Journal of Occupational Medicine and Toxicology最新文献

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Physical working conditions over time: a repeated cross-sectional study in German employees. 随时间变化的体力工作条件:对德国雇员的重复横截面研究。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-06-10 DOI: 10.1186/s12995-024-00423-8
Johannes Beller, Julia Graßhoff, Batoul Safieddine
{"title":"Physical working conditions over time: a repeated cross-sectional study in German employees.","authors":"Johannes Beller, Julia Graßhoff, Batoul Safieddine","doi":"10.1186/s12995-024-00423-8","DOIUrl":"10.1186/s12995-024-00423-8","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to examine time trends in physical working conditions across and within occupational groups in Germany between 2006 and 2018.</p><p><strong>Methods: </strong>Logistic regression analyses were conducted using data from the BIBB/BAuA Employment Surveys in 2006, 2012, and 2018, with a total sample size of 59,006 participants. The study investigated changes in various self-reported occupational exposure measures over time, along with demographic shifts in the workforce.</p><p><strong>Results: </strong>The results showed overall improvements in most occupational exposure measures during the study period, alongside an aging and upskilling workforce. However, exposure to awkward postures, microorganisms, and, to a lesser extent, noise increased. Substantial variation was observed between occupational groups, with more favourable trends among white-collar high-skilled and blue-collar low-skilled workers, and less favourable trends among white-collar low-skilled and blue-collar high-skilled workers.</p><p><strong>Conclusions: </strong>While trends in physical working conditions in Germany are partly promising, some exposures are worsening, and substantial inequalities between occupations persist. As occupational exposures remain common, there is still a need for targeted interventions to improve working conditions, particularly in higher-risk occupations.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"24"},"PeriodicalIF":3.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11165766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301938","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}
引用次数: 0
Interrelations of managing position with person-environment fit of gender-role orientation, and burnout. 管理职位与性别角色取向的人-环境契合度和职业倦怠的相互关系。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-06-07 DOI: 10.1186/s12995-024-00403-y
Eva Wacker, Axel Fischer, Julia Schorlemmer
{"title":"Interrelations of managing position with person-environment fit of gender-role orientation, and burnout.","authors":"Eva Wacker, Axel Fischer, Julia Schorlemmer","doi":"10.1186/s12995-024-00403-y","DOIUrl":"10.1186/s12995-024-00403-y","url":null,"abstract":"<p><strong>Background: </strong>In previous studies a moderator effect of management position could be found between Person-environment fit of masculinity, and burnout. Present study goals are to analyze previous fundings of the importance of the individual gender-role in relation to the work environment in more detail.</p><p><strong>Methods: </strong>In this cross sectional explanative study, an online survey took place using Gender Role Orientation Scale (GTS +) by Altstötter-Gleich and DearEmployee-Survey by Wiedemann et al. The sample consists of 891 participants-516 female (58%), 373 male (42%), among those 277 executives (32%) and 594 participants without managerial responsibility (68%), age 17-70 years (M = 29.86; S = 7.67). Four groups were divided according to P-E fit in femininity and P-E fit in masculinity, this enabled a more precise distinction between the participants. The proportions of executives were determined, and compared in each group by a <math> <msup><mrow><mi>χ</mi></mrow> <mn>2</mn></msup> </math> -Test Hierarchical linear regression models predicting burnout and proving moderator effects of managerial position were calculated for each group.</p><p><strong>Results: </strong>The proportions of executives were the highest in the two groups with participants, who had a higher individual masculinity compared to their work environment. A moderator effect of managerial position between P-E fit in masculinity and burnout was found in group \"Indifferent\" (participants with lower feminity and masculinity compared with work environment). With a worse P-E fit in masculinity burnout values rise for individuals with no managerial position. On the other hand, among leaders burnout values decrease a worse P-E fit in masculinity.</p><p><strong>Conclusions: </strong>People with a high individual masculinity compared to work environment tend more to be selected as managers, regardless of the individual characteristics of femininity, which may generally lead to a highly masculine and less feminine leadership and corporate culture. This culture could increase burnout risk for people with low individual masculinity and high feminity scores compared to work environment as well as for persons with low individual masculinity and feminity compared to work environment, especially if they are not in a managerial position.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"23"},"PeriodicalIF":3.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11161922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288759","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}
引用次数: 0
Migraine self-management at work: a qualitative study. 偏头痛在工作中的自我管理:一项定性研究。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-06-04 DOI: 10.1186/s12995-024-00421-w
Clara Knauf, Katherina Heinrichs, Rolf Süllwold, Andrea Icks, Adrian Loerbroks
{"title":"Migraine self-management at work: a qualitative study.","authors":"Clara Knauf, Katherina Heinrichs, Rolf Süllwold, Andrea Icks, Adrian Loerbroks","doi":"10.1186/s12995-024-00421-w","DOIUrl":"10.1186/s12995-024-00421-w","url":null,"abstract":"<p><strong>Background: </strong>Migraine is common and can be highly disabling. Adequate migraine self-management (SM) can mitigate the potentially adverse health effects of migraine. However, adequate SM can be challenging to implement in everyday life, for instance, at the workplace. We aimed to explore how migraine SM is carried out at work and which occupational factors may determine effective implementation according to employees with migraine. We also explored the potential impact of the COVID-19 pandemic and the associated re-arrangement of working conditions on migraine SM at work.</p><p><strong>Methods: </strong>We conducted semi-structured qualitative interviews (08/2020-01/2021). Participants were eligible if they have worked for at least six months with a minimum of twenty hours per week and with a migraine diagnosis. The interviews were transcribed and content-analyzed using MAXQDA.</p><p><strong>Results: </strong>Migraine SM was perceived to be influenced by social interactions at work (e.g., in terms of understanding vs. stigmatization), the level of job decision latitude (JDL, i.e., the extent to which one is able to influence work processes, e.g., when working from home), and workplace design (e.g., in terms of opportunities to withdraw from work). During the COVID-19 pandemic, especially increased JDL appeared to favorably influence migraine SM.</p><p><strong>Conclusions: </strong>Migraine SM at work is fostered or complicated by various psychosocial working conditions. By considering these facilitators and barriers, more migraine-friendly workplaces can be created.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"22"},"PeriodicalIF":3.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238523","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}
引用次数: 0
Reduced protein levels in latex gloves may play an alternative approach to lowering latex sensitization risks among health workers; a cross-sectional analytical study. 降低乳胶手套中的蛋白质含量可能是降低医务工作者乳胶致敏风险的另一种方法;一项横断面分析研究。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-06-03 DOI: 10.1186/s12995-024-00420-x
Chatpong Ngamchokwathana, Naesinee Chaiear, Jitladda Sakdapipanich, Sumalai Dechyotin, Somsamai Sripramai, Prapassorn Khajornpipat
{"title":"Reduced protein levels in latex gloves may play an alternative approach to lowering latex sensitization risks among health workers; a cross-sectional analytical study.","authors":"Chatpong Ngamchokwathana, Naesinee Chaiear, Jitladda Sakdapipanich, Sumalai Dechyotin, Somsamai Sripramai, Prapassorn Khajornpipat","doi":"10.1186/s12995-024-00420-x","DOIUrl":"10.1186/s12995-024-00420-x","url":null,"abstract":"<p><strong>Background: </strong>Latex gloves are essential for protecting healthcare workers from biological hazards but pose a risk of latex allergy, particularly due to powdered, protein, and allergen content. Recent advancements in latex glove manufacturing have led to reduced levels of extractable proteins, a known factor triggering allergenic reaction. This study aimed to compare latex sensitization between nursing staff using low-protein and high-protein latex gloves at a tertiary university hospital in Thailand.</p><p><strong>Methods: </strong>A cross-sectional analytical study categorized participants into two groups based on glove exposure: the low extractable protein group (only exposed to non-powdered latex gloves with extractable protein levels below 50 µg/g) and the high extractable protein group (exposed to powdered latex gloves with levels above 50 µg/g). The sample size comprised 163 individuals in the low protein group and 318 in the high protein group (1:2). Latex allergy symptoms and sensitization were assessed using a self-administered questionnaire and latex-specific IgE measurement (ImmunoCAP), respectively. Data analysis involved descriptive and inferential statistics, including odds ratios and 95%CI.</p><p><strong>Results: </strong>Demographic data was mostly similar in both exposure groups except for age. No significant differences in latex sensitization between the low and high protein groups were found via latex-specific IgE measurement (crude OR 1.90, 95%CI: 0.5, 7.18), potentially attributed to lower extractable protein levels in powdered latex gloves compared to previous studies. In contrast, the low protein group exhibited significantly fewer current latex allergy symptoms in both bivariate (crude OR 0.24, 95%CI: 0.06, 0.74) and multiple variable analysis (adjusted OR 0.18, 95%CI: 0.04, 0.86). Moreover, there was a significant reduction in latex allergy symptoms among the low protein group, decreasing from 9.8% who reported experiencing symptoms (when powdered latex gloves were used) to 1.2% who still reported current symptoms (OR 0.11, 95%CI: 0.02, 0.44).</p><p><strong>Conclusions: </strong>This study underscores the importance of using non-powdered and low-protein latex gloves to reduce latex allergy symptoms while emphasizing the need for further investigation into the relationship between extractable protein levels in addition to the attempt of the major allergen removal and latex sensitization amid evolving glove manufacturing practices.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"21"},"PeriodicalIF":3.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11145855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200916","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}
引用次数: 0
Construction of a mortality risk prediction model for patients with acute diquat poisoning based on clinically accessible data. 根据临床数据,建立急性敌草快中毒患者死亡风险预测模型。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-05-21 DOI: 10.1186/s12995-024-00416-7
Mingxiu Lv, Yu Du
{"title":"Construction of a mortality risk prediction model for patients with acute diquat poisoning based on clinically accessible data.","authors":"Mingxiu Lv, Yu Du","doi":"10.1186/s12995-024-00416-7","DOIUrl":"10.1186/s12995-024-00416-7","url":null,"abstract":"<p><strong>Background: </strong>To examine the risk factors associated with mortality in individuals suffering from acute diquat poisoning and to develop an effective prediction model using clinical data.</p><p><strong>Methods: </strong>A retrospective review was conducted on the clinical records of 107 individuals who were hospitalized for acute diquat poisoning at a tertiary hospital in Sichuan Province between January 2017 and September 30, 2023, and further categorized into survivor and nonsurvivor groups based on their mortality status within 30 days of poisoning. The patient's demographic information, symptoms within 24 h of admission, and details of the initial clinical ancillary examination, as well as the APACHE II score, were documented. The model was developed using backward stepwise logistic regression, and its performance was assessed using receiver operating characteristic curves, calibration curves, Brier scores, decision curve analysis curves, and bootstrap replicates for internal validation.</p><p><strong>Results: </strong>Multifactorial logistic regression analysis revealed that blood pressure (hypertension, OR 19.73, 95% CI 5.71-68.16; hypotension, OR 61.38, 95% CI 7.40-509.51), white blood count (OR 1.35, 95% CI 1.20-1.52), red cell distribution width-standard deviation (OR 1.22, 95% CI 1.08-1.38), and glomerular filtration rate (OR 0.96, 95% CI 0.94-0.97) were identified as independent risk factors for mortality in patients with diquat. Subsequently, a nomogram with an area under the curve of 0.97 (95% CI: 0.93-1) was developed. Internal bootstrap resampling (1000 repetitions) confirmed the model's adequate discriminatory power, with an area under the curve of 0.97. Decision curve analysis demonstrated greater net gains for the nomogram, while the clinical impact curves indicated greater predictive validity.</p><p><strong>Conclusion: </strong>The nomogram model developed in this study using available clinical data enhances the prediction of risk for DQ patients and has the potential to provide valuable clinical insights to guide patient treatment decisions.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"20"},"PeriodicalIF":3.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076960","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}
引用次数: 0
Epidemiology of work-related injuries, musculoskeletal disorders and dermatitis among hospital food service workers in a tertiary hospital in Asia. 亚洲一家三级医院膳食服务人员的工伤、肌肉骨骼疾病和皮炎流行病学。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-05-17 DOI: 10.1186/s12995-024-00413-w
Kenneth Bao Ren Leong, Qin Xiang Ng, Wee Hoe Gan, Wee Tong Ng, John Wah Lim
{"title":"Epidemiology of work-related injuries, musculoskeletal disorders and dermatitis among hospital food service workers in a tertiary hospital in Asia.","authors":"Kenneth Bao Ren Leong, Qin Xiang Ng, Wee Hoe Gan, Wee Tong Ng, John Wah Lim","doi":"10.1186/s12995-024-00413-w","DOIUrl":"https://doi.org/10.1186/s12995-024-00413-w","url":null,"abstract":"<p><strong>Background: </strong>Despite the relative importance, the prevalence of workplace safety and health issues in hospital food service workers is not well studied. This study describes the epidemiology of work-related injuries and occupational diseases among hospital food service workers (FSWs) in a tertiary hospital in Singapore.</p><p><strong>Methods: </strong>Using a total population sampling approach, a cross-sectional self-administered questionnaire was distributed to all FSWs employed at a major tertiary hospital in Singapore.</p><p><strong>Results: </strong>The response rate was 98.4% (n = 125). The overall prevalence of workplace injuries and musculoskeletal symptoms was 35% (n = 43) and 53% (n = 65) respectively. The most common workplace injuries were cuts/lacerations (35.8%), muscle strain (25.4%) and burns (19.4%). The prevalence of workplace injuries among staff performing food preparation duties was higher at 56.3% as compared to 21.6% among staff with no food preparation duties (p < 0.01). The prevalence of workplace injuries among staff performing cooking duties was also higher at 47.5%, compared to 29.3% among staff with no cooking duties (p = 0.05). Staff performing food preparation duties had a higher prevalence of musculoskeletal symptoms at 66.7% as compared to 44.6% among staff with no food preparation duties (p = 0.02). Obese staff had a higher prevalence of musculoskeletal symptoms at 78.9%, compared to overweight staff at 53.8% and staff with normal weight at 43.1% (p = 0.03).</p><p><strong>Conclusion: </strong>FSWs with jobs involving cooking and preparation of food, and those with obesity, are at higher risk of sustaining workplace injuries or musculoskeletal symptoms. Targeted interventions should be implemented for injury prevention and to mitigate these risks.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"18"},"PeriodicalIF":3.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Same job, same working conditions? A cross-sectional study to examine the similarities and differences of the working situation in ambulatory and residential youth welfare workers. 同样的工作,同样的工作条件?一项横向研究,探讨流动和寄宿青少年福利工作者工作环境的异同。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-05-17 DOI: 10.1186/s12995-024-00419-4
Maren Kersten, Sylvie Vincent-Höper, Tanja Wirth, Sabine Gregersen, Albert Nienhaus
{"title":"Same job, same working conditions? A cross-sectional study to examine the similarities and differences of the working situation in ambulatory and residential youth welfare workers.","authors":"Maren Kersten, Sylvie Vincent-Höper, Tanja Wirth, Sabine Gregersen, Albert Nienhaus","doi":"10.1186/s12995-024-00419-4","DOIUrl":"https://doi.org/10.1186/s12995-024-00419-4","url":null,"abstract":"<p><strong>Background: </strong>Employees in social work exhibit high rates of sick leave due to mental health issues. Additionally, work-related demands in youth welfare have increased in recent years. Particularly in light of the escalating shortage of skilled professionals in this field, this trend becomes especially critical. The aim of this study is to systematically examine health-relevant working conditions, coping strategies, and health indicators in youth welfare. A special focus is placed on a differentiated analysis of job-related characteristics in the context of outpatient and residential youth welfare.</p><p><strong>Methods: </strong>Mean values, standard deviations and the reliability of scales are measured. In addition to descriptive statistics, t-tests for analyzing mean differences, as well as correlation analyses and odds ratios as measures of association, are computed.</p><p><strong>Results: </strong>A total of N = 1044 employees in youth welfare participated in the online survey. Among them, 671 individuals belonged to the field of residential youth welfare, and 373 to outpatient youth welfare. The results indicate that, in youth welfare in general, a variety of emotional, social, qualitative, and quantitative demands exhibit high levels. The comparison between outpatient and residential youth welfare reveals differences in half of the demands. The significant differences are observed for social demands and aggression from clients, which are statistically significant higher in the residential setting. Regarding resources, the most significant difference is observed for autonomy, which is higher in the outpatient setting. Overall, the association patterns reveals more similarities than differences between outpatient and residential settings. In both settings working conditions seem to have deteriorated during the pandemic.</p><p><strong>Conclusions: </strong>In conclusion, the identified job-related characteristics in outpatient and residential youth welfare exhibit more similarities than differences. Nevertheless, the identified differences provide insights into the specific features of each work context, offering valuable starting points for targeted health promotion in practice.</p><p><strong>Trial registration: </strong>This trial is recorded at the Hamburg University Ethics Committee (AZ 2022_027).</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"19"},"PeriodicalIF":3.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The recovery processes among paramedics who encountered violence during work-a narrative interview study. 在工作中遭遇暴力的护理人员的恢复过程--叙事访谈研究。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-05-16 DOI: 10.1186/s12995-024-00417-6
Veera Kamaja, Hilla Nordquist
{"title":"The recovery processes among paramedics who encountered violence during work-a narrative interview study.","authors":"Veera Kamaja, Hilla Nordquist","doi":"10.1186/s12995-024-00417-6","DOIUrl":"10.1186/s12995-024-00417-6","url":null,"abstract":"<p><strong>Background: </strong>Almost all paramedics encounter workplace violence (WPV) during their careers. The most common form of WPV is verbal, and the perpetrator is usually the patient. It is known that paramedics suffer from post-traumatic stress disorder and other mental health problems, and WPV is one of the reasons behind that. Nevertheless, little is known about the recovery processes paramedics have had after encountering WPV. The research question was: What kind of recovery processes have paramedics had after encountering WPV?</p><p><strong>Methods: </strong>A qualitative, narrative interview study was done. Data was collected in individual interviews with Finnish paramedics (n = 18). Paramedics were from different parts of Finland, and their ages varied from 24 to 49 years. They had been working in EMS for an average of 10.5 years (range 1.5 to 25 years). Interviews were conducted with a narrative approach, which enabled paramedics to narrate their experiences and speak on their own terms about the subject to the extent of their choosing. The data was analyzed using thematic analysis.</p><p><strong>Results: </strong>Ten recovery process themes were identified: Strong psychological and physical reactions in a short time frame, Questioning one's profession and actions, Various support structures aided in recovery, Dysfunctional processes hindered recovery, Personal resources provided support, The support of the workcommunity as a lifeline, Left to cope alone, Permanent changes to work routines, Resulting in professional growth and Eternal crack in the shell.</p><p><strong>Conclusions: </strong>Many internal and external factors affect paramedics' recovery processes. While some receive adequate help, others struggle to get appropriate support, especially from their organization and supervisors. The findings of this study suggest that clear protocols should be established to help paramedics recover after encountering WPV and that an individual aspect should be kept in mind, as not everybody reacts in the same way.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"17"},"PeriodicalIF":3.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11097420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946202","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}
引用次数: 0
Assessment of subjective well-being of healthcare workers in response to heat and personal protective equipment under controlled conditions using a standardized protocol. 使用标准化方案,在受控条件下评估医护人员对高温和个人防护设备的主观感受。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-05-15 DOI: 10.1186/s12995-024-00418-5
Caroline Quartucci, Razan Wibowo, Viet Do, Stephan Bose-O Reilly, Dennis Nowak, Veronika Weilnhammer, Tobias Weinmann, Stefan Rakete
{"title":"Assessment of subjective well-being of healthcare workers in response to heat and personal protective equipment under controlled conditions using a standardized protocol.","authors":"Caroline Quartucci, Razan Wibowo, Viet Do, Stephan Bose-O Reilly, Dennis Nowak, Veronika Weilnhammer, Tobias Weinmann, Stefan Rakete","doi":"10.1186/s12995-024-00418-5","DOIUrl":"10.1186/s12995-024-00418-5","url":null,"abstract":"<p><strong>Background: </strong>Due to climate change, the increasing frequency of hot summer days and heat waves can result in occupational heat strain, especially in non-air-conditioned workplaces. Healthcare workers (HCW) engaged in patient care are particularly affected, as they are additionally exposed to physical stress. The use of personal protective equipment (PPE) can aggravate heat strain in HCW. This study aimed to examine the subjective well-being of HCW when exposed to heat and PPE under controlled conditions.</p><p><strong>Methods: </strong>This study was designed as a randomized crossover trial. Participants performed standardized healthcare tasks in a climatic chamber for approximately 3.5 h at different indoor temperatures (22 °C and 27 °C) and varied working conditions (with or without PPE). The effects on participants' subjective well-being, encompassing thermal, physiological and psychological stress were assessed using a customized questionnaire.</p><p><strong>Results: </strong>Heat had a greater effect than PPE on thermal, physical and psychological stress. Conversely, PPE had a greater effect on physical demand and effort. For the majority of outcomes, combined exposure to heat and PPE resulted in the highest perceived discomfort. Furthermore, the participants reported increased sweating and other discomforts when working at elevated temperatures or with PPE.</p><p><strong>Conclusions: </strong>In this study, heat and PPE, but particularly the combination of both factors, were identified as unfavorable working environments. Although the trials were conducted in a controlled environment, the outcomes provide valuable information about the effect of heat and PPE on HCW in a real-life setting. Furthermore, the design used in this study can be beneficial in evaluating the effect of mitigation strategies.</p>","PeriodicalId":48903,"journal":{"name":"Journal of Occupational Medicine and Toxicology","volume":"19 1","pages":"16"},"PeriodicalIF":3.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946199","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}
引用次数: 0
Guideline for the application of heart rate and heart rate variability in occupational medicine and occupational health science. 心率和心率变异性在职业医学和职业健康科学中的应用指南。
IF 3 4区 医学
Journal of Occupational Medicine and Toxicology Pub Date : 2024-05-13 DOI: 10.1186/s12995-024-00414-9
Stefan Sammito, Beatrice Thielmann, Andre Klussmann, Andreas Deußen, Klaus-Michael Braumann, Irina Böckelmann
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