Raynaud's phenomenon in different groups of workers using hand-held vibrating tools. 1996

B Harazin, and H Langauer-Lewowicka
Institute of Occupational Medicine and Environmental Health, Sosnowiec, Poland.

The dose-effect relationship showed in the Annex A of the ISO standard 5349-1986 can be used for preventing vibration-induced white fingers (VWF) because it allows to calculate the latent period for the lowest risk of VWF. The aim of this study was to assess the risk of VWF in three different occupational groups of workers whose members operated the same vibrating power tools and the same industrial processes throughout the workday. Each occupational group was employed in two foundries and they were considered to be very stable with a low turnover rate. The mean frequency-weighted acceleration magnitudes measured from pneumatic rammers (25.3 +/- 3.3 ms-2) where three times higher than from chipping hammers (8.4 +/- 3.8 ms-2) and six times higher than from grinders (3.8 +/- 1.1 ms-2). Medical examinations were carried out in 102 men consisting of 22 chippers, 42 rammers and 38 grinders. The results of this study showed that the relationship between lifetime exposure to hand-arm vibration and the vascular disorders can be predicted quite well using the Annex A of ISO standard only in one occupational group, that is, in chippers. Thirty-six percent of chippers reported blanching symptoms, but only five percent of the rammers and three percent of the grinders had these vascular disturbances. Our results may be explained by the fact that vibration received by an operator depends on the manner in which the tool is used. In a foundry three following work processes are performed: preparing forms in ramming mix, cleaning and grinding of castings during which different forces are used by operators. It seems very likely that the energy absorbtion in the hands and arms of chippers must be stronger than in other studied groups.

UI MeSH Term Description Entries
D008297 Male Males
D008669 Metallurgy The science, art, or technology dealing with processes involved in the separation of metals from their ores, the technique of making or compounding the alloys, the techniques of working or heat-treating metals, and the mining of metals. It includes industrial metallurgy as well as metallurgical techniques employed in the preparation and working of metals used in dentistry, with special reference to orthodontic and prosthodontic appliances. (From Jablonski, Dictionary of Dentistry, 1992, p494) Heavy Industries,Industries, Heavy,Heavy Industry,Industry, Heavy
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009784 Occupational Diseases Diseases caused by factors involved in one's employment. Diseases, Occupational,Occupational Illnesses,Disease, Occupational,Illnesse, Occupational,Illnesses, Occupational,Occupational Disease,Occupational Illnesse
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011928 Raynaud Disease An idiopathic vascular disorder characterized by bilateral Raynaud phenomenon, the abrupt onset of digital paleness or CYANOSIS in response to cold exposure or stress. Cold Fingers, Hereditary,Raynaud Phenomenon,Raynaud's Disease,Raynauds Disease
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013577 Syndrome A characteristic symptom complex. Symptom Cluster,Cluster, Symptom,Clusters, Symptom,Symptom Clusters,Syndromes

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