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American Journal of Industrial Medicine

Kyungsu Kim, Jeremy Beach, Ambikaipakan Senthilselvan, Niko Yiannakoulias, Larry Svenson, Hyocher Kim, Donald C Voaklander
BACKGROUND: Understanding of the specific risk of agricultural injury sustained by different populations of children and adolescents is needed for effective safety intervention. OBJECTIVE: To compare the rates and patterns of agricultural injury incidence (fatal and non-fatal injury) between farm and non-farm children less than 18 years of age in Alberta, Canada. METHODS: A total of 115 378 children (five subgroups: two groups of farm children and three groups of non-farm children) in Alberta were followed from 1999 to 2010 to examine injury incidence using the linkage of three administrative health databases...
July 12, 2018: American Journal of Industrial Medicine
Sithembile L Mabila, Kirsten S Almberg, Lee Friedman, Robert Cohen
BACKGROUND: The association between mining occupation categories and obstructive lung disease (OLD) has not been well explored in the United States. METHODS: National Health Interview Survey (NHIS) data from 2006 to 2015 was used to determine the relationship between mining occupations and diagnosis of chronic bronchitis, emphysema, chronic obstructive pulmonary disease (COPD), and asthma. We classified occupations into low, moderate, high, and very high dust exposure groups...
July 12, 2018: American Journal of Industrial Medicine
Nagyeong Lee, Ji-Hwan Kim, Ja Young Kim, Seung-Sup Kim
BACKGROUND: Workplace discrimination is associated with poor mental health. However, there is a lack of studies examining the effects of discrimination on depressive symptoms among firefighters. METHODS: We analyzed a national cross-sectional survey of 6369 firefighters in South Korea. Workplace discrimination during the past year was measured and main reasons for the discriminatory experience (gender, birth region, age, education, field/office work, job division) were identified separately by gender and job division...
July 12, 2018: American Journal of Industrial Medicine
Matthew P Stripp, Anna R Dulaney, Michael C Beuhler, Ricky L Langley
This case report highlights the challenges associated with the diagnosis and workplace evaluation of occupationally acquired ultraviolet (UV) radiation-induced photokeratitis and associated skin burns in a group of restaurant workers. UV-C spectrum bulbs were inadvertently shipped and installed in insect light traps. Ocular and dermal symptoms were reported in 18 of 85 restaurant employees to varying degrees of severity over a 2-day period. One patient was formally diagnosed with a chemical burn/irritation of the cornea...
July 11, 2018: American Journal of Industrial Medicine
Jacques Wels
OBJECTIVE: To assess whether unionization prevents deterioration in self-reported health and depressive symptoms in late career transitions. METHODS: Data come from the Health and Retirement Study (N = 6475). The change in self-perceived health (SPH) and depressive symptoms (CESD) between wave 11 and wave 12 is explained using an interaction effect between change in professional status from wave 10 to wave 11 and unionization in wave 10. RESULTS: The odds of being affected by a negative change in CESD when unionized are lower for unionized workers remaining in full-time job (OR:0...
June 28, 2018: American Journal of Industrial Medicine
John Howard, Jennifer Hornsby-Myers
Opioids have many beneficial uses in medicine, but, taken inappropriately, they can cause life-threatening health effects. The increasing use of physician-prescribed and illicit opioids, including highly potent fentanyl and its analogs, have contributed to a significant increase in opioid-related drug overdoses in the United States, leading to a public health emergency. There have been a number of reports describing adverse health effects experienced by police officers, fire-fighter emergency medical services providers, and private sector ambulance personnel when responding to drug overdose incidents...
June 25, 2018: American Journal of Industrial Medicine
Amy Liebman, Eileen Franko, Iris Reyes, Matthew Keifer, Julie Sorensen
BACKGROUND: Farming has been exempted from most labor regulations and shielded from regulatory scrutiny by the Occupational Safety and Health Administration (OSHA). Yet, agriculture and dairy in particular, has relatively high injury and fatality rates. METHODS: A recent shift in OSHA's approach to agricultural worker safety and health includes two dairy-focused Local Emphasis Programs (LEPs), one launched in Wisconsin in 2011 and the other in New York in 2014. We examine data from LEP-related, OSHA consultations and inspections as well as non-governmental audit programs, and review farmer perceptions about the LEP...
June 21, 2018: American Journal of Industrial Medicine
Mayris P Webber, Yang Liu, Hillel W Cohen, Theresa Schwartz, Michael D Weiden, Kerry Kelly, Viola Ortiz, Rachel Zeig-Owens, Nadia Jaber, Hilary L Colbeth, David J Prezant
BACKGROUND: The goals of this study were to assess the impact of work at the World Trade Center (WTC) site in relation to new, post-9/11/2001 (9/11) antibody to hepatitis C Virus (anti-HCV); and, evaluate secular trends in WTC-exposed male Fire Department of New York City (FDNY) Firefighters and Emergency Medical Services (EMS) responders. METHODS: FDNY monitors responder health through physical exams and routine blood work. We used descriptive statistics to compare trans-9/11 and post-9/11 incidence and to assess trends in prevalence from 2000 to 2012...
June 20, 2018: American Journal of Industrial Medicine
Keith C Meyer, Basant Sharma, Brent Kaufmann, Amanda Kupper, Michael Hodgson
Despite reports of pulmonary toxicity due to styrene, guidelines on acceptable styrene exposure levels have been based on risk of cancer and central nervous system and liver toxicity and not on respiratory effects. Many reports have linked exposure to styrene vapor in occupational settings to various forms of non-malignant pulmonary disorders including bronchiolitis, hypersensitivity pneumonitis, and occupational asthma. We report two cases in which the same tasks performed in a single workplace resulted in exposure to styrene vapor with subsequent development of acute respiratory symptoms associated with impaired gas exchange and imaging and histopathologic findings consistent with bronchiolitis and organizing pneumonia...
June 13, 2018: American Journal of Industrial Medicine
Lois James, Natalie Todak
OBJECTIVES: To examine the prevalence of Post-Traumatic Stress Disorder (PTSD) in a sample of prison employees, investigate risk factors, and explore protective factors for PTSD. METHODS: We surveyed 355 Washington State Department of Corrections employees. The survey included the PTSD checklist for the DSM-5 (PCL-5), the Critical Incident History Questionnaire, and the Work Environment Inventory. RESULTS: We found 19% of the sample met the criteria for diagnosable PTSD...
June 12, 2018: American Journal of Industrial Medicine
Susan H Grobler, Karien Mostert, Piet Becker
BACKGROUND: Work-related postural change could lead to improved musculoskeletal health. METHOD(S): In a quantitative, retrospective, longitudinal study, data of work-related musculoskeletal disorders of 123 sewing-machine operators were captured for 4.5 years, and analysed using Poisson regression. RESULTS: Stand-up work posture (SUWP) reduced the incidence for spinal disorders (SD) to 0.29 fold the incidence for sitting work posture (SWP) (P < 0...
June 6, 2018: American Journal of Industrial Medicine
Emily H Sparer, Leslie I Boden, Glorian Sorensen, Jack T Dennerlein, Anne Stoddard, Gregory R Wagner, Eve M Nagler, Dean M Hashimoto, Karen Hopcia, Erika L Sabbath
OBJECTIVE: We examined relationships between organizational policies and practices (OPPs) (safety practices, ergonomic practices, and people-oriented culture) and work limitations in a sample of hospital workers. METHODS: We used the 6-item Work Limitations Questionnaire (WLQ) to assess workers' perceptions of health-related work limitations. Self-reported OPPs and the WLQ were collected from workers in Boston, Massachusetts (n = 1277). We conducted random-intercept multi-level logistic regression models for each OPP using stepwise selection of covariates...
May 29, 2018: American Journal of Industrial Medicine
Jungsun Park, Boyoung Han, Yangho Kim
INTRODUCTION: We assessed the occupational safety and health (OSH) issues of self-employed individuals in Korea. METHODS: The working conditions and OSH issues in three groups were analyzed using the Korean Working Conditions Survey of 2014. RESULTS: Among self-employed individuals, "Physical work" was more common among males, whereas "Emotional work" was more common among females. Self-employed individuals performing "Mental work" had more education, higher incomes, and the lowest exposure to physical/chemical and ergonomic hazards in the workplace...
May 22, 2018: American Journal of Industrial Medicine
Bryan Weichelt, Marsha Salzwedel, Scott Heiberger, Barbara C Lee
BACKGROUND: The AgInjuryNews system and dataset are a news report repository and information source for agricultural safety professionals, policymakers, journalists, and law enforcement officials. METHODS: AgInjuryNews was designed as a primary storage and retrieval system that allows users to: identify agricultural injury/fatality events; identify injury agents and emerging issues; provide safety messages for media in anticipation of trends; and raise awareness and knowledge of agricultural injuries and prevention strategies...
May 22, 2018: American Journal of Industrial Medicine
Hsiu-Hao Lee, Bing-Yu Chen, Shih-Chun Pan, Shih-Hsiang Lo, Pau-Chung Chen, Yue Leon Guo
BACKGROUND: The dynamic effects of duty events on the blood pressure (BP) and heart rate variability (HRV) of physicians on duty are unknown. METHODS: A study was conducted among 12 physicians on night duty. BP and HRV with and without the effect of a duty event were compared. The risk of higher BP and impaired HRV after a phone call were calculated. RESULTS: Physicians had higher mean BP (122.4 ± 11.1; 76.9 ± 7.1 mmHg) within 30 min after a phone calls than without a phone call (113...
May 20, 2018: American Journal of Industrial Medicine
Donald E Eggerth, Brenna M Keller, Michael A Flynn
BACKGROUND: Persons born outside the United States are more likely to be diagnosed with tuberculosis disease (TB) than native-born individuals. Foreign-born Latinos at risk of TB may be difficult to reach with public health interventions due to cultural and institutional barriers. Workplaces employing large concentrations of foreign-born Latinos may be useful locations for TB interventions targeting this high-risk population. METHOD: This study used a two-phase approach to investigate the feasibility of workplace TB interventions...
May 15, 2018: American Journal of Industrial Medicine
Lynne E Pinkerton, Misty J Hein, Jeri L Anderson, Annette Christianson, Mark P Little, Alice J Sigurdson, Mary K Schubauer-Berigan
BACKGROUND: Flight attendants may have an increased risk of some cancers from occupational exposure to cosmic radiation and circadian disruption. METHODS: The incidence of thyroid, ovarian, and uterine cancer among ∼6000 female flight attendants compared to the US population was evaluated via life table analyses. Associations of these cancers, melanoma, and cervical cancer with cumulative cosmic radiation dose and metrics of circadian disruption were evaluated using Cox regression...
April 24, 2018: American Journal of Industrial Medicine
Alessandro Marinaccio, Alessandra Binazzi, Michela Bonafede, Antonella Altimari, Roberto Boscioni, Marisa Corfiati, Marta Clemente, Adelina Brusco
BACKGROUND: The aim of this study was to evaluate the occupational health risks in the Italian National Priority Contaminated Sites (NPCSs). METHODS: Established cases of occupational diseases in 2010-2014 were extracted from the Italian National Institute for Insurance against Accidents at Work (INAIL) archives. Standardized incidence ratios with 95% confidence intervals were estimated by site and by disease group separately for genders. RESULTS: In the 44 NPCSs evaluated, 11 015 cases of occupational diseases (8877 in men and 2138 in women) were ascertained...
July 2018: American Journal of Industrial Medicine
Alison Reid, Peter Franklin, Nick de Klerk, Jenette Creaney, Fraser Brims, Bill Musk, Jean Pfau
BACKGROUND: Studies comparing different forms of asbestos are rare, and limited by the failure to compare results with unexposed populations. We compare autoimmune responses among former workers and residents of the crocidolite mining and milling town of Wittenoom, Western Australia, with an unexposed population. METHODS: ANA testing using indirect immunofluorescence was performed on randomly selected serum samples from Wittenoom workers or residents and compared with those from participants of another unexposed cohort study...
July 2018: American Journal of Industrial Medicine
James H Yiin, Jeri L Anderson, Stephen J Bertke, David J Tollerud
OBJECTIVE: To examine dose-response relationships between internal uranium exposures and select outcomes among a cohort of uranium enrichment workers. METHODS: Cox regression was conducted to examine associations between selected health outcomes and cumulative internal uranium with consideration for external ionizing radiation, work-related medical X-rays and contaminant radionuclides technetium (99 Tc) and plutonium (239 Pu) as potential confounders. RESULTS: Elevated and monotonically increasing mortality risks were observed for kidney cancer, chronic renal diseases, and multiple myeloma, and the association with internal uranium absorbed organ dose was statistically significant for multiple myeloma...
July 2018: American Journal of Industrial Medicine
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