[Traffic relevant vision disorders in elderly automobile drivers].
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OBJECTIVE: Despite generalized intervention programs, restraint use among African Americans remains below national levels, especially among children. This study describes the development and implementation of a community participatory faith-based youth injury prevention program. METHODS: Through a partnership with the African-American faith-based community and our injury prevention group, a unique multigenerational intervention program was developed targeting motor vehicle restraint use. Once developed, the program was initially evaluated by comparing outcomes between control and intervention churches. The main objective was to observe adult and pediatric restraint use before and after program implementation. RESULTS: Overall, there was excellent recognition and participation in the program. Following program implementation, significant improvements were observed in restraint use compared to control churches. In particular, there was a 72% reduction in unrestrained children, a 25% increase in children being secured in the rear-seat position and a nearly 20% increase in driver restraint use. CONCLUSIONS: The development and implementation of a culturally sensitive intervention program can significantly improve restraint use in a minority population. Partnering with the community in all phases of the program is essential to its success.
The air contamination content was studied of the air samples taken from the driver's cabs of different vehicles at the time of sharp braking. The air samples contained: CO (0.7-9.7 mg/m3); n-hydrocarbons + divinyl (6.4-130.0 mg/m3); aromatic hydrocarbons (3.6-26.8 mg/m3); acrylonitrile (0.5-1.0 mg/m3) H2S (0.23-0.9 mg/m3); SO2 (1.5-7.05 mg/m3).
The Saarland and Saxony have not only been located at the western respectively at the eastern border of Germany (or of the then separated both German states). Different law regulations and lifestyles seemed to be an additional reason for different incidences of blood alcohol. Therefore, the blood alcohol cases of the university institutes for legal medicine of both provinces were statistically compared for 1989. Beyond some difficulties in the comparison itself due to different definitions and managements, equal or similar patterns dominated by far against discrepancies. The slightly different regulations for quality assurance were also compared with the expectation of their equalisation during the next future.
Cross-sectional studies covered 2562 males (a urban population), 580 miners, 1126 agricultural drivers, 682 rural habitants and 4323 urban drivers. The mean blood pressures were basically identical in males of various occupations and age, except for urban and rural drivers aged 20-29 and 40-49 years who had significantly lower mean systolic blood pressures than those from the other groups under study. All the males showed elevation in systolic and diastolic blood pressures with age; the differences in blood pressures were insignificant only in rural drivers aged 30-39 and 40-49 years and miners aged 40-49 and 50-59 years. The incidence of arterial hypertension increased with age: from 3.2 to 7.7% in 20-29-year-old males to 34.2-37.2% in 50-59-year olds. Low (less that 50%) awareness of hypertension was identified in hypertensives. A prospective 5-year follow-up and implementation of prophylactic measures at the urban motor enterprises positively affected the incidence of hypertension and the level of hypertension awareness, and morbidity rates.
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In 13 year period of time 28.324 x-ray examinations of spine performed in workers of Jelcz's car-factory revealed a high percentage (22.5%) of vertebral epiphysitis (Scheuermann's Disease) and scolioses (9.95%) among adolescents aged 17-21 years applying for work in the factory. The statistical analysis of this material has shown that vertebral epiphysitis passed by persons at the age below 40 years has contributed to static changes in spine more significantly than the character of work performed. The greatest number of scolioses among workers aged over 40 years was noted in: tinsmiths, pressers and welders--i.e. the jobs exposing the spine to the highest loads. In those professional groups periodical examinations are recommended to detect early symptoms of scolioses.
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Dermatological examination and patch tests with 34 rubber components were carried out in 114 tire manufacturers, 78 women and 36 men aged 29 years on average, with a mean duration of work in the plant 7 years. For correct interpretation of the obtained results patch tests with the same components were done in two control groups that is in 120 healthy subjects and 120 patients with contact dermatitis. Patch tests with proper concentrations of the studied components were evaluated after 48, 72 and 96 hours. Positive patch tests were found most frequently with antioxidants--16.6% (including IPPD--8.6%), followed by vulcanization accelerators--10.6%, and other rubber components--11.4% in all. During about 3 years of follow-up in 4 manufacturers contact allergic eczema was noted and polyvalent hypersensitivity to antioxidants and vulcanization accelerators without clinical manifestations of this hypersensitivity was diagnosed in 3 other subjects.
Dermatological examination and patch tests were done in 114 manufacturers of tires, 78 women and 36 men, mean age 29 years, working in Stomil Plant. Patch tests included 15 substances in panels Standard I and II (excluding rubber components). The study demonstrated hypersensitivity to nickel and formalin (4.3% each), chromium and cobalt (3.5% each), and turpentine (2.6%), while hypersensitivity to other allergens was observed sporadically. A comparative analysis of the results of patch tests with antigens "Standard I and II" in confectioners and healthy and allergic persons showed that the per cent of positive tests in rubber industry workers was higher than in healthy subjects, and much lower than in patients with contact dermatitis.
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