Current methods of estimating severity for occupational injuries and illnesses: data from the 1986 Michigan Comprehensive Compensable Injury and Illness Database

National and state estimates of the severity of occupational injuries and illnesses (severity = lost work time = missed work days+restricted work days) have come from the annual Survey of Occupational Injuries and Illnesses (Survey) produced by the U.S. Bureau of Labor Statistics. However, we show that the Survey practice of collecting injury information soon after the accident year reduces substantially the accuracy of missed work day estimates, which constitute 85.3% of the Survey lost work time estimate. To develop an independent estimate of missed work days, the research team created the Michigan Comprehensive Compensable Occupational Injury Database (Michigan Database) by linking state files with injury characteristics to files with workers' compensation information for injuries occurring in 1986. The measure of missed work time (days, weeks, or years) is the cumulative duration of compensation from the "date disability commenced," noted on the first payment form, through follow-up to March 1, 1990. Cumulative missed work time has been calculated or estimated for 72,057 injured workers, more than 97% of the 73,609 Michigan workers with compensable occupational injuries in 1986 identified through the close of the study. Our "best" estimate of missed work days, to follow-up, attributable to both fatal and nonfatal compensable occupational injuries and illnesses is 7,518,784, a figure four times that reported for Michigan by the Survey. When insurance industry data on disbursements are also considered, the estimate of missed work days increases to 8,919,079, a figure 4.75 times that reported by the Survey. When insurance data on reserves for future payments are also considered, the estimate of missed work days increases to 16,103,398, a figure 8.58-fold greater than that obtained for Michigan in the Survey. The Michigan data suggest that the national Survey may have failed to identify almost 373 million of 421 million missed work days in the private sector that have resulted, or will result, from 1986 occupational injuries. The present federal/state system for estimating occupational injury severity by measuring lost work days seriously underestimates the magnitude of the problem. The current policy of obtaining incidence and severity data from the same Survey should be reconsidered. We recommend that national estimates of injury severity be obtained from representative states by using state compensation data and that such estimates be used to evaluate current prevention and rehabilitation strategies. The redesigned occupational safety and health Survey (ROSH Survey) should be revised to permit linkage to compensation data.     

Simulations of Non-linear Spin Dynamics in Spin Polarized Dilute 3He–4He Mixtures

Studies of spin dynamics of highly polarized dilute mixtures of ³He in superfluid ⁴He have been performed by various researchers over the past three decades. One series of experiments performed at Cornell University in the early 1990’s revealed a novel long timescale excitation. We present the numerical solution of the non-linear Leggett spin dynamics equation in one spatial dimension subject to boundary conditions consistent with the Cornell experiments. Experimentally observed phenomena are composed of trains of bursts in the transverse magnetization lasting several seconds. The simulations capture the time evolution of the individual bursts localized in time. Preliminary results of two dimensional simulations are also presented.     

Lime enhanced gasification of solid fuels: Examination of a process for simultaneous hydrogen production and CO2 capture

The lime enhanced gasification (LEGS) process uses CaO as a CO₂ carrier and consists of two coupled reactors: a gasifier in which CO₂ absorption by CaO produces a hydrogen-rich product gas, and a regenerator in which the sorbent is calcined producing a high purity CO₂ gas stream suitable for storage. The LEGS process operates at a pressure of 2.0 MPa and temperatures less than 800 °C and therefore requires a reactive fuel such as brown coal. The brown coal ash and sulfur are purged from the regenerator together with CaO which is replaced by fresh limestone in order to maintain a steady-state CaO carbonation activity (a_ave). Equilibrium calculations show the influence of process conditions and coal sulfur content on the gasifier carbon capture (>95% is possible). Material balance calculations of the core process show that the required solid purge of the sorbent cycle is mainly attributed to the necessary removal of ash and CaSO₄ if the solid purge is used as a pre-calcined feedstock for cement production. The decay in the CaO capture capacity over many calcination–carbonation cycles demands a high sorbent circulation ratio but does not dictate the purge fraction. A thermodynamic analysis of a LEGS-based combined power and cement production process, where the LEGS purge is directly used in the cement industry, results in an electric efficiency of 42% using a state of the art combined cycle.     

Utility of the Bard BTA test in detecting upper urinary tract transitional cell carcinoma

OBJECTIVES: The Bard BTA test has been shown in early studies to be useful in diagnosing transitional cell carcinoma (TCC) of the bladder. However, the utility of this test has not been evaluated for TCC of the upper urinary tract. We therefore evaluated the clinical utility of the BTA test for upper urinary TCC. METHODS: We tested 71 specimens from the ureter and/or renal pelvis in 22 patients with a history or clinical suspicion for TCC and 9 patients with benign disorders. RESULTS: When compared to cytologic diagnoses, BTA had a sensitivity of 65%, a specificity of 40% (when correlated with clinical history), a false-positive rate of 33%, and a false-negative rate of 62%. The test had a positive predictive value of 83% and a negative predictive value of 32%. CONCLUSIONS: The BTA does not have any clinical value in detecting upper urinary tract TCC.     

The computer in literary analysis: UsingTACT with students

TACT, a freeware program from the University of Toronto's Centre for Computing in the Humanities, is a highly sophisticated tool for text retrieval; although written for experienced critics and researchers, it can teach undergraduate students to read literature in new, fresh ways. Without requiring that the user become either a programmer, linguist, mathematician, or statistician,TACT introduces the literature student to the computer as a research tool. Studies of imagery and symbolism, of structural patterns, and of prosody can result from the student's careful tagging of a literary text and can yield significant insights into the work of literature. Students who use the computer as such a tool learn to read literary texts more closely and to think more clearly about literary problems.Mark Hawthorne, Professor of English at James Madison University, has published books on Maria Edgeworth and John and Michael Banim and articles inModern Fiction Studies, Studies in Romanticism, Victorian Poetry, and Modern Language Notes. His research interests include Anglo-Irish literature, computer applications, and postmodern literature.     

An increased concentration of rifampicin bonded to gelatin-sealed Dacron reduces the incidence of subsequent graft infections following a staphylococcal challenge

OBJECTIVE: To evaluate whether patients with coronary artery disease are susceptible to pressure related ventricular arrhythmias, and if so to identify possible risk factors. DESIGN: Interventional study. METHODS: Metaraminol was given to 43 patients undergoing coronary arteriography for ischaemic heart disease to increase their aortic pressure, provided their systolic blood pressure was < 160 mm Hg and they were in sinus rhythm, without any ventricular ectopic activity (or with fewer than six ventricular ectopic beats a minute) during a five minute control period. RESULTS: During the metaraminol infusion, systolic aortic pressure rose from 131 (15) to 199 (12) mm Hg (mean (SD)). Ventricular ectopy appeared (or ventricular ectopic beats increased by > 100%) in 13/43 patients. Ventricular ectopy was not related to age, sex, presence of hypertension, history of myocardial infarction, use of beta blockers, positive exercise test, number of vessels diseased, or heart rate change during metaraminol infusion. There was a strong relation between the appearance of ventricular arrhythmia and segmental wall motion abnormalities: 1/19 (5.3%, 95% confidence interval 0.1% to 26.0%) without abnormality; 2/12 (16.7%, 2.1% to 48.4%) with hypokinesia; and 10/12 (83.3%, 51.6% to 97.1%) with akinesia or dyskinesia, chi 2 = 22.7, p < 0.001). Ejection fraction was also a significant but not independent risk factor. CONCLUSIONS: Patients with segmental wall motion abnormalities are predisposed to ventricular ectopic beats during an increase in systolic aortic pressure. This could be explained by associated electrophysiological inhomogeneity. The presence of mechanical inhomogeneity, as may occur in postinfarction akinesia or dyskinesia, may affect the aortic pressure above which ventricular arrhythmias appear.     

Predicting PAH bioaccumulation and toxicity in earthworms exposed to manufactured gas plant soils with solid-phase microextraction

Soils from former manufactured gas plant (MGP) sites are often heavily contaminated with polycyclic aromatic hydrocarbons (PAHs). Current risk assessment methods that rely on total PAH concentrations likely overstate adverse effects of such soils since bioavailability is ignored. In this study, solid-phase microextraction (SPME) was applied to estimate bioavailable PAH concentrations and toxicity in earthworms exposed to 15 MGP soils. In addition, PAH sorption to all soils (K0o values) was determined. The results showed a several orders of magnitude variation in Koc values, demonstrating that generic organic carbon-normalized sorption coefficients will typically be overconservative at MGP sites. SPME-predicted bioaccumulation generally was within a factor of 10 of measured bioaccumulation (in earthworm bioassays), in contrast to current risk assessment model estimates that overpredicted bioaccumulation 10-10 000 times. Furthermore, on the basis of estimated total body residues of narcotic PAHs, SPME correctly predicted worm mortality observed during bioassays in the majority of cases. For MGP sites where current risk assessment procedures indicate concerns, SPME thus provides a useful tool for performing a refined, site-specific assessment.     

The microindentation hardness behaviour of carbon filaments,glassy carbons,and pyrolytic graphites

The microindentation hardness behaviour of carbon filaments has been studied by indenting a Vickers diamond into the sides and end-sections of a range of large, pitch-based, filaments. Identical impressions were obtained on filament sides regardless of prior coating with Au/Pd alloy because of the existence of ordered outer regions on all filaments. Because of this fact and the necessary limiting of loads to <100 g, “unrecovered” hardnesses only were obtained. Similar ordered layers and anomalous indentation behaviour were found on glassy carbons and the general microindentation characteristics of carbon filaments are much closer to those of glassy carbons than pyrolytic graphites. Both the side-measured and the somewhat higher end-section-measured hardnesses of filaments heat-treated to ~2700°C decrease considerably with increasing filament anisotropy. It is suggested that this diminishing resistance to indenter penetration results from a decreasing lateral coupling between microfibrils as the filaments become more structurally ordered. Calculations of yield strengths from the measured hardnesses indicate that while the Marsh microplastic concept of fracture may have some validity for carbon filament compression failures it may not be relevant to tensile fracture behaviour of oriented filaments.