Epidemiology of work-related aviation fatalities in Alaska, 1990-94

Alaska, with less than one-half of 1% of the United States workforce, accounts for 9% of all occupational aviation fatalities nationally; 30% of all occupational fatalities in Alaska are related to aviation. To understand this high mortality, we investigated occupational aviation crashes to identify risk factors. Occupational aviation fatalities in Alaska during 1990-94 were examined using National Transportation Safety Board reports and merged with records from the Alaska Occupational Injury Surveillance System. There were 876 aircraft crashes; 407 (46%) were work-related. Occupational crashes were 2.2 times (CI: 1.5, 3.2) more likely to result in fatalities than non-occupational crashes. Risk factors identified included poor weather conditions defined as Instrument Meteorological Conditions (IMC). A crash during IMC was 5.3 times (CI: 3.5, 7.9) more likely to result in fatalities than crashes in other conditions. Of aircraft involved in fatal occupational incidents, 33% were not completely destroyed, allowing the potential for survivors. An estimated 30% reduction in fatalities could have occurred if current technology in occupant protection had been used.     

Microgravity and its implication for fermentation biotechnology

A population-based occupational fatality surveillance system was used to identify 452 work-related fatalities in Kentucky over a 3-year period. Three hundred eighty-six workers less than 65 years old were included in this analysis of potentially productive years of life lost (PPYLL). A total of 9,275 years of potentially productive life were lost due to these occupational fatalities, costing the state economy $148 million in lost wages. Most of this loss (70%) was in the industries of transportation/communication/public utilities, manufacturing, mining and construction. The transportation/communication/public utilities division alone accounted for 21.4% of the total lost earnings. The agriculture/forestry/fishing division exceeded all others in potentially productive years of life lost. However, because of its lower mean income and older ages at death, that division ranked fifth in lost earnings. This article demonstrates that prevention resources should be directed at the agriculture, transportation, and logging industries, and to the prevention of fatalities caused by tractors, motor vehicle crashes, and falling objects, to be most effective in reducing the enormous economic burden of occupational fatalities.     

Work-related road fatalities in Australia, 1982-1984

A study of work-related fatalities, based on coroners' records, has provided national data on work-related road fatalities. A total of 1,544 work-related fatalities were identified over 1982-1984. Of these, 600 (39%) resulted from injuries sustained in road vehicle accidents on public roads; 366 (24%) in the course of work, and 234 (15%) while commuting between home and work. These figures are likely to underestimate work-related road fatalities because the coroners' records often did not contain the required information. The incidence of road fatalities declined slightly over the three years, although the proportion amongst all work-related fatalities remained constant. The at-work victims tended to be older than victims of road death generally. Fifty-six percent of the at-work cases were in the occupational group "drivers, road transport". Articulated trucks accounted for 41% of the at-work cases. Drivers made up 79% of the at-work group. In contrast, drivers accounted for only 38% of all road deaths. Two-thirds of the at-work road fatalities occurred outside capital city districts, the proportion of nonmetropolitan cases being highest for deaths involving articulated trucks. This is striking, in view of Australia's highly urbanised population. Blood alcohol data were available for 76% of the at-work cases and 79% of the commuting fatalities. Of these, 15% and 13%, respectively, had a blood alcohol of 0.05 g/100mL or more. In contrast, 6% of other workplace fatalities for which blood alcohol data were available had such levels. This difference may reflect more assiduous blood-alcohol testing of road-accident victims.(ABSTRACT TRUNCATED AT 250 WORDS)     

Differences in Occupational Injuries, Illnesses, and Fatalities among Hispanic and Non-Hispanic Construction Workers

The U.S. Census Bureau estimates that one in four persons in the United States will be of Hispanic origin by 2050, up from one in eight in 2002. Driven by immigration, this dramatic growth in the Hispanic population will present unique challenges in the workplace. In construction, the increase in the Hispanic population has enabled the industry to meet its workforce demands. Unfortunately, this has occurred with costs in the health and safety of Hispanic construction workers. Using data from the U.S. Bureau of Labor Statistics’ current population survey, current employment survey, survey of occupational injuries and illnesses, and census of fatal occupational injuries, this study examines relative differences in injuries, illnesses, and fatalities between Hispanic and non-Hispanic construction workers by occupation. The findings show that differences in injuries, illnesses, and fatalities exist between Hispanic and non-Hispanic construction workers, although not always unfavorably toward Hispanics, and the difference does vary by occupation. The implication of the increasing size of the Hispanic construction workforce with respect to construction safety and health training needs is discussed.     

Alcohol and highway safety.

Recent statistics dealing with drinking driver and drinking pedestrian fatalities are reported. A world survey of counter-measures is undertaken, as is an evaluation of these measures. Counter-measures employed by the Federal (Canadian) Government are described, with implications for future evaluation of the program. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Nurse managed occupational health services without on-site clinical care delivery: a case example

1. In this program management/community network model of occupational health services, the occupational health nurse is responsible for managing program development and implementation, with vendors providing the clinical services. 2. Occupational health nurses' primary areas of responsibility are occupational health, disability case management, ergonomics, and health promotion. 3. Successful management of program outcomes requires the occupational health nurse to continually assess employee/business needs, maintain communication with employees and management, and partner with the environmental, health, and safety team, other functional work groups, and vendors. 4. Effective management of contracts becomes critical to the process beginning with clear service requirements through the delivery of quality services.     

Falls through Roof and Floor Openings and Surfaces, Including Skylights: 1992–2000

Fall-related occupational injuries and fatalities are still serious problems in the U.S. construction industry. Two Bureau of Labor Statistics databases—Census of Fatal Occupational Injuries and Survey of Occupational Injuries and Illnesses—were examined for 1992–2000. An important subset of falls-to-lower-level incidents is when workers fall through openings or surfaces, including skylights. A total of 605 fall-through fatalities occurred during 1992–2000. Also, 21,985 workers were injured seriously enough from fall-through incidents to miss a day away from work (DAFW). Fall-through injuries are among the most severe cases for median number of DAFW. Median DAFW were 35, 11, 25, 12, and 36 for fall-through roof and floor openings, roof and floor surfaces, and skylights, respectively, compared to 10 DAFW for all fall-to-lower-level incidents in all U.S. private industry. A conservative approach, which assumes that direct and indirect costs are equal, estimates a range of $55,000–$76,000 for the total cost of a 1998 DAFW fall-through injury. Current work practices should use commercial fall-prevention products to reduce the frequency and costs of fall-through incidents. These analyses have identified a subset of fall-related incidents that contribute to excessive costs to the U.S. construction industry. Researchers can use a systems approach on these incidents to identify contributing risk factors. Employers and practitioners can alert managers and work crews about these dangerous locations to eliminate these hazards that are often obvious and easy to rectify.     

Fatalities and injuries in the Kuwaiti construction industry

This paper presents an analysis of construction accidents in Kuwait along with accident causation and injuries that can be considered serious or fatal, so that corrective measures can be taken to decrease casualties, resulting in a safer construction industry. The paper evaluates the existing injury and cost reporting-investigation system of construction accidents in government agencies and private firms. This research confirms that construction is the most hazardous industry in Kuwait, with accidents accounting for 48%, 38% and 34% of all disabling injuries and 62%, 38% and 42% of all fatalities in 1994, 1995 and 1996, respectively. These rates are considered high and can be compared to construction accident statistics in the U.S.A. which accounted for 14% of all work-related deaths and 9% of disabling injuries in 1993. Based on the study, falling from a height appears to be the major cause of construction injuries and fatalities in Kuwait. Poor accident records and reporting systems hide the extent of the construction safety problem in Kuwait. In addition, many people at management level are unaware of accident-related costs and the effectiveness of a safety program in reducing project costs.     

Work organization research at the National Institute for Occupational Safety and Health.

For 25 years, the National Institute for Occupational Safety and Health (NIOSH) has conducted and sponsored laboratory, field, and epidemiological studies that have helped define the role of work organization factors in occupational safety and health. Research has focused on the health effects of specific job conditions, occupational stressors in specific occupations, occupational differences in the incidence of stressors and stress-related disorders, and intervention strategies. NIOSH and the American Psychological Association have formalized the concept of occupational health psychology and developed a postdoctoral training program. The National Occupational Research Agenda recognizes organization of work as one of 21 national occupational safety and health research priority areas. Future research should focus on industries, occupations, and populations at special risk; the impact of work organization on overall health; the identification of healthy organization characteristics; and the development of intervention strategies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of body hydration on renal function according to renographic findings in healthy children

The background and tasks of occupational health nurses in North Dakota vary considerably. Those entering the field have little or no previous exposure to occupational health nursing and must develop skill through seminars, corporate training or area associates. In most instances, the nurse represents the occupational safety and health program for the firm and must take on additional roles such as safety director or assistant plant manager. In addition, the occupational health nurse performs numerous in-plant medical services ranging from emergency medical care to counseling and education. The occupational health nurse in North Dakota generally does not record family histories, take throat cultures, take routine x-rays, make hospital or home visits nor perform air sampling or noise level measurements.     

The influence of rehabilitative factors on the behavior and affect of epileptics

First experience in the occupational rehabilitation of a group of less gifted juvenile epileptics is reported. In this paper, the emphasis is on both psychological and sociopsychological aspects of rehabilitation. The observation and control of processes and reactions is of major importance to the entire program of rehabilitation. Also, the improvement of the occupational situation of a patient will have a positive influence on his social behavior, self-confidence, and emotions. Rehabilitation is a complex process, with the results depending to a very large extent on extremely methodical approaches.     

Respiratory health hazards and lung function in wildland firefighters

The authors discuss the multitude of contaminants to which wildland firefighters are exposed, including carbon monoxide, sulfur dioxide, particulate and silica, polyaromatic hydrocarbons, aldehydes, and benzene. They examine the respiratory effects of these contaminants and then present their recommendations for an occupational health program for wildland firefighters.     

Performance in occupational therapy as a predictor of successful prevocational training

Scores on three subtests of the Minnesota Follow-up Scale (MFS) were related to client outcomes in a prevocational training program in a study of 26 clients who were referred from an adult psychiatric day treatment unit. The results of the study agreed with a prediction that successful performance in occupational therapy in the day treatment unit, as measured by subtest 1, would be significantly related to successful client outcomes. the results regarding predictions for two other subtests were less conclusive because clients received high scores. Age and sex distributions showed that the younger male clients were most likely to be referred for prevocational training. The staff of the prevocational training program accepted the results of the study and also agreed that performance in occupational therapy (in the day treatment unit) should receive greater recognition by staff members as an important indicator of work potential when evaluating clients for referral to a vocational training program. It is planned to continue the use of the MFS in the day treatment unit as an aid for evaluating clients for referral purposes. Scores will continue to be related to client outcomes in the prevocational training program. Further study is also planned concerning the relationship of age and sex and sources to which clients are discharged or referred from the day treatment unit.     

Tests for success in diver training.

46 20–30 yr old male US Navy personnel were tested with measures from 5 physical fitness batteries prior to beginning a rigorous physical and diving training program in order to develop a new model of physical performance. Results show that cardiovascular fitness, muscular endurance, and flexibility were most highly related to finishing the program. Findings highlight the need for a more inclusive conceptual framework for understanding and predicting performance in a wide range of occupational categories. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Resolution: a 15-year-old with spastic quadriplegia and a 60 degree scoliosis should have a posterior spinal fusion with instrumentation. The American Academy for Cerebral Palsy and Developmental Medicine 50th anniversary meeting debate

Functional goals and treatment are the basis for occupational therapy. Following upper extremity amputation patients can benefit significantly from a program that concentrates on setting and achieving functional goals. Few hand therapists have the opportunity to treat a large number of amputees. This case study of treatment of above-elbow amputation discusses the use of an activities of daily living form as an aid to developing and meeting short-term goals in treatment planning.     

The importance of occupational therapy in a social therapeutic program

The author in his present paper attempts to outline some of the more important aspects of, and theoretical and practical problems associated with, the integration of occupational therapy into a large-scale sociotherapeutic program.     

Postexposure prophylaxis after nonoccupational HIV exposure: clinical, ethical, and policy considerations

In the wake of recent breakthroughs in antiviral therapies and Centers for Disease Control and Prevention (CDC) recommendations advocating occupational postexposure prophylaxis (PEP), health care workers are increasingly receiving inquiries about PEP following exposures to the human immunodeficiency virus (HIV) through sex and injection drug use. The probability of HIV transmission by certain sexual or injection drug exposures is of the same order of magnitude as percutaneous occupational exposures for which the CDC recommends PEP. In such cases, if the exposure is sporadic, it seems appropriate to extrapolate from the data on occupational PEP and recommend prophylaxis. However, for individuals with continuing or low-risk exposures, we instead recommend referrals to state-of-the-art risk reduction programs. Clinicians, using local HIV seroprevalence data and their knowledge of transmission probabilities, can help exposed patients make an informed decision regarding PEP. Because of the large number of risky encounters that will not be treated prophylactically, even after significant outreach efforts, public health interventions that emphasize PEP as part of a comprehensive HIV prevention program should be confined to cities with highest HIV prevalences.     

Variable cerebral responses to equally distinct deviance in four auditory dimensions: a mismatch negativity study

This paper uses regression models to investigate the efficacy of the seat belt regulation as well as the circuit training and testing system in reducing traffic related fatalities in Singapore. The effectiveness of alcohol breathalysers was also studied. Results suggest that the seat belt regulation does not have any impact on traffic fatalities. The use of breathalysers was found to be effective in reducing occupant fatalities. The circuit training and testing system, which aims to equip new pools of motorists with appropriate driving or riding skills, was found to be effective in reducing non-occupant fatalities and total fatalities.