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Characteristics of needlestick and sharps injuries of the hands in the operating room among orthopedic surgeons in Japan. 日本骨科手术室内手部针刺和利器损伤的特点
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0194
Akihiro Tsuchiya, Koji Wada, Keita Morikane, Toru Yoshikawa, Yumiko Hosomi, Bibha Dhungel, Hiroyuki Kunishima

Among the reports on needlestick and sharps injuries (NSIs), many are orthopedic-related due to the frequent use of sharp devices such as pins and wires. This study aimed to identify high-risk instruments, the most common injury sites for each instrument, and the circumstances of NSIs of the hand during orthopedic surgeries in Japan. Incidents of exposure to blood or bodily fluids among physicians during orthopedic surgeries reported to the Japan-EPINet between 2000 and 2015 were included in this study. The four most common devices were identified and the associations among years of experience, equipment users, and injured sites were analyzed. We identified 666 cases of NSIs affecting orthopedic surgeons in the operating room. The instrument most frequently responsible for NSIs was suture needles, which were involved in 265 cases (39.7%). The second most common instrument was pins/wires, which was involved in 111 cases (16.6%). NSIs of the hands of orthopedic surgeons were frequently caused by suture needles used in all surgeries, but relatively often caused by orthopedic devices. Orthopedic surgeons must be aware that they are at risk of NSIs and must take appropriate measures and always be cautious when performing surgery, regardless of their years of experience.

在针刺和锐器伤害(nsi)的报告中,许多与矫形有关,因为经常使用尖锐的装置,如针和线。本研究旨在确定高危器械,每种器械最常见的损伤部位,以及日本骨科手术中手部nsi的情况。本研究包括2000年至2015年期间向日本epinet报告的骨科手术中医生接触血液或体液的事件。确定了四种最常见的器械,并分析了多年经验、器械使用者和受伤部位之间的联系。我们确定了666例影响手术室骨科医生的nsi病例。最常见的器械是缝合针,共265例(39.7%)。第二常见的器械是针/线,涉及111例(16.6%)。骨科医生手部nsi多由所有手术中使用的缝合针引起,但由骨科器械引起的发生率相对较高。骨科医生必须意识到他们有nsi的风险,在进行手术时必须采取适当的措施并始终保持谨慎,无论他们有多少年的经验。
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引用次数: 1
A roadmap to improve usage items to enhance the operational effectiveness of occupational safety and health management expense in Korean construction. 为提高韩国建设行业职业安全健康管理费用的运营效率,改善使用项目的路线图。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2022-0008
Sejong Lim, Jeong-Hun Won, Junghoon Seo, Soyoung Jeon, Chang-Won Kim

Occupational safety and health management expense (OSHE) in construction industry is a statutory expense used for the purpose of preventing occupational accident and health disorders for construction workers, and the detailed usage standard is stipulated in the law and regulations governed by the Ministry of Employment and Labor in Korea. Previous studies focused on improvement of the accounting rate of OSHE and institutional improvement to secure usage transparency, but analysis showed that the review of improvement directions for usage items was insufficient. Considering recent trends, such as the increase in industrial demand to improve existing usage items and the introduction of various smart safety products incorporating the Fourth Industrial Revolution technology, it is expected that it will be necessary to review ways to improve the usage items to enhance the operational efficiency of OSHE. Accordingly, this study collected opinions from various stakeholders, and presented a roadmap to improve usage items of OSHE through importance-performance analysis (IPA) based on the data. This study is expected to meet the needs demanded by industry, and to be utilized as a reference for policy preparation to enhance the safety of construction sites.

建设行业的职业安全健康管理费用(OSHE)是为了防止建筑工人的职业事故和健康障碍而使用的法定费用,具体使用标准在韩国雇佣劳动部的法律法规中有规定。以往的研究侧重于提高职业健康安全卫生的核算率和制度完善,以确保使用透明度,但分析表明,对使用项目的改进方向的审查不足。考虑到改善现有使用项目的产业需求增加和引入第四次产业革命技术的各种智能安全产品等趋势,有必要研究改善使用项目的方案,以提高OSHE的运营效率。因此,本研究收集了各利益相关方的意见,并根据数据,通过重要性-绩效分析(IPA)提出了改善OSHE使用项目的路线图。本研究可望满足业界的需求,并可作为政策制定的参考,以加强建筑地盘的安全。
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引用次数: 1
Is decision-making influenced by interactions between extended wakefulness and weak emotional stressors? An experimental study. 决策是否受到长时间清醒和弱情绪压力源相互作用的影响?一项实验性研究。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0260
Ritsuko Nishimura, Kazuki Menrai, Mayu Kajihara, Shoichi Asaoka
In this study, we aimed to determine whether 21-hour continuous wakefulness decreases performance in the Iowa Gambling Task and examine the effect of the interaction between a weak emotional stressor and prolonged continuous wakefulness on the decision-making process, as measured by the Iowa Gambling Task. Approximately half of 38 healthy college students were in the sleep deprivation condition (they performed the task at 4:30 a.m.); the remainder were in the daytime condition (they performed the task during the day). The participants in each sleep condition were further divided into non-exposed and exposed to an emotional stressor via a social exclusion procedure before the task, with the Iowa Gambling Task score as the dependent variable. In the sleep deprivation condition, performance in the final block of the task was significantly worse in the group with an emotional stressor than the group without. There was no main effect of sleep conditions or emotional stressors on the task performance in either block. The results of this study suggest that even 21 hours of continuous wakefulness, which can occur in daily work life, may prevent appropriate learning in people exposed to an emotional stressor, even if the stress caused due to it is low.
在这项研究中,我们旨在确定21小时连续清醒是否会降低爱荷华赌博任务的表现,并检验弱情绪压力源和长时间连续清醒之间的相互作用对决策过程的影响,正如爱荷华赌博任务所测量的那样。38名健康的大学生中大约有一半处于睡眠剥夺状态(他们在凌晨4:30完成任务);其余的人在白天的条件下(他们在白天执行任务)。以爱荷华赌博任务得分为因变量,通过任务前的社会排斥程序,将每种睡眠状态下的参与者进一步分为未暴露和暴露于情绪压力源的两组。在睡眠被剥夺的情况下,有情绪压力的小组在最后一项任务中的表现明显比没有情绪压力的小组差。在两组中,睡眠条件或情绪压力源对任务表现都没有主要影响。这项研究的结果表明,即使是在日常工作生活中连续21小时不睡觉,也可能会阻碍处于情绪压力源下的人进行适当的学习,即使这种压力引起的压力很低。
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引用次数: 0
The past and future of industrial hygiene in Japan. 日本工业卫生的过去与未来。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.61_200
Jun Ojima
involving the control of hazardous factors, such as harmful airborne chemical substances and physical factors, that workers encounter in their workplace and the prevention of health problems caused by such factors using science and engineering knowledge and techniques. This definition and purpose closely resemble those for industrial hygiene in other countries. However, the Japanese occupational health system has a unique administrative principle called the “three-management strategy”. Considering that industrial hygiene falls under occupational health, it is also required to follow this principle. The “three-management strategy” is the philosophy that workers’ health should be ensured by completing the following three matters: · Work management: Reducing the load on individual workers by optimizing their work hours, workload, work methods, work cycles, and work posture. Ensuring that workers wear the necessary protective equipment. · Working environment control: Assessing the risk of harmful substances, such as organic solvents, dust, heavy metals, and several physical factors, in the working environment. Controlling and eliminating them as best as possible using a ventilation system, etc. · Health care: Preventing health problems of workers by determining their health conditions through health checkups and implementing appropriate measures and health guidance based on the results of the checkups. The current Japanese industrial hygiene system is mainly responsible for providing the information and technologies necessary for work management and working environment control. Therefore, regardless of propriety, the Japanese industrial hygiene system tends to focus more on supporting administrative measures rather than basic scientific research. The “administrative control level” is one example of such characteristics of the Japanese industrial hygiene system and is one of the benchmarks for evaluating the risk of worker exposure. However, it is not the direct reference for personal exposure that many other countries have adopted. The correct definition of “administrative control level” is “the reference for evaluating the effectiveness of working environment control”, which is based on the notion that lowering the environmental concentration will consequently lower personal exposure. Thus, in principle, area sampling is adopted instead of personal sampling when measuring the concentration of hazardous chemical substances in working environments throughout Japan. The following outlines the brief history of industrial hygiene in Japan from its substantial birth to present-day circumstances. Many research subjects have now been added to the Japanese industrial hygiene, such as heat, noise, vibration, ionizing radiation, high-pressure gas, and hazardous rays. At the beginning, however, the most important issue for Japanese industrial hygiene was countermeasures against exposure to organic solvents, which prompted the addition of dust control to the iss
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引用次数: 0
The impact of corporate culture on industrial accidents in high-risk industries: a cross-sectional survey. 企业文化对高风险行业工业事故的影响:一个横断面调查。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0252
Jooman Noh, Seongjin Lee, Hong Chong Cho

The rate of industrial accidents in Korea is two to three times higher than those in advanced countries such as Germany. These accidents are mainly concentrated in high-risk industrial areas. Using the ninth wave of the Occupational Safety and Health Company Survey by the Occupational Safety and Health Research Institute (OSHRI), we analyzed the influence of corporate culture on the occurrence of occupational accidents in high-risk industries using negative binomial regression. We found that older workers and foreign workers had a positive effect on the accident rate, while female workers had a negative effect on the accident rate. In addition, it was found that the health and safety management organization also reduced occupational accidents. Corporate culture and workplace environment significantly reduced industrial accidents among workers. This suggests that internal elements of an organization such as corporate culture and working environment can have an impact in reducing the occurrence of industrial accidents.

韩国的劳动事故发生率是德国等发达国家的2 ~ 3倍。这些事故主要集中在高危工业区。本文利用美国职业安全与健康研究所(OSHRI)第九次职业安全与健康公司调查数据,运用负二项回归分析了企业文化对高风险行业职业事故发生的影响。我们发现,年龄较大的员工和外籍员工对事故率有正向影响,而女性员工对事故率有负向影响。此外,还发现健康安全管理组织也减少了职业事故。企业文化和工作环境显著降低了工人的工伤事故。这表明一个组织的内部因素,如企业文化和工作环境可以对减少工业事故的发生产生影响。
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引用次数: 1
Stress and the gig economy: it's not all shifts and giggles. 压力和零工经济:不全是换班和傻笑。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0217
Sadia Hafeez, Charlotte Gupta, Madeline Sprajcer

Gig work is a type of contingent work which has increased markedly in recent times, and is characterised by uncertainty, unpredictability, and instability of both schedules and income earned. Gig workers are also likely to work for multiple platforms and/or employers. These work characteristics mean that performing gig work is associated with higher rates of stress than the general population (Madden et al. Pers Rev 2017). However, it is not currently known which strategies gig workers use to cope with this stress - including which strategies are likely to be effective. The aim of this study was to understand the relationship between coping strategies, number of employers and stress in gig workers. An online survey was completed by 49 gig workers. Validated questionnaires were administered to measure coping strategies (Brief COPE) and stress (Perceived Stress Scale-14). Approach coping strategies (active, planning, and social support) were associated with reduced stress (p<0.05), whereas the avoidant coping strategy of self-blame was associated with increased stress (p<0.05). No differences in stress were seen between gig workers with one employer and those with multiple employers. Findings suggest that some coping strategies may lower stress in gig workers, though long-term outcomes should be considered in future research.

零工是一种临时工作,近年来显著增加,其特点是时间表和收入的不确定性、不可预测性和不稳定性。零工也可能为多个平台和/或雇主工作。这些工作特征意味着从事零工工作的人比普通人承受更高的压力(Madden等人)。Pers Rev 2017)。然而,目前尚不清楚零工工人使用哪些策略来应对这种压力,包括哪些策略可能有效。本研究旨在了解零工员工的应对策略、雇主数量和压力之间的关系。49名零工完成了一项在线调查。采用有效问卷测量应对策略(Brief COPE)和压力(Perceived stress Scale-14)。方法应对策略(积极、计划和社会支持)与减少压力有关(p . 396)
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引用次数: 5
Work-family conflict and withdrawal behavior among mainland China's IT employees: the mediating role of emotional exhaustion and moderating role of job autonomy. 中国大陆IT员工工作家庭冲突与退缩行为:情绪耗竭的中介作用和工作自主性的调节作用。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0136
Junyan Hou, Shu DA, Yuying Wei, Xichao Zhang

Since the turn of the millennium, the information technology (IT) industry has been growing rapidly in mainland China. One of the significant characteristics of IT employees in mainland China during the past decades was that they tended to work more overtime, which might result in more work-family conflicts and higher turnover rates. Our study tested the mechanism of work-family conflict and work withdrawal behaviors using data from 389 IT employees in mainland China. Using the job demands-resources model and the conservation of resources theory, we examined the mediating effect of emotional exhaustion and the moderating effect of job autonomy. The results indicated that work-to-family conflict was negatively related with work withdrawal behaviors, whereas family-to-work conflict was positively related with work withdrawal behaviors. Moreover, we found the opposite moderating role of job autonomy, which enhanced the relationships between emotional exhaustion and work withdrawal behaviors. That is, the relationship was stronger among employees with higher job autonomy than among those with lower job autonomy. These findings indicate that work-family conflict relates to employees' psychological well-being and behavior, and that job autonomy might play a special role between work-family conflict and work withdrawal behaviors.

自世纪之交以来,信息技术(IT)产业在中国大陆迅速发展。在过去的几十年里,中国大陆IT员工的一个显著特征是他们倾向于加班,这可能导致更多的工作-家庭冲突和更高的离职率。本研究以中国大陆地区389名IT员工为研究对象,对工作家庭冲突与工作退缩行为的机制进行了实证研究。运用工作需求-资源模型和资源守恒理论,考察了情绪耗竭的中介作用和工作自主性的调节作用。结果表明,工作与家庭冲突与工作退缩行为呈负相关,而家庭与工作冲突与工作退缩行为呈正相关。此外,我们发现工作自主性在情绪耗竭与工作退缩行为之间具有相反的调节作用。也就是说,工作自主性高的员工比工作自主性低的员工之间的关系更强。研究结果表明,工作家庭冲突与员工的心理健康和行为相关,工作自主性可能在工作家庭冲突与工作退缩行为之间发挥特殊作用。
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引用次数: 2
Work-interval system in Japan. 日本的工作间隔制。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-02-01 DOI: 10.2486/indhealth.61_100
Masaya Takahashi
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引用次数: 0
Walking the tightrope between work and home: the role of job/home resources in the relation between job/home demands and employee health and well-being. 在工作与家庭之间走钢丝:工作/家庭资源在工作/家庭需求与员工健康和幸福之间的关系中的作用。
IF 1.8 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-02-01 Epub Date: 2022-03-15 DOI: 10.2486/indhealth.2021-0276
Tianchang Ji, Jan DE Jonge, Toon W Taris, Norito Kawakami, Maria C W Peeters

The present study investigated the role of job/home resources in the relation between job/home demands and exhaustion, job satisfaction, work-home interference, and home-work interference during the COVID-19 pandemic. We explored the prevalence of job/home demands and resources during the COVID-19 pandemic, and examined whether working at different locations (i.e., working from home or at the office) affects how both job/home demands and resources are associated with employees' health and well-being. An online cross-sectional survey study using self-report questionnaires was carried out among the networks of the International Commission on Occupational Health (ICOH) association (N=153). The findings of this study illustrated that (1) cognitive job demands/resources and emotional home demands/resources were crucial in predicting employee health and well-being; (2) a conceptual match was detected between corresponding demands and resources; (3) subgroup analysis showed that employees were not heavily affected by the different working locations during the pandemic. In conclusion, this study confirms the positive role of job/home resources. We suggest that cultivating specific job/home resources and establishing an appropriate match between specific job/home resources and corresponding job/home demands is necessary to ensure employees' health and well-being in times of a pandemic.

本研究调查了在 COVID-19 大流行期间,工作/家庭资源在工作/家庭需求与疲惫、工作满意度、工作-家庭干扰和家庭-工作干扰之间的关系中的作用。我们探讨了 COVID-19 大流行期间工作/家庭需求和资源的普遍性,并研究了在不同地点工作(即在家工作或在办公室工作)是否会影响工作/家庭需求和资源与员工健康和幸福的关系。在国际职业健康委员会(ICOH)协会的网络中开展了一项在线横断面调查研究,使用的是自我报告问卷(N=153)。研究结果表明:(1) 认知工作需求/资源和情感家庭需求/资源对预测员工的健康和幸福至关重要;(2) 在相应的需求和资源之间发现了概念上的匹配;(3) 分组分析表明,在大流行病期间,员工并没有受到不同工作地点的严重影响。总之,本研究证实了工作/家庭资源的积极作用。我们建议,培养特定的工作/家庭资源,并在特定的工作/家庭资源与相应的工作/家庭需求之间建立适当的匹配,对于确保大流行病期间员工的健康和幸福是非常必要的。
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引用次数: 0
Relationship among work-treatment balance, job stress, and work engagement in Japan: a cross-sectional study. 日本工作-待遇平衡、工作压力与工作投入关系的横断面研究
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-02-01 DOI: 10.2486/indhealth.2021-0250
Kazunori Ikegami, Hajime Ando, Hisashi Eguchi, Mayumi Tsuji, Seiichiro Tateishi, Koji Mori, Keiji Muramatsu, Yoshihisa Fujino, Akira Ogami

There is a drive to support workers in Japan undergoing medical treatment who wish to continue working, known as the work-treatment balance. This support for the work-treatment balance is expected to boost their mental health. This study examines the relationship among the work-treatment balance, job stress, and work engagement. This study was conducted in December 2020 in Japan, with 27,036 participants. We divided the participants into three groups by the receipt state of support for work-treatment balance: control group (do not need support), unsupported group, and supported group. The scores on the parameters of the job content questionnaire and the Utrecht Work Engagement Scale (UWES-3) were compared among groups using a multilevel regression with age-sex or multivariate-adjusted models. In the two models, the job control score of the unsupported group was significantly lower than that of the control group. The two social support scores of the supported group were significantly higher than those of the control group. The scores on the UWES-3 of the unsupported group were significantly lower than those of the control group. The support of work-treatment balance for workers could have a positive impact on their mental health.

在日本,有一种支持正在接受医疗治疗的工人希望继续工作的运动,被称为“工作-治疗平衡”。这种对工作与治疗平衡的支持有望促进他们的心理健康。本研究旨在探讨工作-待遇平衡、工作压力与工作投入之间的关系。这项研究于2020年12月在日本进行,共有27,036名参与者。我们根据工作-治疗平衡支持的接受情况将参与者分为三组:对照组(不需要支持)、不需要支持组和支持组。采用年龄-性别或多变量调整模型进行多水平回归,比较各组间工作内容问卷和乌得勒支工作投入量表(UWES-3)参数得分。在两个模型中,无支持组的工作控制得分显著低于对照组。支持组的两项社会支持得分均显著高于对照组。无支持组的UWES-3得分明显低于对照组。工作与治疗平衡对工人的支持可以对他们的心理健康产生积极影响。
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引用次数: 0
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Industrial Health
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