Johnny Chang, Adam J Vernadakis, W Thomas McClellan
{"title":"Fingertip injuries.","authors":"Johnny Chang, Adam J Vernadakis, W Thomas McClellan","doi":"10.1016/j.coem.2005.11.010","DOIUrl":"https://doi.org/10.1016/j.coem.2005.11.010","url":null,"abstract":"<p><p>The fingertip is a complex anatomic unit highly specialized in function and particularly prone to injury. Its complex design and the difficulty of secondary repairs demand great care in initial evaluation, diagnosis, and treatment for optimal long-term outcome. The goals of treatment should be to preserve length, maintain sensation, mobilize early, return function expediently, and be mindful of cosmesis.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 2","pages":"413-22, ix"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26377723","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":"Current trends in international tobacco control.","authors":"Francis Thompson, Karl Fagerström","doi":"10.1016/j.coem.2005.10.013","DOIUrl":"https://doi.org/10.1016/j.coem.2005.10.013","url":null,"abstract":"<p><p>The tobacco control policy tools developed in a few rich countries in the 1970s, 1980s, and 1990s are currently being implemented widely in many poorer countries, thanks in part to the astonishing success of the Framework Convention on Tobacco Control (FCTC). With smoking rates already high in most of the Third World, however, the projections for the twenty-first century are grim: up to 1 billion tobacco-caused deaths, which raises the issue of what more can be done, particularly to help people who already are addicted to nicotine. Only massive and effective smoking cessation programs could reduce this death toll significantly, at least in the short-term. Tobacco control's existing tools, if widely applied, likely will reduce premature deaths significantly but can be expected to leave unacceptably high levels of tobacco-related mortality. This finding has sparked fierce discussions among anti-tobacco activists about the role of harm reduction in curbing death and disease. This article discusses whether harm reduction is possible with the tobacco industry subject to a largely unregulated environment for tobacco products.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 1","pages":"101-16, ix"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25828203","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}
Harold S Javitz, Susan M Zbikowski, Gary E Swan, Lisa M Jack
{"title":"Financial burden of tobacco use: an employer's perspective.","authors":"Harold S Javitz, Susan M Zbikowski, Gary E Swan, Lisa M Jack","doi":"10.1016/j.coem.2005.10.007","DOIUrl":"https://doi.org/10.1016/j.coem.2005.10.007","url":null,"abstract":"<p><p>To assist in determining whether employer-sponsored smoking cessation programs can be justified on cost-effectiveness grounds, a review was performed to examine the costs imposed on employers by smoking and the extent to which employers can recover those costs through successful smoking cessation programs. The magnitude of the costs (or cost savings) imposed by employee tobacco use depends on workplace factors, including medical coverage (before and after retirement), disability and life insurance benefits, level of exposure to workplace pollutants associated with smoking-related diseases, employee turnover rate, current smoke-free area policy, smoking breaks policy, cost of providing smoking areas, and type of retirement pension plan.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 1","pages":"9-29, vii"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25828197","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":"Work-related burns.","authors":"Valerie M Pruitt","doi":"10.1016/j.coem.2005.11.002","DOIUrl":"https://doi.org/10.1016/j.coem.2005.11.002","url":null,"abstract":"<p><p>Work-related upper extremity burns often occur. The cause directs the course of action. Thermal burns should be assessed for system alterations, and depth of burn should be determined. Deep partial-thickness burns and more severe burns require a specialist evaluation. Chemical burns must be irrigated and the agent identified. Some chemical burns, such as those that involve phenols and metal fragments, require specific topical applications before water lavage. Hydrofluoric acid burns can cause life-threatening electrolyte abnormalities with a small, highly concentrated acid burn. The goal with any extremity burn is to provide the patient with a multidisciplinary team approach to achieve a functional, usable extremity.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 2","pages":"423-33, ix-x"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26377724","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":"Implications for occupational exposure to particulate matter.","authors":"Mark J Utell, William S Beckett","doi":"10.1016/j.coem.2006.07.001","DOIUrl":"https://doi.org/10.1016/j.coem.2006.07.001","url":null,"abstract":"<p><p>The demonstrated effects of lower levels of ambient particles on cardiovascular and respiratory system morbidity and mortality were initially surprising in light of current concepts of occupational particle exposure and acute and chronic cardiopulmonary effects. Specifically, the exposure levels, as defined by the weight of the particles per liter of breathing air, at which recognized disease occurs under workplace conditions are considerably higher than the observed levels of ambient particles associated with serious adverse health effects. The possible reasons for this difference have not been adequately addressed. To further address this question, a re-examination of workplace exposure-response relationships is needed, which may include emphasis on measuring exposures to fine and ultrafine particles rather than to total particle mass concentration alone.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 4","pages":"883-93"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26426823","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":"Current tobacco control policy trends in the United States.","authors":"William I Stoner, Brian X Foley","doi":"10.1016/j.coem.2005.10.006","DOIUrl":"https://doi.org/10.1016/j.coem.2005.10.006","url":null,"abstract":"<p><p>This article takes a snap-shot view of current tobacco control laws and where the nation is headed. Smoke-free workplace laws are highlighted, and the New York campaign experience is explained briefly. The article also creates a view into current trends in tobacco excise taxes; youth access laws, US Food and Drug Administration regulations of tobacco, tobacco control program funding, and other regulatory efforts in municipalities, individual states, and the nation as a whole.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 1","pages":"85-99, ix"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25828202","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":"Work-related carpal tunnel syndrome: the facts and the myths.","authors":"Jane Derebery","doi":"10.1016/j.coem.2005.11.014","DOIUrl":"https://doi.org/10.1016/j.coem.2005.11.014","url":null,"abstract":"<p><p>Carpal tunnel syndrome is a medical disease, not an injury, although symptoms may occur in association with certain physical activities of the upper extremity. The concept of work-related carpal tunnel syndrome has grown to such proportion as to be problematic for society, having spawned health care industries to support a cultural concept and a largely mythical medical paradigm. Because of these social and economic forces, cultural perceptions and expectations have adjusted to this flawed medical model. Success in improving patient management and making the best use of sound medical evidence depends on the concurrent use of educational strategies addressing social influences and attitudinal changes of practicing physicians, patients, and third-party administrators. The promotion of evidence-based medicine is key. This article discusses these controversies and suggests ways of managing carpal tunnel syndrome.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 2","pages":"353-67, viii"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26377718","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":"Factitious disorders.","authors":"Dean S Louis, Christopher Doro, Radford J Hayden","doi":"10.1016/j.coem.2005.11.016","DOIUrl":"https://doi.org/10.1016/j.coem.2005.11.016","url":null,"abstract":"<p><p>Factitious disorders reside under the broad umbrella of dysfunctional syndromes. This article is meant specifically to focus on common patterns of upper extremity factitious illness. It is intended to emphasize recognition, differential diagnosis, and problems related to misdiagnosis. It is not devoted to treatment, which is a separate issue.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 2","pages":"435-43, x"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26377725","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":"Determining causation of work-related upper extremity disorders.","authors":"Robert M Szabo","doi":"10.1016/j.coem.2005.11.003","DOIUrl":"https://doi.org/10.1016/j.coem.2005.11.003","url":null,"abstract":"<p><p>To determine causation in work-related upper extremity disorders, one must appreciate the philosophical constructs used in establishing causation and have clear definitions of the disorder in question. The preponderance of evidence does not support repetition as a major risk factor for physical injury. Terms such as \"repetitive stress,\" \"repetitive strain,\" and \"cumulative trauma\" should be abandoned, and we should educate our patients as to the multiple risk factors for upper extremity pain.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 2","pages":"225-34, v"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26377792","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":"Prevention of delayed recovery and disability of work-related upper extremity disorders.","authors":"Jane Derebery, William H Tullis","doi":"10.1016/j.coem.2005.11.013","DOIUrl":"https://doi.org/10.1016/j.coem.2005.11.013","url":null,"abstract":"<p><p>There is always a psychological component to any illness or injury, and unless it is appropriately addressed, such factors can complicate or delay the recovery from a work-related illness or injury. When a worker experiences delayed recovery and unexpected disability, significant contributing psychosocial factors must be assessed for and managed appropriately. A maladaptive belief or understanding about the condition and disability by a patient presents an obstacle to successful treatment. Using cognitive behavioral therapy techniques may be an effective means of managing this challenge for the clinician.</p>","PeriodicalId":87077,"journal":{"name":"Clinics in occupational and environmental medicine","volume":"5 2","pages":"235-47, vi"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26377793","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}