[Glove + glove = protective glove?].
Based on the results of his investigation into the imperviousness of medical gloves the author proved, whether it is possible to obtain more safety by wearing two gloves each hand.
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Based on the results of his investigation into the imperviousness of medical gloves the author proved, whether it is possible to obtain more safety by wearing two gloves each hand.
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Selection of chemical protective gloves for use against industrial liquids in the controlled workplace is accomplished by risk analysis, in which the appropriate physical and chemical glove properties needed by the worker to perform the job are determined. Candidate protective gloves are then subjected to chemical permeation testing. Three representative case studies illustrate risk analysis and glove selection.
Agricultural workers rely on chemically protective gloves for protection from dermal exposure to insecticides. In Australia the most widely used gloves are manufactured from polyvinyl chloride or nitrile butadiene rubber. During insecticide application splashes and spills frequently occur on the external surfaces of gloves which may compromise the integrity of the membrane. Interaction of two organophosphate insecticides, chlorpyrifos (Lorsban 500 EC(R)) and diazinon (Jetdip(R)), with glove surfaces was investigated in laboratory conditions. The external surface of gloves was treated with concentrated insecticides for one minute and diluted and concentrated insecticides for 24, 36 and 48 hours and later examined by environmental scanning electron microscopy. Two classes of defects, cavities and convexities, were evident in the polyvinyl chloride gloves following all treatments, whereas cracking was significant in the nitrile butadiene rubber gloves after 24 hours. In addition, X-ray energy-dispersive microanalysis was used to evaluate chemical changes on the glove surfaces. Phosphorus and sulfur were useful indicators for organophosphate retention over specific time frames. Results corroborated the need for more robust chemically protective gloves to be developed for routine agricultural use.
The value of protective gloves in the health care environment is well known. However, these gloves are not perfect. Some are permeable to microorganisms and various chemicals, and/or result in side effects for health care professionals. Gloves that offer the greatest protection and least side effects are highly desirable. Field of application rules and regulations, materials and manufacturing, and test methods of protective gloves are described in Part I of this three part series.
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An assessment of X-ray protective gloves is reported which demonstrates that a significant degree of protection from X-ray exposure can be offered by these gloves. The need for such protection, together with the method of assessment is discussed. It is recommended that X-ray protective gloves are considered when undertaking image intensifier work.
We have devised a novel method for evaluating the effectiveness of protective gloves and have undertaken a small study to assess this approach. Three types of glove were tested in a standardised simulation test with a permethrin-based pesticide. Prewashed cotton gloves were used to collect the samples. One was worn over the protective glove on one hand to measure the potential deposition of pesticide on the hands had the gloves not been worn. A second was placed under the protective glove on the opposite hand to measure the actual deposition of permethrin on the hands when the gloves were worn. This regime was reversed half way through each test in an attempt to prevent bias. Measurable inner glove contamination occurred on 25 out of 30 occasions. Geometric mean protection factors were calculated from the ratio of outer and inner sampling glove contamination, with average protection factors of 470, 200 and 96 being obtained for the two nitrile and PVC gloves, respectively. The PVC gloves were the least effective in preventing inner glove contamination, probably because the glove was thick and fairly inflexible, causing more pesticide to enter the glove around the cuff. Although the tasks were standardised, variability occurred due to worker behaviour and equipment failure. The spray pump failed on five occasions, resulting in higher levels of inner glove contamination and a geometric mean protection factor of 32. On the occasions when the pump worked correctly, the level of protection provided by the gloves rose dramatically with mean protection factors of 220 and 450 being obtained for workers categorised as "messy" and "tidy", respectively.
The efficacy of 3 protective glove materials against percutaneous absorption of organic solvents was investigated in the guinea pig. All 3 materials gave a reduction in blood concentration of the solvents, particularly in the early phase of exposure. Of the tested materials, butyl rubber showed the best protective effect, followed by PVC and natural rubber. Gloves of polymeric material can be considered as offering sufficient protection against percutaneous absorption of organic solvents only if their selection is based on results obtained in a controlled and adequately performed test.
The quality of protective gloves was studied. Protective gloves are part of the personal safety equipment for staff handling cytotoxic drugs. A study using raster electron microscopic photography, measurement of thickness by micrometer screw and permeability of carmustine by high pressure liquid chromatographic assay was carried out. The results show differences between different types of gloves.
Chemically protective gloves are one of the most widely used barriers against hand exposure to pesticide contamination available to workers in primary industry. Polyvinyl chloride and nitrile butadiene rubber gloves were collected from four typical agricultural enterprises in Tasmania. Surface images of new and used gloves, up to 1000 x magnification, were obtained from an environmental scanning electron microscope and were used to classify defects, such as cracks, crazes, cavities, convexities, smooth areas and slumps. Some defects, e.g. cracks, were related to the working life of the gloves, whereas others, e.g. slumps, were associated with the manufacturing process. After viewing, the gloves were analysed by X-ray energy-dispersive spectroscopy. Phosphorus and sulfur peaks were indicative of pesticide retention. Rinsates from the interior of used polyvinyl chloride gloves were analysed by gas chromatography and mass spectrometry. Pesticide traces were found suggesting inadequate protection against dermal exposure. It is concluded that these gloves were unable to withstand the rigours of agricultural work because of the nature of the surface defects and they were contaminated with pesticides, outside and inside. Thus, their management needs improvement.
Dentists may develop contact allergy induced by handling resinous dental materials. Vinyl and latex gloves may provide protection against the monomers of these materials during the time it takes for a monomer to permeate the glove. The passage times and rates of penetration of four commonly used (di)methacrylates, HEMA, TEGDMA, BISGMA and UEDMA for 11 protective gloves were measured. The passage time in vinyl gloves for HEMA and TEGDMA was about 2 min, and around 20 min for BISGMA and UEDMA. The rates of penetration of HEMA and TEGDMA in vinyl gloves were between 1 and 4 mumol.min-1.cm-2. The passage times of HEMA and TEGDMA through most of the latex and modified latex gloves were between 5 and 8 min and the rates of penetration between 0.5 and 1 mumol.min-1.cm-2. Latex and modified latex gloves provide protection against BISGMA and UEDMA in 80 min or more with one exception (Elastyrene), which burst after about 50 min in contact with the resins. Of the tested gloves Ansell, Neutralon, Mediglove and Biogel D provide protection against HEMA and TEGDMA for at least 5 min.
Dentists may develop contact allergy induced by handling resinous dental materials, and vinyl and latex gloves may provide protection against the monomers of these materials only during the time it takes for a monomer to permeate the glove. The passage times and rates of penetration of four commonly used (di)methacrylates--HEMA, TEGDMA, BISGMA, and UEDMA--for 11 protective gloves were measured. The passage time for HEMA and TEGDMA through vinyl gloves was 1-3 min, and around 20 min for BISGMA and UEDMA. The rate of penetration of HEMA and TEGDMA in vinyl gloves was 0.5-4.5 mumol.min-1.cm-2. The passage time of HEMA and TEGDMA through most of the latex or the modified latex gloves was 5-8 min and the rate of penetration 0.5-3.1 mumol.min-1.cm-2. Latex or modified latex gloves provide a protection against BISGMA and UEDMA for 80 min or more with one exception (Elastyrene), which burst after about 50 min in contact with the resins. Of the tested gloves Ansell, Neutralon, Mediglove, and Biogel D provide protection against HEMA and TEGDMA for at least 5 min.
The effects of two kinds of protecting gloves for pesticide spraying made of different materials on thermoregulatory responses during exercise were studied at ambient temperature of 28 degrees C and relative humidity of 60% in six healthy females, aged 19. One kind of gloves was made of polyurethane (A) and the other of Goretex (B) with cotton lining in each glove. Both kinds of gloves had almost the same volume. Main results of the experiment were summarised as follows: (1) during the exercise an increase of rectal temperature was inhibited more effectively in B than in A; (2) skin temperature of hand was significantly lower in B than in A; (3) absolute humidity and temperature inside the gloves were significantly lower during the period from the gripping bar exercise to the end of the experiment; (4) the number of contractions by the handgrip exercise performed immediately after the second turning of the screw was significantly smaller in A than in B. The findings presented suggest that the gloves made of Goretex material could reduce thermal strain during intermittent work in warm environmental conditions.
The value of protective gloves in the health care environment is well known. However, these gloves are not perfect. Some are permeable to microorganisms and various chemicals, and/or result in side effects for health care professionals. Gloves that offer the greatest protection and least side effects are highly desirable. Limitations of glove use due to side effects, and glove selection and therapeutic alternatives are described in Part III of this three-part series.
The value of protective gloves in the health care environment is well known. However, these gloves are not perfect. Some are permeable to microorganisms and various chemicals, and/or result in side effects for health care professionals. Gloves that offer the greatest protection and least side effects are highly desirable. Protection against microorganisms and protection against chemicals used in health care are described in Part II of this three-part series.
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During the past decade, there has been an increasing problem with acrylate allergy and natural rubber latex (NRL) allergy among dental personnel. The aim of the present study was to evaluate the prevalence of these problems among dentists, dental nurses and dental hygienists in Uppsala county, Sweden. The study was based on a self-administered questionnaire sent to 690 persons with 527 responders (76%). The most common skin problem was dry skin, fissures and/or itching on the hands. Of the 72 persons (13.6%) reporting to have suffered from hand eczema during the past 12 months, 41 were patch tested with the TRUE Test standard series and the Swedish dental screening series. In the patch tested group, 9.8% reacted to 1 or more of the acrylates. In addition, 389 persons were tested for NRL allergy with the Pharmacia Upjohn CAP-RAST test, and of these, we found 7.2% to be positive. The prevalence of self-reported hand eczema and the number of positive CAP-RAST tests differed between the 3 occupations, with higher figures for the dentists. There was also a correlation between atopic eczema and hand eczema. Of those reporting skin symptoms, 67.7% connected them to the place of work and 28.8% related them to the use of gloves.