ABSTRACT
A Gulf War veteran and aviator with an occupational dermatitis is evaluated as to cause and ability to work in his normal occupation as well as flying duty. The effects of the Americans With Disabilities Act upon disabled workers, pilots and collective bargaining agreements is discussed.
Subject(s)
Hand Dermatoses/diagnosis , Military Personnel , Warfare , Adult , Humans , Male , Middle East , SyndromeABSTRACT
As hospitals face ever increasing competition and the need for deep cost cutting, participation in alliances and multihospital systems can make all the difference in assuring a hospital's survival, says Allen M. Hicks, president of the MidWest Medical Center in Indianapolis. Hicks was instrumental in building Voluntary Hospitals of America and other multihospital systems, but now he works in the for-profit hospital sector with Republic Health Care Corporation. In this interview with Health Care Strategic Management's Donald E. L. Johnson, he shares his views on the role that alliances should play today.
Subject(s)
Interinstitutional Relations , Multi-Institutional Systems/organization & administration , Chief Executive Officers, Hospital , Economic Competition , Financial Management, Hospital/methods , Financial Management, Hospital/trends , Hospitals, Voluntary/economics , Hospitals, Voluntary/organization & administration , Hospitals, Voluntary/trends , Interprofessional Relations , Multi-Institutional Systems/economics , Multi-Institutional Systems/trends , Organizational Objectives , Planning Techniques , United StatesABSTRACT
Excessive lead exposure in shooting instructors at indoor firing ranges and covered outdoor firing ranges has been documented. The City of Los Angeles assessed exposure of its full-time shooting instructors at uncovered outdoor ranges via air monitoring and blood lead-level measurements. Results of these tests revealed that significant lead exposure and absorption can occur at outdoor firing ranges. The use of copper-jacketed ammunition may decrease air lead levels and decrease lead absorption by range instructors.
Subject(s)
Firearms , Lead/adverse effects , Occupational Exposure , Air/analysis , Air Pollutants/analysis , Humans , Lead/blood , Los Angeles , VentilationABSTRACT
We reviewed the literature in order to summarize the present knowledge on the association between parental occupational exposures to chemicals and the risk of childhood malignancy. The 32 studies pertaining to this topic were evaluated by considering various study qualities such as sample size, specificity of outcome, confounding, exposure specificity, and control selection. When evaluating the findings from any epidemiologic study, the potential sources of bias have to be considered. The selection of subjects, misclassification of exposure or outcome, and confounding from extraneous factors can contribute to a biased estimate of effect. Studies done to minimize these potential biases will be more valid, and these studies should be given the most weight when parental occupational exposures are evaluated as risk factors for childhood malignancy. We conclude that the preponderance of evidence supports the hypothesis that occupational exposure of parents to chemicals increases the risk of childhood malignancy. The parental occupational exposures implicated in childhood malignancy risk are exposure to chemicals including paints, petroleum products, solvents (especially chlorinated hydrocarbons) and pesticides, and exposure to metals. The available data do not allow the identification of specific etiologic agents within these categories of compounds. Future epidemiologic and toxicologic studies should be designed to pursue these leads.
