, among other things, the affective/motivational element, the unpleasantness of pain), and pain that

7313-620: The large surface to volume ratios found indoors. Outdoor air used for ventilation may have sufficient ozone to react with common indoor pollutants as well as skin oils and other common indoor air chemicals or surfaces. Particular concern is warranted when using "green" cleaning products based on citrus or terpene extracts, because these chemicals react very quickly with ozone to form toxic and irritating chemicals as well as fine and ultrafine particles . Ventilation with outdoor air containing elevated ozone concentrations may complicate remediation attempts. The WHO standard for ozone concentration

7416-416: The likelihood of reporting pain. Patients may feel that certain treatments go against their religious beliefs. They may not report pain because they feel it is a sign that death is near. Many people fear the stigma of addiction, and avoid pain treatment so as not to be prescribed potentially addicting drugs. Many Asians do not want to lose respect in society by admitting they are in pain and need help, believing

7519-563: The main indoor source of carbon dioxide (CO 2 ) in most buildings. Indoor CO 2 levels are an indicator of the adequacy of outdoor air ventilation relative to indoor occupant density and metabolic activity. Indoor CO 2 levels above 500 ppm can lead to higher blood pressure and heart rate, and increased peripheral blood circulation. With CO 2 concentrations above 1000 ppm cognitive performance might be affected, especially when doing complex tasks, making decision making and problem solving slower but not less accurate. However, evidence on

7622-519: The main sources of indoor CO emission come from cooking and heating devices that burn fossil fuels and are faulty, incorrectly installed or poorly maintained. Appliance malfunction may be due to faulty installation or lack of maintenance and proper use. In low- and middle-income countries the most common sources of CO in homes are burning biomass fuels and cigarette smoke. Health effects of CO poisoning may be acute or chronic and can occur unintentionally or intentionally ( self-harm ). By depriving

7725-575: The mid-1890s, specificity was backed primarily by physiologists and physicians, and psychologists mostly backed the intensive theory . However, after a series of clinical observations by Henry Head and experiments by Max von Frey , the psychologists migrated to specificity almost en masse. By the century's end, most physiology and psychology textbooks presented pain specificity as fact. Some sensory fibers do not differentiate between noxious and non-noxious stimuli, while others (i.e., nociceptors ) respond only to noxious, high-intensity stimuli. At

7828-435: The most acutely toxic indoor air contaminants is carbon monoxide (CO), a colourless and odourless gas that is a by-product of incomplete combustion . Carbon monoxide may be emitted from tobacco smoke and generated from malfunctioning fuel burning stoves (wood, kerosene, natural gas, propane) and fuel burning heating systems (wood, oil, natural gas) and from blocked flues connected to these appliances. In developed countries

7931-592: The most commonly reported cases of Legionellosis. More than one case has involved outdoor fountains at public attractions. The presence of Legionella in commercial building water supplies is highly under-reported, as healthy people require heavy exposure to acquire infection. Legionella testing typically involves collecting water samples and surface swabs from evaporative cooling basins, shower heads, faucets/taps, and other locations where warm water collects. The samples are then cultured and colony forming units (cfu) of Legionella are quantified as cfu/liter. Legionella

8034-415: The most famous developmental psychological studies is Harry Harlow 's development experiment with monkeys. He separated baby monkeys at birth and raised them with surrogate mothers. There were two types of surrogate mothers: a metal wire one, and one covered with cloth. Each was equipped with a nozzle from which the baby monkeys could "breast" feed. The surrogate mother covered in cloth represented comfort. At

8137-480: The noxious stimulus is removed or the underlying damage or pathology has healed. But some painful conditions, such as rheumatoid arthritis , peripheral neuropathy , cancer , and idiopathic pain, may persist for years. Pain that lasts a long time is called " chronic " or "persistent", and pain that resolves quickly is called " acute ". Traditionally, the distinction between acute and chronic pain has relied upon an arbitrary interval of time between onset and resolution;

8240-734: The number of deaths in 2017 at 1.6 million. For health reasons it is crucial to breathe clean air, free from chemicals and toxicants as much as possible. It is estimated that humans spend approximately 90% of their lifetime indoors and that indoor air pollution in some places can be much worse than that of the ambient air. Various factors contribute to high concentrations of pollutants indoors, ranging from influx of pollutants from external sources, off-gassing by furniture, furnishings including carpets, indoor activities (cooking, cleaning, painting, smoking, etc. in homes to using office equipment in offices), thermal comfort parameters such as temperature, humidity, airflow and physio-chemical properties of

8343-400: The pain should be borne in silence, while other cultures feel they should report pain immediately to receive immediate relief. Gender can also be a perceived factor in reporting pain. Gender differences can be the result of social and cultural expectations, with, in some cultures, women expected to be more emotional and show pain, and men to be more stoic. As a result, female pain may be at

8446-487: The pain stimulus. Insensitivity to pain may also result from abnormalities in the nervous system . This is usually the result of acquired damage to the nerves, such as spinal cord injury , diabetes mellitus ( diabetic neuropathy ), or leprosy in countries where that disease is prevalent. These individuals are at risk of tissue damage and infection due to undiscovered injuries. People with diabetes-related nerve damage, for instance, sustain poorly-healing foot ulcers as

8549-400: The pain will help the examining physician to accurately diagnose the problem. For example, chest pain described as extreme heaviness may indicate myocardial infarction , while chest pain described as tearing may indicate aortic dissection . Functional magnetic resonance imaging brain scanning has been used to measure pain, and correlates well with self-reported pain. Nociceptive pain

8652-497: The patient's regular pain management . It is common in cancer patients who often have background pain that is generally well-controlled by medications, but who also sometimes experience bouts of severe pain that from time to time "breaks through" the medication. The characteristics of breakthrough cancer pain vary from person to person and according to the cause. Management of breakthrough pain can entail intensive use of opioids , including fentanyl . The ability to experience pain

8755-512: The peripheral end of the nociceptor, noxious stimuli generate currents that, above a given threshold, send signals along the nerve fiber to the spinal cord. The "specificity" (whether it responds to thermal, chemical, or mechanical features of its environment) of a nociceptor is determined by which ion channels it expresses at its peripheral end. So far, dozens of types of nociceptor ion channels have been identified, and their exact functions are still being determined. The pain signal travels from

8858-491: The periphery to the spinal cord along A-delta and C fibers. Because the A-delta fiber is thicker than the C fiber, and is thinly sheathed in an electrically insulating material ( myelin ), it carries its signal faster (5–30  m/s ) than the unmyelinated C fiber (0.5–2 m/s). Pain evoked by the A-delta fibers is described as sharp and is felt first. This is followed by a duller pain—often described as burning—carried by

8961-474: The question of why pain should have the quality of being painful. He describes the alternative as a mental raising of a "red flag". To argue why that red flag might be insufficient, Dawkins argues that drives must compete with one another within living beings. The most "fit" creature would be the one whose pains are well balanced. Those pains which mean certain death when ignored will become the most powerfully felt. The relative intensities of pain, then, may resemble

9064-537: The relative importance of that risk to our ancestors. This resemblance will not be perfect, however, because natural selection can be a poor designer . This may have maladaptive results such as supernormal stimuli . Pain, however, does not only wave a "red flag" within living beings but may also act as a warning sign and a call for help to other living beings. Especially in humans who readily helped each other in case of sickness or injury throughout their evolutionary history, pain might be shaped by natural selection to be

9167-603: The released spores. Legionnaires' disease is caused by a waterborne bacterium Legionella that grows best in slow-moving or still, warm water. The primary route of exposure is through the creation of an aerosol effect, most commonly from evaporative cooling towers or showerheads. A common source of Legionella in commercial buildings is from poorly placed or maintained evaporative cooling towers, which often release water in an aerosol which may enter nearby ventilation intakes. Outbreaks in medical facilities and nursing homes, where patients are immuno-suppressed and immuno-weak, are

9270-411: The results. A large fraction of the bacteria found in indoor air and dust are shed from humans. Among the most important bacteria known to occur in indoor air are Mycobacterium tuberculosis , Staphylococcus aureus , Streptococcus pneumoniae . Viruses can also be a concern for indoor air quality. During the 2002–2004 SARS outbreak , virus-laden aerosols were found to have seeped into bathrooms from

9373-654: The sensory input by anesthetic block, surgical intervention and the like, but also by influencing the motivational-affective and cognitive factors as well." (p. 435) Pain is part of the body's defense system, producing a reflexive retraction from the painful stimulus, and tendencies to protect the affected body part while it heals, and avoid that harmful situation in the future. It is an important part of animal life, vital to healthy survival. People with congenital insensitivity to pain have reduced life expectancy . In The Greatest Show on Earth: The Evidence for Evolution , biologist Richard Dawkins addresses

9476-535: The spinal cord, all produce relief in some patients. Mirror box therapy produces the illusion of movement and touch in a phantom limb which in turn may cause a reduction in pain. Paraplegia , the loss of sensation and voluntary motor control after serious spinal cord damage, may be accompanied by girdle pain at the level of the spinal cord damage, visceral pain evoked by a filling bladder or bowel, or, in five to ten percent of paraplegics, phantom body pain in areas of complete sensory loss. This phantom body pain

9579-408: The stimulus intensity at which the stimulus begins to hurt. The " pain tolerance threshold" is reached when the subject acts to stop the pain. A person's self-report is the most reliable measure of pain. Some health care professionals may underestimate pain severity. A definition of pain widely employed in nursing, emphasizing its subjective nature and the importance of believing patient reports,

9682-685: The surface through interaction with ozone. In both cases, these delayed emissions can result in chronic and low-level exposures to VOCs. Several initiatives aim to reduce indoor air contamination by limiting VOC emissions from products. There are regulations in France and in Germany, and numerous voluntary ecolabels and rating systems containing low VOC emissions criteria such as EMICODE, M1, Blue Angel and Indoor Air Comfort in Europe, as well as California Standard CDPH Section 01350 and several others in

9785-479: The tap, evaluating facility design layout, removing faucet aerators, and periodic testing in suspect areas. There are many bacteria of health significance found in indoor air and on indoor surfaces. The role of microbes in the indoor environment is increasingly studied using modern gene-based analysis of environmental samples. Currently, efforts are under way to link microbial ecologists and indoor air scientists to forge new methods for analysis and to better interpret

9888-460: The two most commonly used markers being 3 months and 6 months since the onset of pain, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply "acute" to pain that lasts less than 30 days, "chronic" to pain of more than six months' duration, and "subacute" to pain that lasts from one to six months. A popular alternative definition of "chronic pain", involving no arbitrarily fixed duration,

9991-410: The use of medication . Depression may also keep older adult from reporting they are in pain. Decline in self-care may also indicate the older adult is experiencing pain. They may be reluctant to report pain because they do not want to be perceived as weak, or may feel it is impolite or shameful to complain, or they may feel the pain is a form of deserved punishment. Cultural barriers may also affect

10094-439: The use of power tools . Volatile organic compounds (VOCs) include a variety of chemicals, some of which may have short- and long-term adverse health effects. There are numerous sources of VOCs indoors, which means that their concentrations are consistently higher indoors (up to ten times higher) than outdoors. Some VOCs are emitted directly indoors, and some are formed through the subsequent chemical reactions that can occur in

10197-554: The use of ventilation to dilute contaminants are the primary methods for improving indoor air quality. Although ventilation is an integral component of maintaining good indoor air quality, it may not be satisfactory alone. In scenarios where outdoor pollution would deteriorate indoor air quality, other treatment devices such as filtration may also be necessary. IAQ is evaluated through collection of air samples, monitoring human exposure to pollutants, analysis of building surfaces, and computer modeling of air flow inside buildings. IAQ

10300-420: The visual environment." This type of comfort can be achieved when an individual has a sufficient amount of light to perform an activity or task. It is possible for both low and high levels of light to create discomfort. Acoustic comfort is a state of being where noise levels are not harming or interfering with the activities of individuals in some area. Respiratory comfort is achieved in an environment where

10403-554: The word peyn comes from the Old French peine , in turn from Latin poena meaning "punishment, penalty" (also meaning "torment, hardship, suffering" in Late Latin) and that from Greek ποινή ( poine ), generally meaning "price paid, penalty, punishment". The International Association for the Study of Pain recommends using specific features to describe a patient's pain: Pain is usually transitory, lasting only until

10506-436: The young demographic prefer snack-related comfort foods, while the male and older demographic prefer meal-related comfort foods. Thermal comfort is a satisfaction of the ambient air temperature and humidity. Psychologists devised a study to determine the most comfortable temperature. The study had people answering a survey as the temperature changed around them. From the surveys, psychologist found many people had no opinion of

10609-553: Was introduced by Margo McCaffery in 1968: "Pain is whatever the experiencing person says it is, existing whenever he says it does". To assess intensity, the patient may be asked to locate their pain on a scale of 0 to 10, with 0 being no pain at all, and 10 the worst pain they have ever felt. Quality can be established by having the patient complete the McGill Pain Questionnaire indicating which words best describe their pain. The visual analogue scale

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