Carpal tunnel syndrome in occupational medicine practice.

Work-related overload syndromes are chiefly associated with the upper limbs, where carpal tunnel syndrome (CTS) plays a leading role. This article analyses methods of diagnosing CTS, with special emphasis on those that can be used by physicians in early diagnosis of CTS in workers doing monotonous work. It also discusses occupational (e.g., assembly work, typing, playing instruments, packaging and work associated with the use of a hammer or pruning scissors) and extra-occupational factors (e.g., post-traumatic deformation of bone elements of the carpal tunnel, degenerative and inflammatory changes in tendon sheaths, connective tissue hypertrophy or formation of crystal deposits) leading to CTS; diagnostic methods (subjective symptoms, physical examination and manual provocative tests, vibration perception threshold, electrophysiological examination and imaging methods); and therapeutic and preventive management tools accessible in occupational medicine practice.     

Workers' active involvement in the improvement of occupational safety and health in a textile enterprise--a case study.

Part of the Polish-Swedish OSHMAN project was carried out in a textile company. It aimed at implementing and improving effective health and safety management with workers' active involvement at all levels of the enterprise. The two main problems to be solved during the project were decreasing occupational risk and improving workers' poor knowledge on occupational risk. Training courses, workshops and practical activities were undertaken. As expected, there were changes in work organisation and improvement in the way workstations were looked after, which led to a decrease in occupational risk. Workers were highly committed during the project. Nevertheless it seems that more training should be directed at middle management.     

Monitoring of platinum in the environment

Since the introduction of catalytic converters for the control of vehicle emission, a controversial discussion has begun on platinum emission and its eventual consequences for the environment. This brief overview covers the main aspects of anthropogenic emission of platinum and its bioavailability. Modern analytical methods for Pt determination in different environmental samples are also presented.     

Bioelements and mineral matter in human livers from the highly industrialized region of the Upper Silesia Coal Basin (Poland)

Contents of mineral substance, silica, and a range of bioelements and toxic elements (Mg, Na, K, Ca, Ba, Zn, Cr, P Al, Cd, Mn Cu, Ni, Pb, Sr, Fe) in 38 livers of donors from the Upper Silesia Coal Basin (southern Poland) are presented. Elements were determined by inductively coupled plasma-atomic emission spectrometry (ICP-AES) with the exception of silica that was estimated colorimetrically. Concentrations, concentration variability, and correlations between selected liver components determined for the total population are related to donor age, gender, and lesion occurrence. Correlations between particular elements were found using correlation coefficient values and the Fisher transformation. Mineral substance in the livers lies in the range 0.40–5.03 wt%. With increasing donor age, mineral-matter content decreases to a minimum for the 40–60 years of age range. Microbioelement contents show a similar tendency, while microbioelements and toxic elements reach maximum contents in donors aged 60–80 years. All elements show content decreases in livers from the oldest group (>80 years). Silica contents increase with age. Variability of element contents is lowest in the older subpopulations. Livers with lesions show lower element contents and variability. The results are compared to literature data for regions of Poland assumed to be of low pollution and to data from comparable regions in Japan and Hungary. Up to our knowledge, this paper is the first work describing the total contents, as distinct from contents of selected elements, of mineral substance in human livers.     

Organotin compounds in surface sediments from seaports on the Gulf of Gda??sk (southern Baltic coast)

Sediment samples were collected in two Polish ports of international significance--the Port of Gdańsk and the Port of Gdynia (Gulf of Gdańsk, Baltic Sea)--in order to assess their butyltin and phenyltin contamination; this was done in 2008, just after the total ban on using harmful organotins in antifouling paints on ships came into force. Altogether, 21 sampling stations were chosen to present a diversity of port sites: from port canals and shipyards to anchorages and dumping sites. The organic carbon content and grain size of all the sediment samples were determined, and some environmental parameters (oxygen content, salinity) were measured as well. Total concentrations of butyltin compounds in sediment samples were very different and ranged between 1 and 18,520 ng Sn g(-1) d.w. Phenyltin contents were distinctly lower and ranged from below the limit of detection (most samples) to 660 ng Sn g(-1) d.w. The highest concentrations of organotins were found in the shipyards, the maximum total organotin content (19,180 ng Sn g(-1) d.w.) being found in the Gdańsk Ship Repair Yard 'Remontowa'. Butyltin degradation indices indicate a recent tributyltin input into the port sediments. The results obtained from this work prove that the international ban on using organotins may not be enough to protect the marine environment. It is necessary to monitor organotin contamination in ports and establish concentration limits of these compounds for the disposal of dredged material at sea.     

Assessment of PAH pollution in the southern Baltic Sea through the analysis of sediment, mussels and fish bile

The concentrations of fifteen PAH compounds in samples of sediment and blue mussel tissue (Mytilus trossulus) were measured. In addition, the biliary polycyclic aromatic hydrocarbon metabolites present in flounder (Platichthys flesus) were analysed. Two methods were used in the analysis of PAH metabolites; high performance liquid chromatography (HPLC) and fixed wavelength fluorescence (FF). The major PAH metabolite which could be measured using the HPLC method was 1-OH pyrene. It was possible to detect 1-OH Phe and 3-OH B[a]P in 70 and 24 samples respectively, of the 87 samples analysed. However, the concentrations of 1-OH Phe and 3-OH B[a]P were below or near to the LOQ (0.002 μg ml(-1) bile). The bile of flounder samples from the Gulf of Gdańsk had 1-OH Pyr concentrations which ranged from 0.019 to 0.066 μg ml(-1) bile. The high linear correlation observed between the quantity of 1-OH pyrene determined by the HPLC-F method and the content of the sum of pyrene-type PAHs obtained by the FF method indicated the FF method of determination of pyrene-type PAH metabolites can be used as a screening method. The content of ∑(15)PAHs in sediments collected in the Gulf of Gdansk, in 2008, ranged from 29.3 to 103 μg kg(-1) dw. In mussel tissue ∑(15)PAHs concentrations were between 173.2 μg kg(-1) dw and 237.7 μg kg(-1) dw. All concentrations measured in the current study, in mussel tissue, were below the OSPAR toxicity threshold values.     

Experimental rewilding may restore abandoned wood-pastures if policy allows

Large herbivores play key roles in terrestrial ecosystems. Continuous defaunation processes have produced cascade effects on plant community composition, vegetation structure, and even climate. Wood-pastures were created by traditional management practices that have maintained open structures and biodiversity for millennia. In Europe, despite the broad recognition of their biological importance, such landscapes are declining due to land-use changes. This calls for finding urgent solutions for wood-pasture conservation. To test whether introducing an ecological replacement of an extinct wild horse could have positive effects on wood-pasture restoration, we designed a 3-year rewilding experiment. Horses created a more open wood-pasture structure by browsing on seedlings and saplings, affected tree composition via selective browsing and controlled the colonization of woody vegetation in grassland-dominated areas. Thus, rewilding could be a potential avenue for wood-pasture restoration and biodiversity conservation. However, such benefits may not materialize without a necessary paradigm and political shift.Electronic supplementary materialThe online version of this article (10.1007/s13280-020-01320-0) contains supplementary material, which is available to authorized users.     

Physiological Method of Evaluating Protective Clothing for Work in a Cold Environment

The purpose of this study was to determine the usefulness of physiological studies in the evaluation of protective clothing for work in a cold environment. The study included the examination of the dynamics of changes in chosen physiological parameters (core and skin temperatures, heart rate, pulmonary minute ventilation) as well as physical ones (the temperature and relative humidity under the clothes) during work in protective clothing with unknown thermal insulation. The experiment was conducted in extreme environmental conditions (–10 and –15°C) at a work load defined by the clothing manufacturer as moderate. Results show that thermal equilibrium was achieved and maintained throughout the investigated work time (60 min) and that the protective clothing ensures safety on the time scale of a regular 8-hour work day. It was also shown that the dynamics of thermal stress physiological parameters can be used to determine the maximum duration of exposure for cold protective clothing with unknown thermal insulation.     

Body Heat Balance of a Man with Deficient Sweat Rate Subjected to Physical Work in a Hot Environment

The dynamics of physiological stress and thermal balance were investigated in men subjected to endogenous and exogenous heat loads. The study was conducted using the thermometric method. Substantial differences in the dynamics of the tested parameters and their quantitative characteristics were observed in 1 out of 8 participants. In this article, the observed differences are rationalized in terms of the deficient sweat rate mechanism. It is pointed out that it is indispensable to address these cases in work safety regulations.