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FILE NAME State of the Art Literature SAL DATE 1923 DOC SAL005 DOCUMENT DESCRIPTION Journal Article - Pulmonary Asbestosis oe ere PRP TPR pe ltepiy Sp IN Me . rn eds ed Carty 7P a ee at : oe - ee ra . Oe a ata Te al Dial otST ; ea ~ ne pe no Oe a APYE detent an a aes Deiat go Rees a ates wie, nn any FES litte felny Y om ee OKA 8 Aare ET, 0 neh ene, 2 Preane a i ' 4 3 7 ul 2 . < 4 f * dt i 4 a \. ,,by PH west os ab per otra Ds m 3 3 aed 9" COD- . AT Ly from ee 2 from AmAmbbeeArmrber Amber 6 pro- a fed is fed in the March + t) May Amber 7 Amber Amber PULMONARY ASBESTOSIS ka es Apparently the first reported was in 1924. ey! available the record of case of pulmonary asbestosis W. Cooke has just made a woman who began to cough won 9 7 SOE DAY soon after she started work in an asbestos factory at the age of 13 years Her general health did not suller until she was 26. Five years later she was totally meee a . a Sr ve Ng. incapacitated and she died at 33. Her complaints had been cough dyspuca expectoration and lassitude and the physical signs those of fibrosis and cavitation of the lungs Postmortem examination of the patient's lungs revealed diffuse interstitial pneumonia chronie | mS Pat a 7g fa og te ch f ae bronchitis some empyema anthracosis and extensive lt the tuberculosis Certain foreign bodies unique a Trustees Trustees Trustees * {ut March een in Marchise in bronchioles F They were found in the alveoli bronchi ge and interstitial fibrotic areas and tapparently were : Association Association Trustees Trustees 6 Nan [ho resent neither of vegetable nor . of animal origin The rays hypothesis advanced is that these bodies are portions ee - [ of : Asociation of Association inter of asbestos fibers in the process alteration and syn yt the direct chemical > of o * f of . e of Association Board Association As ociation Board Board from _ alf alf to IL INOIS ordi- ILLINOIS ordi- absorption by hydrolysis either by -7-. action or by enzymes The question remains as to whether the fibrosis was the result more tuberculous ; of of . the . ILLINOIS the infection or of the presence of asbestos Considerable +0: been of the ILLINOIS fibrosis however has found in one case without + | Journal of the widespread Medical ILLINOIS anti- ILLINOIS anti- apparent tuberculosis *, - one no without : ae objects a - Journal ILLINOIS wideofswpidresepraeadd Journal Industrial dusts have been the :. Journal MedicaAuslpices ffort Journal has ; Journal Medical , the research In view of the fact that asbestos been CHICAGO 4, prof Journal Medical Medical it . rays Journal Asbestos silicate attracwCtioetdohkeother Para-s ms of of Journal Journal Journal Auspices Auspices Medical Auspices the CHICAGO | the CHICAGO some CHICAGO ished in use since five centuries or more before the tim~ of Christ it seems strange that has not atteb- tion is a and is associated oo substances in the , proportions given by as 4 ne Medical follows te y a ids The American ree Under : Ey The The American nti- . pari -- -- effe by ift=4s- rach . Journal fat The a. Py t en al Inatian Under wn Under hitic hitic wea weer, Canadian : . 0g od 7, Fiber Chrynule Chrynule iced hitic Silica seas spose eeeeee acvaven., 410.30 40.87 Lak . Magnesia ......6004 vee 43.37 41.50 Ses Under Ferrous oxide 20... 0.87 3.81 Alumina ...ccecceees So 12.27 10.907 a, Published Water cicecccosceccerosvvcrasvees * 13.73 IJES . at Published = is sli sses 1 The American |! consists translucent 1h, Microscopically asbestos opaquoef angulae partigclliesse adjag a. rn is sli adjag American American Published Published Published vl y ItelIteyly tening fibers on the one hand VT on oay American granules generated process with American Published Published | ned and minute black the other In the is of manufacture much dust is vf particularly fe) Hary | tt f ith particles i rays American uith m in carding and this dust is made up of the angular and black granules mentioned Few them Analysis of eee . \\ re 4h . n~,, th Te . : of of st of E 90 use 90 \s bly . 1 Vol 15 appear in the finished product shows Finished article Iron as Crude saw inaterial From Dust from carding room Z . ferrous oxide . Per CentCent. ) as ferrous oxide 2.81 Iron as ferrous oznie 13.4 7 4 vie . ) rah ~ justi incl incl patic Pe auti } heen . aT TS nm he From these results it appears conclusive that the - blackened brittle parts of the asbestos fiber are the a ae cee (a containing portions bugbear of the manufac- Veet ag Tt by turer the cause of dust and a danger to the of workers in the process of manufacture health reported| ty VS ; oy instance cariling PayLe Bundesen vor 5. by Bundesen Lore Lore 1.35 Whobow Kitase 141 1927 Sicard Charles Vakitas Wy Vakitas Sulistatices Bundesen H. .; , H. B Substitan Etraviolet * alsd H4 FOK S. 3. A. M. A. Radiation and 1315 Mord and Chile E. 88 1563 Its Trans 20 .: 19937 Mira The Sungle wid scent Lamps and 80 197 Although Cooke's case is only the second many other cases seem to have occurred for who had worked in One patient roain for ten years before his admission to a J^/spitalJ^/spital said that Aa Les ay and Brown Man Abusadhutic Value of the Sou Speed Window Classes Ain J. Dis Child 1927 Cooke W. .; Pultionary Asbesturia Brat M.J. 24 1024 B } 2. McDonald Swart Swart 1025 3 1917 Asbeanais HistoloHgy istology of Asbeanais Pulmonary Asbeanais lett 20 3 laa - ~ ~v cea Pla ar Sar a 2ed ltcanadkSAO TL Slat Ge y a 4 or re . Et ey Pd CS OE ae aie cea zen ten dots Masten Sule ltahanes de sae cao ' : uo ede CUR ENT CURRENT CURRENT CURRENT CURRENT COMMENT June A. SE survivor ; modern . work a i factories are equipped e's dust asbestosis egy pathologic t and he was the of ten men who had started only better him Conditions are now for with devices for removing the Nevertheless its unique because of its dangers features deserves more 1h te," attention than it has had | = . ; oe nat ve nan : +" FOREIGN OBJECTS IN THE CIRCULATION protective The devices at the command of the body are and varied They help to avert disaster 2 remarkable _* atnhde resourceshis alone vt death under conditions that would tax sometimes to the of the most ingenious physician if assistance were depended on to utmost 2 of the mechanisms on which the ^deovirsgeanrieslmideefpends Some 3 he acids ff wet : involve chemical reactions Thus and alkalls tend to become neutralizaendd conse- " whether ried by the blood stream toward the heart This migration may take hours or days but eventually these wandering bodies reach the heart It was surprising to learn further however that the majority of these + objects do not remain in the heart but are pumped in the pulmonary artery and Indge in the lungs where they produce infarcts with apparently little disturban to the pulmonary circulation The presence of the foreign bodies within the lungs appears to cause little discomfort Abscess of the lungs rarely occurred Apparently sterilized foreign objects in the venous circulation do little harm to the heart or lungs ani unsterilized objects which are smooth and symmetric rarely cause infection Unsterilized irregularly shaped bodies as nails or fragments of nails are most dangerous and give rise to abscesses It will come as a surprise to learn from Warthen that it is possible for objects to pass from the venous ty noes ook : eo ~ Le OY 2. aA te he " <2 aed coins aeagirs Mee SPea ae e ae bd ree . =p me, os Pepersyo b ? eyAG) quently harmful an less from mtn introduced t may be oxidized conjugateodr aos yo Toxic organic products produced endogenously to the arterial circulation this transition probabl macroscopic without or otherwise altered occurring in the lungs without leaving any evidence of pulmonary injury He notes as others that resulting compounds are more ani 3 < e so the cheinically fie? te at bo er certain p Aoe. oy pe ar : Sage ye lot through ay: ph es | readily tolerated and eliminated like certain heavy become uous uous uous these deposition diverting all certain certain the of the through deposition heavy deposition these typical instances Some substances 1 elements , innoc- elements may innoc- in in tissues The outcome instances The The . in diverting diverting in in . to result in instances oe typical Pe reohela) ae all these ge ot at ee protective ; . dangTeherre other are This a almost protective reactions that depend applies to the disepnotsiarlelyionnermtechamnaitcealrieaflfsecptasrticularly almost of and in possibilities ott foreign insoluble such as the body fluids Metallic pieces somehow chemically manage for ayaa alientary canal traverse without ai traverse Swallowed its The a > to pieces traverse the the most part to serious injury open safety pin has given many worries until it emerged with- have observed that the smaller more symmetrical lighter objects in the venous circulation tend to remain in the heart while the larger more irregular and heavier bodies are carried into the lungs Foreign bodies that remain in the heart appear to lodge near the apex of the right ventricle at the base of the chordae tendineae As this is the most accessible region of the heart in man the newly developed of intracardiac surgery may be requisitioned whenever foreign objects thus lodged demand removal } Current Comment a - _ 4a4r 2 -- N ag + 0}H wa % * at : 4 4 . a worries defrimient ro oumtother Vote co occasionally introduce if ho astsn rAeceacntmiel rdeeidMnntotoy rseltahtrehgean and eeTy Ete ay ofa vessveeilntsisbsuulelgsertadually ~ with repvatiier w literature Fee the of Warthen a thewithvenouismcpirrecsusliaotnion in that to the heart ; churningchurning heart or action of the churning the chorde tendincae of x aot in a to the unsuspecting infant that ingested ' metallic particles soft one but even into the blood or projectile fragment proceeded along THE DANGERS OF ULTRAVIOLET RAYS The tendency of therapeutic methods to be adopted and discarded in great waves of popularity and forget- fulness has never been so completely manifested as in - the current attention given to the use of physical thera- the Where does it go peutic methods particularly the ultraviolet ray Not the by * has left him only do barber shops swindle prospective victims of wandering foreign bodies in baldness with incandescent lamps colored purple not the are carried by the blood stream only do electrical corporations sell as ultraviolet ray where they are kept motion by the in devices contraptions delivering hardly any ultraviolet radiation at all but some manufacturers of apparatus become entangled and actually delivering ultraviolet rays of potency endear endear the right ventricle to place these devices wherever a sale can possibly be ever the endocardium No mention made Regardless of the fact that practically ever foreign * rT 1S Ee tf J gradually efmobreedidgendbodies there iS tg wah Elizabeth's studies fo determine the to oh is made own at St. reaching the lungs In his Hospital Richmond Va course taken by foreign bodies in and sizes virculation of the lace lace objects of of series objects of various lace its veins of ir the inted in * fg investigations investigations investigations showeshdowed their ultimate lodging various sizes sizes and shapes were series of animals clearly foreign foreign that the foreign These objects objects oe investigations tere showed clearly of of dog vein te the funnen norinal vein a are car- funnen with norinal the ro 11. J.1 Warthen fa TT Fate of Voreign Bodies in Venous Circulation method in medicine that may do good can also do harm these machines are being sold to bailt institutes swier swier ve te ming pools massage parlors beauty parlors cluce a barber shops and innumerable tier businesses in which medical cupervision is certainly not pronain~ indeed hardly possible The sales are made notW oy es standing the fact that scientific Iterature has alte revealed that the rays way in mentize or bleach the slope that effects for the eyes that orane some instances depig they possess dangero dangero people whia als test 4 Wry tre PETRY ~~ gas petg pe 51717 No ERE 1977 i wie Sag F a4 EY ge vad OES tava yh Vg atey AiR Kart aaa ot tatant Bena 1. pean am PA ae oat Rass be Cae, ao pee AS ad a ne Se ee Lae 2 z oe ao whe Fa te. Oe ad em aie aad ta . eth ' I Wnt SOP aay ir mre. eenrs Sable BENE DONS cee