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Occupational Medicine

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https://www.readbyqxmd.com/read/30423151/work-related-asthma-from-cleaning-agents-versus-other-agents
#1
R W H Li, J C Lipszyc, S Prasad, S M Tarlo
Background: Cleaning agents have been commonly implicated as causative or triggering factors in work-related asthma (WRA), mainly from epidemiologic studies. Relatively few clinical series have been reported. Aims: We aimed to compare socio-demographic and clinical features among tertiary clinic patients with WRA exposed to cleaning and non-cleaning products. Methods: Analyses were conducted on a patient database containing 208 patients with probable WRA referred to the asthma and airway centre at a tertiary centre hospital in Canada from 2000 to 2014...
November 13, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30418617/burnout-depression-and-paranoid-ideation-a-cluster-analytic-study
#2
R Bianchi, L Janin
Background: A link between burnout and paranoid ideation has long been suspected. However, systematic research on the association has been scarce. Aims: We investigated the relationship between burnout and paranoid ideation. Because burnout overlaps with depression, depression was also examined. Methods: A total of 218 Swiss schoolteachers participated in the study (58% female; mean age: 47). Burnout symptoms were assessed with the emotional exhaustion (EE) and depersonalization (DP) subscales of the Maslach Burnout Inventory-Educators Survey, depressive symptoms with the PHQ-9 and paranoid ideation with the Green et al...
November 12, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30412248/workplace-health-beliefs-concerning-physical-activity-and-sedentary-behaviour
#3
B Sudholz, J Salmon, A J Mussap
Background: Sedentary behaviour (SB) in the form of uninterrupted sitting constitutes a risk factor for chronic disease that is independent of the risks associated with insufficient physical activity (PA). However, little is known about employee and manager health beliefs concerning SB and PA. Aims: We assess health beliefs of desk-based workers concerning PA and SB accrued at work versus during leisure. We ask whether recreational PA attenuates the perceived ill-health effects of prolonged occupational SB, and compare attitudes of employees and managers to interventions aimed at reducing/interrupting workplace sitting...
November 9, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30403815/organizational-uptake-of-nice-guidance-in-promoting-employees-psychological-health
#4
A Weinberg, J H Hudson, A Pearson, S B Chowdhury
Background: Annual costs to organizations of poor mental health are estimated to be between £33 billion and £42 billion. The UK's National Institute for Clinical Excellence (NICE) has produced evidence-based guidance on improving employees' psychological health, designed to encourage organizations to take preventative steps in tackling this high toll. However, the extent of implementation is not known outside the National Health Service. Aims: To assess the awareness and implementation of NICE guidance on workplace psychological health...
November 7, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30398649/sun-related-risks-and-risk-reduction-practices-in-irish-outdoor-workers
#5
S P Cetintepe, B McElroy, A Drummond
Background: Ultraviolet radiation (UVR) is an occupational hazard for outdoor workers. Aims: This descriptive study aimed to describe the solar UVR risk, and explore associations between demographic characteristics and sun-safety knowledge, risks and practices, in golf-course maintenance workers on the island of Ireland. Methods: A survey, designed to collect demographic and occupational information, measures of skin cancer knowledge and sun protection practices, was completed by 154 male outdoor workers in the golf-course maintenance industry...
November 6, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30388278/evaluating-an-intervention-addressing-stress-in-emergency-department-clerical-staff
#6
J Norman, S Basu
Background: Organizational stress is a significant occupational health challenge and is associated with multiple adverse health and social outcomes. Numerous studies have examined the sources of occupational stress in different workforces, but sparse evidence exists for the effectiveness of interventions to address it. Aims: To evaluate interventions to reduce occupational stress in emergency department (ED) clerical staff. Methods: A paper-based, self-report questionnaire examining perceived job demand and control in clerical staff in one UK ED in 2014, 2015 and 2017...
November 2, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30380126/interventions-to-enhance-recovery-in-healthy-workers-a-scoping-review
#7
J Verbeek, J Ruotsalainen, J Laitinen, E Korkiakangas, S Lusa, S Mänttäri, T Oksanen
Background: Faster recovery from work may help to prevent work-related ill health. Aims: To provide a preliminary assessment of the range and nature of interventions that aim to improve recovery from cognitive and physical work. Methods: A scoping review to examine the range and nature of the evidence, to identify gaps in the evidence base and to provide input for systematic reviews. We searched for workplace intervention studies that aimed at enhancing recovery...
October 31, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30380118/secondary-prevention-of-diabetes-through-workplace-health-screening
#8
V Bali, I Yermilov, A Koyama, A P Legorreta
Background: Workplace health screening offers a unique opportunity to assess individuals for type 2 diabetes mellitus. Aims: To evaluate the association between workplace diabetes screening, subsequent diagnosis and changes in fasting plasma glucose (FPG), glycated haemoglobin (HbA1c) and body mass index (BMI) among individuals who screened positive for diabetes. Methods: Employees without a prior diagnosis of diabetes participated in workplace health screening by 45 employers throughout the USA...
October 31, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30380097/the-impact-of-military-service-on-health-and-well-being
#9
V Williamson, J Diehle, R Dunn, N Jones, N Greenberg
Background: While it is known that some UK Armed Forces (UK AF) personnel and veterans experience physical and mental health problems, the possible future healthcare needs of military veterans are unknown. Aims: To estimate the number of military personnel who may experience physical and/or psychological health problems associated with their military service. Methods: Data were obtained via Freedom of Information requests to several sources, including Defence Statistics...
October 31, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30295885/measles-immunity-in-an-italian-teaching-hospital
#10
L Coppeta, A Pietroiusti, P Lieto, M Ferraro, S Grelli, M Stillo, A Magrini
Background: Healthcare workers (HCWs) have an increased exposure risk to measles, which can put them, their patients and their relatives at risk of infection. In Italy, 4617 cases of measles were reported in 2017; 302 involving HCWs. According to the Italian National Immunization and Prevention Plan, all HCWs should have demonstrable evidence of immunity to measles. Aims: To evaluate measles immunization status in HCWs at a large Italian teaching hospital. Methods: We analysed clinical records and measles-specific IgG antibody titres of HCWs undergoing occupational health surveillance between 1 January and 31 August 2017...
October 6, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30295884/needlestick-injuries-among-malaysian-healthcare-workers
#11
A S Ishak, M S Haque, S S Sadhra
Background: Needlestick injury (NSI) is a significant occupational health issue among healthcare workers (HCWs). Aims: To determine the national self-reported incidence and risk factors for NSI among Malaysian Ministry of Health (MOH) HCWs. Methods: Using data from the MOH national sharps injury surveillance programme, information on reported NSIs over a 1-year period (2016) for different HCW subgroups were extracted and analysed. Results: A total of 1234 NSI cases were reported in 2016, giving an overall incidence of 6 injuries per 1000 HCWs...
October 6, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30265359/retention-among-full-time-occupational-physicians-in-japan
#12
S Koike, T Isse, H Kawaguchi, M Ogawa
Background: To secure human resources for occupational medicine, it is important to analyse occupational physician retention trends and the factors associated with retention. However, little is currently known about this topic. Aims: To identify occupational physician retention trends, to identify factors associated with this retention and to discuss the policy implications of the findings. Methods: We analysed data from the biannual national physician census surveys conducted by the government of Japan from 2002 to 2014...
September 28, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30265357/documentation-of-work-ability-data-in-occupational-health-records
#13
S Nissinen, T Oksanen, T Leino, U M Kinnunen, A Ojajärvi, K Saranto
Background: In Finland, patient health records are structured in the same way. Patient data entries are grouped using national headings and each data entry must have at least one heading. Aims: To determine the use of national headings for the documentation of work ability data and to gather the experience of professionals on usefulness, ease of use and usability of national headings in occupational health services (OHSs). Methods: An electronic questionnaire and a semi-structured themed interview were used to collect data...
September 27, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30265338/job-stress-and-post-retirement-health-in-the-hertfordshire-cohort-study
#14
K Walker-Bone, S D'Angelo, M Stevens, C Linaker, E Dennison, C Cooper, H Syddall
Background: Job demand-control (DC) and effort-reward imbalance (ERI) are two commonly used measures of work stress which are independently associated with health. Aims: To test the hypothesis that DC and ERI have different and cumulative effects on health. Methods: DC and ERI were assessed in the Hertfordshire Cohort Study. The characteristics and occupations of men and women reporting either or both work stresses were compared and the interaction of these with health status were explored...
September 27, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30260436/better-return-to-work-and-sports-after-knee-arthroplasty-rehabilitation
#15
P P F M Kuijer, M M van Haeren, J G Daams, M H W Frings-Dresen
Background: Younger knee arthroplasty patients expect to perform better in work and sports after surgery, and often at demanding levels. Although the provision of rehabilitation is almost universal, no systematic literature review reporting the effect of these exercise-based therapies on return to work and sports is available. Aims: To investigate the effect of exercise-based therapies on return to work and sports after knee arthroplasty. Methods: A systematic search strategy was developed by a clinical librarian (J...
September 27, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30219891/the-presenteeism-scale-as-a-measure-of-productivity-loss
#16
K J Vänni, S Neupane, A E Siukola, H M Karinen, H K Pursio, J Uitti, C-H Nygård
Background: Work Ability Score (WAS) is a common instrument for assessing work ability but its validity in assessing presenteeism and productivity loss is unknown. Aims: To validate a WAS-based measure, the Presenteeism Scale (PS), and to evaluate its accuracy as a presenteeism instrument among forestry employees. Methods: This validation study was based on questions of perceived WAS assessed using the Work Ability-Personal Radar (WA-PR) instrument and on questions of perceived productivity loss and presenteeism assessed using a cross-sectional questionnaire survey...
September 14, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30219872/lifestyle-behaviours-and-perceived-well-being-in-different-fire-service-roles
#17
P J F Turner, A G Siddall, R D M Stevenson, M Standage, J L J Bilzon
Background: Aspects of the work environment influence employee well-being. However, it is unclear how employee lifestyle behaviours, health characteristics and well-being may differ within a broader occupational sector. Aims: To investigate the health characteristics, lifestyle behaviours and well-being of three Fire and Rescue Service (FRS) occupational groups that differ in shift work and occupational demands: operational firefighters (FF), emergency control (EC) and administrative support (AS) workers...
September 14, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30192977/bronchial-hyper-responsiveness-a-technical-update
#18
J Borak, R Y Lefkowitz, B Linde
Background: Bronchial hyper-responsiveness (BHR) is often regarded as a 'hallmark' of asthma, and bronchoprovocation testing is frequently performed to support a diagnosis of asthma. The European Respiratory Society (ERS) and American Thoracic Society (ATS) have recently updated their technical standards and guidelines for performing methacholine challenge testing (MCT), the most commonly performed clinical test of BHR. Aims: To review the updated guidelines and discuss the various changes and their potential impact on clinicians...
September 6, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30192976/work-ability-meetings-a-survey-of-finnish-occupational-physicians
#19
N Honkonen, J Liira, A Lamminpää, H Liira
Background: Work ability meetings (WAMs) are planned discussions between an employee, a manager and an occupational physician (OP) to support work ability and return to work (RTW). During the last decade, WAMs become a popular intervention in Finnish occupational healthcare, although research on their content is lacking. Aims: To describe the practice of WAMs in Finland. Methods: We sent an internet survey by e-mail to members of the Finnish Society of Occupational Health Physicians in August 2014...
September 6, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/30184236/cleaning-agent-occupational-asthma-in-the-west-midlands-uk-2000-16
#20
G I Walters, P S Burge, V C Moore, A S Robertson
Background: Cleaning agents are now a common cause of occupational asthma (OA) worldwide. Irritant airway and sensitization mechanisms are implicated for a variety of old and new agents. Aims: To describe the exposures responsible for cleaning agent OA diagnosed within a UK specialist occupational lung disease service between 2000 and 2016. Methods: The Birmingham NHS Occupational Lung Disease Service clinical database was searched for cases of OA caused by cleaning agents, and data were gathered on age, gender, atopic status, smoking history, symptom onset, diagnostic investigations (including Occupational Asthma SYStem analysis of workplace serial peak expiratory flow measurements and specific inhalational challenge), proposed mechanism, industry, occupation and causative agent...
September 3, 2018: Occupational Medicine
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