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Journal of Occupational and Environmental Medicine

Jonathan E Thompson
OBJECTIVE: Exposure to airborne particulate matter (PM) is estimated to cause millions of premature deaths annually. This work conveys known routes of exposure to PM and resultant health effects. METHODS: Review of available literature. RESULTS: Estimates for daily PM exposure are provided. Known mechanisms by which insoluble particles are transported and removed from the body are discussed. Biological effects of PM, including immune response, cytotoxicity, and mutagenicity are reported...
January 12, 2018: Journal of Occupational and Environmental Medicine
Andrea Farioli, Francesco S Violante, Carlo La Vecchia, Eva Negri, Claudio Pelucchi, Giovanna Spatari, Paolo Boffetta, Enrico Pira
OBJECTIVE: The aim of the study was to assess the risk of asbestosis death based on the temporal pattern of exposure to asbestos. METHODS: We followed up a cohort of asbestos textile workers, employed in 1946 to 1984, until November 2013. We measured the duration of the employment, the time since last employment (TSLE), the age, and the year of first employment. Hazard ratios (HR) were estimated through multivariable Cox regression models. RESULTS: We observed 51 asbestosis deaths among 1823 workers...
January 12, 2018: Journal of Occupational and Environmental Medicine
Anne Steinemann
OBJECTIVE: To assess the prevalence of multiple chemical sensitivities (MCS), its co-occurrence with asthma and fragrance sensitivity, and effects from exposure to fragranced consumer products. METHODS: A nationally representative cross-sectional population-based sample of adult Americans (n = 1,137) was surveyed in June 2016. RESULTS: Among the population, 12.8% report medically diagnosed MCS and 25.9% report chemical sensitivity. Of those with MCS, 86...
January 11, 2018: Journal of Occupational and Environmental Medicine
Alberto J Caban-Martinez, Danielle Sierra, Estefania C Ruano-Herreria, Lisa J Reidy
No abstract text is available yet for this article.
January 4, 2018: Journal of Occupational and Environmental Medicine
Cecilia Watkins, Gretchen Macy, Vijay Golla, Grace Lartey, Jacqueline Basham
OBJECTIVE: This case study was conducted to identify barriers of integration of health protection and health promotion in rural workplaces with tailored interventions that address the identified barriers. METHODS: Data on a workplace's ability to integrate wellness programs and health protection programs was collected through a questionnaire along with a seven-question interview. Descriptive statistics were used to analyze the quantitative data. Qualitative measures were assessed using thematic analysis...
December 28, 2017: Journal of Occupational and Environmental Medicine
Marianne Rudbeck, Jens Peter Johansen, Øyvind Omland
OBJECTIVE: To compare return rates to work between different groups according to decision from the workers' compensation. METHOD: Register data on disability benefits were used to describe return rates to work in Kaplan-Meier curves and association with decision on compensation claims. Disability benefits were granted by the municipalities independently of any compensation claim if sick-listed. RESULTS: Claimants with ongoing claims were the group with the largest proportion remaining on disability benefits...
December 28, 2017: Journal of Occupational and Environmental Medicine
Marianne Dreger, Faiyaz A Bhojani, Luis Castillejo, David Cathcart, Edward M Emmett, Steven Frangos, P Mark Glencross, Chris Herman, Kevin OʼShea, Paul Rountree, David E Turner
: Industrial firefighters share many characteristics with municipal firefighters; however, employers frequently have not addressed or characterized the unique job duties, hazards, and specific physical/mental demands associated with industrial firefighting. In addition, gaps exist in the medical literature with regard to industrial firefighter demographics, behavioral risk factors, and chronic diseases. Finally, the proper methodologies for fitness-for-duty assessment of employees acting in this capacity are lacking...
December 26, 2017: Journal of Occupational and Environmental Medicine
Ron Z Goetzel, Enid Chung Roemer, Calliope Holingue, M Daniele Fallin, Katherine McCleary, William Eaton, Jacqueline Agnew, Francisca Azocar, David Ballard, John Bartlett, Michael Braga, Heidi Conway, K Andrew Crighton, Richard Frank, Kim Jinnett, Debra Keller-Greene, Sara Martin Rauch, Richard Safeer, Dick Saporito, Anita Schill, David Shern, Victor Strecher, Peter Wald, Philip Wang, C Richard Mattingly
OBJECTIVE: To declare a call to action to improve mental health in the workplace. METHODS: We convened a public health summit and assembled an Advisory Council consisting of experts in the field of occupational health and safety, workplace wellness, and public policy to offer recommendations for action steps to improve health and well-being of workers. RESULTS: The Advisory Council narrowed the list of ideas to four priority projects. CONCLUSIONS: The recommendations for action include developing a Mental Health in the Workplace 1) "How to" Guide, 2) Scorecard, 3) Recognition Program, and 4) Executive Training...
December 26, 2017: Journal of Occupational and Environmental Medicine
Alberto J Caban-Martinez, Katerina M Santiago, Jordan Stillman, Kevin J Moore, Danielle Sierra, Juanita Chalmers, Melissa Baniak, Melissa M Jordan
OBJECTIVE: We characterize and compare the self-reported physical exposures, work tasks, and OSHA-10 training in a non-probabilistic sample of temporary and payroll construction workers. METHODS: In June 2016, a total of 250 payroll and temporary general laborers employed at Florida construction sites completed a survey at the job site as part of the Falls Reported Among Minority Employees (FRAME) study. RESULTS: Workers employed through temp agencies (57...
December 26, 2017: Journal of Occupational and Environmental Medicine
Kaori Ishii, Ai Shibata, Koichiro Oka
OBJECTIVE: To examine the relationships between work engagement, productivity, and self-reported work-related sedentary behavior in Japanese adults. METHODS: The present study recruited 2,572 Japanese individuals (20-59 years old) via an internet survey and assessed their demographic characteristics, work-related characteristics, and sedentary behavior. Data were analyzed with logistic regression. RESULTS: The mean proportion of work days involving work-related sedentary behavior was approximately 70% and the mean number of weekly working hours was approximately 43 hours...
December 26, 2017: Journal of Occupational and Environmental Medicine
Yi Rong, Min Zhou, Xiuqing Cui, Wei Li, Weihong Chen
OBJECTIVE: To explore the potential role of ECM regulated by miRNAs in lung function decline. METHODS: We convened 270 silica dust-exposed subjects and divided them into three groups according to lung function data. MiRNAs were measured by qPCR and ECM -related proteins were detected by ELISA. Data were analyzed by t-test, chi-squared tests, nonparametric Mann-Whitney U test and Spearman's rank correlation coefficient. RESULTS: Lower miR-200c and miR-29c were observed in subjects with severe lung function decline and higher ECM proteins were observed in subjects with mild or severe lung function decline...
December 26, 2017: Journal of Occupational and Environmental Medicine
Cristina Demian, Bruce Barron, Anthony Almudevar
OBJECTIVE: Examine the association between New York State Workers' Compensation Medical Treatment Guidelines (Guidelines) adherence and return-to-work after occupational low back injuries. Assess adherence to Guidelines by examining diagnostic and treatment utilization. METHOD: Retrospective chart review of cases. Outcomes of interest were lost time duration and diagnostic/treatment utilization rates. Time to event analyses performed using Kaplan Meier plots and Cox proportional hazard model...
December 26, 2017: Journal of Occupational and Environmental Medicine
Timothy P Schofield, Kim M Kiely, Arnstein Mykletun, Samuel B Harvey, Peter Butterworth
OBJECTIVE: This study examined the association between mental ill-health and subsequent receipt of a disability pension in Australia, and assessed how the strength of the association varied in relation to the duration between mental health measurement and reported disability pension receipt. METHODS: 8,474 working-age adults not receiving a disability pension at baseline were followed for up to 11 years; 349 transitioned onto a disability pension. Discrete-time survival analysis considered baseline and time-varying (12-month lagged) measures of mental ill-health...
December 26, 2017: Journal of Occupational and Environmental Medicine
Andrew G Rundle, Tracey A Revenson, Michael Friedman
OBJECTIVE: Assess associations between business travel and behavioral and mental health. METHODS: Cross-sectional analyses of de-identified electronic medical record data from EHE International, Inc. a provider of corporate wellness programs. RESULTS: Higher levels of business travel were associated with poorer outcomes. Compared to traveling 1-6 nights/month for work, those who traveled 21 + nights were more likely to: smoke (prevalence ratio = 3...
December 21, 2017: Journal of Occupational and Environmental Medicine
Veronica Varela Mato, Nick Caddick, James A King, Thomas Yates, David J Stensel, Myra A Nimmo, Stacy A Clemes
OBJECTIVES: To undertake a process-evaluation of a Structured Health Intervention for Truckers (SHIFT) implemented in a sample of UK lorry drivers. METHODS: A combination of 'debrief interviews', focus groups and one-to-one interviews, in addition to observations and reflections of the two lead researchers were used to collect data on the acceptability of SHIFT from a group of 16 lorry drivers and 4 transport managers. RESULTS: The SHIFT program was considered relevant and acceptable to lorry drivers...
December 21, 2017: Journal of Occupational and Environmental Medicine
Nilesh Gangan, Yi Yang
OBJECTIVE: To evaluate whether work absences are associated with increased health services utilization, total healthcare costs and depression-related costs among employed individuals, aged 18-64 years with depression. METHODS: This was a retrospective observational study using pooled data from the 2011-2014 Medical Expenditure Panel Survey (MEPS). Employed individuals with depression were identified using ICD-9 codes and Clinical Classification code. Logistic regression, Poisson regression and generalized linear models were used for analysis...
December 21, 2017: Journal of Occupational and Environmental Medicine
Alvaro Medel-Herrero, Beatriz Martínez-López, Noelia Silva-Del-Rio, Alda F Pires, Anita Edmondson, Marc Schenker
OBJECTIVE: We intend to study Tuberculosis (TB) in one of the poorest communities in the US, hired agriculture workers, for most recent years (2000-2012) including the last recession period. METHODS: Time-chart, simple mean differences, and logistic regressions were used to describe TB-prevalence and risk factors among US crop-workers. Data was drawn from the National Agricultural Workers Survey (NAWS). RESULTS: A high TB-prevalence was found among crop-workers with a dramatically increasing trend in recent years...
December 21, 2017: Journal of Occupational and Environmental Medicine
Jacqueline Mix, Lisa Elon, Valerie Mac, Joan Flocks, Eugenia Economos, Antonio J Tovar-Aguilar, Vicki Stover-Hertzberg, Linda A McCauley
OBJECTIVE: Recent findings suggest that laboring in hot occupational environments is related to kidney damage in agricultural workers. We examined hydration status and kidney function in 192 Florida agricultural workers. METHODS: Blood and urine samples were collected over 555 workdays during the summers of 2015 and 2016. Urine specific gravity (USG), serum creatinine and other kidney function markers were examined pre- and post-shift on each workday. Multivariable mixed modeling was used to examine the association of risk factors with hydration status and acute kidney injury (AKI)...
December 21, 2017: Journal of Occupational and Environmental Medicine
Young Long Jung, Emile Tompa, Christopher Longo, Christina Kalcevich, Joanne Kim, Chaojie Song, Paul Demers
OBJECTIVE: To estimate the economic burden of bladder cancer due to occupational exposures. METHODS: Using a societal perspective, we estimate the lifetime costs of newly diagnosed cases of bladder cancer in Canada that is associated with occupational exposure for the calendar year 2011. The three major categories we consider are direct, indirect, and quality of life costs. RESULTS: There were 199 newly identified cases of bladder cancer. The estimated total cost of bladder cancer for new cases in 2011 was $131 million and an average per-case cost of $658,055 CAD (2011 dollars)...
December 21, 2017: Journal of Occupational and Environmental Medicine
Samantha K Brooks, Rebecca Dunn, Richard Amlôt, G James Rubin, Neil Greenberg
OBJECTIVE: To conduct a systematic literature review to identify social and occupational factors affecting the psychological wellbeing of healthcare workers involved in the SARS crisis. METHODS: Four literature databases were searched and data extracted from relevant papers. RESULTS: 18,005 papers were found and 22 included in the review. The psychological impact of SARS on employees appeared to be associated with occupational role; training/preparedness; high-risk work environments; quarantine; role-related stressors; perceived risk; social support; social rejection/isolation; and impact of SARS on personal or professional life...
December 15, 2017: Journal of Occupational and Environmental Medicine
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