Occupational diseases

职业病
  • 文章类型: Journal Article
    目标:职业性皮肤病(OSD)对餐馆工人的健康和福祉构成重大风险。然而,目前关于这一职业群体中OSD的负担和决定因素的证据有限。这项研究旨在评估马来西亚半岛餐厅工作人员中可疑OSD的患病率和相关因素。
    方法:对2023年职业病筛查注册中心(RODS)进行了二次数据分析。RODS测量工具,其中包括北欧职业皮肤问卷,症状检查表和工作相关性项目,用于筛选OSD。进行Logistic回归分析以确定相关因素。
    方法:从2023年2月至2023年4月在RODS中注册的餐厅工作人员(n=300),年龄在18岁及以上,在雪兰冶市的餐厅工作,马六甲和彭亨超过1年,被纳入研究,而先前患有皮肤病的工人被排除在外。
    结果:研究参与者中疑似OSD的患病率为12.3%。在暴露于湿工作(校正OR(AOR)22.74,95%CI9.63至53.68)和中等至高工作压力水平(AOR4.33,95%CI1.80至10.43)的研究参与者中,可疑OSD的几率更高。
    结论:这些发现表明,OSD是餐馆工人中一个重要的职业健康问题。针对工作内容和湿工作的干预措施对于减少这类工人的OSD至关重要。
    OBJECTIVE: Occupational skin diseases (OSDs) pose significant risks to the health and well-being of restaurant workers. However, there is presently limited evidence on the burden and determinants of OSDs among this occupational group. This research aims to estimate the prevalence and associated factors of suspected OSDs among restaurant workers in Peninsular Malaysia.
    METHODS: A secondary data analysis of the 2023 Registry of Occupational Disease Screening (RODS) was performed. The RODS survey tool, which included the Nordic Occupational Skin Questionnaire, a symptoms checklist and items on work-relatedness, was used to screen for OSDs. Logistic regression analyses were performed to identify associated factors.
    METHODS: Restaurant workers (n=300) registered in RODS from February 2023 to April 2023, aged 18 years and above and working in restaurants across Selangor, Melaka and Pahang for more than 1 year, were included in the study, whereas workers who had pre-existing skin diseases were excluded.
    RESULTS: The prevalence of suspected OSDs among study participants was 12.3%. Higher odds of suspected OSDs among study participants were observed among those exposed to wet work (adjusted OR (AOR) 22.74, 95% CI 9.63 to 53.68) and moderate to high job stress levels (AOR 4.33, 95% CI 1.80 to 10.43).
    CONCLUSIONS: These findings suggest that OSDs are a significant occupational health problem among restaurant workers. Interventions targeting job content and wet work may be vital in reducing OSDs among this group of workers.
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  • 文章类型: Journal Article
    目的:研究通常调查有疼痛的员工患病缺勤的风险因素的有限数量或预定组合。我们检查了各种与工作相关的因素和疼痛感知中经常出现的组合。
    方法:横断面研究。
    方法:受IDEWE监督的比利时公司,在工作中预防和保护的外部服务。
    方法:总共,包括249名经历了至少6周疼痛的员工,并填写了一份在线调查。
    结果:潜在轮廓分析用于区分与工作相关的因素的轮廓(身体需求,工作量,社会支持和自主性)和痛苦感知(灾难性的,恐惧回避信念和痛苦接受)。随后,在社会人口统计上比较了概况(年龄,性别,教育水平,工作安排,投诉的持续时间,前一年的多部位疼痛和疾病缺席)和疾病缺席的预测因素(行为意图和感知的行为控制)。
    结果:确定了四个概况。在所有指标中,概况1(38.2%)得分良好,概况4(14.9%)得分不利。概况二(33.3%)对身体要求相对较高,适度的自治水平和其他指标的有利分数。概况3(13.7%)显示出相对较低的实物需求,适度的自治水平,但在其他指标上得分不利。资料的预测因素是年龄(OR0.93和95%CI(0.89至0.98)),教育水平(OR0.28和95%CI(0.1至0.79))和上一年的疾病缺勤时间(OR2.29和95%CI(0.89至5.88))。在四个方面,行为意图(χ2=8.92,p=0.030)和感知行为控制(χ2=12.37,p=0.006)存在显着差异。
    结论:这项研究强调了考虑工作相关因素与员工疼痛感知之间相互作用的重要性。单个工作因素的不利分数可能不会转化为适应不良的疼痛感知或随后的疾病缺席,如果缓解因素到位。必须特别注意处理不利工作条件以及适应不良疼痛观念的员工。在这种情况下,社会支持成为影响病假的重要因素。
    OBJECTIVE: Studies usually investigate a limited number or a predefined combinations of risk factors for sickness absence in employees with pain. We examined frequently occurring combinations across a wide range of work-related factors and pain perceptions.
    METHODS: Cross-sectional study.
    METHODS: Belgian companies that are under supervision of IDEWE, an external service for prevention and protection at work.
    METHODS: In total, 249 employees experiencing pain for at least 6 weeks were included and filled out an online survey.
    RESULTS: Latent profile analysis was used to differentiate profiles of work-related factors (physical demands, workload, social support and autonomy) and pain perceptions (catastrophising, fear-avoidance beliefs and pain acceptance). Subsequently, profiles were compared on sociodemographics (age, gender, level of education, work arrangement, duration of complaints, multisite pain and sickness absence in the previous year) and predictors of sickness absence (behavioural intention and perceived behavioural control).
    RESULTS: Four profiles were identified. Profile 1 (38.2%) had favourable scores and profile 4 (14.9%) unfavourable scores across all indicators. Profile 2 (33.3%) had relatively high physical demands, moderate autonomy levels and favourable scores on the other indicators. Profile 3 (13.7%) showed relatively low physical demands, moderate autonomy levels, but unfavourable scores on the other indicators. Predictors of profiles were age (OR 0.93 and 95% CI (0.89 to 0.98)), level of education (OR 0.28 and 95% CI (0.1 to 0.79)) and duration of sickness absence in the previous year (OR 2.29 and 95% CI (0.89 to 5.88)). Significant differences were observed in behavioural intention (χ2=8.92, p=0.030) and perceived behavioural control (χ2=12.37, p=0.006) across the four profiles.
    CONCLUSIONS: This study highlights the significance of considering the interplay between work-related factors and pain perceptions in employees. Unfavourable scores on a single work factor might not translate into maladaptive pain perceptions or subsequent sickness absence, if mitigating factors are in place. Special attention must be devoted to employees dealing with unfavourable working conditions along with maladaptive pain perceptions. In this context, social support emerges as an important factor influencing sickness absence.
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  • 文章类型: Editorial
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    目的:这项横断面研究评估了医生对职业病的知识和态度,他们的职业历史实践,以及相关因素和障碍。
    方法:从2023年1月1日至6月30日,来自不同专业的埃及医生(n=278)填写了一份包括社会人口统计学和职业数据的问卷,测量知识的问题,态度,实践,和障碍。
    结果:低知识的重要预测因素是未使用标准历史表格。缺乏职业病的本科教育/研究生培训是不利态度和不良实践的预测因素。不利的态度也预示着不良的实践。主要障碍是知识不足和日程安排繁忙。
    结论:不同的专科医师对职业病的认识至关重要。他们需要在自己的专业范围内了解职业病。本主题的专业本科和研究生培训可以帮助实现这种需求。
    OBJECTIVE: This cross-sectional study assessed physicians\' knowledge and attitudes toward occupational diseases, their practice of occupational history taking, and the associated factors and barriers.
    METHODS: From January 1 to June 30, 2023, Egyptian physicians from different specialties (n = 278) completed a questionnaire including sociodemographic and occupational data, questions measuring knowledge, attitudes, practice, and barriers.
    RESULTS: The significant predictor of low knowledge was the nonuse of a standard history form. The lack of undergraduate education/postgraduate training in occupational diseases was the predictor of unfavorable attitudes and poor practice. Unfavorable attitudes also predicted poor practice. The main barriers were insufficient knowledge and busy schedules.
    CONCLUSIONS: Different specialties physicians are essential in recognizing occupational diseases. They need to be knowledgeable about occupational diseases within their specialties. Specialized undergraduate and postgraduate training in this topic can help achieve such needs.
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  • 文章类型: Journal Article
    犯罪现场是操作员可能发生事故的场景,尽管存在这些风险,但文献中没有手术方案。然而,COVID-19大流行以积极的方式影响了传染病风险的管理,鼓励使用个人防护设备(PPE)。该研究的目的是加深和检查参与分析犯罪现场和生物材料收集的所有卫生专业人员的职业风险,以制定一项操作协议,详细解释所有适用于减少犯罪的策略。
    我们对主要数据库中的文献研究进行了综述,如:PUBMED,EMBASE,COCHRANE引入关键词:犯罪现场,医学法律调查,职业风险,感染。随后,我们开发了一种操作协议,目前在Catanzaro的法医学研究所“MagnaGraecia”的活动期间应用。
    犯罪现场会给操作员带来许多危险,由于注射器的存在,受污染的生物材料或尖锐物或进入卫生和卫生条件差的区域。本文展示了可以实施的各种策略来降低风险。这项工作的目的是通过提出一项操作协议,详细说明如何通过降低操作人员的感染风险来管理犯罪现场,直到将尸体和收集的证据转移到太平间和实验室。
    UNASSIGNED: Crime scenes are possible scenario of accidents for operators, despite those risks the are no operative protocols in literature. However, COVID-19 pandemic has affected in a positive manner the management of infectious risk, encouraging use of Personal protective equipment (PPE). The aim of the study is to deepen and examine the occupational risk of all health professionals involved in the analysis of the crime scene and biological material collection to develop an operational protocol that explains in detail all the strategies applicable to reduce it.
    UNASSIGNED: We conducted a review of the literature researching among the main databases, such as: PUBMED, EMBASE, COCHRANE introducing as keywords: crime scene, medico-legal investigations, occupational risk, infections. Subsequently, we developed an operational protocol that is currently applied during the activity of the Institute of Forensic Medicine \"Magna Graecia\" of Catanzaro.
    UNASSIGNED: The crime scene can show numerous dangers for operators, due to the presence of syringes, contaminated biological material or sharps or access to areas with poor hygienic and sanitary conditions. This paper shows various strategies that may be implemented to reduce the risk. The aim of this work is to focus on the occupational risk for operators by proposing an operative protocol showing in detail how to manage a crime scene by reducing the infectious risk for operators until the transfer of the body and the collected evidence to the morgue and to the laboratory.
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  • 文章类型: Journal Article
    背景:国际癌症研究机构包括消防员的职业和环境暴露,在人类致癌物列表中。
    方法:对有关消防员患癌症风险的现有文献进行了范围审查。
    结果:有记录表明,消防员可能会暴露在外,在所有类型的火灾紧急情况下,各种有毒和致癌物质。在一些荟萃分析和系统评价中,发现消防和某些类型的癌症之间存在关联。
    结论:确定消防员职业暴露与癌症风险之间的关联是一项具有挑战性的任务,主要是由于癌症的多因素起源。减少接触的最佳方法是采取预防措施。
    BACKGROUND: the International Agency for Research on Cancer included the occupational and environmental exposure of firefighters, in the list of carcinogens for humans.
    METHODS: A scoping review of the available literature on the risk of cancer in firefighters was carried out.
    RESULTS: It has been documented that firefighters are potentially exposed, in all types of fire emergencies, to a variety of toxic and carcinogenic substances. In several meta-analyses and systematic reviews, associations were found between firefighting and some types of cancer.
    CONCLUSIONS: Identifying associations between firefighters\' occupational exposures and cancer risk is a challenging task mainly due to the multifactorial origin of cancer. The best way to reduce exposure is to implement preventative measures.
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