Canadian Association of Occupational Therapists position statement. Occupational therapy and home and continuing care.
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Stress is a common and widespread phenomenon in today's life and work. In a company it is present in all divisions and at all levels of activity. How to tackle stress is a difficult and by no means uniform problem. Some companies offer their employees possibilities to prevent or reduce stress. It is shown what this can look like and what are the pre-requisites and general conditions to achieve it.
Lung function was studied in 20 firemen-submarine divers (mean age 36 +/- 1.2 years) of the French civil defence undergoing the medical check-up compulsory for professional divers (lung function tests are not systematically performed in ordinary firemen). Compared with the CECA standards: (1) vital capacity (VC) was increased, residual volume (RV) was decreased and total lung capacity (TLC) was unchanged; (2) with the exception of peak respiratory flow, all expiratory flow values (FEV1, MEF50, MEF25) were decreased; (3) the permeability factor (KCO) was decreased. These functional abnormalities were moderately worse in subjects who smoked. Some abnormalities (increased VC, decreased RV) are typical of diving activities, but the deterioration of effort-dependent expiratory flow values and alveolar-capillary diffusion must be ascribed to specific nuisances (fumes, polluants, toxic substances) associated with fireman's activities. Monitoring lung function in all professional firemen therefore seems to be necessary, if not indispensable.
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The paper briefly presents the technological process and professional noxiousness in the working environment, exposed to which are the workers employed in the smoke house type "America" IGK "Polet" in Novi Becej. Described is a case of accidental poisoning of 28 working women with carbon-monoxide, which happened because of a malfunctioning valve, and the letting through of gases into the air for the smoke house. A presentation is given of all the undertaken preventive measures for preventing the possibility of the exiting of gases into the smoke house air by introducing a system for the continuous measurement of carbon-monoxide concentrations in the working environment with sound and light signalization; the necessity of conducting periodical medical examinations of employees and examining of working environment conditions.
The research showed the possibility of using Kulback's informatory indices for distributing the qualitative properties connected with the morbidity levels with temporary disability among the workers of an instrument-making plant. Among the factors studied, the most informative were: marital state (K-7.2), psychological climate in the family (K-6.8), satisfaction with one's profession (K-5.3). Measures for optimizing personal life provide a complementary source of lowering morbidity with temporary disability.
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