Reasonable Recommendations

Let s take an example. An extremely overweight worker with prior back injuries continues to tap into the company s workers compensation fund every few years because of recurring back problems. Recommendations to prevent recurrence taken from incident investigations and given to the steering committee included the following  

Encourage the team member to get on exercise program. Encourage the team member to see a doctor. 

Over the years I have seen all of the above recommendations offered as solutions to back injuries. I think that most readers would agree that many of these recommendations should not be included as recommendations to prevent a recurrence. What the steering committee should do is determine whether back injuries are a trend or a concern. If the answer to that question is yes, a closer look is in order. This closer look may require the committee to examine individual accident reports and medical reports to gather more information. 

While distributing these reports to members of the committee, an effort should be made to remove the names, dates, and personal information 

Keeping one s objectivity can be difficult. Trying to stay objective can be a much more difficult task when the company is a small, tightly knit group and the number of accidents is also small. In this case, most of the committee already knows whose names and personal information were removed from the handout—everybody knows Even though this may be the case, the committee must make every effort to remain objective and leave personalities out of the decisions. 

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There is some disagreement over when diffuse functions should be used. Certainly most workers employ them routinely in studying anions and excited states, but not ordinary lone pair molecules (molecules with heteroatoms, like ethers and amines). A reasonable recommendation is to study with and without diffuse functions species representative of the problem at hand, for which experimental results are known, and see if these functions help. A paper by Warner [52] gives useful references and a good account of the efficacy of diffuse functions in treating certain molecules with heteroatoms. He settles on the 6-31+G, i.e. 6-31+G(d), basis. 

The primary reason students gave for not using the website was that they did not know about the website or that they forgot about it. This is unfortunate but is a very real problem. Among students who did know about the website, the majority of students who chose not to use it stated that they did not need to use the website to learn chemistry. Therefore, it seems a reasonable recommendation that instructors assign the website as part of the students homework or other assignments, so all students have the opportunity to use the Web and to see for themselves if it would be useful to them. 

It will be clear from the above that, while we do intend to explain the sort of calculation we have used as outlined above, we do not plan to give precise details in this account. We omit detail because we are keenly aware that we do not know what details to recommend. It is hoped that some reasonable recommendations will be available before too much time has passed. 

Analyser systems are expensive and should therefore be adequately protected from their environment and the process streams that they control. Every analyser is liable to malfunction upon contact with rain, snow, Ice, wind, sand, dust and so forth. After some time, alternate hot-cold or humid-dry periods cause expansions and compressions that results In erosion and corrosion of the analyser. On the other hand, industrial environments are particularly severe as the rain and atmospheric humidity react with traces of hydrocarbons, sulphurized products and nitrogen oxides to form acids which accelerate corrosion. All these reasons recommend protecting the analyser to an extent depending on the potential hazards of the area where the analyser is... 

No specific studies have been carried out with imatinib and other CYP3A4-inducing drugs, but the manufacturers suggest that carbamazepine, dexamethasone, phenobarbital, and phenytoin, may also reduce imatinib serum levels, and they have a possible case on file with phenytoin. The manufacturers therefore reasonably recommend caution, and suggest that concurrent use with these drugs should be avoided. However, if this is not possible it would be prudent to monitor the outcome of concurrent use, and increase the imatinib dose as necessary. 

In the United States, the Combined Medicare and Medicaid Services (CMS) carefully reviewed all of the data regarding prophylactic indication for implantable cardioverter defibrillators. In a well-written summary of all the data regarding the outcomes of smdies in patients receiving ICDs, CMS provided recommendations for implantable cardioverter defibrillators in the United States (http //www.cms.hhs.gov/mcd/viewdedsionmemo.asp7id = 148). These recommendations are not necessarily followed in countries other than the US but they are reasonable recommendations based on the data. These recommendations were developed by a regulatory body that reimburses for medical procedures. 

A third concept comprises the test methodology. Here one goes a step further and includes the system analysis (often complex and time consuming) of aU the environments the test has to address and the objectives the results have to fulfill. What results from such analysis is not only a clear idea of the conditions to which a metal has to be resistant, or under which in inhibitor has to afford protection, but also an experimental test matrix that has to be executed before the application of the specific met2illurgy in conjunction with an inhibitor can be reasonably recommended (see also Chapter 1). 

For a variety of reasons, recommendations in the current literature can be inconsistent regarding the... 

Examination of Table 9.1 shows that the air provided by the plant (7 = 50dC, Gs = 0.1 kg/s) underestimated the minimum requirement by a factor of 14. Even at a temperature of 125dC, the minimum flow required was still five times that actually provided. Clearly, a combination of both higher temperature and greater blower capacity would be required to meet the drying specifications. A reasonable recommendation would be for a flow rate of 1 kg/s at 125dC at the point of delivery. This provides a safety factor of 2 over the tabulated (GJ m of 0-49 kg/s. 

Let s return to the typical back injury and determine what some reasonable recommendations might be. If we look at some items that are likely to come out of a steering committee s recommendations to eliminate back injuries besides those mentioned earlier, we will likely find recommendations for safe lifting technique training for all team members at appropriate time frames and encouragement in after-work wellness and fitness programs, if deemed appropriate by the treating physician. 

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