bluuebunny/crossref_metadata_2025 huggingface dataset:
P-039 COGNITIVE IMPAIREMENT AND WORK ABILITY IN A COHORT OF WORKERS WITH PREVIOUS SARS-COV-2 INFECTION
Authors: Stufano Angela , Plantone Domenico , Schino Valentina , Danza Paolo , De Maria Luigi , Vimercati Luigi , Iavicoli Ivo , De Stefano Nicola , Lovreglio Piero
Published: July 2024

Introduction

SARS-CoV-2 infection has been associated with central nervous system involvement, although the impact on the work performance remains largely unknown. Objectives: To investigate cognitive failure, work performance and serum levels of neurofilaments (sNfL) and acid gliofibrillary protein (sGFAP) as biomarkers of neuronal and glial damage, in a cohort of workers with previous SARS-CoV-2 infection.

Methods

The Cognitive Failure Questionnaire (CFQ) and sNfL and sGFAP determination were performed in 150 workers (COVID-19 workers) at the time of negativization after SARS-CoV-2 infection (T0) and after 10 months only in the 50 workers with persistence of symptoms (T1), together with the Work Productivity and Activity Impairment (WPAI) questionnaire. sNfL and sGFAP were also determined in 90 controls with no previous SARS-CoV-2 infection.

Results

sNfL and sGFAP levels at T0 were higher in COVID-19 workers vs controls (median sNfL 22.8 vs 7.2 pg/mL; sGFAP 146.3 vs 63.5 pg/mL; p<0.001 for both). Workers with impaired CFQ at T0 showed higher sNfL and sGFAP levels than those with normal CFQ (median sNfL 45.0 vs 22.4 pg/mL; sGFAP 194.0 vs 131.3 pg/mL; p=0.005 for both). Higher CFQ values were observed at T1 compared to T0 (p<0.01), while sNfL and sGFAP levels were reduced (median sNfL 18.3 pg/mL; median sGFAP 77.2 pg/mL; p<0.001 for both), but always higher than controls. At T1, the 37.5% of workers reported impaired work performance according to WPAI scores.

Discussion and Conclusion

Cognitive failure observed after SARS-CoV-2 infection could be associated with the persistence of neuronal damage and could influence work performance.
P-040 THE RELIABILITY AND VALIDITY OF THE ARABIC-RETURN TO WORK SELF-EFFICACY (RTWSE-19) QUESTIONNAIRE
Authors: Daibes Jumana , Ratzon Navah Z
Published: July 2024

Introduction

The Arabic-Return to Work Self-Efficacy (A-RTWSE-19) questionnaire is a self-report measure intended to assess workers’ beliefs of their current ability to resume regular job responsibilities.

Objective

To translate and assess the reliability and validity of the A-RTWSE-19.

Methods

Ninety participants, 60 (66.7%) healthy, and 30 (33.3%) participants having Hand Injury (HI) with an age range of 18-64 (M=34.5, SD=12.4) were recruited for a cross-sectional study RTWSE-19 was translated into Arabic, and its reliability was tested by Cronbach’s alpha and Intraclass Correlation Coefficient (ICC). Construct validity was tested by comparing working and not working healthy participants.

Results

The Cronbach’s α reliability for all RTWSE-19 items was very high (α =.869). The three scale factors showed high reliability in communication needs (α =.649), modifying tasks (α =.738), and very high reliability in meeting demands (α =.858). The ICC ranged from high in meeting demands (ICC=.790) and modifying tasks (ICC=.769) to very high ICC in communication needs (ICC=.849). The working healthy participants have significantly higher mean than not working healthy participants in all RTWSE-19 scales t(58) =2.60, p=.006, and its factors indicated appropriate construct validity.

Discussion

RTWSE-19 can be used to identify individuals needing additional support or interventions to improve their self-efficacy and their chances of successfully returning to work.

Conclusion

The A- RTWSE-19 is a reliable and valid questionnaire for assessing the workers’ beliefs of their current ability to resume regular job responsibilities among Palestinian HI patients.
P-046 WORK-RELATED DAMAGES IN HEALTH PROFESSIONALS ON THE FRONTLINE OF COVID-19 CARE: CROSS-SECTIONAL STUDY
Authors: Mininel Vivian Aline , Silva-Junior João Silvestre , da Cunha Arthur Arantes , Almeida Mirian Cristina dos Santos , da Silva Silmar Maria , da Silva Renata Flavia Abreu , Gallasch Cristiane Helena
Published: July 2024

Introduction and Objective

to assess the work-related damages in frontline health care professionals to cases of COVID-19 in the initial phase of the pandemic period.

Method

analytical cross-sectional study, with health professionals, at all levels of care in the national territory. Data collection carried out between April and June 2020, through a sociodemographic and labor characterization questionnaire; the Job Stress Scale and the Work-Related Harm Assessment Scale. A multinomial logistic regression was built to analyze the factors associated with global damage.

Results

among 437 participants, the highest average of damages was for the physical dimension. Moderate global harm was associated with: nursing technician/auxiliary, weekly shift of 60 hours or more, and psychosocial condition of active or high-strain work. High global harm was associated with: age up to 45 years, having a morbidity, nursing technician/assistant, and psychosocial condition of active or passive or high-strain work. Low social support at work increased the chance of moderate and high harm.

Discussion and Conclusion

in the COVID-19 pandemic scenario, a profile of workers was observed who deserve special attention in work-related risk and disease prevention programs
P-049 CARPAL TUNNEL SYNDROME: CAN THE ELECTRONEUROMYOGRAM ASSESS THE WORK DISABILITY?
Authors: Bouchech Rania , Fki Amene , Gammoudi Nouha , Talbi Imen , Cheihk Ridha Ben , Ksibi Sonia , Sakly Ghazi
Published: July 2024

Introduction

Electroneuromyography studies play an important role in the assessment of carpal tunnel syndrome (CTS). There is a lack of studies comparing electrophysiological data with measures of function, including work disability. The aim of this study was to assess the relationship between work disability and the electroneuromyography data in workers with CTS.

Methods

Patients with suspected occupational carpal tunnel syndrome were referred to the department of functional explorations of the nervous system at the Sahloul hospital in Sousse, Tunisia, for electroneuromyogram. Work disability was assessed using the work module questionnaire on disabilities of the arm, shoulder and hand (DASH-W).

Results

Our study included 45 workers. The average age was 45.27 years. 98% of the sample was female. The majority of patients work in the clothing sector (80%) with an average professional seniority of 23.39 years. The average number of days absent from work was 6.58 in the last month. The average score of DASH-W was 69.11. Concerning the electroneuromyographic data, the mean sensitive conduction velocity was 37.9 m/s, the mean distal motor latency was 5.48 m/s and the mean sensory nerve action potentials amplitude was 11.2 µV. There was no correlation between electroneuromyographic parameters and work disability as measured by DASH-W.

Discussion

This study showed that there is no correlation between electroneuromyography data in CTS with work disability, which is in agreement with previous studies.

Conclusion

The electrneuromyography seems not to assess the impact of CTS on work disability. A larger study must be carried out for a better evaluation.
P-053 RETURNING TO WORK ON TRAIN DRIVER WITH BILATERAL CENTRAL SEROUS CHORIORETINOPATHY: A CASE REPORT
Authors: Septiawan Eka Surya , Abadiyah Izzatul , Mansyur Muchtaruddin
Published: July 2024

Introduction

Central Serous Chorioretinopathy (CSCR) is one of the four most common retinal diseases after macular degeneration, diabetic retinopathy, and retinal vein occlusion that can directly impact the visual function of workers. CSCR is characterized by retinal detachment of the pigment epithelium in the macula due to fluid flow from inadequate hyperpermeability of the choriopapillary and epithelial membranes. The etiology and pathogenesis of CSCR are multifactorial, including genetic, pregnancy, psychosocial stress, glucocorticosteroid use, sleep disorder, and irregular work schedule.

Methodology and Results

The male patient, 33 years old, working as a train driver was consulted regarding his fitness to work after being declared with a diagnosis of resolved bilateral CSCR. He has the main task of operating the train and alert process as well as the leader in train travel. He was diagnosed with CSCR when he was found to have decreased visual acuity at a periodic medical examination. How the train driver with CSCR could return to work safely and how the recommendations for company and the worker itself.

Discussion and Conclusion

Literature was searched through PubMed and Scopus. Five relevant articles were found and had undergone critical appraisal based on criterias by the Oxford Centre for Evidence Based Medicine. Return to work assessment was conducted using the seven step of return to work evaluation issued by IOMA (Indonesian Occupational Medicine Specialist Association). Optical Coherence Tomography (OCT), Ishihara, stereoscopic examinations and several notes at workplace will be used to ensure the patient’s ability to return to work.

Keywords: Central Serous Chorioretinopathy (CSCR), train driver, return-to-work
O-038 CONTINUING EFFECTS OF THE POSITIVE TRAINING PROGRAM FOR IMPROVING WORKING CONDITIONS IN FOUR COUNTRIES FOR 30 YEARS
Authors: Nagasu Miwako , Kogi Kazutaka
Published: July 2024

Introduction

The Participation-Oriented Safety Improvements by Trade Union Initiative (POSITIVE) program has been conducted for trade union members in various countries through action-oriented workshops on multifaceted workplace improvements. The program has been organized in collaboration with the Japan International Labour Foundation (JILAF) and local trade unions. The efficacy of the program conducted in Pakistan, Bangladesh, India and Nepal was assessed.

Methods

The effectiveness of the POSITIVE workshops was evaluated by interviewing local POSITIVE trainers in the four countries and assessing the results of a questionnaire and improvements conducted by workers trained during the last thirty years. This study was conducted from December 2022 to August 2023.

Results

The POSITIVE workshops proved successful in the four countries during about 30 years. Many trade union trainers trained by the POITIVE program were still utilizing the training materials distributed over the past ten years. Examples of locally achieved good practices were confirmed to be particularly useful. Various positive experiences including implemented workplace improvements were reported by the workers having had participated in the POSITIVE workshops. Many respondents testified that there had been positive changes in the relationship between workers and management after learning the POSITIVE approach.

Discussion

The POSITIVE training program organized during the past 30 years has led to many workplace improvements reducing work-related risks. As a result of POSITIVE workshops, dialogue with management and co-workers had been facilitated.

Conclusion

It was suggested that the action-oriented training methods had positive impacts on workplace improvements as well as industrial relations.
P-059 UNDERGRADUATE OCCUPATIONAL MEDICINE TEACHING AND TRAINING AT EUROPEAN MEDICAL SCHOOLS. QUO VADIS?
Authors: Martínez-Jarreta Begoña , Bulat Petar , Majery Nicole , Gehanno Jean-Francoise , Pauncu Elena-Ana , Bastiaanssen Marjolein , Godderis Lode , Braeckman Lutgart
Published: July 2024

Introduction

General practitioners play or should play a role in Occupational Medicine (OM), be it in the detection of occupational diseases or in counseling for return to work, etc. This is one of the various reasons why undergraduate training in OM is nowadays considered essential.

Aim

To investigate the reality of undergraduate OM training in European medical schools and to determine whether it is sufficient in terms of content, extent, and objectives.

Methods

Between 1 March and 1 August 2022, an email questionnaire survey was undertaken on OM teaching in medical schools in 19 EU countries (all represented in EASOM or European Association of Schools of Occupational Medicine) and some Eastern European nations.

Results

60 medical schools from 21 European countries, representing almost 45,000 undergraduate students, returned the completed questionnaire. The results showed great variability between and within European countries in terms of OM undergraduate training in medical schools. Differences were identified in terms of hours devoted to training, topics, whether it is compulsory or voluntary, among other aspects. OM training in European medical schools need improvement also within EU countries’ medical schools.

Discussion

Despite EU regulations on the free movement of workers in Europe, there is a lack of harmonization between EU countries, with very different levels of undergraduate training in OM in different medical schools, also within individual countries.

Conclusions

The results obtained justify a debate on the competencies that every doctor should have in OM and the definition of a core curriculum for undergraduate training in Occupational Medicine in Europe.
P-063 INTERVENTION EFFECTS OF A PARTICIPATORY WORKPLACE STRESS REDUCTION PROGRAMME ON BURNOUT AMONG CORPORATE WORKERS
Authors: Dai Junming , Sun Yixuan , Wei Minqi , Zhao Qiuwen , Yang Jinfeng , Gao Junling
Published: July 2024

Introduction

With the increasing competition in the market, the problem of burnout is becoming more and more serious among enterprise workers, and there is a lack of evidence to support the use of participatory workplace facilitation programmes to alleviate burnout in China.

Methods

A randomised controlled trial was conducted to select 80 corporate employees in Minhang District, Shanghai, China as the research subjects. The intervention group was given a participatory workplace stress reduction course as an intervention, while the control group was not given any intervention. Independent samples t-tests, paired t-tests, etc. were used to compare the changes in occupational tension, burnout and the dimensions before and after the intervention in the two groups of workers.

Results

There were no significant changes in job stress, burnout and their dimensions before and after the intervention in the control group, and in the experimental group, the burnout score was significantly lower despite a significant increase in the job demand score, a significant decrease in the job autonomy score, and a significant increase in the job stress score before and after the intervention.

Discussion

In this study, job stress increased significantly in the experimental group after the intervention, which is considered to be due to the fact that the members of the experimental group entered the peak production period of the company. However, at the same time, the level of burnout decreased, which further suggests that the intervention was effective.

Conclusion

Participatory workplace stress reduction programmes are effective in alleviating burnout among corporate workers.
P-077 DIABETES COMES TO SCHOOL: ABOUT 79 PATIENTS
Authors: Ouhessaine Sofia , haraj Nassim Essabah , Aziz Siham El , Chadli Asma
Published: July 2024

Introduction

Diabetes is a chronic disease, the incidence of which continues to increase among children. School Children generally spend 30 hours per week at school, making management of treatment and acute complications at school a key element for better glycemic balance as well as good academic performance.

Objectives of the study

Describe the daily difficulties encountered by diabetic schoolchildren, as well as the impact on glycemic balance and academic performance.

Methods

Descriptive study of 79 young people followed at the endocrinology and metabolic diseases department of Casablanca.

Results

The average age is 16.2 years with a female predominance of 62%. The duration of diabetes was 7.93 ± 4.02 years. Mean HBA1c = 11.19 ± 2.12%). Our patients reported hypoglycemia occurring at school in 76% of cases, only 31% stopped the activity to regain sugar, and self-monitoring in 24%. We note that 29% left school voluntarily, 59% say they have academic difficulties, only 12% say they are fulfilled and plan to pursue higher education. The main causes reported are; 35% stigmatization of those around them and denigration, 28% are ashamed of insuline injections in public, 12% blame the number of hospitalizations, 29% note the frequency of hypoglycemia at school, and 7% report a decline in visual acuity.

Conclusion

Schools must provide all students a safe place for self-care, helping them manage everyday challenges: hypoglycemia at school, multiple injections, self-monitoring, in order to improve glycemic balance and ensure academic success.
P-078 HOW TO INFORM MEDICAL STUDENTS ABOUT DIGITAL MENTAL HEALTH INTERVENTIONS? A DISCRETE CHOICE EXPERIMENT
Authors: Bau Jessica , Vomhof Markus , Braun Pia , Calo Stella , Stehl Stefan , Haastert Burkhard , Schuster Luca , Icks Andrea , Loerbroks Adrian , Pischke Claudia , Kairies-Schwarz Nadja , Angerer Peter , Apolinário-Hagen Jennifer
Published: July 2024

Introduction

Digital mental health interventions (DMHIs) have been shown to be effective in the prevention and treatment of common mental disorders (CMDs). Low utilization - often based on lacking awareness or familiarity with DMHIs - should be addressed by user-centered, context-sensitive information strategies. Concerning information strategies, medical students are a particularly interesting target group, as they belong to a vulnerable group in terms of a relatively high prevalence of CMDs and, moreover, will be able to prescribe DMHIs as future physicians.

Methods

A discrete-choice experiment (DCE) was conducted to study information preferences among medical students in Germany. Attributes (information source, delivery mode, timing, recommendation, and quality criterion) were developed by a sequential mixed-method approach. Conditional logistic regression analysis was employed to estimate preference weights and relative importance of attributes (ethical approval: no. 2022-2102).

Results

Out of n=231 participants (70% women, age: M=24, SD=3.95), 29.49% indicated being familiar with DMHIs. Medical students preferred to receive information about DMHIs from the student council and favored being informed via social media during their pre-clinic phase or in their freshmen week. Recommendations were preferred if given by other students or health professionals. Evidence base is the preferred quality criterion. Overall, timing of information provision was the most relevant attribute.

Discussion

Timing appears to be the most important factor for DMHI information, which calls for action early in medical education.

Conclusion

Based on the findings of the DCE, a comprehensive information strategy is deduced that allows to inform medical students by their preferred information strategy.
O-049 THE SUCCESS OF A STOP SMOKING PROGRAM FOR HEALTHCARE WORKERS IN ITALY: A COST-SAVING TOOL IN A TOTAL WORKER HEALTH® APPROACH
Authors: Di Prinzio Reparata Rosa , Vinc Maria Rosaria , Camisa Vincenzo , Santoro Annapaola , Dalmasso Guendalina , Dosi Alessia , Ceresi Bianca , Raponi Massimiliano , Zaffina Salvatore
Published: July 2024

Introduction

Helping healthcare workers stop smoking represents one of the major hospital’s health promotion initiatives to improve employees’ health.

Methods

A Stop Smoking Program (SSP) composed by a 6-hour training course has been adopted. Forty workers were enrolled. For the study, workers who succeeded in quitting smoking at the 2-year follow-up (n=15) were compared to those who did not (n=25) in terms of seniority, professional category, shift work, sickness absence days and work performance. The Return on Investment (ROI) was computed as the ratio between the net profit and the invested capital; the Break-Even Analysis was calculated too.

Results

A success rate of 37,5% was recorded. The professional category was significantly correlated to the success rate, with nurses and physicians showing the major success (64,7%), followed by administrative personnel (21,4%). The reduction of absenteeism after the intervention was 85% in the 1-year period. ROI was 1.90 and the break-even point was 7.85.

Discussion

The SSP effectiveness was demonstrated, as the social working environment is a significant determinant of success. Quitting smoking improves healthcare workers trustworthiness in the eyes of patients, and minimizing active smoking in workplaces can deter smokers in the community.

Conclusion

Worker’s health promotion programs are simple tools that represent a breeding ground for tackling tobacco use among healthcare personnel and spreading beneficial effects of quitting smoking in the society.
P-082 TELEMEDICINE IN OCCUPATIONAL HEALTH: A ONE-YEAR EXPERIMENTAL PROJECT
Authors: Bouça Nova Tiago
Published: July 2024

Introduction

When it comes to occupational health (OH), telemedicine guarantees the follow-up of employees - especially since the Covid-19 pandemic.

Methods

Through this experiment, we wanted to study and assess the advantages and challenges of using teleconsultation in OH: the study took place for one-year, and was focused on 1796 employees of two companies.

Results

With a total of 1672 teleconsultations carried out, for a one-year period, only 3 employees have refused the teleconsultation, and only 30 face-to-face OH exams were scheduled by the doctor’s initiative. A total of 159 OH exams were performed directly with the employee, with no need for them to go to the medical center.

Discussion

The results of this work show the interest in maintaining teleconsultation as a solution for care in remote areas, to avoid a cumulative delay of OH exams, to facilitate access to OH to employees on sick leave - or exclusively on telework -, and to do the OH exams at the company’s medical office (which can potentially reduce absenteeism). The respect for confidentiality, the employee’s right to refuse teleconsultation, as well as the vigilance of the doctor-patient’s relationship, and of the doctor’s right to disconnect, should be carefully kept in mind.

Conclusion

In practice, while respecting the points of vigilance, the application of telemedicine in OH – on a regular or sporadic basis - can be very useful in order to improve the medical presence, as well as the quality of care and risk mitigation in the work environment.
P-088 OCCUPATIONAL HEALTH PREVENTION IN MANUFACTURING INDUSTRY IN JAVA ISLAND, INDONESIA
Authors: Budiman Erwanda , Ilyas Muhammad , Khoe Levina , Adi Nuri , Sugiharto Agus
Published: July 2024

Introduction

The manufacturing industry dominates the employment sector in Indonesia and is centered in Java. Therefore, effective occupational health prevention in this sector is needed to control the existing hazards and reduce the number of occupational diseases and accidents. This qualitative study aimed to explore the implementation of occupational health prevention in the manufacturing industry from all levels of enterprises in Java Island, Indonesia.

Methods

We used secondary data previously collected by Indonesian Occupational Medicine Association (IOMA) and passed the ethical review of the Faculty of Medicine, Universitas Indonesia. Data were obtained from 8 focus group discussions (FGDs) with 64 companies from large, medium, small, and micro enterprises. Each company was represented by one or more of the top management, HSE, or HR department. We applied thematic analysis and three main themes emerged: (1) occupational health prevention policies in the workplace, (2) resources involved, and (3) programs implemented.

Results

We found that in large and medium enterprises, the three themes explored were generally in accordance with the standards and necessities of each company. Meanwhile, no specific policies were found for small and micro enterprises. Most of them did not have competent human resources, funds, or external cooperation, and the programs implemented were not properly planned.

Discussion

The improvement of occupational health prevention in smaller enterprises is required not only from the company itself, but also from the government and labor social security.

Conclusion

There is still a large gap in occupational health prevention between larger and smaller enterprises in terms of policy, resources, planning and implementation.
O-068 CARDIOVASCULAR DISEASE RISKS FOR COMMON UPPER EXTREMITY MUSCULOSKELETAL DISORDERS AND LOW BACK PAIN
Authors: Hegmann Kurt , Thiese Matthew , Wood Eric
Published: July 2024

Introduction

The pathophysiological bases of musculoskeletal disorders (MSDs) is/are uncertain, resulting in reduced opportunities for prevention.

Methods

Nine-year prospective cohort data from 1,224 workers in 3 US states were analyzed. IRBs approved of the protocol. Baseline data included questionnaires, structured interviews, physical examinations, anthropometric measurements, and nerve conduction studies. Job physical factors were individually measured. Monthly follow-ups were conducted. Framingham risk scores were calculated. A priori case definitions were constructed for carpal tunnel syndrome, lateral/medial epicondylopathy, and rotator cuff tendinopathy. Data were also analyzed from a second 8-year prospective cohort of 828 workers for low back pain (LBP) using similar methods.

Results

Adjusted RRs (including job physical factors) for one or more MSDs increased to 3.90 (95% CI, 2.20, 6.90) among those with 10-year CVD risk scores above 15% and 17.4 (95% CI 3.85, 78.62) among those with 4+ disorders. By contrast with these common upper extremity MSDs, cardiovascular risks did not confer an increased risk for LBP.

Discussion

Cardiovascular risk factors are strong risk factors for common upper extremity MSDs. The relationships become stronger among those with increasing numbers of MSDs. Data suggest potential microvascular pathophysiology. The magnitude of risks is sufficiently high that confounding appears improbable. These data also suggest if there is a microvascular cause, it does not involve LBP. LBP continues to stand in search of explanatory pathophysiology.

Conclusion

While job physical factors remain as important modifiable risks, CVD factors are strongly associated with the development of common MSDs, but not LBP. Risks among those with multiple MSDs are considerably stronger.
O-070 OVARIAN CANCER CASES ATTRIBUTABLE TO ASBESTOS EXPOSURE: AN ECOLOGICAL ANALYSIS IN LOMBARDY, ITALY 2000-2018
Authors: Stoppa Giorgia , Mensi Carolina , Fazzo Lucia , Minelli Giada , Manno Valerio , Consonni Dario , Biggeri Annibale , Catelan Dolores
Published: July 2024

Introduction

Ovarian and pleural cancer are causally associated with asbestos exposure. In a previous study in Lombardy, Northern Italy (about 10 million people), we found evidence of a spatial correlation between pleural and ovarian cancer mortality. In this study, we estimated cases and fractions of ovarian cancer deaths attributable to asbestos exposure by including a third disease, breast cancer, which is unrelated to asbestos but shares with ovarian cancer other risk factors (including reproductive and lifestyle determinants).

Methods

We formulate a trivariate Bayesian joint disease model to extract information on attributable fraction from the geographic distribution of ovarian, pleural, and breast cancer mortality at municipality level in the Lombardy Region (Italy) from 2000 to 2018. Expected cases were calculated by indirect internal standardization.

Results

We found shared dependencies between ovarian and pleural cancer, which capture asbestos exposure, and a spatially structured clustering component shared between ovarian and breast cancer, capturing other risk factors. Overall, we counted 10,462 ovarian cancer deaths, of which 574 (95% Credibility Interval 388-819) were estimated to be attributable to asbestos (attributable fraction 5.5% 95% Credibility Interval 3.7-7.8). In some municipalities, we found attributable fractions in the 33-47% range.

Discussion

These results are consistent with known heavy asbestos pollution and high pleural cancer mortality in some areas of the region.

Conclusion

The impact of asbestos can be relevant but may go unnoticed when the background risk of ovarian cancer is low. Bayesian modelling provides helpful information in such context, and it is useful to tailor epidemiological surveillance.
O-074 COMBINATIONS OF LOW CARDIORESPIRATORY FITNESS AND HIGH PHYSICAL WORKLOAD AND THE RISK OF DISABILITY PENSIONS DUE TO MUSCULOSKELETAL DISORDERS
Authors: Berglund Karin , Almroth Melody , Falkstedt Daniel , Hemmingsson Tomas , Kjellberg Katarina
Published: July 2024

Introduction

The aim of this study was to investigate the combined effect of low cardiorespiratory fitness and high physical workload on disability pension (DP) due to musculoskeletal disorders (MSD: s).

Methods

279 353 men were followed regarding MSD DP between 2006-2020, ages 45-64 at the start of follow up. Cardiorespiratory fitness was assessed during military conscription, using an ergometer bicycle test, and physical workload was based on a job-exposure matrix (JEM) linked to occupational titles in 2005. DP cases were taken from register data. Cox regression models estimated the combined association with MSD DP.

Results

Workers with the combination of the highest level of physical workload and the lowest level of cardiorespiratory fitness showed the highest risk (HR 6.21 95% CI 4.93-7.83); higher than would be expected from adding the effects of the single exposures After adjustment for age, birth year, childhood socioeconomic position, cognitive ability, body mass index, previous unemployment, and education (fully adjusted model), the association attenuated but remained statistically significant (HR 2.39 95% CI 1.87-3.07).

Discussion

Preventive measures targeting both increased cardiorespiratory fitness and a reduced physical workload could help reduce the risk of MSD DP.

Conclusion

The combination of low cardiorespiratory fitness and high physical workload was associated with a higher risk of MSD DP than would be expected from adding the effects of the single exposures.
O-083 A METABOLOME-WIDE ASSOCIATION STUDY OF OCCUPATIONAL EXPOSURE TO FORMALDEHYDE
Authors: Rothman Nathaniel , Lin Xiangping , Vermeulen Roel , Zhang Luoping , Pinto-Pacheco Brismar , Tang Xiaojiang , Hu Wei , Jones Dean , Guo Weihong , Wen Cuiju , Huang Yongshun , Reiss Boris , Guangdong Laiyu Li , Rappaport Stephen , Smith Martyn , Lan Qing , Walker Douglas
Published: July 2024

Introduction

Occupational exposure to formaldehyde (FA) has been linked to hematopoietic and nasopharyngeal cancers.

Methods

To further evaluate the biological effects of exposure to FA in humans, we used comprehensive untargeted liquid chromatography with high resolution mass spectrometry (LC-HRMS) to characterize the plasma metabolome of workers (n=43) exposed to relatively high levels of FA [median 8-h time-weighted air level average exposure: 1.3 parts-per-million (ppm) of air] and comparable controls (n=51). Metabolite features associated with FA exposure were identified using a metabolome- wide association study that tested for relationships between metabolite feature intensity and occupational exposure to FA.

Results and discussion

Metabolic pathway enrichment analysis highlighted multiple pathways associated with FA exposure, with significant changes in the carnitine shuttle and in arachidonic acid, fatty acid, nucleic acid, amino acid, steroid, and prostaglandin metabolism. These results suggest possible changes or perturbations from FA exposure in fatty acid uptake, oxidative stress, and pathways related to mitochondrial dysfunction, immune system disorders, and altered cell proliferation, several of which are consistent with previous experimental and human studies. Taken together, our results suggest that occupational exposure to FA was associated with alterations in a number of systemic metabolic processes.

Conclusion

Further study is needed with larger sample sizes to replicate and extend these findings.
P-107 WILL SOCIAL CHANGES DUE TO THE COVID-19 EPIDEMIC AFFECT EMPLOYEE HEALTH CHECK-UPS DATA IN JAPAN?
Authors: Kuwabara Hiroyuki , Haruyama Yasuo , Kudo Yuichiro , Nagata Tomohisa , Odagami Kiminori , Mori Koji
Published: July 2024

Introduction

In Japan, a state of emergency was declared four times until December 2022 due to the Covid-19 epidemic. The purpose of this study was to examine the changes in anthropometry and blood test parameters related to lifestyle-related diseases after the Covid-19 outbreak.

Methods

A longitudinal study was employed. A total of 1,198,557 employee who underwent health check-ups at Uguisudani Medical Center from April 1, 2016 to March 31, 2022 in Tokyo, Japan, were analyzed. Data included BMI, waist circumference (WC), systolic and diastolic blood pressure (SBP/DBP), total cholesterol (TC), triglycerides; triacylglycerol (TG), and low- and high-density lipoprotein cholesterol (LDL, HDL), fasting blood glucose (FBG), and uric acid (UA) levels. Descriptive statistics was performed separately for males and females to assess the temporal changes. Ethical approval for this study was obtained from the Dokkyo Medical University Ethics Committee.

Results

Comparing pre-2019 and 2020, SBP/DPB, TC, TG, and LDL increased more than normal and HDL decreased for both men and women after the Covid-19 outbreak. However, comparing data from 2020 and 2021, there is little change or slight improvement.

Discussion and conclusion

The greater deterioration in health check-up results in 2020 was likely due to lifestyle changes, including a decrease in outdoor activity and exercise habits due to voluntary restraint in personal activities. Modest government measures eased the subsequent refraining from personal activities, and the health examination results in 2022 did not deteriorate further. This suggests that social changes due to Covid-19 have a limited impact on health outcomes in Japan.
P-109 UNDERSTANDING CONDITIONAL FITNESS AMONG HEALTHCARE PROFESSIONALS
Authors: Ribeiro Ana Carolina , Pereira André , Miranda Gonçalo , Silva Paulo , Silva Catarina , Soares João , Graça Linda , Braga Ana
Published: July 2024

Introduction

The assessment of fitness for work aims at evaluating a worker’s capacity to perform a job with or without minimal risk, immediate or future, to his health and safety. After a medical evaluation, the worker will be considered as “Fit”, “Unfit” or “Conditionally fit” if the workplace or tasks call for temporary or permanent adjustments. This study aims at understanding which conditions most commonly require adjustments at the workplace.

Methods

A retrospective cross-sectional analysis focusing on healthcare professionals considered “Conditionally fit” from 2022 to 2023.

Results

From a total of 237 healthcare professionals considered “Conditionally fit”, 86% were women and the majority were hospital aides (44,3%) and nurses (35,4%). Sixty-five percent resulted mainly from musculoskeletal injuries, 13,5% from mental health disorders, 5,9% related to immunosuppression and 3,8% to oncologic disorders.

Discussion

Musculoskeletal injuries continue to be the primary health concern among healthcare professionals, which can be mainly attributed to their exposure to extreme postures and to the growing number of obese patients. Following closely are mental health disorders, which can be a consequence of elevated levels of workplace stress, burnout and demands of shift and night work. Lastly, due to their natural illnesses, immunosuppressed and oncologic workers require a reduction of exposure to biological risks.

Conclusion

Our analysis reflects once again the high prevalence of musculoskeletal and mental health disorders. There is still a necessity of preventive and effective measures to eliminate or minimize the risk, to implement engineering and administrative controls and to improve personal protective equipment.
P-114 IDENTIFICATION OF QUESTIONS CHARACTERIZING WORKERS’ SOCIO-TECHNICAL AND ORGANIZATIONAL LEEWAYS
Authors: Bodin Julie , Caroly Sandrine , Cuny Aude , Vézina Nicole , Major Marie-Eve , Roquelaure Yves
Published: July 2024

Introduction

Insufficient socio-technical and organizational leeways (STOL) are considered as a risk factor for musculoskeletal disorders (MSD) in the ergonomic literature. However, no epidemiological study has investigated this concept. The aim was to identify proxy questions indicating the dimensions of STOL (macro-dimensions of operational leeway in the work situation) available in the work environment and perceived by workers in order to include them in epidemiological occupational health questionnaires.

Methods

The Technique for Research of Information by Animation of a Group of Experts (TRIAGE) was implemented to select questions. Seventy-five questions from French epidemiological questionnaires close to the concept of STOL were identified by an interdisciplinary working group (statistics, ergonomics, epidemiology, occupational medicine). An individual consultation and a group consultation phases followed one another. Twelve experts were solicited individually to express their agreement level, via an online questionnaire, to consider the questions as proxy of STOL. Questions not retained were discussed collectively in two online meetings between the nine experts available, and experts voted via an anonymous online questionnaire to retain (or not) each question.

Results

In total, 42 questions were retained as proxy of STOL: 23 in the individual consultation phase (agreement >83,3%) and 19 in the group consultation phase (agreement >85,7%). The proxy questions will be presented at the congress.

Discussion

To our knowledge, there is no epidemiological study on the association between STOL and MSD while this concept would be of relevance for MSD prevention.

Conclusion

The proxy questions could be useful for epidemiological research and for ergonomic interventions.
P-119 IMPACT OF THE STRASBOURG CHRISTMAS MARKET ATTACK IN DECEMBER 2018 ON POLICE OFFICERS. MENTAL HEALTH OF EXPOSED AND UNEXPOSED POLICE OFFICERS THREE MONTHS AFTER THE ATTACK
Authors: Nourry Nathalie , Obeid Shadi Alsayed , Rolling Julie , Lefebvre François , Charbotel Barbara , Gonzalez Maria , Vidailhet Pierre , Mengin Amaury
Published: July 2024

Introduction

Police officers are regularly exposed to psycho-trauma during routine police work. During the attack, many police officers intervened until the terrorist was neutralized. As there was no process in place to monitor so many police officers medically over such a short period of time, it was decided to set up an epidemiological study within the occupational health department. Police operational support psychologists made themselves available to the officers, but not all of them were consulted. Our aim was to identify officers with post-traumatic stress disorder, depression, suicide risk and to offer them treatment if they had not been consulted themselves.

Methods

Three months after the attack, an online questionnaire was sent to police officers. Questions covered socio-demographic data, occupation, degree of exposure, sleep during the week following the attack, PTSD (PCL-5), depression (PHQ9), and suicidal ideation (Yes/no questions). Of the 475 police respondents, 263 had been exposed to the attack (182 directly) and 212 had not.

Results

The prevalence of partial and complete PTSD in the exposed group was 12.6% and 6.6% respectively. The prevalence of depression was 11.5%. A higher risk of PTSD was present in directly exposed police officers (OR=2.98[1.10-8.12]p=0.03), but not of depression (OR=0.40[0.10-1.10] p=0.08). Conversely, sleep deprivation in the week following the attack was associated with a higher rate of depression (OR=7.92[2.40-26.5]p<0.001) and not PTSD (OR=2.18[0.81-5.91]p=0.13).

Discussion and conclusion

As police officers are exposed to a non-negligible risk of PTSD, it is necessary to set up an organization in the occupational health department to identify these officers, with a particular focus on those directly exposed.
P-124 MORBIDITIES AMONG TIRE MANUFACTURING INDUSTRY WORKERS IN INDIA
Authors: Mhalshekar Vishwaraj , Mhalshekar Sweta , Kunkolienkar Rudra , Mhalshekar Vishwaraj , Mhalshekar Sweta , Kunkolienkar Rudra
Published: July 2024

Introduction

The tire manufacturing industry is widespread globally, with a high demand for labor. Employees engage in physically demanding work to produce rubber tires. The study was conducted with an aim to assess selected morbidities among tire manufacturing workers in India and recommend measures.

Methods

The retrospective record-based cross-sectional study was conducted over 3 months. Data was obtained from periodic medical examination of employees and was analyzed using SPSS version 23, and Chi-square test was used to assess associations between qualitative variables.

Results

Among the 885 workers screened, all were males. It was observed that 8.1% had obesity with a BMI of 30 and above and 19.6% had deranged blood sugars with random blood sugar >200mg/dl, 6.1% had far vision defect and 15.5% had near vision defect, 6.3% workers had anemia with hemoglobin less than 11 gm%, 17.4% had deranged lipid profile and 12% had abnormal spirometry findings, 3.2% had abnormal audiometry tests, 4% workers were detected with uric acid crystals, 4% worker was detected with calcium oxalate crystals and 11.1% worker had glucose in urine.

Discussion

Tire industry workers suffer from various health problems notably, hematological and auditory and visual impairments, pulmonary function abnormalities and also non-communicable diseases.

Conclusion

This study stresses the need for regular health surveillance of workers to detect any deviations from heath along with information, instruction and training on use of appropriate PPE. Lifestyle modifications such as exercise and healthy diet should be inculcated amongst the workers to prevent non-communicable diseases along with good hydration during working periods.
P-129 EPIDEMIOLOGICAL STUDY IN HEALTHCARE WORKERS ON PRIVAT HOSPITAL IN BRASÍLIA BETWEEN JANUARY 2019 AND DECEMBER 2022
Authors: Cavalcanti Celso , Pinke Rodolfo
Published: July 2024

Introduction

This study aims to show the variations in the most important pathologies in four years of observation of health workers at a private hospital in Brasília.

Methods

The database of medical certificates presented by sick workers was organized in a table relating the CID groups, number of workers and days absent classified from 2019 to 2022. The frequency was testing normality by Shapiro-Wilk and then applying the Wilcoxon test, we found no significant statistical differences and we used the IBM SPSS Statistics version 25 program.

Results

We observed 3,946 health workers with 23,796 days of work absent and a frequency of 6 days per worker. The ICDs with the highest number of days absent were in descending order: B, M, S, Z, F, J and U. The highest frequencies were F and S. We observed that of the respiratory diseases with ICDs B, J and U combined they represent 44 % of total days absent.

Discussion

Respiratory diseases were ranked fifth in 2019, however with the emergence of the COVID pandemic it became more relevant with ICD U and B. Even with the immunization for COVID of almost all hospital workers, we still observed the strong influence of ICD B and U. ICD F had the highest frequency in this group.

Conclusion

The COVID virus and its mutations continued to influence worker absences and maintaining the worker outreach program is important for controlling and reducing respiratory illnesses. After the four waves of COVID, we observed that the mental health of workers was affected.
P-141 THE EFFECT OF MENTAL DISORDERS IN YOUTH ON NEET UNTIL MID-TWENTIES AND THE MEDIATING ROLE OF HIGH SCHOOL DROPOUT: A REGISTER-BASED STUDY WITH A 14-YEAR FOLLOW-UP
Authors: Hijdra Roos , Groeniger Joost Oude , Burdorf Lex , Schuring Merel
Published: July 2024

Introduction

This study investigates whether mental disorders in childhood impacts i) high school drop-out during adolescence, and ii) NEET in their early twenties. Secondly, it assesses to what extent the effect of mental disorders on NEET is mediated by high school drop-out and the effect of the mental health and employment status of the parents.

Methods

Longitudinal nationwide register data from Statistics Netherlands were used for persons born in 1994. These included medication prescription for mental disorders (ages 12-15 years), high school dropout (ages 16-19 years) and participation in education or employment (NEET, age 21-26 years). Additionally, mental health and employment status of the parents will be included, these results will follow later. Linear and logistic regression analyses were performed on the association between mental disorders and NEET and between mental disorders and having a high school dropout period. Causal mediation analysis was used to assess to what extent the effect of mental disorders on NEET could be reduced by eliminating high school dropout.

Results

Taking medication for mental disorders was strongly associated with a longer NEET period (β 17.4, 95% CI 16.7;18.0) and also increased the risk of having a high school dropout period (OR 2.3). Having a high school dropout period significantly contributes to having a longer NEET period among persons with mental disorders (NIE 1.5, 95% CI 1.4;1.7).

Conclusion

Mental disorders in childhood are strongly associated with a longer NEET period in early adulthood, which can be reduced by preventing high school dropout.
O-085 VALIDATING AND UTILIZING A MEDITERRANEAN-DIET-BASED LIFESTYLE SCORE (MEDI-LIFESTYLE) TO INVESTIGATE THE ASSOCIATION BETWEEN HEALTHY BEHAVIORS AND BLOOD PRESSURES AMONG TAIWANESE FIREFIGHTERS
Authors: Lin Yen-Wei , Huang Chen-Yu , Lin Chih-Hao , Kales Stefanos , Lan Fan-Yun , Huang Chen-Yu , Lin Chih-Hao , Kales Stefanos
Published: July 2024

Introduction

Elevated blood pressure (BP) is related to lifestyles and is prevalent among firefighters, but evidence is limited to non-Asian populations. We validated a revised 7-item Mediterranean-diet-based lifestyle score (MEDI-Lifestyle) and utilized it to examine Taiwanese firefighters’ lifestyle and its association with BP.

Methods

A cohort-based online survey investigated 548 firefighters in Tainan, Taiwan during mid-May 2023. After excluding non-adults, those with missing essential information, and outliers, we analyzed 486 (88.7%) participants. Retests were done five weeks later in a subsample (n=22). We calculated the test-retest intraclass correlation coefficient (ICC) for reliability and the Spearman’s correlation coefficient (ρ) between the Insomnia Severity Index (ISI) and MEDI-Lifestyle for concurrent validity. Multiple linear regression models were built to examine the associations between the MEDI-Lifestyle and BPs. Participants’ BPs were measured following a standard protocol. The R software 4.3.1 and SAS 9.4 were used for analyses. National Yang Ming Chiao Tung University’s Institutional Review Board approved the study (NYCU112057AE).

Results

The test-retest ICC was 0.44 (95% CI: 0.035–0.72). The MEDI-Lifestyle was negatively correlated with the ISI (ρ= -0.208, P< 0.001). After multivariable adjustment, a one-point increment in MEDI-Lifestyle was associated with 1.3 and 1.4 mmHg decrement in systolic and diastolic BP, respectively (both P< 0.05).

Discussion

Using the MEDI-Lifestyle to assess Asian firefighters’ lifestyle and its association with BPs is a valid and novel approach. Future research is warranted to establish a causal relationship between MEDI-Lifestyle and BP.

Conclusion

With fair reliability and validity, the MEDI-Lifestyle, which is negatively associated with BP, is applicable to Taiwanese firefighters.