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Physiological Effects of Altered Barometric Pressure 气压变化的生理效应
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG023.PUB2
C. Piantadosi
Scientists of the twentieth century have been fortunate to participate in the most exciting period of discovery in human environmental physiology. New biomedical knowledge coupled with a technological revolution has given human beings the opportunity to visit and explore the depths of the ocean and the frontiers of space. Such extreme environments present the physiologist with the challenge of defining reasonable parameters for physiological tolerance so that life support systems can be engineered to maximize our opportunity to interact with the environment. Among the most troublesome environmental factors are heat and cold, exposure to radiation, effects of acceleration and microgravity, hypoxia and hyperoxia, and extremes of barometric pressure. Nonetheless, humans can survive for many weeks or months in many exceptional environments ranging from high altitude near the vacuum of space to simulated undersea depths of more than 70 atmospheres of pressure absolute (ATA). Abrupt or extreme changes in barometric pressure account for many of the injuries and deaths connected with the practice of aviation and diving. Physiological problems arise most commonly in association with rapid decompression from a higher pressure to a lower one, such as rapid ascent from depth under water, or to high altitude. These problems may arise from technical or procedural failures and from our incomplete understanding of inert gas transport and gas elimination from body tissues. High-pressure environments have an important role in modern society for many reasons. The earliest engineering application of high pressure, to maintain dry working conditions in caissons and tunnels, continues today, and it extracts a toll in decompression sickness and aseptic bone necrosis from workers who undergo daily decompression after long shifts in compressed air. As the demand to exploit undersea resources such as oil has increased, so has the working depth and time, and hence the medical vulnerability, of the diver. In relatively shallow diving with air and mixed gases, many commercial and military divers rely on surface supplied gear to provide respirable gas and continuous communication with surface tenders. These diving rigs provide an unlimited supply of breathing gas to the working diver in open, semiclosed, or closed (rebreathing) circuits. In addition, thousands of commercial, military, and scientific divers also have been trained to use self-contained underwater breathing apparatus (SCUBA) to work in shallow water. For some 50 years, the availability of lightweight, open-circuit SCUBA and low-resistance regulators has opened up recreational diving possibilities for thousands of sports divers. Finally, the growth of therapeutic hyperbaric oxygen as well as and the need to provide recompression therapy to the injured diver results in the routine exposure of patients, physicians, nurses, and other medical personnel to hyperbaric environments. Keywords: Barom
二十世纪的科学家们很幸运地参与了人类环境生理学最激动人心的发现时期。新的生物医学知识加上技术革命,使人类有机会访问和探索海洋深处和空间前沿。这样的极端环境给生理学家提出了一个挑战,那就是定义生理耐受性的合理参数,以便设计生命支持系统,使我们与环境的互动机会最大化。最棘手的环境因素包括热和冷、暴露于辐射、加速和微重力的影响、缺氧和高氧,以及极端的气压。尽管如此,人类可以在许多特殊环境中生存数周或数月,从接近真空的高海拔空间到超过70个大气压(ATA)的模拟海底深度。大气压力的突然或极端变化是造成许多与航空和潜水有关的伤亡的原因。生理问题最常出现在从高气压到低气压的快速减压过程中,例如从水下深处迅速上升或上升到高海拔。这些问题可能是由于技术或程序上的失败,以及我们对惰性气体从身体组织中输送和消除的不完全理解而产生的。高压环境在现代社会中有着重要的作用,原因有很多。最早的高压工程应用是在沉箱和隧道中保持干燥的工作条件,直到今天仍在继续,它使工人在长时间在压缩空气中进行减压后,每天都要进行减压,从而导致减压病和无菌性骨坏死。随着开发石油等海底资源的需求增加,潜水员的工作深度和时间也在增加,因此他们的医疗脆弱性也在增加。在有空气和混合气体的相对较浅的潜水中,许多商业和军事潜水员依靠地面供应的装备来提供可呼吸气体,并与地面招标商持续通信。这些潜水设备通过开放、半封闭或封闭(再呼吸)回路为工作潜水员提供无限量的呼吸气体供应。此外,成千上万的商业、军事和科学潜水员也接受了使用自给式水下呼吸器(SCUBA)在浅水中工作的训练。大约50年来,轻便、开路水肺和低阻力调节器的可用性为成千上万的运动潜水员开辟了休闲潜水的可能性。最后,治疗性高压氧的增加以及对受伤潜水员进行再压缩治疗的需要,导致患者、医生、护士和其他医务人员经常暴露在高压氧环境中。关键词:气压;加压的环境;高压氧舱;潜艇;潜水;生理效应;麻醉;氧中毒;减压;高压氧;健身;潜水
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引用次数: 1
Fire Safety in the Workplace 工作场所的消防安全
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG124
R. Custer, P. Powell
The present study provides an overview of the terminology and concepts of fire safety with particular emphasis on the workplace setting. Various issues, such as fire protection codes, standards, and regulations, fire safety fundamentals, features of building construction related to fire protection and employee response to emergencies have been examined. Keywords: the National Fire Protection Association (NFPA); OSHA regulations; fire dynamics; fire drills; design; fire scenarios; heat release rate (HRR); performance-based file safety design
本研究概述了消防安全的术语和概念,特别强调工作场所的环境。考察了消防规范、标准和法规、消防安全基础、与消防有关的建筑施工特点和员工对突发事件的反应等各种问题。关键词:美国消防协会;OSHA法规;火灾动力学;消防演习;设计;火灾场景;放热率;基于性能的文件安全设计
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引用次数: 0
Occupational Safety and Health Law 职业安全与卫生法
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG112
J. Howard, Steven C. Smith
In 1970, Congress passed the Occupational Safety and Health Act (“OSH Act”) which established a national system for workplace safety and health standards development, standards enforcement and consultative assistance under the administrative implementation of the Occupational Safety and Health Administration (OSHA). The OSH Act imposes duties on employers to comply with OSHA's safety and health standards under a system of civil and criminal sanctions, and provides for a number of employee inspection participation and anti-discrimination rights. The OSH Act also established the National Institute for Occupational Safety and Health (NIOSH) to conduct research that would inform OSHA about emerging workplace safety and health risks. The chapter provides an overview of the major provisions of the OSH Act as they have been administratively implemented by OSHA and judicially interpreted by the courts in the years since its enactment with an emphasis on OSHA's health standards that are used in the practice of industrial hygiene. Keywords: standard; permissible exposure limit (PEL); judicial review; inspection; warrant; violation; citation; civil penalty; criminal penalty; Review Commission; NIOSH; state plan
1970年,国会通过了《职业安全与健康法》(“OSH法”),在职业安全与健康管理局(OSHA)的行政实施下,建立了一个全国性的工作场所安全与健康标准制定、标准执行和咨询援助体系。《职业安全与健康法》规定雇主有义务在民事和刑事制裁制度下遵守职业安全与健康标准,并规定了一些雇员参加检查和反歧视的权利。《职业安全与健康法》还设立了国家职业安全与健康研究所(NIOSH),负责开展研究,向职业安全与健康管理局通报新出现的工作场所安全和健康风险。本章概述了职业安全与健康法案的主要条款,因为这些条款自颁布以来一直由职业安全与健康管理局在行政上实施,并由法院在司法上解释,重点是职业安全与健康管理局在工业卫生实践中使用的健康标准。关键词:标准;允许暴露极限;司法审查;检查;保证;违反;引用;民事处罚;刑事处罚;审查委员会;NIOSH;国家计划
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引用次数: 0
Mathematical Modeling of Indoor Air Contaminant Concentrations 室内空气污染物浓度的数学模型
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG086
M. Nicas
Several physical-chemical mathematical models have been popularized as an exposure estimation method for occupational indoor air contaminants. Although direct air sampling is preferred traditionally, there are situations in which monitoring is not feasible. In such cases, mathematical modeling has been developed to estimate exposure intensity. Because modeling is theoretical and based on explicit assumptions, many occupational hygienists believe that modeling exposure estimates are too uncertain. The present study finds that the air sampling needs a statistical approach that eliminates investigator bias. The three elements of a physical-chemical model have also been addressed. Keywords: indoor air contaminants; statistical analysis; dispersion pattern; well-mixed room (WMR)
几种物理-化学数学模型作为职业性室内空气污染物的暴露估计方法已得到推广。虽然传统上首选直接空气采样,但在某些情况下监测是不可行的。在这种情况下,已经建立了数学模型来估计暴露强度。因为建模是理论性的,基于明确的假设,许多职业卫生学家认为建模暴露估计太不确定了。本研究发现,空气采样需要一种消除研究者偏见的统计方法。物理-化学模型的三个要素也已讨论过。关键词:室内空气污染物;统计分析;分散模式;混合室
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引用次数: 2
Occupational Health and Safety Management Systems 职业健康和安全管理体系
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG049.PUB2
C. Redinger, K. Dotson, A. Leibowitz
Occupational health and safety management systems (OHSMS) are a powerful risk management tool. They provide IH and EHS professionals with a robust and structured management approach. OHS management systems have significant roots in the quality management systems developed in United Sates in the early 20th century. ISO and other NGO standards have been developed with an eye toward the value of conformity assessment to ensure a common application of specific objectives identified in applicable standards. The pyramid model has been used as a powerful tool to help OHS professionals and their organizations to develop and implement OHS management systems. Besides this, numerous implementation steps for OHS management systems have been discussed. Keywords: industrial hygiene (IH); environmental health and safety (EHS) management; International Organization for Standardization (ISO); internal audit; risk management; performance improvement
职业健康安全管理体系(OHSMS)是一种强有力的风险管理工具。他们为IH和EHS专业人员提供了一个强大的和结构化的管理方法。职业健康安全管理体系在20世纪初在美国发展起来的质量管理体系中有着重要的根源。ISO和其他非政府组织标准的制定着眼于合格评定的价值,以确保适用标准中确定的具体目标的共同应用。金字塔模型已成为职业健康安全专业人员及其组织制定和实施职业健康安全管理体系的有力工具。除此之外,还讨论了职业健康安全管理体系的许多实施步骤。关键词:工业卫生;环境健康和安全管理;国际标准化组织(ISO);内部审计;风险管理;性能改进
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引用次数: 6
Product Stewardship: A Viable Practice for the Industrial Hygienist 产品管理:工业卫生师的可行做法
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG115
D. Agopsowicz, T. Grumbles
The article summarizes the principles and practice of Product Stewardship to give the reader a working understanding of this growing professional niche. Product Stewardship is a significant regulatory and health protection activity required for all commercial entities, which create, market, transport, import or dispose of hazardous materials. Many of the major chemical manufacturing, processing, and distribution companies are committed to performance programs through their trade associations All of these programs define elements and expectations for Product Stewardship. The number and complexity of PS regulations continues to grow globally with the implementation of REACH, GHS, expanded EPA Inventory requirements and a growing list of participating countries. The typical qualifications and capabilities of a professional industrial hygienist compare well with the competency requirements for the practice of PS. Also, the involvement of government agencies and private advocacy groups and institutions in Product Stewardship activities have been addressed. Keywords: IH practitioners; environmental; health and safety (EHS); hazard communication regulations; chemical safety report (CSR); product stewardship
本文总结了产品管理的原则和实践,让读者对这个日益增长的专业利基有一个有效的理解。产品管理是所有制造、销售、运输、进口或处置有害物质的商业实体所必需的一项重要的监管和健康保护活动。许多主要的化学品制造、加工和分销公司都通过他们的行业协会致力于绩效计划,所有这些计划都定义了产品管理的要素和期望。随着REACH、GHS、EPA清单要求的扩大和参与国名单的增加,PS法规的数量和复杂性在全球范围内持续增长。专业工业卫生学家的典型资格和能力与PS实践的能力要求相比较。此外,政府机构和私人倡导团体和机构参与产品管理活动的问题也得到了解决。关键词:卫生保健从业者;环境;健康和安全(EHS);危险通报条例;化学品安全报告(CSR);产品管理
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引用次数: 0
Emergency and Disaster: Preparedness, Response, and Recovery 紧急情况和灾难:准备、反应和恢复
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG116
C. Laszcz‐Davis, D. Akers, Esquire Karen J. Nardi, Margaret D. Buckalew, L. Gibbs, J. Jabara, Fabrice Lebourgeois, Ron R. McHaney, S. P. Pereira
Emergency preparedness, response and recovery is an ongoing process of planning and responding effectively to the occurrence of an event (planned or unplanned), as well as addressing the issue of recovery and restoration of operations and lives following an event. Industrial Hygienists' technical expertise as part of a team on occupational and environmental health and safety issues, is applicable to a variety of natural disasters, hazardous chemical, biological or radiological releases, and terrorism events. The American Industrial Hygiene Association (AIHA) is the premier association of occupational and environmental health and safety professionals and plays a crucial role on the front line of worker health and safety every day. In emergency planning/disaster preparedness, specific local, state, and federal roles and activities are defined, with laws outlining each governmental level's responsibilities. The “all hazards” Integrated Contingency Plan (ICP) provides a mechanism to consolidate existing concepts into a single functional plan structure. Keywords: Emergency response; OSHA standards; Chemical Safety Board (CSB); pollution legal liability (PLL) policies; natural threats
应急准备、应对和恢复是对事件(计划内或计划外)的发生进行规划和有效应对,以及处理事件发生后业务和生活的恢复和恢复问题的持续过程。工业卫生学家作为职业和环境健康与安全问题小组的一员,其技术专长适用于各种自然灾害、危险化学、生物或放射性物质释放以及恐怖主义事件。美国工业卫生协会(AIHA)是职业和环境健康与安全专业人士的首要协会,每天在工人健康和安全的第一线发挥着至关重要的作用。在应急计划/备灾方面,明确了地方、州和联邦的具体角色和活动,并通过法律概述了各级政府的责任。“所有危险”综合应急计划提供了一种机制,将现有概念合并为一个单一的功能计划结构。关键词:应急响应;OSHA标准;化学品安全委员会;污染法律责任(PLL)政策;自然的威胁
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引用次数: 2
Health and Safety Factors in Designing an Industrial Hygiene Laboratory 工业卫生实验室设计中的健康与安全因素
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG063.PUB2
Robert G. Lieckfield, M. Macomber
The chapter discusses design considerations and the health and safety factors for designing and operating the industrial hygiene laboratory, it is intended to help management plan new laboratory construction or remodel existing laboratory spaces. Keywords: laboratory ventilation; chemical storage; laboratory design; laboratory construction planning; laboratory health and safety consideratusn
本章讨论了工业卫生实验室设计和操作的设计考虑因素和健康与安全因素,旨在帮助管理层规划新的实验室建设或改造现有的实验室空间。关键词:实验室通风;化学存储;实验室设计;实验室建设规划;实验室健康和安全考虑
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引用次数: 0
Basic Aerosol Science 基础气溶胶科学
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG010.PUB2
P. Reist
Aerosol contaminants can be injurious to health, therefore it is essential to understand the behavior and properties of the aerosol. Health effects caused by aerosols depends on particle size and size distribution as well as on the composition of the particles. Other aerosol behavior including light scattering and coagulation can also vary markedly with particle size. This chapter focuses on various properties of the aerosol particle which influence the behavior, such as Stokes law, Reynolds number, Cunningham correction factor, particle motion, electrical properties, and optical properties. Keywords: particle size; particle bounce; brownian motion; homogeneous nucleation
气溶胶污染物可能对健康有害,因此了解气溶胶的行为和性质至关重要。气溶胶造成的健康影响取决于颗粒大小和颗粒分布以及颗粒的组成。气溶胶的其他行为,包括光散射和凝结,也会随着粒径的变化而显著变化。本章重点讨论影响气溶胶粒子行为的各种性质,如斯托克斯定律、雷诺数、坎宁安修正系数、粒子运动、电学性质和光学性质。关键词:粒度;粒子反弹;布朗运动;均匀成核
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引用次数: 0
The Mode of Absorption, Distribution, and Elimination of Toxic Materials 有毒物质的吸收、分布和消除模式
Pub Date : 2011-02-14 DOI: 10.1002/0471435139.HYG072
F. Mirer
Toxicology supports health risk assessments that generate exposure limits for chemicals. A toxic effect is presumed proportional to the concentration of the proximal toxicant at the target site of action. Uptake, distribution, metabolism and excretion of a toxicant explain the action of the agent and the variation in potency between exposure circumstances, species, and agents with similar mode of action. The proximal toxicant may be the parent compound or a product of metabolism of the toxic agent. Portals for entry into the body in the occupational environment are primarily inhalation and skin absorption. The most prominent determinants of absorption are physical state, particle size and lipid solubility. The liver is the most prominent organ for metabolism of toxicants, oxidation by Cytochrome P450 enzymes the most prominent metabolic pathway for activation and detoxification. Excretion pathways include exhalation of volatile compounds, transport of polar compounds to urine by the kidney and transport of lipid soluble compounds to feces via bile. Examples of agents and detailed discussion of the structure of organ systems are given. Keywords: Cytochrome P450; uptake; distribution; xenobiotics; exposure limits
毒理学支持健康风险评估,以确定化学品的接触限度。假定毒性作用与作用靶点的近端毒物浓度成正比。有毒物质的吸收、分布、代谢和排泄解释了该物质的作用,以及暴露环境、物种和具有相似作用方式的物质之间的效力变化。近端毒物可以是母体化合物或毒物代谢的产物。职业环境中进入人体的途径主要是吸入和皮肤吸收。吸收最显著的决定因素是物理状态、颗粒大小和脂溶性。肝脏是毒物代谢最重要的器官,细胞色素P450酶的氧化是激活和解毒的最重要代谢途径。排泄途径包括挥发性化合物的呼出,极性化合物通过肾脏转运到尿液,脂溶性化合物通过胆汁转运到粪便。文中给出了因子的例子和对器官系统结构的详细讨论。关键词:细胞色素P450;吸收;分布;外源性物质;接触限度
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引用次数: 0
期刊
Patty's Industrial Hygiene
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