Introduction Pesticides are chemical products widely used, mainly in agriculture. They can be responsible for health effects, whether acute or chronic. Our aim is to qualitatively assess pesticide exposure and its impact on workers’ health. Methods This is a descriptive, cross-sectional epidemiological survey of 54 employees in 4 agricultural enterprises. Results The study population is relatively old (49 ± 7 years) and almost exclusively male. Average seniority was 23 ± 10 years. The most exposed positions were those of multi-skilled workers (35 employees) and drivers (12 employees).The inventory of pesticide products handled revealed 67 active ingredients of varying effects, risks and severity. Working conditions are generally unsatisfactory. Lack of individual and collective preventive measures, poor general hygiene and non-compliance with handling and waste management rules are at the top of the list.Exposure assessment is summarized in the form of three levels of risk, taking into account the mode, frequency and duration of exposure. The medical study revealed the importance of chronic toxic effects linked to pesticide exposure (respiratory, cutaneous and neuropsychic). In particular, organic psycho-syndrome was found in 7 employees. Discussion The level of risk associated with pesticide used is high as exposure increases. However, the lack of adequate preventive measures is an aggravating factor. Conclusion The adoption of a prevention strategy is therefore an extreme necessity in order to reduce the level of risk and limit the health, environmental and socio-economic impact of pesticides.
{"title":"P-509 ASSESSMENT OF OCCUPATIONAL HAZARDS IN FARMING","authors":"Amani Dallagi, Emna Benchrifa, Emna Baraketi, Nihel Khouja, Saloua Ismail, Jihene Hsinet, Aida Benzarti","doi":"10.1093/occmed/kqae023.1269","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1269","url":null,"abstract":"Introduction Pesticides are chemical products widely used, mainly in agriculture. They can be responsible for health effects, whether acute or chronic. Our aim is to qualitatively assess pesticide exposure and its impact on workers’ health. Methods This is a descriptive, cross-sectional epidemiological survey of 54 employees in 4 agricultural enterprises. Results The study population is relatively old (49 ± 7 years) and almost exclusively male. Average seniority was 23 ± 10 years. The most exposed positions were those of multi-skilled workers (35 employees) and drivers (12 employees).The inventory of pesticide products handled revealed 67 active ingredients of varying effects, risks and severity. Working conditions are generally unsatisfactory. Lack of individual and collective preventive measures, poor general hygiene and non-compliance with handling and waste management rules are at the top of the list.Exposure assessment is summarized in the form of three levels of risk, taking into account the mode, frequency and duration of exposure. The medical study revealed the importance of chronic toxic effects linked to pesticide exposure (respiratory, cutaneous and neuropsychic). In particular, organic psycho-syndrome was found in 7 employees. Discussion The level of risk associated with pesticide used is high as exposure increases. However, the lack of adequate preventive measures is an aggravating factor. Conclusion The adoption of a prevention strategy is therefore an extreme necessity in order to reduce the level of risk and limit the health, environmental and socio-economic impact of pesticides.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576038","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}
Pub Date : 2024-07-05DOI: 10.1093/occmed/kqae023.0056
Frida Marina Fischer
The session ‘Climate changes and occupational safety and health’ (OSH) aims to have five presentations: a general approach of the negative OSH impact of climate change on organizations; climate changes and aging workers; climate change and its impact on OSH of Sherpa mountaineers; Arctic cooperation for developing a framework of activities for managing thermal strain at outdoors workplaces in a changing climate; and the connections among poverty, education, work and the climate agenda. The presentations are to explore and discuss: a) the negative OSH impact of climate change on organizations and their workers examining related health and safety risk and risk management strategies; b) the emerging research on the relationships between older workers and the impacts of climate change and the implications for research in occupational health; c) the study of the effect of climate change factors on the job of Sherpa mountaineers on expedition to Mount Everest; d) planning a holistic framework for managing thermal strain in outdoor work in the Arctic; and e) the outcomes of a survey on poverty, education, work and climate change.
{"title":"SS03 CLIMATE CHANGES AND OCCUPATIONAL SAFETY AND HEALTH","authors":"Frida Marina Fischer","doi":"10.1093/occmed/kqae023.0056","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0056","url":null,"abstract":"The session ‘Climate changes and occupational safety and health’ (OSH) aims to have five presentations: a general approach of the negative OSH impact of climate change on organizations; climate changes and aging workers; climate change and its impact on OSH of Sherpa mountaineers; Arctic cooperation for developing a framework of activities for managing thermal strain at outdoors workplaces in a changing climate; and the connections among poverty, education, work and the climate agenda. The presentations are to explore and discuss: a) the negative OSH impact of climate change on organizations and their workers examining related health and safety risk and risk management strategies; b) the emerging research on the relationships between older workers and the impacts of climate change and the implications for research in occupational health; c) the study of the effect of climate change factors on the job of Sherpa mountaineers on expedition to Mount Everest; d) planning a holistic framework for managing thermal strain in outdoor work in the Arctic; and e) the outcomes of a survey on poverty, education, work and climate change.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576040","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}
Introduction Intensified digitalization in the contemporary world of work may considerably alter the psychosocial working conditions, which in turn, affects employee performance and well-being. While there is an extant body of research on traditional working environments, the knowledge about resources that are the most pertinent for employees in digitalized workplaces is still incomplete. To address this gap, we draw on the Job Demands-Resources theory (Bakker & Demerouti, 2017) to investigate the drivers of work engagement in the context of high versus low work digitalization. Methods Our sample consisted of 1635 salaried employees from the Baltic states (Latvia, Lithuania, and Estonia), who participated in the 2021 edition of the European Working Conditions Survey. A set of positive working conditions (i.e., job and organizational resources), pertaining to autonomy, co-worker relationships and personal development, were investigated as predictors of work engagement. Multigroup linear regression analyses were performed, comparing employees subjected to a different level of work digitalization. Results Significant between-group differences in the predictive patterns of work engagement were observed. Skill use at work was the strongest predictor overall, whereas the role of other resources was dependent on the digitalization component. In low digitalization settings, co-worker relationships were more salient than autonomy. The opposite pattern was found in highly digitalized work environments. Discussion Our findings unravel job and organizational resources for work engagement in the changing world of work, implying that work digitalization may determine which resources are the most pertinent. Conclusion Organizations may need to leverage resource optimization strategies depending on the level of work digitalization.
{"title":"O-290 ANTECEDENTS OF WORK ENGAGEMENT IN DIGITALIZED WORK ENVIRONMENTS: A STUDY OF KNOWLEDGE WORKERS IN THE BALTIC STATES","authors":"Ieva Urbanaviciute, Jurgita Lazauskaite-Zabielske, Arunas Ziedelis, Rita Jakstiene","doi":"10.1093/occmed/kqae023.1122","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1122","url":null,"abstract":"Introduction Intensified digitalization in the contemporary world of work may considerably alter the psychosocial working conditions, which in turn, affects employee performance and well-being. While there is an extant body of research on traditional working environments, the knowledge about resources that are the most pertinent for employees in digitalized workplaces is still incomplete. To address this gap, we draw on the Job Demands-Resources theory (Bakker & Demerouti, 2017) to investigate the drivers of work engagement in the context of high versus low work digitalization. Methods Our sample consisted of 1635 salaried employees from the Baltic states (Latvia, Lithuania, and Estonia), who participated in the 2021 edition of the European Working Conditions Survey. A set of positive working conditions (i.e., job and organizational resources), pertaining to autonomy, co-worker relationships and personal development, were investigated as predictors of work engagement. Multigroup linear regression analyses were performed, comparing employees subjected to a different level of work digitalization. Results Significant between-group differences in the predictive patterns of work engagement were observed. Skill use at work was the strongest predictor overall, whereas the role of other resources was dependent on the digitalization component. In low digitalization settings, co-worker relationships were more salient than autonomy. The opposite pattern was found in highly digitalized work environments. Discussion Our findings unravel job and organizational resources for work engagement in the changing world of work, implying that work digitalization may determine which resources are the most pertinent. Conclusion Organizations may need to leverage resource optimization strategies depending on the level of work digitalization.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575895","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}
Introduction Diabetes is a chronic disease, that could affect both health and quality of life (QOL). The aim of our study was to assess the quality of life among working diabetic patients. Methods A cross-sectional study was carried out over two weeks. Socio-demographic and professional data were collected from the medical records of diabetic patients who consulted our department during the period from 2022 to 2023. A telephonic survey was carried out to complete the SF 36 international scale. Results Forty-one diabetic cases were collected (25 men and 16 women) where 17% were type 1 and 83% type 2, with a mean duration of progression of 11± 8 years. Seventy percent had unbalanced diabetes with a mean glycated hemoglobin of 8±2%. The most frequent sector of activity was healthcare (29%). The average score was 63±17 for the General Health (GH) dimension. A high score of the GH dimension was noted in health care workers, and patients with high blood pressure. Discussion Despite the long-asymptomatic aspect of diabetes, the QOL of our patients suffering from this pathology seems to be altered. These findings provide a global perspective of the state of health and its perception by the diabetic patient and reveal that the impact of diabetes on patients should not be evaluated solely by objective clinical parameters. Conclusion Our study confirms that diabetic patients must be regularly assessed to determine the impact of their disease on QOL and that appropriate management must be ensured.
{"title":"P-165 ASSESSMENT OF QUALITY OF LIFE AMONG ACTIVE DIABETICS ACCORDING TO THE SF36 INTERNATIONAL SCALE","authors":"Nawres Gannoun, Meriem Mersni, Imen Youssef, Dorra Brahim, Ghada Bahri, Mejda Bani, Hanene Ben Said, Najla Mechergui, Nizar Ladhari","doi":"10.1093/occmed/kqae023.0682","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0682","url":null,"abstract":"Introduction Diabetes is a chronic disease, that could affect both health and quality of life (QOL). The aim of our study was to assess the quality of life among working diabetic patients. Methods A cross-sectional study was carried out over two weeks. Socio-demographic and professional data were collected from the medical records of diabetic patients who consulted our department during the period from 2022 to 2023. A telephonic survey was carried out to complete the SF 36 international scale. Results Forty-one diabetic cases were collected (25 men and 16 women) where 17% were type 1 and 83% type 2, with a mean duration of progression of 11± 8 years. Seventy percent had unbalanced diabetes with a mean glycated hemoglobin of 8±2%. The most frequent sector of activity was healthcare (29%). The average score was 63±17 for the General Health (GH) dimension. A high score of the GH dimension was noted in health care workers, and patients with high blood pressure. Discussion Despite the long-asymptomatic aspect of diabetes, the QOL of our patients suffering from this pathology seems to be altered. These findings provide a global perspective of the state of health and its perception by the diabetic patient and reveal that the impact of diabetes on patients should not be evaluated solely by objective clinical parameters. Conclusion Our study confirms that diabetic patients must be regularly assessed to determine the impact of their disease on QOL and that appropriate management must be ensured.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576077","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}
Pub Date : 2024-07-05DOI: 10.1093/occmed/kqae023.0733
George Gruetzmacher
Introduction and methods The American Industrial Hygiene Association has developed an exposure assessment strategy and has emphasized the use of statistical methods for the evaluation of industrial hygiene sampling data. Results They have found that professional industrial hygienists have typically underestimated exposures, and encourage the use of both heuristics and mathematical methods to reduce professional bias. To support statistical analysis, they have provided free online analytical tools, and free online training. Discussion The strategy is an iterative approach, starting with simpler qualitative measures and advancing to more complex quantitative measures as necessary. The qualitative tools can be easily used by observation, and the quantitative tools can be implemented when industrial hygiene sampling can be conducted. Conclusion This presentation will review the strategy, then introduce and discuss the various tools available. By using a structured approach, and statistical analytical tools, industrial hygienists will be able to make more accurate exposure assessments. This will help identify elevated employee exposures, allow proper control targeting, and reduce the overall burden of occupational illness and disease.
{"title":"O-118 AIHA EXPOSURE ASSESSMENT STRATEGY AND THE USE OF STATISTICAL METHODS TO EVALUATE INDUSTRIAL HYGIENE EXPOSURES","authors":"George Gruetzmacher","doi":"10.1093/occmed/kqae023.0733","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0733","url":null,"abstract":"Introduction and methods The American Industrial Hygiene Association has developed an exposure assessment strategy and has emphasized the use of statistical methods for the evaluation of industrial hygiene sampling data. Results They have found that professional industrial hygienists have typically underestimated exposures, and encourage the use of both heuristics and mathematical methods to reduce professional bias. To support statistical analysis, they have provided free online analytical tools, and free online training. Discussion The strategy is an iterative approach, starting with simpler qualitative measures and advancing to more complex quantitative measures as necessary. The qualitative tools can be easily used by observation, and the quantitative tools can be implemented when industrial hygiene sampling can be conducted. Conclusion This presentation will review the strategy, then introduce and discuss the various tools available. By using a structured approach, and statistical analytical tools, industrial hygienists will be able to make more accurate exposure assessments. This will help identify elevated employee exposures, allow proper control targeting, and reduce the overall burden of occupational illness and disease.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575892","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}
Introduction The aim was to estimate the prevalence of moral harassment among medical staff and to describe its clinical aspects. Methods This cross-sectional study involved a representative sample of 337 physicians with at least 6 months of seniority. The survey was based on a self-administered questionnaire including: socio-demographic and professional data, job satisfaction, stress, mental health indicators, and Leymann Inventory of Psychological Terror. Moral harassment was defined by exposure to at least one workplace violence situation, at least once a week and for more than 6 months during the last 12 months. Results The average age was 32.9 ± 7.7 years and 52.2% were female. The average seniority was 6.6 + 6.7 years. Physicians in training and teaching staff represented 63.5% and 18.1% respectively. During the last 12 months, work stoppage for more than 8 days and consumption of psychotropic drugs for depression or anxiety disorders were reported respectively by 8.3% and 17.8% with a significant female predominance. 52.8% have been exposed to at least one bullying situation during the last 12 months (61.7% among physicians in training and 46,8% among associates). Its direction was downward (38.6%) or horizontal (29.1%). The prevalence of moral harassment was 16.2%, of which 77.8% were physicians in training. Job satisfaction and self-declared stress were reported by 49.6% (14.8% among the harassed against 56.2% among the non-harassed) and 26.4 (87% among the harassed and 14.9% among the non-harassed) respectively Discussion and conclusion Organizational and managerial deficiencies were the main causes of bullying. Preventive measures are needed to improve the mental health of physicians
{"title":"P-236 PREVALENCE OF HARASSMENT AMONG THE MEDICAL STAFF OF THE UNIVERSITY HOSPITAL OF RABAT","authors":"Yasmina Elaoudi, Nadia Manar, Hicham El Bouri, Frédéric Deschamps, Chakib Laraqui Hossini","doi":"10.1093/occmed/kqae023.0808","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0808","url":null,"abstract":"Introduction The aim was to estimate the prevalence of moral harassment among medical staff and to describe its clinical aspects. Methods This cross-sectional study involved a representative sample of 337 physicians with at least 6 months of seniority. The survey was based on a self-administered questionnaire including: socio-demographic and professional data, job satisfaction, stress, mental health indicators, and Leymann Inventory of Psychological Terror. Moral harassment was defined by exposure to at least one workplace violence situation, at least once a week and for more than 6 months during the last 12 months. Results The average age was 32.9 ± 7.7 years and 52.2% were female. The average seniority was 6.6 + 6.7 years. Physicians in training and teaching staff represented 63.5% and 18.1% respectively. During the last 12 months, work stoppage for more than 8 days and consumption of psychotropic drugs for depression or anxiety disorders were reported respectively by 8.3% and 17.8% with a significant female predominance. 52.8% have been exposed to at least one bullying situation during the last 12 months (61.7% among physicians in training and 46,8% among associates). Its direction was downward (38.6%) or horizontal (29.1%). The prevalence of moral harassment was 16.2%, of which 77.8% were physicians in training. Job satisfaction and self-declared stress were reported by 49.6% (14.8% among the harassed against 56.2% among the non-harassed) and 26.4 (87% among the harassed and 14.9% among the non-harassed) respectively Discussion and conclusion Organizational and managerial deficiencies were the main causes of bullying. Preventive measures are needed to improve the mental health of physicians","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576004","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}
Introduction Contaminated water in rivers in Thailand may be linked to agrochemical run-off from farms directly related to the inappropriate application of pesticides, particularly by crops and vegetable growers. Since agrochemical application increases yield and makes crops look good, they satisfy the city’s customers. Spraying crops daily, without proper knowledge, seems to be the norm for the crop’s growers. On the other hand, the effectiveness of crop protection from soil-incorporated herbicide depends on the selection of spray nozzles, droplet size, and soil permeable characteristics. This study aimed at the crop grower’s knowledge of selecting appropriate spray nozzles. Methods This was a cross-sectional study; questionnaires were developed, and 418 farmers were recruited in two agricultural crop-growing areas, Nan and Saraburi provinces. These farmers registered with the agricultural provincial office. Results This study found that 31.5% of the crop farmers used the flood-type nozzles, which is the most effective type, produce large droplets, and are less prone to drift, reducing off-target contamination. At the same time, most crop farmers (63.5%) used the less effective nozzles, flat fan nozzles (43.5.0%), and cone-type nozzles (25.0%). Discussion Inappropriate spraying of herbicide harms the health and safety of the crop’s growers and pollutes rivers. The cause might be the classroom-type training, and its content may not make farmers perceived to have chemical safety issues. The content may cover more on the use of safety tools like appropriate nozzles. Conclusions Thus, this study encourages a workshop on spraying equipment to be provided for crop growers around the country for environmental and health sustainability.
{"title":"P-288 THE IMPROVEMENT OF PESTICIDE APPLICATION AMONG FARMERS IN SMALL COOPERATIVE GROUPS","authors":"Sara Arphorn, Chatchai Thanachoksawang, Densak Yogyorn, Chalermsiri Theppitak, Aniruth Manothum, Kanpitcha Kiatkitroj, Teepapipat Lertvarayut","doi":"10.1093/occmed/kqae023.0870","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0870","url":null,"abstract":"Introduction Contaminated water in rivers in Thailand may be linked to agrochemical run-off from farms directly related to the inappropriate application of pesticides, particularly by crops and vegetable growers. Since agrochemical application increases yield and makes crops look good, they satisfy the city’s customers. Spraying crops daily, without proper knowledge, seems to be the norm for the crop’s growers. On the other hand, the effectiveness of crop protection from soil-incorporated herbicide depends on the selection of spray nozzles, droplet size, and soil permeable characteristics. This study aimed at the crop grower’s knowledge of selecting appropriate spray nozzles. Methods This was a cross-sectional study; questionnaires were developed, and 418 farmers were recruited in two agricultural crop-growing areas, Nan and Saraburi provinces. These farmers registered with the agricultural provincial office. Results This study found that 31.5% of the crop farmers used the flood-type nozzles, which is the most effective type, produce large droplets, and are less prone to drift, reducing off-target contamination. At the same time, most crop farmers (63.5%) used the less effective nozzles, flat fan nozzles (43.5.0%), and cone-type nozzles (25.0%). Discussion Inappropriate spraying of herbicide harms the health and safety of the crop’s growers and pollutes rivers. The cause might be the classroom-type training, and its content may not make farmers perceived to have chemical safety issues. The content may cover more on the use of safety tools like appropriate nozzles. Conclusions Thus, this study encourages a workshop on spraying equipment to be provided for crop growers around the country for environmental and health sustainability.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576007","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}
Introduction The analysis of training needs is an essential step to ensure the relevance of the themes to be planned during continuing training. The objective of the study was to establish a preliminary analysis of training needs in occupational medicine among Moroccan physicians, in order to identify the cognitive, psychomotor and affective areas to be improved. Material and methods This was a cross-sectional study that took place in 2022 with a sample of occupational physicians practicing in Morocco. It was based on a questionnaire comprising two parts, a first for general data and a second for the analysis of training needs using the “FGP” grid (Frequency, Severity, Problems) which was preceded by individual interviews. Results 113 occupational physicians participated in this study. The average age was 49.5 ±11.4 years and 52.2% of them were male. The average professional seniority in occupational medicine was 12.7 ±8.2. The most represented sector of practice within our population was that of industry (33.6%) followed by services (30.1%). One in six participants (60.8%) say they have never benefited from continuing medical training. The priority themes for continuing training were the procedure for declaring permanent inability to work (average score: 1.75 and total: 990), the medical criteria required for the recognition of deafness as an occupational disease (mean score: 1.71 and total: 968) and screening for psychosocial risks (average score: 1.7 and total: 960). Discussion and Conclusion This study shows the existence among Moroccan occupational physicians of an imminent need for continuing medical training in some fields that affect their daily practice
{"title":"O-045 ASSESSMENT OF CONTINUING TRAINING NEEDS AMONG OCCUPATIONAL PHYSICIANS IN MOROCCO","authors":"Tarik Ghailan, Souad Chaouir, Najia Hajjaj Hassouni","doi":"10.1093/occmed/kqae023.0522","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0522","url":null,"abstract":"Introduction The analysis of training needs is an essential step to ensure the relevance of the themes to be planned during continuing training. The objective of the study was to establish a preliminary analysis of training needs in occupational medicine among Moroccan physicians, in order to identify the cognitive, psychomotor and affective areas to be improved. Material and methods This was a cross-sectional study that took place in 2022 with a sample of occupational physicians practicing in Morocco. It was based on a questionnaire comprising two parts, a first for general data and a second for the analysis of training needs using the “FGP” grid (Frequency, Severity, Problems) which was preceded by individual interviews. Results 113 occupational physicians participated in this study. The average age was 49.5 ±11.4 years and 52.2% of them were male. The average professional seniority in occupational medicine was 12.7 ±8.2. The most represented sector of practice within our population was that of industry (33.6%) followed by services (30.1%). One in six participants (60.8%) say they have never benefited from continuing medical training. The priority themes for continuing training were the procedure for declaring permanent inability to work (average score: 1.75 and total: 990), the medical criteria required for the recognition of deafness as an occupational disease (mean score: 1.71 and total: 968) and screening for psychosocial risks (average score: 1.7 and total: 960). Discussion and Conclusion This study shows the existence among Moroccan occupational physicians of an imminent need for continuing medical training in some fields that affect their daily practice","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576035","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}
Objective The objective of our study was to describe the epidemiological features of occupational heavy metal poisoning cases recorded by the Poison Control and Pharmacovigilance Centre of Morocco (CAPM) between 1980 and 2022. Methods We conducted a cross sectional study including occupational heavy metal poisoning cases notified to CAPM between 1980 and 2022. Results We recorded 27,545 cases of poisoning notified to the CAPM (all substances), from which 96 were related to heavy metal poisoning cases (0,34%). From these 96 cases, we recorded 15 cases of occupational poisonings (15%). Among these 15 cases, lead was incriminated in 10 cases and lead with mercury in five cases. Five cases occurred in clandestine lead mines, three cases occurred in a clandestine battery recycling factory, and five cases were associated with silver mining. All the cases were males, and the mean age was 37 years. The mean blood lead level was 539,58µg/L [181-1040] before treatment, and 383,33 [62-616] after treatment (p =0,49); the mean blood mercury level was 239 µg/L [87-430] before treatment, and 38,7 µg/L [13,3-25,4] after treatment (p=0,8). The mean urinary mercury level was 246,33 µg/L. The treatment received was DMSA (2,3-dimercaptosuccinique acid). The DMSA was used in 13 cases (86 %) at a dose of 30mg/kg/day, three times daily during five days. Conclusion Occupational heavy metal poisoning cases in Morocco are a reality. The main substances incriminated were lead followed by mercury. Almost all cases needed chelation. More screening and prevention actions are needed.
{"title":"SS32-02 OCCUPATIONAL HEAVY METAL POISONING CASES IN MOROCCO","authors":"Hanane Chaoui, Naima Rhalem, Rachida Soulaymani Bencheikh","doi":"10.1093/occmed/kqae023.0202","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0202","url":null,"abstract":"Objective The objective of our study was to describe the epidemiological features of occupational heavy metal poisoning cases recorded by the Poison Control and Pharmacovigilance Centre of Morocco (CAPM) between 1980 and 2022. Methods We conducted a cross sectional study including occupational heavy metal poisoning cases notified to CAPM between 1980 and 2022. Results We recorded 27,545 cases of poisoning notified to the CAPM (all substances), from which 96 were related to heavy metal poisoning cases (0,34%). From these 96 cases, we recorded 15 cases of occupational poisonings (15%). Among these 15 cases, lead was incriminated in 10 cases and lead with mercury in five cases. Five cases occurred in clandestine lead mines, three cases occurred in a clandestine battery recycling factory, and five cases were associated with silver mining. All the cases were males, and the mean age was 37 years. The mean blood lead level was 539,58µg/L [181-1040] before treatment, and 383,33 [62-616] after treatment (p =0,49); the mean blood mercury level was 239 µg/L [87-430] before treatment, and 38,7 µg/L [13,3-25,4] after treatment (p=0,8). The mean urinary mercury level was 246,33 µg/L. The treatment received was DMSA (2,3-dimercaptosuccinique acid). The DMSA was used in 13 cases (86 %) at a dose of 30mg/kg/day, three times daily during five days. Conclusion Occupational heavy metal poisoning cases in Morocco are a reality. The main substances incriminated were lead followed by mercury. Almost all cases needed chelation. More screening and prevention actions are needed.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576064","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}
Introduction Musculoskeletal disorders (MSDs) are a major health problem among dentists. The application of “Digital-Twin” (DT) in the field of occupational medicine can bring significant benefits in terms of safety, health, and process efficiency. The aim is to create a DT model of dentists in silico, which will serve as an accurate virtual representation of occupational hazards incurred during routine dental procedures. Methods and results This is a digital modeling study of bio-mechanical patterns in dentists at the Monastir dental clinic, conducted in 2023 at the occupational medicine and pathology department. Information concerning medical history, clinics, work activity data, and bio-mechanical and environmental data were collected during medical visits and observations carried out in real-time activity and through a dental work simulation. An analysis of the dentist’s movements and bio-mechanical constraints was performed. We chose root canal treatment in endodontics as an example to initiate our modeling. Discussion The medical “digital twin” of dentists with MSDs is a digital representation of specific health status, focusing on aspects related to musculoskeletal disorders. It is a specialized application of the “digital twin” concept in the context of health problems related to the musculoskeletal system. Conclusion This study provides a digital decision-support tool for the prevention of MSDs in the workplace. This innovative approach can help preventionists, particularly occupational physicians, to improve working conditions, and promote the health and well-being of workers while optimizing their productivity.
{"title":"P-158 5P MEDICINE: A DIGITAL TWIN MODEL FOR HOSPITAL-BASED OCCUPATIONAL MEDICINE","authors":"Amen Moussa, Mohamed Marouen Hayouni, Ines Rassas, Irtyah Merchaoui, Charfeddine Amri","doi":"10.1093/occmed/kqae023.0675","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0675","url":null,"abstract":"Introduction Musculoskeletal disorders (MSDs) are a major health problem among dentists. The application of “Digital-Twin” (DT) in the field of occupational medicine can bring significant benefits in terms of safety, health, and process efficiency. The aim is to create a DT model of dentists in silico, which will serve as an accurate virtual representation of occupational hazards incurred during routine dental procedures. Methods and results This is a digital modeling study of bio-mechanical patterns in dentists at the Monastir dental clinic, conducted in 2023 at the occupational medicine and pathology department. Information concerning medical history, clinics, work activity data, and bio-mechanical and environmental data were collected during medical visits and observations carried out in real-time activity and through a dental work simulation. An analysis of the dentist’s movements and bio-mechanical constraints was performed. We chose root canal treatment in endodontics as an example to initiate our modeling. Discussion The medical “digital twin” of dentists with MSDs is a digital representation of specific health status, focusing on aspects related to musculoskeletal disorders. It is a specialized application of the “digital twin” concept in the context of health problems related to the musculoskeletal system. Conclusion This study provides a digital decision-support tool for the prevention of MSDs in the workplace. This innovative approach can help preventionists, particularly occupational physicians, to improve working conditions, and promote the health and well-being of workers while optimizing their productivity.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575891","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}
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