bluuebunny/crossref_metadata_2025 huggingface dataset:
SS60-05 RISK OF BURNOUT AMONG HEALTHCARE PROFESSIONALS IN NEPAL
Authors: Joshi Sunil Kumar , Shrestha Marina Vaidya , Manandhar Naresh
Published: July 2024

Introduction

The heightened risk of burnout within healthcare professionals is poised to significantly impact both their personal lives and the quality of patient care. This study aims to evaluate the extent of burnout experienced by healthcare workers during the COVID-19 pandemic.

Materials and Methods

This cross-sectional study involved healthcare professionals from various institutions and was conducted between November 2020 and March 2021. A convenient sampling method was utilized, and an online questionnaire (on demography and professional quality of life scale, PROQOL) was designed using Google Forms.

Results

Among healthcare professionals, the overall burnout scores varied, ranging from low, moderate to high. Specifically, doctors (89%) and nurses (92.2%) reported moderate levels of burnout. A negative correlation emerged between burnout and compassion satisfaction (r = - 0.207: p<0.003). The leading contributors to burnout were perceived as time pressure (22.2%), administrative duties (20.1%), and interactions with patients' relatives (13.5%). Strategies identified to mitigate burnout included family support (29.1%), friendship circles (21.2%), and engagement in personal interests / hobbies (15.4%).

Conclusions

Healthcare professionals in Nepal experience a moderate degree of burnout. Key sources contributing to this burnout encompass time constraints, administrative responsibilities, and managing interactions with patients' relatives. Strategies to mitigate this risk of burnout in healthcare professionals includes family support, friendship circles and engagement in personal interests / hobbies.
SS61 SCREENING AND SURVEILLANCE FOR WORK-RELATED ASTHMA (WRA)
Authors: Jeebhay Mohamed , Suojalehto Hille
Published: July 2024

Work-related exposures contribute up to one third of adult asthma. There is a need for a valid and reliable work-related asthma (WRA) questionnaire and algorithm for medical surveillance of diverse high-risk working populations in primary care settings globally.

This session will present the findings of studies in Norway and Tanzania, on approaches used to characterise WRA phenotypes and disease burden. It will then report on the findings and recommendations of the taskforce established by the European Academy of Allergy and Clinical Immunology (EAACI) on ‘Work-related asthma questionnaires and algorithms for screening and surveillance (WAQASS)’ so as to popularise the instrument developed.

The learning outcomes of this session will therefore be to: (i) deepen the understanding of the state of knowledge on surveillance approaches for WRA, (ii) share insights into the role of various investigations in the surveillance for WRA, (iii) work towards harmonized tools for surveillance of WRA, (iv) broaden and strengthen the international collaborative network for surveillance of WRA, with particular focus on developing countries, and (v) identify new challenges in order to formulate future research directions.
SS62-02 REFLECTIONS ON THE USE OF EXOSKELETONS IN THE HEALTHCARE SECTOR
Authors: López Gustavo Rosal
Published: July 2024

For a few years now, the concept of Human 2.O has been very present in industry. Among the lines of work of Human 2.0, perhaps the best known is that of supporting the capabilities that humans have. Thus, we can talk about increasing human cognitive capabilities (example - augmented reality) and also physical capabilities (example -exoskeletons). And this last case is the one that we are going to evaluate in this study.

The exoskeleton market was valued at USD 354.22 million in 2021, and it is expected to reach USD 1620.04 million in 2027, registering a CAGR of 12.5% during the forecast period (2022-2027). The development and production of exoskeletons requires the collaboration of experts from different fields, including engineers, medical professionals and designers. It is a task undertaken by specialized companies that focus on developing advanced exoskeletons that meet the needs of users. And finally, with all this analysis we have to think about the future of exoskeletons in the healthcare sector. Are they really going to satisfy the current needs of workers in the sector? Can their costs be assumed by health organizations? What will happen to the possible rejection of their use by patients? This and other questions must be answered in a very short period of time.
SS63 HOW TO TRANSLATE INTO PRACTICE THE NEW KNOWLEDGE IN THE FIELD OF OCCUPATIONAL HEALTH AND SAFETY (OHS): A EUROPEAN EXAMPLE
Authors: Gobba Fabriziomaria
Published: July 2024

The scenario of the occupational risks is evolving faster and faster. A fundamental aspect for an effective and ethical occupational health and safety (OHS) practice is a timely translation of the new results of research to OHS medical practice, and a promotion of new and updated initiatives and legislation in this field.

Accordingly, the dissemination of the advancements of new occupational health and safety research into curricula of medical schools, the promotion of updated and harmonized standard of practice of occupational medicine specialists, and the transposition of new knowledge in the field of OHS into new initiatives and legislations are all fundamental steps for an enhanced occupational health practice.

In this Special Session we present the example of the Occupational Medicine Section of the European Union of Medical Specialties (UEMS) as a model of translation applied in Europe.
SS63-03 THE ACTIVITIES OF THE SECTION OF OCCUPATIONAL MEDICINE OF THE EUROPEAN UNION OF MEDICAL SPECIALISTS FOR DOCTORS’ HEALTH PROTECTION: THE EXAMPLE OF THE INITIATIVE RELATED TO THE EUROPEAN WORKING TIME DIRECTIVE
Authors: Škerjanc Alenka
Published: July 2024

Introduction

The European Working Time Directive (EWTD) requires a maximum of 48 working hours / week. The increasing demands for physicians has provoked, since 2011, a debate on the possible exclusion of the application of doctors from this Directive. The Union of European Medical Specialists asked the Occupational Medicine Section for a position statement on EWTD and possible adverse health consequences on physicians.

Materials and Methods

A systematic review, using PubMed and EMBASE, was conducted to understand whether a working week of more than 48 hours would be possibly associated with adverse health outcomes in doctors. Physicians of any specialty, working in any possible setting were considered. Out of 3016 citations obtained, 110 full papers were assessed for eligibility: after quality assessment, 11 studies from Europe, North America and Japan were included.

Results

The results showed an association between long working hours and increased risk of needle-stick injuries and of road accidents. Some evidence, even if of low quality, was also observed for associations with mood disorders and general health. No studies on other health outcomes were identified.

Conclusions

The results show no evidence justifying a working week longer than 48 hours in physicians, so any exclusion of the application of EWTD for physicians has no scientific basis. Furthermore, even if it is not possible to set a safe number of weekly working hours for doctors’ health, it is fundamental that policy makers take into consideration safety and health issues when making decisions on possible exceptions for the application of EWTD for doctors.
SS65 SDG 8 DECENT WORK: HEALTHY WORKPLACES FOR VULNERABLE WORKERS
Authors: Seneviratne Mahinda
Published: July 2024

The estimated 1.5 billion vulnerable workers globally pose a significant challenge to OH professionals in all countries to provide healthy workplaces for all. In this Special Session, the strong links between UN’s Sustainable Development Goal (SDG) 8 Decent Work and the social determinants of health such as unemployment and job insecurity will be examined. This session will be a participative workshop to explore how the key concepts of ‘core values at work’ can be applied towards healthy workplaces for the vulnerable global workforce engaged in SMEs and in various informal sectors. The three presentations will provide a concise concept of ‘core values’ 1, an overview of vulnerable workers and the social determinants of their health and outline the foundations of SDG 8 Decent Work. The workshop is intended to deliver at least three practical actions that can be taken by participants beyond ICOH2024, back to their countries, organisations, workplaces and communities towards achieving healthy workplaces in SMEs and informal sectors.
SS66-04 CARBON NANOTUBULES: POTENTIAL NANO-TOXICOLOGICAL RISKS IN WORKERS' HEALTH
Authors: Aldaz Santiago , Taboadela Claudio
Published: July 2024

Introduction

Nanotechnology is a branch of technology which is based on the manipulation of matter on an almost atomic scale (1 to 100 nanometers). Workers' exposure to nanoparticles can cause negative effects on their health. Nanoparticles have been used since time immemorial to the present day in various areas and were first characterized in 1985 by Harold Kroto et al with the discovery of C60 molecules. Nowadays, carbon nanotubules are among the most studied and used nanoelements, which can be classified based on their composition and multiple physicochemical properties.

Materials and Methods

The systematic review was carried out through the analysis of the latest papers and international guides on nanotechnology. Pubmed and Scopus databases were used to identify studies leading with exposure to carbon nanotubules. References were searched using combinations of keywords based on the following structure: ‘exposure’ & ‘carbon nanotubule’ & ‘workers’ & ‘occupational health’.

Results

Many experimental studies in animals denote acute and chronic toxicological effects and suggest potential oncogenic and teratogenic effects after nanotubule exposure. The incidence and prevalence of similar effects have not been demonstrated in humans until now.

Conclusions

Carbon nanotubules represent the advent of novel elements that open doors to a promising future in industry. However, it is important to continue studying and researching the toxicology and potential negative effects of carbon nanotubules on human health as well as the establishment of international policies and regulations in order to protect exposed workers.
SS67-04 COPING WITH CLIMATE CHANGE AND THE AGRICULTURAL WORKERS' LIFE ADJUSTMENT
Authors: Denny Hanifa M , Tembalang Sudarto S H
Published: July 2024

Introduction

Climate change exerts unprecedented pressures on agricultural practices. This study cantered on the coping mechanisms that vegetable and flower farmers adopt in the face of climate-induced challenges, particularly extreme heat and temperature fluctuations.

Materials and Methods

This research employs a multifaceted approach to address these challenges. A comprehensive risk assessment was conducted, mapping agricultural workers' potential hazards and vulnerabilities. Subsequently, an in-depth exploration of the problems led to the development of tailored interventions. A dedicated educational initiative was implemented to enhance the farmers' awareness of dehydration risks and promote proper hydration practices.

Results

The adverse extreme heat condition had compelled farmers to adjust their work schedules, emphasizing early morning and late afternoon shifts to mitigate heat-related risks. However, limited awareness regarding dehydration and inadequate rehydration practices posed significant threats to their health. This project involved the establishment of an occupational health post (OHP) within the agricultural community. Recognizing the collective effort required, community health canters collaborated to fortify the OHP. This collaborative approach bolstered its resources and strengthens the broader framework of occupational health and safety promotion.

Conclusions

By amalgamating risk assessment, education, and community collaboration, this study extends beyond mere adaptation to climate change. It addresses the holistic well-being of agricultural workers, ensuring their adjustments to changing conditions are informed, health-conscious, and sustainable. Insights from this research serve for safeguarding the health of agricultural workers.
SS68-02 FRENCH RECOMMENDATIONS ON MEDICAL FOLLOW-UP OF HYPERBARIC WORKERS AND FITNESS FOR WORK
Authors: Loddé Brice , Dewitte J D
Published: July 2024

In France, as in many other countries, the monitoring of hyperbaric workers is regulated. By hyperbaric workers we mean many people involved in occupational activities including underwater activities or activities leading to exposure to hyperbaric gas constraints in their working environment such as scuba divers, carrying out construction, repair or building supervision work, aquarium officers, workers on the technical side of facilities, veterinarians and caretakers, scientists carrying out fauna or flora surveys, geological or oceanographic researchers, coast guards, fishermen on one side and tunnel constructors or hyperbaric chamber care workers on another side.

Hyperbaric exposure leads to a risk of a multiple possibilities of accidents or diseases such as decompression sickness (DCS), barotraumatic otitis, and dysbaric osteonecrosis. The likelihood of these accidents or diseases depends on multiple factors, external as well as individual. For this reason, many countries raised the importance of a medical follow-up for these hyperbaric workers.

In France, the text regulating the monitoring of hyperbaric workers was adopted in 1991 and repealed in 2011. Since 2016, the learned societies of occupational medicine, hyperbaric medicine and maritime medicine have issued follow-up recommendations for these particular workers, including medical follow-up and para-clinical examinations to be adapted according to the worker health status and type of exposure. Here we propose to resume the methodology and some conclusions of these recommendations.
SS70-03 FOCUS ON WORKERS’ EXPOSURE TO RADIATION IN EUROPE
Authors: Schneider Elke , Cavet Marine , Vilahur Nadia , Irastorza Xabier
Published: July 2024

Introduction

The European Agency for Safety and Health at Work (EU-OSHA) has coordinated a large survey – the Workers’ Exposure Survey on cancer risk factors in Europe (WES).

Materials and Methods

WES provides exposure assessment to a selection of 24 cancer risk factors, including ionising radiation and ultraviolet (UV) radiation, both solar and artificial. Detailed information on the probability and level of exposure, co-exposures, specific circumstances of exposure to radiation and prevention measures at work was collected in six countries, alongside relevant demographic data.

Results

One out of five workers is probably exposed to solar UV radiation (including ocular exposure), which is the most common exposure among the respondents of the survey. It is spread in all jobs, in particular among construction trades, farm workers, drivers and protective service workers. Almost 3% of workers are probably exposed to artificial UV radiation, mostly when doing welding tasks, and to a lesser extent when using UV light (for example in hair and beauty salons), or when applying some types of metal coating (such as metal thermal spraying). About 2.5% of workers are probably exposed to ionising radiation, mostly in the medical environment, in manufacturing activities (using X-rays or gammagraphy equipment) and in air transport.

Conclusions

Results of the WES will contribute to raising awareness on exposure to ionising and UV radiation and contribute to better prevention.
SS71-03 MENTAL HEALTH MANAGEMENT IN COMPANIES: THE IMPORTANCE AND IMPACT OF HEALTH PROMOTION STRATEGIES
Authors: Rincón-Sarmiento Juan Ignacio , Caraballo-Arias Yohama , Marquez-Medina Luis Guillermo , Cuervo Diana Elizabeth
Published: July 2024

Introduction

Globally, mental health has been a concern in the world of work for several decades. Colombia has regulations for prevention in public and private enterprises with the aim to improve prevention strategies and strengthening health promotion as a valid strategy to improve the integral quality of life.

Materials and Methods

Colombia is a reference in the region in occupational risk legislation. In the last decades, several regulations have been issued to strengthen plans to prevent the effects of exposure to occupational hazards, including psychosocial risks. There are several economic sectors of interest for representing an increased psychosocial risk; one of these is the education sector. In this sense, we present the experience of the National University of Colombia, Bogotá, with an innovative model of prevention of occupational risks that integrates the academy.

Results

Recent experience shows the need to continue working to improve prevention and health promotion strategies in companies. It also makes clear the need to innovate in the way of approaching workers, who often belong to different generations within the same company.

Conclusions

The management of occupational risks must be strengthened by placing the worker and his reality at the centre, valuing him as a human being in his diverse contexts. The active participation of workers is essential when building prevention and health promotion plans. This can be an appropriate way to influence the mental health aspects that so much affect our contemporary society.
SS71-04 IMPACT AND ASSESSMENT OF MENTAL HEALTH ISSUES / CONSEQUENCES AS OCCUPATIONAL DISEASES
Authors: Cuervo Diana Elizabeth , Caraballo-Arias Yohama , Marquez-Medina Luis Guillermo , Rincón-Sarmiento Juan Ignacio
Published: July 2024

Introduction

Colombia has a social security system in which healthcare is divided based on the health condition’s origin; this is how workers' risk insurance companies cover work-related accidents and occupational diseases. Therefore, determining the origin of these conditions becomes more relevant for prevention, care, and access to compensation. Colombia has adopted a mixed system for assessing occupational diseases. To diagnose stress-related diseases, risk factors are evaluated following a protocol. This takes into account both work and non-work-related factors that scientific evidence has linked to the disease.

Materials and Methods

Statistics of cases classified by the Colombian National Board of Disability Assessment, an entity affiliated with the Ministry of Labor (period 2016-2022), were reviewed and compared with expert panels to analyze the challenges in assessing diagnoses of mental illnesses, which are more prevalent in the determination of origin processes.

Results

Out of the total number of cases with claims for psychosocial risk and mental illness, 65% were classified as non-work related, while 35% were classified as occupational diseases. Mixed anxiety and depression disorder represented 59.20%, adjustment disorder 16.70%, post-traumatic stress disorder 8%, generalized anxiety disorder 5.9%, and acute stress reaction 2.1%.

Conclusions

Although the protocol is a useful tool, it needs to be updated, and healthcare professionals need to be trained to achieve a more efficient process that guarantees rights.
P-004 AN INVESTIGATION INTO THE RELATIONSHIP BETWEEN OCCUPATION AND QUALITY OF LIFE AMONG THE ELDERLY POPULATION IN A JHARKHAND STATE OF INDIA: A CROSS-SECTIONAL STUDY
Authors: Ahmad Absar , Sahoo 1 Nikhlesh , Juneja Khushboo
Published: July 2024

Introduction

Improving the well-being of the elderly community and promoting their health and social engagement pose significant challenges in public health during the twenty-first century.

Methods

The research was conducted with 303 elderly individuals who met specific eligibility criteria. Ethical approval was obtained for a community-based cross-sectional study among people aged 60 years and above, living within a 3 km radius of Manipal TATA Medical University in Jamshedpur, Jharkhand. The study employed the snowball technique and took place in November and December 2022, with joggers participating in the data collection process by visiting parks in the morning and evening. To assess the quality of life, the study utilized the Stark questionnaire, which incorporates imagery and measures both the mental and physical health components of health-related quality of life (QoL). Occupations were categorized according to the International Classification of Occupations, which divides jobs into 10 major groups.

Results

During the study, 303 elderly individuals who met the study criteria participated. The largest age group among them was between 66 and 75 years old (43.2%). The majority of the participants were male (82.5%), and 52.5% of them had completed their graduate education. Additionally, around 81% of the participants were currently married. Regarding occupation, approximately 29% of the respondents were classified as Plant and machine operators and assemblers, followed by Service and sales workers (25%).

Discussion and conclusion

Initial analysis indicates a relationship between occupation and quality of life(p=0.00). We concluded that QOL is affected by many different factors.
P-007 ALLERGIC CONTACT DERMATITIS TO RUBBER ADDITIVES
Authors: Belkahla Amira , Hsinet Jihen , Baraketi Emna , Ismail Saloua , Bechrifa Emna , Fatma Naourez Ben , Khouja Nihel , Benzarti Aida
Published: July 2024

Introduction

Rubber additives are among the allergens most frequently involved in occupational allergic contact dermatitis (ACD).

Objective

To study the sociodemographic, clinical, and allergological characteristics of ACD to rubber additives and to assess their impact on fitness for work.

Methods

Retrospective descriptive study of cases of ACD to rubber additives confirmed by patch-tests of the Standard European Battery,performed in the Occupational Medicine Department of La Rabta Hospital, Tunis during the period from June 1st 2023 to June 30 2023.

Results

Our study included 52 patients with a mean age of 40.8 years,predominantly female (63.5%).Most of them were healthcare workers (60%) mainly nurses (25%). The average professional seniority was 11.71±9.71years.Personal atopy was noted in 28.8% of cases.The initial dermatological manifestations were erythematous (96.2%) located on hands (88.5%),with dorsal lesions in 72.3% of cases. The lesions occurred distantly in 57.7% of cases,specially in forearms and face(30% each).The rhythmicity of these lesions with work activity was reported by 92.3% of patients. The most frequently identified allergen by patch tests was thiuram-mix (88.5%),followed by mercaptobenzothiazole (15.4%),mercapto-mix(13.5%) and isopropyl-N-phenyl-4-phenylenediamine (IPPD) (7.7%).In terms of fitness for work,the majority of patients benefited from adjustements for work (84.6%), in particular the avoidance of rubber gloves and the wearing of double-layered cotton gloves (43.2%).Medical redeployment was indicated in 11.8% of patients.

Discussion

Thiuram-mix is the allergen the most frequently involved in rubber additives ACD. Gloves are its main cause.

Conclusions

Eczema caused by rubber additives is common in the workplace. Prevention relies essentially on the use of substitutes for the most allergenic additives.
P-011 IMMUNOME AND OCCUPATIONAL EXPOSOME: AN INTEGRATED VIEW TO IMPROVE OCCUPATIONAL HEALTH IN WORKPLACES INCREASINGLY IMPACTED BY CLIMATE CHANGE
Authors: Grandi Carlo , Lancia Andrea , D’Ovidio Maria Concetta
Published: July 2024

Introduction

The immunome is the repertoire of antibodies, T-cell receptors and immune-associated proteins of an individual and its importance is increasingly recognized. The exposome is the combination of all exposures experienced during life by an individual, a subset of which is the occupational exposome. The immune system plays a crucial role in infectious diseases, allergies, autoimmune diseases and cancer development. A wide range of physical, chemical and biological agents may alter the immune response and Climate Change (CC) has an increasingly recognized impact on a number of occupational exposures.

Methods

Analyzing the existing literature on immunome, occupational exposome, CC and occupational health.

Results

An increasing complexity arises with regard to the interplay between immune related diseases, CC itself and immune-mediated responses to occupational risk factors whose exposure may increase because of CC (e.g. solar radiation, volatile organic compounds, allergens etc.).

Discussion

The framework depicted above requires the development and the integration of emerging tools (omics, system biology, big data processing) to be properly analyzed and interpreted in view of implementing preventive and protective measures of workers with multiple and variable exposures in a changing climate.

Conclusion

Immunome profiling may exert a central role in linking the occupational exposure to workers’ health in a changing climate. The immune response as a whole is involved in a wide range of disease conditions and may provide a reliable, broad and flexible set of biomarkers useful in health surveillance of the exposed workers as well as in contributing to implement the adaptation to CC.
O-016 PREVALENCE AND RISK FACTORS OF LONG-COVID-19 SYNDROME IN HEALTH CARE WORKERS: A MULTI-CENTRE STUDY FROM NORTH-EASTERN ITALY, ORCHESTRA PROJECT WORKING GROUP
Authors: Cegolon Luca , Sansone Donatella , Tassinari Alice , Murgia Nicola , Monaco Maria Grazia Lourdes , Spiteri Gianluca , Modenese Alberto , Gobba Fabrizio Maria , Pavanello Sofia , Liviero Filippo , Scapellato Maria Luisa , Porru Stefano , Filon Francesca Larese
Published: July 2024

Introduction

The impact of long-COVID-19 syndrome is still debated, being potentially influenced by residual confounders. This study investigated prevalence of long-COVID-19 symptoms among health care workers (HCWS) of four university hospitals from North-Eastern Italy: Trieste, Padua, Verona and Modena-Reggio Emilia.

Methods

During June 2022- August 2022, HCWs were surveyed on past COVID-19 infections, medical history and any persisting symptoms. Presence of any post-covid-19 symptoms at 30-60 days or 60+ days since recovery from acute COVID-19 was investigated by multivariable logistic regression. Results were expressed as adjusted odds ratio (aOR) with 95% confidence interval (95%CI).

Results

5,432 HCWs returned the questionnaire; 2,387 were SARS-CoV-2 infected at least once, 230 two and 8 three times. Prevalence of long-COVID-19 after the first COVID-19 infection was 24.0% at 30-60 days versus 16.3% at 60+ days, and 10.5% against 5.5% after the second SARS-CoV-2 event, respectively. The most frequent post-COVID-19 symptoms were general (35.1%), ENT (21.8%) or pulmonary (21.0%), whereas symptoms persisting after recovery from acute disease were predominantly neurological (50.3%), general (40.9%) and psychological (40.9%). The main determinants of long-COVID-19 syndrome at 30-60 days were Alpha predominant transmission period (aOR=4.34; 3.25-5.79)), COVID-19 associated hospitalization (aOR= 3.14; 2.17-4.54)) or female sex (aOR=1.88; 1.18-2.98), followed by age>40, non-Caucasian race or BMI>25 or <18.

Discussion

Prevalence of long-COVID-19 was higher during the initial stages of the pandemic, when more virulent viral strains were circulating and vaccination were not available.

Conclusions

The risk of long-COVID-19 likely decreased inversely with herd immunity level. The high prevalence of persisting psychological/neurological symptoms questions possible predisposing factors to Long-COVID-19.
P-015 RESPIRATORY FITS TEST PANEL REPRESENTING POPULATION OF MALAYSIA
Authors: Cheng Lim Yin
Published: July 2024

Introduction

The existing respiratory fits test panels (RFTPs) are based on Bivariate and Principal Component Analysis (PCA) which utilize American and Chinese head and facial dimensions. As RFTPs based on local facial anthropometric data for Malaysia are not available, this study was conducted with the aim to develop new RFTPs using Malaysian data.

Methodology

A cross-sectional study was conducted across Malaysia among 3,324 participants of the study of National Health and Morbidity Survey 2020 aged 18 and above. Ten head and facial dimensions were measured. Face length and face width were used to construct a bivariate facial panel, whereas the scores from the first two PCA were used to develop the PCA panel.

Results

This study showed that Malaysians have the widest upper limit for facial width. It also found that two factors could be reduced from the PCA analysis, with PCA 1 representing head and facial size and PCA 2 representing facial shape. Our bivariate panel could accommodate 94.1% of the population, while our PCA panel accommodated 95.5%.

Discussion and conclusion

This was the first study to use Malaysian head and facial anthropometry data to create bivariate and PCA panels. Respirators constructed using these panels are likely to fit >94% of Malaysia’s population.
P-018 BARRIERS AND FACILITATORS OF EMPLOYMENT FOR WORKERS SUFFERING FROM LONG COVID: A MIXED METHODS STUDY
Authors: Yu Igarashi
Published: July 2024

Introduction

Around the world, many workers are suffering from persistent symptoms after COVID-19, so-called Long COVID, which can have a significant impact on their work. This study aimed to explore barriers and facilitators of employment for workers suffering from Long-COVID.

Methods

Utilizing a mixed-method approach, the study began with online interviews with occupational physicians (OPs) experienced in supporting workers with Long-COVID, followed by a questionnaire distributed to 690 certified OPs from the Japan Society for Occupational Health. The interview survey ran from October to December 2022, and the questionnaire survey from March to May 2023. The study was ethically approved by the Ethics Committee of the UOEH.

Results

The interview survey was conducted on 20 OPs (30 cases). The questionnaire survey collected 182 responses (26.4% response rate) and 137 open-ended comments. Eighteen barriers and facilitators were obtained from the interviews, and 10 were added by the questionnaire survey and categorized into 6 themes (company characteristics, workplace acceptance, work description, medical care, personal factors, and persistent symptoms).

Discussion

In this study, barriers and facilitators of employment for workers suffering from Long-COVID were identified through interviews and a questionnaire survey with OPs in Japan. We found the importance of establishing an occupational health service system from ordinary times, developing company and workplace acceptance, and collaborating with medical care in order for Long COVID-affected workers to work. These findings may contribute significantly to the activities of OPs in current and future pandemics.

Conclusions

This study identified barriers and facilitators of employment for workers affected by Long COVID.
P-019 ANTIMICROBIAL EFFECTS OF AUTOMOBILE SCREEN WASHES AGAINST LEGIONELLA PNEUMOPHILA
Authors: Chang Ching-Wen , Hsiao Yun-Chung , Hung Yu-Hsin , Horng Yu-Ju
Published: July 2024

Introduction

Legionella pneumophila (Lp), a human pathogen, has been detected in windscreen wiper fluid reservoirs (WWFRs) of automobiles where commercial screen washes (CSWs) are commonly added. When spraying Lp-contaminated windscreen wiper fluid (WWF) from WWFRs for windscreen cleaning, Lp bioaerosols may be generated and subsequently enter the interior space of automobiles, leading to Lp exposure and even legionellosis in drivers. Indeed, epidemiological studies reveal an increased risk of legionellosis in professional drivers. While limited information shows CSWs against planktonic Lp, responses of sessile Lp and planktonic Lp pre-acclimated in nutrient-limited water to CSWs remain unknown.

Methods

To investigate the antibacterial effects of CSWs on sessile and starved planktonic Lp, Lp biofilms were produced on glass and WWFR materials of high-density polyethylene (HDPE) and polypropylene (PP). Planktonic Lp with and without acclimation in tap water were also prepared. Sessile and planktonic Lp was then treated with various brands of CSWs, followed by culture assays on BCYE agars.

Results

Log reductions in cell counts averaged 0.4–5.0 for 10 brands of CSWs against sessile Lp and 1.0–3.9 and 0.9–4.9, respectively, against starved and unstarved planktonic Lp for five CSWs. Both biofilm formation and acclimation in tap water enhanced Lp resistance to CSWs. Significantly different log-reduction values among CSW brands were observed for sessile Lp on HDPE and planktonic Lp regardless of acclimation (p < 0.05).

Discussions and conclusion

Biofilm formation, starvation acclimation and CSW brand are crucial factors influencing Lp response to CSWs. This study advances the knowledge of Lp reaction in anthropogenic water systems with CSWs.
P-027 ESSENTIAL WORKERS IN LARGE-SCALE WATER POLLUTION DISASTERS: A FACT-FINDING STUDY IN KOREA
Authors: Park Gwisang , Jung Saemi
Published: July 2024

Introduction

With the outbreak of the covid-19 pandemic, Korea also defined essential workers who perform work directly related to the protection of people’s lives, and the need for selection and protection of essential workers in various disaster situations has emerged. This study aimed to investigate essential workers in large-scale water pollution disaster in Korea.

Methods

The types of large-scale water pollution were subdivided, and essential work for each category were identified to select essential workers. Essential workers were subjected to have Focus Group Interview and surveys were conducted on their working environment, labor intensity, risk level, and support.

Results

As a result of the analysis, respiratory exposure and dermal exposure of hazardous substances were common risk factors, and irregular waiting time was a psychological stress factor. Additionally, it highlighted the lack of proper rest time, absence of risk allowance, and needs of systematic distribution of work manuals and safety and health information for essential workers.

Discussion

Essential workers in large-scale water pollution should be included when 1) the intensity of labor and working time are significantly increased compared to conventional work, 2) the risk of health damage is increased as contact with pollutants, and 3) the legal basis for providing labor is low, that protection support may be required with a high priority.

Conclusion

This study contributes to establishing the need for protective measures and support systems to safeguard essential workers in large-scale water pollution disasters. Further in-depth research is warranted to formulate comprehensive strategies to enhance the well-being of essential workers in other disasters
O-019 INTEGRATED WORK-FOCUSED HEALTHCARE IN CARDIOVASCULAR DISEASE – DEVELOPMENT OF A DIGITAL PLATFORM TO ENHANCE INFORMATION EXCHANGE AND COMMUNICATION
Authors: Zipfel Nina , Delft Marijke Melles , Colkesen Ersen , Van der Burg-Vermeulen Sylvia
Published: July 2024

Introduction

Insufficient collaboration between work-focused and curative care sectors in the Netherlands poses challenges for addressing the aging workforce and increasing chronic diseases like cardiovascular disease (CVD). While regional networked care supported by digital platform solutions has been endorsed by governmental authorities under the recent Dutch integral healthcare agreement, there is still a lack of insight regarding design and implementation of such a platform across healthcare sectors. This study aims to develop a cross-sectoral digital platform that aligns with stakeholders’ requirements and creates an integrated care network for work-focused healthcare in CVD.

Methods

Employing a mixed-method approach, this study incorporates qualitative observations, semi-structured interviews, and questionnaires. It is conducted in three stages: 1) iterative development monitoring with stakeholders engaged in the integral work-focused care trajectory, collaborating on platform creation; 2) exploring design opportunities and limitations for future digital support systems in cross-sectoral network care initiatives; and 3) evaluating adoption and usability of the digital platform for an integrated work-focused care network for people with CVD.

Results

Currently, N=19 stakeholders are included in the co-creation process for the iterative development of the digital platform. The preliminary version of the platform allows for information requests, viewing involved stakeholders, and requesting multidisciplinary consultations. The platform is expected to be completed by the time of the conference and will undergo a pilot phase in late 2023.

Discussion

Co-creation shows promise in meeting stakeholders’ demands and ensuring sustainable implementation of work-focused healthcare solutions.

Conclusion

Regional work-focused care networks can enhance integrated work-focused healthcare, promoting sustainable employability and preventing long-term absenteeism.
P-028 A MINIMAL SET OF WORK-RELATED OUTCOME MEASURES MOST IMPORTANT FOR PEOPLE EXPERIENCING WORK PARTICIPATION PROBLEMS DUE TO CARDIOVASCULAR DISEASE
Authors: Hagendijk Marije , Zipfel Nina , Hoving Jan , Delft Marijke Melles , Van der Radboud Philip Wees , Van der Burg-Vermeulen Sylvia
Published: July 2024

Introduction

Value-based healthcare emphasizes the maximization of value for patients by improving healthcare outcomes that are most important to them in relation to costs. To monitor and improve value it is crucial to measure patient-centred outcomes. However, existing outcome sets lack the inclusion of work-related outcome measures. Therefore, the objective of this study was to identify a minimal set of work-related outcome measures for patients experiencing work participation problems due to cardiovascular diseases.

Methods

A 2-round modified Delphi process was employed, which included a combination of four meetings and surveys to facilitate debate and to achieve consensus on the outcome measures with an expert panel. The expert panel consisted out of 17 participants, including patient representatives (N=6) and a diverse group of professionals providing work-focused healthcare (N=11).

Results

A minimal work-related outcome set was defined, consisting of nine outcomes including (1)work participation, (2)suitable work, (3)physical work ability, (4)mental work ability, (5)communication with the patient, (6) person-centeredness, (7)support from the work environment, (8)flexibility in the work environment and (9)multidisciplinary communication. An outcome measure was selected for each of these outcomes.

Discussion/conclusion

This minimal set of outcome measures for patients experiencing work participation problems due to cardiovascular disease serves as a guideline for measuring work-related outcomes in a wide range of work-focused healthcare settings, enabling the monitoring of value and encouraging healthcare innovations. Using the set can gain insight into patients’ outcomes, assisting healthcare professionals to engaging in more effective conversations and shared decision-making with patients. Additionally, it can help patients develop a better understanding of their own work-focused healthcare process.
P-029 METABOLIC SYNDROME IN SEDENTARY EXECUTIVES IN A CORPORATE OFFICE IN INDIA
Authors: Mhalshekar Vishwaraj , Siddhivinayak Sweta Mhalshekar , Kunkolienkar Rudra
Published: July 2024

Introduction

Executives responsible for managing activities of an organization spend most of their time at their desk, thus leading a sedentary lifestyle. Metabolic syndrome (Syndrome X) raises the risk of cardiovascular disease and diabetes mellitus. Key features of metabolic syndrome include central obesity, high triglycerides, low HDL cholesterol, hyperglycemia, and hypertension. The study aims to determine metabolic syndrome prevalence among sedentary executives in a corporate office in India.

Methods

Three-month cross-sectional study was conducted on 120 sedentary executives aged 20-60 years, both females and males selected through simple random sampling. Data was analyzed using SPSS version 23, with Chi-square test. The National Cholesterol Education Program’s Adult Treatment Panel III for Metabolic Syndrome was applied. Tests conducted were FBSL, Triglycerides, HDL, Total Cholesterol, resting blood-pressure and abdominal circumference.

Results

The study indicates that 24% of sedentary executives meet the criteria for metabolic syndrome. It was observed that metabolic syndrome was present in 28% of males and 11% of females. Mean FBSL exhibited a significant upward trend with age, similarly there was a gradual increase in both mean systolic and diastolic blood-pressure levels with age.

Discussion

Implementing preventive measures and lifestyle interventions can play a crucial role in mitigating the risk of Metabolic Syndrome and improving overall health outcomes.

Conclusion

Metabolic syndrome increases with age due to a sedentary lifestyle, inactivity and improper diet. Lifestyle modifications such as exercise and increased physical activity, healthy diet should be inculcated in the executives. Regular health screenings should be undertaken for determining the trend analysis and prevention of Metabolic Syndrome.
P-031 THE CORRELATION OF BLOOD LEAD LEVELS AND NT-PROBNP LEVELS IN INDONESIAN LEAD-EXPOSED WORKERS
Authors: Aini Rifka , Ilyas Muhammad , Fuk Liem Jen , Mansyur Muchtaruddin
Published: July 2024

Introduction

Lead exposure has been recognized as a risk factor for cardiovascular disease (CVD). Due to its relevant prognostic information, N-terminal proBNP (NT-proBNP) was known as a useful biomarker in the diagnosis and management of CVD. This preliminary analytical study examines the potential correlation between blood lead levels (BLL) and serum concentrations of NT-proBNP in lead-exposed workers.

Methods

A cross-sectional study was conducted among 71 Indonesian male workers who were occupationally exposed to lead. Venous blood samples were collected from all study participants. The BLL was measured using Inductively Coupled Plasma Mass Spectrometry (ICP-MS) and serum NT-proBNP concentrations were detected with electrochemiluminescence immunoassay (ECLIA).

Results

A total of 46 participants were included in the analysis as 25 samples with NT-ProBNP levels <10 pg/dl were excluded from further analysis. The mean age was 42.3 (SD 9.6) years. The median of BLL and NT-proBNP were 8.42 µg/dl and 27.14 pg/dl. We found no correlation between BLL and NT-proBNP levels in our study (r = 0.088, p = 0.56).

Discussion

Due to the healthy nature of the sample chosen and the fact that this measurement is used to forecast cardiovascular diseases ten years in the future, a plausible association has not been found in this initial research. It is necessary to do a more thorough investigation with a wider range of participants, jobs, and ages.

Conclusion

Our study found that BLL was not correlated with serum NT-proBNP concentrations. Further investigation using more precise and varied data is needed. Keywords: Blood lead levels, Cardiac biomarkers, Lead exposure, NT-proBNP
O-027 MENTAL AND BEHAVIORAL DISORDERS AND UNFITNESS FOR WORK: A CROSS-SECTIONAL STUDY OF 1,327,540 WORKERS IN OCCITANIA, FRANCE
Authors: Pucci Chiara , Dell’Omo Marco , Lesage François-Xavier , Murgia Nicola , Annesi-Maesano Isabella
Published: July 2024

Introduction

There are little information in literature regarding unfitness for work and underlying related diseases. Mental and behavioral disordes (MBDs) are the most common reason for long-term sickness absence. The objective of the study is to analyze the role played by MBDs in complete unfitness for work.

Methods

Data collected from September 2019 to August 2020 from 24 of the 27 SSTI (Intercompany occupational health services) in Occitania (France) during health surveillance visits allowed to study the determinants of complete unfitness for work, pathologies included.

Results

Of the 1,327,540 workers, 8,374 (0.63%) had complete unfitness for work. Workers unfitted were older (mean age= 43.7 +/- 11.2 vs 40.4 +/- 12.4) and had longer working seniority (months) (91.9 +/- 90.5 vs 74.9 +/- 90.4). In all workers, MBDs rank first as a cause of unfitness (n= 2,758, 41.5%) and depressive episode (ICD-10 F32) graded first in females (n= 1,085, 59.7%). In an adjusted model, risk factors of MBDs-related unfitness for work were age (Odds ratio (OR) 1.016, 95% confidence interval (CI) 1.012-1.020) female gender (OR 2.21, 95% CI 2.02-2.42), the presence of a permanent contract (OR 4.88, 95% CI 4.10-5.81) and, compared to the category of blue collars, being white collars (OR 1.15, 95% CI 1.02-1.28).

Discussion

These results shown how some factors could contribute to the development of complete unfitness for work related to mental disorders.

Conclusions

In order to protect workers, the impact of mental and behavioral illnesses particularly in certain occupational categories should not be underestimated.
P-041 CONTRIBUTING FACTORS TO SUSTAINABLE EMPLOYABILITY AND WORK ENGAGEMENT OF PHYSICIANS IN A HOSPITAL SETTING
Authors: Wauthlé Anouk , Brouwers Evelien , Joosen Margot , Mathijssen Jolanda , Lugtenberg Marjolein
Published: July 2024

Introduction

In the past decades the health care sector In Western countries has been facing multiple challenges such as increased workload, a growing complexity of care, growing costs and an aging and declining labor force. This negatively impacts the health and wellbeing of physicians, who report higher levels of burn-out, sickness absenteeism and turnover intentions. In addition, a rising number of upcoming physicians are quitting their traineeships. To maintain the quality and the accessibility of our healthcare system it is important to gain a deeper understanding of factors that support sustainable employability and wellbeing of physicians. This study aims to explore (1) the capability levels and work engagement levels amongst physicians in a hospital setting and (2) which factors are associated with their work engagement levels.

Methods

A cross-sectional survey study was conducted among 250 physicians working in a general hospital in the Netherlands. They filled out an online questionnaire on their work engagement levels, work capabilities, psychological capital, authenticity, autonomy and team climate experience. Descriptive analysis and multiple regression analysis will be used and a correction for gender, age and type of contract will be made.

Results

Full results will be available in September 2023. First preliminary findings show that higher levels of work capabilities, authenticity and psychological capital are associated with higher levels of work engagement.

Discussion

The cross-sectional nature of this study should be recognised as a limitation.

Conclusion

This study enriches our knowledge about which factors are associated with work engagement levels and capability levels of physicians in a hospital setting.