bluuebunny/crossref_metadata_2025 huggingface dataset:
P-457 FORMULATION OF A SOCIAL-HISTORICAL MODEL WITH INTERNATIONAL ARTICULATION FOR THE CONCEPTUALIZATION OF PSYCHOSOCIAL FACTORS AT WORK, BEYOND THE REGULATIONS AND POLICIES THAT PROMOTE ONLY COMPLIANCE WITH MINIMUM STANDARDS
Authors: Adams Angulo Jaime Alberto , Solano Pérez Julie Astrid
Published: July 2024

Background

Psychosocial risk factors in the workplace can become a problem that leads to multiple negative consequences.

Methods

With this work, it is expected to formulate a model that allows recognizing the complexity of the phenomenon, including a greater emphasis on health care and dignity of the worker. It is intended and elaborate a theoretical development based on the articulation of various international perspectives ranging from developments in Germany and Russia, to Sweden, through the Latin American perspective, which will broaden the epistemological basis of psychosocial factors and will have an impact on theoretical developments. and applied Health and Safety at work OHS. Therefore, the general objective is a historical-social model with an international articulation for the conceptualization of psychosocial factors at work, beyond the regulations and policies that promote compliance with minimum standards, because they leave aside processes of high quality that result in the improvement of working conditions.

Results and discussion

The type of research is comparative documentary, of an ideographic type and the chosen comparison model is of a socio-historical nature. As a result of the formulation of the model, it is established that the following concepts must be articulated to promote a better understanding of psychosocial factors: production processes wear and tear and morbidity and mortality, worker approach, class wear, labor exploitation, multicausal analysis of health-disease, informal work, epidemiological analysis of morbidity and mortality caused by stress, self-conditioning of free time, economic, political and historical determinants of health and work conditions.

Conclusion

It is concluded that improving theorization will generate safer and more dignified working conditions.
O-312 A WELL-BEING AT WORK INTERVENTION IN HEALTH CARE - A FOUR-YEAR FOLLOW-UP STUDY
Authors: Furu Heidi , Aalto Patrick Furu , Näsman Markus , Näsman Ove , Simola-Ström Sabina
Published: July 2024

Background

Well-being at work is associated with sick leaves, work ability, and productivity. Workplaces use substantial resources on various well-being at work interventions. However, demonstrating their effect has been challenging and usually involved comparing results before and right after the project. Knowledge of the long-term effects is scarce. Well-being at work of health care personnel has raised a lot of concern, especially during the pandemic. Aims: We aimed to examine the long-term effects of a well-being at work workshop intervention in a municipal health care organization over a period of four years.

Methods

The study group consisted of intervention (n=8) and control units (n=39). Well-being at work was measured at baseline (n=615), at two years (n=674) and at four years (n=671). We compared the results of the intervention and control groups, also adjusted for baseline.

Results

The intervention units’ well-being at work improved significantly from baseline (6.87) to the two-year mark (7.52) and was still at the same level at the four-year mark (7.44). Meanwhile, there was no significant change in the control units. The difference between the groups remained significant when adjusted for baseline.

Discussion

Our study showed that well-being at work interventions may have long-term effects in health care.

Conclusion

Results are in line with previous studies which have shown that interventions have the most impact when measures are targeted at work instead of individuals, the whole personnel participate, management is committed, and the results are followed up. Thus, results should be generalized only to interventions that harbour these features.
O-314 OCCUPATIONAL EXPOSURE TO IONISING RADIATION AND FITNESS FOR WORK: A CASE SERIES AND COMPARISON WITH LITERATURE
Authors: Lourdes Monaco Maria Grazia , Carta Angela , Spiteri Gianluca , Porru Stefano
Published: July 2024

Introduction

The increasing number of healthcare workers (HCWs) occupationally exposed to ionizing radiation (IR) and the growing number of cancer disease survivors in the working age, require adopting shared and sustainable management models to protect workers’ health and safety.

Methods

We performed a retrospective analysis of health surveillance activities carried out in the last six years on HCWs working at the University Hospital of Verona. All cancer cases were collected and evaluated, as well as information on the characteristics of the worker and job task. The cases were then appraised and compared with the most recent evidence in the literature.

Results

Ten cancer cases were recognised: four breast cancer, one gastric lymphoma, two papillary thyroid carcinomas, one melanoma, two leukemia cases and one colon cancer. For eight workers, it was necessary to appraise the probability of causation regarding occupational IR exposure and the onset of the disease, as well as fitness for work, which in more than 50% of the cases led to restrictions.

Discussion

The case series analysis enabled to identify a tailor-made health surveillance protocol for these IR- exposed workers and to facilitate the support of a team of referral physicians so that the worker was quickly taken care of. The literature review revealed insufficient scientific evidence to support the occupational physician in managing these cases.

Conclusion

The management of cancer workers exposed to IR requires a close multidisciplinary collaboration, in order to take care of both their health and safety protection needs and their professionalism at work.
P-474 DISEASES ASSOCIATED WITH OCCUPATIONAL EXPOSURE TO IONIZING RADIATION
Authors: Bechrifa Emna , Baraketi Emna , Khouja Nihel , Ismail Saloua , Hsinet Jihen , Benzarti Aida
Published: July 2024

Introduction

Occupational Radiation-induced diseases are infrequent but serious illnesses that can compromise the medical fitness for work of the affected workers. We aimed to describe the characteristics of occupational radiation-induced diseases cases and to assess their work-fitness.

Methods

Descriptive, retrospective study of patients who consulted for an occupational radiation-induced disease at the Occupational Medicine Department from 1998 to 2022.

Results

There were 30 cases predominantly male(53%), with a mean age of 37.4years and a mean job tenure of 11.7 years. Key sectors were healthcare (57%) and industrial radiography (20%). Findings revealed limited protective gear usage (17%) and passive dosimetry access (20%). Illnesses were discovered primarily through symptoms (53%) and during occupational medicine visits (23%). The most common diagnoses were thyroid tumors in 38%of cases (including two cases of thyroid cancer), hematological diseases in 28%of cases (including two cases of chronic myeloid leukemia and one case of acute myeloid leukemia), cataracts in 23% of cases and male sterility in 6% of cases. These diseases were considered compensable occupational diseases according to Tunisian legislation in 60% of cases. They justified a medical redeployment in 27% of cases and an adjustment of the workplace in the rest of the cases.

Discussion

The findings highlight the importance of implementing and reinforcing radiation protection measures in the workplace, encompassing both technical precautions and medical surveillance, to ensure a safer environment for workers exposed to radiation.

Conclusion

Strengthening preventive measures when workers are occupationally exposed to radiation will promote a safer work environment.
P-493 DIRECT COST OF RECOGNIZED ALLERGIC OCCUPATIONAL ASTHMA IN SOUTHERN TUNISIA
Authors: Rmadi Nehla , Sellami Imen , Hammami Kaouthar Jmal , Hajjaji Mounira
Published: July 2024

Introduction

Occupational asthma (OA) is one of the most common respiratory pathologies in the workplace. It mainly affects young workers and has significant socio-economic consequences.

Methods

This was a retrospective descriptive study of all cases of OA recognized in the southern Tunisian region during the years from 2002 to 2017. The direct cost of OA included the total amounts paid by the national health insurance fund (CNAM) to the socially insured (total temporary and permanent work allowances) from the date of OA diagnostic or consolidation until November 1, 2021.

Results

A total of 73 cases of recognized allergic OA were identified. Employees’ average age was 42.15 ± 8.78 years. The average rate of permanent partial disability (PPD) was 20.56 ± 15.85%. The total sum paid by the CNAM was 1,161,641.540 dinars with an average of 15,912.850 ± 56,070.89 dinars and an individual median sum of 7,208 dinars. The PPD rate was significantly associated with a cost above 7,000 dinars.

Discussion

Under-reporting of OA in this study could be due to misdiagnosis, or ignorance of the law by treating physicians or physicians responsible for making the diagnosis. Also, some workers with real OA might not report their disease for fear of losing their job or because compensation is perceived to be low.

Conclusion

The diagnosis of OA could have serious socio-economic consequences not only for the workers but also for the employer and the health system. Estimating the magnitude of OA remains a crucial step in implementing effective prevention strategies.
P-495 PRIMARY LUNG CANCER AND OCCUPATIONAL EXPOSURE IN A SOUTHERN TUNISIAN POPULATION
Authors: Kchaou Amel , Dhouib Feriel , Kotti Nada , Feki Walid , Hammami Kaouthar Jmal , Kammoun Sami , Masmoudi Mohamed Larbi , Hajjaji Mounira
Published: July 2024

Introduction

Lung cancer is considered the most common occupational cancer. The aim of this study is to identify the occupational exposures responsible for primary lung cancer in patients from southern Tunisia.

Methods

Any incident of primary bronchial cancer in the Pneumology Department of the CHU Hédi Chaker in Sfax was included in the study. Exposure to occupational respiratory carcinogens was investigated on the basis of a standardized occupational questionnaire. If the various conditions set out in the list of the Tunisian tables of occupational diseases were fulfilled, a declaration of occupational disease was made.

Results

Our study lasted one year and included seventy patients. Our sample was predominantly male (94.28%). Mean age was 62.81 ± 9 years. The proportion of smokers or ex-smokers was 94.30%. The most frequent histological type of lung cancer was adenocarcinoma (44.2%). Occupations were manual in 95.60% of cases. Construction (35.29%) and agriculture (23.52%) were the most common sectors. Occupational exposure to a respiratory carcinogen was noted in 65% of cases. The most frequently encountered carcinogens were crystalline silica (17.64%) and diesel exhaust (13.23%). Four patients were considered to suffer from a compensable occupational disease.

Discussion

Lung cancer is the most common form of occupational cancer. However, under-reporting may represent unrecognized injuries that especially burden precariously employed workers as financial, health and social.

Conclusion

The medico-legal management of lung cancer can lead to a more effective policy of identifying occupational exposure to lung carcinogens.
P-501 THE SI-BRE STUDY PROTOCOL: ‘ASSESSING THE DIAGNOSTIC VALUE OF ‘BREATHOMICS’ IN THE OCCUPATIONAL HEALTH SETTING FOR THE EARLY DETECTION OF INTERSTITIAL LUNG DISEASES, SUCH AS SILICOSIS.’
Authors: Van Loon Nele , Lapperre Thérèse , Ruttens David , Thomeer Michiel , Acke Sofie , De Winter Benedicte , Verbrugghe Mathieu , Van Damme Pierre , Lamote Kevin
Published: July 2024

Introduction

Silicosis is a pneumoconiosis resulting from the inhalation of respirable crystalline silica (RCS). It is widely acknowledged that occupational exposure to RCS occurs in various industries. In occupational health practice, silicosis is mainly detected when the disease is already advanced. Early detection of RCS-exposure is necessary to assess the exposure risk and prevent possible lung damage. This observational study aims to validate a simple, non-invasive diagnostic breath test for the early detection of silicosis in an at-risk population by correlating breath analysis with inflammatory blood markers.

Methods

After informed consent voluntary participation of patients with diagnosed silicosis (n=±25) includes questionnaire assessment, breath and blood sampling and spirometry. To optimize the validity, this test set will be compared with a population with COPD (n=±25), asbestosis (n=±25), healthy unexposed (n=±25) and asymptomatic RCS-exposed (n=±75) controls. Ion mobility spectrometry will be used to identify volatile organic compounds (VOC). Multivariate analysis will be performed. ROC curves will be calibrated.

Results

If the presence of RCS alters physiological processes in the body through chronic inflammation, it is expected that these changes in the metabolic status can be reflected through changes in the breath profile and thus can be used as a screening tool for silicosis.

Discussion

Inconsistent analytical methodology in previous research precludes decision-making on findings that breath analysis results in a VOC-signature for pneumoconiosis. Therefore, large-scale studies including simultaneous assessment of blood and exhaled breath markers are needed.

Conclusion

By mapping specific biomarkers present in silica-associated pulmonary disease, risk assessment in occupational health settings could be improved.
P-507 RURAL HEALTH AND DECENT WORK: VULNERABILITY IN LOW AND MIDDLE-INCOME COUNTRIES (LMIC) AND MONOCULTURE PRODUCTION
Authors: Messias Iracimara , Galvanin Edineia , Silva Elias
Published: July 2024

Introduction

Large-scale food production, such as monocultures in low and middle-income countries (LMIC), presents both known and new hazards that impact decent work, objective of sustainable development. Workers in LMIC are more exposed due to less stringent laws and vulnerability to the benefits of large Multinational Corporations (MNC’s). The use of pesticide no longer used in developed countries, exposes families of rural workers in LMIC. The pesticides are used in the production of sugarcane monoculture for sugar and ethanol production. The study provides evidence of the impacts of sugarcane monoculture expansion on the work, environment, and health of peasant families.

Methods

An empirical study was conducted with a theoretical framework based on Cultural-Historical and Activity Theory (CHAT). Temporal maps were developed over a twenty-year period (1999 to 2019), in a recognized sugarcane monoculture-producing region in Brazil.

Results

We observed the substitution of livestock production with sugarcane monoculture. Evidence of environmental degradation was observed, such as pollution of sources and tributaries in the Paranapanema River Watershed, as well as the impacts on climate change. Additionally, due to pesticide spraying in the monoculture plantation areas, peasant’s families of neighboring these areas have their agroecological production affected and compromised.

Discussion and conclusion

The existing contradictions in biofuel production and the real impacts on rural work, the environment, and health of the population, especially peasant agroecological families, make these workers vulnerable and distant from decent rural work in LMIC.
P-508 EFFECTS OF PESTICIDE EXPOSURE ON OXIDATIVE STRESS AND DNA METHYLATION BIOMARKERS IN MOROCCAN FARMERS FROM THE PAPOE STUDY
Authors: Menouni Aziza , Berni Imane , Chetouani Hala , Abousaid Said , Chbihi Kaoutar , Duca Radu-Corneliu , Godderis Lode , Jaafari Samir El
Published: July 2024

Introduction

In Morocco, due to the lack of education and the presence of a counterfeit and illegal market, pesticides constitute a major problem to be addressed by occupational and environmental health. Growing evidence suggests a link between pesticide exposure and epigenetic changes, including DNA methylation variations. In this context, we aim to examine comprehensively whether multi-residue exposure to commonly used pesticides could induce epigenetic alterations.

Methods

The PaPOE project includes a cross-sectional study assessing the occupational exposure among 322 farmworkers and pesticide appliers in Fez-Meknes Region (Morocco). Survey questionnaires have been conducted between 2018 and 2022 to assess pesticide exposures and work practices of the farmers. Urine and blood were collected. The biomonitoring approach using LC-MS and GC-MS targeted the profiling of 28 pesticides and their metabolites in urine. Oxidative stress biomarkers include GSH and 8-OHdG. Global DNA methylation is performed using LC-MS in blood.

Results

Overall, knowledge was significantly associated with education level and previous training on pesticide use, while health risks were significantly associated with the use of PPE. Pesticides were detected in 77% of samples, with mainly organophosphates and organochlorines. Glutathione and 8-OHdG were significantly associated with pesticide exposure. Global DNA methylation status is altered in the pesticide-exposed population compared to the non or less-exposed group.

Conclusion

Our study paves the way for a biomonitoring system in Morocco to assess environmental and occupational exposures and to provide insight into the long-term course and potential health consequences of pesticide exposure.
O-339 TITLE: GESCOCRISE HEALTHCARE, A SERIOUS GAME TO LEARN THE COLLABORATION BETWEEN STAKEHOLDERS TO MANAGE CRISIS
Authors: Caroly Sandrine , Fischer Juliette , Peisser Carine , Barbois Sandrine , Arvieux Catherine
Published: July 2024

Aim

This serious game allows students in healthcare or risk prevention to understand the collective management of a crisis linked to a natural hazard. By playing an actor, it is possible to represent the needs of the others. The communication between experts (surgeon) and other stakeholders (local authorities, directors of hospitals, rescue service, general physician) appears essential as a means of collectively managing the situation with domino effect, cascading on the healthcare system.

Methods

The participants are 51 students in 3 groups. They played the game, which takes place in two steps (start of event, cascade effect). They are assigned to play one of the game’s actors with instructions on the context and their role. In step 1, they choose what they do as an actor. In step 2, they must interact with other players to develop a collective management of the crisis. A questionnaire before and after the game permits them to assess their knowledge.

Results

All participants learn about the role of different stakeholders. They refer to the actor’s technical role at the start of the game and then to a more communicative role for the same actor at the end. In step 2, the communication increases between the various players, going well beyond the expected formal interactions between stakeholders.

Discussion

To prepare for crisis management, it’s important to develop collective skills and understanding of the role of all stakeholders in the healthcare system.

Conclusion

Serious game design and assessment are theoretical and methodological challenges for learning and risk anticipation.
O-342 INVESTIGATING THE RECIPROCAL EFFECTS; THE RELATIONSHIP BETWEEN EMOTIONAL EXHAUSTION AND DEPRESSION WITH THE ROLE OF PSYCHOSOCIAL SAFETY CLIMATE
Authors: Afsharian Ali , Loh May , Crispin Cherie , Dollard Maureen
Published: July 2024

Background

In this four-wave longitudinal study, we aimed to investigate the relationship between emotional exhaustion and depressive symptoms and their connection to the psychosocial safety climate (PSC). Previous studies have shown that PSC plays a crucial role in the psychological well-being of workers, as an extension of the job demands-resources (JD-R) model. However, this study specifically focused on the moderating role of PSC and the reciprocal effects of emotional exhaustion and depressive symptoms over time.

Methods

This study used the Australian Workplace Barometer data, monitoring workplace psychosocial factors using population-based random sampling since 2009. The Australian sample comprised 415 workers aged 18-65 from various industries, with complete data across four waves spanning 11 years. Participants received an introductory letter and were contacted via a CATI system and interviewed. Data was weighted for age and gender factors and analyzed using SPSS-28 and Mplus-8.

Results

According to our research, there is a clear connection between self-reported emotional exhaustion and future depressive symptoms. We also found that PSC is negatively related to both of these factors over time. Additionally, we observed that emotional exhaustion has a stronger reciprocal effect on depressive symptoms, and we anticipate that PSC will further weaken this relationship over time.

Conclusions

Preventing depressive symptoms can be achieved by addressing risk factors such as emotional exhaustion at work and emphasizing the critical role of the corporate climate, specifically PSC. Workplaces should prioritize improving PSC to reduce the negative impact of emotional exhaustion and break the cycle of adverse effects.
P-514 AN ANALYSIS OF THE SAFETY CLIMATE OF OUTDOOR LANDSCAPE WORKERS
Authors: Kearney Donal , Buggy Conor , Paiboon Lij Pen Patra Sri
Published: July 2024

Introduction

Outdoor Landscape workers’ awareness towards the safety climate in their workplace was analyzed by their responses to a self-administered questionnaire. Those that partook were full-time and part-time in their professional status and had been working outdoors for different lengths of time. The objective was to examine the attitudes towards safety and the levels of safety climate awareness in full-time and part-time workers with varying years of experience.

Methods

A cross-sectional study of Outdoor Landscape Workers in which 115 workers participated in an anonymous questionnaire survey. Data analysis was carried out using descriptive statistics. An analysis of Outdoor Landscape Workers’ attitude towards safety in their workplace was analyzed from their responses.

Results

Full-time workers and those with more years’ experience responded that they believe a significant number of Outdoor landscape workers are prone to being hurt and that there is also careless behavior among their fellow workers that do not follow safety rules.

Discussion

The study is a snapshot in time and the results corroborate with previous studies. The behavior of workers is arguably subjective, and their views are determined by their work environment. The primary data results are an indication of what workers believe to be the case on how safety is managed in their workplace. Positive responses are associated with part-time workers aspirations to progress onto full-time employment which correlates from those with less years’ of experience in this type of employment.

Conclusion

The study shows the relationship between length of employment and job position (full-time or part-time) and safety awareness in the workplace.
P-521 PERSONALIZED SLEEP AND NUTRITIONAL INTERVENTION STRATEGIES TO COMBAT ADVERSE EFFECTS OF NIGHT SHIFT WORK: A CONTROLLED INTERVENTION STUDY
Authors: Van der Rhee Maaike , Oosterman Johanneke E , Wopereis Suzan , Van der Horst Gijsbertus T J , Chaves Ines , Dolle Martijn E T , Burdorf Alex , Van Kerkhof Linda W M , Lammers-van der Holst Heidi
Published: July 2024

Introduction

Working during the night interferes with the timing of normal daily activities and it is associated with an increased risk for several chronic diseases. Interventions focused on nutrition and sleep can mitigate the short-term adverse effects of shift work under controlled experimental conditions. However, it is unclear how these results translate to real life, and relate to long-term health. Therefore, the current study aims to implement a personalized sleep and nutritional intervention among night shift workers and to evaluate its effect on various health outcomes.

Methods

This non-blinded controlled intervention study evaluates various health outcomes at baseline, at the start and end of a 3-month intervention, and at a 1-year follow-up. Three study arms are included: nutritional intervention, sleep intervention, and control group (n=25 each). Participants are healthy 18-60-year-old men, working 12h shifts (18:00-6:00 or 6:00-18:00). The intervention is a personalized sleep or nutritional advise based on sleep information (using ActiWatch and sleep diaries), continuous glucose measurements, food diary, and questionnaires collected during the baseline period. This study was approved by the Medical Ethical Review Committee of Erasmus University Medical Center.

Results

In this ongoing study main outcomes are objective and subjective sleep measurements and continuous interstitial glucose levels. Furthermore, biomarkers and general (mental) health parameters are determined to further evaluate effects on indicators of long-term health.

Discussion and conclusion

This study aims to make a meaningful contribution to the translation of findings from controlled experimental conditions to a real-life setting, with the ultimate goal to improve long-term health in night shift workers.
P-523 THE RELATIONSHIP BETWEEN STRESS AND SAFETY AMONG NURSES DURING COVID-19 AND THE PRESENCE OF OCCUPATIONAL BURNOUT
Authors: Afnan Heno
Published: July 2024

Introduction

Burnout is one of the primary phenomena that affects not only nurses, but the entire healthcare system. The research objective is to investigate the relationship between stress and safety among nurses during COVID-19 and the presence of occupational burnout.

Methods

The research is a Cross-Sectional Study and included nurses employed in Clalit health services in Haifa and Western Galilee districts.The sample consisted of 115 nurses (95% CI) with a 5% margin of error. The study’s power was 85%. Potential participants were contacted through an internal distribution list and received links to online questionnaires via email. By completing the questionnaire, they gave their consent to participate in the study. The research included socio-demographic, job stress, health and safety, and burnout questionnaires.

Results

A significant positive correlation existed between perceived stress among healthcare workers during the pandemic and their risk of experiencing occupational burnout. Another significant positive correlation was found between health behaviors during COVID-19 and the presence of burnout among the research participants. However, no statistically significant difference in the average level of burnout was observed between nurses who smoked or started smoking during COVID-19 and those who did not.

Discussion

The study demonstrated that lower perceived job safety and higher workload were associated with higher levels of burnout.

Conclusion

One significant conclusion is the positive association between nurses’ stress levels during COVID-19 and their risk of experiencing occupational burnout. Overall, the research showed that the pressures and demands faced by healthcare workers during a global health crisis can significantly contribute to burnout.
P-524 EVALUATION OF METHODS FOR ACCURATELY MEASURING WORKING HOURS OF PHYSICIANS AT THE UNIVERSITY HOSPITAL
Authors: Nagano Chikage , Kohi Shiro , Kado Kentaro , Funada Midori , Goto Motohide , Horie Seichi
Published: July 2024

Introduction

In 2016, 3 cardiovascular deaths and 2 psychiatric diseases of physicians were covered by workers’ compensation insurance in Japan. Currently, there is no limit of working hours for physicians; however, their health condition is also important to keep the quality of medical practice. Therefore, the relevant legislations were revised and will start to limit working hours of physicians from 2024. Some tough questions awaited are the need to keep records on working hours including that at side jobs and to differentiate self-intended education, training, or research activities from required work. We measured physicians’ working hours using several subjective and objective methods, and examined the existence and causes of their discrepancies.

Methods

The working hours per week of 5 physicians working at university hospitals were measured and compared using the following

method

(1) Records of working hours submitted to the attendance management department, (2) Records of entry and exit by ID card, (3) Records of entry and exit by GPS measuring device, (4) Records by participating physicians themselves.

Results

The working hour only at their main job was 82.4 ± 25.9 (mean ± SD) hours according to their self-records but was 98.8 ±30.3 hours by ID card. The difference was 11.5 ±10.8 hours. The length of self-intended activities was 15.0 ± 22.9 hours including two physicians reported zero.

Discussion

As most physicians have side jobs, it would be more difficult to measure their working hours accurately.

Conclusion

Occupational health services must recognize these differences at their health interviews.
O-358 RISK ASSESSMENT IN STANDING WORKPLACES: EXTENSION OF A MULTIDIMENSIONAL MODEL FOR PREDICTING LOWER LEG OEDEMA DURING STANDING WORK
Authors: Steinhilber Benjamin , Volk Carmen , Wagenblast Florestan , Seibt Robert , Gabriel Julia , Ulmer Luis , Rieger Monika A
Published: July 2024

Background

Standing work is associated with lower leg venous disease, and lower leg oedema is discussed as a surrogate for increased health risk. Prolonged standing (≥2 h) increases lower leg oedema but not walking. On this basis, a model for predicting lower leg oedema was developed to assess venous health risks in standing workplaces. As short interruptions by temporary sitting are common, the aim of the study is to compare the effect of sitting and standing and alternating between standing and sitting on lower leg oedema.

Methods

28 adults (15 women; mean age = 40 years) participated in a laboratory experiment. On one day, they stood for 3 h followed by 2 h of sitting (exposure A); on another day they sat for 3 h and followed by 2 h of walking (exposure B). The order of the exposures was randomized. Differences in oedema during standing, sitting and walking were measured by bioelectrical impedance.

Results

Sitting induced lower leg oedema but to a lesser extent than standing. Sitting after 3 h of standing leads to a further increase in oedema, whereas walking after sitting leads to a reduction.

Discussion and conclusion

Sitting should be considered as another factor in the model for predicting lower leg oedema. In a first step, these findings will be used to extend the risk assessment model. In a second step, the model will be validated in a field study in order to provide a tool for risk assessment of venous disease in standing workplaces.
O-361 ENHANCING OCCUPATIONAL HEALTH NURSING THROUGH PRACTICE. - CLOSE THE GAP IN CLINICAL SERVICES – A RESEARCH CONCEPT
Authors: Davies Kim
Published: July 2024

Introduction

A key goal in ensuring employee well-being and fostering a healthy workplace is closing the clinical services gap through improved occupational health nurse practice. The protection of employees’ health and safety, the prevention of illnesses and accidents related to the job, and the promotion of general employee wellness are all essential tasks carried out by occupational health nurses.

Methods

A qualitative design using ground theory methodology will be utilized to collect data using interviews with clinical practice nurses.

Results and Discussion

This grounded theory methodology will be used to identify key concepts with regard to closing the gap in the clinical practice of a private Occupational Health service. Occupational Health Nurse practitioners working in the industry will be selected to partake in the study. Participants will be asked to have first-hand knowledge of the phenomenon being studied and have been in the industry for at least 5 years. Focus group discussions and/or interviews will be used to gather data, which will then be verbatim recorded, transcribed, and subjected to thematic analysis.

Discussion and Conclusion

This flexible thematic analysis method will enable researchers to gain deep insights from qualitative data. It is appropriate for a variety of study environments because it doesn’t rely on any one theory. To guarantee that the final themes appropriately reflect the content and context, data must be handled carefully and methodically. Contribution By implementing these strategies, organizations can empower occupational health nurses to provide comprehensive clinical services, close the gap in healthcare delivery, and ultimately contribute to a healthier and safer workplace for all employees
P-551 INVESTIGATIVE SURVEY OF THE CONSCIOUS BEHAVIORS OF OCCUPATIONAL HEALTH NURSES IN INTERVIEWS WITH WORKERS WITH MENTAL HEALTH PROBLEMS IN JAPAN
Authors: Hatanaka Junko
Published: July 2024

Objective

The objective of this study was to clarify the conscious behaviors of occupational health nurses when interviewing workers with mental health problems in order to examine the role of occupational health nurse interviews.

Subjects and Methods

An anonymous questionnaire was mailed to 757 people belonging to the Japan Society for Occupational Health Nursing Subcommittee. Basic statistical analysis was carried out for all items

Results

Replies were received from 262 occupational health nurses (response rate: 34.6%), and 216 nurses were included in analysis after excluding 46 who did not interview the mentally ill. The items at or above the median score “I was conscious of it: 6” were 28 of the items related to conscious behaviors in the health consultation interview and all items related to conscious behaviors in the Return to Work support interview. Items in health consultation interviews included “Building relationships in the workplace on a regular basis,” “Basic attitude during interviews,” “Interviews with a counseling mindset,” “Comprehensive assessment of subjects,” and “Working with staff to find a solution.” Items in the Return to Work interviews included “Support for the subject,” “Assessment of a subject’s return to work preparations and issues,” and “Encouraging problem solving by the subject to suit the workplace.”

Discussion

The characteristics of these behaviors suggest that their role in interviews is to build relationships with workers and use the information from the interviews to assist them in finding solutions to problems.
O-363 CLIMATE CHANGE AND OCCUPATIONAL HEALTH AND SAFETY. THE ITALIAN EXPERIENCE FOR MONITORING AND PREVENTING THE RISK OF INJURIES DURING HEATWAVES (WORKLIMATE PROJECT)
Authors: Marinaccio Alessandro , Bonafede Michela , Morabito Marco
Published: July 2024

Introduction

High temperatures occupational exposure induces health risks in workers and reduces work capacity and labour productivity. Preparedness and prevention strategies to reduce heat waves impacts are strongly required, and work-related risk factors consideration is crucial. Recently, a nationwide epidemiological study in Italy has estimated around 4,000 work-related injuries per year linked to heat. Outdoor workers in construction sector and agriculture are majorly involved.

Methods

Our study describes a prevention system oriented to inform employers, workers and authorities about risk distribution, available tools for managing heat waves at workplaces and formation priorities (WORKLIMATE projects).

Results

An occupational heat stress forecasting system for the screening of risks has been implemented with predicted heat-risk conditions defined by three levels (from low to high risk). WORKLIMATE represents the first operative tool available to the public health authorities for assessing the occupational exposure to extreme temperatures on a national-wide dimension.

Discussion- Conclusion

The development of an occupational surveillance system for providing a heat warning framework, identifying territories and vulnerable occupational groups has to be considered as a priority, especially according to climate change scenarios. Actions are needed to protect workers and employers, including low cost measures such as assured access to drinking water in workplaces, frequent rest breaks in shady/cool places, availability of adequate protective equipment (e.g. ventilation jackets or cooling garments) and consider rescheduling work activities preferring cooling periods of the day for more demanding tasks.
P-568 THE RELATIONSHIP BETWEEN OCCUPATIONAL NOISE EXPOSURE AND BINAURAL HEARING LOSS
Authors: Zhang Jiming , Zhou Zhijun
Published: July 2024

Introduction

Occupational noise may cause binaural hearing loss. The current study aimed to explore the hearing status and asymmetric hearing loss of workers exposed to occupational noise.

Methods

Based on occupational physical examination data conducted in 2021 of an occupational health institution in Shanghai, the median and quartile were used to represent the pure tone hearing threshold test results of workers exposed to occupational noise. The relationship between occupational exposure time and binaural pure tone hearing threshold test results and weighted value of hearing threshold were investigated by using generalized additive model.

Results

The current study included 8325 workers including 5385 males, with an average age and time of occupational exposure of 38.83 years and 6.40 years. At 500Hz and 1000Hz, pure tone hearing thresholds in both ears was 19 dB; from 2000Hz to 6000Hz, the thresholds in both ears were 18 dB. The median weighted value of hearing threshold in both ears was 19 dB. The prevalences of asymmetric hearing loss in low- and high-frequency among workers were 1.53%~2.37% and 6.40%~14.19%. The binaural pure tone hearing threshold and the weighted value of hearing threshold were not statistically significant. Apart from 2000Hz, all the left ear pure tone hearing thresholds were negatively correlated with occupational exposure time. At 500Hz and 6000Hz, the right ear auditory thresholds were also negatively correlated with the occupational exposure time. Asymmetric hearing loss was not observed in the current study.

Discussion and conclusion

Occupational noise exposure time was associated with binaural hearing loss, but not associated with asymmetric hearing loss.
O-384 A STUDY ON STATUS OF WORKPLACE VIOLENCE AGAINST WOMEN HEALTHCARE WORKERS AT A GENERAL HOSPITAL IN CHINA: BASED ON GENDER PERSPECTIVE
Authors: Huang Yiming , Zhang Min , Liu Yujie , Chen Na , He Chuning
Published: July 2024

Introduction

Workplace violence towards women healthcare workers(HCWs) is of great concern. This study aims to investigate the status, risk factors, and response modes of workplace violence among women HCWs at a general hospital in central China.

Methods

A cross-sectional survey was conducted on workplace violence toward women HCWs using an international questionnaire (ILO/WHO/ICN/PSI) in 2019. Data analysis was performed with Chi-Square Test and binary logistic regression analysis.

Results

A total of 4.0% of women HCWs had encountered physical violence, while 41.2% of them had experienced psychological violence. The incidence rate of psychological violence among verbal abuse, bullying/gang bullying, sexual harassment, and racial discrimination was 39.9%, 8.3%, 1.4%, and 1.3%, respectively. Night shift was the risk factor of physical violence (OR = 2.25, P < 0.05), while department (OR = 8.03, P < 0.05), salary(OR = 3.54, P < 0.05), and direct contact with patients (OR = 2.34, P < 0.05) were the risk factors of psychological violence. Women nurses had the highest awareness rate of reporting procedures, followed by women technical support and administrative staff and women doctors.

Discussion

This study provides baseline data for preventing workplace violence from a gender perspective in China by using an international questionnaire. The characteristics of women HCWs should be considered when tackling workplace violence; more attention needs to be paid to the demands of cultural diversity, gender equality, organizational management, etc.

Conclusion

The factors associated with workplace violence against women HCWs are complex. Women’s perspectives should be considered to achieve the vision of “zero violence” in Chinese hospitals.
O-387 OCCUPATIONAL ILLNESSES IN WOMEN: LOOKING BACK 20 YEARS THROUGH THE OCCUPATIONAL PHYSICIANS REPORTING ACTIVITY SCHEME
Authors: Zelic Loren , Pereira Rheanna , Byrne Laura , Iheozor-ejiofor Zipporah , Carder Melanie , Van tongeren Martie
Published: July 2024

Introduction

Women constitute a significant portion of the global workforce and remain underrepresented in occupational health research and frameworks for occupational health and safety management.

Methods

This study describes women’s work-related ill-health (WRIH) reported to the Occupational Physicians Reporting Activity (OPRA) scheme between 2003 and 2022. OPRA is a national reporting scheme run from the University of Manchester as part of The Health and Occupation Research (THOR) network, covering Great Britain and Northern Ireland. Estimated cases were weighted and adjusted for temporal changes in reporter numbers.

Results

51,464 estimated cases were reported to OPRA with the largest proportion being mental ill-health (64%) followed by musculoskeletal conditions (27%). 57% of musculoskeletal and 54% of mental ill-health cases were women employed in Human Health and Social Work activities, with the most common job roles being nurses and nursing auxiliaries and assistants. The most reported tasks for musculoskeletal WRIH were accidents, including assaults (22%), and heavy lifting (20%). The most reported events for mental ill-health were factors intrinsic to the role (48%) and interpersonal difficulties (34%).

Discussion

Work-related musculoskeletal conditions have historically been a concern with cases gradually decreasing over the years. However post-COVID-19 figures have started to rise, particularly with consideration to the sudden shift in remote working. Psychological conditions continue to dominate women’s WRIH, particularly attributed to workload and interpersonal difficulties.

Conclusion

Occupational diseases in women present a complex and underexplored domain. Recognising and addressing the gender-specific aspects of WRIH is crucial for creating safer and more equitable work environments.
O-394 ASTHENOPIA AND THE USE OF SCREENS IN THE COVID-19 PANDEMIC: A NARRATIVE REVIEW
Authors: Sa Eduardo Costa , Rinaldi Bruna Salati Nani
Published: July 2024

Introduction

March 2020, the World Health Organization (WHO) declared the spread of COVID-191 to be a pandemic. As a result, several sectors had to adapt hastily to use both communication and distance learning resources, without any defined protocol. To meet this demand, employers, schools and self-employed professionals developed a dependancy on the use of electronic screen devices to work, study and have fun.

Method and results

It is known that electronic screens emit short waves of high energy that can penetrate ocular tissues, eventually contributing to photochemical damage in retinal cells. Asthenopia is the name given to the set of these associated symptoms. They range from eye irritation to neck pain. Estimating the prevalence of asthenopia is difficult due to important differences in diagnostic criteria. A relatively recent review reported a worldwide prevalence of approximately 69%. The persistence of asthenopia, in the long term, can negatively influence the level of productivity - at school or at work - of those who suffer from it, since it is related to more frequent breaks, an increase in the number of errors, culminating in rework.

Discussion and conclusion

The present review considers the new findings in the field of ergo-ophthalmology, in the context of COVID-19. Searches were carried out in the BASE, Cochrane Library, Google Scholar and PubMed databases. Taking into account the novelty of the COVID-19 topic, the search was limited to publications from 2019 to 2021. Ocular symptoms have been neglected in the context of the COVID-19 pandemic.
O-396 OCCUPATIONAL SAFETY AND HEALTH (OSH) NEEDS IN AFRICA – IDENTIFICATION OF PRIORITIES, BARRIERS, AND SOLUTIONS THROUGH MODIFIED DELPHI METHOD USING OSHAFRICA PLATFORM
Authors: Gasana Janvier , Al-Mutairi Loulwah , Iden Ehi
Published: July 2024

Introduction

The ILO Convention No. 161 of 1985 and WHO Global Action Plan of 2008-2017 both state the importance of having an OSH goal for every worker’s health. From limited labor laws and legislations in Africa, such measures do not exist for its workers in various industries. This cross-sectional study highlights Occupational Health and Safety expert opinions on OSH laws and regulations in their countries in Africa.

Methodology

The modified Delphi approach was used in this cross-sectional study. Participants were African OSH specialists through the OSHAfrica platform through a link to the online Google Form survey of nine questions. The descriptive analysis was performed via Excel.

Results

Most of the participants came from Nigeria (31%) followed by South Africa (17%). About 1/3 of the participants rated the OSH development in their country along the scale (0-10): Poorly developed (0) to well developed (10) with 5 and 0 participants gave it 10.

Discussion

The findings reveal an urgent need for OSH development in Africa. A National OSH Policy does exist in many African countries but also many do not have one. However, many OSH laws are outdated. In most African countries, the Ministry of Labor is seen as the main OSH regulatory body and the Ministry of Health does not seem to be involved whereas some countries do not have an OSH regulatory authority.“

Conclusion

Africa has many industries that need OSH policies and regulations. This can be done with the existing government entities and training centers and universities to form an OSH regulatory authority system.
O-397 RETIREMENT PENSION POVERTY AMONG INJURED WORKERS WITH LONG TERM WORKERS’ COMPENSATION CLAIMS
Authors: MacEachen Ellen , Hopwood Pam , Crouch Meghan
Published: July 2024

Background

Sustaining sufficient income in retirement becomes particularly challenging for injured workers supported during their working years by workers’ compensation benefits. This study examined the income security of injured workers aged 65 and older in Ontario (Canada’s largest province) who had spent five years or more on workers’ compensation benefits.

Methods

Our 2019-2022 multi-method study involved: 1) scanning Canadian workers’ compensation policies on retirement age benefits; 2) reviewing Ontario parliament transcripts on political debates surrounding the injured worker pension benefit cuts; 3) in-depth interviews on workers’; experiences of workers’ compensation retirement benefits.

Results

Most Canadian workers’ compensation boards made significant cuts to retirement benefits, substantially reducing retired injured worker incomes. Monthly pension payments had shifted to lump-sum payouts, which disrupted workers’ access to social security supports. The political debates about cuts to injured worker retirement pensions focused mostly on affordability and concepts of worker deservingness. Interviews with injured workers revealed deep poverty of older injured workers.

Discussion

Workers’ compensation is intended to compensate for income losses related to work-related ill-health and injury, including losses to contributions to the Canadian pension retirement plan, but this is no longer provided in Canada and workers face related economic hardship.

Conclusion

Our study is one of the first to examine workers’ compensation benefits for injured workers in retirement. It draws attention to the problem of poverty among injured workers in their retirement years and raises questions about politics, reduced retirement benefits and adequacy of the Canadian social security net.