Romanian Journal of Occupational Medicine最新文献

Retraction note: Information about article’s retraction 撤稿说明:关于文章撤稿的信息

Romanian Journal of Occupational Medicine Pub Date : 2023-02-10 DOI: 10.2478/rjom-2022-0010

引用次数: 1

Epidemiology of occupational diseases in Romania and Israel: silicosis as a national concern 罗马尼亚和以色列职业病流行病学:作为国家关切的矽肺病

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0007

Popescu Florina Georgeta, Stoia Mihaela, Morariu Stelian Ioan

{"title":"Epidemiology of occupational diseases in Romania and Israel: silicosis as a national concern","authors":"Popescu Florina Georgeta, Stoia Mihaela, Morariu Stelian Ioan","doi":"10.2478/rjom-2022-0007","DOIUrl":"https://doi.org/10.2478/rjom-2022-0007","url":null,"abstract":"Abstract Background: Historically, silicosis is a disease of miners, but the last decade witnessed outbreaks in occupational settings not traditionally associated with silica exposure. Evidence from other countries may ground awareness and control of re-emergent risks. Methods: Incident cases of occupational diseases, ranking and trends were analysed within the period 2005-2016 using a cross-national comparative study. Labor force profile and occupation were additional data used to identify similarities and differences between Romania and Israel. The incidence rates for silicosis extracted from the Global Burden of Disease Study 2017 were compared to national, continental, and global level. Results: Between the two countries, the ratio was 1:1 for silicosis, musculoscheletal disorders, hearing loss, and chronic bronchitis. Regarding silicosis, two major diffences were found, namely: the trend of incidence (ascending in Israel; descending in Romania) and the occupational setting (coal miner in Romania; artificial stone worker in Israel). Globally, Romania was among countries with high incidence of silicosis in 2017. Conclusion: Silicosis was a national issue of concern at the time, but vigilance should continue, given the severity of this disease and the occurrence of other silica-related diseases.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131819125","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}

引用次数: 0

Occupational medicine and ergonomics: a new paradigm for improved management of ergonomic risks 职业医学与人体工程学:改善人体工程学风险管理的新范例

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0004

M. Boatca, A. Rascu

引用次数: 0

An unexpected effect of teleworking: acute clinical manifestations of a hypersensitivity pneumonitis to home parrots 远程办公的意外影响:家鹦鹉过敏性肺炎的急性临床表现

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0003

Andreea Mutu, I. Belaconi, C. Toma, M. Oțelea

{"title":"An unexpected effect of teleworking: acute clinical manifestations of a hypersensitivity pneumonitis to home parrots","authors":"Andreea Mutu, I. Belaconi, C. Toma, M. Oțelea","doi":"10.2478/rjom-2022-0003","DOIUrl":"https://doi.org/10.2478/rjom-2022-0003","url":null,"abstract":"Abstract Hypersensitivity pneumonitis (HP) is a complex inflammatory and/or fibrotic immune-mediated disease that involves lung parenchyma and small airways caused by an inhaled antigen in susceptible individuals. It is currently the third most frequent interstitial lung disease (ILD) after idiopathic pulmonary fibrosis (IPF) and connective tissue disease with ILD. Diagnosis of HP is often challenging as identifying a causative agent is one of the main arguments in diagnosis along with specific serum IgG testing, suggestive HRCT and/or BAL, and in some cases histopathological findings. However, in up to 60 % of cases, exposure is not identified despite a thorough exposure history. HP is more frequent associated with occupational exposures, up to 20%, but non-occupational environmental exposure remains an important cause. We present a case of bird fancier’s lung that illustrates the challenges and the importance of identifying the culprit antigen as the elimination of exposure in combination with corticosteroids can lead to improvement in lung function, symptoms and leads to a better prognosis and may stop of evolving in sever fibrotic forms of HP.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115034963","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}

引用次数: 0

The association between lung cancer and silicosis: from theory to practice in occupational medicine 肺癌与矽肺的关系:从理论到职业医学实践

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0008

M. Oțelea

{"title":"The association between lung cancer and silicosis: from theory to practice in occupational medicine","authors":"M. Oțelea","doi":"10.2478/rjom-2022-0008","DOIUrl":"https://doi.org/10.2478/rjom-2022-0008","url":null,"abstract":"Abstract Unbound (free) crystalline-silica dust is recognized since 2012 by the International Agency for Research on Cancer as a class I carcinogen. Exposure to this professional hazard was massive at the end of the last century, and it continues to exist today, albeit at lower levels. The number of cases of occupational cancer attributed to this exposure is minimal in Romania due to the absence of adequate post-exposure monitoring and the reporting of cases that encounters multiple obstacles, such as the absence of exposure data or the disappearance of the industrial sites in which the exposure took place. Occupational exposure to free crystalline silica dust can cause silicosis, and the presence of this disease certifies the existence of significant exposure. That is why the declaration of occupational cancer in a patient previously diagnosed with silicosis should be straightforward because the proof of exposure already exists. This article presents the cancer-silicosis relationship from the perspective of current scientific data and aims to substantiate the decision of the doctors from the public health departments who investigate and declare the reported cases.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129666454","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}

引用次数: 0

Osteoarthritis – a multidiciplinary approach 骨关节炎-一个多学科的方法

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0001

G. Bejan, Ramona Apostol, Mihaela Bejan, I. Grăjdeanu, M. Badina, A. Simionescu, A. Stănescu

引用次数: 0

Neurological complications in infection with the SARS-COV-2 virus: Parkinson’s disease and the impact on professional reintegration - case study 感染SARS-COV-2病毒后的神经系统并发症:帕金森病及其对重返职业的影响——个案研究

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0006

Maria Valentina Popa, Nicoleta Luchian, B. Gurzu, I. Gurzu, L. Duceac

{"title":"Neurological complications in infection with the SARS-COV-2 virus: Parkinson’s disease and the impact on professional reintegration - case study","authors":"Maria Valentina Popa, Nicoleta Luchian, B. Gurzu, I. Gurzu, L. Duceac","doi":"10.2478/rjom-2022-0006","DOIUrl":"https://doi.org/10.2478/rjom-2022-0006","url":null,"abstract":"Abstract Complications of the SARS-CoV-2 infection have significantly impacted the affected people’s quality of life and professional activity. Neurological manifestations may be present from the onset of infection but also in the course of the disease. The most common neurological symptoms are headache, anosmia/hyposmia, ageusia/dysgeusia, and myalgia. The studies also mention severe complications such as stroke, cerebral hemorrhage, meningitis, encephalitis, Guillain-Barré syndrome, acute transverse myelitis, convulsions, and movement disorders, as the infection with the SARS-CoV-2 virus is affecting both central and peripheral nervous systems. SARS-CoV-2 can worsen the symptoms of Parkinson’s disease, increasing the mortality rate in patients with advanced disease. The potential risk of inducing Parkinson’s disease has also been suggested, with the virus penetrating the brain where it can trigger cellular processes involved in neurodegeneration. We present you with the case of a nurse in the medical field, without comorbidities, who developed Parkinson’s disease after infection with the SARS-CoV-2 virus. Establishing a cause-and-effect relationship between the onset of Parkinson’s disease and viral infection may be possible, but the mechanisms by which it affects the nervous system and the involvement of the immune system in the pathogenesis of these manifestations are still under study. The progression of the disease, functional status, and ability to work can have a negative impact on professional activity.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114552109","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}

引用次数: 0

The psychological impact of the COVID-19 pandemic among the medical-sanitary staff, a new challenge 新冠肺炎疫情对医护人员心理影响的新挑战

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0009

Nicoleta Luchian, Maria Valentina Popa, Mădălina Duceac, I. Gurzu, B. Gurzu, C. Handra, L. Duceac

{"title":"The psychological impact of the COVID-19 pandemic among the medical-sanitary staff, a new challenge","authors":"Nicoleta Luchian, Maria Valentina Popa, Mădălina Duceac, I. Gurzu, B. Gurzu, C. Handra, L. Duceac","doi":"10.2478/rjom-2022-0009","DOIUrl":"https://doi.org/10.2478/rjom-2022-0009","url":null,"abstract":"Abstract The general perception is that the COVID-19 pandemic has been one of the biggest challenges for the health system. While touching every aspect of life, the COVID-19 pandemic has requested a prompt response from the health system and other structures and coordination systems that intervene in daily activity. The data presented were obtained following the application of a questionnaire to the average care staff of the Pascani Municipal Emergency Hospital, which monitored the impact of the COVID-19 pandemic on their professional activity and emotional state. The results revealed not only feelings of panic, fear, and worry but also determination and stubbornness in the fight against the disease. The results of the study indicated the adherence of the medical staff to initiatives that promote a holistic approach to the patient, addressing all the patient’s sufferings (physical, psychological, social, or spiritual), as well as finding new ways of relieving, treating, and healing them. The therapeutic act was difficult to fulfill because it had to consider the COVID-19 protocols, modified in dynamics, and applied to patients and staff. The use of complete protective equipment, as well as other adjustments to the working conditions, were perceived as an additional effort. To achieve this desideratum, teamwork, continuous medical education of the medical staff, and efficient communication between the medical assistant-nurse team with the patient and their relatives were of particular importance. Clear, transparent communication on the patient’s actual clinical condition and prognosis to his family members is essential to avoid and overcome possible conflictual situations.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132755850","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}

引用次数: 0

Occupational lead intoxication from terracotta tiles manufacturing: a case study 陶土砖生产中的职业性铅中毒:个案研究

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0002

Cristina-Manuela Mocanu

引用次数: 0

Occupational exposure and sick leave in a local food industry company 在当地一家食品工业公司的职业暴露和病假

Romanian Journal of Occupational Medicine Pub Date : 2022-12-01 DOI: 10.2478/rjom-2022-0005

Bogdan Mihail Pârvu

{"title":"Occupational exposure and sick leave in a local food industry company","authors":"Bogdan Mihail Pârvu","doi":"10.2478/rjom-2022-0005","DOIUrl":"https://doi.org/10.2478/rjom-2022-0005","url":null,"abstract":"Abstract Background: Sick leave (SL) medical certificates may help identify the intervention needed to reduce occupational exposures (OE) impact on employees’ health. OE may trigger increased sick days, but the question remains whether tracking medical certificates could improve health and working conditions. The objective of this observational retrospective cohort study was analyzing the SL situation for a local company in 2008, OE impact on future medical leaves during the next decade, and on all-cause mortality, towards improving global employee health. Methods: Employees of a local company were divided into two groups (G): G1-multiple OE including chemical hazards, rotating shifts, manual weight lifting, repetitive movements and machinery maneuvering (MWLRMMM), and G2-without OE. They were followed-up retrospectively between 2008-2018 regarding information from SL certificates, SL number, and all-cause mortality. Professional risk was assessed by professional risk factors identification forms, and on-site evaluation. Results: 369 patients (45.4% of all employees), mean age 33 ± 8.2 years old, 41.2% men, received 11310 SL days, 3036 days on the first certificate. G1 included 324 (87.8%), while G2 included 45 patients (12.2%). The most common OE, in 292 patients (79.1% of total, 90.1% of G1) was MWLRMMM. Sick days were significantly higher in G1 (p=0.046), while the association with MWLRMMM was almost significant (p=0.053). During the next decade, subsequent SL were significantly increased by the presence of OE (p=0.0023, risk ratio=2.4), especially MWLRMMM (p=0.0026). All-cause mortality was higher in older employees (p=0.025), and uninfluenced by OE (p=0.3194) or other parameters. Conclusions: SL are commonly prescribed, and OE is associated with more sick days, therefore improved working conditions may reduce SL. No association between OE and all-cause mortality was documented. Multiple sources of information (medical certificates, direct communication with employees and prescribing physicians) could lead to less sick days and a healthier work environment.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117203693","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}

引用次数: 0