Insecticide exposure and associated acute health effects in farmers in a rice growing district of India.

This study investigated insecticide usage and associated acute health hazards in rice farming in Odisha, India. A retrospective cross-sectional study design was used to collect data from 139 participants, in the post-monsoon period, 2023. The participants were overwhelmingly male, mostly aged 30 and over, with basic literacy and a range of educational attainment, three-quarters ceasing education by 10th grade and a significant number never attending school. Most farmers/farmworkers used low or moderately toxic insecticides in low doses, typically 3 times/year. However, uptake of appropriate PPE was poor when mixing and applying insecticides. Almost two-thirds (63.4%) of participants reported discomfort/illness after insecticide exposure. Over 90% reported up to 3 symptoms, most experiencing skin irritation. The reported health symptoms were significantly higher among those who ate and drank during insecticide application, compared to those who did not. The number of symptoms reported was also significantly higher in participants who had seen or heard of community insecticide poisoning cases in the previous 12 months, compared with those who had not. Further research is needed on barriers to using effective PPE and on information and training on risks and controls of insecticide exposure that are appropriate for rice farmers in Odisha, India.

Retraction notice to "Autophagy regulates the Wnt/GSK3ß/ß-catenin/cyclin D1 pathway in mesenchymal stem cells (MSCs) exposed to titanium dioxide nanoparticles (TiO2NPs)" [Toxicol. Rep. 7C (2020) 1216-1222].

[This retracts the article DOI: 10.1016/j.toxrep.2020.08.020.].

Health screening questionnaires used in the management of mental distress acquired during an injured worker's return to work: A scoping review.

BACKGROUND: Mental distress is often endured by injured workers participating in the rehabilitation or return to work process following a physical injury. Delays in detecting the onset and treating mental distress can lead to a diverse range of cognitive and behavioural changes that may precipitate psychological distress such as anxiety, depression, and posttraumatic stress. OBJECTIVE: The objective of this scoping review was to provide an overview of existing health questionnaires utilised by health care providers and affiliated researchers. It reviewed their effectiveness and suitability to detect mental distress endured by injured workers engaged in the return to work process. METHODS: A scoping review methodology was conducted using the Arksey and O'Malley framework which examined peer-reviewed articles published between 2000 and March 2020 comprising health questionnaires. Database searches included Medline, CINAHL, EMBASE and PsycINFO combining specific MeSH terms and key words. RESULTS: The full search identified 3168 articles. Following full screening a total of 164 articles reviewed the use of health questionnaires and specific criteria to determine their suitability. Most of the health questionnaires reviewed were used as screening measures for identifying both work and non-work-related psychological hazards. However, they were found to be limited in their application when considering all potential predictors of delayed return to work such as poor or stressful interactions with stakeholders, financial stress and the injured workers experience of the RTW process. CONCLUSION: Earlier identification of mental distress using an optimal MHSQ followed by appropriate intervention will reduce the risk of psychological injury becoming cumulative on a physical workplace injury. Without such complications, early return to work can be achieved with significant cost saving to the economy.

Autophagy regulates the Wnt/GSK3ß/ß-catenin/cyclin D1 pathway in mesenchymal stem cells (MSCs) exposed to titanium dioxide nanoparticles (TiO2NPs).

The application of titanium dioxide nanoparticles (TiO2NPs) is on the increase, and so the number of studies dedicated to describing this material's biological effects. Previous studies have presented results indicating the controversial impact of TiO2NPs on cell fate regarding death and survival. We speculate that this may be due to focusing on each of the subject cells as an isolated individual. In this study, we made a difference by looking at the subject cells as an interrelated population. Specifically, we exposed mesenchymal stem cells (MSCs) to TiO2NPs and observed cell death and stimulation of proliferation among the cell population. Our data shows that the exposure to TiO2NPs initiated autophagy, which led to an increase in extracellular Wnt protein levels and increased Wnt/GSK3ß/ß-catenin/cyclin D1 signalling in the cell population. Autophagy inhibitor repressed the effects of TiO2NPs, which indicates that ß-catenin regulation was dependent on TiO2NPs-induced autophagy. The inhibition of ß-catenin resulted in dysregulation of cyclin D1 protein expression level. In conclusion, following exposure to TiO2NPs, MSCs undergo autophagy, which induces cell proliferation among the cell population by upregulation of cyclin D1 through the Wnt/GSK3ß/ß-catenin pathway.

Australian general practitioners' perspective on the role of the workplace Return-to-Work Coordinator.

General practitioners (GPs) play a key role in the return-to-work process, and yet their experiences working with workplace Return-to-Work Coordinators (RTWCs) have rarely been studied. The aim of this paper is to provide insights from the GP perspective about their experiences with workplace RTWCs and their preparedness for the role. GPs from Australian states and territories where legislation mandates workplaces employ a RTWC were requested to complete a questionnaire on their experiences with workplace RTWCs. Fifty GPs completed a questionnaire on the preparedness of RTWCs in relation to their role, with 58% (n=29) indicating RTWCs require more training. A total of 78% (n=39) of respondents considered RTWCs were important in assisting injured workers return to work, with 98% (n=49) ranking trustworthiness, respectfulness and ethicalness as the most important or an important trait for a RTWC to possess. Interestingly, 40% (n=20) of respondents themselves reported having no training in the return-to-work process. GPs acknowledge the importance of the workplace RTWC in the return-to-work process, and the results highlight the need for RTWCs to possess specific traits and undergo appropriate training for the facilitation of a successful return to work for injured workers.

Musculoskeletal discomfort and use of computers in the university environment.

This cross-sectional study investigated musculoskeletal discomfort and computer use in university staff, through the use of online questionnaires. Results showed a high prevalence of staff reported musculoskeletal discomfort during the preceding year (80%), with neck (60%), shoulder (53%) and lower back discomfort (47%) being the most common. Most believed discomfort was caused by work, although neck discomfort was significantly less in those reporting excellent mental health (OR 0.44, p < 0.01). Computer navigation was performed primarily by mouse (77%); however, using a touch pad increased the odds (OR 1.17, p < 0.01) of wrist discomfort and the belief it was caused by work (OR 1.19, p < 0.01). Few staff attended ergonomic training (16%) or requested workstation assessments (26%). However, high rates of staff reporting musculoskeletal discomfort sought professional treatment (range: 35.2% wrist/hand to 65.0% shoulder). Strategies are needed to address uptake of preventive measures and reduce reliance on medical treatments following musculoskeletal discomfort in universities.

Insights into workplace Return to Work Coordinator training: An Australian perspective.

BACKGROUND: Following brief training, an Australian workplace Return to Work (RTW) Coordinator is expected to provide information to the injured worker, liaise with key stakeholders and maintain workplace policies and procedures in accordance with legislative requirements. OBJECTIVES: The aim of this study was to provide insights into the experiences and perceptions of the Australian Workplace RTW Coordinator in relation to current training practices and to identify any existing inadequacies within the available training. METHOD: Twenty-five workplace RTW Coordinators from five Australian states participated in six focus groups.Participants with a minimum of two years' experience as a workplace RTW Coordinator and involved with the development and implementation of workplace policies and procedures, were included in the study. Thematic analysis was performed to identity meaningful themes and patterns. RESULTS: The findings highlighted specific training requirements and additional support mechanisms recommended by current workplace RTW Coordinators. Four key themes clearly emerged: inadequate training; irrelevant content; the need for specialised trainers; and network support services. CONCLUSION: RTW Coordinators require effective training and support to ensure the appropriate and timely delivery of services to all stakeholders involved in the RTW process. The results of this study may inform future training practices for RTW Coordinators.

The role of the Australian workplace return to work coordinator: essential qualities and attributes.

INTRODUCTION: In the Australian context, a return to work (RTW) Coordinator assists an injured worker with workplace-based support and regulatory guidance for the duration of their injury. Coordinating the RTW process has been considered an effective approach for managing workplace injuries, however few studies have described the skills, traits or characteristics required to fulfil the role of workplace RTW Coordinator. This study aims to provide insight as to the skills and attributes needed for the role of the workplace RTW Coordinator from their experience and perception. METHOD: Focus groups were conducted with workplace RTW Coordinators from six major Australian cities. Twenty five participants were recruited through a national RTW Coordinator website, and professional RTW interest groups using a snowballing technique. Participating workplace RTW Coordinators were required to have a minimum 2 years' experience and to have been involved with the development and implementation of workplace policies and procedures. Thematic analysis was performed to identify meaningful patterns and themes. RESULTS: The data analysed provided clear insight as to the specific role requirements necessary for working as an Australian workplace RTW Coordinator. Three key themes clearly emerged; communication skills, RTW Coordinator characteristics, and managing the RTW process. CONCLUSION: The findings indicate that RTW Coordinators require a wide range of traits, skills, and attributes to successfully perform this role. Effective management by the RTW Coordinator of the complex RTW process is essential to facilitate a smooth transition for the injured worker, alongside maintaining a professional relationship with the employer and external stakeholders. The results of this study can be utilised to further improve the selection of future RTW Coordinators.

Return-to-work coordinators' resourcefulness and the provision of suitable duties for nurses with injuries.

BACKGROUND: There is little health specific literature on returning nurses with injuries to work despite the high incidence of injuries and the workforce shortages of these professionals. OBJECTIVE: To identify enabling factors and barriers to return-to-work for nurses with injuries from the perspective of return-to-work coordinators. PARTICIPANTS: Workplace return-to-workcoordinators employed in a health or disability facility who had worked on a rehabilitation case with a nurse with injuries in the past 12 months in New South Wales (NSW), Australia. METHOD: Five focus groups were conducted with 25 return-to-work coordinators from 14 different organisations, representing different health sectors (aged, disability, public and private hospital and community health) in metropolitan and rural areas of NSW, Australia. RESULTS: This study reports findings specifically relating to the provision of suitable duties for nurses with injuries. Four key themes were identified: suitable duties; supernumerary positions; nurse specialisation and tailoring of return-to-work plans. CONCLUSIONS: This study identified that return-to-work coordinators were resourceful and innovative in their approach to the provision of suitable duties for nurses with injuries and highlighted the importance of including clinical duties in any return-to-work program and of tailoring the return-to-work to the nurses' work and personal circumstances.

Workplace injury and nurses: Insights from focus groups with Australian return-to-work coordinators.

Few studies have examined the return-to-work process for nurses who are injured at work. The purpose of this study was to identify the factors that facilitate or impede the successful return to work of nurses who have sustained a workplace injury from the perspective of return-to-work coordinators. A qualitative, descriptive study was conducted and 25 return-to-work coordinators from 14 different organizations participated in focus group discussions. The participants were recruited from healthcare settings in metropolitan and rural areas of New South Wales, Australia. These included aged-care, residential, and community disability support services, public and private hospitals, and the community health sector. Workforce shortages, individual life circumstances and nurses' work, and nurses' qualifications, specialization, experience, and job tenure were identified as the factors that influence the timely, safe, and sustainable return to work of injured nurses. This study provides insight into how workforce shortages have driven innovative practice in accommodating a nurse's life circumstances when developing the return-to-work plan. Barriers to nurses' return to work included a lack of qualifications, specialization, and the casualization of the workforce.

The return-to-work coordinator role: qualitative insights for nursing.

Introduction Few studies have examined the role of RTW Coordination from the perspective of RTW Coordinator's. Furthermore there is little health specific literature on returning injured nurses to work despite the critical workforce shortages of these professionals. The study aimed to examine barriers and facilitators identified by the RTW Coordinator to returning injured nurses to work and influences on specific health sector or geographic location. The study sought to gain insights into the professional backgrounds and everyday work practices of RTW Coordinators. METHOD Five focus groups were conducted in metropolitan and rural areas of NSW, Australia. Twenty-five RTW Coordinators from 14 different organisations participated in the study. The focus groups included participants representing different health sectors (aged, disability, public and private hospital and community health). RESULTS The data analysis identified information pertaining to the qualifications and backgrounds of RTW Coordinators; the role of RTW Coordinators' within organisational structures; a range of technical knowledge and personal qualities for RTW Coordination and important elements of the case management style used to facilitate RTW. CONCLUSIONS The findings identified a wide range of professional backgrounds that RTW Coordinators bring to the role and the impact of organisational structures on the ability to effectively undertake RTW responsibilities. The study found that interpersonal skills of RTW Coordinators may be more important to facilitate RTW than a healthcare background. A collaborative case management style was also highlighted and the difficulties associated with juggling conflicts of interest, multiple organisational roles and the emotional impact of the work.