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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.

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.

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.

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.

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