PubMed Health⌕ Search

Biomedical subjects

Y L Ng

Publications and source records attributed to Y L Ng.

At least 19 recordsLinked to original sources

Use of activated carbon as a support medium for H2S biofiltration and effect of bacterial immobilization on available pore surface.

The use of support media for the immobilization of microorganisms is widely known to provide a surface for microbial growth and a shelter that protects the microorganisms from inhibitory compounds. In this study, activated carbon is used as a support medium for the immobilization of microorganisms enriched from municipal sewage activated sludge to remove gas-phase hydrogen sulfide (H2S), a major odorous component of waste gas from sewage treatment plants. A series of designed experiments is used to examine the effect on bacteria-immobilized activated carbon (termed "biocarbon") due to physical adsorption, chemical reaction, and microbial degradation in the overall removal of H2S. H2S breakthrough tests are conducted with various samples, including microbe-immobilized carbon and Teflon discs, salts-medium-washed carbon, and ultra-pure water-washed carbon. The results show a higher removal capacity for the microbe-immobilized activated carbon compared with the activated carbon control in a batch biofilter column. The increase in removal capacity is attributed to the role played by the immobilized microorganisms in metabolizing adsorbed sulfur and sulfur compounds on the biocarbon, hence releasing the adsorption sites for further H2S uptake. The advantage for activated carbon serving as the support medium is to adsorb a high initial concentration of substrate and progressively release this for microbial degradation, hence acting as a buffer for the microorganisms. Results obtained from surface area and pore size distribution analyses of the biocarbon show a correlation between the available surface area and pore volume with the extent of microbial immobilization and H2S uptake. The depletion of surface area and pore volume is seen as one of the factors which cause the onset of column breakthrough. Microbial growth retardation is due to the accumulation of metabolic products (i.e., sulfuric acid); and a lack of water and nutrient salts in the batch biofilter are other possible causes of column breakthrough.

Adsorption↗

Volatile organic compound adsorption in a gas-solid fluidized bed.

Fluidization finds many process applications in the areas of catalytic reactions, drying, coating, combustion, gasification and microbial culturing. This work aims to compare the dynamic adsorption characteristics and adsorption rates in a bubbling fluidized bed and a fixed bed at the same gas flow-rate, gas residence time and bed height. Adsorption with 520 ppm methanol and 489 ppm isobutane by the ZSM-5 zeolite of different particle size in the two beds enabled the differentiation of the adsorption characteristics and rates due to bed type, intraparticle mass transfer and adsorbate-adsorbent interaction. Adsorption of isobutane by the more commonly used activated carbon provided the comparison of adsorption between the two adsorbent types. With the same gas residence time of 0.79 seconds in both the bubbling bed and fixed bed of the same bed size of 40 mm diameter and 48 mm height, the experimental results showed a higher rate of adsorption in the bubbling bed as compared to the fixed bed. Intraparticle mass transfer and adsorbent-adsorbate interaction played significant roles in affecting the rate of adsorption, with intraparticle mass transfer being more dominant. The bubbling bed was observed to have a steeper decline in adsorption rate with respect to increasing outlet concentration compared to the fixed bed. The adsorption capacities of zeolite for the adsorbates studied were comparatively similar in both beds; fluidizing, and using smaller particles in the bubbling bed did not increase the adsorption capacity of the ZSM-5 zeolite. The adsorption capacity of activated carbon for isobutane was much higher than the ZSM-5 zeolite for isobutane, although at a lower adsorption rate. Fourier transform infra-red (FTIR) spectroscopy was used as an analytical tool for the quantification of gas concentration. Calibration was done using a series of standards prepared by in situ dilution with nitrogen gas, based on the ideal gas law and relating partial pressure to gas concentration. Concentrations up to 220 ppm for methanol and 75 ppm for isobutane were prepared using this method.

Adsorption↗

Removal of odorous sulphur-containing gases by a new isolate from activated sludge.

Biological treatment of odorous sulphur-containing compounds is attracting attention due to its benign eco-friendliness, energy-savings and low operating costs. As the biological treatment efficiency of dimethylsulphide (DMS) reported was often low and variable, selection of useful DMS-degrading microorganisms is of importance for the enhancement of the biological deodorizing process. This paper reports the successful isolation of a DMS-degrading bacterium from activated sludge, using the enrichment isolation technique. The isolate was identified by 16S rRNA gene sequencing, and found to belong to the alpha group of Proteobacteria, with an identity of 99.4% and 99.1% to the 16S rRNA gene sequences of Afipia felis and Pseudomonas carboxydohydrogena, respectively. The isolate was able to metabolize DMS as well as hydrogen sulphide (H2S). A batch experiment was performed to assess the removal characteristics of DMS by the isolate. The results showed that over half of DMS could be removed by the isolate in 3 hours when the initial DMS amount was approximately 10 micromol and 25 micromol. Removal of H2S by the isolate was evaluated by a continuous test in a 2-L gas-bubbling bottle. Although part of the H2S removal by the mineral medium itself was observed in the control test, the majority of H2S removal was believed to be attributed to the metabolic activity of the isolate. In conclusion, the isolate might be potentially useful for the enhancement of the biological deodorizing processes.

Biodegradation, Environmental↗

Batch experiment on H2S degradation by bacteria immobilised on activated carbons.

Biological treatments of odorous compounds, as compared to chemical or physical technologies, are in general ecologically and environmentally favourable. However, there are some inefficiencies relative to the media used in biofiltration processes, such as the need for an adequate residence time; the limited lifetime, and pore blockage of media, which at present render the technology economically non-viable. The aim of the study is to develop novel active media to be used in performance-enhanced biofiltration processes, by achieving an optimum balance and combination of the media adsorption capacity with the biodegradation of H2S through the bacteria immobilised on the media. An enrichment culture was obtained from activated sludges in order to metabolise thiosulphate. Batch-wise experiments were conducted to optimise the bacteria immobilisation on activated carbon, so as to develop a novel "biocarbon". Biofilm was mostly developed through culturing the bacteria with the presence of carbons in mineral media. SEM and BET tests of the carbon along with the culturing process were used to identify, respectively, the biofilm development and biocarbon porosity. Breakthrough tests evaluated the biocarbon performance with varying gas resistance time, inlet H2S concentration, and type of support materials. Fundamental issues were discussed, including type of support material, mode of bacteria immobilisation, pore blockages, and biodegradation kinetics, etc. This batch-wise study provides a basis for our future research on optimisation of the biofiltration process using a bio-trickling reactor.

Adsorption↗

Root and canal morphology of Thai mandibular molars.

AIM: To investigate the root and canal morphology of 351 mandibular permanent molars collected from an indigenous Thai population. METHODOLOGY: The cleaned teeth were accessed, the pulp dissolved by sodium hypochlorite under ultrasonication and the pulp system injected with Indian ink. The teeth were rendered clear by demineralization and immersion in methyl salicylate. The following observations were made: (i) number of roots and their morphology; (ii) number of root canals per tooth; (iii) number of root canals per root; (iv) root canal configuration in each root using Vertucci's classification, with additional modifications; and (v) presence and location of lateral canals and intercanal communications. RESULTS: Of 118 mandibular first molars, 13% had a third disto-lingual root. In three-rooted teeth, 80% of the main distal roots and 100% of the disto-lingual roots had type 1 canal systems. Of 60 mandibular second molars, 10% had C-shaped roots, the majority of which had type 1 (33%) or type IV (33%) canal systems. Of 173 third molars, 68% had two separate roots, 20% had fused roots and 11% had a single C-shaped root; the majority had two canals (61%). CONCLUSIONS: This study suggests that Thai molars exhibit features of both Caucasian and Chinese teeth.

Asian People↗

Effect of exposing dentine to sodium hypochlorite and calcium hydroxide on its flexural strength and elastic modulus.

AIM: The aim of this study was to evaluate the effect of sodium hypochlorite (NaOCl) solutions (3%, 5%) and saturated calcium hydroxide (Ca(OH)2) solution, individually and consecutively, on the flexural strength and modulus of elasticity of standardized dentine bars. METHODOLOGY: Standardized plano-parallel dentine bars (n = 121) were divided into five test groups and one control group. The control group 1 consisted of dentine bars, stored in normal saline until testing. The dentine bars in the five test groups were treated by exposure to the following solutions; group 2--3% NaOCl, 2 h; group 3--5% NaOCl, 2 h; group 4--saturated Ca(OH)2 solution, 1 week; group 5--3% NaOCl, 2 h and then saturated Ca(OH)2 solution 1 week; group 6--5% NaOCl, 2 h and then saturated Ca(OH)2 solution 1 week. The dentine bars were then loaded to failure in a three-point bend test. RESULTS: The data revealed a significant (P < 0.001) decrease in the modulus of elasticity and flexural strength of the dentine bars treated with 3% and 5% NaOCl. There was no significant difference in the flexural strength and the modulus of elasticity between the 3% and 5% NaOCl groups. Exposure to Ca(OH)2 significantly (P < 0.001) reduced the flexural strength but had no significant effect on the modulus of elasticity. The groups treated with sodium hypochlorite followed by calcium hydroxide did not have moduli of elasticity and flexural strengths that were significantly different from those treated only with sodium hypochlorite. CONCLUSIONS: NaOCl (3 & 5%) reduced the modulus of elasticity and flexural strength of dentine. Saturated Ca(OH)2 reduced the flexural strength of dentine but not the modulus of elasticity. Sequential use of NaOCl and Ca(OH)2 has no additional weakening effect.

Calcium Hydroxide↗

Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain.

AIM: The aim of this study was to test the null hypothesis that sodium hypochlorite irrigation of root canals does not alter the properties of dentine and contribute to the weakening of root-treated teeth. METHODOLOGY: The effect of two concentrations (0.5%, 5.25%) of sodium hypochlorite (NaOCl) and saline on (i) the elastic modulus and flexural strength of machined dentine bars, and (ii) changes in strain of 'whole' extracted human teeth were evaluated. One hundred standardized plano-parallel dentine bars (> 11.7 x 0.8 x 0.8 mm) were randomly divided into the three groups, immersed for 2 h in the respective solutions and then subjected to a three-point bend test. Changes in strain of each of 10 teeth on cyclical nondestructive occlusal loading were measured using electrical resistance strain gauges bonded to the cervical aspects. Each tooth had its crown and enamel reduced and root canal prepared. These were irrigated sequentially in a series of four separate, 30-minute regimes; initial-saline, 0.5% NaOCl, 5.25% NaOCl and final-saline. The changes in strains after each irrigation regime were compared. RESULTS: There was a significant decrease in elastic modulus of the dentine bars immersed in 5.25% NaOCl compared with the saline group (P < 0.01). There was also a significant decrease in flexural strength of the dentine bars in the 5.25% NaOCl group compared to both the saline and 0.5% NaOCl groups (P < 0.01). The strain data from the nondestructive tooth loading tests revealed significant increases in tensile strain between the initial-saline and the final-saline stages (P < 0.01). Significant increases in compressive strains were also found between initial-saline and 5.25% NaOCl; and between 0.5% NaOCl and 5.25% NaOCl stages (P < 0.01). CONCLUSIONS: The null hypothesis was rejected, 5.25% NaOCl reduced the elastic modulus and flexural strength of dentine. Irrigation of root canals of single, mature rooted premolars with 5.25% NaOCl affected their properties sufficiently to alter their strain characteristics when no enamel was present.

Analysis of Variance↗

Some factors affecting the concentration of available chlorine in commercial sources of sodium hypochlorite.

AIMS: To evaluate the availability, effect of storage, dilution and heating on some commercial sources of sodium hypochlorite (NaOCl). METHODOLOGY: All pharmacies in a Regional Health Authority were telephone surveyed to establish the proprietary and nonproprietary NaOCl products available, their cost and concentration. Ninety-six freshly produced bottles of a commercially available thin household bleach (J. Sainsbury's) were randomly stored in four different modes (full 1 L bottles in dark at room temperature, half-empty 1 L bottles under the same conditions, full 200 mL bottles under the same conditions, full 200 mL bottles stored at 37 degrees C) up to 6 months. The available chlorine in the bleach solutions was evaluated at specific time intervals (0, 1, 2 weeks, 1, 2, 3, 4, 6 months) using iodometric titration. Four brands of commercially available bleaches (J. Sainsbury's Thin Household Bleach, Tesco's Value Bleach, Tesco's Red Label Bleach, Safeway's Savers Bleach) were diluted (by 1 : 1, 1 : 2 or 1 : 3 dilution factors) and samples taken from each dilution for titration to test predictability. NaOCl solutions (5% w/w) were heated in covered or uncovered beakers up to 60-85 degrees C. Samples were taken from each beaker at time 0 and each h up to 4 h, for titration. RESULTS: Of the 116 pharmacies, 33% could supply a proprietary product and 53% a nonproprietary product. In all, 78% were able to supply a NaOCl product. There was no significant difference (P < 0.05) in available chlorine at baseline between the different modes of storage. After storage at room temperature for 6 months, there were no significant differences (3% of original; P > 0.05) between the different modes of storage. When the storage temperature was 37 degrees C, however, there was a significant difference (38% of original; P < 0.01) at 6 months. Comparison of baseline with the concentrations of available chlorine at 6 months showed significant differences (P < 0.01) for all conditions. The available chlorine concentration in four brands of 'thin' supermarket bleaches could be predictably reduced according to the dilution factor. When 5% NaOCl was heated to 60-85 degrees C for up to 4 h, the available chlorine was increased to 6% in covered solutions and 9% in uncovered solutions. CONCLUSIONS: Both proprietary and nonproprietary solutions of NaOCl should be relatively easily obtainable in the UK. Stored under appropriate conditions, commercially available thin bleaches and nonproprietary solutions of NaOCl may be diluted to obtain predictable concentrations. Heating solutions of NaOCl may cause unpredictable changes to the concentration, depending upon conditions.

Air↗

Root and canal morphology of Burmese mandibular molars.

AIM: To study the root canal morphology of Burmese mandibular molars using a canal staining and tooth clearing technique. METHODOLOGY: Mandibular molars (331) were collected from indigenous Burmese patients and designated; first (139), second (134), third (58) molars. Following pulp tissue removal and staining of the canal systems with Indian ink, the teeth were decalcified and rendered clear with methyl salicylate. Under magnification (x3), the following features were evaluated: (i) root number and morphology, (ii) number of canals per root, (iii) root canal configuration (Vertucci's classification), (iv) number of apical foramina per root, (v) number and location of lateral canals and (vi) the presence of intercanal communications. RESULTS: Most of the mandibular molars had two separate roots (90% in first molars, 58% in second molars, 53% in third molars) and three-rooted teeth were (10%) confined to first molars. C-shaped roots occurred in 22.4% of mandibular second molars and a further 14.9% had two fused roots. The majority (81-100%) of conical distal roots possessed a simple type I (single canal) configuration. Whilst the canal system of mesial roots was more complex: 52-85% contained two canals, of which type II (two orifices, one foramen) and type IV (two separate canals) were the most prevalent. A broad range of 6.5-70% had intercanal communications. Fused/single-rooted molars had a wide variety of canal system types but intercanal communications were rare except in C-shaped roots (33%) of second molars. The majority of roots of all molars contained one or two apical foramina (91-96%) and the apical third had the highest prevalence of lateral canals. CONCLUSIONS: There was a high prevalence of three-rooted mandibular first molars and C-shaped roots/canals in mandibular second molars from a Burmese population. Conical roots tend to have simple canal systems, whilst flatter/broader roots have more complex canal systems.

Asian People↗

Root and canal morphology of Burmese maxillary molars.

AIM: To investigate the root and canal morphology of Burmese maxillary molars using a canal staining and tooth clearing technique. METHODOLOGY: Maxillary molars (239) were collected from indigenous Burmese patients and designated; first (90), second (77), third (72) molars. Following pulp tissue removal and canal system staining with Indian ink, the teeth were decalcified with 10% nitric acid, dehydrated and cleared with methyl salicylate. The following features were evaluated: (i) number of roots and morphology; (ii) number of canals per root: (iii) root canal configuration (Vertucci's classification); (iv) number of apical foramina per root; (v) number and location of lateral canals; and (vi) the presence of intercanal communications. RESULTS: All first and second molars had three separate roots, whilst third molars had one of five different root forms, of which three separate (25%) or fused (31%) roots were most prevalent. The majority of palatal (100%) and disto-buccal (96%) roots possessed one canal (type I). The prevalence of mesio-buccal roots with two canals decreased from first to third molars (68%, 49%, 39%, respectively); type II (two orifices, one apical foramen) and IV (two orifices, two apical foramina) configurations were the most common. Single/fused rooted third molars had a range of number and type of canals. Most roots in all molars had one apical foramen, those with four apical foramina were confined to third molars. Intercanal communications were most prevalent in mesio-buccal roots and two/three fused rooted third molars. Lateral canals were most prevalent in the apical third of the roots of all molars. CONCLUSIONS: The mesio-buccal roots of Burmese maxillary molars possessed a variety of canal system types. Over 50% of the first and second molars had a second mesio-buccal canal, of which over 20% had intercanal communications. The palatal and disto-buccal canals mainly had type I canals. Lateral canals were equally prevalent in all tooth types but were most common in the apical third.

Adult↗

A new in vitro model for the study of microbial microleakage around dental restorations: a preliminary qualitative evaluation.

AIM: The aim of this study was to develop an in vitro model to replicate microbial microleakage at a tooth/ restoration interface using a constant depth film fermentor (CDFF). METHODOLOGY: Amalgam restorations were placed in machined bovine dentine cylinders and sealed externally with varnish, leaving a 1-mm perimeter exposed around the tooth/restoration interface. The dentine cylinders were housed in a CDFF and 300-microm thick microcosm dental plaques were grown over their exposed surfaces. The biofilms were maintained with a mucin-containing artificial saliva for up to 8 weeks. Cylinders were aseptically removed from the CDFF (at 1, 2, 4, & 8 weeks) and surface-decontaminated with validated protocols prior to splitting and sampling of apposing amalgam and dentine surfaces. Scanning electron microscopy (SEM) was used to ascertain the position and structure of the bacterial aggregates. Bacterial viability was determined by vital staining of the bacteria in situ. RESULTS: At all sampling times, SEM showed cocci, rods and filaments on both amalgam and dentine surfaces; some originated as cascades from the surface biofilm and extended into the tooth/restoration microspace. Vital staining showed the majority of bacteria from both dentine and amalgam surfaces to be viable. CONCLUSION: This preliminary investigation showed that the CDFF may be a valuable tool for the in vitro study of the dynamics of microbial microleakage around dental restorations.

Animals↗

Characterization of a trifluoroethanol-induced partially folded state of alpha-lactalbumin.

The protein alpha-lactalbumin exists in a partially folded molten globule state at pH 2.0, the A state. This state is believed to be compact, possessing a similar amount of secondary structure to the native state but having a flexible tertiary structure comprised mainly of non-specific hydrophobic clustering of residues. Addition of trifluoroethanol (TFE) to bovine, human and guinea pig alpha-lactalbumin at pH 2.0 has been found in each case to induce a conformational transition in the A state as monitored by circular dichroism, nuclear magnetic resonance chemical shifts, and 1-anilinonaphthalene-8-sulphonate binding. The mid-point of this transition is near 15% (v/v) TFE and is effectively complete by 50% (v/v) TFE at 315 K. Far ultraviolet circular dichroism ellipticities at 208 nm and 220 nm, usually taken as a measure of the degree of helical character, are substantially more negative in the TFE state than in the A state. Furthermore, backbone amide protons protected from solvent exchange in the A state are generally at least as strongly protected in the TFE state; patterns of protection appear similar in the two states and include at least part of both the B and C alpha-helices. One major difference from the A state is nevertheless evident: the ability to bind the fluorescent probe 1-anilinonaphthalene-8-sulphonate, characteristic of molten globule states, is lost in the TFE state. Like the A state, the TFE state of alpha-lactalbumin shows little chemical shift dispersion of side-chain resonances. Extensive line broadening in the nuclear magnetic resonance spectra, characteristic of slow conformational averaging in the A state, is, however, much reduced in the TFE state. The line narrowing observed in the TFE state has made it possible to obtain directly sequence-specific assignments for about 25% of the 123 residues of bovine alpha-lactalbumin in 50% (v/v) TFE. Two helices are amongst regions of structure so far identified from short-range backbone nuclear Overhauser enhancement (NOE) connectivities in two-dimensional spectra of the TFE state. One of the helices (residues 86 to 96) corresponds to the C-helix in the native structure. The other (residues 35 to 41) corresponds, however, to a region of the sequence that is not helical in the native state. The partially folded state of alpha-lactalbumin formed in TFE, therefore, supports both native and non-native secondary structure in the absence of persistent long-range tertiary structure.

Amino Acid Sequence↗

Circulating immune complexes of xanthine oxidase in normal subjects.

An antigen-specific enzyme-linked immunosorbent assay (ELISA) was developed to detect immune complexes of xanthine oxidase (XODIC), and applied to assay serum XODIC in normal subjects. It was found that XODIC of both IgM and IgG isotypes could be detected in all the 85 sera tested. XODIC levels as a percentage of total xanthine oxidase antibody (XODAb) in the free and bound forms were mostly less than 20%, and there was also significant correlation in XODIC and XODAb levels for both IgM and IgG isotypes. The implications of these findings are discussed.

Adolescent↗

HTLV-1-associated cutaneous disease: a clinicopathological and molecular study of patients from the U.K.

The clinicopathological features of eight patients with cutaneous disease associated with HTLV-1 infection are reviewed. All were U.K. residents of West Indian extraction, and two are currently alive. Disease remained confined to the skin in two patients. Five patients with a cutaneous prodromal phase developed leukaemia after a median duration of 124 months (3 months-21 years), and in one of these combination chemotherapy produced a sustained clinical remission for 20 months. Two patients developed cutaneous disease after remission of their leukaemia. Cutaneous lesions were heterogeneous and included localized papules, a generalized papulonodular eruption, diffuse and localized erythematous plaques, pompholyx-like lesions on the palms and soles, and tumours. The histology of the skin lesions was also variable, and consisted of a heavy dermal infiltrate with lymphocytes, histiocytes, plasma cells, eosinophils and cytologically atypical mononuclear cells. Epidermotropism was present in biopsies from five patients. Tumour cells with large, densely staining, pleomorphic nuclei, arranged in rows between collagen bundles, were present in the majority of cases. In one patient the infiltrate also consisted of epithelioid cells and multinucleated giant cells. Six cases were classified histologically as pleomorphic T-cell lymphoma, and two as cerebriform or mycosis fungoides type. Molecular studies revealed a clonal T-cell population associated with monoclonal integration of HTLV-1 provirus in tissue DNA from six patients. In two patients HTLV-1 integration was established retrospectively using enzymatic in vitro amplification of a specific HTLV-1 po1 gene sequence in DNA extracted from paraffin-embedded sections. This study indicates that the clinical and pathological features of HTLV-1-associated cutaneous disease are diverse. Patients may have disease confined to the skin for prolonged periods, either at presentation or following clinical relapse--cutaneous adult T-cell lymphoma. Molecular techniques allow distinction from other types of cutaneous T-cell lymphoma, and provide an opportunity for retrospective studies of archival material.

Adult↗

Coexistent cutaneous T-cell lymphoma and B-cell chronic lymphocytic leukaemia.

Three patients with cutaneous T-cell lymphoma (CTCL) are reported who had concurrent B-cell chronic lymphocytic leukaemia (B-CLL). The separate lineage and clonal nature of the individual lymphoid malignancies were confirmed by gene-rearrangement analysis. The chronology of the illnesses did not support the hypothesis that CTCL predisposes to the development of B-cell proliferative disorders. There was no clear association with immunosuppressive therapy, and HTLV-1 studies were negative in all patients. Consequently, we speculate that a lymphoid stem cell defect, which may lead to the development of either aberrant B- or T-cell clones, may be responsible for such cases of dual lymphoid neoplasia.

Aged↗

A study of silica nephrotoxicity in exposed silicotic and non-silicotic workers.

The possible human nephrotoxicity of silica has often been suggested by previous anecdotal reports and uncontrolled clinical studies of silicotic patients. Urinary excretions of albumin, alpha-1-microglobulin (AMG), and beta-N-acetyl-glucosaminidase (NAG) were measured in 33 male workers exposed to silica (mean duration of employment 16 years) and 19 male age matched non-exposed subjects with no history of primary or secondary renal diseases. Significantly higher urinary excretions of albumin and AMG were found in the workers exposed to silica. Silicotic subjects (n = 7) also had significantly high excretions of albumin, AMG, and NAG. All but one of the silicotic patients had ceased exposure from three to 17 years before the study. Our findings suggest that prolonged exposure to silica is associated with chronic irreversible nephrotoxicity in exposed workers.

Acetylglucosaminidase↗

An epidemiological survey of respiratory morbidity among granite quarry workers in Singapore: radiological abnormalities.

This report presents baseline findings from the first of a series of epidemiological studies to evaluate inter alia the effects of control measures introduced in 1972-79 to reduce dust exposure in all quarries in Singapore. The prevalence of radiological abnormalities among 219 currently employed quarry workers were estimated according to a number of parameters of dust exposure. Large-sized chest x-ray films were read, independently and in random order, by a panel of three experienced readers, who were "blinded" to the personal particulars and exposure of the subjects, using standard chest x-ray films to record opacities according to the International Standard Classification of Radiographs of Pneumoconioses. Silicosis as defined by radiological small opacities (both rounded and irregular) of profusion 1/1 or greater as read by at least two readers were noted in 11 subjects. The prevalence of silicosis was 12.5% in highly exposed drilling and crushing workers, and 0.8% in maintenance and transportation workers with low level exposure to granite dust. Among those who were first exposed to granite dust after 1979, no cases of silicosis were noted in any quarry worker. It is concluded that reduction in dust exposure since 1979 has so far been successful in producing nil or negligible risks of silicosis among active quarry workers over ten years, but further follow-up studies are needed.

Adult↗

An epidemiological survey of respiratory morbidity among granite quarry workers in Singapore: chronic bronchitis and lung function impairment.

Respiratory symptoms of chronic bronchitis and measurements of lung function were studied in an epidemiological survey of the total population of workers currently employed in granite quarries in Singapore. There were 85 rock drilling and crushing workers with current exposure in high levels of silica dust. Their respiratory parameters were studied with reference to an internal comparison group of 154 quarry maintenance and transport workers with low dust exposure, and an external comparison group of 148 Telecoms postal delivery workers with no granite dust exposure. The highly exposed workers showed greater prevalences of chronic cough and phlegm, a mean reduction of 5% in forced expiratory volume in one second (FEV1) and forced vital capacity (FVC). The increased respiratory morbidity were independent of other factors such as age and smoking. Similar results were also noted after excluding those with silicosis (defined radiologically as profusion greater than 1/1 as read by at least two of three readers). This study strongly indicates a demonstrable risk of "occupational" bronchitis (mucus hypersecretion) and obstructive and restrictive lung function impairment, apart from the "classical" risk of silicosis. Measures taken to protect the health of workers exposed to silica dust should also be based on considerations taken to protect against the risk of these respiratory disorders as well.

Adult↗