A multidisciplinary cross-sectional study on solvent-related health effects in painters compared with construction workers.

OBJECTIVES: The main aim of the study was to examine possible solvent-associated effects on the nervous system in currently employed painters. Special attention was paid to evaluate subtle health effects. MATERIALS AND METHODS: A total of 401 painters and 209 construction workers without solvent exposure with at least 10 years of professional experience were subjected to a clinical, neurological, psychiatric, neuropsychological and neurophysiological examination. For personal medical and occupational history, standardized questionnaires were used. A quantitative rating of exposure was obtained by expert rating of the respective occupational history without knowledge of the individual test results. RESULTS: There was no excess of somatic disorders or solvent-associated adverse effects on the nervous system. No distinct effects of solvent exposure on nerve conduction velocities (NCV) or cognition were found. Discrete NCV deficits in painters were not considered a sign of subclinical polyneuropathy. Painters, however, reported an excess of specific symptoms that could be assigned to "mood and behaviour". The differences between specific and non-specific questionnaire outcomes on the one hand and the positive correlation between chronic exposure index and symptom scores on the other hand support the hypothesis of solvent-induced effects. Because data is lacking on past solvent exposure, it is not possible to relate these effects to current exposure limits. CONCLUSIONS: Currently employed painters differ from controls not exposed to solvents with respect to the frequency of certain symptoms in mood and behaviour. These symptoms are related to life-long solvent exposure rather than to current exposure. At present, the issue of time course and reversibility or irreversibility of these symptoms cannot be answered. The predictive value for subsequent neuropsychiatric morbidity remains to be elucidated in follow-up studies.

Hepatotoxic effects of solvent exposure around permissible limits and alcohol consumption in printers over a 4-year period.

Two field studies were carried out in 1987 and 1991 in order to evaluate the effect of chronic exposure to solvent mixture on liver enzyme patterns. The results in 33 workers who participated in both studies and had complete sets of data are presented. The magnitude of chemical workload was assessed by means of ambient air monitoring and biomonitoring of solvent concentrations. Alanine aminotransferase, aspartate aminotransferase and gamma-glutamyl transpeptidase were used as markers for possible biological effects. No dose-response relationship was found between exposure to complex solvent mixtures in ambient air, reaching and sometimes even exceeding the threshold limit values for mixtures, and liver enzyme activities. Self-reported alcohol intake was the only factor identified as statistically related to increased liver enzyme activity.

Psychosocial factors and smoking as risk factors in lung carcinoma.

In a retrospective study as part of a larger study 419 male patients with bronchial carcinoma were questioned by means of a 'biographical questionnaire' concerning their life history, their personality, and their approach to life. Furthermore questions with regard to their smoking habits (tobacco smoke condensate exposure) were asked. Only patients who smoked cigarettes regularly were involved in the interrogation and the results were compared with those of smoking healthy controls and patients with non-malignant lung diseases (N = 162). For each pair group-controls a discriminant analysis was carried out. By reclassification a correct assignment of approx. 62% in each case could then be obtained. In addition, the answer pattern of the carcinoma patients was compared with a group of patients with non-malignant lung diseases. The results obtained were similar to those of the comparison with the healthy control group.

[Iris heterochromia: variations in form, age changes, sex dimorphism]. / Heterochromia iridis Formvarianten, Altersänderung, Geschlechtsdimorphismus.

On a sample of n = 25,346 individuals from Vienna (10,855 males, 14,491 females) the iris pigmentation has been typed by the author. In this sample 65 cases of different types of heterochromia were found. The frequency of the occurrence of the different types of this anomaly could be calculated for the first time. Neglecting age, sex, and type of heterochromia the total frequency amounts to 0.256 (males: 0.157; females: 0.37) %. The variants of heterochromia very from cases of total heterochromia to those of various size; in addition to it a number of special types could be observed. The localization of the heterochrome parts of the iris shows certain variations; mostly, however, it is seen in the lower half of the iris. The nasal part is concerned in only one case; the temporal region never. Thus, the partial heterochromia is characteristic by a marked dependency of its localization. The colour of heterochromia varies from 2 a-14 according to the Martin-Schultz standard set of coloured eyes. However, No. 9 (ca. 50%) and No. 7 (ca. 20%) were the most frequent colours. The age variations are considerable. 5/6 of all heterochromias were found between the age from 2-19 years. Finally, a marked sexual dimorphism was observed, as in females heterochromia is much more frequent than in males.

[Prophylaxis in general practice. Aspects of the problems (author's transl)]. / Modell einer Vorsorge in der Allgemeinpraxis. Aspekte ihrer Problematik

For four and a half years prophylactic examinations were carried out quarterly in addition to the statutory early recognition investigations in a general practice. The participation being 42.5% was above the participation rate at the statutory early recognition investigations and showed a marked correlation to age and social stratum, but not to sex. The therapeutic effect, measured by the lowering of the cholesterol level, was compared with data from the literature, our results being below those of the other authors. Then the therapeutic effect was considered from various points of view such as sex, age, social stratum and frequency of participation. The most important result appeared to be that similar investigations are probably necessary once a year at the most on medical grounds, to detect and treat risk factors, which would be of great economic importance.