Document LKgrERgeaRJJo4voO9L69rp9w

V / ';" 'Si * V . ,\J s Digest August, I960 f .*' ,. adulation for Industrial (Occupational) Medical Practice, , J. Occ, Md. 2, 305-311 (July I960). F, Aihe, Occupational medicino la defined a* the study of men and tbe environment of hie AOrU and the control of thrit environment (or tbe purpose of health, safely, and optimum \ "ruiVucliviiy. Certain noteworthy things have happened in the 12 years that have elapsed ,111^ we began to apply ourselves seriously to the preparation of physicians for this special i practice. Those include a broadening of concepts from those implied in the earlier tarn*, industrial medicine; formal graduate training of physicians! and a formal mechanism of ccr-** ilication. The structure of the training programs emerged from a study of the needs and opportunities oi industrial practitioners, with elaboration* being made to suit changing cir cumstances. Facilities are needed that will permit and uncourage self-preparation of prac titioners for the examination in occupational medicine given by the American Board of Pre ventive Medicine. The services of fully trained specialists, in large corporations at least, must as a practical matter he augmented by the work of physicians who are partially trained or whose basic interest is in some field other than this specialty. >- Author's summary i i / At . l iia SKIN DISEASES AND BURNS j t 5 *tl Analysis of 500 Allergic Dermatltldes. C. Wagner. 4 Qerufsdermatosen , 307-31$ (Dec! 1999)- German, Thie is an account of 500 eases of contact ectema seen in a period of about 1 years in the Dermatological Clinic of Kiel University, in which the allergic origin of the skin condition was diagnosed by mesne of the shin pateh test. Among the 500 patients there were 2?9 (55.6%) men and 221 (44.2%) women. In about 45% oi all cases the allergic state was of industrial origin. In the industrial materials group of allergens, of which a list is given, the most frequent was cement containing hexavaient chromium salts, and the next frsqtiuni were flour improvers containing persulfste. The most important in the medicament troup were substances containing a para-amino group in the bensene ring, of which the sulfon amides caused 4t cases, in the clothing group there were 22 cases of ecsema caused by nickel buckles. Next In Importance were dyestuffs, particularly thoae having a p-phtnylanc oiuinine grouping. The cosmetic group included cold wave preparations, hair dyes and other "make up" materials. The frequency of allergic skin conditions in different occupations is fully considered and an examination mad# of the diagnostic value of the skin test and the f "standard test serles,< of materials used in the lest at the Kiel clinic. r.f -- Cond. from Bull. Hyg, Dermatoses from Phenylmercurlc Salts, G. E. Morris. Arch. Environmental Health jU 55-55 (July I960). Sensitivity to phenylmercuric salts must be considered when people develop t- ptlcm of the legs after spreading weed or crab-grass killers; the eruption may also <wuur on the hands from handling the product. Sensitisation dermatitis in othtr Wy V >ruas may ba due to a phenylmercuvle salt being used asa primary antiseptic, as a ' 'rrvMtve in ointments, or aa.a spermicidal agent in contraceptive Jellies ** - - Autnor' a ji.uciubJs;. i'l M ?Mh.atno>U of Silica Granulomas in Mant A Non-Allerptc Colloidal Phenomenon. v I *``1*7 Shelley and H. J, Hurley. J. Invest. Dermatoh^V, 107 (i960). Tbe essential features of a silica granuloma ("pseudo-tuberculoma sllicoticum") *"t ** follows: (1) appears at a site whers foreign material containing silica is Introduced, ...alU a result of an injury; (2) appears as localised nodules after a completely asympto* latent period, the duration of which is measured in years; (S) appears histologically jI i i ! h i' i. I i! !