International journal of occupational medicine and environmental health最新文献

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A narrative review on factors associated with job interruption during pregnancy. 对怀孕期间工作中断相关因素的述评。
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-09-07 Epub Date: 2023-08-22 DOI: 10.13075/ijomeh.1896.02132
Loïc Brunner, Peggy Chagnon Krief, Isabelle Probst, Alessia Abderhalden-Zellweger, Saira-Christine Renteria, Julien Vonlanthen, Karine Moschetti
{"title":"A narrative review on factors associated with job interruption during pregnancy.","authors":"Loïc Brunner, Peggy Chagnon Krief, Isabelle Probst, Alessia Abderhalden-Zellweger, Saira-Christine Renteria, Julien Vonlanthen, Karine Moschetti","doi":"10.13075/ijomeh.1896.02132","DOIUrl":"10.13075/ijomeh.1896.02132","url":null,"abstract":"<p><p>Most women continue to work during pregnancy. However, some of them have to stop working before giving birth. Absence from work poses several challenges for employers and employees, as well as for society. The literature on absence from work during pregnancy and its determinants remains inconsistent and rather scarce. To conduct a narrative literature review on the factors associated with work interruption and on existing interventions aimed at reducing the absence prevalence during pregnancy. The review refers to published peer-reviewed articles dealing with all types of work interruption among pregnant women. Keyword searches were performed in the electronic databases PubMed, EMBASE, and Google Scholar, covering the period 2000-2022. The review, which includes 42 papers, presents a broad and comprehensive picture of factors and interventions associated with absence from work among pregnant workers. The factors appear at different levels and include factors related to the pregnant women, such as individual health and socio-demographic factors; employer and workplace-related factors, such as risk exposures and working conditions; factors related to the role of the healthcare provider; and factors related to the national context (social benefits/insurance). The determinants of absence from work during pregnancy are complex and multifactorial and involve multiple stakeholders. The discussion addresses gaps and needs in the literature on pregnancy at work and in the field of occupational health. Int J Occup Med Environ Health. 2023;36(3):303-23.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 3","pages":"303-323"},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10197482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-year follow-up of post-traumatic stress disorder symptoms in healthcare workers after the COVID-19 pandemic in China. 中国COVID-19大流行后医护人员创伤后应激障碍症状的两年随访
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-09-07 Epub Date: 2023-08-28 DOI: 10.13075/ijomeh.1896.02082
Hao Chen, Qing Ma, Bo Du, Yan Huang, Shi-Guang Zhu
{"title":"Two-year follow-up of post-traumatic stress disorder symptoms in healthcare workers after the COVID-19 pandemic in China.","authors":"Hao Chen, Qing Ma, Bo Du, Yan Huang, Shi-Guang Zhu","doi":"10.13075/ijomeh.1896.02082","DOIUrl":"10.13075/ijomeh.1896.02082","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to conduct a 2-year follow-up of mental disorders in healthcare workers (HCWs) in a region of China outside the epidemic's core zone who happened to be directly or possibly exposed to persons with COVID-19.</p><p><strong>Material and methods: </strong>A cognitive analysis scale was utilized in the evaluation the mental or emotional state of HCWs at Xuzhou Medical University's affiliated hospital in the city of Xuzhou, China (a non-core epidemic area) 2 years after the first assessment during the COVID-19 pandemic. A total of 165 HCWs were selected as the study subjects. In accordance to the exposure risk of COVID-19 patients, the subjects were separated into 2 categories: a group with a high risk HCW (HHCW) (HCWs working in COVID-19-positive wards; N = 91) and a group with a minimal risk HCW (LHCW) (HCWs who worked in wards without COVID-19 patients at the same hospital; N = 75). The clinical as well as demographic information of every HCWs were collected.</p><p><strong>Results: </strong>The demographic data revealed significant differences in terms of occupation, remuneration, and selfless concerns amidst both categories (p < 0.05). There lacked a statistically notable difference in the occurrence of PTSD between the 2 groups. Data was analyzed for factors associated with PTSD, and the results showed that psychological resilience, job risk, and stress in the workplace were risk factors for PTSD. Additionally, the results of the logistic regression analysis showed that psychological resilience was a significant shared risk factor for PTSD in HCWs after the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>The 2-year follow-up showed no statistical difference in the incidence of PTSD between the HHCW group and the LHCW group. Workplace stress, occupational hazards, and psychological resilience were the major contributing risk factors for PTSD in HCWs. Int J Occup Med Environ Health. 2023;36(3):324-32.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 3","pages":"324-332"},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10197483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immunoaging - the effect of age on serum levels of NET biomarkers in men: a pilot study. 免疫老化——年龄对男性血清NET生物标志物水平的影响:一项初步研究。
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-09-07 Epub Date: 2023-08-28 DOI: 10.13075/ijomeh.1896.02125
Marzena Garley, Wioleta Justyna Omeljaniuk, Radosław Motkowski, Wioletta Ratajczak-Wrona, Ewa Jabłońska, Daniel Filipkowski, Angelika Edyta Charkiewicz
{"title":"Immunoaging - the effect of age on serum levels of NET biomarkers in men: a pilot study.","authors":"Marzena Garley, Wioleta Justyna Omeljaniuk, Radosław Motkowski, Wioletta Ratajczak-Wrona, Ewa Jabłońska, Daniel Filipkowski, Angelika Edyta Charkiewicz","doi":"10.13075/ijomeh.1896.02125","DOIUrl":"10.13075/ijomeh.1896.02125","url":null,"abstract":"<p><strong>Objectives: </strong>The study aimed to evaluate the impact of aging on the formation of neutrophil extracellular traps (NETs). The impaired formation of NETs is the cause of an abnormal innate immune response.</p><p><strong>Material and methods: </strong>The study included a total of 45 healthy male subjects of different age groups. Whole blood was collected from the subjects, and the concentration of myeloperoxidase (MPO), the main biocidal protein in NETs, was determined in serum using ELISA. The serum levels of circulating free DNA (cfDNA), which are the structural basis of NETs, were also measured by fluorescence. In addition, the white blood cell count was determined, whole blood smear was evaluated, and the neutrophillymphocyte ratio was calculated. The variations in the levels of NET biomarkers were analyzed in different age groups.</p><p><strong>Results: </strong>The low levels of MPO (243.70 ng/ml) and cfDNA (6.24 ng/100 μl) in boys indicated neutrophil insufficiency for NETosis in children. A progressive increase in the levels of MPO and cfDNA with age was observed among adolescents (420.91, p = 0.04; 13.55, p = 0.03, respectively), with the highest level noted in the healthy adult group (466.58, p = 0.01; 14.07, p = 0.01, respectively). The levels of the studied parameters were comparable in adolescents and young adults, which proved that the NETosis process was appropriate and suggested the attainment of neutrophil maturity for the release of NETs in adolescence. The levels of MPO and cfDNA were low in older men (225.46, p < 0.01; 5.19, p < 0.01, respectively) indicating impaired NET formation.</p><p><strong>Conclusions: </strong>Data on the generation of NETs in different age groups obtained in this study can allow a better understanding of the ontogenesis of the immune system in terms of the course of NETosis, and also indicate the need to support nonspecific responses in children and adults. Further research should be performed to determine the possibility of regulating the NETosis process. Int J Occup Med Environ Health. 2023;36(3):333-48.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 3","pages":"333-348"},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10567291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term healthcare professionals' experiences of burnout and correlation between burnout and fatigue: a cross-sectional study. 长期医护人员的职业倦怠经历及职业倦怠与疲劳的相关性:一项横断面研究。
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-09-07 Epub Date: 2023-08-25 DOI: 10.13075/ijomeh.1896.02182
Karmen Erjavec, Ljiljana Leskovic
{"title":"Long-term healthcare professionals' experiences of burnout and correlation between burnout and fatigue: a cross-sectional study.","authors":"Karmen Erjavec, Ljiljana Leskovic","doi":"10.13075/ijomeh.1896.02182","DOIUrl":"10.13075/ijomeh.1896.02182","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to analyze the long-term burnout levels of healthcare professionals (HCPs) working in Slovenian nursing homes during the fifth wave of the pandemic; to compare the results of similar facilities in 2020 and 2013; and to examine the correlation between demographics and burnout and fatigue among HCPs.</p><p><strong>Material and methods: </strong>The study used a descriptive, correlational cross-sectional method.</p><p><strong>Results: </strong>In the fifth wave, HCPs suffered more from emotional exhaustion, depersonalization and lack of personal accomplishment than in the first wave of the pandemic and in the spring of 2013. The HCPs caring for COVID-19 patients and younger women had higher rates of burnout and fatigue than other occupational groups. There is a strong positive correlation between burnout and fatigue.</p><p><strong>Conclusions: </strong>There is an urgent need to address the problem of fatigue and burnout with administrative measures. Int J Occup Med Environ Health. 2023;36(3):396-405.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 3","pages":"396-405"},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10567293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal polyunsaturated fatty acids and atopic dermatitis and food allergy in children from Polish Mother and Child Cohort study. 产前多不饱和脂肪酸与波兰母婴队列研究中儿童特应性皮炎和食物过敏
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-09-07 Epub Date: 2023-08-28 DOI: 10.13075/ijomeh.1896.02222
Alexandra Jerzyńska, Alicja Polańska, Elżbieta Trafalska, Agnieszka Jankowska, Daniela Podlecka, Agnieszka Brzozowska
{"title":"Prenatal polyunsaturated fatty acids and atopic dermatitis and food allergy in children from Polish Mother and Child Cohort study.","authors":"Alexandra Jerzyńska, Alicja Polańska, Elżbieta Trafalska, Agnieszka Jankowska, Daniela Podlecka, Agnieszka Brzozowska","doi":"10.13075/ijomeh.1896.02222","DOIUrl":"10.13075/ijomeh.1896.02222","url":null,"abstract":"<p><strong>Objectives: </strong>Polyunsaturated fatty acids (PUFAs) are involved both in immune system regulation and inflammation. The aim of this prospective study was to evaluate the association between maternal dietary intake of PUFAs during pregnancy and atopic dermatitis (AD) and food allergy (FA) in their children up to 7-9 years of age.</p><p><strong>Material and methods: </strong>The study population consists of 557 mother-child pairs from the Polish Mother and Child Cohort (REPRO_PL). Based on the <i>Food Frequency Questionnaire</i> completed between the 20-24th weeks of pregnancy, n-3 and n-6 PUFAs as well as n-6:n-3 fatty acid ratio were estimated using food composition tables. Children's health examinations at the age of 1, 2, and 7-9 years were performed by an allergist. Generalized estimating equations were performed in order to assess the prevalence of AD and FA at 3 time points. Independent variables in the equation were n-3, n-6 PUFAs and n-6:n-3 PUFAs ratio. In addition multivariate models were performed to assess the association of PUFAs with AD and FA.</p><p><strong>Results: </strong>The prevalence of AD was 37%, 26% and 21% and FA 26%, 22% and 22% at age of 1, 2 and 7-9 years, respectively. Higher n-6:n-3 fatty acid ratio correlated with higher prevalence of AD at age of 7-9 years (p < 0.07). In multivariate model n-6 PUFAs were significantly associated with increased risk of persistent FA (OR = 1.5, 95% CI: 1.1-2.1).</p><p><strong>Conclusions: </strong>These results may contribute to the existing knowledge on the impact of maternal diet during pregnancy on children's optimal health, however further studies are needed before drawing conclusions and creating clinical practice guidelines. Int J Occup Med Environ Health. 2023;36(3):428-36.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 3","pages":"428-436"},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10567295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital medical care and the COVID-19 mortality in METEOR partner countries (the Netherlands, Belgium, Italy, And Poland). METEOR伙伴国家(荷兰、比利时、意大利和波兰)的医院医疗服务和COVID-19死亡率。
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-09-07 Epub Date: 2023-08-28 DOI: 10.13075/ijomeh.1896.02187
Małgorzata Kowalska, Peter de Winter, Lode Godderis, Anke Boone, Szymon Szemik
{"title":"Hospital medical care and the COVID-19 mortality in METEOR partner countries (the Netherlands, Belgium, Italy, And Poland).","authors":"Małgorzata Kowalska, Peter de Winter, Lode Godderis, Anke Boone, Szymon Szemik","doi":"10.13075/ijomeh.1896.02187","DOIUrl":"10.13075/ijomeh.1896.02187","url":null,"abstract":"<p><strong>Objectives: </strong>Healthcare systems in European countries, including METEOR partner countries, are faced with the aging population, an increase in costs for innovative technologies and medication, a shortage of health professionals, and inequality in access to healthcare. Presented paper aimed to recognize and compare the functioning of healthcare systems between METEOR partner countries and simultaneously check if the current epidemiological situation of COVID-19 has some relationship with the number of medical staff, yearly gross domestic product, or documented percentage of fully vaccinated people.</p><p><strong>Material and methods: </strong>In the model of descriptive epidemiological study, available demographic, socioeconomic, and healthcare organizational data in the Netherlands, Belgium, Italy, and Poland were compared to the epidemiological situation of the COVID-19 pandemic (percentage of fully vaccinated people, incidence, and mortality) in all mentioned countries.</p><p><strong>Results: </strong>Obtained data confirmed that the lowest number of physicians, as well as the life expectancy and gross domestic product per capita, is in Poland. Simultaneously, the lower number of medical staff and lower gross domestic product (GDP) correspond to higher mortality due to COVID-19. The percentage of fully vaccinated with the last dose of the primary series was also the lowest in Poland.</p><p><strong>Conclusions: </strong>Obtained results confirmed that higher mortality due to COVID-19 in METEOR participants' countries is related to a lower number of medical staff and weaker GDP. The worse situation was noted in Poland, a country with problems in the functioning healthcare system, including hospital care and a serious shortage of practicing medical staff. Int J Occup Med Environ Health. 2023;36(3):417-27.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 3","pages":"417-427"},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10567297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not so good hybrid work model? Resource losses and gains since the outbreak of the COVID-19 pandemic and job burnout among non-remote, hybrid, and remote employees. 混合工作模式不太好?自 COVID-19 大流行病爆发以来的资源损益以及非远程、混合和远程员工的工作倦怠。
IF 1.4 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-05-23 Epub Date: 2023-05-10 DOI: 10.13075/ijomeh.1896.02026
Marta Stasiła-Sieradzka, Elżbieta Sanecka, Elżbieta Turska
{"title":"Not so good hybrid work model? Resource losses and gains since the outbreak of the COVID-19 pandemic and job burnout among non-remote, hybrid, and remote employees.","authors":"Marta Stasiła-Sieradzka, Elżbieta Sanecka, Elżbieta Turska","doi":"10.13075/ijomeh.1896.02026","DOIUrl":"10.13075/ijomeh.1896.02026","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID-19 pandemic contributing to the dissemination of alternative work models such as fully remote or hybrid work models. The present study focused on these 2 types of unplanned changes in the working environment. The conservation of resources theory, the first aim of this study was to examine the predictive role of resource losses and gains since the outbreak of the COVID-19 pandemic in job burnout. Moreover, the authors investigated how non-remote, remote, and hybrid employees differ in resource losses and gains and job burnout.</p><p><strong>Material and methods: </strong>A cross-sectional online comparative study was conducted a year after the outbreak of the COVID-19 pandemic. The respondents provided sociodemographic data, reported their current work model, and completed validated measures of resource losses and gains and job burnout: the <i>Conservation of Resources Evaluation</i> and the <i>Oldenburg Burnout Inventory</i>. Based on the data collected from 1000 working adults from the Polish population, the authors tested the differences in losses and gains of different categories of resources and job burnout components between the 3 groups of employees representing distinct working models, i.e., non-remote, hybrid, and remote.</p><p><strong>Results: </strong>In general, the associations of losses and gains with job burnout subscales have been confirmed, regardless of the level of analysis of losses and gains. The authors' findings indicated that hybrid workers experienced significantly higher resource losses and gains (both in general and in different domains) in comparison to non-remote and remote workers. In turn, non-remote employees scored significantly higher on disengagement, which is one of the job burnout components.</p><p><strong>Conclusions: </strong>Hybrid workers experienced the highest levels of both resource losses and gains during the COVID-19 pandemic, compared to non-remote and remote workers, suggesting that this form of working arrangement involves the greatest changes in different life domains, bringing both positive and negative consequences for the employee. Int J Occup Med Environ Health. 2023;36(2):229-49.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 2","pages":"229-249"},"PeriodicalIF":1.4,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/4f/ijomeh-36-229.PMC10464789.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental condition and physical activity of individuals working during the COVID-19 pandemic in Poland. 波兰COVID-19大流行期间工作人员的精神状况和身体活动
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-05-23 DOI: 10.13075/ijomeh.1896.01984
Jolanta Zwolińska, Paweł Walski, Kamil Zajdel
{"title":"Mental condition and physical activity of individuals working during the COVID-19 pandemic in Poland.","authors":"Jolanta Zwolińska,&nbsp;Paweł Walski,&nbsp;Kamil Zajdel","doi":"10.13075/ijomeh.1896.01984","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.01984","url":null,"abstract":"<p><strong>Objectives: </strong>The study assessed quality of life and depression in working people during COVID-19 pandemic, relative to their physical activity.</p><p><strong>Material and methods: </strong>The study involved 1194 people living in south-eastern Poland, and assessed life satisfaction (<i>Life Satisfaction Questionnaire - 9</i> [LISAT-9]), quality of life (<i>World Health Organization Quality of Life - BREF</i> [WHOQoL-BREF]), depression (<i>Beck Depression Inventory</i> [BDI]) and physical activity.</p><p><strong>Results: </strong>The respondents on average scored 4.32 in LISAT-9; respectively 66.2, 68.3, 69.6 and 63.5 in physical, psychological, social and environment domains of WHOQoL-BREF and 9.2 in BDI. Regularly performed physical activity positively affected the scores in all the psychometric tests in women with higher and secondary education and in men with vocational education. Women presented lower life satisfaction, poorer quality of life and higher level of depression than men. The psychometric scores were also differentiated by type of employment and job. Depression was identified in 44% of all the respondents.</p><p><strong>Conclusions: </strong>Individuals who are economically active during the pandemic report good quality of life and no or only mild signs of depression. Working people with higher education cope more effectively with adversities of the pandemic, compared to those with lower education. Int J Occup Med Environ Health. 2023;36(2):274-90.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 2","pages":"274-290"},"PeriodicalIF":2.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/fb/ijomeh-36-274.PMC10464786.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensitivity and specificity of using exercise heart rate in a thermoneutral environment to predict heat tolerance status. 在热中性环境下使用运动心率预测热耐受状态的敏感性和特异性。
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-05-23 DOI: 10.13075/ijomeh.1896.02065
Sarah Northway, Douglas Jones, Michael Buono
{"title":"Sensitivity and specificity of using exercise heart rate in a thermoneutral environment to predict heat tolerance status.","authors":"Sarah Northway,&nbsp;Douglas Jones,&nbsp;Michael Buono","doi":"10.13075/ijomeh.1896.02065","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02065","url":null,"abstract":"<p><strong>Objectives: </strong>Following heat illness, a return to activity may require passing a heat tolerance test (HTT). However, there are several logistical limitations to the widespread use of the HTT. Thus, it would be advantageous to develop a test that could be conducted in a thermoneutral (~22°C) environment to predict heat tolerance status. The purpose of the current study was to determine the sensitivity and specificity of using the criteria of a heart rate (HR) ≥130 bpm following 30 min of thermoneutral exercise in detecting heat-intolerant and heat-tolerant individuals.</p><p><strong>Material and methods: </strong>Sixty-five subjects visited the lab on 3 separate days. The first visit consisted of completing a maximal oxygen uptake (VO2 max) test to assess cardiovascular fitness. For lab visits 2 and 3, subjects randomly completed a 2-hour walking treadmill test in either a hot (40°C, 40% relative humidity [RH]) or thermoneutral (22°C, 40% RH) environment.</p><p><strong>Results: </strong>Forty-eight subjects were classified as heat-intolerant and 17 subjects as heat-tolerant. Using the criterion of a HR ≥130 bpm at 30 min of exercise in the thermoneutral environment, specificity (54%) and sensitivity (100%) of passing the HTT was calculated. Secondary analysis using multiple regression revealed 3 significant variables for predicting ending HR during the HTT. They were: 1) absolute VO2 max (l/min), 2) age, and 3) HR at 30 min of exercise during thermoneutral exercise.</p><p><strong>Conclusions: </strong>Exercise in a thermoneutral environment had a positive predictive value of 100%, thus, if a subject has a HR ≥130 bpm at 30 min of exercise in a thermoneutral environment, they are very likely to fail a subsequent 2-hour HTT in the heat and be classified as heat-intolerant. Therefore, prior screening has the potential to save time and money, along with providing safety to a heat-intolerant subject. Int J Occup Med Environ Health. 2023;36(2):192-200.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"36 2","pages":"192-200"},"PeriodicalIF":2.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/0d/ijomeh-36-192.PMC10464765.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors related to personal quality of life in prison inmates. 与监狱囚犯个人生活质量有关的因素。
IF 2 4区 医学
International journal of occupational medicine and environmental health Pub Date : 2023-05-23 DOI: 10.13075/ijomeh.1896.01961
Bartłomiej Skowroński, Elżbieta Barbara Talik
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