On Wed, 22 Apr 2020 12:03:24 -0600 Craig via Mercedes
<mercedes@okiebenz.com> wrote:

> Go to https://www.ncbi.nlm.nih.gov/pubmed/12925188/?report=docsum for a
> listing of similar articles and their links:


For those who want even more information, particularly if you live in
areas with high UV (Arizona and New Mexico, among others), or are
concerned about skin cancer (particularly the third through fifth
articles):

========
Phys Med Biol. 1999 Apr;44(4):917-26.

    Ultraviolet radiation penetrating vehicle glass: a field based
    comparative study.

    Kimlin MG[1], Parisi AV.

    [1] Centre for Astronomy an Atmospheric Research, Faculty of Sciences,
        University of Southern Queensland, Toowoomba, Australia.

Abstract

The solar UV transmitted through automobile glass was measured in the
field in two cars using a spectroradiometer. The two cars were identical
except that one of the cars had all of the windows (except the
windshield) tinted.

The measured spectral erythemal UV on a horizontal plane with the windows
fully closed was reduced in the tinted car by a factor of 42 when
compared with the erythemal UV measured in the untinted car.

The ambient UVA irradiances at various locations within four different
makes of car and a tractor were also measured with a broad band UVA
handheld meter. The average normalized daily UVA exposure (measured with
a broad band UVA meter) was 1.3 times higher in a large family sedan when
compared with that in a small hatchback and the UVA exposure in a car
with tinted windows was 3.8 times less than in a similar untinted car.

PMID: 10232805
 DOI: 10.1088/0031-9155/44/4/008 
=========

=========
Br J Dermatol. 2004 Oct;151(4):873-6.

    Implication for photosensitive patients of ultraviolet A exposure in
    vehicles.

    Hampton PJ[1], Farr PM, Diffey BL, Lloyd JJ.

    [1] Regional Medical Physics Department, Royal Victoria Infirmary,
        Newcastle-upon-Tyne NE1 4LP, UK.

Abstract

BACKGROUND:

Photosensitive patients sometimes report disease flares during journeys
by car. Window glass blocks all UVB but not all UVA. All car windscreens
are made from laminated glass. Side and rear windows are usually made of
nonlaminated glass.

OBJECTIVES:

To determine which types of glass provide most protection from UVA with
particular reference to the implications for patients with polymorphic
light eruption (PLE).

METHODS:

The percentage transmission of UVA was determined for a selection of
glass, both laminated and nonlaminated, and with differing colour tints.

RESULTS:

Laminated glass transmits less UVA than nonlaminated glass. Tinted glass
transmits less UVA than clear glass. Nonlaminated clear glass transmitted
the highest percentage of UVA (62.8%) and grey laminated glass the lowest
(0.9%). A dose of 5 J cm(-2) UVA, enough to trigger PLE in some patients,
could be transmitted through clear nonlaminated glass in 30 min but would
take 50 h through grey laminated glass.

CONCLUSION:

Patients with severe UVA-induced PLE and other photosensitivity disorders
may have disease flares from solar UVA transmission through side-window
glass. Protective measures such as wearing long-sleeved clothing, keeping
the arm beneath the bottom of the window aperture, or choosing tinted and
laminated car windows may be helpful.

PMID: 15491429
 DOI: 10.1111/j.1365-2133.2004.06098.x
=========

=========
J Long Term Eff Med Implants. 2004;14(5):415-30.

    Use of UV-protective windows and window films to aid in the prevention
    of skin cancer.

    Edlich RF[1], Winters KL, Cox MJ, Becker DG, Horowitz JH, Nichter LS,
    Britt LD, Long WB, Edlic EC.

    [1] De Camp Burn and Wound Healing Center, University of Virginia
        Health System, Charlottesville, Virginia, USA. redli...@attbi.com

Abstract

People are exposed to ambient solar ultraviolet (UV) radiation throughout
their daily routine, intentionally and unintentionally. Cumulative and
excessive exposure to UV radiation is the behavioral cause to skin
cancers, skin damage, premature skin aging, and sun-related eye
disorders. More than one million new cases of skin cancer were diagnosed
in the United States this year.

UV radiates directly and diffusely scattered by the various environmental
and atmospheric conditions and has access to the skin from all
directions. Because of this diffuse UV radiation, a person situated under
a covering, such as the roof of a car or house, is not completely
protected from the sun's rays. Because shade structures do not protect
effectively against UV radiation, there have been major advances in
photoprotection of glass by the development of specially designed
photoprotective windows and films.

It is the purpose of this collective review to highlight the
photoprotective windows and films that should be incorporated into
residential, commercial, and school glass windows to reduce sun exposure.
Low-emittence (low-E) coatings are microscopically thin, virtually
invisible, metal or metallic oxide layers deposited on a window or
skylight glazing surface to reduce the U-factor by suppressing radiative
heat flow as well as to limit UV radiation.

The exclusive Thermaflect coating uses the most advanced, double-layer
soft coat technology to continue to deliver top performance for UV
protection as well as prevent heat loss in the home. This product blocks
87% of UV radiation and has an Energy Star certification in all climate
zones.

Tints and films have been another important advance in glass
photoprotection, especially in automobiles. Quality widow film products
are high-tech laminates of polyester and metallized coatings bonded by
distortion-free adhesives. The International Window Film Association
provides members with accreditation in solar control films, safety films,
and automotive films in an effort to increase consumer awareness and
demand for all professionally installed film window products.

The Skin Cancer Foundation has also played a leadership role in
certifying window films that limit UV transmission. The Panorama Designer
and Safety Films are currently recommended for UV photoprotection by The
Skin Cancer Foundation. On the basis of these innovative scientific and
industrial advances in window and film photoprotective products, we
recommend that they be used in all residential, commercial, and school
facilities to provide photoprotection in an effort to reduce skin cancer.

PMID: 15479155
 DOI: 10.1615/jlongtermeffmedimplants.v14.i5.70 
=========


=========
Dermatology. 1992;185(4):237-41.

    Broad-spectrum photoprotection: the roles of tinted auto windows,
    sunscreens and browning agents in the diagnosis and treatment of
    photosensitivity.

    Johnson JA[1], Fusaro RM.

    [1] Department of Internal Medicine/Dermatology, University of
        Nebraska Medical Center, Omaha 68198-4360.

Abstract

Since window glass absorbs sunlight below 320 nm, it provides a means of
assessing sensitivity to longer wavelengths, i.e. UVA and visible
radiation. Positive responses to the query of whether symptoms develop in
the auto with the windows up must now be interpreted with regard to the
possible presence of tinted plastic film on side and rear windows. These
films block nearly all UVA radiation, as does the plastic interleaf of
windshields.

Thus, occupants of an auto equipped with plastic film receive
photoprotection from UVB radiation and well into the UVA region. We
define three classes of topical sunscreens:

         (1) conventional UVB screens,
         (2) broad-spectrum preparations containing a UVB screen
             and a UVA absorber, and
         (3) browning agents such as dihydroxyacetone (DHA) that
             produce a skin coloration that absorbs in the low end
             of the visible region, with overlap into long-wavelength
             UVA. 

By considering responses of photosensitive persons in autos with tinted
or untinted windows, coupled with efficacy of appropriate sunscreens, we
produced an algorithm defining three photosensitivity subsets.

Persons sensitive to long-wavelength UVA and/or visible radiation will
benefit from tinted auto windows. In particular, patients with lupus
erythematosus (LE) have actively promoted legislation allowing tinted
windows. Support for their position is documented by recent reports of
induction of lesions in LE patients by exposure to UVA and visible
radiation. The brown color produced by DHA is a useful adjunct to the
screening action of broad-spectrum sunscreens. Development of a durable
color overnight allows application of the DHA preparation in the evening,
thus eliminating possible interference with sunscreen use during the day.

PMID: 1477415
 DOI: 10.1159/000247459
=========


=========
Photodermatol Photoimmunol Photomed. 2013 Apr;29(2):65-72. doi:
10.1111/phpp.12022.

    Current status of photoprotection by window glass, automobile glass,
    window films, and sunglasses.

    Almutawa F[1], Vandal R, Wang SQ, Lim HW.

    [1] Department of Dermatology, Henry Ford Hospital, Detroit, MI, USA.

Abstract

Ultraviolet radiation (UVR) has known adverse effects on the skin and
eyes. Practitioners are becoming more aware of the importance of outdoor
photoprotection. However, little attention is directed to the exposure of
the skin and eyes to UVR through the window glass or sunglasses.

The amount of ultraviolet transmission through glass depends mainly on the
type of the glass. All types of commercial and automobile glass block the
majority of ultraviolet-B; however, the degree of ultraviolet-A
transmission depends on the type of glass.

Laminated glass offers better UVA protection than tempered glass; new
safety regulations for automobiles may result in increased use of
laminated glass for side windows.

Window films can be applied to glass to increase UVR protection.
Sunglasses need to be compliant with one of the national standards; a
wraparound style or side shields offer the best protection. Increased
understanding by practitioners on the transmission of UVR through glass,
window films, and sunglasses would allow them to better educate the
public and to better manage photosensitive patients.

© 2013 John Wiley & Sons A/S.

PMID: 23458389
 DOI: 10.1111/phpp.12022
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