bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-166 THE UTILISATION OF VOCATIONAL REHABILITATION FOR OCCUPATIONAL DISEASES IN FINLAND BETWEEN 2005 AND 2020
Authors: Ojanen Ville , Koskela Kirsi , Korhonen Mikko , Reho Tiia , Sauni Riitta 
Published: July 2024

Abstract

Introduction
The potential inability to return to previous work due to an occupational disease (OD) necessitates the use of vocational rehabilitation (VR). Objectives: This study aimed to analyze the utilization of VR in cases of ODs in Finland, with a specific focus on the diagnoses and exposure agents involved.

Methods
Data on recognised ODs between 2005 and 2018 were collected from the Finnish Register of Occupational Diseases, and compensation data between 2005 and 2020 were obtained from the Finnish Workers’ Compensation Center and The Farmers’ Social Insurance Institution Mela.

Results
A total of 31,891 ODs were recognised in Finland during the study period of which VR was used in 1,311 cases (4.1%). The predominant diagnoses requiring VR were asthma (357 cases of VR out of 1541 asthma cases), allergic contact dermatitis (352 cases out of 2114), rhinitis (191 cases out of 854), and protein contact dermatitis or contact urticaria (107 cases out of 562). Diseases induced by flour exposure had the highest number and proportion of VR cases (262 VR cases out of a total 695). Other significant triggers for VR included animal epithelium, hair, or secretions (112 cases), wet work (74 cases), and synthetic resins and plastics (71 cases).

Discussion
Current knowledge about VR utilisation in ODs is limited both nationally and internationally. Work-related respiratory and skin sensitisation pose risks to the longevity of careers and often necessitate vocational rehabilitation.

Conclusion
It is essential to consider vocational rehabilitation in cases of occupational diseases as a preventive measure against permanent work disability.
O-173 VALIDATION OF AN OCCUPATIONAL MUSCULOSKELETAL DISEASES REFERRAL SYSTEM
Authors: Joyce Li Lok Yee , Chen Ping Hui 
Published: July 2024

Abstract

Introduction
Referral mechanism among clinical physicians and occupational physicians is important for diagnosis of occupational diseases(ODs). Previous study identified criteria additional to ICD codes to enhance positive predictive value by comparing demographic factors between probable cases and possible/non-related cases. We further aim to apply these predictors of work-relatedness in clinical trials to develop a validated screening tool and strengthen the referral system.

Methods
In Taiwan, Network of Occupational Diseases and Injuries Service(NODIS) is an important surveillance system of ODs. In NODIS, musculoskeletal diseases (MSDs) are the most reported cases. Among adult patients who visited OPD of Orthopedic and Rehabilitation, we screen those with diagnoses of MSD ICD codes. Selected patients are invited to OPD of Occupational Medicine, where informed consent is obtained and a physician-guided questionnaire is conducted. Patients eligible for ODs are reported in NODIS and we analyze demographic factors between probable cases and possible/non-related cases.

Results
There are 4651 confirmed cases of occupational MSDs, and 62.37% (2901/4651) cases are classified as probable cases. In binomial regression model, longer tenure, ever taking leaves due to MSDs, construction and manufacturing industries and main MSDs in OD list are all significant predictors of work-relatedness.

Discussion and Conclusion
Each MSD has its unique predictor of work-relatedness, and we identify high-risk characteristics, like age, gender, tenure, industry, sick leave status. Using each predictor’s coefficient, we generate a set of referral criteria to refer cases with odds ratio of 2 or above, which enables better referral mechanism. Through trial validation, we identify significant factors which can be incorporated in occupational MSDs screening and referral mechanism.
O-183 DIABETES AND PROFESSIONAL LIFE: SCOPING REVIEW
Authors: Arraji Maryem , Wachami Nadia Al , Iderdar Younes , Boumendil Karima , Bouchachi Fatima Zahra , Chahboune Mohamed 
Published: July 2024

Abstract

Introduction
Diabetes and Professional Life: Scoping Review

Introduction
Diabetes is a set of metabolic disorders affecting millions of people worldwide, many of whom aspire to be active members of society with fulfilling professional lives. In Morocco, diabetes mellitus is one of the most prevalent metabolic diseases, with a number of cases exceeding 1.4 million (International Diabetes Federation, 2013).

Methods
We conducted a search in the PubMed, Google Scholar, Elsevier, Web of Science, and Scopus databases to examine studies regarding the relationship between diabetes and professional life. This research was limited to studies published in English between 2015 and 2023. The search strategy involved using various keywords, including “diabetes mellitus,” “workplaces,” and “improvement of professional life.”

Results
The results have shown that diabetes has implications for employment in the workplace, and conversely, professional activity also has a concrete impact on diabetes. This impact includes glycemic imbalance, an increased risk of infectious complications following injuries, frequent non-compliance with antidiabetic treatment in the workplace, and a lack of dietary adherence among workers, civil servants, and administrative professionals affected in their work environment.

Discussion
Studies have confirmed that diabetes is the most common chronic disease in the workplace, significantly affecting professional life in terms of absenteeism, workplace accidents, and decreased productivity.

Conclusion
It is essential for working conditions to adapt to the evolving nature of diabetes. This underscores the importance of collaboration between occupational health physicians and treating physicians. Initiatives such as seminars aimed at educating and informing business leaders, as well as the promotion of workplace health, are crucial.
P-300 CARDIOVASCULAR-METABOLIC DISEASES AFFECTING HEARING LOSS IN WORKERS EXPOSED TO NOISE
Authors: Kim KyooSang 
Published: July 2024

Abstract

Introduction
We examined the association of hearing in cardio-metabolic diseases, dyslipidemia, hypertension and diabetes mellitus according to the personal and occupational characteristics of workers exposed to noise. The subjects of the study were 237,028 workers who performed 2000, 3000, and 4000 Hz airway pure tone audiometry in 2015 and who performed clinical tests to diagnose cardiovascular-metabolic diseases.

Methods and results
Cardiovascular-metabolic diseases were defined using reference values for each item, such as blood pressure (systolic/diastolic), fasting blood glucose, cholesterol, and triglycerides. The airway pure tone hearing threshold of 2, 3, and 4 kHz, the average threshold of 2-3-4 kHz, and the hearing loss by the average threshold of the primary examination were distinguished. Workers with cardiovascular-metabolic disease had significantly higher average hearing and higher rates of hearing loss. Logistic regression analysis, which corrected for gender and age demographic variables and occupational variables such as workplace size, industry and type of work, and cardiovascular-metabolic disease as dependent variables, showed that the odds ratio of hypertension to hearing loss in the mid-frequency was 1.239 (95% confidence interval: 1.118-1.374), hypertension was 1.159 (1.107-1.214) and diabetes was 1.166 (1.104-1.230) for hearing loss in the high-frequency. Hearing loss measured by mean hearing was 1.178 (1.105-1.256) for hypertension and 1.181 (1.097-1.271) for diabetes.

Discussion and Conclusion
Cardiovascular-metabolic diseases in noise-exposed workers are associated with an increased risk of hearing loss and should be accompanied by bio-monitoring of cardiovascular-metabolic diseases in addition to auditory surveillance.
P-301 ACUTE AND CHRONIC STRESS: HIGHER LEVELS OF HAIR CORTISOL CONCENTRATION ARE ASSOCIATED WITH LOWER BLOOD PRESSURE REACTIVITY IN YOUNG ADULTS
Authors: Heming Meike , Angerer Peter , Apolinário-Hagen Jennifer , Liszio Stefan , Nater Urs Markus , Skoluda Nadine , Weber Jeannette 
Published: July 2024

Abstract

Introduction
Heightened and blunted cardiovascular reactivity to acute psychosocial stressors is suggested to increase health risks, such as cardiovascular diseases. One factor that may contribute to individual differences in stress reactivity and thus a potential development of adverse health consequences is chronic stress. Therefore, this study investigates whether chronic stress, assessed with hair cortisol concentration (HCC), is associated with acute cardiovascular reactivity in young adults.

Methods
Hair samples of two-centimeter length were collected to determine HCC from medical students in Germany (July 2020 - July 2021). The study participants took part in a virtual-reality Trier Social Stress Test and their cardiovascular reactivity was assessed by systolic and diastolic blood pressure and heart rate variability (HRV). Cross-level interactions in piecewise linear growth analyses (n=54) were used to investigate whether three HCC categories (&lt;25th; 25th-75th; &gt;75th percentile) were associated with cardiovascular reactivity.

Results
Higher HCC had a significant interaction with systolic and diastolic blood pressure reactivity, indicating that higher levels of HCC were associated with lower blood pressure reactivity compared to intermediate levels of HCC. There were no significant interactions found for HCC and HRV reactivity.

Discussion
The study showed, that higher levels of chronic stress (i.e. HCC) may contribute to a blunted blood pressure reactivity. Being exposed to higher levels of chronic stress may result in physiological adaptation to novel stressors or may show inadequate blood pressure responses to acute stress.

Conclusion
This study adds more evidence to the research on potential factors that may contribute to individual differences in cardiovascular stress reactivity in young adults.
P-304 OCCUPATIONAL CARCINOGENS AND MALIGNANT NEOPLASMS OF THE NASAL CAVITY AND NASOPHARYNX
Authors: Fedina Irina , Serebryakov Pavel , Pankova Vera , Bomshteyn Natalya , Uchurov Alexander , Rakhimzyanov Alfrit , Panova Irina , Khakhileva Oxana , Bulgakova Mariya , Bolshakov Alexander , Fayzova Yuliya 
Published: July 2024

Abstract

Introduction
The share contribution of occupational carcinogenic factors in the development of malignant neoplasms is quite significant. The highest risk of deaths was determined for occupational cancer of the nasal cavity, nasopharynx (30-46%) and mesothelioma (90%). In this connection, occupational carcinogens have been identified, which, according to the International Agency for Research on Cancer (IARC), are the cause of cancer of the nasal cavity and nasopharynx.

Methods and Results
According to the List of classifications by cancer sites with sufficient or limited evidence in humans, IARC Monographs Volumes 1-134 (2023), such factors of the working environment as formaldehyde and wood dust are proven for the development of malignant neoplasms of the nasopharynx. For malignant neoplasms of the nasal cavity and paranasal sinuses, strong acid vapors, leather dust, nickel compounds, radium-226 and radium-228 isotopes and their decay products, wood dust are proven carcinogens. Professional carcinogens with limited evidence according to IARC data for this localization may be chromium (VI) compounds, formaldehyde, substances used in carpentry and carpentry, in the manufacture of textiles.

Discussion and Conclusion
The great contribution of professional carcinogens to the development of malignant neoplasms of the nasopharynx and nasal cavity requires the use of personal respiratory protective equipment of workers, the mandatory participation of an otorhinolaryngologist during medical examinations for timely diagnosis, as well as careful collection of professional anamnesis in patients for further examination of the connection of the disease with the profession.
P-309 NON-PHARMACOLOGICAL INTERVENTIONS FOR WORK PARTICIPATION IN PEOPLE WITH MULTIPLE SCLEROSIS
Authors: Saddal Shalina , Van der Hiele Karin , Machado Alejandra , De Perez Blanca Dios , Friberg Emily , Nair Roshan Das , Benedict Ralph , Radford Kathryn , Daams Joost , Hulst Hanneke , De Groot Vincent , Schaafsma Frederieke 
Published: July 2024

Abstract

Introduction
Up to 70% of people with Multiple Sclerosis (MS) become unemployed within ten years after diagnosis. The effectiveness of vocational rehabilitation for people with MS is limited and few new trials have been published in the past decade. Studies examining the effectiveness of interventions to tackle MS-related problems are increasingly including work outcomes. We aim to review the effectiveness of these interventions on work participation in MS.

Methods
We will search Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PsychINFO, OTseeker and Web of Science. Additionally, we will hand-search unpublished trials and relevant unindexed journals. We will include randomized controlled trials and before-after studies comparing the effects of non-pharmacological interventions, specifically vocational, psychological and exercise interventions, on work participation with alternative interventions or care as usual in people with MS. Risk of bias will be assessed using the RoB2 Excel tool. Finally, we will pool data from studies we judge to be clinically homogeneous using RevMan Web. If more than one study provide usable data in any single comparison, we will perform meta-analysis.

Results
This title has been accepted by Cochrane and we are currently in the process of finalizing our protocol for publication. The review will be conducted and written in the second half of 2023 and will be published in the first half of 2024. The results will be presented at ICOH 2024.

Discussion and Conclusion
This review aims to determine whether non-pharmacological interventions offered to people with MS are more effective in changing work outcomes compared to alternative interventions or care as usual.
P-313 PROFESSIONAL OUTCOMES OF PATIENTS WITH MUSCULOSKELETAL DISORDERS
Authors: Bechrifa Emna , Khouja Nihel , Baraketi Emna , Koubaa Asma , Fatma Naourez Ben , Belkahla Amira , Ismail Saloua , Hsinet Jihen , Benzarti Aida 
Published: July 2024

Abstract

Introduction
Musculoskeletal Disorders (MSDs) have a significant impact on the occupational medical fitness of workers and therefore impose substantial economic burdens.

Objective
To assess the impact of occupational MSDs on socio-professional outcomes of patients.

Methods
This retrospective descriptive study included patients with Occupational MSDs. Data collection was based on the records of patients who consulted the occupational medicine department from 2014 to 2022 and were supplemented by a telephone survey.

Results
Fifty-nine patients were women (93%) with an average age of 45.4±8years. They were primarily involved in machine stitching (30.5%) and machine operators and assembly (13.6%). The most affected sectors were textile (47.5%), electronics (20.4%), and automotive (13.6%) industries. After an average of 15.66 years of exposure, they developed MSDs affecting their shoulders (44.1%), elbows (20.3%), and hands and wrists (64.4%). These MSDs resulted in absenteeism (66.1%), with an average of 72.7days. They justified workstation arrangement (71.2%), medical redeployment (18.6%) or disability (8.5%). Work fitness decisions were met in 66.1% of the cases, while 22% stated otherwise. The clinical course was marked by partial (38.6%) or total (12.3%) improvement and persistence of symptoms in 12.3% of the cases. Recognition of reported MSDs was achieved in 62.7% of cases. The average time between the declaration and recognition was 21.96 months. Additionally, 52.5% received compensation, with an average of 18.6 months between recognition and compensation.

Discussion
Our study focuses on the significant impact of MSDs on fitness and the workplace economy.

Conclusion
Targeted interventions and simplified recognition procedures must be implemented to support affected workers.
P-331 ISSUES AND RECOMMENDATIONS REGARDING RECOGNITION OF OCCUPATIONAL PATHOLOGIES
Authors: Sellami Imen , Feki Afef , Kotti Nada , Meska Ahmed , Daoud Hanen , Haddar Aicha , Hajjaji Mounira , Masmoudi Mohamed Larbi , Hammami Kaouthar Jmal 
Published: July 2024

Abstract

Introduction
Numerous pathologies linked to occupational activities go unreported under the category of occupational diseases. This study aims to examine the challenges associated with reporting occupational diseases and assess the perspectives on compensation system.

Methods
A national cross-sectional study was conducted using an online questionnaire. The questionnaire focused on the physicians’ approaches when faced with suspected occupational diseases, their opinions on the tables of occupational diseases, and their suggestions for improvements.

Results
Out of 221 participants, 60.18% were employed in hospitals. Occupational health physicians constituted 27.14% of the participants. The average professional experience was 12.15 ± 9.16 years. Occupational diseases held significant importance for only 13.6% of the surveyed physicians. Occupational health physicians demonstrated better practices in conducting occupational health assessments. The participants reported deficiencies in reporting occupational diseases. Lack of familiarity with regulatory provisions was also observed. More than half of the users of the tables of occupational diseases expressed dissatisfaction with their current presentation and participants found it challenging to locate relevant information within them. The electronic format appeared to be a potential solution to enhance adherence to the reporting procedure.

Discussion
Healthcare practitioners primarily focus on establishing a positive diagnosis and prescribing therapies. Etiological research often takes a back seat, failing to adequately consider potential occupational origins.

Conclusion
Undoubtedly, the reporting procedure faces several shortcomings in Tunisia, with physician responsibility being evident. Addressing these issues through targeted training in occupational pathologies and revising existing regulations could help mitigate the observed deficiencies.
P-332 EXAMINING BURNOUT AMONG MEDICAL RESIDENTS IN MAURITANIA
Authors: Meska Ahmed Ahmed , Sellami Imen , Tah Mariem , Masmoudi Mohamed Larbi , Hammami Kaouthar Jmal , Hajjaji Mounira , Eby El Hije , Ahmed Nourdine Cheikh Mohamed 
Published: July 2024

Abstract

Introduction
Medical residents (MR) in Mauritania face significant challenges during their training, which can adversely affect their mental health. This study aims to assess the prevalence of burnout among Mauritanian residents and identify its associated risk factors.

Methods
A cross-sectional study was conducted among MR in Mauritania from July to August 2023. Sociodemographic and professional information were collected, and the Maslach Burnout Inventory was used to evaluate burnout levels.

Results
A total of 100 residents participated in the study, with an average age of 30.89 years, and 74% of them were male. The majority worked in Mauritania (53%) and Tunisia (30%). Concerning burnout, 35% of participants reported high levels of emotional exhaustion (EE), 36% experienced depersonalization (DP), and a significant 73% had low personal accomplishment (PA). Notably, residents working in Mauritania exhibited higher burnout scores, and these scores were positively correlated with perceived workload. Engaging in sports and leisure activities appeared to have a protective effect against burnout, positively influencing EE, DP, and PA. Difficulties in integration and maintaining a work-life balance were associated with higher levels of EE and DP. Job satisfaction was inversely linked to EE and DP, while workplace violence, lack of communication with colleagues and administration, and ill-defined tasks contributed to higher EE and DP. Discussion Burnout among MR in Mauritania is a critical issue. Workload management, support systems, promoting work-life balance, and encouraging leisure activities have the potential to mitigate burnout.

Discussion and Conclusion
Recognizing these factors can guide healthcare institutions in enhancing residents’ mental well-being.
P-340 FIGHTING WORKPLACE VIOLENCE AGAINST HEALTHCARE WORKERS IN A TOTAL WORKER HEALTH® APPROACH: EVIDENCE FROM ITALY
Authors: Vinci Maria Rosaria , Prinzio Reparata Rosa Di , Camisa Vincenzo , Santoro Annapaola , Dalmasso Guendalina , Dosi Alessia , Ceresi Bianca , Raponi Massimiliano , Atti Marta Luisa Ciofi degli , De Santis Marcello , Zaffina Salvatore 
Published: July 2024

Abstract

Introduction
Healthcare workers are one of the most exposed professionals to violence at work (VaW).

Methods
According to a specific protocol implemented in the pediatric hospital, each aggressive act is examined by a multidisciplinary team using the “Modified Overt Aggression Scale” (MOAS), the “General Health Questionnaire-12”, and the “Short Form-36 Health Survey”. The study aims at identifying the underlying factors to overt aggressions to propose improvement measures.

Results
82 aggressions have been registered in a 34-month period (2019-2021). MOAS scores registered a mean value of 3.71 (SD: 4.09). Verbal abuse was the most common form of VaW. A three-domain model was developed considering three aspects: assaulted healthcare workers, attacker-related issues and environmental context. Professional category, minor psychiatric disorder, emotional role limitation, type of containment used, and emotion intensity were significantly associated with overt aggression (p&lt;0.05) as well as the attacker’s role in the hospital (p&lt;0.05).

Discussion
The impact of the emotional role in health professional categories can generate symptoms of exhaustion. The relationship between the patient’s family and healthcare workers may have a significant impact on VaW, related to the wear and tear of the caregiver. Risk factors of aggression were mainly caused by miscommunication, poor environmental design, and night shift.

Conclusion
A growing interest in preventing VaW includes the development of protective measures (e.g., mutual social support networks, improving coping skills). The protocol is an important tool able to tackle VaW in healthcare settings with the aim of improving the quality and safety of care as well as clinical risk management.