Disparity between estimated numbers and reported cases of occupational cancer.
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Biomedical subjects
Publications and source records attributed to E Gaffuri.
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The study was carried out to evaluate whether shiftworkers showing different long-term tolerance to shiftwork differ in their circadian adjustments and/or in some behavioural characteristics. Three groups of eight workers, engaged on three shifts in a graphic plant and matched for age and work experience, were selected according to the presence or not of complaints related to shiftwork: (1) no complaints; (2) nervous complaints (anxiety/depression, severe sleep disturbances); (3) digestive disorders (gastroduodenitis, peptic ulcer). They answered questionnaires on family conditions, health status, rigidity of sleeping habits, ability to overcome drowsiness, morningness, manifest anxiety. They also recorded several physiological parameters (oral temperature, grip strength, peak expiratory flow rate, pulse rate, sleep hours) during day and night-shifts. The data obtained indicate that the characteristics of flexibility of sleeping habits, ability to overcome drowsiness, and lower manifest anxiety, are associated with better tolerance to shiftwork. These characteristics do not seem to influence the adjustment of the circadian rhythm of oral temperature passing from day to night-shifts and vice versa. Conversely, morningness appeared to be unrelated to long-term tolerance, but did influence circadian adjustments and sleep behaviour. Among the groups, the subjects with digestive disorders showed a greater phase shift and a reduction of the amplitude on night-work, suggesting a possible relationship also between the short-term circadian adjustment and the long-term tolerance to shiftwork, as pointed out by other authors.
A gas chromatographic method for analyzing the urinary metabolites of n-hexane (2-hexanol, 2,5-hexanedione, 2,5-dimethylfuran and gamma-valerolactone), of 2-methylpentane (2-methyl-2-pentanol), of 3-methylpentane (3-methyl-2-pentanol), and of cyclohexane (cyclohexanol) was developed. Processing of urine and the gas chromatographic conditions are described. The recovery rate of all hexane metabolites, except 2,5-dimethylfuran, ranged between 92 and 100%. The variation coefficient of metabolites determination was between 1.5 and 5%, apart from 2.5-dimethylfuran determination for which the variation coefficient was 15%. The detection limits ranged between 0.2 and 0.7 mg/l and between 0.05 and 0.1 mg/l when a packed or capillary column was used. Results obtained from a packed and capillary column are discussed.
Urinary metabolites were tested in 41 shoe-factory workers exposed to a mixture of 10 solvents among which "commercial hexane" was the prevailing component. Cyclohexanol, 2-methyl-2-pentanol, 3-methyl-2-pentanol, and trichloroethanol were determined in connection with exposure to cyclohexane, 2-methylpentane, 3-methylpentane, and trichloroethylene, respectively. 2-Hexanol, 2,5-hexanedione, 2,5-dimethylfuran, and gamma-valerolactone were all determined in connection with n-hexane exposure only. 2,5-Hexanedione was the principal n-hexane metabolite found in the workers' urine. This finding of the experimentally proven neurotoxin 2,5-hexanedione in the urine of shoe-factory workers exposed to "commercial hexane" is consistent with the idea that this compound is responsible for the development of neuropathy in this group of individuals.
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Ten different solvents, viz., toluene, styrene, methylethyl ketone, acetone, dimethylformamide, cyclohexane, n-hexane, methylcyclopentane, 2-methylpentane, and 3-methylpentane were determined in environmental air and in the alveolar air of workers during the work shift. As regards all ten solvents studied, alveolar concentration (Ca) and the difference between environmental concentration (Ci) and alveolar concentration (Ci-Ca), were correlated with environmental concentration. According to the slopes of the regression lines, the ratio between alveolar and environmental concentration (Ca/Ci) and the alveolar retention ((Ci-Ca)/Ci) in the case of all ten solvents studied were complementary, i.e., their sum was equal to unity. The solvents with high solubility in blood, i.e., toluene, styrene, methylethyl ketone, acetone, and dimethylformamide showed a Ca/Ci ratio lower than 0.5 and the solvents with low solubility, i.e., cyclohexane, hexane, and their isomers showed a Ca/Ci ratio higher than 0.5. According to the findings which prove that the alveolar concentration of all solvents studied during the work shift is a function of variations in the environmental concentrations it seems reasonable to suggest the use of alveolar tests for monitoring environmental exposure to solvents during the work shift.
N-N-Dimethylformamide was determined every hour during the eight hours of the work shift in the alveolar air of eight workers employed in an artificial leather factory and in the breathing zone of the eight workers. The alveolar ventilation of each worker was measured for 10 minutes during the work shift. Alveolar dimethylformamide concentration (Ca) was correlated with the environmental concentration (Ci) in six of the eight workers. The amount of dimethylformamide retained per litre of ventilated air, calculated as the difference (Ci - Ca), was correlated with environmental concentration in seven of the eight workers. Lung uptake of dimethylformamide per minute was correlated with environmental concentration in all eight workers. The ratios between alveolar and environmental concentration (Ca/Ci x 100) and the lung retention of dimethylformamide, calculated by the formula (1 - Ca/Ci) x 100, were 27.8% and 72.2% respectively. They did not show any correlation with environmental concentration, exposure time, or alveolar ventilation.
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The n-hexane concentration was determined in upper factory environmental air and in worker alveolar air. The relationship between the hexane alveolar concentration, and the hexane environmental concentration (Ca/Ci) was found to be steady during the 4,5 hours exposure and independent of the alveolar ventilation and hexane environmental concentration. These results suggest the hypothesis that alveolar TLV's can be fixed for hexane and other solvents.
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Borg's RPE method was used by the authors to evaluate physical performance of healthy subjects during exercise tests performed either in the night or daytime and involving different muscle masses (upper and lower limbs). The reliability of RPE scale was confirmed. The perception of physical performance appeared to be higher in the night-time and when upper limbs were involved.
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