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https://www.readbyqxmd.com/read/28253638/noise-exposure-among-federal-wildland-fire-fighters
#1
George Broyles, Corey R Butler, Chucri A Kardous
Wildland fire fighters use many tools and equipment that produce noise levels that may be considered hazardous to hearing. This study evaluated 174 personal dosimetry measurements on 156 wildland fire fighters conducting various training and fire suppression tasks. Noise exposures often exceeded occupational exposure limits and suggest that wildland fire fighters may be at risk of developing noise-induced hearing loss, particularly those operating chainsaws, chippers, and masticators. The authors recommend a comprehensive approach to protecting these fire fighters that includes purchasing quieter equipment, noise and administrative controls, and enrolling these fire fighters into a hearing conservation program...
February 2017: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/28098989/discovery-of-40-classes-of-per-and-polyfluoroalkyl-substances-in-historical-aqueous-film-forming-foams-afffs-and-afff-impacted-groundwater
#2
Krista A Barzen-Hanson, Simon C Roberts, Sarah Choyke, Karl Oetjen, Alan McAlees, Nicole Riddell, Robert McCrindle, P Lee Ferguson, Christopher P Higgins, Jennifer A Field
Aqueous film-forming foams (AFFFs), containing per- and polyfluoroalkyl substances (PFASs), are released into the environment during response to fire-related emergencies. Repeated historical applications of AFFF at military sites were a result of fire-fighter training exercises and equipment testing. Recent data on AFFF-impacted groundwater indicates that ∼25% of the PFASs remain unidentified. In an attempt to close the mass balance, a systematic evaluation of 3M and fluorotelomer-based AFFFs, commercial products, and AFFF-impacted groundwaters from 15 U...
February 2, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28010814/fire-service-instructor-s-undergarment-choice-to-reduce-interleukin-6-and-minimise-physiological-and-perceptual-strain
#3
COMPARATIVE STUDY
Emily R Watkins, Alan J Richardson
Fire Service Instructors frequently experience high levels of physiological and perceptual strain during live fire exposures. Instructors are also at risk of cardiovascular illnesses, with cardiac death being the greatest cause of fire fighter death. Current practice for UK instructors is to select undergarment type based on personal preference, between a boiler suit (BOILER) and a wicking base layer (WBL). Research suggests that shorts and t-shirt (SHORTS) may also be a beneficial alternative undergarment choice...
January 2017: Journal of Thermal Biology
https://www.readbyqxmd.com/read/27890146/measuring-wildland-fire-fighter-performance-with-wearable-technology
#4
Richard Parker, Antonios Vitalis, Robyn Walker, David Riley, H Grant Pearce
Wildland (rural) fire fighting is a physically demanding and hazardous occupation. An observational study was conducted to explore the use of new technologies for the field study of fire fighters at wildfires and to understand the work pressures of wildland fire fighting. The research was carried out with two fire fighters at real fires wearing microphones, miniature video cameras, heart rate monitors and GPS units to record their actions and location at wildfire events. The fire fighters were exposed to high physiological workloads (heart rates of up to 180 beats per minute) and walked considerable distances at the fires...
March 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/27754819/wildland-firefighter-deaths-in-the-united-states-a-comparison-of-existing-surveillance-systems
#5
Corey Butler, Suzanne Marsh, Joseph W Domitrovich, Jim Helmkamp
Wildland fire fighting is a high-risk occupation requiring considerable physical and psychological demands. Multiple agencies publish fatality summaries for wildland firefighters; however, the reported number and types vary. At least five different surveillance systems capture deaths, each with varying case definitions and case inclusion/exclusion criteria. Four are population-level systems and one is case-based. System differences create challenges to accurately characterize fatalities. Data within each of the five surveillance systems were examined to better understand the types of wildland firefighter data collected, to assess each system's utility in characterizing wildland firefighter fatalities, and to determine each system's potential to inform prevention strategies...
April 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/27677037/assessment-of-knowledge-on-preventing-acute-and-chronic-low-back-pain-in-the-marseille-firefighting
#6
Laurent Thefenne, Charlotte Gislot, Gratiane De Brier, Arnaud Jouvion, Thomas Trappier
OBJECTIVE: Lumbago/low-back pain is the first cause of morbidity and incapacity work-related in the world. Its social and economical weight is considerable. In the armies, since 2009, lumbago is the object of a prevention plan. Therefore, we sought to determinate knowledge levels of Marseille Marine fire fighters about primary and secondary prevention. MATERIAL/PATIENTS AND METHODS: It's a transverse, descriptive, observational study concerning a representative sample of French military population from Marseille Marine firefighter's battalion, between September 25th 2014 and October 24th 2014...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27511448/posttraumatic-stress-disorder-under-ongoing-threat-a-review-of-neurobiological-and-neuroendocrine-findings
#7
REVIEW
Iro Fragkaki, Kathleen Thomaes, Marit Sijbrandij
BACKGROUND: Although numerous studies have investigated the neurobiology and neuroendocrinology of posttraumatic stress disorder (PTSD) after single finished trauma, studies on PTSD under ongoing threat are scarce and it is still unclear whether these individuals present similar abnormalities. OBJECTIVE: The purpose of this review is to present the neurobiological and neuroendocrine findings on PTSD under ongoing threat. Ongoing threat considerably affects PTSD severity and treatment response and thus disentangling its neurobiological and neuroendocrine differences from PTSD after finished trauma could provide useful information for treatment...
2016: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/27254759/blessed-by-the-holy-people
#8
Carrie House
Men-women and women-men have a long tradition in Diné (Navajo) culture where they were, and sometimes still are, held in high esteem. Their supernatural prototypes figure prominently in parts of the Diné Origin Story. It is in this cosmological worldview and tradition of acceptance that Carrie, a multi-dualistic spirit, grew up to be a female-bodied man supported and respected by his/her family and community. He/she has worked in various professions defined as "masculine" in Diné and Western contexts, such as fire fighter, heavy equipment operator, truck driver, and building contractor...
July 2016: Journal of Lesbian Studies
https://www.readbyqxmd.com/read/27115044/osteoarthritis-and-the-tactical-athlete-a-systematic-review
#9
REVIEW
Kenneth L Cameron, Jeffrey B Driban, Steven J Svoboda
OBJECTIVE:  Although tactical athletes (eg, military service members, law enforcement personnel, fire fighters) are exposed to several known risk factors, it remains unclear if they are at increased risk for osteoarthritis (OA). The purpose of this systematic review was to investigate the association between serving as a tactical athlete and the incidence and prevalence of OA. DATA SOURCES:  We completed a comprehensive systematic literature search in November 2014 using 12 bibliographic databases (eg, PubMed, Ovid, SportDiscus) supplemented with manual searches of reference lists...
November 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27090348/the-experience-of-working-with-people-that-hoard-a-q-sort-exploration
#10
Kathryn Holden, Stephen Kellett, Jason Davies, Shonagh Scott
BACKGROUND: The impact and burden of working with people that hoard is largely unexplored. AIM: To explore professionals' varied experiences of engagement and intervention with this client group. METHOD: Five semi-structured interviews were initially conducted with professionals with detailed experience of working with people that hoard. A thematic analysis then identified key statements for a 49-item Q-set. The Q-sort was subsequently administered to public sector professionals with wide experience of working with people who hoard (N= 36; fire-fighters, environmental health, housing and mental health)...
April 18, 2016: Journal of Mental Health
https://www.readbyqxmd.com/read/27020901/remote-just-in-time-telementored-trauma-ultrasound-a-double-factorial-randomized-controlled-trial-examining-fluid-detection-and-remote-knobology-control-through-an-ultrasound-graphic-user-interface-display
#11
RANDOMIZED CONTROLLED TRIAL
Andrew W Kirkpatrick, Ian McKee, Jessica L McKee, Irene Ma, Paul B McBeth, Derek J Roberts, Charles L Wurster, Robbie Parfitt, Chad G Ball, Scott Oberg, William Sevcik, Douglas R Hamilton
BACKGROUND: Remote-telementored ultrasound involves novice examiners being remotely guided by experts using informatic-technologies. However, requiring a novice to perform ultrasound is a cognitively demanding task exacerbated by unfamiliarity with ultrasound-machine controls. We incorporated a randomized evaluation of using remote control of the ultrasound functionality (knobology) within a study in which the images generated by distant naive examiners were viewed on an ultrasound graphic user interface (GUI) display viewed on laptop computers by mentors in different cities...
May 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26607303/the-mental-health-of-fire-fighters-an-examination-of-the-impact-of-repeated-trauma-exposure
#12
Samuel B Harvey, Josie S Milligan-Saville, Helen M Paterson, Emily L Harkness, Annabel M Marsh, Mark Dobson, Richard Kemp, Richard A Bryant
OBJECTIVE: Emergency workers, such as fire-fighters, are routinely exposed to potentially traumatic events. While a number of studies have examined the occurrence of post-traumatic stress disorder, the role of multiple traumas on other mental health sequelae, such as depression and alcohol misuse, among emergency workers remains unclear. This study aimed to assess the prevalence of post-traumatic stress disorder, depression and alcohol misuse in a sample of current and retired fire-fighters and examine their relationship with cumulative trauma exposure...
July 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/26449396/california-biomonitoring-data-comparison-to-nhanes-and-interpretation-in-a-risk-assessment-context
#13
COMPARATIVE STUDY
Lesa L Aylward, James N Seiber, Sean M Hays
The California Environmental Biomonitoring Program (also known as Biomonitoring California) has been generating human biomonitoring data and releasing it via their website. The current Biomonitoring California program is a collection of smaller studies, targeting specific populations (e.g., fire fighters, breast cancer patients and controls, etc.). In this paper we compare the results from Biomonitoring California with those from the US National Health and Nutrition Examination Survey (NHANES). We also compare California's results with Biomonitoring Equivalents (BEs) for those compounds for which BEs exist...
December 2015: Regulatory Toxicology and Pharmacology: RTP
https://www.readbyqxmd.com/read/26362582/confirmation-of-suboptimal-protocols-in-spinal-immobilisation
#14
Mark Dixon, Joseph O'Halloran, Ailish Hannigan, Scott Keenan, Niamh M Cummins
BACKGROUND: Spinal immobilisation during extrication of patients in road traffic collisions is routinely used despite the lack of evidence for this practice. In a previous proof of concept study (n=1), we recorded up to four times more cervical spine movement during extrication using conventional techniques than self-controlled extrication. OBJECTIVE: The objective of this study was to establish, using biomechanical analysis which technique provides the minimal deviation of the cervical spine from the neutral in-line position during extrication from a vehicle in a larger sample of variable age, height and mass...
December 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26331100/dietary-preferences-and-nutritional-information-needs-among-career-firefighters-in-the-united-states
#15
Justin Yang, Andrea Farioli, Maria Korre, Stefanos N Kales
BACKGROUND: Considerable cardiovascular disease and cancer risk among firefighters are attributable to excess adiposity. Robust evidence confirms strong relationships between dietary patterns and the risk of chronic disease. Dietary modification is more likely to be effective when the strategy is appealing and addresses knowledge gaps. OBJECTIVE: To assess career firefighters' diet practices and information needs, compare the relative appeal of proposed diet plans, and examine how these vary in association with body composition...
July 2015: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://www.readbyqxmd.com/read/26322733/fatigue-risk-management-by-volunteer-fire-fighters-use-of-informal-strategies-to-augment-formal-policy
#16
Drew Dawson, Katherine Mayger, Matthew J W Thomas, Kirrilly Thompson
An increasing number and intensity of catastrophic fire events in Australia has led to increasing demands on a mainly volunteer fire-fighting workforce. Despite the increasing likelihood of fatigue in the emergency services environment, there is not yet a systematic, unified approach to fatigue management in fire agencies across Australia. Accordingly, the aim of this study was to identify informal strategies used in volunteer fire-fighting and examine how these strategies are transmitted across the workforce...
November 2015: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/26214379/skin-sites-to-predict-deep-body-temperature-while-wearing-firefighters-personal-protective-equipment-during-periodical-changes-in-air-temperature
#17
Siyeon Kim, Joo-Young Lee
The aim of this study was to investigate stable and valid measurement sites of skin temperatures as a non-invasive variable to predict deep-body temperature while wearing firefighters' personal protective equipment (PPE) during air temperature changes. Eight male firefighters participated in an experiment which consisted of 60-min exercise and 10-min recovery while wearing PPE without self-contained breathing apparatus (7.75 kg in total PPE mass). Air temperature was periodically fluctuated from 29.5 to 35...
April 2016: Ergonomics
https://www.readbyqxmd.com/read/26152384/punishing-health-care-providers-for-treating-terrorists
#18
Leonard S Rubenstein
No abstract text is available yet for this article.
July 2015: Hastings Center Report
https://www.readbyqxmd.com/read/26068510/injury-risks-of-ems-responders-evidence-from-the-national-fire-fighter-near-miss-reporting-system
#19
Jennifer A Taylor, Andrea L Davis, Brittany Barnes, Alicia V Lacovara, Reema Patel
OBJECTIVES: We analysed near-miss and injury events reported to the National Fire Fighter Near-Miss Reporting System (NFFNMRS) to investigate the workplace hazards and safety concerns of Emergency Medical Services (EMS) responders in the USA. METHODS: We reviewed 769 'non-fire emergency event' reports from the NFFNMRS using a mixed methods approach. We identified 185 emergency medical calls and analysed their narrative text fields. We assigned Mechanism of Near-Miss/Injury and Nature of Injury codes and then tabulated frequencies (quantitative)...
2015: BMJ Open
https://www.readbyqxmd.com/read/25923502/-the-automated-external-defibrillator-in-the-resuscitation-chain-the-importance-of-the-aed-examined
#20
Arend Mosterd
The survival rate for those suffering an out-of-hospital cardiac arrest (OHCA) is improving slowly, with > 90% of the survivors being discharged from hospital with cognitive function intact. A recent analysis of the ARREST (AmsteRdam Resuscitation Study) group documented an increase in survival rates with favourable neurological outcome from 16.2% in 2006 to 19.7% in 2012. Only those victims whose initial cardiac rhythm is 'shockable' (i.e. ventricular fibrillation or tachycardia) reap the benefits: their survival rate increased from 29...
2015: Nederlands Tijdschrift Voor Geneeskunde
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