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Carbon and carbonless copy paper.

Proven allergic contact dermatitis from carbon paper is an exceptional rarity; the reported causes are dyes and plasticisers. But carbon paper is gradually being replaced by pressure-sensitive or carbonless copy paper, particularly for business forms. The method depends on mechanical pressure or chemical transfer. For the latter, colour formers are held in microcapsules, which rupture under pressure, and released when they produce the colour. Some office workers have claimed that the handling of used carbonless papers are responsible for symptoms affecting the skin, eyes, and upper respiratory tract, as well as systemic symptoms including headaches, drowsiness and fatigue. Patch tests are negative. If the symptoms are attributable to carbonless paper it is suggested that the colour former solvents are most likely to be responsible.

Carbon↗

[Should patients in general practice be offered a copy of their medical record?].

BACKGROUND: Is it useful for patients in general practice to have a copy of their medical record, and will this increase the quality of the record? What do patients and their doctors think about such a practice? MATERIAL AND METHODS: Eight general practitioners participated in a study where they should ask their patients if they wanted at copy of their medical record after the consultation. The doctors were asked about what they felt about such a practice. 181 patients participated. RESULTS: 126 patients (70%) wanted to read their medical record. Among these, 118 (94%) reported that the record covered the problem they came for, 104 (83%) that it was useful to read what the doctor had written, and 96 (76%) that this practice should be more common. The doctors answered that the records became somewhat changed and longer and were more time-consuming. Most of the doctors thought that the quality of the medical record improved and that the procedure could well be standardised. INTERPRETATION: The results indicate that many patients in general practice will find it useful to read their medical record. The study may indicate a better quality of the record when doctors are aware that the patients will have a copy.

Adult↗

Copy fees and patients' rights to obtain a copy of their medical records: from law to reality.

Patients have a legal right under HIPAA to a copy of their medical records. Personal life-long medical records rely on patients' ability to exercise this right inexpensively and in a timely manner. We surveyed 73 hospitals across the US, with a geographic concentration around Boston, to determine their policies about fees for copying medical records and the expected time it takes to fulfill such requests. Fees range very widely, from $2-55 for short records of 15 pages to $15-585 for long ones of 500 pages. Times also range widely, from 1-30 days (or longer for off-site records). A few institutions provide records for free and even fewer make them accessible on-line. We argue that electronic records will help solve the problem of giving patients access to their own records, will do so inexpensively and in a format more likely to be useful than paper.

Confidentiality↗

Copying could be costly.

Thanks to modern technology, photocopying is quick, easy, and inexpensive. Or is it? One of the largest awards ever made for copyright infringement was levied in a case involving the use of material copied from publications without permission. This article presents a short discussion about US and international copyright protection, fair use, and work for hire. Suggestions for additional information are offered.

Copying Processes↗

[Exposure to selenium in photocopying workers].

The selen concentration was found in the air of 10 photocopy rooms with the mean value of 0.0025 +/- 0.0013 mg Se/m3 of the air which markedly below the maximally permissible concentration. In the same time selen was determined in serum and urine of persons in these photocopy rooms and in 22 control subjects. The mean value of selen in urine of workers in photocopy rooms was 76.50 +/- 12.60 micrograms Se/1, which is statistically significant compared with the control group which indicate that workers are exposed to selen but in a smaller degree. In the exposed subjects selen urine concentrations were higher compared to the control group with the mean value of 19.01 +/- 6.79 micrograms Se/1, but it has not been statistically significant. The selen level in urine and serum of examinees were mainly in the limits given for normal population so that the present selen exposure of workers in the photocopy rooms could not be considered harmful for human health.

Adult↗

Simple method of documenting metatarsus adductus.

A simple, accurate, and inexpensive method of documenting metatarsus adductus involves taking photocopies of the foot in the weightbearing position. Subsequently, treatment progress can be assessed objectively by reviewing serial photocopies. Some caution is urged because the strength of the glass copying surface of photocopying machines is unknown.

Copying Processes↗