Induced current density in the foetus of pregnant workers in high magnetic field environments.

There are moves to limit by legislation the amount of electric and magnetic fields that workers and the general public are exposed to. In work locations near wiring, cables & equipment carrying high electric currents, there are situations in which the proposed magnetic field limits could be exceeded. Since the limits for the general public are more conservative than those for workers and since the foetus or a pregnant worker should be afforded the status of a member of the general public, it is important to assess a worst-case scenario for the purposes of a general code of practice. Three different magnetic field exposures are modelled, which include the worst case - the body of a pregnant woman at a smallest distance of 30 cm to the conductor. All computations were done by using Multiple Multipole Program (MMP), which is based on the Generalized Multipole Technique (GMT) from ETH (Swiss Federal Institute of Technology), Zurich, Switzerland. In a worst-case scenario the proposed basic restrictions would be exceeded slightly in both maternal and foetal tissue. With appropriate pre-placement assessment, these over-exposures can be avoided.

Study of high- and low-current-configuration homes from the 1988 Denver Childhood Cancer Study.

An epidemiological study conducted by Savitz et al. reported that residential wire codes were more strongly associated with childhood cancer than were measured magnetic fields, a peculiar result because wire codes were originally developed to be a surrogate for residential magnetic fields. The primary purpose of the study reported here, known as the Back to Denver (BTD) study, was to obtain data to help in the interpretation of the original results of Savitz et al. The BTD study included 81 homes that had been occupied by case and control subjects of Savitz et al., stratified by wire code as follows: 18 high current configuration (HCC) case homes; 20 HCC control homes; 20 low current configuration (LCC) case homes; and 23 LCC control homes. Analysis of new data acquired in these homes led to the following previously unpublished conclusions. The home-averaged (i.e., mean of fields measured in subjects' bedrooms, family/living rooms, and rooms where meals normally eaten) spot 60 Hz, 180 Hz, and harmonic (i.e., 60-420 Hz) magnetic fields were associated with wire codes. The 180 Hz and harmonic components, but not the 60 Hz component, were associated with case/control status. Measured static magnetic fields were only weakly correlated (rapproximately 0.2) between rooms in homes. The BTD data provide little support for, but are too sparse to definitively test, the 1995 resonance hypothesis proposed by Bowman et al. Case and control homes had similar concentrations of copper in their tap water. Copper concentration was not associated with wire codes nor with the level of electric current carried by a home's water pipe. These results of the BTD study suggest that future case/control studies investigating power frequency magnetic fields might wish to include measurements of 180 Hz or harmonic magnetic fields in order to examine their associations (if any) with disease status.

Assessment and management of the painful shoulder.

The shoulder joint is a complex structure composed of intricate bony architecture and an ornate system of muscles, tendons, and ligaments. What many refer to as the "shoulder joint" is actually a combination of 4 articulations--the glenohumeral joint, acromioclavicular joint, sternoclavicular joint, and the scapulothoracic articulation. These structures work together to provide the shoulder complex with multiple degrees of freedom, which allow the upper extremity to be abducted, adducted, rotated, flexed, and extended. Although this flexibility is vital for positioning the arm in space, it can make the evaluation of pathology difficult. Furthermore, neck pathology can refer pain to the shoulder, which may require a screening evaluation of the neck. This article reviews the relevant anatomy and discusses an approach to the differential diagnosis of shoulder pain.

Repeatability of measurements of residential magnetic fields and wire codes.

Several epidemiological studies have been based on wire codes (i.e., categories of electrical wiring configurations near residences) or on in-home spot measurements of magnetic flux density (MFD) as surrogates for short- and long-term exposure of children and adults to residential magnetic fields. We used wire code and MFD measurements that were made in 81 Colorado homes in 1985 and again in 1990 to assess their repeatability over periods of 0-24 h and 5 years. These homes, a subset of those lived in by subjects from the case-control study of Savitz et al. [Am J Epidemiol 128:21-38, 1988], were divided into four approximately equally sized groups that were differentiated by wire code and by case-control status. Eight homes were assigned wire codes in 1990 that differed from the 1985 coding of Savitz and colleagues [1988]; of these, seven were coded as high-current configuration (HCC) and one as low-current configuration (LCC) in 1985. Overall, 37 homes were coded as HCC in 1990 compared with 38 homes in 1985. Coding differences were due to differing distance measurements (four homes), differing "thick" vs. "thin" categorization of primary-distribution line-conductor sizes (two homes), differing "first-span" vs. "second-span" categorization of secondary wires (one home), and physical changes in proximate electrical wiring (one home). Coefficients of correlation between MFD spot measurements that were separated in time by 0-24 h range between 0.70 and 0.90. The coefficient between spot measurements made in 1985 and then again in 1990 is 0.70. These coefficients are similar for HCC and LCC homes and do not depend on whether residential appliances were turned on or off. The data show (at least for the portion of Colorado studied) that residential wire code and, more surprisingly, spot MFD measurements, are fairly reliable over 0-24-h and 5-year periods.