Emploi des étrangers et protection de la main d'oeuvre nationale . [Code du travail, ordonnances, décrets, loi, arrêtés. Mise à jour au 15 juin 1957.]

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Protection des travailleurs contre les courants électriques . Edition mise à jour au 15 octobre 1956

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Anatomical exposure patterns of skin to sunlight: relative contributions of direct, diffuse and reflected ultraviolet radiation

Summary Background  The dose-response between ultraviolet (UV) exposure patterns and skin cancer occurrence is not fully understood. Sun-protection messages often focus on acute exposure, implicitly assuming that direct UV radiation is the key contributor to the overall UV exposure. However, little is known about the relative contribution of the direct, diffuse and reflected radiation components. Objective  To investigate solar UV exposure patterns at different body sites with respect to the relative contribution of the direct, diffuse and reflected radiation. Methods  A three-dimensional numerical model was used to assess exposure doses for various body parts and exposure scenarios of a standing individual (static and dynamic postures). The model was fed with erythemally weighted ground irradiance data for the year 2009 in Payerne, Switzerland. A year-round daily exposure (08:00-17:00 h) without protection was assumed. Results  For most anatomical sites, mean daily doses were high (typically 6·2-14·6 standard erythemal doses) and exceeded the recommended exposure values. Direct exposure was important during specific periods (e.g. midday during summer), but contributed moderately to the annual dose, ranging from 15% to 24% for vertical and horizontal body parts, respectively. Diffuse irradiation explained about 80% of the cumulative annual exposure dose. Acute diffuse exposures were also observed during cloudy summer days. Conclusions  The importance of diffuse UV radiation should not be underestimated when advocating preventive measures. Messages focused on avoiding acute direct exposures may be of limited efficiency to prevent skin cancers associated with chronic exposure.

Measurement with an automated oscillometric wrist device with position sensor leads to lower values than measurements obtained with an automated oscillometric arm device from the same manufacturer in elderly persons.

OBJECTIVE: Home blood pressure (BP) monitoring is recommended by several clinical guidelines and has been shown to be feasible in elderly persons. Wrist manometers have recently been proposed for such home BP measurement, but their accuracy has not been previously assessed in elderly patients. METHODS: Forty-eight participants (33 women and 15 men, mean age 81.3±8.0 years) had their BP measured with a wrist device with position sensor and an arm device in random order in a sitting position. RESULTS: Average BP measurements were consistently lower with the wrist than arm device for systolic BP (120.1±2.2 vs. 130.5±2.2 mmHg, P<0.001, means±SD) and diastolic BP (66.0±1.3 vs. 69.7±1.3 mmHg, P<0.001). Moreover, a 10 mmHg or greater difference between the arm and wrist device was observed in 54.2 and 18.8% of systolic and diastolic measures, respectively. CONCLUSION: Compared with the arm device, the wrist device with position sensor systematically underestimated systolic as well as diastolic BP. The magnitude of the difference is clinically significant and questions the use of the wrist device to monitor BP in elderly persons. This study points to the need to validate BP measuring devices in all age groups, including in elderly persons.

Genetic polymorphism of CCR5 gene and HIV disease: the heterozygous (CCR5/delta ccr5) genotype is neither essential nor sufficient for protection against disease progression. Swiss HIV Cohort.

Homozygous (delta ccr5/delta ccr5) and heterozygous (CCR5/delta ccr5) deletions in the beta-chemokine receptor 5 (CCR5) gene, which encodes for the major co-receptor for macrophage-tropic HIV-1 entry, have been implicated in resistance to HIV infection and in protection against disease progression, respectively. The CCR5/delta ccr5 genotype was found more frequently in long-term nonprogressors (LTNP) (31.0%) than in progressors (10.6%, p < 0.0001), in agreement with previous studies. Kaplan-Meier survival analyses showed that a slower progression of disease, i.e. higher proportion of subjects with CD4+ T cell counts > 500/microl (p = 0.0006) and a trend toward a slower progression to AIDS (p = 0.077), was associated with the CCR5/delta ccr5 genotype. However, when LTNP were analyzed separately, no significant differences in CD4+ T cell counts (p = 0.12) and viremia levels (p = 0.65) were observed between the wild-type (69% of LTNP) and the heterozygous (31.0%) genotypes. Therefore, there are other factors which play a major role in determining the status of nonprogression in the majority of LTNP. Furthermore, there was no evidence that the CCR5/delta ccr5 genotype was associated with different rates of disease progression in the group of progressors. Taken together, these results indicate that the CCR5/delta ccr5 genotype is neither essential nor sufficient for protection against the progression of HIV disease.

Nucleophile-Catalyzed Additions to Activated Triple Bonds. Protection of Lactams, Imides, and Nucleosides with MocVinyl and Related Groups

Additions of lactams, imides, (S)-4-benzyl-1,3-oxazolidin-2-one, 2-pyridone, pyrimidine-2,4-diones (AZT derivatives), or inosines to the electron-deficient triple bonds of methyl propynoate, tert-butyl propynoate, 3-butyn-2-one, N-propynoylmorpholine, or N-methoxy-N-methylpropynamide in the presence of many potential catalysts were examined. DABCO and, second, DMAP appeared to be the best (highest reaction rates and E/Z ratios), while RuCl3, RuClCp*(PPh3)2, AuCl, AuCl(PPh3), CuI, and Cu2(OTf)2 were incapable of catalyzing such additions. The groups incorporated (for example, the 2-(methoxycarbonyl)ethenyl group that we name MocVinyl) serve as protecting groups for the above-mentioned heterocyclic CONH or CONHCO moieties. Deprotections were accomplished via exchange with good nucleophiles: the 1-dodecanethiolate anion turned out to be the most general and efficient reagent, but in some particular cases other nucleophiles also worked (e.g., MocVinyl-inosines can be cleaved with succinimide anion). Some structural and mechanistic details have been accounted for with the help of DFT and MP2 calculations.

Ympäristövaikutusten velvoitetarkkailun tulosten epävarmuuden arviointi

Tämä diplomityö tehtiin Neste Oil Oyj:n Kehittäminen ja Laboratoriot yksikön HSE-palveluille. Työn tavoitteena oli arvioida Neste Oilin ympäristövaikutusten velvoitetarkkailujen mittaustulosten epävarmuutta. Tarkastelu koski ilmanlaadun SO2-, NO2-, TRS- sekä O3-mittauksia, ympäristömelumittauksia sekä pohjavesinäytteenottoa. Ympäristönsuojelulaki (86/2000) velvoittaa tuotantolaitoksia selvittämään toimintansa ympäristövaikutukset. Myös esimerkiksi akkreditoitaessa menetelmiä mittausepävarmuus on tunnettava. On arvioitu, että tulevaisuudessa direktiivit tulevat tiukentamaan päästöraja-arvoja ja mittausepävarmuuden käsite tulee käyttöön kaikilla ympäristösektoreilla.Tässä työssä ilmanlaadun mittausepävarmuus arvioitiin vertaamalla Neste Oilin mittaustuloksia Ilmatieteenlaitoksen vertailumittausten ja kalibrointien tuloksiin. Ympäristömelun mittausepävarmuus arvioitiin Ympäristöministeriön ympäristömelunmittausohjeen (1/1995)mukai-sesti. Pohjavesinäytteenoton mittausepävarmuus arvioitiin laskemalla haitta-aineiden ajallisen vaihtelun, näytteenottomenetelmien, näytteiden kuljetuksenja säilytyksen aiheuttaman kontaminaation sekä analyysivaiheen epävarmuustekijöiden yhdistetty mittausepävarmuus. Tarkastelussa todettiin, että ilmanlaadunmittaustulokset eivät poikenneet merkittävästi vertai-lumittausten ja kalibrointien tuloksista. Menetelmien laajennetuksi mittausepävarmuudeksi saatiin 6-8 %. Ympäristömelun mittausepävarmuus vastasi ympäristömelunmittausohjeessa esitettyjä arvoja ja vaihtelivat 2-10 dB:n välillä, riippuen mittausetäisyydestä ja mittauskertojen lukumäärästä. Pohjavesinäytteenoton mittausepävarmuudelle ei ole asetettu laatutavoitteita. Tässä tarkastelussa pohjavesinäytteenoton mittausepävarmuudeksi saatiin 33 %.