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The effect of welding fumes on ocular readaptation time.

The effect of welding fumes on ocular readaptation time (RAT) has been investigated. Objective measurements of RAT were obtained from a determination of the recovery time for optokinetic nystagmus following a bright flash of light. Welding electrodes of different types and chemical compositions were used. Welding fumes and the breathed gases were analyzed for particles, and the blood concentration of certain trace elements was determined. The results show that fumes from basic electrodes, containing high amounts of calcium and fluorides, and sometimes copper, produced a marked increase in RAT. The fumes from rutile electrodes, containing only low amounts of these substances, produced no demonstrable prolongation or RAT. Nor was RAT affected by the copper content of the electrodes. Thus the results appear to indicate that fluorides in the fumes produced by the basic electrodes cause the prolongation of RAT. The substances causing this prolongation seem to be bound to fume particles greater than 0.3 micron. Discomfort--nausea and headache--correlated with increased RAT prolongation. But analyses of the ambient air and of trace elements in the blood did not reveal any changes that could be correlated with the effect on RAT. RAT changes measured in conjunction with the inhalation of fumes from basic electrode welding are comparable to those seen after the intake of a therapeutic dose of oxazepam.

Adaptation, Ocular↗

Effect of process parameters upon the dopamine and lipid peroxidation activity of selected MIG welding fumes as a marker of potential neurotoxicity.

There is growing concern over the neurotoxic effects of chronic occupational exposure to metal fume produced by welding. Elevated iron and manganese levels in the brain have been linked to an increase in lipid peroxidation, dopamine depletion and predisposition to the development of a Parkinson's type condition in advanced cases. Chemical and toxicological analysis of selected welding fumes, generated by model processes, were used in order to evaluate their potential to release solutes that promote oxidation of dopamine and peroxidation of brain lipids in cell free assays. This study compared the effect of shield gas, electrode type and voltage/currect upon the dopamine and brain lipid peroxidation potential of selected welding fume, obtained from metal inert gas (MIG) welding systems. Overall, fume extracts were found to enhance dopamine oxidation and inhibit lipid peroxidation. Significant differences were also found in the oxidising potential of fume generated under differing process conditions; it may therefore be possible to determine the potential neurotoxicity of fumes using this system.

Animals↗

Occupational asthma due to spot-welding.

A case of occupational asthma from fumes due to spot-welding is described. The hazards from resistance welding have been considered minimal as compared to other types of welding. This paper illustrates the possible hazards of occupational asthma among welders including those doing spot-welding. It also illustrates the difficulties encountered in identifying the specific causative agent in such cases.

Adult↗

Effects of exposure to welding fume: an experimental study in sheep.

Welding fume contains various metals and pulmonary effects from their inhalation are largely unknown. We have studied the effects of exposure to welding fume in sheep. The animals were exposed to either a bolus dose of welding fume solution or to five weeks daily exposure. Lung physiology parameters were studied and biopsies taken. Magnetopneumography was used to register the longterm exposure. Acutely exposed animals had elevated pulmonary arterial pressure. Arterial oxygen tension was reduced after fume instillation. These animals had accumulation of iron (Fe), magnesium (Mg) and manganese (Mn) in the lungs. Mn was elevated 40 times. Longterm exposed sheep increased the iron oxide accumulation significantly in lungs as seen with the magnetopneumographic technique. Following long term exposure, Mn was the metal most heavily retained in the lungs. Metals like Mn, Fe and Mg retained in the lungs can possibly give negative health effects. Besides this, the metals could be used for quantitation of welding fume exposure.

Air Pollutants, Occupational↗

Methods for determining soluble and insoluble Cr III and Cr VI compounds in welding fumes.

An analytical procedure for simultaneous determination of soluble and insoluble Cr III and Cr VI compounds in welding fumes has been proposed. In the welding fume samples collected on a membrane filter, total chromium was determined with atomic absorption spectrophotometry (AAS). Glass filters with collected samples were divided into two parts. In one part of the sample, soluble and insoluble chromium was determined by means of AAS. The separation of soluble chromium III and VI was carried out on diphenylcarbazide resin. In the second part of the sample total chromium VI was determined by means of the colorimetric method with s-diphenylcarbazide. The difference in the results of these determinations allowed the calculation of the content of total Cr III, Cr III insolub. and Cr VI insolub. The results of determining chromium compounds in welding fumes samples collected in the welder's breathing zone and in experimental chambers are also presented in this paper. The content of total chromium in the fumes determined by AAS (from a membrane filtr) and that calculated from the sum of soluble and insoluble chromium (from a glass filter) were concordant and within the limits of the admissible error for the method. Total chromium content in welding fume samples collected individually was found to range from 2.4-4.2%. The percentage of particular chromium compounds as compared to total chromium (100%) amounted: total Cr III--34%, total Cr VI--66%, soluble chromium--66% and in this Cr III--20% and Cr VI--43%, insoluble chromium--34% and in this: Cr III--14% and Cr VI--20%.

Air Pollutants, Occupational↗

Kinetics of nickel and chromium in rats exposed to different stainless-steel welding fumes.

The kinetics of nickel and chromium from welding fumes were studied in the rat. To study the retention, the duration of exposure was one hour per working day for one, two, three, and four weeks. For the clearance study the follow-up period after four weeks' exposure was 106 days. Multi-element chemical analysis of the fumes and dried lungs was done using instrumental neutron activation analysis, and the concentrations in the body fluids were determined by atomic absorption spectroscopy. The maximum lung retention of metal inert-gas (MIG) welding fumes was somewhat higher than that of manual metal arc (MMA) welding fumes. The estimated maximum concentrations in the lungs were 9.5 micrograms/g and 150 micrograms/g for nickel after four weeks' exposure to MMA and MIG welding fumes. The corresponding concentrations of chromium were 78 micrograms/g and 310 micrograms/g. The measured concentrations were lower, however. The amounts of nickel cleared from the lungs during the MMA and MIG exposures were 0.9 microgram and 8 micrograms. The corresponding amounts of chromium were 9.6 micrograms and 2 micrograms. Practically all of the lost metals were found in the urine, in which the excretion rates were 0.07 microgram/d (MMA) and 0.39 microgram/d (MIG) for nickel and 0.23 microgram/d (MMA) and 0.11 microgram/d (MIG) for chromium.

Aerosols↗

[Risk in welding operations. Etiopathogenetic, preventive and legislative considerations].

This work classifies different types of welding procedure, occasional and specific contaminating elements, both of the welding material, and of other possible substances (particularly plastic materials) used in the pre-treating phase. The authors show the risk evaluation factors of the welding operations and, moreover, suggest a diagnostic and prevention program on the exposed subjects. Finally they include a table of references on italian law concerning the contaminating substances produced by welding processes.

Environmental Pollution↗

[Studies on semen quality in workers exposed to manganese and electric welding].

Three hundred and ten workers were selected to study the effects of manganese and electric welding on male reproductive function, with 211 occupationally exposed to manganess and electric welding fume and 99 controls. Concentrations of manganese and welding fume in the air of the workplace were 0.14-5.5 mg/m3 and 6.5-82.3 mg/m3, respectively. Semen concentrations of manganese, copper, chromium, nickel, and iron in workers employed in electric welding were significantly higher than those in controls. Time from ejaculation to liquefaction of semen in exposed workers was longer than that in controls, and volume of semen, sperm count, viable sperm count and percentage were significantly lower in the exposed workers than in the controls. Stepwise regression analysis suggests a direct toxic effect of manganese on sperm production.

Adult↗

In vitro study of intraoral welding procedures for pure titanium.

This in vitro study investigated the temperature changes experienced during electric welding of titanium to determine if the welding heat presented a potential danger to pulpal vitality. Welds were applied to cast titanium simulations of a three-unit fixed partial denture containing two thermocouples measuring temperature changes. Mean maximal temperature changes were 127.4 degrees F near the weld and 68.6 F degrees at the axial wall. The mean times for the temperature to drop to within 10.0 degrees F of the starting temperature ranged from 84.1 to 133.7 seconds. The relatively low temperatures recorded in this study suggest that further investigation is warranted into the use of the welder intraorally.

Dental Casting Technique↗

Laser welding of venotomies.

We investigated the histologic and biochemical effects of carbon dioxide and neodymium (Nd)-YAG laser welding on the healing of venotomies. Ten canine femoral venotomies 2 cm in length were approximated and welded with 10 600-nm wavelength, 1-W power over 20 to 25 s for CO2 laser, and 1060-nm wavelength, 1-W power over 30 to 40 s for Nd-YAG laser. On removal at one to three weeks, all veins (4/4 welded by CO2 and 6/6 by Nd-YAG) were patent without hematomas. Histologic and biochemical analyses of the venous tissues demonstrated active healing at the venotomy sites. We conclude that the CO2 and Nd-YAG lasers can be used successfully to weld venotomies and may provide an alternative to conventional suture techniques for repair of vascular lesions.

Animals↗

Effects of diode laser welding with dye-enhanced glue on tensile strength of sutures commonly used in urology.

BACKGROUND AND OBJECTIVE: Tissue welding using laser-activated protein solders may soon become an alternative to sutured tissue approximation. In most cases, approximating sutures are used both to align tissue edges and provide added tensile strength. Collateral thermal injury, however, may cause disruption of tissue alignment and weaken the tensile strength of sutures. The objective of this study was to evaluate the effect of laser welding on the tensile strength of suture materials used in urologic surgery. STUDY DESIGN/MATERIAL AND METHODS: Eleven types of sutures were exposed to diode laser energy (power density = 15.9 W/cm2) for 10, 30, and 60 seconds. Each suture was compared with and without the addition of dye-enhanced albumin-based solder. After exposure, each suture material was strained (2"/min) until ultimate breakage on a tensometer and compared to untreated sutures using ANOVA. RESULTS: The strength of undyed sutures were not significantly affected; however, violet and green-dyed sutures were in general weakened by laser exposure in the presence of dye-enhanced glue. Laser activation of the smallest caliber, dyed sutures (7-0) in the presence of glue caused the most significant loss of tensile strength of all sutures tested. CONCLUSION: These results indicate that the thermal effects of laser welding using our technique decrease the tensile strength of dyed sutures. A thermally resistant suture material (undyed or clear) may prevent disruption of wounds closed by laser welding techniques.

Adhesives↗

Quantitative changes in collagen levels following 830-nm diode laser welding.

BACKGROUND AND OBJECTIVE: The actual mechanism by which laser irradiation welds tissue is presently unknown; however, collagen is a major constituent of tissue welded by laser irradiation. STUDY DESIGN/MATERIALS AND METHODS: Collagen was extracted from the abdominal aorta of Wistar rats by acetic acid extraction and repeated pepsin digestion after tissue welding (254 W/cm2) by using an 830-nm diode laser. The collagen levels were determined by using the Sircol Collagen Assay (Biocolor, Northern Ireland). RESULTS: Compared with untreated aorta, the collagen content of the treated vessel was obvious decreased (P < 0.001) immediately after laser irradiation. Levels then increased by day 3, with a peak at day 10 (P < 0.002). The collagen content returned to normal levels on day 30 and remained at this level throughout the rest of the experimental period. CONCLUSION: These results suggest that a proportion of the collagen molecules in the vessel are denatured by the heat of the laser. Collagen synthesis is stimulated during the healing process after laser welding with the parameters used in the present study.

Acetic Acid↗

Solubility study of albumin solders for laser tissue-welding.

BACKGROUND/OBJECTIVE: Current albumin solders for tissue-welding are soluble in physiological fluids, prior to laser irradiation. These solders are therefore subjected to mechanical alterations, which can weaken the solder-tissue repair. In this study, an albumin solder (laser activated) was developed with low solubility and with the ability to retain (partially) its mechanical characteristics in saline solution. STUDY DESIGN/MATERIALS AND METHODS: Gauged protein samples of solder were immersed into 0.5 ml saline solution for fixed intervals of time. The solder samples contained four bovine serum albumin (BSA) concentrations: 56%, 66%, 70%, and 75% (by weight). A Bradford protein assay measured the BSA solubility of the solders. The 70% and 75% BSA solders were also used to weld in vitro Wistar rat intestine sections with a diode laser (lambda = 810 nm, power = 270 mW). RESULTS: The solubility of the 75% BSA solder was significantly decreased with respect to the other solders (Anova, P < 0.05). This solder also showed comparable weld strength (13 gm) to the 70% BSA solder. CONCLUSION: The 75% BSA solder strongly reduced the albumin solubility in saline solution, without affecting its tissue-welding properties.

Analysis of Variance↗

Nd:YAG laser-welded canine arteriovenous anastomoses.

This preliminary report describes formation of femoral arterio-venous fistulas (n = 10) in six dogs using a 1.32-microns wavelength Nd:YAG laser welding technique. Stay sutures (6-0 polypropylene) were placed at 5-7 mm intervals along the anastomoses for vessel apposition. Delivery of laser energy through a 400-microns diameter fiber optic was controlled by a new computer-based software system. At 3 mm distance above the anastomosis, energy fluences of 110-260 J/mm2/cm length of anastomosis were used for laser welding. One or two additional hemostatic sutures were required in seven of the ten anastomoses. Flow was maintained for 1-2 hours prior to tissue harvesting. No thrombosis or delayed anastomotic failures were observed after initial welding and repair. Histologic examination revealed good apposition and adherence between wall layers and a fibrinous coagulum at the intimal junctions. Mild thermal injury of the wall was present at some anastomoses. This early investigation suggests that a 1.32 microns Nd:YAG laser welding technique can successfully create large vessel arteriovenous fistulas in the canine.

Animals↗

Welding characteristics of different albumin species with and without fatty acids.

BACKGROUND AND OBJECTIVE: Albumin solders from different species have been used for laser tissue welding without a complete understanding of possible differences between them. The breaking strength of four different species of serum albumin (human, bovine, porcine, and canine), both fatty acid containing (FAC) and fatty acid free (FAF), was determined to evaluate the welding ability of each type of albumin. STUYDY DESIGN/MATERIALS AND METHODS: Acute breaking strengths were determined on canine small bowel by using 50% albumin (FAF and FAC) from human, bovine (BSA), porcine, and canine species. RESULTS: BSA-FAC and BSA-FAF had a significantly higher (P < 0.05) breaking strength than all other groups; furthermore, BSA-FAC was significantly higher (P < 0.05) than BSA-FAF. There was no significant difference in breaking strength when FAF albumin was compared with FAC albumin from humans, pigs, or dogs. CONCLUSION: These experimental results show that species-specific and fatty acid-specific differences exist when these albumin solders are used for laser tissue welding. This finding suggests that modifications in albumin could be used to improve results through decreased thermal damage and increased weld strength.

Animals↗

Intraluminal albumin stent assisted laser welding for ureteral anastomosis.

BACKGROUND AND OBJECTIVES: The success of laser tissue welding or soldering depends on optimal laser settings, solder material, and tissue type and geometry. To develop a practical laser welding technique for ureteral repair, an intraluminal albumin stent was designed to enhance the welding effects on ureteral end to end anastomosis. STUDY DESIGN/MATERIALS AND METHODS: In vitro porcine ureters were anastomosed using an albumin stent alone, the albumin stent plus a solder, and the solder alone. All welding was performed with an 810-nm diode laser with either a continuous wave (1 W, CW) or two pulse modes (2 W, 3.3 Hz; 1 W, 5 Hz). Laser parameters, tensile strength (TS) and burst pressure (BP) of the ureteral anastomosis, and tissue thermal injury were measured. RESULTS: In the 2-W pulse mode, BP in the albumin stent plus solder group (mean 185 mmHg) and the stent only group (mean 133 mmHg) were significantly higher than the solder only group (mean 77 mmHg, P < 0.05). Laser ureteral anastomosis with the stent plus solder group at 1-W CW and 2-W pulse laser modes yielded the highest TS (mean 97, 82 g) and BP (mean 183, 185 mmHg). Among the three modes, the 1 W pulse delivered the lowest energy and yielded the lowest TS and BP in ureteral anastomosis. There was no significant difference in the thermal damage to the tissue among the modes and groups. CONCLUSIONS: Using the albumin stent increased the reliability of ureter end-to-end laser anastomosis. Further studies will be warranted in vivo and other tubular organs as well.

Albumins↗

Biological effects of laser welding on vascular healing.

The feasibility of welding thin-walled microvessels by laser has been established. This report summarizes our experience using laser welding to repair thick-walled, high-pressure, 4 to 8-mm canine arteries using CO2, Nd:YAG, and argon lasers. The CO2 laser did not produce seals that could withstand arterial pressure. Nd:YAG laser welds were initially successful, but the majority failed within 20 to 40 minutes. The argon laser uniformly sealed 2-cm-length arteriotomies that healed rapidly within 4 to 6 weeks and had less foreign body response compared to sutured controls. Laser welding may represent an alternative for repair of small- and large-diameter vessels with several advantages compared to conventional suture techniques.

Animals↗