Occupational Medicine-Oxford最新文献_第5页

Sinonasal intestinal-type adenocarcinoma in northern Portugal: a woodworker's occupational hazard. 葡萄牙北部的鼻窦肠型腺癌：木工的职业危害。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae085

F Teixeira-Marques, I Pacheco, L Pinheiro-Guedes, R Estêvão, N Lousan

{"title":"Sinonasal intestinal-type adenocarcinoma in northern Portugal: a woodworker's occupational hazard.","authors":"F Teixeira-Marques, I Pacheco, L Pinheiro-Guedes, R Estêvão, N Lousan","doi":"10.1093/occmed/kqae085","DOIUrl":"10.1093/occmed/kqae085","url":null,"abstract":"Background: Sinonasal carcinomas (SNC) constitute about 3% of all head and neck carcinomas, squamous cell carcinoma being the most common histologic subtype. Some geographical patterns in incidence are observed, as occupational exposure to wood dust is associated with intestinal-type adenocarcinoma (ITAC).Aims: This study aims to describe the prevalence and characteristics of sinonasal ITAC cases in a region of northern Portugal with a robust wood industry.Methods: A retrospective study of all sinonasal malignancies diagnosed over 5 years, in a tertiary hospital, primarily focused on ITAC subtypes. Data on sociodemographic and clinical variables were collected through electronic medical records and telephonic assessments.Results: Of all 33 cases, 85% were ITAC. ITAC predominantly affected males (96%) with a mean age of 66.2 years. Most patients diagnosed with sinonasal ITAC had occupational wood dust exposure (96%), particularly to hardwoods. Initial symptoms included unilateral nasal obstruction (75%) and epistaxis (71%). Despite a median time of 3 months from symptoms to consultation, 50% presented at an advanced stage, with a 29% mortality rate.Conclusions: Sinonasal ITAC is an occupational hazard of woodworkers and represents the vast majority of SNC in the region. This study advocates for targeted community interventions, emphasizing occupational safety measures and healthcare awareness to reduce morbimortality associated with this occupational cancer.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"596-600"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301171","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

A novel approach to peer support for academic researchers. 为学术研究人员提供同行支持的新方法。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae091

S Khodabakhsh, C Hoffmann, S Sauchelli, G Shi, A Mitchell

{"title":"A novel approach to peer support for academic researchers.","authors":"S Khodabakhsh, C Hoffmann, S Sauchelli, G Shi, A Mitchell","doi":"10.1093/occmed/kqae091","DOIUrl":"10.1093/occmed/kqae091","url":null,"abstract":"Background: Academic researchers experience high levels of stress, isolation and loneliness, which compromise their well-being. There is a particular need to address these issues amongst early career and postgraduate research staff. 'Spaces for Listening' is an initiative to increase active listening and provide peer support.Aims: To assess the feasibility, acceptability and potential impacts of Spaces for Listening in an academic setting.Methods: Early career and postgraduate researchers from a large university in the UK were invited to attend 'Academic Spaces for Listening' (ASfL). Five ASfL sessions (including in-person and Chinese language) were held. A mixed-methods study using online survey and in-depth interviews was conducted. Quantitative data were analysed using descriptive statistics, and qualitative data were analysed using principles of thematic analysis. The qualitative and quantitative findings were integrated at the interpretation phase.Results: A total of 25 participants attended an ASfL session, 22 of them completed the survey and 6 participants participated in semi-structured interviews. Participants were very satisfied with the session content (68%, n = 15), organization (68%, n = 15) and delivery (68%, n = 15). Four themes were identified from qualitative analysis: (i) the 'Academic Spaces for Listening' (ASfL) experience; (2) impact of ASfL; (3) potential challenges of ASfL and (4) ASfL in the future. Interpersonal connectedness was an important outcome for participants during the session. Participants showed interest in the future of ASfL.Conclusions: Implementing Spaces for Listening in an academic setting is feasible and was well received by participants. The initiative may fill a gap in the social interactions amongst academic researchers.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"601-606"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481149","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

Perceived mental health skills and competence among occupational health physicians. 职业健康医生对心理健康技能和能力的认知。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae080

M Majuri, M Malin, A Antila, R Luukkonen, M Palosaari, K Reijula

{"title":"Perceived mental health skills and competence among occupational health physicians.","authors":"M Majuri, M Malin, A Antila, R Luukkonen, M Palosaari, K Reijula","doi":"10.1093/occmed/kqae080","DOIUrl":"10.1093/occmed/kqae080","url":null,"abstract":"Background: Mental-health-based consultations in occupational health (OH) are increasing due to ongoing changes in working life.Aims: We studied the self-assessed mental health competence of trainees and trainers in OH specialist physician training.Methods: We conducted an online survey from June to August 2022. We analysed how trainees and trainers in OH assessed their own competence in mental health practice with N (%) and means (standard deviation [SD]). We analysed the underlying assumptions about competences specific to OH using an explanatory factor analysis. We applied the Kruskal-Wallis test to determine differences between trainees and trainers using the variables in the factor analysis.Results: Respondents' perceptions of mental health competence were more positive among trainers (mean 3.97, SD 0.72) than trainees (mean 3.66, SD 1.08, P = 0.2123). Based on trainee physicians' own assessments, more experience increases competence, until after 7 years, when the perceived competence seems to decrease. The trainer physicians' self-assessed mental health competence decreased over time. With factor analyses, we identified five competence factors: general mental health, workplace risks and resources, rehabilitation, promotion and prevention, and special skills. In our results, individual-level mental health competences such as work ability evaluation and to manage return-to-work processes were evaluated better than community-based proactive processes.Conclusions: Physicians in OH specialist physician training self-assessed their mental health competence better at the employee level than at the workplace level. Based on our results, we need to develop the curriculum of OH specialist physician training to meet the needs of working life in support of mental health.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"581-588"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114853","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

Former jean sandblasters die younger. 前牛仔裤喷砂工死得更早。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae092

A Aksakal, C Daharlı, B N Topal, B Kerget, K Kaşali, M Akgün

{"title":"Former jean sandblasters die younger.","authors":"A Aksakal, C Daharlı, B N Topal, B Kerget, K Kaşali, M Akgün","doi":"10.1093/occmed/kqae092","DOIUrl":"10.1093/occmed/kqae092","url":null,"abstract":"Background: Silicosis remains a critical public and occupational health issue, exacerbated by its expansion into non-traditional industries and resulting in significant global morbidity and mortality.Aims: This study aims to investigate the death rates associated with silicosis from jean sandblasting by comparing the results of diagnosed individuals to those of the general population.Methods: Conducted from 2008 to 2023 in Taşlıçay and Toklular villages, Bingöl City, Turkey, this retrospective cohort study analysed mortality among 220 diagnosed males versus 2851 undiagnosed residents. Data were derived from the Cohort database and validated with the Bingöl Provincial Health Directorate and the Turkish Statistical Institute. Statistical analysis involved univariate comparisons and survival analysis, utilizing the Mann-Whitney U-test, Kruskal-Wallis test and Cox proportional hazards model, with significance set at P < 0.05.Results: The analysis revealed a silicosis mortality rate of 10% in diagnosed individuals over 15 years, notably higher than the 4% in the general population. Higher radiological profusions and younger ages at diagnosis were significant mortality factors. A radiological profusion above five notably increased the mortality risk by 1.37 times, with age and radiological density proving critical in survival rates.Conclusions: This research highlights the increased mortality risk in silicosis patients, particularly among former jean sandblasters, underscoring the significant effects of radiological density and early age exposure on mortality, thereby addressing a crucial gap in understanding the impact of silicosis on life expectancy and community health.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"607-611"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481152","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

Correction to: O-105 how healthy is your workplace? occupational health programs in german companies - creation and validation of effective measures. 更正为O-105 您的工作场所健康状况如何？德国企业的职业健康计划 - 有效措施的制定和验证。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae087

引用次数: 0

Correction to: "Sleep problems among Chinese clinical nurses working in general hospitals". 更正："在综合医院工作的中国临床护士的睡眠问题"。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae066

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 : 2024-11-28 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":"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":" ","pages":"571-580"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604124/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coronavirus pandemic derived demands and inclusive leadership on junior doctors' well-being. 冠状病毒大流行对初级医生福利的衍生需求和包容性领导。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae081

Y K Lin, B Y-J Lin

{"title":"Coronavirus pandemic derived demands and inclusive leadership on junior doctors' well-being.","authors":"Y K Lin, B Y-J Lin","doi":"10.1093/occmed/kqae081","DOIUrl":"10.1093/occmed/kqae081","url":null,"abstract":"Background: International studies have revealed that numerous challenges (e.g. job demands) and opportunities (e.g. job resources as protective factors) affect the well-being of healthcare workers.Aims: Building on the job demands-resources theory, we explored how job-related demands and the role of inclusive leadership as a job resource influenced the well-being of junior doctors during the coronavirus disease 2019 (COVID-19) pandemic.Methods: A cross-sectional web survey was conducted in July 2022 for 82 junior doctors who had experienced the 3-year COVID-19 pandemic. The survey captured their perceived physical, psychological and COVID-19-related job demands and the inclusive leadership behaviours exhibited by their clinical unit supervisors as job resources. Data were also collected on junior doctors' experiences of burnout, compassion satisfaction and occupational commitment as variables of job outcomes. Hierarchical linear regression analysis was applied to explore the relationships between the variables.Results: Physical and COVID-19-related job demands were associated with increased burnout among junior doctors. Inclusive leadership as a job resource was associated with junior doctors' reduced burnout and increased compassion satisfaction and buffered the negative effects of psychological demands on their compassion satisfaction. Only COVID-19-related job demands were associated with junior doctors' occupational commitment.Conclusions: Our study highlights the critical effects of COVID-19-related job demands on junior doctors' burnout and occupational commitment. Inclusive leadership behaviours exhibited by clinical unit supervisors are a valuable job resource, which can be incorporated as one of the competencies training for medical staff.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"589-595"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301169","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

Long working hours and cardiovascular diseases, time for preventive action. 长时间工作与心血管疾病，是时候采取预防措施了。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-28 DOI: 10.1093/occmed/kqae078

Alexis Descatha, Paul Landsbergis, Jian Li, Grace Sembajwe, Marc Fadel

引用次数: 0

Fostering inclusion in medical training: accommodations for hearing loss. 促进医学培训的包容性：听力损失的适应性。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-11-27 DOI: 10.1093/occmed/kqae094

M Belingheri, M A Riva, S Brambilla, M E Paladino

引用次数: 0