Diagnostic criteria and staging of hand-arm vibration syndrome in the United Kingdom

Transparent and Flexible Vibration Sensor Based on a Wheel-Shaped Hybrid Thin Membrane

With the advent of human–machine interaction and the Internet of Things, wearable and flexible vibration sensors have been developed to detect human voices and surrounding vibrations transmitted to humans. However, previous wearable vibration sensors have limitations in the sensing performance, such as frequency response, linearity of sensitivity, and esthetics. In this study, a transparent and flexible vibration sensor was developed by incorporating organic/inorganic hybrid materials into ultrathin membranes. The sensor exhibited a linear and high sensitivity (20 mV/g) and a flat frequency response (80–3000 Hz), which are attributed to the wheel-shaped capacitive diaphragm structure fabricated by exploiting the high processability and low stiffness of the organic material SU-8 and the high conductivity of the inorganic material ITO. The sensor also has sufficient esthetics as a wearable device because of the high transparency of SU-8 and ITO. In addition, the temperature of the post-annealing process after ITO sputtering was optimized for the high transparency and conductivity. The fabricated sensor showed significant potential for use in transparent healthcare devices to monitor the vibrations transmitted from hand-held vibration tools and in a skin-attachable vocal sensor.

Vibration Levels of Used Chainsaws

Although professional chainsaws have come a long way regarding technical and ergonomic development since first introduced into forestry, they still remain a high-risk tool that can cause serious health problems. In this research, three types of used professional chainsaws were observed regarding harmful vibrations they emit and possible connection to years in use, chainsaw type, characteristics and level of vibrations. Measurements were performed in accordance with the recommendations of ISO 5349:2001. For the measurements, a measuring chain consisting of a triaxial accelerometer manufactured by Bruel & Kjaer and a vibrometer of the same manufacturer Type 4447. To evaluate the emitted vibrations, a daily exposure value A(8) was used. Exposure durations to predefined working operations were identical for every used chainsaw to enable the possibility of equal comparability. Obtained results indicate that the daily vibration exposure A(8) is not affected by the years in use of the chainsaw. Results also show that the power and chainsaw type have an influence on daily vibration exposure. The recommendation for the praxis is to use even lighter and smaller chainsaw wherever is possible.

Noise-induced gastric lesions: a light and electron microscopy study of the rat gastric wall exposed to low frequency noise

CONTEXT

Only a few studies evaluated the digestive alterations caused by low frequency noise (LFN) and most focused only on mucosal alterations.

OBJECTIVES

To investigate the morphological injury of LFN-exposed gastric wall, beyond the epithelial layer.

METHODS

Wistar rats were exposed to low frequency noise (LFN), during increasing periods, 1 to 13 weeks. A control group was kept in silence. Gastric specimens were studied using: (i) light microscopy with hematoxylin-eosin and immunostaining for collagens; (ii) transmission electron microscopy; (iii) morphometry allowing statistical analysis.

RESULTS

Submucosa of all LFN-exposed animals exhibit increased thickness with fibrous proliferation. Transmission electron microscopy showed massive collagen deposition. Immunostaining identified collagen IV as responsible for the increased thickness. Morphometry allowed the demonstration of a significant difference of thickness between control and exposed groups. Vascular alterations included: i) intima proliferation and thickening, rupture of the internal elastic lamina, thrombotic changes; ii) thickening of the media; iii) after 9 weeks of LFN-exposure, we found new formed vessel presenting tortuous and twisted. There is a significant difference of arterial wall thickness between control and exposed groups.

CONCLUSIONS

Deeper layers of gastric wall undergo alterations, including fibrosis of the submucosa caused by collagen IV deposition, an early marker of neoangiogenesis. Vascular alterations included thickening and thrombotic phenomena, but also images of newly formed vessels. This study suggests that, at least in the stomach, LFN-induced fibrosis could be linked with neoangiogenesis.

Evaluation of protective gloves and working techniques for reducing hand-arm vibration exposure in the workplace

OBJECTIVES

Operation of handheld power tools results in exposure to hand-arm vibrations, which over time lead to numerous health complications. The objective of this study was to evaluate protective equipment and working techniques for the reduction of vibration exposure.

METHODS

Vibration transmissions were recorded during different work techniques: with one- and two-handed grip, while wearing protective gloves (standard, air and anti-vibration gloves) and while holding a foam-covered tool handle. The effect was examined by analyzing the reduction of transmitted vibrations at the wrist. The vibration transmission was recorded with a portable device using a triaxial accelerometer.

RESULTS

The results suggest large and significant reductions of vibration with appropriate safety equipment. Reductions of 85.6% were achieved when anti-vibration gloves were used.

CONCLUSIONS

Our results indicated that transmitted vibrations were affected by several factors and could be measured and significantly reduced.

The characteristics of vibrotactile perception threshold among shipyard workers in a tropical environment

The objectives of this study are to determine the prevalence of hand-arm vibration syndrome (HAVS) and the characteristics of the vibrotactile perception threshold (VPT) among users of hand-held vibrating tools working in a tropical environment. A cross sectional study was done among 47 shipyard workers using instruments and a questionnaire to determine HAVS related symptoms. The vibration acceleration magnitude was determined using a Human Vibration Meter (Maestro). A P8 Pallesthesiometer (EMSON-MAT, Poland) was used to determine the VPT of index and little finger at frequencies of 31.5 Hz and 125 Hz. The mean reference threshold shift was determined from the reference threshold shift derived from the VPT value. The results show a moderate prevalence of HAVS (49%) among the shipyard workers. They were exposed to the same high intensity level of HAVS (mean = 4.19 ± 1.94 m/s(2)) from the use of vibrating hand-held tools. The VPT values were found to be higher for both fingers and both frequencies (index, 31.5 Hz = 110.91 ± 7.36 dB, 125 Hz = 117.0 ± 10.25 dB; little, 31.5 Hz = 110.70 ± 6.75 dB, 125 Hz = 117.71 ± 10.25 dB) compared to the normal healthy population with a mean threshold shift of between 9.20 to 10.61 decibels. The frequency of 31.5 Hz had a higher percentage of positive mean reference threshold shift (index finger=93.6%, little finger=100%) compared to 125 Hz (index finger=85.1%, little finger=78.7%). In conclusion, the prevalence of HAVS was lower than those working in a cold environment; however, all workers had a higher mean VPT value compared to the normal population with all those reported as having HAVS showing a positive mean reference threshold shift of VPT value.

Hand-arm vibration syndrome: a common occupational hazard in industrialized countries

Regular exposure to hand-transmitted vibration can result in symptoms and signs of peripheral vascular, neurological and other disorders collectively known as the hand-arm vibration syndrome (HAVS). A significant proportion of workers can suffer from HAVS after using vibrating power tools. HAVS is a chronic and progressive disorder. Early recognition and prevention is the key to managing vibrating tool exposures and health effects. This article gives a broad overview of the condition with a detailed account of its pathogenesis, identification and management.

Analysis of rewarming curves in Raynaud's phenomenon of various aetiologies

This study investigated whether a modified Cold Provocation Test could distinguish between 86 normal subjects and 31 patients with Raynaud's phenomenon or 59 with hand arm vibration syndrome (HAVS). Of the HAVS subjects, 56 were seen for medical reports as they were involved in litigation. Their assessments were done in a different location but the same protocol was used. A standardised cold stress was used to reduce the finger temperature to 15 degrees C or less without inducing reflex hyperaemia. This test had acceptable repeatability for subjects without HAVS with an intra-class correlation of 0.7. Baseline temperature, temperature rise in the first 30 seconds and the time taken to rewarm by 5 degrees C were measured. Patients with Raynaud's phenomenon and HAVS had cooler hands than controls. HAVS patients rewarmed most in the first 30 seconds. Patients with Raynaud's phenomenon take longer to rewarm by 5 degrees C than controls or those with HAVS (P<0.001). A baseline difference of >7.5 degrees C between the temperature of the digit and that of the room is unlikely to occur in patients with Raynaud's phenomenon or HAVS. A temperature gain of > or =2.2 degrees C in the first 30 seconds on rewarming combined with a low baseline temperature strongly suggests HAVS. This modified cold provocation test may differentiate between patients with Raynaud's phenomenon, HAVS and controls but this observation requires independent verification in subjects not involved in litigation and tested in the same facility.

Measurement of vibrations and evaluation of protective gloves for work with hand-held power tools in industrial settings

This study considers the use of hand-held power tools and the exposure of a large number of employees to hand-arm vibrations in work settings as well as the harmful effects that such exposure has on health and safety. The major objective of the project was the development of a diagnostic device for the detection and monitoring of the vibrations produced during work activities in a natural working environment and to analyze the impact of the vibrations on workers during different work operations. The developed device for vibration monitoring is based on the latest generation MEMS tri-axis accelerometer with a wireless link with the PC station. This study demonstrates the use of the device in evaluating the level of protection that gloves provide concerning the level of vibrations during work operations. The initial evaluation shows that the proposed solution provides an effective multifunctional, low-cost diagnostic device for vibration measurement in natural work settings. Preliminary results indicate that the developed device could be used for health and safety studies, evaluation of protective equipment, and ongoing monitoring in a natural working environment, and in this way may lead to more effective prevention and management of the risks associated with exposure to workplace vibrations.