bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-107 ITWH: MANAGEMENT SYSTEM FOR PROMOTING THE WORKERS’ WELL-BEING AND THE TOTAL WORKER HEALTH® APPROACH IN THE WORKPLACE
Authors: Carugno Michele , Angori Paolo Bruno , Bellino Raffaello Maria , Carrer Paolo , Campo Giuseppe , Casolari Loretta , Colosio Claudio , De’Donato Francesca , De Palma Giuseppe , Gerbino Elisa , Iavicoli Ivo , Mattioli Stefano , Rapisarda Venerando , Vimercati Luigi , Zaffina Salvatore , Cornaggia Nicoletta 
Published: July 2024

Abstract

Introduction
NIOSH defines a Total Worker Health® (TWH) approach as “policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness-prevention efforts to advance worker well-being”, thus confirming work as a fundamental determinant of human health.

Methods
The Italian Ministry of Health recently funded the “Italian Total Worker Health” (ITWH) project, involving 16 units from seven Italian regions: eight hospitals, two universities, two local health authorities, two regional governments, one regional epidemiology department, and the National Institute for Insurance against Accidents at Work (INAIL). This four-year project is led by the Lombardy Region and coordinated by the Milan Policlinico Hospital.

Results
ITWH has eight specific objectives: 1) to describe the current state of the art regarding TWH; 2) to potentiate the already existing INAIL network (and related platform) of occupational health outpatient clinics (Marel); 3) to create a novel IT platform for company doctors and local health authorities, integrating occupational safety and health and TWH elements; 4) to homogeneously train on TWH topics at national level; 5) to gather and anonymously analyze data from objectives 2 and 3 platforms; 6) to implement TWH programs in selected workplaces; 7) to monitor and evaluate efficacy of TWH programs; 8) to disseminate project methods and results.

Discussion
This is the first project in Italy aiming to create a national Occupational Medicine network to foster the well-being of workers according to a TWH approach.

Conclusion
The Congress will have the opportunity to share results from project activities of the first year.
P-192 INDOOR AIR QUALITY MONITORING SYSTEM TO PROTECT OCCUPANT HEALTH AT A LARGE-SCALE PETROCHEMICAL COMPLEX
Authors: Kapadia Amar , Desai Nikunj , Rajesh R 
Published: July 2024

Abstract

Introduction
Indoor Air Quality (IAQ) refers to the air quality within and around buildings and structures, especially as it relates to the health and comfort of building occupants. Health effects from indoor air pollutants may be experienced soon after exposure or, possibly, years later.

Methods
Site Level Procedure for IAQ is prepared and updated periodically. Team comprising of OH & IH & IAQ Champion of that plant are involved in the monitoring of the parameters with total occupants around 1897 employees. Quantitative Analysis of the parameters such as cO2, CO, VOC, Temp, Rh is conducted with 3M EVM series monitor and interpretation of data with the standards (ASHRAE). Further swab sample collected from HVAC system.Qualitative Analysis done as per the health checklist in place to be filled by the occupant of the building in case of any complaints.

Results and discussion
and Interventions: Some abnormalities at few locations. After proper investigation root cause were identified and actions were taken for the same - Inlet of the fresh air in HVAC system increased, Dilution ventilation improved by providing more opening further improving cross ventilation and improving Indoor air quality, For bacterial growth the HVAC system was decontaminated with EPA approved surface disinfectant.No health complaints were reported by any of the occupant.

Conclusion
Understanding of the harmful effects induced by indoor air pollution will help us to take all the appropriate preventive measures to reduce the possible health risks. Through periodic IAQ monitoring and early intervention, the adverse health effects in the occupant can be prevented.
O-117 EVALUATION OF XYLENE AND ETHYLBENZENE EXPOSURE IN AN OCCUPATIONAL SETTING USING THE NEW CUSTOM-MADE ACTIVATED CHARCOAL CLOTH PATCH
Authors: Claus Rani , Van De Velde Dahlia , Lema Frauke , Ronsmans Steven , Marain Nora , Hoet Peter , Vanoirbeek Jeroen 
Published: July 2024

Abstract

Introduction
Evaluation of dermal and respiratory exposure to volatile organic compounds in occupational settings is becoming increasingly important.

Methods
This study assessed the dermal exposure contribution (versus inhalation exposure) to the overall exposure of seven workers employed in a spray paint company. Stoffenmanager®V8 was used to model inhalation exposure, followed by air measurements with active charcoal tubes and dermal exposure assessment using three custom-made activated charcoal cloth patches (neck, thumb and index finger) of xylene and ethylbenzene. Internal exposure was assessed by pre- and post-shift urine samples of mandalic acid (ethylbenzene), phenyl glyoxylic acid (ethylbenzene), and methyl hippuric acid (xylene). We divided the workers into painters (n=3) and drivers (n=4).

Results
The predicted concentrations from stoffenmanager®V8 were lower than the measured values of the painters, namely, estimated=18.4 mg/m3 versus measured=36.2±23.3 mg/m3 (ethylbenzene) and estimated=34.6 mg/m3 versus measured=161.5±102.14 mg/m3 (xylene). Subsequently, the inhalation samples were evaluated for compliance with the Belgian TLV using expostats, showing well-controlled air exposure for all scenarios except the painter’s xylene exposure, where two measurements (220 mg/m3) were almost the TLV (222 mg/m3). Dermal measurements indicated that painters experienced dermal liquid exposure (hands) ranging from 30 to 42 times higher and 2.5 times higher vapour exposure (neck) than drivers. However, no significant differences were found in the urinary post samples of both groups, 177.10±89.0 mg/g creatinine versus 51.2±32.7 mg/g creatinine (ethylbenzene) and 35.7±15.5 mg/g creatinine versus 16.9±4.0 mg/g creatinine (xylene).

Discussion and conclusion
drivers who did not have liquid dermal contact can still have overall exposure comparable to the painters.
O-119 ON DETECTION LIMITS AND UNCERTAINTY OF GRAVIMETRIC ANALYSIS OF AEROSOL COLLECTION SUBSTRATES
Authors: Verpaele Steven , Bertier Pieter 
Published: July 2024

Abstract

Introduction
Decreasing occupational exposure limit values for substances such as wood dust drives a need to measure ever smaller collected masses of aerosols. The lower OELVs require better accuracy in measuring particulate masses on collection substrates. Yet, the necessary inclusion of sampling cassette wall deposits compromises the accuracy of the gravimetric analysis. While usually only sampling substrates are weighed, much larger and heavier cassettes or internal capsules must be measured today. Despite the apparent need for increased accuracy, there is a lot of ambiguity about the determination methods and values for detection limits and uncertainty of gravimetric analysis.

Methods
This presentation will discuss the detection limits and uncertainty of gravimetric analysis through a large dataset of values obtained for different substrates using different approaches. For this purpose, 12 sets of 50 blank substrates were weighed several times on a microbalance in an actively controlled environment (25 °C and 50 %RH). The collection includes commonly used sampling substrates in workplace exposure measurement methods, substrates in cassettes, and capsules. Limits of detection and quantification (LOD/LOQ) and uncertainty were calculated through the ISO 15767 method as a benchmark and compared to those obtained from other proposed methods.

Results, discussion and conclusion
Several factors controlling LOD/LOQ values were addressed by systematic testing, and some critical issues, like the hysteresis of water uptake, were recognized. Data from workplace samples, in addition to data obtained on blank substrates, are used to address essential contributions to the uncertainty of the gravimetric analysis.
P-199 EXPOSURE TO WOOD DUST AND ASSOCIATED COMPONENTS DURING WOOD PROCESSING WORK
Authors: Pedersen Ine , Ervik Torunn K , Zardin Erika , Afanou Anani K , Foss Oda A H , Skaugset Nils Petter , Straumfors Anne 
Published: July 2024

Abstract

Introduction
Exposure to wood dust is associated with an increased risk of lung, nose, and sinus cancer as well as other respiratory diseases. Particle size distribution of dust particles can provide information about health risks regardless of weight and investigate what impact air recirculation has on exposure. The content of components in wood dust, such as resin acids, monoterpenes, aldehydes, along with others is not constant, nor is it always related to the dust mass. Increased knowledge could improve assessing air circulation in relation to components and their health risk.

Methods
Full-shift personal aerosol sampling at 23 companies and long-term stationary sampling at 3 companies were performed (2019-2023). Personal samples were analyzed for wood dust mass, endotoxin, resin acid, monoterpenes, along with others. Size distribution were characterized in the stationary samples. Collected dust were tested in cell models.

Results, discussion and conclusion
A moderate exposure to soft wood dust were measured, with a median exposure below the Norwegian occupational exposure limit of 2 mg/m3 total dust for all companies, except for one. No statistically significant differences in dust exposure were observed between companies with and without air recirculation. The exposure to wood dust from a mixture of hard and soft wood types was higher than the exposure from soft wood, the 75-percentile exceeding the occupational exposure limit for hard wood and mixtures of hard and soft wood of 1 mg/m3 inhalable dust. Stationary samples showed that the ventilation systems efficiently removed the small particles. Analyses of associated components and inflammatory potential are ongoing, and results will be presented at the conference.
O-124 ATMOSPHERIC DUST CONTAINING NANOMATERIALS
Authors: Deschamps Frederic 
Published: July 2024

Abstract

Introduction
The term “ultrafine” is frequently used to describe nanometre-size particles. They are considered as nuisance dusts inducing toxic-biological effects. Productions of goods having at least one dimension smaller than 10mm are qualified of nanomaterials such as nanotubes, nanowires or nanoparticles. In fact, numbers of commercial and consumer products containing engineered nanomaterials rise. Dusts of nanoparticles are also not been intentionally produced by automobile diesel, soil and volcanic activities.

Methods
Exposure to nanomaterials for a short period of 3 days, per example for 2 hours long, could induce after a long latency disease outcome. Dust containing nanoparticles induces oxidative stress, DNA damage and inflammation. Secondary effects include toxicity at the site of dust containing nanoparticles deposition in organs such as liver, spleen, kidney, heart and obviously lungs! Dust containing nanoparticles inhibit DNA repair mechanisms and play a synergistic role in the possible development of lung cancer for example.

Results/discussion
The lung is the major target of nanoparticles air pollution. Exposed people to inhalation of dust nanomaterials including workers report difficulties breathing and present reduced long capacity, progressive lung inflammation and eventual fibrosis. Moreover, nanoparticles are contamination can induce cardiovascular pathologies and a lot of other diseases.

Conclusion
Contamination by nanoparticles in dust is difficult to predict because of the variability of process generation and ventilation among worksites. It is important to take into account eventual unfavorable meteorological conditions such as elevated ambient temperature or high relative humidity, which can induce an increase of the concentration of nanoparticles present in dust.
O-128 OCCUPATIONAL AND BEHAVIORAL FACTORS IN NON-MELANOMA SKIN CANCER IN NORTH EAST OF ITALY
Authors: Filon Francesca Larese , Mauro Marcella , Zalaudek Iris , Rui Francesca 
Published: July 2024

Abstract

Introduction
Exposure to sunlight, to artificial UV-radiation and as arsenic or polycyclic aromatic hydrocarbons can cause non-melanoma skin cancer (NMSK). The majority of NMSK could be preventable by avoiding at-risk exposure. Objectives To analyze occupation, risk perception, UV exposure, preventive habits in 248 subjects affected by NMSC and 248 controls living in Trieste, North East of Italy.

Methods
Consecutive cases with incident NMSC and controls without skin cancers were recruited at University of Trieste. All had a medical examination and filled a standardized questionnaire on sun exposure habits, sun protection, occupational exposures, and sunburns in adulthood and childhood.

Results
In multivariate regression analysis, NMSC resulted significantly associated with age (OR: 1.02; 95% CI 1.00-1.05), low educational level (OR: 2.93; 95%CI 1.26-6.83), sunbath numbers per year (OR: 1.54; 95% CI: 1.35-1.74), history of solar burn during childhood (OR:1.28; CI95% 1.03-1.61) and occupations with UV exposure (OR 3.63: 95%CI 1.23-9.82). A protective effect was demonstrated for Fitzpatrick phototypes III-IV compared to I and II (OR: 0.22; 95% CI: 0.09-0.51). Increased risk was found for farmers, fishermen, bricklayers, welders, and drivers, but without reaching the statistical significance for each job.

Discussion and conclusions/
In our study the role of behavioral habits, sun exposure and occupation resulted important factors in NMSC incidence. More effort are needed to prevent sun exposure without protection, increasing awareness about sun exposure risk, suggesting the use of protective creams, to organize outdoor work limiting sun exposure.
O-136 WORKING-LEARNING CONDITIONS, INCIDENCE OF BURNOUT AND SOMATIC DISORDERS IN PREGRADUATE MEDICAL INTERNS
Authors: Palacios Nava Martha Edilia 
Published: July 2024

Abstract

Introduction
The undergraduate internship is part of educational process of physicians. They must comply with schedules, activities, and responsibilities, almost like medical professional. We called this working-learning conditions. Because of this they are exposed to stressful factors that could be associated with burnout and somatic disorders.

Objective
To identify the association between working-learning conditions, frequency of burnout and somatic disorders in undergraduate medical interns.

Methods
A questionnaire was applied to 207 pre-graduated doctors. Sociodemographic characteristics, work-learning conditions, Maslach’s inventory and Kroenke’s PHQ15, to identify burnout and severity of somatic symptoms respectively were included.

Results
55% reported having worked between 70-101 hours and 30% worked more than 102 hours by week. 52% worked until 45 hours continuously, 54% attended between 20-40 patients per day. 29% performed guards every third day. 47% reported feeling excessive workload. 65% perceived they did not receive clear indications and sufficient training for patient care, 43% expressed anguish for not knowing how to carry out the activities required for patient care, 45% for not having adequate medication and equipment, 46% having so tired that it hindered their activities. Emotional exhaustion was detected in 62%, depersonalization in 46%, and 39% had high personal fulfillment. The total syndrome occurred in 32%. We found significant differences for the three subscales and burnout syndrome according to date of they responded the questionnaire. 6% of medical interns were in the high severity level of somatic symptoms, 44% presented occasional discomfort.

Discussion and conclusion
A high level of stressful working-learning conditions, burnout and somatic symptoms were found in medical interns.
P-225 A MULTIPRONGED APPROACH TO INCREASE INFLUENZA VACCINATION TAKE-UP RATE AMONGST HEALTH WORKERS IN A TERTIARY HOSPITAL IN SINGAPORE DURING COVID-19 PANDEMIC
Authors: Lim John Wah 
Published: July 2024

Abstract

Introduction
Influenza vaccination is strongly encouraged for all health workers (HW) to reduce the risk of acquisition and transmission to patients and co-workers during the influenza season. This is essential to minimize hospital operation disruption during influenza season, including during the initial phase of the COVID-19 pandemic. We aimed to study different approaches to increase the influenza vaccination take-up rate in a tertiary hospital in Singapore.

Methods
Traditionally, there are two ways influenza vaccine is offered during influenza seasons. The centralized approach is a walk-in system during office hours, and the decentralized approach utilizes nurses from clinical departments as vaccinators to vaccinate their peers. The take-up rate remains suboptimal despite these two approaches. We worked with different stakeholders to adopt additional approaches to enhance the take-up rate, including policy change, support from leadership and repeated reminders by supervisors, weekly data analysis to identify departments with low take-up rates, and a mobile vaccine team.

Results
Multipronged approaches helped to increase the influenza vaccination take-up rate from 77% in the year 2018 to &gt; 90% during the initial phase of the COVID-19 pandemic in 2020 and maintained at &gt;80% since 2021, possibly due to competition from COVID-19 vaccine and vaccine fatigue.

Discussion
An increased influenza vaccination take-up rate was observed when adopting multi-pronged and innovative approaches. This required support from various stakeholders and increased awareness amongst HW.

Conclusion
Multipronged approaches are essential to increase the influenza vaccination take-up rate among HW. Similar approaches can be adopted and applied to other vaccinations which are essential for HW.
P-229 ACUTE EFFECTS OF SEDENTARY BEHAVIOUR ON FOOT STRENGTH IN A GROUP OF PHYSIOTHERAPISTS
Authors: Popescu Florina Georgeta , Pauncu Elena -Ana , Dragoi Lulia Lovanca 
Published: July 2024

Abstract

Introduction
During Covid-19 pandemic, rehabilitation health carers’ activity shifted from in-clinic to remote assistance of patients. Thus, their active professional activity became sedentary, forcing them to sit in front of the computer and coordinate the patients.

Aim
We analysed how sedentary behaviour affected foot muscle strength in a group of physiotherapists compared to people with sedentary occupational work and life style.

Material and methods
The group of study consisted of 8 healthy participants, 4 physiotherapists and 4 sedentary people. By electronically dynamometric means, foot muscle strength was objectively measured. Three consecutive maximal voluntary isometric contractions for bilateral plantar flexor and dorsiflexor muscles were captured at different moments in time.

Results
Foot muscle strength expressed by the average peak torque was statistically significantly decreased after 6 hours (p = 0.019) in both static and active behaviours, with a higher average peak torque in the active behaviour (p &lt; 0.001). Age, gender, body mass index and average steps did not have any significant influence on the average value of maximal voluntary isometric contraction. The more time participants maintained either static or active behaviour, the less force was observed during ankle torque testing.

Discussion
The sitting position representing the static behaviour was associated with a higher reduction in the average peak ankle torque during a maximal voluntary isometric contraction when compared to the active behaviour.

Conclusion
When physiotherapists are engaged in sedentary behaviour, in order to prevent foot strength decrease, breaks and adaptation of non-working activities should be adapted by replacing sedentary behaviour with a more active lifestyle.
P-232 EVALUATION OF SURFACE CONTAMINATION AND DERMAL EXPOSURE TO 5-FLUOROURACILE IN A HEALTHCARE SETTING
Authors: Creta Matteo , Tans Birgit , Devriese Herman , Godderis Lode , Duca Radu , Vanoirbeek Jeroen 
Published: July 2024

Abstract

Introduction
5-FU is one of the most used anticancer drugs (AD) and monitoring the exposure is fundamental to protect healthcare personnel. In this study, the contamination by 5-FU and the related dermal exposure were evaluated in different hospital locations during the preparation and administrations of AD.

Methods
Contamination was evaluated collecting 52 surfaces samples, before and after the preparation of AD, in the pharmacy department (PD) and in the administration sites (AS); 66 samples were collected from the hands and from the gloves (internal and external) of 9 pharmacists for the assessment of dermal exposure.

Results
5-FU mean concentration on surfaces of PD before 5-FU preparation was 9±7 pg/cm2, which increased to 31±19 pg/cm2 after preparation. The highest contaminations were found on external packing of 5-FU infusion-bags and on the vials (347 and 177800 pg/cm2). On the surfaces of AS, the mean concentration of 5-FU was 29±12 pg/cm2 and 40±19 pg/cm2, respectively before and after the administration. The mean concentration of 5-FU found on external gloves of pharmacist was 100±94 pg/cm2 (33% of samples below LOQ), while on the internal gloves it was 2±1 pg/cm2 (76% below LOQ). On the hands, only 3 samples had detectable level (0.54, 1.18 and 0.38 pg/cm2).

Discussion and conclusion
Despite ubiquitous presence of 5-FU, this study showed that good practice and cleaning procedure were able to reduce the surface contamination below the proposed limit value (100 pg/cm2). Only vials and infusion-bags were highly contaminated; however, the proper use of PPEs by pharmacists determined a low risk of dermal exposure.
P-234 THE IMPACT OF COVID-19 IN AN ANALYSIS OF TEMPORARY DISABILITY FOR 2022 AMONG ACTIVE TREATMENT HOSPITAL WORKERS IN BULGARIA
Authors: Hristova Lidiya , Nikolova Ruja , Lybomirova Karolina , Simeonova Simeonka 
Published: July 2024

Abstract

Introduction
The impact of Covid – 19 continues to influence the incidence of temporary disability among active care general hospital workers. In 2022, sick leaves with the diagnosis: Covid - 19, identified and unidentified virus are the leading cause of incapacity for work among healthcare workers.

Materials and methods
A survey was conducted among 1423 workers from a multispecialty hospital for active treatment in Bulgaria, 728 sick sheets submitted in 2022 were processed. In the analysis of temporary incapacity, a number of statistical indicators were used - frequency of cases, frequency of days and average duration of one case, as well as the patients by types of diseases and nosological groups.

Results and discussion
The highest frequency of cases - 46.83 and 19.67 - frequency of lost work days, preventing the performance of work among health professionals and in 2022 is due to the temporary morbidity with the diagnosis: Covid - 19, identified and unidentified virus, followed by diseases from the class of diseases of the bone-muscular system and connective tissue and from the class of neoplasms.

Conclusion
The thesis is confirmed that workers in the healthcare sector are exposed to a high risk of biological, ergonomic, and psycho-social risk factors, requiring continuous health monitoring, active prevention of detected diseases and health promotion.