bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-030 CARDIAC COMPLICATIONS AFTER COVID-19 VACCINATION IN A HEALTHCARE WORKER WITH A HISTORY OF VIRAL MYOCARDITIS: IMPACT ON WORK FITNESS - CASE REPORT
Authors: Popa Maria Valentina , Gurzu Irina Luciana , Duceac Letitia Doina 
Published: July 2024

Abstract

Introduction
Cardiac complications of SARS-CoV-2 infection have had a significant impact on quality of life and work in affected individuals. COVID-19 vaccines have reduced case fatality, but side effects have been reported.

Methods
We present the case of a physician with a history of arrhythmogenic cardiomyopathy following viral myocarditis. After administration of the first dose of COVID 19 mRNA vaccine, she presented suggestive symptoms for acute heart failure. In the absence of any other diagnostic evidence to explain the myocardial damage, a causal relationship with vaccination was established. Cardiac function was periodically assessed by evaluating myocardial strain parameters. She subsequently suffered two SARS Cov 2 infections, without significant heart damage.

Results and discussions
The impact on health has had a significant effect on working life, physically demanding work (operating theatre, night shifts) could not be performed until health improved. In addition, regular medical visits and intermittent health-related absences affected the overall attendance at work and the work schedule.

Conclusions
This case highlights the importance of careful risk assessment and monitoring of employees with chronic diseases in occupational health services. The particularity of this case is the existence of a post- viral cardiomyopathy, subsequently decompensated in the context of vaccination, which required work-life adjustments. Healthcare institutions and policy makers should be aware of these potential implications and consider appropriate adaptations for healthcare workers in the context of the emergence of chronic diseases and the long-term effects of SARS - CoV2 infection.

Ethics approval
The study was approved by the Institutional Ethical Committee of Clinical Emergency Hospital for Children Iasi.
P-034 OBESITY, METABOLIC ASSOCIATED (NON ALCOHOLIC) FATTY LIVER DISEASE, METABOLIC SYNDROME, IMPAIRED GLUCOSE REGULATION, IS THERE A LINK IN ADULT METABOLIC HEALTH?: A PROSPECTIVE STUDY
Authors: Sahoo Sarat , Sahoo Jyotshna 
Published: July 2024

Abstract

Introduction
Obesity, Non-Alcohlic Metabolic Fatty Liver Disease (MAFLD), Metabolic Syndrome (MS), Impaired Glucose Regulation (IGR) are pre-eminent cardio-vascular risks which are preventable. All the above factors lead to diabetes and cardiovascular disease and other non communicable disorders.

Methods
72 young healthy industrial workers aged from 20-50 were taken for the study from 1st of Jan to 31st of June 2023. Persons with known cardio-vascular disease, diabetes, hypothyroidism or genetic diseases of hypercholesterolemia and blood pressure and alcoholic liver disease are excluded from the study. The adult treatment plan three of NCEP (National Cholesterol Education Program), BMI (body mass index) determination by WHO guidelines was studied for Obesity. Fatty liver was diagnosed with ultra-sonographic study. IGR (impaired glucose regulation) was studied taken into account ADA (American Diabetic Association) guidelines from Plasma Glucose.

Results
The mean age of total population (N=72) is of mean age 39.4 +/- 9.6, male (N=52) mean age 38.0+/- 9.5, Females (N=20) mean age 39.9+/- 9.5. Metabolic Syndrome was present in 63.8%, Raised BMI in 89.39%, MAFLD 41.61% IGR 11.16% with proportionate distribution among male and female executives and workers

Discussion and conclusion
Adult health is nutrition associated and metabolically linked. Raised BMI is precursor to MS, MAFLD with progression to IGR meriting definitive treatment in the end. Obesity per say is a diseased state. MS was more common in males where as fatty liver disease more common in females. These are all interlinked which are preventable with adoption of work station preventive life style measures with exercise diet and home sleep advice.
P-035 “PREVENTION IS LIVING”: A TELEMEDICINE PROGRAM BASED ON SELF-MONITORING OF BLOOD PRESSURE IN WORKERS IN THE OIL INDUSTRY
Authors: Rolandi Florencia , Zarate Pablo , Ruiz Pablo , Cura Leila , Serantes Elisabeth , Milana Carolina , Cuellar Diego , Namuncura Sebastian , Quispe Cristian , Saldivia Javier , Velazquez Luis , Azcarate Juan Martin 
Published: July 2024

Abstract

Introduction
35% of the adult population has hypertension. Half don’t know. Of the 40% of known and medicated hypertensive patients, only 40% have their BP controlled. Self-monitoring of BP is an opportunity for improvement so that hypertensive people have less heart attack, stroke and cardiovascular death.

Methods
We implemented a telemedicine program in workers in the oil industry with the aim of identifying unknown hypertensive and hypertensive people with inadequate control. Participants received a BP monitor and were trained by nurses in the proper BP measurement. HTN was considered at least two values &gt; 140/90 mmHg. Participants monitored their BP at home and work during 7 days and uploaded their values in a web available on their mobile phones. Results were evaluated by nurses and physicians through a web platform in real time. If the controls were &gt; 140/90 a medical team contacted them by video call to initiate adjustments in the medication or referral to specialist doctors.

Results
In this initial stage, 125 patients who performed 1671 measurements were included. Among the 102 who were not known to be hypertensive, a diagnosis of hypertension was made in 3.2%. Of the 23 known hypertensive patients, half had their BP controlled and the rest (9.6% of the total population) did not have adequate control.

Discussion
This telemedicine program allowed training people in the correct BP measurement, diagnosed new HTN people and identified persons with uncontrolled hypertension.

Conclusion
Based on the findings we implemented the current stage in which only people with other CV risk factors will be included.
P-045 WORKABILITY AND RETURN TO WORK IN PATIENTS WITH A STOMA: A RAPID REVIEW
Authors: Cioffi Arcangelo , Garzillo Elpidio Maria , Spiteri Gianluca , Carta Angela , De Rosa Michele , Lourdes Monaco Maria Grazia 
Published: July 2024

Abstract

Introduction
The stoma creation is often a life-saving procedure but also a life-changing experience, with potential negative impact on the workability. This review aimed to summarise current literature about the impact of enterostomy on working life, attempting to provide benchmarks for clinical practice.

Methods
According to WHO and PRISMA guidelines, original articles between January 2012 and April 2023 were searched in PubMed, Scopus, and Web of Science, using the following keywords: work performance, work-ability, working capacity, capacity to work, fitness for work, enterostomy, surgical stomas.

Results
Starting from 3,954 titles, 13 articles were finally included. The main findings are related to aspect concerning ostomy awareness and related complications, limitations at workplace and restriction in daily working activities, and job resumption. Work and social function of these were influenced by gender, education, hope, and skills. Some interesting reported aspect are sex-related.

Discussion
Workers needing an ostomy are increasing with an improving of associated problems related to three main aspects: inability to do “heavy” work; need to change the aid during working hours; change the toilets. No studies are available that have investigated the definition of possible contraindications in work tasks for enterostomy users, or, more generally, reasonable accommodation of the workplace for the individual with an enterostomy.

Conclusion
This review attempted to comprehensively summarise the current information on the impact of ostomy on work-ability, trying to give some practal implication on the topic. Further exploration of these aspects is necessary to facilitate the reintegration of individuals with enterostomies into work, and reduce social inequalities.
P-051 EFFECTIVENESS OF A FUNCTIONAL CAPACITY EVALUATION ON THE RETURN-TO-WORK PROCESS: A RANDOMISED CONTROLLED TRIAL
Authors: Steel Jonas , Paradis Julie , Van Kelst Kirsten , Decuman Saskia , Geonet Marie , Godderis Lode 
Published: July 2024

Abstract

Introduction
Given the growing number of disability-benefit recipients, and the economic costs that accompany this rise, correctly assessing the capacities of this population is crucial to develop recommendations for a return-to-work. Despite the fact that Functional Capacity Evaluations (FCE) can be an interesting tool in this respect, these tests are scarcely used in the social security sector.

Methods
We investigate the value of a FCE on 1) the decision-making process of the medical advisor through a qualitative process evaluation, and 2) the work-ability of persons on sick leave/work disability through a randomized controlled trial. For the latter, participants will be randomly assigned to the intervention group (receiving FCE) or control group (usual care). Questionnaires related to work ability and perception of return-to-work and illness will be sent out at baseline, 3 months, 6 months, and 9 months. Qualitatively, medical advisors evaluate the added value of a FCE through semi-structured interviews. This study was approved by the ethical committee of UZ/KU Leuven.

Results
The short-term impact is presented by quantitatively comparing results at baseline and at 3 months. Qualitatively, we demonstrate the value of FCE and its barriers and facilitators for several stakeholders, including physicians and job counsellors.

Discussion
Although the short-term impact may differ from the long-term, it is far from irrelevant, as intermediate outcomes give an indication of long-term effects, and short-term changes can strongly affect cost-effectiveness.

Conclusion
FCE might be a valuable addition to support the return-to-work process and occupational rehabilitation of disability-benefit recipients.
O-033 IMPLEMENTATION OF COMPETENCY-BASED MEDICAL EDUCATION IN POST-GRADUATE TRAINING IN OCCUPATIONAL MEDICINE IN CANADA: WHERE ARE WE?
Authors: Durand-Moreau Quentin , Baillargeon Martine , Razavi Jalees , Spilchuk Vincent , Thompson Aaron , Titri Nabyla , Patry Louis 
Published: July 2024

Abstract

Introduction
Since 2017, residency programs in Canada are switching to a hybrid time-based and competency-based model, called Competence By Design (CBD). Resident assessment is based on the completion of Entrustable Professional Activities (EPA) over 4 stages of training. Our objective was to establish a list of skills for Occupational Medicine specialists in Canada, and benefit from this transition to increase the quality of programs.

Methods
A national committee was established with residency program directors, members of the Royal College of Physicians and Surgeons of Canada (RCPSC) subspecialty committee, and education representatives of the Occupational Medicine Specialists of Canada (OMSOC). This committee has met 3 times between 2021 and 2022 to review the scope of practice of Occupational Medicine. Results. A report has been written by the committee, listing the skills required for all occupational medicine specialists in Canada, organized in 8 sections, including environmental medicine as well.

Discussion
This report will serve as a preliminary step before designing the EPAs. However, implementation of CBD programs has not started yet as of spring of 2023. The RCSPC is also undertaking a review of our specialty that may end in a change in training duration and affect the design and number of EPAs.

Conclusion
Implementation of CBD in Canadian Occupational Medicine residency programs is currently at a pivotal moment. Educators will further work to implement CBD, with this preliminary work completed, as well as building up on the experience of other residency programs that already transitioned.
P-065 SURVEY OF OCCUPATIONAL PHYSICIANS’ OPINIONS ON CLINICAL CARE COMPETENCIES NEEDED IN OCCUPATIONAL HEALTH ACTIVITIES
Authors: Hiroyuki Koga , Yoshiyuki Shibata , Hiroko Kitamura , Yoto Taguchi , Tomoari Mori , Shoko Kawanami 
Published: July 2024

Abstract

Introduction
Previous studies have reported that good clinical care and communication skills are important competencies for occupational physicians (OPs). However, it remains unclear to what extent OPs need to acquire these skills to adequately perform occupational health activities. This study aimed to identify the basic clinical skills considered necessary by OPs.

Methods
We administered a questionnaire to 1,811 members of the Expert Community of Occupational Health Physicians in the Japan Society for Occupational Health. The questionnaire used a four-point ranking method to assess the necessity of 14 items relevant to occupational health activities selected from the “Basic Clinical Capability Lists for Residency” specified in the Japanese Medical Practitioners Law.

Results
There were 219 valid responses (response rate 12.1%). The skill most frequently cited as “highly necessary” was “the ability to prepare and manage referrals” (89.0%), followed by “the ability to communicate in medical interviews” (88.5%), and “the ability to take patient medical history” (86.7%). First aid techniques such as compression hemostasis and chest compressions were also considered “highly necessary” by over 80% of respondents.

Discussion
Communication skills including documentation and taking a medical history were identified as the most necessary skills; OPs frequently use these skills when interviewing workers. The survey responses also indicated that even OPs who mainly work outside of hospitals believe they should be able to provide a certain level of first aid.

Conclusion
OPs consider communication skills and first aid techniques to be highly necessary in performing their occupational health activities.
P-080 PRIMARY CARE SERVICES RESPONSIBILITIES ABOUT OCCUPATIONAL HEALTH IN TURKEY
Authors: Hacettepe Duygu Ayhan Baser , Kiran Sibel 
Published: July 2024

Abstract

Aims
The aim is to highlight and elucidate the crucial responsibilities held by primary care services in the context of occupational health in Turkey and to provide an overview of the roles and duties of primary care physicians in safeguarding the health and well-being of the workforce, emphasizing their role as key stakeholders in promoting and maintaining a healthy and productive working population.

Country report
Primary care physicians can be involved in providing occupational health services within their scope of practice. This may include pre-employment health assessments, periodic health check-ups for employees, managing work-related injuries, and advising on workplace ergonomics and health promotion. Turkey has regulations in place to ensure workplace health and safety.

Employment Reports
Primary care physicians in Turkey are authorized to issue employment reports as part of their scope of practice.

Pre-Employment Health Assessments
Primary care physicians may conduct pre-employment health assessments to determine if a candidate is medically fit for a specific job role. Sick Leave Certifications: Primary care physicians are often responsible for certifying sick leave for employees who are unable to work due to illness or injury. Fitness-for-Work Assessments: Primary care physicians can conduct fitness-for-work assessments for employees returning to work after an illness or injury.

Conclusion
In conclusion, primary care services play a pivotal role in promoting occupational health in Turkey. By collaborating closely with employers, government agencies, and other healthcare professionals, primary care physicians contribute significantly to maintaining a healthy and productive workforce in Turkey.
P-081 SLEEP-ROAD: A SERIOUS GAME FOR DRIVING HEALTH AND SAFETY
Authors: Martini Agnese , Pietrafesa Emma , Polimeni Antonella , Luzzi Valeria , Russo Simone , Pietrafesa Emma , Garbarino Sergio , Polimeni Antonella , Martini Agnese 
Published: July 2024

Abstract

Introduction
Global, European and national data show that road accidents RAs are an increasingly important cause of injury, disability and death (6/10 work-related fatalities in Europe). The road occupies an important part of our working time. The causes of work-related road injuries (WRRIs) and RAs are the same. Excessive sleepiness (caused by poor quantity and/or quality of sleep) is an important contributor to RAs, estimated to be the cause of about 25% of RAs. The aim of this study is to develop a video-game on sleep hygiene (SH) knowledge, promotion and education to mitigate the risk of RAs and (WRRIs).

Methods
A multidisciplinary expert team was created to highlight the WRRIs, the interaction between sleep disorders and driving. This information and literature data were used to develop the several gaming experiences to promote a good SH and to improve the road safety work-related too.

Results
The game begins with a choice of character, lifestyle and sleep-wake habits. The player experiences the effects of previous choices during the game turn and can improve or worsen sleep recovery and well-being indicators. At the end the player gets a report with feedback and useful recommendations to improve SH driving and safety.

Discussion
Recent studies have shown that gamification can be a methodology directly aimed at increasing involvement and promoting greater motivation during the performance of a task.

Conclusion
This game could influence psychological and social behaviour of the player-worker-driver through learning by doing, improving awareness about the importance of sleep for a health and a safety drive.
O-053 MEDICAL ACCESSIBILITY AND UNDER-REPORTING OF OCCUPATIONAL DISEASES: EFFECT OF TRAVEL DISTANCE AND TRAVEL TIME
Authors: Chen Ping Hui 
Published: July 2024

Abstract

Introduction
Considering the lack of time to visit clinics for workers and the scarcity of occupational physicians and occupational medicine clinics, under-reporting of occupational diseases (ODs) could be attributed to poor medical accessibility. Thus, our study tries to evaluate how reporting of ODs is impeded by long travel distance/time (TD/TT) to nearest major occupation medicine clinics.

Methods
Using data from Network of Occupational Diseases and Injuries Service (Taiwan’s OD surveillance system) and annual Manpower Survey, we calculate each town’s incidence rate of ODs (IROD) and expected IROD based on industry types and job titles. Each town’s TD/TT to nearest major occupation medicine clinics is estimated by Google Maps’ Distance Matrix API. We use the Quasi-Poisson regression model to investigate the effect of TD and TT on IROD, while industry types and job titles are adjusted by offsetting expected IROD, and carry out subgroup analysis to check effect of employment status and sickness absence.

Results
After adjusting industry types and job titles, TD and TT have significant effects on IROD. As TD/TT increases by 10 km/10 mins, IROD decreases by 12.54%/12.06%. It is estimated that around 200 OD cases (40%) are under-reported annually due to poor medical accessibility. In subgroup analysis, only workers who never have sickness absence or keep their jobs are still significantly affected by TD and TT.

Discussion
Our study shows how poor medical accessibility leads to under-reporting, especially for minor cases, and up to 40% cases are under-reported.

Conclusion
Using this method, we can identify areas with poor medical accessibility and evaluate cost-effectiveness of adding reporting hospitals.
O-056 ENHANCING PREPAREDNESS FOR BIOLOGICAL HEALTH HAZARDS IN GERMAN PORTS – STUDY DESIGN OF A BEST PRACTICE STUDY
Authors: M Frese , M Boldt , L Ehlers , S Gueye , J Bäßler , M Dirksen-Fischer , V Harth , J Heidrich 
Published: July 2024

Abstract

Background
In Germany, five ports are designated under the International Health Regulations (IHR) to have certain core capacities to respond immediately to biological cross-border health threats. Employees on ships and in ports are particularly exposed to these health risks in the form of communicable diseases. However, a joint external evaluation led by WHO has highlighted certain gaps in the preparedness of German IHR ports. The objective of the present study is therefore to harmonize and strengthen necessary core competencies for health security in maritime transport.

Methods
The existing structures and needs in German IHR ports will first be identified through expert interviews in the port health services and other relevant stakeholders. Based on these results, overarching concepts will be developed together with representatives of the IHR ports, which will then be tested in tabletop exercises and incorporated into training formats for public health actors.

Results
Parameters to be investigated include current procedures and interfaces in the context of contagious events. This will help determine the need for action to optimize processes and structures in preparedness.

Discussion
The study design with its participatory approach allows for a practical design of concepts with high relevance for the working environment on ships and in the port. It is linked to the European Healthy Sailing project, dealing with the prevention of infectious diseases on board large passenger ships.

Conclusion
The study has the potential to sustainably harmonize and strengthen health protection capacities and preparedness in German ports, which will benefit the improvement of occupational health and safety for employees.
O-065 OCCUPATIONAL PARTICLE EXPOSURE IS ASSOCIATED WITH CHRONIC KIDNEY DISEASE ONSET DURING WORKING AGE – A COHORT STUDY IN SWEDISH CONSTRUCTION WORKERS
Authors: Edlund Karl Kilbo , Andersson Eva M , Andersson Martin , Barregard Lars , Christensson Anders , Johannesson Sandra , Harari Florencia , Murgia Nicola , Torén Kjell , Stockfelt Leo 
Published: July 2024

Abstract

Introduction
Increasing epidemiological and experimental evidence suggests that ambient particulate air pollution is a risk factor for chronic kidney disease (CKD). However, few studies have investigated this association in an occupational setting, where exposure levels are usually much higher.

Methods
We performed a retrospective cohort study in male construction workers (n = 286 089) who were followed (mean follow-up time 28 years) through register data. We compared workers exposed to either inorganic dust and fumes, wood dust, or fibres with unexposed workers. Our main outcomes were incident CKD and start of renal replacement therapy, obtained from validated national registers.

Results
Exposure to inorganic dust and fumes was associated with higher risk of CKD during working age (e.g., 30–50 years: HR 1.25, 95% CI 1.00, 1.56), after adjustment for smoking and BMI. These associations remained after adjustment for comorbidities (diabetes, hypertension) and exclusion of participants exposed to quartz dust. Associations with renal replacement therapy were similar to those with CKD. We found no evidence of increased risks at any age among workers exposed to wood dust or fibres.

Discussion and conclusion
In this large cohort of Swedish construction workers, we found an increased risk of CKD during working age among workers exposed to inorganic dust and fumes. Our results are in line with previous evidence of renal effects of ambient particulate air pollution and warrant further public and occupational health efforts to reduce particulate matter exposure.