bluuebunny/crossref_metadata_2025 huggingface dataset:
P-151 THE RISK PREDICTION OF COMORBID PATHOLOGY DEVELOPMENT OF LOCOMOTIVE DRIVERS WITH ARTERIAL HYPERTENSION
Authors: Malyutina Natalia , Luzina Svetlana , Shilcova Olga
Published: July 2024

Introduction

Arterial hypertension and gastrointestinal tract diseases are common diseases and often observed in the same patients. It is expedient to develop a methodology for predicting of a comorbid pathology developing for workers in order to maintain working longevity.

Methods

Employees (n=127, men) of locomotive crews ofrailways (experience > 10 years) are examined. Laboratory studies: a general blood test, serum concentrations of traditional biochemical parameters, the concentration of individual proteins.

Results

The obtained data let to develop a mathematical formula for the developing risk of arterial hypertension in patients with erosive and ulcerative lesions of the gastroduodenal system.

Discussion

In patients with gastrointestinal diseases, an increase in endothelin-1> 0.8 mmol/ml in combination with an increase in platelets> 169×109/l, leukocytes> 7.8×109/l, glucose> 4.7 mmol/l, cholesterol> 3.8 mmol/l is associated with the development risk of comorbidity.The multiple regression equation describing the formation of a comorbid:Y = –1,523 + 0,703•X1 – 0,001•X2 + + 0,041•X3 + 0,134•X4 + 0,142•X5, where Y -risk of the comorbidity(“0” - no, “1” - yes), X1 - endothelin-1, X2 - blood platelets, X3 - leukocytes, X4 - glucose, X5 - cholesterol.

Conclusion

Locomotive drivers have an increased risk of a comorbid pathology, which is accompanied by a change in a number of laboratory parameters that can be used to predict the risk of developing comorbid pathology.
P-154 MONITORING VIOLENCE IN THE WORKPLACE
Authors: Magnavita Nicola , Meraglia Igor , Arnesano Gabriele , Merella Marco , Vacca Maria Eugenia
Published: July 2024

Introduction

Workplace violence is a worldwide problem. In European countries, employers are obliged to assess and prevent it. Violence can be physical or moral; the latter can take on the character of bullying or mobbing and have very serious effects on the worker’s health. Violence is severely under-reported, which hinders the assessment. Unvalidated algorithms are often used to measure it.

Methods

For more than a decade, the occupational medicine unit at Catholic University has been using two methods to assess workplace violence. (1) Incidence. All workers exposed to occupational hazards, at the periodic medical examination, are asked to report physical assaults, threats, and harassment they have experienced in the past year; (2) Characteristics. Workers in each work unit are asked to fill out an online questionnaire named “Violent Incident Form” to describe violent incidents.

Results

In each company, workplace violence is constantly monitored. For example, in one Public Health Company in 2005/6 the incidence rate of physical assaults was 8.2%, falling in 2011/12 to 7.8% and in 2021 to 3.2%. In 2022, physical violence rose again to 5.6%. Harassment affected 19.6% of workers in 2005/6, falling to 7.2% in 2021 and rising again to 21.6% in 2022. Physical violence perpetrated by patients was more frequent in psychiatric services (OR 25.7, CI95% 11.1; 59.6) and violence perpetrated by visitors in emergency and urgence services (OR 8.8, CI95% 3.8; 20.5) than in general services.

Discussion, Conclusion

This study shows that monitoring violence is simple and inexpensive and provides indispensable elements to effectively prevent it and protect workers.
P-159 COMPARISON OF WORKPLACE VIOLENCE TOWARD HEALTHCARE WORKERS AT A CHINESE HOSPITAL IN 2018 AND 2021: APPLICATION OF THE INTERNATIONAL TOOL-HEALTHWISE
Authors: Huang Yiming , Zhang Min , Chen Na
Published: July 2024

Introduction

The World Health Organization and the International Labour Organization jointly launched the global technical tool of HealthWISE in 2014 for creating a safe and healthy workplace in the health sector. This study aims to assess the changes of workplace violence toward healthcare workers (HCWs) after applying the HealthWISE at an infectious disease hospital in China.

Methods

Based on the baseline survey in 2018, we conducted a cross-sectional survey in 2021 using a questionnaire among 720 HCWs. The status and response modes of workplace violence were investigated with a multi-factor analysis.

Results

The incidence rate of physical violence declined significantly from 5.13% in 2018 to 3.33% in 2021 (P<0.05), while psychological violence decreased significantly from 60.90% in 2018 to 33.89% in 2021 (P<0.05). The influencing factors were the night shift, department, direct contact with patients, and worrying about workplace violence in 2021 (P<0.05). The primary responses by the HCWs were keeping silent, stopping verbally, and confiding to colleagues, but the number of HCWs who sought legal protection and trade union support was low. Respondents considered safety and environmental interventions to be the most effective measures.

Discussion

Under the intervention of HealthWISE, the incidence rate of workplace violence has declined in this hospital, demonstrating the effect of occupational health protection system development. However, there is significant room for improvement to achieve the vision of “zero violence”.

Conclusion

The prevention and control of workplace violence should be urgently incorporated into the occupational health management system, and aligned comprehensive measures should be systematically adopted.
P-164 KNOWLEDGE, ATTITUDE, AND PRACTICE ON OCCUPATIONAL HEALTH PREVENTION AMONG MANUFACTURING WORKERS IN JAVA ISLAND, INDONESIA
Authors: Budiman Erwanda , Ilyas Muhammad , Khoe Levina , Adi Nuri , Sugiharto Agus
Published: July 2024

Introduction

There were increasing number of occupational accident and work-related disease cases among manufacturing workers in Indonesia, especially in Java Island. Therefore, strategies to implement occupational health prevention are necessary to reduce the number of these cases. This study aims to determine the knowledge, attitude, and practice of manufacturing industry workers in Java Island on occupational health prevention and its influencing factors.

Methods

Cross-sectional design was utilized among manufacturing workers. Data was obtained from the Indonesian Occupational Medicine Association (IOMA) which conducted the survey on the occupational health prevention between 2021 to 2022. Bivariate and multivariate logistic regression analyses were performed to evaluate the associations between variables.

Results

About 658 respondents participated in the survey. More than half of the respondents (57.3%) had good knowledge, about 89.4% had positive attitude, and half of them (50.5%) had good practice towards the occupational health prevention strategies.

Discussion

Working in large scale industries increased the odds of good knowledge, positive attitude, and good practice. Being male and having position as manager or above also increased the odds of good practice.

Conclusion

Findings of this study suggested that manufacturing workers had moderate level of knowledge, good attitude, and moderate level of good practice on the prevention of occupational health.
P-166 WORKPLACE HEALTH PROMOTION FOR CHRONIC DISEASES’ IN THE WORKPLACE: A SCOPING REVIEW
Authors: Oosthuizen Esmiralda
Published: July 2024

Background

Workplace occupational health services provide an avenue to address multiple individual risk factors for chronic conditions through workplace health promotion. Chronic conditions in the workplace are addressed through health promotion aimed at improving individual health behaviours, including occupational health and safety interventions. In many instance the workplace contribute to the development of chronic diseases, through hazardous job exposures, high job demands, and inflexible work schedules. Workplaces have been identified by the World Health Organization (WHO) as a priority setting for health promotion as chronic diseases such as cancer, cardiovascular disease (CVD), and type 2 diabetes mellitus (T2DM) account for 74% of all deaths worldwide. The aim of this study is to systematically chart and summarize the literature pertaining to workplace health promotion (WHP) interventions targeting the five main modifiable lifestyle risk factors for chronic disease, including smoking, nutrition, alcohol, physical activity, and overweight/obesity.

Methods

A scoping literature review was performed using the framework of Arksey and O’Malley. The review was conducted by identifying publications via MEDLINE, CINAHL, and SCOPUS.

Results and discussion

The work environment directly shapes employee health, safety, and health behaviours. Chronic disease monitoring is a tool to aid as prove that even though employee has a chronic condition, he/she is controlled and therefore fit to work in job description as stated on fitness certificate.

Conclusion

Workplace health promotion is an effective way to enhance health-promoting behaviors, reach a large segment of the population, and reduce chronic disease risk factors.
P-168 MONITORING MENTAL ENERGY USE AND EXPLORING ASSOCIATED FACTORS AMONG TRUCK DRIVERS IN BELGIUM – TOWARDS PRIMARY PREVENTION
Authors: Verbrugghe Mathieu , De Clercq Bart , Chardome Lara , Stokkaer Ines , Vandecasteele Kaat , Ghoos Johan , Goeman Ann , Fernández Alberto Peña , Van den Broeck Marc , Van den Broeck Philip , Berckmans Daniel
Published: July 2024

Introduction

Stress among truck drivers is common. Interventions tailored to the organization’ and drivers’ needs are most effective. This study aims to (1) monitor metabolic energy use for mental tasks, and (2) explore associated factors and costs.

Methods

In a Belgian company, truck drivers’ mental energy use was monitored for 3 months using the Mindstretch® app (BioRICS), based on objective body measurements. Associated data were registered by the board computer. Costs were provided by the HR department. Individual data were pseudonymized. Individual (daily mean) balance scores (% energy recovery with ≥ 50% indicating more recovery than utilization) were calculated and correlated with the corresponding activity.

Results

Twenty drivers participated voluntarily after informed consent. The group average balance score was 45 (± 27) %. Mentally draining activities were: driving, uncoupling, waiting, refueling, and administration. Mentally recovering activities were: logging in, resting, and starting. Correlations were found between mental energy use and fuel consumption (ρ = 0.24), number of hard breakings (ρ = 0.27), and fines (ρ = 0.23).

Discussion

Correlations between mental energy use and certain activities/costs were found. However, only 20 drivers were followed over 3 months with a limited set of variables. In the new SmarTrans study, these limitations will be addressed. Tailored interventions to increase truck drivers’ resilience will be added and well-being and return on investment of interventions will be monitored.

Conclusion

Combining real time mental energy monitoring and tailored psychosocial interventions has the potential to reduce stress in truck drivers, lower operational costs for employers and lower fuel emissions.
O-099 FUTURE OF GLOBAL OEM: CHALLENGES AND OPPORTUNITIES
Authors: Arias Yohama Caraballo , Saito Kenji
Published: July 2024

Introduction and methods

Occupational and Environmental Medicine (OEM) specialists have become rare specimens. Historically, OEM is a discipline that did not attract junior doctors worldwide, however, this reality is changing in some nations where legislation is mandating Occupational Health and Safety (OSH) services at workplaces. The lack of OEM physicians, nurses, engineers, psychologist, etc. who are trained in OSH has not been quantified.

Results and discussion

OSH relevance has increased after health and safety at work was recognized as a human right in 2022. The main challenges in OEM in some countries are due to the insufficient governmental action on developing and implementing OSH policies in private and public sector. Seeing OSH as an expense and not as an investment; social and economic inequities among nations; and the lack of OEM services to small and medium enterprises are some other global challenges. Currently, only 10% of the population has access to health care services. The future of OEM has numerous opportunities that range from increasing awareness globally, managing the new challenges about robotics, nanotechnology, and artificial intelligence; closing the gap between theory and practice while aligning and inspiring national leaders to invest and implement OSH programs, strengthen legislation while supporting vulnerable countries.

Conclusion

OEM has plenty of opportunities to grow as a multidisciplinary field. Success requires strong partnership and networking from international, governmental institutions, OSH scientific societies and leaders. To achieve this, we could start by sharing best practices and utilizing innovative tools like social media and artificial intelligence to promote health, safety, wellbeing, and happiness at work.
O-107 ITWH: MANAGEMENT SYSTEM FOR PROMOTING THE WORKERS’ WELL-BEING AND THE TOTAL WORKER HEALTH® APPROACH IN THE WORKPLACE
Authors: Carugno Michele , Angori Paolo Bruno , Bellino Raffaello Maria , Carrer Paolo , Campo Giuseppe , Casolari Loretta , Colosio Claudio , De’Donato Francesca , De Palma Giuseppe , Gerbino Elisa , Iavicoli Ivo , Mattioli Stefano , Rapisarda Venerando , Vimercati Luigi , Zaffina Salvatore , Cornaggia Nicoletta
Published: July 2024

Introduction

NIOSH defines a Total Worker Health® (TWH) approach as “policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness-prevention efforts to advance worker well-being”, thus confirming work as a fundamental determinant of human health.

Methods

The Italian Ministry of Health recently funded the “Italian Total Worker Health” (ITWH) project, involving 16 units from seven Italian regions: eight hospitals, two universities, two local health authorities, two regional governments, one regional epidemiology department, and the National Institute for Insurance against Accidents at Work (INAIL). This four-year project is led by the Lombardy Region and coordinated by the Milan Policlinico Hospital.

Results

ITWH has eight specific objectives: 1) to describe the current state of the art regarding TWH; 2) to potentiate the already existing INAIL network (and related platform) of occupational health outpatient clinics (Marel); 3) to create a novel IT platform for company doctors and local health authorities, integrating occupational safety and health and TWH elements; 4) to homogeneously train on TWH topics at national level; 5) to gather and anonymously analyze data from objectives 2 and 3 platforms; 6) to implement TWH programs in selected workplaces; 7) to monitor and evaluate efficacy of TWH programs; 8) to disseminate project methods and results.

Discussion

This is the first project in Italy aiming to create a national Occupational Medicine network to foster the well-being of workers according to a TWH approach.

Conclusion

The Congress will have the opportunity to share results from project activities of the first year.
P-192 INDOOR AIR QUALITY MONITORING SYSTEM TO PROTECT OCCUPANT HEALTH AT A LARGE-SCALE PETROCHEMICAL COMPLEX
Authors: Kapadia Amar , Desai Nikunj , Rajesh R
Published: July 2024

Introduction

Indoor Air Quality (IAQ) refers to the air quality within and around buildings and structures, especially as it relates to the health and comfort of building occupants. Health effects from indoor air pollutants may be experienced soon after exposure or, possibly, years later.

Methods

Site Level Procedure for IAQ is prepared and updated periodically. Team comprising of OH & IH & IAQ Champion of that plant are involved in the monitoring of the parameters with total occupants around 1897 employees. Quantitative Analysis of the parameters such as cO2, CO, VOC, Temp, Rh is conducted with 3M EVM series monitor and interpretation of data with the standards (ASHRAE). Further swab sample collected from HVAC system.Qualitative Analysis done as per the health checklist in place to be filled by the occupant of the building in case of any complaints.

Results and discussion

and Interventions: Some abnormalities at few locations. After proper investigation root cause were identified and actions were taken for the same - Inlet of the fresh air in HVAC system increased, Dilution ventilation improved by providing more opening further improving cross ventilation and improving Indoor air quality, For bacterial growth the HVAC system was decontaminated with EPA approved surface disinfectant.No health complaints were reported by any of the occupant.

Conclusion

Understanding of the harmful effects induced by indoor air pollution will help us to take all the appropriate preventive measures to reduce the possible health risks. Through periodic IAQ monitoring and early intervention, the adverse health effects in the occupant can be prevented.
O-117 EVALUATION OF XYLENE AND ETHYLBENZENE EXPOSURE IN AN OCCUPATIONAL SETTING USING THE NEW CUSTOM-MADE ACTIVATED CHARCOAL CLOTH PATCH
Authors: Claus Rani , Van De Velde Dahlia , Lema Frauke , Ronsmans Steven , Marain Nora , Hoet Peter , Vanoirbeek Jeroen
Published: July 2024

Introduction

Evaluation of dermal and respiratory exposure to volatile organic compounds in occupational settings is becoming increasingly important.

Methods

This study assessed the dermal exposure contribution (versus inhalation exposure) to the overall exposure of seven workers employed in a spray paint company. Stoffenmanager®V8 was used to model inhalation exposure, followed by air measurements with active charcoal tubes and dermal exposure assessment using three custom-made activated charcoal cloth patches (neck, thumb and index finger) of xylene and ethylbenzene. Internal exposure was assessed by pre- and post-shift urine samples of mandalic acid (ethylbenzene), phenyl glyoxylic acid (ethylbenzene), and methyl hippuric acid (xylene). We divided the workers into painters (n=3) and drivers (n=4).

Results

The predicted concentrations from stoffenmanager®V8 were lower than the measured values of the painters, namely, estimated=18.4 mg/m3 versus measured=36.2±23.3 mg/m3 (ethylbenzene) and estimated=34.6 mg/m3 versus measured=161.5±102.14 mg/m3 (xylene). Subsequently, the inhalation samples were evaluated for compliance with the Belgian TLV using expostats, showing well-controlled air exposure for all scenarios except the painter’s xylene exposure, where two measurements (220 mg/m3) were almost the TLV (222 mg/m3). Dermal measurements indicated that painters experienced dermal liquid exposure (hands) ranging from 30 to 42 times higher and 2.5 times higher vapour exposure (neck) than drivers. However, no significant differences were found in the urinary post samples of both groups, 177.10±89.0 mg/g creatinine versus 51.2±32.7 mg/g creatinine (ethylbenzene) and 35.7±15.5 mg/g creatinine versus 16.9±4.0 mg/g creatinine (xylene).

Discussion and conclusion

drivers who did not have liquid dermal contact can still have overall exposure comparable to the painters.
O-119 ON DETECTION LIMITS AND UNCERTAINTY OF GRAVIMETRIC ANALYSIS OF AEROSOL COLLECTION SUBSTRATES
Authors: Verpaele Steven , Bertier Pieter
Published: July 2024

Introduction

Decreasing occupational exposure limit values for substances such as wood dust drives a need to measure ever smaller collected masses of aerosols. The lower OELVs require better accuracy in measuring particulate masses on collection substrates. Yet, the necessary inclusion of sampling cassette wall deposits compromises the accuracy of the gravimetric analysis. While usually only sampling substrates are weighed, much larger and heavier cassettes or internal capsules must be measured today. Despite the apparent need for increased accuracy, there is a lot of ambiguity about the determination methods and values for detection limits and uncertainty of gravimetric analysis.

Methods

This presentation will discuss the detection limits and uncertainty of gravimetric analysis through a large dataset of values obtained for different substrates using different approaches. For this purpose, 12 sets of 50 blank substrates were weighed several times on a microbalance in an actively controlled environment (25 °C and 50 %RH). The collection includes commonly used sampling substrates in workplace exposure measurement methods, substrates in cassettes, and capsules. Limits of detection and quantification (LOD/LOQ) and uncertainty were calculated through the ISO 15767 method as a benchmark and compared to those obtained from other proposed methods.

Results, discussion and conclusion

Several factors controlling LOD/LOQ values were addressed by systematic testing, and some critical issues, like the hysteresis of water uptake, were recognized. Data from workplace samples, in addition to data obtained on blank substrates, are used to address essential contributions to the uncertainty of the gravimetric analysis.
P-199 EXPOSURE TO WOOD DUST AND ASSOCIATED COMPONENTS DURING WOOD PROCESSING WORK
Authors: Pedersen Ine , Ervik Torunn K , Zardin Erika , Afanou Anani K , Foss Oda A H , Skaugset Nils Petter , Straumfors Anne
Published: July 2024

Introduction

Exposure to wood dust is associated with an increased risk of lung, nose, and sinus cancer as well as other respiratory diseases. Particle size distribution of dust particles can provide information about health risks regardless of weight and investigate what impact air recirculation has on exposure. The content of components in wood dust, such as resin acids, monoterpenes, aldehydes, along with others is not constant, nor is it always related to the dust mass. Increased knowledge could improve assessing air circulation in relation to components and their health risk.

Methods

Full-shift personal aerosol sampling at 23 companies and long-term stationary sampling at 3 companies were performed (2019-2023). Personal samples were analyzed for wood dust mass, endotoxin, resin acid, monoterpenes, along with others. Size distribution were characterized in the stationary samples. Collected dust were tested in cell models.

Results, discussion and conclusion

A moderate exposure to soft wood dust were measured, with a median exposure below the Norwegian occupational exposure limit of 2 mg/m3 total dust for all companies, except for one. No statistically significant differences in dust exposure were observed between companies with and without air recirculation. The exposure to wood dust from a mixture of hard and soft wood types was higher than the exposure from soft wood, the 75-percentile exceeding the occupational exposure limit for hard wood and mixtures of hard and soft wood of 1 mg/m3 inhalable dust. Stationary samples showed that the ventilation systems efficiently removed the small particles. Analyses of associated components and inflammatory potential are ongoing, and results will be presented at the conference.
O-124 ATMOSPHERIC DUST CONTAINING NANOMATERIALS
Authors: Deschamps Frederic
Published: July 2024

Introduction

The term “ultrafine” is frequently used to describe nanometre-size particles. They are considered as nuisance dusts inducing toxic-biological effects. Productions of goods having at least one dimension smaller than 10mm are qualified of nanomaterials such as nanotubes, nanowires or nanoparticles. In fact, numbers of commercial and consumer products containing engineered nanomaterials rise. Dusts of nanoparticles are also not been intentionally produced by automobile diesel, soil and volcanic activities.

Methods

Exposure to nanomaterials for a short period of 3 days, per example for 2 hours long, could induce after a long latency disease outcome. Dust containing nanoparticles induces oxidative stress, DNA damage and inflammation. Secondary effects include toxicity at the site of dust containing nanoparticles deposition in organs such as liver, spleen, kidney, heart and obviously lungs! Dust containing nanoparticles inhibit DNA repair mechanisms and play a synergistic role in the possible development of lung cancer for example.

Results/discussion

The lung is the major target of nanoparticles air pollution. Exposed people to inhalation of dust nanomaterials including workers report difficulties breathing and present reduced long capacity, progressive lung inflammation and eventual fibrosis. Moreover, nanoparticles are contamination can induce cardiovascular pathologies and a lot of other diseases.

Conclusion

Contamination by nanoparticles in dust is difficult to predict because of the variability of process generation and ventilation among worksites. It is important to take into account eventual unfavorable meteorological conditions such as elevated ambient temperature or high relative humidity, which can induce an increase of the concentration of nanoparticles present in dust.
O-128 OCCUPATIONAL AND BEHAVIORAL FACTORS IN NON-MELANOMA SKIN CANCER IN NORTH EAST OF ITALY
Authors: Filon Francesca Larese , Mauro Marcella , Zalaudek Iris , Rui Francesca
Published: July 2024

Introduction

Exposure to sunlight, to artificial UV-radiation and as arsenic or polycyclic aromatic hydrocarbons can cause non-melanoma skin cancer (NMSK). The majority of NMSK could be preventable by avoiding at-risk exposure. Objectives To analyze occupation, risk perception, UV exposure, preventive habits in 248 subjects affected by NMSC and 248 controls living in Trieste, North East of Italy.

Methods

Consecutive cases with incident NMSC and controls without skin cancers were recruited at University of Trieste. All had a medical examination and filled a standardized questionnaire on sun exposure habits, sun protection, occupational exposures, and sunburns in adulthood and childhood.

Results

In multivariate regression analysis, NMSC resulted significantly associated with age (OR: 1.02; 95% CI 1.00-1.05), low educational level (OR: 2.93; 95%CI 1.26-6.83), sunbath numbers per year (OR: 1.54; 95% CI: 1.35-1.74), history of solar burn during childhood (OR:1.28; CI95% 1.03-1.61) and occupations with UV exposure (OR 3.63: 95%CI 1.23-9.82). A protective effect was demonstrated for Fitzpatrick phototypes III-IV compared to I and II (OR: 0.22; 95% CI: 0.09-0.51). Increased risk was found for farmers, fishermen, bricklayers, welders, and drivers, but without reaching the statistical significance for each job.

Discussion and conclusions/

In our study the role of behavioral habits, sun exposure and occupation resulted important factors in NMSC incidence. More effort are needed to prevent sun exposure without protection, increasing awareness about sun exposure risk, suggesting the use of protective creams, to organize outdoor work limiting sun exposure.
O-136 WORKING-LEARNING CONDITIONS, INCIDENCE OF BURNOUT AND SOMATIC DISORDERS IN PREGRADUATE MEDICAL INTERNS
Authors: Palacios Nava Martha Edilia
Published: July 2024

Introduction

The undergraduate internship is part of educational process of physicians. They must comply with schedules, activities, and responsibilities, almost like medical professional. We called this working-learning conditions. Because of this they are exposed to stressful factors that could be associated with burnout and somatic disorders.

Objective

To identify the association between working-learning conditions, frequency of burnout and somatic disorders in undergraduate medical interns.

Methods

A questionnaire was applied to 207 pre-graduated doctors. Sociodemographic characteristics, work-learning conditions, Maslach’s inventory and Kroenke’s PHQ15, to identify burnout and severity of somatic symptoms respectively were included.

Results

55% reported having worked between 70-101 hours and 30% worked more than 102 hours by week. 52% worked until 45 hours continuously, 54% attended between 20-40 patients per day. 29% performed guards every third day. 47% reported feeling excessive workload. 65% perceived they did not receive clear indications and sufficient training for patient care, 43% expressed anguish for not knowing how to carry out the activities required for patient care, 45% for not having adequate medication and equipment, 46% having so tired that it hindered their activities. Emotional exhaustion was detected in 62%, depersonalization in 46%, and 39% had high personal fulfillment. The total syndrome occurred in 32%. We found significant differences for the three subscales and burnout syndrome according to date of they responded the questionnaire. 6% of medical interns were in the high severity level of somatic symptoms, 44% presented occasional discomfort.

Discussion and conclusion

A high level of stressful working-learning conditions, burnout and somatic symptoms were found in medical interns.
P-225 A MULTIPRONGED APPROACH TO INCREASE INFLUENZA VACCINATION TAKE-UP RATE AMONGST HEALTH WORKERS IN A TERTIARY HOSPITAL IN SINGAPORE DURING COVID-19 PANDEMIC
Authors: Lim John Wah
Published: July 2024

Introduction

Influenza vaccination is strongly encouraged for all health workers (HW) to reduce the risk of acquisition and transmission to patients and co-workers during the influenza season. This is essential to minimize hospital operation disruption during influenza season, including during the initial phase of the COVID-19 pandemic. We aimed to study different approaches to increase the influenza vaccination take-up rate in a tertiary hospital in Singapore.

Methods

Traditionally, there are two ways influenza vaccine is offered during influenza seasons. The centralized approach is a walk-in system during office hours, and the decentralized approach utilizes nurses from clinical departments as vaccinators to vaccinate their peers. The take-up rate remains suboptimal despite these two approaches. We worked with different stakeholders to adopt additional approaches to enhance the take-up rate, including policy change, support from leadership and repeated reminders by supervisors, weekly data analysis to identify departments with low take-up rates, and a mobile vaccine team.

Results

Multipronged approaches helped to increase the influenza vaccination take-up rate from 77% in the year 2018 to > 90% during the initial phase of the COVID-19 pandemic in 2020 and maintained at >80% since 2021, possibly due to competition from COVID-19 vaccine and vaccine fatigue.

Discussion

An increased influenza vaccination take-up rate was observed when adopting multi-pronged and innovative approaches. This required support from various stakeholders and increased awareness amongst HW.

Conclusion

Multipronged approaches are essential to increase the influenza vaccination take-up rate among HW. Similar approaches can be adopted and applied to other vaccinations which are essential for HW.
P-229 ACUTE EFFECTS OF SEDENTARY BEHAVIOUR ON FOOT STRENGTH IN A GROUP OF PHYSIOTHERAPISTS
Authors: Popescu Florina Georgeta , Pauncu Elena -Ana , Dragoi Lulia Lovanca
Published: July 2024

Introduction

During Covid-19 pandemic, rehabilitation health carers’ activity shifted from in-clinic to remote assistance of patients. Thus, their active professional activity became sedentary, forcing them to sit in front of the computer and coordinate the patients.

Aim

We analysed how sedentary behaviour affected foot muscle strength in a group of physiotherapists compared to people with sedentary occupational work and life style.

Material and methods

The group of study consisted of 8 healthy participants, 4 physiotherapists and 4 sedentary people. By electronically dynamometric means, foot muscle strength was objectively measured. Three consecutive maximal voluntary isometric contractions for bilateral plantar flexor and dorsiflexor muscles were captured at different moments in time.

Results

Foot muscle strength expressed by the average peak torque was statistically significantly decreased after 6 hours (p = 0.019) in both static and active behaviours, with a higher average peak torque in the active behaviour (p < 0.001). Age, gender, body mass index and average steps did not have any significant influence on the average value of maximal voluntary isometric contraction. The more time participants maintained either static or active behaviour, the less force was observed during ankle torque testing.

Discussion

The sitting position representing the static behaviour was associated with a higher reduction in the average peak ankle torque during a maximal voluntary isometric contraction when compared to the active behaviour.

Conclusion

When physiotherapists are engaged in sedentary behaviour, in order to prevent foot strength decrease, breaks and adaptation of non-working activities should be adapted by replacing sedentary behaviour with a more active lifestyle.
P-232 EVALUATION OF SURFACE CONTAMINATION AND DERMAL EXPOSURE TO 5-FLUOROURACILE IN A HEALTHCARE SETTING
Authors: Creta Matteo , Tans Birgit , Devriese Herman , Godderis Lode , Duca Radu , Vanoirbeek Jeroen
Published: July 2024

Introduction

5-FU is one of the most used anticancer drugs (AD) and monitoring the exposure is fundamental to protect healthcare personnel. In this study, the contamination by 5-FU and the related dermal exposure were evaluated in different hospital locations during the preparation and administrations of AD.

Methods

Contamination was evaluated collecting 52 surfaces samples, before and after the preparation of AD, in the pharmacy department (PD) and in the administration sites (AS); 66 samples were collected from the hands and from the gloves (internal and external) of 9 pharmacists for the assessment of dermal exposure.

Results

5-FU mean concentration on surfaces of PD before 5-FU preparation was 9±7 pg/cm2, which increased to 31±19 pg/cm2 after preparation. The highest contaminations were found on external packing of 5-FU infusion-bags and on the vials (347 and 177800 pg/cm2). On the surfaces of AS, the mean concentration of 5-FU was 29±12 pg/cm2 and 40±19 pg/cm2, respectively before and after the administration. The mean concentration of 5-FU found on external gloves of pharmacist was 100±94 pg/cm2 (33% of samples below LOQ), while on the internal gloves it was 2±1 pg/cm2 (76% below LOQ). On the hands, only 3 samples had detectable level (0.54, 1.18 and 0.38 pg/cm2).

Discussion and conclusion

Despite ubiquitous presence of 5-FU, this study showed that good practice and cleaning procedure were able to reduce the surface contamination below the proposed limit value (100 pg/cm2). Only vials and infusion-bags were highly contaminated; however, the proper use of PPEs by pharmacists determined a low risk of dermal exposure.
P-234 THE IMPACT OF COVID-19 IN AN ANALYSIS OF TEMPORARY DISABILITY FOR 2022 AMONG ACTIVE TREATMENT HOSPITAL WORKERS IN BULGARIA
Authors: Hristova Lidiya , Nikolova Ruja , Lybomirova Karolina , Simeonova Simeonka
Published: July 2024

Introduction

The impact of Covid – 19 continues to influence the incidence of temporary disability among active care general hospital workers. In 2022, sick leaves with the diagnosis: Covid - 19, identified and unidentified virus are the leading cause of incapacity for work among healthcare workers.

Materials and methods

A survey was conducted among 1423 workers from a multispecialty hospital for active treatment in Bulgaria, 728 sick sheets submitted in 2022 were processed. In the analysis of temporary incapacity, a number of statistical indicators were used - frequency of cases, frequency of days and average duration of one case, as well as the patients by types of diseases and nosological groups.

Results and discussion

The highest frequency of cases - 46.83 and 19.67 - frequency of lost work days, preventing the performance of work among health professionals and in 2022 is due to the temporary morbidity with the diagnosis: Covid - 19, identified and unidentified virus, followed by diseases from the class of diseases of the bone-muscular system and connective tissue and from the class of neoplasms.

Conclusion

The thesis is confirmed that workers in the healthcare sector are exposed to a high risk of biological, ergonomic, and psycho-social risk factors, requiring continuous health monitoring, active prevention of detected diseases and health promotion.
P-237 OCCUPATIONAL AND ENVIRONMENTAL EXPOSURE TO CYTOSTATIC DRUGS AND HEALTH EFFECTS IN MOROCCO: PILOT STUDY IN THE FES-MEKNES REGION
Authors: Chetouani Hala , Menouni Aziza , Bouazzi Omaima El , Berni Imane , Godderis Lode , El Jaafari Samir
Published: July 2024

Introduction

Cytostatic or antineoplastic drugs are mainly used in chemotherapy for cancer treatment. The daily use of cytostatic drugs by healthcare professionals might expose them to several health risks. Our study aims to monitor occupational and environmental exposure to cytostatic drugs among health care workers and predict its health risks.

Methods

We first launched in Morocco an online survey to assess knowledge and practices related to the use of personal protective equipment among health professionals. Then, we conducted a pilot cross-sectional study among 45 health workers to identify methods for exposure evaluation and to quantitatively evaluate the exposure to cytostatics. Wipe sampling is taken from surfaces, objects and PPEs, and combined with dermal sampling from health care workers, to be analyzed by high performance liquid chromatography coupled with a mass spectrometer. Human biomonitoring focuses on the investigation of 6 cytostatics excreted in urine.Neurotoxicological and epigenetic biomarkers are assessed and correlated to cytostatics concentrations.

Results

The results show that 20.8% of healthcare workers regularly use PPEs, and that 72.7% are not trained in the safe handling of cytostatic drugs. 43.6% report to be less aware of the cytostatic risks on their health.

Discussion

Results are expected to highlight the risks of unintended exposure to cytostatic drugs in occupational setting and pave the way for a larger study confirming our preliminary results.

Conclusion

Our pilot study should also lead to greater awareness raising and tailored occupational health programs.
P-239 SAFEGUARDING HEALTHCARE WORKERS’ WELL-BEING DURING THE COVID-19 PANDEMIC: LESSONS AND STRATEGIES FROM UNIVERSITI MALAYA MEDICAL CENTRE
Authors: Hoe Victor , Lim Yin Cheng , Krishna Rama , Baharudin Faiz
Published: July 2024

The emergence of the COVID-19 pandemic in 2020 had profound global implications, with healthcare workers (HCWs) on the frontlines, especially those in hospitals, facing significant challenges. At Universiti Malaya Medical Centre (UMMC), we recognized the crucial importance of protecting HCWs’ well-being and addressing their mental health amidst this crisis. Throughout various phases of the pandemic, HCWs encountered diverse mental health issues. Initially, they grappled with anxiety and fear, fueled by the scarcity of knowledge and the rampant spread of misinformation. Subsequently, they faced social isolation, burnout, depression, emotional distress, post-traumatic stress disorder (PTSD), and moral distress. UMMC’s experience provided valuable insights that informed our management approach. We swiftly devised and implemented measures to respond to emerging needs. Our response was bolstered by three key factors: i) a strong, dedicated, and responsive management team, ii) an established Occupational and Public Health Service, and iii) resource personnel with a solid foundation in occupational and public health. The implemented measures encompassed the formation of a risk assessment team, a psychosocial telephone helpline, childcare facilities for HCWs, designated accommodations for quarantined or apprehensive HCWs, efficient communication channels through emails and townhall sessions with experts and top management, and the development of HCW-friendly work schedules, among others. This presentation aims to outline the strategies and framework we employed to manage mental health challenges in a hospital setting during future pandemics.
P-248 BURNOUT AND METABOLIC SYNDROME IN HEALTHCARE WORKERS: A CROSS-SECTIONAL STUDY
Authors: Fki Amene , Thabet Oumayma , Sridi Chayma , Chelly Farah , Gadha Nabil Ben , Ksibi Sonia
Published: July 2024

Introduction

Healthcare workers are exposed to job-related stress factors that can lead to burnout. Some studies have suggested that burnout has an impact on metabolic profile. This study aimed to assess the association between burnout and metabolic syndrome in healthcare workers at the Sahloul University Hospital in Tunisia.

Methods

Data was collected from a cross-sectional study using a questionnaire exploring socio-démographic and professional data, lifestyle habits and pathological history. A physical examination and a biological check-up were completed. Burnout was assessed using the Maslash Burnout Inventory test. The definition established by the International Diabetes Federation was adopted for the diagnosis of metabolic syndrome.

Results

A total of 139 healthcare workers participated in our study, 82% of whom were female. The average age was 41.9 ± 9.11 years. The prevalence of metabolic syndrome and burnout was 25.6% and 41.8%, respectively, with a high emotional exhaustion score in 47.8%, a high depersonalization score in 23.9% and a low personal accomplishment score in 73.1%. There was no significant association between metabolic syndrome and burnout (p=0.93). However, metabolic syndrome was associated with age (p=0.01), the presence of a pathological history (p=0.000), the means of transport used (p=0.049) and a history of work-related accidents (p=0.001).

Discussion

In this sample of healthcare workers, the prevalence of burnout and metabolic syndrome was similar than that reported in other studies. The association between these two entities remains controversial.

Conclusion

Strategies need to be developed to prevent burnout and metabolic syndrome in the hospital workplace, by improving lifestyle habits and stress management.
P-258 RISK OF BURNOUT SYNDROME AMONG PEDIATRIC HEALTHCARE WORKERS
Authors: Khouja Nihel , Bechrifa Emna , Ismail Saloua , Baraketi Emna , Fatma Naourez Ben , Belkahla Amira , Guitouni Yosra , Hsinet Jihen , Benzarti Aida , Marzouk Asma , Bouaziz Asma
Published: July 2024

Introduction

Pediatric healthcare workers (HCWs) are exposed to occupational stress factors that may lead to the development of psychiatric disorders such as burnout syndrome.

Objective

To screen burnout syndrome in HCWs and identify its risk factors.

Methods

we conducted a descriptive cross-sectional study among HCWs in a pediatric department using a Self-administered questionnaire combined with the Maslach Burnout Inventory (MBI) psychological test.

Results

30 HCWs were included. They were primarily doctors (37%) and paramedical professionals (47%), with an average age of 37±10 years and an average professional seniority of 9years. HCWs reported experiencing certain temporary (80%) and organizational (59%) work constraints. Among the participants, 53% reported being victims of violence, mainly verbal aggression in 87% of cases, which had a significant impact on their psychological health (reported by 97% of victims). Additionally, 39% were under psychiatric care. The MBI test revealed a high emotional exhaustion score in 79% of cases, a high depersonalization score in 37%, and a low personal fulfillment score in 57%. The combination of these three scores revealed a high risk of Burnout in 17% of cases. Emotional Exhaustion was significantly correlated with home-to-work commuting time (p=0.26) and poor working conditions (p=0.008). Depersonalization was associated with job seniority (p=0.33), number of working hours (p=0.003), and absence of breaks (p=0.42).

Discussion

Despite the high risk, few studies have looked at the psychological burden experienced by HCWs in pediatric medicine.

Conclusion

the risk of burnout syndrome is not negligible among pediatric HCWs. Targeted preventive action must be taken to eliminate it.
P-271 RESPIRATORY SYMPTOMS IN POST COVID SYNDROME IN HEALTHCARE WORKERS
Authors: Kacem Imene , Kahloul Mohamed , Moussa Amen , Ghenim Amal , Chouchane Asma , Ajmi Mohamed , Aloui Asma , Brahem Aicha , Kalboussi Houda , Maalel Olfa El , Chatti Souhail , Naija Walid , Maoua Maher , Mrizak Nejib
Published: July 2024

Background

Lung injury is one of the most common and damaging lesions of COVID-19. Some of the manifestations may persist after the clinical recovery as part of a post-COVID syndrome.

Aim

To study the prevalence of persistent respiratory symptoms after COVID-19 infection and its associated factors.

Methods

A cross-sectional study was conducted among healthcare workers at a Tunisian Hospital, who tested positive for SARS-COV2 during the period from 01/09/2020 to 28/02/2021.

Results

A total of 474 workers were included, with a mean age of 41.02 ±10.67 years. A female predominance was noted (79.3%). A medical history was reported in 37.9% of cases of which 16.3% had a respiratory history. The rate of respiratory manifestations of covid-19 was 38.4% and consisted of (35.6%) cough, (5.8%) dyspnea, and (5.8%) chest pain. At 3-month follow-up, respiratory symptoms of the post-covid syndrome were dominated by shortness of breath on effort (23.8%), chest pain (8.4%), and cough (7.4%). Chest CT scans were performed in 33 patients and were normal in 33.3% of cases. The evaluation duration of dyspnea, chest pain and cough in the post-COVID phase were more prolonged in patients who were not hospitalized during the acute phase of the infection compared to those who were hospitalized with a statistically significant difference for dyspnea (p dyspnea=0.024) and for chest pain (p chest pain=0.023).

Discussion and Conclusion

The high rate of respiratory manifestations of post covid syndrome underlines the importance of further work in order to prevent its possible complications.
O-153 METABOLIC SYNDROME SCREENING IN THE WORK POPULATION
Authors: Arrivillaga Alvaro
Published: July 2024

Introduction

The significant increase in Metabolic Syndrome (MS), worldwide with the consequent increase in cardiovascular and metabolic diseases, prompted us to investigate the prevalence of risk factors in a young, healthy and active working population.

Methodology

Observational, descriptive, retrospective cross-sectional design, which included 167 workers from a beverage production plant (29% women, 71% men), from 19 to 68 years (80% under 40 years of age), who were measured according to the parameters of the National Cholesterol Education Program Adult Treatment Panel III (ATP III), in order to assess the presence of MS.

Results

the prevalence of MS was 27%, with hypercholesterolemia and hypertriglyceridemia being the most frequent risk factors in 88% and 78%. Only 15 workers did not present any risk factor. 33% presented at least 2 risk factors, which places them on the borderline of MS. The prevalence of MS increased according to age, being 15% for 21 to 30 years, and 67% for the group over 60 years. A poor nutritional status occurred in 73% of the cases with MS, and 54% of all workers had some degree of BMI outside the normal range.

Discussion and Conclusions

The prevalence of MS found is like that reported worldwide (27%), however, as it is a young population and with a large percentage (33%) of at least 2 factors, it should be cause for alarm and intervention in the promotion of health in the workplace.