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The observations made by Paracelsus concerning the dose-effect
relationship of poison are generally just as applicable to health
threatening vibration. With regard to kind, intensity, and duration
of the vibration, the "dose" is decisive as to whether the conse
quences are detrimental, unmeaningful, or tolerable with respect to
health. This law of nature determines the tasks and goals of those
whose aim is to safeguard health. Researchers worldwide have been
occupying themselves with this many-faceted question for some time:
how mechanical vibration affects the human organism and at what
point damage occurs. If prevention in occupational medicine is to
succeed, it is most important that the gaps in our present
knowledge be closed, for if technical preventive measures are to be
effective and preventive means in occupational medicine successful,
they must be based on reliable and complete findings. Whenever many
independent researchers have worked in a given field for a long
period, a comprehensive intermediate as sessment is appropriate to
evaluate the level achieved and the direction the research is
going. In the area of hand-arm vibration, this evaluation has
already been carried out, and the response aroused by this
particular research report had led to a demand for a comparable
evaluation of the research results on whole-body vibration. This
report presents clearly and exhaustively the current status of
international knowledge, as well as the questions that remain to be
answered.
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