{"title":"Retraction note: Information about article’s retraction","authors":"","doi":"10.2478/rjom-2022-0010","DOIUrl":"https://doi.org/10.2478/rjom-2022-0010","url":null,"abstract":"","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125428023","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}
Popescu Florina Georgeta, Stoia Mihaela, Morariu Stelian Ioan
Abstract Background: Historically, silicosis is a disease of miners, but the last decade witnessed outbreaks in occupational settings not traditionally associated with silica exposure. Evidence from other countries may ground awareness and control of re-emergent risks. Methods: Incident cases of occupational diseases, ranking and trends were analysed within the period 2005-2016 using a cross-national comparative study. Labor force profile and occupation were additional data used to identify similarities and differences between Romania and Israel. The incidence rates for silicosis extracted from the Global Burden of Disease Study 2017 were compared to national, continental, and global level. Results: Between the two countries, the ratio was 1:1 for silicosis, musculoscheletal disorders, hearing loss, and chronic bronchitis. Regarding silicosis, two major diffences were found, namely: the trend of incidence (ascending in Israel; descending in Romania) and the occupational setting (coal miner in Romania; artificial stone worker in Israel). Globally, Romania was among countries with high incidence of silicosis in 2017. Conclusion: Silicosis was a national issue of concern at the time, but vigilance should continue, given the severity of this disease and the occurrence of other silica-related diseases.
{"title":"Epidemiology of occupational diseases in Romania and Israel: silicosis as a national concern","authors":"Popescu Florina Georgeta, Stoia Mihaela, Morariu Stelian Ioan","doi":"10.2478/rjom-2022-0007","DOIUrl":"https://doi.org/10.2478/rjom-2022-0007","url":null,"abstract":"Abstract Background: Historically, silicosis is a disease of miners, but the last decade witnessed outbreaks in occupational settings not traditionally associated with silica exposure. Evidence from other countries may ground awareness and control of re-emergent risks. Methods: Incident cases of occupational diseases, ranking and trends were analysed within the period 2005-2016 using a cross-national comparative study. Labor force profile and occupation were additional data used to identify similarities and differences between Romania and Israel. The incidence rates for silicosis extracted from the Global Burden of Disease Study 2017 were compared to national, continental, and global level. Results: Between the two countries, the ratio was 1:1 for silicosis, musculoscheletal disorders, hearing loss, and chronic bronchitis. Regarding silicosis, two major diffences were found, namely: the trend of incidence (ascending in Israel; descending in Romania) and the occupational setting (coal miner in Romania; artificial stone worker in Israel). Globally, Romania was among countries with high incidence of silicosis in 2017. Conclusion: Silicosis was a national issue of concern at the time, but vigilance should continue, given the severity of this disease and the occurrence of other silica-related diseases.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131819125","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}
Abstract Despite the existence of numerous initiatives and methods to prevent occupational risks and improve workplace well-being, musculoskeletal disorders (MSDs) remain a major health concern in European countries. Without doubt, the cause of this worrying situation is multifactorial, and various disease management approaches have been proposed in the scientific literature. However, the authors of this article identified a gap that should be considered: collaboration between occupational health professionals and ergonomists would lead to more efficient ergonomic interventions and proper implementation of proactive measures for occupational health and safety. The paper presents a brief literature review and proposes a methodological framework that englobes the cooperation of occupational health professionals and ergonomists for implementation of ergonomic interventions.
{"title":"Occupational medicine and ergonomics: a new paradigm for improved management of ergonomic risks","authors":"M. Boatca, A. Rascu","doi":"10.2478/rjom-2022-0004","DOIUrl":"https://doi.org/10.2478/rjom-2022-0004","url":null,"abstract":"Abstract Despite the existence of numerous initiatives and methods to prevent occupational risks and improve workplace well-being, musculoskeletal disorders (MSDs) remain a major health concern in European countries. Without doubt, the cause of this worrying situation is multifactorial, and various disease management approaches have been proposed in the scientific literature. However, the authors of this article identified a gap that should be considered: collaboration between occupational health professionals and ergonomists would lead to more efficient ergonomic interventions and proper implementation of proactive measures for occupational health and safety. The paper presents a brief literature review and proposes a methodological framework that englobes the cooperation of occupational health professionals and ergonomists for implementation of ergonomic interventions.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125178297","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}
Abstract Hypersensitivity pneumonitis (HP) is a complex inflammatory and/or fibrotic immune-mediated disease that involves lung parenchyma and small airways caused by an inhaled antigen in susceptible individuals. It is currently the third most frequent interstitial lung disease (ILD) after idiopathic pulmonary fibrosis (IPF) and connective tissue disease with ILD. Diagnosis of HP is often challenging as identifying a causative agent is one of the main arguments in diagnosis along with specific serum IgG testing, suggestive HRCT and/or BAL, and in some cases histopathological findings. However, in up to 60 % of cases, exposure is not identified despite a thorough exposure history. HP is more frequent associated with occupational exposures, up to 20%, but non-occupational environmental exposure remains an important cause. We present a case of bird fancier’s lung that illustrates the challenges and the importance of identifying the culprit antigen as the elimination of exposure in combination with corticosteroids can lead to improvement in lung function, symptoms and leads to a better prognosis and may stop of evolving in sever fibrotic forms of HP.
{"title":"An unexpected effect of teleworking: acute clinical manifestations of a hypersensitivity pneumonitis to home parrots","authors":"Andreea Mutu, I. Belaconi, C. Toma, M. Oțelea","doi":"10.2478/rjom-2022-0003","DOIUrl":"https://doi.org/10.2478/rjom-2022-0003","url":null,"abstract":"Abstract Hypersensitivity pneumonitis (HP) is a complex inflammatory and/or fibrotic immune-mediated disease that involves lung parenchyma and small airways caused by an inhaled antigen in susceptible individuals. It is currently the third most frequent interstitial lung disease (ILD) after idiopathic pulmonary fibrosis (IPF) and connective tissue disease with ILD. Diagnosis of HP is often challenging as identifying a causative agent is one of the main arguments in diagnosis along with specific serum IgG testing, suggestive HRCT and/or BAL, and in some cases histopathological findings. However, in up to 60 % of cases, exposure is not identified despite a thorough exposure history. HP is more frequent associated with occupational exposures, up to 20%, but non-occupational environmental exposure remains an important cause. We present a case of bird fancier’s lung that illustrates the challenges and the importance of identifying the culprit antigen as the elimination of exposure in combination with corticosteroids can lead to improvement in lung function, symptoms and leads to a better prognosis and may stop of evolving in sever fibrotic forms of HP.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115034963","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}
Abstract Unbound (free) crystalline-silica dust is recognized since 2012 by the International Agency for Research on Cancer as a class I carcinogen. Exposure to this professional hazard was massive at the end of the last century, and it continues to exist today, albeit at lower levels. The number of cases of occupational cancer attributed to this exposure is minimal in Romania due to the absence of adequate post-exposure monitoring and the reporting of cases that encounters multiple obstacles, such as the absence of exposure data or the disappearance of the industrial sites in which the exposure took place. Occupational exposure to free crystalline silica dust can cause silicosis, and the presence of this disease certifies the existence of significant exposure. That is why the declaration of occupational cancer in a patient previously diagnosed with silicosis should be straightforward because the proof of exposure already exists. This article presents the cancer-silicosis relationship from the perspective of current scientific data and aims to substantiate the decision of the doctors from the public health departments who investigate and declare the reported cases.
自2012年以来，国际癌症研究机构(International Agency for Research on Cancer)将游离晶体二氧化硅粉尘(Unbound (free) crystalline-silica dust)认定为一类致癌物。在上世纪末，这种职业危害的暴露是巨大的，今天它继续存在，尽管水平较低。在罗马尼亚，由于缺乏适当的接触后监测和遇到多重障碍的病例报告，例如缺乏接触数据或发生接触的工业场所消失，导致这种接触导致的职业性癌症病例数量极少。职业性暴露于游离结晶二氧化硅粉尘可引起矽肺病，这种疾病的存在证明了显著暴露的存在。这就是为什么先前被诊断为矽肺病的患者的职业性癌症声明应该直截了当，因为暴露的证据已经存在。本文从现有科学数据的角度介绍了癌症与矽肺的关系，旨在证实公共卫生部门调查和报告病例的医生的决定。
{"title":"The association between lung cancer and silicosis: from theory to practice in occupational medicine","authors":"M. Oțelea","doi":"10.2478/rjom-2022-0008","DOIUrl":"https://doi.org/10.2478/rjom-2022-0008","url":null,"abstract":"Abstract Unbound (free) crystalline-silica dust is recognized since 2012 by the International Agency for Research on Cancer as a class I carcinogen. Exposure to this professional hazard was massive at the end of the last century, and it continues to exist today, albeit at lower levels. The number of cases of occupational cancer attributed to this exposure is minimal in Romania due to the absence of adequate post-exposure monitoring and the reporting of cases that encounters multiple obstacles, such as the absence of exposure data or the disappearance of the industrial sites in which the exposure took place. Occupational exposure to free crystalline silica dust can cause silicosis, and the presence of this disease certifies the existence of significant exposure. That is why the declaration of occupational cancer in a patient previously diagnosed with silicosis should be straightforward because the proof of exposure already exists. This article presents the cancer-silicosis relationship from the perspective of current scientific data and aims to substantiate the decision of the doctors from the public health departments who investigate and declare the reported cases.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129666454","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}
G. Bejan, Ramona Apostol, Mihaela Bejan, I. Grăjdeanu, M. Badina, A. Simionescu, A. Stănescu
Abstract Osteoa rthritis is a heterogeneous group of diseases with typical joint damage by articular cartilage damage, along with degenerative changes in the epiphyses of the bones adjacent to the affected joint and the synovial joint. Osteoarthritis affects people over 50 years, but the onset is much earlier if an occupational factor is present. Due to the high prevalence, osteoarthritis is the leading cause of presentation to primary care, either in the family or occupational medicine. Osteoarthritis also poses an economic burden to society due to direct costs such as the price paid for a visit to the doctor, the cost of drugs or implanted prostheses, or indirect costs generated by decreased fitness for a job or even disability. The occupational medicine specialist has the leading role in primary and secondary prevention in this sense. The collaboration between the family doctor – rehabilitation and occupational physician has the function of tertiary prevention maintaining the quality of life and socioeconomic life in case of these types of patients.
{"title":"Osteoarthritis – a multidiciplinary approach","authors":"G. Bejan, Ramona Apostol, Mihaela Bejan, I. Grăjdeanu, M. Badina, A. Simionescu, A. Stănescu","doi":"10.2478/rjom-2022-0001","DOIUrl":"https://doi.org/10.2478/rjom-2022-0001","url":null,"abstract":"Abstract Osteoa rthritis is a heterogeneous group of diseases with typical joint damage by articular cartilage damage, along with degenerative changes in the epiphyses of the bones adjacent to the affected joint and the synovial joint. Osteoarthritis affects people over 50 years, but the onset is much earlier if an occupational factor is present. Due to the high prevalence, osteoarthritis is the leading cause of presentation to primary care, either in the family or occupational medicine. Osteoarthritis also poses an economic burden to society due to direct costs such as the price paid for a visit to the doctor, the cost of drugs or implanted prostheses, or indirect costs generated by decreased fitness for a job or even disability. The occupational medicine specialist has the leading role in primary and secondary prevention in this sense. The collaboration between the family doctor – rehabilitation and occupational physician has the function of tertiary prevention maintaining the quality of life and socioeconomic life in case of these types of patients.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122580219","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}
Maria Valentina Popa, Nicoleta Luchian, B. Gurzu, I. Gurzu, L. Duceac
Abstract Complications of the SARS-CoV-2 infection have significantly impacted the affected people’s quality of life and professional activity. Neurological manifestations may be present from the onset of infection but also in the course of the disease. The most common neurological symptoms are headache, anosmia/hyposmia, ageusia/dysgeusia, and myalgia. The studies also mention severe complications such as stroke, cerebral hemorrhage, meningitis, encephalitis, Guillain-Barré syndrome, acute transverse myelitis, convulsions, and movement disorders, as the infection with the SARS-CoV-2 virus is affecting both central and peripheral nervous systems. SARS-CoV-2 can worsen the symptoms of Parkinson’s disease, increasing the mortality rate in patients with advanced disease. The potential risk of inducing Parkinson’s disease has also been suggested, with the virus penetrating the brain where it can trigger cellular processes involved in neurodegeneration. We present you with the case of a nurse in the medical field, without comorbidities, who developed Parkinson’s disease after infection with the SARS-CoV-2 virus. Establishing a cause-and-effect relationship between the onset of Parkinson’s disease and viral infection may be possible, but the mechanisms by which it affects the nervous system and the involvement of the immune system in the pathogenesis of these manifestations are still under study. The progression of the disease, functional status, and ability to work can have a negative impact on professional activity.
{"title":"Neurological complications in infection with the SARS-COV-2 virus: Parkinson’s disease and the impact on professional reintegration - case study","authors":"Maria Valentina Popa, Nicoleta Luchian, B. Gurzu, I. Gurzu, L. Duceac","doi":"10.2478/rjom-2022-0006","DOIUrl":"https://doi.org/10.2478/rjom-2022-0006","url":null,"abstract":"Abstract Complications of the SARS-CoV-2 infection have significantly impacted the affected people’s quality of life and professional activity. Neurological manifestations may be present from the onset of infection but also in the course of the disease. The most common neurological symptoms are headache, anosmia/hyposmia, ageusia/dysgeusia, and myalgia. The studies also mention severe complications such as stroke, cerebral hemorrhage, meningitis, encephalitis, Guillain-Barré syndrome, acute transverse myelitis, convulsions, and movement disorders, as the infection with the SARS-CoV-2 virus is affecting both central and peripheral nervous systems. SARS-CoV-2 can worsen the symptoms of Parkinson’s disease, increasing the mortality rate in patients with advanced disease. The potential risk of inducing Parkinson’s disease has also been suggested, with the virus penetrating the brain where it can trigger cellular processes involved in neurodegeneration. We present you with the case of a nurse in the medical field, without comorbidities, who developed Parkinson’s disease after infection with the SARS-CoV-2 virus. Establishing a cause-and-effect relationship between the onset of Parkinson’s disease and viral infection may be possible, but the mechanisms by which it affects the nervous system and the involvement of the immune system in the pathogenesis of these manifestations are still under study. The progression of the disease, functional status, and ability to work can have a negative impact on professional activity.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114552109","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}
Nicoleta Luchian, Maria Valentina Popa, Mădălina Duceac, I. Gurzu, B. Gurzu, C. Handra, L. Duceac
Abstract The general perception is that the COVID-19 pandemic has been one of the biggest challenges for the health system. While touching every aspect of life, the COVID-19 pandemic has requested a prompt response from the health system and other structures and coordination systems that intervene in daily activity. The data presented were obtained following the application of a questionnaire to the average care staff of the Pascani Municipal Emergency Hospital, which monitored the impact of the COVID-19 pandemic on their professional activity and emotional state. The results revealed not only feelings of panic, fear, and worry but also determination and stubbornness in the fight against the disease. The results of the study indicated the adherence of the medical staff to initiatives that promote a holistic approach to the patient, addressing all the patient’s sufferings (physical, psychological, social, or spiritual), as well as finding new ways of relieving, treating, and healing them. The therapeutic act was difficult to fulfill because it had to consider the COVID-19 protocols, modified in dynamics, and applied to patients and staff. The use of complete protective equipment, as well as other adjustments to the working conditions, were perceived as an additional effort. To achieve this desideratum, teamwork, continuous medical education of the medical staff, and efficient communication between the medical assistant-nurse team with the patient and their relatives were of particular importance. Clear, transparent communication on the patient’s actual clinical condition and prognosis to his family members is essential to avoid and overcome possible conflictual situations.
{"title":"The psychological impact of the COVID-19 pandemic among the medical-sanitary staff, a new challenge","authors":"Nicoleta Luchian, Maria Valentina Popa, Mădălina Duceac, I. Gurzu, B. Gurzu, C. Handra, L. Duceac","doi":"10.2478/rjom-2022-0009","DOIUrl":"https://doi.org/10.2478/rjom-2022-0009","url":null,"abstract":"Abstract The general perception is that the COVID-19 pandemic has been one of the biggest challenges for the health system. While touching every aspect of life, the COVID-19 pandemic has requested a prompt response from the health system and other structures and coordination systems that intervene in daily activity. The data presented were obtained following the application of a questionnaire to the average care staff of the Pascani Municipal Emergency Hospital, which monitored the impact of the COVID-19 pandemic on their professional activity and emotional state. The results revealed not only feelings of panic, fear, and worry but also determination and stubbornness in the fight against the disease. The results of the study indicated the adherence of the medical staff to initiatives that promote a holistic approach to the patient, addressing all the patient’s sufferings (physical, psychological, social, or spiritual), as well as finding new ways of relieving, treating, and healing them. The therapeutic act was difficult to fulfill because it had to consider the COVID-19 protocols, modified in dynamics, and applied to patients and staff. The use of complete protective equipment, as well as other adjustments to the working conditions, were perceived as an additional effort. To achieve this desideratum, teamwork, continuous medical education of the medical staff, and efficient communication between the medical assistant-nurse team with the patient and their relatives were of particular importance. Clear, transparent communication on the patient’s actual clinical condition and prognosis to his family members is essential to avoid and overcome possible conflictual situations.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132755850","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}
Abstract We report the case of a 63-year-old terracotta tiles manufacturer who presented with acute abdomen and normocytic anaemia. The patient presented with elevated levels of urinary delta-aminolaevulinic acid without any increase in the levels of urine porphobilinogen or urine coproporphyrin. Detection of elevated lead blood levels (1939 µg/dL one month before hospital admission in the occupational medicine clinic and 44.70 µg/dL at hospital admission, values come from two different laboratories) confirmed the diagnosis of chronic lead poisoning due to occupational exposure. Chelation therapy with D-penicillamine resulted in the improvement of clinical symptoms and lead blood levels. Clinicians should be aware that lead poisoning caused by occupational exposure can still occur sporadically in terracotta tiles manufacturing workers, lead poisoning being a neglected diagnosis in abdominal pain.
{"title":"Occupational lead intoxication from terracotta tiles manufacturing: a case study","authors":"Cristina-Manuela Mocanu","doi":"10.2478/rjom-2022-0002","DOIUrl":"https://doi.org/10.2478/rjom-2022-0002","url":null,"abstract":"Abstract We report the case of a 63-year-old terracotta tiles manufacturer who presented with acute abdomen and normocytic anaemia. The patient presented with elevated levels of urinary delta-aminolaevulinic acid without any increase in the levels of urine porphobilinogen or urine coproporphyrin. Detection of elevated lead blood levels (1939 µg/dL one month before hospital admission in the occupational medicine clinic and 44.70 µg/dL at hospital admission, values come from two different laboratories) confirmed the diagnosis of chronic lead poisoning due to occupational exposure. Chelation therapy with D-penicillamine resulted in the improvement of clinical symptoms and lead blood levels. Clinicians should be aware that lead poisoning caused by occupational exposure can still occur sporadically in terracotta tiles manufacturing workers, lead poisoning being a neglected diagnosis in abdominal pain.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126958049","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}
Abstract Background: Sick leave (SL) medical certificates may help identify the intervention needed to reduce occupational exposures (OE) impact on employees’ health. OE may trigger increased sick days, but the question remains whether tracking medical certificates could improve health and working conditions. The objective of this observational retrospective cohort study was analyzing the SL situation for a local company in 2008, OE impact on future medical leaves during the next decade, and on all-cause mortality, towards improving global employee health. Methods: Employees of a local company were divided into two groups (G): G1-multiple OE including chemical hazards, rotating shifts, manual weight lifting, repetitive movements and machinery maneuvering (MWLRMMM), and G2-without OE. They were followed-up retrospectively between 2008-2018 regarding information from SL certificates, SL number, and all-cause mortality. Professional risk was assessed by professional risk factors identification forms, and on-site evaluation. Results: 369 patients (45.4% of all employees), mean age 33 ± 8.2 years old, 41.2% men, received 11310 SL days, 3036 days on the first certificate. G1 included 324 (87.8%), while G2 included 45 patients (12.2%). The most common OE, in 292 patients (79.1% of total, 90.1% of G1) was MWLRMMM. Sick days were significantly higher in G1 (p=0.046), while the association with MWLRMMM was almost significant (p=0.053). During the next decade, subsequent SL were significantly increased by the presence of OE (p=0.0023, risk ratio=2.4), especially MWLRMMM (p=0.0026). All-cause mortality was higher in older employees (p=0.025), and uninfluenced by OE (p=0.3194) or other parameters. Conclusions: SL are commonly prescribed, and OE is associated with more sick days, therefore improved working conditions may reduce SL. No association between OE and all-cause mortality was documented. Multiple sources of information (medical certificates, direct communication with employees and prescribing physicians) could lead to less sick days and a healthier work environment.
{"title":"Occupational exposure and sick leave in a local food industry company","authors":"Bogdan Mihail Pârvu","doi":"10.2478/rjom-2022-0005","DOIUrl":"https://doi.org/10.2478/rjom-2022-0005","url":null,"abstract":"Abstract Background: Sick leave (SL) medical certificates may help identify the intervention needed to reduce occupational exposures (OE) impact on employees’ health. OE may trigger increased sick days, but the question remains whether tracking medical certificates could improve health and working conditions. The objective of this observational retrospective cohort study was analyzing the SL situation for a local company in 2008, OE impact on future medical leaves during the next decade, and on all-cause mortality, towards improving global employee health. Methods: Employees of a local company were divided into two groups (G): G1-multiple OE including chemical hazards, rotating shifts, manual weight lifting, repetitive movements and machinery maneuvering (MWLRMMM), and G2-without OE. They were followed-up retrospectively between 2008-2018 regarding information from SL certificates, SL number, and all-cause mortality. Professional risk was assessed by professional risk factors identification forms, and on-site evaluation. Results: 369 patients (45.4% of all employees), mean age 33 ± 8.2 years old, 41.2% men, received 11310 SL days, 3036 days on the first certificate. G1 included 324 (87.8%), while G2 included 45 patients (12.2%). The most common OE, in 292 patients (79.1% of total, 90.1% of G1) was MWLRMMM. Sick days were significantly higher in G1 (p=0.046), while the association with MWLRMMM was almost significant (p=0.053). During the next decade, subsequent SL were significantly increased by the presence of OE (p=0.0023, risk ratio=2.4), especially MWLRMMM (p=0.0026). All-cause mortality was higher in older employees (p=0.025), and uninfluenced by OE (p=0.3194) or other parameters. Conclusions: SL are commonly prescribed, and OE is associated with more sick days, therefore improved working conditions may reduce SL. No association between OE and all-cause mortality was documented. Multiple sources of information (medical certificates, direct communication with employees and prescribing physicians) could lead to less sick days and a healthier work environment.","PeriodicalId":399083,"journal":{"name":"Romanian Journal of Occupational Medicine","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117203693","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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