Medycyna pracy最新文献

{"title":"Effectiveness of joint health and safety units in occupational safety and health services: a field study and a scale.","authors":"Sule Sezgin, Murat Cal, Suleyman Ozdemir, Fatih Yilmaz","doi":"10.13075/mp.5893.01552","DOIUrl":"10.13075/mp.5893.01552","url":null,"abstract":"<p><strong>Background: </strong>To protect employees against the hazards they may be exposed to during work, employers must provide preventive occupational safety and health (OSH) in international and national legislation. Employers can provide these services by their firm or by third parties. Structures created outside the workplace, within the scope of the private sector, are called joint health and safety units (JHSUs). The number of studies examining the effectiveness and adequacy of JHSUs is limited.</p><p><strong>Material and methods: </strong>This study experimentally and hypothetically reveals the effectiveness level of JHSUs in providing OSH by conducting an extensive field study with a survey of 381 health and safety professionals and developing an <i>Occupational Safety and Health Services Effectiveness Scale</i>. Moreover, it compares those who receive the service from JHSUs and those who receive the service from the workplace, and the effectiveness level of JHSUs is evaluated.</p><p><strong>Results: </strong>The fit index as a result of confirmatory factor analysis with the scale is at an acceptable level with χ^²/df = 3.18, RMSEA = 0.076, TLI = 0.89, and CFI = 0.91. Cronbach's α values of the factors are at a high level of reliability with PMCE = 0.949, OSHA = 0.927, OSHCM = 0.875, OSHEC = 0.869, OSHSQ = 0.877, OSHSE = 0.852.</p><p><strong>Conclusions: </strong>The effectiveness of JHSUs in OSH services differs from the effectiveness achieved by internally assigning an occupational safety expert. The Student's t-test accepts all hypotheses H1-H6 regarding the developed scale and that there is a significant difference between the external and internal groups in all factors. Med Pr Work Health Saf. 2025;76(1):3-11.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Letter to the editor (November 30, 2024) concerning the paper \"The role of occupational rehabilitation in slicing off disability in amputees - a literature review and epidemiological analysis\"].","authors":"Marek Tradecki","doi":"10.13075/mp.5893.01599","DOIUrl":"10.13075/mp.5893.01599","url":null,"abstract":"","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"57-59"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Review of selected methods for estimating risk from occupational exposure to carcinogenic substances].","authors":"Małgorzata Kupczewska-Dobecka, Anna Nowak, Joanna Jurewicz","doi":"10.13075/mp.5893.01581","DOIUrl":"10.13075/mp.5893.01581","url":null,"abstract":"<p><p>Assessing the expected level of cancer risk associated with occupational exposure to chemical substances is extremely important, as it forms the basis for the proper and safe organization of work in a company. It allows the translation of scientific research findings into legal regulations, enabling the implementation of appropriate preventive measures and optimizing the protection of workers' health. This article discusses various methods for estimating the risk associated with the occurrence of cancer due to exposure to carcinogenic substances in workplaces. An analysis, summary, and synthesis of the literature were conducted, based on which 7 methods for estimating cancer risk were selected. These methods utilize descriptors (features or variables used to describe data), numerical modeling techniques measured during observations, and approaches based on artificial intelligence. The decision to select these specific methods was driven by their representativeness of different approaches to risk assessment, allowing for a comprehensive analysis and comparison of their strengths and weaknesses. The analysis revealed that there is no universal best method for risk estimation, and the choice largely depends on the data available from experimental animal studies. Key factors include the species and number of animals used in the experiment giving statistical power, the route of administration, the duration of the experiment, the incidence of spontaneous tumors, and the appropriate selection of tumors that might occur in humans. There is a need for continuous improvement and harmonization of risk assessment methods and the incorporation of the latest scientific research to effectively manage health risks associated with exposure to carcinogenic substances in the workplace. Med Pr Work Health Saf. 2025;76(1):41-55.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"41-55"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgments to reviewers of \"Medycyna Pracy. Workers' Health and Safety\" in 2024.","authors":"","doi":"10.13075/mp.5893.01612","DOIUrl":"https://doi.org/10.13075/mp.5893.01612","url":null,"abstract":"","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational anaphylaxis to food.","authors":"Paula Olszewska, Barbara Rymarczyk, Radosław Gawlik","doi":"10.13075/mp.5893.01532","DOIUrl":"10.13075/mp.5893.01532","url":null,"abstract":"<p><p>Increasing incidence and importance of allergies in everyday life leads to bigger impact on the professional lives of patients. Continuous exposure to various allergens may be a trigger factor of development allergic diseases, even anaphylactic shock. This paper summarizes available knowledge of occupational anaphylaxis to food. This narrative literature review was based on selected, peer‑reviewed research papers, review articles and case reports between 1997-2024. The aim of the review article was to present the growing problem of allergy patients working in the food industry and to draw attention to the danger of anaphylaxis. In addition to the most popular food allergens, such as milk protein, fish, crustaceans and eggs, authors presented less popular, but becoming more important, such as crickets. Due to the increasing popularity of alternative food sources, the significance of food allergies will become more important. It is worth mentioning that occupational anaphylaxis is not only limited to the exposure to the allergen in the workplace. It can happen outside the workplace as a result of repeated exposure, after re-exposure. Med Pr Work Health Saf. 2024;75(6):521-530.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"521-530"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Breast cancer under control - risk calculators].","authors":"Beata Pepłońska, Filip Turoboś","doi":"10.13075/mp.5893.01553","DOIUrl":"10.13075/mp.5893.01553","url":null,"abstract":"<p><p>Breast cancer is the most common malignancy in women. Over several decades of research, it has been determined which individual characteristics or exposure increase the likelihood of developing breast cancer. The co-occurrence of several factors is associated with a higher risk of developing this cancer. The ability to identify women whose accumulation of unfavorable factors causes a high risk of developing breast cancer is important for prevention, screening tests and also for medical doctors providing preventive care. For this purpose, many risk prediction models (risk calculators) have been developed. The aim of the manuscript was to discuss the most frequently used breast cancer risk calculators, paying particular attention to information about the risk factors they take into account, the method of interpreting the obtained results, the populations in which they are used and data from validation studies. Med Pr Work Health Saf. 2024;75(6):531-544.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"531-544"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The changing epidemiology of tick-borne encephalitis: epidemic surveillance and disease prevention challenges].","authors":"Ernest Kuchar, Ewa Augustynowicz, Robert Flisiak, Teresa Jackowska, Agnieszka Mastalerz-Migas, Aneta Nitsch-Osuch, Katarzyna Pancer, Leszek Szenborn, Jacek Wysocki, Joanna Zajkowska","doi":"10.13075/mp.5893.01575","DOIUrl":"10.13075/mp.5893.01575","url":null,"abstract":"<p><p>The increasing number of cases of tick-borne encephalitis (TBE) reported in recent years in Europe and, more recently, in Poland is a consequence of factors related to climate and environmental change leading to increasing tick populations and human behavior favoring exposure. In Poland, there is considerable regional variation in the incidence of TBE, resulting, among other factors, from underreporting of all cases and limited access to laboratory diagnostics. The consequence is low public awareness of the disease and insufficient use of vaccination as optimal prevention. The current system of surveillance for TBE in Poland needs to be improved: the introduction of standardised standards of clinical practice and wider access to laboratory. Med Pr Work Health Saf. 2024;75(6):569-582.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"569-582"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience - pilot study.","authors":"Katarzyna Paluch, Maciej Janiszewski, Michalina Ciurla, Agata Antoniak, Julia Haponiuk-Skwarlińska, Karolina Domosud, Gabriela Makulec, Agnieszka Jakubiak, Małgorzata Barańska, Marek Kuch, Dominika Klimczak-Tomaniak","doi":"10.13075/mp.5893.01533","DOIUrl":"10.13075/mp.5893.01533","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases, with myocardial infarction (MI) on the leading position, remain a serious health care issue and socio-economic burden. Nevertheless, factors influencing the return of patients to the professional activity are not fully understood. Cardiac rehabilitation may have a positive impact on the return to professional activity after MI. However, no study among participants in the comprehensive care after myocardial infarction (CCMI) model (in Polish: \"KOS-zawał\") evaluated this issue so far. The aim of the study was to evaluate factors influencing the return to work and duration of the sick leave after MI among patients who participated in the CCMI in a single reference cardiology centre in Poland.</p><p><strong>Material and methods: </strong>In total, 144 patients were screened retrospectively. Out of them, 105 were included in the analysis. All patients were treated with direct percutaneous coronary intervention according to current European Society of Cardiology guidelines and participated in cardiac rehabilitation within the CCMI program, therefore had been provided optimal and modern therapeutic approach. Data was collected based on patients' medical records and information furnished by the insurer.</p><p><strong>Results: </strong>Out of 105 patients analysed, 93 (88,6%) returned to work. A positive predictor of returning to work was male sex. Predictors of a prolonged return to work were older age and female sex. Completing rehabilitation, anthropometric factors, biochemical factors or results of post-MI echocardiographic examination did not influence the return to professional activity.</p><p><strong>Conclusions: </strong>A relatively large percentage of patients after MI and in the CCMI program returns to professional activity. Main factors of prolonged sick leave are older age and female sex. Med Pr Work Health Saf. 2024;75(6):501-510.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"501-510"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Misuse of OTC drugs as a public health problem - a case report of extreme severe hypokalaemia due to OTC drug therapy].","authors":"Michał Czekalski, Paulina Kaczmarek, Sebastian Słomka","doi":"10.13075/mp.5893.01574","DOIUrl":"10.13075/mp.5893.01574","url":null,"abstract":"<p><p>Over-the-counter (OTC) drugs taken as intended and according to medical advice are a safe form of disease control. In the public consciousness, they are regarded as harmless agents. Thus, there is a danger of insufficient knowledge about possible side effects, interactions with other drugs or the consequences of taking too high doses. The availability of OTC drugs and social acceptance of their use are sometimes the reason for their recreational use. This article describes the case of a female patient who presented to the emergency department with complaints such as significant weakness, deterioration of exercise tolerance, muscle weakness and dizziness. The subjective examination was deepened with a psychiatric history, which revealed a long-standing intoxication with non-steroidal anti-inflammatory drugs (NSAIDs). In conjunction with the toxicological findings, the reported complaints were considered to be a consequence of NSAIDs abuse and recommendations for therapeutic treatment for addiction were made. The article also discusses recommendations in the field of increasing awareness and prevention of OTC drug abuse and the use of the preventive care system in this area. Med Pr Work Health Saf. 2024;75(6):561-568.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"561-568"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Assessment of the importance of teleradiology services in the opinion of electroradiologists in Poland].","authors":"Bartłomiej Nowak, Agnieszka Wójcik-Knurowska, Joanna Szyszkowska","doi":"10.13075/mp.5893.01578","DOIUrl":"10.13075/mp.5893.01578","url":null,"abstract":"<p><strong>Background: </strong>Teleradiology is a modern service that allows for the transmission of imaging studies between facilities, clinicians, and qualified medical staff. It requires employers to meet many important legal formal criteria to properly deliver services. Teleradiology has significantly improved access to radiological services, including radiological examinations, and to specialists in narrow fields of radiology. The development of teleradiology and telemedicine, despite many benefits, also brings many risks, such as technical errors and improper service delivery.</p><p><strong>Material and methods: </strong>The study aims to assess the importance of teleradiology in the perception of electroradiologists who mediate in the delivery of this service, often overlooked by employers in its organization. The survey was conducted among actively practicing electroradiologists, particularly those working with teleradiology services. Electroradiologists in the study identified the advantages and disadvantages of the service, as well as various aspects related to the organization of teleradiology services. The study also aimed to raise awareness among personnel providing telemedical services. To asses the normality of distribution of the result obtained the following were used Kolmogorov-Smirnov test of normality of distribution, and non-parametric tests were used in their analysis and correlations between the some of the values.</p><p><strong>Results: </strong>The research group (N = 344) consisted of licensed electroradiologists (N = 99, 28.8%), master's degree holders in electroradiology (31.4%, N = 108), and electroradiology technicians (N = 137, 39.8%). Of these, 276 were female (80.2%) and 68 were male (19.8%) aged 23-67 years.</p><p><strong>Conclusions: </strong>Surveyed electroradiologists rated teleradiology services positively. The respondents most frequently pointed out 3 advantages of teleradiology: increased service accessibility, streamlining of radiology department work, and better allocation of human resources. The most commonly mentioned disadvantages of teleradiology among respondents include the possibility of errors in radiological procedures due to the lack of direct involvement of a radiologist in supervising the examination, the absence of a real-time monitoring system for the service, and the lack of standardization of hospital information systems. Med Pr Work Health Saf. 2024;75(6):511-519.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":"511-519"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}