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Safety at work for railway staff in Britain. 英国铁路工作人员的安全问题。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.4.130
S J Shepherd, T Marshall
{"title":"Safety at work for railway staff in Britain.","authors":"S J Shepherd,&nbsp;T Marshall","doi":"10.1093/occmed/40.4.130","DOIUrl":"https://doi.org/10.1093/occmed/40.4.130","url":null,"abstract":"<p><p>The recent series of railway accidents raised questions about the safety of British Railways. We have studied trends in accidents to railway staff over a 33-year period, 1954-86, which time has covered the pre- and post-modernization of the railways, in conjunction with large reductions in both staffing and traffic volume. The Railway Inspectorate, which has the duty of investigating and reporting on accidents occurring on railway premises, defines three kinds of accident: train, movement and non-movement. The numbers of railway staff killed and injured in each kind of accident have been studied in relation to the number of staff employed and train-miles run. Trends in the three accident rates derived thereby show quite different patterns: for most of the period under study, train accident rates have shown a linear increase and movement accident rates a linear decrease, whilst non-movement accidents exhibited no particular trend at all. In the last 5 years, however, both movement and non-movement accident rates have decreased sharply, whilst train accident rates have increased above the generally rising trend. Explanations for some of these trends and changes are suggested, but the reasons for others remain obscure.</p>","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 4","pages":"130-4"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.4.130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13414478","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}
引用次数: 0
Respiratory ill-health in dental laboratory technicians: a comparative study of GP consultation rates. 口腔实验室技术人员的呼吸系统疾病:全科医生问诊率的比较研究。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.2.68
M E Sheikh, R Guest
{"title":"Respiratory ill-health in dental laboratory technicians: a comparative study of GP consultation rates.","authors":"M E Sheikh,&nbsp;R Guest","doi":"10.1093/occmed/40.2.68","DOIUrl":"https://doi.org/10.1093/occmed/40.2.68","url":null,"abstract":"<p><p>Eighteen Royal Air Force dental laboratory technicians (DLTs) and 69 Service controls matched for age, sex and smoking status were compared by means of incidence rates of GP consultation for respiratory, and all other, illness. By retrospectively calculating for each individual the time served (man-years at risk) at the RAF Station concerned, together with the number of consultations that fell into each of the study categories, it was possible to produce an incidence rate, per man-year at risk, of consultations for both study and control groups. By calculating a relative risk (RR) it was observed that DLTs were nearly three times (RR = 2.95. CI 1.69-5.13), more likely to attend their GP with respiratory problems than members of the control group, and 1.7 times (RR = 1.71. CI 0.98-3.01) more likely to attend their GP with other problems. Comparison of the numbers of individuals continuing to use bronchodilator therapy in each of the two groups suggested that DLTs have a higher prevalence of conditions that require this form of therapy as treatment.</p>","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 2","pages":"68-70"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.2.68","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13528528","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}
引用次数: 1
Tuberculosis in health workers. 卫生工作者的结核病。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.2.80
M Gatley
{"title":"Tuberculosis in health workers.","authors":"M Gatley","doi":"10.1093/occmed/40.2.80","DOIUrl":"https://doi.org/10.1093/occmed/40.2.80","url":null,"abstract":"","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 2","pages":"80"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.2.80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13529986","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}
引用次数: 1
The piper and the tune. 风笛手和曲调。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1016/s0140-6736(00)41941-0
D. d'Auria
{"title":"The piper and the tune.","authors":"D. d'Auria","doi":"10.1016/s0140-6736(00)41941-0","DOIUrl":"https://doi.org/10.1016/s0140-6736(00)41941-0","url":null,"abstract":"","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 2 1","pages":"43-4"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/s0140-6736(00)41941-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55844227","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}
引用次数: 3
A cardiovascular study of shift workers with respect to coronary artery disease risk factor prevalence. 轮班工人冠心病危险因素患病率的心血管研究
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.2.65
R G Bursey
{"title":"A cardiovascular study of shift workers with respect to coronary artery disease risk factor prevalence.","authors":"R G Bursey","doi":"10.1093/occmed/40.2.65","DOIUrl":"https://doi.org/10.1093/occmed/40.2.65","url":null,"abstract":"<p><p>Fifty-seven shift workers were matched for age, cigarette smoking and blue-collar/white-collar status against day worker controls. The recognised coronary heart disease risk factors, blood pressure, body mass index, random plasma cholesterol and resting electrocardiograms were compared between both groups. None of these investigations gave a statistically significant difference between the two groups. The study supports the conclusion of previous morbidity and mortality studies which have failed to show any conclusive evidence of an adverse effect of shift working on the cardiovascular system.</p>","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 2","pages":"65-7"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.2.65","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13528527","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}
引用次数: 26
Treatment of industrial wounds with DuoDERM Bordered: a report on medical and patient comfort aspects. 工业伤口与十二指肠黏膜边界的治疗:关于医疗和患者舒适度方面的报告。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.3.101
M H Hermans, S van Wingerden
{"title":"Treatment of industrial wounds with DuoDERM Bordered: a report on medical and patient comfort aspects.","authors":"M H Hermans,&nbsp;S van Wingerden","doi":"10.1093/occmed/40.3.101","DOIUrl":"https://doi.org/10.1093/occmed/40.3.101","url":null,"abstract":"<p><p>In a prospective study 30 patients with minor industrial wounds were treated with DuoDERM Bordered. Medical aspects, patient comfort and the possibility of continuing activities of daily life are described in this report.</p>","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 3","pages":"101-2"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.3.101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13366237","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}
引用次数: 5
Medical kits for business travellers. 为商务旅行者准备的医疗包。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.3.103
S P Deacon, W J McCulloch
{"title":"Medical kits for business travellers.","authors":"S P Deacon,&nbsp;W J McCulloch","doi":"10.1093/occmed/40.3.103","DOIUrl":"https://doi.org/10.1093/occmed/40.3.103","url":null,"abstract":"<p><p>A survey of occupational physicians of the Food Industry Medical Officers Group was undertaken to establish details of medical kits supplied by their organizations to business travellers. The most common approach was an in-house medical kit with instructions emphasizing self treatment of the common ailments of travellers such as motion sickness, sleeplessness, diarrhoea, indigestion and headaches. The majority of kits included a small supply of needles, syringes, IV cannulae etc either in a commercial 'Aids Kit' or as inhouse supplies. Antimalarials were provided either as a standard kit item or as required. About half provided antibiotics for the self treatment of infections. Very few provided a telephone number for use in the event of medical emergencies. A standard medical kit specification is proposed.</p>","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 3","pages":"103-4"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.3.103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13366238","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}
引用次数: 6
Resource needs of an occupational health service to accommodate a hepatitis B vaccination programme. 一项职业卫生服务对乙型肝炎疫苗接种计划的资源需求。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.3.89
S J Jachuck, C Jones, A Nicholls, M Bartlett
{"title":"Resource needs of an occupational health service to accommodate a hepatitis B vaccination programme.","authors":"S J Jachuck,&nbsp;C Jones,&nbsp;A Nicholls,&nbsp;M Bartlett","doi":"10.1093/occmed/40.3.89","DOIUrl":"https://doi.org/10.1093/occmed/40.3.89","url":null,"abstract":"The administrative, organizational and clinical commitment of an occupational health department to implement the DHSS recommendation for a hepatitis B vaccination programme for the health care workers in a District General Hospital was reviewed to evaluate the resource implications needed to accommodate the additional workload. The deficiencies observed in the existing DHSS guidance in implementing the plan are described. It is suggested that the Department of Health, while making future recommendations for vaccination, should be more precise in identifying those at risk, in describing the desired titre to be achieved after vaccination, and in describing the follow-up plan for those who accept the vaccination, those who refuse and those who do not seroconvert. The recommendation should describe the commitment of the Health Authorities and must include recommendations for appropriate and adequate resources to support such a programme. Vaccination for 1000 employees at risk required 4000 additional consultations necessitating 16 additional hours of occupational health commitment per week. Eighteen months after initiating the vaccination programme, 677 employees had accepted the vaccine. After receiving 3 vaccines 508 (75 per cent) recipients had protective seroconversion (anti-Hbs greater than 100 I.U.) and a further 61 (9 per cent) converted after the 4th injection, thereby offering protective immunity to 84 per cent of the recipients. During the period 84 (12.4 per cent) were lost to follow-up. Recommendations have been made to accommodate the additional commitment through the vaccination programme to standardize our care and prevent disruption of the existing service.","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 3","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.3.89","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13367653","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}
引用次数: 8
An investigation of the neurobehavioural effects on workers exposed to organic solvents. 接触有机溶剂的工人神经行为影响的调查。
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01 DOI: 10.1093/occmed/40.3.94
B N Gupta, P Kumar, A K Srivastava
{"title":"An investigation of the neurobehavioural effects on workers exposed to organic solvents.","authors":"B N Gupta,&nbsp;P Kumar,&nbsp;A K Srivastava","doi":"10.1093/occmed/40.3.94","DOIUrl":"https://doi.org/10.1093/occmed/40.3.94","url":null,"abstract":"<p><p>Forty-five workers exposed to the solvents xylene and toluene in varnishing processes in a major heavy electrical industry were studied to find the effect of this exposure on different parameters of behaviour. These were immediate and delayed memory, visual ability, visual learning and psychomotor ability. The findings were compared with those from subjects who were not exposed. Immediate memory and delayed memory were affected among both directly and indirectly exposed workers as compared with those in the controls which remained unaffected. Visual intelligence and memory were most affected by exposure. Psychomotor ability was significantly affected among the directly exposed workers, as compared with the occasionally exposed group which did not show any significant difference from the control workers.</p>","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 3","pages":"94-6"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/40.3.94","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13367655","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}
引用次数: 29
Occupational health research: academic activity or idle ideas? 职业健康研究:学术活动还是空谈?
The Journal of the Society of Occupational Medicine Pub Date : 1990-01-01
D D'Auria
{"title":"Occupational health research: academic activity or idle ideas?","authors":"D D'Auria","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76684,"journal":{"name":"The Journal of the Society of Occupational Medicine","volume":"40 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13475442","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}
引用次数: 0
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