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

Correction to: Military service and alcohol use: a systematic narrative review. 修正:服兵役和饮酒:一个系统的叙述回顾。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-10-18 DOI: 10.1093/occmed/kqac069

引用次数: 0

Correction to: Occupational asthma in office workers. 更正:办公室工作人员的职业性哮喘。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-10-18 DOI: 10.1093/occmed/kqac081

引用次数: 0

Antibody response to an accelerated course of Hepatitis B vaccination. 抗体对加速乙肝疫苗接种过程的反应。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-10-18 DOI: 10.1093/occmed/kqac054

P C S Lian, B Morrish

{"title":"Antibody response to an accelerated course of Hepatitis B vaccination.","authors":"P C S Lian, B Morrish","doi":"10.1093/occmed/kqac054","DOIUrl":"https://doi.org/10.1093/occmed/kqac054","url":null,"abstract":"Background: There are several courses with different dosing intervals for Hepatitis B vaccination. This independent study is looking at the antibody response after three doses of the accelerated course.Aims: The primary aim of the study was to examine data available at an Occupational Health Service for the antibody response to one or if nonresponsive, two accelerated Hepatitis B courses. A secondary aim is to determine if there is a difference in response for different sex and age groups.Methods: This is a retrospective anonymous and blinded study looking at the antibody response in 1032 healthcare personnel given the accelerated course of the Hepatitis B vaccine over a period of over 6 years. An anti-Hbs response 4 months after the start of the vaccination of >10 IU/ml was taken as indicative of a response.Results: After one course, 93% of the healthcare personnel developed antibody levels thought to confer immunity. After two courses, nearly 99% of the healthcare personnel had developed an adequate immune response. The response was better in females and <40 years old, a difference that was statistically significant for those aged <40.Conclusions: The accelerated course confers high levels of immunity after 4 months and this supports the current practice of offering the accelerated dose to UK healthcare personnel who can be at immediate and higher risk of infection. Though some groups are less responsive, all groups mount a good response so all those at risk should be encouraged to have this vaccination.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"446-451"},"PeriodicalIF":5.1,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40697310","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: 0

Silica health surveillance: a new approach. 二氧化硅健康监测:一种新方法

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-08-16 DOI: 10.1093/occmed/kqab186

Evelyn Lee, Lay Lay June Sim

引用次数: 0

Silicosis-lessons from Australia's Dust Diseases Taskforce (2019-21). 矽肺病——来自澳大利亚粉尘疾病工作组的经验教训(2019-21)。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-08-16 DOI: 10.1093/occmed/kqab184

Graeme M Edwards

引用次数: 1

Long-term follow-up of young denim sandblasters in Turkey. 土耳其年轻牛仔喷砂工的长期随访。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-08-16 DOI: 10.1093/occmed/kqac043

F S Albez, Ö Araz, E Yılmazel Uçar, F Alper, A Karaman, L Sağlam, M Akgün

{"title":"Long-term follow-up of young denim sandblasters in Turkey.","authors":"F S Albez, Ö Araz, E Yılmazel Uçar, F Alper, A Karaman, L Sağlam, M Akgün","doi":"10.1093/occmed/kqac043","DOIUrl":"https://doi.org/10.1093/occmed/kqac043","url":null,"abstract":"Background: Denim sandblasting-induced silicosis is a recently identified occupational disease.Aims: In this study, we aimed to evaluate pulmonary and radiological changes in the long-term follow-up of former denim sandblasters.Methods: Ninety former denim sandblasters were followed from 2007 to 2018. Chest X-rays were evaluated according to the International Labour Organization (ILO) classification. Baseline and final data were compared. Silicosis prevalence, radiological progression and pulmonary dysfunction were evaluated.Results: All of the sandblasters were men. Their mean age was 34 ± 5 years, mean follow-up time was 9 ± 2 years (mean time since initial exposure: 17 ± 2 years) and mean duration of exposure was 34 ± 25 months. Rates of radiological progression and decline in pulmonary during follow-up were 63% and 39%, respectively. During follow-up, all patients were diagnosed with silicosis. All workers who were ILO category 0 at baseline (n = 26, 29%) progressed to higher categories. The number of patients in Category 2 doubled and the number of patients in Category 3 increased by 2.5-fold. Eleven patients developed new large opacities and the number of patients with category C opacity increased from 4 to 13. Exposure time was an independent determinant of radiological progression (OR: 1.0, P = 0.036) and decline in pulmonary function (OR: 1.3, P = 0.019).Conclusions: The prevalence of silicosis in denim sandblasters increases steadily even after exposure is discontinued. Radiological progression was observed in a higher proportion of workers than a decline in lung function. Duration of exposure was the major determinant of disease progression in our study.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"403-410"},"PeriodicalIF":5.1,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40406156","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: 2

Health Care Worker Skin. 卫生保健工作者皮肤。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-07-11 DOI: 10.1093/occmed/kqac021

Christopher Kalman

引用次数: 0

Mental health care utilization by first responders after Paris attacks. 巴黎袭击后急救人员的精神保健利用情况

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-02-22 DOI: 10.1093/occmed/kqab150

Y Motreff, P Pirard, C Vuillermoz, G Rabet, M Petitclerc, L Eilin Stene, T Baubet, P Chauvin, S Vandentorren

{"title":"Mental health care utilization by first responders after Paris attacks.","authors":"Y Motreff, P Pirard, C Vuillermoz, G Rabet, M Petitclerc, L Eilin Stene, T Baubet, P Chauvin, S Vandentorren","doi":"10.1093/occmed/kqab150","DOIUrl":"https://doi.org/10.1093/occmed/kqab150","url":null,"abstract":"Background: First responders (FRs) are frequently exposed to potentially traumatic events, including terror attacks, and may consequently be at risk of developing mental health disorders. Prior research suggests that FRs with mental health disorders often do not receive appropriate treatment. More knowledge is needed about their use of mental health care (MHC).Aims: This study aimed to identify factors associated with receiving immediate support, post-immediate support and engagement in MHC among FRs of the November 2015 terror attacks in Paris.Methods: A web-based study was conducted 8-12 months after the attacks on 663 FRs who were mobilized during the night and/or the aftermath of the attacks. Logistic regression was performed to analyse factors associated with MHC.Results: Overall, 44 FRs sought MHC. Among FRs with post-traumatic stress disorder (PTSD), partial PTSD or depression (n = 60), 38% sought MHC (n = 23). Post-immediate support was associated with immediate support, and both were associated with knowing someone who could help regarding the potential psychological risks following a traumatic event. MHC engagement was associated with a history of MHC, post-immediate support and the presence of PTSD, partial PTSD or depression.Conclusions: Among FRs with PTSD, partial PTSD or depression, few sought MHC. Improved access to MHC for FRs after terror attacks is essential. Knowing someone who could help regarding potential psychological risks may facilitate immediate and/or post-immediate support. Furthermore, post-immediate support could encourage engagement in MHC. Efforts should be made before and after potentially traumatic events to ensure mental health education for FR.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"81-90"},"PeriodicalIF":5.1,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/6c/kqab150.PMC8863088.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39586290","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: 4

Evaluation of the Warrior Programme intervention among UK ex-service personnel. 对英国退役人员“战士计划”干预的评估。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-02-22 DOI: 10.1093/occmed/kqab153

G Thandi, A Phillips, N Greenberg, N Maguire, N T Fear

{"title":"Evaluation of the Warrior Programme intervention among UK ex-service personnel.","authors":"G Thandi, A Phillips, N Greenberg, N Maguire, N T Fear","doi":"10.1093/occmed/kqab153","DOIUrl":"https://doi.org/10.1093/occmed/kqab153","url":null,"abstract":"Background: Research has shown that of the myriad services available to veterans in the UK, very few have been independently evaluated. This report presents the results of a randomized controlled trial assessing the impact of Time Line Therapy™ delivered by the Warrior Programme (a third-sector organization).Aims: This study was aimed to determine if the intervention is effective in reducing emotional and functional difficulties in ex-service personnel.Methods: A mixed-design analysis of variance model was used to investigate whether the Warrior Programme had a statistically significant impact on self-reported scores. The intervention and control group provided data on measures prior to and immediately after the intervention, and at 3-month follow-up.Results: Those in the intervention group (n = 23) reported statistically significant improvements in self-reported scores immediately following intervention: the Clinical Outcomes in Routine Evaluation (CORE) scores (CORE global distress mean difference [MD] = 45.0, 95% confidence interval [CI] 31-60) (CORE subjective well-being MD = 5.9, 95% CI 3.5-8.3) (CORE functioning MD = 16.7, 95% CI 11.4-21.9) (CORE problems/symptoms MD = 19.4, 95% CI 13.1-25.7), general self-efficacy (MD = -9.8, 95% CI -13.6 to -6.8), anxiety (MD = 8.6, 95% CI 5.2-12.1), depression (MD = 10, 95% CI 6.6-13.5), post-traumatic stress disorder (MD = 26.3, 95% CI 17-25) and functional impairment (MD = 11.1, 95% CI 5.3-16.8) over time, compared to the control group (n = 29). However, score improvement was not sustained over time or statistically significant at follow-up.Conclusions: The Warrior Programme was effective in reducing emotional and functional difficulties in ex-service personnel immediately after the intervention, but the effect was not sustained at 3-month follow-up.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"91-98"},"PeriodicalIF":5.1,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39621523","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: 0

Evaluation of an occupational medicine patient consultation note assessment tool. 职业医学患者会诊记录评估工具的评价。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2022-02-22 DOI: 10.1093/occmed/kqab154

V Spilchuk, R House, R Nisenbaum, D L Holness

{"title":"Evaluation of an occupational medicine patient consultation note assessment tool.","authors":"V Spilchuk, R House, R Nisenbaum, D L Holness","doi":"10.1093/occmed/kqab154","DOIUrl":"https://doi.org/10.1093/occmed/kqab154","url":null,"abstract":"Background: Medical education focuses on assessment, diagnosis and management of various clinical entities. The communication of this information, particularly in the written form, is rarely emphasized. Though there have been assessment tools developed to support medical learner improvement in this regard, none are oriented to occupational medicine (OM) practice.Aims: This study was aimed to develop and evaluate an assessment tool for consultation letters, by modifying a previously validated assessment tool to suit practice in OM.Methods: Using an iterative process, OM specialists added to the Consultation Letter Rating Scale (CLRS) of the Royal College of Physicians and Surgeons of Canada (henceforth abbreviated as RC) additional questions relevant to communication in the OM context. The tool was then used by two OM specialists to rate 40 anonymized OM clinical consultation letters. Inter-rater agreement was measured by percent agreement, kappa statistic and intraclass correlation.Results: There was generally good percent agreement (>80% for the majority of the RC and OM questions). Intraclass correlation for the five OM questions total scores was slightly higher than the intraclass correlations for the five RC questions (0.59 versus 0.46, respectively), suggesting that our modifications performed at least as well as the original tool.Conclusions: This new tool designed specifically for evaluation of patient consultation notes in OM provides a good option for medical educators in a variety of practice areas in providing non-summative, low-stakes assessment and/or feedback to nurture increased competency in written communication skills for postgraduate trainees in OM.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"99-104"},"PeriodicalIF":5.1,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39641100","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: 1