Occupational Medicine-Oxford最新文献_第2页

Clinical and socioeconomic factors predicting return-to-work times after cholecystectomy. 预测胆囊切除术后重返工作岗位时间的临床和社会经济因素。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI: 10.1093/occmed/kqae074

M-C Li, S-Y Wu, Y-H Chao, B-C Shia

{"title":"Clinical and socioeconomic factors predicting return-to-work times after cholecystectomy.","authors":"M-C Li, S-Y Wu, Y-H Chao, B-C Shia","doi":"10.1093/occmed/kqae074","DOIUrl":"10.1093/occmed/kqae074","url":null,"abstract":"Background: Cholecystectomy, a type of surgery commonly performed globally, has possible mutual effects on the socioeconomic conditions of different countries due to various postoperative recovery times.Aims: This study evaluated the medical and socioeconomic factors affecting delayed return-to-work (RTW) time after elective cholecystectomy.Methods: This retrospective study analysed patients who underwent elective cholecystectomy for benign gallbladder diseases from January 2022 to April 2023. The patients' medical and socioeconomic data were collected to investigate the clinical and socioeconomic factors correlated with RTW time of >30 days after surgery.Results: This study included 180 consecutive patients. Significant correlations were found between delayed RTW time (>30 days) and age (odds ratio [OR]: 1.059, 95% confidence interval [CI] 1.008-1.113, P = 0.024), lack of medical insurance (OR: 2.935, 95% CI 1.189-7.249, P = 0.02) and high-intensity labour jobs (OR: 3.649, 95% CI 1.495-8.909, P = 0.004). Patients without medical insurance (26.6 versus 18.9 days) and those with high-intensity labour jobs (23.9 versus 18.8 days) had a higher mean RTW time than those with insurance and a less-intense labour job (P < 0.001).Conclusions: After cholecystectomy, older age, lack of medical insurance and high-intensity labour job were correlated with a delayed RTW time. Informing patients about their expected RTW time after surgery can help reduce costs.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037770","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

Pain, inconvenience and blame: defining work-related injuries in the veterinary workplace. 疼痛、不便和指责：界定兽医工作场所中的工伤。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI: 10.1093/occmed/kqae068

T Furtado, M Whiting, I Schofield, R Jackson, J S P Tulloch

{"title":"Pain, inconvenience and blame: defining work-related injuries in the veterinary workplace.","authors":"T Furtado, M Whiting, I Schofield, R Jackson, J S P Tulloch","doi":"10.1093/occmed/kqae068","DOIUrl":"10.1093/occmed/kqae068","url":null,"abstract":"Background: The veterinary workplace carries a high risk of staff accidents and injuries, yet there is scant research exploring it in comparison with other comparable fields, such as human medicine.Aims: To understand how veterinary professionals define injuries and to understand what injuries they do, or do not, deem reportable.Methods: A cross-sectional survey comprising demographic questions and open-text questions was shared with veterinary practice staff across the UK. Data were analysed descriptively and using an inductive content analysis.Results: There were 740 respondents, who were broadly representative of the veterinary profession. There were differences in how injuries were defined; for example, small animal veterinarians expected injuries to involve blood, while equine and production animal veterinarians were more likely to expect injuries to reduce their ability to perform work and require medical treatment. Many suggested that 'all' workplace injuries should be reported; however, 'minor' injuries were often overlooked, for example, needlestick injuries did not always meet the criteria of being an 'injury'. Injuries caused by staff themselves (e.g. trips) were less likely to be reported than injuries that could be blamed on an external factor (e.g. dog bite).Conclusions: Collectively, the data suggest a wide-ranging perception of risk of injury in practice, with some harms seen as 'everyday norms'. Veterinary practices should interpret their injury statistics with a high degree of caution. They should explore the microcultures within their practices relating to worker perception of risk, injury and barriers to reporting.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918118","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

Healthcare professionals as domestic abuse survivors: workplace impact and support-seeking. 作为家庭虐待幸存者的医疗保健专业人员：工作场所的影响和寻求支持。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI: 10.1093/occmed/kqae070

Sandi Dheensa, Janine Doughty, Alison Gregory

{"title":"Healthcare professionals as domestic abuse survivors: workplace impact and support-seeking.","authors":"Sandi Dheensa, Janine Doughty, Alison Gregory","doi":"10.1093/occmed/kqae070","DOIUrl":"10.1093/occmed/kqae070","url":null,"abstract":"Background: Healthcare professionals (HCPs) are expected to identify and respond to domestic abuse (DA) among their patients. Although research suggests that a high proportion of HCPs are affected by DA, the impact of their experiences has been under-researched.Aims: To assess UK HCPs' experiences of DA and develop a broad understanding of its impact on work and HCPs' support needs.Methods: An online cross-sectional survey was promoted via multiple professional channels (October to December 2022). We adopted convenience sampling and analysed data descriptively.Results: Among the 192 HCP survivors who responded, all abuse subtypes-psychological, sexual, economic and physical-were common. Ninety per cent of abusers were male (ex)partners. Eighty-five per cent reported abusers directly interfered with their work and 92% reported their work and career were affected. Almost all reported physical and mental health consequences. Eighty-nine per cent reported their own experiences shaped their responses to patient survivors. On average, per year, HCP survivors reported they had 13 sick days, 5 days' leave, 10 days' lateness and 6 days' early departure due to DA. Only 20% reported their workplace had a staff DA policy, and over 50% were unsure what workplace support mechanisms were available. Just over half disclosed at work; concerns that others would question their fitness to practice were common. Twenty-two per cent reported aspects of work, for example, long hours, stopped them from seeking support outside work.Conclusions: HCPs face unique barriers to DA disclosure and support-seeking and may benefit from tailored support from specialists who understand both DA and the healthcare context.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019520","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

Economic inactivity and mental-physical multimorbidity. 经济不活跃与精神-身体多病。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI: 10.1093/occmed/kqae010

Max Henderson, Adam Martin, Damien McElvenny, Sam Relton, Sharon Stevelink

引用次数: 0

Fatal occupational injuries in fishing, farming and forestry 2010-2015. 2010-2015 年渔业、农业和林业致命工伤事故。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI: 10.1093/occmed/kqae073

M Nazarihaghighipashaki, B E Moen, M Bråtveit

{"title":"Fatal occupational injuries in fishing, farming and forestry 2010-2015.","authors":"M Nazarihaghighipashaki, B E Moen, M Bråtveit","doi":"10.1093/occmed/kqae073","DOIUrl":"10.1093/occmed/kqae073","url":null,"abstract":"Background: Every year, 2.3 million people worldwide succumb to work-related accidents and illnesses. The primary industries have long been acknowledged with elevated accident risks. Recent levels and trends of injury and associated fatalities in these sectors are uncertain. An enhanced understanding of these risks in these industries is required for effective injury prevention in the future.Aims: This study aimed to describe registered fatalities in the primary industries worldwide, exploring potential disparities between countries and identifying trends in injury rates.Methods: Data were obtained on fatal occupational injuries per 100,000 workers in farming, fishing and forestry for the years 2010-2015 from the International Labour Organization ILO-STAT database. Descriptive statistics and mixed-model regression analyses were conducted. Fatal occupational injuries in upper- and middle-income countries were compared.Results: The study incorporated data from 32 countries: 21 from Europe. America had the highest mean occupational fatality injury rate (76.9). The highest recorded rates for individual countries occurred in Colombia in 2014 (265.2) and Lithuania in 2015 (75.0), and the lowest in Greece in 2012 (0.2). Significant variation in injury rates was evident among the countries. There was no trend in the incidence of fatal injuries from 2010 to 2015, neither for all countries, nor Europe. Middle-income countries had higher occupational fatality injury rate than upper-income countries.Conclusions: The occupational fatality injury rate exhibited considerable variation, ranging from 0.9 to 265.2, and the injury rate was lowest in upper-income countries. There was no trend in the figures 2010-2015.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005955","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

Fertility and pregnancy complications in female orthopaedic surgeons. 骨科女医生的生育和妊娠并发症。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-23 DOI: 10.1093/occmed/kqae044

T Frenkel Rutenberg, E Daglan, N Shadmi, S D Iordache, Y Kosashvili, S Eylon

{"title":"Fertility and pregnancy complications in female orthopaedic surgeons.","authors":"T Frenkel Rutenberg, E Daglan, N Shadmi, S D Iordache, Y Kosashvili, S Eylon","doi":"10.1093/occmed/kqae044","DOIUrl":"10.1093/occmed/kqae044","url":null,"abstract":"Background: While the number of female medical graduates continues to increase, only a few pursue an orthopaedic career. This is related to challenges regarding pregnancy and the peripartum period during orthopaedic training.Aims: To evaluate fertility, pregnancy-related complications and attitudes towards female orthopaedic surgeons in Israel.Methods: An electronic anonymous 34-question electronic web-based survey was sent to all Israeli female orthopaedic surgeons. Participation was voluntary. Questions were formulated to determine demographics, obstetrics medical history, teratogenic exposure, medical leave and breastfeeding parameters along with attitude towards pregnancy.Results: Twenty-six orthopaedic surgeons complied with the survey, 68% of all registered female orthopaedic surgeons. Participants age was 39.5 (±8.8). The average number of children for a female orthopaedic surgeon was 2.2 (±1.4), with an average of 1.3 (±1.1) deliveries during residency. The average age for a first child was 31.1 (±3.7) years. Four surgeons required fertility treatments and six had abortions. Thirty-eight per cent experienced pregnancy complications. Most surgeons were exposed to radiation and bone cement during pregnancy. The average duration of maternity leave was 19.4 (±9.9) weeks and return to work was associated with cessation of breastfeeding. Seventy-six per cent of surgeons felt that pregnancy had negatively influenced their training, and 12% reported negative attitudes from colleagues and supervisors.Conclusions: Orthopaedic surgeons in Israel experience a delay in childbirth and higher rates of pregnancy complications. Most feel that their training is harmed by pregnancy. Programme directors should design a personalized support programme for female surgeons during pregnancy and the peripartum period.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082311","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

Burnout: half a century of controversy. 职业倦怠：半个世纪的争议。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-23 DOI: 10.1093/occmed/kqae052

R Bianchi, I S Schonfeld

引用次数: 0

Night shift work and myocardial infarction in the UK Biobank. 英国生物数据库中的夜班工作与心肌梗塞。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-23 DOI: 10.1093/occmed/kqae045

M J Yang, Z W Jia, E Wang, J C Li, A M Tang, Z B Song, Z Zhang

{"title":"Night shift work and myocardial infarction in the UK Biobank.","authors":"M J Yang, Z W Jia, E Wang, J C Li, A M Tang, Z B Song, Z Zhang","doi":"10.1093/occmed/kqae045","DOIUrl":"10.1093/occmed/kqae045","url":null,"abstract":"Background: Shift work has become popular along with adverse effects such as disrupted biological rhythms, metabolic changes, sleep disorders and myocardial infarction. Studies have shown a link between myocardial infarction and shift work, but evidence is still lacking.Aims: We aim to explore the association between present and past shift work and risk of myocardial infarction in a large population of European workers.Methods: We analysed data from the UK Biobank with >500 000 participants and an average 12-year follow-up duration. Cox proportional hazard models were employed to analyse the relationship between present shift work (n = 265 064), lifetime duration or frequency of shift work (n = 71 428) and the risk of myocardial infarction, as well as the association between rest day during shift work and myocardial infarction incidents in night shift workers (n = 14 588).Results: Night shift workers had a higher risk of myocardial infarction compared to day workers, including 'shift but never/rarely night shifts' (hazard ratio [HR] = 1.09, 95% confidence interval [CI] 1.00-1.20), 'some night shifts' (HR = 1.13, 95% CI 1.01-1.27) and 'usual/permanent night shifts' (HR = 1.21, 95% CI 1.07-1.37), respectively. Similarly, higher frequency and longer duration of night shift work were associated with the increased risk of myocardial infarction (<10 years: HR = 1.20, 95% CI 1.01-1.42; ≥10 years: HR = 1.51, 95% CI 1.28-1.77; or an average of more than eight nights per month: HR = 1.45, 95% CI 1.23-1.71). However, longer rest days couldn't decrease myocardial infarction risk compared to those who rest 1 day.Conclusions: Present and lifetime exposure to night shifts were associated with a risk of myocardial infarction and did not benefit from longer rest days.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472662","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

Trends in occupational respiratory conditions with short latency in the UK. 英国潜伏期较短的职业性呼吸道疾病的发展趋势。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-23 DOI: 10.1093/occmed/kqae057

A Barradas, I Iskandar, M Carder, M Gittins, D Fishwick, M Seed, M van Tongeren

{"title":"Trends in occupational respiratory conditions with short latency in the UK.","authors":"A Barradas, I Iskandar, M Carder, M Gittins, D Fishwick, M Seed, M van Tongeren","doi":"10.1093/occmed/kqae057","DOIUrl":"10.1093/occmed/kqae057","url":null,"abstract":"Background: Occupational short-latency respiratory disease (SLRD; predominantly asthma, rhinitis, hypersensitivity pneumonitis, and occupational infections) prevalence is difficult to determine but certain occupations may be associated with increased susceptibility.Aims: This study aimed to examine which occupations and industries are currently at high risk for SLRD and determine their respective suspected causal agents.Methods: SLRD cases reported to the SWORD scheme between 1999 and 2019 were analysed to determine directly standardized rate ratios (SRR) by occupation against the average rate for all other occupations combined.Results: 'Bakers and flour confectioners' and 'vehicle spray painters' showed significantly raised SRR for SLRD in general, mostly due to occupational rhinitis (234.4; 95% CI 200.5-274.0) and asthma (63.5; 95% CI 51.5-78.3), respectively. Laboratory technicians also showed significantly raised SRR for occupational rhinitis (18.7; 95% CI 15.1-23.1), primarily caused by laboratory animals and insects. Metal machining setters and setter-operators showed increased SRR for occupational hypersensitivity pneumonitis (42.0; 95% CI 29.3-60.3), largely due to cutting/soluble oils. The occupation mostly affected by infectious disease was welding trades (12.9; 95% CI 5.7-29.3), mainly attributable to microbial pathogenicity.Conclusions: This study identified the occupational groups at increased risk of developing an SLRD based on data recorded over a recent two-decade period in the UK. Occupational asthma and rhinitis were identified as the prevailing conditions and hypersensitivity pneumonitis as a potentially rising respiratory problem in the metalworking industry.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009904","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

COVID-19-induced changes in the workplace, psychosocial work environment and employee well-being: a longitudinal study. COVID-19 引发的工作场所、社会心理工作环境和员工幸福感的变化：一项纵向研究。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-09-23 DOI: 10.1093/occmed/kqae079

J Kausto, J Airaksinen, T Oksanen, J Vahtera, M Kivimäki, J Ervasti

{"title":"COVID-19-induced changes in the workplace, psychosocial work environment and employee well-being: a longitudinal study.","authors":"J Kausto, J Airaksinen, T Oksanen, J Vahtera, M Kivimäki, J Ervasti","doi":"10.1093/occmed/kqae079","DOIUrl":"https://doi.org/10.1093/occmed/kqae079","url":null,"abstract":"Background: In many workplaces, the coronavirus disease 2019 pandemic changed work arrangements, but there is scarce longitudinal evidence on whether psychosocial work environment and employee well-being were affected.Aims: To examine the psychosocial work environment and employee well-being before, during and after the pandemic in relation to pandemic-induced changes (working from home, change to other tasks and team reorganization).Methods: Survey data from a cohort of 20 944 public sector employees in Finland were collected before (2016-2018), during (2020) and after the pandemic (2022). Multilevel linear and logistic regression was used to examine group differences between the before-during and during-after periods of the pandemic.Results: Working from home was associated with a small but favourable change in worktime control, organizational justice and social capital (scale 1-5) during the pandemic and after the pandemic (marginal mean difference ranging from 0.02 to 0.09 with 95% confidence intervals [CIs] from 0.01 to 0.10). There was a post-pandemic increase in work time control, even among participants with a transfer into other tasks (0.11, 95% CI 0.07, 0.14) or team reorganization (0.06, 95% CI 0.02, 0.10). The decline in self-rated work ability (scale 0-10) before and during the pandemic was greater in those transferred into other tasks (-0.10, 95% CI -0.13, -0.06) than in those not (-0.05, 95% CI -0.06, -0.04).Conclusions: Working from home during the pandemic was accompanied by small favourable changes in the psychosocial work environment during the pandemic, whereas transition to different tasks was associated with a decline in self-rated work ability.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309068","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