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<title>Occupational and Environmental Medicine current issue</title>
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<prism:coverDisplayDate>Jul  1 2009 12:00:00:000AM</prism:coverDisplayDate>
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<title>Occupational and Environmental Medicine</title>
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<link>http://oem.bmj.com</link>
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<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/425?rss=1">
<title><![CDATA[[Editorials] Sixty-five years of the Journal go online]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/425?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Loomis, D.]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:subject><![CDATA[Industrial workers, Other]]></dc:subject>
<dc:identifier>info:doi/10.1136/oem.2009.047761</dc:identifier>
<dc:title><![CDATA[[Editorials] Sixty-five years of the Journal go online]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>426</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>425</prism:startingPage>
<prism:section>Editorials</prism:section>
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<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/426?rss=1">
<title><![CDATA[[Editorials] Asbestos, lung cancer and mesothelioma in the British Journal of Industrial Medicine]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/426?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Newman Taylor, A.]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:subject><![CDATA[Industrial workers, Other, Respiratory, Asbestos, Other exposures]]></dc:subject>
<dc:identifier>info:doi/10.1136/oem.2006.026724</dc:identifier>
<dc:title><![CDATA[[Editorials] Asbestos, lung cancer and mesothelioma in the British Journal of Industrial Medicine]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>427</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>426</prism:startingPage>
<prism:section>Editorials</prism:section>
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<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/428?rss=1">
<title><![CDATA[[Editorials] From cross-sectional survey to cohort study]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/428?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Lynge, E.]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:subject><![CDATA[Industrial workers, Other, Metals, Other exposures]]></dc:subject>
<dc:identifier>info:doi/10.1136/oem.2006.027086</dc:identifier>
<dc:title><![CDATA[[Editorials] From cross-sectional survey to cohort study]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>429</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>428</prism:startingPage>
<prism:section>Editorials</prism:section>
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<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/429?rss=1">
<title><![CDATA[[Editorials] Assessing workplace exposures: turning to the past for guidance]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/429?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Rappaport, S. M]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:subject><![CDATA[Industrial workers, Other, Respiratory, Other exposures]]></dc:subject>
<dc:identifier>info:doi/10.1136/oem.2006.027052</dc:identifier>
<dc:title><![CDATA[[Editorials] Assessing workplace exposures: turning to the past for guidance]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>430</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>429</prism:startingPage>
<prism:section>Editorials</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/431?rss=1">
<title><![CDATA[[Obituary] Professor Robert Ian McCallum (1920-2009): an appreciation]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/431?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Seaton, A.]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2009.047076</dc:identifier>
<dc:title><![CDATA[[Obituary] Professor Robert Ian McCallum (1920-2009): an appreciation]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>431</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>431</prism:startingPage>
<prism:section>Obituary</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/432?rss=1">
<title><![CDATA[[Original articles] Workplace social capital and co-occurrence of lifestyle risk factors: the Finnish Public Sector Study]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/432?rss=1</link>
<description><![CDATA[
<sec><st>Objective:</st>
<p>The aim of this prospective study was to examine the link between individual and ecological workplace social capital and the co-occurrence of adverse lifestyle risk factors such as smoking, heavy drinking, physical inactivity and overweight.</p>
</sec>
<sec><st>Methods:</st>
<p>Data on 25 897 female and 5476 male public sector employees were analysed. Questionnaire surveys conducted in 2000&ndash;2002 (baseline) and 2004&ndash;2005 (follow-up) were used to assess workplace social capital, lifestyle risk factors and other characteristics. Multilevel multinomial logistic regression analysis was used to examine associations between individual and ecological social capital and the co-occurrence of lifestyle risk factors.</p>
</sec>
<sec><st>Results:</st>
<p>In the cross-sectional analysis adjusted for age, sex, marital status and employer, low social capital at work at both the individual and ecological level was associated with at least a 1.3 times higher odds of having more than two lifestyle risk factors versus having no risk factors. Similar associations were found in the prospective setting. However, additional adjustment for the co-occurrence of risk factors and socioeconomic status at baseline attenuated the result to non-significant.</p>
</sec>
<sec><st>Conclusion:</st>
<p>Social capital at work seems to be associated with a lowered risk of co-occurrence of multiple lifestyle risk factors but does not clearly predict the future risk of this co-occurrence.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Vaananen, A, Kouvonen, A, Kivimaki, M, Oksanen, T, Elovainio, M, Virtanen, M, Pentti, J, Vahtera, J]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.042044</dc:identifier>
<dc:title><![CDATA[[Original articles] Workplace social capital and co-occurrence of lifestyle risk factors: the Finnish Public Sector Study]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>437</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>432</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/438?rss=1">
<title><![CDATA[[Original articles] Suicide among male regular UK Armed Forces personnel, 1984-2007]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/438?rss=1</link>
<description><![CDATA[
<sec><st>Objective:</st>
<p>To examine the number of suicide and open verdict deaths in the regular UK Armed Forces and to make comparisons with the UK general population.</p>
</sec>
<sec><st>Methods:</st>
<p>Age and calendar year-adjusted standardised mortality ratios (SMRs) and 95% CI were calculated to compare the number of suicides among the UK Armed Forces with the general population of the UK.</p>
</sec>
<sec><st>Results:</st>
<p>Between 1984 and 2007, there were 694 suicide and open verdict deaths among male UK Armed Forces personnel. The UK Armed Forces had statistically significantly fewer suicides than expected compared with the UK general population (SMR = 58, 95% CI 54 to 63, based on 694 deaths). This was evident for each of the three Services (Naval Service, Army and Royal Air Force). For each age group, the number of suicides in each Service was lower than the number expected based on UK general population rates, except for Army males under 20 years of age, where there were 1.5 times more deaths than expected (SMR = 150, 95% CI 118 to 190, based on 68 deaths).</p>
</sec>
<sec><st>Conclusion:</st>
<p>The UK Armed Forces are subject to a number of unique occupational stressors, so it is reassuring that they experience lower than expected numbers of suicides in comparison with the UK general population. This is true for each Service and all age groups except young Army males.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Fear, N T, Ward, V R, Harrison, K, Davison, L, Williamson, S, Blatchley, N F]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.040816</dc:identifier>
<dc:title><![CDATA[[Original articles] Suicide among male regular UK Armed Forces personnel, 1984-2007]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>441</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>438</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/442?rss=1">
<title><![CDATA[[Original articles] Respiratory and skin effects of exposure to wood dust from the rubber tree Hevea brasiliensis]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/442?rss=1</link>
<description><![CDATA[
<sec><st>Objectives:</st>
<p>Potential health effects related to wood dust from the rubber tree, which produces natural rubber latex, have not been previously investigated. The main aim of this study was to investigate the relations of rubber tree dust exposure to respiratory and skin symptoms, asthma and lung function.</p>
</sec>
<sec><st>Methods:</st>
<p>A cross-sectional study was conducted among 103 workers (response rate 89%) in a rubber tree furniture factory and 76 office workers (73%) in four factories in Thailand. All participants answered a questionnaire and performed spirometry. Inhalable dust levels were measured in different work areas.</p>
</sec>
<sec><st>Results:</st>
<p>Factory workers showed increased risk of wheezing, nasal symptoms and asthma compared to office workers. There was a dose-dependent increase in wheeze and skin symptoms in relation to dust level. Significantly increased risks of nasal symptoms (adj OR 3.67, 95% CI 1.45 to 9.28) and asthma (8.41, 1.06 to 66.60) were detected in the low exposure category. Workers exposed to ethyl cyanoacrylate glue had significantly increased risk of cough, breathlessness and nasal symptoms. There was dose-dependent reduction in spirometric lung function with wood dust level.</p>
</sec>
<sec><st>Conclusions:</st>
<p>This study provides new evidence that workers exposed to wood dust from the rubber tree experience increased risk of nasal symptoms, wheeze, asthma and skin symptoms and have reduced spirometric lung function. Exposure to cyanoacrylate is related to significantly increased respiratory symptoms. Results suggest that the furniture industry using rubber tree wood should implement appropriate exposure control measures to reduce wood dust exposure and cyanoacrylate glue exposure to protect their employees.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Sripaiboonkij, P, Phanprasit, W, Jaakkola, M S]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.042150</dc:identifier>
<dc:title><![CDATA[[Original articles] Respiratory and skin effects of exposure to wood dust from the rubber tree Hevea brasiliensis]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>447</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>442</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/448?rss=1">
<title><![CDATA[[Original articles] A case-control study on occupational risk factors for sino-nasal cancer]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/448?rss=1</link>
<description><![CDATA[
<sec><st>Objectives:</st>
<p>Sino-nasal cancer has been consistently associated with exposure to wood dust, leather dust, nickel and chromium compounds; for other occupational hazards, the findings are somewhat mixed. The aim of this study was to investigate the risk of sino-nasal epithelial cancer (SNEC) by histological type with prior exposure to suspected occupational risk factors and, in particular, those in metalworking.</p>
</sec>
<sec><st>Methods:</st>
<p>Between 1996 and 2000, incident cases were collected on a monthly basis from hospitals throughout the Piedmont region of Italy by the regional Sino-nasal Cancer Registry. A questionnaire on occupational history, completed by 113 cases and 336 hospital controls, was used to assign exposure to occupational hazards. The relationship between SNEC and cumulative exposure to these hazards was explored using unconditional logistic regression to statistically adjust for age, sex, smoking and co-exposures, allowing for a 10-year latency period.</p>
</sec>
<sec><st>Results:</st>
<p>The risk of adenocarcinoma was significantly increased with ever-exposure to wood dust (odds ratio; OR = 58.6), and to leather dust (OR = 32.8) and organic solvents (OR = 4.3) after controlling for wood dust, whereas ever-exposure to welding fumes (OR = 3.7) and arsenic (OR = 4.4) significantly increased the risk for squamous cell carcinoma. For each of these hazards, a significant increasing trend in risk across ordered cumulative exposure categories was found and, except for arsenic, a significantly increased risk with ever-exposure at low intensity. Treating cumulative exposure on a continuous scale, a significant effect of textile dusts was also observed for adenocarcinoma. For a mixed group of other histological types, a significant association was found with wood dust and organic solvents.</p>
</sec>
<sec><st>Conclusions:</st>
<p>Some occupational risk factors for SNEC were confirmed, and dose&ndash;response relationships were observed for other hazards that merit further investigation. The high risk for adenocarcinoma with low-intensity exposure to wood dust lends support for a reduction in the occupational threshold value.</p>
</sec>
]]></description>
<dc:creator><![CDATA[d'Errico, A, Pasian, S, Baratti, A, Zanelli, R, Alfonzo, S, Gilardi, L, Beatrice, F, Bena, A, Costa, G]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.041277</dc:identifier>
<dc:title><![CDATA[[Original articles] A case-control study on occupational risk factors for sino-nasal cancer]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>455</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>448</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/456?rss=1">
<title><![CDATA[[Original articles] Maternal occupational exposure to solvents and congenital malformations: a prospective study in the general population]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/456?rss=1</link>
<description><![CDATA[
<sec><st>Objective:</st>
<p>To study the relations between maternal occupational exposure to solvents during pregnancy and the risk of congenital malformations.</p>
</sec>
<sec><st>Methods:</st>
<p>A prospective population-based cohort, specifically designed to study the impact of maternal exposure to solvents on the risk of congenital malformations, began in 2002 in three districts of Brittany (France). 3421 pregnant women were recruited until the end of 2005 by physicians before 19 weeks of gestation and followed through birth. Information on pregnancy outcomes was obtained from the hospital. Occupational exposure to solvents at the beginning of pregnancy was assessed from the women&rsquo;s self-reported occupational exposures at inclusion and from a job-exposure matrix (JEM). Sociodemographic characteristics, lifestyle factors, medical history, diseases during pregnancy were obtained at inclusion and from hospital records. Analyses were restricted to working women (n = 3005). Logistic regressions were used to adjust for potential confounders.</p>
</sec>
<sec><st>Results:</st>
<p>30.2% of the working women declared regular exposure to at least one product that may contain solvents. 21.3% of them were classified at least in the medium exposure category using the JEM. Occupations mainly classified as exposed by both assessment methods were hairdressers, nurses&rsquo; aides, nurses and chemists/biologists. Significant associations were found between major congenital malformations and maternal occupational exposure to solvents, assessed by both self-report odds ratio (OR = 2.48, 95% CI 1.4 to 4.4 for regular exposure vs no exposure) and the JEM (OR = 3.48, 95% CI 1.4 to 8.4 for highest level of exposure vs no exposure). A significant dose&ndash;response trend was observed with both assessment methods. Several subgroups of major malformations were associated with maternal exposure to solvents (oral clefts, urinary malformations and male genital malformations).</p>
</sec>
<sec><st>Conclusion:</st>
<p>This study provides further evidence of an association between exposure to solvents during pregnancy and the risk of major malformations.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Garlantezec, R, Monfort, C, Rouget, F, Cordier, S]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.041772</dc:identifier>
<dc:title><![CDATA[[Original articles] Maternal occupational exposure to solvents and congenital malformations: a prospective study in the general population]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>463</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>456</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/464?rss=1">
<title><![CDATA[[Original articles] Mortality and cancer incidence in workers in two Australian prebake aluminium smelters]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/464?rss=1</link>
<description><![CDATA[
<sec><st>Background:</st>
<p>Exposures in the aluminium production industry have been declining and this study aimed to investigate cancer and mortality in two Australian prebake aluminium smelters.</p>
</sec>
<sec><st>Methods:</st>
<p>The cohort included 4396 males who had worked in a prebake smelter for at least 3 months. They were matched against the National Death Index and the National Cancer Statistics Clearing House to obtain cause of death and type of cancer. Standardised Mortality Ratios (SMRs) and Standardised Incidence Ratios (SIRs) were calculated for the whole cohort, for production or maintenance work categories and for duration of employment categories.</p>
</sec>
<sec><st>Results:</st>
<p>The SMRs for all causes, circulatory, respiratory and injury deaths were at or below expected. Mesothelioma was the only significantly increased cause of death (SMR 3.52, 95% CI 1.47 to 8.46). Death from prostate cancer in production workers was elevated (SMR 2.39, 95% CI 1.29 to 4.44) and in those who had worked for more than 20 years in production or maintenance jobs (SMR 3.67, 95% CI 1.53 to 8.81). There were statistically significant excesses of incident stomach cancer, mesothelioma, and kidney cancer cases, while the SIR for melanoma was significantly reduced. There was no significant trend for duration of exposure for any type of incident cancer.</p>
</sec>
<sec><st>Conclusions:</st>
<p>This study found no overall excess of mortality or cancer, but incident mesothelioma and kidney cancer risks were elevated. The lack of excess risk for lung or bladder cancer or deaths from respiratory disease may be related to the different level and pattern of exposure between S&oslash;derberg and prebake smelters.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Sim, M R, Monaco, A D., Hoving, J L, MacFarlane, E, McKenzie, D, Benke, G, de Klerk, N, Fritschi, L]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.040964</dc:identifier>
<dc:title><![CDATA[[Original articles] Mortality and cancer incidence in workers in two Australian prebake aluminium smelters]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>470</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>464</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/471?rss=1">
<title><![CDATA[[Original articles] The French Musculoskeletal Disorders Surveillance Program: Pays de la Loire network]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/471?rss=1</link>
<description><![CDATA[
<sec><st>Objectives:</st>
<p>An epidemiological surveillance system for work-related musculoskeletal disorders (MSDs) was implemented in 2002 in France&rsquo;s Pays de la Loire region to assess the incidence and prevalence of MSDs in the general and working populations, identify levels of exposure to occupational risk factors and investigate the proportion of cases attributable to work exposure.</p>
</sec>
<sec><st>Methods:</st>
<p>The program combines (1) surveillance of sentinel health events in the general population (carpal tunnel syndrome (CTS) was the sentinel event for upper limb MSDs), (2) assessment of the prevalence of the main upper limb MSDs and their risk factors in the workplace based on a network of occupational physicians and (3) registration of the notification of work-related diseases (WRDs).</p>
</sec>
<sec><st>Results:</st>
<p>1168 incident cases of CTS were included over a 3 year period. The estimated incidence of CTS was 1.00 per 1000 person-years in those aged 20&ndash;59 years (0.60 in men and 1.40 in women). The incidence rate was higher in employed than unemployed persons in the year of diagnosis (0.6 per 1000 vs 0.3 in men and 1.7 vs 0.8 in women). The occupational physician network noted high prevalence rates: 11% of men and 15% of women had at least one of the six main upper limb clinically-diagnosed MSDs. The WRD survey showed that MSDs represented 65% of notified WRDs.</p>
</sec>
<sec><st>Conclusion:</st>
<p>The Pays de la Loire program plays a significant role in informing the authorities and the public about the state of current MSDs. It is planned to extend it to a routine national surveillance program.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Ha, C, Roquelaure, Y, Leclerc, A, Touranchet, A, Goldberg, M, Imbernon, E]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:subject><![CDATA[Musculoskeletal]]></dc:subject>
<dc:identifier>info:doi/10.1136/oem.2008.042812</dc:identifier>
<dc:title><![CDATA[[Original articles] The French Musculoskeletal Disorders Surveillance Program: Pays de la Loire network]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>479</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>471</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/480?rss=1">
<title><![CDATA[[Original articles] Can loud noise cause acoustic neuroma? Analysis of the INTERPHONE study in France]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/480?rss=1</link>
<description><![CDATA[
<sec><st>Objectives:</st>
<p>To investigate possible associations between risk of acoustic neuroma and exposure to loud noise in leisure and occupational settings.</p>
</sec>
<sec><st>Methods:</st>
<p>A case-control study was conducted in France within the international INTERPHONE study. The cases were the 108 subjects diagnosed with acoustic neuroma between 1 June 2000 and 31 August 2003. Two controls per case were selected from the electoral rolls and individually matched for gender, age (5 years) and area (local authority district) of residence at the time of the case diagnosis. Multivariate analyses were conducted using conditional logistic regression. Adjustment was made for socioeconomic status.</p>
</sec>
<sec><st>Results:</st>
<p>Acoustic neuroma was found to be associated with loud noise exposure (odds ratio (OR) = 2.55; 95% CI 1.35 to 4.82), both in leisure settings, particularly when listening to loud music (OR = 3.88; 95% CI 1.48 to 10.17) and at work (OR = 2.26; 95% CI 1.08 to 4.72). This risk increased with exposure duration (&gt;6 years&rsquo; leisure exposure: OR = 3.15; 95% CI 1.07 to 9.24). Risk varied according to the type of noise (continuous or explosive vs intermittent).</p>
</sec>
<sec><st>Conclusion:</st>
<p>The present results agree with other recent reports implicating loud noise in the risk of acoustic neuroma.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Hours, M, Bernard, M, Arslan, M, Montestrucq, L, Richardson, L, Deltour, I, Cardis, E]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/10.1136/oem.2008.042101</dc:identifier>
<dc:title><![CDATA[[Original articles] Can loud noise cause acoustic neuroma? Analysis of the INTERPHONE study in France]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>486</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>480</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/487?rss=1">
<title><![CDATA[[Original articles] Mortality among British asbestos workers undergoing regular medical examinations (1971-2005)]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/487?rss=1</link>
<description><![CDATA[
<sec><st>Objectives:</st>
<p>The Great Britain Asbestos Survey was established to monitor mortality among workers covered by regulations to control occupational exposure to asbestos. This study updates the estimated burden of asbestos-related mortality in the cohort, and identifies risk factors associated with mortality.</p>
</sec>
<sec><st>Methods:</st>
<p>From 1971, workers were recruited during initially voluntary and later statutory medical examinations. A brief questionnaire was completed during the medical, and participants were flagged for death registrations. Standardised mortality ratios (SMRs) and proportional mortality ratios (PMRs) were calculated for deaths occurring before 2006. Poisson regression analyses were undertaken for diseases with significant excess mortality.</p>
</sec>
<sec><st>Results:</st>
<p>There were 15 496 deaths among 98 117 workers followed-up for 1 779 580 person-years. The SMR for all cause mortality was 141 (95% CI 139 to 143) and for all malignant neoplasms 163 (95% CI 159 to 167). The SMRs for cancers of the stomach (166), lung (187), peritoneum (3730) and pleura (968), mesothelioma (513), cerebrovascular disease (164) and asbestosis (5594) were statistically significantly elevated, as were the corresponding PMRs. In age and sex adjusted analysis, birth cohort, age at first exposure, year of first exposure, duration of exposure, latency and job type were associated with the relative risk of lung, pleural and peritoneal cancers, asbestosis and mesothelioma mortality.</p>
</sec>
<sec><st>Conclusions:</st>
<p>Known associations between asbestos exposure and mortality from lung, peritoneal and pleural cancers, mesothelioma and asbestosis were confirmed, and evidence of associations with stroke and stomach cancer mortality was observed. Limited evidence suggested that asbestos-related disease risk may be lower among those first exposed in more recent times.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Harding, A-H, Darnton, A, Wegerdt, J, McElvenny, D]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:subject><![CDATA[Respiratory, Asbestos, Other exposures]]></dc:subject>
<dc:identifier>info:doi/10.1136/oem.2008.043414</dc:identifier>
<dc:title><![CDATA[[Original articles] Mortality among British asbestos workers undergoing regular medical examinations (1971-2005)]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>495</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>487</prism:startingPage>
<prism:section>Original articles</prism:section>
</item>

<item rdf:about="http://oem.bmj.com/cgi/content/short/66/7/496?rss=1">
<title><![CDATA[[PostScript] Identifying tumour sites in the IARC Monographs]]></title>
<link>http://oem.bmj.com/cgi/content/short/66/7/496?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Cogliano, V J]]></dc:creator>
<dc:date>2009-06-18</dc:date>
<dc:identifier>info:doi/</dc:identifier>
<dc:title><![CDATA[[PostScript] Identifying tumour sites in the IARC Monographs]]></dc:title>
<dc:publisher>BMJ Publishing Group Ltd</dc:publisher>
<prism:number>7</prism:number>
<prism:volume>66</prism:volume>
<prism:endingPage>496</prism:endingPage>
<prism:publicationDate>2009-07-01</prism:publicationDate>
<prism:startingPage>496</prism:startingPage>
<prism:section>PostScript</prism:section>
</item>

</rdf:RDF>