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      Assessment of the lung function status of the goldsmiths working in an unorganized sector of India

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          Abstract

          Context:

          Exposure to various types of fumes and gases are very common in Jewelery industries. No Report is available regarding the effects of those fumes and gases on the respiratory functions of the goldsmiths. Due to lack of proper monitoring of the workplace environments in these unorganized sectors, workers get very much affected by the occupational exposures to those irritants.

          Aims:

          The present study aimed to investigate whether the occupational exposures to fumes and gases might alter the lung functions of the goldsmiths.

          Materials and Methods:

          A total of 118 goldsmiths and 66 unexposed control subjects were taken randomly for the study. The goldsmiths were further classified in 3 groups according to duration (year) of exposures in the work environment, ETA 1 (less than 5 years), ETA 2 (more than 5 years but less than 10 years), and ETA 3 (more than 10 years). Peak expiratory flow rates (PEFR), forced vital capacity (FVC), and forced expiratory flow rates of different intervals (FEF 25%, FEF 50%, FEF 75%, FEF 25-75%) were measured using computerized Spirometer (Maestros Mediline, India). The statistical analyses were carried out using Minitab software version 3.

          Results:

          Lung functions of the goldsmiths significantly ( P < 0.01) decreased from that of the control group. Inter-group comparison also showed the deteriorations of lung functions was associated with exposure time, and more exposed workers had significantly less ( P < 0.01) efficiencies of lung functions.

          Conclusions:

          Workplace fumes and gases were responsible for deterioration of the lung function status of the goldsmiths.

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          Most cited references23

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          Body mass index as an indicator of obesity

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            Is There Evidence for Synergy Among Air Pollutants in Causing Health Effects?

            Background Environmental air pollutants are inhaled as complex mixtures, but the long dominant focus of monitoring and research on individual pollutants has provided modest insight into pollutant interactions that may be important to health. Trends toward managing multiple pollutants to maximize aggregate health gains place increasing value on knowing whether the effects of combinations of pollutants are greater than the sum of the effects of individual pollutants (synergy). Objective We reviewed selected published literature to determine whether synergistic effects of combinations of pollutants on health outcomes have actually been demonstrated. Methods and results We reviewed 36 laboratory studies of combinations of ozone with other pollutants that were reported in the recent U.S. Environmental Protection Agency Ozone Criteria Document. We examined original reports to determine whether the experimental design tested for synergy and whether synergy was demonstrated. Fourteen studies demonstrated synergism, although synergistic, additive, and antagonistic effects were sometimes observed among different outcomes or at different times after exposure. Conclusions Synergisms involving O3 have been demonstrated by laboratory studies of humans and animals. We conclude that the plausibility of synergisms among environmental pollutants has been established, although comparisons are limited, and most involved exposure concentrations much higher than typical of environmental pollutants. Epidemiologic research has limited ability to address the issue explicitly.
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              Evidence for dysanapsis using computed tomographic imaging of the airways in older ex-smokers.

              We sought to determine the relationship between lung size and airway size in men and women of varying stature. We also asked if men and women matched for lung size would still have differences in airway size and if so where along the pulmonary airway tree would these differences exist. We used computed tomography to measure airway luminal areas of the large and central airways. We determined airway luminal areas in men (n = 25) and women (n = 25) who were matched for age, body mass index, smoking history, and pulmonary function and in a separate set of men (n = 10) and women (n = 11) who were matched for lung size. Men had greater values for the larger airways and many of the central airways. When male and female subjects were pooled there were significant associations between lung size and airway size. Within the male and female groups the magnitudes of these associations were decreased or nonsignificant. In males and females matched for lung size women had significantly smaller airway luminal areas. The larger conducting airways in females are significantly smaller than those of males even after controlling for lung size.
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                Author and article information

                Journal
                Lung India
                Lung India
                LI
                Lung India : Official Organ of Indian Chest Society
                Medknow Publications & Media Pvt Ltd (India )
                0970-2113
                0974-598X
                Jan-Mar 2013
                : 30
                : 1
                : 33-37
                Affiliations
                [1] Ergonomics and Occupational Physiology Laboratory, Department of Physiology, University of Kalyani, Kalyani, India
                [1 ] Department of Statistics, Presidency University, Kolkata, India
                Author notes
                Address for correspondence: Dr. Subhashis Sahu, Ergonomics and Occupational Physiology Laboratory, Department of Physiology, University of Kalyani, Kalyani, West Bengal, India. E-mail: skcsahu@ 123456yahoo.co.in
                Article
                LI-30-33
                10.4103/0970-2113.106131
                3644831
                23661914
                023d11d0-5f67-4103-a1f2-bccca62550da
                Copyright: © Lung India

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                Respiratory medicine
                lung function,fumes,metals
                Respiratory medicine
                lung function, fumes, metals

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