bluuebunny/crossref_metadata_2025 huggingface dataset:
P-562 NOISE EXPOSURE OF PHYSICAL EDUCATION TEACHERS IN SCHOOL GYMNASIA AND SWIMMING POOLS: A REVIEW OF LITERATURE
Authors: Van Hooste Wim , Bogaert An , Van Dijcke Pieter
Published: July 2024

Introduction

Noise induced hearing loss (NIHL) is one of the most recognized occupational diseases worldwide. In non-industrial professions like teaching, noise is presumed to be primarily a nuisance rather than a risk factor for NIHL. Although, physical education (PE) teachers could be exposed to noise.

Methods

A literature review for the period 1990-2023 was performed.

Results

The acoustic conditions in school environments are complex and depend on both the environmental noise caused by external noise sources, such as the surrounding transport infrastructure, and on noise produced by electric and mechanical systems in school buildings (heating, ventilation and air conditioning systems, printers, …). School gymnasia and swimming pools are generally environments affected by poor acoustic conditions due to absence of sound absorbing materials, noisy sport activities, presence of many students at the same time, and intensive use of blowing whistles to enforce the communication. In particular, sports halls have excessively long reverberation times.

Discussion

Noise is a problematic phenomenon to measure, and also individually perceived. The noise exposure of PE teachers in school gymnasium and swimming pools is a problem that has been generally underestimated. There is an existence of unacceptably high sound levels. The consequence is that physical education teachers can not only show long term stress, but they can also be exposed to noise as a risk to NIHL and develop chronic voice disorders.

Conclusions

We must consider noise at gymnasia as a detrimental factor to teaching and learning, but also consider it as a potential occupational hazard to the health of PE teachers.
P-565 CLINICAL AND AUDIOMETRIC CHARACTERISTICS OF OCCUPATIONAL HEARING LOSS
Authors: Meskini Cheima , Dallagi Amani , Baraketi Emna , Khouja Nihel , Merghni Syrine , Khaiereddine Donia , Ismail Saloua , Hsinet Jihen , Benzarti Aida
Published: July 2024

Introduction

Occupational Deafness (OD) is an acquired hearing impairment attributable to excessive workplace noise, which causes a serious problem of fitness for work and thus requires early detection. Objectives: To describe the socio-demographic and clinical characteristics of OD, and to assess its impact on the work-fitness decision.

Methods

A retrospective, descriptive study of workers with OD referred to the Occupational Medicine Department over a period of 22 years.

Results

We included 111 patients. The majority were men (67%) with an average age of 40 years. The most affected sectors were call centers (55%), transport sector (11%), building and public works sector (10%). Hearing loss was discovered following symptoms in 84% and on the occasion of screening during occupational medical surveillance in 16%. The most reported functional signs were Hypoacusis (80%), tinnitus (56%), vertigo (30%) and otalgia (23%). The average duration between employment and the onset of the first auditory manifestations relative to noise exposure was 4.5 years. Pure-tone audiometry was performed for all patients and revealed sensorineural, bilateral and symmetric deafness in 86% of cases. The mean hearing loss on the best ear was 37.16 dB, on the right and 36.11 dB, on the left. Deafness was considered as a compensable occupational disease for 23.1% of the employees and justified occupational redeployment for 53% of cases.

Discussion

OD affected several sectors and often compromises fitness for work. Pure-tone audiometry remains the crucial test for screening and diagnosis.

Conclusion

Noise reduction and regular medical surveillance are essential to screen hearing loss at an early stage.
P-566 ABNORMAL AUDIOMETRY IN UNIVERSITY STUDENTS: A SCREENING RESULTS FROM THE WORLD HEARING DAY PROJECT
Authors: Ekpanyaskul Chatchai , Jaruspornprapar Chuntipar , Ariyapol Kornprapa
Published: July 2024

Introduction

This cross-sectional study aimed to investigate the prevalence and associated factors of abnormal audiometry results among university students.

Methods

A total of 88 volunteers participated in an audiometry screening on World Hearing Day at Srinakharinwirot University, Bangkok. Data were collected through a self-administered questionnaire, followed by an otoscope examination. Subsequently, a hearing test was conducted using air conduction at frequencies of 500, 1000, 2000, 4000, and 8000 Hz in a mobile soundproof room. Bivariate logistic regression was employed to analyze the risks.

Results

The results revealed that the prevalence of abnormal audiometry results was 6.82% (95% CIs = 1.45–12.19%), with high-frequency losses being the most common pattern. Notably, the prevalence of this abnormality was highest in the faculty of Fine Arts. Although several factors, such as gender, noise sensitivity, musical instrument use, ENT problems, and the learning environment, were associated with abnormal results, none reached statistical significance due to the limited sample size. In conclusion, various factors were found to be related to abnormal audiometry results, with the field of study and the learning environment being among them.

Discussion and conclusion

Consequently, it is recommended that the university implement a hearing conservation program for its scholars to promote their future health and well-being as potential healthy workers.
P-570 THE LIMITS OF THE OCCUPATIONAL DEAFNESS REPAIR SYSTEM
Authors: Meskini Cheima , Ismail Saloua , Khouja Nihel , Baraketi Emna , Khaiereddine Donia , Merghni Syrine , Hsinet Jihen , Benzarti Aida
Published: July 2024

Introduction

Occupational deafness (OD) poses a significant challenge in the field of occupational health. It is the third most declared and recognized occupational disease by the National Health Insurance Fund in Tunisia. Objectives: To examine characteristics of recognized ODs and to identify the main reasons for rejection.

Methods

A retrospective, cross-sectional and descriptive study of all OD cases reported to the occupational diseases recognition committee from 2002 to 2016.

Results

We collected 332 OD reports, of which 125 recognized cases (37.7%). The mean age of recognized ODs was 49 years with a sex ratio of 19.8. The sector most affected was metal industry (20%). The average level of noise exposure was 82dB. Hearing loss was the main symptom reported by patients with recognized OD (94.4%) followed by tinnitus (60%). The average duration between employment and the onset of the first noise-induced hearing event was 15.5 years. The median rate of partial permanent disability was 35% and the average number of days off work was 20.5 days. The main reason for rejecting the OD reports was an average hearing loss on the best ear less than 36 dB in 65.2%.

Discussion

The threshold of the average hearing loss above 36 dB represents one of the main limits of the repair system, along with the scale adopted for assessing permanent partial disability, which has not been updated to sufficiently assess the social inconvenience caused by OD.

Conclusion

Beyond drawing conclusions about the shortcomings of the current repair system, we should emphasize the importance of prevention.
P-572 ASSESSMENT OF NOISE EXPOSURE AND ITS AUDIOMETRIC IMPACT AMONG WORKERS IN A TUNISIAN SHIP REPAIR COMPANY
Authors: Bouaita Meriem , Chemingui Siwar , Ismail Saloua , Baraketi Emna , Bechrifa Emna , Khouja Nihel , Khaireddine Donia , Belkahla Amira , Fatma Naourez Ben , Meskini Cheima , Merghni Syrine , Hsinet Jihen , Benzarti Aida
Published: July 2024

Introduction

The ship repair industry is one of the most exposed sectors to occupational noise. Objectives: To measure the level of noise exposure among workers in a Tunisian ship repair company and to assess its audiometric impact.

Methods

Retrospective descriptive study carried out among workers exposed to noise in the various workshops of a ship repair company, between 2020 and 2021, based on the analysis of medical files with audiograms, completed by a questionnaire and a sonometric study.

Results

Our study population consisted of 138 male workers (87 laborers and 51 technicians) with a mean age of 39.6 ± 8.5 years. A noise level ≥85dB was recorded in 74.6% of cases. Symptoms were mainly tinnitus (73%). A tonal loss ≥ 5dB on at least one frequency of the audiogram was objectified in 90 workers (65.2%) with a predominance on high frequencies. Hearing was classified as normal to subnormal 98.6% of the time. The majority of workers (90.6%) were kept in their workstations while insisting on the regular wearing of hearing protection. In multivariate logistic regression, the tonal loss ≥ 5dB on at least one frequency was associated with an age ≥38 years (aOR = 2.4 [1.0 - 5.5]; p = 0.03) and the laborer workstation (aOR = 2.4 [1.0 - 5.3]; p = 0.03).

Discussion

High noise levels and tonal loss, however slight, have been demonstrated in more than two-thirds of workers.

Conclusion

Our study therefore confirms the need for an adequate preventive approach in order to preserve the hearing of shipyard work.
P-575 FRENCH DATABASE ON OCCUPATIONAL EXPOSURE TO VIBRATION: PART 2 - OCCUPATIONS AND ACTIVITY SECTORS
Authors: Clerc Frédéric , Amari Mael
Published: July 2024

Introduction

Measurements of Hand Arm Vibration (HAV) and Whole-Body Vibration (WBV) performed in French companies are recorded in the COLPHY database. The collected information includes measured vibration emission values, exposure durations, technical characteristics and operating conditions of the machines. The determinants of exposure associated to measurement are mostly free texts.

Methods

Information on occupations and activity sectors is incomplete. It has been reconstructed. Occupations were coded into ISCO codes and activity sector of the enterprise were coded into NACE codes. The daily vibration exposure of workers during their work shift was calculated. Descriptive statistics were computed.

Results

A total of 4% of 2234 WBV exposure measurements and 7% of 1486 exposure measurements to HAV exceed the limit values. The construction activity sector and its related occupations, such as construction machine driver or building craftsman, show the highest rates of WBV and HAV exposures exceeding the limit values.

Discussion

The used methodology allows highlighting the occupations and the activity sectors where workers are exposed to vibrations. The results demonstrate the need for more prevention actions in the construction sector, which is the 5th most important employment sector in France, representing 13% of workers in 2021.

Conclusion

On average, only 460 (WBV) and 137 (HAV) occupational diseases are compensated per year since 2011. This contrasts with our findings showing that 2.3 million of French workers are potentially exposed to vibrations exceeding the limit values both for WBV and HAV. Therefore, vibration-related occupational diseases are under-reported.
O-390 GLOBAL SCENARIO OF GENDER-BASED VIOLENCE IN VARIOUS WORKPLACE SETTINGS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: Chattu Vijay Kumar , Nowrouzi-Kia Behdin , Bani-Fatemi Ali , Howe Aaron , Gohar Basem , Yazdani Amin , Gross Douglas
Published: July 2024

Background

Gender-based violence (GBV) disproportionately affects young women and LGBTQ+ individuals, and therefore, a systematic review and meta-analysis was carried out to i) qualitatively identify the prevalence and experience of GBV in virtual work environments and ii) evaluate the current workplace policies, interventions or tools to protect against GBV in the workplace.“

Methods

A comprehensive search was undertaken following the PRISMA guidelines after registration with PROSPERO (CRD42023399684). PubMed, OVID, Scopus, Web of Science and CINAHL databases were searched using the keywords “Gender,” “GBV,” “workplace,” and “telework.”

Results

Of the total 1290 studies identified after removing duplicates, 60 were included. Studies included from the global South and global North cover in-person and online/ hybrid work settings. Most of the studies were cross-sectional (42), followed by mixed-methods (10), qualitative (5) and cohort (3). The study included articles on workers in healthcare (33, 55%), academia (16, 27%), skilled trades (7, 11%), and industry (4, 7%).

Discussion

Bullying, undermining, and harassment (BUH) are most likely experienced by women, minority groups, and homosexuals. Workplace bullying, sexual and physical harassment, gender-based harassment, physical violence, sexual and gender discrimination, and microaggression are some forms of GBV prevalent in healthcare, academia, industry and skilled trades. Cyberbullying resulted in perceived stress and job dissatisfaction among women employees.

Conclusion

There must be transparency about how the institution(s) handle reports of GBV and clarity regarding the mechanisms for supporting survivors and holding perpetrators accountable. Organizations must create cyberbullying policies, standards, and processes to guarantee that the complaints are handled in a fair, confidential, and transparent manner.
O-391 PERCEIVED JUSTICE IN THE WORKPLACE INFLUENCES RETURN TO WORK AFTER BREAST CANCER
Authors: Magnavita Nicola , Meraglia Igor , Prinzio Reparata Rosa Di , Terribile Daniela Andreina
Published: July 2024

Introduction

Female breast cancer (BC) is the leading cause of cancer-related morbidity and disability in working-age women. Return to work is associated with improved survival and quality of life and therefore should be encouraged. The trauma suffered, however, leaves traces in BC survivors that result in anxiety, reduced happiness, depression, and poor sleep quality. We wondered whether this distressed state of women with BC was related to working conditions before the disease.

Methods

124 BC survivors were asked to rate the level of organizational justice (OJ) they perceived at work prior to their illness, and the level of anxiety, depression, happiness, and sleep problems on resuming work after treatment. OJ was measured with the Colquitt’s scale, sleep with the Pittsburgh Sleep Quality Inventory, anxiety and depression with Goldberg’s scales, and happiness with the Abdel-Khalek scale. Three moderation tests were run, with OJ as the predictor, anxiety/depression/happiness as the dependent, and sleep quality as a moderator. Age was included in the models, as a covariate.

Results

Moderation tests showed that there was a significant interaction by sleep on OJ and mental health. Participants who reported higher than average levels of sleep problems experienced a greater effect of OJ on mental health.

Conclusion

The quality of OJ perceived by women before the onset of BC is associated with the level of anxiety, depression, and unhappiness upon resumption of work. Sleep, which in BC is often disturbed, acts as a moderating factor in this relationship.
P-582 WORKING WOMEN IN THE PRIVATE SECTOR: PSYCHOSOCIAL RISKS & QUALITY OF LIFE
Authors: Zendah Bochra , Doudech Mehdi , Mosbah Raoudha , Kanoun Imen , Jammeli Donia , Khiari Ons , Mabrouk Khaoula Hadj , Maalel Olfa , Bouzgarrou Lamia , Ghammam Rym , Maatoug Jihen
Published: July 2024

Introduction

Mental health is an essential component of occupational health. Stress, the main consequence of psychosocial risks

AIM

Evaluating psycho-organisational constraints and life quality among women employed in the private sector.

Methods

A descriptive cross-sectional study across 29 companies, this research employed a pre-tested questionnaire involving the Karasek questionnaire, life quality assessment (SF12).

Results

The number of employees was 1878, 55.5% being women. Average age of 33.31 ± 8.3 years. Among them, 78% were unskilled female workers with an average occupational tenure of 7.52 ± 6.6 years. 14.1% had a history of chronic illnesses. High psychological demands were noted in 40.9% of female workers, low job control and social support in 46.2% and 73.8%, respectively. Job strain prevalence was 14.4%. The mean scores for perceived physical and mental health were estimated at 40.82±8.29 and 33.42±7.36. Significant correlations were observed between job strain and education level, occupational category, shift work, physical activity, and physical SF12 score impairment.

Discussion

Mental health is currently at the forefront of the preventive and health management process within companies. Our study found an impairment of mental health and quality of life among female workers. Quality of life scores for female workers are correlated with workload, and variability in the prevalence of job strain has been reported in different sectors of activity and professional categories by other studies.

Conclusion

A solid understanding of predictive factors for work-related stress and impairment of women’s quality of life at work will lead to targeted preventive measures and ensure the enhancement of their mental health.
P-585 WORK PRODUCTIVITY LOSS AMONG HEALTHCARE WORKERS WITH MENSTRUATION-RELATED SYMPTOMS
Authors: Sridi Chayma , Kacem Imene , Ghenim Amal , Chouchane Asma , Fki Amene , Ksibi Sonia , Maoua Maher , Mrizak Najib
Published: July 2024

Introduction

Menstruation-related symptoms (MRSs) are diverse and widespread among women. These symptoms may reduce productivity and lead to considerable financial burdens on patients and their families as well as on society. The aim of this study was to assess the impact of MRSs on health professionals and its implications on occupational activity.

Methods

This is a cross-sectional, analytical study conducted over a two-month period and including all healthcare staff at Tunisian University Hospital. The evaluation of work productivity was carried out by the questionnaire ‘iMTA Productivity Cost Questionnaire’.

Results

Our study involved 127 health workers. The population’s mean age was 34.9±5.4 years. Nurses were the most represented occupational group (60.6%). The most reported symptoms were tiredness (85%), followed by abdominal bloating, headache, and back pain in 84.3%, 83.5%, and 81.1% of cases, respectively. Twenty-one women (16.5%) reported being absent during their menstrual period with 11.1% reporting absenteeism every or almost every menstrual cycle. The median absenteeism period was 2 days. A total of 67.7% (n=86) of the respondents reported presenteeism and decreased productivity with a median of 5 days. Absenteeism was statistically associated with age (p=0.001), presence of gynecological history (p=0.03), workload (p=0.002), and MRSs (p=0.003). However, there was no significant difference between presenteeism and MRSs.

Discussion

This study highlights the impact of MRSs on the work productivity of healthcare professionals. It emphasizes the importance of recognizing MRSs as a crucial aspect of women’s health and well-being in the workplace.

Conclusion

Future research should identify focused measures to reduce MRS’s repercussions.
P-586 WOMEN AT THE WORKPLACE: WORK-LIFE BALANCE VS. WORK-LIFE INTEGRATION
Authors: Gunawan Yasmine Aulia , Suen Mein-Woei
Published: July 2024

Introduction

the women at workplace trend has shifted nowadays, compared to last past decades, when women quit jobs more often and had fewer opportunities for promotions than men. On the contrary, according to this year’s data, the percentages of women CEOs are higher than before in history. Aims: This study aims to see which is a more suitable approach between work-life balance & work-life integration for women in the workplace to support and maximize women’s potential. What are the differences between those two? This study will show which method is more efficient and relevant for women.

Methods

This study was conducted using a literature review method.

Results show that work-life integration is more applicable for women than the work-life balance concept.

Discussions

Even so, fewer companies are adapting the work-life integration concept within their work culture, in which the work-life balance concept is more commonly used.

In conclusion

work-life integration within the company is needed and more applicable in this era, especially to support women in the workplace.
O-399 RETURN TO WORK AFTER BREAST CANCER. PROMOTING INTEGRATION IN THE WORKPLACE
Authors: Magnavita Nicola , Di Prinzio Reparata Rosa , Meraglia Igor , Arnesano Gabriele , Iuliano Angela , Mauro Igor , Merella Marco , Vacca Maria Eugenia , Terribile Daniela Andreina
Published: July 2024

Introduction

The return to work (RTW) of women with breast cancer (BC) is a crucial stage of patients’ recovery and is linked to a higher survival rate. In this study, we focused on the RTW with the goal of directly assisting this process at work.

Methods

The study included 32 women who asked for help between January and December 2022. A group of three occupational doctors conducted medical exams and semi-structured interviews. Thematic analysis was used to examine interviews. Additionally, a quantitative cross-sectional study was carried out to evaluate the health of BC women in comparison to a control group of 160 working women, using standardized questionnaires on work ability, fatigue, sleep problems, anxiety, depression, and happiness.

Results

Three facilitating/hindering themes emerged from the qualitative analysis: (1) person-related variables, (2) company-related factors, and (3) society-related factors. In the quantitative study, BC survivors scored substantially lower on happiness than controls and significantly higher on anxiety, depression, sleep issues, and fatigue.

Discussion

Adapting working circumstances and offering sufficient assistance are required for RTW. The work-related study of each case allowed for the identification of the appropriate steps that must be taken at work to support RTW.

Conclusion

Cancer therapy should be combined with suggestions for how to resume employment.
P-591 THE IMPACT OF LEGISLATIVE AMENDMENTS ON RETURN TO WORK. EXPERIENCES OF A LARGE BELGIAN OCCUPATIONAL HEALTH SERVICE
Authors: Mylle Godewina , Vandenbroeck Sofie
Published: July 2024

Introduction

In Belgium, 500.000 employees are on long-term sick leave. Legislation recently changed to increase the employment rate. Adapted work must be proposed for all Return To Work (RTW) trajectories without medical contraindications. For the Determination of final incapacity (DFI) a new procedure is introduced.

Objectives

Comparison of RTW trajectories carried out by a large Occupational Health Service in 2022 (Q1) to those in 2023 (Q1).

Methods

815 RTW Trajectories of 2022 (37.5% for mental disorders, 29.7% for musculoskeletal problems) and 143 Trajectories of 2023 (37.5% mental, 29.7% musculoskeletal problems), were analyzed descriptively. Results of 397 DFI trajectories were also analyzed – 28.7% for mental, 28.5% for musculoskeletal problems.

Results and discussion

In 2022 (Q1), the occupational physician allows RTW after job adjustments for 30.3% of the employees. Re-integration was more successful for musculoskeletal disorders (36% allowed adapted work) compared to mental problems (23.2%) (p=0.001). In 2023 (Q1), after the new legislation, adapted work was possible for 59.4% (65.5% when musculoskeletal problems versus 53.7% when mental reasons) (p=NS). In DFI trajectories, 87.6% was definitively unfit for the job (87.7% when mental and 88.4% when musculoskeletal problems) – 6.5% of the employees asked for adapted work (2.6% when a mental disorder and 8.8% when musculoskeletal problems) (p=0.05).

Conclusion

The adjustments in the RTW legislation caused a significant decrease in RTW trajectories. There is a higher demand for adapted work in case of musculoskeletal problems versus mental problems. Early guidance to re-employment into a more suitable job is necessary to increase the employment rate in Belgium.
P-592 THE CURRENT DEVELOPMENT AND FUTURE PERSPECTIVE OF RETURN-TO-WORK POLICY IN TAIWAN
Authors: Liu HsiChen
Published: July 2024

Introduction

The “Labor Occupational Accident Insurance and Protection Act” was implemented in Taiwan on May 1st, 2022, emphasizing accident prevention and return to work (RTW) for occupational accidents. To improve RTW efficiency, designing useful continuing education programs for enterprises is essential. This study aimed to explore the current approaches and barriers to implementing RTW policies within Taiwanese enterprises.

Methods

Managers and workers responsible for RTW policies in enterprises of various sizes were recruited for face-to-face in-depth interviews. The interview guide covered manpower allocation of occupational safety and health (OSH), experiences with occupational accidents, current RTW practices for injured workers, and the content and needs of existing continuing education programs.

Preliminary results

Most enterprises lacked experience in assisting workers with RTW, as severely injured employees often left their jobs after accidents. Except for waiting for injured workers to recover, interviewees didn’t know how to help them RTW. Additionally, RTW policies were executed by human resources (HR) personnel in most enterprises in Taiwan, especially in small-sized enterprises. Interprofessional continuing education was needed in these participating enterprises.

Discussion

Approximately 94% of Taiwanese enterprises are small-sized (<30 workers), resulting in the absence of dedicated OSH professionals. HR personnel require knowledge and skills to consult with OSH professionals, and interprofessional education offers a potential solution to address these needs, enabling HR to engage in collaborative practice with OSH professionals.

Conclusion

The majority of Taiwanese enterprises lack the necessary knowledge and skills to support workers in RTW. To design interprofessional continuing education is recommended for the future.
P-593 A MIXED METHODS PROCESS EVALUATION ALONGSIDE THE MULTICENTRE ACTIVE TRIAL – A MULTIFACETED PERSONALIZED EHEALTH INTERVENTION FOR WORKING-AGE KNEE ARTHROPLASTY PATIENTS TO ENHANCE RETURN TO WORK AND SPORTS
Authors: Carlien Straat A , Kuijer P Paul F M , De Jongh Jelle , Maarleveld Jantine , Kerkhoffs Gino M M J , Anema Johannes R , Coenen Pieter
Published: July 2024

Introduction

Return to work and sports is challenging among working-age knee arthroplasty patients. No intervention study has been performed targeting these outcomes. The ACTIVE trial was developed in which patients receive the multifaceted personalized eHealth application iRecover. We aimed to evaluate the process of the intervention to optimize future development and implementation.

Methods

Working patients on the waiting list for knee arthroplasty were included. The intervention included the eHealth application iRecover, an activity tracker, a case-manager and Goal Attainment Scaling. Using the Linnan and Steckler framework we evaluated data from patients’ questionnaires, a study log and iRecover application weblogs. Semi-structured interviews were held with six patients.

Results

Out of 822 eligible patients, 293 were included, of which 143 received the intervention. Reach was 36%, all patients received log-in details for iRecover (100%) and 99% of the patients opened the application. Based on 1-10 point scores, at 6 weeks and 6 months postoperative, the iRecover application was rated (mean, standard deviation) a 7.3 (1.6) and 7.2 (1.5), the activity tracker a 7.8 (1.4) and 8.0 (1.3), the case-manager a 7.4 (1.4) measured at 6 weeks only, and Goal Attainment Scaling a 7.2 (1.5) and 6.6 (1.7). The interviews revealed that patients found the intervention motivating and enhancing for their recovery.

Discussion

Although patients were satisfied, for successful implementation, additionally facilitators and barriers for stakeholders need to be explored.

Conclusion

Our results indicate that patients experience the intervention as a valuable addition to care as usual and continued development and implementation requires attention and priority.
P-594 A PRELIMINARY STUDY ON THE ACTIVE CASE MANAGEMENT MODEL OF WORKERS WITH WORK-RELATED INJURIES IN KAOHSIUNG CITY: ASSOCIATION BETWEEN RETURN TO WORK, INSTRUMENTAL ACTIVITIES OF DAILY LIVING, AND BUSINESS CATEGORY
Authors: Yang Chen-Cheng , Hsiao Yu-Hsuan , Lin Chia-Ping , Hung Chia-Cheng , Liu Shun-Yin , Hsiao Yen-Chen , Chuang Hung-Yi , Huang Peng-Ju , Kuo Chao-Hung
Published: July 2024

Introduction

There are hundreds of deaths in Taiwan every year due to major occupational accidents. Most common problem in major occupational accidents is that victims do not have access to immediate occupational medical resources. Therefore, our goal is to provide workers with immediate occupational medical resources and case management, and to assess what are important factors for successful recovery and return to work (RTW).

Methods

We arranged case management for workers with work-related injuries and hospitalization. Our implementation strategies for the new model included: (1) occupational medicine team visit workers in wards; (2) assist workers to follow up in the outpatient clinic after discharge; (3) phone visit after three months to confirm the recovery, RTW, functional status, etc.

Results

During November 2022 and May 2023, our team took care of a total of 83 hospitalization workers. The score of Activities of Daily Living (ADL) after 3 months was 96.63±11.90 (p value<0.001), Instrumental Activities of Daily Living (IADL) after 3 months was 22.89±2.32 (p value<0.001), compared with initial status. Regression model revealed successful RTW was significantly positively associated with IADL after 3 months (β 0.755, odds ratio [OR] 2.128, 95% confidence interval [CI] 1.215-3.724, p value 0.008) while negatively associated with patients who working in manufacturing business category (β -2.601, adjusted OR 0.074, 95% CI 0.006-0.894, p value 0.04).

Discussion and conclusion

The new case management model can facilitate occupational accident worker recovery and RTW smoothly. Workers with better IADL and who work in non-manufacturing business categories have higher successful RTW after 3 months of occupational accident
P-596 THE EVALUATION OF WORKPLACE DISABILITY MANAGEMENT PROGRAM FOR HEALTHCARE WORKERS IN THE TOTAL WORKER HEALTH® APPROACH: THE RETURN ON INVESTMENT
Authors: Santoro Annapaola , Di Prinzio Reparata Rosa , Camisa Vincenzo , Vinci Maria Rosaria , Dalmasso Guendalina , Dosi Alessia , De Santis Marcello , Macina Nadia Maria , Raponi Massimiliano , Mesolella Valentina , Zaffina Salvatore
Published: July 2024

Introduction

The progressive population aging and the impact of related chronic disease affect work ability. The “Workplace Disability Management Program” (WDMP) was implemented in an Italian pediatric hospital with the aim of reducing the impact of an emerging disability deriving from illness or accident on the individual’s working ability and supporting healthcare workers (HCWs) in appropriate return to work.

Methods

The WDMP intervenes across four types of intervention, including internal reorganization of work duties, proposal improvement measures to the company management, psychological support, or extremely, changing jobs. In this study the evaluation of workers’ absenteeism and related cost was set up in the first three years of experience. The Return on Investment (ROI), the Break-Even Analysis (BEA) and the value of the average annual productivity of workers who took advantage of the WDMP were assessed.

Results

131 HCWs were included in a period between 2017 and 2019, approximately 4% of hospital staff. Sickness absence days declined by 66.6% in the year following the WDMP compared to the previous year (p<0.001). The total estimated cost reduction of absenteeism was 427,896€ over a year. ROI was 27.66 and the break-even point was reached by implementing the program in 3.27 HCWs.

Discussion

The program impact highlighted its effectiveness in terms of a significant reduction of absenteeism. Job limitations were lower than the national benchmark (5.5% vs, 11.8%).

Conclusion

The econometric evaluation demonstrated the real effectiveness of the implemented WDMP, acting positively on productivity, as well as on health and well-being of employees.
P-598 MAPPING TOOLS TO FACILITATE STRATEGIC DECISION-MAKING WHEN RETURNING TO WORK FOLLOWING A DISABILITY
Authors: Gouin Marie-Michelle , Durand Marie-José , Coutu Marie-France , Lefebvre Catherine , St-Aubin Camille-Hélène , Tamokoue Hermann Brice Tegninko
Published: July 2024

Introduction

Reaching a shared decision between return to work (RTW) stakeholders is complex when their positions clash and they try to influence decision-making processes. Negotiation then becomes key to a successful RTW. This review aims to map existing negotiation tools.

Methods

We conducted a mapping review using eight databases (APA PsycInfo, MEDLINE, SocINDEX, ProQuest One Business, Business Source Complete, Scopus, Érudit and Cairn) between July 28 and August 11 2023. The Boolean equation and screening criteria were developed with a librarian based on a negotiation framework. English and French publications were considered. References were recorded in Covidence to be screened by two independent reviewers. To be retained, publication had to: (1) address a negotiation tool (i.e., a means of shaping or influencing decision-making or stakeholders’ attitude); and (2) be applicable in a work or RTW context. Data will be aggregated and summarized in descriptive and operational tables.

Results

A total of 4,893 references were screened to generate a descriptive table of the publications and a tool inventory. The inventory includes when, by whom, and why to use each tool in RTW negotiation (e.g., preparing for negotiations or influencing decision-making or attitude) and design (e.g., questionnaire, intervention or interview). It will be available for presentation at the conference.

Discussion

To our knowledge, this is the first study to list useful tools for guiding RTW stakeholder negotiation.

Conclusion

This study identifies relevant tools and will facilitate adapting them as necessary for a strategic decision-making program to be developed with a RTW coordinator.
P-599 HOW COLLABORATION BETWEEN (OCCUPATIONAL) PHYSICIANS AND WORK ACTORS FOSTER SUCCESSFUL REINTEGRATION TO WORK AFTER OR DURING HEALTH PROBLEMS
Authors: Vanacker Hilde , De Roeck An , Germeys Lynn , Bassele Nikolaj
Published: July 2024

Introduction

Incapacity to work has a high price tag. The longer someone is incapacitated, the more difficult it is to return to work. It is therefore crucial to support and guide incapacitated employees at an early stage, even if returning to their own employer is no longer possible. To foster and speed up the reintegration of these incapacitated employees 2 Belgian external services of prevention and protection at work collaborated with the Flemish public employment service (VDAB).

Methods

The pilot study ran from September 1, 2021 till December 31, 2022. We examined longitudinally the outcomes of a fast and privacy-proof manner of voluntary registration from the occupational physician to VDAB.

Results

We included 235 incapacitated employees (88 male, 147 female) who were definitively unfit for their own work according to the assessment of the occupational physician. Average duration of absence at enrolment was 623 days. 70 were low-educated, 109 mid and 56 high-educated. Six months after the start of the guidance programme, 23% reintegrated to work. After 12 months 41% returned to work. Follow-up after 18 and 24 months is currently ongoing.

Discussion and conclusions

The experience of all parties involved was evaluated positively. A wide variety of services were provided to support reintegration indicating the need for customization. The communication between the actors involved in the reintegration process increased. The partners pleaded with the government to continue and expand the pilot study and succeeded. This resulted in new legislation in July 2023.
P-604 THREE CLINICALLY MEANINGFUL RECOVERY TRAJECTORIES FOR WORK-RELATED ACTIVITIES AMONG TOTAL KNEE ARTHROPLASTY PATIENTS. A 12 MONTHS MULTICENTER PROSPECTIVE COHORT STUDY
Authors: Van Zaanen Yvonne , Hoozemans Marco J M , Kievit Arthur J , Van Geenen Rutger C I , Pahlplatz Thijs M J , Blankevoort Leendert , Schafroth Matthias U , Haverkamp Daniel , Vervest Ton M J S , Das Dirk H P W , Scholtes Vanessa A , Kuijer P Paul F M
Published: July 2024

Introduction

Total Knee Arthroplasty (TKA) is increasingly performed on working patients, but only 65% return to work (RTW). This study aims to identify recovery trajectories for performing work-related activities and their association with time to RTW.

Methods

A multicenter prospective cohort study was performed among working TKA patients. The Work Osteoarthritis or Joint-Replacement Questionnaire (WORQ) was used to assess the difficulty in performing work-related activities (0-100 scale, minimal clinically important change MIC=13). Trajectories were based on the 3-month postoperative WORQ score, using the three-part classification of scores for early (≥71), moderate (71 - 50) and late (≤ 50) recovery trajectory. Changes between preoperative and postoperative WORQ scores at 3, 6 and 12 months were calculated for each trajectory. Kaplan-Meier curves were used to analyze time to RTW for each trajectory.

Results

Among 182 working TKA patients, three recovery trajectories emerged: early (n=54), moderate (n=68), and late (n=60). The MIC was reached at 3 and 6 months for early and moderate recovery trajectories, but not for the late trajectory. Patients with early recovery returned to work significantly faster (Median 62 [IQR 41-90]) than those with moderate (75 [46-115]) or late (84 [58-116]) recovery.

Discussion

This study confirms early, moderate, and late recovery trajectories for work-related activities and RTW in working TKA patients, highlighting the potential for early detection of late recovery.

Conclusion

WORQ scores at 3 months postoperative can effectively distinguish patients experiencing late recovery in work-related activities, leading to a delayed RTW.
O-403 ASSESSING THE SAFETY AND EFFECTIVENESS PROBLEMS OF NEW TYPE PERSONAL PROTECTIVE EQUIPMENT USE FOR THE MUSCULOSKELETAL SYSTEM
Authors: Bukhtiyarov Igor , Shuporin Evgeny , Novozhilova Anastasia
Published: July 2024

Introduction

Despite a significant increase in industrial automation, occupational morbidity associated with exposure to physical overload still occupies one of the first places in the structure of occupational medicine. For this, the development of technologies for industrial exoskeletons, a new means of individual protection of the musculoskeletal system, is promising. But in the absence of regulatory documentation, the issue of safety and effectiveness of their use remains open.

Methods

The Institute has conducted more than 10 studies on the safety and effectiveness of exoskeletons “ExoAtlant”, “Keeepy”, “Hoooldy”, “X-Rise”, “X-soft” “ProEXOLight” use on volunteers. The following were assessed: range of motion, blood pressure, heart rate, gas exchange, energy expenditure, bioelectrical activity, muscle tone and stiffness, general condition of volunteers, subjective information of volunteers about discomfort and efficiency.

Results

The analysis showed a statistically significant decrease in the values of indicators when using some exoskeletons. The use of some models of exoskeletons restricts movement in the joints. Despite the additional weight of human-wearable exoskeletons, their use does not adversely affect the state of the cardiorespiratory system and, in some cases, reduces energy consumption by up to 35%. The use of exoskeletons reduces the load on the muscles involved, their tone and stiffness, in some cases, the redistribution of the load on other muscle groups is determined.

Conclusion

The conclusion about the exoskeleton safety and efficiency for a particular workplace should be formed separately, based on the working conditions specifics. The research results will form the basis of the state standard “Industrial exoskeletons. Protection degree determining methods”.
O-409 HEALTH BENEFITS DUE TO INSTALLATION OF ANTI FATIGUE MATS IN AN AUTOMOBILE INDUSTRY FOR PREVENTING MUSCULOSKELETAL PROBLEMS
Authors: Mishra Shriniket
Published: July 2024

Introduction

It was observed that workers in a two wheeler manufacturing unit deployed on vehicle assembly lines were suffering from increase in various musculoskeletal problems like –foot pain, fatigue, discomfort in lower limbs and varicose veins, planter fasciitis etc. Aim of this intervention was to identify the causes and reduce these health issues by identification of the ergonomic risk factors leading to these health issues then take measures to reduce them.

Methods

Baseline data related to musculoskeletal issues among workers on assembly lines was available with the occupational health center. An ergonomic study was conducted to identify the causes by conducting an ergonomic evaluation with a view to assess the ergonomic risk factors and health issues related to assembly line operators during actual industrial operations A questionnaire based survey was done for identifying the health issues. It was noticed that due to long standing position workers were prone to fatigue in legs leading to varicose vein, planter fasciitis etc. It was decided to provide anti fatigue mats on assembly lines. After doing trials and feedback from workers, Anti-fatigue mats were installed.

Results

After placement of anti-fatigue mats there was an 80% reduction in musculoskeletal cases related to foot and legs of employees working on assembly lines.

Discussion

Prolonged standing at the assembly line was causing musculoskeletal health issues. After installation of anti-fatigue mats there was big reduction in fatigue leading to reduction in musculoskeletal issues.

Conclusion

By doing regular health interventions and improvements in working conditions we can protect the health of workers, improve morale and productivity.
P-611 OCCUPATIONAL SHOULDER LESIONS ASSOCIATED WITH FORCEFUL EXERTIONS
Authors: Saarkoppel Lyudmila , Shhetinina Anastasiya , Lagutina Galina , Nepershina Ol`ga , Lagutina Aleksandra , Rudakova Irina , Skry`pnik Ol`ga , Dunaeva Svetlana
Published: July 2024

Introduction

Among the occupational musculoskeletal disorders registered in the Russian Federation shoulder lesions associated with forceful exertions deserve special attention. Diagnosis of these diseases is a significant problem for occupational medicine specialists, which determines the extremely low detectability of this pathology.

Material and Methods

Neuro-orthopedic examination and ultrasound examination of 170 underground miners, whose work activity is associated with physical overloads of the shoulder girdle and arms, were carried out.

Results and Conclusions

Neuro-orthopedic examination revealed various clinical manifestations of shoulder injury - asymmetry of the shoulder girdle, hypotrophy of the shoulder girdle muscles (most often the supraspinatus muscle of the working arm), soreness and muscle seals during palpation in the periarticular region, soreness and restriction of active and less often passive movements in the shoulder joint, positive tests of Joub, Dauborn, positive resistive tests leads, external and internal rotation. Occupational pathology of the shoulder was diagnosed in half (51.2%) of the examined. Tendinosis of the long head of the biceps muscle of the shoulder and lesions of the rotator cuff muscles were most often detected, more often on both sides and often had a combined character. At the same time, in 34 patients (about 28% of the examined), ultrasound signs of shoulder lesions were not always accompanied by clinical manifestations, which caused a low correlation between the severity of ultrasound and clinical symptoms. The data obtained substantiate the need to develop new diagnostic approaches to the detection of occupational shoulder lesions.
P-612 A RANDOMIZED CONTROLLED TRIAL ON THE EFFECTS OF A JOB SPECIFIC ERGONOMIC TRAINING ON THE MUSCULOSKELETAL LOAD OF THE CARE STAFF IN A NURSING HOME. RESULTS FROM THE ERGONCARE-STUDY
Authors: Klussmann Andre , Choudhry Jamal Nasir , Jost Mirjam , Tolg Boris , Hamburg Johann Popp , Krämer Natalie , Keuchel Martin , Serafin Patrick , Schäfer Andreas , Lang Karl-Heinz , Popp Johann
Published: July 2024

Introduction

Behavioural interventions may be effective for the prevention of occupational musculoskeletal disorders as an addition to technical and organisational measures. This open label randomised controlled trial evaluates the effect of an ergonomic patient handling training program on the musculoskeletal load of care staff in a nursing home.

Methods

The program consisted of 15 training sessions right in the nursing home, combined with additional meetings on the ward. The primary outcome was the weighted cumulative musculoskeletal load of the lower back, knees and shoulders, assessed with a motion-capturing system and video for each body region.

Results

We were able to perform the study with some protocol changes, despite of massive delays and high drop-out rates during the COVID-19 pandemic. For six remaining participants of the intervention group the median cumulative load on the lower back increased from 12,632°s at baseline to 30,735°s at follow-up. The median cumulative load on the shoulders increased from 17,274°s to 63,884°s. Simultaneously the time to perform the task increased more than fourfold from baseline to follow-up. The relative load per minute decreased. For the knees, not only the cumulative load increased from 8,418°s to 48,694°s, but also the relative load.

Discussion/Conclusion

The training did not clearly reduce the musculoskeletal load. Although extreme deviations from the neutral position (such as leaning forward and twisting) have been reduced, the time spent in postures that are still unfavorable, such as slightly leaning forwards and twisting, has multiplied, since the execution of the processes required much more time than before.
P-614 MULTI-METHOD ASSESSMENT OF ERGONOMIC RISKS TO VETERINARY TECHNICIANS AT A SMALL-ANIMAL CLINIC
Authors: Taveira Alvaro , Prouxl Joseph , Arias Oscar
Published: July 2024

Introduction

Veterinary technicians in small-animal clinics are often exposed to activities associated with work-related musculoskeletal disorders (WMSDs), but the available research is limited. This multi-method case study identifies prevalent tasks with ergonomic hazards and defines the associated risk levels. Potential interventions are discussed.

Methods

Nine technicians participated in assessing symptoms and identifying tasks with ergonomic risk factors. A modified NORDIC questionnaire was administered to determine WMSD discomfort. A focus group identified activities with ergonomic risk factors. The jobs with high-risk factors were further evaluated using the Rapid Entire Body Assessment (REBA).

Results

All participants experienced musculoskeletal discomfort in at least five body regions. They reported being unable to perform work over the last 12 months due to WMSDs on shoulders, ankles, and feet 33% (n=3), neck and lower back 22% (n=2), and wrists, hands, hips, thighs, and knees 11% (n=1). One respondent reported no discomfort over the last seven days, while eight indicated discomfort in three or more body areas. Three tasks were chosen for REBA analysis. Restraining and handling animals had a high-risk REBA score (ranging from 8 to 10). Sedation/recovery had a low to medium-risk REBA score (3 to 5). Dental procedure recovery had a low to very high-risk REBA score (ranging from 2 to 11).

Discussion

The findings indicate that most veterinary technicians experience musculoskeletal discomfort and are exposed to significant WMSD risk levels when performing everyday tasks.

Conclusion

This assessment produced several administrative and engineering controls to reduce the risk of WMSDs in the selected tasks.