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FILE NAME State of the Art Literature SAL DATE 1930 DOC SAL009 DOCUMENT DESCRIPTION Journal Article - Pulmonary Asbestosis a wee ae on +? ~~ ao > eee ~ me mee ~ - The Journal OF THE {~ ~ EDITED FOR THE ASSOCIATION UNDER THE DIRECTION OF THE BOARD OF TRUSTEES BY MORRIS FISHBEIN M.D. Vatrtuer ee eee ae ew JULY DECEMBER 1830 aes Pees AMERICAN MEDICAL ASSOCIATION CHICAGO 1930 tee XN THXHO HUCAH HUCAH LIBRARY LIBRARY 4 HUCAH THXHO THXHO HUCAH LIBRARY MEDICAL COLLEGE OF VIRGINIA sa RICHMOND 19. VIRGINIA ete: e. a f Wag fe eat defi therle Id Car ope ? be e CURRENT COMMENT -&. 19 Np^/^/t^/ - little tuberculosis Metal grinders and polishers display if r : is represented by the effort to find a nonvolatile agent of iron lung induration is less evident for complete narcosis or failing that a nonvolatile agent by the black type is unrestrained That siderosis and and tuberculosis likely in view of the evidence to serve for called basal anesthesia supplemented asbestosis are allied seems t th he e uusese of a volatile anesthetic 1| _ Lendle's paper seems the barbital derivative that the containing portions of asbestos con- health in the asbestos industry to show that neither Avertin nor stitute the danger to Pernocton is a satisfactory solution of the problem the relation of physicians of the United Safe and efficacious new methods of anesthesia may but all the Concerning States to this industry Milis pointed out that asbestos in of this coun- result from the modern work in this field is mined and manufactured many parts evidence indicates that the products thus far proposed asbestosis surely will be or sedatives try and that pulmonary compensation for called basal anesthesia are hypnotics such They cannot be safely used encountered In England the workmen's been extended to include this condition and should be used as anesthesia and can be safely used in com- act has recently for complete of com- _ bination with other agents for the production PERSPIRATION AND pili~ amoeshacia only by those thoroughly experienced INSENSIBLE BASAL METABOLISM closciy familiar of anesthetics and the in administration for with the studies of the use of nonvolatile agents be The estimation of basal metabolism has proved to be valuable as a diagnostic aid The niea- anesthesia Thus far their intravenous use must unexpectedly which are now considered unsafe surements of the respiratory exchange ss 77 to furnish the requisite information have depended on ~ so that the PULMONARY ASBESTOSIS been greatly simplified in recent years be made applicable even in the office of In 1928 THE JOURNAL commenting on an article by procedure can There are however refine- W. E. Cooke suggested that pulmonary asbestosis fea- the individual practitioner of technic that ought to be applied more widely ments to the because of its dangers and its unique pathologic had been accorded than they usually are This refers particularly tures deserved more attention than the first proper preparation of the patient and to the maintenance it Two and a half years fator Mills reported basal conditions conditions In the case of infants from the United States His patient had worked of strictly obvious difficulties present themselves in case mine in South America prior to 1898 and children exchange as well as in an asbestos had been the measurement of respiratory had returned to the United States and again unstated in direct estimations of heat output Fortunately an employed in South America this time in an alternative procedure has been proposed in the relatively occupation between 1911 and 1913. He died in Min- method of ascertaining the insensible losses rep- nesota in 1929. The history of the case indicates that simple resented by perspiration The determination of loss of metabolism the asbestos which was found in the subject's lungs 1898. If so the pro- by insensible perspiration as an index and Root C at necropsy was inhaled prior to was discussed in detail in 1926 by Benedict = found pulmonary changes which evidently were induced ' in its application to adults Its use in relation to chil- by the asbestos and which seemingly contributed to the dren has been championed by S. Z. Levine and his patient's death were present thirty years after workers in the Department of Pediatrics of the the agent that caused them was introduced Even if the Cornell University Medical College New York Basal to the asbestos occurred at the time of the exposure standards of insensible perspiration were proposed by patient's later visit to South America the pulmonary these workers in reference to the normal infant The injury endured at least seventeen years Accordingly latest researches of Levine and Marples B have been con- Mills has concluded that pulmonary asbestosis is an cerned with the validity of the proposed methods and incurable disease from which the patient may or may their basis of reference to predictions A statistical not die The cause of death if tuberculosis is avoided effect was made of the published data responsible for study available for the basal metab- seems to be pulnionary fibrosis with its indirect the standards at present on the heart At necropsy of Cook's patient pulmonary and basal insensible perspiration of normal fibrosis and evidence of extensive tuberculosis were olism The investigation included consideration of- found it was not certain whether the fibrosis was due In Mills's infants the correlation between the two variables in simul- well in inde- more to the tuberculosis or to the asbestosis calorimetric measurements as as evidence of tuberculosis was not found but the taneous measurements with the respiration chamber case fibrosis was severe The conjecture seems warranted pendent and the balance The evidence secured points to a therefore that asbestos is capable of producing twoof high positive correlation between the physiologic mech- of injury somewhat as iron dust is capable types of pulmonary siderosis Accord- anisms of heat production and insensible perspiration producing two types work of Hart the rel in the human subject to Bohrod who cited the ing is found in persons who work in iron 5. Tondon Letter A. M 04 2279 June 28 Insense 1930 Its type of iron lung mines and in factories using certain iron pigments predominates there and there is is 6. Henen F Relation > Human Relation and Phys R. F H Perspiration td chsingy chsingy 107 editorial von and Metonas Int Med 39 J. induration pneumonoconiotic induration predominates pneumonoconiotic Asbestosis editorial J. 1. Pulmonary Pulmonary Pulmonary Asbestosis A. M. A. 119 f tee eos BMI BMI 90 21 Jan. : Dee _ 14 to M. S GC Levine : Z Meet FT Ketty 94. Ketty Marcarers The Insensible Intanto a a 1 drs 8 71377 ae Peete CE Net 919 PROSECUT vce ch, ...ten ceo 1 MT me WE oT an * s Siderit Arch Path 179 Aug. bet Leseratie CocrrietatiConorretation Am fo Dia Ubed 1-0 BE Aug. bilty bilty and * . 5<fG ed Le Ot = - ae ed = ee ee ee ee . oo 1 ~ F . ~ eg a woe fog me} ms ae ER 3 ar 8 Sa * 7 2 a oR Ee gel tea Gist Yl C cna e a eR ieee een Maer et OE Me ere eats ceeMipartat thietonl al eh FOREIGN Dish Yves ee , Cashiman -i..v.-: FOREIGN LETTERS Si Dish Ey Heh ks ig Pi driving claine the long heen Oey. ed heck buifmortal buifmortal owing J ate Foreign Letters 7. automobile buifmortal Spek ak oes ee ners , hours dani? su Ao" ORI LONDON 740 o> agreed nares Be cx kas at VM Bram Out Region Corresponde 3 +k. n Pyro 6. ee No. May 31 1930 ve . g- Use the Thomas Splint in Peace Time government 3 rr of the discoveries in the war was the value of the Thanas splint for the treatment of fractures of the femur In early days the mortality from compound fractures of the femur was in the neighborhood of & per cent The introduction "ta of the Thomas spline as a first aid measure reduced the mortality r . af distr - per to the a T. 12 cent In letter Times surgeon Mr. 12 A Stawell pans out that this lesson raught fourteen years ago has not yet been learned This was demonstrated by an auto- - mobile accident at crossovads recently Two persons suffering 4 from compound fractures of the fermar lay at the cometside and (Baan were being of mentre by uniformed ambulance an ambulance attended men were intelligent and + doing their best but their services were inakate because there is gr^flicial ambulance training no in the use of the Thomas splint Mr. Stowell makes a plea that every roadside aid post and every ambulance shall be equipped with the simple apparatus which we owe to that surgical genius H. O. Thomas and that all . ambolame workers shall be trained in its use as a first aid \ to it: , Compensation Act to Be Extended Asbestosis " - - The workmen's comprsation act applies to all diseases due " " ' to exposure to silica dust but it has been ascertained recently that the dust of asbestos which is a produces services shall be open to promen hospitals 29.40-iee.pheae: my -dad* sib mien TE first time they, hospitals For highest grades in the service the and cay of - dete r- 4Owaat E international International Veterinary An international veterinary Greece Guatemala Holland : Nicaragua's Ran grzan Turkey and Yugoslavia governmenhats grzan free: visas all foreign delegates who are expected a than thousand The congrewsilsl beww tthhe eelevofeints tisehd: the first having been held in Hamburg in 1863 . - > effects Hence bill has been introduced a introduced silicosis into parliament extending the provisions of the workmen's compensation + act to processes involving asbestos exposure to Supporting the - the said bill Lard Russell for government that many processes in nilies working could not show a mortality approaching that delegates and the government for the asbestos industry in which 14 fatal cases had now been for the Tuberculosi The Employment Oo reported and in addition 3 deaths from asbestosis associated + ak +. with tuberealosis In & of the 17 fatal cases the disablement employment committee ther fount tuberculosis which consists The before death varied from six months to several years and in | haai isengi tuberclosi bad physician 4 cases from a few days to few weeld ' in tuberculori bad chee tae goes a The incidence rate report on care and of this disease was 1 in 8 among those =," acmally employed giys will . government Tuberculosi ts ae) 32 tuberculosis of of seven after at wank: mayors i ylt gf and difficusloltutpironoblem and the same time that five years + at work or if those employed less than were excluded - afferings the tubeacakes incr awaiting in the the incidence rate was 1 in 3. While the fibrosis associated with ment The of all silicosis was in more or less primary object isolated nodules asbestos fibrosis the percentage desfety to reabsorbed into ordinary was a fine cobweb ultimately permeating the greater portion industry rather than to Sreeaxae t tubeackes is mn schemes be to incr < be 24 for the ofemtbheardk iamsbaitbiolne@cdhemmeasny ueg employment Fa. 4 modern industrial Race ts under which the Bj wil detected carly and ttohe man removed from it and thaassk for whiHcehtakes tbhetetcearoreoofqmuiopspseednlstihfeecnoutrhsaet aannaddwahtitcahclcoensumptsive S\ AS jvene- tuberculosis or meamons or otherwoduilsdeahsaevoefbetehne clerutnigfsiedwill is mes of the lungs and leaving little sound - tissue A special scheme of medical inspection by experts will be set up It is thus hoped that cases which previously as now be certified as due asbestos fibrosis The disease hardly becames definite before five years work in the industry if is compensation will 9 sos permanent _ perform if the he . devoted the greater :, realizes this better than tuberculosis tais in as statut quiescence thera to part the his consumptive falls who coromos prey a ee. py. =! Top 7 will not be necessary himself the staff of sammum There appears to be Automobile Drivetrso resume his ews further point which eliminates him >: of is merits es is 2 197 98 9 eat y f.The Danger from Fatigued Automobile Drivers little hope economically for the consumptive unless be is able- The his previous occupation and be employed on standing comminee of the commco omn mos ns which A the considering the mod trafic bill has discussed the clamse which ' industrial market is that ordinoradirnayry ~+. the gress concerns * limits the time during which public service and other beavy demand either a high degree of majority of trading = mnitor vehicles can intellectual at semt 5, be duty job a high intelctual of which provides that continuously There is s'clause particular or 4 standard physical fits Wich 7. sertlements comite finds weather reseim Dy. drivers of such vehicles must not bheouorsnarreegard to village had been tthhee queride for oe duty continously for a period excerling fire and half excellent Even the advanced case is able to weather the Mr. Morris~-mmuister n^transport said that it 4S . found storm of life a much longer period under settlement = necessary to insert this clanse to meet a serious state of affairs ditions than he would in had come the notice the in taat E: Cases to of minister of transport employment schemes taat present world But hac ndsa r^^ administered to vocational armed Or which there was reason believe that accidents had been settlement intagyn^r cenfens training colonies and mila partspent by the fatigue of drivers owing to long huers of classes therapy 8)! intagyn^r can give nisplayment.only 13.8a SE BE Bee ce eS ad Pet ee abe. tae ee ithe se a