bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-232 KNOWLEDGE, ATTITUDES AND PRACTICES OF PUBLIC SECTOR HEALTH PERSONNEL IN D’ERRACHIDIA (MOROCCO) TOWARDS TUBERCULOSIS
Authors: Abdelhakim Abbaouy , Nadia Manar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
The objective was to assess the knowledge, attitudes and practices of public sector health workers regarding tuberculosis and the implementation of the recommendations of the national tuberculosis control program.

Method
This cross-sectional study was carried out during the first half of 2023 among healthcare professionals at the Errachidia Regional Hospital Center. It involved 231 professionals (12 general practitioners, 49 specialists and 170 nurses), excluding pulmonologists. The self-questionnaire included knowledge about pulmonary tuberculosis, national tuberculosis control program, screening and diagnosis of pulmonary tuberculosis.

Results
The mean age was 31 ± 3.8 years. The female gender represented 65%. The National Tuberculosis Control Guide only contributed to strengthening knowledge on the topic of tuberculosis for 28.5% of the sample. 73% of professionals declared that they were aware of the missions of the Center for the diagnosis and treatment of respiratory diseases and 11% were completely unaware of them. All participants knew the address of the CDTMR in the town of Errachidia. 86.4% of doctors participating in the study are involved in screening and 75.2% in diagnosis. 94.3% referred tuberculosis patients to the CDTMR or to a private pulmonologist. 34.7% of the doctors surveyed were aware of the existence of a public-private partnership for the management of tuberculosis by private pulmonologists.

Conclusion
To improve the knowledge, attitudes and practices of non-pulmonology doctors with regard to tuberculosis, regular information, education and communication campaigns on a national scale are necessary to effectively fight against this scourge.
O-236 HEALTHCARE WORKERS VACCINATION: MOROCCAN EXPECTATIONS
Authors: Wifaq Kamal , Tahri Loubna , Soltani Sara , El Kholti Abdeljalil 
Published: July 2024

Abstract

Introduction
In Morocco, there are still no regulatory texts or recommendations from the authorities concerned regarding the Vaccination of HealthCare Workers (HCW-V). This work aim is to propose guidelines for the vaccination of moroccan HealthCare Workers (HCW) against VPDs.

Method
Study of the legal and regulatory framework of HCW-V in Morocco, and benchmarking of international practices in addition to the World Health Organization (WHO) directives of the “Implementation Guide for Vaccination of Health Workers”.

Results
The legal and regulatory framework of the HCW-V is defined by the moroccan Labor Act which places responsibility for the workers’ health and safety on the employer, and its implementing decree concerning general safety measures. prevention against biological risks. International benchmarking, which concerned practices in United Kingdom, United States, Canada and Switzerland, coupled with WHO directives, demonstrated the interest of an HCW-V program against Tetanus, Diphtheria, Viral Hepatitis B, Measles, Rubella, Meningococcus, Chickenpox, Whooping Cough and Seasonal Flu. This program takes the form of recommendations in certain countries, or legal obligations in others.

Discussion
The HCW-V measures should consider the national immunization program, and specially the epidemiological situation of infectious diseases in each country, in particular that VPDs. The determination of recommendations, being the result of a multidisciplinary consultation, should be part of a national policy for the occupational risks prevention among HCW including managing infectious risks.

Conclusion
HCW-V is a crucial element among primary prevention measures in the workplace, and where the occupational physician plays an essential role in assessing the infectious risk and implementing preventive actions.
O-244 ASSESSMENT OF MENTAL WORKLOAD IN CROHN’S DISEASE AND ITS IMPACT ON WORK ACTIVITY
Authors: Jbara Meriem , Wifaq Kamal , Tahri Loubna , Darid Fadwa , Norredine Doha , El Kholti Abdeljalil 
Published: July 2024

Abstract

Introduction
CD is a handicap due to the chronicity and repetition of relapses. The co-occurrence of emotional disorders and CD is widely reported in the literature. The objective of this study is to assess CD’s impact on mental and occupational health.

Materials and Methods
This study is part of a medical expertise established on a psychiatric nurse, at the Occupational Health Department of Ibn Rochd University Hospital in Casablanca. Mental workload was evaluated by: Karasek, Siegrist, Maslach Burnout Inventory (MBI), Work Productivity and Activity Impairment (WPAI) questionnaires, Hospital Depression and Anxiety Scale (HADS) and Perceived Stress Scale (PSS).

Results
The nurse has been diagnosed with MC since 2021 and depression since 2020. According to the

results
She is subject to job strain (Karasek), high degree of burnout (MBI), high perceived stress (PSS) and severe depression and anxiety (HADS). The nurse’s workstation is characterized by an imbalance between high extrinsic effort and low reward (Siegrist). Impaired activity, absenteeism and presenteeism were considered severe (WPAI).

Discussion
Due to the incompatibility between workstation and health status, we recommend to our nurse to avoid shifts. Most studies report that anxiety and depression are common in CD, especially during active disease. CD can impair the productivity and professional activity of sufferers, with considerable socioeconomic cost.

Conclusion
Mental health issues due to CD have a significant impact on patient’s professional health. Hence the need for a multidisciplinary approach aiming for well-being and integrity.
P-380 KNOWLEDGES, ATTITUDES AND PERCEPTIONS OF PENITENTIARY STAFF TOWARDS PULMONARY TUBERCULOSIS
Authors: Belhaj Khadija , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
Objective is to describe the knowledges, attitudes and practices on pulmonary tuberculosis of penitentiary staff in the Casablanca-Settat region.

Method
this epidemiological and cross-sectional study took place during the first semester of 2023, using a self-questionnaire.

Results
We interviewed 451 people (62.7% security personnel, 29.5% administrative personnel and 7.8% nursing assistants). 86% were men. The average age was 37 ± 8,2 years old. 72% had a high educational level. All of our respondents had already heard of pulmonary tuberculosis, including 69% through professional circles and 59% through the media. Tuberculosis was recognized by 95% as a contagious disease, 91% knew the airborne route as a mode of contamination and 62% knew that it is favored by HIV. The main symptoms of pulmonary TB mentioned were dominated by cough 77%, 50% knew that the duration of treatment is greater than or equal to six months, 28% knew that anti-tuberculosis drugs are taken once a day under supervision, 94 % knew that tuberculosis is curable and 76% knew it as a fatal disease in the absence of treatment. 87% preferred to consult the physicians if they had a persistent cough lasting more than 15 days.

Conclusion
Our population had a reasonable level of knowledge about tuberculosis.
Our survey thus shows the need to fight against the risk factors which favor the emergence of tuberculosis in prison, particularly in an overcrowded environment.
P-381 ASSESSMENT OF MUSCULOSKELETAL RISK AT THE CUTTING AND DRILLING STATION FOR METAL PARTS IN A STEELWORKS
Authors: Belhaj Khadija , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

The objective was to assess the biomechanical and musculoskeletal constraints resulting from carrying out the task using three simple methods.

Method
The operator, aged 28 and right-handed, had 5 years of seniority in the company and 3 years on the job. The working hours were 7:30 a.m. to 12 p.m. and 1:30 p.m. to 5:30 p.m.
OSHA (Occupational Safety and Health Administration) screens for situations likely to be at risk of MSDs of the upper limbs. The normal score is &lt; 5. RULA (Rapid Upper Limb Assessment) requires observation over several work cycles to select the most frequent and/or most restrictive posture a priori. The acceptable score is between 1 and 2. OREGE (Gesture Identification and Evaluation Tool) is an analytical method for evaluating the three risk factors: effort, extreme joint positions and repetitiveness.

Results
OSHA score was = 3; the work did not present a significant risk of MSD of the upper limb. RULA made it possible to select the most frequent and most restrictive posture: taking the metal part from the table on the left to place it at the level of the drilling machine. The total score of 6 requires modifications to the position. According to OREGE, the maximum effort score was 3, therefore low. The repeatability score was 4, therefore average. The score for the extreme joint position was 2 for all actions except for the digital grasp of parts scored at 3 with use of the left shoulder.

Discussion and conclusion
The company must develop a preventive strategy involving all social partners.
P-382 PREVALENCE OF SKIN FUNGAL INFECTIONS AND ONYCHOMYCOSIS AMONG TRADITIONAL TANNERS
Authors: Farid Saloui , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
The objective of this study was to evaluate the prevalence and location of skin mycoses and onychomycosis among tanners.

Methods
this cross-sectional observational study interested 243 people working in traditional tanneries in Fez. It included a questionnaire and a clinical examination. The sociodemographic and professional data were age, professional seniority, means of protection used. The clinical examination specifies the location, nature and appearance of the lesions.

Results
The mean age was 45 ± 9.8 years. The average length of service was 22.6 ± 4.3 years. 13.2% had skin mycosis: 5.7% perionyxis, 5.3% intertrigo and 2% pityriasis. 72.4% had onychomycosis, including 35.8% with nail involvement, 32.5% with toenail involvement and 31.8% with associated nail and toenail involvement. Distolateral subungual onychomycosis represented 59.7%, total onychodystrophy 22.1% and superficial leuko-onychomycosis 18.2%. The most common lesions concerned the big toe (97.4%) and the thumb (95.1%). In people with onychomycosis, 58.2% had 10 toes affected and 66.6% had 10 fingers affected. The hygiene of the tanners was defective. They walked barefoot on damp ground, handled skins without gloves and used numerous irritating products (lime, vegetable tannins, mineral and vegetable dyes, chromium, sulfuric acid, hydrochloric acid, formic acid, ammonium sulfate and metabisulfite, etc.).

Discussion and conclusion
these craftsmen must benefit from occupational medical coverage for better prevention of maceration mycosis and onychomycosis.
P-383 PREVALENCE OF RESPIRATORY SYMPTOMS, DISEASES AND VENTILATORY DISORDERS AMONG WORKERS IN INDUSTRIAL CARPENTRY IN CASABLANCA
Authors: Farid Saloui , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
The aim of this study was to assess the prevalence of respiratory symptoms, diseases and ventilatory defects.

Methods
This cross-sectional study involved 395 workers, with at least two years’ seniority. It included a questionnaire, spirometry and thoracic radiophotography. The questionnaire consisted of four sections: socio-demographic and occupational characteristics, smoking habits, medical history and clinical respiratory symptoms. Chronic bronchitis is defined as chronic cough and chronic sputum production occurring for at least three months per year and for at least two consecutive years without any other identified cause. The diagnosis of COPD was made in the presence of an obstructive ventilatory defect based on a ratio forced expiratory volume at the first second/ forced vital capacity (FEV1/ FVC) &lt;70% after administration of a bronchodilator

Results
the average age was 47,6 ± 5,2 years. The average seniority was 16.8 ± 9 years. 31.7% were current smokers, 18.2% former smokers and 50.1% non-smokers. The prevalence of tracheobronchial irritation symptoms was 22.2%: 17,7 % for chronic cough, 14,9% for respiratory discomfort, 17.2 % for chronic sputum and 9.1% for chest wheezing. The prevalence of rhinitis was 26%, asthma 8.8%, chronic bronchitis 7.5% and COPD 6.8% (8.1% in current and former smokers versus 5.6% in non-smokers). 22.4% had deficits in the FEV1 and the FVC. This prevalence reached 38.2% in current and former smokers. The prevalence of radiological abnormalities was 6.1% (2.9% were emphysema, 5.3% were parenchymal opacities likely resulting from pulmonary infections).

Discussion and conclusion
Occupational medicine plays an important role in the prevention of risk factors for respiratory diseases.
P-384 ASSESSMENT OF MUSCULOSKELETAL DISORDERS (MSDS) AT THE MANUAL MOLDING STATION WITHIN A MICROELECTRONICS COMPANY
Authors: Bensaoud Zakaryaa , Ghailan Tarik , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
The objective was to assess the risk of MSDs by using 3 simple and rapid methods.

Methods
OSHA (Occupational Safety and Health Administration) screens for situations likely to be at risk of MSDs of the upper limbs. The normal score is &lt; 5. RULA (Rapid Upper Limb Assessment) requires observation over several work cycles to select the most frequent and/or most restrictive posture a priori. The acceptable score is between 1 and 2. OREGE (Gesture Identification and Evaluation Tool) is an analytical method for evaluating the three risk factors: effort, extreme joint positions and repetitiveness.

Results
Shift work (3x8) with a half-hour break is carried out while standing. The complete work cycle of an operation lasts 3 minutes and 20 seconds. Each cycle includes eight different tasks: supplying the molding station with boxes containing frames and a stock of resin; taking frames of the boxes and placing them on the grill; preheating the resin; placing the pre-filled grill on the mold; deposition of the resin above the mold; recovery of the grill and unloading of the molded frames; storage in lockers transferred periodically to a table located 5 meters away; cleaning the device with a blower and brush. OSHA score = 4; the position is suitable. RULA made it possible to study the mold cleaning phase; its total score = 6 requires immediate modifications. The OREGE scores indicate that the actions were not recommended and the position must be quickly adapted.

Discussion and conclusion
The company must develop a participatory preventive strategy involving all social partners.
P-389 EVALUATION OF THE VIBRATIONAL ENVIRONMENTS OF THE WHOLE-BODY SYSTEM IN A FORKLIFT DRIVER WITHIN AN INDUSTRIAL COMPANY
Authors: El Hadri Mohamed , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
Vibrations constitute risk factors par excellence for musculoskeletal disorders (MSD), particularly at the spinal level for vibrations of the whole-body system. The objective of our study is to identify and measure whole-body system vibrations encountered when operating forklifts as well as to evaluate their possible association with health effects.

Methods
This is a metrological study for the measurement of whole-body system vibrations in a male forklift driver in an industrial company carried out in 2018 using two sensors, one for the seat and another for the floor, both connected to an analyzer.

Results
The duration of the measurement was 01h50min. The effective weighted accelerations obtained over the entire recorded activity were for the three axes X (anteroposterior): 0.25 m/s², Y (lateral): 0.23 m/s², Z (vertical) seat: 0.71 m/s² and Z (vertical) of the floor: 0.73 m/s. The weighted equivalent acceleration was Aeq: 0.71 m/s². The daily exposure value was Aeq(8): 0.65 m/s².

Discussion
The exposure values found exceed the values triggering preventive action but still remain lower than the values prohibiting work.

Conclusion
Corrective organizational and preventive medical measures must be put in place to prevent the occurrence of the harmful effects of vibrations on the health of workers.
P-392 ASSESSMENT OF MUSCULOSKELETAL DISORDERS (MSD) IN A MOBILE GANTRY DRIVER AT THE PORT
Authors: Abbaouy Hakim , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
The objective was to evaluate MSDs in a mobile port gantry operator using methods allowing position analysis and diagnosis of MSD risk.

Method
Observing the work situation over several cycles required video recordings and the use of 3 methods:
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- OREGE (Gesture Identification and Evaluation Tool) aims to evaluate the biomechanical risk factors for MSDs of the upper limb. It is analytical and makes it possible to assess the three biomechanical risk factors: effort, extreme joint positions and repetitiveness.

Results
The OSHA (score &gt; 5) confirmed that the gantry operator’s work situation involves a risk of MSD of the upper limbs. Observation over several work cycles made it possible to select the most frequent and most restrictive posture: opening the bin. The total RULA score &gt; 2 requires immediate modifications. The OREGE scores evaluating effort, repetitiveness and joint positions indicate that the actions were not recommended or to be avoided.

Discussion et conclusion
The analysis made it possible to assess the arduousness of the work and note a high risk of MSD requiring ergonomic and organizational improvements.
P-393 EVALUATION OF THE VIBRATION ENVIRONMENTS OF THE HAND-ARM SYSTEM IN A WORKER HANDLING A PNEUMATIC IMPACT WRENCH
Authors: Kaitouni Omar Idrissi , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
Vibrations are important risk factors for musculoskeletal disorders. The objective of our study is to identify and measure the vibrations of the hand-arm system encountered during the handling of a pneumatic impact wrench by a worker at a port terminal in Morocco as well as to evaluate their possible harmful effects about health.

Methods
This metrological study is measuring the vibrations of the hand-arm system in a male worker who manipulates a pneumatic impact wrench to screw and unscrew the nuts of large caliber tires within a port terminal using a hand-arm system sensor connected to an analyzer. The measurements were carried out both on the right hand which supports the machine and ensures maximum operating effort and on the left hand which operates the device.

Results
At the level of the right hand, the weighted equivalent accelerations Ahv were of the order of 10.87 m/s² when unscrewing and 6.51 m/s² when screwing. On the left hand they were rated at 12.70 m/s² when unscrewing and 7.78 m/s² when screwing. The daily exposure levels Ahv (8) were 0.62 m/s² when unscrewing and 0.37 m/s² when screwing on the right as well as around 0.71 m/s² when unscrewing and 0.27 m/s² when screwing on the left.

Discussion and conclusion
The exposure levels found remain lower than the values triggering preventive action, this conclusion should not hinder the continuity of adequate occupational health care to early detect the harmful effects on health of these vibrations before the appearance of values which require the implementation of preventive actions.
P-396 ANALYSIS OF THE REPERCUSSIONS OF SHIFT WORK AMONG ELECTROMECHANICS COMPLAINING OF DYSSOMNIA AND PROPOSAL FOR A NEW SHIFT SCHEDULE
Authors: Masbahi Karima , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine 
Published: July 2024

Abstract

Introduction
The objective was to analyze the repercussions of shift work (the rotation was 6 mornings from 6 a.m. to 2 p.m. with 01 day of rest then 6 afternoons from 2 p.m. to 10 p.m. with 1 day of rest and 6 nights from 10 p.m. until 6 a.m. with 6 days of rest) among electromechanics complaining of dyssomnia and to propose a new shift schedule

Method
This study, carried out among 30 electromechanics, included a clinical examination, a questionnaire including sociodemographic and professional data, an Epworth scale, a sleep diary and a grid of arduousness of staggered hours. The Epworth scale measures daytime sleepiness, it is based on a self-assessment of the probability of falling asleep. It is considered abnormal if &gt; 10. The sleep diary is a self-assessment which allows the subject to note the quality of sleep and waking up which are assessed on a discontinuous scale: very good, good, average, bad, very bad.

Results
Epworth scale scores were greater than 10 in all participants. The sleep diaries showed the quality of sleep and that of waking up were considered average, bad or very bad by all people. The average score of the arduousness grid was 60.5%.

Discussion and conclusion
A proposal for a new rapid rotation schedule (2 mornings from 6 a.m. until 2 p.m. then 2 p.m. from 2 p.m. until 10 p.m. and 2 nights from 10 p.m. until 6 a.m. with 4 days rest) was suggested while respecting the same number of teams and the same number of employees.
P-400 STAFF ABSENTEEISM IN HOSPITALS: THE CASE OF IBN ROCHD HOSPITAL IN CASABLANCA
Authors: Tidjani Abdoulaye , Kamal Wifaq , Sara Soltani , ESSAADI El Kholti KAWTAR , Abdeljalil  
Published: July 2024

Abstract

Introduction
Absenteeism is a persistent problem for companies. It reveals various dysfunctions affecting employees’ ability to be present at work, even though this presence is required.

Material and Method
This was a qualitative study carried out at the Casablanca University Hospital, involving all employees attending the occupational health department who presented a medical certificate for approval of a work stoppage between June 01 and August 31, 2023. We collected the socio-demographic characteristics and other parameters required for the study from the employees’ files.

Results
Absenteeism from work raises real questions for the employer, since it leads to an increase in workload. For this we have age, sex, marital status, workstation, type of certificate to be approved, opinion of line manager, number of days to be approved, request for specialist opinions, submission to commission, decision, reason for absence, and organization of staff service.

Discussion
Absenteeism weakens productivity, as in the case of the covid 19 crisis, which led to a drop in hospital activity, resulting in delays in treating scheduled patients, diagnosing new cases, and managing staff who have fallen ill, thus creating understaffing.

Conclusion
Absenteeism is often perceived as a voluntary or abusive form of defection. We need to ensure that our staff are able to develop professionally, and that their working conditions are as supportive as possible.