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Sample records for berylliosis

  1. A case of chronic berylliosis using aspiration liver biopsy as a diagnostic aid

    International Nuclear Information System (INIS)

    Chronic berylliosis may occur in subjects who regularly handle or have handled the metal beryllium (workers in light bulb factories). Clinical symptoms (fatigue, loss of weight, coughing, increasing breathlessness upon exertion, pyrexia, cyanosis, clubbed fingers and certain radiological abnormalities) are non-specific. Pathological-anatomical examination reveals granulomatosis of the organs. A description is given of a case in which the diagnosis was made on the basis of the history, chest X-rays and liver biopsy findings. (author)

  2. Immunogenetic basis of environmental lung disease: Lessons from the berylliosis model

    International Nuclear Information System (INIS)

    The role of genetic factors has been hypothesized in the pathogenesis of a number of chronic inflammatory lung diseases. The genes of the major histocompatibility complex (MHC) locus on human chromosome 6 have been identified as important determinants in diseases caused both by inorganic and organic compounds such as beryllium, gold, acid anhydrides, isocyanates and grass pollens. Since many environmental factors are the determinants of the immunopathogenesis of asthma, pulmonary granulomatous disorders, hypersensitivity pneumonitis and fibrotic lung disorders, an understanding of the interaction between environmental factors is crucial to epidemiology, prevention and treatment of these disorders. Berylliosis is an environmental chronic inflammatory disorder of the lung caused by inhalation of beryllium dusts. A human leukocyte antigen class II marker (HLA-DP Glu69) has been found to be strongly associated with the disease. In in vitro studies, the gene has been shown to play a direct role in the immunopathogenesis of the disease. In human studies, the gene has been shown to confer increased susceptibility to beryllium in exposed workers, thus suggesting that HLA gene markers may be used as epidemiological probes to identify population groups at higher risk of environmental lung diseases, to identify environmental levels of lung immunotoxicants that would be safe for the entire population and the prevent disease risk associated with occupation, manufactured products and the environment. Studies on the associations between human leukocyte antigens and chronic inflammatory lung disorders are reviewed in the context of the berylliosis model. (au)

  3. Bronchoalveolar lavage: role in the pathogenesis, diagnosis, and management of interstitial lung disease

    International Nuclear Information System (INIS)

    Bronchoalveolar lavage has emerged as a useful technique for the study of pulmonary interstitial disorders. Several types of information are provided by the evaluation of lavage fluid. First, the identification of cellular constituents helps to separate inflammatory processes in which lymphocytes predominate (for example, sarcoidosis, hypersensitivity pneumonitis, and berylliosis) from those in which neutrophils or macrophages predominate (for example, idiopathic pulmonary fibrosis and histiocytosis X). Second, the cells removed during lavage can be studied for their immune properties and function; tested with specific antigens, in diseases such as berylliosis and hypersensitivity pneumonitis; and examined for the presence of unique surface antigens with monoclonal antibodies (for example, histiocytosis X). Third, in conjunction with scanning electron microscopy and electron probe analysis, lavage makes possible the identification of inorganic particles in alveolar macrophages of patients with pneumoconiotic lung disease. Finally, although lavage is still an investigative procedure for most pulmonary disorders, it has an established role in the diagnosis of opportunistic infections in the immunocompromised patient

  4. Some results of medical researches at Ulba Metallurgical Plant

    International Nuclear Information System (INIS)

    The results of 45-years medical researches at beryllium production of Ulba Metallurgical Plant are summarized in this report. Statistic data on different kinds of occupational diseases, related to beryllium production and the dynamics of changing occupational diseases with the development of beryllium production, are given there. Data on average duration of life of occupational disease patients are presented in the report. It includes the description of problems, related to berylliosis diagnosis. Issues, connected to beryllium production effect on health of man, located nearby beryllium production are also discussed there as well. (author)

  5. Some results of medical researches at Ulba Metallurgical Plant

    Energy Technology Data Exchange (ETDEWEB)

    Artemieva, G.I.; Novikov, V.G.; Savchuk, V.V. [Ulba Metallurgical Plant, Ust-Kamenogorsk (Kazakhstan)

    1998-01-01

    The results of 45-years medical researches at beryllium production of Ulba Metallurgical Plant are summarized in this report. Statistic data on different kinds of occupational diseases, related to beryllium production and the dynamics of changing occupational diseases with the development of beryllium production, are given there. Data on average duration of life of occupational disease patients are presented in the report. It includes the description of problems, related to berylliosis diagnosis. Issues, connected to beryllium production effect on health of man, located nearby beryllium production are also discussed there as well. (author)

  6. Analysis of HLA-DP association with beryllium disease susceptibility in pooled exposed populations

    Energy Technology Data Exchange (ETDEWEB)

    Cesare Saltini, Massimo Amicosante

    2009-12-19

    Berylliosis or Chronic Beryllium Disease is a chronic granulomatous disorder primarily involving the lung associated with the exposition to low doses of Beryllium (Be) in the workplace. Berylliosis risk has been associated with the presence of a glutamate at position 69 of the HLA-DP beta chain (HLA-DPbetaGlu69) that is expressed in about 97% of disease cases and in 27% of the unaffected Be-exposed controls (p<0.0001) (Richeldi et al. Science 1993; 262: 242-244.12). Since this first observation of an immunogenetic association between berylliosis and HLA-DPbetaGlu69 a number of studies have confirmed the role of this marker as the primary gene of susceptibility of berylliosis (Richeldi et al Am J Ind Med. 1997; 32:337-40; Wang et al J. Immunol. 1999; 163: 1647-53; Saltini et al Eur Respir J. 2001 18:677-84; Rossman et al Am J Respir Crit Care Med. 2002 165:788-94). Moreover, a structure/function interaction between HLA-DP molecules carrying Glu69 and beryllium in driving and developing the immune response against beryllium itself has been observed as: (1) Be-specific T-cells clones obtained from berylliosis patients recognize beryllium as antigen only when presented in the context of the HLA-DP{beta}Glu69 molecules but not in the context of HLA-DP allelic variants carrying Lys69 (Lombardi G et al. J Immunol 2001; 166: 3549-3555), and (2) beryllium presents an affinity for the HLA-DP2, carrying the berylliosis marker of susceptibility HLA-DPGlu69, from 40 to 100 times higher that the HLA-DP molecule carrying Lys69 (Amicosante M. et al Hum. Immunol. 2001; 62: 686-93). However, although the immunogenetic studies performed have been addressed a number of different questions about the genetic association between berylliosis and/or beryllium sensitization, exposure levels to beryllium and HLA markers, a number of questions are still open in the field mainly due to the limitation imposed by the low number of subjects carrying berylliosis or beryllium sensitization enrolled

  7. Pneumoconiosis: Comparison of imaging and pathologic findings

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    Chong, S.; Lee, K.S.; Chung, M.J.; Han, J.H.; Kwon, O.J.; Kim, T.S. [Sungkyunkwan University School of Medicine, Seoul (Republic of Korea). Samsung Medical Center

    2006-01-15

    Pneumoconiosis may be classified as either fibrotic or nonfibrotic, according to the presence or absence of fibrosis. Silicosis, coal worker pneumoconiosis, asbestosis, berylliosis, and talcosis are examples of fibrotic pneumoconiosis. Siderosis, stannosis, and baritosis are nonfibrotic forms of pneumoconiosis that result from inhalation of iron oxide, tin oxide, and barium sulfate particles, respectively. In an individual who has a history of exposure to silica or coal dust, a finding of nodular or reticulonodular lesions at chest radiography or small nodules with a perilymphatic distribution at thin-section computed tomography (CT), with or without eggshell calcifications, is suggestive of silicosis or coal worker pneumoconiosis. Magnetic resonance imaging is helpful for distinguishing between progressive massive fibrosis and lung cancer. CT and histopathologic findings in asbestosis are similar to those in idiopathic pulmonary fibrosis, but the presence of asbestos bodies in histopathologic specimens is specific for the diagnosis of asbestosis. Giant cell interstitial pneumonia due to exposure to hard metals is classified as a fibrotic form of pneumoconiosis and appears on CT images as mixed ground-glass opacities and reticulation. Berylliosis simulates pulmonary sarcoidosis on CT images. CT findings in talcosis include small centrilobular and subpleural nodules or heterogeneous conglomerate masses that contain foci of high attenuation indicating talc deposition. Siderosis is nonfibrotic and is indicated by a CT finding of poorly defined centrilobular nodules or ground-glass opacities.

  8. Pneumoconiosis: comparison of imaging and pathologic findings

    Energy Technology Data Exchange (ETDEWEB)

    Semin Chong; Kyung Soo Lee; Myung Jin Chung; Joungho Han; O. Jung Kwon; d Tae Sung Kim [Sungkyunkwan University School of Medicine, Seoul (Republic of Korea). Department of Radiology and Center for Imaging Science

    2006-01-15

    Pneumoconiosis may be classified as either fibrotic or nonfibrotic, according to the presence or absence of fibrosis. Silicosis, coal worker pneumoconiosis, asbestosis, berylliosis, and talcosis are examples of fibrotic pneumoconiosis. Siderosis, stannosis, and baritosis are nonfibrotic forms of pneumoconiosis that result from inhalation of iron oxide, tin oxide, and barium sulfate particles, respectively. In an individual who has a history of exposure to silica or coal dust, a finding of nodular or reticulonodular lesions at chest radiography or small nodules with a perilymphatic distribution at thin-section computed tomography (CT), with or without eggshell calcifications, is suggestive of silicosis or coal worker pneumoconiosis. Magnetic resonance imaging is helpful for distinguishing between progressive massive fibrosis and lung cancer. CT and histopathologic findings in asbestosis are similar to those in idiopathic pulmonary fibrosis, but the presence of asbestos bodies in histopathologic specimens is specific for the diagnosis of asbestosis. Giant cell interstitial pneumonia due to exposure to hard metals is classified as a fibrotic form of pneumoconiosis and appears on CT images as mixed ground-glass opacities and reticulation. Berylliosis simulates pulmonary sarcoidosis on CT images. CT findings in talcosis include small centrilobular and subpleural nodules or heterogeneous conglomerate masses that contain foci of high attenuation indicating talc deposition. Siderosis is nonfibrotic and is indicated by a CT finding of poorly defined centrilobular nodules or ground-glass opacities.

  9. Immunological characterisation of groups of people exposed to beryllium as a result of burning coal with high contents of this toxin

    International Nuclear Information System (INIS)

    An epidemological study was made of persons occupationally (39) and non-occupationally (34) exposed to relatively low concentrations of beryllium in air as a result of coal combustion. Beryllium concentrations in the workplace were between 30 and 800x10-5 mg.m-3, and in the town of Sokolov 1.68-0.39x10-5 mg.m-3. Radial immunodiffusion was used to determine main immunoglobulin classes, and the passive haemagglutination reaction used to determine antibodies (lungs, heart, liver, spleen, thyroid) and antibodies to nuclear (ANA) and mitochondrial (AMA) antigens in intact rat lungs and rats with experimental berylliosis. In both exposed groups significant increase in IgG and IgA and autoantibodies was found compared with controls (60). Specific AMA and ANA were found in exposed groups (higher values in women). (UK)

  10. Interstitial granulomatous pulmonary diseases: a diagnostic approach for the general pathologist

    Directory of Open Access Journals (Sweden)

    Silva Aloísio S. Felipe da

    2003-01-01

    Full Text Available Some kinds of interstitial pneumonia present a histopathological pattern dominated by sarcoid - necrotizing or non-necrotizing - granulomas, which can be divided into two main groups: infectious and non-infectious. The infectious causes include tuberculosis, histoplasmosis, fungi in general, paracoccidioidomycosis, ascaridiasis, echinococcosis and dirophilariosis. The non-infectious causes include histiocytosis-X, hipersensitivity pneumonia, vasculitis, lymphomas, sarcoidosis, and pneumoconioses such as silicosis and berylliosis. The purpose of this review is to provide a practical guideline to enable general pathologists to make the differential diagnosis of granulomatous pulmonary diseases. For this purpose, anatomical-clinical-radiological correlations will be presented and targeted to each diagnosis discussed. Whenever a granulomatous inflammatory process is in progress, the search for infective agents by direct observation, by culture, and by histochemical methods should be mandatory. The histological aspects of infectious granulomas to be analyzed should include their random histo-anatomical location, the type of inflammatory reaction, and necrosis. A panel of complementary reactions (immunohistochemistry and PCR should identify the infectious agent and, whenever their results and the culture are negative, the possibility of non-infectious granulomatous diseases has to be evaluated. In such cases, the histo-anatomical distribution (bronchocentric, lymphangitic, angiocentric, random, the qualitative characteristics of the lesions (type of necrosis and inflammatory reaction, and the correlation with the X-ray findings will help the diagnosis.

  11. Investigation on the pulmonary effects of intermetallic beryllium compounds. Final report, January 1, 1976-December 31, 1978

    Energy Technology Data Exchange (ETDEWEB)

    Stemmer, K. L.

    1978-12-01

    The pulmonary response to the exposure to tantalum and niobium beryllide, and a copper beryllium alloy was investigated. The findings were compared to beryllium metal as positive control. 2.5 or 0.5 mg as beryllium were given to rats by intratracheal intubation. At 30, 60, and 90 days after exposure the response was similar with each material. There was inflammatory infiltrate by lymphocytes, macrophage accumulation, and beginning fibrosis of the terminal bronchioles. Epithelial hyperplasia occurred at, or after, 90 days. Niobium beryllide had a unique granulomatous lesion which was similar to human berylliosis. After 15 months, 8 squamous cell carcinomas and 1 adenocarcinoma were found in rats exposed to beryllium metal. No neoplasms were seen with the other materials. Solubility studies in saline and serum were conducted with the same materials. Niobium beryllide had a significantly lower solubility, namely, 0.04 in saline and 0.06 micrograms per milliliter in serum. The copper alloy was even lower at 0.02 in saline and 0.01 micrograms per milliliter in serum.

  12. Sudden unexpected death due to severe pulmonary and cardiac sarcoidosis.

    Science.gov (United States)

    Ginelliová, Alžbeta; Farkaš, Daniel; Farkašová Iannaccone, Silvia; Vyhnálková, Vlasta

    2016-09-01

    In this paper we report the autopsy findings of a 57 year old woman who died unexpectedly at home. She had been complaining of shortness of breath, episodes of dry coughing, and nausea. Her past medical and social history was unremarkable. She had no previous history of any viral or bacterial disease and no history of oncological disorders. Autopsy revealed multiple grayish-white nodular lesions in the pleura and epicardial fat and areas resembling fibrosis on the cut surface of the anterior and posterior wall of the left ventricle and interventricular septum. Histological examination of the lungs and heart revealed multiple well-formed noncaseating epithelioid cell granulomas with multinucleated giant cells. Death was attributed to myocardial ischemia due to vasculitis of intramural coronary artery branches associated with sarcoidosis. Sarcoidosis is a multisystemic disease of unknown etiology characterized by the formation of noncaseating epithelioid cell granulomas in the affected organs and tissues. The diagnosis of sarcoidosis in this case was established when other causes of granulomatous disease such as tuberculosis, berylliosis, hypersensitivity pneumonitis, and giant cell myocarditis had been reasonably excluded. PMID:27379608

  13. Immunological aspects of exposure to emissions from burning coal of high beryllium content

    Energy Technology Data Exchange (ETDEWEB)

    Bencko, V.B.; Vasilieva, E.V.; Symon, K.

    1980-08-01

    An epidemiological study was conducted on groups of people exposed occupationally (45 persons) and nonoccupationally (36 persons) to the combustion products of coal containing a comparatively high concentration of beryllium. The concentration of beryllium in the working atmosphere ranged between 30 and 800 x 10/sup -5/ mg x m/sup -3/; in the town S, dwelling place of a nonoccupationally exposed cohort between 0.39 and 1.68 x 10/sup -5/ mg x m/sup -3/. A group of 100 subjects who had no occupational contact with beryllium and other industrial toxic agents, and lived outside of the polluted region served as control cohort. In all examined persons the main classes of immunoglobulins and autoantibodies (lung, heart, liver, spleen, thyroid gland, suprarenals, and native DNA) and antibodies against nuclear (ANA) and mitochondrial (AMA) antigens (obtained from the lungs of intact and of experimental berylliosis rats) were determined. In both exposed groups elevated levels of IgG and IgA and increased concentrations of autoantibodies were found in comparison with the control cohort of people. Specific AMA and ANA were also found in both the exposed groups, with higher values in women. The demonstrated immunological changes in humoral immunoreactivity might be considered as signs of beryllium exposure. In the discussion the authors emphasize the increasing importance of immunological aspects in the study of environmental pollution.

  14. Medical Surveillance for Former Workers

    Energy Technology Data Exchange (ETDEWEB)

    Tim Takaro

    2009-05-29

    The Former Hanford Worker Medical Monitoring Program, directed by the Occupational and Environmental Medicine Program at the University of Washington, served former production and other non-construction workers who were potentially exposed to workplace hazards while working for the USDOE or its contractors at Hanford. The USDOE Former Workers Program arose from Congressional action in the Defense Authorization of 1993 (Public Law 102). Section 3162 stated that, “The Secretary shall establish and carry out a program for the identification and ongoing medical evaluation of current and former Department of Energy employees who are subject to significant health risks as a result of exposure of such employees to hazardous or radioactive substances during such employment.” (This also covers former employees of USDOE contractors and subcontractors.) The key objective has been to provide these former workers with medical evaluations in order to determine whether workers have experienced significant risk due to workplace exposure to hazards. Exposures to asbestos, beryllium, and noise can produce specific medical conditions: asbestosis, berylliosis, and noise-induced hearing loss (NIHL). Each of these conditions can be identified by specific, non-invasive screening tests, which are widely available. Treatments are also available for individuals affected by these conditions. This project involved two phases. Phase I involved a needs and risk assessment, characterizing the nature and extent of workplace health hazards which may have increased the risk for long-term health effects. We categorized jobs and tasks by likelihood of exposures to specific workplace health hazards; and located and established contact with former Hanford workers. Phase II involved implementation of medical monitoring programs for former workers whose individual work history indicated significant risk for adverse health effects. We identified 118,000 former workers, employed from 1943 to 1997

  15. Targeting of macrophages for the scintigraphic evaluation of inflammatory lesions in a model of radio-induced inflammation in pigs

    Energy Technology Data Exchange (ETDEWEB)

    Hoffschir, D.; Daburon, F. [CEA Centre d`Etudes Nucleaires de Fontenay-aux-Roses, 92 (France). Dept. de Protection Sanitaire; Pittet, J.C. [Tours Univ., 37 (France); Normier, G.; Binz, H.; Le Pape, A. [Centre d`Immunologie et de Biotechnologie Fabre, 74 - Saint-Julien-en-Genevois (FR)

    1991-12-31

    For a new scintigraphic strategy based on the targeting of macrophages recruited by inflammatory lesions, a specific ligand able to interact with these cells both in vitro and in vivo has been developed. J001 is a 34 KDa acylated peptidopoly 1-3 galactoside isolated from proteoglycans of a nonpathogenic strain of klebsiella. When labelled with 99mTc then administrated by aerosol, this agent has been demonstrated to be a potent tool for the scintigraphic imaging of inflammatory lymph nodes in experimental berylliosis and in patients with sarcoidosis, lung tumors and ganglionic metastases. An experimental model was developed in pigs using an acute and localized muscular gamma irradiation in the limb with skin resection to prevent ulceration. Dynamic imaging was performed during two hours after intraveinous injection of 1 mg J001 labelled with 370 MBq 99mTc. The perfusion of the lesions was evaluated with scintigraphic data obtained both 15 min after IV injection of J001 or 99mTc 04-. The intensity of the fixation of J001 was quantified 2 hours after injection and expressed as a scintigraphic ratio: R2h = cpm in lesion/cpm in a healthy area in the same limb. After induction of irradiation, scintigraphic ratios exhibited a progressive increase to reach a maximum (R2h = 3.6) after 3 months. At six months, histological controls and clinical observations exhibited a significant decrease in inflammatory reaction, macrophages recruitment and fibrosis. J001 fixation was very sensitive to corticosteroids resulting in complete clearing of the scintigraphic images 12 to 24 hours after treatment. Two weeks were then required for a complete recovery of the inflammatory reaction and J001 fixation. So, targeting of macrophages with J001 should offer a sensitive and specific tool for the scintigraphic assessment of inflammation and possibly for the evaluation of anti-inflammatory drugs.

  16. Outras pneumoconioses Other pneumoconioses

    Directory of Open Access Journals (Sweden)

    Eduardo Mello de Capitani

    2006-05-01

    Full Text Available As pneumoconioses mais prevalentes são a silicose, a asbestose e a pneumoconiose do trabalhador do carvão. Outras pneumoconioses com repercussões clínicas, funcionais e estruturais distintas são causadas pela inalação de poeiras metálicas a partir de fumos metálicos e sais orgânicos. A distinção quanto à forma química do composto inalado tem relação com a reação tecidual e o prognóstico. São apresentadas de forma sucinta a pneumoconiose simples, a siderose, a pneumoconiose por rocha fosfática, e a doença pulmonar crônica pelo berílio e por exposição a metais duros. Uma anamnese ocupacional como instrumento de busca etiológica dessas pneumoconioses é essencial.The most prevalent pneumoconioses are silicosis, asbestosis and coal worker's pneumoconiosis. Other pneumoconioses that have distinct clinical, functional and structural repercussions are caused by inhalation of metal powder in fumes from metals or organic salts. The distinction in terms of the chemical form of the inhaled compound is related to the tissue reaction and to the prognosis. Simple pneumoconiosis, siderosis, berylliosis and phosphate rock-related pneumoconiosis, as well as chronic obstructive pulmonary disease caused by exposure to heavy metals, are succinctly discussed. As an instrument of etiologic investigation of these pneumoconioses, the taking of occupational histories is essential.

  17. Targeting of macrophages for the scintigraphic evaluation of inflammatory lesions in a model of radio-induced inflammation in pigs

    International Nuclear Information System (INIS)

    For a new scintigraphic strategy based on the targeting of macrophages recruited by inflammatory lesions, a specific ligand able to interact with these cells both in vitro and in vivo has been developed. J001 is a 34 KDa acylated peptidopoly 1-3 galactoside isolated from proteoglycans of a non pathogenic strain of klebsiella. When labelled with 99mTc then administrated by aerosol, this agent has been demonstrated to be a potent tool for the scintigraphic imaging of inflammatory lymph nodes in experimental berylliosis and in patients with sarcoidosis, lung tumors and ganglionic metastases. An experimental model was developed in pigs using an acute and localized muscular γ irradiation in the limb and skin resection to prevent ulceration. Dynamic imaging was performed during two hours after intravenous injection of 1 mg J001 labelled with 370 MBq 99mTc in the presence of 0.125 mg stannous fluoride. The perfusion of the lesions was evaluated from scintigraphic data obtained both 15 min after IV injection of J001 or 99mTc 04-. The intensity of the fixation of J001 was quantified 2 hours after injection and expressed as a scintigraphic ratio: R2h = cpm in lesion / cpm in a defined healthy area in the same limb. After induction of irradiation, scintigraphic ratios exhibited a progressive increase to reach a maximum (R2h = 3.6) after 3 months. Then, they decreased to recover a normal value about 6 months after irradiation. At that time, histological controls and clinical observations exhibited a significant decrease in inflammatory reaction, macrophages recruitment and apparition of fibrosis. J001 fixation was very sensitive to corticosteroids that resulted in a complete clearing of the scintigraphic images 12 to 24 hours after treatment. Two weeks were then required for a complete recovery of the inflammatory reaction and J001 fixation. So, targeting of macrophages with J001 should offer a sensitive and specific tool for the scintigraphic assessment of inflammation and

  18. Intellectual Freedom and the National Laboratories : 2000 Sigma Xi Forum New Ethical Challenges in Science and Technology, November 9-10, 2000, Albuquerque, New Mexico"

    Energy Technology Data Exchange (ETDEWEB)

    Browne, John C.

    2001-01-01

    scientific realm. It really does not permit them the freedom to roam at will outside of their areas of technical expertise into the realm of policy without clearly stating that their remarks are those of a private citizen and must be handled, therefore, outside of the laboratory business. This is a major issue within our laboratories, and I think one that we try to nurture very carefully, because without it, we think that there would be a closing up of laboratories because of the type of classified work that we do. The issues that I hope we might explore in this session include, (1) how do you give technical advice to a policymaker? Where do you draw the line with respect to your judgment, your advice versus your opinion, which can change how government attacks very significant societal problems: (2) The issue of security and classification. How does that affect the intellectual freedom of our staff? (3) Dealing with the public on matters of risk. I am going to add to that, also, dealing with our employees on matters of risk, because one of the things that we're finding as we get better with our detection technology and our screening technologies, we now find out about how employees might be susceptible to illnesses, such as berylliosis, problems with beryllium sensitivity. What ethical issues arise when you now have the ability to learn more about impacts on, not only the public, but your employees as well? We share similar types of problems that Bob Dynes mentioned: conflict of interest, intellectual property questions. And we also have the conflict of interest as an institution. And I'll just mention one--perhaps it could come up in the discussion-is in the past year we had an issue with respect to how the Congress and the Administration handled the Comprehensive Test Ban Treaty. What kind of eihical issues arise in testing on our technical judgment regarding the CTBT versus institutional conflict of interest? Questions were raised. Were the laboratory directors