RESUMEN
AIM: The purpose of this comparative study was to evaluate possible modifications of tactility (deep and discriminative tactile sensitivity) using manual endodontic instruments equipped with traditional handles compared with innovative silicone handle versions. METHODS: Sixteen subjects were selected and supplied with resin Endo-Training-Block simulators, latex gloves and manual endodontic instruments with diameters ranging from 10 to 40 mm. All instruments had traditional and silicon handles. The investigation of deep and discriminative tactile sensitivity was performed at 0, 15, 30, and 45 minutes of the manual instrumentation with an esthesiometer. We obtain each of our data from the median of three consecutive measurements. The results were then statistically analyzed thanks to the ANOVA test: P=0.003 for subjects, P<0.001 for time factor, and P=0.010 for sensitivity-time interaction. RESULTS: We observed a better tactility with silicone handle instruments, comparing the two kinds of handle (regardless of the finger tested) as well as singly analyzing the thumb and index finger. CONCLUSION: Despite the sample limited extension, the loss of deep cutaneous and discrimination sensitivity seems to be reduced using silicone handles, most likely favoring an improvement of the working performance.
Asunto(s)
Endodoncia/instrumentación , Tacto , Diseño de Equipo , Femenino , Humanos , Masculino , Adulto JovenAsunto(s)
Anticuerpos Monoclonales/uso terapéutico , Asma/tratamiento farmacológico , Enfermedades Profesionales/tratamiento farmacológico , Hipersensibilidad al Trigo/tratamiento farmacológico , Alérgenos/inmunología , Anticuerpos Antiidiotipos , Anticuerpos Monoclonales/administración & dosificación , Anticuerpos Monoclonales Humanizados , Asma/inmunología , Humanos , Inmunoglobulina E/inmunología , Masculino , Persona de Mediana Edad , Enfermedades Profesionales/inmunología , Omalizumab , Pruebas Cutáneas , Hipersensibilidad al Trigo/inmunologíaRESUMEN
The aim of the study is to evaluate the prevalence of respiratory and skin symptoms among bakers in the district of Verona by means of two standardized questionnaires, a clinical one administered to the bakeries employees, either directly exposed to flour dust or not exposed, and one concerning the characteristics of the bakery environment. The study involved 613 bakery workers, 401 bakers and 212 sales personnel employed in 152 bakeries. Bakers exposed to flour dust reported nasal symptoms in 29.2% of cases, ocular symptoms in 13.2%, cough, shortness of breath, chest tightness, wheezing respectively in 8.7%, 7%, 4.5% 6.2% of cases, itch and skin burning with paleness respectively in 9.7% and 8.5%. A significantly lower prevalence of these symptoms, except skin paleness, was reported among the sales personnel. In bakers, a significant correlation was found between ocular-nasal and respiratory symptoms and family or self-reported history of atopy (p = 0.001). Reported flour dust air pollution at the workplace correlated with occupational ocular-nasal and respiratory symptoms (p = 0.001). Flour dust on skin and clothes correlated with crusts and excoriations (p = 0.01). Our study confirms the high prevalence of allergic symptoms among bakers and the need of clinical assessment.