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PubMed1995

Chronic effects of welding exposure on pulmonary function tests and respiratory symptoms.

OBJECTIVES: The respiratory effects of exposure to welding fumes have been investigated in numerous studies; but results of these studies have not been consistent. The aim of the present study was to investigate the respiratory effects of welding exposure in a large group of manual are welders exposed primarily to mild steel welding processes in confined spaces without respiratory protection. METHODS: Respiratory symptoms and spirometry were studied in 110 welders and 55 controls. The welders and controls were of similar average age and height; smoking habits of the groups were similar. Chest x ray films were taken to exclude people with radiological abnormalities that may influence pulmonary function tests. Welders were grouped according to smoking habits and duration of employment (< 20 years or > 20 years). RESULTS: No gross radiological abnormalities were found. Respiratory symptoms and chronic bronchitis were more prevalent in welders (P < 0.05). Welders who were smokers showed a higher frequency of chronic bronchitis than controls who smoked (P < 0.05). No significant difference in the occurrence of chronic bronchitis was found between welders who smoked and welders who were non-smokers or exsmokers. Compared with the controls, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF), and maximum midexpiratory flow (MMEF) were significantly lower in welders (mean values of FVC for welders and controls were 86.06 (25.74) and 96.40 (13.03); and values for FEV1 were 87.54 (13.70) and 95.36 (12.40) respectively; P < 0.01). There was no significant difference in pulmonary function tests between welders who were non-smokers and controls who were non-smokers; whereas FVC, FEV1, PEF, and MMEF were significantly lower in welders who smoked than controls who smoked (P < 0.01). There were no significant differences in pulmonary function tests and occurrence of chronic bronchitis between welders with more or less than 20 years at work. CONCLUSION: Welders working in conditions of inadequate ventilation, have increased risk of chronic bronchitis and impairment of pulmonary function.

Adolescent↗
PubMed1998

Change in obstructive pulmonary function as a result of cumulative exposure to welding fumes as determined by magnetopneumography in Japanese arc welders.

OBJECTIVES: To examine the effect of chronic exposure to welding fumes on pulmonary function by a direct estimate of fumes accumulated in the lungs. METHODS: The strength of the residual magnetic field of externally magnetised lungs (LMF) was used as an estimate of fumes accumulated in the lungs. The results of forced spirometry manoeuvres obtained in 143 of 153 male welders in the original sample were cross sectionally evaluated according to LMF. Seven conventional forced spirogram indices and two time domain spirogram indices were used as pulmonary function indices, and height squared proportional correction was performed when necessary. RESULTS: The distribution of LMF values was considerably skewed towards positive. There was a weak but significant positive relation between age and log transformed LMF. Obstructive pulmonary function indices correlated well with LMF. After adjustment for age and smoking, however, a significant association with LMF was only found with percentage rate of forced expiratory volume in one second (FEV1%) divided by forced vital capacity (FVC) and mu, and average component of assumed time constant distribution of lung peripheral units. Neither FVC nor vital capacity (VC), as indices of restrictive disorders, showed a significant association with LMF. Based on the results of multiple regression analyses, a 0.6% decrease in FEV1% and 0.039 unit increase in mu were expected for each doubling of LMF. CONCLUSION: Obstructive changes in pulmonary function were found to be related to level of cumulative exposure to welding fume in male Japanese arc welders after controlling for age and smoking, assuming that LMF adequately reflects accumulation of welding fumes in the lungs.

Adult↗
PubMed1998

Occupational asthma caused by aluminium welding.

Work-related asthma has been documented in workers employed in the primary aluminium industry and in the production of aluminium salts. The role of aluminium in the development of occupational asthma has, however, never been convincingly substantiated. We investigated a subject who experienced asthmatic reactions related to manual metal arc welding on aluminium. Challenge exposure to aluminium welding with flux-coated electrodes, as well as with electrodes without flux, elicited marked asthmatic reactions. Manual metal arc welding on mild steel did not cause significant bronchial response. The results of inhalation challenges combined with exposure assessments provided evidence that aluminium can cause asthmatic reactions in the absence of fluorides. Awareness of this possibility may be relevant to the investigation of asthma in workers exposed to aluminium.

Adult↗
PubMed2005

Searching for a relationship between manganese and welding and Parkinson's disease.

Research into the causes of Parkinson disease (PD) has accelerated recently with the discovery of novel gene mutations. The majority of PD cases, however, remain idiopathic and in those cases environmental causes should be considered. Several recent reports have focused on welding and manganese toxicity as potential risk factors for parkinsonism and some have even proposed that welding is a risk factor for PD. The controversy has stimulated this review, the primary aim of which is to critically and objectively examine the evidence or lack of evidence for a relationship among welding, manganese, parkinsonism, and PD.

Age of Onset↗
PubMed2004

Development of indigenous local exhaust ventilation system: reduction of welders exposure to welding fumes.

Two (portable and mobile) local exhaust ventilation (LEV) units were developed in collaboration with the Rural Technology Institute, Gandhinagar, India. Basically, each unit consists of three parts comprising an electric motor, a blower and a fume hood. In both units the motor is fixed in a rectangular iron frame in a foot-mount position and equipped compactly with a blower, which in turn is connected to a fume hood through a flexible hosepipe. The portable unit is light in weight (50 kg) and has a cone shaped metallic fume hood. The mobile unit, on the other hand, differs from the portable model with respect to its weight (150 kg), size, RPM, voltage requirement, hood shape and size, and has a motor enclosure. The efficiency of the portable and mobile units on trial bases was tested by measuring the manganese concentration as a reference metal in welding fumes generated by electric arc welding. The concentration of manganese (mean +/- SD) was 0.218 +/- 0.06 microg/m3 in the general environment. In the workplace area where joining of metal objects by welding was done, the concentration of manganese was found to be 0.63 +/- 0.09 and 3.75 +/- 0.56 microg/m3 at a distance of 5 m and 2 m away from the site of operation, respectively. In the breathing zone it was 22.16 +/- 20.90 microg/m3 which was reduced to 8.25 +/- 4.5 microg /m3 after application of a portable LEV showing about 63% removal of the manganese concentration from the breathing zone of the welder. In another experiment conducted with a mobile LEV unit for heavy-duty work, the concentration of manganese in the breathing zone without operating the mobile LEV was 70.06 +/- 37.38 microg /m3 but was lowered to 8.29 +/- 1.76 microg /m3 after operating the mobile LEV. This indicated an average removal of manganese content by about 88% from the breathing zone of the welder. In both the experiments locations of sample collection were similar.

Air↗
PubMed2003

Thorium-232 exposure during tungsten inert gas arc welding and electrode sharpening.

To assess the exposure of welders to thorium-232 (232Th) during tungsten inert gas arc (TIG) welding, airborne concentrations of 232Th in the breathing zone of the welder and background levels were measured. The radioactive concentrations were 1.11 x 10(-2) Bq/m3 during TIG welding of aluminum (TIG/Al), 1.78 x 10(-4) Bq/m3 during TIG welding of stainless steel (TIG/SS), and 1.93 x 10(-1) Bq/m3 during electrode sharpening, with 5.82 x 10(-5) Bq/m3 background concentration. Although the annual intake of 232Th estimated using these values did not exceed the annual limit intake (ALI, 1.6 x 10(2) Bq), we recommend reducing 232Th exposure by substituting thoriated electrodes with a thorium-free electrodes, setting up local ventilation systems, and by using respiratory protective equipment. It is also necessary to inform workers that thoriated tungsten electrodes contain radioactive material.

Air Pollutants, Occupational↗
PubMed1988

Laser welding of titanium in dentistry.

Unalloyed titanium of the quality used for osseointegrated implants by the method of Brånemark is also sometimes used for the metallic part of the prosthetic superstructure placed on the fixtures and for crowns and bridges of conventional type. Forty bars of titanium, 8 of ASTM B 348 grade-1 quality and 32 of ASTM B 348 grade-2 quality, were laser-welded, using dissimilar laser joint variables. Tensile strength, 0.2% proof stress, and percentage elongation of the welded bars were measured and compared with the corresponding values for the titanium bars as delivered and with those of brazed type-3 gold alloy bars of similar dimensions. The type of fracture was evaluated from fractographs. The results showed that the use of certain defined laser joint variables during welding produced values for the mechanical properties studied which were more favorable than those obtained from the brazed gold bars. The fracture of the titanium specimens was ductile, with dimples occurring at the fracture surfaces.

Dental Alloys↗
PubMed1992

Adverse pregnancy outcome and childhood malignancy with reference to paternal welding exposure.

Welding may deteriorate spermatogenesis and increase reproductive failures. This study examines reproductive end points in a Danish cohort of 10,059 metalworkers who fathered 3,569 children in 1973 through 1986. Occupational histories were gathered by postal questionnaires. Information on pregnancy outcomes and offspring was obtained by record linkage to medical registers. The occurrence of reduced birthweight, preterm delivery, infant mortality, and congenital malformation was not increased among children at risk from paternal welding exposure in comparison with children not at risk. The overall incidence of childhood malignancies among 23,264 children born in 1968 through 1986 with a total of 259,113 person-years of follow-up was equal to national rates (relative risk 0.97, 95% confidence interval 0.63-1.42). However, pregnancies preceding a birth at risk from paternal exposure to stainless steel welding were more often terminated by spontaneous abortion (odds ratio 1.9, 95% confidence interval 1.1-3.2). This finding needs cautious interpretation and should be further investigated in future studies.

Child↗
PubMed1983

Sampling and analysis of hexavalent chromium during exposure to chromic acid mist and welding fumes.

Sampling and analysis of hexavalent chromium during exposure to chromic acid mist and welding fumes. Scand j work environ & health 9 (1983) 489-495. In view of the serious health effects of hexavalent chromium, the problems involved in its sampling and analysis in workroom air have been the subject of much concern. In this paper, the stability problems arising from the reduction of hexavalent to trivalent chromium during sampling, sample storage, and analysis are discussed. Replacement of sulfuric acid by a sodium acetate buffer (pH 4) as a leaching solution prior to analysis with the diphenylcarbazide (DPC) method is suggested and is demonstrated to be necessary in order to avoid reduction. Field samples were taken from two different industrial processes-manual metal arc welding on stainless steel without shield gas and chromium plating. A comparison was made of the DPC method, acidic dissolution with atomic absorption spectrophotometric (AAS) analysis, and the carbonate method. For chromic acid mist, the DPC method and AAS analysis were shown to give the same results. In the analysis of welding fumes, the modified DPC method gave the same results as the laborious and less sensitive carbonate method.

Air Pollutants, Occupational↗
PubMed1978

Amount and distribution of welding fume lung contaminants among arc welders.

The amount and distribution of the welding fume lung contaminants was measured in 44 arc welders from two shipyards. The measurement was made from the determination of the permanent field after the subject was magnetized in a low external magnetic field, the values being used for the calculation of the amount of contaminants in the lungs. Less than 4 mg of dust was found in the lungs of nonexposed controls. In the shipyard welder's lungs, after two years of exposure, on the average 7 mg (range 4-15) of welding dust was observed. After a continuous exposure of about 18 years the amounts were 200 mg (range 30-1,500) in shipyard A and 700 mg (150-2,000) in shipyard B, respectively. On the basis of data obtained from retired welders, the clearance rate of 45% in welders from shipyard A and 18% in shipyard B were calculated, the latter figure being probably more accurate. The distribution of contaminants was 52% in the right and 48% in the left lung. The radiological findings correlated well with the amounts of welding fume contaminants measured with the magnetic method.

Adolescent↗
PubMed2006

Update of a meta-analysis on lung cancer and welding.

OBJECTIVES: This study is an update, over the period 1954-2004, of a previous meta-analysis completed in 1994. It was aimed at assessing lung cancer risk among welders, while addressing heterogeneity, publication bias, and confounding issues. METHODS: Combined relative risks (CRR) and their variances were calculated using fixed and random effects models. Heterogeneity was tested using the Q statistic. The publication bias was estimated using funnel plots, and Egger's regression and partially controlled by excluding studies with positive reporting bias. RESULTS: The literature provided 60 studies eligible for the meta-analysis. No heterogeneity was observed. The fixed effect CRR for all of the welders and all of the studies was 1.26 (95% CI 1.20-1.32) after partial control of publication bias. No difference was observed according to welding activities. Smoking did not appear to be a marked confounder in the relationship between lung cancer and welding, but the effect of asbestos could not be assessed. CONCLUSIONS: The meta-analysis showed a 26% excess of lung cancer for welders without any difference according to welding activities.

Americas↗
PubMed2004

Ultraviolet radiation from welding and possible risk of skin and ocular malignancy.

Arc welding produces the full spectrum of ultraviolet radiation (UVR). It is possible that welders are at greater risk of developing skin cancer than the general population, but there is a dearth of well designed studies in this area. The only major study of the relationship between arc welding and skin cancer risk did not reveal an increased incidence of skin cancer in welders. As the welders examined were all well protected and the length-of-exposure period was limited, the findings cannot be generalised to all welders. Studies have demonstrated that welding increases the risk of ocular melanoma. Just as we urge the public to protect themselves from UVR, we need to consider similar advice for arc welders.

Adult↗
PubMedDate not supplied

Laser-welded titanium frameworks supported by implants in the edentulous maxilla: a 2-year prospective multicenter study.

PURPOSE: The aim of this study was to evaluate the clinical and radiographic performance of patients who received implants and fixed prostheses with laser-welded titanium frameworks. MATERIALS AND METHODS: Fifty-eight consecutive patients were treated with 349 osseointegrated implants ad modum Brånemark in the edentulous maxilla at 6 implant centers. The patients were randomly arranged into 2 groups at the time of final impression. Twenty-eight patients received laser-welded titanium frameworks and 30 patients received conventional cast frameworks. Clinical and radiographic data were collected for 2 years in function. RESULTS: The 2 groups of patients showed similar results. The 2-year overall cumulative implant survival rate from the time of implant placement and prosthesis insertion was 93.7% and 96.2%, respectively. The corresponding cumulative survival rate for prostheses was 96.6%. Two patients, 1 from each group, failed completely and resumed using conventional complete dentures. The only obvious factor that could possibly be related to the 2 complete failures was a smoking habit. However, it was not possible to significantly correlate implant failures to smoking habits in this study. No fractures were observed in the frameworks or implant components, and both groups experienced the same frequency of resin veneering material fractures. The overall average marginal bone loss was 0.4 mm (SD 0.8 mm). CONCLUSION: Patients treated with implant-supported prostheses fabricated with laser-welded titanium frameworks in the edentulous maxilla presented comparable results to patients with conventional cast frameworks after 2 years in function.

Adult↗
PubMedDate not supplied

Clinical experiences with laser-welded titanium frameworks supported by implants in the edentulous mandible: a 5-year follow-up study.

PURPOSE: The purpose of this study was to report the 5-year clinical performance of implant-supported prostheses with laser-welded titanium frameworks and to compare their performance with that of prostheses provided with conventional cast frameworks. MATERIALS AND METHODS: On a routine basis, a consecutive group of 824 edentulous patients were provided with fixed prostheses supported by implants in the edentulous mandible. In addition to conventional gold-alloy castings, patients were at random provided with 2 kinds of laser-welded titanium frameworks. In all, 155 patients were included in the 2 titanium framework groups. A control group of 53 randomly selected patients with conventional gold-alloy castings was used for comparison. Clinical and radiographic 5-year data was collected for the 3 groups. RESULTS: All followed patients still had fixed prostheses in the mandible after 5 years. The overall cumulative success rates were 95.9% and 99.7% for titanium-framework prostheses and implants, respectively. The corresponding success rates for the control group were 100% and 99.6%, respectively. Bone loss was 0.5 mm on average during the 5-year follow-up period. The most common complications for titanium frameworks were resin or tooth fractures, gingival inflammation, and fractures of the metal frames (10%). One of the cast frameworks fractured and was resoldered. Loose and fractured implant screw components were few (< 1%). CONCLUSION: Even though the cast frameworks had a higher success rate, the overall titanium framework treatment result was well in accordance with the result of the control group. The test groups performed better after clinicians had gained some experience with the technique, and laser-welded titanium frameworks seem to be a viable alternative to conventional castings in the edentulous mandible.

Adult↗
PubMedDate not supplied

A comparison of laser-welded titanium and conventional cast frameworks supported by implants in the partially edentulous jaw: a 3-year prospective multicenter study.

PURPOSE: The purpose of this prospective multicenter study was to evaluate and compare the clinical performance of laser-welded titanium fixed partial implant-supported prostheses with conventional cast frameworks. MATERIALS AND METHODS: Forty-two partially edentulous patients were provided with Brånemark system implants and arranged into 2 groups. Group A was provided with a conventional cast framework with porcelain veneers in one side of the jaw and a laser-welded titanium framework with low-fusing porcelain on the other side. The patients in group B had an old implant prosthesis replaced by a titanium framework prosthesis. The patients were followed for 3 years after prosthesis placement. Clinical and radiographic data were collected and analyzed. RESULTS: Only one implant was lost, and all prostheses were still in function after 3 years. The 2 framework designs showed similar clinical performance with few clinical complications. Only one abutment screw (1%) and 9 porcelain tooth units (5%) fractured. Four prostheses experienced loose gold screws (6%). In group A, marginal bone loss was similar for both designs of prostheses, with a mean of 1.0 mm and 0.3 mm in the maxilla and mandible, respectively. No bone loss was observed on average in group B. No significant relationship (P > 0.05) was observed between marginal bone loss and placement of prosthesis margin or prosthesis design. CONCLUSION: The use of laser-welded titanium frameworks seems to present similar clinical performance to conventional cast frameworks in partial implant situations after 3 years.

Adolescent↗
PubMed2001

Plastic welding techniques based on torsional and circular motion.

The torsion ultrasonic welding process and the frequency decoupled circular friction process at low frequencies deliver low particle production. In addition, the even, circular movement of the circular welding process over the whole seam area and the freely selectable frequency open up applications in the medical field that cannot be achieved, or can only be achieved with difficulty, by traditional welding processes. The processes are fast and can be process controlled to a fine degree with a facility to be integrated into automation lines.

Friction↗
PubMed2001

[Experimental elaboration and perspectives of application of electric welding of the live tissues].

In experiment on pigs, rabbits and white rats there was examined method of electric welding (electrothermoadhesion) of live tissues--intestine, stomach, gallbladder and bladder, peritoneum, elements of mesentery, liver, spleen. We distinguish among "welding" of the hollow organs wall with restoration of their passability and "overwelding" of masses of the tissues with production of coagulational furrow, along which resection of necessary parts is executed. According to data of morphological investigations obtained the security of the method was established. Peculiarities of welding suture of tissues were studied. The method is introducing in the clinical practice actively due to its simplicity and safety in sutureless connection of tissues.

Animals↗
PubMed2001

[Occupational exposure to gases emitted in mild and stainless steel welding].

The objective of this work was to select optimal methods for determination of toxic gases (NOx, NO2, CO, CO2, O3) and to evaluate occupational exposure of welders to those gases. The survey covered workers employed in shipyards, and other metal product fabrication plants engaged in welding mild and stainless steel by different techniques (manual metal are, metal active gas, tungsten inert gas welding; gas, plasma, laser cutting and resistance welding). Personal and stationary air samples were collected to determine time weighted average (TWA) and short-term concentrations of gases. For determination of nitrogen oxides the following analytical techniques were employed: spectrophotometry with collection on liquid and solid sorbents and ion chromatography with collection on solid sorbents. All the gases were determined also by automatic or direct reading methods: flow or diffusion detector tubes and photometric and electrochemical analyzers. The determined TWA concentrations were below respective Maximum Allowable Concentrations (MAC) but exposure limits for short term exposure were exceeded in some cases. The average NO2 i NOx ratio was 1:4. According to Polish regulations regarding the MAC value for nitrogen oxides the analytical method should enable determination of total NOx by either direct or indirect simultaneous determination of both NO and NO2. The applicability of the spectrophotometric method of analysis of atmospheric NOx to determination of low NOx concentrations at welders working posts has been confirmed.

Air Pollutants, Occupational↗