S1 guideline on occupational skin products: protective creams, skin cleansers, skin care products (ICD 10: L23, L24)--short version.

Science.gov (United States)

Fartasch, Manigé; Diepgen, Thomas L; Drexler, Hans; Elsner, Peter; John, Swen Malte; Schliemann, Sibylle

2015-06-01

Job-related hand dermatitis heads up the list of reported occupational diseases. So-called skin products - understood to mean protective creams, skin cleansers and skin care products - are used for the primary and secondary prevention of job- related hand dermatitis. In the interests of evidence-based medicine, the only preventive measures and/or occupational skin products that should be used are those whose potential uses and efficacy are underpinned by scientific research. To this end, the Arbeitsgemeinschaft für Berufs- und Umweltdermatologie e.V. (Working Group for Occupational and Environmental Dermatology, ABD) of the DDG (German Dermatological Society) and the Deutsche Gesellschaft für Arbeits- und Umweltmedizin (German Society for Occupational and Environmental Medicine, DGAUM) have summed up the latest scientific findings and recommendations in the updated guideline. The benefit of the combined application of protective creams and skin care products in the primary and secondary prevention of work-related contact dermatitis has been widely confirmed by recent clinical-epidemiological studies. The guideline clearly explains the necessity of demonstrating the efficacy of protective creams and cleansing products by means of in vivo methods in the sense of repetitive applications. Transferable standardised testing systems designed to examine the irritation potential and thus the compatibility of occupational skin cleansers and the reduction of irritation by protective skin creams have now been developed and validated by multicentre studies for skin protection creams and cleansers. The status of the current assessment of the safety of occupational skin products is also summarised. © 2015 The Authors | Journal compilation © Blackwell Verlag GmbH, Berlin.

Occupational skin diseases in Czech healthcare workers from 1997 to 2009.

Science.gov (United States)

Machovcová, A; Fenclová, Z; Pelclová, D

2013-04-01

The healthcare sector ranked in second place among economic sectors in the Czech Republic, with about 11.4 % of all occupational diseases in 2009. Skin diseases constituted about 20 % of all occupational diseases. The aim of this study was to analyze the causes and trends in allergic and irritant-induced skin diseases in the healthcare sector. The data concerning occupational skin diseases (Chapter IV of the Czech List of Occupational Diseases, non-infectious skin illnesses) in the healthcare sector were analyzed from the Czech National Registry of Occupational Diseases from 1997 until 2009. The trends in the total counts and most frequent causes were evaluated. During the past 13 years, a total of 545 skin diseases were acknowledged in healthcare workers. Allergic contact dermatitis was diagnosed in 464 (85 %), irritant contact dermatitis in 71 (13 %) and contact urticaria in 10 subjects (2 %). Ninety-five percent of the patients were females. The overall incidence in individual years varied between 1.0 and 2.9 cases per 10,000 full-time employees per year. Disinfectants were the most frequent chemical agents causing more than one third of all allergic skin diseases (38 %), followed by rubber components (32 %) and cleaning agents (10 %). A general downward trend of diagnosed cases of occupational skin diseases in heath care workers in the Czech Republic over the past 13 years was demonstrated.

[UV-irradiation-induced skin cancer as a new occupational disease].

Science.gov (United States)

Diepgen, T L; Drexler, H; Elsner, P; Schmitt, J

2015-03-01

With the revision of the German Ordinance on Occupational Diseases, skin cancer due to UV irradiation was amended as a new occupational disease to the list of occupational diseases in Germany. The new occupational disease BK 5103 has the following wording: "Squamous cell carcinoma or multiple actinic keratosis of the skin caused by natural UV irradiation". Actinic keratoses are to be considered as multiple according to this new occupational diseases if they occur as single lesions of more than five annually, or are confluent in an area > 4 cm(2) (field cancerization). It is estimated that more than 2.5 million employees are exposed to natural UV irradiation due to their work (outdoor workers) in Germany and therefore have an increased risk of skin cancer. In this article the medical and technical prerequisites which have to be fulfilled for this new occupational disease in Germany are introduced.

Occupational skin diseases in hairdressing apprentices - has anything changed?

DEFF Research Database (Denmark)

Hougaard, Majken G; Winther, Lone; Søsted, Heidi

2015-01-01

BACKGROUND: Hairdressers are at risk for occupational skin diseases. Since 2008, an educational programme has been conducted in Danish hairdressing schools to prevent occupational skin diseases. Its effect is unknown. OBJECTIVE: To examine the current frequency of self-reported hand eczema...... was 98 cases/1000 person-years. Contact urticaria was also more prevalent in the hairdressing apprentices (7.3% versus 4.2%, p = 0.006). Both diseases increased with increasing duration of exposure to the trade. CONCLUSION: Despite educational efforts to prevent occupational skin diseases...... in the hairdressing schools, Danish apprentices are still at increased risk for hand eczema and contact urticaria. Both diseases develop after only a few years of work in hairdressing. Further preventive strategies are warranted....

Gaps in Workplace Education For Prevention of Occupational Skin Disease.

Science.gov (United States)

Gupta, Tanya; Arrandale, Victoria H; Kudla, Irena; Holness, D Linn

2018-02-13

Occupational contact dermatitis (OCD) is a common occupational disease. Evidence suggests that education and training are effective prevention strategies. In spite of these known prevention strategies, workers continue to develop OCD. Little is reported regarding the actual training experience of workers. To examine the training experience of workers with contact dermatitis to identify areas for improvement. Participants were workers being assessed for contact dermatitis in an occupational health clinic. The anonymous survey collected demographics, workplace characteristics, and education and prevention practices. Approximately 80% reported general occupational health and safety training; however, only 49% reported skin-specific training (SST). For workers reporting SST, most received information regarding exposure avoidance, hand washing, and glove use. This content was reported as helpful by at least 50%. Workers who did not receive SST indicated the most important content would be warning signs of skin problems, how to avoid exposure and skin care while using gloves. While the study was anonymous and used self-reported of training experience, the study suggests there are gaps in skin protection training. Addressing these gaps may lead to improved prevention and reduction in OCD. © The Author(s) 2017. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.

Monitoring of tritium-contaminated surfaces, including skin

International Nuclear Information System (INIS)

Surette, R.A.; Wood, M.J.

1994-05-01

We have examined various commercially available tritium surface contamination monitors along with different swipe media and techniques for direct and indirect (swipe) monitoring of contaminated surfaces, including skin. None of the methods or instruments evaluated were more sensitive than the swipe and liquid scintillation counting (LSC) method. Swipe measurements with open-window proportional counters were, in general, less than half as sensitive as LSC, but have the advantages of having the results available almost immediately, and no sample preparation is required. The Nuclear Measurement Corporation's PC-55 is the most suitable instrument we tested for the analysis of routine swipe measurement. The PC-55 was about one third as sensitive as LSC when used with Ontario Hydro filter paper swipe media. Surface contamination measurement results can be obtained within minutes using the PC-55, compared to hours using LSC. The selection of swipe media for use with proportional counter-based instruments is critical. A medium that is electrically insulating can develop an electrostatic charge on its surface; this may alter the field gradient in the detector and may adversely influence the results. Although the PC-55 is sufficiently sensitive and very convenient, operational experience with the instrument is needed before recommending that it replace current LSC methods. The PC-55's susceptibility to internal tritium contamination may limit its practical usefulness. Because of the complexity of using live animals to evaluate direct and indirect methods for assessing skin contamination, pig skin was investigated as a possible substitute. We concluded that, for the first few hours post-exposure, pig skin mimics the kinetics of animal skin that has contacted a tritium-contaminated surface. (author). 30 refs., 1 tab., 7 figs

Contamination and decontamination of skin

International Nuclear Information System (INIS)

Severa, J.; Knajfl, J.

1983-01-01

In external contamination the beta radiation dose is the prevalent component of the total dose absorbed by the skin. There exist four types of radionUclide bonds to the skin: mechanical retention of solid particles or solution on the surface and in the pores, physical adsorption of nondissociated molecules or colloids, the ion exchange effect, and chemisorption. Radionuclides then penetrate the skin by transfollicular transfer. The total amount of radioactive substances absorbed into the skin depends on the condition of the skin. Skin is decontaminated by washing with lukewarm water and soap or with special decontamination solutions. The most widely used components of decontamination solutions are detergents, chelaton, sodium hexametaphosphate, oxalic acid, citric acid. The main principles of the decontamination of persons are given. (M.D.)

Skin carcinoma and occupational risk factors

International Nuclear Information System (INIS)

Linares Fernandez, Tomasa Maria; Correa Lozano, Zoila; Ibarra Fernandez de la Vega, Enrique Jose; Bonet Gorbea Mariano

2014-01-01

To identify the relative contribution of different occupational risk factors associated with the occurrence of skin cancer in the provinces of Havana City and Havana, Cuba , in 2006-2007. It was designed a case-control study of hospital base that included 112 cases of non-melanoma skin cancer and 448 witnesses, following the inclusion-exclusion criteria preset. We considered the totality of patients diagnosed with basal cell carcinoma and squamous cell histological study of skin biopsy or surgical excision. Risk factors with possible association with the disease were studied, such as sun exposure, ionizing and non-ionizing radiations and a wide range of chemical and biological substances potentially carcinogenic

Dosimetry and therapy of skin contaminations

International Nuclear Information System (INIS)

Piechowski, J.; Menoux, B.; Chaptinel, Y.; Durand, F.

1988-10-01

This study has been developed to provide guidance to physicians on the handling of skin contaminations in some accidental circumstances. The first stage of diagnosis and consequently of the possible therapy in order to avoid or mitigate radiodermatitis is to appreciate the importance of the contaminations and to foresee their local consequences. Two theoretical cases have been considered: a) strictly superficial contamination; b) deep contamination with homogeneous penetration of the contaminant into the epidermis. The superficial and deep theoretical distributions correspond respectively to the lower and upper absorbed doses in the basal layer. Tables of dose equivalent rates and committed dose equivalents to the skin are supplied for a large number of radionuclides likely to be met in the nuclear industry as well as in various fields of research, medicine and pharmacology using radioactive techniques. Besides these theoretical dose factors, the practitioner will find monitoring procedures, dose calculations and practical data concerning decontamination [fr

Monitoring of tritium-contaminated surfaces, including skin

Energy Technology Data Exchange (ETDEWEB)

Surette, R A; Wood, M J

1994-05-01

We have examined various commercially available tritium surface contamination monitors along with different swipe media and techniques for direct and indirect (swipe) monitoring of contaminated surfaces, including skin. None of the methods or instruments evaluated were more sensitive than the swipe and liquid scintillation counting (LSC) method. Swipe measurements with open-window proportional counters were, in general, less than half as sensitive as LSC, but have the advantages of having the results available almost immediately, and no sample preparation is required. The Nuclear Measurement Corporation`s PC-55 is the most suitable instrument we tested for the analysis of routine swipe measurement. The PC-55 was about one third as sensitive as LSC when used with Ontario Hydro filter paper swipe media. Surface contamination measurement results can be obtained within minutes using the PC-55, compared to hours using LSC. The selection of swipe media for use with proportional counter-based instruments is critical. A medium that is electrically insulating can develop an electrostatic charge on its surface; this may alter the field gradient in the detector and may adversely influence the results. Although the PC-55 is sufficiently sensitive and very convenient, operational experience with the instrument is needed before recommending that it replace current LSC methods. The PC-55`s susceptibility to internal tritium contamination may limit its practical usefulness. Because of the complexity of using live animals to evaluate direct and indirect methods for assessing skin contamination, pig skin was investigated as a possible substitute. We concluded that, for the first few hours post-exposure, pig skin mimics the kinetics of animal skin that has contacted a tritium-contaminated surface. (author). 30 refs., 1 tab., 7 figs.

Self-reported Occupational Skin Exposure and Risk of Physician-certified Long-term Sick Leave

DEFF Research Database (Denmark)

Alfonso, Jose H; Tynes, Tore; Thyssen, Jacob P

2016-01-01

Little is known about the contribution of occupational skin exposure as a risk factor for physician-certified long-term sick leave in the general working population of Norway. This study drew a cohort (n = 12,255; response at baseline 69.9%) randomly from the general population of Norway. Occupat......Little is known about the contribution of occupational skin exposure as a risk factor for physician-certified long-term sick leave in the general working population of Norway. This study drew a cohort (n = 12,255; response at baseline 69.9%) randomly from the general population of Norway....... Occupational skin exposure (in 2009) was measured based on 5 items. The outcome of interest was physician-certified long-term sick leave ≥ 16 days during 2010. Statistical adjustment for psychosocial and mechanical occupational exposures was performed. Long-term sick leave was predicted by occupational skin...... exposure to cleaning products (odds ratio (OR) 1.7; 95% confidence interval (95% CI) 1.1-2.5) and waste (OR 2.1; 95% CI 1.1-3.7) among men, and occupational skin exposure to water (OR 1.3; 95% CI 1.0-1.6) among women. The estimated population attributable risk for occupational skin exposure was 14...

Occupational skin diseases in automotive industry workers.

Science.gov (United States)

Yakut, Yunus; Uçmak, Derya; Akkurt, Zeynep Meltem; Akdeniz, Sedat; Palanci, Yilmaz; Sula, Bilal

2014-03-01

Studies on occupational skin diseases in workers of the automotive industry are few. To investigate the prevalence of occupational skin diseases in workers of the automotive industry. Between September and December 2011, a total of 405 workers from the automotive repair industry in Diyarbakır were interviewed. They were active workers in the repair industry who had been employed for at least six months. Business owners, sellers of spare parts and accounting officers were not included. The employees were examined at their workplaces and the working conditions were observed. Detailed dermatological examination was performed. The mean age of the 405 workers who participated in the study was 27.7 ± 10.3. The mean working time of employees was 13.3 ± 10.4 years. All of the employees were male. Dermatological diseases were not detected in 144 out of 405 workers (35.6%) and at least one condition was diagnosed in 261 (64.4%). The most frequent diagnosis was callus, hyperkeratosis, clavus (27.7%), followed by nail changes (16.8%) and superficial mycoses (12.1%). Contact dermatitis was seen at a rate of 5.9%. Traumatic lesions such as hyperkeratotic lesions and nail changes were found most frequently. Traumatic lesions were common among individuals who did not use gloves. Most nail changes were localized leuconychia, a finding not reported in the studies on automotive industry workers. In accordance with the literature, irritant contact dermatitis was observed in patients with a history of atopy and who had been working for a long time. Occupational skin diseases comprise an important field in dermatology, deserving much attention. Further studies on occupational dermatology are necessary.

Self-reported occupational skin contact with cleaning agents and the risk of disability pension

DEFF Research Database (Denmark)

Feveile, Helene; Christensen, Karl Bang; Flyvholm, Mari-Ann

2009-01-01

BACKGROUND: Occupational skin diseases often affect the hands and can lead to consequences at both the individual and the social level. OBJECTIVES: To investigate and quantify the association between self-reported occupational skin contact with cleaning agents and subsequent transition to disabil......BACKGROUND: Occupational skin diseases often affect the hands and can lead to consequences at both the individual and the social level. OBJECTIVES: To investigate and quantify the association between self-reported occupational skin contact with cleaning agents and subsequent transition...... in Denmark. The Cox proportional hazards model was used to estimate the impact of occupational exposure to cleaning agents on subsequent disability pension. RESULTS: Among women, 11% of the disability pension cases were attributable to exposure to cleaning agents and/or disinfectants. CONCLUSIONS: The study...

Occupational skin problems in construction workers.

Science.gov (United States)

Shah, Kartik R; Tiwari, Rajnarayan R

2010-10-01

Construction workers handle cement which has constituents to produce both irritant contact dermatitis and corrosive effects (from alkaline ingredients, such as lime) and sensitization, leading to allergic contact dermatitis (from ingredients, such as chromium). The present study has been carried out among unorganized construction workers to find the prevalence of skin problems. The present cross-sectional study was conducted in 92 construction workers of Ahmedabad and Vadodara. All the workers were subjected to clinical examination after collection of information regarding demographic characteristics, occupational characteristics and clinical history on a predesigned proforma. Of them, 47.8% had morbid skin conditions. Frictional callosities in palm were observed in 18 (19.6%) subjects while 4 (4.3%) subjects had contact dermatitis. Other conditions included dry, fissured and scaly skin, infectious skin lesion, tinea cruris, lesion and ulcers on hands and/or soles. The skin conditions were common in the age group of 20-25 years, males, those having ≥1 year exposure and those working for longer hours. Half of the workers not using personal protective equipment had reported skin-related symptoms.

Dosimetry of skin-contact exposure to tritium gas contaminated surfaces

International Nuclear Information System (INIS)

Legare, M.

1990-12-01

The radiological hazards from tritium are usually associated with exposure to tritium oxide either by inhalation, ingestion or permeation through skin. However, exposure from skin contact with tritium gas contaminated surfaces represents a different radiological hazard in tritium removal facilities and future fusion power plants. Previous experiments on humans and more recent experiments on hairless rats at Chalk River Laboratories have shown that when a tritium gas-contaminated surface is brought into contact with intact skin, high concentrations of organically-bound tritium in urine and skin are observed which were not seen from single tritiated water (liquid or vapour form) contamination. The results of the rat experiments, which involved measurements of tritium activity in urine and skin, after contact with contaminated stainless steel, are described. These results are also compared to previous data from human experiments. The effect of various exposure conditions and different contaminated surfaces such as brass, aluminum and glass are analysed and related to the results from contaminated stainless steel exposure. Dosimetric models are being developed in order to improve the basis for dose assessment for this mode of tritium uptake. The presently studied model is explained along with the assumptions and methods involved in its derivation. The features of 'STELLA', the software program used to implement the model, are discussed. The methods used to estimate skin and whole body dose from a model are demonstrated. Finally, some experiments for improving the accuracy of the model are proposed. Briefly, this study compares the results from animal and human experiments as well as different exposure conditions, and determines the range of whole body and skin dose that may be involved from skin-contact intake. This information is essential for regulatory purposes particularly in the derivation of doses for skin-contact contamination. (15 figs., 7 tabs., 29 refs.)

[The notion of occupational skin disease. Medical and legal aspects].

Science.gov (United States)

Elsner, P; Schliemann, S

2015-03-01

The different definitions of skin disease in medicine and in law are frequently confusing for dermatologists. While a skin disease may be defined medically referring to the definition of health by the WHO as a pathological condition of the skin leading to a disruption of the physical, mental and social well-being of the individual, legal definitions vary depending on the field of insurance law that is referred to. In the law of private health insurance, a skin disease is defined as an anomalous condition of the skin requiring medical treatment that exists independently of the subjective judgement of the insured person and needs to be objectively confirmed by a medical evaluation. In contrast, in the law of the social health insurance, the Federal Court of Social Justice defines disease as irregular physical or mental condition, deviating from the perception of a healthy human being that requires medical treatment or leads to inability to work. Substantial bodily disfigurement may be regarded as an irregular physical condition. In the law of the statutory accident insurance, occupational skin diseases are defined under clause 5101 of the occupational disease regulation as serious or repeatedly relapsing skin diseases that have forced a person to refrain from any work activities causal for the development, the aggravation or the recurrence of the disease. The Federal Court of Social Justice interprets the term "skin disease" from the protective purpose of the law, i.e. the protection against the economic and health consequences of the exposure to harmful agents and a thereby forced change of profession. This broad interpretation of the term "skin disease" leads to the recognition of diseases of the conjunctiva of the eye or diseases of the blood vessels of the skin due to cold damage as skin diseases according to clause 5101. For the correct treatment and possibly notification of occupational skin diseases in collaboration with various insurance carriers

Occupational Skin Disease Prevention: An Educational Intervention for Hairdresser Cosmetology Students.

Science.gov (United States)

Haughtigan, Kara; Main, Eve; Bragg-Underwood, Tonya; Watkins, Cecilia

2017-11-01

Cosmetologists frequently develop occupational skin disease related to workplace exposures. The purpose of this study was to evaluate an educational intervention to increase cosmetology students' occupational skin disease knowledge and use of preventive practices. A quasi-experimental design was used to evaluate students' knowledge, behaviors, intentions, expectancies, and expectations. A 20-minute verbal presentation and printed two-page educational handout were provided for participants. Statistically significant increases in knowledge, frequency of glove use, and frequency of moisturizer use were found, but the frequency of handwashing did not increase. In addition, the Behavioral Strategies subscale, the Intention subscale, and the Expectancies subscale showed statistically significant improvements. The results of this study suggest an educational intervention can increase cosmetology students' knowledge of occupational skin diseases and their use of preventive strategies.

Dirt-binding particles consisting of hydrogenated castor oil beads constitute a nonirritating alternative for abrasive cleaning of recalcitrant oily skin contamination in a three-step programme of occupational skin protection.

Science.gov (United States)

Mahler, V; Erfurt-Berge, C; Schiemann, S; Michael, S; Egloffstein, A; Kuss, O

2010-04-01

In occupational fields with exposure to grease, oil, metal particles, coal, black lead or soot, cleansing formulations containing abrasive bodies (e.g. refined walnut shell, corn, wood, plastic or pumice) are used. These may constitute an irritant per se. As an alternative, hydrogenated castor oil (also known as castor wax) beads have been developed as dirt-binding particles. A polar surface contributes to their mechanical cleaning effects in removal of oily grime. Standardized examination of the in vivo effects upon the skin barrier of castor wax beads in comparison with abrasive bodies and pure detergent. Three cleansing preparations - (i) detergent, (ii) detergent containing castor wax beads, (iii) detergent containing walnut shell powder - were each repetitively applied in vivo (four times daily for 3 weeks), mimicking workplace conditions, in 30 healthy volunteers (15 with and 15 without an atopic skin diathesis) and compared vs. (iv) no treatment. The treatment effects upon the skin barrier were monitored by repeated measurements of functional parameters [transepidermal water loss (TEWL), redness] and surface topography. After a 3-week treatment, a significant global treatment effect (P dirt and use of skin protection and skin care measures under real workplace conditions, this component may now be used and examined further in different occupations.

Occupational skin diseases and prevention among sanitation workers in China.

Science.gov (United States)

Yan, Yuehua; Wang, Xinggang; Wu, Jianbo; Xu, Li

2015-09-01

Little research has been focused on the health status or the occupational protection awareness of sanitation workers. The policy recommendations on the occupational safety and health of sanitation workers based on the scientific research are also insufficient in developing countries like China. To study the incidence of dermatoses and the relevance with occupational exposure, protection awareness and protective measures among sanitation workers for better management and protection of the sanitation workers. 273 sanitation workers and 113 administrative staff from 11 streets of Wuhan were recruited. Dermatological problems were evaluated and recorded by physical examination. Occupational exposure, protection awareness, the use of protective equipments and personal history of skin disease were assessed by questionnaires. Compared with administrative staff, sanitation workers had much more occupational dermatological problems and had a much higher rate of harmful ultraviolet ray exposure. Young sanitation workers were more aware of occupational self-protection and a relatively higher rate of them using protective equipments compared with old ones. Exposure to multiple health hazards and the poor use of protective equipments are related to skin diseases in sanitation workers. Prejob training of self-protection and the use of protective equipments are recommended.

Pattern of skin diseases and occupational dermatoses in veterinarians and veterinary workers of Kashmir

Directory of Open Access Journals (Sweden)

Sumaya Zeerak

2017-01-01

Full Text Available Background: Across the globe, skin disorders represent a frequent occupational concern for many health professionals including veterinarians and there is a serious impact of skin diseases on their lives and careers. But little is known about the prevalence and distribution of skin diseases (especially occupational within this important professional group across Asia, especially India. Materials and Methods: The study was a cross-sectional study carried out over a period of one year in which veterinarians and veterinary workers of Kashmir valley were screened for various skin diseases and occupational dermatoses. Results: The study group comprised 910 veterinarians and associated workers working across the valley with the majority being males; 846 workers (93%. The mean age of the group was 38.53 years. Out of these, 267 veterinarians and associated workers (29.3% were found to have skin lesions. Of the 267 cases, 165 (61.80% had non-infectious lesions, while the rest had 102 (38.20% had infectious skin diseases. The main non-infectious lesions included friction-related disorders, eczemas, pigmentary disorders, papulosquamous disorders, and many others; while the infectious lesions were of fungal, bacterial, viral, and parasitic etiology. Fungal infections, eczemas, and melasma were more common in them, indicating an occupational etiology. Conclusion: A huge group of skin diseases was seen in veterinarians and veterinary workers, with some diseases showing an occupational nature. To reduce the burden of skin diseases in this particular group, proper prevention measures need to be instituted at work places by veterinary governing bodies of the state.

Occupational skin diseases: actual state analysis of patient management pathways in 28 European countries

NARCIS (Netherlands)

Mahler, V.; Aalto-Korte, K.; Alfonso, J. H.; Bakker, J. G.; Bauer, A.; Bensefa-Colas, L.; Boman, A.; Bourke, J.; Bubaš, M.; Bulat, P.; Chaloupka, J.; Constandt, L.; Danielsen, T. E.; Darlenski, R.; Dugonik, A.; Ettler, K.; Gimenez-Arnau, A.; Gonçalo, M.; Johansen, J. D.; John, S. M.; Kiec-Swierczynska, M.; Koch, P.; Kohánka, V.; Krecisz, B.; Larese Filon, F.; Ljubojević, S.; Macan, J.; Marinović, B.; Matura, M.; Mihatsch, P. W.; Mijakoski, D.; Minov, J.; Pace, J.; Pesonen, M.; Ramada Rodilla, J. M.; Rast, H.; Reljic, V.; Salavastru, C.; Schuster, C.; Schuttelaar, M. L.; Simon, D.; Spiewak, R.; Jurakic Tončić, R.; Urbanček, S.; Valiukevičienė, S.; Weinert, P.; Wilkinson, M.; Uter, W.

2017-01-01

Work-related skin diseases (WSD) are caused or worsened by a professional activity. Occupational skin diseases (OSD) need to fulfil additional legal criteria which differ from country to country. OSD range amongst the five most frequently notified occupational diseases (musculoskeletal diseases,

Occupational skin diseases : Actual state analysis of patient management pathways in 28 European countries

NARCIS (Netherlands)

Mahler, V.; Aalto-Korte, K.; Alfonso, J. H.; Bakker, J. G.; Bauer, A.; Bensefa-Colas, L.; Boman, A.; Bourke, J.; Bubas, M.; Bulat, P.; Chaloupka, J.; Constandt, L.; Danielsen, T. E.; Darlenski, R.; Dugonik, A.; Ettler, K.; Gimenez-Arnau, A.; Goncalo, M.; Johansen, J. D.; John, S. M.; Kiec-Swierczynska, M.; Koch, P.; Kohanka, V.; Krecisz, B.; Filon, F. Larese; Ljubojevic, S.; Macan, J.; Marinovic, B.; Matura, M.; Mihatsch, P. W.; Mijakoski, D.; Minov, J.; Pace, J.; Pesonen, M.; Rodilla, J. M. Ramada; Rast, H.; Reljic, V.; Salavastru, C.; Schuster, C.; Schuttelaar, M. L.; Simon, D.; Spiewak, R.; Toncic, R. Jurakic; Urbancek, S.; Valiukeviciene, S.; Weinert, P.; Wilkinson, M.; Uter, W.

Background: Work-related skin diseases (WSD) are caused or worsened by a professional activity. Occupational skin diseases (OSD) need to fulfil additional legal criteria which differ from country to country. OSD range amongst the five most frequently notified occupational diseases (musculoskeletal

Technical background for shallow (skin) dose equivalent evaluations

International Nuclear Information System (INIS)

Ashley, J.C.; Turner, J.E.; Crawford, O.H.; Hamm, R.N.; Reaves, K.L.; McMahan, K.L.

1991-01-01

Department of Energy Order 5480.11 describes procedures for radiation protection for occupational workers. The revisions dealing with non-uniform exposure to the skin are the subject of this report. We describe measurements and analysis required to assess shallow (skin) dose equivalent from skin contamination. 6 refs., 4 tabs

Dose factors for contamination of skin and clothing

International Nuclear Information System (INIS)

Henrichs, K.; Eiberweiser, C.; Paretzke, H.G.

1985-11-01

Methods are described for quantifying the radiation dose administered through radioactive contamination of the skin (and of clothing, in an approximative manner). The calculated results are presented in tables. The dose values established are of significance with regard to radiological assessment of contamination for the definition of dose limits, and for use as a criterion to select appropriate decontamination activities. Alpha, beta and monoenergetic electrons are of importance for estimating the absorbed dose in various skin depths, whereas for other body regions (as e.g. body organs) photon radiation has to be considered. The calculations are based on the assumption of homogeneous exposure of the skin, with the linear extension being large compared to the range of the emitted particle radiation. In order to be able to take into account potential penetration of radioactivity into deeper skin layers by diffusion or solution processes, the calculations have been made for contamination into various depths of the horny layers of the epidermis. The scheme of specific absorbed fraction (SAF) served as a basis for the uniform treatment of different radiation types for the calculation of dose values. (orig./HP) [de

Dosskin code for radiological evaluation of skin radioactive contaminations

International Nuclear Information System (INIS)

Cornejo D, N.

1996-01-01

The conceptual procedure and computational features of the DOSSKIN code are shown. This code calculates, in a very interactive way, skin equivalent doses and radiological risk related to skin radioactive contaminations. The evaluation takes into account the contributions of contaminant daughter nuclides and backscattering of beta particles in any skin cover. DOSSKIN also allows to estimate the maximum time needed to decontaminate the affected zone, using, as input quantity, the limit value of skin equivalent dose considered by users. The comparison of the results obtained by the DOSSKIN code with those reported by different authors are showed. The differences of results are less than 30%. (authors). 4 refs., 3 fig., 1 tab

Alpha-radiator distribution in the skin and body for contamination of various types

International Nuclear Information System (INIS)

Khodyreva, M.A.; Sit'ko, R.Ya.; Simakov, A.V.; Andreeva, N.A.

1977-01-01

To evaluate the hazard of skin contamination with dry salts of α-radiators ( 210 Po, 241 Am and 237 Np) and their solutions, experiments have been made on sucking-pigs, whose skin by its morphological and functional features resembles that of a man. It has been found that after 6-hour contact in the absence of sanitary treatment, the distribution of the radionuclides in the upper layer of the skin (100 μm) is practically the same for both kinds of contamination. In deeper skin layers and in the organism the content of nuclides studied deposited in the form of the dry salts is 1.5-7 times higher in comparison with the skin and organism contamination with a solution which is connected with the pH value of contaminant. The results obtained probe the necessity of proper hand skin protection in activities with 210 Po and transplutonium elements and that of early skin decontamination, no matter what kind of contamination is

Decontamination Experiments on Intact Pig Skin Contaminated with Beta-Gamma- Emitting Nuclides

Energy Technology Data Exchange (ETDEWEB)

Edvardsson, K A; Hagsgaard, S [AB Atomenergi, Nykoeping (Sweden); Swensson, A [Dept. of Occupational Medicine, Karolinska Sjukhuset, Stockholm (Sweden)

1966-11-15

A number of decontamination experiments have been performed on intact pig skin. In most of the experiments NaI-131 in water solution has been utilized because this nuclide is widely used within the Studsvik research establishment, is easy to detect and relatively harmless, and is practical to use in these experiments. Among the {beta} {gamma}-nuclides studied 1-131 has furthermore proved to be the one most difficult to remove from the skin. The following conclusions and recommendations regarding the decontamination of skin are therefore valid primarily for iodine in the form of Nal, but are probably also applicable to many other {beta} {gamma}-nuclides. a) A prolonged interval between contamination and decontamination has a negative effect on the result of the decontamination. Therefore start decontamination as soon as possible after the contamination. b) Soap and water has proved to be the most suitable decontamination agent. A number of other agents have appeared to be harmful to the skin. Therefore, first of all use only soap and water in connection with gentle rubbing. c) No clear connection between the temperature of the water for washing and the result of the decontamination has been demonstrated. d) Skin not degreased before the contamination seems to be somewhat easier to decontaminate than degreased skin, particularly if the activity has been on the skin for a long time. Therefore do not remove the sebum of the skin when engaged on radioactive work involving contamination risks. e) Irrigation of the contaminated surface with a solution containing the corresponding inactive ions or ordinary water in large quantities may considerably decrease the skin contamination. f) In radioactive work of long duration involving high risks of contamination prophylactic measures in the form of a protective substance ('invisible glove'), type Kerodex, may make decontamination easier.

Decontamination Experiments on Intact Pig Skin Contaminated with Beta-Gamma- Emitting Nuclides

International Nuclear Information System (INIS)

Edvardsson, K.A.; Hagsgaard, S.; Swensson, A.

1966-11-01

A number of decontamination experiments have been performed on intact pig skin. In most of the experiments NaI-131 in water solution has been utilized because this nuclide is widely used within the Studsvik research establishment, is easy to detect and relatively harmless, and is practical to use in these experiments. Among the β γ-nuclides studied 1-131 has furthermore proved to be the one most difficult to remove from the skin. The following conclusions and recommendations regarding the decontamination of skin are therefore valid primarily for iodine in the form of Nal, but are probably also applicable to many other β γ-nuclides. a) A prolonged interval between contamination and decontamination has a negative effect on the result of the decontamination. Therefore start decontamination as soon as possible after the contamination. b) Soap and water has proved to be the most suitable decontamination agent. A number of other agents have appeared to be harmful to the skin. Therefore, first of all use only soap and water in connection with gentle rubbing. c) No clear connection between the temperature of the water for washing and the result of the decontamination has been demonstrated. d) Skin not degreased before the contamination seems to be somewhat easier to decontaminate than degreased skin, particularly if the activity has been on the skin for a long time. Therefore do not remove the sebum of the skin when engaged on radioactive work involving contamination risks. e) Irrigation of the contaminated surface with a solution containing the corresponding inactive ions or ordinary water in large quantities may considerably decrease the skin contamination. f) In radioactive work of long duration involving high risks of contamination prophylactic measures in the form of a protective substance ('invisible glove'), type Kerodex, may make decontamination easier

Occupational syncarcinogenesis in the skin - combined effects of two carcinogens from the German occupational disease list.

Science.gov (United States)

Dickel, Heinrich; Blome, Otto; Dickel, Beate; Bruckner, Thomas; Stockfleth, Eggert; Soemantri, Silas Paras

2016-12-01

Though scientifically undisputed, cutaneous syncarcinogenesis is not reflected in German occupational disease (OD) regulations, which tend to be guided by the tenet of monocausality. Recognition of nonmelanoma skin cancer (NMSC) and its precursor lesions as OD requires individual assessment as to whether the requirements pursuant to either OD 5103 (occupational exposure to natural UV radiation) or OD 5102 (occupational exposure to polycyclic aromatic hydrocarbons) are fulfilled. Retrospective analysis of 28 patients (median age 72.5 years) with NMSC and respective precursor lesions who had been occupationally exposed to natural UV radiation and polycyclic aromatic hydrocarbons. All cases had undergone expert medical assessment between September 2012 and September 2015. According to our assessments, all 28 cases met the occupational requirements pursuant to OD 5103 and 5102. In 26 cases (93 %), we recommended recognition of skin cancer as occupational disease pursuant to both OD 5103 and OD 5102. The competent occupational insurance association (BG) followed our recommendation in four cases. In eight cases, recognition was solely based on OD 5103; in ten cases, only on OD 5102. Four cases were denied recognition. Following adequate cumulative occupational exposure to natural UV light as well as occupational exposure to polycyclic aromatic hydrocarbons, NMSC or its precursor lesions arising in UV-exposed areas should be reported to the competent occupational insurance association as "OD 5103 and 5102 in terms of syncarcinogenesis". Apart from the fact that the ensuing recognition proceedings will be able to more adequately reflect real-life workplace conditions, filing a report pursuant to both ODs also allows for recognition of basal cell carcinoma as occupational disease. According to current regulations, this would not be possible, if the assessment were solely based on OD 5103. © 2016 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons

Skin dose rate conversion factors after contamination with radiopharmaceuticals: influence of contamination area, epidermal thickness and percutaneous absorption

International Nuclear Information System (INIS)

Covens, P; Berus, D; Caveliers, V; Struelens, L; Vanhavere, F; Verellen, D

2013-01-01

Skin contamination with radiopharmaceuticals can occur during biomedical research and daily nuclear medicine practice as a result of accidental spills, after contact with bodily fluids of patients or by inattentively touching contaminated materials. Skin dose assessment should be carried out by repeated quantification to map the course of the contamination together with the use of appropriate skin dose rate conversion factors. Contamination is generally characterised by local spots on the palmar surface of the hand and complete decontamination is difficult as a result of percutaneous absorption. This specific issue requires special consideration as to the skin dose rate conversion factors as a measure for the absorbed dose rate to the basal layer of the epidermis. In this work we used Monte Carlo simulations to study the influence of the contamination area, the epidermal thickness and the percutaneous absorption on the absorbed skin dose rate conversion factors for a set of 39 medical radionuclides. The results show that the absorbed dose to the basal layer of the epidermis can differ by up to two orders of magnitude from the operational quantity H p (0.07) when using an appropriate epidermal thickness in combination with the effect of percutaneous absorption. (paper)

Occupational skin cancer due to UV-irradiation--Analyses of notified cases as "virtually-certain" occupational disease in Germany between 2005 and 2011.

Science.gov (United States)

Schmitt, Jochen; Diepgen, Thomas L

2014-06-01

UV-induced skin cancer is not yet included in the German ordinance on occupational diseases and can only be notified and recognized acknowledged as "virtually-certain" occupational disease. The objective of the study was to analyze notified and acknowledged cases of occupational skin cancer due to UV-irradiation in Germany between 2005 and 2011. All notified cases of occupational skin cancer due to UV-irradiation have been analyzed which have been registered by the German Statutory accident insurance as of May 2012 were analyzed. The data analyze was descriptive stratified annually for presenting time trends.Data analysis was descriptive, stratified by year to defect time trends. Notified cases have increased annually with a total of 548 registered cases of occupational skin cancer induced by UV-irradiation between 2005 and 2011, and 74 recognized acknowledged cases. In 56 cases the procedure was not yet finished. Squamous cell carcinoma (SCC) and in-situ squamous cell carcinoma (actinic keratosis, Bowen's disease) were most frequent and have been the most frequentlyobserved in 333 notified cases. and between 15.6 % and 24.9 % have been recognizedof cases with SCC and actinic keratosis were recognized, respectively. 184 patients with basal cell carcinoma were notified but only 6.5 % recognized acknowledged and only 3 cases with exclusive basal cell carcinoma. Out of 50 notified patients with Mmelanoma only one was recognizedacknowledged. The results are in good agreement with the proposal of the German Minister of labor to establish UV-induced skin cancer as a new occupational disease. © 2014 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

School of Socrates 3, Roxboro : the impact of soil contaminated with heating oil on the health of occupants

International Nuclear Information System (INIS)

Beausoleil, M.; Brodeur, J.

2004-04-01

In 2001, a heating oil leak was discovered in the underground reservoir at the School of Socrates III, in Roxboro, Quebec. In response to concerns regarding the strong odour that was noticed by the school occupants, part of the soil was decontaminated. However, in 2002, while excavating the soil for the construction of a cafeteria, some remaining contaminated soil was noticed. The Quebec Ministry of Environment requested a study to clarify the extent of the soil contamination, and to study the air quality in order to be assured that soil contamination did not impact the indoor air quality or the health of the occupants of the school. Heating oil is comprised of hydrocarbons that are not as volatile as natural gas, but its presence is quickly noticed because of its very strong odour. Exposure by occupants to strong concentrations to heating oil vapours could cause irritations to eyes, respiratory airways, skin, and central nervous system. The study revealed a non-negligible contamination of soils at the school by contaminants specific to heating oil (petroleum hydrocarbons, polycyclic aromatic hydrocarbons, methylnaphtalenes). The soil contamination did not extend beyond one metre deep and was not in contact with soil at the surface or with the concrete foundation. As such, the heating oil vapours did not migrate into the indoor air. In 2002, 2003 and 2004 concentrations of total volatile organic compounds were sampled inside the school to verify that the heating oils did not infiltrate the indoor air. The measurements proved that there were no high concentrations of volatile organic compounds inside the school. In addition, all parameters measured in the school's drinking water respected regulations regarding potable water quality. 16 refs., 5 figs., 5 appendices

Non-melanoma skin cancer: occupational risk from UV light and arsenic exposure.

Science.gov (United States)

Surdu, Simona

2014-01-01

Non-melanoma skin cancer (NMSC) has a significant impact on public health and health care costs as a result of high morbidity and disfigurement due to the destruction of surrounding tissues. Although the mortality rates of these tumors are low, the high incidence rates determine a considerable number of deaths. NMSC is the most common type of skin cancer, representing about 1/3 of all malignancies diagnosed worldwide each year. The most common NMSC are basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Studies on humans and experimental animals indicate that ultraviolet (UV) light and arsenic play important roles in the development of these skin malignancies. Several epidemiological studies have investigated the risk of developing NMSC and the potential link between exposure to sunlight and arsenic in the agricultural and industrial occupational settings. To date, the published literature suggests that there is no apparent skin cancer risk as regards workplace exposure to artificial UV light or arsenic. Concerning UV light from sun exposure at the workplace, most published studies indicated an elevated risk for SCC, but are less conclusive for BCC. Many of these studies are limited by the methodology used in the evaluation of occupational exposure and the lack of adjustment for major confounders. Therefore, further epidemiological studies are required to focus on exposure assessment at the individual level as well as potential interactions with other occupational and non-occupational exposures and individual susceptibility. In doing so, we can better quantify the true risk of skin cancer in exposed workers and inform effective public health prevention programs.

Occupation: nurse; occupational hazard: radiation

International Nuclear Information System (INIS)

Nickson, K.

1984-01-01

The work of the occupational health nurses at the Pickering Generating Station is described. A staff of two nurses teach first aid and safety, practice an emergency plan, and monitor personnel for minimum health standards for radiation workers. Special attention is paid to problems which might be aggravated by radiation, such as skin complaints, respiratory diseases, emotional stability, or phobias regarding heights, plastic suits, or radiation itself. Procedures used in treating contaminated personnel are outlined

Occupation: nurse; occupational hazard: radiation

Energy Technology Data Exchange (ETDEWEB)

Nickson, K

1984-03-01

The work of the occupational health nurses at the Pickering Generating Station is described. A staff of two nurses teach first aid and safety, practice an emergency plan, and monitor personnel for minimum health standards for radiation workers. Special attention is paid to problems which might be aggravated by radiation, such as skin complaints, respiratory diseases, emotional stability, or phobias regarding heights, plastic suits, or radiation itself. Procedures used in treating contaminated personnel are outlined.

Calculational Tool for Skin Contamination Dose Assessment

CERN Document Server

Hill, R L

2002-01-01

Spreadsheet calculational tool was developed to automate the calculations preformed for dose assessment of skin contamination. This document reports on the design and testing of the spreadsheet calculational tool.

Skin and surface lead contamination, hygiene programs, and work practices of bridge surface preparation and painting contractors.

Science.gov (United States)

Virji, M Abbas; Woskie, Susan R; Pepper, Lewis D

2009-02-01

A 2005 regulatory review of the lead in construction standard by the Occupational Safety and Health Administration (OSHA) noted that alternative pathways of exposure can be as significant as inhalation exposure and that noncompliance with the standard pertaining to hygiene facilities and practices was the second most commonly violated section of the standard. Noncompliance with provisions of the standard and unhealthy work and hygiene practices likely increase the likelihood of take-home lead via contaminated clothing, automobiles, and skin, thus contributing to elevated blood lead levels (BLL) among construction workers and their family members. We performed a cross-sectional study of bridge painters working for small contractors in Massachusetts to investigate causes of persistent elevated BLLs and to assess lead exposures. Thirteen work sites were evaluated for a 2-week period during which surface and skin wipe samples were collected and qualitative information was obtained on personal hygiene practices, decontamination and hand wash facilities, and respiratory protection programs. Results showed lead contamination on workers' skin, respirators, personal automobiles, and the decontamination unit, indicating a significant potential for take-home lead exposure. Overall, the geometric mean (GM) skin lead levels ranged from 373 microg on workers' faces at end of shift to 814 microg on hands at break time. The overall GM lead level inside respirators was 143 microg before work and 286 microg after work. Lead contamination was also present inside workers' personal vehicles as well as on surfaces inside the clean side of the decontamination unit. Review of the respiratory protection programs, work site decontamination and hand wash facilities, and personal hygiene practices indicated that these factors had significant impact on skin and surface contamination levels and identified significant opportunities for improving work site facilities and personal practices

Occupational skin diseases from 1997 to 2004 at the Department of Dermatology, University Hospital of Northern Norway (UNN): an investigation into the course and treatment of occupational skin disease 10-15 years after first consultations with a dermatologist.

Science.gov (United States)

Braun, Rosemarie; Dotterud, Lars Kåre

2016-01-01

We investigate the impact of occupational skin disease consultations among outpatients at the Dermatological Department, University Hospital, Northern Norway. From 1997 until 2004, 386 patients with occupational skin disease were examined and given advice on skin care, skin disease treatment, skin protection in further work, and on the legal rights of patients with this disease. Ten to fifteen years later, we wanted to look at these patients in terms of their work situation, the current status of their disease, the help they received from the labour offices, and their subjective quality of life. In the autumn of 2011 until the spring of 2012, a number of the patients examined in the period from 1997 to 2004 were selected and sent a questionnaire, which they were asked to answer and return, regarding their work situation and the progress and current status of their occupational disease. A total of 153 (77%) patients answered the questionnaire; 71% of these patients were still in work, and further 15% had old-age retired, 13% were working until then; 16% had retired early because of disability; 54% had changed jobs because of their occupational skin disease; 86% of the patients indicated that the skin disease had improved since our previous investigation. Our investigation into patients with occupational skin disease documented that the majority of patients who had received professional dermatological consultation and intervention offers were still in the labour market and had good control of their skin disease 10-15 years later. We discovered that 71% of the patients were still employed. 13% had remained in work until they became old age pensioners. Only 16% dropped out of work because of disability. These high percentages may indicate that our intervention has contributed positively to patients' work conditions and the course of their skin disease.

Preventing Occupational Skin Disease: A Review of Training Programs.

Science.gov (United States)

Zack, Bethany; Arrandale, Victoria H; Holness, D Linn

Occupational contact dermatitis (OCD) is a common occupational disease that impacts a variety of worker groups. Skin protection and disease prevention training programs have shown promise for improving prevention practices and reducing the incidence of OCD. This review details the features of training programs for primary prevention of OCD and identifies gaps in the literature. Twelve studies were identified for in-depth review: many studies included wet workers employed in health care, hairdressing, cleaning, and food preparation; 1 program featured manufacturing workers. Few programs provided content on allergic contact dermatitis, and only 1 was evaluated for long-term effectiveness. Effective programs were similar in content, delivery method, and timing and were characterized by industry specificity, multimodal learning, participatory elements, skin care resource provision, repeated sessions, and management engagement. Long-term effectiveness, generalizability beyond OCD, workplace health and safety culture impact, and translation of programs in the North American context represent areas for future research.

Occupational skin diseases from 1997 to 2004 at the Department of Dermatology, University Hospital of Northern Norway (UNN: an investigation into the course and treatment of occupational skin disease 10–15 years after first consultations with a dermatologist

Directory of Open Access Journals (Sweden)

Rosemarie Braun

2016-05-01

Full Text Available Objectives: We investigate the impact of occupational skin disease consultations among outpatients at the Dermatological Department, University Hospital, Northern Norway. Study design: From 1997 until 2004, 386 patients with occupational skin disease were examined and given advice on skin care, skin disease treatment, skin protection in further work, and on the legal rights of patients with this disease. Ten to fifteen years later, we wanted to look at these patients in terms of their work situation, the current status of their disease, the help they received from the labour offices, and their subjective quality of life. Material and methods: In the autumn of 2011 until the spring of 2012, a number of the patients examined in the period from 1997 to 2004 were selected and sent a questionnaire, which they were asked to answer and return, regarding their work situation and the progress and current status of their occupational disease. Results: A total of 153 (77% patients answered the questionnaire; 71% of these patients were still in work, and further 15% had old-age retired, 13% were working until then; 16% had retired early because of disability; 54% had changed jobs because of their occupational skin disease; 86% of the patients indicated that the skin disease had improved since our previous investigation. Conclusions: Our investigation into patients with occupational skin disease documented that the majority of patients who had received professional dermatological consultation and intervention offers were still in the labour market and had good control of their skin disease 10–15 years later. We discovered that 71% of the patients were still employed. 13% had remained in work until they became old age pensioners. Only 16% dropped out of work because of disability. These high percentages may indicate that our intervention has contributed positively to patients’ work conditions and the course of their skin disease.

Occupational skin diseases from 1997 to 2004 at the Department of Dermatology, University Hospital of Northern Norway (UNN): an investigation into the course and treatment of occupational skin disease 10–15 years after first consultations with a dermatologist

Science.gov (United States)

Braun, Rosemarie; Dotterud, Lars Kåre

2016-01-01

Objectives We investigate the impact of occupational skin disease consultations among outpatients at the Dermatological Department, University Hospital, Northern Norway. Study design From 1997 until 2004, 386 patients with occupational skin disease were examined and given advice on skin care, skin disease treatment, skin protection in further work, and on the legal rights of patients with this disease. Ten to fifteen years later, we wanted to look at these patients in terms of their work situation, the current status of their disease, the help they received from the labour offices, and their subjective quality of life. Material and methods In the autumn of 2011 until the spring of 2012, a number of the patients examined in the period from 1997 to 2004 were selected and sent a questionnaire, which they were asked to answer and return, regarding their work situation and the progress and current status of their occupational disease. Results A total of 153 (77%) patients answered the questionnaire; 71% of these patients were still in work, and further 15% had old-age retired, 13% were working until then; 16% had retired early because of disability; 54% had changed jobs because of their occupational skin disease; 86% of the patients indicated that the skin disease had improved since our previous investigation. Conclusions Our investigation into patients with occupational skin disease documented that the majority of patients who had received professional dermatological consultation and intervention offers were still in the labour market and had good control of their skin disease 10–15 years later. We discovered that 71% of the patients were still employed. 13% had remained in work until they became old age pensioners. Only 16% dropped out of work because of disability. These high percentages may indicate that our intervention has contributed positively to patients’ work conditions and the course of their skin disease. PMID:27172061

The European Status Quo in legal recognition and patient-care services of occupational skin cancer

DEFF Research Database (Denmark)

Ulrich, C; Salavastru, C; Agner, T

2016-01-01

. CONCLUSION: This survey highlights the need for mandatory regulations on the prevention, management and potential compensation of work-related UV-induced skin cancer across Europe. Against the background of a joint European domestic market, equal standards of occupational safety across Europe should include......: Ten of 11 participating countries in this survey reported the existence of an established programme available on certain occupational diseases; work-related skin diseases were only specifically recognized in eight countries. Seven of 11 countries recognize cutaneous squamous cell carcinoma in outdoor...... workers as 'occupational skin cancer'. Basal cell carcinoma (6 of 11), actinic keratosis (5 of 11), Bowen's disease (5 of 11) and malignant melanoma (5 of 11) are not as regularly approved as potentially 'work-induced'. Only a few of the countries included into this survey established a general...

Deposition of contaminant aerosol on human skin

DEFF Research Database (Denmark)

Andersson, Kasper Grann; Roed, Jørn; Byrne, M.A.

2006-01-01

Over recent years, it has been established that deposition of various types of pollutant aerosols (e.g., radioactive) on human skin can have serious deleterious effects on health. However. only few investigations in the past have been devoted to measurement of deposition velocities on skin...... of particles of the potentially problematic sizes. An experimental programme has shown the deposition velocities on skin of particles in the ca. 0.5-5 mu m AMAD range to be high and generally associated with great variations. A series of investigations have been made to identify some of the factors that lead...... to this variation. Part of the variation was found to be caused by differences between individuals, whereas another part was found to be related to environmental factors, The identification of major influences on skin contaminant deposition is important in estimating health effects as well as in identifying means...

Occupational skin disease among Australian healthcare workers: a retrospective analysis from an occupational dermatology clinic, 1993-2014.

Science.gov (United States)

Higgins, Claire L; Palmer, Amanda M; Cahill, Jennifer L; Nixon, Rosemary L

2016-10-01

Healthcare workers (HCWs) are at risk of developing occupational skin disease (OSD). To ascertain the causes of OSD in Australian HCWs in a tertiary referral clinic. A retrospective review was performed of patients assessed at the Occupational Dermatology Clinic in Melbourne from 1993 to 2014. Of 685 HCWs assessed in the clinic over a period of 22 years, 555 (81.0%) were diagnosed with OSD. The most common diagnosis was irritant contact dermatitis (ICD) (79.1%), followed by allergic contact dermatitis (ACD) (49.7%). Natural rubber latex allergy was also relatively frequent (13.0%). The major substances causing ACD were rubber glove chemicals (thiuram mix and tetraethylthiuram disulfide), preservatives (formaldehyde, formaldehyde releasers, and isothiazolinones), excipients in hand cleansers, which are hard-to-avoid weak allergens, and antiseptics. ACD caused by commercial hand cleansers occurred more frequently than ACD caused by alcohol-based hand rubs (ABHRs). Occupational ICD was mostly caused by water/wet work and hand cleansers, and environmental irritants such as heat and sweating. Understanding the causes of OSD in HCWs is important in order to develop strategies for prevention. We suggest that skin care advice should be incorporated into hand hygiene education. The use of ABHRs should be encouraged, weak allergens in skin cleansers should be substituted, and accelerator-free gloves should be recommended for HCWs with OSD. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Effects of a health-educational and psychological intervention on socio-cognitive determinants of skin protection behaviour in individuals with occupational dermatoses.

Science.gov (United States)

Matterne, Uwe; Diepgen, Thomas L; Weisshaar, Elke

2010-02-01

Occupational skin diseases are a significant public health concern. Little is known about the cognitive representations individuals with occupational skin disease have towards measures of personal skin protection and occupational safety and whether they change during an intervention. We aimed to evaluate whether social cognitions as embodied by the theory of planned behaviour become more favourable during a tertiary inpatient individual prevention programme (TIP) and whether the model's predictions hold in a setting to which the model has not been applied. We used a longitudinal design. A questionnaire, assessing the theory of planned behaviour variables attitude, subjective and descriptive norm, perceived behavioural control and behavioural intention was developed and administered to 101 patients before (at admission) and after (at discharge) a 3-week inpatient TIP. The scales showed good internal consistency. Before the TIP, patients had favourable cognitions towards skin protection measures and these improved during the TIP. Attitude, perceived behavioural control and intention to perform skin protection significantly increased during TIP. Attitude and perceived behavioural control were significant predictors of behavioural intention in multiple regression analyses with perceived behavioural control being the strongest predictor in the equations. Descriptive norm was a significant predictor of intention only at admission but not at discharge. This is the first study attempting to explain the motivation to perform skin protection measures in patients with occupational skin disease by applying an otherwise well established health-behaviour theory. The results emphasise the importance of health-educational and psychological interventions for patients with occupational skin disease. Promoting personal control over and attitudes towards skin protection measures may enhance the occupational health of individuals with occupational skin disease.

Multiple methods for assessing the dose to skin exposed to radioactive contamination

International Nuclear Information System (INIS)

Dubeau, J.; Heinmiller, B.E.; Corrigan, M.

2017-01-01

There is the possibility for a worker at a nuclear installation, such as a nuclear power reactor, a fuel production facility or a medical facility, to come in contact with radioactive contaminants. When such an event occurs, the first order of business is to care for the worker by promptly initiating a decontamination process. Usually, the radiation protection personnel performs a G-M pancake probe measurement of the contamination in situ and collects part or all of the radioactive contamination for further laboratory analysis. The health physicist on duty must then perform, using the available information, a skin dose assessment that will go into the worker's permanent dose record. The contamination situations are often complex and the dose assessment can be laborious. This article compares five dose assessment methods that involve analysis, new technologies and new software. The five methods are applied to 13 actual contamination incidents consisting of direct skin contact, contamination on clothing and contamination on clothing in the presence of an air gap between the clothing and the skin. This work shows that, for the cases studied, the methods provided dose estimates that were usually within 12% (1σ) of each other, for those cases where absolute activity information for every radionuclide was available. One method, which relies simply on a G-M pancake probe measurement, appeared to be particularly useful in situations where a contamination sample could not be recovered for laboratory analysis. (authors)

Mercury Contamination of Skin-whitening Creams in Phnom Penh, Cambodia

Directory of Open Access Journals (Sweden)

Thomas Murphy

2015-01-01

Conclusion. Some producers of skin-whitening creams in Thailand, China and Taiwan appear to be aware of the risks of mercury contamination and have modified their products. However, other producers of skin-whitening creams continue to use mercury. XRF analysis allows for rapid screening of mercury in cosmetics and should be used to gather additional information on mercury content in cosmetics in support of public health efforts to stem the import, export and sales of skin creams containing mercury.

Occupational exposure to ultraviolet radiation and risk of non-melanoma skin cancer in a multinational European study.

Directory of Open Access Journals (Sweden)

Simona Surdu

Full Text Available BACKGROUND: Studies suggest that ambient sunlight plays an important role in the pathogenesis of non-melanoma skin cancers (NMSC. However, there is ongoing controversy regarding the relevance of occupational exposure to natural and artificial ultraviolet radiation (UV radiation. OBJECTIVES: We investigated potential associations between natural and artificial UV radiation exposure at work with NMSC in a case-control study conducted in Hungary, Romania, and Slovakia. METHODS: Occupational exposures were classified by expert assessment for 527 controls and 618 NMSC cases (515 basal cell carcinoma, BCC. Covariate information was collected via interview and multiple logistic regression models were used to assess associations between UV exposure and NMSC. RESULTS: Lifetime prevalence of occupational exposure in the participants was 13% for natural UV radiation and 7% for artificial UV radiation. Significant negative associations between occupational exposure to natural UV radiation and NMSC were detected for all who had ever been exposed (odds ratio (OR 0.47, 95% confidence interval (CI 0.27-0.80; similar results were detected using a semi-quantitative metric of cumulative exposure. The effects were modified by skin complexion, with significantly decreased risks of BCC among participants with light skin complexion. No associations were observed in relation to occupational artificial UV radiation exposure. CONCLUSIONS: The protective effect of occupational exposure to natural UV radiation was unexpected, but limited to light-skinned people, suggesting adequate sun-protection behaviors. Further investigations focusing on variations in the individual genetic susceptibility and potential interactions with environmental and other relevant factors are planned.

Tritium activity balance in hairless rats following skin-contact exposure to tritium-gas-contaminated stainless-steel surfaces

Energy Technology Data Exchange (ETDEWEB)

Trivedi, A

1994-06-01

Studies using animals and human volunteers have demonstrated that the dosimetry for skin-contact exposure to contaminated metal surfaces differs from that for the intake of tritiated water or tritium gas. However, despite the availability of some information on the dosimetry for skin-contact with tritium-gas-contaminated metal surfaces, uncertainties in estimating skin doses remain, because of poor accounting for the applied tritium activity in the body (Eakins et al., 1975; Trivedi, 1993). Experiments on hairless rats were performed to account for the tritium activity applied onto the skin. Hairless rats were contaminated through skin-contact exposure to tritium-gas-contaminated stainless-steel planchets. The activity in the first smear was about 35% of the total removable activity (measured by summing ten consecutive swipes). The amount of tritium applied onto the skin can be approximated by estimating the tritium activity in the first smear removed form the contaminated surfaces. 87 {+-} 9% of the transferred tritium was retained in the exposed skin 30 min post-exposure. 30 min post exposure, the unexposed skin and the carcass retained 8 {+-} 6% and 3 {+-} 2% of the total applied tritium activity, respectively. The percentage of tritium evolved from the body or breathed out was estimated to be 2 {+-} 1% of the total applied activity 30 min post-exposure. It is recommended that to evaluate accurately the amount of tritium transferred to the skin, alternative measurement approaches are required that can directly account for the transferred activity onto the skin. 15 refs., 13 tabs., 7 figs.

Association of atopy and tentative diagnosis of skin cancer - results from occupational skin cancer screenings.

Science.gov (United States)

Schäfer, I; Mohr, P; Zander, N; Fölster-Holst, R; Augustin, M

2017-12-01

The relationship between atopic conditions and carcinoma of the skin has been described inconsistently. Population-based data providing information on atopic diseases as well as on skin cancer are sparse. To determine the correlation between atopy and prevalence of precanceroses, non-melanoma skin cancer and malignant melanoma (MM), while taking into account known risk factors for skin cancer. Data from occupational skin cancer screenings were analysed in a cross-sectional study. Dermatologists performed whole body examinations and collected medical histories. Subjects comprised all employees (16-70 years) examined from 2006 to 2014. 'Atopy' was defined by clinical screening diagnosis and/or by participant-reported, pre-existing atopic dermatitis, allergic asthma or other specified allergies confirmed by a physician. Tentative screening diagnoses of skin cancer related to actinic keratosis, basal cell carcinoma and malignant melanoma. The study cohort comprised 90 265 employees (mean age 43 ± 11 years, 58.5% male), 30.7% of whom were ever diagnosed with an atopic disease. Persons with atopic conditions recorded in their medical history and at the time of screening had a significantly lower prevalence of actinic keratosis (AK), basal cell carcinoma (BCC) and MM. After controlling for age, sex and relevant risk factors (skin type, childhood sun burns), atopy remained significantly protective against BCC (OR 0.77) and MM (OR 0.53). Design limitations of the study include that all findings of skin cancer were based on clinical examination only and must therefore be considered tentative diagnoses. Furthermore, owing to the cross-sectional study design, causal pathways cannot be proven. However, analyses of data from such a large and general population-based cohort afford valuable insights into the relationship between atopic diseases and skin cancer. They provide the grounds for prospective cohort studies to evaluate and dissect the underlying mechanism. © 2017

Managing Occupational Irritant Contact Dermatitis Using a Two-Step Skincare Regimen Designed to Prevent Skin Damage and Support Skin Recovery.

Science.gov (United States)

von Grote, Erika C; Palaniswarmy, Kiruthi; Meckfessel, Matthew H

2016-12-01

Occupational irritant contact dermatitis (ICD) affecting the hands is a common and difficult-to-manage condition. Occupations that necessitate contact with harsh chemicals, use of alcohol-based disinfectants, and frequent hand washing elevate the risk of ICD. Management strategies that do not adequately prevent accumulated damage and repair skin, can develop into chronic dermatoses which negatively impact work productivity and quality of life. A 2-step skin-care regimen (Excipial Daily Protection Hand Cream (EP) and Excipial Rapid Repair Hand Cream (ER), Galderma Laboratories, L.P.) has been developed as a daily-use management strategy to protect and repair vulnerable hands. The protective barrier cream is formulated with aluminum chlorohydrate and designed for pre-exposure application to enhance the skin's natural protective barrier and minimize excessive moisture while wearing protective gloves. The repair cream, a lipid-rich formulation, is intended for post-exposure application to rehydrate and facilitate the skin's natural healing process. The results of 3 clinical studies highlighted in this review demonstrate how the use of a 2-step skin-care regimen offers a greater protective effect against ICD than the use of barrier cream alone, and also how the formulation of the barrier cream used in these studies helps minimize the occlusion effect caused by gloves and does not interfere with the antibacterial efficacy of an alcohol-based hand sanitizer. This 2-step skin-care regimen is effectively designed to manage and minimize the risk of ICD development in a variety of patients and provides clinicians an additional tool for helping patients manage ICD. J Drugs Dermatol. 2016;15(12):1504-1510.

Protection of the skin against occupational and operational ultraviolet and thermal radiation

International Nuclear Information System (INIS)

Wiskemann, A.

1980-01-01

When irradiation with short wave ultraviolet (UVB) exceed the threshold doses, the eye as well as the skin react with an acute inflammation. After chronic exposure to both radiations the skin is altered as a farmers skin. Thermal visible and infrared radiation may produce a local combustion or a livedo or a general hyperthermia. Many possibilities of an occupational exposition to natural or artificial optical radiation are listed. Until now no exposure limits have been recommended in the Federal Republic of Germany. The biologic effective radiant exposure can be calculated from the spectral distribution of the irradiance. The resulting value should be clearly lower than the threshold doses for the UV-keratoconjunctivitis and for the UV-erythema of the skin. Artificial light sources have to be closed exept the useful radiation beam. When this is impossible and in case of natural radiation, the skin must be shielded by clothing and/or by sunscreen preparations. Photosensitizers as tar products have to be kept away from the skin. (orig.) 891 MG/orig. 892 HIS [de

Skin contamination as pathway for nicotine intoxication in vapers.

Science.gov (United States)

Maina, Giovanni; Castagnoli, Carlotta; Ghione, Giordana; Passini, Valter; Adami, Gianpiero; Larese Filon, Francesca; Crosera, Matteo

2017-06-01

Growing warnings on health effects related to electronic cigarettes have met inconclusive findings at present. This study analyzed the in vitro percutaneous absorption of nicotine resulting by skin contamination with two e-liquids (refill 1 and 2) containing nicotine at 1.8%. Donor chambers of 6 Franz cells for each refill liquid were filled with 1mL of nicotine e-liquid for 24h; at selected intervals, 1.5mL of the receptor solutions were collected for nicotine concentration analysis by mean gas chromatography-mass spectrometry (LOD: 0.01μg/mL). The experiment was repeated removing the nicotine donor solution after 10min from the application and rinsing the skin surface three times with 3.0mL of milliQ water. A total of 12 cells with 24h exposure and 12 cells washed were studied. The mean concentration of nicotine in the receiving phase at the end of the experiment was 54.9±29.5 and 30.2±18.4μg/cm 2 for refill 1 and 2 respectively and significantly lower in washed cells (4.7±2.4 and 3.5±1.3μg/cm 2 ). The skin absorption of nicotine can lead to minor health illness in vapers, while caution must be paid to dermal contamination by e liquids in children. The skin cleaning significantly reduced the transdermal absorption kinetic and intradermal deposition of nicotine. Copyright © 2017 Elsevier B.V. All rights reserved.

Dosimetric Aspects of Personnel Skin Contamination by Radionuclides - Estimate of a Skin Dose, Monitoring and Interpretation of Results

International Nuclear Information System (INIS)

Husak, V.; Kleinbauer, K.

2001-01-01

Full text: On the basis of a critical comparison of literary data, tables are compiled of beta and gamma dose rate in mSvh -1 (kBqcm -1 ) to the basal layer of the skin at 0.07 mm depth from contamination by 75 radionuclides unsealed sources; radioactive substances are assumed to reside on the skin surface. The residence time needed for the estimate of the skin dose is calculated assuming that a residual activity per unit area of any radionuclide on the skin, which could not be removed by the repeated careful decontamination, is supposed to be eliminated with the biological half-life of 116 h as a consequence of the natural sloughing off of the skin. Radionuclides are divided into five groups according to the dose estimate in mSv (kBqcm -2 ): ≥250 (e.g. 32 P, 89 Sr, 137 Cs/ 137m Ba), 100-250 (e.g. 90 Y, 131 I, 186 Re), 10-100 (e.g. 35 S, 67 Ga, 200 Tl), 1-10 (e.g. 18 F, 51 Cr, 99m Tc), ≤1 (e.g. 63 Ni, 144 Pr, 238 U). If it is possible, doses can be determined more precisely by measuring the effective half-life of the residual activity on the contaminated area. Our dose estimates are approximately valid on the condition that, after decontamination, residual activity of radionuclides persists predominantly in the superficial layers of epidermis. This and further uncertainties connected with the dose assessment are discussed. Our tables can help to determine easily rough values of doses to personnel in contamination incidents and to interpret them in relation to regulatory derived limits. This work was supported by State Office for Nuclear Safety in Prague. (author)

Skin sensitization quantitative risk assessment for occupational exposure of hairdressers to hair dye ingredients.

Science.gov (United States)

Goebel, Carsten; Diepgen, Thomas L; Blömeke, Brunhilde; Gaspari, Anthony A; Schnuch, Axel; Fuchs, Anne; Schlotmann, Kordula; Krasteva, Maya; Kimber, Ian

2018-06-01

Occupational exposure of hairdressers to hair dyes has been associated with the development of allergic contact dermatitis (ACD) involving the hands. p-Phenylenediamine (PPD) and toluene-2,5-diamine (PTD) have been implicated as important occupational contact allergens. To conduct a quantitative risk assessment for the induction of contact sensitization to hair dyes in hairdressers, available data from hand rinsing studies following typical occupational exposure conditions to PPD, PTD and resorcinol were assessed. By accounting for wet work, uneven exposure and inter-individual variability for professionals, daily hand exposure concentrations were derived. Secondly, daily hand exposure was compared with the sensitization induction potency of the individual hair dye defined as the No Expected Sensitization Induction Levels (NESIL). For PPD and PTD hairdresser hand exposure levels were 2.7 and 5.9 fold below the individual NESIL. In contrast, hand exposure to resorcinol was 50 fold below the NESIL. Correspondingly, the risk assessment for PPD and PTD indicates that contact sensitization may occur, when skin protection and skin care are not rigorously applied. We conclude that awareness of health risks associated with occupational exposure to hair dyes, and of the importance of adequate protective measures, should be emphasized more fully during hairdresser education and training. Copyright © 2018 Elsevier Inc. All rights reserved.

[Individual prevention of occupational contact dermatitis: protective gloves and skin protection recommendations as part of the patient management scheme by the public statutory employers' liability insurance].

Science.gov (United States)

Wilke, A; Skudlik, C; Sonsmann, F K

2018-05-02

The dermatologist's procedure is a pivotal tool for early recognition of occupational contact dermatitis (OCD), for reporting OCD cases to the statutory accident insurance and for treating the diseases. The employer is in charge of implementing skin protection measures at the workplace. However, in terms of an individual prevention approach it may be necessary to propose targeted skin protection recommendations in specific patient cases. The patient's own skin protection behavior significantly contributes to regenerating and maintaining healthy skin. This behavior includes the use of occupational skin products, and in particular the correct use of appropriately selected protective gloves. Protective gloves are the most important personal protective measure in the prevention of OCD. Prevention services, occupational health and safety specialists, occupational physicians and centers specialized in occupational dermatology can support the identification of suitable protective measures. Nowadays, suitable protective gloves exist for (almost) every occupational activity and exposure. However, improper use in practice can become a risk factor by itself for the skin (e. g., incorrectly used gloves). Therefore, it is of utmost importance to identify application errors, to educate patients in terms of skin protection and to motivate them to perform an appropriate skin protection behavior. With particular focus on protective gloves, this article gives an overview of various types, materials and potentially glove-related allergens, presents strategies for reducing occlusion effects and discusses some typical application errors and solutions.

Measures to be taken in cases of radioactive contamination of the skin

International Nuclear Information System (INIS)

Anon.

1991-01-01

This recommendation refers to those technical, medical and scientific facilities in which unsealed radioactive substances are handled. These facilities include, among other things: nuclear power plants, facilities of the fuel cycle, scientific and industrial laboratories, doctors' practices, hospitals and medical laboratories. Any unnecessary contamination of individuals shall be avoided. If contamination does occur, the resulting radiation exposure shall be kept as low as possible, even below the dose limits of the Radiological Protection Ordinance, taking into consideration the state of the art and also taking into account all circumstances pertaining to each individual case. Preventive measures to avoid or limit contamination represent the most effective form of protection. Preventive measures therefore include regular checks on the condition of the skin and constant personal skin care. Specific decontamination instructions must be provided for each individual plant and also, where applicable, for each individual workplace. Contaminated items of clothing must be removed before decontamination is commenced. Low levels of contamination can usually be eleminated in one step by washing with water. There is no need to carry out further decontamination steps where the decontamination effect is less than 10% and the remaining surface-related activity is less than 10 Bq/cm 2 (averaged over 100 cm 2 where the contamination is largely distributed over the entire area). (orig.) [de

Efficacy of a Hand Regimen in Skin Barrier Protection in Individuals With Occupational Irritant Contact Dermatitis.

Science.gov (United States)

Jordan, Laura

2016-11-01

Occupational irritant contact dermatitis (OICD) is a dif cult and hard to manage condition. It occurs more frequently in certain occupations where contact with harsh chemicals, use of alcohol-based disinfectants, and frequent hand washing heightens the risk. Treatment for OICD includes patient education in addition to physical, topical, and systemic therapies. To review the pathogenesis and treatment options for OICD and evaluate the ef cacy of a selective skin-care regimen involv- ing a hand protectant cream alone as well as combined with a repair cream and speci c cleanser. A single-center open study was performed comprising 42 healthy male and female adult volunteers prone to occupational irritant contact dermatitis due to frequent wet work or contact with detergents. Between day 0 and day 7, subjects applied a hand protectant cream as needed on both hands (at least twice daily). On days 7 to 14, subjects applied a hand protectant cream and cleanser as needed on both hands (at least twice daily) as well as a repair cream each evening. A diary log was given to each volunteer for application control and for a subjective evaluation of daily tolerability. In these subjects prone to occupational irritant contact dermatitis, the hand protectant cream applied during the initial 7-day period was effective in restoring the damaged skin barrier and improving the stratum corneum hydration. A regimen that combined the hand protectant and repair creams with a speci c cleanser during a further 7-day period allowed contin- ued improvement of skin hydration and additional clinical bene ts while respecting the skin barrier function. The results of this study support the use of a 3-step approach for patients who are at risk of repeated exposure to external irritants. J Drugs Dermatol. 2016;15(suppl 11):s81-85..

[Occupational dermatoses. Cross-cultural adaptation of the Nordic Occupational Skin Questionnaire (NOSQ-2002) from English to Spanish and Catalan].

Science.gov (United States)

Sala-Sastre, N; Herdman, M; Navarro, L; de la Prada, M; Pujol, R; Serra, C; Alonso, J; Flyvholm, M A; Giménez-Arnau, A M

2009-10-01

Eczema of the hands and urticaria are very common occupational dermatoses. The Nordic Occupational Skin Questionnaire (NOSQ-2002), developed in English, is an essential tool for the study of occupational skin diseases. The short version of the questionnaire is useful for screening and the long version is used to study risk factors. OBJECTIVE. The aim of this study was to culturally adapt the long version of the NOSQ to Spanish and Catalan and to ensure comprehension, semantic validity, and equivalence with the original. The principles of the International Society for Pharmacoeconomics and Outcomes Research for good research practices were applied. A 4-phase method was used, with direct, revised translation, back translation, and cognitive interviews. After direct translation, a first version was issued by the Spanish Working Group. This version was evaluated in cognitive interviews. Modifications were made to 39 questions (68 %) in the Spanish version and 27 questions (47 %) in the Catalan version. Changes included addition of examples to improve understanding, reformulation of instructions, change to use of a direct question format, and addition of certain definitions. The back translation was evaluated by the original authors, leading to a further 7 changes in the Spanish version and 2 in the Catalan version. The third consensus version underwent a second round of cognitive interviews, after which the definitive version in each language was issued. CONCLUSION. Spanish and Catalan versions of the NOSQ-2002 questionnaire are available at www.ami.dk/NOSQ and www.arbejdsmiljoforskning.dk.

Blood culture contamination with Enterococci and skin organisms: implications for surveillance definitions of primary bloodstream infections.

Science.gov (United States)

Freeman, Joshua T; Chen, Luke Francis; Sexton, Daniel J; Anderson, Deverick J

2011-06-01

Enterococci are a common cause of bacteremia but are also common contaminants. In our institution, approximately 17% of positive blood cultures with enterococci are mixed with skin organisms. Such isolates are probable contaminants. The specificity of the current definition of primary bloodstream infection could be increased by excluding enterococci mixed with skin organisms. Copyright © 2011 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

Skin decontamination cream for radiological contaminants: Formulation development and evaluation.

Science.gov (United States)

Khan, Abdul Wadood; Kotta, Sabna; Rana, Sudha; Ansari, Shahid Husain; Sharma, Rakesh Kumar; Ali, Javed

2013-01-01

Increased use of the radioactive materials in the field of research, medical, nuclear power plant, and industry has increased the risk of accidental exposure. Intentional use of the radioisotopes by terrorist organizations could cause exposure/contamination of a number of the population. In view of the accidental contamination, there is a need to develop self-usable decontamination formulations that could be used immediately after contamination is suspected. Present work was planned to optimize and develop self-usable radiation decontamination cream formulation. Various pharmaceutical parameters were characterized. (99m)Tc-sodium pertechnetate was used as radiocontaminant. Static counts were recorded before and after decontamination using single photon emission computed tomography. Decontamination efficacy of the cream was found to be 42% ± 3% at 0-0.5 h after the exposure. Primary skin irritancy test was satisfactory as no erythema or edema was observed visually after 2 weeks of the formulation application. The decontamination studies proved the potential of EDTA to remove the radiological contaminants effectively.

Bibliography of selected research reports on occupational medicine in nuclear industry of China (list of subjects, 1958-1988)

International Nuclear Information System (INIS)

Wu Qi; Sun Jinkai; Zhang Xuzong; Li Guangyu; Chen Shaojia; Ni Xiangting

1991-10-01

A bibliography of 648 research reports on occupational medicine in the past 30 years in nuclear industry is presented. It gives only a list of titles with affiliations. It contains four parts. The first part is on experimental study including internal contamination with radionuclides, radiobiology, radiotoxicology and radiohygiene. The second part focuses on epidemiological investigation including radioepidemiological investigation and on-site investigation of occupational detriment. The third part concentrates on radiation injury clinic, including internal contamination with radionuclides, β-ray skin injury radiohematology, emergency handling for radiation accident, as well as silicosis and lung cancer of uranium miners. And the last part gives space to occupational detriment from non-radiation industrial poisonous materials

Awareness of occupational skin disease in the service sector.

Science.gov (United States)

Holness, D L; Kudla, I; Brown, J; Miller, S

2017-06-01

Occupational skin disease (OSD) is a common occupational disease. Although primary prevention strategies are known, OSDs remain prevalent in a variety of work environments including the service sector (restaurant/food services, retail/wholesale, tourism/hospitality and vehicle sales and service). To obtain information about awareness and prevention of OSD in the service sector. Focus groups and a survey were conducted with two groups. The first consisted of staff of the provincial health and safety association for the service sector and the second group comprised representatives from sector employers. Focus groups highlighted key issues to inform the survey that obtained information about perceptions of awareness and prevention of OSD and barriers to awareness and prevention. Both provincial health and safety association staff and sector employer representatives highlighted low awareness and a low level of knowledge of OSD in the sector. Barriers to awareness and prevention included a low reported incidence of OSD, low priority, lack of training materials, lack of time and cost of training, lack of management support and workplace culture. A starting point for improving prevention of OSD in the service sector is increased awareness. Identification of the barriers to awareness and prevention will help to shape an awareness campaign and prevention strategies. Building on existing experience in Europe will be important. © The Author 2016. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com

Skin protection in the food industry.

Science.gov (United States)

Bauer, A; Kelterer, D; Bartsch, R; Stadeler, M; Elsner, P

2007-01-01

In food occupations, like in many other skin risk occupations, the regular use of personal protection equipment, i.e. of skin protection ointments and protective gloves, is recommended as well as regular skin care for the prevention of occupational hand dermatitis. We investigated the uptake and maintenance of different prevention strategies (instructions for skin protection and skin care, prevocational skin hardening with UV light) in food occupations and their efficacy in the primary prevention of vocationally caused hand dermatitis. We could show that the acceptance and regular use of skin protection and care measures could be significantly increased by theoretical and practical instructions in food industry trainees. The highest acceptance was seen with skin protection ointment (100%) and skin care (90%). Protective gloves (43.3%) were used to a lesser extent. The hand dermatitis point prevalence in the groups after 6 months was 13.3% (skin protection), 19.4% (UV hardening) and 29.1% (controls). These clinical trends were supported by statistically significant differences in the basal TEWL values. Adequate skin protection and regular skin care seem to be promising for the prevention of occupationally caused hand dermatitis. The experimental approach using UV hardening prevocationally did not fulfil the expectations.

Recommendations for skin decontamination

International Nuclear Information System (INIS)

1989-01-01

Further to the reecommendations for determining the surface contamination of the skin and estimating the radiation exposure of the skin after contamination (SAAS-Mitt--89-16), measures for skin decontamination are recommended. They are necessary if (1) after simple decontamination by means of water, soap and brush without damaging the skin the surface contamination limits are exceeded and the radiation exposure to be expected for the undamaged healthy skin is estimated as to high, and if (2) a wound is contaminated. To remove skin contaminations, in general universally applicable, non-aggressive decontamination means and methods are sufficient. In special cases, nuclide-specific decontamination is required taking into account the properties of the radioactive substance

Hypochlorite Solution as a Decontaminant in Sulfur Mustard Contaminated Skin Defects in the Euthymic Hairless Guinea Pig

Science.gov (United States)

1993-05-13

AD-P008 792 Hyochlorte Solution as a Decossitamrsrl nan Sultur Mustard Contaminated Skin Defects in the Euthymesc Hailess Guinea Pig Mark B. Gol, OVM...euthymic hairles guinea pigs (EHGP) (n--6) were exposed tn 0 4 LD50 HO in a hA-thickntss 8 mm surgical bmop~sy skin deflect (ioe wound) Each animal was...in a animal model of an HO contaminated wound. The euthymic hairless guinea pig (EHGP) has been extensrvely studied and aicepted as the model of

Contribution to the study of external contamination by radioactive products: skin contamination by radioactive cobalt in soluble form and decontamination

International Nuclear Information System (INIS)

Tymen, H.

2002-12-01

The aim of this work was to characterize the behavior of the radioactive cobalt isotopes, which are present in reactor coolant systems of a pressurized water reactor (PWR), in the case of occupational skin exposure, and to study different therapies. Our experimental approach stems from standardized methods in skin pharmacology. In a first step, a physico-chemical study of a primary coolant water was carried out to characterize the soluble fraction of radio-cobalt and its skin affinity. The second step consisted in quantifying the diffusion through the skin, in vivo and in vitro in rats, and in vitro in human. Parallel experiments were carried out to study biokinetics of cobalt in rats, after intravenous, intramuscular and subcutaneous injection. Whatever the route of administration, cobalt diffuses easily in the organism. On the contrary, its skin absorption is very limited. In a fourth step, the influence of the skin injuries on absorption was estimated in vivo on rat skin. Several skin models were developed to standardize different injuries: excoriation, heat burns (convection, conduction) and chemical burns (acid or alkaline). Biokinetics study over 24 hours and histological study have shown a relation between skin absorption and stratum corneum alteration. In the latest step of this work, we compared the efficacy of various decontaminating agents administered under different galenic forms. Per (3, 6- anhydro, 2-O-carboxy-methyl)-α-cyclo-dextrin exhibited a significant efficacy for cobalt decontamination of skin. This macromolecule was tested in aqueous solution, in agarose gel and loaded on 'functionalized' fibers intended for development of new decontaminating tissues. (author)

Visible-light system for detecting doxorubicin contamination on skin and surfaces.

Science.gov (United States)

Van Raalte, J; Rice, C; Moss, C E

1990-05-01

A portable system that uses fluorescence stimulated by visible light to identify doxorubicin contamination on skin and surfaces was studied. When activated by violet-blue light in the 465-nm range, doxorubicin fluoresces, emitting orange-red light in the 580-nm range. The light source to stimulate fluorescence was a slide projector with a filter to selectively pass short-wave (blue) visible light. Fluorescence was both observed visually with viewing spectacles and photographed. Solutions of doxorubicin in sterile 0.9% sodium chloride injection were prepared in nine standard concentrations ranging from 2 to 0.001 mg/mL. Droplets of each admixture were placed on stainless steel, laboratory coat cloth, pieces of latex examination glove, bench-top absorbent padding, and other materials on which antineoplastics might spill or leak. These materials then were stored for up to eight weeks and photographed weekly. The relative ability of water, household bleach, hydrogen peroxide solution, and soap solution to deactivate doxorubicin was also measured. Finally, this system was used to inspect the antineoplastic-drug preparation and administration areas of three outpatient cancer clinics for doxorubicin contamination. Doxorubicin fluorescence was easily detectable with viewing spectacles when a slide projector was used as the light source. The photographic method was sensitive for doxorubicin concentrations from 2.0 to 0.001 mg/mL. Immersion of study materials in bleach for one minute eliminated detectable fluorescence. Doxorubicin contamination is detectable for at least eight weeks in the ambient environment. Probable doxorubicin contamination was detected in two of the three clinics surveyed. A safe, portable system that uses fluorescence stimulated by visible light is a sensitive method for detecting doxorubicin on skin and surfaces.

Development of a pharmaceutical form containing calixarene molecules for the treatment of intact or injured skin contaminated by uranium

International Nuclear Information System (INIS)

Spagnul, A.

2009-11-01

The first objective of this research thesis was to develop a formulation containing a tricarboxylic calixarene for cutaneous application for the local treatment of skin contamination by uranium. A second objective is to assess the efficiency of a calixarene nano-emulsion for such a treatment. In a first part, the author proposes an overview of risks associated with skin contamination by uranium, and of current treatments and treatments under development. In the second part, the author presents the oil-in-water-type nano-emulsion, reports an in vitro assessment of the decontamination efficiency of the calixarene nano-emulsion, reports an in vivo assessment of this efficiency (on pig ear skin explants contaminated by uranium), and presents the main publications and a patent request related to this research work

[News on occupational contact dermatitis].

Science.gov (United States)

Crépy, Marie-Noëlle; Bensefa-Colas, Lynda

2014-03-01

Contact dermatitis--irritant contact dermatitis, allergic contact dermatitis and protein contact dermatitis--are the most common occupational skin diseases, most often localized to the hands. Contact urticaria is rarer The main occupational irritants are wet work, detergents and disinfectants, cutting oils, and solvents. The main occupational allergens are rubber additives, metals (chromium, nickel, cobalt), plastics (epoxy resins, acrylic), biocides and plants. Diagnosis is based on clinical examination, medical history and allergy testing. For a number of irritating or sensitizing agents, irritant or allergic dermatitis can be notified as occupational diseases. The two main prevention measures are reducing skin contact with irritants and complete avoidance of skin contact with offending allergens.

Calculation of skin dose due to beta contamination using the new quantity of the ICRP 116: the local skin dose

International Nuclear Information System (INIS)

Bourgois, L.; Menard, S.; Comte, N.

2017-01-01

Values of the new protection quantity Local Skin Dose 'LSD', introduced by the International Commission on Radiological Protection (ICRP) Publication 116, were calculated for 134 β - or β + emitting radionuclides, using the Monte Carlo code MCNP6. Two types of source geometry are considered: a point source and disc-type surface contamination (the source is placed in contact with the skin). This new protection quantity is compared with the operational quantity H2 (0.07, 0 deg.), leading us to conclude that, in accordance with the rules of the ICRP, the operational quantity over-estimates the protection quantity to a reasonable extent, except in very rare cases for very low average beta energies. Thus, with the new skin model described in ICRP 116, there are no longer any major differences between the operational quantities and protection quantities estimated with the skin model described in ICRP 74. (authors)

Efficiency of deactivation of skin contaminated with 241Am in concentrated acid

International Nuclear Information System (INIS)

Il'in, L.A.; Ivannikov, A.T.; Popov, B.A.; Altukhova, G.A.; Parfenova, I.M.

1980-01-01

Data are given on the decontamination, by means of water, soap, and Pentacin, of a burnt skin surface contaminated by 241 Am in 0.05, 1, or 8 n HNO 3 . The effectiveness of such decontamination depended on the concentration of the acid, the time when treatment started, and the washing agent used. The most effective agent proved to be a 3% soap solution which, if applied early enough (within 5 min), removed as much as 98% of the radionuclide. Soap treatment diminished considerably the severity of the chemical burn and the penetration of 241 Am into the derma and its skin absorption. The effect from the decontamination was less marked when it was done at a later time and when the acid was more concentrated. Preliminary recommendations on decontamination of skin exposed to radionuclides in concentrated acids are given [ru

Modeled occupational exposures to gas-phase medical laser-generated air contaminants.

Science.gov (United States)

Lippert, Julia F; Lacey, Steven E; Jones, Rachael M

2014-01-01

Exposure monitoring data indicate the potential for substantive exposure to laser-generated air contaminants (LGAC); however the diversity of medical lasers and their applications limit generalization from direct workplace monitoring. Emission rates of seven previously reported gas-phase constituents of medical laser-generated air contaminants (LGAC) were determined experimentally and used in a semi-empirical two-zone model to estimate a range of plausible occupational exposures to health care staff. Single-source emission rates were generated in an emission chamber as a one-compartment mass balance model at steady-state. Clinical facility parameters such as room size and ventilation rate were based on standard ventilation and environmental conditions required for a laser surgical facility in compliance with regulatory agencies. All input variables in the model including point source emission rates were varied over an appropriate distribution in a Monte Carlo simulation to generate a range of time-weighted average (TWA) concentrations in the near and far field zones of the room in a conservative approach inclusive of all contributing factors to inform future predictive models. The concentrations were assessed for risk and the highest values were shown to be at least three orders of magnitude lower than the relevant occupational exposure limits (OELs). Estimated values do not appear to present a significant exposure hazard within the conditions of our emission rate estimates.

A quantification of occupational skin exposures and the use of protective gloves among hairdressers in Denmark.

Science.gov (United States)

Lysdal, Susan Hovmand; Johansen, Jeanne Duus; Flyvholm, Mari-Ann; Søsted, Heidi

2012-06-01

Occupational hand eczema is common in hairdressers, owing to excessive exposure to wet work and hairdressing chemicals. To quantify occupational skin exposure and the use of protective gloves among hairdressers in Denmark. A register-based study was conducted comprising all graduates from hairdressing vocational schools from 1985 to 2007 (n = 7840). The participants received a self-administered postal questionnaire in May 2009, including questions on hairdressing tasks performed in the past week at work and the extent of glove use. A response rate of 67.9% (n = 5324) was obtained. Of the respondents, 55.7% still worked as hairdressers, and they formed the basis of this study. Daily wet work was excessive; 86.6% had wet hands for ≥2 hr, and 54% for ≥ 4 hr. Glove use was fairly frequent for full head hair colouring and bleaching procedures (93-97.7%), but less frequent for highlighting/lowlighting procedures (49.7-60.5%) and permanent waving (28.3%). Gloves were rarely worn during hair washing (10%), although this was more frequently the case after hair colouring procedures (48.9%). Occupational skin exposure was excessive among hairdressers; the extent of wet work and chemical treatments was high, and glove use was inconsistent, especially for certain hair colouring procedures and wet work tasks. © 2012 John Wiley & Sons A/S.

Outbreak of invasive mycoses caused by Paecilomyces lilacinus from a contaminated skin lotion.

Science.gov (United States)

Orth, B; Frei, R; Itin, P H; Rinaldi, M G; Speck, B; Gratwohl, A; Widmer, A F

1996-11-15

Invasive mycoses are an important cause of illness and death in immunocompromised patients. Infections with molds other than aspergilli have been increasingly seen in patients with hematologic cancers, but epidemics of these infections have not yet been reported. To describe an outbreak of invasive mycoses with Paecilomyces lilacinus in severely neutropenic patients. An outbreak investigation. The hematology-oncology isolation and bone marrow transplantation unit of the University Hospital, Basel, Switzerland. 25 consecutive patients admitted between 17 August 1993 (the date of the first manifestation of P. lilacinus infection) and 31 October 1993 (when the unit was closed). Clinical and microbiological data, including histologic findings; cultures from several patient sites; and environmental examinations of potential airborne, parenteral, enteric, and horizontal routes of transmission. Infections were defined by the isolation of P. lilacinus from clinically evident skin eruptions. 12 of the 25 patients (48%) were infected or colonized. Nine patients (36%), including all bone marrow transplant recipients, had documented invasive P. lilacinus infections. All 9 infected patients had papular, pustular, or necrotic skin eruptions. Two patients with severe graft-versus-host disease died with refractory fungal disease; 1 also had microbiologically documented endophthalmitis and kidney infiltrates. Seven affected patients no longer had P. lilacinus after recovery of bone marrow function. The organism was resistant in vitro to amphotericin B, itraconazole, and fluconazole. Patients did not respond clinically to these agents. The outbreak was ultimately traced to a contaminated, commercially available, pharmaceutically prepared skin lotion. The outbreak ended after the skin lotion was recalled and has not recurred after a follow-up period of 2 years. Contaminated skin lotion is a potential cause of opportunistic fungal infections in immunocompromised hosts. Paecilomyces

Skin preparation with alcohol versus alcohol followed by any antiseptic for preventing bacteraemia or contamination of blood for transfusion.

Science.gov (United States)

Webster, Joan; Bell-Syer, Sally E M; Foxlee, Ruth

2015-02-12

Blood for transfusion may become contaminated at any point between collection and transfusion and may result in bacteraemia (the presence of bacteria in the blood), severe illness or even death for the blood recipient. Donor arm skin is one potential source of blood contamination, so it is usual to cleanse the skin with an antiseptic before blood donation. One-step and two-step alcohol based antiseptic regimens are both commonly advocated but there is uncertainty as to which is most effective. To assess the effects of cleansing the skin of blood donors with alcohol in a one-step compared with alcohol in a two-step procedure to prevent contamination of collected blood or bacteraemia in the recipient. In December 2014, for this third update, we searched the Cochrane Wounds Group Specialised Register; The Cochrane Central Register of Controlled Trials (CENTRAL), The Cochrane Library; Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE; and EBSCO CINAHL. All randomised trials (RCTs) comparing alcohol based donor skin cleansing in a one-step versus a two-step process that includes alcohol and any other antiseptic for pre-venepuncture skin cleansing were considered. Quasi randomised trials were to have been considered in the absence of RCTs. Two review authors independently assessed studies for inclusion. No studies (RCTs or quasi RCTs) met the inclusion criteria. We did not identify any eligible studies for inclusion in this review. It is therefore unclear whether a two-step, alcohol followed by antiseptic skin cleansing process prior to blood donation confers any reduction in the risk of blood contamination or bacteraemia in blood recipients, or conversely whether a one-step process increases risk above that associated with a two-step process.

Mercury Toxicity and Contamination of Households from the Use of Skin Creams Adulterated with Mercurous Chloride (Calomel

Directory of Open Access Journals (Sweden)

Lori Copan

2015-09-01

Full Text Available Inorganic mercury, in the form of mercurous chloride, or calomel, is intentionally added to some cosmetic products sold through informal channels in Mexico and the US for skin lightening and acne treatment. These products have led to multiple cases of mercury poisoning but few investigations have addressed the contamination of cream users’ homes. We report on several cases of mercury poisoning among three Mexican-American families in California from use of mercury-containing skin creams. Each case resulted in widespread household contamination and secondary contamination of family members. Urine mercury levels in cream users ranged from 37 to 482 µg/g creatinine and in non-users from non-detectable to 107 µg/g creatinine. Air concentrations of up to 8 µg/m3 of mercury within homes exceeded the USEPA/ATSDR health-based guidance and action level of <1.0 μg/m3. Mercury contamination of cream users’ homes presented a multi-pathway exposure environment to residents. Homes required extensive decontamination, including disposal of most household items, to achieve acceptable air levels. The acceptable air levels used were not designed to consider multi-pathway exposure scenarios. These findings support that the calomel is able to change valence form to elemental mercury and volatilize once exposed to the skin or surfaces in the indoor environment.

Measurement of contaminant removal from skin using a portable fluorescence scanning system

International Nuclear Information System (INIS)

Hession, Helena; Byrne, Miriam; Cleary, S.; Andersson, K.G.; Roed, J.

2006-01-01

The residence time of particulate contamination on the human body is a factor that has an important impact on the accuracy of exposure assessment in the aftermath of an accidental release of radionuclides to the atmosphere. Measurements of particle clearance from human skin were made using an illumination system to excite fluorescence in labelled silica particles and a CCD camera and image processing system to detect this fluorescence. The illumination system consists of high-intensity light emitting diodes (LEDS) of suitable wavelengths arranged on a portable stand. The physically small size of the LEDs allows them to be positioned close to the fluorescing surface, thus maximising the fluorescent signal that can be obtained. The limit of detection was found to be 50 μg of tracer particle per cm 2 . Experiments were carried out to determine the clearance rates of 10 μm and 3 μm particles from the skin. Results show that, in the absence of any mechanical rubbing of the skin, the clearance of particles from the skin followed an approximately exponential decay with a half-time of 1.5-7.8 h. Skin hairiness and degree of human movement were found, in addition to particle size, to have an important influence on particle fall-off rate

Principles and methodology for translation and cross-cultural adaptation of the Nordic Occupational Skin Questionnaire (NOSQ-2002) to Spanish and Catalan.

Science.gov (United States)

Sala-Sastre, Nohemi; Herdman, Mike; Navarro, Lidia; de la Prada, Miriam; Pujol, Ramón M; Serra, Consol; Alonso, Jordi; Flyvholm, Mari-Ann; Giménez-Arnau, Ana M

2009-08-01

Occupational skin diseases are among the most frequent work-related diseases in industrialized countries. The Nordic Occupational Skin Questionnaire (NOSQ-2002), developed in English, is a useful tool for screening of occupational skin diseases. To culturally adapt the NOSQ-2002 to Spanish and Catalan and to assess the clarity, comprehension, cultural relevance and appropriateness of the translated versions. The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) principles of good practice for the translation and cultural adaptation of patient-reported outcomes were followed. After translation into the target language, a first consensus version of the questionnaire was evaluated in multiple cognitive debriefing interviews. The expert panel introduced some modifications in 39 (68%) and 27 (47%) items in the Spanish and Catalan version, respectively (e.g. addition of examples and definitions, reformulation of instructions and use of direct question format). This version was back translated and submitted to the original authors, who suggested a further seven and two modifications in the Spanish and Catalan versions, respectively. A second set of cognitive interviews were performed. A consensus version of both questionnaires was obtained after final modifications based on comments by the patients. The final versions of the Spanish and Catalan NOSQ-2002 questionnaires are now available at www.NRCWE.dk/NOSQ.

Skin contamination dosimeter

Science.gov (United States)

Hamby, David M [Corvallis, OR; Farsoni, Abdollah T [Corvallis, OR; Cazalas, Edward [Corvallis, OR

2011-06-21

A technique and device provides absolute skin dosimetry in real time at multiple tissue depths simultaneously. The device uses a phoswich detector which has multiple scintillators embedded at different depths within a non-scintillating material. A digital pulse processor connected to the phoswich detector measures a differential distribution (dN/dH) of count rate N as function of pulse height H for signals from each of the multiple scintillators. A digital processor computes in real time from the differential count-rate distribution for each of multiple scintillators an estimate of an ionizing radiation dose delivered to each of multiple depths of skin tissue corresponding to the multiple scintillators embedded at multiple corresponding depths within the non-scintillating material.

Contaminant adhesion (aerial/ground biofouling) on the skin of a gecko.

Science.gov (United States)

Watson, Gregory S; Cribb, Bronwen W; Schwarzkopf, Lin; Watson, Jolanta A

2015-07-06

In this study, we have investigated the micro- and nano-structuring and contaminant adhesional forces of the outer skin layer of the ground dwelling gecko--Lucasium steindachneri. The lizard's skin displayed a high density of hairs with lengths up to 4 μm which were spherically capped with a radius of curvature typically less than 30 nm. The adhesion of artificial hydrophilic (silica) and hydrophobic (C18) spherical particles and natural pollen grains were measured by atomic force microscopy and demonstrated extremely low values comparable to those recorded on superhydrophobic insects. The lizard scales which exhibited a three-tier hierarchical architecture demonstrated higher adhesion than the trough regions between scales. The two-tier roughness of the troughs comprising folding of the skin (wrinkling) limits the number of contacting hairs with particles of the dimensions used in our study. The gecko skin architecture on both the dorsal and trough regions demonstrates an optimized topography for minimizing solid-solid and solid-liquid particle contact area, as well as facilitating a variety of particulate removal mechanisms including water-assisted processes. These contrasting skin topographies may also be optimized for other functions such as increased structural integrity, levels of wear protection and flexibility of skin for movement and growth. While single hair adhesion is low, contributions of many thousands of individual hairs (especially on the abdominal scale surface and if deformation occurs) may potentially aid in providing additional adhesional capabilities (sticking ability) for some gecko species when interacting with environmental substrates such as rocks, foliage and even man-made structuring. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

SUDOQU, a new dose-assessment methodology for radiological surface contamination.

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van Dillen, Teun; van Dijk, Arjan

2018-06-12

A new methodology has been developed for the assessment of the annual effective dose resulting from removable and fixed radiological surface contamination. It is entitled SUDOQU (SUrface DOse QUantification) and it can for instance be used to derive criteria for surface contamination related to the import of non-food consumer goods, containers and conveyances, e.g., limiting values and operational screening levels. SUDOQU imposes mass (activity)-balance equations based on radioactive decay, removal and deposition processes in indoor and outdoor environments. This leads to time-dependent contamination levels that may be of particular importance in exposure scenarios dealing with one or a few contaminated items only (usually public exposure scenarios, therefore referred to as the 'consumer' model). Exposure scenarios with a continuous flow of freshly contaminated goods also fall within the scope of the methodology (typically occupational exposure scenarios, thus referred to as the 'worker model'). In this paper we describe SUDOQU, its applications, and its current limitations. First, we delineate the contamination issue, present the assumptions and explain the concepts. We describe the relevant removal, transfer, and deposition processes, and derive equations for the time evolution of the radiological surface-, air- and skin-contamination levels. These are then input for the subsequent evaluation of the annual effective dose with possible contributions from external gamma radiation, inhalation, secondary ingestion (indirect, from hand to mouth), skin contamination, direct ingestion and skin-contact exposure. The limiting effective surface dose is introduced for issues involving the conservatism of dose calculations. SUDOQU can be used by radiation-protection scientists/experts and policy makers in the field of e.g. emergency preparedness, trade and transport, exemption and clearance, waste management, and nuclear facilities. Several practical examples are worked

Evaluation of dose to skin surface contamination in the factory Juzbado of fuel elements

International Nuclear Information System (INIS)

Ortiz Trujillo, D.; Agustin Perez Fonseca, A.; Alejandro Fuentes, A.

2013-01-01

The aim of this work is previously set a simple calculation methodology applicable to the boundary conditions surrounding the environment where skin contamination may have occurred so that you can evaluate in a simple and fast way the dose that the worker is receiving while enduring such pollution. (Author)

The problem of adequacy in skin dosimetry for the case of a nuclear reactor emergency and for occupational exposure

International Nuclear Information System (INIS)

Osanov, D.

1991-01-01

The requirement for satisfactory skin dosimetry is, briefly, that the measured dosimetric values should be applicable for further unambiguous prediction of the radiation-induced effects. To fit these requirements the dose limits and actual dose burdens should be concerned with those target skin structures that are primarily responsible for biological effects. The problem of adequate skin dosimetry is here considered for the two most important situations: (1) for normal operation of nuclear power plants, and (2) for a nuclear reactor emergency. A method for determination of the absorbed dose of beta radiation in the surface tissues of the human body from a flat source produced by radionuclides accumulated on the ground surface is presented. Skin dose estimation techniques and actual values of personnel skin doses are also presented, as well as the application of such dose data in predicting the consequences of the irradiation. The principles of emergency and conventional skin dosemeter construction fulfilling the requirements for adequacy and for the measurement of the dose limits for occupational irradiation of the skin are discussed. (author)

Skin dose estimation due to a contamination by a radionuclide β emitter: are doses equivalent good estimator of protection quantities?

International Nuclear Information System (INIS)

Bourgois, L.

2011-01-01

When handling radioactive β emitters, measurements in terms of personal dose equivalents H p (0.07) are used to estimate the equivalent dose limit to skin or extremities given by regulations. First of all, analytical expressions for individual dose equivalents H p (0.07) and equivalent doses to the extremities H skin are given for a point source and for contamination with a radionuclide β emitter. Second of all, operational quantities and protection quantities are compared. It is shown that in this case the operational quantities significantly overstate the protection quantities. For a skin contamination the ratio between operational quantities and protection quantities is 2 for a maximum β energy of 3 MeV and 90 for a maximum β energy of 150 keV. (author)

Campylobacter in Broiler Chicken and Broiler Meat in Sri Lanka: Influence of Semi-Automated vs. Wet Market Processing on Campylobacter Contamination of Broiler Neck Skin Samples

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Kottawattage S. A. Kottawatta

2017-11-01

Full Text Available Broiler meat can become contaminated with Campylobacter of intestinal origin during processing. The present study aimed to identify the prevalence of Campylobacter in broiler flocks and meat contamination at retail shops, and determine the influence of semi-automated and wet market processing on Campylobacter contamination of neck skin samples. Samples were collected from semi-automated plants (n = 102 and wet markets (n = 25. From each batch of broilers, pooled caecal samples and neck skin samples were tested for Campylobacter. Broiler meat purchased from retail outlets (n = 37 was also tested. The prevalence of Campylobacter colonized broiler flocks was 67%. The contamination of meat at retail was 59%. Both semi-automated and wet market processing resulted to contaminate the broiler neck skins to the levels of 27.4% and 48%, respectively. When Campylobacter-free broiler flocks were processed in semi-automated facilities 15% (5/33 of neck skin samples became contaminated by the end of processing whereas 25% (2/8 became contaminated after wet market processing. Characterization of isolates revealed a higher proportion of C. coli compared to C. jejuni. Higher proportions of isolates were resistant to important antimicrobials. This study shows the importance of Campylobacter in poultry industry in Sri Lanka and the need for controlling antimicrobial resistance.

Campylobacter in Broiler Chicken and Broiler Meat in Sri Lanka: Influence of Semi-Automated vs. Wet Market Processing on Campylobacter Contamination of Broiler Neck Skin Samples.

Science.gov (United States)

Kottawatta, Kottawattage S A; Van Bergen, Marcel A P; Abeynayake, Preeni; Wagenaar, Jaap A; Veldman, Kees T; Kalupahana, Ruwani S

2017-11-29

Broiler meat can become contaminated with Campylobacter of intestinal origin during processing. The present study aimed to identify the prevalence of Campylobacter in broiler flocks and meat contamination at retail shops, and determine the influence of semi-automated and wet market processing on Campylobacter contamination of neck skin samples. Samples were collected from semi-automated plants ( n = 102) and wet markets ( n = 25). From each batch of broilers, pooled caecal samples and neck skin samples were tested for Campylobacter . Broiler meat purchased from retail outlets ( n = 37) was also tested. The prevalence of Campylobacter colonized broiler flocks was 67%. The contamination of meat at retail was 59%. Both semi-automated and wet market processing resulted to contaminate the broiler neck skins to the levels of 27.4% and 48%, respectively. When Campylobacter -free broiler flocks were processed in semi-automated facilities 15% (5/33) of neck skin samples became contaminated by the end of processing whereas 25% (2/8) became contaminated after wet market processing. Characterization of isolates revealed a higher proportion of C. coli compared to C. jejuni . Higher proportions of isolates were resistant to important antimicrobials. This study shows the importance of Campylobacter in poultry industry in Sri Lanka and the need for controlling antimicrobial resistance.

Occupation and skin cancer: the results of the HELIOS-I multicenter case-control study

Directory of Open Access Journals (Sweden)

Gafà Lorenzo

2007-07-01

Full Text Available Abstract Background Non-melanoma skin cancer (NMSC is the most frequent tumour among Caucasian populations worldwide. Among the risk factors associated with this tumour, there are host-related factors and several environmental agents. A greater likelihood of high exposure to physical agents (with the exception of solar radiation and chemical agents depends on the work setting. Our objective is to evaluate the role of occupational exposures in NMSC, with special emphasis on risk factors other than solar radiation and skin type. Methods We analysed 1585 cases (1333 basal cell carcinoma (BCC and 183 squamous cell carcinoma (SCC and 1507 controls drawn from the Helios-I multicenter study. Odds ratios (OR and 95% confidence intervals (CI were estimated using logistic regression mixed models. Results For NMSC as a whole (both histological types, miners and quarrymen, secondary education teachers, and masons registered excess risk, regardless of exposure to solar radiation and skin type (OR 7.04, 95% CI 2.44–20.31; OR 1.75, 95% CI 1.05–2.89 and OR 1.54, 95% CI 1.04–2.27, respectively. Frequency of BCC proved higher among railway engine drivers and firemen (OR 4.55; 95% CI 0.96–21.57, specialised farmers (OR 1.65; 95% CI 1.05–2.59 and salesmen (OR 3.02; 95% CI 1.05–2.86, in addition to miners and quarrymen and secondary education teachers (OR 7.96; 95% CI 2.72–23.23 and OR 1.76; 95% CI 1.05–2.94 respectively. The occupations that registered a higher risk of SCC (though not of BCC were those involving direct contact with livestock, construction workers not elsewhere classified (OR 2.95, 95% CI 1.12–7.74, stationary engine and related equipment operators not elsewhere classified (OR 5.31, 95% CI 1.13–21.04 and masons (OR 2.55, 95% CI 1.36–4.78. Conclusion Exposure to hazardous air pollutants, arsenic, ionizing radiations and burns may explain a good part of the associations observed in this study. The Helios study affords an

Occupational disease risk and some medical assessment criteria in occupational dermatoses

International Nuclear Information System (INIS)

Jirasek, L.; Kalensky, J.

1989-01-01

Proposals are put forward for the amendment of the List of Occupational Diseases (Supplement to Decree No. 149/1988 of the Czechoslovak Ministry of Labor and Social Affairs for the enforcement of Act No. 100/1988 on social welfare) in the field of skin diseases. This also concerns the item ''Diseases Caused by Ionizing Radiation and by Radiation with Similar Biological Effects''. Problems associated with diagnosing the skin disease, criteria of occupational diseases and disease hazards, and measures to be taken are discussed. (P.A.)

Skin decontamination: principles and perspectives.

Science.gov (United States)

Chan, Heidi P; Zhai, Hongbo; Hui, Xiaoying; Maibach, Howard I

2013-11-01

Skin decontamination is the primary intervention needed in chemical, biological and radiological exposures, involving immediate removal of the contaminant from the skin performed in the most efficient way. The most readily available decontamination system on a practical basis is washing with soap and water or water only. Timely use of flushing with copious amounts of water may physically remove the contaminant. However, this traditional method may not be completely effective, and contaminants left on the skin after traditional washing procedures can have toxic consequences. This article focuses on the principles and practices of skin decontamination.

The Eastern European experience on occupational skin diseases. Make underreporting an issue?

Science.gov (United States)

Moldovan, H R; Voidazan, S T; John, S M; Weinert, P; Moldovan, G; Vlasiu, M A; Szasz, Z A; Tiplica, G S; Szasz, S; Marin, A C; Salavastru, C M

2017-06-01

While legislation in most of the Eastern European countries is nowadays widely harmonized with the legal safety and health provisions of Western countries, there is still a sustained resistance to the notification of occupational skin diseases (OSD). The aim of the study was to identify the main barriers in notification and recognition of OSD in 22 Eastern European countries. An online survey was administered to key persons in the field of occupational safety and health in 22 Eastern European countries. Multiple variables of the notification system were studied, including clinical, organizational and educational issues. The main causes of underreporting OSD are ineffective enforcement of occupational safety and health legislation, contractual relationship employer-employee, long duration of the notifying process, restrictions of the notification systems in terms of who is entitled to notify an OSD, ineffective regulations in regards to the pre-employment and periodical medical examination, ineffective compensation schemes, restraints and hesitations, mainly from the doctors, inappropriate mentalities - fear of losing the jobs, fining of the employers by the authorities, stigmatization of the workers with OSD, additional costs for employers, stakeholders' lack of interest in notifying, lack of guidelines and protocols and lack of preventive programmes. The most valuable method for a proper recognition of OSD is to increase the awareness of physicians involved in the management of OSD (occupational physicians, GPs, dermatologists), as well as employers and workers. There is an urgent need to improve national legislation, to develop and promote adequate preventive programmes, emphasizing ethical, legal, economical and psychological aspects in order to achieve an increased recognition and a real reporting of OSD, and to enforce an international action plan for Eastern Europe in order to improve the notification of OSD. © 2017 European Academy of Dermatology and

Comparison of Four Antiseptic Preparations for Skin in the Prevention of Contamination of Percutaneously Drawn Blood Cultures: a Randomized Trial

Science.gov (United States)

Calfee, David P.; Farr, Barry M.

2002-01-01

A number of skin antiseptics have been used to prevent the contamination of blood cultures, but the comparative efficacies of these agents have not been extensively evaluated. We therefore sought to compare the efficacy of four skin antiseptics in preventing blood culture contamination in a randomized, crossover, investigator-blinded study conducted in an emergency department and the inpatient wards of a university hospital. The patient group included all patients from whom blood samples were obtained percutaneously for culture. Skin antisepsis was performed with 10% povidone-iodine, 70% isopropyl alcohol, tincture of iodine, or povidone-iodine with 70% ethyl alcohol (i.e., Persist). The blood culture contamination rate associated with each antiseptic was then determined. A total of 333 (2.62%) of 12,692 blood cultures were contaminated during the study period compared to 413 (3.21%) of 12,859 blood cultures obtained during the previous 12-month period (relative risk = 0.82; 95% confidence interval, 0.71 to 0.94; P = 0.006). During the study, the contamination rates were determined to be 2.93% with povidone-iodine, 2.58% with tincture of iodine, 2.50% with isopropyl alcohol, and 2.46% with Persist (P = 0.62). We detected no significant differences in the blood culture contamination rates among these four antiseptics, although there was some evidence suggesting greater efficacy among the alcohol-containing antiseptics. Among the evaluated antiseptics, isopropyl alcohol may be the optimal antiseptic for use prior to obtaining blood for culture, given its convenience, low cost, and tolerability. PMID:11980938

Decontamination efficiency of detergents on the market for the skin contaminated with radioactive materials. The comparative test (1)

International Nuclear Information System (INIS)

Miyabe, Kenjiro; Ninomiya, Kazushi; Takasaki, Koji; Horiuchi, Nobuharu; Yasunaka, Hideo; Izumi, Yuichi

1999-04-01

Contamination incidence on human body and skin happens sometimes during radiation works in controlled area. The radioactive surface contamination should be removed from the skin as soon as possible for radiation control and exposure management. Titanium oxide paste, which is reserved as a detergent for decontamination, has a satisfactory and reliable result for decontamination effects. The titanium oxide paste, however, has a short preservation period, and must be updated and supplied every serenal months. Decontamination tests for about 60 kinds of detergents on the market were carried out with swine and radioactive material, Ce-144. Radioactive solution of Ce-144 was dropped on the test samples of swine skin, which were left for 5 min or 40 min as it is. Radioactivities of the samples were measured before and after washing by the detergents. As a result of the decontamination tests, 22 kinds of detergents on the market which have a similar decontamination efficiency to the titanium oxide paste were selected. It was also ascertained that the decontamination efficiency of all the detergents decreased on the test samples which were immersed in the radioactive solution for 40 min and wounded on skin surface. (Suetake, M.)

Contamination of persons occupationally exposed to natural radioactivity in a coal fired power plant

International Nuclear Information System (INIS)

Bauman, A.; Horvat, D.

1980-01-01

Contamination of occupationally exposed subjects with natural radioactivity in a coal fired power plant at levels of 500 mrem/year was detected. The level of 210 Pb in urine varied from 2.29-14.47 pCi/l. These values were arrived at after subtracting a blank value of 1.05 pCi 210 Pb obtained from a control group. Structural chromosomal aberrations, completely missing in the control group, were detected in the exposed subjects. Approximately 6-10% of the metaphases of occupationally exposed subjects were found to have aberrations which were probably radiation induced. These included symmetrical and asymmetrical exchanges and numerical aberrations. In the control aroup aberrations were found in 1.4-4% of the metaphases, but these were only deletions. (H.K.)

Personnel decontamination and preventive skin care

International Nuclear Information System (INIS)

Henning, Klaus; Gojowczyk, Peter

2010-01-01

Skin contamination arises from contact with contaminated aqueous solutions and from transmission of radioactively contaminated dirt particles. As long as the surface of the skin is neither inflamed nor showing any lesions, normally only a limited part of the top layer (epidermis), i.e. the upper layers of the stratum corneum, is contaminated. The intact horny layer has a barrier function protecting against the penetration of chemicals and dirt particles. The horny layer can be damaged by water, solvents, alkaline substances, and acids. In general, it is safe to say that the horny layer acts as a natural barrier to the penetration of liquid and particulate impurities into lower layers of the skin. As long as the horny layer is intact and free from lesions, the risk of incorporation can be considered low. When decontaminating and cleansing the skin, also in daily skin cleansing, care must be taken to prevent the acid protective layer and the horny layer from being compromised. Daily cleansing and cleansing for decontamination must be carried out with a mild, weakly acidic detergent. In addition, prevention should be achieved daily by applying a non-greasy skin lotion to protect the skin. Following a systematic regular regimen in skin cleansing and preventive skin care as well as a specific approach in skin decontamination and cleansing will avoid damage to the skin and remove any contamination incurred. This approach comprises a three-pronged concept, namely skin protection, cleansing and care. (orig.)

[Occupational skin cancer : Prevention and recommendations for UV protection as part of the treatment approved by the public statutory employers' liability insurance].

Science.gov (United States)

Rocholl, M; Ludewig, M; Skudlik, C; Wilke, A

2018-04-27

In Germany, approximately 2 to 3 million employees work in outdoor professions. They are exceptionally exposed to solar ultraviolet (UV) radiation for a large part of their daily working time. Cumulative UV exposure is associated with a significantly increased risk of skin cancer for outdoor workers from various occupational groups (e. g. landscape and horticulture, agriculture and forestry, fisheries and seafaring, construction and trade, as well as sports teachers, lifeguards and mountain guides). Since 1 January 2015, squamous cell carcinoma and multiple actinic keratosis due to natural UV radiation can be recognised as occupational disease No. 5103 by the German statutory social accident insurance. Reducing cumulative UV exposure is the main prevention aspect of this type of skin damage. Therefore, technical, organisational and personal UV protection measures should be implemented in the professional and private environment. Moreover, they have to be regularly used in an appropriate way. In addition to guideline-oriented therapy, training and counselling of patients with already existing actinic skin damage or a recognised occupational disease No. 5103 is therefore of particular importance. The focus should be on improving the individual UV protection behaviour. This article gives an overview of current recommendations for UV protection in the professional environment. It outlines possible solutions for patient counselling in terms of UV protection in everyday practice.

Occupational dermatoses: An Asian perspective.

Science.gov (United States)

Bhatia, Riti; Sharma, Vinod Kumar

2017-01-01

Occupational dermatoses contribute to a significant portion of work-related diseases, especially in Asia, where a major portion of the workforce is in the unorganized sector. This review article is focussed on the frequency and pattern of occupational skin diseases reported across Asian countries and type of allergens implicated in different occupations. The literature was searched systematically using key words 'occupational dermatoses,' 'occupational skin disease' and name of each Asian country. Ninty five full-text articles were considered relevant and evaluated. Some of the dermatoses seen in industrial workers in Asian countries are similar to those in Western countries, including dermatoses due to chromate in construction and electroplating workers, epoxy resin, and chromate in painters, wood dust in workers in the furniture industry, azo dyes in textile workers and formaldehyde and chromates in those working in the leather and dyeing industries, dermatoses in domestic workers, chefs and health-care workers. Dermatoses in workers engaged in agriculture, beedi (tiny cigars) manufacture, agarbatti (incense sticks) production, fish processing, carpet weaving, sanitation and those working in coffee plantations and coal mines appear to be unique to Asian countries. Recognition of clinical patterns and geographic variations in occupational skin diseases will provide an impetus to further strengthen future research in these areas, as well as improving their management.

Training of skin decontamination and its results

International Nuclear Information System (INIS)

Yasunaka, Hideo; Wadachi, Yoshiki.

1976-01-01

In the nuclear power and radioisotope handling facilities, one of the most important problems is a radioactive contamination on skin. Hand skin contamination occurs very often in the operation area and such surface contamination must be removed as soon as possible to prevent an internal contamination. From 1967 to 1975, training courses for skin decontamination had been held with total 536 of trainee based on the radiation protection manual at the Oarai Research Establishment of JAERI. In the training courses, fresh pig skin samples used instead of human skin were contaminated with 137 Cs, 131 I, 85 Sr, 60 Co, 144 Ce, 88 Y, 239 Pu, fission products and activated metal corrosion particles, respectively. These samples were washed practically by each trainee with the skin decontamination method recommended in the manual. Results obtained in the training showed that such training itself is a significant work and this skin decontamination method is an excellent first aid. (auth.)

A Turkish translation of the Nordic Occupational Skin Questionnaire (NOSQ-2002/LONG) adapted for young workers in high-risk jobs.

Science.gov (United States)

Aktas, Emine; Esin, Melek Nihal

2016-03-01

Occupational skin diseases (OSDs) represent 10-40% of all occupational diseases in many industrialized countries. Young workers are frequently exposed to toxic substances and chemicals in the workplace. The occupational conditions of young workers can impose a high level of risk for the occurrence of OSDs. The Nordic Occupational Skin Questionnaire (NOSQ-2002) was developed in English as a new, comprehensive, standardized tool with which to screen for OSDs. The purpose of this study was to translate the NOSQ-2002 into Turkish and to culturally adapt the long version of the instrument for use with young workers in jobs with high risk for the occurrence of OSDs. Forward and back translations were carried out. Problematic items were modified until the Turkish-language version achieved a satisfactory consensus with the original version of the NOSQ-2002. The final Turkish version was tested in 40 randomly selected young workers with and without OSDs who were studying in the fields of hairdressing, jewelry making, and car mechanics at vocational training schools run by the National Education Ministry. When the original questionnaire had been translated into the target language, a first consensus version was evaluated by an expert panel. The expert panel determined that 36 questions (63.2%) in the Turkish version required some level of modification in order to facilitate clear understanding. Cognitive interviews were then performed. After some modification, the final Turkish version was established and tested among young workers. The new Turkish version of the NOSQ is a comprehensible, reliable, and useful tool that can be applied to young workers in specific occupations. © 2015 The International Society of Dermatology.

Effect of Skin Protection and Skin Irritation on the Internal Exposure to Carbon Disulfide in Employees of the Viscose Industry.

Science.gov (United States)

Kilo, Sonja; Zonnur, Nina; Uter, Wolfgang; Göen, Thomas; Drexler, Hans

2015-10-01

Occupational exposure to carbon disulfide (CS2) leads to inhalative and dermal uptake and thereby to internal exposure. In order to prevent occupational contact dermatitis, gloves and skin protection creams are used at the workplace. The aim of the study was the evaluation of the influence of personal skin protection and irritation on the internal exposure to CS2 of employees in the viscose industry. One hundred and eighty-two male CS2-exposed employees were included in the study and were examined regarding working conditions, use of personal protective measures und skin status. Personal air monitoring and biological monitoring was performed and the 'relative internal exposure' (RIE, internal exposure in relation to external exposure) calculated. A multiple regression analysis calculated the influence of skin protection and irritation on CS2 uptake. Usage of skin protection creams and gloves (and both in combination) while working was associated with a significantly higher RIE indicating a higher dermal penetration of CS2. Equally, irritated skin and younger age was associated with a higher internal burden. Gloves and skin protection creams are useful for preventing occupational skin diseases. However, when handling skin-resorptive substances like CS2, they can increase internal exposure or skin irritation. Therefore, we recommend the careful consideration of benefits and risks of protective creams and gloves at the workplace. © The Author 2015. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.

OCCUPATIONAL CONTACT DERMATITIS AMONGST DENTISTS AND DENTAL TECHNICIANS.

Science.gov (United States)

Lugović-Mihić, Liborija; Ferček, Iva; Duvančić, Tomislav; Bulat, Vedrana; Ježovita, Josip; Novak-Bilić, Gaby; Šitum, Mirna

2016-06-01

Since the working medical personnel including dentists and dental technicians mainly use their hands, it is understandable that the most common occupational disease amongst medical personnel is contact dermatitis (CD) (80%-90% of cases). Development of occupational CD is caused by contact of the skin with various substances in occupational environment. Occupational etiologic factors for dental personnel are foremost reactions to gloves containing latex, followed by various dental materials (e.g., metals, acrylates), detergents, lubricants, solvents, chemicals, etc. Since occupational CD is relatively common in dental personnel, its timely recognition, treatment and taking preventive measures is needed. Achieving skin protection at exposed workplaces is of special importance, as well as implementing necessary measures consequently and sufficiently, which is sometimes difficult to achieve. Various studies have shown the benefit of applying preventive measures, such as numerous protocols for reducing and managing latex sensitivity and other forms of CD in dentistry. Active involvement of physicians within the health care system, primarily dermatologists, occupational medicine specialists and general medicine doctors is needed for establishing an accurate medical diagnosis and confirmation of occupational skin disease.

Effectiveness of skin protection creams in the prevention of occupational dermatitis: results of a randomized, controlled trial.

Science.gov (United States)

Winker, Robert; Salameh, Bayda; Stolkovich, Sabine; Nikl, Michael; Barth, Alfred; Ponocny, Elisabeth; Drexler, Hans; Tappeiner, Gerhard

2009-04-01

The aim of the trial was to investigate whether the publicized effects of skin protection creams can be replicated in a real occupational setting during activities that expose the skin. A prospective, randomized, four-tailed controlled pilot trial was performed to compare the effect of skin protection and skin care alone or in combination with cleansing against a control group (only cleansing). Two branches were selected for the investigation: the building industry and the timber industry. A total of 1,006 workers from these two branches were recruited, and out of these 485 workers were examined longitudinally for at least three time points over 1 year (lost for follow-up: 430 workers, exclusion: 91 workers). At each time point, as a primary outcome measure, we assessed the condition of the skin at both hands in a blinded manner and the individual was assigned to one of the following categories: no eczema, mild, moderate and severe eczema. As a secondary outcome measure, the worker's transepidermal water loss (TEWL) was measured under standardized conditions at the back of both hands. In addition, the workers were asked to evaluate their skin condition during the study. With regard to differences in the occurrence of eczemas, we found only in workers in building industry without application of skin protection or skin care creams a statistical significant increase in the incidence between the first and the second visit and a statistical significant decrease in the incidence between the second and third visit. When evaluating the secondary outcome-measurement changes in the TEWL values, an improvement was found for the group skin protection and skin care in combination and by skin care alone. Females in the timber industry started with better TEWL values than males, which may be due to better overall skin care. In this group we found an improvement for the group skin protection and skin care in combination and by skin protection alone. For skin protection alone, we

Occupational dermatoses: An Asian perspective

Directory of Open Access Journals (Sweden)

Riti Bhatia

2017-01-01

Full Text Available Occupational dermatoses contribute to a significant portion of work-related diseases, especially in Asia, where a major portion of the workforce is in the unorganized sector. This review article is focussed on the frequency and pattern of occupational skin diseases reported across Asian countries and type of allergens implicated in different occupations. The literature was searched systematically using key words 'occupational dermatoses,' 'occupational skin disease' and name of each Asian country. Ninty five full-text articles were considered relevant and evaluated. Some of the dermatoses seen in industrial workers in Asian countries are similar to those in Western countries, including dermatoses due to chromate in construction and electroplating workers, epoxy resin, and chromate in painters, wood dust in workers in the furniture industry, azo dyes in textile workers and formaldehyde and chromates in those working in the leather and dyeing industries, dermatoses in domestic workers, chefs and health-care workers. Dermatoses in workers engaged in agriculture, beedi (tiny cigars manufacture, agarbatti (incense sticks production, fish processing, carpet weaving, sanitation and those working in coffee plantations and coal mines appear to be unique to Asian countries. Recognition of clinical patterns and geographic variations in occupational skin diseases will provide an impetus to further strengthen future research in these areas, as well as improving their management.

Simulation of the occupational radiation dose caused by contamination of primary circuit media in pressurized water reactors

International Nuclear Information System (INIS)

Artmann, Andreas; Bruhn, Gerd; Schneider, Sebastian; Strub, Erik

2016-01-01

The occupational radiation exposure of workers in NPPs during overall maintenance and refueling inspections and decommissioning is determined by numerous parameters. Radiation exposure caused by contamination of components may be minimised by the chemical operation mode and by applying systematic decontamination techniques. Data on occupational exposure in German NPPs as well as information about the radionuclide concentration in the coolant are available. The generic 3D model of the primary circuit presented is based on the analysis of technical documentation of German PWRs. Tasks are modeled as a combination of retention times at related local positions in the surroundings of work areas. The generic model allows the calculation of the resulting occupational doses generated by definable jobs and tasks. The KWU/Siemens- PWR generations are characterised by nuclide vectors, the thickness of shielding, and the material composition of components. It was possible to show that for a pre-Konvoi plant, the calculated occupational dose caused by a specific working task is close to measurements.

Simulation of the occupational radiation dose caused by contamination of primary circuit media in pressurized water reactors

Energy Technology Data Exchange (ETDEWEB)

Artmann, Andreas; Bruhn, Gerd; Schneider, Sebastian [Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) gGmbH, Koeln (Germany); Strub, Erik [Koeln Univ. (Germany). Abt. Nuklearchemie

2016-11-15

The occupational radiation exposure of workers in NPPs during overall maintenance and refueling inspections and decommissioning is determined by numerous parameters. Radiation exposure caused by contamination of components may be minimised by the chemical operation mode and by applying systematic decontamination techniques. Data on occupational exposure in German NPPs as well as information about the radionuclide concentration in the coolant are available. The generic 3D model of the primary circuit presented is based on the analysis of technical documentation of German PWRs. Tasks are modeled as a combination of retention times at related local positions in the surroundings of work areas. The generic model allows the calculation of the resulting occupational doses generated by definable jobs and tasks. The KWU/Siemens- PWR generations are characterised by nuclide vectors, the thickness of shielding, and the material composition of components. It was possible to show that for a pre-Konvoi plant, the calculated occupational dose caused by a specific working task is close to measurements.

Jewelry boxes contaminated by Aspergillus oryzae: an occupational health risk?

Science.gov (United States)

Bellanger, Anne-Pauline; Roussel, Anaïs; Millon, Laurence; Delaforge, Marcel; Reboux, Gabriel

2012-01-01

In 2009, 100,000 jewelry boxes, manufactured in China, were delivered to a jewelry manufacturer in Besançon, France. All the boxes were contaminated by mold. Because the workers refused to handle these jewelry boxes, the company contacted our laboratory to determine how to deal with the problem. Three choices were available: (1) decontaminate the boxes, (2) return the boxes to the Chinese manufacturer, or (3) destroy the entire shipment. Based on microscopic identification, the culture analysis was positive for A. oryzae. This could not be confirmed by molecular techniques because of the genetic proximity of A. oryzae and A. flavus. Because A. flavus can produce aflatoxins, we tested for them using mass spectrometry. Aflatoxins B1, B2, G1, G2, and M1 were not detected; however, given the specifics of this situation, we could not discard the possibility of the presence of other aflatoxins, such as P1, B3, GM2, and ethoxyaflatoxin B2. We concluded that the contamination by A. oryzae was probably due to food products. However, because of the possible presence of aflatoxins, occupational health risks could not be entirely ruled out. The decision was therefore taken to destroy all the jewelry boxes by incineration. To avoid a similar situation we propose: (1) to maintain conditions limiting mold contamination during production (not eating on the work site, efficient ventilation systems); (2) to desiccate the products before sending them; and (3) to closely control the levels of dampness during storage and transport.

Occupational skin diseases and prevention among sanitation ...

African Journals Online (AJOL)

Background: Little research has been focused on the health status or the occupational protection awareness of sanitation workers. The policy recommendations on the occupational safety and health of sanitation workers based on the scientific research are also insufficient in developing countries like China. Objective: To ...

[In vitro percutaneous absorption of chromium powder and the effect of skin cleanser].

Science.gov (United States)

D'Agostin, F; Crosera, M; Adami, G; Malvestio, A; Rosani, R; Bovenzi, M; Maina, G; Filon, F Larese

2007-01-01

Occupational chromium dermatitis occurs frequently among cement and metal workers, workers dealing with leather tanning and employees in the ceramic industry. The present study, using an in-vitro system, evaluated percutaneous absorption of chromium powder and the effect of rapid skin decontamination with a common detergent. Experiments were performed using the Franz diffusion cell method with human skin. Physiological solution was used as receiving phase and a suspension of chromium powder in synthetic sweat was used as donor phase. The tests were performed without or with decontamination using the cleanser 30 minutes after the start of exposure. The amount of chromium permeated through the skin was analysed by Inductively Coupled Plasma Atomic Emission Spectroscopy and Electro Thermal Atomic Absorption Spectroscopy. Speciation analysis and measurements of chromium skin content were also performed. We calculated a permeation flux of 0.843 +/- 0.25 ng cm(-2) h(-1) and a lag time of 1.1 +/- 0.7 h. The cleaning procedure significantly increased chromium skin content, whereas skin passage was not increased. These results showed that chromium powder can pass through the skin and that skin decontamination did not decrease skin absorption. Therefore, it is necessary to prevent skin contamination when using toxic agents.

Antibacterial effect of glycerol as preservative on donor skin

International Nuclear Information System (INIS)

Van Baare, J.; Ligtvoet, E.E.J.; Middelkoop, E.

1999-01-01

Glycerolised cadavetic allografts have been used widely since 1984 in the treatment of bum wounds. Rejections reaction to glycerolised skin were reported to be attenuated. Structural integrity of the skin was maintained and antiviral and antibacterial effects were noted. The Euro Skin Bank has gathered approximately 2000 data since 1987 concerning bacteriology cultures of glycerolised skin. These data are presented. Bacteriological data from skin donors were examined from 1987 till 1995 (1927 data). Donor skin sent to the laboratory and found to be positive for bacteria was quarantined and another container with skin samples was sent to the laboratory at a later time point. This was repeated until all cultures were negative. In 1987, 25 donors were processed without using antibiotics. These results were compared with donor skin treated with antibiotics. The average day for first culture was 19.7 ? 17.2. The average percentage of contaminated skin was 10.1? 3.7%. Antibiotics reduced contamination of glycerolised skin from 80% to 10.1%. Glycerol treatment also showed an antibacterial effect as all contaminated skin eventually became negative. Of the contaminated skin Staphylococcus epidermidis was found most frequently: in 70.7 ? 10.8% of the cases. Not all bacteria are equally sensitive to glycerol: Staphylococcus epidennidis contaminated skin became sterile after 48?24 days, whereas for Bacillus species it took 195? 1 37.9 days. We show that glycerol preservation of donor skin has important advantages over conservative methods such as cryopreservation. Initial contamination of the skin is no longer a reason to discard the material. Prolonged storage in glycerol will eliminate bacterial contamination. This allows an increase in yield of at least 10%

Electron contamination modeling and skin dose in 6 MV longitudinal field MRIgRT: Impact of the MRI and MRI fringe field

International Nuclear Information System (INIS)

Oborn, B. M.; Metcalfe, P. E.; Butson, M. J.; Rosenfeld, A. B.; Keall, P. J.

2012-01-01

Purpose: In recent times, longitudinal field MRI-linac systems have been proposed for 6 MV MRI-guided radiotherapy (MRIgRT). The magnetic field is parallel with the beam axis and so will alter the transport properties of any electron contamination particles. The purpose of this work is to provide a first investigation into the potential effects of the MR and fringe magnetic fields on the electron contamination as it is transported toward a phantom, in turn, providing an estimate of the expected patient skin dose changes in such a modality. Methods: Geant4 Monte Carlo simulations of a water phantom exposed to a 6 MV x-ray beam were performed. Longitudinal magnetic fields of strengths between 0 and 3 T were applied to a 30 x 30 x 20 cm 3 phantom. Surrounding the phantom there is a region where the magnetic field is at full MRI strength, consistent with clinical MRI systems. Beyond this the fringe magnetic field entering the collimation system is also modeled. The MRI-coil thickness, fringe field properties, and isocentric distance are varied and investigated. Beam field sizes of 5 x 5, 10 x 10, 15 x 15 and 20 x 20 cm 2 were simulated. Central axis dose, 2D virtual entry skin dose films, and 70 μm skin depth doses were calculated using high resolution scoring voxels. Results: In the presence of a longitudinal magnetic field, electron contamination from the linear accelerator is encouraged to travel almost directly toward the patient surface with minimal lateral spread. This results in a concentration of electron contamination within the x-ray beam outline. This concentration is particularly encouraged if the fringe field encompasses the collimation system. Skin dose increases of up to 1000% were observed for certain configurations and increases above Dmax were common. In nonmagnetically shielded cases, electron contamination generated from the jaw faces and air column is trapped and propagated almost directly to the phantom entry region, giving rise to intense dose

Occupational skin hazards and prevalence of occupational skin diseases in shoe manufacturing workers in Indonesia

NARCIS (Netherlands)

Febriana, Sri Awalia; Soebono, Hardyanto; Coenraads, Pieter-Jan

Purpose Shoe manufacturing workers are exposed daily to an extensive range of potential physical and chemical occupational hazards. Shoe manufacturing in Indonesia is one of the industrial sectors that has shown sustained growth amongst the newly industrialized countries (NICs). In this study, we

A computer system for occupational radiation exposure information

International Nuclear Information System (INIS)

Hunt, H.W.

1984-01-01

A computerized occupational radiation exposure information system has been developed to maintain records for contractors at the U.S. Department of Energy's (DOE) Hanford Site. The system also allows indexing and retrieval of three million documents from microfilm, thus significantly reducing storage needs and costs. The users are linked by display terminals to the data base permitting them instant access to dosemetry and other radiation exposure information. Personnel dosemeter and bioassay results, radiation training, respirator fittings, skin contaminations and other radiation occurrence records are included in the data base. The system yields immediate analysis of radiological exposures for operating management and health physics personnel, thereby releasing personnel to use their time more effectively

Electron contamination modeling and skin dose in 6 MV longitudinal field MRIgRT: Impact of the MRI and MRI fringe field.

Science.gov (United States)

Oborn, B M; Metcalfe, P E; Butson, M J; Rosenfeld, A B; Keall, P J

2012-02-01

In recent times, longitudinal field MRI-linac systems have been proposed for 6 MV MRI-guided radiotherapy (MRIgRT). The magnetic field is parallel with the beam axis and so will alter the transport properties of any electron contamination particles. The purpose of this work is to provide a first investigation into the potential effects of the MR and fringe magnetic fields on the electron contamination as it is transported toward a phantom, in turn, providing an estimate of the expected patient skin dose changes in such a modality. Geant4 Monte Carlo simulations of a water phantom exposed to a 6 MV x-ray beam were performed. Longitudinal magnetic fields of strengths between 0 and 3 T were applied to a 30 × 30 × 20 cm(3) phantom. Surrounding the phantom there is a region where the magnetic field is at full MRI strength, consistent with clinical MRI systems. Beyond this the fringe magnetic field entering the collimation system is also modeled. The MRI-coil thickness, fringe field properties, and isocentric distance are varied and investigated. Beam field sizes of 5 × 5, 10 × 10, 15 × 15 and 20 × 20 cm(2) were simulated. Central axis dose, 2D virtual entry skin dose films, and 70 μm skin depth doses were calculated using high resolution scoring voxels. In the presence of a longitudinal magnetic field, electron contamination from the linear accelerator is encouraged to travel almost directly toward the patient surface with minimal lateral spread. This results in a concentration of electron contamination within the x-ray beam outline. This concentration is particularly encouraged if the fringe field encompasses the collimation system. Skin dose increases of up to 1000% were observed for certain configurations and increases above Dmax were common. In nonmagnetically shielded cases, electron contamination generated from the jaw faces and air column is trapped and propagated almost directly to the phantom entry region, giving rise to intense

An Animal Model of Trichloroethylene-Induced Skin Sensitization in BALB/c Mice.

Science.gov (United States)

Wang, Hui; Zhang, Jia-xiang; Li, Shu-long; Wang, Feng; Zha, Wan-sheng; Shen, Tong; Wu, Changhao; Zhu, Qi-xing

2015-01-01

Trichloroethylene (TCE) is a major occupational hazard and environmental contaminant that can cause multisystem disorders in the form of occupational medicamentosa-like dermatitis. Development of dermatitis involves several proinflammatory cytokines, but their role in TCE-mediated dermatitis has not been examined in a well-defined experimental model. In addition, few animal models of TCE sensitization are available, and the current guinea pig model has apparent limitations. This study aimed to establish a model of TCE-induced skin sensitization in BALB/c mice and to examine the role of several key inflammatory cytokines on TCE sensitization. The sensitization rate of dorsal painted group was 38.3%. Skin edema and erythema occurred in TCE-sensitized groups, as seen in 2,4-dinitrochlorobenzene (DNCB) positive control. Trichloroethylene sensitization-positive (dermatitis [+]) group exhibited increased thickness of epidermis, inflammatory cell infiltration, swelling, and necrosis in dermis and around hair follicle, but ear painted group did not show these histological changes. The concentrations of serum proinflammatory cytokines including tumor necrosis factor (TNF)-α, interferon (IFN)-γ, and interleukin (IL)-2 were significantly increased in 24, 48, and 72 hours dermatitis [+] groups treated with TCE and peaked at 72 hours. Deposition of TNF-α, IFN-γ, and IL-2 into the skin tissue was also revealed by immunohistochemistry. We have established a new animal model of skin sensitization induced by repeated TCE stimulations, and we provide the first evidence that key proinflammatory cytokines including TNF-α, IFN-γ, and IL-2 play an important role in the process of TCE sensitization. © The Author(s) 2015.

Absorption of radionuclide through wounded skin

International Nuclear Information System (INIS)

Kusama, Tomoko; Ogaki, Kazushi; Yoshizawa, Yasuo

1982-01-01

The translocation and absorption of 58 Co(CoCl 2 ) through a wound was investigated experimentally with mice. Physical and chemical skin damages became the objects of the investigation. Abrasion, puncture and incision were made for types of the physical damage. The chemical damage included both acid and alkaline burns. The absorptions of the radionuclide through the contaminated wounds were measured with both a 2 inches NaI(Tl) scintillation detector and an auto well gamma counter at 15,30 and 60 min after the contamination. The radionuclide was hardly absorbed through an undamaged skin. After 30 min, 20 to 40% of the radionuclide applied on the physically damaged skin was absorbed, but was not absorbed through the chemically damaged skin. The absorption rate through the physically damaged skin reached a maximum at 15 to 60 min after the contamination. The velocity of the absorption through the physically damaged skin was 100 times as much as the chemically damaged skin. The absorption rates through the physically and the chemically damaged skins were expressed by the following formulas: A=a(1-e sup(-bt)) and A=a(e sup(bt)-1), where a and b is constant, respectively. (author)

[Early detection of occupational skin diseases in sewer workers].

Science.gov (United States)

Lang, V; Lauffer, F; Fincan, Y; Biedermann, T; Zink, A

2018-04-25

Skin diseases affect 30-70% of the world population, and globally, skin cancer rates are continuously increasing. In this respect, prevention programs and early detection of skin diseases are of particular importance. To screen sewer workers for skin diseases with regard to their work-related risk. Employees of the municipal utilities in Munich (Münchner Stadtentwässerung) underwent a whole-body examination of the skin, conducted by two dermatologists. In addition, all employees completed a paper-based questionnaire on risk behavior and preventive measures. We examined 81 employees (79 men, 2 women, mean age 45.7 ± 9.5 years). Skin lesions in need of treatment were found in 30.9% (n = 25): the most frequent diagnosis was mycosis pedis (16.1%). In addition, one employee was diagnosed with basal cell carcinoma and two with actinic keratoses. According to the questionnaire, 43.5% of the employees had undergone a physician-led skin cancer screening in the past, whereas sun-protection practices were rarely applied. According to our findings, employee skin cancer screening seems to be beneficial for the detection of work-related skin diseases and is associated with a high participation rate. Furthermore, the study suggests that sewer workers have a high rate of mycosis pedis, possibly a work-related effect.

Occupational allergic contact dermatitis and patch test results of leather workers at two Indonesian tanneries

NARCIS (Netherlands)

Febriana, Sri Awalia; Jungbauer, Frank; Soebono, Hardyanto; Coenraads, Pieter-Jan

Background. Tannery workers are at considerable risk of developing occupational contact dermatitis. Occupational skin diseases in tannery workers in newly industrialized countries have been reported, but neither the prevalence of occupational allergic contact dermatitis nor the skin-sensitizing

Clinical use of radiation sterile porcine skin and Ag-skin of porcine

International Nuclear Information System (INIS)

Zhu Xiaobo

1995-01-01

Clinical examination revealed that either radiation sterilized skin or Ag-skin of pig are effective biologic dressing. When used as temporary skin coverage for fresh burn wound, for wound after escharectomy, and for wounds among skin grafts, they are effective in preventing infection and loss of body fluid. They can also be used for covering the infected granulation wound to control bacterial growth and further contamination

Occupational allergy due to seafood delivery: Case report

Directory of Open Access Journals (Sweden)

Trautmann Axel

2008-05-01

Full Text Available Abstract Background Sensitization to fish or crustaceans requires intensive skin contact and/or airway exposition and therefore especially workers in the seafood processing industry may develop an occupational seafood allergy. However, even in jobs with limited direct exposure, individuals with atopic disposition not using appropriate skin protection are at risk for developing occupational seafood allergy which requires termination of employment. Case presentation Due to increasing workload and pressure of time a truck driver in charge of seafood deliveries for 10 years neglected preventive measures such as wearing protective cloths and gloves which resulted in increasing direct skin contact to seafood or mucosal contact to splashing storage ice. Despite his sensitization to fish and crustaceans he tried to remain in his job but with ongoing incidental allergen exposure his symptoms progressed from initial contact urticaria to generalized urticaria, anaphylaxis and finally occupational asthma. Conclusion Faulty knowledge and increased work load may impede time-consuming usage of preventive measures for occupational health and safety. In predisposed atopic individuals even minor allergen exposure during seafood distribution may lead to occupational seafood allergy. With ongoing allergen exposure progression to potentially life-threatening allergy symptoms may occur.

Skin protection in nursing work : promoting the use of gloves and hand alcohol

NARCIS (Netherlands)

Jungbauer, FHW; van der Harst, J.J.; Groothoff, J.W.; Coenraads, PJ

Nursing has been identified as a wet-work occupation, with a high prevalence of occupational irritant contact dermatitis. Reduction of exposure to skin irritants contributes to the prevention of occupational skin disease in nurses. The role of the use of soap and water, hand alcohol and gloves in

Occupational contact urticaria and protein contact dermatitis.

Science.gov (United States)

Doutre, Marie-Sylvie

2005-01-01

Irritant dermatitis and eczema are the most prevalent occupational skin diseases. Less common are immediate contact reactions such as contact urticaria and protein contact dermatitis. Occupational contact urticaria can be subdivided into two categories, immunological and non immunological. However, some agents can induce these two types of reactions. Contact urticaria to natural rubber latex is particularly frequent among health care personnel, but contact urticaria to a wide variety of other substances occurs in many other occupations. Among those at risk are cooks, bakers, butchers, restaurant personnel, veterinarians, hairdressers, florists, gardeners, and forestry workers. Protein contact dermatitis in some of these occupations is caused principally by proteins of animal or plant origin, especially among individuals with a history of atopic dermatitis. Diagnosis requires careful interrogation, clinical examination and skin tests (open tests and prick tests with immediate lecture) to identify a particular contact allergen.

Development of haemostatic decontaminants for treatment of wounds contaminated with chemical warfare agents. 3: Evaluation of in vitro topical decontamination efficacy using damaged skin.

Science.gov (United States)

Lydon, Helen L; Hall, Charlotte A; Dalton, Christopher H; Chipman, J Kevin; Graham, John S; Chilcott, Robert P

2017-08-01

Previous studies have demonstrated that haemostatic products with an absorptive mechanism of action retain their clotting efficiency in the presence of toxic materials and are effective in decontaminating chemical warfare (CW) agents when applied to normal, intact skin. The purpose of this in vitro study was to assess three candidate haemostatic products for effectiveness in the decontamination of superficially damaged porcine skin exposed to the radiolabelled CW agents, soman (GD), VX and sulphur mustard (HD). Controlled physical damage (removal of the upper 100 μm skin layer) resulted in a significant enhancement of the dermal absorption of all three CW agents. Of the haemostatic products assessed, WoundStat™ was consistently the most effective, being equivalent in performance to a standard military decontaminant (fuller's earth). These data suggest that judicious application of haemostatic products to wounds contaminated with CW agents may be a viable option for the clinical management of casualties presenting with contaminated, haemorrhaging injuries. Further studies using a relevant animal model are required to confirm the potential clinical efficacy of WoundStat™ for treating wounds contaminated with CW agents. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Skin exposure to isocyanates: reasons for concern.

Science.gov (United States)

Bello, Dhimiter; Herrick, Christina A; Smith, Thomas J; Woskie, Susan R; Streicher, Robert P; Cullen, Mark R; Liu, Youcheng; Redlich, Carrie A

2007-03-01

Isocyanates (di- and poly-), important chemicals used worldwide to produce polyurethane products, are a leading cause of occupational asthma. Respiratory exposures have been reduced through improved hygiene controls and the use of less-volatile isocyanates. Yet isocyanate asthma continues to occur, not uncommonly in settings with minimal inhalation exposure but opportunity for skin exposure. In this review we evaluate the potential role of skin exposure in the development of isocyanate asthma. We reviewed the published animal and human literature on isocyanate skin-exposure methods, workplace skin exposure, skin absorption, and the role of skin exposure in isocyanate sensitization and asthma. We selected relevant articles from computerized searches on Medline, U.S. Environmental Protection Agency, Occupational Safety and Health Administration, National Institute for Occupational Safety and Health, and Google databases using the keywords "isocyanate," "asthma," "skin," "sensitization," and other synonymous terms, and our own extensive collection of isocyanate publications. Isocyanate production and use continues to increase as the polyurethane industry expands. There is substantial opportunity for isocyanate skin exposure in many work settings, but such exposure is challenging to quantify and continues to be underappreciated. Isocyanate skin exposure can occur at work, even with the use of personal protective equipment, and may also occur with consumer use of certain isocyanate products. In animals, isocyanate skin exposure is an efficient route to induce sensitization, with subsequent inhalation challenge resulting in asthma-like responses. Several lines of evidence support a similar role for human isocyanate skin exposure, namely, that such exposure occurs and can contribute to the development of isocyanate asthma in certain settings, presumably by inducing systemic sensitization. Integrated animal and human research is needed to better understand the role of skin

Occupational exposure to contaminated biological material: perceptions and feelings experienced among dental students

Directory of Open Access Journals (Sweden)

Camila PINELLI

Full Text Available INTRODUCTION: Dental students may be a particularly vulnerable group exposed to the risk of acquiring infections through occupational injuries.OBJECTIVE: To investigate the perceptions with regard to their occupational exposure to potentially infectious biologic materials.MATERIAL AND METHOD: Interviews were conducted by means of a script with open questions. The speeches were recorded, transcribed and qualitative analysis was performed with the aid of QUALIQUANTISOFT® software. The Collective Subject Discourse (CSD was obtained.RESULT: The feeling most frequently experienced was related to the fear of contagion. Most accidents occurred during the handling of sharp dental instruments. Respondents attributed the occurrence of accidents especially the lack of attention, carelessness while handling sharp instruments, and lack of use of Personal Protective Equipment. As regards the measures taken right after the exposure, they "washed the local area". Other respondents reported they "continued the dental treatment". They complained mostly about the fear of having been infected, and because they had to leave the faculty to take blood exams for HIV screening. As part of the learning experience the injured reported they paid more attention when handling sharp instruments. The students informed that any type of injury due to contact with contaminated material must be notified. However, they were neglectful about reporting their own injury.CONCLUSION: Education strategies for preventive measures related to occupational exposure must be restructured, because the knowledge and the fear of contagion among dental students were not always sufficient for a complete adherence to treatment protocols and notification.

Primary circuit contamination in nuclear power plants: contribution to occupational exposure

International Nuclear Information System (INIS)

Provens, H.

2002-01-01

In every country since the 80's, a clear downward trend is observed concerning the occupational doses at nuclear power plants, as shows the regularly decreasing annual collective dose per operating reactor. Even if technology and work management are improving, the reduction and the control of radiation sources remain one critical point. This paper summarizes the results of an extended study on the primary circuit contamination in nuclear power plants and its contribution to workers' exposure. The paper reviews the origin and mechanisms of radiation production and the different ways of radiation control or reduction based on physical and chemical parameters and not organisational or human factors. It underlines that chemistry control of the primary circuit is one essential component of radiation protection optimisation in nuclear power plants. Results reported come from scientific data in open literature and cannot be generalized to all the power plants

Determinants of Sunburn and Sun Protection of Agricultural Workers During Occupational and Recreational Activities.

Science.gov (United States)

Backes, Claudine; Milon, Antoine; Koechlin, Alice; Vernez, David; Bulliard, Jean-Luc

2017-11-01

The aim of this study was to identify determinants of occupational sunburn in agricultural workers and assess their occupational and recreational sun protection habits. Specific surveys of agricultural workers in Switzerland and France were conducted (N = 1538). Multivariate logistic regressions identified occupational sunburn determinants. Occupational and recreational sun protection habits were estimated and correlated. One-year occupational and recreational sunburn prevalences were 19.8% and 11.5%, respectively. Occupational sunburn increased with having a recent recreational sunburn, highly sensitive skin, young age, high perceived skin cancer risk, using sunscreen, and not wearing a hat. Correlation between protection habits during work and leisure was substantial (rs 0.5 to 0.7). Skin health knowledge was high and pro-tanning attitude moderate. Potentially modifiable sunburn determinants and suboptimal recreational and occupational sun protection practices were identified in agricultural workers. Refining and tailoring sun protection messages targeting the agricultural sector are needed.

The 2008 ICOH Workshop on Skin Notation

NARCIS (Netherlands)

Sartorelli, P.; Ahlers, H. W.; Cherrie, J. W.; Kezic, Sanja; Johanson, G.; Filon, Francesca Larese; Nielsen, J. B.; Shepherd, A.; Stull, J.; Williams, Faith

2010-01-01

Background: On 29 March 2008 the International Commission on Occupational Health (ICOH) Scientific Committee on Occupational and Environmental Dermatoses organized a Skin Notation Workshop hosted by the 11(th) International Percutaneous Penetration Perspectives Conference (La Grande Motte, France).

Treatment of plutonium contaminations

International Nuclear Information System (INIS)

Lafuma, J.

1983-01-01

Three kinds of plutonium contaminations were considered: skin contamination; contaminated wounds; contamination by inhalation. The treatment of these contaminations was studied for insoluble (oxide and metal forms) and soluble plutonium (complexes). The use of DTPA and therapeutic problems encountered with stable plutonium complexes were analyzed. The new possibilities of internal decontamination using Puchel and LICAM were evaluated [fr

No need to change the skin knife in modern arthroplasty surgery.

Science.gov (United States)

Ottesen, C; Skovby, A; Troelsen, A; Specht, C; Friis-Møller, A; Husted, H

2014-08-01

Earlier studies have found varying contamination rates using separate skin and deep knives in total hip (THA) and total knee (TKA) arthroplasty surgery. Previous studies were primarily conducted in the setting of concomitant use of laminar airflow and/or plastic adhesive draping. This has lead to conflicting conclusions regarding discarding the skin knife or not. This study evaluates the prevalence of contamination of a separate skin knife using modern antiseptic technique in primary THA and TKA without laminar airflow. Three knives from each primary THA and TKA surgery in non-laminar airflow operating rooms were collected: one used for the skin, one used for deeper tissues and one control knife. A total of 831 knife blades from 277 patients were cultured 12 days. Contamination of the skin knife was found in eight patients (2.8 %), contamination of the "deep" knife in five patients (1.8 %) and contamination of the control knife in five patients (1.8 %). No patient developed an infection with 1-year follow-up. Our findings suggest a very low rate of contamination of the skin knife using modern antiseptic technique without laminar airflow and/or plastic adhesive draping and do not support the use of a separate skin knife in arthroplasty surgery.

Self-reported skin symptoms and skin-related quality of life among Latino immigrant poultry processing and other manual workers.

Science.gov (United States)

Quandt, Sara A; Newman, Jill C; Pichardo-Geisinger, Rita; Mora, Dana C; Chen, Haiying; Feldman, Steven R; Arcury, Thomas A

2014-05-01

Manual labor employment occurs in environments with exposures likely to impact skin-related quality of life (SRQOL). The objectives of this paper are to (1) document the dimensions of SRQOL, (2) examine its association with skin symptoms, and (3) identify the predictors of SRQOL in Latino manual workers. A population-based survey of 733 Latino manual workers obtained Dermatology Life Quality Index (DLQI) and skin symptoms in the prior year. Two-thirds of workers were employed in production. Skin symptoms in prior year were reported by 23%. Impaired SRQOL was reported by 23%. In multivariate analyses, reduced SRQOL was associated with age, occupation, childhood indigenous language use, and experience of skin symptoms in the prior year. Despite overall high SRQOL exposures in some immigrant occupational groups produce reduce SRQOL. This rural, immigrant population faces significant obstacles to obtaining dermatological care; efforts are needed to improve their SRQOL. © 2013 Wiley Periodicals, Inc.

Levamisole-Contaminated Cocaine: An Emergent Cause of Vasculitis and Skin Necrosis

Directory of Open Access Journals (Sweden)

Osama Souied

2014-01-01

Full Text Available The prevalence of cocaine adulterated with levamisole-induced vasculitis is increasing and physicians should be aware of this unique entity. There have been many reports of cutaneous vasculitis syndrome caused by cocaine which is contaminated with levamisole. Levamisole was used as an antihelminth drug and later was rescinded from use in humans due to adverse effects. Through this paper, we will report a 39-year-old crack cocaine user who presented with purpuric rash and skin necrosis of his ear lobes. Levamisole-induced vasculitis syndrome was suspected. A urine toxicology screen was positive for cocaine, opiates, and marijuana. Blood work revealed positive titres of ANA and p-ANCA, as well as anti-cardiolipin antibody. Biopsy taken from the left ear showed focal acute inflammation, chronic inflammation with thrombus formation, and extravasated blood cells. Treatment was primarily supportive with wound care.

Bacterial recolonization of the skin and wound contamination during cardiac surgery: a randomized controlled trial of the use of plastic adhesive drape compared with bare skin.

Science.gov (United States)

Falk-Brynhildsen, K; Söderquist, B; Friberg, O; Nilsson, U G

2013-06-01

Sternal wound infection after cardiac surgery is a serious complication. Various perioperative strategies, including plastic adhesive drapes, are used to reduce bacterial contamination of surgical wounds. To compare plastic adhesive drape to bare skin regarding bacterial growth in wound and time to recolonization of the adjacent skin intraoperatively, in cardiac surgery patients. This single-blinded randomized controlled trial (May 2010 to May 2011) included 140 patients scheduled for cardiac surgery via median sternotomy. The patients were randomly allocated to the adhesive drape (chest covered with plastic adhesive drape) or bare skin group. Bacterial samples were taken preoperatively and intraoperatively every hour during surgery until skin closure. Disinfection with 0.5% chlorhexidine solution in 70% alcohol decreased coagulase-negative staphylococci (CoNS), while the proportion colonized with Propionibacterium acnes was not significantly reduced and was still present in more than 50% of skin samples. P. acnes was significantly more common in men than in women. Progressive bacterial recolonization of the skin occurred within 2-3 h. At 120 min there were significantly more positive cultures in the adhesive drape group versus bare skin group for P. acnes (63% vs 44%; P = 0.034) and for CoNS (45% vs 24%; P = 0.013). The only statistically significant difference in bacterial growth in the surgical wound was higher proportion of CoNS at the end of surgery in the adhesive drape group (14.7% vs 4.4%; P = 0.044). Plastic adhesive drape does not reduce bacterial recolonization. P. acnes colonized men more frequently, and was not decreased by disinfection with chlorhexidine solution in alcohol. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Consequences of occupational food-related hand dermatoses with a focus on protein contact dermatitis

DEFF Research Database (Denmark)

Vester, Lotte; Thyssen, Jacob P; Menné, Torkil

2012-01-01

Background. Protein contact dermatitis is a frequent disorder among hand eczema patients who have occupational food contact. Knowledge about the consequences of having protein contact dermatitis is lacking. Objectives. To investigate the consequences of having occupational skin disease on the hands...... resulting from food handling, with a focus on protein contact dermatitis. Material and methods. One hundred and seventy-eight patients who were identified as having skin disease related to occupational food exposure and who answered a questionnaire concerning the consequences of their skin disease were......%, respectively, of the patients with other occupational food-related hand dermatoses (p = 0.02). Sixty-two per cent and 43%, respectively, had to change job because of skin problems (p = 0.02). Atopic dermatitis was equally common in the two groups. Conclusion. We found that the patients with protein contact...

Contaminants in Buildings and Occupied Spaces as Risk Factors forOccupant Symptoms in U.S. Office Buildings: Findings from the U.S. EPABASE Study

Energy Technology Data Exchange (ETDEWEB)

Mendell, M.J.; Mirer, A.; Lei-Gomez, Q.

2007-08-01

Nonspecific building-related symptoms among occupants of modern office buildings worldwide are common and may be associated with important reductions in work performance, but their etiology remains uncertain. Most reported research into environmental risk factors for these symptoms has focused on ventilation system-related factors, dampness, and particle removal through filtration and cleaning, with relatively few studies of other potential sources of indoor contaminants. We analyzed data collected by the U.S. Environmental Protection Agency (EPA) from a representative sample of 100 large U.S. office buildings--the Building Assessment and Survey Evaluation (BASE) study--using multivariate-adjusted logistic regression models with generalized estimating equations. We estimated odds ratios (ORs) and 95% confidence intervals (CIs) for associations between seven building-related symptom outcomes and a diverse set of potential indoor and outdoor sources for indoor pollutants. Although most of the investigated risk factors showed no apparent association with building-related symptoms, some interesting associations resulted. Increased prevalence of symptoms was associated with carpets older than one year (lower respiratory symptoms), non-carpeted floors (upper and lower respiratory symptoms), older furniture (eye and skin symptoms), infrequent vacuuming (upper respiratory, eye, and skin symptoms and headache), and masonry exterior walls (cough, eye symptoms, and fatigue/concentration difficulty). For the many potential risk factors assessed, almost none had been investigated previously, and many associations found here may have been by chance. Additional confirmatory research focused on risk factors initially identified here is needed, using more objective measures of health outcomes and risk factors or exposures.

Roles of the human occupant in indoor chemistry

DEFF Research Database (Denmark)

Weschler, Charles J.

2016-01-01

Over the last decade, influences of the human occupant on indoor chemistry have been investigated in environments ranging from simulated aircraft cabins to actual classrooms. We have learned that ozone reacts rapidly with constituents of skin surface lipids on exposed skin, hair, and clothing...... occupants scavenge ozone, the level of SOA derived from ozone/terpene chemistry decreases; the fraction of SVOCs in the gas-phase increases, and the fraction associated with airborne particles decreases. Occupants also remove organic compounds, including certain chemically active species, via bodily intake....... Studies reviewed in this paper demonstrate the pronounced influences of humans on chemistry within the spaces they inhabit and the consequences of these influences on their subsequent chemical exposures....

High‐resolution mass spectrometry of skin mucus for monitoring physiological impacts and contaminant biotransformation products in fathead minnows exposed to wastewater effluent

Science.gov (United States)

High‐resolution mass spectrometry is advantageous for monitoring physiological impacts and contaminant biotransformation products in fish exposed to complex wastewater effluent. We evaluated this technique using skin mucus from male and female fathead minnows (Pimephales pr...

Persistent environmental contamination with USA300 methicillin-resistant Staphylococcus aureus and other pathogenic strain types in households with S. aureus skin infections.

Science.gov (United States)

Eells, Samantha J; David, Michael Z; Taylor, Alexis; Ortiz, Nancy; Kumar, Neha; Sieth, Julia; Boyle-Vavra, Susan; Daum, Robert S; Miller, Loren G

2014-11-01

To understand the genotypic spectrum of environmental contamination of Staphylococcus aureus in households and its persistence. Prospective longitudinal cohort investigation. Index participants identified at 2 academic medical centers. Adults and children with S. aureus skin infections and their household contacts in Los Angeles and Chicago. Household fomites were surveyed for contamination at baseline and 3 months. All isolates underwent genetic typing. We enrolled 346 households, 88% of which completed the 3-month follow-up visit. S. aureus environmental contamination was 49% at baseline and 51% at 3 months. Among households with a USA300 methicillin-resistant S. aureus (MRSA) body infection isolate, environmental contamination with an indistinguishable MRSA strain was 58% at baseline and 63% at 3 months. Baseline factors associated with environmental contamination by the index subject's infection isolate were body colonization by any household member with the index subject's infection isolate at baseline (odds ratio [OR], 10.93 [95% confidence interval (CI), 5.75-20.79]), higher housing density (OR, 1.47 [95% CI, 1.10-1.96]), and more frequent household fomite cleaning (OR, 1.62 [95% CI, 1.16-2.27]). Household environmental contamination with the index subject's infection strain at 3 months was associated with USA300 MRSA and a synergistic interaction between baseline environmental contamination and body colonization by any household member with the index subject's infection strain. We found that infecting S. aureus isolates frequently persisted environmentally in households 3 months after skin infection. Presence of pathogenic S. aureus strain type in the environment in a household may represent a persistent reservoir that places household members at risk of future infection.

Occupational contact dermatitis amongst dentists and dental technicians

OpenAIRE

Lugović-Mihić, Liborija; Ferček, Iva; Duvančić, Tomislav; Bulat, Vedrana; Ježovita, Josip; Novak-Bilić, Gaby; Šitum, Mirna

2016-01-01

Since the working medical personnel including dentists and dental technicians mainly use their hands, it is understandable that the most common occupational disease amongst medical personnel is contact dermatitis (CD) (80%-90% of cases). Development of occupational CD is caused by contact of the skin with various substances in occupational environment. Occupational etiologic factors for dental personnel are foremost reactions to gloves containing latex, followed by various dental materials...

No need to change the skin knife in modern arthroplasty surgery

DEFF Research Database (Denmark)

Ottesen, C; Skovby, A; Troelsen, A

2014-01-01

to conflicting conclusions regarding discarding the skin knife or not. This study evaluates the prevalence of contamination of a separate skin knife using modern antiseptic technique in primary THA and TKA without laminar airflow. Three knives from each primary THA and TKA surgery in non-laminar airflow...... operating rooms were collected: one used for the skin, one used for deeper tissues and one control knife. A total of 831 knife blades from 277 patients were cultured 12 days. Contamination of the skin knife was found in eight patients (2.8 %), contamination of the "deep" knife in five patients (1.......8 %) and contamination of the control knife in five patients (1.8 %). No patient developed an infection with 1-year follow-up. Our findings suggest a very low rate of contamination of the skin knife using modern antiseptic technique without laminar airflow and/or plastic adhesive draping and do not support the use...

Occupational and food allergy: focus on allergen extracts

NARCIS (Netherlands)

N.W. de Jong (Nicolette)

2004-01-01

textabstractThe aim of this thesis is, first, the diagnostic work-up of occupational and food allergies in the absence of well-validated commercially available standardised extracts for Skin Prick Test. Second, to investigate cross-reactivity in occupational and food allergic patients. Third, the

Selection of skin dose calculation methodologies

International Nuclear Information System (INIS)

Farrell, W.E.

1987-01-01

This paper reports that good health physics practice dictates that a dose assessment be performed for any significant skin contamination incident. There are, however, several methodologies that could be used, and while there is probably o single methodology that is proper for all cases of skin contamination, some are clearly more appropriate than others. This can be demonstrated by examining two of the more distinctly different options available for estimating skin dose the calculational methods. The methods compiled by Healy require separate beta and gamma calculations. The beta calculational method is the derived by Loevinger, while the gamma dose is calculated from the equation for dose rate from an infinite plane source with an absorber between the source and the detector. Healy has provided these formulas in graphical form to facilitate rapid dose rate determinations at density thicknesses of 7 and 20 mg/cm 2 . These density thicknesses equate to the regulatory definition of the sensitive layer of the skin and a more arbitrary value to account of beta absorption in contaminated clothing

Disinfection of human skin allografts in tissue banking: a systematic review report.

Science.gov (United States)

Johnston, C; Callum, J; Mohr, J; Duong, A; Garibaldi, A; Simunovic, N; Ayeni, O R

2016-12-01

The use of skin allografts to temporarily replace lost or damaged skin is practiced worldwide. Naturally occurring contamination can be present on skin or can be introduced at recovery or during processing. This contamination can pose a threat to allograft recipients. Bacterial culture and disinfection of allografts are mandated, but the specific practices and methodologies are not dictated by standards. A systematic review of literature from three databases found 12 research articles that evaluated bioburden reduction processes of skin grafts. The use of broad spectrum antibiotics and antifungal agents was the most frequently identified disinfection method reported demonstrating reductions in contamination rates. It was determined that the greatest reduction in the skin allograft contamination rates utilized 0.1 % peracetic acid or 25 kGy of gamma irradiation at lower temperatures.

Occupational UVR skin protection by make-up

International Nuclear Information System (INIS)

Bonner, R.; Khazova, M.; O'Hagan, J. B.; Squire, H.

2012-01-01

New legislation has been introduced in the Member States of the European Union, covering worker exposure to artificial optical radiation. Use of make-up could reduce the ultraviolet hazard level and provide additional protection for skin against UV radiation (UVR). This is particularly important in entertainment and filming where intentional exposure of the actors and presenters to the very intense light sources may be required for extended periods of time. This document presents the assessment of UVR protection of make-up used in entertainment and demonstrates that the protection level varies considerably for different luminaires and application techniques. An important practical implication of this finding is that make-up alone cannot be considered as a reliable protection measure against skin exposure to actinic UV. (authors)

Occupational UVR skin protection by make-up.

Science.gov (United States)

Bonner, R; Khazova, M; O'Hagan, J B; Squire, H

2012-03-01

New legislation has been introduced in the Member States of the European Union, covering worker exposure to artificial optical radiation. Use of make-up could reduce the ultraviolet hazard level and provide additional protection for skin against UV radiation (UVR). This is particularly important in entertainment and filming where intentional exposure of the actors and presenters to the very intense light sources may be required for extended periods of time. This document presents the assessment of UVR protection of make-up used in entertainment and demonstrates that the protection level varies considerably for different luminaires and application techniques. An important practical implication of this finding is that make-up alone cannot be considered as a reliable protection measure against skin exposure to actinic UV.

[Occupational risk related to optical radiation exposure in construction workers].

Science.gov (United States)

Gobba, F; Modenese, A

2012-01-01

Optical Radiation is a relevant occupational risk in construction workers, mainly as a consequence of the exposure to the ultraviolet (UV) component of solar radiation (SR). Available data show that UV occupational limits are frequently exceeded in these workers, resulting in an increased occupational risk of various acute and chronic effects, mainly to skin and to the eye. One of the foremost is the carcinogenic effect: SR is indeed included in Group 1 IARC (carcinogenic to humans). UV exposure is related to an increase of the incidence of basal cell carcinoma, squamous cell carcinoma of the skin and cutaneous malignant melanoma (CMM). The incidence of these tumors, especially CMM, is constantly increasing in Caucasians in the last 50 years. As a conclusion, an adequate evaluation of the occupational risk related to SR, and adequate preventive measures are essential in construction workers. The role of occupational physicians in prevention is fundamental.

Potential health effects associated with dermal exposure to occupational chemicals.

Science.gov (United States)

Anderson, Stacey E; Meade, B Jean

2014-01-01

There are a large number of workers in the United States, spanning a variety of occupational industries and sectors, who are potentially exposed to chemicals that can be absorbed through the skin. Occupational skin exposures can result in numerous diseases that can adversely affect an individual's health and capacity to perform at work. In general, there are three types of chemical-skin interactions of concern: direct skin effects, immune-mediated skin effects, and systemic effects. While hundreds of chemicals (metals, epoxy and acrylic resins, rubber additives, and chemical intermediates) present in virtually every industry have been identified to cause direct and immune-mediated effects such as contact dermatitis or urticaria, less is known about the number and types of chemicals contributing to systemic effects. In an attempt to raise awareness, skin notation assignments communicate the potential for dermal absorption; however, there is a need for standardization among agencies to communicate an accurate description of occupational hazards. Studies have suggested that exposure to complex mixtures, excessive hand washing, use of hand sanitizers, high frequency of wet work, and environmental or other factors may enhance penetration and stimulate other biological responses altering the outcomes of dermal chemical exposure. Understanding the hazards of dermal exposure is essential for the proper implementation of protective measures to ensure worker safety and health.

Occupational skin diseases and prevention among sanitation ...

African Journals Online (AJOL)

in body defense, and is predisposed to disease when subjected to ... sanitation workers in Wuhan (China) for better manage- ment and ... Symptoms of facial skin photo .... ronment, diet nutrition and working environment were also poor.

OCCUPATION COMMONLY ASSOCIATED WITH CONTACT DERMATITIS

Directory of Open Access Journals (Sweden)

Elice Wijaya

2013-12-01

Full Text Available Normal 0 false false false EN-US X-NONE X-NONE Occupational skin diseases are a widespread problem. Despite numerous protective mechanisms, the skin remains vulnerable to new irritants found in the workplace. As a result, many workers in different occupations suffer from occupational skin diseases. From the data at Sanglah Hospital in Dermatology Department, it should be noted that there is increasing number of new cases of contact dermatitis in period of January 2000 until December 2005, from 10,16% until 13,36% in the next year and relatively stable in the next four years. Occupations commonly associated with contact dermatitis are agriculture workers, construction workers, dental workers, electronic workers, florists, food workers, hairdressers, haousekeeping personnel, machinist, mechanics, medical workers, office workers, photographers, printers, textile workers. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

Occupation and cancer in Britain.

Science.gov (United States)

Rushton, L; Bagga, S; Bevan, R; Brown, T P; Cherrie, J W; Holmes, P; Fortunato, L; Slack, R; Van Tongeren, M; Young, C; Hutchings, S J

2010-04-27

Prioritising control measures for occupationally related cancers should be evidence based. We estimated the current burden of cancer in Britain attributable to past occupational exposures for International Agency for Research on Cancer (IARC) group 1 (established) and 2A (probable) carcinogens. We calculated attributable fractions and numbers for cancer mortality and incidence using risk estimates from the literature and national data sources to estimate proportions exposed. 5.3% (8019) cancer deaths were attributable to occupation in 2005 (men, 8.2% (6362); women, 2.3% (1657)). Attributable incidence estimates are 13 679 (4.0%) cancer registrations (men, 10 063 (5.7%); women, 3616 (2.2%)). Occupational attributable fractions are over 2% for mesothelioma, sinonasal, lung, nasopharynx, breast, non-melanoma skin cancer, bladder, oesophagus, soft tissue sarcoma, larynx and stomach cancers. Asbestos, shift work, mineral oils, solar radiation, silica, diesel engine exhaust, coal tars and pitches, occupation as a painter or welder, dioxins, environmental tobacco smoke, radon, tetrachloroethylene, arsenic and strong inorganic mists each contribute 100 or more registrations. Industries and occupations with high cancer registrations include construction, metal working, personal and household services, mining, land transport, printing/publishing, retail/hotels/restaurants, public administration/defence, farming and several manufacturing sectors. 56% of cancer registrations in men are attributable to work in the construction industry (mainly mesotheliomas, lung, stomach, bladder and non-melanoma skin cancers) and 54% of cancer registrations in women are attributable to shift work (breast cancer). This project is the first to quantify in detail the burden of cancer and mortality due to occupation specifically for Britain. It highlights the impact of occupational exposures, together with the occupational circumstances and industrial areas where exposures to carcinogenic agents

CHARACTERIZING TRANSFER OF SURFACE RESIDUES TO SKIN USING A VIDEO-FLUORESCENT IMAGING TECHNIQUE

Science.gov (United States)

Surface-to-skin transfer of contaminants is a complex process. For children's residential exposure, transfer of chemicals from contaminated surfaces such as floors and furniture is potentially significant. Once on the skin, residues and contaminated particles can be transferred b...

Metal arc welding and the risk of skin cancer

DEFF Research Database (Denmark)

Heltoft, K N; Slagor, R M; Agner, T

2017-01-01

OBJECTIVES: Arc welding produces the full spectrum of ultraviolet radiation and may be a contributory cause of skin cancer; however, there has been little research into this occupational hazard. The aim of this study is to explore if metal arc welding increases the risk of malignant melanoma and....../or basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) on skin areas which may possibly be exposed (neck, head, and upper extremities). METHOD: A Danish national company-based historic cohort of 4333 male metal arc welders was followed from 1987 through 2012 to identify the risk of skin cancer....... An external reference group was established including all Danish skilled and unskilled male workers with similar age distribution. Occupational histories were gathered by questionnaires in 1986 and information about skin cancer diagnoses [BCC, SCC, cutaneous malignant melanoma (CMM), and precancerous...

Development of haemostatic decontaminants for the treatment of wounds contaminated with chemical warfare agents. 2: evaluation of in vitro topical decontamination efficacy using undamaged skin.

Science.gov (United States)

Dalton, Christopher H; Hall, Charlotte A; Lydon, Helen L; Chipman, J K; Graham, John S; Jenner, John; Chilcott, Robert P

2015-05-01

The risk of penetrating, traumatic injury occurring in a chemically contaminated environment cannot be discounted. Should a traumatic injury be contaminated with a chemical warfare (CW) agent, it is likely that standard haemostatic treatment options would be complicated by the need to decontaminate the wound milieu. Thus, there is a need to develop haemostatic products that can simultaneously arrest haemorrhage and decontaminate CW agents. The purpose of this study was to evaluate a number of candidate haemostats for efficacy as skin decontaminants against three CW agents (soman, VX and sulphur mustard) using an in vitro diffusion cell containing undamaged pig skin. One haemostatic product (WoundStat™) was shown to be as effective as the standard military decontaminants Fuller's earth and M291 for the decontamination of all three CW agents. The most effective haemostatic agents were powder-based and use fluid absorption as a mechanism of action to sequester CW agent (akin to the decontaminant Fuller's earth). The envisaged use of haemostatic decontaminants would be to decontaminate from within wounds and from damaged skin. Therefore, WoundStat™ should be subject to further evaluation using an in vitro model of damaged skin. Copyright © 2014 Crown copyright. Journal of Applied Toxicology © 2014 John Wiley & Sons, Ltd.

The Microbiota of the Human Skin.

Science.gov (United States)

Egert, Markus; Simmering, Rainer

2016-01-01

The aim of this chapter is to sum up important progress in the field of human skin microbiota research that was achieved over the last years.The human skin is one of the largest and most versatile organs of the human body. Owing to its function as a protective interface between the largely sterile interior of the human body and the highly microbially contaminated outer environment, it is densely colonized with a diverse and active microbiota. This skin microbiota is of high importance for human health and well-being. It is implicated in several severe skin diseases and plays a major role in wound infections. Many less severe, but negatively perceived cosmetic skin phenomena are linked with skin microbes, too. In addition, skin microorganisms, in particular on the human hands, are crucial for the field of hygiene research. Notably, apart from being only a potential source of disease and contamination, the skin microbiota also contributes to the protective functions of the human skin in many ways. Finally, the analysis of structure and function of the human skin microbiota is interesting from a basic, evolutionary perspective on human microbe interactions.Key questions in the field of skin microbiota research deal with (a) a deeper understanding of the structure (species inventory) and function (physiology) of the healthy human skin microbiota in space and time, (b) the distinction of resident and transient skin microbiota members, (c) the distinction of beneficial skin microorganisms from microorganisms or communities with an adverse or sickening effect on their hosts, (d) factors shaping the skin microbiota and its functional role in health and disease, (e) strategies to manipulate the skin microbiota for therapeutic reasons.

Occupational contact dermatitis in the wind energy industry.

Science.gov (United States)

Lárraga-Piñones, G; Heras-Mendaza, F; Conde-Salazar, L

2012-12-01

In 2010, wind energy coverage in Spain increased by 16%, making the country the world's fourth largest producer in a fast-developing industry that is also a source of employment. Occupational skin diseases in this field have received little attention. The present study aims to describe the main characteristics of skin diseases affecting workers in the wind energy industry and the allergens involved. We performed a descriptive, observational study of workers from the wind energy industry with suspected contact dermatitis who were referred to the occupational dermatology clinic of the National School of Occupational Medicine (Escuela Nacional de Medicina del Trabajo) between 2009 and 2011. We took both a clinical history and an occupational history, and patients underwent a physical examination and patch testing with the materials used in their work. We studied 10 workers (8 men, 2 women), with a mean age of 33.7 years. The main finding was dermatitis, which affected the face, eyelids, forearms, and hands. Sensitization to epoxy resins was detected in 4 workers, 1 of whom was also sensitized to epoxy curing agents. One worker was sensitized to bisphenol F resin but had a negative result with epoxy resin from the standard series. In the 5 remaining cases, the final diagnosis was irritant contact dermatitis due to fiberglass. Occupational skin diseases are increasingly common in the wind energy industry. The main allergens are epoxy resins. Fiberglass tends to produce irritation. Copyright © 2012 Elsevier España, S.L. and AEDV. All rights reserved.

Skin decontamination

International Nuclear Information System (INIS)

Moehrle, G.

1975-01-01

A general survey of skin decontamination is given. The success of every decontamination treatments depends mainly on the speed, but also on the care, with which the action is taken. The best way to remove the skin contaminants is thorough washing under lukewarm running water with mild soap and a soft brush. This washing is to be repeated several times for a period of several minutes. If results are not satisfactory, light duty detergents and wetting agents available commercially may also be used. Some solutions which have proved useful are mentioned. The decontamination solutions are best used in the order given. When one has no satisfactory decontamination effect, the next one is to be used. If necessary, these agents must be used several times in the stated order as long as this does not involve too much strain for the skin. All the decontamination measures mentioned refer, of course, to intact healthy skin. After decontamination has been completed, the skin should be treated with a protective cream

Risk factors for skin cancer among Finnish airline cabin crew.

Science.gov (United States)

Kojo, Katja; Helminen, Mika; Pukkala, Eero; Auvinen, Anssi

2013-07-01

Increased incidence of skin cancers among airline cabin crew has been reported in several studies. We evaluated whether the difference in risk factor prevalence between Finnish airline cabin crew and the general population could explain the increased incidence of skin cancers among cabin crew, and the possible contribution of estimated occupational cosmic radiation exposure. A self-administered questionnaire survey on occupational, host, and ultraviolet radiation exposure factors was conducted among female cabin crew members and females presenting the general population. The impact of occupational cosmic radiation dose was estimated in a separate nested case-control analysis among the participating cabin crew (with 9 melanoma and 35 basal cell carcinoma cases). No considerable difference in the prevalence of risk factors of skin cancer was found between the cabin crew (N = 702) and the general population subjects (N = 1007) participating the study. The mean risk score based on all the conventional skin cancer risk factors was 1.43 for cabin crew and 1.44 for general population (P = 0.24). Among the cabin crew, the estimated cumulative cosmic radiation dose was not related to the increased skin cancer risk [adjusted odds ratio (OR) = 0.75, 95% confidence interval (CI): 0.57-1.00]. The highest plausible risk of skin cancer for estimated cosmic radiation dose was estimated as 9% per 10 mSv. The skin cancer cases had higher host characteristics scores than the non-cases among cabin crew (adjusted OR = 1.43, 95% CI: 1.01-2.04). Our results indicate no difference between the female cabin crew and the general female population in the prevalence of factors generally associated with incidence of skin cancer. Exposure to cosmic radiation did not explain the excess of skin cancer among the studied cabin crew in this study.

Chronic effects of UV on human skin

International Nuclear Information System (INIS)

Cesarini, J.P.

1996-01-01

Chronic exposures and acute accidents of the skin to UV has been recognized as an important risk for skin cancers in human. Attempts have been made with mathematical models to correlate the ambient UV dose and occupational irradiations with the risk of skin cancers. Development of accurate global measurements of solar irradiance and personal dosimetry is expected in the future in order to reduce the exposure of the general population, to precise the measures to be taken for indoor and outdoor workers. (author)

Skin Dose Assessment by Hot Particles in Domestic Nuclear Power Plant

International Nuclear Information System (INIS)

Choi, Bo Yeol; Cho, Woon Kap; Lee, Jai Ki

2009-01-01

Since a contamination event by hot particles happened due to damaged nuclear fuel at a nuclear power plant (NPP) in the 1980's, skin exposure resulted from hot particles has gotten considerable attention from all the radiation workers in the nuclear industry. In particular, contamination incident caused by hot particles which happened at a NPP in Susquehanna proved that there existed hot particles with the radioactivity of 0.7 GBq, 0.78 GBq, and even 2.78 GBq at maximum. One of these particles was found on a worker's shoe and gave out a dose of 170 mSv. Although there has been no contamination event reported in domestic NPPs which are caused by hot particles, it is hard to conclude that there is no possibility of such contamination for radiation workers. The contaminated samples employed in this study were taken from local NPPs and supposes a case of a worker's skin contaminated by hot particles to evaluate the dose provided to the worker's skin

Computer and computer graphics support for the ALARA program

International Nuclear Information System (INIS)

Paine, D.; Hall, C.J.

1984-01-01

Computer programs have been developed which support three aspects of the ALARA program at Rockwell Hanford Operations (RHO): 1) Setting annual dose and skin contamination goals, 2) Analyzing trends in operational organizations' dose, numbers of skin contaminations, or radiation occurrences, and 3) Presenting graphic displays to enhance worker safety awareness. Programs have been written which search dosemetry files and produce histograms of annual occupational exposure and skin contamination histories utilizing the DISSPLA software or a desk top color graphics terminal. These programs and associated graphics are used to assemble dose and skin contamination information in a summary format so that ALARA teams can assess the past year's performance and establish reduction goals for the coming year. In addition, the graphics provide a management tool for recognizing desirable or undesirable trends in an organization's occupational dose or number of skin contaminations. Desk top graphics capabilities have been used to display safety-related data to enhance management review and worker awareness of radiological and industrial safety conditions in the work area. The following graphs are prepared on a monthly basis: 1) Numbers of skin contaminations company wide and for specific operating organizations within the company, 2) Numbers of radiation occurrences, 3) Dose histories for specific operational organizations, 4) Numbers of OSHA recordable incidents, 5) OSHA recordable incident rates and severity levels and 6) Lost workday cases

Worker radiological protection: occupational medical aspects

International Nuclear Information System (INIS)

Cardenas Herrera, Juan; Fernandez Gomez, Isis Maria

2008-01-01

Radiation exposures experienced by workers are widely explained. The first evidences of biological effects, the implications for human health and the radiological protection have been covered. The conceptual structure that covers the radiological protection and adequate protection without limiting benefits, the scientific basis of radiology, the benefits and risks of the radiological protection are specified. The effective per capita doses are exposed in medical uses both for Latin America and for other regions in the average radiology, dental radiology, nuclear medicine and radiotherapy. The manners of occupational exposures in the medicine are presented. Industrial uses have also its average effective dose in the industrial irradiation, industrial radiography and radioisotopes production. Within the natural radiation the natural sources can significantly contribute to occupational exposure and have their average effective dose. Occupational medical surveillance to be taken into industrial sites is detailed. In addition, the plan of international action for the solution of dilemmas of occupational exposures is mentioned and the different dilemmas of radioactive exposure are showed. The external irradiation, the acute diseases by radiations, the cutaneous syndrome of the chronic radiation, the radioactive contamination, the internal radioactive contamination, the combined lesion and accidental exposures are also treated [es

The occupational health and safety of flight attendants.

Science.gov (United States)

Griffiths, Robin F; Powell, David M C

2012-05-01

In order to perform safety-critical roles in emergency situations, flight attendants should meet minimum health standards and not be impaired by factors such as fatigue. In addition, the unique occupational and environmental characteristics of flight attendant employment may have consequential occupational health and safety implications, including radiation exposure, cancer, mental ill-health, musculoskeletal injury, reproductive disorders, and symptoms from cabin air contamination. The respective roles of governments and employers in managing these are controversial. A structured literature review was undertaken to identify key themes for promoting a future agenda for flight attendant health and safety. Recommendations include breast cancer health promotion, implementation of Fatigue Risk Management Systems, standardization of data collection on radiation exposure and health outcomes, and more coordinated approaches to occupational health and safety risk management. Research is ongoing into cabin air contamination incidents, cancer, and fatigue as health and safety concerns. Concerns are raised that statutory medical certification for flight attendants will not benefit either flight safety or occupational health.

Contamination with iodine-131 in metabolic therapy

International Nuclear Information System (INIS)

Garcia, R.; Luis, J.; Gomez, A.; Gonzalez, V.; Herrador, M.; Rogriguez, J.R.

1997-01-01

High-dose radioactive iodine therapy using 131 I is the treatment of choice for patients with thyroid cancer following thyroidectomy. Because of the large amount of activity which is excreted during hospitalization, contamination harzard from 131 I excretion via perspiration, saliva, breath and urine may arise. In twelve patients treated with doses of 131 I ranging from 1.85-7.4GBq activity levels were measured in room surface, the toilet, patients saliva and skin. Removable activity from skin reached a maximum at 24h post-therapy. Removable activity from room surfaces exceed the level of contamination which requires clean-up in a public area during patient's hospitalization. The relatively high activities present in the saliva and skin of these patients emphasizes the need for all individuals coming in contact with these patients to be made aware of the contamination hazard present. (author)

Occupational hand eczema caused by nickel and evaluated by quantitative exposure assessment.

Science.gov (United States)

Jensen, Peter; Thyssen, Jacob P; Johansen, Jeanne D; Skare, Lizbet; Menné, Torkil; Lidén, Carola

2011-01-01

EU legislation has reduced the epidemic of nickel contact allergy affecting the consumer, and shifted the focus towards occupational exposure. The acid wipe sampling technique was developed to quantitatively determine skin exposure to metals. To assess the clinical usefulness of the acid wipe sampling technique as part of the diagnostic investigation for occupational nickel allergy-associated hand dermatitis. Six patients with vesicular dermatitis on the hands were included. Acid wipe sampling of skin and patch testing with a nickel sulfate dilution series were performed. Nickel was detected in all samples from the hands. In all patients, the nickel content on the hands was higher than on the non-exposed control area. Occupational exposure to nickel-releasing items raised the nickel content on exposed skin as compared with a non-exposed control site. Nickel-reducing measures led to complete symptom relief in all cases. In cases of a positive nickel patch test reaction and hand eczema, patients should perform the dimethylglyoxime (DMG) test on metallic items at home and at work. The acid wipe sampling technique is useful for the diagnosis of occupational hand eczema following screening with the inexpensive DMG test. © 2010 John Wiley & Sons A/S.

[Occupational allergy in health personnel].

Science.gov (United States)

Larese Filon, Francesca; Bagnato, Emma

2003-01-01

Health care workers are exposed to many agents that can cause irritant or allergic contact dermatitis. In nurses with eczema of the hands latex sensitivity can play an important role in the occurrence of urticaria, rhinitis and asthma. To determine the prevalence of irritant and allergic contact dermatitis and contact urticaria and the role of skin sensitization to common and occupational haptens and allergens in a group of health care workers with skin problems. Retrospective review of 204 health care workers assessed by prick and patch testing in an occupational health clinic. The diagnoses included 35.3% with irritant contact dermatitis, 64.7% with allergic contact dermatitis and 7.3% with contact urticaria to latex. Three workers complained of asthma and 5 complained of rhinitis related to latex sensitization. At present 12.9% of atopic subjects were sensitized to latex by skin prick against 21.9% in 1998, so sensitization showed a decline in the years considered. Contact dermatitis and sensitization to natural rubber latex is a significant problem and nurses should be tested for both types of hypersensitivity, as well as being patch tested to standard, rubber and disinfectants series. The need is stressed for preventive measures to prevent the onset of contact dermatitis and to avoid latex exposure.

Trends in occupational hygiene in Finland.

Science.gov (United States)

Pääkkönen, Rauno; Koponen, Milja

2018-03-01

The aim of this work is to evaluate and describe the current status of, and prospects for, the future of occupational hygiene in Finland. The main sources of information include a seminar held in the annual meeting of Finnish Occupational Hygiene Society and interviews with different stakeholders. Nanotechnology and other new materials, changing work environments, circular economy including green jobs, new medical methods and advances of construction methods were recognized as future challenges. Future work opportunities for occupational hygiene experts included exposure assessments in indoor air surveys, private consulting and entrepreneurship in general, international activities and product safety issues. Unclear topics needing more attention in the future were thought to be in new exposures, sensitive persons, combined effects, skin exposures and applicability of personal protective equipment. Occupational hygiene should broaden its view; occupational hygienists should have to cooperate with other specialists and grasp new challenges.

Sunscreens and occupation: the Austrian experience.

Science.gov (United States)

Maier, Harald; Schmalwieser, Alois W

2010-04-01

Since the nineteen fifties the attitude of the fair-skinned world population towards the sun has changed dramatically. Tanned skin, which before was regarded as the stigma of the underprivileged working classes, became fashionable and desirable. The science of photoprotection primarily focuses on ultraviolet exposure during leisure time activities, whereas ultraviolet radiation is still underestimated as a risk factor for UV-induced skin and eye problems. The actual discussion on the registration of UV-induced skin tumours as occupational diseases, however, has drawn more attention to this important issue. Ambient radiation, the working process itself and the photoprotective behaviour of an outdoor worker are the main factors which influence the actual UV exposure. However, the total risk for the development of actinic damage results from the interaction of both the occupational and the leisure time exposure. It is evident that there is a high need for photoprotective measures for outdoor workers. Topical sunscreens as a part of a comprehensive UV protection strategy for outdoor workers have to fulfil special requirements: reasonable price, high water resistance, non-sticky appearance. At present only a few products are available which meet these criteria. This is the reason why sunscreens are not so well accepted by outdoor workers. Great efforts have to be undertaken to improve sunscreen formulations and to convince people to apply them correctly and regularly.

Experimental study on occupant's thermal responses under the non-uniform conditions in vehicle cabin during the heating period

Science.gov (United States)

Zhang, Wencan; Chen, Jiqing; Lan, Fengchong

2014-03-01

The existing investigations on thermal comfort mostly focus on the thermal environment conditions, especially of the air-flow field and the temperature distributions in vehicle cabin. Less attention appears to direct to the thermal comfort or thermal sensation of occupants, even to the relationship between thermal conditions and thermal sensation. In this paper, a series of experiments were designed and conducted for understanding the non-uniform conditions and the occupant's thermal responses in vehicle cabin during the heating period. To accurately assess the transient temperature distribution in cabin in common daily condition, the air temperature at a number of positions is measured in a full size vehicle cabin under natural winter environment in South China by using a discrete thermocouples network. The occupant body is divided into nine segments, the skin temperature at each segment and the occupant's local thermal sensation at the head, body, upper limb and lower limb are monitored continuously. The skin temperature is observed by using a discrete thermocouples network, and the local thermal sensation is evaluated by using a seven-point thermal comfort survey questionnaire proposed by American Society of Heating, Refrigerating and Air-Conditioning Engineers, Inc(ASHRAE) Standard. The relationship between the skin temperature and the thermal sensation is discussed and regressed by statistics method. The results show that the interior air temperature is highly non-uniform over the vehicle cabin. The locations where the occupants sit have a significant effect on the occupant's thermal responses, including the skin temperature and the thermal sensation. The skin temperature and thermal sensation are quite different between body segments due to the effect of non-uniform conditions, clothing resistance, and the human thermal regulating system. A quantitative relationship between the thermal sensation and the skin temperature at each body segment of occupant in

Cooperation between the occupational health insurance and physicians practicing occupational dermatology: optimization potential in quality assurance.

Science.gov (United States)

Elsner, Peter; Aberer, Werner; Bauer, Andrea; Diepgen, Thomas Ludwig; Drexler, Hans; Fartasch, Manigé; John, Swen Malte; Schuhmacher-Stock, Uta; Wehrmann, Wolfgang; Weisshaar, Elke

2014-05-01

Quality assurance is a task of the medical profession, but it is also a duty of the occupational health insurance (OHI). Data on the interaction quality between physicians practicing occupational dermatology and the OHI are limited. An online survey was performed in 854 German members of the Working Group on Occupational and Environmental Dermatology in October 2013. Items included demographic data, a judgment on the cooperation between the dermatologists and OHI companies, an economic grading of the current compensation scheme, and prioritization of optimization tasks. 182 members (21.3 % of the invited population) participated in the survey. The cooperation with the OHI companies was judged as "very good" by 10.8 %, as "good" by 56.7  %, as "satisfactory" by 24.2 %, as "sufficient" by 7.0 % and as "inadequate" by 1.3 %. 93.4 % of the interviewed mentioned problems and improvement potentials in the cooperation of their practice or clinic with OHI companies. Main points of criticisms were reimbursement (44.7 %), followed by impairments of the treatment options (36.5 %) and the delay or scope of the treatment in the dermatologist's procedure (29.4 %). While most physicians practicing occupational dermatology give a positive judgment of their cooperation with OHI companies, quality optimization potentials exist regarding the reimbursement of dermatological services, especially regarding time-intensive counselling in the prevention of occupational skin diseases, in the enablement of diagnostic and therapeutic procedures according to current guidelines and in a timely preventive intervention to use the therapeutic window before chronification of skin diseases may occur. © 2014 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

Occupational therapy use by older adults with cancer.

Science.gov (United States)

Pergolotti, Mackenzi; Cutchin, Malcolm P; Weinberger, Morris; Meyer, Anne-Marie

2014-01-01

Occupational therapy may significantly improve cancer survivors' ability to participate in activities, thereby improving quality of life. Little is known, however, about the use of occupational therapy services by adults with cancer. The objective of this study was to understand what shapes patterns of occupational therapy use to help improve service delivery. We examined older (age >65 yr) adults diagnosed with breast, prostate, lung, or melanoma (skin) cancer between 2004 and 2007 (N = 27,131) using North Carolina Central Cancer Registry data linked to Medicare billing claims. Survivors who used occupational therapy within 1 yr before their cancer diagnosis were more likely to use occupational therapy after diagnosis but also experienced the highest levels of comorbidities. Survivors with Stage 4 cancers or lung cancer were less likely to use occupational therapy. These findings suggest possible disparities in utilization of occupational therapy by older adults with cancer. Copyright © 2014 by the American Occupational Therapy Association, Inc.

Occupational Therapy Use by Older Adults With Cancer

Science.gov (United States)

Pergolotti, Mackenzi; Cutchin, Malcolm P.; Weinberger, Morris; Meyer, Anne-Marie

2014-01-01

Occupational therapy may significantly improve cancer survivors’ ability to participate in activities, thereby improving quality of life. Little is known, however, about the use of occupational therapy services by adults with cancer. The objective of this study was to understand what shapes patterns of occupational therapy use to help improve service delivery. We examined older (age >65 yr) adults diagnosed with breast, prostate, lung, or melanoma (skin) cancer between 2004 and 2007 (N = 27,131) using North Carolina Central Cancer Registry data linked to Medicare billing claims. Survivors who used occupational therapy within 1 yr before their cancer diagnosis were more likely to use occupational therapy after diagnosis but also experienced the highest levels of comorbidities. Survivors with Stage 4 cancers or lung cancer were less likely to use occupational therapy. These findings suggest possible disparities in utilization of occupational therapy by older adults with cancer. PMID:25184473

Radiation exposure in medicare-occupational and medical exposure

International Nuclear Information System (INIS)

Morozumi, Kunihiko

2012-01-01

Recent cases of the occupational and medical exposures are discussed in relation to the justification of practice, optimization of protection and effort to reduce the dose. Instances of the occupational exposure in doctors and nurses like 26.5 mSv/15 mo and 53.9 mSv/y, and of skin cancer were reported in newspapers of 1999-2004, which might have had been prevented by their self evaluation of daily and monthly exposed dose. For reasonably lowering the occupational dose and number of exposed stuff in the present law, the prior radiation protection measures are to be taken in consideration of social/economical factors to conduct beneficial radiation medicare without restriction of practice under safest conditions, protecting personal determinative hazard and preventing stochastic effect. Medical stuff must be equipped with personal dosimeter. Further, recent media also commented such cases as unwished abortions after careless X-CT of pregnant women, and risk of increased cancer prevalence (3.2% in Japan) due to medical exposure, etc (200-2010). The prevalence is calculated on the linear non-threshold (LNT) hypothesis and is probably overestimated, possibly causing patient's fear. There has been a history of proposal by IAEA (1996) of the guidance levels of the ordinary roentgenography and in vivo nuclear medical test, and introduction of the concept of dose constraint by ICRP (Pub. 60). The incident dose rate to the patient under fluoroscopy defined by Japan Medical Service Law (2001) is, as an air-kerma rate, 15,600 residents for their contamination as well as remains, and measured the ambient dose rate of cities nearby. (T.T.)

Dimethyl Sulfoxide Enhances Effectiveness of Skin Antiseptics and Reduces Contamination Rates of Blood Cultures

Science.gov (United States)

LaSala, Paul R.; Han, Xiang-Yang; Rolston, Kenneth V.; Kontoyiannis, Dimitrios P.

2012-01-01

Effective skin antisepsis is of central importance in the prevention of wound infections, colonization of medical devices, and nosocomial transmission of microorganisms. Current antiseptics have a suboptimal efficacy resulting in substantial infectious morbidity, mortality, and increased health care costs. Here, we introduce an in vitro method for antiseptic testing and a novel alcohol-based antiseptic containing 4 to 5% of the polar aprotic solvent dimethyl sulfoxide (DMSO). The DMSO-containing antiseptic resulted in a 1- to 2-log enhanced killing of Staphylococcus epidermidis and other microbes in vitro compared to the same antiseptic without DMSO. In a prospective clinical validation, blood culture contamination rates were reduced from 3.04% for 70% isopropanol–1% iodine (control antiseptic) to 1.04% for 70% isopropanol–1% iodine–5% DMSO (P antiseptics containing strongly polarized but nonionizing (polar aprotic) solvents. PMID:22378911

Occupational hand eczema caused by nickel and evaluated by quantitative exposure assessment

DEFF Research Database (Denmark)

Jensen, Peter; Thyssen, Jacob Pontoppidan; Johansen, Jeanne D

2011-01-01

Background. EU legislation has reduced the epidemic of nickel contact allergy affecting the consumer, and shifted the focus towards occupational exposure. The acid wipe sampling technique was developed to quantitatively determine skin exposure to metals. Objectives. To assess the clinical...... dilution series were performed. Results. Nickel was detected in all samples from the hands. In all patients, the nickel content on the hands was higher than on the non-exposed control area. Conclusions. Occupational exposure to nickel-releasing items raised the nickel content on exposed skin as compared...

Instrument-related Skin Disorders in Musicians.

Science.gov (United States)

Patruno, Cataldo; Napolitano, Maddalena; La Bella, Serena; Ayala, Fabio; Balato, Nicola; Cantelli, Mariateresa; Balato, Anna

2016-01-01

Among artists, musicians may suffer from occupational skin problems; notwithstanding, these conditions have been rarely reviewed. The characteristics of individual performer and the type of instrument will determine the kind of disease. Moreover, the hours that the musician spent to advance artistic skill may influence the severity. The frequency and risk factors of instrument-related skin disorders in musicians from southern Italy were analyzed. An observational study was conducted in 628 musicians. A questionnaire including questions related to age, sex, instrument played, musical activity, previous or current skin disorders, and impact of skin symptoms on music making was submitted. Of 628 musicians, 199 (31.7%) reported suffering from at least 1 skin disease. Cutaneous diseases likely directly correlated with the use of the musical instrument were found in 129 (20.5%) of the 628 subjects. In particular, different patterns of irritant contact dermatitis were found. Skin conditions may be a significant problem in professional instrumentalists. They are mainly related to musical activity. Preventive measures should be established.

Technical basis for beta skin dose calculations at the Y-12 Plant

International Nuclear Information System (INIS)

Thomas, J.M.; Bogard, R.S.

1994-03-01

This report describes the methods for determining shallow dose equivalent to workers at the Oak Ridge Y-12 Plant from skin contamination detected by survey instrumentation. Included is a discussion of how the computer code VARSKIN is used to calculate beta skin dose and how the code input parameters affect skin dose calculation results. A summary of Y-12 Plant specific assumptions used in performing VARSKIN calculations is presented. Derivations of contamination levels that trigger the need for skin dose assessment are given for both enriched and depleted uranium with the use of Y-12 Plant site-specific survey instruments. Department of Energy recording requirements for nonuniform exposure of the skin are illustrated with sample calculations

Plutonium contamination at Maralinga - dosimetry and clean-up criteria

International Nuclear Information System (INIS)

Cooper, M.B.; Martin, L.J.; O'Brien, R.S.; Williams, G.A.

1998-01-01

An area of South Australia remained contaminated following British nuclear weapons tests at Maralinga during 1955 - 1963. Of importance is the long-lived 239-Pu of which some 24 kg was explosively dispersed in several 'minor trials'. The extent, quantities and physical characteristics of the plutonium have been assessed and estimates of dose, dominated by the inhalation pathway in the critical group of Aborigines living a semi-traditional lifestyle, have been made for potential occupants. Rehabilitation of the most contaminated areas is underway, involving scraping of surface soil and burial at depth on site. Dosimetry, together with social and economic factors, underpins the setting of clean-up criteria in terms of activity concentrations averaged over large areas and permissible concentrations of contaminated particles. The possibility of intentional behaviour such as fragment scavenging has also influenced limits on particulate contamination.The standard for this intervention is that the annual committed dose, for any scenario involving permanent occupancy by semi-traditional Aborigines, will be less than 5 mSv. In fact, following the clean-up, annual doses are not expected to exceed 1 mSv for all realistic scenarios. The possibility of intentional behaviour, such as fragment scavenging, has led to limits on particulate contamination. Three plutonium-contaminated sites have been treated by soil-removal. At Taranaki, the most contaminated site, by limiting the activity of the remaining soil to below about 400 kBq/m2 of 239Pu, and by limiting occupancy factors to those typical of hunting activities in a particular location (0.8%), the dose criteria will be met. An area of about 1.5 km 2 has been treated by removal of surface soil at Taranaki. At the other two sites, with no occupancy constraints, more stringent soil-removal criteria have been applied

A cross-study analysis of prenatal exposures to environmental contaminants and the epigenome: support for stress-responsive transcription factor occupancy as a mediator of gene-specific CpG methylation patterning

Science.gov (United States)

Martin, Elizabeth M.; Fry, Rebecca C.

2016-01-01

Abstract A biological mechanism by which exposure to environmental contaminants results in gene-specific CpG methylation patterning is currently unknown. We hypothesize that gene-specific CpG methylation is related to environmentally perturbed transcription factor occupancy. To test this hypothesis, a database of 396 genes with altered CpG methylation either in cord blood leukocytes or placental tissue was compiled from 14 studies representing assessments of six environmental contaminants. Subsequently, an in silico approach was used to identify transcription factor binding sites enriched among the genes with altered CpG methylation in relationship to the suite of environmental contaminants. For each study, the sequences of the promoter regions (representing −1000 to +500 bp from the transcription start site) of all genes with altered CpG methylation were analyzed for enrichment of transcription factor binding sites. Binding sites for a total of 56 unique transcription factors were identified to be enriched within the promoter regions of the genes. Binding sites for the Kidney-Enriched Krupple-like Factor 15, a known responder to endogenous stress, were enriched ( P  contaminants. These data support the transcription factor occupancy theory as a potential mechanism underlying environmentally-induced gene-specific CpG methylation. PMID:27066266

Occupational irritant contact dermatitis due to petroleum naphtha

OpenAIRE

Aslı Aytekin; Arzu Karataş Toğral

2014-01-01

Irritant contact dermatitis (ICD) is responsible for the vast majority of occupational contact dermatitis and usually seen in professional groups working with wet hand. However, today, with the increasing business lines, employees are exposed to a variety of irritants. Occupational exposure to many chemicals and toxic irritants affect not only the skin, but also the other systems. Therefore, this situation resulting with loss of work and changes in business may become a public health problem....

Contribution to the penetration of radionuclides across the skin

International Nuclear Information System (INIS)

Koprda, V.; Harangozo, M.; Kassai, Z.

2000-01-01

The human skin as well as the skin of animal species represent a strong barrier against the permeation of ionic forms of substances into an organism. Radionuclides of cesium, cobalt and actinides belong to frequent potential contaminants of human body at an accidental radioactive contamination. Regarding the actual composition of contaminating mixture of radionuclides the damage of an organism after internal contamination is proportional to the extent of penetrated amounts of radionuclides across the skin. In this paper: the time dependence of permeation of 137 Cs + , 60 Co 2+ , and 147 Pm 3+ from aqueous solution through animal skin model was studied, the biologic structure mostly responsible for the barrier effect was selected and proved, the relative importance of the main diffusion pathways for 137 Cs + , 60 Co 2+ and 147 Pm 3+ , the diffusion across the intact skin and the diffusion through the hair channels was assessed, the effect of isotopic carrier on the penetration process was studied, and the retarding capacities of different substances were researched. In all experiments the radioactive tracers were used. The experimental arrangement consisted of Franz-type vertical permeation cells. The well standardized animal skin models were chosen: fresh skin from abdominal region of 5 day old rats (5DR) of Wistar strain (Breeding Farm Dobra Voda, SK) and 9 day old rats (9DR), resp.. The skins of 5DR are still hairless, and 9DR are just short haired. The 5DR skin was used intact, and also with decreasing thickness of horny layer after it had been stripped with Scotch type (3M) 5-20 times respectively, or the skin had been splitted in 60degC hot water, whereby the whole epidermis was removed. Ions penetrated in vitro through the skin from donor solution (vehicle water) to receptor solution (phosphate buffered saline), were determined in aliquots sampled in 1,3,5,7 a 24 hours. The penetrated amounts of ions were found proportional to the time at least in the first 7

Effect of morphological changes in feather follicles of chicken carcasses after defeathering and chilling on the degree of skin contamination by Campylobacter species.

Science.gov (United States)

Latt, Khin Maung; Urata, Ayaka; Shinki, Taisuke; Sasaki, Satomi; Taniguchi, Takako; Misawa, Naoaki

2018-01-01

Campylobacter jejuni and C. coli are the leading causes of enteric infections in many developed countries. Healthy chickens are considered to act as reservoirs of campylobacters, as the organisms colonize the intestinal tract. Once infected birds enter a processing plant, contamination of chicken carcasses with campylobacters occurs over the entire skin during defeathering and evisceration due to leakage of crop and/or intestinal contents. Although the role of feather follicles in the contamination of chicken carcasses by campylobacters during processing is still debatable, it has been considered that the microorganisms would be entrapped and retained in the follicles due to the morphological changes resulting from defeathering and chilling. In the present study, we observed the morphology of feather follicles in chicken carcasses after defeathering and chilling. A total of 3,133 feather follicles were examined for morphological changes before and after chilling. Shortly after defeathering, most (91.5%) of the follicles were closed, whereas after chilling they were either closed (85.5%) or open (6%), although a small proportion of enlarged follicles became smaller or closed (2.6%). Moreover, 5.9% of the follicles that were slightly open became further enlarged after chilling. Furthermore, the proportion of enlarged feather follicles that became closed after chilling showed no discernible relationship with the degree of campylobacter contamination in different areas of the carcass skin, suggesting that campylobacters may not be confined to feather follicles as a result of the morphological changes attributable to defeathering and chilling.

Contamination of occupational radiation exposure in nuclear power plants with pressurized water reactors

International Nuclear Information System (INIS)

Schneider, Sebastian; Bruhn, Gerd; Artmann, Andreas; Sentuc, Florence-Nathalie; Tiessen, Olga

2017-12-01

In the precursor project of this study a simulation procedure was developed, consisting of a 3D-CAD model, a mathematical method for coordinate transformation, the software MicroShield and an empiric job model, to calculate the occupational exposure for definable jobs at the primary circuit. It was validated for inspection and maintenance jobs at PWRs of the second and third KWU/Siemens generation. With that the aptitude of this tool for prognosis of radiation exposure was demonstrated. Adhering contaminations within the primary circuit are considered as relevant sources, whereas activated core-near components are neglected. In this study, the model was extended by PWR of the so-called Convoy generation, which differ from older plants in the material composition and consequently in the relevant nuclide vectors. With information from a visit at a nuclear power plant and conversation with the staff, the model could be adjusted appropriately. The radionuclide Cobalt-60 is indeed less important compared to older plant-types, but it is still the dominant nuclide in facilities of the fourth KWU/Siemens generation, so that it is used as reference nuclide. Due to the contemporary planned final shut-down of the three Convoy plants (besides other), dismantling work was set into focus of simulation. Simulation was conducted and results compared for Convoy plants and for plants of the older generations two and three. Furthermore, by comparative simulations the question was answered if full system decontamination in Convoy plants before dismantling lead to benefits that justify this measure. The determined dose saving during unmounting works at the steam generators caused by the decontamination is remarkable. An abdication of decontamination at this location would lead to doses much higher than the occupational job dose during steam generator dismantling in a decontaminated generation 2 facility.

Occupational exposures among healthcare workers: A teaching hospital sample

OpenAIRE

Derya Öztürk Engin; Asuman İnan; Nurgül Ceran; Zeynel Abiddin Demir; Özgür Dağli; Emin Karagül; Seyfi Özyürek

2014-01-01

Objective: Healthcare workers (HCWs) are at risk for occupational injury associated with contaminated blood and body fluids. This study aims to examine the frequency and type of occupational injuries and to determine best practices after exposure. Methods: A cross-sectional study was conducted in Haydarpaşa Teaching Hospital in December 2010. The questionnaires were completed by healthcare workers with face-to-face interviews. The questionnaire was evaluated occupational injuries in the ho...

Occupational disease surveillance of an aircraft rework facility.

Science.gov (United States)

Fung, F; Bundy, M; Kennon, R

1990-11-01

Analysis of the 1987-1988 morbidity data of an aircraft rework facility's 6,672 employees identified 118 patients with occupational diseases. In our study, 61 cases (52%) involved eye and skin conditions. This was comparable to the State of California occupational diseases report. However, systemic conditions appeared to be higher (24% vs. 7%) in the study group, and this finding may need further investigation to clarify its significance. Patients employed as craftworkers accounted for nearly half of all reported occupational diseases. Federal workers in this facility appeared to have a higher percentage (70%) of "no time lost" when compared with that of the State of California report (54%). The utility of morbidity data in the prevention of occupational diseases is discussed.

How to improve skin notation

DEFF Research Database (Denmark)

Sartorelli, Pietro; Ahlers, Heinz W.; Alanko, Kristiina

2007-01-01

The ICOH Scientific Committee on Occupational and Environmental Dermatoses organized an International Workshop on "Dermal risk assessment at workplace" with the aim of focussing on the different ways of approaching the concept of skin notation (S) for chemicals. The Workshop participants presented...... their ideas on several aspects of S such as the problems related to the absorption through the compromised skin, the different approaches to S and models that can be used as alternatives to S. Participants agreed to produce a position paper with the goal of exploring the actions needed to improve the S system...

Cancer incidence in professional flight crew and air traffic control officers: disentangling the effect of occupational versus lifestyle exposures.

Science.gov (United States)

dos Santos Silva, Isabel; De Stavola, Bianca; Pizzi, Costanza; Evans, Anthony D; Evans, Sally A

2013-01-15

Flight crew are occupationally exposed to several potentially carcinogenic hazards; however, previous investigations have been hampered by lack of information on lifestyle exposures. The authors identified, through the United Kingdom Civil Aviation Authority medical records, a cohort of 16,329 flight crew and 3,165 air traffic control officers (ATCOs) and assembled data on their occupational and lifestyle exposures. Standardised incidence ratios (SIRs) were estimated to compare cancer incidence in each occupation to that of the general population; internal analyses were conducted by fitting Cox regression models. All-cancer incidence was 20-29% lower in each occupation than in the general population, mainly due to a lower incidence of smoking-related cancers [SIR (95% CI) = 0.33 (0.27-0.38) and 0.42 (0.28-0.60) for flight crew and ATCOs, respectively], consistent with their much lower prevalence of smoking. Skin melanoma rates were increased in both flight crew (SIR = 1.87; 95% CI = 1.45-2.38) and ATCOs (2.66; 1.55-4.25), with rates among the former increasing with increasing number of flight hours (p-trend = 0.02). However, internal analyses revealed no differences in skin melanoma rates between flight crew and ATCOs (hazard ratio: 0.78, 95% CI = 0.37-1.66) and identified skin that burns easily when exposed to sunlight (p = 0.001) and sunbathing to get a tan (p = 0.07) as the strongest risk predictors of skin melanoma in both occupations. The similar site-specific cancer risks between the two occupational groups argue against risks among flight crew being driven by occupation-specific exposures. The skin melanoma excess reflects sun-related behaviour rather than cosmic radiation exposure. Copyright © 2012 UICC.

Natural uranium toxicology - evaluation of internal contamination in man

International Nuclear Information System (INIS)

Chalabreysse, J.

1968-01-01

After reminding the physical and chemical properties of natural uranium which might affect its toxicology, a comprehensive investigation upon natural uranium metabolism and toxicity and after applying occupational exposure standards to this particular poison, it has been determined, from accident reports and human experience reported in the related literature, a series of formulae obtained by theoretical mathematical development giving principles for internal contamination monitoring and disclosure by determining uranium in the urine of occupationally exposed individuals. An assay is performed to determine individual internal contamination according to the various contamination cases. The outlined purposes, mainly practical, required some options and extrapolations. The proposed formula allows a preliminary approach and also to determine shortly a contamination extent or to discuss the systematical urinalysis results as compared with individual radio-toxicology monitoring professional standards. (author) [fr

Stratum corneum biomarkers for inflammatory skin diseases

NARCIS (Netherlands)

Koppes, S.A.

2017-01-01

This thesis focusses on development of biomarkers, obtained by a non-invasive sampling method, for skin inflammatory diseases relevant for occupational settings; irritant contact dermatitis (ICD), allergic contact dermatitis (ACD) and atopic dermatitis (AD). In various studies, in which different

Cancer incidence in Italian contaminated sites

Directory of Open Access Journals (Sweden)

Pietro Comba

2014-06-01

Full Text Available INTRODUCTION. The incidence of cancer among residents in sites contaminated by pollutants with a possible health impact is not adequately studied. In Italy, SENTIERI Project (Epidemiological study of residents in National Priority Contaminated Sites, NPCSs was implemented to study major health outcomes for residents in 44 NPCSs. METHODS. The Italian Association of Cancer Registries (AIRTUM records cancer incidence in 23 NPCSs. For each NPCSs, the incidence of all malignant cancers combined and 35 cancer sites (coded according to ICD-10, was analysed (1996-2005. The observed cases were compared to the expected based on age (5-year period,18 classes, gender, calendar period (1996-2000; 2001-2005, geographical area (North-Centre and Centre-South and cancer sites specific rates. Standardized Incidence Ratios (SIR with 90% Confidence Intervals were computed. RESULTS. In both genders an excess was observed for overall cancer incidence (9% in men and 7% in women as well as for specific cancer sites (colon and rectum, liver, gallbladder, pancreas, lung, skin melanoma, bladder and Non Hodgkin lymphoma. Deficits were observed for gastric cancer in both genders, chronic lymphoid leukemia (men, malignant thyroid neoplasms, corpus uteri and connective and soft-tissue tumours and sarcomas (women. DISCUSSION. This report is, to our knowledge, the first one on cancer risk of residents in NPCSs. The study, although not aiming to estimate the cancer burden attributable to the environment as compared to occupation or life-style, supports the credibility of an etiologic role of environmental exposures in contaminated sites. Ongoing analyses focus on the interpretation of risk factors for excesses of specific cancer types overall and in specific NPCSs in relation to the presence of carcinogenic pollutants.

Methods for measuring cutaneous transfer of radionuclides through a damaged or undamaged epidermis - Application to radiotoxicology; Methodes de mesure du transfert cutane des radionucleides au travers d'un epiderme intact ou lese, application a la radiotoxicologie

Energy Technology Data Exchange (ETDEWEB)

Tymen, H. [Service de protection radiologique des armees, Clamart (France); Rateau, G.; Guillet, K.; Ramounet-Le Gall, B. [Lab. de Radiotoxicologie, Commissariat a l' Energie Atomique, CEA, Bruyeres le Chatel (France); Gerasimo, P. [Service de protection radiologique des armees, Clamart (France); Fritsch, P. [Lab. de Radiotoxicologie, Commissariat a l' Energie Atomique, CEA, Bruyeres le Chatel (France)

2002-07-01

Although skin contamination by radionuclides is the most common cause of nuclear workers accidents, few studies dealing with the penetration of radioactive contamination through the skin are available. This work is a review of experimental methods that allow to assess transfer of radionuclides through the skin in occupational conditions, with or without skin trauma. The first section describes the different methods applied for skin transfer assessment of chemicals used in pharmacology. Major radionuclide contamination accidents can be associated with skin traumas. Thus, the second section describes the adaptation of these methods to radiotoxicology. Finally, the third section is an in vivo investigation of cobalt transfer ({sup 57}CoCl{sub 2}) through undamaged and damaged skin which simulates different industrial accident conditions (excoriation, acid or alcalin burn, scalding, branding). (author)

Occupational contact dermatitis in the UK: a surveillance report from EPIDERM and OPRA.

Science.gov (United States)

Meyer, J D; Chen, Y; Holt, D L; Beck, M H; Cherry, N M

2000-05-01

Since February 1993 the EPIDERM surveillance scheme has collected data on occupational skin disease from consultant dermatologists in the UK. Reporting by occupational physicians to the scheme began in May 1994 and was superseded in January 1996 by the Occupational Physicians Reporting Activity (OPRA). The schemes currently receive reports on incident cases from 244 dermatologists and 790 occupational physicians. An estimated total of 9937 cases of contact dermatitis reported by dermatologists was calculated from surveillance data; 8129 contact dermatitis cases were estimated from reports by occupational physicians. The annual incidence of occupational contact dermatitis from dermatologist reports was 6.4 cases per 100,000 workers and 6.5 per 100,000 from reports by occupational physicians, an overall rate of 12.9 cases per 100,000 workers. Manufacturing industries account for the greatest number of cases seen by both sets of reporting physicians, with health care employment second. Reports from dermatologists also indicate high rates of dermatitis in the personal service industries (mainly hairdressers and barbers) and in agriculture. With the exception of an increase in cases seen in nurses in both schemes, the numbers and proportions of cases of contact dermatitis within occupations have remained fairly constant over the 6-year reporting period. Agents accounting for the highest number of allergic contact dermatitis cases were rubber (23.4% of allergic cases reported by dermatologists), nickel (18.2), epoxies and other resins (15.6), aromatic amines (8.6), chromium and chromates (8.1), fragrances and cosmetics (8.0), and preservatives (7.3). Soaps (22.0% of cases), wet work (19.8), petroleum products (8.7), solvents (8.0), and cutting oils and coolants (7.8) were the most frequently cited agents in cases of irritant dermatitis. The national scope of the data, together with the parallel structure by which both dermatologists and occupational physicians report

A review of current strategies to reduce intraoperative bacterial contamination of surgical wounds

OpenAIRE

Dohmen, Pascal M.; Konertz, Wolfgang

2007-01-01

Surgical site infections are a mean topic in cardiac surgery, leading to a prolonged hospitalization, and substantially increased morbidity and mortality. One source of pathogens is the endogenous flora of the patient?s skin, which can contaminate the surgical site. A number of preoperative skin care strategies are performed to reduce bacterial contamination like preoperative antiseptic showering, hair removal, antisepsis of the skin, adhesive barrier drapes, and antimicrobial prophylaxis. Fu...

Health Occupations Module. The Integumentary System.

Science.gov (United States)

Temple Univ., Philadelphia, PA. Div. of Vocational Education.

This module on the integumentary system is one of eight modules designed for individualized instruction in health occupations education programs at both the secondary and postsecondary levels. This module contains an introduction to the module topic, objectives (e.g., list and describe the types of glands formed in the skin, and explain the…

Occupational contact allergic dermatitis in dentistry

Directory of Open Access Journals (Sweden)

Mikov Ivan

2011-01-01

Full Text Available Introduction. Dental professionals may be at increased risk of developing occupational allergic diseases specially to methacrylates that can permeate protective disposable gloves. Case report. We presented a case of occupational allergic contact dermatitis in a 28-year-old dental technician. The patient had complained of itching and cracking of fingers for 6 months. The dermatitis improved over weekends. Skin erythema and scaling were present with primarily involvement of the fingertips. Patch testing with dental series gave positive vesicular reaction to methyl methacrylate. Follow-up after 6 months of allergen avoidance showed a complete regression of dermatitis. Conclusion. Methacrylates serve as bases for acrylic resins which are used in prosthetics. Methyl methacrylate as a small molecular acrylate can permeate thin protective disposable gloves. Using adequate personal protective equipment, like nitrile rubber gloves, is the most important preventive measure in this occupation. Health practitioners should recognize possible occupational hazards in dentistry and implement appropriate preventive measures to protect health of workers.

Substantiation of rate setting of surface contamination with amino acids, labelled with tritium

International Nuclear Information System (INIS)

Zhesko, T.V.

1987-01-01

For rate setting of surface contamination with the wide-spread biogenic tritium compounds-protein predecessors-experimental study of skin absorption and skin deposit of amino acids labelled with tritium is carried out on rats. While extrapolating data to people and calculating tolerable skin contamination with 3 H- amino acids, it is supposed that people arm skin, 100-500 cm 2 , has no defects and that the skin surface decontamination after radionuclide contact is carried out with a preparation, efficiency of which is not less than 97%. The value of tolerable skin absorption of tritium amino acids, being 110-550 MBq/year or 4.8 kBq/cm 2 per one working day, is calculated

Assessment of occupational exposure and contamination by Means of airborne particulate matter and bio monitors using Nuclear technique

International Nuclear Information System (INIS)

Menezes, Maria Angela de B. C.; Maia, Elene C. P.; Albinati, Claudia; Filho, Serafim S.

2001-01-01

To make an occupational diagnosis is complex because of the difficulty to identify and characterise the expositions. Physicians do not usually have access to the quantity of raw material managed by the worker, dates, period of exposure to the substance. Besides this the onset of occupational diseases is similar to other chronic diseases. Then, this project aimed at assessing metal levels in a galvanising industry by means of biomonitors, scalp hair and toenails donated by workers, and particulate matter collected on air filter. The analysis of the samples was carried out by k0 instrumental neutron activation analysis, k0-INAA. The project was conducted together with the physicians of the Secretariat Municipal de Saude (Municipal Department of Health) and it was inserted in a Worker's Health Awareness Program. Belo Horizonte and surrounding areas are an important industrial centre, concentrating many industries in several areas. Only in Belo Horizonte there are more than 20 galvanising industries ranging from home factories to well equipped ones. This industry was chosen as Object of this project because it is responsible for the majority of patients who look for medical assistance because of metal contamination. Stationary air sampling was carried out in order to evaluate the level of elemental concentration in the indoor environment of the plant. Comparative Group sampling was carried out the same way as the Work Group for scalp hair and toenails. The irradiations were performed in the reactor TRIGA MARK I IPR-R1 in the CDTN. Elemental concentration results determined in the samples from non-exposed people were compared to values in the literature and there were no significant differences between the values. The airborne particulate matter results showed the high level of pollutants which the workers are exposed to inside the galvanising factory. The results obtained confirmed the medical suspicions of workers' contamination and the medical recommendations aimed

A Study on the Method to Discriminate Between the Internal and External Radioactive Contamination Using Whole Body Counter

International Nuclear Information System (INIS)

Kong, T. Y.; Kim, H. G.; Yang, H. Y.; Kang, D. W.; Lim, S. N.; Kim, H. J.; Jin, H. H.; Lee, S. G.; Park, S. C.

2006-01-01

Whole Body Counter (WBC) is used to identify and measure the radioactivity in the body of human beings in a nuclear power plants (NPPs). In domestic NPPs, it is prescribed that all workers should take a whole body counting after radiation works if the possibilities of radioactive contamination exist or the radioactivity is detected by a portal monitoring. It is, however, found that the external skin contamination is occasionally estimated as the internal radioactive contamination. In this case, the worker assumed to be detected is recommended to take showers for the decontamination of skin and take a whole body counting again. Although the detected radioactivity is reduced remarkably after several decontaminations, confirmed as the external skin contamination, it is determined finally as an internal exposure if the radioactivity is still detected in the body of worker. The amount of detected radioactivity can be much higher than that of the expected for this mistaken contamination since the radioisotopes attached to skin come to be close to the detectors of WBC. Finally, this makes the misjudgment of the external skin contamination as well as the excessively conservative estimation of radioactive contamination. In this study, several experiments were carried out to discriminate between the internal and external radioactive contamination using the humanoid phantom and WBC. Preliminary experimental results indicated that the use of front and backside counts could be applied to the discrimination of the external skin contamination and the difference of detected radioactivities between front and backside counts was less than about factor 2 for the internal contamination

A comparison of skin storage methods for oculoplastic surgery

NARCIS (Netherlands)

Baldeschi, L.; Lupetti, A.; Nardi, M.; Hintschich, C.; Richard, J.; Collin, O.

1998-01-01

To assess the level of contamination of full-thickness skin grafts stored with or without an antibiotic cover. Full-thickness skin grafts were harvested from 40 bilateral upper lid blepharoplasties. Before surgery the face was sterilised, the head of the patient was packed with sterile, single-use

Surface contamination to UV-curable acrylates in the furniture and parquet industry.

Science.gov (United States)

Surakka, J; Lindh, T; Rosén, G; Fischer, T

2001-03-01

Surface contamination to ultraviolet radiation curable coatings (UV coatings), used increasingly in the parquet and furniture industry, is a matter of concern as a source for skin contamination. UV coatings contain chemically and biologically reactive acrylates, well known as skin contact irritants and sensitizers. Surface contamination may spread secondarily to equipment and other unexpected areas even outside the workplace. Yet, studies concerning this type of contamination are lacking due to lack of suitable sampling methods. Surface contamination of the work environment with risk for skin exposure to UV coating was measured employing a quantitative adhesive tape sampling method developed for this purpose. A pilot study was first performed at three workplaces to evaluate the contamination. In the main study, we wanted to locate and identify in detail the surface contamination of areas where problems exist, and to determine the extent of the problem. Measurements were performed at seven workplaces on two separate workdays (round 1 and 2) within a six-month period. Samples were collected from the workplaces based on the video monitoring of skin contact frequency with the surfaces and categorized into three groups to analyze risk. The pilot study indicated that surface contamination to TPGDA containing UV coatings was common, found in 76 percent of the surfaces, and varied with a maximum of 909 microg TPGDA 10 cm(-2) sampling area. In the main study TPGDA was found in 153 out of 196 collected samples (78.1%); for round one 78.1 percent (82 out of 105 samples) and for round two 78.0 percent (71 out of 91 samples). The average TPGDA mass on positive surface samples was on the first round 2,247 +/- 7,462 microg, and on the second round 2,960 +/- 4,590 microg. We conclude that surface contamination to uncured UV coatings at UV-curing lines is common and this involves a risk for harmful, unintentional skin exposure to acrylates.

Comparison of four different fuller's earth formulations in skin decontamination.

Science.gov (United States)

Roul, Annick; Le, Cong-Anh-Khanh; Gustin, Marie-Paule; Clavaud, Emmanuel; Verrier, Bernard; Pirot, Fabrice; Falson, Françoise

2017-12-01

Industrial accidents, wars and terrorist threats are potential sources of skin contamination by highly toxic chemical warfare agents and manufacturing compounds. We have compared the time-dependent adsorption capacity and decontamination efficiency of fuller's earth (FE) for four different formulations for the molecular tracer, 4-cyanophenol (4-CP), in vitro and ex vivo using water decontamination as standard. The adsorption capacity of FE was assessed in vitro for 4-CP aqueous solutions whereas decontamination efficiency was investigated ex vivo by tracking porcine skin 4-CP content using attenuated total reflectance Fourier transform infrared spectroscopy. Decontamination was performed on short time, exposed porcine skin to 4-CP by application of FE: (1) as free powder; (2) loaded on adhesive tape; (3) on powdered glove; or (4) in suspension. Removal rate of 4-CP from aqueous solutions correlates with the amount of FE and its contact time. Decontamination efficiency estimated by the percentage of 4-CP recovery from contaminated porcine skin, achieved 54% with water, ranged between ~60 and 70% with dry FE and reached ~90% with FE suspension. Successful decontamination of the FE suspension, enabling a dramatic reduction of skin contamination after a brief exposure scenario, appears to be rapid, reliable and should be formulated in a new device ready to use for self-application. Copyright © 2017 John Wiley & Sons, Ltd.

Safety analysis of occupational exposure of healthcare workers to residual contaminations of cytotoxic drugs using FMECA security approach.

Science.gov (United States)

Le, Laetitia Minh Mai; Reitter, Delphine; He, Sophie; Bonle, Franck Té; Launois, Amélie; Martinez, Diane; Prognon, Patrice; Caudron, Eric

2017-12-01

Handling cytotoxic drugs is associated with chemical contamination of workplace surfaces. The potential mutagenic, teratogenic and oncogenic properties of those drugs create a risk of occupational exposure for healthcare workers, from reception of starting materials to the preparation and administration of cytotoxic therapies. The Security Failure Mode Effects and Criticality Analysis (FMECA) was used as a proactive method to assess the risks involved in the chemotherapy compounding process. FMECA was carried out by a multidisciplinary team from 2011 to 2016. Potential failure modes of the process were identified based on the Risk Priority Number (RPN) that prioritizes corrective actions. Twenty-five potential failure modes were identified. Based on RPN results, the corrective actions plan was revised annually to reduce the risk of exposure and improve practices. Since 2011, 16 specific measures were implemented successively. In six years, a cumulative RPN reduction of 626 was observed, with a decrease from 912 to 286 (-69%) despite an increase of cytotoxic compounding activity of around 23.2%. In order to anticipate and prevent occupational exposure, FMECA is a valuable tool to identify, prioritize and eliminate potential failure modes for operators involved in the cytotoxic drug preparation process before the failures occur. Copyright © 2017 Elsevier B.V. All rights reserved.

Indoor Chemistry: Materials, Ventilation Systems, and Occupant Activities

Energy Technology Data Exchange (ETDEWEB)

Morrison, G.C.; Corsi, R.L.; Destaillats, H.; Nazaroff, W.W.; Wells, J.R.

2006-05-01

Chemical processes taking place in indoor environments can significantly alter the nature and concentrations of pollutants. Exposure to secondary contaminants generated in these reactions needs to be evaluated in association with many aspects of buildings to minimize their impact on occupant health and well-being. Focusing on indoor ozone chemistry, we describe alternatives for improving indoor air quality by controlling chemical changes related to building materials, ventilation systems, and occupant activities.

CONTAMINATED PROBLEMATIC SKIN WOUNDS IN DIABETIC PATIENTS TREATED WITH AUTOLOGOUS PLATELET-RICH PLASMA (PRP: A case series study

Directory of Open Access Journals (Sweden)

Tsvetan Sokolov

2016-03-01

Full Text Available OBJECTIVE: To study the effect of platelet-rich plasma (PRP on contaminated problematic skin ulcers in patients with diabetes. MATERIAL AND METHODS: A total of 6 patients had been treated within the period from 2012 to 2014; they had various types of problematic wounds and diabetes type 2. Patients’ distribution by sex was as follows: 1 man and 5 women; mean age- 68 years. Ulcer types: acute (2 patients, hard-to-heal (2 patients and chronic (2 patients ulcers. The mean size of the skin and soft tissue defect was 9,5 cm2. Pathogenic microflora was isolated in 4 patients - S. aureus in three and Е. Coli in one. Based on a scheme developed by us, all cases were treated by administering platelet-rich plasma, derived by PRGF Endoret system. Follow-up period was within 4 – 6 months (4,5 on average. We used platelet rich plasma derived by PRGF Endoret system, applied on the wound bed on a weekly basis. RESULTS: Application of PRP allowed successful closure of all wounds. There were no complications associated with treatment of PRP. Epithelialization of the wound took 15 weeks on average for all patients. One patient presented with hyperkeratosis. Initial score of followed wounds, based on the scales are as follows: Total wound score – 10 p. Total anatomic score – 8 p. Total score – 15 p. at the initial stage. At the end of the treatment period scores were as follows - 0 p., which means excellent results CONCLUSION: We believe that the application of PRP may become optimal therapy in the treatment of contaminated problematic wounds in diabetic patients. PRP not only stimulates wound healing, but also has antimicrobial properties, which may contribute to the prevention of infections.

Development of a pharmaceutical form containing calixarene molecules for the treatment of intact or injured skin contaminated by uranium; Developpement d'une forme pharmaceutique vehiculant un calixarene destinee au traitement d'une peau saine ou lesee contaminee par de l'uranium

Energy Technology Data Exchange (ETDEWEB)

Spagnul, A.

2009-11-15

The first objective of this research thesis was to develop a formulation containing a tricarboxylic calixarene for cutaneous application for the local treatment of skin contamination by uranium. A second objective is to assess the efficiency of a calixarene nano-emulsion for such a treatment. In a first part, the author proposes an overview of risks associated with skin contamination by uranium, and of current treatments and treatments under development. In the second part, the author presents the oil-in-water-type nano-emulsion, reports an in vitro assessment of the decontamination efficiency of the calixarene nano-emulsion, reports an in vivo assessment of this efficiency (on pig ear skin explants contaminated by uranium), and presents the main publications and a patent request related to this research work

Effect of morphological changes in feather follicles of chicken carcasses after defeathering and chilling on the degree of skin contamination by Campylobacter species

OpenAIRE

LATT, Khin Maung; URATA, Ayaka; SHINKI, Taisuke; SASAKI, Satomi; TANIGUCHI, Takako; MISAWA, Naoaki

2017-01-01

Campylobacter jejuni and C. coli are the leading causes of enteric infections in many developed countries. Healthy chickens are considered to act as reservoirs of campylobacters, as the organisms colonize the intestinal tract. Once infected birds enter a processing plant, contamination of chicken carcasses with campylobacters occurs over the entire skin during defeathering and evisceration due to leakage of crop and/or intestinal contents. Although the role of feather follicles in the contami...

Work-related accidents and occupational diseases in veterinarians and their staff.

Science.gov (United States)

Nienhaus, Albert; Skudlik, Christoph; Seidler, Andreas

2005-04-01

We assessed the occupational hazards in veterinary practice by analysing accident insurance data in order to stimulate strategies to prevent occupational accidents and diseases in veterinarians and their staff. Approximately 10,000 veterinary practices comprising about 27,500 veterinarians and their staff are covered by the Institution of Statutory Accident Insurance of the Health and Welfare Service (BGW). Each year about 2,000 accident and occupational disease claims are filed by these veterinarians and their staff. The claims for the 5-year period from 1998 to 2002 are analysed in this paper. For 2002, the incidence rate for accidents in the workplace was 105.4 per 1,000 full-time workers, a rate 2.9-times higher than for general practitioners of human medicine. When only severe accidents resulting in a loss of work time of more than 3 days were analysed, the relative risk increased to 9.2. Approximately 66% of the reported accidents are due to scratches, bites, or kicks from animals. Claims of occupational disease are filed 2.7-times more often by veterinarians and their staff than by general practitioners and their staff. The occupational diseases filed most often concern the skin (39%), followed by allergic respiratory diseases (30.5%), and infectious diseases (19.1%). Prevention strategies for veterinarians should focus on accidents caused by animals. The prevention of occupational diseases should focus on skin diseases, respiratory disease, and infections.

Management of Acute Skin Trauma

Institute of Scientific and Technical Information of China (English)

Joel W. Beam

2010-01-01

@@ Acute skin trauma (ie, abrasions, avulsions, blisters, incisions, lacerations, and punctures) is common among individuals involved in work, recreational, and athletic activities. Appropriate management of these wounds is important to promote healing and lessen the risk of cross-contamination and infection. Wound management techniques have undergone significant changes in the past 40 years but many clinicians continue to manage acute skin trauma with long-established, traditional techniques (ie, use of hydrogen peroxide, adhesive strips/patches, sterile gauze, or no dressing) that can delay healing and increase the risk of infection. The purpose of this review is to discuss evidence-based cleansing, debridement, and dressing techniques for the management of acute skin trauma.

Skin dose measurement with MICROSPEC-2 trademark

International Nuclear Information System (INIS)

Hsu, H.H.

1997-01-01

For many years, the Eberline HP-260 trademark beta detectors were used for skin dose measurements at Los Alamos National Laboratory. This detector does not measure the beta spectrum and the skin dose can only be determined if the contaminating radioactive isotope is known. A new product MICROSPEC-2 trademark, has been developed which consists of a small portable computer with a multichannel analyzer and a beta probe consisting of a phoswich detector. The system measures the beta spectrum and automatically folds in the beta fluence-to-dose conversion function to yield the skin dose

Occupational hand dermatitis in a tertiary referral dermatology clinic in Taipei.

Science.gov (United States)

Sun, C C; Guo, Y L; Lin, R S

1995-12-01

Occupational skin disease is one of the most common occupational diseases. The hand is the most frequent site of involvement in occupational skin disease. We interviewed and examined patients seen in the Contact Dermatitis Clinic of the National Taiwan University Medical Center, a tertiary referral center in Taipei City. For patients suspected of having allergic skin diseases, patch testing was carried out using the European standard series and suspected allergens. Occupational hand dermatitis (OHD) was diagnosed according to medical history, work exposure, physical examination, and patch test findings. 36% of patients seen were diagnosed as having OHD. Electronics, hairdressing, medical, chemical, and construction were the most important industries causing OHD. In the 164 patients with OHD, 58.5% had irritant contact dermatitis (ICD) and 41.5% allergic contact dermatitis (ACD). Dorsal fingers, nail folds, and dorsal hands were most frequently involved in patients with ACD; dorsal fingers, volar fingers and fingertips were most frequently involved in those with ICD. Using logistic regression analysis, we were able to identify the most important clinical presentations that predicted the types of OHD, ACD versus ICD. Patients with atopic history and palm involvement were more likely to have ICD, and those with nail fold involvement more likely to have ACD. In patients with ACD, the most important allergens were dichromate, nickel, cobalt, fragrance mix, epoxy resin, thiuram mix, and p-phenylenediamine. In this study, we identified the important industries and causal agents for OHD. Future preventive measures focused on these industries and agents to reduce OHD will be warranted.

Occupational diseases in uranium and ore miners related to radiation exposure in the Czech Republic in 2002 - 2007

International Nuclear Information System (INIS)

Mueller, T.

2008-01-01

Dozens cases of disease of former or present uranium and ore miners are submitted to judgment as occupational diseases every year in the Czech Republic. Patients or attending physicians suggest that these cases are caused by occupational ionizing radiation. Only a part of these cases is qualified as occupational disease, nevertheless they can cause many juridical problems. The term 'occupational disease' is rather juridical term which underlies the right to financial compensation. The causal association with exposure to ionizing radiation cannot be indisputably verified by expert medical opinion. Most diseases in uranium and ore miners, which are proposed as occupational disease, are malignant tumors. The majority of judged cases are lung cancers from radioactive agents. The poster gives general information about all judged cases of occupational diseases in former uranium and ore miners in the Czech Republic in the years 2002 -2007. It also provides short information about standards of professional radiation exposure assessment valid in the other countries. Most frequent diseases were lung cancers. Nevertheless the rate of lung cancers acknowledged as occupational disease decreases during the last two decades. Non-melanoma skin cancers are on the second place. The rate of skin cancers increases. We can explain this fact by better diagnostics and by new method which allows more precious assessment of the skin dose. The method is used since 2005. Leukemias are on the third place (1-2 cases in the year). (authors)

Occupational diseases in uranium and ore miners related to radiation exposure in the Czech Republic in 2002 - 2007

International Nuclear Information System (INIS)

Mueller, T.

2009-01-01

Dozens cases of disease of former or present uranium and ore miners are submitted to judgment as occupational diseases every year in the Czech Republic. Patients or attending physicians suggest that these cases are caused by occupational ionizing radiation. Only a part of these cases is qualified as occupational disease, nevertheless they can cause many juridical problems. The term 'occupational disease' is rather juridical term which underlies the right to financial compensation. The causal association with exposure to ionizing radiation cannot be indisputably verified by expert medical opinion. Most diseases in uranium and ore miners, which are proposed as occupational disease, are malignant tumors. The majority of judged cases are lung cancers from radioactive agents. The poster gives general information about all judged cases of occupational diseases in former uranium and ore miners in the Czech Republic in the years 2002-2007. It also provides short information about standards of professional radiation exposure assessment valid in the other countries. Most frequent diseases were lung cancers. Nevertheless the rate of lung cancers acknowledged as occupational disease decreases during the last two decades. Non-melanoma skin cancers are on the second place. The rate of skin cancers increases. We can explain this fact by better diagnostics and by new method which allows more precious assessment of the skin dose. The method is used since 2005. Leukemias are on the third place (1-2 cases in the year). (authors)

Measurement in vivo of the cutaneous contamination provoked by a radioactive solution

International Nuclear Information System (INIS)

Lefaix, J.L.; Lombardo, J.; Delacroix, D.

1996-01-01

The utilization of unsealed radioactive sources may cause cutaneous contamination accidents. The detriment is function of the dose of irradiation absorbed by the basal layer of the epidermis and mainly depends on the energy of the β rays, the molecular nature of contaminant and the time of contact with the skin. Furthermore, the penetration kinetic of a substance through the skin is influenced by different factors. So as to determine the dose of irradiation absorbed by the basal layer of the epidermis, we have realized different studies of cutaneous contamination in vivo in the pig: in a first study wa have compared cutaneous obsorption of a radioisotope ( 99m TC) diluted in physiological serum, in a aprotic solvent (DMSO) known to enhance the cutaneous permeability, and by varying the pH of the solution. In a second part, we have compared the cutaneous absorption after contamination times of 1 and 5 minutes, and in different hydration states of the skin before contamination. Results of the in vivo cutaneous absorption, for contaminating times of 1 and 5 minutes, have shown a loss of 5 % of external counting of the electrons (external counting of the 120 KeV electron of 99m Tc), one hour after the contamination, for all the chemical vectors. The variation of the contamination time and the state of hydration of the skin before contamination showed similar results. From these experimental results, an exponential distribution model of the radioisotope in the skin has allowed to calculate the dose rate equivalent of irradiation absorbed by the basal layer of the ipidermis: during a contamination of 5 minutes on a surface of 9 cm 2 with 99m Tc, this dose rate equivalent was 0.98 mSv h -1 by 37 kBq cm -2 (μCi cm -2 ). By the Monte-Carlo method in the hypothesis where there is no cutaneous absorption, it was 0.94 mSv h -1 by 37 kBq cm-2. A preliminary experience with a β emitter ( 14 C) has confirmed a less of 5% of the counting in the same experimental conditions

29 CFR 1910.19 - Special provisions for air contaminants.

Science.gov (United States)

2010-07-01

... 29 Labor 5 2010-07-01 2010-07-01 false Special provisions for air contaminants. 1910.19 Section 1910.19 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... Standards § 1910.19 Special provisions for air contaminants. (a) Asbestos, tremolite, anthophyllite, and...

Occupational and health safety guide for the study and recovery of contaminated land; Pilaantuneen maa-alueen tutkimuksen ja kunnostuksen tyoesuojeluopas

Energy Technology Data Exchange (ETDEWEB)

NONE

2006-07-01

The guide reviews the accident and health hazards associated with the study and recovery of contaminated land and contains instructions for their assessment and prevention. The subject is approached in terms of risk management. Risk management involves not only the recognition of hazard and stress factors but also the methods of the assessment of the severity and significance of the risks and the risk management methods. The guide re-views the different risk factors in their appropriate subcategories: biological, physical, chemical and accident hazards. Work-related mental and physical stress is also addressed briefly. In the process of the study and recovery of contaminated land, it is important to plan the measures carefully in advance and to prepare for unexpected hazardous situations with appropriate precautions and personal protective equipment. The guide also addresses the responsibilities and duties of the project's operators. Other subjects include communication, orientation and occupational health responsibilities, for instance health inspections, vaccinations, exposure measurements and measures to be taken in case of accident. The guide also describes five typical recovery projects with their proper risk management measures. (orig.)

Cutaneous contamination after a uranyl nitrate skin burn: incident report

International Nuclear Information System (INIS)

Berard, P.; Chalabreysse, J.; Quesne, B.; Auriol, B.

1994-01-01

The authors review the circumstances of a handburn incident by a mixture of dilute nitric acid and uranyl nitrate. The burn was localised on the thumb and three fingers of the left hand. After abundant washing, external direct measurements revealed the presence of uranium on the fingers. The injured employee was maintained under observation for ten days, and therapy was performed until all the activity disappeared. External monitoring with various detectors, and measurements of the bandages and skin showed a rapid decrease of uranium fixation. All urine was collected throughout the duration of the treatment. The study shows that all the activity was retained on the burnt skin, with very little systemic uptake. Rapid peeling eliminated the cutaneous retention. Internal and external dose assessments were calculated and the committed effective dose equivalent and the committed dose equivalent for the skin and bone surfaces were low. (author)

Assessment of health consequences of steel industry welders′ occupational exposure to ultraviolet radiation

Directory of Open Access Journals (Sweden)

Zahra Zamanian

2015-01-01

Conclusions: This study showed that the time period of UV exposure in welders is higher than the permissible contact threshold level. Therefore, considering the outbreak of the eye and skin disorders in the welders, decreasing exposure time, reducing UV radiation level, and using personal protective equipment seem indispensable. As exposure to UV radiation can be linked to different types of skin cancer, skin aging, and cataract, welders should be advised to decrease their occupational exposures.

Occupational radiation exposure during the production of eye applicators and in radiosynovectomy

International Nuclear Information System (INIS)

Mielcarek, J.; Barth, I.

2002-01-01

Beta-emitters have increasingly been used in medical therapy. Measurements, in particular of the personal dose H p (0.07), were carried out at workplaces of the following areas of application to determine radiation exposure during source production and medical therapy: 1. Production of eye applicators (Ru-106/Rh-106) for the therapy of intra-ocular tumours. This involves handling of unsealed and sealed radioactive substances. 2. Radiosynovectomy (Radiosynoviothesis, RSO). A method used for the therapy of inflammatory joint disease. The used radionuclides Er-169, Re-186 and Y-90 are injected as radioactive solutions. Both areas of application are marked by: handling of high activities (MBq- to GBq-range), very small distances between source and skin, high risk of contamination, unsatisfactory area and personal dose measuring technique. Highly sensitive thermoluminescence detectors (LiF:Mg,Cu,P) were used to determine the beta- exposure especially of the the skin of the hands. Supplementing contamination measurements indicated that additional exposure of the skin was to be expected. A skin dose of 1.4 mSv was caused by the production of eye applicators (daily output). In contrast to this, in the RSO in some cases exposures of the hands due to direct radiation of more than 100 mSv per working day were found. Skin doses caused by contamination were in the same order of magnitude. The exposures could, however, be reduced drastically by using manipulators, the consequent wearing of protective gloves, contamination monitoring and fulfilment of specific safety requirements at work. Consequences for the performance of beta personnel dosimetry are discussed. (orig.)

Synthesis of present methods of surface contamination detection (skin, clothes, laboratories)

International Nuclear Information System (INIS)

Joudrier, P.

1983-01-01

The signification of the term ''contamination'' is briefly recalled. To measure the levels of contamination, there are only two methods: the direct method and the indirect method. Finally, the recent improvements in the surface contamination detection field are shortly reviewed [fr

Annual report on occupational safety 1985

International Nuclear Information System (INIS)

1986-09-01

This report presents information on occupational safety relating to the Company's employees for the year 1985, and compares data with figures for the previous year. The following headings are listed: principle activities of BNFL, general policy and organisation, radiological safety, including whole body, skin and extremity, and internal organ doses, non-radiological safety, incidents reportable to the health and safety executive. (U.K.)

Preoperative antiseptic skin preparations and reducing SSI.

Science.gov (United States)

Al Maqbali, Mohammed Abdullah

Surgical site infection (SSI) can affect the quality of care and increase the morbidity and mortality rate in after-surgical procedure. The use of an antiseptic skin preparation agent before the procedure can reduce the pathogens in the skin surface around the incision. Indicating the type of skin antiseptic preparation could prevent the infection and contamination of the wound. The most commonly used types of skin preparations are chlorhexidine and povidone iodine. However, the antiseptic solutions of both agents are strengthened with alcohol to prevent postoperative wound infection. The aim of this paper is to identify the best antiseptic agent in terms of skin preparation by evaluating the evidence in the literature. The factors associated with choosing the antiseptic skin agent, such as patients' allergies, skin condition and environmental risk, are also taken into account. This review suggests that cholorhexdine with alcohol may be the most effective in terms of reducing SSI.

[Editorial] Environmental and occupational risk factors associated with different pathological conditions.

Science.gov (United States)

Signorelli, Salvatore Santo; Ferrante, Margherita

2017-05-01

A wide body of evidence indicates that environmental and occupational risk factors are associated with the development of pathological disorders. The pathogenic role of many environmental pollutants or occupational contaminants is already known and has been extensively investigated. However, the molecular mechanisms of action and the pathogenic effects of many substances remain unknown. Therefore, there is a need to better investigate the role of new environmental and occupational risk factors that may cause the development of several diseases.

Occupational dermatitis in Danish gardeners and greenhouse workers (III)

DEFF Research Database (Denmark)

Paulsen, Evy; Søgaard, Jes; Andersen, Klaus Ejner

1998-01-01

. The Compositae mix detected 2x as many as the SL mix, and the overall detection rate with both was 76%, making aimed patch testing necessary. Chrysanthemum (Dendranthema), marguerite daisy (Argyranthemum frutescens) and lettuce (Lactuca sativa) were frequent sensitizers. Occupational type I allergy to Compositae...... comprised sensitization to Gerbera, chrysanthemum, lettuce, Senecio cruentus and Aster. Among 1657 respondents in the questionnaire part of the study, 824 had worked with Compositae, and 160 (19%) reported occupational Compositae-related symptoms of skin and mucous membranes. Possible risk factors...

National Surveillance of Occupational Exposure to the Human Immunodeficiency Virus

Directory of Open Access Journals (Sweden)

Maura Ricketts

1992-01-01

Full Text Available In September 1985, a prospective study was initiated to monitor the occurrence of occupational exposures to human immunodeficiency virus (HIV-infected blood and body fluids in Canada. This program was coordinated by the Federal Centre for acquired immune deficiency syndrome (AIDS (now the Division of HIV/AIDS Epidemiology at the Laboratory Centre for Disease Control. The objective was to determine the risk to workers of acquiring HIV infection as a result of exposure to HIV-infected blood and other body fluids. To be eligible, a worker must have sustained a documented parenteral, mucous membrane or skin contact exposure to blood or body fluids from an HIV-infected person. A baseline specimen was collected within a week of the exposure and then at six weeks, 12 weeks, six months and 12 months. Information concerning the type of exposure, precautions used and post exposure treatment was submitted to the Federal Centre for AIDS on standard data collection forms. All information was anonymous, identified only by a code number. Guidelines for counselling an exposed employee were provided with enrollment material. As of July 29, 1991, 414 employees have been included in the study. Two hundred and thirty-seven of the 414 exposures (57% were needlestick injuries of which 167 (70% were sustained by nurses. Other exposures consisted of open wound contamination, eye splashes, scalpel wounds and skin contact with blood and body fluids. To date, there have been no seroconversions among workers enrolled in the surveillance program.

Bacterial contamination of surgeons' gloves during shunt insertion; a pilot study

DEFF Research Database (Denmark)

Sørensen, Preben; Ejlertsen, Tove; Aaen, Dorte

2008-01-01

Bacterial infection is a major cause of shunt dysfunction. It is well-known that the majority of pathogenic micro-organisms are low-virulent bacteria normally found on intact skin. Probably shunts become contaminated during surgery either by contact to the patient skin, or contact from contaminated...... gloves or instruments. This study was performed to find out to what extent gloves become contaminated during shunt surgery. Gloves used during shunt implantation were examined in 10 operations. Shunt implantation was done using recommended precautions to avoid infection, including prophylactic...... nurse and assistant were contaminated with micro-organisms less than 15 min after surgery has been commenced and before the shunts were handled. This study offers a feasible, simple and logical explanation of how shunts may become contaminated and infected. A simple measure would be to change the outer...

PCBs Contaminantion of Transformer Oil and its Occupational Health and Safety Status in the Kathmandu Valley, Nepal

Directory of Open Access Journals (Sweden)

Laxman K.C.

2014-12-01

Full Text Available Electrification in Kathmandu valley had started in 1911 and the use of polychlorinated biphenyls (PCBs probably started since 1940s (Devkota, 2005. This research work was undertaken to find out the degree and extent of PCBs contamination in transformer oil and to explore its impacts on occupational health and safety issues of the workers and on the environment. The research was focused on Distributions Centers of the Nepal Electricity Authority (NEA in the Kathmandu valley, NEA Lainchaur workshop and welding workshops of the Kathmandu valley. The samples of transformer oil were collected, safely stored and analyzed using L2000DX Chloride Analyzer, PCBs contamination at >50 ppm level was found in 184 distribution transformers with total volume of PCBs contaminated transformer oil to be 67566.3 Kg. The knowledge on impacts of PCBs contaminated transformer oil on human health and environment was better among NEA employees than among employees of welding workshops, though not satisfactory. Due to very low awareness, the workers come in contact with the transformer oil regularly and many health impacts such as eye problems, skin related complication, weakness and respiratory problems might be due to this exposure; however, exact impacts could not be verified scientifically.DOI: http://dx.doi.org/10.3126/ije.v3i4.11727       International Journal of EnvironmentVolume-3, Issue-4, Sep-Nov 2014Page : 12-23 

Assessing the impacts of lifetime sun exposure on skin damage and skin aging using a non-invasive method

International Nuclear Information System (INIS)

Kimlin, Michael G.; Guo, Yuming

2012-01-01

Background: Ultraviolet radiation exposure during an individuals' lifetime is a known risk factor for the development of skin cancer. However, less evidence is available on assessing the relationship between lifetime sun exposure and skin damage and skin aging. Objectives: This study aims to assess the relationship between lifetime sun exposure and skin damage and skin aging using a non-invasive measure of exposure. Methods: We recruited 180 participants (73 males, 107 females) aged 18–83 years. Digital imaging of skin hyperpigmentation (skin damage) and skin wrinkling (skin aging) on the facial region was measured. Lifetime sun exposure (presented as hours) was calculated from the participants' age multiplied by the estimated annual time outdoors for each year of life. We analyzed the effects of lifetime sun exposure on skin damage and skin aging. We adjust for the influence of age, sex, occupation, history of skin cancer, eye color, hair color, and skin color. Results: There were non-linear relationships between lifetime sun exposure and skin damage and skin aging. Younger participant's skin is much more sensitive to sun exposure than those who were over 50 years of age. As such, there were negative interactions between lifetime sun exposure and age. Age had linear effects on skin damage and skin aging. Conclusion: The data presented showed that self reported lifetime sun exposure was positively associated with skin damage and skin aging, in particular, the younger people. Future health promotion for sun exposure needs to pay attention to this group for skin cancer prevention messaging. - Highlights: ► This is the first study finding the non-linear relationship between lifetime sun exposure and skin damage and skin aging. ► This study finds there is negative interaction between lifetime sun exposure and age for skin damage and aging. ► This study suggests that future health promotion for sun exposure needs to pay attention to youth group for skin cancer

Assessing the impacts of lifetime sun exposure on skin damage and skin aging using a non-invasive method

Energy Technology Data Exchange (ETDEWEB)

Kimlin, Michael G., E-mail: m.kimlin@qut.edu.au; Guo, Yuming, E-mail: guoyuming@yahoo.cn

2012-05-15

Background: Ultraviolet radiation exposure during an individuals' lifetime is a known risk factor for the development of skin cancer. However, less evidence is available on assessing the relationship between lifetime sun exposure and skin damage and skin aging. Objectives: This study aims to assess the relationship between lifetime sun exposure and skin damage and skin aging using a non-invasive measure of exposure. Methods: We recruited 180 participants (73 males, 107 females) aged 18-83 years. Digital imaging of skin hyperpigmentation (skin damage) and skin wrinkling (skin aging) on the facial region was measured. Lifetime sun exposure (presented as hours) was calculated from the participants' age multiplied by the estimated annual time outdoors for each year of life. We analyzed the effects of lifetime sun exposure on skin damage and skin aging. We adjust for the influence of age, sex, occupation, history of skin cancer, eye color, hair color, and skin color. Results: There were non-linear relationships between lifetime sun exposure and skin damage and skin aging. Younger participant's skin is much more sensitive to sun exposure than those who were over 50 years of age. As such, there were negative interactions between lifetime sun exposure and age. Age had linear effects on skin damage and skin aging. Conclusion: The data presented showed that self reported lifetime sun exposure was positively associated with skin damage and skin aging, in particular, the younger people. Future health promotion for sun exposure needs to pay attention to this group for skin cancer prevention messaging. - Highlights: Black-Right-Pointing-Pointer This is the first study finding the non-linear relationship between lifetime sun exposure and skin damage and skin aging. Black-Right-Pointing-Pointer This study finds there is negative interaction between lifetime sun exposure and age for skin damage and aging. Black-Right-Pointing-Pointer This study suggests that future

Experimental studies on decontamination in first aid for contaminated wounds

International Nuclear Information System (INIS)

Kusama, Tomoko; Ogaki, Kazushi; Yoshizawa, Yasuo

1982-01-01

The present study was designed to investigate the decontamination procedures in first aid for wounds contaminated with radionuclides. Abrasion of mouse skin was contaminated with 58 CoCl 2 . Irrigation by decontamination fluids began at 2 min after administration of the radionuclide and continued for 14 min. Tap water, 0.5% Hyamine solution or 10% Ca-DTPA solution were used as the decontamination fluids. Radioactivities of whole body, wounded skin surface and washed solution were measured with an animal counter with 5 cm NaI(Tl) and a well-type auto-gamma-counter. Decontamination effectiveness were expressed as follows: (1) absorption rate of radionuclide through the wound and (2) residual rate of radionuclide on the wound. More than 20% of the radionuclide applied on the wounded skin was absorbed in 15 min after contamination. The absorption rate decreased to 2% by the decontamination procedures. The Ca-DTPA solution reduced the residual rate of radionuclide on the wounds. The results suggested that the decontamination for the contaminated wounds should begin as soon as possible. Irrigation with 0.5% Hyamine solution has been advocated for the decontamination in the first aid. (author)

Annual report on occupational safety 1983

International Nuclear Information System (INIS)

1984-08-01

The 1983 Annual Report on occupational safety at BNFL is presented. Data for whole-body radiation doses and skin and extremity doses are given for BNFL employees together with 1982 data for comparison. Similarly, accidental deaths and major injuries are recorded. Finally information on the frequency of both nuclear and non-nuclear incidents reported to the Health and Safety Executive is given. (U.K.)

In vitro evaluation of percutaneous diffusion of uranyl nitrate through intact or excoriated skin of rat and pig

International Nuclear Information System (INIS)

Petitot, F.; Moreels, A.M.; Paquet, F.

2004-01-01

At the present time, the International Commission on Radiological Protection (ICRP) has not published any model concerning internal radioactive contamination by uptake from wounds. The aims of our work were to determine the time available to treat contamination of intact or wounded skin before a significant uptake of uranium occurred and to evaluate the consequences of incomplete decontamination on uranium uptake. The kinetics of percutaneous diffusion of uranium through intact or excoriated skin and its distribution in skin layers were evaluated using an in vitro technique. Our data demonstrated a dramatic increase of uranium percutaneous diffusion through excoriated skin compared with intact skin. Significant uptake of uranium through excoriated skin occurred in only 30 min, indicating that there is only a short interval available to treat a contaminated wound effectively. Moreover, in the case of an incompletely decontaminated superficial wound, viable epidermis behaved as a reservoir for uranium that remained bioavailable. At the present time, potential uptake of uranium and perhaps other radionuclides through intact or wounded skin is not adequately taken into account by radiological protection agencies. Our results emphasize the need for further study and modeling of uptake of radionuclides through intact or wounded skin. (author)

An algorithm for quantitatively estimating non-occupational pesticide exposure intensity for spouses in the Agricultural Health Study

Science.gov (United States)

Purpose: Women living or working on farms may be exposed to pesticides from direct occupational use of agricultural pesticides and from non-occupational pathways, such as take-home exposure from skin, clothes and shoes of farmworkers, drift from nearby fields, and pest treatments...

Hairy skin exposure to VX in vitro: effectiveness of delayed decontamination.

Science.gov (United States)

Rolland, P; Bolzinger, M-A; Cruz, C; Josse, D; Briançon, S

2013-02-01

The chemical warfare agents such as VX represent a threat for both military and civilians, which involves an immediate need of effective decontamination systems. Since human scalp is usually unprotected compared to other body regions covered with clothes, it could be a preferential site of exposure in case of terrorist acts. The purpose of this study was to determine if skin decontamination could be efficient when performed more than 1h after exposure. In addition, the impact of hairs in skin contamination was investigated. By using in vitro skin models, we demonstrated that about 75% of the applied quantity of VX was recovered on the skin surface 2h after skin exposition, which means that it is worth decontaminating even if contamination occurred 2h before. The stratum corneum reservoir for VX was quickly established and persistent. In addition, the presence of hairs modified the percutaneous penetration of the nerve agent by binding of VX to hairs. Hair shaft has thus to be taken into account in the decontamination process. Reactive Skin Decontamination Lotion (RSDL) and Fuller's Earth (FE) were active in the skin decontamination 45min post-exposure, but RSDL was more efficient in reducing the amount of VX either in the skin or in the hair. Copyright © 2012 Elsevier Ltd. All rights reserved.

Measurement of surface contamination by certain antineoplastic drugs using high-performance liquid chromatography: applications in occupational hygiene investigations in hospital environments.

Science.gov (United States)

Rubino, F M; Floridia, L; Pietropaolo, A M; Tavazzani, M; Colombi, A

1999-01-01

Within the context of continuing interest in occupational hygiene of hospitals as workplaces, the authors report the results of a preliminary study on surface contamination by certain antineoplastic drugs (ANDs), recently performed in eight cancer departments of two large general hospitals in Milan, Italy. Since reliable quantitative information on the exposure levels to individual drugs is mandatory to establish a strong interpretative framework for correctly assessing the health risks associated with manipulation of ANDs and rationally advise intervention priorities for exposure abatement, two automated analytical methods were set up using reverse-phase high-performance liquid chromatography for the measurement of contamination by 1) methotrexate (MTX) and 2) the three most important nucleoside analogue antineoplastic drugs (5-fluorouracil 5FU, Cytarabin CYA, Gemcytabin GCA) on surfaces such as those of preparation hoods and work-benches in the pharmacies of cancer wards. The methods are characterized by short analysis time (7 min) under isocratic conditions, by the use of a mobile phase with a minimal content of organic solvent and by high sensitivity, adequate to detect surface contamination in the 5-10 micrograms/m2 range. To exemplify the performance of the analytical methods in the assessment of contamination levels from the target analyte ANDs, data are reported on the contamination levels measured on various surfaces (such as on handles, floor surfaces and window panes, even far from the preparation hood). Analyte concentrations corresponding to 0.8-1.5 micrograms of 5FU were measured on telephones, 0.85-28 micrograms/m2 of CYA were measured on tables, 1.2-1150 micrograms/m2 of GCA on furniture and floors. Spillage fractions between 1-5% of the used ANDs (daily use 5FU 7-13 g; CYA 0.1-7.1 g; GCA 0.2-5 g) were measured on the disposable polythene-backed paper cover sheet of the preparation hood.

Statistical observations on postirradiation skin malignancies reported in Japan

Energy Technology Data Exchange (ETDEWEB)

Okazaki, Michiharu; Ogata, Katsumi; Inoue, Shouhei (Miyazaki Medical Coll., Kiyotake (Japan))

1989-01-01

A review was made on 412 cases of postirradiation skin malignancies reported in Japan up to March 1988. The ratio of male to female was 2:1. Histologically, squamous cell carcinoma occupied 60% of all cases. The incidence of sarcoma has recently been increased. Sixty percent of all skin malignancies resulted from irradiation for benign diseases. Radiotherapy has recently become the treatment of choice for malignancy. The incidence of malignancy resulting from occupational exposure has remained unchanged. The latency period before the development of radiation-induced malignancy varied in the following order with cause or primary disease: occupation>benign tumors>malignant tumors; and it varied with histology in the following order: basal cell epithelioma>squamous cell carcinoma>sarcoma. Malignant tumors treated with large doses of high energy photon beams were likely to develop sarcomas in a relatively short latency period of time. (N.K.).

Occupational protein contact dermatitis.

Science.gov (United States)

Barbaud, Annick; Poreaux, Claire; Penven, Emmanuelle; Waton, Julie

2015-01-01

Occupational contact dermatitis is generally caused by haptens but can also be induced by proteins causing mainly immunological contact urticaria (ICU); chronic hand eczema in the context of protein contact dermatitis (PCD). In a monocentric retrospective study, from our database, only 31 (0.41%) of patients with contact dermatitis had positive skin tests with proteins: 22 had occupational PCD, 3 had non-occupational PCD, 5 occupational ICU and 1 cook had a neutrophilic fixed food eruption (NFFE) due to fish. From these results and analysis of literature, the characteristics of PCD can be summarized as follows. It is a chronic eczematous dermatitis, possibly exacerbated by work, suggestive if associated with inflammatory perionyxix and immediate erythema with pruritis, to be investigated when the patient resumes work after a period of interruption. Prick tests with the suspected protein-containing material are essential, as patch tests have negative results. In case of multisensitisation revealed by prick tests, it is advisable to analyse IgE against recombinant allergens. A history of atopy, found in 56 to 68% of the patients, has to be checked for. Most of the cases are observed among food-handlers but PCD can also be due to non-edible plants, latex, hydrolysed proteins or animal proteins. Occupational exposure to proteins can thus lead to the development of ICU. Reflecting hypersensitivity to very low concentrations of allergens, investigating ICU therefore requires caution and prick tests should be performed with a diluted form of the causative protein-containing product. Causes are food, especially fruit peel, non-edible plants, cosmetic products, latex, animals.

Issues in the use of costume and its relationship to skin diseases in ...

African Journals Online (AJOL)

This article focuses on the fundamental issues in the use of costumes and its relationship to skin diseases in the Nigerian theatre. It examines skin diseases that can be contracted through the use of contaminated costumes which can bring infections to the human skin. In the Nigerian theatre, like other theatre traditions ...

Sponge and skin excision sampling for recovery of Salmonella and Campylobacter from defeathered broiler carcasses

Science.gov (United States)

Introduction: Salmonella and Campylobacter contamination of broiler carcass skin increases during feather removal. There are several methods for sampling carcasses including sponging or swabbing of skin surface and skin excision. It is unclear whether sponge sampling is adequate to remove bacteria f...

Evaluation of dose to skin surface contamination in the factory Juzbado of fuel elements; Evaluacion de dosis a piel por contaminacion superficial en la fabrica de elementos combustibles de Juzbado

Energy Technology Data Exchange (ETDEWEB)

Ortiz Trujillo, D.; Agustin Perez Fonseca, A.; Alejandro Fuentes, A.

2013-07-01

The aim of this work is previously set a simple calculation methodology applicable to the boundary conditions surrounding the environment where skin contamination may have occurred so that you can evaluate in a simple and fast way the dose that the worker is receiving while enduring such pollution. (Author)

The implementation of knowledge dissemination in the prevention of occupational skin diseases.

Science.gov (United States)

Wilke, A; Bollmann, U; Cazzaniga, S; Hübner, A; John, S M; Karadzinska-Bislimovska, J; Mijakoski, D; Šimić, D; Simon, D; Sonsmann, F; Stoleski, S; Weinert, P; Wulfhorst, B

2018-03-01

Occupational skin diseases (OSD) have a high medical, social, economic and political impact. Knowledge dissemination from research activities to key stakeholders involved in health care is a prerequisite to make prevention effective. To study and prioritize different activity fields and stakeholders that are involved in the prevention of OSD, to reflect on their inter-relationships, to develop a strategic approach for knowledge dissemination and to develop a hands-on tool for OSD prevention projects METHODS: Seven different activity fields that are relevant in the prevention of OSD have been stepwise identified. This was followed by an impact analysis. Fifty-five international OSD experts rated the impact and the influence of the activity fields for the prevention of OSD with a standardized questionnaire. Activity fields identified to have a high impact in OSD prevention are the political system, mass media and industry. The political system has a strong but more indirect effect on the general population via the educational system, local public health services or the industry. The educational system, mass media, industry and local public health services have a strong direct impact on the OSD 'at risk' worker. Finally, a hands-on tool for future OSD prevention projects has been developed that addresses knowledge dissemination and different stakeholder needs. Systematic knowledge dissemination is important to make OSD prevention more effective and to close the gap between research and practice. This study provides guidance to identify stakeholders, strategies and dissemination channels for systematic knowledge dissemination which need to be adapted to country-specific structures, for example the social security system and healthcare systems. A key for successful knowledge dissemination is building linkages among different stakeholders, building strategic partnerships and gaining their support right from the inception phase of a project. © 2017 European Academy of

Assessment of arsenic surface contamination in a museum anthropology department.

Science.gov (United States)

Gribovich, Andrey; Lacey, Steven; Franke, John; Hinkamp, David

2013-02-01

To assess potential arsenic (As) contamination of work surfaces to improve upon the control strategy at an anthropology department in a large natural history museum. Work practices were observed and control strategy reviewed to inform an occupational hygiene assessment strategy utilizing surface wipe sampling. A total of 35 sampling targets were identified, focusing on surfaces that receive high touch traffic, including workstations, artifact transport carts, and elevator buttons. Arsenic sampling and analysis were performed using reference method Occupational Safety and Health Administration ID-125G. Four of the sampling areas returned detectable levels of As, ranging from 0.052 to 0.350 μg/100 cm. Workplace observations and wipe sampling data enabled the development of recommendations to help to further reduce potential occupational exposure to As. Continuous reduction of surface contamination is prudent for known human carcinogens.

In vitro determination of skin decontamination efficacy using a water shower

International Nuclear Information System (INIS)

Reifenrath, W.G.

1990-01-01

The ability of a water shower to remove radioactivity from excised pig skin exposed to radiolabeled diisopropyl fluorophosphate and n-butyl 2-chloroethyl sulfide was determined. Skin samples were decontaminated 15 minutes after chemical exposures (1 mg/cm 2 ) and the distribution of radioactivity was determined 1 hour after decontamination. Compared to controls (no decontamination), shower decontamination reduced the evaporative loss of radioactivity from the skin surface after decontamination or reduced radioactive residues on the skin surface. Shower decontamination of skin at 15 minutes could not prevent penetration of radiolabel into the viable layers of skin or into fluid bathing the dermal surface of the skin, but was beneficial in reducing skin surface concentrations, which may lead to further exposure or contamination

Airborne contamination in the indoor environment and its implications for dose

Energy Technology Data Exchange (ETDEWEB)

Andersson, K.G.; Roed, J.; Byrne, M.A.; Hession, H.; Clark, P.; Elahi, E.; Buskov, A.; Hou, X.L.; Prip, H.; Olsen, S.K.; Roed, T

2004-04-01

Previous work has indicated that radiation doses from deposition on human skin, hair and clothing may contribute significantly to the dose received after a major nuclear accident, such as that, which happened at Chernobyl in 1986. The available data was, however, sparse and associated with considerable variation, clearly showing a need for further investigations to verify preliminary conclusions, examine processes in greater detail and identify important factors causing the observed parameter variation. For instance, the impacts of thermophoresis, electrophoresis, skin moisture and wind speed on the deposition of contaminant aerosol were examined, and since the previous measurements had indicated that elemental iodine could be a particularly problematic contaminant, experimental work was additionally undertaken to examine the process of deposition of this species to skin. Since both clearance and percutaneous penetration of deposited contaminants could play important roles in determining doses, experimental programmes were dedicated to the identification of parameters of interest in these contexts. Also doses from contamination on different surfaces in the indoor environment have in the past traditionally been neglected, and a theoretical approach, based on measurements, was developed for accurate prediction of these doses under different conditions. Also resuspension of deposited matter and its role in dose formation, by subsequent deposition or inhalation, was investigated through experiments. Contact transfer of contaminants from an indoor surface to human skin may give yet another contribution to dose and also the relevant parameters in this direction were examined experimentally. The ultimate goal of the investigations was to enable the determination of the various contributions to dose in a contaminated indoor environment. A model methodology was developed and an example of its use was given. It was found that after a major nuclear accident, doses from indoor

Evaluation of cytogenetic effects in some occupational groups exposed to mutagenic action due to the Chernobyl accident

International Nuclear Information System (INIS)

Pilinskaya, M.A.; Pilinskij, V.V.

1995-01-01

12 persons, that live on territories contaminated by radionuclides and are exposed to additional irradiation due to their occupational activity, are cytogenetic ally examined. The most serious cytogenetic effect was in the group of tractor-drivers from the Polesskoe region of the Kyiv district (average frequency of unstable chromosome aberrations - 2.51 per 100 cells, stable chromosome aberrations - 1.44 per 100 cells), where the density of 137 Cs-contamination ran up to 26 Ci/km 2 . The received data confirm the importance of contribution of the occupational radiation component to genetic effects in the population of areas contaminated after the Chernobyl accident

Occupational food-related hand dermatoses seen over a 10-year period

DEFF Research Database (Denmark)

Vester, Lotte; Thyssen, Jacob P; Menné, Torkil

2012-01-01

. A suggestion for diagnostic criteria is presented. Frequent risk occupations were cooking in restaurants, baking, and kitchen work. Substantially more patients reacted in skin prick testing with fresh foods than with food extracts. Conclusion. Protein contact dermatitis is a frequent disorder among patients...... who professionally handle foods, and should be considered to be a distinct clinical entity. When diagnosing protein contact dermatitis and in other food-related skin prick testing procedures, it is important to include fresh foods....

Assessment of occupational exposure and contamination by means of airborne particulate matter and biomonitors using k0 instrumental neutron activation analysis

International Nuclear Information System (INIS)

Menezes, M.A. de B.C.; Pereira Maia, E.C.; Filho, S.S.; Albinati, C.

2002-01-01

In order to assess the elemental concentration level in a galvanizing industry and alert for the need to assess the outcome of a long-term exposure, scalp hair and toenail samples were used as bioindicators and the industry environment was evaluated through airborne particulate matter. The elemental concentration results have pointed out a high exposure to pollutant at workplaces and a high elemental concentration in biomonitors suggesting endogenous contamination. The majority of the elements determined in airborne particulate matter were also determined in hair and toenail samples. The results evidence the efficiency of these matrixes as biomonitors and the importance to carry out the airborne particulate matter sampling in parallel to these biomonitors mainly in occupational epidemiological studies. (author)

Derived limits for occupational exposure to uranium mine and mill dusts in the air and on surfaces

International Nuclear Information System (INIS)

Carter, M.W.

1983-01-01

Limits are derived for the concentration of uranium mine and mill dusts in the air based on ICRP30 and assumptions regarding the isotopic make up of the dusts. From these limits using a resuspension factor, limits for surface contamination are derived. Calculations are presented of the dose to the basal layer of the skin from mine and mill dusts on the skin. From these calculations limits for skin contamination are derived. A calculation of a limit based on direct ingestion is also presented. Exposure limits for the public are not considered

Occupational sun protection: workplace culture, equipment provision and outdoor workers' characteristics.

Science.gov (United States)

Reeder, Anthony I; Gray, Andrew; McCool, Judith P

2013-01-01

The aim of this study was to describe outdoor workers' sun-protective practices, workplace sun-safety culture and sun-protective equipment provision; investigate the association of demographic, personal and occupational factors with sun-protective practices; and identify potential strategies for improving workers' sun protection. The present study used a clustered survey design with randomly identified employers in nine occupations. Employees provided questionnaire measures of demographics, personal characteristics (skin type, skin cancer risk perceptions, tanning attitudes, sun-exposure knowledge), personal occupational sun protection practices (exposure reduction, use of sun-protective clothing, sunscreen and shade), workplace sun-protective equipment provision and perceived workplace sun-safety culture. Summative scores were calculated for attitudes, knowledge, workplace provision and culture. A multivariable model was built with worker and workplace variables as plausible predictors of personal sun protection. In this study, 1,061 workers (69% participation) from 112 workplaces provided sufficient information for analysis. Sex, age, prioritized ethnicity, education and risk perception differed significantly between occupational groups (pworkplace sun-protection equipment provision and supportive culture. After adjustment, each one-point increase in Workplace Sun-safety Culture 2013Score (range 12 points) was associated with a 0.16 higher Personal Sun-Protection Score (pWorkplace Provision Score (range 4 points) was associated with a 0.14 higher score (pworkplace culture are promising components for the development of comprehensive programmes to improve outdoor workers' sun-protective practices.

Evaluation of skin and ingestion exposure pathways

Energy Technology Data Exchange (ETDEWEB)

Aaberg, Rosanne [Pacific Northwest Laboratory, Richland, WA (United States); Logsdon, Joe E [United States Environmental Protection Agency, Office of Radiation Programs, Washington, DC (United States)

1989-06-01

After a nuclear accident when there has been a release of radionuclides into the atmosphere with consequential deposition on the ground, decisions are necessary on whether protective action guides should be implemented. In order to do this, several pathways for radiation exposure must be evaluated to determine the projected dose to individuals. The objective of this study, conducted by Pacific Northwest Laboratories for the U.S. Environmental Protection Agency, is to provide background information on exposure pathways for use in the development of Protective Action Guides. The relative importance of three exposure pathways that are usually considered to be unimportant compared to other pathways expected to control relocation decisions following a nuclear power plant accident is evaluated. The three pathways are the skin dose from contact with radionuclides transferred from the ground, the skin dose from radionuclides on the ground surface, and ingestion of radionuclides transferred directly to the mouth from the hands or other contaminated surfaces. Ingestion of contaminated food is not included in this evaluation, except for situations where the food is contaminated as a result of actions by the person who consumes the food (e.g., transfer of contamination from hands to food). Estimates of skin and ingestion doses are based on a source term with a radionuclide mix predicted for an SST2-type nuclear accident in an area where the first year reference whole-body dose equivalent from whole body external exposure to gamma radiation plus the committed effective dose equivalent from inhalation of resuspended radionuclides is 1 rem. Appendixes have been included to allow the reader to examine dose factor calculations, source-term data, and quantification of contact and ingestion parameters in more detail.

Evaluation of skin and ingestion exposure pathways

International Nuclear Information System (INIS)

Aaberg, Rosanne; Logsdon, Joe E.

1989-06-01

After a nuclear accident when there has been a release of radionuclides into the atmosphere with consequential deposition on the ground, decisions are necessary on whether protective action guides should be implemented. In order to do this, several pathways for radiation exposure must be evaluated to determine the projected dose to individuals. The objective of this study, conducted by Pacific Northwest Laboratories for the U.S. Environmental Protection Agency, is to provide background information on exposure pathways for use in the development of Protective Action Guides. The relative importance of three exposure pathways that are usually considered to be unimportant compared to other pathways expected to control relocation decisions following a nuclear power plant accident is evaluated. The three pathways are the skin dose from contact with radionuclides transferred from the ground, the skin dose from radionuclides on the ground surface, and ingestion of radionuclides transferred directly to the mouth from the hands or other contaminated surfaces. Ingestion of contaminated food is not included in this evaluation, except for situations where the food is contaminated as a result of actions by the person who consumes the food (e.g., transfer of contamination from hands to food). Estimates of skin and ingestion doses are based on a source term with a radionuclide mix predicted for an SST2-type nuclear accident in an area where the first year reference whole-body dose equivalent from whole body external exposure to gamma radiation plus the committed effective dose equivalent from inhalation of resuspended radionuclides is 1 rem. Appendixes have been included to allow the reader to examine dose factor calculations, source-term data, and quantification of contact and ingestion parameters in more detail

Inventory of the chemicals and the exposure of the workers' skin to these at two leather factories in Indonesia.

Science.gov (United States)

Febriana, Sri Awalia; Jungbauer, Frank; Soebono, Hardyanto; Coenraads, Pieter-Jan

2012-07-01

Tannery workers are exposed to hazardous chemicals. Tannery work is outsourced to newly industrialized countries (NICs) where attention into occupational health hazards is limited. In this study, we investigated the skin exposure to hazardous chemicals in tannery workers and determined the prevalence of occupational skin diseases (OSDs) at tanneries in a NIC. A cross-sectional study on the observation of the working process and an inventory and risk assessment of the chemicals used. Classification of chemicals as potential sensitizers/irritants and a qualitative assessment of exposure to these chemicals. Workers were examined and interviewed using Nordic Occupational Skin Questionnaire-2002/LONG. The risk of OSDs at the investigated tanneries was mainly related to the exposure of the workers' skin to chemicals in hot and humid environmental conditions. In 472 workers, 12% reported a current OSD and 9% reported a history of OSD. In 10% of all cases, an OSD was confirmed by a dermatologist and 7.4% had an occupational contact dermatitis (OCD). We observed that personal protective equipment (PPE) used was mainly because of skin problems in the past and not as a primary protection against OSD. We observed a high frequency and prolonged exposure to many skin hazardous factors in tannery work although PPE was relatively easily available and which was generally used as a secondary preventative measure. The observed point-prevalence in this study was at the same level as that reported for other high-risk OSDs in Western countries and other tanneries in NICs. However, the observed point-prevalence in this study was lower than that reported in India and Korea. The results of our study and those of other studies at tanneries from other NICs were probably influenced by Healthy Worker Survivor Effect (HWSE).

[Occupational diseases caused by ionizing radiation in Poland, 1971-2006].

Science.gov (United States)

Wilczyńska, Urszula; Szeszenia-Dabrowska, Neonila

2008-01-01

The whole spectrum of disorders of the hematopoietic tissue, eye and skin induced by ionizing radiation covers complex pathologies termed as a postirradiation syndrome, as well as various malignancies. The aim of this work is to present the data on incidence of occupational diseases with ionizing radiation as a causative agent. The work is based on the data compiled from "Occupational Diseases Reporting Forms" for the years 1971-2006 collected in the Central Register of Occupational Diseases. The incidence of certified occupational diseases with ionizing radiation as a causative agent is expressed in absolute numbers and the rate per 100 000 employees. The data comprise information on disease entities, gender, age, exposure duration and the branch of national economy. In total, 599 diseases (0.2% of all occupational diseases) were diagnosed as those induced by ionizong radiation. Annual incidence rates per 100,000 employees fell within the range of 0.0-0.7. Miners formed the major (51.9%) occupational group affected by ionizing radiation. They were followed by health care (34.3%) and construction (6.4%) workers. Cancers made over 50% of pathologies located at 28 sites. These included cancers of lung (59.2%), skin (10.0%) and hematopoietic tissue (8.7%). Almost all (99.35) diseases recorded in the mining industry were cancers. Non-cancer diseases were more frequent in health care workers, among them postradiation cataract occupied the first place. A great deal of reported cancer sites give rise to controversy in terms of the cause-effect association with ionizing radiation exposure and also due to incomplete data on exposure level. Postradiation cancers among health care workers have not been registered over recent years, which means that occupational exposure surveillance carried out for many years proves to be effective. Distant effects of exposure to ionizing radiation, revealed in workers of no longer existing uranium mine, appeared to be a particular problem

Occupational Diseases Caused by Ionizing Radiation in Poland, 1971-2006

International Nuclear Information System (INIS)

Wilczynska, U.; Szeszenia-Dabrowska, N.

2008-01-01

The whole spectrum of disorders of the hematopoietic tissue, eye and skin induced by ionizing radiation covers complex pathologies termed as a postirradiation syndrome, as well as various malignancies. The aim of this work is to present the data on incidence of occupational diseases with ionizing radiation as a causative agent. The work is based on the data compiled from 'Occupational Diseases Reporting Forms' for the years 1971-2006 collected in the Central Register of Occupational Diseases. The incidence of certified occupational diseases with ionizing radiation as a causative agent is expressed in absolute numbers and the rate per 100 000 employees. The data comprise information on disease entities, gender, age, exposure duration and the branch of national economy. In total, 599 diseases (0.2% of all occupational diseases) were diagnosed as those induced by ionizing radiation. Annual incidence rates per 100 000 employees fell within the range of 0.0-0.7. Miners formed the major (51.9%) occupational group affected by ionizing radiation. They were followed by health care (34.3%) and construction (6.4%) workers. Cancers made over 50% of pathologies located at 28 sites. These included cancers of lung (59.2%), skin (10.0%) and hematopoietic tissue (8.7%). Almost all (99.35) diseases recorded in the mining industry were cancers. Non-cancer diseases were more frequent in health care workers, among them postradiation cataract occupied the first place. A great deal of reported cancer sites give rise to controversy in terms of the cause-effect association with ionizing radiation exposure and also due to incomplete data on exposure duration. Postradiation cancers among health care workers have not been registered over recent years, which means that occupational exposure surveillance carried out for many years proves to be effective. Distant effects of exposure to ionizing radiation, revealed in workers of no longer existing uranium mine, appeared to be a particular problem

Quantitative measurement of aerosol deposition on skin, hair and clothing for dosimetric assessment. Final report

Energy Technology Data Exchange (ETDEWEB)

Fogh, C.L.; Byrne, M.A.; Andersson, K.G.; Bell, K.F.; Roed, J.; Goddard, A.J.H.; Vollmair, D.V.; Hotchkiss, S.A.M

1999-06-01

In the past, very little thought has been given to the processes and implications of deposition of potentially hazardous aerosol directly onto humans. This state of unpreparedness is unsatisfactory and suitable protocols have been developed and validated for tracer experiments to investigate the deposition and subsequent fate of contaminant aerosol on skin, hair and clothing. The main technique applied involves the release and subsequent deposition on volunteers in test rooms of particles of different sizes labelled with neutron activatable rare earth tracers. Experiments indicate that the deposition velocity to skin increases linearly with the particle size. A wind tunnel experiment simulating outdoor conditions showed a dependence on skin deposition velocity of wind speed, indicating that outdoor deposition velocities may be great. Both in vivo and in vitro experiments were conducted, and the influence of various factors, such as surface type, air flow, heating and electrostatics were examined. The dynamics of particle removal from human skin were studied by fluorescence scanning. This technique was also applied to estimate the fraction of aerosol dust transferred to skin by contact with a contaminated surface. The various parameters determined were applied to establish a model for calculation of radiation doses received from deposition of airborne radioactive aerosol on human body surfaces. It was found that the gamma doses from deposition on skin may be expected to be of the same order of magnitude as the gamma doses received over the first year from contamination on outdoor surfaces. According to the calculations, beta doses from skin deposition to individuals in areas of Russia, where dry deposition of Chernobyl fallout led to very high levels of contamination, may have amounted to several Sievert and may thus be responsible for a significant cancer risk. (au)

QSAR models of human data can enrich or replace LLNA testing for human skin sensitization

OpenAIRE

Alves, Vinicius M.; Capuzzi, Stephen J.; Muratov, Eugene; Braga, Rodolpho C.; Thornton, Thomas; Fourches, Denis; Strickland, Judy; Kleinstreuer, Nicole; Andrade, Carolina H.; Tropsha, Alexander

2016-01-01

Skin sensitization is a major environmental and occupational health hazard. Although many chemicals have been evaluated in humans, there have been no efforts to model these data to date. We have compiled, curated, analyzed, and compared the available human and LLNA data. Using these data, we have developed reliable computational models and applied them for virtual screening of chemical libraries to identify putative skin sensitizers. The overall concordance between murine LLNA and human skin ...

Imaging of accidental contamination with F-18-solution; a quick trouble-shooting procedure

Directory of Open Access Journals (Sweden)

Kalevi Kairemo

2016-01-01

Full Text Available To the best of our knowledge, imaging of accidental exposure to radioactive fluorine-18 (F-18 due to liquid spill has not been described earlier in the scientific literature. The short half-life of F-18 (t½=110 min, current radiation safety requirements, and Good Manufacturing Practice (GMP regulations on radiopharmaceuticals have restrained the occurrence of these incidents. The possibility of investigating this type of incidents by gamma and positron imaging is also quite limited. Additionally, a quick and precise analysis of radiochemical contamination is cumbersome and sometimes challenging if the spills of radioactive materials are low in activity. Herein, we report a case of accidental F-18 contamination in a service person during a routine cyclotron maintenance procedure. During target replacement, liquid F-18 was spilled on the person responsible for the maintenance. The activities of spills were immediately measured using contamination detectors, and the photon spectrum of contaminated clothes was assessed through gamma spectroscopy. Despite protective clothing, some skin areas were contaminated, which were then thoroughly washed. Later on, these areas were imaged, using positron emission tomography (PET, and a gamma camera (including spectroscopy. Two contaminated skin areas were located on the hand (9.7 and 14.7 cm2, respectively, which showed very low activities (19.0 and 22.8 kBq respectively at the time of incident. Based on the photon spectra, F-18 was confirmed as the main present radionuclide. PET imaging demonstrated the shape of these contaminated hot spots. However, the measured activities were very low due to the use of protective clothing. With prompt action and use of proper equipments at the time of incident, minimal radionuclide activities and their locations could be thoroughly analyzed. The cumulative skin doses of the contaminated regions were calculated at 1.52 and 2.00 mSv, respectively. In the follow-up, no skin

Beachfront screening for skin cancer in Texas Gulf coast surfers.

Science.gov (United States)

Dozier, S; Wagner, R F; Black, S A; Terracina, J

1997-01-01

Skin cancer screening programs may attract the "worried well," while those at greatest risk for skin cancer are less likely to attend. Our purpose was to compare the results of skin cancer screening examinations between persons participating in the 1992 American Academy of Dermatology-sponsored free skin cancer screening and surfers participating in a free beachfront skin cancer screening held in conjunction with a regional surfing competition. The hypothesis was that screening an at-risk population (ie, surfers) would be more productive in terms of incidence of clinically diagnosed malignant skin lesions. Surfers were significantly younger and predominantly male. The incidence of basal cell carcinoma was significantly greater in the surfing population than in the self-selected population with similar ages. This study indicates that directed skin cancer screening of an at-risk population was more productive in finding skin cancer than screening of a self-selected population. Future efforts to identify individuals with skin cancer should be broadened to include high-risk populations such as daytime outdoor athletes and high-risk occupational groups, since they may not be reached by current screening efforts.

Ceiling personalized ventilation combined with desk fans for reduced direct and indirect cross-contamination and efficient use of office space

International Nuclear Information System (INIS)

Habchi, Carine; Ghali, Kamel; Ghaddar, Nesreen; Chakroun, Walid; Alotaibi, Sorour

2016-01-01

Highlights: • Cross-infection occurs by direct inhalation and contact of contaminated surfaces. • Mixing ventilation performance is degraded at reduced distance between occupants. • Ceiling personalized ventilation reduces significantly cross-contamination. • The optimized system induces large energy savings compared to mixing ventilation. • The optimized system improves the occupation density from 12 to 8 m 2 per occupant. - Abstract: Crowded offices with short distances separating workers’ stations increase the probability of respiratory cross-infection via two different paths. One path is the contaminant transmission through air by direct inhalation and the other is through the body contact of contaminated surfaces and walls. Mixed ventilation principles used today reduces the probability of cross contamination by increasing the distance between the stations challenging the efficient use of the space or by supplying more fresh air in the space which is energy inefficient. In this work, new cooling and ventilation configuration is studied by modeling using computational fluid dynamics with consideration of space occupancy density while providing good indoor air quality. The configuration considers a ceiling personalized ventilation system equipped with desk fans. The ability of the computational fluid dynamics model in computing the thermal, velocity and concentration fields was validated by experiments and published data. The main objective of the performed experiments was to ensure that the developed computational fluid dynamics model can capture the effect of the desk fan flow rate on particle behavior. The studied system is found to provide acceptable indoor air quality at shorter distance between the occupants compared to the mixing system at considerable energy savings. By optimizing the design of the proposed personalized ventilation system, the occupancy density in an office is enhanced to 8 m 2 per occupant compared to 12 m 2 per occupant for

Tattoo-associated nontuberculous mycobacterial skin infections--multiple states, 2011-2012.

Science.gov (United States)

2012-08-24

Permanent tattoos have become increasingly common, with 21% of adults in the United States reporting having at least one tattoo. On rare occasions, outbreaks of nontuberculous mycobacterial (NTM) skin infections have been reported after tattooing. In January 2012, public health officials in New York received reports of Mycobacterium chelonae skin infections in 14 New York residents who received tattoos during September-December 2011. All infections were associated with use of the same nationally distributed, prediluted gray ink manufactured by company A. CDC disseminated an Epi-X public health alert to identify additional tattoo-associated NTM skin infections; previously identified cases were reported from three states (Washington, Iowa, and Colorado). Public health investigations by CDC, state and local health departments, and the Food and Drug Administration (FDA) found NTM contamination in tattoo inks used in two of five identified clusters. All infected persons were exposed to one of four different brands of ink. NTM contamination of inks can occur during the manufacturing process as a result of using contaminated ingredients or poor manufacturing practices, or when inks are diluted with nonsterile water by tattoo artists. No specific FDA regulatory requirement explicitly provides that tattoo inks must be sterile. However, CDC recommends that ink manufacturers ensure ink is sterile and that tattoo artists avoid contamination of ink through dilution with nonsterile water. Consumers also should be aware of the health risks associated with getting an intradermal tattoo.

The preservation of green goat skin using liquid smoke from coconut shell

Directory of Open Access Journals (Sweden)

Suliestiyah Wiryodiningrat

2009-07-01

Full Text Available The objective of the research on the presentation of green goat skin using liquid smoke was to reduce the environmental contamination caused by usage of the environmentally-unfriendly chemical in skin preservation process. Liquid smoke is the outcome of coconut shell waste containing a lot of phenol and acid compound. It is an organic material that is environment-friendly and it can inhibit the bacteria growth. The research was conducted using 18 pieces of green goat skin. Eighteen pieces of green goat skin were divided into 2 treatments. The first stage treatment used liquid smoke as the preserving material with 0,1%, 0,5%, and 1,0 % in concentrations without crystal salt and anti-bacterial material. The second stage treatment used liquid smoke with 5%, 10% and 15% in concentrations and used crystal salt without anti-bacteria material. The skins then were stretched and dried in the sun. They were observed for 1 week, 2 weeks and 1 month. The results of the skin preservation then were tested in organoleptic method, including the tests for the shedding of feather and the damage of skin owing to bacteria / louse. The skins also were tested in physical method (tensile strength & elongation at break. The result of search showed that the skins preservation for month using liquid smoke, 10% in concentration, was the most effective, Usage of liquid smoke as the substitute of anti-bacteria/fungicide would reduce a part of the environmental contamination owing to usage of the environment-unfriendly chemical in skin preservation process.

[Alpha-amylase as an occupational allergen in baking industry employees].

Science.gov (United States)

De Zotti, R; Larese, F; Molinari, S

1994-01-01

In a group of 226 bakers and pastry makers and in 88 students of a training school for bakers, we evaluated skin sensitization to the common allergens, wheat and alpha amylase. Skin prick tests were positive to the enzyme in 17 exposed subjects (7.5%) and in one student with previous occupational exposure as a baker; 27 exposed subjects (11.9%) and 2 students were sensitized to wheat. Among the 42 exposed workers who complained of work-related symptoms, 12 (28.6%) cases were skin positive to amylase and 17 (42.9%) to wheat. Among the 17 workers who were positive to amylase, 16 were also sensitized to wheat and/or common allergens, 12 complained of symptoms at work but since in many cases there was a positive response to wheat, too, it is impossible to speculate on the role of each allergen in inducing symptoms. One case, with work-related rhinoconjunctivitis, had skin sensitization only to alpha amylase but no specific IgE in the serum. These findings confirm that bakers are at risk of sensitization not only to wheat allergen but also to amylase from Aspergillus oryzae. The enzyme should be included in the list of substances to be tested among bakers in whom an occupational allergy is suspected, but particular care should be taken in evaluating the cutaneous response, especially if compared to wheat wheals. Further investigations are also needed to identify the source of risk and to better define the characteristics of the enzyme and the relationship between skin reaction to amylase, sensitization to wheat and atopy.(ABSTRACT TRUNCATED AT 250 WORDS)

A new approach to assess occupational exposure to airborne fungal contamination and mycotoxins of forklift drivers in waste sorting facilities.

Science.gov (United States)

Viegas, Carla; Faria, Tiago; de Oliveira, Ana Cebola; Caetano, Liliana Aranha; Carolino, Elisabete; Quintal-Gomes, Anita; Twarużek, Magdalena; Kosicki, Robert; Soszczyńska, Ewelina; Viegas, Susana

2017-11-01

The waste management industry is an important employer, and exposure of waste-handling workers to microorganisms is considered an occupational health problem. Besides fungal contamination, it is important to consider the co-occurrence of mycotoxins in this setting. Forklifts with closed cabinet and air conditioner are commonly used in waste industry to transport waste and other products within the facilities, possibly increasing the risk of exposure under certain conditions. The aim of this study was to assess the fungal contamination and mycotoxin levels in filters from the air conditioning system of forklift cabinets, as an indicator to assess occupational exposure of the drivers working in a waste sorting facility. Cytotoxicity was also assessed to understand and characterize the toxicity of the complex mixtures as present in the forklift filters. Aqueous extracts of filters from 11 vehicles were streaked onto 2% malt extract agar (MEA) with chloramphenicol (0.05 g/L) media, and in dichloran glycerol (DG18) agar-based media for morphological identification of the mycobiota. Real-time quantitative PCR amplification of genes from Aspergillus sections Fumigati, Flavi, Circumdati, and Versicolores was also performed. Mycotoxins were analyzed using LC-MS/MS system. Cytotoxicity of filter extracts was analyzed by using a MTT cell culture test. Aspergillus species were found most frequently, namely Aspergillus sections Circumdati (MEA 48%; DG18 41%) and Nigri (MEA 32%; DG18 17.3%). By qPCR, only Aspergillus section Fumigati species were found, but positive results were obtained for all assessed filters. No mycotoxins were detected in aqueous filter extracts, but most extracts were highly cytotoxic (n = 6) or medium cytotoxic (n = 4). Although filter service life and cytotoxicity were not clearly correlated, the results suggest that observing air conditioner filter replacement frequency may be a critical aspect to avoid worker's exposure. Further research is

Occupational Distribution of Campylobacteriosis and Salmonellosis Cases - Maryland, Ohio, and Virginia, 2014.

Science.gov (United States)

Su, Chia-Ping; de Perio, Marie A; Fagan, Kathleen; Smith, Meghan L; Salehi, Ellen; Levine, Seth; Gruszynski, Karen; Luckhaupt, Sara E

2017-08-18

Campylobacter and Salmonella are leading causes of bacterial gastroenteritis in the United States and are estimated to cause >1 million episodes of domestically acquired illness annually (1). Campylobacter and Salmonella are primarily transmitted through contaminated food, but animal-to-human and human-to-human transmission can also occur (2,3). Although occupationally acquired infections have been reported, occupational risk factors have rarely been studied. In 2015, the Occupational Safety and Health Administration (OSHA) identified 63 suspected or confirmed cases of Campylobacter infection over 3.5 years at a poultry-processing plant (Kathleen Fagan, OSHA, personal communication, December 2015); most involved new workers handling chickens in the "live hang" area where bacterial contamination is likely to be the highest. These findings were similar to those of a previous study of Campylobacter infections among workers at another poultry-processing plant (4). The investigation led to discussions among OSHA, state health departments, and CDC's National Institute for Occupational Safety and Health (NIOSH); and a surveillance study was initiated to further explore the disease incidence in poultry-processing plant workers and identify any additional occupations at increased risk for common enteric infections. Deidentified reports of campylobacteriosis and salmonellosis among Maryland, Ohio, and Virginia residents aged ≥16 years were obtained and reviewed. Each employed patient was classified into one of 23 major occupational groups using the 2010 Standard Occupational Classification (SOC) system.* Risk ratios (RR) and 95% confidence intervals (CI) for associations between each occupational group and each disease were calculated to identify occupations potentially at increased risk, contrasting each group with all other occupations. In 2014, a total of 2,977 campylobacteriosis and 2,259 salmonellosis cases were reported. Among the 1,772 (60%) campylobacteriosis and 1

Health burden of skin lesions at low arsenic exposure through groundwater in Pakistan. Is river the source?

International Nuclear Information System (INIS)

Fatmi, Zafar; Azam, Iqbal; Ahmed, Faiza; Kazi, Ambreen; Gill, Albert Bruce; Kadir, Muhmmad Masood; Ahmed, Mubashir; Ara, Naseem; Janjua, Naveed Zafar

2009-01-01

A significant proportion of groundwater in south Asia is contaminated with arsenic. Pakistan has low levels of arsenic in groundwater compared with China, Bangladesh and India. A representative multi-stage cluster survey conducted among 3874 persons ≥15 years of age to determine the prevalence of arsenic skin lesions, its relation with arsenic levels and cumulative arsenic dose in drinking water in a rural district (population: 1.82 million) in Pakistan. Spot-urine arsenic levels were compared among individuals with and without arsenic skin lesions. In addition, the relation of age, body mass index, smoking status with arsenic skin lesions was determined. The geographical distribution of the skin lesions and arsenic-contaminated wells in the district were ascertained using global positioning system. The total arsenic, inorganic and organic forms, in water and spot-urine samples were determined by atomic absorption spectrophotometry. The prevalence of skin lesions of arsenic was estimated for complex survey design, using surveyfreq and surveylogistic options of SAS 9.1 software.The prevalence of definitive cases i.e. hyperkeratosis of both palms and soles, was 3.4 per 1000 and suspected cases i.e. any sign of arsenic skin lesions (melanosis and/or keratosis), were 13.0 per 1000 among ≥15-year-old persons in the district. Cumulative arsenic exposure (dose) was calculated from levels of arsenic in water and duration of use of current drinking water source. Prevalence of skin lesions increases with cumulative arsenic exposure (dose) in drinking water and arsenic levels in urine. Skin lesions were 2.5-fold among individuals with BMI 2 . Geographically, more arsenic-contaminated wells and skin lesions were alongside Indus River, suggests a strong link between arsenic contamination of groundwater with proximity to river.This is the first reported epidemiological and clinical evidence of arsenic skin lesions due to groundwater in Pakistan. Further investigations and

Health burden of skin lesions at low arsenic exposure through groundwater in Pakistan. Is river the source?

Energy Technology Data Exchange (ETDEWEB)

Fatmi, Zafar, E-mail: zafar.fatmi@aku.edu [Department of Community Health Sciences, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi (Pakistan); Azam, Iqbal; Ahmed, Faiza; Kazi, Ambreen; Gill, Albert Bruce; Kadir, Muhmmad Masood; Ahmed, Mubashir; Ara, Naseem; Janjua, Naveed Zafar [Department of Community Health Sciences, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi (Pakistan)

2009-07-15

A significant proportion of groundwater in south Asia is contaminated with arsenic. Pakistan has low levels of arsenic in groundwater compared with China, Bangladesh and India. A representative multi-stage cluster survey conducted among 3874 persons {>=}15 years of age to determine the prevalence of arsenic skin lesions, its relation with arsenic levels and cumulative arsenic dose in drinking water in a rural district (population: 1.82 million) in Pakistan. Spot-urine arsenic levels were compared among individuals with and without arsenic skin lesions. In addition, the relation of age, body mass index, smoking status with arsenic skin lesions was determined. The geographical distribution of the skin lesions and arsenic-contaminated wells in the district were ascertained using global positioning system. The total arsenic, inorganic and organic forms, in water and spot-urine samples were determined by atomic absorption spectrophotometry. The prevalence of skin lesions of arsenic was estimated for complex survey design, using surveyfreq and surveylogistic options of SAS 9.1 software.The prevalence of definitive cases i.e. hyperkeratosis of both palms and soles, was 3.4 per 1000 and suspected cases i.e. any sign of arsenic skin lesions (melanosis and/or keratosis), were 13.0 per 1000 among {>=}15-year-old persons in the district. Cumulative arsenic exposure (dose) was calculated from levels of arsenic in water and duration of use of current drinking water source. Prevalence of skin lesions increases with cumulative arsenic exposure (dose) in drinking water and arsenic levels in urine. Skin lesions were 2.5-fold among individuals with BMI <18.5 kg/m{sup 2}. Geographically, more arsenic-contaminated wells and skin lesions were alongside Indus River, suggests a strong link between arsenic contamination of groundwater with proximity to river.This is the first reported epidemiological and clinical evidence of arsenic skin lesions due to groundwater in Pakistan. Further

Health burden of skin lesions at low arsenic exposure through groundwater in Pakistan. Is river the source?

Science.gov (United States)

Fatmi, Zafar; Azam, Iqbal; Ahmed, Faiza; Kazi, Ambreen; Gill, Albert Bruce; Kadir, Muhmmad Masood; Ahmed, Mubashir; Ara, Naseem; Janjua, Naveed Zafar

2009-07-01

A significant proportion of groundwater in south Asia is contaminated with arsenic. Pakistan has low levels of arsenic in groundwater compared with China, Bangladesh and India. A representative multi-stage cluster survey conducted among 3874 persons > or = 15 years of age to determine the prevalence of arsenic skin lesions, its relation with arsenic levels and cumulative arsenic dose in drinking water in a rural district (population: 1.82 million) in Pakistan. Spot-urine arsenic levels were compared among individuals with and without arsenic skin lesions. In addition, the relation of age, body mass index, smoking status with arsenic skin lesions was determined. The geographical distribution of the skin lesions and arsenic-contaminated wells in the district were ascertained using global positioning system. The total arsenic, inorganic and organic forms, in water and spot-urine samples were determined by atomic absorption spectrophotometry. The prevalence of skin lesions of arsenic was estimated for complex survey design, using surveyfreq and surveylogistic options of SAS 9.1 software.The prevalence of definitive cases i.e. hyperkeratosis of both palms and soles, was 3.4 per 1000 and suspected cases i.e. any sign of arsenic skin lesions (melanosis and/or keratosis), were 13.0 per 1000 among > or = 15-year-old persons in the district. Cumulative arsenic exposure (dose) was calculated from levels of arsenic in water and duration of use of current drinking water source. Prevalence of skin lesions increases with cumulative arsenic exposure (dose) in drinking water and arsenic levels in urine. Skin lesions were 2.5-fold among individuals with BMI <18.5 kg/m2. Geographically, more arsenic-contaminated wells and skin lesions were alongside Indus River, suggests a strong link between arsenic contamination of groundwater with proximity to river.This is the first reported epidemiological and clinical evidence of arsenic skin lesions due to groundwater in Pakistan. Further

Jet Fuel-Associated Occupational Contact Dermatitis.

Science.gov (United States)

Contestable, James J

2017-03-01

Occupational contact dermatitis is a ubiquitous problem. Sailors onboard U.S. Navy vessels are at high risk given the multitude of potential workplace exposures. Solvents, petrochemicals, and fuels are abundant and can cause irritant or allergic contact dermatitis. Symptoms of contact dermatitis can cause inability to work and, if chronic, may require a change in rating or job. Prevention of this issue requires patient education about the risks and correct personnel protective equipment. Even with preventative strategies in place, exposures and cases of contact dermatitis will occur. Treatment consists of topical steroids and immunomodulators, as well as barrier creams and emollients. The goal of treatment is to fully restore the skin's natural barrier and prevent further exposure. A classic case of jet fuel-associated contact dermatitis is reviewed. A literature review utilizing PubMed, Google Scholar, and Google Search was conducted to elucidate our understanding of this issue, current occupational health guidelines, preventative approaches, and treatments. This case report provides guidance and recommendations for providers who encounter contact dermatitis related to petrochemicals, such as jet fuel. The literature review revealed limited knowledge surrounding in vivo human skin effects of jet fuel, specifically JP-5. Even larger gaps were found in our understanding of, and guidelines for, protective modalities against jet fuel exposure and dermatitis. A case is presented to facilitate recognition of jet fuel contact dermatitis and guidance for treatment and prevention. Given our current limited knowledge and guidelines concerning protective equipment and skin protectants, multiple proposals for future studies are suggested. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

Skin contamination resulting from an uranyl nitrate burn. An incident study

International Nuclear Information System (INIS)

Quesne, B.; Auriol, B.; Berard, P.; Chalabreysse, J.

1993-01-01

The authors describe the circumstances of a burn incident on hand by a mixture of diluted nitric acid and uranyl nitrate. The burn is located on the left hand fingers. After important washings uranium remains on the fingers. During about ten days, the worker is examined and the therapy is going on till the total radioactivity disappearance. Urine collection of twenty four hours is prescribed during the treatment. The whole activity is kept on the burnt skin. The quick desquamation is the elimination way of the skin retention. 6 refs., 3 figs., 4 tabs

An Approach to Noise Reduction in Human Skin Admittance Measurements

National Research Council Canada - National Science Library

Kondakci, Suleyman

2001-01-01

This paper presents the development of a signal averaging algorithm for recovering excitation responses contaminated by overwhelming amount of various types of interference in skin admittance measurements...

Calibration of thermoluminescence skin dosemeter response to beta emitters found in Ontario Hydro nuclear power stations

International Nuclear Information System (INIS)

Walsh, M.L.; Agnew, D.A.; Donnelly, K.E.

1984-01-01

The response of the Ontario Hydro Thermoluminescence Dosimetry System to beta radiation in nuclear power station environments was evaluated. Synthetic beta spectra were constructed, based on activity samples from heat transport systems and fuelling machine contamination smears at nuclear power stations. Using these spectra and dosemeter energy response functions, an overall response factor for the skin dosemeter relative to skin dose at 7 mg.cm -2 was calculated. This calculation was done assuming three specific geometries: (1) an infinite uniformly contaminated plane source at a distance of 33 cm (50 mg.cm -2 total shielding) from the receptor; (2) an infinite cloud surrounding the receptor; (3) a point source at 33 cm. Based on these calculations, a conservative response factor of 0.7 has been chosen. This provides an equation for skin dose assignment, i.e. Skin Dose = 1.4 x Skin Dosemeter Reading when the skin dosemeter is directly calibrated in mGy(gamma). (author)

Monitoring of surface and airborne contamination

Energy Technology Data Exchange (ETDEWEB)

Pradeep Kumar, K S [Bhabha Atomic Research Centre, Bombay (India)

1997-06-01

Indian nuclear energy programme aims at total safety in all activities involved in the entire fuel cycle for the occupational workers, members of the public and the environment as a whole. Routine radiation monitoring with clearly laid out procedures are followed for ensuring the safety of workers and public. Radiation monitoring carried out for the nuclear installations comprises of process monitoring, monitoring of effluent releases and also of the radiation protection monitoring of the individuals, work place and environment. Regulations like banning of smoking and consumption of food and drink etc. reduces the risk of direct ingestion even if inadvertent spread of contamination takes place. Though limit of transportable surface contamination is prescribed, the health physicists always follow a ``clean on swipe`` philosophy which compensates any error in the measurement of surface contamination. In this paper, the following items are contained: Necessity of contamination monitoring, accuracy required in the calibration of surface contamination monitors, methodology for contamination monitoring, air monitoring, guidelines for unrestricted release of scrap materials, and problems in contamination monitoring. (G.K.)

Wearing long sleeves while prepping a patient in the operating room decreases airborne contaminants.

Science.gov (United States)

Markel, Troy A; Gormley, Thomas; Greeley, Damon; Ostojic, John; Wagner, Jennifer

2018-04-01

The use of long sleeves by nonscrubbed personnel in the operating room has been called into question. We hypothesized that wearing long sleeves and gloves, compared with having bare arms without gloves, while applying the skin preparation solution would decrease particulate and microbial contamination. A mock patient skin prep was performed in 3 different operating rooms. A long-sleeved gown and gloves, or bare arms, were used to perform the procedure. Particle counters were used to assess airborne particulate contamination, and active and passive microbial assessment was achieved through air samplers and settle plate analysis. Data were compared with Student's t-test or Mann-Whitney U, and P airborne contamination while the skin prep is applied, which may lead to decreased surgical site infections. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Predictors of Heavy Stethoscope Contamination Following a Physical Examination.

Science.gov (United States)

Tschopp, Clément; Schneider, Alexis; Longtin, Yves; Renzi, Gesuele; Schrenzel, Jacques; Pittet, Didier

2016-06-01

BACKGROUND The degree of bacterial contamination of stethoscopes can vary significantly following a physical examination. OBJECTIVE To conduct a prospective study to investigate the impact of various environmental and patient characteristics on stethoscope contamination. METHODS Following a standardized examination, the levels of bacterial contamination of 4 regions of the physicians' hands and 2 sections of the stethoscopes, and the presence of different pathogenic bacteria, were assessed. Predictors of heavy stethoscope contamination were identified through multivariate logistic regression. RESULTS In total, 392 surfaces were sampled following examination of 56 patients. The microorganisms most frequently recovered from hands and stethoscopes were Enterococcus spp. (29% and 20%, respectively) and Enterobacteriaceae (16% and 7%, respectively). Staphylococcus aureus (either methicillin susceptible or resistant), extended-spectrum β-lactamase-producing Enterobacteriaceae, and Acinetobacter baumannii were recovered from 4%-9% of the samples from either hands or stethoscopes. There was a correlation between the likelihood of recovering these pathogens from the stethoscopes vs from the physicians' hands (ρ=0.79; P=.04). The level of patient's skin contamination was an independent predictor of contamination of the stethoscope diaphragm (adjusted odds ratio [aOR], 1.001; P=.007) and tube (aOR, 1.001; P=.003). Male sex (aOR, 28.24; P=.01) and reception of a bed bath (aOR, 7.52; P=.048) were also independently associated with heavy tube contamination. CONCLUSIONS Stethoscope contamination following a single physical examination is not negligible and is associated with the level of contamination of the patient's skin. Prevention of pathogen dissemination is needed. Infect Control Hosp Epidemiol 2016;37:673-679.

Airborne contamination in the indoor environment and its implications for dose

DEFF Research Database (Denmark)

Andersson, Kasper Grann; Roed, Jørn; Byrne, M.A.

2004-01-01

Previous work has indicated that radiation doses from deposition on human skin, hair and clothing may contribute significantly to the dose received after a major nuclear accident, such as that, which happened at Chernobyl in 1986. The available data was,however, sparse and associated with conside......Previous work has indicated that radiation doses from deposition on human skin, hair and clothing may contribute significantly to the dose received after a major nuclear accident, such as that, which happened at Chernobyl in 1986. The available data was,however, sparse and associated...... on the deposition of contaminant aerosol were examined, and since the previous measurements had indicated that elemental iodine could be a particularly problematiccontaminant, experimental work was additionally undertaken to examine the process of deposition of this species to skin. Since both clearance...... and percutaneous penetration of deposited contaminants could play important roles in determining doses,experimental programmes were dedicated to the identification of parameters of interest in these contexts. Also doses from contamination on different surfaces in the indoor environment have in the past...

Optimal operation of a south double-skin facade

Energy Technology Data Exchange (ETDEWEB)

Gratia, E.; De Herde, A. [Universite Catholique de Louvain (Belgium). Architecture et Climat

2004-01-01

There is an increasing demand for higher quality office buildings. Occupants and developers of office buildings ask for a healthy and stimulating working environment. Double-skin facades are appropriate when buildings are subject to great external noise and wind loads. A further area of application is in rehabilitation work, when existing facades cannot be renewed, or where this is not desirable. Double-skin facades have a special esthetic of their own, and this can be exploited architecturally to great advantage. However there are still relatively few buildings in which double-skin facades have actually been realized, and there is still too little experience of their behaviour in operation. In this matter, we choose to study a multi-storey double-skin facades behaviour. Simulations were realized with TAS software on the building proposed in the frame of the subtask A of the Task 27 (performance of solar facade components) of the International Energy Agency. Simulations were performed on the chosen building with and without double-skin facades. We decide to study eight types of days; and we analyze the double-skin facade behaviour for various operations. The thermal behaviours of the building with and without double-skin are compared. The study of these eight cases showed the importance of the dynamic use of the double-skin. The operation of this one must be obligatorily related to the climatic conditions as well external as interior and a bad operation of the double-skin could lead to catastrophic results. (author)

High-resolution mass spectrometry of skin mucus for monitoring physiological impacts and contaminant biotransformation products in fathead minnows exposed to wastewater effluent.

Science.gov (United States)

Mosley, Jonathan D; Ekman, Drew R; Cavallin, Jenna E; Villeneuve, Daniel L; Ankley, Gerald T; Collette, Timothy W

2018-03-01

High-resolution mass spectrometry is advantageous for monitoring physiological impacts and contaminant biotransformation products in fish exposed to complex wastewater effluent. We evaluated this technique using skin mucus from male and female fathead minnows (Pimephales promelas) exposed to control water or treated wastewater effluent at 5, 20, and 100% levels for 21 d, using an on-site, flow-through system providing real-time exposure. Both sex-specific and non-sex-specific responses were observed in the mucus metabolome, the latter suggesting the induction of general compensatory pathways for xenobiotic exposures. Altogether, 85 statistically significant treatment-dependent metabolite changes were observed out of the 310 total endogenous metabolites that were detected (156 of the 310 were annotated). Partial least squares-regression models revealed strong covariances between the mucus metabolomes and up-regulated hepatic messenger ribonucleic acid (mRNA) transcripts reported previously for these same fish. These regression models suggest that mucus metabolomic changes reflected, in part, processes by which the fish biotransformed xenobiotics in the effluent. In keeping with this observation, we detected a phase II transformation product of bisphenol A in the skin mucus of male fish. Collectively, these findings demonstrate the utility of mucus as a minimally invasive matrix for simultaneously assessing exposures and effects of environmentally relevant mixtures of contaminants. Environ Toxicol Chem 2018;37:788-796. Published 2017 Wiley Periodicals Inc. on behalf of SETAC. This article is a US government work and, as such, is in the public domain in the United States of America. Published 2017 Wiley Periodicals Inc. on behalf of SETAC. This article is a US government work and, as such, is in the public domain in the United States of America.

RSDL decontamination of human skin contaminated with the nerve agent VX.

Science.gov (United States)

Thors, L; Lindberg, S; Johansson, S; Koch, B; Koch, M; Hägglund, L; Bucht, A

2017-03-05

Dermal exposure to low volatile organophosphorus compounds (OPC) may lead to penetration through the skin and uptake in the blood circulation. Skin decontamination of toxic OPCs, such as pesticides and chemical warfare nerve agents, might therefore be crucial for mitigating the systemic toxicity following dermal exposure. Reactive skin decontamination lotion (RSDL) has been shown to reduce toxic effects in animals dermally exposed to the nerve agent VX. In the present study, an in vitro flow-through diffusion cell was utilized to evaluate the efficacy of RSDL for decontamination of VX exposed to human epidermis. In particular, the impact of timing in the initiation of decontamination and agent dilution in water was studied. The impact of the lipophilic properties of VX in the RSDL decontamination was additionally addressed by comparing chemical degradation in RSDL and decontamination efficacy between the VX and the hydrophilic OPC triethyl phosphonoacetate (TEPA). The epidermal membrane was exposed to 20, 75 or 90% OPC diluted in deionized water and the decontamination was initiated 5, 10, 30, 60 or 120min post-exposure. Early decontamination of VX with RSDL, initiated 5-10min after skin exposure, was very effective. Delayed decontamination initiated 30-60min post-exposure was less effective but still the amount of penetrated agent was significantly reduced, while further delayed start of decontamination to 120min resulted in very low efficacy. Comparing RSDL decontamination of VX with that of TEPA showed that the decontamination efficacy at high agent concentrations was higher for VX. The degradation mechanism of VX and TEPA during decontamination was dissected by 31 P NMR spectroscopy of the OPCs following reactions with RSDL and its three nucleophile components. The degradation rate was clearly associated with the high pH of the specific solution investigated; i.e. increased pH resulted in a more rapid degradation. In addition, the solubility of the OPC in RSDL

Radiological interference from personal articles in occupational radiation monitoring

International Nuclear Information System (INIS)

Krishnakumar, P.; Jayan, M.P; Pawar, V.J; Patil, S.L; Selvamani, N.; Vedram; Sureshkumar, M.K.; Chinnaesakki, S.

2016-01-01

This paper discusses the presence of radioactivity in some personal articles worn on sacred thread and the related difficulties faced by health physicists during occupational radiation monitoring in nuclear facilities. In an incident, the portal monitor installed at the exit gate of a nuclear facility indicated contamination on self of a radiation worker while passing through it. The worker was therefore, subjected to thorough check for external contamination by the plant health physicist, using a pan-cake contamination monitor. All the clothing of the person was also checked for contamination. On further detailed examination, a dark brownish personal article hanging on a sacred thread from his neck was found to be the source of contamination. This presentation aims at giving information to the health physics community on the possibility of such interferences during personal monitoring in nuclear facilities

Occupational irritant contact folliculitis associated with triphenyl tin fluoride (TPTF) exposure

DEFF Research Database (Denmark)

Andersen, Klaus Ejner; Petri, M

1982-01-01

Triphenyl tin fluoride (TPTF) is a bioactive organo-tin compound used in concentrations 2-12% as anti-foulants in boat paints. The chemical is moderately toxic to the skin. An occupational irritant contact folliculitis from TPTF in a marine paint plant worker is described. Contact allergy...

Decontamination of skin exposed to nanocarriers using an absorbent textile material and PEG-12 dimethicone

International Nuclear Information System (INIS)

Lademann, J; Richter, H; Knorr, F; Baier, G; Landfester, K; Frazier, L; Gefeller, H; Wunderlich, U; Gross, I; Rühl, E

2014-01-01

The removal of noxious particulate contaminants such as pollutants derived from particle-to-gas conversions from exposed skin is essential to avoid the permeation of potentially harmful substances into deeper skin layers via the stratum corneum or the skin appendages and their dispersion throughout the circulatory system. This study is aimed at evaluating the efficacy of using the silicone glycol polymer PEG-12 dimethicone and an absorbent textile material to remove fluorescing hydroxyethyl starch nanocapsules implemented as model contaminants from exposed porcine ear skin. Using laser scanning microscopy, it could be shown that while the application and subsequent removal of the absorbent textile material alone did not result in sufficient decontamination, the combined application with PEG-12 dimethicone almost completely eliminated the nanocapsules from the surface of the skin. By acting as a wetting agent, PEG-12 dimethicone enabled the transfer of the nanocapsules into a liquid phase which was taken up by the absorbent textile material. Only traces of fluorescence remained detectable in several skin furrows and follicular orifices, suggesting that the repeated implementation of the procedure may be necessary to achieve total skin surface decontamination. (letter)

Occupational accident and disease claims, work-related stress and job satisfaction of physiotherapists.

Science.gov (United States)

Brattig, Birte; Schablon, Anja; Nienhaus, Albert; Peters, Claudia

2014-01-01

Physiotherapists are exposed to diverse occupational demands. Until now, little has been known about the interaction between occupational stress and the job satisfaction of physiotherapists. This paper aims to examine their work-related stress and job satisfaction. It will analyse accidents at work and occupational diseases of physiotherapists along with work-related physical and psychosocial stress and job satisfaction. We analysed routine data of the German Institute for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) on accidents at work and occurring en route to/from work as well as occupational diseases of physiotherapists. Work-related stress and job satisfaction were examined in a cross-sectional survey using a standard questionnaire to be completed by subjects themselves. Between 2007 and 2011, 1,229 cases of occupational disease were reported to the BGW. The majority of reports involved skin diseases (73%). Stumbles and falls were the most frequent causes of accidents at work (42.9%). Eighty-five physiotherapists all over Germany took part in the survey. They experience high quantitative demands at work. The main physical demands consist of a torso posture between 45° and 90° and high hand activity. Of the 85 subjects, 51% suffer from complaints of the musculoskeletal system in the neck and thoracic spine area and 24% have skin diseases. Most physiotherapists (88%) are satisfied with their work overall. This is aided by a high degree of influence on their work and breaks, by practical application of skills and expert knowledge, high regard for their profession, varied work and a good atmosphere at work. Reservations tend to be about statutory regulations and the social benefits provided by the German healthcare system. Overall, despite high demands and stress relating to the adequacy of resources, the majority of physiotherapists surveyed seem to be satisfied with their job. The main focus of action to promote the

Methods for the calculation of derived working limits for surface contamination by low-toxicity radionuclides

International Nuclear Information System (INIS)

Gibson, J.A.B.; Wrixon, A.D.

1979-01-01

Surface contamination is often measured as an indication of the general spread of radioactive contamination in a particular place. Derived working limits, (DWLs) for surface contamination provide figures against which to assess the significance of measurements. Derived working limits for surface contamination were first established for use in the nuclear energy industry. They were designed to cope with a wide range of unspecified radionuclides and were therefore based on the assumption that the contamination was due to the presence of the most hazardous radionuclides, e.g. 90 Sr, 210 Pb, 226 Ra and 239 Pu. While this assumption may still be appropriate when the radionuclide mixture is unknown, there are now many specialized uses of particular low-toxicity radionuclides in universities, hospitals and general industry. If it is known that only a particular radionuclide is present, the general DWL can be replaced by a more specific value. The methods for calculating DWLs for some of the more commonly employed low-toxicity radionuclides are described. The exposure pathways considered are (a) external radiation of the skin and inhalation of airborne material from contaminated surfaces in active areas; (b) external irradiation of the skin and ingestion from contaminated skin. Some consideration is given to the effect of the revised dose equivalent limits in the most recent recommendations of ICRP. (author)

Safety evaluation of topical applications of ethanol on the skin and inside the oral cavity

Directory of Open Access Journals (Sweden)

Lachenmeier Dirk W

2008-11-01

Full Text Available Abstract Ethanol is widely used in all kinds of products with direct exposure to the human skin (e.g. medicinal products like hand disinfectants in occupational settings, cosmetics like hairsprays or mouthwashes, pharmaceutical preparations, and many household products. Contradictory evidence about the safety of such topical applications of the alcohol can be found in the scientific literature, yet an up-to-date risk assessment of ethanol application on the skin and inside the oral cavity is currently lacking. The first and foremost concerns of topical ethanol applications for public health are its carcinogenic effects, as there is unambiguous evidence for the carcinogenicity of ethanol orally consumed in the form of alcoholic beverages. So far there is a lack of evidence to associate topical ethanol use with an increased risk of skin cancer. Limited and conflicting epidemiological evidence is available on the link between the use of ethanol in the oral cavity in the form of mouthwashes or mouthrinses and oral cancer. Some studies pointed to an increased risk of oral cancer due to locally produced acetaldehyde, operating via a similar mechanism to that found after alcoholic beverage ingestion. In addition, topically applied ethanol acts as a skin penetration enhancer and may facilitate the transdermal absorption of xenobiotics (e.g. carcinogenic contaminants in cosmetic formulations. Ethanol use is associated with skin irritation or contact dermatitis, especially in humans with an aldehyde dehydrogenase (ALDH deficiency. After regular application of ethanol on the skin (e.g. in the form of hand disinfectants relatively low but measurable blood concentrations of ethanol and its metabolite acetaldehyde may occur, which are, however, below acute toxic levels. Only in children, especially through lacerated skin, can percutaneous toxicity occur. As there might be industry bias in many studies about the safety of topical ethanol applications, as well

Removal of heavy metal contamination from peanut skin extracts by waste biomass adsorption

Science.gov (United States)

Polyphenols are a rapidly increasing portion of the nutraceutical and functional food marketplace. Peanut skins are a waste product which have potential as a low-cost source of polyphenols. Extraction and concentration of peanut skin extracts can cause normally innocuous levels of the heavy metal co...

Occupational injuries and illnesses in rubber factory: Profile, Potential Hazards and possible prevention

Directory of Open Access Journals (Sweden)

Tri Hari Irfani

2015-12-01

Full Text Available Rubber is one of the important commodities in the world. Globally, workers are facing so many problems of hazards that produce by rubber process. In Indonesia, there are several data of occupational problems such as respiratory diseases, muscle and skeletal diseases, gastrointestinal diseases, diseases of the teeth and oral cavity, skin diseases and skin tissue. In Iranian rubber factory, Iran, workers had suffered from some kind of musculoskeletal symptoms. Stomach and liver cancers in workers are having in Shanghai tire factory. In addition, Germany has cancer problem of their workers who work in rubber factory. Most of the rubber process in the factory can cause some hazards of the workers. In unloading area and area that operator is taking the dirt manually, workers are facing ergonomic problems. The possible control is reduce weight of load, team lift the object with two or more workers and Use mechanical assist. Machine safeguarding is essential for protecting from Cutting process that can make workers amputation organs such as hands, and fingers. In bale process, the workers need to cut raw rubber into bale in bale cutting. Furthermore, workers are facing with amputation problem. To manage that, It must be designed as a standard which has interlocking guards to prevent access to the cutting area. When wrapped using plastic, workers use a heated iron and sticked in plastic so that it blends neatly. The risks are fingers can cut accidently and then the workers also get contamination from polyvinyl chloride (PVC. The possible preventions are use an automatic plastic wrapping machine with palletized product sitting on a turntable and respirator. Another problem is contact dermatitis that has been reported frequently among rubber workers. The prevention for that problem is using Gloves. The aim of researcher is to provide the profile of occupational injuries and illnesses, potential hazards in rubber factory to prevent the workers.

Radiotherapy: how to save your skin

International Nuclear Information System (INIS)

Butson, M.; Carolan, M.; Metcalfe, P.; University of Wollongong, NSW; Mathur, J.

1996-01-01

Full text: The skin sparing properties of Megavoltage photon beams are widely known. The effects of electron contamination and head scattered photons produced by the primary beam interacting with materials in its path compromise this situation. But by how much and to what extent can this be reduced? This work reports the development of an empirical model to accurately calculate skin and build up percentage dose for a 6MV photon beam in any patient. New dosimetry techniques for measurement of surface dose and methods for reduction of electron contamination are also presented. A 6MV x-ray beam from a Varian 2100C linear accelerator has been studied in detail. An Attix parallel plate ionisation chamber, Thermoluminescent Dosimeter extrapolation methods, Radiochromic film and Metal Oxide Semiconductor Field Effect Transistors (MOSFET's) are used to evaluate skin and build up dose in phantom conditions. Neodymium Iron Boron (NdFeB) rare earth magnets (weight 10kg) minium field strength 0.15T and Helium bag experiments are used to reduce electron contamination reaching the phantom. The empirical model developed for accurate calculation of build up dose is given by the following equation: D tot = D prim +D cont + ΔD blktry + ΔD ang + ΔD wdg +ΔD ssd + ΔD geo . D tot is the total percentage dose at any depth in the build up region. The components comprised in D tot are: dose from primary photons (D prim ), dose from electron contamination/head scattered photons in open fields (D cont ), change in dose from the introduction of block trays (ΔD blktry ), change in dose from oblique angle of incidence (ΔD ang ), change in dose from the use of wedges (ΔD wdg ), change in dose from varying SSD (ΔD ssd ) and change in dose from effect of patients irregular geometry (ΔD geo ). The experimental build up dose and calculated dose for an irregular patient field are given. Percentage dose is modelled to within a mean error of ±1% for typical patient fields. Radiochromic film

Optimization of the control of contamination at nuclear power plants

International Nuclear Information System (INIS)

Khan, T.A.; Baum, J.W.

1988-05-01

A methodology is described for the optimization of the actions taken to control contamination. It deals with many aspects of contamination, such as the monetary value assigned to a unit of radiation dose, the treatment of skin and extremity dose, and the inefficiencies introduced from working in a contaminated environemnt. The optimization method is illustrated with two case studies based on cleanup projects at nuclear power plants. Guidelines for the use of protective apparel, and for monitoring radiation and contamination at various levels of contamination are presented. The report concludes that additional research is required to quantify the effect of a contaminated environment on work efficiencies

Decontamination of skin in emergency situation

International Nuclear Information System (INIS)

Harase, Chieko

1988-01-01

The report briefly discusses the organization of decontamination personnel and facilities to be used for decontamination in the event of an emergency, and outlines the author's experience in carrying out decontamination of the skin of tourists who came back to Japan after staying in Kiev at the time of the accident at Chernobyl (about 150 km away from Kiev). In Japan at present, no nuclear facilities seem to have sufficient personnel who are in charge of skin decontamination activities required in the event of an emergency, and emergency measures are generally limited to the development of emergency plans and implementation of drills. It is necessary to establish training courses for medical doctors and other medical personnel. Each plant has plans for skin decontamination procedures designed for professional workers in the plant. Plans should also be established for general people who might suffer skin decontamination in the event of an accident. What is the most important is to ease their anxiety about the contamination of their skin. The procedures, including washing and shampooing, used for the tourist returning from Kiev are described, and some problems encountered or expected to occur in similar cases are outlined and discussed. (Nogami, K.)

Epidemiological profile of nonmelanoma skin cancer in renal transplant recipients: experience of a referral center*

Science.gov (United States)

Ferreira, Flávia Regina; Ogawa, Marilia Marufuji; Nascimento, Luiz Fernando Costa; Tomimori, Jane

2014-01-01

BACKGROUND Nonmelanoma skin cancer is the most common form of cancer in humans and also the malignant disease that is increasingly common among kidney transplant recipients. OBJECTIVE To determine the epidemiological characteristics of renal transplant recipients with nonmelanoma skin cancer seen at a referral transplantation center. METHODS Cross-sectional descriptive study with renal transplant recipients presenting nonmelanoma skin cancer, treated at a transplantation referral center between 08/01/2004 and 08/31/2009. Analyzed variables were: gender, age, skin phototype, occupational and recreational sun exposure, use of photoprotection, personal and family history of non-melanoma skin cancer, clinical type and location, time between transplantation and the appearance of the first nonmelanoma skin cancer, occurrence of viral warts, timing of transplantation, type of donor, cause of kidney failure, previous transplants, comorbidities, pre-transplant dialysis, type and duration of dialysis. RESULTS 64 subjects were included. Males - 71.9%; low skin phototypes (up to Fitzpatrick III) - 89%; mean age - 57.0 years - and mean age at transplant - 47.3 years; sun exposure - 67.2% occupational - and 64.1% recreational; photoprotection - 78.2% (although only 34.4% in a regular manner); squamous cell carcinoma - 67.2%; squamous cell carcinoma/basal cell carcinoma ratio - 2:1; personal history of nonmelanoma skin cancer - 25% - and family history - 10.9%; location at photoexposed area - 98.4%; average latency time between transplantation and first nonmelanoma skin cancer appearance - 78.3 months; viral warts (HPV) after transplant - 53.1%; average timing of transplantation - 115.5 months; living donor - 64.1%; triple regimen (antirejection) - 73.2%; comorbidities - 92.2%; pre-transplant dialysis - 98.4%; hemodialysis - 71.7%; average duration of dialysis - 39.1 months; previous transplants - 3.1%; hypertension as cause of renal failure - 46.9%. CONCLUSION This study allowed

Mercury contamination in facial skin lightening creams and its health risks to user.

Science.gov (United States)

Ho, Yu Bin; Abdullah, Nor Hidayu; Hamsan, Hazwanee; Tan, Eugenie Sin Sing

2017-08-01

This study aims to determine concentrations of mercury in facial skin lightening cream according to different price categories (category I: mercury in samples were less than the United States Food and Drug Administration (USFDA) permitted trace levels (mercury in facial skin lightening creams ranged from not detected to 1.13 mg kg -1 . There was no significant association between concentrations of mercury with price categories (p = 0.12). There was no significant non-carcinogenic health risk due to daily application of the facial skin lightening creams based on assumption of 30 years exposure period (HQ < 1). Copyright © 2017 Elsevier Inc. All rights reserved.

Occupational dermatoses in the uranium mining and processing industry

Energy Technology Data Exchange (ETDEWEB)

Sevcova, M [Zavodni Ustav Narodniho Zdravi Uranoveho Prumyslu, Pribram (Czechoslovakia)

1978-04-01

Experience gained so far by the Department of Dermatovenerology in the uranium industry discloses that the incidence of occupational dermatoses is relatively low in this industry. It represents about 1% of all newly ascertained skin diseases per year. Allergic contact eczemas after having been in contact with rubber products, chiefly rubber boots, predominate. Under the working conditions in mining and preparing uranium ore, ionizing radiation cannot induce non-stochastic effects of the type of radiation dermatitis on the skin. A higher incidence was, however, ascertained in uranium miners of basaliomas, which agrees with the estimation of the dose of external alpha radiation in the basal epidermis layer.

Prevalence of foot eczema and associated occupational and non-occupational factors in patients with hand eczema.

Science.gov (United States)

Brans, Richard; Hübner, Anja; Gediga, Günther; John, Swen M

2015-08-01

Foot eczema often occurs in combination with hand eczema. However, in contrast to the situation with hand eczema, knowledge about foot eczema is scarce, especially in occupational settings. To evaluate the prevalence of foot eczema and associated factors in patients with hand eczema taking part in a tertiary individual prevention programme for occupational skin diseases. In a retrospective cohort study, the medical records of 843 patients taking part in the tertiary individual prevention programme were evaluated. Seven hundred and twenty-three patients (85.8%) suffered from hand eczema. Among these, 201 patients (27.8%) had concomitant foot eczema, mainly atopic foot eczema (60.4%). An occupational irritant component was possible in 38 patients with foot eczema (18.9%). In the majority of patients, the same morphological features were found on the hands and feet (71.1%). The presence of foot eczema was significantly associated with male sex [odds ratio (OR) 1.78, 95% confidence interval (CI) 1.29-2.49], atopic hand eczema (OR 1.60, 95%CI: 1.15-2.22), hyperhidrosis (OR 1.73, 95%CI: 1.33-2.43), and the wearing of safety shoes/boots at work (OR 2.04, 95%CI: 1.46-2.87). Tobacco smoking was associated with foot eczema (OR 1.79, 95%CI: 1.25-2.57), in particular with the vesicular subtype. Foot eczema is common in patients with hand eczema, and is related to both occupational and non-occupational factors. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The 2008 ICOH Workshop on Skin Notation

DEFF Research Database (Denmark)

Sartorelli, P; Ahlers, H W; Cherrie, J W

2010-01-01

BACKGROUND: On 29 March 2008 the International Commission on Occupational Health (ICOH) Scientific Committee on Occupational and Environmental Dermatoses organized a Skin Notation Workshop hosted by the 11th International Percutaneous Penetration Perspectives Conference (La Grande Motte, France...... assignment criteria and the attempts to improve the S system made by various international and governmental agencies. A position paper was subsequently published. OBJECTIVES: The workshop in France was a continuation of this activity with the aim of evaluating how the different strategies can improve S....... METHODS AND DISCUSSION: The Workshop was divided into two sessions. The first was dedicated to lectures focused on different aspects of S. In the second session participants discussed key issues with the aim of exploring the actions needed to improve international S. systems....

Design features to reduce occupational exposure

International Nuclear Information System (INIS)

Adam, J.A.; DiSabatino, A.A. Jr.; Vanasse, R.E.

1975-01-01

Some of the design principles which are important considerations in the evolution of a nuclear power plant design to ensure that occupational radiation exposures can be minimized are discussed. Emphasis is placed on the design features affecting the basic layout and equipment locations within the plant. Examples are provided showing how these design objectives are realized in the Stone and Webster Reference Nuclear Power Plant Design, with particular emphasis on the Annulus Building portion of the reference plant. Design features which are useful in reducing occupational exposure during normal operation are discussed initially, followed by those that chiefly affect exposures during maintenance activity. Finally, those provisions in the design which assist in preventing the spread of radioactive contamination are presented

Occupational Asthma Induced by Chrysonilia sitophila in a Worker Exposed to Coffee Grounds▿

OpenAIRE

Francuz, Beata; Yera, Helene; Geraut, Laurent; Bensefa-Colas, Lynda; Nghiem, Zuong Hung; Choudat, Dominique

2010-01-01

A new case of occupational asthma caused by Chrysonilia sitophila (asexual state of Neurospora sitophila) was diagnosed by molecular identification of the mold and confirmed by skin prick test, peak expiratory flow rate measurements, and experimental immunoglobulin E analysis.

Occupational asthma induced by Chrysonilia sitophila in a worker exposed to coffee grounds.

Science.gov (United States)

Francuz, Beata; Yera, Helene; Geraut, Laurent; Bensefa-Colas, Lynda; Nghiem, Zuong Hung; Choudat, Dominique

2010-10-01

A new case of occupational asthma caused by Chrysonilia sitophila (asexual state of Neurospora sitophila) was diagnosed by molecular identification of the mold and confirmed by skin prick test, peak expiratory flow rate measurements, and experimental immunoglobulin E analysis.

Hard beta and gamma emissions of 124I. Impact on occupational dose in PET/CT.

Science.gov (United States)

Kemerink, G J; Franssen, R; Visser, M G W; Urbach, C J A; Halders, S G E A; Frantzen, M J; Brans, B; Teule, G J J; Mottaghy, F M

2011-01-01

The hard beta and gamma radiation of 124I can cause high doses to PET/CT workers. In this study we tried to quantify this occupational exposure and to optimize radioprotection. Thin MCP-Ns thermoluminescent dosimeters suitable for measuring beta and gamma radiation were used for extremity dosimetry, active personal dosimeters for whole-body dosimetry. Extremity doses were determined during dispensing of 124I and oral administration of the activity to the patient, the body dose during all phases of the PET/CT procedure. In addition, dose rates of vials and syringes as used in clinical practice were measured. The procedure for dispensing 124I was optimized using newly developed shielding. Skin dose rates up to 100 mSv/min were measured when in contact with the manufacturer's vial containing 370 MBq of 124I. For an unshielded 5 ml syringe the positron skin dose was about seven times the gamma dose. Before optimization of the preparation of 124I, using an already reasonably safe technique, the highest mean skin dose caused by handling 370 MBq was 1.9 mSv (max. 4.4 mSv). After optimization the skin dose was below 0.2 mSv. The highly energetic positrons emitted by 124I can cause high skin doses if radioprotection is poor. Under optimized conditions occupational doses are acceptable. Education of workers is of paramount importance.

Occupational Asthma Induced by Chrysonilia sitophila in a Worker Exposed to Coffee Grounds▿

Science.gov (United States)

Francuz, Beata; Yera, Helene; Geraut, Laurent; Bensefa-Colas, Lynda; Nghiem, Zuong Hung; Choudat, Dominique

2010-01-01

A new case of occupational asthma caused by Chrysonilia sitophila (asexual state of Neurospora sitophila) was diagnosed by molecular identification of the mold and confirmed by skin prick test, peak expiratory flow rate measurements, and experimental immunoglobulin E analysis. PMID:20685936

Arsenic contamination of groundwater: a review of sources, prevalence, health risks, and strategies for mitigation.

Science.gov (United States)

Shankar, Shiv; Shanker, Uma; Shikha

2014-01-01

Arsenic contamination of groundwater in different parts of the world is an outcome of natural and/or anthropogenic sources, leading to adverse effects on human health and ecosystem. Millions of people from different countries are heavily dependent on groundwater containing elevated level of As for drinking purposes. As contamination of groundwater, poses a serious risk to human health. Excessive and prolonged exposure of inorganic As with drinking water is causing arsenicosis, a deteriorating and disabling disease characterized by skin lesions and pigmentation of the skin, patches on palm of the hands and soles of the feet. Arsenic poisoning culminates into potentially fatal diseases like skin and internal cancers. This paper reviews sources, speciation, and mobility of As and global overview of groundwater As contamination. The paper also critically reviews the As led human health risks, its uptake, metabolism, and toxicity mechanisms. The paper provides an overview of the state-of-the-art knowledge on the alternative As free drinking water and various technologies (oxidation, coagulation flocculation, adsorption, and microbial) for mitigation of the problem of As contamination of groundwater.

Arsenic Contamination of Groundwater: A Review of Sources, Prevalence, Health Risks, and Strategies for Mitigation

Directory of Open Access Journals (Sweden)

Shiv Shankar

2014-01-01

Full Text Available Arsenic contamination of groundwater in different parts of the world is an outcome of natural and/or anthropogenic sources, leading to adverse effects on human health and ecosystem. Millions of people from different countries are heavily dependent on groundwater containing elevated level of As for drinking purposes. As contamination of groundwater, poses a serious risk to human health. Excessive and prolonged exposure of inorganic As with drinking water is causing arsenicosis, a deteriorating and disabling disease characterized by skin lesions and pigmentation of the skin, patches on palm of the hands and soles of the feet. Arsenic poisoning culminates into potentially fatal diseases like skin and internal cancers. This paper reviews sources, speciation, and mobility of As and global overview of groundwater As contamination. The paper also critically reviews the As led human health risks, its uptake, metabolism, and toxicity mechanisms. The paper provides an overview of the state-of-the-art knowledge on the alternative As free drinking water and various technologies (oxidation, coagulation flocculation, adsorption, and microbial for mitigation of the problem of As contamination of groundwater.

Radiation sterilization of skin allograft

International Nuclear Information System (INIS)

Kairiyama, E.; Horak, C.; Spinosa, M.; Pachado, J.; Schwint, O.

2009-01-01

In the treatment of burns or accidental loss of skin, cadaveric skin allografts provide an alternative to temporarily cover a wounded area. The skin bank facility is indispensable for burn care. The first human skin bank was established in Argentina in 1989; later, 3 more banks were established. A careful donor selection is carried out according to the national regulation in order to prevent transmissible diseases. As cadaveric human skin is naturally highly contaminated, a final sterilization is necessary to reach a sterility assurance level (SAL) of 10 -6 . The sterilization dose for 106 batches of processed human skin was determined on the basis of the Code of Practice for the Radiation Sterilization of Tissue Allografts: Requirements for Validation and Routine Control (2004) and ISO 11137-2 (2006). They ranged from 17.6 to 33.4 kGy for bioburdens of >10-162.700 CFU/100 cm 2 . The presence of Gram negative bacteria was checked for each produced batch. From the analysis of the experimental results, it was observed that the bioburden range was very wide and consequently the estimated sterilization doses too. If this is the case, the determination of a tissue-specific dose per production batch is necessary to achieve a specified requirement of SAL. Otherwise if the dose of 25 kGy is preselected, a standardized method for substantiation of this dose should be done to confirm the radiation sterilization process.

Radiation sterilization of skin allograft

Science.gov (United States)

Kairiyama, E.; Horak, C.; Spinosa, M.; Pachado, J.; Schwint, O.

2009-07-01

In the treatment of burns or accidental loss of skin, cadaveric skin allografts provide an alternative to temporarily cover a wounded area. The skin bank facility is indispensable for burn care. The first human skin bank was established in Argentina in 1989; later, 3 more banks were established. A careful donor selection is carried out according to the national regulation in order to prevent transmissible diseases. As cadaveric human skin is naturally highly contaminated, a final sterilization is necessary to reach a sterility assurance level (SAL) of 10 -6. The sterilization dose for 106 batches of processed human skin was determined on the basis of the Code of Practice for the Radiation Sterilization of Tissue Allografts: Requirements for Validation and Routine Control (2004) and ISO 11137-2 (2006). They ranged from 17.6 to 33.4 kGy for bioburdens of >10-162.700 CFU/100 cm 2. The presence of Gram negative bacteria was checked for each produced batch. From the analysis of the experimental results, it was observed that the bioburden range was very wide and consequently the estimated sterilization doses too. If this is the case, the determination of a tissue-specific dose per production batch is necessary to achieve a specified requirement of SAL. Otherwise if the dose of 25 kGy is preselected, a standardized method for substantiation of this dose should be done to confirm the radiation sterilization process.

Guideline values for skin decontamination measures based on nuclidspecific dose equivalent rate factors

International Nuclear Information System (INIS)

Pfob, H.; Heinemann, G.

1992-01-01

Corresponding dose equivalent rate factors for various radionuclides are now available for determining the skin dose caused by skin contamination. These dose equivalent rate factors take into account all contributions from the types of radiation emitted. Any limits for skin decontamination measures are nowhere contained or determined yet. However, radiological protection does in practice require at least guideline values in order to prevent unsuitable or detrimental measures that can be noticed quite often. New calculations of dose equivalent rate factors for the skin now make the recommendation of guideline values possible. (author)

Occupational exposure at a contemplated Belarussian power plant fired with contaminated biomass

DEFF Research Database (Denmark)

Andersson, Kasper Grann; Fogh, C.L.; Roed, Jørn

1999-01-01

To meet the current demand in Belarus for remediation of the vast forest areas that were contaminated by the Chernobyl accident and at the same time establish a much needed energy production, applying contaminated forest biomass as fuel in special power plants is being considered. This paper......-called 'big bags' filled with fly ash waste. Inhalation doses were estimated to be low. External doses received while working at the power plant do not appear to be highly significant compared with the doses from environmental contamination in the area where the power plant is expected to be constructed....

Contaminants in human nail dust: an occupational hazard in podiatry?

Science.gov (United States)

Tinley, Paul D; Eddy, Karen; Collier, Peter

2014-02-20

There has been limited literature indicating that podiatrists' health may be at risk from exposure to human nail dust. Previous studies carried out in the UK have shown that large amounts of dust become airborne during the human nail drilling procedure and are present in the air up to 10 hours after a clinical session. This increases the risk of Respiratory Tract (RT) infection for the practitioner. This study used a nasal swabbing technique and fungal culture to determine whether podiatrists (n = 50) had the same microbes present in their nasal cavities as non-podiatry health professional control group (n = 45). All swabs were cultured, counted and identified for each subject. Survey data of use and type of nail drill, type of mask used and frequency of change over a two week period. The results showed podiatrists had a greater range of microbes in their nasal cavities although the controls had greater overall numbers of organisms. The known pathogen and common mould, Aspergillus fumigatus was ost commonly found fungus within the podiatric group with 44% of the group having the fungus present. All nail drills used by the podiatrists had some form of dust extraction (except one). Of concern was 17% (n = 8) of the podiatrists did not use a mask at all whilst drilling and seemed unaware of any infection control issues. Simple disposable masks were the most frequently worn with only half being changed after each patient further increasing the cross infection risk The high levels of Aspergilus contamination is a significant finding in the podiatry group as this fungus is small enough to enter the tissue of the nasal cavity and as a small particle will stay airborne in the room for up to 16 hours. Aspergilus has been shown to cause brain and soft tissue tumours in extreme cases. The high levels of upper respiratory track problems reported in the literature may well be caused by this fungal agent. The non use and use of inappropriate masks by podiatrists is clearly an

Toxicity and oxidative stress induced by chromium in workers exposed from different occupational settings around the globe: A review.

Science.gov (United States)

Junaid, Muhammad; Hashmi, Muhammad Zaffar; Malik, Riffat Naseem; Pei, De-Sheng

2016-10-01

The present review focused on the levels and toxicological status of heavy metals especially chromium (Cr) in the exposed workers from different occupational settings around the globe and in Pakistan. It was found that exposed workers from leather tanning and metal plating units showed elevated levels of Cr than the workers from other occupational settings. Cr and other heavy metals level in biological matrices of the exposed workers in different occupational settings revealed that developing countries are severely contaminated. Occupational settings from the Sialkot district, Pakistan exhibited elevated level of Cr in biological entities of the exposed workers. Review suggested that higher level of Cr exposure to the workers enhance the oxidative stress (reactive oxygen species (ROS) and hydroxyl (OH) radical generation) which may cause; cellular and molecular damage such as genotoxicity and chromosomal aberration formations, and carcinogenic effects. This review will help to understand the Cr contamination mechanisms and associated health implications in different occupational settings around the globe in general and particularly to Pakistan. This study will also assist occupational health and safety management authorities to devise or change the Cr recommended exposure limits (REL) for different occupational settings.

Reactive skin decontamination lotion (RSDL) for the decontamination of chemical warfare agent (CWA) dermal exposure.

Science.gov (United States)

Schwartz, M D; Hurst, C G; Kirk, M A; Reedy, S J D; Braue, E H

2012-08-01

Rapid decontamination of the skin is the single most important action to prevent dermal absorption of chemical contaminants in persons exposed to chemical warfare agents (CWA) and toxic industrial chemicals (TICs) as a result of accidental or intentional release. Chemicals on the skin may be removed by mechanical means through the use of dry sorbents or water. Recent interest in decontamination systems which both partition contaminants away from the skin and actively neutralize the chemical has led to the development of several reactive decontamination solutions. This article will review the recently FDA-approved Reactive Skin Decontamination Lotion (RSDL) and will summarize the toxicity and efficacy studies conducted to date. Evidence of RSDL's superior performance against vesicant and organophosphorus chemical warfare agents compared to water, bleach, and dry sorbents, suggests that RSDL may have a role in mass human exposure chemical decontamination in both the military and civilian arenas.

Intervention implementation research: an exploratory study of reduction strategies for occupational contact dermatitis in the printing industry.

Science.gov (United States)

Brown, Terry P; Rushton, Lesley; Williams, Hywel C; English, John S C

2007-01-01

Occupational dermatitis is a problem in the printing industry but can be avoided through adequate protective measures. Research into intervention implementation is fundamental to the success of a formal intervention effectiveness trial. The preliminary testing of four risk reduction strategies for occupationally caused dermatitis, which represent a range of approaches and cost implications. The strategies, the provision of (i) skin checks plus treatment advice; provision of (ii) gloves of the correct type/size plus use of an after-work cream; provision of (iii) information highlighting the problem of occupational dermatitis and (iv) development of a best practice skin care policy, were evaluated over 3 months in two non-randomly selected companies. A post-intervention evaluation into the effectiveness and efficacy of the intervention was also carried out. All interventions were found to be acceptable to some extent. No single intervention appeared to be completely effective. The most practical intervention appeared to be the regular use of gloves of the correct type and size. This preliminary intervention study has demonstrated an improvement in the skin condition of workers examined and points towards the need for further testing of risk reduction strategies for the prevention of dermatitis in the printing industry on a much larger scale.

Occupational Dermatoses in Some Selected Industries in India

Directory of Open Access Journals (Sweden)

R Vijay Battu

1985-01-01

Full Text Available Twenty five thousand and fifty employees working in 10 industrial units around Delhi were surveyed between July, 1982 and September, 1983. The industrial units included factories manufacturing tractors, rotating machines, gaskets, leaf spring, footwear, antibiotics and dashboard instruments; units printing cotton and synthetic cloth and books and periodicals; and a copper mine. The chief industrial dermatoses encountered were callositis 108 cases, contact dermatitis 36 cases, traumatic nail dystrophy 14 cases, frictional dermatitis of finger,7tips 10 cases, oil acne 10 cases, stasis dermatitis 3 cases, traumatic leucoderma 2 cases and keloid 2 cases. A total of 146 cases had industrial dermatoses, while 1085 had non- occupational skin disorders. The over-all incidence of occupational dermatoses in these industries was considerably low.

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

Quantitative measurement of aerosol deposition on skin, hair and clothing for dosimetric assessment. Final report

DEFF Research Database (Denmark)

Fogh, C.L.; Byrne, M.A.; Andersson, Kasper Grann

1999-01-01

the deposition and subsequent fate of contaminant aerosol on skin, hair and clothing. The main technique applied involves the release and subsequent deposition on volunteers in test rooms of particles of differentsizes labelled with neutron activatable rare earth tracers. Experiments indicate that the deposition...... of magnitudeas the gamma doses received over the first year from contamination on outdoor surfaces. According to the calculations, beta doses from skin deposition to individuals in areas of Russia, where dry deposition of Chernobyl fallout led to very high levels ofcontamination, may have amounted to several...

Quantitative assessment of bio-aerosols contamination in indoor air of University dormitory rooms.

Science.gov (United States)

Hayleeyesus, Samuel Fekadu; Ejeso, Amanuel; Derseh, Fikirte Aklilu

2015-07-01

The purpose of this study is to provide insight into how students are exposed to indoor bio-aerosols in the dormitory rooms and to figure out the major possible factors that govern the contamination levels. The Bio-aerosols concentration level of indoor air of thirty dormitory rooms of Jimma University was determined by taking 120 samples. Passive air sampling technique; the settle plate method using open Petri-dishes containing different culture media was employed to collect sample twice daily. The range of bio-aerosols contamination detected in the dormitory rooms was 511-9960 CFU/m(3) for bacterial and 531-6568 CFU/m(3) for fungi. Based on the criteria stated by WHO expert group, from the total 120 samples 95 of the samples were above the recommended level. The statistical analysis showed that, occupancy were significantly affected the concentrations of bacteria that were measured in all dormitory rooms at 6:00 am sampling time (p-value=0.000) and also the concentrations of bacteria that were measured in all dormitory rooms were significantly different to each other (p-value=0.013) as of their significance difference in occupancy (p-value=0.000). Moreover, there were a significant different on the contamination level of bacteria at 6:00 am and 7:00 pm sampling time (p=0.015), whereas there is no significant difference for fungi contamination level for two sampling times (p= 0.674). There is excessive bio-aerosols contaminant in indoor air of dormitory rooms of Jimma University and human occupancy produces a marked concentration increase of bacterial contamination levels and most fungi species present into the rooms air of Jimma University dormitory were not human-borne.

Occupational UV-Exposure is a Major Risk Factor for Basal Cell Carcinoma: Results of the Population-Based Case-Control Study FB-181.

Science.gov (United States)

Schmitt, Jochen; Haufe, Eva; Trautmann, Freya; Schulze, Hans-Joachim; Elsner, Peter; Drexler, Hans; Bauer, Andrea; Letzel, Stephan; John, Swen Malte; Fartasch, Manigé; Brüning, Thomas; Seidler, Andreas; Dugas-Breit, Susanne; Gina, Michal; Weistenhöfer, Wobbeke; Bachmann, Klaus; Bruhn, Ilka; Lang, Berenice Mareen; Bonness, Sonja; Allam, Jean Pierre; Grobe, William; Stange, Thoralf; Westerhausen, Stephan; Knuschke, Peter; Wittlich, Marc; Diepgen, Thomas Ludwig

2018-01-01

The aim of this study was to investigate the role of occupational and nonoccupational ultraviolet (UV)-exposure concerning the development of basal cell carcinoma (BCC). We undertook a population-based multicenter case-control study. Patients with first incident BCC (n = 836) were propensity score matched by age and sex to controls without skin cancer (n = 836). Sociodemographic characteristics, clinical characteristics, and lifetime UV-exposure were assessed by trained investigators. The differential estimation of occupational and nonoccupational UV-exposure dosages was based on validated instruments and established reference values. Associations were assessed using multivariable-adjusted conditional logistic regression models. Individuals with high levels of occupational UV-exposure were at significantly increased BCC-risk compared with individuals with low [odds ratio (OR) 1.84; 95% confidence interval (95% CI) 1.19 to 2.83 and moderate (OR 1.97; 95% CI 1.20 to 3.22) occupational UV-exposure. Nonoccupational UV-exposure was not independently associated with BCC. Skin cancer prevention strategies should be expanded to the occupational setting.

Occupational risk factors for skin cancer and the availability of sun protection measures at German outdoor workplaces.

Science.gov (United States)

Ruppert, Linda; Ofenloch, Robert; Surber, Christian; Diepgen, Thomas

2016-08-01

Germany implemented a new occupational disease "squamous cell carcinoma or multiple actinic keratosis due to natural UV radiation (UVR)" into the German ordinance on occupational diseases. Since primary prevention is very important, the aim of this study was to assess the provision of sun protection measures by the employers in vocational school students for outdoor professions. We conducted a cross-sectional study on the availability of sun protection measures at German workplaces and the risk of occupational sunburn by surveying 245 vocational school students working in outdoor occupations. More than 40 % of the students did not receive any sun protection measures by their employer, and 34.5 % of the students got sunburned during work. Working in the shade was a protective factor for occupational sunburn but was merely available for 23.7 % of the outdoor workers. Our study reveals a strong need for effective sun protection measures, including both administrative controls like education and personal protection measures at German outdoor workplaces.

Loss and grief process and Occupational Therapy assistance in scalping situations

Directory of Open Access Journals (Sweden)

Andreza Mourão Lopes

2013-08-01

Full Text Available In this research, we aimed to understand the loss and grief process and the occupational therapy assistance to a hospitalized child undergoing a scalping situation. It is a case study of qualitative approach. This survey was carried out with the participation of an 8-year-old female scalping victim. Results revealed that the scalping caused many changes such as loss of hair and parts of the facial skin. The child was hospitalized, staying away from occupational activities such as studying, playing, among others. We observed the expression of feelings such as fear, shame, anxiety and sadness generated by hair loss. Thus, we believe that this research is of high relevance because it allowed contact with a theme so characteristic of northern Brazil, as well as with the perception and clarification about the importance of occupational therapy assistance in providing space for expression and reframing of the doings, giving the opportunity to this child to resume her significant occupational activities.

Incidence of skin and respiratory diseases among Danish hairdressing apprentices

DEFF Research Database (Denmark)

Foss-Skiftesvik, Majken H.; Winther, Lone; Johnsen, Claus R.

2017-01-01

.8% of the hairdressing apprentices had left the trade, and 70.3% of these had left because of health complaints. The most frequently reported reasons for leaving were musculoskeletal pain (47.4%) and skin diseases (47.4%), followed by respiratory symptoms (23.7%). Conclusions: Hairdressing apprentices are at increased......Background: Hairdressing is one of the professions with the highest risk of occupational skin and respiratory diseases. The incidence of these diseases in hairdressing apprentices has been studied only sparsely. Objective: To determine the incidence of skin and respiratory diseases in hairdressing...... apprentices, and to explore whether hairdressing apprentices leave the trade during training because of these diseases. Methods: A 3-year follow-up questionnaire study was conducted among 248 hairdressing apprentices and a control group comprising 816 young adults from the general population. Results...

VARSKIN MOD 2 and SADDE MOD2: Computer codes for assessing skin dose from skin contamination

International Nuclear Information System (INIS)

Durham, J.S.

1992-12-01

The computer code VARSKIN has been modified to calculate dose to skin from three-dimensional sources, sources separated from the skin by layers of protective clothing, and gamma dose from certain radionuclides correction for backscatter has also been incorporated for certain geometries. This document describes the new code, VARSKIN Mod 2, including installation and operation instructions, provides detailed descriptions of the models used, and suggests methods for avoiding misuse of the code. The input data file for VARSKIN Mod 2 has been modified to reflect current physical data, to include the contribution to dose from internal conversion and Auger electrons, and to reflect a correction for low-energy electrons. In addition, the computer code SADDE: Scaled Absorbed Dose Distribution Evaluator has been modified to allow the generation of scaled absorbed dose distributions for mixtures of radionuclides and intereat conversion and Auger electrons. This new code, SADDE Mod 2, is also described in this document. Instructions for installation and operation of the code and detailed descriptions of the models used in the code are provided

2nd Skin approach to zero energy rental properties : Occupancy patterns to improve energy simulation

NARCIS (Netherlands)

Guerra Santin, O.; Silvester, S.; Konstantinou, T.

2015-01-01

A number of second skin solutions have been developed in recent years to solve the problem of large scale renovation of housing. The 2ndSkin approach presented in this paper is currently under development by a consortium of academic and industry partners in the Netherlands. The objective of the

Occupational Contact Dermatitis: Workers' Compensation Patch Test Results of Portland, Oregon, 2005-2014.

Science.gov (United States)

Coman, Garrett; Zinsmeister, Chris; Norris, Patricia

2015-01-01

Workers are exposed to potential irritants and allergens with constant introduction of new industrial chemicals in the workplace. Characterize the final diagnoses, demographics, occupations, exposures, clinical presentations, patch test results, dermatologic histories, and risk factors of workers evaluated for suspected work-related allergic contact dermatitis (ACD). A retrospective chart review of 310 workers' compensation independent medical examinations evaluated for suspected work-related ACD was performed. Workers were seen in a community dermatology clinic in Portland, Oregon, from 2005 to 2014. Evaluation included history, physical examination, patch testing, and further diagnostic workup when indicated. Hand dermatitis was the most common presentation (n = 148, 47.7%). Prevalent occupations included health care workers (n = 51, 16.5%), custodial staff (n = 41, 13.2%), and machinists (n = 36, 11.6%). Allergic contact dermatitis (47.5%) was more common than irritant contact dermatitis (ICD) (38.9%) in those diagnosed as having occupational skin disease (n = 185). The highest-frequency work-related allergens were thiuram mix (21 of 88, 23.9%), carba mix (20 of 88, 22.7%), potassium dichromate (9 of 88, 10.2%), and epoxy resin (9 of 88, 10.2%). Allergic contact dermatitis and ICD are common occupational skin disorders. In this population of workers' compensation referrals, ACD was more common, with 73.3% of those cases work related, compared with 86.7% of ICD. Blue collar work and wet work were risk factors for the development of ACD and ICD.

Natural uranium toxicology - evaluation of internal contamination in man; Toxicologie de l'uranium naturel - essai d'evaluation de la contamination interne chez l'homme

Energy Technology Data Exchange (ETDEWEB)

Chalabreysse, J [Commissariat a l' Energie Atomique, Pierrelatte (France). Centre d' Etudes Nucleaires

1968-07-01

After reminding the physical and chemical properties of natural uranium which might affect its toxicology, a comprehensive investigation upon natural uranium metabolism and toxicity and after applying occupational exposure standards to this particular poison, it has been determined, from accident reports and human experience reported in the related literature, a series of formulae obtained by theoretical mathematical development giving principles for internal contamination monitoring and disclosure by determining uranium in the urine of occupationally exposed individuals. An assay is performed to determine individual internal contamination according to the various contamination cases. The outlined purposes, mainly practical, required some options and extrapolations. The proposed formula allows a preliminary approach and also to determine shortly a contamination extent or to discuss the systematical urinalysis results as compared with individual radio-toxicology monitoring professional standards. (author) [French] Apres le rappel des caracteristiques physiques et des proprietes chimiques de l'uranium naturel pouvant avoir une influence sur sa toxicologie, l'etude detaillee de son metabolisme et de sa toxicite, puis l'application des normes professionnelles d'exposition au cas particulier de ce toxique, il est etabli, a partir des comptes rendus d'accidents et de l'experimentation humaine rapportes dans la litterature, une serie de formules obtenues par developpement mathematique theorique qui posent les principes de la surveillance et de la mise en evidence de la contamination interne par la recherche et le dosage de l'uranium dans les urines d'individus professionnellement exposes. Un essai d'evaluation de la contamination interne individuelle suivant les differents cas de contamination est effectue. Le formulaire propose permet de faire une premiere approximation et d'apprecier rapidement l'importance d'une contamination ou bien d'interpreter les resultats d

Rheological and sensory properties of hydrophilic skin protection gels based on polyacrylates.

Science.gov (United States)

Kulawik-Pióro, Agnieszka; Kurpiewska, Joanna; Kułaszka, Agnieszka

2018-03-01

With the current increases in occupational skin diseases, literature data attesting the decreasing efficiency of barrier creams with respect to the manufacturer's declarations and legal regulations granting skin protection gels for employees, research is required to analyse and evaluate the recipes used for hydrophilic skin protection gels based on polyacrylates. This study investigated the rheological properties, pH and sensory perception of hydrophilic barrier gels based on polyacrylates. The acrylic acid derivatives used were good thickeners, and helped to form transparent gels of adequate durability. They could be used to create hydrophilic films on the surface of the skin to protect it against hydrophobic substances. A correlation was shown between the results of the rheological properties and the barrier properties of the gels. This confirms the possibility of monitoring the quality of the gels at the stage of recipe development. Polyacrylates are viable for use in industry to produce hydrophilic barrier creams suitable for skin protection.

Effect of vehicles and sodium lauryl sulphate on xenobiotic permeability and stratum corneum partitioning in porcine skin

International Nuclear Information System (INIS)

Merwe, Deon van der; Riviere, Jim E.

2005-01-01

Dermal contact with potentially toxic agricultural and industrial chemicals is a common hazard encountered in occupational, accidental spill and environmental contamination scenarios. Different solvents and chemical mixtures may influence dermal absorption. The effects of sodium lauryl sulphate (SLS) on the stratum corneum partitioning and permeability in porcine skin of 10 agricultural and industrial chemicals in water, ethanol and propylene glycol were investigated. The chemicals were phenol, p-nitrophenol, pentachlorophenol, methyl parathion, ethyl parathion, chlorpyrifos, fenthion, simazine, atrazine and propazine. SLS decreased partitioning into stratum corneum from water for lipophilic compounds, decreased partitioning from propylene glycol and did not alter partitioning from ethanol. SLS effects on permeability were less consistent, but generally decreased permeability from water, increased permeability from ethanol and had an inconsistent effect on permeability from propylene glycol. It was concluded that, for the compounds tested, partitioning into the stratum corneum was determined by the relative solubility of the solute in the donor solvent and the stratum corneum lipids. Permeability, however, reflected the result of successive, complex processes and was not predictable from stratum corneum partitioning alone. Addition of SLS to solvents altered partitioning and absorption characteristics across a range of compounds, which indicates that partition coefficients or skin permeability from neat chemical exposure should be used with caution in risk assessment procedures for chemical mixtures

Cross contamination of turkey carcasses by Salmonella species during defeathering.

Science.gov (United States)

Nde, C W; McEvoy, J M; Sherwood, J S; Logue, C M

2007-01-01

Salmonella present on the feathers of live birds could be a source of contamination to carcass skin during defeathering. In this study, the possibility of transfer of Salmonella from the feathers of live turkeys to carcass tissue during the defeathering process at a commercial turkey processing plant was investigated. The contribution of scald water and the fingers of the picker machines to cross contamination were also examined. Over 4 visits, swab samples were collected from 174 randomly selected tagged birds before and after defeathering. Two swab samples from the fingers of the picker machines and a sample of scald water were also collected during each visit. Detection of Salmonella was carried out following standard cultural and identification methods. The DNA fingerprints obtained from pulsed field gel electrophoresis of Salmonella serotypes isolated before and after defeathering, from scald water, and from the fingers of the picker machines were compared to trace cross contamination routes. Salmonella prevalence was similar before and after defeathering during visits 2 and 3 and significantly increased after defeathering during visits 1 and 4. Over the 4 visits, all Salmonella subtypes obtained after defeathering were also isolated before defeathering. The results of this study suggest that Salmonella was transferred from the feathers to carcass skin during each visit. On each visit, the Salmonella subtypes isolated from the fingers of the picker machines were similar to subtypes isolated before and after defeathering, indicating that the fingers facilitate carcass cross contamination during defeathering. Salmonella isolated from scald water during visit 4 was related to isolates obtained before and after defeathering, suggesting that scald water is also a vehicle for cross contamination during defeathering. By using molecular subtyping, this study demonstrated the relationship between Salmonella present on the feathers of live turkeys and carcass skin after

Epidemiology of leisure, transportation, occupational, and household physical activity: prevalence and associated factors.

Science.gov (United States)

Florindo, Alex Antonio; Guimarães, Vanessa Valente; Cesar, Chester Luiz Galvão; Barros, Marilisa Berti de Azevedo; Alves, Maria Cecília Goi Porto; Goldbaum, Moisés

2009-09-01

To estimate the prevalence of and identify factors associated with physical activity in leisure, transportation, occupational, and household settings. This was a cross-sectional study aimed at investigating living and health conditions among the population of São Paulo, Brazil. Data on 1318 adults aged 18 to 65 years were used. To assess physical activity, the long version of the International Physical Activity Questionnaire was applied. Multivariate analysis was conducted using a hierarchical model. The greatest prevalence of insufficient activity related to transportation (91.7%), followed by leisure (77.5%), occupational (68.9%), and household settings (56.7%). The variables associated with insufficient levels of physical activity in leisure were female sex, older age, low education level, nonwhite skin color, smoking, and self-reported poor health; in occupational settings were female sex, white skin color, high education level, self-reported poor health, nonsmoking, and obesity; in transportation settings were female sex; and in household settings, with male sex, separated, or widowed status and high education level. Physical activity in transportation and leisure settings should be encouraged. This study will serve as a reference point in monitoring different types of physical activities and implementing public physical activity policies in developing countries.

Occupational irritant contact dermatitis due to petroleum naphtha

Directory of Open Access Journals (Sweden)

Aslı Aytekin

2014-12-01

Full Text Available Irritant contact dermatitis (ICD is responsible for the vast majority of occupational contact dermatitis and usually seen in professional groups working with wet hand. However, today, with the increasing business lines, employees are exposed to a variety of irritants. Occupational exposure to many chemicals and toxic irritants affect not only the skin, but also the other systems. Therefore, this situation resulting with loss of work and changes in business may become a public health problem. The diagnosis of occupational contact dermatitis should not be limited only with tests for allergens, detailed history of exposure to workplace substances and careful examination of product safety forms are necessary. In addition, by establishing close relationship between occupational physicians and employers, preventive measures should be taken before similar diseases occur in other workers in the same work place. In order to highlight this issue, a 32-year-old male patient working in an invitation card fabric is presented in this case report. Irritant contact dermatitis secondary to “petroleum naphta” was present in the patient’s arms. Another important feature of this case, as far as we know, this is the first case of irritant contact dermatitis due to naphtha in the literature.

Comparative characterisation of the biofilm-production abilities of Staphylococcus epidermidis isolated from human skin and platelet concentrates.

Science.gov (United States)

Taha, Mariam; Kohnen, Carissa; Mallya, Shruti; Kou, Yuntong; Zapata, Adriana; Ramirez-Arcos, Sandra

2018-02-01

Staphylococcus epidermidis is the predominant contaminant of platelet concentrates (PCs), a blood product used to treat patients with platelet deficiencies. This microorganism is able to form surface-attached aggregates (biofilms) in human skin. Herein, the abundance of S. epidermidis biofilm-producers in contaminated PCs compared to skin isolates was explored. Furthermore, the potential positive selection of S. epidermidis biofilm-producers during the blood donation process and PC manufacturing was investigated. Twenty-four S. epidermidis isolates obtained from contaminated PCs and 48 S. epidermidis isolates obtained from the venipuncture area of human volunteers were compared for their ability to form biofilms in laboratory media and in PCs using a semi quantitative crystal violet assay. Also, the presence of the biofilm-associated icaA and icaD genes was assessed by PCR-amplification.Results/Key findings.Biofilm production in laboratory media showed a higher number of S. epidermidis biofilm-producers in the skin-derived group (43.7 %) compared to the PC-derived isolates (25 %). However, all skin and PC isolates formed biofilms in PCs. The prevalence of ica-positive biofilm-producer isolates was similar in PC and skin isolates (16.6 and 18.8 %, respectively). In contrast, the abundance of ica-negative biofilm-producers was lower in PC isolates compared to skin isolates (8.3 vs 25 %, respectively). Positive selection of S. epidermidis biofilm-producers during blood donation and PC manufacturing was not observed. Interestingly, ica-negative biofilm-producers seem to be negatively affected by skin disinfection, blood processing and PC storage. Furthermore, this study shows that S. epidermidis adopts a biofilm-forming phenotype in PCs regardless of its genetic background or origin.

Respiratory and skin health among glass microfiber production workers: a cross-sectional study

Directory of Open Access Journals (Sweden)

Jaakkola Maritta S

2009-08-01

Full Text Available Abstract Background Only a few studies have investigated non-malignant respiratory effects of glass microfibers and these have provided inconsistent results. Our objective was to assess the effects of exposure to glass microfibers on respiratory and skin symptoms, asthma and lung function. Methods A cross-sectional study of 102 workers from a microfiber factory (response rate 100% and 76 office workers (73% from four factories in Thailand was conducted. They answered a questionnaire on respiratory health, occupational exposures, and lifestyle factors, and performed spirometry. Measurements of respirable dust were available from 2004 and 2005. Results Workers exposed to glass microfibers experienced increased risk of cough (adjusted OR 2.04, wheezing (adjOR 2.20, breathlessness (adjOR 4.46, nasal (adjOR 2.13 and skin symptoms (adjOR 3.89 and ever asthma (adjOR 3.51, the risks of breathlessness (95%CI 1.68–11.86 and skin symptoms (1.70–8.90 remaining statistically significant after adjustment for confounders. There was an exposure-response relation between the risk of breathlessness and skin symptoms and increasing level of microfiber exposure. Workers exposed to sensitizing chemicals, including phenol-formaldehyde resin, experienced increased risk of cough (3.43, 1.20–9.87 and nasal symptoms (3.07, 1.05–9.00. Conclusion This study provides evidence that exposure to glass microfibers increases the risk of respiratory and skin symptoms, and has an exposure-response relation with breathlessness and skin symptoms. Exposure to sensitizing chemicals increased the risk of cough and nasal symptoms. The results suggest that occupational exposure to glass microfibers is related to non-malignant adverse health effects, and that implementing exposure control measures in these industries could protect the health of employees.

IgE-mediated chlorhexidine allergy: a new occupational hazard?

DEFF Research Database (Denmark)

Nagendran, Vasantha; Wicking, Jennifer; Ekbote, Anjali

2009-01-01

BACKGROUND: Chlorhexidine is an effective antimicrobial agent commonly used in UK hospitals, primarily for skin decontamination. Recent UK infection control guidelines recommend the use of 2% chlorhexidine solution in specific clinical settings, thus increasing chlorhexidine use by health care...... those with possible clinical allergy to come forward for further testing. Diagnosis was based on an appropriate clinical history with positive serum-specific IgE to chlorhexidine and/or positive skin prick testing. RESULTS: Four cases of occupational IgE-mediated allergy to chlorhexidine were identified...... workers (HCWs). Chlorhexidine has been widely reported to cause IgE-mediated allergic reactions (from urticaria and angioedema to anaphylaxis) among patients undergoing surgery/invasive procedures. Despite its widespread use in health care settings, there are no reports of clinically confirmed...

Evaluation of the internal contamination risk for isotope laboratory workers

International Nuclear Information System (INIS)

Adamiak-Ziemba, J.; Doniec, J.; Kocznow, W.; Hawrynski, M.

1985-01-01

The investigation covered 484 workers. Altogether 1787 determinations have been made, in this - 1648 internal contaminations and 139 contaminations of air, hand skin and working surfaces. The internal contaminations (22% of results) resulted mainly from deviation from radiological protection rules and were reduced by certain changes. Those were tritium contaminations (application of tritium radioluminescence dyes) and 125, 131 J. The highest levels of which were 20 mSv and 0.25% ALI respectively. The results of 238 Pu air contamination measurements indicates that the dust arising during the production of smoke detectors (with 238 PuO 2 sources) probably has no respirable fraction properties, what confines its absorption in lower parts of the respiratory tract. It has been demonstrated that in Poland is no need of a central system of permanent internal contamination control. (author)

Factors associated with occupational exposure to biological material among nursing professionals.

Science.gov (United States)

Negrinho, Nádia Bruna da Silva; Malaguti-Toffano, Silmara Elaine; Reis, Renata Karina; Pereira, Fernanda Maria Vieira; Gir, Elucir

2017-01-01

to identify factors associated with occupational exposure to biological material among nursing professionals. a cross-sectional study was conducted in a high complexity hospital of a city in the state of São Paulo, Brazil. Nursing professionals were interviewed from March to November 2015. All ethical aspects were observed. among the 226 professionals interviewed, 17.3% suffered occupational exposure to potentially contaminated biological material, with 61.5% being percutaneous. Factors such as age (p=0.003), professional experience in nursing (p=0.015), and experience at the institution (p=0.032) were associated with the accidents with biological material. most accidents with biological material among nursing professionals were percutaneous. Age, professional experience, and experience at the institution were considered factors associated with occupational exposure.

A survey of exposures related to recognized occupational contact dermatitis in Denmark in 2010

DEFF Research Database (Denmark)

Carøe, Tanja Korfitsen; Ebbehøj, Niels; Agner, Tove

2014-01-01

BACKGROUND: Skin diseases are the most commonly recognized occupational diseases in Denmark, and occupational contact dermatitis (OCD) comprises ∼95% of all cases. OBJECTIVES: To prevent occupational contact dermatitis, it is important to specifically identify exposures and work routines related...... to outbreak of the disease. The aim of this study was to give an overview of exposures for patients with occupational contact dermatitis in Denmark in 2010, and relate this to line of work and disease severity. MATERIAL AND METHODS: The study was a descriptive, register-based study including patients......, 1020 women and 484 men, were included in the study. Irritant contact dermatitis accounted for 70% of all cases; 68% of these were caused by wet work. Forty-six per cent of all patients were employed either in the healthcare sector, in cleaning, or as kitchen workers. Among contact allergies, the most...

Skin health and safety at work in Croatian hairdressing apprentices.

Science.gov (United States)

Samardžić, Tea; Varnai, Veda Marija; Bakotić, Marija; Babić, Željka; Brans, Richard; Cvijetić Avdagić, Selma; Štampar Šmaguc, Darinka; Kovačević, Iva; Macan, Jelena

2016-07-01

The risk of developing occupational skin disease (OSD) is high in hairdressers, but may differ between countries. To evaluate safety at work measures, and the prevalence and severity of skin symptoms and their impact on quality of life (QoL), among Croatian hairdressing apprentices. Data on self-reported skin symptoms, safety measures and QoL were collected for 101 final-year apprentices. The presence and severity of skin lesions were assessed with the Osnabrueck Hand Eczema Severity Index (OHSI). Transepidermal water loss (TEWL) was measured on the forearm and hand. Ninety-one percent of apprentices reported wearing gloves while dyeing hair, 45% while rinsing hair dyes, and 4% while washing hair. A history of skin symptoms was found in 35% of apprentices, and a history of dry hands in 37%. Skin changes were clinically observed in 40% of apprentices, most frequently erythema, infiltration, and desquamation. The OHSI score ranged from 0 to 6. Only washing hands >20 times per day was positively associated with TEWL. A history of skin symptoms negatively correlated with self-esteem, and social and mental functioning, and positively with anxiety and depression. The results indicate the need for the continuation of efforts to establish effective primary preventive programmes for OSDs at national and EU levels. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Occupational risk for Legionella infection among dental healthcare workers: meta-analysis in occupational epidemiology.

Science.gov (United States)

Petti, Stefano; Vitali, Matteo

2017-07-13

The occupational risk for Legionella infection among dental healthcare workers (DHCWs) is conjectured because of the risk of routine inhalation of potentially contaminated aerosols produced by the dental instruments. Nevertheless, occupational epidemiology studies are contrasting. This meta-analysis assessed the level of scientific evidence regarding the relative occupational risk for Legionella infection among DHCWs. Literature search was performed without time and language restrictions, using broad data banks (PubMed, Scopus, Web of Science, GOOGLE Scholar) and generic keywords ('legionella' AND 'dent*'). Analytical cross-sectional studies comparing prevalence of high serum Legionella antibody levels in DHCWs and occupationally unexposed individuals were considered. The relative occupational risk was assessed through prevalence ratio (PR) with 95% CI. Between-study heterogeneity was assessed (Cochran's Q test) and was used to choose the meta-analytic method. Study quality (modified Newcastle-Ottawa Scale) and publication bias (Begg and Mazumdar's test, Egger and colleagues' test, trim and fill R 0 method) were assessed formally and considered for the sensitivity analysis. Sensitivity analysis to study inclusion, subgroup analyses (dental staff categories; publication year, before vs after 1998, ie, 5 years after the release by the Centers for Disease Control and Prevention of the infection control guidelines in dental healthcare setting) were performed. Seven studies were included (2232 DHCWs, 1172 occupationally unexposed individuals). No evidence of publication bias was detected. The pooled PR estimate was statistically non-significant at 95% level (1.7; 95% CI 0.8 to 3.2), study-quality adjustment did not change the PR considerably (PR, 1.5; 95% CI 0.5 to 4.1). PR was statistically significant before 1998 and no longer significant after 1998. Subgroup analysis according to DHCW categories was inconclusive. There is no scientific evidence that DHCWs are

Influence of enrichment and isolation media on the detection of Campylobacter spp. in naturally contaminated chicken samples.

Science.gov (United States)

Repérant, E; Laisney, M J; Nagard, B; Quesne, S; Rouxel, S; Le Gall, F; Chemaly, M; Denis, M

2016-09-01

Investigating Campylobacter epidemiology requires adequate technique and media to ensure optimal culturing and accurate detection and isolation of Campylobacter strains. In the present study, we investigated the performances of three enrichment durations in Bolton broth (0, 24 and 48h) and compared four isolation media (mCCDA, Karmali, Butzler no. 2 and CampyFood agar (CFA)) for the detection of Campylobacter positive samples and the identification of Campylobacter species, from naturally contaminated broiler chicken samples (caeca, neck skin from carcasses, and skin from thighs). We compared our local results to those we obtained with samples from a European survey (caeca and neck skin) and a national survey (neck skin, thigh skin, and breast). Direct plating favored the detection of positive samples highly contaminated by Campylobacter (caeca and neck skin from carcasses) whatever the media. A longer enrichment reduced the rates of Campylobacter recovery except when using Butzler no. 2, more particularly for neck skin which background microflora was less important than in caeca. As a matter of fact, enrichment allowed a higher detection rate of positive samples with low Campylobacter contamination levels (breast, thigh skin), this detection being enhanced when using Butzler no. 2. When comparing the 3 other selective media, CFA was the 2nd most efficient media prior to mCCDA and Karmali. Interestingly, enrichment promoted the growth of Campylobacter coli but this promotion was least with Butzler no. 2 agar. Our study has confirmed the need to adapt the method to the types of samples for improving the detection of Campylobacter and that the method may affect the prevalence of the species. Copyright © 2016 Elsevier B.V. All rights reserved.

A pilot study to determine medical laser generated air contaminant emission rates for a simulated surgical procedure.

Science.gov (United States)

Lippert, Julia F; Lacey, Steven E; Lopez, Ramon; Franke, John; Conroy, Lorraine; Breskey, John; Esmen, Nurtan; Liu, Li

2014-01-01

The U.S. Occupational Safety and Health Administration (OSHA) estimates that half a million health-care workers are exposed to laser surgical smoke each year. The purpose of this study was to establish a methodology to (1) estimate emission rates of laser-generated air contaminants (LGACs) using an emission chamber, and to (2) perform a screening study to differentiate the effects of three laser operational parameters. An emission chamber was designed, fabricated, and assessed for performance to estimate the emission rates of gases and particles associated with LGACs during a simulated surgical procedure. Two medical lasers (Holmium Yttrium Aluminum Garnet [Ho:YAG] and carbon dioxide [CO2]) were set to a range of plausible medical laser operational parameters in a simulated surgery to pyrolyze porcine skin generating plume in the emission chamber. Power, pulse repetition frequency (PRF), and beam diameter were evaluated to determine the effect of each operational parameter on emission rate using a fractional factorial design. The plume was sampled for particulate matter and seven gas phase combustion byproduct contaminants (benzene, ethylbenzene, toluene, formaldehyde, hydrogen cyanide, carbon dioxide, and carbon monoxide): the gas phase emission results are presented here. Most of the measured concentrations of gas phase contaminants were below their limit of detection (LOD), but detectable measurements enabled us to determine laser operation parameter influence on CO2 emissions. Confined to the experimental conditions of this screening study, results indicated that beam diameter was statistically significantly influential and power was marginally statistically significant to emission rates of CO2 when using the Ho:YAG laser but not with the carbon dioxide laser; PRF was not influential vis-a-vis emission rates of these gas phase contaminants.

Application of a high-level peracetic acid disinfection protocol to re-process antibiotic disinfected skin allografts.

Science.gov (United States)

Lomas, R J; Huang, Q; Pegg, D E; Kearney, J N

2004-01-01

Skin allografts, derived from cadaveric donors, are widely used for the treatment of burns and ulcers. Prior to use in clinical situations, these allografts are disinfected using a cocktail of antibiotics and then cryopreserved. Unfortunately, this antibiotic disinfection procedure fails to decontaminate a significant proportion and these contaminated grafts can not be used clinically. We have investigated whether it is possible to apply a second, more potent disinfection procedure to these contaminated grafts and effectively to re-process them for clinical use. Cadaveric skin grafts, treated with antibiotics and cryopreserved, were thawed and a peracetic acid (PAA) disinfection protocol applied. The grafts were then preserved in a high concentration of glycerol or propylene glycol, and properties thought to be essential for successful clinical performance assessed. The cytotoxicity of the grafts was assessed using both extract and contact assays; damage to the skin collagen was assessed using a collagenase susceptibility assay and the capacity of the grafts to elicit an inflammatory response in vitro was assessed by quantifying the production of the pro-inflammatory cytokine TNF-alpha by human peripheral blood mononuclear phagocytes. PAA disinfection, in conjunction with either glycerol or propylene glycol preservation, did not render the grafts cytotoxic, pro-inflammatory, or increase their susceptibility to collagenase digestion. The rates of penetration of glycerol and propylene glycol into the re-processed skin were comparable to those of fresh skin. This study has demonstrated that PAA disinfection combined with immersion in high concentrations of either glycerol or propylene glycol was an effective method for re-processing contaminated skin allografts, and may justify their clinical use.

Skin Diseases: Skin Health and Skin Diseases

Science.gov (United States)

Skip Navigation Bar Home Current Issue Past Issues Skin Diseases Skin Health and Skin Diseases Past Issues / Fall 2008 Table of Contents ... acne to wrinkles Did you know that your skin is the largest organ of your body? It ...

Internal contamination by tritium caused by radioluminescent paints

Energy Technology Data Exchange (ETDEWEB)

Adamiak-Ziemba, J.; Doniec, J.

1985-01-01

The internal contamination investigations covered 23 persons using radioluminescence paints containing tritium, assembling devices painted with those paints, and those having no contact with active paints but working next to the painting room. Determined were concentrations of tritium excreted with urine, air contamination at workplaces, contamination of workplace areas and hand skin. At the time covered by the investigations, the mean annual equivalent doses for those using tritium paints were reduced from 14-20 mSv to about 5 mSv. In those working next to the painting room they were reduced from 5.8-15 to 0.23 mSv. The exposure of those assembling the devices does not exceed 1 mSv. It was demonstrated that the main cause of the tritium exposure level was air contamination in working rooms.

Fluorescence hyper-spectral imaging to detecting faecal contamination on fresh tomatoes

Directory of Open Access Journals (Sweden)

Roberto Romaniello

2016-03-01

Full Text Available Faecal contamination of fresh fruits represents a severe danger for human health. Thus some techniques based on microbiological testing were developed to individuate faecal contaminants but those tests do not results efficient because their non-applicability on overall vegetable unity. In this work a methodology based on hyper-spectral fluorescence imaging was developed and tested to detecting faecal contamination on fresh tomatoes. Two image-processing methods were performed to maximise the contrast between the faecal contaminant and tomatoes skin: principal component analysis and band image ratio (BRI. The BRI method allows classifying correctly 70% of contaminated area, with no false-positives in all examined cases. Thus, the developed methodology can be employed for a fast and effective detection of faecal contamination on fresh tomatoes.

Occupational cosmic radiation exposure and cancer in airline cabin crew

International Nuclear Information System (INIS)

Kojo, K.

2013-03-01

Cosmic radiation dose rates are considerably higher at cruising altitudes of airplanes than at ground level. Previous studies have found increased risk of certain cancers among aircraft cabin crew, but the results are not consistent across different studies. Despite individual cosmic radiation exposure assessment is important for evaluating the relation between cosmic radiation exposure and cancer risk, only few previous studies have tried to develop an exposure assessment method. The evidence for adverse health effects in aircrews due to ionizing radiation is inconclusive because quantitative dose estimates have not been used. No information on possible confounders has been collected. For an occupational group with an increased risk of certain cancers it is very important to assess if the risk is related to occupational exposure. The goal of this thesis was to develop two separate retrospective exposure assessment methods for occupational exposure to cosmic radiation. The methods included the assessment based on survey on flight histories and based on company flight timetables. Another goal was to describe the cancer incidence among aircraft cabin crew with a large cohort in four Nordic countries, i.e., Finland, Iceland, Norway, and Sweden. Also the contribution of occupational as well as non-occupational factors to breast and skin cancer risk among the cabin crew was studied with case-control studies. Using the survey method of cosmic radiation exposure assessment, the median annual radiation dose of Finnish airline cabin crew was 0.6 milliSievert (mSv) in the 1960s, 3.3 mSv in the 1970s, and 3.6 mSv in the 1980s. With the flight timetable method, the annual radiation dose increased with time being 0.7 mSv in the 1960 and 2.1 mSv in the 1995. With the survey method, the median career dose was 27.9 mSv and with the timetable method 20.8 mSv. These methods provide improved means for individual cosmic radiation exposure assessment compared to studies where cruder

Occupational cosmic radiation exposure and cancer in airline cabin crew.

Energy Technology Data Exchange (ETDEWEB)

Kojo, K.

2013-03-15

Cosmic radiation dose rates are considerably higher at cruising altitudes of airplanes than at ground level. Previous studies have found increased risk of certain cancers among aircraft cabin crew, but the results are not consistent across different studies. Despite individual cosmic radiation exposure assessment is important for evaluating the relation between cosmic radiation exposure and cancer risk, only few previous studies have tried to develop an exposure assessment method. The evidence for adverse health effects in aircrews due to ionizing radiation is inconclusive because quantitative dose estimates have not been used. No information on possible confounders has been collected. For an occupational group with an increased risk of certain cancers it is very important to assess if the risk is related to occupational exposure. The goal of this thesis was to develop two separate retrospective exposure assessment methods for occupational exposure to cosmic radiation. The methods included the assessment based on survey on flight histories and based on company flight timetables. Another goal was to describe the cancer incidence among aircraft cabin crew with a large cohort in four Nordic countries, i.e., Finland, Iceland, Norway, and Sweden. Also the contribution of occupational as well as non-occupational factors to breast and skin cancer risk among the cabin crew was studied with case-control studies. Using the survey method of cosmic radiation exposure assessment, the median annual radiation dose of Finnish airline cabin crew was 0.6 milliSievert (mSv) in the 1960s, 3.3 mSv in the 1970s, and 3.6 mSv in the 1980s. With the flight timetable method, the annual radiation dose increased with time being 0.7 mSv in the 1960 and 2.1 mSv in the 1995. With the survey method, the median career dose was 27.9 mSv and with the timetable method 20.8 mSv. These methods provide improved means for individual cosmic radiation exposure assessment compared to studies where cruder

Overview on Topical 5-ALA Photodynamic Therapy Use for Non Melanoma Skin Cancers

Directory of Open Access Journals (Sweden)

Carmen Cantisani

2014-01-01

Full Text Available Ultraviolet radiation (UV contributes to a variety of skin diseases including inflammation, degenerative aging, and cancer. Historically, humans have been exposed to UV radiation mainly through occupational exposure; recreational UV exposure, however, has increased dramatically in recent years, because of outdoor leisure activities and to purposely tan for cosmetic purposes. Both UVB and UVA radiation have been shown to cause DNA damage and immunosuppression, the important forms of biological damage that lead to NMSC. Nonmelanoma skin cancer (NMSC is the most common malignancy, whose public health significance is often unrecognized which continues to grow at an alarming rate, becoming an occupational disease. Available treatments alternative to surgery include photodynamic therapy, electrochemotherapy, cryotherapy, ablative lasers, 5-fluorouracil, imiquimod, ingenol mebutate, and diclofenac. Among these, photodynamic therapy is a noninvasive technique with excellent cosmetic outcome and good curative results, when used in initial stages of skin cancers for superficial lesions. It is administered under numerous and significantly varied regimens and there are a wide range of cure rates reported, permitting treatment of large and multiple lesions with excellent cosmetic results. This is an overview of photodynamic applications especially for the treatment of NMSC, with a short focus on daylight modality.

Health effects associated with exposure to radioactively contaminated gold rings

International Nuclear Information System (INIS)

Baptiste, M.S.; Rothenberg, R.; Nasca, P.C.; Janerich, D.T.; Stutzman, C.D.; Rimawi, K.; O'Brien, W.; Matuszek, J.

1984-01-01

This study was designed to assess the health risks associated with exposure to radioactively contaminated gold rings. A group of 135 exposed individuals, who were identified through a statewide jewelry screening program, were studied to determine the frequency of carcinoma and other skin problems on the ring finger. Severity of skin problems increased with increasing length of wear. Forty-one of the exposures were associated with mild to severe skin problems. Nine of the individuals studied were diagnosed as having histologically confirmed squamous cell carcinomas at the site of exposure. The incidence of skin cancer on the ring finger was eleven times that expected for men and forty-five times that expected for women. These data indicate that physicians who have patients with skin lesions of the ring finger should be aware of the possibility of exposure to a radioactive gold ring

The role of near infrared radiation in photoaging of the skin.

Science.gov (United States)

Schroeder, Peter; Haendeler, Judith; Krutmann, Jean

2008-07-01

Infrared (IR) radiation is non-ionizing, electromagnetic radiation with wavelengths between 760 nm and 1 mm, which is further divided into IRA, IRB and IRC. IR accounts for more than half of the solar energy that reaches the human skin. While IRB and IRC do not penetrate deeply into the skin, more than 65% of IRA reaches the dermis. Human skin is increasingly exposed to IRA-radiation; most relevant sources are (i) natural solar radiation consisting of over 30% IRA, (ii) artificial IRA sources used for therapeutic or wellness purposes and (iii) artificial UV sources contaminated with IRA. As part of natural sunlight, IRA significantly contributes to extrinsic skin aging. This article reviews the cutaneous effects of IRA-radiation, the underlying molecular mechanisms and the available protective strategies.

Fuel poverty increases risk of mould contamination, regardless of adult risk perception & ventilation in social housing properties.

Science.gov (United States)

Sharpe, Richard A; Thornton, Christopher R; Nikolaou, Vasilis; Osborne, Nicholas J

2015-06-01

Fuel poverty affects 2.4 million UK homes leading to poor hygrothermal conditions and risk of mould and house dust mite contaminations, which in turn increases risk of asthma exacerbation. For the first time we assess how fuel poverty, occupants' risk perception and use of mechanical ventilation mediate the risk of mould contamination in social housing. Postal questionnaires were sent to 3867 social housing properties to collect adult risk perception, and demographic and environmental information on occupants. Participant details were linked to data pertaining to the individual properties. Multiple logistic regression was used to calculate odds ratios and confidence intervals while allowing for clustering of individuals coming from the same housing estate. We used Structured Equation Modelling and Goodness of Fit analysis in mediation analyses to examine the role of fuel poverty, risk perception, use of ventilation and energy efficiency. Eighteen percent of our target social housing populations (671 households) were included into our study. High risk perception (score of 8-10) was associated with reduced risk of mould contamination in the bedrooms of children (OR 0.5 95% CI; 0.3-0.9) and adults (OR 0.4 95% CI; 0.3-0.7). High risk perception of living with inadequate heating and ventilation reduced the risk of mould contamination (OR 0.5 95% CI; 0.3-0.8 and OR 0.5 95% CI; 0.3-0.7, respectively). Participants living with inadequate heating and not heating due to the cost of fuel had an increased risk of mould contamination (OR 3.4 95% CI; 2.0-5.8 and OR 2.2 95% CI; 1.5-3.2, respectively). Increased risk perception and use of extractor fans did not mediate the association between fuel poverty behaviours and increased risk of mould contamination. Fuel poverty behaviours increased the risk of mould contamination, which corresponds with existing literature. For the first time we used mediation analysis to assess how this association maybe modified by occupant behaviours

Antineoplastic drugs: Occupational exposure and health risks

OpenAIRE

Fransman, W.

2006-01-01

Antineoplastic drugs are pharmaceuticals commonly used to treat cancer (and some non-neoplastic diseases), which are generally referred to as 'chemotherapy'. Oncology nurses are exposed to these drugs via the skin of hands during daily nursing activities, even when protective gloves are being used. Results of tests on bulk and surface contamination samples confirmed that patients intravenously treated with cyclophosphamide excrete the unmetabolized drug. The introduction of new guidelines and...

SU-E-T-20: Removal of Electron Contamination in Longitudinal Field MRI-Linac Systems: A Monte Carlo Study.

Science.gov (United States)

Oborn, B M; Metcalfe, P; Butson, M; Crozier, S; Keall, P

2012-06-01

The prototype inline MRI-linac system has some advantages over perpendicular models including avoiding the electron return effect. One of the disadvantages of the inline approach is the increased skin dose, estimated to be 400-1000% of the dmax dose. The purpose of this work was to design a feasible method to reduce this skin dose to acceptable levels. Magnetic modeling of proposed MRI-linac designs have been simulated with the inclusion of an optimized permanent magnet system to purge/deflect the electron contamination. The region of air above the phantom was also replaced with a helium bag (region of helium gas) and a beam scrapper below the deflector was added to collect deflected off-axis contamination. Monte Carlo simulations were then performed including the accurate 3D magnetic field maps. Surface dosimetry was recorded to verify the changes to the skin doses. Magnetic modelling showed that an optimized NdFeB permanent magnet system located outside the MRI coils (below the MLC's) can provide a strong enough region to purge/deflect a significant portion of the electron contamination from the x-ray beam. The impact on the MRI uniformity is around 100 ppm and hence is correctable via active/passive shimming of the MRI. The helium region also significantly limits the production of contamination traveling towards the phantom surface. Entry doses near CAX are predicted to be similar to the 0 T case. Magnetic and Monte Carlo modeling were performed to estimate the effect that a permanent magnet purging system, beam scrapper, and helium bag would have on lowering the skin doses in an inline MRI-Linac system. MRI non-uniformities introduced by the deflector could be corrected, contamination is mostly purged or blocked, and the helium bag minimizes air-generated contamination. As a result skin doses are comparable to having zero magnetic field. © 2012 American Association of Physicists in Medicine.

Natural uranium toxicology - evaluation of internal contamination in man; Toxicologie de l'uranium naturel - essai d'evaluation de la contamination interne chez l'homme

Energy Technology Data Exchange (ETDEWEB)

Chalabreysse, J. [Commissariat a l' Energie Atomique, Pierrelatte (France). Centre d' Etudes Nucleaires

1968-07-01

After reminding the physical and chemical properties of natural uranium which might affect its toxicology, a comprehensive investigation upon natural uranium metabolism and toxicity and after applying occupational exposure standards to this particular poison, it has been determined, from accident reports and human experience reported in the related literature, a series of formulae obtained by theoretical mathematical development giving principles for internal contamination monitoring and disclosure by determining uranium in the urine of occupationally exposed individuals. An assay is performed to determine individual internal contamination according to the various contamination cases. The outlined purposes, mainly practical, required some options and extrapolations. The proposed formula allows a preliminary approach and also to determine shortly a contamination extent or to discuss the systematical urinalysis results as compared with individual radio-toxicology monitoring professional standards. (author) [French] Apres le rappel des caracteristiques physiques et des proprietes chimiques de l'uranium naturel pouvant avoir une influence sur sa toxicologie, l'etude detaillee de son metabolisme et de sa toxicite, puis l'application des normes professionnelles d'exposition au cas particulier de ce toxique, il est etabli, a partir des comptes rendus d'accidents et de l'experimentation humaine rapportes dans la litterature, une serie de formules obtenues par developpement mathematique theorique qui posent les principes de la surveillance et de la mise en evidence de la contamination interne par la recherche et le dosage de l'uranium dans les urines d'individus professionnellement exposes. Un essai d'evaluation de la contamination interne individuelle suivant les differents cas de contamination est effectue. Le formulaire propose permet de faire une premiere approximation et d'apprecier rapidement l'importance d

Occupational health hazards in street sweepers of Chandrapur city, central India

Directory of Open Access Journals (Sweden)

V. Patil Priyanka

2017-05-01

Full Text Available Street sweepers play an important role in maintaining health and hygiene in cities. They are exposed to road dust and other contaminants while cleaning streets. Exposure of this dust and contaminants irritates respiratory symptoms and airway obstruction. Twenty workers were selected as sample size (10 male and 10 female and 10 individual as control (5 male and 5 female for analysis of occupational health hazards in street sweepers of Chandrapur city. The study was carried out from November 2015 to January 2016. Peak Expiratory Flow Rate analysis which was carried out through Breath-o meter and other occupational health hazards through interview schedule specially designed and developed for this study. The results of the study showed that, Peak Expiratory Flow Rate values were lower in exposed workers (sample population as compared with control group. These workers were exposed to number of environmental and occupational hazards leading to musculoskeletal disorders (100%, respiratory problems (95%, dermatological problems (90%, headache (75% and gastrointestinal problems (15% during work. It was further observed that theses workers were suffering from allergies (100%, cough and cold (75%, asthma and bronchitis lungs (65%, hearing disorder (50%, malaria and typhoid (25%, fever (15% and vomiting (10% after completion of work. To reduce occupational health hazards in sweepers, they must be made alert and aware of potential health risk arising from their work. Reduction in exposure and use of personal protective equipments should be encouraged.INTERNATIONAL JOURNAL OF ENVIRONMENTVolume-6, Issue-2, Mar-May 2017, Page: 9-18

Studies estimating the dermal bioavailability of polynuclear aromatic hydrocarbons from manufactured plant tar-contaminated soils

International Nuclear Information System (INIS)

Roy, T.A.; Krueger, A.J.; Taylor, B.B.; Mauro, D.M.; Goldstein, L.S.

1998-01-01

In vitro percutaneous absorption studies were performed with contaminated soils or organic extracts of contaminated soils collected at manufactured gas plant (MGP) sites. The MGP tar contaminated soils were found to contain a group of targeted polynuclear aromatic hydrocarbons (PAH) at levels ranging from 10 to 2400 mg/kg. The soil extracts contained target PAH at levels ranging from 12 000 - 34 000 mg/kg. Dermal penetration rates of target PAH from the MGP tar-contaminated soils/soil extracts were determined experimentally through human skin using 3 H-benzo(a)pyrene (BaP) as a surrogate. Results from three MGP sites showed reductions of 2-3 orders of magnitude in PAH absorption through human skin from the most contaminated soils in comparison to the soil extracts. Reduction in PAH penetration can be attributed to PAH concentration and (soil) matrix properties. PAH dermal flux values are used to determine site-specific dermally absorbed dose (DAD) and chronic daily intake (CDI) which are essential terms required to estimate risk associated with human exposure to MGP tar and MGP tar-contaminated soils. 21 refs., 4 figs., 3 tabs

Impact of climate change on occupational exposure to solar radiation.

Science.gov (United States)

Grandi, Carlo; Borra, Massimo; Militello, Andrea; Polichetti, Alessandro

2016-01-01

Occupational exposure to solar radiation may induce both acute and long-term effects on skin and eyes. Personal exposure is very difficult to assess accurately, as it depends on environmental, organisational and individual factors. The ongoing climate change interacting with stratospheric ozone dynamics may affect occupational exposure to solar radiation. In addition, tropospheric levels of environmental pollutants interacting with solar radiation may be altered by climate dynamics, so introducing another variable affecting the overall exposure to solar radiation. Given the uncertainties regarding the direction of changes in exposure to solar radiation due to climate change, compliance of outdoor workers with protective measures and a proper health surveillance are crucial. At the same time, education and training, along with the promotion of healthier lifestyles, are of paramount importance.

Luminescence monitoring of oil or tar contamination for industrial hygiene

International Nuclear Information System (INIS)

Gammage, R.B.; Vo-Dinh, T.

1980-01-01

Synfuel plants produce potentially carcinogenic oils and tars. Exposure of workers to these tars and oils is difficult to avoid completely and occurs via direct contact with dirty surfaces or condensation of escaped fumes onto or within the body. Surface skin, measurements are made directly with a near-ultraviolet luminoscope employing a fiber optics lightguide and a stethoscopic cap pressed against the skin. This instrument is especially suitable for measuring ng to μg/cm 2 amounts of residual contamination remaining on the surface of the skin after washing. To minimize the potential for carcinogenicity, the excitating ultraviolet light intensity is only 1/100th that of sunlight. (orig.)

Quaternary ammonium compounds – New occupational hazards

Directory of Open Access Journals (Sweden)

Agnieszka Lipińska-Ojrzanowska

2014-10-01

Full Text Available Quaternary ammonium compounds (QACs, quats belong to organic ionic chemical agents which display unique properties of both surfactants and disinfectants. Their wide distribution in the work environment and also in private households brings about new occupational hazards. This paper reviews reports about the health effects of QACs. QACs could play a role of sensitizers and irritants to the skin and mucous membranes. It is suspected that particular QACs can display an immunologic crossreactivity between each other and with other chemical compounds containing ammonium ion, such as muscle relaxants widely used in anesthesia. They may promote the development of airway allergy, however, the background mechanisms are still unclear and need to be further investigated. Until now, a few cases of occupational asthma induced by QACs have been described and their involvement in contact dermatitis has been documented. The possibility of anaphylaxis due to QACs cannot be excluded as well. Med Pr 2014;65(5:675–682

Umbilical Microflora, Antiseptic Skin Preparation, and Surgical Site Infection in Abdominal Surgery.

Science.gov (United States)

Kleeff, Jörg; Erkan, Mert; Jäger, Carsten; Menacher, Maximilian; Gebhardt, Friedemann; Hartel, Mark

2015-08-01

Surgical site infections (SSI) following abdominal surgery are frequent and a major cause of postoperative morbidity and prolonged hospital stay. Besides antibiotic prophylaxis, antiseptic skin preparation is an important measure to prevent SSI. Here we prospectively analyzed the effectiveness of antiseptic skin preparation in a cohort of 93 patients undergoing laparotomy, with special emphasis on the umbilical region. The microflora of the umbilicus contained a large number of resident (mostly staphylococci species and corynebacteria) and transient germs (including enterococci species). Following antiseptic skin preparation, bacteria could still be cultured from 24.7% of the patients' umbilici. In case of postoperative SSI, only one of seven SSI was caused by the microorganism that was present in the umbilicus before and after skin preparation. Antiseptic skin preparation fails to completely eradicate the microflora of the umbilical region in one quarter of the patients. However, at least in abdominal surgery, the vast majority of SSI are caused by intra-abdominal contamination rather than the skin microflora.

SOCIODEMOGRAPHIC FACTORS AND THEIR ASSOCIATION TO PREVALENCE OF SKIN DISEASES AMONG ADOLESCENTS

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Toraub Kawshar

2013-07-01

Full Text Available Introduction: The pattern of skin diseases in any community is influenced by genetic constitution, climate, socioeconomic status, occupation, education, hygienic standards, customs and quality of medical care. The burden of skin disease also has an impact on the Quality of Life of adolescents. This study aims to investigate the level of awareness and assess the prevalence of different types of skin diseases among adolescents in Mauritius. Material and Methods: 500 adolescents and young adults of both sexes and aged between 11-23 years were recruited. A questionnaire was used to elicit information and to assess the knowledge status of skin diseases and to determine possible risk factors. In addition, a validated questionnaire based on Quality of Life Index was used to determine the psychosocial effect of adolescents suffering from skin diseases. Data was analysed using IBM Statistics SPSS version 20 and Microsoft Excel 2007. Results: Incidence of skin diseases was 22.9% in males and 24.7% females respectively. Acne was the most common skin problems in both gender followed by fungal infection (2.9% in males and eczema (2.4% in females. Climatic conditions (e.g summer, consumption of oily and spicy foods, sports practice and familial history were correlated positively with prevalence of skin diseases. Conclusion: Acne, eczema and fungal infection were the most common skin diseases identified. The findings also indicate that more respondents between 15-19 years old were more prone to skin diseases.

Metabolic and redox barriers in the skin exposed to drugs and xenobiotics.

Science.gov (United States)

Korkina, Liudmila

2016-01-01

Growing exposure of human skin to environmental and occupational hazards, to numerous skin care/beauty products, and to topical drugs led to a biomedical concern regarding sustainability of cutaneous chemical defence that is essential for protection against intoxication. Since skin is the largest extra-hepatic drug/xenobiotic metabolising organ where redox-dependent metabolic pathways prevail, in this review, publications on metabolic processes leading to redox imbalance (oxidative stress) and its autocrine/endocrine impact to cutaneous drug/xenobiotic metabolism were scrutinised. Chemical and photo-chemical skin barriers contain metabolic and redox compartments: their protective and homeostatic functions. The review will examine the striking similarity of adaptive responses to exogenous chemical/photo-chemical stressors and endogenous toxins in cutaneous metabolic and redox system; the role(s) of xenobiotics/drugs and phase II enzymes in the endogenous antioxidant defence and maintenance of redox balance; redox regulation of interactions between metabolic and inflammatory responses in skin cells; skin diseases sharing metabolic and redox problems (contact dermatitis, lupus erythematosus, and vitiligo) Due to exceptional the redox dependence of cutaneous metabolic pathways and interaction of redox active metabolites/exogenous antioxidants with drug/xenobiotic metabolism, metabolic tests of topical xenobiotics/drugs should be combined with appropriate redox analyses and performed on 3D human skin models.

Calculation of absorbed dose for skin contamination imparted by beta radiation through the VARSKIN modified code for 122 interesting isotopes for nuclear medicine, nuclear power plants and research

International Nuclear Information System (INIS)

Alvarez R, J.T.

1991-01-01

In this work the implementation of a modification of the VARSKIN code for calculation of absorbed dose for contamination in skin imparted by external radiation fields generated by Beta emitting is presented. The modification consists on the inclusion of 47 isotopes of interest even Nuclear Plants for the dose evaluation in skin generated by 'hot particles'. The approach for to add these isotopes is the correlation parameter F and the average energy of the Beta particle, with relationship to those 75 isotopes of the original code. The methodology of the dose calculation of the VARSKIN code is based on the interpolation, (and integration of the interest geometries: punctual or plane sources), of the distribution functions scaled doses in water for beta and electrons punctual sources, tabulated by Berger. Finally a brief discussion of the results for their interpretation and use with purposes of radiological protection (dose insurance in relation to the considered biological effects) is presented

High Quality Bioreplication of Intricate Nanostructures from a Fragile Gecko Skin Surface with Bactericidal Properties

Science.gov (United States)

Green, David William; Lee, Kenneth Ka-Ho; Watson, Jolanta Anna; Kim, Hyun-Yi; Yoon, Kyung-Sik; Kim, Eun-Jung; Lee, Jong-Min; Watson, Gregory Shaun; Jung, Han-Sung

2017-01-01

The external epithelial surfaces of plants and animals are frequently carpeted with small micro- and nanostructures, which broadens their adaptive capabilities in challenging physical habitats. Hairs and other shaped protuberances manage with excessive water, light contaminants, predators or parasites in innovative ways. We are interested in transferring these intricate architectures onto biomedical devices and daily-life surfaces. Such a project requires a very rapid and accurate small-scale fabrication process not involving lithography. In this study, we describe a simple benchtop biotemplating method using shed gecko lizard skin that generates duplicates that closely replicate the small nanotipped hairs (spinules) that cover the original skin. Synthetic replication of the spinule arrays in popular biomaterials closely matched the natural spinules in length. More significantly, the shape, curvature and nanotips of the synthetic arrays are virtually identical to the natural ones. Despite some small differences, the synthetic gecko skin surface resisted wetting and bacterial contamination at the same level as natural shed skin templates. Such synthetic gecko skin surfaces are excellent platforms to test for bacterial control in clinical settings. We envision testing the biocidal properties of the well-matched templates for fungal spores and viral resistance in biomedicine as well as co/multi-cultures.

International guidelines for the in vivo assessment of skin properties in non-clinical settings: Part 2. transepidermal water loss and skin hydration

Science.gov (United States)

du Plessis, Johan; Stefaniak, Aleksandr; Eloff, Fritz; John, Swen; Agner, Tove; Chou, Tzu-Chieh; Nixon, Rosemary; Steiner, Markus; Franken, Anja; Kudla, Irena; Holness, Linn

2015-01-01

Background 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, representing a non-clinical environment, can be highly variable and difficult to control, thereby presenting unique measurement challenges not typically encountered in clinical settings. Methods An expert working group convened a workshop as part of the 5th International Conference on Occupational and Environmental Exposure of Skin to Chemicals (OEESC) to develop basic guidelines and best practices (based on existing clinical guidelines, published data, and own experiences) for the in vivo measurement of transepidermal water loss (TEWL) and skin hydration in non-clinical settings with specific reference to the workplace as a worst-case scenario. Results Key elements of these guidelines are: (i) to minimize or recognize, to the extent feasible, the influences of relevant endogenous-, exogenous-, environmental- and measurement/instrumentation-related factors; (ii) to measure TEWL with a closed-chamber type instrument; (iii) report results as a difference or percent change (rather than absolute values); and (iv) accurately report any notable deviations from this guidelines. Conclusion It is anticipated that these guidelines will promote consistent data reporting, which will facilitate inter-comparison of study results. PMID:23331328

Persistent organohalogen contaminants in plasma from groups of humans with different occupations in Bangladesh.

Science.gov (United States)

Zamir, R; Athanasiadou, M; Nahar, N; Mamun, M I R; Mosihuzzaman, M; Bergman, A

2009-01-01

The present study is aimed to assess persistent organic halogenated pollutants in humans living in Bangladesh. The results are compared to other similar studies in the region and globally. Human blood plasma were collected from groups of men and women with different occupations, i.e. being students, garment industry workers, employees at the Power Development Board (PDB), all groups in Dhaka, fishermen and fishermen wife's from Dhaka and another group from Barisal district. The plasma was analysed for hexachlorobenzene (HCB), the hexachlorocyclohexane isomers, alpha-HCH, beta-HCH, gamma-HCH and delta-HCH, the DDT group of chemicals, chlordane compounds, trans-chlordane, cis-chlordane, oxychlordane, trans-nonachlor, trans-heptachlorepoxide, methoxychlor and mirex. The most abundant contaminant, in all groups studied, p,p'-DDE is dominating, with p,p'-DDT/Sigma DDT ratios indicating recent and ongoing DDT exposure. Among the other pesticides analysed beta-HCH is the most abundant indicating the use of technical HCH products instead of Lindane (gamma-HCH). While the Sigma DDT is present in the low ppm range the beta-HCH is detected in up to approx. 400 ppb, lipid basis. The beta-HCH is most abundant in the groups of students. In contrast to the pesticides analysed very low concentrations of polychlorinated biphenyls (PCB) are present in all study groups, with e.g. CB-153 in the range of 5-30 ng g(-1) fat. The concentrations of the DDT group of chemical differ significantly between fishermen and fishermen's wives living and working in the Dhaka area versus those living and working in Barisal. Also, fishermen and their wives had significantly different concentrations of DDT compared to garment industry workers.

Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces.

Science.gov (United States)

Shimose, Luis A; Masuda, Eriko; Sfeir, Maroun; Berbel Caban, Ana; Bueno, Maria X; dePascale, Dennise; Spychala, Caressa N; Cleary, Timothy; Namias, Nicholas; Kett, Daniel H; Doi, Yohei; Munoz-Price, L Silvia

2016-07-01

OBJECTIVE To concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout). DESIGN Longitudinal prospective surveillance study of air and environmental surfaces in patient rooms. SETTING A 1,500-bed public teaching hospital in Miami, Florida. PATIENTS Consecutive A. baumannii-colonized patients admitted to our ICUs between October 2013 and February 2014. METHODS Air and environmental surfaces of the rooms of A. baumannii-colonized patients were sampled daily for up to 10 days. Pulsed-field gel electrophoresis (PFGE) was used to type and match the matching air, environmental, and clinical A. baumannii isolates. RESULTS A total of 25 A. baumannii-colonized patients were identified during the study period; 17 were colonized in the respiratory tract and 8 were colonized in the rectum. In rooms with rectally colonized patients, 38.3% of air samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 13.1% of air samples were positive (P=.0001). In rooms with rectally colonized patients, 15.5% of environmental samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 9.5% of environmental samples were positive (P=.02). The rates of air contamination in the open-layout and single-occupancy ICUs were 17.9% and 21.8%, respectively (P=.5). Environmental surfaces were positive in 9.5% of instances in open-layout ICUs versus 13.4% in single-occupancy ICUs (P=.09). CONCLUSIONS Air and environmental surface contaminations were significantly greater among rectally colonized patients; however, ICU layout did not influence the rate of contamination. Infect Control Hosp Epidemiol 2016;37:777-781.

Problem of medical follow-up and assessment of occupational disease in personnel handling radiation sources

International Nuclear Information System (INIS)

Klener, V.

1983-01-01

The long-term change in the health condition of 120 recorded cases of occupational disease owing to ionizing radiation in the years 1961 to 1981 was evaluated on the basis of the analysis of out-patient records in three regions of the Czech Socialist Republic. In the group the prevalent incidence was of carcinoma of the skin (86), alterations in blood formation (19), cataract (4) leukemia (2) and changes owing to single exposure usually with acute skin manifestations (9). Owing to the inadequate development of radiobiological knowledge and the lack of objective data on exposure, cases of transient leukopenia used to be put in direct relation with occupational exposure to ionizing radiation - this disorder always had a good long-term prognosis. At the present level of protection the determination of peripheral blood count made within preventive medical check-ups of personnel handling radiation sources has only partial significance and should be considered as complementary to the overall complex examination. (author)

A current global view of environmental and occupational cancers.

Science.gov (United States)

Yang, Mihi

2011-07-01

This review is focused on current information of avoidable environmental pollution and occupational exposure as causes of cancer. Approximately 2% to 8% of all cancers are thought to be due to occupation. In addition, occupational and environmental cancers have their own characteristics, e.g., specific chemicals and cancers, multiple factors, multiple causation and interaction, or latency period. Concerning carcinogens, asbestos/silica/wood dust, soot/polycyclic aromatic hydrocarbons [benzo(a) pyrene], heavy metals (arsenic, chromium, nickel), aromatic amines (4-aminobiphenyl, benzidine), organic solvents (benzene or vinyl chloride), radiation/radon, or indoor pollutants (formaldehyde, tobacco smoking) are mentioned with their specific cancers, e.g., lung, skin, and bladder cancers, mesothelioma or leukemia, and exposure routes, rubber or pigment manufacturing, textile, painting, insulation, mining, and so on. In addition, nanoparticles, electromagnetic waves, and climate changes are suspected as future carcinogenic sources. Moreover, the aspects of environmental and occupational cancers are quite different between developing and developed countries. The recent follow-up of occupational cancers in Nordic countries shows a good example for developed countries. On the other hand, newly industrializing countries face an increased burden of occupational and environmental cancers. Developing countries are particularly suffering from preventable cancers in mining, agriculture, or industries without proper implication of safety regulations. Therefore, industrialized countries are expected to educate and provide support for developing countries. In addition, citizens can encounter new environmental and occupational carcinogen nominators such as nanomaterials, electromagnetic wave, and climate exchanges. As their carcinogenicity or involvement in carcinogenesis is not clearly unknown, proper consideration for them should be taken into account. For these purposes, new

Occupational hand doses in interventional radiology

International Nuclear Information System (INIS)

Spasic Jokic, V.; Djurovic, B.; Lukac, S.

2001-01-01

In this paper we present the case of a radiologist performing interventional procedures. The radiologist works for number of interventional procedures, but we reported only percutaneous nephrostomy and percutaneous biliary drainage which represent about 30% of his occupational exposure. The radiologist is occupationally exposed for eighteen years and from 1995 has radiation injuries. From 1999, art. hypertension, cataract complicata incip.ou., onychodystrophia and hyperceratosis mani bill. The most important are hands skin injuries. In ordinary dosimetric control low doses less than 10 mGy per year were recorded, so personal dosimetry results and biological results are not in accordance. For that reason we performed additional measurements during many procedures and in this paper we present results for two chosen procedures. Radiation exposure of the radiologist's hands during 200 percutaneous nephrostomy and 63 percutaneous biliary drainage per year are reported. Exposures were measured with thermoluminescent dosemeters (TLD) type CaF 2 :Mn. Hand doses of equivalent of 221 μSv in average per drainage and 31 μSv in average per nephrostomy were recorded. (author)

A study of the decontamination effect of commercial detergents on the skin

International Nuclear Information System (INIS)

Takasaki, Koji; Miyabe, Kenjiro

2003-01-01

Titanium dioxide paste is generally used as the radiological skin decontaminant in the radiation control area at Japan Nuclear Cycle Development Institute (JNC) Tokai works. It is a typical and proven skin decontaminant in the nuclear industry, but there is a disadvantage in that it has a short shelf life. Recently, many detergents applicable as skin decontaminants have become available in non-nuclear industries such as cosmetics and sanitation. They are easily acquired and have an advantage in that stimulus to the skin is mild, because these products have been developed for the human body. In this study, the decontamination factor of the commercial detergents for each nuclide was examined using imitation skin. Sheets of raw pig skins were contaminated with a nitric-acid solution containing 144 Ce, 137 Cs, 106 Ru or 60 Co, and then washed with various detergents such as a neutral detergent, cleansing cream and orange oil. The nuclide removal rates of some of the commercial detergents examined were nearly equal to that of titanium dioxide, thus proving that they show satisfactory decontamination performance as a skin decontaminant. (author)

Simple, low-cost group-counselling programme vs treatment as usual for patients with newly notified occupational hand eczema-Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial

DEFF Research Database (Denmark)

Fisker, Maja H; Agner, Tove; Sørensen, Jennifer A

2018-01-01

and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema. METHODS: PREVEX is an individually randomized clinical trial investigating the 1-year effects of a simple, low-cost group-counselling programme vs treatment as usual for patients...... with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self-efficacy, and self-evaluated skin care ability. RESULTS: In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed: intervention group...... (n = 376) vs control group (n = 380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively: estimate 0.08; 95%CI: 0.02-0.19; P = .01; and estimate 0.49; 95%CI: 0.28-0.70; P 

Status of contamination monitoring in Bangladesh

Energy Technology Data Exchange (ETDEWEB)

Begum, Aleya [Institute of Nuclear Science and Technology, Savar, Dacca (Bangladesh)

1997-06-01

The applications of radioisotopes and radiation sources to the research and development in medicine, food agriculture, industries and others are rapidly increasing in Bangladesh. The existing major nuclear facilites and allied laboratories of the country include 3 MW TRIGA Mark-2 research reactor for training, research and radioisotope production, 14 MeV neutron generator for nuclear data measurement and elemental analysis via neutron activation, 3 MeV Van de Graaff accelerator for the research and application of nuclear physics, and 50,000 Ci and 5,000 Ci Co-60 irradiators. About 10 Co-60 and Cs-137 teletherapy units are in operation in hospitals. The radioactive contamination of working areas, equipment, protective clothing and skin may result from normal operation and accidents, and contamination monitoring and decontamination are the essential part of radiation protection program. Surface contamination is monitored with Berthold survey meters. Hand and foot monitors have been used. Routine systematic search, continuous air monitoring, the examination of silt movement in Chittagong harbor using Sc-46 tracer and the measurement of tritium contamination for the neutron generator are reported. (K.I.)

Decontamination Efficacy and Skin Toxicity of Two Decontaminants against Bacillus anthracis.

Directory of Open Access Journals (Sweden)

Chad W Stratilo

Full Text Available Decontamination of bacterial endospores such as Bacillus anthracis has traditionally required the use of harsh or caustic chemicals. The aim of this study was to evaluate the efficacy of a chlorine dioxide decontaminant in killing Bacillus anthracis spores in solution and on a human skin simulant (porcine cadaver skin, compared to that of commonly used sodium hypochlorite or soapy water decontamination procedures. In addition, the relative toxicities of these decontaminants were compared in human skin keratinocyte primary cultures. The chlorine dioxide decontaminant was similarly effective to sodium hypochlorite in reducing spore numbers of Bacillus anthracis Ames in liquid suspension after a 10 minute exposure. After five minutes, the chlorine dioxide product was significantly more efficacious. Decontamination of isolated swine skin contaminated with Bacillus anthracis Sterne with the chlorine dioxide product resulted in no viable spores sampled. The toxicity of the chlorine dioxide decontaminant was up to two orders of magnitude less than that of sodium hypochlorite in human skin keratinocyte cultures. In summary, the chlorine dioxide based decontaminant efficiently killed Bacillus anthracis spores in liquid suspension, as well as on isolated swine skin, and was less toxic than sodium hypochlorite in cultures of human skin keratinocytes.

Identifying occupational carcinogens: an update from the IARC Monographs.

Science.gov (United States)

Loomis, Dana; Guha, Neela; Hall, Amy L; Straif, Kurt

2018-05-16

The recognition of occupational carcinogens is important for primary prevention, compensation and surveillance of exposed workers, as well as identifying causes of cancer in the general population. This study updates previously published lists of known occupational carcinogens while providing additional information on cancer type, exposure scenarios and routes, and discussing trends in the identification of carcinogens over time. Data were extracted from International Agency for Research on Cancer (IARC) Monographs covering the years 1971-2017, using specific criteria to ensure occupational relevance and provide high confidence in the causality of observed exposure-disease associations. Selected agents were substances, mixtures or types of radiation classified in IARC Group 1 with 'sufficient evidence of carcinogenicity' in humans from studies of exposed workers and evidence of occupational exposure documented in the pertinent monograph. The number of known occupational carcinogens has increased over time: 47 agents were identified as known occupational carcinogens in 2017 compared with 28 in 2004. These estimates are conservative and likely underestimate the number of carcinogenic agents present in workplaces. Exposure to these agents causes a wide range of cancers; cancers of the lung and other respiratory sites, followed by skin, account for the largest proportion. The dominant routes of exposure are inhalation and dermal contact. Important progress has been made in identifying occupational carcinogens; nevertheless, there is an ongoing need for research on the causes of work-related cancer. Most workplace exposures have not been evaluated for their carcinogenic potential due to inadequate epidemiologic evidence and a paucity of quantitative exposure data. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Quantitative measurement of aerosol deposition on skin, hair and clothing for dosimetric assessment

International Nuclear Information System (INIS)

Roed, J.; Andersson, J.G.; Bell, K.F.; Byrne, M.A.; Fogh, C.L.; Goddard, A.J.H.; Vollmair, D.V.

1998-01-01

The deposition to human body surfaces of potentially hazardous aerosol has been investigated through tracer experiments. Particles of different sizes labelled with neutron activatable rare earth tracers were released in test rooms and deposited on volunteers. Various sampling techniques to examine the clearance and retention of the aerosol to skin, hair and clothing were investigated, and a protocol for the most efficient procedure was established and validated. Experiments indicate that the deposition velocity to skin increases linearly with the particle size. A wind tunnel experiment simulating outdoor conditions showed outdoor deposition velocities to be almost an order of magnitude higher than those recorded indoors. Both in vivo and in vitro experiments were conducted, and the influence of various factors, such as surface type, air flow, heating and electrostatics were examined. The dynamics of particle removal from human skin were studied by fluorescence scanning. Using the experimentally determined parameters, a model was established for calculation of radiation doses received from deposition of airborne radioactive aerosol on human body surfaces. It was found that the gamma doses that could be expected from deposition on skin were of the same order of magnitude as the gamma doses received over several years from contamination on outdoor surfaces. Assuming very high dry contamination levels, as were recorded in some areas of Russia after the Chernobyl accident, it was found that beta doses from skin deposition may amount to several Sievert and thus be responsible for a significant cancer risk. (au)

Treatment of Skin Avulsion Injuries with Basic Fibroblast Growth Factor

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Hajime Matsumine, MD, PhD

2015-04-01

Full Text Available Summary: This report describes favorable outcomes in 9 patients with skin avulsion injuries of the extremities who underwent full-thickness skin grafting and basic fibroblast growth factor (bFGF application. Following removal of contaminated subcutaneous fat tissue on the inside of skin, the avulsed skin was processed into a full-thickness skin graft, with as much of the skin used as possible irrespective of damage. Several drainage holes (5–10 mm in diameter were made on the graft for drainage from the graft bed and to prevent seroma and hematoma formation. Genetically recombinant human bFGF was sprayed at a dose of 1 μg/cm2 onto the graft bed, which was then covered with the graft and sutured. Pressure immobilization with ointment gauzes and elastic bandages was administered for 1 week postoperatively, and the surface of the skin grafts that did not take was scraped away, preserving the revascularized dermal component on the debrided raw surface as much as possible. bFGF was sprayed again onto the debrided surface to promote epithelialization. Wound closure was achieved in all cases with conservative therapy. The surgical procedure was effective in preventing postoperative ulcer formation and scar contracture and resulted in wound healing with the formation of good-quality, flexible scars.

[Skin and Soft Tissue Infections Due to Corynebacterium ulcerans - Case Reports].

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Jenssen, Christian; Schwede, Ilona; Neumann, Volker; Pietsch, Cristine; Handrick, Werner

2017-10-01

History and clinical findings  We report on three patients suffering from skin and soft tissue infections of the legs due to toxigenic Corynebacterium ulcerans strains. In all three patients, there was a predisposition due to chronic diseases. Three patients had domestic animals (cat, dog) in their households. Investigations and diagnosis  A mixed bacterial flora including Corynebacterium ulcerans was found in wound swab samples. Diphtheric toxin was produced by the Corynebacterium ulcerans strains in all three cases. Treatment and course  In all three patients, successful handling of the skin and soft tissue infections was possible by combining local treatment with antibiotics. Diphtheria antitoxin was not administered in any case. Conclusion  Based on a review of the recent literature pathogenesis, clinical symptoms and signs, diagnostics and therapy of skin and soft tissue infections due to Corynebacterium ulcerans are discussed. Corynebacterium ulcerans should be considered as a potential cause of severe skin and soft tissue infections. Occupational or domestic animal contacts should be evaluated. © Georg Thieme Verlag KG Stuttgart · New York.

Substantiation of the permissible radioactive contamination of working clothes

International Nuclear Information System (INIS)

Shcherbakov, V.L.; Korostin, A.S.

1977-01-01

A permissible level of working clothes contamination was determined on the base of the main migration routes of radioactive contaminants: permeation directly through the clothes into subclothes space on skin surface, emission into the air with amount of contaminants subsequently got by the organism of a working person through inhalation as well as transfer in the process of contacting of contaminated working clothes and surfaces of premises equipment, working person hands with amount of contaminants posteriorly got by the organism by alimentary or inhalation ways. Using the experimental and literature data available the permissible levels of working clothes contamination for the mentioned migration routes of radioactive materials have been calculated. According to the data obtained the permissible levels of working clothes contamination must not exceed 4 alpha-part/(cm 2 xmin) for contamination with high-tonic isotopes, 20 alpha-part./(cm 2 xmin) with other alpha-detine isotopes, 1000 beta-part./(cm 2 xmin) with beta-active ones. The permissible level of contamination of additional materials of the individual protection in the case of their contamination with high-tonic alpha-actine isotopes must not exceed 50 alpha-part./(cm 2 xmin), 200 alpha-part./(cm 2 xmin) for contamination th other alpha-active isotopes and 400 beta-part./(cm 2 xmin) with beta-active isotopes

TESTING ANTIMICROBIAL CLEANER EFFICACY ON GYPSUM WALLBOARD CONTAMINATED WITH STACHYBOTRYS CHARTARUM

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Reducing occupant exposure to indoor mold growth is the goal of this research, through the efficacy testing of antimicrobial cleaners. Often mold contaminated building materials are not properly removed, but instead surface cleaners are applied in an attempt to alleviate the prob...

Antimicrobial-impregnated dressing combined with negative-pressure wound therapy increases split-thickness skin graft engraftment: a simple effective technique.

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Wu, Cheng-Chun; Chew, Khong-Yik; Chen, Chien-Chang; Kuo, Yur-Ren

2015-01-01

Immobilization and adequate surface contact to wounds are critical for skin graft take. Techniques such as the tie-over dressing, cotton bolster, and vacuum-assisted closure are used to address this, but each has its limitations. This study is designed to assess the effect of antimicrobial-impregnated dressing (AMD) combined with negative-pressure wound therapy (NPWT) on skin graft survival. Retrospective case-control study : Patients with chronic or contaminated wounds treated with split-thickness skin graft. A broad spectrum of wounds was included, from causes such as trauma, burns, chronic diabetic ulcers, and infection. Antimicrobial-impregnated dressing, which contains 0.2% polyhexamethylene biguanide, with NPWT MAIN OUTCOME MEASURE:: Success of skin graft : In the AMD group, all skin grafts achieved 100% take without secondary intervention. No infection or graft failure was observed in any patients, and no complications, such as hematoma or seroma formation, were noted, although in the control group partial loss of skin grafts was noted in 3 patients. Infection and inadequate immobilization were thought to be the main reasons. There were no hematoma or seroma formations in the control group. Use of an AMD dressing with NPWT after split-thickness skin grafting can be an effective method to ensure good graft to wound contact and enhances skin graft take in chronic and contaminated wounds.

Immune sensitization to methylene diphenyl diisocyanate (MDI resulting from skin exposure: albumin as a carrier protein connecting skin exposure to subsequent respiratory responses

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Redlich Carrie A

2011-03-01

Full Text Available Abstract Background Methylene diphenyl diisocyanate (MDI, a reactive chemical used for commercial polyurethane production, is a well-recognized cause of occupational asthma. The major focus of disease prevention efforts to date has been respiratory tract exposure; however, skin exposure may also be an important route for inducing immune sensitization, which may promote subsequent airway inflammatory responses. We developed a murine model to investigate pathogenic mechanisms by which MDI skin exposure might promote subsequent immune responses, including respiratory tract inflammation. Methods Mice exposed via the skin to varying doses (0.1-10% w/v of MDI diluted in acetone/olive oil were subsequently evaluated for MDI immune sensitization. Serum levels of MDI-specific IgG and IgE were measured by enzyme-linked immunosorbant assay (ELISA, while respiratory tract inflammation, induced by intranasal delivery of MDI-mouse albumin conjugates, was evaluated based on bronchoalveolar lavage (BAL. Autologous serum IgG from "skin only" exposed mice was used to detect and guide the purification/identification of skin proteins antigenically modified by MDI exposure in vivo. Results Skin exposure to MDI resulted in specific antibody production and promoted subsequent respiratory tract inflammation in animals challenged intranasally with MDI-mouse albumin conjugates. The degree of (secondary respiratory tract inflammation and eosinophilia depended upon the (primary skin exposure dose, and was maximal in mice exposed to 1% MDI, but paradoxically limited in mice receiving 10-fold higher doses (e.g. 10% MDI. The major antigenically-modified protein at the local MDI skin exposure site was identified as albumin, and demonstrated biophysical changes consistent with MDI conjugation. Conclusions MDI skin exposure can induce MDI-specific immune sensitivity and promote subsequent respiratory tract inflammatory responses and thus, may play an important role in MDI asthma

Polyvalent type IV sensitizations to multiple fragrances and a skin protection cream in a metal worker.

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Tanko, Zita; Shab, Arna; Diepgen, Thomas Ludwig; Weisshaar, Elke

2009-06-01

Fragrances are very common in everyday products. A metalworker with chronic hand eczema and previously diagnosed type IV sensitizations to epoxy resin, balsam of Peru, fragrance mix and fragrance mix II was diagnosed with additional type IV sensitizations to geraniol, hydroxycitronellal, lilial, tree moss, oak moss absolute, citral, citronellol, farnesol, Lyral, fragrance mix II and fragrance mix (with sorbitan sesquioleate). In addition, a type IV sensitization to the skin protection cream containing geraniol and citronellol used at the workplace was detected, and deemed occupationally relevant in this case. The patient could have had contact to fragrances through private use of cosmetics and detergents. On the other hand, the fragrance-containing skin protection cream supports occupational exposure. This case report demonstrates that fragrance contact allergy has to be searched for and clarified individually, which requires a thorough history and a detailed analysis of the work place.

Skin Dose Equivalent Measurement from Neutron-Deficient Isotopes

International Nuclear Information System (INIS)

Hsu, Hsiao-Hua; Costigan, Steve A.; Romero, Leonard L.; Whicker, Jeffrey J.

1997-12-01

Neutron-deficient-isotopes decay via positron emission and/or electron capture often followed by x-ray, gamma-ray, and 0.511 MeV photons from positron annihilation. For cases of significant area and/or personnel contamination with these isotopes, determination of skin dose equivalent (SDE) is required by 10CFR835. For assessment of SDE, we evaluated the MICROSPEC-2(TM) system manufactured by Bubble Technology Industries of Canada which uses three different probes for dose measurement. We used two probes: (1) the X-probe which measures lower energy (4 - 120 keV) photon energy distributions and determines deep dose equivalent, SDE and dose equivalent to eyes, and (2) the B-probe which measures electron (positron) energy distributions, and determines skin dose equivalent. Also, the measured photon and beta spectra can be used to identify radioactive isotopes in the contaminated area. Measurements with several neutron-deficient sources showed that this system provided reasonably accurate SDE rate measurements when compared with calculated benchmark SDE rates with an average percent difference of 40%. Variations were expected because of differences between the assumed geometries used by MlCROSPEC-2 and the calculations when compared to the measurement conditions

Skin: Major target organ of allergic reactions to small molecular weight compounds

International Nuclear Information System (INIS)

Merk, Hans F.; Baron, Jens M.; Neis, Mark M.; Obrigkeit, Daniela Hoeller; Karlberg, Ann-Therese

2007-01-01

Skin is a major target organ for allergic reactions to small molecular weight compounds. Drug allergic reactions may be life-threatening such as in the case of anaphylactic reactions or bullous drug reactions and occur in about 5% of all hospitalized patients. Allergic contact dermatitis has an enormous influence on the social life of the patient because it is the most frequent reason for occupational skin diseases and the treatment and prevention of this disease cost approximately Euro 3 billion per year in Germany. The different proposed pathophysiological pathways leading to a drug eruption are discussed in this paper. All major enzymes which are involved in the metabolism of xenobiotica were shown to be present in skin. Evidence supporting the role of metabolism in the development of drug allergy and allergic contact dermatitis is demonstrated in the example of sulphonamides and fragrances

[Which occupational groups in a hospital are particularly stressed?].

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Schmid, K; Drexler, H; Fischmann, W; Uter, W; Kiesel, J

2011-07-01

Increasing workload in health professionals and resulting health consequences have frequently been reported. We analysed the results from an employee attitude survey within a network of workplace health promotion and compared three occupational groups of a university hospital with two samples of employees of other industries. The survey was conducted in the years 2005, 2006 and 2007 using a standardized method, addressing 1748 employees of six companies. In order to compare specific occupational groups, both within the hospital and amongst different companies, five occupational groups were selected (medical profession, nursing service and administration of the hospital, academics of another company and employees of a financial service provider). Some results were specific for an occupational group, such as lower back pain and skin diseases in nurses and exhaustion in clinicians. Regarding several items the responses of employees of the hospital's administration were similar to that of the medical professionals and differed significantly from the responses of administrative and related employees in other companies. Employees of all occupational groups of the hospital were often frustrated and felt their work was not appreciated. Frequent demands included improved work atmosphere, better appreciation of work and better information regarding innovations. The analysis of standardized survey results specific for companies and occupational groups is an appropriate way to identify targets of health promotion. Constant over three surveys, again a high burden of stress was found in health care workers even affecting the administrative staff, regarding several work-related stress factors. According to our results activities to improve the working conditions in hospitals are urgently needed. © Georg Thieme Verlag KG Stuttgart · New York.

Experimental metagenomics and ribosomal profiling of the human skin microbiome.

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Ferretti, Pamela; Farina, Stefania; Cristofolini, Mario; Girolomoni, Giampiero; Tett, Adrian; Segata, Nicola

2017-03-01

The skin is the largest organ in the human body, and it is populated by a large diversity of microbes, most of which are co-evolved with the host and live in symbiotic harmony. There is increasing evidence that the skin microbiome plays a crucial role in the defense against pathogens, immune system training and homoeostasis, and microbiome perturbations have been associated with pathological skin conditions. Studying the skin resident microbial community is thus essential to better understand the microbiome-host crosstalk and to associate its specific configurations with cutaneous diseases. Several community profiling approaches have proved successful in unravelling the composition of the skin microbiome and overcome the limitations of cultivation-based assays, but these tools remain largely inaccessible to the clinical and medical dermatology communities. The study of the skin microbiome is also characterized by specific technical challenges, such as the low amount of microbial biomass and the extensive human DNA contamination. Here, we review the available community profiling approaches to study the skin microbiome, specifically focusing on the practical experimental and analytical tools necessary to generate and analyse skin microbiome data. We describe all the steps from the initial samples collection to the final data interpretation, with the goal of enabling clinicians and researchers who are not familiar with the microbiome field to perform skin profiling experiments. © 2016 The Authors. Experimental Dermatology Published by John Wiley & Sons Ltd.

The prevalence of occupational dermatitis in the UK printing industry.

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Livesley, E J; Rushton, L; English, J S; Williams, H C

2002-07-01

To quantify occupational ill health resulting from dermatitis in the UK printing industry and to explore links with particular processes and activities. Approximately 2600 members of the Graphical, Paper and Media Union living in Nottinghamshire were sent a self completion questionnaire. A sample of respondents, both those who reported current skin problems and those who did not, were invited for a short dermatological examination. The overall response rate was 62%. A total of 1189 respondents were directly involved in the printing industry and categorised according to work in pre-press (25%), printing (46%), or finishing (42%) processes. A total of 490 respondents (41%) self reported having a skin complaint at some time. Prevalence was highest in males (43%) and those working in printing (49%), in particular those who cleaned rollers and cylinders or who came into contact with substances containing isocyanates on a daily basis. The most commonly affected areas reported were the fingers and webs between the fingers. Twenty six per cent of the 490 reported a current problem on the hand. Reported symptoms included itching (61%), rash (58%), and dry skin (56%). Although certain printing industry substances were thought by respondents to aggravate their condition, constant washing and friction was most often cited. Reported use of protective equipment and cleansing products was generally high, particularly by printers. Clinical examination confirmed the high self reported prevalence and also identified a substantial proportion of mild cases which were not reported. The overall prevalence of occupationally related skin complaints is estimated to be 40%. A much higher prevalence of dermatitis has been identified than from routine surveillance schemes. The use of good quality records from unions with high membership facilitated access to workers across a range of company sites and printing processes. Validation of self reported symptoms through clinical examination was

Arsenicosis, possibly from contaminated groundwater, associated with noncirrhotic intrahepatic portal hypertension.

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Goel, Ashish; Christudoss, Pamela; George, Renu; Ramakrishna, Banumathi; Amirtharaj, G Jayakumar; Keshava, Shyamkumar N; Ramachandran, Anup; Balasubramanian, K A; Mackie, Ian; Fleming, Jude J; Elias, Elwyn; Eapen, Chundamannil E

2016-05-01

Idiopathic noncirrhotic intrahepatic portal hypertension (NCIPH), a chronic microangiopathy of the liver caused by arsenicosis from use of contaminated groundwater, was reported from Asia. This study aimed to see, if in the twenty-first century, arsenicosis was present in NCIPH patients at our hospital and, if present, to look for groundwater contamination by arsenic in their residential locality. Twenty-seven liver biopsy proven NCIPH patients, 25 portal hypertensive controls with hepatitis B or C related cirrhosis and 25 healthy controls, matched for residential locality, were studied. Eighty-four percent to 96 % of study subjects belonged to middle or lower socioeconomic category. Arsenicosis was looked for by estimation of arsenic levels in finger/toe nails and by skin examination. Arsenic levels in nails and in ground water (in NCIPH patients with arsenicosis) was estimated by mass spectrometry. Nail arsenic levels were raised in five (10 %) portal hypertensive study subjects [two NCIPH patients (both had skin arsenicosis) and three portal hypertensive controls]. All of these five patients were residents of West Bengal or Bangladesh. Skin arsenicosis was noted in three NCIPH patients (11 %) compared to none of disease/healthy controls. Ground water from residential locality of one NCIPH patient with arsenicosis (from Bangladesh) showed extremely high level of arsenic (79.5 μg/L). Arsenicosis and microangiopathy of liver, possibly caused by environmental contamination continues in parts of Asia. Further studies are needed to understand the mechanisms of such 'poverty-linked thrombophilia'.

Occupational status and nutrition profile and health of public municipal employees

Directory of Open Access Journals (Sweden)

Patrícia Pinheiro de Freitas

Full Text Available Abstract Background: Unhealthy lifestyles occur more often in low-socioeconomic status (SES groups. The assessment of isolated factors reduces the understanding of the problem instead of clarifying the dynamic interaction of these factors in influencing the health. Objective: To study the relationship between nutrition habits and health, and the coexistence of dietary risk factors, according to the occupational status of public municipal employees. Materials and Methods: An electronic epidemiological survey was conducted from September to December 2009. In total, 5,646 public municipal employees (temporary and permanent of the municipality (14.7% answered the questionnaire. Sociodemographic information, health, physical activity, nutritional profile, and working conditions related to eating were investigated. Occupational status was defined by the International Socio-Economic Index. The coexistence of dietary risk factors (low consumption of fruits and vegetables, high consumption of chicken skin and meat fat, and insufficient time to eat at work were evaluated using Venn diagrams. Results: Arterial hypertension, diabetes mellitus and overweight were more frequently reported in the low occupational status, and positive self-reported health was directly related to the occupational status of participants. Conclusion: Differences in health conditions and in the dietary habits of individuals according to occupational status indicate its relevance in the development of public and institutional policies that aim to promote health and reduce inequalities and the need for greater focus on those with lower occupational status.

Prediction of Skin Sensitization with a Particle Swarm Optimized Support Vector Machine

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Chenzhong Cao

2009-07-01

Full Text Available Skin sensitization is the most commonly reported occupational illness, causing much suffering to a wide range of people. Identification and labeling of environmental allergens is urgently required to protect people from skin sensitization. The guinea pig maximization test (GPMT and murine local lymph node assay (LLNA are the two most important in vivo models for identification of skin sensitizers. In order to reduce the number of animal tests, quantitative structure-activity relationships (QSARs are strongly encouraged in the assessment of skin sensitization of chemicals. This paper has investigated the skin sensitization potential of 162 compounds with LLNA results and 92 compounds with GPMT results using a support vector machine. A particle swarm optimization algorithm was implemented for feature selection from a large number of molecular descriptors calculated by Dragon. For the LLNA data set, the classification accuracies are 95.37% and 88.89% for the training and the test sets, respectively. For the GPMT data set, the classification accuracies are 91.80% and 90.32% for the training and the test sets, respectively. The classification performances were greatly improved compared to those reported in the literature, indicating that the support vector machine optimized by particle swarm in this paper is competent for the identification of skin sensitizers.

Prediction of Skin Sensitization with a Particle Swarm Optimized Support Vector Machine

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Yuan, Hua; Huang, Jianping; Cao, Chenzhong

2009-01-01