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Characterization and Evaluation of Dust on Building Construction Sites in Brazil 巴西建筑工地粉尘特征与评价
Pub Date : 2014-03-07 DOI: 10.2174/1876216601405010001
Emilia R. Kohlman-Rabbani, A. Shapira, A. R. Martins, B. Barkokébas
Airborne dust can be hazardous to workers' health, especially when polymorphic crystalline forms of silica are present, which, depending on their concentration, specificity, and exposure time, can cause respiratory illnesses. In the majority of cases, the presence of some types of dust on building construction sites can be verified visually or through their effects, such as allergic reactions in workers and residents who live nearby. Construction workers are exposed to many raw materials and production processes that produce diverse types of dust, which propagate through the work envi- ronment and the neighborhood surrounding the construction site. The objective of this study was to quantitatively assess the exposure to dust of construction workers in Brazil, a country considered to be representative of the developing world and emerging economies. A preliminary study, conducted at several building sites to identify hazards, consisted of a sur- vey of dust-generating construction materials, processes, and equipment. Nine activities that expose workers to dust were identified, of which six were chosen for further analytical study: mortar/concrete mixing, worksite cleaning, tile cutting, plastering, woodcutting, and wall/ceiling surface sanding for paintwork. The first three activities were analyzed for the presence of free crystalline silica in the total and respirable fractions; of these, the tile-cutting activity presented the high- est exposure to silica concentration. Of the other three activities, paintwork and woodcutting exhibited total dust expo- sures equaling 368% and 159% of the international recommended limits, respectively. This study presents relevant infor- mation to help fight dust exposure on building construction sites and support the need to conduct quantitative dust analy- ses for workers in this sector in order to determine effective protection measurements.
空气中的粉尘可能对工人的健康有害,特别是当存在多晶态二氧化硅时,根据其浓度、特异性和暴露时间,可引起呼吸系统疾病。在大多数情况下,建筑工地上某些类型的粉尘的存在可以通过视觉或通过其影响进行验证,例如工人和居住在附近的居民的过敏反应。建筑工人接触到许多原材料和生产过程,这些原材料和生产过程会产生各种粉尘,这些粉尘通过工作环境和建筑工地周围的社区传播。这项研究的目的是定量评估巴西建筑工人接触粉尘的情况,巴西被认为是发展中国家和新兴经济体的代表。在几个建筑工地进行了初步研究,以确定危害,包括对产生粉尘的建筑材料、工艺和设备的调查。确定了工人接触粉尘的9项活动,其中6项被选中进行进一步的分析研究:砂浆/混凝土搅拌、工地清洁、瓷砖切割、抹灰、木刻和墙面/天花板表面打磨。前三种活性分析了总馏分和可吸入馏分中游离结晶二氧化硅的存在;其中,瓷砖切割活性表现出最高的暴露于二氧化硅浓度。在其他三种活动中,油漆和木刻的总粉尘含量分别达到国际建议限值的368%和159%。这项研究提供了有关资料,以协助打击建筑工地的粉尘暴露,并支持需要对该界别的工人进行定量的粉尘分析,以确定有效的防护措施。
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引用次数: 6
Knee Disorders Among Carpenters in the St. Louis Area. 圣路易斯地区木匠的膝关节疾病。
Pub Date : 2014-01-01 DOI: 10.2174/1876216601103010031
Lu Yuan, Bryan Buchholz, Ann Marie Dale

Construction workers, especially carpenters, have a significant number of complaints about knee disorders. Thus, it is desired to identify incident cases of knee disorders and to examine the distribution of specific knee disorders. Clinically sensible algorithms were developed to investigate the medical claims data from the union health plan for carpenters in St. Louis. As a result, 4,900 incident cases of knee disorders were identified among 23,245 medical claims during 1998-2008 and the incidence rate was approximately 153 per 10,000 FTEs (Full-time equivalents). The distribution of knee disorders was 33.1% for acute, 37.1% for subacute, and 29.8% for chronic of the total cases. The majority of carpenters among the total incident cases were Outside Journeymen, who had a much higher percentage of osteoarthritis (32.6% of their total cases). However, it was also noteworthy that Floor Layer Journeymen were diagnosed with more bursitis (32.1%) and Outside Apprentices had a higher percentage of ACL (Anterior cruciate ligament) or PCL (Posterior cruciate ligament) sprain (13.6%) and fracture (10.9%). These results describe the characteristics of knee disorders among union carpenters and provide fundamental health outcome information for further study of knee disorders and occupational risk factors.

建筑工人,尤其是木匠,对膝盖疾病有大量的抱怨。因此,需要确定膝关节疾病的事件病例,并检查特定膝关节疾病的分布。开发了临床敏感算法来调查圣路易斯木匠工会健康计划的医疗索赔数据。因此,在1998-2008年期间,在23 245份医疗索赔中确定了4 900例膝关节疾病事件,发病率约为每10 000名全职工作人员中有153人。膝关节疾患的分布为急性33.1%,亚急性37.1%,慢性29.8%。在所有事件病例中,大多数木匠是外来工,他们患骨关节炎的比例要高得多(占总病例的32.6%)。然而,同样值得注意的是,Floor Layer Journeymen被诊断出更多的滑囊炎(32.1%),而Outside学徒有更高比例的ACL(前交叉韧带)或PCL(后交叉韧带)扭伤(13.6%)和骨折(10.9%)。这些结果描述了关节木匠膝关节疾病的特征,并为进一步研究膝关节疾病和职业危险因素提供了基本的健康结果信息。
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引用次数: 4
Use of Direct Reading and Short Term Sampling of Indoor Air Quality in a Veterans Affairs Dental Clinic Laboratory for Select Air Contaminants 退伍军人牙科诊所化验室使用直接读数及短期抽样测量室内空气质素的选定空气污染物
Pub Date : 2013-11-29 DOI: 10.2174/1876216620131205002
Onwuka Okorie, R. Larson, O. Motter, M. Thiese
This screening survey was conducted to assess the concentrations of select airborne contaminants in a Veterans Affairs Medical Center Dental Laboratory. Airborne concentrations were measured for the following contaminants: ni- trous oxide (N2O), carbon dioxide (CO2), sulfur dioxide (SO2), and airborne particles or particulate matter (PM). The PM was measured and classified by the aerodynamic diameter of the particulates; specifically as PM0.3, PM0.5, PM1.0, PM2.0, PM5.0 and PM10.0.The gases were measured with a Miran Sapphire, portable infrared analyzer. The particulates were measured using the Fluke 983 Particle Counter. Using these instruments, area monitoring was conducted for concentra- tions of gases and aerosols as a result of releases from dental activities such as waxing and grinding of dental models. All area monitoring samples were collected within approximately one foot of the breathing zone of dental workers. The re- sults of this survey found the air quality in the dental laboratory was within the regulatory limits for these agents. How- ever, the concentration of SO2 was found to exceed the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Values (TLV) on more than one occasion. This was potentially due to room ventilation inade- quacies. It is recommended that the dental laboratory's ventilation system be modified and operated to assure more effec- tive dilution and removal of air contaminants.
这项筛选调查是为了评估退伍军人事务医疗中心牙科实验室中选定空气污染物的浓度。测量了以下污染物的空气浓度:氧化二氮(N2O)、二氧化碳(CO2)、二氧化硫(SO2)和空气中的颗粒物或颗粒物(PM)。通过颗粒物的空气动力学直径对颗粒物进行测量和分类;具体为PM0.3、PM0.5、PM1.0、PM2.0、PM5.0和PM10.0。气体测量用米兰蓝宝石便携式红外分析仪。使用Fluke 983粒子计数器测量颗粒。利用这些仪器,对牙科模型打蜡和研磨等牙科活动释放的气体和气溶胶浓度进行了区域监测。所有区域监测样本都是在牙科工作人员呼吸区大约一英尺范围内收集的。调查结果显示,牙科实验室的空气质素在这些物质的规定限度内。然而,二氧化硫的浓度被发现不止一次超过了美国政府工业卫生学家会议(ACGIH)的阈值限值(TLV)。这可能是由于房间通风不良造成的。建议对牙科实验室的通风系统进行改进和操作,以确保更有效地稀释和去除空气污染物。
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引用次数: 0
Evaluating Individual Physical Work Ability: Examples from the Construction Industry 评估个人体力工作能力:来自建筑行业的例子
Pub Date : 2013-08-23 DOI: 10.2174/1876216620130730001
J. Boschman, H. Molen, J. Sluiter, M. Frings-Dresen
Background: Actively searching for musculoskeletal complaints and reduced physical work ability is a key element in a job-specific workers' health surveillance programme for construction workers. The aims of this multiple-case study were 1) to explore the added value of physical performance tests in such a programme among bricklayers and su- pervisors and 2) to assess if and how these tests facilitate the recommendation of job-specific preventive actions in addi- tion to information gathered by questionnaires. Methods: Musculoskeletal complaints and reduced physical work ability were evaluated by means of a questionnaire and physical performance tests. These tests were designed in such a way that they closely resembled activities in the real working situation. Job-specific activities were performed and individual working posture and working technique were ob- served by an ergonomist. Results: The present multiple case study consists of a qualitative analysis of the information gathered during a job-specific workers' health surveillance. We included four participants: two bricklayers and two construction supervisors. We found that the information gathered during the tests supplemented the information from the questionnaire. Furthermore, the tests seemed of added value in the assessment of musculoskeletal complaints and reduced physical work ability and in observ- ing working posture and working technique. Conclusions: Standardised physical performance tests, based on a simulation of relevant job activities, are of added value in evaluating and gathering knowledge about construction workers' individual physical work ability. These tests provide the opportunity to observe restrictions in task performance, working posture and technique and to recommend job-specific preventive interventions when necessary.
背景:积极寻找肌肉骨骼疾病和体力劳动能力下降是建筑工人特定职业健康监测计划的关键因素。这项多案例研究的目的是:1)探讨在砖瓦工和监工中进行体能测试的附加价值;2)评估这些测试是否以及如何在问卷调查收集的信息之外,促进对特定工作预防措施的建议。方法:通过问卷调查和体能测试对肌肉骨骼疾患和体力劳动能力下降进行评估。这些测试的设计方式与真实工作环境中的活动非常相似。工作特定的活动进行,个人的工作姿势和工作技术由人体工程学观察。结果:本多个案研究包括对特定职业工人健康监测期间收集的信息进行定性分析。我们包括四名参与者:两名砖瓦工和两名建筑监理。我们发现,在测试过程中收集的信息补充了问卷调查的信息。此外,这些测试似乎在评估肌肉骨骼疾病和体力劳动能力下降以及观察工作姿势和工作技术方面具有附加价值。结论:基于模拟相关工作活动的标准化体能测试对评估和收集建筑工人个人体能工作能力的知识具有附加价值。这些测试为观察任务表现、工作姿势和技术方面的限制提供了机会,并在必要时建议针对特定工作的预防性干预措施。
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引用次数: 4
Occupational Health Hazards in Current Dental Profession- A Review 当前牙科行业职业健康危害综述
Pub Date : 2011-12-02 DOI: 10.2174/1876216601103010057
R. Gambhir, Gurminder Singh, Sumit Sharma, R. Brar, Heena Kakar
Dentists, as well as other dental personnel are constantly exposed to a number of specific occupational hazards. These cause the appearance of various ailments, specific to the profession, which develop and intensify with years. In many cases they result in diseases and disease complexes, some of which are regarded as occupational illnesses. Relying on relevant literature, the present paper discusses occupational hazards like stressful situations, latex hypersensitivity, al- lergic reactions due to various dental materials, exposure to radiation (ionizing and non-ionizing), percutaneous exposure incidents (PEI), hazard due to nitrous oxide gas, as well as factors leading to the musculoskeletal system diseases and dis- eases of the peripheral nervous system. Awareness regarding these occupational hazards and implementation of preven- tive strategies can provide a safe working environment for all the dental personnel. There is also a need for continuing dental education programs in dentistry so that dentists can update themselves with the latest and newer techniques and materials.
牙医,以及其他牙科人员经常暴露于一些特定的职业危害。这些导致了各种疾病的出现,这些疾病是该行业特有的,随着时间的推移而发展和加剧。在许多情况下,它们导致疾病和疾病复合体,其中一些被视为职业病。本文根据相关文献,讨论了职业性危害,如应激情况、乳胶过敏、各种牙科材料的过敏反应、辐射暴露(电离和非电离)、经皮暴露事件(PEI)、氧化亚氮气体的危害以及导致肌肉骨骼系统疾病和周围神经系统疾病的因素。对这些职业危害的认识和预防策略的实施可以为所有牙科人员提供一个安全的工作环境。牙医还需要继续牙科教育计划,这样牙医就可以用最新的技术和材料来更新自己。
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引用次数: 36
Developing a List of Compensable Occupational Diseases: Principles and Issues 制定可赔偿职业病清单:原则和问题
Pub Date : 2011-12-02 DOI: 10.2174/1876216601103010065
T. Driscoll, M. Wagstaffe, N. Pearce
Background: A number of countries have a list of occupational disorders for use in workers' compensation processes and decisions. These lists have two potential uses - to formally recognise that a disorder may be related to work (and so be potentially compensable), or to formally identify disorders that are likely to be related to work and so can be considered to have arisen from work if sufficient relevant exposure can be confirmed. However, many of these lists have shortcomings. Objectives: The aim of this paper is to provide an overview of the concepts and approaches that should be taken into ac- count when developing a list of occupational disorders that can be accepted for fast tracking of the compensation claim. Results and Conclusions: A list of occupational disorders to be used as a schedule for compensation purposes is best based on a combination of specific disorder-exposure combinations, unless the number of potential exposures linked to a particular disorder, or the number of disorders linked to a particular exposure, make it impractical to list them all. For in- clusion in a schedule it is desirable that there is strong evidence of causal link between the occupational exposure and the disorder; there are clear and repeatable criteria for diagnosing the disorder; and the disorder comprises a considerable pro- portion of the cases of that disorder in the overall population or an identifiable subset of the population.
背景:一些国家有一份职业病清单,用于工人的赔偿程序和决定。这些清单有两个潜在的用途——正式承认一种疾病可能与工作有关(因此可能得到补偿),或者正式确定可能与工作有关的疾病,因此如果可以确认足够的相关接触,则可以认为是由工作引起的。然而,这些列表中的许多都有缺点。目的:这篇论文的目的是提供一个概念和方法的概述,在制定一份可以被接受的快速跟踪赔偿索赔的职业病清单时,应该考虑到ac- count。结果和结论:用于补偿目的的职业障碍清单最好是基于特定疾病-暴露组合的组合,除非与特定疾病相关的潜在暴露数量,或与特定暴露相关的疾病数量,使得将它们全部列出是不切实际的。总之,在时间表中,最好有强有力的证据表明职业暴露与障碍之间存在因果关系;诊断这种疾病有明确和可重复的标准;并且该疾病在整个人群或人群的可识别子集中包含该疾病病例的相当大比例。
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引用次数: 7
Experiences from a Participatory Ergonomics Project Among Home Care Personnel, Informal Carers and Unit Leaders in a Swedish Municipality 瑞典市家庭护理人员、非正式护理人员和单位领导参与人体工程学项目的经验
Pub Date : 2011-11-04 DOI: 10.2174/1876216601103010048
Ingegerd Skoglind-Öhman
The aim of this study was to gain understanding and knowledge of experiences from a participative approach, inspired by action research. A qualitative analysis with inspiration from phenomenography was used. Data were collected by observations in real world work situations in care receivers own home environment, by questionnaires and interviews among home care staff, collaborating professionals and informal carers. The findings contribute to an understanding of the complexity between person, environment and task. The study points out that participation for reaching safe work perform- ance is essential regardless if the assistant is employed personnel or an informal carer, and regardless if the matter con- cerns movement and transfers or personal care.
本研究的目的是在行动研究的启发下,通过参与式方法获得对经验的理解和知识。采用了从现象学中获得灵感的定性分析方法。数据收集的方式包括:在接受照护者自己的家庭环境中观察真实世界的工作情况,对家庭照护人员、合作专业人员和非正式照护人员进行问卷调查和访谈。这些发现有助于理解人、环境和任务之间的复杂性。该研究指出,无论助理是受雇人员还是非正式的护理人员,也无论所涉及的是移动和转移还是个人护理,参与以达到安全的工作表现是必不可少的。
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引用次数: 1
Quantifying Workers’ Hazard Identification Using Fuzzy Signal Detection Theory 用模糊信号检测理论量化工人危险识别
Pub Date : 2011-08-22 DOI: 10.2174/1876216601103010018
Tariq Sami Adbelhamid
Workers' safety and health is a primary concern in the construction industry due to the significant number of occupational injuries and fatalities experienced. Previous research indicates that such injuries and fatalities are multi-causal, and one of which may be workers drifting towards hazard. The purpose of this study was to develop a method to quantify the ability of construction workers to identify hazards such that this drifting can be minimized. The paper is not reporting on a specific finding regarding hazard identification ability amongst the population of workers surveyed in the research. Rather, it is a foray into a new method that augments assessment of hazard identification abilities of workers. This research applied a hybrid model, Fuzzy Signal Detection Theory (FSDT) to quantify workers' ability to identify occupational hazards. Data was collected using a survey designed to assess construction workers' perceptions of safety specific to the risk of fall accidents for structural steel workers. An eighteen-question survey was based on standards set by national safety agencies in the United States and on a mix of conditions that were with no violation, a complete violation, and a partial violation. Both the conventional Signal Detection Theory (SDT) and FSDT were used for analysis and the results were compared. The comparison of results indicated that the FSDT model provided a richer framework to study worker hazard perception on a construction site. The methodology is expected to provide guiding framework for similar studies. Increasing data collection of the type presented in this paper will enable refinement and revision of construction occupational safety and health regulations by national agencies.
工人的安全和健康是建筑行业的一个主要问题,因为经历了大量的职业伤害和死亡。先前的研究表明,这种伤害和死亡是多原因的,其中之一可能是工人飘向危险。本研究的目的是开发一种方法来量化建筑工人识别危险的能力,从而最大限度地减少这种漂移。这篇论文并没有报道在研究中被调查的工人群体中关于危险识别能力的具体发现。相反,它是对一种新方法的尝试,该方法可以增强对工人危险识别能力的评估。本研究应用模糊信号检测理论(FSDT)的混合模型来量化工人识别职业危害的能力。数据是通过一项调查收集的,该调查旨在评估建筑工人对安全的认识,特别是对钢结构工人坠落事故的风险。一项有18个问题的调查是根据美国国家安全机构制定的标准,并在没有违规、完全违规和部分违规的情况下进行的。采用传统的信号检测理论(SDT)和FSDT进行分析,并对分析结果进行比较。结果表明,FSDT模型为研究建筑工地工人的危险感知提供了更丰富的框架。该方法有望为类似研究提供指导框架。增加本文所述类型的数据收集将使国家机构能够完善和修订建筑职业安全和卫生条例。
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引用次数: 6
Health & Safety in Construction 建筑业的健康与安全
Pub Date : 2011-08-22 DOI: 10.2174/1876216601103010008
M. Nussbaum
After a few recent years of economic challenges, the construction industry sector continues to grow internationally [1], providing jobs in affluent and developing countries as populations increase and infrastructures expand. Additionally, as demands for rebuilding and repair increase in the aftermath of natural, human-caused, and technologicallyinduced disasters, construction work will continue to be a relatively higher-growth sector compared to other industry sectors. Consequently, these factors contribute to the need for large numbers of workers who can complete construction projects rapidly while under a variety of resource constraints.
在经历了最近几年的经济挑战之后,建筑业在国际上继续增长,随着人口的增加和基础设施的扩大,在富裕国家和发展中国家提供就业机会。此外,随着自然灾害、人为灾害和技术灾害后重建和修复需求的增加,与其他行业相比,建筑工作将继续成为一个增长相对较快的行业。因此,这些因素导致需要大量能够在各种资源限制下快速完成建筑项目的工人。
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引用次数: 1
Safety Critical Incidents Among Small Construction Contractors: A Prospective Case Study 小型建筑承建商安全重大事件之前瞻性个案研究
Pub Date : 2011-08-22 DOI: 10.2174/1876216601103010039
T. Smith-Jackson, S. Artis, Yu-Hsiu Hung, H. N. Kim, Caleb T. Hughes, B. Kleiner, A. Nolden
According to a 2006 Bureau of Labor Statistics (BLS) report, approximately 90% of construction companies employ 20 or fewer workers; of these, 30% specialize in residential construction. Contractors with 10 or fewer employees are exempt from OSHA reporting requirements, unless a fatality occurs or an injury/illness leads to lost workdays for three or more employees (29 CFR 1904.1, Subpart B). This qualitative case study was conducted to understand character- istics and work patterns to develop a clearer understanding of the natural context of work, especially given the underre- porting of safety information by small construction companies. A prospective study was conducted in which construction workers logged critical incidents for four weeks. Definitions and examples of critical incidents were given to workers, along with a data logging notebook with structured questions. Workers could report the events immediately upon occur- rence or after the workday ended. A total of 102 critical incidents were reported. Content (axial coding) and cluster analy- ses were used to analyze the logs and to extract important descriptors and patterns. Results were used to characterize in- jury types, antecedents, time-of-day, and family-work involvement. Descriptions regarding the training-, resource-, and planning-related practices of small construction workers focused on the unique challenges that impose barriers and con- straints on safety climate.
根据2006年劳工统计局(BLS)的报告,大约90%的建筑公司雇佣的工人不超过20人;其中30%专门从事住宅建设。拥有10名或更少雇员的承包商不受OSHA报告要求的约束,除非发生死亡事件或受伤/疾病导致3名或更多雇员失去工作日(29 CFR 1904.1,子部分B)。本定性案例研究的目的是了解特征和工作模式,以更清楚地了解工作的自然环境,特别是考虑到小型建筑公司对安全信息的报告不足。在一项前瞻性研究中,建筑工人记录了四个星期的关键事件。工人们得到了关键事件的定义和例子,以及一个带有结构化问题的数据记录笔记本。工人们可以在事件发生时立即报告,也可以在工作日结束后报告。报告共发生102起重大事故。内容(轴向编码)和聚类分析用于分析日志并提取重要的描述符和模式。结果被用来描述陪审团类型、前因、时间和家庭工作参与。关于小型建筑工人的培训、资源和规划相关实践的描述侧重于对安全气候施加障碍和约束的独特挑战。
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引用次数: 10
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The open occupational health & safety journal
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