bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-122 COVID-19 CONTACT TRACING IN THE WORKPLACE: REVIEW OF A MOROCCAN EXPERIENCE AND LESSONS LEARNED
Authors: Abadane Zakia , Mustapha Amirich 
Published: July 2024

Abstract

Introduction
Since the first case was reported in Morocco, the Ministry of Health in coordination with the Business Intelligence Committee has put in place early measures to contain the spread of COVID-19 in the workplace to ensure the continuity of activities. Containing the spread of COVID-19 through contact tracing has revealed itself early as an essential tool to ensure the safety of employees and worksites.

Methods
We describe case investigation and contact tracing implementation in the workplace since Morocco reported its first industrial cluster on March 28th, 2020, to the lifting of restrictions on June 24th, 2020. We analyzed collected COVID-19 data by Public Health Department in Casa Settat Region.

Results
A total of 3223 cases among general population were confirmed by PCR. In industrial sites, a total of 8902 employees were tested, of which 953 (11.2%) were positive. Fatality rate was 1,9%. A mean of 3.3 contacts per case were monitored by local Health Units. The application Wiqaytna launched on May 11, 2020, as an optional tool has helped to widen contact identification circle and improve timely case management.

Discussion
Wide variations in key case investigation and contact tracing data were observed across the industrial sites. Sites with higher number of cases were factories with larger populations. Local Surveillance Units with higher case counts conducted proportionally fewer case interviews than local cells with lower case counts.

Conclusion
Contact tracing has a great impact in reducing the transmission of COVID-19. Additional research would be highly recommended to assess digital Covid-19 contact adapted to the workplace.
P-210 LONG-TERM COVID DETECTION AND CASE MANAGEMENT PROGRAM IN “HIGH-RISK COVID” OIL INDUSTRY WORKERS
Authors: Rolandi Florencia , Zarate Pablo , Ruiz Pablo , Azcarate Juan Martin , Vattimo Andrea , Segovia Evelyn , Cuevas Andrea , Cuellar Diego , Velazquez Luis , Caceres Pablo , Garcia Alejadro , Cura Leila 
Published: July 2024

Abstract

Introduction
We run a program for workers in the oil industry with “high risk COVID-19” aimed to identify the presence of long-COVID and its impact on QOL and to follow up cases requiring additional diagnostic studies and referral to specialists. We defined “High risk COVID-19” if workers had baseline risk factors (diabetes, overweight, respiratory, or cardiovascular diseases) or complicated infections (pneumonia, oxygen requirement or hospitalization).

Methods
We identified throughout the country workers with “high risk COVID-19”. A special team of doctors and nurses, previously trained ad hoc, contacted then by telephone or video call using a semi-structured survey, between 4 and 6 weeks after diagnosis. Between October and June 2022, 891 workers were included, and 2174 interviews were conducted in the follow-up.

Results
The majority were men (69%), aged 40.1 ± 8.7 years, 11% obesity, 2.1% diabetes, 2.8% asthma and 7.5% with hypertension. The occurrence of pneumonia and need for hospitalization was 18.2% and 10.1% until January 2021 when vaccination began and 8.1% and 4.5% later. We identify 377 patients (42.3%) with long-COVID: fatigue or tiredness (29.8%), dyspnea (14.4%), cough (16.3%), smell and taste disorders (16.8%), headache (5.9%), mental confusion (3.3%), muscle pain (4.1%). 23.9% had limitations in daily life.

Discussion
At follow-up, patients resolved their symptoms, and some were referred to pneumonologists, kinesiologists, psychologists, and cardiologists.

Conclusion
A follow-up program for COVID + workers with risk factors and/or complicated infections identified more than 40% of long-term COVID occurrence and almost one in four with impairment in QOL. Follow-up confirmed symptomatic improvement or determined referral for further diagnosis and treatment.
O-130 DETECTING NEW HEALTH RISKS: SENTINEL CASES OF WORK-RELATED SKIN DISEASE FROM THE PERSPECTIVE OF THE UK REPORTING SCHEME
Authors: Zelic Loren , Pereira Rheanna , Byrne Laura , Iheozor-ejiofor Zipporah , Carder Melanie , Van Tongeren Martie 
Published: July 2024

Abstract

Introduction
With the COVID-19 pandemic came the increased use of personal protective equipment (PPE), sterilising and disinfecting agents, which resulted in a rise in dermatologic challenges.

Methods
The Health and Occupation Research (THOR) network collects new cases of work-related ill-health (WRIH) reported by a range of physicians. Each quarter, case reports are screened for potential new combinations through the following process: identification of case reports that might represent a sentinel alert; clarification from reporters; research into evidence of existing similar reports; and the dissemination of confirmed emerging risks to relevant bodies.

Results
15 sentinel cases of work-related skin disease (WRSD) were identified from 112 cases reported to THOR between October 2021 and March 2023 (13% of all cases). Most sentinel cases (80%) resulted from a known diagnosis attributed to a known causative agent occurring in a new industry or occupation, followed by a known diagnosis attributed to a rare or previously unreported causative agent (13%).

Discussion
WRSD is common in industries such as healthcare, hair/beauty, and hospitality due to the routine use of PPE and hazardous agents. Since COVID-19, contact urticaria and perioral dermatitis have appeared for the first time in the industries of dentistry and education, pointing to enhanced risk reduction procedures, such as surface cleaning and facemasks.

Conclusion
The emerging cases of WRSD in previously unreported sectors paints the picture of changes in work processes throughout the pandemic. Early detection of WRIH allows for rapid dissemination to regulators such as the Health and Safety Executive, and has potential implications on policy making.
P-214 PREVALENCE OF ACTIVE SENSITIZATION: ABOUT 565 PATIENTS TESTED FROM 2002 TO 2023
Authors: Henchi Mohamed Adnene , Hayouni Mohamed Marouen , Grissa Ons , Afia Latifa Ben , Amri Charfeddine , Merchaoui Irtyah , Rassas Ines , Chaari Neila 
Published: July 2024

Abstract

Introduction
Active sensitization is an extremely rare but dreaded complication of patch testing. It is an iatrogenic sensitization reaction to an allergen induced by the application of a patch test. The aim of this study was to assess the prevalence of active sensitization to patch tests over a twenty-two-year period.

Methods
This is a retrospective study of patients who underwent patch testing at the Dermato-allergology unit of the Occupational Medicine Department of the Fattouma Bourguiba Monastir University Hospital from 2002 to 2023. These patients were referred to the department on suspicion of allergic contact dermatitis.

Results
A total of 565 patients underwent patch testing. At least one allergen was found to be positive in 343 patients (60.7% of cases). Active sensitization was noted in six patients (a prevalence of 1.06%). The allergens involved were Thiuram Mix (2 cases), P-Phenylene Diamine (2 cases), Disperse Bleu 3 (2 cases) and Disperse Orange 3 (2 cases).

Discussion
Active sensitization is frequently caused by a single allergen and results in a positive result at the site tested after 10 to 21 days. Repetition of the test is the only valid argument for suggesting it, which becomes positive within 1 to 4 days. Active sensitization can only be avoided by referring to the right concentrations and the right test vehicles.

Conclusion
Active sensitization poses an ethical problem. It is therefore necessary to inform patients of the risks involved in this test and to obtain their written consent.
P-215 ROLE OF EXPOSURE TO ENVIRONMENTAL AND OCCUPATIONAL FACTORS IN THE OCCURRENCE OF PEMPHIGUS: A CASE-CONTROL STUDY IN TUNISIA
Authors: Kotti Nada , Abbes Anwar , Bahloul Emna , Rmadi Nehla , Daoud Hanen , Sellami Khadija , Hammami Kaouthar Jmal , Masmoudi Mohamed Larbi , Turki Hamida , Hajjaji Mounira 
Published: July 2024

Abstract

Introduction
The pemphigus is a multifactorial dermatosis. While many etiological hypotheses have been suggested for its occurrence, the exact etiology remains to be determined.Our study aimed to identify the role of environmental and occupational exposure in the induction of pemphigus.

Methods
We carried out a case-control study on patients with pemphigus. The entire study period lasted six months. Controls were recruited from the general population. The matching of cases and controls was carried out according to gender, age, and professional status. Data collection was based on a pre-established questionnaire.

Results
A total of 44 cases and 88 controls were collected. Pemphigus erythematosus was the most common (47.7%) followed by pemphigus vulgaris (36.4%). In the binary logistic regression model, smoking, traditional cosmetics, high consumption of spices, pesticide exposure and rural origin were significantly associated with pemphigus.

Discussion
The pathophysiology of pemphigus is controversial and complex. To explain the dysregulation of the immune system in this pathology, the association of autoimmune, environmental, occupational and genetic factors was retained. Rural origin was incriminated as a risk factor and could be explained by the significant association between rural living conditions, agriculture as the main occupation, and the presence of pathogenic anti-desmoglein 1 autoantibody in rural people, considered as serological abnormalities that may precede the onset of pemphigus.

Conclusion
Our findings implied that environmental and occupational factors play a key role in the occurrence of pemphigus. Thus, identifying and limiting exposure to these factors is necessary for the prevention of this dermatosis
P-216 ALLERGIC CONTACT DERMATITIS TO ACRYLATES REVEALS A RISKY OCCUPATIONAL GESTURE
Authors: Henchi Adnene , Amri Charfeddine , Grissa Ons , Hayouni Marouen , Machghoul Samia , Merchaoui Irtyah , Akrout Mohamed , Rassas Ines , Chaari Neila 
Published: July 2024

Abstract

Introduction
Acrylates are widely used in various sectors, including dentistry. Some high-risk professional practices can lead to allergic contact dermatitis.

Methods and Results
A second-year dentistry intern, aged 28, with no history of atopy, consulted the Occupational Medicine Department of Monastir’s University Hospital with an itching erythemato-vesicular skin plate, poorly limited, on the back of the left hand’s the first commissure, which has been evolving for a month. The professional investigation revealed that the patient uses acrylate-based composite resins and wears latex gloves. During dental treatment, he removes the excess resin used with a probe, which he then wipes onto the glove on the first commissure of his left hand. Patch tests using the European Standard Battery and the Dental Products Battery revealed a positive two-cross reaction to 2-Hydroxyethyl methacrylate and Ethyleneglycol dimethacrylate.

Discussion
Latex or vinyl gloves are rapidly permeated by acrylates. double gloving could be used if the activity does not exceed 15 minutes. For a task lasting more than 15 minutes, nitrile gloves, as a double layer with other gloves, are a compromise between efficiency and professional practice.

Conclusion
As latex gloves are permeable to acrylates, double nitrile gloves should be worn, especially for prolonged skin contact. The patient and his co-workers were advised to avoid this high-risk professional gesture.
O-138 IN-HOME WORK ENVIRONMENT FOR HOME CARE WORKERS BEFORE AND DURING THE COVID-19 PANDEMIC
Authors: Norström Fredrik , Bölenius Karin , Zingmark Magnus , Sahlén Klas-Göran , Pettersson-Strömbäck Anita 
Published: July 2024

Abstract

Introduction
Challenges due to high workload have been reported for home care workers. However, the personnel’s working environment is little studied. The aim of our study is to investigate the in-home work environment challenges for home care workers.

Methods
Two cross-sectional studies were conducted in 2017 and 2021 (before and during the Covid-19 pandemic) in three Swedish regions. Thirty municipalities were invited to the study, 16 municipalities participated in the first study and 22 municipalities in the latter. Home care workers in municipalities answered a questionnaire including 10 work environment-related problems at the home care recipients’ home (five-point scale from “Several times per day” to “Rarely/Never”). We compared problems between surveys using Student’s t-test.

Results
In both surveys, approximately 2,000 persons were invited, 1,154 (56%) responded in 2017 and 630 (31%) responded in 2021. There was a statistically significant increase in the proportion of staff reporting daily problems with a poor bed (29% vs. 37%), small toilet (40% vs. 50%), smoking (24% vs. 30%), pets (19% vs. 25%), poor cleaning equipment (8% versus 12%), relatives/friends (4% versus 7%), hot/cold house (20% versus 70%), intoxicated user (3% versus 6%) and verbal abuse (2% against 5%) during the pandemic. The trends differed between regions.

Discussion
Work environment problems were common for home care workers in the recipients’ houses, and they were further exacerbated during the pandemic. Interestingly, the challenges increased the most in the region with lowest mortality during the pandemic.

Conclusion
Efforts are needed to strengthen the personnel’s working environment.
O-142 LIGHT ON THE NIGHT: ASSESSING THE IMPACT OF NIGHT WORK ON HEALTHCARE PROFESSIONALS’ HEALTH AND QUALITY OF CARE
Authors: Soussou Imad 
Published: July 2024

Abstract

Introduction
Nightime work, essential for continuity of care, disrupts the circadian rhythms of healthcare professionals, impacting their well-being and the quality of their services.Materials and

Methods
This quantitative descriptive study targeted 74 practitioners at Errazi Hospital in Marrakech. Used a 60-item questionnaire to assess the impact of care quality and staff health.

Results
The study reveals a predominance of sleep disorders (59.5%), followed by irritability and stress (56.8%) and psychological exhaustion (55.6%). Digestive (48.6%), metabolic (40.5%), musculoskeletal (37.8%) and addictive (13.5%) ailments were also identified. 84% find it difficult to reconcile night work and family commitments. In addition, 67% lack time for patients. Hypovigilance in care (87%), lack of continuous training (91%) and absence of hierarchical support (79%) were also noted. As a result, 84% are considering a change of position, and 92% do not recommend night work.

Discussion
These results corroborate previous studies, highlighting high rates of sleep disorders, stress and burnout. Metabolic, musculoskeletal and family issues, accentuated by resource and time constraints, mirror pre-existing trends. The impact on alertness, lack of training, limited hierarchical support and reluctance to work night shifts is confirmed.

Conclusions
Reinforce current knowledge, underlining the imperative of an organizational and multidisciplinary approach to tackling these challenges.
O-144 NEW SAFETY SYSTEMS IN FRONTLINE HEALTHCARE: AN APP FOR PSYCHOSOCIAL SAFETY CLIMATE REAL-TIME MONITORING (PSC-RTM)
Authors: McLinton Sarven , Dollard Maureen , Loh May Young , Afsharian Ali , Hayati Ashkan , Zadow Amy , Tuckey Michelle 
Published: July 2024

Abstract

Background
Frontline nurses and management see safety differently, but risks arise when there is a disconnect between perceptions of Psychosocial Safety Climate. PSC is the leading indicator of systemic issues in job design, support, and subsequent adverse psychological health, engagement and productivity outcomes. We aimed to provide teams with trending information via a dashboard, the PSC Real-Time Monitoring (PSC-RTM) system, to help realign manager and frontline perceptions.

Methods
The new proprietary PSC-RTM was piloted for 10 weeks and available 24/7 on an app kiosk in N=3 frontline healthcare teams in Adelaide, Australia. Participating teams engaged in pre-intervention training sessions (n=90 staff members) as well as post-intervention focus groups (total n=32 staff between 6 sessions) and interviews with managers (n=3).

Results and discussion
Trend analysis and single-case autoregressive continuous time modelling demonstrated that PSC is dynamic over the course of a day or month, but an autoregressive diffusion model showed that PSC changes in response to unrecorded safety incidents (and can overall improve or deteriorate in the long term). Consensus emergence modelling allowed us to further understand PSC emergence and convergence processes.

Conclusion
The PSC-RTM addresses the issue in existing research (and hospital ‘culture surveys’) of time delays between when PSC is measured and the subsequent identification and development of relevant supports. Our innovation in PSC measurement and tracking poses a cost-effective system for signalling the potential for psychosocial risk before it occurs. The continuous feedback loop between the team and their manager offers a way to respond more immediately to the ever-evolving safety climate within their team.
O-145 RISK OF SICKNESS ABSENCE AMONG FEMALE HEALTH WORKERS – A TOTAL POPULATION STUDY IN SWEDEN
Authors: Nyman Carin , Friberg Emilie 
Published: July 2024

Abstract

Introduction
The healthcare sector in many countries, including Sweden, is highly gender segregated with more female than male employees. During the last decades, reports on exacerbating job demands and sickness absence have increased.

Methods
Register data on sickness absence, comprising all female employees in the healthcare sector in Sweden in 2014 (N=210,909) and in 2018 (N=223,715), were analyzed. Logistic regressions yielding odds ratios (OR) with 95% confidence intervals (CI) of new SA (in SA spells &gt;14 days) and of long-term SA (&gt;90 days) due to all cause diagnoses and mental diagnoses respectively, in 2018 compared to 2014, were estimated, adjusting for age, educational level and country of birth.

Results
The risk of new SA and long-term SA due to a mental diagnosis were somewhat higher in 2018, OR 1.14, CI; 1.11 - 1.17 and OR 1.13, CI; 1.08 - 1.18, while no significant associations could be established in relation to SA due to all-cause diagnoses. After adjustments, the results did not change and remained significant.

Discussion
The somewhat higher risk of SA in mental diagnoses over time was not significantly affected by sociodemographic and socioeconomic factors previously shown to influence SA. Psychosocial and emotional work demands together with reports on threats and violence may increase job strain in health workers and influence the risk of SA due to mental diagnoses.

Conclusion
In preventing SA due to mental diagnoses among health workers an effective measure may be to closely monitor various dimensions of work demands.
O-147 HEALTH, SLEEPING AND DYSSOMNIA OF HEALTH CARE WORKERS
Authors: Kherrat Souad El , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib 
Published: July 2024

Abstract

Objective
The aim of this survey was to assess the health status, sleep habits and dyssomnia of healthcare workers.

Method
This cross-sectional epidemiological study took place in the hospitals of Fez and Essaouira and involved 2012 healthcare professionals (75.1% nurses and 24.9% physicians). 53.8% had atypical work schedule (AWS) and 46.2% typical work schedule (TWS).

Results and Discussion
56.4% were women. The average age was 45 ± 9.1 years and the average length of service was 15.2 ± 5.9 years. Medical pole accounted for 62.1%. 8.3% had a complementary activity in the private sector. 21.4% had a regular sporting or leisure activity, 14% were smokers, 50.7% had a high BMI and 24.6% had declared a chronic illness. Smoking and obesity were more common in the AWS group. Average daily sleep time was 7.1 ± 1.1 hours (7.2 ± 1.2 in the TWS group and 6.3 ± 0.9 in the AWS group). On awakening, 57.8% were tired and sleepy (50.9% in the TWS group versus 63.7% in the AWS group), and 41.5% reported chronic insomnia (38.8% of TWS compared with 43.8% of AWS). The insomnia severity index was moderate to severe in 26.2% (20.1% in TWS versus 31.4% in AWS). The prevalence of excessive daytime sleepiness was 23.1% (18.6% in TWS versus 27% in AWS). Fatigue, isostrain concerns were associated with a higher risk of chronic insomnia.

Conclusions
healthcare workers are at high risk of chronic dyssomnia and vigilance disorders. Educational initiatives should be undertaken to raise awareness of the health and safety consequences of these psychosocial risks.
P-223 PROMIND - PROMOTING MENTAL HEALTH AT WORK FOR HEALTHCARE PROFESSIONALS: PARTICIPATORY DEVELOPMENT OF A MINDFULNESS MEDITATION PROGRAM ADAPTED TO THE FRENCH HOSPITAL WORKPLACE
Authors: Nohales Ludivine , Touzet Sandrine , Termoz Anne , Chaussarot Pauline , Marchal Mathilde , Streichenberger Nathalie , Delamillieure Pascal , Lutz Antoine , Maucort-Boulch Delphine , Fassier Jean-Baptiste 
Published: July 2024

Abstract

Introduction
Mental health in the workplace is a public health issue. Participatory development in health program planning is recommendend to develop complex interventions. The aim was to develop a workplace-based Mindfulness Meditation program (MMP) adapted to a university hospital in France.

Methods
Following the Intervention Mapping protocol, a taskforce gathering 24 hospital professionals (doctors, paramedics, supervisors, administrative staff) and 10 scientists (researchers and meditation experts) was set up in May 2022 at Lyon University hospital. The needs assessment involved a literature review and 12 individual interviews with hospital professionals. The program’s logic model was developed during 4 participative workshops (with an initiation to meditation practice) with stakeholders. A qualitative content analysis was carried out with MAXQDA.

Results
The qualitative analysis highlighted important dimensions, such as lack of time, psychosocial hazards, leadership, teamwork, and representations of meditation. A MMP was developed to fit the hospital context. A meditation group of 15 professionals per department (all job categories, including management) will attend 10 collective practice sessions (1h) over 3 months. sessions are considered as working hours although positioned outside the department’s operating schedule (continuity of care). A stepwise recruitment will proceed through information and experience of meditation prior to enrollement on a voluntary basis.

Discussion
The participatory process revealed several barriers and facilitators enabling to develop a program adapted to the context, increasing its relevance and acceptability.

Conclusion
The program’s evaluation will proceed with a cluster randomized trials (8 departments) combined with a realist evaluation of the effects produced by the mechanisms activated according to the context.