{"title":"Enhanced repeated measurement of psychological tasks and form questions via a web-based mobile app.","authors":"Yuki Nishimura, Hiroki Ikeda, Shun Matsumoto, Shuhei Izawa, Xinxin Liu, Atsuko Tamaoki, Tomohide Kubo","doi":"10.1539/eohp.2025-0019","DOIUrl":"10.1539/eohp.2025-0019","url":null,"abstract":"<p><p>Traditional paper-and-pencil methods have limitations for data collection in occupational health research. Here, we introduce a new web-based version (Fatigue checker web-ver.) of an application designed to better facilitate survey management and communication with participants. The application operates on mobile web browsers and integrates with LINE, Japan's most popular messaging app, and contains customizable forms, psychological tasks such as the Psychomotor Vigilance Task (PVT), Flanker Task, and n-back Task. Daily schedule acquisition is achieved via a dedicated user interface. Cross-correlation analysis showed fair synchronization between the app and gold-standard PVT equipment, indicating the app's reliability in measuring reaction times. Specifically, the analysis revealed significant cross-correlation for mean reaction time, median reaction time, mean reciprocal reaction time, and number of lapses, which indicates that the app can reliably measure fatigue and alertness levels. Since its release, the app has been successfully employed collecting high-quality data in six projects involving 571 participants. Despite minor issues, the app significantly improves the efficiency and accuracy of remote surveys, offering valuable insights into workers' health and safety. It also enables occupational health and safety specialists to monitor workers and workplaces from a broader perspective than traditional methods. The public version of the app also enables every worker to monitor their own occupational health and safety status. Insights from repeated self-checking of fatigue will promote better working conditions and environments.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12738528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kan Shimazaki, Yo Ishigaki, Kazunori Hayashi, Koji Fujita
{"title":"Effects of in-car CO2 concentration on driving: a preliminary study with taxi drivers.","authors":"Kan Shimazaki, Yo Ishigaki, Kazunori Hayashi, Koji Fujita","doi":"10.1539/eohp.2025-0001","DOIUrl":"10.1539/eohp.2025-0001","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effects of carbon dioxide (CO2) concentrations in automobiles on driving performance.</p><p><strong>Methods: </strong>A driving simulator experiment was conducted with eight taxi drivers. The experiment was conducted under low CO2 concentration (<500 ppm) and high CO2 concentration (5,000 ppm) conditions. To evaluate driving performance and cognitive function, three measures were employed: a two-back task, an LED response task, and a driving assessment. The driving assessment used scoring criteria from the driving license proficiency test.</p><p><strong>Results: </strong>Poisson regression analysis showed that wobble (p=0.044), signal failure (p=0.045), contact (p=0.003), and wheel departure (p=0.005) were significantly increased under high CO2 concentration conditions. Generalized linear mixed model (GLMM) analysis showed that reaction time in the LED response task was significantly reduced under high CO2 concentration conditions (p<0.001). On the other hand, the GLMM analysis of the two-back task showed no significant effect of CO2 concentration (incorrect response rate: p=0.733, non-response rate: p=0.485).</p><p><strong>Conclusions: </strong>These results suggest that elevated CO2 concentrations may have a negative impact on driving behavior, especially skill-based driving behavior. On the other hand, the effects on cognitive tasks requiring working memory were limited. The results of this study suggest that managing CO2 concentration in vehicles is important for maintaining safe driving and raise the need for specific measures, such as the development of systems for measuring, predicting, and controlling CO2 concentration in vehicles, and the implementation of driver education programs.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recommendation of occupational exposure limits (2025-2026).","authors":"","doi":"10.1539/eohp.ROEL2025","DOIUrl":"https://doi.org/10.1539/eohp.ROEL2025","url":null,"abstract":"<p><p>The Japan Society for Occupational Health (JSOH) recommends the Occupational Exposure Limits (OELs) as reference values for preventing adverse health effects on workers caused by occupational exposure to chemical substances, continuous or intermittent noise, impulsive or impact noise, heat stress, cold stress, whole-body vibration, hand-arm vibration and time-varying electric, magnetic and electromagnetic fields and ultraviolet and ionizing radiation.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":"ROEL2025"},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promoting workers' appointments at follow-up examinations through a nudge-based notification.","authors":"Masaki Takebayashi, Tatsuya Koyama, Yudai Kaneda, Yuri Mizota, Hirohide Shibutani, Mira Namba","doi":"10.1539/eohp.2024-0019","DOIUrl":"10.1539/eohp.2024-0019","url":null,"abstract":"<p><strong>Objectives: </strong>Our previous study found that occupational health staff and workers generally prefer a nudge-based notification for follow-up examinations. However, it did not assess their impact on actual screening behaviors. This practice aimed to demonstrate whether the notification could improve the appointment rates of follow-up examinations with abnormal findings.</p><p><strong>Methods: </strong>The notification specified the department where follow-up examinations should be conducted and instructed recipients to report their appointment status. Appointment data from workers of a Japanese transportation company who received a notification in June 2024 were analyzed.</p><p><strong>Results: </strong>A total of 91 workers received notifications. Among them, 53.3% scheduled appointments by the end of July, exceeding the follow-up examination attendance rate of the previous year (43.8%), even without reminder notifications. The age of workers who scheduled appointments (mean 56.2; standard deviation, 8.8 years) was higher than that of workers who did not report appointments (mean 46.2; standard deviation, 11.8 years: <i>p</i><0.001).</p><p><strong>Conclusions: </strong>Workers who reported their appointment status are expected to have a high probability of undergoing follow-up examinations. Therefore, the notification may have contributed to improved attendance. This improvement is believed to result from the nudges aligning with the cognitive ease and present biases of the workers. This practice has several strengths, including high cost-effectiveness and transparency under nudging conditions. To further enhance this rate, sending reminder notifications integrating several nudges is necessary.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masatoshi Ishikawa, Ryoma Seto, Michiko Oguro, Yoshino Sato
{"title":"Long working hours among hospital-employed obstetricians and gynecologists and associated factors: a comparative study based on a nationwide survey.","authors":"Masatoshi Ishikawa, Ryoma Seto, Michiko Oguro, Yoshino Sato","doi":"10.1539/eohp.2024-0018","DOIUrl":"10.1539/eohp.2024-0018","url":null,"abstract":"<p><strong>Objectives: </strong>To elucidate the status of reduction in working hours following physician work-style reforms and factors associated with long working hours.</p><p><strong>Methods: </strong>A nationwide questionnaire survey was conducted among obstetricians and gynecologists (OB/GYNs) working in hospitals. The survey elucidated actual working conditions, including working hours and number of out-of-hour (OOH) shifts. To identify factors associated with long working hours, a multivariate logistic regression analysis was performed, with ≥60 or ≥80 working hours per week as dependent variables and OB/GYNs attributes (sex, age, job position, hospital type by ownership, total number of hospital beds, and regional characteristics) as independent variables.</p><p><strong>Results: </strong>Questionnaires were sent to 1,170 hospitals. Valid responses were obtained from 1164 OB/GYNs at 423 hospitals (response rate: 36%): 26.0% worked ≥60 hours per week, a reduction from 58.1% in 2019 (equivalent to over 960 hours of overtime annually), 5.4% worked ≥80 hours per week, a reduction from 41.2% in 2019 (equivalent to over 1,920 hours of overtime annually); and 46.9% worked OOH shifts ≥5 times per month. Factors significantly associated with long working hours per week included male sex, resident position, teaching duty, and number of OOH shifts.</p><p><strong>Conclusions: </strong>Although the working hours of OB/GYNs have decreased because of physician work-style reforms initiated in 2019, long working hours persist. To ensure health of OB/GYNs and patient safety, it is necessary to actively promote physician work-style reforms and advance measures aimed at the centralization of medical resources and addressing their maldistribution.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitude change to secondary health examination using social nudging through a spouse.","authors":"Wataru Katagiri, Masaaki Shimono, Shunsuke Eguchi, Masaki Takebayashi, Kazuma Iekushi","doi":"10.1539/eohp.2024-0017","DOIUrl":"10.1539/eohp.2024-0017","url":null,"abstract":"<p><strong>Objectives: </strong>Hypertension and dyslipidemia are major risk factors of cardiovascular diseases. Nevertheless, many people do not consider these risk factors important, even if they are noted during their annual health checkups and left untreated for a long time. Here, we report a novel nudge method to encourage people who had these risk factors and examine the resultant changes in the willingness to undergo secondary health examinations.</p><p><strong>Methods: </strong>Employees of Novartis Pharma K.K. and its affiliated companies who had elevated blood pressure and/or lipid levels during annual health checkups were allocated to either the social nudge group (postcards were sent to their spouses) or the control group (postcards were sent to themselves) after confirming their agreement to receive postcards in order to encourage them to take secondary health examination. A web-based survey via email was conducted before and after sending the postcards to understand the willingness to undergo secondary health examinations.</p><p><strong>Results: </strong>Regarding the willingness to undergo the secondary health examinations, a significant difference was observed in the social nudge group (n=58) before (12.1%) and after (46.6%) the postcard was sent (<i>p</i><0.0001), and no significant difference was observed in the control group (n=9, <i>p</i>=1.0000). The proportion of employees who underwent secondary health examinations did not increase significantly in either group.</p><p><strong>Conclusions: </strong>This study suggested that a social nudge via spouse has a possibility of increasing the willingness to undergo secondary health examinations at low cost. To increase the proportion of undergoing it, combinations with other nudges might be necessary.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors related to self-rated health in teleworkers raising children: focusing on gender differences.","authors":"Motoko Ohira, Yoko Ichikawa, Madoka Tsuji, Tomoyuki Hasegawa, Shin Saito","doi":"10.1539/eohp.2024-0010","DOIUrl":"10.1539/eohp.2024-0010","url":null,"abstract":"<p><strong>Objectives: </strong>Teleworking is a flexible means of working to effectively utilize one's time and workplace using information and communication technology. However, teleworking can also lead to work-life conflict and health problems. To support the health of teleworkers, this study aimed to elucidate the factors correlated with the self-rated health of teleworkers raising children, focusing on differences between genders.</p><p><strong>Methods: </strong>The study sample included 1,000 teleworkers (500 women and 500 men).</p><p><strong>Results: </strong>The responses to questionnaire items about health differed between men and women. For men, \"marital status,\" \"walks and exercises,\" \"keeps an uplifted state of mind as much as possible,\" and \"work-to-family negative spillover\" were extracted. For women, \"leads a disciplined life,\" \"keeps an uplifted state of mind as much as possible,\" \"eating speed compared with others: slower,\" and \"sufficiently rests through sleep\" were found to affect self-rated health.</p><p><strong>Conclusions: </strong>For male teleworkers raising children, sufficient exercise and physical activity is a crucial aspect of health management. For female teleworkers raising children, self-discipline is needed.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farzana Yeasmin, Aaron J E Bach, Jean P Palutikof, Fahim Tonmoy, Fahmida Tofail, Mahbubur Rahman, Shannon Rutherford
{"title":"Heat impacts on health and productivity: the case of two ready-made garment factories in tropical Bangladesh.","authors":"Farzana Yeasmin, Aaron J E Bach, Jean P Palutikof, Fahim Tonmoy, Fahmida Tofail, Mahbubur Rahman, Shannon Rutherford","doi":"10.1539/eohp.2024-0009","DOIUrl":"10.1539/eohp.2024-0009","url":null,"abstract":"<p><strong>Objective: </strong>The ready-made garment (RMG) sector is pivotal to Bangladesh's economy, providing export opportunities and employment. To ensure sustained productivity and a thriving workforce, workplace hazards like heat must be acknowledged, assessed and managed. This paper explores heat impacts on health and productivity of production-line workers in two RMG factories of Bangladesh.</p><p><strong>Methods: </strong>Focus group discussions and in-depth interviews were conducted with the workers of two RMG factories in Dhaka in 2022 to identify perceived heat-related health and productivity impacts and explore barriers to workers accessing heat-related medical care. Key informant interviews were conducted with factory officials, onsite health professionals, government officials, the RMG peak body, and non-government organisation professionals with expertise in industry and workplace issues.</p><p><strong>Results: </strong>Workers and health professionals attributed symptoms like headaches, dizziness, fatigue and nausea to heat. Factory health professionals observed changes in cardiovascular strain (eg, altered blood pressure responses) in workers during summer. Other key informants identified higher absenteeism across summer. Heat was identified as an impediment to overall productivity by workers themselves and others working across the sector.</p><p><strong>Conclusion: </strong>This qualitative study identified how heat exposure in indoor work environments of RMG in Bangladesh influences health of workers and how productivity is influenced directly by heat but also indirectly via necessary cooling measures to reduce heat strain that take workers away from the production line. Despite knowledge of access to hydration as an important heat health risk mitigation strategy, quota pressures inherent in these factories restrict the use of this vital measure.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study.","authors":"Hajime Watanabe, Satoshi Miyata, Satoru Kanamori, Yoshinori Nakata","doi":"10.1539/eohp.2024-0008","DOIUrl":"10.1539/eohp.2024-0008","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the relationship between the implementation of health and productivity management (H&PM) and staff health-related attributes in Japanese hospitals.</p><p><strong>Method: </strong>This study selected 2,000 hospitals from the FY2021 Bed Function Report data and conducted a questionnaire survey from November to December 2023. The questionnaire enquired about the H&PM implementation status, which was the explanatory variable; and health-related attributes, which was the objective variable. The implementation status of the four items and the presence or absence of Excellent H&PM Corporation certification were used to divide the hospitals into three groups: certification, implementation, and non-implementation groups. Logistic regression analysis was conducted with H&PM implementation status and health-related attributes as the variables.</p><p><strong>Results: </strong>Data from 221 hospitals were analyzed. There were 25 hospitals in the certification group, 68 in the implementation group, and 128 in the non-implementation group. Logistic regression used average monthly physician overtime as the outcome, with non-implementation hospitals as the reference. Results showed significant positive associations for the implementation and certification groups. Clear written policies on H&PM promotion and full-time occupational health staff were also significantly associated. However, health issue understanding, plan formulation, and management training were not linked to physician overtime. Other health-related attributes were also unrelated to H&PM implementation status.</p><p><strong>Conclusion: </strong>Hospitals engaging in H&PM may provide an appropriate working environment for physicians.</p>","PeriodicalId":520443,"journal":{"name":"Environmental and occupational health practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}