The biomechanical overload of the upper limb: a neglected occupational hazard in animal facility operators.

Data on biomechanical overload of the upper limb in animal facility operators are currently scanty. We decided to study this risk in a university animal facility. Eleven different tasks performed by operators were identified. For each of them, the biomechanical overload of the upper limb was evaluated by applying 4 different methods frequently used, hypothesising a task duration of 4 and 8 h. Then two 'typical' real working days of the examined facility were reconstructed, and the risk for operators was calculated using the OCRA Index, Checklist and Mini-Checklist. Considering the specific tasks, the results show some difference among methods, but the overall results show an acceptable/slight risk of biomechanical overload of the upper limb in animal facility operators during typical working days. Practitioner Summary: Upper limb biomechanical overload (UL-BO) is a neglected risk in animal facilities. In a university facility, 11 different tasks were identified, and 2 typical working days were analysed. Even if some task at increased risk may exist, during typical working days,  the overall results show that the risk of UL-BO in operators can be considered usually acceptable or, at worst, slight.

Current densities and total contact currents during forest clearing tasks under 400 kV power lines.

The aim of the study was to analyze all values of electric currents from measured periods while performing tasks in forest clearing. The objective was also to choose and analyze measurement cases, where current measurements successfully lasted the entire work period (about 30 min). Two forestry workers volunteered to perform four forest clearing tasks under 400 kV power lines. The sampling frequency of the current measurements was 1 sample/s. The maximum values of the current densities were 1.0-1.2 mA/m(2) (calculated internal EFs 5.0-12.0 mV/m), and the average values were 0.2-0.4 mA/m(2) . The highest contact current was 167.4 µA. All measured values during forest clearing tasks were lower than basic restrictions (0.1 V/m and 0.8 V/m) of the International Commission on Non-Ionizing Radiation Protection. Bioelectromagnetics. 37:423-428, 2016. © 2016 The Authors. Bioelectromagnetics published by Wiley Periodicals, Inc.

Subjective symptoms in Magnetic Resonance Imaging operators: prevalence, short-term evolution and possible related factors.

BACKGROUND: The number of Magnetic Resonance Imaging (MRI) operators is rapidly increasing. In these workers, a high prevalence of certain subjective symptoms has been described but until now scant research is available on this topic. OBJECTIVES: To assess the prevalence and the evolution of symptoms over time in a group of operators recently engaged in MRI, also considering the possible role played by factors such as age, gender and occupational stress. METHODS: In 17 physicians exclusively engaged in MRI - 6 working with 1.5 T scanners only and 11 with both 1.5 and 3T - subjective symptoms were evaluated at the beginning of MRI activity and after 2 months by using an ad hoc questionnaire. The questionnaire also included items on occupational stress. RESULTS: At the start of MRI activity, 81% of the subjects reported at least one of the investigated symptoms; after 2 months, 85% of the symptomatic operators reported the regression of one or more symptoms. In operators with high exposure (1.5 and 3 T scanners), the mean number of symptoms tended to be higher compared with those with lower exposure (1.5 T only), and the reduction after 2 months was significantly greater. In the whole group, occupational stress was significantly correlated with the total number of symptoms and to some of the symptoms more specifically. As stress did not differ between highly- and lowly- exposed, there is no reason to assume an influence on the observed differences in the prevalence and reduction of symptoms. CONCLUSIONS: Our data suggest that MRI operators may experience various symptoms at the beginning of activity, rapidly reversible in a few weeks. The trend over longer periods deserves further study. Occupational stress may play a role in symptoms. The duration of previous MRI work (particularly short-term) as well as work-related stress should be adequately addressed in future studies on subjective symptoms in operators.

Self-reported depression and anxiety symptoms and usage of computers and mobile phones among working-age Finns.

The aim of the work is to study self-reported depression and anxiety symptoms among working-age Finns using logistical regression models. The study was carried out as a cross-sectional study by posting a questionnaire to 15,000 working-age persons. The responses (6121) revealed that 101 (1.7%) Finnish working-age persons suffered depression very often and 77 (1.3%) suffered anxiety very often during the last 12 months. Symptoms uncovered in the comparative analysis of respondents who had quite often or more often depression to respondents who had less depression showed differentiation. The same result was obtained in the analysis of self-reported anxiety symptoms. With the logistical regression models (from depression and anxiety), we found associations between physical symptoms (in shoulder) and depression and between different mental symptoms and anxiety or depression. In the future, it is important to take into accout that persons with physical symptoms can also have mental symptoms (depression or anxiety).

Cardiac pacemakers in magnetic fields of a shunt reactor at a 400†kV substation.

The use of cardiac pacemakers (PMs) increases in Western countries. The aim of the study is to investigate cardiac pacemakers (PMs) using a human-shaped phantom in magnetic fields of a shunt reactor at a 400 kV substation. We performed seven PM experiments using a phantom. Two locations close to the shunt reactors were chosen. The magnetic field exposure was over 1000 µT in one location and over 600 µT in the other one. The magnetic field exposure did not disturb the tested five different PMs (in unipolar or bipolar configurations). It can be stated that in our experiment, the magnetic field exposure (over 600 µT and over 1000 µT) did not disturb the PMs (in unipolar or bipolar configurations). Since we only studied some PMs, it is possible that the magnetic field exposure at 400 kV substations can cause disturbances to other PMs. However, the risk of disturbances does not seem to be high.

Implantable cardioverter defibrillators in electric and magnetic fields of 400 kV power lines.

BACKGROUND: Implantable cardioverter defibrillator (ICD) therapy has increased in Western countries. The aim of the study was to investigate the function of ICDs using a human-shaped phantom in electric and magnetic fields of 400 kV power lines. METHODS: The phantom was used in the following manner: isolated from the ground, earthed from a foot, or earthed from a hand. RESULTS: We performed 37 ICD tests using 10 different ICD devices. When the electric fields varied from 6.8 kV/m to 7.5 kV/m (humidity 70.5%) and the magnetic field was 2.0 µT, one of the ICDs tested recorded 258 ventricular beats/min when a simulated heart signal was applied to ICD electrodes. When the exposure was 5.1 kV/m, the same ICD had a similar disturbance; however, in a 0.9 kV/m field, it worked correctly. CONCLUSIONS: Consequently, no effect on ICDs functioning was observed up to 0.9 kV/m, while anomalous behavior in some conditions was observed when levels exceeded 5.1 kV/m; ICD malfunctioning seems possible within 11.5 m from 400 kV power lines or in conditions inducing exposures exceeding 5 kV/m. Further development of this research field is needed.

Current densities and total contact currents for 110 and 220 kV power line tasks.

The aim of this study was to analyze all values of electric current from measured periods while performing tasks on 110 and 220 kV power lines. Additionally, the objective was to study the average current densities and average total contact currents caused by electric fields in 110 and 220 kV power line tasks. One worker simulated the following tasks: (A) tested insulation voltage at a 110 kV portal tower, (B) checked the wooden towers for rot at a 110 kV portal tower, (C) tested insulation voltage at a 220 kV portal tower, and (D) checked the wooden towers for rot at a 220 kV portal tower. The highest average current density in the neck was 2.0 mA/m(2) (calculated internal electric field was 19.0-38.0 mV/m), and the highest average contact current was 234 µA. All measured values at 110 and 220 kV towers were lower than the basic restrictions (0.1 and 0.8 V/m) of the International Commission on Non-ionizing Radiation Protection.

Upper limb musculoskeletal disorders in healthcare personnel.

The literature on upper limb musculoskeletal disorders (UL-MSD) in different groups of healthcare workers was reviewed: 65 relevant studies were collected. In dentists, the neck was the most frequently affected segment, with prevalences up to 73% and exceeding 50% in 7 out of 12 studies. In dental hygienists and in laboratory technicians, the hand/wrist had the highest prevalence in the majority of the studies. In nurses, the most seriously affected anatomic sites were the neck and shoulders. Physiotherapists had the lowest prevalence of UL-MSD. A high prevalence of upper limb disease, mainly carpal tunnel syndrome, was reported in dentists, dental hygienists, anesthesia nurses and endoscopists. The high prevalence of upper limb disorders/diseases reported in health personnel supports the hypothesis of a significant risk in these workers. However, the possible role of biomechanical overload, as much as that of stress or other personal factors, cannot be currently assessed. Practitioner Summary: Published studies support the hypothesis of a significant risk of upper limb musculoskeletal disorders in healthcare activities. The neck was the most frequently affected segment in dentists, the hand/wrist in dental hygienists and in laboratory technicians, and the neck and shoulders in nurses. Lower prevalence was reported in physiotherapists. A high prevalence of carpal tunnel syndrome was also observed in various healthcare activities.

Current densities and total contact currents associated with 400 kV power line tasks.

The aim of the study was to analyze all current values from measured periods while performing tasks on 400 kV power lines. Our aim was also to study the average current densities and average total contact currents caused by electric fields in 400 kV power line tasks. Two workers simulated the following tasks: (A) climbing up a portal tower, (B) climbing up a portal transposing tower, (C) working on the cross-arm of a portal tower, (D) climbing up a portal tube tower, (E) climbing up a Tannenbaum tower on the side of the energized circuit with the other circuit unenergized, (F) climbing up a Tannenbaum tower with both circuits energized, and (G) climbing up a Donau tower. The highest average current density in the neck was 2.5 mA/m(2) (calculated internal electric field 31.5-63.0 mV/m), and the highest average of the contact currents was 240.0 µA. All measured values at 400 kV towers were lower than the limit value of 10 mA/m(2) in the first version of Directive 2004/40/EC and the basic restrictions (0.1 and 0.8 V/m) of the International Commission on Non-ionizing Radiation Protection.

Influence of relative humidity on analyzing electric field exposure using ELF electric field measurements.

The objective of the study was to investigate the influence of humidity on analyzing electric field exposure using extremely low frequency (ELF) electric field measurements. The study included 322 measurements in a climate room. We used two commercial three-axis meters, EFA-3 and EFA-300, and employed two measurement techniques in the climate room where we varied the temperature from 15 to 25 °C, the relative humidity from 55% to 95%, and the electric field from 1 to 25 kV/m. We calculated Pearson correlations between humidity and percentage errors for all data and for data at different levels of humidity. When the relative humidity was below 70%, the results obtained by the different measurement methods in terms of percentage errors were of the same order of magnitude for the considered temperatures and field strength, but the results were less reliable when the relative humidity was higher than 80%. In the future, it is important to take humidity into account when electric field measurement results will be compared to the values given in different exposure guidelines.

Numerical evaluation of currents induced in a worker by ELF non-uniform electric fields in high voltage substations and comparison with experimental results.

An ungrounded human, such as a substation worker, receives contact currents when touching a grounded object in electric fields. In this article, contact currents and internal electric fields induced in the human when exposed to non-uniform electric fields at 50 Hz are numerically calculated. This is done using a realistic human model standing at a distance of 0.1-0.5 m from the grounded conductive object. We found that the relationship between the external electric field strength and the contact current obtained by calculation is in good agreement with previous measurements. Calculated results show that the contact currents largely depend on the distance, and that the induced electric fields in the tissues are proportional to the contact current regardless of the non-uniformity of the external electric field. Therefore, it is concluded that the contact current, rather than the spatial average of the external electric field, is more suitable for evaluating electric field dosimetry of tissues. The maximum induced electric field appears in the spinal cord in the central nervous system tissues, with the induced electric field in the spinal cord approaching the basic restriction (100 mV/m) of the new 2010 International Commission on Non-Ionizing Radiation Protection guidelines for occupational exposure, if the contact current is 0.5 mA.

Self-reported neck symptoms and use of personal computers, laptops and cell phones among Finns aged 18-65.

The purpose of this study was to investigate the possible relation between self-reported neck symptoms (aches, pain or numbness) and use of computers/cell phones. The study was carried out as a cross-sectional study by posting a questionnaire to 15,000 working-age persons, and 15.1% of all respondents (6121) reported that they very often experienced physical symptoms in the neck. The results showed that they also had many other symptoms very often, and 49% used a computer daily at work and 83.9% used cell phones. We compared physical/mental symptoms of persons with symptoms in the neck quite often or more, with others. We found significant differences in the physical/mental symptoms and use of cell phones and computers. The results suggest taking into account in the future that those persons' symptoms in the neck can be associated with use of cell phones or computers. PRACTITIONER SUMMARY: We investigated the possible relation between neck symptoms and use of computers/cell phones. We found that persons, who very often had symptoms in the neck, had also other symptoms very often (e.g. exhaustion at work). Their use of information and communication technology (e.g. computers) can associate with their symptoms.

Cardiac pacemakers in electric and magnetic fields of 400-kV power lines.

BACKGROUND: The cardiac pacemaker (PM) implantation rate per million is high. Earlier studies have found interference to PMs by electromagnetic fields. The aim of the study is to investigate disturbances in cardiac PM using a human-shaped phantom in electric and magnetic fields of 400-kV power lines. METHODS: The phantom was used in the following manner: isolated from the ground, grounded from left or right foot, or grounded from left or right hand. RESULTS: Out of the tested PMs one had such a disturbance that it set the pace 60 times per minute, when the electric field was 6.7-7.5 kV/m and the magnetic field was 2.4-2.9 µT. The electrode configuration of the PM was unipolar. In bipolar configuration, the same PM had no disturbance. During the test period, other PMs only had minor disturbances or none at all. Some PMs do not record time information for minor disturbances. In such cases, it was impossible to link the disturbances to the exposure under the power line. CONCLUSIONS: The electric field under a 400-kV power line may disturb a PM. However, only one type out of several tested PMs showed a major disturbance and that was only with a unipolar electrode configuration. The risk of disturbances is therefore not deemed to be high.

Occupational exposure to electric fields and currents associated with 110 kV substation tasks.

The main aim of this study was to investigate occupational exposure to electric fields, and current densities and contact currents associated with tasks at air-insulated 110 kV substations and analyze if the action value of EU Directive 2004/40/EC was exceeded. Four workers volunteered to simulate the following tasks: Task (A) maintenance of an operating device of a disconnector at ground or floor level, Task (B) maintenance of an operating device of a circuit breaker at ground or floor level, Task (C) breaker head maintenance from a man hoist, and Task (D) maintenance of an operating device of a circuit breaker from a service platform. The highest maximum average current density in the neck was 1.8 mA/m(2) (calculated internal electric field 9.0-18.0 mV/m) and the highest contact current was 79.4 µA. All measured values at substations were lower than the limit value (10 mA/m(2)) of the EU Directive 2004/40/EC and the 2010 basic restrictions (0.1 and 0.8 V/m for central nervous system tissues of the head, and all tissues of the head and body, respectively) of the International Commission on Non-Ionizing Radiation Protection (ICNIRP).

White-collar workers' self-reported physical symptoms associated with using computers.

The aim of our work was to study the physical symptoms of upper- and lower-level white-collar workers using a questionnaire. The study was cross-sectional with a questionnaire posted to 15 000 working-age persons. The responses (6121) included 970 upper- and 1150 lower-level white-collar workers. In the upper- and lower-level white-collar worker groups, 45.7 and 56.0%, respectively, had experienced pain, numbness and aches in the neck either pretty often or more frequently. When comparing daily computer users and nonusers, there were significant differences in pain, numbness and aches in the neck or in the shoulders. In addition, age and gender influenced some physical symptoms. In the future, it is essential to take into account that working with computers can be especially associated with physical symptoms in the neck and in the shoulders when workers use computers daily.

Occupational exposure to electric fields and induced currents associated with 400 kV substation tasks from different service platforms.

The aim of the study was to investigate the occupational exposure to electric fields, average current densities, and average total contact currents at 400 kV substation tasks from different service platforms (main transformer inspection, maintenance of operating device of disconnector, maintenance of operating device of circuit breaker). The average values are calculated over measured periods (about 2.5 min). In many work tasks, the maximum electric field strengths exceeded the action values proposed in the EU Directive 2004/40/EC, but the average electric fields (0.2-24.5 kV/m) were at least 40% lower than the maximum values. The average current densities were 0.1-2.3 mA/m² and the average total contact currents 2.0-143.2 µA, that is, clearly less than the limit values of the EU Directive. The average values of the currents in head and contact currents were 16-68% lower than the maximum values when we compared the average value from all cases in the same substation. In the future it is important to pay attention to the fact that the action and limit values of the EU Directive differ significantly. It is also important to take into account that generally, the workers' exposure to the electric fields, current densities, and total contact currents are obviously lower if we use the average values from a certain measured time period (e.g., 2.5 min) than in the case where exposure is defined with only the help of the maximum values.

Occupational exposure to electric and magnetic fields while working at switching and transforming stations of 110 kV.

The aim of the study was to measure occupational exposure to electric and magnetic fields during various work tasks at switching and transforming stations of 110 kV (in some situations 20 kV), and analyze if the action values of European Union Directive 2004/40/EC or reference values of International Commission on Non-ionizing Radiation Protection (ICNIRP) were exceeded. The electric (n = 765) and magnetic (n = 203) fields were measured during various work tasks. The average values of all measurements were 3.6 kV m(-1) and 28.6 µT. The maximum value of electric fields was 15.5 kV m(-1) at task 'maintenance of operating device of circuit breaker from service platform'. In one special work task close to shunt reactor cables (20 kV), the highest magnetic field was 710 µT. In general, the measured magnetic fields were below the reference values of ICNIRP.

Physical symptoms in young adults and their use of different computers and mobile phones.

This paper presents the use of new technical equipment by young adults (30 years old or younger), and the physical symptoms they have. The paper then analyses how the symptoms are associated with the use of computers and mobile phones, taking into account the background information. The study is based on a survey of 15 000 working-age (18-65) Finns. The responses (1563) covering young adults' physical symptoms were analysed. Altogether 53.3% of all young adults had pretty often or more frequently pain, numbness or aches in the neck and 32.2% had aches in the hip and lower back. Women experienced more pain, numbness or aches in the neck (65.0%) than men (34.5%). The use of different computers at leisure quite often had an association with some symptoms in different parts of the body. In addition, exhaustion at work had associations with some physical symptoms. In the future, it is essential to note ergonomic reasons and exhaustion at work when young adults experience pain, numbness or aches.

Occupational exposure to electric and magnetic fields during work tasks at 110 kV substations in the Tampere region.

The occupational exposure to electric and magnetic fields during various work tasks at seven 110 kV substations in Finland's Tampere region was studied. The aim was to investigate if the action values (10 kV/m for the E-field and 500 microT for the B-field) of the EU Directive 2004/40/EC were exceeded. Electric and magnetic fields were measured during the following work tasks: (1) walking or operating devices on the ground; (2) working from a service platform; (3) working around the power transformer on the ground or using a ladder; and (4) changing a bulb from a man hoist. In work task 2 "working from a service platform" the measured electric field (maximum value 16.6 kV/m) exceeded 10 kV/m in three cases. In the future it is important to study if the limit value (10 mA/m(2)) of Directive 2004/40/EC is exceeded at 110 kV substations. The occupational 500 microT action value of the magnetic flux density field (B-field) was not exceeded in any working situation.

Self-report of physical symptoms associated with using mobile phones and other electrical devices.

The aim of our work was to study the working-age population's self-reported physical symptoms associated with using mobile phones and other electrical devices. A qualitative method was applied using an open-ended question in a questionnaire, which included questions about the possible influence of new technical equipment on health. We then created subgroups of respondents for different self-reported symptoms associated with mobile phones and other electrical devices. The research questions were: (1) how the respondents described physical symptoms associated with using mobile phones and other electrical devices and (2) how the answers can be classified into subgroups based on symptoms or devices. We identified the following categories: (1) respondents with different self-reported symptoms which they associated with using mobile phones (headache, earache, or warmth sensations), (2) respondents who had skin symptoms when they stayed in front of a computer screen, (3) respondents who mentioned physical symptoms associated with using mobile phones and other electrical devices. Total prevalence of self-reported physical symptoms associated with using mobile phones and other electrical devices (categories 1 and 2) was 0.7%. In the future it will be possible to obtain new knowledge of these topics by using qualitative methods.