bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-594 A PRELIMINARY STUDY ON THE ACTIVE CASE MANAGEMENT MODEL OF WORKERS WITH WORK-RELATED INJURIES IN KAOHSIUNG CITY: ASSOCIATION BETWEEN RETURN TO WORK, INSTRUMENTAL ACTIVITIES OF DAILY LIVING, AND BUSINESS CATEGORY
Authors: Yang Chen-Cheng , Hsiao Yu-Hsuan , Lin Chia-Ping , Hung Chia-Cheng , Liu Shun-Yin , Hsiao Yen-Chen , Chuang Hung-Yi , Huang Peng-Ju , Kuo Chao-Hung 
Published: July 2024

Abstract

Introduction
There are hundreds of deaths in Taiwan every year due to major occupational accidents. Most common problem in major occupational accidents is that victims do not have access to immediate occupational medical resources. Therefore, our goal is to provide workers with immediate occupational medical resources and case management, and to assess what are important factors for successful recovery and return to work (RTW).

Methods
We arranged case management for workers with work-related injuries and hospitalization. Our implementation strategies for the new model included: (1) occupational medicine team visit workers in wards; (2) assist workers to follow up in the outpatient clinic after discharge; (3) phone visit after three months to confirm the recovery, RTW, functional status, etc.

Results
During November 2022 and May 2023, our team took care of a total of 83 hospitalization workers. The score of Activities of Daily Living (ADL) after 3 months was 96.63±11.90 (p value&lt;0.001), Instrumental Activities of Daily Living (IADL) after 3 months was 22.89±2.32 (p value&lt;0.001), compared with initial status. Regression model revealed successful RTW was significantly positively associated with IADL after 3 months (β 0.755, odds ratio [OR] 2.128, 95% confidence interval [CI] 1.215-3.724, p value 0.008) while negatively associated with patients who working in manufacturing business category (β -2.601, adjusted OR 0.074, 95% CI 0.006-0.894, p value 0.04).

Discussion and conclusion
The new case management model can facilitate occupational accident worker recovery and RTW smoothly. Workers with better IADL and who work in non-manufacturing business categories have higher successful RTW after 3 months of occupational accident
P-596 THE EVALUATION OF WORKPLACE DISABILITY MANAGEMENT PROGRAM FOR HEALTHCARE WORKERS IN THE TOTAL WORKER HEALTH® APPROACH: THE RETURN ON INVESTMENT
Authors: Santoro Annapaola , Di Prinzio Reparata Rosa , Camisa Vincenzo , Vinci Maria Rosaria , Dalmasso Guendalina , Dosi Alessia , De Santis Marcello , Macina Nadia Maria , Raponi Massimiliano , Mesolella Valentina , Zaffina Salvatore 
Published: July 2024

Abstract

Introduction
The progressive population aging and the impact of related chronic disease affect work ability. The “Workplace Disability Management Program” (WDMP) was implemented in an Italian pediatric hospital with the aim of reducing the impact of an emerging disability deriving from illness or accident on the individual’s working ability and supporting healthcare workers (HCWs) in appropriate return to work.

Methods
The WDMP intervenes across four types of intervention, including internal reorganization of work duties, proposal improvement measures to the company management, psychological support, or extremely, changing jobs. In this study the evaluation of workers’ absenteeism and related cost was set up in the first three years of experience. The Return on Investment (ROI), the Break-Even Analysis (BEA) and the value of the average annual productivity of workers who took advantage of the WDMP were assessed.

Results
131 HCWs were included in a period between 2017 and 2019, approximately 4% of hospital staff. Sickness absence days declined by 66.6% in the year following the WDMP compared to the previous year (p&lt;0.001). The total estimated cost reduction of absenteeism was 427,896€ over a year. ROI was 27.66 and the break-even point was reached by implementing the program in 3.27 HCWs.

Discussion
The program impact highlighted its effectiveness in terms of a significant reduction of absenteeism. Job limitations were lower than the national benchmark (5.5% vs, 11.8%).

Conclusion
The econometric evaluation demonstrated the real effectiveness of the implemented WDMP, acting positively on productivity, as well as on health and well-being of employees.
P-598 MAPPING TOOLS TO FACILITATE STRATEGIC DECISION-MAKING WHEN RETURNING TO WORK FOLLOWING A DISABILITY
Authors: Gouin Marie-Michelle , Durand Marie-José , Coutu Marie-France , Lefebvre Catherine , St-Aubin Camille-Hélène , Tamokoue Hermann Brice Tegninko 
Published: July 2024

Abstract

Introduction
Reaching a shared decision between return to work (RTW) stakeholders is complex when their positions clash and they try to influence decision-making processes. Negotiation then becomes key to a successful RTW. This review aims to map existing negotiation tools.

Methods
We conducted a mapping review using eight databases (APA PsycInfo, MEDLINE, SocINDEX, ProQuest One Business, Business Source Complete, Scopus, Érudit and Cairn) between July 28 and August 11 2023. The Boolean equation and screening criteria were developed with a librarian based on a negotiation framework. English and French publications were considered. References were recorded in Covidence to be screened by two independent reviewers. To be retained, publication had to: (1) address a negotiation tool (i.e., a means of shaping or influencing decision-making or stakeholders’ attitude); and (2) be applicable in a work or RTW context. Data will be aggregated and summarized in descriptive and operational tables.

Results
A total of 4,893 references were screened to generate a descriptive table of the publications and a tool inventory. The inventory includes when, by whom, and why to use each tool in RTW negotiation (e.g., preparing for negotiations or influencing decision-making or attitude) and design (e.g., questionnaire, intervention or interview). It will be available for presentation at the conference.

Discussion
To our knowledge, this is the first study to list useful tools for guiding RTW stakeholder negotiation.

Conclusion
This study identifies relevant tools and will facilitate adapting them as necessary for a strategic decision-making program to be developed with a RTW coordinator.
P-599 HOW COLLABORATION BETWEEN (OCCUPATIONAL) PHYSICIANS AND WORK ACTORS FOSTER SUCCESSFUL REINTEGRATION TO WORK AFTER OR DURING HEALTH PROBLEMS
Authors: Vanacker Hilde , De Roeck An , Germeys Lynn , Bassele Nikolaj 
Published: July 2024

Abstract

Introduction
Incapacity to work has a high price tag. The longer someone is incapacitated, the more difficult it is to return to work. It is therefore crucial to support and guide incapacitated employees at an early stage, even if returning to their own employer is no longer possible. To foster and speed up the reintegration of these incapacitated employees 2 Belgian external services of prevention and protection at work collaborated with the Flemish public employment service (VDAB).

Methods
The pilot study ran from September 1, 2021 till December 31, 2022. We examined longitudinally the outcomes of a fast and privacy-proof manner of voluntary registration from the occupational physician to VDAB.

Results
We included 235 incapacitated employees (88 male, 147 female) who were definitively unfit for their own work according to the assessment of the occupational physician. Average duration of absence at enrolment was 623 days. 70 were low-educated, 109 mid and 56 high-educated. Six months after the start of the guidance programme, 23% reintegrated to work. After 12 months 41% returned to work. Follow-up after 18 and 24 months is currently ongoing.

Discussion and conclusions
The experience of all parties involved was evaluated positively. A wide variety of services were provided to support reintegration indicating the need for customization. The communication between the actors involved in the reintegration process increased. The partners pleaded with the government to continue and expand the pilot study and succeeded. This resulted in new legislation in July 2023.
P-604 THREE CLINICALLY MEANINGFUL RECOVERY TRAJECTORIES FOR WORK-RELATED ACTIVITIES AMONG TOTAL KNEE ARTHROPLASTY PATIENTS. A 12 MONTHS MULTICENTER PROSPECTIVE COHORT STUDY
Authors: Van Zaanen Yvonne , Hoozemans Marco J M , Kievit Arthur J , Van Geenen Rutger C I , Pahlplatz Thijs M J , Blankevoort Leendert , Schafroth Matthias U , Haverkamp Daniel , Vervest Ton M J S , Das Dirk H P W , Scholtes Vanessa A , Kuijer P Paul F M 
Published: July 2024

Abstract

Introduction
Total Knee Arthroplasty (TKA) is increasingly performed on working patients, but only 65% return to work (RTW). This study aims to identify recovery trajectories for performing work-related activities and their association with time to RTW.

Methods
A multicenter prospective cohort study was performed among working TKA patients. The Work Osteoarthritis or Joint-Replacement Questionnaire (WORQ) was used to assess the difficulty in performing work-related activities (0-100 scale, minimal clinically important change MIC=13). Trajectories were based on the 3-month postoperative WORQ score, using the three-part classification of scores for early (≥71), moderate (71 - 50) and late (≤ 50) recovery trajectory. Changes between preoperative and postoperative WORQ scores at 3, 6 and 12 months were calculated for each trajectory. Kaplan-Meier curves were used to analyze time to RTW for each trajectory.

Results
Among 182 working TKA patients, three recovery trajectories emerged: early (n=54), moderate (n=68), and late (n=60). The MIC was reached at 3 and 6 months for early and moderate recovery trajectories, but not for the late trajectory. Patients with early recovery returned to work significantly faster (Median 62 [IQR 41-90]) than those with moderate (75 [46-115]) or late (84 [58-116]) recovery.

Discussion
This study confirms early, moderate, and late recovery trajectories for work-related activities and RTW in working TKA patients, highlighting the potential for early detection of late recovery.

Conclusion
WORQ scores at 3 months postoperative can effectively distinguish patients experiencing late recovery in work-related activities, leading to a delayed RTW.
O-403 ASSESSING THE SAFETY AND EFFECTIVENESS PROBLEMS OF NEW TYPE PERSONAL PROTECTIVE EQUIPMENT USE FOR THE MUSCULOSKELETAL SYSTEM
Authors: Bukhtiyarov Igor , Shuporin Evgeny , Novozhilova Anastasia 
Published: July 2024

Abstract

Introduction
Despite a significant increase in industrial automation, occupational morbidity associated with exposure to physical overload still occupies one of the first places in the structure of occupational medicine. For this, the development of technologies for industrial exoskeletons, a new means of individual protection of the musculoskeletal system, is promising. But in the absence of regulatory documentation, the issue of safety and effectiveness of their use remains open.

Methods
The Institute has conducted more than 10 studies on the safety and effectiveness of exoskeletons “ExoAtlant”, “Keeepy”, “Hoooldy”, “X-Rise”, “X-soft” “ProEXOLight” use on volunteers. The following were assessed: range of motion, blood pressure, heart rate, gas exchange, energy expenditure, bioelectrical activity, muscle tone and stiffness, general condition of volunteers, subjective information of volunteers about discomfort and efficiency.

Results
The analysis showed a statistically significant decrease in the values of indicators when using some exoskeletons. The use of some models of exoskeletons restricts movement in the joints. Despite the additional weight of human-wearable exoskeletons, their use does not adversely affect the state of the cardiorespiratory system and, in some cases, reduces energy consumption by up to 35%. The use of exoskeletons reduces the load on the muscles involved, their tone and stiffness, in some cases, the redistribution of the load on other muscle groups is determined.

Conclusion
The conclusion about the exoskeleton safety and efficiency for a particular workplace should be formed separately, based on the working conditions specifics. The research results will form the basis of the state standard “Industrial exoskeletons. Protection degree determining methods”.
O-409 HEALTH BENEFITS DUE TO INSTALLATION OF ANTI FATIGUE MATS IN AN AUTOMOBILE INDUSTRY FOR PREVENTING MUSCULOSKELETAL PROBLEMS
Authors: Mishra Shriniket 
Published: July 2024

Abstract

Introduction
It was observed that workers in a two wheeler manufacturing unit deployed on vehicle assembly lines were suffering from increase in various musculoskeletal problems like –foot pain, fatigue, discomfort in lower limbs and varicose veins, planter fasciitis etc. Aim of this intervention was to identify the causes and reduce these health issues by identification of the ergonomic risk factors leading to these health issues then take measures to reduce them.

Methods
Baseline data related to musculoskeletal issues among workers on assembly lines was available with the occupational health center. An ergonomic study was conducted to identify the causes by conducting an ergonomic evaluation with a view to assess the ergonomic risk factors and health issues related to assembly line operators during actual industrial operations A questionnaire based survey was done for identifying the health issues. It was noticed that due to long standing position workers were prone to fatigue in legs leading to varicose vein, planter fasciitis etc. It was decided to provide anti fatigue mats on assembly lines. After doing trials and feedback from workers, Anti-fatigue mats were installed.

Results
After placement of anti-fatigue mats there was an 80% reduction in musculoskeletal cases related to foot and legs of employees working on assembly lines.

Discussion
Prolonged standing at the assembly line was causing musculoskeletal health issues. After installation of anti-fatigue mats there was big reduction in fatigue leading to reduction in musculoskeletal issues.

Conclusion
By doing regular health interventions and improvements in working conditions we can protect the health of workers, improve morale and productivity.
P-611 OCCUPATIONAL SHOULDER LESIONS ASSOCIATED WITH FORCEFUL EXERTIONS
Authors: Saarkoppel Lyudmila , Shhetinina Anastasiya , Lagutina Galina , Nepershina Ol`ga , Lagutina Aleksandra , Rudakova Irina , Skry`pnik Ol`ga , Dunaeva Svetlana 
Published: July 2024

Abstract

Introduction
Among the occupational musculoskeletal disorders registered in the Russian Federation shoulder lesions associated with forceful exertions deserve special attention. Diagnosis of these diseases is a significant problem for occupational medicine specialists, which determines the extremely low detectability of this pathology.

Material and Methods
Neuro-orthopedic examination and ultrasound examination of 170 underground miners, whose work activity is associated with physical overloads of the shoulder girdle and arms, were carried out.

Results and Conclusions
Neuro-orthopedic examination revealed various clinical manifestations of shoulder injury - asymmetry of the shoulder girdle, hypotrophy of the shoulder girdle muscles (most often the supraspinatus muscle of the working arm), soreness and muscle seals during palpation in the periarticular region, soreness and restriction of active and less often passive movements in the shoulder joint, positive tests of Joub, Dauborn, positive resistive tests leads, external and internal rotation. Occupational pathology of the shoulder was diagnosed in half (51.2%) of the examined. Tendinosis of the long head of the biceps muscle of the shoulder and lesions of the rotator cuff muscles were most often detected, more often on both sides and often had a combined character. At the same time, in 34 patients (about 28% of the examined), ultrasound signs of shoulder lesions were not always accompanied by clinical manifestations, which caused a low correlation between the severity of ultrasound and clinical symptoms. The data obtained substantiate the need to develop new diagnostic approaches to the detection of occupational shoulder lesions.
P-612 A RANDOMIZED CONTROLLED TRIAL ON THE EFFECTS OF A JOB SPECIFIC ERGONOMIC TRAINING ON THE MUSCULOSKELETAL LOAD OF THE CARE STAFF IN A NURSING HOME. RESULTS FROM THE ERGONCARE-STUDY
Authors: Klussmann Andre , Choudhry Jamal Nasir , Jost Mirjam , Tolg Boris , Hamburg Johann Popp , Krämer Natalie , Keuchel Martin , Serafin Patrick , Schäfer Andreas , Lang Karl-Heinz , Popp Johann 
Published: July 2024

Abstract

Introduction
Behavioural interventions may be effective for the prevention of occupational musculoskeletal disorders as an addition to technical and organisational measures. This open label randomised controlled trial evaluates the effect of an ergonomic patient handling training program on the musculoskeletal load of care staff in a nursing home.

Methods
The program consisted of 15 training sessions right in the nursing home, combined with additional meetings on the ward. The primary outcome was the weighted cumulative musculoskeletal load of the lower back, knees and shoulders, assessed with a motion-capturing system and video for each body region.

Results
We were able to perform the study with some protocol changes, despite of massive delays and high drop-out rates during the COVID-19 pandemic. For six remaining participants of the intervention group the median cumulative load on the lower back increased from 12,632°s at baseline to 30,735°s at follow-up. The median cumulative load on the shoulders increased from 17,274°s to 63,884°s. Simultaneously the time to perform the task increased more than fourfold from baseline to follow-up. The relative load per minute decreased. For the knees, not only the cumulative load increased from 8,418°s to 48,694°s, but also the relative load.

Discussion/Conclusion
The training did not clearly reduce the musculoskeletal load. Although extreme deviations from the neutral position (such as leaning forward and twisting) have been reduced, the time spent in postures that are still unfavorable, such as slightly leaning forwards and twisting, has multiplied, since the execution of the processes required much more time than before.
P-614 MULTI-METHOD ASSESSMENT OF ERGONOMIC RISKS TO VETERINARY TECHNICIANS AT A SMALL-ANIMAL CLINIC
Authors: Taveira Alvaro , Prouxl Joseph , Arias Oscar 
Published: July 2024

Abstract

Introduction
Veterinary technicians in small-animal clinics are often exposed to activities associated with work-related musculoskeletal disorders (WMSDs), but the available research is limited. This multi-method case study identifies prevalent tasks with ergonomic hazards and defines the associated risk levels. Potential interventions are discussed.

Methods
Nine technicians participated in assessing symptoms and identifying tasks with ergonomic risk factors. A modified NORDIC questionnaire was administered to determine WMSD discomfort. A focus group identified activities with ergonomic risk factors. The jobs with high-risk factors were further evaluated using the Rapid Entire Body Assessment (REBA).

Results
All participants experienced musculoskeletal discomfort in at least five body regions. They reported being unable to perform work over the last 12 months due to WMSDs on shoulders, ankles, and feet 33% (n=3), neck and lower back 22% (n=2), and wrists, hands, hips, thighs, and knees 11% (n=1). One respondent reported no discomfort over the last seven days, while eight indicated discomfort in three or more body areas. Three tasks were chosen for REBA analysis. Restraining and handling animals had a high-risk REBA score (ranging from 8 to 10). Sedation/recovery had a low to medium-risk REBA score (3 to 5). Dental procedure recovery had a low to very high-risk REBA score (ranging from 2 to 11).

Discussion
The findings indicate that most veterinary technicians experience musculoskeletal discomfort and are exposed to significant WMSD risk levels when performing everyday tasks.

Conclusion
This assessment produced several administrative and engineering controls to reduce the risk of WMSDs in the selected tasks.
P-617 WORK-BREAKS FOR PREVENTING MUSCULOSKELETAL DISORDERS IN HEALTHY WORKERS – A COCHRANE REVIEW UPDATE
Authors: Luger Tessy , Rieger Monika , Steinhilber Benjamin 
Published: July 2024

Abstract

Introduction
Work-related musculoskeletal disorders comprise one of the most common disorders related to occupational sick leave worldwide accounting for about 25% of work absenteeism days. This review focusses on work breaks as a measure of primary prevention, which are a type of organisational intervention. With this review update, we compare the effectiveness of different work-break schedules for preventing work-related musculoskeletal symptoms and disorders in healthy workers, compared to conventional or alternate work-break schedules on potential additional literature.

Methods
We will provide an updated search of the literature (May 2019) for randomized controlled trials that enrolled adult workers free of musculoskeletal symptoms and assessed one or more work-break interventions including changes in frequency, duration and/or type. The primary outcomes are newly diagnosed musculoskeletal disorders, self-reported musculoskeletal pain, discomfort or fatigue, and productivity or work performance. Two review authors will independently screen the literature for additional eligible studies, extract data, perform meta-analyses, assess risk of bias and assess overall quality of the evidence.

Results
At present, six studies (373 workers) investigated different work-break frequencies (five studies) and types (two studies), but none of the comparisons revealed significant influences on the primary outcomes. All studies had high risk of bias and quality of evidence was (very) low.

Conclusion
At present, we concluded that different work-break frequencies and types may not considerably reduce incidence of musculoskeletal disorders. The review update may provide some extra insights, although there still is a need for high-quality studies to assess the effectiveness of different work-break interventions on a larger variety of worker populations.
Diagnosis and Treatment of Presumed Naltrexone-XR–precipitated Opioid Withdrawal in a Patient Chronically Treated With Buprenorphine-XR: A Case Report
Authors: Moore Jessica , Foo Kalvin , Egu Ernest , Gao Xin , Ehrman-Dupre Rachel , Salzman Matthew 
Published: July 2024

ABSTRACT
Naltrexone, buprenorphine, and methadone are Food and Drug Administration–approved medications for the treatment of opioid use disorder in the United States. Naltrexone, an opioid antagonist, can precipitate opioid withdrawal if administered too quickly after the use of full or partial opioid agonists for those with either dependence or use disorder. We describe a case of severe precipitated opioid withdrawal syndrome after reported buprenorphine extended-release (XR) administration, despite the patient having been stable on buprenorphine-XR for several years, with no missed doses or recent opioid use. Naltrexone levels were sent and helped to diagnose suspected inadvertent naltrexone-XR administration in this patient, which was likely the etiology of his precipitated opioid withdrawal syndrome. We suggest the use of high-dose buprenorphine, as well as adjunctive medications including benzodiazepines, as a treatment strategy for naltrexone-XR precipitated withdrawal in the setting of chronic buprenorphine-XR treatment.