Occupational medicine最新文献

{"title":"90 years SOM then and now","authors":"Paul J Nicholson, Neil Greenberg","doi":"10.1093/occmed/kqae084","DOIUrl":"https://doi.org/10.1093/occmed/kqae084","url":null,"abstract":"A past and the current President of the Society of Occupational Medicine describe the socio-political conditions that led to the formation of the Association of Industrial Medical Officers in 1935. They discuss milestones in its development—the formation of regional groups, the publication of a journal, the change of name and the Society’s status today as a multidisciplinary learned society of health professionals from different backgrounds who have an interest in occupational health/medicine.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251932","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":"A better approach to mitigate the risk of airborne infections in workplaces.","authors":"Raymond M Agius","doi":"10.1093/occmed/kqae083","DOIUrl":"https://doi.org/10.1093/occmed/kqae083","url":null,"abstract":"","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251933","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":"Bauxite mine and alumina refinery workers: mortality and cancer risk","authors":"N Kinsman, A Del Monaco, C Dimitriadis, S Xie, G Benke, M R Sim, K Walker-Bone","doi":"10.1093/occmed/kqae069","DOIUrl":"https://doi.org/10.1093/occmed/kqae069","url":null,"abstract":"Background Aluminium industry workers are at risk of long-term health consequences. Aims To investigate mortality and cancer incidence in bauxite mine and alumina refinery workers. Methods A pre-existing cohort of workers was re-linked with the Australian National Death Index, and the Australian Cancer Database to provide additional death (7 years) and cancer (9 years) data. Standardized mortality ratios (SMRs) and standardized incidence rates (SIRs) were estimated by job category, duration of employment and time since first employment. Results Linkage was performed for 6935 (6207 male) workers. Compared with the general population, there was a reduced or similar risk of death for mine/refinery workers for all causes except mesothelioma which was increased amongst male production workers [SMR 2.42, 95% CI 1.11–4.60]. Mesothelioma incidence was also increased amongst males [SIR 2.50, 95% CI 1.60–3.71]. Male office workers had a greater incidence of prostate cancer [SIR 1.30, 95% CI 1.06–1.57] and thyroid cancer [SIR 3.47, 95% CI 1.66–6.38]. Melanoma incidence was increased in female office workers [SIR 2.27, 95% CI 1.36–3.54]. Lip cancer incidence was increased in male maintenance/production workers [SIR 2.04, 95% CI 1.02–3.65]. Overall cancer incidence was otherwise similar to the general Australian population. Conclusions Overall risk of death and incidence of cancer for bauxite mine and alumina refinery workers was similar to the general population. Incidence and risk of death from mesothelioma were higher, likely due to historic asbestos exposure in this and other industries. The increased risk of melanoma, lip, prostate and thyroid cancers requires further investigation.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175215","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":"ECHO OEM virtual community of learning for primary care.","authors":"A D Furlan,C Severin,S Harbin,E Irvin,Nancy Carnide,Behdin Nowrouzi-Kia,Sara Macdonald,Aaron Thompson,Qing Liao,Peter Smith,Anil Adisesh","doi":"10.1093/occmed/kqae067","DOIUrl":"https://doi.org/10.1093/occmed/kqae067","url":null,"abstract":"BACKGROUNDHealth issues caused and/or exacerbated by work are common in patients seeking primary health care. Yet, primary care providers generally receive little or no training in the assessment and management of occupational injuries and illnesses.AIMSTo conduct a pilot project to develop, implement and evaluate a programme to teach occupational and environmental medicine to primary healthcare providers.METHODSWe followed the Extensions for Community Healthcare Outcomes (ECHO) model to connect primary healthcare providers with experts in Occupational and Environmental Medicine (OEM). We employed an observational pre-post study design to assess changes in self-efficacy, knowledge, attitudes and beliefs towards OEM.RESULTSFrom September 2021 to June 2022, we offered two cycles of 12 sessions each. Participants came from medicine, nursing, psychology, occupational and physical therapy, chiropractic, kinesiology, social work, and pharmacy. Sixty-seven participants completed both pre- and post-ECHO questionnaires. Self-efficacy and knowledge ratings significantly increased after attendance at ECHO compared to the pre-ECHO responses. Attitudes and beliefs were unchanged in most of the items assessed. Participants rated their satisfaction with ECHO between 59% and 97%.CONCLUSIONSOur pilot study demonstrated the challenges in implementing the first ECHO OEM in Canada. Findings show acceptability and satisfaction, improved self-efficacy, and small increases in knowledge, but not overall attitudes and beliefs. There is a need to understand barriers to participation and to target participants with less knowledge and experience in occupational and environmental medicine.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175199","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":"Evaluation of job satisfaction and related factors in wood extraction workers in Gilan province","authors":"Mokhtari F, Hemmati V, Firouzan Ah, Tarabian Sy","doi":"10.18502/tkj.v16i2.16088","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16088","url":null,"abstract":"Introduction: occupational accidents are caused by ignorance of occupational health and safety recommendations, due to the high rate of accidents in the industry of cutting and extracting wood from the forest, this study is necessary to evaluate job satisfaction. \u0000Materials and Methods: In this research, job satisfaction was used as a dependent variable and independent variables included age, educational and employment status, type of work, and duration of employment. To determine the conditions of excessive fatigue among forest workers, the index of symptoms of excessive fatigue was used. The number of 100 workers was investigated by a questionnaire, the comparison of independent variables affecting the satisfaction or dissatisfaction of workers with work using discriminant analysis and the Wilks Lambda coefficient, and the comparison of the average opinions of people from different work groups regarding the work situation using Friedman's test was performed. \u0000Results: The four variables of duration of employment, age status of workers, employment status, and type of work are suitable for separating two groups satisfied with work and dissatisfied with work. The assessment of complaint rate showed that questions I take care of my family, I am very worried about my health and I am dissatisfied with many things with the highest rates of 84.66%, 70.66%, and 61.33% respectively. They took the complaint to themselves. The results showed that the highest amount of fatigue accumulation index is related to two groups chronic fatigue and general fatigue. The results of the present study show that 47% of forest workers are illiterate in their educational status, which requires a training course for workers to work with cutting tools and machines. The results showed that 41 percent of the people studied liked their jobs. \u0000Conclusion: Personal protective equipment is considered a work tool without which it is impossible to do the desired job. Training classes should be held periodically by the safety department for workers and supervisors when needed.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"45 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141817934","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":"1","authors":"1","doi":"10.18502/tkj.v16i2.16085","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16085","url":null,"abstract":"<jats:p>1</jats:p>","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"44 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818150","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":"Intention to Leave the Service in Nurses During the COVID-19 Pandemic: A Systematic Review Intention to Leave the Service in Nurses During the COVID-19 Pandemic: A Systematic Review","authors":"Sharifian P","doi":"10.18502/tkj.v16i2.16092","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16092","url":null,"abstract":"Introduction: Leaving the profession, especially during the COVID-19 pandemic, has become one of the global challenges raised by healthcare service providers. This study aimed to review the tendency of nurses to leave their service during the COVID-19 pandemic. \u0000Materials and Methods: In this systematic review, all the studies conducted inside and outside the country during the period of the COVID-19 pandemic from 2019 to 2022 using the keywords of leaving the service of nurses, leaving the service in COVID, nursing in Covid, willingness to leave the service in Covid, the tendency to leave service, leaving the service of nurses in Covid, resignation from a nursing job, covid and leaving service, from the internal databases Google Scholar, Iranmedex, Magiran, Nindex, MediLib and Noor magazines and external databases WoS, ProQuest, PubMed, Scopus. Were placed the articles that met the inclusion criteria were selected and finally analyzed more closely. \u0000Results: In the extensive search for information, 127 articles were obtained, and 10 articles were finally selected and evaluated during the screening process and review of the inclusion criteria. The results of this review showed that fear of disease, not having enough immunity, having children, not being able to afford personal equipment, inappropriate salary and benefits compared to the difficulty of work, fear of transmitting infection to the family, lack of support from officials, working in the Covid department and the heavy workload during the Covid-19 era was cited as one of the most important reasons for leaving a job. \u0000Conclusion: Choosing life solutions, financial and occupational safety, and more effective support of the authorities towards nurses are among the solutions that can help to continue the nursing profession, especially during crises like COVID-19.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"33 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818536","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":"Effect of exposure to recreational noise on hearing threshold levels in medical students","authors":"Neshati A, Davari Mh, Mola Sadeghi A, Vakili M, Mehrparvar Ah","doi":"10.18502/tkj.v16i2.16089","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16089","url":null,"abstract":"Introduction: Noise exposure may cause a kind of sensorineural hearing loss. Noise-induced hearing loss is known as an occupational disease, but the effect of exposure to recreational noise is not completely understood. This study aimed to assess the impact of exposure to recreational noise on hearing status. \u0000Materials and Methods: This was a cross-sectional study of 304 medical students. The participants were randomly selected from medical students in years 4 to 6 and were divided into two groups regarding their exposure to recreational noise. Conventional audiometry was done for all participants, and hearing thresholds at different frequencies were compared between two groups. Data were analyzed using SPSS (ver. 20) using Kolmogorov-Smirnov, Mann-Whitney U, and chi-square tests. \u0000Results: The mean age of the participants was 23.18±3.14 years. In total, 74.7% of participants were exposed to recreational noise. The mean duration of noise exposure was 4.67±2.91 years. The most frequent exposure was to music via a headphone or hands-free (27.3%). All hearing thresholds in both groups were within the normal range and there was no significant difference between the two groups regarding hearing thresholds. \u0000Conclusion: The results of the present study showed that any exposure type of recreational noise (music, eulogy, or lecture) in the young population did not affect hearing thresholds.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"48 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818083","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":"Evaluation of the relationship between the establishment of the safety, health and environment management system on the performance of employees of the coking complex and refineries - Iranian Zarand Steel Company","authors":"Sadra Abarghoei N, Akhawan A, Sarhadi Amjaz S, Soltani R","doi":"10.18502/tkj.v16i2.16090","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16090","url":null,"abstract":"Introduction: The present research was conducted with the aim of investigating the relationship between the establishment of safety, health and environment management system on the performance of coking complex employees and refineries of Iranian Zarand Steel Company. Therefore, at first, the dimensions and issues of establishing the safety, health and environment management system and the performance of employees were identified, and then the relationships between the identified variables were presented. \u0000Materials and Methods: Two standard questionnaires were used to collect data related to the measurement of research variables, which in total include 2 structures, 3 dimensions, and 20 questions. The content validity method was used to check the validity of the questionnaire. Cronbach's alpha coefficient was calculated as 0.863, which indicated the reliability of the questionnaire. The statistical population of this research includes the employees and experts of Iranian Zarand Steel Company. After ensuring the validity and reliability of the designed scales based on the calculations, the questionnaires were distributed to a sample of 260 people. To check the demographic data, descriptive statistics, K-S test to determine the normality of the data using SPSS24 software, to determine the construct validity using the confirmatory factor analysis test and for the relationships between the variables using the structural equation model using statistical software 3 SMART-PLS was performed. \u0000Results: The establishment of the safety, health and environment management system on the performance of employees with a factor load of 0.623 and the T-statistic of the test 9.803, as well as the safety, health and environment management system on the dimensions of employee performance, including increasing knowledge and quality of work, a better relationship with Colleagues, improvement of individual characteristics, development of skills and better supervision, improvement of creativity and improvement of customer orientation of Zarand Iranian Steel Company with factor loading of 0.555, 0.664, 0.430, 0.436, 0.424 and 0.461 respectively and the T-statistics of the test have a significant relationship of 8.086, 12.337, 5.069, 5.792, 5.055 and 6.629. \u0000Conclusion: The findings show that the establishment of the HSE management system has a significant effect on the performance of employees and its dimensions, including the quality of occupational health and safety rules, practical compliance with the law, management and cooperation, workplace processes, the use of personal protective equipment and empowering the behavior of managers and employees.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818524","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":"Inter- and intra-observer reliability of the Ergonomic Screening and Prioritization Tool to assess the risk level of work-related musculoskeletal disorders in nurses","authors":"Rahgoshay N, Daneshmandi H, Vali M, Shahbazi M, Sadeghian R","doi":"10.18502/tkj.v16i2.16091","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16091","url":null,"abstract":"Introduction: Musculoskeletal Disorders (MSDs) are among the most common occupational diseases, and ergonomics and occupational health engineering specialists need reliable and valid methods for assessing high-risk activities and the factors contributing to their occurrence. \u0000Materials and Methods: In this cross-sectional study, 100 nurses employed at Namazi Hospital in Shiraz were randomly selected. Data was collected using a demographic/occupational questionnaire, Hierarchical Task Analysis (HTA), and the Ergonomics Screening and Prioritizing Tool (ESPT). Three observers simultaneously assessed the risk of developing MSDs for each job duty. After a six-month interval, the same observers re-evaluated the same group of nurses in the same work Postures. To assess the reliability of ESPT between and within observers, the Intra-class Correlation Coefficient (ICC) and the Kappa Multi-rater Fleiss method were used. Data analysis was conducted using SPSS software version 26. \u0000Results: The results of the study showed a high agreement between each observer as well as between the three observers before and after six months. The ICC for observers 1, 2, and 3 were respectively 0.951, 0.947, and 0.927, and also between each of the three observers for the first and second time respectively 0.955 and 0.941. \u0000Conclusion: The ESPT has been shown to possess high reliability for assessing the risk of developing MSDs among nurses, and it can be used for this purpose.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818293","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}