Abimbola Ojo, Dhimiter Bello, Karyn Heavner, Kurt Lucas, Anila Bello
{"title":"Self-reported Symptoms Associated With the Use of Printer and Photocopier Machines: Results From the Nano-Control, International Foundation Survey.","authors":"Abimbola Ojo, Dhimiter Bello, Karyn Heavner, Kurt Lucas, Anila Bello","doi":"10.1097/JOM.0000000000003197","DOIUrl":"10.1097/JOM.0000000000003197","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to document adverse health effects among office, copy, and print shop workers using the Nano-Control, International Foundation Survey.</p><p><strong>Methods: </strong>Self-reported information on 16 health outcomes and three surrogate exposure variables were collected from 1998 individuals between 1999 and 2010. Logistic regression models, adjusted for age, gender, and smoking status, assessed the association between printer exposure and health symptoms.</p><p><strong>Results: </strong>Among the participants, 61.9% were office workers, 5.5% were technicians, and 23.3% held other professions. Technicians had a higher risk for cancer compared to office workers (odds ratio [OR], 2.5; P < 0.01). Visible toner dust exposure was associated with chronic fatigue (OR, 9.6; P < 0.01), bronchial hyperresponsiveness (OR, 5.1; P < 0.01), cardiovascular diseases (OR, 3.6; P < 0.01), asthma, allergies, and other diseases (OR range, 1.4-3.2; P < 0.01).</p><p><strong>Conclusions: </strong>The increased chronic and acute health risks among these workers warrant further investigations of causal associations.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879989","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}
{"title":"Organizational and Individual Contributing Factors to Safety Climate in Healthcare Industries-Bayesian Network Predictive Modeling Approach.","authors":"Yimin He, Jin Lee, Yueng-Hsiang Huang, Changya Hu","doi":"10.1097/JOM.0000000000003208","DOIUrl":"10.1097/JOM.0000000000003208","url":null,"abstract":"<p><strong>Objectives: </strong>The current study aims to identify individual and joint drivers that significantly influence the safety climate in healthcare industries by using Bayesian network (BN) simulations for an in-depth analysis.</p><p><strong>Methods: </strong>Survey data were collected from 452 employees from two branches of one hospital in China for a study about workplace safety. The original English surveys were translated into Chinese using the back-translation procedure recommended by Brislin. Employees were asked to complete two online surveys with 1 month in between each administration. The sample was 42% doctors and 58% nurses. A BN model, based on theory, was updated and complemented with expert knowledge. A graphical model based on expert knowledge and data-driven machine learning approaches was used to refine the BN structure, representing interrelationships among all studied variables. The BN model was employed to identify the best key drivers and joint strategies for safety climate improvement.</p><p><strong>Results: </strong>The BN model demonstrated a good overall fit. The Euclidean distance metric was used to assess the influence between connected variables, with interpersonal trust and locus of control having the strongest independent effects on safety climate among the five contributing factors. Joint strategies, particularly joint optimization of error disclosure culture and interpersonal trust, as well as error disclosure culture and self-efficacy, were most effective in promoting a safe climate.</p><p><strong>Conclusions: </strong>The findings suggest that hospital safety climate can be improved by providing a psychologically safe error disclosure culture and enhancing interpersonal trust among employees and their self-efficacy.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989850","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}
Maxine Krengel, Kimberly Sullivan, Clara G Zundel, Dylan Keating, Leah Orlinsky, William Bradford, Callie Stone, Terri-Ann Thompson, Timothy Heeren, Roberta F White
{"title":"Toxicant Exposures and Health Symptoms in Military Pesticide Applicators From the 1991 Gulf War.","authors":"Maxine Krengel, Kimberly Sullivan, Clara G Zundel, Dylan Keating, Leah Orlinsky, William Bradford, Callie Stone, Terri-Ann Thompson, Timothy Heeren, Roberta F White","doi":"10.1097/JOM.0000000000003215","DOIUrl":"10.1097/JOM.0000000000003215","url":null,"abstract":"<p><strong>Objective: </strong>The chronic impact of acetylcholinesterase inhibitors and other toxicants on Gulf War (GW) veterans' health symptoms is unclear.</p><p><strong>Methods: </strong>Building on reports of adverse neuropsychological outcomes in GW pesticide applicators exposed to pesticides and pyridostigmine bromide, we now report on health symptoms in this group.</p><p><strong>Results: </strong>In adjusted analyses, applicators with high exposures/impact to pesticides reported significantly more symptoms (18/34 symptoms) than applicators with lower exposures/impact and were more likely to meet modified Kansas and CDC Gulf War Illness criteria. The high pyridostigmine bromide exposure/impact group was 3 times more likely to report irregular heart rates. With regard to specific pesticide types, fly baits, pest strips, and delousers were the most associated with increased health symptom reporting.</p><p><strong>Conclusions: </strong>These results suggest that GW veterans with high acetylcholinesterase inhibitor and organochlorine exposures are most at risk for chronic health symptoms.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074907","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}
Xuemei Xu, Peini Lu, Xingxi Luo, Gangjie Wei, Xuanqian Huang, Fangfang Lv, Caimei Mo, Lidi Lei, Dongping Huang, Li Su, Xiaoyun Zeng, Xiaoqiang Qiu, Shun Liu
{"title":"Association Between Urinary Rare Earth Element Levels and Metabolic Syndrome: A Cross-sectional Study in the Minority Population of Guangxi in China.","authors":"Xuemei Xu, Peini Lu, Xingxi Luo, Gangjie Wei, Xuanqian Huang, Fangfang Lv, Caimei Mo, Lidi Lei, Dongping Huang, Li Su, Xiaoyun Zeng, Xiaoqiang Qiu, Shun Liu","doi":"10.1097/JOM.0000000000003217","DOIUrl":"10.1097/JOM.0000000000003217","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association between rare earth elements (REEs) and metabolic syndrome (MetS).</p><p><strong>Methods: </strong>We used a cross-sectional design based on the baseline data of the Prospective Cohort Study of Chronic Diseases in Ethnic Minority Natural Population in Guangxi in China. Logistic regression and BKMR models were employed to evaluate the association between REEs and risk of MetS.</p><p><strong>Results: </strong>Although REEs were not significantly associated with MetS, certain elements such as La, Pr, and Nd were negatively associated with abdominal obesity, whereas Ce, Pr, Nd, and Dy were positively associated with hypertension. BKMR models suggested a U-shaped relationship between mixed REEs and MetS, with varying effects on abdominal obesity and high blood pressure.</p><p><strong>Conclusions: </strong>This study suggests that exposure to REEs may be associated with a reduced risk of abdominal obesity and an increased risk of high blood pressure.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134937","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}
Louis E Fazen, Bill E Martin, Marcia Isakari, Michele Kowalski-McGraw, Robert K McLellan, Raj Ahsan, Manijeh Berenji
{"title":"Occupational Electronic Health Records: Recommendations for the Design and Implementation of Information Systems in Occupational and Environmental Medicine Practice-ACOEM Guidance Statement.","authors":"Louis E Fazen, Bill E Martin, Marcia Isakari, Michele Kowalski-McGraw, Robert K McLellan, Raj Ahsan, Manijeh Berenji","doi":"10.1097/JOM.0000000000003236","DOIUrl":"10.1097/JOM.0000000000003236","url":null,"abstract":"<p><strong>Objective: </strong>Occupational and environmental medicine (OEM) clinicians require specialized electronic health records (EHRs) to address the privacy, data governance, interoperability, and medical surveillance concerns that are specific to occupational health.</p><p><strong>Methods: </strong>The American College of Occupational and Environmental Medicine (ACOEM) Section of Health Informatics evaluated clinical workflow concerns, assessed health information requirements, and developed informatics recommendations through iterative consultation with ACOEM members.</p><p><strong>Results: </strong>The ACOEM presents 10 recommendations that specialized occupational EHR systems (OEHRs) should meet to serve the information needs and practice requirements of OEM clinicians. Common challenges in OEM practice and potential informatics solutions are used to illustrate each recommendation.</p><p><strong>Conclusions: </strong>The recommendations serve as a framework for occupational health clinicians to consider in their adoption of OEHRs and provide software engineers a set of requirements to facilitate the development and improvement of OEHRs.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396416","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}
Luis Reinoso-Barbero, Antonella Gieco, Adriana López-Ríos, Jose Luis Rodríguez-Díaz, Laura Gómez-Paredes, Juan Muñoz-Gutiérrez, Cristina Pérez-Herreras, Félix Gómez-Gallego
{"title":"Teleworking for Medical Reasons: Evidence From a Spanish Multinational Company.","authors":"Luis Reinoso-Barbero, Antonella Gieco, Adriana López-Ríos, Jose Luis Rodríguez-Díaz, Laura Gómez-Paredes, Juan Muñoz-Gutiérrez, Cristina Pérez-Herreras, Félix Gómez-Gallego","doi":"10.1097/JOM.0000000000003219","DOIUrl":"10.1097/JOM.0000000000003219","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study is to describe the most common medical grounds for requesting or extending teleworking and to examine which requests are typically approved. This study also investigates whether there is a correlation with gender, age, or job location.</p><p><strong>Methods: </strong>A prevalence study of 33,190 Spanish employees found that, last year, 106 teleworking requests were addressed exclusively for medical reasons.</p><p><strong>Results: </strong>The most frequent cause was musculoskeletal issues (30%). Of all the requests, 58% were denied; 33% were temporarily approved, primarily for musculoskeletal reasons ( P < 0.05); and 8% were indefinitely approved. Requests were predominantly made by women ( P < 0.05). Indefinite approvals were more prevalent among male employees ( P < 0.05).</p><p><strong>Conclusions: </strong>Musculoskeletal reasons were the primary cause for teleworking applications and for the temporary granting of teleworking. Teleworking appears to be associated with gender and job location.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086431","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}
Luay M Mohammad, Manoochehr Karami, Yadollah Mehrabi, Seyed Saeed Hashemi Nazari, Somayeh Farhang Dehghan, Hasan A Baiee, Mohammed Rafiee
{"title":"Investigating Blood Lead Levels and Its Health Effects on Employees of a Petroleum Industry and the Surrounding Residents: A Case Study of Kirkuk City, Iraq.","authors":"Luay M Mohammad, Manoochehr Karami, Yadollah Mehrabi, Seyed Saeed Hashemi Nazari, Somayeh Farhang Dehghan, Hasan A Baiee, Mohammed Rafiee","doi":"10.1097/JOM.0000000000003199","DOIUrl":"10.1097/JOM.0000000000003199","url":null,"abstract":"<p><strong>Objective: </strong>This study has been aimed to investigate factors associated with elevated blood lead levels (BLLs) across different percentiles in individuals employed in the petroleum industry and residents of Kirkuk City . In addition, to provide evidence-based approaches to mitigate exposure risks and safeguard vulnerable populations.</p><p><strong>Methods: </strong>The study involved 357 participants and utilized quantile regression to examine BLL in petroleum industry workers and Kirkuk residents.</p><p><strong>Results: </strong>Median BLLs were higher among workers (17.5 μg/dL) compared to residents in the city (9.9 μg/dL) and suburbs (7.4 μg/dL). Factors such as smoking, outdoor work, and lower education were associated with elevated BLLs, as confirmed by quantile regression.</p><p><strong>Conclusions: </strong>This study found higher BLLs in petroleum workers compared to Kirkuk residents, associated with smoking, outdoor work, and lower education. The results emphasize the need for targeted interventions and policies to mitigate lead exposure risks in this industrial region.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879988","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}
Emily L Langford, Haley C Bergstrom, Sarah N Lanham, Alyssa Q Eastman, Stuart Best, Xin Ma, Mark G Abel
{"title":"Evaluation of Air Consumption Efficiency in Structural Firefighters.","authors":"Emily L Langford, Haley C Bergstrom, Sarah N Lanham, Alyssa Q Eastman, Stuart Best, Xin Ma, Mark G Abel","doi":"10.1097/JOM.0000000000003202","DOIUrl":"10.1097/JOM.0000000000003202","url":null,"abstract":"<p><strong>Objective: </strong>This study examines variability in air consumption (AC) between firefighters (FF) working at a standardized pace, evaluates the relationship between air consumption efficiency (ACE) and work economy, identifies parameters associated with ACE, and explores the relationship between ACE and self-paced work rate.</p><p><strong>Methods: </strong>FF completed randomized trials of an air consumption drill at a standardized pace while breathing through a self-contained breathing apparatus and a gas analyzer. A subsample completed another trial at a self-selected pace.</p><p><strong>Results: </strong>The average AC variability (±1 standard deviation) was ~3.1 min of cylinder usage (13.7%). AC was positively associated with work economy and numerous physiological and anthropometric outcomes. No relationship was found between ACE and self-paced air consumption drill time.</p><p><strong>Conclusions: </strong>FF working at higher internal strain demonstrated poorer ACE. Improving metabolic tolerance may extend the self-contained breathing apparatus' functional duration to enhance productivity and safety.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908733","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}
Ghada Hossam El-Din El-Sherif, Wessam Sabry Abd El-Shafy, Aiesha Ashraf Mohammed AbdEl-Samie
{"title":"Neuron-Specific Enolase as a Biological Marker for Welders' Pneumoconiosis.","authors":"Ghada Hossam El-Din El-Sherif, Wessam Sabry Abd El-Shafy, Aiesha Ashraf Mohammed AbdEl-Samie","doi":"10.1097/JOM.0000000000003201","DOIUrl":"10.1097/JOM.0000000000003201","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to investigate the relationship between serum neuron-specific enolase (NSE) and welders' pneumoconiosis, through chest x-ray and serum NSE.</p><p><strong>Methods: </strong>The exposed group included 37 welders. The nonexposed group included 38 administrative workers. Both groups underwent history taking, clinical examination, chest x-ray, serum chromium, and serum neuron-specific enolase. Air sampling was done for total suspended particles, respirable particles, and welding fumes.</p><p><strong>Results: </strong>All the air samples were within the national threshold limit values. Chest x-ray abnormalities were found in eight welders (21.6%), and included reticular opacities, scattered nodules or ground-glass opacities. Serum chromium and NSE were significantly higher among welders. Serum NSE correlated positively with the duration of exposure and serum chromium level among welders.</p><p><strong>Conclusions: </strong>Serum NSE can be used as a biomarker for early detection of welders' pneumoconiosis.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908734","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}
Liliana Tenney, Carol E Brown, Matthew Schilz, Madison Goering, Miranda Dally, Amy Dye-Robinson, Brian Williams, Lee S Newman, Cathy Bradley
{"title":"Engaging Oncology and Occupational Medicine to Inform Design of a Total Worker Health® Intervention to Address Employment, Financial, and Well-being Outcomes in Cancer Survivors.","authors":"Liliana Tenney, Carol E Brown, Matthew Schilz, Madison Goering, Miranda Dally, Amy Dye-Robinson, Brian Williams, Lee S Newman, Cathy Bradley","doi":"10.1097/JOM.0000000000003204","DOIUrl":"10.1097/JOM.0000000000003204","url":null,"abstract":"<p><strong>Objectives: </strong>Few Total Worker Health ® studies and fewer interventions examine well-being in the work context of cancer survivorship. We investigated the possibility of occupation and oncology professionals working together to address employed survivors' work-associated needs.</p><p><strong>Methods: </strong>We employed a community-based participatory research approach to examine the educational, contextual, and workflow needs of oncology care team members to inform intervention design. Focus groups were conducted with oncology care team members and occupational medicine physicians. Key themes from each group were then examined.</p><p><strong>Results: </strong>Themes included oncology care team's role in helping patients navigate resources, providing psychosocial support, and educating patients. Major themes for ways to better provide employment-related support during treatment included referring patients to employment experts and providing education on employment support.</p><p><strong>Conclusions: </strong>Occupational health professionals in collaboration with oncology clinics could play an important role in assisting cancer survivors' ability to navigate employment challenges.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989848","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}