Occupational

职业
  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)大流行引发了上班族远程在家工作的增加。鉴于许多家庭现在可以作为办公室,尽管不是为了支持办公室工作而设计的,研究室内空气质量(IAQ)对在家工作的人的认知表现的影响至关重要。在这项研究中,在2021年至2022年期间,我们在美国各地的206名办公室工作人员在远程或混合远程设置下进行了为期一年的跟踪。参与者实时放置了两个,消费级室内环境监视器在他们的家庭工作站区和卧室。使用自定义的智能手机应用程序地理到他们的住宅地址,参与者对调查和定期认知功能测试做出回应,包括Stroop颜色词干扰测试,算术两位数加法/减法测试,和复合远程关联任务(cRAT)。评估的暴露包括二氧化碳(CO2)和热条件(室内热指数:温度和相对湿度的组合),在每次认知测试之前平均30分钟。在完全调整的纵向混合模型(n≤121)中,我们发现,室内热条件与认知功能结果呈非线性相关(p<0.05),当条件太热或太冷时,Stroop测试的认知表现较差,cRAT的创造性解决问题能力较差。大多数室内二氧化碳含量<640ppm,但是在Stroop上,较高的CO2和较差的认知能力之间仍然存在轻微的关联(p=0.09)。我们的发现强调了在远程工作期间需要提高家庭室内环境质量以实现最佳认知功能,对雇员和雇主都有好处。
    The coronavirus disease 2019 (COVID-19) pandemic triggered an increase in remote work-from-home for office workers. Given that many homes now function as offices despite not being designed to support office work, it is critical to research the impact of indoor air quality (IAQ) in homes on the cognitive performance of people working from home. In this study, we followed 206 office workers across the U.S. over one year under remote or hybrid-remote settings during 2021-2022. Participants placed two real-time, consumer-grade indoor environmental monitors in their home workstation area and bedroom. Using a custom smartphone application geofenced to their residential address, participants responded to surveys and periodic cognitive function tests, including the Stroop color-word interference test, Arithmetic two-digit addition/subtraction test, and Compound Remote Associates Task (cRAT). Exposures assessed included carbon dioxide (CO2) and thermal conditions (indoor heat index: a combination of temperature and relative humidity) averaged over 30 minutes prior to each cognitive test. In fully adjusted longitudinal mixed models (n≤121), we found that indoor thermal conditions at home were associated with cognitive function outcomes non-linearly (p<0.05), with poorer cognitive performance on the Stroop test and poorer creative problem-solving on the cRAT when conditions were either too warm or too cool. Most indoor CO2 levels were <640 ppm, but there was still a slight association between higher CO2 and poorer cognitive performance on Stroop (p=0.09). Our findings highlight the need to enhance home indoor environmental quality for optimal cognitive function during remote work, with benefits for both employees and employers.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    对病毒的职业暴露进行评估对于在早期阶段确定病毒储库和传播源以及有助于防止在员工之间和普通人群之间传播至关重要。测量工人的暴露量有助于评估保护和缓解措施的有效性。本范围审查的目的是概述在不同的职业和室内环境中进行空气传播病毒暴露评估的可用方法和已经实施的方法。从不同研究中获得的结果可能有助于制定未来的标准和指南,以确保在职业环境中进行可靠的风险表征,这对于实施有效的控制措施至关重要。该搜索旨在在选定的数据库中选择2010年1月1日至2023年6月30日之间的研究。50篇关于病毒暴露评估的论文符合资格标准,并被选择用于数据提取。总的来说,这项研究发现了有关病毒评估的知识差距,并指出了进一步研究的需求。发现了几个差异(运输温度,洗脱步骤,...),以及缺乏与暴露条件相关的重要数据(上下文信息)的公布。有了可用的信息,不可能在采用不同方法的研究之间比较结果,即使使用相同的方法,由于在检索的上下文信息和/或数据解释方面缺乏共识,因此报告了基于专家判断的不同结论/建议。应考虑到评估的不同目标,开展有关现场靶向采样方法和实验室中有关要采用的测定方法的未来研究。
    Assessment of occupational exposure to viruses is crucial to identify virus reservoirs and sources of dissemination at an early stage and to help prevent spread between employees and to the general population. Measuring workers\' exposure can facilitate assessment of the effectiveness of protective and mitigation measures in place. The aim of this scoping review is to give an overview of available methods and those already implemented for airborne virus\' exposure assessment in different occupational and indoor environments. The results retrieved from the different studies may contribute to the setting of future standards and guidelines to ensure a reliable risk characterization in the occupational environments crucial for the implementation of effective control measures. The search aimed at selecting studies between January 1st 2010 and June 30th 2023 in the selected databases. Fifty papers on virus exposure assessment fitted the eligibility criteria and were selected for data extraction. Overall, this study identified gaps in knowledge regarding virus assessment and pinpointed the needs for further research. Several discrepancies were found (transport temperatures, elution steps, …), as well as a lack of publication of important data related to the exposure conditions (contextual information). With the available information, it is impossible to compare results between studies employing different methods, and even if the same methods are used, different conclusions/recommendations based on the expert judgment have been reported due to the lack of consensus in the contextual information retrieved and/or data interpretation. Future research on the field targeting sampling methods and in the laboratory regarding the assays to employ should be developed bearing in mind the different goals of the assessment.
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  • 文章类型: Journal Article
    目的:利用煤炭工人健康监测计划(CWHSP)数据描述美国女性煤矿工人的工作经验和呼吸健康状况。方法:分析包括1970年1月1日至2022年12月31日期间女性自我报告性别的CWHSP参与者,并检查了影像学监测,人口统计,和工作历史。国家职业安全与健康研究所认证的医师对胸部X光片进行分类。结果:在8182名女性参与者中,大多数人工作<10年,大多数人报告从事非尘土飞扬的工作。在3,392名煤矿开采年限≥1年的人中,18人(0.5%)有尘肺的证据,没有进行性大量纤维化的病例。结论:参加CWSHP的女性煤矿工人的采矿生涯短,尘肺病患病率低。很少有人在尘土飞扬的工作中工作,表明对煤矿粉尘的暴露有限。这强调了探索女性在采矿中的角色的必要性,并改进针对性别的就业报告。这种变化可以改善男性主导行业中妇女的健康和工作条件。
    Objective: To describe the work experience and respiratory health of women coal miners in the United States using Coal Workers\' Health Surveillance Program (CWHSP) data. Methods: Analysis included CWHSP participants with self-reported sex of female between January 1, 1970, and December 31, 2022, and examined radiographic surveillance, demographics, and job history. National Institute for Occupational Safety and Health-certified physicians classified chest radiographs. Results: Among 8,182 women participants, most worked <10 years and a majority reported working in non-dusty jobs. Among 3,392 with ≥1 year of coal mining tenure, 18 (0.5%) had evidence of pneumoconiosis, with no cases of progressive massive fibrosis. Conclusion: Women coal miners participating in the CWSHP had short mining careers and low pneumoconiosis prevalence. Few worked in the most dusty jobs, indicating limited exposure to coal mine dust. This underscores the need to explore women\'s roles in mining, and for improved gender-specific employment reporting. Such changes can enhance health and work conditions for women in male-dominated industries.
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  • 文章类型: Journal Article
    先前发表的自杀案例调查分析表明,工作或工作条件导致10%-13%的自杀死亡。然而,工作可能增加自杀风险的方式是流行病学研究的不发达领域。在这篇评论中,我们从职业健康和安全的角度提出了与工作有关的自杀的定义,并审查有关与工作有关的自杀原因的基于案例调查和流行病学的证据。我们确定了六大类与工作相关的潜在自杀原因,它们是:(1)工作场所化学品,物理,和心理社会暴露;(2)暴露于工作中的创伤;(3)通过工作获得自杀手段;(4)暴露于高污名化的工作环境;(5)暴露于促进极端工作取向的规范环境;(6)与工作有关的伤害或疾病引起的不良经历。我们以潜在的与工作相关的原因的模式总结了当前的证据,这些原因也可以应用于工作场所风险评估和自杀案例调查。这些发现对政策和实践有许多影响。存在各种基于原则和证据的自杀预防工作场所干预策略,其中一些已被证明可以提高预防自杀的知识,减少污名,加强帮助行为,在某些情况下甚至可能降低自杀率。工作场所自杀预防的普遍做法,然而,过分强调以个人和疾病为导向的干预措施,很少注意解决可能增加自杀风险的工作条件。我们得出的结论是,工作场所自杀预防要充分发挥其预防潜力,就需要更加强调改善工作条件。
    Previously published analyses of suicide case investigations suggest that work or working conditions contribute to 10%-13% of suicide deaths. Yet, the way in which work may increase suicide risk is an underdeveloped area of epidemiologic research. In this Commentary, we propose a definition of work-related suicide from an occupational health and safety perspective, and review the case investigation-based and epidemiologic evidence on work-related causes of suicide. We identified six broad categories of potential work-related causes of suicide, which are: (1) workplace chemical, physical, and psychosocial exposures; (2) exposure to trauma on the job; (3) access to means of suicide through work; (4) exposure to high-stigma work environments; (5) exposure to normative environments promoting extreme orientation to work; and (6) adverse experiences arising from work-related injury or illness. We summarise current evidence in a schema of potential work-related causes that can also be applied in workplace risk assessment and suicide case investigations. There are numerous implications of these findings for policy and practice. Various principle- and evidence-based workplace intervention strategies for suicide prevention exist, some of which have been shown to improve suicide-prevention literacy, reduce stigma, enhance helping behaviours, and in some instances maybe even reduce suicide rates. Prevailing practice in workplace suicide prevention, however, overly emphasises individual- and illness-directed interventions, with little attention directed to addressing the working conditions that may increase suicide risk. We conclude that a stronger emphasis on improving working conditions will be required for workplace suicide prevention to reach its full preventive potential.
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  • 文章类型: Journal Article
    多环芳烃(PAHs)是广泛存在的污染物,具有重要的公共卫生问题。有几种对人类有剧毒的,包括一些已证实或可疑的致癌物。考虑到在职业环境中遇到的PAH混合物的高变异性,通过空气中的总芘(PyrT)/苯并[a]芘(BaP)比率调整尿1-羟基芘(1-OHP)水平对于人类生物监测(HBM)至关重要。考虑到系统监测大气水平的复杂性和成本,需要同时采用机载和HBM的替代方法。这篇评论的目的是对在不同工业活动中测量的机载PyrT/BaP比率进行分类,并推荐1-OHP专用生物指导值(BGV)。进行了文献检索。包括71项研究,有5619个样本属于15个工业部门,79个排放过程,213项职业活动。这篇综述总结了近20个国家40多年的数据,并强调了PAH排放的多样性和演变。PyrT/BaP比率高度可变,从焦炭生产的0.8到轮胎和橡胶生产的近40。单个PyrT/BaP值不能适用于所有职业环境,提出了在PyrT/BaP比率变异性高的工业部门中定义1-OHP的单个生物学极限值的相关性问题。根据库存,提出了一种系统的PAH暴露和风险评估的实用方法,根据职业背景和免费PAHHBM交互式工具的设置,根据特定的1-OHPBGV遵循一个简单的框架。
    Polycyclic aromatic hydrocarbons (PAHs) are ubiquitous pollutants of significant public health concern, with several that are highly toxic to humans, including some proven or suspected carcinogens. To account for the high variability of PAH mixtures encountered in occupational settings, adjusting urinary 1-hydroxypyrene (1-OHP) levels by the total airborne pyrene (PyrT)/benzo[a]pyrene (BaP) ratio is essential for human biomonitoring (HBM). Given the complexity and cost of systematically monitoring atmospheric levels, alternative approaches to simultaneous airborne and HBM are required. The aim of this review was to catalog airborne PyrT/BaP ratios measured during different industrial activities and recommend 1-OHP-dedicated biological guidance values (BGV). A literature search was conducted. Seventy-one studies were included, with 5619 samples pertaining to 15 industrial sectors, 79 emission processes, and 213 occupational activities. This review summarized more than 40 years of data from almost 20 countries and highlighted the diversity and evolution of PAH emissions. PyrT/BaP ratios were highly variable, ranging from 0.8 in coke production to nearly 40 in tire and rubber production. A single PyrT/BaP value cannot apply to all occupational contexts, raising the question of the relevance of defining a single biological limit value for 1-OHP in industrial sectors where the PyrT/BaP ratio variability is high. Based upon the inventory, a practical approach is proposed for systematic PAH exposure and risk assessment, with a simple frame to follow based upon specific 1-OHP BGVs depending upon the occupational context and setup of a free PAH HBM interactive tool.
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  • 文章类型: Journal Article
    背景:新冠肺炎大流行引发了工作模式的持久转变,许多员工现在在家工作(w@h)。这种转变加剧了办公室工作人员现有的高水平的职业久坐行为(SB),这是对健康和福祉的公认风险。本研究旨在使用能力-机会-动机-行为(COM-B)模型来更好地了解这两个员工的SB,和直线经理的行为,以帮助员工在w@h时降低SB,并确定如何最好地支持员工以减少SB。
    方法:三个在线焦点小组,员工年龄在18-40岁之间,以桌面为基础的角色(例如行政/销售/客户服务)(n=21),和三名直线经理(n=21)进行了调查。焦点小组促进了关于参与者当前行为的讨论,什么影响它,以及当w@h时可以做些什么来降低员工SB。在COM-B框架的指导下对焦点组数据进行了主题分析,以了解对行为的影响,并确定有希望的干预策略。
    结果:大多数参与者认识到w@h提升了员工职业SB,和直线经理报告了支持员工管理工作量的重要性,鼓励和建模休息。有能力对员工和直线经理的行为有多重影响,机会和动机都被认为是有影响力的,虽然不平等。例如,一个主要主题与员工在w@h时减少SB的身体机会有关,包括模糊的工作-生活界限。身体机会的变化也使支持员工对直线经理具有挑战性。此外,W@h环境包括独特的社交机会,对这两个群体的行为产生了负面影响,包括永远在线的期望,和社会规范。提出了在个人和组织层面降低w@h时降低SB的一系列策略。
    结论:很明显,当w@h时,SB受到一系列因素的影响,因此,多组分干预策略可能最有效地降低SB。未来的干预研究是评估和完善策略的优先事项,并告知w@h指导,以保护SB升高对继续w@h的人的短期和长期健康后果。
    BACKGROUND: The Covid-19 pandemic initiated an enduring shift in working patterns, with many employees now working at home (w@h). This shift has exacerbated existing high levels of occupational sedentary behaviour (SB) in office workers, which is a recognised risk to health and well-being. This study aimed to use the Capability-Opportunity-Motivation-Behaviour (COM-B) model to better understand both employees\' SB, and line managers behaviour to assist employees to reduce SB when w@h, and identify how employees can best be supported to reduce SB.
    METHODS: Three online focus groups with employees aged 18-40 working in desk-based roles (e.g. administrative / sales / customer services) (n = 21), and three with line managers (n = 21) were conducted. The focus groups facilitated discussion regarding participants\' current behaviour, what impacts it, and what could be done to reduce employee SB when w@h. The focus group data were thematically analysed guided by the COM-B framework to understand influences on behaviour, and to identify promising intervention strategies.
    RESULTS: Most participants recognised that w@h had elevated employee occupational SB, and line managers reported the importance of supporting employees to manage their workload, and encouraging and modelling taking breaks. There were multiple influences on both employee and line manager behaviour with capability, opportunity and motivation all perceived as influential, although not equally. For example, a major theme related to the reduced physical opportunities for employees to reduce their SB when w@h, including blurred work-life boundaries. Changes in physical opportunities also made supporting employees challenging for line managers. Additionally, the w@h environment included unique social opportunities that negatively impacted the behaviour of both groups, including an expectation to always be present online, and social norms. A range of strategies for reducing SB when w@h at both individual and organisational level were suggested.
    CONCLUSIONS: It was evident that SB when w@h is influenced by a range of factors, and therefore multi-component intervention strategies are likely to be most effective in reducing SB. Future intervention research is a priority to evaluate and refine strategies, and inform w@h guidance to protect both the short-term and long-term health consequences of elevated SB for those who continue to w@h.
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  • 文章类型: Journal Article
    久坐不动的工作与增加的健康风险有关。这项研究的目的是比较高强度间歇训练(HIIT)和增加步骤对人体测量的影响,体重,身体成分在12周内发生变化。
    12久坐,肥胖,体重指数(BMI)=32.98±3.21kg/m2,成年人(46.10±9.56岁),女性自愿参加这项研究,并被随机分配到两组中的一组,HIIT组和STEP组。在为期12周的研究中,所有参与者的运动都在工作日进行了监控,通过加速度计,Movband™,5天/周。
    HIIT组(n=5)进行结构化锻炼(〜15.0±3.5分钟),定义为全身运动,包括八个不同的程序:上肢和下肢,两个有氧运动段,两个整体,瑜伽,和腹部锻炼。STEP组(n=7)在整个12周内平均约7,000步/天。程序前和程序后的测量包括:五次人体测量(二头肌,腰部,腹部,臀部,和大腿),与体重和身体成分测量一起:通过双X射线吸收法(DEXA)扫描的相对(%)体脂,脂肪量,无脂质量,和瘦质量。
    在二头肌参与者中确定了统计学意义,臀部,和大腿测量以及体重和身体成分的变化,以改善健康状况。
    这项工作表明,通过工作过程和/或结构化锻炼整合到工作场所的身体活动干预有助于减少人体测量和身体成分测量,在改变体重的同时,在久坐女性中增加健康和减少肥胖相关的慢性疾病风险。
    UNASSIGNED: The sedentary aspects of work have been associated with increased health risks. The purpose of this study was to compare the effects of high intensity interval training (HIIT) and increased steps on anthropometric, body mass, and body composition changes over a 12-week period.
    UNASSIGNED: 12 sedentary, obese, body mass index (BMI) = 32.98 ± 3.21 kg/m2, adult (46.10 ± 9.56 years), females volunteered for the study and were randomly assigned into one of the two groups, the HIIT group and the STEP group. During the 12-week study, all participants\' movements were monitored during their workday, via an accelerometer, a Movband™, 5 days/week.
    UNASSIGNED: The HIIT group (n = 5) engaged in structured exercise (~15.0 ± 3.5 minutes), defined as total body moves which consisted of eight different routines: upper and lower extremity, two cardio segments, two total body, yoga, and abdominal exercises. The STEP group (n = 7) averaged ~7,000 steps/day throughout 12 weeks. Pre- and post-program measurements included: five anthropometric measurements (biceps, waist, abdomen, hips, and thigh), along with body mass and body composition measures: relative (%) body fat via dual x-ray absorptiometry (DEXA) scan, fat mass, fat-free mass, and lean mass.
    UNASSIGNED: Statistical significance was determined among participants for biceps, hips, and thigh measurements along with body mass and body composition changes for improved health.
    UNASSIGNED: This work is suggestive that a physical activity intervention integrated into the workplace via work processes and/or structured exercise is supportive in reducing anthropometric and body composition measurements, while changing body mass, to increase health and reduce obesity-related chronic disease risks in sedentary women.
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  • 文章类型: Journal Article
    背景:主要是女性的足部护理专家(FCS)。他们有发展职业性皮炎(OD)的风险。
    目的:本研究的目的是描述女性FCS伴OD的接触致敏模式。
    方法:在一项回顾性研究中,分析了2008年至2022年皮肤科网络(IVDK)收集的斑贴试验和临床数据。将116例有OD的女性FCS的数据与在其他行业工作的13930例有OD的女性患者和78612例无OD的女性患者的数据进行了比较。
    结果:与其他有或没有OD的女性患者相比,有OD的女性FCS中手部皮炎(93.1%)明显更常见,面部皮炎(0.9%)明显更不常见。常见的疑似过敏原来源是消毒剂,手套,免洗和美甲化妆品。闭塞和湿润是重要的共同因素。最常见的诊断是刺激性接触性皮炎(26.7%)和过敏性接触性皮炎(21.6%)。与两个对照组相比,在具有OD的女性FCS中,对任何基线系列变应原的致敏率明显更高。然而,对FCS大量暴露的过敏原致敏,包括香水,防腐剂,橡胶成分和消毒剂,是最常见的。
    结论:FCS应意识到OD风险,应加强预防。
    BACKGROUND: Mainly women work as foot care specialists (FCS). They are at risk to develop occupational dermatitis (OD).
    OBJECTIVE: The objective of this study is to describe the contact sensitisation pattern of female FCS with OD.
    METHODS: In a retrospective study, patch test and clinical data collected by the Network of Departments of Dermatology (IVDK) from 2008 to 2022 were analysed. Data of 116 female FCS with OD were compared with data of 13 930 female patients with OD working in other professions and 78 612 female patients without OD.
    RESULTS: Hand dermatitis (93.1%) was significantly more common and face dermatitis (0.9%) significantly less common in female FCS with OD compared to other female patients with or without OD. Frequent suspected allergen sources were disinfectants, gloves, leave-on and nail cosmetics. Occlusion and wetness were important co-factors. The most common diagnoses were irritant contact dermatitis (26.7%) and allergic contact dermatitis (21.6%). No sensitisation to any of the baseline series allergens was significantly more frequent in female FCS with OD than in the two control groups. However, sensitisations to allergens which FCS are abundantly exposed to, including fragrances, preservatives, rubber ingredients and disinfectants, were most common.
    CONCLUSIONS: FCS should be aware of the OD risk and prevention should be promoted.
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  • 文章类型: Case Reports
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