Ideas to use CHATGPT in the Prevention of Occupational Risks / Ideas para usar CHATGPT en Prevención de Riesgos Laborales

In this work, some ideas are presented to use ChatGPT in PRL such as: analyze the history of accidents and risks, supervise real -time job security, provide detailed information on the use of hazardous equipment, make risk simulations, among others . The article highlights the benefits of ChatGPT, such as its accessibility, consistency, efficiency, flexibility, customization and ability to identify patterns and trends. However, some limitations and challenges are also mentioned, such as the need for human supervision, precise data dependence and ethical and privacy concerns. The article concludes that ChatGPT can be a valuable tool for the prevention of occupational hazards, but must be used in combination with other techniques and tools for effective risk prevention. In addition, the importance of considering the social and ethical impacts of technology and of promoting diversity and competition in the artificial intelligence market stands out.

En este trabajo, se presentan ideas para utilizar CHATGPT en PRL como pueden ser: analizar el historial de accidentes y riesgos, supervisar la seguridad laboral en tiempo real, proporcionar información detallada sobre el uso de equipos peligrosos, realizar simulaciones de riesgos, entre otras. El artículo destaca los beneficios de CHATGPT, como su accesibilidad, consistencia, eficiencia, flexibilidad, personalización y capacidad para identificar patrones y tendencias. Sin embargo, también se mencionan algunas limitaciones y desafíos, como la necesidad de supervisión humana, la dependencia de datos precisos y las preocupaciones éticas y de privacidad. El artículo concluye que CHATGPT puede ser una herramienta valiosa para la prevención de riesgos laborales, pero debe ser utilizada en combinación con otras técnicas y herramientas para una prevención efectiva de riesgos. Además, se destaca la importancia de considerar los impactos sociales y éticos de la tecnología y de fomentar la diversidad y la competencia en el mercado de la inteligencia artificial.

Unknown and Unacknowledged Dangers to Every Medical Student: A Rare Case of Nitric Acid Burns.

This case report delves into the often overlooked and unacknowledged hazards faced by medical students, exemplified by a rare incident of nitric acid burns. A 19-year-old male medical student with no notable medical, surgical, or familial history suffered a spillage of 69% nitric acid on the anterior aspect of the right thigh while engaged in laboratory work. Swift action, including immediate wound irrigation, application of silver sulfadiazine, and subsequent hospitalization, proved crucial in mitigating the burn's severity. Though vitally stable, the patient exhibited a distinctive color change in the wound during observation. Admitted to the general surgery ward, outpatient follow-ups revealed successful wound healing within four weeks, emphasizing the importance of prompt intervention and meticulous care in addressing chemical burn injuries among medical students. This report sheds light on the often-underestimated dangers inherent in pursuing medical education.

Understanding exposomes and its relation with cancer risk in Malaysia based on epidemiological evidence: a narrative review.

The prevalence of cancer is increasing globally, and Malaysia is no exception. The exposome represents a paradigm shift in cancer research, emphasizing the importance of a holistic approach that considers the cumulative effect of diverse exposures encountered throughout life. The exposures include dietary factors, air and water pollutants, occupational hazards, lifestyle choices, infectious agents and social determinants of health. The exposome concept acknowledges that each individual's cancer risk is shaped by not only their genetic makeup but also their unique life experiences and environmental interactions. This comprehensive review was conducted by systematically searching scientific databases such as PubMed, Scopus and Google Scholar, by using the keywords "exposomes (environmental exposures AND/OR physical exposures AND/OR chemical exposures) AND cancer risk AND Malaysia", for relevant articles published between 2010 and 2023. Articles addressing the relationship between exposomes and cancer risk in the Malaysian population were critically evaluated and summarized. This review aims to provide an update on the epidemiological evidence linking exposomes with cancer risk in Malaysia. This review will provide an update for current findings and research in Malaysia related to identified exposomes-omics interaction and gap in research area related to the subject matter. Understanding the interplay between complex exposomes and carcinogenesis holds the potential to unveil novel preventive strategies that may be beneficial for public health.

[Hierarchical fuzzy comprehensive evaluation of prevention and control level of occupational hazards in coal mines].

Objective: To establish an evaluation model for occupational hazard prevention and control levels in coal mines, to explore the combination of Analytic Hierarchy Process (AHP) and fuzzy comprehensive evaluation, to evaluate the overall situation of occupational hazard prevention and control in coal mines. Methods: In November 2021, Collect information of occupational hazards and their prevention and control status in 30 coal mines. AHP model was first constructed for the elements of occupational hazard prevention and control in coal mines. Then, the AHP and fuzzy comprehensive evaluation method was applied to comprehensively evaluate and grade the occupational hazard prevention and control in coal mines, using the principles of maximum membership and weighted average. Results: The hierarchical fuzzy comprehensive evaluation results for typical coal mine were basically consistent with its occupational hazard prevention and control situation. The dust prevention and control situation was good, the noise prevention and control situation is average, the occupational health monitoring situation was good, the occupational health management situation was average, and the overall level of occupational hazard prevention and control was good. Conclusion: The hierarchical fuzzy comprehensive evaluation model for occupational hazard prevention and control levels, combined with the principles of maximum membership and weighted average, can objectively evaluate and reflect the overall situation of occupational hazard prevention and control in coal mines.

Awareness and Reporting of Sharps Injuries: A Study Involving Dental Students, Trainees, and Assistants in a Dental Teaching Hospital in Saudi Arabia.

BACKGROUND: Sharps injury constitutes one of the major occupational hazards in dental practice with practitioners under training being the most exposed group. This study aimed to assess the level of awareness about sharps injury, its prevalence, and reporting rates among dental students, trainees, and assistants. METHODS: The study was conducted at the Dental Teaching Hospital, Umm Al Qura University, Saudi Arabia, through an online self-designed questionnaire which comprised 21 items. Data was collected, tabulated, and statistically analyzed.  Results: Among 182 responding participants, the mean awareness score was satisfactory in 117 participants (64.3%) and average in 64 (35.2%). Exposure to sharps injury in the last 24 months was reported by 31.3% (n=20) with needle stick injury being the most frequent cause and only 59.6% (n=34) reported the injury. Interns and sixth-year students were the most injured participants. There was a significant difference in knowledge between exposed and non-exposed participants regarding the safe technique of recapping needles (p=0.037). After the injury, 77.2% (n=44) of participants washed their hands with soap and water. CONCLUSIONS: A considerable percentage of study participants have average to satisfactory awareness about the risk of sharps injury with a high under-reporting rate. So, comprehensive preclinical education and training must be provided to our hospital's students, trainees, and assistants to increase awareness about potentially risky behavior. More orientation about reporting and its role in prevention is highly recommended to ensure safe practice and improve the quality of dental care.

Prevalence of Occupational Injuries of the Oral and Maxillofacial Region and Their Covariates Among Building Construction Workers in Chennai.

Background and aim With many risky environmental conditions, civil construction sites are prone to physical injuries, especially those pertaining to the oral and maxillofacial regions. The current study was an effort to assess the magnitude and pattern of such oral and maxillofacial injuries and the factors associated with them. Methodology This descriptive study was carried out on 524 construction workers, of whom 254 met the inclusion criteria related to work site injuries. An interviewer-administered proforma with basic demographic details is used in conjunction with an intraoral examination to classify the dental injury. Descriptive statistics were done to evaluate the frequency of injury occurrence, while inferential statistics, including the chi-square test and regression analysis, were done to evaluate the association between injury and the variable under concern. Result The study includes a total of 254 participants, with ages ranging from 20 to above 50 years, of whom 230 (91%) were males and 24 (9.4%) were females. The majority, 200 (78.7%), were unskilled laborers, and 195 (76.7%) were migrant workers with language barriers. It was found that 95 (76.7%) had a history of dental injury alone, while 59 (23.2%) had a history of oral maxillofacial injury. Among the reasons for injury, the increased odds ratios (OD) were noted in the collapse of the surrounding area as 0.050 (0.029-0.075), rainy season 1.001 (0.891-1.281), unskilled labor 1.020 (0.910-1.30), and migrants 1.010 (0.901-1.200). The OD for males is 2.052 (1.941-2.101). Conclusion The current study confirms that the magnitude of workplace-related injuries is significant, and the majority of them stem from basic language barriers among migrant workers and a lack of knowledge to adhere to safety protocols and instructions given.

Needlestick and Sharps Injuries Among Healthcare Workers at a Tertiary Care Hospital: A Retrospective Single-Center Study.

Background: Healthcare workers are still at risk from needlesticks and sharps injuries, which can expose them to blood-borne diseases like hepatitis B, hepatitis C, and HIV. We aimed to investigate the proportion of needlesticks and sharps injuries among healthcare workers in a tertiary care hospital in Somalia and also evaluate associated risk factors. Materials and Methods: This retrospective study was conducted at the Mogadishu Somalia Turkey Recep Tayyip Erdogan Training and Research Hospital. The data was retrieved from the hospital record of the infection prevention and control department over a six-year period between 2017 and 2022. Results: There were a total of 233 needlestick and sharps injury incidents. The highest number of needlestick and sharps injury cases were reported among nurses (52.4%), followed by cleaners (22.3%), physicians (18.5%), and technicians (6.9%) during the six-year period. Operation theaters were the most frequent place (21.9%) where injuries happened, followed by inpatient care (17.6%) and emergency rooms (16.7%). The most commonly reported instrument that resulted in injuries was a hypodermic needle (81.1%). About 24.9% of the needles or sharps devices that caused needlestick and sharps injury cases were contaminated with hepatitis B. There was a significant difference between gender and place of injury for needlestick and sharps injuries (P=0.001). Conclusion: Healthcare professionals around the world continue to face major health risks from needle stick and sharps injuries. The present study found that 8.6%of healthcare workers sustained a needle stick and sharps injuries incident in the past year. According to our findings, healthcare institutions need to regularly teach healthcare professionals, especially nurses and cleaners about the significance of needle stick and sharps injuries.

[The facility design and operation effect of control vehicle emissions hazard in test section of automobile assembly workshop].

The hazard of vehicle emissions mainly come from the four wheel positioning, drum test and vehicle emissions test sections in automobile assembly workshop, which can lead to abnormal hemoglobin and hepatic insufficiency in workers. We researched on preventing toxic gases technologies for the vehicle emissions generated by these three sections, designed the ventilation facilities, and then detected and evaluated the operation effect, thereby improving the working environment, ensuring the occupational health of workers, and providing scientific basis for the control of vehicle emissions hazards.

The intolerance of controversy in psychoanalytic organizations.

In an age when our survival as a profession is less threatened but our growth increasingly depends upon our ability to apply our theories and techniques away from the couch, it has become important to understand how our organizational life relies on competing roles and different demands. That can be confusing for those of us who understand conflict primarily in the dyadic relationships of traditional psychoanalysis. Roles and collaboration, essential to work in organizations, require a greater acceptance of differences. Moreover, it requires a better understanding that our motives often stem from the tasks assigned in organizations and those tasks require collaboration rather than confrontation. A better understanding of these tensions and conflicts, endemic to organizational life, will enhance our ability to apply our insights outside our consultation rooms. And it offers, as well, the opportunity to work more effectively together on our professional organizations and associations, avoiding the bitter controversies that continue to bedevil our organizational life.

A Preliminary Study Exploring the Relationship between Occupational Health Hazards and Gut Microbiota among Firefighters.

Firefighters are exposed to occupational hazards and have a higher prevalence of health issues. The gut microbiota plays a crucial role in the immune, endocrine, and neural systems, and disruptions in its composition can impact health outcomes. This pilot study aimed to investigate the potential association between occupational factors, changes in gut microbiota, and the development of adverse health outcomes in firefighters. To test this hypothesis, we recruited 15 firefighters and age/sex-matched controls to investigate the relationship between occupational environment and gut microbiota. Firefighters exhibit lower intestinal bacterial alpha diversity and a higher presence of pathogenic bacteria than the control. Moreover, unique gut bacterial taxa were observed in firefighters with high post-traumatic stress disorder (PTSD) scores, which could contribute to immune dysregulation and higher susceptibility to pathogen colonization. These preliminary findings suggest that occupational factors, including exposure to traumatic stressors and chemicals, may influence firefighters' health by modulating their gut microbiota. The observed changes in gut microbiota composition and the potential link to occupational hazards highlight the need for further research in larger sample-size studies. Understanding the role of gut microbiota in firefighter health may have implications for preventive measures and interventions to mitigate occupational health risks and improve overall well-being.

A Narrative Review of the Carcinogenic Effect of Night Shift and the Potential Protective Role of Melatonin.

Since the IARC (International Agency for Research on Cancer) announcement in 2007 indicating the possibility of night-shift work carrying carcinogenesis risk, multiple studies on a global level have been conducted to investigate the correlation between night-shift work and cancer development. Circadian rhythm disruption and decreased melatonin production have been postulated as potential contributing factors. There is also growing evidence that night-shift workers tend to adopt unhealthier lifestyles which contribute to poorer health and increase the risk of developing diseases such as cancer. No experimental study has been specifically dedicated to testing specific methods that could decrease cancer risk in night-shift workers. While there are a few studies that investigate melatonin's concurrent use with chemotherapy in cancer patients, there is yet to be seen for studies that investigate melatonin specifically as a cancer prevention method. This narrative review aims to examine current evidence of healthcare night-shift work's risk in cancer incidence, potential pathogenesis, and its significance in clinical practice.

Systemic relations among the variables involved in occupational accidents of the nursing team in a psychiatric hospital.

BACKGROUND: The occupational activities carried out in hospital environments pose occupational risks to professionals. In psychiatric hospitals, due to the characteristics of the patients treated, professionals are also subjected to other risks, such as physical aggression. OBJECTIVE: This research aimed to identify the systemic context, highlighting the cause-and-effect relationships that culminate in occupational accidents that occurred with the nursing staff in a psychiatric hospital in Brazil. METHODS: The current study is an applied research and was divided into three stages. First, the collection of data related to the case study was made and accidents were analyzed and occupational hazards were identified. In the second stage, from the collected information, occupational safety indicators were defined. Lastly, in the third stage, the qualitative aspect of System Dynamics was applied to perform the systemic analysis and to identify how the different variables were related. RESULTS: The results showed that physical aggression was the main cause of accidents. Regarding safety indicators, while both the level of use of Personal Protective Equipment (PPE) by professionals and the high level of PPE protection were positive aspects, the level of training of professionals to use PPE was a negative aspect. The Causal Link Diagram (CLD) showed that the perception of risk influenced the level of use of PPE and those organizational measures influenced the accident rate. CONCLUSION: In conclusion, the systemic analysis of the system dynamics can optimize the diagnostic process of occupational accidents in psychiatric hospitals, and especially help to identify the cause and effect among the variables involved.

Occupational models from 42 million unstructured job postings.

Structuring jobs into occupations is the first step for analysis tasks in many fields of research, including economics and public health, as well as for practical applications like matching job seekers to available jobs. We present a data resource, derived with natural language processing techniques from over 42 million unstructured job postings in the National Labor Exchange, that empirically models the associations between occupation codes (estimated initially by the Standardized Occupation Coding for Computer-assisted Epidemiological Research method), skill keywords, job titles, and full-text job descriptions in the United States during the years 2019 and 2021. We model the probability that a job title is associated with an occupation code and that a job description is associated with skill keywords and occupation codes. Our models are openly available in the sockit python package, which can assign occupation codes to job titles, parse skills from and assign occupation codes to job postings and resumes, and estimate occupational similarity among job postings, resumes, and occupation codes.

Pediculosis capitis and scabies in nurses from Eastern Poland - occupational risk and environmental determinants.

INTRODUCTION AND OBJECTIVE: Nurses are a group of healthcare professionals particularly vulnerable to infestations by Pediculus humanus capitis and Sarcoptes scabiei var. hominis contracted from patients under their medical care. MATERIAL AND METHODS: The cross-sectional study included 322 professionally active nurses within public healthcare units in eastern Poland. The research tool was a questionnaire collecting anonymized data on the occurrence of pediculosis capitis and scabies in nurses, and their patients, concerning the environmental determinants in the period 2001-2013. The study was retrospective and participation of nurses was voluntary. RESULTS: The obtained results indicated that 24.8% and 9.9% of the 322 respondents were infested by head lice and scabies mites, respectively. During their professional work, most nurses contracted head lice once (76.2%) while others (23.8%) were infested twice or more. The respondents did not declare repeated occupational scabies. The risk of contracting pediculosis capitis and scabies was not related to the length of service, but increased with the rise in the number of patients provided with nursing care. In the head lice-infested patients, the majority were aged 6-10 years (31.3%), while in the case of scabietic patients, children aged 0-5 years prevailed (26.4%). CONCLUSIONS: In medical care facilities, regular hygienic checks of both patients and medical staff, covering the condition of the skin and scalp, should be mandatory. The spread of pediculosis capitis and scabies among nurses can be reduced by the implementation not only of protective procedures mitigating occupational risk, but also the improvement of working conditions in medical facilities.

Beyond Scrubs: Understanding the Root Causes of Violence Against Doctors.

Workplace violence (WPV) against doctors is a growing epidemic in India, with at least two-thirds of doctors facing some form of abuse during their careers. Verbal abuse is common, but doctors are also subjected to brutal attacks that endanger their lives. This review lists abusive incidents reported by the media since 2021. Despite increased respect for healthcare professionals during the COVID-19 pandemic, doctors in India are under significant stress due to inadequate medical infrastructure, mismanagement of young doctors, increasing mistrust between doctors and patients, a shortage of doctors, and overworked healthcare workers, leading to delays in attention and treatment. Additional factors contributing to the situation include the lack of proper insurance coverage, weak primary healthcare with overburdened tertiary care, the lack of an effective grievance redressal system, and the poor state of medical education. To combat this epidemic, collaborative efforts are needed between doctors, hospitals, the government, and society. Improving communication skills and treating patients with empathy are essential for healthcare workers. Meanwhile, hospitals should implement an efficient security system, a transparent billing system, and an active complaint system to prevent incidents. Unbiased reporting and adequate documentation are required to further investigate this occupational health hazard. The government should focus on building better medical facilities and passing a strict law against violence against doctors to ensure the safety of medical professionals. This review presents some solutions, along with the current legal coverage provided to healthcare professionals regarding WPV.

Integrated multi-criteria group decision-making methods based on q-rung picture fuzzy sets for the identification of occupational hazards.

Practical group decision-making (DM) problems frequently involve challenging circumstances when attempting to assign appropriate values to the data because of the haziness and uncertainty of the surrounding circumstances. In order to address the ambiguity and imprecision that arise in DM issues, q-rung picture fuzzy sets (q-RPFSs) have a more broader structure. In this research, the criteria importance through intercriteria correlation (CRITIC) and the decision-making trial and evaluation laboratory (DEMATEL) techniques are separately integrated with the multi-attributive border approximation area comparison (MABAC) method. The MABAC method, which measures how far each alternative is from the border approximation area, is very stable and useful for resolving real-world problems. The CRITIC technique calculates the criteria weights by taking into account the relationships between attributes, and the DEMATEL methodology is recognized as the best method for determining how several criteria or factors interact with one another. As a result of these justifications, we made the decision to create the CRITIC-MABAC and DEMATEL-MABAC procedures for q-RPFSs. By using the suggested strategies, the primary goal of this article is to determine the occupational risk that has the greatest impact on the health of a hospital's medical staff. We begin by employing the CRITIC technique to determine the criteria weights. In addition, we calculate the weights of the criteria using the DEMATEL approach. The offered methodologies are investigated for their applicability to determine the most serious occupational hazard for hospital employees. We conducted a comparison with three earlier studies to verify the accuracy of the tactics that are offered.

Technostress at work during the COVID-19 lockdown phase (2020-2021): a systematic review of the literature.

Technostress is a psychosocial phenomenon associated with the use of technologies to the detriment of health, the same one that during the pandemic was accelerated in the work considering home confinement. This work aims to systematize the main research on the impact of technostress at work during the severe confinement stage of the pandemic, between the years 2020 and 2021, with the purpose of identify and evaluate its main determining factors. A systematic review of the literature was carried out during COVID-19, using the words "technostress work COVID-19." The works found focus mainly on analyzing the creators and inhibitors of technostress in workers, as well as the main consequences of the materialization of this technological risk associated with work performance during the stage of confinement by COVID-19. Techno invasion and techno overload were identified as the main techno stressors, with the main type of technostress appreciated in the literature being techno fatigue. Technostress is identified as a problem that had direct and relevant effects during the season of severe confinement and remote work at home due to COVID-19; highlighting techno fatigue as the most frequent type of stress, and techno stressors such as techno invasion and overload as the ones that presented the highest incidence.

[Analysis of dust and noise exposure levels in the mining industry from the national surveillance program in 2019].

Objective: To understand the exposure level of dust and noise in the mining industry and provide data support for revising policy for the prevention and control of occupational diseases. Methods: In May 2022, Data was collected through the National Surveillance Program for Occupational Hazards in the Workplace. Descriptive analysis was conducted for dust and noise levels by industry type and enterprise size from 7, 679 enterprises in the mining industry among 29 provincial regions nationwide. Results: The enterprises in the mining industry included in the National Surveillance Program for Occupational Hazards in the Workplace are mainly small and micro, accounting for 47.97% (3684/7679) and 30.00% (230/7679) respectively. The industry is mainly compred of employers in the non-metallic ming and beneficiation industry, accounting for 50.25% (3859/7679). Among the enterprises with silica dust, coal dust, and noise hazards, the proportion of enterprises where total dust concentration and noise intensity exceed the standard is higher than 50%. 30% of the posts are with an exposure level of silica dust, coal dust, and noise that exceeds the standard. The exceedance rate and the median of the time-weighted average concentration of total coal dust among large and medium-sized enterprises are higher than those among small and micro-sized enterprises (P<0.05) . Conclusion: The dust and noise hazards in the mining industry are lower than in the past in China, but more than 25% of workers are still at a high risk of occupational pneumoconiosis and noise deafness. Therefore, intervention and surveillance strategies should be strengthened in the future.

[Research progress of occupational hazards in plywood manufacturing].

Occupational disease hazards in plywood manufacturing mainly include wood dust, formaldehyde, phenol, ammonia, noise, terpene, microorganisms, etc. The exposure is complex with multiple factors accompanied or coexisted. In the production process, these factors are exceeded, and mass occupational disease hazard events occurred among workers. Exposure to wood dust, formaldehyde, terpene, etc., put workers at increased risk of cancer. This article provides a review of this issue in order to provide a scientific basis for the prevention and control of occupational disease hazards in plywood manufacturing.