Excessive noise levels are generally acknowledged to have adverse effects on our environment. Studies indicate that excessive noise levels can cause fatigue in exposed individuals, lower efficiency and productivity, impaired speech communication, and hearing loss. Excessive noise is almost everywhere today - in the office, in schools, hospitals and other institutional facilities, in all classes of public buildings, and in our factories. INDUSTRIAL NOISE High noise levels in factories can make speech communication in the plant difficult and at times impossible. Foremen are often unable to hear warning shouts from co-workers. The problem of hearing loss due to excessive noise exposure is of particular concern to industry, and to the federal government. In the early 1970s, the United States Congress passed the Occupational Safety and Health Act (OSHA) which sets criteria for health hazards and established limits for noise exposure of industrial workers. The OSHA Noise Standard was amended in 1982 to require audiometric testing of all employees exposed to noise levels of 85 dB or above for eight hours. A NOISE IN COMMERCIAL AND INSTITUTIONAL BUILDINGS While noise levels in offices, stores, schools, and other commercial and institutional buildings seldom reach those encountered in many industrial environments, they often reach levels which are distracting to the occupants of such buildings. Impairment of speech communica tion among workers, or inversely the lack of speech privacy, are both deterrents to effiCiency and productivity and are detrimental to the occupants' comfort and sense of well-being."

Die Verantwortung von Vorgesetzten erstreckt sich nicht zuletzt auf das Wohlbefinden der Mitarbeiter. Wer aber kummert sich um ihre eigene Gesundheit? Was sind die wichtigsten Beanspruchungen, was die Ressourcen von Fuhrungskraften? Wie schatzen sie selbst ihre Gesundheit ein? Zu welchem Ergebnis kommt dagegen ein Check-Up beim Praventivmediziner? Die in diesem Buch dargestellten Untersuchungsergebnisse beantworten alle diese Fragen ausfuhrlich. Die Befragung der Fuhrungskrafte hat unter anderem auch ergeben, dass die allgemeinen Beanspruchungen in den letzten funf Jahren im Durchschnitt gestiegen sind. Deswegen und in Anbetracht der demografischen Entwicklung sind sowohl ein durchdachtes individuelles wie ein umfassendes betriebliches Gesundheitsmanagement unerlasslich.

This book focuses on the study of chemical dust suppression in mine dust pollution control by means of theories, experiments, computer simulation, and case application, aiming at providing chemical dust suppression solutions for mining worksites. It has seven chapters, including the following contents: (1) introduces fundamental theories and applications of chemical dust suppression, analyzes the dust source intensity of worksites and the mechanisms of dust generation, and summarizes the dust control measures for different mining worksites. (2) According to the mechanisms of dust generation in different mining worksites, targeted dust suppressants were developed. Through optimization by monomer experiment and orthogonal experiment, the optimum formula of different types of dust suppressants was obtained, and its properties were characterized. (3) The dust suppressant field application process was introduced, and the economic benefits were analyzed. This book is expected to provide valuable references both for researchers and engineering technicians engaged in environmental engineering, safety engineering, occupational health, and mining metallurgical engineering, and it also serves as a textbook for graduate students in above disciplines.

As part of its programme for the prevention of health hazards caused by industrial work substances, the Berufsgenossenschaft der Chemischen Industrie began in 1977 to investigate the toxicity of those existing substances which are in widespread use, have many different applica tions and are suspected of being possibly dangerous to health, in particular of having long-term effects on health. It is hoped by means of this testing to close gaps in our knowledge and to increase the scientific validity of the required risk assessments. The results of the toxicological investigations carried out by the Berufsgenossenschaft der Chemischen Industrie, and the resulting substance assess ments have been published in West Germany since 1987 in the form of "Toxicological Evaluations". In order to make this useful information internationally available, the "Toxicological Evaluations" are now being published in English. This first volume contains individual evaluations of 21 substances. The publication of further individual evaluations and, if necessary, reassessments of previously published evaluations is planned.

"HOLD THOU THE GOOD: DEFINE IT WELL ... " The quotation above from Tennyson, is apt when describing the purpose and achievement of this book. The author is dedicated to his subject-personal health in industry: his research covers practical experience in the U.K. and other lands. In non-technical language the book records many of the causes of ill-health and throws light upon the physical and mental stress with which men and women at work have to contend. Dr. Ffrench's observations and conclusions should be of consider able value to employers of labour and of interest to all concerned in the welfare of people engaged in earning a living. HAROLD COOPER Alfred H. Cooper & Sons Ltd Vll Preface This book has been prepared so that readers may appreciate the significant change in attitudes which has taken place over the past twenty-five years towards the care of the health of people at work."

In a clear and accessible presentation, Occupational Physiology focuses on important issues in the modern working world. Exploring major public health problems-such as musculoskeletal disorders and stress-this book explains connections between work, well-being, and health based on up-to-date research in the field. It provides useful methods for risk assessment and guidelines on arranging a good working life from the perspective of the working individual, the company, and society as a whole.

The book focuses on common, stressful situations in different professions. Reviewing bodily demands and reactions in eight selected common, but contrasting job types, the book explains relevant physiology in a novel way. Rather than being structured according to organs in the body, the book accepts the complex physiology of typical jobs and uses this as an entry. In addition to physiological facts, the book discusses risk factors for disorders and gives ideas on how to organize and design work and tasks so as to optimize health, work ability, and productivity.

Although many books cover physiology, they are based on a traditional anatomical structure (e.g., addressing the physiology of the cardiovascular system, the gastrointestinal system, and so forth) and require readers to synthesize this knowledge into real-life complex applications. Occupational Physiology is, instead, structured around a number of typical jobs and explains their physiologies, as complex as they may be. This approach, while still presenting the physiology needed to understand occupational life, demonstrates how to use this information in situations encountered in practice.

In 2000 OpdenKamp Registration & Notification organized a two-day symposium in The Hague, The Netherlands, on The Practical Applicability of Toxicokinetic Models in the Risk Assessment of Chemicals'. Several speakers from Europe and the United States were invited to present the different aspects. A vast range of areas was discussed in relation to toxicological modeling and risk assessment, such as occupational toxicology and biomonitoring, exposure to organic solvents and crop protection products, dose-response relations in carcinogenicity, regulatory toxicology, estimation of dermal penetration, uptake and disposition of organic chemicals in fish, the possibilities of in vitro methods in hazard and risk assessment, and the extrapolation between animal and human species. Based on their presentations, the speakers prepared comprehensive papers for this symposium book, reflecting the state of the art of modeling and toxicological risk assessment at the beginning of the third millennium.

This is an essential portable handbook on bioterrorism and disaster medicine. Its practical and comprehensive text features chapters pertinent to bioterrorism, infectious disease, microbiology, virology, public health, epidemiology, and disaster medicine. It will serve as a practical guide for situation-specific disasters; recognize what injuries or illnesses to expect; provide proactive guidelines to define specific diseases; and give a guide of appropriate personnel protective equipment during these large-scale emergencies. It is an essential companion to those either interested or currently working in any of the aforementioned fields.

We are most fortunate to be housed in an institution that embraces risk taking and innovation in education. Part of the joy of working at McMaster University is the sense that you will be supported in your efforts to develop new ways of facilitating learning even if these are not always successful. We are privileged to work with a group of exceptional colleagues who embrace - novation and strive for ongoing excellence in education. Their commitment and - thusiasm emerges through the reading of the chapters. Patricia Solomon Sue Baptiste Hamilton,Ontario December,2004 Contents VII Contents Chapter 1 Skills for the Rehabilitation Professional of the Future Patricia Solomon, Sue Baptiste New Skills for the Changing Practice Context . . . . . . . . . . . . . . . 2 Self-directed and Lifelong Learning Skills . . . . . . . . . . . . . . . . 3 Evidence-based Practice Skills . . . . . . . . . . . . . . . . . . . . . . 4 Consultation Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Communication Skills . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Professionalism and Ethical Decision Making . . . . . . . . . . . . . . . 6 Barriers to Implementing Innovative Curricula . . . . . . . . . . . . . . 7 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Chapter 2 Curriculum Development and Design Sue Baptiste, Patricia Solomon The Pedagogical Framework: Problem-based Learning . . . . . . . . . . 12 Approaching the Task of Curriculum Renewal . . . . . . . . . . . . . . . 13 Where to Begin? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Designing Our New Programs . . . . . . . . . . . . . . . . . . . . . . . 16 Redevelopment Within a Problem-based Learning Culture . . . . . . . . 18 Integration of Experiential Practice Preparation Within a Problem-based Learning Framework . . . . . . . . . . . . . . . 18 Evaluation Within a Graduate Problem-based Learning Framework . . . . 19 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 VIII Contents Chapter 3 Strategies for Integrating Basic Sciences in Curriculum Hallie Groves Basic Sciences in an Integrated Curriculum: What to Learn? . . . . . . . 24 Strategies for Integrating Basic Sciences into Innovative Curricula . . . . 25 Selecting Learning Resources . . . . . . . . . . . . . . . . . . . . . . . .

The topic of skin aging is of growing importance to all working in the field of dermatology, aesthetic medicine and cosmetic medicine. Two internationally well-known and leading experts in the field present a comprehensive state-of-the-art review on all aspects of skin aging.

With its clear, concise and reader-friendly format this book has all the potential to become the Bible of skin aging. Every specialist interested in dermatology, aesthetic medicine, cosmetic science, cutaneous biology and aging research will find indispensable information of great value for his or her daily work.

Every person on the planet is entangled in a web of ecological relationships that link farms and factories with human consumers. Our lives depend on these relationships -- and are imperiled by them as well. Nowhere is this truer than on the Japanese archipelago. During the nineteenth century, Japan saw the rise of Homo sapiens industrialis, a new breed of human transformed by an engineered, industrialized, and poisonous environment. Toxins moved freely from mines, factory sites, and rice paddies into human bodies. Toxic Archipelago explores how toxic pollution works its way into porous human bodies and brings unimaginable pain to some of them. Brett Walker examines startling case studies of industrial toxins that know no boundaries: deaths from insecticide contaminations; poisonings from copper, zinc, and lead mining; congenital deformities from methylmercury factory effluents; and lung diseases from sulfur dioxide and asbestos. This powerful, probing book demonstrates how the Japanese archipelago has become industrialized over the last two hundred years -- and how people and the environment have suffered as a consequence.

Zahlen, Daten, Analysen aus allen Branchen der Wirtschaft Der jahrlich als Buch erscheinende Fehlzeiten-Report informiert umfassend uber Strukturen und Entwicklungen des Krankenstandes von Beschaftigten der deutschen Wirtschaft und beleuchtet dabei einzelne Branchen detailliert. Der diesjahrige Schwerpunkt liegt auf der Unternehmensverantwortung bezuglich ihrer oekonomischen, oekologischen und sozialen Rolle fur die Gesellschaft in einer von tiefgreifenden Krisen und Transformationsprozessen gepragten Zeit. Der Fehlzeiten-Report 2022 eroertert wissenschaftlich fundiert u. a. die Notwendigkeit einer multiplen, ebenenubergreifenden Verantwortungsubernahme die Bedeutung von Nachhaltigkeitsmanagement fur Unternehmen wie gesellschaftlich verantwortungsvolles Handeln mit der Arbeitszufriedenheit und der Gesundheit der Beschaftigten in Zeiten mobiler und hybrider Arbeit zusammenhangt was es bedeutet, wenn "Gesundheit" in den unternehmerischen Wertekanon aufgenommen und in unternehmerische Prozesse und Ablaufe integriert wird welchen Nutzen und welches Potenzial das Thema Verantwortung fur das Betriebliche Gesundheitsmanagement birgt In gewohnter Qualitat liefert die Rubrik Daten und Analysen daruber hinaus Informationen fur alle, die Verantwortung fur den Arbeits- und Gesundheitsschutz in Unternehmen tragen.

Due to changes in modern life, occupational dermatoses are increasing. This completely revised and comprehensive edition provides the concise information needed in dealing with patients in the field of occupational dermatology. It combines a highly practical approach to occupational dermatology with the skills and research experience of specialists in clinical and experimental dermatology. The spectrum of diseases covered in this book includes: allergic and irritant dermatitis; contact urticaria; photodermatoses; infectious diseases; skin tumors; systematic reactions due to percutaneous absorption; predisposed diseases and occupational skin problems. The information urgently needed for daily patient management is provided as quick reference through concise tables, algorithms, and figures on how to optimise the diagnostic procedures for high-quality care. This book will prove of great interest to all who are involved in treating patients with occupational skin diseases.

Address to the Conference on Employee Mental Wellness by Walter B. Wriston, Chairman, Citicorp The mental well-being of employees is a subject of fundamental importance to each of us, our companies, our professions, and the nation. Both the Washington Business Group on Health and Boston University's Center for Industry and Health Care should be commended for the timely initiative this conference represents. I hope it will be come an ongoing effort to improve the mental health services to the nation's private sector workers and their dependents. I have had a deep interest in the delivery of health care for a long time, both from the perspective of a major employer and from my participation in the governance of New York Hospital-Cornell Medical Center. It has also been my privilege to chair the Business Round table's Task Force on Health and to serve on the President's Labor Management Committee which, among other things, has been working on heaith care problems. This experience obviously does not give me any claim to special expertise on the issue of mental health. It may prove helpful, however, as we work together formulating our thoughts about the nation's health system, the role of industry, and where the mental health issue fits into the picture."

It is a pleasure to introduce this special volume of the Industry and Health Care Series. It is special for the best of reasons: it is primarily written by industry representatives. Using the Washing ton Business Group on Health 1978 Annual Meeting as its starting point, this volume captures the feelings, concerns, and experience of many who are leading industry's increasingly significant presence in health policy and economics. While many of the largest companies achieve more sophisticated levels of involvement, the fact remains that most companies of all sizes and especially the smaller businesses either will not or cannot devote the time or resources to become active participants. We hope this volume will help demonstrate the value of even one person's commit ment. Although our organizational focus is Washington, the WBGH rec ognizes that, in the long run, the quality and cost of the health care most Americans receive will be-and should be-determined at the local level. To let this happen without industry involvement would represent an abdication of both responsibility and opportunity. Fortunately, we see a growth of industry involvement, growth not just in terms of numbers but also in terms of the scope of activities. * Recognizing that the key to changing provider behavior is to change the economic incentives, emanating from the major payers, em- vi Preface ployers are subjecting their employee benefit plans to the most com plete scrutiny in many years.

This fifth issue in the Industry and Health Care series takes a quick turn through unpredictable and only partially charted waters. The series as a whole has set out to explore the role of industry as a potential agent of change in the health care system, and to map the courses that may lead toward control of costs. One that looks possible is the effort now being made to infuse some competition into the health care industry through organized systems of care, known as HMOs. Health maintenance organizations, especially the fee-for-service variety known as IPAs (individual practice associations), have been a particular inter est of the Center for Industry and Health Care, where a national data base 'on IP A performance is being established with the aid of the Robert Wood Johnson Foundation. The Center's identity with HMOs, combined with its focus on industry and health care, has afforded us unusual access to nascent corporate thinking on the pros and cons of HMO sponsorship. We are grateful for these opportunities, and for the insights industry people have shared with us. This series draws heavily on that experience."

Close followers of the evolution of the Series on Industry and Health Care will recognize in this fourth volume some continuity and some change. The essential concept behind the series remains: here, as before, we are looking to private industry as a potential agent of change in the American health care delivery system. We have made some structural accommodations, however, to comments received from readers in industry and in health services. The original concept of a topical monograph supplemented by a separate hardbound volume of background papers has yielded to the present formula in which each volume is complete in itself. The series continues to draw much of its material from interdisciplinary working conferences convened by the Bos ton University Center for Industry and Health Care. Rather than publish confer ence proceedings, we have again undertaken to analyze the discussions and to integrate with them some timely background materials. Readers have found this format a major improvement over traditional conference reports and sum maries."

The Springer Series on Industry and Health Care is intended to character ize present and future ways in which industry can influence the nation's health care system in the direction of greater efficiency and effectiveness. Its potential audience includes nearly everyone interested in health care because the sys tem's future configuration is now being influenced by corporate health pro grams and the involvement of individual corporate leaders in health affairs. The first volume of the Springer Series provided a broad background on industry as a payer, provider, and consumer of health services. Unlike volumes planned for the future, it did not single out any particular aspect of corporate activity in health but rather identified and catalogued the many new involve ments of industry, both management and labor, in the health care scene. This, the second volume in the series, is designed to complement the first and to complete the process of laying the groundwork for the series as a whole. Volume two covers the same vista as volume one, but paints with a broader brush. It seemed to us, as editors of the series and authors of volume one, that the academic and somewhat distant overview we provided could be rounded out in a second volume by someone with a more immediate and practical perspective on industry's involvement in health care."

With this first monograph, Springer-Verlag launches an unusual publishing venture. The purpose of the Springer Series on Industry and Health Care is to explore in depth the current and potential future role of industry both management and labor in all private sector enterprises-as a financer of health care benefits, as a provider of health care services, and as an extremely influential "consumer" of health care. The assumption behind the series is that private industry has the capabil ity, as an alternative to increased government intervention, to effect major change in the health care delivery system and is beginning to show evidence of exercising that influence. The subject matter covered by the series crosses boundaries between disciplines and specialities-occupational medicine, medical care, public health, economics, business administration, law, public policy, medical sociology-and arises in disparate arenas-labor-manage ment relations, corporate negotiations with insurance carriers, physician patient interactions, public policy, and politics. The Springer Series will draw much of its material from interdisciplinary working conferences, will analyze and synthesize the discussions, add timely background material, and be published within no more than six months of the conferences on which they build. The series will consist of four monographs a year and two volumes of background papers."

The European School of Oncology came into existence to respond to a need for information, education and training in the field of the diagnosis and treatment of cancer. There are two main reasons why such an initiative was considered necessary. Firstly, the teaching of oncology requires a rigorously multidisciplinary approach which is difficult for the Universities to put into practice since their system is mainly disciplinary orientated. Secondly, the rate of technological development that impinges on the diagnosis and treatment of cancer has been so rapid that it is not an easy task for medical faculties to adapt their curricula flexibly. With its residential courses for organ pathologies and the seminars on new techniques (laser, monoclonal antibodies, imaging techniques etc.) or on the principal therapeutic controversies (conservative or mutilating surgery, primary or adjuvant chemotherapy, radiotherapy alone or integrated), it is the ambition of the European School of Oncology to fill a cultural and scientific gap and, thereby, create a bridge between the University and Industry and between these two and daily medical practice. One of the more recent initiatives of ESO has been the institution of permanent study groups, also called task forces, where a limited number of leading experts are invited to meet once a year with the aim of defining the state of the art and possibly reaching a consensus on future developments in specific fields of oncology.

Praise for Previous Editions: "This splendid book [...]is authoritative, well written, and ably edited." - Occupational & Environmental Medicine "The book provides a logical, structured exposition of a diverse multidisciplinary speciality, employing a language and format designed to educate the novice student and seasoned practitioner alike - a vital contribution to the field." - New England Journal of Medicine Occupational and environmental contributions to the occurrence of disease and injury represent a core component of public health and health care. Factors in the workplace and the ambient environment have significant impacts on individual and community health. Occupational and Environmental Health is a comprehensive, practical textbook for understanding how work and environment influence individual and population health. Comprising 40 chapters written by national and international experts, this book combines theory and practical insights to help readers effectively recognize and prevent occupational and environmental disease and injury.

"Why I Became an Occupational Physician" and Other Occupational Health Stories brings together an edited collection of the short articles published in the journal Occupational Medicine between 2002 and 2018. The articles originally appeared as 'fillers', commissioned to literally 'fill' the blank spaces at the end of the main scientific papers, but they soon became a feature in their own right. Written by doctors working in occupational medicine and health, the fillers began as a series of pieces exploring the varied and often surprising reasons why the individuals chose to pursue this unique speciality, whether it was a natural career move, triggered by a specific event, or stumbled upon by chance. Over time the articles became much broader in their scope and the journal began to attract pieces from some brilliant writers: Mike Gibson, John Challenor, Nerys Williams, and of course the superlative Anthony Seaton, amongst many others. Each article offers something different: a peek into history, a humorous adventure, a quiet musing, or a thought-provoking observation, but all are tied together under the umbrella of occupational medicine, a speciality that is often little known or understood in the wider world of medicine. This book brings together over 15 years' worth of fascinating and diverse articles into one volume for the first time, giving a rare insight into the world of the occupational physician.

This volume discusses the effects of indoor air environment and pollution in modern buildings on human health. Highlighting epidemiological studies and the determining factors, it offers proposals for improving indoor air quality (IAQ) in different environments. Focusing not only on homes and offices, but also vehicles and aircrafts, it details practical methods of measuring and assessing indoor air quality. Written by pioneering researchers, Indoor Environmental Quality and Health Risk toward Healthier Environment for All is a valuable resource for both new and established researchers as well as students seeking a comprehensive overview of the facts on indoor air quality and health. Also is also of interest to hygiene experts in industry, occupational health and safety professionals, governmental public health sectors and school physicians.