Document MJmnJBQdeDbooNZj0w31ENpDM

Industrial Hygiene Digest - 2k August, lQqC. Ir occupationally exposed persons, suet as nurses, medical students and hoepi. * 1T'--; !r prpulM ?cr groups with high tuberculosis morbidity and mortality, and where there has been a known exposure to tuberculosis cr where an exposure Is likely to occur, as In the households of patients returning home from hospitals or sanatorlums. For the present, the vac* cine will not be distributed generally. -- J.A.M.A. * 'j' -J 696 Industrial Medical Potentials. A Tim and Job Analysis of Medicine In industry. U.J. Fulton. Ind. Med. 10, 270-202 (July, 1949). 1 ~ This is an extensive discussion of the cost'and value of an adequate ----- --medical service. First the services are classified as direct and Indirect, the direct Including all care of Injuries and tsedlcal complaints and checking returning absentees. It Is shown that one direct service case per about 15 employees per shift Is to be expected quite constantly. Ihe cost of a medical department to take care of these cases Is shown to be lower than the cost of treatment by outside physicians. An extensive comparison Is then made between the operation of an adequate and an In adequate medical service under the earns conditions, based nn experience In an actual plant. The adequate service Is one providing two nurses, one flrst-ald attendant, and a clerk, besides the physician, In a plant with 2,000 employees. The average time taken per case Is 11.57 minutes, of which 30j Is for clerical vork. Using these figures and the rate of one service to 15 employees, the author shows that the adequate staff will have time for some of the indirect servjces--physlcal examinations. Indus trial hygiene, safety cooperation, sanitation, etc., while the Inadequate staff of two nurses only, vlll be cramped In providing the direct service. Finally the author applies the same considerations briefly to compulsory health Insurance. In the preceding sections he has shown that 30p of the people take 05$ of the physician's time, and the disproportion will be Increased as the restraints are'withdrawn. One out of 25 of the population will find reason to call on the doctor each day, giving each physician a load of 32 visitations per day for direct services. Die quality of medi cal service under such circumstances must deteriorate. 897 Ingenious and Unusual Devices for Use In Industrial Medical Departments. Ind. Med. Jh, 263-267 (July, 19**9). Two Time Savers In Testing Applicant's Vision. G.K. Kohler. A frame for holding pseudo-laochromatlc plates and a device for holding Jaeger test typeB are described. Four Practical Aids for the Industrial Medical Department. K.D, Smith Die following devices are described briefly: (l) a Sam Brownebelt to replace semicircular strapping of the chest vlth adhesive; (2) removal of plaster casts by a Gigli saw blade started from a rubber tube molded Into the cast; (3) use of a rubber mat In physical examinations; and (k) a container for sterile eye droppers. Two Simple Devices for Use In Industrial Surgical Departments. Ethel lyle and B.F. Kipping. Diese Include an Instrument for cleanslng"wounds and plastic boxes for storing surgical and hypodermic needles. Dispenser for Semi-Solid Cleanser. WJS. Bones. s5 ;:i. N i 1 iV i r i.i St 4 00* 900