Medycyna pracy最新文献

Employees in the medical profession in a situation where the life of a patient is at risk cannot refrain from working due to unsafe working conditions. Therefore, enforcing the right to safe and hygienic working conditions is particularly important so that employees can provide health care services without additional burdens. The purpose of the study is to determine how the social labour inspector can respond to Occupational Health and Safety (OHS) hazards and whether the current powers of the social labor inspectorate as the employer's internal OHS control body are sufficient. The study conducted a regulatory analysis and used relevant literature, including recent studies on law enforcement. In addition, a questionnaire survey was conducted among trade union representatives of medical professionals on the evaluation of social labour inspector activities and OHS hazards during the COVID-19 epidemic period. In this period characterized by many OHS risks in medical entities, the difficulties faced by employers in carrying out their duty to protect the health of their employees became apparent. The system of internal control with the participation of the social labour inspection in this context needs changes, due to the fact that it is used in an inefficient manner. The reasons for this are primarily incomplete legal regulations. The legislator should guarantee the social labour inspector the right to use both methods of rewarding the employer as an incentive for the proper performance of duties and measures to deter violations of the law. Despite the fact that Polish labour law guarantees mechanisms for OHS control by the social labour inspector, it would be appropriate to expand the catalog of measures used by him to effectively motivate employers to protect worker health. This study is a prelude to a broader discussion of OHS monitoring in the context of OHS hazards occurring in healthcare entities. Med Pr Work Health Saf. 2023;74(4):301-16.

Background: The population ageing phenomenon is mainly attributable to the increasing proportion of people >60 years of age. This demographic situation requires more attention to the needs of the elderly. Given the lack of effective methods to expand the knowledge of and increase sensitivity to elderly people's problems, especially among the younger generation, an attempt has been made to use virtual reality (VR) to prepare an educational tool focused on these problems. This paper will focus on the use of VR in depicting fundamental problems in the daily live of older people.

Material and methods: For project purposes, a questionnaire (26 question) was developed, concerning data on socio-demographic situation, health and physical conditions; social, living and housing support needs. Additionally, qualitative interviews were conducted with elderly people regarding their needs about housing arrangements and daily activities. It was distributed to 100 people, 34 completed questionnaires were obtained from 30 women and 4 men. The study results were intended as information that would provide the basis for developing VR scenarios, not for the epidemiological purposes.

Results: The mean age of the respondents was 73.7±7.5 (60‒86 years). Different situations, as heavy housework, lifting/carrying heavy objects, lifting hands above the shoulder level, bending and squatting were identified that pose problems for elderly people. Based on these results, 3 scenario proposals were prepared, including situations: in the bathroom, in the supermarket, on a trip to the city. These scenarios were used to prepare the exercises in VR in the frame of European project - the Mixed Reality on Universal Design's Secret Service (Mr. UD) Project.

Conclusions: The use of immersive technology such as VR can be beneficial for young people to be able to see perspectives of the elderly. Students from various fields (medicine, nursing, future engineers, designers, sociologists, etc.) may feel like the elderly and experience their daily challenges. Med Pr. 2023;74(3):159-70.

The lack of empathy towards disability is a significant societal issue that hampers inclusivity and understanding. Many struggle to comprehend the daily challenges and experiences faced by people with disabilities, leading to ignorance, prejudice, and exclusion. However, empathy plays a pivotal role in addressing this problem and serves as the foundation for developing and creating better products, services, and environments. This article explores the potential of developing virtual reality (VR) applications to enhance students' empathy towards individuals with disabilities. By increasing empathy levels, students are expected to gain significant qualifications in universal design (UD). The full application development process covers the most suitable head-mounted display (HMD) set. The implementation methodology using the Unity programming platform, the approach adopted for conducting classes using the developed VR application, and the deployment stage. Testing was successfully conducted on a student population, receiving positive user feedback. Through the integration of VR technology, the authors thoroughly describe how to address the empathy gap and equip students with essential skills for inclusive and accessible design. The findings presented in this study provide valuable guidance for educators and developers interested in harnessing VR's potential to foster empathy and advance universal design practices. With the presented methodology and proposed application, the authors demonstrate the effectiveness of VR applications in elevating students' empathy levels, consequently enhancing their qualifications in universal design. Med Pr. 2023;74(3):199-210.

Background: Virtual reality (VR) has the potential to be a powerful tool in promoting empathy towards inclusion, particularly for individuals with impairments such as mobility difficulties, vision deficits, or autism but also about pregnancy, which can create temporary difficulties. By immersing users in simulated environments that replicate the experiences of those with different abilities, VR can create a sense of understanding and empathy for those who face challenges in their daily lives. For example, VR experiences can simulate the experience of navigating space as someone with a mobility impairment, providing a new perspective and appreciation for the difficulties that others face. Similarly, VR experiences can simulate the experience of vision impairment, pregnancy, or autism, providing a window into the challenges faced by those with these conditions and fostering empathy and understanding.

Material and methods: During the development of this study, field experts were consulted to ensure the robustness of the methods employed. Then, questionnaires were specifically developed to explore disabilities and challenges related to inclusion and were administered to a large population. Additionally, guided interviews were conducted with individuals who possess specific impairments to gather first-hand insights.

Results: The results obtained from the questionnaires and interviews provide a comprehensive overview of the inclusion challenges that necessitate attention and resolution. By drawing on the expertise of both experts and individuals with lived experiences, a holistic landscape of inclusion challenges has been established.

Conclusions: The VR emerges as a powerful tool for promoting inclusion and fostering understanding among individuals. Its capacity to create immersive experiences that facilitate empathy has the potential to reshape society into a more compassionate and empathetic one. By leveraging the unique capabilities of VR, we can bridge the gap between different perspectives, fostering greater understanding, acceptance, and inclusivity. Med Pr. 2023;74(3):171-85.

This article explores the relevance of universal design and empathic design in education. The universal design focuses on creating accessible and usable products, environments, and systems for individuals with diverse abilities. Empathy, on the other hand, involves understanding and sharing the feelings of others, encompassing cognitive, emotional, and compassionate empathy. The article investigates the application of empathy in design, particularly its importance for engineers. Teaching empathy to engineers is emphasized as a crucial aspect. By developing empathic skills, engineers gain a deeper understanding of user needs and perspectives, leading to more inclusive and user-centered design solutions. Effective communication techniques such as asking open-ended questions, active listening, observation, and perspective-taking are explored to enhance empathy in communication. The article also explores methods for measuring empathy, thus enabling engineers to assess the effectiveness of their empathic design approaches. The challenges facing students, teachers, and university authorities in implementing such courses are also bulleted. Med Pr. 2023;74(3):211-25.

Background: This paper presents an overview of a pilot study focused on testing the effectiveness of immersive virtual reality (VR) exercises, within extended reality experiences, in increasing awareness and empathy among university students towards pregnant women, elderly people, people in wheelchairs, and people with some sort of sight impairment. The extended reality experience was designed to simulate various scenarios that reflect the experiences of people from diverse backgrounds, to promote a better understanding of different perspectives and social issues related to some of the challenges tackled by people whose limitations are many times overlooked.

Material and methods: A design-based research methodology was applied and qualitative and quantitative data were collected in samples of 20 students from 3 countries.

Results: Overall, the results suggest that immersive VR applications can be an effective tool in increasing awareness and empathy among higher education students. The use of VR technology can create a sense of presence and immersion that allows students to experience situations that they may not have encountered otherwise. The results attained with the immersive experiences have provided evidence that these solutions can foster a greater understanding of different perspectives and promote empathy towards individuals from diverse backgrounds.

Conclusions: Ongoing research correlated with the Mixed Reality on Universal Design's Secret Service (Mr. UD) project results is already expanding on these findings by testing the effectiveness of VR applications in different contexts and with larger and more diverse samples. Additionally, the research conducted has provided relevant evidence that suggests that VR applications and their inclusion in training programs may help promote behavior change and reduce prejudice and discrimination towards marginalized groups. Med Pr. 2023;74(3):187-97.

Background: The presence of artificial intelligence (AI) in many areas of social life is becoming widespread. The advantages of AI are being observed in medicine, commerce, automobiles, customer service, agriculture and production in factory settings, among others. Workers first encountered robots in the work environment in the 1960s. Since then, intelligent systems have become much more advanced. The expansion of AI functionality in the work environment exacerbates human health risks. These can be physical (lack of adequate machine control, accidents) or psychological (technostress, fear, automation leading to job exclusion, changes in the labour market, widening social differences).

Material and methods: The purpose of this article is to identify, based on selected literature, possible applications of AI and the potential benefits and risks for humans.

Results: The main area of interest was the contemporary work environment and the health consequences associated with access to smart technologies. A key research area for us was the relationship between AI and increased worker control.

Conclusions: In the article, the authors emphasize the importance of relevant EU legislation that guarantees respect for the rights of the employed. The authors put forward the thesis that the new reality with the widespread use of AI, requires an analysis of its impact on the human psycho-social and health situation. Thus, a legal framework defining the scope of monitoring and collection of sensitive data is necessary. Med Pr. 2023;74(3):227-33.

Isoprostanes are a large group of compounds formed as products of free radical oxidation of polyunsaturated fatty acids, which are isomers of prostaglandin. They are present in all body tissues and biological fluids in quantifiable concentrations. Since 2018, the determination of isoprostanes by chromatographic technique with mass spectrometry is the golden standard of the oxidative stress markers determination in relation to oxidative damage to lipids. The publication is a synthetic review of recently published articles on the use of isoprostanes as a marker of lipid peroxidation determined with the liquid chromatography with tandem mass spectrometry technique. It presents the results of research using isoprostanes as a marker in medicine, in monitoring people working in exposure to harmful substances and in lifestyle research. Med Pr. 2023;74(2):119-25.

Background: Cognitive efficiency is crucial for many areas of human activity. It affects the employees' efficiency and safety at the workplace. An important element of the prevention of accidents at work is the appropriate professional selection, which consists in checking the characteristics of candidates needed for a given position, and for this purpose, a psychological diagnosis is carried out. The aim of the study was to develop tools for cognitive diagnosis that are characterized by good psychometric properties.

Material and methods: Tools for the diagnosis of simple reaction time (Abili-time), choice reaction time (Abili-select), prolonged attention (Abili-space, Abili-digit), and working memory (Abili-langmem, Abili-mathmem) were developed. Validation studies were conducted with 221 individuals aged 20-60 to assess relevance and reliability (internal consistency and temporal stability), and with the participation of 61 in a retest 3 months after the first measurement. Paper tests (CTT, TUS, Digit Span from WAIS-R(PL)) and tests from the Vienna test system (RT, SIGNAL, CORSI, ALS) were used to assess validity.

Results: The analysis showed that the Abili-time and Abili-select tests have satisfactory internal consistency. Analysis of temporal stability showed significant test-retest correlations for Abili-select, Abili-space, Abili-digit and Abili-langmem. Abili-time had slightly lower temporal stability. The temporal stability of Abili-mathmem was not confirmed. Significant correlations were obtained between the results of the developed tools with measures measuring similar constructs.

Conclusions: The conducted research confirms the validity and reliability of Abili-time, Abili-select and Abili-space. Further work is needed on working memory tests, which are noteworthy due to the lack of other tools available on the market to test these functions. Further research should involve more people as well as carrying out standardization work. Med Pr. 2023;74(2):103-18.