Naso-pharyngeal entrapment. An unusual complication of naso-jejunal feeding tube insertion using a guidewire.

We present the case of an unusual complication of insertion of a naso-jejunal feeding tube (NJT) using a guidewire, where the guidewire formed an alpha-loop in the naso-pharynx, becoming entrapped after cutting into the soft palate. This required ENT input and a general anaesthetic to rectify the situation.

Oil and cancer.

A relatively high incidence of cancer of the skin, especially of the scrotum, due to occupational contact with mineral oil has been observed among shale oil workers and cotton mule spinners and, since the Second World War, among machine operators in the Birmingham region. A study has been made of the factors causing this high incidence and evidence is given that the respiratory and digestive tracts as well as the skin may be affected. The preventive measures are described and the suggestion made that they appear at the present time to be effective.

Glaucopsia--blue-grey vision.

460-461. Blue-grey vision due to the effect of certain amines on the eye is a recognized but generally little known phenomenon. We review previous accounts of the condition and describe our experience of its occurrences.

Lead poisoning in jewellery enamellers.

Lead poisoning in jewellery enamellers in Birmingham has been described both at the beginning of this century and again in recent years. The condition arises from the habit of some workers of placing the enamel applicator in the mouth. The history of the hazard is reviewed and an investigation described.

STANNOSIS IN HEARTH TINNERS.

There have been no published reports of stannosis in tinners. In this paper its occurrence in hearth tinners is described. In hearth tinning molten tin is poured into heated iron hollow-ware and smoothed over the internal surface with a cork bat.

ARSINE POISONING IN A SLAG-WASHING PLANT.

An investigation was carried out in an aluminium recovery works after the simultaneous occurrence of haemolytic anaemia in two workers in the slag disposal plant. The first worker was admitted to hospital suffering from nausea, backache, and haematuria. Jaundice developed on the next day.

Hard metal disease.

In Great Britain there have been no published reports of respiratory disease occurring amongst workers in the hard metal (tungsten carbide) industry. In this paper the clinical and radiological findings in six cases and the pathological findings in one are described. In two cases physiological studies indicated mild alveolar diffusion defects.