Blood levels of DDT, DDE, and other DDT metabolites were determined in a group of workers with previous occupational exposure to DDT as spraymen. The larger part of total DDT was in the form of metabolite DDE, which is thought to be introduced into the human body primarily from external sources. Total DDT blood level was correlated positively with both age and occupational exposure (R = 0.58 and 0.52, respectively), and linear regressions between storage and these variables were demonstrated. Although the storage of these compounds in body fat was not studied, the analysis of covariance showed a significant increase of DDT blood level in the group of workers with longer occupational exposure, which was not dependent on age.

Adult↗

PubMedDate not supplied

[Occupational asthma caused by dioctyl-phthalate in a bottle cap production worker].

The authors describe a clinical case of occupational asthma due to dioctyl-phthalate in a worker using a conveyor belt for bottle stoppers. The dioctyl-phthalate is used for the production of PVC and as a compound of many other substances. The literature describes many cases of occupational asthma do to phthalate anhydride but few cases do to dioctyl phthalate. The clinical history, the environmental monitoring data, the pulmonary function tests such as bronchodilatation test by salbutamol, peak flow meter daily monitoring for three weeks, and stop and start work test showed a good correlation with the work and the worker's asthma. The authors emphasize that a detailed clinical history and a careful analysis of the production cycle are very useful and, as simple and non invasive tests, can play an important role in the diagnosis of occupational asthma.

Albuterol↗

PubMedDate not supplied

Improved respiratory CO2-He analysis for peripheral airways impairment detection. Utilization possibilities of a new computerized system in preventive medicine studies.

The authors illustrate the application possibilities in occupational and preventive medicine of a recently computerized system for the evaluation of peripheral ventilatory non-homogeneities with or without alveolar air trapping. The method consists of an improved individual multiple breath by breath test utilizing the analysis of the respiratory gases CO2 and He. It is based on the results of previous experimental measurements performed simultaneously in different pulmonary sectors an depends on the technical possibility of signalizing out-of-phase expired CO2-He mixtures at the end of the inert gas clearance when in subjects with peripheral respiratory disorders the two gases CO2 and He arrive at the mouth at different times, during the same expiration and cause different, opposite signals. The applied physiological reliability of the measurements was experimentally verified, their technical specificity was recently established. The use of a new computerized system allows actually automatic, on-line measurements under the control of the operator, following a standardized method. The resolution power of the signals is very high. The calculation of the results is performed by the software. The system is easy to transport and can be used in the field for screening on large groups of persons in preventive medicine inquiries and during occupational medicine checks. Quite recently it has been usefully employed during an investigation on 200 subjects, occupationally exposed (policemen of the city traffic department of the town of Bologna).

Breath Tests↗

PubMedDate not supplied

[Microtrauma radial thrombosis].

The articles describes a case of radial artery thrombosis by repeated microtrauma. It describes, by one side, the occupational history, the personal habits and the typical movement and condition of the hands while working, on the other, the clinical and diagnostic picture of radial artery thrombosis. Then it shows the correlation between occupational factors and radial artery thrombosis and so the occupational genesis (repetitive microtrauma) of the disease.

Cumulative Trauma Disorders↗

PubMedDate not supplied

[Use of diverse diagnostic techniques in the study of silicosis].

This study would examine the efficiency of different diagnostic tools, imaging and functional, in the study of pulmonary system of workers exposed to silicotigen dusts. 24 male miners were examined with chest H.R.T.C., spirometry with study of DLCO and of total lung capacity. 13 of 24 miners were submitted to pulmonary ventilatory scintigraphy (99mTcDTPA). All 24 miners were previously yet submitted to two follow-up by means of chest radiography in conformity with ILO guidelines. The chest radiography, even evaluated in conformity with ILO guidelines, is subject to remarkable differences when performed and reported by different operator. Useful data are provided by functional studies. H.R.T.C. is necessary to evaluate the degree of parenchymal involvement and for medicolegal porpoises. Scintigraphy with 99mTc DTPA need of further studies in the evaluation of exposure to silicotigen dusts.

Adult↗

PubMedDate not supplied

[Four-year follow-up of a group of workers with allergic sensitization employed in breeding of insects for biological pest control].

In two previous papers we reported allergic diseases in workers employed in breeding insects for biological pest control. It was found that Ephestia kuehniella, Orius laevigatus and other insects caused allergic rhinoconjunctivitis and asthma. The aim of this new study was to assess the relationship between the implementation of the recommended preventive measures and the decrease in sensitization in exposed workers. We performed a four-year follow-up of exposed workers, using the prick test and RAST with specific allergens and pulmonary function test at the end of the work shift. The results showed a decrease in skin test sensitization for Orius and Ephestia, a decrease in allergic diseases in the previously studied workers, and no symptoms in recently employed workers. These results confirm the validity of the recommended preventive measures: semi-closed cycles, gloves, protective masks, overalls and sunglasses.

Adult↗

PubMedDate not supplied

[Bronchial hyperreactivity to methacholine in a group of bakers sensitized to wheat flour].

BACKGROUND: Bakers' allergic diseases are a well known occurrence. Wheat flour is the most important allergen responsible for rhinoconjunctivitis and IgE mediated asthma. The good correlation between atopy, wheat flour sensitization and allergic diseases is also well known. In a previous study we described the results concerning sensitivity to wheat flour in a group of 300 bakers, followed up for 8 years. In this study we showed that the same subjects who were sensitive to wheat flour had no symptoms. AIM: The aim of this study was to carry out the metacholine test for bronchial hyperreactivity in a group of 14 bakers selected from the group of 300 previously studied. METHODS: The subjects underwent: pulmonary function test, IgE test, skin prick test with grass pollen, Dermatophagoides farinae, Dermatophagoides pteronissinus, wheat flour, and the metacholine test. RESULTS: The results of the metacholine test showed only one positive case in a subject with positive skin prick test. This agreed with the assumptions of our previous study that showed a sensitization (10%) to wheat flour but a low prevalence of allergic symptoms. CONCLUSIONS: Limited to the subjects studied, the results indicate an absence of a relationship between positive prick tests and aspecific bronchial hyperreactivity. Recent research that suggest a probable different genetic control of atopy, bronchial hyperreactivity and asthma is discussed. In our opinion effective primary and secondary prevention could account for this absence of relationship.

Adolescent↗

PubMedDate not supplied

[Evaluation of some indices of hepatic and renal function in a group of workers chronically exposed to antiparasitic agents. Note I].

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Adult↗