首页 > 最新文献

Occupational medicine最新文献

英文 中文
90 years SOM then and now 90 年 SOM 的过去和现在
Pub Date : 2024-09-14 DOI: 10.1093/occmed/kqae084
Paul J Nicholson, Neil Greenberg
A past and the current President of the Society of Occupational Medicine describe the socio-political conditions that led to the formation of the Association of Industrial Medical Officers in 1935. They discuss milestones in its development—the formation of regional groups, the publication of a journal, the change of name and the Society’s status today as a multidisciplinary learned society of health professionals from different backgrounds who have an interest in occupational health/medicine.
职业医学学会的前任和现任会长描述了导致工业医务人员协会于 1935 年成立的社会政治条件。他们讨论了协会发展过程中的里程碑事件--地区小组的成立、期刊的出版、名称的变更,以及协会今天作为一个多学科学会的地位,它由来自不同背景、对职业健康/医学感兴趣的医疗专业人士组成。
{"title":"90 years SOM then and now","authors":"Paul J Nicholson, Neil Greenberg","doi":"10.1093/occmed/kqae084","DOIUrl":"https://doi.org/10.1093/occmed/kqae084","url":null,"abstract":"A past and the current President of the Society of Occupational Medicine describe the socio-political conditions that led to the formation of the Association of Industrial Medical Officers in 1935. They discuss milestones in its development—the formation of regional groups, the publication of a journal, the change of name and the Society’s status today as a multidisciplinary learned society of health professionals from different backgrounds who have an interest in occupational health/medicine.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A better approach to mitigate the risk of airborne infections in workplaces. 降低工作场所空气传播感染风险的更好方法。
Pub Date : 2024-09-13 DOI: 10.1093/occmed/kqae083
Raymond M Agius
{"title":"A better approach to mitigate the risk of airborne infections in workplaces.","authors":"Raymond M Agius","doi":"10.1093/occmed/kqae083","DOIUrl":"https://doi.org/10.1093/occmed/kqae083","url":null,"abstract":"","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142251933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bauxite mine and alumina refinery workers: mortality and cancer risk 铝土矿和氧化铝精炼厂工人:死亡率和患癌风险
Pub Date : 2024-09-11 DOI: 10.1093/occmed/kqae069
N Kinsman, A Del Monaco, C Dimitriadis, S Xie, G Benke, M R Sim, K Walker-Bone
Background Aluminium industry workers are at risk of long-term health consequences. Aims To investigate mortality and cancer incidence in bauxite mine and alumina refinery workers. Methods A pre-existing cohort of workers was re-linked with the Australian National Death Index, and the Australian Cancer Database to provide additional death (7 years) and cancer (9 years) data. Standardized mortality ratios (SMRs) and standardized incidence rates (SIRs) were estimated by job category, duration of employment and time since first employment. Results Linkage was performed for 6935 (6207 male) workers. Compared with the general population, there was a reduced or similar risk of death for mine/refinery workers for all causes except mesothelioma which was increased amongst male production workers [SMR 2.42, 95% CI 1.11–4.60]. Mesothelioma incidence was also increased amongst males [SIR 2.50, 95% CI 1.60–3.71]. Male office workers had a greater incidence of prostate cancer [SIR 1.30, 95% CI 1.06–1.57] and thyroid cancer [SIR 3.47, 95% CI 1.66–6.38]. Melanoma incidence was increased in female office workers [SIR 2.27, 95% CI 1.36–3.54]. Lip cancer incidence was increased in male maintenance/production workers [SIR 2.04, 95% CI 1.02–3.65]. Overall cancer incidence was otherwise similar to the general Australian population. Conclusions Overall risk of death and incidence of cancer for bauxite mine and alumina refinery workers was similar to the general population. Incidence and risk of death from mesothelioma were higher, likely due to historic asbestos exposure in this and other industries. The increased risk of melanoma, lip, prostate and thyroid cancers requires further investigation.
背景 铝业工人面临长期健康风险。目的 调查铝土矿和氧化铝精炼厂工人的死亡率和癌症发病率。方法 将先前存在的工人队列与澳大利亚国家死亡指数和澳大利亚癌症数据库重新链接,以提供额外的死亡(7 年)和癌症(9 年)数据。按工作类别、就业时间和首次就业后的时间估算了标准化死亡率(SMR)和标准化发病率(SIR)。结果 对 6935 名工人(6207 名男性)进行了链接。与普通人群相比,矿山/炼油厂工人因各种原因死亡的风险降低或相似,但间皮瘤在男性生产工人中的死亡风险增加[SMR 2.42,95% CI 1.11-4.60]。男性间皮瘤的发病率也有所增加[SIR 2.50,95% CI 1.60-3.71]。男性办公室工作人员的前列腺癌[SIR 1.30,95% CI 1.06-1.57]和甲状腺癌[SIR 3.47,95% CI 1.66-6.38]发病率较高。黑色素瘤的发病率在女性办公室工作人员中有所增加[SIR 2.27,95% CI 1.36-3.54]。男性维修/生产工人的唇癌发病率增加[SIR 2.04,95% CI 1.02-3.65]。总体癌症发病率与澳大利亚总人口相似。结论 铝土矿和氧化铝精炼厂工人的总体死亡风险和癌症发病率与普通人群相似。间皮瘤的发病率和死亡风险较高,这可能是由于该行业和其他行业历史上曾接触过石棉。患黑色素瘤、唇癌、前列腺癌和甲状腺癌的风险增加,需要进一步调查。
{"title":"Bauxite mine and alumina refinery workers: mortality and cancer risk","authors":"N Kinsman, A Del Monaco, C Dimitriadis, S Xie, G Benke, M R Sim, K Walker-Bone","doi":"10.1093/occmed/kqae069","DOIUrl":"https://doi.org/10.1093/occmed/kqae069","url":null,"abstract":"Background Aluminium industry workers are at risk of long-term health consequences. Aims To investigate mortality and cancer incidence in bauxite mine and alumina refinery workers. Methods A pre-existing cohort of workers was re-linked with the Australian National Death Index, and the Australian Cancer Database to provide additional death (7 years) and cancer (9 years) data. Standardized mortality ratios (SMRs) and standardized incidence rates (SIRs) were estimated by job category, duration of employment and time since first employment. Results Linkage was performed for 6935 (6207 male) workers. Compared with the general population, there was a reduced or similar risk of death for mine/refinery workers for all causes except mesothelioma which was increased amongst male production workers [SMR 2.42, 95% CI 1.11–4.60]. Mesothelioma incidence was also increased amongst males [SIR 2.50, 95% CI 1.60–3.71]. Male office workers had a greater incidence of prostate cancer [SIR 1.30, 95% CI 1.06–1.57] and thyroid cancer [SIR 3.47, 95% CI 1.66–6.38]. Melanoma incidence was increased in female office workers [SIR 2.27, 95% CI 1.36–3.54]. Lip cancer incidence was increased in male maintenance/production workers [SIR 2.04, 95% CI 1.02–3.65]. Overall cancer incidence was otherwise similar to the general Australian population. Conclusions Overall risk of death and incidence of cancer for bauxite mine and alumina refinery workers was similar to the general population. Incidence and risk of death from mesothelioma were higher, likely due to historic asbestos exposure in this and other industries. The increased risk of melanoma, lip, prostate and thyroid cancers requires further investigation.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ECHO OEM virtual community of learning for primary care. ECHO OEM 初级保健虚拟学习社区。
Pub Date : 2024-09-10 DOI: 10.1093/occmed/kqae067
A D Furlan,C Severin,S Harbin,E Irvin,Nancy Carnide,Behdin Nowrouzi-Kia,Sara Macdonald,Aaron Thompson,Qing Liao,Peter Smith,Anil Adisesh
BACKGROUNDHealth issues caused and/or exacerbated by work are common in patients seeking primary health care. Yet, primary care providers generally receive little or no training in the assessment and management of occupational injuries and illnesses.AIMSTo conduct a pilot project to develop, implement and evaluate a programme to teach occupational and environmental medicine to primary healthcare providers.METHODSWe followed the Extensions for Community Healthcare Outcomes (ECHO) model to connect primary healthcare providers with experts in Occupational and Environmental Medicine (OEM). We employed an observational pre-post study design to assess changes in self-efficacy, knowledge, attitudes and beliefs towards OEM.RESULTSFrom September 2021 to June 2022, we offered two cycles of 12 sessions each. Participants came from medicine, nursing, psychology, occupational and physical therapy, chiropractic, kinesiology, social work, and pharmacy. Sixty-seven participants completed both pre- and post-ECHO questionnaires. Self-efficacy and knowledge ratings significantly increased after attendance at ECHO compared to the pre-ECHO responses. Attitudes and beliefs were unchanged in most of the items assessed. Participants rated their satisfaction with ECHO between 59% and 97%.CONCLUSIONSOur pilot study demonstrated the challenges in implementing the first ECHO OEM in Canada. Findings show acceptability and satisfaction, improved self-efficacy, and small increases in knowledge, but not overall attitudes and beliefs. There is a need to understand barriers to participation and to target participants with less knowledge and experience in occupational and environmental medicine.
背景工作引起和/或加剧的健康问题在寻求初级保健的患者中很常见。目的开展一项试点项目,制定、实施并评估一项向初级医疗保健提供者传授职业与环境医学知识的计划。方法我们采用社区医疗保健成果扩展(ECHO)模式,将初级医疗保健提供者与职业与环境医学(OEM)专家联系起来。我们采用了观察性前-后研究设计,以评估对 OEM 的自我效能、知识、态度和信念的变化。参与者来自医学、护理学、心理学、职业和物理治疗学、脊骨神经科学、运动学、社会工作和药学。67 名参与者填写了 ECO 前和 ECO 后的调查问卷。与参加 ECHO 前的问卷调查相比,参加 ECHO 后的自我效能感和知识水平有了显著提高。大部分评估项目的态度和信念没有变化。参与者对 ECHO 的满意度在 59% 到 97% 之间。研究结果显示了可接受性和满意度、自我效能感的提高以及知识的小幅增长,但总体态度和信念并没有提高。有必要了解参与的障碍,并以职业和环境医学知识和经验较少的参与者为目标。
{"title":"ECHO OEM virtual community of learning for primary care.","authors":"A D Furlan,C Severin,S Harbin,E Irvin,Nancy Carnide,Behdin Nowrouzi-Kia,Sara Macdonald,Aaron Thompson,Qing Liao,Peter Smith,Anil Adisesh","doi":"10.1093/occmed/kqae067","DOIUrl":"https://doi.org/10.1093/occmed/kqae067","url":null,"abstract":"BACKGROUNDHealth issues caused and/or exacerbated by work are common in patients seeking primary health care. Yet, primary care providers generally receive little or no training in the assessment and management of occupational injuries and illnesses.AIMSTo conduct a pilot project to develop, implement and evaluate a programme to teach occupational and environmental medicine to primary healthcare providers.METHODSWe followed the Extensions for Community Healthcare Outcomes (ECHO) model to connect primary healthcare providers with experts in Occupational and Environmental Medicine (OEM). We employed an observational pre-post study design to assess changes in self-efficacy, knowledge, attitudes and beliefs towards OEM.RESULTSFrom September 2021 to June 2022, we offered two cycles of 12 sessions each. Participants came from medicine, nursing, psychology, occupational and physical therapy, chiropractic, kinesiology, social work, and pharmacy. Sixty-seven participants completed both pre- and post-ECHO questionnaires. Self-efficacy and knowledge ratings significantly increased after attendance at ECHO compared to the pre-ECHO responses. Attitudes and beliefs were unchanged in most of the items assessed. Participants rated their satisfaction with ECHO between 59% and 97%.CONCLUSIONSOur pilot study demonstrated the challenges in implementing the first ECHO OEM in Canada. Findings show acceptability and satisfaction, improved self-efficacy, and small increases in knowledge, but not overall attitudes and beliefs. There is a need to understand barriers to participation and to target participants with less knowledge and experience in occupational and environmental medicine.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of job satisfaction and related factors in wood extraction workers in Gilan province 吉兰省木材采伐工人工作满意度及相关因素评估
Pub Date : 2024-07-21 DOI: 10.18502/tkj.v16i2.16088
Mokhtari F, Hemmati V, Firouzan Ah, Tarabian Sy
Introduction: occupational accidents are caused by ignorance of occupational health and safety recommendations, due to the high rate of accidents in the industry of cutting and extracting wood from the forest, this study is necessary to evaluate job satisfaction. Materials and Methods: In this research, job satisfaction was used as a dependent variable and independent variables included age, educational and employment status, type of work, and duration of employment. To determine the conditions of excessive fatigue among forest workers, the index of symptoms of excessive fatigue was used. The number of 100 workers was investigated by a questionnaire, the comparison of independent variables affecting the satisfaction or dissatisfaction of workers with work using discriminant analysis and the Wilks Lambda coefficient, and the comparison of the average opinions of people from different work groups regarding the work situation using Friedman's test was performed. Results: The four variables of duration of employment, age status of workers, employment status, and type of work are suitable for separating two groups satisfied with work and dissatisfied with work. The assessment of complaint rate showed that questions I take care of my family, I am very worried about my health and I am dissatisfied with many things with the highest rates of 84.66%, 70.66%, and 61.33% respectively. They took the complaint to themselves. The results showed that the highest amount of fatigue accumulation index is related to two groups chronic fatigue and general fatigue. The results of the present study show that 47% of forest workers are illiterate in their educational status, which requires a training course for workers to work with cutting tools and machines. The results showed that 41 percent of the people studied liked their jobs. Conclusion: Personal protective equipment is considered a work tool without which it is impossible to do the desired job. Training classes should be held periodically by the safety department for workers and supervisors when needed.
导言:职业事故是由于不了解职业健康和安全建议造成的,由于森林砍伐和采伐木材行业的事故发生率较高,因此有必要对工作满意度进行评估。材料和方法:在本研究中,工作满意度被用作因变量,自变量包括年龄、教育和就业状况、工作类型和就业时间。为了确定林业工人过度疲劳的情况,使用了过度疲劳症状指数。通过问卷调查了 100 名工人,利用判别分析和 Wilks Lambda 系数比较了影响工人工作满意度或不满意度的自变量,并利用弗里德曼检验比较了不同工作群体的人对工作状况的平均看法。结果显示就业时间、工人年龄状况、就业状况和工作类型这四个变量适用于区分对工作满意和不满意的两组人。对投诉率的评估显示,"我照顾家庭"、"我很担心我的健康 "和 "我对很多事情不满意 "这三个问题的投诉率最高,分别为 84.66%、70.66% 和 61.33%。他们向自己投诉。结果显示,疲劳积累指数最高的是慢性疲劳和一般疲劳两组。本研究结果显示,47% 的林业工人在教育状况上是文盲,这就要求工人在使用切削工具和机器工作时必须参加培训课程。结果显示,41%的被调查者喜欢自己的工作。结论:个人防护设备被认为是一种工作工具,没有它就不可能完成预期的工作。必要时,安全部应定期为工人和主管举办培训班。
{"title":"Evaluation of job satisfaction and related factors in wood extraction workers in Gilan province","authors":"Mokhtari F, Hemmati V, Firouzan Ah, Tarabian Sy","doi":"10.18502/tkj.v16i2.16088","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16088","url":null,"abstract":"Introduction: occupational accidents are caused by ignorance of occupational health and safety recommendations, due to the high rate of accidents in the industry of cutting and extracting wood from the forest, this study is necessary to evaluate job satisfaction. \u0000Materials and Methods: In this research, job satisfaction was used as a dependent variable and independent variables included age, educational and employment status, type of work, and duration of employment. To determine the conditions of excessive fatigue among forest workers, the index of symptoms of excessive fatigue was used. The number of 100 workers was investigated by a questionnaire, the comparison of independent variables affecting the satisfaction or dissatisfaction of workers with work using discriminant analysis and the Wilks Lambda coefficient, and the comparison of the average opinions of people from different work groups regarding the work situation using Friedman's test was performed. \u0000Results: The four variables of duration of employment, age status of workers, employment status, and type of work are suitable for separating two groups satisfied with work and dissatisfied with work. The assessment of complaint rate showed that questions I take care of my family, I am very worried about my health and I am dissatisfied with many things with the highest rates of 84.66%, 70.66%, and 61.33% respectively. They took the complaint to themselves. The results showed that the highest amount of fatigue accumulation index is related to two groups chronic fatigue and general fatigue. The results of the present study show that 47% of forest workers are illiterate in their educational status, which requires a training course for workers to work with cutting tools and machines. The results showed that 41 percent of the people studied liked their jobs. \u0000Conclusion: Personal protective equipment is considered a work tool without which it is impossible to do the desired job. Training classes should be held periodically by the safety department for workers and supervisors when needed.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"45 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141817934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
1 1
Pub Date : 2024-07-21 DOI: 10.18502/tkj.v16i2.16085
1
1
1
{"title":"1","authors":"1","doi":"10.18502/tkj.v16i2.16085","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16085","url":null,"abstract":"<jats:p>1</jats:p>","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"44 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intention to Leave the Service in Nurses During the COVID-19 Pandemic: A Systematic Review Intention to Leave the Service in Nurses During the COVID-19 Pandemic: A Systematic Review COVID-19 大流行期间护士的离职意向:系统回顾 COVID-19 大流行期间护士的离职意向:系统回顾
Pub Date : 2024-07-21 DOI: 10.18502/tkj.v16i2.16092
Sharifian P
Introduction: Leaving the profession, especially during the COVID-19 pandemic, has become one of the global challenges raised by healthcare service providers. This study aimed to review the tendency of nurses to leave their service during the COVID-19 pandemic. Materials and Methods: In this systematic review, all the studies conducted inside and outside the country during the period of the COVID-19 pandemic from 2019 to 2022 using the keywords of leaving the service of nurses, leaving the service in COVID, nursing in Covid, willingness to leave the service in Covid, the tendency to leave service, leaving the service of nurses in Covid, resignation from a nursing job, covid and leaving service, from the internal databases Google Scholar, Iranmedex, Magiran, Nindex, MediLib and Noor magazines and external databases WoS, ProQuest, PubMed, Scopus. Were placed the articles that met the inclusion criteria were selected and finally analyzed more closely. Results: In the extensive search for information, 127 articles were obtained, and 10 articles were finally selected and evaluated during the screening process and review of the inclusion criteria. The results of this review showed that fear of disease, not having enough immunity, having children, not being able to afford personal equipment, inappropriate salary and benefits compared to the difficulty of work, fear of transmitting infection to the family, lack of support from officials, working in the Covid department and the heavy workload during the Covid-19 era was cited as one of the most important reasons for leaving a job. Conclusion: Choosing life solutions, financial and occupational safety, and more effective support of the authorities towards nurses are among the solutions that can help to continue the nursing profession, especially during crises like COVID-19.
导言:护士离职,尤其是在 COVID-19 大流行期间离职,已成为医疗服务提供者面临的全球性挑战之一。本研究旨在探讨 COVID-19 大流行期间护士的离职倾向。材料与方法:在本系统综述中,以护士离职、COVID 中离职、Covid 中护理、Covid 中离职意愿为关键词,对 2019 年至 2022 年 COVID-19 大流行期间国内外进行的所有研究进行了综述、从内部数据库 Google Scholar、Iranmedex、Magiran、Nindex、MediLib 和 Noor 杂志以及外部数据库 WoS、ProQuest、PubMed 和 Scopus 中选取离职倾向、Covid 中的护士离职、护士辞职、Covid 和离职。筛选出符合纳入标准的文章,并对其进行深入分析。结果:在广泛搜索信息的过程中,共获得 127 篇文章,在筛选过程中和审查纳入标准时,最终选择并评估了 10 篇文章。审查结果显示,害怕疾病、没有足够的免疫力、有孩子、买不起个人设备、与工作难度相比工资和福利不合适、害怕传染给家人、缺乏官员的支持、在 Covid 部门工作以及 Covid-19 时代工作量繁重被认为是离职的最重要原因之一。结论选择生活解决方案、财务和职业安全,以及当局对护士更有效的支持,都是有助于延续护士职业的解决方案,尤其是在 COVID-19 等危机期间。
{"title":"Intention to Leave the Service in Nurses During the COVID-19 Pandemic: A Systematic Review Intention to Leave the Service in Nurses During the COVID-19 Pandemic: A Systematic Review","authors":"Sharifian P","doi":"10.18502/tkj.v16i2.16092","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16092","url":null,"abstract":"Introduction: Leaving the profession, especially during the COVID-19 pandemic, has become one of the global challenges raised by healthcare service providers. This study aimed to review the tendency of nurses to leave their service during the COVID-19 pandemic. \u0000Materials and Methods: In this systematic review, all the studies conducted inside and outside the country during the period of the COVID-19 pandemic from 2019 to 2022 using the keywords of leaving the service of nurses, leaving the service in COVID, nursing in Covid, willingness to leave the service in Covid, the tendency to leave service, leaving the service of nurses in Covid, resignation from a nursing job, covid and leaving service, from the internal databases Google Scholar, Iranmedex, Magiran, Nindex, MediLib and Noor magazines and external databases WoS, ProQuest, PubMed, Scopus. Were placed the articles that met the inclusion criteria were selected and finally analyzed more closely. \u0000Results: In the extensive search for information, 127 articles were obtained, and 10 articles were finally selected and evaluated during the screening process and review of the inclusion criteria. The results of this review showed that fear of disease, not having enough immunity, having children, not being able to afford personal equipment, inappropriate salary and benefits compared to the difficulty of work, fear of transmitting infection to the family, lack of support from officials, working in the Covid department and the heavy workload during the Covid-19 era was cited as one of the most important reasons for leaving a job. \u0000Conclusion: Choosing life solutions, financial and occupational safety, and more effective support of the authorities towards nurses are among the solutions that can help to continue the nursing profession, especially during crises like COVID-19.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"33 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of exposure to recreational noise on hearing threshold levels in medical students 暴露于娱乐噪音对医学生听阈水平的影响
Pub Date : 2024-07-21 DOI: 10.18502/tkj.v16i2.16089
Neshati A, Davari Mh, Mola Sadeghi A, Vakili M, Mehrparvar Ah
Introduction: Noise exposure may cause a kind of sensorineural hearing loss. Noise-induced hearing loss is known as an occupational disease, but the effect of exposure to recreational noise is not completely understood. This study aimed to assess the impact of exposure to recreational noise on hearing status. Materials and Methods: This was a cross-sectional study of 304 medical students. The participants were randomly selected from medical students in years 4 to 6 and were divided into two groups regarding their exposure to recreational noise. Conventional audiometry was done for all participants, and hearing thresholds at different frequencies were compared between two groups. Data were analyzed using SPSS (ver. 20) using Kolmogorov-Smirnov, Mann-Whitney U, and chi-square tests. Results: The mean age of the participants was 23.18±3.14 years. In total, 74.7% of participants were exposed to recreational noise. The mean duration of noise exposure was 4.67±2.91 years. The most frequent exposure was to music via a headphone or hands-free (27.3%). All hearing thresholds in both groups were within the normal range and there was no significant difference between the two groups regarding hearing thresholds. Conclusion: The results of the present study showed that any exposure type of recreational noise (music, eulogy, or lecture) in the young population did not affect hearing thresholds.
导言噪声暴露可能会导致一种感音神经性听力损失。众所周知,噪声引起的听力损失是一种职业病,但人们对暴露于娱乐噪声的影响还不完全了解。本研究旨在评估暴露于娱乐噪声对听力状况的影响。材料和方法:这是对 304 名医学生进行的横断面研究。研究人员从 4 至 6 年级的医科学生中随机抽取,根据他们暴露于娱乐噪音的程度分为两组。对所有参与者进行常规听力测定,并比较两组不同频率的听阈。数据使用 SPSS(20 版)进行分析,采用 Kolmogorov-Smirnov、Mann-Whitney U 和卡方检验。结果参与者的平均年龄为(23.18±3.14)岁。总共有 74.7% 的参与者暴露于娱乐性噪声。接触噪声的平均时间为(4.67±2.91)年。最常接触的是通过耳机或免提听音乐(27.3%)。两组参与者的所有听阈均在正常范围内,两组之间的听阈没有显著差异。结论本研究结果表明,年轻人接触任何类型的娱乐噪音(音乐、悼词或演讲)都不会影响听阈。
{"title":"Effect of exposure to recreational noise on hearing threshold levels in medical students","authors":"Neshati A, Davari Mh, Mola Sadeghi A, Vakili M, Mehrparvar Ah","doi":"10.18502/tkj.v16i2.16089","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16089","url":null,"abstract":"Introduction: Noise exposure may cause a kind of sensorineural hearing loss. Noise-induced hearing loss is known as an occupational disease, but the effect of exposure to recreational noise is not completely understood. This study aimed to assess the impact of exposure to recreational noise on hearing status. \u0000Materials and Methods: This was a cross-sectional study of 304 medical students. The participants were randomly selected from medical students in years 4 to 6 and were divided into two groups regarding their exposure to recreational noise. Conventional audiometry was done for all participants, and hearing thresholds at different frequencies were compared between two groups. Data were analyzed using SPSS (ver. 20) using Kolmogorov-Smirnov, Mann-Whitney U, and chi-square tests. \u0000Results: The mean age of the participants was 23.18±3.14 years. In total, 74.7% of participants were exposed to recreational noise. The mean duration of noise exposure was 4.67±2.91 years. The most frequent exposure was to music via a headphone or hands-free (27.3%). All hearing thresholds in both groups were within the normal range and there was no significant difference between the two groups regarding hearing thresholds. \u0000Conclusion: The results of the present study showed that any exposure type of recreational noise (music, eulogy, or lecture) in the young population did not affect hearing thresholds.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"48 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the relationship between the establishment of the safety, health and environment management system on the performance of employees of the coking complex and refineries - Iranian Zarand Steel Company 评价建立安全、健康和环境管理体系与焦化联合企业和精炼厂员工绩效之间的关系 - 伊朗扎兰德钢铁公司
Pub Date : 2024-07-21 DOI: 10.18502/tkj.v16i2.16090
Sadra Abarghoei N, Akhawan A, Sarhadi Amjaz S, Soltani R
Introduction: The present research was conducted with the aim of investigating the relationship between the establishment of safety, health and environment management system on the performance of coking complex employees and refineries of Iranian Zarand Steel Company. Therefore, at first, the dimensions and issues of establishing the safety, health and environment management system and the performance of employees were identified, and then the relationships between the identified variables were presented. Materials and Methods: Two standard questionnaires were used to collect data related to the measurement of research variables, which in total include 2 structures, 3 dimensions, and 20 questions. The content validity method was used to check the validity of the questionnaire. Cronbach's alpha coefficient was calculated as 0.863, which indicated the reliability of the questionnaire. The statistical population of this research includes the employees and experts of Iranian Zarand Steel Company. After ensuring the validity and reliability of the designed scales based on the calculations, the questionnaires were distributed to a sample of 260 people. To check the demographic data, descriptive statistics, K-S test to determine the normality of the data using SPSS24 software, to determine the construct validity using the confirmatory factor analysis test and for the relationships between the variables using the structural equation model using statistical software 3 SMART-PLS was performed. Results: The establishment of the safety, health and environment management system on the performance of employees with a factor load of 0.623 and the T-statistic of the test 9.803, as well as the safety, health and environment management system on the dimensions of employee performance, including increasing knowledge and quality of work, a better relationship with Colleagues, improvement of individual characteristics, development of skills and better supervision, improvement of creativity and improvement of customer orientation of Zarand Iranian Steel Company with factor loading of 0.555, 0.664, 0.430, 0.436, 0.424 and 0.461 respectively and the T-statistics of the test have a significant relationship of 8.086, 12.337, 5.069, 5.792, 5.055 and 6.629. Conclusion: The findings show that the establishment of the HSE management system has a significant effect on the performance of employees and its dimensions, including the quality of occupational health and safety rules, practical compliance with the law, management and cooperation, workplace processes, the use of personal protective equipment and empowering the behavior of managers and employees.
引言本研究旨在调查安全、健康和环境管理系统的建立与伊朗扎兰德钢铁公司炼焦联合企业员工和精炼厂绩效之间的关系。因此,首先确定了建立安全、健康和环境管理体系与员工绩效的维度和问题,然后介绍了确定的变量之间的关系。材料和方法:使用两份标准问卷收集与研究变量测量相关的数据,共包括 2 个结构、3 个维度和 20 个问题。采用内容效度法检验问卷的有效性。经计算,Cronbach's alpha 系数为 0.863,表明问卷的可靠性。本次研究的统计对象包括伊朗扎兰德钢铁公司的员工和专家。根据计算结果确保所设计量表的有效性和可靠性后,向 260 名样本发放了调查问卷。为了检查人口统计学数据,使用 SPSS24 软件进行了描述性统计、K-S 检验以确定数据的正态性,使用确认性因素分析检验确定构建有效性,并使用统计软件 3 SMART-PLS 的结构方程模型确定变量之间的关系。结果安全、健康和环境管理体系的建立对员工绩效的影响因子载荷为 0.623,检验的 T 统计量为 9.803,以及安全、健康和环境管理体系对伊朗扎兰德钢铁公司的员工绩效维度的影响,包括增加知识和提高工作质量、改善与同事的关系、改善个人特征、发展技能和加强监督、提高创造力和改善客户导向,因子载荷分别为 0.检验的 T 统计量具有显著关系,分别为 8.086、12.337、5.069、5.792、5.055 和 6.629。结论研究结果表明,HSE 管理体系的建立对员工的绩效及其维度(包括职业健康与安全规则的质量、切实遵守法律、管理与合作、工作场所流程、个人防护设备的使用以及赋予管理者和员工的行为)有显著影响。
{"title":"Evaluation of the relationship between the establishment of the safety, health and environment management system on the performance of employees of the coking complex and refineries - Iranian Zarand Steel Company","authors":"Sadra Abarghoei N, Akhawan A, Sarhadi Amjaz S, Soltani R","doi":"10.18502/tkj.v16i2.16090","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16090","url":null,"abstract":"Introduction: The present research was conducted with the aim of investigating the relationship between the establishment of safety, health and environment management system on the performance of coking complex employees and refineries of Iranian Zarand Steel Company. Therefore, at first, the dimensions and issues of establishing the safety, health and environment management system and the performance of employees were identified, and then the relationships between the identified variables were presented. \u0000Materials and Methods: Two standard questionnaires were used to collect data related to the measurement of research variables, which in total include 2 structures, 3 dimensions, and 20 questions. The content validity method was used to check the validity of the questionnaire. Cronbach's alpha coefficient was calculated as 0.863, which indicated the reliability of the questionnaire. The statistical population of this research includes the employees and experts of Iranian Zarand Steel Company. After ensuring the validity and reliability of the designed scales based on the calculations, the questionnaires were distributed to a sample of 260 people. To check the demographic data, descriptive statistics, K-S test to determine the normality of the data using SPSS24 software, to determine the construct validity using the confirmatory factor analysis test and for the relationships between the variables using the structural equation model using statistical software 3 SMART-PLS was performed. \u0000Results: The establishment of the safety, health and environment management system on the performance of employees with a factor load of 0.623 and the T-statistic of the test 9.803, as well as the safety, health and environment management system on the dimensions of employee performance, including increasing knowledge and quality of work, a better relationship with Colleagues, improvement of individual characteristics, development of skills and better supervision, improvement of creativity and improvement of customer orientation of Zarand Iranian Steel Company with factor loading of 0.555, 0.664, 0.430, 0.436, 0.424 and 0.461 respectively and the T-statistics of the test have a significant relationship of 8.086, 12.337, 5.069, 5.792, 5.055 and 6.629. \u0000Conclusion: The findings show that the establishment of the HSE management system has a significant effect on the performance of employees and its dimensions, including the quality of occupational health and safety rules, practical compliance with the law, management and cooperation, workplace processes, the use of personal protective equipment and empowering the behavior of managers and employees.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inter- and intra-observer reliability of the Ergonomic Screening and Prioritization Tool to assess the risk level of work-related musculoskeletal disorders in nurses 用人体工程学筛查和优先排序工具评估护士工作相关肌肉骨骼疾病风险水平的观察者之间和观察者内部的可靠性
Pub Date : 2024-07-21 DOI: 10.18502/tkj.v16i2.16091
Rahgoshay N, Daneshmandi H, Vali M, Shahbazi M, Sadeghian R
Introduction: Musculoskeletal Disorders (MSDs) are among the most common occupational diseases, and ergonomics and occupational health engineering specialists need reliable and valid methods for assessing high-risk activities and the factors contributing to their occurrence. Materials and Methods: In this cross-sectional study, 100 nurses employed at Namazi Hospital in Shiraz were randomly selected. Data was collected using a demographic/occupational questionnaire, Hierarchical Task Analysis (HTA), and the Ergonomics Screening and Prioritizing Tool (ESPT). Three observers simultaneously assessed the risk of developing MSDs for each job duty. After a six-month interval, the same observers re-evaluated the same group of nurses in the same work Postures. To assess the reliability of ESPT between and within observers, the Intra-class Correlation Coefficient (ICC) and the Kappa Multi-rater Fleiss method were used. Data analysis was conducted using SPSS software version 26. Results: The results of the study showed a high agreement between each observer as well as between the three observers before and after six months. The ICC for observers 1, 2, and 3 were respectively 0.951, 0.947, and 0.927, and also between each of the three observers for the first and second time respectively 0.955 and 0.941. Conclusion: The ESPT has been shown to possess high reliability for assessing the risk of developing MSDs among nurses, and it can be used for this purpose.
导言:肌肉骨骼疾病(MSD)是最常见的职业病之一,工效学和职业健康工程专家需要可靠有效的方法来评估高风险活动及其发生因素。材料和方法:在这项横断面研究中,随机抽取了设拉子市纳马齐医院的 100 名护士。使用人口统计学/职业调查问卷、层次任务分析(HTA)和人体工程学筛选与优先排序工具(ESPT)收集数据。三名观察员同时对每项工作职责的 MSD 风险进行评估。间隔 6 个月后,同样的观察者重新评估了同一组护士的相同工作姿势。为评估观察者之间和观察者内部ESPT的可靠性,采用了类内相关系数(ICC)和Kappa多评分弗莱斯法。数据分析采用 SPSS 软件 26 版进行。结果研究结果表明,每位观察者之间以及三位观察者之间在 6 个月前后的一致性很高。观察者 1、观察者 2 和观察者 3 的 ICC 分别为 0.951、0.947 和 0.927,三位观察者第一次和第二次的 ICC 分别为 0.955 和 0.941。结论事实证明,ESPT 在评估护士罹患 MSD 的风险方面具有很高的可靠性,可以用于这一目的。
{"title":"Inter- and intra-observer reliability of the Ergonomic Screening and Prioritization Tool to assess the risk level of work-related musculoskeletal disorders in nurses","authors":"Rahgoshay N, Daneshmandi H, Vali M, Shahbazi M, Sadeghian R","doi":"10.18502/tkj.v16i2.16091","DOIUrl":"https://doi.org/10.18502/tkj.v16i2.16091","url":null,"abstract":"Introduction: Musculoskeletal Disorders (MSDs) are among the most common occupational diseases, and ergonomics and occupational health engineering specialists need reliable and valid methods for assessing high-risk activities and the factors contributing to their occurrence. \u0000Materials and Methods: In this cross-sectional study, 100 nurses employed at Namazi Hospital in Shiraz were randomly selected. Data was collected using a demographic/occupational questionnaire, Hierarchical Task Analysis (HTA), and the Ergonomics Screening and Prioritizing Tool (ESPT). Three observers simultaneously assessed the risk of developing MSDs for each job duty. After a six-month interval, the same observers re-evaluated the same group of nurses in the same work Postures. To assess the reliability of ESPT between and within observers, the Intra-class Correlation Coefficient (ICC) and the Kappa Multi-rater Fleiss method were used. Data analysis was conducted using SPSS software version 26. \u0000Results: The results of the study showed a high agreement between each observer as well as between the three observers before and after six months. The ICC for observers 1, 2, and 3 were respectively 0.951, 0.947, and 0.927, and also between each of the three observers for the first and second time respectively 0.955 and 0.941. \u0000Conclusion: The ESPT has been shown to possess high reliability for assessing the risk of developing MSDs among nurses, and it can be used for this purpose.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Occupational medicine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1