Occupational medicine (Oxford, England)最新文献_第9页

Cancer survivors' and employers' perceptions of working following cancer treatment. 癌症幸存者和雇主对癌症治疗后工作的看法。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2010-12-01 Epub Date: 2010-09-20 DOI: 10.1093/occmed/kqq143

E A Grunfeld, E Low, A F Cooper

{"title":"Cancer survivors' and employers' perceptions of working following cancer treatment.","authors":"E A Grunfeld, E Low, A F Cooper","doi":"10.1093/occmed/kqq143","DOIUrl":"https://doi.org/10.1093/occmed/kqq143","url":null,"abstract":"Background: Earlier diagnosis and improvements in treatment survival rates have led to an increase in the number of cancer survivors for whom returning to work is a realistic outcome. However, cancer survivors face a number of challenges when returning to the workplace. Little is known about how patients' illness and treatment beliefs affect return to work or of employers' beliefs about the impact of cancer on work.Aims: To determine patient and employers' beliefs about the impact of cancer on returning to work and to identify differences in the beliefs held by patients and employers.Methods: Patients absent from work due to breast, urological, gynaecological or head and neck cancers completed a questionnaire within 4 weeks of completing treatment. Unlinked employer respondents from medium to large organizations completed the same questionnaire. The questionnaire focused on the perceived impact of cancer and its treatment on work and an adapted version of the Brief Illness Perceptions Questionnaire.Results: One hundred and ninety four patients (response rate of 82%) and 252 employers (response rate 31%) completed the questionnaire. Organizational respondents consistently reported more negative beliefs about the impact of cancer and treatment on work and in general held more negative illness perceptions about cancer in relation to work.Conclusions: A discrepancy between beliefs of organizational respondents and cancer survivors could impact on an employees' management of their work and on employers' responsiveness to the needs of survivors. Therefore, it is important that return to work plans include the elicitation of employee beliefs.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"611-7"},"PeriodicalIF":5.1,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqq143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40081133","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: 71

A descriptive study of a specialized worker's psychological trauma program. 对一个专业工人的心理创伤项目的描述性研究。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2010-12-01 Epub Date: 2010-09-20 DOI: 10.1093/occmed/kqq118

J Hensel, A Bender, J Bacchiochi, M Pelletier, C S Dewa

{"title":"A descriptive study of a specialized worker's psychological trauma program.","authors":"J Hensel, A Bender, J Bacchiochi, M Pelletier, C S Dewa","doi":"10.1093/occmed/kqq118","DOIUrl":"https://doi.org/10.1093/occmed/kqq118","url":null,"abstract":"Background: Psychological trauma in the workplace is gaining recognition as an important cause of workplace disability but little is known about the workers who are affected. The Psychological Trauma Program (PTP) in Toronto (Canada) is a specialized provincial worker's compensation board assessment program for workers with psychological sequelae of workplace trauma.Aims: To characterize workers presenting to the PTP in terms of demographic, occupational, traumatic exposure and diagnostic variables.Methods: A retrospective secondary analysis of all workers referred to the PTP for assessment within 1 year of traumatic event between 1999 and 2006.Results: Five hundred and thiry-one referred workers were included in the study. Most workers were working-age male (76%), married (65%) and labourers (43%). Nearly half were born outside Canada. Post-traumatic stress disorder was the primary diagnosis in 44%. Fifty-eight percent had one or more secondary diagnoses. For just over half of the workers, the traumatic event resulted in a permanent physical impairment.Conclusions: Specialist referral may be indicated for workers experiencing prolonged recovery following workplace trauma. Male workers and those with co-morbidities or permanent injuries may be more likely to require referral. Individualized treatment approaches are likely important; however, more research is needed to guide future interventions.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"654-7"},"PeriodicalIF":5.1,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqq118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40081134","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

Predictors of the discrepancy between calendar and biological age. 日历和生理年龄之间差异的预测因子。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2010-01-01 Epub Date: 2009-08-10 DOI: 10.1093/occmed/kqp113

Gabriele Freude, Olga Jakob, Peter Martus, Uwe Rose, Reingart Seibt

{"title":"Predictors of the discrepancy between calendar and biological age.","authors":"Gabriele Freude, Olga Jakob, Peter Martus, Uwe Rose, Reingart Seibt","doi":"10.1093/occmed/kqp113","DOIUrl":"https://doi.org/10.1093/occmed/kqp113","url":null,"abstract":"Background: The rate of ageing can differ considerably between individuals. This might result in major differences between calendar age (CA) and biological age (BA).Aims: To identify work- and health-related predictors of the discrepancy between CA and BA.Methods: The sample analysed in this study consisted of 371 subjects of different occupational groups (teachers, office workers, nursery school teachers and managers). BA was measured with the vitality measuring station, which recorded 45 vitality indicators of physical, mental and social functions. Work ability index, effort-reward imbalance and relaxation inability were measured to determine work- and health-related predictors.Results: The greatest discrepancy between CA and BA (9 years) was found for the subgroup of managers, followed by female teachers (5 years). Managers showed also the best results in work ability, the effort-reward balance and relaxation ability. By means of multiple regression analysis, particularly mental attitudes and resources towards work, occupational reward and the body fat percentage were identified as relevant predictors for the discrepancy between CA and BA.Conclusions: Our study indicates that not only health- but also work-related factors are associated with vitality and BA of employees. We assume that measures focused on promoting of health (healthy diet and physical activities) and improving working conditions (e.g. job satisfaction and social support and stress prevention) may also affect the ageing process positively.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"21-8"},"PeriodicalIF":5.1,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqp113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40023024","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: 19

Hearing protection device usage at a South African gold mine. 听力保护装置在南非金矿的使用情况。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2010-01-01 Epub Date: 2009-08-10 DOI: 10.1093/occmed/kqp114

Mohammed Rashaad Hansia, David Dickinson

{"title":"Hearing protection device usage at a South African gold mine.","authors":"Mohammed Rashaad Hansia, David Dickinson","doi":"10.1093/occmed/kqp114","DOIUrl":"https://doi.org/10.1093/occmed/kqp114","url":null,"abstract":"Background: Occupational noise-induced hearing loss (NIHL) occurs in many industries despite interventions such as hearing conservation programmes.Aims: To determine the actual and reported use of hearing protection devices (HPDs) in noise-exposed gold mine workers and their reported knowledge, attitudes and practices relating to NIHL and HPDs.Methods: A cross-sectional descriptive study was conducted in which 101 noise-exposed mine workers were interviewed and their use of HPDs observed.Results: Thirteen percent of respondents erroneously indicated that their workplaces were not noisy, 16% did not appreciate noise as a hearing loss hazard, 6% did not know that HPDs protect hearing and 3% believed that HPDs did not protect hearing. While 93% of respondents reported using HPDs, only 50% were observed to be doing so. Observed use was less among lower skilled workers, and, despite training, 8% of respondents claimed never to have been informed about the benefits of HPDs. Consistent and continuous use was reported by 24% and 31% of respondents, respectively. Reasons for not using HPDs included discomfort. Most respondents (57%) preferred training methods other than the current computer-assisted training.Conclusions: The persistence of NIHL may be explained by limited use of HPDs, along with the suboptimal knowledge of noise as a hazard, workplace noisiness and the benefits of HPDs among some workers. Concurrent with engineering controls, a range of HPDs should be available free of charge, and HPD training reviewed particularly for lower skilled workers.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"72-4"},"PeriodicalIF":5.1,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqp114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40023023","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

Occupational outcomes in soldiers hospitalized with mental health problems. 心理健康问题住院士兵的职业结局

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 Epub Date: 2009-08-10 DOI: 10.1093/occmed/kqp115

Norman Jones, Nicola T Fear, Neil Greenberg, Lisa Hull, Simon Wessely

{"title":"Occupational outcomes in soldiers hospitalized with mental health problems.","authors":"Norman Jones, Nicola T Fear, Neil Greenberg, Lisa Hull, Simon Wessely","doi":"10.1093/occmed/kqp115","DOIUrl":"https://doi.org/10.1093/occmed/kqp115","url":null,"abstract":"Background: Little is known about the longer term occupational outcome in UK military personnel who require hospital-based treatment for mental health problems.Aims: To examine the documented occupational outcomes following hospital-based treatment for mental health problems within the British Army.Methods: Hospital admission records were linked to occupational outcome data from a database used for personnel administration.Results: A total of 384 records were identified that were then linked to occupational outcome after an episode of hospitalization. Seventy-four per cent of those admitted to hospital with mental health problems were discharged from the Army prematurely, and 73% of the discharges occurred in the first year following hospitalization. Discharge from the Army was associated with holding a junior rank, completing <5 years military service, having a combat role, being male and receiving community mental health team treatment prior to admission.Conclusions: Hospitalization for a mental health problem in a military context is associated with a low rate of retention in service. Outcome was not influenced greatly by duration of hospital stay; however, those who reported receiving individual rather than group-based therapy while in hospital appeared to do better.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"459-65"},"PeriodicalIF":5.1,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqp115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40022501","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: 14

Fernand Leger Les constructeurs--definitif (1950). 费尔南多·莱格的《建设者——定义》（1950年）。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp109

Mike McKiernan

引用次数: 3

In this issue of Occupational Medicine. 在这一期的《职业医学》中。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp150

Nerys Williams

引用次数: 0

Chronic and acute psychological strain in naval personnel. 海军人员慢性和急性心理紧张。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp104

R S Bridger, A Dew, K Brasher, K Munnoch, S Kilminster

{"title":"Chronic and acute psychological strain in naval personnel.","authors":"R S Bridger, A Dew, K Brasher, K Munnoch, S Kilminster","doi":"10.1093/occmed/kqp104","DOIUrl":"https://doi.org/10.1093/occmed/kqp104","url":null,"abstract":"Background: Previous surveys have shown that there is a greater prevalence of psychological strain in Naval personnel than in the general population and have described the main psychosocial stressors associated with strain.Aims: To determine the prevalence of acute strain and of repeated episodes of strain over 6- and 12-month periods.Methods: Six and twelve months after completing a Phase I Work and Well-Being questionnaire, 2596 personnel were reassessed using a follow-up General Health Questionnaire-12.Results: The response rates at 6 and 12 months ranged from 51 to 60%. There was no evidence of response bias at follow-up. The prevalence of acute strain was 31% at Phase I. After 6 months, approximately half of strain cases had recovered. Only 10% had strain over the entire period. Change in strain was linked to change in work role.Conclusions: Accumulation of strain and recovery occur within 6 months depending on change in work role. Management of strain might best be achieved by management of work demands and deployment length. Further studies will investigate the rate of accumulation of strain over the course of demanding deployments. Exposure to psychosocial stressors such as effort reward imbalance accounted for much of the difference between chronic strain sufferers and those with no strain.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"454-8"},"PeriodicalIF":5.1,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqp104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40037794","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: 9

Interpretation questioned. 解释质疑。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 DOI: 10.1093/occmed/kqp132

Robert M Park, Leslie T Stayner

引用次数: 2

Disability from occupational diseases in Greece. 希腊因职业病致残。

IF 5.1

Occupational medicine (Oxford, England) Pub Date : 2009-10-01 Epub Date: 2009-08-10 DOI: 10.1093/occmed/kqp111

Georgios N Kourouklis

{"title":"Disability from occupational diseases in Greece.","authors":"Georgios N Kourouklis","doi":"10.1093/occmed/kqp111","DOIUrl":"https://doi.org/10.1093/occmed/kqp111","url":null,"abstract":"Background: Occupational diseases (ODs) are often under-reported. OD Medical Committees of the Greek Social Security Institute (Idryma Kinonikon Asfaliseon-IKA) are believed to be the only reliable source of data on ODs in Greece.Aims: To analyse the results of OD Medical Committees of IKA on the claims for OD Disablement Benefit (ODDB) during a 5 year period.Methods: Two hundred and ninety-nine claims for ODDB were submitted to IKA from 2003 to 2007. These claims were examined on a monthly basis.Results: One hundred and seventy-one cases of ODs (153 men and 18 women, mean age = 57 +/- 8 years) were recorded (recognition rate = 61%); 125 of these qualified for ODDB (pension rate = 42%). The main diagnosis was allergic contact dermatitis (40% of total cases of ODs), followed by lead toxicity (12%) and asthma (11%). Of the six main diagnoses, the most serious was lead toxicity (mean disability percentage = 59 +/- 19%, n = 21).Conclusions: This study reveals flaws in the existing system of recognition of ODs in Greece, illustrated mainly by the small number of claims for ODDB. Possible explanations are delays in establishing a new widened list of ODs, lack of a unified recording and notification system, lack of motivation on behalf of the patients and the small number of occupational physicians.","PeriodicalId":520727,"journal":{"name":"Occupational medicine (Oxford, England)","volume":" ","pages":"515-7"},"PeriodicalIF":5.1,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/occmed/kqp111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40022502","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: 4