RESUMEN
The rescue, treatment, and evacuation of thousands of patients from a natural disaster or armed conflict that is coordinated by the National Disaster Medical System must be performed in accordance to health care standards recognized in this country. Without an effective communication system, morbidity and mortality will needlessly rise. A medical communication protocol that addresses this problem is proposed.
Asunto(s)
Planificación en Desastres , Sistemas de Comunicación entre Servicios de Urgencia , Radio , Comunicación , Desastres , Humanos , Estados UnidosAsunto(s)
Colesterol/sangre , Tamizaje Masivo , Actitud del Personal de Salud , Humanos , Médicos de FamiliaRESUMEN
Potential decrements in job performance are associated with a wide variety of pharmaceutical agents, including antimetabolites, antineoplastics, gout medications, biologicals, hormones, plasma fractions, and antibiotics. The number of potential employees taking these medications ranges from less than 1 in 1000 for the antineoplastics in 1 in 10 for some biologicals. Whether a particular employee will experience a medication-induced performance decrement with these medications, as well as the extent of such a decrement, is in large part a function of factors such as individuality in drug response, the employee's age and diet, and drug interactions.
Asunto(s)
Antimetabolitos/efectos adversos , Factores Biológicos/efectos adversos , Medicina del Trabajo , Desempeño Psicomotor/efectos de los fármacos , Trabajo , Antimetabolitos/farmacología , Factores Biológicos/farmacología , Interacciones Farmacológicas , HumanosRESUMEN
One of the primary concerns of the National Cholesterol Education Program about mass screening for elevated blood cholesterol has been the readiness of primary care physicians to deal with a large number of referrals. After 11,680 people were screened in a city of 85,000 people, 3069 (26.3%) were referred to their private physicians. Three months later a questionnaire was mailed to 76 local primary care physicians, and a follow-up letter was mailed to those who had not responded after 2 months. The response rate was 76% from a total of seven specialties, primarily internal medicine and family medicine. Seventy-nine percent of the physicians had been aware of the program, 40% diagnosed at least one case of hypercholesterolemia as a result of the program, and 71% approved of community cholesterol screening. Only one physician indicated that he was overwhelmed with referrals. We conclude that most primary-care physicians support community cholesterol screening as a public health measure and will use screening data to initiate diagnosis.
Asunto(s)
Actitud , Servicios de Salud Comunitaria , Hipercolesterolemia/prevención & control , Tamizaje Masivo , Médicos de Familia/psicología , Colesterol/sangre , Humanos , Hipercolesterolemia/diagnóstico , Tamizaje Masivo/psicología , Encuestas y CuestionariosRESUMEN
Because of a reported association between residence in counties with nonferrous smelters and increased risk of lung cancer, we studied the relationship between distance of residence from nonferrous smelters and lung cancer. Patients with lung cancer and patients with other cancers not known to be associated with smelter effluent (breast, prostate, and colon) were compared. All patients lived within a 20-kilometer radius around one of 10 nonferrous smelters in five western states during 1970-1977. Data were obtained from cancer registries or death certificates and were examined separately for each area. Addresses at the time of diagnosis or death were plotted on U.S. Geological Survey maps to calculate distance from each smelter. The distribution of lung cancer near the smelters was not significantly different from the distribution of control cancers in any of the areas studied.