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https://www.readbyqxmd.com/read/28724142/the-aging-physician-and-the-medical-profession-a-review
#1
E Patchen Dellinger, Carlos A Pellegrini, Thomas H Gallagher
Importance: The issue of the aging physician and when to cease practice has been controversial for many years. There are reports of prominent physicians who practiced after becoming dangerous in old age, but the profession has not demonstrated the ability to prevent this. A mandatory retirement age could be discriminatory and take many competent physicians out of practice and risk a physician shortage. An increasing body of evidence regarding the relationship between physicians' age and performance has led organizations, such as the American College of Surgeons, to revisit this challenge...
July 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28710052/rationale-and-design-of-feeding-america-s-bravest-mediterranean-diet-based-intervention-to-change-firefighters-eating-habits-and-improve-cardiovascular-risk-profiles
#2
Mercedes Sotos-Prieto, Sean B Cash, Costas Christophi, Sara Folta, Steven Moffatt, Carolyn Muegge, Maria Korre, Dariush Mozaffarian, Stefanos N Kales
Among US firefighters, cardiovascular disease is the leading cause of on-duty death. Poor diet contributes to this burden, but effective strategies to encourage healthy eating in the fire service are not established. "Feeding America's Bravest" motivates firefighters and their families to modify their food culture and reduce cardiometabolic risk profiles by adopting Mediterranean diet principles. Feeding America's Bravest is a cluster-randomized, controlled trial within the 44 stations of the Indianapolis Fire Department, including about 1000 firefighters...
July 11, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28709525/the-toxic-exposure-of-flamingos-to-per-and-polyfluoroalkyl-substances-pfas-from-firefighting-foam-applications-in-bonaire
#3
Pepijn de Vries, Diana M E Slijkerman, Christiaan J A F Kwadijk, Michiel J J Kotterman, Leo Posthuma, Dick de Zwart, Albertinka J Murk, Edwin M Foekema
In 2010 an oil terminal next to nature reservation Saliña Goto (Bonaire) caught fire. Firefighting resulted in elevated per- and polyfluoroalkyl substances (PFAS) concentrations in the salt lake. Within months flamingo abundance in Goto dropped to near complete absence. After statistical analysis, rainfall was deemed an unlikely cause for this decline. Toxicological effects on abundance of prey are likely the main cause for the flamingo absence. This reduced PFAS exposure via food and thus risk towards flamingos during the first years after the fires...
July 11, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28699663/posttraumatic-stress-symptoms-and-alcohol-related-outcomes-among-municipal-firefighters
#4
Joe Tomaka, Dejan Magoc, Stormy M Morales-Monks, Anabel C Reyes
This study examined levels of posttraumatic stress symptoms (PTSS) and relationships between PTSS and alcohol-related outcomes in a near census of municipal firefighters. The study also assessed substance-use coping and drinking to cope as potential mediators of such outcomes. Firefighters (N = 740) completed measures that assessed PTSS, alcohol risk behaviors, alcohol problems, drinking motives, and coping with stress. Results showed that 32.4% of firefighters reported significant levels of PTSS using National Center for PTSD (2014) screening cutoff scores...
July 12, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28692894/occurrence-survey-and-spatial-distribution-of-perfluoroalkyl-and-polyfluoroalkyl-surfactants-in-groundwater-surface-water-and-sediments-from-tropical-environments
#5
Gabriel Munoz, Pierre Labadie, Fabrizio Botta, François Lestremau, Benjamin Lopez, Emmanuel Geneste, Patrick Pardon, Marie-Hélène Dévier, Hélène Budzinski
The occurrence and spatial distribution of 22 selected perfluoroalkyl and polyfluoroalkyl substances (PFASs) in surface water (n=75), groundwater (n=80) and surficial sediment (n=15) were investigated for the first time in the tropical areas constituted by the French Overseas Territories (French Guiana, Guadeloupe, Martinique, Mayotte and Reunion). Descriptive statistics and correlations between PFASs were evaluated through the use of specific statistical treatments to handle left-censored data ("non-detects")...
July 7, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28692002/impact-of-work-task-related-acute-occupational-smoke-exposures-on-select-proinflammatory-immune-parameters-in-wildland-firefighters
#6
Anna M Adetona, Olorunfemi Adetona, Robert M Gogal, David Diaz-Sanchez, Stephen L Rathbun, Luke P Naeher
OBJECTIVE: A repeated measures study was used to assess the effect of work tasks on select proinflammatory biomarkers in firefighters working at prescribed burns. METHODS: Ten firefighters and two volunteers were monitored for particulate matter and carbon monoxide on workdays, January to July 2015. Before and after workshift dried blood spots were analyzed for inflammatory mediators using the Meso Scale Discovery assay, while blood smears were used to assess leukocyte parameters...
July 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28689475/comparisons-between-shikoro-type-helmet-with-no-hood-and-typical-fire-protective-helmets-with-hood-in-a-hot-and-humid-environment
#7
Yoon Jeong Baek, Dahee Jung, Su-Young Son, Joo-Young Lee
The purpose of this study was to evaluate physiological and subjective responses while wearing the Shikoro-type helmet for firefighters when compared to typical helmets. Eight firefighters conducted a 30-min exercise at a 5 km∙h(-1) in three helmet conditions at an air temperature of 32°C with 70%RH. The results showed that no significant differences in rectal, mean skin temperature, and physiological strain index among the three conditions were found during exercise and recovery. Skin temperatures on the cheek, ear and neck during exercise was significantly lower for the Shikoro-type condition (P<0...
July 10, 2017: Ergonomics
https://www.readbyqxmd.com/read/28687709/the-effects-of-public-access-defibrillation-on-survival-after-out-of-hospital-cardiac-arrest-a-systematic-review-of-observational-studies
#8
Josefine Bækgaard, Søren Viereck, Thea Møller, Annette Ersbøll, Freddy Lippert, Fredrik Folke
Background -Despite recent advances, the average survival after out-of-hospital cardiac arrest (OHCA) remains below 10%. Early defibrillation by an automated external defibrillator (AED) is the most important intervention for OHCA patients, showing survival proportions above 50%. Accordingly, placement of AEDs in the community as part of a public access defibrillation program (PAD) is recommended by international guidelines. However, different strategies have been proposed on how exactly to increase and make use of public available AEDs...
July 7, 2017: Circulation
https://www.readbyqxmd.com/read/28677440/first-to-help-but-last-in-line
#9
Lynne Dick
During everything that has happened in Britain this past few months, it has been the police, firefighters, paramedics and hospital staff that have been there on the front line. They have put others first, at times endangering their own lives.
July 5, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28669179/novel-fluoroalkylated-surfactants-in-soils-following-firefighting-foam-deployment-during-the-lac-m%C3%A3-gantic-railway-accident
#10
Sandra Mejia-Avendaño, Gabriel Munoz, Sung Vo Duy, Mélanie Desrosiers, Paul Benoit, Sébastien Sauvé, Jinxia Liu
The derailment of an unmanned train carrying crude oil and subsequent fire in the town of Lac-Mégantic, Quebec, led to the use of 33,000 liters of aqueous film forming foam (AFFF) concentrate. While it is known that per- and polyfluoroalkyl substances (PFASs) contained in AFFFs pose a potential environmental and health risk, critical knowledge gaps remain as regards to their environmental fate after release. The accident in Lac-Mégantic provided valuable information regarding the identity and concentration of PFASs present in the soil after the AFFF deployment, as well as their possible transformation over time...
July 1, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28662456/decreased-plasma-adiponectin-among-male-firefighters-with-symptoms-of-post-traumatic-stress-disorder
#11
Kyoung-Sa Na, Eun-Kyoung Kim, Jong-Tae Park
BACKGROUND: Recent studies have reported that adiponectin-mediated neuromolecular pathways are involved in fear extinction, implying that adiponectin may be an important biological marker for posttraumatic stress disorder (PTSD). However, no study has investigated the association between adiponectin and patients with PTSD. METHODS: We examined plasma adiponectin levels, high-sensitivity C-reactive protein (hs-CRP), and psychopathological factors using the Korean version of the Impact Event Scale-Revised (IES-R-K) and the Center for Epidemiologic Studies Depression Scale in 507 male firefighters...
October 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28661230/circle-co2-reabsorbing-breathing-systems-human-applications
#12
Patrick Magee
Artificial breathing systems to help humans survive extreme environments are used over a range of ambient pressures, using various gases of different volumetric concentrations. These activities include anaesthesia and intensive care activity, high-altitude mountaineering, firefighting, aerospace extravehicular space activity and underwater diving operations. A circle breathing system is one in which the exhaled carbon dioxide is absorbed by an alkali substance and the remaining unused gases are recirculated, usually for the sake of economy and environment...
July 2017: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/28652921/comparison-of-facet-joint-degeneration-in-firefighters-and-hospital-office-workers
#13
Dong Hyun Kim, Yon Soo An, Hyung Doo Kim, Kyoung Sook Jeong, Yeon-Soon Ahn, Kun-Hyung Kim, Youngki Kim, Han-Soo Song, Chul-Gab Lee, Young-Jun Kwon, Jin-Ha Yoon
BACKGROUND: There are few published studies on the relationship between occupational lumbar load and facet joint degeneration (FJD). This cross-sectional study was conducted to evaluate the effect of physical lumbar load on FJD by comparing magnetic resonance imaging (MRI) findings of firefighters (FFs) and hospital office workers (HOWs). METHODS: We randomly sampled 341 male FFs and 80 male HOWs by age stratification. A questionnaire and clinical examination, including MRI of the lumbar spine (T12-S1), were conducted...
2017: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28650351/changes-in-health-and-fitness-in-firefighter-recruits-an-observational-cohort-study
#14
David J Cornell, Stacy L Gnacinski, Barbara B Meyer, Kyle T Ebersole
PURPOSE: To observe longitudinal changes in health and fitness among firefighter recruits. METHODS: Body composition, aerobic capacity, muscular power, muscular strength, and muscular endurance measures were longitudinally collected among 27 male firefighter recruits (mean ± SD, age = 29.9 ± 4.1 yrs; height = 179.8 ± 4.6 cm; body mass = 87.2 ± 9.7 kg) at the beginning (W1) and end (W14) of their firefighter training academy, as well as at the end of their probationary period (W38)...
June 22, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28645017/examining-anxiety-sensitivity-as-a-mediator-of-the-association-between-ptsd-symptoms-and-suicide-risk-among-women-firefighters
#15
Ian H Stanley, Melanie A Hom, Sally Spencer-Thomas, Thomas E Joiner
OBJECTIVE: Posttraumatic stress disorder (PTSD) symptoms are associated with increased suicide risk. Anxiety sensitivity (AS)-the fear of anxiety-related sensations-is both a vulnerability factor for and consequence of PTSD symptoms. AS also predicts suicide risk. To our knowledge, no study has examined whether AS concerns account for the association between PTSD symptoms and suicide risk. METHOD: A total of 254 women firefighters completed a web-based mental health survey...
June 13, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28641147/suicidal-thoughts-and-behaviors-among-women-firefighters-an-examination-of-associated-features-and-comparison-of-pre-career-and-career-prevalence-rates
#16
Ian H Stanley, Melanie A Hom, Sally Spencer-Thomas, Thomas E Joiner
BACKGROUND: Women protective service workers die by suicide at a higher rate than women workers in other occupational groups. However, no study has examined rates and correlates of suicidal thoughts and behaviors among women firefighters, despite the potential for these data to inform suicide screening, prevention, and intervention initiatives. The purpose of this study is to describe and compare pre-career and career rates of suicidal thoughts and behaviors and identify their sociodemographic and occupational correlates among women firefighters...
October 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28636458/contamination-of-firefighter-personal-protective-equipment-and-skin-and-the-effectiveness-of-decontamination-procedures
#17
Kenneth W Fent, Barbara Alexander, Jennifer Roberts, Shirley Robertson, Christine Toennis, Deborah Sammons, Stephen Bertke, Steve Kerber, Denise Smith, Gavin Horn
Firefighters' skin may be exposed to chemicals via permeation/penetration of combustion byproducts through or around personal protective equipment (PPE) or from the cross-transfer of contaminants on PPE to the skin. Additionally, volatile contaminants can evaporate from PPE following a response and be inhaled by firefighters. Using polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs) as respective markers for non-volatile and volatile substances, we investigated the contamination of firefighters' turnout gear and skin following controlled residential fire responses...
June 21, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28630566/the-global-lung-function-initiative-2012-equations-are-as-well-suited-as-local-population-derived-equations-to-a-sample-of-healthy-professional-firefighters
#18
Flynn Slattery, Tjard Schermer, Adrian Esterman, Kylie Johnston, Alan Crockett
BACKGROUND AND OBJECTIVE: We aimed to assess the validity of using the Global Lung Function Initiative's (GLI) 2012 equations to interpret lung function data in a healthy workforce of South Australian Metropolitan Fire Service (SAMFS) personnel. METHODS: Spirometry data from 212 healthy, nonsmoking SAMFS firefighters were collected and predicted normal values were calculated using both the GLI and local population derived (Gore) equations for forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC...
2017: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/28628601/the-damage-control-surgery-in-austere-environments-research-group-dcsaerg-a-dynamic-program-to-facilitate-real-time-telementoring-telediagnosis-to-address-exsanguination-in-extreme-and-austere-environments
#19
Andrew W Kirkpatrick, Jessica L McKee, Paul B McBeth, Chad G Ball, Anthony LaPorta, Timothy Broderick, Tim Leslie, David King, Heather E Wright Beatty, Jocelyn Keillor, Homer Tien
Hemorrhage is the most preventable cause of posttraumatic death. Many cases are potentially anatomically salvageable, yet remain lethal without logistics or trained personnel to deliver diagnosis or resuscitative surgery in austere environments. Revolutions in technology for remote mentoring of ultrasound and surgery may enhance capabilities to utilize the skill sets of non-physicians. Thus, our research collaborative explored remote mentoring to empower non-physicians to address junctional and torso hemorrhage control in austere environments...
July 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28628060/lung-cancer-risk-among-non-smoking-firefighters
#20
Tee Lamont Guidotti, David F Goldsmith
No abstract text is available yet for this article.
April 2017: Journal of Occupational and Environmental Medicine
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