bluuebunny/crossref_metadata_2025 huggingface dataset:
P-348 SUBJECTIVE SYMPTOMS AND SERUM MARKERS OF INFLAMMATION IN DENTAL TECHNICIANS
Authors: Okubo Shigeko , Yamauchi Takenori , Yamano Yuko
Published: July 2024

Introduction

Dental technicians are medical technology professionals responsible for the preparation of crown restorations and prosthetics, and the possibility that they may experience respiratory dysfunction due to the inhalation of metal fumes during dental laboratory work has been raised. In this study, we surveyed dental technicians for subjective symptoms and measured serum levels of inflammatory cytokines.

Methods

Forty subjects were investigated. The survey items included subjective symptoms and smoking history using the Japanese version of the ATS-DLD Standard Questionnaire for Respiratory Symptoms. Serum inflammatory cytokines such as TNF-α, IL-6 and 8-OHdG were also measured. The study was approved by the Ethics Committee of Showa University (approval number 2994).

Results

The number of years of employment (mean, range) was 20.4 (0.5-50) years. The most frequently reported respiratory symptoms was nasal congestion (35.0%). Nine patients (22.5%) had no subjective symptoms. Inflammation markers TNF-α (reference value 0.6-2.8 pg/ml) and IL-6 (reference value 8.0 pg/ml) were below the reference values in all subjects. None of the subjects showed elevated levels of 8-OHdG. However, a significant positive correlation was observed between the number of years of employment and TNF-α levels.

Discussion and Conclusion

About 80% of the dental technicians had some subjective symptoms of respiratory dysfunction, but most of the inflammatory markers and 8-OHdG were below standard values. TNF-α levels tended to be higher with longer working years, suggesting a higher risk of inflammation with longer working years.
P-351 CORRELATION BETWEEN SERUM 25(OH)D AND BLOOD LEAD LEVELS TO DELTA-AMINOLEVULINIC ACID DEHYDRATASE IN LEAD-EXPOSED WORKERS
Authors: Fadhillah Ratih , Ilyas Muhammad , Liem Jen Fuk , Khoe Levina Chandra , Mansyur Muchtaruddin
Published: July 2024

Introduction

Lead inhibits the heme synthesis pathway by altering the Delta-Aminolevulinic Acid Dehydratase (ALAD) activity, resulting in oxidative stress. Apart from its classic role, vitamin D also acts as an antioxidant, but lead exposure can also inhibit the process of converting 25(OH)D, resulting in a decrease in vitamin D levels. The aim of this study was to determine the correlation between serum 25(OH)D and blood lead level (BLL) to delta-ALAD activity.

Methods

We conducted a cross-sectional study and a total of 71 male workers occupationally exposed to lead in Java, Indonesia, were included in the initial analysis. Serum 25(OH)D, BLL, and ALAD activity were measured in the laboratory using ECLIA, ICP-MS, and spectrophotometry, respectively.

Results

There is no correlation was observed between serum 25(OH)D and ALAD activity. However, a moderate negative correlation was found between BLL and ALAD activity (r = -0.43, p<0.001), and between BLL/25(OH)D ratio to ALAD activity (r = -0.44, p=0.001).

Discussion

As vitamin D is believed to act as an antioxidant, the correlation between BLL/25(OH)D ratio to ALAD indicated that a higher lead exposure induced lower 25(OH)D concentrations.

Conclusion

Higher BLL was correlated to lower ALAD activity. Our results also highlighted the potential of lead exposure to alter ALAD activity through decreased serum 25(OH)D. It is necessary to conduct further investigation using more precise and varied data. Keyword: Blood lead levels, Delta Aminolevulinic Acid Dehydratase, Lead exposure, 25(OH)D
P-356 TRIGEMINAL NEURITIS ASSOCIATED WITH CHRONIC OCCUPATIONAL EXPOSURE TO TRICHLOROETHYLENE
Authors: Fatma Naourez Ben , Hsinet Jihen , Khouja Nihel , Baraketi Emna , Bechrifa Emna , Belkahla Amira , Ismail Saloua , Benzarti Aida
Published: July 2024

Introduction

Trichlorethylene is a solvent widely used in many professional sectors, notably the chemical industry. However, it can be the cause of neurological disorders, especially trigeminal neuritis. Objectives: To study the clinical and paraclinical characteristics of trigeminal neuritis cases in relation to occupational exposure to trichloroethylene.

Methodology and Results

Five cases of trigeminal neuritis related to occupational exposure to trichlorethylene have been identified. All patients were male working in the chemical industry. The average age was 49.2 year.The chemical industry was the main source of trichlorethylene-related peripheral neuropathy. The average delay between the onset of symptoms and work activity was 15 years. The symptoms were dominated essentially by facial hypoesthesia. Somatosensory evoked potentials were performed in all patients and revealed bilateral trigeminal neuritis in four cases and unilateral trigeminal neuritis in one case. These cases were recognized as an occupational disease according to the regulations of the Tunisian list of compensable occupational diseases.

Discussion

Trichlorethylene toxic neuropathy is a rare condition with polymorphous clinical manifestations dominated by facial hypoesthesia. The study of somatosensory evoked potentials is of great diagnostic value.

Conclusion

Occupational exposure to trichlorethylene warrants regular medical supervision for early detection of this neuritis, as well as the reinforcement of technical prevention, which remains the only means of reducing this chemical risk.
O-197 COVID-19 AND HEALTH AND SAFETY OF THE DIGITAL EDUCATORS: A CASE STUDY OF BANGLADESH
Authors: Khan Tauhid Hossain , MacEachen Ellen , Sultana Ishrat Zakia , Khan Tauhid Hossain , MacEachen Ellen , Sultana Ishrat Zakia
Published: July 2024

Introduction

The COVID-19 pandemic led to significant changes in the education sector worldwide, forcing schools to shift to remote online teaching. As such, the digital teaching introduced unique occupational health stressors that posed a threat to the wellbeing of educators in Bangladesh. While much attention has been given to the quality of education, there is a lack of understanding regarding the impact on teachers’ lives and wellbeing. The study aimed to identify specific health risks and needs related to the transition to digital teaching.

Methods

Six Focus Group Discussions (n=48) were conducted to solicit the (primary and high school) teachers’ and tutors’ experiences of digital teaching. Using purposive sampling strategies, we recruited participants from different groups, including genders, rural and urban settings, and many more.

Results

The findings reveal the dynamics of challenges the teachers encountered, which included the blurring work-life, competing responsibilities (e.g.,caregiving), dual burden (e.g., household chores) for females while teaching remotely, access and learning new technology (e.g., technostress), anxiety stemming from salary suspension or job loss. However, many expressed a positive outlook because of the convenience of commuting to schools amidst traffic jams.

Discussion

In Bangladesh, neither Labor laws nor recently developed (2013) occupational health and safety (OHS) policies do not cover schoolteachers’ OHS. As the Ministry of Education has no specific guidelines, it is high time to identify occupational health risks exposed to digital educators.

Conclusion

Digital educators face numerous health-related challenges that need to be communicated with the existing policies to understand the gaps between policy and practice.
O-200 OCCUPATIONAL SAFETY AND HEALTH PRACTICES IN AN AGRICULTURAL COMPANY IN PIURA, PERU
Authors: Mera Chu Norvil Antonio
Published: July 2024

Objectives

Describing the implementation of the Occupational Safety and Health (OSH) System and its progressive improvement during 4 years in an agricultural company in Peru.

Material & Methods

This research was a case report study. The unit of study was the indicators of OSH programs and procedures executed at an agricultural company, related to OSH activities as training programs, risk assessment, designing new methods for working, changing job schedules, involving workers in safety inspections, providing adequate personal protection equipments (PEE), medical examinations for workers, internal audits, among others. Besides, it was analyzed the impact of the OSH system on the frequency of accidents and illnesses in workers, on the frequency of Covid-19 cases and other infectious diseases (including dengue fever), on absenteeism, the level of use of the PEE, on labor inspections and audits for certification, on getting clients, etc.

Results

The frequency of accidents was reduced in 22%. The frequency of diseases and comorbilities was reduced in 18%. Absenteeism was reduced in 26%. There were 2 new methods for working, and a new schedule and distribution of activities during day and night-shift. The enterprise got its Management System (which includes OSH) certified and got more clients every year, so the company exported more fruit, which implied more economic gains.

Discussion and Conclusion

It was a good investment to implement and improve the OSH system in this company, improving working conditions for rural population and bringing good income results for the company management, too.
P-372 SETTING UP SOCIMED, AN OCCUPATIONAL HEALTH AND SAFETY AND DATA ANALYSIS COMPANY IN DJIBOUTI
Authors: Isman Mohamed Omar , Gasana Janvier , BENNACER Benali
Published: July 2024

Introduction

Socimed.Sarl is the first national occupational safety and health (OSH) company specializing in OSH training of nurses and doctors, data analysis, and Project management/evaluation. Objective To offer OSH training with a certificate in collaboration with Faculty of Medicine of Djibouti, Higher Institute of Health Sciences, Hope Medical Polyclinic, and Mutualis Medical Center.

Methods

SOCIMED consultants offer doctoral and high-level engineering training and solid technical bases. Participants receive continuous training in OSH methods, project management/evaluation, and data analysis.

Results

The team of SOCIMED consultants has medical specialists (occupational physician and cardiologist) and Other OSH and Data Analysis professionals. Health and Safety Committee (HSC) is a legal obligation according to the labor code of Djibouti, and SOCIMED helps to comply with it. Business legal obligations for setting up a medical unit vary according to the number and category of the establishment.

Discussion

The World Health Organization (WHO) defines a minimum of services that each country must provide in terms of primary prevention and occupational health. WHO emphasis in occupational health is on strengthening surveillance, the assessment of the burden of occupational health, the development of a data system by country, in order to better support occupational health policies and action plans at the national level.

Conclusion

All companies are required by law to provide their employees with nursing care in the event of an accident at work. The company nurse carries out his duties in collaboration with doctors. This medical infrastructure allows rapid intervention in the event of an emergency and is also essential for prevention.
O-216 ADDICTION AND WORK: A CASE REPORT IN THE IBN ROCHD UNIVERSITY HOSPITAL CENTER (IR-UHC)
Authors: Omali Asmaa , Wifaq Kamal , Tahri Loubna , Youabd Saadia , Elkholti Abdeljalil
Published: July 2024

Introduction

Addictive behavior in the healthcare facility is a matter of concern, due to the risk it poses to the health and safety of workers. Our objective is to determine the fitness for work of a doctor with a chronic addiction to hypnotics.

Materials and methods

To develop an analytical approach to the medical assessment of a doctor with an addiction to hypnotics, using the French version of the Addiction Severity Index (ASI). This validated tool enables multifactorial assessment of addictions.

Results

A 33-year-old medical specialist working in the medical department of CHU-IRC was referred to the occupational health department for assessment of his fitness for work. He had been chronically addicted to hypnotics for 4 years. An initial psychiatric assessment showed that this addiction could have an impact on his ability to carry out his duties. After medical treatment, a second assessment showed the patient to have been abstinent for 45 days, with no symptoms of aggression. The ASI showed an addiction of moderate severity to hypnotics, with a negative urine test. We conclude that this physician is fit for work.

Discussion

The occupational physician must specify the fitness for work of the drug-addicted worker, this is based on knowledge of the workstation and the severity of the addiction. Aptitude criteria include vigilance, attention and quality of psychomotor execution.

Conclusion

Cooperation between occupational physician and addictologist is essential to determine the medical fitness for work of the drug-addicted worker. This should be done as part of a systemic approach to prevention.
O-222 STUDY OF BREAST CANCER AMONG HEALTHCARE WORKERS
Authors: Asrir Ihsan , Wifaq Kamal , Tahri Loubna , Soltani Sara , El Kholti Abdeljalil
Published: July 2024

Introduction

The care environment exposes healthcare workers (HCWs) to a set of risks, some of which are potentially carcinogenic. Our objective is to estimate the incidence of breast cancer and to identify the risk factors for this cancer in female HCWs at the Ibn Rochd University Hospital Center in Casablanca.

Methods

This is a retrospective study of ten cases among HCWs with breast cancer, collected over a period of 7 years (2013 -2020).

RESULTS

Ten cases of breast cancer were collected; the average age was 47 years and the average professional seniority was 18 years. They were six nurses, two secretaries, a radiology technician and an oncologist. The antecedents at hiring were breast adenofibroma in two cases. Four nurses were assigned to night work. All cases received sick leave as part of long-term sick leave. Eight cases returned to work and two cases died. A change of position was indicated in only one case and the adjustments in the workplace were indicated in six cases to facilitate return to work.

Discussion

Epidemiological and experimental studies demonstrated that ionizing and non-ionizing radiation exposure, night-shift work, solvents and cytostatic have been implicated in breast cancer among HCWs, particularly at young ages. However, the mechanisms by which occupational factors can promote breast cancer initiation and progression remains to be elucidated.

Conclusion

Targeted studies with a more detailed assessment of exposure will be interested in order to be able to decide on the reality of the risk among HCWs and to put in place adequate preventive measures
O-223 MUSCULOSKELETAL DISORDERS (MSDS) AMONG PHYSIOTHERAPISTS: A STUDY OF 9 CASES
Authors: Hammal Asmaa , Wifaq Kamal , Soltani Sara , Es-Saadi Kawtar , Norredine Doha , El Kholti Abdeljalil
Published: July 2024

Introduction

Musculoskeletal disorders (MSDs) represent a common occupational health issue among physiotherapists. The aim of this study is to characterize MSDs, identify the most frequent types, and demonstrate the importance of medical monitoring for these workers.

Materials and Methods

This is a descriptive study conducted among physiotherapists working in the Department of Physical Medicine and Rehabilitation at Ibn Rochd University Hospital in Casablanca. Data were collected from medical records at the occupational health service and analyzed using JAMOVI statistical software.

Results

Seventeen medical records were analyzed, and it was found that 52.9% of physiotherapists suffer from MSDs. Out of the 9 cases, 5 (29.4%) were related to upper limb MSDs, with rotator cuff tendinitis being the most frequent (4 cases, 23.5%). Three cases (17.7%) were related to lower limb MSDs, and one case (5.9%) was related to lumbar spine MSD. Medical assessment by the occupational health physician was conducted for 3 cases (17.6%), leading to workplace adjustments. Additionally, one case was recognized as an eligible work-related compensable disease.

Discussions

Several studies have shown that the prevalence of MSDs among physiotherapists is over 50%, with a predominance in the upper limbs, which is consistent with our findings. The decision to make workplace adjustments is subjective and dependent on the working conditions.

Conclusion

The high frequency of MSDs among physiotherapists emphasizes the need for increased medical monitoring of these workers. Assessing the employees’ suitability for their job by the occupational health doctor is crucial, aiming to modify their work setups to prevent additional decline in health.
O-240 RADIATION PROTECTION FOR A PREGNANT RADIOLOGY TECHNICIAN
Authors: Mazroui Imane , Tahri Loubna , Wifaq Kamal , Benjdiya Malak , Hammal Asmaa , El Kholti Abdeljalil
Published: July 2024

Introduction

Exposure to radiation during pregnancy in woman working in the medical field often leads to a disproportionate concern regarding risks to the fetus. The objective of this study is to emphasize the importance of radiation protection for pregnant women.

Materials and Methods

The case study was conducted with a six weeks technician assigned to the radiology department at CHU Ibn Rochd in Casablanca, through medical interviews.

Results

The technician reported to the occupational physician an accidental pregnancy at 6 weeks gestation. Her work involved a rotation between the standard radiology and the CT scan rooms, with a daily work schedule of 6 hours. No personal protective equipment was used. The last reading of her dosimeter revealed a dose of 0.26 mSv.

Discussion

According to the ICRP 84, The control of the occupational exposure of non-pregnant women is the same as that for men. However, if a woman is declared pregnant, additional controls have to be considered. The recommended fetal dose should not exceed 1mSv without the necessity to avoid work with radiation. A change to a position with lower exposure can be requested by the worker. In our case, due to the unavailability of Personal Protective Equipment (PPE), a temporary adjustment to the technician’s position was proposed, involving an exclusion from the controlled area, as well as quarterly reevaluation of her health status by the occupational physician.

Conclusion

Occupational physicians play a crucial role in informing employers and employees about radiation risks and the importance of radiation protection, especially for pregnant women.
P-409 ACCELERATING THE NATIONAL TUBERCULOSIS ELIMINATION PROGRAM BY LAUNCHING MISSION TB FREE INDIANOIL TO DECLARE INDIANOIL TB FREE BY 2025
Authors: Sharma Sandeep , Mehrotra Ranjan , Kumar Simant
Published: July 2024

Introduction

India is a signatory to UN SDG which envisage TB-free world by 2030. India aims to achieve this milestone by 2025. IndianOil launched ‘TB Free IndianOil Workplaces’ project to achieve UN SDG 3.3.

Methods

TB Free IndianOil Workplaces was launched in three phases. Phase-1 covered employees and their families through an TB screening app, covering more than 1 Lakh beneficiaries. 397 suspected individuals were further investigated for tuberculosis. Phase-2 covers contractual workers and Phase-3 covers front-line workers screening more than 7 lakh IndianOil beneficiaries. Truenat diagnostic equipment, handheld x-ray machines and mobile medical units were used to screen the surrounding communities.

Result

The symptomatic cases underwent diagnostic TB test and individuals found TB positive are undergoing treatment as per the TB treatment protocols till they are found free from tuberculosis. TB disease can be found in different socio-economic strata of the society and is no more limited to poor and undernourished population. Detecting TB early and treating it is the only way to make it curable and non-infectious.

Discussion

The biggest challenge with tuberculosis is that it is an air-borne infection. A proactive, caring & dynamic strategy helps in active case finding and ensuring treatment of the positive cases.

Conclusion

Systematic screening of workforce in an organization can substantially contribute in identification, treatment, and elimination of TB, thereby contributing to achieve UN SDG 3.3 i.e. end of epidemic of communicable diseases by 2030.
O-268 PROMOTING EMPLOYEES’ HEALTH THROUGH THE OFFICE LAYOUT: A SCOPING LITERATURE REVIEW
Authors: Poncelet Stien , Balci Ozan , Nguyen Alex , Moere Andrew Vande , Godderis Lode , Bruyninckx Herman
Published: July 2024

Introduction

People in the Western World typically spend about 40 percent of their waking time at work, mainly in office settings. Since the built environment is an important determinant of health, the office layout is crucial to promote and maintain employees’ health. This study aims to formulate guidelines for designing salutogenic (i.e. health-promoting) office layouts that reduce environmental demands (e.g. covering distracting noises) and enhance environmental resources (e.g. creating views to the outside) based on different work contexts.

Methods

Following the PRISMA-ScR methodology, a scoping literature review across the disciplines of (occupational) health and (interior) architecture will be conducted to identify the salutogenic characteristics of an office layout which mitigate environmental demands or enhance environmental resources. Articles published in English between 1990 and 2023 will be sourced from Pubmed, Embase, Web of Science, Scopus, Proquest, and Avery databases.

Results

Salutogenic office layout characteristics will be categorized into themes (including privacy, ergonomics, crowding, nature, personalization, social support and aesthetics) and work contexts, resulting in guidelines for designers, managers, and researchers.

Discussion

Preliminary findings demonstrate the potential of office layout in enhancing social cohesion, connection with nature, physical activity and personalization.

Conclusion

By offering guidelines on how an office layout should be designed in order to promote employees’ health, this study encourages workplace designers, managers and researchers to take an evidence-based approach to create health-promoting office environments.
O-269 HOW DOES DAY-TO-DAY STRESS APPRAISAL RELATE TO COPING AMONG OFFICE WORKERS IN ACADEMIA? AN ECOLOGICAL MOMENTARY ASSESSMENT STUDY
Authors: Clays Els , Hulin Stephanie , Jožef Junoš Lukan , Caluwaerts Anneleen , De Neve Rosalie , Jožef Mitja Luštrek , De Bacquer Dirk , Bolliger Larissa
Published: July 2024

Introduction

Existing literature indicates that academic staff experience increasing levels of work stress. This study investigated associations between day-to-day threat and challenge appraisal and day-to-day problem-focused coping, emotion-focused coping, and seeking social support among academic office workers.

Methods

This study is based on an Ecological Momentary Assessment (EMA) design with a 15-working day data collection period utilizing our self-developed STRAW smartphone application. A total of 55 office workers from academic institutions in Belgium (n=29) and Slovenia (n=26) were included and 3665 item measurements were analysed. Participants were asked approx. every 90min about their appraisal of stressful events (experienced during the working day) and their coping styles. For data analysis, we used an unstructured covariance matrix in our linear mixed models.

Results

Challenge appraisal predicted problem-focused coping, and threat appraisal predicted emotion-focused coping. Our findings suggest an association between threat appraisal as well as challenge appraisal and seeking social support. Younger and female workers chose social support more often as a coping style. While working from home, participants were less likely to seek social support.

Discussion

Participants reported seeking social support less during working from home compared to working at the office, making the work location an aspect that deserves further research.

Conclusion

The findings of our EMA study confirm previous research on the relationship between stress appraisal and coping with stress. Furthermore, our results suggest an association between both threat as well as challenge appraisal and seeking social support – associations that have rarely been studied until now.
O-275 ASSOCIATION BETWEEN STATUS OF WORK ARRANGEMENTS WITH WORK ENGAGEMENT: A NATIONWIDE PROSPECTIVE COHORT STUDY
Authors: Adi Nuri Purwito , Nagata Tomohisa , Odagami Kiminori , Mori Koji
Published: July 2024

Introduction

Flexible work arrangements are becoming more popular since the Covid-19 pandemic. It allows employees not to physically interact with colleagues during working process. This phenomenon leads to several consequences both positive and negative. Our study aims to identify the status of flexible work arrangements compared to fixed work arrangements associated with work engagement.

Methods

This study is part of W2S-Ohpm study, a nationwide, online survey, prospective cohort study among workers in Japan. Work engagement was examined using Japanese version of Utrecht Work Engagement Scale. Status of work arrangement was defined using a single question, categorized into fixed work arrangement (regular and shift working time system) and flexible work arrangement (flextime, variable working hours system and discretion labor). Participants were observed from year 2022 – 2023. Linear regression was used for statistical analysis. The study was approved by UOEH, Japan ethics committee and followed CHERRIES guidelines.

Results

There were 16,629 participants following one-year observation. We found that flexible working arrangement employees were likely to have better work engagement compared to fixed work arrangement employees (Coefficient 2.401, p<0.001). The association was kept significant after being adjusted with sex, age, education, income, type of industry, job position and work from home status (Coefficient 1.070, p<0.001).

Discussion

Application of flexible work engagement was likely led to positive outcome of work engagement. It may be implemented at any kind of workplace, job position and possibly combined with work from home status.

Conclusions

Flexible work arrangements can be implemented not only for decreasing work demands but also increasing work engagement.
O-282 IMPACT OF WORKPLACE COUNSELLING SERVICES IN GARMENT MANUFACTURING UNITS OF SOUTH INDIA: AN EVALUATION
Authors: Arasu Sakthi , Joseph Bobby , Angeline Nancy
Published: July 2024

Background

India is one of the leading producers of apparel with a large number of employees in garment manufacturing units. Though their physical health is taken care of according to the mandate of the Indian Factories Act, their mental health is often overlooked. Studies have shown that prevalence of mental health issues is high in this population.

Aim

To assess the impact of workplace counseling services among the employees of garment manufacturing units in South India.

Methodology

The workplace counseling services program included selection of motivated individuals from each factory and training them on basic counseling skills. After training, the team is supported in conducting awareness programs and workplace counseling sessions. After one year, an evaluation was done to assess the impact of the program.

Results

Over 5 years, 25 factories with 15,000 employees were covered and 170 people were trained who in turn helped 1472 people with 403 counseling and 1069 support services (stress management or problem-solving techniques, financial planning, etc.). The cases were 75% marital issues, 15% workplace issues, and 3% financial issues. On assessing the reach by interviewing a random sample of 1% of employees, 83.8% knew about the program, 84.2% knew who the mental health team members were; 50% had attended awareness sessions conducted by the team; and 71% had seen the posters displayed.

Discussion- Conclusion

A team of employees trained in basic mental health and counseling services went a long way in addressing mental health issues, overcoming the stigma around mental health, and helping out employees create a positive work environment.
P-414 PROFESSIONAL BURNOUT AS A PREDICTOR OF THE RISK OF ADJUSTMENT DISORDERS IN EMPLOYEES CHEMICAL PRODUCTION
Authors: Kazan State Svetlana Kuzmina
Published: July 2024

Introduction

By 2019, mental disorders among the most active age group (15-49 years) get the first range of the global burden of disease, A. Cieza at al., 2020. In ICD-11 «Problems associated with working conditions» includes QD85 «Professional burnout syndrome». The limitations: psychologists and occupational medicine specialists almost are based on scales and questionnaire methods.

Methods

Interpretation of the results, not confirmed by clinical interviewing by a psychiatrist, does not allow to diagnose the psychopathological phenomenon and limits therapeutic intervention at the early stages of the formation of psychopathological symptoms. The goal is to assess the risk factors for the formation of psychiatry disorders in employees of enterprises at the highest risk - the production of powder and other basic organic chemicals.

Results

The assessment of working conditions, socio-industrial characteristics, clinical and psychopathological examination of 1,474 workers (4 groups, including control) was carried out. Results relative contraindications to work may do not reach the clinical level: workers under the influence of a chemical factor in combination with noise and emotional stress accentuations of the nature of the anxiety type, asthenic and conversion circle.

Discussion -Conclusion

Workers in conditions of the chemical factor of production in combination with the threat to life in the form of explosion and fire hazard have asthenic-vegetative and anxiety–phobic symptoms, accentuation of the nature of the inhibited circle and the conversion type of response. To work under the influence of noise and emotional stress (no chemical factor) – isolated manifestations of the syndrome of disorders of the autonomic nervous system, asthenia and pronounced anxious character traits
P-417 ASSESSMENT OF PHYSIOLOGICAL STRESS IN PRIMARY SCHOOL TEACHERS ON WORK DAY AND FREE DAY WITH HEART RATE VARIABILITY MEASUREMENT
Authors: Plemenitaš Kaja , Ratkajec Tihomir
Published: July 2024

Introduction

Heart rate variability is lately being commonly used tool to research mental stress in different occupational groups. Our aim was to determine whether there is a difference in the parameters of heart rate variability and to assess subjective stress in primary school teachers between working time and free time.

Methods

After exclusion criteria the observed population was 19 female teachers, 25 to 45 years old. Heart rate variability was measured on 2 school hours with a 5-minute break during working hours and at the same time on a free day with portable device. The observed variables were heart rate (HR), SDNN, rMSSD, pNN50% and HF. During the measurements teachers also filled in a diary of stressful situations. Variables were analyzed with paired t-test.

Results

The difference in SDNN on a working day was statistically significantly lower than on a free day (t = 3.26; p = 0.0043). The values of the domains rMSSD (t = 2.35; p = 0.019), pNN50% (t = 3.06; p = 0.0023) and HF (T = 2.77; p = 0,0057) were also statistically significant lower on the working day. Teachers reported more stressful events during measurements on working day.

Discussion

Results indicate reduced overall autonomic activity and parasympathetic withdrawal on working day. The strength of this research was that measurements were conducted in real situation, disadvantage were uncontrolled confounding variables.

Conclusion

With measuring heart rate variability results show poorer modulation of the autonomic nervous system at workplace and this can be an indicator of stress.
P-437 IS DIGITAL MENTAL HEALTH INTERVENTION IN WORKPLACE A PARADIGM OF EAP (EMPLOYEE ASSISTANCE PROGRAM)?- A META-ANALYSIS
Authors: Saha Rajat Kumar
Published: July 2024

Background

There are various modes of provision of a comprehensive EAP with their respective pros & cons, but during the current times, digital mental health intervention is often considered the best. An assessment can justify the application, relevance & significance of digital mental health intervention in workplace in perspective of ideal EAP. A significant number of evaluation studies of this digital platform based implementation strategy of EAP based on facilitators & barriers, employee engagement, effectiveness & efficiency are there.

Methods

The literature PubMed, MedKnow, Medline, Science Direct, Cochrane databases were searched from 1996 to 2021 using the keywords “Digital”, “Mental Health”, “EAP”, “Workplace” together with “Wellness”. Papers in English were included. 7 most relevant articles were selected for the meta-analysis.

Results

In a study, digital mental health interventions had a statistically significant effect post intervention on both psychological well-being (g=0.37, 95% CI 0.23-0.50) and work effectiveness (g=0.25, 95% CI 0.09-0.41) compared with the control. A research showed reduction in general anxiety symptom severity, SMD of -0.75 (95% CI -0.98 to -0.52) showing a significantly greater decrease in general anxiety following the experimental intervention, with considerable heterogeneity (I2 = 78%), compared to therapist contact resulted in a non-significant difference (SMD -0.31, 95% CI -0.65 to 0.03; I2 = 3%).

Discussion and Conclusions

While there are some barriers to engagement of digital modality in workplaces, but pros definitely outnumber the cons. Thus statistical significant results correlate & establish the fact that digital mental health intervention is better in comparison to other modality.
P-441 POSITIVE PSYCHOSOCIAL WORK FACTORS ASSOCIATED WITH WORK ENGAGEMENT IN INFORMAL ECONOMY “REMEROS” OF TRAJINERAS OF XOCHIMILCO, MEXICO CITY
Authors: Chio-García Marisol , De La Valadez Figueroa Isabel Asunción
Published: July 2024

Remeros and trajineras will be preserved at their original language due to respect for this workers

Introduction

In Mexico, workers in the informal economy represent 55.8% of the economically active population (INEGI, 2021). The remeros of the trajineras of Lake Xochimilco are in the informal economy; they do not have social security or a fixed salary; its economic gain is the commissions and tips of the users. The Xochimilco (place of flowers) Lake, is a tourist attraction where rides are offered in trajineras and are driven by a “remero”, who pries with a stick like the gondoliers. Remeros are exposed to different working conditions, among them psychosocial work factors, due to the interaction between colleagues and owners, service users and providers, and forms of work organization. Research reports an association between work engagement and work resources such as rewarding tasks, organizational social support, information and communication, good relationships with superiors, and learning opportunities; as well as negative associations with work demands such as emotional burden, and overload (Hernández and Oramas, 2018; Juárez et al., 2020; Ortiz-Isabeles and García-Avitia, 2021). However, there is little research on workers in the informal economy.

Methods

It is an observational and analytical cross-sectional research. The Labor Demands and Resources Questionnaire for workers in the informal sector of hospitality services (Chio-García, 2023) and the Utrecht Scale of Engagement at Work will be used. For associations, odds ratios will be obtained for prevalence and the Mantel and Hanzel test for significance.

Results discussion and Conclusion

In development until November 2023
P-442 MEASURING MIGRANT AND SEASONAL FARMWORKER HEALTH AND WELL-BEING
Authors: Bonney Tessa , Forst Linda , Johnson Tim
Published: July 2024

Introduction

Hired migrant and seasonal farmworkers (FWs) are generally foreign nationals who face circumstances that are distinct from other workers, challenging their ability to lead healthy lives. While many survey instruments measure social and occupational determinants of well-being, few are validated for deployment among FWs. Our team of experts in hygiene, health, social determinants, and survey research aimed to develop such an instrument.

Methods

To conceptualize FW well-being, we conducted a systematic literature review using search terms sourced from the NIOSH Framework for Worker Well-being and population qualifiers (e.g., ‘migrant’, ‘seasonal’, ‘hired’ farmworkers). This review facilitated refinement of focal constructs and survey items. We employed a multiple-translator panel approach to translate our instrument from English to Spanish and cognitively tested our instrument with a sample of FWs.

Results

Our literature review identified indicators of well-being unique to FWs not included in existing measures of worker well-being, including employment and housing transience and barriers to healthcare access, all of which we incorporated into our survey instrument. We identified complex linguistic challenges and nuanced cultural dimensions in phrasing of items during the translation and cognitive testing.

Discussion

Our findings highlight the complexity of conceptualizing and operationalizing a construct like worker well-being for FWs, as well as the challenges in translating and validating linguistically and culturally complex survey items.

Conclusion

As interest in capturing worker well-being continues to grow, it is crucial that researchers attend to the intricacies of its conceptualization, measurement, and translation to ensure that it is well-understood in distinct worker populations.
P-450 GAP ANALYSIS AND IMPLEMENTATION OF RAS TECHNIQUES IN TOOL BOX TALK
Authors: Sathyabama Jayandran Mohan
Published: July 2024

Introduction

Tool Box Talk (TBT) is an effective proactive tool which is usually conducted by Supervisors or HSE officers before starting the work. It is an idea of creating safety awareness and to ensure safe behavior among the workforce. The gap analysis has been executed to know the effectiveness of the tool box talk and also the possibility of implementing Reticular Activating System (RAS) techniques so as to regulate behavioral arousal, consciousness and motivation.

Methods

(i)  To know the effectiveness of TBT a survey has been conducted among the 75 HSE Professionals and the gap analysis have been completed

(ii)   The possibility of implementing RAS technique in TBT has been analyzed among 10 Doctors

(iii)  The RAS improving techniques have been studied from the literature

Results

The above gap analysis clearly shows TBT is an effective proactive accident prevention tool but suggestions have been given by the HSE experts to improve further. Doctors suggested TBT alone can not be considered for RAS along with that stress management technique to be implemented.

Discussion

A detailed discussion has been conducted among HSE professionals and they gave various reasons behind the failure of TBT. When discussing the possibility of considering TBT as RAS technique few of the Doctors denied that and they said TBT can bring the RAS effect may be Safety aspect but on health aspect.

Conclusion

Based on my over all analysis, I strongly believe by implementing RAS techniques in TBT the existing gaps can be rectified and the effectiveness can be improved
O-300 A QUALITATIVE ANALYSIS OF THE CONTRIBUTION AND POTENTIAL OF UNIVERSITY OCCUPATIONAL MEDICINE DEPARTMENTS TO SUSTAINABLE WORK THROUGH PANDEMIC RESPONSE AND PREPAREDNESS
Authors: Rind Esther , Wagner Anke , Preiser Christine , Angerer Peter , Seidler Andreas , Rieger Monika A
Published: July 2024

Introduction

It has been a challenge for university medicine in Germany to provide rapid and evidence-based knowledge for the management of the COVID-19 pandemic. University occupational medicine departments (OMDs) have a responsibility to contribute to the development of sustainable working environments, including measures for pandemic response and preparedness. This study aims to (1) summarize the spectrum of pandemic-related activities of the 30 OMDs in Germany and (2) derive their potential for the promotion of sustainable work through pandemic management.

Methods

Between May and August 2023, we conducted 13 interviews with 14 experts from 12 OMDs who were primarily responsible for pandemic management within and outside their institutions. Data analysis follows a rapid thematic approach. Ethical approval was granted in March 2023.

Results

Depending on financial, human, technological and organisational resources, university OMDs provided a range of pandemic-related occupational safety and health (OSH) services for institutions and companies, research, teaching, professional training and networking activities. We identified political, organizational and interpersonal barriers and facilitators that influence the implementation of OSH competence in the development of an adaptable and sustainable concept for pandemic management.

Discussion

Close access to other clinical disciplines and participatory applied research with the world of work is an as yet underrepresented potential for university OMDs to contribute to an evidence-based transdisciplinary approach to promoting sustainable work through pandemic response and preparedness.

Conclusion

The visibility and recognition of existing and new OSH services has increased during the pandemic and should be more firmly established to strengthen sustainable work environments, especially in challenging circumstances.

“This publication was partially funded by the German Federal Ministry of Education and Research (BMBF) Network of University Medicine 2.0: “NUM 2.0”, Grant No. 01KX2121, Project: Preparedness and Pandemic Response in Germany (work package 9).”
P-453 ASSESSING GAS EMISSIONS FROM FAECAL SLUDGE FUEL BRIQUETTES; GOOD PRACTICES FOR TACKLING OCCUPATIONAL SAFETY AND HEALTH CONCERNS IN TANZANIA
Authors: Puig Marina Rovira , Mbonaga Silaji Salim , Seco Júlia , Chacha Nyangi
Published: July 2024

Introduction

Fecal sludge recovery through production of carbonized briquettes is reported to be a cost-effective approach to minimize gasses exposure in households and hospitality industry in Tanzania. This study assesses the emissions released from fecal sludge bio-briquette combustion for enhancing resource recovery and addressing public health and environmental risks associated with mismanagement of fecal sludge in Dar es Salaam.

Methods

Five different binders were studied for briquette production: wastepaper and banana and cassava peels (cooked and uncooked) blended at varied ratios with fecal sludge (25%, 50% and 75%). CO emissions were measured using a COSMOS XA-4000 portable gas analyser while PM2.5 and PM10 were measured with a PCE-PCO particulate analyser.

Results

CO emissions from briquettes decreased with increasing binder, and briquettes with 75% waste paper showed the lowest CO concentration (105 ppm). Non-cooked banana peel-bound briquettes had the highest CO concentration. Briquettes with 25% wastepaper, cooked cassava peels, and cooked banana peels as binders had lower PM2.5 concentrations. For briquettes with 25% binders, all samples, except for uncooked cassava peels, meet the recommended value for PM10 concentration (60-90 μg/m3).

Discussion

The results reveal that briquettes combined with waste paper, cooked cassava peels, and cooked banana peels at a 25% ratio have lower concentrations of PM2.5 while uncooked banana and cassava peels result in higher PM2.5 levels.

Conclusions

To successfully minimize the concentration of harmful gasses on briquettes production and usage, good practices in the selection of binder need to be enhanced and reinforced.
O-301 TOWARDS A TAILORED METHODOLOGICAL PROPOSAL FOR ASSESSING AND MANAGING THE PSYCHOSOCIAL RISKS OF REMOTE WORK
Authors: Tecco Cristina Di , Ronchetti Matteo , Ghelli Monica , Russo Simone , Marzocchi Ivan , Olivo Ilaria , Fusco Luigi , Persechino Benedetta
Published: July 2024

Introduction

The COVID-19 pandemic has led to an increase in remote work, which may have both benefits and challenges. Identifying the emerging psychosocial risks associated with remote work is essential to develop and provide organizations with appropriate and up-to-date assessment and management tools for improving working conditions.

Methods

We involved a large organization (>60,000 workers) which undertook the INAIL’s methodology for the assessment and management of work-related stress risk. Two assessment phases were conducted: 1) preliminary, aimed to collect objective data through a structured Checklist, 2) and in-depth, designed to investigate a range of traditional and emerging psychosocial risks (e.g., isolation, technology intrusion) through a self-report questionnaire. Data on burnout, work engagement and job satisfaction were also collected.

Results

The psychometric properties of the customized tools, especially the new dimensions designed to pinpoint specific risks associated with remote work, are presented. Findings show good quality of the new measures and interesting relationships between the new and standard measures included in the risk assessment. Moreover, the emerging psychosocial risks have effects on well-being above and beyond traditional risk factors. A novel scoring system was developed that incorporates the tailored aspects to adjust the overall risk level typically derived from the standard methodology.

Discussion

This study provides valuable insights into the psychosocial risks associated with remote work. These insights can be used by organizations to develop and implement effective strategies for mitigating psychosocial risks and improving employee well-being.

Conclusions

As output of this study a full tailored methodological proposal will be offered to organizations using remote work.
O-310 THE FUTURE OF POLICY MAKING ON WORK-RELATED PSYCHOSOCIAL RISKS IN EUROPE
Authors: Leka Stavroula , Jain Aditya
Published: July 2024

Background

Exposure to work-related psychosocial risks (PSR) can result in various negative outcomes for individual workers and organizations. Legislation and other policy approaches regarding these risks vary across the countries leaving workers unequally protected. This presentation will present findings from a European project aiming at reviewing the current state of the art in this area and provide recommendations for the future.

Methods

A stakeholder survey and focus groups were conducted, including government representatives, employer associations, trade unions and experts.

Results

One of the main achievements in terms of legislation is the implementation of specific legislation in several countries in Europe, but focus in many has tended to be on bullying/mobbing, harassment and violence. While there have been improvements in the assessment of psychosocial risk in organisations, there remain significant gaps in how these risks are managed/mitigated with the focus still being on the individual rather than on prevention. Gaps in enforcement also remain a challenge. There are now examples of both soft and hard law approaches which have worked in different ways with some countries have more experience in a combination of these than others (e.g., Belgium, Denmark). Both approaches are necessary but even in countries where soft law approaches have been tried out for a long time (e.g., UK) it is obvious that unless there is legislation there is little (preventive) action. On the basis of these findings, specific recommendations will be provided in this area.

Conclusions

It is hoped that the outcomes of this study will progress the current state-of-the-art on work-related PSR and promote better-informed and evidence-based policy and practice.