Document Bv5yZV3dk7g6xz2Q3kppy6qJ

FILE NAME: CERAMICS (CER) DATE: 1935 DOC#: CER007 DOCUMENT DESCRIPTION: Book Excerpt - The Pneumonokonioses (Silicosis): Literature and Laws of 1934 ') ) ) The PNEUMONOKONIOSES (SILICOSIS) Literature and Laws of 1934 International Abstracts, Extracts and Reviews of the l'neumonokonloscs and Their Associated Diseases and Subjects By. GEORGE G. DAVIS, M. D. Associate Clinical Professor of Surgery, Rush Medical College, University of Chicago, Attending Surgeon Cook County Hospital ELLA M. SALMONSEN Medical Reference Librarian, The John Crerar Library, Chicago JOSEPH L. EARLYWINE Attorney at Law, Chicago CHICAGO MEDICAL PRESS (Not Inc.) Canal & Jackaon Building 301 South Canal Street CHICAGO, ILLINOIS ) ) L i 31* L e t i ' / t'.Z Copyright 1J5 by C hicaco M edicai. P ress (N ot Ine.) SEP 23193?. i'KiNTKT; ih v >I To E. R. Le C ount, M. D. tf in Recognition ol His I Eminence as a Pathologist f and ) Influence os a Teacher >4 iI ) ) 4 acinndomalasowthoicbhothhadkimdneetyass.tasized to the right lung 7. AmPeunlmdoolan,aOry. Asbestosis. Morgagni. 76: 16-18, Jan. 7, 1934. TcehnitslyrevbeiefworeabtshteraLctosnPdo. nElTlruiibaenr'csuplaopsiesr Sreoacdiertye. lEolghincaaln, abnrdouagnhattoomuot -cplaetahrolylogthicealclcinhiacraalc, terrasdioof pteunldminongaarytuabsberecsutolosiuss, acsomwpellilcaastiotnh.e dPaunlmgeorns aaryt adsisbteinstcotsicslinsihcoaluledntnitoyw. Tbhee cdoinffsuidseerneadtuarecolefatrhlye rtheseurletisnpgirastcolerryofsuisncmtiuocnhthmaonreinseeqriuoaulslylyadimvapnecdeeds ocaussesdiosefassiel.icoIsnisi;tiaaslbseysmtopsitsomiss tahnuds athmeior riemspeorri ttahnecequdaenpteitnyd oofn ththee dkuisntd inohf aalsebde. stoSsomweorskymanpd atonmd spmathayolobgeicwahl oslilgynlsa.ckEinlglm, ainn stphiitneksofdcylsinpinceaal tshuechffirosrtcesyanmdpatodmva, nsceinttginsgo fianstsiotmbeetciommeess wseirthi oinutsoaandtrpueersoirsttheonpt,nbeeai.ngAtrcaonasrfsoermdreyd ceovuegnhtuaalnlyd chest pain end the first period or accompany it. Escxapnetyct,odraetniosen, fmreuqcuoeunst;lywloarcskeinign; wifinptreers,enotf,teins ppurersuelnetn.t; Soomcceatismioensaltlhyerebaloreodnyighdt isswcoelaotrsataionnd gdiiznzniinnegssb. utAinsowreoxrsiae icnanadbveansctaebdilcizaeseds;inthtehesambee wveirthy dthisetinccytaivneossisi.gn.PrCofuotuannedouesmlaecsiiaotniosnsoims ea mtimucehs roecscturirctoend tihne ehxapnadnssibainldityl,egess.peTcihaollryaxlowis idnoawtens,. wThheereapthiceesscalereromticorperorecetrsascgteedn.erAalulyscourlitga teivoenntureavlleyalfsinelersasleesn,eddryvaensidcuclraarckmlinugrmaruer parensd eonf t.theRdaidfifoulsoegisccallereoxtiacmpinroacteiossn, sohroigwisnatthiengsiagnnds 5 ipcraelvlyaitlhinegpclehuierfalyanidn ltuhneglsunshgobwashea.rdMeniicnrgo,swcoitph bpyleurthale caavdihtyesipoanrst.iallyMoicrrocoscmoppliectaelllyy, wtihpeedre ouist ctihcrleosnioccicnutrerisntittihael alulvnegolsicloerroisniss.epAasrbaetestomsapssaers iinnctrheeassecdle; rointicsotimsseuec.aseIsnttehrestiatilavleotilsasruestrmuacytubree hzoans ecsotmheprleeteislycodmisappepnesaatroerdy; einmopthhyesrempual.m oInnaarlyl ethxetearsnbaelstaonsdboindtieesrn, atelnsdcilnegrottoicwazrodnerasdaiarle gfroouunpd lianpgs. ingIn gtihaentcocnenllesc,tivfiersct eldlsesacrreibefodunbdy thSe. rRe. GLalonygnhea. nsS; utchheirceplrlsotoarpelalsamrgiesr gtrhaannultahreantydpiccoall oturbedercquuloitues digfifaenretntlycellfsr.omIntheallstruacsbtuersetolessiss abuotdoiepss,ieyselalorew foasungdoldth,efocuhnadraacltseorisitnicthaesbsepsutotas ogfroauspbiensgtos sinwothrkeesrsp.utTa hsehiorwisothlaetiodnisianstewgrealtlivaes spirmocpeless binrontchheiallunpgultniisosnuiet,is,whoerthear sietcobnedathrye stuubchercbuoloduiess ininfecthtieons. puYteat dthoecsmneoret pjuresstiefnycethoef diniadgivniodsuiasl ohfaps ublmeeonnaerxypoassebdesttoosisa,sbeevsetnosifdtuhsits. eCxlianmicianlatsiiognnshaovfelutongcosncflierrmostehsisanddiagrandoisoislofguilclayl. Ainsbtheestsopsubtaodeisepseccaianllybeifenthceoupnotsesriebdiliatyloonfginthimale ithneg apsebrseostnoswdausset xips odseecdidteodlaysbsehsotrots. dTunstonfoercatesne wfoeuenkds ianndthfeivsepuyteaa.rs Oafnteerinacslbineesstostobtohdiineks fwroemre ttihnius ecamseortehoart loenscsepienrmthaenelnutnlgy tinheistes tbisosduiee.s con Tdehpeenddisseaosne thperoqgureasnsteisty, bouftassbloewstloys; iintshagleradv. itAy ltoionngs poecricoudrrginegnearanldlythoecculirrsslbseytwmepetnomthse. inIh'malma numerous and complete obsei vation.s of authoi 6 ittoiseiss, citansebeemdsedcioduebdtftuol bjuesat tnuobwercwuhloeuthsepr raoscbeesss-. tFiounrtshebrertewseeeanrchthise necehdaendgetso cclheaarraucptertihseticreloaf pasrobceesstos.sis and the inception of a tubera '.ms 8. AmSeilnidcool-aT,uOb.erculosis in Gord Miners. Morgagni. 76 : 406, April 1, 1934. T13h,is19b3r4i,efbaefbosrteratchteofPaMriasgSnionc'isetpyapfeorr rSecaidenJtiafnic. Sfitburdosyisodf uTeutboerpcruolloosnisg,eddefininheaslastiiloicnosoifs saislicliuonugs dduiasgt.nosAisutohforsiitlaictiovseis icsonncoltusiimonpsossfiobllleowo.r eTvhene difficult, given radiological and etiological data. Itanihna9la0tipoenr ocfendtufsrteefrosmilicGa)oiids arsociknsju(rwiohuischascothne devuesnts thfrreoem, argeoledn-obuegarhintgo gqiuvaertaz.miFneivrethyeedariss, eluanseg. fiIbnrhoasilsatiinonanofaslirleicaadydutustbearlcounleoumsaysubcajeucste. mLiakyewawiseakpenulminoanawryorkfiebrroasitsuboefrcsuilloicuisouisnfeocritgioinn previously contracted. 9. AmSetarincdaanrdPuPbrlaicctiHceesalitnhtAhessCocoimatpioenn.sation of Occu pational Diseases. Y10e2a-r1b0o7o.k, Ant. Pub. Health Assn. 1934-1935; pp. CSthaatnesgeasrein nthoetedla,wass oifn ceKretanitnucsktyat,esNeinw UYnoitrekd, adnisdeaWse isccoomnpsienn,sawtiiothn. reIfneretnhceeUtnoiteodccSuptaatteiosnaasl afowr hforelee tchheoreicies aoftrpenhydsitcoiwanardbybleamnkpeltoyceoevse,raagned, tthhee sfeirtsttintgw-uop poofinmtsedairceal sctiollntcroolntbrooavredrss.ial.BoAths fboerenthseetthuiprdunnloesms eindicIalllincooins,trwolhebroeartdhehIansdyuest trial Commission lias created a medical depart 7 imnetnhte wvaitrhiouas Dbriarenccthoers aonfdmaedliicsitneofancdonssuurlgtaenryts. cMoemnmtioisnsioisnsm, aidne tohfe vsaervioeurasl csot-aotepse,rawtihvoesebowarodrsk, amnedntpsoawtelraswo,bdviifaftiecu, lat ttoleasestcutreemfpoorraarivlya,rieetnyacotf ltorocal lhraesaosocncsu.rreMdaarnkdedareomupsehdasiins toernesmt eidnicmaledciocnal psereanctidceeverelovpismioenn,tsdiune atcotiounnsdebsrioraubglhet oerithuenrfourne der the common law or compensation laws. A32 sceocutinotnriesrehcoavrdes.noCwharnatgiefisedinthFe o1r9e2ig5ncoLnavwens. 6tiocno u notnrie so cnceuwplaytieosntaalb lids hisienagseo cccuopma tpioe nnsaal tidoins. eRaosuemlaawnisa, aarned: SApuasitnr.alia4, cCoeuynltornie, sChhainvae, eCxutbena, sTihveelyrecreevnitseadffiltihaetiiorn oocfcuthpeatiUonnaitleddiSsetaastees lwawitsh. "thaen Ienvteenrnt aotifongarleaLt absiogrniOficrgananceiz."atioTnheisUcnailtleedd Sthteateims tphruosveamligennts oitfsewlfowrldit-hw5id8eotchoenrdnitaiotinosn,safnodr phyrogmieonteioanndolfegpisrolagtrioesns.ive standards of social 10. AmSoorm, eAO. Jb.saenrvdatEiovnasnso,nRt.hGe .DPi.agnosis of Silicosis Practitioner. 132 : 700-708, June 1934. Twhiteh dainaygndoesgisreoef osfilicceorstiasinctayn boynlcyonbesidaerrriivnegdexat hicaaul,stipvactlhyoltohgeichailstoarnyd, pchhyesmiciaclalsigenxsa,mriandaitoiolongs pPahtyhsoicloagl ysigsonsthsahtouthldeybewiilnl tecorpnrveetyedsoinmeteirdmeas ooff i tpheearms othrbaitdthcehasnilgiceas pparretsicelnet, ains sthuechl,uinsgns.ot sTotlealpy rweosprkonbsyiblJeonfoesr tbhreingcasusfaotriwveardleseiovnid,eanncde trheacet nat hciytde"raties othfepoctaausssiautimvealfuamctionrumof sitlhiecatpeuolmr o"nsearriy lesions of these workers. However, the evidence 'I ) 8 alessiiotnsatapnpdesaraint gpirnestehnet Sisountoht Wcoanlevsinccoinagl-.minTehres is unique in many respects. Ttiohne atoutheoxrpsrehssavesoemnedecalvinoirceadl, inradthioisloginicvaelstiagnad pasathitoloogccicuarls viinewtsheonSothuethdiWaganloessiscooafl-smiliinceoisis wthiethsusopmere-imnoptoessedon tuthbeerdciuflfoeuresntiinaflildtriaatginoons, isfroef quently found in these workers. s(1co)piiBcarilefadpepteaailrsanocfetsheomf atchreosccoopnidciatlioanndamrcicdroe sncartiiboends, mtoagdeethbeyr wthiethcoalosreirmieestroicf smiliectahoddetneormteid in the text. b(2ee)nCdleinsiccraibl eadndinraedaciohloogficthale ethxraemeinreactioognnsizhaabvlee tsitoangeosf, athnedseitfahcatsorbseewnitshhothwen inthdautsttrhiael choirsrteolray is essential for a correct diagnosis. 11. AnSgheorusltdeinIl,liTn.oCis.have Legislation such as to Place TOaclckupmaatidoenablefoDreisetahsees12tuhndAenrnuCalomSapfeentysatCioonn? IfenrdeunscteryCSheicssaigoon,. May 11, 1934, at the Dust in cInomap2e0nspapt.iornepfroinr tatlhl ioscAcutptoartnioenyaladdvisoecaasteess, lwegitahl ppraorvtmiseionnt oforrmaepdircoaplebr oaanrdd aodferqeuvaietew.meTdhiecapl rdees emnotr"eepfoidreomciccu"poaftiloanwalsudiitsseainsveso,lvwinitgh$5th0e,00c0onafnud asibolne,cirraccukmetsetearnicnegs,aanrde roetvhieewr eadtteans daapnrteluimndineasirry otobtathineingmufrcohm gsruecahtear ljauwstiacse maingdht dbeefiennitaecnteedss. Tlahrgeesnevuemrablerstoaftulatowrysupitrsovhiasvioenbseeunndberrouwghhitchthea lsaiostnsfeowf yceoaursr,tstoagpeptehretraiwniinthg ththeerreetcoo,rdaerde dpercei sented in condensed and usable form. 9 12. AnRtherpaocritteofDtuhset.Industrial Pulmonary Disease Com mittee of the Medical Research Council. Brit. M .J. 1: 198-199, Feb. 3, 1934. tIhne 1M93i1netshiDs eipnaqrutmiryenwt aasndbethgeunH, oomn ereOqfufiecset, aosf ctooawl hmeitnheerrs thhaedwboerekninimg phaeiareltdh bayndinchaaplaatciiotyn ooff adnenthcreacthitaet sduucsht. inThhaelatCioonmomf iattnetehrfaocuinted onrootehveir dcuumststhaandcecsauusnedderfibwrohsiicsh ofthteheinlquunigrys. wTahse ccoinr gdruocutendd, athsewceollndasitiaobnosveofgmroiunnerds awreorckairnegfuullnydseert sfoturdthie. dAisvgeirvyendewtaiitlhedcotambmuleantitosnanodf 5i1ntperaptireentats tions. 13. Anti-Silicosis Equipment. Rock Prod. 37:69, May 1934. aAgaliinnestofinnheawlinregspsiirliactao,rslefaodr parnodtecsitminiglawr odruksetrss, hEaqsuibpemenentanCnoorupnocraedtionbyoftBherooPkullymno, sNaenw SYaofertky. Dfeuastut rceosntorfoltheensgeinneeewrs caopoppliearnacteeds, insudcehvealso:piinng cwrieraesesdcrefielntesr tsoizpe,erdmirietcet absrieeartbhrineagthinintagk.e, Sccoraeresnesr oarfcebxohuanudst wviatlhvealiusmuisneudm. Aandnewa graesfinmeamskenttyopne aobldle ptaottpeernrms iits loanngaelrl-wruebabr.erThheeadapbpalniadncaedjduosets not obstruct the w orker's vision. 14. AsIbnedsutosts.. Bull. 13:95, April 1934. Wrochkayt ifsoramsbaetisotnos?whiIcth isreasiustnsiqhueeats,ubwsatatenrceanodf wneecaers.saIrty cfaonrmb.e sTphuenr,ewaorvcesnevoerrmalovldaerdietiinetsocaonny tnaeisniain. g Bvareriaotuhsingprothpeordtiuosnts ooff thsiilsicsautebsotafncmeagis had for the health just as the inhaling of almost 10 aenrsywohthoehr afvoeretiognhasnudblsetaanscbeesistodselfeibteerriooursm. Wateorrikal sdhuosut,ldanadvoeidm, palosyfearrs asshopuolsdsibtalek,e bcraeraethtionghathvee sisuigteanbeleravteedn.tilation in places where asbestos dust Tashbeestdoissedasuest rweislulltpinrogbabfrloymbe thdeeclainrehdalisnigmiloarf thoanthdlaetrsreosfulatsinbgestforosmprsoidliucac.ts Mmiagnhutfathcetunrebresgoinr dhiesreeasaen, dlikneoswilictoosisp,recvaennbt etrporuebvleentebde--cauthseerethies no cure. 1S. AsSbaefsetotys EDnugs.ts6. 8: 74, Aug. 1934. aItbiilsityesatanbdlidsheeadth tbhuatt iatsibsesmtouscihs lmesasyucnaduesrestodoisd tfheraennts.ilicInosaiss,baenstdostihsethpeatdhaomloaggye oisf teoacthhe isbrdoinf csyhimolpetsomrasthareer stihmainlartoto ththeosleunogf saillivceoosliis.. TOhuer pberedseesnitrekdn. owSlteuddgiees oafreasnboewstgoosiisngleoanv,etshemruecshulttos of which should be of prime importance. 1$. BaSrbileicro, sDis.. N. West Virginia M. J. 30: 310-313, July 1934. Socilcicuorsaismoorn"gmminienre'rsspihnthciesritsa"inhadsisbtereicntsknfoowr ncetno tZueraielasn, de,spAeucsiatrlalyliaa,mSoonugthmAeftrailcam, iGnerersat inBrNitaeiwn aItndis ian fmoramnyofofpntheeumstoanteoscoonfioosuisr coawunsedcobuynttrhye. ` isnilhicaalat(iSoinOao)f olrarsgileicaatme oduunstt.s oIft iesxutrseumalellyy slfoinwe cinhadraecvteelropomf tehnet,dutshte(srialitceatdesepbeenindginngotuapsonactitvhee aesxpofrseuere sainlidcap),hytshicealacmoonudnittioninhoaflethde, mleanng.thThoef pdiesreiaosde ionf theexpgoosldurme inbeerfsoroef SdoeuvtehloApmfreicnat iosffrtohme ) ) 11 i2c^a2llyto, b7yl/ igeyneearrasl.izeIdt fiisbrcohtaicracchtearnizgeeds aanndatotmhe dluenvgeslo; pmcliennitcalolyf, mbyiliasrhyortnnoedssulaotfionbreianth,bodteh wcroeraks,edabcsheenscte eoxfpafenvseior,n,inlcersesaesneedd scuaspcaecpittiybilfiotyr itnogtsu.beTrhciuslopsrios,ceasnsdmbayycphraorgacretessrisftoicr yxe-raarys afifntedr eitxcpoonsusrtietuhtaess caeadseefdin. iteInocthceupfaotliloonwailnghaiznadruds:trtihees manidninagbraosfivme eitnaldsu, sctroiaels,, agslbaessst-oms,akeitncg.,, gerxicnadvinatg isnagn,d qbulaarsrtyiningg, ,fusrtonnaceecburtitcinkg,msaannudfapctuulvree,rimzinagk, ianngd opfovtittereryouisndenuasmtrieels,.slate manufacture, cement cTot uisrt baecctoiomnisnagnadncoinmcpreeanssiantgioncaaudsejuostfminednutss.triAalt spirleicsoesnits tahned sutasuteasllyhaivneadveaqruyainteg mlaewanssrefograrddiiangg naobseinttgerits. yCstoemm,pebtuetntiffeeadcehrasltcaotenthroanl dweodulodvesreeamll cicaaslesboiarrredvtohceabplryesteonta cphraoopserwlyouclodnbsetitluetsesdenemde. d dReavceeloapndbehtawbeitesnh2a0veanndo s3i0gnyiefiacrasn, cbeu. t Mthoestlecnagseths ^ aSnildictaypmeaoyf edxopohsaurmre ims emcohraeniicmaplloyr,taonwt itnhgantoagiets. bnieleitdyl,e-iltikperopbaartbilcyleisn, juhuretsdtuhee tlounitgs tpisasrutiealbsyoliuts poisonous action. oSfubajeflceteivtiengsyamndptovmagsuearne--atudryespanneda,npoat indisinabclhinegst, csiooungahl, swlighhicth heismoupsutyaslliys, nnoigt hpt roswduecattisv,e,loossccoaf sgtersetnivgetho,f ainnddiggesatsitorno.-intcstinal symptoms sug Cnehcaensgsaeryo.f oEcxceurpcaistieonis tuosuaanllyopneont raeisrtrwicoterdk iins uisnbceosmt.plicated cases. A high dry, warm climate !! should be emphasized that while the cardinal 'I ) 14 scuypcleornioerttyopea,nynonmumatbteerr owfidthushtoswepmaraantyorgs aodfgtehtes addifdfiecdu.ltyAtlofaolfnae mmeaanludfaucsttuprerro,vhinegapapflioerdmitdoatbhlee Ainrftoirsmanatfiovre,hecllpe,abreidnrgawreiwngasrdeodf bEyngthienefeivre Bvearyybhiusttn'soolwesns cinlotethlligseibplaeraatnindgsidmevpilcee atcocgoemthpearnwyiinthg dsuegscgreipstteiodn.for Aclehaerainvgy ocuotttothne fcllaonundesl obfagalfwalafas dinussutf,fwiciitehnta.no.ther bag inside it, if one bag proved 19. BeAgesrb,ePst.oJs.is: Particle-Construction. Deutsche Med. Wchnschr. 60: 231, Feb. 9, 1934. STihliecotsyipsicinal adlliffietsrefnocremasppiseavresrytolilkiee iansbthesetoosuist. acsropfoolfloawsbse: staossbpesatrotiscledsu. stThiseyinahrcalceodn, stirsucdteisd spoolsveedd winiththoeutboidtys hnuemedolress; iltosisinrgeadthileyirdefcoormm. Ccrayrsbtoalnl-idnieoxliadteticien wthoerkluonfgsitsfremesagtnheesiausmbesatnods siriloicniciaocnisd. suTpphourststihnethneelgaatttiicvee-wvoarlken, cise seotffrtehee. Atakbesos rpptliaocne. ofRalbnutgmenen pfircotumrestherevbeoadlythheumcoonrs sctorvuecrtiinogn otfhethenpeeadrtliecsles,wsitthep ablybusmteepn, .thrSoiungche tfhoer tahlebulamtteicne-mwoolrekc,uclea,nnnootwretpoloacemtuhcehmegn.laartogmed, ittenhsaiosntoexpislatsc.e iTtshealft olenadas ntoeeddilsesowchiaetrieoneloefcttrhice sbiuliiclidcinagcidupfraomf ethweorpkarotfictlhee. nTeehdeleoarnigdinsaol tocotmhe poaxcidtley gfirlaleidnspaarrtcicldeisstbinegcoumisehawblrein; kilned.theFefrinriacl sintagwehoicfhcothnestrfuocrmtionofrotwhes aosfbtehsetsoes gpraairntisclreesmcaainn hnaeerddllye ibtseelsfahidas tdoiscaopnpteinarueed.. ATlhseo atlhbeumaesbneisotonss of the uivei ing eati wea k with a valence oi 2') ) 15 oqruemntolrye tohne ttheetrasihliecdicroancsidwtielltrbaehetdorronnos.ut Coofntshee snioliucsicccohvaeirninga.ndAsfctearttesraetdurathtiroonugohf tthhee farlebeumvai lneoncfeu, rethleecrtrroesatsaotinc eeqxuisitlsibrfiourmthies aacgcgolmompleisrahteedd; madadsesd. aTnhde parlboubmabelny iasbcuanrrdiaedntolsTi,lilcoicadaecdidw. ithThites fpeurrriitcyooxfidtehereamlbauinmsebne)h. ind (as a mechanical im 20. BeTgehre, DP.esJt.ructive Factor in Asbestosis and in SiliMcoesdis.. Klin. 30:1222-1227, Sept. 14, 1934: 12581261, Sept. 21, 1934. TRhinstgdeentapiilcetduredsisocfulsusniognseicstiaocncsoamnpda2nideidagrbaym4s otufretheoftecthrrayhseodtirloen, sinovfolsvileicdicinacthide abnadsicthdeessttrruucc wtivitehneilslsusotrfattihveesechtewmoicalul nfogr-mafufelacetioannsd, rteofgereetnhceer to 21 authorities. s(1ho) wAs stbheasttothsies siilnicicboacthid tfhraemoreywoarnkdofptrhaectiacse btoestthoes lnuenegdsleiss gdouees tionttohissosluotliuotnio. n Tofhethdeasmilaicgiec accreida.sesTwhiethdtehgereme aosfs osef vthereitsyiliocfic tahceidfidbirsossoilsveidn, tiniocnopnrnoeccetsios.n wAicthcotrhdeintigmteo ianuvtohlvoeridtiiens tohnis oscocluu lpoantigoenrsthtehesilidciasteeasise dewpiollsitdeedveinlotphefulurnthge. r the c(2o)veIrningcopnosewqeureanncde othfetihrevacloe-nocpeerpaotwioenr,otfhethaesir bfreasmtoeswoprakrtiocfletshehaeslpbesttoosdniseseodllvees. thSeolusitliiocnioupsf tohfessloilwiciccoaucridsea, sreaspuultrselfyrosmurfdaceela-ylimoirteodmpisrosicoensss itnositshecosmtreusctiunrtoe eoxristhteencpearatfictelerss,ilicloiesnise.e asbes t(o3r) hDi isssiloilcvoesdis sialsicicinaciitds iasntahleogduees,truacsbtievsetosfaisc. 1 ) 16 Kexicnldussiovfelqyuasirltizcaatse waretlilfiacsiatlotparlodsiulicctast,elsi,keangdlatshse, apcoirdc.elaiTnhaenddesgoreoen, osferivnejuarsy soduerpceensdsforonsilitchice sdielipceicndasciodncothnetensturafnacde itlsimsiotslubinilvitoyl.vedS.oluIttioins gTehneerdaislleyasseloewxteerndtos oavpepreaarlotnhgaenr pineriaosdbeosftotismise. wothhieler cfiorcrumdesgtarenecesofit sisevthereitsya,mierraessiasstibbeislitotysiso. r t(h4e) dPeevresloonpmalefnatctoofrsboatrhe das"emausecsh acsonthceernaecdtuainl dpuresdt iaspnodswinogrkcocnadrriiteiodnosndtenlevrecdin.froTmhecclolaurdifsicoaf tfiuornthoefr edxeptaeirlismienntbaolthresdeiasrecahs.es must he left to 21. BeFgeurr,thPe.rJD. iscussion of the Particles in Asbestosis. V19ir3c4h. ows Arch. f. Path. Anat. 293: 530-539, Oct. Dviieswcussosfiosnevoefraclowntrriotevresrtoend tphoeinsutsbjfercotm, tocguerrthenert wfoirtmh ethxepebroimdyenotfatlhrisesaurlttisclese. cuTrehde bfoylltohweinagutchoonr, clusions appear: a(1sc)erBtayinteedststhoaft oapllpopsairntgiclsetasteremceongtnsi,ziatbhleasinbeaesr, b(2es)tosMise,chhaavneiclaikl eiprrriotapteirotnies.of the lungs from bserreiaotuhsinigf thaesbseysmtopstodmusst bdreoacks onuott aafptepreaar mtoildblye smtiomveudla. ting action or after the dust has been re s(i3li)cosTish,eisindjuuerytoinsialiscbicesatcoisdiss,oalustiionnt.he ordinary o(4f ) thTehesilaicsibcesatocsidpafrrtaimcleews osprkeedofupththee assobluetsitoons fqiubirceks.ly Aanfdtersetvheisreltyhethaasnbetshtoesiosrdaidnvaaryncesislicmoosirse. c(5o)nstIrnuctceadsesorwahrecredealasbyeesdt,os(lieparstoilculteisonaroef naost ) 17 rbeelsetaosse dduissteaastethseymlipmtoitminsg. suTrhfaeceassbiessetonsoiusgthhelnu goes on like a normal silicosis. 22. BeTn&ubsseyr,cMulo. uPs. Infection and Silicosis. Bull. Med, Paris, A: 588-593, Sept. 29, 1934. Cinuvrorlevnetd viniewthsisantidtlea,uatrheorcilteiaerslyondimscousstseqduebsytitohniss wofripteurr.e sTilhiceosriasreis sicloicmoptiacrendodwuilteh cthhaeraccotmermistoinc a"nmaitxoemdi"c-spialitchoo-ltougbiecrccuhlaarracntoedrus,le,paitnhorgeesnpyec, t thoef dsiegvnesl.opment of their lesions, etiology and clinical Ivnelocpoendcliunsi1o9n2,9, tahree svuieswtasineodf iLnopuaisrt,Iarws ifnoell,owdes: manidnebrys' tpuhbtehricsuisloosirs.silSiciomspisleissiplircoodsuisceisd abyvisdiubslet afilblyrodsiisscnerontibalcec,obmupt ainnieadmbayjotruitbyerocfultohseiscacsleisniocf asislsicoocsiaistioanppoafrelnattleyntsitmubpeler,cutlhoeurse iinsfaecptiroenc.ocCioeurs tlauinng;uonmthoedrsi,fielidkeintufebcetricounlsosoisc,cutarkein ona asilsiiclioctoictcthibacrarccutelarrofassipmecptl.e siTlihcoesisnamtuayrablley atptrriobgurteesdsivtoe acnuloiunsf.ectious factor, more particularly tuber Twhheesne Irwcoinnceluasdidosn:s "Ianrietialcamteogdoifriiccaatliloynsoaprpeodseude tfoibrdoussist,anitd aislthcohuiegfhlybyimitpsoelrftadnutstincanprceaduisspeolsuinngg lungs to tuberculous infection." ORinstthanedcoPnotlricaaryrd, , tthheinFkrethnacth inscohordoel,r htoeaddeevdelohpy trheeadyinittuiablersciulilcooutsic (mlesoiroen,orthleessluanpgpamreunsttlybesoa)l; aorre, astimleualstta,ntehoaut sdu(Pstoilnichaarlda)ti.onThainsd otphpeoisniftieocntioonf cvoienwseqisuebnycensoomf meaanrskeidn ivmaipno,rtsainnccee amreediincvoo-llevgeadl. Rist, Mn7.el and Donbrow have very lately in- 18 sthisetepdroopnostehde dInatnegrenrastiopnreaslenLteadbobr yBaudroeaputioCnoonf wveinthtionF,rewnhcihch liengsiselvaetiroanl .resTphecetsciosnivnecnotmiopnatiabnle nloocu. ncicte. sinmreersepehcyt poofthAerstiecsleass 1ifanedsta3b; laisnhdedthefaccotsn: voernotpioenractioonnssidbeerasriint gimspilricaocstiicsarlistko. ciTteheinedxuasmtrpieles oinfgGaenrmoaffniyciaslhodwisseatsuebeorfcuthloesims oasstraopniedrloyubsecchoamr aScotceira,l odnelmy o2r6aloizuattioofnaca1n00ocnalyseesnbsueienwg hveenrif7i5abpleer. cbeontht osficliacsoessisfilaenddarteubloesrtc.ulIonsSisouatrhe Ainfrdiecma nwifhieerde, 5cl,0o0se0 tahries dpiesncsuisosnioenrs.. 40 items of Bibliography 23. BerEgxepre, rWim.en(MtaluInnsjtuerry). to Nasal Mucosa from Dust. lZatrsycnhgr.. 2f5L:a6r0y-n6g6.,, MRhairnc.h, O19t3o4l.. Theil I: Folio otoTrehsipsiroartoigriynadlanangdersexfproemrimdeunsttalficrsotntrreivbiuetwiosn thtoe rdeucsetntpawrtoicrklesofbyLethhme ahnunmoann tnhoesei.nteHrceepitniovnestoif gqautaendtitthiees doifsedausest rlealsattiinognsobuet ttwoereenacthhethdeiffleurnegnst danifdferthenecdeisspwoesrietiaosncetrotasiinliecdo,smis.anGy rneoasteisnrdeivtaiidnueadl 8c0enpt.er cInentthoefsianmhaelepderdsounst;inovthesetrisg,aotendlyh5e-2f0oupnedr atravtailoune-ocronlesstsaennteidndsetrpeeanmdeonft aoifr.theHdeuasltsocofnocuennd aannd absatodndisuhsitn-ignteargcreepetmioenntin bthetewneoesne. luOnlgd-dmuisnt, edrusstw-liatyhionugt pdouwsterinonthaeniravluenraggseshoof w50edpear ncaesnatl; ctheonsteduwsitt-hlay"idnugstpyo-wJuenr.gsL"ehmvearnangecdonocnlluyde2d2 thpeart tlhi ecnoofseduisstthaectdivuistty-ininterthceepltuinngg. faDctuosrt, iinrrtcesrpceecp- tion over 40 per cent protects against silicosis; ) 19 utanidnetyr 3to0 lleuandgs dsoisoenaeser ofrrolmatedru, swt.ith positive cer BSceifeonrcee,thMe Innsstteitru, tecarfroiredMethdeicinmeatatnedr fNuartthuerarl: wcohueldtherdetpheendoutoconr. theof odcucsut pianttieorncepittsioenlf--tetshtes rtohinthoelodguisstt?s aTskoewd:hahtoewxtethnet wnoassethietsemlfucroesaactiend jtuorrehde?re?Is Athlseorecoaunldinodnievirdeusaislt pdruesdtisspuocsciensgsfufallcy yfoerar2s0? yMeaorws,lothngendoseusddanenalyversaugcecudmubst iinntearcfeepw etoxrpestraimy esnotuantido?n Twoasannseweedredth, essiencqeueerxieasctanpiamthal odluosgtico-nantahteomhuicmganrounnodses wasastoreltahteiveinlyfluleancckeinogf, athlseo tnhaesaelffemctucoofsaair wheaasvilnyotladsecnienwtiiftihcadlluyst eosn tablished. rIensetharechMonnsrtaebrbIintsdufosrtridaulstHiyngjiuernieics, Lalasboorinatdoursy gtroiainl ggaosninfojurryyetaorst.heAwsheorlieesoorgfabnliosomd, shearvuembeeexn prieerdimoeunt.ts TinhechLroanbiocrCatOorypoiDsoirneicntgorh, aDs rb.eeJnttceanr, isnpdiruacteodrythaeir-wwraiytesrfotor dinuvstesitnijguartiees.the upper re aUnpimtoalsthifsortimpaethDorlo. gBiceargl ecrhhaansgesstudiniednassoaml em2u0 aconsima,aalss whaedll ains hpahleadrycnegmeaelnat ndduslat,ryontgheearls. pSoormcee lianihnaldeudsto;ast-tihllusokthdeurss,t,paonwddaerneudmwbheirteClOea(dc;asrobmone meraolnomxoidneth)sgfaosr. soTmhee ainnihmaalalsti;oonthheards hlaadsteindhasleevd f1o/1r 0a gyreaamr sanind 2m0o0rel.iteDrsaiplyerinhhoaulratioofnstarveearmaginegd ainirg; atihre. CO content of 200 liters was 0.5 of flow Thihsetolroegsiucltcshaasngyeest inontlhye sdhuoswt-inmtearccroepsctioopnicpaonwd einrshaolifngth;esuncohsea. niHmeaalslthsyhocwoendtronols cuhsaerda,ctdeirdistnico ) 34 42. CePtrualnmgoonlaa,ryA.SAil.icaonsids.Trebino Ferrari, 0. Semana tned. 1: 901-906, March 22, 1934. Tanhde raaudtihoogrradpishciucsfsiensdaincgassediidn nwohticphertmheit colifnaicnayl oMthaner2d6i.agDniossciusssthesanlittehraattuorfepauflfmecotninagrydsiailgicnoossiess. oofnethaisracdoiondgirtaiomn.of3thielluthsto.,ra2x.ofHtehesamyshtihsatotltohgeirce; itsiomn uacnhd sthime islialricitoytibceptwulemenontaurbyenrcoudluolues. granula 43. ChAamn bAenrlcaiienn,tCO. Wccu. pational Disease in Modern In dustry. RDaedpito. PTuabl.kHNeaol.th2.07. Feb. 23, 193 1. Illinois State kRianmd ainzztihnei'shibsotoorkywoafsocthceupfairtsiot npaulbdliicseaatisoens. oPfuibts ltihsehemdoisnt 1a7n0c0i,einttmoafdwe osprkeicniaglmreefne'sremncaelatdoieosn, ethoef dbiyseianssepoirfatsitoonn,ecthuettesrsh,arwph, oro"uogfthe,ntaimndescsourcnkeri'nd sthmeayllarSepulisnutaelrlsy otrfoPubalretidclwesiththaatcofulygho,ffa;nsdosothmaet oinf 'deimssetcutrinngAtshtehmcoartpicseanodf sCuocnhsuAmrtpiftiicveers.,. l.uanngds hgiavvees baeeCnursitouucsk RweiltahtiolinttloefSsteovneersa.l SDtoienme-ecrubrttoeerks wthhaotsdeyl'udnAgssthhemfaotuincdansudcwh eprieecoepseonfeSdabnyd,htihmat; iinn rVuensnicinlegs, htehethokungifhet htehwroausgchutttihneg soPmulemSoannadryy Body." Aerms fornogmthseiliococsciuspmataioynbsewmhiecnhtioconnedtr:ibmuitneinsgu,ffceer mfuernnat cme awkionrgk,, ssaonadp bmlaasktiinngg,asntdonpeacrtuicttuinlagr,lybltahset mpaapneurfamctaukriengowf haebrreasaigvaelitscoaips susaendd inpocwoadteinrsg, pthaepesrp,rathyecowaotirnkginogf opflufmirbeincglayfixatnudreso,throecrkcdlariylsl-, ) 35 sincgu,lptsitnogn,e waonrdk imn etthael cpoottloisnhianngd atnexdtilgeritnrdadinegs,, tmheanmufaakcitnugreooff msaonndu-mpaepnetrs, ganemd tcoumttbinsgtonanesd, ptohle liashinintgra, dthe,eagnldastsheincdounsstrtryu,ctthioenpoofttreariylwaanyds,phoirgche Twhaeysliatnedrattuurneneolns. silicosis includes the following adsisceoasnetr:ibbiututimnginoaussilaincad danutshtrarecsipteoncosiabll,egofoldr, tshile vsteorn, ez,insch,allee,ads,iliccoappfleoru, riraonnd, ssaanndd,, fgerladnsiptea,r,slaanvda, strileimcoonl,itec,artbaildced, ussiltu, npduummic,ef,ibmroicxa,, Ftarlecn, cahsbcehsatolks,, gwlialslesmuistee,d maseearscfihllaeurmin, ssoodaipusm), hsiyldicraatuelic(wliamteer, stoopaapzs, toFnuel,lesre'srpeeanrttihn,e kbauoillidni,ngclasytosn, eu, latriallmmaarniintee,, atiglealditues,tsr,ocgkardnuestt(uinsecdoaals mwiantecsh, cboeattroinnga, nind gteemx cinutwtinatge,rpsoolfitsehniningga)n, dslagtrei,ngdliansgs),anpdcrmmauntiyteot(huesresd. Ssiolimcoesiasuathnodristiileiscamtoaskise, athdeifofenreenbteiaintigoncabuestewdeebny combined forms and the other by free silica. Rpaercteicnltesininveosrtdigeartitoonbse haabvsoerbsheodwinntothtahte tlhuengdtuisst smueechmaunsict able imnjuucrhy.tooFusmrthalelrmtooprerodiut cehaas dbireeecnt sshtaonwcen itthawtassiloicnaceisbneolitevtheed ttootablel.y insoluble sub 44. ChAamsbbeesrtolasiins, aCs.aWn .Industrial Disease. RDaedpito. PTuablk. NHoe.al2t0h9. . March 2, 1934. Illinois State Aanldthaosubgehstothseis eaxraccnt odtifwfeerlle-ndceefisnebde,twaneaetnomsiilcicoasnids rpaedairoalnocgeic oofbassebrveasttoiosnsfibhraovseisshseoewmns thtoatbtehesuaflpi- ccaieunstilnyg daisstoinftcetri,vemotore adveoliicdatceo, nafnudsiomno, reasdbieffsutoses type of librotic changes; the importance of a full ) ) 36 manedaiidcatloadnidffeinrednutsiatrliadliahginsotosirsy. is emphasized as T19h1e4fairnsdt A1m91e5ribcyanLsatundzay oafndsilHicoigsgisinwsaswmhilaedethine ftoirsht asvteudbyeeonf masabdeestobsyisSionpethrisinco19u3n0t.ry Eaaprplyeairns p19o2s4tmaofratetaml ceaxsaemoifnaatsiboenstroesviseawliansg raepfoibrtreods,istfouf ttihoenluonf gassbwehsitcohs dwuasst.said to be due to the inhala Tcohnesipdreirnactiipolne toof inprdeuvsetnrytivdeurminegdiacninde siusbsoefqvuietnalt tthoebupsreinveesnstiroencoavnedryt;rethatemroelnet oofftshieckpnheysssicaimano,ning nthizeedwoarsktehres misebdeiccaolmminagn pmooirnetsaonudt mthoarte arneycoing dsiudsetrritahle ehfefiaclitehncoyf tshcehewmoerkwerhiccahn dboeeosnlnyotpacrotlny successful. 45. ChEuarcshy,tLo.Get Rid of Dust. 5F1a3c,toNroyvM. a19n3a4g.ement. 92: 460-461, Oct. 1934; 512Vduasrti.ousRemceetphtoadclsesaroer incounsveeyfaonrcethse odfistphoesacloonf ttaiginhetr etxycpeeptarfeorcoanmmopoennlyinguseind, thpeerfteocpt,lywdituhstapsleerevveawlvhesichofcatnhebecocollnencteocrt.ed Stcoretwhe cdounsvtehyooprs oitftwenithtakweattehre adtutshteawtimaye forof mdistchhearhgoeppferorsm, mthixe cpoulmlepcetodr inhtoopapetersr;ritothrey nweaert thmeixptluarnet wishetrheeint tmanayksbfeoarlhloawuleidngtoitsaewttaley,. into conveyances with Ifof rmdu,stthiiss odpisecrahtairognedshoaunldd cbaerrpieedrfoarwmaeyd dinurdinryg ohroduerrs twohmenintihmeizpelathnet idtsaenlgf eirs noof texinpoospuerreattioonaniyn dust that may escape. The cost of a suitable dust system is never high ) 37 isfi,defirresdt, init thise plriogphet rolyf tehnegbineneeerfietds:tosebceondde,ricvoedn. Tbeheesxeprbesesneedfitisn daroellamrsanainfdolcde, nbtsu.t Tcahnenyomt aaylwcaoyns sreisdtuoctfioonneinoracmciodreentorhaazllarodf, t(h2e) froeldlouwceindg:lab(1o)r stuurlntionvgerin, r(e3d)ugceredapterrodeuffcictiioennccyoostf, e(m4)plroeydeuecstiroen winhewreeadrusatnsdofteaanr abornasimveacnhaintuerrey, arpearitnivcuollvareldy, w(5h)enthethesadvuinsgt coofllleacrtgeed qisuathnetitfieinsesotf paarptroodf utchte, pvaroludeu,c t(6a)ndredhuasctiionnmina nlya bionrstba nyc ethse theelimgirneaattieosnt ogferswtoeehpeianlgthanodf celmeapnloinygee(s7)(8e)limeliinmaitnioantioonf doafna wnueilslaanscteo tiotsthneeiginhdbuosrtsri(a9l)etshtaebalsisthhcmtiecntvailtuseelfofaas celmeapnloypelarnits (u1s0in) gpreivmeary farecaiesoenvaibdleencmeetahsautrethtoe pvridoitnegct athdeehfeenasleth aogfahinisstwtohrekmleegnalthdeerperfeodraetipornos olafwythere. dust racketeer or ambulance-chasing 46. "CIonmdufsot"riRalesFpiinriasthoirn.g. 11: 34-35, Dec. 1934. Thahse iMntirnoeduScaefedtya Anepwplilaonwce-sprCicoe.d, Pdiuttsstburersgphi,raPtao.r, Tthhaet ndeewpaprtrsotreacdtiocra,llcyallferodmthoeldMiSdAeasCoomf fdoe-sRigcns-. cpairrariteodr o(npaeteacnhtedch),eehka. s Tthwiisn refsiluteltrss, ino:ne(1b) eitnhge lfaildteerns aerxcharelemdovaeird; f(r2o)m tthhee fpialttehr oafrethae ims ogirsetautrley ibnicnreedasweidt.h Tthheeuusenuosfusaplelcyialal rfgiletefrilmteartearrieaal--, sccoiemn --tifigciavlelys tthreeatCeodmtfoo setoxpcemptiicornoaslclyophicigalhlyp-frionteecdtiuvset efiflftiecrielnifcey., low breathing resistance and long TrehmeovCeomwfoo-rRkmcsepni'rsatocrhaisraecstepreicsitaicllyodbejescigtinoend ttoo 54 67. DeInfesritrre.dl-Licilatfb. 6il3it:y 1f3o,rMSailyic3o,si1s93C4a.uses Alarm. aRmecoeunntt aolfardmaminaggeins carellaoswesedinforthesilincuomsisbecrlaaimnds huanvdeerditrheectecdomaptteennstaitoinontointshueradnecfee.rreAd ljiuarbyilitayt aBgeellsevaigllaei,n1s1t1.,thone AStperrillin23g aSwteaerldeCda$s1ti5n,g000Cod.a, mto tWraiclltieadmsilBicloaksies, wwhhiloe wcloairmkiendg ftohratit hfreomha1d92c1onto o1n93e1q.uMallaynoyldlacrglaeimr jsu,dagnmd einntnsuhmaveerobuesencaaswesacrdomed phealndiesliawbhleichonhatvhee bceleanimoffthaatlintehefodruystearwshaicrhc cthaouusegdh thites seiflfieccotssisdwidasnointhbaelecdomyeeaersvibdeefnotreu,natill tnooutcbheelantearb.leTthoecocollmecptcensoautigohn tcoopmapyanthieesir hcauvre rfeernrtedclaliimabsi,littoy snaoywndoethvienlogpoinfgthainsdenwohrimchouiss dbee ing encouraged by ambulance-chasing lawyers. 68. DePsonielluem, Hon. oconioses Problem. M19e3d4i.cine, Monograph, supplement, 15: 1-56, Oct. cForseinscahpaerxtpferrotms gtuebneerrcaulllyosdiso--naottbreesct otghneiyzecaslliliit pnuotlmevoennarayn oficbcruopsiast,ionnoatl dcoismeapseen.saSboleitinis nForatnscuer, gprraispihn,gotpoefninindgMw.itDhetshoeilqleueinsthioisn e"xDteonpsinveeummoonnoo- ccolonsiionsgcssuemximstaroyr annostwaesrsdhisiesasqeueernyt:it"leMs?a"ny Hunis kmnoonwonconfaioctsoerss--poefrswishticinh ciot nsneeecmtisoncewrtiathin pntheeuyhave no individuality at all clear." Wsiointhreoqruwireitshothuits aanutihdoernittiytytotrubeegiFnrehnicshexpproecsii "tiponneuwmitohnaocdoenfiionsietisona: rscpeplluedlmwointahryc'thmcarncifeosrtak, tions due to dust." The term itself was invented ) 55 bdyispZaernakteerdiinsea1s8e6s6.arTcakinecnlutdheuds. liOteurastlsly awreho(l1ly) t(oslxaigc o(fledaedp,homseprhcourriyz,atmioann) g;a(3n)esien)f;ec(t2io)usca(ucostailc, wmoyoclo,sefse,atehtecr.s);); (4(5) ) flhaabrbdy aanndd wllcoxuinbdlcing(co(sttaown, dust, silica dust). T(choobsaelt inofrecatrisoeunsicinmcinheasra),ctoerr, atlolexrigci,c ca(ansctehrmouas, dwuheostoe dmuosts)t, aims pwoerlltaanst thvearaiectuyte ipsnpeusemuodpoa-pthnieeus, pmhoonriiac, dauceidtodiunshtasl--inagrcslaegl-imduisntast,eldi.me Aanlsdo,phnoost emnotenraerdy cuhnadnegr etsheof pcnoeluomr"oannodcopnuiolmseosnaarryc s"cpluerl coosenst,radsut ewtioth pthroelonnogsoedcondiuosstcsin(hLaalayteiot)nsc,omwphricish cinugtaneevoeurys, dainsdeassoe ocna)u.sed by dust (pulmonary, Tduhset aiunthhaolratpiroonp)o;sesislifcoorsisstu(dinyh: aalnetdhrsaicliocsaisd(ucsota)l; agsybpessotsoissi,set(ca.sb(oefstmosinderuaslt)o;risgiidnc)r;otsaisb,acsocshiiss,tobsyiss-, seitnco.)si;so, fetacn. im(oaflvoergiegtianb.le Tohriegipna, gtoinbgacdceov, octoetdtonto, tthanecsee itnhetuarunthgoivr easssaingnidsetaheomf t;htehuresl:aatinvtehriamcopsoirs owfhaich"ptoulmhiomnaisryhadridsclyolaordaitsieoans,e" a"tjuasllt, abudtempootr,e" orerq"uliurensg-2t3attboeof,o"rehatshe4 afuultlhpoargecso,nwclhuidleessitlhicaotsiist awcoturkaellrys dionesseilxicisiot uass dthisetrpicatrsti--cuMlaMr .affRliicsttionanodf eDaosetiberonwtityt.o thAesbceosntotrsaisry,hawsh2oY\depnaygeits;asthae dries m8'/a2inpinp.g 1L0ekgiinsdlastioofnpnuepuomn otnhoecsoenicoosnedsitcioomnsprtihsee wnaomrled aorfouthned cisougnivtreyn, athhealfd-ipsaegaese, ,juasntdlisthtiengcothne tracting industrials. tIiConnosugdhevhoitsetdoritcoalmpaejorsrpedcutsitvediosceacsuerss, inwitthhe esietac- 56 ttiioonnaoryf ewxapye,rtsto ainndteorepsitniaonnds amloankge tdheefiirniteevotlhue gtiecnseirganlsreoaf dtheer;seclcinoincdailt,ioannsa,totomgiectahlearnwd itdhiargandoios gduracptihonsd,esacprpipeatilotnos tahnedmaedfiecwal isltluudsetrnattiwveithretphreoir itnioenv;itacbolneflFicrteinncghocplienaironnesssaarendjuddisicciearlnlyingsesteloeuct aonrdbyoftthene dereacisiniovnolrveendd. erAedn eeimthienrebnytlythqeuaieuttheoxr ppoasssitiioonna,teo,nuenemmigohtitontearlm; ontheisis mafoanrofgrroamphs, udffios crhaytitnhgm ,lundgesc,epotirveheadretsxtrtohcaatrdbiae,at dwueith to"fetthael sinogunodvseronthtohsee rohfytthhemleofft."theThrieghdtespcrreipdtoimonisnaotf cSoonuftuhsiAngfr"i--cawn hayuthnoorts? aarsekssoma ettiemnedser"-hteerarribteldy reevaedryer,10w0htehner"es;imapnlde tsuilbiecrocsuislo"scisaseeassewserwee2re9 4to9 twoereeve8r9y t1o00evtehreyre1;00antdhetnu'binrcuthloe-slialsict o2s6is yeeaasress. aDuitsocposniecse,rti2ngouttooo,f teoveleryarn3 athreat aisnsotchieatesdilicwoittihc ttuobberectutelor svise.ntiOlafticoonu,rswe,hiant SwoausthaAffartiacla,stilhiacontkics 2ra.5t5ioboyf 189.9249.toInevseormy e10F0reinnc1h91m7i,nwesas10retdruacveedlintog ewmoprkloeyrse,s wwehroe walelredeaamdoinng 1th0eysetarrosngfreosmt acnhdrobneisct lhuenagrtytrionub19le0s5. weEreigahllt dweaodrkbeyrs1,91a5ll. young and Ifnoucnodnincglusdiilnicgostihseanadutihtos rvacraiuatnitosnws iathgatihnestsicliocna tpolsaeins,lyacsonffreosmsedtatloc baenad daasnbgeesrtoous.s diSsielaicsoesiesveins ethnotiurgelhy itsdiassesnotcainagtiloends. wi"thThtuabnekrscultoosishayrgciennoict gprreosgsrieosns anthde ceprntaciunmoofndoicsoanpipoesaersanacree." inNoreptrroe varetnictilvee, tdheovuigcehs thoer yapsphloiualndcehse a'`rrcigtoreroautesdly'i'nptrheiss ent and in use. As Hist and Doubrow insist, all 57 sthheouglednaelrsaol mbeeainsurfoesrcere, coPgrnuizdeedncfeortotuobdeercmualonsdiss rthosaetswoorrkecrasrdsihacowdinefgiciseingcnys oafftpeur lmexopnoasryuresclteo dwuasrtds., should avoid such conditions hencefor 69. ThCeolDlieetreycGtiounarodifanS.ili1c4o9s:is.1046, Dec. 7, 1934. Vfroamriocuos nmtreaacstiunrgessidliecvoissiesdhtaoveprbeeveenntdeesmcrpibleoy!eeins tvheensteiocnolwumhincsh, aonlTdcrist itsh,eofocnolyurseen,ticroemlyplseatteispfarec ttohrisy isdoelault,iohnowtoevtheer, pirsobaltemth.e Tprheeseantttasintamgeensttiolfl rcaotuhlder breemdeolteec,tebdutatit iatsppoenasrest,thseartioifusthceasdeisseaansde nfaattaeldit.ies could be almost, if not entirely, elimi Xob-traaiyninexgama itnruateiocnonocfefeprtsiona opfostihtievecomndeitthioodn ooff tpheermluanngesntarnedcoardt othfethsiasmceontdimitieono.f oItbtiasinfoirngthea mineadtiiocnal ims aenlfctcotisvacy, btoutwithaist esxigtnenifticXan-rtatyhaetxaDmr. LReuwrails,Dinisttrhicet aCnonuunaclil,respuogrgtesotfedthtehaPtopnetrairoddaiwcacl wX-orrakyerse.xamThineatsioounnsdnshesosuldof btheismsaudgegeasmtioonngisst, imt eins bwehlioevheadv,efumllaydesuapsppoercteiadl sbtyudoythoefr smiliecdoisciasl. Taphpeagraetnuesrawl iallppbeeagraanthceer,eadndfrmomethtohde oilfluusstirnagtiothne. TthheecXol-urmayn lautbethaendrigtrhatn, stfhoermlaettrearraecmtinogunatlesdo oans awhciocuhntmerowveeisghwt iftohr itth.e tuInbe tahned itlhluestmraetciohannisthme oi.pe.e,raatoshr aidsomwakoifngthea vchiseusatl isscrpereonjeecxteadmionnatitoona, sgclorewesn bcroiagthetdlywoitnh baecinhgemeixcpaol sceodmtpoosXit-iroandiwathioicnh. aBpyprthehisenmdeathnes caonnedxitpieornieonfcethde olpuenrgastowritishoaubtleexto- 58 aprocsipnrgesaenste, nosritiasepde rfmilma n. e nIt f reacnoyrdd oisu bretfquulirseidg,nas fAilmfematauyrebewehxipcohsemdawkeitsh tghreeaetqruaippimdietnytanpdaretiacsue. ltahralty itsumitaayblebefodriswmoarnktleadt manindespaacnkdedquinatrorieths,reies somf eamll psleocyteioens shainvinagfetow trmavineul tteos.a hTohsupsit,alinfsotreaadn Xth-erapyitheexaadmiinnaatiocna,r--thae parpopcaerdautures wishbicrhoucgahnt btoe roefpmeaitneeds asscamttaenreydtiomveesr aaswniedceesasraeray. inAtlhtheocuagshe stroemsmelayll ginoosdizec,hethsits raapdpioagraratupshsw, iallndpromdauyceaelsxo be used for other classes of work. TmhaedeaupnpdaerratPuhs ildipesscMribeetdalixis paateBnrtist,isbhy pWroadtusoctn, aPnadrkSeor-nsstre(Eetl,eWctr.Co-.M2. edical), Ltd., Sunic House, 70. DibSlieli,cJo.siHs .and Malignant Disease. Lancet. 2: 982-983, Nov. 3, 1934. Teahsee oincc1u4rrpeonscte-moof rttehmreeexeaasmesinaotfiomnsalmigandaentudpoisn cpaesrhsoirnes sisnucfefe1r9i3n0g, sfereomms wsiolircthosyisofinrecEoradstfoLr athne ppurerspeonsceeoof fdiarnecteitnioglomgoicrealatftaecnttoironintoththee mpoastesirbialel ctoaubseingcittehde ptwneouminodceopneinodsiesn.t Imnaltwigonaonft tgheroewatshess olufndgifafnedrencot lotynpewserweeirnevoplrveesdenatn:di,ninontheeinsestcaonncde, bmiilae,-dinucat saunbdjepcrtowsthaotew. asAseuafsfeeroinfgmfyroemloiaddlveaunkcaeed sreilaicsoosniss, foisr arelsgoaridnicnlgudtehdis sdiinsceeasethearseanarecxammapnlye of malignant neoplasm. Tthhee csiolnicnoetcictiocnonbdetiwtioenen wthoeulmd alsiegenmantcldeiasrelayseinadndi caantdedalsion itnhethtewcoaseeaosefsbiolfe-dpuuclmt coanracriynocmaarc,inwohmerae, the tumour originated in an area of liver adherent ) 59 btoy tahegrdeiaatplhyratghmic,kewnehdichpleinuriats toturlnlie wbaassehooufnda lounncge oafffeactseedcowndithanaddvinandceepdensdielinctostius.m oTuhre inextiwsto ecaosmespamtiabylebwe ivtharitohuesltyheionrtyerporfettehde, ebxuitsteisncaet loefasat dbiefrfcuusliobsleis cwaracsinoonglyendiceteacgteendt.in oTnhee offactht etsheactasteus wtoouthldis tdenisdeatsoe,supgegrheaspt sthuantuasudaellgyreweeollf dreevsiesltoapnecde, emxapyoshuareveofpethrme ittitsesduesantoetxhceepirtiroitnaanltlyagpernotl.onged 71. Differentiation of Noxious Dusts. Lancet. 1: 903-904, April 28, 1934. Etiodnitaolrimalecdoicmo-mleegnatl isimhperoertaonffceereodfodnanthgeerionutesrnina dnuatsitorniaall dreupstrse.seAnttatitvhees Mwaeyre mtoeedtirnagw inup(acnpcrvea dliammiangaeryd cbhyasritleicrosseisc,uorinnegocfotmhepehnisgahteiostn ifnodrusthtroisael adsisbeeassteosihsazwarodusl;d iyt etwabse thgoraungthetd uinnltiekrenlyatiothnaatl sntiatitouns. usTuhalelysebqeugeinncsewliethadipnrgivautpe taoctsiuocnh: arecfiormg othregirrowuoprkoefrsfiramrcs clioanbdleucttoinag rainski;ndthuestarydmaidsmsioitns mlocaayl bpeumblaicdeosppinoinotnan; eroeusselayrcohr uinntdoermpertehsosdusre roef dpuanciinesg. oRreguavlaotiidoinnsg mathye folrlioskw aunsduaallyscheamcceomof cthoemirpednasmataiogne. foTrhethonseextinsjtuargeed cinooprdroinpaotretsionsuctho sbcrhinegmeasll ienmapnloyyeornse ucpoutonttrhye bstyanladwarsdsdesseitgnbeydthteo btheest M(aesdiicnalSoRuetsheaArcfrhicCanougnoclidl sfuieblsdisd)i;zeins rEensgealarncdh oinftothtehepactahuosleosg,icpaolssciboinlditiiteisonosf spertevuepntbioynthaendducsutrse. Wreahcehnednaatiocnearltacionnssceiennsicteiviintys,evtheeranl cinoutenrtnraietisonhaasl action may be hoped for. Silicosis has reached ) ) 60 sliilmisilasrtargeec;ogoniliiteiorn ailnlietdhecofuntduirtieo.ns will demand IDnr. dLif.feUr.enGtiaartdinngerdaanndgeSrotaufsf adtusStasrathneacwLoarkke oisf hdoiswcuesvseerd, haass htihgehlpyrimimapryordtainsat.dvaTnhtaegire toefchrneiqquuier, idnugstyeinaressrtiamthaetrintgharnesumltosn. thTshoef seexrpiaotseurwe otrokthoef Went.iaRl. dJoiangensoasinsd othfatbioofloEg.icHal.lyKehtatlremofunl diffrfoemr Tbihoelogeidciatollryiailne.dretsdiruesstsaamreopreerthiunmenatnlye empietothmoidzeodf. diniaggnthoesinfgatedanogf ereomupslodyueestss atnhdan ammeroerlye wcearttcaihn mbeersth. od than studying animals in dusting cham 72. DisIclluinsosiiosnMo.nJ.Sy6m6p:os4i3u9m, NonovP. n1e9u3m4.onoconiosis. Dsiliisccoussiss,ioanpopfeathriengpaipnetrhseonIllpinnoeiusmMoendoiccoanl iJoosuisrnaanld, NSuotvto. n19(C34h,icwagaso),paanrtdicDipra.teWd min. Db.yMDcNrsa. llDy o(nChCi. cago). 73. DoWctoorusldSeHekavLeaOwc'scuSpparteiaodnaTl oDSisileiacsoessis.Covered by Compensation. Syracuse N. Y. Herald. Nov. 17, 1934. dSiisliacboisliisti,eas adnisdeadseeatwhshiacmh ohnags mcaiunseerds, hquunadrrreydms eonf adnudstrwieos,rkwerisll inbeablirsatesdiveamanodngduosctc-puproadtiuocnianlg diins eLaaswes, isfutbhjeecNtewto Ytohrek WSoocirektmy eonf'sIndCuosmtrpiaelnsMateiodni Tcihnoeuwsainnsdsa olef gcislalaimtivseabgaatitnlset tehmispwloiynetersr. are now sfleoeokdidnagmtahgeescivfoilr ctohuertcsoontfratchteioSntaotfe tahse wdoisrekaesres, iotfwthase ssaoidciebtyy,Fartanikts RMedilml oannnd,uaRlufmfaeleot.insgecaret tathrye OMnr.onRdeadgma oMndo,tewl hTohuisrseddauyc.ational director of the ) 61 AthsastoctihaetedavIenradguestraiewsarodf fNoerwthYe ocrkontSrtaactteio, nsaoidf sinilsictaonsicse iins waphpicrohx$im14a,t0e0l0y d$a3m,5a0g0es awndas cgirtaendteodn.e JMouhtnuaLl . InTshuurnan, cgeenCeoraml pamnayn, agreecromofmethneds Utthicaat spielincsoastiisonbeAbcrt,oungoht tonulnydetor pthreevWentorskumitsenf'os rCnoemg eliqgueinpcme ebnutt totoreinmdouvcee demusptlofryoemrs tthoe ianisrtatlhlesuwcotirokn ers breathe. Athse dSeafirnaendacbyLDabro. rLateorroyy, Uw.hiCchardwnaesr, fdoiurnedcteodr boyf pDrrc.disE])dowsianrgd faLcitvoinr gisntotnheTdreuvdeelaoup,mesnilticoofsistubisera cduulsotsiisn.to Ittheislucongnstr,awctiethd tbhye trheesubltretahtahtinthgeotfisrsouceks are hardened over a period of years. Twheere 1u0r0gepdhyinsiacinaontshefrroamddarellsssetoctihoensonotfhethire gSutaartde against the socialization of medicine. 74. DrEeeffsescetn,oWf .InCh.aled Marble Dust As Observed in Vermont Marble Finishers. aUl.soS.RPeupbri.nHt eNaolt.h1R63p0ts. . 49: 724-732, June 22, 1934 Tfihnedinagusthinor8g0ivmeasrbthlee fcinliinshiceors-,Rtooendtegteenrmogirnaephthice ethffeecdtussot fcoinnhteanlitngofmtharebaleirdautstt.heObbrseeartvhaintigonlsevoelf and analyses of the dust had been recorded. Acelnthtroautgiohnsmahrberlee duobstsewrvheedn, inphroaldeudceisn thae cmoinld cbailsaetsera(lt,erlmineedar hfeirberionsis"cionmamecnecrtianign gneunmerbaelirzeodf afinbdrotshise"re), wnaos sneorioduissabliulintyg dcuheantgoesthewedruest,noetveedn, astfutedry,mwanhyichyeawrassofcoenxdpuocstuerde. uTnhdeerfitnhdeindgisreocft tshois gpaerrvdiesdionas oefsseSnntiragl.lyAnlebgearttivhei.. Russell, were re ) ) 62 75. DrTinhkeerC, eCll.uKla.r, FRieelsdp,oMns.eEo.fanLdymDprhinkNeor,dePs. to Sus Speenrisciiotncs IonftrCordyusctaeldlintherSoiuligcha atnhde tLoy2mVpahraiteitcise.s of J. Ilulusi. 11yy ,16: 296 299, Sept. 1934. jCeectretadinwoitfhthtweolytmyppehs noofdseesricoiftctwanoddowgisthwcerryestianl ldiongessiwliecrae fkoirllecdonatnrdol.theAnftoedres10coanndtain12indgasyesr,ictihtec scheiovwededsiclihcaa.ngeIst msiamyiltahrustohethoinsfeerwrehdicthhahtaddursets choanlattaiionninrgeaecitthaesrdoofesthcersyestsarllinceitessiliwcai.ll upon in 76. DuPbnreouwm, oJ.coLn.iosis; W ith Special Reference to Some of its Complications. Radiol. 22 : 202-211, Feb. 1931. Tlahtieondiftfoerethnet tiynpdeussotrfy,pnveiuzm.: oacnotnhiroascisosviasryinincoreal masibneesrtso,s swiliocrokseisrs,insidreorcoksisdriinllegros,ld asmbiensetorss,isanidn babyossvienotesnisd itno ccaoutstoenthemdilelvwelooprkmeersn.t oEfapcuhlmoofnathrye tfhiberosshiaspe(,pnsiezuem, eoxctoennitoosfise)x. pToshuerea, untuhmorbedreoscfrdibuesst pchaertmicilceasl pperor pceurbtiiecs. feeHteorfepaiorr,tsansdix tchaesepshyilsluios- tvraartiiovuesosftadgifefse.rent types of pneumoconiosis in the 77. DuCsotaCl oAllgeect.io3n9.: 446, Nov. 1934. TDhaneieTl hCcorrmpioxratdiounst,-c3o5l0leFcitfinthg Afvaennuoef, Ntheew PYroartkCtoirtsy fo(arsduaslstocoTllhecctrimonixsemrvuicleti)-ccyocnlsoinstes odfusat ccoonloleidc- athlemauxlitsi-bfolardaenfaanddiwtiiothnala 1s8c0ro.ll cCoenntitnriufeudgaal rofourncde awloitnhg wtheeareilnogngpaltaetdeso)utcsiaduesesscrsoellpasrhaeteiot n(eaqsuipinpeda hinigthhley secffrioclilenatncdycplaornael.lelAtoskiti,mwmiethrdorpaewrsatitnhge w10ithto ) G3 aISt tplieer scaemnteovfegloacsitcyoanstatihneinggatslicpacsosnincgentthraroteudghdutshte, swcirtohlle, ftfhicuiesnetlismepinaraatitniogne.ddTiehsewghaischhemarisghtht einctoenrfceerne tirsaetelidmdinuasttedto. anThauexgilaisartyhecnycrloentue,rnwshteorethmeossyt sotefmit iinslerteqtouigrievde afosrectohnisd cbluctane-fufipc.ienNcyo iasuxmilairakreydplyowienr clorweaesredg.as Tslhicee afatnlocwanratbiengo,ptehruastedthetroe siksicmonosftfanat dTuhset mcoullletic-ctiyncgloenfeficcieonllceyctaotr aisll arsatcinlegasr.ly described. Both are illustrated by machine drawings. 78. DuSaot lCvionlgleactiWono.rks Dust Collection Problem. VReomluomveisngofanAdir.Recovering line Dust from Large Chctn. Age. 30: 431-433, May 19, 1934. tAiesgroefatfinvearoiretcyoaorfseindduussttrdieusripnrgodthueceir lmaragneuqfaucatnutri itnhge phreoaclethsseosf, wwhoicrkhemrsusatnbde pcroellveecntetdntuoissaanfceeguaanrdd dbaeimngagoe fttoenadvjaalcueanbtlemiatcs hcinoellreyc;tioanlsoisthaendeucsot niotsmeilcf nweicthesdsirtayw. inTghsisanadrtpichloetoilglruasptrhastesdhocwosmipnredheetnasilivaemlyi tboyathdevaVnitsacgoeEthnegiVneisecroin-BgeCthomdupsatnyc,olLletdct.o, rL, osnudpponli.ed 79. DuEsnt-gC. oNn.tro1l12D:e2v8ic4e-2s8A7,idMFairgchht A1,g1a9i3n4s.t Silicosis. Atranpinfvoerstthigeactioonntroinltoofthdeusptragcetnicearlatuesde boyf pthneeuKmeallteicy rtwocok ladrrgilels bwuialsdinmgasdein oNnetwheYionrsktalClmityen. tsTuhseedduosnt emxiplloiosnureparotficltehse pderrilcleurbsicisfooont loyf aapipr roasxicmoamteplayred5 twoitsheovuetrathl ehulnusdtretrdapm, islolioonnepcaarnticrleeasllypesreecuthbeicvafoluoet oTfhethifsudnecvtiiocen.ing of the dust separating units is: (1), the first two stages separate out the coarser ) 70 dofuemtoinructlelcccatvioitniseso,felaigchht cforonmtaiinminmgenlisqeuindumanbdersa gviassibbleubcbalve.itieIsn plelar llciunbgicer m(|iullairmtzettehrewnausmobnerthoef orarrdeelry omf oorneethmainlliothnr,eeselmdiolmlionlse.ss Mthra.n E2d0g0e,00r0e, cpiobrlteedliqmuiadnsy acsavwiteilelsasasacgoanstaibnuibnbglet,wtoheimlamttiesr kmeopvteminenpteorfpeittsuaglasagmitoalteicounlesb.y Othnee olf.rtohwentiwano lbiyquiitdss wcraitsiclaiqluitdemcaprebroantudrieox(i3d1e, Cid)e. ntiTfiheed eoatshielyr lliuqtuioidn.appWeaitrhedlitqouibde CwOataerporersseonmt, ethaequpeoreusssusroe epxeirsattiunrge icnouthldesbeecdaevdituiecsedf:ora apnieycepaorftitchuislaqr utaermtz pralaisceedd tion tthhee mbooduyth teamfepweramtuorme e(n3ts7,Cw)o, uoldr b6e* aqbuoavrtez thbeeincgritsiucabljetcetmedpetoratbuordeyotfemCOpe2r.atuArlel, thalel tchaevitCieOsawwoouuldldbebeargoausnedou8s4; aptmreosssuprheerwesi,thoirn htahlef adetnolny troeltehaesesdq,usaarey,inbcyh.theWsoitlhuttihoen parnedsseuvreenstuuadl balumrsotsint ginosftaantcaanveiotyu,sltyheecxopmanpdrestosed40C0 Oti2mweosuiltds efoxrammeirnecdavditiyd vcoolnutmaien. bSeotwmeeenqutahrrteze spanecdimfeonusr rtiemleeassetdheaitr coownnditvioolnusmoef onforCmOa2l (ttehmepleartateturrebeainngd psirmesislaurrec)o.ndIintiotnhse, RanadndhequpaorintzteMd ro.uEt dthgaet fwouhennd* qlauragretznupmarbtiecrleosftasukcehn cinatvoititehse, lsuonmge, tchoinngtaiwnoeudlda btieclbesoudnidsintotehgarpatpeedn atondthedislucnhgargwehdenthtehiersegapsaers under pressure into surrounding tissue. 89. EfAficdivenant tDaguesst oSfepEalrcacttiroon-F. `atic Methods. Q u een slan d G o vt. M in. J. 35: 260, Aug. 15, 1934. Irnoasmtianngy, iannddustgreianlerfaileldisr,eaitnmcleundtingof thoerecsr,usbhliansgt-, 71 mfuertnhaocdes aarnedrebcoogilneirzepdlaanstthoepmeroasttioenff,icieelnetctfroorstdautisct oprregvaasilerdemtohvaatl sfurcohmmaiert.hoIdns thweerpeasctoastnlyiminprpesoswioenr ctootnaslunmept tpioonw;etrhcisonhsausmbpeteinonshisowconnisnidceorrarebclyt, laesssthine minagnmy ectahsoedss.thaDn ueeithtoerefcfeencttrivifeugcaol-ooprerwataiotenr-owfatshhe c5emssaiinn cGomrepaat nRiersitoapine,ratthiengUthneiteLdodSglea-teCsotatrnedll Gpreor meleacntyri,cwalitphopwoeorlinnogwofraelqlupiaretednatsvearnadgeesxpoenrliyen1ce thtoe o2rkowth. ehr.mpeedriummil.lioTnhcisu.eqftu.ipomf eanirt,iscorempbreussetinotnedghays othveerto3ta0l00duesltecistrore-mfdotevresd. afnrodm95airtoor98gapse, rircreenspt eocf tpivoertaonftthperascitziecaolfptohientpaarstircelmeso:vaTlhoisf pisaratihcliegshlbyeliomw e1x0trmemicreolynsdi(f1ficmulitcbroynoirsdi1nathryoumsaenthdothdso. f Sa imr Oml.i)veisr Ldaotdingeg isbatchke ptorac1ti8c8a3l;piDonr.eeFr .inGt.hisCofitetrlde,llh, isofwothrke UciantieteddthSetiartepsa,teDnrt.s,ErrewseinarcMheosllearndineGxpeermrieanncye awssitoh twhaosseLoofdgSei-rCOotltirveelrl LLotdd.g,eo. f TRhiremRinrgithisahm C(oGmepoarngye Sthte., oPraigrianlcal) IaxnxdlgcLoFnudmone, Dhaevpionsgit dCeovmeloppanedy. froAmn minetenltlicgliobsleesdtehsecarirptitciolen. oIftstbhaesiLcopdrginec-Cipolettrceolnl seisqtusipin cthreeteu,sethorofucghhamwlhicicrhs oprastsowtheersd,umstaodre,fusmaye,-loafdecnoend air or gases. 90. EUPmualmn,oPn.ary Asbcstosis. Brit. J. Radiol. 7: 281-295, May 1934. oPfaratsbTeIsTto.--s iPnulimndounsatrryy cAansbbcestotrsaics.ed Wto hainletiqtuhietyu, siet oisf opnullymdounrairnygatshbecsltaosstis6coarn 7Ik*yseaairds ttohahtavtheerescuebijveecdt aeansye.real attention as a serious industrial lung dis ) 72 Tichale aanudthpoarthgoivloegsicaadl efteaailteudrerse;ptohret monactrhoescroapdiicolaongd mlieicrcooscnocpluicdeasp:pethaerandciseesa,saendmuthset absebegsrtoousipsedIndwieitsh, saivliecroasgise alesngathveorfy esmerpiloouysmpennct uimn ofnatoacloenaiosseiss.is oTnhlye one-half that of silicosis. Athediwaginntoesrism, wonhtihcsh, iws hmeonstacliukteelyretospbieramtoardye cdoumripnlgi cfaactitoonrss:oc(cau)r, ompupsotrtduenpietineds ufpoorn ianhcaolminbginaastiboenstoosf dspuusttu; m(b; )(cth) ecloinccicuarlreanncde roafdiaoslboegsictoaslisfinbdoidnigess oinf tthhee dthifefucshea,rpauctlmeroisntaicryrafidbiroolsoigsiccoalmfminednicnignsg aartethperobbaasbelsy; tinheemarolystdiimagpnoorstaisn.t reliable single piece of evidence Tonhseetcolinf iscyaml fpetoatmusreussoufaltlhyeodcicsuerasseafitnedricsoatmeeth5attoth1e0 ydyeasprsnoeoaf aenxdpoesmuraeciattoiont,hetheducsotm; ptlhexeiodn,egtrheee aobf stieonnc,eaorfc haalelmchoaprtaycstiseraisntdicthfeeavtuerryess.canty expectora oInrhlaaltaetriotnoopfraosdbuecsetops udlumsot nmauryst fbiebreoxspise,ctdeedpesnodoninegr ucopnoncen(tar)atiloenngothf tohfe edxupsot.sure, and (b) nature and Tlyhe(ah)istodlioffguisceal cfheraotunirces ionftearssbtietsiatolsifsibarrocsiesssoefntitahle l(ubn)gsth, ewpirtheseanrceeasofofchaacruatcetecraistatircrhaasbl ecshtoasnigseIsx,idaincsd, appearing either singly or in clumps. Ttuhme pirsesienndciecaotifviesomlaeterdelyasboefstporseisvibooudsieesxipnotshueresputo aclsilnieicsatols sdigunsitf,icaanndce;doiefs tnhoet lnioedciecsssaoriclcyurharvaediaalnlyy aprurlamnogneadryintiscsluume.ps they suggest disintegration of gPruelsmsiovneadryiseaassbeewstiotshisa, boandcepreosgtanbolsiissh;eidt,s tirseaatmpernot can only lie symptomatic. The tuberculosis risk in asbestosis must be reckoned ') 73 h wit iilsli,leessv,enc(|itihaolutgoh, otrimpeerlhiaaps syeevt etno ginredaicteartethwahnetthhaert in silicosis. 91. Epidemic of Silicosis Suits Raging in Missouri. Weekly Undent*. 130: 453, March 3, 1034. Aonne ecpoimdepmanicy oaflosnuei,tsh'aagvgereIgeaotnintgile$d9i7n4,0M0i0ssaoguariinisnt wthheiychcotnhterapcltaeidntsifilfiscosseieskwdhailme aignestheonemthpeloygroofunthdes dadefjuenstdearn, ttesctoifniceedrntsh.at 4A5. suIi\ts If'orrinaknmaagng, reagactleaiomf $C9o7m4,p0a0n0y haandd 1th>cactti thtieledcomagpaainnyst htahde hTeeanveirnnforRmoecdk 200 other suits were contemplated. 12. EvDanuss,t DC.oWntr.ol in Traprock Production. lixcavciting ling. 28 : 361-364, 3f>8, Aug. 1934. kAnnoywosnethwe htohichkasdulsivt etdheynekairckcrtuips,heesdpercoicalkly pwlahnetns aSahnadrdCroomckpainsyh,andduleedt.o tThheier Cmoondseorlnidizaitnedg, SalloTnoerd&s avewyoerlc, oemveerryelisecfreferno,m isthicsomcopnledtietliyon,enclliovseerdy icnona hcoonudsuinitg loefadminagtcthoeda lpuomwbeerrf,uleascuhcthioonusfinang wwiitthh aa cisapthaecihtyeaorft 4o6f,0t0h0e Sfeleyt DofusatirAprerresmteinrustye!slcm'Phwishfiacnh nboutt opnalyys edliimviidneantedss uansdweseilrla,ble'l'lwiisorksyinstgemconwdaistioinns tshtaaltleidt plaresvt eOntcstodbuesrt ofrnomthegevtetirnygjuinsttoifibaebaleringgros,uanndds arolscok pprleavnetsntosftlhaatet --drseialidcodsiiss.ease--too prominent in e'Pniclelosseudctisocnreefann adnrdawcosndvueystorfrsoymsteamll ptoarats coefntIrlaiel fnj sacnrdiedseopfosfiot lidtsinofbihnesavfoyr ccloonthvewniheincth rceamtcohvatlh.e Hdeurset tfwinod mreeandyloamd atrhkeetdufsotrinftdole1r00inpoauspnhdalbtagsshinwghliecsh, suosmese. varieties of paint, and many other industrial 86 caslltytowtheastt trheeascetiovnieswws obuyldasbceerotabitnaiinngedexinpearnimimeanlts gtriavcehneathleisnejescitliiocnat.es, either by inhalation or intra 105. FraSnilkica, WDu.stR. . Canad. M. A . J. 31: 245-249, Sept. 1934. Tsihliecaa uptahrotirclefisrstfinddescernitbreasn cteh einmtoeththoeds lul>nyg wcheilclsh. dTuhsetrine eassreo fmtahneyaimr, ebthoothdsg ruasveidm efotrricmaenadsucrhienmgictahle. TAhfericKao, nisimpeetrrhicapmsetthhoedmoofsctosuanttiisnfga,ctuosreyd;ibnuStotuhtihs mabeotuhtoda dioszebnotehstaimrdautioounss caannd cfoantvigenuiienngtlyanbde coonmly pleted in a day. Tobhveiaatuetshothrihsadsifrfeicceunlttyly. deInvesltoepaedd oaf mceotuhnotdinwghitchhe pspaortticulnesd,erthteheamdaorukntfioelfdliisghmt eraesfluercetdedphboytothmeedtruicst atilolyn.al Utontdheer ssutrafnadcaerdof ctohnedidtiuosntsrethcoisveirsedp.ropTohre lpihgohttommeatyerboer maeapshuorteod-eleeicthtreirc bcyell.a cTohmepaaruatthivoer gsuivltessoabttaaibnleed tboysthhoiswmtehtehocdo.mparatively good re Tarhceehxpigohseesdt adrueset nccoonucnetnetrreadtioinnsdrtiolliwnghicahndmbilnaesrts itnragteospmereatthioondss. byTwhehicahutshuocrh dciosnccuesnsetrsataionnds ihllauvse clxo;nencegnrteraattolyr uresdeducbeyd,thseucOhnatasriaonMewintiynpgeAosfsodcuiast tion. 106. FroCmaseento, fJ. PaunldmGonuaicryharSdil,icAo.sis with Spontaneous Pneumothorax Developing in a Former Miner. Lyon Med. 66: 391-395, Oct. 14, 1934. Awhfoorhmader lceofatlhmisincearl,li5n0gy9eayrseaorlsd,bienfopreer,fewctahsesaultdh sdyemnlpytosmeiszoedf swpoitnhtandeyosupsnopenaeuamnodthcoyraaxnocsoisn,firwmiethd by the radiograph. 8F7or 23 years lie had been a gbiourmer, inanmd inEenpgiltasnidn; vhaaridouaslwpaayrtss obefenFrawneclel,; Bhaedl rfeatrimreedr. on Uanspuesnpseiocnted9 yseilaicrostibcefionrve,asbioencomofinghias lNuongtsubwearcsurleovuesalseidgnisn atphpeeasrtuindgy, othfehdisiacgonnodsiitsioonf. prenseourmbeodnoicno3n0iosoirs 4st0oodda--ys.theInptneeruesmt owthaosrataxkebneining tnhoet ctaoubsee offrotmhe sptrnaeiunmoorthtohraatx,ofwhciocnhscwriapstss.hoAwnn einmtophtyhseepmleautorau,s wveesrieclpeoossribsmiliatilel st.ubercle rupturing 107. MFualttothne,wWs,. JB..L, .Houtz, R. L., Dooley, A. and Ainsgb eosftoDs iuss.t--FP.nt.co1u: nTtchreed Cino llAecstbioe sntoasn dF aCb roiuc na tt iPnegnnP.laDnetsp.t. Labor and Industry. Special Bull. 37, Oct. 1, 1934. TduhsetrPyenins syelnvgaangieadD einpasretmveernalt osfuLrvaebyosr aonnd tIhne eofffethcet wofordkuesrt.s and their relation to the health Ii nndau ssturrive se ya pnporwo xbiemi nagt eclyo n1d5u0csteadm ipnl etsh eh aavseb ebseteons cSoalmlepclteesd oafndduthste, dtaaktaenpriensepnlatendtsinfotrhifsabparipceart.ing afosbrmestoofs tphreodsutacntsd,awrderme ectohloledc,teudsibnyg aa m95o.d0ifpieedr ctheinst mUe.diSu.mP.theethpyalrtaiclcleoshowleares waelml eddiisutrmib.uteIdn auntidlizreedadaislythceoucnotleledc.tinWg hmeendiduimstilalgedglowmateerratwioans opcocssuirbrleed. imDmispeedrisaitoenly oafntdhemdaudset cinouanltcionhgolimis gwoaosd.reqAuirseedttlibnegfotriemecooufntaitngl.eastTh3e0 mpainrtuicteles cthoiusnpt eirnioadn.y gAivmenodfiifeiledd rheomlsatienredis cdoenssctraibnetda.fteItr itshacton(lsietruflcutiedd inofthleeatihmeprinsgtrearps/l,asikn sisucvhisiablwe aayt all times. 'l ) 184 cliuapsactioomnealinprofovrisisopnesc.ial award under varying oc Tsthateissttiactsusofabwrooarkd disondeis,ciutsssevdaluine,tearnmds oouftlmayinifnogr asirleicaossitshadtaminasgisets.upMonediitc.al control is indicated for bIneenthheinUdneirteedd bSytaatsessocisaitliioconsiws ithcofmoprmenssaotfiornackheats eTehreinrgefbeirtetenrcley vraelsueentoefdthbiys esmerpielosyoefrsa.rticles is high aanctdivwe iilnl tuenredsotuibntetdhleysauwbjaekcet.n, as well as maintain, 193. KeSllioligcgos,iFs .CSl.aims--A New Problem in the Insur aAndcdereFsiseldd.elivered before Ins. Sect. American Bar Assn, at Milwaukee. Aug. 27, 1934. NInewspeParkoibnlgemofinthethesuIbnjescutra"nScielicFoiseisld,C" latihme s--firAst qthueesptiroonblteomb?e answered is "W hat element creates Wane inmjauyrytatkoe tahse aludnegfintiitsiosuneocfasuisliecdosibsy, tthhaet pitrois leolenmgeedntinshilaiclaotniown hoefredussutc, hwhinichhaladtuiostncoofntdaiunsst trhee sthueltspliancethoefstuhbestnioturtmioanl toisfssuceaor forthfeib'lruonugs. tissue in Awhpipcahrecnatnly, otfhecoounrlsye,coenrtlayinbedpiaegrnfoorsmisedis aafutteorpsthye, dthiseeascsaeleisoefndceedrt.ainTthyeinsebxyt mx-ertahyodexoafmdiinaagtnioonsi.s oInn ahdisdtiotiroynantod taheclixn-ircaayl eexxaammiinnaattiioonn., tThehree silsowa craastee opefcpt roofgrseilsiscoosifs twhehidchisemasaekeiss iatneoxtthreermmeleydidciafflicauslt to adjudicate. cParuesveadilibnyg doupsitnsiownhiischthcaotndtaiisnabsliilnicgoninjaunrdy oisxyognelny i1nhcahveemsiaciadl cthoamtbtihniastioisnthine tphreevfaoir'mingofopfirneieons,ilibcua.t there arc other opinions and there arc certain dc- 185 sviclilcoopnmcdnitosxiwdheic(hfrceaeusseiloicnae) loishtehseitaotnelytocsaauysethoatf silicosis. ASiflricicoasins gwoalds fmirisntesc.areTfuhlelyrosctkudtihedereinmtihneedSocuotnh tpaeirnsceanlta. rgTe hpiesrcferneetagseiliocaf fwreaes sfiilxicead, suapyon70aslot8h0e cgaouldsemoifnsinilgicohsaiss,1p)crcenvcaalernriteadmoonnaglstoheanmdinfeorrs.mBanuyt cheignhtuerrieps eirnceInntdaigae. oTfhefrereocksiliincaIntdhiaan coinntaSionustha Awofruilcda.lie Oafnfleicwteoduwlditehxpseilcictotshiasttothae gIrnedaitaenr mdeignreeres ttohapnrothvoestehoaft SthoeutIhndAiafnricmai,nheurst ianrvcepstriagcattiicoanllysefermees fIrtosmeemthse rdeisaesaosnea.bly certain that asbestos dust will cxa-urasye cphlaatneg, easnidn tthhaet luthnegsewahpicpheawrailnlcaepspaeracr soonmaen wfuhratht edrifqfeureesntitonfroams tothowseheothfersilaicsobseisst.os,Tchaeurseinigs. athbelincgonedfifteicotn. kAnonwonthears caosbnetesntotisoisn, ipsrothdautceassbaesdtioss saillmicoastinaalwddaiytisoncotontathinessialicsamteasl.l amount of free mReiccreonntsopwinililonnosteeemntsetrotbhee tlhuantgp, abreticcaluesseabthoevye faivrce tboeolobwig.whWichhetphaerrticthleesrewisoualndy bdeeghreaermolfesssmailslnnesost kisnorewanc,hebde.cauAste tthhee plriemsietnot ftimmeicriot sicsotphiocuvgihsitbtilhiatyt . jduursiot upsa. rticles of half a micron are the most inTitsheesxetrfeamcteolrys isnlocwondneevcetiloonpmweintht, stihliecosdiisf,ficnualmtyeloyf: mmiankiinngg wdihaegtnhoesrisa, ntyheinfduurtshtreiraldiefnfivciurlotynmoefndt ewteirll pchroedmuicceal acdoumspt oosiftisounffitcoiecnat ufsienetnheessdaisnedasoef--ptrhoepseer, aadmjoundgicaottehecrlafimacstofrosr minajkueryit bsyo sdiilfifciocsuilst, juwshtelythetor bCyomcopmemnsoantiolanwsypsrtoecme.dure or under the Workmen's 186 fPorropseilricopsrioscemduusrte infoclrudtheethaedjsuudbimcaitsisoinonooffcelaviemrys cTlhaiemcltaoimaacnotmhpimetseenltf asnhdouilmd pbaertrieaql umireeddictaol sbuobamrdi.t ttoionp.hysIifcatlheexcalmaiimnahtieonm, aidneclbuydinthgexn-eraxyt oexf akmininoar dsheopuenlddebnetsinoefacthhecadseeceaanseaduteomppsyloyceoen,duthcetend tbhyerea cmoesdisi.cal man of experience in the diagnosis of sili 194. Kemer, 0. tIollrinneoyis GOecnceurpaal tiRounlaelsDAisgeaaisnestAEctx, cDluesfiinoends. CAont tained in Policies. / nsur. Field. 63: 10-11, Oct. 25, 1934. eAnndoirnsseumraenntcetocatrhreierstianndIlalrindoiWs morakymneno'ts, bCyoamn cpoemnspaetinosnatpioonlicfyo,r roecliceuvpeatiitosenlaflodfisleiaabsielsityentuompeary aAtecdt, iAnttSoercnteioynG2enoefratlheO OttoccKupcartniocrnaolf DIlilsienaosies held October 15 in an opinion. uInndveirewboothf tthhee lcaormgemonnumlabweraonfd ctlhaeimOscbceuipnagtiofinleadl tDhiesmeasseelvAesctotfhethceomocpcaunpieastiohnadal sdoiusgehast etoliarebliileivtye wbyasansuebnmdoitrtseedmetnot, AanttdornleegyaliGtyenoefrathl isKaecmtieorn, wp einthsatthioe nr e scuolmtapnatnoiepsiniino nt.h eT hsiasmleeavuensftohretucnoamt e ccolanimdistiopniliansgfourpmaetrlay rwuiinthouosccruatpeataionndalwditihseaaspe Tpahreenotplyininoon rceimteeddytheexcfaecptt tahacthainng1e92in3 tthhee lIalwli. cnuopisatlieognisslaetnuuremeprraotveiddeidn thSaetcteiomnpl2oyseheosuilnd obce spulaffceerdedupaocncidtheentasal minejuprliaense aarsiseinmgploouyteeosf wanhdo imn etnhtes caolusorsereomf othveeidr ethmeplroigyhmtenotf. emThpeloyameeesndto bring civil suit in case of injury. 187 "AScetc,"tiothne 2o6pionfiotnhesaWid,o"rkprmoevnid'sesCtohmatpaennysateimon tpiloonye3r wohfothshealalcctomanedwaitnhyin oththeeprroevmispiolonyseorf wSehco svhidaelldelfeocrt itno pthroisviadcetanshdaplla, yincoamccpoerndsaanticoen wpritoh ssauibd-psaurba-gpraarpahgr3a,phinspurroevihdiess etnhtairteallliapboilliitcyiesanodf sinastiuornanucnedcearrrtiheers aicntsusrhianlgl pcaoyvmerenaltl oefmcpolmoypeens saumriedt,heanedntitrheatcoamtiypepnrsoavtiisoinonliaobf iltihtye opfoltihcye aint tlieambiplittiyngofttoheliimnsituroanr cme ocadrirfiyedi,nshaanlyl bwe awyhotlhlye void. "pSroevcitdioens 3thoaft tthheeWproorvkimsioenns'soCfotmhepeanctsasthioanll Aapct pemlyplaouyteoems aetincgaallgyedanidn awniythoouf ttheelecetniounmetroatealdl b"Wusihneenssaens oemr penlotyereprriisselsiab*le* t*o pay com pensa tWioonr,kwmheent'hseCr oitmbpeenusnadtieornthAecpt roorvibsiyonvsirotufethoef tDhieseparsoeviAsicotn, sheofnSeevcetritohnele15ssohf aths eelOecctceudpatotiopnraol vthidee Wanodrkpmayent'hse Ccoommppeennssaattiioonn pArcotvi*de*d *foarnidn tthhearteisistohnelycoomnepecnosmatpioennsaastiopnropvriodvedideind Sfoerctainodn l1y5, (ifb)an1 eomf pthloeyOeeccisudpiastaibolneadl oDrisdeieassebyAcrte,asnoanmoef a(lnie occocuurspeatoiofnhaisl edmispelaosyemaernist,inign oonuet oorfmaonrde oinf hthise doecpceunpdaetinotnss, `rsehfaelrlrebde teontiintleSdecttoionco2m, pheen, soar tteiornmsin, cthoendsiatmioensmaanndnelrimanitdatsiounbsjecast taorcthneoswamoer mCoamy pheenrseaatfitoenr Abectprfoovridaecdcidbeynttahle inWjuorrieksmseuns's ctaoiunresde obyf tehmeiprloeymepelsoyamriseinntg.' "out of and in the "If an employer must compensate his employees 'I ) 208 209. LeVarayr,iaTt.ion in Lung Lesions Produced by Silica and the Silicates. Safety Eng. 68: 41-42, July 1934. Tnehceesismarpyressesqiuoennceexiosftssiltihcaotsistuibnerocrudleorsitso ipsroa adsubceestdoesiast.h. This is not true, particularly in Tlohsies,caasneds ooff apsubreesstoilsicisoswisi,thi.oeu. twtiuthbeoructutluobsiesr,ciul lsuhsotwra.te Fthroemvaritehdrepeicatusrbeeswtohsiicsh tchaeselsuntghsemiany fcluurernicneg oinf aregwioidnesspwrehaedre fothceal aesbmepshtoyssiesmbao, doiecs awreithmathsseedfi,xmataioknes opflatihnethluant gthibsyletshiiocnketonginegtheorf tdhyespnsueabplaenudralthetisrseuleativise riensspuoffnisciibenlecyfoorf tthhee risesspliigrahttoriny mdeegcrheaeniasnmd. Fofibmroisniismwalithiminptohretalnucneg. Oplnactihneg oathlaerrgheapnadr,tfiobfrothsies vweistihciunlatrhesulbusntga,ncree, tsoiognest,hebrriwngithabsouubtpltehueraslamtheickinetneirnfgereanncde awdhiteh respiratory efficiency in the silicotic. 210. *LIengdgues,trSiairl TMhaolmadaise.s, Lond. Oxford Univ. Press, 1934. Rev. In: Monthly Labor R. 39: 1308, Nov. 1934. Tfohrims eprolystShuenmioorusMwedoirckaloIfntshpeecwtorirteorf, Fwahcotowrieass itnriaEl ndgilsaenadse, sc. ovTehrse rme oisstaorfetvhieewimopf otrhtea ndteivnedloups mtioennst aonfdinotfertehset rienguhlaaztiaorndsourseqwuiorriknigngnoctoifnicdai ttiooncoomf pinednusasttiroianl fdoirseiansdeu. strAiacl hdaipsetearseiss. directed Not available for review. 209 211. LehDmusatnnf,roGm. the Nasal Passages as Cause of Dung-Silicosis. Arbcitsphysial. 8: 218-250, 1934. tIhneaapurtehvoior udsepscarpibered( Ahribs.apphpyasriaotlu.,s7:by16w7,h1ic9h33a) ltharegeponsusimbiblietrieosfopfelrusnognsincfoeucltdionhebeyxdamusitnewdhifcohr pthaesnsed70i0nteoxtahme innoatsieonans dhaitvsecobneennecmtioandse. bySinthcee aanudthorersualntsd bheiisngasesmisbtaondties,d tihnedteessctripctoinodnistioannds d50ia3grmamousntoafinthewoprrkeseersntepnagpaegre.d in breaking up swtoitnhe twheeredgeuxraems ifnoerd eaxnidstitnhge srielsicuoltssiscodmisepaasreesd. fIonrth1e6 hyiegahrseroargme oclraesstehse tmhoesne wwhoorkrienmg aiinnestdonine gdoitoiodnh, ewailtthh,ahvaedrynafesawl ecxocnenpetciotinosn.s Tinhgeosoidliccootnic wInortkheersyhoaudngbeard wnoosrekseirns tthheosmeajcoarrilt)y' odfisceaasseesd. wMeoruethc-hbarreaacttheerriszesdickbeynebda,ilasnaasarul lec,osninneccetitohnesy. dhiatdionn.ot the use of nasal passages in good con tFhraotmbetshideesfindduirnagtisonthoef cthonecwluosriokn, thweaspodsrsaibwinl diteycifsoivr edupsrtedinisjpuorysining tfhaectnoarsianl lpuansgsasgileicsowsias.s the Abepgpinlysinwghethnethperinecxipprleessoiof naverages the danger -D---u-s--t--A--c--t-i-v--it-y---i-n---n--a-s--a-l--p--a--s-s--a-g--e--s--iynegarast ofthwe oorkc-W hen the dange2r-index is positivec,uapastiiloicnos--is i<n). dfeiscetiaosne iisnfuencltiikonelyin. cTrehaeseps rporboapboilrittiyonoafllay steovethree negative value of the index. aRreesaealerdchtoutphoenco5n2cpluosliioshnetrhsaot finthcearRrycimnsgchoenidtheer 252 tmisesnutes minecausubricemfeeentt.s in microns and air require 243. MeWitehra, tEi.sGa. Dusty Factory? N at. Safety N. 29 : 34, 36, April 1934. Tthoe caomnotruonlt tohfe dduussttinperessseonft tmheusatirbeindteeltleirgmenintelyd,. Wereitdh: a(g1i)vethnednuusmt tbweor offacdtuosrst paarcrtiucsleusalilny acognisviedn qpureasnsteidtyinofa asiizre; f(r2e)qutehnecypadritsictrliebustiizoen, ucsuuravlely, thexat iasg,atihnest ptehrecesniztaegoef lepsasrtitchlaens. stated size is ploVtcd iMngantyheindstursutmceonntcsehnatrvaetilo>necnindeaviirs,edanfdorthdeetaeurmthionr gives a brief historical review of the subject. 244. MeCllleera,nHA. iBr,. an Achievable Asset. /. Frank, institute. 217: 709-728, June 1934. Rpoelcleuntatndtsa,tahiyngdiiecnaitceaslltyhesrpeeaiskiang".safeUploatdo" aofcaeirr ttoaixniccdounsct eisntrrealatitoivneliynnmonin-iensjuarniodusfatocttohreiews,onrkoenr; ainboovuet-thdeosoer, ppeorlmlutainoenntisinbjuerinygredsiurletcs.tedRetosewaarcrdh absrceeatrhtaeidnincgontaammoinuannttss. anIdn kciintydsaior f cosmafmeloynpbroond;ucmtsucohf fruecelenctomrebsuesatricohn ahraes sbileiecna adnirdecctaerd stoilwicaardcotmhepohuanrdms. toDtrh.e WluinllgiasmfroMmcNbarellaythihnags fSoiOunsdptehragtrtahme ,noofrmdrailedlulnugncgotnistasuines, o1.v1e3rm2gmrmgrss.., eSxiCpohspuerer gtormd.usotfydariire.d Tluhnegstiilsicsauecosnhtoewnts oufndciutey d"uunstduceanexepxoissutrein." coDnrc. eMntcraNtaiollnys caitmeso8unctaisnegs otof dpiesresaosness iwn hvearreiesdilioccacuampaotiuonntss dbyreinagtheodf dinif,fewreenret believed harmful; 2 were hoitscworkcrs, 1, an ) ) 253 aaustoamfaorbmileer,paanindtepr;art1-,tiamme aans wstheoel dmidillpawrto-rtkimere. oTfhdisrileadstlusnhogwtiesdsu7e..06Ambgurmildsi.nogf wsiloirckaepr esrhgorwaemd 2m.3g7rmmsg. romr s8. ;taimceoskethsehonvoermleralinama ocouanlt yaasrdsta9t.7ed5 1 < bTyheDar.geMactNwalhlyic. h workers take employment in one dusty occupation is stated as a large factor in -i -f1t dveeltoeprmainfiirnsgt stthaegeleinngothneodfutsitmdeisreeaqseuir(eDdr.toR.dRe. Sayers, U. S. Public Health Service). Workers 1* uovnedrer4400, ,wwililll aavveerraaggee 71.38 yyeeaarrss.in cAognetrtahcutisngmaity; borrinelgseaapdrougstrebsusiivlde-udpechraesasoeccinurbreoddiliny trheesislutanngcse. dDuucsttivies acaspizaacbitlye aogfenwtoirnkecrust,tisnugchdoawnlostshebepirnog mpeornmialnlneensts, mwahyerbeeaos nmlyanteymoptohrearrilfyordmissabolfincgo. m aEvveernatgueallaymiot umntasy obfecdomuset ptohsastiblsetretoet staaitre cthane saatfethlye csoarurryc.e oTfhsemaomkeouanntdctahnethdeunst-bperoddeulicmtiiotend. pInedreodorinadire-vceolnodpimtieonntinbgecahuasse boefenagggrraevataltyedhoaumt donootrheairaspsuolmluptitoionn. thTahtisdianmdaugstirnyg idsupsrtocloededgiinngg imnicthroenluinnggs,reraantegsetsdiinamsiezeterf.rom 6 microns to 0.4 245. MeAreMweetmheorr,anEd.uRm. oAn. Asbestosis. T19u3b3e;rc1le5.2-11559:, 6J9a-n8.1,19N34o.v. 1933; 109-119, Dec. Atiosnbaelstdoissiesasmeaoyf btehedelufinngesd dauseatosptehceifiicnhoaclcautipoan ' osifveasbreepstloacsedmuesnttanodf tchheareascsteenritziaeld abcytivperogfurnecs tioning tissue of the lung by inactive non-func -:, tniioonniuncgonfiiborsoisu,s aorlisbcraorsitsisosfueth. eItluinsgrse,alalnyda tphneerue-- i 254 iftorreesiseminbtlhees sianmseocmaetegreosrpyeacstss,iliwcohsilies, adidffiseeriansge cboenstsoidsiesrabbeleyn irnecootghneirzse.d aOsnalyn erenctietnytloyf hsearsioaussimport. Tashbeestfoibsroaures smiliicnaetreasl,s thcoemsimlicearcibaelilnyg kcnoomwbnineads wanidth, tmo eatallelsics ebxasteens,t,mcaalicniluymm, asogdnieusmiumoroarluimroin anuvma.rieTtyheoftesrimlicaistea mcoinlleercatlisvewnhaicmhedaifpfpelriefdromto eparochpeortthieesr ibnucthermesiecmalbcleomopnoesitaimon ahnedr pinhytshiceairl finely fibrous nature and flexibility. Tinhge onfumasbbeerstoofswaonrdkeirns ethmeplmoyaendufianctthuerequoafrarys bsiedsetroasb-lceo,nbtuaitntihneg imndautestrriyalsisavnedryarstmicallelsasisccoomn ptrayreadndw,itfho,rtfuonraetxealym, polne,lythae scmoaalll mpirnoipnogrtiinodnusis ecxopnotasiendintgo rdiusskt.from the inhalation of asbestosTa hpeatfiiernstt rwechoorddeiedd cianse19o0f0aisnbethsteosCishawriansgthCartososf Hreovsepalietadl, eLxotenndsoivne. dPifofusts-em oprutlemmoneaxraymifnibartoiosins wAistbhesntooseivsi--detnhcee pouf lpmuolmnaornyarfyibrtousbiesrcoufloassibse.stos wcoourrkseer,sa--ndis vinasriidaiboluesininiittss monosdeet,of rteegrmulianraitnioints. gItroiswhthelpoffuflibtroouvsistuiassliuzee (tshcearditsiesasusee,) aasrothuendsltohwe bbreotwnceheinoltehseoarisrmceallllserwahirerteuvbeers tohfethinehlaulnegdsdaunsdt csiolmicoessistothreesbt:roinncchoionlterasist tthoethime pdoeprtoatnstussietde oinf dfiebproosuistiotinssoufe aissbbesetionsg ilnaitdhedoluwnngsl.ikeWahsilpeidneerw's Twhebis, tfhibartoudseptoisssiuteed iseanroliteronglryaduusaellleysscaosntarascutsb. shtaitluattieonfoorf tthhee aciaruscaetlilvs,e bduutstw, ibtyh ictsonintivnauseiodninof ) 255 no ecwcu pteierdr i,toitr yg raanddu aclolnys, oalindda tiloitne roafllyth, a ts traalrnegaldeys the essential tissues of the lungs. bInodycotmhemlounngws ihthavoethaelraregsesernetsiearlveorogfantisssuoef tfhoer uinsefuinnecmtioenrgael nccaipeascaintyd dtouepetromaitdvofanacdinimg inaguetioonr dthiseealusen.gs Fisorestsheisntrieaallsyona aloncdalbdeicsaeuassee,fiibt riossoisnloyf owbhleitnerathtiengfitbhriossirsesperrvoeg,rethssaetsunlodutehsehoerxttneensts ooff batrteeantthioonn toantyheefxatcrta tehfafot rhtisdrhaewalsththies nwoot rwkehra'ts istucshhoausldcobeu.ghT,ilaer"cotehqeuralslyymupntoamsssuomfinthge, adnisdeaasree, creaaudseil.y ascribed to some common and trivial mFroorme rtahpiisd,posiinnctethite isprnoogwresesncorfoathcehindgiseoansethies roenmlyajiunisnt gsusffoiucinednt ttiossmueainotfaitnhetheluwngosr,kearlrienahdiys oacrduitnearryespdiraailtyoryacitinvfietcietiso.n hUalstimpraetceilpyi,tatief d noa fluatnagls tcearnmidnoatliiottnle, amostraegtehaisn rmeaacihnetadinwlhifeen, atnhde tUhseusahlloyrttnheessfaotfalbirsesauteh ibsedceotmerems ienxetdrembye.the on smetaionfinsgomunedaacmuategeidnfleucntigontiswsuiteh iswqhuicithe tuhneabrlee tponecuompeo:ntihai,s bisuct ommmayonhlye aalolwobgarradpeneburmonocnhioa, tburboenrcchuiltoisu,s ininflfueecntizoan,. oWr, iltehssthoefteenx,ceaptsiuobnacouftea mmielcdhadneigcraele inof obrriogninchaitnisd wnhoitchinfisecmtivoer,e boefitneng devuiedetoncierritthaatitotnheofetxhiesterentcaeinoefdddeuvsetl,optheedreasihs enso- tfoescitsiopnrse;dbisupt oifs,ehsotwoetvheer,oannseatcuotfe siuncfhectaicountedoicns supervene, the riously impairs tphreescehnacneceooff trheecovaselriye.sloIsMis aisles of cases in which the terminal infection was In 256 abdedrceudloruisskcouunledqubeivogcivaellny:winhicthhedseemcoasnesstrathtee tohnis osertigoifn thaendtubuenrdcouulobstiesdlwyasprinedciupbiittaatbedly trheecenfattainl ttehremeixntaetniot no,f tbhuet tounberpcouslto-umsolretesimonsexwaams icnlaetairolny icnirscuullmicsitcanntcteos.have caused death under ordinary Ifinbrothseis ambsaeyncperoogfreisnstetrocuarrnenetxtirnefmecetiodnesgrtehee; bsproonnctahnieecotuassisp,nenuomn-otuthboerracuxlomuasycoacvcituart,iobnutaundl ttiimonattehlyrouthgeh stthraeinpaorftiamllayinsttarianninggledtheluncigrscublae claormgeeds ilnivseu:ppapoprteaabrlse,agnedndeeraalthdreonpssuyeswfirtohmansleonw hInetaerrtcfuarirleunret. attacks of dry pleurisy, which arc penairntigalolyf trheesppolnesuibralewfhoircthheocccounrss,idaerreabcloemthmiockn, abbulteumseunatl.ly only cause slight and tem porary dis cClliinniiccaall siSgingniss.--thTatheof mdioffsutseimbiplaotretraanlt imsipnagilre gmreenet aonfdthbeepsterecluicsistieodn bnyotev:ertyhisliigshstliagnhdt irnapdied ptoercbuassesioonn oefacthhesibdaec, kanodf tihseascshoecsitatferdomwiatphexa ssliiggnhst dsoennseotofdirfefesristmanacteer.ialTlyhefroomthetrhopsheyspicrael Tsehnetesdybmypstiolmicossiesxahnibditneededalnsoo,t abse dmeitgaihltedbeheerxe. epreacbteled,pcelorisoedlytrheesedmisbelaesesilcicaoussiess. aFlmorosat cnoonsiidn cthoenvseynmiepntcoemtsomthaey wpaosrskearl,maonsdt ufonrnoatilcoendg. tiImieetcwomeepnla5in0 aonfdc6o0ugpheracnednt,ofofucnadsuees osfhoarstbneesstsosoisf bslriegahtth blouneneexsesrtoifonth, ealnidps swheh.i.c-h acodnutsrkaisntsesswiothr the general pallor of the face not uncommonly seen. ) 257 Torhaedrvaadnicoegdraspthagicesapopf etahreandciseesasoef athree ddisetvinecltoivp>s acaltsheowugithh tshieliycoasries,ncoetrtsapiencirfaicd.iogWrahpilhei,caaspipsetahr aeanscec,s fmreaqyuebnetllyoomkeoddiufipcoantioanss tyopf iacnadl odfepthaertudries from the typical picture occur. oBfadfihbaromsiswwashitchhe cfairnstbetocaduessecdribbey tahne infionergtaynpi> dteunsttiocnontotaiintsinsgerinoousfreneatusirleic. a, and to draw at cAanseisnqoufirsyiliicnotshise iUnngitreadniStetatceusllsehroswtehde thraadtioit graphic features were atypical. kInnowwonrkaesrs"mexapgonseesdia't'o(8l5licpeinr scuelnatt,inmgagmnaetseiruina cmaarbteolnya),tewaitnhd si1g5nspeorf cpeunlmt, oansabreystfoisbroaspips,rooxivi ftiinndcst afrotympeeiothferradtyiopgicraalmsiwlichoicsihs iosr ttoytpalilcyal daiss btweseteonsitsh, eantwd of.romIt aisppimeaproasnscibesleintotesramyewdihaatet tbien unondearultyoipnsgy lufningdilnesgisonarmeayavoarilambaley. noHt abyen, eas dhuowst,evsoer,thsetaratedsiotghraatphmicagpnicetsuiare ims aay dtaruntghefruoluly: erefffelecctet dabymtohdeifiincatrtoiodnucotifontheof aasbperesptoosndfeibraronscit; of a more quickly soluble dust. zRlaindgio, gmraomressoofthaasnbeisntoths ewcoarskeeorfs sailriecovseisr,ywphuezi pitrecsoemnte,s ptaortaicsuselasrsliynginthtehedeegarrelieerofstaasgbeess, toasnnd athlseo birneawstomtisesnu,e.owKinegattiongt,hoef sthhaedSoiwliscocsaisstambyi pArsebgensatonsciys MmaeydicparlodBuocaerda, hmaos tptloiningtesdugoguetstthivaet of asbestosis. cInanthesalyightthaotf parsebseesnttoskinsowcalendngoet , btheerdeifaogrne,osoende wamitihnaatbiosnoluotre rcaedritoalionglyicaolil eexiathmeirnapthioynsicaalloneex: 258 wbeitdhiathgenoasieddowf bitohthc,etrhtaeinptnye,uimf opnreoskeonntioinsissocmane dsuefgfrieceie,nat lttohocuaguhse neoitthnerecseysmsapritloymstooarnaneyxtdeinst apbhlyesmiceanlt.andBurtaditioigsranpohticpaolsseixbalemitnoatsiaoyn ftrhomat alunngass,baenstoasmowuonrtkoefr dhuasst snufofti,cietrnatptpoedcauisne tthhee dtiemvee.lopment of serious fibrosis after a lapse of Tbehsetogsriseaitsesttophoassviebleavaaidilatbolethfeodr iacgonmopsaisrisoofnasawseirtihes thoefir fiwlmhsoleo fh iasstbo erys toasn dwtohrek eprso,s t-tmo goertthe emr Afinsdbiensgtossiifs dbeoadtiheshaarse oncoctufroreudn.d in asbestos dust, bthuatt MthceDyonwaledrecadmeerivteodthferodmefinasitbeesctoonsclufisbiroens mtoosdfiifbiered fboyrmreisnigdetnhcee cinentthrael luconrges.inTthhee aassbbeess tiocaslis bbooddieys whaasvei,dnenottifibeedenbyfoGulnodynien. anTyheotthv,er dhiasveeasbee,ebnutfofuonrmd sinsuapecorfailcimalilnyerre. sembling them Srainteceupthteoyfomuartyeebne yfeoaurnsdafitnerththee lluansgt se,xpatosaunrye atonyascbleusetoass dtouswt, htehtehierr ptrheeseenxcpeosduorees hnaost bgeivene recent or long past. Aw nhiychmisaneiapsuillyatpiorno jeocfteads binetsototsh, e parior.d u cDeisffedruesntt, vtearriiaeltliyesinanddusgtirnaedsess. of asbestos also differ ma cEaxnporessuurlet itno tahsebdesetvoeslofpomr elnetssofthaadnegfriveee oyfeaarss bheoswtoesviesr,scuaffsiecsieonft dteofincaitueseasbdeesattohs.is Caroemnmotondliys, ccoovmemreedncoinng ewxoarmk,inaaltthioonugwh iathfienw faivree fyoeuanrds. of cPoanrtciecnutlraartsioonfscaosfesdusesetmthteo smhionwimtuhmat wpeitrhiohdigohf time which must elapse between the commence- ) 259 rmiocunst odfegerxepeosuorfe aasnbdesttohseisproisduacptipornoxoimf aatesley speinvegn pyeeraiords--owf htihceh finibcrloudsies-pnrootdouncilnygthdeosteraopf droussits,, bwuhticahlsopetrhieodms,aotufracotiuornsep, eorvioedrlaopf. the fib Tvehleopammeonutntofofadsibseasbtloesmisenist psruordpurciseidngblyy thseligdhet fthoer achnauramcbteerr ooff tyheeardsi.seaTseh,isanids ppaarrttllyy dduuee ttoo othfeprnoacteusrseesofinthtehewionrdku,swtryhicinh, winhicthhe thmearjeorisitya ricisakl eoxferatsiboens.toTsihs,osdeueasffencottedinmvoalyv,eanmducohftepnhdyos, claotnetrianlulye, adt uwe ortok wexitahceorcbcaatsiioonnsal oifntebrrmoniscshiiotinss, ucrnetailsinthge cinocnodnitvieonnieinsceadvfarnocmed, sahlothrtonuegssh ionf breath on exertion is experienced. bUesfuoarellydetahtehs,ebucat sseosmceetaimseeswaortkeram iyneaalr borronmchoroe wpnheiulemtohneiya,aroer osttihllear tacwuotreki,nafnedctitohne,recoims nmoenlocnegs period of invalidism. bIte iasffreecmteadrkaanbdleyetto lwifehaint eaxftaeinrtdtehgereleunogfscocman fthoartt rtehmeaaind.ditTiohne orefsearnvye bisu,rhdoewn etvoert,hseo ssylesntedmer, winouthlde ofnolrymsloigfhatlydiisntcuornbvaenncieenocfe ahenaolrthmawl hpiecrh sporenc, impiatyatoevethrceomfaetatlheouretcmomaien.ingItresisistaapnpcaereanntd, tphieraretoforyrei,ntfheacttiownhiislemtohset oonmseintooufs,atnheacduetveelroeps mthcronwt osfaannyadddiesdeassetrawinhicohn dthireechtelyartororinlduinregcstliys of serious import. Gluenngesraollfy aosbnesptoosst-mwoorrkteemrs eoxnaemifninadtsionthaotf tthhee gcaroseuspss:ho(w1)inTghaocsteivwe itthubeevricduelnocseis offalrlapinidtotuthbreere cidosis and very slight or no signs of asbestosis; ) 260 e(2as)esth; o(s3e) twhiotshe mwuitchhadfivbaronsciesd dausebetsotobsiosthanddisa slight amount of active tuberculosis. 246. MTilhleer, PJh.yWsio. laongdicaSlayReerssp, oRn.seR.of the Peritoneal Tissue to Dusts Introduced as Foreign Bodies. U. S. Pub. Health Rpts. 49: 80-88, Jan. 19, 1934. Ttohedupshtsysoiof lvoagriicoaul sreksipnodns sheaosfbteheen baodsuybtjiescstueosf mopuicnhionintthearetsttheininthjuerypadsute fteowduysetariss, cahnedmitchael graatihneerd gthraenatepr hgyrsoicuanld.in Macatviorongohrdasator,ecGenatrldy nmeer,ntsGoyne tahnedacotitohnerosf ihnahvaeledcodnudsutsc.teKd etetlxepehrais sstuubdciuetdantehoeursestpisosnusees toanddusitnstriantjreacctheedalilnyt,o atnhde tPivoalicianrdhishraescenutsesdtudtihees. coInrne19a24a,nedxpecroinmjuenncts wUenrietedbeSgtuantesaBt utrheeauPoitftsMbiunregshtosdtaettieornmionfe tthhee aincttoiontheanpderfiatoteneoafl vcaarvioituys odfugstusinweahepnigisn.jecTtehde caonnimclaulsitoisnssuereainchaeldl patartthsaot ftitmhee bwoedrye tthenadt slivtoe breoadcitesinanesdsetnhtaitallfyibrtohuessatimsseuemiasnnfoerrmteodfoinreitghne pbeyriltiomneesatloncaeviatnyd bcyoaqlu. arTtzhiasndpaipsenr ortepfoorrmtseda cstoundtiiensu.ation and elaboration of these earlier 1p.enAsiodnefiwniates qiunajencttietyd (i0n.2trga)peoriftodnuesatllyin sinutso guinea pigs. --2. oDneusotfs oscfrtewenoedparmtiactleer-isaizl ewgirtohuppsarwticelrees ulseesds tahira-nse4p3armateicdronmsat(e3r2i5al mweisthh), paanrdtictlhees ovtahreyrinogf from less than 2 to 8 microns in size. 3te. riTalhewearneimexaalsmiinnejedct7e,d14w, i3t0h, 5t6h,e acnodar1s1e2r dmayas 261 ascftpearrailncjdectmioant,eraimali wtheoreseetxraematiendedwaitfhtetrhe7, a1ir4-, 30, 56, and 90 days. 4to. neTahl ecarevsitpyonwsaesccaounsesdtanhyt itnhealdl uosft tihne tahneimpearlis icnlajesscitfeidedwaisthaann aibnsdoirvpitdiuoanl, dausptroalnifderacotiuvled, hoer i5n. erItnrethaectiaobns.orption reaction the injected dust dthiseappproedaurecdtiofnromof sthcaer pteisrsituoen.eal cavity without 6d.uceInd thhye tphreoldifuesrtatcivoentrienaucetdiontothinecrneoadsueleisn psri/o.e udpuratotio1n12ofdtahyes teasfttserininthjeicstisocnri,est.he maximum 7d.ustInrethmeaiinneedrt arpeapcrtoixoinmtahteelaymtohuentsaomfeinijnecttehde prieordisto, nbeuatl tchaevitnyo, dtuhlreosugbehcoaumt ethmeorvearfiolauttsenpeed arantdhefrineextpeanrstiivcleesaroefasduinst thweereperciatorrnieedumovbeyr phagocytes. 8b.onCatael,cigtey,plsiummes, toanned, cpermeceipntitaetxehdibciatlecdiuman caabr sorption reaction. 9a.tivQe ureaartczt,iocnh. ert and flint produced a prolifer a10n.thrSaocaiptestocnoea,l, cbairtbuomruinnoduusmc, ojaelw, ealnedr'sprreocuigpei, Ttahtoertiassshuewoefrethienepretriitnonreeaaclticoanv.ity responds ac tainvdelythitso raesdpuosntseinitsroodfuscuecdh aas cahafroarcetiegrn thbaotdyi,t imnadyusbtreiaulsedduastss a fbroamsis aforphthyesicollaosgsiicfiaclatsiotanndof cpoominpt.osiItniotnhisorretphoorste, dduesftisniotefluynikfnoormwnchteompicraol dfourcethoisr gnrootuptothperordeuaccetiosnilioccocsiusrrwinegreinustheed,paenrid tdounset.al cIat vsietyemwsaspruonbiafobrlem, ianndviceownsotfantht efonraetaucrhe of the reactions, that dusts of mixed chemical 288 abnrodk6enpewr careen.t fiTnheley fgrreoeunsidliccalaycofnrotemntpiatpcphreorxoir mThaetecsa2s0ti-n25g proeor mcencto.nstitutes the essential dust hdauzsat ridn,tobehciasuoswe neamchoucldass,tedrrymsuasnt dsphaapkeer sthileicma aisndcobnrsutsahntolyff itnhheadliunsgt fsriolimca hdius sotw, annmd owueldasr.s Hnoe mcaassiokn. allyNothefofrlocoedr isvsepnrtiinlaktlieodn wsiythstewmat.er. Oc w10e6reemexpalomyieneesd, epxhcylussiicvaellyo.f thIne o5f8ficeem-wploorykeeerss,, wladitehnaaniravoef r7a]g/2e ydeuarrast,ioxn-raoyfseoxfpothsuerechteostsiwliecrae statakgeen;orofadthveasnece5d, ofirbr8o.6sisp,etrheceanvtersahgoewdeudrathtiiordn ohfadexspecoosunrde-sbtaegineglib1r6osyiesa. rsT. h2e2,reomr a3i8nipnegr 3c1e,notr, 5th3e.4lpaettrecrewnte,rsehocownefdinoednlyprsilnicgihptalfliybrotosisth; efivheiloaf. This report shows that m1:ocIonnhiaolsaitsi,onaofpsroilgicrae-slsaidveen, aiinrcurersaublltes inocpcnuepua t2i:onaInl d5i8secaasseesofretphoertleudngfsr.om the pottery indus strilyicoinsiswdheicvhelothpes scloonwcleyn--trsaytimonptoomf sduasrte ilsatleonwt,, asnigdnaspopfesairlimcoasnisyayreeadrsemafotnesrtrpahbylsei.cal and x-ray 3d:isaIbniliatydvfaonrcwedorski,liacnodsisa, htoigtahl saunsdceppteirbmilaitnyentot pnnizeeudmboyniIandaunsdtriatul bAecrccuidloesnits Caorme mbiesisniogn.recog 4co: ncPernetvreantitoionnofofsiilnichaa-llaatdieonn aainr dshroeudludctrieocneivine mstaotree laetgteisnltaitounresfroamnd tthhee imnedduisctarliepsrocfoenscsieornn.ed, 287. QuTarraecllhi,iGtis. aFnrdomVeAlicsobgenstao,s.A. Med. d. iavoro, 25: 218-223, June 30, 1934. This case of trachitis particularly interested Dr. 289 Qlisuhaerde.lliTahse tpheatioennltyfoornea loofngitstimkiendhaedvearttapcukbs opfhycsoincviaunlssivperecvoiuoguhsliyngs,eevna,rionuosnley odfiawgnhoosmedhabdy seivnegrleaswkoemd aanbo4u2t yheearrsococldu,pawthioon.woSrkheed winasana avsabreiesttoysoffatchtoatrymainseraal.spiHnneerr oonfly tphreevgiroeuesniislhl neneszsa winasthae b1r9o1n8cheop-ipdnemeuimc;olnaitaerfoslhleowhiandg ainffeluw lsihgehthaatdtacsuklsTeorfcdanfgrionma. thTishevipoalsetntthcroeeugyheinagrs, wthhroicaht.haLd abteegr utnheorcioguingahlliynginwaasticakcclionmg poafnitehde bbyuranifnegelinsgenosfatrieotnros,stelirknealtohpopseresasfitoenr. aShseevhearde cBhriella,thfionlglowwaesd dibffyicutlrtaacthitoim-bersonacnhdiaplrec-caotardrrihal. psyaminptowmass htahdenlasnteodticthearebeley. earTs,hnesoew laensnseonyiinngg, nvoewrsirtyevoivf iTnugriinn fCulllinfiocrcJea.n. S1h0e, e1n93te4r,eadndthsetaUynedi ptiollsiJtaionn. , 2a9n,dalnlotthteallkimineg ,intobkeedepind oa whna lfth-seittthinegn asilsmteodst sihnecehsasdannt ocofnevvuelrs;ivheowcoeuvgerh,indgid. hSahvee iint. Sashtehmwaa,sbaudt mafitteterdthoenfiarstdfieawgndoasiyss oauf sbcruolntacthioianl sfahcotworeyd snhoe bhraodncwhoiarlkeadsthanm 8a-hwohuartedvaeyr.beIfnorethea mraatcohrisnewwerheichin spuusen athned asshbeestaons.d Nheor rceospmi cpoaungiohns," wsoorksheerswworekreed "wtoitrhmheenrtemd oubtyh afinrmgrlyy cthloeseadiraagnadinsptentheeratfiinneg atshbeesbtroosncphair.ticlVeseryfillninug mgievreonushaenrdatadtmheiracblilnyicd,ettahielerdeseuxlatms,inlaartigoenlsy wneorre wmaasl, aarsehocratrewfuolmlyanrecwoirtdhedroisny tchoismpplaepxeiro.n Sanhde swheell cnomouprliasihneedd. ofDuthrionrgacihcerpasitnayonat ritghhet.ClTinhiec 290 rceoliuegf.hing was continuous, morphine alone giving Ts hhoew eodb jae cstliivgeh t a nh de a rrta de niolalorggiecma le net xtaomwianradt i ot hnes driugehtt,o selmigphht ymseombail,itayccaetnttehde Hpiulalrmyosnhaardyowbasseins wthiethpbuillmatoernaalrysigonustlfirnoems, tainnyd littrtilbeustpaercyklveessusenlis ftioornmltyhidcikffeunsinedg thtorwouagrdhouthtebohtihla,lunogbss,ertvhaeblreeacin pneumoconioses. oInf tthheemspnueteadwlee-srehabpreodw, naillsho-fbvlaacrkyipnagrtsiiczleess,, psorombe ably derived from the asbestos-filled air. Twhiteh cpauselmpornesaerynteedmpthheysseigmnas, oafndachuteearttraicnhsuitfifsi, actieanlcl yofontubtheercurilgohsits soidres.ypThihliesr.e Fwreorme ninohsailginngs aussbueasltofsordmustofthaesbpeasttioesnist, hhaednceevidtheentldyiaagnnousins, Trachitis asbestos. S19in2c9eptnheeumInotceornniaotsieosnahlavCeornegcreeivssedatespLeycoianls aitn itnenittiiaotniveinoIftathlye, CproormpoortaetdionbyMthineisitnrtyeraensdt atnhde tMiciunliasrtleyr sotuf dLieadb.orT. wAo sibnetsetroessitsinhgaspabpeeerns hpaavre Tbeuernin laantedlyMpursespaaorefdCiuripeo, ndoicttobrys oLfuiinsdeuttsotrioafl mcoendtirciibnuetiionnsP. iedImn on1t9,08witShcaorrpigainoafl rTaudrioinlogwicaasl sdteaetpisltyicsimtphreensseexdisbtiyngthaendverreylatsienrgiouits toasbtuebsteors cvualnocseiss. haIvne tbheeen20myaedaerisnstihnecehySgciaernpiac, cgornedaittioands omfaninndeurstoryf , litfhee ohneatlhthefuplarhtomofesthaendinidmupsrtroivaelsd, hoeflpmeodneoyn. during and since the W ar by grants IIntivveasrati,gaatiolnitstlererceegniotlny icnomPpieledtmedonti,n byForDnro. Quarclli and his colleague Unrdi Troiii, will be ) 291 plerreesnecnet.ed CatatrhrieednexotutInbteyrnnautmioenraoluCs enveisvitas Caomt wbeiethn mraaddieoloongicaanl encotinretrogle, neorbasteiorvnatoiof nws orhkaevr irnegmioentafloor bajehctusn, dwrehdichyehaarsv.e bTeheen mpraoddeucints tahri rsemloinoetdhinbgy osfharropuegnhinegdgoens, gproilnisdhsitnognewsi,thbyt|utahn wtitiitehs colfouedms eoryf , sitlhicease dpursot.cesTsehsrofuilglihnghythgeienaii mcoesaissumreosrtpaulittythirnouthgeh fionrtmhiesr gtuebneerrcautiloonusthsetastiilsi dtiactsaotfo7e0xpaecrtlyce0ntp, ehrascebnet.en reduced in curren Tpohsesibvleerytofisnpeinnesthsemof masubcehstoass gfliabsressismsapkuens ai eMnuterranthoe wskhienreof tthhee gnlaeessdlwe-olirkkeerss.picAuslebsestoofsteii; avamryiinnegralinfocuonlodr inaccnoartudrinegintofintehesirilkcyhefmibirceas gcoramybisihn,ataionnd; eovfetenn gwreheinte oarsbaezsutores. maImy paolsrotamlu sthtreatAa lposc,cuthr einPEyurernoepees: ianndCoerlssiecwa,hienreH. unItgaisry; cmaategsneosfiucmalcsiiulmicataendusaulaulmlyincuomnt,aiwniitnhg tarlascoessil<i>l odxoimdein aotfe siroinn.te rnTahtieo nCaal nabduisainnesassbiesstao scrwyshtiaclh lpirnoetohxyiddreatoefdirsoilni.catTehoef Imtaalgiannesaiusbme,stcoosnotafinVinalg tfcolrlminead, tohfelobnesgt ffiobrressp,iinsnainsgiliicnatotetohfremadagbneecsaiuusme atincdallcyalcaiunmon(-CcoanOd.uSciOto.r -off MhegaOt.SainOd)e.leAcstripcriatcy, iitts mspuelctiipallevaalduaepitsatiitos nnsonin-coinmdbuussttriybildituyr,inggivitnhge lkansetw30iyt,eawrseaevsipnegciaitllyin. toHtuetxtthileesa.nciIenntmCordeeekrns cfahcintoersi,esseapsabreastteods bisycaosmpmiraintourtsed(ubsyuaplolyweinr-mada jcoeirntaining rbouoimldsinfgosr) sipnitnonilnognganfidbrewseadveipnogs,itwedhiline ) ) 292 bthoearsdh.ort threads are made into paper and card wOourrkpaantidenmt oimvipnrgovfeadr abwutayonflryomon tghievirneggiuopn,haesr wtoe atidmviesedl.estShaesbweasstotso bpeaortbicsleersvedpefrnoemtrattiimnge deveeitpalbylyinctaoustehleunpgulamsboensatorysisa.lveTohlei,seshaoreualds airne cboeluogwhintghewhdicehfesnocoeneprroorvildaetedr ebxypeltlheed thveiopleanrt tWicleesa. lso advise all asbestos workers to be pro tfeocrmted, beyspmecaisakllsy, anpdretvoenwteinagr antheenirvehloepaidnsg uannid cdlaontgheinrogufsropmartcicalrersy.ing back to their homes any Z88. QuAincttaionna OofteIrnoh, aFl.edanDd uGsatrocina tMhearMtinoerzp,hSo.logy of the Blood. Arch, cardiol. y hcmat. 15: 98-108, March 1934. Ifnoupnedruansiyngwothrke hliatverinagturreefethreencaeutthoohrsemhaavtoelongoyt in pneumoconiosis. Tinhtehyeisllpuustturamteomf aoncoecmyetenst awnodrkheisrt.iocInytethsefopuenrid pohr erraitchebripoofdetlhemereenitss daneriivnecdrefarsoemofthme ornetoiccyutleos emnodsotthehleimalatsoylsotegmis.ts cUonndseidrernotrhmesael acsondmitoionnos cytes. Tthheesree caerlels cienrttahien cdiirfcfuerlaetnitniagl bclhoaordacitnerpisnteicusmoof cMoonniooscisy.tesT, hcheareracatreerizthedreebydnisutcinlecatr tcyhpreosm: a(tiin) awned coacllcahsiisotnioacllyytews,itphrnesuecnletoinlig. a(2s)truCcetlulsrewhsiimch iclharrotmoatthice rmctocn. ocTyhtees nbuuctlewarithforamms ovraerym. arTkehde rinadtihcael pdroiftfoeprelanscme . froTmhestheetympoesnoocfytceesllsreoscidceusr more especially in advanced cases of pneumo- ) 293 creocntionsaism. e (s3in)ceE,nmdootrheelciaolrrceecltllsy,, athreastehecrelilnscaorr Ahilsltiothcryetees tyinpetshearfeinaolfstraegtiecuolfardeocroimgipno. sitTioinn aouf tthhoersblfoooudndinth5e6mwionrksteurds yiinngcetmheenmt oarnpdhooltohge; dusty occupations. 289. RaSoi,liSco. sSis. in India. Brit. M. J. 1: 1094, June 16, 1934. TChoemmMiyttseoeretoflionvvcersntiignactnet trheecepnrtelvyalaepnpcoeinotfesdili. cCoosmismamittoenegcothmepKrisoelsarthCeolCdhFieifeldMemdiincearlsO. iTTicicni oOfffticheer, ManydsoarephGyosviceirannmoefntth, ethKe rilsohcnalaraMjccnddicraa Htioonsprietpalo,rtMedyssoilriec.osiTs hase epxriesltiimnginaamryoningvtehsetiguna dLe. rgGr.ouInrwd iwn,orCkehrasi;rmthaisn retphoertMsuibnmerist'tePdhttohiDsur MtheedpicaathloBlougreicaaul SaonudthraAdiforgicraa,pwhiacs ecvoindfeinrmceedsuopn cpildieedn.ce TmhuechCsommamllietrteien tfhoeunKd otlhaer GdoisldeasFeielidns asynmd pthtoemdsistehaasen iisn loSnoguethr iAn fsrihcoaw. inTghseigpnesrcaenndt ocof mfrpeaeresdilicwaitchonthtaeinmeducihn lKaroglearr proecrkceisnt5, -4230-,9a8s, So.btSauinbibnag RinaSoocuothnvAeyfrsictah.esTe hfeigSuerensiotroSucorgrreeocnt a( Asptraitlem14e)ntthaptresviiloicuossliys wmaasde"inincxpthliecaJholvurnuanl kqnuoawrtzn oinccthure iKn othlaer raorecak,."although quantities of 290. RaPpnaeduomPoocozansio, sAis. and tuberculosis. Progrcsos dc la Clin , 42: 31-38, Jan. 1934. Tcohsiiss aanudthcoormpdliisctaintegduissihliecsosislicitnwcwohnichsimitpilse cosimli pSloicuathtedAfwriitcha)t.ubTerhceulolastitser('iisnfdeicvtiidoeuds isniltioco2sissuobf- 312 307. SapLpaibnogrtaotnor,yC.MOe.thods for the Determination of Atmospheric Pollution Causing Pneumoconiosis. Illinois M. J. 66: 417-421, Nov. 1934. Ttohrey amueththoordgsivuesseda ibnritehfeddesecterirpmtiionnatoiofnthoef laatbmooras pspheecriifcicptoylpluetioofn pcnaeuusminogcsoinliicoossisis.,Tthoesmecousrtefrtheqeureenatl avnayluegiviennaisnsdeusssitnrigaltehnevirreolnamtiveent,hethaeltshe lhaabzoarradtoriyn mfoermthaotdiosnmguasitnebde tuhsreoduginh caopnhnyecsitcioanl awnidthhythgeieninic soucrcvuepyatioofnatlheanwaloyrskeisngofceomndpiltoioynees,s ttohguestheexrpowseitdh. Wmehnetnal acdoenqduiatitoensinhfoarsmbaeteionngacionnecderbnyinguseenovfirothne abbeovmea-mdeenwtioitnhedthperoccreitdeurrieas,wchoimchpahriasvoensbmeeany tshuegn gfoesrteadn beystoimffiactiiaolngroofupthse, thhaezreabrdyspirnovvoidlvinedg ainbaasniys given problem. oTrhaetoreryaarendamsuprlveeyremaseotnhsodfsorcabneloinelvyinbge tphraotpelarlby uciseendt asnpdeciinaltetrrparientiendg bayndthoesxepewriheoncheavtoe pheardmsiut fofif rdeuarlesexwpielrltnbeesus.sedSimmoirlearwsitduedlyy arengdarsduirnvgeyvparrioocues oescsceunptaiatilohnaazl adrdis,etahsee perxepvoesnutiroens oinf deivseaaluseatainngd tthhee rating of the efficiency of control devices. Tanodthloegsealwahsopehcatvseohfadsileicxopseirsi,enthceerwe ihthasthbeemenedciocanl stiiodnersahbiples dwififtihcurletyfeirnenecsetatbolisthheingkinedtioalongdicatylpreeloaf dreufsetreenxcpeostuoreo; tthheisr soacmceupsaittiuoantaiolndhisaesasoebst,aicnheidefliyn qbeucaateulsye thsteudpyhyseicnivainrohnamsehnatadl nocoinndcietniotinvse tion adthee vciaarliiozeuds tinradiunsitnrgialwphliacnhtsi,s nnoercehsassaryhetohamdatkhee ssupceh studies. ) 313 308. SapPpneinugmtoonco,nCio.sOis.. I1n9t3e4r.nal. J. Med. & Surg. 47: 399-403; 424, Oct. Tcohseirse: a(r1e) twpeorsloanrgse ogcrcouuppiesdcoinncetarnkeindg wpitrhodusciltis ifnrogmorthreefienainrtgh--aansdin(2s)antdh-obsleasetinngga,ggedrinidninpgro, cheussf ifninge,xccelesasnoinfgoanned-hpaolflismhiilnligo.n Tpehresroensarecxpporosbedabliyn American industry to this hazard. Tcohnecevrniteadl ifnacthtoersproodfucthtieoninodfussitlriicaolsiesnavricro4n:m(e1n)t Tsihzee cdoisntcreibnutrtaiotino;n (o3f)thme idnucrsatl;o(g2ic)althceopmaprtoisciutiloante; and (4) period of occupational exposure. Cfaocltlecthteadt ctlhineicmalaejoxrpietyrieonfcesipliocionttiscstostuhsetaiinnevtiutabbelre culous infection. , TDhyespunseea aopfpesearrisaltoRboeetnhtegemnoosgtrcaommsmoofn sthyempcthoemst. dpiraogbnaobslytic cpornoscteitduutrees. the most important single Trehceernet ifsignuoressphecaivfeicsthroewatnmtehnatt faofrtesrilriceomsiosv.al Sforomme eoxfptohseudreis,e2a0sepsetrilcl epnrtoogfressilsiecdo;tiicns tihnethseecofinrdst ssttaaggee, 4T0hepersuccecnets,safunld aplrleovfenthtioosne ionf thseilitchoisrids sptaagreta.kes buoreths. ofTmheerdeicaalreantwd oenggeinneerearlinmgesthuopdersviinsiounsem, tehaast oanf dp,esresoconnadl ,pdroutsetctcioonntroofl. the individual employed cRoengsaerndsiunsgththaet iltegisalfucotimlepteonsseattiounp alesgpiesclatsti,oint iws itthhe ocount jtuhnectuisoenowf istphectihael mlaewdsi.cal hoards to be used in 309. SapPproinblgetmons, iCn .IOnd.ustrial Medicine. Imhist. Med. 3: 329-338, June 1934. A perspective is given to industrial medicine, com- y> 314 mbyonthlyisthaouuthgohrt'sofreams iandneerwthfoartmit obfemgaendiicnalPwaodruka, ifner1e7n0t0owccituhpaPtrioonf.s Raanmd azthzeiniri'saaccccoomupnatnoyfin4g3 ddiisf etiaosne.s--Taranchslaaptteedr binetiongErnegqluiisrhedinfor17e0a5chanodccuinptao Fboreonkcfhorin101071y1e,arths.is Ibnoorkecreenmt ayienaerds tIhnetesronlaetitoenxatl tChoeng6rtehsswesasemheplhdasiinzeGtehneevsaubijnect1'9s31im. poCrutarnrecnet; p1r2obhleeamdss aanred ttarkeaetnedupinbyturDnr:. (S1a)ppdiinsgetaosnes ufnrdoemr dmuesdticainned; ((24)) fprroomtecctihveempicraolcehdauzraersd;s( 5)(3e)valelugaal tpieornioodifc heeaxlathmihnaaztiaornd;s; ((76)) tphree-esmmpallolyminednut satrnyd; g(8an)izhaetiaoltnh oinf foinrdmuasttiroianl fpohryesimcipalnoys;ee(sI;I )(10u)ndoerr g(1ra2d)ucaotest aonfdseprvoiscte-g. raTdhueate"twmoeddiceafilniitnesdtruuscttidoins; esialsiceossidseaarnlyd raescboegsntoizsiesd, aat bthrieefprterseeantmt etinmt e"beainrcg gdiuvsetnriaoln etxheecpurtiovbelemis shporpeesfeunlltyedmbeynetiaocnhe.d Tahse oinne orefstphoensmibaijloitrypfroorblheims sreinlucintadnucsetsriapllamceeddiocinnet,hewiitnh dustrial physician. , 310. SapUpsiengotfonS,ciCen. tOifi.c Methods in Prevention, Control and Defense of Silicosis Cases. Indust. Med. 3: 168-170, March 1934. Tcohseis aouutthlooorkedmupehtaosiazpepsliicmatpiroonveomf eimntpsroinvetdhescsieilni tific methods. Ianndduastreapnoarltysmisadthee oinmpitisngvearluweasasdeavnisiendstirnum19e2n2t dfourstccoolllelecctitninggdiunsstt.ruImn e1n9t2s5suthche areslathtievesumgaerrittsuboef, twheerekocnoimompaertecdr, wanitdh tthhee iOmwpeinngse'rjeatnddutshtecroeusnutletsr pstuubdliieshsehda. veImbepeonrtpaunbtlisdhuesdt. survey counts and ) )> 315 iInnfsopremctaiotinonalroengearodfinagptlhaentqwuailnltintoyt agnidvequscaileintytifoicf douf sttheanpdlacnhtemshiocaulldexfpirossturbees.mAadeh,yginiecnluicdinsugrvtehye ktoinxdics eomf amnaacthioinness; othrepreoqcueispsmesenptroudsuecdintgo dcuosnttroorl tmheasne ecxopnodsietido.ns Pahnydsitchael taynpde ocfhewmoirckalddoneeterbmyinthae mtioanystnhsentobqeumanatditey. anTdhequhaaliztayrdofmfuaymebse adnedfindiutesltys mdeutmermaimneoduntthorofumghatecroiamlspatroisownhicwhithan theme pmloiyneie mamayounbte toexwpohiscehd gwooidthoinudtusbtarriaml porarctaict e lceaanst kethepe them. wEmorpklionygercsonhdaivtieonisncaernetivinestetromsknoofwscwiehnatitficthereir stiuolntsa.l dTisheaesetse,ndtheenceystatoblicsohmmpenent soaftespfeocrifioccccoudpeas einasseos,maendstawteidseirnknaonwaltetdegmepotfttohepreefvfeecntts soufcihndduiss tarrioaul seendvirtohnemienntteroenstheoaflthemanpdloeyfefircsientocy,fhinadveoaultl wusheedthienr tphoetiernptilaalnlyts haanzdarwdohuesthperrotcheesswesoarkreinbgeienng vplioroyneems.ent is affecting the health of their em Clisehretadinbystsatnuddiaersd'sunodferdtuaskteinnesbsy hthaeveUb. eSen. Peustbalbic sHameapltlhingSearvnidce.dusTt hearnealyissisa stpeocnhsnoiqreude obfy dtuhsist Spaerrivsiocne,s cwonitshtittuhteinrgesaulntsatoiofnvalarsitoaunsdainrdvefsotirgactoomrs and for use in standardizing plants. Tcohnetraauctthioonr opfoisnitlsicoousits fforuomr fadcutsotrsinbheaalartiinogn.on (t1h)e acmonocuennttraotfiodnu,stthaint itsh;e(2b)retahtehipnegrceantmtaogsepohferqeu,atrhtze cpoonsittaiionnedofinththeedauesrti,althdautsti,st;he(3m) intheeralsoizgeicoalf cdoumst pnoatrtipcleense,trsaitnecethpearatiicrlessacbseyoofndthea lcuenrgtasi;n (s4iz)e thdeo 1 ) 342 plirbirmosairsy ocfauthsee loufngssilibcyosiisn,ortghaenicprodduustcst,ioonthoefr tFhaacntofrryeeIsnislipceac, tiosrn'sowRewpeolrltrereccoogrndiezdedr.esTuhltes 1o9f33a cphreallikmains apryrodinuqcuinirgy luinntgo ftihberoseifsf.ectFsreonfchF-rcehnaclhk-, aa hgyradnrautleadr fmoarmgneosfiutamlcsoilricsatteea, teitxeteinsseivsesleyntiuaslelyd irneadmilaynyHyiinndgu. strTiehse, liistevraetruyreligonht,itswpitohsspiboiwlitdieesr aansdcianudsiicnagtesluantgprfeibsreonstisnoisthirnegmlaikrkeatbhley fisbcraonstiys-, pinrdoudsutcriinalg pcoo.wndcritoiofnass.beTsthoes dfueswt unedxearmoirndaitnioanrys ambaldeemseontfaarftdeor nexopt odsiuscrelosreanagniyngapfprroemcia9bletodi3s2 years. 329. TmheentsS)iliAcomseisndamnedntASsbchesetmosei,s 19(M34e. dical Arrange Ministry of I.abour Gas. 42: 341, Sept. 1934. TfuhrethHeromSecheSmecereutanrdye,r ASuegcutisotn 44, 71, 9W34,ormkmadeen'as CWoomrkpmenesna'tsionCoAmcpt,en1s9a2ti5o,nas(Seilxicteonsdisedanbdy Athse dbeersst,o1si9s3)4,Ancot., 818993,0H. . (MS.taStutattoioryneRryulOesffiacne,dprOicre i1n<1t.onefot,rc\e'/2Seapntedmpboesrt 1f,rc1c9l3.4, Tamhiesndosrdtheratcapmaret omfetnhtes)SiSlicchoesmisean1d93A1,sbwehstiochsisre(lMateedsictoal tAherriannitgiael acnedrtapinerioinddicusmtreiedsicaalndexapmroicneastsieosn ionfvwolovrinkgersexin cplousduerde intothsielicfiarsot rscahsebdeuslteostodtuhset, Swchheicmhe.arc in 330. SilMicoedsi.sJanAduCstararcliina.omITa: o16f8t-h1e69L,uAnugg. . 4, 1934. Dtorr.iaMn aBxrwanecllh porfestheentBedritaishcaMseedbiceaflorAesstohceiaVtioicn a5t9 Myeealrbsouorlnde, , wMhoayha1d6, b1e9e3n4,aofmainegodldri-lmleirne1r0, years. Six years before presentation he bad be- ) 343 glbusn. into thloesesisxtryeenagrtsh. aTndhewleaisgt h4t gyreaadrsuahlley,ha5d0 dteesvtesloanpeddthsyemXp-troamy se,xwamhicinhaatifotenrwvaarriroaunsteddetdaiialegd cnhoosisscoopfythreirvde-aslteadgea spilriocobsaibs.le Bluinogpsycaarcfitneor mbaroans criaguhste uopfpaerdelonbsee oafretahesiltuunagte. d at the base of the 331. SilFicoousinsdaryndTrSaadnedJB. 5la1s:ti9n1g-.92, Aug. 9, 1934. eEvxitdreenmceelaymimonpgorstaanndt ibnlfaosrtmerastiiosnheorne thabesstirlaiccotesids forfoFmactthoeriAesnnanudal WRoeprkosrht oopfs tfhoer C19h3ie3f. INnospoetchteorr sfiigliucroessisf-oprrothdeucaivngeraigneduwsotrrykinsgholiwfes-tismucehofgfraatvael einagsest,raodrea, neyxcfeigputreths ecommapnaurafba cletutroe rths eosfanscdo-bulrainstg pmoawrkdeprsre, vwehnetirveeinmceidaesunrtaelslye,xittenissiovnellyy faapiprliteodrein rthisek pinastthaftewindyuesatrrsy.haQvueomtinagteAriamlleyricreadnuacuetdhothrie tthaetivaetmoobsspehrvaretioinns a(Bslaonodm-bfliaesldtinagndchGamrebeenrbumragy) Tcohnetagineneurpaltoair3,o10f 4a mwiollrikonrocoum. fitn. wofhipcahrtsicalneds. b11la8smtinilgliocnhapmarbteicrlseasrpeelroccua.tefdt., Tmhaey acbornatsaiivne uspantdo iWs hitihghtlhyesiplirceesosuusreinunpattuore1,0s0omIhes.bepienrg spqu.rien.f,linatl.l chhealmmebtesrsi,necvabitianbeltys, ssuasntda-incolsleercitoinugs aapnpdamraetunsacainndg lweahkoagbea.d dTiehde oafvesrialigceosidsu, riastio1n1.8ofyesaarns,d-abslacsotemrs pcoasreisd iwrriethsp3ec4t.4iveyeoarfs tfhoer caallusfaattiavlecaoscecsuopfatisoilni. Tevheen socnoluyrin6g.4 pyoewadrse.r wIonrktehres lEanstgli1s1h.1 Myeidalrasndosr twhietrhe saarned2a7n2dfashcototrimesixbtulraesst.in6g18wiptehrssoannsdsahrcoteonr gstaagtiesdticisn atshitso wfaotarklityin, uthnadteralyreinag. caDuesteasi,lsmaanidn ) 394 cfierlea-ibnriwckorcklearys; a3n0dppeor ttceernyt, wtooor,kefrrso.m Tghlaessse, dpaotra cinlusdieotnasi.l constitute the basis of the author's con 360. SteCwoanrcte,nMtra.tiJo.n Method for the Demonstration of JA.sTbeecstho.sMBeothdoiedss.in13th:e70S-p7u1t,uMma. rch 1934. sIinmp1l9e29cothneceanutrtahtoiorn pumbeltihshoedd faorbrdieefmnoontsetraotfinga absebsetosstosw(oarskbeersstoasnidsl obtohdeiress. inTthhee smpuettuhmod,ofwaitsh mlaobdoirfaictoartiyonsisn,cehaths abteteimn ei,nhacvoinntginguiovuesn uvseeryinsathiiss factory results. eAqbuoaul tqhuaalnftiatyn ooufnucendoilfustepdutuamntifios rdmisisnolivneda iwn idane theosut-rtuobres.o, aTnhdisistaakideesd fbryomheaat f(e3w7*mCi.niuntceusbtaotoarn) aanred gtheenntleadadgeitdataionnd. tThwe omoirxttuhrreeeaolluonwceeds otof wstaatnedr sfuopr earnfaetwanthofulurisdoirs onvoewr npioguhrt.ed Tohffe abnudlkthoef trhee mspaeiendinfgor12tentom1i5nuctecs.. ceTnhtreifuagmeodunatt omf oddeeproastiet wbuhticihn aconmy ecsasdeotwhen wvharoileesoifn thdeiffseurpeenrtnsaptaencitmfelunisd, mfuagye btuebep.ouTrehde odfefpboysitsaimndpltyheintrvaecretinogf ftlhueidcwenhitcrih preipmeattien aanrde ttrhaonrosfuegrhrelyd mtoixaend ablbyummienainsscdofsliadefioner smliidxeisn.g pTrooocesmsuocrh aftoracney mpruesvtionuost sbteagues,edin ionrdtheer nwohtictho mdiasiyntbeegrparteeseannty. clAums pas roufleasthbeestwohsobleoddiees opvoseirt afnromareahaolff aonneousqnuceareofinscphutoufmammaiycrospscroeapde sAlifdtee,r otrholersosu;gihn adnryyicnagseona tahichkotfiplmlaties daensdirafbinleal. wfixaashtieodn ionvewrataerI,kdmriseedn, atnhde mfiolmuntiesdvienryCgaennatdlya ) ) 395 bthaelsagmre.ateTsht ecawrea,shaisnigninspwiteatoefr mtheusatlbbeumdoinniesawtiiotnh ocifaltlhye isfliidte,isththeicfiklm. is very easily detached, espe treAatfetderwwithasfheirnrgocyaanndiddcroyfinpgo,tatshseiumfilmandmhayydrloie ctiholnorigcivaecnid btoy dtehmeonbostdriaetse. thIte Pisrutshseinan dbrliueed reaancd mceonutrnitfeudgeidn dbeaplsoasmit masaybebfeorceo. veAreldterwniatthivaelysmtahlel qpuhiadnet,itwy hoefnath5epbeor dcieenstasrocluctoiolonreodf abmlacmko. niNumo sspuel cgiraelensitsahin-yinelgloiws,rgeoqludiernedo,r bhroowwenvecro,loarsotfhtehenIamtudriaels trheendloerws pthoewmer.sufIfticiisenthtley pcroancstipciecuoofustheevaeunthuonrdetor oexcuamlarin, ecofnilfmirsmwinigthththeep/rei seinncche oofbjaescbtievsetoasnbdodxileOs with the 1/6 inch objective. tubIets,is cneenctreisfsuagrey ttoubcelseaannsed tphiopreotutegshlyaftaelrl tuesset-, osethqeurewntisesptehceimreeniss afrroimsk aofpcoosnittiavme isnpautitounm.of sub in Athsebgesrteoast bmoadjioesriatyreodfeamsboensstotrsabwleorbkyertsh,isprmovetihdoedd tehsepyechiaalvlye adnuyrienxgpeactobrraotniocnh.iticInatthtaecokldearndwoirnketrhse, lparteesrensttaignesprooffuspiuolnm, obnuatryevaesnbeinstothsioss,ebwodhioeshaavrce otwnloy, btheeeyn menagyagbeeddeinmothnestrianbdluestirnysmfoarllanuymeabrerosr. Th ahse ibreepnresinenhcaeledindinictoatethsemleurneglyatnhda tthaastbeist tohsasdurset maraoiunnedd itnhdeirveidluoanlg feibnroeusg, ha fpoerrio"dboodfiesm" otnothsfo, rmat lpeualsmt.onIatrydofeibsronsoits.neTcehsesarfiilnydimngeaonf thraadt iathlleyrearis rsatrnagbeled hcilsutomlopgsicoafllbyowdiietshisnimthielalruntog tahlovseeolid,ehmaosna mteugcrahtimonoreofselriivoiunsg sitgisnsiufiec,ancciteh.eIrt binydiscuaptepsurdaitsiivne bronchopneumonia or tuberculous caseation, and 396 munadyerbleyitnagkeansbaelsstoosaiss. presumptive evidence of an muBcohdcieosarssoemr eawndhamt osrime iilrarregtuolaarsbheasvtoesbbeeondierescobvut ewroedrkefrdomin athsbeelsutnogs.s Tohf ecomalormphinoelorsgiwcahlodhifafdernenecveesr aorfecsoonfgurseiaotn,.however, that there is little or no risk 361. SteSwilaicrat,inMR. eJl.ation to Pulmonary Disease. Edinburgh M. J. 41: 226-232, March 1934. Tmhoenoacuotnhioorsissteantecsoutnhtaetrethdein4Ecnhgielafnfdoramres soilficpon-caun---thraalclodsuise, tsoilitchoesisa,ctaiosbnesotfossiisl,icaanidn ssiolimcoe-sfiodrcmrosoisr oisthseurg. geIsntesdilitchoa-tanththeraccaorbsiosnananddsihliaceom-saidtieterosdiussti,t rfeescpt eocntivtehlye, cehxemeritcaslomacetiosnortofofthemosidliicfyainogr eofn tnhoedufilbarroatisc ipnroocrdesins,arwyhsicilhicolastitse.r iAssdbiefsfutosseisanisddneoft ointihteelrythdrueee ttohethreecfeibnrtouwsorskilicoafteW, a. sRbe. sJtoosn;esinsuthge gtheestscatuhsaattiavneotahgeerntf,ibrraotuhsesriltihcaatne,usnecroicmitbei,nmedaysiblie clioenveddi.oxide, as has hitherto been universally be 362. SteTwhaertP,uMlm. oJn. aarnydFFiaburoldsits, Jo.fSH. aematite Miners. J. Path. & Bad. 39; 233-253, July 1934. Abernlaunmdbmerinoef fhiealedmhaatvietedmieidnewrsithinathgerosWsleystfibCruomtic tlietseiodnusotfatrheeplruensgesntininwlahrigceh abmotohunsitlsi.ca15ancadsehsaehmavae bheaevne idniveedstwigiathteind tinhethleasptrethsreenet syteuadrys., alTl hoef .wlehsoiomn iosf athheighhalyemcahtaitreacdteursitstipcreosneen,t,mwaihniclyh ocnauascecsouthnet dcoenlosuerl.y fTibhreosfeidbraorseisasistodiaffsussuemreatahebrritghhatnbnriocdku-lraerd, often massive, and always most intense in the upper ) \ 397 htuablefrocfuleoascihs lisuntgh.e rAulne,absseoincgiatperdesoerntsuinper1i1mopfostehde l1o5giccaaslesp.ictAureveirsy pcrhoadruaccetedr,isatnicd ctlhineicdailagannodsirsadciaon ousrumalolyrebbeemfoardeethweitfhatraelasisosnuaeb.le certainty a year pTehrecesnilticoaf tchoendternyt woefigthhteinlu1n4gcsasaevse. raTgehdis m1.a6y6 8beccaosemspoafredordwiintharyfigsuilriecsosoisf a1n.7d2 1f.o7r8 aingraouseprioesf oWf e7asraendo-fbtlhaseteorpsineixoanmitnheadt tbhyisthleesisoanmeis maetfhoormd. ohaflsaitliiocnosoisf (ssiliidcear-oc-osniltiacionsiinsg) hraeesumltaitnitge fdruosmt, tgheeneinr J atrtoeudbbley odnryly-dcroimllimngenacnedd swhhoet-nfitrhiengoladn"dhtahmatmseerriaonuds jTuhmepuesre" goafvteheplawceet tdoritlhlehdarsydmimecinhiasnhiecdalthderillr.isk tdoriallicnegrtparinoceexsstehnat sonalllyo,waesdthbelassptienegditnog tuakpeopf lathcee i adtusmtinuecshs sohfotrhteeraitnmteorsvpahlesr,egarseactolympinacreredaswinitgh tthhee period prior to 1913. Iptroixsimnoattepiodsesaibolef atht epfrreesqeunetntcoy goifvetheisvecnonadnitiaopn. Todhseonfutmimbeerdoufrpinegrsothnes puansdtetrwriesnktyfoyrevaarsryminugstpreurin iinntothesommienet-hfoieulsdatnhdast aancderittaiins dperoaprorftrioomn oefnqthueirmy ahreeresurefcfeorridnegdfhroavme tdhieisddwisiethasine.thTe hpeas1t5thfraetealyceaasress, athnids ictaiusseundliukreilnygththaat tthpiesriiondc.ludes all deaths from 363. StrIantdtuosnt,riRal. CD.usts and Their Control. Safety Eng. 68: 38, July 1934. cInontshiedearuattihoonrs'sfoorpiannioenngoinneeeorfisth, eHmouossitngim. pWorhtearnet bperacsteicpaabralet,eldyushtyoumseadnuafnadctuisrionlagtepdr;oceevsseersy sehfofuolrdt should be made to arrest dust at its source to pro- 'I ) 412 Wareortkhme elne'gsalCobmaspisenosfataiownarodrs oothf ecromlawpesnswahtiiocnh for occupational disease. 379. U.PSu.l--moPnuabrlyic aHsebaelstthosSiservhiecled. compensable under WSuoprrkemmeenC'souCrto, mRpepent.s4at9io: n12A73c-t1,;27N4o, Orthct. 2C6a,r1o9l3in4a. Tduhee tpolapinutlimffohnaadrybraosubgehsttoasnisaccotinotnrafcotreddadmuarginegs h5ismeomntphlsoyoefr,thwehIoS hmadonmthasinhteainheadd wnoorkdeudstifnogr oger nseurcatliounsesyinstoetmhesruacshbeasstowsapslaanptpsr.ovTehdeapnldainin etiafsfe's ncootncteonmtiionng oufndoecrcuthpeatWionoarlkmdiesna'bsliancgt, dtihse sreumit edwya.s TbhroeugChoturatt dcioscmumssoend-ltahwe saesvehriasl odnelfy itnhietipolnasinotfifof chcaudpantoiot nsaulchdiasedaissee,atsaek, ibnugt thhaedvsiuews ttahienecdomanpeancscaitdioenntallawin. juTrhye, ceolemmpeenntsaobfletimunedeinr tehmeplCoyoeuert'asccoipdienniotanllywabsrenatehgelidgibnloex.iouHs afdumthees dbeuraicncgowunotrakblheoausrssufocrh;5sdimayisla, rtlhyeifinhjeurbyrewatohueldd such fumes five months, more or less. 380. U.ASn.nSuuarlgeRoenp-oGretnoefratlh'se OSfufircgee.on General of the P19u3b4l.ic14H3epaplt.h Service of the United States, Aicaslecrioems poofsiintijoenctihoanvse obfedenustms aodfe kinnotrwanpecrhiteomn- eloaglliycailntroespgouninseea. pTighse tionvdeestteirgmatiinoen thhaes pshhyoswion tshinagtletheduresst,pobnuset idsifufneirfeonrtm faonrd ecaocnhstaonf t tfhorreea gtoroaufpfosrdofadmusetasn, sanodf csluasffsiicfiyeinntglythdeimfferferonmtiattehde ssttuanddiepsoihnatveofinbcilouldoegdichalearlethacotifona.nthOrathceitre dcuosatl ) 413 mmoinnearrsy, siinlifceocstiiosnaminonpgneugmraoncitoeniqouseasr,rieerffse,ctpuolf imnharableled fimniasrhbelres,daunsdt aasstuodbyseorvfetdalcinwoVrekremrso. nt HqueeasltthofofthaentGhroavceirtneoarnodf cPoeanl nmsyilnvearns.i--a, Oann rine dvuessttisgaotfiohnarhda-csobaleemn inmiandgeoonf tthhee heeffaeltcht ooff tthhee wtioonrkael resn. virSotnumdieenst,winecrleudminagdedeotefrmthienaoticocnuspoaf Tthweednutyst-sceovnecnenhturnatdiroends pfeorrsdoinfsf,ertehnet eonpteirreatniounms. abnertharat c3itemfiineeldss,lowcearteedgiivnenthemeddiisctarilctesxaomf inthae tmioandeanodf dxis-raabyleedd.mAinesrusp. plementary study was tisTsuhee tophdyussiotsloignitcroaldurecsepdoanssefooref igthne bpoedriietso.n--eaAl sceormiepsoosiftiionnjec(stioomnes dofefdinuistetslyokf nkonwown ntocphreomdiuccael ainntdrapoethrietrosnenaoltlytoinptorodguucineeasilpicigossisto) wdeatsermmaindee tthhee sntautduyre woafs thcoemrpesleptoendsed.uriTnhge thfiersyt epaarrtanodf ` aupapryea1r9e,d1i9n34t.he Public Health Reports for JangItrowupas ccoounldclubdeecdonthsiadterdeudstlseaosft thhaermafbuslo, rpthtoiosne ooff sthileicopsrios,lifaenrdatitohnosgeroofuptheasinbeeritnggrporuopduacstirvee sinpownshiibclhe tfhoerretheis vaarliaorugse odtehpeorspitnioenumoofcmoninioesreasl mfibartoesriisa.l in the lungs with comparatively little 380. U.ASn.nSuuarlgReoenp-oGret noefratlh'e OSuffricgee.on General of the Public Health Service of the U. S. Sofilitchoesisinahma loantigo ng roafn igt er a nq iutaer rdieursst.--g eTnheeraeteffdecitns gpurabnliistheedquinartrhyeinPgubwliecreHesatultdhieRdepaonrdts aforreJpuonret ) ) 416 DCoisuenacsielsanCdoimnmotihtteere qoufarttheers.MTedhiicsalI bReeliseevaerctho btheisthdeisbeeasste manetdhoadt tohfeapttraecskeinntgstthageeproofbtlheme ionf mveisttteigeatwioonusldI sdeorvneotanthyinuksetfhuel spuugrpgoesstee.d cAotma loaftethresHtaogne., Mhoewmebveerr,inItowiclol ntasikdeertahteiosnu.ggestion Mdern.cTe . oSfmsitthonaeskdeudswtinhgethbeerintgherae cwoanstrainbyuteovriy caasussuecho.f silicosis, and whether it was regarded MMrr.. ET.uBrtroonwna.s:kNedotifthiat twIokunlodwnootf. be simpler to mWaokrekmsielinc'ossCisomanpeinnsdautisotrniaAl cdt.isease under the iMnvr.olBverod.w n: No. There are many other issues 383. WiSlliilaicmos,isJi.n South Wales. House of Commons, sitting of July 4, 1934. Lancet. 2: 110, July 14, 1934. DMri.neJsothhne nWumillbiaemr sof amskeendcetrhtiefieSdecforertasirlyicofsoisr itnhethSeocuothunWtyaolefsCcaoramlfaiertlhd;enanadndthien nthuemrbeesrt ooff sduiscehascea.--sesMwr.hEerrenedsetaBthrohwadn: rIesaumlteidnfofrrommedthbiys twhheenHothmee MOefdfiiccealthBaotabrdetwunedener Jtuhnee c1osmt,pe1n93sa1, t1i0o5n mscihneemrsewweares caeprptiofiinetdedb,yanthde MBaoyard31,as19d3i4s, aabnlded27fr9omin stihliecorseismianinthdeercooufntthyeofSCouatrhm aWrtahleens cfioeadl bfyietldh;e aBnodartdhawt etrhee2n6uamndbe5r7orfesdpeeactthisveclye.rti 384. WiOthttdarwaawIIAI.ppReeapruabn.c-Te.imes. Nov. 22, 1934. dSroelwAhnisdraepwpse,araCnhciecaagsocoauttnosrenlefyo,r tthoedapylainwtiifthfs in the suits that had been started against the ) 417 OWtatarwd aofStihliicsaciStyanednteCroemd phaisnya,ppaenadranGcielbaesrt aJt. torney for the plaintiffs. OsonneosfuGitrawnads Rstiadrgteedprbioyrthtoe hliastedeLaythmtaon cJoalmlecet dseacmoangdessuiftorwaans satlalretgeedd bcyasMe ros.f CsiolircaosJiasm. eTsohne, winigdoawdeoafthLcylmaimanaJgaaminesstotnheafctoemr phaisnyd,ecahtha,rgaisnkg cthoanttraJacmtedesaosn'as rdeesautlht owf ahsis ceamuspelodymbyenst.ilicosis 385. WoPonde,uWmo. cBo.niosis. (A discussion held at the In sPtaitpuetre IJIa.nuPaurlym o19n,ar1y93A4.s)bestosis. Brit. J. Radiol 7: 277-280, May 1934. Pmuolnmoo-nsyarmyptaosmbeastitco,sis fomrighotnebe sdyemscpritboemd --as dofystphnisoeaalo--nedotmhaitnathtees ptoatsieuncht caodmepglraeienst.haPt hitysis Tichale ssipguntsumarecosnlitgahint sexthceepcthainratchteerilsattiecr gsotaldgeens-. yoef llaowdifafusbseesftionse bfoibdrioessi.s,Tehsepelcuinalglsy aarte tthhee lsuenagt bnaostesf.ouTnhde. nTodhuelepslecuhraaraicsteorfistetinc oadf hsielriceonst,isaanrde tfhoeunadd.hesions tough. Apical adhesions are often wP uhlimcho nsapreyciaalslby e satfofes icsts rethsueltbs asines a offintehefiblorowseisr mlobaensifeasntdatiroandsi.ology fails to reveal its earliest wP uitlhm aosnbaersytotsuisb etrhcautloist isseiesmsso poroftbeanb leassthoactiattehde agsrsaopchiiactioanppiseamraonrceesthaonf athcecidceonmtabli.neTdhdeisreaadsieosoprrebseronnt cfhewo-pdnifefuicmuoltnieias ianreditahgenocsoims.mBonronccahuisteiss aolfwdaeyasthf,atbaultwehveenn itthaettlaactekrs caomsupffliecraetriofnromis naodt vanced asbestosis. 418 386. WPouoldm, oWn.arBy. AansdbeGstloosyinse. , AS. RRe. view of 100 Cases. Lancet. 2: 1383-1385, Dec. 22, 1934. Ipnor1t9o2f8 tthheeirasuttuhdoiress,paunbdlisihned19a30prreepliomritnedarythereir fairnedinnogws irnepaorsteirniegsoonf 13070acsabseesst.os workers, and Owefa6v7inwg,om5;enmiantttrheesisr smearikeisn,g2,49w; ecraerdsipnignnearnsd, 2o2pebneingga,n 1t1h;eairndemmpislcoeylmlaennetoubsefoorremitshteateadg,e 1o8f. t1h8e. lTonhgeesstho15rtyeestarse.xposure was 6 months and Oplfoy3e3dmiennt--heabsoamutetwfaoc-ttohriyrdass otfhethwemomweenr.e Temhe osmthaelrls fiancctlourdye,daanvaenldbeorlyy--mwahno, tahsesisotwedneirnohf ias soppaerneyatirmd;e a mmiixdidnlge-apgoewd dbeorielder raisvbeetsetrows hion haand swehrveendashbisesatpops rwenatsicuessehdipfoars laogygoiuntgh piinpeas,shanodp atoms amnawttrheossheasdinbetehne eompepnloyaierd ahtaanndlaincrgodaosbmees. Tlohnegesshtor4t0estyeeaxrpsos(ucrleiniwcaals a1n1dmaodnmthisniasntrdatitvhee wseoprskis).anAdpcaortmfprloicmatiponnesuamriosniniag afrnodmptuulbmerocnualroy stois,ththeearesbheasvtoesibseewnitnhontheedeexficneiptetliyonatotrfibtwutoabilne sntoasnecdesbyofx-srpaoyn, taannedouaspppanreenutmlyotuhnoarassxocdiaitaegd wthiethrutupbtuerrecuolofseism, pwhhyiscehmmataoyushabvuellabee.en due to 387. WoCrhkcemrs.'ECnogm. &penMsiant.ioRn. a2t6:B2r6o1k,enApHriilll.5, 1934. gAosvtehrenmreesnutltinotfoanpaiynmveesnttisgamtiaodne buyndtheer tNh.eSc.oWm. pmeennstastiotno adcte,ptehnedemnitnsistorfy dbeecniedfeidciatroiesstopwhpoasye duenadtehr wthaes ancott, cvaizu.s, epdnebuymtohceonstiaotsuistooryr tduibsecarcseus- 419 Tlohsies. toTtallienduempbenerdeonftsreocfip29ienmtesnisw6e5re4 aafnfedcttehde. athmeomunint idnigsbcuormsepdaanniensuaanlldy tihseg1o4v0e,0rn0m0 oefnwt ehaicchh cpoanrttirailbluyteinhcaalfp.aciItnateadddibtieonnefipcaiayrmieesntws etroe 1r5e7 dbyucsetdattuotothrye aaumtohuonrittyofinthtehebasstaiclewoargceoduenctlrayreidn awmhiecnhdmtheentws oinrkeprasymreesnidtse.a oInnep-droaytessttriokfe thtoeoske pwlearcee iidnleH. roTkhcne gIloilvleornnmMenartchis 2n0owandrecalolnmsiidneers ing the question. 388. WoVrakrmioeuns' CInodmupsetrniseastion(SAilcictso,si1s9)25-A34m. endment Scheme, 1934. Ministry of Labour Gas. 42: 426, Nov. 1934. Tmhaede HaofmuerthSeercSrecthaerym, e ounn d2e2rndsecOticotno b4e7r, of19t3h4e, Wtenodrekdmbeyn'stheCoWmopreknmsaetnio'sn CAomctp, en1s9a2t5i,onas(Seilxi wcohsiicshainsdtoAesxbteesntdostihse) VAacrti,ou1s93I0n, dtuhsetrieefsfec(St iloif acnosyiso)peSrcahtieomneu, n1d9e3r1g,rotouncdovinera ecmoapllmoyinmee.nt in Tsuhceh Oorpdeerar taiopnpliaets atnoywtoimrkemoenn oemr apfltoeyredtheindaantye of the Order. 389. WCoonrvkemnteino'ns C(Romevpiseends)ati1o9n34(.Occupational Diseases) Labour Gazette (Canada). 34: 672-674, July 1934. TLheaeguIneteorfnaNtiaotinoanls Laatbiotsur1O8trhgaSneiszsaiotino,nJuonf eth4e, b1e93c4i,teadd"oputneddera tDherahfteaCdoinngvegnitvieonn a"bwohviec.h Amratiy 6cl7e2s l1oca.ndcit2.)arsehogwivienng bwyhtahte nLuambobeurrsGoafztehtete O(pr. gtiaonni.zaTtihoensScahgerdeeuletofoilnlorwaitnifgyilnisgts tdhiisseaCsoesnvaennd "towxiitch souibswtainthcoeus,t upnudlmeronwahriychtusbileirccouslios saisp,peparors-