Indian Journal of Occupational and Environmental Medicine最新文献_第10页

Impact of SARS-CoV-2 AstraZeneca vaccine on safety and blood elements of Egyptian healthcare workers 阿斯利康SARS-CoV-2疫苗对埃及医护人员安全性和血液成分的影响

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_275_22

TaghreedS Meshref, DinaA Hamad, MaiM Aly, DaliaT Kamal, MariamR Elkhayat, ShimaaA Elghazally

Background: Many coronavirus disease 2019 (COVID-19) vaccines were approved worldwide. Their safety was the primary concern. In Egypt, Oxford–AstraZeneca (AZ) vaccine was the first approved vaccine initially for healthcare workers (HCWs). Objective: We aim to determine adverse events and hematological abnormalities following the COVID-19 AZ vaccine and estimate the infection rate of the candidates by COVID-19 between the first and second doses of vaccination. Methods: Within 8–10 days of receiving their initial dose of the AZ vaccine, 909 HCWs were assessed for adverse events as part of a prospective longitudinal study. Complete blood counts (CBCs) were evaluated before and one month after vaccination. Results: 37.2% of the candidates experienced side effects following vaccination. Pain at the injection site was the most common (25.4%) and more frequent in participants between 20 and 40 years (27.9%). The mean total leukocyte count (TLC), absolute leukocyte count (ALC), absolute neutrophil count (ANC), and absolute monocyte count (AMC) increased one month following vaccination (P < 0. 001). Sixty-six vaccinated HCWs were infected with COVID-19 between the two vaccine doses. 82% were infected after 14 days of the first dose, while 18% were infected before 14 days (P < 0.0001). Conclusions: Most of the vaccinated personnel did not experience any side effects after the first dose of the vaccine. Furthermore, the most common complaints were pain at the injection site, fatigue, fever, headache, arthralgia, myalgia, and chills. Infected people with COVID-19 after the first dose had significantly more severe disease if they were infected before 14 days than those who got infected later on.

背景:2019冠状病毒病(COVID-19)疫苗已在全球范围内获得批准。他们的安全是首要问题。在埃及，牛津-阿斯利康(AZ)疫苗是第一个最初为卫生保健工作者(HCWs)批准的疫苗。目的:确定COVID-19 AZ疫苗接种后的不良事件和血液学异常情况，估计候选人在第一剂和第二剂疫苗接种期间的COVID-19感染率。方法:作为一项前瞻性纵向研究的一部分，909名卫生保健工作者在接受阿斯利康疫苗初始剂量后的8-10天内进行了不良事件评估。接种前和接种后1个月评估全血细胞计数(CBCs)。结果:37.2%的候选人在接种疫苗后出现了副作用。注射部位的疼痛最常见(25.4%)，在20至40岁的参与者中更常见(27.9%)。平均总白细胞计数(TLC)、绝对白细胞计数(ALC)、绝对中性粒细胞计数(ANC)和绝对单核细胞计数(AMC)在接种后1个月升高(P < 0.05)。001）. 在两剂疫苗接种期间，66名接种了疫苗的医护人员感染了COVID-19。第一次给药后14天感染率为82%，第14天前感染率为18% (P < 0.0001)。结论:大多数接种人员在接种第一剂疫苗后未出现任何副作用。此外，最常见的主诉是注射部位疼痛、疲劳、发热、头痛、关节痛、肌痛和寒战。在第一次注射后感染COVID-19的人，如果在14天前被感染，他们的病情会比在14天后被感染的人严重得多。

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引用次数: 0

Preventive measures and hygiene habits of apple producers in the Prespa region Prespa地区苹果生产者的预防措施和卫生习惯

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_47_22

Jansun Bukovetz, Mihail Kochubovski, Shaban Memeti, Gordana Ristovska

Background: Agriculture is one of the most dangerous industries, both for the employees in that sector and for their families and the environment. The use of personal protective preventive measures and the maintenance of good hygienic practices are the basis for healthy production and healthy workers. The safety and hygiene of food products should be present during all stages of production. Objectives: The study aimed to assess the use of personal protective equipment (PPE) by apple growers during agricultural procedures as well as the hygiene habits of agricultural workers. Subjects and Methods: A cross-sectional study was conducted including 101 farmers from the Prespa region in the Republic of North Macedonia by using a questionnaire with 34 questions. The questions were formulated in order to give us an insight into the protective preventive measures undertaken at work by apple producers and their hygiene. Results: The study included 101 apple growers from the Prespa region. Wearing a completely tidy special PPE when using pesticides was registered in 78.2% of farmers, and when lawn mowing in 42.5%. 16% of the surveyed farmers during agricultural activities did not always wash their hands after going to the toilet, and almost 30% of them did not use soap when washing their hands. Conclusion: There is inadequate hygiene practice/personal hygiene during agricultural activities. In addition, the proper use of PPE is not at a satisfactory level and poses a risk to the health of apple growers.

背景:农业是最危险的行业之一，无论是对该部门的雇员，还是对他们的家庭和环境。使用个人防护预防措施和保持良好的卫生习惯是健康生产和健康工人的基础。食品的安全卫生应贯穿于生产的各个阶段。目的:本研究旨在评估苹果种植者在农业生产过程中个人防护装备的使用情况以及农业工人的卫生习惯。研究对象和方法:采用包含34个问题的调查问卷，对北马其顿共和国Prespa地区的101名农民进行了横断面研究。制定这些问题是为了让我们深入了解苹果生产商在工作中采取的保护性预防措施及其卫生。结果:该研究包括来自Prespa地区的101名苹果种植者。78.2%的农民在使用农药时穿戴了完全整洁的专用个人防护装备，42.5%的农民在除草时穿戴了完全整洁的专用个人防护装备。16%的被调查农民在农业活动中如厕后不经常洗手，近30%的农民洗手时不使用肥皂。结论:农业活动中存在个人卫生习惯不足的问题。此外，个人防护用品的正确使用并不令人满意，并对苹果种植者的健康构成风险。

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引用次数: 0

Survival analysis for cohort of Bhopal gas disaster victims during 1985-2015 1985-2015年博帕尔毒气灾害受害者队列生存分析

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_190_22

Dharma Raj, Sushil Singh, Yogesh Sabde, Madhanraj Kalyanasundaram, RajnarayanRamshankar Tiwari

Context: After the gas tragedy on the night of December 2/3, 1984, at Bhopal, the Indian Council of Medical Research (ICMR) started following up on four population cohorts with different levels of post-disaster mortality from December 3–6, 1984. Aims: The present study was undertaken to estimate the survival time of the cohort, and investigate the risk of mortality based on exposure, gender, and median age. Settings and Design: Survival analysis is generally used to evaluate factors associated with the time to an event of failure or death among any covered population. Methods and Materials: To know the cause of death and mortality rate, a retrospective cohort analysis was conducted on the outcomes of 92,320 individuals with an exposed and non-exposed group from 1985 to 2015 in Bhopal, India. Statistical Analysis Used: Basic survival analysis method, Kaplan–Meier method, and Cox proportional hazard regression model were used to analyze the mortality risk. Results: During the past 30 years, the survivability was 87.25%, and the mortality rate was 7.2% for the cohort population of Bhopal gas survivors. Cox regression analysis showed that exposed, males, and individuals above 21 years (at the time of the disaster) were at higher risk of mortality from 1985 to 2015. Conclusions: During the initial two phases, the mortality was higher in the exposed group, but over time, their survival turned out to be the same in both groups.

背景:1984年12月2/3日晚上在博帕尔发生毒气惨案后，印度医学研究委员会(ICMR)开始对1984年12月3-6日四个灾后死亡率水平不同的人群进行跟踪调查。目的:本研究旨在估计该队列的生存时间，并调查基于暴露、性别和中位年龄的死亡风险。环境和设计:生存分析通常用于评估任何被调查人群中与失败或死亡事件发生时间相关的因素。方法与材料:为了解死亡原因和死亡率，对1985 - 2015年印度博帕尔92320例暴露组和非暴露组的结果进行回顾性队列分析。统计学分析方法:采用基本生存分析方法、Kaplan-Meier法和Cox比例风险回归模型分析死亡风险。结果:30年间博帕尔毒气幸存者的生存率为87.25%，死亡率为7.2%。Cox回归分析显示，1985 - 2015年，暴露者、男性和21岁以上(灾难发生时)的个体死亡风险较高。结论:在最初的两个阶段，暴露组的死亡率较高，但随着时间的推移，两组的存活率相同。

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引用次数: 0

Bagassosis- An infrequent type of hypersensitivity pneumonitis: A case report Bagassosis-一种罕见的超敏性肺炎:1例报告

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_144_22

Apoorva Ravi, KeertivardhanD Kulkarni, V Pranavi

Hypersensitivity pneumonitis (HP) is an umbrella term for a spectrum of disorders caused by the inhalation of organic dust or low molecular weight chemicals. Bagassosis, a rare form of HP, is an allergic reaction caused by inhalation of bagasse dust, which is used in manufacturing several products. Very few cases of bagassosis have been reported in India, owing to the growing industrialization adapting organized sectors for preventing occupational health disorders. Nevertheless, a small population is being exposed to bagasse dust, shadowed by inadequate protective equipment, leading to the occurrence of this occupational disease. Here, we report a case of bagassosis in a 25-year-old male, brick-kiln worker, who presented with respiratory complaints. He underwent a transbronchial lung biopsy that aided in confirmation of the disease, but developed pneumothorax as a complication, which was managed with an Intercostal drain. He was started on corticosteroids, following which his symptoms improved significantly.

过敏性肺炎(HP)是由吸入有机粉尘或低分子量化学品引起的一系列疾病的总称。甘蔗渣病是一种罕见的HP，是由吸入甘蔗渣粉尘引起的过敏反应，甘蔗渣粉尘被用于制造几种产品。印度报告的bagassosis病例很少，这是由于工业化程度日益提高，使有组织的部门适应预防职业健康疾病。然而，由于防护设备不足，一小部分人口正在接触甘蔗渣粉尘，导致这种职业病的发生。在这里，我们报告一个25岁男性砖窑工人的bagassosis病例，他表现为呼吸系统疾病。他接受了经支气管肺活检，以帮助确认疾病，但并发气胸，并通过肋间引流治疗。他开始使用皮质类固醇，随后他的症状明显改善。

引用次数: 0

A Comparative Study of Work Stress among Working Females Getting Paid and Working Women Unpaid (Housewives) During Pregnancy. 怀孕期间有报酬的职业女性和无报酬的职业妇女（家庭主妇）工作压力的比较研究。

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 Epub Date: 2023-03-31 DOI: 10.4103/ijoem.ijoem_179_22

Hepzibah S David, Rajnarayan R Tiwari

Introduction: The potential impact of employment on pregnancy is an important issue as several occupational factors have been reported to be associated with adverse pregnancy outcomes through increased work stress. The current study was undertaken among pregnant women to understand the difference in pregnancy-related stress among pregnant working women getting paid (WWP) and working women unpaid (WWU) (housewives) and to assess workplace stress among working WWP.

Methods: A total of 426 study participants which included 213 participants in each group were recruited from a tertiary care hospital in Chennai. All the study participants were interviewed using an A-Z scale to understand pregnancy-related stress while WWP were also interviewed using Workplace Stress Questionnaire (WSQ).

Results: It was observed that the mean score of WWP was significantly higher than the mean scores of WWU (t = 94.63; df = 1, P = 0.000). Those WWP who were working for >8 h daily had higher scores as compared to those working for ≤8 h.

Conclusion: The study shows that the WWP had work stress in addition to background pregnancy-related stress.

引言：就业对怀孕的潜在影响是一个重要问题，因为据报道，一些职业因素与工作压力增加导致的不良妊娠结局有关。目前的研究是在孕妇中进行的，目的是了解获得报酬的孕妇和无报酬的孕妇（家庭主妇）在妊娠相关压力方面的差异，并评估工作中的工作压力。方法：从金奈的一家三级护理医院共招募426名研究参与者，每组213名参与者。采用A-Z量表对所有研究参与者进行访谈，以了解妊娠相关压力，同时采用工作场所压力问卷（WSQ）对WWP进行访谈。结果：WWP的平均得分显著高于WWU的平均得分（t=94.63；df=1，P=0.000）工作时间≤8h。结论：研究表明，WWP除了与妊娠相关的背景压力外，还存在工作压力。

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引用次数: 0

Assessment of risk of musculoskeletal discomforts in physiotherapists treating neurological patients: A pilot study. 理疗师治疗神经系统患者的肌肉骨骼不适风险评估：一项试点研究。

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 Epub Date: 2023-03-31 DOI: 10.4103/ijoem.ijoem_164_22

Manthan H Purohit, Megha S Sheth

Background: Musculoskeletal disorders (MSDs) are conditions that are caused and/or aggravated by work. The most important reason behind work-related musculoskeletal disorder is abnormal and/or stressful position of joints while working. Physiotherapists are very much prone to develop work-related musculoskeletal disorders, especially while treating neurologically challenged patients. Postural assessment is a key to identify a person at risk of developing work-related musculoskeletal disorders. Proper assessment of some of the areas like neck, spine, upper and lower extremities is the key to get risk factor analysis. REBA (Rapid Entire Body Assessment) is a tool which can be used on field to quantify areas of the body which are more likely to develop work-related musculoskeletal disorders.

Aims: To find out risk of MSDs among physiotherapists treating neurologically challenged patients.

Study setting and design: At neuro-paediatric department of SBB College of Physiotherapy, an observational pilot study was conducted.

Materials and methods: Photographs of the participants were captured with their consent through smart phone camera during treatment of different patients both adult and paediatric. Selected postures were analysed and quantified based on the REBA sheet.

Statistical analysis: Descriptive analysis was done based on areas at higher risk for MSDs according to REBA sheet.

Results: More than 50% of participants were at moderate to high risk of developing MSDs.

Conclusion: Physiotherapists working with neurological patients were found to be at high to medium risk of work-related musculoskeletal disorders. There is a need to assess MSD risk in detail in all physiotherapists.

背景：肌肉骨骼疾病是由工作引起和/或加重的疾病。与工作相关的肌肉骨骼疾病背后最重要的原因是工作时关节位置异常和/或紧张。物理治疗师很容易患上与工作相关的肌肉骨骼疾病，尤其是在治疗神经系统有问题的患者时。姿势评估是识别有患与工作相关的肌肉骨骼疾病风险的人的关键。正确评估颈部、脊椎、上肢和下肢等部位是进行危险因素分析的关键。REBA（快速全身评估）是一种可以在现场使用的工具，用于量化身体中更容易患上与工作相关的肌肉骨骼疾病的部位。目的：了解理疗师在治疗神经系统挑战患者中发生默沙东的风险。研究设置和设计：在SBB物理治疗学院的神经儿科进行了一项观察性试点研究。材料和方法：在成人和儿科不同患者的治疗过程中，参与者的照片是在征得他们同意的情况下通过智能手机摄像头拍摄的。根据REBA表对选定的姿势进行分析和量化。统计分析：根据REBA表，基于MSD风险较高的区域进行描述性分析。结果：超过50%的参与者患有默沙东的中高风险。结论：与神经系统患者合作的物理治疗师患有与工作相关的肌肉骨骼疾病的风险高至中等。需要对所有理疗师的MSD风险进行详细评估。

{"title":"Assessment of risk of musculoskeletal discomforts in physiotherapists treating neurological patients: A pilot study.","authors":"Manthan H Purohit, Megha S Sheth","doi":"10.4103/ijoem.ijoem_164_22","DOIUrl":"10.4103/ijoem.ijoem_164_22","url":null,"abstract":"Background: Musculoskeletal disorders (MSDs) are conditions that are caused and/or aggravated by work. The most important reason behind work-related musculoskeletal disorder is abnormal and/or stressful position of joints while working. Physiotherapists are very much prone to develop work-related musculoskeletal disorders, especially while treating neurologically challenged patients. Postural assessment is a key to identify a person at risk of developing work-related musculoskeletal disorders. Proper assessment of some of the areas like neck, spine, upper and lower extremities is the key to get risk factor analysis. REBA (Rapid Entire Body Assessment) is a tool which can be used on field to quantify areas of the body which are more likely to develop work-related musculoskeletal disorders.Aims: To find out risk of MSDs among physiotherapists treating neurologically challenged patients.Study setting and design: At neuro-paediatric department of SBB College of Physiotherapy, an observational pilot study was conducted.Materials and methods: Photographs of the participants were captured with their consent through smart phone camera during treatment of different patients both adult and paediatric. Selected postures were analysed and quantified based on the REBA sheet.Statistical analysis: Descriptive analysis was done based on areas at higher risk for MSDs according to REBA sheet.Results: More than 50% of participants were at moderate to high risk of developing MSDs.Conclusion: Physiotherapists working with neurological patients were found to be at high to medium risk of work-related musculoskeletal disorders. There is a need to assess MSD risk in detail in all physiotherapists.","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"27 1","pages":"55-58"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of job rotation concept for nursing staff with special reference to private based hospital, Vadodara 轮岗观念对护理人员的影响，以民办医院为例

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_354_21

Subhasish Chatterjee, Aesha Shah, Rahul Sharma, Medha Wadhwa

Introduction: Employees are placed in various job rotations between two or more tasks or vocations at regular intervals to ensure that they are exposed to all elements of the company. Job rotation is a methodical approach that permits employees to avoid boredom while also allowing them to develop and grow. Both management and personnel objectives are met with this strategy. It aids in the identification of employee potential and abilities. Through job rotation, employees are exposed to all aspects of the company. Employee abilities and competencies are evaluated ahead of time to ensure that the employee is deployed in the best possible position. However, it does permit the pursuit of personal interests while gaining practical knowledge in a variety of industries or processes. The present study was undertaken with an aim to assess the effect of job rotation on the nursing staff in a private hospital of Vadodara. Methodology: The study was cross-sectional in nature where the perception of the nursing staff was gathered through a structured questionnaire. The questionnaire assessed the perception of the staff on a five point likert scale from strongly agree to strongly disagree. The sample size of the study was 126. Mann Whitney Test and Kruskal Wallis test was used to assess the effect of job rotation with respect to gender and age, years of experience respectively. The statistical analysis was undertaken at 95% confidence level with statistical significance at a p value of less than 0.05. Results: The results depicted that there was no difference in the perception towards effect of job rotation with respect to gender and age group. However, with respect to job rotation not interrupting the employees’ work life and no effect on personal life, there was statistical significant difference with respect to the years of experience of the nursing staff as the p value was less than 0.05. Conclusion: Job rotation, in their opinion, causes frequent interruptions in both the job and personal life of those who participate in it. The nurses working in the hospital came up with appropriate job rotation ideas that took into consideration their age and years of experience. It appears that most of the criteria indicate that the nursing staff members were satisfied with their job rotation, which lends support to the findings of the study.

简介:员工定期在两个或多个任务或职业之间进行各种工作轮换，以确保他们接触到公司的所有元素。轮岗是一种有条理的方法，既能让员工避免无聊，又能让他们得到发展和成长。这一战略满足了管理和人事目标。它有助于识别员工的潜力和能力。通过轮岗，员工可以接触到公司的方方面面。我们会提前评估员工的能力和胜任力，以确保员工被安排在最佳的岗位上。然而，它确实允许在追求个人兴趣的同时获得各种行业或过程的实用知识。本研究旨在评估轮岗对瓦多达拉一家私立医院护理人员的影响。研究方法:本研究是横断面的，通过结构化问卷收集护理人员的看法。该问卷以李克特5分制对员工的看法进行评估，从非常同意到非常不同意。该研究的样本量为126人。采用Mann Whitney检验和Kruskal Wallis检验分别评估了性别、年龄、工作年限对轮岗的影响。统计学分析在95%置信水平上进行，p值小于0.05，有统计学意义。结果:不同性别、不同年龄的人对轮岗效应的认知没有差异。而在轮岗不中断员工工作生活、不影响个人生活方面，护理人员的工作年限差异有统计学意义，p值小于0.05。结论:在他们看来，轮岗会频繁地打断参与轮岗的人的工作和个人生活。在医院工作的护士们考虑到她们的年龄和工作经验，提出了合适的轮岗方案。结果表明，大多数护理人员对轮岗工作感到满意，这为研究结果提供了支持。

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引用次数: 0

Pesticide use and health effects among Nepalese farmers: A cross-sectional study in Tokha municipality 尼泊尔农民农药使用和健康影响:托哈市的一项横断面研究

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_75_23

Rajesh Karki, Kanchan Dangol

Background: Pesticides are essential for agricultural development, but their increased use in developing countries like Nepal poses health risks to farmers. Methods: A cross-sectional study was conducted in wards 1, 2, and 3 of the Tokha Municipality in Kathmandu District to identify the health effects of pesticides and associated factors among farmers. The study included 333 respondents who were interviewed between April 26 and June 04, 2022. Results: The majority of farmers (36.6%) were aged between 40 and 49 years, with a median (IQR) age of 45.0 (38.0 to 51.0) years. All farmers reported using pesticides, with 100% usage in vegetables. Most respondents (73%) reported experiencing health effects: headache (69.5%), skin irritation (42.8%), and burning eyes (31.3%) were the most common symptoms. Only 8% sought medical care. Additionally, 94.6% of respondents had not received training on integrated pest management, and none of them reported using a complete set of personal protective equipment. The study found that older age groups, females, those who were unable to read and write, and those of the Hindu religion, as well as respondents with longer pesticide use, more frequent spraying, and not detecting wind direction, had significantly higher odds of self-reported health problems (P < 0.05). Conclusion: Our findings show that all farmers in the study were using pesticides, and the majority had reported health effects. Therefore, we recommend that farmers receive training on integrated pest management, use a complete set of personal protective equipment, and promptly seek medical care if they experience health issues.

背景:农药对农业发展至关重要，但在尼泊尔等发展中国家，农药使用量的增加给农民带来了健康风险。方法:在加德满都区托哈市的1、2和3区进行了一项横断面研究，以确定农药和相关因素对农民健康的影响。该研究包括333名受访者，他们在2022年4月26日至6月4日期间接受了采访。结果:绝大多数农民(36.6%)年龄在40 ~ 49岁之间，中位(IQR)年龄为45.0(38.0 ~ 51.0)岁。所有农民都报告使用了农药，其中蔬菜的农药使用率为100%。大多数答复者(73%)报告出现健康影响:头痛(69.5%)、皮肤刺激(42.8%)和眼睛灼烧(31.3%)是最常见的症状。只有8%的人寻求医疗护理。此外，94.6%的答复者没有接受过虫害综合治理培训，没有人报告使用了全套个人防护装备。研究发现，年龄较大的人群、女性、无法读写的人群、信奉印度教的人群，以及农药使用时间较长、喷洒频率较高、不检测风向的受访者，自我报告出现健康问题的几率明显较高(P < 0.05)。结论:我们的研究结果表明，参与研究的所有农民都在使用农药，而且大多数人都报告了对健康的影响。因此，我们建议农民接受虫害综合治理培训，使用全套个人防护装备，如果出现健康问题，应及时就医。

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引用次数: 0

Early doffing among frontline healthcare workers working in the COVID areas in resource-limited settings: Lessons learned and interventions taken 在资源有限的情况下，在COVID地区工作的一线卫生保健工作者的早期接种:吸取的教训和采取的干预措施

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_46_22

Richa Aggarwal, Ridhima Bhatia, Banupriya Ravichandrane, Karthiga Rajendrakumar, Aasim Ahmed, Debasis Sahoo, KapilDev Soni, Puneet Khanna, Anjan Trikha

Background: In the fight against the pandemic, personal protective equipment (PPE) has played a vital role. However, working with PPE has its own difficulties and problems. The aim of this study was to find out the reasons of early doffing, that is, in doffing in emergency situations before the shift among healthcare workers (HCWs) working in PPE in the COVID areas in resource-limited settings. Methods: This cross-sectional, survey-based study was carried out on healthcare workers involved in direct care of patients with COVID-19 in tertiary care COVID center, India. The questionnaire was sent as a Google form through email and social media platforms like WhatsApp and Facebook. The data was reported as the mean ± SD for continuous variables and as the percentage for categorical variables. Findings: Among 252 healthcare workers who participated in the survey, 145 (57.5%) participants doffed early on 300 occasions. Out of these 145, 50% doffed early only once and rest doffed early multiple times. The most common reason of early doffing was found to be breach in PPE (15.33%) followed by fogging (14%) and headache (12%), and most commonly, breach was in mask or coverall/gown (32.6% each). Conclusion: Although PPE decreases the risk of infection, it is challenging for HCWs to work in PPE leading to instances of early doffing. The most common reason for early doffing in our study was the breach in PPE and the most common component of breach was found to be mask and coverall/gown. Therefore, we suggest that the proper sizes of the PPE should be made available and proper training in donning should be imparted to HCWs working in PPE.

背景:在抗击新冠肺炎大流行的斗争中，个人防护装备发挥了至关重要的作用。然而，使用个人防护装备有其自身的困难和问题。本研究的目的是找出在资源有限的情况下，在COVID地区从事个人防护的卫生保健工作者(HCWs)在轮班前的紧急情况下过早脱药的原因。方法:对印度三级保健COVID-19中心直接护理COVID-19患者的医护人员进行横断面调查研究。问卷以谷歌表格的形式通过电子邮件和WhatsApp、Facebook等社交媒体平台发送。连续变量的数据以平均值±标准差报告，分类变量的数据以百分比报告。结果:在252名参与调查的医护人员中，有145人(57.5%)在300次中早退。在这145人中，50%的人只早睡了一次，其余的人早睡了好几次。最常见的早脱原因是违反个人防护装备(15.33%)，其次是雾化(14%)和头痛(12%)，最常见的是违反口罩或工作服/工作服(各32.6%)。结论:尽管个人防护用品降低了感染风险，但卫生保健工作者在个人防护用品中工作是一项挑战，导致早期脱衣。在我们的研究中，最常见的早退原因是PPE的缺失，而最常见的缺失是口罩和工作服。因此，我们建议应提供适当尺寸的个人防护装备，并对在个人防护装备中工作的卫生保健工作者进行适当的穿戴培训。

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引用次数: 0

Factor analysis of low back pain among women in sea food processing 海鲜加工妇女腰痛的因素分析

Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian Journal of Occupational and Environmental Medicine

Pub Date : 2023-01-01 DOI: 10.4103/ijoem.ijoem_237_21

Parimalam Paramasivam, Amaravathi Thirumoorthi, Surya Ravi

Women in sea food processing units were involved in pre processing, grading, cleaning, freezing and packaging and they adopted static and awkward posture which results in low back pain. The aim of the present study is to analyze the factors that contribute to low back pain among women workers. A total of 244 women workers participated in the study. Socio economic background and frequency of musculoskeletal discomforts were studied. Descriptive statistics, chi square analysis and factor analysis were carried out to identify the factors contributing to low back pain. Women were involved in peeling (48.8%), setting (26.6%) and grading (24.6%) activity. Factor analysis indicated that work environment contributed to 33%, personal factors contributed to19%, work organization contributed to 16% and socio economic factors contributed to 11% for the low back pain. Worker education and periodical health surveillance will help to minimize the risk of low back pain among the women in industrial settings.

海鲜加工单位的女性参与了前加工、分级、清洁、冷冻和包装，她们采取静止和尴尬的姿势，导致腰痛。本研究的目的是分析导致女工腰痛的因素。共有244名女工参加了这项研究。研究了社会经济背景和肌肉骨骼不适的频率。采用描述性统计、卡方分析和因子分析来确定导致腰痛的因素。女性参与脱皮(48.8%)、设置(26.6%)和分级(24.6%)活动。因素分析表明，工作环境因素占33%，个人因素占19%，工作组织因素占16%，社会经济因素占11%。工人教育和定期健康监测将有助于尽量减少工业环境中妇女腰痛的风险。

引用次数: 0