scholarly journals A Drowned Diver – Four Expert Witness Opinions – Who is Right?

2021 ◽  
Vol 9 (C) ◽  
pp. 52-54
Author(s):  
Hrvoje Lalić
Keyword(s):  
Occupational Medicine ◽  
Adriatic Sea ◽  
Expert Witness ◽  
Health And Safety ◽  
Case Presentation ◽  
Medicine Department ◽  
The Third ◽  
Training Courses ◽  
Healthy Athlete ◽  
Special Working

BACKGROUND: The paper describes the case of a drowned diver in the Adriatic Sea near Pula, Croatia. CASE PRESENTATION: The deceased diver had not been trained at any Health and Safety at Work programs nor had he been examined by the occupational medicine (OM) specialist. The pathologist in Pula concluded that this accident was caused by drowning and that diver’s blood was saturated with 38% carboxyhemoglobin (COHb). The second pathologist in Zagreb concluded that the diver drowned due to atherosclerosis sickness but that COHb was not present in his blood. The third expert witness from Forensics in Rijeka evaluated that the diver died due to increased exertion while diving, due to atherosclerosis and weakened heart. The fourth, the OM specialist expert witness from Rijeka, explained that the diver was a healthy athlete who died due to faulty diving equipment. CONCLUSION: Persons who work under the special working conditions should be examined at an Occupational medicine department as well as trained for work in a safe way. Periodical examinations and permanent training courses should be provided. That way the risk of fatal accidents would be reduced to a minimum.

scholarly journals USEFULNESS OF GASTRIC SUBMUCOSAL DISSECTION DEPTH TO EVALUATE SKILL ACQUIREMENT IN SHORT TERM TRAINING COURSES IN ESD: AN EXPERIMENTAL STUDY

2018 ◽  
Vol 55 (3) ◽  
pp. 221-229 ◽  
Author(s):  
Kendi YAMAZAKI ◽  
Eduardo Guimarães Hourneaux de MOURA ◽  
Mariana Matera VERAS ◽  
Luiz Henrique MESTIERI ◽  
Paulo SAKAI
Keyword(s):  
Experimental Study ◽  
Adverse Events ◽  
Learning Curve ◽  
Intraoperative Complications ◽  
Gastric Body ◽  
Short Term ◽  
Roc Curve Analysis ◽  
The Third ◽  
Submucosal Dissection ◽  
Training Courses

ABSTRACT BACKGROUND: Endoscopic submucosal dissection (ESD) is a complex endoscopic procedure, with high rates of adverse events and technical difficulties. To overcome that problem, many training centers published the importance of animal models for skill acquirement in ESD. However, no study has used the submucosal dissection depth (DSUB) as a parameter to evaluate the learning curve in ESD, which might be a relevant factor since an optimal resection plane is important to achieve a curative resection and avoid intraoperative complications. OBJECTIVE: This study aimed to assess ESD skill acquirement after short-term training sessions by evaluating the submucosal dissection depth (DSUB) and the association with adverse events. METHODS: This experimental study included 25 experienced endoscopists in therapeuthic procedures (>5years) and 75 specimens resected by ESD (three resections / endoscopist). Learning parameters (resection time, size, en bloc resection rate, bleeding, perforation and submucosal dissection depth) were prospectively evaluated. The percentages of DSUB of all specimens resected were calculated. RESULTS: All specimens were resected from the gastric body (n=75). The mean size of the resected specimens was 23.97±7.2 mm. The number of adverse events, including bleeding, perforation, and death, were 17 (22.67%), 3 (4%), and 0 cases, respectively. The average mean time by the third dissection decreased from 28.44±9.73 to 18.72±8.81 min (P<0.001). The proportion of DSUB in the bleeding and non-bleeding group were respectively 37.97%±21.13% and 68.66%±23.99%, indicating a significant association between DSUB and bleeding incidence (P<0.001). The ROC curve analysis indicated a cut-off point of 61% (sensitivity, 64%; specificity, 94%) of submucosal dissection depth associated with bleeding. Therefore, when ESD was performed at a depth of >61% of the submucosal layer, the risk for bleeding during the procedure decreased (PPV, 0.97; 95% CI, 0.85-0.99). CONCLUSION: Improvement in the learning curve in ESD and a better cognitive ability were seen by the third dissection in these short term training courses. And a significant association between DSUB and the risk of bleeding.

scholarly journals Case report: a 5-year-old with new onset nephrotic syndrome in the setting of COVID-19 infection

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kelsi M. Morgan ◽  
Peace D. Imani
Keyword(s):  
Nephrotic Syndrome ◽  
Case Report ◽  
Pediatric Patient ◽  
Corticosteroid Therapy ◽  
Clinical Remission ◽  
Laboratory Findings ◽  
Case Presentation ◽  
The Third ◽  
First Case ◽  
New Onset

Abstract Background This is a case report of an asymptomatic SARS-CoV-2 infection associated with new-onset nephrotic syndrome in a pediatric patient. This is the third case of new-onset nephrotic syndrome in children associated with SARS-CoV-2 infection, but is the first case report describing a new-onset nephrotic syndrome presentation in a patient who had asymptomatic COVID-19 infection. Case presentation This is a case of a previously healthy 5 year old female who presented with new-onset nephrotic syndrome in the setting of an asymptomatic COVID-19 infection. She presented with progressive edema, and laboratory findings were significant for proteinuria and hypercholesterolemia. She was treated with albumin, diuretics, and corticosteroid therapy, and achieved clinical remission of her nephrotic syndrome within 3 weeks of treatment. Though she was at risk of hypercoagulability due to her COVID-19 infection and nephrotic syndrome, she was not treated with anticoagulation, and did not develop any thrombotic events. Conclusions Our case report indicates that SARS-CoV-2 infection could be a trigger for nephrotic syndrome, even in the absence of overt COVID-19 symptoms.

scholarly journals Message

2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Jen Fuk Liem
Keyword(s):  
Occupational Health ◽  
Occupational Medicine ◽  
Traffic Accidents ◽  
Occupational Injuries ◽  
Health And Safety ◽  
Occupational Health And Safety ◽  
The Philippines ◽  
Health Science ◽  
Special Issue ◽  
Potential Biomarker

It gives me great pleasure and enthusiasm to welcome you to the special issue of Acta Medica Philippina - Workplace and Environment Safety and Health Issue. The occupational medicine and occupational health and safety activities primarily focusing on preventing diseases, injuries, and deaths due to working conditions. While exposure to harmful substances and or activities can happen at any time, I believe there are always some measures to ensure that no one has to suffer a work-related injury or illness because of their job. In this special issue, we published several articles including papers from the 13th Indonesia Occupational Medicine Updates, covering research on important aspects of occupational health and safety in the Philippines and Indonesia. The impacts of psychosocial hazards and shift work, the potential biomarker of effect on cardiovascular risk, pesticide exposure among farmers; and key statistics and trends in occupational injuries and traffic accidents in the Philippines are featured in this issue. I sincerely hope this work will be of interest to our readers and meet the real needs of the scientific community, stimulates thought, and eventually open up new research ideas. Finally, as special editor of this special issue, I would like to thank the authors who have worked very hard to prepare and revise the articles and to all reviewers for their careful reviews, and for providing valuable and constructive comments.   Jen Fuk Liem, MD Department of Occupational Health and Safety Faculty of Medicine and Health Science Universitas Kristen Krida Wacana Jakarta, Indonesia

scholarly journals Unfit for Work, Fit for Firearm or driving license - Is that Possible?

2019 ◽  
Vol 7 (17) ◽  
pp. 2864-2867
Author(s):  
Hrvoje Lalić
Keyword(s):  
Psychiatric Disorders ◽  
Occupational Medicine ◽  
Case Reports ◽  
Work Capacity ◽  
Chronic Alcoholic ◽  
Driving License ◽  
The Third ◽  
Life Threatening ◽  
Car Driving ◽  
Single Worker

BACKGROUND: Psychiatric disorders are not compatible with carrying firearms or with driving a car. Persons with such disorders are often not employed and are persistent in demanding invalidity pensions, but some of them also insist on holding on to the mentioned licenses. In such cases, where persons are already in possession of firearms and driving licences, it never occurs to them, that they should surrender their permits back. AIM Pointing to the importance of OM controlling firearm/car driving licenses. CASE REPORTS: This paper discusses the problem of three cases that should be widely recognised as it is potentially life-threatening to other people. The first is the case of a war veteran in retirement with PTSD that had his application for firearms licence rejected by the authorities. The second is the case of a labourer who suffers from a depressive disorder, temporarily incapable of work. The third is the case of a war veteran, a chronic alcoholic with toxic epilepsy, who is applying for invalidity retirement but wants to keep his driving license. CONCLUSION: Occupational medicine assess every single worker by applying advanced methods and psycho tests that enable a thorough assessment of work capacity and fitness for carriage of firearms, driving as well as the assessment of psychiatric disorders, which are the most delicate to assess.

Beyond Reputation: Debate on the Role of Corporate Influence in Occupational and Environmental Medicine

2008 ◽  
Vol 18 (3) ◽  
pp. 317-324 ◽  
Author(s):  
Susanna Rankin Bohme ◽  
David Egilman
Keyword(s):  
Environmental Medicine ◽  
Occupational Medicine ◽  
Health And Safety ◽  
Corporate Influence ◽  
Family Medical Leave Act ◽  
History Of ◽  
Historical Role ◽  
Family Medical Leave ◽  
Occupational And Environmental Medicine

In his article in this issue, Tee Guidotti casts recent works addressing corporate influence on occupational medicine as “collective act[s] of disparagement … undertaken … for political reasons.” We move beyond the question of reputation to address key conflicts in the history of occupational medicine, including the American Occupational Medical Association's historical role in weakening the beryllium standard and the American College of Occupational and Environmental Medicine's recent efforts to limit the extent of the Family Medical Leave Act. The corporate practice of externalizing health and safety costs makes industry influence an important ongoing topic of debate in occupational and environmental medicine.

The Lessons of Human Resource in The Theory of Constraints

2019 ◽  
pp. 121-135
Author(s):  
Brian J. Galli
Keyword(s):  
Resource Management ◽  
Human Resource Management ◽  
Human Resource ◽  
Labor Relations ◽  
Health And Safety ◽  
Theory Of Constraints ◽  
The Third ◽  
Fairness Concerns

This article describes how human resource management is a field encompassing the interactions between people working within an organization. This area incorporates the process of acquiring, training, appraising, and compensating employees as well as attending to their labor relations, health and safety, and fairness concerns. In this article, the roles of human resource management and how they impact the overall business are discussed in three sections. The first section uses Eli Goldratt's The Goal as a template to discuss the functions of human resource. The second section discusses how technology impacts human resource management. Lastly, the third section discusses human resource management's ability to create continuous improvements and increase overall quality.

Fifty years ago: ‘The scope of occupational medicine in a university health service’

2020 ◽  
pp. 202-203
Author(s):  
Anthony Ryle
Keyword(s):  
Health Service ◽  
Physical Health ◽  
Occupational Medicine ◽  
Potential Role ◽  
Health And Safety ◽  
Academic Achievements ◽  
The Past ◽  
Selection Of

This series provides a selection of articles from the past. In Fifty years ago: The scope of occupational medicine in a university health service Anthony Ryle briefly explores the potential role of a University Health Service in relation to students’ academic achievements and failures, rather than their physical health and safety.

The Lessons of Human Resource in The Theory of Constraints

2018 ◽  
Vol 8 (1) ◽  
pp. 13-27 ◽  
Author(s):  
Brian J. Galli
Keyword(s):  
Resource Management ◽  
Human Resource Management ◽  
Human Resource ◽  
Labor Relations ◽  
Health And Safety ◽  
Theory Of Constraints ◽  
The Third ◽  
Fairness Concerns

This article describes how human resource management is a field encompassing the interactions between people working within an organization. This area incorporates the process of acquiring, training, appraising, and compensating employees as well as attending to their labor relations, health and safety, and fairness concerns. In this article, the roles of human resource management and how they impact the overall business are discussed in three sections. The first section uses Eli Goldratt's The Goal as a template to discuss the functions of human resource. The second section discusses how technology impacts human resource management. Lastly, the third section discusses human resource management's ability to create continuous improvements and increase overall quality.

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