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Objectives To assess the determinants of airborne solvent exposures in contemporary vehicle collision repair workplaces. Methods Personal, full-shift airborne solvent exposures (n = 97) were assessed in 85 vehicle collision repair workers from 18 workshops. Peak exposures were assessed using a small number of video exposure monitoring measurements. Results Solvent exposures were highest in spray painters (geometric mean = 2.7 ppm) followed by panel beaters (0.5 ppm), but were well below workplace exposure standards. The lowest exposure levels were observed for mixing room extraction located away from the mixing bench [exposure ratio (ER) = 0.51, 95% confidence interval (CI) = 0.30-0.87]. Time spent mixing paint was associated with higher exposures (ER for every 10-min increase = 1.14, 95% CI = 1.05-1.24), as was time spent cleaning equipment with solvents (ER = 1.11, 95% CI = 0.88-1.39), spraying primer (ER = 1.10, 95% CI = 0.96-1.27), and spraying clear coat paint (ER = 1.07, 95% CI = 1.00-1.15). Overall, the combined non-spray painting tasks (mixing paint, degreasing, and cleaning equipment) were more strongly associated with exposure (ER = 1.10, 95% CI = 1.03-1.18) than the combined spray painting tasks (ER = 1.03, 95% CI = 1.00-1.05). Peak exposures ranged from 10 to 1100 ppm with the strongest and most frequent peaks occurring during paint mixing, decanting of solvents, cleaning of equipment, and painting in a cross-draft spray booth. Conclusions Airborne solvent exposures in the collision repair industry were associated with job title, the design and location of exhaust ventilation and emission sources, and time spent on specific tasks, with the highest average and peak exposures shown for non-spray painting tasks. These findings provide a contemporary basis for intervention programmes to reduce airborne solvent exposures in this industry.

OBJECTIVES: To assess whether solvent use and workplace practices in the vehicle collision repair industry are associated with symptoms of neurotoxicity in spray painters and panel beaters (auto body repair workers). METHODS: Neurobehavioural symptoms were assessed using a cross-sectional study design in 370 vehicle collision repair and 211 reference workers using the EUROQUEST questionnaire. Full-shift airborne solvent levels were measured in a subset (n=92) of collision repair workers. RESULTS: Solvent exposures were higher in spray painters than in panel beaters, but levels were below current international exposure standards. Collision repair workers were more likely to report symptoms of neurotoxicity than reference workers with ORs of 2.0, 2.4 and 6.4 (all p

Surgical fires require an oxygen-enriched environment, a flammable substrate, and an ignition source. We hypothesized ambient oxygen concentration is proportional to the latency time to combustion and the incidence of surgical fires that are detected. We examined latency time and number of events, utilizing the VanCleave et al model of intraoral fire ignition under 60, 80, and 100% oxygen concentration and flow rates of 4 and 10 L/min. Results demonstrated that ambient oxygen concentration and flow rate correlated positively to the initiation of combustion. The number of combustion events with 60% oxygen was significantly lower than with both 80% (p = .0168) and 100% (p = .002). Likewise, the number of events with 80% oxygen was significantly lower than with 100% oxygen (p = .0019). Flow rate has a significant effect on the time to the first event (p = .0002), time to first audible pop (p = .0039), and time to first flash or fire (p < .0001). No combustion occurred at oxygen concentrations less than 60% or flows less than 4 L/min. We conclude that latency time to combustion is directly proportional to ambient oxygen concentration and flow rate. Minimum oxygen concentration and flow rate were identified in our model. Further research is indicated to determine the minimal clinical oxygen concentration and flow rate needed to support combustion of an intraoral fire in a patient.

Dust reduction equipment adapted for single-person operation was evaluated for gas-powered, commercially available cut-off saws during concrete curb cutting. Cutting was performed without dust control and with two individual exposure control methods: wet suppression and local exhaust ventilation (LEV). The wet suppression system comprised a two-nozzle spray system and a 13.3-L hand-pressurized water supply system with an optimum mean flow rate of 0.83 L/min for 16 min of cutting. The LEV system consisted of a spring-loaded guard, an 18.9-L collection bag, and a centrifugal fan with an estimated exhaust rate of 91 ft(3)/min. Task-based, personal filter samples were obtained for four saw operators during cutting durations of 4 to 16 min on five job sites. Seventeen filter samples were collected without dust control, 14 with wet suppression, and 12 with LEV, yielding a geometric mean respirable dust concentration of 16.4 mg/m(3), 3.60 mg/m(3), and 4.40 mg/m(3), respectively. A dust reduction of 78.0% for wet suppression and 73.2% for LEV was observed vs. no dust control. A statistically significant difference (p0.001) was also revealed for wet suppression and LEV when compared with no dust control; however, a significant difference (p = 0.09) was not observed between wet suppression and LEV. Despite these significant dust reductions, workers are still projected to exceed the ACGIH 8-hr time-weighted average threshold limit value for quartz (0.025 mg/m(3)) in less than 1 hr of cutting for both dust control methods. Further research is still needed to improve dust reduction and portability of both control methods, but the current LEV system offers important advantages, including a drier, less slippery work area and year-round functionality in cold weather.

For decades the literature has shown an association between work-related risk factors and back injuries among employees. However, only recently, there is a growing body of literature that suggests lifestyle risk factors may also be associated with back injuries. The purpose of this research was to determine if selected lifestyle risk factors are associated with a greater risk of back injuries. Further, there may be an association between job status and incident reporting, lost workdays cases and workers' compensation (WC) paid for back injuries among university employees. Aggregate data from a Health Risk Assessment (HRA) questionnaire were used to analyze 6053 university employees for lifestyle risk factors associated with back injuries. Of the total sample, 57% (n=3471) were female; 46% (n=2778) worked as clerical or service staff; and the mean age was 45years. Pearson chi-square (chi(2)) analyses indicate that job status (chi(2)=307.07, df=4, p.001) and gender (chi(2)=40.14, df=2, p.001) were associated with high risk back score. An ordinal regression analysis predicted that participants who exercised vigorously for at least 20min, 3 or more days per week, or 3 or more days per week of combined vigorous exercise and moderate-intensity physical activity are almost 30 times less likely to have a high back risk score compared to participants who do not exercise vigorously or participate in less than 3days per week of moderate-intensity physical activity (OR=29.68, 95% CI=25-35.25, p.001). Participants who have a low risk score for BMI are three times less likely (OR=3.20, 95% CI=2.74-3.75, p.001) to have a high back risk score when compared to participants who have a high risk score for BMI. A regression tree predicted high back risk scores were participants who: (1) receive an adequate amount of physical activity or vigorous exercise and is a male service or clerical staff; (2) do not receive an adequate amount of physical activity or vigorous exercise, and is not overweight; or (3) who do not receive an adequate amount of physical activity or vigorous exercise, and is overweight. Six years of Occupational Safety and Health Administration (OSHA) 300 logs and WC claims data paid for back injuries supported the finding that clerical or service staff had the greatest risk of back injuries. Based on the results of this study, there appears to be an association between lifestyle risk factors, job status and back injuries among university employees. We believe our evaluation approach may be used to study other work populations to verify the outcomes observed in this study.

Background The authors conducted a study to determine the effectiveness of two waste anesthetic gas-scavenging systems. They also evaluated one of the systems to determine the effect of work practices in controlling waste nitrous oxide (N 2 O). Methods The authors collected a minimum of 13 data sets in each phase of the study that included infrared thermography, digital videography and real-time air analysis for ambient concentrations of waste N 2 O. Surgeon 1, who had experience using both systems, used the Safe Sedate Dental Mask (Airgas, Radnor, Pa.) system (system I) in phase I and the Porter Nitrous Oxide Sedation System (Porter Instruments, Hatfield, Pa.) (system II) in phase II. Surgeon 2, who did not have experience using system I, used it in phase III. To evaluate each system's effectiveness, the authors collected N 2 O air concentration data from phases I and II and compared the data with the National Institute for Occupational Safety and Health Recommended Exposure Limit (NIOSH REL). They also compared phases I and III to determine the effect of work practices on the systems' effectiveness. Results Surgeon 1 controlled occupational exposure to N 2 O significantly better using system I than using system II. Mean N 2 O air concentration levels during phases I and II were 61.6 parts per million (ppm) and 225.6 ppm, respectively. Surgeon 2 did not achieve results comparable to those of surgeon 1 in phase I using system I. Infrared thermography and air concentration data suggested that key work practices and patient and surgical variables accounted for the different results obtained in phases I and III. Conclusions Although neither system was able to control occupational exposure of N 2 O oxide below the NIOSH REL, system I met the American Conference of Governmental Industrial Hygienists threshold limit value of less than 50 ppm during an eight-hour day and performed significantly better than did system II. Clinical Implications System I achieved maximal efficiency when combined with consistent best work practices.

The goal of this project was to determine whether one type of earplug would allow a user to hear communication in a noisy environment better than two other types of earplugs. The three types of earplugs studied are newly available on the market. Sonomax SonoCustoms are custom fitted to the user. E-A-R Push-Ins are the newest form of foam earplugs, and Howard Leight SmartFits have an adaptable shape. One of the earplug manufacturers claimed to have improved verbal communications due to the design of the earplug. We hypothesized that the type of earplug providing better communication properties would have lower attenuation around the communication frequencies compared with the other types. To test this hypothesis, we used speech intelligibility and attenuation tests in the laboratory on 26 subjects, and real-time video exposure monitoring in the field (airport maintenance personnel) for visual communication cues. ANCOVA was used to analyze the data from the laboratory study. The type of earplug worn was not significant in the model (p-value 0.0849), nor was attenuation of the earplug (p-value 0.2379). Further analysis showed that attenuation did not differ significantly among earplugs (p-value 0.5903). Logistic regression was used to analyze the data from the field study. Again, the type of earplug was not significant in the model (p-value 0.0965). A comfort questionnaire determined that Howard Leight SmartFits and the E-A-R Push-Ins were more comfortable and easier to use than the Sonomax HPDs (p-value0.0001). We found a definite difference between manufacturers' attenuation data and our attenuation data, especially in the frequencies for 125-1000 Hz. Also, there was no difference in frequency and overall attenuation among the HPDs. This resulted in no difference in communication abilities among the types of HPDs.

This project incorporates radiation survey training into a real-time video radiation detection system, thus providing a practical perspective for the radiation worker on efficient performance of radiation surveys. Regular surveys to evaluate radiation levels are necessary not only to recognize potential radiological hazards but also to keep the radiation exposure as low as reasonably achievable. By developing and implementing an instructional learning system using a real-time radiation survey training video showing specific categorization of work elements, radiation workers trained with this system demonstrated better radiation survey practice.

Locomotor behavior at the roofing worksite is challenged by factors such as sloped surfaces, wind gusts and handling loads. Chronic exposure to this environment may result in enhanced locomotor strategies that are resistant to aging effects. The purpose of this study was to determine if roofers demonstrated enhanced locomotor strategies and if the strategies were maintained with age.The gait of ten younger roofers (mean age 27.2 years), eight older roofers (55.4 years), ten younger controls (25.4 years) and nine older controls (57.6 years) was examined during level gait and stepping up onto a wooden surface (0.15m high). Subjects either carried no load, an empty box or the same box loaded to the equivalent of 5% body mass.Work by age interactions were observed for toe clearance, step width, net angular momentum of the head, arms and trunk segment and gait speed (P0.0001). Younger roofers demonstrated the greatest toe clearance; older roofers had a smaller lead clearance but decreased variability. Older control groups had the greatest risk of tripping due to low lead toe clearance and high variability, and were least likely to recover if they did trip due to faster gait speed and increased net angular momentum. Work experience resulted in enhanced changes in lead toe clearance and mitigated age-related changes in step width and net angular momentum.Challenging environments show promise for maintaining balance skills in older adults; however care should be taken when introducing inexperienced older adults to a challenging environment.

As one enters the city of Bath, Maine, and approach the gates of Bath Iron Works (BIW) a sign proclaims, “Through These Gates Pass the Best Shipbuilders in the World.” These words are a way of life...

Few studies have addressed waste anesthetic gases (WAGs) in the postanesthesia care unit (PACU) related to exhaled sevoflurane and nitrous oxide.To evaluate the effectiveness of a new scavenging system to control WAGs in the PACU.Comparative and descriptive study.This pilot study compared exposure to WAGs with and without a scavenging system using infrared technology to visualize and quantify exposure to these gases in the PACU.The results showed a significant reduction (P.05) in both nitrous oxide and sevoflurane at both six inches and three feet from the patient's breathing zone, as well as in the work area of the perianesthesia nurses in the PACU.WAG exposure may be more easily managed through the use of this new scavenging system to better control occupational exposures to these gases among PACU personnel.

Cumulative trauma illness currently accounts for over half of all occupational illness in the United States. From 1987 to 1989 there was a 100% increase in the reported number of cases of cumulative trauma illness (Bureau of Labor Statistics 1990). Shoulder region pain ranks second only to low back and neck pain in clinical frequency, and the occurrence of occupational shoulder illness is on the rise. This paper summarizes findings of a subset of recent epidemiologic, laboratory, and field studies conducted in order to identify occupational risk factors for cumulative trauma disorders (CTDs) of the shoulder region. These studies have identified the following risk factors as being associated with particular shoulder pain syndromes: awkward or static postures, heavy work, direct load bearing, repetitive arm movements, working with hands above shoulder height, and lack of rest. The paper begins with a discussion of several shoulder disorders, includes problems in studying cumulative trauma, presents results of recent studies, and concludes with suggested ergonomic controls that could help to reduce the incidence of shoulder disorders, by eliminating or reducing exposure to the associated risk factors.

Changes in heart rate variability (HRV) have been linked with cardiac disease and death. Exposure to particulate matter from various sources such as tobacco smoke has been shown to cause alterations in HRV. This study investigated the effects of occupational exposure to environmental tobacco smoke (ETS) on HRV. Air monitoring was conducted in three bars in which smoking was permitted and one bar where smoking was not permitted. Pre- and post-work shift heart rate monitoring was conducted on volunteer staff from the establishments. Heart rate variability parameters, including SDNN and RMSSD, were calculated, and the differences between pre- and post-shift values were plotted and analyzed with respect to ETS exposure. Post-shift minus pre-shift values of SDNN and RMSSD significantly decreased with exposure to ETS (p

The objective of this research was to evaluate the effectiveness and provide a limited economic evaluation of an office ergonomics program at a major university from 1995 to 2007. The relationship between office-related recordable injuries, reported lost time, severity of these injuries, and the Workers' Compensation (WC) paid was analyzed and the corresponding incident cost was calculated. Two major datasets analyzed were OSHA 200/300 logs (1991-2007) and WC claims paid (1999-2007). Since the beginning of the office ergonomics program in 1995 and through 2007 (13-year period), the number of office cumulative trauma disorder (CTD) cases decreased by 53%. Since the official start (in 1999) of a 50-50 cost share agreement for office equipment purchases between the university's Safety and Health Department (SHD) and the university departments evaluated, it was observed that the incident rate decreased by 63%, Total Days Away/restrict or Transfer (DART) rate decreased by 41%, Lost Time Case (LTC) rate decreased by 71% and office-related carpal tunnel syndrome decreased by almost 50%. The long-term goal of this research is to demonstrate the self-sustainability of an office ergonomics program by showing that equipment costs are eventually offset by a decrease in WC claims paid and lost time from office-related injuries and illnesses. While limited, this research helps in cost-justifying the implementation of future office ergonomics programs for large organizations.

It has been 20 years since video exposure monitoring (VEM) was embraced as an instrument to provide better documentation of at-risk workers both in Europe and in the United States. Although the first VEM efforts started independently, the passion for this new technology and what it can do to improve the occupational environment has been advanced by a small but growing team of researchers on both sides of the Atlantic. As technology advances over the next ten years, VEM is set to become one of the major instruments in the arsenal of occupational exposure assessment and control. The technical aspects and uses of VEM are reviewed in this issue by some of the key players in these developments (Rosen et al., 2005). In the 1980s a small group of researchers from the engineering control technology branch of the National Institute for Occupational Safety and Health (NIOSH) were working on developing controls to reduce worker exposure to airborne chemicals during batch processing at a manufacturing plant in the Midwest. The research team consisted of a chemical engineer and two occupational hygienists, one specializing in the use of real-time instruments and the other in ergonomics. The diverse talents and skill sets of this team formed a synergy that took advantage of emerging technologies in the portable computer, video and realtime sensor markets (McGlothlin et al., 1987; 1996). The result of the application of this new technology, VEM in the United States was very promising. For the first time, researchers could discern exposure sources and the interaction between work practices and engineering controls such as local exhaust ventilation. Pinpointing exposure sources led to cost effective controls and the development of an effective feedback mechanism for showing workers and management where they had exposures and where they could be controlled. Overlaying videography with the real-time particulate sensors proved very effective. At the same time, unknown to the NIOSH researchers, a like-minded group of researchers at the National Board of Occupational Safety and Health in Sweden (now called the National Institute for Working Life) were considering ways to engage exposed workers in environmental control processes (Rosen and Lundstrom, 1987). The goal of this group was to develop methods for workers to see with their own eyes the potential hazards (in real-time) to which they were being exposed. Computer and video technology were getting less expensive and more portable, and real-time instruments (in the United States the instrument was the handheld aerosol monitor or HAM) were being used for particulate monitoring. By visualizing the work being done and combining it with real-time monitoring, occupational hygienists had a formula for success. They could provide a convenient means of feedback for workers and management and they had a new weapon to ‘see’ exposure sources and targeting controls. As the benefits of this new occupational exposure assessment method became obvious, other NIOSH researchers applied this method to their projects, resulting in a popular NIOSH government publication titled ‘Analyzing workplace exposure using direct reading instruments and video exposure monitoring techniques’, (CDC/NIOSH, 1992). Researchers for the National Institute for Working Life in Sweden identified two methodologies to evaluate worker exposure to air contaminants, one of which was commercialized (Walsh, 2002). From 1980 through the 1990s NIOSH researchers explored different ways to use this technology. They concluded that while the technology was unique, it would primarily be used to *Tel: +1 765 469 6359; fax: +1 765 496 1377; e-mail: jdm3@purdue.edu

Nursing assistants (NAs) who work in nursing and personal care facilities are twice and five times more likely, respectively, to suffer a musculoskeletal disorder compared to service industries and other health care facilities, respectively. The purpose of this study was to develop an ergonomics training program for selected NAs at a state-run veterans' home to decrease musculoskeletal disorders by 1) developing questionnaires to assess musculoskeletal stress, 2) evaluating the work environment, 3) developing and using a training package, and 4) determining the application of the information from the training package by NAs on the floor. Results show two new risk factors not previously identified for nursing personnel in the peer-reviewed literature. Quizzes given to the nursing personnel before and after training indicated a significant improvement in understanding the principles of ergonomics and patient-handling techniques. Statistical analysis comparing the pre-training and post-training questionnaires indicated no significant decrease in musculoskeletal risk factors and no significant reduction in pain or discomfort or overall mental or physical health.

In this study, proactive stability control while handling loads and negotiating an elevated surface was examined. Ten young healthy males completed two gait-mode conditions--level walking and negotiating a raised surface. Load-handling conditions were: no load, empty box (reduced visual information), and loaded box (reduced visual information combined with increased inertial load). The lower limb trajectory in the sagittal plane was not modified as a function of reduced visual information or increased inertial load. The step width decreased while stepping over the surface and carrying the loaded box. The trunk pitch angle was biased backwards for both the empty box and the loaded box. When carrying the empty box and negotiating the surface, the trunk pitch range of motion (ROM) increased which may have been a strategy to increase visual exteroceptive information. As increased net trunk pitch could destabilize the system, concurrent stabilizing strategies--decreased gait velocity and reduced net trunk roll velocity--were observed. To meet the equilibrium goals when carrying the loaded box, the trunk pitch ROM and net pitch velocity were reduced during both level walking and surface accommodation. Trunk roll ROM was reduced when carrying the load and negotiating the surface. This study extends our knowledge regarding whole body coordination strategies during anticipatory locomotor adaptations.

A review is given of National Institute for Occupational Safety and Health (NIOSH) efforts to control N2O at a pediatric dental operatory from 1978 to the present. Measurements of N2O concentrations were made on four occasions before and after installation of different controls, using an infrared analyzer. Air velocity and volumetric flow measurements also were taken, Video imaging was done in some cases simultaneously with real-time N2O measurements to correlate work practices with exposure data. An infrared imaging system was used to identify sources of N2O. Critical components of resulting recommendations for control include monitoring of N2O concentrations; use of engineering controls, such as a scavenging mask, an effective dilution ventilation system, and auxiliary exhaust; good work practices; maintenance of the equipment; and worker education. Data presented strongly supports the hypothesis that better implementation of controls leads to reduction of N2O exposures. N2O concentrations were reduced by a factor of 61 from their initial levels. The current NIOSH recommended exposure limit of 25 ppm TWA during the time of N2O administration appears to be achievable.