WorldWideScience

Sample records for assessment guidelines exposure

  1. EPa`s program for risk assessment guidelines: Exposure issues

    Energy Technology Data Exchange (ETDEWEB)

    Callahan, M.A. [Environmental Protection Agency, Washington, DC (United States)

    1990-12-31

    Three major issues to be dealt with over the next ten years in the exposure assessment field are: consistency in terminology, the impact of computer technology on the choice of data and modeling, and conceptual issues such as the use of time-weighted averages.

  2. Guidelines for exposure assessment in health risk studies following a nuclear reactor accident.

    Science.gov (United States)

    Bouville, André; Linet, Martha S; Hatch, Maureen; Mabuchi, Kiyohiko; Simon, Steven L

    2014-01-01

    Worldwide concerns regarding health effects after the Chernobyl and Fukushima nuclear power plant accidents indicate a clear need to identify short- and long-term health impacts that might result from accidents in the future. Fundamental to addressing this problem are reliable and accurate radiation dose estimates for the affected populations. The available guidance for activities following nuclear accidents is limited with regard to strategies for dose assessment in health risk studies. Here we propose a comprehensive systematic approach to estimating radiation doses for the evaluation of health risks resulting from a nuclear power plant accident, reflected in a set of seven guidelines. Four major nuclear reactor accidents have occurred during the history of nuclear power production. The circumstances leading to these accidents were varied, as were the magnitude of the releases of radioactive materials, the pathways by which persons were exposed, the data collected afterward, and the lifestyle factors and dietary consumption that played an important role in the associated radiation exposure of the affected populations. Accidents involving nuclear reactors may occur in the future under a variety of conditions. The guidelines we recommend here are intended to facilitate obtaining reliable dose estimations for a range of different exposure conditions. We recognize that full implementation of the proposed approach may not always be feasible because of other priorities during the nuclear accident emergency and because of limited resources in manpower and equipment. The proposed approach can serve as a basis to optimize the value of radiation dose reconstruction following a nuclear reactor accident.

  3. Guidelines for Exposure Assessment in Health Risk Studies Following a Nuclear Reactor Accident

    OpenAIRE

    Bouville, André; Linet, Martha S.; Hatch, Maureen; Mabuchi, Kiyohiko; Simon, Steven L.

    2013-01-01

    Background: Worldwide concerns regarding health effects after the Chernobyl and Fukushima nuclear power plant accidents indicate a clear need to identify short- and long-term health impacts that might result from accidents in the future. Fundamental to addressing this problem are reliable and accurate radiation dose estimates for the affected populations. The available guidance for activities following nuclear accidents is limited with regard to strategies for dose assessment in health risk s...

  4. The role of skin conductivity in a low frequency exposure assessment for peripheral nerve tissue according to the ICNIRP 2010 guidelines

    Science.gov (United States)

    Schmid, Gernot; Cecil, Stefan; Überbacher, Richard

    2013-07-01

    Based on numerical computations using commercially available finite difference time domain code and a state-of-the art anatomical model of a 5-year old child, the influence of skin conductivity on the induced electric field strength inside the tissue for homogeneous front-to-back magnetic field exposure and homogeneous vertical electric field exposure was computed. Both ungrounded as well as grounded conditions of the body model were considered. For electric field strengths induced inside CNS tissue the impact of skin conductivity was found to be less than 15%. However, the results demonstrated that the use of skin conductivity values as obtainable from the most widely used data base of dielectric tissue properties and recommended by safety standards are not suitable for exposure assessment with respect to peripheral nerve tissue according to the ICNIRP 2010 guidelines in which the use of the induced electric field strengths inside the skin is suggested as a conservative surrogate for peripheral nerve exposure. This is due to the fact that the skin conductivity values derived from these data bases refer to the stratum corneum, the uppermost layer of the skin, which does not contain any nerve or receptor cells to be protected from stimulation effects. Using these skin conductivity values which are approximately a factor 250-500 lower than skin conductivity values used in studies on which the ICNIRP 2010 guidelines are based on, may lead to overestimations of the induced electric field strengths inside the skin by substantially more than a factor of 10. However, reliable conductivity data of deeper skin layers where nerve and preceptor cells are located is very limited. It is therefore recommended to include appropriate background information in the ICNIRP guidelines and the dielectric tissue property databases, and to put some emphasis on a detailed layer-specific characterization of skin conductivity in near future.

  5. Small Wind Site Assessment Guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, Tim [Advanced Energy Systems LLC, Eugene, OR (United States); Preus, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-09-01

    Site assessment for small wind energy systems is one of the key factors in the successful installation, operation, and performance of a small wind turbine. A proper site assessment is a difficult process that includes wind resource assessment and the evaluation of site characteristics. These guidelines address many of the relevant parts of a site assessment with an emphasis on wind resource assessment, using methods other than on-site data collection and creating a small wind site assessment report.

  6. Assessment of human exposures

    Energy Technology Data Exchange (ETDEWEB)

    Lebret, E. [RIVM-National Inst. of Public Health and Environmental Protection (Netherlands)

    1995-12-31

    This article describes some of the features of the assessment of human exposure to environmental pollutants in epidemiological studies. Since exposure assessment in air pollution epidemiology studies typically involve professionals from various backgrounds, interpretation of a concepts like `exposure` may vary. A brief descriptions is therefore given by way of introduction

  7. Exposure assessment of trichloroethylene.

    Science.gov (United States)

    Wu, C; Schaum, J

    2000-01-01

    This article reviews exposure information available for trichloroethylene (TCE) and assesses the magnitude of human exposure. The primary sources releasing TCE into the environment are metal cleaning and degreasing operations. Releases occur into all media but mostly into the air due to its volatility. It is also moderately soluble in water and can leach from soils into groundwater. TCE has commonly been found in ambient air, surface water, and groundwaters. The 1998 air levels in microg/m(3) across 115 monitors can be summarized as follows: range = 0.01-3.9, mean = 0.88. A California survey of large water utilities in 1984 found a median concentration of 3.0 microg/L. General population exposure to TCE occurs primarily by inhalation and water ingestion. Typical average daily intakes have been estimated as 11-33 microg/day for inhalation and 2-20 microg/day for ingestion. A small portion of the population is expected to have elevated exposures as a result of one or more of these pathways: inhalation exposures to workers involved in degreasing operations, ingestion and inhalation exposures occurring in homes with private wells located near disposal/contamination sites, and inhalation exposures to consumers using TCE products in areas of poor ventilation. More current and more extensive data on TCE levels in indoor air, water, and soil are needed to better characterize the distribution of background exposures in the general population and elevated exposures in special subpopulations. Images Figure 1 PMID:10807565

  8. Dermal exposure assessment techniques.

    Science.gov (United States)

    Fenske, R A

    1993-12-01

    Exposure of the skin to chemical substances can contribute significantly to total dose in many workplace situations, and its relative importance will increase when airborne occupational exposure limits are reduced, unless steps to reduce skin exposure are undertaken simultaneously. Its assessment employs personal sampling techniques to measure skin loading rates, and combines these measurements with models of percutaneous absorption to estimate absorbed dose. Knowledge of dermal exposure pathways is in many cases fundamental to hazard evaluation and control. When the skin is the primary contributor to absorbed dose, dermal exposure measurements and biological monitoring play complementary roles in defining occupational exposures. Exposure normally occurs by one of three pathways: (i) immersion (direct contact with a liquid or solid chemical substance); (ii) deposition of aerosol or uptake of vapour through the skin; or (iii) surface contact (residue transfer from contaminated surfaces). Sampling methods fall into three categories: surrogate skin; chemical removal; and fluorescent tracers. Surface sampling represents a supplementary approach, providing an estimate of dermal exposure potential. Surrogate skin techniques involve placing a chemical collection medium on the skin. Whole-body garment samplers do not require assumptions relating to distribution, an inherent limitation of patch sampling. The validity of these techniques rests on the ability of the sampling medium to capture and retain chemicals in a manner similar to skin. Removal techniques include skin washing and wiping, but these measure only what can be removed from the skin, not exposure: laboratory removal efficiency studies are required for proper interpretation of data. Fluorescent tracer techniques exploit the visual properties of fluorescent compounds, and combined with video imaging make quantification of dermal exposure patterns possible, but the need to introduce a chemical substance (tracer

  9. Asbestos Exposure Assessment Database

    Science.gov (United States)

    Arcot, Divya K.

    2010-01-01

    Exposure to particular hazardous materials in a work environment is dangerous to the employees who work directly with or around the materials as well as those who come in contact with them indirectly. In order to maintain a national standard for safe working environments and protect worker health, the Occupational Safety and Health Administration (OSHA) has set forth numerous precautionary regulations. NASA has been proactive in adhering to these regulations by implementing standards which are often stricter than regulation limits and administering frequent health risk assessments. The primary objective of this project is to create the infrastructure for an Asbestos Exposure Assessment Database specific to NASA Johnson Space Center (JSC) which will compile all of the exposure assessment data into a well-organized, navigable format. The data includes Sample Types, Samples Durations, Crafts of those from whom samples were collected, Job Performance Requirements (JPR) numbers, Phased Contrast Microscopy (PCM) and Transmission Electron Microscopy (TEM) results and qualifiers, Personal Protective Equipment (PPE), and names of industrial hygienists who performed the monitoring. This database will allow NASA to provide OSHA with specific information demonstrating that JSC s work procedures are protective enough to minimize the risk of future disease from the exposures. The data has been collected by the NASA contractors Computer Sciences Corporation (CSC) and Wyle Laboratories. The personal exposure samples were collected from devices worn by laborers working at JSC and by building occupants located in asbestos-containing buildings.

  10. Spacecraft Water Exposure Guidelines for Selected Contaminants. Volume 2

    Science.gov (United States)

    2007-01-01

    The International Space Station is a closed and complex environment, so some contamination of its internal atmosphere and water system is expected. To protect space crews from contaminants in potable and hygiene water, the National Aeronautics and Space Administration (NASA) requested that the National Research Council (NRC) provide guidance on how to develop water exposure guidelines and review NASA s development of the exposure guidelines for specific chemicals. NASA selects water contaminants for which spacecraft water exposure guidelines (SWEGs) will be established; this involves identifying toxicity effects relevant to astronauts and calculating exposure concentrations on the basis of those end points. SWEGs are established for exposures of 1, 10, 100, and 1,000 days. This report is the second volume in the series, Spacecraft Water Exposure Guidelines for Selected Chemicals. SWEG reports for acetone, alkylamines, ammonia, barium, cadmium, caprolactam, formate, formaldehyde, manganese, total organic carbon, and zinc are included in this report. The committee concludes that the SWEGs developed for these chemicals are scientifically valid based on the data reviewed by NASA and are consistent with the NRC (2000) report, Methods for Developing Spacecraft Water Exposure Guidelines. SWEG reports for additional chemicals will be presented in a subsequent volume.

  11. A decision tree approach to screen drinking water contaminants for multiroute exposure potential in developing guideline values.

    Science.gov (United States)

    Krishnan, Kannan; Carrier, Richard

    2017-07-03

    The consideration of inhalation and dermal routes of exposures in developing guideline values for drinking water contaminants is important. However, there is no guidance for determining the eligibility of a drinking water contaminant for its multiroute exposure potential. The objective of the present study was to develop a 4-step framework to screen chemicals for their dermal and inhalation exposure potential in the process of developing guideline values. The proposed framework emphasizes the importance of considering basic physicochemical properties prior to detailed assessment of dermal and inhalation routes of exposure to drinking water contaminants in setting guideline values.

  12. Spacecraft Water Exposure Guidelines For Selected Contaminants. Volume 3

    Science.gov (United States)

    2008-01-01

    Construction of the International Space Station (ISS)a multinational effort began in 1999. In its present configuration, the ISS is expected to carry a crew of three to six astronauts for up to 180 days (d). Because the space station is a closed and complex environment, some contamination of its internal atmosphere and water system is unavoidable. Several hundred chemical contaminants are likely to be found in the closed-loop atmosphere and recycled water of the ISS. To protect space crews from contaminants in potable and hygiene water, the National Aeronautics and Space Administration (NASA) requested that the National Research Council (NRC) provide guidance on how to develop water exposure guidelines and subsequently review NASA's development of the exposure guidelines for specific chemicals.

  13. Are the current Australian sun exposure guidelines effective in maintaining adequate levels of 25-hydroxyvitamin D?

    Science.gov (United States)

    Kimlin, Michael; Sun, Jiandong; Sinclair, Craig; Heward, Sue; Hill, Jane; Dunstone, Kimberley; Brodie, Alison

    2016-01-01

    An adequate vitamin D status, as measured by serum 25-hydroxyvitamin D (25(OH)D) concentration, is important in humans for maintenance of healthy bones and muscle function. Serum 25(OH)D concentration was assessed in participants from Melbourne, Australia (37.81S, 144.96E), who were provided with the current Australian guidelines on sun exposure for 25(OH)D adequacy (25(OH)D ≥50 nmol/L). Participants were interviewed in February (summer, n=104) and August (winter, n=99) of 2013. Serum 25(OH)D concentration was examined as a function of measures of sun exposure and sun protection habits with control of key characteristics such as dietary intake of vitamin D, body mass index (BMI) and skin colour, that may modify this relationship. The mean 25(OH)D concentration in participants who complied with the current sun exposure guidelines was 67.3 nmol/L in summer and 41.9 nmol/L in winter. At the end of the study, 69.3% of participants who complied with the summer sun exposure guidelines were 25(OH)D adequate, while only 27.6% of participants who complied with the winter sun exposure guidelines were 25(OH)D adequate at the end of the study. The results suggest that the current Australian guidelines for sun exposure for 25(OH)D adequacy are effective for most in summer and ineffective for most in winter. This article is part of a Special Issue entitled '17th Vitamin D Workshop'. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. ECO Exposure Assessment Tools by Receptors and Exposure Factors - References

    Science.gov (United States)

    Eco-Box is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  15. ECO Exposure Assessment Tools by Exposure Pathways - References

    Science.gov (United States)

    Eco-Box is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  16. Variability in endotoxin exposure levels and consequences for exposure assessment

    NARCIS (Netherlands)

    Spaan, S.; Schinkel, J.; Wouters, I.M.; Preller, L.; Tielemans, E.; Nij, E.T.; Heederik, D.

    2008-01-01

    Objectives: Workers in many industries are exposed to endotoxins, which may cause adverse health effects. In exposure assessment, information about exposure variability is essential. However, variability in exposure has rarely been investigated for biological agents and more specifically for

  17. Guidelines for guidelines: are they up to the task? A comparative assessment of clinical practice guideline development handbooks.

    Directory of Open Access Journals (Sweden)

    Shabnam Ansari

    . The findings help decision makers in identifying the necessary tasks for guideline development, provide an updated comparative list of guideline development handbooks, and provide a checklist to assess the comprehensiveness of guideline development processes.

  18. Guidelines for guidelines: are they up to the task? A comparative assessment of clinical practice guideline development handbooks.

    Science.gov (United States)

    Ansari, Shabnam; Rashidian, Arash

    2012-01-01

    necessary tasks for guideline development, provide an updated comparative list of guideline development handbooks, and provide a checklist to assess the comprehensiveness of guideline development processes.

  19. ECO Exposure Assessment Tools by Stressors - References

    Science.gov (United States)

    Eco-Box is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  20. ECO Exposure Assessment Tools by Effects - References

    Science.gov (United States)

    Eco-Box is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  1. Final Accessibility Guidelines for Play Areas: Economic Assessment.

    Science.gov (United States)

    Architectural and Transportation Barriers Compliance Board, Washington, DC.

    This economic assessment informs the public about the implications of the final accessibility guidelines for play areas issued by the Access Board. The guidelines include scoping and technical provisions, which specify when and how access is to be provided to ground level and elevated play components. The guidelines also address soft contained…

  2. Recommendations for Guidelines for EMF Personal Exposure Measurements, Rapid Project #4

    Energy Technology Data Exchange (ETDEWEB)

    T. Dan Bracken, Inc.

    1997-08-01

    The purpose of developing guidelines for electric and magnetic field (EMF) personal exposure measurements (lF'EM) is to ensure reliable and comparable data across I?EM studies. Study techniques may vary due to different populations or objectives, but the resulting data should be consistently reported and comparable, to the extent possible. Any guideline must allow creativity by the research-oriented investigator and provide specific guidance to industrial hygienists or other results-oriented investigators, requiring a standard protocol. Recognizing measurement studies with different purposes is an important aspect of these recommendations. The guidelines presented here intend to produce comparable data across studies while remaining flexible. The recommendations for designing and implementing an EMF PEM program describe a three-stage process. The first step is to clearly state the purpose of the PEM program. The next stage addresses the fundamental elements of an EMF PEM study, including an assessment of the scientific and organizational resources that will be required. This process is codified in a written study plan. These stages are described in 1 Section 5 of this report. The third stage of a PEM study involves the design, implementation and documentation of specific procedures and protocols fo~ sampling strategies, selection of measurement parameters; instrumentation, measurement and data collection, data management, data analysis, quality assurance, uncertainty evaluation, and archiving the study methods and results. The methods for designing these elements of an EMF PEM study are described in Section 6: Specific Guidelines for EMF I?EM Study Design.

  3. European Fissure Sealant Guidelines: assessment using AGREE II.

    Science.gov (United States)

    San Martin-Galindo, L; Rodríguez-Lozano, F J; Abalos-Labruzzi, C; Niederman, R

    2017-02-01

    Pit and fissure sealants are effective in reducing the incidence of occlusal caries, and multiple clinical practice guidelines (CPGs) have been developed for recommending their proper use. The usefulness of CPGs depends on their quality and on the rigour of the guideline development process. A study was made to assess the quality of current European CPGs based on the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument, which uses 23 key items rated on a 7-point scale to assess practice guideline development and the quality of reporting. A search was conducted for fissure sealant guidelines for preventing caries in children and adults at high and low risk published in the last 10 years. Calibration was carried out before scoring to assess agreement between the appraisers using the AGREE II instrument. The searches identified 19 relevant guidelines, and following application of the inclusion/exclusion criteria, three guidelines were retained for evaluation. The proportion of observed agreement was calculated, expressed by the agreement separately for positive and negative ratings (PA = 0.89, NA = 0-91). The results of the guideline assessments revealed the highest score for the Irish guideline, a moderate score for the French guideline and the lowest score for the European guideline. Based on the AGREE II instrument, the results obtained show significant variation in the quality assessment of the three European Fissure Sealant Guidelines. Future studies should be carried out both to develop quality dental CPGs and to investigate effective ways of adopting them. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  4. Guidelines for rating Global Assessment of Functioning (GAF

    Directory of Open Access Journals (Sweden)

    Aas IH Monrad

    2011-01-01

    Full Text Available Abstract Background Global Assessment of Functioning (GAF is a scoring system for the severity of illness in psychiatry. It is used clinically in many countries, as well as in research, but studies have shown several problems with GAF, for example concerning its validity and reliability. Guidelines for rating are important. The present study aimed to identify the current status of guidelines for rating GAF, and relevant factors and gaps in knowledge for the development of improved guidelines. Methods A thorough literature search was conducted. Results Few studies of existing guidelines have been conducted; existing guidelines are short; and rating has a subjective element. Seven main categories were identified as being important in relation to further development of guidelines: (1 general points about guidelines for rating GAF; (2 introduction to guidelines, with ground rules; (3 starting scoring at the top, middle or bottom level of the scale; (4 scoring for different time periods and of different values (highest, lowest or average; (5 the finer grading of the scale; (6 different guidelines for different conditions; and (7 different languages and cultures. Little information is available about how rules for rating are understood by different raters: the final score may be affected by whether the rater starts at the top, middle or bottom of the scale; there is little data on which value/combination of GAF values to record; guidelines for scoring within 10-point intervals are limited; there is little empirical information concerning the suitability of existing guidelines for different conditions and patient characteristics; and little is known about the effects of translation into different languages or of different cultural understanding. Conclusions Few studies have dealt specifically with guidelines for rating GAF. Current guidelines for rating GAF are not comprehensive, and relevant points for new guidelines are presented. Theoretical and

  5. EXPOSURE ASSESSMENT AND FUTURE DIRECTIONS IN EXPOSURE SCIENCE

    Science.gov (United States)

    Exposure is the contact between a stressor and a human or ecological receptor. Risk analysis step in which receptor interaction with the exposure stressor of concern is evaluated. To assess exposure to a particular stressor we need to know - Properties of the stressor; Sources, p...

  6. Application of physiologically based pharmacokinetic modeling in setting acute exposure guideline levels for methylene chloride.

    NARCIS (Netherlands)

    Bos, Peter Martinus Jozef; Zeilmaker, Marco Jacob; Eijkeren, Jan Cornelis Henri van

    2006-01-01

    Acute exposure guideline levels (AEGLs) are derived to protect the human population from adverse health effects in case of single exposure due to an accidental release of chemicals into the atmosphere. AEGLs are set at three different levels of increasing toxicity for exposure durations ranging from

  7. Sun Exposure Guidelines and Serum Vitamin D Status in Denmark: The StatusD Study

    DEFF Research Database (Denmark)

    Hansen, Louise; Tjønneland, Anne; Køster, Brian

    2016-01-01

    Little is known on how vitamin D status is affected by adherence to UVB-limiting sun exposure guidelines. Our aim was to investigate the relationship between adherence to the Danish sun exposure guidelines and vitamin D status. In total, 3194 Danes (2625 adults, 569 children) were recruited among...... who did not had an OR (95% CI) of 1.68 (1.25-2.35) of having ≥50 nmol/L during both spring and autumn. No associations were found with wearing a sunhat, and there were no clear associations for children. In conclusion, adherence to the sun exposure guidelines on shade and protective clothing...

  8. Exploring the Safety Margin in Current Guidelines for Electromagnetic Exposure

    NARCIS (Netherlands)

    F. Adibzadeh (Fatemeh)

    2017-01-01

    markdownabstractExposure to radio-frequency (RF) electromagnetic fields (EMF) is unavoidable in today's modern life. This exposure is growing mainly because of rapid growth in telecommunication systems. Awareness of the possible risks of exposure to EMF has raised public concern. To avoid any

  9. Southern African guidelines on the safe use of pre-exposure ...

    African Journals Online (AJOL)

    exposure prophylaxis (PrEP) guidelines in June 2012 for men who have sex with men (MSM) who are at risk of HIV infection. With the flurry of data that has been generated in PrEP clinical research since the first guideline, it became evident that ...

  10. Exposure Assessment Tools by Chemical Classes - Nanomaterials

    Science.gov (United States)

    EPA ExpoBox is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  11. Food allergy guidelines and assessing allergic reaction risks: a regulatory perspective.

    Science.gov (United States)

    Luccioli, Stefano

    2012-06-01

    To review information in food allergy guidelines and the literature on assessing and understanding food allergic reaction risks. Current food allergy guidelines have focused on tools for better diagnosis of food allergy and treatment of reactions. These guidelines have not addressed the growing body of literature on risk assessment and diagnostic tools being used to assess dose-response relationships in relation to food-allergen exposures. The literature includes substantial data from food-allergen challenges performed in sensitive individuals, and probabilistic modeling of these data may help to elucidate the relationship between allergen dose exposures, including thresholds, and reaction risk in allergic individuals. Understanding this relationship has potential to improve the health-related quality of life of allergic consumers. Recent findings in the literature have highlighted improved diagnostic tools and other information that can be used to assess risks for allergic reaction to low-dose allergen exposures (thresholds) and reaction severity in food allergic consumers. Recommendations to better define and stratify allergic reaction risks for consumers could be adopted into guidelines for the diagnosis and clinical management of food allergy.

  12. Facilitating pre-operative assessment guidelines representation using SNOMED CT.

    Science.gov (United States)

    Ahmadian, Leila; Cornet, Ronald; de Keizer, Nicolette F

    2010-12-01

    To investigate whether SNOMED CT covers the terms used in pre-operative assessment guidelines, and if necessary, how the measured content coverage can be improved. Pre-operative assessment guidelines were retrieved from the websites of (inter)national anesthesia-related societies. The recommendations in the guidelines were rewritten to "IF condition THEN action" statements to facilitate data extraction. Terms were extracted from the IF-THEN statements and mapped to SNOMED CT. Content coverage was measured by using three scores: no match, partial match and complete match. Non-covered concepts were evaluated against the SNOMED CT editorial documentation. From 6 guidelines, 133 terms were extracted, of which 71% (n=94) completely matched with SNOMED CT concepts. Disregarding the vague concepts in the included guidelines SNOMED CT's content coverage was 89%. Of the 39 non-completely covered concepts, 69% violated at least one of SNOMED CT's editorial principles or rules. These concepts were categorized based on four categories: non-reproducibility, classification-derived phrases, numeric ranges, and procedures categorized by complexity. Guidelines include vague terms that cannot be well supported by terminological systems thereby hampering guideline-based decision support systems. This vagueness reduces the content coverage of SNOMED CT in representing concepts used in the pre-operative assessment guidelines. Formalization of the guidelines using SNOMED CT is feasible but to optimize this, first the vagueness of some guideline concepts should be resolved and a few currently missing but relevant concepts should be added to SNOMED CT. Copyright © 2010 Elsevier Inc. All rights reserved.

  13. Guidelines for Conducting Socially Valid Systematic Preference Assessments.

    Science.gov (United States)

    Lohrmann-O'Rourke, Sharon; Browder, Diane M.; Brown, Fredda

    2000-01-01

    This paper translates research findings on systematic preference assessment with individuals with nonsymbolic or limited symbolic communication skills into guidelines for planning such assessments to reduce the risk of missing or misinterpreting the person's preferences. It offers four questions for guiding the planning of preference assessments,…

  14. Guidelines for a Scientific Approach to Critical Thinking Assessment

    Science.gov (United States)

    Bensley, D. Alan; Murtagh, Michael P.

    2012-01-01

    Assessment of student learning outcomes can be a powerful tool for improvement of instruction when a scientific approach is taken; unfortunately, many educators do not take full advantage of this approach. This article examines benefits of taking a scientific approach to critical thinking assessment and proposes guidelines for planning,…

  15. 40 CFR 79.61 - Vehicle emissions inhalation exposure guideline.

    Science.gov (United States)

    2010-07-01

    ..., densities and shapes, and to predict where in the respiratory tract such particles may be deposited. It... emissions generation system, particle size analysis shall be performed to establish the stability of an aerosol concentration with respect to particle size. Over the course of the exposure, analysis shall be...

  16. Assessing Visualization: An analysis of Chilean teachers’ guidelines

    DEFF Research Database (Denmark)

    Andrade-Molina, Melissa; Díaz, Leonora

    2017-01-01

    The aim of this paper is to argue on how visualization is recommended, by official curricular guidelines, to be assessed in schools. We contend that spatial abilities have been granted with the status of a key element to improve students’ performances by research and also by policy makers. Howeve...... do not help teachers while assessing visualization in schools; rather its focus is embedded in a tradition of training that leads to a reduction of space.......The aim of this paper is to argue on how visualization is recommended, by official curricular guidelines, to be assessed in schools. We contend that spatial abilities have been granted with the status of a key element to improve students’ performances by research and also by policy makers. However......, this importance seems to fade when it comes to assessing students while learning school mathematics and geometry. We conducted an analysis of the official guidelines for the assessment school mathematics in Chile. The analysis of two of those guides is considered here. The results revealed that these guidelines...

  17. Acute Exposure Guideline Levels (AEGLs) for Time Varying Toxic Plumes

    Science.gov (United States)

    2014-09-12

    loading rates between the density values given as Arho(b-1,k) and Arho(b,k). The line labeled ‘ extrap .’above b = 1 in Table 3 records the derived...exposure times and an inverse quadratic law for densities lower than 8.26 mg/m3. The line labeled ‘ extrap .’ at the bottom of the table gives the...6 (labeled “ extrap .” above) are simply duplicated from the adjacent band b = 5. This exponent is also used to define the lowest density value Brho

  18. [Association between paracetamol exposure and asthma: update and practice guidelines].

    Science.gov (United States)

    Moral, L; Torres-Borrego, J; Korta Murua, J; Valverde-Molina, J; Pellegrini Belinchón, J; Praena-Crespo, M; Ortega Casanueva, C; Callén-Blecua, M T; Fernández-Llamazares, C M; Calvo Rey, C

    2013-09-01

    Asthma prevalence has increased over the last few decades, especially in developed countries, and possibly due to different reasons. An association between paracetamol use or exposure at different periods of life, including gestation and childhood, and asthma prevalence has been observed in the last few years. Causality can not be established from observational reports, due to the arguable presence of many confounding factors and biases. Randomised trials are needed to elucidate the nature of this association. The Spanish Paediatric societies subscribing to this paper consider that current evidence is insufficient to discourage the use of paracetamol during gestation or in children with or at risk of asthma. Copyright © 2012 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  19. Impact of new guidelines for blood exposure incidents in The Netherlands.

    NARCIS (Netherlands)

    Wijk, P.T.L. van; Boland, G.J.; Voss, A.; Schneeberger, P.M.

    2010-01-01

    BACKGROUND: In 2007, a new set of guidelines for blood exposure incidents was introduced in The Netherlands to standardize management and reduce use of hepatitis B immunoglobulin (HBIg). Accidents now have to be assigned into risk categories with the corresponding medical intervention. AIMS: To

  20. Sulfur Oxides Risk and Exposure Assessment Planning ...

    Science.gov (United States)

    In conducting risk/exposure assessments for the Sulfur Oxides NAAQS review, EPA will first develop a draft Scope and Methods Plan which will describe the proposed scope of the quantitative and qualitative analyses to be performed and the tools/methods that may be employed Provide opportunity for CASAC feedback on EPA's plans for the risk and exposure assessment for the Sulfur Oxides NAAQS review

  1. Mycotoxins: occurrence, toxicology, and exposure assessment.

    Science.gov (United States)

    Marin, S; Ramos, A J; Cano-Sancho, G; Sanchis, V

    2013-10-01

    Mycotoxins are abiotic hazards produced by certain fungi that can grow on a variety of crops. Consequently, their prevalence in plant raw materials may be relatively high. The concentration of mycotoxins in finished products is usually lower than in raw materials. In this review, occurrence and toxicology of the main mycotoxins are summarised. Furthermore, methodological approaches for exposure assessment are described. Existing exposure assessments, both through contamination and consumption data and biomarkers of exposure, for the main mycotoxins are also discussed. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. Integrating Exposure into Chemical Alternatives Assessment ...

    Science.gov (United States)

    Most alternatives assessments (AA) published to date are largely hazard-based rankings, and as such may not represent a fully informed consideration of the advantages and disadvantages of possible alternatives. With an assessment goal of identifying an alternative chemical that is more sustainable, other attributes beyond hazard are also important, including exposure, risk, life-cycle impacts, performance, cost, and social responsibility. Building on the 2014 recommendations by the U.S. National Academy of Sciences to improve AA decisions by including comparative exposure assessment, the HESISustainable Chemical Alternatives Technical Committee, which consists of scientists from academia, industry, government, and NGOs, has developed a qualitative comparative exposure approach. Conducting such a comparison can screen for alternatives that are expected to have a higher exposure potential, which could trigger a higher-tiered, more quantitative exposure assessment on the alternatives being considered. This talk will demonstrate an approach for including chemical- and product-related exposure information in a qualitative AA comparison. Starting from existing hazard AAs, a series of four chemical-product application scenarios were examined to test the concept, to understand the effort required, and to determine the value of exposure data in AA decision-making. The group has developed a classification approach for ingredient and product parameters to support compariso

  3. Exposure scenario libraries as a tool for exposure assessment

    Science.gov (United States)

    Sánchez Jiménez, Araceli; Rashid, Shahzad; Brouwer, Derk; Fransman, Wouter; Fito, Carlos; Boulougouris, George; van Tongeren, Martie

    2015-05-01

    The development of nanotechnology has reached a point where it is being widely applied, and numerous nanomaterials and nano-enabled products are handled across a broad range of industrial sectors. Exposure extends beyond occupational settings as products containing nanomaterials are used by different consumer groups. Despite the knowledge on their toxic effects is growing there is still not OEL for most NMS and therefore the precautionary approach is still used where levels are kept as low as possible Therefore there is a need to assess workers and consumers exposure.

  4. Assessing Clinical Microbiology Practice Guidelines: American Society for MicrobiologyAd HocCommittee on Evidence-Based Laboratory Medicine Practice Guidelines Assessment.

    Science.gov (United States)

    Nachamkin, Irving; Kirn, Thomas J; Westblade, Lars F; Humphries, Romney

    2017-11-01

    As part of the American Society for Microbiology (ASM) Evidence-Based Laboratory Medicine Practice Guidelines Committee of the Professional Practice Committee, an ad hoc committee was formed in 2014 to assess guidelines published by the committee using an assessment tool, Appraisal of Guidelines for Research Evaluation II (AGREE II). The AGREE II assessment helps reviewers determine whether published guidelines are robust, transparent, and clear in presenting practice recommendations in a standardized manner. Identifying strengths and weaknesses of practice guidelines by ad hoc assessments helps with improving future guidelines through the participation of key stakeholders. This minireview describes the development of the ad hoc committee and results from their review of several ASM best practices guidelines and a non-ASM practice guideline from the Emergency Nurses Association. Copyright © 2017 American Society for Microbiology.

  5. Assessing biocomputational modelling in transforming clinical guidelines for osteoporosis management.

    Science.gov (United States)

    Thiel, Rainer; Viceconti, Marco; Stroetmann, Karl

    2011-01-01

    Biocomputational modelling as developed by the European Virtual Physiological Human (VPH) Initiative is the area of ICT most likely to revolutionise in the longer term the practice of medicine. Using the example of osteoporosis management, a socio-economic assessment framework is presented that captures how the transformation of clinical guidelines through VPH models can be evaluated. Applied to the Osteoporotic Virtual Physiological Human Project, a consequent benefit-cost analysis delivers promising results, both methodologically and substantially.

  6. 76 FR 44586 - Notice of Availability of the External Review Draft of the Microbial Risk Assessment Guideline...

    Science.gov (United States)

    2011-07-26

    ... genetically modified microorganisms with the potential for environmental exposure. USDA/FSIS is charged with...: Pathogenic Microorganisms With Focus on Food and in Water AGENCY: Environmental Protection Agency (EPA... Risk Assessment Guideline: Pathogenic Microorganisms with Focus on Food and in Water.'' EPA developed...

  7. EPA`s program for risk assessment guidelines: Quantification issues

    Energy Technology Data Exchange (ETDEWEB)

    Dourson, M.L. [Environmental Protection Agency, Washington, DC (United States)

    1990-12-31

    The quantitative procedures associated with noncancer risk assessment include reference dose (RfD), benchmark dose, and severity modeling. The RfD, which is part of the EPA risk assessment guidelines, is an estimation of a level that is likely to be without any health risk to sensitive individuals. The RfD requires two major judgments: the first is choice of a critical effect(s) and its No Observed Adverse Effect Level (NOAEL); the second judgment is choice of an uncertainty factor. This paper discusses major assumptions and limitations of the RfD model.

  8. Assessment of predictive dermal exposure to chemicals in the work environment

    Directory of Open Access Journals (Sweden)

    Agnieszka Jankowska

    2017-08-01

    Full Text Available Assessment of dermal exposure to chemicals in the work environment is problematic, mainly as a result of the lack of measurement data on occupational exposure to chemicals. Due to common prevalence of occupational skin exposure and its health consequences it is necessary to look for efficient solutions allowing for reliable exposure assessment. The aim of the study is to present predictive models used to assess non-measured dermal exposure, as well as to acquaint Polish users with the principles of the selected model functioning. This paper presents examples of models to assist the employer in the the assessment of occupational exposure associated with the skin contact with chemicals, developed in European Union (EU countries, as well as in countries outside the EU. Based on the literature data dermal exposure models EASE (Estimation and Assessment of Substance Exposure, COSHH Essentials (Control of Substances Hazardous to Health Regulations, DREAM (Dermal Exposure Assessment Method, Stoffenmanager , ECETOC TRA (European Centre for Ecotoxicology and Toxicology of Chemicals Targeted Risk Assessment, MEASE (Metal’s EASE, PHED (Pesticide Handlers Exposure Database, DERM (Dermal Exposure Ranking Method and RISKOFDERM (Risk Assessment of Occupational Dermal Exposure to Chemicals were briefly described. Moreover the characteristics of RISKOFDERM, guidelines for its use, information on input and output data were further detailed. Problem of full work shift dermal exposure assessment is described. An example of exposure assessment using RISKOFDERM and effectiveness evaluation to date were also presented. When no measurements are available, RISKOFDERM allows dermal exposure assessment and thus can improve the risk assessment quality and effectiveness of dermal risk management. Med Pr 2017;68(4:557–569

  9. [Assessment of predictive dermal exposure to chemicals in the work environment].

    Science.gov (United States)

    Jankowska, Agnieszka; Czerczak, Sławomir; Kupczewska-Dobecka, Małgorzata

    2017-06-27

    Assessment of dermal exposure to chemicals in the work environment is problematic, mainly as a result of the lack of measurement data on occupational exposure to chemicals. Due to common prevalence of occupational skin exposure and its health consequences it is necessary to look for efficient solutions allowing for reliable exposure assessment. The aim of the study is to present predictive models used to assess non-measured dermal exposure, as well as to acquaint Polish users with the principles of the selected model functioning. This paper presents examples of models to assist the employer in the the assessment of occupational exposure associated with the skin contact with chemicals, developed in European Union (EU) countries, as well as in countries outside the EU. Based on the literature data dermal exposure models EASE (Estimation and Assessment of Substance Exposure), COSHH Essentials (Control of Substances Hazardous to Health Regulations), DREAM (Dermal Exposure Assessment Method), Stoffenmanager , ECETOC TRA (European Centre for Ecotoxicology and Toxicology of Chemicals Targeted Risk Assessment), MEASE (Metal's EASE), PHED (Pesticide Handlers Exposure Database), DERM (Dermal Exposure Ranking Method) and RISKOFDERM (Risk Assessment of Occupational Dermal Exposure to Chemicals) were briefly described. Moreover the characteristics of RISKOFDERM, guidelines for its use, information on input and output data were further detailed. Problem of full work shift dermal exposure assessment is described. An example of exposure assessment using RISKOFDERM and effectiveness evaluation to date were also presented. When no measurements are available, RISKOFDERM allows dermal exposure assessment and thus can improve the risk assessment quality and effectiveness of dermal risk management. Med Pr 2017;68(4):557-569. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  10. Exposure factors for cleaning, automotive care, and surface protection products for exposure assessments.

    Science.gov (United States)

    Park, Ji Young; Lim, Miyoung; Yang, Wonho; Lee, Kiyoung

    2017-01-01

    Accurately measuring the usage patterns of consumer products (CPs) is important to conduct realistic exposure assessments. We determined the exposure factors for 18 consumer products: household bleach, mold stain remover, all-purpose cleaner, washing machine cleaner, air conditioner cleaner, glass cleaner, drain cleaner, adhesive remover, liquid snow chain, tire shine spray, wheel cleaner, rain repellent, car wax spray, leather polish, furniture polish, anti-fog product, fabric waterproofing spray, and rust inhibitor. Field survey staff visited homes and collected product use information via face-to-face interviews. In total, 10,000 participants (5010 men and 4990 women) aged 15 years and older completed the questionnaire. Household bleach had the highest use rate of 47.4% and use rates for the other products ranged from 0.8 to 21.7%. The use rates of many CPs differed by age group and gender. Many household cleaning products were used regularly, but some products, such as air conditioner cleaner and liquid snow chain, were used in specific seasons or for specific purposes; therefore, they were used less frequently compared to cleaning products. These exposure factor data will be useful as input data for exposure and risk assessments and setting safety guidelines. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. ECO Exposure Assessment Tools by Phases of ERA - References

    Science.gov (United States)

    Eco-Box is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  12. 77 FR 45350 - Notice of Availability of Microbial Risk Assessment Guideline: Pathogenic Microorganisms With...

    Science.gov (United States)

    2012-07-31

    ... to develop this guideline. Clear and credible microbial risk assessment methods will leverage limited... this guideline, agencies assessing a similar microbial medium or pathogen are able to more readily... for microbial risk assessment in a wide range of media and scenarios. The MRA Guideline applies to...

  13. Assessment of dermal exposure to chemicals

    NARCIS (Netherlands)

    Hemmen, J.J. van; Brouwer, D.H.

    1995-01-01

    The methods for the dermal exposure assessment vary in their complexity and are in some sense complementary to each other. The most easy-to-use methods involve a pseudo-skin-approach, such as gloves and removal by washing. In some cases generic modelling appears to be possible. The experimental

  14. Sun Exposure Guidelines and Serum Vitamin D Status in Denmark: The StatusD Study

    Directory of Open Access Journals (Sweden)

    Louise Hansen

    2016-05-01

    Full Text Available Little is known on how vitamin D status is affected by adherence to UVB-limiting sun exposure guidelines. Our aim was to investigate the relationship between adherence to the Danish sun exposure guidelines and vitamin D status. In total, 3194 Danes (2625 adults, 569 children were recruited among the general population, and more than 92% had blood samples taken both autumn and spring. Using linear regression, we associated serum vitamin D concentrations to questionnaire responses on: seeking shade, wearing a sunhat, wearing protective clothing or using sunscreen. The odds ratio (OR of either low (<25 or 50 nmol/L or adequate/high (≥50 nmol/L vitamin D status was examined using logistic regression. For adults, those who always sought shade or wore protective clothing compared to those who did not had lower levels of vitamin D (autumn concentrations for shade: 7.2 nmol/L lower (−11.0–−3.6 nmol/L; for protective clothing: 9.9 nmol/L lower (−13.6–−6.2 nmol/L. Adherence to all four guidelines was also associated with lower vitamin D concentrations (autumn: 9.7 nmol/L lower (−14.3–−5.1 nmol/L. Use of sunscreen was associated with adequate vitamin D status, as those who always sought shade compared to those who did not had an OR (95% CI of 1.68 (1.25–2.35 of having ≥50 nmol/L during both spring and autumn. No associations were found with wearing a sunhat, and there were no clear associations for children. In conclusion, adherence to the sun exposure guidelines on shade and protective clothing was associated with lower vitamin D status among Danish adults, but not children.

  15. ASSESSMENT OF HUMAN EXPOSURE TO TOLUENE DIISOCYANATE

    Directory of Open Access Journals (Sweden)

    OLIVIA ANCA RUSU

    2011-03-01

    Full Text Available Assessment of human exposure to toluene diisocyanate. Toluene diisocyanate (TDI, an aromatic compound, may be dangerous for human health. Diisocyanates have wide industrial use in the fabrication of flexible and rigid foams, fibers, elastomers, and coatings such as paints and varnishes. Isocyanates are known skin and respiratory sensitizers, and proper engineering controls should be in place to prevent exposure to isocyanate liquid and vapor; exposure to TDI vapors is well documented to increase asthma risk. The study focused on the exposure of workers and nearby populations to toluene diisocyanate in a Polyurethane Foam Factory located in Baia Mare, Romania. Workplace air measurements were performed in different departments of the plant, after sampling either in fixed points or as personal monitoring. Sampling in four different locations of Baia Mare town was carried out, - during and after the foaming process. TDI sampling was performed on silica cartridge followed by GC-MS analysis. TDI concentration at workplace was lower than 0,035 mg/m³, which represents the permissible exposure limit, while in the city the TDI concentration had shown values below 0,20 μg/m³. Health assessment of a group of 49 workers was based on questionnaire interview, determination of TDI antibodies and lung function tests. Data collected until this stage do not show any negative effects of TDI on the employees health. Since this plant had only recently begun operating, continuous workplace and ambient air TDI monitoring, along with workers health surveillance, is deemed necessary.

  16. Expert consensus panel guidelines on geriatric assessment in oncology.

    Science.gov (United States)

    O'Donovan, A; Mohile, S G; Leech, M

    2015-07-01

    Despite consensus guidelines on best practice in the care of older patients with cancer, geriatric assessment (GA) has yet to be optimally integrated into the field of oncology in most countries. There is a relative lack of consensus in the published literature as to the best approach to take, and there is a degree of uncertainty as to how integration of geriatric medicine principles might optimally predict patient outcomes. The aim of the current study was to obtain consensus on GA in oncology to inform the implementation of a geriatric oncology programme. A four-round Delphi process was employed. The Delphi method is a structured group facilitation process, using multiple iterations to gain consensus on a given topic. Consensus was reached on the optimal assessment method and interventions required for the commonly employed domains of GA. Other aspects of GA, such as screening methods and age cut-off for assessment, represented a higher degree of disagreement. The expert panel employed in this study clearly identified the criteria that should be included in a clinical geriatric oncology programme. In the absence of evidence-based guidelines, this may prove useful in the care of older cancer patients. © 2015 John Wiley & Sons Ltd.

  17. Expert Consensus Panel Guidelines on Geriatric Assessment in Oncology

    Science.gov (United States)

    O'Donovan, A.; Mohile, S.G.; Leech, M.

    2015-01-01

    Introduction Despite consensus guidelines on best practice in the care of older patients with cancer, geriatric assessment (GA) has yet to be optimally integrated into the field of oncology in most countries. There is a relative lack of consensus in the published literature as to the best approach to take, and there is a degree of uncertainty as to how integration of geriatric medicine principles might optimally predict patient outcomes. The aim of the current study was to obtain consensus on GA in oncology to inform the implementation of a geriatric oncology programme. Methods A four round Delphi process was employed. The Delphi method is a structured group facilitation process, using multiple iterations in order to gain consensus on a given topic Results Consensus was reached on the optimal assessment method and interventions required for the commonly employed domains of GA. Other aspects of GA, such as screening methods and age cutoff for assessment represented a higher degree of disagreement. Discussion The expert panel employed in this study clearly identified the criteria that should be included in a clinical geriatric oncology programme. In the absence of evidence-based guidelines, this may prove useful in the care of older cancer patients. PMID:25757457

  18. Exposure Assessment of Chemicals from Packaging Materials

    Science.gov (United States)

    Poças, Maria De Fátima; Hogg, Timothy

    A variety of chemicals may enter our food supply, by means of intentional or unintentional addition, at different stages of the food chain. These chemicals include food additives, pesticide residues, environmental contaminants, mycotox-ins, flavoring substances, and micronutrients. Packaging systems and other food-contact materials are also a source of chemicals contaminating food products and beverages. Monitoring exposure to these chemicals has become an integral part of ensuring the safety of the food supply. Within the context of the risk analysis approach and more specifically as an integral part of risk assessment procedures, the exercise known as exposure assessment is crucial in providing data to allow sound judgments concerning risks to human health. The exercise of obtaining this data is part of the process of revealing sources of contamination and assessing the effectiveness of strategies for minimizing the risk from chemical contamination in the food supply (Lambe, 2002).

  19. Childhood lead poisoning and the new Centers for Disease Control and Prevention guidelines for lead exposure.

    Science.gov (United States)

    Schnur, Julie; John, Rita Marie

    2014-05-01

    This article will give a brief history, review the latest guidelines, discuss risk factors and sources, and discuss screening, diagnosis, and management of lead poisoning in children. Additionally, the role of the nurse practitioner (NP) caring for children will be reviewed. Review of published literature on lead poisoning and the 2012 lead prevention guidelines of the Advisory Committee on Childhood Lead Poisoning Prevention (ACCLPP) of the Centers for Disease Control and Prevention (CDC). While lead poisoning levels have decreased over the past several decades, newer research has shown that even low levels of lead in the blood can have negative effects on children's intelligence and neurodevelopment. As a result, ACCLPP of the CDC issued new, stricter lead prevention guidelines in 2012. Lead exposure and lead poisoning are pediatric public health risks. Studies have shown that no level of lead is considered safe, and the emphasis has shifted to primary prevention of lead exposure. Despite the focus on primary prevention, the NP must remain vigilant in history taking, exploring risk factors, and screening children in order to assure the best possible outcome. ©2014 The Author(s) ©2014 American Association of Nurse Practitioners.

  20. Regulatory assessment of proposed accessibility guidelines for pedestrians in the public right-of-way

    Science.gov (United States)

    2011-06-30

    This report assesses the potential costs and benefits of proposed accessibility guidelines issued by the Access Board for pedestrian facilities in the public right-of-way. The report also analyzes the potential impacts of the proposed guidelines on s...

  1. Exposure Assessment of Diesel Bus Emissions

    Directory of Open Access Journals (Sweden)

    Werner Hofmann

    2006-12-01

    Full Text Available The goal of this study was to measure ultrafine particle concentrations with diameters less than 1 μm emitted by diesel buses and to assess resulting human exposure levels. The study was conducted at the Woolloongabba Busway station in Brisbane, Australia in the winter months of 2002 during which temperature inversions frequently occurred. Most buses that utilize the station are fuelled by diesel, the exhaust of which contains a significant quantity of particle matter. Passengers waiting at the station are exposed to these particles emitted from the buses. During the course of this study, passenger census was conducted, based on video surveillance, yielding person-by-person waiting time data. Furthermore, a bus census revealed accurate information about the total number of diesel versus Compressed Natural Gas (CNG powered buses. Background (outside of the bus station and platform measurements of ultrafine particulate number size distributions were made to determine ambient aerosol concentrations. Particle number exposure concentration ranges from 10 and 40 to 60% of bus related exhaust fumes. This changes dramatically when considering the particle mass exposure concentration, where most passengers are exposed to about 50 to 80% of exhaust fumes. The obtained data can be very significant for comparison with similar work of this type because it is shown in previous studies that exhaust emissions causes cancer in laboratory animals. It was assumed that significant differences between platform and background distributions were due to bus emissions which, combined with passenger waiting times, yielded an estimate of passenger exposure to ultrafine particles from diesel buses. From an exposure point of view, the Busway station analyzed resembles a street canyon. Although the detected exhaust particle concentration at the outbound platform is found to be in the picogram range, exposure increases with the time passengers spend on the platform

  2. 30 CFR 62.110 - Noise exposure assessment.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Noise exposure assessment. 62.110 Section 62... REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.110 Noise exposure assessment. (a) The mine operator must establish a system of monitoring that evaluates each miner's noise exposure sufficiently to determine...

  3. Suggestion of the manual exposure condition guideline for reducing patient dose in digital breast tomosynthesis

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Eun Ae [Dept. of Radiology, Korea University Guro Hospital, Seoul (Korea, Republic of); Lee, In Ja [Dept. of Radiologic Technology, Dongnam Health University, Suwon (Korea, Republic of)

    2016-12-15

    The conditions after exposure to digital mammography and digital breast tomosynthesis were analyzed. The examinations for the ACR phantom were done using manual exposure, not auto exposure, to examine image discrimination and patient dose. As a result, the following results were derived: In the CC exposure , the kVp was 2kVp higher while mAs decreased to 58.6% for the 3D tomography. Such result showed an approximate decrease of 60mAs. At that time, the patients Average Glandular Dose (AGD) was 1.65mGy in 2D and 1.87mGy in 3D; thus, AGD of 3D was shown to have about 1.13 times higher. The result of the manual exposure revealed a reduced mAs of up to 80%; there was no effect in the assessment standard in terms of image discrimination, resulting in more than 10 points. When mAs was reduced to 80% in the manual exposure for ACR phantom, AGD was decreased to 0.66mGy. The diagnostic values of images were maintained and patients dose was reduced in the manual exposure in the AEC condition for 3D. Since the use of 3D has recently increased, using the manual exposure has been recommended in this study to improve the diagnostic value, while, simultaneously reducing patients dose.

  4. Technical Overview of Ecological Risk Assessment - Analysis Phase: Exposure Characterization

    Science.gov (United States)

    Exposure Characterization is the second major component of the analysis phase of a risk assessment. For a pesticide risk assessment, the exposure characterization describes the potential or actual contact of a pesticide with a plant, animal, or media.

  5. Assessing physicians' compliance with guidelines for Papanicolaou testing.

    Science.gov (United States)

    Cohen, M M; Roos, N P; MacWilliam, L; Wajda, A

    1992-06-01

    In this study, population-based data were used to examine the appropriateness of Papanicolaou (Pap) testing from the perspective of the women being tested and their physicians. The approach used is unique in its assessment of overtesting and undertesting in the primary care setting. From the data base of the province of Manitoba's universal health insurance plan, 4-year health histories (1981 to 1984) were constructed for each woman from a random sample of the population of women who, in 1982, were between the ages of 25 to 64 years (n = 22,287). At the last visit to a general practitioner, gynecologist, or general surgeon in 1984 (termed the current visit), the authors determined whether a Pap test was given for each woman. Using decision rules from a Canadian task force report on cervical screening and previous health history, the authors evaluated the appropriateness of screening by determining whether a Pap test was given and was needed, or whether a women who had not received a Pap test required one. Overall, 55.7% of women were tested appropriately. Of the 5352 women who received a Pap test at the current visit, 62.8% were overtested. Of the 16,935 women not tested at the current visit, 38.5% required screening (i.e. were undertested). Characteristics of a physician's practice that were significantly related to compliance with the guidelines included having a high proportion of patients visiting for obstetric or gynecologic reasons. Variables that were associated with negative compliance were 1) being a gynecologist; and 2) having a high proportion of patients who lived in inner city or rural areas. Because physicians are paid a fee for every Pap smear taken and the guidelines were well disseminated, these results should be reasonably representative of fee-for-service practice in North America, where preventive care is not subject to user charges. This study supports previous findings that a passive approach to dissemination of guidelines is insufficient to

  6. Using exposure bands for rapid decision making in the RISK21 tiered exposure assessment.

    Science.gov (United States)

    Dellarco, M; Zaleski, R; Gaborek, B J; Qian, H; Bellin, C A; Egeghy, P; Heard, N; Jolliet, O; Lander, D R; Sunger, N; Stylianou, K S; Tanir, J Y

    2017-04-01

    The ILSI Health and Environmental Sciences Institute (HESI) Risk Assessment in the Twenty-first Century (RISK21) project was initiated to address and catalyze improvements in human health risk assessment. RISK21 is a problem formulation-based conceptual roadmap and risk matrix visualization tool, facilitating transparent evaluation of both hazard and exposure components. The RISK21 roadmap is exposure-driven, that is, exposure is used as the second step (after problem formulation) to define and focus the assessment. This paper describes the exposure tiers of the RISK21 matrix and the approaches to adapt readily available information to more quickly inform exposure at a screening level. In particular, exposure look-up tables were developed from available exposure tools (European Centre for Ecotoxicology and Toxicology of Chemicals (ECETOC) Targeted Risk Assessment (TRA) for worker exposure, ECETOC TRA, European Solvents Industry Group (ESIG) Generic Exposure Scenario (GES) Risk and Exposure Tool (EGRET) for consumer exposure, and USEtox(®) for indirect exposure to humans via the environment) and were tested in a hypothetical mosquito bed netting case study. A detailed WHO risk assessment for a similar mosquito net use served as a benchmark for the performance of the RISK21 approach. The case study demonstrated that the screening methodologies provided suitable conservative exposure estimates for risk assessment. The results of this effort showed that the RISK21 approach is useful for defining future assessment efforts, focusing assessment activities and visualizing results.

  7. Evaluation of Chemical Warfare Agent Percutaneous Vapor Toxicity: Derivation of Toxicity Guidelines for Assessing Chemical Protective Ensembles.

    Energy Technology Data Exchange (ETDEWEB)

    Watson, A.P.

    2003-07-24

    Percutaneous vapor toxicity guidelines are provided for assessment and selection of chemical protective ensembles (CPEs) to be used by civilian and military first responders operating in a chemical warfare agent vapor environment. The agents evaluated include the G-series and VX nerve agents, the vesicant sulfur mustard (agent HD) and, to a lesser extent, the vesicant Lewisite (agent L). The focus of this evaluation is percutaneous vapor permeation of CPEs and the resulting skin absorption, as inhalation and ocular exposures are assumed to be largely eliminated through use of SCBA and full-face protective masks. Selection of appropriately protective CPE designs and materials incorporates a variety of test parameters to ensure operability, practicality, and adequacy. One aspect of adequacy assessment should be based on systems tests, which focus on effective protection of the most vulnerable body regions (e.g., the groin area), as identified in this analysis. The toxicity range of agent-specific cumulative exposures (Cts) derived in this analysis can be used as decision guidelines for CPE acceptance, in conjunction with weighting consideration towards more susceptible body regions. This toxicity range is bounded by the percutaneous vapor estimated minimal effect (EME{sub pv}) Ct (as the lower end) and the 1% population threshold effect (ECt{sub 01}) estimate. Assumptions of exposure duration used in CPE certification should consider that each agent-specific percutaneous vapor cumulative exposure Ct for a given endpoint is a constant for exposure durations between 30 min and 2 hours.

  8. Guidelines for assessing the knowledge management maturity of organizations

    Directory of Open Access Journals (Sweden)

    C. J. Kruger

    2007-11-01

    Full Text Available In a recent article Kruger and Snyman hypothesized that progressions in knowledge management maturity (from a strategic perspective are directly related to an increased ability to speed up the strategic cycle of imitation, consolidation and innovation. The arguments proposed, however, neglected to supply the reader with a practical toolkit or even a roadmap (a time-related matrix, or questionnaire to successfully measure succession in knowledge management maturity. This article builds on the previous one and proposes a questionnaire consisting of six sections, containing 101 descriptive questions, to enable organizations to test and assess their knowledge management maturity empirically. The development of an instrument to measure knowledge management maturity required adhering to a research design that combined theoretical propositions with practical experimentation. As a point of departure, a knowledge management maturity matrix consisting of seven maturity levels was formulated. All questions contained within the matrix were benchmarked against a survey questionnaire developed by the public management service of the OECD (PUMA and were also pre-tested and validated. This process of refinement led to the formulation of the Knowledge Management Maturity Questionnaire. To avoid any taint of this research being based only on theoretical propositions, the questionnaire was tested by 178 master students of the University of Pretoria, South Africa, in nine different industries. The proposed questionnaire provides a bridge between theoretical propositions and practical usability, not only enabling knowledge management practitioners to assess the level of knowledge management maturity reached successfully but, more importantly, also serving as a guideline to institutionalize further and future knowledge management endeavours.

  9. The Language Exposure Assessment Tool: Quantifying Language Exposure in Infants and Children

    Science.gov (United States)

    DeAnda, Stephanie; Bosch, Laura; Poulin-Dubois, Diane; Zesiger, Pascal; Friend, Margaret

    2016-01-01

    Purpose: The aim of this study was to develop the Language Exposure Assessment Tool (LEAT) and to examine its cross-linguistic validity, reliability, and utility. The LEAT is a computerized interview-style assessment that requests parents to estimate language exposure. The LEAT yields an automatic calculation of relative language exposure and…

  10. Determinants of Dermal Exposure Relevant for Exposure Modelling in Regulatory Risk Assessment

    NARCIS (Netherlands)

    Marquart, J.; Brouwer, D.H.; Gijsbers, J.H.J.; Links, I.H.M.; Warren, N.; Hemmen, J.J. van

    2003-01-01

    Risk assessment of chemicals requires assessment of the exposure levels of workers. In the absence of adequate specific measured data, models are often used to estimate exposure levels. For dermal exposure only a few models exist, which are not validated externally. In the scope of a large European

  11. Exposure Assessment Tools by Lifestages and Populations - General Population

    Science.gov (United States)

    EPA ExpoBox is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  12. Exposure Assessment Tools by Chemical Classes - Inorganics and Fibers

    Science.gov (United States)

    EPA ExpoBox is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases

  13. THE CHALLENGE OF ASSESSING CHILDREN'S EXPOSURE TO PESTICIDES

    Science.gov (United States)

    In implementing the Food Quality Protection Act (FQPA) the U.S. Environmental Protection Agency (USEPA) has adopted a policy that the exposure factors and models used to assess and predict exposure to pesticides should generally be conservative. Some elements of exposure assess...

  14. Exposure Assessment Tools by Approaches - Indirect Estimation (Scenario Evaluation)

    Science.gov (United States)

    EPA ExpoBox is a toolbox for exposure assessors. Its purpose is to provide a compendium of exposure assessment and risk characterization tools that will present comprehensive step-by-step guidance and links to relevant exposure assessment data bases, mode

  15. 77 FR 3450 - Guidelines for Assessing Marine Mammal Stocks

    Science.gov (United States)

    2012-01-24

    ... electronic comments in Microsoft Word, Excel, WordPerfect, or Adobe PDF file formats only. FOR FURTHER... guidelines specify that when biological information is sufficient to identify the stock from which a dead or...

  16. Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments.

    Science.gov (United States)

    Zaleski, Rosemary T; Egeghy, Peter P; Hakkinen, Pertti J

    2016-07-22

    This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children's toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment.

  17. Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments

    Directory of Open Access Journals (Sweden)

    Rosemary T. Zaleski

    2016-07-01

    Full Text Available This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children’s toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment.

  18. Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments

    Science.gov (United States)

    Zaleski, Rosemary T.; Egeghy, Peter P.; Hakkinen, Pertti J.

    2016-01-01

    This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children’s toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment. PMID:27455300

  19. Comparative assessment of bioanalytical method validation guidelines for pharmaceutical industry.

    Science.gov (United States)

    Kadian, Naveen; Raju, Kanumuri Siva Rama; Rashid, Mamunur; Malik, Mohd Yaseen; Taneja, Isha; Wahajuddin, Muhammad

    2016-07-15

    The concepts, importance, and application of bioanalytical method validation have been discussed for a long time and validation of bioanalytical methods is widely accepted as pivotal before they are taken into routine use. United States Food and Drug Administration (USFDA) guidelines issued in 2001 have been referred for every guideline released ever since; may it be European Medical Agency (EMA) Europe, National Health Surveillance Agency (ANVISA) Brazil, Ministry of Health and Labour Welfare (MHLW) Japan or any other guideline in reference to bioanalytical method validation. After 12 years, USFDA released its new draft guideline for comments in 2013, which covers the latest parameters or topics encountered in bioanalytical method validation and approached towards the harmonization of bioanalytical method validation across the globe. Even though the regulatory agencies have general agreement, significant variations exist in acceptance criteria and methodology. The present review highlights the variations, similarities and comparison between bioanalytical method validation guidelines issued by major regulatory authorities worldwide. Additionally, other evaluation parameters such as matrix effect, incurred sample reanalysis including other stability aspects have been discussed to provide an ease of access for designing a bioanalytical method and its validation complying with the majority of drug authority guidelines. Copyright © 2016. Published by Elsevier B.V.

  20. INFLUENCE OF EXPOSURE ASSESSMENT METHOD IN AN EPIDEMIOLOGIC STUDY OF TRIHALOMETHANE EXPOSURE AND SPONTANEOUS ABORTION

    Science.gov (United States)

    Trihalomethanes are common contaminants of chlorinated drinking water. Studies of their health effects have been hampered by exposure misclassification, due in part to limitations inherent in using utility sampling records. We used two exposure assessment methods, one based on ut...

  1. original article assessment of hiv post-exposure prophylaxis use ...

    African Journals Online (AJOL)

    user

    Background: Infection with Human Immunodeficiency Virus is a serious public health problem costing the lives of many people including health workers. Hence, Ethiopia has developed guideline on the prevention of infection in health institutions in July 2004 and also employed the use of post exposure prophylaxis since ...

  2. Mutagenic potential assessment associated with human exposure to natural radioactivity.

    Science.gov (United States)

    Marcon, Alexandre Endres; Navoni, Julio Alejandro; de Oliveira Galvão, Marcos Felipe; Garcia, Anuska Conde Fagundes Soares; do Amaral, Viviane Souza; Petta, Reinaldo Antônio; Campos, Thomas Ferreira da Costa; Panosso, Renata; Quinelato, Antônio Luiz; de Medeiros, Sílvia Regina Batistuzzo

    2017-01-01

    Lucrécia city, known to harbor a high cancer rate, is located in a semiarid region characterized by the presence of mineral reservoirs, facing a high exposure to metal and natural radioactivity. The present study aimed to assess the environmental scenario at a semiarid region located in Northeastern Brazil. Metal concentration, alpha and beta radiation, and cyanobacteria content in tap water along with indoor radon and gamma emitters (U, K and Th) concentrations were measured. In addition, mutagenic and nuclear instability effects were assessed using buccal micronucleus cytome assay. The study included five samplings corresponding to a period between 2007 and 2009. Drinking water from Lucrécia city presented levels of Mn, Ni and Cr along with cyanobacteria in concentrations one to four times higher than regulatory guidelines considered. Furthermore, high levels of all the tested radionuclides were found. A high percentage of the houses included in this study presented indoor radon concentrations over 100 Bq m-3. The mean annual effective dose from Lucrécia houses was six times higher than observed in a control region. The levels of exposure in most of the Lucrécia houses were classified as middle to high. A significant mutagenic effect, represented as an increase of micronuclei (MN) frequency and nuclear abnormalities as nuclear buds (NB), binucleated cells (BN), and pyknotic cells (PYC) were found. The results obtained highlight the role of high background radioactivity on the observed mutagenic effect and could help to explain the exacerbated cancer rate reported in this locality. Copyright © 2016. Published by Elsevier Ltd.

  3. Re-evaluation of the WHO (2010) formaldehyde indoor air quality guideline for cancer risk assessment.

    Science.gov (United States)

    Nielsen, Gunnar Damgård; Larsen, Søren Thor; Wolkoff, Peder

    2017-01-01

    In 2010, the World Health Organization (WHO) established an indoor air quality guideline for short- and long-term exposures to formaldehyde (FA) of 0.1 mg/m(3) (0.08 ppm) for all 30-min periods at lifelong exposure. This guideline was supported by studies from 2010 to 2013. Since 2013, new key studies have been published and key cancer cohorts have been updated, which we have evaluated and compared with the WHO guideline. FA is genotoxic, causing DNA adduct formation, and has a clastogenic effect; exposure-response relationships were nonlinear. Relevant genetic polymorphisms were not identified. Normal indoor air FA concentrations do not pass beyond the respiratory epithelium, and therefore FA's direct effects are limited to portal-of-entry effects. However, systemic effects have been observed in rats and mice, which may be due to secondary effects as airway inflammation and (sensory) irritation of eyes and the upper airways, which inter alia decreases respiratory ventilation. Both secondary effects are prevented at the guideline level. Nasopharyngeal cancer and leukaemia were observed inconsistently among studies; new updates of the US National Cancer Institute (NCI) cohort confirmed that the relative risk was not increased with mean FA exposures below 1 ppm and peak exposures below 4 ppm. Hodgkin's lymphoma, not observed in the other studies reviewed and not considered FA dependent, was increased in the NCI cohort at a mean concentration ≥0.6 mg/m(3) and at peak exposures ≥2.5 mg/m(3); both levels are above the WHO guideline. Overall, the credibility of the WHO guideline has not been challenged by new studies.

  4. Environmental exposure assessment in European birth cohorts

    DEFF Research Database (Denmark)

    Gehring, Ulrike; Casas, Maribel; Brunekreef, Bert

    2013-01-01

    Environmental exposures during pregnancy and early life may have adverse health effects. Single birth cohort studies often lack statistical power to tease out such effects reliably. To improve the use of existing data and to facilitate collaboration among these studies, an inventory...... of the environmental exposure and health data in these studies was made as part of the ENRIECO (Environmental Health Risks in European Birth Cohorts) project. The focus with regard to exposure was on outdoor air pollution, water contamination, allergens and biological organisms, metals, pesticides, smoking and second...... hand tobacco smoke (SHS), persistent organic pollutants (POPs), noise, radiation, and occupational exposures. The review lists methods and data on environmental exposures in 37 European birth cohort studies. Most data is currently available for smoking and SHS (N=37 cohorts), occupational exposures (N...

  5. Assessing Marine Species Exposure to Ocean Acidification

    Science.gov (United States)

    Jewett, E.; Busch, S.; McElhany, P.; Gledhill, D. K.; Milke, L. M.; Wieczorek, D.

    2016-02-01

    Assessing the vulnerability of society to ocean acidification (OA) demands an understanding of both the sensitivity of economically important species together with an organism's exposure to potentially harmful carbonate chemistry conditions. However, research has revealed that sensitivity to OA is frequently life-stage dependent and the environmental conditions experienced by a marine organism often vary with life-stage. Enhancing the development of a National Ocean Acidification Observing Network (NOA-ON) and establishing appropriate treatment conditions for experimental studies requires careful consideration of where the vulnerable life-stages of an organism reside in space (e.g., estuary versus oceanic), depth (e.g., surface mixed layer versus benthos), and time (e.g., diel vertical migration, seasonality of the chemical environment within the context of an organism life cycle). Few studies have explicitly attempted to document carbonate chemistry dynamics specific to a given organism's life-cycle. Here we estimate carbonate dynamics in terms of aragonite saturation state range and variability within the U.S. Northeast and West Coast through the application of NOAA's NOA-ON assets mapped out with respect to the life stages of economically important species within those regions. Two economically important species will be considered for which the life-cycles are well known along with the sensitivities to OA for early life-stages: Atlantic Surf Clam in the northeast and Dungeness Crab of the northwest coast of the U.S. Other species may also be considered.

  6. Systematic evaluation of observational methods assessing biomechanical exposures at work

    National Research Council Canada - National Science Library

    Esa-Pekka Takala; Irmeli Pehkonen; Mikael Forsman; Gert-Åke Hansson; Svend Erik Mathiassen; W Patrick Neumann; Gisela Sjøgaard; Kaj Bo Veiersted; Rolf H Westgaard; Jørgen Winkel

    2010-01-01

    Objectives This systematic review aimed to identify published observational methods assessing biomechanical exposures in occupational settings and evaluate them with reference to the needs of different users...

  7. Assessment of Bagging Operators Exposure to with PVC Airborne Particulates

    National Research Council Canada - National Science Library

    Asilian, H; Nasseri Nejad, M; Mortazavi, S. B; Jafari, M. J; Khavanin, A; Dehdashti, A. R

    2008-01-01

    .... This field study wasconducted to evaluate the occupational exposure of packaging operators to airborne polyvinyl chloridedust in order to health risk assessment and recommend feasible controlling methods...

  8. Assessing adherence to the 2010 antiretroviral guidelines in the ...

    African Journals Online (AJOL)

    These clinical practice guidelines can be defined as systematically developed statements for both practitioners and patients, to assist with appropriate healthcare decisions for specific clinical circumstances.[2] Their intention is to improve healthcare processes, decrease practice variation and optimise use of resources.

  9. Multiple pathway asbestos exposure assessment for a Superfund community.

    Science.gov (United States)

    Noonan, Curtis W; Conway, Kathrene; Landguth, Erin L; McNew, Tracy; Linker, Laura; Pfau, Jean; Black, Brad; Szeinuk, Jaime; Flores, Raja

    2015-01-01

    Libby, MT, USA, was the home to workers at a historical vermiculite mining facility and served as the processing and distribution center for this industrial product that was contaminated with amphibole asbestos. Several pathways of environmental asbestos exposure to the general population have been identified. The local clinic and health screening program collects data from participants on past occupational and environmental exposures to vermiculite and asbestos. Health studies among this population have demonstrated associations between amphibole exposure and health outcomes, but critical questions regarding the nature and level of exposure associated with specific outcomes remain unanswered. The objective of this study was to develop a comprehensive exposure assessment approach that integrates information on individuals' contact frequency with multiple exposure pathways. For 3031 participants, we describe cumulative exposure metrics for environmental exposures, occupational exposures, and residents' contact with carry-home asbestos from household workers. As expected, cumulative exposures for all three occupational categories were higher among men compared with women, and cumulative exposures for household contact and environmental pathways were higher among women. The comprehensive exposure assessment strategies will advance health studies and risk assessment approaches in this population with a complex history of both occupational and environmental asbestos exposure.

  10. ASSESSING HUMAN EXPOSURE TO GRASS POLLEN IN DENMARK

    DEFF Research Database (Denmark)

    Peel, Robert George; Hertel, Ole; Herbert, Rob

    Objectives: Exposure to pollen is typically assessed using data collected at fixed roof-top monitoring stations, which give a general picture of airborne pollen concentrations over a wide region. Actual exposure levels can be obtained through personal exposure monitoring. This is typically done u...

  11. European clinical guidelines for Tourette Syndrome and other tic disorders. Part I : assessment

    NARCIS (Netherlands)

    Cath, Danielle C.; Hedderly, Tammy; Ludolph, Andrea G.; Stern, Jeremy S.; Murphy, Tara; Hartmann, Andreas; Czernecki, Virginie; Robertson, Mary May; Martino, Davide; Munchau, A.; Rizzo, R.

    A working group of the European Society for the Study of Tourette Syndrome (ESSTS) has developed the first European assessment guidelines of Tourette Syndrome (TS). The available literature including national guidelines was thoroughly screened and extensively discussed in the expert group of ESSTS

  12. New diagnostic criteria and severity assessment of acute cholecystitis in revised Tokyo guidelines

    NARCIS (Netherlands)

    Yokoe, Masamichi; Takada, Tadahiro; Strasberg, Steven M.; Solomkin, Joseph S.; Mayumi, Toshihiko; Gomi, Harumi; Pitt, Henry A.; Gouma, Dirk J.; Garden, O. James; Büchler, Markus W.; Kiriyama, Seiki; Kimura, Yasutoshi; Tsuyuguchi, Toshio; Itoi, Takao; Yoshida, Masahiro; Miura, Fumihiko; Yamashita, Yuichi; Okamoto, Kohji; Gabata, Toshifumi; Hata, Jiro; Higuchi, Ryota; Windsor, John A.; Bornman, Philippus C.; Fan, Sheung-Tat; Singh, Harijt; de Santibanes, Eduardo; Kusachi, Shinya; Murata, Atsuhiko; Chen, Xiao-Ping; Jagannath, Palepu; Lee, Sunggyu; Padbury, Robert; Chen, Miin-Fu

    2012-01-01

    Background The Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were published in 2007 as the world's first guidelines for acute cholangitis and cholecystitis. The diagnostic criteria and severity assessment of acute cholecystitis have since been widely used all over

  13. Blood exposure: factors promoting health care workers' compliance with guidelines in connection with risk.

    Science.gov (United States)

    Lymer, Ulla-Britt; Richt, Bengt; Isaksson, Barbro

    2004-07-01

    Health care workers compliance with guidelines, universal precautions, in connection with tasks that could involve contact with patient's blood is unsatisfactory. In a previous paper, we identified different forces that undermine compliance. Socialization into infection control, routinization, stereotyping, perceptions of patients' wishes and the presence of competing values and norms are examples of such forces. The aim of this article is to describe and analyse different forces that promote adherence to universal precautions. Behavioural variations are seen as a consequence of differences between wards with regard to the safety culture. Safety culture is conceptualized as the outcome of a constant interplay between deactivating and reactivating forces. In this article the focus is on the latter. The grounded theory approach. Data were collected through interviews with nurses and assistant nurses. The charge nurse, informal leaders, students, infection control nurses, type of work, availability of equipment, blood-exposure incidents and media-coverage of infectious diseases are described as potentially important for compliance. The properties these agents must possess in order to be influential are also described. The outcome of an occupationally acquired infection can be fatal. Hence it is important that health care workers take protective measures. The results imply that mere information about safe practices alone is insufficient to achieve that goal. All factors of importance for compliance must be taken in to consideration in clinical work and in education.

  14. Assessment of management policies and practices for occupational exposure to bloodborne pathogens in dialysis facilities.

    Science.gov (United States)

    Mbaeyi, Chukwuma; Panlilio, Adelisa L; Hobbs, Cynthia; Patel, Priti R; Kuhar, David T

    2012-10-01

    Occupational exposure management is an important element in preventing the transmission of bloodborne pathogens in health care settings. In 2008, the US Centers for Disease Control and Prevention conducted a survey to assess procedures for managing occupational bloodborne pathogen exposures in outpatient dialysis facilities in the United States. A cross-sectional survey of randomly selected outpatient dialysis facilities. 339 outpatient dialysis facilities drawn from the 2006 US end-stage renal disease database. Hospital affiliation (free-standing vs hospital-based facilities), profit status (for-profit vs not-for-profit facilities), and number of health care personnel (≥100 vs facilities reporting occupational bloodborne pathogen exposures and offering occupational exposure management services. We analyzed bloodborne pathogen exposures and provision of postexposure prophylaxis by facility type. Nearly all respondents (99.7%) had written policies and 95% provided occupational exposure management services to health care personnel during the daytime on weekdays, but services were provided infrequently during other periods of the week. Approximately 10%-15% of facilities reported having HIV, HBV, or HCV exposures in health care personnel in the 12 months prior to the survey, but inconsistencies were noted in procedures for managing such exposures. Despite 86% of facilities providing HIV prophylaxis for exposed health care personnel, only 37% designated a primary HIV postexposure prophylaxis regimen. For-profit and free-standing facilities reported fewer exposures, but did not as reliably offer HBV prophylaxis or have a primary HIV postexposure prophylaxis regimen relative to not-for-profit and hospital-based facilities. The survey response rate was low (37%) and familiarity of individuals completing the survey with facility policies or national guidelines could not be ascertained. Significant improvements are required in the implementation of guidelines for managing

  15. Retrospective exposure assessment in a chemical research and development facility.

    Science.gov (United States)

    Chen, Yu-Cheng; Ramachandran, Gurumurthy; Alexander, Bruce H; Mandel, Jeffrey H

    2012-02-01

    The objective of this exposure assessment was to reconstruct cumulative historical exposures for workers who have been exposed to multiple chemicals and chemical groups to better understand a cluster of brain cancers within a research and development lab. Chemicals of interest, including acrylates, bis-chloromethyl ether (BCME), chloromethyl methyl ether (CMME), isothiazolones and nitrosoamines, were selected on the basis of the plausibility of penetrating the blood-brain barrier and the uniqueness of the chemical's biological activity. In a complicated exposure setting such as a chemical R&D facility, multiple exposure estimation methods were needed. First, similarly exposure groups (SEGs) were created for these materials based on department group, time period of the department's existence and function associated with job titles. A probabilistic framework for assessing exposures was developed using Bayesian analysis of historical monitoring data, mathematical exposure modeling and professional judgments of current and former industrial hygienists at the facility were used to reconstruct the exposure history for acrylates, BCME and CMME for each SEG over the time period of interest. Since sufficient measurement data for isothiazolones and nitrosoamines were not available, the exposure histories for each SEG for these chemicals were estimated. This was done using objective formaldehyde levels and subjective employee interviews. The interviews assessed workplace determinants of exposure as distinct surrogates for estimating inhalation and dermal exposures. The exposure assessments by these methods were compared against each other to estimate the potential for exposure misclassification. A job exposure matrix (JEM) was constructed that contained the exposures obtained from above multiple approaches for each of these chemical groups for each SEG for each year of interest. The combination of methods used in this work is a unique and potentially helpful framework that

  16. Qualitative assessment of agritourism safety guidelines: a demonstration project.

    Science.gov (United States)

    Tutor-Marcom, Robin; Greer, Annette; Clay, Maria; Ellis, Tammy; Thompson, Tami; Adam-Samura, Esther Seisay

    2013-01-01

    In 2007, the National Children's Center for Rural and Agricultural Health and Safety (NCCRAHS) published Agritourism Health and Safety Guidelines for Children to provide helpful recommendations for protecting the health and safety of children visiting agritourism farms. Supplement A: Policies and Procedures Guide and Supplement B: Worksite Guide were subsequently published in 2009 and provided agritourism farms with checklists to use in reviewing, planning, and implementing their own health and safety practices. In order to better understand what would be required of a farm wishing to implement the guidelines using Supplements A and B, the North Carolina Agromedicine Institute conducted a single-family farm demonstration project with support from the NCCRAHS. The aims of the project were to (1) determine child health and safety risks associated with an existing agritourism farm; (2) determine the cost of making improvements necessary to reduce risks; and (3) use project findings to motivate other agritourism farms, Cooperative Extension agents, and agritourism insurers to adopt or recommend Agritourism Health and Safety Guidelines for Children for their own farms or farms with which they work. At the conclusion of the study, the target farm was in compliance with an average of 86.9% of items in Supplements A and B. Furthermore, 89% of individuals self-identifying as farmers or farm workers and 100% of Cooperative Extension agents and agritourism insurers attending an end-of-project workshop indicated their intent to adopt or recommend Agritourism Health and Safety Guidelines for Children for their own farms or farms with which they work.

  17. Wall Paint Exposure Assessment Model (WPEM)

    Science.gov (United States)

    WPEM uses mathematical models developed from small chamber data to estimate the emissions of chemicals from oil-based (alkyd) and latex wall paint which is then combined with detailed use, workload and occupancy data to estimate user exposure.

  18. DREAM: a method for semi-quantitative dermal exposure assessment

    NARCIS (Netherlands)

    Wendel de Joode, B. van; Brouwer, D.H.; Kromhout, H.; Hemmen, J.J. van

    2003-01-01

    This paper describes a new method (DREAM) for structured, semi-quantitative dermal exposure assessment for chemical or biological agents that can be used in occupational hygiene or epidemiology. It is anticipated that DREAM could serve as an initial assessment of dermal exposure, amongst others,

  19. Integration of Probabilistic Exposure Assessment and Probabilistic Hazard Characterization

    NARCIS (Netherlands)

    Voet, van der H.; Slob, W.

    2007-01-01

    A method is proposed for integrated probabilistic risk assessment where exposure assessment and hazard characterization are both included in a probabilistic way. The aim is to specify the probability that a random individual from a defined (sub)population will have an exposure high enough to cause a

  20. European clinical guidelines for Tourette syndrome and other tic disorders. Part I: assessment

    DEFF Research Database (Denmark)

    Cath, Danielle C; Hedderly, Tammy; Ludolph, Andrea G

    2011-01-01

    members. Detailed clinical assessment guidelines of tic disorders and their comorbidities in both children and adults are presented. Screening methods that might be helpful and necessary for specialists' differential diagnosis process are suggested in order to further analyse cognitive abilities...

  1. Technical Review Guidelines for Environmental Impact Assessments in the Tourism, Energy and Mining Sectors

    Science.gov (United States)

    EPA coordinated a regional collaborative process with Central America and Dominican Republic Free Trade Agreement (CAFTA-DR) partners to develop Environmental Impact Assessment (EIA) Technical Review Guidelines for three sectors.

  2. [European Association of Urology guidelines on assessment and nonsurgical management of urinary incontinence].

    Science.gov (United States)

    Lucas, M G; Bosch, R J L; Burkhard, F C; Cruz, F; Madden, T B; Nambiar, A K; Neisius, A; de Ridder, D J M K; Tubaro, A; Turner, W H; Pickard, R S

    2013-04-01

    The previous European Association of Urology (EAU) guidelines on urinary incontinence comprised a summary of sections of the 2009 International Consultation on Incontinence. A decision was made in 2010 to rewrite these guidelines based on an independent systematic review carried out by the EAU guidelines panel, using a sustainable methodology. We present a short version of the full guidelines on assessment, diagnosis, and nonsurgical treatment of urinary incontinence, with the aim of increasing their dissemination. Evidence appraisal included a pragmatic review of existing systematic reviews and independent new literature searches, based on Population, Intervention, Comparator, Outcome questions. Appraisal of papers was carried out by an international panel of experts, who also collaborated on a series of consensus discussions, to develop concise structured evidence summaries and action-based recommendations using a modified Oxford system. The full version of the guidelines is available online (http://www.uroweb.org/guidelines/online-guidelines/). The guidelines include algorithms that refer the reader back to the supporting evidence, and they are more immediately useable in daily clinical practice. These new guidelines present an up-to-date summary of the available evidence, together with clear clinical algorithms and action-based recommendations based on the best available evidence. Where such evidence does not exist, they present a consensus of expert opinion. Copyright © 2012 AEU. Published by Elsevier España, S.L. All rights reserved.

  3. Probabilistic assessment of exposure to nail cosmetics in French consumers.

    Science.gov (United States)

    Ficheux, A S; Morisset, T; Chevillotte, G; Postic, C; Roudot, A C

    2014-04-01

    The aim of this study was to assess probabilistic exposure to nail cosmetics in French consumers. The exposure assessment was performed with base coat, polish, top coat and remover. This work was done for adult and child consumers. Dermal, inhalation and oral routes were taken into account for varnishes. Exposure evaluation was performed for the inhalation route with polish remover. The main route of exposure to varnishes was the ungual route. Inhalation was the secondary route of exposure, followed by dermal and oral routes. Polish contributed most to exposure, regardless of the route of exposure. For this nail product, P50 and P95 values by ungual route were respectively equal to 1.74 mg(kg bw week)(-1) and 8.55 mg(kg bw week)(-1) for women aged 18-34 years. Exposure to polish by inhalation route was equal to 0.70 mg(kg bw week)(-1) (P50) and 5.27 mg(kg bw week)(-1) (P95). P50 and P95 values by inhalation route were respectively equal to 0.08 mg(kg bw week)(-1) and 1.14 mg(kg bw week)(-1) for consumers aged 18-34 years exposed to polish remover. This work provided current exposure data for nail cosmetics, and a basis for future toxicological studies of the uptake of substances contained in nail cosmetics in order to assess systemic exposure. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Dermal exposure and risk assessment of tebuconazole applicators in vineyards.

    Science.gov (United States)

    Mandic-Rajcevic, Stefan; Rubino, Federico Maria; Vianello, Giorgio; Fugnoli, Lorenzo; Polledri, Elisa; Mercadante, Rosa; Moretto, Angelo; Fustinoni, Silvia; Colosio, Claudio

    2015-07-08

    Models used in the pre-marketing evaluation do not cover all work scenarios and may over- or underestimate exposure. Uncertainties present in the extrapolation from pre-marketing to the post-marketing warrant exposure and risk assessment in real-life working conditions. Seven vineyard pesticide applicators were followed for a total of 12 work-days. A data collection sheet was developed specifically for this study. Workers' body exposure, hands, and head exposure were measured. Tebuconazole was analyzed using LC-MS/MS. Median potential and actual body exposures were 22.41 mg/kg and 0.49 mg/kg of active substance applied, respectively. The median protection factor provided by the coverall was 98% (range: 90-99%). Hand exposure was responsible for 61% of total actual exposure, and was reduced by more than 50% in workers using gloves. The German Model underestimated the exposure in one work-day, and grossly overestimated it in 3 work-days. High levels of potential body exposure were efficiently controlled by the cotton coverall. Use of personal protective devices, especially chemically-resistant gloves and head cover is the main determinant of skin protection. Field studies on pesticide exposure in real-life conditions and development of methods and tools for easier risk assessment are necessary to complement and confirm the risk assessment done in the authorization process.

  5. Exposure Data for Travel Risk Assessment

    DEFF Research Database (Denmark)

    Jørgensen, N O; Koornstra, Matthijs; Broughton, Jeremy

    1999-01-01

    This report illustrates why risk and exposure data are critical for policymaking at local, national and EU levels.Conclusions are drawn about the evaluation and use of risk information for different modes and estimates are presented for the fatality risk of various travel modes in the EU....

  6. Cellular Metabolomics for Exposure and Toxicity Assessment

    Science.gov (United States)

    We have developed NMR automation and cell quench methods for cell culture-based metabolomics to study chemical exposure and toxicity. Our flow automation method is robust and free of cross contamination. The direct cell quench method is rapid and effective. Cell culture-based met...

  7. Going DEEP: guidelines for building simulation-based team assessments.

    Science.gov (United States)

    Grand, James A; Pearce, Marina; Rench, Tara A; Chao, Georgia T; Fernandez, Rosemarie; Kozlowski, Steve W J

    2013-05-01

    Whether for team training, research or evaluation, making effective use of simulation-based technologies requires robust, reliable and accurate assessment tools. Extant literature on simulation-based assessment practices has primarily focused on scenario and instructional design; however, relatively little direct guidance has been provided regarding the challenging decisions and fundamental principles related to assessment development and implementation. The objective of this manuscript is to introduce a generalisable assessment framework supplemented by specific guidance on how to construct and ensure valid and reliable simulation-based team assessment tools. The recommendations reflect best practices in assessment and are designed to empower healthcare educators, professionals and researchers with the knowledge to design and employ valid and reliable simulation-based team assessments. Information and actionable recommendations associated with creating assessments of team processes (non-technical 'teamwork' activities) and performance (demonstration of technical proficiency) are presented which provide direct guidance on how to Distinguish the underlying competencies one aims to assess, Elaborate the measures used to capture team member behaviours during simulation activities, Establish the content validity of these measures and Proceduralise the measurement tools in a way that is systematically aligned with the goals of the simulation activity while maintaining methodological rigour (DEEP). The DEEP framework targets fundamental principles and critical activities that are important for effective assessment, and should benefit healthcare educators, professionals and researchers seeking to design or enhance any simulation-based assessment effort.

  8. Chemical Mixtures Health Risk Assessment: Overview of Exposure Assessment, Whole Mixtures Assessments; Basic Concepts

    Science.gov (United States)

    This problems-based, half-day, introductory workshop focuses on methods to assess health risks posed by exposures to chemical mixtures in the environment. Chemical mixtures health risk assessment methods continue to be developed and evolve to address concerns over health risks f...

  9. Bias in the estimation of exposure effects with individual- or group-based exposure assessment.

    Science.gov (United States)

    Kim, Hyang-Mi; Richardson, David; Loomis, Dana; Van Tongeren, Martie; Burstyn, Igor

    2011-01-01

    In this paper, we develop models of bias in estimates of exposure-disease associations for epidemiological studies that use group- and individual-based exposure assessments. In a study that uses a group-based exposure assessment, individuals are grouped according to shared attributes, such as job title or work area, and assigned an exposure score, usually the mean of some concentration measurements made on samples drawn from the group. We considered bias in the estimation of exposure effects in the context of both linear and logistic regression disease models, and the classical measurement error in the exposure model. To understand group-based exposure assessment, we introduced a quasi-Berkson error structure that can be justified with a moderate number of exposure measurements from each group. In the quasi-Berkson error structure, the true value is equal to the observed one plus error, and the error is not independent of the observed value. The bias in estimates with individual-based assessment depends on all variance components in the exposure model and is smaller when the between-group and between-subject variances are large. In group-based exposure assessment, group means can be assumed to be either fixed or random effects. Regardless of this assumption, the behavior of estimates is similar: the estimates of regression coefficients were less attenuated with a large sample size used to estimate group means, when between-subject variability was small and the spread between group means was large. However, if groups are considered to be random effects, bias is present, even with large number of measurements from each group. This does not occur when group effects are treated as fixed. We illustrate these models in analyses of the associations between exposure to magnetic fields and cancer mortality among electric utility workers and respiratory symptoms due to carbon black.

  10. Noise Exposure Assessment in a Dental School

    OpenAIRE

    Thitiworn Choosong; Wandee Kaimook; Ratchada Tantisarasart; Puwanai Sooksamear; Satith Chayaphum; Chanon Kongkamol; Wisarut Srisintorn; Pitchaya Phakthongsuk

    2011-01-01

    Objectives: This cross-sectional study was performed in the Dental School of Prince of Songkla University to ascertain noise exposure of dentists, dental assistants, and laboratory technicians. A noise spectral analysis was taken to illustrate the spectra of dental devices. Methods: A noise evaluation was performed to measure the noise level at dental clinics and one dental laboratory from May to December 2010. Noise spectral data of dental devices were taken during dental practices at the...

  11. Noise exposure assessment in a dental school.

    Science.gov (United States)

    Choosong, Thitiworn; Kaimook, Wandee; Tantisarasart, Ratchada; Sooksamear, Puwanai; Chayaphum, Satith; Kongkamol, Chanon; Srisintorn, Wisarut; Phakthongsuk, Pitchaya

    2011-12-01

    This cross-sectional study was performed in the Dental School of Prince of Songkla University to ascertain noise exposure of dentists, dental assistants, and laboratory technicians. A noise spectral analysis was taken to illustrate the spectra of dental devices. A noise evaluation was performed to measure the noise level at dental clinics and one dental laboratory from May to December 2010. Noise spectral data of dental devices were taken during dental practices at the dental services clinic and at the dental laboratory. A noise dosimeter was set following the Occupational Safety and Health Administration criteria and then attached to the subjects' collar to record personal noise dose exposure during working periods. The peaks of the noise spectrum of dental instruments were at 1,000, 4,000, and 8,000 Hz which depended on the type of instrument. The differences in working areas and job positions had an influence on the level of noise exposure (p personal hearing zone found that the laboratory technicians were exposed to the highest impulsive noise levels (137.1 dBC). The dentists and dental assistants who worked at a pedodontic clinic had the highest percent noise dose (4.60 ± 3.59%). In the working areas, the 8-hour time-weighted average of noise levels ranged between 49.7-58.1 dBA while the noisiest working area was the dental laboratory. Dental personnel are exposed to noise intensities lower than occupational exposure limits. Therefore, these dental personnel may not experience a noise-induced hearing loss.

  12. Wireless Phones Electromagnetic Field Radiation Exposure Assessment

    OpenAIRE

    A. D. Usman; W. F.W. Ahmad; M. Z.A.A. Kadir; M. Mokhtar

    2009-01-01

    Problem statement: Inadequate knowledge of electromagnetic field emitted by mobile phones and increased usage at close proximity, created a lot of skepticism and speculations among end users on its safety or otherwise. Approach: In this study, near field electromagnetic field radiation measurements were conducted on different brand of mobile phones in active mode using a tri-axis isotropic probe and electric field meter. Results: The highest electromagnetic field exposure was recorded when th...

  13. Linking Aquatic Exposure and Effects: Risk Assessment of Pesticides

    NARCIS (Netherlands)

    Brock, T.C.M.; Alix, A.; Brown, C.D.; Capri, E.; Gottesburen, E.

    2010-01-01

    Time-variable exposure profiles of pesticides are more often the rule than exception in the surface waters of agricultural landscapes. There is, therefore, a need to adequately address the uncertainties arising from time-variable exposure profiles in the aquatic risk assessment procedure for

  14. Air pollution exposure assessment methods utilized in epidemiological studies.

    Science.gov (United States)

    Zou, Bin; Wilson, J Gaines; Zhan, F Benjamin; Zeng, Yongnian

    2009-03-01

    The assessment of personal exposure to air pollution is a critical component of epidemiological studies associating air pollution and health effects. This paper critically reviewed 157 studies over 29 years that utilized one of five categories of exposure methods (proximity, air dispersion, hybrid, human inhalation, and biomarkers). Proximity models were found to be a questionable technique as they assume that closer proximity equates to greater exposure. Inhalation models and biomarker estimates were the most effective in assessing personal exposure, but are often cost prohibitive for large study populations. This review suggests that: (i) factors such as uncertainty, validity, data availability, and transferability related to exposure assessment methods should be considered when selecting a model; and (ii) although an entirely discreet new class of approach is not necessary, significant progress could be made through the development of a 'hybrid' model utilizing the strengths of several existing methods. Future work should systematically evaluate the performance of hybrid models compared to other individual exposure assessment methods utilizing geospatial information technologies (e.g. geographic information systems (GIS) and remote sensing (RS)) to more robustly refine estimates of ambient exposure and quantify the linkages and differences between outdoor, indoor and personal exposure estimates.

  15. Design guidelines for self-assessment support for adult academic distance learning

    DEFF Research Database (Denmark)

    Menendez Blanco, Maria; van der Veer, Gerrit; Benvenuti, Laura

    2011-01-01

    This contribution focuses on adult distance learning. Based on experiences at the Open University of the Netherlands we investigate specific problems that our students have with self-assessment and metacognition while studying. Starting from a literature review and complementing this with available...... student data from our teaching research center, we developed a conceptual framework that was iteratively adjusted and assessed by a questionnaire study and interviews. This allowed us to develop design guidelines for self-assessment support in distance learning environments. These guidelines were reviewed...

  16. An evaluation of safety guidelines to restrict exposure to stray radiofrequency radiation from short-wave diathermy units

    Energy Technology Data Exchange (ETDEWEB)

    Shields, Nora [School of Physiotherapy, La Trobe University, Victoria 3086 (Australia); O' Hare, Neil [Department of Medical Physics and Bioengineering, St James' s Hospital, Dublin 8 (Ireland); Gormley, John [School of Physiotherapy, Trinity College Dublin, Trinity Centre for Health Sciences, St James' s Hospital, Dublin 8 (Ireland)

    2004-07-07

    Short-wave diathermy (SWD), a form of radiofrequency radiation used therapeutically by physiotherapists, may be applied in continuous (CSWD) or pulsed (PSWD) mode using either capacitive or inductive methods. Stray radiation emitted by these units may exceed exposure guidelines close to the equipment. Discrepant guidelines exist on a safe distance from an operating unit for operators and other personnel. Stray electric (E-field) and magnetic (H-field) field strengths from 10 SWD units in six departments were examined using a PMM 8053 meter and two isotropic probes (EP-330, HP-032). A 5 l saline phantom completed the patient circuit. Measurements were recorded in eight directions between 0.5 m and 2 m at hip and eye levels while the units operated at maximum output and data compared to current guidelines. Results found stray fields from capacitive CSWD fell below operator limits at 2 m (E-field 4.8-39.8 V/m; H-field 0.015-0.072 A/m) and at 1 m for inductive CSWD (E-field 0-36 V/m; H-field 0.01-0.065 A/m). Capacitive PSWD fields fell below the limits at 1.5 m (E-field 1.2-19.9 V/m; H-field 0.002-0.045 A/m) and at 1m for inductive PSWD (E-field 0.7-4.0 V/m; H-field 0.009-0.03 A/m). An extra 0.5 m was required before fields fell below the guidelines for other personnel. These results demonstrate, under a worst case scenario, emissions from SWD exceed the guidelines for operators at distances currently recommended as safe. Future guidelines should include recommendations for personnel other than physiotherapists.

  17. An evaluation of safety guidelines to restrict exposure to stray radiofrequency radiation from short-wave diathermy units

    Science.gov (United States)

    Shields, Nora; O'Hare, Neil; Gormley, John

    2004-07-01

    Short-wave diathermy (SWD), a form of radiofrequency radiation used therapeutically by physiotherapists, may be applied in continuous (CSWD) or pulsed (PSWD) mode using either capacitive or inductive methods. Stray radiation emitted by these units may exceed exposure guidelines close to the equipment. Discrepant guidelines exist on a safe distance from an operating unit for operators and other personnel. Stray electric (E-field) and magnetic (H-field) field strengths from 10 SWD units in six departments were examined using a PMM 8053 meter and two isotropic probes (EP-330, HP-032). A 5 l saline phantom completed the patient circuit. Measurements were recorded in eight directions between 0.5 m and 2 m at hip and eye levels while the units operated at maximum output and data compared to current guidelines. Results found stray fields from capacitive CSWD fell below operator limits at 2 m (E-field 4.8-39.8 V/m; H-field 0.015-0.072 A/m) and at 1 m for inductive CSWD (E-field 0-36 V/m; H-field 0.01-0.065 A/m). Capacitive PSWD fields fell below the limits at 1.5 m (E-field 1.2-19.9 V/m; H-field 0.002-0.045 A/m) and at 1m for inductive PSWD (E-field 0.7-4.0 V/m; H-field 0.009-0.03 A/m). An extra 0.5 m was required before fields fell below the guidelines for other personnel. These results demonstrate, under a worst case scenario, emissions from SWD exceed the guidelines for operators at distances currently recommended as safe. Future guidelines should include recommendations for personnel other than physiotherapists.

  18. A practical guideline for human error assessment: A causal model

    Science.gov (United States)

    Ayele, Y. Z.; Barabadi, A.

    2017-12-01

    To meet the availability target and reduce system downtime, effective maintenance have a great importance. However, maintenance performance is greatly affected in complex ways by human factors. Hence, to have an effective maintenance operation, these factors needs to be assessed and quantified. To avoid the inadequacies of traditional human error assessment (HEA) approaches, the application of Bayesian Networks (BN) is gaining popularity. The main purpose of this paper is to propose a HEA framework based on the BN for maintenance operation. The proposed framework aids for assessing the effects of human performance influencing factors on the likelihood of human error during maintenance activities. Further, the paper investigates how operational issues must be considered in system failure-rate analysis, maintenance planning, and prediction of human error in pre- and post-maintenance operations. The goal is to assess how performance monitoring and evaluation of human factors can effect better operation and maintenance.

  19. Reductions in Long-Term Suspensions Following Adoption of the Virginia Student Threat Assessment Guidelines

    Science.gov (United States)

    Cornell, Dewey G.; Gregory, Anne; Fan, Xitao

    2011-01-01

    This quasi-experimental study examined the adoption of the Virginia Student Threat Assessment Guidelines in 23 high schools. After training, school administrators and other staff members demonstrated substantial increases in knowledge of threat assessment principles and decreased commitment to zero tolerance approaches. Schools using the…

  20. Guidelines, Criteria, and Rules of Thumb for Evaluating Normed and Standardized Assessment Instruments in Psychology.

    Science.gov (United States)

    Cicchetti, Domenic V.

    1994-01-01

    In the context of developing assessment instruments in psychology, issues of standardization, norming procedures, and test reliability and validity are discussed. Criteria, guidelines, and rules of thumb are provided to help the clinician with instrument selection for a given psychological assessment. (SLD)

  1. International guidelines for the in vivo assessment of skin properties in non-clinical settings

    DEFF Research Database (Denmark)

    du Plessis, Johan; Stefaniak, Aleksandr; Eloff, Fritz

    2013-01-01

    There is an emerging perspective that it is not sufficient to just assess skin exposure to physical and chemical stressors in workplaces, but that it is also important to assess the condition, i.e. skin barrier function of the exposed skin at the time of exposure. The workplace environment, repre...

  2. Existing Default Values and Recommendations for Exposure Assessment - A Nordic Exposure Group Project 2011

    DEFF Research Database (Denmark)

    Höglund, Lena; Räisänen, Jouni; Hämäläinen, Anne-Maija

    Default values are often used in exposure assessments e.g. in modelling because of lack of actually measured data. The quality of the exposure assessment outcome is therefore heavily dependent on the validity and representativeness this input data. Today the used default factors consist of a wide...... and dust ingestion, drinking water, food intake, non-dietary ingestion factors, lifetime expectancy, activity factors and consumer products......'s exposure assessments. The exposure default values were collected from the relevant European sources (ECHA, Consexpo, EUSES, Biocide TNsG, ECETOC, ExpoFacts) as well as from WHO and US-EPA. The following key default factors selected to the evaluation: body weight, body surface area, inhalation rate, soil...

  3. Canada’s Guideline 9: improving SOGIE claims assessment?

    Directory of Open Access Journals (Sweden)

    Moira Dustin

    2017-10-01

    Full Text Available Asylum seekers making claims relating to their sexual orientation and gender identity often face unfair refusal. New guidance from the Immigration and Refugee Board of Canada takes admirable steps towards improving claims assessment, and offers a model for practitioners elsewhere.

  4. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines

    NARCIS (Netherlands)

    Hirota, Masahiko; Takada, Tadahiro; Kawarada, Yoshifumi; Nimura, Yuji; Miura, Fumihiko; Hirata, Koichi; Mayumi, Toshihiko; Yoshida, Masahiro; Strasberg, Steven; Pitt, Henry; Gadacz, Thomas R.; de Santibanes, Eduardo; Gouma, Dirk J.; Solomkin, Joseph S.; Belghiti, Jacques; Neuhaus, Horst; Buechler, Markus W.; Fan, Sheung-Tat; Ker, Chen-Guo; Padbury, Robert T.; Liau, Kui-Hin; Hilvano, Serafin C.; Belli, Giulio; Windsor, John A.; Dervenis, Christos

    2007-01-01

    The aim of this article is to propose new criteria for the diagnosis and severity assessment of acute cholecystitis, based on a systematic review of the literature and a consensus of experts. A working group reviewed articles with regard to the diagnosis and treatment of acute cholecystitis and

  5. Assessing adherence to the 2010 antiretroviral guidelines in the ...

    African Journals Online (AJOL)

    what combinations of drugs to use when a change was indicated. • what laboratory ... 1 Infectious Disease Clinic,1 Military Hospital, Pretoria, South Africa. 2 Department of ... rollout clinic of the Infectious Diseases Clinic Pharmacy at 1 Military Hospital (1MH) over a period of 3 years to assess clinicians' adherence to the ...

  6. Integrating exposure into chemical alternatives assessment using a qualitative approach

    DEFF Research Database (Denmark)

    Greggs, Bill; Arnold, Scott; Burns, T. E.

    2016-01-01

    Sustainable Chemical Alternatives Technical Committee, which consists of scientists from academia, industry, government, and NGOs, has developed a qualitative comparative exposure approach. Conducting such a comparison can screen for alternatives that are expected to have a higher human or environmental......Most alternatives assessments (AA) published to date are largely hazard-based rankings, and as such may not represent a fully informed consideration of the advantages and disadvantages of possible alternatives. With an assessment goal of identifying an alternative chemical that is more sustainable...... exposure potential, which could trigger a higher-tiered, more quantitative exposure assessment on the alternatives being considered, minimizing the likelihood of regrettable substitution. This talk will demonstrate an approach for including chemical- and product-related exposure information...

  7. Integrating exposure into chemical alternatives assessment using a qualitative approach

    DEFF Research Database (Denmark)

    Greggs, Bill; Arnold, Scott; Burns, Thomas J.

    2016-01-01

    Sustainable Chemical Alternatives Technical Committee, which consists of scientists from academia, industry, government, and NGOs, has developed a qualitative comparative exposure approach. Conducting such a comparison can screen for alternatives that are expected to have a higher exposure potential, which......Most alternatives assessments (AA) published to date are largely hazard-based rankings, and as such may not represent a fully informed consideration of the advantages and disadvantages of possible alternatives. With an assessment goal of identifying an alternative chemical that is more sustainable...... could trigger a higher-tiered, more quantitative exposure assessment on the alternatives being considered. This talk will demonstrate an approach for including chemical- and product-related exposure information in a qualitative AA comparison. Starting from existing hazard AAs, a series of four chemical...

  8. A new method for setting guidelines to protect human health from agricultural exposure by using chlorpyrifos as an example

    Directory of Open Access Journals (Sweden)

    Dung Tri Phung

    2015-05-01

    Full Text Available Introduction and objectives. Guidelines set by various agencies for the control and management of chlorpyrifos cover a wide range of values reflecting difficulties in the procedures for their development. To overcome these difficulties a new method to set guidelines would be developed. Published data derived from epidemiological investigations on human populations would be used to develop a dose-response relationship for chlorpyrifos allowing the calculation of threshold values which can be used as guidelines. Materials and Method. Data from the scientific literature on human populations were collected to evaluate the adverse response doses for a range of health effects. The Cumulative Frequency Distribution (CFD for the minimum levels of adverse effects measured in terms of the Lifetime Average Daily Dose (LADD[sub]D[/sub] and the Absorbed Daily Dose for neurological (ADD[sub]DN[/sub] and non-neurological effects were used. Results. Linear regression equations were fitted to the CFD plots giving R 2 values of 0.93 and 0.86 indicating a normal distribution of the data. Using these CFD plots, the chronic and acute threshold values were calculated at the 5% cumulative frequency level for chlorpyrifos exposure giving values at 0.5 µg/kg/d and 3 µg/kg/d respectively. Conclusions. Guidelines set using this technique at the values at 0.5 µg/kg/d and 3 µg/kg/d for chronic and acute exposure respectively provide an alternative to the currently used biological endpoint and safety factor method.

  9. FDTD assessment of human exposure to electromagnetic fields from WiFi and bluetooth devices in some operating situations.

    Science.gov (United States)

    Martínez-Búrdalo, M; Martín, A; Sanchis, A; Villar, R

    2009-02-01

    In this work, the numerical dosimetry in human exposure to the electromagnetic fields from antennas of wireless devices, such as those of wireless local area networks (WLAN) access points or phone and computer peripherals with Bluetooth antennas, is analyzed with the objective of assessing guidelines compliance. Several geometrical configurations are considered to simulate possible exposure situations of a person to the fields from WLAN or Bluetooth antennas operating at 2400 MHz. The exposure to radiation from two sources of different frequencies when using a 1800 MHz GSM mobile phone connected via Bluetooth with a hands-free car kit is also considered. The finite-difference time-domain (FDTD) method is used to calculate electric and magnetic field values in the vicinity of the antennas and specific absorption rates (SAR) in a high-resolution model of the human head and torso, to be compared with the limits from the guidelines (reference levels and basic restrictions, respectively). Results show that the exposure levels in worst-case situations studied are lower than those obtained when analyzing the exposure to mobile phones, as could be expected because of the low power of the signals and the distance between the human and the antennas, with both field and SAR values being far below the limits established by the guidelines, even when considering the combined exposure to both a GSM and a Bluetooth antenna. Copyright 2008 Wiley-Liss, Inc.

  10. DIET@NET: Best Practice Guidelines for dietary assessment in health research.

    Science.gov (United States)

    Cade, Janet E; Warthon-Medina, Marisol; Albar, Salwa; Alwan, Nisreen A; Ness, Andrew; Roe, Mark; Wark, Petra A; Greathead, Katharine; Burley, Victoria J; Finglas, Paul; Johnson, Laura; Page, Polly; Roberts, Katharine; Steer, Toni; Hooson, Jozef; Greenwood, Darren C; Robinson, Sian

    2017-11-15

    Dietary assessment is complex, and strategies to select the most appropriate dietary assessment tool (DAT) in epidemiological research are needed. The DIETary Assessment Tool NETwork (DIET@NET) aimed to establish expert consensus on Best Practice Guidelines (BPGs) for dietary assessment using self-report. The BPGs were developed using the Delphi technique. Two Delphi rounds were conducted. A total of 131 experts were invited, and of these 65 accepted, with 48 completing Delphi round I and 51 completing Delphi round II. In all, a total of 57 experts from North America, Europe, Asia and Australia commented on the 47 suggested guidelines. Forty-three guidelines were generated, grouped into the following four stages: Stage I. Define what is to be measured in terms of dietary intake (what? who? and when?); Stage II. Investigate different types of DATs; Stage III. Evaluate existing tools to select the most appropriate DAT by evaluating published validation studies; Stage IV. Think through the implementation of the chosen DAT and consider sources of potential biases. The Delphi technique consolidated expert views on best practice in assessing dietary intake. The BPGs provide a valuable guide for health researchers to choose the most appropriate dietary assessment method for their studies. These guidelines will be accessible through the Nutritools website, www.nutritools.org .

  11. Health risk assessment of occupational exposure to a magnetic field from magnetic resonance imaging devices.

    Science.gov (United States)

    Karpowicz, Jolanta; Gryz, Krzysztof

    2006-01-01

    Health care staff who operate magnetic resonance imaging (MRI) devices are exposed to a static magnetic field of significant spatial heterogenity always produced by MRI magnets during the whole shift. They can also be exposed to pulses of a time-varying magnetic field (gradient field) present only during patients' examinations. The level of the workers' exposure depends both on the type of the magnet and on the ergonomic design of each MRI device. The paper presents methods used for measuring and assessing workers' exposure. It also discusses the results of inspection measurements carried out next to approximately 20 MRI devices of approximately 0.2-2.0 T. The presented characteristic and overview of the variability of workers' exposure to a variety of MRI devices supports the need for data on monitoring occupational exposure to MRI. International exposure assessment standards and guidelines (International Commission on Non-Ionizing Radiation Protection [ICNIRP], Institute of Electrical and Electronics Engineers [IEEE], American Conference of Governmental and Industrial Hygienists [ACGIH], European Commission directive), and those established in Poland are also compared.

  12. Clinical assessment of chest pain and guidelines for imaging

    Energy Technology Data Exchange (ETDEWEB)

    Gruettner, J., E-mail: joachim.gruettner@umm.de [1st Department of Medicine (Cardiology), University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim (Germany); Henzler, T. [Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim (Germany); Sueselbeck, T. [1st Department of Medicine (Cardiology), University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim (Germany); Fink, C. [Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim (Germany); Borggrefe, M.; Walter, T. [1st Department of Medicine (Cardiology), University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim (Germany)

    2012-12-15

    For many emergency facilities, risk assessment of patients with diffuse chest pain still poses a major challenge. In their currently valid recommendations, the international cardiological societies have defined a standardized assessment of the prognostically relevant cardiac risk criteria. Here the classic sequence of basic cardiac diagnostics including case history (cardiac risk factors), physical examination (haemodynamic and respiratory vital parameters), ECG (ST segment analysis) and laboratory risk markers (troponin levels) is paramount. The focus is, on the one hand, on timely indication for percutaneous catheterization, especially in patients at high cardiac risk with or without ST-segment elevation in the ECG, and, on the other hand, on the possibility of safely discharging patients with intermediate or low cardiac risk after non-invasive exclusion of a coronary syndrome. For patients in the intermediate or low risk group, physical or pharmacological stress testing in combination with scintigraphy, echocardiography or magnetic resonance imaging is recommended in addition to basic diagnostics. Moreover, the importance of non-invasive coronary imaging, primarily cardiac CT angiography (CCTA), is increasing. Current data show that in intermediate or low risk patients this method is suitable to reliably rule out coronary heart disease. In addition, attention is paid to the major differential diagnoses of acute coronary syndrome, particularly pulmonary embolism and aortic dissection. Here the diagnostic method of choice is thoracic CT, possibly also in combination with CCTA aiming at a triple rule-out.

  13. An exposure and health risk assessment of lead (Pb) in lipstick.

    Science.gov (United States)

    Monnot, Andrew D; Christian, Whitney V; Abramson, Matthew M; Follansbee, Mark H

    2015-06-01

    Lead (Pb) content in lipstick and other consumer products has become an increasing concern. In 2010, the United States Food and Drug Administration tested 400 lipstick samples and found a maximum Pb concentration of 7.19 ppm. To assess the safety of lipstick in adults that chronically apply lipstick as well as instances where children might incidentally ingest lipstick products, the United States Environmental Protection Agency's (US EPA) Adult Lead Model and Integrated Exposure Uptake Biokinetic Model for Lead in Children were used to determine the blood Pb concentrations of adults and children ingesting varying amounts of lipstick of different Pb concentrations. Modeled blood Pb concentrations were compared with oral ingestion guidelines and to the Centers for Disease Control and the US EPA's actionable blood Pb levels of 5 and 10 µg/dL. Background Pb exposure was the primary contributor to estimated blood Pb levels (BLLs) in children and adults, and Pb exposure from lipstick did not significantly increase estimated BLLs. These results suggest that the safety of consumer products and cosmetics should be assessed not only by the presence and amounts of hazardous contents, but also in conjunction with an assessment of estimated background exposures and comparison to health-based standards. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Environmental exposure assessment framework for nanoparticles in solid waste

    DEFF Research Database (Denmark)

    Boldrin, Alessio; Hansen, Steffen Foss; Baun, Anders

    2014-01-01

    releases, eventually leading to a final assessment of potential ENM exposure. The proposed framework was applied to three selected nanoproducts: nanosilver polyester textile, nanoTiO2 sunscreen lotion and carbon nanotube tennis racquets. We found that the potential global environmental exposure of ENMs......Information related to the potential environmental exposure of engineered nanomaterials (ENMs) in the solid waste management phase is extremely scarce. In this paper, we define nanowaste as separately collected or collectable waste materials which are or contain ENMs, and we present a five......-step framework for the systematic assessment of ENM exposure during nanowaste management. The framework includes deriving EOL nanoproducts and evaluating the physicochemical properties of the nanostructure, matrix properties and nanowaste treatment processes as well as transformation processes and environment...

  15. Assessment of exposure dose to workers in virtual decommissioning environments

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, KwanSeong; Moon, JeiKwon; Choi, ByungSeon; Hyun, Dongjun; Lee, Jonghwan; Kim, Ikjune; Kim, GeunHo; Seo, JaeSeok [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-10-15

    This paper is intended to suggest the method analyze and assess the exposure dose to workers in virtual decommissioning environments. To simulate a lot of decommissioning scenarios, decommissioning environments were designed in virtual reality. To simulate and assess the exposure dose to workers, human model also was designed in virtual environments. These virtual decommissioning environments made it possible to real-time simulate and assess the exposure dose to workers. This work was to be able to simulate scenarios of decommissioning so that exposure dose to workers could be measured and assessed. To establish the plan of exposure dose to workers during decommissioning of nuclear facilities before decommissioning activities are accomplished, the method of simulation assessment was developed in virtual radiological environments. But this work was developed as a tool of simulation for single subject mode. Afterwards, the simulation environment for multi-subjects mode will be upgraded by simultaneous modules with networking environments. Then the much more practical method will be developed by changing number of workers and duration of time under any circumstances of decommissioning.

  16. Risk assessment of dietary exposure to methylmercury in fish in the UK.

    Science.gov (United States)

    Maycock, B J; Benford, D J

    2007-03-01

    Risk assessment of chemicals in food is generally based upon the results of toxicological studies in laboratory animals, allowing for uncertainties relating to interspecies differences, human variability, and gaps in the database. Use of quantitative human data is preferable if available, as in the example of methylmercury. Methylmercury is a neurotoxic environmental contaminant, for which fish is the main source of dietary exposure. Human data from poisoning incidents and epidemiological studies have been used by expert committees to derive a guideline intake level for methylmercury, based on the susceptibility of the most sensitive lifestage, the developing fetus. In the UK, an expert group of nutritionists and toxicologists was formed to review the benefits and risks associated with fish consumption. A formal risk-benefit analysis was not possible because the nutritional data were not sufficiently quantitative. The Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT), therefore, modified the risk assessment approach to derive different guideline intake levels for different subgroups of the population. The COT opinion was used to provide targeted advice on how much fish can be consumed without undue risk from the contaminants. Consumption by adults of one weekly portion (140 g) of shark, swordfish or marlin, would lead to an exceedance of the guideline intake for methylmercury of 40-90%, set to protect the developing fetus, without considering intake from the rest of the diet. Pregnant women and women who may become pregnant within 1 year were, therefore, advised to avoid consumption of these species. Intakes in other adults would be within a higher guideline intake, set to protect groups of the population other than the developing fetus. However, consumption by children of one weekly portion of these species could lead to an exceedance of this guideline intake by up to 60%, without considering intake from the rest of the diet

  17. Fungi, MVOCs and dust exposure assessment in poultry production

    OpenAIRE

    Viegas, Susana; Sabino, Raquel; Veríssimo, Cristina; Monteiro, Ana; Viegas, Carla

    2012-01-01

    Moulds are considered central elements in daily exposure of poultry workers and can be the cause of an increased risk of occupational respiratory diseases, like allergic and non-allergic rhinitis and asthma. The objective is to evaluate the exposure to different species of moulds in poultries and relate them with respiratory symptoms in poultry workers. Seven Portuguese poultries were analyzed in order to assess air fungal contamination, as well as to evaluate the existence of clinical sympto...

  18. Tumour assessment and staging: United Kingdom National Multidisciplinary Guidelines.

    Science.gov (United States)

    Roland, N; Porter, G; Fish, B; Makura, Z

    2016-05-01

    In general, the first decision to be made in a patient with a confirmed head and neck cancer is whether or not to treat the patient before deciding what form of management strategy is appropriate. There is no more important an aspect of head and neck cancer care than the initial evaluation of the patient and the patient's tumour. The practice requires specific expertise and judgement. The current tumour-node-metastasis system relies on morphology of the tumour (anatomical site and extent of disease) but the final decision on treatment hinges on a full assessment of the patient including physiological age and general condition. The aim of this paper is primarily to describe why and how we appraise a patient and their tumour. It addresses the general principles applicable to the topic of evaluation, classification and staging. In addition, the limitations and pitfalls of this process are described. Recommendations • All patients with head and neck cancer (HNC) should undergo tumour classification and staging prior to treatment. (R) • Pre-therapeutic clinical staging of HNCs should be based on at least a C2 factor (evidence obtained by special diagnostic means, e.g. radiographic imaging (e.g. computed tomography, magnetic resonance imaging or ultrasound scan), endoscopy, biopsy and cytology). (R) • Imaging to evaluate the primary site should be performed prior to biopsy to avoid the effect of upstaging from the oedema caused by biopsy trauma. (G) • Panendoscopy is only recommended for symptomatic patients or patients with primary tumours known to have a significant risk of a second (synchronous) primary tumour. (G).

  19. The assessment of genetic risk of breast cancer : a set of GP guidelines

    NARCIS (Netherlands)

    de Bock, GH; Vlieland, TPMV; Hageman, GCHA; Oosterwijk, JC; Springer, MP; Kievit, J

    Background. Assessing a genetic risk for developing breast cancer is not an easy task for a GP. Current expert guidelines for referring and counselling women with a family history positive for breast cancer are complex and difficult to apply in general practice, and have only two strategies (to

  20. Multicentre evaluation of prescribing concurrence with anti-infective guidelines : epidemiological assessment of indicators

    NARCIS (Netherlands)

    Fijn, R; Chow, MC; Schuur, PMH; De Jong-Van den Berg, LTW; Brouwers, JRBJ

    2002-01-01

    Purpose To assess indicators for anti-infective prescribing not concurrent with regional pharmacotherapeutic treatment guidelines (PTGs) on infectious diseases. Methods A retrospective explorative cohort study based on hospital-wide anti-infective prescription data of a 2-month cross-sectional

  1. Guidelines for Preparing Psychological Specialists: An Entry-Level Course on Intellectual Assessment

    Science.gov (United States)

    Oakland, Thomas; Wechsler, Solange Muglia

    2016-01-01

    This article provides guidelines for an entry-level course that prepares psychology students and practitioners to acquire entry-level skills, abilities, knowledge, and attitudes important to the individual assessment of intellectual abilities of children and youth. The article reviews prominent international, regional, and national policies,…

  2. Early Intervention Evaluation Reports: Guidelines for Writing User-Friendly and Strength-Based Assessments

    Science.gov (United States)

    Towle, Patricia; Farrell, Anne F.; Vitalone-Raccaro, Nancy

    2008-01-01

    Assessment and evaluation activities are an integral part of early intervention services. These activities culminate in written evaluation reports that include information such as observations of skills and deficits, diagnosis, and recommendations for intervention. However, few guidelines exist to help guide early intervention providers in writing…

  3. Guidelines for the Design of Digital Closed Questions for Assessment and Learning in Higher Education

    Science.gov (United States)

    Draaijer, Silvester; Hartog, R. J. M.; Hofstee, J.

    2007-01-01

    Systems for computer based assessment as well as learning management systems offer a number of innovative closed question types, which are used more and more in higher education. These closed questions are used in computer based summative exams, in diagnostic tests, and in computer based activating learning material. Guidelines focusing on the…

  4. Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain

    NARCIS (Netherlands)

    Bier, Jasper D; Scholten-Peeters, Wendy G M; Staal, J Bart; Pool, Jan; van Tulder, Maurits W; Beekman, Emmylou; Knoop, Jesper; Meerhoff, Guus; Verhagen, Arianne P

    2017-01-01

    The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on a review of

  5. Guidelines for assessing favourable conservation status of Natura 2000 species and habitat types in Bulgaria

    NARCIS (Netherlands)

    Zingstra, H.L.; Kovachev, A.; Kitnaes, K.; Tzonev, R.; Dimova, D.; Tzvetkov, P.

    2009-01-01

    This executive summary describes the methodology for assessing the favourable conservation status of N2000 habitats and species on site level in Bulgaria and gives guidelines for its application. The methodology was developed in the frame of the BBI/Matra project 2006/014 “Favourable Conservation

  6. 49 CFR Appendix B to Part 209 - Federal Railroad Administration Guidelines for Initial Hazardous Materials Assessments

    Science.gov (United States)

    2010-10-01

    ... were International Maritime Dangerous Goods (IMDG) labels instead of 10″ placards. (Unit of violation... 49 Transportation 4 2010-10-01 2010-10-01 false Federal Railroad Administration Guidelines for Initial Hazardous Materials Assessments B Appendix B to Part 209 Transportation Other Regulations Relating...

  7. Guidelines for Assessing the Need for Adaptive Devices for Visually Impaired Pedestrians at Signalized Intersections.

    Science.gov (United States)

    Gallagher, Brian R.; de Oca, Patricia Montes

    1998-01-01

    Presents guidelines for orientation and mobility instructors and traffic engineers to assess the need for adaptive devices to make crosswalks at signalized intersections accessible to pedestrians with visual impairments. The discussions of audible and tactile pedestrian devices, along with case examples, distinguish when each device should be…

  8. Design guidelines for an umbilical cord blood stem cell therapy quality assessment model

    Science.gov (United States)

    Januszewski, Witold S.; Michałek, Krzysztof; Yagensky, Oleksandr; Wardzińska, Marta

    The paper enlists the pivotal guidelines for producing an empirical umbilical cord blood stem cell therapy quality assessment model. The methodology adapted was single equation linear model with domain knowledge derived from MEDAFAR classification. The resulting model is ready for therapeutical application.

  9. Best Practices for Mental Health in Child Welfare: Screening, Assessment, and Treatment Guidelines

    Science.gov (United States)

    Romanelli, Lisa Hunter; Landsverk, John; Levitt, Jessica Mass; Leslie, Laurel K.; Hurley, Maia M.; Bellonci, Christopher; Gries, Leonard T.; Pecora, Peter J.; Jensen, Peter S.

    2009-01-01

    The Best Practices for Mental Health in Child Welfare Consensus Conference focused on developing guidelines in five key areas (screening and assessment, psychosocial interventions, psychopharmacologic treatment, parent engagement, and youth empowerment) related to children's mental health. This paper provides an overview of issues related to the…

  10. Stakeholder attitudes towards cumulative and aggregate exposure assessment of pesticides.

    Science.gov (United States)

    Verbeke, Wim; Van Loo, Ellen J; Vanhonacker, Filiep; Delcour, Ilse; Spanoghe, Pieter; van Klaveren, Jacob D

    2015-05-01

    This study evaluates the attitudes and perspectives of different stakeholder groups (agricultural producers, pesticide manufacturers, trading companies, retailers, regulators, food safety authorities, scientists and NGOs) towards the concepts of cumulative and aggregate exposure assessment of pesticides by means of qualitative in-depth interviews (n = 15) and a quantitative stakeholder survey (n = 65). The stakeholders involved generally agreed that the use of chemical pesticides is needed, primarily for meeting the need of feeding the growing world population, while clearly acknowledging the problematic nature of human exposure to pesticide residues. Current monitoring was generally perceived to be adequate, but the timeliness and consistency of monitoring practices across countries were questioned. The concept of cumulative exposure assessment was better understood by stakeholders than the concept of aggregate exposure assessment. Identified pitfalls were data availability, data limitations, sources and ways of dealing with uncertainties, as well as information and training needs. Regulators and food safety authorities were perceived as the stakeholder groups for whom cumulative and aggregate pesticide exposure assessment methods and tools would be most useful and acceptable. Insights obtained from this exploratory study have been integrated in the development of targeted and stakeholder-tailored dissemination and training programmes that were implemented within the EU-FP7 project ACROPOLIS. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. Human biological monitoring of mercury for exposure assessment

    Directory of Open Access Journals (Sweden)

    Romilda Z. Boerleider

    2017-03-01

    Full Text Available Mercury (Hg is a naturally occurring element that has metallic, inorganic and organic forms, each with their own implications for human health. Exposure to mercury primarily occurs by inhalation of metallic mercury vapors and by dietary intake of organic mercury. Early health effects are often not well detected. Therefore, determination of the internal dose is a valuable approach in primary prevention. With this review, we aim to give an overview of the different human biological monitoring (HBM approaches for short- and long-term exposure to different chemical forms of mercury. We performed a literature search in PubMed using Medical Subject Headings (MeSH terms as well as free text words. From 417 reviews found, we selected 8 reviews. In addition, online information from national and international health authorities was used. The format of the biological application datasheets from the BIOMONECS project was used to provide an overview of the different biological media for HBM of mercury and methyl mercury. Recent exposure to metallic mercury can be assessed by blood sampling within 24 h after exposure. If children are involved, breath sampling can be considered as a less invasive alternative. Urinary mercury levels mainly reflect long-term inhalation exposure to elemental mercury vapors and divalent mercury. Mercury in blood and hair reflects mid- and long-term exposure to methyl mercury, whereas analysis of a hair segment close to the scalp indicates recent exposure. A flow chart was developed to support the selection of the most suitable HBM approach. For each of the different biological matrices, we provided an overview of advantages and limitations. Depending on the source and duration of exposure, blood, exhaled air, urine or hair can be used for mercury exposure assessment.

  12. Harvesting forest biomass for energy in Minnesota: An assessment of guidelines, costs and logistics

    Science.gov (United States)

    Saleh, Dalia El Sayed Abbas Mohamed

    The emerging market for renewable energy in Minnesota has generated a growing interest in utilizing more forest biomass for energy. However, this growing interest is paralleled with limited knowledge of the environmental impacts and cost effectiveness of utilizing this resource. To address environmental and economic viability concerns, this dissertation has addressed three areas related to biomass harvest: First, existing biomass harvesting guidelines and sustainability considerations are examined. Second, the potential contribution of biomass energy production to reduce the costs of hazardous fuel reduction treatments in these trials is assessed. Third, the logistics of biomass production trials are analyzed. Findings show that: (1) Existing forest related guidelines are not sufficient to allow large-scale production of biomass energy from forest residue sustainably. Biomass energy guidelines need to be based on scientific assessments of how repeated and large scale biomass production is going to affect soil, water and habitat values, in an integrated and individual manner over time. Furthermore, such guidelines would need to recommend production logistics (planning, implementation, and coordination of operations) necessary for a potential supply with the least site and environmental impacts. (2) The costs of biomass production trials were assessed and compared with conventional treatment costs. In these trials, conventional mechanical treatment costs were lower than biomass energy production costs less income from biomass sale. However, a sensitivity analysis indicated that costs reductions are possible under certain site, prescriptions and distance conditions. (3) Semi-structured interviews with forest machine operators indicate that existing fuel reduction prescriptions need to be more realistic in making recommendations that can overcome operational barriers (technical and physical) and planning and coordination concerns (guidelines and communications

  13. True North: Building Imaginary Worlds with the Revised Canadian (CADTH Guidelines for Health Technology Assessment

    Directory of Open Access Journals (Sweden)

    Paul C Langley

    2017-05-01

    Full Text Available In March 2017 the Canadian Agency for Drugs and Technologies in Health (CADTH released the 4th edition of their Guidelines for the Economic Evaluation of Health Technologies: Canada. These guidelines, which were first published and revised for a 3rd edition in 2006 are intended to help decision makers, health systems leaders and policy makers make well-informed decisions. They are designed, apparently, to support best practice in conducting health technology assessments in Canada. The purpose of this commentary is to consider whether or not the evidence standards proposed and the consequent modeled claims for economic effectiveness meet the standards of normal science: are the CADTH standards capable of generating claims for competing products that are credible, evaluable and replicable? The review argues that the standards proposed by CADTH do not meet the standards expected in normal science. Technical sophistication in building reference case imaginary worlds is not a substitute for claims that are experimentally evaluable or capable of assessment through systematic observation. There is no way of judging whether imaginary claims are right or even if they are wrong. CADTH is not alone in setting standards that fail to meet the standards of normal science. Recent commentaries on formulary submission guidelines in a number of other countries, to include Ireland, the Netherlands, France, Australia, the UK and New Zealand conclude that they are subject to the same criticism. If the CADTH guidelines were never intended to support feedback to health system decision makers, then this should be made clear. If not, then consideration should be given to withdrawing the guidelines to ensure they conform to these standards. Hopefully, future versions of the CADTH guidelines will address this issue and focus on a rigorous research program of claims assessment and feedback and not the building of imaginary worlds.   Type:  Commentary

  14. Helmet-Cam: tool for assessing miners' respirable dust exposure.

    Science.gov (United States)

    Cecala, A B; Reed, W R; Joy, G J; Westmoreland, S C; O'Brien, A D

    2013-09-01

    Video technology coupled with datalogging exposure monitors have been used to evaluate worker exposure to different types of contaminants. However, previous application of this technology used a stationary video camera to record the worker's activity while the worker wore some type of contaminant monitor. These techniques are not applicable to mobile workers in the mining industry because of their need to move around the operation while performing their duties. The Helmet-Cam is a recently developed exposure assessment tool that integrates a person-wearable video recorder with a datalogging dust monitor. These are worn by the miner in a backpack, safety belt or safety vest to identify areas or job tasks of elevated exposure. After a miner performs his or her job while wearing the unit, the video and dust exposure data files are downloaded to a computer and then merged together through a NIOSH-developed computer software program called Enhanced Video Analysis of Dust Exposure (EVADE). By providing synchronized playback of the merged video footage and dust exposure data, the EVADE software allows for the assessment and identification of key work areas and processes, as well as work tasks that significantly impact a worker's personal respirable dust exposure. The Helmet-Cam technology has been tested at a number of metal/nonmetal mining operations and has proven to be a valuable assessment tool. Mining companies wishing to use this technique can purchase a commercially available video camera and an instantaneous dust monitor to obtain the necessary data, and the NIOSH-developed EVADE software will be available for download at no cost on the NIOSH website.

  15. 75 FR 28804 - An Exposure Assessment of Polybrominated Diphenyl Ethers (PBDEs)

    Science.gov (United States)

    2010-05-24

    ... exposure media concentrations, and an exposure assessment including background exposures and exposures to... higher for children compared with those for adults. In December 2008, the draft report was released for...

  16. Task-based exposure assessment of nanoparticles in the workplace

    Science.gov (United States)

    Ham, Seunghon; Yoon, Chungsik; Lee, Euiseung; Lee, Kiyoung; Park, Donguk; Chung, Eunkyo; Kim, Pilje; Lee, Byoungcheun

    2012-09-01

    Although task-based sampling is, theoretically, a plausible approach to the assessment of nanoparticle exposure, few studies using this type of sampling have been published. This study characterized and compared task-based nanoparticle exposure profiles for engineered nanoparticle manufacturing workplaces (ENMW) and workplaces that generated welding fumes containing incidental nanoparticles. Two ENMW and two welding workplaces were selected for exposure assessments. Real-time devices were utilized to characterize the concentration profiles and size distributions of airborne nanoparticles. Filter-based sampling was performed to measure time-weighted average (TWA) concentrations, and off-line analysis was performed using an electron microscope. Workplace tasks were recorded by researchers to determine the concentration profiles associated with particular tasks/events. This study demonstrated that exposure profiles differ greatly in terms of concentrations and size distributions according to the task performed. The size distributions recorded during tasks were different from both those recorded during periods with no activity and from the background. The airborne concentration profiles of the nanoparticles varied according to not only the type of workplace but also the concentration metrics. The concentrations measured by surface area and the number concentrations measured by condensation particle counter, particulate matter 1.0, and TWA mass concentrations all showed a similar pattern, whereas the number concentrations measured by scanning mobility particle sizer indicated that the welding fume concentrations at one of the welding workplaces were unexpectedly higher than were those at workplaces that were engineering nanoparticles. This study suggests that a task-based exposure assessment can provide useful information regarding the exposure profiles of nanoparticles and can therefore be used as an exposure assessment tool.

  17. In Vitro Exposure Systems and Dosimetry Assessment Tools ...

    Science.gov (United States)

    In 2009, the passing of The Family Smoking Prevention and Tobacco Control Act facilitated the establishment of the FDA Center for Tobacco Products (CTP) and gave it regulatory authority over the marketing, manufacture and distribution of tobacco products, including those termed “modified risk”. On 4-6 April 2016, the Institute for In Vitro Sciences, Inc. (IIVS) convened a workshop conference titled “In Vitro Exposure Systems and Dosimetry Assessment Tools for Inhaled Tobacco Products” to bring together stakeholders representing regulatory agencies, academia, and industry to address the research priorities articulated by the FDA CTP. Specific topics were covered to assess the status of current in vitro smoke and aerosol/vapor exposure systems, as well as the various approaches and challenges to quantifying the complex exposures, in in vitro pulmonary models developed for evaluating adverse pulmonary events resulting from tobacco product exposures. The four core topics covered were, 1) Tobacco Smoke And E-Cigarette Aerosols, 2) Air-Liquid Interface-In Vitro Exposure Systems, 3) Dosimetry Approaches For Particles And Vapors; In Vitro Dosimetry Determinations and 4) Exposure Microenvironment/Physiology Of Cells. The two and a half day workshop included presentations from 20 expert speakers, poster sessions, networking discussions, and breakout sessions which identified key findings and provided recommendations to advance these technologies. Here, we will re

  18. Physiotherapy in hip and knee osteoarthritis: development of a practice guideline concerning initial assessment, treatment and evaluation.

    OpenAIRE

    Peter, W.F.H.; Jansen, M.J.; Hurkmans, E.J.; Bloo, H.; Dekker-Bakker, L.M.M.C.J.; Dilling, R.G.; Hilberdink, W.K.H.A.; Kersten-Smit, C.; Rooij, M. de; Veenhof, C.; Vermeulen, H.M.; Vos, R.J. de; Schoones, J.W.; Vliet Vlieland, T.P.M.

    2011-01-01

    BACKGROUND: An update of a Dutch physiotherapy practice guideline in Hip and Knee Osteoarthritis (HKOA) was made, based on current evidence and best practice. METHODS: A guideline steering committee, comprising 10 expert physiotherapists, selected topics concerning the guideline chapters: initial assessment, treatment and evaluation. With respect to treatment a systematic literature search was performed using various databases, and the evidence was graded (1-4). For the initial assessment and...

  19. Preparation and performance features of wristband samplers and considerations for chemical exposure assessment

    Science.gov (United States)

    Anderson, Kim A; Points, Gary L; Donald, Carey E; Dixon, Holly M; Scott, Richard P; Wilson, Glenn; Tidwell, Lane G; Hoffman, Peter D; Herbstman, Julie B; O'Connell, Steven G

    2017-01-01

    Wristbands are increasingly used for assessing personal chemical exposures. Unlike some exposure assessment tools, guidelines for wristbands, such as preparation, applicable chemicals, and transport and storage logistics, are lacking. We tested the wristband’s capacity to capture and retain 148 chemicals including polychlorinated biphenyls (PCBs), pesticides, flame retardants, polycyclic aromatic hydrocarbons (PAHs), and volatile organic chemicals (VOCs). The chemicals span a wide range of physical–chemical properties, with log octanol–air partitioning coefficients from 2.1 to 13.7. All chemicals were quantitatively and precisely recovered from initial exposures, averaging 102% recovery with relative SD ≤21%. In simulated transport conditions at +30 °C, SVOCs were stable up to 1 month (average: 104%) and VOC levels were unchanged (average: 99%) for 7 days. During long-term storage at −20 °C up to 3 (VOCs) or 6 months (SVOCs), all chemical levels were stable from chemical degradation or diffusional losses, averaging 110%. Applying a paired wristband/active sampler study with human participants, the first estimates of wristband–air partitioning coefficients for PAHs are presented to aid in environmental air concentration estimates. Extrapolation of these stability results to other chemicals within the same physical–chemical parameters is expected to yield similar results. As we better define wristband characteristics, wristbands can be better integrated in exposure science and epidemiological studies. PMID:28745305

  20. Awareness and Compliance with Guidelines on Occupational ...

    African Journals Online (AJOL)

    Saharan Africa is increased by non-adherence to the principles of infection prevention practices. This study assessed the level of awareness and compliance with guideline on occupational exposure to HIV by health care workers (HCW).

  1. Occupational exposure assessment in a radioactive facility: a preliminary evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Alves, Alice dos Santos; Gerulis, Eduardo; Sanches, Matias P.; Carneiro, Janete C.G.G., E-mail: alicesante@hotmail.com [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2013-07-01

    The risk that a worker has found on the job is a function of the hazards present and his exposure level to those hazards. Exposure and risk assessment is therefore the heart of all occupational health and industrial hygiene programs involving a continuous process of information gathering. The use of a systematic method to characterize workplace exposures to chemical, physical and biological risks is a fundamental part of this process. This study aims to carry out a preliminary evaluation in a radioactive facility, identifying potential exposures and consequently the existing occupational hazards (risk/agent) in the workplace which the employee is subject. The study is based on proposal to carry out a basic characterization of the facility, which could be the first step in the investigation of occupational exposure. For this study was essential to know the workplace, potential risks and agents; workforce profile including assignment of tasks, sources of exposure processes, and control measures. The main tool used in this study was based on references, records, standards, procedures, interviews with the workers and with management. Since the basic characterization of the facility has been carried out, consequently the potential exposure to the agents of risks to workers has been identified. The study provided an overview of the perception of risk founded at facility studied. It is expected to contribute with the occupational health program resources for welfare of the worker. (author)

  2. Cumulative risk assessment of chemical exposures in urban environments.

    Science.gov (United States)

    Ragas, Ad M J; Oldenkamp, R; Preeker, N L; Wernicke, J; Schlink, U

    2011-07-01

    We performed a cumulative risk assessment for people living in a hypothetical urban environment, called Urbania. The main aims of the study were to demonstrate how a cumulative risk assessment for a middle-sized European city can be performed and to identify the bottlenecks in terms of data availability and knowledge gaps. The assessment focused on five air pollutants (i.e., PM₁₀, benzene, toluene, nonane and naphthalene) and six food pesticides (i.e., acetamiprid, carbendazim, chlorpyrifos, diazinon, imidacloprid and permethrin). Exposure predictions showed that PM₁₀, benzene and naphthalene exposure frequently exceeded the standards, and that the indoor environment contributed more than the outdoor environment. Effect predictions showed that mixture and interaction effects were generally limited. However, model calculations indicated potential synergistic effects between naphthalene and benzene and between chlorpyrifos, diazinon and toluene. PM₁₀ dominated the health impact expressed in Disability Adjusted Life Years (DALYs). We conclude that measures to reduce the health impact of environmental pollution should focus on the improvement of indoor air quality and the reduction of PM₁₀ emissions. Cumulative risk assessment can be improved by (1) the development of person-oriented exposure models that can simulate the cumulative exposure history of individuals, (2) a better mechanistic understanding of the effects of cumulative stressors, and (3) the development of instruments to prioritize stressors for inclusion in cumulative risk assessments. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. Drone based measurement system for radiofrequency exposure assessment.

    Science.gov (United States)

    Joseph, Wout; Aerts, Sam; Vandenbossche, Matthias; Thielens, Arno; Martens, Luc

    2016-03-10

    For the first time, a method to assess radiofrequency (RF) electromagnetic field (EMF) exposure of the general public in real environments with a true free-space antenna system is presented. Using lightweight electronics and multiple antennas placed on a drone, it is possible to perform exposure measurements. This technique will enable researchers to measure three-dimensional RF-EMF exposure patterns accurately in the future and at locations currently difficult to access. A measurement procedure and appropriate measurement settings have been developed. As an application, outdoor measurements are performed as a function of height up to 60 m for Global System for Mobile Communications (GSM) 900 MHz base station exposure. Bioelectromagnetics. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  4. Skin exposure: Assessing the hazard in the workplace

    Science.gov (United States)

    Cummins, Kevin

    1994-01-01

    An outline of the Occupational Safety and Health Agency's concerns of skin exposure to hazardous chemicals is presented, followed by the corresponding slide narrations. Specifically, dermatitis and skin absorption as compared to lung absorption are addressed. Lung versus skin exposure is examined for glycol ethers and acrylamide. Examples of skin exposure include PBC's in transformers, toluene and xylene from autobody work, polynuclear aromatics (PNA's) among Coke oven workers, toluene diisocyanate (TDI), and occupational chemical exposures in an academic medical center. Permeation through gloves in the semiconductor industry is addressed as evidence for the need to assess the effectiveness of PPE (Personal Protective Equipment). This leads to the revisions of the PPE standard and the Safety and Health Program standard.

  5. Exposure assessment in studies on health effects of traffic exhaust

    Energy Technology Data Exchange (ETDEWEB)

    Setaelae, S. [Association for the Pulmonary Disabled, Helsinki (Finland); Jaakkola, J.J.K. [Helsinki Univ. (Finland). Dept. of Public Health

    1995-12-31

    A main source of outdoor air pollution is road traffic, which produces a complex mixture of nitrogen oxides, carbon monoxide, volatile hydrocarbons, airborne particles and some other compounds. Traffic exhaust affects also the concentrations of ozone and other photo chemical oxidants. In earlier studies those components have had remarkable health effects. Several studies on occupational exposure to automobile exhaust have been published and several studies have been observed an association between both outdoor and indoor pollutant levels and health outcomes. However, there are only a few epidemiological studies in which traffic exhaust, a complex mixture, has been studied in its entirety. During recent years, interesting epidemiological studies of the health effects of this complex mixture have been published. Human exposure assessment for traffic exhaust can be categorized according to the environment of exposure (indoors, outdoors, in-traffic) or to the method of exposure assessment (direct or indirect methods). In this presentation the methods are further categorized into (1) traffic activity, (2) air concentration measurements, and (3) dispersion models, in order to better understand the advantages and disadvantages of different approaches. The objective of this presentation is to make a critical review of exposure assessments in the epidemiological studies on health effects of traffic exhaust. (author)

  6. Critical appraisal guidelines for assessing the quality and impact of user involvement in research.

    Science.gov (United States)

    Wright, David; Foster, Claire; Amir, Ziv; Elliott, Jim; Wilson, Roger

    2010-12-01

    The involvement of service users in the design and conduct of health research has developed significantly in the UK in recent years. Involving service users is now seen as a core component of good research practice for all forms of health research. Given the important role that users have in health research, it is necessary to develop guidelines for their effective involvement. Whilst guidelines are currently being formulated, there remain no criteria with which to assess user involvement in published studies and funding applications. This study offers guidelines for appraising the quality and impact of user involvement in published papers and grant applications. Appraisal guidelines for user involvement have been developed on the basis of available literature and experiences from studies involving cancer patients and carers in the design and conduct of research. Nine appraisal criteria have been developed. Criteria include issues such as 'Is the rationale for involving users clearly demonstrated?', 'Is the level of user involvement appropriate?', 'Is the recruitment strategy appropriate?', and 'Is the nature of training appropriate?' Generating and applying guidelines is vital if the impact of user involvement agenda in health research is to be understood. © 2010 University of Southampton. Health Expectations © 2010 Blackwell Publishing Ltd.

  7. Assessing the methodological quality of clinical guidelines for preventing falls of patients

    Directory of Open Access Journals (Sweden)

    Kamila Majkusová

    2016-12-01

    Full Text Available Aim: The study aimed to assess the methodological quality of selected clinical practice guidelines (CPGs for preventing risk of falling in adult patients in acute and long-term institutional care. Design: Descriptive study using qualitative research techniques. Methods: CPGs were systematically searched in databases of clinical guidelines, systematic reviews, electronic databases, and websites of organizations and professional societies, based on predefined criteria and keywords fo the period 2000-2015. After sorting and analysing 53 documents, the methodological quality of seven selected CPGs were assessed with the AGREE II generic instrument. Results: All CPGs obtained highest domain scores in the dimensions Clarity and Framework, and Purpose, while the lowest standardized scores were achieved by the Applicability and Editorial independence domains. The Rigor of development and Stakeholder Involvement domains achieved an average score. A total of three recommended guidelines showed high methodological quality: Falls. Assessment and prevention of falls in older people - 572 b., 84 % (NICE, 2013; Preventing Falls and Harm From Falls in Older People. Best Practice Guidelines for Australian Hospitals - 556 b., 84 % (ACSQHC, 2009; and Prevention of falls and fall injuries in the older adult - 559 b., 82 % (RNAO, 2005. Conclusion: Assessing the methodological quality of clinical guidelines using the AGREE instrument is one of the key steps in the process of their adaptation for other socio-cultural and organizational conditions. It would be possible to adapt and use all of the three most highly-rated CPGs to reduce risk of falling of inpatients in the Czech organizational and socio-cultural context.

  8. Occupational Exposure Assessment of Nanomaterials using Control Banding Tools

    DEFF Research Database (Denmark)

    Liguori, Biase

    Nanotechnology can be termed as the “new industrial revolution”. A broad range of potential benefits in various applications for the environment and everyday life of humans can be related to the use of nanotechnology. Nanomaterials are used in a large variety of products already in the market......, and because of their novel physical and chemical characteristics, the application of nanomaterials is projected to increase further. This will inevitably increase the production of nanomaterials with potential increase of exposure for the workers which are the first in line expected to become exposed...... to potentially hazardous nanomaterials. Exposure assessment of nanomaterials is more difficult to define and conduct than that of traditional chemicals. This thesis provides an analysis of the field of occupational exposure assessment and a number of challenges are identified. The analysis showed...

  9. Opportunities for using spatial property assessment data in air pollution exposure assessments

    Directory of Open Access Journals (Sweden)

    Keller C Peter

    2005-10-01

    Full Text Available Abstract Background Many epidemiological studies examining the relationships between adverse health outcomes and exposure to air pollutants use ambient air pollution measurements as a proxy for personal exposure levels. When pollution levels vary at neighbourhood levels, using ambient pollution data from sparsely located fixed monitors may inadequately capture the spatial variation in ambient pollution. A major constraint to moving toward exposure assessments and epidemiological studies of air pollution at a neighbourhood level is the lack of readily available data at appropriate spatial resolutions. Spatial property assessment data are widely available in North America and may provide an opportunity for developing neighbourhood level air pollution exposure assessments. Results This paper provides a detailed description of spatial property assessment data available in the Pacific Northwest of Canada and the United States, and provides examples of potential applications of spatial property assessment data for improving air pollution exposure assessment at the neighbourhood scale, including: (1 creating variables for use in land use regression modelling of neighbourhood levels of ambient air pollution; (2 enhancing wood smoke exposure estimates by mapping fireplace locations; and (3 using data available on individual building characteristics to produce a regional air pollution infiltration model. Conclusion Spatial property assessment data are an extremely detailed data source at a fine spatial resolution, and therefore a source of information that could improve the quality and spatial resolution of current air pollution exposure assessments.

  10. Stoffenmanager exposure model: company-specific exposure assessments using a Bayesian methodology.

    NARCIS (Netherlands)

    Ven, P. van de; Fransman, W.; Schinkel, J.; Rubingh, C.; Warren, N.; Tielemans, E.

    2010-01-01

    The web-based tool "Stoffenmanager" was initially developed to assist small- and medium-sized enterprises in the Netherlands to make qualitative risk assessments and to provide advice on control at the workplace. The tool uses a mechanistic model to arrive at a "Stoffenmanager score" for exposure.

  11. Single-centre experience of radiation exposure in acute surgical patients: assessment of therapeutic impact and future recommendations.

    Science.gov (United States)

    Fitzmaurice, Gerard J; Brown, Robin; Cranley, Brian; Conlon, Enda F; Todd, R Alan J; O'Donnell, Mark E

    2010-09-01

    Radiological investigations have become a key adjunct in patient management and consequently radiation exposure to patients is increasing. The study objectives were to examine the use of radiological investigations in the management of acute surgical patients and to assess whether a guideline-based radiation exposure risk/benefit analysis can aid in the choice of radiological investigation used. A prospective observational study was completed over a 12-week period from April to July 2008 for all acute surgical admissions. Data recorded included demographics, clinical presentation, differential diagnosis, investigations, surgical interventions, and final clinical outcome. The use of radiological investigative modalities as an adjunct to clinical assessment was then evaluated against The Royal College of Radiologists (RCR) guidelines. A total of 380 acute surgical admissions (M = 174, F = 185, children = 21) were assessed during the study period. Seven hundred thirty-four radiological investigations were performed with a mean of 1.93 investigations per patient. Based on the RCR guidelines, 680 (92.6%) radiological investigations were warranted and included 142 CT scans (19.3%), 129 chest X-rays (17.6%), and 85 abdominal X-rays (11.6%). Clinically, radiological imaging complemented surgical management in 326 patients (85.8%) and the management plan remained unchanged for the remaining 54 patients (14.2%). This accounted for an average radiation dose of 4.18 millisievert (mSv) per patient or 626 days of background radiation exposure. CT imaging was responsible for the majority of the radiation exposure, with a total of 1310 mSv (82.6%) of the total radiation exposure being attributed to CT imaging in 20.8% of acute admissions. Subgroup analysis demonstrated that 92.8% of the CT scans performed were appropriate. Radiation exposure was generally low for the majority of acute surgical admissions. However, it is recommended that CT imaging requests be evaluated carefully

  12. How to assess exposure of aquatic organisms to manufactured nanoparticles?

    DEFF Research Database (Denmark)

    Quik, Joris T.K.; Vonk, Jan Arie; Hansen, Steffen Foss

    2011-01-01

    Ecological risk of chemicals is measured by the quotient of predicted no-effect concentrations and predicted exposure concentrations, which are hard to assess for manufactured nanomaterials (NMs). This paper proposes modifications to currently used models, in order to make them suitable for estim...

  13. Task-based dermal exposure models for regulatory risk assessment

    NARCIS (Netherlands)

    Warren, N.D.; Marquart, H.; Christopher, Y.; Laitinen, J.; Hemmen, J.J. van

    2006-01-01

    The regulatory risk assessment of chemicals requires the estimation of occupational dermal exposure. Until recently, the models used were either based on limited data or were specific to a particular class of chemical or application. The EU project RISKOFDERM has gathered a considerable number of

  14. Elderly Exposure to Air Pollutants : Measuring, assessing and modelling

    NARCIS (Netherlands)

    Almeida-Silva, M.A.

    2016-01-01

    This Thesis focuses on the estimation of the human exposure to air pollutants, and gives special attention to one of the most susceptible groups in the general population - elders. To fulfil the goal the work was conducted following the risk assessment paradigm and, consequently, was divided into 5

  15. Ergonomic and health assessment of farmers' multi-pesticide exposure

    African Journals Online (AJOL)

    Objective. This was a cross-sectional study conducted among 534 farmers in the largest vegetable –producing area in the northern part of the Philippines. This study assessed the ergonomic risk factors, and occupational health and safety conditions of farmers' multi-pesticide exposures.Methods. Methods consisted of ...

  16. Human exposure assessment for airborne pollutants: advances and opportunities

    National Research Council Canada - National Science Library

    National Research Council Staff

    1991-01-01

    ... in Assessing Human Exposure to Airborne Pollutants Board on Environmental Studies and Toxicology Commission on Geosciences, Environment, and Resources National Research Council NATIONAL ACADEMY OF SCIENCES WASHINGTON, D.C. 1991 i Copyrightthe cannot be not from book, paper however, version for formatting, original authoritative the typesetting-speci...

  17. Hypertension Canada's 2017 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults.

    Science.gov (United States)

    Leung, Alexander A; Daskalopoulou, Stella S; Dasgupta, Kaberi; McBrien, Kerry; Butalia, Sonia; Zarnke, Kelly B; Nerenberg, Kara; Harris, Kevin C; Nakhla, Meranda; Cloutier, Lyne; Gelfer, Mark; Lamarre-Cliche, Maxime; Milot, Alain; Bolli, Peter; Tremblay, Guy; McLean, Donna; Tobe, Sheldon W; Ruzicka, Marcel; Burns, Kevin D; Vallée, Michel; Prasad, G V Ramesh; Gryn, Steven E; Feldman, Ross D; Selby, Peter; Pipe, Andrew; Schiffrin, Ernesto L; McFarlane, Philip A; Oh, Paul; Hegele, Robert A; Khara, Milan; Wilson, Thomas W; Penner, S Brian; Burgess, Ellen; Sivapalan, Praveena; Herman, Robert J; Bacon, Simon L; Rabkin, Simon W; Gilbert, Richard E; Campbell, Tavis S; Grover, Steven; Honos, George; Lindsay, Patrice; Hill, Michael D; Coutts, Shelagh B; Gubitz, Gord; Campbell, Norman R C; Moe, Gordon W; Howlett, Jonathan G; Boulanger, Jean-Martin; Prebtani, Ally; Kline, Gregory; Leiter, Lawrence A; Jones, Charlotte; Côté, Anne-Marie; Woo, Vincent; Kaczorowski, Janusz; Trudeau, Luc; Tsuyuki, Ross T; Hiremath, Swapnil; Drouin, Denis; Lavoie, Kim L; Hamet, Pavel; Grégoire, Jean C; Lewanczuk, Richard; Dresser, George K; Sharma, Mukul; Reid, Debra; Lear, Scott A; Moullec, Gregory; Gupta, Milan; Magee, Laura A; Logan, Alexander G; Dionne, Janis; Fournier, Anne; Benoit, Geneviève; Feber, Janusz; Poirier, Luc; Padwal, Raj S; Rabi, Doreen M

    2017-05-01

    Hypertension Canada provides annually updated, evidence-based guidelines for the diagnosis, assessment, prevention, and treatment of hypertension. This year, we introduce 10 new guidelines. Three previous guidelines have been revised and 5 have been removed. Previous age and frailty distinctions have been removed as considerations for when to initiate antihypertensive therapy. In the presence of macrovascular target organ damage, or in those with independent cardiovascular risk factors, antihypertensive therapy should be considered for all individuals with elevated average systolic nonautomated office blood pressure (non-AOBP) readings ≥ 140 mm Hg. For individuals with diastolic hypertension (with or without systolic hypertension), fixed-dose single-pill combinations are now recommended as an initial treatment option. Preference is given to pills containing an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker in combination with either a calcium channel blocker or diuretic. Whenever a diuretic is selected as monotherapy, longer-acting agents are preferred. In patients with established ischemic heart disease, caution should be exercised in lowering diastolic non-AOBP to ≤ 60 mm Hg, especially in the presence of left ventricular hypertrophy. After a hemorrhagic stroke, in the first 24 hours, systolic non-AOBP lowering to < 140 mm Hg is not recommended. Finally, guidance is now provided for screening, initial diagnosis, assessment, and treatment of renovascular hypertension arising from fibromuscular dysplasia. The specific evidence and rationale underlying each of these guidelines are discussed. Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  18. International guidelines for the in vivo assessment of skin properties in non-clinical settings

    DEFF Research Database (Denmark)

    Stefaniak, Aleksandr B; Plessis, Johan du; John, Swen M

    2013-01-01

    position, skin health, time of day), exogenous (hand washing, barrier creams, soaps and detergents, occlusion), environmental (seasonality), and measurement (atmospheric conditions) factors; (ii) report pH measurements results as a difference or percent change (not absolute values) using a measure......BACKGROUND: Skin surface pH is known to influence the dissolution and partitioning of chemicals and may influence exposures that lead to skin diseases. Non-clinical environments (e.g. workplaces) are highly variable, thereby presenting unique measurement challenges that are not typically...... encountered in clinical settings. Hence, guidelines are needed for consistent measurement of skin surface pH in environments that are difficult to control. METHODS: An expert workshop was convened at the 5th International Conference on Occupational and Environmental Exposure of Skin to Chemicals to review...

  19. Exposure assessment of MWCNTs in their life cycle

    Science.gov (United States)

    Ono-Ogasawara, M.; Takaya, M.; Yamada, M.

    2015-05-01

    Multi-walled carbon nanotubes (MWCNTs) are used as a filler in composites to obtain electrical conductivity, and improve mechanical strength and other properties. However, exposure to MWCNTs may pose health risks because of their size, shape, and insolubility. A quantitative exposure assessment method for CNTs is therefore needed. We have developed a promising carbon analysis method that considers the size distribution of elemental carbon. We conducted exposure assessment according to the lifecycle of CNTs. At the first stage, large quantity of CNTs are handled and exposure to neat CNTs is likely to occur. When large quantity of CNTs are handled, enclosure and automated process are strongly recommended. By applying appropriate measures, CNT concentration can be well controlled. Local exhaust ventilation and less-restrictive enclosures were found to work well during the second stage, which involves handling smaller CNT quantities. At measured sites, MWCNT concentrations were below an occupational exposure level proposed by Nakanishi (i.e., 0.030 mg/m3). This analysis method can also be applied to particles containing MWCNTs. At downstream stages of the lifecycle, neat MWCNTs were not observed and concentrations of embedded MWCNTs were lower than 0.015 mg/m3.

  20. Assessing the reproductive health of men with occupational exposures.

    Science.gov (United States)

    Schrader, Steven M; Marlow, Katherine L

    2014-01-01

    The earliest report linking environmental (occupational) exposure to adverse human male reproductive effects dates back to1775 when an English physician, Percival Pott, reported a high incidence of scrotal cancer in chimney sweeps. This observation led to safety regulations in the form of bathing requirements for these workers. The fact that male-mediated reproductive harm in humans may be a result of toxicant exposures did not become firmly established until relatively recently, when Lancranjan studied lead-exposed workers in Romania in 1975, and later in 1977, when Whorton examined the effects of dibromochloropropane (DBCP) on male workers in California. Since these discoveries, several additional human reproductive toxicants have been identified through the convergence of laboratory and observational findings. Many research gaps remain, as the pool of potential human exposures with undetermined effects on male reproduction is vast. This review provides an overview of methods used to study the effects of exposures on male reproduction and their reproductive health, with a primary emphasis on the implementation and interpretation of human studies. Emphasis will be on occupational exposures, although much of the information is also useful in assessing environmental studies, occupational exposures are usually much higher and better defined.

  1. Amendment of the guideline for physical radiation protection monitoring of internal exposure; Novellierung der Richtlinie fuer die physikalische Strahlen-Schutzkontrolle bei innerer Exposition

    Energy Technology Data Exchange (ETDEWEB)

    Scheler, R.; Dalheimer, A.; Dettmann, K.; Frasch, G.; Hartmann, M.; Koenig, K.; Nosske, D. [Bundesamt fuer Strahlenschutz Berlin/Oberschleissheim (Germany)

    2002-07-01

    The paper deals with the current status of the revised version of the Guideline for Radiation Protection Surveillance. The consequences of the amended Radiation Protection Ordinance of July 20, 2001, especially the reduced dose limits and the protection of the unborn child in case of occupational radiation exposure are discussed in detail. Moreover, a general survey of the intended regulations is given and the new content of the guideline is explained. (orig.)

  2. A medication assessment tool to evaluate prescribers' adherence to evidence-based guidelines in bipolar disorder.

    Science.gov (United States)

    Al-Taweel, Dalal M; Alsuwaidan, Mohammad

    2017-08-01

    Background The goal of evidence-based clinical practice has led to an increased interest in the development of tools to measure adherence to national guidelines in different diseases. This aids in detecting and measuring inappropriate prescribing to specific patient groups by using quality standards extracted from evidence-based guidelines, and ultimately provide the basis of consistent standardized prescribing. Objective To design and validate a medication assessment tool to assess prescribers' adherence to international guideline recommendations in the management of bipolar disorder (MATBD). Setting Outpatient psychiatry clinic at a secondary healthcare setting in Kuwait. Method International guidelines concerned with the management of bipolar disorder were reviewed in order to develop MATBD. Face and content validity of the developed tool (MATBD) was performed with a research and expert group. A 4-point Likert scale was used to assess the expert group's level of agreement to individual criterion. Content validity ratio (CVR) was calculated for each criterion (n = 54) and the content validity index (CVI) was calculated for each section (n = 5) of the MATBD. Finally, feasibility testing was performed on 19 patient records to confirm the tool's fitness for purpose. Main Outcomes Measure Perceived relevance, utility, and clarity of individual criteria, and reliability of their application to clinical settings. Results Face validity and content validity were achieved with a research and expert group (n = 14). Content validity ratio (CVR) was demonstrated for 54 criteria; criteria with a negative CVR were removed. This resulted in a draft MATBD comprising of 52 criteria (CVI: 0.814). Feasibility testing on 19 patients' records resulted in a final MATBD comprising of 49 criteria divided into 3 sections: initial assessment, acute management and monitoring. Conclusion A medication assessment tool was developed and validated to be used as a means of profiling

  3. EPHECT III: Health risk assessment of exposure to household consumer products.

    Science.gov (United States)

    Trantallidi, M; Dimitroulopoulou, C; Wolkoff, P; Kephalopoulos, S; Carrer, P

    2015-12-01

    In the framework of the EU EPHECT project (Emissions, Exposure Patterns and Health Effects of Consumer Products in the EU), irritative and respiratory effects were assessed in relation to acute (30-min) and long-term (24-h) inhalation exposure to key and emerging indoor air pollutants emitted during household use of selected consumer products. A detailed Health Risk Assessment (HRA) was performed for five selected pollutants of respiratory health relevance, namely acrolein, formaldehyde, naphthalene, d-limonene and α-pinene. For each pollutant, the Critical Exposure Limit (CEL) was compared to indoor air concentrations and exposure estimates for the use of 15 selected consumer products by two population groups (housekeepers and retired people) in the four geographical regions of Europe (North, West, South, East), which were derived previously based on microenvironmental modelling. For the present HRA, health-based CELs were derived for certain compounds in case indoor air quality guidelines were not available by the World Health Organization for end-points relevant to the current study. For each pollutant, the highest indoor air concentrations in each microenvironment and exposure estimates across home microenvironments during the day were lower than the corresponding acute and long-term CELs. However, considerable contributions, especially to acute exposures, were obtained in some cases, such as formaldehyde emissions resulting from single product use of a floor cleaning agent (82% CEL), a candle (10% CEL) and an electric air freshener (17% CEL). Regarding multiple product use, the case of 30-min formaldehyde exposure reaching 34% CEL when eight product classes were used across home microenvironments, i.e. all-purpose/kitchen/floor cleaning agents, furniture/floor polish, combustible/electric air fresheners, and perfume, needs to be highlighted. Such estimated values should be evaluated with caution, as these may be attributed to the exposure scenarios

  4. [Risk assessment of renal dysfunction caused by occupational lead exposure].

    Science.gov (United States)

    Tian, Li-ting; Lei, Li-jian; Chang, Xiu-li; Jin, Tai-yi; Zheng, Guang; Guo, Wei-jun; Li, Hui-qi; Pan, Xiao-hai

    2010-03-01

    To assess the risk of renal dysfunction caused by occupational lead exposure through epidemiological investigation. The workers in a battery factory were selected as the subjects for the exposure and effect assessment. The occupational environmental monitoring data was collected and used to calculate the total external dose of lead. The relationship between external dose and internal dose of lead was analyzed. The external dose, blood lead (BPb) and urinary lead (UPb) were used as exposure biomarkers while the urinary N-acetyl-D-glucosaminidase (UNAG), and urinary albumin (UALB) were used as the effect biomarkers for the renal dysfunction caused by lead. Software of BMDS (BMDS 11311) was used to calculate BMD. The external and internal does of lead was positively correlated (BPb: r = 0.466, P < 0.01; UPb: r = 0.383, P < 0.01). The levels of BPb, UPb in exposure group (654.03 microg/L, 143.45 microg/g Cr) were significantly higher than those in the control group (57.12 microg/L, 7.20 microg/g Cr), so were UALB, UNAG; in addition, all of them presented significant dose-response relationship. The BPb BMD of UALB, UNAG were 607.76, 362.56 microg/L respectively and the UPb BMD of UALB, UNAG were 117.79, 78.79 microg/gCr respectively. Occupational lead exposure can cause renal dysfunction, which presents dose-response relationship; the risk assessment of renal dysfunction caused by occupational lead exposure is performed by BMD calculation of BPb and UPb.

  5. [Hygiene and legal aspects of occupational exposure assessment to cytostatics].

    Science.gov (United States)

    Kupczewska-Dobecka, Małgorzata; Pałaszewska-Tkacz, Anna; Czerczak, Sławomir; Konieczko, Katarzyna

    2018-01-01

    The employers responsibilities for the assessment of occupational exposure to cytostatics in the workplace were analyzed in the light of existing legal regulations. Cytostatics may pose a threat to health and life of workers taking care of patients treated oncologically, i.e., pharmacists, physicians, nurses and other personnel. The significant scale of occupational exposure to cytostatics in Poland is confirmed by the data collected in the Central Register of Data on Exposure to Carcinogenic or Mutagenic Substances, Mixtures, Agents or Technological Processes, maintained by the Nofer Institute of Occupational Medicine, Łódź, Poland. The issue of occupational risk assessment of exposure to cytostatics gives raise to numerous concerns. Polish regulations concerning health protection of employees occupationally exposed to cytostatics are not unequivocal, as they are derived from different areas of the law, especially those applying to hazard classification, labeling and preparation of safety data sheets for cytostatics. There are neither binding occupational exposure limits legally set for active compounds of antineoplastic drugs nor methods for monitoring of these substances concentrations in a worker's breathing zone and biological material. This prevents the employer to carry out the correct assessment of occupational exposure, the results of which are the basis for preparing the proper preventive strategy. In this article the consequences of amendments to the European chemical legislation for employers responsible for adequate protection of health and life of employees exposed to cytostatics, were discussed, as well as some legal changes aimed at a better health and life protection of workers exposed to cytostatics in a workplace were proposed. Med Pr 2018;69(1):77-92. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  6. A new assessment method of outdoor tobacco smoke (OTS) exposure

    Science.gov (United States)

    Cho, Hyeri; Lee, Kiyoung

    2014-04-01

    Outdoor tobacco smoke (OTS) is concerned due to potential health effects. An assessment method of OTS exposure is needed to determine effects of OTS and validate outdoor smoking policies. The objective of this study was to develop a new method to assess OTS exposure. This study was conducted at 100 bus stops including 50 centerline bus stops and 50 roadside bus stops in Seoul, Korea. Using real-time aerosol monitor, PM2.5 was measured for 30 min at each bus stop in two seasons. ‘Peak analysis' method was developed to assess short term PM2.5 exposure by OTS. The 30-min average PM2.5 exposure at each bus stop was associated with season and bus stop location but not smoking activity. The PM2.5 peak occurrence rate by the peak analysis method was significantly associated with season, bus stop location, observed smoking occurrence, and the number of buses servicing a route. The PM2.5 peak concentration was significantly associated with season, smoking occurrence, and the number of buses servicing a route. When a smoker was standing still at the bus stop, magnitude of peak concentrations were significantly higher than when the smoker walking-through the bus stop. People were exposed to high short-term PM2.5 peak levels at bus stops, and the magnitude of peak concentrations were highest when a smoker was located close to the monitor. The magnitude of peak concentration was a good indicator helped distinguish nearby OTS exposure. Further research using ‘peak analysis' is needed to measure smoking-related exposure to PM2.5 in other outdoor locations.

  7. ASSESSMENT OF POPULATION AND TERRITORY REHABILITATION EFFICIENCY REGARDING RADIATION EXPOSURE

    Directory of Open Access Journals (Sweden)

    P. V. Volobuev

    2010-03-01

    Full Text Available The suggested assessment of rehabilitation measure efficiency is distinguished by the fact that integral risk interpretation is considered, which takes total radiation exposure and reduction of life standards caused by it into account. A rehabilitation measure structure in the context of radiation emergency is given. Classification of direct and mediated consequences of an emergency is given. Optimization of rehabilitation measures is carried out from the position of quality and security of life balancing. Corresponding expenses are compared to the cost of radiation exposure and its social equivalent damage. The role of an efficiency criterion is given to an integral damage minimum.

  8. Occupational exposure assessment: Practices in Malaysian nuclear agency

    Energy Technology Data Exchange (ETDEWEB)

    Sarowi, S. Muhd, E-mail: suzie@nuclearmalaysia.gov.my; Ramli, S. A.; Kontol, K. Mohamad [Radiation Safety & Health Division, Malaysian Nuclear Agency, 43000 Kajang, Selangor (Malaysia); Rahman, N. A. H. Abd. [Faculty of Science & Mathematics, Sultan Idris of Education Universit, 35900, Tanjong Malim, Perak Darul Ridzuan (Malaysia)

    2016-01-22

    Malaysian Nuclear Agency (Nuclear Malaysia) is the leading agency in introducing and promoting the application of nuclear science technology in Malaysia. The agency provides major nuclear facilities purposely for research and commercialisation such as reactor, irradiation plants and radioisotope production laboratory. When dealing with ionizing radiation, there is an obligatory requirement to monitor and assess the radiation exposure to the workers. The personal dose of radiation workers were monitored monthly by assessing their Thermoluminescence Dosimeter (TLD) dose reading. This paper will discuss the current practice in managing, assessing, record keeping and reporting of the occupational exposure in Nuclear Malaysia including the Health Physic Group roles and challenges. The statistics on occupational radiation exposure of monitored workers working in different fields in Nuclear Malaysia from 2011 - 2013 will also be presented. The results show that the null hypothesis (H{sub 0}) was accepted which the means of every populations are all equal or not differ significantly. This hypothesis states that the dose exposure received by the radiation workers in Nuclear Malaysia is similar and there were no significant changes from 2011 to 2013. The radiation monitoring programme correlate with the requirement of our national law, the Atomic Energy Licensing Act 1984 (Act 304)

  9. Occupational exposure assessment: Practices in Malaysian nuclear agency

    Science.gov (United States)

    Sarowi, S. Muhd; Ramli, S. A.; Kontol, K. Mohamad; Rahman, N. A. H. Abd.

    2016-01-01

    Malaysian Nuclear Agency (Nuclear Malaysia) is the leading agency in introducing and promoting the application of nuclear science technology in Malaysia. The agency provides major nuclear facilities purposely for research and commercialisation such as reactor, irradiation plants and radioisotope production laboratory. When dealing with ionizing radiation, there is an obligatory requirement to monitor and assess the radiation exposure to the workers. The personal dose of radiation workers were monitored monthly by assessing their Thermoluminescence Dosimeter (TLD) dose reading. This paper will discuss the current practice in managing, assessing, record keeping and reporting of the occupational exposure in Nuclear Malaysia including the Health Physic Group roles and challenges. The statistics on occupational radiation exposure of monitored workers working in different fields in Nuclear Malaysia from 2011 - 2013 will also be presented. The results show that the null hypothesis (H₀) was accepted which the means of every populations are all equal or not differ significantly. This hypothesis states that the dose exposure received by the radiation workers in Nuclear Malaysia is similar and there were no significant changes from 2011 to 2013. The radiation monitoring programme correlate with the requirement of our national law, the Atomic Energy Licensing Act 1984 (Act 304).

  10. Health effects assessment of chemical exposures: ARIES methodology

    Energy Technology Data Exchange (ETDEWEB)

    Sierra, L; Montero, M.; Rabago, I.; Vidania, R.

    1995-07-01

    In this work, we present ARIES* update: a system designed in order to facilitate the human health effects assessment produced by accidental release of toxic chemicals. The first version of ARIES was developed in relation to 82/501/EEC Directive about mayor accidents in the chemical industry. So, the first aim was the support of the effects assessment derived for the chemicals included into this directive. From this establishment, it was considered acute exposures for high concentrations. In this report, we present the actual methodology for considering other type of exposures, such as environmental and occupational. Likewise other versions, the methodology comprises two approaches: quantitative and qualitative assessments. Quantitative assessment incorporates the mathematical algorithms useful to evaluate the effects produced by the most important routes of exposure: inhalation, ingestion, eye contact and skin absorption, in a short, medium and long term. It has been included models that realizes an accurate quantification of doses, effects,... and so on, such as simple approaches when the available information is not enough. Qualitative assessment, designed in order to complement or replace the previous one, is incorporated into an informatics system, developed in Clipper. It executes and displays outstanding and important toxicological information of about 100 chemicals. This information comes from ECDIN (Environmental Chemicals Data and Information Network) database through a collaboration with JRC-ISPRA working group. (Author) 24 refs.

  11. Technical Guidelines on Performing a Sediment Erosion and Deposition Assessment (SEDA) at Superfund Sites

    Science.gov (United States)

    2014-09-01

    ER D C TR -1 4- 9 Technical Guidelines on Performing a Sediment Erosion and Deposition Assessment (SEDA) at Superfund Sites En gi ne er... Superfund Sites Earl Hayter and Karl Gustavson Environmental Laboratory U.S. Army Engineer Research and Development Center 3909 Halls Ferry Road...Vicksburg, MS 39180-6199 Steve Ells Office of Superfund Remediation and Technology Innovation US Environmental Protection Agency, OSRTI 1200

  12. Comparison of occupational exposure assessment tools and concepts for nanomaterials

    DEFF Research Database (Denmark)

    Liguori, Biase; Hansen, Steffen Foss; Baun, Anders

    The development, production and application of engineered nanomaterials have been growing in different fields. This leads to a consequent increased potential of exposure to nanomaterials in the working environment. However to determine the potential exposure risk is a challenging task for risk...... assessors, due to limited availability of data on nanomaterial exposure level. To face this challenge a number of methods have been developed including the “Control Banding Nanotool”, the “Swiss precautionary matrix”; “Stoffenmanager Nano version 1.0; “ANSES - Development of a specific Control Banding Tool...... for Nanomaterials”; “NanoSafer vs. 1.1 – A web-based precautionary risk assessment tool for manufactured nanomaterials using first order modeling” Based on the literature information we have analyzed these tools and discussed elements regarding: the domain of application and whether it accounts for the nanospecific...

  13. Pollution exposure on marine protected areas: A global assessment.

    Science.gov (United States)

    Partelow, Stefan; von Wehrden, Henrik; Horn, Olga

    2015-11-15

    Marine protected areas (MPAs) face many challenges in their aim to effectively conserve marine ecosystems. In this study we analyze the extent of pollution exposure on the global fleet of MPAs. This includes indicators for current and future pollution and the implications for regionally clustered groups of MPAs with similar biophysical characteristics. To cluster MPAs into characteristic signature groups, their bathymetry, baseline biodiversity, distance from shore, mean sea surface temperature and mean sea surface salinity were used. We assess the extent at which each signature group is facing exposure from multiple pollution types. MPA groups experience similar pollution exposure on a regional level. We highlight how the challenges that MPAs face can be addressed through governance at the appropriate scale and design considerations for integrated terrestrial and marine management approaches within regional level networks. Furthermore, we present diagnostic social-ecological indicators for addressing the challenges facing unsuccessful MPAs with practical applications. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Historical Exposures to Chemicals at the Rocky Flats Nuclear Weapons Plant: A Pilot Retrospective Exposure Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, Janeen Denise [Univ. of New Mexico, Albuquerque, NM (United States)

    1999-02-01

    In a mortality study of white males who had worked at the Rocky Flats Nuclear Weapons Plant between 1952 and 1979, an increased number of deaths from benign and unspecified intracranial neoplasms was found. A case-control study nested within this cohort investigated the hypothesis that an association existed between brain tumor death and exposure to either internally deposited plutonium or external ionizing radiation. There was no statistically significant association found between estimated radiation exposure from internally deposited plutonium and the development of brain tumors. Exposure by job or work area showed no significant difference between the cohort and the control groups. An update of the study found elevated risk estimates for (1) all lymphopoietic neoplasms, and (2) all causes of death in employees with body burdens greater than or equal to two nanocuries of plutonium. There was an excess of brain tumors for the entire cohort. Similar cohort studies conducted on worker populations from other plutonium handling facilities have not yet shown any elevated risks for brain tumors. Historically, the Rocky Flats Nuclear Weapons Plant used large quantities of chemicals in their production operations. The use of solvents, particularly carbon tetrachloride, was unique to Rocky Flats. No investigation of the possible confounding effects of chemical exposures was done in the initial studies. The objectives of the present study are to (1) investigate the history of chemical use at the Rocky Flats facility; (2) locate and analyze chemical monitoring information in order to assess employee exposure to the chemicals that were used in the highest volume; and (3) determine the feasibility of establishing a chemical exposure assessment model that could be used in future epidemiology studies.

  15. Assessing Palliative Care Content in Dementia Care Guidelines: A Systematic Review.

    Science.gov (United States)

    Durepos, Pamela; Wickson-Griffiths, Abigail; Hazzan, Afeez Abiola; Kaasalainen, Sharon; Vastis, Vasilia; Battistella, Lisa; Papaioannou, Alexandra

    2017-04-01

    Families of persons with dementia continue to report unmet needs during end of life (EOL). Strategies to improve care and quality of life for persons with dementia include development of clinical practice guidelines (CPGs) and an integrative palliative approach. We aimed to assess palliative care content in dementia CPGs to identify the presence or limitations of recommendations and discussion pertaining to common issues or domains affected by illness as described by the Canadian Hospice Palliative Care Association "Square of Care." A systematic review of databases and gray literature was conducted for recent CPGs. Guidelines meeting inclusion criteria were evaluated using the Appraisal of Guidelines for Research and Evaluation II instrument. Quality CPGs were analyzed through organizational template analysis using illness domains described by the "Canadian Hospice Palliative Care Association Model." The study protocol is registered at PROSPERO (CRD 42015025369). Eleven CPGs were selected and analyzed from 3779 citations. Nine guidelines demonstrated the maximum level of content regarding physical, psychological, and social care. Conversely, spiritual care was either absent (three) or minimal (three) in CPGs. Six CPGs did not address loss or grief, and seven CPGs did not address or had minimal content regarding EOL care. The lack of content surrounding grief represents a gap for this population at high risk for complicated grief and chronic sorrow. Results of this review require attention by CPG developers and researchers to develop evidence-based recommendations surrounding spiritual care, EOL, and grief. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  16. Ambiguity in guideline definitions introduces assessor bias and influences consistency in IUCN Red List status assessments

    Directory of Open Access Journals (Sweden)

    Matt W Hayward

    2015-07-01

    Full Text Available The IUCN Red List is the most widely used tool to measure extinction risk and report biodiversity trends. Accurate and standardised conservation status assessments for the IUCN Red List are limited by a lack of adequate information; and need consistent and unbiased interpretation of that information. Variable interpretation stems from a lack of quantified thresholds in certain areas of the Red List guidelines. Thus, even in situations with sufficient information to make a Red List assessment, inconsistency can occur when experts, especially from different regions, interpret the guidelines differently, thereby undermining the goals and credibility of the process. In such an information vacuum, assessors make assumptions depending on their level of Red List experience (subconscious bias and their personal values or agendas (conscious bias. We highlight two major issues where such bias influences assessments: relating to fenced subpopulations that require intensive management; and defining benchmark geographic distributions and thus the inclusion/exclusion of introduced subpopulations. We suggest assessor bias can be reduced by refining the Red List guidelines to include quantified thresholds for when to include fenced/intensively managed subpopulations or subpopulations outside the benchmark distribution; publishing case studies of difficult assessments to enhance cohesion between Specialist Groups; developing an online accreditation course on applying Red List criteria as a prerequisite for assessors; and ensuring that assessments of species subject to trade and utilisation are represented by all dissenting views (for example, both utilitarian and preservationist and reviewed by relevant Specialist Groups. We believe these interventions would ensure consistent, reliable assessments of threatened species between regions and across assessors with divergent views, and will thus improve comparisons between taxa and counteract the use of Red List

  17. Progressive Commercial Cigarette Yield Reduction: Biochemical Exposure and Behavioral Assessment

    Science.gov (United States)

    Benowitz, Neal L.; Dains, Katherine M.; Hall, Sharon M.; Stewart, Susan; Wilson, Margaret; Dempsey, Delia; Jacob, Peyton

    2009-01-01

    Background Mandated reduction of exposure to nicotine and other cigarette toxins has been proposed as a possible national regulatory strategy. However, tapering using lower yield commercial cigarettes may not be effective in reducing nicotine or tar exposure due to compensatory smoking behavior. We examined the effects of gradual reduction of nicotine yield in commercial cigarettes on smoking behavior, with an assessment of nicotine intake and exposure to tobacco smoke toxins. Methods This 10-week longitudinal study of 20 smokers involved smoking the usual brand followed by different brands with progressively lower machine-determined yields, ranging from 0.9 to 0.1 mg nicotine, each smoked for 1 week. Subjects were followed for 4 weeks after returning to smoking the usual brand (or quitting). Smoking behaviors, biomarkers of tobacco smoke exposure, and cardiovascular effects were measured. Findings Cotinine and other biomarkers of smoke exposure remained unchanged comparing the usual brand with the 0.4 mg nicotine brands. A 30% to 40% decrease in nicotine, carbon monoxide, and carcinogen exposure comparing 0.1 mg nicotine cigarettes with baseline was observed. Self-efficacy was significantly increased and dependence decreased after tapering. Implications We confirm prior cross-sectional population and experimental studies showing complete compensation for cigarettes down to the 0.4 mg nicotine range. Nicotine and tobacco toxin exposure were substantially reduced while smoking 0.1 mg nicotine cigarettes. Our data suggest that the degree of nicotine dependence of smokers may be lowered with progressive yield tapering. Gradual tapering of smokers from regular to ultralow nicotine yield commercial cigarettes might facilitate smoking cessation and warrants future research. PMID:19258480

  18. Risk assessment of fluoride exposure in drinking water of Tunisia.

    Science.gov (United States)

    Guissouma, Wiem; Hakami, Othman; Al-Rajab, Abdul Jabbar; Tarhouni, Jamila

    2017-06-01

    The presence of fluoride in drinking water is known to reduce dental cavities among consumers, but an excessive intake of this anion might leads to dental and skeletal fluorosis. This study reports a complete survey of the fluoridated tap water taken from 100 water consumption points in Tunisia. The fluoride concentrations in tap water were between 0 and 2.4 mg L(-1). Risk assessment of Fluoride exposure was assessed depending on the age of consumers using a four-step method: hazard identification, toxicity reference values selection (TRVs), daily exposure assessment, and risk characterization. Our findings suggest that approximately 75% of the Tunisian population is at risk for dental decay, 25% have a potential dental fluorosis risk, and 20% might have a skeletal fluorosis risk according to the limits of fluoride in drinking water recommended by WHO. More investigations are recommended to assess the exposure risk of fluoride in other sources of drinking water such as bottled water. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Exposure assessment of microwave ovens and impact on total exposure in WLANs.

    Science.gov (United States)

    Plets, David; Verloock, Leen; Van Den Bossche, Matthias; Tanghe, Emmeric; Joseph, Wout; Martens, Luc

    2016-02-01

    In situ exposure of electric fields of 11 microwave ovens is assessed in an occupational environment and in an office. Measurements as a function of distance without load and with a load of 275 ml of tap water were performed at distances of oven (without load), which is 2.5 and 1.1 times below the International Commission on Non-Ionizing Radiation Protection reference level for occupational exposure and general public exposure, respectively. For exposure at distances of >1 m, a model of the electric field in a realistic environment is proposed. In an office scenario, switching on a microwave oven increases the median field strength from 91 to 145 mV m(-1) (+91 %) in a traditional Wireless Local Area Network (WLAN) deployment and from 44 to 92 mV m(-1) (+109 %) in an exposure-optimised WLAN deployment. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Assessment of global flood exposures - developing an appropriate approach

    Science.gov (United States)

    Millinship, Ian; Booth, Naomi

    2015-04-01

    Increasingly complex probabilistic catastrophe models have become the standard for quantitative flood risk assessments by re/insurance companies. On the one hand, probabilistic modelling of this nature is extremely useful; a large range of risk metrics can be output. However, they can be time consuming and computationally expensive to develop and run. Levels of uncertainty are persistently high despite, or perhaps because of, attempts to increase resolution and complexity. A cycle of dependency between modelling companies and re/insurers has developed whereby available models are purchased, models run, and both portfolio and model data 'improved' every year. This can lead to potential exposures in perils and territories that are not currently modelled being largely overlooked by companies, who may then face substantial and unexpected losses when large events occur in these areas. We present here an approach to assessing global flood exposures which reduces the scale and complexity of approach used and begins with the identification of hotspots where there is a significant exposure to flood risk. The method comprises four stages: i) compile consistent exposure information, ii) to apply reinsurance terms and conditions to calculate values exposed, iii) to assess the potential hazard using a global set of flood hazard maps, and iv) to identify potential risk 'hotspots' which include considerations of spatially and/or temporally clustered historical events, and local flood defences. This global exposure assessment is designed as a scoping exercise, and reveals areas or cities where the potential for accumulated loss is of significant interest to a reinsurance company, and for which there is no existing catastrophe model. These regions are then candidates for the development of deterministic scenarios, or probabilistic models. The key advantages of this approach will be discussed. These include simplicity and ability of business leaders to understand results, as well as

  1. Guideline appraisal with AGREE II: Systematic review of the current evidence on how users handle the 2 overall assessments.

    Directory of Open Access Journals (Sweden)

    Wiebke Hoffmann-Eßer

    Full Text Available The Appraisal of Guidelines for Research & Evaluation (AGREE II instrument is the most commonly used guideline appraisal tool. It includes 23 appraisal criteria (items organized within 6 domains and 2 overall assessments (1. overall guideline quality; 2. recommendation for use. The aim of this systematic review was twofold. Firstly, to investigate how often AGREE II users conduct the 2 overall assessments. Secondly, to investigate the influence of the 6 domain scores on each of the 2 overall assessments.A systematic bibliographic search was conducted for publications reporting guideline appraisals with AGREE II. The impact of the 6 domain scores on the overall assessment of guideline quality was examined using a multiple linear regression model. Their impact on the recommendation for use (possible answers: "yes", "yes, with modifications", "no" was examined using a multinomial regression model.118 relevant publications including 1453 guidelines were identified. 77.1% of the publications reported results for at least one overall assessment, but only 32.2% reported results for both overall assessments. The results of the regression analyses showed a statistically significant influence of all domains on overall guideline quality, with Domain 3 (rigour of development having the strongest influence. For the recommendation for use, the results showed a significant influence of Domains 3 to 5 ("yes" vs. "no" and Domains 3 and 5 ("yes, with modifications" vs. "no".The 2 overall assessments of AGREE II are underreported by guideline assessors. Domains 3 and 5 have the strongest influence on the results of the 2 overall assessments, while the other domains have a varying influence. Within a normative approach, our findings could be used as guidance for weighting individual domains in AGREE II to make the overall assessments more objective. Alternatively, a stronger content analysis of the individual domains could clarify their importance in terms of

  2. Use-Exposure Relationships of Pesticides for Aquatic Risk Assessment

    Science.gov (United States)

    Luo, Yuzhou; Spurlock, Frank; Deng, Xin; Gill, Sheryl; Goh, Kean

    2011-01-01

    Field-scale environmental models have been widely used in aquatic exposure assessments of pesticides. Those models usually require a large set of input parameters and separate simulations for each pesticide in evaluation. In this study, a simple use-exposure relationship is developed based on regression analysis of stochastic simulation results generated from the Pesticide Root-Zone Model (PRZM). The developed mathematical relationship estimates edge-of-field peak concentrations of pesticides from aerobic soil metabolism half-life (AERO), organic carbon-normalized soil sorption coefficient (KOC), and application rate (RATE). In a case study of California crop scenarios, the relationships explained 90–95% of the variances in the peak concentrations of dissolved pesticides as predicted by PRZM simulations for a 30-year period. KOC was identified as the governing parameter in determining the relative magnitudes of pesticide exposures in a given crop scenario. The results of model application also indicated that the effects of chemical fate processes such as partitioning and degradation on pesticide exposure were similar among crop scenarios, while the cross-scenario variations were mainly associated with the landscape characteristics, such as organic carbon contents and curve numbers. With a minimum set of input data, the use-exposure relationships proposed in this study could be used in screening procedures for potential water quality impacts from the off-site movement of pesticides. PMID:21483772

  3. A pan-Canadian practice guideline and algorithm: screening, assessment, and supportive care of adults with cancer-related fatigue.

    Science.gov (United States)

    Howell, D; Keller-Olaman, S; Oliver, T K; Hack, T F; Broadfield, L; Biggs, K; Chung, J; Gravelle, D; Green, E; Hamel, M; Harth, T; Johnston, P; McLeod, D; Swinton, N; Syme, A; Olson, K

    2013-06-01

    The purpose of the present systematic review was to develop a practice guideline to inform health care providers about screening, assessment, and effective management of cancer-related fatigue (crf) in adults. The internationally endorsed adapte methodology was used to develop a practice guideline for pan-Canadian use. A systematic search of the literature identified a broad range of evidence: clinical practice guidelines, systematic reviews, and other guidance documents on the screening, assessment, and management of crf. The search included medline, embase, cinahl, the Cochrane Library, and other guideline and data sources to December 2009. Two clinical practice guidelines were identified for adaptation. Seven guidance documents and four systematic reviews also provided supplementary evidence to inform guideline recommendations. Health professionals across Canada provided expert feedback on the adapted recommendations in the practice guideline and algorithm through a participatory external review process. Practice guidelines can facilitate the adoption of evidence-based assessment and interventions for adult cancer patients experiencing fatigue. Development of an algorithm to guide decision-making in practice may also foster the uptake of a guideline into routine care.

  4. Microbial risk assessment framework for exposure to amended sludge projects.

    Science.gov (United States)

    Eisenberg, Joseph N S; Moore, Kelly; Soller, Jeffery A; Eisenberg, Don; Colford, John M

    2008-06-01

    Although the U.S. Environmental Protection Agency has a long history of using risk-based approaches for regulatory purposes, pollutant limits for pathogens in biosolids are not currently based on quantitative risk assessments. We developed and demonstrated a risk-based methodology for assessing the risk to human health from exposure to pathogens via biosolids. Four models were developed, incorporating direct ingestion, groundwater, and aerosol exposure pathways. Three sources of environmental data were used to estimate risk: pathogen monitoring of sludge, efficacy of sludge treatment, and pathogen monitoring of biosolids. Risk estimates were obtainable even for Class A biosolids, where posttreatment monitoring data are below detectable levels, demonstrating that risk assessments for biosolids exposure are practical. Model analyses suggest that: a) a two-digester design decreases the probability of risks >10(-4) compared with one-digester designs, b) risks associated with exposures to groundwater and aerosol pathways were, in general, lower than exposures to the direct ingestion pathway, and c) secondary transmission can be an important factor in risk estimation. The risk-based approach presented here provides a tool to a) help biosolids producers interpret the results of biosolids monitoring data in terms of its health implications, b) help treatment plant engineers evaluate the risk-based benefits of operational changes to existing or projected treatment processes, and c) help environmental managers evaluate potential capital improvements and/or land application site placement issues. Regulation of pathogens can now be based on human health risk in a manner parallel to other water-related risks.

  5. EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines)

    NARCIS (Netherlands)

    Madersbacher, Stephan; Alivizatos, Gerasimos; Nordling, Jorgen; Sanz, Carlos Rioja; Emberton, Mark; de La Rosette, Jean J. M. C. H.

    2004-01-01

    Objective: To provide the first update of the EAU guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms (LUTS) suggestive of benign prostatic obstruction (BPO). Methods: A systematic literature review was conducted based on the results of a MEDLINE(R) search

  6. Assessment of xenoestrogenic exposure by a biomarker approach

    DEFF Research Database (Denmark)

    Rasmussen, Thomas Høj; Nielsen, Flemming; Andersen, Helle Raun

    2003-01-01

    : To determine the applicability of this approach, we assessed the estrogenicity of serum samples from 30 pregnant and 60 non-pregnant Danish women thought to be exposed only to low levels of endocrine disruptors. We also studied 211 serum samples from pregnant Faroese women, whose marine diet included whale...... with the lipid-based concentrations of individual suspected endocrine disruptors in the Faroese samples. When added along with the estradiol standard, an indication of an enhanced estrogenic response was found in most cases. Thus, the in vitro estrogenicity response offers a promising and feasible approach......BACKGROUND: Epidemiological documentation of endocrine disruption is complicated by imprecise exposure assessment, especially when exposures are mixed. Even if the estrogenic activity of all compounds were known, the combined effect of possible additive and/or inhibiting interaction...

  7. An Assessment of Air Pollution Exposure Information for Health Studies

    Directory of Open Access Journals (Sweden)

    Frederick W. Lipfert

    2015-11-01

    Full Text Available Most studies of air pollution health effects are based on outdoor ambient exposures, mainly because of the availability of population-based data and the need to support emission control programs. However, there is also a large body of literature on indoor air quality that is more relevant to personal exposures. This assessment attempts to merge these two aspects of pollution-related health effects, emphasizing fine particles. However, the basic concepts are applicable to any pollutant. The objectives are to examine sensitivities of epidemiological studies to the inclusion of personal exposure information and to assess the resulting data requirements. Indoor air pollution results from penetration of polluted outdoor air and from various indoor sources, among which environmental tobacco smoke (ETS is probably the most toxic and pervasive. Adequate data exist on infiltration of outdoor air but less so for indoor sources and effects, all of which have been based on surveys of small samples of individual buildings. Since epidemiology is based on populations, these data must be aggregated using probabilistic methods. Estimates of spatial variation and precision of ambient air quality are also needed. Hypothetical personal exposures in this paper are based on ranges in outdoor air quality, variable infiltration rates, and ranges of indoor source strength. These uncertainties are examined with respect to two types of mortality studies: time series analysis of daily deaths in a given location, and cross-sectional analysis of annual mortality rates among locations. Regressions of simulated mortality on personal exposures, as affected by all of these uncertainties, are used to examine effects on dose-response functions using quasi-Monte Carlo methods. The working hypothesis is that indoor sources are reasonably steady over time and thus applicable only to long-term cross-sectional studies. Uncertainties in exposure attenuate the simulated mortality

  8. Quality assessment of clinical practice guidelines on the treatment of hepatocellular carcinoma or metastatic liver cancer.

    Directory of Open Access Journals (Sweden)

    Yingqiang Wang

    Full Text Available OBJECTIVES: To assess the quality of the currently available clinical practice guidelines (CPGs for hepatocellular carcinoma, and provide a reference for clinicians in selecting the best available clinical protocols. METHODS: The databases of PubMed, MEDLINE, Web of Science, Chinese Biomedical Literature database (CBM, China National Knowledge Infrastructure (CNKI, WanFang, and relevant CPGs websites were systematically searched through March 2014. CPGs quality was appraised using the Appraisal of Guidelines for Research & Evaluation (AGREE II instrument, and data analysis was performed using SPSS 13.0 software. RESULTS: A total of 20 evidence-based and 20 expert consensus-based guidelines were included. The mean percentage of the domain scores were: scope and purpose 83% (95% confidence interval (CI, 81% to 86%, clarity of presentation 79% (95% CI, 73% to 86%, stakeholder involvement 39% (95% CI, 30% to 49%, editorial independence 58% (95% CI, 52% to 64%, rigor of development 39% (95% CI, 31% to 46%, and applicability 16% (95% CI, 10% to 23%. Evidence-based guidelines were superior to those established by consensus for the domains of rigor of development (p<0.001, clarity of presentation (p = 0.01 and applicability (p = 0.021. CONCLUSIONS: The overall methodological quality of CPGs for hepatocellular carcinoma and metastatic liver cancer is moderate, with poor applicability and potential conflict of interest issues. The evidence-based guidelines has become mainstream for high quality CPGs development; however, there is still need to further increase the transparency and quality of evidence rating, as well as the recommendation process, and to address potential conflict of interest.

  9. New approach for assessing human perfluoroalkyl exposure via hair

    OpenAIRE

    Alves,Andreia; Jacobs, Griet; VANERMEN Guido; Covaci, Adrian; Voorspoels, Stefan

    2015-01-01

    Abstract: In the recent years hair has been increasingly used as alternative matrix in human biomonitoring (HBM) of environmental pollutants. Sampling advantages and time integration of exposure assessment seems the most attractive features of hair matrix. In the current study, a novel miniaturized method was developed and validated for measuring 15 perfluoroalkyl substances (PFAS), including perfluoro n-butanoic acid (PFBA), perfluoro n-pentanoic acid (PFPeA), perfluoro n-hexanoic acid (PFHx...

  10. Systematic review of guidelines on cardiovascular risk assessment: Which recommendations should clinicians follow for a cardiovascular health check?

    NARCIS (Netherlands)

    Ferket, Bart S.; Colkesen, Ersen B.; Visser, Jacob J.; Spronk, Sandra; Kraaijenhagen, Roderik A.; Steyerberg, Ewout W.; Hunink, M. G. Myriam

    2010-01-01

    To appraise guidelines on cardiovascular risk assessment to guide selection of screening interventions for a health check. Guidelines in the English language published between January 1, 2003, and May 2, 2009, were retrieved using MEDLINE and CINAHL. This was supplemented by searching the National

  11. Modeling Exposure to Persistent Chemicals in Hazard and Risk Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Cowan-Ellsberry, Christina E.; McLachlan, Michael S.; Arnot, Jon A.; MacLeod, Matthew; McKone, Thomas E.; Wania, Frank

    2008-11-01

    Fate and exposure modeling has not thus far been explicitly used in the risk profile documents prepared to evaluate significant adverse effect of candidate chemicals for either the Stockholm Convention or the Convention on Long-Range Transboundary Air Pollution. However, we believe models have considerable potential to improve the risk profiles. Fate and exposure models are already used routinely in other similar regulatory applications to inform decisions, and they have been instrumental in building our current understanding of the fate of POP and PBT chemicals in the environment. The goal of this paper is to motivate the use of fate and exposure models in preparing risk profiles in the POP assessment procedure by providing strategies for incorporating and using models. The ways that fate and exposure models can be used to improve and inform the development of risk profiles include: (1) Benchmarking the ratio of exposure and emissions of candidate chemicals to the same ratio for known POPs, thereby opening the possibility of combining this ratio with the relative emissions and relative toxicity to arrive at a measure of relative risk. (2) Directly estimating the exposure of the environment, biota and humans to provide information to complement measurements, or where measurements are not available or are limited. (3) To identify the key processes and chemical and/or environmental parameters that determine the exposure; thereby allowing the effective prioritization of research or measurements to improve the risk profile. (4) Predicting future time trends including how quickly exposure levels in remote areas would respond to reductions in emissions. Currently there is no standardized consensus model for use in the risk profile context. Therefore, to choose the appropriate model the risk profile developer must evaluate how appropriate an existing model is for a specific setting and whether the assumptions and input data are relevant in the context of the application

  12. Assessing Fidelity to Suicide Reporting Guidelines in Canadian News Media: The Death of Robin Williams.

    Science.gov (United States)

    Creed, Michael; Whitley, Rob

    2017-05-01

    Mindset is a short recently-published booklet funded by the Mental Health Commission of Canada outlining evidence-based guidelines and best practices for journalists writing about mental health and suicide. Our study aimed to assess fidelity to Mindset recommendations in Canadian newspaper reports of a recent celebrity suicide. A secondary aim is to identify common themes discussed in these newspaper articles. Articles about Robin Williams' suicide from major Canadian newspapers were gathered and coded for presence or absence of each of the 14 recommendations in the "Covering Suicide" section of Mindset. A threshold of 80% was set to test for high fidelity to the guidelines. A qualitative content analysis of the articles was also undertaken to discern common themes and social issues discussed in the articles. Fifty-five per cent of articles surpassed the 80% threshold for high fidelity, while 85% applied at least 70% of the recommendations. The recommendation most commonly overlooked was "Do tell others considering suicide how they can get help," which was absent in 73% of articles. The most common themes discussed were those of addictions and stigma. The news articles generally follow the evidence-based guidelines regarding the reporting of suicide set out in Mindset. This is a welcome development. Future research should continue to examine reporting of suicide to assess for further improvements, while also examining the wider impact of Mindset on the reporting of mental illness per se.

  13. APPLICATION OF SEDIMENT QUALITY GUIDELINES IN THE ASSESSMENT OF MANGROVE SURFACE SEDIMENT IN MENGKABONG LAGOON, SABAH, MALAYSIA

    Directory of Open Access Journals (Sweden)

    S. M. Praveena, M. Radojevic, M. H. Abdullah, A. Z. Aris

    2008-01-01

    Full Text Available There have been numerous sediment quality guidelines developed to monitor the sediments. Sediment quality guidelines are very useful to screen sediment contamination by comparing sediment contaminant concentration with the corresponding quality guideline, provide useful tools for screening sediment chemical data to identify pollutants of concern and prioritise problem sites and relatively good predictors of contaminations. However, these guidelines are chemical specific and do not include biological parameters. Aquatic ecosystems, including sediments, must be assessed in multiple components (biological data, toxicity, physicochemistry by using intregrated approaches in order to establish a complete and comprehensive set of sediment quality guidelines. Numerous sediment quality guidelines Washington Department of Ecology Sediment Quality Guideline, Australian and New Zealand Environment and Conservation Council, Swedish Environmental Sediment Quality, Screening Quick Reference Table, Portuguese Legislation on the Classification of Dredged Materials in Coastal Zones and Interim Sediment Quality Guideline for Hong Kong have been applied to the Mengkabong lagoon mangrove sediment and discussed. The most appropriate guideline that meets the prioritization criteria consistent with international initiatives and regulations is interim sediment quality values for Hong Kong. The guideline verifies that all the metals are below the Interim Sediment Quality Value-low. However, site-specific, biological testing and ecological analysis of exisiting benthics community structure related to sediment contamination are needed for final decision making in the case of Mengkabong lagoon.

  14. Exposure assessment and risk of gastrointestinal illness among surfers.

    Science.gov (United States)

    Stone, David L; Harding, Anna K; Hope, Bruce K; Slaughter-Mason, Samantha

    2008-01-01

    Surfing is a unique recreational activity with the possibility of elevated risk for contracting gastrointestinal (GI) illness through ingestion of contaminated water. No prior studies have assessed exposure from ingestion among surfing populations. This study estimated the magnitude and frequency of incidental water ingestion using a Web-based survey and integrated exposure distributions with enterococci distributions to predict the probability of GI illness at six Oregon beaches. The mean exposure magnitude and frequency were 170 ml of water ingested per day and 77 days spent surfing per year, respectively. The mean number of enterococci ingested ranged from approximately 11 to 86 colony-forming units (CFU) per day. Exposure-response analyses were conducted using an ingested dose model and two epidemiological models. Risk was characterized using joint probability curves (JPC). At the most contaminated beach, the annualized ingested dose model estimated a mean 9% probability of a 50% probability of GI illness, similar to the results of the first epidemiological model (mean 6% probability of a 50% probability of GI illness). The second epidemiological model predicted a 23% probability of exceeding an exposure equivalent to the U.S. Environmental Protection Agency (EPA) maximum acceptable GI illness rate (19 cases/1000 swimmers). While the annual risk of GI illness for Oregon surfers is not high, data showed that surfers ingest more water compared to swimmers and divers and need to be considered in regulatory and public health efforts, especially in more contaminated waters. Our approach to characterize risk among surfers is novel and informative to officials responsible for advisory programs. It also highlights the need for further research on microbial dose-response relationships to meet the needs of quantitative microbial risk assessments (QMRA).

  15. Exposure assessment issues in epidemiology studies of phthalates.

    Science.gov (United States)

    Johns, Lauren E; Cooper, Glinda S; Galizia, Audrey; Meeker, John D

    2015-12-01

    The purpose of this paper is to review exposure assessment issues that need to be addressed in designing and interpreting epidemiology studies of phthalates, a class of chemicals commonly used in consumer and personal care products. Specific issues include population trends in exposure, temporal reliability of a urinary metabolite measurement, and how well a single urine sample may represent longer-term exposure. The focus of this review is on seven specific phthalates: diethyl phthalate (DEP); di-n-butyl phthalate (DBP); diisobutyl phthalate (DiBP); butyl benzyl phthalate (BBzP); di(2-ethylhexyl) phthalate (DEHP); diisononyl phthalate (DiNP); and diisodecyl phthalate (DiDP). Comprehensive literature search using multiple search strategies. Since 2001, declines in population exposure to DEP, BBzP, DBP, and DEHP have been reported in the United States and Germany, but DEHP exposure has increased in China. Although the half-lives of various phthalate metabolites are relatively short (3 to 18h), the intraclass correlation coefficients (ICCs) for phthalate metabolites, based on spot and first morning urine samples collected over a week to several months, range from weak to moderate, with a tendency toward higher ICCs (greater temporal stability) for metabolites of the shorter-chained (DEP, DBP, DiBP and BBzP, ICCs generally 0.3 to 0.6) compared with those of the longer-chained (DEHP, DiNP, DiDP, ICCs generally 0.1 to 0.3) phthalates. Additional research on optimal approaches to addressing the issue of urine dilution in studies of associations between biomarkers and different type of health effects is needed. In conclusion, the measurement of urinary metabolite concentrations in urine could serve as a valuable approach to estimating exposure to phthalates in environmental epidemiology studies. Careful consideration of the strengths and limitations of this approach when interpreting study results is required. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Preliminary Guideline for the High Temperature Structure Integrity Assessment Procedure Part I. High Temperature Structure Design Guide

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Han; Kim, J. B.; Lee, H. Y.; Park, C. G.; Joo, Y. S.; Koo, G. H.; Kim, S. H

    2007-02-15

    A preliminary guideline for the design and evaluation of LMR high temperature structure is presented based upon ASME B and PV Code, Section III, Subsection NH. The main contents of this guideline are the materials, general design, vessel, piping, core support structure, pumps, valves, fabrication, examination, and testing for the class 1 components. The ratcheting evaluation, enhanced creep assessment, welds design and evaluation, inelastic analysis approach, piping design alternatives, and bellows design method are described in appendices. A user of this guideline should follow the essential procedures and may refer to other pertinent codes, standards, laws, regulations, or other pertinent documents when this guideline does not lead to proper design of the structure. While this guideline adopts major procedures of Subsection NH, it refers to the RCC-MR and/or DDS in some amount for the items where these codes have excellency to improve this guideline.

  17. A systematic review of recent clinical practice guidelines on the diagnosis, assessment and management of hypertension.

    Directory of Open Access Journals (Sweden)

    Lubna A Al-Ansary

    Full Text Available BACKGROUND: Despite the availability of clinical practice guidelines (CPGs, optimal hypertension control is not achieved in many parts of the world; one of the challenges is the volume of guidelines on this topic and their variable quality. To systematically review the quality, methodology, and consistency of recommendations of recently-developed national CPGs on the diagnosis, assessment and the management of hypertension. METHODOLOGY/PRINCIPAL FINDINGS: MEDLINE, EMBASE, guidelines' websites and Google were searched for CPGs written in English on the general management of hypertension in any clinical setting published between January 2006 and September 2011. Four raters independently appraised each CPG using the AGREE-II instrument and 2 reviewers independently extracted the data. Conflicts were resolved by discussion or the involvement of an additional reviewer. Eleven CPGs were identified. The overall quality ranged from 2.5 to 6 out of 7 on the AGREE-II tool. The highest scores were for "clarity of presentation" (44.4%-88.9% and the lowest were for "rigour of development" (8.3%-30% for 9 CGPs. None of them clearly reported being newly developed or adapted. Only one reported having a patient representative in its development team. Systematic reviews were not consistently used and only 2 up-to-date Cochrane reviews were cited. Two CPGs graded some recommendations and related that to levels (but not quality of evidence. The CPGs' recommendations on assessment and non-pharmacological management were fairly consistent. Guidelines varied in the selection of first-line treatment, adjustment of therapy and drug combinations. Important specific aspects of care (e.g. resistant hypertension were ignored by 6/11 CPGs. The CPGs varied in methodological quality, suggesting that their implementation might not result in less variation of care or in better health-related outcomes. CONCLUSIONS/SIGNIFICANCE: More efforts are needed to promote the realistic

  18. A study on cost-benefit analysis and development of numerical guideline for the radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Chang Sun; Song, Jae Hyuk; Son, Ki Yoon; Park, Moon Soo; Kim, Chong Uk [Seoul National Univ., Seoul (Korea, Republic of)

    1998-06-15

    By ALARA, radiation protection should be achieved so that radiation exposure should be kept in reasonably low level considering the economical and social factors of the society. But it is difficult to apply this principle practically due to the qualitative properties of the factors and the ambiguity of the principle itself. To resolve the problems, the decision aiding techniques are needed which can quantify the factors used in decision making. These factors include the effects of radiation on body and economical and social factors. The cost-benefit analysis is the most representative decision aiding technique. The scopes and contents of the first period of this study are as follows: the merits and demerits of several methods of cost-benefit analysis are investigated and the improvement is provided, the cost data of the radioactive waste systems are derived which can be used in practical cost-benefit analysis, the decision making method is established on the basis of ALARA procedures, safety regulatory guides for cost-benefit analysis are provided.

  19. Urban geochemistry of lead in gardens, playgrounds and schoolyards of Lisbon, Portugal: assessing exposure and risk to human health

    OpenAIRE

    Reis,A.P.; Patinha, C.; Wragg, J.; Dias, A.C.; Cave, M.; Sousa, A.J.; BATISTA, M. J.; Prazeres, C; Costa, C.; Ferreira da Silva, E.; Rocha, F.

    2014-01-01

    To assess the impact of potentially harmful elements in soil/dust on the health of children that use urban recreational areas to play outdoors, an urban survey of Lisbon, the largest city in Portugal was carried out, collecting soils and dusts from public gardens, parks, playgrounds and schoolyards. An exposure and risk assessment study for the incidental soil/dust ingestion of lead was carried out based on US EPA guidelines using a sub-set of 19 topsoil and 8 outdoor dusts, out o...

  20. Pesticide Exposure, Safety Issues, and Risk Assessment Indicators

    Science.gov (United States)

    Damalas, Christos A.; Eleftherohorinos, Ilias G.

    2011-01-01

    Pesticides are widely used in agricultural production to prevent or control pests, diseases, weeds, and other plant pathogens in an effort to reduce or eliminate yield losses and maintain high product quality. Although pesticides are developed through very strict regulation processes to function with reasonable certainty and minimal impact on human health and the environment, serious concerns have been raised about health risks resulting from occupational exposure and from residues in food and drinking water. Occupational exposure to pesticides often occurs in the case of agricultural workers in open fields and greenhouses, workers in the pesticide industry, and exterminators of house pests. Exposure of the general population to pesticides occurs primarily through eating food and drinking water contaminated with pesticide residues, whereas substantial exposure can also occur in or around the home. Regarding the adverse effects on the environment (water, soil and air contamination from leaching, runoff, and spray drift, as well as the detrimental effects on wildlife, fish, plants, and other non-target organisms), many of these effects depend on the toxicity of the pesticide, the measures taken during its application, the dosage applied, the adsorption on soil colloids, the weather conditions prevailing after application, and how long the pesticide persists in the environment. Therefore, the risk assessment of the impact of pesticides either on human health or on the environment is not an easy and particularly accurate process because of differences in the periods and levels of exposure, the types of pesticides used (regarding toxicity and persistence), and the environmental characteristics of the areas where pesticides are usually applied. Also, the number of the criteria used and the method of their implementation to assess the adverse effects of pesticides on human health could affect risk assessment and would possibly affect the characterization of the already

  1. Pesticide Exposure, Safety Issues, and Risk Assessment Indicators

    Directory of Open Access Journals (Sweden)

    Christos A. Damalas

    2011-05-01

    Full Text Available Pesticides are widely used in agricultural production to prevent or control pests, diseases, weeds, and other plant pathogens in an effort to reduce or eliminate yield losses and maintain high product quality. Although pesticides are developed through very strict regulation processes to function with reasonable certainty and minimal impact on human health and the environment, serious concerns have been raised about health risks resulting from occupational exposure and from residues in food and drinking water. Occupational exposure to pesticides often occurs in the case of agricultural workers in open fields and greenhouses, workers in the pesticide industry, and exterminators of house pests. Exposure of the general population to pesticides occurs primarily through eating food and drinking water contaminated with pesticide residues, whereas substantial exposure can also occur in or around the home. Regarding the adverse effects on the environment (water, soil and air contamination from leaching, runoff, and spray drift, as well as the detrimental effects on wildlife, fish, plants, and other non-target organisms, many of these effects depend on the toxicity of the pesticide, the measures taken during its application, the dosage applied, the adsorption on soil colloids, the weather conditions prevailing after application, and how long the pesticide persists in the environment. Therefore, the risk assessment of the impact of pesticides either on human health or on the environment is not an easy and particularly accurate process because of differences in the periods and levels of exposure, the types of pesticides used (regarding toxicity and persistence, and the environmental characteristics of the areas where pesticides are usually applied. Also, the number of the criteria used and the method of their implementation to assess the adverse effects of pesticides on human health could affect risk assessment and would possibly affect the characterization

  2. Systematic review of guidelines for the assessment and management of high-grade anal intraepithelial neoplasia (AIN II/III).

    Science.gov (United States)

    Alam, N N; White, D A; Narang, S K; Daniels, I R; Smart, N J

    2016-02-01

    There is ambiguity with regard to the optimal management of anal intraepithelial neoplasia (AIN) III. The aim of this review was to assess and compare international/national society guidelines currently available in the literature on the management, treatment and surveillance of AIN III. We also aimed to assess the quality of the studies used to compile the guidelines and to clarify the terminology used in histological assessment. An electronic search of PubMed and Embase was performed using the search terms 'anal intraepithelial neoplasia', 'AIN', 'anal cancer', 'guidelines', 'surveillance' and 'management'. Literature reviews and guidelines or practice guidelines in peer reviewed journals from 1 January 2000 to 31 December 2014 assessing the treatment, surveillance or management of patients with AIN related to human papilloma virus were included. The guidelines identified by the search were assessed for the quality of evidence behind them using the Oxford Centre for Evidence-based Medicine 2011 Levels of Evidence. The database search identified 5159 articles and two further guidelines were sourced from official body guidelines. After inclusion criteria were applied, 28 full-text papers were reviewed. Twenty-five of these were excluded, leaving three guidelines for inclusion in the systematic review: those published by the Association of Coloproctology of Great Britain and Ireland, the American Society of Colon and Rectal Surgeons and the Italian Society of Colorectal Surgery. No guidelines were identified on the management of AIN III from human papilloma virus associations and societies. All three guidelines agree that a high index of clinical suspicion is essential for diagnosing AIN with a disease-specific history, physical examination, digital rectal examination and anal cytology. There is interchange of terminology from high-grade AIN (HGAIN) (which incorporates AIN II/III) and AIN III in the literature leading to confusion in therapy use. Treatment varies

  3. Assessment of predictive dermal exposure to chemicals in the work environment

    OpenAIRE

    Agnieszka Jankowska; Sławomir Czerczak; Małgorzata Kupczewska-Dobecka

    2017-01-01

    Assessment of dermal exposure to chemicals in the work environment is problematic, mainly as a result of the lack of measurement data on occupational exposure to chemicals. Due to common prevalence of occupational skin exposure and its health consequences it is necessary to look for efficient solutions allowing for reliable exposure assessment. The aim of the study is to present predictive models used to assess non-measured dermal exposure, as well as to acquaint Polish users with the princip...

  4. Framework for Multi-Pathway Cumulative Exposure for Comparative Assessments

    DEFF Research Database (Denmark)

    McKone, Tom; Fantke, Peter

    2016-01-01

    to global) environment with information about larger scale populations rather than specific individuals or vulnerable subgroups. Although there can be large uncertainties in this approach, it provides insight on how chemical properties and use patterns map onto population-scale metrics of exposure......-cycle impacts and chemical alternatives. We present a regional case study for pesticide alternatives in an agricultural valley of California to assess the opportunities and future prospects for the multi-pathway cumulative framework in LCA and CAA. This case reveals that the relative contributions to cumulative...... pollutant intake via different exposure pathways depend on (a) persistence of chemicals at different levels of integration (regional, urban-scale, food-web, indoors), (b) basic chemical properties, (c) the retention of chemicals in food webs, and (d) the retention of chemicals by indoor surfaces....

  5. Risk assessment of mercury exposure from dental amalgams

    Energy Technology Data Exchange (ETDEWEB)

    Reinhardt, J.W.

    Much attention is being focused upon the issue of mercury exposure from dental amalgam restorations and the potential for adverse health effects. This controversy has grown beyond the confines of the dental profession itself and is becoming an emotional public health issue. In hope of regaining good health, many dental patients with chronic systemic diseases are considering replacement of their amalgams. Dentists are increasingly being challenged to prove the safety of amalgams. Recently, systematic methods have been established for quantitative evaluation of environmental risks. This study brings together the quantitative methodologies of risk assessment and the knowledge of mercury exposure from dental amalgams to estimate the safety of dental amalgam restorative therapy. Analysis concludes that the margin of safety for mercury toxicity in humans from dental amalgams is approximately 8- to 30-fold. There are many uncertainties involved in this estimate, and further studies are warranted to improve its precision. 48 references.

  6. Determination of the duty cycle of WLAN for realistic radio frequency electromagnetic field exposure assessment.

    Science.gov (United States)

    Joseph, Wout; Pareit, Daan; Vermeeren, Günter; Naudts, Dries; Verloock, Leen; Martens, Luc; Moerman, Ingrid

    2013-01-01

    Wireless Local Area Networks (WLANs) are commonly deployed in various environments. The WLAN data packets are not transmitted continuously but often worst-case exposure of WLAN is assessed, assuming 100% activity and leading to huge overestimations. Actual duty cycles of WLAN are thus of importance for time-averaging of exposure when checking compliance with international guidelines on limiting adverse health effects. In this paper, duty cycles of WLAN using Wi-Fi technology are determined for exposure assessment on large scale at 179 locations for different environments and activities (file transfer, video streaming, audio, surfing on the internet, etc.). The median duty cycle equals 1.4% and the 95th percentile is 10.4% (standard deviation SD = 6.4%). Largest duty cycles are observed in urban and industrial environments. For actual applications, the theoretical upper limit for the WLAN duty cycle is 69.8% and 94.7% for maximum and minimum physical data rate, respectively. For lower data rates, higher duty cycles will occur. Although counterintuitive at first sight, poor WLAN connections result in higher possible exposures. File transfer at maximum data rate results in median duty cycles of 47.6% (SD = 16%), while it results in median values of 91.5% (SD = 18%) at minimum data rate. Surfing and audio streaming are less intensively using the wireless medium and therefore have median duty cycles lower than 3.2% (SD = 0.5-7.5%). For a specific example, overestimations up to a factor 8 for electric fields occur, when considering 100% activity compared to realistic duty cycles. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Children's exposure to indoor air in urban nurseries--Part II: Gaseous pollutants' assessment.

    Science.gov (United States)

    Branco, P T B S; Nunes, R A O; Alvim-Ferraz, M C M; Martins, F G; Sousa, S I V

    2015-10-01

    This study, Part II of the larger study "Children's exposure to indoor air in urban nurseries", aimed to: (i) evaluate nursery schools' indoor concentrations of several air pollutants in class and lunch rooms; and (ii) analyse them according to guidelines and references. Indoor continuous measurements were performed, and outdoor concentrations were obtained to determine indoor/outdoor ratios. The influence of outdoor air seemed to be determinant on carbon monoxide (CO), nitrogen dioxide (NO2) and ozone (O3) indoor concentrations. The peak concentrations of formaldehyde and volatile organic compounds (VOC) registered (highest concentrations of 204 and 2320 µg m(-3) respectively), indicated the presence of specific indoor sources of these pollutants, namely materials emitting formaldehyde and products emitting VOC associated to cleaning and children's specific activities (like paints and glues). For formaldehyde, baseline constant concentrations along the day were also found in some of the studied rooms, which enhances the importance of detailing the study of children's short and long-term exposure to this indoor air pollutant. While CO, NO2 and O3 never exceeded the national and international reference values for IAQ and health protection, exceedances were found for formaldehyde and VOC. For this reason, a health risk assessment approach could be interesting for future research to assess children's health risks of exposure to formaldehyde and to VOC concentrations in nursery schools. Changing cleaning schedules and materials emitting formaldehyde, and more efficient ventilation while using products emitting VOC, with the correct amount and distribution of fresh air, would decrease children's exposure. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Spectral analysis to assess exposure to extremely low frequency magnetic fields in cars.

    Science.gov (United States)

    Paniagua, Jesús M; Rufo, Montaña; Jiménez, Antonio; Antolín, Alicia; Barberá, Jorge

    2017-04-15

    A type of contamination that has been little studied in cars comes from the extremely low frequency (ELF) magnetic fields generated by the vehicle's electrical devices and the magnetized metal in the tyres. The magnetic fields in cars are frequently analysed with broadband meters sensitive to a frequency range above 30Hz. This has the disadvantage that they neither detect the magnetic field of the spinning tyres nor give any information on the spectral components, which makes it impossible to adequately assess exposure. The objective of the present study was to perform spectral analyses of ELF magnetic fields in cars, to identify their frequencies, and to assess exposure based on the ICNIRP regulatory guidelines. To do this, a meter and a spectrum analyser sensitive to magnetic fields in the 5Hz-2kHz frequency range were used. Spectra were acquired for different seats, heights, and speeds, and spatially averaged exposure coefficients were calculated. The results indicated that the main emissions were detected in the 5-100Hz range, where the wheel rotation frequencies and their harmonics are found. The intensity of the rest of the emissions were negligible in comparison. The exposure quotient increases with speed, and is approximately twice as great at foot level as at head level. The magnetic field levels are lower than the reference levels (the maximum represents 3% of the ICNIRP standard), but higher than those found in residential environments and than the cut-off threshold used by the IARC to classify ELF magnetic fields in Group 2B. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Risk assessment of exposure to radon decay products

    Energy Technology Data Exchange (ETDEWEB)

    Monchaux, G

    1999-07-01

    The aim of this project was to assess the risk due to inhalation of radon and its decay products using an horizontal approach across a large scale research programme. The central objective was the assessment of human risk which requires combination of several topics involving a multidisciplinary approach. In the Aerosol Studies Group, progress was achieved in improvement, calibration and automation of experimental techniques for continuous and integrated measurements of the unattached fraction f{sub p}- and equilibrium factor F- values. Measurements were performed to determine the variation of size distributions of unattached and aerosol-associated radon decay products under typical living conditions. All aerosol groups performed controlled chamber studies to understand the basic behaviour of airborne activity concentrations. Measurements were performed to determine neutralisation rates of {sup 218}Po, to understand the cluster growth with residence time and to understand the hygroscopic growth of aerosol particles. In the Modelling Group, the programme RADEP has been developed to calculate the weighted committed equivalent lung dose per unit exposure of radon progeny (H{sub w}/P{sub p}) which implements the ICRP Publication 66 Human Respiratory Tract Model (HRTM). The stochastic deposition model (IDEAL) has been compared with the deposition model used by the HRTM, and the agreement between the two deposition models was excellent. A deterministic radon progeny dosimetry model (RADOS) has been developed. This model includes all bronchial airway generations compared with the HRTM that groups the 16 airway generations into three regions. Initial calculations with RADOS show that the basal and secretory cell doses are slightly smaller compared with that of the HRTM. A sensitivity analysis has been performed that has identified those HRTM model parameters that most affect the Hw/Pp. A stochastic rat deposition model (RALMO) and a clearance model for the rat based on the

  10. Reducing aquatic hazards of industrial chemicals: probabilistic assessment of sustainable molecular design guidelines.

    Science.gov (United States)

    Connors, Kristin A; Voutchkova-Kostal, Adelina M; Kostal, Jakub; Anastas, Paul; Zimmerman, Julie B; Brooks, Bryan W

    2014-08-01

    Basic toxicological information is lacking for the majority of industrial chemicals. In addition to increasing empirical toxicity data through additional testing, prospective computational approaches to drug development aim to serve as a rational basis for the design of chemicals with reduced toxicity. Recent work has resulted in the derivation of a "rule of 2," wherein chemicals with an octanol-water partition coefficient (log P) less than 2 and a difference between the lowest unoccupied molecular orbital and the highest occupied molecular orbital (ΔE) greater than 9 (log P9 eV) are predicted to be 4 to 5 times less likely to elicit acute or chronic toxicity to model aquatic organisms. The present study examines potential reduction of aquatic toxicity hazards from industrial chemicals if these 2 molecular design guidelines were employed. Probabilistic hazard assessment approaches were used to model the likelihood of encountering industrial chemicals exceeding toxicological categories of concern both with and without the rule of 2. Modeling predicted that utilization of these molecular design guidelines for log P and ΔE would appreciably decrease the number of chemicals that would be designated to be of "high" and "very high" concern for acute and chronic toxicity to standard model aquatic organisms and end points as defined by the US Environmental Protection Agency. For example, 14.5% of chemicals were categorized as having high and very high acute toxicity to the fathead minnow model, whereas only 3.3% of chemicals conforming to the design guidelines were predicted to be in these categories. Considerations of specific chemical classes (e.g., aldehydes), chemical attributes (e.g., ionization), and adverse outcome pathways in representative species (e.g., receptor-mediated responses) could be used to derive future property guidelines for broader classes of contaminants. © 2014 SETAC.

  11. Assessment of exposure to mixture pollutants in Mexican indigenous children.

    Science.gov (United States)

    Flores-Ramírez, R; Pérez-Vázquez, F J; Cilia-López, V G; Zuki-Orozco, B A; Carrizales, L; Batres-Esquivel, L E; Palacios-Ramírez, A; Díaz-Barriga, F

    2016-05-01

    The aim of the present work was to complete an exposure assessment in three Mexican indigenous communities using the community-based health risk assessment, which is the first step in the CHILD framework. We used 1-hydroxypyrene (1-OHP) as an exposure biomarker to polycyclic aromatic hydrocarbons (PAHs) and trans, trans-muconic acid (t,t-MA) as an exposure biomarker to benzene, persistent organic pollutants (POPs), lead, manganese, arsenic, and fluoride. Anthropometric measurements were also taken. In these communities, high percentages of children with chronic malnutrition were found (28 to 49 %) based on their weight and age. All communities showed a high percentage of children with detectable levels of four or more compounds (70 to 82 %). Additionally, our results showed that in indigenous communities, children are exposed to elevated levels of certain environmental pollutants, including manganese with 17.6, 16.8, and 7.3 μg/L from SMP, TOC, and CUA, respectively. Lead and HCB levels were similar in the indigenous communities (2.5, 3.1, and 4.2 μg/dL and 2.5, 3.1, and 3.7 ng/mL, respectively). 1-OHP and t,t-MA levels were higher in TOC (0.8 μmol/mol of creatinine, 476 μg/g of creatinine, respectively) when compared with SMP (0.1 μmol/mol of creatinine, 215.5 μg/g of creatinine, respectively) and CUA (0.1 μmol/mol of creatinine, 185.2 μg/g of creatinine, respectively). DDE levels were 30.7, 26.9, and 9.6 ng/mL in CUA, SMP, and TOC, respectively. The strength of this study is that it assesses exposure to pollutants with indications for the resultant risk before an intervention is made by the CHILD program to manage this risk in the indigenous communities. Considering the large number of people, especially children, exposed to multiple pollutants, it is important to design effective intervention programs that reduce exposure and the resultant risk in the numerous indigenous communities in Mexico.

  12. Appraisal of the Glasgow assessment and management of alcohol guideline: a comprehensive alcohol management protocol for use in general hospitals.

    Science.gov (United States)

    McPherson, A; Benson, G; Forrest, E H

    2012-07-01

    Guidelines exist for the management of alcohol withdrawal syndrome (AWS) but few have been assessed as to their suitability for general hospitals. The Glasgow Assessment and Management guideline for alcohol has been specifically developed for use in this context. To determine if this alcohol assessment guideline aids the management of AWS in general hospitals. The four components of the Glasgow Assessment and Management of Alcohol guideline were evaluated. This included the use of the Fast Alcohol Screening Test (FAST) to identify at risk patients, a risk stratification strategy to indicate fixed dose or symptom-triggered benzodiazepine treatment, the Glasgow Modified Alcohol Withdrawal Scale (GMAWS) for symptom-triggered treatment and a clear recommendation for vitamin prophylaxis of Wernicke's encephalopathy. FAST scores were assessed along with the CAGE (cut down, annoyed, guilty and eye-opener) screening tool to ascertain if a single screening tool could identify hazardous and dependent drinking. The GMAWS and Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) were compared between two medical units. A staff survey of the two AWS tools was also carried out. FAST was able to identify both probable hazardous and dependent drinking. The GMAWS was reliable and gauged both physical and cognitive aspects of AWS. Staff generally preferred the GMAWS-based treatment as opposed to CIWA-Ar management and welcomed the Guideline as a whole. The Glasgow Guideline aids the management of patients with AWS in an acute hospital setting. It allows early identification of at risk patients and directs effective therapeutic intervention.

  13. Guidelines for the assessment and acceptance of potential brain-dead organ donors.

    Science.gov (United States)

    Westphal, Glauco Adrieno; Garcia, Valter Duro; Souza, Rafael Lisboa de; Franke, Cristiano Augusto; Vieira, Kalinca Daberkow; Birckholz, Viviane Renata Zaclikevis; Machado, Miriam Cristine; Almeida, Eliana Régia Barbosa de; Machado, Fernando Osni; Sardinha, Luiz Antônio da Costa; Wanzuita, Raquel; Silvado, Carlos Eduardo Soares; Costa, Gerson; Braatz, Vera; Caldeira Filho, Milton; Furtado, Rodrigo; Tannous, Luana Alves; Albuquerque, André Gustavo Neves de; Abdala, Edson

    2016-09-01

    Organ transplantation is the only alternative for many patients with terminal diseases. The increasing disproportion between the high demand for organ transplants and the low rate of transplants actually performed is worrisome. Some of the causes of this disproportion are errors in the identification of potential organ donors and in the determination of contraindications by the attending staff. Therefore, the aim of the present document is to provide guidelines for intensive care multi-professional staffs for the recognition, assessment and acceptance of potential organ donors.

  14. Urinary biomarkers of smokers’ exposure to tobacco smoke constituents in tobacco products assessment: a fit for purpose approach

    Science.gov (United States)

    Gregg, Evan O.; Minet, Emmanuel

    2013-01-01

    There are established guidelines for bioanalytical assay validation and qualification of biomarkers. In this review, they were applied to a panel of urinary biomarkers of tobacco smoke exposure as part of a “fit for purpose” approach to the assessment of smoke constituents exposure in groups of tobacco product smokers. Clinical studies have allowed the identification of a group of tobacco exposure biomarkers demonstrating a good doseresponse relationship whilst others such as dihydroxybutyl mercapturic acid and 2-carboxy-1-methylethylmercapturic acid – did not reproducibly discriminate smokers and non-smokers. Furthermore, there are currently no agreed common reference standards to measure absolute concentrations and few inter-laboratory trials have been performed to establish consensus values for interim standards. Thus, we also discuss in this review additional requirements for the generation of robust data on urinary biomarkers, including toxicant metabolism and disposition, method validation and qualification for use in tobacco products comparison studies. PMID:23902266

  15. Urinary biomarkers of smokers' exposure to tobacco smoke constituents in tobacco products assessment: a fit for purpose approach.

    Science.gov (United States)

    Gregg, Evan O; Minet, Emmanuel; McEwan, Michael

    2013-09-01

    There are established guidelines for bioanalytical assay validation and qualification of biomarkers. In this review, they were applied to a panel of urinary biomarkers of tobacco smoke exposure as part of a "fit for purpose" approach to the assessment of smoke constituents exposure in groups of tobacco product smokers. Clinical studies have allowed the identification of a group of tobacco exposure biomarkers demonstrating a good doseresponse relationship whilst others such as dihydroxybutyl mercapturic acid and 2-carboxy-1-methylethylmercapturic acid - did not reproducibly discriminate smokers and non-smokers. Furthermore, there are currently no agreed common reference standards to measure absolute concentrations and few inter-laboratory trials have been performed to establish consensus values for interim standards. Thus, we also discuss in this review additional requirements for the generation of robust data on urinary biomarkers, including toxicant metabolism and disposition, method validation and qualification for use in tobacco products comparison studies.

  16. [Assessment of a risk from exposure to atmosphere bus industrial emissions].

    Science.gov (United States)

    Stepkin, Iu I; Kuzmichev, M K

    2009-01-01

    The carcinogenic and noncarcinogenic risks to health were estimated in accordance with the requirements stated in the guide P 2.1.10.1920-04 "Guidelines for assessing the health risk in the population exposed to the chemicals polluting the environment" (approved by G. G. Onishchenko, state sanitary inspector on March 5, 2004) and comprised four successive steps: 1) identification of a hazard; 2) estimation of a dose-response relationship; 3) evaluation of exposure of the population to chemical substances; 4) characterization of a risk, by calculating the individual carcinogenic risk, hazard coefficients and indices characterizing the noncarcinogenic risk. The performed assessment of the health risk to the population living in the area exposed to the ambient air pollutant emissions by the AOA "Shinnyi Kompleks Amtel-Chenozymye" (Amtel-Chernozem Tyre Complex) allowed determination of priority pollutants, by taking into account their effect on human health. The individual carcinogenic risk to health has been found to be higher than the acceptable (safe) level (10-4) was due to the probable exposure to a 2-heptane fraction (nefras ChS 94/99) and hexavalent chromium. The highest non-carcinogenic risk to human was also due to the heptane fraction (nefras ChS 94/99) (hazard coefficient > 1).

  17. Probabilistic mercury multimedia exposure assessment in small children and risk assessment.

    Science.gov (United States)

    Morisset, Typhaine; Ramirez-Martinez, Alejandra; Wesolek, Nathalie; Roudot, Alain-Claude

    2013-09-01

    Emissions of mercury in the environment have been decreasing for several years. However, mercury species are still found in different media (food, water, air and breast-milk). Due to mercury toxicity and typical behaviour in children, we have conducted a mercury exposure assessment in French babies, and small children aged 0 to 36months. Consumption and mercury concentration data were chosen for the exposure assessment. The Monte Carlo technique has been used to calculate the weekly exposure dose in order to integrate inter-individual variability and parameter uncertainty. Exposure values have been compared to toxicological reference values for health risk assessment. Inorganic mercury median exposure levels ranged from 0.160 to 1.649μg/kg of body weight per week (95th percentile (P95): 0.298-2.027µg/kg bw/week); elemental mercury median exposure level in children was 0.11ng/kg bw/week (P95: 28ng/kg bw/week); and methylmercury median exposure level ranged from 0.247 to 0.273µg/kg bw/week (P95: 0.425-0.463µg/kg bw/week). Only elemental mercury by inhalation route (indoor air) and methylmercury by ingestion (fish and breast-milk) seem to lead to a health risk in small children. These results confirm the importance of assessing total mercury concentration in media like breast-milk, indoor air and dust and methylmercury level in food, other than fish and seafood. In this way, informed monitoring plan and risk assessment in an at-risk sub-population can be set. © 2013 Elsevier Ltd. All rights reserved.

  18. Major national human biomonitoring programs in chemical exposure assessment

    Directory of Open Access Journals (Sweden)

    Judy Choi

    2015-07-01

    Full Text Available Human biomonitoring (HBM programs have been established in several countries around the world in order to monitor the levels of chemical exposures in the general population and qualify health risk assessment of national and international interest. Study design, population, sample collection, and chemical analysis must be considered when comparing and interpreting the results. In this review, the objectives and brief descriptions of the major national HBM programs in North America, Europe, and Asia are provided. Similarities and differences observed from a comparative analysis among these programs, including the stratification of data according to age, sex, socioeconomic background, etc. as well as the identification of chemical exposure associated with food intake, are discussed. Overall, although there are some discrepancies in the study designs among the reviewed national HBM programs, results from the programs can provide useful information such as chemical levels found within the general population of a country that can be compared. Furthermore, the results can be used by regulatory authorities or the government to enforce legislations in order to reduce the exposure of chemicals into the human body.

  19. Exposure assessment of workers in printed electronics workplace.

    Science.gov (United States)

    Lee, Ji Hyun; Sohn, Eun Kyung; Ahn, Jin Soo; Ahn, Kangho; Kim, Keun Soo; Lee, Jong Hwan; Lee, Taik Min; Yu, Il Je

    2013-07-01

    Printed electronics uses converging technologies, such as printing, fine mechanics, nanotechnology, electronics and other new technologies. Consequently, printed electronics raises additional health and safety concerns to those experienced in the traditional printing industry. This study investigated two printed electronics workplaces based on a walk-through survey and personal and area sampling. All the printed electronics operations were conducted in a cleanroom. No indication of exposure to excess silver nanoparticles or carbon nanotubes (CNTs) was found. While the organic solvents were lower than current occupational exposure limits, there was a lack of engineering controls, such as local exhaust ventilation, correct enclosure and duct connections. There was also an insufficient quantity of personal protective equipment, and some organic solvents not described in the safety data sheets (SDSs) were detected in the air samples. Plus, the cleaning work, a major emissions operation, was not conducted within a hood, and the cleaning waste was not properly disposed of. Therefore, the present exposure assessment results from two printed electronics workplaces suggest that the printed electronics industry needs to take note of the occupational safety and health risks and hazards already established by the traditional printing industry, along with new risks and hazards originating from converging technologies such as nanotechnology.

  20. Mercury contamination and exposure assessment of fishery products in Korea.

    Science.gov (United States)

    Yang, Hye-Ran; Kim, Na-Young; Hwang, Lae-Hong; Park, Ju-Sung; Kim, Jung-Hun

    2015-01-01

    In this study, total (T-Hg) and methyl mercury (Me-Hg) contamination was investigated in fishery products including canned fish, fish sauces, dried bonito and frozen tuna sashimi, collected from retail markets in Korea, to assess dietary exposure. Direct mercury analyser and gas chromatography-electron captured detector were employed to measure T-Hg and Me-Hg, respectively. The highest T-Hg and Me-Hg contamination was present in tuna sashimi, followed by dried bonito, respectively. Canned tuna showed more frequent detection and higher content than other canned fishery products. The weekly exposure estimate indicates that exposure to mercury from fishery products is safe, showing 2.59% provisional tolerable weekly intake (PTWI) for T-Hg, 1.82% PTWI for Me-Hg and 4.16% reference dose for Me-Hg. However, it should be addressed to monitor the mercury contamination in fish and fishery products regularly, to safeguard vulnerable population such as children, to limit intake of these food products.

  1. Assessment of noise exposures in a pediatric dentistry residency clinic.

    Science.gov (United States)

    Jadid, Khaled; Klein, Ulrich; Meinke, Deanna

    2011-01-01

    In addition to sounds from dental equipment, pediatric dentists are exposed to noise produced by precooperative and/or noncooperative children. The purpose of this study was to evaluate the daily personal noise exposure of a pediatric dentistry resident while treating children in a teaching clinic to determine both comprehensive noise doses and peak noise occurrences as well as to assess the risk for noise-induced hearing loss. A noise dosimeter (Noise-Pro DLX) was used to measure the total personal noise exposure dose using the Occupational Safety and Health Administration (OSHA) Hearing Conservation Amendment criteria and the US National Institute for Occupational Safety and Health (NIOSH) occupational noise exposure revised criteria. Comprehensive noise doses for 31 days were obtained for a single resident. OSHA and NIOSH-allowable limits were not exceeded during any one day in the study period. Noise levels during crying episodes, however, were higher than the reported noise levels of dental instruments and reached maximum levels of 112.9 dBA. Noise levels to which the pediatric dental resident was exposed fell below the Occupational Safety and Health Administration's and National Institute for Occupational Safety and Health's damage-risk thresholds for noise-induced hearing loss.

  2. Assessing protection against radiation exposure after prostate (125)I brachytherapy.

    Science.gov (United States)

    Hanada, Takashi; Yorozu, Atsunori; Kikumura, Riki; Ohashi, Toshio; Shigematsu, Naoyuki

    2014-01-01

    To expand the radiation dose rate measurement data set by measuring radiation under various prostate (125)I brachytherapy situations. Measurements were obtained from 63 consecutive unselected patients at Tokyo Medical Center, Japan. Differences in factors during measurements, such as body postures, distances from the skin surface, and measurement directions were considered. Furthermore, shielding effects of lead-lined underwear, consisting mainly of 0.1-mm thickness of lead, were also assessed. Radiation exposure varies according to the patient's body posture, with results differing as much as approximately 40.0% in measured radiation dose rates at 30cm from the anterior skin surface. Weight, body mass index, and tissue thickness showed good correlations with measured radiation dose rates. The magnitude of radiation exposure attenuation by shielding was approximately 95.8%, similar to the attenuation ratio based on tissue measurements made in the lateral direction. The respective mean times required to reach 1mSv were 1.2, 7.6, and 65.4 days in the standing position and 0.6, 4.6, and 40.4 days in the supine position at the site of contact, and at 30 and 100cm from the anterior skin surface. This study obtained supplemental information pertaining to radiological protection and confirmed that shielding can be an effective tool for reducing exposures. Copyright © 2014 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

  3. Assessing the IADC Space Debris Mitigation Guidelines: A Case for Ontology-based Data Management

    Science.gov (United States)

    Walls, R.; Gaylor, D.; Reddy, V.; Furfaro, R.; Jah, M.

    2016-09-01

    As the population of man-made debris orbiting the Earth increases, so does the risk of damaging collisions. The Inter-Agency Space Debris Coordination Committee (IADC) has issued space debris mitigation guidelines including a key recommendation that before mission's end, spacecraft should move far enough from GEO so as not to be an operational hazard to other objects in active missions. It can be extremely difficult to determine if a spacecraft or operator is in compliance with this guideline, as it requires prediction of future actions based upon many data types. Furthermore, there has been no comprehensive assessment of the adequacy or validity of the IADC recommendations. The EU strives for a Code of Conduct in space, the United Nations-Committee On Peaceful Uses of Outer Space (UN-COPUOS) strives for guidelines to ensure the Long Term Sustainability of Space Activities (LTSSA), the FAA is concerned with Space Traffic Management (STM), etc. If rules, policies, guidelines, and laws are put in place, how can any entity know who and what is adhering to them, when we don't even know how to quantify and assess behavior of space objects? The University of Arizona aims to address this salient issue. As part of its new Space Object Behavioral Sciences (SOBS) initiative, the University of Arizona is developing an ontology-based system to support integration, use, and sharing of space domain data. As a first use-case, we will test the system's ability to assess compliance with the IADC recommendation to move beyond GEO at the end of a mission as well as the adequacy and validity of recommendations. We describe the relevant data types gathered for this use-case, present a prototype ontology, and outline methods for combining semantic analysis with astrodynamics modeling. Without loss of generality, we present this method as an approach that will form the foundation of SOBS and be used to address pressing challenges in Space Situational Awareness (SSA), Orbital Safety

  4. 78 FR 14510 - Notice of Availability of New Guidelines for Pest Risk Assessments of Imported Fruits and Vegetables

    Science.gov (United States)

    2013-03-06

    ... Assessments of Imported Fruits and Vegetables AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION... health pest risk assessments for imported fruit and vegetable commodities. These new guidelines are...-initiated, qualitative pest risk assessments (PRAs) for imports of fruits and vegetables. A PRA is defined...

  5. Assessing the Health and Performance Risks of Carbon Dioxide Exposures

    Science.gov (United States)

    James, John T.; Meyers, V. E.; Alexander, D.

    2010-01-01

    provide no more than partial answers to the questions of environmental interactions, interindividual variability, and optimal control levels. Future prospective studies should involve assessment of astronaut well being using sophisticated measures during exposures to levels of CO2 in the range from 2 to 8 mmHg.

  6. Assessment of General Public Exposure to LTE signals compared to other Cellular Networks Present in Thessaloniki, Greece.

    Science.gov (United States)

    Gkonis, Fotios; Boursianis, Achilles; Samaras, Theodoros

    2017-07-01

    To assess general public exposure to electromagnetic fields from Long Term Evolution (LTE) base stations, measurements at 10 sites in Thessaloniki, Greece were performed. Results are compared with other mobile cellular networks currently in use. All exposure values satisfy the guidelines for general public exposure of the International Commission on Non-Ionizing Radiation Protection (ICNIRP), as well as the reference levels by the Greek legislation at all sites. LTE electric field measurements were recorded up to 0.645 V/m. By applying the ICNIRP guidelines, the exposure ratio for all LTE signals is between 2.9 × 10-5 and 2.8 × 10-2. From the measurements results it is concluded that the average and maximum power density contribution of LTE downlink signals to the overall cellular networks signals are 7.8% and 36.7%, respectively. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Assessing Mammal Exposure to Climate Change in the Brazilian Amazon.

    Science.gov (United States)

    Ribeiro, Bruno R; Sales, Lilian P; De Marco, Paulo; Loyola, Rafael

    2016-01-01

    Human-induced climate change is considered a conspicuous threat to biodiversity in the 21st century. Species' response to climate change depends on their exposition, sensitivity and ability to adapt to novel climates. Exposure to climate change is however uneven within species' range, so that some populations may be more at risk than others. Identifying the regions most exposed to climate change is therefore a first and pivotal step on determining species' vulnerability across their geographic ranges. Here, we aimed at quantifying mammal local exposure to climate change across species' ranges. We identified areas in the Brazilian Amazon where mammals will be critically exposed to non-analogue climates in the future with different variables predicted by 15 global circulation climate forecasts. We also built a null model to assess the effectiveness of the Amazon protected areas in buffering the effects of climate change on mammals, using an innovative and more realistic approach. We found that 85% of species are likely to be exposed to non-analogue climatic conditions in more than 80% of their ranges by 2070. That percentage is even higher for endemic mammals; almost all endemic species are predicted to be exposed in more than 80% of their range. Exposure patterns also varied with different climatic variables and seem to be geographically structured. Western and northern Amazon species are more likely to experience temperature anomalies while northeastern species will be more affected by rainfall abnormality. We also observed an increase in the number of critically-exposed species from 2050 to 2070. Overall, our results indicate that mammals might face high exposure to climate change and that protected areas will probably not be efficient enough to avert those impacts.

  8. Assessing Mammal Exposure to Climate Change in the Brazilian Amazon.

    Directory of Open Access Journals (Sweden)

    Bruno R Ribeiro

    Full Text Available Human-induced climate change is considered a conspicuous threat to biodiversity in the 21st century. Species' response to climate change depends on their exposition, sensitivity and ability to adapt to novel climates. Exposure to climate change is however uneven within species' range, so that some populations may be more at risk than others. Identifying the regions most exposed to climate change is therefore a first and pivotal step on determining species' vulnerability across their geographic ranges. Here, we aimed at quantifying mammal local exposure to climate change across species' ranges. We identified areas in the Brazilian Amazon where mammals will be critically exposed to non-analogue climates in the future with different variables predicted by 15 global circulation climate forecasts. We also built a null model to assess the effectiveness of the Amazon protected areas in buffering the effects of climate change on mammals, using an innovative and more realistic approach. We found that 85% of species are likely to be exposed to non-analogue climatic conditions in more than 80% of their ranges by 2070. That percentage is even higher for endemic mammals; almost all endemic species are predicted to be exposed in more than 80% of their range. Exposure patterns also varied with different climatic variables and seem to be geographically structured. Western and northern Amazon species are more likely to experience temperature anomalies while northeastern species will be more affected by rainfall abnormality. We also observed an increase in the number of critically-exposed species from 2050 to 2070. Overall, our results indicate that mammals might face high exposure to climate change and that protected areas will probably not be efficient enough to avert those impacts.

  9. Quantifying human exposure to air pollution - moving from static monitoring to spatio-temporally resolved personal exposure assessment

    DEFF Research Database (Denmark)

    Steinle, Susanne; Reis, Stefan; Sabel, Clive E

    2013-01-01

    distributions. New developments in sensor technology now enable us to monitor personal exposure to air pollutants directly while people are moving through their activity spaces and varying concentration fields. The literature review on which this paper is based on reflects recent developments in the assessment...... for the integrated assessment of human exposure to air pollutants taking into account latest technological capabilities and contextual information. Highlights ? We review and discuss recent developments and advances of research into personal exposure to air pollution. ? We emphasise the importance of personal...... exposure studies to accurately assess human health risks. ? We discuss potential and shortcomings of methods and tools with a focus on how their development influences study design. ? We propose a novel conceptual model for integrated health impact assessment of human exposure to air pollutants. ? We...

  10. Southern African guidelines on the safe use of pre-exposure prophylaxis in persons at risk of acquiring HIV-1 infection

    Directory of Open Access Journals (Sweden)

    Linda-Gail Bekker

    2016-03-01

    Full Text Available The Southern African HIV Clinicians Society published its first set of oral pre-exposure prophylaxis (PrEP guidelines in June 2012 for men who have sex with men (MSM who are at risk of HIV infection. With the flurry of data that has been generated in PrEP clinical research since the first guideline, it became evident that there was a need to revise and expand the PrEP guidelines with new evidence of safety and efficacy of PrEP in several populations, including MSM, transgender persons, heterosexual men and women, HIV-serodiscordant couples and people who inject drugs. This need is particularly relevant following the World Health Organization (WHO Consolidated Treatment Guidelines released in September 2015. These guidelines advise that PrEP is a highly effective, safe, biomedical option for HIV prevention that can be incorporated with other combination prevention strategies in Southern Africa, given the high prevalence of HIV in the region. PrEP should be tailored to populations at highest risk of HIV acquisition, whilst further data from studies in the region accrue to guide optimal deployment to realise the greatest impact regionally. PrEP may be used intermittently during periods of perceived HIV acquisition risk, rather than continually and lifelong, as is the case with antiretroviral treatment. Recognition and accurate measurement of potential risk in individuals and populations also warrants discussion, but are not extensively covered in these guidelines.

  11. Southern African guidelines on the safe use of pre-exposure prophylaxis in persons at risk of acquiring HIV-1 infection

    Directory of Open Access Journals (Sweden)

    Linda-Gail Bekker

    2016-02-01

    Full Text Available The Southern African HIV Clinicians Society published its first set of oral pre-exposure prophylaxis (PrEP guidelines in June 2012 for men who have sex with men (MSM who are at risk of HIV infection. With the flurry of data that has been generated in PrEP clinical research since the first guideline, it became evident that there was a need to revise and expand the PrEP guidelines with new evidence of safety and efficacy of PrEP in several populations, including MSM, transgender persons, heterosexual men and women, HIV-serodiscordant couples and people who inject drugs. This need is particularly relevant following the World Health Organization (WHO Consolidated Treatment Guidelines released in September 2015. These guidelines advise that PrEP is a highly effective, safe, biomedical option for HIV prevention that can be incorporated with other combination prevention strategies in Southern Africa, given the high prevalence of HIV in the region. PrEP should be tailored to populations at highest risk of HIV acquisition, whilst further data from studies in the region accrue to guide optimal deployment to realise the greatest impact regionally. PrEP may be used intermittently during periods of perceived HIV acquisition risk, rather than continually and lifelong, as is the case with antiretroviral treatment. Recognition and accurate measurement of potential risk in individuals and populations also warrants discussion, but are not extensively covered in these guidelines.

  12. Air pollution in moderately polluted urban areas: How does the definition of "neighborhood" impact exposure assessment?

    OpenAIRE

    TENAILLEAU, Quentin; Mauny, Frédéric; Joly, Daniel; François, Stéphane; Bernard, Nadine

    2015-01-01

    International audience; Environmental health studies commonly quantify subjects' pollution exposure in their neighborhood. How this neighborhood is defined can vary, however, leading to different approaches to quantification whose impacts on exposure levels remain unclear. We explore the relationship between neighborhood definition and exposure assessment. NO 2 , benzene, PM 10 and PM 2.5 exposure estimates were computed in the vicinity of 10,825 buildings using twelve exposure assessment tec...

  13. Assessing Climate Change Impacts on Wildfire Exposure in Mediterranean Areas.

    Science.gov (United States)

    Lozano, Olga M; Salis, Michele; Ager, Alan A; Arca, Bachisio; Alcasena, Fermin J; Monteiro, Antonio T; Finney, Mark A; Del Giudice, Liliana; Scoccimarro, Enrico; Spano, Donatella

    2017-10-01

    We used simulation modeling to assess potential climate change impacts on wildfire exposure in Italy and Corsica (France). Weather data were obtained from a regional climate model for the period 1981-2070 using the IPCC A1B emissions scenario. Wildfire simulations were performed with the minimum travel time fire spread algorithm using predicted fuel moisture, wind speed, and wind direction to simulate expected changes in weather for three climatic periods (1981-2010, 2011-2040, and 2041-2070). Overall, the wildfire simulations showed very slight changes in flame length, while other outputs such as burn probability and fire size increased significantly in the second future period (2041-2070), especially in the southern portion of the study area. The projected changes fuel moisture could result in a lengthening of the fire season for the entire study area. This work represents the first application in Europe of a methodology based on high resolution (250 m) landscape wildfire modeling to assess potential impacts of climate changes on wildfire exposure at a national scale. The findings can provide information and support in wildfire management planning and fire risk mitigation activities. © 2016 Society for Risk Analysis.

  14. ASSESSMENT OF BAGGING OPERATORS EXPOSURE TO WITH PVC AIRBORNE PARTICULATES

    Directory of Open Access Journals (Sweden)

    H. Asilian, M. Nasseri Nejad, S. B. Mortazavi, M. J. Jafari, A. Khavanin, A. R. Dehdashti

    2008-07-01

    Full Text Available Dust consists of tiny solid particles carried by air currents. These particles are formed by many different processes. One of these processes is polymerization of inert plastic such as Polyvinyl Chloride production plant. According to the Occupational Health and Safety Assessment Series requirements, section 4.4.6, occupational health and safety risks must be defined and controlled where needed. This field study was conducted to evaluate the occupational exposure of packaging operators to airborne polyvinyl chloride dust in order to health risk assessment and recommend feasible controlling methods. The mass concentration of polyvinyl chloride particulate was measured in two fractions according to the particle size that expressed as total and respirable particulates. The Air Sampling Methods, Methods for the Determination of Hazardous Substances 14/3, of Health and Safety Executive were used as a standard sampling protocol. The average mass concentrations for respirable and total particulates were measured 3.54±0.3 mg/m3 and 11.89±0.8 mg/m3 respectively. Also health risks of studied condition were estimated as significant level, category one, therefore the risk must be reduced below the standard level. According to the work requirements to reduce the emission rate and mitigate the health risk exposure, a local exhaust ventilation system design was recommended for bag-filters of hopper tank.

  15. Risk assessment and management of occupational exposure to pesticides.

    Science.gov (United States)

    Maroni, M; Fait, A; Colosio, C

    1999-06-30

    Occupational exposure to pesticides in agriculture and public health applications may cause acute and long-term health effects. Prevention of adverse effects in the users requires actions to be undertaken in the pre-marketing and post-marketing phase of these products. The pre-marketing preventive actions are primary responsibility of industry and the public administration. Admission of pesticide use (registration) is carried out by considering the toxicological properties of each pesticide (hazard identification), determining the dose-response relationship (NOEL identification), assessing or predicting the exposure level in the various scenarios of their use, and characterising the risk. The decision about admission takes into consideration the balance between risks and benefits. The post-marketing preventive activities consist of the promotion of a proper risk management at the workplace. Such a management includes the risk assessment of the specific conditions of use, the adoption of proper work practices, and the health surveillance of the workers. Each country should develop an adequate National Plan for Prevention of Pesticide Risk which allocates different roles and tasks at the central, regional and local level.

  16. Tri-Service Procedural Guidelines for Ecological Risk Assessments. Volume 1.

    Science.gov (United States)

    1996-05-01

    Acheta domesticus to acridine. Environ. Entomol. 9:18-20. B-93 Technique Name: Terrestrial Arthropods (non-insect) and isopods...US EPA 1982). Crickets and harvester ants have been used on a limited basis within an ecological effects assessment. Adult house crickets ( Acheta ... domesticus ) were exposed to acridine via the diet, and following 18-day exposures lethality and sublethal effects were determined. House crickets and

  17. A structured observational method to assess dermal exposure to manufactured nanoparticles: DREAM as an initial assessment tool

    NARCIS (Netherlands)

    Duuren-Stuurman, B. van; Pelzer, J.; Moehlmann, C.; Berges, M.; Bard, D.; Wake, D.; Mark, D.; Jankowska, E.; Brouwer, D.

    2010-01-01

    Preliminary results of inventories of exposure scenarios for nanomaterials have indicated possible dermal exposure. Within the NANOSH project focused on occupational safety and health aspects of nanotechnology a shortened version of the observational DeRmal Exposure AssessMent (DREAM) method was

  18. [Exposure risk assessment of plasticizer in dietary food in Xiamen].

    Science.gov (United States)

    Zhuang, Qunying; Yang, Yue; Su, Yanhua; Lyu, Chanwen; Wang, Sumei; Yu, Huan; Qin, Mengting; Li, Yanni; Zhao, Benhua

    2014-07-01

    To understand the dietary consumption of residents in Xiamen and the content of phthalic acid esters (PAEs) in food, and to assess the plasticizer exposure risk of diet in Xiamen. The survey was conducted by stratified cluster random sampling method in Xiamen from September to October in 2010. According to the Xiamen administrative division, six neighborhood communities were selected as sampling units, then 25 families were randomly chosen from each sampling units.From the above 150 families, the permanent residents over the age of six were permitted to our study. The survey included 495 residents totally. These participants' information, such as basic personal information, physical activity levels, meal frequency and the average consumption of 33 kinds of food in 13 categories were collected using questionnaires. Thirteen categories included cereal and tubers, beans, vegetables, fungi and algae, fruits, dairy products, meat, seafood, eggs, snacks, beverages, cooking oil and spices. The height and weight of residents were measured and the average daily dietary intake was calculated. Thirty-three kinds of food in 13 categories were collected in supermarkets in Xiamen. According to the annual sales ranking, the top three-five brands of each kinds of food were selected and numbered, then two or three brands were chosen by random number table method from them; three completely individual packed samples in the same batch of each brand were detected; 243 samples were included in our study.100-500 g solid samples or 100-500 ml liquid samples were collected. The content of diethyl phthalate (DEP), dibutyl phthalate (DBP), di (2-ethylhexyl) phthalate (DEHP) in food were detected by liquid chromatography mass spectrometry, which expressed by median (minimum-maximum). The exposure dose, contribution rate and risk index of PAEs were calculated by point estimation method. According to the average daily dietary intake of residents in Xiamen, the top three ones in 13 categories

  19. Developing and evaluating distributions for probabilistic human exposure assessments

    Energy Technology Data Exchange (ETDEWEB)

    Maddalena, Randy L.; McKone, Thomas E.

    2002-08-01

    This report describes research carried out at the Lawrence Berkeley National Laboratory (LBNL) to assist the U. S. Environmental Protection Agency (EPA) in developing a consistent yet flexible approach for evaluating the inputs to probabilistic risk assessments. The U.S. EPA Office of Emergency and Remedial Response (OERR) recently released Volume 3 Part A of Risk Assessment Guidance for Superfund (RAGS), as an update to the existing two-volume set of RAGS. The update provides policy and technical guidance on performing probabilistic risk assessment (PRA). Consequently, EPA risk managers and decision-makers need to review and evaluate the adequacy of PRAs for supporting regulatory decisions. A critical part of evaluating a PRA is the problem of evaluating or judging the adequacy of input distributions PRA. Although the overarching theme of this report is the need to improve the ease and consistency of the regulatory review process, the specific objectives are presented in two parts. The objective of Part 1 is to develop a consistent yet flexible process for evaluating distributions in a PRA by identifying the critical attributes of an exposure factor distribution and discussing how these attributes relate to the task-specific adequacy of the input. This objective is carried out with emphasis on the perspective of a risk manager or decision-maker. The proposed evaluation procedure provides consistency to the review process without a loss of flexibility. As a result, the approach described in Part 1 provides an opportunity to apply a single review framework for all EPA regions and yet provide the regional risk manager with the flexibility to deal with site- and case-specific issues in the PRA process. However, as the number of inputs to a PRA increases, so does the complexity of the process for calculating, communicating and managing risk. As a result, there is increasing effort required of both the risk professionals performing the analysis and the risk manager

  20. Methodology Guidelines on Life Cycle Assessment of Photovoltaic Electricity: 3rd Edition

    Energy Technology Data Exchange (ETDEWEB)

    Frischknecht, Rolf; Heath, Garvin; Raugei, Marco; Sinha, Parikhit; de Wild-Scholten, Mariska

    2016-01-01

    Life Cycle Assessment (LCA) is a structured, comprehensive method of quantifying material- and energy-flows and their associated emissions caused in the life cycle of goods and services. The ISO 14040 and 14044 standards provide the framework for LCA. However, this framework leaves the individual practitioner with a range of choices that can affect the results and thus the conclusions of an LCA study. The current IEA guidelines were developed to provide guidance on assuring consistency, balance, and quality to enhance the credibility and reliability of the results from LCAs on photovoltaic (PV) electricity generation systems. The guidelines represent a consensus among the authors - PV LCA experts in North America, Europe, and Asia - for assumptions made on PV performance, decisions on process input and emissions allocation, methods of analysis, and reporting of the results. Guidance is given on PV-specific parameters used as inputs in LCA and on choices and assumptions in life cycle inventory (LCI) data analysis and on implementation of modeling approaches. A consistent approach towards system modeling, the functional unit, the system boundaries, water use modeling and the allocation aspects enhances the credibility of PV electricity LCA studies and enables balanced LCA-based comparisons of different electricity producing technologies. The document discusses metrics like greenhouse gas emissions (GHG), cumulative energy demand (CED), acidification potential (AP), ozone depletion potential (ODP), human toxicity, ecotoxicity and ionizing radiation. Guidance is given for the definition of the energy payback time (EPBT), the nonrenewable energy payback time (NREPBT), and the impact mitigation potentials (IMP). The indicator energy return on investment (EROI) is described in a separate International Energy Agency (IEA) PV Power Systems (PVPS) Task 12 report (Raugei et al. 2015). The guidelines on the reporting and communication of the results serve the need for

  1. Assessment of multiple frequency ELF electric and magnetic field exposure

    Science.gov (United States)

    Leitgeb, N.

    2008-01-01

    Electromagnetic fields both in daily life and at workplaces exhibit increasingly complex frequency spectra. Present spectral assessment rules proved to be too conservative for health risk assessment. This is because they are based on the assumption that cells would react like linear systems in terms of responding to a sum of frequencies by a sum of independent responses to each individual frequency. Based on numerical investigations with the Hodgkin-Huxley and the Frankenhaeuser-Huxley nerve cell models, it could be shown that accounting for the nonlinear behaviour of cellular excitation processes avoids considerable overestimation of simultaneous exposures to multiple frequency ELF electric and magnetic fields. Besides this, it could be shown that the role of phase relationships is less important than that assumed so far. The present assessment rules lead to non-compliances of marketed electric appliances. For general application, a nonlinear biology-based assessment (NBBA) rule has been proposed, validated and proven advantageous compared with ICNIRP's rule. While staying conservative it avoids unnecessary overestimation and demonstrates compliance even in cases of suspected non-conformities. It is up to responsible bodies to decide upon the adoption of this proposal and the potential need for implementing additional or reducing the already incorporated safety factors.

  2. Guideline appraisal with AGREE II: Systematic review of the current evidence on how users handle the 2 overall assessments

    Science.gov (United States)

    Siering, Ulrich; Neugebauer, Edmund A. M.; Brockhaus, Anne Catharina; Lampert, Ulrike; Eikermann, Michaela

    2017-01-01

    Introduction The Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument is the most commonly used guideline appraisal tool. It includes 23 appraisal criteria (items) organized within 6 domains and 2 overall assessments (1. overall guideline quality; 2. recommendation for use). The aim of this systematic review was twofold. Firstly, to investigate how often AGREE II users conduct the 2 overall assessments. Secondly, to investigate the influence of the 6 domain scores on each of the 2 overall assessments. Materials and methods A systematic bibliographic search was conducted for publications reporting guideline appraisals with AGREE II. The impact of the 6 domain scores on the overall assessment of guideline quality was examined using a multiple linear regression model. Their impact on the recommendation for use (possible answers: “yes”, “yes, with modifications”, “no”) was examined using a multinomial regression model. Results 118 relevant publications including 1453 guidelines were identified. 77.1% of the publications reported results for at least one overall assessment, but only 32.2% reported results for both overall assessments. The results of the regression analyses showed a statistically significant influence of all domains on overall guideline quality, with Domain 3 (rigour of development) having the strongest influence. For the recommendation for use, the results showed a significant influence of Domains 3 to 5 (“yes” vs. “no”) and Domains 3 and 5 (“yes, with modifications” vs. “no”). Conclusions The 2 overall assessments of AGREE II are underreported by guideline assessors. Domains 3 and 5 have the strongest influence on the results of the 2 overall assessments, while the other domains have a varying influence. Within a normative approach, our findings could be used as guidance for weighting individual domains in AGREE II to make the overall assessments more objective. Alternatively, a stronger content analysis

  3. Assessing reasonable worst-case full-shift exposure levels from data of variable quality

    NARCIS (Netherlands)

    Marquart, H.; Drooge, H. van; Groenewold, M.; Hemmen, J. van

    2001-01-01

    Exposure assessors involved in regulatory risk assessments often need to estimate a reasonable worst-case full-shift exposure level from very limited exposure information. Full-shift exposure data of very high quality are rare. A full-shift value can also be calculated from (short term) task-based

  4. Assessment of medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Dilnasheen Sheikh

    2017-06-01

    Full Text Available The objective of the study is to assess the medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital. A prospective observational study was carried out for a period of 8 months from June 2015 to February 2016 at tertiary care hospital. At inpatient department regular chart review of patient case records was carried out to assess the medication errors. The observed medication errors were assessed for level of harm by using NCCMERP index. The outpatient prescriptions were screened for adherence to WHO prescription writing guidelines. Out of 200 patients, 40 patients developed medication errors. Most of the medication errors were observed in the age group above 61 years (40%. Majority of the medication errors were observed with drug class of antibiotics 9 (22.5% and bronchodilators 9 (22.5%. Most of the errors were under the NCCMERP index category C. Out of 545 outpatient prescriptions, 51 (9.37% prescriptions did not have prescriber’s name and all of the prescriptions lack prescriber’s personal contact number. Eighteen prescriptions did not have patient’s name and 426 (78.2% prescriptions did not have patient’s age. The prevalence of medication errors in this study was relatively low (20% without any fatal outcome. Omission error was the most frequently observed medication errors 31 (77.5%. In the present study, the patient’s age was missing in 78.2% of the prescriptions and none of the prescriptions had patient’s address and the drug names were not mentioned by their generic names.

  5. Bisphenol A exposure assessment from olive oil consumption.

    Science.gov (United States)

    Abou Omar, Tarek F; Sukhn, Carol; Fares, Souha A; Abiad, Mohamad G; Habib, Rima R; Dhaini, Hassan R

    2017-07-01

    The use of bisphenol A (BPA) in packaging has grown over the past 50 years despite concerns of its migration into packaged food and beverages, resulting in human exposure. Many studies have reported tumorigenic effects and endocrine alterations associated with BPA in animal models. This study aims at assessing human exposure to BPA from olive oil. A total of 27 olive oil samples were collected from mills and local villagers in the Hasbaya District, a major olive oil harvesting region in Lebanon. Information on storage conditions was also collected. BPA was extracted and quantified by HPLC. Results showed significantly higher BPA levels in olive oil samples stored in plastic vs. non-plastic packaging (mean = 333 vs. 150 μg/kg, p value = 0.006), samples with a plastic storage duration of >1 year compared to those with a storage duration of <1 year (mean = 452 vs. 288 μg/kg, p value = 0.008), and oil samples sourced from locals compared to oil mills (mean = 376 vs. 228 μg/kg, p value = 0.022). Statistically significant higher BPA levels remained for samples stored in plastic vs. non-plastic packaging in the bootstrap multivariable linear regression (B = 121.56, 95% CI 53.44-194.39, p value = 0.009). This is the first report on BPA levels in Mediterranean olive oil. The estimated exposure was 1.38% of the EFSA tolerable daily intake, hence there are no concerns about potential health risks from olive oil consumption.

  6. Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines.

    Science.gov (United States)

    Guha, Kaushik; Allen, Christopher J; Chawla, Sumir; Pryse-Hawkins, Hayley; Fallon, Laura; Chambers, Vicki; Vazir, Ali; Lyon, Alex R; Cowie, Martin R; Sharma, Rakesh

    2016-10-01

    The National Institute for Health and Care Excellence (NICE) updated its guidelines for chronic heart failure (HF) in 2010. This re-audit assessed interim improvement as compared with an audit in 2011. Patients with HF (preserved and reduced ejection fraction) attending a tertiary cardiac centre over a 2-year period (January 2013-December 2014) were audited. The data collected included demographics, HF aetiology, medications, clinical parameters and cardiac rehabilitation. In total, 513 patients were audited. Compared with 2011, male preponderance (71%) and age (68±14 years, (Mean ± SD)) were similar. 73% of patients lived outside of London. HF aetiologies included ischaemic heart disease (37% versus 40% in 2011), dilated cardiomyopathy (26% versus 20%) primary valve disease (13% versus 12%). For patients with left ventricular systolic dysfunction (n=434, 85% of patients audited) 89% were taking beta-blockers (compared with 77% in 2011), 91% an angiotensin converting enzyme inhibitor or angiotensin receptor blocker (86% in 2011) and 56% a mineralocorticoid receptor antagonist (44% in 2011); 6% were prescribed ivabradine. All patients were reviewed at least 6-monthly. Although 100% of patients were educated about exercise, only 21 (4%) enrolled in a supervised exercise programme. This audit demonstrated high rates of documentation, follow-up and compliance with guideline-based medical therapies. A consistent finding was poor access to cardiac rehabilitation. © Royal College of Physicians 2016. All rights reserved.

  7. Occupational Exposure Assessment of Tehran Metro Drivers to Extremely Low Frequency Magnetic Fields

    Directory of Open Access Journals (Sweden)

    mohammad reza Monazzam

    2016-03-01

    Full Text Available Introduction: Occupational exposure to Extremely Low Frequency Magnetic Fields (ELF-MFs in train drivers is an integral part of the driving task and creates concern about driving jobs. The present study was designed to investigate the occupational exposure of Tehran train drivers to extremely low frequency magnetic fields. Methods: In order to measure the driver’s exposure, from each line, a random sample in AC and DC type trains was selected and measurements were done according to the IEEE std 644-1994 using a triple axis TES-394 device. Train drivers were then compared with national occupational exposure limit guidelines. Results: The maximum and minimum mean exposure was found in AC external city trains (1.2±1.5 μT and DC internal city trains (0.31±0.2 μT, respectively. The maximum and minimum exposure was 9 μT and 0.08 μT in AC trains of line 5, respectively. In the internal train line, maximum and minimum values were 5.4 μT and 0.08 μT in AC trains. Conclusions: In none of the exposure scenarios in different trains, the exposure exceeded the national or international occupational exposure limit guidelines. However, this should not be the basis of safety in these fields

  8. Indoor human exposure to size-fractionated aerosols during the 2015 Southeast Asian smoke haze and assessment of exposure mitigation strategies

    Science.gov (United States)

    Sharma, Ruchi; Balasubramanian, Rajasekhar

    2017-11-01

    The 2015 smoke haze episode was one of the most severe and prolonged transboundary air pollution events ever seen in Southeast Asia (SEA), affecting the air quality of several countries within the region including Indonesia, Malaysia and Singapore. The 24 h mean outdoor PM2.5 (particulate matter (PM) with aerodynamic diameter ≤ 2.5 μm) concentrations ranged from 72–157 μg m‑3 in Singapore during this episode, exceeding the WHO 24 h mean PM2.5 guidelines (25 μg m‑3) several times over. The smoke haze episode not only affected ambient air quality, but also indoor air quality due to the migration of PM of different sizes from the outdoor to the indoor environment. Despite the frequent occurrence of smoke haze episodes over the years, their potential health impacts on indoor building occupants remain largely unknown in SEA due to the lack of systematic investigations and observational data. The current work was carried out in Singapore to assess human exposure to size-resolved PM during the 2015 smoke haze episode, and to evaluate the effectiveness of exposure mitigation measures in smoke-haze-impacted naturally ventilated indoor environments. The potential health risks associated with exposure to PM2.5 were assessed based on the concentrations of redox active particulate-bound trace elements, which are known to be harmful to human health, with and without exposure mitigation. Overall, it was observed that human health exposure to PM2.5 and its carcinogenic chemical components was reduced substantially by 62% (p < 0.05) while using an air cleaner. However, extremely small hazardous particles were only partially removed by the air cleaner and remain a matter of concern for public health.

  9. Assessing exposure to cosmic radiation during long-haul flights

    Energy Technology Data Exchange (ETDEWEB)

    Bottollier-Depois, J.F.; Chau, Q.; Bouisset, P.; Kerlau, G.; Plawinski, L.; Lebaron-Jacobs, L. [Inst. for Protection and Nuclear Safety, Fontenay-aux-Roses (France)

    2000-05-01

    The assessment of exposure to cosmic radiation on board air craft is one of the preoccupations of organizations responsible for radiation protection. Cosmic particle flux increases with altitude and latitude and depends on the solar activity. The exposure has been estimated on several airlines using transatlantic, Siberian and transequatorial routes on board subsonic and supersonic air crafts, to illustrate the effect of these parameters. Measurements have been realized with a tissue equivalent proportional counter using the microdosimetric technique. Such a system provides the absorbed dose, the ambient dose equivalent, the mean quality factor and the dose distribution as a function of lineal energy. Data have been collected at maximum solar activity in 1991-92 and at minimum in 1996-98. The lowest mean dose rate measured was 3 {mu}Sv.h{sup -1} during a Paris-Buenos Aires flight in 1991; the highest was 6.6 {mu}Sv.h{sup -1} during Paris-Tokyo flight using Siberian route and 9.7 {mu}Sv.h{sup -1} on Concorde in 1996-97. The mean quality factor is around 1.8. The corresponding annual effective dose, based on 700 hours of flight for subsonic aircraft and 300 hours for Concorde, can be estimated between 2 mSv for least-exposed routes and 5 mSv for more exposed routes. (author)

  10. Assessing exposure to cosmic radiation during long-haul flights.

    Science.gov (United States)

    Bottollier-Depois, J F; Chau, Q; Bouisset, P; Kerlau, G; Plawinski, L; Lebaron-Jacobs, L

    2000-05-01

    The assessment of exposure to cosmic radiation on board aircraft is one of the concerns of organizations responsible for radiation protection. Cosmic-particle flux increases with altitude and latitude and depends on solar activity. To illustrate the effect of these parameters, exposure has been estimated on several airlines operating subsonic and supersonic aircraft on transatlantic, Siberian and transequatorial routes. Measurements have been made with a tissue-equivalent proportional counter using the microdosimetric technique. This type of system provides the absorbed dose, the ambient dose equivalent, the mean quality factor, and the dose distribution as a function of lineal energy. Data were collected at maximum solar activity in 1991-1992 and at minimum activity in 1996-1998. The lowest mean dose rate measured was 3 microSv h(-1) during a Paris-Buenos Aires flight in 1991. The highest rates were 6.6 microSv h(-1) during a Paris-Tokyo flight on a Siberian route and 9.7 microSv h(-1) on Concorde in 1996-1997. The mean quality factor is around 1.8. The corresponding annual effective dose, based on 700 h of flight for subsonic aircraft and 300 h for Concorde, can be estimated at between 2 mSv for the least-exposed routes and 5 mSv for the more-exposed routes.

  11. Assessing exposure to cosmic radiation on board aircraft

    Science.gov (United States)

    Bottollier-Depois, J. F.; Chau, Q.; Bouisset, P.; Kerlau, G.; Plawinski, L.; Lebaron-Jacobs, L.

    The assessment of exposure to cosmic radiation on board aircraft is one of the preoccupations of organizations responsible for radiation protection. The cosmic radiation particle flux increases with altitude and latitude and depends on the solar activity. The radiation exposure has been estimated on several airlines using transatlantic, Siberian and transequatorial routes on board subsonic and supersonic aircraft, to illustrate the effect of these parameters: Measurements have been obtained with a tissue equivalent proportional counter using the microdosimetric technique. Data have been collected at maximum solar activity in 1991-1992 and at minimum in 1996-1998. The lowest mean dose rate measured was 3 μSv/h during a Paris-Buenos Aires flight in 1991; the highest was 6.6 μSv/h during a Paris-Tokyo flight using a Siberian route and 9.7 μ Sv/h on Concorde in 1996-1997. The mean quality factor is around 1.8. The corresponding annual effective dose, based on 700 hours of flight for subsonic aircraft and 300 hours for Concorde, can be-estimated between 2 rnSv for least-exposed routes and 5 mSv for more exposed routes.

  12. Effectiveness of peer assessment for implementing a dutch physical therapy low back pain guideline: cluster randomized controlled trial

    NARCIS (Netherlands)

    Dulmen, S.A. van; Maas, Marjo; Staal, J.B.; Rutten, G.; Kiers, H.; Nijhuis-Van der Sanden, M.W.G.; Wees, P. van der

    2014-01-01

    BACKGROUND: Clinical practice guidelines are considered important instruments to improve quality of care. However, success is dependent on adherence, which may be improved using peer assessment, a strategy in which professionals assess performance of their peers in a simulated setting. OBJECTIVE:

  13. Assessment of foetal exposure to the homogeneous magnetic field harmonic spectrum generated by electricity transmission and distribution networks.

    Science.gov (United States)

    Fiocchi, Serena; Liorni, Ilaria; Parazzini, Marta; Ravazzani, Paolo

    2015-04-01

    During the last decades studies addressing the effects of exposure to Extremely Low Frequency Electromagnetic Fields (ELF-EMF) have pointed out a possible link between those fields emitted by power lines and childhood leukaemia. They have also stressed the importance of also including in the assessment the contribution of frequency components, namely harmonics, other than the fundamental one. Based on the spectrum of supply voltage networks allowed by the European standard for electricity quality assessment, in this study the exposure of high-resolution three-dimensional models of foetuses to the whole harmonic content of a uniform magnetic field with a fundamental frequency of 50 Hz, was assessed. The results show that the main contribution in terms of induced electric fields to the foetal exposure is given by the fundamental frequency component. The harmonic components add some contributions to the overall level of electric fields, however, due to the extremely low permitted amplitude of the harmonic components with respect to the fundamental, their amplitudes are low. The level of the induced electric field is also much lower than the limits suggested by the guidelines for general public exposure, when the amplitude of the incident magnetic field is set at the maximum permitted level.

  14. Assessment of Foetal Exposure to the Homogeneous Magnetic Field Harmonic Spectrum Generated by Electricity Transmission and Distribution Networks

    Directory of Open Access Journals (Sweden)

    Serena Fiocchi

    2015-04-01

    Full Text Available During the last decades studies addressing the effects of exposure to Extremely Low Frequency Electromagnetic Fields (ELF-EMF have pointed out a possible link between those fields emitted by power lines and childhood leukaemia. They have also stressed the importance of also including in the assessment the contribution of frequency components, namely harmonics, other than the fundamental one. Based on the spectrum of supply voltage networks allowed by the European standard for electricity quality assessment, in this study the exposure of high-resolution three-dimensional models of foetuses to the whole harmonic content of a uniform magnetic field with a fundamental frequency of 50 Hz, was assessed. The results show that the main contribution in terms of induced electric fields to the foetal exposure is given by the fundamental frequency component. The harmonic components add some contributions to the overall level of electric fields, however, due to the extremely low permitted amplitude of the harmonic components with respect to the fundamental, their amplitudes are low. The level of the induced electric field is also much lower than the limits suggested by the guidelines for general public exposure, when the amplitude of the incident magnetic field is set at the maximum permitted level.

  15. Quality control for exposure assessment in epidemiological studies

    DEFF Research Database (Denmark)

    Bornkessel, C; Blettner, M; Breckenkamp, J

    2010-01-01

    In the framework of an epidemiological study, dosemeters were used for the assessment of radio frequency electromagnetic field exposure. To check the correct dosemeter's performance in terms of consistency of recorded field values over the entire study period, a quality control strategy...... was developed. In this paper, the concept of quality control and its results is described. From the 20 dosemeters used, 19 were very stable and reproducible, with deviations of a maximum of +/-1 dB compared with their initial state. One device was found to be faulty and its measurement data had to be excluded...... from the analysis. As a result of continuous quality control procedures, the confidence in the measurements obtained during the field work was strengthened significantly....

  16. Accurate assessment of exposure using tracer gas measurements

    DEFF Research Database (Denmark)

    Kierat, Wojciech; Bivolarova, Mariya; Zavrl, Eva

    2018-01-01

    Room airflow interaction, particularly in the breathing zone, is important to assess exposure to indoor air pollution. A breathing thermal manikin was used to simulate a room occupant with the convective boundary layer (CBL) generated around the body and the respiratory flow. Local airflow against...... the face of the manikin was applied to increase the complexity of the airflow interaction. CO2 was released at the armpits and N2O at the groin to simulate the respective bio-effluents generated at these two body sites. The tracer gas concentration at the mouth/nose of the manikin was measured with gas...... with a decrease in the response time of the gas analyzer. When only CBL was present, shorter measurement time was needed for the accurate concentration measurement of the tracer gas released close to the breathing zone. For more complex flow, as a result of CBL interaction with the exhalation flow, the needed...

  17. Quantitative self-assessment of exposure to solvents among shoe repair men

    NARCIS (Netherlands)

    Hertsenberg, S.; Brouwer, D.; Lurvink, M.; Rubingh, C.; Rijnders, E.; Tielemans, E.

    2007-01-01

    Self-assessment of exposure (SAE) refers to any exposure assessment methodology wherein the worker takes an active role in establishing his or her exposure status. The objective of this study was to investigate the reliability and feasibility of SAE approaches among shoe repair workers collecting

  18. International guidelines for the in vivo assessment of skin properties in non-clinical settings: part 1. pH

    Science.gov (United States)

    Stefaniak, Aleksandr B; du Plessis, Johan; John, Swen M; Eloff, Fritz; Agner, Tove; Chou, Tzu-Chieh; Nixon, Rosemary; Steiner, Markus F C; Kudla, Irena; Holness, D Linn

    2013-01-01

    Background Skin surface pH is known to influence the dissolution and partitioning of chemicals and may influence exposures that lead to skin diseases. Non-clinical environments (e.g. workplaces) are highly variable, thereby presenting unique measurement challenges that are not typically encountered in clinical settings. Hence, guidelines are needed for consistent measurement of skin surface pH in environments that are difficult to control. Methods An expert workshop was convened at the 5th International Conference on Occupational and Environmental Exposure of Skin to Chemicals to review available data on factors that could influence the determination of skin surface pH in non-clinical settings with emphasis on the workplace as a worst case scenario. Results The key elements of the guidelines are: (i) minimize, to the extent feasible, the influences of relevant endogenous (anatomical position, skin health, time of day), exogenous (hand washing, barrier creams, soaps and detergents, occlusion), environmental (seasonality), and measurement (atmospheric conditions) factors; (ii) report pH measurements results as a difference or percent change (not absolute values) using a measure of central tendency and variability; and (iii) report notable deviations from these guidelines and other relevant factors that may influence measurements. Conclusion Guidelines on the measurement and reporting of skin surface pH in non-clinical settings should promote consistency in data reporting, facilitate inter-comparison of study results, and aid in understanding and preventing occupational skin diseases. PMID:23279097

  19. New approach for assessing human perfluoroalkyl exposure via hair.

    Science.gov (United States)

    Alves, Andreia; Jacobs, Griet; Vanermen, Guido; Covaci, Adrian; Voorspoels, Stefan

    2015-11-01

    In the recent years hair has been increasingly used as alternative matrix in human biomonitoring (HBM) of environmental pollutants. Sampling advantages and time integration of exposure assessment seems the most attractive features of hair matrix. In the current study, a novel miniaturized method was developed and validated for measuring 15 perfluoroalkyl substances (PFAS), including perfluoro n-butanoic acid (PFBA), perfluoro n-pentanoic acid (PFPeA), perfluoro n-hexanoic acid (PFHxA), perfluoro n-heptanoic acid (PFHpA), perfluor n-octanoic acid (PFOA), perfluoro n-nonanoic acid (PFNA), perfluoro tetradecanoic acid (PFTeDA), perfluorobutane sulfonic acid (PFBS), perfluoro pentane sulfonic acid (PFPeS), perfluorohexane sulfonic acid (PFHxS), perfluoroheptane sulfonic acid (PFHpS), perfluorooctane sulfonic acid (PFOS), perfluorononane sulfonic acid (PFNS), perfluorodecane sulfonic acid (PFDS) and perfluorododecane sulfonic acid (PFDoS) in human hair by liquid chromatography tandem mass spectrometry (LC-MS/MS). After extraction using ethyl acetate, dispersive ENVI-Carb was used for clean-up. Good intra- and inter-day precision for low (LQ 5 ng/g hair) and high spike (HQ 15n g/g) levels were achieved (in general RSD hair and 3-13 pg/g hair, respectively. The method limit of quantification (LOQm) ranged between 6 and 301 pg/g hair. The PFAS levels were measured in 30 human hair samples indicating that the levels are low (14-1534 pg/g hair). Some PFAS were not present in any hair sample (e.g. PFHpA, PFTeDA, PFNA, PFPeS, PFHpS, PFOS and PFNS), while other PFAS were frequently detected (PFBA, PFPeA, PFHxA, PFOA, PFBS, PFHxS, PFOS, PFDS and PFDoS) in human hair. Although levels in general were low, there is evidence of higher human exposure to some analytes, such as PFBA, PFPeA, PFHxA, PFOA, PFBS, PFHxS, and PFDoS. The current study shows that hair is a suitable alternative non-invasive matrix for exposure assessment of PFAS. Copyright © 2015 Elsevier B.V. All rights

  20. Factors controlling volume errors through 2D gully erosion assessment: guidelines for optimal survey design

    Science.gov (United States)

    Castillo, Carlos; Pérez, Rafael

    2017-04-01

    The assessment of gully erosion volumes is essential for the quantification of soil losses derived from this relevant degradation process. Traditionally, 2D and 3D approaches has been applied for this purpose (Casalí et al., 2006). Although innovative 3D approaches have recently been proposed for gully volume quantification, a renewed interest can be found in literature regarding the useful information that cross-section analysis still provides in gully erosion research. Moreover, the application of methods based on 2D approaches can be the most cost-effective approach in many situations such as preliminary studies with low accuracy requirements or surveys under time or budget constraints. The main aim of this work is to examine the key factors controlling volume error variability in 2D gully assessment by means of a stochastic experiment involving a Monte Carlo analysis over synthetic gully profiles in order to 1) contribute to a better understanding of the drivers and magnitude of gully erosion 2D-surveys uncertainty and 2) provide guidelines for optimal survey designs. Owing to the stochastic properties of error generation in 2D volume assessment, a statistical approach was followed to generate a large and significant set of gully reach configurations to evaluate quantitatively the influence of the main factors controlling the uncertainty of the volume assessment. For this purpose, a simulation algorithm in Matlab® code was written, involving the following stages: - Generation of synthetic gully area profiles with different degrees of complexity (characterized by the cross-section variability) - Simulation of field measurements characterised by a survey intensity and the precision of the measurement method - Quantification of the volume error uncertainty as a function of the key factors In this communication we will present the relationships between volume error and the studied factors and propose guidelines for 2D field surveys based on the minimal survey

  1. Next generation of microbiological risk assessment: Potential of omics data for exposure assessment.

    Science.gov (United States)

    den Besten, Heidy M W; Amézquita, Alejandro; Bover-Cid, Sara; Dagnas, Stéphane; Ellouze, Mariem; Guillou, Sandrine; Nychas, George; O'Mahony, Cian; Pérez-Rodriguez, Fernando; Membré, Jeanne-Marie

    2017-10-04

    In food safety and public health risk evaluations, microbiological exposure assessment plays a central role as it provides an estimation of both the likelihood and the level of the microbial hazard in a specified consumer portion of food and takes microbial behaviour into account. While until now mostly phenotypic data have been used in exposure assessment, mechanistic cellular information, obtained using omics techniques, will enable the fine tuning of exposure assessments to move towards the next generation of microbiological risk assessment. In particular, metagenomics can help in characterizing the food and factory environment microbiota (endogenous microbiota and potentially pathogens) and the changes over time under the environmental conditions associated with processing, preservation and storage. The difficulty lies in moving up to a quantitative exposure assessment, because the development of models that enable the prediction of dynamics of pathogens in a complex food ecosystem is still in its infancy in the food safety domain. In addition, collecting and storing the environmental data (metadata) required to inform the models has not yet been organised at a large scale. In contrast, progress in biomarker identification and characterization has already opened the possibility of making qualitative or even quantitative connection between process and formulation conditions and microbial responses at the strain level. In term of modelling approaches, without changing radically the usual model structure, changes in model inputs are expected: instead of (or as well as) building models upon phenotypic characteristics such as for example minimal temperature where growth is expected, exposure assessment models could use biomarker response intensity as inputs. These new generations of strain-level models will bring an added value in predicting the variability in pathogen behaviour. Altogether, these insights based upon omics techniques will increase our (quantitative

  2. Basic principles for the development of a concept for environmental exposure assessments of single substances released from multiple uses under REACH

    Energy Technology Data Exchange (ETDEWEB)

    Gross, Rita; Bunke, Dirk [Oeko-Institut e.V. - Institut fuer Angewandte Oekologie e.V., Freiburg im Breisgau (Germany); Gartiser, Stefan [Hydrotox GmbH, Freiburg im Breisgau (Germany)

    2011-10-15

    The ECHA Guidance Documents R.12 to R.18 include detailed provisions on how to conduct an exposure assessment as part of the Chemical Safety Report. The guidance documents, however, only restrictedly address the consideration of a substance's emissions into the environment, if the local releases from various uses of the same substance result in a cumulative exposure. In a situation where a chemical has a number of applications in one site, it may however occur that the emissions of several uses which only have a low risk if considered separately will sum up and cause an unacceptable risk to the environment. Against this background, the objective of the present study is a further specification of the guidelines on cumulative risk assessment according to the REACH Regulation. Besides the definition of the key terminology, guidelines on cumulative exposure assessment already laid down in other legal regulations have been evaluated and their transferability to the environmental exposure assessment according to REACH has been investigated. Moreover, the fields of application for which a cumulative exposure assessment might be relevant have been worked out. A distinction was made between cases where the responsibility for cumulative exposure assessment falls into the hands of the registrant as part of the Chemical Safety Report and other cases, where the responsibility lies with the downstream users (DU) or the Member State Competent Authorities (MS-CA). Initial proposals have been elaborated for a technical implementation of the cumulative exposure assessment of chemicals as part of the preparation and evaluation of chemical dossiers by the registrant and the MS-CA, respectively, and as part of the responsibility of the DU. (orig.)

  3. From eyeballing to statistical modelling : methods for assessment of occupational exposure

    NARCIS (Netherlands)

    Kromhout, H.

    1994-01-01

    In this thesis methods for assessment of occupational exposure are evaluated and developed. These methods range from subjective methods (qualitative and semiquantitative) to more objective quantitative methods based on actual measurement of personal exposure to chemical and physical

  4. The utility of proximity-based herbicide exposure assessment in epidemiologic studies of Vietnam veterans

    National Research Council Canada - National Science Library

    Committee on Making Best Use of the Agent Orange Exposure Reconstruction Model

    2008-01-01

    ... of information about the veterans' level of exposure to these herbicides. To address that problem, researchers developed a model to assess the opportunity for herbicide exposure among these veterans...

  5. Comparison of test specific sediment effect concentrations with marine sediment quality assessment guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Carr, R.S.; Biedenbach, J.M. [National Biological Service, Corpus Christi, TX (United States). Marine Ecotoxicology Research Station; Long, E.R. [NOAA, Seattle, WA (United States); MacDonald, D.D. [MacDonald Environmental Sciences Ltd., Ladysmith, British Columbia (Canada)

    1995-12-31

    As part of NOAA`s National Status and Trends (NS and T) Bioeffects Assessment program and studies conducted by the National Biological Service, numerous sediment quality assessment surveys have recently been conducted along the Atlantic and Gulf coasts of the US using the sea urchin (Arbacia punctulata) fertilization and embryological development tests with pore water. Additional toxicity tests were also conducted in conjunction with most of these studies. The areas that have been sampled include Boston harbor, Massachusetts; Charleston Harbor, Winyah Bay, and Savannah River, South Carolina; St. Simon Sound, Georgia; Biscayne Bay, Tampa Bay, Choctawhatchee Bay, Apalachicola Bay, St. Andrew Bay, and Pensacola Bay, Florida; Galveston Bay, Lavaca Bay, and Sabine Lake, Texas, and 200 stations in the vicinity of offshore oil and gas production platforms in the Gulf of Mexico. Sufficient data are now available from this series of surveys to calculate test specific sediment effect concentrations (SECs). Based on these recent studies, SECs were developed for the sea urchin porewater and amphipod tests and compared with existing marine sediment quality assessment guidelines.

  6. HAS Should Not Be NICE: Rejecting Imaginary Worlds in the French Technology Assessment Guidelines

    Directory of Open Access Journals (Sweden)

    Paul C Langley

    2017-01-01

    Full Text Available Pricing decisions and access to pharmaceuticals should be evidence based. Unfortunately, the French guidelines for technology assessment, in their adoption of the National Institute for Health and Clinical Excellence (NICE reference case modeling standard ensure that this is not the case. Rather than requiring the submission of claims that are credible, evaluable and replicable, the Haute Autorité de Sante (HAS mandates the creation of imaginary worlds to support comparative effectiveness and cost-outcome claims. The purpose of this commentary is to make the case that HAS should reconsider this commitment to standards for health technology assessment that are more appropriately seen as pseudoscience. The recommendation is that HAS should put to one side mandating lifetime cost-per-quality adjusted life year (QALY or life years saved claims in favor of short-term claims that can be evaluated and reported to health system decision makers as part of a provisional assessment of new products as well as supporting ongoing disease area and therapeutic class reviews.   Type: Commentary

  7. The development and validation of the guidelines for stalking assessment and management.

    Science.gov (United States)

    Kropp, P Randall; Hart, Stephen D; Lyon, David R; Storey, Jennifer E

    2011-01-01

    International research has established that stalking is a prevalent problem with serious and often life-threatening consequences for victims. Stalking is also a unique form of violence due to its nature and diversity, making it difficult for criminal justice and health professionals to establish which perpetrators and victims have the greatest need for services and protection. Risk assessment is one way to address these problems but few tools exist. This article describes the development of the Guidelines for Stalking Assessment and Management (SAM), the first risk assessment instrument designed specifically for the stalking situation. Preliminary data are presented, indicating that the SAM has promise for use by professionals working with stalkers and their victims. Results indicated that interrater reliabilities for the SAM risk factors and total scores range from fair to good, and the structural reliability of the SAM is sound. Moreover, the SAM showed good concurrent validity when compared with two other measures of violence propensity: the Psychopathy Checklist Screening Version (PCL:SV) and the Violence Risk Appraisal Guide (VRAG). Limitations of the study are discussed, especially those related to the difficulties inherent in file-based research, and suggestions for future research are offered. Copyright © 2011 John Wiley & Sons, Ltd.

  8. Assessment of occupational exposure to chemicals by air sampling for comparison with limit values: the influence of sampling strategy.

    Science.gov (United States)

    Clerc, Frédéric; Vincent, Raymond

    2014-05-01

    decreases when using the standard. Moreover, guidelines for the efficient evaluation of chemical exposure in the workplace can be drawn up to help professional occupational hygienists. Indeed, boundaries can be recommended regarding the number of measurements and sampling duration necessary to obtain a reliable exposure assessment while minimizing effort devoted to sampling and analysis.

  9. Validation of a job-exposure matrix for assessment of utility worker exposure to magnetic fields.

    Science.gov (United States)

    Johansen, Christoffer; Raaschou-Nielsen, Ole; Skotte, Jørgen; Thomsen, Birthe L; Olsen, Jørgen H

    2002-04-01

    The aim of this study was to evaluate a 50-Hz electromagnetic field job-exposure matrix used in epidemiological studies of a nationwide cohort of utility workers in Denmark. We compared a job-exposure matrix that distinguished four categories of exposure to 50-Hz time-weighted average (TWA) magnetic fields: low ( 1.0 microT) of utility company employees with 196 measurements of 8-h exposure for 129 workers in this industry. The 129 workers were selected from the following five main work environments: generation facilities, transmission lines, distribution lines, substations, and other electrically and non-electrically relates jobs. This study shows that the job-exposure matrix can be expected to introduce misclassification mainly between adjacent categories of exposure. Thus, the distribution of measurements of exposure to 50-Hz magnetic fields was similar for workers in the medium and the high exposure matrix categories. But the two extreme categories satisfactorily separate low and very highly exposed workers. The study shows that epidemiological use of this job-exposure matrix might combine the two intermediate categories of exposure. If the sample size in extreme categories provides enough power, a study in which this job-exposure matrix is used should allow detection of a true association between exposure to 50-Hz magnetic field and disease.

  10. [Absolute risk for fracture and WHO guideline. Fracture risk assessments recommended by World Health Organization and Japanese guidelines for prevention and treatment of osteoporosis 2006].

    Science.gov (United States)

    Nakamura, Toshitaka

    2007-07-01

    Bone mineral density (BMD) is a strong predictor of osteoporotic fractures. However, the increase in fracture risk is not steep, rather gentle, for the decline in BMD values. Postmenopausal women with osteopenia (T scores between - 2.5 and - 1.0) may also be at risk. Case finding strategies such as the combination of BMD and appropriate clinical risk factors for fracture are shown to identify subjects at high fracture risk. World Health Organization developed a fracture risk assessment tool, recommending its exploitation in the case findings. Under these circumstances, Japan guideline 2006 provided new criteria for the pharmacological intervention to prevent fragility fracture, besides the conventional criteria for diagnosing osteoporosis.

  11. Assessing human exposure to power-frequency electric and magnetic fields.

    OpenAIRE

    Kaune, W. T.

    1993-01-01

    This paper reviews published literature and current problems relating to the assessment of occupational and residential human exposures to power-frequency electric and magnetic fields. Available occupational exposure data suggest that the class of job titles known as electrical workers may be an effective surrogate for time-weighted-average (TWA) magnetic-field (but not electric-field) exposure. Current research in occupational-exposure assessment is directed to the construction of job-exposu...

  12. A multiple-scenario assessment of the effect of a continuous-care, guideline-based decision support system on clinicians' compliance to clinical guidelines.

    Science.gov (United States)

    Shalom, Erez; Shahar, Yuval; Parmet, Yisrael; Lunenfeld, Eitan

    2015-04-01

    To quantify the effect of a new continuous-care guideline (GL)-application engine, the Picard decision support system (DSS) engine, on the correctness and completeness of clinicians' decisions relative to an established clinical GL, and to assess the clinicians' attitudes towards a specific DSS. Thirty-six clinicians, including residents at different training levels and board-certified specialists at an academic OB/GYN department that handles around 15,000 deliveries annually, agreed to evaluate our continuous-care guideline-based DSS and to perform a cross-over assessment of the effects of using our guideline-based DSS. We generated electronic patient records that realistically simulated the longitudinal course of six different clinical scenarios of the preeclampsia/eclampsia/toxemia (PET) GL, encompassing 60 different decision points in total. Each clinician managed three scenarios manually without the Picard DSS engine (Non-DSS mode) and three scenarios when assisted by the Picard DSS engine (DSS mode). The main measures in both modes were correctness and completeness of actions relative to the PET GL. Correctness was further decomposed into necessary and redundant actions, relative to the guideline and the actual patient data. At the end of the assessment, a questionnaire was administered to the clinicians to assess their perceptions regarding use of the DSS. With respect to completeness, the clinicians applied approximately 41% of the GL's recommended actions in the non-DSS mode. Completeness increased to the performance of approximately 93% of the guideline's recommended actions, when using the DSS mode. With respect to correctness, approximately 94.5% of the clinicians' decisions in the non-DSS mode were correct. However, these included 68% of the actions that were correct but redundant, given the patient's data (e.g., repeating tests that had been performed), and 27% of the actions, which were necessary in the context of the GL and of the given scenario

  13. Time and frequency weightings and the assessment of sound exposure

    DEFF Research Database (Denmark)

    Ordoñez, Rodrigo Pizarro; de Toro, Miguel Angel Aranda; Hammershøi, Dorte

    2010-01-01

    of the exposure. This information is being used to investigate metrics that can differentiate temporal characteristics (impulsive, fluctuating) as well as frequency characteristics (narrow-band or tonal dominance) of sound exposures. This presentation gives an overview of the existing sound measurement...... and analysis methods, that can provide a better representation of the effects of sound exposures on the hearing system...

  14. Assessment of residual exposure to PCBs in metallurgy.

    Science.gov (United States)

    Fostinelli, Jacopo; Catalani, Simona; Gaia, Alice; De Palma, Giuseppe; Apostoli, Pietro

    2017-06-28

    To evaluate the occupational exposure to polychlorinated biphenyls (PCBs) in 56 workers employed in 6 electric arc furnace steelmaking plants and 2 secondary aluminum smelting plants located in the highly industrialized area of Brescia, Northern Italy. Thirty-four PCB congeners were found in both environmental and biological samples from workers engaged in scrap yards, electric arc furnaces, casting and maintenance departments. The highest airborne PCB levels were found in the aluminum plant, even 100 times those detected in the steelwork plants. Dioxin-like PCB congeners (DL-PCBs) were poorly represented in all biological samples, whereas non Dioxin-Like PCB congeners (noDL-PCBs), in particular environmentally widespread congeners (PCB 153, 138, 180), could be detected in almost all samples. The mean total PCB serum level was 3.9 ng/ml, with a range of 1.3-10.3 ng/ml, while the geometric mean for airborne PCBs levels was 9305 pg/m3, with a range of 1138-217806 pg/m3. Despite the higher PCB values recorded in some metallurgical plant workplaces, we failed to find any significant difference between serum concentrations in workers from steel or aluminum production, even in consideration of different tasks or different job seniority, while positive association was found only according to the age of the workers. A possible explanation may be identified in the effectiveness of the individual and collective preventive measures adopted in the workplace. Assessment of the occupational exposure to such compounds, in consideration of the recent classifications as carcinogenic to humans, should be encouraged.

  15. Assessing the radiological impact of radiation exposure devices.

    Science.gov (United States)

    Tofani, Alessandro

    2011-04-01

    Radiation exposure devices (REDs) are radiological weapons obtained by concealing a strong gamma-emitting source in a place frequented by public to cause radiation injuries following the absorption of elevated radiation doses. The present work aims to assess the radiological impact of an RED by simulating its effects in both dynamical and static conditions of the covertly exposed population, with individual position and motion obtained through a Monte Carlo approach. The results indicate that in small enclosures the motion of people amplify the effects of radiation exposure with respect to the static case because it turns out in a larger number of individuals receiving doses above the threshold for the onset of deterministic effects. This behavior is mitigated in medium and large enclosures due to dose spreading over trajectories moving far away from the critical region close to the RED. The scaling laws obtained with a simple circular geometry were successfully applied to a more complex geometry like that of a stadium. The potentially large number of victims and the possibility to reiterate the attack raise the question of early detection. This can be achieved either by radiation survey or by indirectly inferring the presence of a strong radioactive source following the triage of patients with radiation sickness symptoms collected by the same hospital. In the former case careful design and operation of aerial or in situ monitoring is needed, while in the latter specific training should be given to healthcare personnel aimed to improve their discrimination and cooperation capabilities. © 2010 Society for Risk Analysis.

  16. A rapid test for soy aeroallergens exposure assessment.

    Science.gov (United States)

    Alvarez-Simon, Daniel; Cruz, María-Jesús; Untoria, María-Dolores; Muñoz, Xavier; Villalbí, Joan R; Morell, Ferran; Gómez-Ollés, Susana

    2014-01-01

    Determining soy aeroallergens levels is extremely important in the assessment of health risks due to these airborne substances. Currently, soy aeroallergens exposure in the environment is monitored using enzyme immunoassays (EIA) which must be evaluated in a specialized laboratory by skilled personnel. To describe the development and performance of a rapid immunochromatography assay for the detection of soy aeroallergens in environmental samples. A test strip using gold labeled anti-soy hull low molecular weight extract (SHLMWE) antibody for the rapid detection of soy aeroallergens in environmental samples was developed. One hundred nineteen airborne samples were analysed in parallel by the strip assay and the anti-SHLMWE sandwich EIA. The assay results were visually analysed by three independent observers who ranked samples as: -, + or ++. Strips were also scanned and analysed by densitometry. The rapid test detected a range of concentrations from 6.25 to 25 ng/mL. Agreement in strip assay interpretations between evaluators was substantial (Kappa = 0.63; CI 0.544-0.715). Visual interpretation also gave a good concordance with EIA results, with sensitivity ranging from 77.3 to 100 and specificity from 65 to 83.5 depending on the observer. Furthermore, a strong correlation was observed between densitometry results of strip assay and EIA determinations. The strip assay developed is rapid, simple, and sensitive and does not require expensive equipment or specific skills. It has considerable potential in the environmental monitoring field for screening soy aeroallergens levels in port cities where allergen measurements are not currently performed. Due to its simplicity, the test will improve the management of soy allergic patients by controlling environmental allergen exposure without the need for apparatus or skilled personnel.

  17. Assessment of dietary exposure of nitrate and nitrite in France.

    Science.gov (United States)

    Menard, C; Heraud, F; Volatier, J-L; Leblanc, J-C

    2008-08-01

    The aim of this study was to assess the dietary exposure of nitrate and nitrite in France. A total of 13, 657 concentration levels of nitrate and nitrite measured in food, representing 138 and 109 food items, respectively, and coming from French monitoring programmes between 2000 and 2006, were used. Depending on the non-detected and non-quantified analysis treatment, lower and upper concentration mean estimates were calculated for each food item. These were combined with consumption data derived from 1474 adults and 1018 children from the French national individual consumption survey (INCA1), conducted in 1999 and based on a 7-day food record diary. A total of 18% of spinaches, 6% of salads, 10% of cheeses, 8% of meat products and 6% of industrial meat products exceeded the European nitrate maximum level or maximum residual level. A total of 0.4% of industrial meat products and 0.2% of meat products exceeded their European nitrite maximum level or maximum residual level. Nitrate dietary exposure averaged 40% of the acceptable daily intake (ADI; 3.7 mg kg(-1) body weight day(-1)) for adults and 51 - 54% of the ADI for children with the major contributors being, for adults and children, respectively, vegetables (24 and 27% of ADI), potatoes (5 and 11% of ADI), and water (5 and 5% of ADI). The individual nitrate dietary intake of 1.4% (confidence interval (CI(95th)) [0.8; 2.0]) to 1.5% (CI(95th) [0.9; 2.1]) of adults and 7.9% (CI(95th) [6.2; 9.6]) to 8.4% (CI(95th) [6.7; 10.1]) of children were higher than the ADI. Nitrite dietary exposure averaged 33-67% of the ADI (0.06 mg kg(-1) body weight day(-1)) for adults and 67-133% of the ADI for children, with contributions of additive food vectors at 33% of ADI for adults and 50-67% of ADI for children. The individual nitrite dietary intake of 0.7% (CI(95th) [0.3; 1.1]) to 16.4% (CI(95th) [14.5; 18.3]) of adults and 10.5% (CI(95th) [8.6; 12.4]) to 66.2% (CI(95th) [63.3; 69.1]) of children were higher than the ADI.

  18. A novel approach for exposure assessment in air pollution epidemiological studies using neuro-fuzzy inference systems: Comparison of exposure estimates and exposure-health associations.

    Science.gov (United States)

    Blanes-Vidal, Victoria; Cantuaria, Manuella Lech; Nadimi, Esmaeil S

    2017-04-01

    Many epidemiological studies have used proximity to sources as air pollution exposure assessment method. However, proximity measures are not generally good surrogates because of their complex non-linear relationship with exposures. Neuro-fuzzy inference systems (NFIS) can be used to map complex non-linear systems, but its usefulness in exposure assessment has not been extensively explored. We present a novel approach for exposure assessment using NFIS, where the inputs of the model were easily-obtainable proximity measures, and the output was residential exposure to an air pollutant. We applied it to a case-study on NH3 pollution, and compared health effects and exposures estimated from NFIS, with those obtained from emission-dispersion models, and linear and non-linear regression proximity models, using 10-fold cross validation. The agreement between emission-dispersion and NFIS exposures was high (Root-mean-square error (RMSE) =0.275, correlation coefficient (r)=0.91) and resulted in similar health effect estimates. Linear models showed poor performance (RMSE=0.527, r=0.59), while non-linear regression models resulted in heterocedasticity, non-normality and clustered data. NFIS could be a useful tool for estimating individual air pollution exposures in epidemiological studies on large populations, when emission-dispersion data are not available. The tradeoff between simplicity and accuracy needs to be considered. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Numerical Exposure Assessment Method for Low Frequency Range and Application to Wireless Power Transfer.

    Science.gov (United States)

    Park, SangWook; Kim, Minhyuk

    2016-01-01

    In this paper, a numerical exposure assessment method is presented for a quasi-static analysis by the use of finite-difference time-domain (FDTD) algorithm. The proposed method is composed of scattered field FDTD method and quasi-static approximation for analyzing of the low frequency band electromagnetic problems. The proposed method provides an effective tool to compute induced electric fields in an anatomically realistic human voxel model exposed to an arbitrary non-uniform field source in the low frequency ranges. The method is verified, and excellent agreement with theoretical solutions is found for a dielectric sphere model exposed to a magnetic dipole source. The assessment method serves a practical example of the electric fields, current densities, and specific absorption rates induced in a human head and body in close proximity to a 150-kHz wireless power transfer system for cell phone charging. The results are compared to the limits recommended by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) and the IEEE standard guidelines.

  20. Guideline development and impact assessment for registration of medical, dental and veterinary x-ray apparatus

    Energy Technology Data Exchange (ETDEWEB)

    Colgan, P.; Harrison, D. [NSW Environment Protection Authority, Lidcombe, NSW, (Australia). Radiation Control Centre; Moore, W. [NSW Environmental Protection Authority, Chatswood, NSW, (Australia). Economics and Environmental Reporting Branch

    1996-10-01

    Under the NSW Radiation Control Act 1990, radiation apparatus used for diagnostic medical, dental and veterinary purposes will be required to become registered. The inspection required prior to registration will be conducted by a Consulting Radiation Expert who has been accredited by the Environment Protection Authority (EPA) as being competent in the field of quality assurance assessment of radiation apparatus used for diagnostic medical, dental and veterinary purposes. When regulating any activity in NSW, there is a requirement to undertake a regulatory impact statement of the proposed regulation. In addition, the introduction of any accompanying guideline requires a cost-benefit analysis. Costs may include enforcement, administrative and compliance activities. The calculation of benefit relies heavily on the improvement in apparatus performance (and hence dose reduction) that can be obtained with the introduction of a mandatory practice such as apparatus registration. This paper discusses the development of the registration guideline for NSW, including a summary of the public comments received. It further discusses the methodology and data used for the accompanying cost-benefit analysis. Information in this paper is presented in three parts: EPA field survey, cost analysis, and benefit analysis. For NSW it was estimated that the introduction of registration of these apparatus, over a two year period, would result in early replacement and repair costs (present values) to the medical industry of between $5.7 and $11.0 million, with an additional $2.5 million in EPA enforcement costs. The introduction of the proposed system of registration is expected to result in an estimated savings in quantifiable health detriment costs to NSW of between $11.8 and $17.7 million, and reduce the risk of radiation induced mortality. (authors). 4 refs., 11 tabs.

  1. Mercury Exposure Assessment and Spatial Distribution in A Ghanaian Small-Scale Gold Mining Community.

    Science.gov (United States)

    Rajaee, Mozhgon; Long, Rachel N; Renne, Elisha P; Basu, Niladri

    2015-09-01

    Mercury is utilized worldwide in artisanal and small-scale gold mining (ASGM) and may pose a risk for miners and mining communities. While a number of studies have characterized mercury in ASGM communities, most have focused on a single media and few have taken a holistic approach. Here, a multiple media exposure assessment and cross-sectional study of mercury was conducted in 2010 through 2012 in northeast Ghana with a small-scale gold mining community, Kejetia, a subsistence farming community, Gorogo, and an urban ASGM gold refinery in Bolgatanga. The objective was to assess mercury in a range of human (urine and hair) and ecological (household soil, sediment, fish, and ore) samples to increase understanding of mercury exposure pathways. All participants were interviewed on demographics, occupational and medical histories, and household characteristics. Participants included 90 women of childbearing age and 97 adults from Kejetia and 75 adults from Gorogo. Median total specific gravity-adjusted urinary, hair, and household soil mercury were significantly higher in Kejetia miners (5.18 µg/L, 0.967 µg/g, and 3.77 µg/g, respectively) than Kejetia non-miners (1.18 µg/L, 0.419 µg/g, and 2.00 µg/g, respectively) and Gorogo participants (0.154 µg/L, 0.181 µg/g, and 0.039 µg/g) in 2011. Sediment, fish, and ore Hg concentrations were below guideline values. Median soil mercury from the Bolgatanga refinery was very high (54.6 µg/g). Estimated mean mercury ingestion for Kejetia adults from soil and dust exceeded the U.S. Environmental Protection Agency reference dose (0.3 µg Hg/kg·day) for pica (0.409 µg Hg/kg·day) and geophagy (20.5 µg Hg/kg·day) scenarios. Most participants with elevated urinary and household soil mercury were miners, but some non-miners approached and exceeded guideline values, suggesting a health risk for non-mining residents living within these communities.

  2. Population-Based Assessment of Exposure to Risk Behaviors in Motion Pictures

    Science.gov (United States)

    Sargent, James D.; Worth, Keilah A.; Beach, Michael; Gerrard, Meg; Heatherton, Todd F.

    2008-01-01

    The aim of most population-based studies of media is to relate a specific exposure to an outcome of interest. A research program has been developed that evaluates exposure to different components of movies in an attempt of assess the association of such exposure with the adoption of substance use during adolescence. To assess exposure to movie substance use, one must measure both viewing time and content. In developing the exposure measure, the study team was interested in circumventing a common problem in exposure measurement, where measures often conflate exposure to media with attention to media. Our aim in this paper is to present a validated measure of exposure to entertainment media, the Beach method, which combines recognition of a movie title with content analysis of the movie for substance use, to generate population based measures of exposure to substance use in this form of entertainment. PMID:19122801

  3. Insecticide Exposures on Commercial Aircraft: A Literature Review and Screening Level Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Maddalena, Randy I.; McKone, Thomas E.

    2008-10-01

    The objective of this project was to provide initial estimates of the relationship between insecticide use on passenger aircraft and exposure levels present in the cabin environment. The work was initially divided into three tasks including 1) a review of insecticide application practices in commercial aircraft, 2) exploratory measurements of insecticide concentrations in treated aircraft and 3) screening level exposure modeling. Task 1 gathered information that is needed to assess the time-concentration history of insecticides in the airline cabin. The literature review focused on application practices, information about the cabin environment and existing measurements of exposure concentrations following treatment. Information from the airlines was not available for estimating insecticide application rates in the U.S. domestic fleet or for understanding how frequently equipment rotate into domestic routes following insecticide treatment. However, the World Health Organization (WHO) recommends several methods for treating aircraft with insecticide. Although there is evidence that these WHO guidelines may not always be followed, and that practices vary by airline, destination, and/or applicator company, the guidelines in combination with information related to other indoor environments provides a plausible basis for estimating insecticide loading rates on aircraft. The review also found that while measurements of exposure concentrations following simulated aerosol applications are available, measurements following residual treatment of aircraft or applications in domestic aircraft are lacking. Task 2 focused on developing an approach to monitor exposure concentrations in aircraft using a combination of active and passive sampling methods. An existing active sampling approach was intended to provide data immediately following treatment while a passive sampler was developed to provide wider coverage of the fleet over longer sampling periods. The passive sampler, based

  4. Retrospective exposure assessment and quality control in an international multi-centre case-control study

    DEFF Research Database (Denmark)

    Tinnerberg, H; Heikkilä, P; Huici-Montagud, A

    2003-01-01

    of the assessors, as Cohen's kappa and as overall proportion of the agreements. The reassessment of the exposures changed the exposure statuses significantly, when compared with the original cohort. Harmonization of the exposure criteria increased the conformity of the assessments. The prevalence of exposure......The paper presents the exposure assessment method and quality control procedure used in an international, multi-centre case-control study within a joint Nordic and Italian cohort. This study was conducted to evaluate whether occupational exposure to carcinogens influenced the predictivity of high...... frequency of chromosomal aberrations (CA) in peripheral lymphocytes for increased cancer risk. Occupational hygienists assessed exposures in each participating country: Denmark, Finland, Italy, Norway and Sweden. The exposure status to a carcinogen or a clastogen was coded in the cohort according...

  5. Questionnaires used to assess barriers of clinical guideline use among physicians are not comprehensive, reliable, or valid: a scoping review.

    Science.gov (United States)

    Willson, Melina L; Vernooij, Robin W M; Gagliardi, Anna R

    2017-06-01

    This study described the number and characteristics of questionnaires used to assess barriers of guideline use among physicians. A scoping review was conducted. MEDLINE and EMBASE were searched from 2005 to June 2016. English-language studies that administered a questionnaire to assess barriers of guideline use among practicing physicians were eligible. Summary statistics were used to report study and questionnaire characteristics. Questionnaire content was assessed with a checklist of 57 known barriers. Each of the 178 included studies administered a unique questionnaire. The number of questionnaires increased yearly from 2005 to 2015. Few were pilot-tested (50, 28.1%) or tested for psychometric properties (3, 1.7%). Two were based on theory. None probed for the full range of known barriers. Ten included a free-text option. The majority assessed professional barriers (177, 99.4%) but few of the 14 factors within this domain. Questionnaire characteristics did not change over time. Organizations administered questionnaires that were not reliable or valid and did not comprehensively assess barriers and may have selected interventions unlikely to promote guideline use. Research is needed to construct a questionnaire that is practical, adaptable, and robust and leads to the selection of interventions that support guideline use. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  6. Implementation of an Evidence Based Guideline for Assessment and Documentation of the Civil Commitment Process.

    Science.gov (United States)

    Perrigo, Tabitha L; Williams, Kimberly A

    2016-11-01

    The purpose of this quality improvement project was to implement an evidence-based practice guideline for assessment and documentation of the civil commitment process. Participants included six civil commitment examiners who conduct court ordered psychiatric evaluations at two crisis intervention centers in rural area of southeaster state. Data collection was conducted utilizing a chart audit tool both pre and post intervention of 100 civil commitment evaluations. The intervention included the development of an evidenced based form for documentation of civil commitment evaluations and a one on one educational training session was conducted for each participant. Descriptive statistics (t test) was utilized to analyze the data collected. The project demonstrated a significant increase as 25.5 % of evaluations contained the America Psychiatric Association's recommended 11 domains of assessment prior to implementation compared to 65.6 % (p value = 0.018) post implementation. Moreover, participants with family practice training showed an increase in commitment rates from 60 to 77.3 % (p value = 0.066). Whereas, psychiatric trained participants showed a decrease from 83.75 to 77.66 % (p value = 0.38). Demonstrating that court ordered evaluations guided by a standardized form based on evidence affected examiners recommendations for commitments.

  7. Summary guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Halsnaes, K.; Painuly, J.P.; Turkson, J.; Meyer, H.J.; Markandya, A.

    1999-09-01

    This document is a summary version of the methodological guidelines for climate change mitigation assessment developed as part of the Global Environment Facility (GEF) project Economics of Greenhouse Gas Limitations; Methodological Guidelines. The objectives of this project have been to develop a methodology, an implementing framework and a reporting system which countries can use in the construction of national climate change mitigation policies and in meeting their future reporting obligations under the FCCC. The methodological framework developed in the Methodological Guidelines covers key economic concepts, scenario building, modelling tools and common assumptions. It was used by several country studies included in the project. (au) 13 refs.

  8. Physiotherapy in hip and knee osteoarthritis: development of a practice guideline concerning initial assessment, treatment and evaluation.

    Science.gov (United States)

    Peter, W F; Jansen, M J; Hurkmans, E J; Bloo, H; Dekker, J; Dilling, R G; Hilberdink, W; Kersten-Smit, C; de Rooij, M; Veenhof, C; Vermeulen, H M; de Vos, R J; Schoones, J W; Vliet Vlieland, T P

    2011-01-01

    An update of a Dutch physiotherapy practice guideline in Hip and Knee Osteoarthritis (HKOA) was made, based on current evidence and best practice. A guideline steering committee, comprising 10 expert physiotherapists, selected topics concerning the guideline chapters: initial assessment, treatment and evaluation. With respect to treatment a systematic literature search was performed using various databases, and the evidence was graded (1-4). For the initial assessment and evaluation mainly review papers and textbooks were used. Based on evidence and expert opinion, recommendations were formulated. A first draft of the guideline was reviewed by 17 experts from different professional backgrounds. A second draft was field-tested by 45 physiotherapists. In total 11 topics were selected. For the initial assessment, three recommendations were formulated, pertaining to history taking, red flags, and formulating treatment goals. Concerning treatment, 7 recommendations were formulated; (supervised) exercise therapy, education and self management interventions, a combination of exercise and manual therapy, postoperative exercise therapy and taping of the patella were recommended. Balneotherapy and hydrotherapy in HKOA, and thermotherapy, TENS, and Continuous Passive Motion in knee OA were neither recommended nor discouraged. Massage therapy, ultrasound, electrotherapy, electromagnetic field, Low Level Laser Therapy, preoperative physiotherapy and education could not be recommended. For the evaluation of treatment goals the following measurement instruments were recommended: Lequesne index, Western Ontario and McMaster Universities osteoarthritis index, Hip disability and Osteoarthritis Outcome Score and Knee injury and Osteoarthritis Outcome Score, 6-minute walktest, Timed Up and Go test, Patient Specific Complaint list, Visual Analoge Scale for pain, Intermittent and Constant OsteoArthritis Pain Questionnaire, goniometry, Medical Research Council for strength, handheld

  9. Reliability and accuracy assessment of radiation therapy oncology group-endorsed guidelines for brachial plexus contouring

    Energy Technology Data Exchange (ETDEWEB)

    Velde, Joris van de [Ghent University, Department of Anatomy, Ghent (Belgium); Ghent University, Department of Radiotherapy, Ghent (Belgium); Vercauteren, Tom; Gersem, Werner de; Vandecasteele, Katrien; Vuye, Philippe; Vanpachtenbeke, Frank; Neve, Wilfried de [Ghent University, Department of Radiotherapy, Ghent (Belgium); Wouters, Johan; Herde, Katharina d' ; Kerckaert, Ingrid; Hoof, Tom van [Ghent University, Department of Anatomy, Ghent (Belgium)

    2014-07-15

    The goal of this work was to validate the Radiation Therapy Oncology Group (RTOG)-endorsed guidelines for brachial plexus (BP) contouring by determining the intra- and interobserver agreement. Accuracy of the delineation process was determined using anatomically validated imaging datasets as a gold standard. Five observers delineated the right BP on three cadaver computed tomography (CT) datasets. To assess intraobserver variation, every observer repeated each delineation three times with a time interval of 2 weeks. The BP contours were divided into four regions for detailed analysis. Inter- and intraobserver variation was verified using the Computerized Environment for Radiation Research (CERR) software. Accuracy was measured using anatomically validated fused CT-magnetic resonance imaging (MRI) datasets by measuring the BP inclusion of the delineations. The overall kappa (κ) values were rather low (mean interobserver overall κ: 0.29, mean intraobserver overall κ: 0.45), indicating poor inter- and intraobserver reliability. In general, the κ coefficient decreased gradually from the medial to lateral BP regions. The total agreement volume (TAV) was much smaller than the union volume (UV) for all delineations, resulting in a low Jaccard index (JI; interobserver agreement 0-0.124; intraobserver agreement 0.004-0.636). The overall accuracy was poor, with an average total BP inclusion of 38 %. Inclusions were insufficient for the most lateral regions (region 3: 21.5 %; region 4: 12.6 %). The inter- and intraobserver reliability of the RTOG-endorsed BP contouring guidelines was poor. BP inclusion worsened from the medial to lateral regions. Accuracy assessment of the contours showed an average BP inclusion of 38 %. For the first time, this was assessed using the original anatomically validated BP volume. The RTOG-endorsed BP guidelines have insufficient accuracy and reliability, especially for the lateral head-and-neck regions. (orig.) [German] Ziel der Studie war

  10. Assessing host extinction risk following exposure to Batrachochytrium dendrobatidis

    Science.gov (United States)

    Louca, Stilianos; Lampo, Margarita; Doebeli, Michael

    2014-01-01

    Wildlife diseases are increasingly recognized as a major threat to biodiversity. Chytridiomycosis is an emerging infectious disease of amphibians caused by the fungus Batrachochytrium dendrobatidis (Bd). Using a mathematical model and simulations, we study its effects on a generic riparian host population with a tadpole and adult life stage. An analytical expression for the basic reproduction quotient, Qo, of the pathogen is derived. By sampling the entire relevant parameter space, we perform a statistical assessment of the importance of all considered parameters in determining the risk of host extinction, upon exposure to Bd. We find that Qo not only gives a condition for the initial invasion of the fungus, but is in fact the best predictor for host extinction. We also show that the role of tadpoles, which in some species tolerate infections, is ambivalent. While tolerant tadpoles may provide a reservoir for the fungus, thus facilitating its persistence or even amplifying its outbreaks, they can also act as a rescue buffer for a stressed host population. Our results have important implications for amphibian conservation efforts. PMID:24807247

  11. Risk Assessment to Dust Exposure in Room Maintenance

    Directory of Open Access Journals (Sweden)

    Saiku Rokhim

    2017-04-01

    Full Text Available As one of the particulate chemicals, dust could occur in most of the production process and can create interference for workers health and safety. As one of the air pollution sources, dust could became a potential hazard which exist in room maintenances. Protection to workers is a must in order to reduce the risk of respiratory tract syndrome that often could be found in this cases. The aim of this study is to conduct a risk assessment to dust exposure in room maintenance, which held by contractors in PT. X (Persero building in Surabaya. This is an cross sectional study with obsevation approach. The object of this research is the repairing  works. The results indicate that the activities which could produce dust, such as: walls sanding using sandpaper, the tiles dismantle, sawmilling, the wood fiber refining, grinding, mixing and stirring cast  materials, and room cleaning. Dust produced from a variety of works including sanddust, cement, lime, wood and dust mixed with paint. The results show that three types of works considere as high-risk activity (value > 12-25, 3 types of work consider as midle risk activities (value > 5-12, and one activity considered as a low-risk work (grades 1-5. The dusk factors controlling should be held regularly, in order to minimize the risk leveln againts the workers.

  12. Efficient assessment of exposure to manual lifting using company data.

    Science.gov (United States)

    van der Beek, Allard J; Mathiassen, Svend Erik; Burdorf, Alex

    2013-05-01

    The objective of this study, based on an extensive dataset on manual materials handling during scaffolding, was to explore whether routinely collected company data can be used to estimate exposure to manual lifting. The number of manual lifts of scaffold parts while constructing/dismantling scaffolds was well predicted by the number of scaffolders in the team and the type of worksite, in combination with company data of either the number of scaffold parts or the scaffold volume. The proportion of explained variance in the number of lifts ranged from 77% to 92%, depending on the variables in the model. Data on scaffold parts and scaffold volume can easily be obtained from the company's administration, since this is its usual paperwork supporting logistics and customer invoicing, respectively. We conclude that company data can be a promising source of information for ergonomic practitioners and researchers, to support assessment of manual lifting in scaffolding. Copyright © 2012 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  13. Exposure assessment of mycotoxins in cow's milk in Argentina.

    Science.gov (United States)

    Signorini, M L; Gaggiotti, M; Molineri, A; Chiericatti, C A; Zapata de Basílico, M L; Basílico, J C; Pisani, M

    2012-02-01

    A stochastic simulation model was developed to carry out the first quantitative risk exposure assessment of the mycotoxin level in cow's milk produced in Argentina. The prevalence and concentration of aflatoxin M1 (AFM1), deoxynivalenol (DON) and zearalenone (ZEA) were modeled at various stages through milk processes complying with Argentinean practices. Concentration of AFM1 (0.059ppb), DON (0.338ppb) and ZEA (0.125ppb) in dairy milk were estimated. The proportion of feed samples that exceeded the maximum level accepted by European regulations for AFB1, DON and ZEA were estimated at 25.07%, 0.0% and 8.9%, respectively. The percentage of milk samples that exceeded the maximum level accepted for AFB1 by the MERCOSUR (0.5ppb) and the European Union regulations (0.05ppb) were 0.81 and 32.65, respectively. The probability distribution of AFM1 concentration in milk was affected by the carry-over rate equations applied in the model. Mycotoxin levels in corn silage and concentrated feeds were the factors most correlated with mycotoxin concentrations in milk. Therefore, agricultural practices, crop management and feed production require prompt attention regarding mycotoxin issues. Copyright © 2011 Elsevier Ltd. All rights reserved.

  14. [ASSESSMENT OF OCCUPATIONAL EXPOSURE TO RADIO FREQUENCY ELECTROMAGNETIC FIELDS].

    Science.gov (United States)

    Aniołczyk, Halina; Mariańska, Magda; Mamrot, Paweł

    2015-01-01

    European Union Directive 2013/35/UE provides for the implementation of EU regulations into national legislation. Our aim is to assess actual health hazards from radiofrequency eldctromagnetic field (RF EMF) (range: 100 kHz - 300 GHz) and indicate workplaces with the highest risk to employee health. Data from measurements of RF EMF performed by the Laboratory of Electromagnetic Hazards in Nofer Institute of Occupational Medicine (Łódź, Poland) were analyzed. The analysis covered the results of electric field intensity (E) for over 450 selected items. The ranges of protection zones and the extent to which maximum admissible intensity (MAI) values were also analyzed. The determinations and'measurements of EMF in the work environment met the requirements of Polish Standard, while Polish regulations on the MAI values were used as the criterion for the assessment of the exposure. The highest values of E field intensity at workplaces were measured for: electrosurgery, to 400 V/m, and short-wave diathermy units, to 220 V/m, dielectric welders to 240 V/m, within the FM radio antenna systems, to 180 V/m. The widest protection zones were noted for prototype research instruments, short-wave diathermy units, and dielectric welders. The most excessive (up to 12-fold MAI) values were recorded for dielectric welders, short-wave diathermy units (up to 11-fold) and microwave diathermy units (up to 8-fold). Our results have confirmed the high RF EMF values for physiotherapists, operators of dielectric welders, and mast maintenance workers in radio com munication facilities (especially radio and TV broadcasting stations).

  15. Non-destructive pollution exposure assessment in the European hedgehog (Erinaceus europaeus): IV hair versus soil analysis in exposure and risk assessment of organochlorine compounds

    NARCIS (Netherlands)

    Havé, D' H.; Scheirs, J.; Covaci, A.; Brink, van den N.W.; Verhagen, R.; Coen, De W.

    2007-01-01

    Few ecotoxicological studies on mammals use non-destructive methodologies, despite the growing ethical concern over the use of destructive sampling methods. In the present study we assessed exposure of hedgehogs (Erinaceus europaeus) to polychlorinated biphenyls (PCBs),

  16. Assessment of the Policy Guidelines for the Teaching and Learning of Geography at the Senior High School Level in Ghana

    Science.gov (United States)

    Ababio, Bethel T.; Dumba, Hillary

    2014-01-01

    This article empirically assessed the extent to which geography teachers adhered to the Ghana Education Service policy guidelines on the teaching of geography at the Senior High School Level in Ghana. Census survey was used to collect data from seven geography teachers because of the researchers' objective of gaining a quick insight into the…

  17. GPs' adherence to guidelines for structured assessments of stroke survivors in the community and care homes.

    Science.gov (United States)

    Gonçalves-Bradley, Daniela C; Boylan, Anne-Marie; Koshiaris, Constantinos; Vazquez Montes, Maria; Ford, Gary A; Lasserson, Daniel S

    2015-12-01

    Clinical practice guidelines recommend that stroke survivors' needs be assessed at regular intervals after stroke. The extent to which GPs comply with national guidance particularly for patients in care homes who have greatest clinical complexity is unknown. This study aimed to establish the current clinical practice in the UK of needs assessment by GPs for stroke survivors after hospital discharge for acute stroke. Cross-sectional online survey of current practice of GPs, using the national doctors.net network. The survey was completed by 300 GPs who had on average been working for 14 years. The structured assessment of stroke survivors' needs was not offered by 31% of GPs, with no significant difference for level of provision in community or care home settings. The outputs of reviews were added to patients' notes by 89% of GPs and used to change management by 57%. Only half the GPs reported integrating the information obtained into care plans and only a quarter of GPs had a protocol for follow-up of identified needs. Analysis of free-text comments indicated that patients in some care homes may receive more regular and structured reviews. This survey suggests that at least one-third of GPs provide no formal review of the needs of stroke patients and that in only a minority are identified needs addressed in a structured way. Standardization is required for what is included in reviews and how needs are being identified and met. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. Weighted-peak assessment of occupational exposure due to MRI gradient fields and movements in a nonhomogeneous static magnetic field.

    Science.gov (United States)

    Andreuccetti, D; Contessa, G M; Falsaperla, R; Lodato, R; Pinto, R; Zoppetti, N; Rossi, P

    2013-01-01

    A procedure for assessing occupational exposure due to magnetic resonance imaging (MRI) gradient magnetic fields and movement-induced effects in the static magnetic field is proposed and tested. The procedure was based on the application of the weighted-peak method in time domain. It was tested in two 1.5 T total-body and one 3 T head-only scanner MRI facilities in Rome (Italy). Exposure due to switched gradient fields was evaluated in locations inside the magnet room where operators usually stay during particular medical procedures (e.g., cardiac examinations of anesthetized patients); MRI sequences were selected to approach as far as possible a representative worst case exposure scenario. Movement-induced effects were evaluated considering the actual movements of volunteer operators during work activity, by measuring the perceived time-varying magnetic field by a head-worn probe. The analysis of results was based on ICNIRP 1998 and 2010 guidelines, following a weighted-peak approach and including an ad hoc extension to the latter ones, needed to verify compliance in the frequency range 0-1 Hz. Exposures due to switched gradient fields in 1.5 T MRI scanners mostly resulted noncompliant with ICNIRP 1998 occupational reference levels, being, at the same time, always compliant with ICNIRP 2010 ones. Gradient field levels and ICNIRP indexes were significantly lower for the 3 T unit, due to its small dimensions, as that unit was a head-only scanner. Movement-induced effects resulted potentially noncompliant only in the case the operator moved the head inside the bore of a 1.5 T scanner. The procedure had proven to be a sound approach to exposure assessment in MRI. Its testing allowed to draw some general considerations about exposures to gradient magnetic fields and movement-induced effects.

  19. Pro Et Con Analysis Of Occupational Exposure Assessement Tools And Concepts For nanomaterials

    DEFF Research Database (Denmark)

    Liguori, Biase; Hansen, Steffen Foss; Alstrup Jensen, Keld

    of the tools (input data requirements, exposure evaluation and handling to reduce exposure) as well as specific pros and cons. Most of the tools provide a transparent and comprehensible approach to assess occupational exposure, but the majority of them are based on purely qualitative considerations about...

  20. ICF linked Dutch physiotherapy guidelines concerning initial assessment, treatment and evaluation in hip and knee osteoarthritis.

    NARCIS (Netherlands)

    Peter, W.; Jansen, M.J.; Hurkmans, E.J.; Bloo, H.; Dekker-Bakker, L.M.M.C.J.; Dilling, R.G.; Hilberdink, W.K.H.A.; Kersten-Smit, C.; Rooij, M. de; Veenhof, C.; Vermeulen, E.M.; Vos, I. de; Schoones, J.W.; Vliet Vlieland, T.P.

    2011-01-01

    Purpose: In 2001 the Royal Dutch Society for Physical Therapy (KNGF) Guideline for hip and knee osteoarthritis (HKOA) was developed. Since then, many scientific papers on physical therapy interventions as well as national and international guidelines were published. Relevance: An update of the

  1. New diagnostic criteria and severity assessment of acute cholangitis in revised Tokyo guidelines

    NARCIS (Netherlands)

    Kiriyama, Seiki; Takada, Tadahiro; Strasberg, Steven M.; Solomkin, Joseph S.; Mayumi, Toshihiko; Pitt, Henry A.; Gouma, Dirk J.; Garden, O. James; Büchler, Markus W.; Yokoe, Masamichi; Kimura, Yasutoshi; Tsuyuguchi, Toshio; Itoi, Takao; Yoshida, Masahiro; Miura, Fumihiko; Yamashita, Yuichi; Okamoto, Kohji; Gabata, Toshifumi; Hata, Jiro; Higuchi, Ryota; Windsor, John A.; Bornman, Philippus C.; Fan, Sheung-Tat; Singh, Harijt; de Santibanes, Eduardo; Gomi, Harumi; Kusachi, Shinya; Murata, Atsuhiko; Chen, Xiao-Ping; Jagannath, Palepu; Lee, Sunggyu; Padbury, Robert; Chen, Miin-Fu

    2012-01-01

    Background The Tokyo Guidelines for the management of acute cholangitis and cholecystitis were published in 2007 (TG07) and have been widely cited in the world literature. Because of new information that has been published since 2007, we organized the Tokyo Guidelines Revision Committee to conduct a

  2. A clinical example of extreme dose exposure for an implanted cardioverter-defibrillator. Beyond the DEGRO guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Hristova, Yoana; Koehn, Janett; Preuss, Stefanie [Johann Wolfgang Goethe University Frankfurt, Department of Radiation Oncology, University Hospital, Frankfurt (Germany); Roedel, Claus; Balermpas, Panagiotis [Johann Wolfgang Goethe University Frankfurt, Department of Radiation Oncology, University Hospital, Frankfurt (Germany); German Cancer Research Center (DKFZ), Heidelberg (Germany); German Cancer Consortium (DKTK), Frankfurt am Main (Germany)

    2017-09-15

    Considering that the number of malignant diseases in patients over 65 years of age is increasing, it often occurs that patients who carry a cardiac implanted electronic device must undergo radiotherapy. Ionizing radiation can disturb the function of the implantable cardioverter-defibrillator (ICD). As a result of this, an update of the DEGRO/DKG guidelines for radiotherapy of this patient group has been published. We report the case of a patient with an ICD and T-lymphoblastic lymphoma with cardiac involvement, who received i.a. a total body irradiation with 8 Gy followed by a consolidating radiotherapy of the pericardium with 14 Gy as well as additional radiotherapy courses after consecutive recurrences. For the purposes of the treatment, the antitachyarrhythmia (ATA) therapy was deactivated and temporarily replaced through a life vest. According to the current DEGRO guidelines for irradiation of patients with cardiac implanted electronic devices, a categorization of the patient in the ''high-risk'' group was made. Furthermore, regular telemetric checks of the ICD device were performed before and after treatment. Despite unavailable declaration of the manufacturer regarding the cumulative tolerable dose and DEGRO recommendation for a cumulative dose <2 Gy, the aftercare was unproblematic and normal values were assessed for all relevant ICD parameters, despite a cumulative dose >10 Gy in the device. This case shows that if the cardiac implanted electronic devices are not directly irradiated und the energy used is reduced to 6 MV, irradiation-induced damage is less likely and can possibly be prevented. (orig.) [German] Vor dem Hintergrund der steigenden Zahl von Krebserkrankungen bei Patienten ueber 65 Jahren kommt es haeufig vor, dass sich Patienten mit einem kardialen implantierten elektronischen Geraet einer Strahlentherapie unterziehen muessen. Ionisierende Strahlung kann die Funktion des implantierbaren Kardioverter-Defibrillators (ICD

  3. Health risk assessments of heavy metal exposure via consumption of marine mussels collected from anthropogenic sites

    Energy Technology Data Exchange (ETDEWEB)

    Yap, Chee Kong, E-mail: yapckong@hotmail.com [Department of Biology, Faculty of Science, Universiti Putra Malaysia (UPM), 43400 Serdang, Selangor (Malaysia); Cheng, Wan Hee [Inti International University, Persiaran Perdana BBN, 71800 Nilai, Negeri Sembilan (Malaysia); Karami, Ali [Laboratory of Aquatic Toxicology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), 43400 Serdang, Selangor (Malaysia); Ismail, Ahmad [Department of Biology, Faculty of Science, Universiti Putra Malaysia (UPM), 43400 Serdang, Selangor (Malaysia)

    2016-05-15

    A total of 40 marine mussel Perna viridis populations collected (2002–2009) from 20 geographical sites located in two busy shipping lanes namely the Straits of Malacca (10 sites; 16 populations) and the Straits of Johore (8 sites; 21 populations) and three populations (2 sites) on the east coast of Peninsular Malaysia, was determined for Cd, Cu, Fe, Ni, Pb and Zn concentrations. In comparison with the maximum permissible limits (MPLs) set by existing food safety guidelines, all metal concentrations found in all the mussel populations were lower than the prescribed MPLs. In terms of the provisional tolerable weekly intake prescribed by the Joint FAO/WHO Expert Committee on Food Additives (JECFA) and oral reference doses (ORDs) by the USEPA, all the studied metals (except for Pb) were unlikely to become the limiting factors or unlikely to pose a risk for the consumption of the mussel populations. The estimated daily intake (EDI) for average level mussel (ALM) and high level mussel (HLM) consumers of mussels was found to be lower than the ORD guidelines for Cd, Cu, Fe, Ni and Zn. Furthermore, the target hazard quotient (THQ) was found to be less than 1 for ALM consumers but higher than 1 for HLM consumers in some sites. Therefore, there were no potential human health risks to the ALM consumers of the mussels. However, for Pb THQ values, the Pb levels in some mussel populations could create a health risk problem. Present results indicate that the consumption amounts of mussels should be limited for minimizing potential health risks of heavy metals to the HLM consumers. - Highlights: • Human health risk assessments of heavy metals in Perna viridis were investigated. • All metals in the mussels were below the established seafood safety guidelines. • Pb in mussels could easily reach the percentage of prescribed PTWI value of Pb. • Potential health risk with Pb exposure was found for the mussel consumers. • Consumption rate of mussels should be limited to

  4. Health risk assessment for chemical exposures of military interest

    NARCIS (Netherlands)

    Langenberg, J.P.; Polhuijs, M.; Sijbranda, T.

    2016-01-01

    Participation in military operations is accompanied by health hazards resulting from exposure to chemical substances from natural and anthropogenic sources. Historically, focus on toxicological risks has been on the health effects of exposure to chemical warfare agents (CW A). In recent years the

  5. Assessing Sources of Human Methylmercury Exposure Using Stable Mercury Isotopes

    DEFF Research Database (Denmark)

    Li, Miling; Sherman, Laura S; Blum, Joel D

    2014-01-01

    Seafood consumption is the primary route of methylmercury (MeHg) exposure for most populations. Inherent uncertainties in dietary survey data point to the need for an empirical tool to confirm exposure sources. We therefore explore the utility of Hg stable isotope ratios in human hair as a new me...

  6. #2 - An Empirical Assessment of Exposure Measurement Error ...

    Science.gov (United States)

    Background• Differing degrees of exposure error acrosspollutants• Previous focus on quantifying and accounting forexposure error in single-pollutant models• Examine exposure errors for multiple pollutantsand provide insights on the potential for bias andattenuation of effect estimates in single and bipollutantepidemiological models The National Exposure Research Laboratory (NERL) Human Exposure and Atmospheric Sciences Division (HEASD) conducts research in support of EPA mission to protect human health and the environment. HEASD research program supports Goal 1 (Clean Air) and Goal 4 (Healthy People) of EPA strategic plan. More specifically, our division conducts research to characterize the movement of pollutants from the source to contact with humans. Our multidisciplinary research program produces Methods, Measurements, and Models to identify relationships between and characterize processes that link source emissions, environmental concentrations, human exposures, and target-tissue dose. The impact of these tools is improved regulatory programs and policies for EPA.

  7. Multisite assessment of NIA-AA guidelines for the neuropathologic evaluation of Alzheimer's disease.

    Science.gov (United States)

    Montine, Thomas J; Monsell, Sarah E; Beach, Thomas G; Bigio, Eileen H; Bu, Yunqi; Cairns, Nigel J; Frosch, Matthew; Henriksen, Jonathan; Kofler, Julia; Kukull, Walter A; Lee, Edward B; Nelson, Peter T; Schantz, Aimee M; Schneider, Julie A; Sonnen, Joshua A; Trojanowski, John Q; Vinters, Harry V; Zhou, Xiao-Hua; Hyman, Bradley T

    2016-02-01

    Neuropathologic assessment is the current "gold standard" for evaluating the Alzheimer's disease (AD), but there is no consensus on the methods used. Fifteen unstained slides (8 brain regions) from each of the 14 cases were prepared and distributed to 10 different National Institute on Aging AD Centers for application of usual staining and evaluation following recently revised guidelines for AD neuropathologic change. Current practice used in the AD Centers Program achieved robustly excellent agreement for the severity score for AD neuropathologic change (average weighted κ = .88, 95% confidence interval: 0.77-0.95) and good-to-excellent agreement for the three supporting scores. Some improvement was observed with consensus evaluation but not with central staining of slides. Evaluation of glass slides and digitally prepared whole-slide images was comparable. AD neuropathologic evaluation as performed across AD Centers yields data that have high agreement with potential modifications for modest improvements. Copyright © 2016 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

  8. The opportunity of tracking food waste in school canteens: Guidelines for self-assessment.

    Science.gov (United States)

    Derqui, Belén; Fernandez, Vicenc

    2017-11-01

    Reducing food waste is one of the key challenges of the food system and addressing it in the institutional catering industry can be a quick win. In particular, school canteens are a significant source of food waste and therefore embody a great opportunity to address food waste. The goal of our research is the development of guidelines for audit and self-assessment in measuring and managing food waste produced at school canteens. The purpose of the tool is to standardise food waste audits to be executed either by scholars, school staff or by catering companies with the objective of measuring and reducing food waste at schools. We performed a research among public and private schools and catering companies from which we obtained the key performance indicators to be measured and then pilot-tested the resulting tool in four schools with over 2900 pupil participants, measuring plate waste from over 10,000 trays. This tool will help managers in their efforts towards more sustainable organisations at the same time as the standardisation of food waste audits will provide researchers with comparable data. The study suggests that although there is low awareness on the amount of food wasted at school canteens, managers and staff are highly interested in the topic and would be willing to implement audits and reduction measures. The case study also showed that our tool is easy to implement and not disruptive. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. A novel means of assessing institutional adherence to blood transfusion guidelines.

    Science.gov (United States)

    Hicks, Caitlin W; Frank, Steven M; Wasey, Jack O; Efron, Jonathan; Gearhart, Susan; Fang, Sandy; Safar, Bashar; Makary, Martin A; Wick, Elizabeth C

    2015-01-01

    Risk-adjusted institutional transfusion rates are not currently available on a national level. A surrogate means of benchmarking transfusion practices to use for internal quality improvement was studied. Blood utilization was prospectively studied among all colorectal surgery patients at the study institution (July 2010-November 2012), and these data were benchmarked with transfusion data from the National Surgical Quality Improvement Program (NSQIP) database by hospital type and size. Using NSQIP, the study institution's colorectal surgery transfusion rate was 16.3% (150/920 cases), which was slightly higher than the 14.3% national mean transfusion rate (12 191/85 507 cases; P = .08). When broken down by hospital type and size, the study hospital had a similar rate of blood transfusion compared with academic hospitals (P = .35) but a significantly higher rate than community hospitals, regardless of patient volume (P = .03). Benchmarking blood utilization compared with similar-type hospitals using NSQIP may be a surrogate method to assess adherence to evidence-based transfusion guidelines and identify areas for structured quality improvement initiatives. © The Author(s) 2014.

  10. Assessment on personal exposure to particulate compounds using an empirical exposure model in an elderly community in Tianjin, China.

    Science.gov (United States)

    Xu, Jia; Zhang, Nan; Han, Bin; You, Yan; Zhou, Jian; Zhang, Jiefeng; Niu, Can; Liu, Yating; He, Fei; Ding, Xiao; Bai, Zhipeng

    2016-12-01

    Using central site measurement data to predict personal exposure to particulate matter (PM) is challenging, because people spend most of their time indoors and ambient contribution to personal exposure is subject to infiltration conditions affected by many factors. Efforts in assessing and predicting exposure on the basis of associated indoor/outdoor and central site monitoring were limited in China. This study collected daily personal exposure, residential indoor/outdoor and community central site PM filter samples in an elderly community during the non-heating and heating periods in 2009 in Tianjin, China. Based on the chemical analysis results of particulate species, mass concentrations of the particulate compounds were estimated and used to reconstruct the PM mass for mass balance analysis. The infiltration factors (Finf) of particulate compounds were estimated using both robust regression and mixed effect regression methods, and further estimated the exposure factor (Fpex) according to participants' time-activity patterns. Then an empirical exposure model was developed to predict personal exposure to PM and particulate compounds as the sum of ambient and non-ambient contributions. Results showed that PM mass observed during the heating period could be well represented through chemical mass reconstruction, because unidentified mass was minimal. Excluding the high observations (>300μg/m(3)), this empirical exposure model performed well for PM and elemental carbon (EC) that had few indoor sources. These results support the use of Fpex as an indicator for ambient contribution predictions, and the use of empirical non-ambient contribution to assess exposure to particulate compounds. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. Guidelines for harmonized vulnerability and risk assessment for non-nuclear critical infrastructure: STREST Reference Report 3

    OpenAIRE

    Anastasiadis, Anastasios; Argyroudis, Sotiris; BABIČ Anže; Basco, Anna; CASOTTO Chiara; Crowley, Helen; Dolšek, Matjaž; FOTOPOULOU Stavroula; GALBUSERA LUCA; Giannopoulos, Georgios; Giardini, Domenico; KAKDERI Kalliopi; KARAFAGKA Stella; Matos, José Pedro; PITILAKIS Kyriazis

    2016-01-01

    Loss assessment of critical infrastructures (CIs) subject to natural hazards is fundamental to stress tests. The systemic approach that lifelines require for performance modelling is an open research topic, given their logical and physical complexity. The Work Package 4 (WP4) of STREST focused on the guidelines for the vulnerability assessment of critical infrastructures categorized as: A Individual, single-site infrastructures with high risk and potential for high local impact and regiona...

  12. Dietary exposure assessment of ß-lactam antibiotic residues in milk on Croatian market

    Directory of Open Access Journals (Sweden)

    D. Bažulić

    2012-01-01

    Full Text Available This paper presents the preliminary screening report of the occurrence of β-lactam antibiotic residues in milk on Croatian market. The intensive animal production sometimes leads to the unavoidable presence of residues of veterinary drugs in food. However, it is possible to reduce the presence of residues in foods of animal origin by using the principles of good veterinary and good manufacturing practices, continuous control of food and using risk assessment approach. Method used for determination of these antibiotics were validated according to the guidelines laid down by European Commission Decision 2002/657/EC. The estimated dietary exposure based on the data on average consumption of milk and the estimated concentration of amoxicillin, ampicillin, benzylpenicillin, cloxacillin, cephapirin, cefazolin, cefoperazone and ceftiofur does not exceed relevant toxicological reference value (acceptable daily intake. These indicate that milk on Croatian market contain very low levels of β-lactam antibiotic residues and toxsicological risk with regard to consuming of milk could not be considered as a public health problem.

  13. Exposure and health risk assessment of applicators to DDT during indoor residual spraying in malaria vector control program

    OpenAIRE

    Spanoghe, Pieter; Tessema, Dejene A; Steurbaut, Walter

    2012-01-01

    We assessed exposure of applicators, health risk of DDT to the applicators and evaluated the applicability of existing pesticide exposure models for indoor residual spraying (IRS). Patch sampling for dermal and personal air sampler for inhalation exposure were used in monitoring 57 applicators on the exposure assessment to DDT. The exposure of the applicators was also estimated using three exposure models. The mean actual dermal exposure was 449 mg total DDT per applicator per one house treat...

  14. Evaluation of methodologies for exposure assessment to atmospheric pollutants from a landfill site.

    Science.gov (United States)

    Mohan, Richard; Leonardi, Giovanni S; Robins, Alan; Jefferis, Stephan; Coy, Joanne; Wight, Jeremy; Murray, Virginia

    2009-04-01

    Epidemiological studies around landfill sites are limited by several factors, particularly a lack of accurate exposure assessment. Traditionally, exposure estimates are based on distance between place of residence and the landfill site. However, this measure of exposure ignores the effects that environmental factors may have upon exposure. A previous epidemiological study at a landfill site in the United Kingdom provided the basis for a case study to investigate exposure assessment methodologies that could support ongoing and future epidemiological work. Estimation of relative exposure to atmospheric pollutants near the site was refined using the Atmospheric Dispersion Modeling System (ADMS) 3.1. Annual average concentrations were calculated around the landfill site, which was modeled as an area source with a steady release rate over its entire active surface. Local meteorological and terrain data were used in the assessment. A geographical information system (GIS) was then used to link the results of the modeling to population and other data. Sensitivity studies were included to examine the variation of predicted exposure with several modeling assumptions and hence set other uncertainties in context. No simple relationship existed between the relative individual exposure measured by distance from the site and by dispersion modeling. A reassessment of exposure assessment in epidemiological studies around landfill sites was then undertaken with the refined estimates of exposure. This concluded that use of distance from the site as a proxy for exposure could lead to significant exposure misclassification in comparison with exposure assessment using atmospheric dispersion modeling and GIS. The study also indicated that assessment of peak exposure rates (i.e., extreme concentration levels) might be necessary in some epidemiological work. Optimum strategies for increasing the probability of observing effects in the more highly exposed population can be derived by

  15. Assessment of occupational exposure to radio frequency electromagnetic fields

    Directory of Open Access Journals (Sweden)

    Halina Aniołczyk

    2015-06-01

    Full Text Available Background: European Union Directive 2013/35/UE provides for the implementation of EU regulations into national legislation. Our aim is to assess actual health hazards from radiofrequency electromagnetic field (RF EMF (range: 100 kHz – 300 GHz and indicate workplaces with the highest risk to employee health. Material and Methods: Data from measurements of RF EMF performed by the Laboratory of Electromagnetic Hazards in Nofer Institute of Occupational Medicine (Łódź, Poland were analyzed. The analysis covered the results of electric field intensity (E for over 450 selected items. The ranges of protection zones and the extent to which maximum admissible intensity (MAI values were also analyzed. The determinations and measurements of EMF in the work environment met the requirements of Polish Standard, while Polish regulations on the MAI values were used as the criterion for the assessment of the exposure. Results: The highest values of E field intensity at workplaces were measured for: electrosurgery, to 400 V/m, and short-wave diathermy units, to 220 V/m, dielectric welders to 240 V/m, within the FM radio antenna systems, to 180 V/m. The widest protection zones were noted for prototype research instruments, short-wave diathermy units, and dielectric welders. The most excessive (up to 12-fold MAI values were recorded for dielectric welders, short-wave diathermy units (up to 11-fold and microwave diathermy units (up to 8-fold. Conclusions: Our results have confirmed the high RF EMF values for physiotherapists, operators of dielectric welders, and mast maintenance workers in radio communication facilities (especially radio and TV broadcasting stations. Med Pr 2015;66(2:199–212

  16. [Suicide Risk Assessment in the Clinical Practice Guidelines for the Diagnosis and Management of Depression in Colombia].

    Science.gov (United States)

    Gómez Restrepo, Carlos; Bohórquez Peñaranda, Adriana Patricia; Gil Lemus, Laura Marcela; Jaramillo, Luis Eduardo; García Valencia, Jenny; Bravo Narváez, Eliana; de la Hoz Bradford, Ana María; Palacio, Carlos

    2013-01-01

    Suicide is the most serious complications of depression. It has high associated health costs and causes millions of deaths worldwide per year. Given its implications, it is important to know the factors that increase the risk of its occurrence and the most useful tools for addressing it. To identify the signs and symptoms that indicate an increased risk of suicide, and factors that increase the risk in patients diagnosed with depression. To establish the tools best fitted to identify suicide risk in people with depression. Clinical practice guidelines were developed, following those of the methodmethodological guidelines of the Ministry of Social Protection, to collect evidence and to adjust recommendations. Recommendations from the NICE90 and CANMAT guidelines were adopted and updated for questions found in these guidelines, while new recommendations were developed for questions not found in them. Basic points and recommendations are presented from a chapter of the clinical practice guidelines on depressive episodes and recurrent depressive disorder related to suicide risk assessment. Their corresponding recommendation levels are included. Copyright © 2013 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  17. Exposure assessment to glyphosate of two species of annelids.

    Science.gov (United States)

    García-Torres, Tristán; Giuffré, Lidia; Romaniuk, Romina; Ríos, Ruth P; Pagano, Eduardo A

    2014-08-01

    Adult mortality, biomass, fecundity and viability of cocoons were studied in Eisenia fetida and Octolasion tyrtaeum, in response to glyphosate exposure in soil. Exposure tests were carried out following USEPA procedure, with five concentrations of glyphosate in soil and a control. O. tyrtaeum was more sensitive to the highest concentration of glyphosate (50,000 mg kg(-1)), with 100 % mortality by day 7 of exposure, compared with 71 % for E. fetida. Although biomass of O. tyrtaeum was significantly different between the control and 5,000 mg kg(-1) dose at day 14, E. fetida was not affected at that concentration, and only showed a significant weight loss after 7 days of exposure to 50,000 mg kg(-1). Adverse effects upon adult fecundity and cocoon viability were observed at glyphosate concentrations of 5,000 mg kg(-1) and above. Adverse effects were observed at concentrations that greatly exceeded the recommended field application rates of glyphosate.

  18. Dermal exposure assessment to benzene and toluene using charcoal cloth pads

    NARCIS (Netherlands)

    Joode, De B.V.; Tielemans, E.; Vermeulen, R.; Wegh, H.C.P.; Kromhout, H.

    2005-01-01

    Charcoal cloth pads have been used to assess volatile chemicals on the skin in a laboratory setting; however, they have not yet been applied to measure dermal exposure in occupational settings. This study aimed at evaluating whether charcoal pads can be used to assess dermal exposure to benzene and

  19. European consumer exposure to cosmetic products, a framework for conducting population exposure assessments Part 2.

    Science.gov (United States)

    Hall, B; Steiling, W; Safford, B; Coroama, M; Tozer, S; Firmani, C; McNamara, C; Gibney, M

    2011-02-01

    Access to reliable exposure data is essential for the evaluation of the toxicological safety of ingredients in cosmetic products. This study complements the data set obtained previously (Part 1) and published in 2007 by the European cosmetic industry acting within COLIPA. It provides, in distribution form, exposure data on daily quantities of five cosmetic product types: hair styling, hand cream, liquid foundation, mouthwash and shower gel. In total 80,000 households and 14,413 individual consumers in five European countries provided information using their own products. The raw data were analysed using Monte Carlo simulation and a European Statistical Population Model of exposure was constructed. A significant finding was an inverse correlation between the frequency of product use and the quantity used per application recorded for mouthwash and shower gel. The combined results of Part 1 (7 product types) and Part 2 (5 products) reported here, bring up to date and largely confirm the current exposure parameters concerning some 95% of the estimated daily exposure to cosmetics use in the EU. The design of this study, with its relation to demographic and individual diversity, could serve as a model for studies of populations' exposure to other consumer products. Copyright © 2010 Elsevier Ltd. All rights reserved.

  20. Southern African guidelines for the safe use of pre-exposure prophylaxis in men who have sex with men who are at risk for HIV infection

    Directory of Open Access Journals (Sweden)

    Southern African HIV Clinicians Society Consensus Committee

    2012-06-01

    Full Text Available Background. The use of oral antiretrovirals to prevent HIV infection among HIV-negative men who have sex with men (MSM has been shown to be safe and efficacious. A large, randomised, placebo-controlled trial showed a 44% reduction in the incidence of HIV infection among MSM receiving a daily oral fixed-dose combination of tenofovir disoproxil fumarate and emtricitabine (Truvada in combination with an HIV prevention package. Improved protection was seen with higher levels of adherence. Aim. The purpose of this guideline is to: (i explain what pre-exposure prophylaxis (PrEP is; (ii outline current indications for its use; (iii outline steps for appropriate client selection; and (iv provide guidance for monitoring and maintaining clients on PrEP. Method. PrEP is indicated for HIV-negative MSM who are assessed to be at high risk for HIV acquisition and who are willing and motivated to use PrEP as part of a package of HIV prevention services (including condoms, lubrication, sexually transmitted infection (STI management and risk reduction counselling. Recommendations. HIV testing, estimation of creatinine clearance and STI and hepatitis B screening are recommended as baseline investigations. Daily oral Truvada, along with adherence support, can then be prescribed for eligible MSM. PrEP should not be given to MSM with abnormal renal function, nor to clients who are unmotivated to use PrEP as part of an HIV prevention package; nor should it be commenced during an acute viral illness. Three-monthly follow-up visits to assess tolerance, renal function, adherence and ongoing eligibility is recommended. Six-monthly STI screens and annual creatinine levels to estimate creatinine clearance are recommended. Hepatitis B vaccination should be provided to susceptible clients. Gastro-intestinal symptoms and weight loss are common side-effects, mostly experienced for the first 4 - 8 weeks after initiating PrEP. There is a risk of the development of antiretroviral

  1. Suitability Assessment of Printed Dietary Guidelines for Pregnant Women and Parents of Infants and Toddlers From 7 European Countries.

    Science.gov (United States)

    Garnweidner-Holme, Lisa Maria; Dolvik, Stina; Frisvold, Cathrine; Mosdøl, Annhild

    2016-02-01

    To evaluate selected European printed dietary guidelines for pregnant women and parents of infants and toddlers using the suitability assessment of materials (SAM) method. A descriptive study to determine the suitability of 14 printed dietary guidelines from 7 European countries based on deductive quantitative analyses. Materials varied greatly in format and content: 35.7% of materials were rated superior and 64.3% were rated adequate according to the overall SAM score for patient education material. None of the materials were scored not suitable. Among the categories, the highest average scores were for layout and typography and the lowest average scores were for cultural appropriateness and learning stimulation and motivation. Interrater reliability ranged from Cohen's kappa of 0.37 to 0.62 (mean, 0.41), indicating fair to moderate agreement among the 3 investigators. Overall, the suitability of the assessed printed dietary guidelines was adequate. Based on the SAM methodology, printed dietary guidelines may increase in suitability by emphasizing aspects related to health literacy and accommodating the needs of different food cultures within a population. Copyright © 2016 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  2. How to develop guidelines for clinical practice.

    Science.gov (United States)

    Jaeschke, R; Jankowski, M; Brozek, J; Antonelli, M

    2009-09-01

    Recent decades have seen an explosion of clinical practice guidelines documents developed to inform clinicians about the best options for managing treatment, with the explicit intent to influence behaviour. As our exposure to guidelines has increased it has become clear that the process of guideline development should follow specific rules in order to avoid disagreement, misunderstanding, misleading recommendations, and confusion. In this article, we review the approach to developing clinical practice guidelines suggested by an international Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) workgroup. This approach suggests several steps for guideline development: 1. determine the purpose, scope, and intended audience; 2. select the panel of guideline authors; 3. specify the main focused clinical questions that the recommendations will address; 4. decide on the relative importance of outcomes; 5. find and summarize the evidence supporting each recommendation; 6. determine the quality of the available evidence; 7. evaluate the balance of desirable and undesirable consequences for a particular course of action; 8. formulate recommendations, including their strenght; and 9. consider a system for subsequent guideline implementation and evaluation. We aim to help the readers of practice guidelines asses those guidelines' quality and validity, as well as to assist the authors of future guidelines in systematically generating clinical recommendations.

  3. Assessment of prenatal exposure to arsenic in Tenerife Island.

    Directory of Open Access Journals (Sweden)

    Oriol Vall

    Full Text Available INTRODUCTION: Increasing awareness of the potential chronic health effects of arsenic (As at low exposure levels has motivated efforts to better understand impaired child development during pregnancy by biomarkers of exposure. The aims of this study were to evaluate the prenatal exposure to As by analysis of an alternative matrix (meconium, to examine its effects on neonatal outcomes and investigate the association with maternal lifestyle and dietary habits during pregnancy. METHODS: A transversal descriptive study was conducted in Tenerife (Spain. A total of 96 mother-child pairs participated in the study. A questionnaire on sociodemographic, lifestyle and dietary habits during pregnancy was administered the day after the delivery. Analysis of total As in meconium was performed by inductively coupled plasma-optical emission spectrometer. RESULTS: Total As was detected in 37 (38.5% meconium samples. The univariate logistic regression model indicates that prenatal exposure to As was associated with a low intake of eggs per week (OR 0.56; CI (95%: 0.34-0.94 during pregnancy. Conversely, frequent intake of vegetables was associated with prenatal As exposure (OR: 1.19; CI (95%: 1.01-1.41 and frequent intake of processed meat (as bacon, Frankfurt's sausage, and hamburger shows a trend to As prenatal exposure (OR: 8.54; CI (95%: 0.80-90.89. The adjusted multivariate logistic regression model indicates that only frequent intake of vegetables maintains the association (OR: 1.31; CI (95%: 1.02-1.68. CONCLUSION: The studied population presented a low As exposure and was not associated with neonatal effects. Maternal consumption of vegetables during pregnancy was associated with detectable meconium As levels; however the concentration detected in meconium was too low to be considered a major public health concern in this geographical area.

  4. Exposure assessment of process-related contaminants in food by biomarker monitoring.

    Science.gov (United States)

    Rietjens, Ivonne M C M; Dussort, P; Günther, Helmut; Hanlon, Paul; Honda, Hiroshi; Mally, Angela; O'Hagan, Sue; Scholz, Gabriele; Seidel, Albrecht; Swenberg, James; Teeguarden, Justin; Eisenbrand, Gerhard

    2018-01-04

    Exposure assessment is a fundamental part of the risk assessment paradigm, but can often present a number of challenges and uncertainties. This is especially the case for process contaminants formed during the processing, e.g. heating of food, since they are in part highly reactive and/or volatile, thus making exposure assessment by analysing contents in food unreliable. New approaches are therefore required to accurately assess consumer exposure and thus better inform the risk assessment. Such novel approaches may include the use of biomarkers, physiologically based kinetic (PBK) modelling-facilitated reverse dosimetry, and/or duplicate diet studies. This review focuses on the state of the art with respect to the use of biomarkers of exposure for the process contaminants acrylamide, 3-MCPD esters, glycidyl esters, furan and acrolein. From the overview presented, it becomes clear that the field of assessing human exposure to process-related contaminants in food by biomarker monitoring is promising and strongly developing. The current state of the art as well as the existing data gaps and challenges for the future were defined. They include (1) using PBK modelling and duplicate diet studies to establish, preferably in humans, correlations between external exposure and biomarkers; (2) elucidation of the possible endogenous formation of the process-related contaminants and the resulting biomarker levels; (3) the influence of inter-individual variations and how to include that in the biomarker-based exposure predictions; (4) the correction for confounding factors; (5) the value of the different biomarkers in relation to exposure scenario's and risk assessment, and (6) the possibilities of novel methodologies. In spite of these challenges it can be concluded that biomarker-based exposure assessment provides a unique opportunity to more accurately assess consumer exposure to process-related contaminants in food and thus to better inform risk assessment.

  5. A case report of lung cancer in a horse trainer caused by exposure to respirable crystalline silica: an exposure assessment

    National Research Council Canada - National Science Library

    Yoon, Jin-Ha; Kim, Boowook; Choi, Byung-Soon; Park, So Young; Kwag, Hyun-Suk; Kim, In-Ah; Jeong, Ji Yeon

    2013-01-01

    Here, we present a case of lung cancer in a 48-year-old male horse trainer. To the best of our knowledge, this is the first such case report to include an exposure assessment of respirable crystalline silica (RCS) as a quartz...

  6. Probabilistic assessment of exposure to cosmetic products by French children aged 0-3 years.

    Science.gov (United States)

    Ficheux, A S; Dornic, N; Bernard, A; Chevillotte, G; Roudot, A C

    2016-08-01

    Very few exposure data are available for children in Europe and worldwide. The aim of this study was to assess the exposure to cosmetic products used on children aged 0-3 years using recent consumption data generated for the French population. Exposure was assessed using a probabilistic method for 24 products including cleanser, skin care, fragrance, solar and bottom products. The exposure data obtained in this study for children aged 0-3 years were higher than the values fixed by the SCCS for all common products: liquid shampoo, face moisturizer cream, toothpaste, shower gel and body moisturizer cream. Exposure was assessed for the first time for many products such as sunscreens, Eau de toilette and massage products. These new French exposure values will be useful for safety assessors and for safety agencies. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain.

    Science.gov (United States)

    Bier, Jasper D; Scholten-Peeters, Wendy G M; Staal, J Bart; Pool, Jan; van Tulder, Maurits W; Beekman, Emmylou; Knoop, Jesper; Meerhoff, Guus; Verhagen, Arianne P

    2018-03-01

    The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on a review of published systematic reviews.During the intake, the patient is screened for serious pathologies and corresponding patterns. Patients with cervical radiculopathy can be included or excluded through corresponding signs and symptoms and possibly diagnostic tests (Spurling test, traction/distraction test, and Upper Limb Tension Test). History taking is done to gather information about patients' limitations, course of pain, and prognostic factors (eg, coping style) and answers to health-related questions.In case of a normal recovery (treatment profile A), management should be hands-off, and patients should receive advice from the physical therapist and possibly some simple exercises to supplement "acting as usual."In case of a delayed/deviant recovery (treatment profile B), the physical therapist is advised to use, in addition to the recommendations for treatment profile A, forms of mobilization and/or manipulation in combination with exercise therapy. Other interventions may also be considered. The physical therapist is advised not to use dry needling, low-level laser, electrotherapy, ultrasound, traction, and/or a cervical collar.In case of a delayed/deviant recovery with clear and/or dominant psychosocial prognostic factors (treatment profile C), these factors should first be addressed by the physical therapist, when possible, or the patient should be referred to a specialist, when necessary.In case of neck pain grade III (treatment profile D), the therapy resembles that for profile B, but the use of a cervical collar for pain reduction may be considered. The advice is to use it sparingly: only for a short period per day and only for a few weeks.

  8. Incorporating patient perspectives in health technology assessments and clinical practice guidelines.

    Science.gov (United States)

    Hämeen-Anttila, K; Komulainen, J; Enlund, H; Mäkelä, M; Mäkinen, E; Rannanheimo, P; Sipilä, R

    Ensuring patient involvement in health technology assessments (HTAs) and clinical practice guidelines (CPGs) is important. However, the goals and methods of such involvement are not always clear. The aim of this study was to 1) discover ways to involve patients in HTA and CPG processes, 2) describe challenges, and 3) find ways of informing patients about HTAs and CPGs in Finland. As part of a one-day seminar targeted at representatives of patient organizations (POs), 3, 1-h focus group discussions were held (n = 20, with 14 PO representatives). PO representatives included real patients and health care professionals working in the organizations. The discussions were tape-recorded, transcribed, and thematically analyzed. Focus group participants highlighted the importance of gathering patient views from a group of patients, rather than individuals. Surveys through POs were the most frequently mentioned means of gathering patients' views. PO representatives reported interest in cooperating in HTA and CPG processes. The most often mentioned challenges were finding appropriate representatives for the target group and conveying information about HTAs and CPGs to patients. Multichannel communication was seen as essential. Furthermore the information should be readable, comprehensible, tailored, reliable, reusable, complementary, and timely. Possible strategies to involve patients in HTA and CPG processes were incorporating patient representatives in the CPG and HTA groups, offering timely possibility to participate, and ensuring reporting with clear and unambiguous language. The main identified challenge was finding appropriate representatives of the target group. The role of POs was seen as important particularly when informing the patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Comparison of expert and job-exposure matrix-based retrospective exposure assessment of occupational carcinogens in the Netherlands Cohort Study

    NARCIS (Netherlands)

    Offermans, N.S.M.; Vermeulen, R.; Burdorf, A.; Peters, S.; Goldbohm, R.A.; Koeman, T.; Tongeren, M. van; Kauppinen, T.; Kant, I.; Kromhout, H.; Brandt, P.A. van den

    2012-01-01

    Objectives: Reliable retrospective exposure assessment continues to be a challenge in most population-based studies. Several methodologies exist for estimating exposures retrospectively, of which case-by-case expert assessment and job-exposure matrices (JEMs) are commonly used. This study evaluated

  10. Guideline for the assessment of radioactive substances in drinking water in the frame of the implementation of the drinking water regulation. Recommendation by BMUB, BfS, UBA and the responsible state authorities and DVGW and BDFW; Leitfaden zur Untersuchung und Bewertung von radioaktiven Stoffen im Trinkwasser bei der Umsetzung der Trinkwasserverordnung. Empfehlung von BMUB, BMG, BfS, UBA und den zustaendigen Landesbehoerden sowie DVGW und BDEW

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2017-01-15

    The guidelines on the assessment of radioactive substances in drinking water cover the following issues: terms, symbols and units concerning radioactivity, radioactivity in the drinking water and radiation exposure, requirements for drinking water with respect to radioactive substances, fundamentals of the assessment concept according to the drinking water regulation, practical application of the assessment concept, analytical determination of radioactivity related parameters.

  11. Multimedia Environmental Pollutant Assessment System (MEPAS{reg_sign}): Exposure pathway and human health impact assessment models

    Energy Technology Data Exchange (ETDEWEB)

    Strenge, D.L.; Chamberlain, P.J.

    1995-05-01

    The Multimedia Environmental Pollutant Assessment System (MEPAS) provides physics-based models for human health risk assessment for radioactive and hazardous pollutants. MEPAS analyzes pollutant behavior in various media (air, soil, groundwater and surface water) and estimates transport through and between media and exposure and impacts to the environment, to the maximum individual, and to populations. MEPAS includes 25 exposure pathway models, a database with information on more than 650 contaminants, and a sensitivity module that allows for uncertainty analysis. Four major transport pathways are considered in MEPAS: groundwater, overland, surface water, and atmospheric. This report describes the exposure pathway and health impact assessment component of MEPAS, which provides an estimate of health impacts to selected individuals and populations from exposure to pollutants. The exposure pathway analysis starts with pollutant concentration in a transport medium and estimates the average daily dose to exposed individuals from contact with the transport medium or a secondary medium contaminated by the transport medium. The average daily dose is then used to estimate a measure of health impact appropriate to the type of pollutant considered. Discussions of the exposure pathway models include the assumptions and equations used to convert the transport medium concentrations to exposure medium concentrations. The discussion for a given exposure pathway defines the transport pathways leading to the exposure, the special processes considered in determining the pollutant concentration in the exposure medium, and the exposure model used to estimate the average daily dose. Models for the exposure pathway and health impact assessments require definition of several parameters. A summary of the notation used for these parameters is provided.

  12. Survival risk assessment for primary blast exposures to the head.

    Science.gov (United States)

    Rafaels, Karin; Bass, Cameron R Dale; Salzar, Robert S; Panzer, Matthew B; Woods, William; Feldman, Sanford; Cummings, Thomas; Capehart, Bruce

    2011-11-01

    Many soldiers returning from the current conflicts in Iraq and Afghanistan have had at least one exposure to an explosive event and a significant number have symptoms consistent with traumatic brain injury. Although blast injury risk functions have been determined and validated for pulmonary injury, there is little information on the blast levels necessary to cause blast brain injury. Anesthetized male New Zealand White rabbits were exposed to varying levels of shock tube blast exposure focused on the head, while their thoraces were protected. The specimens were euthanized and evaluated when the blast resulted in respiratory arrest that was non-responsive to resuscitation or at 4?h post-exposure. Injury was evaluated by gross examination and histological evaluation. The fatality data from brain injury were then analyzed using Fisher's exact test to determine a brain fatality risk function. Greater blast intensity was associated with post-blast apnea and the need for mechanical ventilation. Gross examination revealed multifocal subdural hemorrhages, most often near the brainstem, at more intense levels of exposure. Histological evaluation revealed subdural and subarachnoid hemorrhages in the non-responsive respiratory-arrested specimens. A fatality risk function from blast exposure to the head was determined for the rabbit specimens with an LD(50) at a peak overpressure of 750?kPa. Scaling techniques were used to predict injury risk at other blast overpressure/duration combinations. The fatality risk function showed that the blast level needed to cause fatality from an overpressure wave exposure to the head was greater than the peak overpressure needed to cause fatality from pulmonary injury. This risk function can be used to guide future research for blast brain injury by providing a realistic fatality risk to guide the design of protection or to evaluate injury.

  13. Assessing Smoking Behaviour and Tobacco Smoke Exposure: Definitions and Methods

    Directory of Open Access Journals (Sweden)

    Gregg E

    2014-12-01

    Full Text Available In recent years, the increased availability of tobacco products other than conventional cigarettes, the use of puffing topography devices for smoking behaviour studies and the use of biomarkers to study smoke constituents exposure have generated the need for a more comprehensive set of definitions concerning smoking behaviour and exposure to smoke. The definitions offered in this paper are based on many years of practical experience and on consensus within a broad group of scientists working in these areas. It is intended that, with wider and more consistent usage, these definitions should reduce any misunderstandings and facilitate interpretation of future studies.

  14. Assessing the readiness of a school system to adopt food allergy management guidelines.

    Science.gov (United States)

    Eldredge, Christina; Patterson, Leslie; White, Brenda; Schellhase, Kenneth

    2014-08-01

    The prevalence of potentially fatal food allergies in school-aged children is rising. It is important for schools to have a food allergy management policy and an emergency action plan for each affected student. To examine the current status of food allergy guideline and/or policy implementation and adoption in a large school system in southeastern Wisconsin. A 24-item anonymous electronic survey was developed and completed by school principals and administrators in the Archdiocese of Milwaukee School System (approximately 125 schools) in southeastern Wisconsin. One in 4 responding schools reported no guidelines or policy. Schools that reported having students with special needs due to food allergy were more likely to have a local food allergy policy compared to schools that did not report having students with food allergy special needs (OR 6.3, 1.5-26, P = 0.01). Schools with food allergy guidelines/policies were 3.5 times more likely to require student individual action plans than schools with no guidelines or policies (OR 3.5, 1.00-12.2, P = 0.05). Gaps in evidence-based food allergy policy implementation were found in this school system. Schools with food-allergic children with special needs were more likely to have guidelines/policy, however, they were not more likely to require emergency action plans. The majority of schools (66, 90%) reported interest in receiving further information or training on food allergy management.

  15. Analysis of human brain exposure to low-frequency magnetic fields: a numerical assessment of spatially averaged electric fields and exposure limits.

    Science.gov (United States)

    Chen, Xi-Lin; Benkler, Stefan; Chavannes, Nicholas; De Santis, Valerio; Bakker, Jurriaan; van Rhoon, Gerard; Mosig, Juan; Kuster, Niels

    2013-07-01

    Compliance with the established exposure limits for the electric field (E-field) induced in the human brain due to low-frequency magnetic field (B-field) induction is demonstrated by numerical dosimetry. The objective of this study is to investigate the dependency of dosimetric compliance assessments on the applied methodology and segmentations. The dependency of the discretization uncertainty (i.e., staircasing and field singularity) on the spatially averaged peak E-field values is first determined using canonical and anatomical models. Because spatial averaging with a grid size of 0.5 mm or smaller sufficiently reduces the impact of artifacts regardless of tissue size, it is a superior approach to other proposed methods such as the 99th percentile or smearing of conductivity contrast. Through a canonical model, it is demonstrated that under the same uniform B-field exposure condition, the peak spatially averaged E-fields in a heterogeneous model can be significantly underestimated by a homogeneous model. The frequency scaling technique is found to introduce substantial error if the relative change in tissue conductivity is significant in the investigated frequency range. Lastly, the peak induced E-fields in the brain tissues of five high-resolution anatomically realistic models exposed to a uniform B-field at ICNIRP and IEEE reference levels in the frequency range of 10 Hz to 100 kHz show that the reference levels are not always compliant with the basic restrictions. Based on the results of this study, a revision is recommended for the guidelines/standards to achieve technically sound exposure limits that can be applied without ambiguity. Copyright © 2013 Wiley Periodicals, Inc.

  16. [Asbestos exposure assessment in the first case of intrasplenic mesothelioma].

    Science.gov (United States)

    Miscetti, Giorgio; Bodo, Patrizia; Lumare, A; Abbritti, E P; Garofani, Patrizia; Burani, V

    2016-01-20

    In 2013 the International Journal of Surgical Pathology published a case report of intrasplenic malignant mesothelioma (MM) in a 48-year-old man: it was the first report in literature describing a case of primitive intra-splenic MM, described without  a history of asbestos exposure. To verify the possible past exposure to asbestos, ignored by the patient himself, by studying in depth his environmental and occupational history. Information about the occupational and non-occupational history of the subject was collected by Experts of the Operational Unit of Occupational Health and Safety Control (UOC PSAL) of the Local Health Unit Umbria 1 - Perugia, using the Italian National Mesothelioma Register (ReNaM) questionnaire and guide lines; an inspection was  carried out at the past canning industry where the patient worked in the period 1982-1990 and material was taken to be analysed by MOCF and SEM. Samples showed the presence of asbestos  fibres belonging to the amphibole class (amosite and crocidolite) and to the serpentine class (chrysotile). The survey described the past occupational exposure to asbestos in a canning industry, where  the subject worked in the period 1982-1990,  unknown to the patient himself. The authors strongly confirm the  usefulness of standardized methods, such as the ReNaM Questionnaire, and the importance of technical expertise of the investigator to find and analyse the suspect materials and to demonstrate  possible past occupational exposure to asbestos.

  17. Assessment of Nicotine Exposure From Active Human Cigarette Smoking Time

    Directory of Open Access Journals (Sweden)

    Cahours Xavier

    2017-09-01

    Full Text Available The burning of a cigarette is a series of consecutive sequences of both passive and active burnings when a smoking cycle is applied to the cigarette. A previous study, using a smoking machine, showed that cigarette nicotine yields are dependent linearly on the difference between the time of smouldering (passive burning and the time of smoking (active burning. It is predicted that the smoker’s nicotine yield increases when the intensity of smoking increases, i.e., when the time to smoke a cigarette (smoking time decreases. Note that observations made on machines might not be comparable to human behaviours. The aim of this study was to determine whether nicotine mouth-level exposure could be predicted through measurement of human smoking time. A smoking behaviour study was conducted to compare human smoking nicotine yields obtained from both filter tip analysis and the cigarette burning time model. Results showed that smokers’ exposure to the smoke depends essentially on the speed at which the cigarette is smoked. An increase in human smoking intensity, resulting in a decrease in smoking time, generates an increase in smoke exposure, whatever the puff number, puff duration, puff volume and filter ventilation (open or blocked. The association of a machine smoking yield with a corresponding smoking time, and the time taken by a consumer to smoke the cigarette would provide information on the exposure to smoke constituents in a simple and effective manner.

  18. Assessing elemental mercury vapor exposure from cultural and religious practices.

    Science.gov (United States)

    Riley, D M; Newby, C A; Leal-Almeraz, T O; Thomas, V M

    2001-08-01

    Use of elemental mercury in certain cultural and religious practices can cause high exposures to mercury vapor. Uses include sprinkling mercury on the floor of a home or car, burning it in a candle, and mixing it with perfume. Some uses can produce indoor air mercury concentrations one or two orders of magnitude above occupational exposure limits. Exposures resulting from other uses, such as infrequent use of a small bead of mercury, could be well below currently recognized risk levels. Metallic mercury is available at almost all of the 15 botanicas visited in New York, New Jersey, and Pennsylvania, but botanica personnel often deny having mercury for sale when approached by outsiders to these religious and cultural traditions. Actions by public health authorities have driven the mercury trade underground in some locations. Interviews indicate that mercury users are aware that mercury is hazardous, but are not aware of the inhalation exposure risk. We argue against a crackdown by health authorities because it could drive the practices further underground, because high-risk practices may be rare, and because uninformed government intervention could have unfortunate political and civic side effects for some Caribbean and Latin American immigrant groups. We recommend an outreach and education program involving religious and community leaders, botanica personnel, and other mercury users.

  19. Lead Concentrations and Risk Exposure Assessment in Surface ...

    African Journals Online (AJOL)

    ADOWIE PERE

    Lead is included in the formulation of several motor oils. Leaded gasoline has been phased out, but is still used in ... Human exposure to motor garage chemicals has been suggested to induce genotoxic effects (Oktem et al., ... by adding hydrogen peroxide and sodium hexametaphosphate and the resulting soil analysed by.

  20. Assessment of potential asbestos exposures from jet engine overhaul work.

    Science.gov (United States)

    Mlynarek, S P; Van Orden, D R

    2012-06-01

    Asbestos fibers have been used in a wide variety of products and numerous studies have shown that exposures from the use or manipulation of these products can vary widely. Jet engines contained various components (gaskets, clamps, o-rings and insulation) that contained asbestos that potentially could release airborne fibers during routine maintenance or during an engine overhaul. To evaluate the potential exposures to aircraft mechanics, a Pratt & Whitney JT3D jet engine was obtained and overhauled by experienced mechanics using tools and work practices similar to those used since the time this engine was manufactured. This study has demonstrated that the disturbance of asbestos-containing gaskets, o-rings, and other types of asbestos-containing components, while performing overhaul work to a jet engine produces very few airborne fibers, and that virtually none of these aerosolized fibers is asbestos. The overhaul work was observed to be dirty and oily. The exposures to the mechanics and bystanders were several orders of magnitude below OSHA exposure regulations, both current and historic. The data presented underscore the lack of risk to the health of persons conducting this work and to other persons in proximity to it from airborne asbestos. Copyright © 2012 Elsevier Inc. All rights reserved.

  1. Assessing sources of human methylmercury exposure using stable mercury isotopes.

    Science.gov (United States)

    Li, Miling; Sherman, Laura S; Blum, Joel D; Grandjean, Philippe; Mikkelsen, Bjarni; Weihe, Pál; Sunderland, Elsie M; Shine, James P

    2014-01-01

    Seafood consumption is the primary route of methylmercury (MeHg) exposure for most populations. Inherent uncertainties in dietary survey data point to the need for an empirical tool to confirm exposure sources. We therefore explore the utility of Hg stable isotope ratios in human hair as a new method for discerning MeHg exposure sources. We characterized Hg isotope fractionation between humans and their diets using hair samples from Faroese whalers exposed to MeHg predominantly from pilot whales. We observed an increase of 1.75‰ in δ(202)Hg values between pilot whale muscle tissue and Faroese whalers' hair but no mass-independent fractionation. We found a similar offset in δ(202)Hg between consumed seafood and hair samples from Gulf of Mexico recreational anglers who are exposed to lower levels of MeHg from a variety of seafood sources. An isotope mixing model was used to estimate individual MeHg exposure sources and confirmed that both Δ(199)Hg and δ(202)Hg values in human hair can help identify dietary MeHg sources. Variability in isotopic signatures among coastal fish consumers in the Gulf of Mexico likely reflects both differences in environmental sources of MeHg to coastal fish and uncertainty in dietary recall data. Additional data are needed to fully refine this approach for individuals with complex seafood consumption patterns.

  2. Quantitative exposure assessment in community-based studies

    NARCIS (Netherlands)

    Peters, S.M.

    2012-01-01

    Occupational epidemiology focuses on the associations between exposures at the workplace and disease outcomes, essentially concerned with the prevention of disease. Basically two types of studies can be distinguished in occupational epidemiology: industry-based studies which study a population at

  3. Guidelines and recommendations for assessment of somatosensory function in oro-facial pain conditions - a taskforce report

    OpenAIRE

    Svensson, P; Ettlin, Dominik A.; Matsuka, Y

    2011-01-01

    Summary  The goals of an international taskforce on somatosensory testing established by the Special Interest Group of Oro-facial Pain (SIG-OFP) under the International Association for the Study of Pain (IASP) were to (i) review the literature concerning assessment of somatosensory function in the oro-facial region in terms of techniques and test performance, (ii) provide guidelines for comprehensive and screening examination procedures, and (iii) give recommendations for future development o...

  4. Guidelines for Establishing Monitoring Programs to Assess the Success of Riparian Restoration Efforts in Arid and Semi-Arid Landscapes

    Science.gov (United States)

    2006-08-01

    ERDC TN-EMRRP-SR-50 1 Guidelines for Establishing Monitoring Programs to Assess the Success of Riparian Restoration Efforts in Arid and Semi ...Management and Restoration Research Program (EMRRP) work unit titled “Techniques for Reestablishing Riparian Hardwoods in Arid and Semi - arid ...Regions.” The objectives of this work are to provide technology to improve capabilities of restoring riparian areas in arid and semi - arid regions. The

  5. Using field data to assess the effects of pesticides on crustacea in freshwater aquatic ecosystems and verifying the level of protection provided by water quality guidelines.

    Science.gov (United States)

    Guy, Martha; Singh, Lucina; Mineau, Pierre

    2011-07-01

    The purpose of this study was to investigate how well single-species laboratory data predict real-world pesticide toxicity effects on Crustacea. Data from field pesticide exposures from experimental mesocosm and small pond studies were converted into toxicity units (TUs) by dividing measured pesticide concentrations by the L(E)C50 for Daphnia or acute 5% hazard concentration for Crustacea (HC5-C). The proportion of crustacean taxa significantly affected by the pesticide treatment, called the count ratio of effect, was used in logistic regression models. Of 200 possible logistic model combinations of the TUs, fate, physicochemical variables, and structural variables versus the count ratio of effect for the mesocosm data, the best model was found to incorporate log(TU HC5-C). This model was used to convert pesticide water quality guidelines from around the world into estimates of the proportion of crustacean taxa predicted to be impacted by exposure to a pesticide at the water quality guideline concentration. This analysis suggests 64% of long-term water quality guidelines and 88% of short-term pesticide water quality guidelines are not protective of the aquatic life they are designed to protect. We conclude that empirically derived data from mesocosm studies should be incorporated into water quality guideline derivation for pesticides where available. Also, interspecific differences in susceptibility should be accounted for more accurately to ensure water quality guidelines are adequately protective against the adverse effects of pesticide exposure. Copyright © 2011 SETAC.

  6. EM Health and Safety Plan Guidelines

    Energy Technology Data Exchange (ETDEWEB)

    1994-12-01

    This document contains information about the Health and Safety Plan Guidelines. Topics discussed include: Regulatory framework; key personnel; hazard assessment; training requirements; personal protective equipment; extreme temperature disorders or conditions; medical surveillance; exposure monitoring/air sampling; site control; decontamination; emergency response/contingency plan; emergency action plan; confined space entry; and spill containment.

  7. Diet Assessment Methods in the Nurses' Health Studies and Contribution to Evidence-Based Nutritional Policies and Guidelines.

    Science.gov (United States)

    Hu, Frank B; Satija, Ambika; Rimm, Eric B; Spiegelman, Donna; Sampson, Laura; Rosner, Bernard; Camargo, Carlos A; Stampfer, Meir; Willett, Walter C

    2016-09-01

    To review the contribution of the Nurses' Health Studies (NHSs) to diet assessment methods and evidence-based nutritional policies and guidelines. We performed a narrative review of the publications of the NHS and NHS II between 1976 and 2016. Through periodic assessment of diet by validated dietary questionnaires over 40 years, the NHSs have identified dietary determinants of diseases such as breast and other cancers; obesity; type 2 diabetes; cardiovascular, respiratory, and eye diseases; and neurodegenerative and mental health disorders. Nutritional biomarkers were assessed using blood, urine, and toenail samples. Robust findings, from the NHSs, together with evidence from other large cohorts and randomized dietary intervention trials, have contributed to the evidence base for developing dietary guidelines and nutritional policies to reduce intakes of trans fat, saturated fat, sugar-sweetened beverages, red and processed meats, and refined carbohydrates while promoting higher intake of healthy fats and carbohydrates and overall healthful dietary patterns. The long-term, periodically collected dietary data in the NHSs, with documented reliability and validity, have contributed extensively to our understanding of the dietary determinants of various diseases, informing dietary guidelines and shaping nutritional policy.

  8. Theory and Practice: Examining PHAC's STI Assessment Guidelines Using Sexual Script Theory

    Directory of Open Access Journals (Sweden)

    JESSICA WATTS

    2010-10-01

    Full Text Available Across Canada, the rates of many sexually transmitted infections (STI, including HIV, continue to fluctuate, with the numbers of new infections increasing within many subpopulations. This warrants an evaluation of the Public Health Agency of Canada's clinical guidelines for STI management. To accomplish this, Gagnon and Simon's work on sexual scripts has been used to explore the structure of current STI clinical practice. This theoretical analysis reveals some of the shortcomings of PHAC's guidelines, and identifies how they reduce patients to vectors of illness and disease.

  9. HESI pilot project: Testing a qualitative approach for incorporating exposure into alternatives assessment

    DEFF Research Database (Denmark)

    Greggs, Bill; Arnold, Scott; Burns, Thomas J.

    important, including exposure, risk, life-cycle thinking, performance, cost, and social responsibility. Building on the 2014 recommendations by the US National Academy of Sciences to improve AA decisions by including comparative xposure assessment, the HESI Sustainable Chemical Alternatives Technical...... Committee, which consists of scientists from academia, industry, government, and NGOs, has developed a qualitative comparative exposure approach. Conducting such a comparison can screen for alternatives that are expected to have a higher exposure potential, which could trigger a higher-tiered, more......-quantitative exposure assessment on the alternatives being considered. This talk will demonstrate an approach for including chemical and product exposure information in a qualitative AA comparison. Starting from existing hazard AAs, a series of four exposure examples were examined to test the concept, to understand...

  10. Sampling of Total Mercury in Sand on Sydney Beaches and Assessment of Risk of Exposure to Children

    Science.gov (United States)

    Howard, D.; Tang, C.; Edwards, G. C.; Gan, T.; Tran, S.; Geremia, S.; Campbell, J.

    2014-12-01

    Industrial waste, sewage outfall and storm water run-off are potential anthropogenic sources of mercury to Sydney beaches. Children playing on these beaches are possibly at risk of exposure to mercury in beach sand through the ingestion pathway. As part of an investigation into this risk samples were collected from various locations along 7 of Sydney's beaches where children typically would be exposed. Samples were dried and the sand fraction (i.e. >63 µm and mercury using a Direct Mercury Analyser (DMA-80) methodology. Risk of Exposure to mercury was assessed based on published estimates of daily ingestion of soil by children and Health Canada's guideline of 105 ng Hg kg-1 BW d-1 exposure threshold. For the beaches sampled concentrations of total mercury in beach sand ranged from 0.6 to 58 ppb. The maximum concentrations of total mercury in beach sand were observed on Beach 6, in the vicinity of five storm water runoff sources. Daily mercury intake values were determined for two commonly used published values for daily ingestion of soil by children of 0.2 g soil d-1 and 1.75 g soil d-1. Results to date show the maximum daily intake calculated using an average child weight of 13 kg to be 7.8 ng Hg kg-1 BW d-1, well below the currently accepted daily intake threshold of 105 ng Hg kg-1 BW d-1.

  11. Cardiovascular risk from water arsenic exposure in Vietnam: Application of systematic review and meta-regression analysis in chemical health risk assessment.

    Science.gov (United States)

    Phung, Dung; Connell, Des; Rutherford, Shannon; Chu, Cordia

    2017-06-01

    A systematic review (SR) and meta-analysis cannot provide the endpoint answer for a chemical risk assessment (CRA). The objective of this study was to apply SR and meta-regression (MR) analysis to address this limitation using a case study in cardiovascular risk from arsenic exposure in Vietnam. Published studies were searched from PubMed using the keywords of arsenic exposure and cardiovascular diseases (CVD). Random-effects meta-regression was applied to model the linear relationship between arsenic concentration in water and risk of CVD, and then the no-observable-adverse-effect level (NOAEL) were identified from the regression function. The probabilistic risk assessment (PRA) technique was applied to characterize risk of CVD due to arsenic exposure by estimating the overlapping coefficient between dose-response and exposure distribution curves. The risks were evaluated for groundwater, treated and drinking water. A total of 8 high quality studies for dose-response and 12 studies for exposure data were included for final analyses. The results of MR suggested a NOAEL of 50 μg/L and a guideline of 5 μg/L for arsenic in water which valued as a half of NOAEL and guidelines recommended from previous studies and authorities. The results of PRA indicated that the observed exposure level with exceeding CVD risk was 52% for groundwater, 24% for treated water, and 10% for drinking water in Vietnam, respectively. The study found that systematic review and meta-regression can be considered as an ideal method to chemical risk assessment due to its advantages to bring the answer for the endpoint question of a CRA. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. A probabilistic assessment of health risks associated with short-term exposure to tropospheric ozone

    Energy Technology Data Exchange (ETDEWEB)

    Whitfield, R.G; Biller, W.F.; Jusko, M.J.; Keisler, J.M.

    1996-06-01

    The work described in this report is part of a larger risk assessment sponsored by the U.S. Environmental Protection Agency. Earlier efforts developed exposure-response relationships for acute health effects among populations engaged in heavy exertion. Those efforts also developed a probabilistic national ambient air quality standards exposure model and a general methodology for integrating probabilistic exposure-response relation- ships and exposure estimates to calculate overall risk results. Recently published data make it possible to model additional health endpoints (for exposure at moderate exertion), including hospital admissions. New air quality and exposure estimates for alternative national ambient air quality standards for ozone are combined with exposure-response models to produce the risk results for hospital admissions and acute health effects. Sample results explain the methodology and introduce risk output formats.

  13. Harmonisation of food categorisation systems for dietary exposure assessments among European children

    DEFF Research Database (Denmark)

    De Neve, Melissa; Sioen, Isabelle; Boon, Polly

    2010-01-01

    Within the European project called EXPOCHI (Individual Food Consumption Data and Exposure Assessment Studies for Children), 14 different European individual food consumption databases of children were used to conduct harmonised dietary exposure assessments for lead, chromium, selenium and food co...... coded and in level of detail provided about the consumed foods. The work done and the problems encountered in this project can be of interest for future projects in which food consumption data will be collected on a pan-European level and used for common exposure assessments....

  14. Sensitivity Analysis of Personal Exposure Assessment Using a Computer Simulated Person

    OpenAIRE

    Brohus, Henrik; Jensen, H. K.

    2009-01-01

    The paper considers uncertainties related to personal exposure assessment using a computer simulated person. CFD is used to simulate a uniform flow field around a human being to determine the personal exposure to a contaminant source. For various vertical locations of a point contaminant source three additional factors are varied, namely the velocity, details of the computer simulated person, and the CFD model of the wind channel. The personal exposure is found to be highly dependent on the r...

  15. Lead concentrations and risk exposure assessment in surface soils ...

    African Journals Online (AJOL)

    This study investigated lead concentrations in < 250 μm and < 75 μm of deposited dust and< 2000 μm, < 250 μm, and < 75 μm of surface soils at undeveloped residential lands leased to auto-mechanic artisans for a minimum of ten years and estimated exposure risk for children that will reside on the polluted lands after the ...

  16. Fish intake guidelines: incorporating n-3 fatty acid intake and contaminant exposure in the Korean and Japanese communities.

    Science.gov (United States)

    Tsuchiya, Ami; Hardy, Joan; Burbacher, Thomas M; Faustman, Elaine M; Mariën, Koenraad

    2008-06-01

    Fish consumption advisories are developed to prevent overexposure to various contaminants. Recently, discussion has centered on the need to consider the benefits of fish consumption alongside possible risks when providing guidance. As part of the Arsenic Mercury Intake Biometric Study involving the Japanese and Korean communities living in Washington State, we obtained fish and nutrient intake data. Japanese and Korean women of childbearing age (n = 214) participated in this longitudinal study. We used these data, along with hair-mercury data to determine the need for both the nutritional benefits and concern about contaminants to be included when providing guidance. We examined the intake of 2 n-3 long-chain fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), found in fish and associated with a variety of beneficial health effects. Intakes of these lipids were used as surrogates to characterize the beneficial effect from fish consumption, and the intake of mercury was used to establish the risk from consumption. These 2 populations provided an ideal basis from which to examine this issue because their fish consumption rates were identical and higher than national rates, but their mercury intakes vary substantially because of different consumption behaviors. Results indicate that basing fish consumption guidelines on contaminant concentrations alone can have the unintended consequence of causing a portion of the population to have inadequate intake of required nutrients. Public health goals may be better served if nutritional elements and contaminant concerns are quantitatively incorporated into fish consumption guidelines.

  17. Exposure Assessment Methods in Studies on Waste Management and Health Effects: An Overview

    Directory of Open Access Journals (Sweden)

    Andrea Spinazzè

    2017-02-01

    Full Text Available Concerns and uncertainties persist about potential environmental and health effects associated with exposure to emissions from widely adopted waste management facilities: despite a limited amount of evidence having been found for some exposure-effect associations, most of the available studies were characterized by limitations related to poor exposure assessment, which could introduce biases and weaknesses in the interpretation of results. This communication provides a brief overview of the exposure assessment methods used in studies on waste management and health effects: problems, key issues, priorities and challenges are briefly presented and discussed. The main conclusions refer to the need of newly developed and harmonized exposure assessment strategies and techniques, which represent an essential step in the study of waste-disposal facilities’ health impacts.

  18. Using transportation demand models to assess regional noise exposure

    Science.gov (United States)

    Kaliski, Kenneth

    2005-09-01

    In the United States, most metropolitan areas run some type of transportation demand model to estimate regional travel patterns, and, to some extent, air pollution. The more advanced of these models accurately represent the geographic contours of the roadways (in contrast to the older straight-line node and link models). This allows an almost seamless integration of these new transportation demand models into noise prediction models. Combined with the locations of individual homes from a separate E911 database, we can readily make estimates of the noise exposure of populations over large areas. In this paper, the regional traffic noise exposure of residences of Chittenden County, VT is estimated and mapped. It was found that 30% of the residences are exposed to noise levels exceeding the WHO sleep disturbance level of 45 dB LAeq(8) and 20% of residences are exposed to levels exceeding the WHO ``serious annoyance'' level of 55 dB LAeq(16). Maps show noise contours as well as individual homes color coded based on relative day and night noise exposure levels. Measured sound level data are given for particular locations to validate the predictions.

  19. Health effects assessment of exposure to particles from wood smoke

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, Elsa; Dybdahl, M. (Technical Univ. of Denmark, National Food Institute, Dept. of Toxicology and Risk Assessment, Soeborg (Denmark)); Larsen, Poul Bo (Danish Environmental Protection Agency, Copenhagen (Denmark))

    2008-07-01

    The number of residential wood burning devices has increased in Denmark during the latest years and it has been estimated that there in 2005 were about 551,000 wood stoves and about 48,000 wood boilers in Denmark. This has resulted in an increased exposure of the general Danish population to pollutants associated with residential wood smoke. New Danish monitoring results on particulate matter (PM) in ambient air have shown elevated PM levels in areas with many wood stoves, particularly during wintertime when wood burning is common. Due to the size distribution of wood smoke particles essentially all will be contained in the PM{sub 2.5} fraction. It has been estimated that about 17,665 tonnes PM{sub 2.5} per year (2005) in Denmark come from residential wood combustion. Therefore, there is an increasing concern that adverse human health effects might be associated with the increased exposure to residential wood smoke. This project has been set up in order to review the scientific literature concerning adverse health effects of pollutants associated with residential wood smoke with the main focus on particulate matter and to quantify and evaluate, if possible, the impact on human health of the increased exposure to particles in residential wood smoke. (au)

  20. Indoor transformer stations and ELF magnetic field exposure: use of transformer structural characteristics to improve exposure assessment.

    Science.gov (United States)

    Okokon, Enembe Oku; Roivainen, Päivi; Kheifets, Leeka; Mezei, Gabor; Juutilainen, Jukka

    2014-01-01

    Previous studies have shown that populations of multiapartment buildings with indoor transformer stations may serve as a basis for improved epidemiological studies on the relationship between childhood leukaemia and extremely-low-frequency (ELF) magnetic fields (MFs). This study investigated whether classification based on structural characteristics of the transformer stations would improve ELF MF exposure assessment. The data included MF measurements in apartments directly above transformer stations ("exposed" apartments) in 30 buildings in Finland, and reference apartments in the same buildings. Transformer structural characteristics (type and location of low-voltage conductors) were used to classify exposed apartments into high-exposure (HE) and intermediate-exposure (IE) categories. An exposure gradient was observed: both the time-average MF and time above a threshold (0.4 μT) were highest in the HE apartments and lowest in the reference apartments, showing a statistically significant trend. The differences between HE and IE apartments, however, were not statistically significant. A simulation exercise showed that the three-category classification did not perform better than a two-category classification (exposed and reference apartments) in detecting the existence of an increased risk. However, data on the structural characteristics of transformers is potentially useful for evaluating exposure-response relationship.

  1. 76 FR 67439 - External Peer Review Meeting for Draft Microbial Risk Assessment Guideline: Pathogenic...

    Science.gov (United States)

    2011-11-01

    ... Microorganisms With Focus on Food and Water AGENCY: Environmental Protection Agency (EPA). ACTION: Notice...: Pathogenic Microorganisms with Focus on Food and Water. EPA previously announced the release of the draft... Guideline: Pathogenic Microorganisms with Focus on Food and Water will be held on Monday, November 7, 2011...

  2. Guidelines for Assessment of Sex Bias and Sex Fairness in Career Interest Inventories.

    Science.gov (United States)

    National Inst. of Education (DHEW), Washington, DC.

    The draft guidelines are the outcome of a broadly representative three-day workshop and represent a more specific definition than previously available of the many aspects of sex fairness in career interest inventories and related interpretive, technical, and promotional materials. The diverse concerns of inventory users, respondents, authors, and…

  3. Assessment of long-term exposures to toxic substances in air.

    Science.gov (United States)

    Rappaport, S M

    1991-02-01

    Because airborne exposure varies greatly over time and between individual workers, occupational hygienists should adopt sampling strategies which recognize the inherent statistical nature of assessing exposure. This analysis indicates that the traditional practice of testing 'compliance' with occupational exposure limits (OELs) should be discarded. Rather, it is argued that acceptable exposure should be defined with reference to the exposure distribution. Regarding the many statistical issues which come into play, it is concluded that hygienists should continue to apply the log-normal model for summarizing and testing data. However, sampling designs should move away from methods which are biased (e.g. sampling only the worst case) and which rely upon job title and observation as the primary means of assigning workers into groups. Since exposure data often lack independence (e.g. owing to the autocorrelation of serial measurements) and there exist large differences in exposure between workers in the same job group, random sampling designs should be adopted. It is also shown that the relationship between the mean of a log-normal distribution and exposures in the right tail allows one to evaluate simultaneously the mean exposure and the maximum frequency with which exposures exceed the OEL. Investigation of the biological concepts relies heavily upon a conceptual model which depicts the exposure-response continuum as a sequence of time series related to exposure, burden, damage and risk. Analysis of the linkages between these processes identifies two kinetic conditions which are necessary if variability of exposure is to affect appreciably the individual's risk of chronic disease. First, the variation of exposure from interval to interval must be efficiently translated into burden and damage (no damping), and second, during periods of intense exposure the relationship between burden and damage must be non-linear (curving upwards). On the basis of current knowledge it

  4. Integrating Human Indoor Air Pollutant Exposure within Life Cycle Impact Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Hellweg, Stefanie; Demou, Evangelia; Bruzzi, Raffaella; Meijer, Arjen; Rosenbaum, Ralph K.; Huijbregts, Mark A.J.; McKone, Thomas E.

    2008-12-21

    Neglecting health effects from indoor pollutant emissions and exposure, as currently done in Life Cycle Assessment (LCA), may result in product or process optimizations at the expense of workers? or consumers? health. To close this gap, methods for considering indoor exposure to chemicals are needed to complement the methods for outdoor human exposure assessment already in use. This paper summarizes the work of an international expert group on the integration of human indoor and outdoor exposure in LCA, within the UNEP/SETAC Life Cycle Initiative. A new methodological framework is proposed for a general procedure to include human-health effects from indoor exposure in LCA. Exposure models from occupational hygiene and household indoor air quality studies and practices are critically reviewed and recommendations are provided on the appropriateness of various model alternatives in the context of LCA. A single-compartment box model is recommended for use as a default in LCA, enabling one to screen occupational and household exposures consistent with the existing models to assess outdoor emission in a multimedia environment. An initial set of model parameter values was collected. The comparison between indoor and outdoor human exposure per unit of emission shows that for many pollutants, intake per unit of indoor emission may be several orders of magnitude higher than for outdoor emissions. It is concluded that indoor exposure should be routinely addressed within LCA.

  5. Assessment of carbon nanoparticle exposure on murine macrophage function

    Science.gov (United States)

    Suro-Maldonado, Raquel M.

    There is growing concern about the potential cytotoxicity of nanoparticles. Exposure to respirable ultrafine particles (2.5uM) can adversely affect human health and have been implicated with episodes of increased respiratory diseases such as asthma and allergies. Nanoparticles are of particular interest because of their ability to penetrate into the lung and potentially elicit health effects triggering immune responses. Nanoparticles are structures and devises with length scales in the 1 to 100-nanometer range. Black carbon (BC) nanoparticles have been observed to be products of combustion, especially flame combustion and multi-walled carbon nanotubes (MWCNT) have been shown to be found in both indoor and outdoor air. Furthermore, asbestos, which have been known to cause mesothelioma as well as lung cancer, have been shown to be structurally identical to MWCNTs. The aims of these studies were to examine the effects of carbon nanoparticles on murine macrophage function and clearance mechanisms. Macrophages are immune cells that function as the first line of defense against invading pathogens and are likely to be amongst the first cells affected by nanoparticles. Our research focused on two manufactured nanoparticles, MWCNT and BC. The two were tested against murine-derived macrophages in a chronic contact model. We hypothesized that long-term chronic exposure to carbon nanoparticles would decrease macrophages ability to effectively respond to immunological challenge. Production of nitric oxide (NO), tumor necrosis factor alpha (TNF-alpha), cell surface macrophage; activation markers, reactive oxygen species formation (ROS), and antigen processing and presentation were examined in response to lipopolysaccharide (LPS) following a 144hr exposure to the particulates. Data demonstrated an increase in TNF-alpha, and NO production; a decrease in phagocytosis and antigen processing and presentation; and a decrease in the expression levels of cell surface macrophage

  6. Critical assessment of the European Association of Urology guideline indications for pelvic lymph node dissection at radical prostatectomy.

    Science.gov (United States)

    Abdollah, Firas; Sun, Maxine; Briganti, Alberto; Thuret, Rodolphe; Schmitges, Jan; Gallina, Andrea; Suardi, Nazareno; Capitanio, Umberto; Salonia, Andrea; Shariat, Shahrokh F; Perrotte, Paul; Rigatti, Patrizio; Montorsi, Francesco; Karakiewicz, Pierre I

    2011-12-01

    What's known on the subject? and What does the study add? Lymphadenectomy is the most accurate lymph node staging procedure in patients with prostate cancer. We presented the first formal validation of the 2010 European Association of Urology guidelines for lymphadenectomy in prostate cancer patients. • To assess the 2010 European Association of Urology (EAU) guidelines for prostate cancer, which recommend a pelvic lymph node dissection (PLND) at radical prostatectomy in all individuals with a nomogram-predicted lymph node invasion (LNI) risk of >7%. • We focused on 1520 patients treated with radical prostatectomy and PLND, between 2006 and 2010, at a single European institution. We examined the ability of the EAU proposed threshold to correctly predict histologically confirmed LNI. Moreover, we tested the ability of a range of nomogram thresholds between 1 and 14% to correctly predict histologically confirmed LNI. Finally, we externally validated the EAU PLND guideline nomogram. • Overall, 10.6% of patients had LNI. The use of the 7% limit would have allowed the avoidance of 49% of PLNDs, at the cost of missing 11% of patients with LNI. The use of thresholds of 6% and 8% would have allowed the avoidance of respectively 46% and 52% of PLNDs, at the cost of missing respectively 9% and 11% of patients with LNI. Overall, the accuracy of the EAU guideline nomogram according to the receiver operating characteristics derived area under curve was 81% • Our observations indicate that the EAU guideline nomogram is highly accurate. The recommended threshold of 7%, above which a PLND should be performed, is associated with a favourable compromise between avoidable PLNDs and potentially missed LNI cases. © 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.

  7. [Medico-economic assessment of two methods for implementing thyroid testing guidelines].

    Science.gov (United States)

    Saillour-Glénisson, F; Michel, P; Daucourt, V

    2005-09-01

    To compare independent and combined effectiveness and cost-effectiveness of two implementation interventions of guidelines for ordering thyroid function tests. The two implementation interventions were a Memorandum Pocket Card (MPC) and a Test Request Form (TRF). Intervention groups were wards. The study used an experimental 2*2 factorial design with matching hospitals according to size and activity and wards according to pre-intervention appropriateness for test ordering. Four ward groups were established: the dual intervention group, the order form group, the pocket card group and the control group. Physicians in all groups received guidelines and were invited to a local information meeting. The main outcome measure of effectiveness was the Guideline Conformity Rate (GCR). The cost-effectiveness ratio was the cost difference between the tested intervention and the control intervention upon effectiveness difference between the tested intervention and the control intervention. Six hospitals participated in the study (two middle-sized hospitals, two small-sized hospitals and two psychiatric hospitals). A total of 1412 orders for thyroid function tests were collected. GCR was 78% in the dual intervention group, 83% in the order form group, 73% in the pocket card group and 62% in the control group. The interaction between TRF and MPC was not significant (B=-0.70, p=0.21). Compared to simple information, TRF was effective in increasing GCR (OR=2.65, 95% Confidence Interval [CI]: 1.52-4.62), unlike MPC (OR=1.28, CI: 0.75-2.19). TRF was the less expensive and the most effective intervention. Using a robust design, our study shows a greater effectiveness of TRF than MPC and their association in implementing thyroid function test guidelines. The development of clinical practice improvement projects through the second procedure of accreditation in France is a good opportunity to develop a guidelines implementation research project.

  8. A probabilistic assessment of the impact of interventions on oncology nurses' exposure to antineoplastic agents

    NARCIS (Netherlands)

    Meijster, T.; Fransman, W.; Hemmen, J. van; Kromhout, H.; Heederik, D.; Tielemans, E.

    2006-01-01

    Objective: The main goal was to investigate the potential of a probabilistic approach for exposure assessment and use this information to evaluate the impact of a complex of policy actions/interventions on dermal exposure to antineoplastic agents among oncology nurses. The central theme of this

  9. The diesel exhaust in miners study: I. Overview of the exposure assessment process.

    NARCIS (Netherlands)

    Stewart, P.A.; Coble, J.B.; Vermeulen, R.|info:eu-repo/dai/nl/216532620; Schleiff, P.; Blair, A.; Lubin, J.; Attfield, M.; Silverman, D.T.

    2010-01-01

    This report provides an overview of the exposure assessment process for an epidemiologic study that investigated mortality, with a special focus on lung cancer, associated with diesel exhaust (DE) exposure among miners. Details of several components are provided in four other reports. A major

  10. Sensitivity Analysis of Personal Exposure Assessment Using a Computer Simulated Person

    DEFF Research Database (Denmark)

    Brohus, Henrik; Jensen, H. K.

    2009-01-01

    The paper considers uncertainties related to personal exposure assessment using a computer simulated person. CFD is used to simulate a uniform flow field around a human being to determine the personal exposure to a contaminant source. For various vertical locations of a point contaminant source t...

  11. Exposure data and risk indicators for safety performance assessment in Europe.

    NARCIS (Netherlands)

    Papadimitriou, E. Yannis, G. Bijleveld, F.D. & Cardoso, J.L.

    2013-01-01

    The objective of this paper is the analysis of the state-of-the-art in risk indicators and exposure data for safety performance assessment in Europe, in terms of data availability, collection methodologies and use. More specifically, the concepts of exposure and risk are explored, as well as the

  12. Exposure data and risk indicators for safety performance assessment in Europe

    NARCIS (Netherlands)

    Papadimitriou, G.; Yannis, G.; Bijleveld, F.D.; Cardoso, J.L.

    2013-01-01

    The objective of this paper is the analysis of the state-of-the-art in risk indicators and exposure data for safety performance assessment in Europe, in terms of data availability, collection methodologies and use. More specifically, the concepts of exposure and risk are explored, as well as the

  13. Assessment of dust sampling methods for the study of cultivable-microorganism exposure in stables.

    NARCIS (Netherlands)

    Normand, A.C.; Vacheyrou, M.; Sudre, B.; Heederik, D.|info:eu-repo/dai/nl/072910542; Piarroux, R.

    2009-01-01

    Studies have shown a link between living on a farm, exposure to microbial components (e.g., endotoxins or beta-d-glucans), and a lower risk for allergic diseases and asthma. Due to the lack of validated sampling methods, studies of asthma and atopy have not relied on exposure assessment based on

  14. Assessment of mould spore exposure and relations to symptoms in wood trimmers

    NARCIS (Netherlands)

    Eduard, W.

    1993-01-01

    Relationships between exposure to mould spores, IgG antibodies against moulds and respiratory and febrile symptoms were studied among wood trimmers. A new method for quantitative assessment of mould spore exposure by scanning electron microscopy was developed. This method was validated by

  15. Exposure assessment for a nested case-control study of lung cancer among European asphalt workers.

    NARCIS (Netherlands)

    Agostini, M.; Ferro, G.; Olsson, A.; Burstyn, I.; de Vocht, F.; Hansen, J.; Funch Lassen, C.; Johansen, C.; Kjaerheim, K.; Langard, S.; Stucker, I.; Ahrens, W.; Behrens, T.; Lindbohm, M-J.; Heikkila, P.; Heederik, D.; Portengen, L.; Shaham, J.; Boffetta, P.; Kromhout, H.

    2010-01-01

    OBJECTIVE: Development of a method for retrospective assessment of exposure to bitumen fume, bitumen condensate, organic vapour, polycyclic aromatic hydrocarbons, and co-exposures to known or suspected lung carcinogens for a nested case-control study of lung cancer mortality among European asphalt

  16. An Exploratory Study: Assessment of Modeled Dioxin Exposure in Ceramic Art Studios (Final Report, 2008)

    Science.gov (United States)

    EPA announced the availability of the final report, An Exploratory Study: Assessment of Modeled Dioxin Exposure in Ceramic Art Studios. This report investigates the potential dioxin exposure to artists/hobbyists who use ball clay to make pottery and related products. Derm...

  17. Availability, content and quality of local guidelines for the assessment of suicide attempters in university and general hospitals in the Netherlands.

    NARCIS (Netherlands)

    Verwey, B.; Waarde, J.A. van; Rooij, I.A.L.M. van; Gerritsen, G.; Zitman, F.G.

    2006-01-01

    OBJECTIVE: This study was performed to investigate the availability, content and quality of local guidelines for the assessment of suicide attempters in the Netherlands. METHOD: All university and general hospitals in the Netherlands were asked to provide their local guidelines. Published national

  18. Development of the Stroke-unit Discharge Guideline: choice of assessment instruments for prediction in the subacute phase post-stroke

    NARCIS (Netherlands)

    Meijer, Ronald; van Limbeek, Jacques; de Haan, Rob

    2006-01-01

    The purpose of this paper is to present the design of an evidence-based dataset of assessment instruments for the prognostic factors of the Stroke-unit Discharge Guideline (SDG), a consensus based guideline for the decision of the discharge destination from the hospital stroke unit. In our

  19. Best practice guidelines for the use of the assessment centre method in South Africa (5th edition

    Directory of Open Access Journals (Sweden)

    Deon Meiring

    2016-04-01

    Full Text Available Orientation: Assessment Centres (ACs have a long and successful track record in South Africa when used for selection and development purposes. The popularity of the approach is mainly attributable to the ACs’ numerous strengths, which include the perceived fairness, practical utility and strong associations with on-the-job performance. To maintain the integrity of the AC, it is important for practitioners and decision makers to apply the method in a consistent and standardised manner.Research purpose: The purpose of the report is to provide practitioners and decision makers with practical guidelines and concrete procedures when using ACs as part of the organisation’s human resource management strategy. Motivation for the study: The past decade has seen significant advances in the science and practice of ACs. Now in its fifth edition, the revised Guidelines seek to provide important information to practitioners and decision makers on a number of factors when used in conjunction with the AC method, namely, technology, validation, legislation, ethics and culture.Main findings: The Guidelines provide specific suggestions and recommendations for using technology as part of the manner of delivery. Issues of culture, diversity and representation are also discussed. New features of the Guidelines include more concrete guidance on how to conduct a validation study as well as unpacking several ethical dilemmas that practitioners may encounter. Of critical importance is a position statement on the use of ACs in relation to new legislation (Employment Equity Amendment Act, Section 8, clause d pertaining to psychometric testing.Practical/managerial implications: The Guidelines serve as a benchmark of best practice for practitioners and decision makers who intend on, or are currently, using ACs in their organisations.Contribution/value-add: In the absence of formal standards governing the use of ACs in South Africa, the Guidelines provide an important

  20. Analysis and overview of the guidelines for assessing fitness to drive for commercial and private vehicle drivers.

    Science.gov (United States)

    Beran, R G

    2005-06-01

    interpretation. Some sections, such as that on sleep and epilepsy, are effectively analysed, while illnesses such as dementia are considered superficially. The guidelines are an attempt to assess fitness to drive, but contain serious flaws and provide limited information upon which to base decisions. Ambiguous language complicates application of the guidelines and places the health care professional at risk, despite a disclaimer protecting its authors.

  1. ISPD Cardiovascular and Metabolic Guidelines in Adult Peritoneal Dialysis Patients Part I - Assessment and Management of Various Cardiovascular Risk Factors.

    Science.gov (United States)

    Wang, Angela Yee Moon; Brimble, K Scott; Brunier, Gillian; Holt, Stephen G; Jha, Vivekanand; Johnson, David W; Kang, Shin-Wook; Kooman, Jeroen P; Lambie, Mark; McIntyre, Chris; Mehrotra, Rajnish; Pecoits-Filho, Roberto

    2015-01-01

    Cardiovascular disease contributes significantly to the adverse clinical outcomes of peritoneal dialysis (PD) patients. Numerous cardiovascular risk factors play important roles in the development of various cardiovascular complications. Of these, loss of residual renal function is regarded as one of the key cardiovascular risk factors and is associated with an increased mortality and cardiovascular death. It is also recognized that PD solutions may incur significant adverse metabolic effects in PD patients. The International Society for Peritoneal Dialysis (ISPD) commissioned a global workgroup in 2012 to formulate a series of recommendations regarding lifestyle modification, assessment and management of various cardiovascular risk factors, as well as management of the various cardiovascular complications including coronary artery disease, heart failure, arrhythmia (specifically atrial fibrillation), cerebrovascular disease, peripheral arterial disease and sudden cardiac death, to be published in 2 guideline documents. This publication forms the first part of the guideline documents and includes recommendations on assessment and management of various cardiovascular risk factors. The documents are intended to serve as a global clinical practice guideline for clinicians who look after PD patients. The ISPD workgroup also identifies areas where evidence is lacking and further research is needed. Copyright © 2015 International Society for Peritoneal Dialysis.

  2. Refinement of the Nanoparticle Emission Assessment Technique into the Nanomaterial Exposure Assessment Technique (NEAT 2.0).

    Science.gov (United States)

    Eastlake, Adrienne C; Beaucham, Catherine; Martinez, Kenneth F; Dahm, Matthew M; Sparks, Christopher; Hodson, Laura L; Geraci, Charles L

    2016-09-01

    Engineered nanomaterial emission and exposure characterization studies have been completed at more than 60 different facilities by the National Institute for Occupational Safety and Health (NIOSH). These experiences have provided NIOSH the opportunity to refine an earlier published technique, the Nanoparticle Emission Assessment Technique (NEAT 1.0), into a more comprehensive technique for assessing worker and workplace exposures to engineered nanomaterials. This change is reflected in the new name Nanomaterial Exposure Assessment Technique (NEAT 2.0) which distinguishes it from NEAT 1.0. NEAT 2.0 places a stronger emphasis on time-integrated, filter-based sampling (i.e., elemental mass analysis and particle morphology) in the worker's breathing zone (full shift and task specific) and area samples to develop job exposure matrices. NEAT 2.0 includes a comprehensive assessment of emissions at processes and job tasks, using direct-reading instruments (i.e., particle counters) in data-logging mode to better understand peak emission periods. Evaluation of worker practices, ventilation efficacy, and other engineering exposure control systems and risk management strategies serve to allow for a comprehensive exposure assessment.

  3. WHO indoor air quality guidelines on household fuel combustion: Strategy implications of new evidence on interventions and exposure-risk functions

    Science.gov (United States)

    Bruce, Nigel; Pope, Dan; Rehfuess, Eva; Balakrishnan, Kalpana; Adair-Rohani, Heather; Dora, Carlos

    2015-04-01

    Background: 2.8 billion people use solid fuels as their primary cooking fuel; the resulting high levels of household air pollution (HAP) were estimated to cause more than 4 million premature deaths in 2012. The people most affected are among the world's poorest, and past experience has shown that securing adoption and sustained use of effective, low-emission stove technologies and fuels in such populations is not easy. Among the questions raised by these challenges are (i) to what levels does HAP exposure need to be reduced in order to ensure that substantial health benefits are achieved, and (ii) what intervention technologies and fuels can achieve the required levels of HAP in practice? New WHO air quality guidelines are being developed to address these issues. Aims: To address the above questions drawing on evidence from new evidence reviews conducted for the WHO guidelines. Methods: Discussion of key findings from reviews covering (i) systematic reviews of health risks from HAP exposure, (ii) newly developed exposure-response functions which combine combustion pollution risk evidence from ambient air pollution, second-hand smoke, HAP and active smoking, and (iii) a systematic review of the impacts of solid fuel and clean fuel interventions on kitchen levels of, and personal exposure to, PM2.5 and carbon monoxide (CO). Findings: Evidence on health risks from HAP suggest that controlling this exposure could reduce the risk of multiple child and adult health outcomes by 20-50%. The new integrated exposure-response functions (IERs) indicate that in order to secure these benefits, HAP levels require to be reduced to the WHO IT-1 annual average level (35 μg/m3 PM2.5), or below. The second review found that, in practice, solid fuel 'improved stoves' led to large percentage and absolute reductions, but post-intervention kitchen levels were still very high, at several hundreds of μg/m3 of PM2.5, although most solid fuel stove types met the WHO 24-hr average guideline

  4. Exposure assessment of adult intake of bisphenol A (BPA) with emphasis on canned food dietary exposures.

    Science.gov (United States)

    Lorber, Matthew; Schecter, Arnold; Paepke, Olaf; Shropshire, William; Christensen, Krista; Birnbaum, Linda

    2015-04-01

    Bisphenol A (BPA) is a high-volume, synthetic compound found in epoxy resins and plastics used in food packaging. Food is believed to be a major source of BPA intake. In this study, we measured the concentration of BPA in convenience samplings of foodstuffs purchased in Dallas, Texas. Sampling entailed collection of 204 samples of fresh, frozen, and canned foods in two rounds in 2010. BPA was positive in 73% of the canned food samples, while it was found in only 7% of non-canned foods at low concentrations. The results of this food sampling program were used to calculate adult dietary intakes of BPA. A pathway approach combined food intakes, a "canned fraction" parameter which described what portion of total intake of that food came from canned products, and measured food concentrations. Dietary intakes were calculated as 12.6 ng/kg-day, of which 12.4 ng/kg-day was from canned foods. Canned vegetable intakes alone were 11.9 ng/kg-day. This dietary intake was compared to total intakes of BPA estimated from urine measurements of the National Health and Nutrition Examination Survey (NHANES). Total adult central tendency intakes ranged from 30 to 70 ng/kg-day for NHANES cycles between 2005 and 2010. Three possibilities were explored to explain the difference between these two approaches for intake estimation. Not all foods which may have been canned, particularly canned beverages such as soft drinks, were sampled in our food sampling program. Second, non-food pathways of exposure may be important for adults, including thermal paper exposures, and dust and air exposures. Finally, our canned food concentrations may not be adequately representative of canned foods in the United States; they were found to be generally lower compared to canned food concentrations measured in six other worldwide food surveys including three in North America. Our finding that canned food concentrations greatly exceeded non-canned concentrations was consistent with other studies, and

  5. Assessment of lifetime exposure to trihalomethanes through different routes

    Science.gov (United States)

    Villanueva, C M; Cantor, K P; Grimalt, J O; Castaño‐Vinyals, G; Malats, N; Silverman, D; Tardon, A; Garcia‐Closas, R; Serra, C; Carrato, A; Rothman, N; Real, F X; Dosemeci, M; Kogevinas, M

    2006-01-01

    Objectives To evaluate lifetime exposure to trihalomethanes (THM) through ingestion, inhalation, and dermal absorption in a hospital based case‐control study of bladder cancer conducted between 1998 and 2001 in five areas of Spain. The study base was comprised of subjects living in the catchment areas of the participating hospitals. Methods Individual information on water related habits was obtained from personal interviews of 1219 cases and 1271 controls: residential and occupational history, drinking water source at each residence and job, amount of water consumption, frequency and duration of showering, bathing, and swimming pool attendance. THM levels, water source history, and year when chlorination started in study areas were ascertained through measurements in drinking water samples and questionnaires to water companies and local authorities. Estimates of THM levels covered 79% of the subjects' person‐years of exposure. Results Current and historical average THM levels in water were correlated. Control subjects reported that drinking water source in the last residence was municipal for 63%, bottled for 22%, private well for 2%, and other sources for 13%. For the time window between age 15 and the time of interview, average residential THM level was 32.2 μg/l. THM exposure through ingestion was 23.7 μg/day on average, and was correlated with the ingestion THM level in the workplace. Overall, 79% usually took showers, 16% usually took baths, and 13% had ever attended a swimming pool. Between 21% and 45% of controls unexposed to THM through ingestion were evaluated as moderately or highly exposed through showering or bathing, and 5–10% were exposed through swimming in pools. Conclusion The importance of evaluating different routes is underscored by findings from experimental studies showing substantial differences in THM uptake and internal distribution by route. PMID:16556748

  6. [Guidelines for the fitness to drive assessment in people with obstructive sleep apnoea syndrome (OSAS) and narcolepsy].

    Science.gov (United States)

    Garbarino, S; Bonanni, E; Ingravallo, F; Mondini, S; Plazzi, G; Sanna, A

    2011-01-01

    Given the prevalence of sleep disorders and sleep deprivation in modern societies, and the correlation between sleepiness and work and driving accidents, the excessive daytime sleepiness is an important issue. Although many studies showed that patients with untreated Obstructive sleep apnoea syndrome (OSAS) and narcolepsy have an higher risk for driving accidents, neither the European Community regulation nor the Italian law of the driving licence mention restrictions for these disorders. In 2010 the scientific association COMLAS (Association of legal medicine professionals of the Italian National Health Service) published the Guidelines for the examination by the Local Medical Commissions. The author presented the guidelines to assess the fitness to drive of people with OSAS or narcolepsy. The proposed criteria, set up in collaboration with the Commission "Sleepiness, Safety and Transportation" of the Italian Association of Sleep Medicine (AIMS), can be considered among the most advanced internationally.

  7. Report from the ASCE task committee on chimney and stack examination and retrofit. Chimney and stack condition assessment guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Hertlein, B.H. [STS Consultants Ltd., Vernon Hills, IL (United States); Bochicchio, V. [ZBD Constructors Inc., Tampa, FL (United States)

    1999-11-01

    Industrial and Utility chimneys are typically exposed to severe environmental conditions, and sometimes subjected to changes in operating conditions. Extremes of weather and aggressive industrial atmospheres impose unavoidable stresses and can lead to rapid deterioration. Changes in fuel or the installation of flue gas scrubbers change the flue gas temperature and composition, and can create conditions unanticipated by the chimney designer. The purpose of the ASCE Task Committee for Chimney and Stack Examination and Retrofit was to develop a set of guidelines that would aid owners in understanding the issues involved in maintaining these structures, and at the same time ensure that owners, engineers, and contractors alike have a common frame of reference for the work involved. It is anticipated that, by using these guidelines, requests for chimney inspections or assessments can be answered with qualified responses that address the full scope of work required or expected by the owners.

  8. Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

    DEFF Research Database (Denmark)

    Hänsel Petersson, Gunnel; Ericson, Ewa; Isberg, Per-Erik

    2012-01-01

    Abstract Objectives. To investigate the caries risk profiles in young adults and to compare the risk classification using the Public Dental Service (PDS) guidelines with a risk assessment program, the Cariogram. Materials and methods. All 19-year-old patients registered at eight public dental...... clinics were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects representing 10% of all 19 year-olds attending dental care at the PDS in Skåne, Sweden. A risk classification of each patient was made by the patient's regular team according...... to the PDS guidelines. A research team collected whole saliva samples and information from a questionnaire and a structured interview in order to calculate risk according to the Cariogram model. Results. The mean DFS value was 4.9 and 23% of the patients were registered as caries-free (DFS = 0). The PDS risk...

  9. Health effects assessment of exposure to particles from wood smoke

    DEFF Research Database (Denmark)

    Nielsen, Elsa

    2007-01-01

    distribution of wood smoke particles, essentially all will be contained in the PM2.5 fraction. In Denmark, recent results indicate that about 10,000 tonnes PM2.5 per year, about half of the total particle emission in Denmark, come from residential wood combustion. Based on a few measurement campaigns conducted...... in Denmark in selected residential areas with different kinds of heating, the annual average PM2.5 exposure from wood smoke can be estimated at 0.4–2 mg/m3 as a preliminary estimate for the whole Danish population. Epidemiological studies evaluating adverse health effects from ambient air pollution...

  10. Ochratoxin A in Portugal: A Review to Assess Human Exposure

    Directory of Open Access Journals (Sweden)

    Sofia C. Duarte

    2010-06-01

    Full Text Available In Portugal, the climate, dietary habits, and food contamination levels present the characteristics for higher population susceptibility to ochratoxin A (OTA, one of the known mycotoxins with the greatest public health and agro-economic importance. In this review, following a brief historical insight on OTA research, a summary of the available data on OTA occurrence in food (cereals, bread, wine, meat and biological fluids (blood, urine is made. With this data, an estimation of intake is made to ascertain and update the risk exposure estimation of the Portuguese population, in comparison to previous studies and other populations.

  11. Scientific Opinion on outline proposals for assessment of exposure of organisms to substances in soil

    DEFF Research Database (Denmark)

    Petersen, Annette

    2010-01-01

    The European Food Safety Authority (EFSA) asked the Panel to prepare a revision of the Guidance Document on persistence in soil (SANCO/9188VI/1997 of 12 July 2000) as scientific knowledge in this field has evolved in recent years. Therefore the Panel started the development of a revised methodology...... for the assessment of exposure of soil organisms. Based on a previous opinion of the Panel, the methodology is developed both for the concentration in total soil and the concentration in the soil pore water. The aim of the exposure assessment is the spatial 90th percentile of the exposure concentration (maximum...... in time) in the intended area of use in each of the three regulatory zones. The assessment of this percentile will include the uncertainty of substance and soil properties. The exposure assessment methodology is a function of (i) the type of crop (annual, pasture, permanent or rice), (ii) the tillage...

  12. Self-Reported and FEMA Flood Exposure Assessment after Hurricane Sandy: Association with Mental Health Outcomes

    National Research Council Canada - National Science Library

    Lieberman-Cribbin, Wil; Liu, Bian; Schneider, Samantha; Schwartz, Rebecca; Taioli, Emanuela

    2017-01-01

    .... Here we assess the concordance in self-reported and Federal Emergency Management (FEMA) flood exposure after Hurricane Sandy and determine the associations between flooding and anxiety, depression, and post-traumatic stress disorder...

  13. Webinar Presentation: Epidemiologic Studies of the Effects of Toxic Exposures on Brain and Behavior: Neuropsychological Assessment

    Science.gov (United States)

    This presentation, Epidemiologic Studies of the Effects of Toxic Exposures on Brain and Behavior: Neuropsychological Assessment, was given at the NIEHS/EPA Children's Centers 2015 Webinar Series: Interdisciplinary Approaches to Neurodevelopment.

  14. Chemical concentrations, exposures, health risks by census tract from National Scale Air Toxics Assessment (NATA)

    Data.gov (United States)

    U.S. Environmental Protection Agency — Chemical concentrations, exposures, health risks by census tract for the United States from National Scale Air Toxics Assessment (NATA). This dataset is associated...

  15. Importance of environmental and biomass dynamics in predicting chemical exposure in ecological risk assessment

    NARCIS (Netherlands)

    Morselli, M.; Semplice, M.; Leander, de F.; Brink, van den P.J.; Guardo, Di A.

    2015-01-01

    In ecological risk assessment, exposure is generally modelled assuming static conditions, herewith neglecting the potential role of emission, environmental and biomass dynamics in affecting bioavailable concentrations. In order to investigate the influence of such dynamics on predicted bioavailable

  16. Guidelines on the implementation of radiation protection measures during diagnostic medical exposures of female patients of reproductive capacity

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-08-01

    These guidelines were produced in response to a perceived need for clear guidance concerning the implementation of the 10-day and 28-day rules regarding radiological radiation protection practices. At the outset it is important to emphasise that, in all cases, the seriousness of the clinical situation must be taken into account as being of paramount importance and an overriding consideration to the guidelines. Radiographs of the chest, skull and extremities may be done at any time, provided that best practices are adhered to. All requests for radiological examinations of female patients, which place the uterus in or near the primary X-ray beam, i.e. irradiation between the diaphragm and pubis, or nuclear medicine examinations which are likely to result in a dose to the unborn child up to 10 mGy, should include the date of the last menstrual period. The prescriber and practitioner or radiographer should ask a patient beyond day 10 of the menstrual cycle whether she might be pregnant. This enquiry and the patient's answer should be recorded in writing. If the answer is no, the examination may proceed. If the answer is yes or uncertain, the examination should not proceed. In cases of medical emergency, the practitioner or the prescriber, if necessary following discussion with the practitioner or radiographer and taking justification into account, may decide to proceed with the examination. The practitioner or prescriber must record this decision in writing and sign it. The 10-day rule is recommended for certain high dose examinations where the dose to the uterus is likely to exceed 10 mGy. These include a small number of diagnostic X-ray and nuclear medicine procedures. (author)

  17. Virtual reality exposure therapy for the treatment of posttraumatic stress disorder: a methodological review using CONSORT guidelines.

    Science.gov (United States)

    Motraghi, Terri E; Seim, Richard W; Meyer, Eric C; Morissette, Sandra B

    2014-03-01

    Virtual reality exposure therapy (VRET) is an extension of traditional exposure therapy and has been used to treat a variety of anxiety disorders. VRET utilizes a computer-generated virtual environment to present fear-relevant stimuli. Recent studies have evaluated the use of VRET for treatment of PTSD; however, a systematic evaluation of the methodological quality of these studies has yet to be conducted. This review aims to (a) identify treatment outcome studies examining the use of VRET for the treatment of PTSD and (b) appraise the methodological quality of each study using the 2010 Consolidating Standards of Reporting Trials (CONSORT) Statement and its 2008 extension for nonpharmacologic interventions. Two independent assessors conducted a database search (PsycINFO, Medline, CINAHL, Google Scholar) of studies published between January 1990 and June 2013 that reported outcome data comparing VRET with another type of treatment or a control condition. Next, a CONSORT quality appraisal of each study was completed. The search yielded nine unique studies. The CONSORT appraisal revealed that the methodological quality of studies examining VRET as a treatment for PTSD was variable. Although preliminary findings suggest some positive results for VRET as a form of exposure treatment for PTSD, additional research using well-specified randomization procedures, assessor blinding, and monitoring of treatment adherence is warranted. Movement toward greater standardization of treatment manuals, virtual environments, and equipment would further facilitate interpretation and consolidation of this literature. © 2013 Wiley Periodicals, Inc.

  18. Integrating Exposure into Chemical Alternatives Assessment Using a Qualitative Approach

    Science.gov (United States)

    Most alternatives assessments (AA) published to date are largely hazard-based rankings, and as such may not represent a fully informed consideration of the advantages and disadvantages of possible alternatives. With an assessment goal of identifying an alternative chemical that i...

  19. Facial exposure dose assessment during intraoral radiography by radiological technologists

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Hwan; Yang, Han Joon [Dept. of International Radiological Science, Hallym University of Graduate Studies, Chuncheon (Korea, Republic of)

    2014-09-15

    The study examined the changes in the decreased facial exposure dose for radiological technologists depending on increased distance between the workers and the X-ray tube head during intraoral radiography. First, the facial phantom similar to the human tissues was manufactured. The shooting examination was configured to the maxillary molars for adults (60 kVp, 10 mA, 50 msec) and for children (60 kVp, 10 mA, 20 msec), and the chamber was fixed where the facial part of the radiation worker would be placed using the intraoral radiography equipment. The distances between the X-ray tube head and the phantom were set to 10 cm, 15 cm, 20 cm, 25 cm, 30 cm, 35 cm, and 40 cm. The phantom was radiated 20 times with each examination condition and the average scattered doses were examined. The rate at the distance of 40 cm decreased by about 92.6% to 7.43% based on the scattered rays radiated at the distance of 10 cm under the adult conditions. The rate at the distance of 40 cm decreased by about 97.6% to 2.58% based on the scattered rays radiated at the distance of 10 cm under the children conditions. Protection from the radiation exposure was required during the dental radiographic examination.

  20. Combining a Job-Exposure Matrix with Exposure Measurements to Assess Occupational Exposure to Benzene in a Population Cohort in Shanghai, China

    Science.gov (United States)

    Friesen, Melissa C.; Coble, Joseph B.; Lu, Wei; Shu, Xiao-Ou; Ji, Bu-Tian; Xue, Shouzheng; Portengen, Lutzen; Chow, Wong-Ho; Gao, Yu-Tang; Yang, Gong; Rothman, Nathaniel; Vermeulen, Roel

    2012-01-01

    Background: Generic job-exposure matrices (JEMs) are often used in population-based epidemiologic studies to assess occupational risk factors when only the job and industry information of each subject is available. JEM ratings are often based on professional judgment, are usually ordinal or semi-quantitative, and often do not account for changes in exposure over time. We present an empirical Bayesian framework that combines ordinal subjective JEM ratings with benzene measurements. Our aim was to better discriminate between job, industry, and time differences in exposure levels compared to using a JEM alone. Methods: We combined 63 221 short-term area air measurements of benzene exposure (1954–2000) collected during routine health and safety inspections in Shanghai, China, with independently developed JEM intensity ratings for each job and industry using a mixed-effects model. The fixed-effects terms included the JEM intensity ratings for job and industry (both ordinal, 0–3) and a time trend that we incorporated as a b-spline. The random-effects terms included job (n = 33) and industry nested within job (n = 399). We predicted the benzene concentration in two ways: (i) a calibrated JEM estimate was calculated using the fixed-effects model parameters for calendar year and JEM intensity ratings; (ii) a job-/industry-specific estimate was calculated using the fixed-effects model parameters and the best linear unbiased predictors from the random effects for job and industry using an empirical Bayes estimation procedure. Finally, we applied the predicted benzene exposures to a prospective population-based cohort of women in Shanghai, China (n = 74 942). Results: Exposure levels were 13 times higher in 1965 than in 2000 and declined at a rate that varied from 4 to 15% per year from 1965 to 1985, followed by a small peak in the mid-1990s. The job-/industry-specific estimates had greater differences between exposure levels than the calibrated JEM estimates (97.5th

  1. Impact of a smoking ban in hospitality venues on second hand smoke exposure: a comparison of exposure assessment methods.

    Science.gov (United States)

    Rajkumar, Sarah; Huynh, Cong Khanh; Bauer, Georg F; Hoffmann, Susanne; Röösli, Martin

    2013-06-04

    In May 2010, Switzerland introduced a heterogeneous smoking ban in the hospitality sector. While the law leaves room for exceptions in some cantons, it is comprehensive in others. This longitudinal study uses different measurement methods to examine airborne nicotine levels in hospitality venues and the level of personal exposure of non-smoking hospitality workers before and after implementation of the law. Personal exposure to second hand smoke (SHS) was measured by three different methods. We compared a passive sampler called MoNIC (Monitor of NICotine) badge, to salivary cotinine and nicotine concentration as well as questionnaire data. Badges allowed the number of passively smoked cigarettes to be estimated. They were placed at the venues as well as distributed to the participants for personal measurements. To assess personal exposure at work, a time-weighted average of the workplace badge measurements was calculated. Prior to the ban, smoke-exposed hospitality venues yielded a mean badge value of 4.48 (95%-CI: 3.7 to 5.25; n = 214) cigarette equivalents/day. At follow-up, measurements in venues that had implemented a smoking ban significantly declined to an average of 0.31 (0.17 to 0.45; n = 37) (p = 0.001). Personal badge measurements also significantly decreased from an average of 2.18 (1.31-3.05 n = 53) to 0.25 (0.13-0.36; n = 41) (p = 0.001). Spearman rank correlations between badge exposure measures and salivary measures were small to moderate (0.3 at maximum). Nicotine levels significantly decreased in all types of hospitality venues after implementation of the smoking ban. In-depth analyses demonstrated that a time-weighted average of the workplace badge measurements represented typical personal SHS exposure at work more reliably than personal exposure measures such as salivary cotinine and nicotine.

  2. Indirect validation of a retrospective method of exposure assessment used in a nested case-control study of lung cancer and silica exposure.

    Science.gov (United States)

    Dosemeci, M; McLaughlin, J K; Chen, J Q; Hearl, F; McCawley, M; Wu, Z; Chen, R G; Peng, K L; Chen, A L; Rexing, S H

    1994-02-01

    Validations of retrospective methods of assessment used in occupational epidemiological studies have rarely been published. This study is an indirect validation of a quantitative retrospective assessment of exposure to silica used in a nested case-control study of lung cancer among workers at 29 metal mines and pottery factories in China. Indices of cumulative total dust and cumulative respirable dust were calculated by merging work histories with the historical exposure profile for each subject. To validate indirectly the methods of exposure assessment used in the study of lung cancer, trends for exposure response relation between the two indices of exposure to silica and risk of silicosis were evaluated with 376 patients with silicosis from the study population as the cases, and 1262 controls without silicosis for comparison. Age adjusted odds ratios (ORs) as a measure of risk of silicosis showed striking trends with both indices of exposure to silica. For cumulative respirable dust, the OR (95% confidence interval) rose from 7.6 (5.1-11.4) for low exposure to 20.0 (13.2-30.6) for medium exposure, and to 51.7 (31.0-86.8) for high exposure. The strength of the association between exposure to silica and risk of silicosis suggests that the retrospective assessment of exposure used in the case-control study of lung cancer would accurately reflect an exposure response relation between silica and lung cancer, if it existed.

  3. Pesticide flow analysis to assess human exposure in greenhouse flower production in Colombia.

    Science.gov (United States)

    Lesmes-Fabian, Camilo; Binder, Claudia R

    2013-03-25

    Human exposure assessment tools represent a means for understanding human exposure to pesticides in agricultural activities and managing possible health risks. This paper presents a pesticide flow analysis modeling approach developed to assess human exposure to pesticide use in greenhouse flower crops in Colombia, focusing on dermal and inhalation exposure. This approach is based on the material flow analysis methodology. The transfer coefficients were obtained using the whole body dosimetry method for dermal exposure and the button personal inhalable aerosol sampler for inhalation exposure, using the tracer uranine as a pesticide surrogate. The case study was a greenhouse rose farm in the Bogota Plateau in Colombia. The approach was applied to estimate the exposure to pesticides such as mancozeb, carbendazim, propamocarb hydrochloride, fosetyl, carboxin, thiram, dimethomorph and mandipropamide. We found dermal absorption estimations close to the AOEL reference values for the pesticides carbendazim, mancozeb, thiram and mandipropamide during the study period. In addition, high values of dermal exposure were found on the forearms, hands, chest and legs of study participants, indicating weaknesses in the overlapping areas of the personal protective equipment parts. These results show how the material flow analysis methodology can be applied in the field of human exposure for early recognition of the dispersion of pesticides and support the development of measures to improve operational safety during pesticide management. Furthermore, the model makes it possible to identify the status quo of the health risk faced by workers in the study area.

  4. Pesticide Flow Analysis to Assess Human Exposure in Greenhouse Flower Production in Colombia

    Directory of Open Access Journals (Sweden)

    Claudia R. Binder

    2013-03-01

    Full Text Available Human exposure assessment tools represent a means for understanding human exposure to pesticides in agricultural activities and managing possible health risks. This paper presents a pesticide flow analysis modeling approach developed to assess human exposure to pesticide use in greenhouse flower crops in Colombia, focusing on dermal and inhalation exposure. This approach is based on the material flow analysis methodology. The transfer coefficients were obtained using the whole body dosimetry method for dermal exposure and the button personal inhalable aerosol sampler for inhalation exposure, using the tracer uranine as a pesticide surrogate. The case study was a greenhouse rose farm in the Bogota Plateau in Colombia. The approach was applied to estimate the exposure to pesticides such as mancozeb, carbendazim, propamocarb hydrochloride, fosetyl, carboxin, thiram, dimethomorph and mandipropamide. We found dermal absorption estimations close to the AOEL reference values for the pesticides carbendazim, mancozeb, thiram and mandipropamide during the study period. In addition, high values of dermal exposure were found on the forearms, hands, chest and legs of study participants, indicating weaknesses in the overlapping areas of the personal protective equipment parts. These results show how the material flow analysis methodology can be applied in the field of human exposure for early recognition of the dispersion of pesticides and support the development of measures to improve operational safety during pesticide management. Furthermore, the model makes it possible to identify the status quo of the health risk faced by workers in the study area.

  5. Assessment of the Adherence of Cardiologists to Guidelines for the Treatment of Atrial Fibrillation

    Science.gov (United States)

    van der Sand, Cézar R.; Leiria, Tiago Luiz Luz; Kalil, Renato Abdala Karam

    2013-01-01

    Background No local studies evaluating the knowledge of cardiologists on the management of atrial fibrillation (AF) and their adherence to these guidelines are available. Objective To evaluate the knowledge of cardiologists on the guidelines and clinical practices for the treatment of AF, correlating it to the time since medical graduation. Methods Cross-sectional study randomly including cardiologists affiliated to the Society of Cardiology of the State of Rio Grande do Sul (Sociedade de Cardiologia do Estado do Rio Grande do Sul - SOCERGS). The physicians were divided into two groups, according to time since graduation: those graduated for more (G1) or less (G2) than 25 years. Results Of the 859 SOCERGS members, 150 were interviewed, and six refused to participate in the study. G1 comprised 71 physicians, and G2, 73. Differences were observed in regard to the following variables: use of betablockers as the first-choice drug for the control of AF response in 59.2% (G1) vs 91.8% (G2) (p<0.0001); use of digoxin as the preferred drug for the control of AF response in 19.7% (G1) vs 0% (G2) (p< 0.0001); warfarin as the preferred anticoagulant in 71.8% (G1) vs 93.2% (G2) (p=0.009); application of a risk score for anticoagulation in 73.2% (G1) vs 87.7% (G2) (p=0.02). In questions regarding the knowledge about the Brazilian Society of Cardiology's guideline for AF, the overall percentage of right answers was 82.3%. Conclusion Most of the clinical measures regarding the management of AF comply with the guidelines, and the clinical practice differs according with the time since graduation. PMID:23877745

  6. Best Practices and Provisional Guidelines for Integrating Mobile, Virtual, and Videogame-Based Training and Assessments

    Science.gov (United States)

    2014-01-01

    Personnel Psychology , 59, 665-702. Knowles, M. (1980). The modern practice of adult education : From pedagogy to andragogy: Wilton, CT: Association...Review Sources. A literature search of online databases ( Education Resources Information Center, PsycINFO, PsycARTICLES, PsycEXTRA, Psychology ...interviewing. Personnel Journal, 72(6), 66. APA Task Force on Psychology in Education (1993). Learner-centered psychological principles: Guidelines for

  7. Air pollution in moderately polluted urban areas: How does the definition of "neighborhood" impact exposure assessment?

    Science.gov (United States)

    Tenailleau, Quentin M; Mauny, Frédéric; Joly, Daniel; François, Stéphane; Bernard, Nadine

    2015-11-01

    Environmental health studies commonly quantify subjects' pollution exposure in their neighborhood. How this neighborhood is defined can vary, however, leading to different approaches to quantification whose impacts on exposure levels remain unclear. We explore the relationship between neighborhood definition and exposure assessment. NO2, benzene, PM10 and PM2.5 exposure estimates were computed in the vicinity of 10,825 buildings using twelve exposure assessment techniques reflecting different definitions of "neighborhood". At the city scale, its definition does not significantly influence exposure estimates. It does impact levels at the building scale, however: at least a quarter of the buildings' exposure estimates for a 400 m buffer differ from the estimated 50 m buffer value (±1.0 μg/m(3) for NO2, PM10 and PM2.5; and ±0.05 μg/m(3) for benzene). This variation is significantly related to the definition of neighborhood. It is vitally important for investigators to understand the impact of chosen assessment techniques on exposure estimates. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Retrospective Assessment of Occupational Exposures for the GENEVA Study of ALS among Military Veterans.

    Science.gov (United States)

    Bello, Anila; Woskie, Susan R; Gore, Rebecca; Sandler, Dale P; Schmidt, Silke; Kamel, Freya

    2017-04-01

    This paper describes the retrospective exposure assessment conducted to assess occupational exposures for the Genes and Environmental Exposures in Veterans (GENEVA) study, a case-control study investigating the joint contribution of genetics and environmental exposures to the risk of amyotrophic lateral sclerosis (ALS) among military veterans. Occupational histories for 1597 study participants collected as part of the GENEVA study were the basis for this retrospective exposure assessment. The data set included 15528 jobs held from 1924 to 2010, representing 4539 unique industry and occupation (I&O) combinations. Three industrial hygiene experts were recruited to independently rate occupational exposures to specific agents previously associated with an increased risk of ALS. Utilizing information on industry, job title, tasks performed, and materials used for each job held, raters assigned exposures associated with each I&O for the 'current time' defined as the period after 1995 (post-1995). The exposure assessment targeted agents identified as potential occupational risk factors for ALS. Experts rated semi-quantitatively exposure intensity in five exposure categories (0-4) for Group A agents (lead, formaldehyde, hydrocarbon solvents, and chlorinated solvents) and qualitatively as yes/no (1/0) exposed for Group B agents (mercury, selenium, arsenic, polychlorinated biphenyls, electromagnetic field, pesticides, and viral agents). Confidence scores (0-3) were reported for every I&O rated based on raters' experience with that industry and/or job. Each I&O was assigned an average exposure score of the raters and an alternative exposure rating was developed for each I&O by excluding low confidence (<2) scores before averaging. Exposure reconstruction for jobs held pre-1995 was done by comparing exposure data extracted from the OSHA Chemical Exposure and Health Database (CEHD) during pre-1995 and post-1995. For agents with limited exposure data in the CEHD, pre-1995

  9. A framework of the desirable features of guideline implementation tools (GItools): Delphi survey and assessment of GItools

    NARCIS (Netherlands)

    Gagliardi, A.R.; Brouwers, M.C.; Bhattacharyya, O.K.; Wees, P.J. van der

    2014-01-01

    BACKGROUND: Guidelines are the foundation for healthcare planning, delivery and quality improvement but are not consistently implemented. Few guidelines are accompanied by guideline implementation tools (GItools). Users have requested GItools, and developers have requested guidance on how to develop

  10. Physiotherapy in hip and knee osteoarthritis: development of a practice guideline concerning initial assessment, treatment and evaluation.

    NARCIS (Netherlands)

    Peter, W.F.H.; Jansen, M.J.; Hurkmans, E.J.; Bloo, H.; Dekker-Bakker, L.M.M.C.J.; Dilling, R.G.; Hilberdink, W.K.H.A.; Kersten-Smit, C.; Rooij, M. de; Veenhof, C.; Vermeulen, H.M.; Vos, R.J. de; Schoones, J.W.; Vliet Vlieland, T.P.M.

    2011-01-01

    BACKGROUND: An update of a Dutch physiotherapy practice guideline in Hip and Knee Osteoarthritis (HKOA) was made, based on current evidence and best practice. METHODS: A guideline steering committee, comprising 10 expert physiotherapists, selected topics concerning the guideline chapters: initial

  11. Assessment of heavy metals contamination in Mamut river sediments using sediment quality guidelines and geochemical indices.

    Science.gov (United States)

    Mohammad Ali, Bibi Noorarlijannah; Lin, Chin Yik; Cleophas, Fera; Abdullah, Mohd Harun; Musta, Baba

    2015-01-01

    This paper describes the concentration of selected heavy metals (Co, Cu, Ni, Pb, and Zn) in the Mamut river sediments and evaluate the degree of contamination of the river polluted by a disused copper mine. Based on the analytical results, copper showed the highest concentration in most of the river samples. A comparison with Interim Canadian Sediment Quality Guidelines (ICSQG) and Germany Sediment Quality Guidelines (GSQG) indicated that the sediment samples in all the sampling stations, except Mamut river control site (M1), exceeded the limit established for Cu, Ni, and Pb. On the contrary, Zn concentrations were reported well below the guidelines limit (ICSQG and GSQG). Mineralogical analysis indicated that the Mamut river sediments were primarily composed of quartz and accessory minerals such as chalcopyrite, pyrite, edenite, kaolinite, mica, and muscovite, reflected by the geological character of the study area. Enrichment factor (EF) and geoaccumulation index (Igeo) were calculated to evaluate the heavy metal pollution in river sediments. Igeo values indicated that all the sites were strongly polluted with the studied metals in most sampling stations, specifically those located along the Mamut main stream. The enrichment factor with value greater than 1.5 suggested that the source of heavy metals was mainly derived from anthropogenic activity such as mining. The degree of metal changes (δfold) revealed that Cu concentration in the river sediments has increased as much as 20 to 38 folds since the preliminary investigation conducted in year 2004.

  12. Exposure assessment of family cosmetic products dedicated to babies, children and adults.

    Science.gov (United States)

    Gomez-Berrada, M P; Ficheux, A S; Dahmoul, Z; Roudot, A C; Ferret, P J

    2017-05-01

    Very few consumption and exposure data is available for family cosmetic products. The aim of the present study was to assess the consumption and the exposure to family cosmetic products used by babies, children and adults. 10 categories of products were studied: shampoo, shower gel, solid soap, cleansing lotion, emollient foam, emollient bath, cream, milk, balm and lip balm. Consumption data were obtained from 2994 participants (789 babies aged 0-3 years, 837 children aged 4-12 years and 1368 adults aged more than 18 years) included in 87 clinical safety studies. Exposure was performed using a probabilistic method. The implementation of consumption and exposure assessment by age has strengthened this work, as consumption and mainly exposure differences were shown. In fact, babies were always the most exposed to family products, followed by children and adults. These original data will be useful for safety assessors and safety agencies in order to protect consumers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Assessment of general public exposure to LTE and RF sources present in an urban environment.

    Science.gov (United States)

    Joseph, Wout; Verloock, Leen; Goeminne, Francis; Vermeeren, Günter; Martens, Luc

    2010-10-01

    For the first time, in situ electromagnetic field exposure of the general public to fields from long term evolution (LTE) cellular base stations is assessed. Exposure contributions due to different radiofrequency (RF) sources are compared with LTE exposure at 30 locations in Stockholm, Sweden. Total exposures (0.2-2.6 V/m) satisfy the International Commission on Non-Ionizing Radiation Protection (ICNIRP) reference levels (from 28 V/m for frequency modulation (FM), up to 61 V/m for LTE) at all locations. LTE exposure levels up to 0.8 V/m were measured, and the average contribution of the LTE signal to the total RF exposure equals 4%.

  14. Exposure assessment of workplace manufacturing titanium dioxide particles

    Science.gov (United States)

    Xu, Huadong; Zhao, Lin; Chen, Zhangjian; Zhou, Jingwen; Tang, Shichuan; Kong, Fanling; Li, Xinwei; Yan, Ling; Zhang, Ji; Jia, Guang

    2016-10-01

    With the widespread use of titanium dioxide (TiO2) human exposure is inevitable, but the exposure data on TiO2 are still limited. This study adopted off-line filter-based sampling combined with real-time activity-based monitoring to measure the concentrations in a workplace manufacturing TiO2 (primary diameter: 194 ± 108 nm). Mass concentrations (MCs) of aerosol particles in the packaging workshop (total dust: 3.17 mg/m3, nano dust: 1.22 mg/m3) were much higher than those in the milling workshop (total dust: 0.79 mg/m3, nano dust: 0.31 mg/m3) and executive office (total dust: 0.44 mg/m3, nano dust: 0.19 mg/m3). However, the MCs of TiO2 were at a relatively low level in the packaging workshop (total TiO2: 46.4 μg/m3, nano TiO2: 16.7 μg/m3) and milling workshop (total TiO2: 39.4 μg/m3, nano TiO2: 19.4 μg/m3) by ICP-MS. The number concentration (NC), surface area concentration (SAC) of aerosol particles potentially deposited in alveolar (SACA), and tracheobronchial (SACTB) regions of lungs in the packaging workshop were (1.04 ± 0.89) × 105 particles/cm3, 414.49 ± 395.07, and 86.01 ± 83.18 μm2/cm3, respectively, which were all significantly higher than those of the milling workshop [(0.12 ± 0.40) × 105 particles/cm3, 75.38 ± 45.23, and 17.60 ± 9.22 μm2/cm3, respectively] as well as executive office and outdoor background ( p important data of TiO2 particles exposure in the workplace.

  15. Cancer evaluation in the assessment of solid organ transplant candidates: A systematic review of clinical practice guidelines.

    Science.gov (United States)

    Acuna, Sergio A; Lam, Winnie; Daly, Corinne; Kim, S Joseph; Baxter, Nancy N

    2018-01-01

    Active malignancies are a contraindication to transplantation, as immunosuppression can lead to worse cancer outcomes; therefore, ensuring transplant candidates are free of malignancy before transplantation is essential. This systematic review assesses the availability, quality, and consistency of recommended cancer evaluation prior to transplantation in Clinical Practice Guidelines (CPGs) for the selection of solid organ transplant candidates. We systematically searched for CPGs for the assessment of transplant candidates. The characteristics of included CPGs, strength of recommendations and supporting evidence were extracted. A quality assessment of the CPGs was conducted using the AGREE II tool. We identified 52 CPG for the selection of solid organ transplant candidates. Only 13 (25%) included recommendations for cancer evaluation as part of the assessment of transplant candidates. Most recommended age and sex appropriate cancer screening as per the general population guidelines. Recommendations to evaluate for other malignancies and for high-risk candidates were variable. Most recommendations were based on expert opinion and only two CPGs provided an explicit link between the recommendations and supporting evidence. There is a lack of clear and consistent recommendations for pretransplant cancer evaluation in existing CPGs. Although there is some consensus regarding the indication to screen for cancer as per the recommendations for the general population, these recommendations are not an appropriate risk reduction strategy for transplant candidates. Standardized protocols to ensure transplant candidates are cancer free prior to transplantation are needed. Copyright © 2017. Published by Elsevier Inc.

  16. Cancer risk assessment for arsenic exposure through oyster consumption.

    OpenAIRE

    Guo, How-Ran

    2002-01-01

    Risk is assessed on the basis of assumptions, but this practice might not be well received by the general public. To avoid miscommunication, the assumptions should be stated clearly in reporting the results. Recently, a report on an assessment of the cancer risk associated with consumption of oysters caused a panic among consumers in Taiwan and produced significant effects on related industries. A group of researchers measured the arsenic content in oysters in the Taiwan area and conducted a ...

  17. Environmental exposure assessment in European birth cohorts: results from the ENRIECO project

    Directory of Open Access Journals (Sweden)

    Gehring Ulrike

    2013-01-01

    Full Text Available Abstract Environmental exposures during pregnancy and early life may have adverse health effects. Single birth cohort studies often lack statistical power to tease out such effects reliably. To improve the use of existing data and to facilitate collaboration among these studies, an inventory of the environmental exposure and health data in these studies was made as part of the ENRIECO (Environmental Health Risks in European Birth Cohorts project. The focus with regard to exposure was on outdoor air pollution, water contamination, allergens and biological organisms, metals, pesticides, smoking and second hand tobacco smoke (SHS, persistent organic pollutants (POPs, noise, radiation, and occupational exposures. The review lists methods and data on environmental exposures in 37 European birth cohort studies. Most data is currently available for smoking and SHS (N=37 cohorts, occupational exposures (N=33, outdoor air pollution, and allergens and microbial agents (N=27. Exposure modeling is increasingly used for long-term air pollution exposure assessment; biomonitoring is used for assessment of exposure to metals, POPs and other chemicals; and environmental monitoring for house dust mite exposure assessment. Collaborative analyses with data from several birth cohorts have already been performed successfully for outdoor air pollution, water contamination, allergens, biological contaminants, molds, POPs and SHS. Key success factors for collaborative analyses are common definitions of main exposure and health variables. Our review emphasizes that such common definitions need ideally be arrived at in the study design phase. However, careful comparison of methods used in existing studies also offers excellent opportunities for collaborative analyses. Investigators can use this review to evaluate the potential for future collaborative analyses with respect to data availability and methods used in the different cohorts and to identify potential partners

  18. Probabilistic disaggregation of a spatial portfolio of exposure for natural hazard risk assessment

    DEFF Research Database (Denmark)

    Custer, Rocco; Nishijima, Kazuyoshi

    2017-01-01

    of a portfolio of buildings in two communes in Switzerland and the results are compared to sample observations. The relevance of probabilistic disaggregation uncertainty in natural hazard risk assessment is illustrated with the example of a simple flood risk assessment.......In natural hazard risk assessment situations are encountered where information on the portfolio of exposure is only available in a spatially aggregated form, hindering a precise risk assessment. Recourse might be found in the spatial disaggregation of the portfolio of exposure to the resolution...

  19. A Review of the Field on Children's Exposure to Environmental Contaminants: A Risk Assessment Approach.

    Science.gov (United States)

    Ferguson, Alesia; Penney, Rosalind; Solo-Gabriele, Helena

    2017-03-04

    Background: Children must be recognized as a sensitive population based on having biological systems and organs in various stages of development. The processes of absorption, distribution, metabolism and elimination of environmental contaminants within a child's body are considered less advanced than those of adults, making them more susceptible to disease outcomes following even small doses. Children's unique activities of crawling and practicing increased hand-to-mouth ingestion also make them vulnerable to greater exposures by certain contaminants within specific environments. Approach: There is a need to review the field of children's environmental exposures in order to understand trends and identify gaps in research, which may lead to better protection of this vulnerable and sensitive population. Therefore, explored here are previously published contemporary works in the broad area of children's environmental exposures and potential impact on health from around the world. A discussion of children's exposure to environmental contaminants is best organized under the last four steps of a risk assessment approach: hazard identification, dose-response assessment, exposure assessment (including children's activity patterns) and risk characterization. We first consider the many exposure hazards that exist in the indoor and outdoor environments, and emerging contaminants of concern that may help guide the risk assessment process in identifying focus areas for children. A section on special diseases of concern is also included. Conclusions: The field of children's exposures to environmental contaminants is broad. Although there are some well-studied areas offering much insight into children exposures, research is still needed to further our understanding of exposures to newer compounds, growing disease trends and the role of gene-environment interactions that modify adverse health outcomes. It is clear that behaviors of adults and children play a role in reducing or

  20. Dose assessment of an accidental exposure at the IPNS

    Energy Technology Data Exchange (ETDEWEB)

    Campos Torres, M.M.

    1995-02-01

    Seven different methods were used to estimate the dose rate to a female worker who was accidentally exposed in the neutron PHOENIX beamline at the IPNS. Theoretical and measured entrance dose ranged from 550 mrem/min to 2850 mrem/min. Theoretical estimates were based on a Monte Carlo simulation of a spectrum provided by IPNS (Crawford Spectrum). Dose measurements were made with TLDs on phantoms and with ionization chambers in a water phantom. Estimates of the whole body total effective dose equivalent (TEDE) rate ranged from 5.2 mrem/min to 840 mrem/min. Assumed and measured quality factors ranged from 2.6 to 11.8. Cytogenetic analyses of blood samples detected no positive exposure. The recommended TEDE rate was 158 mrem/min. The TEDE was 750 mrem.

  1. A task-based assessment of parental occupational exposure to pesticides and childhood acute lymphoblastic leukemia.

    Science.gov (United States)

    Gunier, Robert B; Kang, Alice; Hammond, S Katharine; Reinier, Kyndaron; Lea, C Suzanne; Chang, Jeffrey S; Does, Monique; Scelo, Ghislaine; Kirsch, Janice; Crouse, Vonda; Cooper, Robert; Quinlan, Patricia; Metayer, Catherine

    2017-07-01

    Associations between parental occupational pesticide exposure and childhood acute lymphoblastic leukemia (ALL) vary across studies, likely due to different exposure assessment methodologies. We assessed parental occupational pesticide exposure from the year before pregnancy to the child's third year of life for 669 children diagnosed with ALL and 1021 controls. We conducted expert rating using task-based job modules (JM) to estimate exposure to pesticides among farmer workers, gardeners, agricultural packers, and pesticide applicators. We compared this method to (1) partial JM using job titles and a brief description, but without completing the task-based questionnaire, and (2) job exposure matrix (JEM) linking job titles to the International Standard Classifications of Occupation Codes. We used unconditional logistic regression to calculate odds ratios (OR) and 95% confidence intervals (95% CI) for ALL cancer risk and pesticide exposure adjusting for child's sex, age, race/ethnicity and household income. Compared to complete JMs, partial JMs and JEM led to 3.1% and 9.4% of parents with pesticide exposure misclassified, respectively. Misclassification was similar in cases and controls. Using complete JMs, we observed an increased risk of ALL for paternal occupational exposure to any pesticides (OR=1.7; 95% CI=1.2, 2.5), with higher risks reported for pesticides to treat nut crops (OR=4.5; 95% CI=0.9, 23.0), and for children diagnosed before five years of age (OR=2.3; 95% CI: 1.3, 4.1). Exposure misclassification from JEM attenuated these associations by about 57%. Maternal occupational pesticide exposure before and after birth was not associated with ALL. The risk of ALL was elevated in young children with paternal occupational pesticide exposure during the perinatal period, using more detailed occupational information for exposure classification. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. A review of multidisciplinary clinical practice guidelines in suicide prevention: toward an emerging standard in suicide risk assessment and management, training and practice.

    Science.gov (United States)

    Bernert, Rebecca A; Hom, Melanie A; Roberts, Laura Weiss

    2014-10-01

    The current paper aims to: (1) examine clinical practice guidelines in suicide prevention across fields, organizations, and clinical specialties and (2) inform emerging standards in clinical practice, research, and training. The authors conducted a systematic literature review to identify clinical practice guidelines and resource documents in suicide prevention and risk management. The authors used PubMed, Google Scholar, and Google Search, and keywords included: clinical practice guideline, practice guideline, practice parameters, suicide, suicidality, suicidal behaviors, assessment, and management. To assess for commonalities, the authors reviewed guidelines and resource documents across 13 key content categories and assessed whether each document suggested validated assessment measures. The search generated 101 source documents, which included N = 10 clinical practice guidelines and N = 12 additional resource documents (e.g., non-formalized guidelines, tool-kits). All guidelines (100 %) provided detailed recommendations for the use of evidence-based risk factors and protective factors, 80 % provided brief (but not detailed) recommendations for the assessment of suicidal intent, and 70 % recommended risk management strategies. By comparison, only 30 % discussed standardization of risk-level categorizations and other content areas considered central to best practices in suicide prevention (e.g., restricting access to means, ethical considerations, confidentiality/legal issues, training, and postvention practices). Resource documents were largely consistent with these findings. Current guidelines address similar aspects of suicide risk assessment and management, but significant discrepancies exist. A lack of consensus was evident in recommendations across core competencies, which may be improved by increased standardization in practice and training. Additional resources appear useful for supplemental use.

  3. Exposure Assessment Based Recommendations to Improve Nanosafety at Nanoliposome Production Sites

    Directory of Open Access Journals (Sweden)

    Christophe Bressot

    2015-01-01

    Full Text Available The NANOFOL concept aims at creating nanodevices containing a drug for inflammatory disorder treatment. This paper provides recommendations for nanosafety based on a measurement campaign which aimed at identifying exposure risks with respect to two specific phases of the product’s lifecycle, that is, production of the device and its waste management. The nanoparticle’s presence both in air and in liquid phase was studied. While no emissions were detected during the production period, many recommendations have been made, particularly regarding the nanowaste treatment, based on nanosafety guidelines.

  4. [Norms and standards for radiofrequency electromagnetic fields in Latin America: guidelines for exposure limits and measurement protocols].

    Science.gov (United States)

    Skvarca, Jorge; Aguirre, Aníbal

    2006-01-01

    New technologies that use electromagnetic fields (EMF) have proved greatly beneficial to humankind. EMF are used in a variety of ways in the transmission of electrical energy and in telecommunications, industry, and medicine. However, some studies have shown that EMF could be detrimental to one's health, having found an association between exposure to EMF on the one hand, and the incidence of some types of cancer as well as behavioral changes on the other. Although so far there is no concrete proof that exposure to low-intensity EMF is hazardous, researchers continue to study the issue in an attempt to reach a consensus opinion and to establish safety standards. While developing and establishing such norms and standards have traditionally been the responsibility of international specialized agencies, national health authorities should take an active part in this process. Currently the Pan American Health Organization is promoting scientific research, often in the form of epidemiologic studies, in order to propose uniform norms and standards. Some Latin American countries, including Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico, Peru, and Venezuela, have already enacted incomplete or partial legislation based on recommended international standards. This article describes the norms established in Latin America and the particular approach taken by each country.

  5. Exposure assessment of workplace manufacturing titanium dioxide particles

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Huadong; Zhao, Lin; Chen, Zhangjian [Peking University, Department of Occupational and Environmental Health Sciences, School of Public Health (China); Zhou, Jingwen [Jinan Center for Disease Control and Prevention (China); Tang, Shichuan [Beijing Municipal Institute of Labor Protection, Beijing Key Laboratory of Occupational Safety and Health (China); Kong, Fanling [Shandong Center for Disease Control and Prevention (China); Li, Xinwei; Yan, Ling; Zhang, Ji, E-mail: zhangji1967@163.com [Jinan Center for Disease Control and Prevention (China); Jia, Guang, E-mail: jiaguangjia@bjmu.edu.cn [Peking University, Department of Occupational and Environmental Health Sciences, School of Public Health (China)

    2016-10-15

    With the widespread use of titanium dioxide (TiO{sub 2}) human exposure is inevitable, but the exposure data on TiO{sub 2} are still limited. This study adopted off-line filter-based sampling combined with real-time activity-based monitoring to measure the concentrations in a workplace manufacturing TiO{sub 2} (primary diameter: 194 ± 108 nm). Mass concentrations (MCs) of aerosol particles in the packaging workshop (total dust: 3.17 mg/m{sup 3}, nano dust: 1.22 mg/m{sup 3}) were much higher than those in the milling workshop (total dust: 0.79 mg/m{sup 3}, nano dust: 0.31 mg/m{sup 3}) and executive office (total dust: 0.44 mg/m{sup 3}, nano dust: 0.19 mg/m{sup 3}). However, the MCs of TiO{sub 2} were at a relatively low level in the packaging workshop (total TiO{sub 2}: 46.4 μg/m{sup 3}, nano TiO{sub 2}: 16.7 μg/m{sup 3}) and milling workshop (total TiO{sub 2}: 39.4 μg/m{sup 3}, nano TiO{sub 2}: 19.4 μg/m{sup 3}) by ICP-MS. The number concentration (NC), surface area concentration (SAC) of aerosol particles potentially deposited in alveolar (SAC{sub A}), and tracheobronchial (SAC{sub TB}) regions of lungs in the packaging workshop were (1.04 ± 0.89) × 10{sup 5} particles/cm{sup 3}, 414.49 ± 395.07, and 86.01 ± 83.18 μm{sup 2}/cm{sup 3}, respectively, which were all significantly higher than those of the milling workshop [(0.12 ± 0.40) × 10{sup 5} particles/cm{sup 3}, 75.38 ± 45.23, and 17.60 ± 9.22 μm{sup 2}/cm{sup 3}, respectively] as well as executive office and outdoor background (p < 0.05). Activity-related characteristics were found in both workshops, and the time-variant characteristics showed very similar trends for 3 days in the packaging workshop. Our study provides important data of TiO{sub 2} particles exposure in the workplace.

  6. Assessing landslide exposure in areas with limited landslide information

    NARCIS (Netherlands)

    Pellicani, R.; van Westen, C.J.; Spilotro, G.

    2014-01-01

    Landslide risk assessment is often a difficult task due to the lack of temporal data on landslides and triggering events (frequency), run-out distance, landslide magnitude and vulnerability. The probability of occurrence of landslides is often very difficult to predict, as well as the expected

  7. Assessment of exposure to ionizing radiation at selected mining ...

    African Journals Online (AJOL)

    This paper investigated the levels of ionizing radiation at selected mining sites in Nasarawa State, Nigeria. Inspector alert nuclear radiation meter (S.E. International, USA SN: 35440) was used for these assessments. The meter was held at the abdominal level (about 1 m above ground level) and readings were taken in ...

  8. Assessment of exposure for baby cosmetic care products in a Korean population.

    Science.gov (United States)

    Lee, Eunyoung; Yun, Jongbok; Ha, Jaehyoun; Park, Byung Cheol; Park, Gyeong Hun; Kim, Hak Rim; Hong, Seung Phil; Kim, Kyu Bong; Kim, Myung Hwa

    2017-08-01

    Assessment of exposure to cosmetic products via the skin is important for evaluating the risks associated with the use of these products. However, few exposure studies have been conducted with babies, particularly in Asia. The aim of our study was to assess the exposure to selected cosmetic products in babies under the age of 36 months, over both winter and summer months. We evaluated exposure for seven cosmetic baby care products identified in a previous web-based survey as being commonly used by Korean parents. Parents were instructed to use their baby's products as per their usual habit, recording usage for each product on a daily basis over a 14-day period. Products were weighed at the start and completion of the study, with the change in weight used to determine the total amount of product used. Descriptive statistics for daily exposure were calculated. In this study, daily exposure for different products was influenced by sex, age groups and seasons. Of specific note, 3.51% of the lotion in a wet wipe was transferred to the skin. In conclusion, we provide baseline exposure data for baby products, with exposure being based on parents' usual use of the products. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis.

    Science.gov (United States)

    Eichenfield, Lawrence F; Tom, Wynnis L; Chamlin, Sarah L; Feldman, Steven R; Hanifin, Jon M; Simpson, Eric L; Berger, Timothy G; Bergman, James N; Cohen, David E; Cooper, Kevin D; Cordoro, Kelly M; Davis, Dawn M; Krol, Alfons; Margolis, David J; Paller, Amy S; Schwarzenberger, Kathryn; Silverman, Robert A; Williams, Hywel C; Elmets, Craig A; Block, Julie; Harrod, Christopher G; Smith Begolka, Wendy; Sidbury, Robert

    2014-02-01

    Atopic dermatitis (AD) is a chronic, pruritic, inflammatory dermatosis that affects up to 25% of children and 2% to 3% of adults. This guideline addresses important clinical questions that arise in the management and care of AD, providing updated and expanded recommendations based on the available evidence. In this first of 4 sections, methods for the diagnosis and monitoring of disease, outcomes measures for assessment, and common clinical associations that affect patients with AD are discussed. Known risk factors for the development of disease are also reviewed. Copyright © 2013 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

  10. Current status and guidelines for the assessment of tumour vascular support with dynamic contrast-enhanced computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Miles, K.A. [University of Sussex, Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, Falmer (United Kingdom); Lee, T.Y. [Robarts Research Institute, Imaging Research Laboratories, London, Ontario (Canada); Goh, V. [St Thomas' Hospital, Division of Imaging Sciences and Biomedical Engineering, King' s College London, London (United Kingdom); Klotz, E. [Computed Tomography H IM CT PLM-E PA, Siemens Healthcare Sector, Forchheim (Germany); Cuenod, C. [INSERM U970 PARCC, Hopital Europeen Georges Pompidou (HEGP), Paris (France); Bisdas, S. [Eberhard Karls University, Department of Neuroradiology, Tuebingen (Germany); Groves, A.M. [University College London, University College Hospital, Institute of Nuclear Medicine, London (United Kingdom); Hayball, M.P. [Cambridge Computed Imaging Ltd, Cambridge (United Kingdom); Alonzi, R. [Mount Vernon Cancer Centre, Northwood (United Kingdom); Brunner, T. [Gray Institute for Radiation, Oncology and Biology, Oxford (United Kingdom)

    2012-07-15

    Dynamic contrast-enhanced computed tomography (DCE-CT) assesses the vascular support of tumours through analysis of temporal changes in attenuation in blood vessels and tissues during a rapid series of images acquired with intravenous administration of iodinated contrast material. Commercial software for DCE-CT analysis allows pixel-by-pixel calculation of a range of validated physiological parameters and depiction as parametric maps. Clinical studies support the use of DCE-CT parameters as surrogates for physiological and molecular processes underlying tumour angiogenesis. DCE-CT has been used to provide biomarkers of drug action in early phase trials for the treatment of a range of cancers. DCE-CT can be appended to current imaging assessments of tumour response with the benefits of wide availability and low cost. This paper sets out guidelines for the use of DCE-CT in assessing tumour vascular support that were developed using a Delphi process. Recommendations encompass CT system requirements and quality assurance, radiation dosimetry, patient preparation, administration of contrast material, CT acquisition parameters, terminology and units, data processing and reporting. DCE-CT has reached technical maturity for use in therapeutic trials in oncology. The development of these consensus guidelines may promote broader application of DCE-CT for the evaluation of tumour vascularity. (orig.)

  11. Assessing the diagnostic accuracy of the identification of hyperkinetic disorders following the introduction of government guidelines in England

    Directory of Open Access Journals (Sweden)

    Ford Tamsin

    2008-11-01

    Full Text Available Abstract Background Previous studies have suggested that both underdiagnosis and overdiagnosis routinely occur in ADHD and hyperkinesis (hyperkinetic disorders. England has introduced governmental guidelines for these disorders' detection and treatment, but there has been no study on clinical diagnostic accuracy under such a regime. Methods All open cases in three Child and Adolescent Mental Health Services (CAMHS in the South East of England were assessed for accuracy in the detection of hyperkinetic disorders, using a two-stage process employing the Strengths and Difficulties Questionnaire (SDQ for screening, with the cut-off between "unlikely" and "possible" as the threshold for identification, and the Development And Well-Being Assessment (DAWBA as a valid and reliable standard. Results 502 cases were collected. Their mean age 11 years (std dev 3 y; 59% were clinically diagnosed as having a hyperkinetic disorder including ADHD. Clinicians had missed two diagnoses of hyperkinesis and six of ADHD. The only 'false positive' case was one that had become asymptomatic on appropriate treatment. Conclusion The identification of children with hyperkinetic disorders by three ordinary English CAMHS teams appears now to be generally consistent with that of a validated, standardised assessment. It seems likely that this reflects the impact of Governmental guidelines, which could therefore be an appropriate tool to ensure consistent accurate diagnosis internationally.

  12. Assessment of Occupational Exposure to Bisphenol A in Five Different Production Companies in Finland.

    Science.gov (United States)

    Heinälä, Milla; Ylinen, Katriina; Tuomi, Tapani; Santonen, Tiina; Porras, Simo P

    2017-01-01

    The aim of the study was to assess occupational exposure to bisphenol A in Finland. Five companies took part in the research project: two paint factories (liquid and powder paints), a composite product factory, a thermal paper factory, and a tractor factory. Exposure was assessed by measuring total bisphenol A excretion (free and conjugated) from urine samples, and its concentrations in the air. The results revealed the specific work tasks in two of five companies in which significant occupational exposure to bisphenol A may occur. In the manufacturing of liquid paint hardener, urine samples collected after the working day showed bisphenol A levels of up to 100-170 µg l-1. Workers in thermal paper manufacturing were also exposed to bisphenol A, especially those working in the manufacture of coating material and operating coating machines. Median concentrations of the post-shift urine samples of coating machine workers were in the range of 130-250 µg l-1. The highest bisphenol A concentrations were in the range of 1000-1500 µg l-1. Recommendations for more effective personal protection resulted in decreased exposure, particularly among coating machine operators. In the rest of the companies, urinary bisphenol A levels were typically in the range of those of the general population. Bisphenol A concentrations in air samples were typically low (bisphenol A (maximum 17.6 mg m-3). Low air levels, even in the companies with high urinary levels, suggest exposure via dermal contact. According to the results, exposure to bisphenol A may occur particularly in work tasks that involve the use of pure bisphenol A. In these tasks, special attention should be paid to the prevention of skin exposure. Inhalation exposure may become relevant in dusty work tasks. Since skin exposure is of potential concern in these tasks, biomonitoring is recommended as the method for assessing occupational exposure to bisphenol A. © The Author 2017. Published by Oxford University Press on behalf

  13. A Retrospective Performance Assessment of the Developmental Neurotoxicity Study in Support of OECD Test Guideline 426

    DEFF Research Database (Denmark)

    Makris, Susan L.; Raffaele, Kathleen; Allen, Sandra

    2009-01-01

    OBJECTIVE: We conducted a review of the history and performance of developmental neurotoxicity mic (DNT) testing in support of the finalization and implementation of Organisation of Economic Co-operation and Development (OECD) DNT test guideline 426 (TG 426). INFORMATION SOURCES AND ANALYSIS......: In this review we summarize extensive scientific efforts that form the foundation for this testing paradigm, including basic neurotoxicology research, interlaboratory collaborative studies, expert workshops, and validation studies, and we address the relevance, applicability, and use of the DNT study in risk...

  14. [Assessment of telephone operators' exposure to sound through headphones].

    Science.gov (United States)

    Kawanami, Shoko; Inoue, Jinro; Takahashi, Koko; Horie, Seichi

    2011-09-01

    We estimated the level of noise that telephone operators were exposed to through headphones by a two-step method using an artificial ear technique and a manikin technique. In the artificial ear technique, the sound pressure level (Leq) of the total work hours was 81.5 dB, whereas the Leq of the total duration of phone calls was 89.3 dB. Therefore, we conducted a more accurate measurement by the manikin technique (ISO11904-2). By this method, we could simulate the headphone-wearing condition of the workers and convert the measurements to a diffuse-field related L(Aeq). By this manikin technique, the corrected L(Aeq) of the total work hours was 68.3 dB, whereas the corrected L(Aeq) of the total duration of call was 76.6 dB, which was below the standard of the Occupational Exposure Limits of the Japan Society of Occupational Health. We confirmed that in a workplace where the background noise is low (51.3 dBA), a good signal-noise ratio is maintained so that operators don't have to listen to loud sounds through headphones. Neither the gender nor the type of the telephone equipment of the callers affected the sound pressure levels.

  15. Assessment of Turkish junior male physicians’ exposure to mobbing behavior

    Science.gov (United States)

    Sahin, Bayram; Cetin, Mehmet; Cimen, Mesut; Yildiran, Nuri

    2012-01-01

    Aim To determine the extent of Turkish junior male physicians’ exposure to mobbing behavior and its correlation with physicians' characteristics. Methods The study included physicians recruited for compulsory military service in April 2009. No sampling method was used, questionnaires were delivered to all physicians, and 278 of 292 (95%) questionnaires were returned. We used Leymann Inventory of Psychological Terror including 45 items for data collection and structural equation model for data analysis. Results A total of 87.7% of physicians experienced mobbing behavior. Physicians who worked more than 40 hours a week, single physicians, physicians working in university hospitals and private hospitals, and physicians who did not have occupational commitment were more exposed to mobbing (P Mobbing was not associated with specialty status, service period, age, and personality variables (P > 0.05). All goodness-of- fit indices of the model were acceptable (χ2 = 1.449, normed fit index = 0.955, Tucker Lewis index = 0.980, comparative fit index = 0.985, and root mean square error of approximation = 0.040). Conclusions Workplace mobbing is a critical problem for junior male physicians in Turkey. We suggest an introduction of a reporting system and education activities for physicians in high-risk groups. PMID:22911529

  16. Assessment of Turkish junior male physicians' exposure to mobbing behavior.

    Science.gov (United States)

    Sahin, Bayram; Cetin, Mehmet; Cimen, Mesut; Yildiran, Nuri

    2012-08-01

    To determine the extent of Turkish junior male physicians' exposure to mobbing behavior and its correlation with physicians' characteristics. The study included physicians recruited for compulsory military service in April 2009. No sampling method was used, questionnaires were delivered to all physicians, and 278 of 292 (95%) questionnaires were returned. We used Leymann Inventory of Psychological Terror including 45 items for data collection and structural equation model for data analysis. A total of 87.7% of physicians experienced mobbing behavior. Physicians who worked more than 40 hours a week, single physicians, physicians working in university hospitals and private hospitals, and physicians who did not have occupational commitment were more exposed to mobbing (PMobbing was not associated with specialty status, service period, age, and personality variables (P>0.05). All goodness-of- fit indices of the model were acceptable (χ(2)=1.449, normed fit index=0.955, Tucker Lewis index=0.980, comparative fit index=0.985, and root mean square error of approximation=0.040). Workplace mobbing is a critical problem for junior male physicians in Turkey. We suggest an introduction of a reporting system and education activities for physicians in high-risk groups.

  17. [Determination of total phthalates in perfume and their exposure assessment].

    Science.gov (United States)

    Zhao, Sihan; Wang, Zhengmeng; Deng, Hongxia; Duan, Jiahui; Wang, Jinyi; Liu, Shuhui

    2017-12-08

    A novel method for rapid screening of phthalates (PAEs) in perfumes was developed. The PAEs were hydrolyzed to phthalic acid (PA), and the PA in the acidified solution was extracted with tributyl phosphate (TBP) which was detected by high performance liquid chromatography-diode array detection (HPLC-DAD). Meanwhile exposure dose to PAEs was estimated by the percentage of a topically applied dose that permeates the skin. The parameters such as the concentration and volume of KOH, the volume of ethanol, hydrolysis time and temperature were employed to evaluate the hydrolysis efficiency of PAEs. The optimized hydrolysis conditions were 10 mL of 4 mol/L KOH, and 1 mL of ethanol at 80℃ for 20 min. The linear range of phthalic acid was 3-240 μmol/L with a good correlation coefficient ( R 2 =0.9991). The limits of detection (LOD) and quantification (LOQ) were 4.6 μmol/kg and 5.9 μmol/kg, respectively. The recoveries varied from 83.4% to 92.7% with relative standard deviations equal to or lower than 6.8%( n =5). A total of 35 perfume samples were determined, and the contents of total PAEs were found in the range of perfumes. The method is simple and reliable, and has a wide range of applicability. It can be used as a new choice for the detection of PAEs in perfume.

  18. Aflatoxins in hazelnuts and dried figs: Occurrence and exposure assessment.

    Science.gov (United States)

    Kabak, Bulent

    2016-11-15

    A total of 300 samples of hazelnuts and dried fig were analysed for the incidence of any aflatoxins (AFs). High-performance liquid chromatography coupled with fluorescence detection (HPLC-FLD) method was used to quantify the amounts of AFs. The limit of quantification varied from 0.21 to 0.30μgkg(-1). No AFs were detected in shells of the hazelnuts, while six raw hazelnut kernel samples (12%) and five roasted hazelnut kernel samples (8.3%) contained AFs ranging from 0.09 to 11.3μgkg(-1) and from 0.17 to 11.2μgkg(-1), respectively. Sixteen dried fig samples (12.3%) contained AFs ranging from 0.1 to 28.2μgkg(-1) and a mean value of 3.8μgkg(-1). Three hazelnuts and six dried fig samples exceeded the European maximum limits (MLs) of 5 and 2μgkg(-1) for aflatoxin B1 (AFB1), respectively. The contribution of hazelnuts to AFs exposure is higher than that of dried figs. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Saturation-based quality assessment for colorful multi-exposure image fusion

    Directory of Open Access Journals (Sweden)

    Chenwei Deng

    2017-03-01

    Full Text Available Multi-exposure image fusion is becoming increasingly influential in enhancing the quality of experience of consumer electronics. However, until now few works have been conducted on the performance evaluation of multi-exposure image fusion, especially colorful multi-exposure image fusion. Conventional quality assessment methods for multi-exposure image fusion mainly focus on grayscale information, while ignoring the color components, which also convey vital visual information. We propose an objective method for the quality assessment of colored multi-exposure image fusion based on image saturation, together with texture and structure similarities, which are able to measure the perceived color, texture, and structure information of fused images. The final image quality is predicted using an extreme learning machine with texture, structure, and saturation similarities as image features. Experimental results for a public multi-exposure image fusion database show that the proposed model can accurately predict colored multi-exposure image fusion image quality and correlates well with human perception. Compared with state-of-the-art image quality assessment models for image fusion, the proposed metric has better evaluation performance.

  20. Probabilistic exposure assessment to face and oral care cosmetic products by the French population.

    Science.gov (United States)

    Bernard, A; Dornic, N; Roudot, Ac; Ficheux, As

    2017-12-01

    Cosmetic exposure data for face and mouth are limited in Europe. The aim of the study was to assess the exposure to face cosmetics using recent French consumption data (Ficheux et al., 2016b, 2015). Exposure was assessed using a probabilistic method for thirty one face products from four lines of products: cleanser, care, make-up and make-up remover products and two oral care products. Probabilistic exposure was assessed for different subpopulation according to sex and age in adults and children. Pregnant women were also studied. The levels of exposure to moisturizing cream, lip balm, mascara, eyeliner, cream foundation, toothpaste and mouthwash were higher than the values currently used by the Scientific Committee on Consumer Safety (SCCS). Exposure values found for eye shadow, lipstick, lotion and milk (make-up remover) were lower than SCCS values. These new French exposure values will be useful for safety assessors and for safety agencies in order to protect the general population and the at risk populations. Copyright © 2017. Published by Elsevier Ltd.

  1. The Health Impacts of Energy Policy Pathways in Ulaanbaatar, Mongolia: A Total Exposure Assessment

    Science.gov (United States)

    Hill, L. A.; Damdinsuren, Y.; Olkhanud, P. B.; Smith, K. R.; Turner, J. R.; Edwards, R.; Odsuren, M.; Ochir, C.

    2015-12-01

    Ulaanbaatar is home to nearly half of Mongolia's 2.8 million residents. The city's rapid growth, frigid winters, valley topography, and reliance on coal-fired stoves have led to some of the worst winter pollution levels in the world. To better understand this issue, we modeled integrated PM2.5exposures and related health impacts for various city-wide heating policies through 2024. This assessment is one of the first to employ a total exposure approach and results of the 2014 Comparative Risk Assessments of the Global Burden of Disease Project (CRA/GBD) in a policy-relevant energy study. Emissions related to heating, traffic, and power generation were considered under Business as Usual, Moderate Improvement, and Max Improvement scenarios. Calibrated outdoor models were combined with indoor models, local infiltration and time activity estimates, and demographic projections to estimate PM2.5exposures in 2014 and 2024. Indoor exposures were assigned by heating type, home type, and smoking status; outdoor exposures were assigned through geocoding. Population average annual exposures were calculated and applied to local disease rates and integrated exposure-response curves (2014 CRA/GBD) to arrive at annual projections of premature deaths and DALYs. We estimate 2014 annual average exposures at 68 μg/m3, dictated almost exclusively by indoor winter exposures. Under current trends, annual exposures increase 10% to 75 μg/m3 in 2024. This is in stark contrast to the moderate and max improvement scenarios, which lead to 2024 annual exposures that are 31%, and 68% lower, respectively. Under the Moderate scenario, 2024 per capita annual DALY and death burdens drop 26% and 22%, respectively, from 2014 levels. Under the Max scenario, 2024 per capita annual DALY and death burdens drop 71% and 66%, respectively, from 2014. SHS becomes a major contributor as emissions from other sectors decrease. Reductions are dominated by cardiovascular and lower respiratory diseases in children.

  2. Assessing the additive risks of PSII herbicide exposure to the Great Barrier Reef.

    Science.gov (United States)

    Lewis, Stephen E; Schaffelke, Britta; Shaw, Melanie; Bainbridge, Zoë T; Rohde, Ken W; Kennedy, Karen; Davis, Aaron M; Masters, Bronwyn L; Devlin, Michelle J; Mueller, Jochen F; Brodie, Jon E

    2012-01-01

    Herbicide residues have been measured in the Great Barrier Reef lagoon at concentrations which have the potential to harm marine plant communities. Monitoring on the Great Barrier Reef lagoon following wet season discharge show that 80% of the time when herbicides are detected, more than one are present. These herbicides have been shown to act in an additive manner with regards to photosystem-II inhibition. In this study, the area of the Great Barrier Reef considered to be at risk from herbicides is compared when exposures are considered for each herbicide individually and also for herbicide mixtures. Two normalisation indices for herbicide mixtures were calculated based on current guidelines and PSII inhibition thresholds. The results show that the area of risk for most regions is greatly increased under the proposed additive PSII inhibition threshold and that the resilience of this important ecosystem could be reduced by exposure to these herbicides. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. Pollutant exposures from unvented gas cooking burners: A Simulation-based Assessment for Southern California

    Energy Technology Data Exchange (ETDEWEB)

    Logue, Jennifer M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Indoor Environment Group and Residential Building Systems Group; Klepeis, Neil E. [Stanford Univ., CA (United States). Dept. of Civil and Environmental Engineering; San Diego Univ., CA (United States). Center for Behavioral Epidemiology and Community Health; Lobscheid, Agnes B. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Indoor Environment Group; Singer, Brett C. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Indoor Environment Group and Residential Building Systems Group

    2014-01-01

    Residential natural gas cooking burners (NGCBs) can emit substantial quantities of pollutants, and they are typically used without venting range hoods. In this study, LBNL researchers quantified pollutant concentrations and occupant exposures resulting from NGCB use in California homes.The simulation model estimated that—in homes using NGCBs without coincident use of venting range hoods -- 62%, 9%, and 53% of occupants are routinely exposed to NO2, CO, and HCHO levels that exceed acute health-based standards and guidelines. NGCB use increased the sample median of the highest simulated 1-hr indoor concentrations by 100, 3,000, and 20 ppb for NO2, CO, and HCHO, respectively. The study recommends that reducing pollutant exposures from NGCBs should be a public health priority. Simulation results suggest that regular use of even moderately effective venting range hoods would dramatically reduce the percentage of homes in which concentrations exceed health-based standards.

  4. Assessing and reporting uncertainties in dietary exposure analysis - Part II: Application of the uncertainty template to a practical example of exposure assessment.

    Science.gov (United States)

    Tennant, David; Bánáti, Diána; Kennedy, Marc; König, Jürgen; O'Mahony, Cian; Kettler, Susanne

    2017-11-01

    A previous publication described methods for assessing and reporting uncertainty in dietary exposure assessments. This follow-up publication uses a case study to develop proposals for representing and communicating uncertainty to risk managers. The food ingredient aspartame is used as the case study in a simple deterministic model (the EFSA FAIM template) and with more sophisticated probabilistic exposure assessment software (FACET). Parameter and model uncertainties are identified for each modelling approach and tabulated. The relative importance of each source of uncertainty is then evaluated using a semi-quantitative scale and the results expressed using two different forms of graphical summary. The value of this approach in expressing uncertainties in a manner that is relevant to the exposure assessment and useful to risk managers is then discussed. It was observed that the majority of uncertainties are often associated with data sources rather than the model itself. However, differences in modelling methods can have the greatest impact on uncertainties overall, particularly when the underlying data are the same. It was concluded that improved methods for communicating uncertainties for risk management is the research area where the greatest amount of effort is suggested to be placed in future. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Elaboration of a concept for the cumulative environmental exposure assessment of biocides

    Energy Technology Data Exchange (ETDEWEB)

    Gross, Rita; Bunke, Dirk; Moch, Katja [Oeko-Institut e.V. - Institut fuer Angewandte Oekologie e.V., Freiburg im Breisgau (Germany); Gartiser, Stefan [Hydrotox GmbH, Freiburg im Breisgau (Germany)

    2011-12-15

    Article 10(1) of the EU Biocidal Products Directive 98/8/EC (BPD) requires that for the inclusion of an active substance in Annex I, Annex IA or IB, cumulation effects from the use of biocidal products containing the same active substance shall be taken into account, where relevant. The study proves the feasibility of a technical realisation of Article 10(1) of the BPD and elaborates a first concept for the cumulative environmental exposure assessment of biocides. Existing requirements concerning cumulative assessments in other regulatory frameworks have been evaluated and their applicability for biocides has been examined. Technical terms and definitions used in this context were documented with the aim to harmonise terminology with other frameworks and to set up a precise definition within the BPD. Furthermore, application conditions of biocidal products have been analysed to find out for which cumulative exposure assessments may be relevant. Different parameters were identified which might serve as indicators for the relevance of cumulative exposure assessments. These indicators were then integrated in a flow chart by means of which the relevance of cumulative exposure assessments can be checked. Finally, proposals for the technical performance of cumulative exposure assessments within the Review Programme have been elaborated with the aim to bring the results of the project into the upcoming development and harmonization processes on EU level. (orig.)

  6. Assessing human exposure to phthalates, alternative plasticizers and organophosphate esters

    OpenAIRE

    Bui, Tuong Thuy

    2017-01-01

    Phthalate esters (PEs) and organophosphate esters (OPEs) are common indoor pollutants frequently detected in environmental (dust, air), personal (hand wipes, diet) and human matrices (urine, serum etc.). In this thesis, mathematical models were used to establish links between intake and body burden for a comprehensive dataset based on a Norwegian study population. Also, the relative importance of different PE uptake pathways was assessed and discussed. Furthermore, the suitability of human na...

  7. Evaluation of Electromagnetic Interference and Exposure Assessment from s-Health Solutions Based on Wi-Fi Devices

    Directory of Open Access Journals (Sweden)

    Silvia de Miguel-Bilbao

    2015-01-01

    Full Text Available In the last decade the number of wireless devices operating at the frequency band of 2.4 GHz has increased in several settings, such as healthcare, occupational, and household. In this work, the emissions from Wi-Fi transceivers applicable to context aware scenarios are analyzed in terms of potential interference and assessment on exposure guideline compliance. Near field measurement results as well as deterministic simulation results on realistic indoor environments are presented, providing insight on the interaction between the Wi-Fi transceiver and implantable/body area network devices as well as other transceivers operating within an indoor environment, exhibiting topological and morphological complexity. By following approaches (near field estimation/deterministic estimation, colocated body situations as well as large indoor emissions can be determined. The results show in general compliance with exposure levels and the impact of overall network deployment, which can be optimized in order to reduce overall interference levels while maximizing system performance.

  8. Guidelines for youth sports clubs to develop, implement, and assess health promotion within its activities.

    Science.gov (United States)

    Kokko, Sami

    2014-05-01

    The settings approach to health promotion is a world-known concept concerning settings like city, hospital, school, and workplace. The concept has also been used in some regionally specific settings, such as island, prison, or university. However, there are still many, often noninstitutional, settings that have a lot of potential but have not yet been recognized. One of the newcomers is the youth sports club, which has the potential to reach a lot of children and adolescents and is effective, via its casual educational nature based on voluntary participation. According to research, health is an important aim for most youth sports clubs, but it has not been converted into practical actions. Indeed, the clubs often recognize the importance of healthy lifestyles, but there is a lack of understanding of what to do to reinforce it within one's activities. That is why, on the basis of the results of the Health Promoting Sports Club survey in Finland, guidelines for clubs to enhance health promotion as a part of their activities were created. The aim of this article is to present the guidelines, theirs rationale, and practical examples.

  9. A model for probabilistic health impact assessment of exposure to food chemicals.

    NARCIS (Netherlands)

    van der Voet, H.; van der Heijden, G.W.; Bos, P.M.J.; Bosgra, S.; Boon, P.E.; Muri, S.D.; Bruschweiler, B.J.

    2010-01-01

    A statistical model is presented extending the integrated probabilistic risk assessment (IPRA) model of van der Voet and Slob [van der Voet, H., Slob, W., 2007. Integration of probabilistic exposure assessment and probabilistic hazard characterisation. Risk Analysis, 27, 351-371]. The aim is to

  10. A model for probabilistic health impact assessment of exposure to food chemicals

    NARCIS (Netherlands)

    Voet, van der H.; Heijden, van der G.W.A.M.; Bos, P.M.J.; Bosgra, S.; Boon, P.E.; Muri, S.D.; Brüschweiler, B.J.

    2009-01-01

    A statistical model is presented extending the integrated probabilistic risk assessment (IPRA) model of van der Voet and Slob [van der Voet, H., Slob, W., 2007. Integration of probabilistic exposure assessment and probabilistic hazard characterisation. Risk Analysis, 27, 351–371]. The aim is to

  11. Expert assessment of exposure to carcinogens in Norway's offshore petroleum industry.

    Science.gov (United States)

    Steinsvåg, Kjersti; Bråtveit, Magne; Moen, Bente; Austgulen, Li V-Torill; Hollund, Bjørg Eli; Haaland, Inger Margrethe; Naerheim, Jakob; Svendsen, Kristin; Kromhout, Hans

    2008-03-01

    This study presents and evaluates an expert group's assessment of exposure to carcinogens for defined job categories in Norway's offshore petroleum industry, 1970-2005, to provide exposure information for a planned cohort study on cancer. Three university and five industry experts in occupational hygiene individually assessed the likelihood of exposure to 1836 combinations of carcinogens (n=17), job categories (n=27) and time periods (n=4). In subsequent plenary discussions, the experts agreed on exposed combinations. Agreement between the individual and the panel assessments was calculated by Cohen's kappa index. Using the panel assessment as reference, sensitivity and specificity were estimated. The eight experts assessed 63% of the 1836 combinations in plenary, resulting in 265 (14%) convened exposed combinations. Chlorinated hydrocarbons, benzene and inhalation of mineral oils had the highest number of exposed job categories (n=14, 9 and 10, respectively). The job categories classified as exposed to the highest numbers of carcinogens were the mechanics (n=10), derrick workers (n=6) and process technicians (n=5). The agreement between the experts' individual assessments and the panel assessment was kappa=0.53-0.74. The sensitivity was 0.55-0.86 and specificity 0.91-0.97. For these parameters, there were no apparent differences between the university experts and the industry experts. The resulting 265 of 1836 possible exposure combinations convened as "exposed" by expert assessment is presented in this study. The experts' individual ratings highly agreed with the succeeding panel assessment. Correlation was found between years of experience of the raters and agreement with the panel. The university experts and the industry experts' assessments had no apparent differences. Further validation of the exposure assessment is suggested, such as by new sampling data or observational studies.

  12. An ignored risk factor in toxicology: The total imprecision of exposure assessment

    DEFF Research Database (Denmark)

    Grandjean, Philippe; Budtz-Jørgensen, Esben

    2010-01-01

    Quality assurance of exposure biomarkers usually focuses on laboratory performance only. Using data from a prospective birth cohort study in the Faroe Islands, we have assessed the total imprecision of exposure biomarkers. As biomarkers of prenatal methylmercury exposure, mercury concentrations...... were determined in cord blood, cord tissue, and maternal hair. We determined their mutual correlations and their associations with the child's neurobehavioral effect variables at age 7 years. The exposure biomarkers correlated well with one another, but the cord blood mercury concentration showed...... the best associations with neurobehavioral deficits. Because at least three exposure parameters were available, factor analysis and structural equation modeling could be applied to determine the total imprecision of each biomarker. For the cord-blood parameter, the total imprecision was 25-30%, and almost...

  13. Levels and Patterns of Objectively Assessed Physical Activity and Compliance with Different Public Health Guidelines in University Students.

    Directory of Open Access Journals (Sweden)

    Natalia María Arias-Palencia

    Full Text Available Physical activity (PA is associated with health enhancement. The aim of this study was to assess: 1 levels and patterns of PA in university students by using accelerometers; and 2 the percentage of fulfilment of PA recommendations for adults, according to different public health guidelines.Observational cross-sectional study (Cuenca's Adults Study involving 296 (206 women healthy Spanish university students aged 18-25 years old. Participants wore the ActiGraph GT1M accelerometer for seven consecutive days. Total PA, steps and time spent in sedentary time, light, moderate, vigorous, and moderate to vigorous PA (MVPA was assessed, and the prevalence of sufficient PA was calculated according to various public health guidelines.No sex differences in total PA were found. University students were more sedentary during weekend days than weekdays (p<0.05. Only 30.3% of participants accumulated 30 min/day at least five days a week of MVPA. A total of 5.4% of students met the recommendation of 150 min/week of MVPA or 75 min/week of vigorous PA, in PA bouts of at least 10 min. using the same definition, but on five or more days a week, only 0.5% students were found to meet the recommendation. In addition, only 0.5% of students met the recommendation of 30 min/day of MVPA, at least five days a week and in bouts of at least 10 min. Finally, 28.1% of the students met the recommendation of 10,000 steps/day.Our study shows a high incidence of sedentary time in university students. The number of students meeting PA recommendations significantly differed depending on the recommendation proposed. Specific strategies to promote PA in this population are necessary as well as an agreement as to which PA guidelines should be used.

  14. Systematic evaluation of observational methods assessing biomechanical exposures at work

    DEFF Research Database (Denmark)

    Takala, Esa-Pekka; Pehkonen, Irmeli; Forsman, Mikael

    2010-01-01

    to September 2008. Methods were included if they were primarily based on the systematic observation of work, the observation target was the human body, and the method was clearly described in the literature. A systematic evaluation procedure was developed to assess concurrent and predictive validity...... difficult to observe correctly. Intra- and inter-observer repeatability were reported for 7 and 17 methods, respectively, and were judged mostly to be good or moderate. CONCLUSIONS: With training, observers can reach consistent results on clearly visible body postures and work activities. Many observational...

  15. Residential traffic noise exposure assessment: application and evaluation of European Environmental Noise Directive maps.

    Science.gov (United States)

    Eriksson, Charlotta; Nilsson, Mats E; Stenkvist, Dag; Bellander, Tom; Pershagen, Göran

    2013-01-01

    Digital noise maps produced according to the European Environmental Noise Directive (END) could provide valuable exposure information in noise and health research. However, their usefulness in epidemiological studies has not been evaluated. The objective of this study was to apply and evaluate Swedish END maps for assessments of residential traffic noise exposure. END maps from three Swedish cities were used to assess residential traffic noise exposure for a population sample of 2496 men and women included in a national Environmental Health Survey. For each subject, we assessed noise levels manually and automatically at three geographical points, using survey data to locate dwellings within buildings. Cohen's kappa coefficient (κ) was used to assess agreement between the noise estimates. To evaluate the maps, we compared the observed and predicted proportions of annoyed residents as a function of noise exposure using survey data and already established exposure-response relationships. The root mean square deviation (r.m.s.) was used to assess the precision of observed estimates. The agreement between the noise estimates ranged from κ=0.4 to 0.8. Generally, there was a high correspondence between observed and predicted exposure-response relationships for noise annoyance, regardless of method and if data on dwelling location within building were used. The best precision was, however, found when we manually corrected the noise level according to the location of the dwelling within buildings (r.m.s.=0.029). Noise maps based on the END appear useful for assessing residential traffic noise exposure, particularly if combined with survey data on dwelling location.

  16. Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease.

    Science.gov (United States)

    Cameron, Daniel J; Johnson, Lorraine B; Maloney, Elizabeth L

    2014-09-01

    Evidence-based guidelines for the management of patients with Lyme disease were developed by the International Lyme and Associated Diseases Society (ILADS). The guidelines address three clinical questions - the usefulness of antibiotic prophylaxis for known tick bites, the effectiveness of erythema migrans treatment and the role of antibiotic retreatment in patients with persistent manifestations of Lyme disease. Healthcare providers who evaluate and manage patients with Lyme disease are the intended users of the new ILADS guidelines, which replace those issued in 2004 (Exp Rev Anti-infect Ther 2004;2:S1-13). These clinical practice guidelines are intended to assist clinicians by presenting evidence-based treatment recommendations, which follow the Grading of Recommendations Assessment, Development and Evaluation system. ILADS guidelines are not intended to be the sole source of guidance in managing Lyme disease and they should not be viewed as a substitute for clinical judgment nor used to establish treatment protocols.

  17. A study on cost-benefit analysis and development of numerical guideline for the radiation exposure(II)

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Chang Sun; Song, Jae Hyuk; Son, Ki Yoon; Park, Moon Soo; Kim, Chong Uk [Seoul National Univ., Seoul (Korea, Republic of)

    1999-02-15

    The radiation detrimental cost is a representative factor which is used in the cost-benefit analysis. It can be divided into the objective detrimental cost and the subjective detrimental cost. The objective detrimental cost can be quantified through converting human economic value into monetary unit and the subjective detrimental cost can be quantified by estimation of perceived risk of public. The objective of this study is the quantification of the radiation detrimental cost so that the objective detrimental cost and the subjective detrimental cost are estimated, respectively. The main emphasis is laid upon the conversion of human economic value into monetary unit in quantifying the objective detrimental cost. In case of the subjective detrimental cost, perceived risk of public for radiation exposure is measured according to dose levels by questionnaire. And the subjective detrimental costs are derived from the perceived risk for lay public and for occupational workers, respectively. In addition, is also investigated the cost of public acceptance for nuclear power generation.

  18. Consumption and exposure assessment to cosmetic products for children under 2 years old.

    Science.gov (United States)

    Gomez-Berrada, Marie-Pierre; Ficheux, Anne-Sophie; Guillou, Sonia; Berge, Carole; de Javel, Dominique; Roudot, Alain-Claude; Ferret, Pierre-Jacques

    2017-07-01

    Today, the use of personal care products is an integral part of daily life. Little information about children's consumption and exposure to cosmetic products is available. The aim of the study was to assess the consumption and the exposure of French babies aged 0-23 months old to seven common baby care products: shampoo, shower gel, cleansing water, cleansing milk, moisturizing cream, bottom cream and wipes. Consumption and exposure were assessed using small age intervals in order to identify any differences. Exposure was calculated using a probabilistic method. These original data will be useful for safety assessors and safety agencies in order to protect consumers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Integrated indoor and outdoor exposure assessment framework for fine particulate matter pollution

    DEFF Research Database (Denmark)

    McKone, Thomas E; Hodas, Natasha; Apte, Joshua S.

    2016-01-01

    The 2010 Global Burden of Disease report demonstrates that fine particulate matter (PM2.5) pollution is the major environmental contributor to mortality. Exposures outdoors (ambient) and indoors (household) contribute almost qually to this burden. Unfortunately, the health impacts from exposure...... to PM2.5 are often excluded from life cycle impact assessment (LCIA) used for characterizing environmental performance of products and services. This is in large part because of the lack of well-vetted harmonized guidance about how to consistently assess the exposures and impacts of indoor and outdoor...... emissions of PM2.5 and its precursors. We present a modeling framework for calculating exposure factors for indoor and outdoor emissions of primary PM2.5 and secondary PM2.5 precursors, and a roadmap for further refining this modelling framework for operational use in LCIA. The framework was developed over...

  20. Health effects from indoor and outdoor exposure to fine particulate matter in life cycle impact assessment

    DEFF Research Database (Denmark)

    Fantke, Peter; McKone, T.E.; Jolliet, Olivier

    Exposure to fine particulate matter (PM2.5) pollution is a major contributor to human disease burden as continuously shown in the Global Burden of Disease study series. Exposures to PM2.5 concentration outdoors and indoors contribute almost equally to this burden. Despite the importance, health...... impacts from exposure to PM2.5 are often excluded from life cycle impact assessment (LCIA) characterization profiles. This is in large part because of the lack of well-vetted harmonized guidance about how to consistently assess the exposures and impacts of indoor and outdoor emissions of PM2.5 and its...... precursors. We present a framework for calculating characterization factors for indoor and outdoor emissions of primary PM2.5 and secondary PM2.5 precursors, and a roadmap for further refining this modelling framework for operational use in LCIA. The framework was developed over the last three years...

  1. Assessment of the dietary habits and polycyclic aromatic hydrocarbon exposure in primary school children.

    Science.gov (United States)

    Cirillo, T; Montuori, P; Mainardi, P; Russo, I; Fasano, E; Triassi, M; Amodio-Cocchieri, R

    2010-07-01

    Thirty Italian children, 7-9 year aged, living in Naples were investigated on their dietary habits and on polycyclic aromatic hydrocarbon (PAH) exposure by a food diary-questionnaire and one week duplicate diet sample analyses. Daily total food consumption mean value was 632 +/- 215 g day(-1), median value 613 g day(-1). The daily energy intake and the diet composition meanly agreed with the official guidelines for the Italian children. Sixteen PAHs were simultaneously detected and, according to the European Food Safety Authority (EFSA) approach, benzo[a]pyrene; benzo[a]pyrene + chrysene (PAH2); PAH2 + benz[a]anthracene + benzo[b]fluoranthene (PAH4); PAH4 + benzo[k]fluoranthene + benzo[ghi]perylene + dibenz[a, h]anthracene + indeno[1,2,3-cd]pyrene (PAH8) were considered in evaluating the children's dietary exposure to PAHs. The benzo[a]pyrene (BaP) median concentrations in foods varied from 0.06 to 0.33 microg kg(-1). Only three samples of cooked foods (one fish and two meat samples) exceeded legal limits fixed by the European Union for BaP. Daily median intakes of benzo[a]pyrene, PAH2, PAH4, and PAH8 were 153; 318; 990; 1776 ng day(-1); their median exposure values were 5; 10; 28; 54 ng kg(-1) bw day(-1). The Margins of Exposure (MOEs) in median consumers agreed with the EFSA safety values except for PAH8.

  2. Inter-rater agreement in the assessment of exposure to carcinogens in the offshore petroleum industry.

    Science.gov (United States)

    Steinsvåg, Kjersti; Bråtveit, Magne; Moen, Bente E; Kromhout, Hans

    2007-09-01

    To evaluate the reliability of an expert team assessing exposure to carcinogens in the offshore petroleum industry and to study how the information provided influenced the agreement among raters. Eight experts individually assessed the likelihood of exposure for combinations of 17 carcinogens, 27 job categories and four time periods (1970-1979, 1980-1989, 1990-1999 and 2000-2005). Each rater assessed 1836 combinations based on summary documents on carcinogenic agents, which included descriptions of sources of exposure and products, descriptions of work processes carried out within the different job categories, and monitoring data. Inter-rater agreement was calculated using Cohen's kappa index and single and average score intraclass correlation coefficients (ICC) (ICC(2,1) and ICC(2,8), respectively). Differences in inter-rater agreement for time periods, raters, International Agency for Research on Cancer groups and the amount of information provided were consequently studied. Overall, 18% of the combinations were denoted as possible exposure, and 14% scored probable exposure. Stratified by the 17 carcinogenic agents, the probable exposure prevalence ranged from 3.8% for refractory ceramic fibres to 30% for crude oil. Overall mean kappa was 0.42 (ICC(2,1) = 0.62 and ICC(2,8) = 0.93). Providing limited quantitative measurement data was associated with less agreement than for equally well described carcinogens without sampling data. The overall kappa and single-score ICC indicate that the raters agree on exposure estimates well above the chance level. The levels of inter-rater agreement were higher than in other comparable studies. The average score ICC indicates reliable mean estimates and implies that sufficient raters were involved. The raters seemed to have enough documentation on which to base their estimates, but provision of limited monitoring data leads to more incongruence among raters. Having real exposure data, with the inherent variability of such data

  3. A study on modeling nitrogen dioxide concentrations using land-use regression and conventionally used exposure assessment methods

    Science.gov (United States)

    Choi, Giehae; Bell, Michelle L.; Lee, Jong-Tae

    2017-04-01

    The land-use regression (LUR) approach to estimate the levels of ambient air pollutants is becoming popular due to its high validity in predicting small-area variations. However, only a few studies have been conducted in Asian countries, and much less research has been conducted on comparing the performances and applied estimates of different exposure assessments including LUR. The main objectives of the current study were to conduct nitrogen dioxide (NO2) exposure assessment with four methods including LUR in the Republic of Korea, to compare the model performances, and to estimate the empirical NO2 exposures of a cohort. The study population was defined as the year 2010 participants of a government-supported cohort established for bio-monitoring in Ulsan, Republic of Korea. The annual ambient NO2 exposures of the 969 study participants were estimated with LUR, nearest station, inverse distance weighting, and ordinary kriging. Modeling was based on the annual NO2 average, traffic-related data, land-use data, and altitude of the 13 regularly monitored stations. The final LUR model indicated that area of transportation, distance to residential area, and area of wetland were important predictors of NO2. The LUR model explained 85.8% of the variation observed in the 13 monitoring stations of the year 2009. The LUR model outperformed the others based on leave-one out cross-validation comparing the correlations and root-mean square error. All NO2 estimates ranged from 11.3-18.0 ppb, with that of LUR having the widest range. The NO2 exposure levels of the residents differed by demographics. However, the average was below the national annual guidelines of the Republic of Korea (30 ppb). The LUR models showed high performances in an industrial city in the Republic of Korea, despite the small sample size and limited data. Our findings suggest that the LUR method may be useful in similar settings in Asian countries where the target region is small and availability of data is

  4. [Objective assessment of total noise exposure over 24 hours: a cross-sectional study in Bavaria].

    Science.gov (United States)

    Weinmann, T; Sárközi, E; Praml, G; von Kries, R; Ehrenstein, V; Nowak, D; Radon, K

    2012-11-01

    Noise can affect well-being and performance of individuals and might be associated with an increased risk of cardiovascular events. To date most epidemiological studies considered exposure from a single source of noise. The EU Environmental Noise Directive (2002/49/EC) requires a summative measurement of ambient noise. This study aimed to capture the participants' exposure to environmental noise by means of personal noise dosimetry. Children (n=628, participation=61%, age 8-12 years), adolescents (n=632, participation=58%, age 13-17 years) and adults (n=482, participation=40%, age 18-65 years) were selected randomly from the population registry of 4 Bavarian towns and were invited to participate in a 24-h measurement using noise dosimetry. Noise exposures during day and night were analyzed separately. In addition, predictors of noise exposure were assessed. For daytime noise exposure mean±standard deviation were in children 80.0±5.8 dB(A), in adolescents 76.0±6.2 dB(A), in adults 72.1±6.1 dB(A) (p(ANOVA)noise exposure was statistically significantly higher for participants from smaller towns than for those living in Munich, while nighttime noise exposure was highest for participants from Munich [44.1±7.2 dB(A)]. The summative noise exposure in urban Bavaria is high, in particular among children at daytime. Increased exposure levels in children might be caused by themselves while, e.g., playing. Whether the higher daytime exposure in towns is due to high noise levels commuting between home and work has to be assessed in future studies. Georg Thieme Verlag KG Stuttgart · New York.

  5. Comparison of exposure assessment methods for occupational carcinogens in a multi-centre lung cancer case-control study

    NARCIS (Netherlands)

    Peters, Susan; Vermeulen, Roel; Cassidy, Adrian; 't Mannetje, Andrea; van Tongeren, Martie; Boffetta, Paolo; Straif, Kurt; Kromhout, Hans

    Objectives Retrospective exposure assessment remains a problematic aspect of population-based case-control studies. Different methods have been developed, including case-by-case expert assessment and job-exposure matrices (JEM). The present analyses compare exposure prevalence and risk estimates

  6. A Case Report of Lung Cancer in a Horse Trainer Caused by Exposure to Respirable Crystalline Silica: An Exposure Assessment

    Directory of Open Access Journals (Sweden)

    Jin-Ha Yoon

    2013-03-01

    Full Text Available Here, we present a case of lung cancer in a 48-year-old male horse trainer. To the best of our knowledge, this is the first such case report to include an exposure assessment of respirable crystalline silica (RCS as a quartz. The trainer had no family history of lung cancer. Although he had a 15 pack/year cigarette-smoking history, he had stopped smoking 12 years prior to his diagnosis. For the past 23 years, he had performed longeing, and trained 7-12 horses per day on longeing arena surfaces covered by recycled sands, the same surfaces used in race tracks. We investigated his workplace RCS exposure, and found it to be the likely cause of his lung cancer. The 8-hour time weight average range of RCS was 0.020 to 0.086 mg/m3 in the longeing arena. Horse trainers are exposed to RCS from the sand in longeing arenas, and the exposure level is high enough to have epidemiological ramifications for the occupational risk of lung cancer.

  7. The Penobscot River and environmental contaminants: Assessment of tribal exposure through sustenance lifeways

    Science.gov (United States)

    Marshall, Valerie; Kusnierz, Daniel; Hillger, Robert; Ferrario, Joseph; Hughes, Thomas; Diliberto, Janet; Orazio, Carl E.; Dudley, Robert W.; Byrne, Christian; Sugatt, Richard; Warren, Sarah; DeMarini, David; Elskus, Adria; Stodola, Steve; Mierzykowski, Steve; Pugh, Katie; Culbertson, Charles W.

    2015-01-01

    EPA in collaboration with the Penobscot Indian Nation, U.S. Geological Survey (USGS), Agency for Toxic Substances and Disease Registry (ATSDR), and the U.S. Fish and Wildlife Service (USF&WS) collectively embarked on a four year research study to evaluate the environmental health of the riverine system by targeting specific cultural practices and using traditional science to conduct a preliminary contaminant screening of the flora and fauna of the Penobscot River ecosystem. This study was designed as a preliminary screening to determine if contaminant concentrations in fish, eel, snapping turtle, wood ducks, and plants in Regions of the Penobscot River relevant to where PIN tribal members hunt, fish and gather plants were high enough to be a health concern. This study was not designed to be a statistically validated assessment of contaminant differences among study sites or among species. The traditional methodology for health risk assessment used by the U. S. Environmental Protection Agency (EPA) is based on the use of exposure assumptions (e.g. exposure duration, food ingestion rate, body weight, etc.) that represent the entire American population, either as a central tendency exposure (e.g. average, median) or as a reasonable maximum exposure (e.g. 95% upper confidence limit). Unfortunately, EPA lacked exposure information for assessing health risks for New England regional tribes sustaining a tribal subsistence way of life. As a riverine tribe, the Penobscot culture and traditions are inextricably tied to the Penobscot River watershed. It is through hunting, fishing, trapping, gathering and making baskets, pottery, moccasins, birch-bark canoes and other traditional practices that the Penobscot culture and people are sustained. The Penobscot River receives a variety of pollutant discharges leaving the Penobscot Indian Nation (PIN) questioning the ecological health and water quality of the river and how this may affect the practices that sustain their way of life

  8. Assessment of CPR-D skills of nursing students in two institutions: reality versus recommendations in the guidelines.

    Science.gov (United States)

    Mäkinen, Marja; Axelsson, Asa; Castrén, Maaret; Nurmi, Jouni; Lankinen, Iira; Niemi-Murola, Leila

    2010-08-01

    Significant differences in basic life support skills including cardiopulmonary resuscitation and defibrillation (CPR-D) were detected when nurses working in one Finnish and one Swedish hospital were tested using an Objective Structured Clinical Examination (OSCE). The purpose of this study was to use OSCE test in assessing guideline based CPR-D skills of newly qualified nurses. The CPR-D skills of newly qualified registered nurses studying in Halmstad University (n = 30), Sweden, Helsinki Metropolia University of Applied Sciences (n = 30), and Finland were assessed using an OSCE which was built up with a case of cardiac arrest with ventricular fibrillation as the initial rhythm. The Angoff average, 32.47, was calculated as cutoff point to pass the test. Forty-seven percent of the students in the Swedish group (mean score 32.47/49, range 26-39, SD 3.76) and 13% of the students in the Finnish group (mean score 23.80/49, range 13-35, SD 4.32) passed the OSCE (Pskills correlated with high grading of the clinical skills. In conclusion, CPR-D skills of the newly qualified nurses in both the institutes were clearly under par and were not adequate according to the resuscitation guidelines. Current style of teaching is unlikely to result in students being able to perform adequate CPR-D. Standardized testing would help in controlling the quality of learning.

  9. Agent-based computational model of the prevalence of gonococcal infections after the implementation of HIV pre-exposure prophylaxis guidelines.

    Science.gov (United States)

    Escobar, Erik; Durgham, Ryan; Dammann, Olaf; Stopka, Thomas J

    2015-01-01

    Recently, the first comprehensive guidelines were published for pre-exposure prophylaxis (PrEP) for the prevention of HIV infection in populations with substantial risk of infection. Guidelines include a daily regimen of emtricitabine/tenofovir disoproxil fumarate (TDF/FTC) as well as condom usage during sexual activity. The relationship between the TDF/FTC intake regimen and condom usage is not yet fully understood. If men who have sex with men (MSM,) engage in high-risk sexual activities without using condoms when prescribed TDF/FTC they might be at an increased risk for other sexually transmitted diseases (STD). Our study focuses on the possible occurrence of behavioral changes among MSM in the United States over time with regard to condom usage. In particular, we were interested in creating a model of how increased uptake of TDF/FTC might cause a decline in condom usage, causing significant increases in non-HIV STD incidence, using gonococcal infection incidence as a biological endpoint. We used the agent-based modeling software NetLogo, building upon an existing model of HIV infection. We found no significant evidence for increased gonorrhea prevalence due to increased PrEP usage at any level of sample-wide usage, with a range of 0-90% PrEP usage. However, we did find significant evidence for decreased prevalence of HIV, with a maximal effect being reached when 5% to 10% of the MSM population used PrEP. Our findings appear to indicate that attitudes of aversion, within the medical community, toward the promotion of PrEP due to the potential risk of increased STD transmission are unfounded.

  10. The assessment of electromagnetic field radiation exposure for mobile phone users

    OpenAIRE

    Buckus Raimondas; Strukcinskiene Birute; Raistenskis Juozas

    2014-01-01

    Background/Aim. During recent years, the widespread use of mobile phones has resulted in increased human exposure to electromagnetic field radiation and to health risks. Increased usage of mobile phones at the close proximity raises questions and doubts in safety of mobile phone users. The aim of the study was to assess an electromagnetic field radiation exposure for mobile phone users by measuring electromagnetic field strength in different settings at the...

  11. Assessment of radiation exposure of nuclear medicine staff using personal TLD dosimeters and charcoal detectors

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, F.; Garcia-Talavera, M.; Pardo, R.; Deban, L. [Valladolid Univ., Dept. de Quimica Analitica, Facultad de Ciencias (Spain); Garcia-Talavera, P.; Singi, G.M.; Martin, E. [Hospital Clinico Univ., Servicio de Medicina Nuclear, Salamanca (Spain)

    2006-07-01

    Although the main concern regarding exposure to ionizing radiation for nuclear medicine workers is external radiation, inhalation of radionuclides can significantly contribute to the imparted doses. We propose a new approach to assess exposure to inhalation of {sup 131}I based on passive monitoring using activated charcoal detectors. We compared the inhalation doses to the staff of a nuclear medicine department, based on the measurements derived from charcoal detectors placed at various locations, and the external doses monitored using personal TLD dosimeters. (authors)

  12. MobRISK: a model for assessing the exposure of road users to flash flood events

    Science.gov (United States)

    Shabou, Saif; Ruin, Isabelle; Lutoff, Céline; Debionne, Samuel; Anquetin, Sandrine; Creutin, Jean-Dominique; Beaufils, Xavier

    2017-09-01

    Recent flash flood impact studies highlight that road networks are often disrupted due to adverse weather and flash flood events. Road users are thus particularly exposed to road flooding during their daily mobility. Previous exposure studies, however, do not take into consideration population mobility. Recent advances in transportation research provide an appropriate framework for simulating individual travel-activity patterns using an activity-based approach. These activity-based mobility models enable the prediction of the sequence of activities performed by individuals and locating them with a high spatial-temporal resolution. This paper describes the development of the MobRISK microsimulation system: a model for assessing the exposure of road users to extreme hydrometeorological events. MobRISK aims at providing an accurate spatiotemporal exposure assessment by integrating travel-activity behaviors and mobility adaptation with respect to weather disruptions. The model is applied in a flash-flood-prone area in southern France to assess motorists' exposure to the September 2002 flash flood event. The results show that risk of flooding mainly occurs in principal road links with considerable traffic load. However, a lag time between the timing of the road submersion and persons crossing these roads contributes to reducing the potential vehicle-related fatal accidents. It is also found that sociodemographic variables have a significant effect on individual exposure. Thus, the proposed model demonstrates the benefits of considering spatiotemporal dynamics of population exposure to flash floods and presents an important improvement in exposure assessment methods. Such improved characterization of road user exposures can present valuable information for flood risk management services.

  13. Examining Exposure Assessment in Shift Work Research: A Study on Depression Among Nurses.

    Science.gov (United States)

    Hall, Amy L; Franche, Renée-Louise; Koehoorn, Mieke

    2018-01-11

    Coarse exposure assessment and assignment is a common issue facing epidemiological studies of shift work. Such measures ignore a number of exposure characteristics that may impact on health, increasing the likelihood of biased effect estimates and masked exposure-response relationships. To demonstrate the impacts of exposure assessment precision in shift work research, this study investigated relationships between work schedule and depression in a large survey of Canadian nurses. The Canadian 2005 National Survey of the Work and Health of Nurses provided the analytic sample (n = 11450). Relationships between work schedule and depression were assessed using logistic regression models with high, moderate, and low-precision exposure groupings. The high-precision grouping described shift timing and rotation frequency, the moderate-precision grouping described shift timing, and the low-precision grouping described the presence/absence of shift work. Final model estimates were adjusted for the potential confounding effects of demographic and work variables, and bootstrap weights were used to generate sampling variances that accounted for the survey sample design. The high-precision exposure grouping model showed the strongest relationships between work schedule and depression, with increased odds ratios [ORs] for rapidly rotating (OR = 1.51, 95% confidence interval [CI] = 0.91-2.51) and undefined rotating (OR = 1.67, 95% CI = 0.92-3.02) shift workers, and a decreased OR for depression in slow rotating (OR = 0.79, 95% CI = 0.57-1.08) shift workers. For the low- and moderate-precision exposure grouping models, weak relationships were observed for all work schedule categories (OR range 0.95 to 0.99). Findings from this study support the need to consider and collect the data required for precise and conceptually driven exposure assessment and assignment in future studies of shift work and health. Further research into the effects of shift rotation frequency on depression is

  14. Magnetic field exposure assessment in a case-control study of childhood leukemia.

    Science.gov (United States)

    Kleinerman, R A; Linet, M S; Hatch, E E; Wacholder, S; Tarone, R E; Severson, R K; Kaune, W T; Friedman, D R; Haines, C M; Muirhead, C R; Boice, J D; Robison, L L

    1997-09-01

    Epidemiologic evaluation of the relation between magnetic field exposures and cancer depends critically on study design, particularly the methods used for exposure assessment. We incorporated a complex magnetic field exposure assessment protocol into a large incident case-control study of childhood leukemia. We measured residential magnetic fields using a standard protocol in current and former homes of 638 cases and 620 controls and determined wire codes for 414 case-control pairs. We chose a time-weighted average of magnetic field measurements in each eligible home, weighted by the time the subject lived in each home as the main exposure metric for each subject. We found that 24-hour bedroom magnetic field measurements adequately characterize children's residential exposure and that measuring other rooms contributes only slightly to the estimate of average residential exposure to magnetic fields. Front door measured fields provide useful exposure information when interior measurements are missing. If feasible, measuring multiple homes in which the subject has resided is preferable to measuring a single home. A similar distribution of wire codes for controls agreeing or refusing to participate in our study implies that risk estimates derived from wire code data will not be influenced by response bias.

  15. Using city-wide mobile noise assessments to estimate bicycle trip annual exposure to Black Carbon.

    Science.gov (United States)

    Dekoninck, Luc; Botteldooren, Dick; Int Panis, Luc

    2015-10-01

    Several studies have shown that a significant amount of daily air pollution exposure, in particular Black Carbon (BC), is inhaled during bicycle trips. Previously, the instantaneous BC exposure of cyclists was modeled as the sum of a background concentration and a local traffic related component based on a local assessment of traffic noise. We present a fast and low cost methodology to achieve a city-wide assessment of yearly average BC exposure of cyclists along their trips, based on a city-wide mobile noise sensing campaign. The methodology requires participatory sensing measurements of noise, partially combined with BC and/or other air pollutants sensitive to local traffic variations. The combined measurements cover the spatial and meteorological variability and provide the data for an instantaneous exposure model. The mobile noise-only measurements map the full city; and yearly meteorology statistics are used to extrapolate the instantaneous exposure model to a yearly average map of in-traffic air pollution exposure. Less than four passages at each segment along the network with mobile noise equipment are necessary to reach a standard error of 500 ng/m(3) for the yearly average BC exposure. A strong seasonal effect due to the BC background concentration is detected. The background contributes only 25% to the total trip exposure during spring and summer. During winter the background component increases to 50-60%. Engine related traffic noise along the bicyclist's route is a valid indicator of the BC exposure along the route, independent of the seasonal background. Low exposure route selection results in an exposure reduction of 35% in winter and 60% in summer, sensitive to the weather conditions, specific trip attributes and the available alternatives. The methodology is relevant for further research into the local effects of air pollution on health. Mobile noise mapping adds local traffic data including traffic dynamics into the air pollution exposure

  16. A Formaldehyde Exposure Assessment Tool for Occupants of FEMA Temporary Housing Units

    Energy Technology Data Exchange (ETDEWEB)

    Parthasarathy, Srinandini; Spears, Michael; Maddalena, Randy L.; Russell, Marion L; Apte, Michael G.

    2010-10-01

    The report outlines the methodology used to develop a web-based tool to assess the formaldehyde exposure of the occupants of Federal Emergency Management Administration (FEMA) temporary housing units (THUs) after Hurricanes Katrina and Rita in 2005. Linear regression models were built using available data to retrospectively estimate the indoor temperature and relative humidity, formaldehyde emission factors and concentration, and hence the formaldehyde exposures. The interactive web-tool allows the user to define the inputs to the model to evaluate formaldehyde exposures for different scenarios.

  17. Exposure assessment of the cumulative intake of pesticides with dissimilar mode of action

    DEFF Research Database (Denmark)

    Jensen, Bodil Hamborg; Petersen, Annette; Christiansen, Sofie

    Risk assessment of pesticides is currently based on the no observed adverse effect levels (NOAELs) for effects of single compounds. However, humans might be exposed to a mixture of pesticides at the same time and the exposure could occur from more pesticides with endocrine disrupting effects....... In this study the effects of combined exposure from four endocrine disrupting pesticides have been investigated (procymidone, mancozeb, tebuconazole, and prochloraz). The four pesticides have dissimilar mode of actions. On the background of the potency for each pesticide to a given effect, a relative potency...... factor and the cumulative acute exposure of the pesticides have been estimated....

  18. Influence of exposure