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Occupational Medicine

F Mahmood, K B Ferguson, J Clarke, K Hill, E B Macdonald, D J M Macdonald
Background: Hand-arm vibration syndrome is an occupational disease caused by exposure to hand-arm transmitted vibration. The Health and Safety Executive has set limits for vibration exposure, including an exposure action value (EAV), where steps should be taken to reduce exposure, and an exposure limit value (ELV), beyond which vibrating equipment must not be used for the rest of the working day. Aims: To measure hand-arm transmitted vibration among orthopaedic surgeons, who routinely use hand-operated saws...
November 6, 2017: Occupational Medicine
S Whittaker-Howe, G Brown, V Williamson, N Greenberg
Background: Remote area medics (RAMs) may be at increased risk of mental health difficulties. Aims: To explore the occupational experiences of RAMs to identify stressors and the mental health impact. Methods: Semi-structured interviews were conducted with six RAMs working in Iraq to gather data, which was explored using interpretative phenomenological analysis. Results: Three key themes emerged from the data (i) the experience of being remote, (ii) cultural shock and (iii) social support...
October 17, 2017: Occupational Medicine
O Vandenplas, C Rifflart, G Evrard, J Thimpont, M Seed, R Agius
We describe a 43-year-old epoxy floor layer who developed work-related asthma while exposed to an epoxy hardener based on isophorone diamine (IPDA). Challenge exposures to the curing of the epoxy resin system and subsequently to the polyfunctional amine hardener containing IPDA both elicited delayed asthmatic reactions. This report further indicates that exposure to epoxy hardeners containing polyfunctional amines should be considered as a potential cause of occupational asthma. Appropriate work hygiene measures should be implemented to minimize airborne exposure to these volatile compounds...
October 12, 2017: Occupational Medicine
G Thandi, N T Fear
Background: Research in the UK civilian population suggests that poor mental health outcomes are associated with smoking behaviour. In the UK military population, smoking cessation is associated with deployment in the reserve forces. However, little is known about the links between mental health outcomes and smoking initiation and cessation in the UK military. Aims: The aim of this longitudinal study was to examine change in mental health and military factors associated with smoking initiation and cessation in a representative sample of UK military personnel...
October 10, 2017: Occupational Medicine
K McDowall, E Murphy, K Anderson
Background: Shift work is common among nurses, and it is known to be a workplace hazard as it may cause poor sleep quality, which can impact adversely on the health and safety of nurses and their patients. Aims: To explore factors that contribute to poor sleep quality in shift working nurses (SWNs) compared with non-shift working nurses (NSWNs) and to assess the awareness of support from occupational health. Methods: Cross-sectional study of nurses at a National Health Service (NHS) foundation trust, February to March 2016...
October 10, 2017: Occupational Medicine
G Verrijdt, A De Landtsheer, A Mellen, L Godderis
Background: Rhizarthrosis, or osteoarthritis of the base of the thumb, is a common condition affecting 10-30% of the population over the age of 60. Whether it is an occupational disease has been the subject of debate as epidemiological studies on the correlation between physical stress and the presence of rhizarthrosis have shown conflicting results. Aims: To study the correlation between the prevalence of rhizarthrosis and the time spent by employees manually processing banknotes at the National Bank of Belgium (NBB)...
September 27, 2017: Occupational Medicine
T-K Chao, C Sun, J R Beach
Background: Workers' Compensation Board (WCB) data and other information are sometimes used to calculate an 'Occupational Health and Safety (OHS) index' as a way of identifying businesses considered 'high risk' to be inspected as part of enforcement work. However, no evidence on the validity of this index exists. Aims: To evaluate the performance of the Alberta OHS index, a 'score' based largely on WCB claims data, and to see if an index calculated using different information could perform better...
September 18, 2017: Occupational Medicine
G Thandi, N Greenberg, N T Fear, N Jones
Background: In the UK, little is known about the perceived effects of deployment, on military families, from military personnel in theatre. Aims: To investigate military personnel's perceptions of the impact of deployment on intimate relationships and children. Methods: Deployed service personnel who were in a relationship, and who had children, completed a survey while deployed on combat operations. Data were taken from four mental health surveys carried out in Iraq in 2009 and Afghanistan in 2010, 2011 and 2014...
September 15, 2017: Occupational Medicine
M Nagae, M Sakamoto, E Horikawa
Background: One approach to reducing occupational stress during an economic recession is to share work amongst employees. This may include reducing employees' working hours to avoid redundancies. Aims: To examine whether work-sharing influenced the psychosocial work environment and depressive symptoms encountered by Japanese employees, and to determine which psychosocial factors predict employees' mental health during an economic recession. Methods: A survey was performed in a Japanese manufacturing company at the beginning (T1) and end (T2) of a 6-month period during the 2008 economic recession using the validated Job Content Questionnaire (JCQ) and Self-Rating Depression Scale (SDS)...
September 14, 2017: Occupational Medicine
H Dong, Q Zhang, Z Sun, F Sang, Y Xu
Background: Epidemiological data evaluating sleep problems in clinical nurses in mainland China are scarce and an association between sleep problems and occupational stress has not been investigated. Aims: To assess the prevalence of sleep problems and associated factors and determine their association with occupational stress among clinical nurses in general hospitals. Methods: Nurses were selected through random cluster sampling. They answered a self-administered questionnaire, which included sociodemographic and occupational variables, the Pittsburgh Sleep Quality Index (PSQI) scoring system and the Job Content Questionnaire for evaluating occupational stress...
September 9, 2017: Occupational Medicine
S Vandenbroeck, E Van Gerven, H De Witte, K Vanhaecht, L Godderis
Background: Burnout in healthcare is a worldwide problem. However, most studies focus narrowly on work-related factors and outcomes in one health profession or speciality. Aims: To investigate the prevalence of burnout and its association with job demands, job resources, individual well-being, work-related attitudes and behaviour in physicians and nurses across different specialties. Methods: Multi-centre cross-sectional study of physicians and nurses working in Belgian hospitals...
September 6, 2017: Occupational Medicine
B Quirantes Sierra, A Lara Jiménez, M Skodova
Background: Repeated skin exposure and inhalation of milk proteins may lead to IgE-mediated sensitization, normally manifested at the site of contact. Although this is a phenomenon predominantly found in children, it has also been observed in adults. Aims: To describe a case of a worker who, after being exposed to milk proteins for many years, eventually experienced episodes of anaphylaxis. Case report: A 62-year-old worker experienced severe episodes of anaphylaxis following the intake of dairy products...
September 2, 2017: Occupational Medicine
M Shusko, L Benedetti, M Korre, E J Eshleman, A Farioli, C A Christophi, S N Kales
Background: Suboptimal recruit fitness may be a risk factor for poor performance, injury, illness, and lost time during police academy training. Aims: To assess the probability of successful completion and graduation from a police academy as a function of recruits' baseline fitness levels at the time of academy entry. Methods: Retrospective study where all available records from recruit training courses held (2006-2012) at all Massachusetts municipal police academies were reviewed and analysed...
September 2, 2017: Occupational Medicine
L K Kirlin, J F Nichols, K Rusk, R A Parker, M J Rauh
Background: The physical demands of firefighting require both cardiovascular and muscular fitness, which both decline with age. While much has been published on age-related changes among male firefighters (FFs), data on female FFs are lacking. Aims: To describe cardiorespiratory fitness (CRF) and muscular fitness in a sample of female career FFs ranging in age from 25 to 60 years and determine whether ageing affects their achievement of the current recommended professional CRF standards of 12 metabolic equivalents (METs)...
September 1, 2017: Occupational Medicine
H P Nordhagen, S B Harvey, E O Rosvold, D Bruusgaard, R Blonk, A Mykletun
Background: General practitioners (GPs) report sickness absence certification as challenging. They express need for support with functional assessment beyond guidelines and reforms. Case-specific collegial one-to-one guidance for other clinical topics has proved popular with GPs and may be an acceptable and effective way to improve GPs skills and competence in sickness absence certification. Aims: To present a new model of case-specific colleague guidance focusing on the management of long-term sickness absence and to describe its feasibility in terms of application and reception among GPs, and also GPs' self-reports of effects on their practice...
August 24, 2017: Occupational Medicine
R House, N Rajaram, S M Tarlo
Background: Three-dimensional (3D) printing is being increasingly used in manufacturing and by small business entrepreneurs and home hobbyists. Exposure to airborne emissions during 3D printing raises the issue of whether there may be adverse health effects associated with these emissions. Aims: We present a case of a worker who developed asthma while using 3D printers, which illustrates that respiratory problems may be associated with 3D printer emissions. Case report: The patient was a 28-year-old self-employed businessman with a past history of asthma in childhood, which had resolved completely by the age of eight...
August 23, 2017: Occupational Medicine
P Duff, J Sou, J Chapman, S Dobrer, M Braschel, S Goldenberg, K Shannon
Background: While sex work is often considered the world's oldest profession, there remains a dearth of research on work stress among sex workers (SWs) in occupational health epidemiological literature. A better understanding of the drivers of work stress among SWs is needed to inform sex work policy, workplace models and standards. Aims: To examine the factors that influence work stress among SWs in Metro Vancouver. Methods: Analyses drew from a longitudinal cohort of SWs, known as An Evaluation of Sex Workers' Health Access (AESHA) (2010-14)...
August 23, 2017: Occupational Medicine
Nikki Cordell
No abstract text is available yet for this article.
October 1, 2017: Occupational Medicine
Paul J Nicholson
No abstract text is available yet for this article.
October 1, 2017: Occupational Medicine
James D M Douglas, Donald Fox
No abstract text is available yet for this article.
October 1, 2017: Occupational Medicine
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