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Biomedical subjects

J M Schmith

Publications and source records attributed to J M Schmith.

2 recordsLinked to original sources

Studies of transformer repair workers exposed to PCBs: I. Study design, PCB concentrations, questionnaire, and clinical examination results.

A cross-sectional study compared 55 transformer repairmen, 38 currently, and 17 previously exposed to polychlorinated biphenyls (PCBs) with 56 non-exposed subjects. PCBs exposures occurred from air and contaminated surfaces, predominantly from Aroclor 1260 with some exposure to Aroclor 1242. Each worker underwent: a questionnaire; standardized medical examination; delayed hypersensitivity testing; and determination of serum and adipose tissue lipid total PCB concentrations. Adipose and serum [PCBs] were significantly higher in the currently exposed, but previously exposed workers did not differ significantly from comparison subjects. No subjects had a classical syndrome of PCB poisoning. A number of neurobehavioral and irritant symptoms were significantly more prevalent in the exposed group, but were probably not related to PCBs. Comedones were more frequent in the exposed group, but no evidence of classical chloracne was noted. Cutaneous delayed hypersensitivity responses to mumps and to trichophyton antigens did not differ between the groups. The association of PCBs with job functions were explored.

Adipose Tissue

Occupational health program development.

A model occupational health program was developed for 300,000 U. S. Army employees in Europe. Despite the availability of both fiscal resources and personnel, those charged with developing the program discovered that the traditional approach to occupational health could not be applied directly. Complex command channels required a well-stated delineation of responsibilities. Compounding the problems inherent in demographic complexity were geographical dispersion and organizational complexity, a broad spectrum of potential industrial hazards, and diverse occupational health laws for multiple-employee groups, all of which resulted in the need for flexibility. Because of limited capabilities to provide technical and clinical services, all services required a maximum amount of tailoring. The model described here, called the functional approach to occupational health, was designed to address these requirements.

Accidents, Occupational