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Biomedical subjects

A Slovak

Publications and source records attributed to A Slovak.

4 recordsLinked to original sources
PubMed2000

Partnerships and joined-up working: the millennium key?

Fresh challenges for occupational health in the new millennium include the European dimension and a series of frame shifts about what our specialty actually comprises. This paper encourages a proactive commitment to engaging with Europe and European law-making. A similar proactive approach involving professional, employer and workforce participation is urged for the development of occupational health. The need for prioritization and economic justification is required for underpinning this approach.

Delivery of Health Care↗
PubMed1996

Shiftwork and mortality from ischaemic heart disease.

OBJECTIVES: To investigate the relation between shift work and death from ischaemic heart disease (IHD). METHODS: A nested case-control approach was used. The cohort comprised male manual workers who joined an industrial company aged 50 years or under between 1 January 1950 and 31 December 1992 and worked there for at least one month. Cases were 467 cohort members who died during the same period aged 75 years or under, with ischaemic heart disease (IHD) (international classification of diseases (ICD) 410-414) coded from the death certificate. For each case a control worker was chosen, who joined the company at the same age and in the same period but who survived the case. Work status (shift work or day work) was assigned to cases for their entire employment and to controls for that part of their employment which preceded the matching case's death. The main source of information was historical personnel records containing pay codes which differed for day work and shift work. Information on weight, height, blood pressure, and smoking from a pre-employment medical was available. RESULTS: Two thirds of subjects had been employed for at least one month as shift workers and there was evidence that they had slightly better health at recruitment than day workers. The odds ratio for shift workers during the period starting 10 years after shift work began, and after adjustment for height, body mass index, blood pressure, smoking, duration of employment, and job status (skilled or unskilled) was 0.90 (90% confidence interval (90% CI): 0.68-1.21). There was no relation between risk of IHD death, and duration of shift work, but there was evidence of a reduced risk when actively employed as a shift worker, together with an increased risk in the first five years after leaving shift work to do day work. CONCLUSIONS: Shift work did not increase the risk of death from ischaemic heart disease in this study. Those workers with poorer cardiovascular health may be under represented in groups with longer shift work experience because of health related selection out of shift work.

Adult↗
PubMed1993

Geographical distribution of preconceptional radiation doses to fathers employed at the Sellafield nuclear installation, West Cumbria.

OBJECTIVE: To examine whether the geographical distribution of births associated with preconceptional exposure of fathers to radiation at the Sellafield nuclear installation is consistent with the suggestion that this exposure explains the excess of childhood lymphoid malignancy in the adjacent village of Seascale. DESIGN: Retrospective birth cohort study. SETTING: Cumbria, West Cumbria health district, and Seascale civil parish. SUBJECTS: The 10,363 children born in Cumbria during 1950-89 to fathers employed at Sellafield. MAIN OUTCOME MEASURES: The doses of external whole body ionising radiation received by fathers at Sellafield in the total time and in the six months before conception of their children; the proportions of the collective doses associated with Seascale and the rest of West Cumbria. RESULTS: 9256 children were born to fathers who had been exposed to radiation before the child's conception. Of these, 7318 had fathers who were exposed in the six months before conception. Overall 7% (38 person-Sv) of the collective total preconceptional dose and 7% (3 person-Sv) of the collective dose for the six months before conception were associated with children born in Seascale. Of all the children whose fathers worked at Sellafield, 842 (8%) were born in Seascale. The mean individual doses before conception were consistently lower in Seascale than in the rest of West Cumbria. CONCLUSIONS: The distribution of the paternal preconceptional radiation dose is statistically incompatible with this exposure providing a causal explanation for the cluster of childhood leukaemias in Seascale.

Adult↗