Disability management is a relatively new field that has received some attention recently. Although organizations have traditionally avoided the management of disability and its associated costs, they cannot continue to do so. This paper demonstrated the high costs associated with workplace injuries. A literature search led to a plethora of models for managing disability. The purpose of this paper was to prove the need for disability management, but more importantly to develop an ideal disability management model: the Diamond Health Management (DHM) model. The model developed in this paper was the result of analyzing several models in terms of their strengths and weaknesses. Key elements were applied to the DHM Model. The DHM Model has gone beyond other models in its completeness and simplicity. As well, the DHM Model has a focus on the new challenges facing disability management: psychological disorders, substance abuse, and repetitive strain injuries. Evidence was presented to support the elements present in the DHM Model. Finally, suggestions for future research and implications for the field were discussed.

Cette recherche, de type qualitatif, a pour but la reconstruction du processus institutionnel d'enquete et de prise de decision dans le domaine de l'inspection du travail au Quebec. Plus precisement, nous voulons regarder le cheminement quotidien de l'inspecteur de la Commission de la sante et de la securite du travail (CSST) en ce qui a trait a son role dans les enquetes d'accidents et a son mandat au niveau de la prise en charge par le milieu "employeurs et travailleurs", lui permettant de proteger les travailleurs, des risques de sante de securite, dans les lieux de travail. Cette recherche nous a permis de conclure que les exigences du mandat, que l'on a confie a la CSST, est de proteger le travailleur, se trouvant, en permanence, module par une autre exigence, sans aucun doute, aussi forte; "celle de la survie economique, des entreprises, qu'elle controle". (Abstract shortened by UMI.)

Over the last few years the lay media have raised the question whether there may be a link between the use of police radar and the development of cancer. Radar has been used to measure traffic speed since the mid 1950's. The purpose of this research study was to determine the profile of exposure and cancer outcomes in members of the Royal Canadian Mounted Police (RCMP) who have ever performed radar duties. The design was a historical cohort study involving 4 cohorts. The target population was defined as all members of the RCMP who had been assigned to highway patrol from 1973 onward. Four cohorts of subjects were identified within this population and surveyed: pensioned members (n = 1819), active members who had 30 or more consecutive days of sick leave (n = 750), a sample of active members who had less than 30 consecutive days of sick leave (n = 750) and the deceased members (n = 146). The questionnaire ascertained police service, radar unit usage, diagnosis of cancer, risk factors for testicular cancer and socio-demorgraphic information. (Abstract shortened by UMI.)

The unilateral muscle activity of the erector spinae muscles, hip extensors, knee extensors, ankle dorsiflexors and plantarflexors, along with joint articulation kinematics of the ankle, knee, hip and lumbar region in the sagittal plane, were examined as' a multi-link system. The objective was to determine the effects of wearing work boots on joint kinematics with particular emphasis on the lumbar angle formed by the spinous processes of S3-L3-T10. Seventeen male subjects volunteered to perform specific 'repeated measures' exercises of a material handling nature while wearing properly laced work boots and barefoot with the feet on boot wedges but in an unbound state. Differences in relative angles, and EMG magnitude and timing were examined. The results of this study demonstrate that by externally restricting the articulation of the ankle-foot complex, other joints of the body compensate. If the restriction is in place for the most part, potentially, derogatory side effects could result such as back problems and the low back could become more susceptible to injury. Any research identifying other etiological factors that could be contributing to back pain or injury is very relevant. (Abstract shortened by UMI.)

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