Combustible gases generated in the alimentary tract and other hollow viscera and their relationship to explosions occurring during anaesthesia.
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A flowmeter is described which may be used to measure gas flow in experimental situations. It may be adapted for use with any gas or gas mixture and be used to provide flows as small as 50 ml min-1. A mercury-in-glass manometer (sphygmomanometer) is used to measure the gas pressure proximal to a flow restrictor (consisting of a hypodermic needle hub) and it is this pressure head which, for a given gas, dictates the flow produced. This device may be produced at minimal cost in any hospital, is easy to calibrate and accurate.
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One hundred forty-five male welders from a West Coast shipyard were studied cross-sectionally and across a Monday work shift by pulmonary function tests and a questionnaire. Ten years of welding was associated with chronic bronchitis in 23.3% of nonsmokers compared to 3.3% in male controls, shortness of breath in 31.5% of nonsmokers compared to 1.5% in controls, and chest pain or heaviness in 38.4% compared to 4.4% in controls. Men who welded aluminum but had never smoked had more frequent wheezing, chest tightness, phlegm, feverishness and fatigue than those welding mild (black) or stainless steel. There were no significant cross-shift effects from welding exposure on measurements of pulmonary function. Although baseline expiratory flows were reduced slightly when compared to Caucasian-predicted values, ethnic specific comparisons for the largest subgroup showed only that FEF25-75 was reduced to 92.9 percentage of predicted values. Diffusing capacities for carbon monoxide were significantly reduced as compared to referents. The pulmonary function values of 25 current smokers were indistinguishable from the 41 who had never smoked, which probably reflects their low consumption of cigarettes.
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