International journal of occupational medicine and environmental health最新文献

{"title":"Occupational health services in Poland during the COVID-19 pandemic.","authors":"Andrzej Marcinkiewicz, Marta Szkiela","doi":"10.13075/ijomeh.1896.02349","DOIUrl":"10.13075/ijomeh.1896.02349","url":null,"abstract":"<p><strong>Objectives: </strong>This publication analyses the activities of physicians and occupational medicine units in Poland during this period.</p><p><strong>Material and methods: </strong>The analysis of the number of physicians and units of occupational medicine and the preventive and judicial activities they carried out was based on the MZ-35 and MZ-35A statistical forms, which constitute mandatory medical reporting.</p><p><strong>Results: </strong>In Poland, during the pandemic, the number of physicians authorized to perform preventive examinations of employees decreased by 9.3% (6597 in 2019 vs. 5984 physicians in 2022). At the same time, the number of basic units of the occupational medicine where preventive examinations of employees decreased from 5974 to 5534 (by 7.4%). The average number of preventive examinations performed annually on employees throughout the pandemic decreased by 9.4% from 5 429 808 (in 2015-2019) to 4 923 161 (in 2020-2023). In the first 2 years of the pandemic, the share of decisions on health contraindications to perform professional activities in the position indicated in the referral increased slightly. During the pandemic, there was also a significant decrease in the number of visits carried out by occupational medicine physicians, both to entire workplaces (by 46%) and to individual positions (by 49%). During the COVID-19 pandemic, occupational medicine physicians reported almost 3 times more suspected occupational diseases than in previous years (an average of 1736 reports per year compared to 673 reports in 2015-2019). The most reports were recorded in 2020 (N = 2183).</p><p><strong>Conclusions: </strong>The COVID-19 pandemic has significantly impacted the preventive activities performed by occupational medicine physicians. Reducing the number of mandatory medical examinations of employees during the pandemic could have led to the construction of a health debt of the working population, both in terms of limiting the unfavourable impact of working conditions and worsening the chances of early detection of lifestyle diseases. Int J Occup Med Environ Health. 2024;37(5):535-44.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"535-544"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780210","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}

{"title":"Impact of body weight on the relationships between sleep quality in healthcare workers and their somatic health, sexual life, occupational burnout and stress.","authors":"Maciej Białorudzki, Michał Undra, Zbigniew Izdebski","doi":"10.13075/ijomeh.1896.02472","DOIUrl":"10.13075/ijomeh.1896.02472","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep disorders can significantly affect the performance and well-being of healthcare workers. This study explores the influence of body weight on the links between sleep quality and various self-reported health indicators - including somatic and mental health, sexual life, and workrelated stress - among healthcare workers.</p><p><strong>Material and methods: </strong>A national cross-sectional survey was conducted in February - April 2022 using a predominantly online, self-administered questionnaire. The group analyzed for this study included 1478 healthcare workers from 99 hospitals and specialized clinics across Poland.</p><p><strong>Results: </strong>Sleep disturbances, assessed via the 4-item Jenkins Sleep Scale scale, were reported by 16% of the participants. Over half (54.7%) of the respondents were categorized as overweight or obese based on their body mass index (BMI). A higher BMI was found to be associated with being male, age >50 years, working as a paramedic, possessing over ten years of work experience, and reporting poorer health and sexual life (p < 0.001). Sleep quality showed significant correlations with assessments of sexual life, stress levels, and occupational burnout (p < 0.001). These correlations remained significant after adjusting for BMI. Notably, in both univariate and adjusted models, sexual life assessment was a robust predictor of sleep quality across all BMI groups. For non-obese individuals, the impact of sexual life on sleep quality persisted even after adjusting for health indicators.</p><p><strong>Conclusions: </strong>The findings suggest that body weight may modulate how sleep quality is influenced by sexual life assessments, work-related stress, and somatic and mental health in healthcare workers. Int J Occup Med Environ Health. 2024;37(5):545-56.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"545-556"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739323","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}

{"title":"Monitoring of liver and kidney profiles in anesthesiologists working in a regional reference teaching hospital in Northern Italy: analysis of health surveillance data using a linear mixed model.","authors":"Alborz Rahmani, Guglielmo Dini, Alfredo Montecucco, Luca Priano, Marco Leonetti, Alessia Manca, Bruno Kusznir Vitturi, Paolo Durando","doi":"10.13075/ijomeh.1896.02342","DOIUrl":"10.13075/ijomeh.1896.02342","url":null,"abstract":"<p><strong>Objectives: </strong>Anesthesiologists represent an occupational group exposed to specific occupational hazards, including potential exposure to waste anesthetic gas released during medical procedures. In recent decades, halogenated anesthetic gases, such as desflurane and sevoflurane, have largely replaced nitrous oxide, due to better safety profiles and lower adverse health effects. However, possible long-term effects of low concentration exposures are unknown. A longitudinal analysis of health surveillance data was performed to test for possible changes over time in key markers of liver and kidney function. Moreover, we assessed the appropriateness of applying linear mixed models to occupational health data.</p><p><strong>Material and methods: </strong>A retrospective cohort study was conducted using health surveillance data from a cohort of anesthesiologists and a cohort of unexposed physicians working at the Polyclinic Hospital San Martino of Genoa, Italy, during 2016-2022. A 2-level linear mixed model with covariance structure of first order autoregressive model (AR(1)) type at the first level and unstructured type at the second level was applied.</p><p><strong>Results: </strong>One hundred seventy subjects were included in the analysis, equally divided between exposed and unexposed. At the first and last periodic examination, liver and kidney markers were not statistically different in the 2 cohorts. The only significant change found related to estimated glomerular filtrate, which was found at the last follow-up to be greater among the exposed (M = 104.18 vs. 90.07, p = 0.007). The linear mixed model showed that anesthetic gas exposure was not associated with any of the outcomes. These results suggest the absence of increase in liver and kidney profile markers in the study population.</p><p><strong>Conclusions: </strong>Health surveillance data, aggregated and analyzed with appropriate statistical models, allow inferences to be made about potential health effects of workers due to uncontrolled exposures. To this end, the linear mixed model represents a powerful tool for longitudinal analysis of data derived from monitoring workers. Int J Occup Med Environ Health. 2024;37(5):557-68.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"557-568"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780185","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}

{"title":"Work ability and psychosocial work stress - predictors of retirement intention among older teachers.","authors":"Steffi Kreuzfeld, Reingard Seibt","doi":"10.13075/ijomeh.1896.02454","DOIUrl":"10.13075/ijomeh.1896.02454","url":null,"abstract":"<p><strong>Objectives: </strong>Many teachers worldwide retire early for health or personal reasons. Predictors could help to identify teachers at risk in order to counteract this development. The study therefore investigates whether the intention to retire can be predicted by work ability, psychosocial work stress and work behaviour.</p><p><strong>Material and methods: </strong>The data came from a representative cross-sectional study of German secondary school teachers (N = 18 971). The analyses included 1496 full-time teachers aged ≥50 years (58% female). Teachers were assigned to 1 of 2 groups based on their intention to take early or regular retirement. A binomial regression model was used to analyze the predictive power of the intention to retire for the following factors: work ability index (WAI) - factor 1, effort-reward ratio (ER ratio), overcommitment (OC), age and gender. In addition, a qualitative analysis of the teachers' suggestions was carried out regarding which measures would make the regular retirement age attainable.</p><p><strong>Results: </strong>Half (49%) of the teachers intended to retire early, with the proportion of women being around twice as high (67%) as men (33%) (d = 0.37). The analyzed predictors explained a total of 22% of the variance. The WAI factor 1 proved to be the most important predictor (variance explanation: 14%). Effort-reward ratio and OC each contributed around 10% to the variance explanation of the retirement intention. The probability of taking early retirement increased with decreasing work ability, increasing ER ratio and a high tendency to overcommit; age and gender were of secondary importance. Teachers suggested a reduction in compulsory hours (46%), relief from extracurricular tasks (45%) and smaller classes (29%) as decisive measures for achieving regular retirement.</p><p><strong>Conclusions: </strong>Work ability index factor 1, ER ratio and OC could be used as part of occupational health prevention programmes to identify and advise older teachers at risk who need support. Int J Occup Med Environ Health. 2024;37(5):508-23.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"508-523"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785546","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}

{"title":"Change in quality of life in medical students across graduation: results of POLLEK study.","authors":"Szymon Szemik, Maksymilian Gajda, Małgorzata Kowalska","doi":"10.13075/ijomeh.1896.02475","DOIUrl":"10.13075/ijomeh.1896.02475","url":null,"abstract":"<p><strong>Objectives: </strong>Medical students experience numerous demands during the education process, which determine their quality of life (QoL). In particular, the first years of medical studies are a challenge for students. This paper aims to identify and evaluate the quality of life with simultaneous assessment of their determinants in Polish medical students in Poland during longitudinal observation.</p><p><strong>Material and methods: </strong>The authors analyzed data collected from the first follow-up of the cohort study named POLLEK (Polski Lekarz - The Polish Physician) conducted among medical students at the Medical University of Silesia in Katowice, Poland. The QoL was assessed using the abbreviated version of the <i>World Health Organization Quality of Life Test - Bref</i> (WHOQOL-BREF) questionnaire. Students were followed at 2 points of time: in their first year of studies - the academic year 2021/2022 (T1) (N = 427), and then in their second year - the academic year 2022/2023 (T2) (N = 335).</p><p><strong>Results: </strong>Changes in QoL indicators were analyzed using paired data. A significant decrease in the QoL scores in the somatic and psychological domain in T2 was observed, while scores in the environmental domain showed an increase by T2. In addition, it was found that better self-rated health (SRH), higher physical activity (PA), and better socioeconomic status (SES) were the key determinants of higher quality of life domains across both T1 and T2 domains.</p><p><strong>Conclusions: </strong>In conclusion, although the overall QoL remained stable throughout the observation period, the QoL in the somatic and psychological domains deteriorated among medical students between T1 and T2. However, there was a slight improvement in the environmental domain during the second year. The observations suggest that medical schools should actively promote a balance between schoolwork and the personal life of medical students, and courses on coping with difficult, stressful situations. These activities should be introduced at an early stage of medical education. Int J Occup Med Environ Health. 2024;37(5):495-507.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"495-507"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780089","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}

{"title":"Sensory conflict in simulator sessions - measuring biosignals to predict the onset of disorderly symptoms: a brief literature review.","authors":"Przemysław Wojciechowski, Konrad Wojtowicz, Jan Błaszczyk","doi":"10.13075/ijomeh.1896.02410","DOIUrl":"10.13075/ijomeh.1896.02410","url":null,"abstract":"<p><p>The global virtual reality (VR) market is growing surprisingly fast. As VR applications continue to expand into various areas of life, attention is being paid to issues related to user well-being. The danger lurking for users is the occurrence of simulator sickness and artificial reality sickness, collectively referred to as sensory conflict. As early as the 1950s, an attempt was made to study simulator sickness. Unfavorable psychophysical symptoms occurred in pilots using the first flight simulators. With the development of technology, the graphic and simulation capabilities of the various types of simulators are increasing. Easier access to simulators using first person view (FPV) and thus more outstanding research capabilities allow new studies related to the incidence of this disease to compare symptoms occurring during simulator sessions with those occurring during realworld endeavors. The primary purpose of the review is to bring together the latest reports on different types of sensory conflict concerning factors that are symptomatic in prediction and diagnosis. Heart rate, brain activity, stomach activity, and skin conductance seem to be the most adequate, objective indicators of subjects' susceptibility to this phenomenon. In addition, it is intended to systematize concepts related to sensory conflict in the broadest sense. Int J Occup Med Environ Health. 2024;37(5):482-94.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"482-494"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739325","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}

{"title":"The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus.","authors":"Agnieszka Jankowska, Olga Hadław-Klimaszewska, Jarosław Rakoczy, Marta Woldańska-Okońska, Robert Irzmański","doi":"10.13075/ijomeh.1896.02129","DOIUrl":"10.13075/ijomeh.1896.02129","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive dysfunction is part of the clinical picture of stroke. Most of the executive dysfunctions are diagnosed in the early stage of rehabilitation, a few weeks after the vascular incident. Coexistence of executive dysfunctions with other disorders in stroke patients may hinder patient's functions, slow down the rehabilitation process, and disrupt self-awareness, interpersonal communication, and professional activity in everyday life.</p><p><strong>Material and methods: </strong>Ninety patients after ischemic stroke were examined (right hemisphere stroke: N = 33, left hemisphere stroke: N = 57). The study group (N = 45) consisted of patients rehabilitated in the Department of Rehabilitation and Physical Medicine of the University Teaching Hospital of the Military Medical Academy in Lodz, Łódź, Poland, in whom a comprehensive neurorehabilitation program was implemented, consisting of motor and neuropsychological rehabilitation. The control group (N = 45) consisted of patients awaiting admission to the department, who were covered by comprehensive environmental rehabilitation including exercise therapy and neuropsychological therapy. Executive function was measured with 3 popular diagnostic tools: the Wisconsin Card Sorting Test (WCST), the Trail Making Test (TMT part A, TMT part B), and the letter test and category test with the Verbal Fluency Test (VFT). The tests were carried out twice: the first time before the start of rehabilitation and 5 weeks later after its completion.</p><p><strong>Results: </strong>Although patients with right-hemispheric stroke showed better improvement in executive functions, stroke location did not prove to have significant impact on how effective the rehabilitation was.</p><p><strong>Conclusions: </strong>Right hemisphere stroke patients showed greater improvement in restoring executive functions after rehabilitation compared to left hemisphere stroke patients. The location of the stroke did not significantly correlate with the efficiency of the rehabilitation setting. Int J Occup Med Environ Health. 2024;37(4):452-67.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"452-467"},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465396","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}

{"title":"Validation of the German version of the <i>Perceived Cohesion Scale</i>.","authors":"Marietta Lieb, Werner Adler, Regina Herold, Yesim Erim, Eva Morawa","doi":"10.13075/ijomeh.1896.02327","DOIUrl":"10.13075/ijomeh.1896.02327","url":null,"abstract":"<p><strong>Objectives: </strong>Team or group cohesion is a multifaceted construct with a variety of definitions and measurement instruments. However, most of these measures are context and group-specific and/or time-consuming. There is no adaptable and economic measure of group cohesion in Germany. Therefore, the aim of this study was to validate the German version of the 6-item <i>Perceived Cohesion Scale</i> (PCS) in a sample of adult nurses in a German University Hospital.</p><p><strong>Material and methods: </strong>The German version of the PCS was generated according to existing guidelines. Confirmatory factor analysis was conducted to assess factor structure. Reliability was tested via internal consistency. To assess convergent and divergent validity, the authors applied the <i>Copenhagen Psychosocial Questionnaire</i> (COPSOQ), the <i>Enhancing Recovery in Coronary Heart Disease Patients</i> (ENRICHD) <i>Social Support Inventory</i> (ESSI), the<i> Effort-Reward Imbalance</i> (ERI) scale and the <i>Patient Health Questionnaire</i> (PHQ-4).</p><p><strong>Results: </strong>The confirmatory factor analysis confirmed a 2-factor structure. Psychometric properties of the German PCS prove satisfactory. Internal consistency was excellent for the whole scale (α = 0.95), as well as for both subscales: sense of belonging (SOB) (α = 0.94) and morale (MOR) (α = 0.93). Moderate to strong correlations with the subscales of COPSOQ (Kendall's Tau (τ) = 0.239 - 0.471) indicated very good convergent validity. Regarding divergent validity, the correlations of the PCS subscales and the PHQ-4 were low (τ = -0.109-[-0.143]), as were the correlations with ESSI (τ = 0.045-0.136). Correlations with ERI were low to moderate (τ = -0.181-0.283).</p><p><strong>Conclusions: </strong>The German version of the PCS showed good psychometric properties. Due to its economic and universal deployment, group cohesion can be measured in a variety of contexts and settings. Int J Occup Med Environ Health. 2024;37(4):421-32.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"421-432"},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390450","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}

{"title":"The association between prenatal pyrethroids exposure and children's health - current research.","authors":"Agnieszka Jankowska, Maja Ścieszko, Alicja Polańska, Alexandra Jerzyńska, Jolanta Dominowska, Agnieszka Brzozowska","doi":"10.13075/ijomeh.1896.02445","DOIUrl":"10.13075/ijomeh.1896.02445","url":null,"abstract":"<p><p>Exposure to pyrethroids, a widely used agricultural, forestry, and household insecticide, is a major public health concern due to its potential health effects on children. The aim of this review was to summarize the current knowledge of the effects of prenatal exposure to pyrethroids on the course and outcome of pregnancy, health status, and neurobehavioural development of children. A systematic and comprehensive search of the PubMed, Web of Science, and Scopus databases was conducted during January-February 2024. The review included original articles published in peerreviewed English-language journals since 2015. Based on keywords, 198 studies were identified and screened for eligibility. Ultimately, the review analyzed 25 articles including 16 that assessed the effects of prenatal exposure to pyrethroids on children's neurobehavioural development, 3 studies that assessed the effects on the course and outcome of pregnancy, and further 3 focused on respiratory disease. In addition, 1 study analyzed the development of obesity and 2 studies examined the effects on children's growth, weight and body composition in early childhood. In conclusion, there is considerable uncertainty about the adverse effects of prenatal exposure to pyrethroids on children's health. The strongest evidence has been reported for neurobehavioural development although results are also inconsistent. Further research is needed to understand the mechanisms of action and health effects of pyrethroids in susceptible populations. Int J Occup Med Environ Health. 2024;37(4):381-402.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"381-402"},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287171","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}

{"title":"Exposure to ionizing radiation of medical staff performing vascular and interventional radiology procedures.","authors":"Michał Biegała, Teresa Jakubowska, Joanna Domienik-Andrzejewska","doi":"10.13075/ijomeh.1896.02462","DOIUrl":"10.13075/ijomeh.1896.02462","url":null,"abstract":"<p><strong>Objectives: </strong>Vascular and interventional radiology procedures are characterized by high exposure of personnel to ionizing radiation. This study assessed the exposure of medical personnel to ionizing radiation during vascular radiology and mechanical thrombectomy procedures.</p><p><strong>Material and methods: </strong>During vascular radiology procedures, the exposure of 4 groups of workers participating in the procedures was analyzed, i.e., the main operating physician, an assistant physician, a sterile nurse, and a nurse. Measurements of exposure to ionizing radiation were performed using thermoluminescent dosimetry.</p><p><strong>Results: </strong>The registered effective dose during 1 treatment in individual groups is, respectively: mean (M) ± standard deviation (SD) 75±15 μSv, 24±5 μSv, 13±3 μSv, and 8±2 μSv. During mechanical thrombectomy, the operating physician receives an effective dose of M±SD 9±2 μSv. The equivalent doses for the lenses for the operating physician and the doctor assisting during vascular radiology procedures are M±SD 1419±285 μSv and 987±198 μSv, respectively, and for the hands, including the left and right hands, M±SD 4605±930 μSv, 1420±284 μSv, 1898±380 μSv, 1371±274 μSv.</p><p><strong>Conclusions: </strong>If the principles of optimizing radiological protection are not applied during vascular radiology procedures, the permissible dose limits and operational limits equivalent to doses to lenses and hands may be exceeded. Exposure during vascular radiology procedures is comparable to exposure during nuclear medicine procedures in terms of the use of glucose labeled with radioactive fluorine. Int J Occup Med Environ Health. 2024;37(4):403-10.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"403-410"},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287170","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}