Brian Z. Brown

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The potential liability associated with inactive hazardous waste sites can be large for both policyholders and insurance companies. Our paper outlines several methods that can be used to estimate and monitor insurance company and/or policyholder liabilities associated with inactive hazardous waste sites. We have outlined several publicly available data(More)
This is a report of the use of autogenous tarsus as a free graft in 121 eyelid surgical procedures. Seventy-three operations were for reconstruction of full-thickness defects and 30 were for repair of eyelid retraction. The remainder were for repair of cicatricial entropion, symblepharon, distichiasis, and irregularity of the eyelid margin. No grafts(More)
Steroids have been used sine 1967 for the treatment of hemangiomas and for orbital hemangiomas since 1970. These were systemically administered which caused concern because of the possible systemic side effects. In 1979. Kushner described local injection of steroids in the eyelid of infants where an hemangioma obstructed the visual axis or refractive error(More)
A 12-year-old girl was diagnosed as having mucoepidermoid carcinoma of the lacrimal gland. To our knowledge, only 14 cases of mucoepidermoid carcinoma of the lacrimal gland have been reported in the literature; this is the first case occurring in a child. Clinically, this tumor presented as a painless proptosis with inferonasal displacement of the globe.(More)
Several materials have been used to extend the posterior lamella of the eyelids in cases of retraction due to thyroid disease, cicatrix, or loss of tissue. Substances previously used have been autogenous tarsus, mucous membrane, ear or nasal cartilage, and donor sclera or just space. I present the use of homologous bank tarsus, its advantages, limitations,(More)
A new method of surgical treatment for cicatricial eyelid retraction involves grafts placed in both the anterior and posterior lamellae of the upper eyelid, when there is a shortage of tissue in both layers, caused by previous surgical procedures. The anterior lamellar graft is of postauricular skin and the posterior graft is of buccal mucosa. The two(More)
Workers' Compensation insurers have instituted significant managed care initiatives over the last 3 to 5 years. Savings can be significant. Due to the potential savings from managed care initiatives, it is important to reflect managed care in pricing workers' compensation products. The impact of managed care on insurer loss costs may vary dramatically(More)
The Securities and Exchange Commission (SEC) and state insurance departments have added increased disclosure requirements for companies with environmental and asbestos (E&A) exposures. For insurance companies, Note 24 of the annual statement requires disclosure of recent E&A payments and reserves. For insurers and non-insurers, the SEC has issued Staff(More)
  • CASUALTYACTUARIAL SOUETY, Paul E. Lacko, +13 authors Douglas M. Hodes
As a line of business, workers compensation has undergone many significant changes in the last few years. Key elements at the forefront of change include the following: l Increased levels of retained exposure by employers; l Rapid growth in managed care initiatives; and l State enactment of comprehensive system reforms. Due to the above changes, actuaries(More)