bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-049 CARPAL TUNNEL SYNDROME: CAN THE ELECTRONEUROMYOGRAM ASSESS THE WORK DISABILITY?
Authors: Bouchech Rania , Fki Amene , Gammoudi Nouha , Talbi Imen , Cheihk Ridha Ben , Ksibi Sonia , Sakly Ghazi 
Published: July 2024

Abstract

Introduction
Electroneuromyography studies play an important role in the assessment of carpal tunnel syndrome (CTS). There is a lack of studies comparing electrophysiological data with measures of function, including work disability. The aim of this study was to assess the relationship between work disability and the electroneuromyography data in workers with CTS.

Methods
Patients with suspected occupational carpal tunnel syndrome were referred to the department of functional explorations of the nervous system at the Sahloul hospital in Sousse, Tunisia, for electroneuromyogram. Work disability was assessed using the work module questionnaire on disabilities of the arm, shoulder and hand (DASH-W).

Results
Our study included 45 workers. The average age was 45.27 years. 98% of the sample was female. The majority of patients work in the clothing sector (80%) with an average professional seniority of 23.39 years. The average number of days absent from work was 6.58 in the last month. The average score of DASH-W was 69.11. Concerning the electroneuromyographic data, the mean sensitive conduction velocity was 37.9 m/s, the mean distal motor latency was 5.48 m/s and the mean sensory nerve action potentials amplitude was 11.2 µV. There was no correlation between electroneuromyographic parameters and work disability as measured by DASH-W.

Discussion
This study showed that there is no correlation between electroneuromyography data in CTS with work disability, which is in agreement with previous studies.

Conclusion
The electrneuromyography seems not to assess the impact of CTS on work disability. A larger study must be carried out for a better evaluation.
P-053 RETURNING TO WORK ON TRAIN DRIVER WITH BILATERAL CENTRAL SEROUS CHORIORETINOPATHY: A CASE REPORT
Authors: Septiawan Eka Surya , Abadiyah Izzatul , Mansyur Muchtaruddin 
Published: July 2024

Abstract

Introduction
Central Serous Chorioretinopathy (CSCR) is one of the four most common retinal diseases after macular degeneration, diabetic retinopathy, and retinal vein occlusion that can directly impact the visual function of workers. CSCR is characterized by retinal detachment of the pigment epithelium in the macula due to fluid flow from inadequate hyperpermeability of the choriopapillary and epithelial membranes. The etiology and pathogenesis of CSCR are multifactorial, including genetic, pregnancy, psychosocial stress, glucocorticosteroid use, sleep disorder, and irregular work schedule.

Methodology and Results
The male patient, 33 years old, working as a train driver was consulted regarding his fitness to work after being declared with a diagnosis of resolved bilateral CSCR. He has the main task of operating the train and alert process as well as the leader in train travel. He was diagnosed with CSCR when he was found to have decreased visual acuity at a periodic medical examination. How the train driver with CSCR could return to work safely and how the recommendations for company and the worker itself.

Discussion and Conclusion
Literature was searched through PubMed and Scopus. Five relevant articles were found and had undergone critical appraisal based on criterias by the Oxford Centre for Evidence Based Medicine. Return to work assessment was conducted using the seven step of return to work evaluation issued by IOMA (Indonesian Occupational Medicine Specialist Association). Optical Coherence Tomography (OCT), Ishihara, stereoscopic examinations and several notes at workplace will be used to ensure the patient’s ability to return to work.
Keywords: Central Serous Chorioretinopathy (CSCR), train driver, return-to-work
O-038 CONTINUING EFFECTS OF THE POSITIVE TRAINING PROGRAM FOR IMPROVING WORKING CONDITIONS IN FOUR COUNTRIES FOR 30 YEARS
Authors: Nagasu Miwako , Kogi Kazutaka 
Published: July 2024

Abstract

Introduction
The Participation-Oriented Safety Improvements by Trade Union Initiative (POSITIVE) program has been conducted for trade union members in various countries through action-oriented workshops on multifaceted workplace improvements. The program has been organized in collaboration with the Japan International Labour Foundation (JILAF) and local trade unions. The efficacy of the program conducted in Pakistan, Bangladesh, India and Nepal was assessed.

Methods
The effectiveness of the POSITIVE workshops was evaluated by interviewing local POSITIVE trainers in the four countries and assessing the results of a questionnaire and improvements conducted by workers trained during the last thirty years. This study was conducted from December 2022 to August 2023.

Results
The POSITIVE workshops proved successful in the four countries during about 30 years. Many trade union trainers trained by the POITIVE program were still utilizing the training materials distributed over the past ten years. Examples of locally achieved good practices were confirmed to be particularly useful. Various positive experiences including implemented workplace improvements were reported by the workers having had participated in the POSITIVE workshops. Many respondents testified that there had been positive changes in the relationship between workers and management after learning the POSITIVE approach.

Discussion
The POSITIVE training program organized during the past 30 years has led to many workplace improvements reducing work-related risks. As a result of POSITIVE workshops, dialogue with management and co-workers had been facilitated.

Conclusion
It was suggested that the action-oriented training methods had positive impacts on workplace improvements as well as industrial relations.
P-059 UNDERGRADUATE OCCUPATIONAL MEDICINE TEACHING AND TRAINING AT EUROPEAN MEDICAL SCHOOLS. QUO VADIS?
Authors: Martínez-Jarreta Begoña , Bulat Petar , Majery Nicole , Gehanno Jean-Francoise , Pauncu Elena-Ana , Bastiaanssen Marjolein , Godderis Lode , Braeckman Lutgart 
Published: July 2024

Abstract

Introduction
General practitioners play or should play a role in Occupational Medicine (OM), be it in the detection of occupational diseases or in counseling for return to work, etc. This is one of the various reasons why undergraduate training in OM is nowadays considered essential.

Aim
To investigate the reality of undergraduate OM training in European medical schools and to determine whether it is sufficient in terms of content, extent, and objectives.

Methods
Between 1 March and 1 August 2022, an email questionnaire survey was undertaken on OM teaching in medical schools in 19 EU countries (all represented in EASOM or European Association of Schools of Occupational Medicine) and some Eastern European nations.

Results
60 medical schools from 21 European countries, representing almost 45,000 undergraduate students, returned the completed questionnaire. The results showed great variability between and within European countries in terms of OM undergraduate training in medical schools. Differences were identified in terms of hours devoted to training, topics, whether it is compulsory or voluntary, among other aspects. OM training in European medical schools need improvement also within EU countries’ medical schools.

Discussion
Despite EU regulations on the free movement of workers in Europe, there is a lack of harmonization between EU countries, with very different levels of undergraduate training in OM in different medical schools, also within individual countries.

Conclusions
The results obtained justify a debate on the competencies that every doctor should have in OM and the definition of a core curriculum for undergraduate training in Occupational Medicine in Europe.
P-063 INTERVENTION EFFECTS OF A PARTICIPATORY WORKPLACE STRESS REDUCTION PROGRAMME ON BURNOUT AMONG CORPORATE WORKERS
Authors: Dai Junming , Sun Yixuan , Wei Minqi , Zhao Qiuwen , Yang Jinfeng , Gao Junling 
Published: July 2024

Abstract

Introduction
With the increasing competition in the market, the problem of burnout is becoming more and more serious among enterprise workers, and there is a lack of evidence to support the use of participatory workplace facilitation programmes to alleviate burnout in China.

Methods
A randomised controlled trial was conducted to select 80 corporate employees in Minhang District, Shanghai, China as the research subjects. The intervention group was given a participatory workplace stress reduction course as an intervention, while the control group was not given any intervention. Independent samples t-tests, paired t-tests, etc. were used to compare the changes in occupational tension, burnout and the dimensions before and after the intervention in the two groups of workers.

Results
There were no significant changes in job stress, burnout and their dimensions before and after the intervention in the control group, and in the experimental group, the burnout score was significantly lower despite a significant increase in the job demand score, a significant decrease in the job autonomy score, and a significant increase in the job stress score before and after the intervention.

Discussion
In this study, job stress increased significantly in the experimental group after the intervention, which is considered to be due to the fact that the members of the experimental group entered the peak production period of the company. However, at the same time, the level of burnout decreased, which further suggests that the intervention was effective.

Conclusion
Participatory workplace stress reduction programmes are effective in alleviating burnout among corporate workers.
P-077 DIABETES COMES TO SCHOOL: ABOUT 79 PATIENTS
Authors: Ouhessaine Sofia , haraj Nassim Essabah , Aziz Siham El , Chadli Asma 
Published: July 2024

Abstract

Introduction
Diabetes is a chronic disease, the incidence of which continues to increase among children. School Children generally spend 30 hours per week at school, making management of treatment and acute complications at school a key element for better glycemic balance as well as good academic performance.

Objectives of the study
Describe the daily difficulties encountered by diabetic schoolchildren, as well as the impact on glycemic balance and academic performance.

Methods
Descriptive study of 79 young people followed at the endocrinology and metabolic diseases department of Casablanca.

Results
The average age is 16.2 years with a female predominance of 62%. The duration of diabetes was 7.93 ± 4.02 years. Mean HBA1c = 11.19 ± 2.12%). Our patients reported hypoglycemia occurring at school in 76% of cases, only 31% stopped the activity to regain sugar, and self-monitoring in 24%. We note that 29% left school voluntarily, 59% say they have academic difficulties, only 12% say they are fulfilled and plan to pursue higher education. The main causes reported are; 35% stigmatization of those around them and denigration, 28% are ashamed of insuline injections in public, 12% blame the number of hospitalizations, 29% note the frequency of hypoglycemia at school, and 7% report a decline in visual acuity.

Conclusion
Schools must provide all students a safe place for self-care, helping them manage everyday challenges: hypoglycemia at school, multiple injections, self-monitoring, in order to improve glycemic balance and ensure academic success.
P-078 HOW TO INFORM MEDICAL STUDENTS ABOUT DIGITAL MENTAL HEALTH INTERVENTIONS? A DISCRETE CHOICE EXPERIMENT
Authors: Bau Jessica , Vomhof Markus , Braun Pia , Calo Stella , Stehl Stefan , Haastert Burkhard , Schuster Luca , Icks Andrea , Loerbroks Adrian , Pischke Claudia , Kairies-Schwarz Nadja , Angerer Peter , Apolinário-Hagen Jennifer 
Published: July 2024

Abstract

Introduction
Digital mental health interventions (DMHIs) have been shown to be effective in the prevention and treatment of common mental disorders (CMDs). Low utilization - often based on lacking awareness or familiarity with DMHIs - should be addressed by user-centered, context-sensitive information strategies. Concerning information strategies, medical students are a particularly interesting target group, as they belong to a vulnerable group in terms of a relatively high prevalence of CMDs and, moreover, will be able to prescribe DMHIs as future physicians.

Methods
A discrete-choice experiment (DCE) was conducted to study information preferences among medical students in Germany. Attributes (information source, delivery mode, timing, recommendation, and quality criterion) were developed by a sequential mixed-method approach. Conditional logistic regression analysis was employed to estimate preference weights and relative importance of attributes (ethical approval: no. 2022-2102).

Results
Out of n=231 participants (70% women, age: M=24, SD=3.95), 29.49% indicated being familiar with DMHIs. Medical students preferred to receive information about DMHIs from the student council and favored being informed via social media during their pre-clinic phase or in their freshmen week. Recommendations were preferred if given by other students or health professionals. Evidence base is the preferred quality criterion. Overall, timing of information provision was the most relevant attribute.

Discussion
Timing appears to be the most important factor for DMHI information, which calls for action early in medical education.

Conclusion
Based on the findings of the DCE, a comprehensive information strategy is deduced that allows to inform medical students by their preferred information strategy.
O-049 THE SUCCESS OF A STOP SMOKING PROGRAM FOR HEALTHCARE WORKERS IN ITALY: A COST-SAVING TOOL IN A TOTAL WORKER HEALTH® APPROACH
Authors: Di Prinzio Reparata Rosa , Vinc Maria Rosaria , Camisa Vincenzo , Santoro Annapaola , Dalmasso Guendalina , Dosi Alessia , Ceresi Bianca , Raponi Massimiliano , Zaffina Salvatore 
Published: July 2024

Abstract

Introduction
Helping healthcare workers stop smoking represents one of the major hospital’s health promotion initiatives to improve employees’ health.

Methods
A Stop Smoking Program (SSP) composed by a 6-hour training course has been adopted. Forty workers were enrolled. For the study, workers who succeeded in quitting smoking at the 2-year follow-up (n=15) were compared to those who did not (n=25) in terms of seniority, professional category, shift work, sickness absence days and work performance. The Return on Investment (ROI) was computed as the ratio between the net profit and the invested capital; the Break-Even Analysis was calculated too.

Results
A success rate of 37,5% was recorded. The professional category was significantly correlated to the success rate, with nurses and physicians showing the major success (64,7%), followed by administrative personnel (21,4%). The reduction of absenteeism after the intervention was 85% in the 1-year period. ROI was 1.90 and the break-even point was 7.85.

Discussion
The SSP effectiveness was demonstrated, as the social working environment is a significant determinant of success. Quitting smoking improves healthcare workers trustworthiness in the eyes of patients, and minimizing active smoking in workplaces can deter smokers in the community.

Conclusion
Worker’s health promotion programs are simple tools that represent a breeding ground for tackling tobacco use among healthcare personnel and spreading beneficial effects of quitting smoking in the society.
P-082 TELEMEDICINE IN OCCUPATIONAL HEALTH: A ONE-YEAR EXPERIMENTAL PROJECT
Authors: Bouça Nova Tiago 
Published: July 2024

Abstract

Introduction
When it comes to occupational health (OH), telemedicine guarantees the follow-up of employees - especially since the Covid-19 pandemic.

Methods
Through this experiment, we wanted to study and assess the advantages and challenges of using teleconsultation in OH: the study took place for one-year, and was focused on 1796 employees of two companies.

Results
With a total of 1672 teleconsultations carried out, for a one-year period, only 3 employees have refused the teleconsultation, and only 30 face-to-face OH exams were scheduled by the doctor’s initiative. A total of 159 OH exams were performed directly with the employee, with no need for them to go to the medical center.

Discussion
The results of this work show the interest in maintaining teleconsultation as a solution for care in remote areas, to avoid a cumulative delay of OH exams, to facilitate access to OH to employees on sick leave - or exclusively on telework -, and to do the OH exams at the company’s medical office (which can potentially reduce absenteeism). The respect for confidentiality, the employee’s right to refuse teleconsultation, as well as the vigilance of the doctor-patient’s relationship, and of the doctor’s right to disconnect, should be carefully kept in mind.

Conclusion
In practice, while respecting the points of vigilance, the application of telemedicine in OH – on a regular or sporadic basis - can be very useful in order to improve the medical presence, as well as the quality of care and risk mitigation in the work environment.
P-088 OCCUPATIONAL HEALTH PREVENTION IN MANUFACTURING INDUSTRY IN JAVA ISLAND, INDONESIA
Authors: Budiman Erwanda , Ilyas Muhammad , Khoe Levina , Adi Nuri , Sugiharto Agus 
Published: July 2024

Abstract

Introduction
The manufacturing industry dominates the employment sector in Indonesia and is centered in Java. Therefore, effective occupational health prevention in this sector is needed to control the existing hazards and reduce the number of occupational diseases and accidents. This qualitative study aimed to explore the implementation of occupational health prevention in the manufacturing industry from all levels of enterprises in Java Island, Indonesia.

Methods
We used secondary data previously collected by Indonesian Occupational Medicine Association (IOMA) and passed the ethical review of the Faculty of Medicine, Universitas Indonesia. Data were obtained from 8 focus group discussions (FGDs) with 64 companies from large, medium, small, and micro enterprises. Each company was represented by one or more of the top management, HSE, or HR department. We applied thematic analysis and three main themes emerged: (1) occupational health prevention policies in the workplace, (2) resources involved, and (3) programs implemented.

Results
We found that in large and medium enterprises, the three themes explored were generally in accordance with the standards and necessities of each company. Meanwhile, no specific policies were found for small and micro enterprises. Most of them did not have competent human resources, funds, or external cooperation, and the programs implemented were not properly planned.

Discussion
The improvement of occupational health prevention in smaller enterprises is required not only from the company itself, but also from the government and labor social security.

Conclusion
There is still a large gap in occupational health prevention between larger and smaller enterprises in terms of policy, resources, planning and implementation.
O-068 CARDIOVASCULAR DISEASE RISKS FOR COMMON UPPER EXTREMITY MUSCULOSKELETAL DISORDERS AND LOW BACK PAIN
Authors: Hegmann Kurt , Thiese Matthew , Wood Eric 
Published: July 2024

Abstract

Introduction
The pathophysiological bases of musculoskeletal disorders (MSDs) is/are uncertain, resulting in reduced opportunities for prevention.

Methods
Nine-year prospective cohort data from 1,224 workers in 3 US states were analyzed. IRBs approved of the protocol. Baseline data included questionnaires, structured interviews, physical examinations, anthropometric measurements, and nerve conduction studies. Job physical factors were individually measured. Monthly follow-ups were conducted. Framingham risk scores were calculated. A priori case definitions were constructed for carpal tunnel syndrome, lateral/medial epicondylopathy, and rotator cuff tendinopathy. Data were also analyzed from a second 8-year prospective cohort of 828 workers for low back pain (LBP) using similar methods.

Results
Adjusted RRs (including job physical factors) for one or more MSDs increased to 3.90 (95% CI, 2.20, 6.90) among those with 10-year CVD risk scores above 15% and 17.4 (95% CI 3.85, 78.62) among those with 4+ disorders. By contrast with these common upper extremity MSDs, cardiovascular risks did not confer an increased risk for LBP.

Discussion
Cardiovascular risk factors are strong risk factors for common upper extremity MSDs. The relationships become stronger among those with increasing numbers of MSDs. Data suggest potential microvascular pathophysiology. The magnitude of risks is sufficiently high that confounding appears improbable. These data also suggest if there is a microvascular cause, it does not involve LBP. LBP continues to stand in search of explanatory pathophysiology.

Conclusion
While job physical factors remain as important modifiable risks, CVD factors are strongly associated with the development of common MSDs, but not LBP. Risks among those with multiple MSDs are considerably stronger.
O-070 OVARIAN CANCER CASES ATTRIBUTABLE TO ASBESTOS EXPOSURE: AN ECOLOGICAL ANALYSIS IN LOMBARDY, ITALY 2000-2018
Authors: Stoppa Giorgia , Mensi Carolina , Fazzo Lucia , Minelli Giada , Manno Valerio , Consonni Dario , Biggeri Annibale , Catelan Dolores 
Published: July 2024

Abstract

Introduction
Ovarian and pleural cancer are causally associated with asbestos exposure. In a previous study in Lombardy, Northern Italy (about 10 million people), we found evidence of a spatial correlation between pleural and ovarian cancer mortality. In this study, we estimated cases and fractions of ovarian cancer deaths attributable to asbestos exposure by including a third disease, breast cancer, which is unrelated to asbestos but shares with ovarian cancer other risk factors (including reproductive and lifestyle determinants).

Methods
We formulate a trivariate Bayesian joint disease model to extract information on attributable fraction from the geographic distribution of ovarian, pleural, and breast cancer mortality at municipality level in the Lombardy Region (Italy) from 2000 to 2018. Expected cases were calculated by indirect internal standardization.

Results
We found shared dependencies between ovarian and pleural cancer, which capture asbestos exposure, and a spatially structured clustering component shared between ovarian and breast cancer, capturing other risk factors. Overall, we counted 10,462 ovarian cancer deaths, of which 574 (95% Credibility Interval 388-819) were estimated to be attributable to asbestos (attributable fraction 5.5% 95% Credibility Interval 3.7-7.8). In some municipalities, we found attributable fractions in the 33-47% range.

Discussion
These results are consistent with known heavy asbestos pollution and high pleural cancer mortality in some areas of the region.

Conclusion
The impact of asbestos can be relevant but may go unnoticed when the background risk of ovarian cancer is low. Bayesian modelling provides helpful information in such context, and it is useful to tailor epidemiological surveillance.