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Work Productivity and Activity Impairment in Rheumatoid Arthritis Patient 类风湿关节炎患者的工作效率和活动障碍
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000280
J. Amaro
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引用次数: 1
Work Related Musculoskeletal Disorders and Associated Factors among Nurses Working in Jimma Zone Public Hospitals, South West Ethiopia 埃塞俄比亚西南部吉马区公立医院护士的工作相关肌肉骨骼疾病及相关因素
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000279
T. Regassa, T. B. Lema, Gugsa Nemera Garmomsa
Background: Musculoskeletal disorders represent a significant occupational problem among nurses; however, there is paucity of information on work related musculoskeletal disorder among nurses in Ethiopia. Objective: To assess work related musculoskeletal disorders and associated factors among nurses working in Jimma Zone Public hospitals, South west Ethiopia. Methods: Institutional based cross-sectional study was conducted in Jimma Zone public hospitals from March 12-27, 2015. Systematic random sampling technique was used to select 333 participants. Data were analyzed by using binary logistic regression and Odds ratios with 95% confidence intervals used to examine associations between dependent and independent variables. Results: The prevalence of work related musculoskeletal disorders at any body site was 60.8% and the highest report 124 (67.8%) was seen in the lower back which was followed by the neck 44 (24%) and knees 43 (23.6%). Lifting and transferring dependent patients [AOR 2.1 (1.1-4.3)], giving wound care [AOR 4.2 (1.9-8.9)], working in medical ward [AOR 9.6 (2.4-38.3)] and Intensive care unit [AOR 3.4 (1.2-9.7)], working in mal-positions [AOR 9.7 (2.2-42.6)], working in the same positions for long period of time [AOR, 6.1 (1.3-28.7)], working with disoriented patients [AOR 2.6 ( 1.1-5.7) and bending or twisting back during work [AOR 5.1 (1.1-23.7)] were identified associated factors. Conclusion: The prevalence of work related musculoskeletal disorders among nurses was high in the study area. Lifting and transferring dependent patients, giving wound care, working in medical ward and Intensive care unit, working in mal-positions, working in the same positions for long period of time, working with disoriented patients and bending or twisting back during work were identified associated factors.
背景:肌肉骨骼疾病是护士中一个重要的职业问题;然而,埃塞俄比亚护士中缺乏与工作有关的肌肉骨骼疾病的信息。目的:了解埃塞俄比亚西南部吉马区公立医院护士的工作相关肌肉骨骼疾病及其相关因素。方法:2015年3月12-27日在吉马区公立医院进行机构横断面研究。采用系统随机抽样方法,共抽取333名研究对象。数据分析采用二元逻辑回归和比值比,95%置信区间用于检验因变量和自变量之间的关联。结果:各身体部位与工作相关的肌肉骨骼疾病患病率为60.8%,以下背部124例(67.8%)最高,其次为颈部44例(24%),膝关节43例(23.6%)。扶起和转移依赖患者[AOR 2.1(1.1-4.3)]、进行伤口护理[AOR 4.2(1.9-8.9)]、在内科病房工作[AOR 9.6(2.4-38.3)]和重症监护病房工作[AOR 3.4(1.2-9.7)]、在错误体位工作[AOR 9.7(2.2-42.6)]、长时间在同一体位工作[AOR 6.1(1.3-28.7)]、与失去方向的患者一起工作[AOR 2.6(1.1-5.7)]、工作时弯曲或扭转背部[AOR 5.1(1.1-23.7)]是确定的相关因素。结论:研究区护士与工作相关的肌肉骨骼疾病患病率较高。抬起和转移受抚养病人、进行伤口护理、在病房和重症监护室工作、以错误的姿势工作、长时间以相同的姿势工作、与失去方向的病人一起工作以及在工作时弯曲或扭转背部被确定为相关因素。
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引用次数: 8
Noise Measurements and Sources of Noise in Primary Schools Located in Vulnerable Areas in Greece: A Cross-Sectional Study 希腊脆弱地区小学的噪声测量和噪声源:一项横断面研究
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000277
S. Kapetanaki, S. Konstantopoulou, A. Linos
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引用次数: 4
Call Centre-associated Occupational Hearing Loss in Africa: A Clarion Call Falling on Deaf Ears? 非洲呼叫中心相关的职业性听力损失:号角号角被置若罔闻?
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000283
J. Ayugi
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引用次数: 1
Relationship between Drinking Water Fluoride and Intelligence Quotient in Egyptian School Children 埃及学龄儿童饮用水氟化物与智商的关系
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000278
A. A. E. Sehmawy, S. Hammouda, G. Ibrahim, Samia S. Barghash, R. Y. Elamir
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引用次数: 2
Selected Aspects of Nurses' Burnout Compared to Other Employees of Social Welfare Homes 与社会福利院其他员工比较,护士职业倦怠的选择方面
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000276
A. Komorowska, Anna Antczak-Komoterska, B. Haor, M. Głowacka, R. Ślusarz
Introduction: The staff of social welfare home is exposed to the phenomenon of occupational burnout due to the specificity and characteristics of social welfare homes functioning. In social welfare homes there are people covered by 24-hour nursing and rehabilitation care, which required a significant amount of work on the part of the staff of such a centre. Nurses in their work constantly encounter situations which result in experiencing professional stress, which in turn results from the contact with another person waiting and requiring professional care and assistance. Due to specific conditions of the profession, nurses are particularly exposed to occupational burnout. As members of an interdisciplinary therapeutic team in social welfare homes, they spend most of the time with the residents, which promotes emotional exhaustion. The aim of the research was to present selected aspects of professional burnout of nurses compared to other welfare home employees. Methods: The methods used in the research consisted of the diagnostic survey method and estimation method; research techniques: surveying and estimation scale technique, as well as PSS-10 (perceptible stress scale) and DS-14 (scale for D-type measurement) questionnaires were used. Results: The study showed a statistically significant relationship between the intensity of stress between groups of social welfare homes staff, among whom there were nurses. The highest intensity of stress was observed in the occupational group of physiotherapists and nurses, followed by the medical caregivers/caregivers in the social welfare homes, social workers and occupational therapists/cultural and educational workers. Conclusions: Nurses and medical caregivers/caregivers at SWH are the representatives of the therapeutic team most exposed to the occurrence of burnout syndrome. It is important to be aware of the threat existence and have a decisive attitude to counteract the phenomenon of occupational burnout.
引言:由于社会福利院功能的特殊性和特点,社会福利院工作人员容易出现职业倦怠现象。在社会福利院,有些人得到24小时护理和康复护理,这需要这样一个中心的工作人员做大量的工作。护士在工作中经常遇到导致专业压力的情况,而这种压力又源于与另一个等待并需要专业护理和援助的人的接触。由于职业的特殊条件,护士特别容易出现职业倦怠。作为社会福利院跨学科治疗团队的成员,他们大部分时间都与居民在一起,这导致了情绪衰竭。本研究的目的是比较护理人员与其他福利院员工的职业倦怠情况。方法:采用诊断调查法和估计法;研究方法:采用调查估计量表法,采用PSS-10(可感知压力量表)和DS-14 (d型测量量表)问卷。结果:社会福利院工作人员群体间压力强度有统计学意义,其中有护士。在物理治疗师和护士这一职业组中,压力强度最高,其次是医疗护理人员/社会福利院的护理人员、社会工作者和职业治疗师/文化和教育工作者。结论:医院护士和医护人员/护理人员是最容易发生倦怠综合征的治疗团队代表。认识到威胁的存在,并采取果断的态度来应对职业倦怠现象是非常重要的。
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引用次数: 0
Assessment of the Prevalence of Zidovudine Induced Anemia among Adult HIV/AIDS Patients on HAART in an Ethiopian Hospital 埃塞俄比亚一家医院接受HAART治疗的成年HIV/AIDS患者齐多夫定诱发贫血的发生率评估
Pub Date : 2018-01-01 DOI: 10.4172/2329-6879.1000271
Muluken Wubetu, Epherem Mebratu
Background: Zidovudine is one of a nucleoside reverse transcriptase inhibitor in the first line ART regimen in Ethiopia. It is, however, known to be associated with life threatening toxicity like anemia. Unfortunately, zidovudine related anemia at Mizan-Aman General Hospital has not yet been known before. Therefore, the aim of this study is to determine the prevalence of zidovudine induced anemia among adult HIV/AIDS patients on highly active antiretroviral therapy. Methods: Retrospective cross-sectional study design was conducted in ART pharmacy in Mizan-Aman General Hospital by observing patient charts. Simple random sampling technique was used to select the charts. Data was collected by randomly extracting documented information in the patients’ medical chart who initiated AZT containing ART regimen. Result: Around on third of the participants (27.9%) were in the age range of 32 – 38 years. Of the assessed patient charts, charts with female patients constitute 51.9%. More than two-third of participants (73.7%) were urban residents while about forty percent of the total patients included in the study (39.1%) were secondary school achievers but 11.9% of participants were illiterate. About one fifth of the patients (22.6%) developed anemia. The occurrence of zidovudine induced anemia was higher among illiterates (29.4%). The number of participants who developed AZT induced anemia while using social drugs was relatively lower 14.1%. Majority of patients who developed anemia had a baseline hemoglobin level of ≤ 12 g/dl (75.3%). Conclusion: The prevalence of AZT induced anemia was found to be highest on patients whose baseline Hgb level ≤ 12 g/dl. Frequent monitoring of Hgb concentration in patients on AZT based regimen will be an essential strategy to overcome anemia itself and anemia related costs like blood transfusion.
背景:齐多夫定是埃塞俄比亚一线抗逆转录病毒治疗方案中的一种核苷类逆转录酶抑制剂。然而,已知它与贫血等危及生命的毒性有关。不幸的是,Mizan-Aman总医院的齐多夫定相关性贫血在以前还没有发现。因此,本研究的目的是确定在接受高效抗逆转录病毒治疗的成人HIV/AIDS患者中齐多夫定诱发贫血的患病率。方法:采用回顾性横断面研究设计,对米赞安曼总医院ART药房进行患者病历观察。采用简单随机抽样方法选择图表。通过随机抽取开始AZT含ART方案的患者病历中的记录信息来收集数据。结果:大约三分之一的参与者(27.9%)年龄在32 - 38岁之间。在评估的患者图表中,女性患者的图表占51.9%。超过三分之二的参与者(73.7%)是城市居民,而研究中约40%的患者(39.1%)是中学优等生,但11.9%的参与者是文盲。约五分之一(22.6%)的患者出现贫血。齐多夫定致贫血在文盲中发生率较高(29.4%)。在使用社会药物的同时发生AZT引起的贫血的人数相对较低,为14.1%。大多数贫血患者的基线血红蛋白水平≤12 g/dl(75.3%)。结论:AZT致贫血发生率在基线Hgb≤12 g/dl的患者中最高。频繁监测以AZT为基础的方案患者的血红蛋白浓度将是克服贫血本身和贫血相关费用(如输血)的基本策略。
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引用次数: 5
A Five-Year Evaluation of the Bearfit Worksite Physical Activity Program Bearfit工作场所体育活动计划的五年评估
Pub Date : 2017-11-27 DOI: 10.4172/2329-6879.1000268
M. Patterson, Clinton A. Patterson, Shana M. Walsh, J. Bernhart
Background: Regular participation in physical activity is associated with many health benefits including reduced risk of chronic diseases, premature mortality, and improved mental health. However, many American adults do not engage in enough activity to achieve health benefits. Employers recognize the value of physical activity participation among employees as a means to reduce healthcare costs and increase employee productivity. Objective: The purpose of this study was to empirically evaluate a four-month worksite wellness program offered to university employees and their spouses over five years that was not originally intended for research purposes. A secondary aim was to add a description of a worksite wellness program to the body of literature that could be replicated by other universities and across other occupational settings. Methods: Participants enrolled in the BearFIT program received access to exercise facilities, group exercise classes, nutrition counseling, and invitations to special activity events. Weight, BMI, waist circumference, blood pressure, resting heart rate, body fat percentage, and flexibility were measured pre- and post-program. Results: 802 participants enrolled in the study; 387 of these completed the pre-test only and were removed from analyses. The final sample included 415 participants (79.3% female; mean age of 46.6 [SD=11.86; range 23-70]). Paired samples t-tests revealed statistically significant improvements in weight, BMI, waist circumference, body fat percentage, systolic and diastolic blood pressure, and flexibility in our sample. Resting heart rate decreased on average across participants, but not significantly. Conclusions: Results indicate the BearFIT program is a cost-effective means of promoting health in an occupational setting. Intervention planners should incorporate applicable methodology from the BearFIT program to future worksite wellness programs, and strengthen evaluations with more accurate measures of program participation and the conduction of cost-benefit analyses. Additional suggestions include emphasizing beginner activities tailored towards overweight and obese participants and seeking strategies to increase male participation.
背景:经常参加体育活动与许多健康益处相关,包括降低慢性病、过早死亡的风险和改善心理健康。然而,许多美国成年人没有参加足够的活动来获得健康益处。雇主认识到员工参加体育活动的价值,认为这是降低医疗成本和提高员工生产力的一种手段。目的:本研究的目的是对一项为期四个月的工作场所健康计划进行实证评估,该计划面向大学员工及其配偶,为期五年,最初并非用于研究目的。第二个目的是将工作场所健康计划的描述添加到其他大学和其他职业环境中可以复制的文献中。方法:参加BearFIT计划的参与者获得了锻炼设施、团体锻炼课程、营养咨询和特殊活动的邀请。在训练前后分别测量体重、BMI、腰围、血压、静息心率、体脂率和柔韧性。结果:802名受试者入组;其中387人只完成了预测试,并从分析中删除。最终样本包括415名参与者(79.3%为女性;平均年龄46.6岁[SD=11.86;23 - 70])。配对样本t检验显示,在我们的样本中,体重、BMI、腰围、体脂率、收缩压和舒张压以及柔韧性方面都有统计学上的显著改善。参与者的静息心率平均下降,但并不明显。结论:结果表明,在职业环境中,BearFIT计划是一种经济有效的促进健康的手段。干预计划者应将BearFIT项目的适用方法纳入未来的工作场所健康项目,并通过更准确的项目参与措施和成本效益分析来加强评估。其他建议包括强调针对超重和肥胖参与者的初级活动,并寻求增加男性参与的策略。
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引用次数: 0
Prevention of musculoskeletal disorders in south China 华南地区肌肉骨骼疾病的预防
Pub Date : 2017-11-23 DOI: 10.4172/2329-6879-C1-033
Zhimin Li
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引用次数: 0
Occupation Related Musculoskeletal Disorders among Nurses at the National Referral Hospital, Mulago in Uganda 乌干达穆拉戈国家转诊医院护士职业相关肌肉骨骼疾病
Pub Date : 2017-10-21 DOI: 10.4172/2329-6879.1000267
Tonny Mutanda, E. Mwaka, P. Sekimpi, Juliet M Ntuulo
Background: musculoskeletal disorders, musculoskeletal disorders, present a serious public health problem that affects productivity and work performance. Despite the physical and socioeconomic effects of musculoskeletal disorders, few studies have been carried out among nurses in Sub Saharan Africa and more so in Uganda. Nurses in Uganda are highly vulnerable to musculoskeletal disorders given the high workload and working under highly resource constrained conditions that demand a lot of physical and emotional exertion. This study aimed at assessing the prevalence and factors associated with musculoskeletal disorders among nurses at Mulago Hospital. Objective: To assess the prevalence and factors associated with musculoskeletal disorders among nurses working in Mulago Hospital the National Referral Hospital in Uganda. Methods: This was a cross sectional descriptive study of 266 respondents from different hospital departments within Mulago National Referral Hospital. Interviews were conducted using a validated questionnaire, data entry done using Epi data and analyzed using STATA 10.0. Results: The prevalence of musculoskeletal disorders among nurses in Mulago hospital was 75%. Low back pain, 58.7% was the commonest musculoskeletal disorders, followed by knee pain, 38.5%. These were associated mainly with work related and factors. Conclusion: Low Back and Knee pain are the commonest musculoskeletal disorders among nurses at Mulago Hospital and are mainly attributed to service/ work related factors and psycho-social stress. Despite the nurses being knowledgeable, musculoskeletal disorders prevention among nurses should largely focus on safe practices and more research regarding the knowledge and practice gap is needed.
背景:肌肉骨骼疾病,肌肉骨骼疾病,是影响生产力和工作表现的严重公共卫生问题。尽管肌肉骨骼疾病对身体和社会经济有影响,但在撒哈拉以南非洲和乌干达的护士中进行的研究很少。乌干达的护士工作量大,在资源极为有限的条件下工作,需要大量的体力和精神消耗,因此极易患肌肉骨骼疾病。本研究旨在评估穆拉戈医院护士中肌肉骨骼疾病的患病率及相关因素。目的:评估乌干达国家转诊医院穆拉戈医院护士肌肉骨骼疾病的患病率及其相关因素。方法:对来自穆拉戈国家转诊医院不同科室的266名受访者进行横断面描述性研究。访谈采用有效的问卷进行,数据输入使用Epi数据,并使用STATA 10.0进行分析。结果:穆拉戈医院护士肌肉骨骼疾病患病率为75%。最常见的肌肉骨骼疾病是腰痛,占58.7%,其次是膝关节疼痛,占38.5%。这些主要与工作相关和因素有关。结论:下背部和膝盖疼痛是穆拉戈医院护士最常见的肌肉骨骼疾病,主要是由于服务/工作相关因素和心理社会压力所致。尽管护士知识渊博,但护士的肌肉骨骼疾病预防应主要侧重于安全操作,需要更多关于知识和实践差距的研究。
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引用次数: 12
期刊
Occupational medicine and health affairs
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