Occupational medicine (Oxford, England)最新文献_第10页

Why I became an occupational physician ... 为什么我成为一名职业医生……

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp105

W Glass

引用次数: 1

Clinical research. 临床研究。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp065

Anthony Seaton

引用次数: 0

Occupational medicine in Brazil. 巴西的职业医学。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp116

Fernanda Leite Lima, Rita de Cássia Pereira Fernandes

引用次数: 2

A case report of elevated blood cadmium. 血镉升高1例。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-03-01 Epub Date: 2009-01-15 DOI: 10.1093/occmed/kqn163

Christopher J Martin, James M Antonini, Brent C Doney

{"title":"A case report of elevated blood cadmium.","authors":"Christopher J Martin, James M Antonini, Brent C Doney","doi":"10.1093/occmed/kqn163","DOIUrl":"https://doi.org/10.1093/occmed/kqn163","url":null,"abstract":"A 45-year-old male paint technician was identified as having an elevated whole-blood cadmium of 5.9 microg/l (Occupational and Safety Health Administration reference range for workers: <or=5.0 microg/l) through a routine workplace biological monitoring programme. Other than smoking 1.5-2 packs of cigarettes daily for 23 years, no additional non-occupational exposures to cadmium were identified. Whole-blood cadmium results taken 5, 4 and 2 years earlier were 3.1, 4.0 and 4.3 microg/l, respectively. After reassignment to a position without cadmium exposure, his whole-blood cadmium level 7 weeks later was 6.1 microg/l. A careful exposure history revealed that he had recently changed the brand of cigarettes he smoked. When he switched back to his original brand and reduced his consumption to one pack per day, his cadmium level fell to 2.9 microg/l taken 12 weeks after the initial elevated result. Eight weeks after returning to his original position with cadmium exposure, the value was 3.4 microg/l. No elevation in urine cadmium was noted at any point. An analysis of the tobacco revealed that the cadmium content of the new brand was almost 1.5-fold greater than the original brand. These results suggest that the consumption of different brands of cigarettes can lead to marked variations in whole-blood cadmium levels.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"130-2"},"PeriodicalIF":5.1,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqn163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39995272","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: 7

Sickness absence for upper limb disorders in a French company. 在一家法国公司因上肢疾病缺勤。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2008-10-01 Epub Date: 2008-06-27 DOI: 10.1093/occmed/kqn084

Kayigan Wilson d'Almeida, Catherine Godard, Annette Leclerc, Gérard Lahon

{"title":"Sickness absence for upper limb disorders in a French company.","authors":"Kayigan Wilson d'Almeida, Catherine Godard, Annette Leclerc, Gérard Lahon","doi":"10.1093/occmed/kqn084","DOIUrl":"https://doi.org/10.1093/occmed/kqn084","url":null,"abstract":"Background: Many studies have shown that musculoskeletal disorders (MSDs) have important economic and social consequences, including substantial costs and loss of productivity for industries. However, little is known about the impact of these conditions on sickness absence in industries.Aim: To describe the sickness absence taken for MSDs of the upper limb (ULD) in a French company and to study their association with demographic and socioeconomic factors.Methods: Sickness absence from 2000 to 2004 (5543 episodes) was studied using data from the company's epidemiology registry and a questionnaire for each episode was completed by physicians. Incidence rates were calculated according to the gender, socioeconomic status and age.Results: The incidence rate of absence for ULD was six episodes per 1000 person-years. Rotator cuff syndrome and carpal tunnel syndrome were the most frequent diagnoses. Less frequent diagnoses, such as Guyon's canal syndrome, had longer sickness absence (55.3 days). Incidence was higher for women and blue-collar workers. Incidence also increased with age.Conclusions: These results are consistent with other studies. Although absenteeism cannot be a surrogate for disease burden or incidence, it may be useful in the prevention of ULD, as it identifies the most disabling diagnoses and the working groups most at risk.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"506-8"},"PeriodicalIF":5.1,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqn084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40531326","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}

引用次数: 37

Obesity and risk of job disability in male firefighters. 男性消防员的肥胖与职业残疾风险

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2008-06-01 Epub Date: 2008-01-18 DOI: 10.1093/occmed/kqm153

Elpidoforos S Soteriades, Russ Hauser, Ichiro Kawachi, David C Christiani, Stefanos N Kales

{"title":"Obesity and risk of job disability in male firefighters.","authors":"Elpidoforos S Soteriades, Russ Hauser, Ichiro Kawachi, David C Christiani, Stefanos N Kales","doi":"10.1093/occmed/kqm153","DOIUrl":"https://doi.org/10.1093/occmed/kqm153","url":null,"abstract":"Background: Obesity is a major public health problem and a workplace epidemic in Western societies. However, little is known about the association between obesity and job disability in specific occupational groups.Aim: To examine the association between obesity and risk of job disability among firefighters.Methods: A prospective cohort study design was employed in following 358 Massachusetts firefighters enrolled in a statewide medical surveillance program. We prospectively evaluated time to development of adverse employment outcomes >6 years of follow-up.Results: In multivariable-adjusted Cox proportional hazard models, we found that every one-unit increase in body mass index (BMI) was associated with a 5% increased risk of job disability. Compared to firefighters in the lowest tertile of BMI (BMI < 27.2), those in the highest tertile (BMI >or= 30.2) had a significantly increased risk of an adverse employment event with a multivariable-adjusted hazard ratio (HR) of 1.98 (95% CI 1.06-3.72). There was also a significant dose-response relationship of increasing risk across tertiles, as well as a significant trend: HR 1.39 (95% CI 1.04-1.86). The highest categories of BMI had a 60-90% increased risk of job disability compared to the lowest or normal-weight categories, respectively.Conclusions: Obesity is associated with higher risk of job disability in firefighters. Additional research is needed to further explore our findings. Our study may have economic and public health implications in other occupational settings.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"245-50"},"PeriodicalIF":5.1,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqm153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41070815","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: 97

Carpal tunnel syndrome in the Turkish steel industry. 腕管综合症在土耳其钢铁行业。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2008-05-01 Epub Date: 2008-01-21 DOI: 10.1093/occmed/kqm157

Muhtesem Gedizlioglu, Esra Arpaci, Demet Cevher, Pinar Ce, Can Ahmet Kulan, Ilhan Colak, Baran Duzgun

{"title":"Carpal tunnel syndrome in the Turkish steel industry.","authors":"Muhtesem Gedizlioglu, Esra Arpaci, Demet Cevher, Pinar Ce, Can Ahmet Kulan, Ilhan Colak, Baran Duzgun","doi":"10.1093/occmed/kqm157","DOIUrl":"https://doi.org/10.1093/occmed/kqm157","url":null,"abstract":"Aim: Certain occupations are reported to be associated with a high risk for carpal tunnel syndrome (CTS). In this study, we investigated the development of CTS in iron-steel industry workers.Methods: Subjects were recruited from a factory of 650 workers and assessed by means of history, physical examination and electrophysiological testing.Results: Seventy-nine subjects from the factory and 53 healthy controls with occupations unrelated to heavy physical work were assessed. None of the worker group had electrophysiological evidence of CTS. One subject in the control group has electrophysiological evidence of CTS. In the worker group, all sensory nerve conduction velocities and ulnar nerve action potential amplitudes in both hands and distal motor latencies were statistically different.Conclusions: In our study, among a group of heavy labourers, no cases of CTS were detected. However, all electrophysiologic parameters of workers were different from controls. Our results point to a diffuse, but subclinical injury of peripheral nerves under heavy physical work conditions, instead of a local effect such as CTS.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"212-4"},"PeriodicalIF":5.1,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqm157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41078874","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: 6

Psychopathological features of a patient population of targets of workplace bullying. 工作场所欺凌目标患者群体的精神病理特征。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2008-03-01 Epub Date: 2008-01-18 DOI: 10.1093/occmed/kqm148

Georges Brousse, Luc Fontana, Lemlih Ouchchane, Caroline Boisson, Laurent Gerbaud, Delphine Bourguet, Annick Perrier, Audrey Schmitt, Pierre Michel Llorca, Alain Chamoux

{"title":"Psychopathological features of a patient population of targets of workplace bullying.","authors":"Georges Brousse, Luc Fontana, Lemlih Ouchchane, Caroline Boisson, Laurent Gerbaud, Delphine Bourguet, Annick Perrier, Audrey Schmitt, Pierre Michel Llorca, Alain Chamoux","doi":"10.1093/occmed/kqm148","DOIUrl":"https://doi.org/10.1093/occmed/kqm148","url":null,"abstract":"Background: A strong association between workplace bullying and subsequent anxiety and depression, indicated by empirical research, suggests that bullying is an aetiological factor for mental health problems.Aims: To evaluate levels of stress and anxiety-depression disorder developed by targets of workplace bullying together with outcome at 12 months and to characterize this population in terms of psychopathology and sociodemographic features.Methods: Forty-eight patients (36 women and 12 men) meeting Leymann Inventory of Psychological Terror criteria for bullying were included in a prospective study. Evaluations were performed at first consultation and at 12 months using a standard clinical interview, a visual analogue scale of stress, the Hospital Anxiety and Depression (HAD) scale, the Beech scale of stress in the workplace and a projective test (Picture-Frustration Study).Results: At first consultation, 81% of patients showed high levels of perceived stress at work and 83 and 52% presented with anxiety or depression, respectively. At 12 months, only 19% of working patients expressed a feeling of stress at work. There was a significant change in symptoms of anxiety while there was no change in symptoms of depression. Stress at work and depression influenced significatively capacity to go back to work. At 12-month assessments, workers showed a significantly better score on the HAD scale than non-workers. Over half the targets presented a neuroticism-related predominant personality trait.Conclusion: Workplace bullying can have severe mental health repercussions, triggering serious and persistent underlying disorders.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"122-8"},"PeriodicalIF":5.1,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqm148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41071969","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: 95

Predicting job loss in those off sick. 预测那些请病假的人会失业。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2008-03-01 Epub Date: 2008-01-22 DOI: 10.1093/occmed/kqm141

Jane Wilford, Alex D McMahon, Jean Peters, Simon Pickvance, Alison Jackson, Lindsay Blank, David Craig, Alan O'Rourke, Ewan B Macdonald

{"title":"Predicting job loss in those off sick.","authors":"Jane Wilford, Alex D McMahon, Jean Peters, Simon Pickvance, Alison Jackson, Lindsay Blank, David Craig, Alan O'Rourke, Ewan B Macdonald","doi":"10.1093/occmed/kqm141","DOIUrl":"https://doi.org/10.1093/occmed/kqm141","url":null,"abstract":"Background: Evidence shows incapacity benefit claimants (those off sick >26 weeks) are at greatest risk of long-term job loss.Aim: To develop a screening tool to select those at risk of job loss, defined as failure to return to work among those off sick. The screening tool was for use in the Job Retention and Rehabilitation Pilot of the Department for Work and Pensions.Methods: A literature review identified risks for long-term incapacity and job loss as multifactorial. Potential predictors for return to work were then assembled into a set of questions and tested by a prospective study in general practice surgeries and a retrospective study of occupational health records of local authority employees referred for sickness absence management, using univariate and multivariate logistic regression analysis.Results: Univariate logistic regression analysis of the retrospective study produced odds ratios with 95% confidence intervals for each question (where P <or= 0.05) and a C-index was then constructed for their predictive power. Five questions holding the greatest predictive power were subjected to multivariate analysis and in the final model had a high C-index of 0.90 (0.5 = no predictive power, 1.0 = perfect prediction). They formed the screening tool. The questions cover self-assessment of ability to return to work after current sick leave, of ability to do current job in 6 months' time, sick leave in past year, current age and whether awaiting a consultation or treatment.Conclusion: A screening tool identifying those most at risk of job loss has been produced.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"99-106"},"PeriodicalIF":5.1,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqm141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40515284","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: 18

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2008-03-01 Epub Date: 2008-01-22 DOI: 10.1093/occmed/kqm150

Marketta Kivistö, Mikko Härmä, Mikael Sallinen, Raija Kalimo

{"title":"Work-related factors, sleep debt and insomnia in IT professionals.","authors":"Marketta Kivistö, Mikko Härmä, Mikael Sallinen, Raija Kalimo","doi":"10.1093/occmed/kqm150","DOIUrl":"https://doi.org/10.1093/occmed/kqm150","url":null,"abstract":"Background: Reduced sleep can be associated with a risk of health problems. Information technologies (IT) professionals often work long hours and this could have an effect on their sleep quality.Aims: To examine the prevalence of sleep debt, insomnia and long working hours among Finnish IT professionals and to analyse which specific work-related factors are associated with shortened sleep.Methods: Cross-sectional, representative data from a questionnaire survey of IT professionals. Hierarchical regression analyses were applied to investigate relationships of sleep debt and insomnia.Results: A total of 2,334 IT professionals responded to the survey. Thirty-seven per cent reported sleep debt of at least 1 h and 6% of at least 2 h, while 16% reported insomnia. Twenty-seven per cent worked for a minimum of 50 h a week, while 31% spent at least 50 h a week on work. The most important factors associated with both sleep debt and insomnia were work-related demands requiring long hours, mental stamina and problem solving and positive perceptions of work, such as job control and importance of the respondents' own work in their life.Conclusions: Even though long working hours were common among IT professionals in Finland, sleep debt and insomnia were not. Work-related factors were associated with insufficient sleep.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"138-40"},"PeriodicalIF":5.1,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqm150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40515283","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: 33