bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-304 THE RIGHT TO DISCONNECT: THE NEED TO ACHIEVE A BETTER WORK-LIFE BALANCE IN TELEWORK
Authors: Antunes Evelise , Santos Marta , Fischer Frida 
Published: July 2024

Abstract

Introduction
On the emerging telework policy agenda, among the reformulations and new policies, is the right to disconnect.

Materials and Methods
We aim to examine, supported by a Brazilian case report, the challenges of achieving a work-life balance in teleworking. A qualitative study entailing document analysis was conducted to survey, using electronic documents, the countries that have regulated the right to disconnect. A case study was also carried out in a Section of the Brazilian Federal Courts System. In-depth interviews of 20 workers in the Brazilian Federal Judiciary during the COVID-19 pandemic were conducted. All interviews were transcribed and thematic analysis was performed with the software MAXQDA Plus 2022. This study focused on the experiences of workers in the thematic category home-work balance.

Results
The results show that many individuals reported difficulty disconnecting due to task overload, understaffed teams and tight deadlines. Being at home, available with a computer and cell phone connected, yet not meeting the needs of other colleagues working at different times, appeared contradictory. Making oneself always available became the rule in teleworking, particularly for managers within the federal courts system. In this context, there was a need to guarantee the ability of people to disconnect from work and not to engage in work-related electronic communications during non-work hours, a right to disconnect policy.

Discussion/ conclusion
In Brazil, unlike other countries, the legislation governing telework fails to address the right to disconnect with the depth required. Nonetheless, other countries have made strides in teleworking regulations: Argentina, Belgium, Chile, Colombia, France, Ireland, Italy, Mexico, Peru, Philippines, Portugal and Spain.
O-305 BETTER CONSIDERING PSYCHOSOCIAL RISKS IN AGRICULTURE: PRESENTATION OF A FRENCH REPORT
Authors: Comptrasec Loic Lerouge 
Published: July 2024

Abstract

Introduction
Agriculture is poorly integrated into the analysis of working conditions. Even though the French agricultural social security system is innovative compared with other sectors because farmers are covered, it does not in itself result in equal coverage. E.g. when it comes to psychosocial risks (PSR), the issue of compensation is different for farmers and employees, and the question of suicides arises in this context.

Methods
PSR in agriculture exists and is a reality that still needs to be better understood. Better visibility and objectivization in the major surveys is needed, i.e. “making visible what is not visible.” Furthermore, under-reporting leads to a lack of recognition and compensation for victims and families. This issue concerns recognition of the impact of agricultural work on health, over and above the economic issues that are often put forward, such as economic difficulties and job insecurity. Another is not daring to talk about suicide or depression and going beyond information and awareness-raising.

Discussion
Improving the way PSR are addressed in agriculture also means providing the means to talk about it, particularly suicide and depression. Educational approach is a key and goes hand in hand with and facilitates better assessment, and improves prevention or compensation processes when prevention does not work.

Conclusion
The report makes recommendations to address these complex issues, divided into three parts: make working conditions of famers and employees more visible in surveys; improve the way in which the impact of PSR on health is considered as occupational accidents and diseases; and emphasize prevention of PSR for employees as well as farmers.
O-307 SYSTEMATIC REVIEW AND META-ANALYSIS OF PSYCHOSOCIAL INTERVENTIONS TO REDUCE CASES OF WORKPLACE VIOLENCE
Authors: Esquivel-Lozada Carlos , Juárez-García Arturo 
Published: July 2024

Abstract

Introduction
Interventions in Psychosocial Risk Factors are poorly studied in terms of reporting their efficacies that can be compared or replicated, among the most prevalent Psychosocial Risk Factors is Workplace Violence, documenting the size of the effect and comparing the interventions applied to The prevention of a psychosocial risk factor is essential to reach international agreements on the global, regional or local treatment suggested in the scientific literature.

Method
We searched the keywords “Workplace Violence” and “Clinical Trial” with the Boolean operator AND on PubMed Cochrane Clinical Trials.gov, Embase, PsycInfo, Web of science and Science Direct platforms. 95 results were obtained. The results were classified by type of violence (I, II, and III) and by Physical and Psychological. The effect size measures were compared with each other, transforming them all to OR through the formulas proposed by Fritz, Morris, and Richler.

Results
Will be obtained November 2023

Discussion
The main difficulty in making decisions to intervene on workplace violence is the lack of scientific evidence that establishes effect sizes, and once these effect sizes are established, they are expressed in different measures that can generate difficulty in their understanding or comparison for the reader, once this first problem is solved, comparing the three types of violence and two categories of violence results in small groups of type and category, however, it allows refining the conceptual accuracy

Conclusion
Pending November 2023
P-456 CAUSES AND IMPACTS OF VIOLENCE IN THE HEALTHCARE ENVIRONMENT
Authors: Dallagi Amani , Khouja Nihel , Nefzi A , Fatma Naourez Ben , Baraketi Emna , Ismail Saloua , Hsinet Jihen , Benzarti Aida 
Published: July 2024

Abstract

Introduction
Violence is an emerging social phenomenon which threatens our society, particularly health care personnel. The aim of the study was to identify the characteristics of violence perpetrated on trainee physicians and its physical and psychological impacts.

Methods
it was a descriptive cross-sectional study. Data were collected from a self-administered questionnaire. It was conducted in ten university hospitals in Tunis.

Results
of 257 surveys distributed, 207 (80,5%) were returned. It was a population with a mean age of 26.8 ± 2.35 years, sex ratio was 0.46 and 59.4% of them were internal physicians. During the previous twelve months, 98.1% of the respondents’ trainee physicians were victims and/or witnesses of violence. Indeed, 62.5% of the participants had been subjected to or had witnessed verbal abuse, 24.1% of them had been subjected to or had witnessed physical violence and only 13.3% had experienced or witnessed incivility during the previous year. The most frequent reason of violence was the long waiting time before consultation (62.5%, p=0.003). Nearly 93% of physical and non-physical violence had different psychological effects. A decline in the quality of job performance was reported by 96% of trainee physicians.

Discussion
Health care professionals are in direct contact with vulnerable people who endanger any normal social relationship. Trainee physicians were frequently exposed to violence. This phenomenon has serious personal and professional impacts.

Conclusion
There is a strong need for the development of preventive programs in order to manage violence in emergency departments mainly in focusing on security measurements’ strengthening.
P-463 WHO-ILO GUIDANCE FOR THE DEVELOPMENT AND IMPLEMENTATION OF OCCUPATIONAL HEALTH AND SAFETY PROGRAMMES FOR HEALTH WORKERS: THE IMPLICATIONS AND RECOMMENDATIONS FOR THE IMPLEMENTATION IN CHINA
Authors: He Chuning , Zhang Min 
Published: July 2024

Abstract

Introduction
In 2022, WHO-ILO launched the technical tool-Caring for those who care: Guide for the development and implementation of occupational health and safety (OHS) programmes for health workers.

Methods
Based on the context of OHS for health workers in China, an international comparison study was conducted by policy analysis.

Results
According to the main content of this guidance and the specific context in China, the following suggestions to enhance the OHS system for health workers in China were provided:
(1)  Develop a specialized national policy on healthcare worker occupational health and safety to ensure adequate funding for relevant programs.
(2)  Establish monitoring systems at the national, regional and facility levels with clearly defined monitoring indicators.
(3)  Implement comprehensive pilot programs in healthcare facilities, integrating relevant policies, OSH committees, hazards assessment and implementation procedures.
(4)  Improve the reporting, recording and notification system for incidents, occupational diseases and work accidents.
(5)  Enhance the provision of occupational health services with multidisciplinary approaches.
(6)  Safeguard the physical health, mental health and well-being of the health workers for the resilience of the health system.

Discussion
This guidance provides an overview of essential elements and key deliverables for health workers’ OHS programs at the national, regional and facility levels. It is crucial to ensure the engagement and investment of multiple stakeholders in the initiatives. These recommendations will contribute to further refining China’s OHS policy system for health workers.

Conclusion
China is the home to more than 11 million health workers; it is necessary to apply the WHO-ILO guidance under the priorities in China.
P-468 PSYCHOSOCIAL RISKS AMONG PHYSICIANS WORKING IN OCCUPATIONAL MEDICINE GROUPS IN TUNISIA
Authors: Maayouf Mouna , Kammoun Nesrine , Rmadi Nehla , Chemingui Siwar , Fehri Sonia , Hajjaji Mounira 
Published: July 2024

Abstract

Introduction
Work-related stress is a significant risk factor contributing to burnout, especially in professions characterized by elevated mental demands such as front-line occupational physicians. The aim of our study was to assess the extent of psychosocial risk (PSR) factors among occupational physicians.

Methods
A descriptive cross-sectional survey was conducted among physicians working in occupational medicine groups in Tunisia in November 2022. The Karasek questionnaire and Siegrist’s effort/reward imbalance model were utilized to assess PSR factors among the participants.

Results
The participation rate was 46%. The mean age was 41± 6 years. The sex ratio was 0.2. A high psychological demand and a low level of social support were found in 79% and 75% of the cases respectively. The prevalence of job strain was 60% and iso strain 75%. Effort/reward imbalance was noted in 30% of cases. High psychological demand and low social support were significantly associated with the number of patients per day and per year. Low decision latitude was significantly associated with the number of patients per year, the scarcity of participation in medical training and the presence of third-party constraints whose purpose is to interfere with the medical decision. The main source of work-related stress was poor administrative management for 38% of cases.

Discussion
These findings highlight the prevalence of PSR among occupational physicians. We recommend considering a legislative reform to improve the overall well-being of these healthcare professionals.

Conclusion
One out of two occupational physicians is experiencing job strain. A specific preventive strategy is suggested, as well as a legislative reform.
P-469 DEVELOPMENT OF THE CHINESE VERSION OF THE NEW BRIEF JOB STRESS QUESTIONNAIRE (NEW BJSQ) AND EXPLORATION OF THE ASSOCIATION BETWEEN NEW BJSQ AND FATIGUE
Authors: Lin Chia-Ping , Yang Chen-Cheng , Chuang Hung-Yi , Watanabe Kazuhiro , Kawakami Norito 
Published: July 2024

Abstract

Introduction
While fatigue is a common experience among workers, it can severely impact work performance, increasing the risk of accidents. Moreover, chronic fatigue is often an initial indicator and symptom of psychological stress. This study aimed to assess a broader range of psychosocial factors and explore the relationship between New BJSQ and fatigue.

Methods
We conducted a cross-sectional study involving labor workers from Occupational Health Services (OHS) and out-patients of Kaohsiung Municipal Siaogang Hospital. The self-administered questionnaire included the checklist Individual Strength (CIS) and New BJSQ.

Results
Among the 245 workers analyzed, 39.3% were recruited from hospitals, while 60.3% came from workplaces. Using a CIS score cut-off of 76 points, 27.8% exceeded this threshold. After adjusting for confounding variables, the logistic regression revealed that older age was associated with a lower risk of fatigue (OR=0.95, CI: 0.92-0.98), and higher job demand was linked to lower levels of fatigue (OR=0.54, CI: 0.35-0.84).

Discussion
This study sheds light on the relationship between psychosocial factors and labor worker fatigue. Notably, lower job demand was linked to higher fatigue levels, emphasizing the need to consider various psychosocial factors beyond job demand when studying fatigue.

Conclusion
Younger workers may face a higher risk of fatigue, with job demand significantly impacting fatigue levels. Strategies for improving labor workers’ well-being and performance should address these psychosocial factors accordingly.
O-315 MOVING FORWARD IN JOB RELATED SKIN CANCER - MEASUREMENT OF OCCUPATIONAL AND LEISURE TIME UV EXPOSURE
Authors: Strehl Claudine , Wittlich Marc 
Published: July 2024

Abstract

Introduction & Objectives
To address the constantly rising incidences of job related non-melanoma skin cancer many efforts will have to be made especially in primary prevention. By measuring UV exposure for a large number of outdoor workers supplemented by measurement of UV exposure during several leisure time activities typically performed outdoors we were able to build a large database which can serve as a starting point for further investigation of mechanisms leading to skin cancer as well as development of tailor made prevention concepts.

Materials & Methods
Occupational as well as leisure time UV exposure was measured via electronic data logger dosimeters for a wide range of occupational settings and leisure time activities. During measurements of occupational UV exposure more than 250 occupational settings could be investigated. Statistical surveys on the time use of the German population served as basis for identification of in total 14 typical leisure time activities that unite both: significant proportion at the entire course of the day and notable exposure to UV radiation.

Results
Measurements of occupational UV exposure revealed that next to the previously suspected industry sectors there also exist other occupations that formerly were not associated with high doses of UV exposure.

Discussion
In combination with measured values collected for leisure time activities, an average daily and annual exposure could be estimated.

Conclusion
Since 2014 a large database on occupational and leisure time UV exposure was built by real life measurements. Our data can serve as a database for different fields of application e.g. primary prevention or epidemiology of skin cancer.
O-319 KNOWLEDGE, ATTITUDES AND PRACTICES OF HOSPITAL RADIOLOGY STAFF WITH REGARD TO RADIATION PROTECTION
Authors: Saida El Kherrat , Nadia Manar , Hicham El Bouri , Frédéric Deschamps , Chakib Laraqui 
Published: July 2024

Abstract

Introduction
Radiation protection is based on the application of 3 principles: justification, optimization and dose limitation, which were established by the International Commission on radiological protection. This study aimed to assess the knowledge, attitudes and practices of hospital radiology staff regarding radiation protection.

Methods
This cross-sectional study, carried out in 2022 in 3 localities, involved 192 health care workers exposed to the risk of irradiation (156 radiology technicians, 32 radiologists and 4 service staff) with occupational seniority &gt; 1 year and working full time. The self- administered questionnaire recommended by UNSCEAR included socio-demographic and occupational parameters and items relating to knowledge, attitudes and practices on radiation protection.

Results and discussion
The fundamentals of radiation protection were unknown by 29.2% and its objectives by 74% Only 24.5% were satisfied with the information on the risk of exposure. 57.8% reported that their radioprotection status was not up to date and 71.9% did not benefit from specific medical follow-up by the occupational physician. The design of the premises did not meet radiation protection standards for 39.6%. The radioprotection regulations mentioning the authorized dose limits were not displayed, as was the service plan specifying the traffic areas with the location of sources and the intervention plan in the event of accidental exposure to radios. Personal dosimetry was non-existent for 20.8%. 69,8% informed the patient of the risks of ionizing radiation when it seemed necessary to them.

Conclusion
Limited knowledge and faulty attitudes and practices towards radiation exposure require national supervision of radioprotection of health care workers. On-the-job training is necessary.
P-477 LESSONS AND LEARNED; THE CHANGING INDUSTRIAL HEALTH NEEDS AFTER THE NUCLEAR DISASTER AND IMPLICATIONS FOR FUTURE DISASTERS
Authors: Tateishi Seiichiro , Igarashi Yu , Mori Koji 
Published: July 2024

Abstract

Introduction
The Fukushima Daiichi Nuclear Power Plant (1F) accident posed significant challenges to industrial health management. The University of Occupational and Environmental Health, Jaan played a vital role in providing support during the aftermath. Understanding the dynamic changes in industrial health needs over time is crucial for effective disaster response and preparedness.

Method
The 1F Network Research Meetings, held regularly, facilitated discussions among industrial physicians, experts, and cooperating companies. Through a thorough review of meeting minutes, we categorized the industrial health needs and responses in different post-disaster stages.

Result
During the initial recovery phase, focus on restoring operations and managing radiation led to oversight of recovery workers’ health and safety. Challenges included inadequate heatstroke prevention during extended summer work, fatigue management from continuous shifts, and insufficient health protocols. After the decision to decommission the plant, the importance of long-term health management for workers became evident, resulting in precise health examinations. The increased risk of internal exposure to alpha nuclides necessitated discussions on screening and countermeasures. Ten years later, cases of cancer with uncertain radiation origins prompted discussions on corporate responsibilities.

Discussion
The findings highlight the diverse Occupational health needs after nuclear disasters and underscore the need for constant preparedness for future catastrophes. The establishment of external industrial health support teams by the Japanese Ministry of Health, Labor, and Welfare is a positive step. However, maintaining readiness and mechanisms for prompt response remain crucial in navigating crises effectively.

Conclusion
These insights can guide policymakers and stakeholders in enhancing industrial health strategies and disaster management practices.
P-483 DOSIMETRIC COMPARISON BETWEEN PHOTON AND PROTON IRRADIATION FOR PROSTATE CANCER: HIGHLIGHTING THERAPEUTIC EFFICACY AND RADIOPROTECTION
Authors: Ghazi Ismail , Krim Mustapha , Siroua Karima , Laraqui Chakib 
Published: July 2024

Abstract

Introduction
Prostate cancer is a common disease affecting the male reproductive gland. Our main goal is to create a realistic mathematical model of the male pelvic area. We aim to compare radiation doses from photons and protons to determine the most effective method, minimizing risks to the patient’s organs while maximizing protection for healthcare personnel. The radioprotection is based on three fundamental principles: justification, optimization and dose limitation.

Methods
We employed Monte Carlo methods, probabilistic algorithms for approximate numerical calculations. The simulations were performed using GEANT4, version 10.04.p03, an interface software that simulates particle movement through matter. GEANT4 succeeds the CERN- developed GEANT software series, utilizing C++ and an object-oriented programming methodology.

Results
Our findings highlighted the superior therapeutic efficacy of proton irradiation in depositing doses within the patient’s organs at risk. Additionally, proton treatment provided enhanced protection for healthcare personnel. Compared to photon irradiation, proton therapy proved more advantageous in terms of radioprotection.

Discussion
The underlying physics of these therapies differ significantly. Photons involve an indirect dose deposition, requiring two collision steps before interacting with a target electron and resulting in numerous scattered photons. In contrast, protons directly and continuously deposit energy, characterized by the Bragg peak.

Conclusion
The therapeutic effectiveness of proton irradiation in terms of radioprotection was emphasized. Nevertheless, implementing charged particle treatment demands extensive and costly experimental protocols. Therefore, photon irradiation remains one of the most widely used techniques for prostate cancer treatment, owing to its well-established advantages.
O-320 PHTHALATE EXPOSURE AND BIOMARKERS OF OXIDATION OF NUCLEIC ACIDS: RESULTS ON COUPLES ATTENDING A FERTILITY CENTER
Authors: Paci Enrico , Pigini Daniela , Caporossi Lidia , Capanna Silvia , Viganò Paola , Alteri Alessandra , Rabellotti Elisa , Buonaurio Flavia , Papaleo Bruno , Tranfo Giovanna 
Published: July 2024

Abstract

Introduction
Phthalates are substances used as plastics additives and solvents in various personal care products that act as endocrine disruptors. Among the mechanisms involved in the onset of these results is the induction of oxidative stress. The aim of the study is to show the possible relationship between urinary concentrations of phthalate metabolites and the biomarkers of nucleic acid oxidation, methylation, or protein nitroxidation.

Methods
Urine samples were analyzed for the phthalate metabolites Mono-ethylphtalate (MEP), Mono-benzylphtalate (MBzP), Mono-n-butylphtalate (MnBP), Mono-(2-ethylexyl)phtalate (MEHP), mono-(2-ethyl-5-hydroxyhexyl)phthalate (MEHHP), and Mono-n-octylphtalate (MnOP), and for the oxidative stress biomarkers 8-oxo-7,8-dihydroguanine (8-oxoGua), 8-oxo-7,8-dihydroguanosine (8-oxoGuo), 8-oxo-7,8-dihydro-2-deoxyguanosine (8-oxodGuo), 3-nitrotyrosine (3-NO2Tyr), and 5-methylcytidine (5-MeCyt). 274 couples attending a fertility center were enrolled, and urine samples were analyzed in HPLC/MS-MS; two sub-groups with urinary concentration &gt; 90th or &lt;10th percentile were identified, reducing the sample size to 112 subjects.

Results
A statistically significant difference for 8-oxoGuo and 3-NO2Tyr between men and women, with higher levels in men, was found. The levels of oxidative stress biomarkers were directly correlated with some phthalate concentrations in both sexes.

Discussion
The results of biological monitoring of phthalates exposure showed statistically significant correlations with the biomarkers of oxidative stress, 8 confirming that exposure to phthalates of various origins may induce oxidative stress, and, to some extent, it could suggest an involvement in the reproductive system problems.

Conclusion
As our results show DEHP as the most toxic phthalate, other phthalates are also involved, in different ways, in oxidative damage and, therefore, infertility.