Occupational Noise-Induced Hearing Loss Prevalence and Noise Abatement Techniques in a Steel-Making Plant

Background: A high prevalence of noise-induced hearing loss (NIHL) is observed amongst employees in the steel manufacturing industry.Objective: To determine the prevalence of NIHL and current noise abatement techniques implemented at a steel manufacturing plant.Methods: Structured questionnaires were completed by permanent employees at a steel-manufacturing plant for the purpose of collecting information on occupational and medical histories; noise exposure in and outside the work environment; use of hearing protection devices (HPDs); andcurrent noise abatement procedures. A walk-through survey was also conducted to observe implemented noise abatement techniques using the Noise Induced Hearing Loss Regulations of 2003 as a guideline.Results: A total of 17.9% of workers suffered from NIHL (95% CI 11.8% - 22.5%). Administrative controls; lubrication and mufflers were identified by more than 70% of the respondents as control procedures most often implemented by the company. Most of the respondents (77%) used HPDs always and 97% indicated that they fit their HPDs at the beginning of the shift.Conclusion: NIHL remains a significant health problem in this steel industry despite the implementation of noise abatement techniques and the implementation of a noise conservation programme with all the required elements

Occupational Noise-Induced Hearing Loss Prevalence and Noise Abatement Techniques in a Steel-Making Plant

Background: A high prevalence of noise-induced hearing loss (NIHL) is observed amongst employees in the steel manufacturing industry. Objective: To determine the prevalence of NIHL and current noise abatement techniques implemented at a steel manufacturing plant. Methods: Structured questionnaires were completed by permanent employees at a steel-manufacturing plant for the purpose of collecting information on occupational and medical histories; noise exposure in and outside the work environment; use of hearing protection devices (HPDs); and current noise abatement procedures. A walk-through survey was also conducted to observe implemented noise abatement techniques using the Noise Induced Hearing Loss Regulations of 2003 as a guideline. Results: A total of 17.9% of workers suffered from NIHL (95% CI 11.8% - 22.5%). Administrative controls; lubrication and mufflers were identified by more than 70% of the respondents as control procedures most often implemented by the company. Most of the respondents (77%) used HPDs always and 97% indicated that they fit their HPDs at the beginning of the shift. Conclusion: NIHL remains a significant health problem in this steel industry despite the implementation of noise abatement techniques and the implementation of a noise conservation programme with all the required elements

Stimulation of prostaglandin E2 (PGE2) production by arachidonic acid, oestrogen and parathyroid hormone in MG-63 and MC3T3-E1 osteoblast-like cells.

Polyunsaturated fatty acids (PUFAs) as well as oestrogen (E2) and parathyroid hormone (PTH) affect bone cells. The aim of the study was to determine whether arachidonic acid (AA), E2, and PTH increase prostaglandin E(2) (PGE(2)) synthesis in MG-63 and MC3T3-E1 osteoblastic cells and the level of mediation by COX-1 and COX-2. PGE(2) levels were determined in the conditioned culture media of MG-63 and MC3T3-E1 osteoblasts after exposure to AA, PTH and E2. Cells were pre-incubated in some experiments with the unselective COX inhibitor indomethacin or the COX-2 specific blocker NS-398. Indirect immunofluorescence was performed on MG-63 cells to detect the presence and location of the two enzymes involved. AA increased PGE(2) secretion in both cell lines; production by MC3T3-E1 cells, however, was significantly higher than that of MG-63 cells. This could be due to autoamplification via the EP(1) subtype of PGE receptors in mouse MC3T3-E1 osteoblasts. Both COX-1 and COX-2 affected the regulation of PGE(2) synthesis in MG-63 cells. E2 had no effect on PGE(2) secretion in both cell lines, while PTH caused a slight increase in PGE(2) synthesis in the MG-63 cell line.

Effect of arachidonic acid on duodenal enterocyte ATPases.

Duodenal ion transport processes are supported by ATPase enzymes in basolateral membranes of the enterocyte. In vivo studies have shown that long term n-6 poly-unsaturated fatty acid (PUFA) supplementation in rats causes increases in intestinal Ca absorption, coupled with a higher total calcium balance and bone calcium content. The present in vitro study was undertaken to test the effect of arachidonic acid (AA), a highly unsaturated (and thus physiologically potent) member of the n-6 PUFA family, on ATPases in enterocyte basolateral membranes isolated with a sorbitol density gradient procedure. This paper presents results which show that AA inhibits Na+,K+-ATPase in a dose-dependent manner (-67% of basal activity at a concentration of 30 microg/ml, P < 0.005) but that this effect is not mediated by protein kinase C, as shown by the use of the protein kinase C blocker calphostin (0.5 microM). Indomethacin (IDM) at 0.1 mM, a cyclo-oxygenase blocker, could also not reverse the inhibitory effect of AA on Na+,K+-ATPase. Ca2+-ATPase, on the other hand, is not affected significantly (-10%, P > 0.05) by arachidonic acid at 30 microg/ml.

Oestrogen and essential fatty acid supplementation corrects bone loss due to ovariectomy in the female Sprague Dawley rat.

Essential fatty acid deficient animals develop osteoporosis. Eicosapentaenoic acid and gamma-linoleic acid have been reported to have positive effects on bone metabolism in both the growing male rat and the ovariectomized (OVX) female rat. These effects have been further investigated using a novel gamma-linolenic/eicosapentaenoic acid diester together with an oestrogen implant in the ovariectomized, female Sprague Dawley rat. Rats were sham-operated or ovariectomized at age 11 weeks. Two groups of OVX rats received an oestrogen implant at ovariectomy. Animals received fatty acids, linoleic acid (control) or a diester with gamma-linolenic acid and eicosapentaenoic acid as part of a semi-synthetic diet. Bone calcium content and excretion of deoxypyridinolines as marker of bone degradation were measured at 14 weeks. Oestrogen, as well as diester alone, increased calcium/femur to sham levels. Oestrogen plus diester potentiated the effect of oestrogen on bone calcium (P < 0.05 vs OVX). At the same time, oestrogen alone and the combination of oestrogen plus diester significantly reduced (P < 0.05 vs OVX) urinary deoxypyridinoline and hydroxyproline excretion. Again, the diester potentiated the effect of oestrogen. The effects of the diester alone, together with the potentiated effects of oestrogen by the essential fatty acids on osteoporosis, are novel findings.

Ectopic calcification of rat aortas and kidneys is reduced with n-3 fatty acid supplementation.

Supplementation with essential fatty acids has been shown to prevent the experimentally induced ectopic calcification of the kidneys known as nephrocalcinosis. Male Sprague-Dawley rats were fed a semi-synthetic diet supplemented with different essential fatty acids while being injected for a period of 10 days with calcium glubionate. After 3 weeks their kidneys and aorta were removed and the respective calcium content measured compared to the control, saline injected animals. Lipoic acid-EPA, fish oil (EPA rich) as well as the EPA monoester reduced the calcium concentration of both the kidneys and the aorta towards control values. Lipoic-EPA was the best absorbed of the three compounds and its combination of anti-oxidant together with EPA lowered the calcium content of both the aortas and the kidneys.

Correlation between essential fatty acids and parameters of bone formation and degradation.

There are two types of essential fatty acids (EFAs), the n-6 derived from linoleic acid (LA) and the n-3, derived from alpha-linolenic acid (ALA). Most of the functions of the EFAs require the conversion of LA and ALA to their metabolites including, gammalinolenic (GLA), dihomogammalinolenic (DGLA), arachidonic (AA) (n-6) and eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids (n-3). Supplementing specific GLA:EPA ratios has effects on bone formation and degradation. A study was designed to investigate the effect of various dietary ratios of n-6:n-3 on calcium homeostasis. Female Sprague Dawley rats were ovariectomised (OVX) at age =11 weeks, and were supplemented from age 12 weeks for six weeks with different ratios (9:1; 3:1; 1:3; 1:9) of GLA:EPA. Bone parameters and red blood cell (RBC) fatty acid profiles were measured at age=18 weeks. RBC GLA and DGLA increased in groups 9:1 and 3:1(p<0.05). EPA and DGLA increased in 1:3 and 1:9 while AA decreased (p<0.05). Correlations were calculated between bone calcium, deoxypyridinoline (Dpyd) and specific fatty acids. DGLA was positively correlated with femur calcium and negatively with Dpyd excretion while DHA and EPA were correlated with femur calcium.

Direct determination of saturable and non-saturable calcium uptake in the developing rat duodenum.

Significant changes in saturable and non-saturable intestinal calcium uptake processes occur during development of the rat. A modified 'free floating disc' assay was used to measure total, active and passive duodenal calcium uptake on matching duodenal segments from male Sprague Dawley rats aged 14 to 56 days of age. The results were compared and found to give patterns similar to data published for the in situ ligated loop technique.

The effect of different n-6/n-3 essential fatty acid ratios on calcium balance and bone in rats.

Prostaglandins (PGs) are known to have various effects on bone metabolism. The supplementation of essential fatty acids (EFAs), the precursors of PGs, leads to increased intestinal calcium absorption and calcium balance. It is, however, not known whether increased calcium absorption and calcium balance will enhance the calcium content in bone. Male Sprague-Dawley rats (n = 40) aged 5-12 weeks were supplemented with EFAs. The main dietary EFAs, linoleic acid (LA) and alpha-linolenic acid (ALA) were administered in a ratio of 3:1 as a control group. The conversion of LA to ALA to the PG precursors is slow, with the first step, delta-6-desaturation being rate limiting. Fatty acids beyond this rate-limiting step, gamma-linolenic acid (GLA, n-6) and eicoapentaenioc acid (EPA, n-3), were administered to different groups in the ratios 3:1, 1:1 and 1:3 to explore the impact of different ratios of n-6 and n-3 EFAs. Intestinal calcium absorption (mg/24 h) increased by 41.5% in the 3:1 supplemented group, compared with the control group. The decrease in urinary calcium (mg/24 h) correlated with the increase in n-3 level. The calcium balance (mg/24 h) and bone calcium (mg/g bone ash) increased significantly in the 3:1 (41.5% and 24.7%) group, compared with the control. The increase in bone calcium might be attributed to an EFA-induced increase in circulating PGs. An increased synthesis of PGs acting on target bone cells, as well as changes in membrane fluidity, may underlie these observations.

Supplemented gamma-linolenic acid and eicosapentaenoic acid influence bone status in young male rats: effects on free urinary collagen crosslinks, total urinary hydroxyproline, and bone calcium content.

The effect of different ratios of the prostaglandin precursors gamma-linolenic (GLA) and eicosapentaenoic (EPA) acids on bone status in growing rats measured as a function of free urinary pyridinium crosslinks and hydroxyproline levels was investigated. Male Sprague-Dawley rats were weaned onto an essential fatty acid deficient diet and from their fifth week, different groups of rats received a balanced, semisynthetic diet, supplemented with different ratios of GLA:EPA supplied as a mixture of evening primrose oil (EPO) and fish oil (FO). Controls were supplemented with linoleic (LA; sunflower oil) and alpha-linolenic (ALA; linseed oil) acids (3:1) or a commercially available rat chow. Animals were terminated at 84 days and femur length, ash weight, calcium content, free urinary pyridinium crosslinks (Pyd and Dpyd), total hydroxyproline (Hyp), and creatinine levels measured. Free urinary Pyd and Dpyd are good indicators of bone status and they correlated well with Hyp. Pyd and Dpyd excretion were significantly decreased in the higher GLA:EPA dietary groups and correlated well (r = 0.7) with Hyp levels. Concomitantly, bone calcium content increased significantly in the same dietary groups. These results suggest that diet supplementation with relatively high GLA:EPA ratios are more effective in inhibiting bone resorption than LA:ALA.

Calcium transport by isolated brush border and basolateral membrane vesicles: role of essential fatty acid supplementation.

Intestinal calcium transport is important in whole body calcium homeostasis and it is therefore of interest to understand the mechanism of absorption and its regulation by 1;25-dihydroxyvitamin D3 (1,25 (OH)2D3) (vitamin D). Significant changes in lipid composition of membranes have previously been shown in response to vitamin D3 administration. Deficiency in essential fatty acids (EFAs) may influence the vitamin D-dependent calcium absorption in the intestinal tract. The purpose of this study was to investigate the effect of unsaturated fatty acid supplementation on calcium transport. Simultaneous measurements of calcium transport, membrane fluidity and lipid structure have rarely been performed on the same preparation. Intestinal membrane vesicles were prepared using a novel procedure. Vesicles prepared from fish oil and evening primrose oil supplemented animals revealed the highest calcium transport over time as well as the highest degree of unsaturation as compared to those from animals which were unsupplemented or given sunflower or coconut oil. The relative content of polyunsaturated fatty acids in the intestinal membranes may change fluidity, enhance calcium transport and may influence the action of vitamin D3 on calcium absorption.

A Method for Characterizing the Relation between Nutrient Concentration and Flux into Roots of Intact Plants.

A method based on the rate of depletion of a nutrient from solution was developed to characterize nutrient flux of plant roots. Nutrient concentration of the solution was measured at a series of time intervals to describe the complete depletion curve. An integrated rate equation, based on a Michaelis-Menten model, was developed and fit to the data of the depletion curve using a least-square procedure. The equation contained values for V(max), the maximum rate of influx; Km, the Michaelis constant; and E, efflux, which were used to describe the relation between solution concentration and net influx rate. Models other than Michaelis-Menten could also be used. The method uses only one plant or group of plants to obtain data over a range of nutrient concentrations, is adapted particularly to the low concentration range, and measures the concentration below which net influx ceases. With this method the plant is in steady state absorption prior to the experiment and continues at this steady state until near the end of the experiment.A procedure was also developed to measure uptake rate at constant concentration by adding nutrients to the pot at a constant rate that matched net influx into the root. This method also provides a means of measuring diurnal fluctuations in net influx rates.