MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinics in Occupational and Environmental Medicine' source. Sat, 10 Oct 2009 19:29:51 +0100 http://www.medworm.com/index.php?rid=281480&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110289%26dopt%3DAbstract Authors: Frampton MW, Utell MJ PMID: 17110289 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281480 Sun, 19 Nov 2006 20:41:02 +0100 281480 http://www.medworm.com/index.php?rid=281479&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110290%26dopt%3DAbstract Authors: Hopke PK, Rossner A PMID: 17110290 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281479 Sun, 19 Nov 2006 20:41:02 +0100 281479 http://www.medworm.com/index.php?rid=281478&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110291%26dopt%3DAbstract Authors: Phalen RF, Oldham MJ PMID: 17110291 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281478 Sun, 19 Nov 2006 20:41:02 +0100 281478 http://www.medworm.com/index.php?rid=281477&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110292%26dopt%3DAbstract Authors: Elder A, Oberdörster G PMID: 17110292 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281477 Sun, 19 Nov 2006 20:41:02 +0100 281477 http://www.medworm.com/index.php?rid=281476&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110293%26dopt%3DAbstract Authors: Frampton MW PMID: 17110293 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281476 Sun, 19 Nov 2006 20:41:02 +0100 281476 http://www.medworm.com/index.php?rid=281475&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110294%26dopt%3DAbstract Authors: Xia T, Kovochich M, Nel A PMID: 17110294 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281475 Sun, 19 Nov 2006 20:41:02 +0100 281475 http://www.medworm.com/index.php?rid=281474&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110295%26dopt%3DAbstract Authors: Schwartz J PMID: 17110295 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281474 Sun, 19 Nov 2006 20:41:02 +0100 281474 http://www.medworm.com/index.php?rid=281473&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110296%26dopt%3DAbstract Authors: Godleski JJ PMID: 17110296 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281473 Sun, 19 Nov 2006 20:41:02 +0100 281473 http://www.medworm.com/index.php?rid=281472&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110297%26dopt%3DAbstract Authors: Nemmar A, Hoylaerts MF, Nemery B PMID: 17110297 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281472 Sun, 19 Nov 2006 20:41:02 +0100 281472 http://www.medworm.com/index.php?rid=281471&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17110298%26dopt%3DAbstract Authors: Utell MJ, Beckett WS PMID: 17110298 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=281471 Sun, 19 Nov 2006 20:41:02 +0100 281471 http://www.medworm.com/index.php?rid=195233&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963380%26dopt%3DAbstract Authors: Malanga GA, Dennis RL PMID: 16963380 [PubMed - as supplied by publisher] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=195233 Mon, 18 Sep 2006 12:48:14 +0100 195233 http://www.medworm.com/index.php?rid=188637&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963372%26dopt%3DAbstract Authors: Malanga GA PMID: 16963372 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188637 Wed, 13 Sep 2006 12:11:02 +0100 188637 http://www.medworm.com/index.php?rid=188636&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963373%26dopt%3DAbstract Authors: Shelerud RA PMID: 16963373 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188636 Wed, 13 Sep 2006 12:11:02 +0100 188636 http://www.medworm.com/index.php?rid=188635&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963374%26dopt%3DAbstract Authors: Kaplansky BD, Wei FY, Reecer MV PMID: 16963374 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188635 Wed, 13 Sep 2006 12:11:02 +0100 188635 http://www.medworm.com/index.php?rid=188634&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963375%26dopt%3DAbstract Authors: Stitik TP, Chang MY, Levy J, Nadler SF PMID: 16963375 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188634 Wed, 13 Sep 2006 12:11:02 +0100 188634 http://www.medworm.com/index.php?rid=188633&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963376%26dopt%3DAbstract Authors: Russo RB PMID: 16963376 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188633 Wed, 13 Sep 2006 12:11:02 +0100 188633 http://www.medworm.com/index.php?rid=188632&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963377%26dopt%3DAbstract Authors: Mulford GJ, Cohen SJ PMID: 16963377 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188632 Wed, 13 Sep 2006 12:11:02 +0100 188632 http://www.medworm.com/index.php?rid=188631&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963378%26dopt%3DAbstract Authors: Dugan SA PMID: 16963378 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188631 Wed, 13 Sep 2006 12:11:02 +0100 188631 http://www.medworm.com/index.php?rid=188630&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963379%26dopt%3DAbstract Authors: Janeck K, Reuven B, Romano CT PMID: 16963379 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188630 Wed, 13 Sep 2006 12:11:02 +0100 188630 http://www.medworm.com/index.php?rid=188629&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963381%26dopt%3DAbstract Authors: Falco FJ, Irwin L, Zhu J PMID: 16963381 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188629 Wed, 13 Sep 2006 12:11:02 +0100 188629 http://www.medworm.com/index.php?rid=188628&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963382%26dopt%3DAbstract Authors: Reiter MF, Vives M PMID: 16963382 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188628 Wed, 13 Sep 2006 12:11:02 +0100 188628 http://www.medworm.com/index.php?rid=188627&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16963383%26dopt%3DAbstract Authors: Katz RT PMID: 16963383 [PubMed - in process] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=188627 Wed, 13 Sep 2006 12:11:02 +0100 188627 http://www.medworm.com/index.php?rid=165850&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446250%26dopt%3DAbstract Authors: Sundaram R, Shulman L, Fein AM The use of tobacco can be traced back to ancient times. Its popularity grew exponentially during the twentieth century, surging during wartime and with the advent of mass media. The tobacco industry in the United States has been under constant legal pressure during the past 40 years. Despite the well-known and continually increasing morbidity and mortality related to smoking, it continues to be a prominent feature in worldwide culture and health. PMID: 16446250 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165850 Fri, 01 Sep 2006 02:24:03 +0100 165850 http://www.medworm.com/index.php?rid=165849&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446251%26dopt%3DAbstract Authors: Javitz HS, Zbikowski SM, Swan GE, Jack LM To assist in determining whether employer-sponsored smoking cessation programs can be justified on cost-effectiveness grounds, a review was performed to examine the costs imposed on employers by smoking and the extent to which employers can recover those costs through successful smoking cessation programs. The magnitude of the costs (or cost savings) imposed by employee tobacco use depends on workplace factors, including medical coverage (before and after retirement), disability and life insurance benefits, level of exposure to workplace pollutants associated with smoking-related diseases, employee turnover rate, current smoke-free area policy, smoking breaks policy, cost of providing smoking areas, and type of retirement pension plan.... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165849 Fri, 01 Sep 2006 02:24:03 +0100 165849 http://www.medworm.com/index.php?rid=165848&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446252%26dopt%3DAbstract Authors: Siegel M, Barbeau EM, Osinubi OY Tobacco use has a substantial impact on hospitality industry employees because of the disproportionate prevalence of smoking among these workers and because of the high levels of secondhand smoke to which they are exposed. The severity of this impact is evidenced by the high mortality rates observed among hospitality industry workers from diseases related to tobacco smoke exposure. Several states and localities have begun to enact laws to protect these workers from secondhand smoke exposure. Such policies seem to be effective in reducing exposure and improving health among these workers without causing any adverse impact on business. Occupational clinicians can play a significant role in protecting the health of hospitality workers by supportin... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165848 Fri, 01 Sep 2006 02:24:03 +0100 165848 http://www.medworm.com/index.php?rid=165847&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446253%26dopt%3DAbstract This article focuses on reducing tobacco consumption by law enforcement officers in New York. PMID: 16446253 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165847 Fri, 01 Sep 2006 02:24:03 +0100 165847 http://www.medworm.com/index.php?rid=165846&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446254%26dopt%3DAbstract Authors: Bartscherer DJ, Reichert VC, Folan P, DeGaetano C, Jacobsen DR, Miceli L, Kohn N, Talwar A The 1964 US Surgeon General's report was the first from the medical profession to document tobacco as a cause of cancers and other serious illnesses. Over the next 40 years, numerous health care groups have worked to decrease tobacco use and lower the associated morbidity and mortality. Registered nurses are the largest group of health care providers and have one of the highest rates of smoking among health care professionals. As such, registered nurses are an important population to target and treat for nicotine addiction. Hospital-based tobacco control programs can provide nurses and other health care professionals with convenient on-site treatment. The chronic care model provides a us... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165846 Fri, 01 Sep 2006 02:24:03 +0100 165846 http://www.medworm.com/index.php?rid=165845&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446255%26dopt%3DAbstract This article summarizes the evidence on the nature and effect of smoking in the movies on adolescents (and others) and proposes several solutions to reduce adolescent exposure to movie smoking and subsequent smoking. PMID: 16446255 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165845 Fri, 01 Sep 2006 02:24:03 +0100 165845 http://www.medworm.com/index.php?rid=165844&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446256%26dopt%3DAbstract This article takes a snap-shot view of current tobacco control laws and where the nation is headed. Smoke-free workplace laws are highlighted, and the New York campaign experience is explained briefly. The article also creates a view into current trends in tobacco excise taxes; youth access laws, US Food and Drug Administration regulations of tobacco, tobacco control program funding, and other regulatory efforts in municipalities, individual states, and the nation as a whole. PMID: 16446256 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165844 Fri, 01 Sep 2006 02:24:03 +0100 165844 http://www.medworm.com/index.php?rid=165843&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446257%26dopt%3DAbstract This article discusses whether harm reduction is possible with the tobacco industry subject to a largely unregulated environment for tobacco products. PMID: 16446257 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165843 Fri, 01 Sep 2006 02:24:03 +0100 165843 http://www.medworm.com/index.php?rid=165842&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446258%26dopt%3DAbstract We present a brief overview of the effects of exposure to asbestos, tobacco, and other known carcinogens. PMID: 16446258 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165842 Fri, 01 Sep 2006 02:24:03 +0100 165842 http://www.medworm.com/index.php?rid=165841&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446259%26dopt%3DAbstract This article provides an overview of the composition of ETS and the major diseases and disorders strongly linked to ETS, emphasizing the effects of ETS on pulmonary function, asthma, and lung cancer. PMID: 16446259 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165841 Fri, 01 Sep 2006 02:24:03 +0100 165841 http://www.medworm.com/index.php?rid=165840&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446260%26dopt%3DAbstract Authors: Kamholz SL The extensive worldwide disease burden attributable to tobacco smoking is reviewed, with particular attention to the epidemiologic and clinical aspects, molecular and cellular mechanisms, and pathophysiology of a variety of smoking-related pulmonary diseases, and the epidemiology and clinical presentation of smoking-related atherosclerotic disease as it affects the cardiovascular system cerebral circulation, the aorta, and the peripheral arterial tree. PMID: 16446260 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165840 Fri, 01 Sep 2006 02:24:03 +0100 165840 http://www.medworm.com/index.php?rid=165839&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446261%26dopt%3DAbstract Authors: Mallampalli A, Guntupalli KK Cigarette smoking is associated with a number of adverse health effects, including well-established links to cardiopulmonary disease and several cancers. Some of the other important systemic diseases associated with smoking are the subjects of this article, such as diabetes mellitus and insulin resistance, and thyroid diseases. Also reviewed here is the impact of smoking on male and female infertility, on selected dermatologic conditions, and on gastrointestinal diseases including peptic ulcer and inflammatory bowel diseases. PMID: 16446261 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165839 Fri, 01 Sep 2006 02:24:03 +0100 165839 http://www.medworm.com/index.php?rid=165838&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16446262%26dopt%3DAbstract Authors: Patel N, Talwar A, Reichert VC, Brady T, Jain M, Kaplan MH The risks to an HIV-infected person who smokes are dramatically amplified compared with the general population. Smoking has been shown to be an independent risk factor for non-AIDS-related mortality in patients who have HIV, even in patients who receive highly active antiretroviral therapy. It has been independently associated with lower scores for quality-of-life indices, such as general health perception, physical functioning, bodily pain, energy, and cognitive functioning. Over time, considering the significant pathology elicited by tobacco, it is hoped that smoking cessation will help reduce the risks of lung disease, heart disease, and neoplastic conditions in patients who have HIV and increase their general sense... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165838 Fri, 01 Sep 2006 02:24:03 +0100 165838 http://www.medworm.com/index.php?rid=165837&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647644%26dopt%3DAbstract Authors: McCurry TM, Kasdan ML Patient selection is the process by which an evaluating surgeon decides whether to accept responsibility for the care and treatment of a potential patient. It is assumed the physician has the requisite knowledge to assess the anatomic disorder and the technical ability to render appropriate care if needed. The aim of this article is to help the less experienced health care professional sort out which patients, either by true psychological disorder or personality and behavioral traits, pose the highest risk of a poor outcome. An unsatisfactory outcome can be measured not only by failure to resolve the disorder but also by expenditure of a disproportionate amount of practice resources in achieving resolution of the problem. PMID: 16647644 [PubMed - inde... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165837 Fri, 01 Sep 2006 02:24:03 +0100 165837 http://www.medworm.com/index.php?rid=165836&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647645%26dopt%3DAbstract Authors: Szabo RM To determine causation in work-related upper extremity disorders, one must appreciate the philosophical constructs used in establishing causation and have clear definitions of the disorder in question. The preponderance of evidence does not support repetition as a major risk factor for physical injury. Terms such as "repetitive stress," "repetitive strain," and "cumulative trauma" should be abandoned, and we should educate our patients as to the multiple risk factors for upper extremity pain. PMID: 16647645 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165836 Fri, 01 Sep 2006 02:24:03 +0100 165836 http://www.medworm.com/index.php?rid=165835&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647646%26dopt%3DAbstract Authors: Derebery J, Tullis WH There is always a psychological component to any illness or injury, and unless it is appropriately addressed, such factors can complicate or delay the recovery from a work-related illness or injury. When a worker experiences delayed recovery and unexpected disability, significant contributing psychosocial factors must be assessed for and managed appropriately. A maladaptive belief or understanding about the condition and disability by a patient presents an obstacle to successful treatment. Using cognitive behavioral therapy techniques may be an effective means of managing this challenge for the clinician. PMID: 16647646 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165835 Fri, 01 Sep 2006 02:24:03 +0100 165835 http://www.medworm.com/index.php?rid=165834&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647647%26dopt%3DAbstract Authors: Pearce B Correctly applied, an ergonomics approach can reduce the likelihood of work-induced disorders and can assist in accommodating individuals who have work-related disorders, but it cannot eliminate disorders that have been mistakenly attributed to work by social processes. A contextual model of work-related upper extremity disorders is proposed that explicitly acknowledges that factors extrinsic to work can shape perceptions of upper extremity disorders and influence the process of somatic interpretation and health outcomes. Experiences in the United Kingdom of ergonomic regulations associated with computer use and the media coverage of work-related upper extremity disorders are used to illustrate this model. PMID: 16647647 [PubMed - indexed for MEDLINE] (Source: Cli... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165834 Fri, 01 Sep 2006 02:24:03 +0100 165834 http://www.medworm.com/index.php?rid=165833&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647648%26dopt%3DAbstract This article sheds light on work-related upper extremity disorders by understanding the prevalence and pattern for these diagnoses, their impact on outcomes influenced by age, gender and geography on metrics such as utilization, duration, disability status, and costs. To assess these types of outcomes measurements, a good reporting and management system must be in place to allow for ongoing evaluation and analysis of data and in the construction of intervention programs to improve provider performances and, ultimately, patient outcomes. PMID: 16647648 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165833 Fri, 01 Sep 2006 02:24:03 +0100 165833 http://www.medworm.com/index.php?rid=165832&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647649%26dopt%3DAbstract This article reviews the potential imaging choices and clinical indications for work-related injuries of the elbow, hand, and wrist. PMID: 16647649 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165832 Fri, 01 Sep 2006 02:24:03 +0100 165832 http://www.medworm.com/index.php?rid=165831&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647650%26dopt%3DAbstract Authors: Wainstein JL, Nailor TE Tendinopathy in the upper extremity continues to be a source of morbidity and disability in the working population despite a benign clinical course. Risk factors include high force, repetition, and awkward positions. An understanding of the pertinent anatomy and pathophysiology should help clinicians in the management of these conditions. Tension overload and shear stress are the two mechanisms most likely responsible for most upper extremity tendinopathies. Clinical presentation includes localized pain and tenderness. Most treatment options have yet to undergo evaluation for efficacy in well-designed clinical trials, yet there is a generally favorable response to nonoperative or conservative management. Cases resistant to conservative treatment may req... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165831 Fri, 01 Sep 2006 02:24:03 +0100 165831 http://www.medworm.com/index.php?rid=165830&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647651%26dopt%3DAbstract Authors: Hermann BF The human hand is one of the most amazing instruments we possess. Ligament injuries to the hand and wrist are common occupational injuries. These injuries can be diagnosed using thorough history and physical examination skills in conjunction with diagnostic imaging. Prompt diagnosis and treatment of these injuries are crucial, because many injuries heal with minimal decrease in function if they are treated early without allowing them to become chronic. When these injuries are discovered late, not only does treatment become more difficult but also traumatic arthritis frequently develops. A brief anatomic description follows each of the most common ligament sprains and strains of the hand and wrist and their evaluation and treatment. PMID: 16647651 [PubMed - index... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165830 Fri, 01 Sep 2006 02:24:03 +0100 165830 http://www.medworm.com/index.php?rid=165829&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647652%26dopt%3DAbstract Authors: Corwin HM Nerve compression syndromes of the upper extremity occur at predicable locations. The diagnosis of nerve compression or nerve entrapment is based on the neurologic and electrodiagnostic examinations. The anatomy, neurophysiology, and electrodiagnosis of nerve compression are discussed. Common and uncommon compression and entrapment syndromes of the upper extremity are described. Errors in diagnosis occur when the neurologic or electrodiagnostic examinations are incomplete or inaccurate. PMID: 16647652 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165829 Fri, 01 Sep 2006 02:24:03 +0100 165829 http://www.medworm.com/index.php?rid=165828&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647653%26dopt%3DAbstract This article discusses these controversies and suggests ways of managing carpal tunnel syndrome. PMID: 16647653 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165828 Fri, 01 Sep 2006 02:24:03 +0100 165828 http://www.medworm.com/index.php?rid=165827&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647654%26dopt%3DAbstract Authors: Gaar E Prompt diagnosis and treatment of hand and upper extremity infections is imperative because they have the potential to be life threatening and pose a risk of functional impairment. Serious infections may result in prolonged hospitalization and resultant loss of productivity. The mainstay of treatment continues to be antibiotic therapy, heat, elevation, adequate surgical drainage, and débridement. Prompt specialty consultation should be obtained in cases in which there is a doubt about the diagnosis or when there is failure to improve in the face of seemingly appropriate treatment. PMID: 16647654 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165827 Fri, 01 Sep 2006 02:24:03 +0100 165827 http://www.medworm.com/index.php?rid=165826&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647655%26dopt%3DAbstract This article briefly discusses some of the more common causes and presentations of these conditions. Most of these of the conditions can occur in the workplace and outside of it, so a careful evaluation is necessary to determine the work relatedness of a given condition. PMID: 16647655 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165826 Fri, 01 Sep 2006 02:24:03 +0100 165826 http://www.medworm.com/index.php?rid=165825&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647656%26dopt%3DAbstract Authors: June L Rheumatic illnesses are a common cause for musculoskeletal complaints in the general population. All ages can be affected, including people in the prime of their working years. Secondary problems, such as entrapment neuropathies, enthesopathies, and Raynaud's syndrome, can be associated with various inflammatory arthritides. A detailed history and physical are the most important tools in screening for potential inflammatory disease in workers with upper extremity complaints. PMID: 16647656 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165825 Fri, 01 Sep 2006 02:24:03 +0100 165825 http://www.medworm.com/index.php?rid=165824&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647657%26dopt%3DAbstract Authors: Gonzalez R, Kasdan ML High-pressure injection injuries of the hand represent one of the most serious surgical emergencies of the upper extremity. It is imperative to understand the mechanism of injury and the parts that take place for this injury to occur (material, pressure, site of injury). Prompt recognition and treatment may alter the final outcome. PMID: 16647657 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165824 Fri, 01 Sep 2006 02:24:03 +0100 165824 http://www.medworm.com/index.php?rid=165823&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647658%26dopt%3DAbstract Authors: Chang J, Vernadakis AJ, McClellan WT The fingertip is a complex anatomic unit highly specialized in function and particularly prone to injury. Its complex design and the difficulty of secondary repairs demand great care in initial evaluation, diagnosis, and treatment for optimal long-term outcome. The goals of treatment should be to preserve length, maintain sensation, mobilize early, return function expediently, and be mindful of cosmesis. PMID: 16647658 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165823 Fri, 01 Sep 2006 02:24:03 +0100 165823 http://www.medworm.com/index.php?rid=165822&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647659%26dopt%3DAbstract Authors: Pruitt VM Work-related upper extremity burns often occur. The cause directs the course of action. Thermal burns should be assessed for system alterations, and depth of burn should be determined. Deep partial-thickness burns and more severe burns require a specialist evaluation. Chemical burns must be irrigated and the agent identified. Some chemical burns, such as those that involve phenols and metal fragments, require specific topical applications before water lavage. Hydrofluoric acid burns can cause life-threatening electrolyte abnormalities with a small, highly concentrated acid burn. The goal with any extremity burn is to provide the patient with a multidisciplinary team approach to achieve a functional, usable extremity. PMID: 16647659 [PubMed - indexed for MEDLINE] ... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165822 Fri, 01 Sep 2006 02:24:03 +0100 165822 http://www.medworm.com/index.php?rid=165821&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647660%26dopt%3DAbstract This article is meant specifically to focus on common patterns of upper extremity factitious illness. It is intended to emphasize recognition, differential diagnosis, and problems related to misdiagnosis. It is not devoted to treatment, which is a separate issue. PMID: 16647660 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165821 Fri, 01 Sep 2006 02:24:03 +0100 165821 http://www.medworm.com/index.php?rid=165820&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647661%26dopt%3DAbstract This article focuses on CRPS type 1 as it pertains to the upper extremity. In general, patients who have complex regional pain syndrome suffer from pain, sensory changes, edema, sweating, and temperature disturbance in the afflicted extremity. Chronic changes can involve the skin, nails, and bone. The pathophysiology of this condition remains unclear and is probably multifactorial, involving persistent inflammation, the sympathetic nervous system, the central nervous system and external stimuli. Treatment should be based on a multidisciplinary experienced team approach that is focused on functional restoration. Future research will provide insight into pathophysiology and optimal treatment regimens. PMID: 16647661 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Envi... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165820 Fri, 01 Sep 2006 02:24:03 +0100 165820 http://www.medworm.com/index.php?rid=165819&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647662%26dopt%3DAbstract Authors: Hayden RJ, Louis DS, Doro C Fibromyalgia and myofascial pain syndromes are terms used to describe a constellation of complaints ranging from generalized aches to specific tender trigger points often accompanied by fatigue, depression, and sleep disturbances. In the past 5 years, research has been directed primarily at determining the pathophysiology of fibromyalgia and myofascial pain syndromes and the treatment of patients' comorbidities to alleviate their symptomatology. Controversy exists as to whether fibromyalgia and myofascial pain syndromes represent a specific pathology or are merely terms to describe clinical conditions that provide patients with the reassurance that their symptoms are real and help clinicians with therapeutic direction. In the occupational health set... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165819 Fri, 01 Sep 2006 02:24:03 +0100 165819 http://www.medworm.com/index.php?rid=165818&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647663%26dopt%3DAbstract Authors: Driver DF Upper extremity disorders in the workplace continue to be an economic strain on society. Physical and occupational therapy plays a crucial role in the management of the disorders. Medical providers should use therapists whose treatments demonstrate improvement in function and provide superior outcomes. Skilled therapy intervention requires that a therapist be able to identify and treat an injured worker in a holistic manner by looking at the whole individual, including issues that involve mechanical dysfunctions, psychosocial issues that include job satisfaction, and other age-related organic comorbidities. Therapists who work with injured employees must be highly skilled in identifying behavioral and organic disorders and must be confident in communicating these fin... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165818 Fri, 01 Sep 2006 02:24:03 +0100 165818 http://www.medworm.com/index.php?rid=165817&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16647664%26dopt%3DAbstract This article presents an overview of the issues presented to physicians and lawyers in evaluating, treating, litigating, and concluding an upper extremity workers' compensation claim. This analysis includes a review of the unique considerations involved in the workers' compensation patient/claimant, a general examination of workers' compensation law, and the interplay between litigation and the medical management of the patient. PMID: 16647664 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165817 Fri, 01 Sep 2006 02:24:03 +0100 165817 http://www.medworm.com/index.php?rid=165854&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15465471%26dopt%3DAbstract This article reviews recent studies on occupational solvent exposure and neuropsychological outcomes. The methodologic difficulties facing studies and the role of neuroimaging in solvent neurotoxicity investigations are examined. Existing studies consistently demonstrate association between exposure and neurobehavioral outcomes, but the specificity of the findings is less impressive. Threshold levels are uncertain. A safe and achievable threshold level seems possible from the current literature; unfortunately, such exposure limits have not yet been established by current studies. Several frequently encountered chemicals are discussed. PMID: 15465471 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165854 Sun, 14 Nov 2004 07:00:00 +0100 165854 http://www.medworm.com/index.php?rid=165853&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15465472%26dopt%3DAbstract Authors: Rutchik JS, Wittman RI Reports of injury began after the introduction of chlorinated solvents in the 1920s. In 1987, the National Institute for Occupational Safety and Health reported that 9.8 million workers were exposed to organic solvents in occupational settings, with most of these exposures being to mixtures of solvents. Although solvent mixtures have been noted to be responsible for neuropathy, seizures, and encephalopathy, identifying the culpable agent has been difficult, because the associations between many solvents and their biologic effects have not been well defined, and solvent interaction in mixtures have not been well or easily characterized. In some cases, these exposures have been estimated to be below levels designated in regulations as acceptable for worker... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165853 Sun, 14 Nov 2004 07:00:00 +0100 165853 http://www.medworm.com/index.php?rid=165852&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15465473%26dopt%3DAbstract Authors: Rowse DH, Emmett EA In this paper, we examine how skin structure affects the ability of solvents to irritate and permeate the skin; the patterns of cutaneous injury caused by solvents; the effects of specific solvents on the skin; and the potential for systemic toxicity from dermal absorption. PMID: 15465473 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165852 Sun, 14 Nov 2004 07:00:00 +0100 165852 http://www.medworm.com/index.php?rid=165851&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15465474%26dopt%3DAbstract Authors: Phillips SD, Waksman JC The liver and kidneys are tissues with a rich blood supply. Thus, with significant exposures, these tissues may be at risk for anatomic or pathophysiologic alterations. It is important to understand the gross, microscopic, and functional anatomy of these important organs to analyze potential adverse effects of solvents. PMID: 15465474 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165851 Sun, 14 Nov 2004 07:00:00 +0100 165851 http://www.medworm.com/index.php?rid=165863&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325313%26dopt%3DAbstract This article presents the current knowledge and clinical applications of the use of biomarkers of exposure to the halogenated solvents 1,1,1 trichloroethane (methylchloroform), trichloroethylene, tetrachloroethylene (perchloroethylene), and 1,1 dichloroethylene (vinylidene chloride). Although some studies have shown that protein and DNA adducts may form with chlorinated hydrocarbons, their application has not been validated sufficiently to justify their use as biologic markers of exposure. PMID: 15325313 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165863 Sat, 14 Aug 2004 06:00:00 +0100 165863 http://www.medworm.com/index.php?rid=165862&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325314%26dopt%3DAbstract This article addresses these issues and the current understanding of the most appropriate and successful remedial actions. PMID: 15325314 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165862 Sat, 14 Aug 2004 06:00:00 +0100 165862 http://www.medworm.com/index.php?rid=165861&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325315%26dopt%3DAbstract This article focuses on three lesser-known botanical solvents: limonene, oleic acid, and linoleic acid. Although data are limited, limonene, linoleic acid, and oleic acid are likely of low toxicity. Mild skin irritation may occur from exposure to these compounds, and oxidation products of limonene may produce dermal sensitization. Limonene, and possibly linoleic and oleic acids, may have irritative and bronchoconstrictive airway effects; however, data are scant and more studies are required. PMID: 15325315 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165861 Sat, 14 Aug 2004 06:00:00 +0100 165861 http://www.medworm.com/index.php?rid=165860&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325316%26dopt%3DAbstract Authors: Bebarta V, DeWitt C The solvents discussed in this article are common solvents not categorized as halogenated, aromatic, or botanical. The solvents discussed are categorized into two groups: hydrocarbon mixtures and single agents. The hydrocarbon mixtures discussed are Stoddard solvent, naphtha, and kerosene. The remaining solvents described are n-hexane, methyl n-butyl ketone, dimethylformamide, dimethyl sulfoxide, and butyl mercaptans. Effects common to this group of agents and their unique effects are characterized. Treatment of exposures and toxic effects of these solvents is described, and physiochemical properties and occupational exposure levels are listed. PMID: 15325316 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165860 Sat, 14 Aug 2004 06:00:00 +0100 165860 http://www.medworm.com/index.php?rid=165859&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325317%26dopt%3DAbstract This article reviews the properties, toxicologic effects of interest, workplace limits, and use history of the most common chlorinated hydrocarbon solvents. PMID: 15325317 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165859 Sat, 14 Aug 2004 06:00:00 +0100 165859 http://www.medworm.com/index.php?rid=165858&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325318%26dopt%3DAbstract This article summarizes some of the major scientific shortcomings identified by reviewers of the draft "Trichloroethylene Health Risk Assessment: Synthesis and Characterization" (TCE HRA) in the context of current US Environmental Protection Agency risk assessment guidance and the Data Quality Act guidelines. Our purpose is not to further criticize the draft HRA but to highlight specific areas for improvement and suggest specific ameliorative actions that we believe would improve the scientific credibility (quality) of the final document. This exercise is expected to be applicable beyond the specific case of TCE, because the draft HRA surely exemplifies many of the new challenges being posed to risk assessment in general by the ever-increasing sophistication of modern science. PMID: 15... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165858 Sat, 14 Aug 2004 06:00:00 +0100 165858 http://www.medworm.com/index.php?rid=165857&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325319%26dopt%3DAbstract Authors: Wernke MJ, Schell JD Despite the number of substances that fall under the rubric of solvent, only a few are considered to be potential carcinogens. The purpose of this article is to provide readers with an overview of the cancer data that exist for a number of solvents currently in commercial use. These solvents include chloroform, carbon tetrachloride, methylene chloride (dichloromethane) trichloroethylene, tetrachloroethylene (perchloroethylene), and 1,4-dioxane. Although benzene also would be considered a solvent, the data concerning its carcinogenic potential are presented in another article in this issue and are not discussed in this article. PMID: 15325319 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165857 Sat, 14 Aug 2004 06:00:00 +0100 165857 http://www.medworm.com/index.php?rid=165856&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325320%26dopt%3DAbstract This article provides a brief historical perspective of benzene use and general aspects of benzene toxicology, focusing primarily on benzene-induced hematotoxicity and leukemogenesis. Although the causal relationship between benzene and acute myelogenous leukemia is unequivocal, there has been considerable debate regarding the potential role of benzene exposure in the development of other hematopoietic malignancies, including chronic myelogenous leukemia, chronic lymphocytic leukemia, non-Hodgkin's lymphoma, and multiple myeloma. The relationship between benzene and these other diseases also is discussed briefly. PMID: 15325320 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165856 Sat, 14 Aug 2004 06:00:00 +0100 165856 http://www.medworm.com/index.php?rid=165855&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15325321%26dopt%3DAbstract This article focuses on the scientific literature of TCE and cancer. Included in this article are epidemiologic studies from the United States and Europe of TCE manufacturing workers, metal polishers and platers, aerospace manufacturing and maintenance workers, and jewelry workers who used TCE. Also included are several recent studies from Taiwan, consisting of electronics factory workers who used TCE and nearby community residents who consumed TCE-contaminated groundwater. PMID: 15325321 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165855 Sat, 14 Aug 2004 06:00:00 +0100 165855 http://www.medworm.com/index.php?rid=165876&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182746%26dopt%3DAbstract Authors: Kiselica D, Sibson B, Green-McKenzie J The workers' compensation system is a no-fault legal and social insurance system established to address compensation issues that involve work-related injuries and illnesses. The system was developed in response to dissatisfaction with common law litigation on the parts of injured workers and employers. The history of the development of workers' compensation is reviewed, and a general description of the system is offered, including discussion of state law and insurance structures, benefits and costs, administrative boards/commissions, and the federal systems for workers' compensation and related programs. The recent history of the workers' compensation system is provided, the recommendations of the National Commission on State Workmen's Co... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165876 Fri, 14 May 2004 06:00:00 +0100 165876 http://www.medworm.com/index.php?rid=165875&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182747%26dopt%3DAbstract This article presents several factors believed to have shaped the costs of workers' compensation. Of these factors, the most notable influence on claims severity is related to the way medical care is delivered to treat occupational injuries and illnesses. Although medical care providers may have some influence on the other factors responsible for increased claims severity, such as attorney costs and differences in state workers' compensation laws, they have a tremendous impact on the way medical care is delivered and its resultant costs. This places physicians, nurse practitioners,physical therapists, chiropractors, nurses, and physician assistants in a unique role of being able to assist US business in improving productivity through a reduction in workers' compensation costs. PMID: 15... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165875 Fri, 14 May 2004 06:00:00 +0100 165875 http://www.medworm.com/index.php?rid=165874&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182748%26dopt%3DAbstract Authors: D'Andrea DC, Meyer JD Workers' compensation reform efforts respond to the competing interests of business, labor and insurers. Early reforms expanded programs in response to inadequate benefits and coverage while in the 1980s and 1990s states responded to increasing costs by tightening fee schedules, limiting physician choice, restricting eligibility,lowering benefits, and integrating managed care into workers' compensation. Although managed care has resulted in significant medical savings, the cost of workers' compensation is again rapidly increasing in some states, where workers' compensation legislation is again at the center of debate. Increasing the use of treatment guidelines, placing limitations on use of services, developing more objective criteria for determining leve... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165874 Fri, 14 May 2004 06:00:00 +0100 165874 http://www.medworm.com/index.php?rid=165873&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182749%26dopt%3DAbstract This article examines the intersection of workers' compensation laws with the Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA). Much ADA and FMLA litigation stems from work-related injuries or illnesses. Knowledge of the ADA and FMLA may help prevent workers' compensation cases from resulting in costly employment litigation. Employees who are absent from work for a work-related condition often have rights under other laws, besides workers' compensation laws, such as the ADA and FMLA. Employers need to be cognizant of this while addressing these cases. First, the goals of state workers' compensation laws and the ADA and FMLA are reviewed. Then specific issues involving the intersection of workers' compensation, ADA,and FMLA are discussed. PMID: 15182749 ... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165873 Fri, 14 May 2004 06:00:00 +0100 165873 http://www.medworm.com/index.php?rid=165872&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182750%26dopt%3DAbstract Authors: Green-McKenzie J, Kiselica D, Watkins M The cost of workers' compensation health care has been a challenge during the past few decades. Various programs have been initiated on the local, state, and national levels to address this issue. The purpose of this article is to examine some of the programs that have initiated cost control measures. Most of those published claim successful outcomes. The initiatives reviewed herein were instituted at medical centers in Maryland and Pennsylvania, at casino hotels in Nevada, at an occupational health clinic in Ohio, at an electrical union in New York State, and at an insurance company. Initiatives in Minnesota and Washington State are also described. Sharing the outcomes of initiatives may allow such research to be translated into action ... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165872 Fri, 14 May 2004 06:00:00 +0100 165872 http://www.medworm.com/index.php?rid=165871&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182751%26dopt%3DAbstract Authors: Lantsberger PA, Glass LS, Ottmar E Washington State workers' compensation has researched applying managed care in workers' compensation through a series of research projects. In 1995 and 1996, the managed care project evaluated the impact of managed care on medical outcomes, patient satisfaction, and the cost control of medical care and disability. The managed care project also evaluated the long-term outcome of the cases by reviewing the participants 2 years after the injury. Finally,the managed care project evaluated the satisfaction of the employer with managed care. The Department of Labor and Industries Centers of Occupational Health and Education project currently is evaluating the impact of an occupational medicine-directed,education-oriented, protocol-guided pilot proj... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165871 Fri, 14 May 2004 06:00:00 +0100 165871 http://www.medworm.com/index.php?rid=165870&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182752%26dopt%3DAbstract This article addresses the system within which the Army's workers' compensation program operates, provides some organizational history, gives an update on current status,and describes what is needed for sustained improvement. The onus is on the Army to develop and implement strategies that use available data to target high-risk occupations and employees to prevent accidents, injuries, and illnesses. Front-line managers bear the responsibility for educating the workforce and providing safe workplaces. Employees become the beneficiaries, not of medical and compensation benefits but of safe and healthy work environments. PMID: 15182752 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165870 Fri, 14 May 2004 06:00:00 +0100 165870 http://www.medworm.com/index.php?rid=165869&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182753%26dopt%3DAbstract Authors: Harris JS, Glass LS, Mueller KL, Genovese E, In this article, we review the evolution and application of evidence based medicine and the results of the literature reviews and syntheses incorporated in the second edition of the guidelines. Our intent is to disseminate this information to practitioners treating injured workers and those managing and financing such care and disability management. Use of proven diagnostic, causality, testing,and treatment methods should markedly improve the quality of occupational medical care and make that care more cost effective. PMID: 15182753 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165869 Fri, 14 May 2004 06:00:00 +0100 165869 http://www.medworm.com/index.php?rid=165868&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182754%26dopt%3DAbstract Authors: Genovese E Some individuals in the health care system base their actions primarily on individual economic incentives rather than ethical and societal standards. These actions are considered fraudulent when they can be proven to have violated specific laws or statutes and can impact workers' compensation costs. Physicians and other health care providers involved in the management of workers' compensation claims may have little ability to affect employer or insurer fraud. Ethical and efficient practice style, in conjunction with the maintenance of clarity and objectivity in the evaluation of patient symptoms, can help to reduce the degree to which provider and patient fraud is allowed to develop and flourish. In understanding the factors that promote fraudulent behavior and bein... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165868 Fri, 14 May 2004 06:00:00 +0100 165868 http://www.medworm.com/index.php?rid=165867&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182755%26dopt%3DAbstract Authors: Wendt C, Emmett T Workers' compensation claims are becoming more complex and expensive every day. One of the contributing factors for the increase is the aging workforce as well as federal legislation such as the Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA). The workforce is aging, mobile, and educated about their rights. The key to avoiding spiraling costs is a strong safety and claims program that is sponsored by senior management,valued by the employees, and implemented by the entire company. PMID: 15182755 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165867 Fri, 14 May 2004 06:00:00 +0100 165867 http://www.medworm.com/index.php?rid=165866&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182756%26dopt%3DAbstract This article presents a conceptual framework that allows the practitioner to appreciate the relationship between health status and health interventions and productivity in relation to workers' compensation care. Factors important to productivity for individual workers are indicated. Some specific applications of health and productivity theory to the area of workers' compensation from the points of view of the injured worker, the employer, the insurer, and the treating physician are described. Finally, alternate ways of looking at these relationships using the concept of the human capital are briefly discussed. PMID: 15182756 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165866 Fri, 14 May 2004 06:00:00 +0100 165866 http://www.medworm.com/index.php?rid=165865&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182757%26dopt%3DAbstract Authors: Green-McKenzie J The workers' compensation system in the United States, comprised of independent state based and national programs for federal workers, covers approximately 127 million workers and has evolved and grown since its inception in 1911. Coverage has significantly broadened in scope to allow for the inclusion of most occupational injuries and illnesses. The cost of workers' compensation care has also increased. Some of the cost drivers have been identified,and various approaches have been taken to address medical cost containment. There is a need to balance cost control with ensuring benefit adequacy and quality of medical care. It is likely that managing workers' compensation costs will continue to be a challenge in the foreseeable future. The cost of workers' compe... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165865 Fri, 14 May 2004 06:00:00 +0100 165865 http://www.medworm.com/index.php?rid=165864&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15182758%26dopt%3DAbstract This article provides definitions for the various terms commonly used in the area of workers' compensation. PMID: 15182758 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165864 Fri, 14 May 2004 06:00:00 +0100 165864 http://www.medworm.com/index.php?rid=165889&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043360%26dopt%3DAbstract Authors: Harrison M The ability to demonstrate acceptable performance against the expectations of a CSR movement is part of the corporate license to operate in many locations. Because health and medical programs are core elements of these activities, numerous opportunities exist for physicians to contribute to health and prosperity in underdeveloped locations. Individuals who are involved in designing and administrating these activities need to maintain critical objectivity about the actual consequences and maintain a close dialog with the intended beneficiaries. The value of the CSR agenda is beginning a long empirical trial. PMID: 15043360 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165889 Sat, 14 Feb 2004 07:00:00 +0100 165889 http://www.medworm.com/index.php?rid=165888&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043361%26dopt%3DAbstract Authors: Utzinger J, Wyss K, Moto DD, Tanner M, Singer BH A critical appraisal has been presented of the CHOP for a large-scale energy infrastructure development project that was implemented in two of the world's poorest countries. The project is under close scrutiny from various independent monitoring groups, civil society organizations, and human rights groups. Reviewing the achievements and shortcomings permits the extraction of important lessons that will be critical for the future adoption of the CHOP in the current setting and for the implementation of additional CHOPs elsewhere in the developing world. The authors believe that the design must be flexible, efficient, and innovative so that a CHOP promptly can address pressing public health issues as they arise (eg, epidemic outbr... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165888 Sat, 14 Feb 2004 07:00:00 +0100 165888 http://www.medworm.com/index.php?rid=165887&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043362%26dopt%3DAbstract Authors: Ivers LC, Ryan ET By nature of their long-term deployment in challenging areas of the world, expatriate employees and their dependents are at increased risk for a number of infectious diseases. Targeted immunization strategies may decrease this risk. Expatriate employees and their dependents should be immunized before deployment, and programs should be established to provide booster immunizations if the risk is ongoing. When considering work-force productivity, work-force infectivity, and the common good, careful consideration should be given to establishing at least a basic immunization program for in-country nationals and their dependents. PMID: 15043362 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165887 Sat, 14 Feb 2004 07:00:00 +0100 165887 http://www.medworm.com/index.php?rid=165886&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043363%26dopt%3DAbstract Authors: Krieger GR, Magnus M, Hassig SE Given the quickly changing landscapes of both global HIV infection and the HIV prevention literature, it has become increasingly difficult to identify or design an effective HIV prevention program. The authors discuss methods of selecting an appropriate program so that readers can critically evaluate the literature and create a suitable program for their unique setting. The intent of this article is to provide the reader with analytic modeling tools and methodology to search effectively the literature so that an appropriate and successful HIV prevention program can by selected by an organization or project team. PMID: 15043363 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165886 Sat, 14 Feb 2004 07:00:00 +0100 165886 http://www.medworm.com/index.php?rid=165885&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043364%26dopt%3DAbstract Authors: Balge MZ Overall food and water safety can be managed effectively through careful analysis of risks; implementation of site-specific food and water safety programs, including HACCP systems; careful assignment of responsibilities for implementation; and follow-up evaluation of effectiveness. PMID: 15043364 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165885 Sat, 14 Feb 2004 07:00:00 +0100 165885 http://www.medworm.com/index.php?rid=165884&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043365%26dopt%3DAbstract Authors: Neri M, De Jongh R Evacuating ill or injured expatriates on international assignments from globally challenging locations is a potent source of concern for individuals who are involved before, during, and after overseas assignments. It is essential to minimize the risk for such evacuations and to make the evacuations proceed as smoothly and safely as possible. The first half of this article addresses the planning and processes that are required to make inevitable medical evacuations as safe and smooth as possible. The second half reviews the non-medical consequences that medical and security evacuations can have for employees, dependents, and employers. PMID: 15043365 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165884 Sat, 14 Feb 2004 07:00:00 +0100 165884 http://www.medworm.com/index.php?rid=165883&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043366%26dopt%3DAbstract Authors: Madera A, Castelli A Effective communications are essential for any operation and for management of health-related problems. Telemedicine has altered profoundly the manner in which primary care physicians can interact with hospitals and specialists. As dedicated medical ICT systems evolve, medical care will be delivered to patients in remote locations in a more efficient and cost-effective way. Companies invariably have a vision that healthcare decisions benefiting patient care should be made anytime and anywhere in a model that facilitates care at the point of need. The development of telemedicine programs is inevitable as business globalization expands to more challenging cultural and geographic areas. PMID: 15043366 [PubMed - indexed for MEDLINE] (Source: Clinics in Occ... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165883 Sat, 14 Feb 2004 07:00:00 +0100 165883 http://www.medworm.com/index.php?rid=165882&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043367%26dopt%3DAbstract Authors: Hua F A decision regarding work assignment in challenging environments often is made on an individual basis. The physician must consider (1) objective medical information (eg, CVD risk profile, results of exercise stress testing; see Fig. 6); (2) psychologic assessment, including potential career impacts of the expatriate assignment; and (3) availability of specialty medical facilities and expertise in the host country. Although these individual decisions are important, health professionals should not lose sight of the opportunity to approach chronic diseases on a broader basis by adopting a public health approach for the work site and the surrounding community. PMID: 15043367 [PubMed - indexed for MEDLINE] (Source: Clinics in Occupational and Environmental Medicine) Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165882 Sat, 14 Feb 2004 07:00:00 +0100 165882 http://www.medworm.com/index.php?rid=165881&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043368%26dopt%3DAbstract Authors: Le Mire J, Arnulf L, Guibert P Malaria caused by Plasmodium falciparum continues to be the principal medical threat to travelers in tropical zones. Eighty percent of malaria cases occur in sub-Saharan Africa. Prevention capacity nears 100%. In the event of infection, early diagnosis and bitherapy (treatment that includes two different active molecules) provide a nonfatal outcome. The greatest risk occurs in the weeks after returning home. The history of malaria has shown that it is important to anticipate the evolving nature of the disease and to be able to respond to it in a timely fashion. The efficiency of preventive treatments should lead toward the goal of zero malaria cases when dealing with travelers; however, virtually all empiric experience indicates that this goal ra... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165881 Sat, 14 Feb 2004 07:00:00 +0100 165881 http://www.medworm.com/index.php?rid=165880&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043369%26dopt%3DAbstract Authors: Jackson D, Dallabetta G, Steen R In the early 21st century, STI and HIV have been linked inextricably. Although the focus of this article is STI, some discussion on the diagnosis and management of individuals with HIV infection is necessary. The history of HIV diagnosis in the workplace is checkered. The authors have seen cases of prospective workers being subjected to HIV testing without their knowledge as part of a pre-employment medical examination. If the test came back positive, the men were told that they would not be employed without explanation. This approach is a breech of the human rights of the individual being tested and cannot be condoned. Any HIV testing must be done with the full and informed consent of the individual, with counseling given before and after test... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165880 Sat, 14 Feb 2004 07:00:00 +0100 165880 http://www.medworm.com/index.php?rid=165879&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043370%26dopt%3DAbstract Authors: Martin A, Baptiste JP, Krieger G Positive-microscopy TB is a real issue for the respiratory diseases department of N'Djaména General Hospital, with a prevalence rate of 37 cases in 100 patients. The delay of diagnosis for positive-microscopy TB is excessive. Patients seem to be more responsible for this delay than the healthcare facilities. The factors that delay treatment of TB in N'Djaména are that (1) TB diagnosis in peripheral hospitals lengthens physician delay, and (2) seeking initial treatment outside conventional medicine lengthens patient delay. The following recommendations arise from this study: For the public health ministry: Reboost the national program against TB in Chad. Increase personnel in the respiratory diseases department at the N'Djaména General Hospit... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165879 Sat, 14 Feb 2004 07:00:00 +0100 165879 http://www.medworm.com/index.php?rid=165878&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043371%26dopt%3DAbstract Authors: Hochberg N, Ryan ET Expatriates are at risk for a number of infectious diseases for which short-term travelers generally are not at risk. Returning expatriates should undergo a detailed physical examination and a basic set of laboratory tests; these tests should be tailored to their specific history and exposures. Febrile patients with an appropriate exposure history must be evaluated for malaria; other potential diagnoses may be determined by incubation period, geographic exposure, and associated symptoms. When evaluating an ill returned expatriate with fever, it is important to exclude malaria, typhoid, leishmaniasis, brucellosis, tuberculosis, HIV infection, and syphilis. Gastrointestinal irregularities in expatriates may be caused by a number of infectious and noninfectiou... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165878 Sat, 14 Feb 2004 07:00:00 +0100 165878 http://www.medworm.com/index.php?rid=165877&cid=s_33213_48_f&fid=33213&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15043372%26dopt%3DAbstract Authors: Lei L, Liang YX, Krieger GR With economic globalization, the rate and effects of culture shock stress in expatriates and their families are expected to increase. The stressor may occur from the micro-environment, the macro-environment, or the mega-environment. The effects of stress are frequently due to predictable reactions such as insecurity, distress, and homesickness. These symptoms can progress to more severe psychosomatic symptoms, including depressive reactions and overt psychopathic behavior. Cross-cultural training programs are currently the best preventive strategy for culture shock and subsequent stress; however, the true efficacy of these programs is not well characterized. Substance abuse is probably a significant underlying problem for international business trav... Clinics in Occupational and Environmental Medicine journals http://www.medworm.com/rss/comments.php?id=165877 Sat, 14 Feb 2004 07:00:00 +0100 165877