Medycyna pracy最新文献

{"title":"Causation in different scientific disciplines: A comparison of standards in occupational medicine and particle physics.","authors":"Jack Rennie Dale","doi":"10.13075/mp.5893.01387","DOIUrl":"10.13075/mp.5893.01387","url":null,"abstract":"<p><p>Occupational medical research involves the collection and analysis of data to draw conclusions about the causes and prevention of workplace injuries and diseases. However, there has been criticism that some studies lack rigour in determining causation. This article examines the similarities and differences between occupational medical research and particle physics in terms of their approach to hypothesis testing, statistical methods, and confounder control. The article also explores the use of criteria such as the Bradford Hill criteria to determine causation in occupational medical research. While particle physics is often viewed as a highly rigorous science, occupational medical research also employs rigorous scientific methods to ensure findings are accurate and reliable. However, there is room for improvement in determining causation in occupational medical research, particularly in the use of criteria such as the Bradford Hill criteria to guide the development of more robust studies. It is essential for occupational medical research to adhere to rigorous scientific methods to deliver findings that can help reduce workplace injuries and diseases. The use of criteria such as the Bradford Hill criteria can ensure that the conclusions drawn. Med Pr Work Health Saf. 2023;74(4):333-9.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"333-339"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593214","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":"Developing a model of information transfer practice between institutions targeted at primary health care patients who are asymptomatic carriers of carbapenemase producing <i>Enterobacteriacae</i>.","authors":"Małgorzata Timler, Wojciech Timler, Remigiusz Kozłowski, Agnieszka Zdęba-Mozoła, Michał Marczak, Dariusz Timler","doi":"10.13075/mp.5893.01393","DOIUrl":"10.13075/mp.5893.01393","url":null,"abstract":"<p><strong>Background: </strong>Drug-resistant bacteria are one of the main reasons of deaths worldwide. A significant group of these bacteria are carbapenemase producing <i>Enterobacteriaceae</i> (CPE). The goal of this study was to develop a diagnostic and therapeutic model targeted at asymptomatic carriers of CPE.</p><p><strong>Material and methods: </strong>A team of experts from different branches connected to health care, discussing the topic based on the data collected from previous research. Working sessions were dispersed between June and December 2022. The consensus has been reached via repeated discussion and literature search.</p><p><strong>Results: </strong>The facility where CPE are detected is required to create an alert pathogen note and to notify sanitary-epidemiological station and National Reference Centre for Antimicrobial Susceptibility of Microorganisms - neither these institutions, nor the patient are required to notify the primary care physician. In primary care clinics, it is possible to work towards breaking the transmission of CPE by educating patients with CPE and persons who were in contact with them, and to undertake actions in order to look for patients with risk factors for CPE colonisation. In order to improve communication between individual levels of the health care system, standardised information could be introduced to the discharge note about a case of CPE, which will be electronically transmitted to the primary care facility. It might contribute to effective combating of the spread of CPE, by serving as a source of knowledge and education for patients and by checking the patient's risk factors, which will improve the performance of tests for CPE colonisation.</p><p><strong>Conclusions: </strong>The established model of good practice requires a change of legal regulations and its implementation, which will reduce the spread of CPE in health care facilities and will enable its future improvement. Med Pr Work Health Saf. 2023;74(4):263-70.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"263-270"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593216","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":"Concept of health surveillance programme for workers exposed to respirable crystalline silica at present and in the past.","authors":"Joanna Nowak-Pasternak, Beata Świątkowska, Agnieszka Lipińska-Ojrzanowska","doi":"10.13075/mp.5893.01394","DOIUrl":"10.13075/mp.5893.01394","url":null,"abstract":"<p><p>In the paper authors present general assumptions of health surveillance programme concept for workers employed in respirable crystalline silica (RCS) exposure at present and in the past. There is no effective treatment for silicosis thus disease prevention is of paramount significance. For decades efforts of World Health Organization (WHO) and International Work Organization (ILO) have been focused on eliminating silicosis globally. Unfortunately silicosis is still one of the most lethal occupational diseases and the preventative programmes have not yet been successful. The authors identify main steps to complete an overview of RCS exposure and suggest lines of actions to be taken before launching the health surveillance programme. Introduction of the health surveillance programme would increase awareness of harmful health effects of the RCS exposure, emphasize the significance of preventive medical check-ups and early diagnostics of occupational diseases as well as the importance of using appropriate protective equipment. The programme development on a national level might be carried out with the cooperation of multiple backgrounds and institutions. This would allow for detailed planning, implementation, monitoring and effective evaluation of its results. Having a better and updated knowledge of silicosis epidemiology, early diagnostics, the possible sources of RCS occupational exposure and evaluation of undertaken preventive actions are crucial factors in disease prevention. The programme introduction would be of educational significance for all the stakeholders and the groups engaged in the project implementation, which would contribute to high effectiveness of the preventive activities and their improvement in the future. Med Pr Work Health Saf. 2023;74(4):341-6.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"341-346"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593215","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 impact of electronic gaming on upper-limb neuropathies among esports athletes.","authors":"Reem M Basuodan, Aljoharah W Aljebreen, Hetaf A Sobih, Kholoud A Majrashi, Noura H Almutairi, Sadeem S Alhaqbani, Mohammed H Alanazy","doi":"10.13075/mp.5893.01421","DOIUrl":"10.13075/mp.5893.01421","url":null,"abstract":"<p><strong>Background: </strong>The authors aimed to explore carpal tunnel syndrome (CTS) among electronic sports (esports) athletes, to compare hand symptoms and their severity between esports athletes and the control group and within the esports athletes, and to study the relationship between esports athletes' variables.</p><p><strong>Material and methods: </strong>A cross-sectional survey study via telephone with systematic randomized approach was used for esport athletes sampling. Control group were non-esports athletes who do not use computer for prolonged duration. The survey consisted of sports athletes' characteristics, hand symptoms and functions, and the <i>Boston Carpal Tunnel Questionnaire</i> (BCTQ). The unpaired student's t-test, Mann-Whitney U test, and χ² test were utilised for statistical comparison, with p < 0.05. Pearson's and Spearman's correlation coefficient tests were used for relationship analyses.</p><p><strong>Results: </strong>Eligible participants were 198 out of 229. Compared to control group, esport athletes reported more CTS (p = 0.01), and radiated pain and numbness in their hands (p = 0.05). Males complained of hand symptoms (p < 0.01) and its radiation (p < 0.01) more than females among esports athletes. Higher BCTQ <i>Symptom Severity Scale</i> (BCTQ-SSS) scores were reported for esports athletes who had been playing esports for prolonged periods compared to those who had playing recently (p = 0.003), with a moderate positive correlation (+0.59, p = 0.004). A significant moderate positive correlation was reported for BCTQ <i>Functional Severity Symptoms</i> (BCTQ-FSS) scores in terms of hours of playing (+0.44, p = 0.04). Esports athletes who used armrests and a PC with a controller for gaming reported less hand symptoms and had milder BCTQ scores than those who used a PC with a keyboard/mouse. Generally, esports athletes spend 5-10 h/day on gaming.</p><p><strong>Conclusions: </strong>Esports athletes might be at risk of developing upper-extremity nerve compression and CTS. Prolonged playing, hours of playing, type of esports device, and using armrests are possible risk factors. Med Pr Work Health Saf. 2023;74(4):279-87.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"279-287"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593218","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 occupational hazards and their prevention in the work of dental technicians during the COVID-19 pandemic].","authors":"Anita Karwowska, Jan Kochanowicz, Dominik Maślach, Bartosz Pędziński, Michalina Krzyżak","doi":"10.13075/mp.5893.01405","DOIUrl":"10.13075/mp.5893.01405","url":null,"abstract":"<p><strong>Background: </strong>Work of a dental technician is associated with exposure to a number of harmful factors. We can distinguish: chemical, biological, physical and psychophysical factors. They contribute to many diseases, but not all of them are classified as occupational diseases. The main aim of the study was to assess the health hazards that occur in the workplace of a dental technician and their prevention during the COVID-19 pandemic.</p><p><strong>Material and methods: </strong>An epidemiological cross-sectional study was conducted. A self-created questionnaire form containing 28 questions was used. The link to the survey was shared on social groups associating dental technicians. Participation in the study did not require logging in. During the data collection, the respondents' personal data were not collected and processed.</p><p><strong>Results: </strong>148 dental technicians participated in the study. The largest group were participants aged 21-25 (32%), the smallest group were people over 50 (6%). The most frequently occupied position was acrylic and plaster. More than 1/3 of those surveyed reported having allergies, most often to acrylic or metal. More than 20% of technicians reported experience of mechanical injuries several times a week or more. 17% of technicians declared professional burnout. 80% of technicians used protective clothing. Personal protective equipment was always used by only 22% of technicians, and as many as 29% of respondents never used the listed protective equipment.</p><p><strong>Conclusions: </strong>Not all dental laboratories were equipped with the necessary personal protective equipment. The most commonly used personal protective equipment included: disposable gloves, disinfectant liquid and extract. The COVID-19 pandemic contributed to a change in disinfection procedures in more than 1/3 of the respondents. 35% of them started using disinfection only after the outbreak of the pandemic, while most of the changes concerned the improvement of existing procedures. The length of work experience of technicians had an impact on exposure to stress and occupational burnout. Med Pr Work Health Saf. 2023;74(4):289-99.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"289-299"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593212","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":"[Impact of infrasound and low frequency noise on human health and well-being. Part I: Review of experimental studies].","authors":"Małgorzata Pawlaczyk-Łuszczyńska, Adam Dudarewicz, Iryna Myshchenko, Alicja Bortkiewicz","doi":"10.13075/mp.5893.01354","DOIUrl":"10.13075/mp.5893.01354","url":null,"abstract":"<p><p>This paper summarizes the currently available knowledge on the impact of infrasound and low frequency noise (LFN) on human health and well-being. This narrative review of the literature data was based on the selected, mostly, peer-reviewed research papers, review articles, and meta-analyses that were published in 1973-2022. It has been focused on infrasound perception, annoyance attributed to infrasound and low-frequency noise, as well as their effects on the cardiovascular system and sleep disorders. Particular attention was also paid to the latest research results and specific sources of infrasound and LFN, i.e., wind turbines. Med Pr Work Health Saf. 2023;74(4):317-32.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"317-332"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593213","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":"Job satisfaction among nurses working in hospitals during the COVID-19 pandemic.","authors":"Beata Dziedzic, Maria Jagiełło, Ewa Kobos, Zofia Sienkiewicz, Łukasz Czyżewski","doi":"10.13075/mp.5893.01350","DOIUrl":"10.13075/mp.5893.01350","url":null,"abstract":"<p><strong>Background: </strong>Job satisfaction is one of the key factors related to the work efficiency of nursing staff. Its level may affect the degree of the professional's commitment to work and effectiveness in performing their professional tasks. For a modern organisation, job satisfaction is associated with a number of benefits for both the employee and the employer. Job satisfaction of nurses is extremely important due to their professional tasks being related to the care of patients. Nurses with low levels of job satisfaction may have less capabilities to provide high quality care and thus maintain a high level of patient satisfaction.</p><p><strong>Material and methods: </strong>This was a cross-sectional observational study which included 302 people practising the profession of a nurse and employed in a hospital during the COVID-19 pandemic. The level of job satisfaction was assessed using the <i>Minnesota Satisfaction Questionnaire</i> (MSQ), which was preceded by questions characterising the research group. The questionnaire was delivered to the respondents in electronic form.</p><p><strong>Results: </strong>The respondents obtained an average result in terms of the level of job satisfaction (M±SD 58.53±11.42). The highest rated area was the chance to do something good for other people (M±SD 3.85±0.87), and the lowest rated areas included: the method of work evaluation and the remuneration system (M±SD 2.24±0.74), the chances for advancement (M±SD 2.38±0.94) and the chance to take up senior positions (M±SD 2.39±0.88) as well as the number of tasks to be performed during the working day (M±SD 2.40±0.86).</p><p><strong>Conclusions: </strong>In this study, average values of the level of job satisfaction were obtained. A higher level of job satisfaction was shown by those employed in a non-infectious hospital and those with higher monthly earnings. Employers' policy should focus on improving working conditions, the remuneration system and promotion opportunities. Med Pr Work Health Saf. 2023;74(4):271-8.</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"74 4","pages":"271-278"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593217","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":"Impact of infrasound and low frequency noise on human health and well-being. Part II: Review of epidemiological studies","authors":"Pawlaczyk-Łuszczyńska Małgorzata, Adam Dudarewicz, Iryna Myshchenko, Alicja Bortkiewicz","doi":"10.13075/mp.5893.01390","DOIUrl":"https://doi.org/10.13075/mp.5893.01390","url":null,"abstract":"","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136261682","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":"Relaxation and strain among emergency medical service personnel and emergency control center dispatchers during the first two waves of the SARS-CoV-2 pandemic","authors":"Heiko Schumann, Irina Böckelmann, Beatrice Thielmann","doi":"10.13075/mp.5893.01401","DOIUrl":"https://doi.org/10.13075/mp.5893.01401","url":null,"abstract":"Background: Workloads of emergency medical service personnel (EMP) and emergency control center dispatchers (CCDs) were manifold. The SARS-CoV-2 pandemic presented new challenges for the prehospital emergency medical service. The purpose of this study was to compare the status of stress/strain and recovery of Recovery-Stress Questionnaire among EMP and CCDs in Germany during the first 2 waves of the SARS-CoV-2 pandemic both between occupational groups and over time. Material and Methods: A total of 2426 emergency medical service personnel and control center dispatchers were questioned with the Recovery-Stress Questionnaire based on Kallus. The results from the first 2 waves of the pandemic (June–August 2020 and January–February 2021) were compared. Results: During the first and second wave of SARS-CoV-2 pandemic, the subjectively perceived stress of emergency medical service personnel and control center dispatchers increased, but recovery decreased. The CCDs showed more unfavorable values compared to EMP. Conclusions: Health promotion interventions are necessary to counteract possible career changes or mental or other diseases due to insufficient management. Med Pr. 2023;74(5)","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"4 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316029","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":"&lt;i&gt;Candida species&lt;/i&gt; at the workplace: microbiota component, opportunistic pathogen and zoonotic agent","authors":"Małgorzata Tokarska-Rodak, Marcin Weiner","doi":"10.13075/mp.5893.01412","DOIUrl":"https://doi.org/10.13075/mp.5893.01412","url":null,"abstract":"","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":"43 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135414876","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}