Work has never been as safe as it seems today. Safety has also never been as bureaucratized as it is today. Over the past two decades, the number of safety rules and statutes has exploded, and organizations themselves are creating ever more internal compliance requirements. At the same time, progress on safety has slowed to a crawl. Many incident- and injury rates have flatlined. Worse, excellent safety performance on low-consequence events tends to increase the risk of fatalities and disasters. Bureaucracy and compliance now seem less about managing the safety of the workers we are responsible for, and more about managing the liability of the people they work for. We make workers do a lot that does nothing to improve their success locally. Paradoxically, such tightening of safety bureaucracy robs us of exactly the source of human insight, creativity and resilience that can tell us how success is actually created, and where the next accident may well happen. It is time for Safety Anarchists: people who trust people more than process, who rely on horizontally coordinating experiences and innovations, who push back against petty rules and coercive compliance, and who help recover the dignity and expertise of human work.

Dance Medicine in Practice is the complete physical textbook for dance, written specifically to help dancers understand the anatomy, function and care of their bodies. Specific chapters are devoted to focusing on the spine, pelvis, hips, knees, feet, shoulders and arms. Each of these covers the following key aspects: Anatomy: bone structure, musculature, and function. How each part of the body moves and how it responds under pressure Pitfalls: Common examples of bad practice and the effect that these can have on the body Self Analysis: How to become aware of and muscle groups and the capacity of each joint. Injury Prevention: Tips and advice on how to best avoid and prevent injury both in training and everyday life Exercises: Simple and effective methods of strengthening, mobilising and relaxing joints and muscles Checklists: Dos and Don'ts for the best dance technique. The best dancers know that looking after their bodies is the key to their success, and Dance Medicine in Practice also covers how to ensure the best possible nutrition, plan and manage training schedules, and ensure that injuries are kept to a minimum both in frequency and impact. It is the best possible companion to a life in dance.

Politics of Occupation-Centred Practice addresses the cultural aspects of occupational identity and draws out the implications for practice, moving beyond the clinical environment to include the occupational therapist's work in the wider community.

It explores the development of individual occupational narratives, community traditions and their roots in everyday experiences, offering a range of examples from distinctive populations to demonstrate approaches to forming sustainable occupational engagements. Chapters span such key areas as 'Experiences of Disaster', 'Social Inclusion', 'Disability and Participation', and 'Sexuality, Disability Cultures and Occupation'.

This cutting edge text, coordinated by two distinguished researchers and educators in the global field of occupational therapy and science, is designed to meet the needs of students studying the conceptual foundations of occupational therapy, occupational science, role emerging practice, occupational justice, community development and community based rehabilitation. The book will also be of interest to academics and practitioners exploring new practice contexts created by the drive to address the diversity and inclusion agenda.

An informative selection of papers presented at the Medical Workshop on Pesticide-Related Illnesses It is vital to understand the public health impact of pesticides used in modern day agriculture. Unfortunately, scientifically valid information is often scattered and hard to find. Proceedings from the Medical Workshop on Pesticide-Related Illness is the essential text that fills these two voids. The papers collected here make up a volume that is a timely review of key issues in both the acute and chronic health effects of pesticide exposure. Proceedings from the Medical Workshop on Pesticide-Related Illness offers work originally presented at the groundbreaking 2002 International Conference on Pesticide Exposure and Health in Washington, DC. However, in order to reflect recent developments in the field, all of the authors have revised, updated, and expanded their presentations to address the current status of knowledge in pesticide health effects upon the major body organ systems. This up-to-date reference not only provides a wealth of relevant information on pesticide intoxication, it also offers viable solutions to the challenges of understanding the effects exposure has on health. Papers featured in Proceedings from the Medical Workshop on Pesticide-Related Illness examine: potential mechanisms, examples for each, and an algorithm for etiologic diagnoses of contact dermatitis in agriculture the specific acute and chronic neurological effects of pesticides on both central and peripheral nervous systems in-depth examples of male and female reproductive disorders associated with pesticide exposure and timeframes of diagnosis from weeks to months to years anatomical site-based outlines for the role of pesticide exposures in the etiology of human cancer and evaluations of recent developments in exposure assessment and molecular epidemiology in adults and children goals, components, and functions of population-based public health surveillance for acute pesticide intoxications as well as the investigation of disease clusters, the use of complementary exposure monitoring data, and confidentiality issues US government pesticide risk management efforts over time and in recent years, relevant to specific chronic health risks and the development of reduced risk products Proceedings from the Medical Workshop on Pesticide-Related Illness also includes valuable appendices that provide readers with a list of additional information sources, pesticide intoxication reporting forms, and the pesticide poisoning severity score (PPSS). This is an essential resource for health care and public health practitioners, occupational health professionals, and governmental employees dealing with the environment.

The eighth edition of this popular handbook provides a thorough and completely updated overview of the occupational safety and health field and the issues safety professionals face today, and does so in an accessible and engaging manner. An excellent introductory reference for both students and professionals, Fundamentals of Occupational Safety and Health provides practical information on technology, management, and regulatory compliance issues, covering crucial topics like organizing, staffing, directing, and evaluating occupational safety programs and procedures. All major occupational safety and health topics are addressed in this comprehensive volume, including safety-related laws and regulations, hazardous materials, workplace violence, the threat of terrorism, and OSHA's recordkeeping standard. The book includes a handy directory of resources such as safety and health associations, First Responder organizations, and state and federal agencies. The eighth edition of this go-to reference work provides an easily comprehensible and well-organized format, giving readers a wealth of occupational safety and health information right at their fingertips.

Overuse injuries of the musculoskeletal system are common occurrences. Yet most existing volumes on cumulative trauma disorders deal with the subject from an ergonomic and occupational therapy standpoint, and do not provide the all-encompassing synopsis that physicians demand.

Overuse Injuries of the Musculoskeletal System, Second Edition answers the need by presenting a complete overview of the methods for diagnosing and treating the overuse injuries that affect the musculoskeletal system as a whole. Each chapter includes the definition, origins, clinical picture and diagnostics, and treatment for the given injury. The book goes beyond diagnosis and treatment by identifying etiological factors and discussing ways to prevent overuse injuries.

This new edition retains the successful systematic format that made the first edition a bestseller and an invaluable tool for orthopaedists, physical therapists, rheumatologists, radiologists and sports medicine practitioners. This version includes a new chapter on radiologic diagnosis, new chapter on overuse injuries in female athletes and supplements previously-existing chapters with new material.

Mit dem Anstieg der Lebenserwartung in Europa geht ein Wandel der Erwerbs- und Lebensverlaufe einher, die durch Bruche und Wechsel der beruflichen Tatigkeiten gepragt sind. Ein zentrales Anliegen ist daher, jedem die Teilhabe am Erwerbsleben uber den gesamten Lebensverlauf zu ermoeglichen und zugleich soziale Rechte durch angemessenen sozialen Schutz zu gewahrleisten. Mit juristischen, sozialpolitischen und empirischen Analysen widmet sich dieses Buch dem Zusammenspiel verschiedener Sozialschutzmechanismen und ihren Schwierigkeiten, sich den neuen Entwicklungen anzupassen. Es prasentiert die Impulse europaischer Instanzen und die Antworten verschiedener europaischer Staaten auf die Herausforderung, Flexibilisierung der Beschaftigung und Modernisierung der Sozialschutzsysteme in Einklang zu bringen. Increasing life expectancy in Europe entails a remodelling of career development and life course, marked by discontinuities and changing professional activities. One of the concerns is ensuring that everybody may participate in gainful activities during his or her life course while also guaranteeing social rights through adequate social protection. By means of legal, socio-political and empirical analyses this book embarks on the interrelationship of different social protection mechanisms and the resulting difficulties of adapting to these new employment patterns. It presents European impulses and the reactions of several European states to the challenge of reconciling flexibility of employment and modernisation of social protection. L'augmentation de l'esperance de vie en Europe suscite un changement des modes de parcours professionnels et de vie constitues de ruptures et de conversions d'activite. L'une des preoccupations est de permettre a chacun de poursuivre une activite professionnelle tout au long de sa vie tout en pouvant beneficier d'une protection sociale adaptee. A travers des analyses juridiques, socio-politiques et empiriques, cet ouvrage aborde les interferences et les difficultes d'adaptation des mecanismes de protection sociale aux nouvelles evolutions. Il presente les impulsions europeennes et les choix effectues au niveau national pour concilier flexibilite de l'emploi et modernisation des systemes de protection sociale.

Key Features Comprehensive coverage of all aspects of work-related asthma, including historical aspects, epidemiology and risk factors, mechanisms and genetics, other types of work-related asthma conditions and variants, hypersensitivity pneumonitis, occupational urticaria and dermatitis Assessment of the worker and workplace along with management of the worker, prevention and medicolegal aspects Of interest not only to pulmonologists, but also for industrial hygienists, researchers, lawyers and other health professionals in the field of work-related conditions Detailed information about specific agents, including a variety of high- and low-molecular weight agents

This book covers how to analyze awkward working postures, particularly of the spine and lower limbs, in specific groups exposed. The methods covered suggests how to evaluate the postures correctly, taking account of the duration and sequence of the tasks involved, even in very complex scenarios where workers are involved with multiple tasks and work cycles varying from day to day. Excel spreadsheets located on the authors' website (www.epmresearch.org) have been developed to gather, condense, and automatically process the data. The tools serve to implement the strategy for calculating risk associated with exposure to awkward postures, i.e. the TACOS method. Included are 5 case studies which include physiotherapists, workers from construction, archaeological digs, vineyards, and kindergarten teachers. Features Provides a coherent definition of what the study of awkward postures is Clarifies and explains which parameters need to be detected and analyzed for the study of the working postures Defines the phases of a proper organizational study (e.g. tasks, postures, duration, and how often the postures will last) in the working cycle Presents a new and original risk calculation model for awkward postures, with particular attention to the study of the spine and the lower limbs Offers a free excel spreadsheet located on the authors' website which implements the strategy for calculating risk associated with exposure to awkward postures

This book is a comprehensive guide to occupational factors of malignant diseases. It discusses potentially work-related malignancies, in the context of exposure assessment, specific clinical and pathological features of occupational cancer and biomarkers of exposure and disease. Epidemiological data about risk ratios of the cancer in question are reviewed for various occupations and with exposure to specific carcinogens, carcinogenic mechanisms, host susceptibility factors (genetic and other) and other environmental and life-style risk factors. Aspects such as surveillance of workers exposed to carcinogens and strategies for prevention of occupational cancer are also discussed. Occupational Cancers is aimed at oncologists, pathologists, residents in training, clinical researchers, clinicians in occupational health, epidemiologists, pulmonologists, lawyers and public health officials.

Including practical advice on how to conduct a stress audit and how to target stress 'hot spots' within an organization, Organizational Stress Management provides a fresh strategic model for the manager concerned with the negative effects stress can have both on company performance and the quality of life of individuals at work.

The syllabus for the FRCS (ORL-HNS) is vast, and sound preparation for the exams has traditionally involved assimilating knowledge from a wide range of sources. This book provides a focused guide for exam candidates. More than a question and answer book, this book is a coaching manual. Each section features a combination of model answers, pearls of wisdom, checklists and pointers for further reading. Detailed advice is provided for both Part 1 and Part 2 of the examination. Viva topics that have featured in the exam in recent years have been included. and are supplemented by invaluable editorial contributions from leaders in each of the subspecialties. Trainees frequently comment that exam preparation is an enlightening process and the knowledge gained would have served them well during their time as an ENT registrar or Otorhinolaryngology resident.This book will also serve as a valuable learning tool for trainees as early as ST3 and will facilitate the development of effective and safe clinical practice.

Recently, there has been interest by regulators, the public and the manufacturers of wireless devices in the issues relating to the safety of radio frequency (RF) energy. These issues require an understanding of the scientific underpinnings of both physics of RF energy and cellular biology. This book is designed to provide precisely such cross-functional expertise. The editors of this book intend to provide a reliable source for a sound scientific understanding of the issues and to stimulate future scientific advances in this area. Therefore, the audience for this book includes such diverse groups as scientists, governmental policy-makers and regulatory bodies, representatives of industry and the public at large.

Since questions about wireless phones andbrain cancer were first raised in early 1993, numerous scientificstudies and reviews have been conducted and published throughout the world with support from industry and government. The most comprehensive colloquium to date covering this science was co sponsored byt he International Committee on WirelessCommunication Health Research and Wireless Technology Research, LLC,a t the University "La Sapienza" ofR omein November 1995. Papers fromt hat colloquium with appropriate updates formt he foundation for the current volume. A follow up tothat colloquium isbeing planned fort he spring of 1999 byt he same group and thereport of that colloquium will bet he basis for Volume II ofthis series. As thescientific story about wireless phones and health effects continues to unfold over the next several years, it is important to evaluate thework ina context t hat isb eneficialt ot he enhancement ofpublic health. Two themesa re critical to an appropriate contextual understanding ofthis science.

This volume addresses the promise and challenges of employment, service roles and contexts in rehabilitation and mental health practice, developing readiness for employment, sustaining employment, and responding to the needs of people coping with a range of disabilities. The book is relevant to the education of human service professionals, and will enable practitioners to expand their awareness, understanding, and knowledge of the interface of rehabilitation and mental health.

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."

This book integrates the growing clinical research evidence related to the emerging transdisciplinary field of occupational health and wellness. It includes a wide range of important topics, ranging from current conceptual approaches to health and wellness in the workplace, to common problems in the workplace such as presenteeism/abstenteeism, common illnesses, job-related burnout, to prevention and intervention methods. It consists of five major parts. Part I, "Introduction and Overviews," provides an overview and critical evaluation of the emerging conceptual models that are currently driving the clinical research and practices in the field. This serves as the initial platform to help better understand the subsequent topics to be discussed. Part II, "Major Occupational Symptoms and Disorders," exposes the reader to the types of critical occupational health risks that have been well documented, as well as the financial and productivity losses associated with them. In Part III, "Evaluation of Occupational Causes and Risks to Workers' Health," a comprehensive evaluation of these risks and causes of such occupational health threats is provided. This leads to Part IV, "Prevention and Intervention Methods," which delineates methods to prevent or intervene with these potential occupational health issues. Part V, "Research, Evaluation, Diversity and Practice," concludes the book with the review of epidemiological, measurement, diversity, policy, and practice issues-with guidelines on changes that are needed to decrease the economic and health care impact of illnesses in the workplace, and recommendations for future. All chapters provide a balance among theoretical models, current best-practice guidelines, and evidence-based documentation of such models and guidelines. The contributors were carefully selected for their unique knowledge, as well as their ability to meaningfully present this information in a comprehensive manner. As such, this Handbook is of great interest and use to health care and rehabilitation professionals, management and human resource personnel, researchers and academicians alike.

Carpal-tunnel and other entrapment syndromes are perhaps the most common work-related injuries currently reported. With this book, Vladimir Golovchinsky presents the first evidence of double-crush syndrome as a subgroup of these. To date the existence of double-crush syndrome has been a matter of debate. Dr. Golovchinsky presents a statistical analysis of substantial clinical material, which finds a cause-and-effect relationship between cervical or lumbar radiculopathy and peripheral entrapment in corresponding nerves, thus proving the existence of double-crush syndrome. This book will be invaluable to physicians performing EMG-NCV testing and to other healthcare professionals who encounter peripheral entrapment syndromes in their practices.

Die Naturwissenschaften; Edward Arnold Co.; Research in Veterinary Science; Ltd.; Farm Mechanization and Buildings; Springer Verlag; The Ciba Foundation Ltd.; Journal of Agricultural Science; Journal of The Institute of Biology; The Lancet; The Reproduction and Fertility; Lea and Febiger; Physiological Society (G. B.); The Royal Masson et Cie, Paris; MacMillan Publishing Society; University of Chicago Press; Uni- Co., Inc.; National Academy of Science, versity of Rhodesia; Verhandlungen der U.S.; National Research Council of Canada; Deutschen Gesellschaft fur KreislautJorsch- Nature, London; North Holland Publishing ung; Waverly Press; and W. B. Saunders. Co.; Oxford University Press; Pergamon Press; Physiology and Behavior; Poultry D. L. INGRAM Science Association; Reinhold Publishing L. E. MOUNT Contents Preface Chapter 1 The Thermal Eml'ironment 1 Hot, Thermally Neutral, and Cold Environments 1 Development of Climatic Physiology 3 Physical Principles Chapter 2 Heat Exchange between Animal and Environment 5 Metabolic Heat and Its Dissipation 5 Body Temperature 6 Poikilotherm and Homeotherm 7 Heat Flow 8 Sensible Heat Transfer 9 Evaporative Heat Transfer 16 Calorimetry 21 Chapter 3 Metabolic Rate, Thermal Insolation, and the Assessment of Environment 24 Metabolic Rate and Heat Loss at High Temperatures 24 Thermal Conductance and Insulation 27 Evaporative Heat Loss 31 The Assessment of Thermal Environment 34 Responses of Different Species to High Temperatures 37 Physiological Mechanisms Chapter 4 Evaporative Heat Loss 39 Evaporative Loss from the Respiratory Tract 39 ix x Contents Conservation of Water Loss from the Respiratory 40 Tract in a Hot Dry Climate

Infant Feeding is about a controversy which fascinated the medical and scientific world, as well as national and international health authorities, politicians, religious groups and consumer organisations, for more than 11 years. It often disturbed public opinion, being concerned, as it is, with nothing less than the life and death of babies. The infant food industry was directly accused of having caused a decline in breast-feeding through the inappropriate marketing of breast milk substitutes. The problem was said to be particularly acute in poor under-developed communities, because illiterate mothers were unable to understand instructions for its use, water was often contaminated and, in order to "stretch" an admittedly expensive product, it was over-diluted. The inevitable result, said the critics of industry, was malnutrition, gastroenteritis and increased infant mortality. These were very serious charges against companies which had until then been generally considered to provide an important contribution to medical progress and child health. One company was to be particularly singled out: Nestle SA, the Swiss multinational. Perhaps it became the target because it was the longest establishment, and served well as a symbol of the whole industry. It is a story which is full of confrontations, intrigue and passionately-held opinions, based, nevertheless, on a sizeable body of medical science. After countless twists and turns, it has some sort of "happy ending". Yet a great deal remains to be said, as will be seen throughout the book.

To be asked to prepare a second edition of a book is heartening for any author or editor. Apart from the opportunity to make the corrections and amendments which are inevitable in a practical manual there is also the possibility to make additions which enhance its usefulness. Above all a further edition usually means that the book has been found to be accept able to a large number of readers and has fulfilled a need. This is indeed the case with Offshore Medicine, which in its description of the medical aspects of offshore work has provided a unique guide to the occupational health of a new industry. The rapid development of offshore exploration for gas and oil which began in the 1960s created a whole new range of related industries. Most attention was focused on the problems of deep diving in the North Sea because of the great expansion of the diving industry, its technological advances and the high mortality of divers in the early years. Diving, however, is only a fraction of the total endeavour concerned with the offshore industry. The much larger population of workers offshore who man the rigs and barges, the toolpushers, helicop ter pilots, crane drivers, scaffolders and roustabouts, geologists and so on, so sympathetically described by A. Alvarez in his recent book Off shore, A North Sea Journey, and the harsh and difficult conditions in which they often have to work are sometimes forgotten."

The mastery of a variety of biomedical They avoided the self-destruction and dis techniques has led our society to the solu ease that can so readily follow the escalation tion of the problems in environmental con of social disorder in an isolated colony. By trol imposed by space flight. By an unparal following a "code of civility" that may be as leled social cooperative effort, man has much a part of man's biologic inheritance as launched himself successfully on the path of his speech, they established cultures in interplanetary exploration and space travel. which power was exercised with sufficient By a like synthesis of knowledge available to respect to establish a consensus. They fol him, Stone Age man kept a foothold on tiny lowed revered cultural canons, using an Pacific atolls for the better part of a thousand accumulation of rational empiric data from years, despite obliterating hurricanes and social experience to modify and control the inherited biogrammar. This we often fail to limited resources. By combining empiric do. There is growing evidence that it is phys navigational skills, such as the sighting of stars with intuitive feeling for ocean swells iologically possible for the left hemisphere of and other subtle cues, tiny populations were the brain, which deals with logic and lan maintained in communication over vast dis guage, to be cut off from the right hemi tances."

This book is concerned with the psychological effects of unemployment. In writing it I had two main aims: (1) to describe theoretical approaches that are relevant to understanding unemployment effects; and (2) to present the re sults of studies from a program of research with which I have been closely involved over recent years. In order to meet these aims I have organized the book into two main parts. I discuss background research and theoretical approaches in the first half of the book, beginning with research concerned with the psychological effects of unemployment during the Great Depression and continuing through to a dis cussion of more recent contributions. I have not attempted to review the liter ature in fine detail. Instead, I refer to some of the landmark studies and to the main theoretical ideas that have been developed. This discussion takes us through theoretical approaches that have emerged from the study of work, employment, and unemployment to a consideration of wider frameworks that can also be applied to further our understanding of unemployment effects."