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We review the magnitudes of the photon momenta in free space, derived by Maxwell and Einstein, and those in homogeneous, dispersionless and lossless dielectrics, associated with Abraham and Minkowski. These momenta determine the forces exerted by light beams on material objects, as measured in radiation pressure experiments. It is shown that conservation conditions for components of the electromagnetic energy-momentum tensors derived by Abraham and Minkowski, also by Einstein and Laub, are equivalent relations simply derived from Maxwell's equations. The challenge for theory is the reliable interpretation of experimental momentum transfers from light to matter, which requires extensions of the basic theory to include material dispersion and surface effects. The main experiments are reviewed, together with details of a Lorentz-force theory that accounts for them. It is shown that the Abraham kinetic momentum is associated with the overall motion of a dielectric sample, while the Minkowski canonical momentum applies to the motion of bodies embedded in the dielectric. [ABSTRACT FROM AUTHOR]

Many hospitals have initiated a strategy to reduce costs and improve quality of care by using physicians as 'hospitalists.' A hospitalist specializes in inpatient care. This article reports the findings of survey research examining CEO perceptions of the hospitalist model, with particular interest in diffusion of the strategy in rural and low managed care hospital markets. Findings indicate there is less diffusion of the hospitalist model to rural areas because of lack of information about the cost effectiveness of the program and medical staff resistance. Recommendations to increase adoption of the hospitalist strategy include educating about the benefits of the strategy and paying attention to areas of concern by the medical staff. [ABSTRACT FROM AUTHOR]

Nine thousand and eighty-eight base pairs of the chicken Hoxa 11 gene, including 8470 bases 5′ of the translation start site were sequenced, and the characteristics of the upstream sequence investigated. Consistent with previous findings that middle repetitive elements are rare in the HoxA cluster, no repetitive elements were found other than simple oligonucleotide repeats. Multiple and pairwise alignments of the chicken upstream sequence with its human and mouse orthologs revealed multiple regions of 80% or higher homology across species. For the chicken, these regions were separated by sequences with no significant homology to human, mouse, or in most cases any other Genbank sequences. Selective clustering of transcription factor binding motifs was found to occur within the conserved homologous regions, suggesting evolutionary conservation of critical regulatory sequences. Of particular interest, seven conserved Cdx binding sites were found in the Hoxa 11 promoter, suggesting regulation by a non-clustered Caudal homeobox gene. Previous analysis of the mouse and human Hoxa 11 genes found a conserved antisense transcript, of unknown function. The chicken Hoxa 11 antisense strand included a conserved open reading frame capable of encoding 168 amino acids. Comparison of this region in mouse and chicken showed seven insertion/deletions, with each a multiple of three bases, thereby preserving open reading frame. [ABSTRACT FROM AUTHOR]

The purpose of this study was to quantify Stevens' power function for the heaviness of boxes being lifted and lowered. This was determined for 91 firemen using a ratio rating method. For 90/91 subjects the equation was satisfactorily fitted to a power relationship despite considerable variation between individuals. The mean exponent for perceived heaviness was 1·35 and fractionation point 0·06 kg. It was concluded that doubling a weight being lifted resulted in a 2·6 increase in perceived weight. [ABSTRACT FROM PUBLISHER]

The events leading to injury and the contributory factors associated with each event were investigated in a series of 100 patients treated in an A&E department, using a new programmable accident model for the analysis and storage of data. The focal point of the interview with each casualty was identification of the first unforeseen event in the sequence leading to injury, together with the activities and movements at the time of the first event and any objects associated with it. In 37 cases out of 100, the first unforeseen event took place between the feet and their point of support. For example, the foot slipped unexpectedly, a step was missed or a ladder fell. As a result of these underfoot accidents, sprains of the joints of the lower limb were frequent injuries but second injuries occurred more commonly than after other types of first unforeseen events. Underfoot accidents occurred in 10 out of the 38 injuries at work and in 27 of the 62 which took place at home, at leisure, while shopping, etc. [ABSTRACT FROM PUBLISHER]

The effects of repetition on psychophysically acceptable loads and maximal isometric lifting strengths were studied in two groups of subjects. In both groups, subjects selected acceptable loads for dynamic lifting between table and floor and were tested for maximal and acceptable lifting strength isometrically at knee and waist levels. In series I, 33 subjects (15 males, 18 females) were tested 4 times with a minimal interval of 5 days between tests. In series II, 12 subjects (8 males, 4 females) were tested daily from Monday to Friday on 2 consecutive weeks. Differences in acceptable isometric lifting strength between the two groups appeared to arise from minor differences in the instructions given; but in neither series was there a significant change in acceptable lifting strength, either dynamic or isometric. In series I, no change was noted in maximal isometric lifting strength. But in series II there was a gain in maximal lifting strength at knee level of 25%. Also in series II, the acceptable isometric lifting strength at waist level was consistently found to be 60% of the acceptable dynamic lifting strength. [ABSTRACT FROM PUBLISHER]

There is a high incidence of cardiovascular disease and certain cancers in firefighters that may be related to their occupational exposure to hazardous substances. Exposure may result from contaminated personal protective gear, as well as from direct exposure at fire scenes. This study characterized flame-retardant contamination on firefighter personal protective clothing to assess exposure of firefighters to these chemicals. Samples from used and unused firefighter protective clothing, including gloves, hoods and a coat wristlet, were extracted with methylene chloride and analyzed by EPA method 8270D Specific Ion Method (SIM) for polybrominated diphenyl ethers (PBDEs). Until recently PBDEs were some of the most common flame-retardant chemicals used in the US. Fifteen of the seventeen PBDEs for which analysis was performed were found on at least one clothing swatch. Every clothing sample, including an unused hood and all three layers of an unused glove, held a detectable concentration of at least one PBDE. These findings, along with previous research, suggest that firefighters are exposed to PBDE flame retardants at levels much higher than the general public. PBDEs are found widely dispersed in the environment and still persist in existing domestic materials such as clothing and furnishings. Firefighter exposure to flame retardants therefore merits further study. [ABSTRACT FROM PUBLISHER]

Firefighting continues to be among the most hazardous yet least studied occupations in terms of exposures and their relationship to occupational disease. Exposures are complex, involving mixtures of particles and chemicals such as polycyclic aromatic hydrocarbons (PAHs). Adverse health effects associated with these agents include elevated incidences of coronary heart disease and several cancers. PAHs have been detected at fire scenes, and in the firehouse rest area and kitchen, routinely adjoining the truck bay, and where firefighters spend a major part of each shift. An academic-community partnership was developed with the Cincinnati Fire Department with the goal of understanding active firefighters’ airborne and dermal PAH exposure. PAHs were measured in air and particulates, and number and mass concentrations, respectively, of submicron (0.02–1 μm) and PM2.5 (2.5 μm diameter and less) particles during overhaul events in two firehouses and a University of Cincinnati administrative facility as a comparison location. During overhaul firefighters evaluate partially combusted materials for re-ignition after fire extinguishment and commonly remove Self-Contained Breathing Apparatus (SCBA). Face and neck wipes were also collected at a domestic fire scene. Overhaul air samples had higher mean concentrations of PM2.5 and submicron particles than those collected in the firehouse, principally in the truck bay and kitchen. Among the 17 PAHs analyzed, only naphthalene and acenaphthylene were generally detectable. Naphthalene was present in 7 out of 8 overhaul activities, in 2 out of 3 firehouse (kitchen and truck bay) samples, and in none collected from the control site. In firefighter face and neck wipes a greater number of PAHs were found, several of which have carcinogenic activity, such as benzofluoranthene, an agent also found in overhaul air samples. Although the concentration for naphthalene, and all other individual PAHs, was very low, the potential simultaneous exposure to multiple chemicals even in small quantities in combination with high ultrafine particle exposure deserves further study. It is recommended that personal respiratory and skin protection be worn throughout the overhaul process. [ABSTRACT FROM AUTHOR]

Chemical exposures may be responsible for firefighters’ elevated incidences of cancer and cardiovascular disease. This study characterized semivolatile chemical contamination on firefighter personal protective clothing to assess exposure of firefighters to these chemicals. Samples from used firefighter protective clothing, including gloves, hood, and one coat wristlet, were extracted with methylene chloride and analyzed by EPA method 8270 for semivolatile contaminants, including 20 polycyclic aromatic hydrocarbons (PAHs) and 6 phthalate diesters. Twenty-two of the chemicals of interest were found on at least one clothing swatch. Only di-(2-ethylhexyl) phthalate (DEHP), a plasticizer, added to polyvinyl chloride (PVC) to increase flexibility, was found on every swatch. DEHP concentrations were the highest of any chemical measured, and were 52 to 875 times higher than any PAH concentration measured. DEHP was also detected on most items of unused firefighter personal protective clothing, although at much lower levels. These findings suggest that firefighters are exposed to high levels of DEHP, a probable human carcinogen, and at levels much higher than PAHs, the semivolatile toxic combustion products most extensively studied historically. Firefighter exposure to DEHP and other phthalate diesters therefore merits further study. [ABSTRACT FROM AUTHOR]

Chemical exposures may be responsible for firefighters’ elevated incidences of cancer and cardiovascular disease. This study characterized semivolatile chemical contamination on firefighter personal protective clothing to assess exposure of firefighters to these chemicals. Samples from used firefighter protective clothing, including gloves, hood, and one coat wristlet, were extracted with methylene chloride and analyzed by EPA method 8270 for semivolatile contaminants, including 20 polycyclic aromatic hydrocarbons (PAHs) and 6 phthalate diesters. Twenty-two of the chemicals of interest were found on at least one clothing swatch. Only di-(2-ethylhexyl) phthalate (DEHP), a plasticizer, added to polyvinyl chloride (PVC) to increase flexibility, was found on every swatch. DEHP concentrations were the highest of any chemical measured, and were 52 to 875 times higher than any PAH concentration measured. DEHP was also detected on most items of unused firefighter personal protective clothing, although at much lower levels. These findings suggest that firefighters are exposed to high levels of DEHP, a probable human carcinogen, and at levels much higher than PAHs, the semivolatile toxic combustion products most extensively studied historically. Firefighter exposure to DEHP and other phthalate diesters therefore merits further study. [ABSTRACT FROM AUTHOR]