Access to patient-centered medical home among Ohio's Children with Special Health Care Needs.

Medical homes deliver primary care that is accessible, continuous, comprehensive, family centered, coordinated, compassionate and culturally effective. Children with special health care needs (CSHCN) require a wide range of support to maintain health, making medical home access particularly important. We sought to understand independent risk factors for lacking access.

Occupational exposure to trichloroethylene and cancer risk for workers at the Paducah Gaseous Diffusion Plant.

Objective: The Paducah Gaseous Diffusion Plant (PGDP) became operational in 1952; it is located in the western part of Kentucky. We conducted a mortality study for adverse health effects that workers may have suffered while working at the plant, including exposures to chemicals.

Materials And Methods: We studied a cohort of 6820 workers at the PGDP for the period 1953 to 2003; there were a total of 1672 deaths to cohort members.

Time-period mortality patterns in a Gaseous Diffusion Plant workforce.

Background: We sub-divided a cohort of 6820 workers at the Paducah (KY) Gaseous Diffusion Plant (PGDP) which was traced from 1953 to 2003. The subdivisions were made to assess the mortality risks in a sub-group of workers employed solely during the plant's refit period, a time of suspected higher exposure to metal dusts (nickel, arsenic, chromium and uranium) and trichloroethylene.

Methods: This article describes a comparison of exposures and causes of death for 754 workers employed exclusively during the period of 1975-1979, with 1554 workers who worked in this period as well as other years.