Abstract:
:Although OSHA promulgates standards for chemical exposures on the basis of workers' relative risk of acquiring chronic disease, it interprets the limits as absolute levels never to be exceeded. This poses a dilemma to the gathering of useful information which can be used to assess and reduce exposures, because employers can maximize compliance outcomes by minimizing exposure monitoring. The result is that, in the absence of adequate information, the working population's true risk of acquiring disease is essentially unknown and average exposures of several times the permissible exposure limit (PEL) can be declared in compliance. The dilemma could be resolved if OSHA would define compliance in terms of one or more parameters of the cumulative exposure distribution. Since OSHA's current method of assessing risks is based upon average exposures, enforcement of the PEL as the limit of each worker's true mean exposure would be internally consistent. This change could have the effect of encouraging employers to monitor exposures since the confidence interval surrounding the mean can be narrowed with increased sample size.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Rappaport SMdoi
10.1002/ajim.4700060407subject
Has Abstractpub_date
1984-01-01 00:00:00pages
291-303issue
4eissn
0271-3586issn
1097-0274journal_volume
6pub_type
杂志文章abstract::Formaldehyde is commonly accepted to be an allergen and irritant. However, specifically diagnosed occupational respiratory diseases caused by formaldehyde are relatively rare. Occupational laryngitis was diagnosed in a 47-year-old dairy foreman. He had been exposed for 9 years to formaldehyde emitted from a milk-packi...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/(SICI)1097-0274(199603)29:3<275::AID-AJIM7
更新日期:1996-03-01 00:00:00
abstract:BACKGROUND:The peripheral nerve conduction velocity (NCV), distribution of nerve conduction velocities (DCV), somatosensory, visual, and brainstem auditory evoked potentials (SEP, VEP, and BAEP, respectively), event-related potential (P300), computerized static posturography with spectral analysis (postural balance), a...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/(sici)1097-0274(200002)37:2<193::aid-ajim5
更新日期:2000-02-01 00:00:00
abstract::This commentary challenges a recently published perception that Dr. Le Roy Upson Gardner had not actually discovered in 1942 that inhaled chrysotile fibers could induce malignant neoplasia in mice. The handwritten laboratory notes and some of Dr. Gardner's slides have recently been found. They verify that the tumors h...
journal_title:American journal of industrial medicine
pub_type: 传,历史文章,杂志文章
doi:10.1002/ajim.4700270413
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:There are relatively few studies of large national databases that contain information on working hours and health. The current study involved an analysis of data from a quality of work life (QWL) module developed for the 2002 General Social Survey. This module collected work and health data from a representa...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20388
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Work-related injuries in commercial fishing are of concern internationally. To better identify the causes of injury, this study coded occupational injuries by working processes in commercial fishing for fresh market fish. METHODS:A classification system of the work processes was developed by participation i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20163
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Demographic, labor market and economic forces are combining to produce increases in the number and percentage of U.S. workers 55 and older. In some ways these workers will be our most skilled and productive employees but in others the most vulnerable. METHODS:The literature on aging and work was reviewed, i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.20569
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Existing research suggests that workplace injuries can have significant economic and social consequences for workers; but there are no quantitative studies on complete populations. METHODS:The British Columbia Linked Health Database (BCLHD) was used to examine 1994 injured workers who lost work time due to ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20503
更新日期:2007-09-01 00:00:00
abstract::Blood histamine levels were measured by the bioassay of histamine (on an isolated strip of guinea pig ileum) in workers exposed to cotton dust in a textile mill in Ahmedabad. Byssinotic subjects showed very high levels of blood histamine as compared to nonbyssinotic and control subjects. The blood histamine levels wer...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700120409
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Standardized proportionate mortality ratio (SPMR) was found to be 2.2 (95% CI = 1.3-3.5) for esophageal cancer (EC) among workers exposed to refractory brick dust in a large iron-steel complex in China. METHODS:A nested case-control design within a cohort of industrial workers. One hundred and twenty-five E...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199903)35:3<272::aid-ajim7
更新日期:1999-03-01 00:00:00
abstract::A comparison was made of the occupational data reported on the death certificates of 586 men with their employment history obtained by interviews. Agreement was assessed for 19 occupational and 14 industrial categories of usual employment, with the highest levels of concordance (greater than or equal to 80%) found for...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700200306
更新日期:1991-01-01 00:00:00
abstract::In conjunction with industrial hygiene surveys, mutagenicity studies were performed for the airborne contaminants in three polyurethane manufacturing plants. Airborne particles were collected on glass-fiber filters with Hi-Vol pumps from different locations in each plant. Gases were collected in multiple-sorbent cartr...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700110410
更新日期:1987-01-01 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:BACKGROUND:Using both quantitative and qualitative data, this study examined teen workers' perceptions about their work environments and the ways in which teens believe workplaces can be made safer. METHODS:We conducted telephone interviews (n = 117) and six focus groups (n = 49) with two separate samples of North Car...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199810)34:4<342::aid-ajim7
更新日期:1998-10-01 00:00:00
abstract::A cross-sectional prevalence study of 120 public school custodians was carried out. The purposes were 1) to investigate the prevalence of asbestos-related disease in a group of custodians at risk for asbestos exposure in public schools and 2) to determine the proportion with disease attributable to exposures in school...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700190305
更新日期:1991-01-01 00:00:00
abstract::Thirty-eight patients with a diagnosis of malignant mesothelioma participated in a semi-structured interview to evaluate asbestos exposure, acquisition of increased risk information, and retrospective reporting of cognitive and behavioral reactions (particularly smoking behavior) to risk information. Twenty-eight pati...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700040306
更新日期:1983-01-01 00:00:00
abstract::The effects of aluminum on the pulmonary function of aluminum workers were investigated in this study. Serum aluminum levels and spirometry were measured in 55 male workers and 30 male controls. The mean serum aluminum level of workers (72.7 +/- 9.9 ng/ml) was significantly high compared to that of controls, indicatin...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199803)33:3<305::aid-ajim1
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:In the construction industry, a relatively high hand eczema prevalence can be expected due to exposure to irritating and allergenic agents. METHODS:As part of a regular program of voluntary medical examinations, a questionnaire including items on health symptoms and working circumstances is administered to ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22314
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:This study examines the prevalence of physician-diagnosed respiratory conditions and mental health symptoms in firefighters and emergency medical service workers up to 9 years after rescue/recovery efforts at the World Trade Center (WTC). METHODS:We analyzed Fire Department of New York (FDNY) physician and ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20993
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:There are very few published studies evaluating the impact of safety and health training on injury outcomes in the construction industry. The aim of this study was to assess the impact of the training program on injury rates at a major railway construction project. METHODS:The population consisted of 2,795 ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20770
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Around the globe, work has a heavy impact on health. To better advise policy makers, we assessed the global burden of disease and injury due to selected occupational hazards. This article presents an overview, and describes the methodology employed in the companion studies. METHODS:Using the World Health Or...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20211
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:The purpose of the study was to evaluate trends in occupational lead exposures throughout U.S. industry after the establishment of the general industry lead standard in 1978 and the construction industry standard in 1993. METHODS:Lead exposure measurements collected by the Occupational Safety and Health Adm...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20008
更新日期:2004-06-01 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:BACKGROUND:The purpose of this study was to investigate the association between dynamic thiol/disulphide homeostasis and occupational exposure to volatile anesthetic gases in operating theater personnel. Decreased blood thiol levels and raised blood disulphide levels serve as biomarkers of oxidative stress. METHODS:We...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22764
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Because of the rarity of peritoneal mesothelioma, occupational risks associated with it have seldom been studied, particularly among women. In this respect, death certificates databases may provide numbers large enough for analysis, although the International Classification of Diseases, 9th revision (ICD-9) ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199901)35:1<9::aid-ajim2>3
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Latino residential construction workers experience high rates of occupational fatality and injury. Work safety climate is an especially important consideration for improving the safety of these immigrant workers. This analysis describes work safety climate among Latino residential construction workers, delin...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22058
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Occupational Cancer Monitoring (OCCAM) is an Italian organization that monitors occupational cancers, by area and industrial sector, by retrieving cases and employment history from official databases. OCCAM previously estimated a relative risk (RR) of lung cancer of about 1.32 among "metal treatment" workers...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.21004
更新日期:2012-01-01 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:BACKGROUND:Despite the human and monetary costs of occupational injury and illness, occupational health care has focused more on treatment than prevention, and prevention is not part of many clinical occupational health practices. This represents a failure of occupational health care to meet the health care needs of th...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.1105
更新日期:2001-09-01 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::Dust exposure on farms can be prevented by changes in work practices and by informing and educating farmers. Ventilation control during handling and prevention of growth of microbes are feasible measures and could be included in regulation schemes. Apart from information on existing work practices, an increased awaren...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700100307
更新日期:1986-01-01 00:00:00