Supporting companies dealing with asbestos risk: Practical tools for occupational health services, risk prevention specialists, and companies.

Although asbestos has been officially banned in France for over two decades, it remains a major public health and occupational health issue. In 2012, French asbestos regulations became considerably more stringent and complex. Consequently, French Public Works and Building Trades Prevention Organisation (OPPBTP) and occupational health services have been working together for several years to support construction professionals. This support involves information, training and advice. This article presents the range of tools developed by OPPBTP and occupational health services to better understand the asbestos risk as it affects construction companies. These tools and this partnership have demonstrated positive results in confronting risk and in the implementation of suitable means of prevention. They serve the best interests of employees, companies and clients, by combining safeguards to employees' health and worksite performance.

Occupational risks in a representative sample of Portuguese tattoo artists: comparison between self-perception and risk assessment methods.

Introduction: In recent decades there has been a growth in the demand for tattoos and in the number of tattoo artists. Objectives: A study was designed to compare the results obtained in the application of risk assessment instruments by the Occupational Safety and Health team with those of the risk perception of the same variable in a sample of tattoo artists. Methods: A risk chart was prepared and the William Fine method, the integrated risk assessment approach, and the methodology for risk assessment and accidents at work were applied for general risk assessment, whereas the Ovako Working Posture Analysis System and Rapid Entire Body Assessment were applied for ergonomic risk assessment. Tattoo artists' perception was registered in an online questionnaire. Results: The most valued risk factors by tattoo artists were forced/maintained postures and repetitive movements; conversely, interaction with old machines and/or in poor condition and monotonous work. Divergences were found when comparing the results of risk assessment with those of risk perception, since the first highlights chemical and biological agents. This may be justified by the fact that tattoo artists give more relevance to issues capable of causing faster and/or more intense semiology. Conclusions: If the Occupational Safety and Health team is attentive and prepared to deal with these differences, it will achieve better performance.

Introdução: Nas últimas décadas, houve um crescimento na procura por tatuagens e no número de tatuadores. Objetivos: Projetou-se um estudo para comparar os resultados obtidos na aplicação de instrumentos para avaliação de risco pela equipe de Saúde e Segurança Ocupacionais com a percepção da mesma variável em uma amostra de tatuadores. Métodos: Elaborou-se uma carta de riscos, e foram aplicados os métodos de William Fine, a metodologia integrada de avaliação de risco, bem como e de avaliação do risco e acidentes de trabalho para risco geral e o Ovako Working Posture Analysis System e Rapid Entire Body Assessment para o risco ergonômico. A percepção dos tatuadores foi registrada em um questionário on-line. Resultados: Os fatores de risco mais valorizados pelos tatuadores foram as posturas forçadas/mantidas e os movimentos repetitivos; por sua vez, entre os fatores de risco menos valorizados, estavam a interação com máquinas antigas e/ou em mau estado e o trabalho monótono. Comparando os resultados da avaliação de risco com a percepção de risco, constata-se que existem divergências, uma vez que a primeira realça os agentes químicos e biológicos. Isso pode se justificar por eventualmente os tatuadores darem mais relevância às questões com capacidade para originar semiologia mais rápida e/ou intensa. Conclusões: Se a equipe de Saúde e Segurança Ocupacionais estiver atenta e preparada para lidar com essas diferenças, terá maior capacidade de obter melhor desempenho.

Health actions and occupational vocal conservation: how are they being implemented?

The actions in Occupational Speech Therapy are becoming more evident with the emergence of new experiences and interventions that aim to intercept the disease process, emphasizing the prevention and protection of vocal health in the occupational context. This work aims to analyze how health and occupational vocal conservation actions are being implemented. This is an integrative literature review, whose survey was carried out from June to October 2020, in the Capes Periódicos platform, using the descriptors "worker's health" and voice. After applying the defined exclusion and inclusion criteria and subtraction of repeated publications, a total of 16 articles were selected. The teacher's voice has been a priority object in Brazilian speech therapy research in recent years. The results presented show the importance of health promotion actions that aim at the well-being of workers as a whole, in an integral and multidisciplinary way. Occupational vocal health and conservation actions encompass activities related to vocal health surveillance and risk conditions for the development of voice disorders, vocal health education, direct vocal interventions, voice assessment, laryngological assessment, referrals and assessment of workers' perception of the proposed actions.

As ações em Fonoaudiologia do Trabalho vêm se tornando mais evidentes com o surgimento de novas experiências e intervenções que visam interceptar o processo da doença, enfatizando a prevenção e a proteção da saúde vocal no contexto ocupacional. Este trabalho visa analisar como estão sendo implementadas as ações de saúde e conservação vocal ocupacional. Tratou-se de uma revisão bibliográfica integrativa, cujo levantamento foi realizado no período de junho a outubro de 2020 na plataforma Periódicos CAPES, utilizando-se os descritores "saúde do trabalhador" e "voz". Após a aplicação dos critérios de exclusão e inclusão definidos e subtração das publicações repetidas, foi selecionado um total de 16 artigos. A voz de professores vem sendo objeto priorizado nas pesquisas fonoaudiológicas brasileiras nos últimos anos. Os resultados apresentados elencam a importância de ações de promoção da saúde, que objetivem o bem-estar dos trabalhadores como um todo, de forma integral e multidisciplinar. As ações de saúde e conservação vocal ocupacional englobam atividades relacionadas à vigilância da saúde vocal e de condições de risco para o desenvolvimento dos distúrbios de voz, à educação em saúde vocal, a intervenções vocais diretas, à avaliação da voz e laringológica, a encaminhamentos e à avaliação da percepção dos trabalhadores diante das ações propostas.

Mild traumatic brain injury caused by workplace violence in a US workers' compensation system.

OBJECTIVES: Approximately 81% of traumatic brain injury cases are considered to be mild (mTBI), but few studies have reviewed mTBI caused by workplace violence (WPV). This study aimed to (1) determine the incidence of mTBI secondary to WPV in a statewide workers' compensation system using International Classification of Disease codes and (2) analyse and compare factors associated with return-to-work outcomes between WPV mTBI cases versus other mechanisms. METHODS: Using a retrospective cohort of claims data from the California Workers' Compensation Information System during 2015-2019, cases with a return-to-work date were classified as WPV if the injury description contained keywords such as assault, gunpoint, harassed, intimidated, punch, threat, robbery, violent or verbal abuse. RESULTS: Of the 14 089 mTBI claims analysed in this study, 11.2% were caused by WPV. When comparing WPV to non-WPV claims, the variables with statistically significant (p≤0.001) differences were age, income, industry and job class. There were no significant differences between groups for leave duration. In a linear mixed model, the variable of interest (WPV) was not associated with recovery duration after adjusting for other factors. CONCLUSION: To our knowledge, this is the first study to examine WPV mTBI claims in the USA. The findings suggest that the public administration, education and healthcare and social services industries are at higher risk for WPV mTBI. WPV and job class were the only modifiable factors in the model and therefore should be the focus of additional research.

Análise de perfil de saúde dos trabalhadores de um hospital do sul do Brasil / Health profile analysis of hospital workers in southern Brazil / Análisis del perfil de salud de los trabajadores de un hospital del sur de Brasil

A análise do perfil de saúde dos profissionais de saúde é necessária em ambientes hospitalares devido ao nível de insalubridade apresentado nesses locais. Assim, o objetivo deste estudo foi investigar o perfil de saúde, nível de atividade física e exposição a telas de trabalhadores de um hospital no Sul do Brasil. Este estudo tem caráter transversal e descritivo, e a amostra utilizada foi composta por trabalhadores adultos de um hospital universitário do Sul do Brasil. Os resultados indicaram que a maioria eram mulheres, brancas, de 35-44 anos, com especialização, renda de três a seis salários mínimos, percepção de bem-estar "boa" a "regular", índice de massa corporal "eutrófico" a "sobrepeso", sem doenças crônicas, não fumantes, com sono irregular, ansiedade em níveis normais, saúde percebida como "boa", sedentários, com mais de seis horas de tempo sentado em dias de trabalho. Foram encontradas associações entre ansiedade e várias variáveis. Embora com aspectos positivos, destaca-se que os trabalhadores apresentaram fatores de riscos à saúde, como sedentarismo, tempo prolongado sentado e dor corporal leve e sono irregular. Intervenções em saúde como diminuição de sedentarismo promovendo a prática de atividade física, redução de tempo sentado e orientações para manejo do sono e alívio de dores são necessárias nesse ambiente.

Analyzing the health profile of healthcare professionals is necessary in hospital environments due to their level of unhealthy conditions. Thus, this study investigated the health profile, level of physical activity, and screen exposure of workers at a hospital in southern Brazil. A cross-sectional descriptive was conducted with adult workers from a university hospital in southern Brazil. Results indicated that most participants were white women aged 35 to 44 years with specialization, an income of three to six minimum wages, well-being perceived as "good" to "regular", "eutrophic" to "overweight" body mass index, without chronic diseases, non-smokers, with irregular sleep, anxiety at normal levels, health perceived as "good," sedentary, sitting for more than six hours on work days. Associations were found between anxiety and several variables. Despite positive aspects, workers presented health risk factors such as a sedentary lifestyle, prolonged sitting, mild body pain, and irregular sleep. Health interventions to reduce sedentary lifestyles by promoting physical activity, to reduce sitting time, and to guide sleep management and pain relief are necessary in this setting.

El análisis del perfil de salud de los profesionales de la salud es importante en el ámbito hospitalario debido al nivel de condiciones de insalubridad en estos lugares. Así, el objetivo de este estudio fue evaluar el perfil de salud, el nivel de actividad física y la exposición a pantallas por parte de los trabajadores de un hospital del Sur de Brasil. Este es un estudio transversal y descriptivo, y la muestra estuvo compuesta por trabajadores adultos de un hospital universitario del Sur de Brasil. Los resultados indicaron que la mayoría eran mujeres, blancas, de entre 35 y 44 años, con especialización, ingresos de tres a seis salarios mínimos, percepción de bienestar "bueno" a "regular", índice de masa corporal "eutrófico", "sobrepeso", sin enfermedades crónicas, no fumadores, con sueño irregular, ansiedad en niveles normales, salud percibida como "buena", sedentarios, con más de seis horas sentados en días laborales. Se encontraron asociaciones entre la ansiedad y varias variables. Aunque existen aspectos positivos, se destaca que los trabajadores presentaron factores de riesgo para la salud, como sedentarismo, estar sentado durante mucho tiempo, dolores corporales leves y sueño irregular. En este entorno son necesarias intervenciones sanitarias, como la reducción del estilo de vida sedentario mediante la promoción de la actividad física, la reducción del tiempo sentado y la orientación sobre el manejo del sueño y el alivio del dolor.

Occupational Health Barriers in South Africa: A Call for Ubuntu.

Many low- and middle-income countries (LMICs) grapple with shortages of health workers, a crucial component of robust health systems. The COVID-19 pandemic underscored the imperative for appropriate staffing of health systems and the occupational health (OH) threats to health workers. Issues related to accessibility, coverage, and utilization of OH services in public sector health facilities within LMICs were particularly accentuated during the pandemic. This paper draws on the observations and experiences of researchers engaged in an international collaboration to consider how the South African concept of Ubuntu provides a promising way to understand and address the challenges encountered in establishing and sustaining OH services in public sector health facilities. Throughout the COVID-19 pandemic, the collaborators actively participated in implementing and studying OH and infection prevention and control measures for health workers in South Africa and internationally as part of the World Health Organizations' Collaborating Centres for Occupational Health. The study identified obstacles in establishing, providing, maintaining and sustaining such measures during the pandemic. These challenges were attributed to lack of leadership/stewardship, inadequate use of intelligence systems for decision-making, ineffective health and safety committees, inactive trade unions, and the strain on occupational health professionals who were incapacitated and overworked. These shortcomings are, in part, linked to the absence of the Ubuntu philosophy in implementation and sustenance of OH services in LMICs.

Work environment adversity and non-communicable Disease risk among drivers working for application-based-cab-aggregators in an Indian metropolis : Assessment of work environment adversity and its association with ncd risk factors among application based cab aggregators in Bengaluru, India: a cross sectional study.

BACKGROUND: Bengaluru, a metropolis in Southern India, is one of the largest markets for cab aggregator companies. Drivers working for these companies play a vital role in urban transportation but unlike other drivers, their work pattern is stressful, which could increase their proneness to NCD risk factors. Understanding associations between work environment adversity and NCD risk factors among these drivers will help to plan specific health promotion and NCD prevention programs including provision of basic occupational health services. OBJECTIVES: The study aims to test for an association between work environment adversity and selected Non-communicable Disease (NCD) risk factors among Application Cab Aggregator drivers in Bengaluru city and to estimate the prevalence of selected NCD risk factors among the ABCA drivers. METHODOLOGY: This cross-sectional study was conducted in Bengaluru city among 340 eligible and consenting ABCA drivers with at least one-year experience. Drivers were recruited through a multi-stage sampling procedure and time-period sampling, from transportation and leisure zones in the city. Data was collected through interviews using specifically developed semi-structured tools to assess work environment adversity and NCD risk factors. Prevalence of NCD risk factors is presented per 100 drivers with 95% confidence intervals. Multivariate Logistic regression analysis was conducted to quantify the strength of the association between work environment adversity categories and NCD risk factors. Ethical clearance was obtained from the NIMHANS Ethics Committee. RESULTS: Nearly 97% of the 340 drivers reported having one or more NCD risk factors. Working more than 5 days a week, more than 7 + hours a day, staying away from family, and working night shifts were closely associated with higher risk for NCD risk factors among ABCA drivers. Drivers with work environment adversity scores between 5 and 10 were associated with higher odds of Physical Inactivity (OR = 3.1), Unhealthy diets (OR = 1.62), and Tobacco Use (OR = 3.06). CONCLUSION: The study highlights the association between work environment adversity and NCD risk factors and indicates a dire need for NCD prevention programs, basic occupational health services, and social security provisions for ABCA cab drivers.

Characteristics of Multiprofessional and Client-Oriented Approach in Occupational Health Services: A Cross-Sectional Survey Among Occupational Health Professionals.

Background: Multiprofessional and client-oriented approaches are considered key factors for successful occupational health services, and for impressive occupational health cooperation between a client organisation and occupational health service provider. The purpose of this study was to find out the views of occupational health physicians, occupational health nurses, occupational physiotherapists, and occupational health psychologists about multiprofessional and client-oriented working methods. These working methods describe the guidelines for good occupational health practice in Finland, also serving the framework of the present study. Material and Methods: The survey was conducted in May and June 2022. The data consisted of answers to open-ended questions of a larger questionnaire. The data was analysed with the method of theory-related thematic analysis. Seven occupational health service providers committed to the study. Altogether 121 professionals responded to the question surveying the multiprofessional approach, and 119 professionals responded to the question of client-oriented approach. Results: The results showed that both the multiprofessional and client-oriented approaches are closely related to each other, and the views of these approaches are in line with the good occupational health practice. Multiprofessional approach was most commonly described with the theme of sharing expertise. Respectively, the theme of smooth cooperation most commonly described the client-oriented approach. At its best, the answers showed that a multiprofessional working strategy takes into account the expertise of different professionals so that the client can be offered high-quality, accurate content and timely occupational health services. Conclusion: The results provide up-to-date information on working strategies of occupational health services in Finland. The results can be used in further development of multiprofessional and client-oriented work in occupational health services.

Towards person-centred work-focused healthcare for people with cardiovascular disease: a qualitative exploration of patients' experiences and needs.

PURPOSE: To explore the experiences and needs concerning work-focused healthcare of patients experiencing problems with work participation due to cardiovascular disease based on all facets of person-centred care. METHODS: Nineteen patients who experienced or continue to experience problems with work participation due to cardiovascular disease participated in semi-structured interviews preceded by preparatory written assignments. The transcripts were analysed by means of directed qualitative content analysis. Adapted principles of the Picker Institute for Person-Centred Care provided a template for the analysis. RESULTS: 28 experiences and needs emerged and were grouped into the eight principles for person-centred work-focused healthcare. Randomly presenting one theme for each of the eight principles, the themes included: (1) frequent encounters with occupational healthcare professionals; (2) substantive work-related advice; (3) transparency in communication; (4) support for family; (5) information provision on the work-focused healthcare process; (6) personal control during the process; (7) empathy for the personal situation; and (8) tailored work-focused support. CONCLUSIONS: The identified experiences and needs for work-focused healthcare of patients experiencing problems with work participation due to cardiovascular disease clearly indicate the need to improve the delivery of person-centred work-focused healthcare to better meet the individual needs of patients.

Provided work-focused healthcare services do not always align with the patient's needs when experiencing disease-related sick leave, potentially impacting their ability to stay in or return to work.This overview of patients' experiences and needs for work-focused healthcare may provide professionals with better insight into the patients' needs and aids to adapt the healthcare provision to these needs.When professionals target the patient's needs, it may facilitate better provision of person-centred work-focused healthcare.

Effectiveness of the Coordinated Return to Work model after orthopaedic surgery for lumbar discectomy and hip and knee arthroplasty: a register-based study.

OBJECTIVES: This study examined the effectiveness of an individualised Coordinated Return to Work (CRtW) model on the length of the return to work (RTW) period compared with a standard prescription of 2-3 months RTW during recovery after lumbar discectomy and hip and knee arthroplasty among Finnish working-age population. METHODS: Cohorts on patients aged 18-65 years old with lumbar discectomy or hip or knee arthroplasty were extracted from the electronic health records of eight Finnish hospital districts in 2015-2021 and compiled with retirement and sickness benefits. The overall effect of the CRtW model on the average RTW period was calculated as a weighted average of area-specific mean differences in RTW periods between 1 year before and 1 year after the implementation. Longer-term effects of the model were examined with an interrupted time series design estimated with a segmented regression model. RESULTS: During the first year of the CRtW model, the average RTW period shortened by 9.1 days (95% CI 4.1 to 14.1) for hip arthroplasty and 14.4 days (95% CI 7.5 to 21.3) for knee arthroplasty. The observed differences were sustained over longer follow-up times. For lumbar discectomy, the first-year decrease was not statistically significant, but the average RTW had shortened by 36.2 days (95% CI 33.8 to 38.5) after 4.5 years. CONCLUSIONS: The CRtW model shortened average RTW periods among working-age people during the recovery period. Further research with larger samples and longer follow-up times is needed to ensure the effectiveness of the model as a part of the Finnish healthcare system.

Workplace interventions focusing on how to plan, organize and design the work environment in hospital settings: A systematic review.

BACKGROUND: Occupational Health Service (OHS) is a service that should support employers and employees with their work environment. Previous research indicates the need for deeper knowledge about the effect of workplace interventions with a focus on planning, organizing and designing the workplace to improve work conditions in hospital settings. OBJECTIVE: The aim was to evaluate the outcomes, workplace interventions and intervention strategies in hospital settings. METHODS: A systematic literature review was conducted. CINAHL, MEDLINE, PsycInfo, Scopus, and Web of Science Core Collection were searched in September 2021. The Mixed Methods Appraisal Tool was used to evaluate the quality of the included studies. Study results are presented through a narrative synthesis. A protocol for this study was registered on the Open Science Framework. RESULTS: Twenty-six studies, published between 2010 and 2021, were included. These included randomized controlled trials (RCTs), non-RCTs, and mixed methods reports with moderate to good quality. The results support the use of workplace interventions to improve work conditions, health, and well-being in hospital settings. Combinations of different interventions, tailored to the specific organization, were used. Important intervention strategies commonly used in the start-up, evaluation, and intervention of successful workplace interventions, were identified. Using a pragmatist complexity approach in workplace interventions can improve outcomes by providing clear intervention strategies and combinations of tailored interventions, related to context specific problems. CONCLUSION: OHS support in workplace interventions with clear intervention strategies will contribute to improve work conditions, health and well-being in hospital settings.

Prevenção de riscos e agravos à saúde dos trabalhadores hospitalares à luz da Teoria da Atividade Histórico-Cultural / Occupational risk prevention in hospitals based on the Cultural-Historical Activity Theory

Resumo A prevenção de riscos e agravos à saúde dos trabalhadores nos hospitais deve ser foco dos gestores, pois contribui para a qualidade de vida no trabalho e a segurança do paciente. O objetivo deste artigo é compreender a atividade de prevenção de riscos e agravos à saúde dos trabalhadores no contexto hospitalar, a partir das contradições históricas e empíricas do sistema de atividade. Estudo qualitativo exploratório, ancorado na Teoria da Atividade Histórico-Cultural, desenvolvido em um hospital universitário do estado de São Paulo. Os dados foram coletados entre setembro de 2021 e janeiro de 2022 por meio de entrevistas semiestruturadas com nove profissionais do Serviço Especializado em Engenharia de Segurança e Medicina do Trabalho e cinco gestores do hospital; 20 horas de observação de campo; e análise documental. Apesar da expansão do objeto da atividade de prevenção, os demais elementos do sistema de atividade não se adaptaram às novas exigências, evoluindo com incompatibilidades e contradições que comprometeram o alcance dos resultados esperados. As principais ações de resposta observadas ficaram centradas em adequações a exigências de itens de normas, como composição de equipe, exames médicos e outras que pouco atuam na promoção e proteção da saúde.

Abstract Hospital managers should target occupational risks and harm prevention since this can contribute to the quality of life at work and patient safety. This article aims to elucidate the activity of prevention of occupational risks and injuries in the hospital setting based on analysis of historical and empirical contradictions of the activity system. An exploratory qualitative study grounded in the Cultural-Historical Activity Theory was conducted at a university hospital in the state of São Paulo. Data were collected between September 2021 and January 2022 via individual semi-structured interviews of 9 professionals from the Occupational Health and Safety services and of five hospital managers, involving 20 hours of field observation and document analysis. Despite the expansion of the object of prevention activity, the other elements of the activity system did not adapt to the new demands, causing incompatibilities and contradictions that compromised the attainment of the expected outcomes. The main response actions observed were centered on complying with regulatory items, such as team composition, medical examinations and others, that contribute little toward promoting occupational health and safety.

Comprehensive Physical Work Capacity Evaluations for Korean Farmers Assessed in Healthy Volunteers.

OBJECTIVE: To establish the lower limits of normative values of the physical work capacity for Korean farmers in healthy working individual. METHODS: We developed a comprehensive set of physical work capacity evaluation items that encompass common farming tasks. These items include measurements of trunk flexion/extension angles, strength (hand grip, trunk flexion/extension, leg/back lifting, and pushing/pulling), and positional tolerances. We calculated the normative values for the items and defined the normal range in 124 healthy volunteers aged 20-79 years. We calculated the intraclass correlation coefficient (ICC) to validate the test-retest reliability of the measurements protocol. RESULTS: The normal values for each measurement item were as follows: trunk flexion and extension angle (65.3°±11.6° and 29.6°±6.6°), dominant hand grip strength (32.2±10.5 kgf), trunk flexion and extension strength (288.4±119.0 N and 297.3±129.9 N), leg and back lifting strength (452.9±233.5 N and 349.2±166.7 N), pushing and pulling strength (214.7±75.1 N and 221.7±63.3 N), and positional tolerance time (squat: 76.8±9.0 seconds, front: 73.8±7.7 seconds, twist: 82.2±8.8 seconds, upward: 71.9±11.3 seconds). Regarding test-retest reliability, all strength measurements demonstrated excellent absolute agreement (ICC, 0.91-0.96). However, positional tolerance showed poor-to-moderate absolute agreement (ICC, 0.37-0.58). CONCLUSION: We conducted measurements of muscle strength and positional tolerance in healthy participants of various ages, focusing on tasks commonly performed by Korean farmers. The outcomes hold significant value as they offer a pertinent instrument for assessing the appropriateness of workers, thereby carrying implications for rehabilitation objectives, legal evaluations, and work capacity assessments within the agricultural domain.

Surveillance is the first step to preventing injury among fast jet aircrew: results of a 2-year prospective cohort study.

OBJECTIVES: Injury surveillance is imperative for injury prevention but difficult in military populations. Our objective was to accurately describe the pattern of musculoskeletal complaints among Royal Australian Air Force (RAAF) fast jet aircrew (FJA) using the validated University of Canberra Fast Jet Aircrew Musculoskeletal Questionnaire (UC-FJAMQ) over a 2-year period, and determine injury burden on the workforce and operational capability. METHODS: 306 RAAF FJA were monitored over a 2-year period (4×5 month reporting periods). Musculoskeletal complaint episodes (MCEs) were captured weekly using the UC-FJAMQ. Time loss episodes (TLEs) were captured from the UC-FJAMQ and injury registers completed by embedded physiotherapists. Cumulative severity and operational impact scores from the UC-FJAMQ, and time loss duration, were used to describe severity and calculate burden. RESULTS: Mean weekly UC-FJAMQ response rate was 62%. 1012 MCEs were captured, with a mean weekly prevalence of 14.9% (95% CI 14.2-15.6), and incidence of 4.1 episodes per person-year (95% CI 3.9-4.4). A total of 145 TLEs were captured, with a mean 5-month prevalence of 12.4% (range 8.9-15.3%), and incidence of 0.37 episodes per person-year (95% CI 0.31-0.43). Spinal regions accounted for 81% of MCEs and contributed 76% and 85% of burden in relation to cumulative severity and operational impact, respectively. 57% of TLE burden came from spinal regions. CONCLUSIONS: Despite modest weekly UC-FJAMQ response rates, musculoskeletal complaints were shown to be widespread and negatively impact operational capability. Future injury prevention efforts among FJA should focus on spinal regions, particularly the neck.

[Artificial Intelligence and employee's health - new challenges]. / Sztuczna inteligencja a zdrowie pracownika ­ nowe wyzwania.

BACKGROUND: The presence of artificial intelligence (AI) in many areas of social life is becoming widespread. The advantages of AI are being observed in medicine, commerce, automobiles, customer service, agriculture and production in factory settings, among others. Workers first encountered robots in the work environment in the 1960s. Since then, intelligent systems have become much more advanced. The expansion of AI functionality in the work environment exacerbates human health risks. These can be physical (lack of adequate machine control, accidents) or psychological (technostress, fear, automation leading to job exclusion, changes in the labour market, widening social differences). MATERIAL AND METHODS: The purpose of this article is to identify, based on selected literature, possible applications of AI and the potential benefits and risks for humans. RESULTS: The main area of interest was the contemporary work environment and the health consequences associated with access to smart technologies. A key research area for us was the relationship between AI and increased worker control. CONCLUSIONS: In the article, the authors emphasize the importance of relevant EU legislation that guarantees respect for the rights of the employed. The authors put forward the thesis that the new reality with the widespread use of AI, requires an analysis of its impact on the human psycho-social and health situation. Thus, a legal framework defining the scope of monitoring and collection of sensitive data is necessary. Med Pr. 2023;74(3):227-33.

Work-focused healthcare from the perspective of employees living with cardiovascular disease: a patient experience journey mapping study.

BACKGROUND: People living with cardiovascular diseases (CVD) often experience work participation problems. Good work-focused healthcare, defined as the received advice, treatment, and guidance focusing on work participation, can support the patient and work place. However, experiences with work-focused healthcare are generally not always positive which is a barrier for work participation. Therefore, the objective of this study is to gain insight into the work-focused healthcare journey from the perspective of patients with work participation problems due to CVD, to understand their experiences and needs, and to derive opportunities for improving work-focused healthcare service at a system level. METHODS: Semi-structured interviews, preceded by preparatory assignments, were conducted with 17 patients who experience(d) work participation problems due to CVD. The patient experience journey map (PEJM) approach was used to visualize the patients' work-focused healthcare journey, including experiences and needs over time and place, from which opportunities to improve work-focused healthcare from the patient's perspective were derived. RESULTS: An aggregated PEJM consisting of six phases was composed and graphically mapped. The first phase, working, represents a period in which CVD health problems and subsequent functional limitations occur. The next two phases, short- and long-term sick leave, represent a period of full sick leave. The last three phases, start-, partial-, and full vocational reintegration, focus on the process of return to work that takes place ranging from a few months up to several years after sick-listing. For each phase the touchpoints, timespan, stakeholders, activities, experiences and needs from the perspective of the patients were identified. Finally, for better work-focused healthcare nine opportunities for improvement were derived from the PEJM, e.g. emphasize the need for work adjustment prior to the medical intervention, provide more personalized advice on handling work limitations, and putting more compelling pressure on the employer to create suitable work positions for their employees. DISCUSSION/CONCLUSION: This paper contributes insights to provide a more patient-centered work-focused healthcare trajectory for patients employed in paid jobs when living with CVD. The PEJM provides an understanding of the patients' perspectives throughout their work-focused healthcare journey and highlights opportunities for improvement towards a better suited and seamless patient journey, Although this research was conducted within the Dutch healthcare system, it can be assumed that the findings on integrated work-focused healthcare are largly transferable to other healthcare systems.