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PubMed1977

Experimental results with percutaneous applications of automobile exhaust condensates in mice.

The induction of squamous-cell carcinoma and papillomas in mice after 80 weeks' skin painting with different doses of automobile exhaust condensates and their fractions is described. The results demonstrate that the carcinogenic activity of the condensate resides in its polycyclic aromatic hydrocarbon fractions. Benzo[a]pyrene accounts for approximately 9% of the activity of the condensate. The sebaceous gland suppression test, used as a screening method, is predictive of carcinogenicity and is positive for those condensate subfractions which contain carcinogenic PAH.

Animals↗
PubMed1977

Syncarcinogenic action of polycyclic hydrocarbons in automobile exhaust gas condensates.

The carcinogenic action of the hydrocarbon mixture predominantly found in condensates of automobile exhaust gas can be attributed almost exclusively, on the basis of the results presented here, to a group of substances (PAH) with an insignificant weight proportion. It was not possible to demonstrate an inhibitory action of most of the weak-to-inactive hydrocarbons; on the contrary, an additive effect of the two types could be observed. At very high doses (almost 10 times higher than the highest doses selected in the rest of the trial) the group of substances which were supposed to be non-carcinogenic also proved to be biologically effective. Subsequent individual studies on the same animal strain should clarify whether this action is to be attributed to one or two representatives of this group, e.g., benzo[e]pyrene or chrysene.

Animals↗
PubMed1977

Tumours in mice after subcutaneous injection of automobile exhaust condensates.

Automobile exhaust condensate (AEC), either mixed with benzo[a]pyrene (BaP) or suspended or dissolved in tricaprylin, was injected subcutaneously into NMRI mice in a series of experiments. The addition of AEC decreased the incidence of tumours which developed with 30, 90 and 270 microgram BaP. Reduction of tumour incidence was proportional to the amount of AEC added. With an injection of 10 microgram BaP, the latent period was greatly increased when AEC was added, but the occurrence of tumours was the same. Components of AEC appear to inactivate BaP, at least temporarily. In further experiments AEC and nine fractions thereof were injected subcutaneously into mice. The fraction comprising only polycyclic aromatic hydrocarbons (PAH) induced the highest incidence of tumours. In contrast, when it was administered in combination with other fractions the PAH fraction was less active. Application of the products of further fractionation of PAH showed that polycyclic compounds with seven or more rings can also induce tumours in this model.

Animals↗
PubMedDate not supplied

Respiratory health associated with exposure to automobile exhaust. II. Personal NO2 exposure levels according to distance from the roadside.

We have conducted several studies to investigate the effect of automobile exhaust on respiratory symptoms. This study was designed to explore differences in personal exposure levels among residents of zones located varying distances from trunk roads with heavy traffic in Tokyo. Personal nitrogen dioxide (NO2) concentration levels for residents and NO2 concentrations inside and outside the residences of each study participant were measured during ten seasons over three years. Three residential zones were determined as follows: Zone A was 0-20 m from the roadside; Zone B was 20-150 m; and Zone C, a reference zone, was a residential district in a suburban area. Approximately fifty residents were selected as the subjects of NO2 measurements. Study participants were female, between 40 and 60 years of age, and nonsmokers. All participants used gas cooking stoves with electric ignition. Outdoor NO2 concentrations in Zone A were always the greatest among the three zones during the study periods, and those in Zone C were consistently the lowest. Personal exposure levels in Zone A were generally higher than those in the other zones, and concentrations in Zone C were the lowest during seasons when no indoor heating was used. The highest mean values for personal exposure levels in Zones A, B, and C were 63.4, 61.0, and 55.3 ppb, respectively. In analyses in which participants were stratified by heater type, the mean personal exposure levels in Zone A were the highest and the levels in Zone C were the lowest for participants without unvented heaters; differences of NO2 levels between Zones A and C ranged from 10.0 to 23.9 ppb. When there were no indoor NO2 sources except gas cooking stoves, both indoor and personal levels of NO2 were attributable primarily to motor vehicle exhaust. In contrast, the use of unvented heaters during the heating seasons could cause NO2 exposures comparable to those attributable to motor vehicles.

Adult↗
PubMed1995

Ocular alkali burn associated with automobile air-bag activation.

Alkali burns of the eye can result in permanent visual impairment and are therefore potentially devastating. Immedicate diagnosis and treatment are essential to a good prognosis. The authors report the case of a 52-year-old woman who suffered alkali keratitis as the result of the activation of an automobile air bag. This type of injury will be seen more frequently as more cars are equipped with air bags and should be suspected in drivers and passengers involved in accidents in which air bags have been activated.

Air Bags↗
PubMedDate not supplied

Risk of automobile accidents among elderly drivers with impairments or chronic diseases.

A case-control study was conducted in Quebec elderly men in order to document the risk of road accidents associated with impairments or chronic medical conditions. All 1,400 drivers who had had an accident with either mild bodily injury or only property damage during their 70th year in 1988 and 1989 were selected as cases from the accident file of the "Société de l'Assurance Automobile du Québec" (SAAQ). They were compared to 2,636 controls randomly selected among drivers of the same age. Information on medical conditions was also obtained for all subjects from the SAAQ. Mileage and driving habits were documented through a mail questionnaire. Relative risk of accidents associated with medical conditions were estimated while controlling for confounders. Overall, the results suggest that elderly drivers of private vehicles with impairments or chronic medical conditions are not at increased risk of road accidents. Only those with arrhythmias had a significant increase in risk (OR = 1.63, CI: 1.00-2.65). This study does not support more severe norms for elderly drivers.

Accidents, Traffic↗
PubMed1993

Histo-pathological findings of abraded skins in the cases of automobile dragging.

We histologically examined skin which had been abraded by automobile dragging. In the first case, the victim was a 57-year-old drunken male. He was hit by a passenger car while walking on a road and dragged for a distance of 30 m. He soon died from the pelvic bone fractures. Extensive and deep abrasions were observed on both shoulders and the back. In the second case, a 20-year-old drunken male was lying on a road. He was run over by a passenger car and dragged for a distance of 800 m. During the dragging the car's underbody strongly compressed his thoraco-abdominal region and killed him by causing insufficiency in breathing. Deep abrasions were found in the right temporal region and right back at the waist. In the third case, when a 50-year-old woman was riding a moped it collided with a passenger car at an intersection and she fell to the ground. Soon after, she was run over by another passenger car and dragged for a distance of 718 m. The cause of death was profuse bleeding from the crushed right axillary artery and vein. Autopsy revealed very extensive and severe abrasions in the right upper arm, right axilla, lateral surface of the right chest and abdomen, right back, back pelvic region, and lateral surface of the right lower leg and foot. Especially in the arm, axilla and chest, the skin and soft tissues were worn away, muscles and bones were exposed, and the right axillary artery and vein were crushed.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Traffic↗
PubMedDate not supplied

The tumor-producing effect of automobile exhaust condensate and fractions thereof. Part I: chemical studies.

The criteria of a biological detection system discriminating carcinogenic and non-carcinogenic fractions of a mixture are discussed. Automobile exhaust gas condensate (in total 545.5 g) produced by a passenger car during the Europa driving cycle was separated into fractions with and without polycyclic aromatic hydrocarbons (PAH) by liquid-liquid distribution between methanol + water / cyclohexane and cyclohexane + nitromethane, respectively. This fractionation was chosen because of the general experience that PAH are highly potent carcinogens. To prove whether other non-PAH contribute to the total carcinogenic effect, these had to be separated from the PAH-containing fraction. Carbazol and acridine derivatives as well as aromatic amines remain predominantly in the PAH-free methanolic phase.

Carcinogens↗
PubMed1993

[Proof of alcoholic intoxication in automobile driving by breath alcohol content in Austria from the legal viewpoint].

In Austria, automobile drivers are obligated to undergo a breathalizer test if they are suspected of driving under the influence of alcohol. Drivers cannot be forced to take the test, but if they refuse, their conduct is then dealt with as a violation of civil law and is therefore punishable by law. If the Alcomat test yields an alcohol content of 0.4 ml/l, i.e. relevant amount, the suspect then has the right to demand that a blood test be carried out. If the authorities refuse to give him this test, then the suspect will not be held to have been in excess of the legal alcohol level by the civil authorities in the following proceedings. On the other hand, in a legal criminal proceeding, the suspect will then be found guilty of exceeding the legal alcohol level, if additional evidence--which must be examined by the judge within the framework of the free consideration of evidence (a principle recognized by Austrian law but not, for example, by American law)--suffices to show with relative certainty that the suspect exceeded the alcohol limit as defined in section 81 Z2StGB). If a blood test is completed and the results differ from those of the breathalizer, then the blood test results are used.

Accidents, Traffic↗
PubMed1993

Post-traumatic stress disorder in a child following an automobile accident.

A 3-year-old girl was diagnosed with post-traumatic stress disorder (PTSD) following a minor automobile accident. The child presented with nightmares, violent play, and trauma-specific fears. The common symptoms of PTSD in childhood are reviewed, and the importance of careful history-taking and prompt referral to a mental health professional are discussed.

Accidents, Traffic↗
PubMed1993

Sclerosing lipogranulomatosis: a case report of scrotal injection of automobile transmission fluid and literature review of subcutaneous injection of oils.

For nearly a century, physicians and laypersons have attempted to repair, reconstruct, and embellish the human body in numerous ways by injecting various oils beneath the skin. Soon after Gersuny's first reported subcutaneous injection of oil, the local and systemic complications became apparent. Despite this, the practice of oil injections continues. "Medical grade" silicone injection was investigated in the 1960s to 1980s with varied success and complications. While few physicians practice oil injection therapy, some laypersons continue to subject themselves or their clients to the risk of the disfiguring complications of sclerosing lipogranulomata. Accidental high-pressure injection injury of liquids, so-called grease gun injuries, continues to provide a therapeutic challenge for the hand surgeon. Our case of a man who injected automobile transmission fluid into his scrotum illustrates the classical course and proper management of sclerosing lipogranulomata. A subcutaneous inflammatory and fibrosing reaction occurred with regional lymphadenopathy. The need for complete excision of all involved tissue to treat the condition successfully is illustrated. This case also illustrates the tendency of patients to conceal from their doctors the history of self-injection of foreign bodies. In cases of self-injection, psychological counseling might certainly be appropriate.

Adult↗
PubMed1996

Stroke and automobile accidents.

To define the causal relationship of ischemic cerebral infarction to automobile accidents in hospitalized patients a computerized hospital record search with ICD-9 diagnostic codes 433 and 434 for occlusive cerebrovascular disease, and E810 and E819 for motor vehicle traffic accidents was conducted over a three-year period. Inclusion criteria required patients be identified as the driver of the vehicle and demonstrate computed tomographic (CT) evidence of an evolving cerebral infarction on serial scans. Of 2,844 ischemic cerebral infarctions admitted to the hospital during the study period, four met the selection criteria. In three, stroke was the cause and in one, the result of the accident. When stroke preceded the accident, visual field defect impaired consciousness, and/or loss of motor control were major contributing factors. Head CT, detailed accident scene history, and vascular disease risk factors were most important in determining a cause-and-effect relationship of stroke to the accident.

Accidents, Traffic↗
PubMed1998

The interaction of particulate matter and gaseous automobile exhaust in the city of Graz, Austria.

Aerosol particles collected at urban locations contain a significant portion of automobile exhaust emissions, especially lead and zinc. The most important emitted gases, carbon monoxide (CO), hydrocarbons (HC), and the nitrogen oxides (NOx) play an important role in the formation of photochemical smog in urban areas. Nitrate formation through heterogeneous reactions on dust particles may provide a removal mechanism for the nitrogen oxides in the atmosphere. As a consequence dust can reduce ozone formation rates by up to 25%. At 47 sites within the city of Graz, Austria dust particles were collected. Two hundred particles with a diameter of about 1 microns were analyzed with a Laser Microprobe Mass Analyzer (LAMMA) for each sampling point: one half for laser generated cations and the other half for anions. The frequencies of occurrence of elements in 100 particles were used as a measure for the air quality. Isolines (lines of equal element frequencies) were employed to outline polluted regions and identify the sources of dust particles. A summation method was used to monitor nitrogen oxides. Particulate nitrate correlates well with lead frequencies in aerosols as well as with NOx levels. This indicates that the NOx emitted by traffic exhaust is at least partially deposited on particulate matter.

Aerosols↗