Occupational medicine (Oxford, England)最新文献_第5页

The Mood Disorder Questionnaire. 情绪障碍问卷。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw152

Nerys Williams

引用次数: 19

Energy expenditure of deskwork when sitting, standing or alternating positions. 坐着、站着或交替工作时的能量消耗。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw115

B Barone Gibbs, R J Kowalsky, S J Perdomo, M Grier, J M Jakicic

{"title":"Energy expenditure of deskwork when sitting, standing or alternating positions.","authors":"B Barone Gibbs, R J Kowalsky, S J Perdomo, M Grier, J M Jakicic","doi":"10.1093/occmed/kqw115","DOIUrl":"https://doi.org/10.1093/occmed/kqw115","url":null,"abstract":"Background: Recent guidelines recommend accruing 2-4h of standing or light activity during the working day. Use of sit-stand desks could achieve this goal, but whether standing can meaningfully increase energy expenditure (EE) is unclear.Aims: To study EE, heart rate, feelings and productivity during deskwork while sitting, standing or alternating positions.Methods: We measured EE by indirect calorimetry in working adults over three randomly ordered 60-min conditions while performing deskwork: continuous sitting (SIT), 30min of each standing and sitting (STAND-SIT) and continuous standing (STAND). We also assessed heart rate, productivity and self-reported energy, fatigue and pain. Linear mixed models compared minute-by-minute EE and heart rate across conditions. Non-parametric tests compared remaining outcomes across conditions.Results: The study group comprised 18 working adults. Compared with SIT, STAND-SIT engendered an additional 5.5±12.4 kcal/h (7.8% increase) and STAND engendered an additional 8.2±15.9 kcal/h (11.5% increase) (both P < 0.001). Alternating positions to achieve the recommended 4h/day of standing could result in an additional 56.9 kcal/day for an 88.9kg man and 48.3 kcal/day for a 75.5kg woman. STAND-SIT and STAND also increased heart rate over SIT by 7.5±6.8 and 13.7±8.8 bpm, respectively (both P < 0.001). We observed no meaningful differences in feelings or productivity.Conclusions: Desk-based workers could increase EE without added discomfort by using a sit-stand desk. These findings inform future research on sit-stand desks as a part of workplace interventions to increase EE and potentially improve health.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"121-127"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34750354","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: 54

Hair cortisol in relation to job stress and depressive symptoms. 毛发皮质醇与工作压力和抑郁症状的关系

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw114

H Janssens, E Clays, T Fiers, A G Verstraete, D de Bacquer, L Braeckman

{"title":"Hair cortisol in relation to job stress and depressive symptoms.","authors":"H Janssens, E Clays, T Fiers, A G Verstraete, D de Bacquer, L Braeckman","doi":"10.1093/occmed/kqw114","DOIUrl":"https://doi.org/10.1093/occmed/kqw114","url":null,"abstract":"Background: Measurement of hair cortisol concentration (HCC) may be used as a biomarker for chronic stress. However, the association between stress and HCC has rarely been investigated in a working population.Aims: To explore associations between (i) HCC and various stress measures and (ii) HCC and symptoms of depression in Belgian workers.Methods: Hair samples were collected from workers in two production companies and cortisol content was determined by liquid chromatography tandem mass spectrometry. Participants completed a questionnaire including socio-demographics, health behaviours and standardized measures for assessing stress.Results: After excluding those workers suffering from a psychiatric or neuroendocrine disease and those treated with glucocorticoids, there were a total of 102 workers with both questionnaire, cortisol results and anthropometric measures. Median HCC was 5.73 pg/mg hair (interquartile range = 4.52-9.06). No significant associations were found between cortisol and the standardized measures related to several work psychosocial risk factors. A significantly lower mean HCC was found in shift workers compared with dayworkers, adjusted for age. Additionally, a significant higher mean HCC was found in workers with symptoms of depression compared with those without symptoms of depression, after adjustment for age.Conclusions: HCC showed a limited applicability as a biomarker for job stress in this sample, although the results suggest this method may be a suitable marker for detecting early symptoms of depression. Further research is needed to investigate the applicability of HCC in the working environment and within job stress research.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"114-120"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34750353","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: 32

Pre-employment medical assessment needs better underpinning. 就业前的医疗评估需要更好的支持。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw157

Jos Verbeek, Jani Ruotsalainen, Christina Mischke

引用次数: 0

Occupational health and safety in Oceania-current state and future priorities. 大洋洲的职业健康与安全——现状和未来的优先事项。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw095

Tim Driscoll

引用次数: 0

Medical surveillance for occupational asthma-how are cases detected? 职业性哮喘的医学监测-如何发现病例?

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw101

H Suojalehto, K Karvala, J Haramo, M Korhonen, M Saarinen, I Lindström

{"title":"Medical surveillance for occupational asthma-how are cases detected?","authors":"H Suojalehto, K Karvala, J Haramo, M Korhonen, M Saarinen, I Lindström","doi":"10.1093/occmed/kqw101","DOIUrl":"https://doi.org/10.1093/occmed/kqw101","url":null,"abstract":"Background: In Finland, medical surveillance, including spirometry, is periodically performed for workers who are exposed to agents capable of causing occupational asthma (OA). Although it has been shown that surveillance can detect OA at an early stage, few studies have assessed its benefits or the role of surveillance spirometry.Aims: To assess the role of surveillance and spirometry in detecting OA and to evaluate the quality of spirometry.Methods: We retrospectively reviewed the medical files of patients in health surveillance programmes who were diagnosed with sensitizer-induced OA at the Finnish Institute of Occupational Health in 2012‒14. We collected information on work exposure, respiratory symptoms, healthcare visits that initiated the diagnostic process, first spirometry and other diagnostic tests.Results: Sixty files were reviewed. Medical surveillance detected 11 cases (18%) and 49 cases (82%) were detected at doctors' appointments that were not related to surveillance. The median delay from the onset of asthma symptoms to diagnosis was 2.2 years. Delay did not differ between these groups. No cases were detected on the basis of abnormal spirometry without respiratory symptoms. However, five patients (8%) initially reported solely work-related rhinitis symptoms. Spirometry was normal in half of the cases and quality criteria were fulfilled in 86% of the tests.Conclusions: Fewer than one in five OA cases were detected through medical surveillance. Investigations were initiated by respiratory symptoms. No asymptomatic worker was referred because of abnormal spirometry. Our results highlight the importance of work-related nasal symptoms in detecting OA.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"159-162"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34732006","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: 13

Trajectory analyses of sickness absence among industrial and municipal employees. 工业和市政雇员病假轨迹分析。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2017-03-01 DOI: 10.1093/occmed/kqw104

P Virtanen, A Siukola, L Lipiäinen, V Liukkonen, J Pentti, J Vahtera

{"title":"Trajectory analyses of sickness absence among industrial and municipal employees.","authors":"P Virtanen, A Siukola, L Lipiäinen, V Liukkonen, J Pentti, J Vahtera","doi":"10.1093/occmed/kqw104","DOIUrl":"https://doi.org/10.1093/occmed/kqw104","url":null,"abstract":"Background: Compared with the public sector, the private sector is more susceptible to changes in the economic environment and associated threats of downsizing, outsourcing and transfers of production. This might be assumed to be associated with more restrictive sickness absence practices.Aims: To investigate whether this difference is reflected in higher sickness absence rates in the public sector and to explore the potential of trajectory analysis in researching such absences.Methods: The sample consisted of industrial and municipal employees. Latent groups of differential sickness absence during a 6-year study period were searched with a two-response trajectory analysis that jointly captured the spells and the days. Multinomial logistic regressions were used to assess associations of the labour market sector with the set of trajectories obtained.Results: There were 2207 industrial and 3477 municipal employees in the study group. The analysis assigned the employees to three trajectory groups, the 'low-level', 'middle-range' and 'high-range' groups. The relative risk ratios for the middle-range and the high-range trajectories of public sector employees were not higher after controlling for age, gender and occupational.Conclusions: In this study, the labour market sector was not a major independent determinant of sickness absence practices. Trajectory analysis can be recommended as a way to determine differential absence practices. The trajectory approach might help occupational health services to identify more accurately the employees who need support to maintain their work ability.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"109-113"},"PeriodicalIF":5.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqw104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34735532","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

Outcomes of seafarer work fitness qualifications in the Netherlands. 荷兰海员工作适能资格的结果。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2014-06-01 Epub Date: 2014-03-06 DOI: 10.1093/occmed/kqu020

J Zevallos, C T Hulshof, T Mutsaerts, J K Sluiter

{"title":"Outcomes of seafarer work fitness qualifications in the Netherlands.","authors":"J Zevallos, C T Hulshof, T Mutsaerts, J K Sluiter","doi":"10.1093/occmed/kqu020","DOIUrl":"https://doi.org/10.1093/occmed/kqu020","url":null,"abstract":"Background: Seafaring is a dangerous profession involving high fatality rates and little research has been done to identify conditions that may lead to failing the seafarer's medical qualification (SMQ).Aims: To determine the proportion of seafarers failing to pass the SMQ in the Netherlands during 2012, to analyse the outcomes of the SMQ according to qualification, age, duties and requirements of additional evaluations and to describe the reasons for considering a seafarer unfit for duty.Methods: A retrospective descriptive study of SMQs registered in the Netherlands Shipping Inspectorate database.Results: Less than 1% (46 cases; 0.6%) of the 7617 final SMQ candidates were considered unfit for duty with 53% (24) of these being temporarily unfit. Four per cent (276) of cases were classified 'fit with restrictions' and 1% (66) 'fit by exemption' (FEx). Re-examination was required in 2% (122) of cases. A second opinion from a medical referee was sought in 4% of cases. The highest rate of FEx was found in older seafarers (aged over 55) due to restrictions in hearing and vision in the majority (59%) of cases. The leading causes of unfitness were other medical reasons, mainly associated with cardiovascular conditions and morbid obesity, in 52% of cases and visual impairment in 34%.Conclusions: The proportion of seafarers considered unfit in the SMQ carried out in the Netherlands in 2012 is relatively low. The proportion of FEx was higher in older groups, mainly due to hearing or visual impairments.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"267-70"},"PeriodicalIF":5.1,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqu020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40291082","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: 10

Prevalence of musculoskeletal symptoms in relation to psychosocial factors. 肌肉骨骼症状的流行与社会心理因素的关系

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2014-04-01 Epub Date: 2014-03-06 DOI: 10.1093/occmed/kqu008

P Yue, G Xu, L Li, S Wang

{"title":"Prevalence of musculoskeletal symptoms in relation to psychosocial factors.","authors":"P Yue, G Xu, L Li, S Wang","doi":"10.1093/occmed/kqu008","DOIUrl":"https://doi.org/10.1093/occmed/kqu008","url":null,"abstract":"Background: Work-related musculoskeletal disorders (WMSDs) represent a common occupational problem for healthcare workers throughout the world. However, few epidemiological studies have investigated the effect of psychosocial factors on WMSDs among different Chinese occupational groups.Aims: To assess the prevalence of WMSDs and psychosocial risk factors contributing to them among miners and teachers in China.Methods: WMSDs were assessed in 500 teachers and 500 miners using the modified Chinese version of the Standardized Nordic Questionnaire and the Copenhagen Psychosocial Questionnaire. Logistic regression analyses were conducted to estimate the associations between psychosocial factors and WMSDs.Results: There was a 73% participation rate. During a 12-month period, the prevalence of WMSDs among teachers and miners was comparable (72% and 78%, respectively), but miners had a higher prevalence of WMSD-related absence. Multivariate analyses indicated stronger associations between high job demands and upper limbs (odds ratio [OR] 3.05, 95% confidence interval [CI]: 1.67-5.58), neck and shoulder (OR 1.82, 95% CI: 1.05-3.16) and lower limbs (OR 1.97, 95% CI: 1.12-3.49) symptoms among miners. Low job satisfaction was related to low back (OR 2.40, 95% CI: 1.42-4.07), neck and shoulder (OR 2.18, 95% CI: 1.26-3.78) and lower limb (OR 1.69, 95% CI: 1.01-2.89) symptoms among teachers.Conclusions: We found that WMSDs in the two populations presented different characteristics associated with their occupational features. This study provides further evidence that WMSDs occur commonly in both miners and school teachers in China.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"211-6"},"PeriodicalIF":5.1,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqu008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40291081","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: 51

TRiM: an organizational response to traumatic events in Cumbria Constabulary. TRiM:坎布里亚郡警察局对创伤性事件的组织反应。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2013-12-01 Epub Date: 2013-10-30 DOI: 10.1093/occmed/kqt113

E Hunt, N Jones, V Hastings, N Greenberg

{"title":"TRiM: an organizational response to traumatic events in Cumbria Constabulary.","authors":"E Hunt, N Jones, V Hastings, N Greenberg","doi":"10.1093/occmed/kqt113","DOIUrl":"https://doi.org/10.1093/occmed/kqt113","url":null,"abstract":"Background: A major incident involving multiple fatalities occurred in Cumbria, England on 2 June 2010. The Cumbrian Constabulary deployed an organizational peer support response for personnel involved known as trauma risk management (TRiM).Aims: To examine data routinely gathered during the TRiM process to evaluate the relationship of the intervention to sickness absence.Methods: Using incident databases, details were gathered regarding exposure to the murders and type of TRiM intervention, including an assessment of the psychological risk to the individual of developing a trauma-related mental health problem. Sociodemographic information was collated by the occupational health department. Cumulative sickness absence data in the 2 months following the murders were used as a proxy for mental health status.Results: A total of 717 police officers and civilian support staff were identified. High levels of traumatic exposure were associated with subsequent receipt of a TRiM intervention. The majority of psychological risk indices reduced between the initial and subsequent evaluation. Greater traumatic exposure was associated with longer sickness absence lengths. Engagement in the TRiM process was associated with a reduction in sickness absence especially in more junior ranks.Conclusions: In this study, we found that TRiM deployed within a police force responding to a major event offered a way of structuring a response for those involved. Our data suggest that TRiM may offer a way of assessing psychological risk so that officers can be offered early supportive interventions. Our data suggest that TRiM may help to ameliorate some of the negative effects of high trauma exposure.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"549-55"},"PeriodicalIF":5.1,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqt113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40279743","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: 28