Occupational Medicine-Oxford最新文献

Guidelines for a sustainable return to work with long COVID. 长期 COVID 可持续重返工作岗位指南。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae141

C R Rayner, K Burton, E B MacDonald

引用次数: 0

Lymph node silicosis and recurrent tuberculosis in a short service goldminer. 一个短期金矿工人的淋巴结矽肺病和复发性肺结核。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae135

D Knight, J Murray, R Roberts, R Ehrlich

引用次数: 0

Occupational exposure and sarcoidosis: a case-control study in three countries. 职业暴露与结节病：三个国家的病例对照研究

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae137

D Vinnikov, L Strizhakov, T Rybina, S Babanov, M Brovko, V Sholomova, M Lebedeva, I Mukatova, N Lavrenteva, N Manavitskaya, I Hinko, S Мakhnach, A Rybina, S Vasileuski, L Savich

{"title":"Occupational exposure and sarcoidosis: a case-control study in three countries.","authors":"D Vinnikov, L Strizhakov, T Rybina, S Babanov, M Brovko, V Sholomova, M Lebedeva, I Mukatova, N Lavrenteva, N Manavitskaya, I Hinko, S Мakhnach, A Rybina, S Vasileuski, L Savich","doi":"10.1093/occmed/kqae137","DOIUrl":"10.1093/occmed/kqae137","url":null,"abstract":"Background: Preceding studies of environmental and occupational risk factors of sarcoidosis yielded inconsistent findings.Aims: We aimed to ascertain the occupational risk factors for sarcoidosis in a case-control study.Methods: A total of 237 sarcoidosis patients with a histologically confirmed diagnosis were matched with 474 controls for sex and age (median 49, interquartile range 37; 60 years) recruited from the university hospitals and outpatient centres in Belarus, Kazakhstan and the Russian Federation. Ever and cumulative (considering years and hours per week) exposure to 24 occupational factors were analysed using logistic regression.Results: In the overall sample of 711 subjects, 50% were females and any occupational exposure was more prevalent in cases compared to controls (60% versus 40%, P < 0.001). Current daily smoking as opposed to ex-smoking was associated with the lower risk of the outcome. Adjusted for smoking, age, sex and a few other exposures, ever-exposure to hay in agriculture (odds ratio (OR) 3.64 (95% confidence interval (CI) 1.26; 10.50)), engine exhausts (OR 2.94 (95% CI 1.14; 7.54)) and printing equipment (OR 1.66 (95% 1.03; 2.68)) was associated with sarcoidosis. The effect was also positive for cumulative exposure to hay in agriculture (OR 2.02 (95% CI 1.00; 4.07)), stone dust (OR 1.07 (95% CI 1.01; 1.14)) and engine exhausts (OR 1.18 (95% CI 1.03; 1.38)) and was stronger in never-smokers and subjects 40 years and older.Conclusions: Widespread occupational exposures may increase the risk of sarcoidosis, but further research is needed to elucidate the complex interplay of environmental and occupational factors in the epidemiology of sarcoidosis.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"58-64"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Job-exposure matrix (JEM) validity on crystalline silica among systemic sclerosis patients.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae133

M Touchard, A Bourgeois, B Thoreau, M Fadel, B Zavarsky, E Diot, A Lescoat, G Le Roux, A Descatha

{"title":"Job-exposure matrix (JEM) validity on crystalline silica among systemic sclerosis patients.","authors":"M Touchard, A Bourgeois, B Thoreau, M Fadel, B Zavarsky, E Diot, A Lescoat, G Le Roux, A Descatha","doi":"10.1093/occmed/kqae133","DOIUrl":"10.1093/occmed/kqae133","url":null,"abstract":"Background: Systemic sclerosis (SSc) is the connective tissue disease with the highest individual mortality. Crystalline silica is known to be an occupational risk factor for SSc. To assess past crystalline silica exposure, we aimed to study the validity of a job exposure matrix (JEM) to assess occupational exposure to crystalline silica compared to specific occupational interviews in two populations of SSc patients.Aims: To demonstrate the reliability of JEM for the assessment of occupational exposure to hazards such as silica, in severe rare disorders like SSc.Methods: Patients from two university hospital centres underwent standardized assessment of occupational silica exposure and collected job histories through face-to-face interviews. A JEM from the French program Matgéné was used to assess silica exposure and compared to the standardized interview results. Standard metrics were computed for evaluate the accuracy of JEM.Results: 67 participants from Rennes, and 119 from Tours were included, with respectively 10.5% and 18.0% of patients with silica exposure based on the results of the interview. The JEM with 50% probability cut-off had a good performance when compared with the classic assessment method. A cumulative exposure index from JEM over 250 had an area under the curve between 0.76 and 0.79 and also a very high positive likelihood ratio (17.14 and 10.29).Conclusions: Despite limitations inherent to JEMs and associated validation methods, the JEM used in this setting provided accurate results to assess occupational exposure to crystalline silica for clinical purposes such as in SSc patients, especially to detect positive cases.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"65-68"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Carpal tunnel syndrome severity and work: a case-control study. 腕管综合征严重程度与工作：一项病例对照研究。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae120

S Curti, F Ginanneschi, C Salce, A Argentino, S Mattioli, M Mondelli

{"title":"Carpal tunnel syndrome severity and work: a case-control study.","authors":"S Curti, F Ginanneschi, C Salce, A Argentino, S Mattioli, M Mondelli","doi":"10.1093/occmed/kqae120","DOIUrl":"10.1093/occmed/kqae120","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS) is a socially relevant condition. Risk factors associated with CTS severity and work have not been explored.Aims: This case-control study aims to investigate the association between CTS severity and occupational biomechanical overload considering personal anthropometric risk factors.Methods: We consecutively enrolled one CTS case for two controls. CTS cases were grouped into three classes of progressive clinical and electrophysiological severity according to two validated scales. Job titles were coded according to the International Standard Classification of Occupations (ISCO 88) and grouped into two broad socio-occupational categories: blue-collar and white-collar workers.The associations between CTS (or CTS severity) and blue-collar status were assessed using unconditional (or multinomial) logistic regression models adjusted for age, gender, centre and two anthropometric indexes: wrist-palm ratio and waist-stature ratio. Odds ratios (OR) or relative risk ratio and 95% confidence intervals (95% CI) were calculated, as appropriate.Results: We included 183 cases and 445 controls. Blue-collar status was a risk factor for CTS (OR 2.4; 95% CI 1.5-3.8). Among job titles, vine and/or olive tree growers (OR 6.0; 95% CI 2.0-17.9) and food processing workers (OR 4.8; 95% CI 1.5-15.2) were at higher risk. At multinomial logistic regression analysis, blue-collar status and the two anthropometric indexes were associated with moderate/severe CTS, after mutual adjustment.Conclusions: Blue-collar workers showed a higher risk of CTS than white-collar workers, adjusting for anthropometric and body measures as well. Preventive interventions should be addressed to decrease the biomechanical overload of the upper limbs and limit the overweight.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"26-32"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring psychological impact of hand-arm vibration syndrome (HAVS).

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae138

S Bezanson, A Ruco, M Howse, D Budd, R House, M Khakpour, D L Holness

{"title":"Exploring psychological impact of hand-arm vibration syndrome (HAVS).","authors":"S Bezanson, A Ruco, M Howse, D Budd, R House, M Khakpour, D L Holness","doi":"10.1093/occmed/kqae138","DOIUrl":"10.1093/occmed/kqae138","url":null,"abstract":"Background: Hand-arm vibration syndrome (HAVS) is an occupational disease associated with long-term exposure to power tools leading to hand-transmitted vibration exposure. Prior research has focussed on physical manifestations with little known about the psychological impacts of HAVS.Aims: To examine if HAVS severity and/or functional impairment is associated with psychological outcomes.Methods: We conducted a cross-sectional study collecting data through a survey and retrospective chart review of workers being assessed for HAVS at an occupational medicine clinic. We collected information on demographics, work conditions, disease characteristics and physical and psychological outcomes as measured through validated instruments (SF-12, QuickDASH, GAD-2, PHQ-2). Descriptive statistics and bivariate analyses were followed by multivariable models to explore associations between mental health outcomes and predictor variables.Results: Participants (N = 94; 56% response rate) were male with a mean age of 48.2 years. The majority (62%) worked in the mining sector, and 27% of participants reported feeling depressed and 35% reported showing little interest in or pleasure in doing things, while 28% reported clinically significant anxiety symptoms. In multivariable models, the QuickDASH, a measure of upper-extremity function and disability, was the only significant predictor of psychological outcomes.Conclusions: Workers with HAVS have poorer mental health and physical functioning outcomes in comparison to the general population. Employers should consider tailored policies and interventions to address the mental health of workers with HAVS.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"69-72"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Pittsburgh Sleep Quality Index: a brief review. 匹兹堡睡眠质量指数：简要回顾。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae121

Gail Kinman

引用次数: 0

Correction to: P-128 SICKNESS ABSENCE DUE TO POST-TRAUMATIC STRESS DISORDER IN BRAZIL (2008-2021). 更正件：P-128 巴西因创伤后应激障碍而缺勤的情况（2008-2021 年）。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae123

引用次数: 0

Reply. 回复。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae136

Renzo Bianchi, Irvin Sam Schonfeld

引用次数: 0

Evolution of stressors for healthcare workers over the COVID-19 pandemic.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae109

F Labrèche, Q Durand-Moreau, A Adisesh, J-M Galarneau, S M Ruzycki, T Zadunayski, N Cherry

{"title":"Evolution of stressors for healthcare workers over the COVID-19 pandemic.","authors":"F Labrèche, Q Durand-Moreau, A Adisesh, J-M Galarneau, S M Ruzycki, T Zadunayski, N Cherry","doi":"10.1093/occmed/kqae109","DOIUrl":"10.1093/occmed/kqae109","url":null,"abstract":"Background: Many studies have documented exposure to psychosocial factors in healthcare workers (HCWs) during the coronavirus disease 2019 (COVID-19) pandemic. Few have done it prospectively with open-ended questions.Aims: To describe the evolution of stress factors reported by HCWs during the pandemic.Methods: A prospective cohort of 4964 HCWs (physicians, nurses, healthcare aides and personal support workers), from four Canadian provinces, received four online questionnaires between the spring 2020 and 2022. Responses to an open-ended question on stressful events were coded into 25 stressors. Multilevel logistic regressions assessed trends in stressors, and the effect of gender, occupation and age.Results: In 2020, 91% of participants reported at least one stressor compared to 51% in spring 2022. Overall, eight stressors were reported 1000 times or more among 16 786 questionnaires. Five stressors decreased over time: fear of COVID-19, problems with personal protective equipment, changing guidelines, management of difficult cases and changes to work routine. Conversely, an increasing trend was noted for volume of work, and poor behaviour from the public or colleagues. Difficulties managing patients' deaths remained steady. Changes in stressors over time were similar by gender, professional role and age group, although the reporting of some stressors varied within subgroups.Conclusions: Reporting of most stressors decreased over the pandemic, except for stressors arising from the changing demands on staff and patients as the pandemic progressed. Such changes in workplace psychosocial factors need to be addressed by prevention programmes to ensure an appropriate support response to the needs of HCWs.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"16-25"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0