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Journal of Occupational and Environmental Medicine

Jinhee Ahn, Taewoong Uhm, Junhee Han, KyungMi Won, Jeong Cheon Choe, Ji Yeon Shin, Jin Sup Park, Hye Won Lee, Jun-Hyok Oh, Jung Hyun Choi, Han-Cheol Lee, Kwang Soo Cha, Taek Jong Hong, Young-Hoon Kim
OBJECTIVE: We investigated seasonal variation of acute exacerbation of atrial fibrillation (AAF) and contributing environmental factors. METHODS: AAF events, meteorological elements, and air pollutants in Seoul between 2013 and 2015 were obtained from the nationwide database. AAF was defined if a patient visited the emergency room due to any AF-relevant symptoms or signs. RESULTS: AAF occurred less frequently in summer than in other seasons (6...
September 11, 2018: Journal of Occupational and Environmental Medicine
Laura E Reynolds, David J Blackley, Jay F Colinet, J Drew Potts, Eileen Storey, Connie Short, Ron Carson, Kathleen A Clark, A Scott Laney, Cara N Halldin
OBJECTIVE: To characterize workplace practices and respiratory health among coal miners with large opacities consistent with progressive massive fibrosis (PMF) who received care at a federally-funded black lung clinic network in Virginia. METHODS: Participants were interviewed about their workplace practices and respiratory health. Medical records were reviewed. RESULTS: Nineteen former coal miners were included. Miners reported cutting rock, working downwind of dust-generating equipment, non-adherence to mine ventilation plans (including dust controls), improper sampling of respirable coal mine dust exposures, working after developing respiratory illness, and suffering from debilitating respiratory symptoms...
September 5, 2018: Journal of Occupational and Environmental Medicine
Adrienne M Gilligan, Shonda A Foster, Amy Sainski-Nguyen, Robert Sedgley, David Smith, Paula Morrow
OBJECTIVE: To compare direct, indirect, and societal (direct plus indirect) costs between patients with and without migraine (controls). METHODS: Patients with migraine were identified from MarketScan claims and Health and Productivity Management databases from 01/01/2010-12/31/2013, and were propensity score matched (1:1) to controls. RESULTS: Patients with migraine (N = 26,647) were matched to controls, of which 4,323 were matched for work absence and 26,212 for short-term disability eligibility...
September 5, 2018: Journal of Occupational and Environmental Medicine
Sergio Salas-Nicás, Salvador Moncada, Clara Llorens, Albert Navarro
OBJECTIVE: The present study aims to tackle in detail the associations of insecurity with mental and self-rated health by using cognitive and affective measures of insecurity that focus on different aspects such as job loss, difficulties in finding an alternative job and worsening the working conditions. METHODS: Data comes from a representative sample of the Spanish salaried working population (n = 1807) obtained by the 2016 Psychosocial Risks Survey. RESULTS: Cognitive measures yield stronger associations between job loss and labour market insecurity and health, whereas the association between insecurity over worsening job conditions and health is stronger when using affective measures, the associations with mental health being stronger in both cases than those involving self-rated health...
September 5, 2018: Journal of Occupational and Environmental Medicine
Tamara M Schult, Eve M Nagler, Glorian Sorenson, Jennifer L Sullivan, Nancy Gendreau, Ryan G Seibert, David C Mohr
OBJECTIVE: Focus groups were conducted at one VA medical center to understand (1) how the work environment and conditions of work influence employee safety, health, and well-being; (2) what programs, policies, and practices promote and protect employee safety and health in VA; and (3) how employee safety, health, and well-being impacts the organizational mission. METHODS: Nine focus groups were conducted with leadership, supervisor, and front-line employees. Focus groups were audio recorded, transcribed, and content analysis was performed...
September 5, 2018: Journal of Occupational and Environmental Medicine
Emily Schlicht, Ronald Caruso, Kelsey Denby, Alexs Matias, Monique Dudar, Stephen J Ives
OBJECTIVE: To determine the effects of wrist cooling on recovery from exercise-induced heat stress (EIHS) from wearing firefighting personal protective equipment (PPE) and self-contained breathing apparatus. METHODS: Using a single-blind, counterbalanced, crossover-design, in 11 healthy males, we measured heart rate (HR), HR variability (HRV), core temperature (TCore), thermal strain (TS) and fatigue at rest, during 30-min of exercise in PPE+SCBA, and during recovery while wearing a wrist cooling band (control[off] vs...
September 4, 2018: Journal of Occupational and Environmental Medicine
Bridget Peters, Christopher Ballmann, Tiffany Quindry, Emily G Zehner, Justin McCroskey, Matthew Ferguson, Tony Ward, Charles Dumke, John C Quindry
OBJECTIVES: The current laboratory study quantified blood oxidative stress to woodsmoke exposure. METHODS: Participants inhaled woodsmoke during three randomized crossover exercise trials (Clean Air [0 μg/m], Low Exposure [250 μg/m], and High Exposure [500 μg/m], Woodsmoke [particulate matter less than 2.5 μm, PM2.5]). Trolox equivalent antioxidant capacity (TEAC), uric acid (UA), 8-isoprostanes (8-ISO), lipid hydroperoxides (LOOH), protein carbonyls (PC), nitrotyrosine (3-NT), 8-isoprostane, and myeloperoxidase (MPO) were quantified in Pre, immediately Post, and 1- (1Hr) hour post blood samples...
September 4, 2018: Journal of Occupational and Environmental Medicine
Kimberly Gottesman, Shristi Rawal, James Scott Parrott, Laura D Byham-Gray, Riva Touger-Decker, Diane Rigassio Radler
OBJECTIVE: Associations between changes in physical activity (PA) and cardiometabolic risk factors among women with overweight/obesity enrolled in a university-based worksite wellness program (WWP) were examined. METHODS: Data from 173 women who completed a 26-week WWP were analyzed retrospectively. Participants completed diet and PA assessments and received client-centered diet/lifestyle counseling at baseline, and 12 and 26-weeks thereafter. Anthropometrics, blood pressure and total cholesterol were measured; PA was self-reported using the International Physical Activity Questionnaire-short form at each visit...
September 4, 2018: Journal of Occupational and Environmental Medicine
Sarah Hales, Tonya Turner, David Sword, Laura Nance, Joshua D Brown, Patrick M O'Neil
OBJECTIVE: To assess weight loss outcomes among participants (N = 1,090) of a weight management program across multiple worksites (N = 10) in a retrospective analysis. METHODS: Weekly classes focused on diet, exercise and behavior change. One employer provided incentives for weight loss and two incentivized weight loss and class attendance. RESULTS: Mean weight loss (N = 1,090; 79.3% female) was -2.9% (SD = 3.0%). Average number of classes attended was 6...
September 4, 2018: Journal of Occupational and Environmental Medicine
David C Tabano, Melissa L Anderson, Debra P Ritzwoller, Arne Beck, Nikki Carroll, Paul A Fishman, David C Grossman
OBJECTIVE: We assessed the relationship between diabetes mellitus (DM) and measures of worker productivity, direct health care costs, and costs associated with lost productivity among health care industry workers across two integrated healthcare systems. METHODS: We used data from the Value Based Benefit Design Health and Wellness Study Phase II (VBD), a prospective study of employees surveyed across health systems. Survey and healthcare utilization data were linked to estimate lost productivity (LP) and healthcare utilization costs...
September 4, 2018: Journal of Occupational and Environmental Medicine
Karen B Kent, Ron Z Goetzel, Enid Chung Roemer, Katherine McCleary, Rachel M Henke, Michael A Head, Raymond Fabius
OBJECTIVE: To develop tools that quantify employers' investment in building cultures of health (COH) - inside and outside company walls. METHODS: Two COH instruments were developed through literature reviews and expert consultation. The first focused on internal culture of health (COH-INT); i.e., programs, policies and attributes of the physical and social environments that support employees' health and well-being. The second focused on external culture of health (COH-EXT); i...
September 4, 2018: Journal of Occupational and Environmental Medicine
Thiffya Arabi Kugathasan, François Lecot, Marie-Eve Mathieu
No abstract text is available yet for this article.
August 21, 2018: Journal of Occupational and Environmental Medicine
Beate Muschalla
BACKGROUND: Mental work-ability decisions must be based on information on person's symptom load, cognitive performance and workplace conditions. This investigation explores in which way these factors contribute to work ability in persons with common mental disorders CMD). METHODS: 1570 CMD-patients underwent multimodal medical diagnostic. Participants filled in questionnaires on work-phobic-anxiety and general mental symptom load. They were also investigated concerning their cognitive performance...
August 17, 2018: Journal of Occupational and Environmental Medicine
Kanami Tsuno, Ichiro Kawachi, Norito Kawakami, Kazuhisa Miyashita
OBJECTIVE: We sought to investigate the contextual effect of workplace bullying on subsequent individual psychological distress and intention to leave. METHODS: A longitudinal study was conducted among 3,142 Japanese employees in the public sector. Both the baseline and follow-up questionnaires inquired about demographic and occupational characteristics, workplace bullying, psychological distress, and intention to leave. RESULTS: The results of three-level (individual-division-department) multilevel analyses revealed that division-level workplace bullying was associated with increased individual-level psychological distress after adjustment for individual experience of workplace bullying, while the association between individual experience of bullying and psychological distress was not statistically significant in the same model...
August 17, 2018: Journal of Occupational and Environmental Medicine
Robert Doxey, Matt S Thiese, Kurt T Hegmann
OBJECTIVE: Accurate and reliable shoulder tendinopathy exam maneuvers are essential for diagnosing and treating shoulder pain; however, studies have reported varying results as to the accuracy of common maneuvers. Thus, data from a large, cross-sectional study were used to systematically quantify the reliability and accuracy of clinical diagnostic tests. METHODS: Baseline data from the WISTAH cohort study were used to evaluate inter-tester reliability and accuracy of common provocative shoulder exam tests compared to a case definition of shoulder tendinitis...
August 9, 2018: Journal of Occupational and Environmental Medicine
Nimisha Kalia, Robert A Lavin, Nina Leung, Larry Yuspeh, Edward J Bernacki, Xuguang Grant Tao
BACKGROUND: Work-related injuries in the U.S. have steadily declined over the past three decades. OBJECTIVE: To compare trends of the most frequently injured body parts from a beverage company over an 8-year study period (2008-2015). METHOD: Work-related injury claims with >3 days of missed work (N = 20,203) were classified into body part groups including low back, knee, shoulder, and all other(s). Descriptive statistics and linear models were used to evaluate trends over time...
August 9, 2018: Journal of Occupational and Environmental Medicine
Sungho Hwang, Kyung Jong Lee, Jae Bum Park
OBJECTIVES: This study aimed to examine the effects of chronic exposure to organic solvents on lung function in a shipyard painters. METHODS: Male workers in the shipyard painting department were selected as the organic solvents exposure group. Exposure was classified according to the type of work usually performed, and the cumulative exposure index was obtained using the results of biological monitoring. These were then used to divide the exposure group into low-exposure and high-exposure groups, and the dose-response relationships were examined for decreased lung function...
August 9, 2018: Journal of Occupational and Environmental Medicine
Johnathan Kirupakaran, Chelsea Meloche, Mark Upfal
OBJECTIVE: To assess practices and barriers regarding adult immunizations, among occupational and environmental physicians in Michigan. METHODS: A 10-item multiple choice web based questionnaire was designed after reviewing CDC recommendations and the current literature on adult immunization standards. RESULTS: Assessing immunization status is common practice for 62% of respondents. 92% of respondents recommend the annual influenza vaccination, unless contraindicated...
August 8, 2018: Journal of Occupational and Environmental Medicine
Carolina C Ávila, Jose Luis Ayuso-Mateos, Amalia Muñoz-Murillo, Chiara Scaratti, Michaela Coenen, Anastasia Vlachou, Klemens Fheodoroff, Aleksandra Pilat, Aleksandra Tabaj, Olga Svestkova, Asel Kadyrbaeva, Maria Cabello
OBJECTIVES: The main goal of this study was to compare the employment needs experienced by people with different chronic health conditions and in different welfare systems. METHODS: A total of 688 participants with six chronic health conditions were collected in ninecountries representing four welfare systems in Europe (Continental, Mediterranean, Post-communist and Scandinavian). RESULTS: Raisingawareness of what is to live with a chronic health condition in the workplace was the area perceived as more favorable...
August 8, 2018: Journal of Occupational and Environmental Medicine
Barbara J Walkosz, David Buller, Mary Buller, Allan Wallis, Richard Meenan, Gary Cutter, Peter Andersen, Michael Scott
OBJECTIVE: Occupational skin cancer prevention is a priority because outdoor workers are exposed to high levels of ultraviolet radiation, the primary risk factor for skin cancer. METHODS: A two-year follow-up assessment of the impact of Sun Safe Workplaces (SSW), a workplace sun safety program that promoted policy adoption and education, on employee sun safety behavior was conducted. 63 of 98 local government organizations from the original study participated. RESULTS: Outdoor workers (n = 1724) completed surveys on personal sun protection practices...
August 7, 2018: Journal of Occupational and Environmental Medicine
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