bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-167 INCIDENCE TRENDS OF OCCUPATIONAL DISEASES IN LITHUANIA IN 2009-2022
Authors: Kornilenko Liubov , Stanislavoviene Jelena 
Published: July 2024

Abstract

Introduction
One of the main indicators of safety and health at work status is the incidence of occupational diseases. The aim of the study was to investigate the trends in the incidence of occupational diseases in Lithuania during the period of 2009-2022.

Methods
Incidence rates were calculated using data from the Republic of Lithuania National Register of Occupational Diseases. The rates were age-standardized using the direct standardization method. The changes in the incidence rates throughout the study period were analyzed using segmented regression calculated with the JOINPOINT statistical software. We determined joinpoints in the dynamic lines of the incidence rates and calculated mean annual relative (percentage) change for each period.

Results
Incidence of occupational diseases declined during the study period: in 2009-2011 years was observed a rapid fall - annual relative (percentage) change of 32.1 %, then in 2011-2017 there was a slight change (-0.2 %) every year, during 2017-2022 the incidence of occupational disease decrease 15.5 % annually. In summary, during 2009-2022 annual relative (percentage) change was -11.8 % (CI (-14.3) – (-9.1)), p &lt;0.001.

Discussion
The results of the study reflect the statistics on the reduction of occupational diseases shown by Eurostat. Specialists in Lithuania see a number of reasons that determine such trends: improving working conditions, a small number of occupational medicine doctors, and other social circumstances.

Conclusion
During the study period, the incidence of occupational diseases decreased almost 5 times. The incidence was found to slightly decrease during the period of 2011-2017, very rapidly during 2009-2011, and from 2017 to 2022.
O-169 WORK-RELATED COVID-19 CASES REPORTED TO THE NORWEGIAN LABOUR INSPECTION AUTHORITY
Authors: Strømholm Tonje , Samant Yogindra , Stette-Haarberg Ingrid , Støver Morten , Lohmann-Lafrenz Signe 
Published: July 2024

Abstract

Introduction
This register-based study provides a profile of work-related Covid-19 cases reported by physicians to the Norwegian Labour Inspection Authority (NLIA).

Methods
All the cases of work-related Covid-19 cases reported by a physician to the NLIAs Registry for Work-Related Diseases (RAS) between February 2020 and February 2022 were included. Descriptive statistics and the incidence of reported cases were computed for age, gender, and occupation.

Results
Two hundred and seventeen work-related Covid-19 cases were reported to RAS during the study period. Sixty-five percent of the cases were females (n = 141), and 35 % (n = 76) were males. Doctors, nurses, and ambulance personnel yielded higher incidence rates than other healthcare and non-healthcare occupations.

Discussion and Conclusion
This study indicates that women aged 25-39 and employed in the healthcare sector had the highest reported incidence and number of work-related Covid-19 cases. Physician underreporting of work-related Covid-19 cases is an important finding. We provide a set of recommendations to improve the physician reporting of work-related diseases.
O-170 KIDNEY DISORDER AMONG WORKERS EXPOSED TO HEAT STRESS: A STUDY BASED ON ESTIMATION GLOMERULO FILTRATION RATE CYSTATIN AND CREATININ EXAMINATION
Authors: Soemarko Dewi Sumaryani , Indrawati Santi 
Published: July 2024

Abstract

Introduction
Workers in hot environments are at high risk of kidney problems due to chronic dehydration, and need medical examination for detecting kidney problems. The Cystatin C serum is a parameter of kidney function as a gold standard test and is more practical. Cystatin C can detect kidney disorders earlier before creatinine levels increase. The purpose of the study was to determine kidney disorders by examining creatinine, cystatin C and the economic value of examining cystatin C compared to creatinine.

Method
A cross-sectional study at the Hot Press section of a shoe factory in Tangerang, 2019. The population of workers is 400 people. exposed to heat stress more or equal to 28 degrees Celsius WBGT. Subjects were selected according to the criteria normal creatinine values. Demographic data were taken from companies, random sampling was carried out, measuring the workplace environment, interviews, filling out questionnaires, physical examination and laboratory tests.

Results and Discussion
106 workers with normal creatinine. exposed to heat stress of 28-31.5 C WBGT. The prevalence of kidney disorder with cystatin eGFR was 17%, increased by 14.89%, decreased by 2.12%. There is association kidney disorder to age and duration of work. High specificity, low sensitivity found in Diagnostic test. The economic value of cystatin c requires an accurate GFR value to determine the diagnosis.

Conclusion
The prevalence of renal impairment in GFR C in workers with normal creatinine values was 17%, an increase of 14.89%, a decrease of 2.12%. Need to control heat stress and early detection to reduce kidney disorders Keywords: Kidney disorder, heat stress, eGFR Cystatin
O-174 FACTORS ASSOCIATED WITH PRESENTEEISM AMONG PHYSICIANS WORKING IN OCCUPATIONAL HEALTH SERVICES IN BRAZIL
Authors: Silva-Junior Joao Silvestre , Helaehil Camila , da Cunha Arthur Arantes , Ogata Alberto José Niituma , Scarpellini Bruno , Demarch Rodrigo B , Marina Frida 
Published: July 2024

Abstract

Introduction
Presenteeism is defined as working while being ill, and it is a widespread global phenomenon among workers. In Brazil, labor legislation mandates companies to hire physicians for the development and implementation of health programs for their employees. This study aims to analyze factors associated with presenteeism among physicians working in occupational health services.

Methods
This cross-sectional study analyzed data from the third stage of a nationwide longitudinal research project. Data were collected in 2021, with 260 physicians responding to the Stanford Presenteeism Scale (SPS-6) and questionnaires regarding professional fulfillment, effort-reward imbalance, sociodemographic, and occupational aspects. A multiple binary logistic regression model was constructed to study the variables associated with presenteeism.

Results
The prevalence of presenteeism was 25%. Individuals with low professional fulfillment (OR 2.10; CI 95% 1.12-3.97), high overcommitment (OR 2.68; CI 95% 1.21-5.94), practicing occupational medicine for less than 20 years (OR 2.92; CI 95% 1.32-6.49), and working less than 40 hours per week (OR 1.89; CI 95% 1.02-3.54) had higher odds of presenteeism. Meanwhile, individuals with single marital status (OR 0.44; CI 95% 0.20-0.95) demonstrated lower odds. The model was adjusted by age and gender.

Discussion and Conclusion
Presenteeism in the studied population is lower than the data found in the literature. Numerous occupational aspects of physicians’ work were associated factors. Therefore, it is essential to implement health management strategies for them, as they are responsible for delivering comprehensive care to other employees.Acknowledgments: CGP Brasil for research funding; CNPq to FMFischer, grant 306963/2021-3.
O-176 USING THE ECHO MODEL TO TEACH OCCUPATIONAL AND ENVIRONMENTAL MEDICINE TO PRIMARY CARE PROVIDERS
Authors: Irvin Emma , Van Eerd Dwayne , Le Pouésard Morgane , Butt Amanda , Nasir Kay , Irvin Emma , Furlan Andrea , Severin Colette , Harbin Shireen , Carnide Nancy , Nouwrouzi-Kia Behdin , Macdonald Sara , Thompson Aaron , Liao Qing , Smith Peter , Adisesh Anil 
Published: July 2024

Abstract

Introduction
Primary care providers (PCPs) have scarce access to specialists in occupational and environmental medicine (OEM) regarding return to work, occupational injuries, illnesses, and environmental exposures. We conducted a pilot project to develop, implement and evaluate a teaching program on OEM for PCPs. The program also sought to improve communication between PCPs and the Ontario Workplace Safety and Insurance Board (WSIB) who provide wage-loss benefits and support for return to work after a work-related injury or illness.

Methods
We used the ECHO model to connect PCPs with OEM experts, using weekly video conference sessions to discuss participants’ cases and deliver didactic presentations. We invited PCPs to attend two cycles of 12 ECHO OEM sessions. An observational pre-post study design assessed changes in ECHO participants. Data were collected using online questionnaires for demographics, satisfaction, self-efficacy, knowledge, attitudes and beliefs. We analyzed the data using parametric and non-parametric statistics. Two cycles of 12 sessions each ran from September 2021 - June 2022, attended by various PCPs.

Results
229 participants registered, and 150 attended at least one session, of these 67 completed both pre- and post-ECHO questionnaires. ECHO OEM had a positive impact on satisfaction; self-efficacy increased post-ECHO (p&lt;.0001) and knowledge increased after ECHO (p=0.004). Two of 10 items regarding attitudes and beliefs, related to perceptions, and the role of the WSIB significantly improved after ECHO (p&lt;0.05). ECHO OEM was feasible and acceptable in Ontario.

Discussion and Conclusion
We demonstrated high satisfaction with the program, improved self-efficacy, increased knowledge, and improved attitudes and beliefs about the WSIB.
O-182 INVENTION AND VALIDATION OF REFERRAL CRITERIA FOR OCCUPATIONAL MUSCULOSKELETAL DISEASES
Authors: Joyce Li Lok Yee , Chen Ping Hui 
Published: July 2024

Abstract

Introduction
Diagnosis of occupational diseases(ODs) rely on both clinical physicians and occupational physicians to make clinical diagnoses and evaluate work-relatedness, respectively. Thus, referral mechanism is important for diagnosing ODs. Novel ODs, like musculoskeletal diseases (MSDs), have multiple etiologies, which makes ICD codes bad referral criteria with low positive predictive values. Our aim is inventing and validating criteria additional to ICD codes to enhance positive predictive values.

Methods
In Taiwan, Network of Occupational Diseases and Injuries Service is an important surveillance system of ODs. In NODIS, MSDs are most reported cases. Using the reporting data from 2012 to 2018, we use binomial regression model to investigate effect of these factors on work-relatedness, and subgroup analysis is carried out for each MSDs diagnosis. We then conduct a prospective study to validate effect of these predictors.

Results
In binomial regression model, longer tenure, ever taking leaves due to MSDs, construction industries, craft and related trades workers, technicians and associate professionals, elementary labourers, and main MSDs in OD list are significant predictors of work-relatedness. In subgroup analysis, predictors of work-relatedness vary between different MSDs. Preliminary data of prospective study validate our findings, but more data are needed.

Discussion
Each MSD has its unique predictor of work-relatedness, and we can identify high-risk characteristics, like age, gender, tenure, job title, industry, sick leave status, employment status, for each MSD.

Conclusion
Using each predictor’s coefficient, we can generate a set of referral criteria to refer cases with odds ratio of 2 or above, which enables better referral mechanism, which is more precise and more efficient.
O-184 MEDICAL AND SOCIAL COVER FOR FISHERMEN IN MOROCCO: CURRENT SITUATION, CONSTRAINTS AND PROSPECTS
Authors: Idrissi Kaitouni Mohammed Omar , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction: Objective
critical analysis of medico-social cover for fishermen: limitations and recommendations. Medical and social cover for fishermen raises a number of issues of a legislative, ethical, deontological and practical nature.

Methods
A cross-sectional epidemiological survey was carried out among physicians working in the seafarers’ health facilities (ASGM).

Results and discussion
ASGM physicians, providing both care and prevention activities, infringe the provisions of the law relating to the practice of medicine. We have 20 occupational health physicians for 120,509 fishermen. We need around 70. The Ministry of Health provides the medical staff, which is an aberration because it pays the occupational health physicians who provide preventive care in the private sector. The Labor Code stipulates that medical services and the remuneration of occupational physicians are the responsibility of the company. Wouldn’t it be useful to introduce a compulsory prevention contribution, which would enable occupational health cover to be extended to the entire working population? Should the compulsory maritime insurance required of all shipowners include a contribution to occupational risk prevention? The high turnover of fishermen who change port of registration disrupts the proper monitoring of ASGMs. Wouldn’t it be useful to digitize the medical records and individual maritime booklet of fishermen as part of an intranet? The national reference rate has not been increased since 2006, resulting in quantitative and qualitative shortfalls in care. Shouldn’t a third-party payment system be considered?

Conclusion
Several actions are needed to improve the health and safety of fishermen
P-305 EXTREMELY LOW FREQUENCY ELECTRO- MAGNETIC FIELDS AND QUALITY OF SLEEP: A CROSS-SECTIONAL STUDY IN A POWER PLANT IN TUNISIA
Authors: Sridi Chayma , Kacem Imene , Jammeli Imene , Aloui Asma , Chelly Farah , Ksibi Sonia , Maoua Maher , Mrizak Najib 
Published: July 2024

Abstract

Introduction
Extremely Low Frequency Electro-Magnetic Fields (ELF-EMF) are widespread in our daily life and in the workplace. The aim of this study was to assess the impact of chronic occupational exposure to ELF-EMF on sleep quality among workers in the Tunisian Electricity and Gas Company.

Methods
In this cross-sectional study, the population was composed of two groups: an ‘exposed group’ represented by workers in a power plant and an ‘unexposed group’ represented by administrative workers belonging to the same company. The Exposure to ELF-EMF was assessed by spot measurements using a portable magnetometer. Sleep quality was assessed by the Pittsburgh Sleep Quality Index Questionnaire (PSQI).

Results
This study included 77 exposed subjects and 88 unexposed subjects. The median age was 37 years in the exposed group and 43.5 years in the unexposed group. Almost half of the exposed group were technicians. The median value of EMF was 5.9 µT in the power plant [Min=0,1;Max=40.3]. The interpretation of PSQI score showed that 64.9% of the exposed group had a bad quality of sleep versus 29.5% of the unexposed group (p&lt;10-3). After multivariate analysis, ELF-EMF exposure was significantly associated with poor sleep quality (p&lt;10-3;OR=1.28;95%CI=[1.14-1.43]).

Discussion
Chronic occupational exposure to ELF-EMF may have an impact on the quality of sleep. This impact could be explained by the disruption of circadian rhythms and the effects of ELF-EMF on the central nervous system.

Conclusion
It is essential to raise workers’ awareness of these risks in order to minimize the adverse effects on the quality of life of the workers concerned.
P-307 PICKWICK SYNDROME AND OCCUPATIONAL HAZARDS IN HIGH-RISK ACTIVITIES
Authors: Rincón Sarmiento Juan Ignacio 
Published: July 2024

Abstract

Introduction
Sleep disorders are increasingly prevalent in contemporary society. Many of these disorders are related to increased body weight. Obesity Hypoventilation Syndrome, also known as Pickwick syndrome, is a respiratory disorder that affects some people with obesity and can also have an impact on their work performance

Methods
A literature search was carried out using the words: obesity, Obesity Hypoventilation Syndrome, Pickwick syndrome, obesity, work accidents; showing that in effect this series of conditions derived from poor sleep quality increase the risk of presenting comorbidities, as well as presenting incidents at work. The foregoing with a view to strengthening this management at the National University of Colombia, in Bogotá.

Results
From this analysis, it was possible to conclude that workers diagnosed with obesity frequently have sleep disorders, which decreases their alertness even for work activities. This represents a huge risk whenever they face high-risk activities such as driving, working at heights, working in confined spaces, exposure to chemicals, etc.

Discussion
Rigorous control of variables such as body weight is required, especially in workers with high-risk activities. We should be concerned about the workers and their habits both inside and outside the companies and in this way try to influence their culture and health habits.

Conclusions
From the point of view of occupational risk management, it is essential to implement wellness programs and healthy habits in companies, as well as to continue working on public policies that prevent the development of obesity and metabolic disorders from an early age.
P-316 FORMATION OF A SYSTEM OF CLINICAL RECOMMENDATIONS IN THE PRACTICE OF AN OCCUPATIONAL HEALTH PHYSICIAN
Authors: Bukhtiyarov Igor , Shigan Evgeny , Rubtsova Nina , Budaragin Valery 
Published: July 2024

Abstract

Introduction
The occupational health physician practical activity depends on the knowledge of the algorithms for managing a patient with an occupational disease, including the specifics of a professional examination, as well as an examination of professional suitability and the relationship of the disease with the occupation. To do this, Clinical Recommendations on the main nosological forms developed by the specialized medical community in accordance with the regulatory documents of the Russian Federation are provided to help the physician.

Methods
To perform this work, a system of Clinical Recommendations was developed based on the demand for standardized approaches in the diagnosis, treatment, prevention of the main forms of occupational diseases, followed by the rehabilitation of patients.

Results
Analysis of the study showed that according to the main organs and systems of damage in occupational medicine - hearing organs (37%), pulmonary (17%), skin (1.5%), nervous and musculoskeletal systems (41%) - Clinical Recommendations on pneumoconiosis, occupational bronchial asthma, occupational chronic obstructive pulmonary disease and occupational exogenous allergic alveolitis, occupational eczema and occupational allergic contact dermatitis, vibration disease and occupational dorsopathy of the lumbosacral region.

Discussion
The results confirm the relevance of developing a system of clinical guidelines for a standardized approach of physicians to the management of patients according to the main nosological forms of occupational diseases.

Conclusion
An analysis of the practical activity of an occupational health physician showed a range of necessary general approaches in the practice of his activity, due to the most frequent lesions of the organs and systems of the worker.
P-317 RELATIONSHIP BETWEEN SUPERVISOR SUPPORT AND EMPLOYEE TURNOVER
Authors: Morioka Shigeki , Nagata Tomohisa , Odagami Kiminori , Adi Nuri Purwito , Mori Koji 
Published: July 2024

Abstract

Introduction
In the motivational process of the Job Demands-Resources (JD-R) model, job resources are related to health and organizational outcomes through work engagement (WE). In the JD-R model, supervisor support can be considered as a job resource and employee turnover as an outcome. The purpose of this study is to examine the relationship between supervisor support and employee turnover.

Methods
A prospective cohort study was conducted in March 2022 and a follow-up survey was conducted in March 2023. The analysis was based on those who responded to both surveys. The explanatory variable was supervisor support at baseline, and the outcome was voluntary turnover between baseline and follow-up. Odds ratios and 95% CIs were calculated by logistic regression analysis adjusted for covariates (Model1:sex, age, marital status, child status, industry, working time system, job title, education, annual income, Model2:Model1+WE). This study was approved by the Ethics Committee of UOEH.

Results
A significant negative relationship was found between supervisor support at baseline and employee turnover between baseline and follow-up. Model1 was OR=0.944(95%CI;0.928-0.961, p&lt;0.001) and Model2 was OR=0.939 (95%CI;0.922-0.957, p&lt;0.001).

Discussion
Supervisor support was significantly negatively correlated with turnover. WE was significantly positively correlated with turnover, but it did not affect the effect of supervisor support to turnover.

Conclusion
This finding suggests that supervisor support may affect turnover through channels other than the motivational process, rather than through WE. Supervisor support may lead to turnover through channels other than the motivational process.
P-321 OCULAR OCCUPATIONAL TRAUMA IN WORKERS ATTENDED IN A HIGH COMPLEXITY CLINIC IN THE CITY OF CALI, COLOMBIA
Authors: Fonseca- Muñoz Maurucio , Marcela Diana , Parra Ruth Marien Palma 
Published: July 2024

Abstract

Introduction
Occupational eye trauma is a major source of workday injuries, with higher incidence in industrialized countries and accounting for 3% of emergency consultations. They are a major cause of vision loss worldwide, with a great socioeconomic impact.

Methods and Results
Ocular traumatisms occupy a relevant place in reported work accidents, their incidence is 1 per 10 thousand individuals, with a higher frequency in agricultural activities, metallurgical, electrical and construction industries, and health professions such as dentistry. In spite of the trend of occupational accidents in Colombia in recent years, it is possible that there is an underreporting of ocular trauma due to occupational accidents in ophthalmologic care. The purpose of this proposal is to characterize ocular trauma from emergency care in a high complexity clinic and the records classified as occupational accidents by occupational risk insurance companies.

Discussion and Conclusion
The analysis of the information will contribute to the knowledge on occupational ocular trauma in the southwestern region of the country and will make visible the need and importance of strengthening health prevention plans and programs, as well as the follow-up of labor inclusion in these specific situations.