{"title":"Communication with superiors and colleagues and other occupational stressors. Correlations with work ability, self-efficacy and health in employees from primary and secondary education","authors":"Dorin Triff, Zorica Triff, M. Bocoș, E. Naghi","doi":"10.2478/rjom-2019-0003","DOIUrl":"https://doi.org/10.2478/rjom-2019-0003","url":null,"abstract":"Abstract During periodic occupational medical checkup, in a sample including all employees from two high schools, a secondary school and a kindergarten, we administered through voluntary completion, questionnaires which assessed the employees’ occupational stress in terms of individual characteristics, anxiety, sense of self-efficacy, work ability, emotional exhaustion and health status (using ShortForm 36 questionnaire). A number of 233 questionnaires were returned. Only the occupational stressor represented by communication with superiors correlates significantly negatively with work ability in all four units. Work ability and communication with superiors also have average scores which differ significantly and are concordant in all four units. In the secondary school, work ability has the highest average value and the lowest average value of “communication with superiors” stressor. The same values are decreasing for WAI in order, from high school 2 to high school 1 and kindergarten while the stressor represented by communication with superiors has increasing values in order from high school no 2 to high school no. 1, and kindergarten. These results show that programmes to reduce occupational stress in school units should primarily address the school unit leadership in order to improve their communication with employees.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130026349","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":"Factors influencing the rationing of nursing care in Romania","authors":"A. Rascu, P. Postolache, D. Mazilu, M. Oțelea","doi":"10.2478/rjom-2019-0004","DOIUrl":"https://doi.org/10.2478/rjom-2019-0004","url":null,"abstract":"Abstract Understanding the factors influencing the rationing of nursing care is crucial for any quality control intervention in healthcare services. Occupational factors such as workload, night shifts, management style and organization of work have a potential influence. There are few studies specifically designed to evaluate these factors in relation with nurses’ work. In this study, we investigate several occupational factors influencing the quality of work in a sample of hospital nurses in order to identify the most important influencers of stress at work. The article describes the conceptual framework of the study, the population, the methods and the expected results. We also present a brief review of recent studies related to occupational risk factors and the perceived quality of care provided by Romanian nurse population.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127877527","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":"Correlations between weather parameters, atmospheric hydrogen sulphide level and vitamin B12 administration to H2S exposed workers","authors":"L. Borcan, F. Borcan, E. Pauncu, M. Tomescu","doi":"10.2478/rjom-2019-0001","DOIUrl":"https://doi.org/10.2478/rjom-2019-0001","url":null,"abstract":"Abstract Hydrogen sulphide, a highly toxic gas, can be used in crenotherapy to balance all metabolic processes (minerals, fats and proteins). The main aims of this study were to correlate the weather characteristics with the atmospheric H2S level and to evaluate the antidote activity of B12 Vitamin in the case of prolonged exposure to this compound. 46 volunteers, people from the medical staff of an important Romanian thermal water spring spa, with professional exposure at H2S, were enrolled in this study; numerical data about their blood pressure, atmospheric H2S concentration and about the weather conditions were collected every month for one year. The results indicate an improvement in the blood pressure of volunteers treated with Vitamin B12; no significant correlation between the concentration of total urinary sulphur and the concentration of atmospheric H2S level was found.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121677041","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":"The need to improve screening and diagnostic methods in occupational irritant dermatitis","authors":"A. Rascu, M. Oțelea, C. Giurcaneanu","doi":"10.2478/rjom-2019-0009","DOIUrl":"https://doi.org/10.2478/rjom-2019-0009","url":null,"abstract":"Abstract Modern medicine has increasingly directed its interest towards discovering the etiology of occupational dermatitis, but unfortunately it is not completely elucidated. As with other occupational diseases, the presence of the exposure and the temporal relation between the exposure and the appearance of the characteristic signs is a defining element, but obtaining the information on the etiological factors is not always easy, therefore the attention must be directed to a systematic collection of these data. Clinical diagnosis is not sufficient, so additional paraclinical tests are needed for a complete diagnosis. Currently, more and more emphasis is being placed on experimental studies targeting the discovery of molecular or genetic markers that complement the idea of individual susceptibility in the appearance of contact dermatitis. As frequent as it is difficult to diagnose, occupational dermatitis is still a public health problem.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126917623","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":"Health particularities of the employees of clothing factories","authors":"V. Mesina, G. Friptuleac","doi":"10.2478/rjom-2019-0005","DOIUrl":"https://doi.org/10.2478/rjom-2019-0005","url":null,"abstract":"Abstract We present the particularities of the morbidity with temporary labor incapacity (TLI) of the employees of confection factories during the years 2011 - 2017. We placed emphasis on the risk factors affecting the health of the employees. It is an established fact that the main risk factors are unfavorable microclimate, vibration, dust, noise, and others. Morbidity with TLI according to frequency index (IFc) has practically a constant character. The highest level of IFc was registered in 2013, reaching 93.3 cases per 100 workers, while the severity index being oscillatory in nature constituted 1311.2 days in 100 workers in the same year. Both indices have shown a growth trend towards the end of 2017. The average duration of a case remained at the same level of 13-14 days. There were also particularities of morbidity based on gender, profession, etc. The data obtained can be the basis for the elaboration of the prophylaxis measures.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121074327","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":"Diabetic nephropathy in type 2 diabetes – from pathological mechanisms to clinical occupational medicine practice","authors":"M. Oțelea, Daniel Dragu","doi":"10.2478/rjom-2019-0008","DOIUrl":"https://doi.org/10.2478/rjom-2019-0008","url":null,"abstract":"Abstract Employees with diabetes and nephropathy need special medical surveillance that involves occupational medicine specialists. However, diabetes is not a unique phenotype and each patient need to be carefully assessed. Age, gender, body mass index, renal function impairment (eGFR, creatinine, urea, uric acid), indicators of diabetes control (fasting glycaemia and HbA1C), the presence of co-morbidities, dyslipidaemia, level of serum albumin and total protein, cytokines and other inflammatory markers should be considered in a comprehensive evaluation of the severity of the chronic kidney disease and of the treatment plan. Chronic kidney disease in type 2 diabetes has many facets and various degrees of severity; therefore, permanent communication between the occupational medicine specialist and the treating physician should be maintained. For this purpose, this article reviews the current pathological mechanisms proposed for the explanation of the chronic kidney disease, the diagnostic and the general therapeutic recommendations and also the possible occupational interventions in patients with type 2 diabetic nephropathy.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130953334","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":"Acrylic sculpting nails, an occupational hazard for contact dermatitis. Case reports and review of the literature","authors":"L. Moise, S. Bădulici, A. Rascu, A. Rascu","doi":"10.2478/rjom-2019-0007","DOIUrl":"https://doi.org/10.2478/rjom-2019-0007","url":null,"abstract":"Abstract Acrylates are plastic materials formed by the polymerization of monomers, which are recognized as powerful sensitizers that may cause allergic contact dermatitis both in occupational and non-occupational environment. In the occupational setting, the most exposed workers are the dentists, dental technicians, prosthesis technicians, printers, painters, fiberglass workers and nail technicians. We describe four cases of occupational allergic contact dermatitis in nail technicians caused by acrylic compounds that illustrate numerous clinical manifestations. Clinical manifestations ranged from edema, erythema, scaling and fissuring fingertips to erythematous patches around the chin, mandible and abdomen. Patch testing results revealed positive reaction to 2-hydroxyethyl methacrylate in all patients. Of the four patients, two changed jobs, one stopped exposure because of pregnancy and one patient continued working, showing no improvement, despite undergoing treatment. These cases underline the importance of improvement of preventive measures in the workplace.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"264 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128565516","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}
D. Mates, V. Calotă, M. Oțelea, I. Csiki, Ș. Rașcu, C. Staicu, N. Suciu, A. Voinoiu, P. Iordache, A. Rascu, I. Mateș, A. Manolescu, V. Jinga
{"title":"Prostate cancer: an occupational hazard in Romania?","authors":"D. Mates, V. Calotă, M. Oțelea, I. Csiki, Ș. Rașcu, C. Staicu, N. Suciu, A. Voinoiu, P. Iordache, A. Rascu, I. Mateș, A. Manolescu, V. Jinga","doi":"10.2478/rjom-2019-0006","DOIUrl":"https://doi.org/10.2478/rjom-2019-0006","url":null,"abstract":"Abstract Several occupational carcinogens (arsenic, cadmium) and industries (rubber production) have been associated with prostate cancer risk but most of the data are from studies conducted on screened populations. Here we explored this association in Romanian men, a population with low PSA screening test coverage. We have analyzed 468 prostate cancer cases pathologically confirmed and 495 non-cancer hospital controls, recruited in the ROMCAN project. Personal information, including occupational activity, was collected through interview. Two experts classified jobs and activities into 15 economic sectors with similar patterns of exposure. Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between ever employed in each economic sector and prostate cancer risk. We observed a higher non adjusted risk for employment in electricity, gas, steam and air conditioning supply activities (OR=3.95, p=0.029), manufacturing–light industry (OR=1.88, p=0.039), financial, insurance and gambling (OR=1.44, p=0.046) and a lower risk for employment in construction industry (OR=0.62, p=0.010). After adjusting for potential confounders, only the low risk in construction workers was maintained (OR=0.55, p=0.004). Our study provides some evidence on the role of occupational factors on the prostate cancer risk but further assessments are needed. Healthy lifestyle promotion and prevention should be reinforced at workplaces.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116836490","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":"Stress vulnerability assessment among medical and political science and public administration students","authors":"C. Handra, E. Naghi, M. Oțelea","doi":"10.2478/rjom-2018-0008","DOIUrl":"https://doi.org/10.2478/rjom-2018-0008","url":null,"abstract":"Abstract Context. Stress is a complex psychosocial phenomenon that significantly influences health. The individual differences in stress response depend on sensitivity to stressors, named “stress vulnerability”. Objectives. The aims of the study were to determine the level of perceived vulnerability to stress and compare stress vulnerability among students from 2 universities in Bucharest: University of Medicine “Carol Davila” and National University of Political Studies and Public Administration. Methods. An approximately equal number of students from the two selected universities completed the Romanian version of the Miller-Smith stress vulnerability questionnaire. Results. A number of 86 (60 women and 26 men) students agreed to participate. Average age was 23.56 years with a standard deviation of 4.86 years. The high vulnerability group included 18 (38%) medical students and 27 (60%) political science and public administration students. The difference was statistically significant (chi2 test, p=0.02) between the two groups. The average health score for medical students (MS) was 15.97, with a median of 15, while for the political science and administration students (PSPAS) the average health score was 24.91, with a median of 26. The average psychosocial score for MS group was 20.41 and the median was 20. In the PSAPS group, the psychosocial score was 26.14 and the median 24. The difference was statistically significant for both health score (p<0.00001) and psychosocial score (p=0.0006). Conclusions: Stress is a common problem among undergraduated students. In this study the vulnerability to stress was higher for students PSAPS group compared to the students from MS group.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134251825","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}