bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-018 BARRIERS AND FACILITATORS OF EMPLOYMENT FOR WORKERS SUFFERING FROM LONG COVID: A MIXED METHODS STUDY
Authors: Yu Igarashi 
Published: July 2024

Abstract

Introduction
Around the world, many workers are suffering from persistent symptoms after COVID-19, so-called Long COVID, which can have a significant impact on their work. This study aimed to explore barriers and facilitators of employment for workers suffering from Long-COVID.

Methods
Utilizing a mixed-method approach, the study began with online interviews with occupational physicians (OPs) experienced in supporting workers with Long-COVID, followed by a questionnaire distributed to 690 certified OPs from the Japan Society for Occupational Health. The interview survey ran from October to December 2022, and the questionnaire survey from March to May 2023. The study was ethically approved by the Ethics Committee of the UOEH.

Results
The interview survey was conducted on 20 OPs (30 cases). The questionnaire survey collected 182 responses (26.4% response rate) and 137 open-ended comments. Eighteen barriers and facilitators were obtained from the interviews, and 10 were added by the questionnaire survey and categorized into 6 themes (company characteristics, workplace acceptance, work description, medical care, personal factors, and persistent symptoms).

Discussion
In this study, barriers and facilitators of employment for workers suffering from Long-COVID were identified through interviews and a questionnaire survey with OPs in Japan. We found the importance of establishing an occupational health service system from ordinary times, developing company and workplace acceptance, and collaborating with medical care in order for Long COVID-affected workers to work. These findings may contribute significantly to the activities of OPs in current and future pandemics.

Conclusions
This study identified barriers and facilitators of employment for workers affected by Long COVID.
P-019 ANTIMICROBIAL EFFECTS OF AUTOMOBILE SCREEN WASHES AGAINST LEGIONELLA PNEUMOPHILA
Authors: Chang Ching-Wen , Hsiao Yun-Chung , Hung Yu-Hsin , Horng Yu-Ju 
Published: July 2024

Abstract

Introduction
Legionella pneumophila (Lp), a human pathogen, has been detected in windscreen wiper fluid reservoirs (WWFRs) of automobiles where commercial screen washes (CSWs) are commonly added. When spraying Lp-contaminated windscreen wiper fluid (WWF) from WWFRs for windscreen cleaning, Lp bioaerosols may be generated and subsequently enter the interior space of automobiles, leading to Lp exposure and even legionellosis in drivers. Indeed, epidemiological studies reveal an increased risk of legionellosis in professional drivers. While limited information shows CSWs against planktonic Lp, responses of sessile Lp and planktonic Lp pre-acclimated in nutrient-limited water to CSWs remain unknown.

Methods
To investigate the antibacterial effects of CSWs on sessile and starved planktonic Lp, Lp biofilms were produced on glass and WWFR materials of high-density polyethylene (HDPE) and polypropylene (PP). Planktonic Lp with and without acclimation in tap water were also prepared. Sessile and planktonic Lp was then treated with various brands of CSWs, followed by culture assays on BCYE agars.

Results
Log reductions in cell counts averaged 0.4–5.0 for 10 brands of CSWs against sessile Lp and 1.0–3.9 and 0.9–4.9, respectively, against starved and unstarved planktonic Lp for five CSWs. Both biofilm formation and acclimation in tap water enhanced Lp resistance to CSWs. Significantly different log-reduction values among CSW brands were observed for sessile Lp on HDPE and planktonic Lp regardless of acclimation (p &lt; 0.05).

Discussions and conclusion
Biofilm formation, starvation acclimation and CSW brand are crucial factors influencing Lp response to CSWs. This study advances the knowledge of Lp reaction in anthropogenic water systems with CSWs.
P-027 ESSENTIAL WORKERS IN LARGE-SCALE WATER POLLUTION DISASTERS: A FACT-FINDING STUDY IN KOREA
Authors: Park Gwisang , Jung Saemi 
Published: July 2024

Abstract

Introduction
With the outbreak of the covid-19 pandemic, Korea also defined essential workers who perform work directly related to the protection of people’s lives, and the need for selection and protection of essential workers in various disaster situations has emerged. This study aimed to investigate essential workers in large-scale water pollution disaster in Korea.

Methods
The types of large-scale water pollution were subdivided, and essential work for each category were identified to select essential workers. Essential workers were subjected to have Focus Group Interview and surveys were conducted on their working environment, labor intensity, risk level, and support.

Results
As a result of the analysis, respiratory exposure and dermal exposure of hazardous substances were common risk factors, and irregular waiting time was a psychological stress factor. Additionally, it highlighted the lack of proper rest time, absence of risk allowance, and needs of systematic distribution of work manuals and safety and health information for essential workers.

Discussion
Essential workers in large-scale water pollution should be included when 1) the intensity of labor and working time are significantly increased compared to conventional work, 2) the risk of health damage is increased as contact with pollutants, and 3) the legal basis for providing labor is low, that protection support may be required with a high priority.

Conclusion
This study contributes to establishing the need for protective measures and support systems to safeguard essential workers in large-scale water pollution disasters. Further in-depth research is warranted to formulate comprehensive strategies to enhance the well-being of essential workers in other disasters
O-019 INTEGRATED WORK-FOCUSED HEALTHCARE IN CARDIOVASCULAR DISEASE – DEVELOPMENT OF A DIGITAL PLATFORM TO ENHANCE INFORMATION EXCHANGE AND COMMUNICATION
Authors: Zipfel Nina , Delft Marijke Melles , Colkesen Ersen , Van der Burg-Vermeulen Sylvia 
Published: July 2024

Abstract

Introduction
Insufficient collaboration between work-focused and curative care sectors in the Netherlands poses challenges for addressing the aging workforce and increasing chronic diseases like cardiovascular disease (CVD). While regional networked care supported by digital platform solutions has been endorsed by governmental authorities under the recent Dutch integral healthcare agreement, there is still a lack of insight regarding design and implementation of such a platform across healthcare sectors. This study aims to develop a cross-sectoral digital platform that aligns with stakeholders’ requirements and creates an integrated care network for work-focused healthcare in CVD.

Methods
Employing a mixed-method approach, this study incorporates qualitative observations, semi-structured interviews, and questionnaires. It is conducted in three stages: 1) iterative development monitoring with stakeholders engaged in the integral work-focused care trajectory, collaborating on platform creation; 2) exploring design opportunities and limitations for future digital support systems in cross-sectoral network care initiatives; and 3) evaluating adoption and usability of the digital platform for an integrated work-focused care network for people with CVD.

Results
Currently, N=19 stakeholders are included in the co-creation process for the iterative development of the digital platform. The preliminary version of the platform allows for information requests, viewing involved stakeholders, and requesting multidisciplinary consultations. The platform is expected to be completed by the time of the conference and will undergo a pilot phase in late 2023.

Discussion
Co-creation shows promise in meeting stakeholders’ demands and ensuring sustainable implementation of work-focused healthcare solutions.

Conclusion
Regional work-focused care networks can enhance integrated work-focused healthcare, promoting sustainable employability and preventing long-term absenteeism.
P-028 A MINIMAL SET OF WORK-RELATED OUTCOME MEASURES MOST IMPORTANT FOR PEOPLE EXPERIENCING WORK PARTICIPATION PROBLEMS DUE TO CARDIOVASCULAR DISEASE
Authors: Hagendijk Marije , Zipfel Nina , Hoving Jan , Delft Marijke Melles , Van der Radboud Philip Wees , Van der Burg-Vermeulen Sylvia 
Published: July 2024

Abstract

Introduction
Value-based healthcare emphasizes the maximization of value for patients by improving healthcare outcomes that are most important to them in relation to costs. To monitor and improve value it is crucial to measure patient-centred outcomes. However, existing outcome sets lack the inclusion of work-related outcome measures. Therefore, the objective of this study was to identify a minimal set of work-related outcome measures for patients experiencing work participation problems due to cardiovascular diseases.

Methods
A 2-round modified Delphi process was employed, which included a combination of four meetings and surveys to facilitate debate and to achieve consensus on the outcome measures with an expert panel. The expert panel consisted out of 17 participants, including patient representatives (N=6) and a diverse group of professionals providing work-focused healthcare (N=11).

Results
A minimal work-related outcome set was defined, consisting of nine outcomes including (1)work participation, (2)suitable work, (3)physical work ability, (4)mental work ability, (5)communication with the patient, (6) person-centeredness, (7)support from the work environment, (8)flexibility in the work environment and (9)multidisciplinary communication. An outcome measure was selected for each of these outcomes.

Discussion/conclusion
This minimal set of outcome measures for patients experiencing work participation problems due to cardiovascular disease serves as a guideline for measuring work-related outcomes in a wide range of work-focused healthcare settings, enabling the monitoring of value and encouraging healthcare innovations. Using the set can gain insight into patients’ outcomes, assisting healthcare professionals to engaging in more effective conversations and shared decision-making with patients. Additionally, it can help patients develop a better understanding of their own work-focused healthcare process.
P-029 METABOLIC SYNDROME IN SEDENTARY EXECUTIVES IN A CORPORATE OFFICE IN INDIA
Authors: Mhalshekar Vishwaraj , Siddhivinayak Sweta Mhalshekar , Kunkolienkar Rudra 
Published: July 2024

Abstract

Introduction
Executives responsible for managing activities of an organization spend most of their time at their desk, thus leading a sedentary lifestyle. Metabolic syndrome (Syndrome X) raises the risk of cardiovascular disease and diabetes mellitus. Key features of metabolic syndrome include central obesity, high triglycerides, low HDL cholesterol, hyperglycemia, and hypertension. The study aims to determine metabolic syndrome prevalence among sedentary executives in a corporate office in India.

Methods
Three-month cross-sectional study was conducted on 120 sedentary executives aged 20-60 years, both females and males selected through simple random sampling. Data was analyzed using SPSS version 23, with Chi-square test. The National Cholesterol Education Program’s Adult Treatment Panel III for Metabolic Syndrome was applied. Tests conducted were FBSL, Triglycerides, HDL, Total Cholesterol, resting blood-pressure and abdominal circumference.

Results
The study indicates that 24% of sedentary executives meet the criteria for metabolic syndrome. It was observed that metabolic syndrome was present in 28% of males and 11% of females. Mean FBSL exhibited a significant upward trend with age, similarly there was a gradual increase in both mean systolic and diastolic blood-pressure levels with age.

Discussion
Implementing preventive measures and lifestyle interventions can play a crucial role in mitigating the risk of Metabolic Syndrome and improving overall health outcomes.

Conclusion
Metabolic syndrome increases with age due to a sedentary lifestyle, inactivity and improper diet. Lifestyle modifications such as exercise and increased physical activity, healthy diet should be inculcated in the executives. Regular health screenings should be undertaken for determining the trend analysis and prevention of Metabolic Syndrome.
P-031 THE CORRELATION OF BLOOD LEAD LEVELS AND NT-PROBNP LEVELS IN INDONESIAN LEAD-EXPOSED WORKERS
Authors: Aini Rifka , Ilyas Muhammad , Fuk Liem Jen , Mansyur Muchtaruddin 
Published: July 2024

Abstract

Introduction
Lead exposure has been recognized as a risk factor for cardiovascular disease (CVD). Due to its relevant prognostic information, N-terminal proBNP (NT-proBNP) was known as a useful biomarker in the diagnosis and management of CVD. This preliminary analytical study examines the potential correlation between blood lead levels (BLL) and serum concentrations of NT-proBNP in lead-exposed workers.

Methods
A cross-sectional study was conducted among 71 Indonesian male workers who were occupationally exposed to lead. Venous blood samples were collected from all study participants. The BLL was measured using Inductively Coupled Plasma Mass Spectrometry (ICP-MS) and serum NT-proBNP concentrations were detected with electrochemiluminescence immunoassay (ECLIA).

Results
A total of 46 participants were included in the analysis as 25 samples with NT-ProBNP levels &lt;10 pg/dl were excluded from further analysis. The mean age was 42.3 (SD 9.6) years. The median of BLL and NT-proBNP were 8.42 µg/dl and 27.14 pg/dl. We found no correlation between BLL and NT-proBNP levels in our study (r = 0.088, p = 0.56).

Discussion
Due to the healthy nature of the sample chosen and the fact that this measurement is used to forecast cardiovascular diseases ten years in the future, a plausible association has not been found in this initial research. It is necessary to do a more thorough investigation with a wider range of participants, jobs, and ages.

Conclusion
Our study found that BLL was not correlated with serum NT-proBNP concentrations. Further investigation using more precise and varied data is needed. Keywords: Blood lead levels, Cardiac biomarkers, Lead exposure, NT-proBNP
O-027 MENTAL AND BEHAVIORAL DISORDERS AND UNFITNESS FOR WORK: A CROSS-SECTIONAL STUDY OF 1,327,540 WORKERS IN OCCITANIA, FRANCE
Authors: Pucci Chiara , Dell’Omo Marco , Lesage François-Xavier , Murgia Nicola , Annesi-Maesano Isabella 
Published: July 2024

Abstract

Introduction
There are little information in literature regarding unfitness for work and underlying related diseases. Mental and behavioral disordes (MBDs) are the most common reason for long-term sickness absence. The objective of the study is to analyze the role played by MBDs in complete unfitness for work.

Methods
Data collected from September 2019 to August 2020 from 24 of the 27 SSTI (Intercompany occupational health services) in Occitania (France) during health surveillance visits allowed to study the determinants of complete unfitness for work, pathologies included.

Results
Of the 1,327,540 workers, 8,374 (0.63%) had complete unfitness for work. Workers unfitted were older (mean age= 43.7 +/- 11.2 vs 40.4 +/- 12.4) and had longer working seniority (months) (91.9 +/- 90.5 vs 74.9 +/- 90.4). In all workers, MBDs rank first as a cause of unfitness (n= 2,758, 41.5%) and depressive episode (ICD-10 F32) graded first in females (n= 1,085, 59.7%). In an adjusted model, risk factors of MBDs-related unfitness for work were age (Odds ratio (OR) 1.016, 95% confidence interval (CI) 1.012-1.020) female gender (OR 2.21, 95% CI 2.02-2.42), the presence of a permanent contract (OR 4.88, 95% CI 4.10-5.81) and, compared to the category of blue collars, being white collars (OR 1.15, 95% CI 1.02-1.28).

Discussion
These results shown how some factors could contribute to the development of complete unfitness for work related to mental disorders.

Conclusions
In order to protect workers, the impact of mental and behavioral illnesses particularly in certain occupational categories should not be underestimated.
P-041 CONTRIBUTING FACTORS TO SUSTAINABLE EMPLOYABILITY AND WORK ENGAGEMENT OF PHYSICIANS IN A HOSPITAL SETTING
Authors: Wauthlé Anouk , Brouwers Evelien , Joosen Margot , Mathijssen Jolanda , Lugtenberg Marjolein 
Published: July 2024

Abstract

Introduction
In the past decades the health care sector In Western countries has been facing multiple challenges such as increased workload, a growing complexity of care, growing costs and an aging and declining labor force. This negatively impacts the health and wellbeing of physicians, who report higher levels of burn-out, sickness absenteeism and turnover intentions. In addition, a rising number of upcoming physicians are quitting their traineeships. To maintain the quality and the accessibility of our healthcare system it is important to gain a deeper understanding of factors that support sustainable employability and wellbeing of physicians. This study aims to explore (1) the capability levels and work engagement levels amongst physicians in a hospital setting and (2) which factors are associated with their work engagement levels.

Methods
A cross-sectional survey study was conducted among 250 physicians working in a general hospital in the Netherlands. They filled out an online questionnaire on their work engagement levels, work capabilities, psychological capital, authenticity, autonomy and team climate experience. Descriptive analysis and multiple regression analysis will be used and a correction for gender, age and type of contract will be made.

Results
Full results will be available in September 2023. First preliminary findings show that higher levels of work capabilities, authenticity and psychological capital are associated with higher levels of work engagement.

Discussion
The cross-sectional nature of this study should be recognised as a limitation.

Conclusion
This study enriches our knowledge about which factors are associated with work engagement levels and capability levels of physicians in a hospital setting.
P-042 TRACK CHANGES IN THE RETENTION OF NURSES AND PHYSICIANS IN A HOSPITALS SETTING DUE TO COVID-19
Authors: De Vries Neeltje , Maniscalco Laura , Godderis Lode , Vermeulen Hester , De Winter Peter 
Published: July 2024

Abstract

Introduction
The outbreak of COVID-19 showed the devastating effect of large disease outbreaks. Future pandemics and epidemics can have a significant impact on the healthcare system and, thus, the healthcare workers. Moreover, it is crucial to understand how hospital managers can manage to retain their nurses and physicians during future outbreaks.

Method
A meta-analysis of determinants impacting the intention to leave (ITL) during the COVID-19 pandemic was conducted. Secondly, a systematic review of other potential determinants impacting ITL during the COVID-19 pandemic was carried out.

Results
A comprehensive search was fulfilled within three electronic databases on 17 March 2023. Twenty-nine papers fulfilled the eligibility of criteria for the meta-analysis, and 44 papers were included in the systematic review. Meta-analysis showed a prevalence of ITL the current job of 37% for nurses (I2 &gt;95%, p&lt;0.001) and 33% for physicians (I2 &gt;95%, p&lt;0.001), whereas ITL the profession for nurses 27% (I2&gt;95%, p&lt;0.001) and 24% for physicians (I2&gt;95%, p&lt;0.001). The systematic review showed the determinants impacting ITL into six themes: personal characteristics, job demands, employment services, working conditions, work relationships, and organisational culture.

Discussion/Conclusion
This paper showed that over one-third of the nurses and physicians working during COVID-19 had intentions to leave their job and approximately one-third had intention to leave the profession. Understanding the influence of determinants on retention during COVID-19 offers an opportunity to formulate prospective strategies for retaining nurses and physicians within hospital settings. These insights lay the foundations for effective policies to ensure workforce stability during potential future pandemics or crisis situations.
P-043 MENTAL ILLNESS DISORDERS AND FITNESS FOR WORK: A STUDY OF 174 CASES
Authors: Bechrifa Emna , Hsinet Jihen , Khouja Nihel , Khaireddine Donia , Ismail Saloua , Baraketi Emna , Meskini Cheima , Merghni Syrine , Benzarti Aida 
Published: July 2024

Abstract

Introduction
Mental disorders’ impact on occupational health has become a major concern, affecting professional activities. Objectives: describe the socio-professional characteristics of workers with mental illness disorders and examine their impact on workability.

Methods
Retrospective descriptive study of patients with psychiatric disorders seeking medical assessments at the occupational pathology department between January 2011 and June 2023.

Results
We included 174 patients with an average age of 39.72±8.23years, a sex ratio of0.76 and an average professional seniority of 12.99±7.83years. The professions were drivers (21.8%), call-center agents (20.7%), healthcare workers (20.7%), and hygiene agents (6.3%). The main challenges reported were interpersonal conflicts (81.5%) and lack of autonomy (54%) which was impacting their professional activities (71%). Psychiatric diagnoses included anxiety and depressive syndrome (75.1%), bipolar disorder (8.7%), schizophrenia, burnout (3.5%), and obsessive-compulsive disorders(2.9%). Regarding work outcomes, 59% of patients required long-term sick leave. Job accommodations were made for 37.9% of participants, including exclusion from night work for63.5%, task alleviation for27.9%, and avoiding contact with the public for35.3%. Moreover, 20% of participants underwent job reassignment, 13.2% were considered permanently unfit for work, 13.2% remained in their current roles, 13.8% were deemed fit for work following therapeutic interventions, and1.2% opted for early retirement.

Discussion
The determination of work suitability considers various factors, particularly those specific to each type of psychiatric illness.

Conclusion
Mental illness disorders significantly impact work ability, necessitating tailored job accommodations and interventions for affected individuals.
P-050 PROSPECTIVE ASSESSMENT OF WORK-RELATED DISTRESS, PLEASURE AND HARM IN FRONTLINE HEALTHCARE WORKERS IN COVID-19
Authors: de Brito Edianara Caroline Gonçalves , de Lourenção Daniela Campos Andrade , Baptista Patricia Campos Pavan , Centro João Silvestre Silva-Junior , da Cunha Arthur Arantes , Gallasch Cristiane Helena 
Published: July 2024

Abstract

Objective
to assess the work-related harms of frontline Brazilian healthcare workers against COVID-19 in the first year of pandemics.

Method
prospective observational study, which collected data from April to June 2020 (T1) and from November 2020 to January 2021 (T2) at the Brazilian national territory, using the snowball sampling method. The studied sample consisted of 113 health professionals who answered the questionnaires in the two analyzed periods (T1 and T2).

Results
For this purpose, the EIPST Scale for Pleasure and Suffering at Work and the EADRT Scale for the Assessment of Work-Related Harms were used. Data were organized, tabulated and analyzed using Microsoft Excel 2016 and Statistical Package for the Social Sciences version 25.0 software. The scores of the EIPST and EADRT scales were analyzed in terms of their descriptive statistics (mean - x̅; standard deviation - SD; absolute and relative frequencies), which allowed evaluating and classifying the degrees of risk, referring to each scale, at the sampling level and at the individual level, following the risk interpretation recommendations of the respective scales.