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1.
Occup Environ Med ; 78(4): 293-295, 2021 04.
Article in English | MEDLINE | ID: mdl-33563606

ABSTRACT

BACKGROUND: Exposure to cleaning and disinfection products has been associated with respiratory disorders such as asthma in cleaning and healthcare workers. Safety data sheets (SDSs) provide information on hazardous chemicals that are present in products to help users with risk assessment and implement appropriate control measures. However, they have potential limitations in identifying respiratory hazards due to a lack of regulatory test methods for respiratory sensitisation and irritation of chemicals. METHODS: SDSs were first used to identify chemicals on the database as respiratory sensitisers and irritants. A quantitative structure-activity relationship (QSAR) model and an asthmagen list established by the Association of Occupational and Environmental Clinics (AOEC) were used to identify potential respiratory sensitisers and irritants (by the AOEC list only) in the cleaning and disinfection products. RESULTS: From a total of 459 cleaning and disinfection products used in healthcare organisations across England and Wales, 35 respiratory sensitisers not labelled as such on the SDS were identified by QSAR or AOEC. Only 2% of cleaning and disinfection products contained at least one respiratory sensitiser as identified by their SDSs; this was increased to 37.7% of products when the QSAR or the AOEC list was used. CONCLUSIONS: A significantly higher proportion of cleaning products contain respiratory hazardous chemicals, particularly respiratory sensitisers than would be expected from the information provided by SDSs alone. Cleaners and healthcare workers may, therefore, be insufficiently protected.


Subject(s)
Asthma/chemically induced , Detergents/adverse effects , Disinfectants/adverse effects , Hazardous Substances/adverse effects , Health Facilities , Irritants/adverse effects , Occupational Exposure/adverse effects , England , Humans , Material Safety Data Sheets , Structure-Activity Relationship , Wales
2.
Gac. sanit. (Barc., Ed. impr.) ; 35(supl. 2): S468-S471, 2021. tab
Article in English | IBECS | ID: ibc-221078

ABSTRACT

Objective: This study aimed to evaluate the completeness and accuracy of information on the SDS that has been reported to the SIINAS (Indonesian Industrial Information System). Methods: The SDSs of 42 chemical substances were evaluated using a checklist that includes (1) the completeness check which refers to the Indonesian Regulation and (2) the accuracy check which refers to the European Chemicals Agency (ECHA) – info card and the National Institute of Technology and Evaluation (NITE) of Japan – Chemical Risk Information Platform (CHRIP). Result: The evaluation on the completeness check showed that all SDS provides complete information on the hazard identification (SDS element 2), yet none of SDS provides complete toxicological information (SDS element 11). On the other hand, the evaluation on the SDS accuracy found that 21 SDSs were accurate based on ECHA-Infocard and 4 SDSs were accurate based on NITE-CHRIP. Conclusion: This study shows that there are weaknesses in the completeness and accuracy of SDS available in Indonesia. Strengthening the knowledge on GHS and available resources as reference for SDS production is ought to be improved. (AU)


Subject(s)
Humans , Hazardous Substances/toxicity , Material Safety Data Sheets , Indonesia , Product Labeling , Information Systems
3.
Hum Factors ; 61(1): 32-42, 2019 02.
Article in English | MEDLINE | ID: mdl-30141977

ABSTRACT

OBJECTIVE: Evaluation of effects of native language-native (L1) versus nonnative (L2)-on procedure performance. BACKGROUND: Written procedures are used by global industries to facilitate accurate and safe performance of hazardous tasks. Often companies require that all employees be sufficiently literate in English and to use only English versions. METHOD: Industrial tasks were tested using a virtual reality industrial environment (Second Life®) to explore effects on procedural performance and safety statement adherence. Fifty-four engineering students (27 L2) participated in the study to explore the native language variable. The participants completed the procedures under time pressure and were scored according to procedure performance and hazard comprehension. RESULTS: Analysis of eight procedures showed significant differences between L1 and L2 for procedure performance (specifically for L2 females). There were no language fluency or hazard comprehension differences found between the two groups. CONCLUSION: The results suggest that (a) the lower procedure performance of L2 readers was not due to English proficiency but more likely to time pressure; (b) implications regarding single language procedures are not fully understood, particularly with regard to gender differences. APPLICATION: This research is applicable to high-risk industries providing single language, time critical procedures to multilingual workforces.


Subject(s)
Multilingualism , Safety Management , Task Performance and Analysis , Comprehension , Female , Humans , Male , Material Safety Data Sheets , Sex Factors , Stress, Psychological , Young Adult
4.
Safety and Health at Work ; : 114-121, 2019.
Article in English | WPRIM (Western Pacific) | ID: wpr-761328

ABSTRACT

BACKGROUND: The photolithography process in the semiconductor industry uses various chemicals with little information on their constitution. This study aimed to identify the chemical constituents of photoresist (PR) products and their by-products and to compare these constituents with material safety data sheets (MSDSs) and analytical results. METHODS: A total of 51 PRs with 48 MSDSs were collected. Analysis consisted of two parts: First, the constituents of the chemical products were identified and analyzed using MSDS data; second, for verification of the by-products of PR, volatile organic compounds were analyzed. The chemical constituents were categorized according to hazards. RESULTS: Forty-five of 48 products contained trade secrets in amounts ranging from 1 to 65%. A total of 238 ingredients with multiple counting (35 ingredients without multiple counting) were identified in the MSDS data, and 48.7% of ingredients were labeled as trade secrets under the Korea Occupational Safety and Health Act. The concordance rate between the MSDS data and the analytical result was 41.7%. The by-product analysis identified 129 chemicals classified according to Chemical Abstracts Service No., with 17 chemicals that are carcinogenic, mutagenic, and reprotoxic substances. Formaldehyde was found to be released from 12 of 21 products that use novolak resin. CONCLUSION: We confirmed that several PRs contain carcinogens, and some were not specified in the toxicological information in the MSDS. Hazardous chemicals, including benzene and formaldehyde, are released from PRs products as by-products. Therefore, it is necessary to establish a systematic management system for chemical compounds and the working environment.


Subject(s)
Benzene , Carcinogens , Constitution and Bylaws , Formaldehyde , Hazardous Substances , Korea , Material Safety Data Sheets , Occupational Health , Semiconductors , Volatile Organic Compounds
5.
Article in English | WPRIM (Western Pacific) | ID: wpr-785300

ABSTRACT

BACKGROUND: The aim of this study was to evaluate the awareness of occupational hazards and personal protective equipment use among dental hygienists (DHs).METHODS: A total of 271 self-administered questionnaires were obtained from 280 DHs working at dental hospitals or clinics in Daegu and Gyeongsangbuk-do, Korea.RESULTS: The occupational hazards included work involving dust (94.1%), volatile substances (86.0%), noise (97.0%), and light-curing units (96.7%). The proportion of dental hygiene tasks that participants perceived as harmful were 42.4%, 51.7%, 9.2%, and 31.4% in the same order as above. The proportion of participants who used dust-proof masks during work involving dust was 1.1%. Those who wore gas-proof masks and gloves for work using volatile substances were 0.7% and 31.2%, respectively. Participants who used goggles for work involving light-curing units were 31.0%. None of the participants used ear plugs for work involving noise. A total of 22.9% of the participants recognized the Material Safety Data Sheet, while 79.7% had never been educated about harmful work environments.CONCLUSION: When compared to exposure status and perception of occupational hazards, the level of protective equipment use was very low. Extra measures to increase DHs’ use of personal protective equipment are necessary.


Subject(s)
Humans , Dental Hygienists , Dust , Ear , Eye Protective Devices , Korea , Masks , Material Safety Data Sheets , Noise , Occupations , Oral Hygiene , Personal Protective Equipment
6.
Dermatitis ; 29(6): 332-338, 2018.
Article in English | MEDLINE | ID: mdl-30346324

ABSTRACT

BACKGROUND: There is limited information regarding isothiazolinone content in residential wall paints in the United States. OBJECTIVE: The aim of this study was to evaluate the prevalence of 5 isothiazolinones-methylisothiazolinone (MI), methylchloroisothiazolinone, benzisothiazolinone (BIT), butyl BIT, and octylisothiazolinone-in US residential wall paints. METHODS: Forty-seven paints were obtained from retailers in Minneapolis/St Paul, Minnesota. Paint samples were assessed for the presence of the 5 isothiazolinones using high-performance liquid chromatographic-mass spectrometry. RESULTS: At least 1 isothiazolinone was detected in all 47 paints. However, no paint contained butyl BIT, and only 1 paint had octylisothiazolinone. The MI and BIT were found in 96% and 94% of the paints, respectively. Methylisothiazolinone ranged in concentration from 17 to 358 ppm, whereas BIT varied from 29 to 1111 ppm. Methylchloroisothiazolinone was found solely in oil-based paints. Isothiazolinones were declared in 15% of Safety Data Sheets but did not correlate with high-performance liquid chromatographic-mass spectrometry. One "preservative-free" paint had BIT at 71.5 ppm. Paint sheen was not statistically associated with BIT or MI concentrations. Unpigmented paints and paints with volatile organic compound claims had significantly lower concentrations of MI, but not BIT. CONCLUSIONS: All paints contained at least 1 isothiazolinone. Methylisothiazolinone and BIT were the most common. Safety Data Sheets are insufficient for ascertaining isothiazolinone content in US paints.


Subject(s)
Anti-Infective Agents/analysis , Paint , Chromatography, High Pressure Liquid , Mass Spectrometry , Material Safety Data Sheets , Thiazoles/analysis , Volatile Organic Compounds
7.
Hig. aliment ; 32(284/285): 46-50, out. 30, 2018. tab
Article in Portuguese | LILACS | ID: biblio-965437

ABSTRACT

A Ficha Técnica de Preparo é um instrumento gerencial de apoio operacional, onde se registram custos, ordenação do preparo e o cálculo do valor nutricional das preparações, especificando, em um formato padrão, as características de produção de cada preparação, sendo necessária observação do modo de preparo das refeições no local avaliado. O presente estudo foi desenvolvido em uma unidade de médio porte, onde diariamente são servidas cerca de 220 refeições no almoço, para funcionários e acompanhantes de pacientes internados. Foram elaboradas Fichas Técnicas de Preparo (FTP) dos pratos e principais e das opções presentes no cardápio do almoço elaborado para funcionários e acompanhantes no período de sete dias úteis, objetivando propor a padronização na elaboração destas preparações do cardápio da UAN. As informações coletadas foram organizadas em fichas contendo o nome da preparação, a categoria, as porções, valores per capita, ingredientes, equipamentos e utensílios, modo de preparo, Peso Bruto, Peso Líquido, Peso Cozido, Fator de Correção e Índice de Cocção, informações nutricionais e o custo das preparações. O uso das FTP poderá possibilitar o controle e redução de custos, a padronização das preparações e o conhecimento dos valores nutricionais das preparações, além de permitir a análise de quais preparações são menos custosas para o serviço.


The technical card of preparation is a management tool for operational support, in which is made the raising of costs, preparation sorting and is calculated the nutritional value of preparations, specifying, in a standard format, the production characteristics of each preparation, and requires method of preparation of on-site observation. This study was conducted in a mid-sized unit where is served daily around 220 meals at lunch for staff and companions of hospitalized patients. Were made Technical Preparation Cards of the main course and the options at lunch menu prepared for staff and caregivers within 7 working days, aiming to propose standardization in the preparation of the UAN menu preparations. The data were organized into records containing the name of the preparation, the category, the portions, per capita values, ingredients, equipment and utensils, preparation mode, Gross Weight, Net Weight, Cooked Weight, Correction Factor and Cooking Index, nutritional information and the cost of preparations. The use of FTP can allow control and cost reduction, standardization of preparations and knowledge of nutritional values of preparations, and allows analysis of which preparations are less costly to service.


Subject(s)
Organization and Administration , Quality Control , Meals , Food Services , Nutritive Value , Cost Savings , Cost Control , Material Safety Data Sheets , Diet, Food, and Nutrition , Menu Planning
8.
J Expo Sci Environ Epidemiol ; 28(3): 216-222, 2018 05.
Article in English | MEDLINE | ID: mdl-29115287

ABSTRACT

Assessing human exposures to chemicals in consumer products requires composition information. However, comprehensive composition data for products in commerce are not generally available. Many consumer products have reported ingredient lists that are constructed using specific guidelines. A probabilistic model was developed to estimate quantitative weight fraction (WF) values that are consistent with the rank of an ingredient in the list, the number of reported ingredients, and labeling rules. The model provides the mean, median, and 95% upper and lower confidence limit WFs for ingredients of any rank in lists of any length. WFs predicted by the model compared favorably with those reported on Material Safety Data Sheets. Predictions for chemicals known to provide specific functions in products were also found to reasonably agree with reported WFs. The model was applied to a selection of publicly available ingredient lists, thereby estimating WFs for 1293 unique ingredients in 1123 products in 81 product categories. Predicted WFs, although less precise than reported values, can be estimated for large numbers of product-chemical combinations and thus provide a useful source of data for high-throughput or screening-level exposure assessments.


Subject(s)
Environmental Exposure/analysis , Inorganic Chemicals/analysis , Organic Chemicals/analysis , Product Labeling , Risk Assessment/methods , Consumer Product Safety , Humans , Material Safety Data Sheets , Models, Statistical , Monte Carlo Method , United States , United States Food and Drug Administration
9.
Article in English | WPRIM (Western Pacific) | ID: wpr-762498

ABSTRACT

BACKGROUND: This study aimed to identify the difference of perception about the role of appointing health officers by comparing and analyzing the response of entrustment workplace (EW) and specialized health management institution (SI). This is considered an important aspect of an institutional assessment to improve the quality of health management services. METHODS: A survey questionnaire was mailed to 122 SIs and 319 EWs nationwide. The questionnaire survey was about the general characteristics of SIs and EWs and main occupations for each evaluation item. In total, 81 SIs (66.4%) and 30 EWs responded to the questionnaire. A logistic regression analysis was performed to compare the opinions of SI and EW. RESULTS: Based on the analysis, the items showing statistically significant differences were as follows. Doctors’ main tasks survey: “Guidance on their wearing personal protective equipment (PPE)” (OR: 4.58), “Guidance of improvement of work environment (WE)” (OR: 3.33), etc.; Nurses’ main tasks survey: “Guidance on their wearing PPE” (OR: 3.86), “Guidance for programs on health process in confined space (CS)” (OR: 0.36), “Guidance on the hearing conservation program (HCP)” (OR: 0.28), etc.; Industrial hygienist (IH)‘s main tasks survey: “Guidance of work through inspection (WTI)” (OR: 0.15), “Guidance on the improvement of WE” (OR: 0.32), “Management confirmation of substances used by process and Material Safety Data Sheet (MSDS)” (OR: 0.08), “Guidance on posting or keeping of MSDS and warning signs” (OR: 0.03), “Prevention of dust-induced medical problems” (OR: 0.28), “Guidance for programs of health process in CS” (OR: 0.39), etc. CONCLUSIONS: It is necessary to educate the EWs to recognize the need for physicians to perform tasks, such as wearing a PPE, and instruction to improve WE. As for nurses’ tasks, such as education about the CS and the noise work, educating the nurses of the SI is regarded necessary as the demand of the EWs is considered. With respect to the unique tasks of IH, such as WE management and instructions for wearing PPE, among several other tasks of IH, training should be provided for improved IH recognition.


Subject(s)
Confined Spaces , Delivery of Health Care , Education , Hearing , Korea , Logistic Models , Material Safety Data Sheets , Noise , Occupations , Personal Protective Equipment , Postal Service
10.
Med Lav ; 108(1): 33-41, 2017 02 15.
Article in Italian | MEDLINE | ID: mdl-28240731

ABSTRACT

BACKGROUND: Hazard classification of chemicals can be defined as a logic-mathematical operation aimed at identifying the type and severity of the inherent hazards of a substance or a mixture. OBJECTIVES: The purpose of this study was to evaluate, in 134 safety data sheets (SDSs): i) the hazard classification and ii) its coherence with sections 9 (physical-chemical properties), 11 (toxicological properties) and 12 (ecological properties) of the SDSs. METHODS: Hazard classification and the information provided in sections 9, 11 and 12 of the SDSs have been evaluated against the criteria provided in annexes VI of the Dangerous Substance Directive, II and III of the Dangerous Preparations Directive, I and VI of the Regulation (EC) n. 1272/2008. RESULTS: Most of the analyzed SDSs of substances (62%) was associated to non-classified chemicals (61.4%), although 19.6% of them should have been classified. By contrast, 59.4% of classified substances (representing 38.6% of analyzed ones) were wrongly classified. Fifty-four %, 54% and 67% of suggested substances hazard classification were in line with sections 9 (physical-chemical properties), 11 (toxicological properties) and 12 (ecological properties). CONCLUSIONS: The proportion of hazard classification mistakes in SDS was significant, suggesting the need of more qualified experts to derive classification. The introduction of an ad hoc evaluation team, managed by a single, qualified specialist, could represent a solution to ensure the needed improvement of SDSs quality.


Subject(s)
Hazardous Substances/classification , Material Safety Data Sheets , Occupational Health , Humans
11.
Mar Pollut Bull ; 110(1): 511-519, 2016 Sep 15.
Article in English | MEDLINE | ID: mdl-27339744

ABSTRACT

Approximately 9.5billiontonnes of goods is transported over the world oceans annually with dry bulk representing the largest cargo group. This paper aims to analyse whether the transport and associated inputs of dry bulks into the sea create a risk for the marine environment. For this purpose, we analyse the international regulatory background concerning environmental protection (MARPOL), estimate quantities and identify inputs of such cargoes into the oceans (accidental and operational), and use available information for hazard assessment. Annually, more than 2.15milliontonnes of dry bulk cargoes are likely to enter the oceans, of which 100,000tonnes are potentially harmful to the marine environment according to the definition included in draft maritime regulation. The assessment of the threat to the marine environment is hampered by a lack of available information on chemical composition, bioavailability and toxicity. Perspectives for amendments of the unsatisfying pollution prevention regulations are discussed.


Subject(s)
Aquatic Organisms/drug effects , Conservation of Natural Resources , Hazardous Substances/analysis , Ships/standards , Water Pollution, Chemical , Conservation of Natural Resources/legislation & jurisprudence , Conservation of Natural Resources/methods , Government Regulation , Hazardous Substances/toxicity , Humans , Material Safety Data Sheets , Oceans and Seas , Ships/legislation & jurisprudence , Water Pollution, Chemical/analysis , Water Pollution, Chemical/prevention & control
12.
Ann Occup Hyg ; 60(3): 361-70, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26568584

ABSTRACT

OBJECTIVES: Employees in printing industries can be exposed to multiple solvents in their work environment. The objectives of this study were to investigate the critical components of chemical solvents by analyzing the components of the solvents and collecting the Safety data sheets (SDSs), and to evaluate the hazard communication implementation status in printing industries. METHOD: About 152 printing-related industries were recruited by area-stratified random sampling and included 23 plate-making, 102 printing and 27 printing-assistance companies in Taiwan. We analyzed company questionnaires (n = 152), SDSs (n = 180), and solvents (n = 20) collected from this sample of printing-related companies. RESULTS: Analytical results indicated that benzene and ethylbenzene, which were carcinogen and possibly carcinogen, were detectable in the cleaning solvents, and the detection rate were 54.5% (concentrations: <0.011-0.035 wt%) and 63.6% (concentrations: <0.011-6.22 wt%), respectively; however, neither compound was disclosed in the SDS for the solvents. Several other undisclosed components, including methanol, isopropanol and n-butanol, were also identified in the printing inks, fountain solutions and dilution solvents. We noted that, of the companies we surveyed, only 57.2% had a hazard communication program, 61.8% had SDSs on file and 59.9% provided employee safety and health training. We note that hazard communication programs were missing or ineffective in almost half of the 152 printing industries surveyed. CONCLUSIONS: Current safety information of solvents components in printing industries was inadequate, and many hazardous compounds were undisclosed in the SDSs of the solvents or the labels of the containers. The implementation of hazard communications in printing industries was still not enough for protecting the employees' safety and health.


Subject(s)
Chemical Safety/standards , Industry/standards , Ink , Material Safety Data Sheets , Printing , Air Pollutants, Occupational/analysis , Benzene Derivatives/analysis , Environmental Monitoring/methods , Hazardous Substances/analysis , Humans , Occupational Exposure , Safety Management/standards , Solvents/analysis , Taiwan , Workplace
13.
PLoS One ; 10(11): e0142404, 2015.
Article in English | MEDLINE | ID: mdl-26561299

ABSTRACT

Allergy against birch pollen is among the most common causes of spring pollinosis in Europe and is diagnosed and treated using extracts from natural sources. Quality control is crucial for safe and effective diagnosis and treatment. However, current methods are very difficult to standardize and do not address individual allergen or isoallergen composition. MS provides information regarding selected proteins or the entire proteome and could overcome the aforementioned limitations. We studied the proteome of birch pollen, focusing on allergens and isoallergens, to clarify which of the 93 published sequence variants of the major allergen, Bet v 1, are expressed as proteins within one source material in parallel. The unexpectedly complex Bet v 1 isoallergen composition required manual data interpretation and a specific design of databases, as current database search engines fail to unambiguously assign spectra to highly homologous, partially identical proteins. We identified 47 non-allergenic proteins and all 5 known birch pollen allergens, and unambiguously proved the existence of 18 Bet v 1 isoallergens and variants by manual data analysis. This highly complex isoallergen composition raises questions whether isoallergens can be ignored or must be included for the quality control of allergen products, and which data analysis strategies are to be applied.


Subject(s)
Anti-Allergic Agents/chemistry , Antigens, Plant/immunology , Pollen/immunology , Quality Control , Rhinitis, Allergic, Seasonal/drug therapy , Anti-Allergic Agents/therapeutic use , Databases, Factual , Mass Spectrometry , Material Safety Data Sheets , Rhinitis, Allergic, Seasonal/immunology
16.
Ann Occup Hyg ; 59(4): 401-15, 2015 May.
Article in English | MEDLINE | ID: mdl-25638729

ABSTRACT

The purpose of occupational exposure limits values (OELs) is to regulate exposure to chemicals and minimize the risk of health effects at work. National authorities are responsible for the setting and updating of national OELs. In addition, the EU sets indicative occupational exposure limit values (IOELVs), which have to be considered by the Member States. Under the new European legislation on chemicals (REACH), manufacturers and importers are obliged to establish derived no-effect levels (DNELs) for chemicals that are manufactured or imported in quantities >10 tonnes per year. Chemical safety data sheets must report both OELs and the DNEL values, if such have been set. This may cause confusion at workplaces, especially if the values differ from each other. In this study, we explored how EU IOELVs and Finnish national OELs [Haitallisiksi tunnetut pitoisuudet (HTP) values] correlate with worker inhalation DNELs for substances registered under REACH. The long-term DNEL value for workers (inhalation) was identical to the corresponding IOELV for the majority of the substances (64/87 cases). Comparison of DNELs with HTP values revealed that the values were identical or close to each other in 159 cases (49%), whereas the DNEL was considerably higher in 69 cases, and considerably lower in 87 cases. Examples of cases with high differences between Finnish national OELs and DNELs are given. However, as the DNELs were not systematically lower than the OELs, the default assessment factors suggested by REACH technical guidance had obviously not been used in many of the REACH registrations.


Subject(s)
Government Regulation , No-Observed-Adverse-Effect Level , Occupational Exposure/legislation & jurisprudence , Threshold Limit Values , Environmental Monitoring/legislation & jurisprudence , Environmental Monitoring/methods , European Union , Finland , Hazardous Substances/standards , Humans , Material Safety Data Sheets/legislation & jurisprudence , Occupational Exposure/standards , Occupational Health/legislation & jurisprudence , Occupational Health/standards , Risk Assessment , Workplace
17.
Contact Dermatitis ; 72(3): 147-53, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25407381

ABSTRACT

BACKGROUND: Information on the occurrence of contact allergens and irritants is crucial for the diagnosis of occupational contact dermatitis. Material Safety Data Sheets (MSDS) are important sources of information concerning exposures in the workplace. OBJECTIVE: From a medical viewpoint, to evaluate the information available from MSDSs, and to ascertain whether MSDS are easy to obtain, whether they serve their purpose, and whether they provide sufficient information regarding allergens to enable correct diagnosis. METHODS: MSDS and ingredients labelling were collected from consecutive patients and reviewed. If it was suspected that the MSDS were incomplete, the manufacturer, supplier, salesperson or workplace was contacted to gather more information. RESULTS: Twenty-five per cent (79/316) of patients provided material for the exposure assessment. One or more shortcomings were found in 18.6% (137/738) of the MSDS. The most frequent shortcoming was 'Missing R43/H317 while known contact allergen was present', which was observed in 63.1% (84/137). Other shortcomings were 'Names of preservatives not included in section 3 despite containing preservatives', in 48.9% (67/137), and 'Nothing about allergy in sections 2, 3, 11, 15 or 16 in the MSDS despite the content of allergens', in 20.4% (28/137). The information retrieved led to additional testing of 21 patients. CONCLUSION: Systematic exposure assessment is time-consuming. The main shortcomings are errors/omissions in the MSDS.


Subject(s)
Allergens/adverse effects , Dermatitis, Allergic Contact/diagnosis , Dermatitis, Occupational/diagnosis , Material Safety Data Sheets , Occupational Exposure/adverse effects , Humans , Material Safety Data Sheets/standards
18.
Paediatr Anaesth ; 25(3): 272-8, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25331361

ABSTRACT

BACKGROUND: Emergency pediatric situations are stressful for all involved. Variation in weight, physiology, and anatomy can be substantial and errors in calculating drugs and fluids can be catastrophic. OBJECTIVES: To evaluate the reliability of information resources that anesthetic trainees might use when faced with common pediatric emergencies. METHODS: Anesthetic trainees from a single UK deanery were recruited and timed while they identified 18 predetermined pieces of information from three Advanced Pediatric Life Support (APLS) scenarios. The two most popular smartphone applications identified from a previous survey, PaedsED (PaedsED. iED limited, Version 1.0.8, Updated March 2011. ©2009) and Anapaed (AnaPaed. Thierry Girard, Version 1.4.2, Updated Nov 2, 2012. ©Thierry Girard), the British National Formulary for Children (cBNF) and trainee's inherent knowledge were compared with a local, check-list style, handbook of pediatric emergency algorithms - Pediatric Anesthetic Emergency Data sheets (PAEDs). RESULTS: Twenty anesthetic trainees were recruited. The fastest source of information was the trainees own knowledge (median 61 s, IQR 51-83 s). Second fastest was PAEDs (80, [59-110] s), followed by PaedsED (84, [65-111]). The most accurate source overall was PaedsED (100, [83-100]) although the accuracy varied between scenarios. The handbook was rated as the most popular resource by the trainees. CONCLUSION: Although fastest, trainees own knowledge is inaccurate, highlighting the need for additional, rapidly accessible, information. Of the two smartphone applications, PaedsED proved to be fast, accurate, and more popular, while Anapaed was accurate but slow to use. The PAEDs handbook, with its checklist-style format, was also fast, accurate and rated the most popular information source.


Subject(s)
Anesthesia , Anesthesiology/standards , Emergency Medical Services , Information Storage and Retrieval/methods , Medical Informatics Applications , Pediatrics/standards , Algorithms , Anesthesiology/education , Child , Female , Humans , Infant , Male , Material Safety Data Sheets , Pediatrics/education , Smartphone
19.
Am J Ind Med ; 58(1): 101-11, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25351791

ABSTRACT

BACKGROUND: Healthcare workers have an elevated prevalence of asthma and related symptoms associated with the use of cleaning/disinfecting products. The objective of this study was to identify and characterize cleaning/disinfecting tasks and products used among hospital occupations. METHODS: Workers from 14 occupations at five hospitals were monitored for 216 shifts, and work tasks and products used were recorded at five-minute intervals. The major chemical constituents of each product were identified from safety data sheets. RESULTS: Cleaning and disinfecting tasks were performed with a high frequency at least once per shift in many occupations. Medical equipment preparers, housekeepers, floor strippers/waxers, and endoscopy technicians spent on average 108-177 min/shift performing cleaning/disinfecting tasks. Many occupations used products containing amines and quaternary ammonium compounds for >100 min/shift. CONCLUSIONS: This analysis demonstrates that many occupations besides housekeeping incur exposures to cleaning/disinfecting products, albeit for different durations and using products containing different chemicals.


Subject(s)
Disinfection/statistics & numerical data , Health Personnel/statistics & numerical data , Housekeeping, Hospital/statistics & numerical data , Occupational Exposure/statistics & numerical data , Communicable Disease Control/methods , Detergents/chemistry , Detergents/therapeutic use , Disinfectants/chemistry , Disinfectants/therapeutic use , Disinfection/methods , Health Personnel/classification , Hospitals , Hospitals, Teaching , Humans , Material Safety Data Sheets , New England , Occupational Exposure/analysis , Southeastern United States
20.
Int J Occup Med Environ Health ; 27(5): 840-53, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25218109

ABSTRACT

OBJECTIVES: Cleaning products are considered less hazardous than those used in other sectors. Suppliers and distributors are less conscientious when it comes to informing users on health risks. The aim of the study was to elaborate on the usefulness and clarity of information in the safety data sheets (SDS) for cleaning products, and considering if the use of these SDSs can be seen as a risk factor towards occupational exposure to hazardous chemicals in the sector. MATERIAL AND METHODS: Safety data sheets were selected based on the risk level of the product assigned in an industrial sector scheme. 320 SDSs for cleaning products were reviewed. Constituent components found in the products over a given threshold were listed and available information thereof used to assess the perceived non-hazard consideration of the chemicals. RESULTS: The contents of the SDSs was generic and mostly incomplete. Safety measures and health information lacked sufficient specificity despite varying compositions and concentrations of components. There is generally incompatibility between mentioned sections on the suggested non-hazardous nature of the products and health effects. Not all substances used in these products have harmonized classifications, which makes them open to various classification of the products and the suggested safety measures. This results in different companies classifying similar products differently. Risk management measures and suggested personal protective equipment (PPEs) are given haphazardly. Physical properties relevant to risk assessment are not included. CONCLUSIONS: The safety data sheets are ambiguous, and they lack relevant and important information. Inadequate information and risk assessment concerning the products can lead to workers being exposed to hazardous chemicals. Underestimation of the hazard contribution of the components of the products and the insufficient, non-objective mention of appropriate control and protective measures are the major contributing elements. There is a need to test the products in order to establish health effects and product specific safety measures.


Subject(s)
Chemical Safety/standards , Hazardous Substances , Household Products/toxicity , Household Work , Material Safety Data Sheets , Occupational Exposure/adverse effects , Humans , Norway , Risk Factors
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