bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-209 DATA ANALYTICS APPLIED TO OCCUPATIONAL HEALTH: OCCUPATIONAL RISK ANALYSIS OF UNITED STATES COMPANIES
Authors: Molina Graciela , Taboadela Claudio , Aldaz Santiago 
Published: July 2024

Abstract

Introduction
Data science is an interdisciplinary field that integrates different disciplines: statistics, programming, mathematics, computing and logic, among others. Its purpose is the search, collection, extraction, and analysis of data that can be structured or unstructured to carry out decision making.

Methods
A public database “Severely Injured Workers” located in the Kaggle® web community was used to provide information for this paper. Injuries were coded using the Occupational Health and Illness Classification System. Data covered 22 000 incidents from 1st January 2015 to 28 February 2017. Two data analysis tools were used: Microsoft Excel® and Public Tableau®.

Results
Data analytics permitted the identification of companies with the highest and lowest rates of occupational accidents and the severity of the injuries, among other variables.

Discussion
The data analysis allowed us to understand the patterns of occupational hazards and risks in different industries throughout the United States of America.

Conclusion
Data analysis allows a new and innovative approach to data interpretation by using not only predictive models in the detection of accidents, but in occupational diseases too. It allows the identification of occupational hazards and risks in different industries and companies. It also facilitates the analysis and interpretation of large amounts of data, to make informed decisions, with the ultimate aim of reducing the morbidity and mortality in workers.“
P-211 COMMUNICATING RISK DURING PUBLIC HEALTH EMERGENCIES: LESSONS LEARNED FROM THE COVID-19 PANDEMIC
Authors: Valenti Antonio , Maringhini Guido , Monti Carlo , Gagliardi Diana , Iavicoli Sergio 
Published: July 2024

Abstract

Introduction
In the last decades, the World Health Organization (WHO) recognized the importance of risk communication as a key factor to achieve general compliance and improve community engagement to preparedness and response measures during public health emergencies. The COVID-19 pandemic revealed the weaknesses of risk communication in a context characterized by uncertainty and insufficient medical and scientific knowledge about SARS-CoV-2, which induced confusion in the public and represented a challenge for evidence-based decision making. Additionally, the context of communication was marked by easy access to an unprecedented number of sources of information, not always understandable and manageable by the public (infodemic).

Methods
In order to contribute to the identification of practical recommendations for the improvement of current risk communication strategies during health emergencies, we propose a model with an integrated approach, which considers interconnections at institutional, scientific and mass communication level.

Results
We identified a series of guiding principles, including the need for a more inclusive risk communication, which would consider all the actors involved, as well as the adaptation of communication strategies to different scenarios and epidemiological contexts.

Discussion
Communication should follow pre-established steps (preparation, monitoring, intervention, and reinforcement) to support people, especially during health emergencies. In this sense, institutional communication plays a key role, and the exponential growth of government’s social media accounts during the recent pandemic further highlights it.

Conclusion
Communication should be embedded in any pandemic plan, therefore the Italian Ministry of Health has established a permanent team to coordinate the aspects of risk communication for the present national pandemic plan.
O-127 ASSESSING PREVALENCE OF DERMAL SYMPTOMS AND FACTORS ASSOCIATED AMONG FLOWER FARM WORKERS IN THE KAMPALA METROPOLITAN AREA, UGANDA
Authors: Agaba Marianna 
Published: July 2024

Abstract

Introduction
Flower farms in Uganda heavily depend on fertilizers and pesticides to manage pests and boost the yields. Despite their advantage, they have a health impact on the flower farm workers. The chemicals used in commercial flower farms have known skin effects however there is paucity of prevalence studies on dermal symptoms and associated risk factors in flower farms.

Objectives
The general objective of this study was to explore the prevalence of dermal symptoms and associated factors among flower farm workers in Kampala Metropolitan area.

Methodology
Data on socio-demographic, job related, skin symptoms and OSH was collected for 433 respondents and their immediate supervisors in eight flower farms in the Kampala Metropolitan Area in August 2021. A mixed-methods approach was used. Logistic regression was applied to determine factors associated with the dermal symptoms. Conventional content analysis was applied qualitatively.

Results
The prevalence of dermal symptoms was found to be at 45.83%. Itching was the most reported; prevalence of 40.9%. Dermal symptoms were associated with: - being a store attendant and maintenance and transporter;9-12 hours of work; history of working on another farm previously; using spirit, chlorine and acid; handling chemicals 1-3, 4-7 and 8-10 times weekly; gaps in provision and use of PPE and poor OSH practices.

Conclusions/Recommendations
There’s a moderate prevalence of dermal symptoms among flower farm workers in the Kampala Metropolitan Area. The management in these flower farms should ensure participation of all their workers in the application and review of OSH risk identification of hazards that affect the skin and assessment practice.
P-213 TRENDS OF THE REPORTING OF OCCUPATIONAL SKIN CANCERS FROM EXPOSURE TO SOLAR RADIATION IN ITALIAN WORKERS
Authors: Modenese Alberto , Gobba Fabriziomaria 
Published: July 2024

Abstract

Introduction
Keratinocytes cancers (KC), i.e. basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), are among the most frequent occupational tumors in Caucasian individuals, associated to chronic solar radiation (SR) exposure. Both outdoor workers (OW) and workers with mixed outdoor/indoor exposure are at risk. Aim of this work is to analyze the trends in the number of occupational KC reported to the Italian workers’ compensation authority (INAIL) in the last fifteen years vs. the expected cases based on KC incidence.

Methods
Through the INAIL statistical database, we retrieved the numbers of KC reported per year, while, based on literature and cancer registries consultation, we estimated KC incidence. Finally, we calculated the expected SCC and BCC incidence in Italian OW and workers with mixed outdoor/indoor activities.

Results
The number of KC reported to INAIL was of 50 cases in 2010, reaching a maximum of 123 cases in 2019. We estimated about 3 millions of workers with relevant SR exposure in Italy, resulting in an expected incidence of at least 1,000 occupational KC per year.

Discussion
Recent data show an increasing trend in the reporting of occupational KC in Italy, even if the phenomenom is still under-estimated, with about 1/10-1/20 of the expected cases reported to INAIL.

Conclusion
Despite some improvements in the awareness concerning work-related SR exposure risk in Italy in recent years and an increase of the number of occupational KC reported, an effort is still needed for a better prevention of skin cancer risk among Italian OW and workers with mixed outdoor/indoor activities.
O-133 DIGITIZING HEALTHCARE IN AN OVERBURDENED HEALTHCARE SYSTEM: AN ETHNOGRAPHIC STUDY IN PATHOLOGY
Authors: Geisler Birte Linny , Amperidou Ourania , Mattern Sven , Schürch Christian M , Rieger Monika A , Rind Esther , Preiser Christine 
Published: July 2024

Abstract

Introduction
Health workers in Germany show high rates of work-related stress. Digital innovations promise to lighten the workload. We examine the experiences of health workers with a digital transformation in a pathology department of a German hospital. How does the digitization affect the work environment? How, in turn, do existing working conditions (e. g. staff shortages) influence the digitization?

Methods
Using an ethnographic study design, we conduct participant observations, focus groups, and semi-structured interviews from mid-2022 to fall 2023. The method of data analysis is Braun and Clarke’s Reflexive Thematic Analysis. Ethical approval was granted in July 2022.

Results
While the new technology promises future relief, its implementation is running in parallel with ever-increasing workloads and high numbers of staff turnover. A project team has been set up to establish the process, but it faces the challenges of limited working time and an unpredictable time schedule (e.g., due to delayed delivery). Health workers’ high intrinsic motivation and resilience are important resources. But they also feel the loss of their expertise in “traditional” pathology, while the new expertise is not yet in place.

Discussion
The digitization of healthcare carries the risk of doubling the workload of health workers in a system that already suffers from scarce resources. Digital solutions cannot compensate for fundamental problems in an overburdened healthcare system. In some areas, additional human resources are even needed to use the new technology responsibly.

Conclusion
A responsibly managed digitization process includes openly addressing the downsides and risks of digitization.
O-135 NURSES’ DISCONTENT WITH THEIR CURRENT JOB AND ASSOCIATED FACTORS - A CROSS-SECTIONAL SURVEY IN SWEDISH PRIMARY HEALTH CARE
Authors: Karlsson Elin 
Published: July 2024

Abstract

Introduction
Turnover among nurses is an increasing problem for healthcare globally, and in Sweden the shortage of nurses in primary health care has increased sharply in recent years. The aim of this study was to investigate primary care nurses’ turnover intention, job satisfaction, change fatigue, leadership climate, and social support in Sweden. The aim was also to identify and characterize those nurses with both high turnover intention and low job satisfaction.

Methods
This was a cross-sectional survey of 466 registered nurses working in Swedish primary health care. Data were analyzed using descriptive statistics and logistic regression. A new variable was created (discontent with current job), based on the responses from the two variables of job satisfaction and turnover intentions.

Results
The results demonstrate that 21.1 % of the respondents are dissatisfied with their current job and have intentions to search for another job. Discontent had significant associations with poor leadership climate, lack of support from colleagues, and working more than 40 hours per week.

Discussion
The results have implications for how health care organizations structure the work of nurses in primary health care and how they may attract future staff to these workplaces as well as how to facilitate for them to remain.

Conclusion
Health care organizations and decision makers need to consider the psychosocial working conditions for nurses in primary health care in order to retain their staff and to maintain high quality in the care that the nurses are expected to provide.
O-140 THE SITUATION VIS-À-VIS LATENT TUBERCULOSIS INFECTION OF HOSPITAL STAFF AT ENTRY AND POST-CONTACT TO ACTIVE TUBERCULOSIS: A STUDY AT A TERTIARY HOSPITAL IN THAILAND
Authors: Chaiear Naesinee , Kraisorn Phanumas , Ngarmchokwatta Chatpong , Faksri Kiatichai , Chantarasuk Yingrit , Phewkliang Arunya 
Published: July 2024

Abstract

Introduction
Hospital staff are at higher risk of latent tuberculosis infection (LTBI), but there is limited understanding of the real LTBI situation among the large hospital staff in Thailand. Objectives: 1) We investigated 1) the proportion of LTBI among hospital workers at entry and after they were prioritized as having had high or medium contact with active TB, and 2) the recent development of LTBI.
Methodology: This was descriptive research done on 2,021 hospital staff between 2016-2020. The recent development of LTBI was studied in 416 hospital staff between 2021-2022. The QuantiFERON-TB Gold Plus was used to determine LTBI (QFT-Plus).

Results
The proportion of LTBI among the hospital staff at job commencement was 8.02% (97/1210), compared to 12.5% (101/811) post-contact to active tuberculosis (TB). The 5-year prevalence of LTBI was 9.80% (198/2021). Hospital staff post-contact with TB were categorized as high priority (61.9%), and most index cases were patients (86.9%). No active cases of TB were found following post-contact with TB. 49.9% of LTBI cases were treated with preventive treatments. As for the recent development of LTBI, annual surveillance was reported at 2.4% (10/416), whereas 13.5% (5/37) were found post-contact with TB, and most cases during performance of aerosol generated procedures (AGP).

Discussion
In Thailand, a program for hospital staff post-contact with active TB surveillance is worth considering. Hospital staff performing AGP should be aware of appropriate respirators.

Conclusion
The proportion of LTBI among hospital staff in Thailand was not as high as previously reported. Post-contact to TB is worth routine implementation.
O-141 EXAMINING THE IMPACT OF PSYCHOSOCIAL RISKS ON NURSES’ INTENTION TO LEAVE: A STUDY IN A UNIVERSITY HOSPITAL
Authors: Celik Saadet Goksu , Demiral Yucel 
Published: July 2024

Abstract

Introduction
This study examines the impact of psychosocial risks on nurses’ intention to leave.

Methods
In this cross-sectional study, a total of 204 female nurses participated, and the Swedish Demand-Control-Support Questionnaire (DCSQ) was used to assess psychosocial risks, while the Anticipated Turnover Scale evaluated nurses’ intention to leave. Multilevel logistic regression models were conducted to predict nurses’ intention to leave.

Results
In the logistic model, demands (OR=2.26, 95% CI: 1.18-4.31) and social support (OR=0.37, 95% CI: 0.19-0.70) were found to be significantly associated with nurses’ intention to leave. On the other hand, job control (OR=1.40, 95% CI: 0.75-2.63), age (OR=0.96, 95% CI: 0.90-1.03), work schedule (OR=1.75, 95% CI: 0.65-4.72), and job position (OR=0.78, 95% CI: 0.29-2.07) did not demonstrate statistically significant relationships with nurses’ intention to leave.

Discussion
The study’s findings indicate that high work demands are associated with a greater likelihood of nurses’ turnover, while social support plays a protective role. However, job control, age, work schedule, and job type did not demonstrate significant associations with nurses’ intention to leave. The DCSQ might not fully capture newly defined psychosocial risks. Future research employing updated assessment tools is needed for a more comprehensive understanding of the factors influencing nurse retention in hospitals. In addition, this study has limited generalizability especially to private sector as the participants were civil servants.

Conclusion
Managing work demands and fostering social support are crucial for nurse retention in university hospitals.
O-146 MEDICAL WELLNESS STRATEGIES IN A HIGH COMPLEXITY CLINIC: THE CASE OF THE ‘DOCTORES OK (DOK)’ PROGRAM IN CALI, COLOMBIA
Authors: Fonseca-Muñoz Mauricio 
Published: July 2024

Abstract

Introduction
Physician wellness is critical to providing high quality medical care, especially in highly complex environments. The Doctors OK (DOK) Program in Cali, Colombia, seeks to address the unique challenges faced by physicians in these settings through innovative wellness strategies.

Methods
A quantitative and qualitative study involving 150 physicians from a high complexity clinic in Cali was conducted. Surveys, interviews and observations were used to assess stress, job satisfaction and other indicators of well-being before and after the implementation of the program.

Results
After the implementation of the “DOK” program, a 25% improvement in stress levels and a 30% improvement in job satisfaction were observed among participants. In addition, there were significant decreases in burnout levels.

Discussion
The results suggest that specific wellness strategies can have a significant impact on physician well-being in high-complexity settings. However, further research is needed to determine the applicability of these results in other settings and populations.

Conclusion
The Doctors OK (DOK) Program proved to be effective in improving physician wellness in a high-complexity clinic in Cali, Colombia. These findings could serve as a model for similar programs in other high-complexity health care settings.
P-217 LESSONS FROM HEALTHCARE WORKER RISK OF COVID-19: A 20-MONTH ANALYSIS OF PROTECTIVE MEASURES FROM VACCINATION AND BEYOND
Authors: Yassi Annalee , Barker Stephen , Lockhart Karen , Grant Jennifer , Okpani Arnold Ikedichi , Sprague Stacy , Zungu Muzimkhulu , Lubin Stan , Sing Chad Kim 
Published: July 2024

Abstract

Introduction
This study examines the impacts of rigorously implemented infection control, public health and occupational health measures in protecting healthcare workers (HCWs), beyond vaccination.

Methods
We followed a cohort of 21,242 HCWs in Vancouver, British Columbia, Canada for 20 months from the time the pandemic started until rapid antigen testing ended comprehensiveness of data capture. We used Cox regression and test-negative-design to examine differences in SARS-COV-2 infection rates compared to community counterparts, and within the HCW workforce, assessing the role of occupation, testing accessibility, vaccination rates, and vaccine effectiveness over time.

Results
Nurses, allied health professionals and medical staff in this jurisdiction had a significantly lower rate of infection compared to their age-group community counterparts, at 47.4, 41.8, and 55.3% reduction respectively. Licensed practical nurses and care aides had the highest risk of infection among HCWs, more than double that of medical staff. However, even considering differences in vaccination rates, no increase in SARS-CoV-2 infection was found compared to community rates, with combined protective measures beyond vaccination associated with a 17.7% reduced SARS-COV-2 rate in this workforce overall.

Discussion and conclusion
Rigorously implemented occupational health, public health and infection control measures, with excellent communication channels, resulted in a well-protected healthcare workforce with infection rates at or below rates in community counterparts. Greater accessibility of vaccination worldwide is essential; however, as protecting this workforce globally also requires considerable health system strengthening in many jurisdictions, we caution against overly focusing on vaccination to the exclusion of other effective elements for wider protection of HCWs.
P-220 EFFECTIVENESS OF HEALTH PROMOTION PROGRAMS AMONG HEALTH WORKERS: RESULTS OF TWO INTERVENTIONS IN A LARGE ITALIAN UNIVERSITY HOSPITAL
Authors: Spiteri Gianluca , Monaco Maria Grazia Lourdes , Carta Angela , Taus Francesco , Torroni Lorena , Verlato Giuseppe , Porru Stefano 
Published: July 2024

Abstract

Introduction
Health promotion (HP) is an important goal of Occupational Medicine. Workplace interventions showed their effectiveness in improving employees’ health. However, studies on health workers (HW) are few and limited, involving small groups. The aim of this research was to evaluate the usefulness of HP programs (HPP) in a large University Hospital.

Methods
In 2020, two online screening questionnaires were addressed to the over 4,900 HW belonging to the University Hospital of Verona. Salt consumption (SC) was assessed through MINISAL questionnaire, while the risk of sleep apnea (SA) was evaluated through STOP-BANG. HW at high risk for high SC were invited to an individual counseling session and a 6-month follow-up, while polygraphy was offered to HW at high risk for SA.

Results
MINISAL and STOP-BANG were filled out by 34% and 31% of the study population. In particular, 350 were included in the high SC category and 212 in the high risk for SA. Follow-up examinations were performed in 95 HW; 83% showed a reduction in SC. Polygraphy was performed in 64 HW; 69% were diagnosed with SA and a pulmonological examination was therefore recommended.

Discussion
The prevalence of HW at high risk for high SC or SA was low, as compared to the general population. The percentage of HW participating in HP programs and the adherence to counseling recommendations were good, showing a high awareness among HW.

Conclusion
Our studies confirmed the effectiveness of HPP among HW. Screening questionnaires are low-cost and easy-to-perform tools, very useful in involving large working populations.
P-221 BURNOUT AND QUALITY OF WORK LIFE AMONG FIRST-YEAR INTERN PHYSICIANS: A CROSS-SECTIONAL STUDY DURING THE COVID-19 PANDEMIC
Authors: Surawattanasakul Vithawat , Siviroj Penprapa , Kiratipaisarl Wuttipat 
Published: July 2024

Abstract

Introduction
The COVID-19 pandemic has exposed physicians to extreme stress and burnout, which has decreased their quality of work life. This study aimed to examine the association between burnout and quality of work life (QoWL) among intern physicians.

Methods
A cross-sectional questionnaire of 241 first-year intern physicians using an online platform was conducted during the COVID-19 pandemic in Thailand. We used the Maslach Burnout Inventory-Human Services Survey for Medical Personnel. The Brief Thai version of a QoWL scale containing 25 questions in total was assessed. Multivariable logistic regression was employed in statistical analysis.

Results
Low, moderate, and high QoWL were reported by participants (27.4%, 69.7, and 2.9%, respectively). They frequently had burnout: 79.3% of high emotional exhaustion (EE), 56.8% of high depersonalization (DP), and 56.8% of low personal accomplishment (PA). According to the exploratory model with sex and age adjustments, physicians with high DP and low PA were associated with a low QoWL adjusted OR (aOR) 2.08, 95% CI 1.01 to 4.31, aOR 2.74, 95% CI 1.40 to 5.39.

Discussion and conclusion
First-year intern physicians had a high proportion of low QoWL compared to previous studies in Thailand and internationally. Low QoWL is evident which is, associated with subscales such as high DP, and low PA. Public hospital administrators should consider serious burnout. Take care and prevent the impact on mental health and quality of life, which requires a systematic approach to be addressed.