Berufsgenossenschaft der Bauwirtschaft

Berlin, Germany

Berufsgenossenschaft der Bauwirtschaft

Berlin, Germany
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Solbach T.,Berufsgenossenschaft der Bauwirtschaft | Seidel D.,Berufsgenossenschaft der Bauwirtschaft | Wahl-Wachendorf A.,Berufsgenossenschaft der Bauwirtschaft
Zentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie | Year: 2015

Background: Spirometry is a commonly used method for diagnosing diseases of the lungs and the pulmonary system which is often used in occupational health. For spirometry, reference values are of great importance and in 2012 new reference values were published by the global lungs initiative (GLI). Objectives: Working with the new reference values the question arises whether more or less results varying from the normal are to be expected. Material and methods: The results of 1323 lung function tests registered during routine occupational health medical examinations for prevention purposes were compared using either the European Coal and Steel Community (ECSC) or GLI values. The aim was to evaluate the new reference values on the practice-related medical assessment as being “normal” or “not normal”. Results: Using the GLI reference values “not normal” results for forced vital capacity (FVC) were twice as high and for the forced expiratory volume in 1 s (FEV1) approximately 70 % higher than using ECSC reference values. Regarding the Tiffeneau index in this collective no essential increase in conspicuous results was detected. Conclusions: Future studies will have to be carried out to show to what extent these results influence the sensitivity and specificity of the diagnosis of obstructive or restrictive lung diseases. Consequently, as far as the occupational health practice is concerned, initially the number of consultations and perhaps also the need for further tests will noticeably rise because there will be more “not normal” spirometry results without health changes of the individual test subject. Therefore, results should always be compared to previous results when possible. © 2015, Springer-Verlag Berlin Heidelberg.

Ruhl R.,Berufsgenossenschaft der Bauwirtschaft | Kersting K.,Berufsgenossenschaft der Bauwirtschaft
Gefahrstoffe Reinhaltung der Luft | Year: 2011

In the Nineteen Nineties, explosions regularly occurred during the use of high-solvent parquet and floorcovering adhesives. TRGS (Technical Rule for Hazardous Substances) 610 "Substitute substances and processes for high-solvent primers and adhesives for floors" was therefore issued in 1992 and has since been regularly updated. Representatives of the German Central Association for Parquet and Floor Systems, of adhesives manufacturers, of the Association of the Parquet Industry and OSH professionals updated TRGS 610 again in 2010 and came to the conclusion that there is absolutely no more need for high-solvent primers and adhesives for floors. They recommend dispersion, silane-modified and polyurethane adhesives as substitutes.

Aim: On the basis of the industry-specific prophylactic medical examinations of the lower extremities of persons working in the construction industry, significant symptoms and their association with occupations and work processes are to be described. Foci for preventive measures are to be defined from the results. Methods:The cross-sectional study made use of data from preventive medical examinations of 108,963 (1994-2003) mainly male employees evaluated on the basis of age, work processes and occupation. They were combined with results of a questionnaire covering musculoskeletal complaints in 4640 employees. Results: The frequency of complaints and of clinical findings for the lower extremities was in both cases higher for the knees than for the hip joints. There is a marked difference between the frequency of complaints and that of clinical findings; e.g. 27.2 % of men who were 55 years old or older complained of knee problems but medical examination revealed clinical findings in only 9.5 %. The prevalence of persons with clinical findings in the knees in these occupations corresponded with the duration of working in a kneeling position. Symptoms developed mostly symmetrically in the knees but not in the hip joints. Of the categories of strain to which the persons were exposed, forced attitudes played a much greater role in increasing the incidence of symptoms than did heavy loads, which are of only little significance. Conclusions:The results document the practical significance of prophylactic medical examinations for the differentiation of functional disorders and for timely recognition of the necessity for preventive action. Prophylaxis is not a substitute for detailed diagnosis when the medical symptoms are severe. For the hip joints, symptoms suggesting an association with work or other mechanical stress are less marked. These results are of relevance for the assessment of real risks at the workplace.

Kafferlein H.U.,Ruhr University Bochum | Ruhl R.,Ruhr University Bochum | Bruning T.,Berufsgenossenschaft der Bauwirtschaft
Gefahrstoffe Reinhaltung der Luft | Year: 2011

Dichloromethane (DCM) is extensively used as a paint stripping solvent. Although exposure to DCM is regulated by law in many countries to fully protect workers from exposure, severe accidents could not be avoided during paint stripping. Reasons predominantly are the inability to efficiently control exposure, the use of inappropriate personal protective measures, the non-compliance with federal regulations and the commercial availability of paint strippers containing DCM in self-service shops. This review summarizes data on the use, health effects and exposure of DCM with particular focus on paint stripping activities. The review provides the rationale behind the adoption of restrictions on the marketing and use of DCM by the European Union (Decision 455/2009/EC). The decision includes all paint strippers containing DCM in a concentration ≥ 0.1 % by mass and aims to protect workers who may not have access to suitable protective equipment. Moreover, the ban harmonizes different regulations of individual member states in the EU.

Reichel S.,Berufsgenossenschaft der Bauwirtschaft
Trauma und Berufskrankheit | Year: 2010

Nursing care benefits granted by statutory accident insurance may be given in the form of benefits (and services) in kind (home care or nursing care in a sheltered housing accommodation) or in the form of a nursing allowance. The law has given the grant of a nursing allowance a priority over home care or nursing care in a sheltered housing accommodation in order to ensure a maximum amount of liberty for the dependent persons. This article illustrates each of the instruments for granting nursing care benefits, taking into consideration costs and expenses as well as quality. © Springer Medizin Verlag 2009.

Schad A.,Berufsgenossenschaft der Bauwirtschaft
Trauma und Berufskrankheit | Year: 2010

The high quality of outpatient surgery has made it an important part of rehabilitation in the German statutory accident insurance. It enables the accident insurers to fulfill their statutory mandate, i.e., rehabilitation by all appropriate means. The great number of outpatient surgical procedures documents their establishment in the statutory accident insurance; from the accident insurer's perspective, this is seen positively, also in terms of costs. © 2010 Springer-Verlag.

The use of solid-phase microextraction for permeation measurements enables a broad spectrum of organic substances to be recovered from different collecting media. In combination with a GC/MS system, it can also be used to separate and identify the substances in substance mixtures and products. The permeation of substances can thus be studied with consideration for the influence of other substances found in the product. Besides the selective search for and analysis of specific substances, a sensitive, non-predictive screening process is also described. With this process, the permeation of substances within products, reaction products and substances from the personal protective equipment (PPE) which are as yet unknown can also be presented, without specification of the substances under analysis.

Malalla T.,Unfallbehandlungsstelle Berlin | Reichel S.,Berufsgenossenschaft der Bauwirtschaft
Trauma und Berufskrankheit | Year: 2012

The targeted use of available resources for occupational therapy offered by a network partner in rehabilitation management makes it possible to considerably increase the proportion of insured persons able to return to their former employment. The outpatient trauma center in Berlin makes use of a three-phase model as part of its services offered for occupational therapy: (1) training in motor skills, (2) job-specific training, and (3) training at the workplace. © 2012 Springer-Verlag.

Kersting K.,Berufsgenossenschaft der Bauwirtschaft | Ruhl R.,Berufsgenossenschaft der Bauwirtschaft | Heine K.,Forschungs und Beratungsinstitut Gefahrstoffe | Kalberlah F.,Forschungs und Beratungsinstitut Gefahrstoffe | Geier J.,Informationsverbund Dermatologischer Kliniken IVDK
Gefahrstoffe Reinhaltung der Luft | Year: 2013

Cured epoxy resins are notable for their outstanding technical properties. However, the use of these products before they have cured presents a risk of allergic skin disease. Epoxy resins used in the construction sector are one of the most common triggers of allergic skin reactions among men in Germany Several approaches exist to reducing the allergy risk; rarely however can a substitute substance be found for the epoxy resin. In some cases, a product with a weaker sensitizing action can be used. Corresponding results of a new research project have been published. Suitable gloves have for some years been indicated as personal protective equipment for use with solvent-free epoxy resins. This protective measure must be given greater and proper consideration In industrial use.

Leng G.,Currenta GmbH | Ruhl R.,Berufsgenossenschaft der Bauwirtschaft | Heine V.,Berufsgenossenschaft der Bauwirtschaft | Kersting K.,Berufsgenossenschaft der Bauwirtschaft
Arbeitsmedizin Sozialmedizin Umweltmedizin | Year: 2015

Aim: The purpose of this study is to investigate the possibility of exposure to isocyanates in parquet recliners who use polyurethane (PU) adhesives and sealants and to examine the method of exposure. Method: 75 parquet recliners who regularly used polyurethane adhesives and sealants were examined. These products contain the isocyanates, 4,4-MDI (methylene diphenyl diisocyanate), 2,4- and 2,6-TDI (toluene diisocyanate) and HDI (hexamethylene diisocyanate). Biomonitoring as well as an ambient monitoring was carried out. Results: After the application of adhesives containing MDI (methylene diphenyl diisocyanate) and TDI (toluene diisocyanate), no isocyanates were detected in the air in more than 90% of the cases; and low concentrations were found only in 10% of the cases. The biomonitoring data showed the following: the hydrolysis product, MDA, was found in one case with a value of 1 μg/l; 2,4-TDA was found in two cases with values of 0.5 and 0.7 μg/l and 2,6-TDA was found in ten cases with a maximum value of 2.6 μg/l. In the case of the usage of HDI-containing lacquers, all the air measurements were found to be negative as compared to HDI-containing oils where 82% of the air samples showed HDI with a maximal value of 0.009 mg/m3. In biomonitoring, 36% of the urine samples were HDA positive, the maximum value being 22.3 μg/l. Conclusions: For parquet recliners, the exposure to MDI and TDI due to adhesives is very low. The exposure to HDI due to sealants can be reduced by complying with adeqate measures that regulate work protection and hygiene (avoiding contact).

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