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At least 613 records · Page 34Linked to original sources

PubMedDate not supplied

Exposure geometry and spectral environment determine photobiological effects on the human eye.

Photobiological effects upon the human retina, cornea and lens are highly dependent on the optical exposure geometry as well as spectral characteristics of the exposure. The organ of sight is exquisitely sensitive to light because it performs well in very low nighttime illumination levels and yet it also must adapt to extremely bright environments where light exposures are greater by many orders of magnitude. The eye has evolved to protect itself reasonably well against excessive exposure in bright environments. The retina is minimally exposed in extremely bright environments and the cornea and lens are surprisingly well protected in harsh environments. Although these protective mechanisms are good, they are not perfect and adverse changes from both acute and chronic exposures to sunlight still exist. The geometrical protective factors must be understood and appreciated whenever assessing potential adverse effects of environmental UV radiation and light on ocular structures. These natural ocular protective factors also work with the ever-changing spectrum of sunlight and the different spectral distribution of light and UV radiation across the eye's field of view. Spectral characteristics of the ocular media are also important. One can visualize a series of intraocular color filters that progressively filter shorter wavelengths and thereby aid in color vision, reduce the impact of chromatic aberrations and significantly reduce the optical radiation hazards to the lens and retina.

Cornea↗

PubMed2000

[Surgical scrub: evaluation of its adequacy for the prevention of biological risks in surgical procedures II: effectiveness of surgical scrub].

The study elaborated evaluation patterns of the components of the surgical scrub in hospitals of the district of São Paulo. The most important difficulty was the lack of rules and consent on the types of the fabrics, as a microbiological and contact with blood and other fluids barrier. However, it was possible to identify positive and problematic aspects. It was observed that the components are similar among the hospitals, considering the design and the way of fabrics production. Gloves were the ones with the best quality results, while shootweares were the worst. The most problematic aspect was referred to the acquisition controls and the re-use process of the components.

Cross Infection↗

PubMed2004

Ultraviolet eye radiation: the problem and solutions.

Ultraviolet radiation (UVR) can cause damage to the eyes. Some of the damage is acute, with immediate signs and symptoms, while some of the damage is the result of cumulative or long-term UVR exposure. Because the most common source of UVR is the sun, individuals who are exposed to sunny environments should be advised to protect themselves properly. Individuals should be counseled about proper eye protection from UVR in sunlight. It is important to know when eye protection is indicated. Protection involves wearing a wide-brimmed hat or cap and well-designed sunglasses. The advisable sunglass features include the following: large eye size with side protection, less than 1% UV-B transmittance, less than 1% UV-A transmittance, gray or near-neutral colored lenses, good optical quality, and visible transmittance selected for visual comfort. Some clear spectacles or contact lenses also provide good levels of UV protection. When selecting sunglasses, it is always helpful to consult your eye care specialist.

Eye Diseases↗

PubMed2006

Ultraviolet and short wavelength visible light exposure: why ultraviolet protection alone is not adequate.

The danger of exposure to ultraviolet (UV) radiation in both the natural environment and artificial occupational settings has long been recognized by national and international standards committees and worker safety agencies. There is an increasing body of literature that suggests that protection from UV exposure is not enough. Unprotected exposure to the short wavelengths of the visible spectrum, termed the "blue light hazard", is gaining acceptance as a true risk to long-term visual health. Global standards and experts in the field are now warning that those individuals who spend considerable time outdoors should seek sun filter eyewear with high impact resistant lenses that provide 100% UV filtration, high levels of blue light filtration, and full visual field lens/frame coverage as provided by high wrap eyewear. The Skin Cancer Foundation has endorsed certain sunglasses as "product[s]...effective [as] UV filter[s] for the eyes and surrounding skin". However, such endorsement does not necessarily mean that the eyewear meets all the protective needs for outdoor use. There are several brands that offer products with such protective characteristics. Performance sun eyewear by Nike Vision, available in both corrective and plano (nonprescription) forms, is one such brand incorporating these protective features.

Environmental Exposure↗

PubMedDate not supplied

Monocular patching in subjects with right-hemisphere stroke affects perceptual-attentional bias.

Monocular patching is a possible inexpensive treatment for spatial neglect. Previous studies were unpromising, but since neglect symptoms are heterogeneous, fractionating spatial bias may detect significant effects of patching. Poststroke, perceptual-attentional (PA) spatial bias, motor-intentional (MI) spatial bias, or both may occur. In this study, six poststroke subjects bisected lines while self-monitoring their performance via a camera/video apparatus. We dissociated PA and MI spatial bias by right-left reversing visual feedback in some trials. Subjects were tested with and without right and left eye patches. Patching did not affect group line-bisection error, but both right and left patches decreased individual subject PA spatial bias (p < 0.05). We detected no patching effect on individual subject MI spatial bias (significant patch side by bias interaction, p = 0.03). When we examined each subject's results separately, patching improved performance in subjects who had greater PA and MI spatial biases. We conclude that monocular patching may primarily affect poststroke PA spatial bias. Further studies on this intervention are needed.

Aged↗

PubMed1995

Functional analysis and treatment of eye poking.

In four studies we analyzed the eye poking of a youth with profound disabilities. In Study 1, a functional analysis showed that eye poking occurred during the no-attention condition, but not during demand, attention or recreation conditions. The analysis did not identify socially mediated variables involved in the maintenance of eye poking; rather, eye poking may have been maintained by consequences produced directly by the response. In Study 2 we had the student wear goggles to prevent potential reinforcement from finger-eye contact. The results of Study 2 indicated that eye-poking attempts were reduced when the student wore goggles. We then tested in Study 3 the effects of two alternative topographies of stimulation. Study 3 demonstrated that eye poking was reduced when a video game was provided as a competing source of visual stimulation, and that music was less effective in reducing eye poking. In Study 4, a contingency analysis using the video game was conducted in an attempt to (a) reduce the frequency of eye poking and (b) study whether the video game functioned as a reinforcer. The results of Study 4 demonstrated substantive reductions in the frequency of eye poking, and suggested that the video game served as a reinforcer.

Acoustic Stimulation↗

PubMed1996

Functional analysis and treatment of eye poking with response blocking.

A functional analysis of eye poking by a 4-year-old female with severe disabilities and visual impairments showed that high rates occurred in all conditions. We conducted a series of probes to identify the maintaining variable for eye poking following an undifferentiated functional analysis. Results showed that eye poking decreased only when we interrupted finger-eye contact by blocking the response.

Behavior Therapy↗

PubMed1988

The effect of sunglasses on ocular exposure to ultraviolet radiation.

Thirty-two pairs of inexpensive sunglasses were examined for their effectiveness in preventing ultraviolet radiation (UVR) from reaching the eyes. The transmission of UVB (290-310 nm) by all of the sunglass lenses was less than 2 per cent. However, in measurements performed with mannikins wearing the sunglasses, up to 14.1 per cent of the incident UVR passed through to the eyes. When the sunglasses were moved 6 mm from the forehead, the per cent reaching the eyes ranged from 3.7 to 44.8 per cent. Although sunglasses are somewhat more effective than untinted prescription eyewear in attenuating ocular exposure, the amount of attenuation is highly variable and depends mainly on their size, shape, and wearing position.

Eye↗

PubMed2004

Protective eyewear promotion: applying principles of behaviour change in the design of a squash injury prevention programme.

Eye injuries in squash have the potential to be severe. Although these injuries can be prevented through the use of protective eyewear, few players wear such eyewear. The aim of this paper is to outline the behavioural principles guiding the design of a squash eyewear promotion initiative, the Protective Eyewear Promotion (PEP). Ecological principles of behaviour change were used to provide a comprehensive perspective on intrapersonal factors, policies and physical environmental influences of protective eyewear use. Results of baseline player surveys and venue manager interviews were used to provide relevant and specific intervention content. At baseline, protective eyewear was not found to be readily available, and players' behaviours, knowledge and attitudes did not favour its use. The main components of PEP involved informing and educating both players and squash venue operators of the risk of eye injury and of appropriate protective eyewear, as well as assisting with the availability of the eyewear and offering incentives for players to use it. A structural strength of PEP was the strong collaborative links with the researchers of different disciplines, the squash governing body, eyewear manufacturers, squash venue personnel, as well as players. Attempts were made within the project structure to make provision for the future dissemination and sustainability of more widespread eye injury prevention measures in the sport of squash.

Athletic Injuries↗

PubMed1997

Evolving issues in laser safety.

The approach to laser safety has come a long way since the 1960s when the first guidelines were issued by defense research organizations in the US and the UK, and then by the American Conference of Governmental Industrial Hygienists. Although the search for 'eye-safe' numbers continues in a few laboratories, this work is almost exclusively centered on deriving retinal thresholds for ultra-short (sub-nanosecond) lasers. Setting limits in this temporal region has been difficult, since there are conflicting data sets and there is a limited amount of data to extrapolate to other spectral regions. In the standards arena, the concentrated efforts have been in terms of product classification and attempts to resolve the eternal question of 'how safe is safe?'. Recent efforts to revise safety standards have not always taken into account the historical rationale for the maximum permissible exposures and forget that safety factors were already factored into the limits and further safety factors are quite unnecessary. Finally, the study of accidents raises the question of whether our approach to eye protection and enclosures are adequate and whether separate standards and guidance is needed for different applications.

Equipment Design↗

PubMed1983

Protection from light-rays by cold-weather goggles.

To arrive at transmittance standards for cold-weather goggles, the levels of natural radiation were estimated, and the amounts by which they must be reduced to fall below the damage thresholds for various bands of electromagnetic radiation were calculated. No more than 16% of UV from 320 to 40 nm, and no more than 5% of UV from 290 to 320 nm should be transmitted. If the short wavelengths of the visible spectrum (less than 500 nm) are filtered out, the remaining wavelengths appear to pose no danger. Measurements of the transmittances of a random selection of 13 commercial skigoggles showed that most offer satisfactory protection.

Altitude↗

PubMed1997

Pingueculae and pterygia in motorcycle policemen.

PURPOSE: Pinguecula and pterygium are speculated to be associated with corneal and conjunctival microtrauma from exposure to sunlight and/or dust. Occupational motorcycle driving is suspected to be associated with such exposure, so we investigated the prevalence of pingueculae and pterygia in motorcycle policemen. METHOD: Silt lamp finding obtained by periodic eye checkup for policemen (783 motorcycle policemen and 207 control indoor workers) together with questionnaire were used for analyses. All pingueculae and pterygia were diagnosed under the definite criteria. RESULTS: The overall prevalence of pingueculae was 590/1,566 eyes (37.7%) among motorcycle policemen against 127/414 eyes (30.6%) among the indoor workers (p < 0.01). Besides, with increasing age, the prevalence of pingueculae in the motorcycle policemen clearly exceeded those among the indoor controls. The prevalence of pterygia were very small to be analysed. CONCLUSION: Our results exhibited a significant relationship between occupational motorcycle driving and the prevalence of pingueculae. Thus it is strongly suggested that they should wear eye protection equipment (goggles, face shield and so on) to prevent from developing these lesions.

Adult↗

PubMed1993

Visual fields with protective eyewear.

Sports-related eye injuries are quite common, yet the number of athletes who utilize protective eyewear is extremely low. The purpose of this study was to determine if there is a significant visual field loss associated with wearing eye protection. One of the authors was subjected to standard kinetic visual field testing with and without eye goggles. No significant difference was revealed. Physicians, physical therapists, and trainers should promote the use of protective eyewear and reassure athletes that they will not lose visual field.

Athletic Injuries↗

PubMed1995

Teleology of motion sickness.

We investigated motion sickness evoked by walking while wearing horizontally reversing goggles. The subjects were 36 healthy adults and 90 children aged 4 to 15 years. Most adults soon displayed not only severe sickness, but also dizziness and instability. Instability was certified by Graybiel's ataxia tests in 10 adults. Young children aged 4 to 5 years rarely became sick; however, they showed marked ataxia manifested as drunken gait, falling, or failure to stand up. In older children, autonomic nervous symptoms became manifest and more severe, but ataxia became less severe since locomotion was stopped by uncomfortable symptoms. The present study strongly suggests that motion sickness makes animals learn loss of spatial orientation, which inevitably produces loss of balance.

Adolescent↗

PubMed1998

Method to protect rabbit eyes and reduce potential stress from eye irritation or injury associated with exposure to vapors and particulates in inhalation studies.

Many pharmaceuticals are administered to children and adults as sprays provided in nebulizers or metered-dose inhalers. Stress associated with possible eye irritation and injury attributable to exposure to vapors and particulates during the required safety testing procedures of such medicines is a potential confounding factor in these studies. Reducing stress and the potential changes associated with stress is particularly important in safety studies involving pregnant animals because maternal stress has been known to be associated with adverse outcomes for the offspring. Training and acclimating rabbits to wearing modified pediatric swim goggles during exposure to vapors and aerosol particles provides a simple, inexpensive method to reduce or eliminate potential stress from eye irritation.

Administration, Inhalation↗

PubMedDate not supplied

Safety with surgical lasers.

As the sales of surgical lasers continue to grow, the problem of laser safety in hospitals becomes increasingly more urgent. This article considers both the principles and the practice of laser safety, and indicates how safety codes should be organized within a hospital. Eye safety is of paramount importance, and the effects of different wavelengths of laser radiation on the eye are described, both for intrabeam and extended-source exposure. An account is given of the concept of Maximum Permissible Exposure (MPE) and how it depends upon wavelength and exposure duration. The standard laser classification is developed in relation to MPE. The use of laser protective eyewear is discussed for the surgeon, other theatre staff and the patient. Finally, the role of the Laser Protection Supervisor and of the Laser Protection Adviser are explained in the context of establishing a local laser safety code.

Eye Injuries↗

PubMed1994

Knowledge of sunlight effects on the eyes and protective behaviors in the general community.

The knowledge of sunlight effects on the eyes and protective behaviors was assessed in the general community of Brisbane, Australia. Five hundred people were systematically sampled and surveyed via a telephone questionnaire. Of the participants, 279 (56%) were female and 258 (52%) were aged 40 years or less. Levels of knowledge were found to be lower in the older subjects, those with dark complexions and outdoor workers. Most were unaware of specific ultraviolet light related eye diseases such as cataract, pterygium and eye cancer. Three hundred and ninety (78%) wore sunglasses > 10% of the time while outdoors during the day; the most common reasons for wearing included protection from glare in 254 (65%) and driving in 60 (15%). Ninety-six (19%) never wore sunglasses, the most common reasons being inconvenience in 16 (17%), thought unnecessary in 16 (17%) and uncomfortable in 13 (14%). Promotion of sun protection to prevent ultraviolet light related diseases should include information on the eye. This information is important for establishing preventative behaviors and the selection of optimal eye protective measures.

Adolescent↗

PubMed2005

Emergency department response to SARS, Taiwan.

How emergency departments of different levels and types cope with a large-scale contagious infectious disease is unclear. We retrospectively analyzed the response of 100 emergency departments regarding use of personal protective equipment (PPE) and implementation of infection control measures (ICMs) during the severe acute respiratory syndrome outbreak in Taiwan. Emergency department workers in large hospitals were more severely affected by the epidemic. Large hospitals or public hospitals were more likely to use respirators. Small hospitals implemented more restrictive ICMs. Most emergency departments provided PPE (80%) and implemented ICMs (66%) at late stages of the outbreak. Instructions to use PPE or ICMs more frequently originated by emergency department administrators. The difficulty of implementing ICMs was significantly negatively correlated with their effectiveness. Because ability to prepare for and respond to emerging infectious diseases varies among hospitals, grouping infectious patients in a centralized location in an early stage of infection may reduce the extent of epidemics.

Disease Outbreaks↗