Neurobehavioral and Respiratory Findings in Jet Engine Repair Workers: A Comparison of Exposed and Unexposed Volunteers

Workers repairing jet engines had respiratory, rheumatic, and neurobehavioral symptoms. They had welded and ground stainless steel parts using hard metal tools and cleaned metal with chlorinated and fluorinated organic solvents. We compared 154 workers and 112 unexposed subjects, all volunteers of s...

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Veröffentlicht in:Environmental research 1999-04, Vol.80 (3), p.244-252
1. Verfasser: Kilburn, Kaye H.
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description Workers repairing jet engines had respiratory, rheumatic, and neurobehavioral symptoms. They had welded and ground stainless steel parts using hard metal tools and cleaned metal with chlorinated and fluorinated organic solvents. We compared 154 workers and 112 unexposed subjects, all volunteers of similar ages and with similar educational levels, for abnormalities on chest radiographs, spirometric measurements, and questionnaires. Also appraised were performance of reaction time, balance, blink reflex latency, color discrimination, Culture Fair, vocabulary, slotted pegboard, trail making A and B, profile of mood states (POMS), and frequencies of 35 symptoms. Compared to unexposed subjects, workers had significantly more respiratory symptoms but no differences in pulmonary function. They had significantly prolonged simple and choice reaction time (P
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Blink reflex latency was abnormal in both exposed workers and in local unexposed compared to other reference groups. Focus of the inquiry on lung disease helped ensure that for neurobehavioral tests confounding factors were minimal and known biases were small. We tentatively attribute the neurobehavioral impairments and increased symptom frequencies to chlorinated solvent exposure. Excessive respiratory symptoms are attributed to welding stainless steel combined with cigarette smoking. 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They had welded and ground stainless steel parts using hard metal tools and cleaned metal with chlorinated and fluorinated organic solvents. We compared 154 workers and 112 unexposed subjects, all volunteers of similar ages and with similar educational levels, for abnormalities on chest radiographs, spirometric measurements, and questionnaires. Also appraised were performance of reaction time, balance, blink reflex latency, color discrimination, Culture Fair, vocabulary, slotted pegboard, trail making A and B, profile of mood states (POMS), and frequencies of 35 symptoms. Compared to unexposed subjects, workers had significantly more respiratory symptoms but no differences in pulmonary function. They had significantly prolonged simple and choice reaction time (P&lt;0.0001), and abnormal balance with eyes open and eyes closed (P&lt;0.0001), and abnormal color discrimination. Blink reflex latency was abnormal in both exposed workers and in local unexposed compared to other reference groups. Focus of the inquiry on lung disease helped ensure that for neurobehavioral tests confounding factors were minimal and known biases were small. We tentatively attribute the neurobehavioral impairments and increased symptom frequencies to chlorinated solvent exposure. Excessive respiratory symptoms are attributed to welding stainless steel combined with cigarette smoking. Specifically, manganese exposure may have affected the respiratory and the central nervous systems.</description><subject>1,1,1-trichloroethane-chlorinated solvents</subject><subject>Adult</subject><subject>Aircraft</subject><subject>balance</subject><subject>Biological and medical sciences</subject><subject>blink</subject><subject>Blinking</subject><subject>Bronchitis - diagnostic imaging</subject><subject>Bronchitis - etiology</subject><subject>Chemical and industrial products toxicology. 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Blink reflex latency was abnormal in both exposed workers and in local unexposed compared to other reference groups. Focus of the inquiry on lung disease helped ensure that for neurobehavioral tests confounding factors were minimal and known biases were small. We tentatively attribute the neurobehavioral impairments and increased symptom frequencies to chlorinated solvent exposure. Excessive respiratory symptoms are attributed to welding stainless steel combined with cigarette smoking. Specifically, manganese exposure may have affected the respiratory and the central nervous systems.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>10092444</pmid><doi>10.1006/enrs.1998.3898</doi><tpages>9</tpages></addata></record>
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subjects 1,1,1-trichloroethane-chlorinated solvents
Adult
Aircraft
balance
Biological and medical sciences
blink
Blinking
Bronchitis - diagnostic imaging
Bronchitis - etiology
Chemical and industrial products toxicology. Toxic occupational diseases
Chronic Disease
Dust - adverse effects
Female
Humans
Male
Medical sciences
Occupational Exposure - adverse effects
Oklahoma
Perception
Radiography
Reaction Time
Respiratory Function Tests
Smoking
Solvents
Solvents - adverse effects
Stainless Steel - adverse effects
Surveys and Questionnaires
Toxicology
trichloroethylene
Welding
title Neurobehavioral and Respiratory Findings in Jet Engine Repair Workers: A Comparison of Exposed and Unexposed Volunteers
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