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Pesquisa : I01.409.418.750.600.650.200.520 [Categoria DeCS]
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[PMID]:27777373
[Au] Autor:Kurth L; Doney B; Weinmann S
[Ad] Endereço:Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
[Ti] Título:Occupational exposures and chronic obstructive pulmonary disease (COPD): comparison of a COPD-specific job exposure matrix and expert-evaluated occupational exposures.
[So] Source:Occup Environ Med;74(4):290-293, 2017 Mar.
[Is] ISSN:1470-7926
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To compare the occupational exposure levels assigned by our National Institute for Occupational Safety and Health chronic obstructive pulmonary disease-specific job exposure matrix (NIOSH COPD JEM) and by expert evaluation of detailed occupational information for various jobs held by members of an integrated health plan in the Northwest USA. METHODS: We analysed data from a prior study examining COPD and occupational exposures. Jobs were assigned exposure levels using 2 methods: (1) the COPD JEM and (2) expert evaluation. Agreement (Cohen's κ coefficients), sensitivity and specificity were calculated to compare exposure levels assigned by the 2 methods for 8 exposure categories. RESULTS: κ indicated slight to moderate agreement (0.19-0.51) between the 2 methods and was highest for organic dust and overall exposure. Sensitivity of the matrix ranged from 33.9% to 68.5% and was highest for sensitisers, diesel exhaust and overall exposure. Specificity ranged from 74.7% to 97.1% and was highest for fumes, organic dust and mineral dust. CONCLUSIONS: This COPD JEM was compared with exposures assigned by experts and offers a generalisable approach to assigning occupational exposure.
[Mh] Termos MeSH primário: Poluentes Ocupacionais do Ar/análise
Exposição Ocupacional/análise
Doença Pulmonar Obstrutiva Crônica/epidemiologia
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Poeira/análise
Gases/análise
Seres Humanos
Exposição por Inalação/análise
National Institute for Occupational Safety and Health (U.S.)
Ocupações/classificação
Oregon
Doença Pulmonar Obstrutiva Crônica/etiologia
Reprodutibilidade dos Testes
Medição de Risco/métodos
Sensibilidade e Especificidade
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants, Occupational); 0 (Dust); 0 (Gases)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2016-103753


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[PMID]:27778761
[Ti] Título:New reports from the NIOSH health hazard evaluation program.
[So] Source:Int J Occup Environ Health;22(3):265-267, 2016 07.
[Is] ISSN:2049-3967
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Poluentes Ambientais/efeitos adversos
Doenças Profissionais/epidemiologia
Exposição Ocupacional
[Mh] Termos MeSH secundário: Seres Humanos
National Institute for Occupational Safety and Health (U.S.)
Doenças Profissionais/etiologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Environmental Pollutants)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29173119
[Au] Autor:Krajnak K; Miller GR; Waugh S
[Ad] Endereço:a Engineering and Controls Technology Branch , National Institute for Occupational Safety and Health Morgantown , Morgantown , WV , USA.
[Ti] Título:Contact area affects frequency-dependent responses to vibration in the peripheral vascular and sensorineural systems.
[So] Source:J Toxicol Environ Health A;81(1-3):6-19, 2018.
[Is] ISSN:1528-7394
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Repetitive exposure to hand-transmitted vibration is associated with development of peripheral vascular and sensorineural dysfunctions. These disorders and symptoms associated with it are referred to as hand-arm vibration syndrome (HAVS). Although the symptoms of the disorder have been well characterized, the etiology and contribution of various exposure factors to development of the dysfunctions are not well understood. Previous studies performed using a rat-tail model of vibration demonstrated that vascular and peripheral nervous system adverse effects of vibration are frequency-dependent, with vibration frequencies at or near the resonant frequency producing the most severe injury. However, in these investigations, the amplitude of the exposed tissue was greater than amplitude typically noted in human fingers. To determine how contact with vibrating source and amplitude of the biodynamic response of the tissue affects the risk of injury occurring, this study compared the influence of frequency using different levels of restraint to assess how maintaining contact of the tail with vibrating source affects the transmission of vibration. Data demonstrated that for the most part, increasing the contact of the tail with the platform by restraining it with additional straps resulted in an enhancement in transmission of vibration signal and elevation in factors associated with vascular and peripheral nerve injury. In addition, there were also frequency-dependent effects, with exposure at 250 Hz generating greater effects than vibration at 62.5 Hz. These observations are consistent with studies in humans demonstrating that greater contact and exposure to frequencies near the resonant frequency pose the highest risk for generating peripheral vascular and sensorineural dysfunction.
[Mh] Termos MeSH primário: Nervos Periféricos/fisiopatologia
Cauda/inervação
Vibração/efeitos adversos
[Mh] Termos MeSH secundário: Animais
Antioxidantes/análise
Modelos Animais de Doenças
Ensaio de Imunoadsorção Enzimática
Expressão Gênica
Síndrome da Vibração do Segmento Mão-Braço/etiologia
Síndrome da Vibração do Segmento Mão-Braço/fisiopatologia
Masculino
National Institute for Occupational Safety and Health (U.S.)
Exposição Ocupacional/efeitos adversos
Distribuição Aleatória
Ratos
Ratos Sprague-Dawley
Reação em Cadeia da Polimerase em Tempo Real
Cauda/enzimologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antioxidants)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171215
[Lr] Data última revisão:
171215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1080/15287394.2017.1401022


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[PMID]:28587783
[Au] Autor:Hallagan JB
[Ad] Endereço:The Flavor and Extract Manufacturers Association of the United States, 1101 17th, Street, N.W. Suite 700, Washington, D.C. 20036, United States. Electronic address: Hondobear@aol.com.
[Ti] Título:The use of diacetyl (2,3-butanedione) and related flavoring substances as flavorings added to foods-Workplace safety issues.
[So] Source:Toxicology;388:1-6, 2017 Aug 01.
[Is] ISSN:1879-3185
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:In 2001, staff of the National Institute of Occupational Safety and Health (NIOSH) identified diacetyl (2,3-butanedione) as a "marker" of exposure in a microwave popcorn manufacturing facility in which workers developed severe respiratory illness. Subsequent investigations identified additional workers in food and flavor manufacturing facilities also with severe respiratory illness. The flavor industry, NIOSH, and federal and state regulators conducted significant programs to address workplace safety concerns related to the manufacture of flavors and foods containing added flavors. These programs, initiated in 2001, continue today. Key to the success of these programs is understanding what flavors added to foods are and how they are manufactured, how they are incorporated into foods, the specific characteristics of diacetyl and related flavoring substances, and what actions may be taken to assure the safest workplaces possible.
[Mh] Termos MeSH primário: Diacetil/análise
Aromatizantes/análise
Doenças Profissionais/etiologia
Exposição Ocupacional/análise
[Mh] Termos MeSH secundário: Animais
Indústria Alimentícia/normas
Seres Humanos
National Institute for Occupational Safety and Health (U.S.)
Doenças Profissionais/epidemiologia
Doenças Respiratórias/epidemiologia
Doenças Respiratórias/etiologia
Estados Unidos
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Flavoring Agents); K324J5K4HM (Diacetyl)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE


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[PMID]:28408654
[Au] Autor:Laney AS; Blackley DJ; Halldin CN
[Ad] Endereço:Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
[Ti] Título:Radiographic disease progression in contemporary US coal miners with progressive massive fibrosis.
[So] Source:Occup Environ Med;74(7):517-520, 2017 Jul.
[Is] ISSN:1470-7926
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Among contemporary US coal miners, there has been an increase in the prevalence and severity of pneumoconiosis, including its advanced form progressive massive fibrosis (PMF). We examine radiographic progression in Coal Workers' Health Surveillance Program (CWHSP) participants. METHODS: CWHSP participants with a final determination of PMF during 1 January 2000-1 October 2016 with at least one prior radiograph in the system were included. We characterised demographics, participation and progression patterns. RESULTS: A total of 192 miners with a PMF determination contributed at least one additional radiograph (total count: 2-10). Mean age at first radiograph was 28.8 years, 162 (84%) worked in Kentucky, Virginia or West Virginia and 169 (88%) worked exclusively underground. A total of 163 (85%) miners had a normal initial radiograph. Mean time from most recent normal radiograph to one with a PMF determination was 20.7 years (range: 1-43) and 27 (17%) progressed to PMF in less than 10 years. DISCUSSION: Dust exposure is the sole cause of this disease, and a substantial number of these miners progressed from normal to PMF in less than a decade. Participation in CWHSP is voluntary, and these findings are influenced by participation patterns, so for many miners it remains unclear how rapidly their disease progressed. The National Institute for Occupational Safety and Health recommends all working miners to participate in radiographic surveillance at 5-year intervals. Improved participation could allow more precise characterisation of the burden and characteristics of pneumoconiosis in US coal miners and provide an important early detection tool to prevent cases of severe disease.
[Mh] Termos MeSH primário: Antracose/diagnóstico por imagem
Antracose/patologia
Mineradores/estatística & dados numéricos
Exposição Ocupacional/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Antracose/epidemiologia
Minas de Carvão
Progressão da Doença
Poeira
Seres Humanos
Masculino
Meia-Idade
Mineração
National Institute for Occupational Safety and Health (U.S.)
Doenças Profissionais/diagnóstico por imagem
Doenças Profissionais/epidemiologia
Doenças Profissionais/patologia
Radiografia
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dust)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2016-104249


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[PMID]:28292698
[Au] Autor:Dong XS; Largay JA; Choi SD; Wang X; Cain CT; Romano N
[Ad] Endereço:CPWR - The Center for Construction Research and Training, 8484 Georgia Ave, Suite 1000, Silver Spring, MD 20910, United States. Electronic address: sdong@cpwr.com.
[Ti] Título:Fatal falls and PFAS use in the construction industry: Findings from the NIOSH FACE reports.
[So] Source:Accid Anal Prev;102:136-143, 2017 May.
[Is] ISSN:1879-2057
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study analyzed the Construction FACE Database (CFD), a quantitative database developed from reports of the Fatality Assessment and Control Evaluation (FACE) program conducted by the National Institute for Occupational Safety and Health (NIOSH). The CFD contains detailed data on 768 fatalities in the construction industry reported by NIOSH and individual states from 1982 through June 30, 2015. The results show that falls accounted for 42% (325) of the 768 fatalities included in the CFD. Personal fall arrest systems (PFAS) were not available to more than half of the fall decedents (54%); nearly one in four fall decedents (23%) had access to PFAS, but were not using it at the time of the fall. Lack of access to PFAS was particularly high among residential building contractors as well as roofing, siding, and sheet metal industry sectors (∼70%). Although the findings may not represent the entire construction industry today, they do provide strong evidence in favor of fall protection requirements by the Occupational Safety and Health Administration (OSHA). In addition to stronger enforcement, educating employers and workers about the importance and effectiveness of fall protection is crucial for compliance and fall prevention.
[Mh] Termos MeSH primário: Acidentes por Quedas/mortalidade
Acidentes de Trabalho/mortalidade
Indústria da Construção/estatística & dados numéricos
Equipamentos de Proteção/utilização
[Mh] Termos MeSH secundário: Adulto
Idoso
Bases de Dados Factuais
Seres Humanos
Meia-Idade
National Institute for Occupational Safety and Health (U.S.)
Relatório de Pesquisa
Estados Unidos/epidemiologia
United States Occupational Safety and Health Administration
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE


  7 / 1264 MEDLINE  
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[PMID]:28160818
[Au] Autor:Brann M; Hartley D
[Ad] Endereço:Department of Communication Studies, Indiana University-Purdue University, 425 University Blvd., CA 309, Indianapolis, IN 46202, United States; Injury Control Research Center, West Virginia University, Morgantown, WV 26506, United States. Electronic address: mabrann@iupui.edu.
[Ti] Título:Nursing student evaluation of NIOSH workplace violence prevention for nurses online course.
[So] Source:J Safety Res;60:85-91, 2017 Feb.
[Is] ISSN:1879-1247
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: As primary targets of workplace violence in health care settings, nurses may suffer negative physical and psychological consequences. NIOSH created an online course to educate nurses about violence prevention techniques. METHOD: A mixed-methods approach assessed workplace violence awareness and knowledge among nursing students. A pre/post/post-test survey and focus group discussions evaluated participant awareness and knowledge, assessed course design, and solicited recommendations for increasing participation and strategies for improving message retention. RESULTS: The mean awareness scores differed significantly between pre-course and both post-course time points (Wilk's λ=0.319, F(2, 46)=49.01, p<0.001). Post hoc tests using the Bonferroni correction revealed that course participation increased awareness of workplace violence from pre-course scores (M=0.75, SD=0.438) to immediate post-course (M=2.13, SD=0.789) and four-week post-course (M=1.96, SD=0.771) scores on a 3-item measure. Similarly, mean knowledge scores increased between pre-course and both post-course time points (Wilk's λ=0.495, F(1.57, 73.66)=37.26, p<0.001). Post hoc tests using the Bonferroni correction revealed that course participation increased knowledge of workplace violence from pre-course scores (M=6.65, SD=1.45) to immediate post-course (M=8.56, SD=1.32) and four-week post-course (M=8.19, SD=1.42) scores on a 10-item measure. Qualitative data from the focus groups reinforced the quantitative findings. Participants citing benefits from the content strongly recommended including the course in nursing curriculums. Incorporating the course early in the nursing educational experience will better prepare students to deal with workplace violence when they enter health care professions. CONCLUSIONS: The results indicate that NIOSH and its partners created an effective online workplace violence awareness and prevention course. Practical applications: Nursing students and professionals can be effectively educated about workplace violence using an online format.
[Mh] Termos MeSH primário: Educação a Distância
Educação em Enfermagem/métodos
National Institute for Occupational Safety and Health (U.S.)
Estudantes de Enfermagem
Violência no Trabalho/prevenção & controle
[Mh] Termos MeSH secundário: Conscientização
Estados Unidos
Violência no Trabalho/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170206
[St] Status:MEDLINE


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[PMID]:28160805
[Au] Autor:Mazur JM; Westneat S
[Ad] Endereço:College of Education, Southeast Center for Agricultural Health & Injury Prevention, University of Kentucky, United States. Electronic address: jmazur@uky.edu.
[Ti] Título:A socio-cognitive strategy to address farmers' tolerance of high risk work: Disrupting the effects of apprenticeship of observation.
[So] Source:J Safety Res;60:113-117, 2017 Feb.
[Is] ISSN:1879-1247
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Why do generations of farmers tolerate the high-risk work of agricultural work and resist safe farm practices? This study presents an analysis inspired by empirical data from studies conducted from 1993 to 2012 on the differing effects of farm safety interventions between participants who live or work on farms and those who don't, when both were learning to be farm safety advocates. Both groups show statistically significant gains in knowledge and behavioral change proxy measures. However, non-farm participants' gains consistently outstripped their live/work farm counterparts. METHOD: Drawing on socio-cultural perspectives, a grounded theory qualitative analysis focused on identifying useful constructs to understand the farmers' resistance to adopt safety practices. FINDINGS: Understanding apprenticeships of observation and its relation to experiential learning over time can expose sources of deeply anchored beliefs and how they operate insidiously to promote familiar, albeit unsafe farming practices. The challenge for intervention-prevention programs becomes how to disrupt what has been learned during these apprenticeships of observation and to address what has been obscured during this powerful socialization process. PRACTICAL APPLICATIONS: Implications focus on the design and implementation of farm safety prevention and education programs. First, farm safety advocates and prevention researchers need to attend to demographics and explicitly explore the prior experiences and background of safety program participants. Second, farm youth in particular need to explore, explicitly, their own apprenticeships of observations, preferably through the use of new social media and or digital forms of expression, resulting in a story repair process. Third, careful study of the organization of work and farm experiences and practices need to provide the foundations for intervention programs. Finally, it is crucial that farm safety programs understand apprenticeships of observation are generational and ongoing over time, and interventions prevention programs need to be 'in it' for the long haul.
[Mh] Termos MeSH primário: Agricultura
Fazendeiros/psicologia
Disseminação de Informação
Risco
Segurança
Trabalho
[Mh] Termos MeSH secundário: Kentucky
National Institute for Occupational Safety and Health (U.S.)
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170206
[St] Status:MEDLINE


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[PMID]:28107333
[Au] Autor:Polovich M
[Ad] Endereço:Georgia State University.
[Ti] Título:U.S. Pharmacopeial Chapter <800>: Be Ready to Comply by July 2018 
.
[So] Source:Clin J Oncol Nurs;21(1):116-119, 2017 Feb 01.
[Is] ISSN:1538-067X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The U.S. Pharmacopeial Convention's "Chapter <800> Hazardous Drugs-Handling in Healthcare Settings" is a new part of the National Formulary that describes standards-expectations for practice-for all aspects of handling and administering hazardous drugs (HDs). Some of the standards will require changes in policies, procedures, and practices for nurses. This article provides an overview of the new standards and the impact they will have on nurses who prepare and administer chemotherapy and other HDs.
.
[Mh] Termos MeSH primário: Fidelidade a Diretrizes/estatística & dados numéricos
Exposição Ocupacional/prevenção & controle
Saúde do Trabalhador
Farmacopeias como Assunto/normas
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Antineoplásicos/administração & dosagem
Antineoplásicos/efeitos adversos
Congressos como Assunto
Feminino
Seres Humanos
Masculino
National Institute for Occupational Safety and Health (U.S.)/normas
Exposição Ocupacional/efeitos adversos
Enfermagem Oncológica/métodos
Roupa de Proteção/utilização
Gestão da Segurança/normas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Antineoplastic Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE
[do] DOI:10.1188/17.CJON.116-119


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[PMID]:27792470
[Au] Autor:LeBouf R; Simmons M
[Ad] Endereço:a Field Studies Branch, Respiratory Health Division, National Institute for Occupational Safety and Health , Morgantown , West Virginia.
[Ti] Título:Increased sensitivity of OSHA method analysis of diacetyl and 2,3-pentanedione in air.
[So] Source:J Occup Environ Hyg;14(5):343-348, 2017 05.
[Is] ISSN:1545-9632
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Gas chromatography/mass spectrometry (GC/MS) operated in selected ion monitoring mode was used to enhance the sensitivity of OSHA Methods 1013/1016 for measuring diacetyl and 2,3-pentanedione in air samples. The original methods use flame ionization detection which cannot achieve the required sensitivity to quantify samples at or below the NIOSH recommended exposure limits (REL: 5 ppb for diacetyl and 9.3 ppb for 2,3-pentanedione) when sampling for both diacetyl and 2,3-pentanedione. OSHA Method 1012 was developed to measure diacetyl at lower levels but requires an electron capture detector, and a sample preparation time of 36 hours. Using GC/MS allows detection of these two alpha-diketones at lower levels than OSHA Method 1012 for diacetyl and OSHA Method 1016 for 2,3-pentanedione. Acetoin and 2,3-hexanedione may also be measured using this technique. Method quantification limits were 1.1 ppb for diacetyl (22% of the REL), 1.1 ppb for 2,3-pentanedione (12% of the REL), 1.1 ppb for 2,3-hexanedione, and 2.1 ppb for acetoin. Average extraction efficiencies above the limit of quantitation were 100% for diacetyl, 92% for 2,3-pentanedione, 89% for 2,3-hexanedione, and 87% for acetoin. Mass spectrometry with OSHA Methods 1013/1016 could be used by analytical laboratories to provide more sensitive and accurate measures of exposure to diacetyl and 2,3-pentanedione.
[Mh] Termos MeSH primário: Diacetil/análise
Monitoramento Ambiental/métodos
Exposição Ocupacional/análise
Pentanonas/análise
[Mh] Termos MeSH secundário: Diacetil/química
Cromatografia Gasosa-Espectrometria de Massas/métodos
National Institute for Occupational Safety and Health (U.S.)
Pentanonas/química
Estados Unidos
United States Occupational Safety and Health Administration
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Pentanones); K324J5K4HM (Diacetyl); K4WBE45SCM (2,3-pentanedione)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161030
[St] Status:MEDLINE
[do] DOI:10.1080/15459624.2016.1252846



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