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Impact of Workplace Environment on Health Workers 工作场所环境对卫生工作者的影响
Pub Date : 2017-01-01 DOI: 10.4172/2329-6879.1000261
Edem Mj, Akpan Eu, Pepple Nm
Employee morale can be impacted in both positive and negative ways by the workplace environment. Workplace environment plays a major role in the performance and productivity of an employee. Most industries have an unsafe workplace environment and are most time unhealthy too. This study is focused on the workplace environment in a health facility and how it affects the health worker. An unsafe health facility environment such as unsuitable furniture, poorly designed workstations, lack of ventilation, excessive noise, inappropriate lighting, poor supervisor support, poor work space, poor communication, poor fire safety measures for emergencies, and lack of personal protective equipment, can adversely affect the productivity of the employee. Health workers in such environment are exposed to occupational diseases such as heat stress, deafness, ergonomic disorders and suffocation. Health worker’s productivity and performance can decrease due to poorly planned workplace environment as this adversely affects their morale and may give rise to poor motivation and no job satisfaction as a result, it becomes a challenge for the management to provide a safe work environment for the workers to ensure health, efficiency, productivity and good performance. The relationship between the health worker, work and the workplace environment is very crucial and hence it becomes an integral part of work itself. Management effort in ensuring an active workforce should be focused on employee personal motivation and the infrastructure of the work environment.
工作环境会对员工的士气产生积极和消极的影响。工作环境对员工的表现和生产力起着重要的作用。大多数行业都有不安全的工作环境,而且大多数时候也不健康。这项研究的重点是卫生机构的工作环境及其对卫生工作者的影响。不安全的卫生设施环境,如不合适的家具、设计不佳的工作站、缺乏通风、噪音过大、照明不适当、主管支持不足、工作空间不足、沟通不畅、应急消防安全措施不足以及缺乏个人防护设备,都可能对员工的生产力产生不利影响。在这种环境下工作的卫生工作者容易患诸如热应激、耳聋、人体工程学失调和窒息等职业病。卫生工作者的生产力和绩效可能会由于工作场所环境规划不当而下降,因为这会对他们的士气产生不利影响,并可能导致动机不良和没有工作满意度,因此,为工人提供安全的工作环境以确保健康,效率,生产力和良好绩效,这对管理层来说是一个挑战。保健工作者、工作和工作场所环境之间的关系非常重要,因此它成为工作本身的一个组成部分。管理层在确保积极的员工队伍方面的努力应该集中在员工的个人动机和工作环境的基础设施上。
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引用次数: 59
Functioning and Physical Activity after Spinal Cord Injury. 脊髓损伤后的功能和体力活动。
Pub Date : 2017-01-01 DOI: 10.4172/2329-6879.1000265
A. Šidlauskienė, A. Adomavičienė, Sigita Burokiene, J. Raistenskis
Background: Spinal cord injury (SCI) causes medical disorders and loss of functions, independence and physical activity in daily and social life. Primary inpatient rehabilitation after SCI onset is more focused on improving the physical state, physical capacity or developing functional independence and mobility skills. In long-term periods the functioning and socialization processes of people with SCI are improving each year naturally engaging and participating in various areas of everyday life. Objectives: The functioning and physical activity of people with SCI in different period of life: during inpatient SCI rehabilitation, after discharge in the long-term context (1–24 years after SCI on set). Material and Methods: A total of 194 people with SCI were participated in the research during 2007–2015. The study was carried out during inpatient rehabilitation in the Centre of Rehabilitation, Physical and Sports Medicine and during independent life skills and recreation camps in the Landscape Therapy and Recreation Centre (Palanga). Functional problems were assessed by the Comprehensive ICF Core Set for SCI. Socio-demographic characteristics, physical activity in everyday life in different periods after SCI onset were collected by a brief form of the Life Situation Questionnaire-revised. Results: SCI more often experienced young men, up to 34 years of age unmarried and having special or higher education. Prevailed traumatic, in thoracic level and AIS A type SCI. People with SCI actively participated in labour market: during 1–5 years after SCI employed participants increased from 17.8% to 30.2% and in subsequence periods increased significantly to 35.8% (p<0.05). In different period prevailed jobs at home, works to order and shortterm jobs. The comprehensive inpatient rehabilitation statistically significant improved activities and participation skills, especially in solving problems, mobility and self-care, but physical activity in everyday life more increased in 1–5 years period: participants more spent time in a wheelchair, actively participated in sports and household chores, more often went outside of the house and went out to manage social matters or to entertain. Conclusion: During inpatient rehabilitation precisely solved problems, favourable social conditions, promoted physically active lifestyle, assurance of social support and state policy could ensures successful functioning and better physical activity in everyday life and community in long-term context of people with SCI.
背景:脊髓损伤(SCI)会导致医学上的障碍以及日常和社会生活中功能、独立性和体力活动的丧失。SCI发病后的初级住院康复更侧重于改善身体状态、身体能力或发展功能独立性和活动技能。从长期来看,脊髓损伤患者的功能和社会化进程每年都在改善,自然地参与和参与日常生活的各个领域。目的:观察脊髓损伤患者在不同生命时期的功能和身体活动情况:在脊髓损伤住院康复期间、出院后的长期情况(脊髓损伤后1-24年)。材料与方法:2007-2015年共194例SCI患者参与研究。这项研究是在康复、物理和运动医学中心的住院康复期间以及在景观治疗和娱乐中心(Palanga)的独立生活技能和娱乐营地期间进行的。功能问题由SCI综合ICF核心集评估。通过修订后的生活状况问卷收集脊髓损伤发病后不同时期的社会人口学特征、日常生活体力活动情况。结果:SCI多发于有经验的青年男性,年龄不超过34岁,未婚,受过特殊或高等教育。主要是外伤性,在胸段和AIS A型脊髓损伤。脊髓损伤患者积极参与劳动力市场:脊髓损伤后1-5年内参与劳动力市场的人数从17.8%增加到30.2%,随后显著增加到35.8% (p<0.05)。在不同时期,流行在家工作、订制工作和短期工作。综合住院康复在统计学上显著提高了活动和参与技能,特别是在解决问题、行动能力和自我照顾方面,但在1-5年的时间里,日常生活中的体力活动增加得更多:参与者更多地花时间坐在轮椅上,积极参与体育运动和家务劳动,更多地走出家门,外出管理社交事务或娱乐。结论:在住院康复过程中,准确解决问题,良好的社会条件,促进积极的生活方式,社会支持的保证和国家政策可以确保脊髓损伤患者在长期的日常生活和社区中成功的功能和更好的身体活动。
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引用次数: 3
Stress Evaluation for the Prevention of Karoshi 预防过劳死的应力评价
Pub Date : 2016-12-31 DOI: 10.4172/2329-6879.1000257
N. Inoue
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引用次数: 0
The Prevalence of Work-Related Stress Complaints among Healthcare Workers for the Disabled Participating in a Workersâ Health Surveillance Program 参加WorkersâÂÂ健康监测计划的残疾人保健工作者中工作压力投诉的流行程度
Pub Date : 2016-12-31 DOI: 10.4172/2329-6879.1000256
Blekemolen Jrm, Hulshof Ctj, Sluiter Jk
Background:Healthcare workers are at high risk for developing mental health complaints due to frequent exposure to risk factors such as high work demands, low work control and high emotional demands. Aim: To be able to plan a job-specific workers’ health surveillance (WHS) program properly, knowledge about the number of workers that could be expected to be the target for interventions should be known. Therefore we studied the prevalence of stress and common mental health complaints among Dutch healthcare workers for the disabled who voluntarily participated in WHS in a large healthcare organization. Methods: In total, 615 workers positively responded to the invitation for the surveillance program; 449 workers were willing to participate in the research study by giving informed consent. We used validated scales to assess general stress, work-related fatigue, distress, burnout, and posttraumatic stress. The prevalence rate of each mental health complaint was calculated. Results: Information from 402 workers was eligible for analysis (response rate 65%). The mental health prevalence rates were: general stress 22%, work-related fatigue 17%, distress 12%, burnout 6%, post-traumatic stress complaints 8%. Conclusions: Common mental health complaints among healthcare workers of the disabled is common (one in every five workers) for general stress and work-related fatigue. Distress was found in about 10% of the workers. Burnout and post-traumatic stress was less common (1 in 19-20 workers). This study suggests that to ensure future workers’ health and quality of care, employers of healthcare workers of the disabled should be offered WHS with adequate intervention strategies periodically.
背景:卫生保健工作者由于经常暴露于高工作要求、低工作控制和高情绪要求等危险因素,是发生心理健康投诉的高危人群。目的:为了能够正确规划特定工作的工人健康监测(WHS)计划,应该了解可能成为干预目标的工人数量。因此,我们研究了荷兰一家大型医疗机构中自愿参加WHS的残疾医护人员的压力患病率和常见的精神健康投诉。方法:615名职工积极响应监测邀请;共有449名员工通过知情同意的方式参与了本次研究。我们使用有效的量表来评估一般压力、工作疲劳、痛苦、倦怠和创伤后压力。计算每种心理健康投诉的患病率。结果:402名工人的信息符合分析条件(回复率65%)。心理健康患病率为:一般压力22%,工作疲劳17%,苦恼12%,倦怠6%,创伤后应激投诉8%。结论:在残疾人卫生保健工作者中,常见的心理健康投诉是普遍的压力和与工作有关的疲劳(每五个工人中就有一个)。大约有10%的工人感到痛苦。倦怠和创伤后应激不太常见(19-20名工人中有1名)。本研究建议,为确保未来工人的健康和护理质量,应定期向残疾保健工作者的雇主提供适当的干预策略。
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引用次数: 6
The Long Term Impact between Chemical and Non-Chemical Stressors and Musculoskeletal Disorders on Iraqi Residents during the Gulf War 海湾战争期间伊拉克居民的化学和非化学应激和肌肉骨骼疾病的长期影响
Pub Date : 2016-12-28 DOI: 10.4172/2329-6879.1000255
H. Jamil, L. Douda, M. Jamil, Sharyzee Mohmad Shukri, T. Hamdan
Background: Gulf War (GW) yielded high rates of diseases and disorders to all who participated and those near these active warzones. Certain stressors play a direct role in the prevalence of musculoskeletal disorders. Objective: To determine the effects chemical (Ch) and non-chemical (NCh) stressors have on musculoskeletal disorders of those in and near active warzones and to inform primary care physicians about these adverse effects. Methods: A volunteer, validated, self-reporting survey was given to those who accompanied patients of clinics available to all in the Basrah and Messan provinces of Iraq. In order to examine the severity Ch and NCh stressors have on musculoskeletal disorders three zones were partitioned according to their distance from war zone. Also participants answered questions related to environmental exposure and self-rated health assessment. Results: We found a significant (P<0.001) difference between Ch and NCh exposure across the three zones. Specifically, 49% of those in zone 1 displayed one or more musculoskeletal disorders and those in zone 1 also selfreported having the highest prevalence of fair to poor health. There were also significant predictors to three Ch and two NCh exposures on musculoskeletal disorders. In addition, the likelihood the participants will have one or more musculoskeletal disorder doubles with each exposure which expands the description of. Conclusion: The study showed that the Ch and NCh stressors has a significantly impact on the prevalence of musculoskeletal disorder. In addition, this study found significant, previously unreported links between some of these Ch and NCh exposures and musculoskeletal disorders. This study reports the impact of Ch and NCh exposure on musculoskeletal disorders among non-military persons in active warzones.
背景:海湾战争(GW)产生了高发病率的疾病和失调的所有参与和那些附近这些活跃战区。某些压力源在肌肉骨骼疾病的流行中起着直接的作用。目的:确定化学(Ch)和非化学(NCh)应激源对活跃战区及其附近人群肌肉骨骼疾病的影响,并告知初级保健医生这些不良影响。方法:对伊拉克巴士拉省和梅桑省所有诊所的陪同患者进行了一项自愿的、有效的、自我报告的调查。为了研究Ch和NCh应激源对肌肉骨骼疾病的严重程度,根据其与战区的距离划分了三个区域。参与者还回答了与环境暴露和自评健康评估有关的问题。结果:我们发现三个区域的Ch和NCh暴露有显著差异(P<0.001)。具体而言,在1区有49%的人表现出一种或多种肌肉骨骼疾病,而在1区也自我报告健康状况不佳的比例最高。三次Ch和两次NCh暴露对肌肉骨骼疾病也有显著的预测作用。此外,参与者患上一种或多种肌肉骨骼疾病的可能性会随着每次接触而增加一倍这扩大了对。结论:研究表明,Ch和NCh应激源对肌肉骨骼疾病的患病率有显著影响。此外,这项研究还发现了一些Ch和NCh暴露与肌肉骨骼疾病之间的重要联系,这些联系以前未被报道过。本研究报告了Ch和NCh暴露对活跃战区非军事人员肌肉骨骼疾病的影响。
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引用次数: 0
Risk Assessment of Low-back Trouble among Male Tannery Workers: A Study of Kanpur City, India 印度坎普尔市男性制革厂工人腰背疾病风险评估
Pub Date : 2016-12-21 DOI: 10.4172/2329-6879.1000254
Gyan Ch, Rajeev Kashyap, S. Singh, Praveen Chokh
Background: Low Back Trouble (LBT) is very common among tannery workers, it occurs due to the bend posture of low back during the material transfer. Aim: This paper analyzes the prevalence of the self-reported LBT, its intensity and the potential risk factors among male tannery workers in Kanpur, India. Methods: Data for the study were obtained from a cross-sectional household survey conducted during the period January-June, 2015. The study was conducted in the Jajmau area of Kanpur and interviewed 284 tannery workers selected using scientifically developed study design using probability sampling approach. Univariate and bivariate analyses were used to assess the prevalence and intensity of LBT. Logistic regression analysis was used to identify the potential risk factors for contracting LBT. Results: Tannery workers aged 35 years and above had higher prevalence of LBT (57%). A significant association was observed between long working 11-12 h and the prevalence was (68%) of LBT. Among the workers aged 35+years, about a sixth (16%) reported daily recurrence of pain, and about a fifth (19%) experienced pain more than 10 times in the last 12 months. Tannery workers who were injured at work in the last 12 months was 2.09 and 2.42 times more likely to get LBT in Model-II and III. The adjusted effect of LBT was 1.8 times higher among tannery workers had severe mental health disorders. Conclusions: The results reveal statistically significant association of LBT with age of tannery workers, educational attainments, type of job contract, type of work, daily working hours, manual loading and unloading, workplace injury in last 12 months and mental health disorders.
背景:腰背问题(LBT)在制革工人中非常常见,它是由于在物料传递过程中腰背弯曲的姿势引起的。目的:分析印度坎普尔制革厂男性工人自我报告性行为的流行程度、强度及潜在危险因素。方法:研究数据来源于2015年1 - 6月进行的横断面入户调查。本研究在坎普尔的Jajmau地区进行,采用科学开发的研究设计,采用概率抽样方法,采访了284名制革厂工人。采用单因素和双因素分析来评估LBT的患病率和强度。采用Logistic回归分析确定感染LBT的潜在危险因素。结果:35岁及以上皮革厂工人LBT患病率较高(57%)。长时间工作11-12小时与LBT患病率(68%)之间存在显著关联。在35岁以上的工人中,约六分之一(16%)报告每天疼痛复发,约五分之一(19%)在过去12个月内疼痛超过10次。在模型ii和模型III中,过去12个月内工伤的制革厂工人患LBT的可能性分别是前者的2.09倍和2.42倍。在有严重精神健康障碍的制革工人中,LBT的调整效应高出1.8倍。结论:LBT与制革工人年龄、文化程度、劳动合同类型、工种、每日工作时数、手工装卸、近12个月工伤、心理健康障碍等因素有统计学意义。
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引用次数: 0
Occupational Dermatitis Caused by Vulcanization Accelerator of Gloves 手套硫化促进剂致职业性皮炎
Pub Date : 2016-12-16 DOI: 10.4172/2329-6879.1000253
M. Sugiura, K. Sugiura
Three cases of occupational dermatitis due to additives to rubber gloves are discussed. These cases were not a result of latex allergy and their dermatitis caused by vulcanization accelerator in rubber gloves. Most people have heard of latex allergy, and some people avoid the use of latex products. However, some rubber-related contact dermatitis of hands is caused by additives such as vulcanization accelerators, which are an essential additive for the production of rubber gloves. Our patients have used rubber, plastic or leather gloves for working, and the results of patch testing (using ICDRG criteria) showed positive reaction against vulcanization accelerators that were used in their gloves.
本文讨论了橡胶手套添加剂引起的职业性皮炎3例。这些病例并非乳胶过敏所致,而是由橡胶手套中的硫化促进剂引起的皮炎。大多数人都听说过乳胶过敏,有些人会避免使用乳胶制品。然而,一些与橡胶有关的手部接触性皮炎是由硫化促进剂等添加剂引起的,硫化促进剂是生产橡胶手套必不可少的添加剂。我们的患者使用橡胶,塑料或皮革手套进行工作,并且补丁测试的结果(使用ICDRG标准)显示对手套中使用的硫化促进剂有积极反应。
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引用次数: 2
A Case Study: Cholera 一个案例研究:霍乱
Pub Date : 2016-11-18 DOI: 10.4172/2329-6879.1000252
M. Z. Zafar, H. Gulzar
The bacterium named Vibrio cholerae is known to be the microorganism causing the deadly disease called as cholera. The first successful isolation of the V. cholerae bacterium occurs as an important instance in the history of medicine on the whole. New, more virulent and drug-resistant strains of V. cholerae continue to emerge, and the frequency of large protracted outbreaks with high case fatality ratios has increased, reflecting the lack of early detection, prevention and access to timely health care. The primary symptoms of cholera are profuse diarrhea (Looseness of bowl movement) and vomiting of clear fluid. Cholera is only one of many types of diarrhoeal disease, but its global importance is underlined by its inclusion in the WHO Communicable Disease Surveillance and Response (CSR) list. A patient who is infected with bacteria V. cholerae (Cholera is caused by the bacterium V. cholera, this bacterium is Gram stain-negative), by eating contaminated food and water and by drink water after watermelon. In most cases cholera can be successfully treated with oral rehydration therapy which is highly effective.
一种叫做霍乱弧菌的细菌被认为是导致致命疾病霍乱的微生物。霍乱弧菌的首次成功分离是整个医学史上的一个重要实例。新的、毒性更强的和耐药的霍乱弧菌菌株不断出现,大规模持续暴发的频率增加,病死率高,反映出缺乏早期发现、预防和及时获得保健。霍乱的主要症状是大量腹泻(大便松动)和呕吐透明液体。霍乱只是多种腹泻病中的一种,但将其列入世卫组织传染病监测和反应清单凸显了其全球重要性。感染霍乱弧菌的病人(霍乱是由霍乱弧菌引起的,这种细菌革兰氏染色阴性),通过食用受污染的食物和水,以及在吃完西瓜后喝水。在大多数情况下,通过口服补液疗法可以成功地治疗霍乱,这种疗法非常有效。
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引用次数: 3
Effort-Reward Imbalance, Mental Health and Accidents in Offshore PetroleumWorkers 海上石油工人的努力-回报不平衡、心理健康与事故
Pub Date : 2016-10-28 DOI: 10.4172/2329-6879.1000251
Juan Delgado-Rospigliosi, D. Carvalho, K. Radon, R. Herrera
Background: Occupational accidents are an aspect of concern in every industrial sector, including the offshore petroleum industry. Little is known about the associations between psychosocial distress and the prevalence of incidents in this sector. Aim: To evaluate the association between effort-reward imbalance (ERI), psychological distress, and the prevalence of occupational incidents (accidents and near misses) in offshore petroleum workers in Peru. Methods: This cross sectional study included 242 (response rate of 67%) male offshore petroleum workers in a gas and oil petroleum company in Peru. Workers answered the short version of the European Working Condition Survey, the Effort-Reward-Imbalance (ERI) questionnaire; Goldbergs general health questionnaire (GHQ-12) and prevalence of occupational accidents or near-miss were reported. After imputation, the association between psychological distress, working activity and working stability and occupational incidents (accidents or near misses) was assessed. Result: The prevalence of effort-reward imbalance was 30%, fourteen percent reported distress based on GHQ-12. The 12-month prevalence of occupational incidents was 9%. Adjusted odds ratio for incidents was 4.3 (95% CI, 1.3-14.0) for those with psychological distress compared to those without it. Conclusion: Psychological distress was related to the prevalence of occupational incidents in this offshore petroleum population. Actions on employment and working conditions to prevent psychosocial distress and the incidence of mental health problems should be implemented for the prevention of occupational accidents in this industry.
背景:职业事故是每个工业部门都关心的一个方面,包括海上石油工业。人们对社会心理困扰与这一部门事件发生率之间的关系知之甚少。目的:评估秘鲁海上石油工人的努力-回报不平衡(ERI)、心理困扰和职业事件(事故和未遂事故)发生率之间的关系。方法:本横断面研究包括242名秘鲁某天然气和石油公司的男性海上石油工人(应答率67%)。工人们回答了欧洲工作条件调查的简短版本,即努力-奖励-不平衡(ERI)问卷;报告了戈德伯格一般健康问卷(GHQ-12)和职业事故或未遂事故的发生率。归因后,评估心理困扰、工作活动和工作稳定性与职业事故(意外或未遂)之间的关系。结果:努力-回报失衡的患病率为30%,14%的人根据GHQ-12报告了痛苦。12个月职业事故发生率为9%。与没有心理困扰的人相比,有心理困扰的人发生事件的调整优势比为4.3 (95% CI, 1.3-14.0)。结论:心理困扰与近海石油人群职业事故发生率有关。应采取关于就业和工作条件的行动,防止心理社会痛苦和精神健康问题的发生,以预防该行业的职业事故。
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引用次数: 0
The Importance of Catalysts for a Healthy Life 催化剂对健康生活的重要性
Pub Date : 2016-10-27 DOI: 10.4172/2329-6879.1000250
Rafet Kilinçarslan
Recently, it has begun to turn to cleaner technologies with the development of environmental awareness all over the world. This orientation was intensified efforts to minimize the level of waste in the industry. Use of catalyst for lowering the minimum level of waste is an important place. The aim of the clean technology is to increase the efficiency and selectivity catalyst used. Also, it led to isolation of the product from the catalyst to economical way. At least one metalcarbon bond which is defined as the chemistry of compounds containing organometallic chemistry is a very rapidly developing science because of the removing the boundaries between organic and inorganic chemistry and also the direct relationship with the catalysts. Homogeneous catalysts have advantages over heterogeneous catalysts. These advantages, it can be summarized as its low production costs due to take place under relatively mild conditions of the reaction; be selectivity of reaction and do not by-product; can be made fine adjustments on the catalyst which known structure (Figure 1).
最近,随着世界各地环保意识的发展,它开始转向更清洁的技术。这一方向是加强努力,尽量减少工业中的浪费水平。使用催化剂降低废物的最低水平是一个重要的地方。清洁技术的目的是提高催化剂的使用效率和选择性。同时也为从催化剂中分离产物提供了经济可行的途径。至少有一个金属碳键被定义为含有有机金属化学的化合物的化学,由于消除了有机化学和无机化学之间的界限以及与催化剂的直接关系,金属化学是一门非常迅速发展的科学。均相催化剂比非均相催化剂有优点。这些优点,可以概括为其生产成本低,由于在相对温和的条件下发生的反应;反应选择性强,不产生副产物;可以对已知结构的催化剂进行微调(图1)。
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引用次数: 0
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Occupational medicine and health affairs
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