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A method for reducing adaptor misalignment when testing gloves using ISO 10819. 在使用ISO 10819测试手套时减少适配器错位的方法。
Pub Date : 2002-04-01 DOI: 10.1093/ANNHYG/MEF037
W. Smutz, R. Dong, B. Han, A. Schopper, D. Welcome, M. Kashon
OBJECTIVESInternational standard ISO 10819 was established in order to quantify the vibration attenuation characteristics of anti-vibration gloves. One problem that exists with the standard is possible misalignment of the palm adaptor that is placed underneath the test glove. If the adaptor becomes misaligned, the measured glove transmissibility will be lower than the actual value. A tri-axial accelerometer was installed in the adaptor and was used as the basis for providing visual feedback of the adaptor alignment to the test subjects. The objective of this study was to test the hypothesis that adaptor misalignment could be reduced by providing feedback to the test subjects.METHODSEight male volunteers (mean age 24.8 yr) were used in the study. Each subject performed two sets of tests: the standard ISO 10819 glove test and the modified version. Three different anti-vibration gloves were tested. Glove transmissibility and adaptor misalignment were calculated for each glove. A three-way analysis of variance was used to analyze the results.RESULTSA comparison of the two testing methods showed that the modified glove testing method did reduce misalignment significantly, which, in turn, resulted in an increase in the measured glove transmissibility.CONCLUSIONSThe proposed method greatly improved the standard deviation of transmissibility and made the test results more consistent.
目的建立ISO 10819国际标准,定量测定防振手套的减振特性。该标准存在的一个问题是放置在测试手套下面的手掌适配器可能不对准。如果适配器错位,测量的手套传导率将低于实际值。适配器中安装了一个三轴加速度计,作为向被试提供适配器对准视觉反馈的基础。本研究的目的是验证通过向被试提供反馈可以减少适配体错位的假设。方法选取男性志愿者8名,平均年龄24.8岁。每个受试者进行两组测试:标准ISO 10819手套测试和修改版本。测试了三种不同的防振手套。计算了每只手套的传导率和适配器对中误差。采用三向方差分析对结果进行分析。结果两种检测方法的sa比较表明,改进后的手套检测方法确实显著减少了对中偏差,从而导致测量到的手套传递率增加。结论该方法大大提高了传播率的标准偏差,使检验结果更加一致。
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引用次数: 10
A descriptive study of women injured by hand-arm vibration. 一项对女性因手臂震动而受伤的描述性研究。
Pub Date : 2002-04-01 DOI: 10.1093/ANNHYG/MEF025
S. H. Bylund, L. Burström, A. Knutsson
The aim of this study was to describe the symptoms and the prognosis of vibration injuries in women. The investigation was based on a study of 374 women who had reported an injury due to hand-arm vibration to the Social Insurance Office or had received financial compensation from the Swedish Labor Market Insurance scheme during 1988-1997. Information on, for example, self-rated health symptoms and vibration exposure was collected by means of a questionnaire. On average, the first symptoms started after 7 yr of exposure and the first visit to a doctor took place after 11 yr. Neurological symptoms developed after a shorter period of exposure compared to vascular symptoms, 6.8 and 9.2 yr, respectively. The prevalence of numbness at the time of reporting the injury was 91% and the prevalence of white fingers was reported by 54%. The occupational group with the highest prevalence of vibration injuries was dental technicians. Two thirds of the women had stopped using vibrating machines in their work. Among the women who suffered from white fingers when they reported the injury, 50% declared impairment or no improvement of the symptoms. One woman in five was retired and the same number of women had retrained due to the occupational injury.
本研究的目的是描述女性振动损伤的症状和预后。这项调查基于对374名妇女的研究,这些妇女在1988-1997年期间曾向社会保险办公室报告因手臂振动而受伤或从瑞典劳动力市场保险计划获得经济赔偿。例如,通过问卷收集了关于自评健康症状和振动暴露的信息。平均而言,首次出现症状是在接触辐射7年后,第一次就医是在11年后。与血管症状相比,神经系统症状出现的时间较短,分别为6.8年和9.2年。报告受伤时麻木的患病率为91%,报告手指白的患病率为54%。振动损伤发生率最高的职业是牙科技师。三分之二的女性在工作中不再使用振动机。在报告受伤时手指发白的女性中,50%的人声称手指受损或症状没有改善。五分之一的妇女退休,同样数量的妇女因职业伤害而接受再培训。
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引用次数: 46
European chemical regulation and occupational hygiene. 欧洲化学品法规和职业卫生。
Pub Date : 2002-04-01 DOI: 10.1093/ANNHYG/MEF049
C. Money
Occupational hygienists and other health scientists should have little problem in accepting that approaches to the management of risk should be based on soundly constructed principles of risk assessment. Such thinking permeates many aspects of occupational health practice and is reflected in supporting legal frameworks, for example the Chemical Agents Directive (EC, 1998) and UK Control of Substances Hazardous to Health (COSHH) Regulations (Department of Health, 1999). Yet within Europe, such approaches are now under discussion concerning their relevance to other aspects of chemicals management. Three areas in the current debate are most pertinent.
职业卫生学家和其他健康科学家在接受风险管理的方法应以健全构建的风险评估原则为基础方面应该没有什么问题。这种想法渗透到职业健康实践的许多方面,并反映在支持性法律框架中,例如《化学制剂指令》(欧共体,1998年)和联合王国《有害健康物质控制条例》(卫生部,1999年)。然而,在欧洲,目前正在讨论这些办法与化学品管理其他方面的关系。在当前的辩论中,有三个方面最为相关。
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引用次数: 2
Improved use of workplace exposure data in the regulatory risk assessment of chemicals within Europe. 在欧洲化学品监管风险评估中改进工作场所暴露数据的使用。
Pub Date : 2002-04-01 DOI: 10.1093/ANNHYG/MEF044
C. Money, S. A. Margary
The process of risk assessment for human health demands the availability of soundly based effects and exposure information. However, many of the available data, particularly those which seek to describe human exposures to chemicals, are of varying quality and scope. Changing public and regulatory expectations increasingly demand that the outcomes of risk assessments are seen to have duly accounted for these data, in order that their conclusions can be viewed as valid. The challenge for risk assessors, therefore, is how the different grades of data should be integrated within the overall process. A series of core values are identified that govern the relationships and the influence that different types of exposure data have within European Union (EU) regulatory risk assessment for chemicals. Building on these values, an approach is presented for evaluating workplace exposure information in the context of how such data might be used within the EU process for assessing the risks to human health of new and existing substances. The implications of adopting the approach for regulatory risk assessment within the EU and its consequent impact on current occupational hygiene practice are discussed.
人类健康风险评估过程要求提供可靠的影响和接触信息。然而,许多现有的数据,特别是那些试图描述人类接触化学品的数据,质量和范围各不相同。不断变化的公众和监管期望越来越多地要求风险评估的结果被视为适当地考虑了这些数据,以便他们的结论可以被视为有效。因此,风险评估人员面临的挑战是如何在整个过程中整合不同等级的数据。确定了一系列核心价值,这些价值支配着不同类型的接触数据在欧洲联盟(欧盟)化学品监管风险评估中的关系和影响。在这些价值观的基础上,提出了在欧盟评估新物质和现有物质对人类健康的风险的进程中如何使用这些数据的背景下评估工作场所接触信息的方法。在欧盟内采用监管风险评估方法的含义及其对当前职业卫生实践的后续影响进行了讨论。
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引用次数: 22
A proposal for evaluation of exposure data. 一项评估暴露数据的建议。
Pub Date : 2002-04-01 DOI: 10.1093/ANNHYG/MEF047
E. Tielemans, H. Marquart, J. de Cock, M. Groenewold, J. V. van Hemmen
There is a growing need for transparency concerning ways in which existing exposure data are weighted for their relative value and quality. Currently, this evaluation is largely subjective and is dependent on the quality of the judgement of the individual assessor or expert group. In this paper some general guidelines are presented for a quality assessment procedure. Such a predetermined procedure potentially enhances the consistency among different assessors and assessments and facilitates harmonization of assessment procedures. The guidelines are presented in the context of a decision tree with four decision rules for data quality, i.e. 'availability of occupational hygiene information', 'variability and precision issues', 'internal validity' and 'external validity'. These methodological issues are considered to be the most important aspects of data quality and will be discussed in this paper. The decision tree eventually results in three quality classes, i.e. exposure data providing sufficient information, supplementary information and data which should be excluded from the exposure assessment process. The guidelines should not be used in a rigid manner but have to be interpreted in the light of the particular circumstances and purposes of the assessment.
在现有暴露数据的相对价值和质量加权方式方面,越来越需要透明度。目前,这种评价在很大程度上是主观的,取决于个别评估员或专家组的判断质量。本文提出了一些质量评估程序的一般准则。这种预先确定的程序可能加强不同的评估人员和评估之间的一致性,并促进评估程序的协调。这些指导方针是在具有四个数据质量决策规则的决策树的上下文中提出的,即:“职业卫生信息的可获得性”、“可变性和精确性问题”、“内部效度”和“外部效度”。这些方法问题被认为是数据质量最重要的方面,将在本文中讨论。决策树最终产生三个质量类别,即提供充分信息的暴露数据、补充信息和应排除在暴露评估过程之外的数据。不应严格使用准则,而应根据评估的具体情况和目的加以解释。
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引用次数: 62
Time extrapolation and interspecies extrapolation for locally acting substances in case of limited toxicological data. 在有限毒理学数据的情况下,局部作用物质的时间外推和种间外推。
Pub Date : 2002-03-01 DOI: 10.1093/ANNHYG/MEF014
F. Kalberlah, U. Föst, K. Schneider
In the case of substances with a limited toxicological data base there is often (i) a lack of qualified human toxicological data; and (ii) a paucity of studies with adequate exposure duration. Hence, several extrapolations have to be performed to arrive at appropriate risk assessments or derive occupational exposure limits. The present paper deals with the possibilities for extrapolating the change in effect concentrations over time (time extrapolation, e.g. from subacute to chronic exposure) and for interspecies extrapolation (from animal to human) in connection with locally acting substances (respiratory toxicants). To justify the time extrapolation factors, 46 technical reports produced by the US National Toxicology Program (NTP) involving studies with subacute, subchronic and chronic exposure duration were evaluated. On the basis of geometric mean values, decreases in effect concentrations by factors of 3.2 (subacute --> subchronic), 2.7 (subchronic --> chronic) and 6.6 (subacute --> chronic) were found. Differentiation according to animal species (mouse, rat), sex or substance properties did not result in any relevant changes of the mean value. NTP studies with less than lifetime exposure periods (subacute, subchronic) in many cases showed different locations of respiratory effects compared with chronic studies, and thus offered limited possibilities for qualitative prediction of long-term respiratory effects (occurrence of effects in certain regions of the respiratory tract). With regard to interspecies extrapolation, gaseous and particulate substances were evaluated separately. With some modifications (e.g. consideration of the clearance of particles of low solubility), the 1994 US Environmental Protection Agency (EPA) model for deriving reference concentrations for humans on the basis of experimental data in animals is proposed for inhalable particulate substances. In the case of gaseous substances, the assumptions of the EPA model do not seem to consider sufficiently the local inhomogeneity in substance distribution and anatomical and histological differences between the upper respiratory tracts of rodents and humans. Considerable uncertainty would attach to a default factor for interspecies extrapolation for gaseous substances.
对于毒理学数据库有限的物质,通常存在以下情况:(i)缺乏合格的人体毒理学数据;(ii)缺乏足够暴露时间的研究。因此,必须进行一些外推,以得出适当的风险评估或得出职业暴露限值。本论文讨论了外推效应浓度随时间变化的可能性(时间外推,例如从亚急性暴露到慢性暴露)以及与局部作用物质(呼吸毒性物质)有关的种间外推(从动物到人类)。为了证明时间外推因素的合理性,对美国国家毒理学计划(NTP)编制的46份技术报告进行了评估,这些报告涉及亚急性、亚慢性和慢性暴露持续时间的研究。在几何平均值的基础上,发现效应浓度下降的因子为3.2(亚急性->亚慢性)、2.7(亚慢性->慢性)和6.6(亚急性->慢性)。根据动物种类(小鼠、大鼠)、性别或物质性质进行的区分没有导致平均值的任何相关变化。在许多情况下,少于终生暴露期(亚急性、亚慢性)的国家毒毒局研究与慢性研究相比,显示了不同的呼吸影响部位,因此,对长期呼吸影响(在呼吸道某些区域发生影响)进行定性预测的可能性有限。关于种间外推,气体和颗粒物质分别进行了评估。经过一些修改(例如,考虑到低溶解度颗粒的清除),1994年美国环境保护署(EPA)提出了基于动物实验数据得出人类参考浓度的可吸入颗粒物质模型。在气态物质的情况下,EPA模型的假设似乎没有充分考虑到啮齿类动物和人类上呼吸道在物质分布上的局部不均匀性以及解剖和组织学上的差异。对于气体物质的种间外推,一个默认的因素会带来相当大的不确定性。
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引用次数: 46
A Dirichlet Tessellation-based sampling scheme for measuring whole-body exposure. 一种测量全身暴露的狄利克雷镶嵌抽样方案。
Pub Date : 2002-03-01 DOI: 10.1093/ANNHYG/MEF026
J. Wheeler, N. Warren
Dermal sampling can be conducted using small pads or patches attached to various areas of the skin or clothing, or by using a whole-body coverall. Both techniques are recognized standardized methods for collecting chemicals. Patch sampling is simple to perform and inexpensive to analyse compared with an entire overall, but may require some user intervention. Extrapolation from a small sampled area to the total body area can lead to inaccurate estimates of total body exposure because of a lack of uniformity of deposition. Whole-body overall analysis eliminates the problems associated with using patches and gives a more accurate estimate of total body exposure. Therefore, if it were possible to measure the whole-body overall accurately and quickly, we would have a better assessment of dermal exposure. In this study we develop a working protocol using a standardized approach, to measure the contamination over an entire overall. The protocol takes into account size differences and establishes a reproducible pattern of sampling in order to map the distribution of contamination over each overall. The working protocol has been applied to 10 overalls collected from companies using copper-based biocides. A portable X-ray fluorescence spectrometer (PXRF) was used to measure the copper in the biocide. The exposure estimate from the PXRF results uses an averaging scheme based on the Dirichlet tessellation of the sampling locations. This allows unbiased estimates to be obtained from a complex sampling scheme that allocates more measurements to areas of high exposure. The Dirichlet tessellation method has been compared to the patch sampling method and the conventional total digestion of the entire overall method. Using the whole-suit digestion method as the benchmark, exposures ranged from 92.0 to 5848.5 mg. Mean absolute percentage errors (from the benchmark acid digestion of the whole suit) varied from approximately 20% for the Dirichlet-based PXRF method to 60% for the patch methods. The patch methods underestimated the true dermal exposure (-28 to -82% for acid digestion of the patches). Analysis of this data indicates that the Dirichlet PXRF method gives a more accurate estimate of whole-body contamination than the patch method. Furthermore, the 104 measurements give a much greater spatial resolution to the exposure data than analysis of the whole overall or patches by inductively coupled plasma-atomic emission mass spectrometry (ICP-AES). This detailed knowledge of the pattern of deposition on the body is of potential importance in chemical risk assessments.
皮肤取样可以使用附着在皮肤或衣服不同区域的小垫或贴片,或使用全身工作服进行。这两种技术都是公认的收集化学品的标准化方法。与整体取样相比,斑块取样操作简单,分析成本低,但可能需要一些用户干预。从一个小样本区域外推到整个身体区域,由于缺乏沉积的均匀性,可能导致对整个身体暴露的不准确估计。全身综合分析消除了与使用贴片相关的问题,并给出了更准确的全身暴露估计。因此,如果有可能准确而快速地测量全身,我们就能更好地评估皮肤暴露。在这项研究中,我们开发了一个使用标准化方法的工作协议,以测量整个整体的污染。该方案考虑到大小差异,并建立了可重复的采样模式,以便绘制污染在每个整体上的分布。该工作协议已应用于从使用铜基杀菌剂的公司收集的10件工作服。采用便携式x射线荧光光谱仪(PXRF)测定杀菌剂中铜的含量。PXRF结果的暴露估计使用基于采样位置的狄利克雷镶嵌的平均方案。这允许从一个复杂的抽样方案中获得无偏估计,该方案将更多的测量分配到高暴露区域。将狄利克雷镶嵌法与贴片采样法和传统的全消化法进行了比较。以全服消解法为基准,暴露量为92.0 ~ 5848.5 mg。平均绝对百分比误差(来自整个西装的基准酸消化)从Dirichlet-based PXRF方法的约20%到贴片方法的60%不等。贴片方法低估了真正的皮肤暴露(贴片的酸消化- 28%至-82%)。对这些数据的分析表明,Dirichlet PXRF方法比贴片法提供了更准确的全身污染估计。此外,与电感耦合等离子体-原子发射质谱(ICP-AES)分析整个或局部暴露数据相比,104次测量结果提供了更高的空间分辨率。这种对人体沉积模式的详细了解在化学品风险评估中具有潜在的重要性。
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引用次数: 11
The effect on heart rate and facial skin temperature of wearing respiratory protection at work. 工作时佩戴呼吸防护对心率和面部皮肤温度的影响。
Pub Date : 2002-03-01 DOI: 10.1093/ANNHYG/MEF015
I. Laird, R. Goldsmith, R. Pack, A. Vitalis
Twelve New Zealand workers from a range of occupations were studied to investigate the effect of wearing air-filtering respiratory protection on heart rate (HR) and facial skin temperature (Tlip and Tcheek) whilst working. All variables were measured continuously during simulated and actual work. The former allowed physiological measurements to be undertaken during the physical activities carried out during the work task without respirators and without exposure to hazardous airborne substances. Mean heart rates in subjects moving without respirators ranged from 75 to 94 beats/min and from 77 to 98 beats/min during respirator use at work. Mean skin temperature under the mask (Tlip) increased in 11 of the 12 subjects while using respirators (range 1.2-4.8 degrees C) but Tcheek only increased in four (range 0.6-1.5 degrees C). The use of simulated work tasks in the experiment was a compromise. The heart rate data from the real and simulated work indicated that effort and workload, though not identical, were similar. The increase in skin temperature under the mask may account for the reluctance of individuals to wear respiratory protection at work. This region of the face is very thermosensitive.
研究人员对来自不同职业的12名新西兰工人进行了研究,以调查佩戴空气过滤呼吸防护装置对工作时心率(HR)和面部皮肤温度(Tlip和Tcheek)的影响。在模拟和实际工作中连续测量所有变量。前者允许在工作任务期间进行的体力活动中进行生理测量,而不使用呼吸器,也不接触有害的空气传播物质。在工作中使用呼吸器时,受试者不佩戴呼吸器运动时的平均心率为75 - 94次/分,77 - 98次/分。在使用呼吸器时,12名受试者中有11人在口罩下的平均皮肤温度(Tlip)升高(范围为1.2-4.8摄氏度),但Tcheek只有4人升高(范围为0.6-1.5摄氏度)。在实验中使用模拟工作任务是一种妥协。真实工作和模拟工作的心率数据表明,努力和工作量虽然不相同,但相似。口罩下皮肤温度的升高可能是人们不愿在工作时佩戴呼吸防护装置的原因。脸部的这个区域对温度非常敏感。
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引用次数: 55
Urinary 1-hydroxypyrene as a biomarker of internal dose of polycyclic aromatic hydrocarbons in carbon black workers. 尿1-羟基芘作为炭黑工人多环芳烃内剂量的生物标志物。
Pub Date : 2002-03-01 DOI: 10.1093/ANNHYG/MEF017
P. Tsai, Hong‐Yong Shieh, Wen‐Jhy Lee, Hsiao-Lung Chen, T. Shih
In this study, a total of 30 workers were selected, including eight wet pelletizing workers and 22 packaging workers. For all selected workers, urine samples were collected on the first day pre-shift, first day post-shift and fifth day post-shift, and their urinary 1-hydroxylpyrene levels (1-OHP) were determined (denoted as BM1pre, BM1post and BM5post, respectively). Personal respiratory exposures, including both inhalable particle-bound PAHs (Cinh) and gaseous PAHs (Cgas), together with dermal exposure to particle-bound PAHs (Cskin) were measured. Personal background information, including age, sex and smoking habit, was carefully registered. Pyrene exposure was statistically significantly correlated with exposure to PAHs and carcinogenic PAHs. Multiple linear regression analysis results showed that the BM1post values could not be explained by workers' exposures. For BM5post in packaging workers, both the regression model (R2 = 0.73) and the regression coefficients for Cgas, Cinh and Cskin were statistically significant (P < 0.05). For pelletizing workers, the R2 value was higher but was not statistically significant because of the smaller number of workers. The resultant regression coefficients for 'sex', 'smoking habit' and 'age' were statistically insignificant (P >> 0.05), which could be because these variables made relatively small contributions to BM5post. In conclusion, this study suggests BM5post could be a suitable indicator for PAH exposures of carbon black workers, on the condition that both respiratory (including gaseous PAHs and particle-bound PAHs) and dermal exposures have been assessed.
在本研究中,共选择了30名工人,包括8名湿制粒工人和22名包装工人。对所有被选中的工人,在轮班前第一天、轮班后第一天和轮班后第五天采集尿液样本,并测定其尿液中1-羟基芘水平(1-OHP)(分别记为BM1pre、BM1post和BM5post)。测量了个人呼吸暴露,包括可吸入颗粒结合的多环芳烃(Cinh)和气态多环芳烃(Cgas),以及皮肤暴露于颗粒结合的多环芳烃(Cskin)。个人背景信息,包括年龄、性别和吸烟习惯,都被仔细地登记了下来。芘暴露与多环芳烃和致癌性多环芳烃暴露有统计学显著相关。多元线性回归分析结果表明,BM1post值不能用工人的暴露程度来解释。对于包装工人的bm5岗位,回归模型(R2 = 0.73)和Cgas、Cinh、Cskin的回归系数均有统计学意义(P < 0.05)。对于造粒工人,R2值较高,但由于工人人数较少,因此不具有统计学意义。“性别”、“吸烟习惯”和“年龄”的回归系数在统计学上不显著(P >> 0.05),这可能是因为这些变量对BM5post的贡献相对较小。综上所示,在评估了呼吸(包括气态多环芳烃和颗粒结合多环芳烃)和皮肤暴露的情况下,BM5post可以作为炭黑工人多环芳烃暴露的合适指标。
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引用次数: 32
A quantitative approach for estimating exposure to pesticides in the Agricultural Health Study. 农业健康研究中估计农药暴露的定量方法。
Pub Date : 2002-03-01 DOI: 10.1093/ANNHYG/MEF011
M. Dosemeci, M. Alavanja, A. Rowland, D. Mage, S. Zahm, N. Rothman, J. Lubin, J. Hoppin, D. Sandler, A. Blair
We developed a quantitative method to estimate long-term chemical-specific pesticide exposures in a large prospective cohort study of more than 58000 pesticide applicators in North Carolina and Iowa. An enrollment questionnaire was administered to applicators to collect basic time- and intensity-related information on pesticide exposure such as mixing condition, duration and frequency of application, application methods and personal protective equipment used. In addition, a detailed take-home questionnaire was administered to collect further intensity-related exposure information such as maintenance or repair of mixing and application equipment, work practices and personal hygiene. More than 40% of the enrolled applicators responded to this detailed take-home questionnaire. Two algorithms were developed to identify applicators' exposure scenarios using information from the enrollment and take-home questionnaires separately in the calculation of subject-specific intensity of exposure score to individual pesticides. The 'general algorithm' used four basic variables (i.e. mixing status, application method, equipment repair status and personal protective equipment use) from the enrollment questionnaire and measurement data from the published pesticide exposure literature to calculate estimated intensity of exposure to individual pesticides for each applicator. The 'detailed' algorithm was based on variables in the general algorithm plus additional exposure information from the take-home questionnaire, including types of mixing system used (i.e. enclosed or open), having a tractor with enclosed cab and/or charcoal filter, frequency of washing equipment after application, frequency of replacing old gloves, personal hygiene and changing clothes after a spill. Weighting factors applied in both algorithms were estimated using measurement data from the published pesticide exposure literature and professional judgment. For each study subject, chemical-specific lifetime cumulative pesticide exposure levels were derived by combining intensity of pesticide exposure as calculated by the two algorithms independently and duration/frequency of pesticide use from the questionnaire. Distributions of duration, intensity and cumulative exposure levels of 2,4-D and chlorpyrifos are presented by state, gender, age group and applicator type (i.e. farmer or commercial applicator) for the entire enrollment cohort and for the sub-cohort of applicators who responded to the take-home questionnaire. The distribution patterns of all basic exposure indices (i.e. intensity, duration and cumulative exposure to 2,4-D and chlorpyrifos) by state, gender, age and applicator type were almost identical in two study populations, indicating that the take-home questionnaire sub-cohort of applicators is representative of the entire cohort in terms of exposure.
我们在北卡罗莱纳州和爱荷华州对58000多名农药施用者进行了一项大型前瞻性队列研究,开发了一种定量方法来估计长期化学特异性农药暴露。对施药者进行问卷调查,收集农药暴露的基本时间和强度相关信息,如混合条件、施药时间和频率、施药方法和使用的个人防护装备。此外,还进行了详细的带回家问卷调查,以进一步收集与强度相关的暴露信息,如混合和应用设备的维护或修理、工作习惯和个人卫生。超过40%的申请者回答了这份详细的带回家的问卷。开发了两种算法,分别使用登记和带回家的问卷信息确定施药者的暴露情景,以计算受试者对每种农药的暴露强度得分。“通用算法”使用登记问卷中的四个基本变量(即混合状态、施药方法、设备维修状态和个人防护装备使用情况)和已发表的农药暴露文献中的测量数据来计算每个施药者对每种农药的估计暴露强度。“详细”算法基于一般算法中的变量以及从带回家的问卷中获得的额外暴露信息,包括使用的混合系统类型(即封闭式或开放式),使用封闭式驾驶室和/或木炭过滤器的拖拉机,使用后洗涤设备的频率,更换旧手套的频率,个人卫生和泄漏后更换衣服的频率。两种算法中使用的加权因子是根据发表的农药暴露文献和专业判断的测量数据估计的。对于每个研究对象,将两种算法独立计算的农药暴露强度与问卷中农药使用时间/频率相结合,得出化学物质特异性终生累积农药暴露水平。2,4- d和毒死蜱的持续时间、强度和累积暴露水平分布按州、性别、年龄组和施药者类型(即农民或商业施药者)对整个入组队列和对带回家问卷的施药者亚队列进行了描述。在两个研究人群中,按州、性别、年龄和施药者类型划分的所有基本暴露指数(即2,4- d和毒死蜱的暴露强度、持续时间和累积暴露)分布模式几乎相同,表明施药者的带回家问卷亚队列在暴露方面具有整个队列的代表性。
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引用次数: 251
期刊
The Annals of occupational hygiene
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