The Experts below are selected from a list of 255 Experts worldwide ranked by ideXlab platform
Hywel C Williams - One of the best experts on this subject based on the ideXlab platform.
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intervention implementation research an exploratory study of reduction strategies for occupational contact dermatitis in the Printing Industry
Contact Dermatitis, 2007Co-Authors: Lesley Rushto, Hywel C Williams, J S C EnglishAbstract:Background: Occupational dermatitis is a problem in the Printing Industry but can be avoided through adequate protective measures. Research into intervention implementation is fundamental to the success of a formal intervention effectiveness trial. Objectives: The preliminary testing of four risk reduction strategies for occupationally caused dermatitis, which represent a range of approaches and cost implications. Patients/Methods: The strategies, the provision of (i) skin checks plus treatment advice; provision of (ii) gloves of the correct type/size plus use of an after-work cream; provision of (iii) information highlighting the problem of occupational dermatitis and (iv) development of a best practice skin care policy, were evaluated over 3 months in two non-randomly selected companies. A post-intervention evaluation into the effectiveness and efficacy of the intervention was also carried out. Results and Conclusions: All interventions were found to be acceptable to some extent. No single intervention appeared to be completely effective. The most practical intervention appeared to be the regular use of gloves of the correct type and size. This preliminary intervention study has demonstrated an improvement in the skin condition of workers examined and points towards the need for further testing of risk reduction strategies for the prevention of dermatitis in the Printing Industry on a much larger scale.
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intervention development in occupational research an example from the Printing Industry
Occupational and Environmental Medicine, 2006Co-Authors: Lesley Rushto, Hywel C Williams, J S C EnglishAbstract:Background: Intervention development research is an essential prerequisite of any study that attempts to determine whether specific interventions work to prevent work related injury and illness. Methods: Focus groups (n = 5) and direct observational studies (n = 21) of printers were used to elicit key issues that would aid the development of subsequent interventions. Transcripts from these were analysed by standard qualitative methods to identify common and related themes. Results: The views of managers differed significantly from those of print workers in a number of areas, and working practices did not always follow policy. The majority of printers did not perceive dermatitis to be a major problem, although many complained of dry hands. Other key results included: the lack of skin care policy in most companies; poor understanding of the nature, causes, and treatment of dermatitis; low priority of dermatitis within health and safety concerns; little or no provision of occupational health services, particularly skin checks; variability in provision of and access to appropriate skin protection; and lack of accessible washing facilities. Conclusions: As a result it was decided to evaluate the implementation of four interventions: provision of (1) skin checks and treatment advice; (2) gloves of the correct type and size, and use of an after-work cream; (3) information on dermatitis within the Printing Industry; and (4) development of best practice skin care policy.
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the prevalence of occupational dermatitis in the uk Printing Industry
Occupational and Environmental Medicine, 2002Co-Authors: E J Livesley, Lesley Rushto, Joh English, Hywel C WilliamsAbstract:Aims: To quantify occupational ill health resulting from dermatitis in the UK Printing Industry and to explore links with particular processes and activities. Methods: Approximately 2600 members of the Graphical, Paper and Media Union living in Nottinghamshire were sent a self completion questionnaire. A sample of respondents, both those who reported current skin problems and those who did not, were invited for a short dermatological examination. Results: The overall response rate was 62%. A total of 1189 respondents were directly involved in the Printing Industry and categorised according to work in pre-press (25%), Printing (46%), or finishing (42%) processes. A total of 490 respondents (41%) self reported having a skin complaint at some time. Prevalence was highest in males (43%) and those working in Printing (49%), in particular those who cleaned rollers and cylinders or who came into contact with substances containing isocyanates on a daily basis. The most commonly affected areas reported were the fingers and webs between the fingers. Twenty six per cent of the 490 reported a current problem on the hand. Reported symptoms included itching (61%), rash (58%), and dry skin (56%). Although certain Printing Industry substances were thought by respondents to aggravate their condition, constant washing and friction was most often cited. Reported use of protective equipment and cleansing products was generally high, particularly by printers. Clinical examination confirmed the high self reported prevalence and also identified a substantial proportion of mild cases which were not reported. The overall prevalence of occupationally related skin complaints is estimated to be 40%. Conclusions: A much higher prevalence of dermatitis has been identified than from routine surveillance schemes. The use of good quality records from unions with high membership facilitated access to workers across a range of company sites and Printing processes. Validation of self reported symptoms through clinical examination was shown to be essential. The importance of non-chemical causes of dermatitis was highlighted. The findings point towards the need for the development of effective and acceptable risk reduction strategies, in particular to reduce water contact and friction.
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clinical examinations to validate self completion questionnaires dermatitis in the uk Printing Industry
Contact Dermatitis, 2002Co-Authors: E J Livesley, Lesley Rushto, Joh S C English, Hywel C WilliamsAbstract:A self-completion questionnaire sent to 2600 Nottinghamshire members of the Graphical Paper and Media Union elicited a 62% response. Forty one per cent of respondents reported suffering a skin complaint at some time and 11% had a current skin problem on the hand. This paper reports the validation stage of the study. Samples of 45 'cases' of self-reported dermatitis and 60 'controls', who reported they had never suffered a skin complaint, were clinically examined. All 45 self-reported cases were clinically confirmed as dermatitis. Occupationally related irritant contact dermatitis (ICD) was diagnosed in 20 (44%); 26 (58%) complaints were thought to be induced or exacerbated by occupation. Of the controls, 21 (35%) were also diagnosed with a skin complaint, the majority being mild, with an occupational association in 17, the majority (15) being ICD. Sixteen ICD cases were patch tested resulting in positive reactions to colophony, neomycin, nickel and potassium dichromate (2 of each). Two cases of basal cell carcinoma on the face were also identified, of which the participants were unaware. Although there was no false positive self-reporting there was a considerable number of false negatives, demonstrating the importance of clinical validation of questionnaires relating to industrial skin disease. This study has highlighted the need for improvement in skin care provision in the Printing Industry.
Lesley Rushto - One of the best experts on this subject based on the ideXlab platform.
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intervention implementation research an exploratory study of reduction strategies for occupational contact dermatitis in the Printing Industry
Contact Dermatitis, 2007Co-Authors: Lesley Rushto, Hywel C Williams, J S C EnglishAbstract:Background: Occupational dermatitis is a problem in the Printing Industry but can be avoided through adequate protective measures. Research into intervention implementation is fundamental to the success of a formal intervention effectiveness trial. Objectives: The preliminary testing of four risk reduction strategies for occupationally caused dermatitis, which represent a range of approaches and cost implications. Patients/Methods: The strategies, the provision of (i) skin checks plus treatment advice; provision of (ii) gloves of the correct type/size plus use of an after-work cream; provision of (iii) information highlighting the problem of occupational dermatitis and (iv) development of a best practice skin care policy, were evaluated over 3 months in two non-randomly selected companies. A post-intervention evaluation into the effectiveness and efficacy of the intervention was also carried out. Results and Conclusions: All interventions were found to be acceptable to some extent. No single intervention appeared to be completely effective. The most practical intervention appeared to be the regular use of gloves of the correct type and size. This preliminary intervention study has demonstrated an improvement in the skin condition of workers examined and points towards the need for further testing of risk reduction strategies for the prevention of dermatitis in the Printing Industry on a much larger scale.
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intervention development in occupational research an example from the Printing Industry
Occupational and Environmental Medicine, 2006Co-Authors: Lesley Rushto, Hywel C Williams, J S C EnglishAbstract:Background: Intervention development research is an essential prerequisite of any study that attempts to determine whether specific interventions work to prevent work related injury and illness. Methods: Focus groups (n = 5) and direct observational studies (n = 21) of printers were used to elicit key issues that would aid the development of subsequent interventions. Transcripts from these were analysed by standard qualitative methods to identify common and related themes. Results: The views of managers differed significantly from those of print workers in a number of areas, and working practices did not always follow policy. The majority of printers did not perceive dermatitis to be a major problem, although many complained of dry hands. Other key results included: the lack of skin care policy in most companies; poor understanding of the nature, causes, and treatment of dermatitis; low priority of dermatitis within health and safety concerns; little or no provision of occupational health services, particularly skin checks; variability in provision of and access to appropriate skin protection; and lack of accessible washing facilities. Conclusions: As a result it was decided to evaluate the implementation of four interventions: provision of (1) skin checks and treatment advice; (2) gloves of the correct type and size, and use of an after-work cream; (3) information on dermatitis within the Printing Industry; and (4) development of best practice skin care policy.
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the prevalence of occupational dermatitis in the uk Printing Industry
Occupational and Environmental Medicine, 2002Co-Authors: E J Livesley, Lesley Rushto, Joh English, Hywel C WilliamsAbstract:Aims: To quantify occupational ill health resulting from dermatitis in the UK Printing Industry and to explore links with particular processes and activities. Methods: Approximately 2600 members of the Graphical, Paper and Media Union living in Nottinghamshire were sent a self completion questionnaire. A sample of respondents, both those who reported current skin problems and those who did not, were invited for a short dermatological examination. Results: The overall response rate was 62%. A total of 1189 respondents were directly involved in the Printing Industry and categorised according to work in pre-press (25%), Printing (46%), or finishing (42%) processes. A total of 490 respondents (41%) self reported having a skin complaint at some time. Prevalence was highest in males (43%) and those working in Printing (49%), in particular those who cleaned rollers and cylinders or who came into contact with substances containing isocyanates on a daily basis. The most commonly affected areas reported were the fingers and webs between the fingers. Twenty six per cent of the 490 reported a current problem on the hand. Reported symptoms included itching (61%), rash (58%), and dry skin (56%). Although certain Printing Industry substances were thought by respondents to aggravate their condition, constant washing and friction was most often cited. Reported use of protective equipment and cleansing products was generally high, particularly by printers. Clinical examination confirmed the high self reported prevalence and also identified a substantial proportion of mild cases which were not reported. The overall prevalence of occupationally related skin complaints is estimated to be 40%. Conclusions: A much higher prevalence of dermatitis has been identified than from routine surveillance schemes. The use of good quality records from unions with high membership facilitated access to workers across a range of company sites and Printing processes. Validation of self reported symptoms through clinical examination was shown to be essential. The importance of non-chemical causes of dermatitis was highlighted. The findings point towards the need for the development of effective and acceptable risk reduction strategies, in particular to reduce water contact and friction.
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clinical examinations to validate self completion questionnaires dermatitis in the uk Printing Industry
Contact Dermatitis, 2002Co-Authors: E J Livesley, Lesley Rushto, Joh S C English, Hywel C WilliamsAbstract:A self-completion questionnaire sent to 2600 Nottinghamshire members of the Graphical Paper and Media Union elicited a 62% response. Forty one per cent of respondents reported suffering a skin complaint at some time and 11% had a current skin problem on the hand. This paper reports the validation stage of the study. Samples of 45 'cases' of self-reported dermatitis and 60 'controls', who reported they had never suffered a skin complaint, were clinically examined. All 45 self-reported cases were clinically confirmed as dermatitis. Occupationally related irritant contact dermatitis (ICD) was diagnosed in 20 (44%); 26 (58%) complaints were thought to be induced or exacerbated by occupation. Of the controls, 21 (35%) were also diagnosed with a skin complaint, the majority being mild, with an occupational association in 17, the majority (15) being ICD. Sixteen ICD cases were patch tested resulting in positive reactions to colophony, neomycin, nickel and potassium dichromate (2 of each). Two cases of basal cell carcinoma on the face were also identified, of which the participants were unaware. Although there was no false positive self-reporting there was a considerable number of false negatives, demonstrating the importance of clinical validation of questionnaires relating to industrial skin disease. This study has highlighted the need for improvement in skin care provision in the Printing Industry.
Shu Shen Zhang - One of the best experts on this subject based on the ideXlab platform.
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An AHP-based water-conservation and waste-reduction indicator system for cleaner production of textile-Printing Industry in China and technique integration
CLEAN TECHNOLOGIES AND ENVIRONMENTAL POLICY, 2012Co-Authors: Ou Tong, Su Ling Liu, Shuai Shao, Yuanyuan Chen, Yi Zhang, Shu Shen ZhangAbstract:The textile-Printing Industry in China makes an important contribution\nto the national economy. However, the associated pollution problems have\ncaused gradual deterioration to the environment and adverse impacts on\nthe local community. The indicator system of cleaner production gives a\npowerful tool to measure the level of cleaner production of\ntextile-Printing enterprises. In China, it has been a big problem of the\ntextile-Printing enterprise that consuming large amounts of fresh water\nand discharging large number of pollutants, and it is lacking in a\nscientific water-conservation and waste-reduction cleaner production\nevaluation system. To solve such problems, the establishment of\nwater-conservation and waste-reduction cleaner production indicator\nsystem in textile-Printing Industry is proposed and assessed by the\nmeans of analytic hierarchy process (AHP) in this article. The judgement\nmatrix is then determined with the Delphi Method combined. Finally, with\nthe Yaahp software, the weight of each indicator is obtained. As an\neffective way to save water resource and reduce waste emission, the\ncleaner production technique integration is provided for the enterprises\nto solve the above problems and achieve the goals of saving water and\ndecreasing the amount of disposed pollutants.
J S C English - One of the best experts on this subject based on the ideXlab platform.
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intervention implementation research an exploratory study of reduction strategies for occupational contact dermatitis in the Printing Industry
Contact Dermatitis, 2007Co-Authors: Lesley Rushto, Hywel C Williams, J S C EnglishAbstract:Background: Occupational dermatitis is a problem in the Printing Industry but can be avoided through adequate protective measures. Research into intervention implementation is fundamental to the success of a formal intervention effectiveness trial. Objectives: The preliminary testing of four risk reduction strategies for occupationally caused dermatitis, which represent a range of approaches and cost implications. Patients/Methods: The strategies, the provision of (i) skin checks plus treatment advice; provision of (ii) gloves of the correct type/size plus use of an after-work cream; provision of (iii) information highlighting the problem of occupational dermatitis and (iv) development of a best practice skin care policy, were evaluated over 3 months in two non-randomly selected companies. A post-intervention evaluation into the effectiveness and efficacy of the intervention was also carried out. Results and Conclusions: All interventions were found to be acceptable to some extent. No single intervention appeared to be completely effective. The most practical intervention appeared to be the regular use of gloves of the correct type and size. This preliminary intervention study has demonstrated an improvement in the skin condition of workers examined and points towards the need for further testing of risk reduction strategies for the prevention of dermatitis in the Printing Industry on a much larger scale.
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intervention development in occupational research an example from the Printing Industry
Occupational and Environmental Medicine, 2006Co-Authors: Lesley Rushto, Hywel C Williams, J S C EnglishAbstract:Background: Intervention development research is an essential prerequisite of any study that attempts to determine whether specific interventions work to prevent work related injury and illness. Methods: Focus groups (n = 5) and direct observational studies (n = 21) of printers were used to elicit key issues that would aid the development of subsequent interventions. Transcripts from these were analysed by standard qualitative methods to identify common and related themes. Results: The views of managers differed significantly from those of print workers in a number of areas, and working practices did not always follow policy. The majority of printers did not perceive dermatitis to be a major problem, although many complained of dry hands. Other key results included: the lack of skin care policy in most companies; poor understanding of the nature, causes, and treatment of dermatitis; low priority of dermatitis within health and safety concerns; little or no provision of occupational health services, particularly skin checks; variability in provision of and access to appropriate skin protection; and lack of accessible washing facilities. Conclusions: As a result it was decided to evaluate the implementation of four interventions: provision of (1) skin checks and treatment advice; (2) gloves of the correct type and size, and use of an after-work cream; (3) information on dermatitis within the Printing Industry; and (4) development of best practice skin care policy.
E J Livesley - One of the best experts on this subject based on the ideXlab platform.
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the prevalence of occupational dermatitis in the uk Printing Industry
Occupational and Environmental Medicine, 2002Co-Authors: E J Livesley, Lesley Rushto, Joh English, Hywel C WilliamsAbstract:Aims: To quantify occupational ill health resulting from dermatitis in the UK Printing Industry and to explore links with particular processes and activities. Methods: Approximately 2600 members of the Graphical, Paper and Media Union living in Nottinghamshire were sent a self completion questionnaire. A sample of respondents, both those who reported current skin problems and those who did not, were invited for a short dermatological examination. Results: The overall response rate was 62%. A total of 1189 respondents were directly involved in the Printing Industry and categorised according to work in pre-press (25%), Printing (46%), or finishing (42%) processes. A total of 490 respondents (41%) self reported having a skin complaint at some time. Prevalence was highest in males (43%) and those working in Printing (49%), in particular those who cleaned rollers and cylinders or who came into contact with substances containing isocyanates on a daily basis. The most commonly affected areas reported were the fingers and webs between the fingers. Twenty six per cent of the 490 reported a current problem on the hand. Reported symptoms included itching (61%), rash (58%), and dry skin (56%). Although certain Printing Industry substances were thought by respondents to aggravate their condition, constant washing and friction was most often cited. Reported use of protective equipment and cleansing products was generally high, particularly by printers. Clinical examination confirmed the high self reported prevalence and also identified a substantial proportion of mild cases which were not reported. The overall prevalence of occupationally related skin complaints is estimated to be 40%. Conclusions: A much higher prevalence of dermatitis has been identified than from routine surveillance schemes. The use of good quality records from unions with high membership facilitated access to workers across a range of company sites and Printing processes. Validation of self reported symptoms through clinical examination was shown to be essential. The importance of non-chemical causes of dermatitis was highlighted. The findings point towards the need for the development of effective and acceptable risk reduction strategies, in particular to reduce water contact and friction.
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clinical examinations to validate self completion questionnaires dermatitis in the uk Printing Industry
Contact Dermatitis, 2002Co-Authors: E J Livesley, Lesley Rushto, Joh S C English, Hywel C WilliamsAbstract:A self-completion questionnaire sent to 2600 Nottinghamshire members of the Graphical Paper and Media Union elicited a 62% response. Forty one per cent of respondents reported suffering a skin complaint at some time and 11% had a current skin problem on the hand. This paper reports the validation stage of the study. Samples of 45 'cases' of self-reported dermatitis and 60 'controls', who reported they had never suffered a skin complaint, were clinically examined. All 45 self-reported cases were clinically confirmed as dermatitis. Occupationally related irritant contact dermatitis (ICD) was diagnosed in 20 (44%); 26 (58%) complaints were thought to be induced or exacerbated by occupation. Of the controls, 21 (35%) were also diagnosed with a skin complaint, the majority being mild, with an occupational association in 17, the majority (15) being ICD. Sixteen ICD cases were patch tested resulting in positive reactions to colophony, neomycin, nickel and potassium dichromate (2 of each). Two cases of basal cell carcinoma on the face were also identified, of which the participants were unaware. Although there was no false positive self-reporting there was a considerable number of false negatives, demonstrating the importance of clinical validation of questionnaires relating to industrial skin disease. This study has highlighted the need for improvement in skin care provision in the Printing Industry.