Occupational medicine (Oxford, England)最新文献_第4页

Covid-19 and workers' protection: lessons to learn, and lessons overlooked. Covid-19与工人保护:吸取的教训和被忽视的教训。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-02-22 DOI: 10.1093/occmed/kqab034

Raymond M Agius, Nathalie MacDermott

引用次数: 5

Developing the evidence base for a new health and work strategy for Great Britain. 为大不列颠制定新的卫生和工作战略建立证据基础。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-04-01 DOI: 10.1093/occmed/kqx002

Andrew Curran, David Fishwick

引用次数: 0

Subclinical chronic left ventricular systolic dysfunction resulting from phosphine poisoning. 膦中毒引起的亚临床慢性左室收缩功能不全。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-04-01 Epub Date: 2017-02-21 DOI: 10.1093/occmed/kqx005

E Szymczyk, M Wiszniewska, J Walusiak-Skorupa, J D Kasprzak, P Lipiec

{"title":"Subclinical chronic left ventricular systolic dysfunction resulting from phosphine poisoning.","authors":"E Szymczyk, M Wiszniewska, J Walusiak-Skorupa, J D Kasprzak, P Lipiec","doi":"10.1093/occmed/kqx005","DOIUrl":"https://doi.org/10.1093/occmed/kqx005","url":null,"abstract":"We present a case of a 32-year-old male crew member of a cargo ship, accidentally exposed to phosphine, a fumigating substance. He and other crew members developed increasing fatigue and digestive disorders 24 h later; two died from acute pulmonary oedema. The patient was admitted to hospital, where bilateral pneumonia, acute nephritis, hepatopathy, electrolyte imbalance and leucopenia were diagnosed. He was discharged from hospital 3 weeks later. He was examined 4 months later for possible chronic consequences of acute phosphine poisoning, which included echocardiography showing normal heart size and cardiac function. However, on advanced quantitative analysis, using two-dimensional speckle tracking echocardiography, depressed global longitudinal strain was found. Our report extends previously published findings of phosphine-induced left ventricular (LV) dysfunction by demonstrating that subclinical myocardial dysfunction resulting from acute phosphine exposure may persist several months after the exposure in an otherwise asymptomatic patient, and potentially may not be entirely reversible. The persistence of subclinical abnormalities of LV longitudinal function can be diagnosed using the advanced quantitative echocardiographic analysis we describe.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"233-235"},"PeriodicalIF":5.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqx005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34853631","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: 3

Response to 'the Stockholm Workshop Scale 30 years on-is it still fit for purpose?' 对“斯德哥尔摩工场规模30年过去了，它是否仍然适用?”

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-04-01 DOI: 10.1093/occmed/kqx019

Ian J Lawson

引用次数: 2

The Stockholm Workshop Scale 30 years on-is it still fit for purpose? 斯德哥尔摩工场规模30年过去了，它是否仍然适用?

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-04-01 DOI: 10.1093/occmed/kqx016

C J M Poole

引用次数: 5

China's occupational health challenges. 中国职业健康面临的挑战。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw102

Zhansai Zhang, Yanfang Zhao, Daoyuan Sun

引用次数: 22

Screening instruments for predicting return to work in long-term sickness absence. 预测长期疾病缺勤后重返工作岗位的筛选工具。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw093

A-M H Momsen, C M Stapelfeldt, C V Nielsen, M B D Nielsen, R Rugulies, C Jensen

{"title":"Screening instruments for predicting return to work in long-term sickness absence.","authors":"A-M H Momsen, C M Stapelfeldt, C V Nielsen, M B D Nielsen, R Rugulies, C Jensen","doi":"10.1093/occmed/kqw093","DOIUrl":"https://doi.org/10.1093/occmed/kqw093","url":null,"abstract":"Background: Multiple somatic symptoms are common and may cause prolonged sickness absence (SA) and unsuccessful return to work (RTW).Aims: To compare three instruments and their predictive and discriminative abilities regarding RTW.Methods: A longitudinal cohort study of participants recruited from two municipal job centres, with at least 8 weeks of SA. The instruments used were the Symptom Check List of somatic distress (SCL-SOM) (score 0-48 points), the Bodily Distress Syndrome Questionnaire (BDSQ) (0-120 points) and the one-item self-rated health (SRH) (1-5 points). The instruments' predictive value was explored in a time-to-event analysis. Different cut-points were analysed to find the highest number of correctly classified RTW cases, identified in a register on public transfer payments.Results: The study involved 305 subjects. The adjusted relative risk regarding prediction of RTW was 0.89 [95% confidence interval (CI) 0.83-0.95], 0.89 (95% CI 0.83-0.95) and 0.78 (95% CI 0.70-0.86) per 5-, 10- and 1-point increase in the SCL-SOM, BDSQ and SRH, respectively. After mutual adjustment for the three instruments, only the prediction of RTW from SRH remained statistically significant 0.81 (95% CI 0.72-0.92). The highest sensitivity (86%) was found by SRH at the cut-point ≤5, at which 62% were correctly classified.Conclusions: All three instruments predicted RTW, but only SRH remained a significant predictor after adjustment for the SCL-SOM and BDSQ. The SRH provides an efficient alternative to more time-consuming instruments such as SCL-SOM or BDSQ for estimating the chances of RTW among sickness absentees.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"101-108"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34594522","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: 8

Reply. 回复。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw179

Jean-Baptiste Deasy, Kaveh Asanati, Massoud Mansouri

引用次数: 0

Health check documentation of psychosocial factors using the WAI. 使用WAI对心理社会因素进行健康检查。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw117

L Uronen, J Heimonen, P Puukka, K-P Martimo, J Hartiala, S Salanterä

{"title":"Health check documentation of psychosocial factors using the WAI.","authors":"L Uronen, J Heimonen, P Puukka, K-P Martimo, J Hartiala, S Salanterä","doi":"10.1093/occmed/kqw117","DOIUrl":"https://doi.org/10.1093/occmed/kqw117","url":null,"abstract":"Background: Health checks in occupational health (OH) care should prevent deterioration of work ability and promote well-being at work. Documentation of health checks should reflect and support continuity of prevention and practice.Aims: To analyse how OH nurses (OHNs) undertaking health checks document psychosocial factors at work and use the Work Ability Index (WAI).Methods: Analysis of two consecutive OHN health check records and WAI scores with statistical analyses and annotations of 13 psychosocial factors based on a publicly available standard on psychosocial risk management: British Standards Institution specification PAS 1010, part of European Council Directive 89/391/EEC, with a special focus on work-related stress and workplace violence.Results: We analysed health check records for 196 employees. The most frequently documented psychosocial risk factors were home-work interface, work environment and equipment, job content, workload and work pace and work schedule. The correlations between the number of documented risk and non-risk factors and WAI scores were significant: OHNs documented more risk factors in employees with lower WAI scores. However, documented psychosocial risk factors were not followed up, and the OHNs' most common response to detected psychosocial risks was an appointment with a physician.Conclusions: The number of psychosocial risk factors documented by OHNs correlated with subjects' WAI scores. However, the documentation was not systematic and the interventions were not always relevant. OHNs need a structure to document psychosocial factors and more guidance in how to use the documentation as a tool in their decision making in health checks.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"151-154"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34340433","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

Effects of an employee exercise programme on mental health. 员工锻炼计划对心理健康的影响。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw120

N D Emerson, D A Merrill, K Shedd, R M Bilder, P Siddarth

{"title":"Effects of an employee exercise programme on mental health.","authors":"N D Emerson, D A Merrill, K Shedd, R M Bilder, P Siddarth","doi":"10.1093/occmed/kqw120","DOIUrl":"https://doi.org/10.1093/occmed/kqw120","url":null,"abstract":"Background: Prior research indicates that workplace wellness programmes (WWPs) are generally associated with lowered healthcare costs and improved employee health. Despite the importance of mental well-being in workplace productivity and attendance, few WWP studies have focused on improvements in psychological well-being.Aims: To examine the effects of the Bruin Health Improvement Program (BHIP), a 3-month exercise and nutrition WWP, on seven domains of health: physical and mental health, stress, energy level, social satisfaction, self-efficacy and quality of life.Methods: Using data from BHIP completers, we conducted multiple one-way multivariate analyses of variance and follow-up univariate t-tests to examine changes in physical and mental health, stress, energy level, social satisfaction, self-efficacy and quality of life. Effect sizes were also calculated post hoc to determine the magnitude of each effect.Results: Results for the 281 participants reveal significant improvements across all seven domains (P < 0.001). Effect sizes ranged from 0.19 to 0.67.Conclusions: This study is unique in revealing the effects of a WWP on multiple domains of psychological well-being. Given rising healthcare costs associated with mental health, targeting mental health through WWP may be an effective strategy for reducing indirect healthcare costs associated with absenteeism and presenteeism.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"128-134"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34674590","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: 17