bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-090 WORKPLACE WELLNESS SOLUTIONS LEVERAGING DIGITAL THERAPEUTICS (DTX) RESULTED IN CLINICALLY MEANINGFUL IMPROVEMENT OF METABOLIC PARAMETERS IN INDIAN SEDENTARY OFFICE WORKERS
Authors: Paul Bishwadeep , Nair Vineet , Singal Arbinder 
Published: July 2024

Abstract

Introduction
Lifestyle interventions play a primary role in the management of chronic diseases such as Diabetes, Prediabetes and Obesity. Digital Therapeutics can play a crucial role in solving such disorders among the working population, promote well-being, and foster engagement.

Methodology
In a consumer goods organization, sedentary office workers with diabetes were offered a curated Diabetes and Weight-Loss program. De-identified data of 18(mean age 42.7yrs±6.4; 22%Female) and 40(36.6yrs±5.8;12.5%Female) workers were analyzed who completed diabetes-management and weight-loss program respectively. Both programs provided access to a 90-day curated wellness application, remote-coaching, expert-care, digital-logging (meals, physical activity),and behavioral-therapy. A CGM-device was provided at the start of the Diabetes program. Pre-and post-program anthropometry data (weight-BMI-waist-hip circumferences)were analyzed, and glycemic parameters were assessed. Data were presented as mean and 95%CI, with paired-data being analyzed using Wilcoxon signed-rank test.

Results
Weight-loss program helped reduce weight/BMI, waist, and hip circumference in 90%,95%,and 85% members respectively. Weight reduction by 2.3(1.6,3.0)kg and BMI by 0.85(0.59,1.11)kg/m2 (p-&lt;0.0001, for both) was evident from a baseline of 79.28(75.43,83.13)kg and 27.63(26.3,28.95)kg/m2 respectively. Waist-and-hip circumferences were reduced by 3.33(2.38,4.28)cm (p-&lt;0.0001) and 1.84(0.75,2.92)cm (p-&lt;0.001) from a baseline of 98.14(94.47,101.8)cm and 103.9(101,106.9)cm respectively. The diabetes-program led to HbA1c reduction by 0.75(0.13,1.37)% (p-0.03) from baseline of 7.17(6.32,8.03)%. 94.4% achieved reduction in weight/BMI. Significant reduction in weight by 3.06(1.69,4.44)kg and BMI by 1.11(0.59,1.63)kg/m2 (p-0.0005, for both) was noted from a baseline of 87.48(79.45,95.51)kg and 30.25(27.74,32.76)(kg/m2) respectively. Waist-and-hip circumferences were reduced in 70.58% and 81.5% respectively.

Discussion and conclusion
Implementation of Digital-Therapeutics programs showed significant improvements in weight/BMI, waist, hip-circumference, and glycemic control in sedentary office workers.
O-091 THE EFFECTS OF INTERVENTIONS IMPLEMENTED BY OCCUPATIONAL HEALTH PROFESSIONALS TO PREVENT WORK-RELATED STRESS COMPLAINTS: A SYSTEMATIC REVIEW
Authors: Pees Suzanne Orhan , Van Oostrom Sandra , Schaafsma Frederieke , Proper Karin 
Published: July 2024

Abstract

Background
Occupational health professionals have specific knowledge about the link between the working environment and (mental) health, and therefore are potential key players in the prevention of work-related health problems. Therefore, the aim of this review is to summarize the evidence on the effectiveness of interventions by occupational health professionals to prevent work-related stress complaints among workers.

Methods
A systematic search in electronic databases was performed based on PICO criteria. Inclusion criteria were: peer-reviewed papers with a randomized controlled trial design, quasi-experimental design and pre-post evaluations with a control group; working populations not on sick leave; interventions delivered by occupational health professionals; and work-related stress outcomes. Data was extracted using a pre-defined extraction form, risk of bias was assessed using the RoB2 and ROBINS-I tool, and a narrative analysis was performed to analyze data.

Results
Nine studies met the inclusion criteria. There was a large variation between these articles in terms of interventions, participants, implementers, and outcomes used. All of the studies were assessed with a high risk of bias, mainly due to the lack of blinding. The majority of the studies found no significant effect of the interventions on work-related stress outcomes. Few studies reported a difference on outcomes in favor of the intervention condition, however these effects disappeared over time.

Discussion and conclusion
Overall, no evidence for effectiveness of interventions implemented by occupational health professionals on the prevention of work-related stress was found. More research is needed in how to successfully implement interventions to prevent work-related stress complaints.
O-094 ERGONOMICS COST-EFFECTIVENESS FOR EMPLOYERS: JOB DESIGN AND ORGANIZATIONAL LEADERSHIP
Authors: Punnett Laura , Plaku-Alakbarova Bora , Boakye-Dankwa Ernest , Gore Rebecca , Kurowski Alicia 
Published: July 2024

Abstract

Introduction
Poor job design and work organization have important effects on workers’ safety, health and well-being. Evidence on consequences and costs for employers might motivate stronger organizational support of programs enhancing musculoskeletal and mental health.

Methods
A private corporation provided data on skilled nursing facilities’ characteristics, clients’ medical outcomes, and employee and client satisfaction. Facility-level associations (n=175) of employee satisfaction with client care outcomes and client satisfaction were examined with Poisson regression and linear regression, respectively, adjusting for potential confounders. Separately, cluster analysis was used to identify co-variation among facilities (n=203) in these variables plus success of the safe resident handling program (SRHP), rates of workers’ compensation claims, and employee retention.

Results
A 1-point increase in overall employee satisfaction was associated with 19% decrease in the combined incidence of client falls, unexplained weight loss, and pressure ulcers (p&lt;0.0001) and an increase of 17.4 points (scale 0-100) in satisfaction of clients and family members (p&lt;0.0001). Worker satisfaction with working conditions was especially salient. The facilities clustered into two groups with little overlap. Those in the more favorable cluster had lower rates of workers’ compensation claims; higher SRHP return on investment; greater worker job satisfaction and engagement; higher employee retention; better client care outcomes and satisfaction.

Discussion
Facilities with safer client handling were also more likely to support client safety and wellbeing and workers’ job satisfaction.

Conclusion
Healthcare worker turnover has long been critical worldwide, with workload and safety as major underlying reasons. Reducing injury rates and costs and improving work organization would financially benefit healthcare employers.
P-153 PENETRABILITY OF LIQUID 3,3’-DICHLORO-4,4’-DIAMINODIPHENYLMETHANE TO PROTECTIVE GLOVES
Authors: Yamauchi Takenori , Yamano Yuko 
Published: July 2024

Abstract

Introduction
3,3’-Dichloro-4,4’-diaminodiphenylmethane (MOCA), used as a curing agent for urethane resins, has been suggested to have carcinogenic properties.. In a 2021 epidemiological survey, significant amounts of MOCA were detected inside protective gloves worn by workers handling MOCA on a regular basis. However, as workers were occasionally observed to work without wearing protective gloves, it was unclear whether the MOCA found inside the gloves originated from “MOCA adhered to the fingers and transferred inside the gloves” or “MOCA that penetrated from the outside of the gloves”. Thus, in this study, we examined the ability of MOCA to permeate from the outside to the inside of protective gloves.

Methods
The fingertips of nine different types of protective glove were immersed for 5 seconds in MOCA, heated to 200°C and melted. After 30 minutes, toluene was added to the inside and left standing for another 30 minutes. The toluene was then collected and samples were quantified using the method of Takeuchi et al. (JOH, 2014).

Results
Among the nine types of glove, MOCA penetrated six types, whereas no MOCA was detected inside three types, including those made of fluororubber.

Discussion and conclusion
Melted MOCA can penetrate through many materials, indicating that relying solely on wearing protective gloves as a work management measure may not be sufficient. Particular attention should be paid to the short exposure time in this study. Employing additional work management measures, such as using other equipment, is crucial to preventing MOCA from adhering to protective gloves.
P-155 ENHANCING OCCUPATIONAL HEALTH THROUGH RESEARCH VALORISATION: INTEGRATING HUMAN DESIGN THINKING FOR SUSTAINABLE SOLUTIONS
Authors: Vandenbroeck Sofie , Daenen Liesbeth , Van den Brande Whitney , Delvaux Ellen , Godderis Lode 
Published: July 2024

Abstract

Introduction
Bridging the gap between scientific knowledge and the practical implementation remains a challenge within the field of occupational health. Human Design Thinking (HDT), a problem-solving approach rooted in innovation, and co-creation, a collaborative engagement strategy involving stakeholders, hold promise in addressing this gap. We explored the use and the impact of HDT in the process of research valorisation and implementation.

Methods
The double diamond is a HDT-model consisting of four stages—Discover, Define, Develop, and Deliver—that helps guide the process of problem-solving by emphasizing divergent and convergent thinking at each stage. The iterative and user-centric nature of HDT facilitates the translation of research insights into actionable solutions, while co-creation fosters collaborative involvement of stakeholders.

Results
The application of HDT and co-creation principles yielded substantial improvements in the valorisation of research outcomes. Complex challenges in occupational health were effectively addressed through innovative interventions, benefiting from diverse stakeholder input.

Discussion
The integration of HDT and co-creation represents a novel approach to enhance the impact of research in occupational health. The iterative nature of HDT allows for continuous refinement, while co-creation ensures that stakeholders contribute to solution development, increasing acceptance and implementation success.

Conclusion
We demonstrated the efficacy of HDT and co-creation in the valorisation of research within occupational health. The approach’s collaborative and iterative nature fosters the creation of solutions that address real-world challenges, ensuring a seamless transition from research to implementation. By embracing these principles, the field of occupational health can achieve more effective and sustainable outcomes, ultimately benefiting both workers and employers.
P-156 FARMWORKERS’ PERSPECTIVES ON PROTECTIVE WORK CLOTHING FOR HEAT SAFETY
Authors: Gracia Gabriela 
Published: July 2024

Abstract

Introduction
Globally, farmworkers are largely immigrant laborers and among the most disadvantaged and vulnerable populations. Their work, essential to the food supply chain, has high rates of injury, illness, and death. Heat-related illness (HRI) is a growing threat to outdoor workers as temperatures continue to rise and work demands increase. Research on workplace clothing and their function is limited.

Methods
Between July and August 2023, we administered a short survey on workplace clothing to 134 farmworkers in Illinois. A subset of this sample (n=26) was also asked to identify clothing they believed offered the most protection at work. The survey was administered in Spanish, read aloud and included photos to facilitate understanding.“

Results
The majority of the farmworkers surveyed were H2A workers (n=93) who worked with corn (n=127). The most commonly identified workplace clothing was long-sleeved shirts (n=128), long pants (n=119), hat (n=118), gloves (n=117) and bandanas (n=111). Among a subset of participants (n=26), 24 identified long-sleeved shirts as the clothing that offered the most protection at work.

Discussion
Among our sample, farmworker clothing choices were focused on protection from ultraviolet light and abrasions, as well as accessibility, personal preferences, and community norms. This is at the expense of cooling functionality – ability to dissipate heat. There are many new fabrics – both natural and synthetic, with breathability, that would provide protection against HRI as well as the other hazards and conditions.

Conclusion
Determining acceptability, functionality, and availability will provide a basis for policy and practice recommendations to mitigate HRI in this workforce.
P-169 DIABETES MELLITUS TYPE 2 RISK IN SHIFT WORKERS
Authors: De Roeck An , Acke Sofie , Verbrugghe Mathieu , Grosjean Marie , Schmickler MarieNoëlle , Braeckman Lutgart 
Published: July 2024

Abstract

Introduction
Shift work is associated with type 2 diabetes mellitus (T2DM) partially explained through decreased insulin sensitivity by disruption of the day/night rhythm. Lifestyle interventions can prevent the onset of T2DM, and avoid complications. This study aimed to (1) report the prevalence of pre-diabetes and T2DM in shift workers, (2) study the impact of lifestyle advice on the risk for T2DM.

Methods
A two-step method was used: (1) the risk for T2DM was assessed by the FINnish Diabetes RIsk SCore (FINDRISC), (2) HbA1c was determined by finger prick when FINDRISC was ≥12.

Results
were discussed during medical consultation, and lifestyle advice was given. After three months, the evolution of the FINDRISC score and the HbA1c was evaluated. This study was approved by the ethics committee of Ghent University. Results The response rate was 47%; 44.6% of them were shift workers. 120 participants scored ≥12 on the FINDRISC. According to the HbA1c values, 26.7% had pre-diabetes and 3.3% had T2DM. There was a positive/weak correlation between FINDRISC score and HbA1c (r=0,29; p=0.003). No statistical links were found between shiftwork and FINDRISC (x²; p=0.502). After the intervention 14 of 23 persons had a lower FINDRISC (median from 14 to 12, p=0.010), no significant difference was found for Hba1c.

Discussion
No clear link was found between shift work and diabetes risk. Lifestyle advice did not affect HbA1c significantly after three months. Further research is needed to investigate the risk and preventive intervention among larger groups of shift workers.

Conclusion
(Pre-)diabetes can easily be detected via the two-step method.
P-172 MANAGEMENT AND COSTS OF BLOOD EXPOSURE ACCIDENTS IN THE OCCUPATIONAL MEDICINE DEPARTMENT OF RABTA HOSPITAL, TUNISIA
Authors: Dallagi Amani , Fatma Nawrez Ben , Becherifa Emna , Baraketi Emna , Ismail Saloua , Khouja Nihel , Hsinet Jihene , Benzarti Aida 
Published: July 2024

Abstract

Introduction
A blood exposure accident (AEB) is defined as any contact with blood or a biological fluid containing blood. In fact, it is a frequent reason for consultation in occupational medicine, particularly in healthcare settings. Our objective was to describe the profile of AEB.

Methods
Cross-sectional retrospective descriptive study conducted in the Department of occupational on medecine on cases of AES reported in 2022.

Results
We collected 164 cases with a mean age of 30. 71 years. The services that provided the most were general surgery (12. 2%), emergency (11. 6%), orthopaedic (9. 1%) and medical resuscitation (7. 9%). They were nursing staff in 96. 4% of the cases, mostly medical residents and interns (45. 1%). The tasks most often incriminated were fingering (32. 3%), surgical procedures (14. 6%) and capping (12. 2%). The mechanism of exposure was essentially primarily needle prick (83. 5%). The time limit for taking care was respected by the victims of the AES in 96. 3% of cases. The source person was known in 86% of cases or 141 cases. Hepatitis B prophylaxis was indicated in 6 cases (3.7%). Triple therapy was indicated in 30 cases. The cost of treating AES in 2022 was 131.2 Tunisian Dinars (TD), with a total expenditure of 20,372.8 TD.

Discussion
AEB are common in the care setting and represent a significant expense for the hospital, which implies the need to strengthen preventive measures.

Conclusion
The occupational doctor’s role is crucial in risk assessment and victim care, as well as in raising awareness and informing staff.
O-104 VALIDATION OF A NEWLY DEVELOPED QUESTIONNAIRE TO MEASURE THE ORGANIZATIONAL HEALTH CULTURE AMONG A COHORT OF MANDARIN-SPEAKING FIREFIGHTERS
Authors: Lan Fan-Yun , Huang Chen-Yu , Lin Chih-Hao , Kales Stefanos 
Published: July 2024

Abstract

Introduction
Firefighters face significant occupational health hazards, but few studies and validated tools assess firefighters’ organizational health culture (OHC).

Methods
An expert panel created an initial OHC survey adapted from the Fire Service Organizational Culture of Safety (FOCUS) survey. Thirty-five questions written in traditional Chinese using the 5-level Likert scale were included. A cohort of firefighters (N=543) from Tainan, Taiwan participated in the validation study. Data were collected in mid-May 2023 via the REDCap online platform. We used the R software (version 4.3.1) to conduct the exploratory factor analysis and other tests. We calculated the Spearman’s correlation coefficient (ρ) between the OHC score and the participants’ healthy behaviors (n=447) to assess the concurrent validity. The Institutional Review Board of National Yang Ming Chiao Tung University approved the study (NYCU112057AE).

Results
The OHC survey consisted of six factors: leadership support, leadership commitment, sleep policy, physical activity and nutrition policy, organizational approach, and job satisfaction. The full-length questionnaire demonstrated high internal consistency, with a Chronbach’s alpha of 0.95, and all questions had a factor loading &gt;0.32. The total OHC score was significantly correlated with a validated healthy lifestyle score (ρ= 0.14, P= 0.004). Given the excellent reliability and factorial validity, no further adaptations were made to the initial OHC survey.

Discussion
The strength of our study lies in the expert content review and robust statistical estimates. However, further research is warranted to validate the survey in other languages.

Conclusion
Our newly developed 35-item tool provides a well-designed and validated means of evaluating OHC among Mandarin-speaking firefighters.
P-179 THE DIABETIC PATIENT IN THE WORKPLACE: BETWEEN OBSTACLES AND PROFESSIONAL REINTEGRATION
Authors: Ouhessaine Sofia , Ouahmane Abdessamad , Haraj Nassim Essabah , aziz Siham El , Chadli Asma 
Published: July 2024

Abstract

Introduction
Diabetes is a common chronic disease, affecting a significant number of people in the workplace. Many difficulties can increase: absenteeism, risk of hypoglycemia, etc. Requiring an adaptation of working conditions to the profile of the diabetic patient.

Objectives of the study
Describe the difficulties encountered on a daily basis by diabetic patients that hinder the management of diabetes at work, as well as the various efforts made in terms of social reintegration.

Methods
Observational study, including 316 patients followed in the endocrinology and diseases department metabolic diseases of Casablanca from 2022 to July 2023.

Results
The average age was 42 years. Our patients were type 2 diabetics in 55%, with an average duration of 9.5 years, average HBA1C 11.4%. In terms of complications: retinopathy was noted in 19.3%, nephropathy in 7.59%, and neuropathy in 6.32%. Among these patients, 98.7% were on insulin. Working hours were incompatible with meals and treatment in 39.5%, the average working hours was 8.6 hours/day. Hypoglycemia was reported at work in 57.2%, just 33.8% stopped the activity to regain blood sugar. The prevalence of absenteeism was 1 day/month. Professional reclassification was recorded in 1.89%.

Discussion and conclusion
This study shed light on certain aspects of the difficulties encountered by diabetic patients in the workplace, thus informing those around them becomes a necessity for better prevention of acute and chronic complications of diabetes.
P-187 DEPLOYING A NEW PHYSICIAN WELL-BEING CONCEPTUAL FRAMEWORK TO IGNITE PHYSICIANS’ JOY IN MEDICINE AT A LARGE HEALTH SYSTEM
Authors: Moline Jacqueline 
Published: July 2024

Abstract

Introduction
Participants of this presentation will have the opportunity to learn about a 5-part engagement plan to redevelop an enterprise-wide physician well-being framework and roadmap by incorporating the organization’s culture, identity, and experience into a data-driven approach to understanding burnout indicators and their underlying key factors.

Methods
These efforts are showcased through the assembly of a brand campaign and communication plan. 1. Discovery Our physician group harnesses historical administrative data to identify and map local strategies, programs, services, and other activities to create meaningful change. 2.Benchmarks A review of literature and current practices, and knowledge exchange with subject matter experts provided us with immeasurable understanding of lessons. 3.Assessment Focus groups are conducted with key stakeholders from locations, service lines, and departments across the health system. 4.Design Our Well-Being Committee created a task force made up of key internal stakeholders, with the intention to support efforts mitigating risk factors, with the hopes to improve overall satisfaction among the workforce it serves. 5.Activation of partnerships to lead the re-designing of a new front-facing dashboard, messaging, and other material.

Results and discussion
The redevelopment plan has already begun to yield results, observing significant increase in engagement and programmatic participation among physicians. We have created a conceptual framework to align with our strategy, reflecting the physician’s needs and the organizational culture, and designed an operational framework to assign accountability and measurement.

Conclusion
Programs to improve physician’s intellectual, occupational, social, personal, physical, spiritual, and emotional well-being will continue to be evaluated, improved, and developed under our long-term strategy.
O-111 EFFECT OF EXPOSURE TO AIR POLLUTION DURING PREGNANCY ON ANTHROPOMETRIC MEASUREMENTS OF NEWBORNS IN SEME-KPODJI IN BENIN
Authors: Hinson Antoine Vikkey , Lawin Hervé , Dandji Severin , Adjobimey Menonli , Cisse Ibrahim Mama , Mikponhoue Rose 
Published: July 2024

Abstract

Introduction
Air pollution is a real public health problem. In Africa, few studies have been published on the effect of air pollutants on anthropometric measurements of the newborn child.

Objective
Assess the effects of exposure to carbon monoxide and particles matter during pregnancy on newborn measurements.

Methods
This, is a prospective cohort, conducted over 8-month period at SÈMÈ KPODJI. Data collection was based on two questionnaires, the measurement of carbon monoxide and fine particulate matter levels using EL-USB-CO ® individual recorders, and MICROPEMS® in 85 pregnant women, followed by the measurement of anthropometric data from their newborn babies.

Results
The majority of pregnant women used solid fuels (wood, charcoal) for cooking (94.1%) and was exposed to smoke from the combustion of mosquito waste and spirals (75.3% and 69.4%). The average concentration of particles matter in the air breathed by pregnant women was doubly high compared to the standards recommended by WHO, while that of carbon monoxide met them. A significant reduction in birth weight was associated with a unit increase in PM2.5 and carbon monoxide respectively -16.71 g[-21.23;-10.49] and -8.19g[-14.53;-3.56]. A significant reduction in chest circumference of -0.19cm [-0.37;-0.01] is associated with fine particles but not with carbon monoxide. Body size and head perimeter are not significantly associated with exposure to fine particulate matter or CO.

Discussion and conclusion
exposure to fine particles and carbon monoxide during pregnancy negatively influences the anthropometric measurements of the newborn. It seems obvious that measures must be taken to reduce pregnant women’s exposure to air pollution. Further studies are needed.