bluuebunny/crossref_metadata_2025 huggingface dataset:
P-036 PROCODE: A WEB APPLICATION FOR CODING AND RECODING OCCUPATIONS AND ECONOMIC ACTIVITIES
Authors: Chettou Hasnaa , Charreau Thomas , Schaufelberger Sylvain , Faivre Vincent , Canu Irina Guseva
Published: July 2024

Introduction

Epidemiological studies require coded occupational data. Standardized classifications of occupations and economic activities contain hundreds of options, raising misclassification concerns. We developed an application, PROCODE, for coding raw occupational data and transcoding them between different classifications. The 1st PROCODE version using the Complement Naïve Bayes (CNB) machine-learning algorithm had 60-75% accuracy, depending on the classification used and digit number. We aimed at improving PROCODE performance.

Methods

Through a tight collaboration with software developers and data-manager, we sought to clarify the application’s architecture and structure it into several procedural levels, depending on the quality of the databases used to train the CNB algorithm, the quality of the input data and the user’s expertise

Results

The current version distinguishes between three procedural levels. 1-If the complete title of the occupation to be coded exists in one of the validated databases, PROCODE assigns the corresponding code. 2-If not, PROCODE segments the title terms, identify the key-terms, corrects certain errors and interrogates the algorithm to identify the codes resulting from machine learning. 3-If this fails, PROCODE replaces the key-terms by terms from each key-term definition and re-queries the algorithm.

Discussion

The use of artificial intelligence, such as ChatGPT, is envisaged to enrich existing databases and improve the training of the algorithm. The optimization of natural language processing can be also considered

Conclusion

These developments should enhance PROCODE’s performance, particularly in terms of result accuracy and precision. The new version will soon be used to code occupations and activity sectors in the Swiss Health Study and other population-based cohorts.
O-028 MUSCULOSKELETAL DISORDERS AS A WORK-RELATED RISK FACTOR OF 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

Much has been published on occupational musculoskeletal disorders (MSDs), while little notion exists regarding the relation between MSDs and 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, pathologies included, of unfitness for work.

Results

Of the 1,327,540 workers monitored, 8,374 were found to be unfitted for work. In both sexes, MSDs ranked second as determinants of unfitness (n= 2,747, 40.6%), after mental and behavioral disorders. However, in blue collars, MSDs were found to be the most frequent pathologies (n= 992, 36.1%). ICD-10 classification showed low-back pain as first cause in both sexes (women=451, 29.3%; men=434, 35.9%). In a multivariate model, age (Odds ratio (OR) 1.044, 95% confidence interval (CI) 1.040-1.048), female gender (OR 2.09, 95% CI 1.90-2.28), permanent contract (OR 4.25, 95% CI 3.61-5.0) and blue collar’s job category compared to white collars (OR 2.49, 95% CI 2.28-2.73) proved to be significant in increasing the risk of develop unfitness for work related to MSDs.

Discussion

Our study was able to confirm the risk factors associated with unfitness for work related to MSDs, particularly for certain job categories.

Conclusions

In order to protect workers’ health and fitness for work, prevention with regard to MSDs is confirmed as fundamental and occupational physician could play a crucial role in this action.
O-029 ASSESSING WORK-RELATED CHALLENGES AND WORK ABILITY AMONG YOUNG DOCTORS
Authors: Sellami Imen , Es-Saffar Salim , KOUKI Mohamed Bilel , Masmoudi Mohamed Larbi , Hajjaji Mounira , Hammami Kaouthar Jmal , Masmoudi Afif
Published: July 2024

Introduction

Concerns are mounting regarding the well-being of young doctors due to the challenges they encounter during their training. This study aims to assess the professional obstacles young doctors face, and explore how these factors impact their work ability and career fulfilment.

Methods

In a cross-sectional study spanning from February to May 2023, we involved 304 young doctors working in Tunisian healthcare settings. Socio-demographic, clinical, and work-related data were gathered. We gauged professional well-being using short professional quality of life scale and the work ability using the Work Ability Index (WAI).

Results

Among respondents (average age 27±2 years, 59% female), 77% were residents, predominantly in university hospitals (82%). They averaged 56 working hours and 5.5 24-hour shifts monthly. A significant 32% faced a high risk of burnout, while 84% reported fatigue and 43% suffered severe psychological distress. The WAI indicated reduced work capacity in 18%. Factors linked to diminished work ability included youth, male gender, addictive behaviors, workload, an unfavorable work environment, and inadequate training quality.

Discussion

This study underscores the profound impact of young doctors’ health, particularly their psychological well-being, and adverse working conditions on their overall work ability. The findings emphasize the necessity for interventions aimed at addressing these issues and improving the workplace environment for young doctors.

Conclusion

Young doctors’ work ability is profoundly affected by their health, working conditions, and their subsequent impact on overall well-being. This study furnishes critical insights to guide interventions and preventive strategies for enhancing the well-being and work ability of young doctors in the medical field.
P-037 FEASIBILITY OF A PILOT ELECTRONIC DATA COLLECTION WITH MIGRANT AND SEASONAL FARMWORKERS IN IOWA
Authors: Corwin Claudia , Dukes Kimberly , Wendt Linder , Subramain Maran
Published: July 2024

Introduction

Including migrant farmworkers (MFW) in research is essential to delivering culturally appropriate health and public health interventions. Little is known about MFWs’ willingness to engage in research and the feasibility of data collection methods for this group.

Methods

This pilot study investigated the feasibility of surveying MFW using cellphone technology. We recruited 50 MFW to participate in automated text messaging surveys for 4-12 weeks. Participants received 4 questions per week, including mental health questions adapted from the Generalized Anxiety Disorder Scale (GAD2) and the Patient Health Questionnaire (PHQ2), and healthcare access questions developed by the authors.

Results

49 participants answered text messages. 35 participants (70%) continued responding 12 weeks after enrollment or later, while 6 (12%) stopped participating by 4 weeks. Responses declined significantly over time (Weekly OR = 0.87, 95% CI 0.85-0.90, p < 0.001), but there were no significant differences in declines between mental health questions and other questions (p = 0.7).

Discussion

This study aimed to determine the feasibility of engaging 50 MFW in research using mobile texting technology. We were able to recruit 50 participants and sustain participation over time. Waning participation was likely related in part to the reality MFWs live a mobile lifestyle, have limited access to stable mobile technology and are engaged in nearly around the clock work. Importantly, academic institutions do not optimally enable the administration of community engaged research with hard-to-reach populations.

Conclusion

Engaging MFW in research using mobile technology is challenging but feasible.
P-044 WORK-RELATED DISEASES AND JOB OUTCOMES OF CALL CENTER OPERATORS
Authors: Bechrifa Emna , Khouja Nihel , Baraketi Emna , Ismail Saloua , Belkahla Amira , Fatma Naourez Ben , Hsinet Jihen , Benzarti Aida
Published: July 2024

Introduction

Call Center Operators (CCOs) play a crucial role in modern customer service sectors. However, their work environment exposes them to challenges that may impact their health and well-being.

Objective

To study the impact of morbidities observed in teleworkers on their medical fitness for work.

Methods

A retrospective descriptive study was conducted, involving CCOs who consulted the Occupational Medicine Department over an eight-year period (January 2015 to June 2023).

Results

We included 80 patients with an average age of 36.24 ± 6.83years, a sex ratio of 0.51, and mean job tenure of 8.29±4.34years. The most prevalent challenges reported by the CCOs were lack of autonomy (90%), repetitiveness (80%), unsatisfactory relationships with clients (20%), difficulties in dealing with their hierarchical superiors (52.5%) and ergonomic constraints (41%). Environmental noise affected 47.5% of the participants, and 25% of CCOs indicated intolerance to wearing headsets. The main diseases encountered were anxiety and depressive disorders (46%), sensorineural hearing loss (34%), isolated tinnitus (9%), and visual impairments (4%). Absenteeism was reported in 33.8% of cases. Workstation adjustments were made for 42.5% of participants, including calls barring (21.5%) and schedule adjustments (52.5%). Moreover, 36% were considered permanently unfit for the CCOs position and underwent job reassignment.

Discussion

Despite their relatively young mean age, the encountered pathologies among CCOs are diverse and severe underscoring the need for proactive interventions to safeguard their health and well-being

Conclusion

The study highlights the significance of implementing regular occupational health surveillance, and collective preventive measures for CCOs.
P-047 ASSESSING THE WORK ABILITY IMPACT OF COVID-19 INFECTION ON HEALTHCARE WORKERS
Authors: Sellami Imen , ABBES Anwar , Halweni Hayfa , Haddar Aicha , Hrairi Anouare , Daoud Hanen , Hammami Kaouthar Jmal , HAJJAJI Mounira , Masmoudi Afif , Masmoudi Mohamed Larbi
Published: July 2024

Introduction

The impact of COVID-19 on healthcare workers (HCWs) encompasses both their health and work ability. This study aims to evaluate how COVID-19 infection influences the work ability of HCWs.

Methods

A cross-sectional study was conducted among HCWs at CHU of Sfax, infected with COVID-19 from January to June 2021. Post-COVID follow-up consultations employed a questionnaire to gather socio-demographic, professional, infection, and return-to-work data. Work Ability Index (WAI) scale assessed infection’s work ability impact. Anxiety and stress were screened using the Depression, Anxiety, and Stress Scale.

Results

The study included 200 HCWs, of whom 33.5% had direct contact with COVID-positive patients. Mean time off work was 14.59 days, with 33% returning after 10 days. Upon return, 66% faced job-related challenges, 4% benefited from modified workplaces, and 28.5% took medical leave. Work ability was poor for 23.5%, moderate for 39.5%, good for 33%, and excellent for 4% of HCWs. Better work ability correlated with improved health perception, physical activity, and lower anxiety and stress scores.

Discussion

The study reveals COVID-19’s substantial impact on HCWs’ work ability. Challenges upon return to work, variable work ability levels, and correlations with health perception and anxiety underscore the need for tailored support measures.

Conclusion

This study underscores the significant influence of COVID-19 on the work ability of healthcare workers. Challenges upon reintegration, diverse work capacity levels, and connections with health perception and anxiety emphasize the requirement for customized support strategies.
O-032 HYBRID LEARNING AND OCCUPATIONAL HEALTH AND SAFETY (OHS) CAPACITY BUILDING TO PROTECT THE AFRICAN WORKERS, THE ENVIRONMENT, AND THE HEALTH OF THE COMMUNITY
Authors: Gasana Janvier , Hinson Antoine
Published: July 2024

Introduction

Over the years, Africa including Democratic Republic of Congo (DRC) witnessed serious negative occupational safety and health (OSH), environmental, and social effects due to lack of OHS expertise. e-Learning is now possible due to the increasing access to the internet through computers, laptops, and smartphones. Elon Musk’s Starlink satellite internet service has already connected several African Countries. Over the last 20 years, the University of Abomey-Calavi-Benin has been conducting OHS capacity building for 191 specialist physicians from 14 French-speaking African countries.

Objective

To use e-Learning to build OSH capacity (in French, English, and Portuguese) to address the negative impact of various workplace settings in Africa.

Methods

A systematic assessment with a focus on environmental impacts (air, water, soil), waste management, implementation of environmental control mitigation measures that was conducted on behalf of the World Bank in DRC led to the idea of building OHS capacity given the shortage of local and national OHS professionals. A successful funded 2-week online OSH capacity building training was conducted via Microsoft and Moodle for doctors, nurses, and safety engineers regarding raising OSH awareness during COVID-19 pandemic.

Results

In DRC, most of the samples of water, air, and soil exceeded international and national standards, hence the need for OHS capacity building.

Discussion

Trained OHS professionals will work with their government to make sure the business companies abide by their corporate social responsibility using the 3 p’s (people, planet, and profit) of sustainability/HSE (health safety and environment).

Conclusion

OSHAfrica and international OHS organizations have experts/consultants who will make the training possible.
O-040 TOWARDS AN AI-INFORMED CAPACITY-BUILDING FRAMEWORK FOR OCCUPATIONAL HEALTH
Authors: Johnson Mark William , Van Tongeren Martie , Wei Hua (Kim)
Published: July 2024

The speed of development and variety of potential applications of Artificial Intelligence (AI) technology represents significant intellectual and practical challenges to practitioners and researchers in the field of health and safety at work. While these challenges are likely to dominate research agendas in the coming years, knowledge and expertise about the technology among practitioners in the field of occupational health is currently limited. The challenge is to raise capacity within the occupational health sector so as to establish a coherent and defensible approach to judgment and decision-making about AI. This should address:

• The operational and regulatory challenges relating to health and safety at work that AI presents, and how regulators might respond;

• Potential opportunities for implementation of new technology (including AI) to improve health and safety at work;

• Identifying the foci for research activity to address these questions. Here we present a framework under development at the University of Manchester in partnership with the Thomas Ashton Institute for regulatory research. In recognising the need to bring together disciplinary perspectives, the framework aims to create an inter-professional network involving technologists and OH specialists to establish a “pincer movement” between:

1. Bottom-up descriptions of the technology, its mechanisms, its provenance, its developmental trajectory, and potential impact on occupational health;

2. Top-down descriptions of organizational, social, phenomenological and ecological implications of the technology Early results from this initiative, including results from an inter-professional Delphi study will be presented, identifying key learning needs in the interrelationship between work, health and technology.
O-041 OCCUPATIONAL WELL-BEING AMONG TRAINEE TEACHERS: EXPLORING GENDER DISPARITIES IN ACADEMIC BURNOUT
Authors: Boumaaize Zineb , Lafraxo Mohamed Amine , Guider Hicham , Madhi Youssef El , Hami Hinde
Published: July 2024

Introduction

Workplace well-being encompasses a broad range of factors interrelated with the professional environment. Changes in an employee’s mental health can significantly impact their work performance and potentially cause distress. Extensive research has been conducted on psychosocial risks in the workplace, with a particular emphasis on stress and burnout which become prevalent issues in various sectors, including healthcare and education. This study examines the influence of sociodemographic factors on academic burnout.

Methods

We conducted a cross-sectional study involving 160 Moroccan trainee teachers, of whom 64% were female. The participants had an average age of 27.94±5.44 years. We collected data using a self-administered questionnaire that utilized the Maslach Burnout Inventory-Student Survey. The inventory measured three dimensions of academic burnout: emotional exhaustion, depersonalization, and academic efficacy.

Results

The study found a moderate to severe level of academic burnout. Gender disparities surfaced, primarily in emotional exhaustion and academic efficacy. Female teachers had higher levels of emotional exhaustion and academic efficacy than male teachers. However, no remarkable distinctions were observed in academic burnout between different age groups and marital statuses.

Discussion

These findings are consistent with previous research that highlighted women’s higher vulnerability to emotional distress, which demonstrates the difficulties in managing negative emotions. Unlike gender, age, and marital status did not seem to have a significant effect on academic burnout dimensions.

Conclusion

Gender plays a crucial role in academic burnout. A thorough investigation of the determinants that encompass the domains of individual, social, and organizational factors is necessary to address this syndrome.
O-042 LET’S TALK ABOUT WORK: EVALUATION OF AN EDUCATION PROGRAM FOR GENERAL PRACTITIONERS IN TRAINING ON DISCUSSING WORK WITH CANCER PATIENTS
Authors: De Wit Mariska , Van Asselt Kristel , van der Vossen Marianne Mak- , De Boer Angela
Published: July 2024

Introduction

Cancer patients report that they lack support of healthcare providers when it comes to returning to or maintaining work. In the education of general practitioners (GPs) in the Netherlands there is little attention for discussing work with patients. Therefore, the aim of this study was to evaluate a newly developed education program for GPs in training on discussing work with cancer patients.

Methods

Two groups of in total twenty-one GPs in training participated in the education program. These GPs were educated about the importance of discussing work with patients, problems cancer patients could experience and about advice they could give to support them in work. The participants evaluated the program in a questionnaire directly and four months after participating in the program.

Results

Seventeen participating GPs (81%) thought that the education program was suitable to be implemented in the education curriculum for GPs. Eleven participants (52%) indicated that they never discussed work with cancer patients before. Directly after the education program, eighteen participants (85%) were planning to discuss work more with patients in practice. Four months after the program 67% indicated that they discussed or advised about work.

Discussion

The newly developed education program improved the awareness of GPs in training of the importance of discussing work with cancer patients. Future studies should focus on whether patients also experience more support from their GPs for maintaining and returning to work after their GP participated in the training program.

Conclusion

The newly developed education program supports GPs in training to discuss work with cancer patients.
O-043 GROWING OCCUPATIONAL HEALTH (OH) CLINICAL WORKFORCE, THE FUTURE ROLE AND UTILITY OF ALLIED HEALTH PROFESSIONALS (AHP) AND OTHER EMERGING JOB ROLES
Authors: Parsons Vaughan , Ntani Georgia , Bricker-Katz Geraldine , Muiry Rupert , Madan Ira , Parsons Vaughan , O’Neill Janet , Turner Adam , Small Victoria
Published: July 2024

Introduction

We explored opportunities, barriers and enablers to growing a multidisciplinary occupational health workforce.

Methods

Mixed methods

Results

30/127 OH departments contributed workforce data. We found wide variation in staff composition and job roles. Nursing and medical staff were the dominant staff groups, with psychologists, physiotherapists and health and wellbeing advisors the most common AHP and emerging roles. Only 2/10 systematic reviews found moderate-to-strong evidence regarding the effectiveness of non-OH multidisciplinary interventions delivering work-focused support. Seven interventional studies showed it’s clinically- and cost-effective to train non-OH workers and those with no prior health training to deliver OH support. Fifty participants took part in the qualitative work. They identified a range of underrepresented AHP roles and specific OH job functions which AHPs and others could undertake. Cultural and structural barriers hamper efforts to grow the multidisciplinary OH workforce, including legacy issues; poor understanding of what clinical skills AHPs and other trained workers can offer; lack of core OH education and training; and poor career transition pathways. However, local workforce initiatives have been successfully developed e.g. establishing specialist or dual OH roles for AHPs, and introducing an apprenticeship model to support AHPs to transition into OH roles.

Discussion

Overall, we found enthusiasm among OH leaders to explore opportunities to grow the multidisciplinary OH clinical workforce however cultural and structural barriers need to be overcome.

Conclusion

We propose the need to conduct a root and branch review of OH service functions and to map these to the skills and competencies across nursing, medical and AHPs job roles.
O-045 ASSESSMENT OF CONTINUING TRAINING NEEDS AMONG OCCUPATIONAL PHYSICIANS IN MOROCCO
Authors: Ghailan Tarik , Chaouir Souad , Hassouni Najia Hajjaj
Published: July 2024

Introduction

The analysis of training needs is an essential step to ensure the relevance of the themes to be planned during continuing training. The objective of the study was to establish a preliminary analysis of training needs in occupational medicine among Moroccan physicians, in order to identify the cognitive, psychomotor and affective areas to be improved.

Material and methods

This was a cross-sectional study that took place in 2022 with a sample of occupational physicians practicing in Morocco. It was based on a questionnaire comprising two parts, a first for general data and a second for the analysis of training needs using the “FGP” grid (Frequency, Severity, Problems) which was preceded by individual interviews.

Results

113 occupational physicians participated in this study. The average age was 49.5 ±11.4 years and 52.2% of them were male. The average professional seniority in occupational medicine was 12.7 ±8.2. The most represented sector of practice within our population was that of industry (33.6%) followed by services (30.1%). One in six participants (60.8%) say they have never benefited from continuing medical training. The priority themes for continuing training were the procedure for declaring permanent inability to work (average score: 1.75 and total: 990), the medical criteria required for the recognition of deafness as an occupational disease (mean score: 1.71 and total: 968) and screening for psychosocial risks (average score: 1.7 and total: 960).

Discussion and Conclusion

This study shows the existence among Moroccan occupational physicians of an imminent need for continuing medical training in some fields that affect their daily practice
P-055 STUDENTS OF HUMAN MEDICINE AND OCCUPATIONAL HEALTH AND SAFETY: KNOWLEDGE AND EXPERIENCE AT THE BEGINNING OF THE STUDY
Authors: Siegmann Silvester
Published: July 2024

Introduction

The aim of this project was to investigate the attitude and experience of students of human medicine towards safety and health in their studies. At the beginning of the winter semester, an evaluation of safety and health during studies was carried out as part of the project.

Methods

The participants of the instruction in the 1st semester (must-attend event) were interviewed. At the time of the online survey the participants were not yet familiar with the faculty’s e-learning modules on safety and health. An online survey instrument specially developed within the project was used.

Results, discussion and conclusion

In total, “only” about 50% of the participating students had already received instruction at school or as part of a training course completed prior to their studies. For the remaining participants it was the first instruction. Less than 20% had completed an apprenticeship before studying. The overwhelming majority had no experience of an accident at work or on the way to work at the time of the survey, but surprisingly, more than 80% of the participants knew that they were insured for accidents through the university. At this point in time, the difference between the legal health insurance and the legal accident insurance had already been explained to them during the instruction. Nearly 100% of the participants consider it important that their health is not affected by their studies. Over 90% find instructions on safety and health important. However, about 40% of the participants would be willing to risk a minor injury to perform a task.
P-056 NEEDS ASSESSMENT OF CONTINUING EDUCATION FOR OCCUPATIONAL HEALTH NURSES IN TAIWAN
Authors: Hsieh YuJung , Liu HsiChen , Lin Yuwen
Published: July 2024

Introduction

Occupational health nurses (OHNs) provide occupational health services for workers; however, few studies discussed their continuing education in Taiwan. This study aims to review the current content of tasks of OHNs and their existing continuing education policy.

Methods

Current literature and regulations in Taiwan were reviewed.

Results

The tasks of OHNs in Taiwan are surveillance and analysis of workers’ health, implementing health management, promoting health activities and training, and enhancing health knowledge and skills. However, they are usually not full-time employees in their serviced enterprises and need to cooperate with occupational safety and health professionals or human resources personnel in enterprises. Moreover, they have to communicate with managers sometimes. Therefore, they need skills in communication, data analysis, as well as regulatory application. The current continuing education for OHNs in Taiwan is provided by government-accredited institutions. It is standardized, focuses on knowledge of occupational medicine, and lacks training in the skills mentioned above.

Discussion

Previous studies have mentioned the need for practical skills in OHNs’ continuing education. Interprofessional education has been developed for local communities to provide collaborative practice in health services. OHNs have to work with other professionals and need skills in other professional fields. Therefore, an interprofessional designed continuing education is useful to OHNs for working in enterprises.

Conclusion

OHNs need to engage with other professionals in enterprises to fulfill their tasks. The existing continuing education for OHNs in Taiwan lacks training in essential practice skills. Developing interprofessional continuing education for OHNs is recommended in Taiwan.
P-057 NEEDS ASSESSMENT OF OCCUPATIONAL SAFETY AND HEALTH CONTINUING EDUCATION IN TAIWAN
Authors: Wu Yi-Xiang , Liu HsiChen
Published: July 2024

Introduction

The International Labour Organization’s C187 advocates that countries should prioritize the education and training of occupational safety and health (OSH) professionals. However, nearly 99% of enterprises in Taiwan are small-sized (<100 workers) and are not mandated to hire OSH professionals. This study aims to examine the content and manpower allocation of OSH and to assess the current OSH continuing education.

Methods

The legal requirements for OSH personnel in different-sized enterprises in Taiwan were reviewed first. Then a literature review was conducted to identify existing methods and content of OSH continuing education.

Results

Based on Taiwanese regulations, OSH professionals are required to plan, supervise, and promote OSH management for enterprises and attend continuing education to meet legal hour requirements. However, nearly 99% of Taiwanese enterprises do not enforce mandatory OSH personnel recruitment and instead hire human resources (HR) personnel without compulsory continuing education. Moreover, the current OSH continuing education mainly focuses on knowledge related to certification exams, neglecting practical skills such as communication and regulatory application.

Discussion

Previous research has studied OSH education for HR personnel, and interprofessional education in local communities for health services could establish collaborative practice in OSH. It is recommended to provide interprofessional continuing education encompassing both OSH and HR to meet the needs of knowledge and skills in Taiwanese enterprises.

Conclusion

HR personnel are responsible for OSH in most enterprises in Taiwan but are without specialized training; on the other hand, the OSH continuing education lacks communication and legal application training. Developing interprofessional education for OSH and HR professionals is suggested.
P-062 THE IMPACT OF A PRACTICAL WORKSHOP ON OCCUPATIONAL HEALTH GIVEN TO MEDICAL STUDENTS ON THE SUBSEQUENT CAREER PATHS OF THE PARTICIPANTS
Authors: Chiyomaru Rina , Kajiki Shigeyuki , Mori Koji
Published: July 2024

Introduction

A practical workshop on occupational health was held with the aim of providing a learning opportunity between medical students who want to know the reality of actual industrial sites where occupational health is practiced and lecturers who want to convey the diversity of the industrial sites, and its impact on the career paths of participants and the attitudes of medical professionals was investigated.

Methods

Workshop graduates who are currently physicians or medical students were asked to respond to a questionnaire regarding their career paths and attitudes as medical professionals, and the results were tabulated to determine the value of the workshop.

Results

The survey revealed that the percentage of those wishing to become occupational physicians increased after the workshop compared to before. Regardless of the career path, there were also comments regarding the attitude of medical professionals, such as “I am conscious of my attitude toward patients, not only in terms of diseases, but also in terms of social background factors, such as the nature of the patient’s work and the working environment.

Discussion

Through the practical workshop, participants were able to gain a multifaceted understanding of the realities of industrial sites where many people work, and it was suggested that they would be able to gain an occupational health perspective through their subsequent activities.

Conclusion

Such practical workshops are considered useful in training medical students and physicians who can treat patients from a broad perspective and focus on their backgrounds.
P-064 IDENTIFYING EDUCATIONAL ISSUES FOR CLINICAL CARE SKILLS IN OCCUPATIONAL HEALTH: SURVEY OF DIFFICULT CASES EXPERIENCED BY OCCUPATIONAL PHYSICIANS
Authors: Kawanami Shoko , Shibata Yoshiyuki , Kitamura Hiroko , Taguchi Yoto , Koga Hiroyuki , Mori Tomoari
Published: July 2024

Introduction

Good clinical care is reportedly one of the top competencies of occupational physicians (OPs). However, OPs possess diverse medical backgrounds and have limited opportunities to improve their clinical abilities in their work fields. To identify the educational needs to support OPs to enhance their clinical care ability, we surveyed OPs about the difficult cases they had experienced in their occupational health activities.

Methods

We asked 1,811 members of the Expert Community of Occupational Health Physicians in the Japan Society for Occupational Health about the difficult cases they experienced and the type of training they desired. Questionnaire responses were returned via the website or postal mail. The cases were analyzed by deductive and inductive methods.

Results

There were 219 valid responses (response rate 12.1%). The most common cases were those related to medical consultation recommendations and guidance on behavior changes (31 cases), followed by health consultations (27 cases). Many respondents noted insufficient medical knowledge and communication skills as contributing factors. The most common specific diseases respondents were concerned about were alcohol and nicotine dependences, emergency diseases, and mental disorders, while emergency response was the most common topic.

Discussion

OPs experienced difficulties in various situations and we identified a strong need to update a wide range of medical knowledge, including mental illness and emergency response, and to improve OPs’ skills in interviewing workers and collaborating with physicians.

Conclusion

Our survey of OPs identified educational issues that need to be addressed to enhance their skills to enable them to provide good clinical care.
P-071 ENHANCING OCCUPATIONAL HEALTH AND SAFETY TRAINING IN TANZANIA: TRENDS, CHALLENGES, AND OPPORTUNITIES FOR A SAFER WORKFORCE
Authors: Bonaga Silaji Salim , Rovira Marina , Lwaho Simon
Published: July 2024

Introduction

The rise of technology and small-medium enterprises (SMEs) in Tanzania calls for enhanced occupational health services while upholding safety standards. Occupational Health and Safety (OHS) training emerges as a vital strategy to counter occupational injuries and fatalities.

Methodology

The paper used both primary and secondary data for the identification of OHS training programs coordinated by the Occupational Safety and Health Authority (OSHA) in Tanzania, for the subsequent assessment of their trends, challenges, and opportunities.

Results

OSHA in Tanzania offers statutory and other OHS training programs. The study revealed a positive trend in trained employees, with 36,702 employees trained from 2016 to 2021, with a slight dip in 2020/21 due to COVID-19 pandemic.

Discussion

Challenges include inadequate coverage of OHS training to SMEs and limited resources. Opportunities lie in online training, specialized modules, ILO collaboration, and tailored regional programs. Threats include evolving technological hazards and economic costs of poor OHS.

Conclusion

OSHA’s diverse training, increased number of trained employees, strengths, and opportunities that counterbalance the weaknesses and challenges identified.
P-073 EVALUATION OF SECONDARY ASPECTS OF ONLINE TEACHING BY MEDICAL STUDENTS
Authors: Voss Amanda
Published: July 2024

Introduction

In the wake of the pandemic, teaching was switched to online formats across the board. Since face-to-face lectures have been possible again, the question has arisen as to whether and to what extent it makes sense to continue online teaching.

Methods

As part of the occupational medicine block internship, a total of 297 medical students were asked via online questionnaire to evaluate different aspects related to online teaching. These included the health-related areas of recovery/sleep, nutrition, exercise, and physical needs as well as of performance and organization of studying. The average age was 26 years, 67% of respondents were female. Quantitative and qualitative data analyses were conducted.

Results

Students reported that the proportion of online teaching was almost 26%, with the proportion that they considered useful being 30%. Regarding positive aspects of online teaching, the ability to attend courses when feeling unwell was mentioned most, followed by regular beverage intake within the area of nutrition. This was followed by the recovery/sleep section with a focus on power naps.

Discussion

The results show the positive side of online teaching, regarding secondary aspects. The quality of teaching, results of exams, and long-term-effects of online teaching could lead to different results. If used carefully, online teaching can offer a useful supplement to face-to-face teaching, even in a practically oriented subject such as human medicine.

Conclusion

The flexible delivery of teaching content can bring benefits for aspects. By including the target group, valuable insights can be gained that can contribute to the further design of teaching.
P-075 BELIEFS AND EXPECTATIONS OF ACTIVE PAUSE STRATEGIES AMONG ADMINISTRATIVE PERSONNEL WITH SPINAL PAIN: A QUALITATIVE STUDY
Authors: Miralles Carlos Tersa , Arnaldo Esther Rubinat , Carnacea Francesc Rubí
Published: July 2024

Introduction

Musculoskeletal disorders pose significant challenges in occupational health, particularly for office workers. This study explores the potential of implementing brief, frequent active pauses as a strategy to alleviate chronic spinal pain in administrative personnel, recognizing the multifaceted nature of pain management.

Methods

Semi-structured interviews were conducted with 17 administrative personnel experiencing chronic spinal pain until data saturation. The study utilized a systematic text condensation framework proposed by Malterud for data analysis.

Results

Participants consistently linked their spinalpain to factors such as posture, ergonomics, and workload. Although the pain was not always intense, it persistently affected their work lives. Short, regular active pauses of 2-3 breaks lasting 3-5 minutes, emerged as a practical and effective strategy for alleviating spinal pain during the workday. In contrast, the conventional recommendation of hourly 10-minute breaks was deemed less feasible in their specific work context.

Discussion

The study highlights the importance of recognizing the individualized nature of interventions for addressing chronic spinal pain among office workers. It underscores that spinal pain often relates to posture, ergonomics, and workload, with workers regularly experiencing manageable pain. Preferring shorter, more frequent active pauses challenges the traditional extended hourly breaks. Successful pain management strategies must incorporate participants’ perspectives, considering their experiences and contextual factors. Embracing the biopsychosocial approach, which encompasses physical, psychological, and social aspects, is vital.

Conclusion

This study’s results will be used for future research on implementing active pauses for administrative personnel. These workplace exercise interventions will prioritize individual needs and preferences, aiming to reduce musculoskeletal disorders in sedentary office settings.
P-079 THE LOW RATE OF TEACHING OCCUPATIONAL MEDICINE IN MEDICAL SCHOOLS IN BRAZIL AND WORLDWIDE: A CHALLENGE TO BE OVERCOME
Authors: Ximenes Catiane , Souza Leonardo , Oliveira Paulo
Published: July 2024

Introduction

According to the International Labour Organization, about 2.8 million people die from causes related to work annually, and the costs amount to almost the entire GDP of the 130 poorest countries in the world, which justifies investing in the teaching of occupational medicine in medical training.

Objectives

To study the teaching of occupational medicine in medical schools in Brazil and around the world.

Methods

Data was obtained from medical school websites. For the analysis of the information, descriptive statistics were used and compared with previous studies in Brazil and in the world.

Results

Of the 286 medical schools in Brazil, 241 (84.3%) make the curriculum available on their websites, and of these, only 29% offered the subject during graduation in 2023. In world studies, the subject was taught in 100% of medical schools in Australia and New Zealand (1998), 95% in Europe (2011), 68% in the USA (1994), 65% in Turkey (2010) and 52% in Mexico (2006). Compared to the supply of medical residency programs in Brazil in 2022, only 0.13% were for Occupational Medicine and of these, 56.5% were filled.

Discussion

Occupational Medicine is still in its infancy in most medical schools around the world. Although the number of medical schools has increased by 65% since the last study in Brazil, Occupational Medicine has grown by 4.5%.

Conclusion

The lack of importance given to subjects related to Occupational Medicine during undergraduate studies may have negative repercussions on the demand for specialized training, as well as on the demand for more specialized training.
O-052 USING COMPUTER ASSISTED DETECTION TO PROMOTE HEALTH EQUITY THROUGH HIGH-VOLUME IDENTIFICATION OF SILICOSIS AND TUBERCULOSIS IN EX-MINERS: A BIO-ETHICS APPROACH
Authors: Spiegel Jerry , Ehrlich Rodney , Yassi Annalee , Kistnasamy Barry
Published: July 2024

Introduction

In Southern Africa, a powerful legacy of social injustice has been the prevalence of occupational lung disease, particularly silicosis and tuberculosis (TB) in those who worked in South Africa’s gold mines. Although Artificial Intelligence (AI) is being increasingly applied for healthcare purposes, distrust about introducing “disruptive” technologies persists. Intrinsic and contextual factors also influence where and how such innovations are initiated. These require careful scrutiny to ensure that health equity is promoted.

Methods

We describe and appraise an AI application currently being developed, specifically the use of computer assisted detection (CAD) for TB and/or silicosis on chest x-rays, to support more efficient and equitable adjudication of compensation claims from former miners in southern Africa. Using a bio-ethical lens that considers the principles of beneficence, non-maleficence, autonomy and justice and adds explicability as a core principle, this study focuses on the apprehensions of users and stakeholders.

Results

Issues of concern include funding a sustainable health service delivery model in which CAD can be incorporated, CAD accuracy, possible biases in training of CAD systems, data privacy, impact on human skill development, transparency and accountability in CAD use, as well as intellectual property ownership.

Discussion

This paper discusses ways in which each of these potential obstacles to successful use of CAD could be mitigated.

Conclusion

From the outset, efforts to overcome technical implementation challenges must be considered to ensure ethical use. It is timely to take stock of barriers that might undermine the advancement of AI innovation on behalf of those who have been socially marginalized.
O-055 REHABILITATION OF SICK-LISTED LBP PATIENTS IN OCCUPATIONAL HEALTH WITH COLLABORATION OF THE WORKPLACE
Authors: Kokkonen Antton
Published: July 2024

Introduction

Chronic low back pain (LBP) is considered among the leading disorders causing disability worldwide. In persistent LBP, medical and vocational rehabilitation are important. However, active involvement of the workplace in rehabilitation procedures is uncommon. Utilization of occupational health (OH) in rehabilitation varies from country to country. The aim was to evaluate if rehabilitation procedures including OH and workplace participation increase return to work (RTW) rates among patients with subacute and chronic low back pain.

Methods

A systematic review of randomized controlled trials was conducted using the PUBMED and Cochrane databases. Main outcomes were RTW and days of sick leave. Interventions needed to be multidisciplinary including both OH and active workplace involvement in rehabilitation.

Results

Out of 1073 potentially eligible references, eight met the inclusion criteria. Three studies had OH and five case managers involved in rehabilitation. Co-operative interventions were identified as workplace visits - and workability meetings (WAMs). Rehabilitation involving both OH and workplace improved RTW and decreased the number of sick leave days among LBP patients. Having case managers involved had no effect in RTW.

Discussion

Based on the study results, we suggest utilizing co-operative interventions with workplaces in OH. They seem to have unused potential improving the rehabilitation process of the chronic LBP patients. High quality research investigating only the effect of WAMs in OH settings is needed in future.

Conclusion

In order to improve RTW, workplace visits - and WAMs between OH and workplace are essential components in the rehabilitation process among patients with chronic LBP.
P-087 ANALYZING A NEED FOR AN INTERNATIONAL OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT GOVERNING BODY THAT MANAGES OCCUPATIONAL HEALTH IN ALL DISCIPLES
Authors: Sepalamelo Bella
Published: July 2024

Introduction

This article draws on the principles, standards, and approaches that were outlined in the Working Document of the Twelfth Session of the Joint ILO/WHO Committee on Occupational Health and the International Labour Organization’s Occupational Health Services Convention (1985).

Method

The ISO repeated refusal to participate in the standardization of a management model for occupational health and safety has resulted in a plethora of models, many of which only work on a national scale. These models were created by standardization entities and organizations of different countries as well as private initiatives aiming to establish an advisory council for occupational health and safety.

Discussion

Despite the fact that the International Labour Organization and the World Health Organization have both played significant roles in the effort to improve and develop occupational safety and health systems, there has been no mention of a governing body that will supervise this launch on a global scale. Let’s take the Federation of International Football Association (FIFA) as an example for the purpose of making a comparison and shedding some light on the subject. The World Health Organization (WHO) has taken the moral high ground by collaborating with FIFA in an effort to improve global health.

Conclusion

When traditional thinking is unable to transform organizational frameworks, it is time to look at things with fresh eyes. Nevertheless, the problem of how to incorporate novel technologies into existing systems is a challenge. This proposal’s objective is to investigate the feasibility of establishing a globally applicable Occupational Health and Safety Management Governing Body.
P-090 DEVELOPMENT OF WORKPLACE DIAGNOSIS ~WINDMILL MODEL~
Authors: Igarashi Chiyo , Chiyojuku Ayako Murayama , Takagi Tomoko , Kusumoto Mari , Sawada Chigusa , Matsuzaka Akiko , Tsuchiya Tomomi , Iijima Miyoko
Published: July 2024

Introduction

In occupational health, workplace diagnostics are not established or practiced. In order to create a comfortable working environment, we decided to develop a workplace diagnosis model that allows occupational health professionals to appropriately assess workplace organizations.

Methods

Since 2015, 11 occupational health nurses with 5 to 35 years of work experience and 4 university teachers have examined a workplace diagnostic model based on domestic and overseas models and assessment tools, and explored the possibility of deployment in the workplace. We discussed the problems while applying workplace examples. It was used for presentations at academic conferences in Japan and at workshops for occupational health nurses at companies, and improvements were made.

Results

The workplace diagnosis model was named Windmill model, and was published in September 2023 as a book titled “Workplace Diagnosis Manual.” There is a core representing the people who make up the workplace at the center, and it consists of subsystems representing eight wings around it.

Discussion

The corporate version consists of “core” “physical/chemical/biological environment” “psychosocial-cultural environment” “labor” “management” “education” “health and safety” “communication/information” and “welfare”. The department version was defined as “core” “physical/chemical/biological environment” “psychosocial-cultural environment” “work environment” “business situation” “management” “education” “safety and health” and “communication/information”. By using this windmill model, we found that health needs and wellness for workplace organization support were clarified.

Conclusion

By using the Windmill model of workplace diagnosis, it was found that the health needs and wellness of the workplace can be accurately extracted, and the workplace organization can be supported.