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Stam R. New developments in cosmetic applications of electromagnetic fields: Client and occupational hazard assessment. Bioelectromagnetics 2024. [PMID: 38533721 DOI: 10.1002/bem.22503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 11/14/2023] [Accepted: 02/15/2024] [Indexed: 03/28/2024]
Abstract
Energy-based devices are used to improve features of appearance for aesthetic reasons while avoiding more invasive methods. Examples of treatment targets are the reduction of wrinkles, sagging, unwanted skin lesions, body hair and excess fatty tissue, and the enhancement of muscle tissue. One treatment modality is the use of electromagnetic fields (EMF, 0‒300 GHz). The present work aims to give an up-to-date survey of cosmetic applications of EMF for professional use with an assessment of client and worker exposure and possible adverse effects. A systematic search was conducted for peer-reviewed articles (2007-2022), patents, premarket notifications, manufacturer data, and adverse effects reports. Five categories of cosmetic EMF device with increasing frequency were identified: sinusoid low frequency magnetic fields for lipolysis; pulsed low frequency magnetic fields for skin rejuvenation; pulsed low frequency magnetic fields for muscle building; radiofrequency EMF for lipolysis or skin rejuvenation; microwaves for hair removal or hyperhidrosis. In the vicinity of the last four device categories, there is a potential for exceeding the occupational exposure limits in the European Union EMF Directive, which could lead to nerve or muscle stimulation, burns or overheating. There are also potential hazards for clients or workers wearing active or passive medical devices. The severity of reported adverse effects increases with EMF frequency.
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Affiliation(s)
- Rianne Stam
- Centre for Sustainability, Environment and Health, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
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Xu X, Xue P, Gao M, Li Y, Xu Z, Wei Y, Zhang Z, Liu Y, Wang L, Liu H, Cheng B. Assembled one-dimensional nanowires for flexible electronic devices via printing and coating: Techniques, applications, and perspectives. Adv Colloid Interface Sci 2023; 321:102987. [PMID: 37852138 DOI: 10.1016/j.cis.2023.102987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 07/10/2023] [Accepted: 08/26/2023] [Indexed: 10/20/2023]
Abstract
The rapid progress in flexible electronic devices has necessitated continual research into nanomaterials, structural design, and fabrication processes. One-dimensional nanowires, characterized by their distinct structures and exceptional properties, are considered essential components for various flexible electronic devices. Considerable attention has been directed toward the assembly of nanowires, which presents significant advantages. Printing and coating techniques can be used to assemble nanowires in a relatively simple, efficient, and cost-competitive manner and exhibit potential for scale-up production in the foreseeable future. This review aims to provide an overview of nanowire assembly using printing and coating techniques, such as bar coating, spray coating, dip coating, blade coating, 3D printing, and so forth. The application of assembled nanowires in flexible electronic devices is subsequently discussed. Finally, further discussion is presented on the potential and challenges of flexible electronic devices based on assembled nanowires via printing and coating.
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Affiliation(s)
- Xin Xu
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Pan Xue
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China; School of Chemistry and Chemical Engineering, Yangzhou University, Yangzhou, Jiangsu 225002, PR China
| | - Meng Gao
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Yibin Li
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Zijun Xu
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Yu Wei
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Zhengjian Zhang
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Yang Liu
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China.
| | - Lei Wang
- School of Pharmaceutical Sciences, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong 250117, PR China.
| | - Hongbin Liu
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China
| | - Bowen Cheng
- State Key Laboratory of Biobased Fiber Manufacturing Technology, Tianjin Key Laboratory of Pulp and Paper, Tianjin University of Science and Technology, Tianjin 300457, PR China.
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Turuban M, Kromhout H, Vila J, Vallbona-Vistós M, Baldi I, Turner MC. Personal exposure to radiofrequency electromagnetic fields in various occupations in Spain and France. Environ Int 2023; 180:108156. [PMID: 37722304 DOI: 10.1016/j.envint.2023.108156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 08/15/2023] [Accepted: 08/16/2023] [Indexed: 09/20/2023]
Abstract
BACKGROUND A preliminary job-exposure matrix (JEM) for radiofrequency electromagnetic fields (RF-EMF) was created based on self-reported occupational information from a multi-country population-based study of approximately 10,000 participants combined with available measurement data compiled in a source-exposure matrix (spot measurements). In order to address the limited personal occupational RF-EMF measurement data available in the literature, we performed a measurement campaign among workers in various occupations in Spain and France. METHODS Personal full-shift measurements were conducted using RadMan 2XT™ (Narda) devices. A worker diary was used to capture information on occupational and background sources of RF exposure during the shift. Inclusion of occupations to be measured was initially based on exposure prevalence and level information in the preliminary JEM and expert judgment. RESULTS Personal full-shift measurements were conducted among 333 workers representing 46 ISCO88 occupations. Exposure to electric (E) and magnetic (H) fields was infrequent with >99% of measurements below the detection limit of the device (≥1% of the 1998 ICNIRP standards). A total of 50.2% and 77.2% of workers were ever exposed to E and H fields respectively (having at least one recorded 1-second measurement above the detection limit). Workers in elementary occupations, technicians and associate professionals, plant and machine operators and assemblers had somewhat greater numbers of measurements above the detection limit, higher maximum values and longer exposure durations. A small proportion of measurements were ≥100% of the standards, though these exceedances were brief (generally a few seconds in duration). Female workers and workers reporting use of any RF-EMF emitting source were more likely to have a measured exposure to E and H fields. CONCLUSION We conducted personal RF-EMF measurements among workers in various occupations in Spain and France. Overall, RF-EMF exposure ≥1 % ICNIRP was infrequent, despite some intermittent exposures ≥100% observed among workers in some occupations.
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Affiliation(s)
- Maxime Turuban
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Hans Kromhout
- Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands
| | - Javier Vila
- Environmental Protection Agency (EPA), Office of Radiation Protection and Environmental Monitoring, Wexford, Ireland
| | | | - Isabelle Baldi
- INSERM UMR 1219 Epicene Team, Bordeaux Population Health Research Center, Bordeaux, France; Service Santé Travail Environnement, CHU de Bordeaux, Bordeaux, France
| | - Michelle C Turner
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
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Oh S, Hong SE, Choi HD. Proposed Safety Guidelines for Patient Assistants in an Open MRI Environment. Int J Environ Res Public Health 2022; 19:15185. [PMID: 36429902 PMCID: PMC9690638 DOI: 10.3390/ijerph192215185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 11/11/2022] [Accepted: 11/16/2022] [Indexed: 06/16/2023]
Abstract
The wide-open side of an open magnetic resonance imaging (MRI) system allows a patient to easily contact the patient assistant during MRI scans. A wide-open-shaped magnet is highly effective when interventional procedures are necessary. Patient assistants can provide comfort by holding a part of the patient's body. Because current regulations or guidelines are concerned with only patient radio frequency (RF) safety, investigations on the safety of patient assistants exposed to high-magnetic field MRI (up to 1.2 T) are required. In this study, five different poses of patient assistants were numerically simulated at a 1.2 T open MRI system to determine the impact of poses on the RF exposure level. The 10-g averaged specific absorption rate (SAR) levels were analyzed for the poses of each patient assistant wearing gloves. Compared with the patient, up to 29.8% of the patient SAR was observed in the patient assistant. When the patient assistant wore latex gloves, a 63.7% reduction in the 10-g averaged SAR level was observed, which could be a remedy to minimize possible RF hazards. To prevent possible RF hazards during MRI scans, certain clauses regarding the patient assistant's poses or wearing gloves must be added to the existing MRI screening forms.
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Affiliation(s)
- Sukhoon Oh
- Bio-Chemical Analysis Team, Korea Basic Science Institute, Cheongju 28119, Republic of Korea
| | - Seon-Eui Hong
- Radio & Satellite Research Division, Electronics and Telecommunications Research Institute (ETRI), Daejeon 34129, Republic of Korea
| | - Hyung-Do Choi
- Radio & Satellite Research Division, Electronics and Telecommunications Research Institute (ETRI), Daejeon 34129, Republic of Korea
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Stam R. Occupational exposure to radiofrequency electromagnetic fields. Ind Health 2022; 60:201-215. [PMID: 34789598 PMCID: PMC9171125 DOI: 10.2486/indhealth.2021-0129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 10/08/2021] [Indexed: 06/13/2023]
Abstract
High exposures to radiofrequency electromagnetic fields (RF EMF) are possible in workplaces involving sources used for broadcasting, telecommunication, security and identification, remote sensing and the heating and drying of goods. A systematic literature review of occupational RF EMF exposure measurements could help to clarify where more attention to occupational safety may be needed. This review identifies specific sources of occupational RF EMF exposure and compares the published maximum exposures to occupational exposure limits. A systematic search for peer-reviewed publications was conducted via PubMed and Scopus. Relevant grey literature was collected via web searches. For each publication, the highest measured electric field strength, magnetic flux density or power density was extracted. Maximum exposures exceeding the limits were reported for dielectric heating, scanners for security and radiofrequency identification, plasma devices and broadcasting and telecommunication transmitters. Occupational exposure exceeding the limits was rare for microwave heating and radar applications. Some publications concerned cases studies of occupational accidents followed by a medical investigation of thermal health effects. These were found for broadcasting antennas, radar installations and a microwave oven and often involved maintenance personnel. New sources of occupational exposure such as those in fifth generation telecommunication systems or energy transition will require further assessment.
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Affiliation(s)
- Rianne Stam
- National Institute for Public Health and the Environment, the Netherlands
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Contessa GM, D’Agostino S, Falsaperla R, Grandi C, Polichetti A. Issues in the Implementation of Directive 2013/35/EU Regarding the Protection of Workers against Electromagnetic Fields. Int J Environ Res Public Health 2021; 18:ijerph182010673. [PMID: 34682417 PMCID: PMC8535402 DOI: 10.3390/ijerph182010673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 10/08/2021] [Indexed: 11/16/2022]
Abstract
In 2016 the Directive 2013/35/EU regarding the protection of health and safety of workers exposed to electromagnetic fields was transposed in Italy. Since then, the authors of this paper have been faced with several issues related to the implementation of the provisions of the Directive, which pose some interpretative and operative concerns. A primary critical feature of the Directive is that, in some circumstances, conditions of "overexposure", i.e., of exceeding the exposure limits, are allowed. In the case of transient effects, the "flexibility" concerning the compliance with exposure limits is based on the approach introduced by ICNIRP in its guidelines on static magnetic fields and on time-varying electric and magnetic fields. On the contrary, the possibility of exceeding the exposure limits for health effects, formally recognized in the article of the Directive dealing with derogations, is not included in the ICNIRP guidelines. This paper analyzes the main concerns in interpreting and managing some provisions of the Directive with particular reference to the issue of how the employer can manage the situations of overexposure.
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Affiliation(s)
- Gian Marco Contessa
- Fusion and Technology for Nuclear Safety and Security Department, National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), 00044 Frascati, Italy
- Correspondence: ; Tel.: +39-0694005339
| | - Simona D’Agostino
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00078 Monte Porzio Catone, Italy; (S.D.); (R.F.); (C.G.)
| | - Rosaria Falsaperla
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00078 Monte Porzio Catone, Italy; (S.D.); (R.F.); (C.G.)
| | - Carlo Grandi
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00078 Monte Porzio Catone, Italy; (S.D.); (R.F.); (C.G.)
| | - Alessandro Polichetti
- National Center for Radiation Protection and Computational Physics, Italian National Institute of Health (ISS), 00161 Rome, Italy;
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Gurrera D, Leardini A, Ortolani M, Durante S, Caputo V, Gallias KK, Abbate BF, Rinaldi C, Iacoviello G, Acri G, Vermiglio G, Marrale M. Experimental and Modeling Analyses of Human Motion Across the Static Magnetic Field of an MRI Scanner. Front Bioeng Biotechnol 2021; 9:613616. [PMID: 34026738 PMCID: PMC8131562 DOI: 10.3389/fbioe.2021.613616] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 03/10/2021] [Indexed: 11/13/2022] Open
Abstract
It is established that human movements in the vicinity of a permanent static magnetic field, such as those in magnetic resonance imaging (MRI) scanners induce electric fields in the human body; this raises potential severe risks of health to radiographers and cleaners exposed routinely to these fields in MRI rooms. The relevant directives and parameters, however, are based on theoretical models, and accurate studies on the simulation of the effects based on human movement data obtained in real conditions are still lacking. Two radiographers and one cleaner, familiar with MRI room activities and these directives, were gait analyzed during the execution of routine job motor tasks at different velocities. Full body motion was recorded in a gait laboratory arranged to reproduce the workspace of a room with an MRI full-body scanner. Body segments were tracked with clusters of at least three markers, from which position and velocity of the centroids were calculated. These were used as input in an established computer physical model able to map the stray field in an MRI room. The spatial peak values of the calculated electric field induced by motion of the head and of the entire body during these tasks, for both the health and sensory effects, were found smaller than the thresholds recommended by the European directives, for both 1.5 T and 3.0 T MRI. These tasks therefore seem to guarantee the safety of MRI room operators according to current professional good practice for exposure risks. Physical modeling and experimental measures of human motion can also support occupational medicine.
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Affiliation(s)
- Davide Gurrera
- Advanced Radiation Oncology Department, Cancer Care Center, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy.,Dipartimento di Fisica e Chimica, Università degli Studi di Palermo, Palermo, Italy
| | - Alberto Leardini
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Ortopedico Rizzoli, Movement Analysis Laboratory, Bologna, Italy
| | - Maurizio Ortolani
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Ortopedico Rizzoli, Movement Analysis Laboratory, Bologna, Italy
| | - Stefano Durante
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Ortopedico Rizzoli, Movement Analysis Laboratory, Bologna, Italy
| | - Vittorio Caputo
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione (A.R.N.A.S.) Civico-Di Cristina-Benfratelli, Unità Operativa Complessa (U.O.C.) Fisica Sanitaria, Palermo, Italy
| | - Karmenos K Gallias
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione (A.R.N.A.S.) Civico-Di Cristina-Benfratelli, Unità Operativa Complessa (U.O.C.) Fisica Sanitaria, Palermo, Italy
| | - Boris F Abbate
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione (A.R.N.A.S.) Civico-Di Cristina-Benfratelli, Unità Operativa Complessa (U.O.C.) Fisica Sanitaria, Palermo, Italy
| | - Calogero Rinaldi
- Villa Santa Teresa, Unità Operativa (U.O.) Fisica Sanitaria, Bagheria, Italy
| | - Giuseppina Iacoviello
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione (A.R.N.A.S.) Civico-Di Cristina-Benfratelli, Unità Operativa Complessa (U.O.C.) Fisica Sanitaria, Palermo, Italy
| | - Giuseppe Acri
- Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF), Università degli Studi di Messina, Messina, Italy
| | - Giuseppe Vermiglio
- Scuola di Specializzazione in Fisica Medica, Università degli Studi di Messina, Messina, Italy
| | - Maurizio Marrale
- Dipartimento di Fisica e Chimica, Università degli Studi di Palermo, Palermo, Italy
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Shahzad F, Iqbal A, Kim H, Koo CM. 2D Transition Metal Carbides (MXenes): Applications as an Electrically Conducting Material. Adv Mater 2020; 32:e2002159. [PMID: 33146936 DOI: 10.1002/adma.202002159] [Citation(s) in RCA: 66] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 06/30/2020] [Indexed: 05/25/2023]
Abstract
Since their discovery in 2011, 2D transition metal carbides, nitrides, and carbonitrides, known as MXenes, have attracted considerable global research interest owing to their outstanding electrical conductivity coupled with light weight, flexibility, transparency, surface chemistry tunability, and easy solution processability. Here, the promising abilities of 2D MXenes, from both experimental and theoretical perspectives, for designing conductive materials for a range of applications, including electromagnetic interference shielding, flexible optoelectronics, sensors, and thermal heaters, are presented.
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Affiliation(s)
- Faisal Shahzad
- Materials Architecturing Research Center, Korea Institute of Science and Technology, Hwarangno 14-gil 5, Seongbuk-gu, Seoul, 02792, Republic of Korea
- National Center for Nanotechnology, Department of Metallurgy and Materials Engineering, Pakistan Institute of Engineering and Applied Sciences (PIEAS), Islamabad, 45650, Pakistan
| | - Aamir Iqbal
- Materials Architecturing Research Center, Korea Institute of Science and Technology, Hwarangno 14-gil 5, Seongbuk-gu, Seoul, 02792, Republic of Korea
- Nanomaterials Science and Engineering, University of Science and Technology, 217 Gajungro, 176 Gajung-dong, Yuseong-gu, Daejeon, 34113, Republic of Korea
| | - Hyerim Kim
- Materials Architecturing Research Center, Korea Institute of Science and Technology, Hwarangno 14-gil 5, Seongbuk-gu, Seoul, 02792, Republic of Korea
- KU-KIST Graduate School of Converging Science and Technology, Korea University, Anam-ro 145, Seongbuk-gu, Seoul, 02841, Republic of Korea
| | - Chong Min Koo
- Materials Architecturing Research Center, Korea Institute of Science and Technology, Hwarangno 14-gil 5, Seongbuk-gu, Seoul, 02792, Republic of Korea
- Nanomaterials Science and Engineering, University of Science and Technology, 217 Gajungro, 176 Gajung-dong, Yuseong-gu, Daejeon, 34113, Republic of Korea
- KU-KIST Graduate School of Converging Science and Technology, Korea University, Anam-ro 145, Seongbuk-gu, Seoul, 02841, Republic of Korea
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International Commission on Non-Ionizing Radiation Protection (ICNIRP). Intended Human Exposure to Non-ionizing Radiation for Cosmetic Purposes. Health Phys 2020; 118:562-79. [PMID: 32251084 DOI: 10.1097/HP.0000000000001169] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Cosmetic devices using non-ionizing radiation (NIR) are increasingly available for people who wish to modify their appearance for aesthetic purposes. There are a wide range of NIR modalities used for cosmetic procedures, including devices that use optical radiation (laser, intense pulsed light, and light-emitting diode), electromagnetic fields, and ultrasound. Common procedures involving the application of NIR include epilation, skin rejuvenation, body sculpting and contouring, treatment of vascular and skin lesions, tattoo removal, and scar reduction. The majority of research on the use of NIR cosmetic devices has focused on the efficacy of the treatment rather than adverse effects or complications. Studies that assessed safety consisted mostly of case reports and small case series. Common adverse effects on the skin reported include mild and transient pain, erythema, swelling, and changes in pigmentation. Less common, more severe side effects include burns, blisters, scarring, persisting erythema, altered pigmentation, and eye damage. Some of the latter may have resulted from treatment errors. Particular groups of people that may be at greater risk from optical radiation include people with dark skin, with high sun exposure, and taking photosensitizing medications or supplements. There is lack of evidence for the safety profile of cosmetic NIR procedures during pregnancy. Reports of injuries to workers administering treatments with cosmetic NIR devices are rare, but inadvertent damage to the eye from optical devices may occur. Randomized controlled trials are required to fully assess potential adverse effects from the use of NIR cosmetic devices. Regulation varies worldwide and some regions apply the same safety classification and guidance as for medical devices. In order to reduce harm associated with the use of cosmetic devices, ICNIRP considers it important that regulations that cover all types and frequencies of cosmetic NIR devices are adopted worldwide and that there is greater oversight regarding their use.
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Koutsojannis C, Andrikopoulos A, Seimenis I, Adamopoulos A. MAGNETO-THERAPY IN PHYSIOTHERAPY UNITS: INTRODUCTION OF QUALITY CONTROL PROCEDURE DUE TO LACK OF MAINTENANCE. Radiat Prot Dosimetry 2019; 185:532-541. [PMID: 31329986 DOI: 10.1093/rpd/ncz049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 03/12/2019] [Accepted: 03/18/2019] [Indexed: 06/10/2023]
Abstract
Rehabilitation practice for many patients consisting of a combined use of magneto therapy resulting emission of low frequency magnetic fields to the patient, elicit concerns about occupational exposure to electromagnetic radiation (EMR) for the operators. The time extended use of the device periodically leads to mechanical failures or troubleshooting of the machine which, in most cases, are not perceived by the operator of the device. All device's efficient functionality have a major impact on the completion of the treatment procedure in a large percentage of specific clinical conditions. If the device's operating condition is technically out of order or in a mode of over-activity, operators are mainly seeking solutions by reviewing the clinical case of the patient. This eliminates their contribution during the primary therapeutic plan or increases the treatment sessions. In this work, an extended survey is presented including 75 physiotherapy centres concerning usability and maintenance issues of magneto therapy devices throughout Greek territory combined with extended measurements of Electromagnetic Radiation in the unit room were performed. Physiotherapists' perceptions revealed lack of technical support, maintenance and safe use of magneto therapy devices that extract auxiliary observations upon their clinical practice routines. Additionally safety measurements have not revealed field strengths over International Reference Levels which could result health risks for users and coexisting patients. The pilot survey that conducted in Attica and Western Greece confirms that magnetic fields strength that are measured are in accordance with the statutory legislation but will, at the same time, revealed lack of maintenance of the devices. Deficiency in topics such as proper equipment function will necessitate the creation of quality safety protocols, concerning the use of magneto-therapy, with the main aim the improvement of treatment procedures for the higher performance of therapeutic rehabilitation services to patients. Finally in this work, the proposal of a QC protocol for magnetotherapy devices is proposed for evaluation.
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Affiliation(s)
- Constantinos Koutsojannis
- Laboratory of Health Physics, Department of Physiotherapy, Technological and Educational Institute of Western Greece, 251 00 Aigion, Greece
| | - Andreas Andrikopoulos
- Laboratory of Health Physics, Department of Physiotherapy, Technological and Educational Institute of Western Greece, 251 00 Aigion, Greece
| | - Ioannis Seimenis
- Laboratory of Medical Physics, School of Medicine, Democritus University of Thrace, 681 00 Alexandroupolis, Greece
| | - Adam Adamopoulos
- Laboratory of Medical Physics, School of Medicine, Democritus University of Thrace, 681 00 Alexandroupolis, Greece
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Ghazikhanlou-Sani K, Rahimi A, Poorkaveh M, Eynali S, Koosha F, Shoja M. Evaluation of the electromagnetic field intensity in operating rooms and estimation of occupational exposures of personnel. Interv Med Appl Sci 2019; 10:121-126. [PMID: 30713749 PMCID: PMC6343582 DOI: 10.1556/1646.10.2018.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Introduction Operating rooms in hospitals are facilitated with different types of electronic systems, which produce electromagnetic waves. High intensities of magnetic waves may have harmful effects on biological environments. This study aims to evaluate the electromagnetic field intensity at different parts of operating rooms at the first stage and estimate the occupational exposure to operating room personnel at the next phase. Materials and methods At this cross-sectional study, the magnetic field intensity was evaluated using teslameter at several parts of operating rooms, during operating procedures, while electrical instruments were working. Background electromagnetic field intensity was measured when all the electrical systems were idle. Statistical analysis was performed using SPSS software. The results were compared with ICNIRP standards. Results The maximum intensity of magnetic field was measured around high-voltage systems at the distance of 50 cm in the personnel’s standing area at DCR and PCNL operating procedures were 5.9 and 5.6, respectively. The number of on-mode electrical systems was inconsistent with the intensity of electromagnetic fields at the standing area of operating room personnel’s. The intensity of magnetic fields around high-voltage systems, which was about 46.75 mG at the distance of 10 cm, was the highest among measured electromagnetic fields. Conclusions The highest magnetic field intensity measured in this study was related to high-voltage systems and is lower than advised intensity by ICNIRP for occupational exposure. Based on this study, it can be concluded that there are no considerable risks of electromagnetic exposure for operating room personnels.
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Affiliation(s)
- Karim Ghazikhanlou-Sani
- Department of Radiology, Paramedical School, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Azizollah Rahimi
- Faculty of Medicine, Department of Medical Physics, Ahvaz Judishapur University of Medical Sciences, Ahvaz, Iran
| | - Maryam Poorkaveh
- Department of Radiology, Paramedical School, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Samira Eynali
- Radiation Biology Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Fereshteh Koosha
- Faculty of Medicine, Department of Medical Physics and Biomedical Engineering, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohsen Shoja
- Department of Radiology, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran
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