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Agribusiness industries are among the most hazardous workplaces for non-fatal occupational injuries. The term &ldquo, post-incident state&rdquo, is used to describe the health status of an injured person when a non-fatal occupational injury has occurred, in the post-incident period when the worker returns to work, either immediately with zero days away from work (medical state) or after a disability period (disability state). An analysis of nearly 14,000 occupational incidents in agribusiness operations allowed for the classification of the post-incident state as medical or disability (77% and 23% of the cases, respectively). Due to substantial impacts of occupational incidents on labor-market outcomes, identifying factors that influence the severity of such incidents plays a significant role in improving workplace safety, protecting workers, and reducing costs of the post-incident state of an injury. In addition, the average costs of a disability state are significantly higher than those of a medical state. Therefore, this study aimed to identify the contributory factors to such post-incident states with logistic regression using information from workers&rsquo, compensation claims recorded between 2008 and 2016 in the Midwest region of the United States. The logistic regression equation was derived to calculate the odds of disability post-incident state. Results indicated that factors influencing the post-incident state included the injured body parts, injury nature, and worker&rsquo, s age, experience, and occupation, as well as the industry, and were statistically significant predictors of post-incident states. Specific incidents predicting disability outcomes included being caught in/between/under, fall/slip/trip injury, and strain/injury by. The methodology and estimation results provide insightful understanding of the factors influencing medical/disability injuries, in addition to beneficial references for developing effective countermeasures for prevention of occupational incidents.

— Ultraviolet radiation produces erythema in human skin, and damages the DNA of living cells in skin. Previous work showed that broad-band UV-B (290–320 nm) radiation produced higher levels of cyclobutyl pyrimidine dimers in DNA of individuals with high UV-B sensitivity (low minimal erythema dose) than in subjects of low UV-B sensitivity [Freeman et al. (1986) J. Invest. Dermatol., 86, 34–36]. We examined the relationship between erythema induction and dimer yields in DNA of human skin irradiated in situ with narrow band radiation spanning the wavelength range 275–365 nm. We find that, in general, higher dimer yields are produced per incident photon in volunteers with higher susceptibility to erythema induced by radiation of the same wavelength.

Ultraviolet excimer lasers are being considered for use in a variety of refractive and therapeutic procedures, the long-term biologic consequences of which are unknown. The effect of sublethal doses of 193-nm laser radiation on cellular DNA was examined in cultured human skin fibroblasts. In contrast to 248 nm, treatments with the 193-nm laser radiation below 70 J/m2 did not cause significant pyrimidine dimer formation in the skin cells. This was indicated by the lack of excision repair activities (unscheduled DNA synthesis assay), and further demonstrated by direct analysis of pyrimidine dimers in DNA from irradiated cells. However, a low level of unscheduled DNA synthesis could be detected following irradiation at 193 nm with 70 J/m2. Both the 193-nm and 248-nm radiation were able to induce chromosomal aberrations, as indicated by a micronucleus assay. A dose-dependent increase in micronuclei frequency was observed 48 and 72 h after laser irradiation. These results indicate that exposure of actively replicating human skin fibroblasts to sublethal doses of either 193- or 248-nm laser radiation can result in genotoxicity.

The PTO driveline is the most common means of transferring power from a tractor to towed machinery and stationary equipment. While equipment manufacturers install shielding to protect operators and bystanders from coming in contact with operating PTO components (particularly around the knuckle), entanglement is still a cause of some of the most catastrophic agricultural work-related injuries. This study investigated the influence of material type, material length, and angle of material introduction on entanglements with a spinning PTO shaft knuckle. These variables were tested using a laboratory PTO apparatus where 165 entanglements were recorded during the 720 trials conducted. The results indicate that lighter materials, such as cotton thread, have a significantly higher probability of becoming entangled than heavier materials, such as leather bootlaces. Materials that were longer (i.e., extend further below the midline of the PTO knuckle) have higher probabilities of becoming entangled than do shorter materials. The horizontal path that the material traveled across the centerline of the PTO shaft impacted the probability of entanglement. When the angle of intersection of the horizontal path of travel relative to the centerline of the PTO shaft is 90°, or close to 90°, a higher probability of entanglement occurs. All 165 entanglements occurred on the downward rotational side of the PTO knuckle regardless of which side the horizontal path of travel started from. The results of this study provide the first look at understanding the physical phenomena associated with the initial stages of PTO entanglements and set the stage for future research.

Bipolar Disorders affect up to 5% of the population. While the pharmacological options for the treatment of bipolar disorder have expanded over the past several years, lithium remains an inexpensive and efficacious treatment for bipolar disorder. Lithium has been demonstrated to be an effective treatment for acute mania, bipolar depression, the prophylactic treatment of bipolar disorder, and as an augmentation agent in the treatment of unipolar major depression. Lithium also is the only mood stabilizer that has been demonstrated to lower the suicide rate in patients with bipolar disorder. Use in special populations, side effects and toxicity, and drug interactions are discussed. Important laboratory monitoring guidelines are included in this review. Lithium remains an important intervention for the treatment of mood disorders.

A survey of Iowa farmers was conducted to assess the farmers' perceptions and beliefs regarding auger safety and how these perceptions are put into practice. A questionnaire was designed to obtain information on the following auger-related topics: recognition of safe practices and appropriate shielding, personal practices and behaviors, risk perception, and personal beliefs. A random sample of 400 Iowa farmers (arrayed by county) was selected to be representative of Iowa farms. The response to the mailed survey was 23%. Some returned surveys were eliminated because the respondent was retired or did not own/operate augers, resulting in 57 usable questionnaires. Survey responses indicate that the majority of Iowa farmers who participated in this study can correctly identify appropriate shielding for auger intake that meet or exceed ASAE standards. Survey responses suggest that it is common practice in Iowa for youth (age 13 to 19) to operate augers. Iowa farmers in this study perceive the most important contributing factors to auger-related injuries to be operating an auger without shielding, failure to pay attention on the job, moving augers in a raised position, and using hand or feet to redirect the flow of grain. Survey results also indicate that carelessness is perceived to be the leading cause of auger-related injuries, and that auger related injuries can be avoided by having respect for the equipment, being careful, and using common sense. The results also show that the Iowa farmers who participated in this study commonly perform auger-related practices (e.g., moving an auger in a raised position) that they identify as being unsafe.

This study provides an insight into auger-related injuries, Iowa farmers' perceptions of auger-related injuries and the condition of augers used in Iowa agriculture. Specific auger-related injury data (437 records) from the Iowa Department of Public Health (IDPH) was examined and interpreted. The most likely body part injured was the finger and 11:00 A.M., 3:00 P.M., and 5:00 P.M. were the times of the day with the highest number of injuries reported. In addition, a survey was administered to 400 farmers to ascertain their awareness of auger-related injuries and to determine the condition of their augers. Farmers' perceptions of what body part is most likely to be injured by an auger and the level of severity expected from those injuries coincided with injury records from 1993 to 1997. A total 34% of the primary and secondary augers reported were unshielded or without guarding. This assessment provides insight for development of intervention countermeasures to reduce auger-related injuries.

One prominent lesion induced in DNA by ultraviolet (UV) radiation is the cyclobutyl pyrimidine dimer formed between adjacent pyrimidines on the same DNA strand. We investigated whether people who have developed basal cell carcinoma on sun-exposed skin have an altered ability to repair UV-induced pyrimidine dimers in DNA. Twenty-two patients with at least one basal cell carcinoma, aged 31-84 years, and 19 healthy volunteers, aged 25-61 years, took part in the study. Both groups were given one minimal erythema dose (MED) of simulated solar radiation on the lower back. DNA was extracted from the irradiated skin 0 to 6 h later, and the number of UV-induced pyrimidine dimers was determined using a dimer-specific endonuclease. At time 0, the average number of dimers per unit of DNA was similar in the two groups. After 6 h, an average of 22 +/- 4% of the dimers were removed in the group with basal cell carcinoma compared to 33 +/- 4% in the cancer-free group. In the basal cell carcinoma group, only 23% of the patients repaired more than 30% of the dimers after 6 h, compared with 53% of the cancer-free subjects (p less than 0.05). We conclude that patients who develop basal cell carcinoma on sun-exposed skin may have a decreased ability to repair pyrimidine dimers induced in skin exposed to simulated solar radiation.

Ultraviolet radiation (UV) from sunlight is the major etiologic factor in the genesis of skin cancer. For squamous and basal cell carcinoma, the correlation of rates of incidence with latitude and, presumbably, solar exposure (Scotto, 1986), occurence on sun-exposed body regions (Scotto, 1986) and higher incidence in individuals who spend more time outdoors (Urbach et al., 1972) point to the sun as a major etiologic agent. For melanoma, there is a good correlation of rates of mortality with latitude (Mason and Mckay, 1974). However, the relationship between solar UV radiation exposure and cutaneous melanoma is not simple (Sober, 1987).

Cyclobutyl pyrimidine dimers are major photoproducts formed upon irradiation of DNA with ultraviolet light. We have developed a method for detecting as few as one pyrimidine dimer per million bases in about 50 ng of non-radioactive DNA, and have used this method to quantitate dimer yields in human skin DNA exposed in situ to UV. We found that UVA radiation (320–400 nm) produces detectable levels of dimers in the DNA of human skin. We also measured UVB-induced dimer yields in skin of individuals of differing sun sensitivity and found higher yields in individuals with higher UVB minimal erythema doses and greater sun sensitivity. These approaches should provide important information on damage induced in human skin upon exposure to natural or artificial sources of ultraviolet radiation.

Cyclobutyl pyrimidine dimers, measured as sites recognized by the dimer-specific ultraviolet (UV) endonuclease from Micrococcus luteus, were produced in DNA of human skin exposed in situ to UVA (320-400 nm) radiation. The dimer yields produced by a broadband UVA source, by broadband UVA filtered to remove all light of wavelength less than 340 nm, and by narrow band radiation centered at 365 nm were similar, indicating that UVA radiation, and not stray shorter wavelength radiation, was responsible for dimer production. The identity of the UVA-induced DNA lesions was confirmed as pyrimidine dimers by photoreactivation of approximately 100% of the endonuclease-sensitive sites in vitro with the 40,000 dalton Escherichia coli photoreactivating enzyme.

The induction and photorepair of pyrimidine dimers in DNA have been measured in the ultraviolet-irradiated, corneal epithelium of the marsupial, Monodelphis domestica, using damage-specific nucleases from Micrococcus luteus in conjunction with agarose gel electrophoresis. We observed that FS-40 sunlamps (280-400 nm) induced 7.2 +/- 1.0 X 10(-5) pyrimidine dimers per kilobase (kb) of DNA per J/m2. Following 100 J/m2, 50% and greater than 90% of the dimers were photorepaired during a 10- and 30-min exposure to photoreactivating light (320-400 nm), respectively. In addition, approximately 70% and approximately 60% of the dimers induced by 300 and 500 J/m2, respectively, were repaired by a 60-min exposure to photoreactivating light. The capacity of the corneal epithelium of M. domestica to photorepair pyrimidine dimers identifies this animal as a potentially useful model with which to determine whether pyrimidine dimers are involved in pathological changes of the irradiated eye.

The excision repair kinetics of UVB (280–320 nm) ∗ -induced pyrimidine dimers in DNA of human skin in situ was determined for seventeen volunteers using a dimer-specific endonuclease from Micrococcus luteus in conjunction with agarose gel electrophoresis. Removal of pyrimidine dimers from human skin could be detected within 6 h after irradiation and the average half-life for removal of pyrimidine dimers was 11.0 h (±4.3 h). However, there was significant inter-individual variability of repair as indicated by a half-life coefficient of variation of 38%.

We have measured UVB (280-320 nm)-induced DNA damage in skin of individuals with different sensitivities to UVB irradiation as measured by minimal erythema dose (MED). The DNA damage was susceptible to cleavage by Micrococcus luteus UV endonuclease, which recognizes pyrimidine dimers in DNA. An alkaline agarose gel electrophoresis method was used to quantitate the number of M. luteus UV endonuclease-sensitive sites in nonradioactive DNA from skin biopsies of 7 individuals irradiated with UVB (0-180 mJ X cm-2). The production of sites correlated well with MED (correlation coefficient = 0.78). The slope of the dose response curve for the most UVB-sensitive individual (MED = 24 mJ X cm-2) and for the least UVB-sensitive individual (MED = 146 mJ X cm-2) were 11.5 X 10(-4) and 2.6 X 10(-4) sites per 1000 bases per mJ X cm-2, respectively. The UVB-induced DNA damage was determined to be pyrimidine dimers by its susceptibility to cleavage by M. luteus UV endonuclease and its photoreactivability by Escherichia coli photoreactivating enzyme.

Excision repair kinetics of UV-induced pyrimidine dimers in DNA of phytohemagglutinin (PHA)-stimulated human peripheral blood lymphocytes were compared to unstimulated lymphocytes using a dimer-specific endonuclease from Micrococcus luteus in conjunction with agarose gel electrophoresis. Removal of pyrimidine dimers could be detected within 6 h after irradiation only PHA-stimulated lypmhocytes. However, incorporation of [3H]thymidine as UV-induced unscheduled DNA synthesis was detected in the unstimulated lymphocytes in the 6-h period. The number of pyrimidine dimers remaining in unstimulated lymphocytes was approximately 85% after 24 h as compared to less than 25% in stimulated cells.

A computer-based system was devised for examining low levels (1 dimer/10/sup 8/ d) of DNA damage in human skin exposed to ultraviolet or visible radiation. The production of measurable levels of dimers was determined for light of wavelengths absorbed directly by DNA (290-320 nm). Exposure of skin to uv-A (320-380 nm) sources also produced significant numbers of endonuclease-sensitive sites. The immediate pigment darkening reaction (IPD) was tested to see whether IPD protects against uv-induced dimer formation. 29 references, 2 figures, 1 table. (ACR)

— We measured excision repair of ultraviolet radiation (UVR)-induced pyrimidine dimers in DNA of the corneal epithelium of the marsupial, Monodelphis domestica, using damage-specific nucleases from Micrococcus luteus in conjunction with agarose gel electrophoresis. We observed that 100 J -2 of UVR from aFS–40 sunlamp(280–400 nm) induced an average of 2.2 ± 0.2 times 10-2 endonuclease-sensitive sites per kilobase (ESS/kb) (pyrimidine dimers) and that ∼ 50% of the dimers were repaired within 12 h after exposure. We also determined that an exposure of 400 J m-2 was needed to induce comparable numbers of pyrimidine dimers (2.5 times 10-2) in the DNA of skin of M. domestica in vivo. In addition, we found that 50% of the dimers were also removed from the epidermal cells of M. domestica within 12 h after exposure. A dose of 100 J m-2 was necessary to induce similar levels of pyrimidine dimers (2.0 ± 0.2 times 10-2) in the DNA of the cultured marsupial cell line Pt K2 (Potorous tridactylus).