Hat-wearing patterns in spectators attending baseball games: a 10-year retrospective comparison

Spectators at baseball games may receive a considerable amount of exposure to solar UV radiation (UVR). The purpose of this study was to evaluate if public education about sun protection over the last 10 years has impacted the use of hats at Major League Baseball (MLB) games. Photographs of seating sections during a 3-game series in New York, New York, were obtained and analyzed to evaluate the percentage of spectators wearing hats. Different seating sections were evaluated (sunny, shaded, bleachers) and assessed as well as compared to similar data reported 10 years prior. Given the limited change in hat use over the last decade, a knowledge and behavioral gap exists that may be exploitable to achieve better skin cancer prevention.

[Calculation of heat-insulating parameters of clothes for comfortable work conditions]

The article covers basics of hypothesis that selecting clothes for workers should consider heat-insulation in accordance with energy expenditure for work in various ambient temperatures with preserved heat balance.

Portrayal of tanning, clothing fashion and shade use in Australian women's magazines, 1987-2005

To examine modelling of outcomes relevant to sun protection in Australian women's magazines, content analysis was performed on 538 spring and summer issues of popular women's magazines from 1987 to 2005. A total of 4949 full-colour images of Caucasian females were coded for depth of tan, extent of clothing cover, use of shade and setting. Logistic regression using robust standard errors to adjust for clustering on magazine was used to assess the relationship between these outcomes and year, setting and model's physical characteristics. Most models portrayed outdoors did not wear hats (89%) and were not in shade (87%). Between 1987 and 2005, the proportion of models depicted wearing hats decreased and the proportion of models portrayed with moderate to dark tans declined and then later increased. Younger women were more likely to be portrayed with a darker tan and more of their body exposed. Models with more susceptible phenotypes (paler hair and eye colour) were less likely to be depicted with a darker tan. Darker tans and poor sun-protective behaviour were most common among models depicted at beaches/pools. Implicit messages about sun protection in popular Australian women's magazines contradict public health messages concerning skin cancer prevention.

Injuries in combat from 1982–2005 with particular reference to those to the head and neck: A review

The aim of this review was to examine the range of combat injuries with particular reference to those of the head and neck. We evaluated 10 retrospective studies selected from the period 1982-2005 that covered war injuries from Vietnam, Lebanon, Slovenia, Croatia, Iraq, Somalia, and Afghanistan. We found differences in the causes of injuries. Injuries from fragments were more common during the 90s than during the Vietnam War, where shooting injuries predominated. Injuries to the trunk were reduced in conflicts from 1991 onwards as military personal armour systems including protective vests were used. However, the mortality of wounded soldiers in all conflicts was consistently between 10% and 14%. There was a high incidence of injuries to the head and neck (up to 40%) though they affected only 12% of the body surface area. Though the data from the different military conflicts are not totally comparable, there are trends in the type of injuries and mortality, which may lead to changes in existing systems of medical care.

Revolutionary Advances in Sun-Protective Clothing-An Essential Step in Eliminating Skin Cancer in our World

For many years, individuals around the world have relied on sunscreen alone as their primary form of protection against ultraviolet rays (UV-R). Australia has shown that a multitactic approach to skin cancer prevention, combining sun-protective clothing with sunscreen, can be both highly effective and widely accepted by the general public. In the US, the aging baby boomer generation and rising skin cancer epidemic call for a fundamental behavioral shift toward this combination approach to sun protection. Sun-protective clothing, such as that manufactured by Coolibar and awarded the Seal of Recommendation by The Skin Cancer Foundation, offers millions of Americans the opportunity to significantly improve the quality of their lives and is an essential step in eliminating skin cancer in our world. All Coolibar clothing products carry a minimum ultraviolet protection factor (UPF) rating of 30, blocking 97% UV-R or greater. Each product in the Coolibar clothing line is individually tested and rated for its UV protection level; this process is explained in a thorough hangtag attached to the product. This tag specifies what UPF the product has received, how the UPF is figured, which testing procedures the individual product was submitted to, and if that product has received the Seal of Recommendation from The Skin Cancer Foundation. In addition to photoprotective clothing, The Skin Cancer Foundation recommends Rit Sun Guard, a photoprotective laundry additive. Rit Sun Guard washes into the clothing fibers and absorbs broadband UV-R. A single treatment of Rit Sun Guard sustains a UPF of 30 for approximately 20 launderings. The active ingredient in Rit Sun Guard is TINOSORB FD. In order to be certified by The Skin Cancer Foundation, the Coolibar clothing product must undergo extensive UPF testing to confirm the accuracy of the product labeling. Laundry additives evaluated by The Skin Cancer Foundation undergo similar tests to that of photoprotective clothing after a uniform laundering method is used to apply the product to the clothing fibers. Both of these certification processes confirm the UPF, UV-A and UV-B transmittance, and percentage blocking UV-A and UV-B. The certification process is reviewed on an annual basis.

Thermal insulation and evaporative resistance of football uniforms

PURPOSE

To measure the thermal resistance (R(t)) and evaporative resistance (R(e,t)) of five different configurations of football uniforms commonly worn for American football practices and games.

METHODS

The R(t) (insulation) of the ensembles was measured using an electrically heated manikin in thermal equilibrium with its surroundings. For the R(e,t) determinations, the manikin was covered with a cotton knit "skin" and sprayed with distilled water to simulate sweat-saturated skin.

RESULTS

Compared with reference values for a T-shirt and shorts ensemble (R(t) = 0.140 m2. degrees C.W-1, R(e,t) = 0.020 m2.kPa-1.W-1), the R(t) of football uniforms ranged from 0.178 m2. degrees C.W-1 (1.15 clo) for a practice configuration of shorts, shoulder pads, practice jersey, and helmet to 0.233 m2. degrees C.W-1 (1.50 clo) for a full cold-weather uniform. Associated R(e,t) values ranged from 0.027 to 0.039 m2.kPa-1.W-1.

CONCLUSION

Football uniforms contribute significantly to the heat load on a player. The thermal and evaporative resistance data presented in this paper can be used in the solution of heat balance equations to predict physiological responses of football players.

Surgical gowns and drapes into the 21st century

According to the MDD (Medical Devices Directive) 93/42/EEC of 13 June 1993, medical products including gowns and drapes must provide a high level of protection for patients, users and others. The European Commission CEN/TC 205/WG 14, under the leadership of its convenor, Professor Werner, is developing a mandatory European standard on the basic requirements and test methods for disposable and reusable materials for protection of patients, surgical personnel, and operating room facilities i.e. gowns and drapes. This European standard is intended to clarify the situation with respect to products and their properties, defining basic requirements, for users and manufacturers of medical products. Future use of standard cotton textiles and conventional cotton-polyester mixed textiles is uncertain as they may not meet the requirements of the new standard, i.e. resistance to penetration by microbiological microorganisms, liquids and particle release. However, there are innovative reusable barrier surgical drapes and gowns which meet the basic requirements of the standard made from liquid repellent micro-filament materials, material laminates and perhaps some specific cotton polyester materials which have been chemically modified. In the new standard based on CEN/TC 205/WG 14, quality assurance for reprocessing of surgical gowns and drapes is critical. The manufacturer/distributor must use validated processes to prove that the requirements of this European Standard are met. Quality Assurance Systems will be required to give proof of decontamination, disinfection and sterilisation. Specified processes are to be used to maintain the properties of the materials throughout reprocessing. It is the responsibility of the hospital to assure optimal protection of patients and users. In case of a lawsuit, this could lead to the burden of proof being shifted to the hospital, with related risk of liability because it is always assumed that the work is being done according to the 'state of the art'. Difficult situations arise when it must be proved that one has acted equivalent to or better than the standard procedures and that no mistakes are made. Because of this risk of liability alone, the question of what surgical materials are used in the future should be considered very carefully.

Sun exposure of young children while at day care

Sun exposure in childhood has been implicated as a risk factor for the development of melanoma and nonmelanoma skin cancers. As an increasing number of young children are cared for in day-care centers, we were interested in examining the sun-protection practices in this setting. In our study of day-care centers, we found that while most day-care center staff were aware of the adverse effect of excess sun exposure and the need for sun protection, the use of sunscreen and protective clothing and avoidance of midday sun were limited. We conclude that intensive education of day-care center staff and parents regarding sun exposure and sun protection is necessary if we are to attempt to reduce the frequency of melanoma and nonmelanoma skin cancer.

Fabrics that repel

When exposures to hazardous chemicals cannot be eliminated through engineering changes, substitution of different materials, or implementation of alternative work practices, chemical protective clothing offers the last line of defense. No single material provides protection against all chemicals, and selection of the appropriate CPC is governed by the nature of the hazard, the chemical resistance properties of the protective material and the conditions under which the equipment will be used. Merely making protective equipment available to employees is not sufficient. The equipment must be properly selected, used and maintained. Torn suits or punctured gloves, for instance, do not provide very much protection. A good protective clothing program must also include provisions for employee training and ongoing supervision.

A blueprint for lead hazards

OSHA has been criticized heavily during the last decade for not providing construction workers the same level of protection afforded employees in general industry. Now that it has adopted this standard, it would not be surprising if it decided to flex its newfound muscle by targeting the construction industry for lead inspections this spring. It is January now, and construction activity in most of the country will be slow until March or April. Smart contractors should use this slack time to formulate a compliance strategy, weigh their options and develop a management plan. It is also a good time to begin obtaining cost estimates for air monitoring, ventilation equipment, hygiene facilities and medical surveillance.

Trends in tans and skin protection in Australian fashion magazines, 1982 through 1991

We rated 3971 photographs of models from midsummer editions of six Australian fashion magazines from 1982-1983 to 1990-1991 for tan on a 9-point scale, for the presence of hats, for sun-protective clothing, and for shade setting. With the exception of the 1990-1991 sample, there was an increasing proportion of light tans over the years. Men were more likely to be deeply tanned than were women. The proportion of models wearing hats followed an increasing linear trend across the five periods. Three quarters of the outdoor photographs were taken in unshaded settings. In unshaded settings, 17% of the women and 5% of the men wore hats.

Healthcare uniform service market poised for expansion

An estimated 500,000 establishments and approximately 5.6 million workers in the healthcare profession and related industries are affected by the new OSHA ruling on bloodborne pathogens. That's a lot of potential uniform wearers. But what should they be wearing? The answer is this: it all depends. A roundup of healthcare uniform manufacturers finds new choices in healthcare garments.