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Biomedical subjects

M B Schenker

Publications and source records attributed to M B Schenker.

At least 19 recordsLinked to original sources
PubMed2005

Application of an enzyme-linked immunosorbent assay for the analysis of paraquat in human-exposure samples.

Paraquat is a toxic quaternary ammonium compound used as an herbicide around the world. Easy, fast, and inexpensive but sensitive methods are needed to study the effects of long-term, low-level exposure of paraquat on human health. An enzyme-linked immunosorbent assay (ELISA) was used for quantification of paraquat in urine and air-filter samples collected in a human-exposure study among farm workers in Costa Rica. A sample pretreatment consisted of removal of interfering substances using solid-phase extraction resin columns. The precision and accuracy of the method were tested using duplicate spiked urine samples. The correlation between results for blind samples obtained using ELISA and liquid chromatography-mass spectrometry was significant (R2 = 0.945 and 0.906 for spiked and field samples, respectively). With an LOQ of 2 ng mL(-1), this ELISA method was able to distinguish the exposed from the nonexposed farm workers. For the air-filter analysis, paraquat was extracted by 9 M H2SO4 at 60 degrees C for 12 hours, and the results obtained by ELISA showed good correlation (R2 = 0.918) with the spectrophotometric (256 nm) measurements. Paraquat in acid-stabilized urine samples was very stable, and no significant losses were detected during a 3-month storage at room temperature, at 4 degrees C, or at -20 degrees C.

Air Pollutants↗
PubMed2004

Nonfatal occupational injury among California farm operators.

We conducted a population-based telephone survey addressing farm-work-related (FWR) injuries among California farm operators. Of 1947 participants (80.4% response), 135 farm operators reported 160 FWR injuries in the preceding year, yielding a one-year cumulative incidence for any FWR injury of 6.9% (95% CI 5.8%-8.2%), or a mean 8.2 FWR injuries per 100 farmers in the preceding year (95% CI 6.8-9.7). Multiple injury events in the same individual occurred more frequently than predicted by chance. Sprains and strains (29.4%) were the most frequently reported injury and predominantly involved the back. Overexertion represented the most frequent external cause (24.2%), followed by machinery (14.3%), falls (13.0%), and animals (12.4%). Factors associated with FWR injury included white ethnicity (OR 3.19; 95% CI 1.38-7.36), increased annual hours worked on the farm, low levels of administrative work, and increased percentage of time working with livestock. FWR injury experience of California farm operators is comparable with that reported for other agricultural populations. Above-expected frequency of multiple injuries supports involvement of personal or environmental risk factors. Preventive efforts should focus on higher-risk groups and preventing overexertion and muscle strain and injury related to machinery, falls, and animals, especially livestock.

Accidents, Occupational↗
PubMed2002

Current health effects of agricultural work: respiratory disease, cancer, reproductive effects, musculoskeletal injuries, and pesticide-related illnesses.

Agriculture has experienced major bio-technological advances and economic and socio-cultural disruptions since the publication of "Agriculture at Risk" in 1988. At that time, it was recognized that there were acute needs in the prevention of musculoskeletal syndromes and injuries, agricultural respiratory disease, noise-induced hearing loss, pesticide-related illnesses, and concerns regarding the excesses of cancers noted in epidemiological studies of farmers. In this article, we discuss the progress made in identification of new respiratory syndromes related to confined animal feeding operations, pesticide-related illnesses, cancers implicating agricultural exposures, and ergonomics in agriculture. The focus is on the current state of knowledge in these areas, the author's recommendations for further improvement in research techniques, and the potential application of this information to improve human health in production agriculture nationwide.

Agricultural Workers' Diseases↗
PubMed2001

Self-reported hand dermatitis in California veterinarians.

BACKGROUND: Veterinarians are exposed to allergens, dirt, and chemicals, but there are very few epidemiologic data on dermatoses veterinarians. OBJECTIVE: The aim of this study is to get information about skin diseases in veterinary work. METHODS: A sample of California veterinarians were sent a questionnaire, which was returned by 73% (n = 1,416). RESULTS: History of skin atopy was reported by 11% and respiratory atopy by 63%. Dermatoses during their career were reported by 46%, and hand and/or forearm dermatitis was reported more than once and during the past year by 22% of women and 10% of men. Dermatitis with work-related exacerbating factors was reported by 28%. Almost 1 of 5 veterinarians reported animal-related skin symptoms. Other aggravators were medications (2%), gloves (4%), and other chemicals (7% of respondents). Of those with animal-related dermatitis, 65% reported only 1 animal (dog, 66%; cat, 29%; horse, 9%; and cattle, 8%), and 66% reported the symptoms appeared in minutes after the contact. In logistic analysis, the risk factors for the appearance of hand/forearm dermatitis during the past 12 months and more than once during their career, were: history of skin atopy (odds ratio, 3.5), childhood hand dermatitis (odds ratio, 3.4), history of respiratory atopy (odds ratio, 2.0), and female sex (odds ratio, 1.9). CONCLUSIONS: Veterinarians' skin symptoms were common and often caused by immediate allergy to 1 or few animal species.

Adult↗
PubMed2000

Personal fluoride and solvent exposures, and their determinants, in semiconductor manufacturing.

Personal air sampling for fluorides and solvents was done at 35 semiconductor fabrication facilities in the United States. Fluoride compounds were used in etching and cleaning operations, and solvents were used in photoresist and developing operations. All personal solvent and fluoride levels were less than 2 percent of current Occupational Safety and Health Administration (OSHA) standards. Statistical models of the exposure determinants for the target agents found production level, as indicated by number of semiconductor wafer cassettes loaded/unloaded from the target machines or baths, was predictive of fluoride, xylene and 1-methoxy-2-propyl acetate exposures. The percent of fresh air ventilation and the percent of xylene in the photoresist were also significant determinants in the statistical model predicting personal xylene exposure levels.

Air Pollutants, Occupational↗
PubMed2000

Environmental asbestos exposure and mesothelioma.

Epidemiologic studies of mesothelioma have focused primarily on occupational exposures to asbestos. Nonoccupational exposure to asbestos can be grouped into three main categories: paraoccupational (familial), neighborhood, and true environmental exposures. Elevated mesothelioma rates not attributable to occupational exposures have been observed in asbestos mining and manufacturing areas. Asbestos is one of the most dangerous environmental carcinogens because of the small dose known to cause mesothelioma and the rapid lethality of the disease once it develops. Further research is needed to characterize the contribution and risk profile for environmental asbestos and mesothelioma, and for the development of public health policy.

Asbestos↗
PubMed2000

Distribution of particulate matter and tissue remodeling in the human lung.

We examined the relationship between intrapulmonary particle distribution of carbonaceous and mineral dusts and remodeling of the airways along anatomically distinct airway paths in the lungs of Hispanic males from the central valley of California. Lung autopsy specimens from the Fresno County Coroner's Office were prepared by intratracheal instillation of 2% glutaraldehyde at 30 cm H(2)O pressure. Two distinct airway paths into the apico-posterior and apico-anterior portions of the left upper lung lobe were followed. Tissue samples for histologic analysis were generally taken from the intrapulmonary second, fourth, sixth, and ninth airway generations. Parenchymal tissues beyond the 12th airway generation of each airway path were also analyzed. There was little evidence of visible particle accumulation in the larger conducting airways (generations 2-6), except in bronchial-associated lymphoid tissues and within peribronchial connective tissue. In contrast, terminal and respiratory bronchioles arising from each pathway revealed varying degrees of wall thickening and remodeling. Walls with marked thickening contained moderate to heavy amounts of carbonaceous and mineral dusts. Wall thickening was associated with increases in collagen and interstitial inflammatory cells, including dust-laden macrophages. These changes were significantly greater in first-generation respiratory bronchioles compared to second- and third-generation respiratory bronchioles. These findings suggest that accumulation of carbonaceous and mineral dust in the lungs is significantly affected by lung anatomy with the greatest retention in centers of lung acini. Furthermore, there is significant remodeling of this transitional zone in humans exposed to ambient particulate matter.

Adolescent↗
PubMed1999

Personal exposure to dust, endotoxin and crystalline silica in California agriculture.

AIMS: The aim of this study was to measure personal exposure to dust, endotoxin and crystalline silica during various agricultural operations in California over a period of one year. METHODS: Ten farms were randomly selected in Yolo and Solano counties and workers were invited to wear personal sampling equipment to measure inhalable and respirable dust levels during various operations. The samples were analysed for endotoxin using the Limulus Amebocyte Lysate assay and crystalline silica content using X-ray diffraction. In total 142 inhalable samples and 144 respirable samples were collected. RESULTS: The measurements showed considerable difference in exposure levels between various operations, in particular for the inhalable fraction of the dust and the endotoxin. Machine harvesting of tree crops (Geometric mean (GM) = 45.1 mg/m3) and vegetables (GM = 7.9 mg/m3), and cleaning of poultry houses (GM = 6.7 mg/m3) showed the highest inhalable dust levels. Cleaning of poultry houses also showed the highest inhalable endotoxin levels (GM = 1861 EU/m3). Respirable dust levels were generally low, except for machine harvesting of tree crops (GM = 2.8 mg/m3) and vegetables (GM = 0.9 mg/m3). Respirable endotoxin levels were also low. For the inhalable dust fraction, levels were reduced considerably when an enclosed cabin was present. The percentage of crystalline silica was overall higher in the respirable dust samples than the inhalable dust samples. CONCLUSIONS: Considerable differences exist in personal exposure levels to dust, endotoxin and crystalline silica during various agricultural operations in California agriculture with some operations showing very high levels.

Agriculture↗
PubMed1998

Determinants of personal dust exposure during field crop operations in California agriculture.

The aim of this study was to identify determinants, if any, of personal dust exposure levels during agricultural field crop operations in California. Personal dust concentrations were measured with four-stage cascade impactors and respirable dust cyclones. Altogether, 57 cascade impactor measurements and 63 cyclone measurements were used for analyses. High personal dust concentrations were measured during most operations, in particular during ground preparation operations such as land planing and discing. For the larger dust particles, which is dust collected on all stages of the cascade impactor and dust with a 50% cutoff < 9.8 microns, the most important determinants of personal dust exposure were the presence of an enclosed cabin, relative humidity, type of operation, and tractor speed. The presence of an enclosed cabin on the tractor, higher relative humidity, and lower tractor speed were all associated with a decrease in personal dust levels. For smaller dust particles, which is dust with a 50% cutoff < 3.5-4 microns, the presence of an enclosed cabin, relative humidity, and soil temperature appear to be related to dust levels. The results of this study could be used to reduce the high levels of personal dust exposure currently experienced by those who work in field crop farming in California.

Agriculture↗
PubMed1998

Exposure to dust and its particle size distribution in California agriculture.

The aim of this study was to measure personal dust exposure levels and the dust particle size distribution during various agricultural operations in California. Personal dust exposure levels were measured with four-stage cascade impactors and respirable dust cyclones during field crop, fruit and nut farming, and dairy operations at three farms. Altogether, 103 cascade impactor measurements and 108 cyclone measurements were taken. High personal dust exposure levels were measured during various operations in particular during ground preparation operations such as land planing (geometric mean [GM] = 57.3 mg/m3, geometric standard deviation [GSD] = 2.4) and discing (GM = 98.6 mg/m3, GSD = 2.9). Dust particles were relatively large and the great majority belonged to the extrathoracic fraction. Dust levels were considerably lower when an enclosed cabin was present on the tractor; for example, during discing, dust exposure levels were reduced more than sixtyfold for the larger dust particle fraction and more than fourfold for the respirable dust fraction.

Agriculture↗
PubMed1997

Risk factors for systemic illnesses following agricultural exposures to restricted organophosphates in California, 1984-1988.

Organophosphate (OP)-related systemic illnesses reported to the Worker Health and Safety (WH&S) Branch, and restricted OP-related agricultural use data reported to the Information Services Branch at the California Department of Food and Agriculture (CDFA) (now CAL-EPA) during 1984-1988 were used to assess factors associated with OP-related systemic illnesses. Counts of OP-related systemic illnesses (numerator), relative to OP-related use data (denominator), such as pounds applied, number of applications, and acres treated (pounds applied/acres treated), were analyzed by crop treated, season of application, method of application, geographic region, and by specific OP applied. A Relative Illness/Use Ratio (RIUR) was calculated by Poisson regression. The highest risk of systemic illness was associated with OP applications to fleshy fruit (mainly fruit trees) compared to all other crops combined (RIUR = 2.9, 95%CI = 2.2-3.9) using pounds applied in the denominator, followed by vegetables and melons (RIUR = 1.9, 95%CI = 1.4-2.4). Air applications resulted in higher RIURs for systemic illness than did ground applications (RIUR = 2.1, 95%CI = 1.7-2.5). Specific OPs that showed significantly elevated RIURs for systemic illness when compared to other OPs were Mevinphos (RIUR = 5.8, 95%CI = 5.0-6.8), Demeton (RIUR = 4.3, 95%CI = 2.6-7.1), Oxydemeton-Methyl (RIUR = 3.8, 95%CI = 3.0-4.9), Methamidophos (RIUR = 1.6, 95%CI = 1.2-2.0) and Azinphos-Methyl (RIUR = 1.3, 95% CI = 1.1-1.6).

Adult↗
PubMed1997

The relation between subjective dust exposure estimates and quantitative dust exposure measurements in California agriculture.

Measuring exposure levels for epidemiologic research is time consuming and expensive and therefore subjective exposure estimates are sometimes used instead. In this study we related the subjective dust exposure estimates of workers in California agriculture to personal dust exposure measurements. One hundred and twenty-four observations were available for comparison of subjective dust estimates and inhalable dust measurements and 129 observations for comparison of subjective dust estimates and respirable dust measurements. Individual subjective dust estimates showed weak to moderate correlations with measured dust concentrations for both the inhalable (Rs = 0.67) and respirable dust fraction (Rs = 0.36). The within-worker reliability coefficients were low (0.2 and 0.1, respectively). Grouped subjective dust estimates performed better and showed a consistent increase with average measured dust levels, in particular for the inhalable dust fraction (R2 = 0.81). Age, the number of years working in agriculture, education level, the presence of any respiratory symptoms, and the language of the questionnaire did not have a significant independent effect on the relationship between measured dust levels and subjective dust estimates. California agricultural workers appear to be reasonably good at estimating inhalable dust levels, in particular if an average of many different workers is taken, but they are unable to provide good estimates of respirable dust levels. Measuring dust levels remains the preferred option.

Agriculture↗
PubMed1997

Self-reported stress and reproductive health of female lawyers.

We studied the prevalence and relationship of stress and working conditions with adverse reproductive outcomes in a cohort of female US law-school alumnae. A total of 584 female lawyers (74% response), aged 25 to 63, responded to a mailed questionnaire. Job hours per week was a strong predictor of job stress. In a logistic regression analysis, women working > 45 hours/week were five times as likely to report high stress as those working < 35 hours/week. Marriage and length of time on the job showed a small inverse association with stress. Women who worked more than 45 hours/week during their first trimester of pregnancy were more likely to report high stress at work during pregnancy. After being adjusted for confounding factors, weekly job hours during the first trimester of pregnancy showed a strong independent association with spontaneous abortion risk (odds ratio [OR], 3.0; 95% confidence interval [CI], 1.4 to 6.6). Seven or more alcohol drinks/week was also independently associated with spontaneous abortion risk (OR, 4.8; 95% CI, 1.5 to 18.1). Self-reported stress during pregnancy was positively but not statistically significantly associated with spontaneous abortion (OR, 1.4; 95% CI 0.8 to 2.3).

Abortion, Spontaneous↗
PubMed1996

Validity of surrogates for determination of 30-1000 Hz magnetic field exposure for video display terminal users in office settings.

In studies investigating adverse reproductive outcomes associated with video display terminal (VDT) usage, amounts of time spent in front of a VDT or magnetic field (MF) levels in front of the VDT are used as surrogate measures of subject's MF exposure. However, the relevance of such surrogates to actual exposures has not been demonstrated, and the validity of the use of such measures as a surrogate for the actual MF exposure is only speculative. This study examines 1) measurements of MFs at frequencies of approximately 30-1000 Hz at a fixed distance from the VDTs, 2) reported hours of VDT use, and 3) reported distance between the VDT and the subject's waist as surrogate measures for the average MF exposure level of a VDT user during one 8 h workday. The results showed a weak correlation between the average exposure level of a VDT user and the MF 46 cm from a VDT (R = 0.52, n = 67, P < 0.001). This study showed no association between self-reported hours of VDT usage, or self-reported distance between waist and VDT, and the average MF exposures. Moreover, individuals' average MF exposures did not seem to be affected by other variables, such as position of a VDT on the desk, hours of desk use, and the VDT type (color vs. monochrome). These findings indicate that VDT exposures within office settings are complex and cannot be easily predicted by surrogates.

Computer Terminals↗
PubMed1996

Occupationally induced airways obstruction.

The studies reviewed in this article indicate the association of occupational exposure to a variety of organic and inorganic dusts and various gases and fumes with chronic bronchitis and decrements of FEV1. Usually an obstructive pattern was noted, although in some occupations a similar decrement in FVC was noted. The effect of smoking on chronic bronchitis, respiratory symptoms, and FEV1 was usually additive, although workers exposed to cotton dust in one study demonstrated an interaction between exposure and smoking, as did a study of a general population sample. In coal workers, exposure to dust in younger workers resulted in a greater decline in lung function than if the exposure occurred in older workers. Studies in coal miners and grain workers further suggest that occupational standards in effect are not sufficient to protect the working population from adverse effects. The magnitude of the effect of occupation on decrement in FEV1 is usually less than cigarette smoking. Studies in coal miners indicate, however, that a minority of workers could be more severely affected by exposure. When considered together with cigarette smoking, additional decrements in lung function because of occupational exposure could contribute to disability. Additional study is needed for better understanding of exposure-response relationships, host factors, potential interaction with cigarette smoking, and pathophysiology of the development of occupationally induced airway disease.

Adult↗
PubMed1996

Respiratory effects of organic solvent exposure.

Organic solvents are widely used in industrial processes and found in many common household products. Exposures to solvents are common in both idustrialized and industrializing countries. While organic solvents exposure is well known to produce central nervous system toxicity, hepatic, renal and dermatologic injury, the respiratory effects of solvent exposure are poorly documented. Several recent population-based epidemiologic studies have found an independent association of occupational solvent exposure with respiratory symptoms, impaired pulmonary function or respiratory disease, but interpretation of these studies is limited by self-reported exposure data. Animal studies have demonstrated adverse effects in both the conducting and the respiratory airways, although often at very high exposure levels. Human chamber studies have most consistently reported irritation of the eyes, nose and throat without evidence of airway hyper-responsiveness. Case series have observed obstructive and restrictive effects in patients with high level inhalational exposures to solvents, particularly formaldehyde, but occupational epidemiologic studies have not consistently demonstrated changes in pulmonary function. Finally, mortality studied have not found increased mortality rates from respiratory disease in occupations associated with solvent use. In general, solvents have been demonstrated to cause mucosal irritation of the eyes and upper airways, but studies of pulmonary impairment following exposure have been limited and inconsistent. Solvent-mediated respiratory toxicity is biologically plausible, but further research is needed to better characterize exposures and to elucidate the specific mechanisms associated with injury.

Animals↗
PubMed1996

Respiratory health of California rice farmers.

Rice farmers are occupationally exposed to agents that may affect respiratory health, including inorganic dusts and smoke from burning of agricultural waste. To assess respiratory health of this occupational group, we conducted a cross-sectional study, including a self-administered health and work questionnaire, spirometry, and chest radiography among 464 male California rice farmers. Mean age +/- SD was 48.3 +/- 15.2 yr; mean duration of rice farming was 25.7 +/- 14.3 yr. Prevalences for respiratory symptoms were: chronic bronchitis (6.3%), physician-diagnosed asthma (7.1%), and persistent wheeze (8.8%). Chronic cough was reported by 7.1% of respondents and was associated with reported hours per year burning rice stubble. Mean FEV1 and FVC were at expected values. FEV1 was inversely associated with years working in rice storage and use of heated rice dryers. Mean FEF25-75 was 93% of expected and was inversely associated with rice storage activities involving unheated rice driers. ILO profusion scores > or = 1/0 for small irregular opacities were seen in 18 (10.1%) of 178 chest radiographs. Study findings suggest increased asthma prevalence among California rice farmers. Radiologic findings consistent with dust or fiber exposure were increased compared with those of the general population, although no associations with specific farming activities were identified.

Agriculture↗