3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item The usefulness of task-based exposure data incharacterising work tasks that produce potentially high short-term exposures(2009-06-01T07:50:28Z) Chester, Sean JohnIntroduction: Single sample TWA samples collected over an 8-hour shift have the potential to mask elevated exposures, excursions or “peaks” that may have occurred thus permitting situations where workers are over-exposed or indeed over-dosed. The objectives of this study, undertaken in a small acrylic sheet manufacturing plant, are therefore to identify tasks that have the potential to exceed short-term occupational exposure levels and then simultaneously monitor employees undertaking these tasks for 8-hour TWA and Short-Term exposure concentrations. The results obtained from this sampling are then compared to their respective legal limits and then finally correlated to establish their statistical significance. Materials and Methods: The study setting comprises a syrup room wherein two employees are assigned per shift. Employees in this setting manufacture an acrylic “syrup” which is achieved by dosing raw materials into any one of 13 mixing vessels. Whilst mixing, these vessels also heat the ingredients until the required viscosity is reached. This “syrup” comprising mostly of liquid methyl methacrylate, is then decanted into a pressure vessel from where it is pipe-fed into a casting chamber and finally poured between two glass sheets. When cured, the final product is stored and sold as a clear or tinted acrylic sheet. All operations with this area are therefore associated with facilitating the syrup manufacture. Personal 8-hour TWA and Task- Based measurements of methyl methacrylate vapour were simultaneously obtained from the breathing zones of six employees over five separate shifts. These employees routinely work within the setting and also undertake tasks that have the potential to exceed the Short-Term Occupational Exposure Limit (ST-OEL) for methyl methacrylate vapour. Tasks were studied and those selected for quantitative monitoring were captured using a qualitative risk assessment tool. These selections were based on studying each task to establish the employee’s exposure probability and severity i.e. whether performing the task could indeed lead to excessive Short-Term exposures. Eight-hour TWA monitoring was undertaken using activated carbon 3M 3500 passive monitoring badges which were attached to each of the subject’s breathing zone and left over 80 % of the shift. The task-based measurements were obtained by using a Drager PAC III electro-chemical monitoring instrument, which was also placed in each each 4 subject’s breathing zone, and provided real-time exposure data whilst the employees were undertaking the various tasks. Results: All measurements (N = 116) were obtained over a series of 5 full-shift monitoring periods. When analysed, 8 of the 10 of the TWA samples returned results that were below the 8-hour TWA OEL. Of the 106 task-based measurements obtained for the nine identified tasks, when averaged, 89.1 % of results exceeded the ST-OEL. When the TWA and ST measurements were correlated, only one of the nine tasks were statistically significant in their correlation. This correlation coefficient was however highly statistically significant (r = 0.339, p = 0.032 and r = 0.337, p = 0.022 respectively). Both negative and positive correlations were obtained however these were statistically insignificant. Discussion: A significantly higher proportion of the sample results were above the STOEL than the 8-hour TWA OEL concentrations contributing to the argument that ST exposure monitoring may add additional insight to employees’ exposure profiles. A major limitation of the study is however the small sample size, which makes it difficult, due to inter-worker variability amongst other factors, to extrapolate the results and their corresponding interpretations to larger, more generalised occupational hygiene monitoring scenarios. Conclusion: The results obtained therefore support the assertion that the inclusion of short-term monitoring is important in characterising employee exposures in situations where these tasks are themselves potential sources of significant chemical exposures. Recommendations: As a basis for undertaking any form of monitoring and particularly in settings where short-term, task-based exposures may exist, the importance of undertaking a systematic approach to hazard identification and risk profiling via the use of a known risk assessment tool to compile a air sampling programme, has been demonstrated in the results of this research. Further research that specifically addresses the problem of characterising workplace exposures would be useful in larger study populations as well as occupational settings which expose employees to the various types of airborne contaminant e.g. fume, mists, particulates and gases.Item Compassion fatigue, level of exposure, empathy and affect intensity amongst employee assistance programme counsellor(2008-05-16T11:08:49Z) Harinarain, EshminABSTRACT High levels of trauma within the South African society affect the majority of the population either directly or indirectly. In order to assist individuals overcome such traumatic incidents, many companies in South Africa have contracted with Employee Assistance Programme (EAP) Providers to provide counselling to employees. These EAP counsellors are often the first mental health professionals to be exposed to a client’s traumatic story. Consequently, such counsellors may be vulnerable to compassion fatigue (CF). The consequences of EAP counsellors working with traumatised clients have been relatively unexplored. Therefore, this study proposed that EAP trauma counsellors are vulnerable within their scope of work and are an important group of professionals to be further investigated. Furthermore, leading authors in the field of trauma argue that both individual characteristics and environmental factors play a role in the development of CF. However, research into the process by which CF develops is extremely limited. Hence, this study attempted to explore this process through identifying possible core variables such as level of exposure, empathy and affect intensity and exploring their link to CF. The study was based on Figley’s (1995) Trauma Transmission Model, Dutton and Rubinstein’s (1995) Ecological Model and McRitchie’s (2006) Refined Model for Trauma Workers. The data was collected from 60 EAP counsellors, through self report measures. Data was analysed using descriptive statistics, correlations, a stepwise regression, two independent sample t-tests, and analysis of variance. Results revealed that 28.34% of the sample fell within the range for CF. There were significant correlations between Level of Exposure to traumatic material and CF; between levels of empathy and CF and between Affect Intensity and Empathy. There was no significant correlation between Affect Intensity and CF. Furthermore, the stepwise regression indicated that 56% of CF may be explained by a combination of four interacting variables, that is, Level of Exposure, Fantasy, Personal Distress and Perspective Taking.Item Environmental and host factors associated with persistent lower respiratory tract symptoms or asthma following acute environmental exposure to sulphur dioxide (S02).(2007-02-23T12:15:35Z) Baatjies, RoslynnIntroduction: On the weekend of 16 – 17 December 1995, the community of Macassar was exposed to elevated levels of sulphur dioxide vapours (SO2) caused by a fire on a nearby stockpile for approximately 21.5 hours. It has been estimated that community members were exposed to levels as high as 200 parts per million (ppm) of this gas as some 15 000 tons of the sulphur stockpile ignited. This resulted in a toxic plume of SO2 being blown over the Macassar area by the prevailing wind. The aim of this study was to assess the environmental and host factors associated with persistent lower respiratory symptoms among residents of this community six years after being acutely exposed to elevated exposures of SO2 vapours. Materials and methods: A case-control study was conducted. The cases and controls were selected from adult residents who reported to the Macassar disaster project clinic for a health assessment in order to lodge a medico-legal claim. Survey instruments included a questionnaire, clinical examination and clinical record review by an expert panel. A case was defined as an adult resident who presented to the clinic for an examination with persistent (at year 1 and 6 after the disaster) lower respiratory symptoms. Controls were chosen from clinic attendees without lower respiratory symptoms at year 1 and 6. Environmental exposure was calculated by using the Industrial Source Complex Short Term Model (ISCST 3) to predict time-averaged concentrations at specified receptor locations. Multiple logistic regression was used to investigate the association between lower persistent respiratory symptoms, host and environmental factors (estimated concentration and duration of exposure to SO2). Results: A total of 76 cases and 180 controls were selected. The cases and controls were comparable with respect to age, gender, height and smoking status. The results indicated that a medical history of pulmonary tuberculosis at least one year prior to the fire (OR: 3.5, CI: 1.5-8.4) was significantly associated with having persistent lower respiratory symptoms. Furthermore, subjects with persistent lower respiratory symptoms were nine times more likely to report symptoms of tight chest (OR: 9.9; CI: 5.2-19.1), and twice as likely to report shortness of breath (OR: 2.0; CI: 1.0-4.1) at the time of the fire. None of the exposure metrics (total hours of exposure, cumulative exposure, peak exposure) were significantly associated with persistent lower respiratory symptoms. However, peak SO2 exposure estimated at hour 15 was significantly associated with persistent lower respiratory symptoms (OR: 1.0; CI: 1.0-1.1). Discussion: The results of this study are consistent with previous studies reporting lower respiratory tract symptoms after chemical exposure irrespective of age or smoking status. Furthermore, as in other studies respiratory health status was a significant factor in determining susceptibility to SO2 exposure. Various reports in the literature suggest that exposure > 20 ppm is associated with chronic respiratory symptoms. This however was not demonstrated in this study, using estimates of exposure calculated using the ISCST model suggesting possible exposure misclassification. “Self-selection” bias was an important limitation in this study, since the entire study population was self-referred and as such the study population was not randomly selected. Another limitation is the possibility that there may be potential recall bias operating since the fire incident happened six years ago; however this was considered unlikely as there was nondifferential reporting between cases and control. Self reported symptoms on the questionnaires might have been over-reported due to fear, anxiety and stress or secondary gain related to compensation issues. The lack of association between exposure variables and persistent asthma may have also been due to lack of power (small sample size), although this was thought to be a minor contributory factor. Conclusion: Host-related factors such as a previous history of pulmonary TB and acute asthma-like symptoms at the time of the fire were important predictors of persistent lower respiratory symptoms reported by residents 6 years after acute exposure to SO2 vapours emanating from a sulphur fire.