Tennis players and eye injuries.
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BACKGROUND: Laser systems used in aesthetic treatments pose a serious risk to the eyes of bystanders and equipment operators. Although much safer than lasers, intense pulsed light (IPL) sources are also not without risk. OBJECTIVE: To present a technology that can convert most lasers and IPL units used in aesthetic clinics into inherently eye-safe devices not requiring the use of protective eyeglasses, thus making them Class I devices. With the exception of Q-switched lasers, this new technology also dramatically reduces the potential hazards of lasers that do not attain Class I level to below that attributed to flashlamps. A device that eliminates the annoying glare generated by the reflection of pulsed light from the skin is also presented. MATERIALS AND METHODS: The new eye-safe technology is based on the attachment of a highly efficient wide-angle forward scattering optical diffuser to the distal end of the laser delivery handpiece. This device is used in contact with the treated area without modification of the conventional treatment parameters and preserves clinical efficacy. The handpiece is designed to act as an eye-safe, extended diffusing light source complying with Class I eye safety standards in most laser types. The technology also makes IPL devices safer by reducing the radiance of the flashlamp, which is hazardous when viewed directly by operators or bystanders. Skin glare is also eliminated by a liquid crystal, glare-free window activated in synchronization with the treatment pulses. RESULTS: Clinical hair removal results with an 80 degree diffuser did not reveal any difference when compared with results obtained with the original laser source. The incorporation of a diffuser in an IPL unit has not modified its clinical efficacy. CONCLUSION: With the exclusion of Q-switched lasers, it is possible to convert a large number of lasers and IPL units utilized in aesthetic treatments into inherently eye-safe units, thereby considerably enhancing the comfort and safety of aesthetic clinics without sacrificing clinical efficacy.
PURPOSE: The purpose of the study was to evaluate the efficacy of a bismuth shield (Attenurad F&L Medical Products, Vandergrift, PA) in reducing the dose to surface organs during Computed Tomography (CT) examinations. The shield was evaluated for reduction of the dose to breast during chest examinations and reduction of the dose to the lens of the eye during brain examinations. MATERIALS AND METHODS: The dose was measured on patients (10 for the eye and 30 for the breast), and on an anthropomorphic phantom (Alderson Rando). The reduction of image quality was evaluated both qualitatively by an expert radiologist, and in terms of increased noise on the phantom images (Rando). RESULTS: The use of the protective device reduced the dose by 34% to the breast and 50% to the lens. These figures are confirmed by the measurements taken both on patients and on the anthropomorphic phantom. The protective device reduced image quality in the regions immediately beneath it, but in the cases considered, those regions were of no diagnostic interest, while in the brain and lung regions, the quality is only slightly reduced, always allowing a correct diagnostic evaluation. Numerical analysis also led to the conclusion that a modest increase in noise is only statistically significant for the anterior portions of the lung. When present, the artifacts appeared outside the field of clinical interest. That is mainly due to the use of a foam pad (0.7 - 1 cm thick) to protect the breast. DISCUSSION AND CONCLUSIONS: The protection proved effective both in the case of breast and of lens, leading to a significant reduction in dose, without excessively affecting image quality. The shield proved easy to use, and did not increase the examination time.
A survey of 434 oral surgeons was conducted to examine risk factors for hepatitis B virus (HBV) infection. Overall, 112 (26%) of the participants demonstrated serologic evidence of past or current infection with HBV. Seropositivity was significantly associated with age, number of years in practice, and year of graduation from dental school but not with other variables examined, such as the number of patients seen annually or the number of patients seen who were at high risk of HBV infection. The strong correlation between years in practice and seropositivity was unaffected by reported use of gloves, face masks, or eye shields. The use of gloves and other protective devices does not appear to offer substantial protection against HBV exposure in oral surgeons, and all oral surgeons should receive HBV vaccine.
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New helmet-mounted devices (such as night-vision goggles, laser eye protection, etc.) have created new safety hazards for pilots during ejection or high G maneuvering. In order to prevent the resulting head/neck injuries, this study extends the air-bag protection system developed for ground vehicles to a neck mounted system for aircrew personnel. Results, carried out by computer biodynamic simulations using the Articulated Total Body Model (ATB), showed that: 1) helmet weight had little effect on head/neck torque, contact force and flexion angle; 2) initial head/neck position and center of gravity offsets of the helmet-mounted devices had significant effects on head-neck torques, contact forces, and neck flexion angles; and 3) the neck mounted air bag significantly reduced neck torques, contact forces, and neck flexion angles. We conclude that the neck-mounted air bag system could significantly reduce the severity of head/neck injuries to pilots during ejection or high G maneuvering.
An application of individual protective means (IPM) with the autonomic air supply has considerable promise for protecting respiratory organs and eyes in hazardous conditions. The main advantage of such devices is that the respiratory zone has the forced supply with the cleansed air. Biophysical studies showed that such IPM don't harm the functional status and capacity for work in human doing the medium-difficult physical work during 8 hours and can be recommended for the application in mines.
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The author reviews the previous known effects of UV radiation on the eye together with results obtained on human and animal eyes in his laboratory during the past 11 years. Damage to the cornea and lens is assessed, classified, and discussed. Methods of calculating safe UV exposures and establishing characteristics of protective devices are presented.
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High-frequency head rotations in the 2-20 Hz range and passive, unpredictable head acceleration impulses were produced by a new technique, utilizing a helmet with a torque motor oscillating a mass. Unrestrained head and eye movements were recorded using magnetic sensor coils in a homogeneous magnetic field. In order to analyze the influence of the visual system on the vestibulo-ocular reflex (VOR), we took measurements under three experimental conditions: (1) with a stationary visual target; (2) in total darkness with the subject imagining the stationary target; and (3) with a head-fixed target. The results in 15 healthy subjects were highly consistent. At 2 Hz, VOR gain was near unity; above 2 Hz, VOR gain started to decrease, but this trend reversed beyond 8 Hz, where the gain increased continuously up to 1.1-1.3 at 20 Hz. Phase lag increased with frequency, from a few deg at 2 Hz to about 45 degrees at 20 Hz. Above 2 Hz, VOR gain was not significantly different for the three experimental conditions. Head acceleration impulses produced a VOR with near-unity gain in both directions. We also tested three subjects with clinically total bilateral loss of labyrinthine functions. These labyrinthine-defective subjects showed, in comparison to the normal subjects, strikingly lower gains and much longer delays in the VOR during sinusoidal and step-like head movements. These results suggest that our new torque-driven helmet technique is effective, safe and convenient, enabling the assessment of the VOR at relatively high frequencies where both visual and mental influences are minimized.
OBJECTIVES: We compare positioning with orthotic therapy in 298 consecutive infants referred for correction of head asymmetry. STUDY DESIGN: We evaluated 176 infants treated with repositioning, 159 treated with helmets, and 37 treated with initial repositioning followed by helmet therapy when treatment failed. We compared reductions in diagonal difference (RDD) between repositioning and cranial orthotic therapy. Helmets were routinely used for infants older than 6 months with DD >1 cm. RESULTS: For infants treated with repositioning at a mean age of 4.8 months, the mean RDD was 0.55 cm (from an initial mean DD of 1.05 cm). For infants treated with cranial orthotics at a mean age of 6.6 months, the mean RDD was 0.71 cm (from an initial mean DD of 1.13 cm). CONCLUSIONS: Infants treated with orthotics were older and required a longer length of treatment (4.2 vs 3.5 months). Infants treated with orthosis had a mean final DD closer to the DD in unaffected infants (0.3 +/- 0.1 cm), orthotic therapy was more effective than repositioning (61% decrease versus 52% decrease in DD), and early orthosis was significantly more effective than later orthosis (65% decrease versus 51% decrease in DD).
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A model of ocular and facial skin exposure to UVB is presented that combines interview histories of work activities, leisure activities, eyeglass wearing, and hat use with field and laboratory measurements of UV radiant exposure. Site-specific exposure is expressed as the product of personal ambient exposure, defined as the ambient exposure while an individual is exposed to sunlight, and factors that describe the ratio of site-specific to personal ambient exposure. Ocular exposure is further corrected by the UV attenuation of typical eyewear. The model was used to compute cumulative and yearly exposures in a population of 838 watermen who work on the Chesapeake Bay and are highly exposed to sunlight. The model was found to be predictive of conditions known to be caused by excessive sun exposure--skin elastosis, climatic droplet keratopathy, and squamous cell carcinoma--and has been useful in several epidemiological studies.
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A new optoelectronic system for movement analysis is introduced. This equipment was employed with success during an Austrian-Soviet space flight. The method for the determination of position and orientation is described with the aid of an example, namely the determination of the location of the intersection of a beam of light generated by a helmet-mounted lamp with a screen.
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