Educating the doctors.
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Biomedical subjects
Publications and source records attributed to B Aziz.
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It is becoming increasingly important for providers of health care to manage the health and safety of their workforce effectively. In the competitive world of health care, organizations seeking accreditation for quality are having to allot greater importance to health and safety than in the past. The manager of occupational health services for West Birmingham Health District, which has recently applied for Trust status, explores some of the reasons for this.
The changes in serum prealbumin (transthyretin) and serum albumin in acute and chronic liver diseases were investigated. Albumin has long been used as a useful indicator of liver function but serum prealbumin has recently been noted for its clinical significance in acute liver diseases. Serum prealbumin concentrations and liver function tests (albumin, bilirubin, alanine aminotransferase) were determined on blood obtained from normal donors (n = 148) and from patients suffering from liver diseases (n = 78) such as acute viral hepatitis, chronic active hepatitis, cirrhosis and hepatoma. The mean serum prealbumin concentration in normal subjects was 29.6 +/- 4.82 mg/dl while the mean serum prealbumin concentration in patients with liver disease was greatly reduced (acute viral hepatitis = 15.3 +/- 7.4mg/dl; chronic active hepatitis = 10.2 +/- 6.6mg/dl; cirrhosis = 9.9 +/- 6.4mg/dl and hepatoma = 10.7 +/- 4.2). Albumin concentrations dropped slightly (13% compared to control) in acute viral hepatitis but dropped markedly (28% compared to control) in chronic liver diseases. The study suggests that serum prealbumin concentration might be a more sensitive indicator than albumin in assessing liver dysfunction in acute liver diseases.
Active simultaneous immunization of female rats against 17 beta-estradiol and testosterone induced formation of ovarian haemorrhagic and cystic follicles. A 2-fold increase in serum luteinizing hormone but any differences in prolactin levels were noted.
Injuries associated with manual handling operations account for most workplace injuries reported to the Health and Safety Executive and local authorities. In the health care services, they account for almost 50 per cent of all injuries reported under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RlDDOR) of 1985 (1). This article examines how proposed legislation may be applied to make the industry safer, drawing on work being carried out by some health authorities and organisations such as the Back Pain Association and WING (The Work-Injured Nurses Group of the Royal College of Nursing). The author draws on EC directives, and on consultative documents on the proposed regulations issued by the Health and Safety Executive (2), as well as draft guidance issued by the Working Party of the Health and Safety Commission's Health Services Advisory Committee (1).
It is inevitable that health and safety regulations for the protection of expectant or new mothers will have a major impact on nursing, a profession in which over 80% of the workforce is female. This article examines some of the ways in which this will happen.