Abstract:
BACKGROUND:OSHA regulations require that workers receive medical clearance prior to respirator use, and recently, a detailed questionnaire has been provided to assist with this purpose. However, there are limited published data on the sensitivity and specificity of self-administered questionnaires for identifying individuals who may safely wear a respirator. METHODS:We tested 474 consecutive workers at a Department of Energy complex. After completing the self-administered questionnaire, all workers received a standardized physician evaluation including interview, physical examination, and spirometry. The outcomes of the questionnaire assessment were compared to the outcomes of physician evaluation. RESULTS:Data for analysis were available from 413 of workers (87%). All workers received medical clearance; only 10 workers (2.4%) received work restrictions. The questionnaire demonstrated 100% sensitivity in identifying workers who required work restrictions, but had specificity of only 19%. Compared to physician evaluation, the questionnaire had modest sensitivity to the detection of chronic medical conditions. CONCLUSIONS:These data suggest that the rates of medical clearance for respirator use are very high, and that a self-administered questionnaire may be appropriate for medical clearance in certain settings. It is recommended that the policy of routine physician evaluation and spirometry for respirator clearance be re-examined.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Pappas GP,Takaro TK,Stover B,Beaudet N,Salazar M,Calcagni J,Shoop D,Barnhart Sdoi
10.1002/(sici)1097-0274(199904)35:4<395::aid-ajim1subject
Has Abstractpub_date
1999-04-01 00:00:00pages
395-400issue
4eissn
0271-3586issn
1097-0274pii
10.1002/(SICI)1097-0274(199904)35:4<395::AID-AJIM1journal_volume
35pub_type
临床试验,杂志文章abstract:BACKGROUND:Because of reported associations of psychosocial factors and computer related musculoskeletal symptoms, we investigated the effects of a workplace psychosocial factor, reward, in the presence of over-commitment, on trapezius muscle activity and shoulder, head, neck, and torso postures during computer use. M...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22192
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Rates of occupational injury among immigrant workers are widely believed to be underestimated. The goal of this study was to enhance understanding of the burden of occupational injury and the work organization factors underlying injury among immigrant Latino residential construction workers. METHODS:Prospec...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22014
更新日期:2012-08-01 00:00:00
abstract::Chemically induced epidermal carcinogenesis is usually divided into two stages: initiation, which involves the conversion of some epidermal cells into latent neoplastic cells; and promotion, which results in tumors. The hallmark of chemical promoters is epidermal hyperplasia. The hyperplasia caused by a strong promote...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700080412
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Symptoms of post-traumatic stress disorder (PTSD) have been reported even years after the terrorist attacks of September 11, 2001 (9/11). METHODS:We used screening tools to assess the prevalence of probable PTSD in 9/11-exposed firefighters at two time points, within 6 months of 9/11 (baseline) and 3-4 year...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20894
更新日期:2010-12-01 00:00:00
abstract::The medical management of three individuals involved in an exposure incident to whole-body radiation at a nuclear generating plant of a Canadian electrical utility is described. The exposure incident resulted in the two highest whole-body radiation doses ever received in a single event by workers in a Canadian nuclear...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700220210
更新日期:1992-01-01 00:00:00
abstract::It has been suggested that health maintenance organizations (HMOs) overdiagnose work-related injuries and illnesses to increase their income. This study compared the Workers' Compensation experience of 2,176 Boston postal employees enrolled in a large HMO with that of 3,473 employees enrolled in a large fee-for-servic...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700190306
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:From 1970 through 1997, 17 intracranial neoplasms were identified among 6,800 employees of a petrochemical research facility. This investigation describes the case-series. METHODS:The intracranial neoplasms were identified by self reports and record linkages, and were confirmed by medical records and a path...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199910)36:4<450::aid-ajim6
更新日期:1999-10-01 00:00:00
abstract::Among 160 consecutive patients referred to the Clinic of Occupational Medicine, Rigshospitalet, for symptoms connected with exposure to organic solvents, 20 exhibited symptoms of acquired intolerance to minor amounts of organic solvents. Later, an additional 30 consecutive patients with symptoms of acquired intoleranc...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700090408
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Polyvinyl chloride plastics (PVC), made flexible through the addition of di-2-ethylhexyl phthalate (DEHP), are used in the production of a wide array of medical devices. From the late 1960s, leaching of DEHP from PVC medical devices and ultimate tissue deposition have been documented. METHODS:A critical rev...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,meta分析
doi:10.1002/1097-0274(200101)39:1<100::aid-ajim10>3.0.
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Occupational eye injuries have been recognized as a serious health risk to workers and are in need of further investigation to develop effective interventions. METHODS:Rhode Island workers' compensation claims of ocular injury between 1998 through 2002 (n=8,877) were examined. The Current Population Survey ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20234
更新日期:2006-01-01 00:00:00
abstract::To determine the nature of respiratory functional impairment caused by asbestos-induced visceral pleural fibrosis (VPF) and to discover which pulmonary physiological variable best reveals it, we examined 59 asbestos-exposed construction workers having asbestos-related changes on chest radiographs. Computed tomography ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700280306
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:Assess the national prevalence of current workplace exposure to potential skin hazards, secondhand smoke (SHS), and outdoor work among various industry and occupation groups. Also, assess the national prevalence of chronic workplace exposure to vapors, gas, dust, and fumes (VGDF) among these groups. METHODS:...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22089
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:The tanning industry involves many occupational exposures. This study evaluates proportionate cancer mortality among workers employed in the Belarussian tanning plant in Minsk. METHODS:A total of 768 workers with seniority of not less than 6 months who were hired after January 1, 1953 and died before Decemb...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10275
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:Work automation is increasing worldwide, and the probability of job automation has been associated with workers' adverse health outcomes. This study aimed to examine the association of occupation-level automation probability with work stress and workers' health. METHODS:We used data from a national survey of...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.23210
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:We compared performance of different exposure assessment approaches in a cohort study of cancer risk among European asphalt workers. METHODS:Three bitumen fume exposure indices (duration of exposure (years), average exposure (mg/m3) and cumulative exposure (mg/m3*years)) and two latency models (with and wit...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,多中心研究
doi:10.1002/ajim.10168
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Occupational cancer monitoring is important for cancer prevention and public health protection. A surveillance system for identifying occupational cancer risks and cancer cases in Italy that are likely to be of occupational origin using information available in the Italian Social Security archives was create...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20356
更新日期:2006-09-01 00:00:00
abstract::Skin symptoms of "yusho" and their change thereafter are described. In the early stage, skin eruptions were the most prominent and impressive features of yusho. Acneiform eruptions and pigmentation were most conspicuous. With the passage of time, there is some improvement and most patients now have few eruptions, exce...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::A death certificate based case-control study of lung cancer in two Ontario cities was performed to estimate the risk of lung cancer attributable to occupation in Ontario, and to estimate the proportion of occupational lung cancers receiving compensation from the Workers' Compensation Board. Occupation and industry wer...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700270112
更新日期:1995-01-01 00:00:00
abstract::Certain refining processes were investigated to determine their influence on the dermal carcinogenic activity of petroleum-derived lubricating oil distillates. Specifically, the effects of solvent refining, hydroprocessing, a combination of both processes, and the blending of oils processed using each technique were e...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700050403
更新日期:1984-01-01 00:00:00
abstract::Several studies have shown that playing-related musculoskeletal disorders (PRMDs) present a significant health problem for musicians. To examine physiological, psychological, and behavioral risk factors of musicians' PRMDs, data for a case-control analysis were collected from classically-trained professional and unive...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199709)32:3<292::aid-ajim1
更新日期:1997-09-01 00:00:00
abstract::A study of 67 subjects in a small titanium oxide paint factory in Nigeria showed 50-54% frequency for airway symptoms, 20-40% for neurological symptoms, and 10-27% for other symptoms. The symptoms were well correlated with exposure (p less than .05) and pulmonary function tests (PFTs). The directly exposed subjects ha...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700120206
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:We evaluated particulate matter in combined induced sputum (IS) and oxidation in exhaled breath condensate (EBC) to test whether underlying inflammatory changes are present in asymptomatic welders. METHODS:Thirty welders from the Israel Defense Forces exposed to aluminum/iron (Group 1) or to cadmium/chromiu...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20586
更新日期:2008-07-01 00:00:00
abstract::An occupational injury surveillance project was conducted in 15 of Iowa's 99 counties. Trained abstractors reviewed the medical records of persons admitted for trauma to hospitals during 1983. Based on these chart reviews, subsequent mail-out questionnaires and phone contacts were made, and rate estimates for occupati...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700180213
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Dusts containing crystalline silica are generated in mining, construction, glass, granite and concrete production industries. The association between exposure to low levels of concrete dust containing crystalline silica and reduction in lung function, was evaluated in a cross-sectional study. METHODS:The st...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.1080
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Rates of musculoskeletal disorders in construction remain high. Few studies have described barriers and facilitators to the use of available ergonomic solutions. This paper describes these barriers and facilitators and their relationship to the level of adoption. METHODS:Three analysts rated 16 proposed erg...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22693
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Asthma has been found to be among the most common conditions in the working age population and is among the most common causes of work limitation, but we could find no longitudinal studies of employment among persons with this condition. METHODS:A panel of 601 persons with a diagnosis of asthma from random ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199905)35:5<472::aid-ajim4
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:The ability of workers to accurately recall exposures that occur on the day of their injury is considered a potential limitation of case-crossover studies. This study assessed validity of occupational exposures reported by uninjured workers at a Midwestern meatpacking plant. METHODS:One hundred thirty-six wo...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20721
更新日期:2009-09-01 00:00:00
abstract::The occupational histories of fathers were collected prospectively as part of the Avon Longitudinal Study of Pregnancy and Childhood (ALSPAC), and were used to investigate the association of paternal job title with a baby's birth weight and gestational age. The analysis cohort consisted of 4,795 singleton live-born ba...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199706)31:6<738::aid-ajim1
更新日期:1997-06-01 00:00:00
abstract::There have long been case reports linking silica exposure to a variety of autoimmune diseases (systemic sclerosis, rheumatoid arthritis, lupus, chronic renal disease). Evidence of this association in larger epidemiologic studies has been increasing in the last decade. We summarize this evidence here, and present some ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.4700280505
更新日期:1995-11-01 00:00:00
abstract:BACKGROUND:The extent that cigarette smoking may confound the relationship between diesel exhaust exposure and lung cancer was assessed in a retrospective cohort study of 55,395 U.S. railroad workers followed from 1959 to 1976. METHODS:The relative risk (RR) of lung cancer due to diesel exhaust was indirectly adjusted...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/1097-0274(200010)38:4<399::aid-ajim5>3.0.c
更新日期:2000-10-01 00:00:00