K Lin, R Singhal, V Parsons, K Walker-Bone, G Wynne-Jones, E Godfrey, E Wainwright, I Madan
{"title":"PATients' views of Health and WORK advice (PATcHWORK) study.","authors":"K Lin, R Singhal, V Parsons, K Walker-Bone, G Wynne-Jones, E Godfrey, E Wainwright, I Madan","doi":"10.1093/occmed/kqag102","DOIUrl":"https://doi.org/10.1093/occmed/kqag102","url":null,"abstract":"<p><strong>Background: </strong>A variety of health and work support (H&WS) services are available in the UK, yet little is known about patients' preferences for such support.</p><p><strong>Aims: </strong>To develop an understanding of patients' preferences for H&WS, including the type of support desired, optimal setting, timing and mode of delivery, appropriate providers, integration with existing services and views on employers' receptiveness to H&WS information.</p><p><strong>Methods: </strong>We conducted a qualitative study using semi-structured interviews. Participants were recruited through existing research networks and professional societies following informed consent. Interview questions were developed in collaboration with the University of Aberdeen Epidemiology Patient and Public Involvement and Engagement group. Interview responses were analysed using inductive and deductive reflexive thematic analysis.</p><p><strong>Results: </strong>Fifteen interviews were conducted with participants (11 females, 4 males; mean age 48.9 years), generating six overarching themes. Three themes related to 'health and work issues': disability discrimination, lack of H&WS awareness and trust concerns. Three themes identified key 'H&WS factors' for employment: flexible working, accessibility to support, and the importance of feeling valued and supported. Participants desired simplified yet holistic and flexible H&WS delivery. Key policy and practice considerations based on insights from this study include improving H&WS publicity through NHS websites and medical waiting areas, integration of work discussions into medical consultations and employer provision of evidence-based health promotion programmes and manager training.</p><p><strong>Conclusions: </strong>This study provides valuable insights into patients' preferences about H&WS delivery, highlighting crucial factors for employers and national policymakers to consider, aligned with the recently published Mayfield report.</p>","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019491","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}
K Holzapfel, S Schulz, L Braadt, M Naumann, E Mayr, J Abelmann-Brockmann
{"title":"Trauma- and treatment-associated peripheral nerve injuries following occupational accidents: a retrospective study.","authors":"K Holzapfel, S Schulz, L Braadt, M Naumann, E Mayr, J Abelmann-Brockmann","doi":"10.1093/occmed/kqag096","DOIUrl":"https://doi.org/10.1093/occmed/kqag096","url":null,"abstract":"<p><strong>Background: </strong>Peripheral nerve injuries after occupational accidents can result in significant functional and socioeconomic consequences.</p><p><strong>Aims: </strong>This study aims to describe the characteristics and patterns of trauma- and treatment-related peripheral nerve injuries resulting from occupational accidents.</p><p><strong>Methods: </strong>We retrospectively analysed 276 cases of traumatic peripheral nerve injury following occupational accidents, treated between 2018 and 2024 at a German university hospital. Injuries were classified by severity and anatomical location. Associations between injury characteristics, occupational sectors, treatment modalities and work incapacity were examined.</p><p><strong>Results: </strong>Most cases occurred in construction, trade/transport, metal industry and agriculture/forestry (63%). The leading causes were falls, crush, penetrating/cutting and impact injuries. In 24%, the nerve injury was treatment-related rather than caused by the initial trauma. The median, ulnar and peroneal nerves were most commonly affected. Severe deficits were present in 44% of patients at baseline; 26% remained severely affected at follow-up. Nerve surgery was performed in 38% of severe cases. Longer work incapacity was associated with fracture-related injuries (median = 210 days, Q1 = 133-Q3 = 375; Q1 = 25th, Q3 = 75th percentile), lower extremity involvement (240, 148-403 versus 180, 89-285; P < 0.001) and age >50 years (210, 140-409 versus 81, 29-143; P < 0.001).</p><p><strong>Conclusions: </strong>Peripheral nerve injuries from occupational accidents are linked to substantial work incapacity. Key predictors of prolonged recovery include fractures, lower extremity involvement and older age. Treatment-related nerve damage accounts for a considerable share. Many patients show persistent deficits despite comprehensive care.</p>","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009438","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}
E Farina, A L Iamiceli, A Bena, C Ivaldi, M Gandini
{"title":"Biomonitoring of organic compounds in Turin waste-to-energy plant workers, Italy.","authors":"E Farina, A L Iamiceli, A Bena, C Ivaldi, M Gandini","doi":"10.1093/occmed/kqag081","DOIUrl":"https://doi.org/10.1093/occmed/kqag081","url":null,"abstract":"<p><strong>Background: </strong>Third-generation waste-to-energy (WTE) plants represent a technological advancement introduced in recent years for the treatment of municipal solid waste. Although Best Available Technologies (BAT) are employed, potential health effects on both residents and workers remain a public health concern and warrant continuous monitoring. The Turin WTE came into operation in 2013 and a human biomarker measurement (HBM) study was set up.</p><p><strong>Aims: </strong>To assess the potential occupational exposure to persistent organic pollutants of a cohort of workers at the WTE plant using a longitudinal approach.</p><p><strong>Methods: </strong>Serum concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs) and polychlorinated biphenyls (PCBs) were measured at baseline (T0), before plant start-up and after 3 years of operation (T2) in 25 workers permanently employed at the facility. In addition, a cross-sectional sample of 13 subcontractor personnel potentially exposed to ash was included (Tx). Tests were performed for paired temporal comparisons and intergroup analyses (T2 versus Tx).</p><p><strong>Results: </strong>Considering permanent workers, serum concentrations of PCDDs, PCDFs and PCBs after 3 years of activity (T2) were not significantly higher than baseline levels (T0), with median values always below occupational reference limits. The Tx group showed slightly elevated concentrations of Σ6NDL-PCBs and Σ30NDL-PCBs compared to the T2 group, although these differences were not statistically significant. The increase is likely attributable to specific maintenance tasks involving direct contact with ash or residual materials.</p><p><strong>Conclusions: </strong>A very low level of occupational exposure to organic compounds was found in this context.</p>","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993650","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}
H Blake, W J Chaplin, V Abbott-Fleming, G Taylor, P McNamee, D A Walsh, K Walker-Bone, D F McWilliams
{"title":"Chronic pain and its relationship with work participation.","authors":"H Blake, W J Chaplin, V Abbott-Fleming, G Taylor, P McNamee, D A Walsh, K Walker-Bone, D F McWilliams","doi":"10.1093/occmed/kqag079","DOIUrl":"https://doi.org/10.1093/occmed/kqag079","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain affects around 28 million people in the United Kingdom and is a major public health challenge with a substantial economic and social burden. Employers lack awareness of the impacts of chronic pain on work and employee wellbeing which hinders provision of workplace support.</p><p><strong>Aims: </strong>To examine the relationship between chronic pain and work participation measured in working age adults in England.</p><p><strong>Methods: </strong>Analysis of online survey data (n = 310) from a cluster-randomized feasibility trial (Pain-at-Work), including measures of pain severity, participant-reported work participation measures, psychological wellbeing and work-related social support. Multivariable regression analyses examined the relationship between pain severity, work-related and psychological measures, adjusted for age, gender and Body Mass Index classification.</p><p><strong>Results: </strong>On average, 2.2 h/week (SD = 6.4) were lost due to health-related issues. Percentage of work productivity loss was 46.4% (SD = 27.0), mean health-related absenteeism was 7.6% (SD = 20.4), while presenteeism averaged 44.3% (SD = 26.3). Increased pain severity was associated with increased presenteeism (β = 3.67, 95% CI 2.08-5.27, P < 0.001), higher work productivity loss (β = 4.79, 95% CI 2.13-7.44, P = 0.001), increased activity impairment (β = 4.93, 95% CI 3.41-6.44, P < 0.001) and increased work limitations in the physical demand domain (β = 3.92, 95% CI 2.64-5.21, P < 0.001).</p><p><strong>Conclusions: </strong>Chronic pain adversely impacts multiple aspects of work participation and psychological wellbeing, with effects worsening as pain severity increases. Employers can help mitigate this through tailored support and job design since hybrid working may be protective in contexts where it is viable.</p>","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901843","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 impact of working in immersive theatre on actors' health.","authors":"L Rayner, J Grieshofer","doi":"10.1093/occmed/kqag086","DOIUrl":"https://doi.org/10.1093/occmed/kqag086","url":null,"abstract":"<p><strong>Background: </strong>Actors face significant occupational health challenges, including high rates of physical injury, mental health problems and voice disorders. Immersive theatre is a novel but growing performance genre in which actors must navigate a shared space with the audience. Currently, no research has investigated the effects this working environment has on the health and wellbeing of actors.</p><p><strong>Aims: </strong>To explore how the unique nature of the immersive theatre working environment may impact the physical, vocal and mental health of actors.</p><p><strong>Methods: </strong>Qualitative study using semi-structured interviews with immersive theatre actors. Interviews were conducted online, recorded, transcribed and analysed using thematic analysis.</p><p><strong>Results: </strong>Analysis identified 12 sub-themes grouped into 4 themes: Vocal Health, Physical Health, Mental Health and Audience Management. Key concerns include vocal strain from a high vocal demand in difficult environmental conditions, cognitive overload from constant improvisation in highly stimulating settings, an elevated physical injury risk linked to a hazardous environment and lack of healthcare support, and personal safety concerns whilst working in the same space as an unpredictable audience.</p><p><strong>Conclusions: </strong>Actors value the creative aspects of immersive theatre but face serious genre-specific occupational health risks. Targeted guidelines are needed for this expanding industry.</p>","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893005","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":"Redefining patient and public involvement (PPI) in work and health research.","authors":"Vaughan Parsons, Joanna Yarker","doi":"10.1093/occmed/kqag098","DOIUrl":"https://doi.org/10.1093/occmed/kqag098","url":null,"abstract":"","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842190","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}