Our report indicates the importance of glutaraldehyde as an occupational hazard among exposed health-care workers. Intervention in the workplace, training of personnel handling this chemical, and accurate health surveillance may reduce the risk of developing occupational asthma due to glutaraldehyde.
The aims of this article are to review the situation of occupational health and safety and to describe research priority in this field in Thailand. Thailand is one of newly industrialized countries in Southeast Asia. Approximately half of the working population is still in agriculture. The data from Thai Workmen's Compensation Fund showed that incidence rate of occupational injuries and diseases was 3-4% each year. Almost were occupational injuries from various accidents in workplaces. At least 3 relevant governmental agencies, including Ministry of Labour, Ministry of Public Health, and Ministry of Industry, are responsible in occupational health and safety in the country. Nowadays, those agencies collaborate and develop projects and activities to prevent and control of the problems. Because of lack of staff and other resources, research priority is needed and has been developed recently. The framework of research needed focuses on research and development such as how to improve occupational health and safety management at all levels, setting up and development of standard guidelines for health and environmental assessment, and implementation of suitable control measures in workplaces. Finally, improvement of research system in the country is essential to cope with new occupational health problems in the near future.
abstract:The 60-film set was developed by experts (expert group) for examining 8 indices: sensitivity (X 1 ) and specificity (X 2 ) for pneumoconiosis, sensitivity(X 3 ) and specificity for (X 4 ) large opacities, sensitivity (X 5 ) and specificity (X 6 ) for pleural plaque, profusion increment consistency for small opacities (X 7 ), and shape differentiation for small opacities (X 8 ) of physicians' reading skills on pneumoconiosis X-ray according to ilO 2000 classification. The aim of this study was to assess the appropriateness of the exam film set for evaluating physicians' reading skills. 29 physicians (a1-group) and 24 physicians (a2-group) attended the 1st and 2nd "asian intensive Reader of Pneumoconioses" (aiR Pneumo) training course, respectively, and 22 physicians (b-group) attended brazilian training course. after training, they took examination of reading 60-film exam set. The examinees' reading results in terms of 8 indices were compared between the examinee groups and the Expert group by parametric unpaired t-test. The Examinee group consisting of a1-group, a2-group and b-group was inferior to the Expert group in all indices. There was no significant difference for X 7 of a1-group, X 7 and X 8 of a2-group (p>0.05) compared with the expert group. There was a significant difference in X 8 at p<0.05 between a1-group and a2-group, in X 3 at p<0.05 between a1-group and b-group, in both X 1 and in X 3 at p<0.05 between a2-group and b-group. accordingly, the 60-film set providing 8 indices designed might be a good method for evaluation of the physicians' reading proficiency at different training settings.
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