ABSTRACT
Dermatitis in the rubber industry has diminished markedly in this century, but the problem still is the second most common occupational disease. Contributing agents include natural rubber, as latex concentrate or dry crumb, as well as the various additives used for conditioning. Primary, secondary, and tertiary prevention all have roles in reduction of incidence and severity of impairment. The choice of gloves and skin care methods must be based on a consideration of the efficacy of the materials and the environment in which they will be used. Careful attention to diagnosis yields benefits in treatment course and impairment reduction. Teamwork by occupational physicians, nurses, industrial hygienists, employees, and management is required.
Subject(s)
Dermatitis, Contact/etiology , Occupational Diseases/etiology , Rubber , Dermatitis, Contact/therapy , Humans , Occupational Diseases/therapy , OintmentsABSTRACT
Agoraphobia is a psychiatric illness that can cause patients to become functionally homebound. Although the obstetric care of women with agoraphobia has not been described previously, it is likely that the problem is more prevalent than recognized. A pregnant woman initially believed she would be unable to travel to the hospital for delivery. She was given prenatal care and psychotherapy at home; a safe hospital delivery was achieved. The management plan included the in-depth involvement of two physicians, physician preparation for a potential home delivery, patient education about obstetric risks and the harmlessness of agoraphobic panic attacks, and psychologic and marital therapy. Strategies for minimizing medicolegal risks were employed.
