bluuebunny/crossref_metadata_2025_split huggingface dataset:
SS73 ERGOTOXICOLOGY
Authors: Garrigou Alain 
Published: July 2024

Abstract
Ergotoxicology will be presented as a particular practice of ergonomics (Garrigou, 2011) aimed at analyzing work activities in occupational environments where exposure to chemicals may occur.
Within this framework, ergotoxicology develops ‘operative models (in the sense of Wisner, 1972), tools and effective means of prevention to manage and prevent health risks for workers exposed to chemicals’ (Garrigou, 2011). In this sense, it is a form of research and intervention with an operational aim, deeply rooted in ergonomics.
By virtue of its objectives, ergotoxicology mobilizes complementary knowledge and models from toxicology, occupational medicine and prevention.
O-005 HOW CAN WORK ACCOMMODATIONS CONTRIBUTE TO SUSTAINABLE RETURN TO WORK OF OLDER WORKERS AFTER SICK LEAVE?
Authors: Negrini Alessia , Corbière Marc , Dubé Jessica , Masse Samantha Vila 
Published: July 2024

Abstract

Introduction
In Quebec (Canada), older workers aged 45 or over have a longer average absence compared to other types of workers, with higher annual costs per injury. Based on the disability at work paradigm, this study aimed to identify how work accommodations can contribute to sustainable return to work (S-RTW) of older workers having experienced occupational physical or psychological impairments.

Methods
Following a mixed design study, the ACC45+ questionnaire was developed and validated in Canada to list the work accommodations implemented during the RTW of the target population.

Results
The tool (37 items under 8 subscales) measures feasible accommodations about the work context and content, and the interpersonal relations at work. The accommodations reported as frequently implemented (≥70%) during the RTW process were: RTW plan and follow-up, and Work schedule and the workplace. T-tests showed that some accommodations (e.g., Co-worker support) are less prevalent among older workers having experienced a psychological impairment. Finally, multivariate analyses showed that two work accommodations (Work schedule and workplace, and Occupational health) were significantly correlated with Fear of relapse and the Ergonomics of the workplace which, in turn, positively influenced S-RTW.

Discussion and conclusion
Results confirmed that working in an organization that is attentive to occupational and safety issues is effective in promoting older workers’ job maintenance after the RTW. The ACC45+ is the first questionnaire that can be used by stakeholders (e.g., immediate supervisors, union representatives, psychologists, physiotherapists) in interventions for implementing work accommodations in order to prevent older workers’ relapses and to promote their S-RTW.
P-003 SOCIAL CONTACT AT WORK: DEALING WITH A VOLATILE RESOURCE
Authors: Voss Amanda , Pfleger Elisabeth 
Published: July 2024

Abstract

Introduction
Social contacts at work represent an important resource for the well-being of employees. If these contacts are lost, loneliness can occur. It is therefore important to be aware of the function of social contacts in order to prepare accordingly, for example when transitioning into retirement.

Methods
In a preliminary study during the pandemic, 203 employees were asked to what extent they missed social contacts at work. The questions related to professional and private content and prepare a project in which social contacts are eliminated due to retirement. The data were analyzed descriptively.

Results
28.1% stated that they severely missed private, direct communication with colleagues and superiors. 20.1% missed talking to colleagues about things that make them happy and 12.2% missed talking to colleagues about things that stress them out.

Discussion
The results of the preliminary study show that under the conditions of the pandemic, a significant loss of social contacts at work was felt, although in principle there was still contact between colleagues.

Conclusion
The transition to retirement is more predictable than the pandemic, but in some cases, it means the permanent loss of certain social contacts. In order to create awareness of the role of social contacts at work and to prepare employees for the loss of this resource, the KOMPASS project is developing procedures to raise awareness and prevent impending loneliness. Using a survey tool, employees learn what functions work fulfills for them and how they can compensate for their loss in retirement.
P-006 SYSTEMIC SCLEROSIS AND OCCUPATIONAL EXPOSURE TO ORGANIC SOLVENTS: A REPORT OF TWO CASES
Authors: Bechrifa Emna , Ismail Saloua , Dallagi Amani , Baraket Emna , Khouja Nihel , Hsinet Jihen , Benzarti Aida 
Published: July 2024

Abstract

Introduction
Systemic sclerosis is an autoimmune disease with a multifactorial etiology, and its underlying pathophysiology remains incompletely elucidated. The observation of scleroderma cases among individuals with occupational exposure to organic solvents raises intriguing questions about the potential role of environmental factors in the pathogenesis of this condition. Discuss occupational systemic sclerosis related to chronic exposure to industry- used organic solvents and propose a preventive strategy.

Methods
The study comprises two case reports and a bibliographic search.

Results
Two female patients, aged 23 and 52, worked in industrial clothing factories, exposed chronically to organic solvents like perchloroethylene without preventive measures. Scleroderma diagnosis was confirmed through positive antinuclear antibody assays, reduced capillary count by capillaroscopy, and restricted respiratory function. The exposure duration was six and 16 years, respectively. The second patient was also diagnosed with organic psychosyndrome and peripheral neuropathy, declared of occupational origin, unlike scleroderma, not recognized legally.

Discussion
Occupational investigation identified organic solvents as likely causal agents. Chronic exposure suggests a potential link to occupational systemic sclerosis. Literature already associates organic solvents with scleroderma development. The biological plausibility of solvent-induced scleroderma, potentially involving immunological mechanisms like protein denaturation, aligns with established disease pathways and effects of organic solvent exposure.

Conclusion
Our study emphasizes the significance of implementing preventive measures at individual and collective levels to mitigate potential increases in scleroderma cases resulting from widespread solvent use, which could also reduce the risk of developing drug-like addiction to solvents and other effects on major organs.
O-014 LATENT TUBERCULOSIS INFECTION AMONG HEALTHCARE STUDENTS IN A LOW-INCIDENCE COUNTRY. THE EXPERIENCE OF AN ITALIAN UNIVERSITY HOSPITAL
Authors: Paladino Maria Emilia , Belingheri Michael , D’orso Marco Italo , Riva Michele Augusto 
Published: July 2024

Abstract

Introduction
Healthcare students and residents, as well as healthcare workers, are exposed to biological risk from MT (Mycobacterium tuberculosis) during hospital internships. Therefore, health surveillance for LTBI (latent tuberculosis infection) is crucial for them, even in low TB incidence countries like Italy, for early diagnosis and preventing active disease. Thus, a baseline test for LTBI diagnosis is strongly recommended for healthcare students and residents before clinical activities. Objectives. This study aimed to analyze MT-related biological risk surveillance data among healthcare students and residents before their internship in an Italian university hospital from 2018 to 2022.

Methods
The study included 2053 healthcare students and residents with a baseline Mantoux skin test (TST) and Interferon-Gamma Release Assay (IGRA) confirmation test if necessary, before their clinical activities started between January 1, 2018, and December 31, 2022. The analysis considered gender, age, nationality, degree, BCG vaccination, LTBI diagnosis, and associated characteristics.

Results
Among 2053 participants, 67% were healthcare students and 37% residents. Mostly Italian (95%) and female (65%), the mean age was 23.6 years old; foreigners students were mainly from non-low-incidence countries (≥ 10 cases/100,000 population). Among 2053 TSTs, 52 were positive: 7 were confirmed by IGRA and 6 were BCG-vaccinated. The chest X-ray was negative for all the participants with a positive TST. The seven confirmed LTBI cases received anti-TB chemoprophylaxis. No contacts with active TB reported. A TST positivity was associated with foreign nationality and age.

Discussion and conclusions
This study underscores LTBI screening importance for students and trainees before clinical training, even in low-incidence countries.
P-016 SURVEY OF DRUG-RESISTANT BACTERIA IN SHELTER DOGS TO PREVENT OCCUPATIONAL TRANSMISSION OF DRUG-RESISTANT BACTERIA FROM COMPANION ANIMAL CARE SERVICES
Authors: Hata Akihisa , Fujitani Noboru , Ono Fumiko , Yoshikawa Yasuhiro 
Published: July 2024

Abstract

Introduction
The spread of antimicrobial-resistant bacteria has become a global public health concern. In human medicine, certain standard precautions are taken to prevent the transmission of pathogens from hosts to healthcare workers and other patients. As antimicrobial agents are also used in companion animal medicine, dogs and cats are considered reservoirs of drug-resistant bacteria. Preventive measures against occupational transmission of resistant bacteria to veterinarians, veterinary nurses, and animal shelter staff are insufficient in Japan. Furthermore, while the status of resistant bacteria in animal hospitals is gradually becoming clearer, information on bacteria in animal shelters remains limited. Therefore, we conducted a survey to determine the prevalence of drug-resistant bacteria in shelter dogs.

Methods
Fecal samples were collected from 138 shelter dogs housed in two facilities in the Kanto region, Escherichia coli were isolated, and their susceptibility to 20 different antibiotics was evaluated.

Results and Discussion
In 22% of dogs, E. coli were resistant to at least one antibiotic. Antimicrobial agents for which resistant strains were detected included ampicillin, cefotaxime, streptomycin, tetracycline, and ciprofloxacin. Multidrug-resistant E. coli were detected in 13% of dogs, and analysis of resistance genes revealed β-lactamase genes (TEM, DHA-1, CTX-M), quinolone resistance protein genes, and quinolone resistance-determining region mutations. The findings of this study highlight the potential exposure to drug-resistant organisms that pose a health hazard in work environments associated with the protection of companion dogs.

Conclusion
Appropriate infection prevention measures are accordingly necessary to reduce the risk of occupational infections and to control the spread of resistant bacteria to other dogs.
O-023 PHYSICAL ACTIVITY PARADOX AND RISK OF DIABETES: EVIDENCE FROM A POPULATION-BASED COHORT IN THE UNITED STATES
Authors: Chen Liwei , Matthews Timothy A , Liu Xinyue , Li Jian 
Published: July 2024

Abstract

Introduction
It is well-documented that increasing leisure-time physical activity (LTPA) reduces the risk of type 2 diabetes (T2D), whereas the role of occupational physical activity (OPA) in T2D risk is unclear. The objective of this study was to assess the independent and joint associations of OPA and LTPA with T2D risk.

Methods
This prospective cohort included 1,406 workers without diabetes at baseline (2004-2006) from the population-based Mid-Life in the United States study. High OPA was defined by engagement in physical tasks at work and high LTPA was classified as participation in moderate-to-vigorous LTPA at least once per week. Associations of OPA and LTPA at baseline with incident T2D during 9 years of follow-up were examined using modified Poisson regression models with adjustment for potential confounders such as sociodemographic factors and job strain.

Results
High OPA was associated with a 52% (adjusted RR=1.52; 95% CI: 1.04, 2.22) higher risk of T2D compared to low OPA, while high LTPA was associated with a 44% lower risk of T2D compared to low LTPA (0.66; 0.44, 0.97). Diabetes risk was 2.30 times higher (1.30, 4.07) among workers with high OPA and low LTPA than those with low OPA and high LTPA.

Discussion
In a population-based prospective cohort study of U.S. workers, we found OPA and LTPA had opposite associations with diabetes risk, highlighting the potential detrimental role of OPA in cardiometabolic health.

Conclusion
Our findings support the physical activity paradox for diabetes risk. Workers with high OPA and low LTPA could be considered a high-risk population for diabetes prevention.
O-024 OCCUPATIONAL DIESEL EXHAUST EXPOSURE AND CORONARY ARTERY CALCIFICATION
Authors: Stokholm Zara Ann , Wils Regitze Sølling , Böttcher Morten , Gustavsson Per , Flachs Esben Meulengracht , Schlünssen Vivi , Kromhout Hans , Brauer Charlotte , Ketzel Matthias , Sørig Karin , Rugulies Reiner , Madsen Ida Elisabeth Huitfeldt , Bang Casper Niels Furbo , Hansen Johnni , Sejbæk Camilla Sandal , Skaaby Stinna , Mehlum Ingrid Alethe Sivesind , Bonde Jens Peter , Kolstad Henrik Albert 
Published: July 2024

Abstract

Introduction
Coronary artery calcification is a major feature of ischaemic heart disease. Occupational exposure to diesel exhaust has been related to increased risk of ischaemic heart disease. We examined if coronary artery calcification was associated with occupational exposure to diesel exhaust.

Methods
Lifetime occupational exposure was assessed by a quantitative job exposure matrix based on a quantitative job exposure matrix. Associations between cumulative diesel exhaust exposure (µg/m3-years) and coronary artery calcification score (none=0; low=1-100; moderate=101-400; severe≥401) were analysed with ordered logistic regression among patients with a cardiac CT scan between 2005-2018. Analyses were stratified by sex and adjusted for age (2-year intervals), household income, employment status, probability of smoking and BMI, cohabitation and relevant medications.

Results
Preliminary results show a total of 19,861 patients were included. No coronary artery calcification was detected in 39 % of the participants, whereas 13 % had a score ≥ 401. Increasing cumulative diesel exhaust exposure did not seem to be associated with an increasing risk of coronary artery calcification, OR 1.00(0.97-1.03) p=0.994 for men and OR 1.04(0.98-1.10) p=0.211 for women in the fully adjusted model.

Discussion and Conclusion
These cross-sectional findings do not suggest that occupational diesel exhaust exposure contributes to ischaemic heart disease through coronary artery calcification.
P-032 CORRELATION OF BLOOD LEAD LEVELS AND HS-TROPONIN T LEVELS AMONG LEAD EXPOSED WORKERS
Authors: Mei Rohmasari Winda Widyaning Putri , Ilyas Muhammad , Fitriani Dewi Yunia , Mansyur Muchtaruddin 
Published: July 2024

Abstract

Introduction
Studies showed that lead chronic exposure causes cardiovascular disorders. This is an initial analysis from the data of the study investigates the correlation of Blood Lead Levels and hs-Troponin T levels among lead exposed workers.

Methods
This cross sectional study involved 40 male lead exposed workers in Java, Indonesia who have hs-Troponin T &gt; 3 pg/dL. The blood samples were drawn from venous and stored using EDTA tubes. Blood lead level was measured by ICP-MS, whereas hs-Troponin T level was measured by Electro-chemiluminescent Immunoassay/ ECLIA.

Results
The male lead exposed workers were 26 – 66 years old. The median of Blood Lead Levels was 7,49 ug/dL (1,17 – 43,49 ug/dL) and hs-Troponin T was 5,29 pg/dL (3,01 – 16,34 g/dL). We identified there was no correlation of Blood Lead Levels and hs-Troponin T Levels (r= 0.052, p= 0.752).

Discussion and conclusion
There is no correlation of Blood Lead Levels and hs-Troponin T levels among lead exposed workers. Alternative biomarkers to detect the early cardiovascular disorders including pro-atherosclerotic changes induced by lead exposure is needed. Keyword: Lead exposure, Blood Lead Levels, hs-Troponin T, Worker
O-030 EFFECT OF CARDIOVASCULAR DISEASE TOWARDS WORK PRODUCTIVITY AND MONETARY LOSS AMONG SCHOOL TEACHERS IN PENINSULAR MALAYSIA: A NESTED CASE-CONTROL STUDY
Authors: Lim Yin-Cheng , Yap Jun Fai , Moy Foong Ming , Ahmad Wan Azman Wan 
Published: July 2024

Abstract

Introduction
Limited data exists regarding the effect of cardiovascular disease (CVD) on the work productivity of teachers in Malaysia. Our objective was to assess work productivity loss, encompassing absenteeism and presenteeism, and determine the associated annual monetary loss among school teachers who experienced incident CVD in Peninsular Malaysia.

Methods
A nested case-control design (1:4 ratio) was employed within a cohort of school teachers across six states in Peninsular Malaysia. The short version of the validated Malay World Health Organization-Health and Work Performance Questionnaire (WHO-HPQ) gauged the work productivity impact on teachers with incident CVD (cases) before 31st December 2021. A similar questionnaire was distributed to teachers in a single state of Peninsular Malaysia without incident CVD (controls). Analysis of covariance was performed with covariate adjustments through propensity scores. Bootstrapping method was utilized for better estimation of marginal mean differences.

Results
Forty-eight cases (mean baseline age = 42.4 years, 54.2% females) and 192 randomly selected controls (mean baseline age = 36.2 years, 99.0% females) were recruited. No difference was observed concerning absenteeism. Among cases, marginal mean scores for absolute presenteeism (76.30) were significantly lower (p &lt; 0.05, eta squared = 0.075) compared to controls (85.97). Cases exhibited a higher (p &lt; 0.05, eta squared = 0.082) marginal mean annual presenteeism cost (MYR 21,237.52) than controls (MYR 12,089.74).

Discussion
Incident CVD exhibited distinct effects on the work productivity of the affected school teachers.

Conclusion
Implementing supportive work strategies within school settings is recommended to target the reduction of absolute presenteeism and its accompanying annual costs.
P-048 WORK-RELATED CONSIDERATIONS IN RHEUMATIC AND MUSCULOSKELETAL DISEASES (RMDS): A REVIEW OF HIGH-IMPACT JOURNALS
Authors: Chuah Chee Kuan , Koopmans Imogen , Hashtroudi Aliasad 
Published: July 2024

Abstract

Introduction
RMDs significantly contribute to sickness absence and disability globally. The work participation gap for individuals with chronic diseases, especially RMDs, remains at 10% to 15% in European countries. Despite substantial resources dedicated to RMD research, work as a variable is often overlooked. This review evaluates the inclusion of work-related considerations in high-impact RMD journals.

Methods
We selected the top two journals in both rheumatology and orthopaedic categories, based on their 2022 Clarivate Analytics Journal Impact Factor. Our evaluation focused on treatment efficacy papers of the working age population(16-64) published from August 2022 to August 2023. Five domains were assessed: impact of work on the condition, impact of the condition on work, rehabilitation, return-to-work advice, and modifications.

Results
Out of 85 eligible publications, impact of condition on work was most frequently observed at 28.2%(n=24). Rehabilitation advice constituted a lesser proportion at 23.5%(n=20). The impact of work on the condition, modifications and return-to-work advice were rarely considered, comprising only 9.4%(n=8), 5.9%(n=5) and 3.5%(n=3) of the evaluated papers, respectively.

Discussion
Work plays a pivotal role in people’s lives. While certain publications discussed the ramifications of RMDs on work, a notable gap exists in understanding how work influences health in RMDs, potentially missing opportunities to address work-related factors. Moreover, the limited availability of evidence-based return-to-work and modification strategies poses a challenge for occupational health clinicians assisting people with RMDs.

Conclusion
This review highlights the necessity of integrating work as a variable into RMD management to provide a more holistic care approach to this population.
P-054 WORK ABILITY INDEX (WAI) AMONG HEALTHCARE WORKERS: RESULTS OF A CROSS-SECTIONAL STUDY IN A UNIVERSITY HOSPITAL IN CENTRE OF ITALY
Authors: Rondinone Bruna Maria , Buresti Giuliana , Gambelunghe Angela , Persechino Benedetta 
Published: July 2024

Abstract

Introduction
The Work Ability Index (WAI), developed in the early 1980s in Finland, is the most used instrument to assess work ability. It measures the ability of a worker to perform his/her job, considering the specific psychosocial and physical work-related factors, mental and physical capabilities, and health. WAI is a summary measure that can range from 7 to 49, with higher scores corresponding to greater work ability.

Methods
A cross-sectional study using the WAI questionnaire was performed. Data were collected, through voluntary participation, in a university hospital in Centre of Italy in the period 2021-2022. The sample consisted of 1994 healthcare workers (nurses, physicians, technicians, socio-health workers, and administrative personnel). Data were analyzed through non-parametric tests to assess the differences respect to gender, age, BMI, wards, and tasks.

Results
In the total sample WAI was 42.0, significantly higher in male (42.9 versus 41.5 in female), in younger workers (44.0 in &lt;35y.o. versus 39.9 in &gt;56 y.o.), in workers with lower BMI (underweight: 42.8 vs obesity: 39.8), in doctors (43.5 versus 40.8 in nurses). There weren’t any differences among wards.

Discussion
The average WAI was at a good work ability level for the total sample with some differences due to gender, age, BMI and task. Results of our study are in line with literature that have shown lower WAI scores among female, nurses, and older workers.

Conclusion
WAI is a good tool to measure work ability. Further analysis will be necessary to better identify characterization of work ability among population of workers.