CITY MOVES | WHO’S SWITCHING JOBS

first_img CITY MOVES | WHO’S SWITCHING JOBS whatsapp Share Tags: NULL GapThe US retailer has announced that it will combine its international operations into one London-based division, to be led by Stephen Sunnucks, the new president, international of Gap Inc. Since joining the company five years ago, Sunnucks has guided the growth of Gap and Banana Republic in Europe. Gap has also appointed John Ermatinger, currently president of Gap Inc’s Asia Pacific region, to a new role establishing Old Navy International.CommerzbankCommerzbank Corporates and Markets has hired Andrew Readinger as global head of financial institution sales, based in London, and promoted Thomas Deppe to global head of corporate sales, based in Frankfurt.Ashcourt RowanThe wealth management firm has appointed Steve Daykin and Chris Johnson as regional managers. Both were formerly area sales managers at Co-Operative Bank Independent Financial Advisers until its acquisition by Ashcourt Rowan last year. Stadia TrusteesThe SIPP and alternative investment specialist has appointed Jason Burman as head of SIPP operations. Burman joins from Suffolk Life, where he was head of client reporting.KPMGMike Linter, who has been a partner at KPMG since 2000, has been appointed as national head of the People Services Tax division. In addition, Marc Burrows, tax partner at KPMG in Switzerland, joins the UK firm to run the International Executive Services practice; Angus Menzies joins as a director from McGrigors to lead a new employment law team; and Chris Hogan joins from KPMG in the US as a director in the International Executive Services practice.Panmure GordonThe stockbroker has appointed Philip Tansey to the board as chief financial officer and chief operating officer, effective from 24 May. Tansey joins from BCG Partners.F&C Asset ManagementThe investment management group has appointed Nabil Owadally as a derivatives fund manager. Owadally joins from Towers Watson. whatsapp Show Comments ▼ Monday 25 April 2011 10:34 pm Read This Next’A Quiet Place Part II’ Sets Pandemic Record in Debut WeekendFamily ProofHiking Gadgets: Amazon Deals Perfect For Your Next AdventureFamily ProofAmazon roars for MGM’s lion, paying $8.45 billion for studio behind JamesFamily ProofBack on the Rails for Summer New York to New Orleans, Savannah and MiamiFamily ProofIndian Spiced Vegetable Nuggets: Recipes Worth CookingFamily ProofYoga for Beginners: 3 Different Types of Yoga You Should TryFamily ProofChicken Bao: Delicious Recipes Worth CookingFamily ProofCheese Crostini: Delicious Recipes Worth CookingFamily ProofHomemade Tomato Soup: Delicious Recipes Worth CookingFamily Proof KCS-content last_img read more

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Truworths Limited (TRUW.zw) HY2016 Interim Report

first_imgTruworths Limited (TRUW.zw) listed on the Zimbabwe Stock Exchange under the Retail sector has released it’s 2016 interim results for the half year.For more information about Truworths Limited (TRUW.zw) reports, abridged reports, interim earnings results and earnings presentations, visit the Truworths Limited (TRUW.zw) company page on AfricanFinancials.Document: Truworths Limited (TRUW.zw)  2016 interim results for the half year.Company ProfileTruworths Limited in Zimbabwe is part of Truworths International; an investment holding company that retails casual-wear clothing, footwear and fashion accessories in branded stores located in the major towns and cities of Zimbabwe. The company sells fashionwear and accessories under different brand names, including Daniel Hechter, Truworths Man, Ginger Mary, Zeta Inwear, Identity and LTD. Truworths brands are also sold through specialist retail outlets such as YDE, Uzzi, Earthaddict, Earthchild and Naartjie. The boutique range of accessories sold by Truworths includes watches, sunglasses, fragrances and gift ideas. Truworths Limited is listed on the Zimbabwe Stock Exchangelast_img read more

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Tate’s online appeal for Turner painting hits target early

first_img Tagged with: Digital About Howard Lake Howard Lake is a digital fundraising entrepreneur. Publisher of UK Fundraising, the world’s first web resource for professional fundraisers, since 1994. Trainer and consultant in digital fundraising. Founder of Fundraising Camp and co-founder of GoodJobs.org.uk. Researching massive growth in giving. Tate Britain’s online fundraising appeal to keep J.M.W. Turner’s watercolour ‘The Blue Rigi’ in the UK has reached its target ahead of its deadline of 20 March. The public donated £550,000 online to secure the painting in the Tate’s ‘Buy a brushstroke’ campaign. Tate Britain asked members of the public to contribute £5 each to raise £300,000. The gallery had already pledged £2 million of its own funds towards securing the painting, and has also received £500,000 from the Art Fund.The appeal used a similar technique to the pixel advert idea used so successfully by Alex Tew on his milliondollarhomepage.com. site. Advertisement Howard Lake | 2 March 2007 | News Tate’s online appeal for Turner painting hits target early AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to LinkedInLinkedInShare to EmailEmailShare to WhatsAppWhatsAppShare to MessengerMessengerShare to MoreAddThis  18 total views,  1 views today AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to LinkedInLinkedInShare to EmailEmailShare to WhatsAppWhatsAppShare to MessengerMessengerShare to MoreAddThislast_img read more

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Pasadena City College Board of Trustees Meets Wednesday

first_img Your email address will not be published. Required fields are marked * Name (required)  Mail (required) (not be published)  Website  Major items related to the Academic Calendar for 2016-2017 and teacher welfare will be discussed Wednesday, November 18th, as the Board of Trustees of the Pasadena City College meets at its Regular Business Meeting at the PCC Creveling Lounge, starting at 6 p.m.During the hour-long closed session, the Board is expected to finalize the Collective Bargaining Agreement between PCC and the Califorina Federation of Teachers Local 6525, up for adoption at the open session, and a Memorandum of Understanding with the PCC Faculty Association about class sizes for Social Sciences and English classes.Another Memorandum of Understanding with the Pasadena local of the state teachers federation regarding winter holidays is also up for discussion and adoption later in the open session.Superintendent-President Dr. Rajen Vurdien will present the 2016-2017 Academic Calendar for the Board’s approval at the start of the session.As is customary, members of the public may request the opportunity to address the Board of Trustees regarding any item on the agenda. Anyone wishing to address the Board is required to complete a Request to Address the Board of Trustees form and give it to the Board Secretary before the start of the meeting.Individual speakers are limited to three minutes in their comments, and total audience participation is limited to 30 minutes.Dr. Vurdien will also give the President’s Report before final announcements at the Board meeting.The PCC Board of Trustees usually meets every first and third Wednesday of the month. Get our daily Pasadena newspaper in your email box. Free.Get all the latest Pasadena news, more than 10 fresh stories daily, 7 days a week at 7 a.m. Education Pasadena City College Board of Trustees Meets Wednesday From STAFF REPORTS Published on Monday, November 16, 2015 | 2:27 pm Home of the Week: Unique Pasadena Home Located on Madeline Drive, Pasadena Herbeauty6 Lies You Should Stop Telling Yourself Right NowHerbeautyHerbeautyHerbeautyRed Meat Is Dangerous And Here Is The ProofHerbeautyHerbeautyHerbeautyIs It Bad To Give Your Boyfriend An Ultimatum?HerbeautyHerbeautyHerbeautyInstall These Measures To Keep Your Household Safe From Covid19HerbeautyHerbeautyHerbeauty5 Things To Avoid If You Want To Have Whiter TeethHerbeautyHerbeautyHerbeautyFinding The Right Type Of Workout For You According AstrologyHerbeautyHerbeauty Pasadena’s ‘626 Day’ Aims to Celebrate City, Boost Local Economy Make a comment Subscribe Pasadena Will Allow Vaccinated People to Go Without Masks in Most Settings Starting on Tuesday center_img More Cool Stuff Top of the News 0 commentsShareShareTweetSharePin it Business News First Heatwave Expected Next Week Community News EVENTS & ENTERTAINMENT | FOOD & DRINK | THE ARTS | REAL ESTATE | HOME & GARDEN | WELLNESS | SOCIAL SCENE | GETAWAYS | PARENTS & KIDS faithfernandez More » ShareTweetShare on Google+Pin on PinterestSend with WhatsApp,PCC – EducationVirtual Schools PasadenaDarrell Done EducationHomes Solve Community/Gov/Pub SafetyPASADENA EVENTS & ACTIVITIES CALENDARClick here for Movie Showtimes Community Newslast_img read more

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GOOD NEWS: In Rememberance

first_img Pinterest CommunityGood NewsLocal News Twitter By OA Life – May 28, 2021 Sgt. Stephen Jones Courtesy Photo WhatsApp Facebook WhatsApp Deputy Samuel Leonard TAGSDeputy Samuel LeonardHonor GuardOdessa Police DepartmentSgt. Stephen Jones Pinterest Facebook GOOD NEWS: In Rememberance Twitter Courtesy Photo The Odessa Police Department Honor Guard attended funerals for two fallen Concho County Sheriff’s Office deputies. Sgt. Stephen Jones and Deputy Samuel Leonard were shot and killed May 10 while responding to a dog complaint in Eden. Leonard’s funeral was May 17 in Lamesa and Jones’ funeral was May 19 in San Angelo. Previous articleELDER: On reparations: John F. Kennedy vs. Robert F. KennedyNext articleLETTER TO THE EDITOR: Mayor busy bearing false witness and not leading OA Lifelast_img read more

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Deputy Joe McHugh accused of ‘loose talk’ on A5 issue

first_img Need for issues with Mica redress scheme to be addressed raised in Seanad also Facebook By News Highland – November 21, 2011 LUH system challenged by however, work to reduce risk to patients ongoing – Dr Hamilton 70% of Cllrs nationwide threatened, harassed and intimidated over past 3 years – Report Facebook Pinterest RELATED ARTICLESMORE FROM AUTHOR Deputy Charlie McConalogue has accused Fine Gael’s Joe McHugh of ‘loose talk’ on the issue of the A5 and expressed his concern that the project may never go ahead.On Friday it was confirmed at the North South Ministerial Council that the A5 upgrade would not be axed- instead the Irish government has set in stone a 50 million pounds sterling investment in the project between now and 2016.Deputy McHugh also suggested that other means of funding the project should also be explored – Deputy McConalogue says that’s not realistic:[podcast]http://www.highlandradio.com/wp-content/uploads/2011/11/charla5mchugh.mp3[/podcast] Twitter WhatsApp Deputy Joe McHugh accused of ‘loose talk’ on A5 issuecenter_img Google+ Twitter Previous articleEfforts underway to save jobs at Flanagan’s FurnitureNext articleCondemnation of Creggan Hill punishment shooting News Highland Pinterest Minister McConalogue says he is working to improve fishing quota Google+ WhatsApp Almost 10,000 appointments cancelled in Saolta Hospital Group this week Newsx Adverts Dail hears questions over design, funding and operation of Mica redress schemelast_img read more

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Funding package launch to support “junior immersion” in Gaeltacht schools

first_img Google+ Twitter WhatsApp Facebook Pinterest Google+ Gardai continue to investigate Kilmacrennan fire Further drop in people receiving PUP in Donegal 365 additional cases of Covid-19 in Republic RELATED ARTICLESMORE FROM AUTHOR By admin – October 28, 2016 Funding package launch to support “junior immersion” in Gaeltacht schoolscenter_img 75 positive cases of Covid confirmed in North Main Evening News, Sport and Obituaries Tuesday May 25th Pinterest Previous articleMairead Mc Guinness backs CETA dealNext article16 patients awaiting beds at LUH admin WhatsApp Facebook Homepage BannerNews Twitter The government has launched a funding package to support schools in Gaeltacht areas who pledge to carry out Junior and Senior Infant classes completely in Irish, even if the children don’t speak the language at home.The Irish Language Immersion Scheme, which was launched in Conemarra today, was first mooted while Donegal TD Joe Mc Hugh was Minister of State for the Gaeltacht.He says it’s a very important programme, which will help parents as well as schools………Audio Playerhttp://www.highlandradio.com/wp-content/uploads/2016/10/joeimmersion.mp300:0000:0000:00Use Up/Down Arrow keys to increase or decrease volume. Man arrested on suspicion of drugs and criminal property offences in Derry last_img read more

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Latest American infected could be first coronavirus case of community spread within US

first_imgSamara Heisz/iStock(NEW YORK) — The latest patient being treated for the novel coronavirus in the United States is being investigated by health officials as possibly the first case of community spread on American soil.The U.S. Centers for Disease Control and Prevention confirmed the diagnosis Wednesday night, bringing the total number of infected Americans to 60. The majority of the cases are U.S. citizens who were aboard the Diamond Princess cruise ship that was placed under quarantine in Japanese waters as hundreds of passengers became infected with the newly identified virus, known officially as COVID-19, which originated in China.However, the newest patient, who is a resident of California’s Solano County, had no known exposure to the virus through travel or close contact with a known infected individual, according to the California Department of Public Health.“We have been anticipating the potential for such a case in the U.S.,” Dr. Sonia Angell, director of the California Department of Public Health, said in a statement Wednesday night, “and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California.”The individual was transferred to UC Davis Medical Center in Sacramento from another hospital on Wednesday, and doctors requested COVID-19 testing by the CDC.“When the patient arrived, the patient had already been intubated, was on a ventilator, and given droplet protection orders because of an undiagnosed and suspected viral condition,” the hospital said in a statement Wednesday night. “Since the patient did not fit the existing CDC criteria for COVID-19, a test was not immediately administered. UC Davis Health does not control the testing process.”The CDC ordered COVID-19 testing on Sunday, according to UC Davis Medical Center.The CDC said it would continue to investigate the source of the infection. It’s “possible” that the individual “may have been exposed to a returned traveler who was infected,” an agency official said in a statement Wednesday.The new coronavirus emerged in the Chinese city of Wuhan back in December and has since spread overseas to at least 37 other countries, with South Korea, Italy and Iran seeing recent surges in case numbers. The World Health Organization, which has declared the outbreak a global health emergency and said it “absolutely” has the potential to become a pandemic, has recorded more than 81,000 confirmed infections globally. Over 96% of those cases were in China.At least 2,762 people have died from confirmed cases of the virus, all but 44 in China, according to the latest data from the WHO.Increasing concerns over virus exposure have prompted some cities around the world to suspend public gatherings and shutter schools, businesses and restaurants. Many airlines have also suspended flights to China as well as South Korea, which has the second-highest national total of coronavirus cases behind China.COVID-19 causes symptoms similar to pneumonia, ranging from the mild, such as a slight cough, to the more severe, including fever and difficulty breathing, according to the CDC. There is no vaccine yet for the virus.Copyright © 2020, ABC Audio. All rights reserved.last_img read more

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CPD: And breathe – managing employees with work-exacerbated asthma

first_img No comments yet. Leave a Reply Click here to cancel reply.Comment Name (required) Email (will not be published) (required) Website In the UK some three-and-a-half million adults of working age suffer from asthma. Through analysis of the intervention to support one worker, Barbra Grohs and Professor Anne Harriss show the important role that occupational health can play in helping to manage and risk manage this condition, especially when it is being exacerbated by the workplace.The aim of this article is to present the occupational health (OH) care of Mali (a pseudonym), a soldering technician, who had been referred to OH by his manager following seven episodes of short-term absence related to asthma.These absences had resulted from exacerbations of his existing asthma and had arisen since commencing his role. There were concerns these absences could be associated with the work processes he performed.About the authorsBarbra Grohs is a specialist occupational health adviser and Professor Anne Harris is emeritus professor in occupational healthWhen undertaking a management referral, the OH nurse/client interaction is associated with professional responsibilities. This includes the OH nurse having a duty to ensure from the outset that the employee has been properly informed of the purpose of the consultation and ensuring they have consented to the process and the preparation and release of an OH report.Written consent to proceed with the consultation was therefore obtained. The role of the advisor and of the OH service in ensuring employees are not harmed by the work they perform was explained and the OH role in promoting the health and wellbeing of the workforce was highlighted (Thornbory, 2014).To establish transparency, the reason for the referral was discussed. The questions raised by his manager and sickness absence dates were confirmed. The consequences of Mali not consenting to either the referral or release of the report were clearly explained.The nature of the report to be sent to his manager following the consultation was clarified and he was told he could have sight of it before it was sent to the referring manager to correct any factual inaccuracies.The confidential nature of the consultation was explained, as was how any health information would be used. Personal information must be kept confidential and information disclosed with the employee’s consent and only when justified. Once this had been established the consultation was undertaken.Characteristics of asthmaAsthma is a common respiratory condition affecting people of all ethnicities, genders and across the age spectrum. It is characterised by airway inflammation, bronchial hyper-reactivity and bronchospasm leading to symptoms of recurring chest tightness, wheezing coughing and breathlessness. It is one of the major non-communicable diseases with more than 235 million people living with this condition (World Health Organization (WHO) 2017).In the UK three-and-a-half million adults of working age suffer from asthma (Asthma UK, 2019) with a significant national impact, as the NHS spends £1bn per annum on treating this condition (Lofts & Wong 2018).Mali disclosed having suffered with asthma since childhood, explaining that strong smells, exercise and stress triggered attacks.He had observed an association between a recent exacerbation of his symptoms and his work as a welder. Such an association has also been noted by the Health and Safety Executive (2019).Recognising trigger factors is important, as avoiding triggers can improve their symptoms reducing the likelihood of an acute exacerbation of their condition.Mali’s condition was controlled using Symbicort and Ventolin inhalers. He was a non-smoker and, other than long-standing seasonal rhinitis, had no other long-term conditions. His asthma had been well controlled until commencing his current post as a full-time soldering technician six months previously.He disclosed having been admitted to hospital for treatment for asthma two years ago, but since that point he had generally been symptom-free, rarely needing to use his Ventolin inhaler.Over the last few months however, and since taking up his current post, he was now having three to four asthma attacks each week. The effectiveness of his medication had last been reviewed by his general practitioner three months previously.Mali’s work tasks involved melting and applying solder using colophony, a rosin-based solder flux. Colophony, a known asthmagen (Health and Safety Executive 2015) is a common cause of occupational sensitisation.It has been identified as one of the top five causes of occupational asthma and in the top ten for causing allergic alveolitis, eye irritation and rhinitis (Burge, 2000). Since starting this job, his use of inhalers had increased and his hayfever symptoms, which included rhinitis and eye irritation, had worsened.Asthma control testAn indication of the level of symptom control can be assessed using the asthma control test (Nathan et al 2004). This incorporates five multi-choice questions producing an overall score of between 5-25, with a score below 19 indicating sub-optimal control. Mali scored within in this category.A purely biomedical model could have been used to identify and document health issues. Such an approach has its limitations as it focuses on biological pathology but fails to take into account subjective experiences and human qualities (Palmer et al, 2013). The biopsychosocial model (BPSM) proposed by Engel (1980) incorporates a more holistic approach than the pure medical model incorporating additional psychosocial facets.Although preferable to a purely medical model, the shortfall is that it lacks sufficient focus on factors within the workplace. The seminal Hanasaari (1988) model takes workplace issues into consideration. Consequently, the assessment process was guided by both the Hanasaari (1988) model and the BPSM, as this provided a systematic approach to taking a medical, psychological and social history and considers the client within the context of the workplace.How these approaches were applied is discussed below. The Hanasaari (1988) model was selected to guide the consultation, as it incorporates a global view on assessing the relationship between the employee (man), health and work represented by the central triad (Federation of Occupational Health Nursing in the European Union (FOHNEU), 1998).An outer circle acknowledges global effects, includes the economic, political, social, ecological and organisational factors. Within these global concepts lie organisational policies and procedures and the legal aspects discussed above, such as the requirements of Section 2 of the Health and Safety at Work Act 1974, the Control of Substances Hazardous to Health (COSHH) Regulations 2002.With regards to COSHH, regulations six and 11 are particularly relevant, as the former requires risk assessments and the latter requires health surveillance to be offered to employees working with hazardous materials.The Equality Act 2010 is also pertinent as asthma is a long-term condition, and was significantly impacting on Mali’s quality of life. The decision regarding whether the Equality Act 2010 applies is a legal one, however, and can only be made by a judge or an employment tribunal judge.Under the Hanasaari model, occupational health is presented as a flexible, proactive influence that improves the health of employees, with the potential to affect communities outside the workplace and influencing the total environment.The level of its impact is influenced by: the global environment, teamwork, research and professional and personal values of the nurse (FOHNEU, 1998). Engel’s BPSM incorporates coloured flags representing medical, psychological and social elements that may be barriers to continuing in post.The referral information provided by Mali’s manager was important in relation to the man, work and health triad that is central to the Hanasaari (1988) model. Mali’s manager had provided data-sheets for all the materials to which Mali was exposed in the workplace, including those for solvents and cleaning agents.The data-sheets for these materials included the hazard statements H334 and H335 and risk phrases R42 and R43, indicating their association with respiratory irritation and sensitisation from inhalation and skin contact. Four of the eight chemicals he used could have been aggravating Mali’s asthma and, it was concluded, could be associated with worsening his rhinitis and his increased use of inhalers.Pathophysiological changes associated with asthmaAsthma is a heightened auto-immune response associated with environmental and genetic factors resulting from immune responses elicited by antigens and characterised by raised IgE antibody levels (Spickett, 2013).The IgE antibody is specific to one allergen, triggering the release of histamine and heparin granules from the mast cess into the interstitial tissue, resulting in oedematous and restricted airways (West and Harriss 2016).Lofts and Wong (2018) note two types of occupational asthma: irritant-induced and allergic asthma. In Mali’s case, the material data-sheets confirmed that materials he used at work included both respiratory irritants and sensitisers. Although Mali stated that his asthma attacks could also be triggered by exercise, his symptoms worsened significantly when performing soldering activities.Cullinan (2011) highlights the two broad categories of work-related asthma, the first a newly induced exposure to airborne sensitiser or irritant at work and the second a pre-existing asthma provoked by workplace exposure to aggravating agents, including exercise, fumes and dusts. Welding and soldering are high risk with regards to exacerbation of asthma and the development of occupational asthma.People with asthma have very sensitive airways, triggers causing the muscles around the airways to tighten, restricting their lumen. The lining becomes inflamed with increased sputum further narrowing them, resulting in increasing breathing difficulties (British Lung Foundation (BLF), 2019).Spirometry is the lung function test used in the assessment of people with respiratory illnesses. Three spirometry measurements, the FVC, FEV1 and FEV1/FVC ratio, are compared to predicted values based on healthy individuals with normal lung function of the same sex, age, height and ethnicity of the person being assessed.Interpretation of spirometry results involves comparing measured values to predicted values. If the FVC and the FEV1 are within 80% of the predicted value, the results are considered to be normal. The normal value for the FEV1/FVC ratio is 70% (65% in those aged over 65). The lower the measured value compared to the reference value corresponds to increasingly severe lung abnormality, as shown below.Spirometry test FVC and FEV1Normal: equal to or greater than 80%Abnormal: 70-79% (mild); 60-69% (moderate); less than 60% (severe)Spirometry test FEV1/FVC  Normal: equal to or greater than 70%Abnormal: 60-69% (mild); 50-59% (moderate); less than 50% (severe)Mali’s FEV1 was 70% of the predicted value based on his height and ethnicity and an FEV1/FVC ratio of 69% indicating a moderate abnormality and an obstructive pattern. Mali gave positive answers for asthmatic symptoms, and when spirometry was undertaken an FEV1/FVC ratio of 69% was recorded.In order to gain a better insight into the timing and severity of his symptoms, Mali was asked to participate in serial peak expiratory flow measurements. These were performed two-hourly during waking hours on both work and non-workdays and over a four-week period.The aim was to identify any patterns which might indicate work exacerbated asthma (Moore, 2012). This term describes the worsening of asthma related to work but the patient’s asthma is not caused by work.Engel’s (1980) BPSM provides a holistic understanding of health and as a function of the relationship between biological, psychological and social elements (Lunt et al, 2007) explaining biopsychosocial interrelations, coping mechanisms, personality, social support, organisational culture, and socio-economic elements.In Mali’s case, using this model for a comprehensive assessment provided reliable information for quality clinical records and reports. Central to this model is that healthcare must take account of the influence of psychosocial factors on the course of illness shifting the focus from disease and recognising that illness starts with a health problem, is subjective and has a personal, psychological dimension which is ultimately expressed in a social context (Palmer et al 2013).Cognisance of the clinical effects of asthma is referred to as red flags, (Watson, 2012) and formed one element of the consultation. The second facet of the BPSM is a range psychosocial flags.Watson (2012) observes that yellow flags consider how feelings and behaviours affect the way an employee manages a situation, black flags relate to the environment within which the employee functions whilst blue flags cover workplace concerns and the client’s perceptions regarding their work and health (Watson, 2012).Mali was keen to continue to undertake his existing work responsibilities, so there were no concerns regarding blue flags. He was aware his manager was keen to ensure that none of his team should be exposed to hazardous materials and therefore black flags were not a concern.The only other significant applicable flag was a blue flag and related to Mali’s perception that his colleagues were unsupportive. He reported they made fun of him during exacerbations of his asthma, telling him to calm down as they thought he was having a panic attack. This experience was explored with Mali, along with strategies which could be utilised to address this.Referral to an occupational physicianAs a deterioration in his lung function was noted and associated with his work with colophony he was referred to the occupational physician (OP) for a further opinion.A diagnosis of work-exacerbated asthma resulted. This condition is generally manageable provided there is careful attention to the control of workplace exposures. Elimination of causative materials, substituting these with other reagents, engineering and administrative controls are first-line control strategies.Personal protective equipment (PPE) should only be considered as the last resort once all other available control measures have been tried and deemed inadequate. This advice was incorporated in the response from the OH nurse to Mali’s manager.A further recommendation was that the efficacy of control measures should be checked and an occupational hygienist would be able to give advice on whether current control measures were both sufficient and effective.Cullinan (2011) notes that such workplace controls should be supplemented with appropriate pharmacological treatment of the underlying disease.ConclusionEffective collaboration with an OH multi-professional team including an OH nurse, physician and hygienist helped Mali returned to work safely. This supported the employer to meet its business needs and its legal obligation to ensure the safety at work of its employees.As a result of a risk assessment and a further assessment undertaken by an occupational hygienist it was decided that improvements could be made with regards to local exhaust ventilation.The specification of an extracted booth with air speed between 0.5m and 1m per second at the face of the booth and tip extraction on the soldering iron would reduce exposure to hazardous substances during soldering.Effective local exhaust ventilation or dust/fume extraction can carry away airborne contaminants before they can be inhaled.In conclusion, considering the effect of work processes on health and health on work and viewing these through the lens of the Hanasaari (1988) model focused the approach of the OH adviser when considering the effect of work processes on health and health on work.It acted as a reminder that the role of the OH adviser is to consider how work-exacerbated ill health can be addressed.The multi-disciplinary team approach involved further advice from an occupational physician and an occupational hygienist. The BPSM guided the consultation by the OH nurse and ensured psychosocial elements were acknowledged.Recommending strategies that supported Mali to remain at work and avoid unemployment was an important public health initiative, as unemployment and financial deprivation is associated with deteriorating health (Black, 2008).ReferencesAsthma UK (2019). Asthma Facts and Statistics. Available from: www.asthma.org.uk/about/media/facts-and-statistics/British Lung Foundation (2019). Spirometry and Reversibility Testing. Available from: www.blf.org.uk/support-for-you/breathing-tests/spirometry-and-reversibilityBlack, D, (2008). Working for a Healthier Tomorrow. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/209782/hwwb-working-for-a-healthier-tomorrow.pdfBurge, P., (2000). Colophony Hypersensitivity Revisited. 30. P158-9, Clin Exp Allergy. Available from www.occupationalasthma.com/occuapational_asthma_viewreference.aspx?id=4138The Control of Substances Hazardous to Health Regulations 2002. Available from: www.legislation.gov.uk/uksi/2002/2677/regulation/7/madeCullinan, P, (2011). Evidence Based Guidance for the assessment of new employees with asthma: A report to the British Occupational Health Research Foundation. Available from: http://bohrf.org.uk/downloads/Evidence_based_guidance_for_the_assessment_of_new_employees_with_asthma.pdfEngel, G, (1980). The Clinical Application of the Biopsychosocial Model. AMJ Psychiatry; 137: 535-805.Federation of Occupational Health Nurses within the European Union (FOHNEU), (1993). Hanasaari Conceptual Model. Available from: https://fohneu.org/r-d/hanasaari-modelHarriss, A, and Smith, S, (2016). Taking a Health History in Occupational Health. Available from www.personneltoday.com/hr/taking-a-health-history-in-occupational-health/Health and Safety Executive [no date], COSHH essentials: Controlling exposure to chemicals – a simple control banding approach. Available from: www.hse.gov.uk/pubns/guidance/coshh-technical-basis.pdfHealth and Safety Executive (2015), Controlling Health Risks from Rosin (Colophony) – based Solder Flux fume. Available from: www.hse.gov.uk/pubns/indg249.htmLofts, J, & Wong, C, (2018). 10 Facts about Asthma that will make you re-think the condition. Available from: www.echo.co.uk/blog/10-facts-about-asthma-that-will-make-you-rethink-the-conditionLunt, J, et al (2007). Available from: Applying the Biopsychosocial Approach to Managing Risks of Contemporary Occupational Health Conditions: Scoping Review Available from: www.hse.gov.uk/research/hsl_pdf/2007/hsl0724.pdfMoore, V, (2012). Spirometry: Step by Step. Breath ESR Journals, 8, pp232–240. DOI: 10.1183/20734735.0021711. Available from: https://breathe.ersjournals.com/content/8/3/232Nathan, R A, Sorkness, C A, Kosinksi M, et al (2004). Development of the asthma control test: a survey for assessing asthma control. Journal of Allergy and Clinical Immunology 113 (1) 59-65Palmer, K, Brown, I, and Hobson, J, (2013). Fitness for Work: The Medical Aspects, 5thEd. Oxford University Press, OxfordSpickett, G, (2013). Oxford Handbook of Clinical Immunology and Allergy. 3rd Edition. Oxford. Oxford University PressThornbory, G, (2014). Contemporary Occupational Health Nursing: A Guide for Practitioners. London, RoutledgeWatson, H, (2012). CPD: Psychosocial flags system. Available from: www.personneltoday.com/hr/cpd-psychosocial-flags-system/West, A, and Harriss, A, (2016). Work Aggravated Asthma. Available from: www.personneltoday.com/hr/case-study- /World Health Organization (2017). Asthma. Available from: www.who.int/news-room/fact-sheets/detail/asthma Occupational Health & Wellbeing research round-up: August 2020Occupational health is “thin line” protecting the Covid-19 frontlineThe workload in healthcare occupational health has increased 20-fold as a… Occupational Health & Wellbeing research round-up: December 2020Fatigue and workplace exercise programmesWork-related fatigue is related to a range of negative consequences, including poor productivity. This study… Occupational Health & Wellbeing research round-up: October 2020Work environment risk factors for MSDsErgonomic improvements and stress reduction interventions are likely to cut the prevalence of sickness…center_img CPD: And breathe – managing employees with work-exacerbated asthmaOn 3 Jan 2020 in Continuing professional development, Respiratory, OH service delivery, Research, Return to work and rehabilitation, Occupational Health, Personnel Today Related posts: Previous Article Next Articlelast_img read more

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Frost flowers – implications for tropospheric chemistry and ice core interpretation

first_imgThis paper discusses the chemical composition of frost flowers and their accompanying slush layers and the evidence for their role as a salt source in processes important to atmospheric chemistry and ice core interpretation. Analysis of Antarctic frost flowers shows that they are highly saline and fractionated in sea-salt ions, with sulfate being depleted strongly relative to sodium. Because frost flowers give a bright return on satellite scatterometer images, the times and places of their formation can be identified. When winds blow towards an aerosol sampling station from areas identified by the scatterometer as covered with flowers, the collected aerosol is also depleted in sulfate. Because the flowers have a large salinity, bromide concentrations are elevated in frost flowers relative to seawater. With their high surface area, it is possible that bromine is released to the atmosphere from frost flowers, with consequent implications for tropospheric ozone depletion. The finding that quantities of fractionated sea salt are available at the sea–ice interface in the winter months and may be transported inland as aerosol also has implications for the interpretation of ice core records. Analysis of one near-coastal core shows that the majority of the sodium comes from a fractionated source rather than from open water. Hitherto, strong sea-salt signals in ice cores have been attributed to increased open water and more efficient transport inland, perhaps due to stormier weather. At least in coastal regions, however, these signals may be related instead to the increased formation of sea ice and frost flowers.last_img read more

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