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":null,"pages":null},"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}
Aleksandra Sitarevic, Ana Nesic-Tomasevic, Dragan Nikolic, Aleksandar Sofic
{"title":"Occupational health: the role of demographic factors in the condition of increased risk.","authors":"Aleksandra Sitarevic, Ana Nesic-Tomasevic, Dragan Nikolic, Aleksandar Sofic","doi":"10.13075/ijomeh.1896.01943","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.01943","url":null,"abstract":"<p><strong>Objectives: </strong>The paper analyses the impact of socio-demographic characteristics of the employees in conditions of uncertainty in the organizations.</p><p><strong>Material and methods: </strong>The study was conducted on a sample of 210 employees using the <i>Mental Health Inventory</i> - 38 (MHI-38), <i>Satisfaction with life scale</i> (SWLS), and the <i>Center for Epidemiological Studies - Depression</i> (CES-D).</p><p><strong>Results: </strong>The results showed that female respondents had significantly higher scores on ANX (t = 2,278, p < 0.05), while male employees had higher scores on life satisfaction (t = 2.103, p < 0.05). Older employees have a higher tendency for loss of emotional-behavioral control (F = 4.427, p < 0.05). Respondents who have satisfying living standards have also higher scores on SWLS (t = 2.257, p < 0.05). Respondents who have dissatisfying living standard have higher scores on generally positive affect (t = 3.152, p < 0.01), life satisfaction (t = 3.571, p < 0.01), psychological distress (t = 2.929, p < 0.01) and loss of emotional- behavioral control (t = 2.361, p < 0.05). Employees with different levels of educational background have similar tendencies in life satisfaction, mental health, and depressive symptoms (p > 0.05).</p><p><strong>Conclusions: </strong>The study showed that the specific socio-demographic profile of the employees is related to higher levels of mental health issues. Specifically, the mental health of female and older employees have been especially affected and disturbed by uncertain conditions. The results can be potentially used both in the terms of designing activities that support the mental health of the population, as well as in relation to the mental health of employees. Int J Occup Med Environ Health. 2023;36(2):250-62.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/b3/8c/ijomeh-36-250.PMC10464728.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153797","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":"Factors related to personal quality of life in prison inmates.","authors":"Bartłomiej Skowroński, Elżbieta Barbara Talik","doi":"10.13075/ijomeh.1896.01961","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.01961","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to analyze the determinants of prison inmates' personal quality of life (PQoL).</p><p><strong>Material and methods: </strong>Three hundred ninety men imprisoned in penitentiary institutions were assessed. Data were collected by means of the the <i>Sense of Quality of Life Questionnaire</i>, the <i>General Self-Esteem Scale, the Social Support Scale</i>, the <i>Resiliency Assessment Scale</i>, the <i>Trait Personality Inventory</i>, which have high validity and reliability. All models were specified in structural equations modeling using Mplus v. 8.2.</p><p><strong>Results: </strong>The positive correlates of PQoL are: self-efficacy, social support, and ego-resiliency. The negative correlate of PQoL is trait depression. The study confirmed that 2 factors affected ego-resiliency: self-efficacy and trait depression.</p><p><strong>Conclusions: </strong>All significant factors, such as self-efficacy, social support, ego-resiliency, or trait depression, should be taken into account in rehabilitation programs. Int J Occup Med Environ Health. 2023;36(2):291-302.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/91/ed/ijomeh-36-291.PMC10464816.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10472931","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":"Sensitivity and specificity of using exercise heart rate in a thermoneutral environment to predict heat tolerance status.","authors":"Sarah Northway, Douglas Jones, 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":null,"pages":null},"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}
Filip Raciborski, Aneta Tomaszewska, Kamil Rakocy, Piotr Samel-Kowalik, Bolesław Samoliński, Mariusz Gujski, Jarosław Pinkas, Mateusz Jankowski
{"title":"The multidimensional nature of attitudes towards preventive vaccinations - a cross-sectional survey among Poles aged 15-39 years.","authors":"Filip Raciborski, Aneta Tomaszewska, Kamil Rakocy, Piotr Samel-Kowalik, Bolesław Samoliński, Mariusz Gujski, Jarosław Pinkas, Mateusz Jankowski","doi":"10.13075/ijomeh.1896.02068","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02068","url":null,"abstract":"<p><strong>Objectives: </strong>Vaccination skepticism and vaccination refusal both constitute global public health concerns. Systematic monitoring of public attitudes towards vaccination is crucial for maintaining a high vaccination coverage rate. The study aimed to identify and characterize homogenous social groups distinguished by attitudes toward preventive vaccinations.</p><p><strong>Material and methods: </strong>Between October and November of 2021, a nationwide representative cross-sectional survey was conducted on a representative sample of 1560 inhabitants of Poland aged 15-39 years. The study questionnaire included 60 questions on public attitudes towards vaccines, vaccination, and the COVID-19 pandemic. Factor analysis was applied to identify the main dimensions of vaccination attitudes.</p><p><strong>Results: </strong>Factor analysis included 22 variables and yielded 3 factors or dimensions that accounted for 48.5% of the model's variability. Young adults were assigned into 6 homogeneous groups based on these factors: 1) general trust in vaccination, 2) vaccine safety concerns, 3) trust in fake medical news regarding COVID-19 vaccination, and denying the COVID-19 pandemic. Groups I-IV differed by sociodemographic factors and vaccination coverage rates. Nearly 60% of the respondents expressed concern regarding various aspects of vaccination.</p><p><strong>Conclusions: </strong>Most of Poland's young adults lack clearly defined attitudes towards vaccination. Attitudes towards vaccination can be divided into 6 heterogeneous groups. Int J Occup Med Environ Health. 2023;36(2):214-28.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/4c/38/ijomeh-36-214.PMC10464729.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153798","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}
Frida Bejder Klausen, Ali Amidi, Søren K Kjærgaard, Vivi Schlünssen, Peter Ravn, Kirsten Østergaard, Vibeke Heitmann Gutzke, Marianne Glasius, Therese Koops Grønborg, Stefan Nygaard Hansen, Robert Zachariae, Pawel Wargocki, Torben Sigsgaard
{"title":"The effect of air quality on sleep and cognitive performance in school children aged 10-12 years: a double-blinded, placebo-controlled, crossover trial.","authors":"Frida Bejder Klausen, Ali Amidi, Søren K Kjærgaard, Vivi Schlünssen, Peter Ravn, Kirsten Østergaard, Vibeke Heitmann Gutzke, Marianne Glasius, Therese Koops Grønborg, Stefan Nygaard Hansen, Robert Zachariae, Pawel Wargocki, Torben Sigsgaard","doi":"10.13075/ijomeh.1896.02032","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02032","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effect of CO<sub>2</sub> during sleep on next-morning cognitive performance in young schoolchildren, the authors performed a double-blind fully balanced crossover placebo-controlled study.</p><p><strong>Material and methods: </strong>The authors included 36 children aged 10-12 years in the climate chamber. The children slept at 21°C in 6 groups each at 3 different conditions separated by 7 days in a random order. Conditions were as follows: high ventilation with CO<sub>2</sub> at 700 ppm, high ventilation with added pure CO<sub>2</sub> at 2000-3000 ppm, and reduced ventilation with CO<sub>2</sub> at 2-3000 ppm and bioeffluents. Children were subjected to a digital cognitive test battery (CANTAB) in the evening prior to sleep and on the next morning after breakfast. Sleep quality was monitored with wrist actigraphs.</p><p><strong>Results: </strong>There were no significant exposure effects on cognitive performance. Sleep efficiency was significantly lower at high ventilation with CO<sub>2</sub> at 700 ppm which is considered to be a chance effect. No other effects were seen, and no relation between air quality during sleep and next-morning cognitive performance was observed in the children emitting an estimated 10 l<sub>CO<sub>2</sub></sub>/h per child.</p><p><strong>Conclusions: </strong>No effect of CO<sub>2</sub> during sleep was found on next day cognition. The children were awakened in the morning, and spent from 45-70 min in well-ventilated rooms before they were tested. Hence, it cannot be precluded that the children have benefitted from the good indoor air quality conditions before and during the testing period. The slightly better sleep efficiency during high CO<sub>2</sub> concentrations might be a chance finding. Hence, replication is needed in actual bedrooms controlling for other external factors before any generalizations can be made. Int J Occup Med Environ Health. 2023;36(2):177-91.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/0e/d7/ijomeh-36-177.PMC10464806.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10100922","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 prevalence and determinants of SARS-CoV-2 infections among healthcare workers, results of a cross-sectional study in the Silesian Voivodeship.","authors":"Marek Wojczyk, Małgorzata Kowalska","doi":"10.13075/ijomeh.1896.02101","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02101","url":null,"abstract":"<p><strong>Objectives: </strong>A significant proportion of healthcare workers (HCWs) had been infected with SARS-CoV-2, which complicated the organization of patient care during the COVID-19 pandemic. However, the exact scale of infection prevalence among the group of HCWs is not known, therefore this study aimed to assess the prevalence of SARS-CoV-2 infection among HCWs in the Silesian voivodeship, Poland, and to define its determinants.</p><p><strong>Material and methods: </strong>The cross-sectional study was conducted in 2 multidisciplinary hospitals in the Silesian voivodeship during the period October 2021-February 2022. The standardized WHO questionnaire<i> Surveillance protocol for SARS-CoV-2 infection among health workers</i> was completed by 242 HCWs. To assess the prevalence of SARS-CoV-2 infection and its determinants, such as personal, occupational, and work environment-related conditions and preventive behaviors, the collected data were subjected to statistical analysis. For this purpose, descriptive and analytical statistics (significance of differences in χ<sup>2</sup> test) were used.</p><p><strong>Results: </strong>Almost half (42.6%) of subjects were infected with coronavirus, most frequently care assistants (57.1%) and paramedics (50%). People suffering from chronic diseases were infected significantly more often (p < 0.001). The majority of the infected HCWs declared previous contact with COVID-19 patients (56.3%). Unfortunately, 10.3% of respondents refused to be vaccinated against COVID-19, most often care assistants (38.1%) and nurses (10.6%). The determinants such as sex, age, occupation, place of work (ward), participation in occupational safety and health training, use of personal protective equipment (PPE), or preventive behaviors did not significantly affect the risk of infection (p > 0.05).</p><p><strong>Conclusions: </strong>Even though the PPE was used and the percentage of fully vaccinated HCWs against COVID-19 was high (89.7%), the frequency of SARS-CoV-2 infected HCWs remains high at 42.6% (95% CI: 40.7-44.5%). The main determinants of SARS-CoV-2 infection risk among HCWs were previous contact with infected individuals and the presence of chronic disease. Int J Occup Med Environ Health. 2023;36(2):201-13.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/ce/a5/ijomeh-36-201.PMC10464735.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153795","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}
Xiaojuan Zhang, Jungang Guo, Li Ma, Ruijun Xu, Jinfang Wang, Yonghong Yang, Hong Shen
{"title":"Teacher stress among public primary and secondary schoolteachers in Datong, a city of Shanxi Province, China: association between teacher stress and standardized workload.","authors":"Xiaojuan Zhang, Jungang Guo, Li Ma, Ruijun Xu, Jinfang Wang, Yonghong Yang, Hong Shen","doi":"10.13075/ijomeh.1896.01948","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.01948","url":null,"abstract":"<p><strong>Objectives: </strong>The policy of the standardized workload has been implemented among primary and secondary schoolteachers in Shanxi Province. The aim of this cross-sectional cohort study is to assess teacher stress among primary and secondary schoolteachers in Datong, a city of Shanxi Province and the association between teacher stress and the quantified workload.</p><p><strong>Material and methods: </strong>Three hundred and fifty schoolteachers in 10 public primary schools, 187 schoolteachers in 6 secondary schools and 268 non-teachers in 21 education institutes were recruited. A single-item rating assessment of work-related stress was completed by using the Exposure to Job Stress measure with modification. The quantified workload included class size, teaching hours, and subjects. Descriptive and logistic regression analyses were carried out.</p><p><strong>Results: </strong>In 805 participants, the pro- portion of primary and secondary schoolteachers with moderate stress was significantly greater. The results of Spearman's correlation and logistic regression analyses showed that the occupations of the primary and secondary schoolteachers had higher stress risk. Further, the stratified results showed that among the primary schoolteachers, the independent stress risk factor was larger class size; while among the secondary schoolteachers, the stress associated factor was more weekly teaching hours.</p><p><strong>Conclusions: </strong>After standardization of the workload, there remain higher levels of work stress among primary and secondary schoolteachers. Notwithstanding, the stress state in teachers is manageable and they may be faced with controllable stressors. Int J Occup Med Environ Health. 2023;36(2):161-76.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/36/ee/ijomeh-36-161.PMC10464725.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153794","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}
Mateusz Koberda, Andrzej Skorek, Paweł Kłosowski, Marcin Żmuda-Trzebiatowski, Krzysztof Żerdzicki, Paweł Lemski, Urszula Stodolska-Koberda
{"title":"Numerical and clinical analysis of an eyeball injuries under direct impact.","authors":"Mateusz Koberda, Andrzej Skorek, Paweł Kłosowski, Marcin Żmuda-Trzebiatowski, Krzysztof Żerdzicki, Paweł Lemski, Urszula Stodolska-Koberda","doi":"10.13075/ijomeh.1896.01913","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.01913","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to develop a numerical model of the eyeball and orbit to simulate a blunt injury to the eyeball leading to its rupture, as well as to conduct a comparative analysis of the results obtained using the finite element method against the clinical material concerning patients who had suffered an eyeball rupture due to a blunt force trauma.</p><p><strong>Material and methods: </strong>Using available sclera biometric and strength data, a numerical model of the eyeball, the orbital contents, and the bony walls were developed from the ground up. Then, 8 different blunt force injury scenarios were simulated. The results of numerical analyses made it possible to identify possible locations and configurations of scleral rupture. The obtained results were compared against the clinical picture of patients hospitalized at the Department of Ophtalmology, Medical University of Gdańsk in 2010-2016 due to isolated blunt force trauma to the eyeball.</p><p><strong>Results: </strong>It has been demonstrated that the extent of damage observed on the numerical model that indicated a possible location of eyeball rupture did not differ from the clinically observed configurations of the scleral injuries. It has been found that the direction of the impact applied determines the location of eyeball rupture. Most often the rupture occurs at the point opposite to the clock-hour/positions of the impact application. The eyeball rupture occurs in the first 7-8 ms after the contact with the striking rigid object. It has been established that the injuries most often affected the upper sectors of the eyeball. Men are definitely more likely to sustain such injuries. Eyeball ruptures lead to significant impairment of visual acuity.</p><p><strong>Conclusions: </strong>This study may contribute to a better understanding of injury mechanisms and better treatment planning. It may also contribute to the development of eyeball protection methods for employees exposed to ocular injuries. Int J Occup Med Environ Health. 2023;36(2):263-73.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"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/08/7e/ijomeh-36-263.PMC10464811.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10100003","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}
Adam Dudarewicz, Małgorzata Pawlaczyk-Łuszczyńska, Kamil Zaborowski, Niels Henrik Pontoppidan, Anna Wolniakowska, Lars Bramsløw, Jeppe Høy Christensen, Panagiotis Katrakazas, Dario Brdaric, Senka Samardžić, Mariola Śliwińska-Kowalska
{"title":"The adaptation of noise-induced temporary hearing threshold shift predictive models for modelling the public health policy.","authors":"Adam Dudarewicz, Małgorzata Pawlaczyk-Łuszczyńska, Kamil Zaborowski, Niels Henrik Pontoppidan, Anna Wolniakowska, Lars Bramsløw, Jeppe Høy Christensen, Panagiotis Katrakazas, Dario Brdaric, Senka Samardžić, Mariola Śliwińska-Kowalska","doi":"10.13075/ijomeh.1896.01681","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.01681","url":null,"abstract":"<p><strong>Objectives: </strong>It has been shown that monitoring temporary threshold shift (TTS) after exposure to noise may have a predictive value for susceptibility of developing permanent noise-induced hearing loss. The aim of this study is to present the assumptions of the TTS predictive model after its verification in normal hearing subjects along with demonstrating the usage of this model for the purposes of public health policy.</p><p><strong>Material and methods: </strong>The existing computational predictive TTS models were adapted and validated in a group of 18 bartenders exposed to noise at the workplace. The performance of adapted TTS predictive model was assessed by receiver operating characteristic (ROC) analysis. The demonstration example of the usage of this model for estimating the risk of TTS in general unscreened population after exposure to loud music in discotheque bars or music clubs is provided.</p><p><strong>Results: </strong>The adapted TTS predictive model shows a satisfactory agreement in distributions of actual and predicted TTS values and good correlations between these values in examined bartenders measured at 4 kHz, and as a mean at speech frequencies (0.5-4 kHz). An optimal cut-off level for recognizing the TTS events, ca. 75% of young people (aged ca. 35 years) may experience TTS >5 dB, while <10% may exhibit TTS of 15-18 dB.</p><p><strong>Conclusions: </strong>The final TTS predictive model proposed in this study needs to be validated in larger groups of subjects exposed to noise. Actual prediction of TTS episodes in general populations may become a helpful tool in creating the hearing protection public health policy. Int J Occup Med Environ Health. 2023;36(1):125-38.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/4d/ijomeh-36-125.PMC10464745.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10471384","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}