Epidemiology of occupational acute traumatic hand injuries: a literature review

The purpose of this review was to summarize the literature on occupational, acute, traumatic hand injury and suggest directions for future research. In 1996, the leading occupational injury treated in United States' hospital emergency departments was an acute hand injury (e.g. laceration, crush or fracture). These injuries affected 30% of an estimated 3.3 million injured workers (990,000). Cuts and lacerations of the fingers ranked third after back and leg strains in the number of lost workday cases in the USA in 1994. The incidence rate of hand injuries studied in seven manufacturing environments around the world ranged from 4 to 11 per 100 workers per year. Workers aged 24 years or less had the highest risk of hand injury. Men had higher rates of severe hand injury than women.Despite the high frequency and significant amount of lost work time associated with these injuries, they are poorly understood from an etiological perspective. There is only one case-control study of occupational hand injury in the literature. That study suggested an important role for both fixed (age) and transient risk factors (doing an unusual task) at the time of the injury. More analytic epidemiological research is needed to identify potentially modifiable risk or protective factors (e.g. glove use) for acute hand injuries. In this regard, the case-crossover design, a relatively new epidemiological approach using cases as their own controls, could prove an efficient method for determining transient, modifiable risk factors for acute, occupational hand injury.     

乌鲁木齐市民用住宅室内氡浓度水平调查研究

对乌鲁木齐市具有代表性的民用住宅室内氡浓度进行了连续一年的监测调查,调查结果显示室内氡浓度平均值55.4 Bq／m3,低于国标的“200 Bq／m3”,并据此估算出其所致居民的年均有效剂量为1.400 mSv,以及所致居民支气管上皮组织、肺、性腺、骨髓及骨表面细胞等关键组织的年吸收剂量分别为1886．49,378.96,2.80,3.20,3.20μGy／a,大于UNSCEAR2000年报告的世界平均值1.008 mSv,结合室内氡的主要来源,提出了对建筑材料进行放射性监测、控制装修、工程竣工后开展室内环境监测、加强室内通风以及开展室内氡污染治理等措施控制室内氡浓度水平。     

职业安全卫生标准体系的研究

简要介绍了国内外职业安全卫生标准体系研究的概况,指出了建立我国职业安全卫生标准体系的重要性。运用系统分析的观点和方法,提出了我国职业安全卫生标准体系的编制原则和总体结构。     

制定粉尘卫生标准的新趋势——介绍欧洲的经验并提出几点建议

介绍了近年来欧洲国家新的粉尘卫生标准及其监测、管理方法,分析其制定粉尘卫生标准的经验,并与我国的粉尘卫生标准情况做了初步的比较,提出了建立我国新分级分类粉尘卫生标准体系的建议。     

放射源在线监控系统设计与应用

为了防止在使用放射源时发生脱落、丢失、超标使用、私自转移等情况,最大限度避免辐射安全事故,有必要设计建立放射源在线监控系统,对放射源放射性指标(辐射剂量率)及所处位置(经纬度)实行连续的自动监测。并通过各级监管平台设置放射源超标、异动等报警程序,全面提升放射源科学监管水平。     

纳米二氧化钛与镉对斜生栅藻(Scenedesmus obliquus)生长的拮抗效应及其作用机制

人工纳米材料（MNMs）进入水环境将改变传统环境污染物的环境归趋及其毒性作用,两者的相互作用及其机制一直是环境科学领域的热点问题.迄今为止,已有大量MNMs与现存污染物联合毒性作用的研究成果发表,但其潜在的作用机制,尤其是联合作用下的生物响应机制仍未清楚.本文以典型MNMs——纳米二氧化钛（nTiO₂）与重金属镉（Cd²⁺）为研究目标,以斜生栅藻（Scenedesmus obliquus）为受试生物,考察在等效剂量（毒性比1 ∶1）下不同浓度组合nTiO₂和Cd²⁺对斜生栅藻的联合毒性作用模式及其分子机制.结果表明,等效剂量下Cd²⁺和nTiO₂的72h EC₅₀值对比单独暴露时均有显著升高,呈拮抗效应.进一步开展转录组学分析发现,nTiO₂存在下斜生栅藻能量代谢所涉及的光合作用、叶绿素代谢以及淀粉与蔗糖代谢通路发生了显著上调,与藻细胞抗逆效应相关的精氨酸与脯氨酸代谢通路同样呈正向刺激表现.本文首次报道了nTiO₂与Cd²⁺等效剂量联合暴露下,浮游植物通过改变藻细胞抗逆能力与加强能量代谢来降低毒性的生物响应机制.本研究结果为深入理解MNMs与现存污染物的复合环境健康效应提供重要参考和研究基础.     

Control chart for monitoring occupational asthma

INTRODUCTION: Work-related asthma has become the most prevalent occupational respiratory disease in the developed world. Occupational asthma is thought to affect 5%-10% of people worldwide. The first step in the diagnosis of occupational asthma is to establish work-relatedness. Although considerable research has been conducted in the area of occupational asthma, no simple, effective, and statistically sound method has been developed that can be used as an initial step to effectively identify the workers at risk for occupational asthma. The purpose of this research was to investigate whether Shewhart control chart method can be used as an effective method to detect occupational asthma. METHOD: Forty-five workers who completed the study and provided usable peak expiratory flow (a lung function marker) recordings while at work and away from work were included in this study. Control charts were developed using Shewhart's Method. The lower control limit of at work control chart (LCL(W)) was compared to each subject's Personal Best (PB) value. RESULTS: Reviewing the results of this comparison showed LCL(W)<60% PB to have a sensitivity of 85.71%, specificity of 87.50%, and an error rate of 13.33%. When the subjects suspected for false positive and false negative diagnoses were identified, the test produced a sensitivity of 95.24%, a specificity of 95.83% and an error rate of 4.44%. CONCLUSIONS: Our results were as good as, and in some cases better than, published clinical guidelines. IMPACT ON INDUSTRY: Our research showed that the control chart method is an effective, simple, and inexpensive tool for early intervention in workers suspected for occupational asthma.     

Shipyard fatalities in Turkey

The objective of this paper is to investigate causes and incidence rates of 115 fatalities between 2000 and 2010 in Turkish shipyards and to propose mitigation measures. The fatality rate in Turkish shipbuilding industry is unacceptably high, being 3.5 times the average of all industry groups. Classification of fatal occupational accidents revealed five major fatality reasons for the shipbuilding industry; falling from higher elevation to a lower level, exposed to electric shock, fire and/or explosion, being struck by or struck against objects, and caught in between. The highest number of cases of fatal accidents was found among welders, blasters, painters and substructure workers. Statistically analyzed data showed that working on Mondays and Saturdays have special impact on the fatality probability. Also, the number of fatalities is highest in working temperatures above average 25 °C, which covers from June through September. Strategies recommended to minimize the fatalities at shipyards are discussed. Furthermore a risk framework of fatal occupational accidents were drawn so that when working conditions are within the high risk region, extra precautions can be taken in order to minimize the occurrence of accidents and fatalities.     

应用动态模型确定酸沉降临界负荷的探讨

任何一个天然生态系统都是一个稳定系统.在一定酸沉降量的作用下,生态系统最终会平衡在一个新的稳定状态.动态模型可以模拟不同酸沉降量下生态系统化学状态的变化趋势.根据信号与系统理论,这种趋势可以用一阶指数衰减函数进行模拟,以得到系统达到稳定状态时的化学指标值.根据不同酸沉降量和所对应的稳态化学指标值之间的剂量-响应曲线,可以求出当系统稳态化学指标值达到临界化学值时的酸沉降量,即为系统的酸沉降临界负荷.应用这种方法,以MAGIC模型为例,计算了四川峨眉山顶水和重庆南山湖泊的硫沉降临界负荷,分别为1.54和6.5     

基于模糊贝叶斯网络的煤气化职业健康风险分析

针对煤气化行业职业健康风险影响因素不确定及模糊的特点,建立了职业健康风险计算模型。该模型将模糊数学与贝叶斯网络相耦合,模拟事件概率,找出导致风险的主要因素。通过分析煤气化行业中存在的多种风险因素,应用问卷调查法和模糊集理论模拟了根节点的发生概率,得出职业健康风险概率的预测值;应用贝叶斯网络反向推理的功能计算根节点后验概率并排序,确定了薄弱环节。该模型不仅能解决概率缺失情况下的风险量化推算问题,定量进行职业健康风险评估,还可以实现关键因素的识别,并能有针对性地提出改进措施,为职业健康风险预防提供决策依据。