{"title":"Surgical gloves and hypersensitivity to latex.","authors":"E F Sherertz","doi":"10.1097/00043764-199412000-00005","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00005","url":null,"abstract":"","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1287"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043764-199412000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Andjelkovich, Carl M. Shy, Michelle H. Brown, Derek B. Janszen, Richard J. Levine, R. B. Richardson
{"title":"Mortality of iron foundry workers. III. Lung cancer case-control study.","authors":"D. Andjelkovich, Carl M. Shy, Michelle H. Brown, Derek B. Janszen, Richard J. Levine, R. B. Richardson","doi":"10.1097/00043764-199412000-00011","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00011","url":null,"abstract":"A nested case-control study was undertaken to identify the determinants of lung cancer mortality in a cohort of 8147 foundry men among whom an excess of lung cancer deaths was previously observed. The present study consisted of all lung cancer deaths (N = 220) that occurred within this cohort between 1950 and 1989. both living and dead controls, matched on race and attained age, were selected in the ratio of 10:1 (N = 2200) by means of the incidence density sampling procedure. All cases and two controls per case, randomly selected from each case's 10 controls, were included in a smoking history survey. Basic smoking history information was obtained for about 71% of these study subjects. For the purpose of this study, formaldehyde exposure levels were categorized as high, medium, low, and none. Airborne silica exposure was categorized only as high, medium, and low levels, because all foundry workers were known to be exposed to silica. Conditional logistic regression analyses indicated that cigarette smoking was a strong predictor of lung cancer mortality in this cohort. Neither exposure to formaldehyde nor silica exposure level, nor employment in any of the six major work areas within the foundry, showed an association with lung cancer.","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"77 1","pages":"1301-9"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86132049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Re: B-scan ultrasonic measurement of the lumbar spine canal as a predictor of industrial low back pain complaints and extended work loss, by M Battié et al.","authors":"G W Anstadt","doi":"10.1097/00043764-199412000-00001","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00001","url":null,"abstract":"","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1283"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043764-199412000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Kingery, C. Ellsworth, B. S. Corbett, R. Bowden, J. Brizzolara
{"title":"High-cost analysis. A closer look at the case for work-site health promotion.","authors":"P. Kingery, C. Ellsworth, B. S. Corbett, R. Bowden, J. Brizzolara","doi":"10.1097/00043764-199412000-00017","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00017","url":null,"abstract":"Studies linking medical costs to behavioral risk and risk-lowering often use means for comparisons, although claims data are highly skewed. The result overestimates and obscures the case for work-site health promotion. In this study, high-cost analysis is illustrated in a sample of university employees. Five risk factors were examined: cholesterol, blood pressure, cardiovascular fitness, body fat, and smoking status. Screened employees who released their claims (n = 367) were examined against a random sample of employees (n = 587). Linear regression was used to determine the risk of having high claims costs within four gender-specific age groups. A formula was then applied to determine that more than 43% of the cost of medical claims was associated with elevated risk. High-cost analysis accounts for the skewness in claims data and presents a clear case for work-site health promotion.","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"3 1","pages":"1341-7"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75535647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M R Cullen, A Upton, P Buffler, T Robins, M Schenker, L Fine, R Wiencek, E Widess, L Chiazze
{"title":"The private funding of public research. New directions in the administration of occupational and environmental health research.","authors":"M R Cullen, A Upton, P Buffler, T Robins, M Schenker, L Fine, R Wiencek, E Widess, L Chiazze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dr. Cullen: The experience with the new research models, starting with the prototypic experience of the rubber industry studies of the 1970s and expanding to diverse sectors of American industry in the 1980s, has yielded some important lessons for the future. In closing this symposium I shall try to summarize these briefly. Certain strengths of the evolving process seem common to each of the models. Alone and collectively, the new research arrangements have quite apparently served to increase substantially the pool of funds available to the academic sector for the study of occupational health and safety problems. As a consequence, a larger pool of investigators has participated in the research process, greatly strengthening the future academic capability and experience of our fragilely supported teaching centers. Combined with the involvement of the academic centers in the review process, there has been an undeniable broadening and deepening of the nation's research output and long-term capability in occupational health. On the side of the private sector, the new relationships have led to marked progress in the knowledge base about health and safety problems, with a heavily directed focus on those of greatest relevance to the industries involved. The credibility of the knowledge acquired has been enhanced, an important achievement in a society in which perception of truth is often as important as the truth itself! Because of the requirements of the process for broad involvement by the organizations which undertake these activities, health and safety have achieved far greater visibility and attention by corporate and union leaders who may have previously had no involvement in issues of health and safety.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1348-54"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18885400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Partanen, K Hemminki, H Koskinen, J C Luo, W P Carney, P W Brandt-Rauf
{"title":"The detection of increased amounts of the extracellular domain of the epidermal growth factor receptor in serum during carcinogenesis in asbestosis patients.","authors":"R Partanen, K Hemminki, H Koskinen, J C Luo, W P Carney, P W Brandt-Rauf","doi":"10.1097/00043764-199412000-00013","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00013","url":null,"abstract":"<p><p>Overexpression of the epidermal growth factor receptor (EGFr) has been implicated in the pathogenesis of a wide variety of human malignancies and may be related to asbestos-induced carcinogenesis. Overexpression of the EGFr can be detected immunologically by quantitation of the extracellular domain (ECD) in the extracellular fluid in vitro and in serum in vivo. An enzyme-linked immunosorbent assay (ELISA) for the EGFr ECD was used to examine banked serum samples of 38 asbestosis patients who subsequently developed cancer, 72 age-sex-race-smoking-asbestos exposure matched asbestosis controls without cancer, and 20 age-sex-race-smoking matched nonasbestosis noncancer controls. The mean serum level for the EGFr ECD in the cancer cases (636 +/- 299 fmol/ml) was statistically significantly elevated (P < 0.05) in comparison to the mean level in the asbestosis controls (546 +/- 147 fmol/ml) or the nonasbestosis controls (336 +/- 228 fmol/ml). Defining a positive elevation of the serum EGFr ECD as any value more than 2 standard deviations above the nonasbestosis control mean, 7 (18%) of the cancer cases were positive compared to 4 (6%) of the asbestosis controls and one (5%) of the nonasbestosis controls. In addition, all of these cancer cases had positive serum samples prior to the time of disease diagnosis (average = 5.1 years). These results suggest that serum EGFr ECD may be elevated at an early stage of carcinogenesis in some asbestosis patients and that further prospective study of the utility of this biomarker is warranted.</p>","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1324-8"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043764-199412000-00013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teaching stress management skills to occupational and environmental health physicians and practitioners. A graduate-level practicum.","authors":"T Kushnir, R Malkinson, J Ribak","doi":"10.1097/00043764-199412000-00016","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00016","url":null,"abstract":"<p><p>The World Health Organization Study Group on Training and Evaluation in Occupational Medicine has emphasized recently the importance of incorporating theoretical and practical aspects of primary and secondary prevention of stress in the professional training of occupational health practitioners. This paper describes such a course developed for the Tel-Aviv University Medical School graduate program in occupational health. The course objectives are consistent with the current call for improved training in psychosocial issues in medical care. Twenty-three occupational health practitioners (physicians, nurses, hygienists, and social workers) participated in a bisemester course. The first part included a stress management and prevention program based on the Rational-Emotive Training model. The main aim was to reduce irrational or dysfunctional thinking, which is considered a causal factor in stress and burnout. The second part involved the development and implementation of a field project on primary and secondary prevention of stress and its outcomes. Precourse, midcourse, and postcourse questionnaires showed a significant improvement in participants' psychosocial ability and a reduction in dysfunctional thinking compared with the control group. Such antistress resources may benefit practitioners and clients or patients alike, both potential victims of occupational stress.</p>","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1335-40"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043764-199412000-00016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elevated dioxin blood levels in British chemical workers.","authors":"A Schecter","doi":"10.1097/00043764-199412000-00004","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00004","url":null,"abstract":"","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1283-4, 1286-7"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043764-199412000-00004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T H McQuiston, P Coleman, N B Wallerstein, A C Marcus, J S Morawetz, D W Ortlieb
{"title":"Hazardous waste worker education. Long-term effects.","authors":"T H McQuiston, P Coleman, N B Wallerstein, A C Marcus, J S Morawetz, D W Ortlieb","doi":"10.1097/00043764-199412000-00012","DOIUrl":"10.1097/00043764-199412000-00012","url":null,"abstract":"<p><p>This study illustrates how a union education center successfully integrated adult empowerment education principles into the teaching methods and curriculum of a health and safety training program. The 12-month follow-up phone survey involved 481 local union respondents each representing a separate plant site and a group of 50 manager trainees. The evaluation shows that the training manual continued to be used by more than 70% of respondents, more than 70% taught coworkers, more than 50% of union trainees went on to train their managers, and more than 90% identified problems at work and sought and obtained changes in programs, training, or equipment. More than 20% reported that major spills had occurred following training. The majority stated that the handling of the spills improved. More than 80% stated that the training better prepared them for their health and safety duties. The managers' data substantially supported union members' reports.</p>","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1310-23"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149978/pdf/nihms-620599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Re: Successful treatment of life-threatening proprionitrile exposure with sodium nitrite/sodium thiosulfate followed by hyperbaric oxygen, by Scolnick et al.","authors":"F Schuckmann","doi":"10.1097/00043764-199412000-00003","DOIUrl":"https://doi.org/10.1097/00043764-199412000-00003","url":null,"abstract":"","PeriodicalId":16617,"journal":{"name":"Journal of occupational medicine. : official publication of the Industrial Medical Association","volume":"36 12","pages":"1283"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00043764-199412000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18881430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}