bluuebunny/crossref_metadata_2025_split huggingface dataset:
O-071 ACUTE EFFECTS OF OCCUPATIONAL NOISE EXPOSURE ON INFLAMMATORY RESPONSES IN SALIVARY CYTOKINES
Authors: CHANG Ta-Yuan , Hsiao Yan-Yun , Lin Meng-Liang , Chao Keh-Ping 
Published: July 2024

Abstract

Introduction
Noise-induced adverse health effects from the stress mechanism may affect inflammatory responses, but few studies elucidated changes in inflammatory cytokines caused by noise exposure. This study aimed to investigate the changes of salivary inflammatory cytokines after occupational noise exposure.

Methods
We recruited 49 employees from an aircraft manufacturing company as study subjects. They were measured 24-hours personal noise levels and collected three salivary samples on working days. Salivary samples were analyzed by commercial kits with Enzyme-linked immunosorbent assay (ELISA) to estimate concentrations of salivary cortisol, Interleukin-1β (IL-1β), Interleukin-18 (IL-18), and Interferon-γ (IFN-γ). Questionnaires were obtained to control for confounding factors. Multiple linear regression and generalized linear mixed model were applied to evaluate the associations between occupational noise exposure and changes of salivary cortisol, IL-1β, IL-18, and IFN-γ.

Results
In the multiple linear regression models adjusted for confounding factors, per one A-weighted decibel (dBA) increase in occupational noise significantly elevated the IL-1β (β=0.023, SE=0.010; P=0.032) and IL-18 (β=0.029, SE=0.010; P=0.006) at the end of the work shift. In the generalized linear mixed models, each dBA increase in occupational noise significantly increased the logtransformed salivary IL-1β (β=0.024, SE=0.011; P=0.040) and IFN-γ (β=0.020, SE=0.009; P=0.045) over the whole day.

Discussion
Exposure to occupational noise increased the salivary IL-1β and IFN-γ to sustain over the whole day, but the elevated IL-18 only was observed at the end of the work shift.

Conclusion
These findings suggest that occupational noise exposure increases the concentrations of pro-inflammatory cytokines to lead the inflammatory response among workers.
O-075 EFFECT OF THE NORWEGIAN AGREEMENT ON A MORE INCLUSIVE WORKING LIFE ON USE OF SICK LEAVE AND PREGNANCY BENEFITS AMONG PREGNANT WOMEN: A COHORT STUDY
Authors: Hasting Rachel , Hoff Rune , Merkus Suzanne , Gran Jon Michael , Mehlum Ingrid Sivesind 
Published: July 2024

Abstract

Introduction
This paper aims to estimate the effect of the Norwegian Agreement on a More Inclusive Working Life (IA Agreement) on sickness absence (SA) and use of pregnancy benefits among pregnant women.

Methods
Women giving birth 1.12.2003-31.12.2010 (n=112,486) were observed from 6-37 gestational weeks in one of the following states: work, full SA, graded SA, pregnancy benefits, maternity leave, and other. Repeated stays were possible. Transition intensities were estimated using an inverse probability weighted Nelson-Aalen estimator, and state probabilities were calculated using the Aalen-Johansen plug-in estimator. Absolute probability differences between women in companies with and without an IA Agreement plus expected length of stay (ELOS) in days were calculated. Weights adjusted for group differences in calendar year, age, civil status, education, industry, and number of employees. 95% confidence intervals (CI) were generated using bootstrapping (1,000 repetitions).

Results
Throughout pregnancy, women in IA companies spent half a day more in work, full SA, and graded SA, respectively, and half a day less in pregnancy benefits. During the second trimester, women in IA companies had a slightly higher probability of being in work and a lower probability of full SA. Confidence intervals were wide and included zero.

Discussion
During pregnancy, women in IA companies appeared more likely to use full and graded SA but also more likely to remain in work and less likely to use pregnancy benefits.

Conclusion
This study did not find any significant effects of the IA Agreement, but the results suggest IA-related measures could work best for conditions experienced in the second trimester.
P-126 ACCIDENTS AT WORK REGISTERED BY BRAZIL SOCIAL SECURITY FROM 2016 TO 2020: DESCRIPTIVE ANALYSIS
Authors: Sa Eduardo Costa , de Barros Daniel Osti , Oliveira Leopoldo Silva 
Published: July 2024

Abstract

Introduction
In Brazil, more than 500 thousand accidents at work were registered each year, during 2016 to 2018. All these accidents represent more than 300 million reais outgoing. The present study aimed to analyze the incidence of accidents at work in Brazil between the years 2016 to 2020, according to variables, geographic regions, age group and gender. And its prevalence, according to the causes and the branch of economic activity in the same period.

Methods
The applied methodology was a descriptive longitudinal study, with analysis of the time series of the statistical yearbook of Social Security in Brazil. From the analysis, lower rates of accidents at work were identified between 2016 and 2019, compared to previous years.

Results and discussion
The South and Southeast regions were the locations with the highest incidence of accidents at work, 11.7 and 9.10, respectively. The Northeast, on the other hand, showed a greater reduction in accidents with 6.22. Regarding sex, there was a reduction in the incidence of accidents at work, with the greatest decreases for males. The highest prevalence of work-related accidents are related, respectively, to injuries, poisoning and some other consequence of external causes, and diseases of the musculoskeletal system and connective tissue.

Conclusion
It is necessary to improve records of accidents at work, due to underreporting of informal workers - not considered in the yearbooks. In addition, more accurate data make it possible to expand prevention, health and safety policies at work, in order to reduce the numbers of these accidents.
P-138 WHEN THE EXIT IS THEIR OWN DEATH: SUICIDE AMONG WORKERS IN BRAZIL
Authors: De Araújo Tânia Maria , de Figueiredo Tarciso 
Published: July 2024

Abstract

Introduction
An ecological study assessed the frequency of suicides in Brazil in the age group 14-65 years, with data reported in the SIM (System of Mortality Information). Objectives: to describe the temporal trend of suicides in 2010-19 and evaluate the socio-occupational profile of occurrences, exploring aspects connecting suicide and work.

Methods
We analyzed the percentage distribution, estimates of Proportional Percentage Variation-VPP, and mortality rates (MR) with population data from IBGE (Brazilian Institute of Geography and Statistics), RAIS (Annual List of Social Information), and occupation surveys.

Results and discussion
Between 2010-19, suicides showed a sustained upward trend (VPPglobal=60.1%); higher in men (VPP=62.8%) than in women (VPP=51.4%). The MR was 8.1 suicides/100,000 people of working age. The suicide risk was 3.5 times higher in men than in women. In 2019, the MR among self-declared Indigenous people (19.5/100,000) and Agricultural workers (21.7/100,000) stood out. Hanging was the most used method (71.4%).

Conclusion
The evolution of suicide and accentuated vulnerability in the self-declared indigenous population and agricultural workers is worrisome. The expansion of affected occupations is also highlighted, pointing to its dissemination and the relevance of attention to the characteristics of the work in the surveillance and control of suicide.
O-092 DEVELOPMENT OF AN EXPOSOME TOOLBOX FOR REDUCING THE OCCUPATIONAL BURDEN OF DISEASE: THE EU EPHOR PROJECT
Authors: Pronk Anjoeka , Scholten Bernice , Kelly Blaise , Kingma Boris , Schlünssen Vivi , Gosh Manosij , Notø Hilde , Turner Michelle C , Solovieva Svetlana , Ge Calvin , Kolstad Henrik , Selander Jenny , Pronk Anjoeka , Ge Calvin , Loh Miranda , Albin Maria , Selander Jenny , Godderis Lode , Gosh Manosij , Vermeulen Roel , Peters Susan , Mehlum Ingrid S , Turner Michelle C , Schlünssen Vivi , Goldberg Marcel , Kogevinas Manolis , Harding Barbara , Solovieva Svetlana , Garani-Papadatos Tina , Van Tongeren Martie , Kuijpers Eelco 
Published: July 2024

Abstract

Introduction
Occupational risk reduction strategies are informed by existing scientific evidence on single exposure-single outcome associations, limiting their applicability. Within the EU EPHOR project (2020-2025), we aim to apply the exposome concept to working life health for developing new knowledge and methods on e.g. combined exposures and vulnerability that will enable more effective risk reduction strategies and policies.

Methods
Within EPHOR, we investigate the effects of the working-life exposome through combining large-scale meta analyses of existing cohorts with the collection of new external and internal exposome data in case studies. Methods for characterizing the exposome and for investigating its complex associations (multiple exposures, timing of exposures, early health effects and vulnerability) with health are being developed.

Results
The methods and results of the project are being made available to scientists, policy makers and occupational health practitioners via the WE-EXPOSE Toolbox. Example tools include methods to collect and interpret the external (e.g. with sensors) and internal (e.g. with noninvasive sampling) exposome, methods and tools to characterize (EuroJEM) and study effects of the exposome in multiple cohorts (Mega Cohort) in a harmonized way, and an online tool for visualizing occupational risk factors including levels, population sizes and related health effects across Europe.

Discussion and conclusion
An overview of the (planned) tools in the WE-EXPOSE Toolbox as well as the cocreation process for enhancing the usability of specific tools will be given. By providing a knowledge base for evidence-based prevention, the Toolbox will contribute to reducing the burden of occupational disease.
P-151 THE RISK PREDICTION OF COMORBID PATHOLOGY DEVELOPMENT OF LOCOMOTIVE DRIVERS WITH ARTERIAL HYPERTENSION
Authors: Malyutina Natalia , Luzina Svetlana , Shilcova Olga 
Published: July 2024

Abstract

Introduction
Arterial hypertension and gastrointestinal tract diseases are common diseases and often observed in the same patients. It is expedient to develop a methodology for predicting of a comorbid pathology developing for workers in order to maintain working longevity.

Methods
Employees (n=127, men) of locomotive crews ofrailways (experience &gt; 10 years) are examined. Laboratory studies: a general blood test, serum concentrations of traditional biochemical parameters, the concentration of individual proteins.

Results
The obtained data let to develop a mathematical formula for the developing risk of arterial hypertension in patients with erosive and ulcerative lesions of the gastroduodenal system.

Discussion
In patients with gastrointestinal diseases, an increase in endothelin-1&gt; 0.8 mmol/ml in combination with an increase in platelets&gt; 169×109/l, leukocytes&gt; 7.8×109/l, glucose&gt; 4.7 mmol/l, cholesterol&gt; 3.8 mmol/l is associated with the development risk of comorbidity.The multiple regression equation describing the formation of a comorbid:Y = –1,523 + 0,703•X1 – 0,001•X2 + + 0,041•X3 + 0,134•X4 + 0,142•X5, where Y -risk of the comorbidity(“0” - no, “1” - yes), X1 - endothelin-1, X2 - blood platelets, X3 - leukocytes, X4 - glucose, X5 - cholesterol.

Conclusion
Locomotive drivers have an increased risk of a comorbid pathology, which is accompanied by a change in a number of laboratory parameters that can be used to predict the risk of developing comorbid pathology.
P-154 MONITORING VIOLENCE IN THE WORKPLACE
Authors: Magnavita Nicola , Meraglia Igor , Arnesano Gabriele , Merella Marco , Vacca Maria Eugenia 
Published: July 2024

Abstract

Introduction
Workplace violence is a worldwide problem. In European countries, employers are obliged to assess and prevent it. Violence can be physical or moral; the latter can take on the character of bullying or mobbing and have very serious effects on the worker’s health. Violence is severely under-reported, which hinders the assessment. Unvalidated algorithms are often used to measure it.

Methods
For more than a decade, the occupational medicine unit at Catholic University has been using two methods to assess workplace violence. (1) Incidence. All workers exposed to occupational hazards, at the periodic medical examination, are asked to report physical assaults, threats, and harassment they have experienced in the past year; (2) Characteristics. Workers in each work unit are asked to fill out an online questionnaire named “Violent Incident Form” to describe violent incidents.

Results
In each company, workplace violence is constantly monitored. For example, in one Public Health Company in 2005/6 the incidence rate of physical assaults was 8.2%, falling in 2011/12 to 7.8% and in 2021 to 3.2%. In 2022, physical violence rose again to 5.6%. Harassment affected 19.6% of workers in 2005/6, falling to 7.2% in 2021 and rising again to 21.6% in 2022. Physical violence perpetrated by patients was more frequent in psychiatric services (OR 25.7, CI95% 11.1; 59.6) and violence perpetrated by visitors in emergency and urgence services (OR 8.8, CI95% 3.8; 20.5) than in general services.

Discussion, Conclusion
This study shows that monitoring violence is simple and inexpensive and provides indispensable elements to effectively prevent it and protect workers.
P-159 COMPARISON OF WORKPLACE VIOLENCE TOWARD HEALTHCARE WORKERS AT A CHINESE HOSPITAL IN 2018 AND 2021: APPLICATION OF THE INTERNATIONAL TOOL-HEALTHWISE
Authors: Huang Yiming , Zhang Min , Chen Na 
Published: July 2024

Abstract

Introduction
The World Health Organization and the International Labour Organization jointly launched the global technical tool of HealthWISE in 2014 for creating a safe and healthy workplace in the health sector. This study aims to assess the changes of workplace violence toward healthcare workers (HCWs) after applying the HealthWISE at an infectious disease hospital in China.

Methods
Based on the baseline survey in 2018, we conducted a cross-sectional survey in 2021 using a questionnaire among 720 HCWs. The status and response modes of workplace violence were investigated with a multi-factor analysis.

Results
The incidence rate of physical violence declined significantly from 5.13% in 2018 to 3.33% in 2021 (P&lt;0.05), while psychological violence decreased significantly from 60.90% in 2018 to 33.89% in 2021 (P&lt;0.05). The influencing factors were the night shift, department, direct contact with patients, and worrying about workplace violence in 2021 (P&lt;0.05). The primary responses by the HCWs were keeping silent, stopping verbally, and confiding to colleagues, but the number of HCWs who sought legal protection and trade union support was low. Respondents considered safety and environmental interventions to be the most effective measures.

Discussion
Under the intervention of HealthWISE, the incidence rate of workplace violence has declined in this hospital, demonstrating the effect of occupational health protection system development. However, there is significant room for improvement to achieve the vision of “zero violence”.

Conclusion
The prevention and control of workplace violence should be urgently incorporated into the occupational health management system, and aligned comprehensive measures should be systematically adopted.
P-164 KNOWLEDGE, ATTITUDE, AND PRACTICE ON OCCUPATIONAL HEALTH PREVENTION AMONG MANUFACTURING WORKERS IN JAVA ISLAND, INDONESIA
Authors: Budiman Erwanda , Ilyas Muhammad , Khoe Levina , Adi Nuri , Sugiharto Agus 
Published: July 2024

Abstract

Introduction
There were increasing number of occupational accident and work-related disease cases among manufacturing workers in Indonesia, especially in Java Island. Therefore, strategies to implement occupational health prevention are necessary to reduce the number of these cases. This study aims to determine the knowledge, attitude, and practice of manufacturing industry workers in Java Island on occupational health prevention and its influencing factors.

Methods
Cross-sectional design was utilized among manufacturing workers. Data was obtained from the Indonesian Occupational Medicine Association (IOMA) which conducted the survey on the occupational health prevention between 2021 to 2022. Bivariate and multivariate logistic regression analyses were performed to evaluate the associations between variables.

Results
About 658 respondents participated in the survey. More than half of the respondents (57.3%) had good knowledge, about 89.4% had positive attitude, and half of them (50.5%) had good practice towards the occupational health prevention strategies.

Discussion
Working in large scale industries increased the odds of good knowledge, positive attitude, and good practice. Being male and having position as manager or above also increased the odds of good practice.

Conclusion
Findings of this study suggested that manufacturing workers had moderate level of knowledge, good attitude, and moderate level of good practice on the prevention of occupational health.
P-166 WORKPLACE HEALTH PROMOTION FOR CHRONIC DISEASES’ IN THE WORKPLACE: A SCOPING REVIEW
Authors: Oosthuizen Esmiralda 
Published: July 2024

Abstract

Background
Workplace occupational health services provide an avenue to address multiple individual risk factors for chronic conditions through workplace health promotion. Chronic conditions in the workplace are addressed through health promotion aimed at improving individual health behaviours, including occupational health and safety interventions. In many instance the workplace contribute to the development of chronic diseases, through hazardous job exposures, high job demands, and inflexible work schedules. Workplaces have been identified by the World Health Organization (WHO) as a priority setting for health promotion as chronic diseases such as cancer, cardiovascular disease (CVD), and type 2 diabetes mellitus (T2DM) account for 74% of all deaths worldwide. The aim of this study is to systematically chart and summarize the literature pertaining to workplace health promotion (WHP) interventions targeting the five main modifiable lifestyle risk factors for chronic disease, including smoking, nutrition, alcohol, physical activity, and overweight/obesity.

Methods
A scoping literature review was performed using the framework of Arksey and O’Malley. The review was conducted by identifying publications via MEDLINE, CINAHL, and SCOPUS.

Results and discussion
The work environment directly shapes employee health, safety, and health behaviours. Chronic disease monitoring is a tool to aid as prove that even though employee has a chronic condition, he/she is controlled and therefore fit to work in job description as stated on fitness certificate.

Conclusion
Workplace health promotion is an effective way to enhance health-promoting behaviors, reach a large segment of the population, and reduce chronic disease risk factors.
P-168 MONITORING MENTAL ENERGY USE AND EXPLORING ASSOCIATED FACTORS AMONG TRUCK DRIVERS IN BELGIUM – TOWARDS PRIMARY PREVENTION
Authors: Verbrugghe Mathieu , De Clercq Bart , Chardome Lara , Stokkaer Ines , Vandecasteele Kaat , Ghoos Johan , Goeman Ann , Fernández Alberto Peña , Van den Broeck Marc , Van den Broeck Philip , Berckmans Daniel 
Published: July 2024

Abstract

Introduction
Stress among truck drivers is common. Interventions tailored to the organization’ and drivers’ needs are most effective. This study aims to (1) monitor metabolic energy use for mental tasks, and (2) explore associated factors and costs.

Methods
In a Belgian company, truck drivers’ mental energy use was monitored for 3 months using the Mindstretch® app (BioRICS), based on objective body measurements. Associated data were registered by the board computer. Costs were provided by the HR department. Individual data were pseudonymized. Individual (daily mean) balance scores (% energy recovery with ≥ 50% indicating more recovery than utilization) were calculated and correlated with the corresponding activity.

Results
Twenty drivers participated voluntarily after informed consent. The group average balance score was 45 (± 27) %. Mentally draining activities were: driving, uncoupling, waiting, refueling, and administration. Mentally recovering activities were: logging in, resting, and starting. Correlations were found between mental energy use and fuel consumption (ρ = 0.24), number of hard breakings (ρ = 0.27), and fines (ρ = 0.23).

Discussion
Correlations between mental energy use and certain activities/costs were found. However, only 20 drivers were followed over 3 months with a limited set of variables. In the new SmarTrans study, these limitations will be addressed. Tailored interventions to increase truck drivers’ resilience will be added and well-being and return on investment of interventions will be monitored.

Conclusion
Combining real time mental energy monitoring and tailored psychosocial interventions has the potential to reduce stress in truck drivers, lower operational costs for employers and lower fuel emissions.
O-099 FUTURE OF GLOBAL OEM: CHALLENGES AND OPPORTUNITIES
Authors: Arias Yohama Caraballo , Saito Kenji 
Published: July 2024

Abstract

Introduction and methods
Occupational and Environmental Medicine (OEM) specialists have become rare specimens. Historically, OEM is a discipline that did not attract junior doctors worldwide, however, this reality is changing in some nations where legislation is mandating Occupational Health and Safety (OSH) services at workplaces. The lack of OEM physicians, nurses, engineers, psychologist, etc. who are trained in OSH has not been quantified.

Results and discussion
OSH relevance has increased after health and safety at work was recognized as a human right in 2022. The main challenges in OEM in some countries are due to the insufficient governmental action on developing and implementing OSH policies in private and public sector. Seeing OSH as an expense and not as an investment; social and economic inequities among nations; and the lack of OEM services to small and medium enterprises are some other global challenges. Currently, only 10% of the population has access to health care services. The future of OEM has numerous opportunities that range from increasing awareness globally, managing the new challenges about robotics, nanotechnology, and artificial intelligence; closing the gap between theory and practice while aligning and inspiring national leaders to invest and implement OSH programs, strengthen legislation while supporting vulnerable countries.

Conclusion
OEM has plenty of opportunities to grow as a multidisciplinary field. Success requires strong partnership and networking from international, governmental institutions, OSH scientific societies and leaders. To achieve this, we could start by sharing best practices and utilizing innovative tools like social media and artificial intelligence to promote health, safety, wellbeing, and happiness at work.