Transcranial magnetic stimulation or repetitive transcranial magnetic stimulation (TMS/rTMS) is currently being used in treatments of the central nervous system diseases, for instance, depressive states. The principles of localized magnetic stimulation are summarized and the risk and level of occupational field exposure of the therapeutic staff is analyzed with reference to ICNIRP guidelines for pulses below 100 kHz. Measurements and analysis of the occupational exposure to magnetic fields of the staff working with TMS/rTMS are presented.

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A possible basis for the risk assessment for hand-transmitted vibration may be to determine the amount of energy absorbed in the human hand and arm. In the present study, the mechanical energy absorption in the hand-arm system was measured within the frequency range of 4 to 1000 Hz. The study was carried out on ten healthy subjects during exposure to sinusoidal vibration. The influence of various experimental conditions, such as vibration direction (Xh, Yh, Zh), grip force (25-75 N), vibration level (8-45 mm/srms), and hand-arm posture were studied. The outcome shows that the energy absorption in the human hand and arm depended mainly on the frequency and direction of the vibration stimulus. Higher vibration levels, as well as firmer handgrips, resulted in higher absorption of energy. Varying hand-arm postures had only a small influence on the amount of absorbed energy, while the constitution of the hand and arm affected the energy absorption to a larger extent.

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PurposeTo describe the self-reported ambient cold exposure in northern Sweden and to relate the level of cumulative cold exposure to the occurrence of sensory and vascular hand symptoms. We hypothesize that cold exposure is positively related to reporting such symptoms.MethodsA questionnaire about cold exposure and related symptoms was sent out to 35,144 subjects aged 18–70 years and living in northern Sweden.ResultsA total of 12,627 out of 35,144 subjects returned the questionnaire (response rate 35.9%). Subjects living in the rural alpine areas reported more extensive cold exposure both during work and leisure time compared to the urbanized coastal regions. Frostbite in the hands was present in 11.4% of men and 7.1% of women, cold sensitivity was present in 9.7 and 14.4%, and Raynaud’s phenomenon was present in 11.0% of men and 14.0% of women. There was a positive association between cumulative cold exposure and neurovascular hand symptoms.ConclusionThe present study demonstrates that the cold environment in northern Sweden might be an underestimated health risk. Our hypothesis that cold exposure is positively related to reporting of neurovascular hand symptoms was supported by our findings. In addition, such symptoms were common not only in conjunction with an overt cold injury. Our results warrant further study on pathophysiological mechanisms and suggest the need for confirmatory prevalence studies to support national public health planning.Electronic supplementary materialThe online version of this article (doi:10.1007/s00420-017-1221-3) contains supplementary material, which is available to authorized users.

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The perception thresholds for vibration stimuli of the hand at seven frequencies (8-500 Hz) were evaluated in 300 patients referred to the Department of Hand Surgery in Malmö during the years 1985-1990 for various types of neuropathy (carpal tunnel syndrome, vibration-induced neuropathy, cervical rhizopathy, brachialgia, ulnar neuropathy, radial tunnel syndrome, and polyneuropathy). A sensibility index was calculated by dividing the integrated area under the obtained vibrogram curve of each object tested (areaT) by that of the corresponding area under a superimposed and age matched reference curve (areaR). Sensibility index of less than 0.8 was regarded as the cut off value. The index and little fingers bilaterally were tested to reflect median and ulnar nerve function. There were considerable variations in patterns of pathology among the various groups of patients. In patients with unilateral carpal tunnel syndrome only 10 patients (23%) had abnormalities limited to one recording, while 21 patients (47%) showed abnormalities in all four recordings. This indicates that an isolated carpal tunnel syndrome may reflect more generalised disease of the peripheral nervous system.