Letter to the Editor

PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. 154-154
Author(s):  
Alejandro Hoberman ◽  
Ellen R. Wald
Keyword(s):  
Private Practice ◽  
Occupational Safety ◽  
Clinical Laboratory ◽  
Regulatory Agencies ◽  
Health Administration ◽  
Safety And Health ◽  
Effective Care ◽  
Laboratory Procedures ◽  
The One ◽  
Clinical Laboratory Improvement Amendments

Dr Murray correctly points out that the concerns of office-based pediatricians regarding regulations imposed by the Clinical Laboratory Improvement Amendments (CLIA) and Occupational Safety and Health Administration (OSHA) greatly affect the likely implementation of "new laboratory procedures" within the private practice sector. Although these regulatory agencies, on the one hand, intend to assure quality control when evaluating specimens and on the other hand, safety for patients and employees, they are often perceived as obstacles to effective care.

Office Lab Regulations vs Research

PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. 153-154
Author(s):  
Patrick E. Murray
Keyword(s):  
Private Practice ◽  
Occupational Safety ◽  
Clinical Laboratory ◽  
Medical Center ◽  
Work Place ◽  
Health Administration ◽  
Federal Law ◽  
Laboratory Screening ◽  
Safety And Health ◽  
Excellent Article

As a pediatrician in a private group practice, published reports of new or different office laboratory screening techniques pose some problems for us that may not be readily apparent to hospital-or medical center-based physicians. I would like to use the recent, and I think excellent article by Hoberman et al,1 on a enhanced urinalysis technique as an example to point out these difficulties. I feel certain that all pediatricians in private practice are now aware of the regulation of office laboratories by Federal law under the Clinical Laboratory Improvement Act (CLIA) and the work-place requirements of the Occupational Safety and Health Administration (OSHA).

scholarly journals Pneumoconiosis progression patterns in US coal miner participants of a job transfer programme designed to prevent progression of disease

2020 ◽  
Vol 77 (6) ◽  
pp. 402-406
Author(s):  
Noemi B Hall ◽  
David J Blackley ◽  
Cara N Halldin ◽  
A Scott Laney
Keyword(s):  
Secondary Prevention ◽  
Occupational Safety ◽  
Severe Disease ◽  
Mine Safety ◽  
Health Administration ◽  
Coal Miners ◽  
Safety And Health ◽  
Job Transfer ◽  
Progression Of Disease ◽  
The One

ObjectivesPneumoconiosis prevalence and severity among US coal miners has been increasing for the past 20 years. An examination of the current approaches to primary and secondary prevention efforts is warranted. One method of secondary prevention is the Mine Safety and Health Administration-administered part 90 option programme where US coal miners with radiographic evidence of pneumoconiosis can exercise their right to be placed in a less dusty area of the mine. This study focuses on characterising the progression of disease among US coal miners who participated in the National Institute for Occupational Safety and Health-administered Coal Workers’ Health Surveillance Programme (CWHSP) and exercised their part 90 job transfer option.MethodsChest radiograph classifications of working underground coal miners who exercised their part 90 job transfer option during 1 January 1986 to 21 November 2016 and participated in the CWHSP during 1 January 1981 to 19 March 2019 were analysed.Results513 miners exercised their part 90 option and participated in the CWHSP at least once during this time period. Of the 149 miners with ≥2 radiographs available, 48 (32%) showed progression after exercising part 90 and had more severe disease prior to exercising, compared with miners who did not progress (severity score of 2.8 vs 1.7, p=0.0002).ConclusionThe part 90 job transfer option programme is not routinely used as intended to prevent progression of pneumoconiosis among US coal miners. The one-third of miners who participated in part 90 and continued to progress, exercised their part 90 option at a later stage of disease compared with non-progressors.

The Roles of Government in Protecting and Promoting Occupational and Environmental Health

2017 ◽  
Author(s):  
Gregory R. Wagner ◽  
Emily A. Spieler
Keyword(s):  
Environmental Health ◽  
Environmental Protection Agency ◽  
Occupational Safety ◽  
Mine Safety ◽  
Health Administration ◽  
Safety And Health ◽  
Standards And Regulations ◽  
Regulatory Interventions ◽  
The Government ◽  
The U.S

This chapter discusses the roles of government in promoting occupational and environmental health, with a focus on the U.S. federal government. Governmental interventions, as described here, can range from non-regulatory interventions, such as dissemination of information or generation and communication of information, to establishing regulatory requirements through the promulgation and enforcement of standards and regulations. The chapter describes the U.S. laws and roles of the administrative agencies responsible for occupational and environmental health, including the Occupational Safety and Health Administration, the Mine Safety and Health Administration, and the Environmental Protection Agency. Noting the budgetary and political constraints on these federal agencies, the chapter goes on to discuss briefly the role of the public and the states. The government also plays a role when preventive efforts fail, and the chapter provides a brief summary of programs designed to provide compensation to injured workers.

scholarly journals Thermal Condition and Air Quality Investigation in Commercial Airliner Cabins

2021 ◽  
Vol 13 (13) ◽  
pp. 7047
Author(s):  
Nu Yu ◽  
Yao Zhang ◽  
Mengya Zhang ◽  
Haifeng Li
Keyword(s):  
Air Quality ◽  
Occupational Safety ◽  
Thermal Environment ◽  
Thermal Conditions ◽  
Pressure Change ◽  
Health Administration ◽  
Exposure Limit ◽  
Safety And Health ◽  
The Us ◽  
Carbon Dioxide Co2

Cabin air quality and thermal conditions have a direct impact on passenger and flight crew’s health and comfort. In this study, in-cabin thermal environment and particulate matter (PM) exposures were investigated in four China domestic flights. The mean and standard deviation of the in-cabin carbon dioxide (CO2) concentrations in two tested flights are 1440 ± 111 ppm. The measured maximum in-cabin carbon monoxide (CO) concentration is 1.2 ppm, which is under the US Occupational Safety and Health Administration (OSHA) permissible exposure limit of 10 ppm. The tested relative humidity ranges from 13.8% to 67.0% with an average of 31.7%. The cabin pressure change rates at the end of the climbing stages and the beginning of the descending stages are close to 10 hPa·min−1, which might induce the uncomfortable feeling of passengers and crew members. PM mass concentrations were measured on four flights. The results show that PM concentrations decreased after the aircraft cabin door closed and were affected by severe turbulences. The highest in-cabin PM concentrations were observed in the oldest aircraft with an age of 13.2 years, and the waiting phase in this aircraft generated the highest exposures.

Analysis of workplace compliance measurements of asbestos by the U.S. Occupational Safety and Health Administration (1984–2011)

2015 ◽  
Vol 72 (3) ◽  
pp. 615-629 ◽  
Author(s):  
Dallas M. Cowan ◽  
Thales J. Cheng ◽  
Matthew Ground ◽  
Jennifer Sahmel ◽  
Allysha Varughese ◽  
...  
Keyword(s):  
Occupational Safety ◽  
Occupational Safety And Health ◽  
Health Administration ◽  
Safety And Health ◽  
The U.S
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