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Biomedical subjects

A Seaton

Publications and source records attributed to A Seaton.

At least 19 recordsLinked to original sources
PubMed1992

Doctors and managers.

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Health Services Administration↗
PubMed1992

Occupational accidents presenting to the accident and emergency department.

A prospective survey of patients attending the major Accident and Emergency Department in Aberdeen was undertaken. This department serves a population of 500,000 and sees some 50% of all accidents in the region. All work-related injuries were identified and information relating to the circumstances of the accident, injury sustained, and treatment required was sought. Work-related injuries accounted for 16.5% of new patients attending the department. The commonest injury type was a laceration to a finger. Three hundred and eighty diagnostic X-rays were undertaken and a total of 910 treatments were required over a 27-day period. On an annual basis, it is estimated that some 5100 radiographs and 12,300 medical treatments would be required for work-related accidents. It is estimated that 30% of injuries to the hands and feet would have been prevented by the wearing of appropriate personal protective equipment. The majority of workplace accidents were correctly referred to A&E and any efforts to reduce this workload must concentrate on preventive measures in the workplace. This paper suggests that documenting work-related accidents and determining targets for preventive action would reduce the number of attendances at A&E units with a potential significant saving for industry and the National Health Service.

Accidents, Occupational↗
PubMed1992

Major neurological disease and occupational exposure to organic solvents.

Five patients are described who presented with major organic brain disease affecting one or more of pyramidal and extrapyramidal tracts, cerebellum, and higher cortical functions. All had a history of 10 years or more of regular occupational exposure to solvents in confined spaces, three in painting inside ships and the others in weapons maintenance and printing. All had been regularly exposed to high air vapour peaks as well as to skin contamination. Four showed some evidence of improvement after the exposure ceased. None was initially suspected of having a toxic encephalopathy by the consultant to whom he was referred. The spectrum of neurological disease presented by these men mirrors closely that described in solvent abusers. All were forced by illness to retire from their work, a circumstance which might have in the past have led to such conditions being missed in cross-sectional studies, which in general have not shown evidence of major disease. We suggest that when such disease occurs nowadays, its cause is usually not suspected. Further epidemiological study of the problem is necessary.

Humans↗
PubMed1992

Smoking attitudes amongst nursing tutors and their students.

We have compared the smoking habits, and attitudes towards the habit, in 51 nurse tutors and 649 of their students. There were similar proportions of never-smokers, but rather more ex-smokers among the tutors. Only nine (17.6%) of the smoking and ex-smoking tutors admitted to having started smoking before the age of 18, compared with 75.5% of the students. Seven tutors and a similar proportion of students believed that smoking was not very harmful. Social behaviour differed between the two groups, the students tending to smoke in pubs and the tutors at home and over coffee. Reasons for having stopped also differed; in tutors cost was cited most often, whereas in students smell on clothes and future health damage ranked most highly. Cost, future health damage and smell were given as the main reasons for wanting to stop by smokers in both groups. We suggest that slightly different anti-smoking strategies might be required in students and tutors.

Adolescent↗
PubMed1991

Accelerated silicosis in Scottish stonemasons.

A small group of stonemasons working with sandstone was exposed to levels of respirable quartz up to 130 times the workplace standard over a period of up to 6 years. Two died of accelerated silicosis, a disease that caused serious diagnostic difficulties and was initially not recognised by the doctors of the then Department of Health and Social Security Medical Boarding Centre (respiratory diseases). Previous descriptions of this disease in the UK date back to the years of the industrial revolution (late 18th century). One other mason on the site proved to have an earlier stage of accelerated silicosis and two had radiographic changes of early classic silicosis. Regulations intended to prevent silicosis have been in place in the UK for many decades and were strengthened by the Health and Safety at Work Act in 1974. Although the workers had been aware of a health risk from quartz, they had not been able to persuade management to take effective preventive action until serious illness had occurred. Current pressures on management to cut overheads and to achieve maximum productivity could, as in this instance, lead to neglect of health and safety standards.

Adult↗
PubMed1991

Accidents in the workplace.

A prospective survey of patients attending the central Accident and Emergency Department and Eye Casualty Department in Aberdeen was made to determine the contribution of accidents at work to the workload of the departments and to estimate risks of injury in different industrial sectors. Work-related injuries accounted for 16.5 per cent of new patients attending the general accident department and 21.7 per cent of those attending eye casualty. Analysis by industrial sector led to estimates that almost one in 10 workers employed in manufacturing industries and in agriculture/forestry/fishing will attend casualty in the course of a year for a work-related injury. The relatively low-risk service sector, because of the large numbers of people employed, contributed the greatest number of individuals with work-related injuries. Two industries had very high rates of specific and preventable injuries--food and fish processing with an estimated 17 knife lacerations per 1000 per annum and mechanical engineering with 60 eye injuries per 1000 per annum. We give reasons for believing that our estimates of risk in the different industrial sectors are conservative.

Accidents, Occupational↗
PubMed1990

Latex as aeroallergen.

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Air Pollutants, Occupational↗
PubMed1990

Asbestos: scientific developments and implications for public policy.

Asbestos is a commercial term for a group of fibrous minerals often associated with the development of pulmonary interstitial fibrosis (asbestosis), lung cancer, and malignant mesothelioma in occupationally exposed individuals. The pathogenicity of different forms of asbestos varies--long, thin amphibole fibers are most pathogenic, particularly in the induction of mesothelioma. Available data do not support the concept that low-level exposure to asbestos is a health hazard in buildings and schools. The concentration of asbestos fibers in air, type of asbestos, and size of fibers must be considered in evaluation of potential health risks.

Animals↗