Document MJ0ky7Z3p1qdz1xXEpayj9n0z

Castleman File: American Petroleum Institute w/c = with cover letter or memo If DATE = 0, undated CD-RQM Document #:API ( Q ^ DATE ^ published article from medical journal __ published article from trade journal __ published advertisements __ newspaper article __ published government report __ government inspection results __ unpublished or internal report __ unpublished presentation from conference __ letter __ memorandum __ industry warning labels __ industry sales literature __ industry recommended practices __ meeting minutes (with attachments) __ membership list BC notes The Medical Bulletin i,... VOLUME 24 NOVEMBER, 1964 NUMBER 3 TABLE OF CONTENTS Executive Health 1. What Do We Mean By Stress Disease? ......................... ........ 233 J. H. Sterner, M.D. 2. Are Executives Prone to Stress Disease?.................................. 238 A. J. Fleming, M.D. 3. Executive Health -- How to Maintain It ................................ 243 R. F. Schneider, M.D. Evaluation of the Worker -- Tools and Techniques for the Future .... 249 R. E. Eckardt, M.D., Ph.D. Un Decenio de Mortalidad en una Empresa Petrolera Venezolana ... 259 Dr. R. Risquez-lriharren What to Say to an Alcoholic ................................................................... 275 Nickel Carbonyl -- Its Detection and Potential for Formation ........... 282 R. S. Rrief, F. S. Venable and R. S. Ajemian A New Stretcher...................................................................... ........ ........ 294 ' /. L. J. de Bary, M.D. and A. W. Gardner, M.D. Methods for the Prevention of Lead Poisoning in Industry............... 297 R. A. Kehoe, M.D. A Five Year Review of a Mercury Control Program........... ............... 310 A. H. Diserens Checking on Health -- Esso Petroleum Company, Ltd......................... 318 Abstracts ..................................... ................................. ........................... 325 Newsnotes ..................................................................... ............................ 328 ABSTRACTS * The Clinical Significance of Uncomplicated Marked Left Axis Deviation in Men Without Known Diseases. R. S. Eliot; W. A. Millhon and J. Millhon. American Journal of Cardiology; 12; 767-771 (Dec. 1963). One hundred and ninety-five men with marked left axis deviation (--30 to --90) ranging in age from 23 to 61 years were compared with 100 men with normal axis deviation in the same age distribution at an initial examination and at follow up 3 to 22 months later. Men with other ECG abnormalities, clinical cardiovascular-renal disease or dia betes mellitus known to exist prior to the initial examination were ex cluded from the study. 113 or 58% of the 195 subjects with LAD had cardiovascular disease or diabetes mellitus on the initial or follow up examination compared to 3% with hypertension and 1% with diabetes in the control group. A more detailed analysis of the abnormal findings revealed: Angina coronary insufficiency, myocardial infarction or a positive exercise tolerance test occurred or developed in 34% of the study group.. None of these diagnoses occurred in those with NAD. ' ' Hypertension alone occurred in 14% of the LAD group compared to 3% of the NAD group. 2% in the LAD group had both hypertension and angina. Subclinical or latent diabetes mellitus was found in 7% of the study group compared to 1% of the controls. Cerebral hemorrhage or infarction developed in 2% of the study group. Neither occurred in the controls. Six patients died of coronary or cerebrovascular disease in the study group during the brief period of follow up. Body habitus or blood cholesterol levels were not significantly dif ferent in the two groups. The group with LAD had a much stronger family history of cardio vascular disease than did the NAD group. The authors conclude that the ECG finding of uncomplicated marked LAD should be suspect because of the above associations. Reprinted with permission From the ]onnull n/ Occuimtimud Medicine, July 1901. * These abstracts have been prepared by the Medical Research Division of Esso Research and Engineering Company. Permanent Threshold SI Aging. R. Gallo and / June 1964). With long-term expost most hearing level chan first 15 years, while at 5 linear with exposure tin women. Changes from n Asbestos Exposure Durr Hyg. Assn. ]. 25:264 ( Exposures resulting ii naval shipyard insulatk since the cases took a m allowable concentration There is no agreement < asbestos. Shipboard pip ployees should wear res P)i(Fuse Mesothelioma a Area. W. G. Owen. 1 Seventeen cases of dif. was sought of exposure thelioma are discussed described. Exposure to eases examined, and asl of lung tissue examined is a major factor in the The New Federal Cleat Control Assn. 57th At The Clean Air Act ( assistance and leadersh Federal, State, regional Left Axis Deviation W. A. Millhon and 67-771 (Dec. 1963). left axis deviation ars were compared me age distribution iths later. Men with lal disease or diaamination were ex- )vascidar disease or intion compared to trol group. A more .tion or a positive >-v34K of the study with NAD. poup compared to both hypertension in 1% of the study -% of the study sense in tire study significantly dif- history of cardio- (plicated marked ns. lalicine, July 196-1. fi Division of Esso ABSTRACTS rennanent Threshold Shift Changes Produced by Noise Exposure and Aging. R. C.allo and A. Glorig. Am. ind. Hyg. Assn. J. 25:237 (MayJune 1964). With long-term exposures to industrial noise of 90 db octave band SPL, most hearing level changes at 3,000, 4,000, and 6,000 cps occur in the first 15 years, while at 500, 1,000, and 2,000 cps, hearing level change is linear with exposure time. Men have greater hearing level changes than women. Changes from noise and aging may not be differentiable. Asbestos Exposure During Naval Vessel Overhaul. W. T. Marr. Am. Ind. Hiji'. Assn. ]. 25:264 (May-June 1964). Exposures resulting in 6 cases of asbestosis among 80 employees of a naval shipyard insulation shop were not picked up in time bv X-rays since the cases took a minimum of seven years to develop. The maximum allowable concentration for short duration massive exposures is unknown. There is no agreement on the relative importance of short and long fiber asbestos. Shipboard pipe covering and insulation is hazardous and em ployees should wear respirators when exposed. Diffuse Mesothelioma and Exposure to Asbestos Dust in the Merseyside Area. VV. G. Owen. Brit. Med. ]. 2:214 (July 25, 1964). * Seventeen cases of diffuse mesothelioma were investigated and evidence was sought of exposure to asbestos dust. Clinical features of diffuse meso thelioma are discussed and the pathological findings in 12 cases are described. Exposure to asbestos was confirmed in 14 (82%) of the 17 cases examined, and asbestos bodies were found in 7 out of 10 specimens of lung tissue examined. The author concludes that exposure to asbestos is a major factor in the cause1 of diffuse mesothelioma. The New Federal Glean Air Act. V. G. MacKenzie. Paper, Air Pollution Control Assn. 57th Ann. Meet., Houston, Texas (June 21-25, 1964) 6 p. The Clean Air Act (Public Law 88-206) states that Federal financial assistance and leadership is essential for the development of cooperative Federal, State, regional, and local programs to prevent and control air