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Following an electrical transformer fire in Staten Island, New York, a health surveillance program was established for 60 New York City firefighters and emergency medical technicians exposed to polychlorinated biphenyls (PCBs) and polychlorinated dibenzofurans (PCDFs). Exposure potential was documented after high levels of PCBs and PCDFs were found on transformer and firefighters' uniforms. Personnel received comprehensive medical examinations, and the results were compared with preexposure values. Serum was analyzed for PCBs, PCDFs, and polychlorinated dibenzo-p-dioxins (PCDDs). Follow-up was conducted 9 mo later. Thirty-two of 58 (55%) firefighters reported initial symptoms, and 3 firefighters required brief medical leave. Pulmonary functions, exercise performance, serum liver functions, and serum lipid profiles were normal or unchanged from preexposure baselines. Serum PCBs averaged 2.92 +/- 1.96 ppb (range = 1.9-11.0 ppb). Five (8%) had serum PCBs that were greater than or equal to 6 ppb. Eight (73%) had a significant decrease (p = .05) in serum PCB level at the time of follow-up. Serum toxic equivalency (TEQ [1998 World Health Organization]) for total PCDDs and PCDFs averaged 39.0 +/- 21.5 (n = 48). Eighteen (38%) had elevated TEQs (i.e., > 40). All firefighters had no short-term heath effects. Modern firefighting uniforms are not meant to replace HAZMAT suits, but these uniforms provide protection from this chemical exposure for most firefighters.

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -To provide a selective bibliography on reported empirical evidence regarding the compatibility/trade-offs relationships between delivery reliability and other manufacturing capabilities, and also identify specific areas for future research. Design/methodology/approach -The paper conceptually examines published studies which have reported a trade-off/compatibility situation between delivery reliability and other manufacturing capabilities such as internal quality, external quality, manufacturing costs, inventory costs, etc. Some different aspects of delivery reliability are also discussed. Findings -Principally, the paper identifies a need to study in more detail the different variables (manufacturing capabilities, contextual variables and manufacturing practices) that could be potentially associated with the achievement of high manufacturing efficiency (high levels of outputs/low levels of inputs) in terms of delivery reliability, materials inventory and safety resources.Research limitations/implications -The literature review in the paper is intended to be exhaustive. Nevertheless, it is probable that scientific papers that report related/relevant material are involuntarily omitted. Practical implications -By means of a detailed review of the literature, the paper identifies specific themes for future research. The paper also should be of help to practitioners as it gathers the empirical evidence regarding the compatibility/trade-off situation between delivery reliability and other areas of manufacturing. Originality/value -Some papers have dealt with literature reviews on manufacturing strategy as a whole. Nevertheless, to the best of our knowledge, this is the first paper that offers a literature review on delivery reliability. This paper also suggests a novel model of manufacturing efficiency and also proposes a methodology (data envelopment analysis) with which this approach can be examined in more detail.