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Occupational Medicine

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
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
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
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
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
E Michailidis, M Cropley
Background: Embitterment has been described as the emotion generated by an event experienced as unjust. Although clinicians working in occupational health services readily recognize features of embitterment in organizations, little attention has been given to workplace embitterment. Research is warranted to identify predictors and features of employees' embitterment. Aims: To explore the predictors and the chronicity of workplace embitterment over 6 months. Methods: A longitudinal study investigating the chronicity of workplace embitterment and its antecedents among employees from various occupations...
September 3, 2018: Occupational Medicine
Paul R Ellis, Gareth I Walters
No abstract text is available yet for this article.
September 13, 2018: Occupational Medicine
Balsam Ahmad, Virginia Murray
No abstract text is available yet for this article.
September 13, 2018: Occupational Medicine
Nancy Redfern, Graeme J A Macphee
No abstract text is available yet for this article.
September 13, 2018: Occupational Medicine
Paul J Nicholson
No abstract text is available yet for this article.
September 13, 2018: Occupational Medicine
V A E Baadjou, J A M C F Verbunt, M D F van Eijsden-Besseling, R A de Bie, O Girard, J W R Twisk, R J E M Smeets
Background: Musculoskeletal complaints in music students are common. Little is known about effectiveness of interventions. Aims: To assess whether a biopsychosocial prevention course is better at reducing disability due to musculoskeletal disorders compared with physical activity promotion. Methods: This was a multicentre randomized controlled trial with intention-to-treat analysis. Participants were first- and second-year students from five conservatories, randomized to experimental or control groups...
September 13, 2018: Occupational Medicine
B T Bryan, A Gayed, J S Milligan-Saville, I Madan, R A Calvo, N Glozier, S B Harvey
Background: Many organizations are implementing mental health training for managers to facilitate better communication between managers and employees suffering from mental health problems. Much of this training focuses on improving managers' mental health literacy and reducing stigma. However, it is unclear whether this focus is appropriate or whether other targets, such as improving skills and confidence, should be given greater consideration. Aims: To test whether knowledge, attitudes and confidence are associated with managers' behavioural responses to mental health issues among their staff...
September 13, 2018: Occupational Medicine
M Nakládalová, L Štepánek, V Kolek, M Žurková, T Tichý
Silicosis, caused by inhaling dust containing free crystalline silica, typically has a chronic course, with the numbers of silicosis patients declining globally. Much rarer are the acute and subacute forms. Presented is a case of severe subacute (accelerated) silicosis. The condition resulted from ~2 years of very intense exposure without appropriate personal protective equipment while sandblasting. The patient's initial symptoms were progressive cough, dyspnoea and weight loss. Given his occupational history, typical clinical manifestations and radiological findings, an initial diagnosis of accelerated silicosis was proposed and histologically confirmed...
September 13, 2018: Occupational Medicine
E Farina, M Giraudo, G Costa, A Bena
Background: There is a procyclical relationship between economic growth and occupational injury rates in the short term. Injury rates rise during periods of economic growth and fall during recessions. Aims: To estimate injury rates for the manufacturing sector in Italy between 1994 and 2012 and their correlation with major macroeconomic factors and to identify a possible change in the trend of injury rates at the beginning of the 2008 economic crisis. Methods: Total and annual serious injury rates were calculated for the national sector...
September 13, 2018: Occupational Medicine
S Basu, J Poole, G Frost, D Fox
Background: Bioaerosol exposure occurs in several industries including green waste recycling, poultry farming, grain, animal feed and cotton production. Whilst several studies have investigated exposure and health effects in compost workers, the best questions to ask about health are uncertain. Aims: This study aimed to develop a questionnaire to assess health symptoms in compost workers. Methods: A 46-item questionnaire to ascertain possible symptoms of occupational illness related to bioaerosol exposure in a cohort of UK industrial compost workers and delivery in an interviewer-led format...
September 13, 2018: Occupational Medicine
K A Østby, A Mykletun, W Nilsen
Background: Although it is well documented that non-medical factors, like educational level, are associated with sick leave and disability pensioning, the role of personality has only been studied to a limited degree. Aims: To examine how normal personality traits (as measured by 'The Big Five') are associated with long-term sick leave and disability pensioning. Methods: In 2008, a sample of Norwegian women participating in the population-based Tracking Opportunities and Problems (TOPP) study were assessed for personality traits...
September 13, 2018: Occupational Medicine
W S Journeay, T Pauley, M Kowgier, M Devlin
Background: Factors impacting on return to work (RTW) after lower extremity amputation are important in occupational rehabilitation. Aims: Our objective was to compare RTW in patients who had traumatic work-related amputation with amputations from other causes. Methods: A retrospective cohort study was conducted with participants employed at the time of amputation and at least 1 year post-discharge from amputee rehabilitation. The primary outcome measure was RTW...
September 13, 2018: Occupational Medicine
D Budd, D L Holness, R House
Background: Hand-arm vibration syndrome (HAVS) is a chronic occupational disease affecting workers exposed to hand-transmitted vibration. However, limited information exists on task-related disability experienced by workers with HAVS. Aims: This study was conducted to characterize the impact of HAVS on task-related disability and daily life activities. Methods: A retrospective chart review was undertaken of difficulty in carrying out activities reported by workers with HAVS who had been assessed in an Occupational Medicine clinic in 2015...
September 13, 2018: Occupational Medicine
M Telle-Lamberton, S Faye, F Pontin, L Bensefa-Colas, C de Clavière, M Le Barbier, G Lasfargues
Background: Notifications of work-related mental disorders (WRMDs) are increasing while little data are available on trends by industrial sector. Aims: To assess WRMD notifications and trends from 2001 to 2011 by industrial sector using data collected by the French National Network for Occupational Disease Vigilance and Prevention (RNV3P) network. Methods: We calculated standardized notification ratios (SNRs) per sector. To analyse trends over time, we used odds ratios, analysed by logistic regression, including time as a discrete variable or as a continuous variable...
September 13, 2018: Occupational Medicine
J Kobza, J S Pastuszka, E Bragoszewska
Background: Dental care professionals are exposed to aerosols from the oral cavity of patients containing several pathogenic microorganisms. Bioaerosols generated during dental treatment are a potential hazard to dental staff, and there have been growing concerns about their role in transmission of various airborne infections and about reducing the risk of contamination. Aims: To investigate qualitatively and quantitatively the bacterial and fungal aerosols before and during clinical sessions in two dental offices compared with controls...
September 13, 2018: Occupational Medicine
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