Oil transportation by tankers [microform] : an analysis of marine pollution and safety measures /

Bibliography: p. 85-88.

Occupational projections and training data /

Latest issue consulted: 1990 ed.

Occupational employment and wage estimates for sub-state areas of Maine /

"Data for 1999"

Occupational employment and wage estimates for Maine, statewide & Bangor Metropolitan Statistical Area (MSA), Maine; Lewiston-Auburn Metropolitan Statistical Area (MSA), Maine; Portland Metropolitan Statistical Area (MSA), Maine; Portsmouth-Rochester Primary Metropolitan Statistical Area (PMSA), New Hampshire (Portsmouth-Rochester PMSA, NH includes Kittery-York Labor Market Area, Maine); northeast balance of state, Maine; southwest balance of state, Maine.

Title from cover.

Improving the traffic operations and safety of full cloverleaf interchanges /

Mode of access: Internet.

Marine laws : navigation and safety /

Mode of access: Internet.

Occupational titles and supposed gender-neutrality : A corpus-based diachronic study on gender-neutral occupational titles in American English

Traditionally, some occupational titles have been explicitly marked for the gender of the group dominating the occupation. For example, in male-dominated occupations, titles often end with -man. However, since the second-wave feminist movement, several of the previously gender-biased titles have been supplemented by new, gender-neutral titles. Previous research has shown a discrepancy between researchers regarding the implications of these new titles. Some argue that the gender-neutral titles are only used for female referents, whereas others claim that gender-neutral titles, especially for male- dominated occupations, tend to still presuppose maleness. In the present paper, a corpus-based study is conducted on a few selected occupational titles. The aim is to investigate whether the gender-neutral alternatives have increased in usage over time, and whether the gender-biased ones have decreased. In addition, the study aims at examining whether the gender-neutral forms tend to be used primarily for women or men. The present study is corpus-based, examining the particular terms in the TIME Magazine Corpus. The results of the study show that there has been an increase of the gender-neutral forms since their introduction to English, and that they are primarily used when there is no explicit gender referencing. Proposed explanations for these results are that it may depend on the type of work involved in the selected occupations, as well as them being male-dominated. Furthermore, the results indicate that the gender- neutral terms are opted for when gender is either unknown or irrelevant for the context. 

Therapeutic efficacy and safety of chaperonin 10 in patients with rheumatoid arthritis: A double-blind randomised trial

Background Chaperonin 10 (heat shock protein 10, XToll(TM)) has anti-inflammatory properties related to the inhibition of Toll-like receptor signalling pathways. Our aim was to establish whether chaperonin 10 is safe and effective in the treatment of rheumatoid arthritis. Methods in this randomised, double-blind, multicentre study, 23 patients with moderate to severe active rheumatoid arthritis receiving disease-modifying antirheumatic drugs were randomly allocated to three treatment groups receiving intravenous chaperonin 10 twice weekly for 12 weeks at doses of 5 mg (n=8), 7.5 mg (8), or 10 mg (7). The primary outcomes were change in disease activity score (DAS28) and improvement of core disease measures (American College of Rheumatology response score) from baseline to week 12. All analyses were done by intention to treat. This study is registered with the Australian Clinical Trials Registry, number ACTRNO12606000041550. Findings Primary endpoint measures improved from day 14 in all groups and continued to improve to day 84. By end of study, a 20% improvement of core disease measures was seen in six (86%, 95% Cl 43-100), a 50% improvement in four (57%, 14-86), and a 70% improvement in two (29%, 0-57) patients given the highest dose of chaperonin 10. Clinical remission (as defined by a DAS28

Efficacy and Safety of Ticagrelor for Long-term Secondary Prevention of Atherothrombotic Events in Relation to Renal Function: Insights from the PEGASUS TIMI-54 trial

Aims: We evaluated the relationship of renal function and ischaemic and bleeding risk as well as the efficacy and safety of the P2Y12 platelet receptor inhibitor ticagrelor in stable patients with prior myocardial infarction (MI). Methods & Results: Patients with a history of MI 1-3 years prior from the Prevention of Cardiovascular Events in Patients with Prior Heart Attack Using Ticagrelor Compared to Placebo on a Background of Aspirin (PEGASUS)-TIMI 54 were stratified based on estimated glomerular filtration rate (eGFR), with<60 ml/min/1.73m2 prespecified for analysis of the effect of ticagrelor on the primary efficacy composite of cardiovascular death, MI, or stroke (MACE) and the primary safety endpoint of TIMI major bleeding. Of 20,898 patients, those with eGFR<60 (N=4,849, 23.2%) had a greater risk of MACE at 3 years relative to those without, which remained significant after multivariable adjustment (HRadj 1.54, 95% CI 1.27–1.85, p<0.001). The relative risk reduction in MACE with ticagrelor was similar in those with eGFR<60 (ticagrelor pooled vs. placebo: HR 0.81; 95% CI 0.68–0.96) vs. ≥60 (HR 0.88; 95% CI 0.77–1.00, pinteraction=0.44). However, due to the greater absolute risk in the former group, the absolute risk reduction with ticagrelor was higher: 2.7% vs. 0.63%. Bleeding tended to occur more frequently in patients with renal dysfunction. The absolute increase in TIMI major bleeding with ticagrelor was similar in those with and without eGFR<60 (1.19% vs. 1.43%), whereas the excess of minor bleeding tended to be more pronounced (1.93% vs. 0.69%). Conclusion: In patients with a history of MI, patients with renal dysfunction are at increased risk of MACE and consequently experience a particularly robust absolute risk reduction with long-term treatment with ticagrelor.

A study of the relationship between employee participation and safety performance within an industrial organisation

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Organisational change and safety culture: the impact of communication

This research examines and explains the links between safety culture and communication. Safety culture is a concept that in recent years has gained prominence but there has been little applied research conducted to investigate the meaning of the concept in 'real life' settings. This research focused on a Train Operating Company undergoing change in a move towards privatisation. These changes were evident in the management of safety, the organisation of the industry and internally in their management. The Train Operating Company's management took steps to improve their safety culture and communications through the development of a cascade communication structure. The research framework employed a qualitative methodology in order to investigate the effect of the new system on safety culture. Findings of the research were that communications in the organisation failed to be effective for a number of reasons, including both cultural and logistical problems. The cultural problems related to a lack of trust in the organisation by the management and the workforce, the perception of communications as management propaganda, and asyntonic communications between those involved, whilst logistical problems related to the inherent difficulties of communicating over a geographically distributed network. An organisational learning framework was used to explain the results. It is postulated that one of the principal reasons why change, either to the safety culture or to communications, did not occur was because of the organisation's inability to learn. The research has also shown the crucial importance of trust between the members of the organisation, as this was one of the fundamental reasons why the safety culture did not change, and why safety management systems were not fully implemented. This is consistent with the notion of mutual trust in the HSC (1993) definition of safety culture. This research has highlighted its relevance to safety culture and its importance for organisational change.