bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-566 ABNORMAL AUDIOMETRY IN UNIVERSITY STUDENTS: A SCREENING RESULTS FROM THE WORLD HEARING DAY PROJECT
Authors: Ekpanyaskul Chatchai , Jaruspornprapar Chuntipar , Ariyapol Kornprapa 
Published: July 2024

Abstract

Introduction
This cross-sectional study aimed to investigate the prevalence and associated factors of abnormal audiometry results among university students.

Methods
A total of 88 volunteers participated in an audiometry screening on World Hearing Day at Srinakharinwirot University, Bangkok. Data were collected through a self-administered questionnaire, followed by an otoscope examination. Subsequently, a hearing test was conducted using air conduction at frequencies of 500, 1000, 2000, 4000, and 8000 Hz in a mobile soundproof room. Bivariate logistic regression was employed to analyze the risks.

Results
The results revealed that the prevalence of abnormal audiometry results was 6.82% (95% CIs = 1.45–12.19%), with high-frequency losses being the most common pattern. Notably, the prevalence of this abnormality was highest in the faculty of Fine Arts. Although several factors, such as gender, noise sensitivity, musical instrument use, ENT problems, and the learning environment, were associated with abnormal results, none reached statistical significance due to the limited sample size. In conclusion, various factors were found to be related to abnormal audiometry results, with the field of study and the learning environment being among them.

Discussion and conclusion
Consequently, it is recommended that the university implement a hearing conservation program for its scholars to promote their future health and well-being as potential healthy workers.
P-570 THE LIMITS OF THE OCCUPATIONAL DEAFNESS REPAIR SYSTEM
Authors: Meskini Cheima , Ismail Saloua , Khouja Nihel , Baraketi Emna , Khaiereddine Donia , Merghni Syrine , Hsinet Jihen , Benzarti Aida 
Published: July 2024

Abstract

Introduction
Occupational deafness (OD) poses a significant challenge in the field of occupational health. It is the third most declared and recognized occupational disease by the National Health Insurance Fund in Tunisia. Objectives: To examine characteristics of recognized ODs and to identify the main reasons for rejection.

Methods
A retrospective, cross-sectional and descriptive study of all OD cases reported to the occupational diseases recognition committee from 2002 to 2016.

Results
We collected 332 OD reports, of which 125 recognized cases (37.7%). The mean age of recognized ODs was 49 years with a sex ratio of 19.8. The sector most affected was metal industry (20%). The average level of noise exposure was 82dB. Hearing loss was the main symptom reported by patients with recognized OD (94.4%) followed by tinnitus (60%). The average duration between employment and the onset of the first noise-induced hearing event was 15.5 years. The median rate of partial permanent disability was 35% and the average number of days off work was 20.5 days. The main reason for rejecting the OD reports was an average hearing loss on the best ear less than 36 dB in 65.2%.

Discussion
The threshold of the average hearing loss above 36 dB represents one of the main limits of the repair system, along with the scale adopted for assessing permanent partial disability, which has not been updated to sufficiently assess the social inconvenience caused by OD.

Conclusion
Beyond drawing conclusions about the shortcomings of the current repair system, we should emphasize the importance of prevention.
P-572 ASSESSMENT OF NOISE EXPOSURE AND ITS AUDIOMETRIC IMPACT AMONG WORKERS IN A TUNISIAN SHIP REPAIR COMPANY
Authors: Bouaita Meriem , Chemingui Siwar , Ismail Saloua , Baraketi Emna , Bechrifa Emna , Khouja Nihel , Khaireddine Donia , Belkahla Amira , Fatma Naourez Ben , Meskini Cheima , Merghni Syrine , Hsinet Jihen , Benzarti Aida 
Published: July 2024

Abstract

Introduction
The ship repair industry is one of the most exposed sectors to occupational noise. Objectives: To measure the level of noise exposure among workers in a Tunisian ship repair company and to assess its audiometric impact.

Methods
Retrospective descriptive study carried out among workers exposed to noise in the various workshops of a ship repair company, between 2020 and 2021, based on the analysis of medical files with audiograms, completed by a questionnaire and a sonometric study.

Results
Our study population consisted of 138 male workers (87 laborers and 51 technicians) with a mean age of 39.6 ± 8.5 years. A noise level ≥85dB was recorded in 74.6% of cases. Symptoms were mainly tinnitus (73%). A tonal loss ≥ 5dB on at least one frequency of the audiogram was objectified in 90 workers (65.2%) with a predominance on high frequencies. Hearing was classified as normal to subnormal 98.6% of the time. The majority of workers (90.6%) were kept in their workstations while insisting on the regular wearing of hearing protection. In multivariate logistic regression, the tonal loss ≥ 5dB on at least one frequency was associated with an age ≥38 years (aOR = 2.4 [1.0 - 5.5]; p = 0.03) and the laborer workstation (aOR = 2.4 [1.0 - 5.3]; p = 0.03).

Discussion
High noise levels and tonal loss, however slight, have been demonstrated in more than two-thirds of workers.

Conclusion
Our study therefore confirms the need for an adequate preventive approach in order to preserve the hearing of shipyard work.
P-575 FRENCH DATABASE ON OCCUPATIONAL EXPOSURE TO VIBRATION: PART 2 - OCCUPATIONS AND ACTIVITY SECTORS
Authors: Clerc Frédéric , Amari Mael 
Published: July 2024

Abstract

Introduction
Measurements of Hand Arm Vibration (HAV) and Whole-Body Vibration (WBV) performed in French companies are recorded in the COLPHY database. The collected information includes measured vibration emission values, exposure durations, technical characteristics and operating conditions of the machines. The determinants of exposure associated to measurement are mostly free texts.

Methods
Information on occupations and activity sectors is incomplete. It has been reconstructed. Occupations were coded into ISCO codes and activity sector of the enterprise were coded into NACE codes. The daily vibration exposure of workers during their work shift was calculated. Descriptive statistics were computed.

Results
A total of 4% of 2234 WBV exposure measurements and 7% of 1486 exposure measurements to HAV exceed the limit values. The construction activity sector and its related occupations, such as construction machine driver or building craftsman, show the highest rates of WBV and HAV exposures exceeding the limit values.

Discussion
The used methodology allows highlighting the occupations and the activity sectors where workers are exposed to vibrations. The results demonstrate the need for more prevention actions in the construction sector, which is the 5th most important employment sector in France, representing 13% of workers in 2021.

Conclusion
On average, only 460 (WBV) and 137 (HAV) occupational diseases are compensated per year since 2011. This contrasts with our findings showing that 2.3 million of French workers are potentially exposed to vibrations exceeding the limit values both for WBV and HAV. Therefore, vibration-related occupational diseases are under-reported.
O-390 GLOBAL SCENARIO OF GENDER-BASED VIOLENCE IN VARIOUS WORKPLACE SETTINGS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: Chattu Vijay Kumar , Nowrouzi-Kia Behdin , Bani-Fatemi Ali , Howe Aaron , Gohar Basem , Yazdani Amin , Gross Douglas 
Published: July 2024

Abstract

Background
Gender-based violence (GBV) disproportionately affects young women and LGBTQ+ individuals, and therefore, a systematic review and meta-analysis was carried out to i) qualitatively identify the prevalence and experience of GBV in virtual work environments and ii) evaluate the current workplace policies, interventions or tools to protect against GBV in the workplace.“

Methods
A comprehensive search was undertaken following the PRISMA guidelines after registration with PROSPERO (CRD42023399684). PubMed, OVID, Scopus, Web of Science and CINAHL databases were searched using the keywords “Gender,” “GBV,” “workplace,” and “telework.”

Results
Of the total 1290 studies identified after removing duplicates, 60 were included. Studies included from the global South and global North cover in-person and online/ hybrid work settings. Most of the studies were cross-sectional (42), followed by mixed-methods (10), qualitative (5) and cohort (3). The study included articles on workers in healthcare (33, 55%), academia (16, 27%), skilled trades (7, 11%), and industry (4, 7%).

Discussion
Bullying, undermining, and harassment (BUH) are most likely experienced by women, minority groups, and homosexuals. Workplace bullying, sexual and physical harassment, gender-based harassment, physical violence, sexual and gender discrimination, and microaggression are some forms of GBV prevalent in healthcare, academia, industry and skilled trades. Cyberbullying resulted in perceived stress and job dissatisfaction among women employees.

Conclusion
There must be transparency about how the institution(s) handle reports of GBV and clarity regarding the mechanisms for supporting survivors and holding perpetrators accountable. Organizations must create cyberbullying policies, standards, and processes to guarantee that the complaints are handled in a fair, confidential, and transparent manner.
O-391 PERCEIVED JUSTICE IN THE WORKPLACE INFLUENCES RETURN TO WORK AFTER BREAST CANCER
Authors: Magnavita Nicola , Meraglia Igor , Prinzio Reparata Rosa Di , Terribile Daniela Andreina 
Published: July 2024

Abstract

Introduction
Female breast cancer (BC) is the leading cause of cancer-related morbidity and disability in working-age women. Return to work is associated with improved survival and quality of life and therefore should be encouraged. The trauma suffered, however, leaves traces in BC survivors that result in anxiety, reduced happiness, depression, and poor sleep quality. We wondered whether this distressed state of women with BC was related to working conditions before the disease.

Methods
124 BC survivors were asked to rate the level of organizational justice (OJ) they perceived at work prior to their illness, and the level of anxiety, depression, happiness, and sleep problems on resuming work after treatment. OJ was measured with the Colquitt’s scale, sleep with the Pittsburgh Sleep Quality Inventory, anxiety and depression with Goldberg’s scales, and happiness with the Abdel-Khalek scale. Three moderation tests were run, with OJ as the predictor, anxiety/depression/happiness as the dependent, and sleep quality as a moderator. Age was included in the models, as a covariate.

Results
Moderation tests showed that there was a significant interaction by sleep on OJ and mental health. Participants who reported higher than average levels of sleep problems experienced a greater effect of OJ on mental health.

Conclusion
The quality of OJ perceived by women before the onset of BC is associated with the level of anxiety, depression, and unhappiness upon resumption of work. Sleep, which in BC is often disturbed, acts as a moderating factor in this relationship.
P-582 WORKING WOMEN IN THE PRIVATE SECTOR: PSYCHOSOCIAL RISKS & QUALITY OF LIFE
Authors: Zendah Bochra , Doudech Mehdi , Mosbah Raoudha , Kanoun Imen , Jammeli Donia , Khiari Ons , Mabrouk Khaoula Hadj , Maalel Olfa , Bouzgarrou Lamia , Ghammam Rym , Maatoug Jihen 
Published: July 2024

Abstract

Introduction
Mental health is an essential component of occupational health. Stress, the main consequence of psychosocial risks

AIM
Evaluating psycho-organisational constraints and life quality among women employed in the private sector.

Methods
A descriptive cross-sectional study across 29 companies, this research employed a pre-tested questionnaire involving the Karasek questionnaire, life quality assessment (SF12).

Results
The number of employees was 1878, 55.5% being women. Average age of 33.31 ± 8.3 years. Among them, 78% were unskilled female workers with an average occupational tenure of 7.52 ± 6.6 years. 14.1% had a history of chronic illnesses. High psychological demands were noted in 40.9% of female workers, low job control and social support in 46.2% and 73.8%, respectively. Job strain prevalence was 14.4%. The mean scores for perceived physical and mental health were estimated at 40.82±8.29 and 33.42±7.36. Significant correlations were observed between job strain and education level, occupational category, shift work, physical activity, and physical SF12 score impairment.

Discussion
Mental health is currently at the forefront of the preventive and health management process within companies. Our study found an impairment of mental health and quality of life among female workers. Quality of life scores for female workers are correlated with workload, and variability in the prevalence of job strain has been reported in different sectors of activity and professional categories by other studies.

Conclusion
A solid understanding of predictive factors for work-related stress and impairment of women’s quality of life at work will lead to targeted preventive measures and ensure the enhancement of their mental health.
P-585 WORK PRODUCTIVITY LOSS AMONG HEALTHCARE WORKERS WITH MENSTRUATION-RELATED SYMPTOMS
Authors: Sridi Chayma , Kacem Imene , Ghenim Amal , Chouchane Asma , Fki Amene , Ksibi Sonia , Maoua Maher , Mrizak Najib 
Published: July 2024

Abstract

Introduction
Menstruation-related symptoms (MRSs) are diverse and widespread among women. These symptoms may reduce productivity and lead to considerable financial burdens on patients and their families as well as on society. The aim of this study was to assess the impact of MRSs on health professionals and its implications on occupational activity.

Methods
This is a cross-sectional, analytical study conducted over a two-month period and including all healthcare staff at Tunisian University Hospital. The evaluation of work productivity was carried out by the questionnaire ‘iMTA Productivity Cost Questionnaire’.

Results
Our study involved 127 health workers. The population’s mean age was 34.9±5.4 years. Nurses were the most represented occupational group (60.6%). The most reported symptoms were tiredness (85%), followed by abdominal bloating, headache, and back pain in 84.3%, 83.5%, and 81.1% of cases, respectively. Twenty-one women (16.5%) reported being absent during their menstrual period with 11.1% reporting absenteeism every or almost every menstrual cycle. The median absenteeism period was 2 days. A total of 67.7% (n=86) of the respondents reported presenteeism and decreased productivity with a median of 5 days. Absenteeism was statistically associated with age (p=0.001), presence of gynecological history (p=0.03), workload (p=0.002), and MRSs (p=0.003). However, there was no significant difference between presenteeism and MRSs.

Discussion
This study highlights the impact of MRSs on the work productivity of healthcare professionals. It emphasizes the importance of recognizing MRSs as a crucial aspect of women’s health and well-being in the workplace.

Conclusion
Future research should identify focused measures to reduce MRS’s repercussions.
P-586 WOMEN AT THE WORKPLACE: WORK-LIFE BALANCE VS. WORK-LIFE INTEGRATION
Authors: Gunawan Yasmine Aulia , Suen Mein-Woei 
Published: July 2024

Abstract

Introduction
the women at workplace trend has shifted nowadays, compared to last past decades, when women quit jobs more often and had fewer opportunities for promotions than men. On the contrary, according to this year’s data, the percentages of women CEOs are higher than before in history. Aims: This study aims to see which is a more suitable approach between work-life balance & work-life integration for women in the workplace to support and maximize women’s potential. What are the differences between those two? This study will show which method is more efficient and relevant for women.

Methods
This study was conducted using a literature review method.
Results show that work-life integration is more applicable for women than the work-life balance concept.

Discussions
Even so, fewer companies are adapting the work-life integration concept within their work culture, in which the work-life balance concept is more commonly used.

In conclusion
work-life integration within the company is needed and more applicable in this era, especially to support women in the workplace.
O-399 RETURN TO WORK AFTER BREAST CANCER. PROMOTING INTEGRATION IN THE WORKPLACE
Authors: Magnavita Nicola , Di Prinzio Reparata Rosa , Meraglia Igor , Arnesano Gabriele , Iuliano Angela , Mauro Igor , Merella Marco , Vacca Maria Eugenia , Terribile Daniela Andreina 
Published: July 2024

Abstract

Introduction
The return to work (RTW) of women with breast cancer (BC) is a crucial stage of patients’ recovery and is linked to a higher survival rate. In this study, we focused on the RTW with the goal of directly assisting this process at work.

Methods
The study included 32 women who asked for help between January and December 2022. A group of three occupational doctors conducted medical exams and semi-structured interviews. Thematic analysis was used to examine interviews. Additionally, a quantitative cross-sectional study was carried out to evaluate the health of BC women in comparison to a control group of 160 working women, using standardized questionnaires on work ability, fatigue, sleep problems, anxiety, depression, and happiness.

Results
Three facilitating/hindering themes emerged from the qualitative analysis: (1) person-related variables, (2) company-related factors, and (3) society-related factors. In the quantitative study, BC survivors scored substantially lower on happiness than controls and significantly higher on anxiety, depression, sleep issues, and fatigue.

Discussion
Adapting working circumstances and offering sufficient assistance are required for RTW. The work-related study of each case allowed for the identification of the appropriate steps that must be taken at work to support RTW.

Conclusion
Cancer therapy should be combined with suggestions for how to resume employment.
P-591 THE IMPACT OF LEGISLATIVE AMENDMENTS ON RETURN TO WORK. EXPERIENCES OF A LARGE BELGIAN OCCUPATIONAL HEALTH SERVICE
Authors: Mylle Godewina , Vandenbroeck Sofie 
Published: July 2024

Abstract

Introduction
In Belgium, 500.000 employees are on long-term sick leave. Legislation recently changed to increase the employment rate. Adapted work must be proposed for all Return To Work (RTW) trajectories without medical contraindications. For the Determination of final incapacity (DFI) a new procedure is introduced.

Objectives
Comparison of RTW trajectories carried out by a large Occupational Health Service in 2022 (Q1) to those in 2023 (Q1).

Methods
815 RTW Trajectories of 2022 (37.5% for mental disorders, 29.7% for musculoskeletal problems) and 143 Trajectories of 2023 (37.5% mental, 29.7% musculoskeletal problems), were analyzed descriptively. Results of 397 DFI trajectories were also analyzed – 28.7% for mental, 28.5% for musculoskeletal problems.

Results and discussion
In 2022 (Q1), the occupational physician allows RTW after job adjustments for 30.3% of the employees. Re-integration was more successful for musculoskeletal disorders (36% allowed adapted work) compared to mental problems (23.2%) (p=0.001). In 2023 (Q1), after the new legislation, adapted work was possible for 59.4% (65.5% when musculoskeletal problems versus 53.7% when mental reasons) (p=NS). In DFI trajectories, 87.6% was definitively unfit for the job (87.7% when mental and 88.4% when musculoskeletal problems) – 6.5% of the employees asked for adapted work (2.6% when a mental disorder and 8.8% when musculoskeletal problems) (p=0.05).

Conclusion
The adjustments in the RTW legislation caused a significant decrease in RTW trajectories. There is a higher demand for adapted work in case of musculoskeletal problems versus mental problems. Early guidance to re-employment into a more suitable job is necessary to increase the employment rate in Belgium.
P-592 THE CURRENT DEVELOPMENT AND FUTURE PERSPECTIVE OF RETURN-TO-WORK POLICY IN TAIWAN
Authors: Liu HsiChen 
Published: July 2024

Abstract

Introduction
The “Labor Occupational Accident Insurance and Protection Act” was implemented in Taiwan on May 1st, 2022, emphasizing accident prevention and return to work (RTW) for occupational accidents. To improve RTW efficiency, designing useful continuing education programs for enterprises is essential. This study aimed to explore the current approaches and barriers to implementing RTW policies within Taiwanese enterprises.

Methods
Managers and workers responsible for RTW policies in enterprises of various sizes were recruited for face-to-face in-depth interviews. The interview guide covered manpower allocation of occupational safety and health (OSH), experiences with occupational accidents, current RTW practices for injured workers, and the content and needs of existing continuing education programs.

Preliminary results
Most enterprises lacked experience in assisting workers with RTW, as severely injured employees often left their jobs after accidents. Except for waiting for injured workers to recover, interviewees didn’t know how to help them RTW. Additionally, RTW policies were executed by human resources (HR) personnel in most enterprises in Taiwan, especially in small-sized enterprises. Interprofessional continuing education was needed in these participating enterprises.

Discussion
Approximately 94% of Taiwanese enterprises are small-sized (&lt;30 workers), resulting in the absence of dedicated OSH professionals. HR personnel require knowledge and skills to consult with OSH professionals, and interprofessional education offers a potential solution to address these needs, enabling HR to engage in collaborative practice with OSH professionals.

Conclusion
The majority of Taiwanese enterprises lack the necessary knowledge and skills to support workers in RTW. To design interprofessional continuing education is recommended for the future.
P-593 A MIXED METHODS PROCESS EVALUATION ALONGSIDE THE MULTICENTRE ACTIVE TRIAL – A MULTIFACETED PERSONALIZED EHEALTH INTERVENTION FOR WORKING-AGE KNEE ARTHROPLASTY PATIENTS TO ENHANCE RETURN TO WORK AND SPORTS
Authors: Carlien Straat A , Kuijer P Paul F M , De Jongh Jelle , Maarleveld Jantine , Kerkhoffs Gino M M J , Anema Johannes R , Coenen Pieter 
Published: July 2024

Abstract

Introduction
Return to work and sports is challenging among working-age knee arthroplasty patients. No intervention study has been performed targeting these outcomes. The ACTIVE trial was developed in which patients receive the multifaceted personalized eHealth application iRecover. We aimed to evaluate the process of the intervention to optimize future development and implementation.

Methods
Working patients on the waiting list for knee arthroplasty were included. The intervention included the eHealth application iRecover, an activity tracker, a case-manager and Goal Attainment Scaling. Using the Linnan and Steckler framework we evaluated data from patients’ questionnaires, a study log and iRecover application weblogs. Semi-structured interviews were held with six patients.

Results
Out of 822 eligible patients, 293 were included, of which 143 received the intervention. Reach was 36%, all patients received log-in details for iRecover (100%) and 99% of the patients opened the application. Based on 1-10 point scores, at 6 weeks and 6 months postoperative, the iRecover application was rated (mean, standard deviation) a 7.3 (1.6) and 7.2 (1.5), the activity tracker a 7.8 (1.4) and 8.0 (1.3), the case-manager a 7.4 (1.4) measured at 6 weeks only, and Goal Attainment Scaling a 7.2 (1.5) and 6.6 (1.7). The interviews revealed that patients found the intervention motivating and enhancing for their recovery.

Discussion
Although patients were satisfied, for successful implementation, additionally facilitators and barriers for stakeholders need to be explored.

Conclusion
Our results indicate that patients experience the intervention as a valuable addition to care as usual and continued development and implementation requires attention and priority.