Introduction Given the high incidence of carpal tunnel syndrome in the working population and the co-exposure of workers, it is necessary to improve knowledge of the joint effects of physical and chemical exposures in order to improve prevention strategies. The aim of this study was to assess the prevalence of occupational exposure and co-exposure to physical constraints and neurotoxic chemicals. Methods The study sample was composed of 26,444 workers included in the French cross-sectional survey SUMER 2017s. Occupational exposure within the previous week of work were assessed using a questionnaire during face-to-face interviews with occupational physicians. Four physical constraints were studied: manual handling of loads, forceful joints exertion, repetitive movement and hand-arm transmitted vibrations. Nineteen neurotoxic chemicals were studied: perchloroethylene, trichloroethylene, white-spirit, formaldehyde, etc. Analyses were conducted using weighted data. Results Approximately 24% of men and 11% of women were exposed to at least one physical constraint, and 14% of men and 12% of women were exposed to at least one neurotoxic chemical. About 6% of men and 3% of women were co-exposed to physical constraints and neurotoxic chemicals. Male and female workers under 30 years old and blue-collar workers were more co-exposed than other workers. Male workers in the construction were more co-exposed than other male workers. Discussion Despite the frequency of co-exposures, very few data are available in the literature on the combined effects of physical and neurotoxic chemical exposures on the risk of CTS. Conclusion Occupational co-exposure to physical constraints and neurotoxic chemicals was observed in a significant proportion of French workers.
{"title":"P-100 OCCUPATIONAL EXPOSURE AND CO-EXPOSURE TO PHYSICAL CONSTRAINTS AND NEUROTOXIC CHEMICALS IN FRENCH WORKERS: RESULTS FROM THE SUMER STUDY","authors":"Julie Bodin, Jessica Babin, Mélanie Bertin, Yves Roquelaure","doi":"10.1093/occmed/kqae023.0607","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0607","url":null,"abstract":"Introduction Given the high incidence of carpal tunnel syndrome in the working population and the co-exposure of workers, it is necessary to improve knowledge of the joint effects of physical and chemical exposures in order to improve prevention strategies. The aim of this study was to assess the prevalence of occupational exposure and co-exposure to physical constraints and neurotoxic chemicals. Methods The study sample was composed of 26,444 workers included in the French cross-sectional survey SUMER 2017s. Occupational exposure within the previous week of work were assessed using a questionnaire during face-to-face interviews with occupational physicians. Four physical constraints were studied: manual handling of loads, forceful joints exertion, repetitive movement and hand-arm transmitted vibrations. Nineteen neurotoxic chemicals were studied: perchloroethylene, trichloroethylene, white-spirit, formaldehyde, etc. Analyses were conducted using weighted data. Results Approximately 24% of men and 11% of women were exposed to at least one physical constraint, and 14% of men and 12% of women were exposed to at least one neurotoxic chemical. About 6% of men and 3% of women were co-exposed to physical constraints and neurotoxic chemicals. Male and female workers under 30 years old and blue-collar workers were more co-exposed than other workers. Male workers in the construction were more co-exposed than other male workers. Discussion Despite the frequency of co-exposures, very few data are available in the literature on the combined effects of physical and neurotoxic chemical exposures on the risk of CTS. Conclusion Occupational co-exposure to physical constraints and neurotoxic chemicals was observed in a significant proportion of French workers.","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":"141576006","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 Hospital staff are at higher risk of latent tuberculosis infection (LTBI), but there is limited understanding of the real LTBI situation among the large hospital staff in Thailand. Objectives: 1) We investigated 1) the proportion of LTBI among hospital workers at entry and after they were prioritized as having had high or medium contact with active TB, and 2) the recent development of LTBI. Methodology: This was descriptive research done on 2,021 hospital staff between 2016-2020. The recent development of LTBI was studied in 416 hospital staff between 2021-2022. The QuantiFERON-TB Gold Plus was used to determine LTBI (QFT-Plus). Results The proportion of LTBI among the hospital staff at job commencement was 8.02% (97/1210), compared to 12.5% (101/811) post-contact to active tuberculosis (TB). The 5-year prevalence of LTBI was 9.80% (198/2021). Hospital staff post-contact with TB were categorized as high priority (61.9%), and most index cases were patients (86.9%). No active cases of TB were found following post-contact with TB. 49.9% of LTBI cases were treated with preventive treatments. As for the recent development of LTBI, annual surveillance was reported at 2.4% (10/416), whereas 13.5% (5/37) were found post-contact with TB, and most cases during performance of aerosol generated procedures (AGP). Discussion In Thailand, a program for hospital staff post-contact with active TB surveillance is worth considering. Hospital staff performing AGP should be aware of appropriate respirators. Conclusion The proportion of LTBI among hospital staff in Thailand was not as high as previously reported. Post-contact to TB is worth routine implementation.
{"title":"O-140 THE SITUATION VIS-À-VIS LATENT TUBERCULOSIS INFECTION OF HOSPITAL STAFF AT ENTRY AND POST-CONTACT TO ACTIVE TUBERCULOSIS: A STUDY AT A TERTIARY HOSPITAL IN THAILAND","authors":"Naesinee Chaiear, Phanumas Kraisorn, Chatpong Ngarmchokwatta, Kiatichai Faksri, Yingrit Chantarasuk, Arunya Phewkliang","doi":"10.1093/occmed/kqae023.0779","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0779","url":null,"abstract":"Introduction Hospital staff are at higher risk of latent tuberculosis infection (LTBI), but there is limited understanding of the real LTBI situation among the large hospital staff in Thailand. Objectives: 1) We investigated 1) the proportion of LTBI among hospital workers at entry and after they were prioritized as having had high or medium contact with active TB, and 2) the recent development of LTBI. Methodology: This was descriptive research done on 2,021 hospital staff between 2016-2020. The recent development of LTBI was studied in 416 hospital staff between 2021-2022. The QuantiFERON-TB Gold Plus was used to determine LTBI (QFT-Plus). Results The proportion of LTBI among the hospital staff at job commencement was 8.02% (97/1210), compared to 12.5% (101/811) post-contact to active tuberculosis (TB). The 5-year prevalence of LTBI was 9.80% (198/2021). Hospital staff post-contact with TB were categorized as high priority (61.9%), and most index cases were patients (86.9%). No active cases of TB were found following post-contact with TB. 49.9% of LTBI cases were treated with preventive treatments. As for the recent development of LTBI, annual surveillance was reported at 2.4% (10/416), whereas 13.5% (5/37) were found post-contact with TB, and most cases during performance of aerosol generated procedures (AGP). Discussion In Thailand, a program for hospital staff post-contact with active TB surveillance is worth considering. Hospital staff performing AGP should be aware of appropriate respirators. Conclusion The proportion of LTBI among hospital staff in Thailand was not as high as previously reported. Post-contact to TB is worth routine implementation.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575808","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/kqae023.0598
Qing Lan, Roel Vermeulen, Mohammad Rahman, Yufei Dai, Wei Hu, Brooklynn McNeil Irving, Xiangping Lin, Batel Blechter, Dianzhi Ren Chaoyang, Huawei Duan, Jason Wong, Yong Niu, Jun Xu, Wei Fu Chaoyang, Kees Meliefste, Dean Hosgood, Meng Ye, Xiaowei Jia, Tao Meng, Ping Bin, Debra Silverman, Yuxin Zheng, Nathaniel Rothman, Douglas Walker
Introduction Exposure to diesel engine exhaust (DEE) is associated with increased lung cancer risk; however, underlying molecular mechanisms remain unclear. We apply an exposome approach to characterize early biological effects of occupational DEE exposure. Methods Plasma samples from 54 diesel engine factory workers and 55 non-exposed control workers were characterized using an integrated exposome platform that combines untargeted gas chromatography (GC-) and liquid chromatography (LC-) with high-resolution mass spectrometry (HRMS). Exposome profiles were evaluated by metabolome-wide association study (MWAS) for molecular features associated with DEE exposure and elemental carbon. Potential molecular mechanisms underlying DEE were further evaluated by integrating exposome profiles with plasma proteomics, urine aminopyrenes and mutagenicity, and buccal gene expression analysis. Results GC- and LC-HRMS untargeted analysis detected 68,285 metabolic features. Comparison of DEE-exposed and non-exposed workers identified 772 molecular features associated with exposure at a FDR <5%, including 102 detected using GC-HRMS and 670 detected using LC-HRMS. Molecular networking and annotation identified compounds consistent with DEE exposure, while metabolic pathway enrichment suggest alterations in oxidative stress and endothelial pathways. We conducted a secondary MWAS to link urinary mutagenicity, reflecting systemic exposure to genotoxic/carcinogenic agents, and associated with tumor development and identified 90 molecular features positively associated with urine mutagenicity at FDR<5%. Discussion Integration of exposome profiles with protein and genome-wide gene expression identified biological alterations consistent with many of the key characteristics of carcinogens. Conclusion Integrated exposome characterization of DEE exposure identified novel DEE biomarkers and biological response profiles in a high exposure setting.
导言：暴露于柴油发动机废气（DEE）与肺癌风险增加有关；但是，其潜在的分子机制仍不清楚。我们采用暴露组方法来描述职业性 DEE 暴露的早期生物效应。方法 我们使用一个综合暴露组平台对 54 名柴油机厂工人和 55 名非暴露对照工人的血浆样本进行了表征，该平台结合了非靶向气相色谱 (GC-) 和液相色谱 (LC-) 以及高分辨率质谱 (HRMS) 技术。通过全代谢组关联研究（MWAS）评估了暴露组图谱与 DEE 暴露和元素碳相关的分子特征。通过将暴露组图谱与血浆蛋白质组学、尿氨芘和致突变性以及口腔基因表达分析相结合，进一步评估了 DEE 的潜在分子机制。结果 GC 和 LC-HRMS 非靶向分析检测到 68,285 个代谢特征。对暴露于 DEE 的工人和未暴露于 DEE 的工人进行比较，在 FDR <5% 的条件下发现了 772 个与暴露有关的分子特征，其中 102 个是通过 GC-HRMS 检测到的，670 个是通过 LC-HRMS 检测到的。分子网络和注释确定了与暴露于 DEE 一致的化合物，而代谢通路富集表明氧化应激和内皮通路发生了改变。我们进行了二次 MWAS，将尿液致突变性与肿瘤发生联系起来，尿液致突变性反映了全身暴露于遗传毒性/致癌物质的情况，并确定了 90 个分子特征与尿液致突变性呈正相关（FDR<5%）。讨论 暴露组特征与蛋白质和全基因组基因表达的整合确定了与致癌物质的许多关键特征一致的生物改变。结论 对暴露于 DEE 的暴露组特征进行综合分析，在高暴露环境中发现了新的 DEE 生物标志物和生物反应特征。
{"title":"O-077 EXPOSOME CHARACTERIZATION OF DIESEL ENGINE EXHAUST EXPOSURE","authors":"Qing Lan, Roel Vermeulen, Mohammad Rahman, Yufei Dai, Wei Hu, Brooklynn McNeil Irving, Xiangping Lin, Batel Blechter, Dianzhi Ren Chaoyang, Huawei Duan, Jason Wong, Yong Niu, Jun Xu, Wei Fu Chaoyang, Kees Meliefste, Dean Hosgood, Meng Ye, Xiaowei Jia, Tao Meng, Ping Bin, Debra Silverman, Yuxin Zheng, Nathaniel Rothman, Douglas Walker","doi":"10.1093/occmed/kqae023.0598","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0598","url":null,"abstract":"Introduction Exposure to diesel engine exhaust (DEE) is associated with increased lung cancer risk; however, underlying molecular mechanisms remain unclear. We apply an exposome approach to characterize early biological effects of occupational DEE exposure. Methods Plasma samples from 54 diesel engine factory workers and 55 non-exposed control workers were characterized using an integrated exposome platform that combines untargeted gas chromatography (GC-) and liquid chromatography (LC-) with high-resolution mass spectrometry (HRMS). Exposome profiles were evaluated by metabolome-wide association study (MWAS) for molecular features associated with DEE exposure and elemental carbon. Potential molecular mechanisms underlying DEE were further evaluated by integrating exposome profiles with plasma proteomics, urine aminopyrenes and mutagenicity, and buccal gene expression analysis. Results GC- and LC-HRMS untargeted analysis detected 68,285 metabolic features. Comparison of DEE-exposed and non-exposed workers identified 772 molecular features associated with exposure at a FDR &lt;5%, including 102 detected using GC-HRMS and 670 detected using LC-HRMS. Molecular networking and annotation identified compounds consistent with DEE exposure, while metabolic pathway enrichment suggest alterations in oxidative stress and endothelial pathways. We conducted a secondary MWAS to link urinary mutagenicity, reflecting systemic exposure to genotoxic/carcinogenic agents, and associated with tumor development and identified 90 molecular features positively associated with urine mutagenicity at FDR&lt;5%. Discussion Integration of exposome profiles with protein and genome-wide gene expression identified biological alterations consistent with many of the key characteristics of carcinogens. Conclusion Integrated exposome characterization of DEE exposure identified novel DEE biomarkers and biological response profiles in a high exposure setting.","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":"141576083","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/kqae023.1197
Dragan Mijakoski, Sasho Stoleski, Jordan Minov, Darko Jankoski
Introduction Relevant stakeholders, including ICOH, ILO, WHO, as well as EC put in their agenda labor protection, workplace safety culture, and mental health of workers. Researcher Mental Health and Well-being Manifesto strongly focuses on protection and improvement of mental health in researchers. The aim of this presentation is to discuss the opportunities for promotion of mental health within the academic community in R.N. Macedonia through application of recommendations proposed by Researcher Mental Health Observatory (ReMO) COST Action. Methods We performed a desk analysis using relevant online resources as well as official and personal contacts to evaluate the national context in R.N. Macedonia concerning workplace mental health in researchers. ReMO key guidelines are used to develop actions to improve researcher mental health in R.N. Macedonia. Results Despite raised awareness in recent years about workplace mental health and well-being, however the knowledge, attitudes, and practices about researcher mental health in R.N. Macedonia is still on a basic level. There is only occasional interest about this issue in policy makers, employers, workers, trade unions, and media. Specific actions with measurable outcomes have to be developed at community, institutional, and policy level. Open dialogue between stakeholders could be beneficial in systematic improvement of mental health of researchers. Strengthening of the Committee for Safety and Health at University level could help in the promotion of occupational safety and health in academia. Conclusion Occupational health and safety strategy at national level should include mental health and well-being of researchers as an emerging issue.
{"title":"P-464 RESEARCHER MENTAL HEALTH OBSERVATORY (REMO) RECOMMENDATIONS TOWARDS IMPROVEMENT OF RESEARCHER MENTAL HEALTH AND WELL-BEING IN R.N. MACEDONIA","authors":"Dragan Mijakoski, Sasho Stoleski, Jordan Minov, Darko Jankoski","doi":"10.1093/occmed/kqae023.1197","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1197","url":null,"abstract":"Introduction Relevant stakeholders, including ICOH, ILO, WHO, as well as EC put in their agenda labor protection, workplace safety culture, and mental health of workers. Researcher Mental Health and Well-being Manifesto strongly focuses on protection and improvement of mental health in researchers. The aim of this presentation is to discuss the opportunities for promotion of mental health within the academic community in R.N. Macedonia through application of recommendations proposed by Researcher Mental Health Observatory (ReMO) COST Action. Methods We performed a desk analysis using relevant online resources as well as official and personal contacts to evaluate the national context in R.N. Macedonia concerning workplace mental health in researchers. ReMO key guidelines are used to develop actions to improve researcher mental health in R.N. Macedonia. Results Despite raised awareness in recent years about workplace mental health and well-being, however the knowledge, attitudes, and practices about researcher mental health in R.N. Macedonia is still on a basic level. There is only occasional interest about this issue in policy makers, employers, workers, trade unions, and media. Specific actions with measurable outcomes have to be developed at community, institutional, and policy level. Open dialogue between stakeholders could be beneficial in systematic improvement of mental health of researchers. Strengthening of the Committee for Safety and Health at University level could help in the promotion of occupational safety and health in academia. Conclusion Occupational health and safety strategy at national level should include mental health and well-being of researchers as an emerging issue.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"144 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576036","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/kqae023.1257
Morgane Bresson, Mathilde Bureau, Lucie De Graaf, Maylis Leblanc, Yannick Lecluse, Isabelle Baldi, Pierre Lebailly
Introduction Pesticide exposure increases the risk of chronic disease among farmers. Understanding exposure is necessary for epidemiological and regulatory purposes. Since 2014, worker exposure has been assessed in the registration process by EFSA, using the OPEX model. Data specific to fruit-growing workers is limited to five European studies conducted in the 1980s by pesticide companies, among others. We compared exposure predicted in the regulations with that measured in field studies. Methods In 2016-2017, dermal exposure to captan and dithianon was measured in French farmers during 121 days of re-entry (net folding and deployment, thinning) and harvest, using patches and cotton gloves. Exposure was calculated using several parameters (task, personal protective equipment (PPE), treatment schedules). Exposure was recalculated from dislodgeable foliar residues (RDF) measured 2 to 312 days after application in 20 observations. Relationships between measured and calculated exposures were studied by linear regression. Results Exposure depended on PPE worn and tasks performed (thinning, net folding > harvest, net deployment) due to differences in pesticide accumulation on plants over the season. Most exposures calculated using default settings were 100 times higher than measured exposure. The model underestimated exposure recalculated with measured DFR in all observations for dithianon and almost all for captan. Discussion In the regulatory process, re-entry exposure is only calculated when it occurs immediately after application. Exposure measured up to 300 days after application was never zero. When re-entry was not immediate after application, the model underestimated exposure. Conclusion This demonstrates the importance of using field studies in the registration process to ensure a truly conservative approach.
{"title":"O-333 PESTICIDE EXPOSURE IN FRUIT-GROWING RE-ENTRY WORKERS: COMPARING LEVELS AND DETERMINANTS ASSESSED UNDER USUAL CONDITIONS OF WORK (CANEPA STUDY) WITH THOSE PREDICTED BY REGISTRATION PROCESS (EFSA MODEL)","authors":"Morgane Bresson, Mathilde Bureau, Lucie De Graaf, Maylis Leblanc, Yannick Lecluse, Isabelle Baldi, Pierre Lebailly","doi":"10.1093/occmed/kqae023.1257","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1257","url":null,"abstract":"Introduction Pesticide exposure increases the risk of chronic disease among farmers. Understanding exposure is necessary for epidemiological and regulatory purposes. Since 2014, worker exposure has been assessed in the registration process by EFSA, using the OPEX model. Data specific to fruit-growing workers is limited to five European studies conducted in the 1980s by pesticide companies, among others. We compared exposure predicted in the regulations with that measured in field studies. Methods In 2016-2017, dermal exposure to captan and dithianon was measured in French farmers during 121 days of re-entry (net folding and deployment, thinning) and harvest, using patches and cotton gloves. Exposure was calculated using several parameters (task, personal protective equipment (PPE), treatment schedules). Exposure was recalculated from dislodgeable foliar residues (RDF) measured 2 to 312 days after application in 20 observations. Relationships between measured and calculated exposures were studied by linear regression. Results Exposure depended on PPE worn and tasks performed (thinning, net folding &gt; harvest, net deployment) due to differences in pesticide accumulation on plants over the season. Most exposures calculated using default settings were 100 times higher than measured exposure. The model underestimated exposure recalculated with measured DFR in all observations for dithianon and almost all for captan. Discussion In the regulatory process, re-entry exposure is only calculated when it occurs immediately after application. Exposure measured up to 300 days after application was never zero. When re-entry was not immediate after application, the model underestimated exposure. Conclusion This demonstrates the importance of using field studies in the registration process to ensure a truly conservative approach.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"373 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576066","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/kqae023.1300
Eunseun Han, Seong-Kyu Kang, Won-Jun Choi, Seunghon Ham
Introduction Since the COVID-19 pandemic, many companies and the Korean government have promoted flexible work hours. However, there is a lack of adequate research on this topic. This study explores the effects of flexible work arrangements on sleep disorders. Methods We analyzed the data from the 6th Korea Working Conditions Survey involving 31,384 workers. Flexible workers were defined by self-set hours. Sleep disorders were categorized as ‘difficulty falling asleep,’ ‘frequent waking during sleep,’ and ‘waking up feeling exhausted and fatigued.’ We used chi-square tests to analyze demographic and job-related differences. A multivariate logistic regression analysis was employed to identify any potential relationship between flexible work schedules and sleep disorders. Results The odds ratios were as follows: 1.27 (1.11-1.45) for ‘difficulty falling asleep’, 1.34 (1.19-1.51) for ‘frequent waking during sleep’, and 1.50 (1.36-1.66) for ‘waking up feeling exhausted and fatigued’. On average, flexible workers logged 36.97 (±13.30) hours per week, while non-flexible workers worked for 38.59 (±12.35) hours per week. Additionally, flexible workers reported working at night an average of 9.06 (±8.09) days per month, slightly fewer than the 9.20 (±6.36) days reported by non-flexible workers. Discussion Notably, despite having shorter work hours and fewer working at night, flexible workers displayed a significantly higher likelihood of experiencing sleep problems compared to their non-flexible counterparts. Conclusion While flexible workers gained advantages from reduced working hours and working at night, they still faced a heightened risk of sleep disturbances. Further research is imperative to determine the causality and underlying factors responsible for this discrepancy.
{"title":"P-527 RELATIONSHIP BETWEEN FLEXIBLE WORK ARRANGEMENT, WORKING HOURS, AND SLEEP PROBLEMS AMONG PAID KOREAN WORKERS","authors":"Eunseun Han, Seong-Kyu Kang, Won-Jun Choi, Seunghon Ham","doi":"10.1093/occmed/kqae023.1300","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1300","url":null,"abstract":"Introduction Since the COVID-19 pandemic, many companies and the Korean government have promoted flexible work hours. However, there is a lack of adequate research on this topic. This study explores the effects of flexible work arrangements on sleep disorders. Methods We analyzed the data from the 6th Korea Working Conditions Survey involving 31,384 workers. Flexible workers were defined by self-set hours. Sleep disorders were categorized as ‘difficulty falling asleep,’ ‘frequent waking during sleep,’ and ‘waking up feeling exhausted and fatigued.’ We used chi-square tests to analyze demographic and job-related differences. A multivariate logistic regression analysis was employed to identify any potential relationship between flexible work schedules and sleep disorders. Results The odds ratios were as follows: 1.27 (1.11-1.45) for ‘difficulty falling asleep’, 1.34 (1.19-1.51) for ‘frequent waking during sleep’, and 1.50 (1.36-1.66) for ‘waking up feeling exhausted and fatigued’. On average, flexible workers logged 36.97 (±13.30) hours per week, while non-flexible workers worked for 38.59 (±12.35) hours per week. Additionally, flexible workers reported working at night an average of 9.06 (±8.09) days per month, slightly fewer than the 9.20 (±6.36) days reported by non-flexible workers. Discussion Notably, despite having shorter work hours and fewer working at night, flexible workers displayed a significantly higher likelihood of experiencing sleep problems compared to their non-flexible counterparts. Conclusion While flexible workers gained advantages from reduced working hours and working at night, they still faced a heightened risk of sleep disturbances. Further research is imperative to determine the causality and underlying factors responsible for this discrepancy.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576079","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/kqae023.0348
Sandeep Sharma
While this fast-moving era has ushered a world of conveniences and technological marvels, people are also becoming increasingly susceptible to various lifestyle diseases which may snowball into complications that impact productivity, wellness, resilience work-life balance, and their performance. The COVID-19 pandemic and the abrupt transition to ‘new normal’ has further compounded these challenges, which have emerged as one of the most pressing issues of modern times affecting the physical and mental health of the workforce. This Special Session will address these concerns and deliberate on timely and appropriate interventions to prevent and mitigate them. Brief learning outcomes: The session will help occupational health physicians to develop means and skills to support and enhance the mental and physical wellbeing of the workforce. It will also provide them with support and guidance in dealing with issues and complications that could adversely affect wellbeing and impact on-job performance during these extraordinary times.
{"title":"SS60 THE FUTURE OF WORK: EMERGING RISKS AND OPPORTUNITIES FOR HEALTH AND WELLBEING","authors":"Sandeep Sharma","doi":"10.1093/occmed/kqae023.0348","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0348","url":null,"abstract":"While this fast-moving era has ushered a world of conveniences and technological marvels, people are also becoming increasingly susceptible to various lifestyle diseases which may snowball into complications that impact productivity, wellness, resilience work-life balance, and their performance. The COVID-19 pandemic and the abrupt transition to ‘new normal’ has further compounded these challenges, which have emerged as one of the most pressing issues of modern times affecting the physical and mental health of the workforce. This Special Session will address these concerns and deliberate on timely and appropriate interventions to prevent and mitigate them. Brief learning outcomes: The session will help occupational health physicians to develop means and skills to support and enhance the mental and physical wellbeing of the workforce. It will also provide them with support and guidance in dealing with issues and complications that could adversely affect wellbeing and impact on-job performance during these extraordinary times.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575807","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 objective was to assess the risk of MSDs by using 3 simple and rapid methods. Methods OSHA (Occupational Safety and Health Administration) screens for situations likely to be at risk of MSDs of the upper limbs. The normal score is < 5. RULA (Rapid Upper Limb Assessment) requires observation over several work cycles to select the most frequent and/or most restrictive posture a priori. The acceptable score is between 1 and 2. OREGE (Gesture Identification and Evaluation Tool) is an analytical method for evaluating the three risk factors: effort, extreme joint positions and repetitiveness. Results Shift work (3x8) with a half-hour break is carried out while standing. The complete work cycle of an operation lasts 3 minutes and 20 seconds. Each cycle includes eight different tasks: supplying the molding station with boxes containing frames and a stock of resin; taking frames of the boxes and placing them on the grill; preheating the resin; placing the pre-filled grill on the mold; deposition of the resin above the mold; recovery of the grill and unloading of the molded frames; storage in lockers transferred periodically to a table located 5 meters away; cleaning the device with a blower and brush. OSHA score = 4; the position is suitable. RULA made it possible to study the mold cleaning phase; its total score = 6 requires immediate modifications. The OREGE scores indicate that the actions were not recommended and the position must be quickly adapted. Discussion and conclusion The company must develop a participatory preventive strategy involving all social partners.
{"title":"P-384 ASSESSMENT OF MUSCULOSKELETAL DISORDERS (MSDS) AT THE MANUAL MOLDING STATION WITHIN A MICROELECTRONICS COMPANY","authors":"Zakaryaa Bensaoud, Tarik Ghailan, Nadia Manar, Omar Laraqui, Frédéric Deschamps, Chakib El Houssine Laraqui Hossini","doi":"10.1093/occmed/kqae023.1052","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1052","url":null,"abstract":"Introduction The objective was to assess the risk of MSDs by using 3 simple and rapid methods. Methods OSHA (Occupational Safety and Health Administration) screens for situations likely to be at risk of MSDs of the upper limbs. The normal score is &lt; 5. RULA (Rapid Upper Limb Assessment) requires observation over several work cycles to select the most frequent and/or most restrictive posture a priori. The acceptable score is between 1 and 2. OREGE (Gesture Identification and Evaluation Tool) is an analytical method for evaluating the three risk factors: effort, extreme joint positions and repetitiveness. Results Shift work (3x8) with a half-hour break is carried out while standing. The complete work cycle of an operation lasts 3 minutes and 20 seconds. Each cycle includes eight different tasks: supplying the molding station with boxes containing frames and a stock of resin; taking frames of the boxes and placing them on the grill; preheating the resin; placing the pre-filled grill on the mold; deposition of the resin above the mold; recovery of the grill and unloading of the molded frames; storage in lockers transferred periodically to a table located 5 meters away; cleaning the device with a blower and brush. OSHA score = 4; the position is suitable. RULA made it possible to study the mold cleaning phase; its total score = 6 requires immediate modifications. The OREGE scores indicate that the actions were not recommended and the position must be quickly adapted. Discussion and conclusion The company must develop a participatory preventive strategy involving all social partners.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575894","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/kqae023.1330
Magdalena Bošnjak, Hana Brborović, Ognjen Brborović, Roko Žaja
Introduction Workplace violence is a multifaceted phenomenon that occurs when an individual or a collective entity engages in aggressive or harmful behavior within the organizational context. The occurrence of violence against nurses is observed to be perpetrated by various individuals within the healthcare setting, including patients, their family members, as well as doctors and fellow nurses. The overarching aim of this study is to provide a comprehensive description of the strategies and measures employed in the prevention of violence against nurses. The primary aim of this study is to ascertain and analyze distinct indicators of violence prevention strategies, with the ultimate goal of assessing their efficacy. Methods A literature search on the databases PubMed, WoS, and Scopus was performed. The study included systematic reviews (SR) and meta-analyses (MA) published in the last decade. The literature review was conducted in accordance with the PRISMA guidelines. The assessment of the articles’ quality was conducted utilizing the AMSTAR-R assessment tool. Results and discussion A total of six studies (4 SA and 2 MA) were deemed eligible based on the predetermined inclusion criteria. Research has demonstrated that the implementation of educational programs and effective communication strategies are the most efficacious measures for preventing violence. Conclusion This approach will effectively enhance the level of awareness among nurses and foster a culture of cooperation and mutual respect within the workplace. Changes in achieving desired outcomes can be facilitated through the implementation of educational initiatives, training programs focused on enhancing communication skills, and the establishment of a secure and collaborative work environment.
{"title":"O-360 PREVENTING NURSE VIOLENCE – AN OVERVIEW OF SYSTEMATIC REVIEWS AND META-ANALYSES","authors":"Magdalena Bošnjak, Hana Brborović, Ognjen Brborović, Roko Žaja","doi":"10.1093/occmed/kqae023.1330","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1330","url":null,"abstract":"Introduction Workplace violence is a multifaceted phenomenon that occurs when an individual or a collective entity engages in aggressive or harmful behavior within the organizational context. The occurrence of violence against nurses is observed to be perpetrated by various individuals within the healthcare setting, including patients, their family members, as well as doctors and fellow nurses. The overarching aim of this study is to provide a comprehensive description of the strategies and measures employed in the prevention of violence against nurses. The primary aim of this study is to ascertain and analyze distinct indicators of violence prevention strategies, with the ultimate goal of assessing their efficacy. Methods A literature search on the databases PubMed, WoS, and Scopus was performed. The study included systematic reviews (SR) and meta-analyses (MA) published in the last decade. The literature review was conducted in accordance with the PRISMA guidelines. The assessment of the articles’ quality was conducted utilizing the AMSTAR-R assessment tool. Results and discussion A total of six studies (4 SA and 2 MA) were deemed eligible based on the predetermined inclusion criteria. Research has demonstrated that the implementation of educational programs and effective communication strategies are the most efficacious measures for preventing violence. Conclusion This approach will effectively enhance the level of awareness among nurses and foster a culture of cooperation and mutual respect within the workplace. Changes in achieving desired outcomes can be facilitated through the implementation of educational initiatives, training programs focused on enhancing communication skills, and the establishment of a secure and collaborative work environment.","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":"141576061","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/kqae023.1092
Andrea Sundstrand, Maria Albin, Theo Bodin, Gun Johansson, Eskil Wadensjö
Introduction We explored the potential to use requirements on working conditions in public procurement in Sweden to promote decent work. Methods We sequentially used two approaches: - An examination of the procurement legal framework, using the legal dogmatic method in which recognized sources of law, legal preparatory documents, jurisprudence and legal doctrine is examined. - A case study of public procurement of cleaning services. Researchers with a background in occupational medicine/ sociology and cleaners’union representatives fed into the preparation for the tender. Results The analysis of the legal framework showed that according to Swedish law and EU law it is possible to include requirements on the work environment. However, it should be considered necessary, non-discriminatory, proportionate and verifiable. Sanctions may be linked to non-compliance. Researchers and union representatives provided support for the necessity, and detail of requirements on working environment for cleaning services. In the final tender requirements had been added on e.g. documented training in ergonomics/chemical hazards for managers and workers, access to occupational health service, and periodic examinations due to hand-intensive work. Verification of compliance and sanctions for non-compliance were defined. Discussion The legal framework for public procurement allows inclusion of requirements on working conditions. Expert (social partners, occupational safety and health professionals) knowledge of the sector may contribute in the preparatory process for the tender to ascertain necessity and proportionality, relevant work environment legislation and means for verification. Conclusion Requirements on working environment in public procurement may be seen as a potentially powerful but underused tool to promote Decent work.
{"title":"O-261 REQUIREMENTS ON WORKING ENVIRONMENT IN PUBLIC PROCUREMENT- AN UNDERUSED STRATEGY FOR DECENT WORK?","authors":"Andrea Sundstrand, Maria Albin, Theo Bodin, Gun Johansson, Eskil Wadensjö","doi":"10.1093/occmed/kqae023.1092","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1092","url":null,"abstract":"Introduction We explored the potential to use requirements on working conditions in public procurement in Sweden to promote decent work. Methods We sequentially used two approaches: - An examination of the procurement legal framework, using the legal dogmatic method in which recognized sources of law, legal preparatory documents, jurisprudence and legal doctrine is examined. - A case study of public procurement of cleaning services. Researchers with a background in occupational medicine/ sociology and cleaners’union representatives fed into the preparation for the tender. Results The analysis of the legal framework showed that according to Swedish law and EU law it is possible to include requirements on the work environment. However, it should be considered necessary, non-discriminatory, proportionate and verifiable. Sanctions may be linked to non-compliance. Researchers and union representatives provided support for the necessity, and detail of requirements on working environment for cleaning services. In the final tender requirements had been added on e.g. documented training in ergonomics/chemical hazards for managers and workers, access to occupational health service, and periodic examinations due to hand-intensive work. Verification of compliance and sanctions for non-compliance were defined. Discussion The legal framework for public procurement allows inclusion of requirements on working conditions. Expert (social partners, occupational safety and health professionals) knowledge of the sector may contribute in the preparatory process for the tender to ascertain necessity and proportionality, relevant work environment legislation and means for verification. Conclusion Requirements on working environment in public procurement may be seen as a potentially powerful but underused tool to promote Decent work.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576063","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：