An educational program to prevent disabling low back pain.
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Biomedical subjects
Publications and source records attributed to R E Yodaiken.
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Occupational health practitioners have striven for 60 years to develop and implement appropriate accreditation policies and procedures to promote quality assurance of occupational health practice. In 1987 the American Occupational Medical Association affiliated with the Accreditation Association for Ambulatory Health Care, an independent ambulatory health care accreditation organization, to advance this movement. This paper explores the history of occupational health care accreditation and identifies potential incentives needed to encourage accreditation of occupational health care. The Occupational Safety and Health Administration, industry, labor, insurance carriers, and professional organizations collectively must develop strategies to promote accreditation and ensure that workers receive the maximum standard of occupational health care.
The health and safety problems that arise from employee theft are considerable and should be recognized. Effective prevention of employee theft should focus on employee selection, education, and the factors associated with theft such as drug and alcohol abuse. When physical barriers are used at work sites to prevent theft, work site egress should be safe. Interaction between management and occupational health professionals can focus attention on the relationship between work site theft and employee health.
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Work-practice guidelines for personnel dealing with cytotoxic drugs (CDs) are presented. Current practices in the preparation, storage, administration, and disposal of CDs may expose pharmacists, nurses, physicians, and other health-care workers to high environmental levels of these drugs. OSHA has developed these guidelines to protect health-care workers from unnecessary exposure to CDs. A brief summary of the short-term and long-term hazards known to be associated with these drugs is presented. The risks to workers handling CDs are a combined result of the drugs' inherent toxicity and the extent to which workers are directly exposed to CDs via inhalation, absorption, and ingestion. Work-practice guidelines that can limit the exposure of workers to CDs and the equipment necessary to carry out these practices properly are described.
An international conference in Luxembourg on Ambient and Biological Monitoring in the Workplace brought out the difference in meaning between medical "surveillance" and medical "monitoring." These are reviewed against the Health Standards of the Occupational Safety and Health Administration (OSHA). The standards may be specification standards, that is, the details of the medical examinations and laboratory tests are specified; or they may be performance standards, where surveillance is largely left to the physician's discretion. Bearing in mind the limited number of qualified physicians available, OSHA, and therefore the Office of Occupational Medicine, treads a narrow line between specifics and performance to obtain a pragmatic approach that will meet the mandate of the Occupational Safety and Health Act and ensure a safe and healthful workplace for all American workers.
Aspects of risk assessment are discussed as an integral part of the regulation of occupational health standards. Events that lead to risk estimates and factors to consider in the assessment of risk management are examined. Some aspects of estimating the risk of exposure to benzene are considered as an example of the process.
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This review presents a brief history of occupational health contrasting the United States' experience to European developments. Recent legislation is reviewed, including attempts to amend the Occupational Safety and Health Act and to institute a national program of workers' compensation. Developments in the executive agencies in the Carter administration are discussed with attention to the new occupational health standards for lead and for cotton dust. Following this discussion several scientific issues are reviewed. They include problems surrounding latency, synergism, and the introduction of new toxic hazards. Finally, the review covers three major policy issues: control technology, information for workers, and industry responsibility.
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Our investigation of the capillaries of 64 Israeli diabetics confirm the fact that retinopathy is consistently associated with thickening of the basal lamina of peripheral muscle capillaries but the converse is not so. The change in pericapillary structure may affect the capillary function. The primary cell involved, either causally or as a consequence of the lexion, is the pericyte.
It is believed that diabetic patients with clinical evidence of diabetic capillaropathy have a greater risk of myocardial infarction than those with the same duration of disease but no evidence of capillaropathy. If the hypothesis presented here is correct, then early attention to diet, perhaps as a means of slowing the rate of atherosclerosis, will be as important as insulin in reducing current mortality statistics.