Determining noise and vibration exposure in conifer cross-cutting operations by using Li-Ion batteries and electric chainsaws

In many activities, chainsaw users are exposed to the risk of injuries and several other hazard factors that may cause health problems. In fact, environmental and working conditions when using chainsaws result in workers' exposure to hazards such as noise, vibration, exhaust gases, and wood dust. Repeated or continuous exposure to these unfavourable conditions can lead to occupational diseases that become apparent after a certain period of time has elapsed. Since the use of electric tools is increasing in forestry, the present research aims to evaluate the noise and vibration exposure caused by four models of electric chainsaws (Stihl MSA160T, Stihl MSA200C Li-Ion battery powered and Stihl MSE180C, Stihl MSE220C wired) during cross-cutting. Values measured on the Stihl MSA160T chainsaw (Li-Ion battery) showed similar vibration levels on both right and left handles (0.9-1.0 m s-2, respectively) and so did the other battery-powered chainsaw, the Stihl MSA200C (2.2-2.3 m s-2 for right and left handles, respectively). Results showed a range of noise included between 81 and 90 dB(A) for the analysed chainsaws. In conclusion, the vibrations and noise were lower for the battery chainsaws than the wired ones, but, in general, all the values were lower than those measured in previous studies of endothermic chainsaws

Paraneoplastic necrotizing myopathy associated with adenocarcinoma of the lung - a rare entity with atypical onset: a case report.

Introduction. Inflammatory myopathies (such as dermatomyositis and polymyositis) are well-recognized paraneoplastic syndromes. However, paraneoplastic necrotizing myopathy is a more recently defined clinical entity, characterized by rapidly progressive, symmetrical, predominantly proximal muscle weakness with severe disability, and associated with a marked increase in serum muscle enzyme levels. Paraneoplastic necrotizing myopathy requires muscle biopsy for diagnosis, which typically shows massive necrosis of muscle fibers with limited or absent inflammatory infiltrates. Case presentation. We report the case of an 82-year-old Italian-born Caucasian man who was admitted to hospital because of heart failure and two drop attacks. Over the following days, he developed progressive severe weakness, dysphagia, and dysphonia. Testing showed increasing serum muscle enzyme levels. Electromyography showed irritative myopathy of the proximal muscles and sensorimotor polyneuropathy. Muscle biopsy (left vastus lateralis) showed massive necrosis of muscle fibers with negligible inflammatory infiltrates, complement membrane attack complex deposition on endomysial capillaries, and moderate upregulation of major histocompatibility complex-I. Computed tomography of the thorax showed a nodular mass in the apex of the right lung. The patient was diagnosed with paraneoplastic necrotizing myopathy. In spite of high-dose corticoid therapy, he died 1 month later because of his aggressive cancer. Subsequent electron microscopic examination of a muscle biopsy specimen showed thickened walls and typical pipestem changes of the endomysial capillaries, with swollen endothelial cells. Poorly differentiated adenocarcinoma of the lung was confirmed on post-mortem histological examination. Conclusions: Paraneoplastic necrotizing myopathy is a rare syndrome with outcomes ranging from fast progression to complete recovery. Treatment with corticosteroids is often ineffective, and prognosis depends mainly on the characteristics of the underlying cancer. This case shows that paraneoplastic necrotizing myopathy may have an atypical appearance, and should be considered in elderly patients with neoplastic disease. In this case, the diagnosis was delayed by the unusual clinical picture that suggested heart disease rather than muscle disease