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1.
Int Arch Occup Environ Health ; 95(3): 559-571, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35220487

RESUMO

OBJECTIVE: Estimate the effort-reward imbalance prevalence (ERI) among physicians. METHODS: A systematic review was conducted from 2005 to 2019 using PRISMA guidelines on the PubMed and EBSCOhost search engines. Data were classified according to the ERI definition used by the authors. A meta-analysis was performed on effort and reward scores and on ERI prevalence rates. RESULTS: Out of 3787 results, we selected 41 studies. The physicians' ERI prevalence rate ranged from 3.50 to 96.9%. The standardized pooled effort mean score was 58.5 for effort and 48.9 for a reward out of 100, respectively. The overall combined ERI rate (when the ratio between effort and reward scores was above 1) was 40.2% among 21,939 practitioners (31.7% in the working European population). ERI rate was 70.2% using a four-point Likert scale and 21.1% using a five-point Likert scale. The highest rate (96.9%) was observed among German rural general practitioners and the lowest rate (3.50%) among Swiss hospital practitioners. The low percentage of variability (I2 = 27%) attributed to effort scores heterogeneity between studies suggested that this dimension is not discriminant in the physician ERI assessment. The high heterogeneity in reward scores (I2 = 83%) indicated that this dimension is sensible in ERI assessment among physicians. The number of items used did not appear as a significant source of heterogeneity. CONCLUSION: Physician job ERI appeared to be higher than in the working population. Studying each dimension and item indicators could help improve psychosocial risk prevention.


Assuntos
Satisfação no Emprego , Médicos , Humanos , Médicos/psicologia , Prevalência , Recompensa , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Carga de Trabalho/psicologia
2.
Rev. enferm. UERJ ; 30: e63524, jan. -dez. 2022.
Artigo em Inglês, Português | LILACS-Express | LILACS | ID: biblio-1371633

RESUMO

Objetivo: identificar as situações geradoras de prazer e sofrimento na equipe de enfermagem em clínicas cirúrgicas. Método: estudo qualitativo realizado com 30 profissionais de enfermagem de clínicas cirúrgicas. A produção de dados se deu por meio de entrevista semiestruturada no período de abril a novembro de 2019. Os dados foram processados pelo software IRaMuTeQ, e foi feita análise lexical pela classificação hierárquica descendente. Resultados: duas classes foram formadas e intituladas de situações geradoras de prazer e sofrimento na equipe de enfermagem. Conclusão: as situações geradoras de sofrimento foram condições inadequadas de trabalho, lidar com o quadro clínico e morte dos pacientes, falta de lazer e necessidade de fazer escolhas entre trabalhar e cuidar da família. As situações geradoras de prazer foram reconhecimento por parte dos pacientes e equipe, alta dos pacientes e colaboração entre os membros da equipe.


Objective: to identify situations that generate pleasure and suffering in the nursing staff in surgical clinics. Method: qualitative study, carried out with 30 nursing professionals from surgical clinics in a hospital. Data was obtained by semi-structured interviews from April to November 2019. Data processed by the IRaMuTeQ software, and lexical analysis was performed by the descending hierarchical classification. Results: two classes were composed and entitled situations that generate pleasure and suffering in the nursing team. Conclusion: situations that generate suffering were inadequate working conditions, dealing with the clinical condition and death of patients, lack of leisure and the need to make choices between working and caring for the family; situations that generate pleasure were recognition by patients and the team, patient discharge and collaboration between team members.


Objetivo: identificar situaciones que generan placer y sufrimiento en el personal de enfermería de las clínicas quirúrgicas. Método: estudio cualitativo, realizado con 30 profesionales de enfermería de clínicas quirúrgicas de un hospital. Producción de datos a través de entrevistas semiestructuradas de abril a noviembre de 2019. Datos procesados por el software IRaMuTeQ, análisis léxico realizado por la clasificación jerárquica descendente. Resultados: se generaron dos clases y situaciones tituladas que generan placer y sufrimiento en el equipo de enfermería. Conclusión: las situaciones que generan sufrimiento fueron las condiciones laborales inadecuadas, el enfrentamiento de la condición clínica y la muerte de los pacientes, la falta de ocio y la necesidad de elegir entre trabajar y cuidar de la familia. Las situaciones que generan placer fueron el reconocimiento por parte de los pacientes y el equipo, el alta del paciente y la colaboración entre los miembros del equipo.

3.
Rev. Odontol. Araçatuba (Impr.) ; 43(3): 24-32, set.-dez. 2022. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1381063

RESUMO

O objetivo do presente estudo foi identificar quais EPIs foram utilizados pelos cirurgiões-dentistas e a relação destes EPIs com a presença de dores osteomusculares em virtude do novo estilo de vida profissional ocasionado pelo SARS-CoV-2. Foram aplicados dois questionários com a temática por intermédio da plataforma Google Forms®. Os participantes da pesquisa (n= 110) tiveram acesso aos questionários via e-mail e através das redes sociais. A análise de dados foi realizada por meio de teste qui-quadrado com nível de confiança de 95%. Os resultados obtidos demonstraram predomínio de indivíduos do sexo masculino, com idade entre 21 a 29 anos, solteiros, entre 1 a 10 anos de formado, possuindo renda mensal de 1 a 5 salários-mínimos, especialistas, atuando em consultório particular, com atualizações para atendimento durante o período de pandemia. Observou-se relação estatisticamente significativa (p<0,05) na utilização de gorro durante os atendimentos odontológicos para os profissionais que realizaram atualizações para atendimento durante o período de pandemia da COVID-19. Em relação aos demais EPIs não houve relação estatisticamente significativa (p>0,05). No que diz respeito às dores osteomusculares, observou-se relação estatisticamente significativa (p<0,05) apenas entre a utilização de avental descartável e o relato de dores na região do pescoço, ombro e costas. Ademais, não foi possível observar relação estatisticamente significativa (p>0,05) entre EPIs e dores osteomusculares. Pôde-se concluir que uma grande parcela dos cirurgiões-dentistas adotou medidas de proteção contra o novo Coronavírus (SARS-CoV-2), utilizando os EPIs recomendados para executar atendimento durante o período pandêmico. Com relação às dores osteomusculares, os participantes relataram dor com ou sem a utilização de EPIs, porém ao utilizarem avental descartável, houve predominância de sintomatologia na região do pescoço, ombros e coluna(AU)


The aim of this study was to identify which PPE was used by Dental Surgeons and the relationship of this PPE with the presence of musculoskeletal pain due to the new professional lifestyle caused by SARS-CoV-2. Two questionnaires with the theme were applied through the Google Forms® platform. Research participants (n = 110) had access to the questionnaires via e-mail and through social networks. Data analysis was performed using a chi-square test with a 95% confidence level. The results showed a predominance of male individuals, aged between 21 and 29 years old, single, between 1 and 10 years since graduation, having a monthly income of 1 to 5 minimum wages, specialists, working in private practice, with updates for care during the pandemic period. There was a statistically significant relationship (p<0.05) in the use of a cap during dental care for professionals who updated for care during the COVID-19 pandemic period. About the other PPE there was no statistically significant relationship (p>0.05). Regarding musculoskeletal pain, there was a statistically significant relationship (p<0.05) only between the use of a disposable apron and the report of pain in the neck, shoulder, and back. Furthermore, it was not possible to observe a statistically significant relationship (p>0.05) between PPE and musculoskeletal pain. It was concluded that a large portion of dentists adopted protective measures against the new Coronavirus (SARS-CoV-2), using the recommended PPE to perform care during the pandemic period. Regarding musculoskeletal pain, participants reported pain with or without the use of PPE, however, when using a disposable apron, there was a predominance of symptoms in the neck, shoulders, and back(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Odontólogos , Dor Musculoesquelética , Equipamento de Proteção Individual , COVID-19 , Ombro , Riscos Ocupacionais , Saúde do Trabalhador , SARS-CoV-2 , Ergonomia
4.
Addict Sci Clin Pract ; 17(1): 54, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36183127

RESUMO

BACKGROUND: Alcohol consumption is a major public health challenge; the majority of employees consume alcohol regularly and a considerable proportion of employees can be characterized as risky drinkers in need of interventions. Occupational health services (OHS) are uniquely positioned for implementing alcohol prevention interventions targeting employees, but rarely do so. Studies have shown that lack of knowledge among OHS personnel is a barrier to alcohol prevention activity. This study aimed to explore OHS personnels' levels of theoretical and practical alcohol knowledge, and whether these two ways of knowing were differentially associated with alcohol prevention activity. METHODS: In this cross-sectional study, survey data were collected from 322 OHS personnel in Norway in 2018 (response rate = 53.6%). The survey included variables of two ways of knowing (theoretical and practical) and three types of doing (intervention frequency, conducting individual interventions, and conducting group interventions). Data were analyzed with descriptive statistics, paired sample t-tests, bivariate correlations, and adjusted linear and logistic regression analyses. RESULTS: OHS personnel rated their theoretical alcohol knowledge higher than their practical knowledge (η2 = 0.33, p < 0.001). Higher reported levels of practical knowledge were associated with higher intervention frequency (b = 0.39, ß = 0.60, p < 0.001) and greater likelihood of conducting individual interventions (OR = 1.60, p < .001) as well as group interventions (OR = 1.84, p < 0.001). Theoretical knowledge was not associated with conducting interventions, and there was no evidence of an interaction between the two ways of knowing in their association with doing. Sensitivity analyses did not indicate clustering effects of OHS personnel being employed within different units. CONCLUSIONS: Different ways of knowing about alcohol among OHS personnel were dissimilarly associated with conducting alcohol prevention interventions in occupational health settings. For doing, knowing how seems to be more important than knowing that. Training programs for OHS personnel should emphasize knowledge about how to deal with alcohol-related issues and how to conduct prevention interventions, rather than focus on detrimental effects of alcohol.

5.
Cureus ; 14(8): e27999, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36134041

RESUMO

Introduction Radiation-emitting devices are commonplace in the hospital with their ability to produce imaging for diagnoses, However, they hold a risk for device operators due to radiation exposure. Hospital systems have programs where physicians exposed to radiation are required to wear dosimeters to help record total radiation over time. Dosimetry readings over standardized recommendations can lead to hospital image issues and disciplinary action for physicians. This study aimed to discover the true values recorded on dosimeters with radiation exposure and discuss effective ways to encourage compliance with dosimeter usage. Methodology The study was completed over a course of 12 months with physicians from three different hospitals. Selection criteria included physicians considered to be "radiation workers" including those who operate x-ray machines, fluoroscopy units, unsealed and sealed isotopes, or those exposed to other sources of gamma or high-energy beta radiation. Two Plan-Do-Study-Act (PDSA) cycles were implemented. The first cycle was the first six months of the study and the second cycle was the second six months of the study. The first PDSA cycle had planned dosimeter reading check-ins every month. After this cycle ended, physicians were sent a survey anonymously asking if they had ever intentionally left behind their dosimeter. In the second PDSA cycle, a planned policy change was put into action where penalties for physicians who went over the recommended dosage were stopped. A monthly educational meeting where a discussion on the risks of radiation as well as protective mechanisms was implemented instead. The same monthly check-ins for dosimeter reading monitoring were employed again with the same survey regarding dosimeter adherence and usage being sent out at the end of the second cycle. Run charts were created to determine whether the policy change showed statistically significant differences in dosimetry readings. Results Protocol changes led to statistically significant (p<0.05) differences in radiation exposure recorded throughout the hospital systems. The primary PDSA cycle readings showed that hospital systems one (n=118), two (n=71), and three (n=32) had readings of 3.90 mSv, 2.55 mSv, and 2.02 mSv, respectively, which were all under the annual recommended dose limit of 10 mSv maximum per six months. However, an average of 94.4% (n=221) of physicians across all hospitals admitted to not using the dosimeter. In the second PDSA cycle after the policy change, the radiation doses were higher with an increase in the average cumulative dose at hospital system one of 255%, 328% at system two, and 323% at system three. Hospital systems one and two were both over the yearly limit of 20.0 mSv (7.70 mSv over for system one and 1.86 mSv over for system two) while system three remained under. The number of physicians who stated they always used the dosimeter during the second PDSA cycle increased to 83.9% in-hospital system one, 90.2% in-hospital system two, and 93.8% in-hospital system three. Conclusion Creating a culture of safety is critical for physician compliance. A comfortable work environment without unreasonable consequences creates an environment where physicians can focus on their health and safety while also doing what is in the workplace's best interest. This culture can best be made with more collaboration between administrative staff and workers to create a trustworthy experience in hospital systems.

6.
Metabolomics ; 18(9): 73, 2022 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-36083566

RESUMO

INTRODUCTION: Work-related exposures to harmful agents or factors are associated with an increase in incidence of occupational diseases. These exposures often represent a complex mixture of different stressors, challenging the ability to delineate the mechanisms and risk factors underlying exposure-disease relationships. The use of omics measurement approaches that enable characterization of biological marker patterns provide internal indicators of molecular alterations, which could be used to identify bioeffects following exposure to a toxicant. Metabolomics is the comprehensive analysis of small molecule present in biological samples, and allows identification of potential modes of action and altered pathways by systematic measurement of metabolites. OBJECTIVES: The aim of this study is to review the application of metabolomics studies for use in occupational health, with a focus on applying metabolomics for exposure monitoring and its relationship to occupational diseases. METHODS: PubMed, Web of Science, Embase and Scopus electronic databases were systematically searched for relevant studies published up to 2021. RESULTS: Most of reviewed studies included worker populations exposed to heavy metals such as As, Cd, Pb, Cr, Ni, Mn and organic compounds such as tetrachlorodibenzo-p-dioxin, trichloroethylene, polyfluoroalkyl, acrylamide, polyvinyl chloride. Occupational exposures were associated with changes in metabolites and pathways, and provided novel insight into the relationship between exposure and disease outcomes. The reviewed studies demonstrate that metabolomics provides a powerful ability to identify metabolic phenotypes and bioeffect of occupational exposures. CONCLUSION: Continued application to worker populations has the potential to enable characterization of thousands of chemical signals in biological samples, which could lead to discovery of new biomarkers of exposure for chemicals, identify possible toxicological mechanisms, and improved understanding of biological effects increasing disease risk associated with occupational exposure.


Assuntos
Poluentes Ambientais , Doenças Profissionais , Exposição Ocupacional , Biomarcadores , Poluentes Ambientais/análise , Poluentes Ambientais/toxicidade , Humanos , Metabolômica , Doenças Profissionais/etiologia , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/análise
7.
Environ Res ; 215(Pt 1): 114260, 2022 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-36084677

RESUMO

OBJECTIVES: Solar ultraviolet B radiation (UV) may reduce the risk of cancer, including colorectal cancer (CRC), although the evidence is inconclusive. To contribute with evidence, the present largescale register-based nested case-control study aimed to investigate the association between occupational UV exposure and CRC in Denmark. METHODS: The Danish Cancer Registry was used to identify a total of 12,268 men and women diagnosed with primary CRC before age 70. Five controls matched on year of birth and sex, alive and free of CRC at the time of diagnosis of the index case were randomly selected from The Danish Civil Registration System. Occupational UV exposure was assessed by obtainment of full employment history from the Danish Supplementary Pension Fund Register, which was linked to a job exposure matrix. Conditional logistic regression was used to estimate odds ratios (ORs) with corresponding 95% confidence intervals. RESULTS: We observed an inverse association between longer duration of UV exposure and CRC in women (≥20 years: OR = 0.84, 95% CI: 0.69-1.03), while no noteworthy associations were observed in men. When focusing on colon cancer only, longer duration of UV exposure (>20 years: OR = 0.92, 95% CI: 0.83-1.01) and higher cumulative UV exposure (highest exposure category: OR = 0.90, 95% CI: 0.83-0.99) were indicated to lower the risk in the study population including both men and women, although the risk reduction appeared to be more evident for women. No consistent risk patterns were observed for rectal cancer. CONCLUSIONS: The present study suggests a modest protective effect from long-term occupational UV exposure on the risk of colon cancer. The effect may be greater in women and these findings need further attention in future large-scale studies.

8.
Artigo em Japonês | MEDLINE | ID: mdl-36171134

RESUMO

OBJECTIVES: Previous studies of occupational health services (OHS) during the coronavirus infection disease (COVID-19) pandemic have focused on either occupational physicians (OPs) or enterprises mainly in the metropolitan areas. This survey aimed to assess OHS in some local cities during the pandemic and different perceptions of OPs and small- and medium- sized enterprises, which could contribute to efficient OHS in the future. METHODS: From July to October 2021, we conducted a questionnaire survey targeting 196 OHS officers and 42 OPs in Shizuoka prefecture. We mailed 196 questionnaires (anonymous) to the OHS officers, with self-addressed postcards requesting their OP's cooperation for a similar survey. Based on the postcards replies, we mailed 149 questionnaires to 36 OPs. The survey was consisted of five categories; demographic characteristics, changes in OHS during the pandemic, infection countermeasures, infection status of employees, and free descriptions. RESULTS: The effective responses included 155 and 124 questionnaires from officers and 29 OPs, respectively. Regarding demographic characteristics, manufacturing and processing industries comprised the most frequent office types, whereas fewer than 100 employees comprised the most common office size. Regarding the changes in OHS, 8.4% of enterprises had OP's remote participation in health committees, and 14.5% of enterprises had stopped workplace patrols. Regarding infection countermeasures, approximately 90% of enterprises received advice and support from OPs and perceived health committees as the most helpful in receiving it. Whereas, OPs primarily gave it in workplace patrols. Many enterprises have implemented various infection countermeasures; however, they feel that promoting smoking cessation is difficult. They believed that the following advice and support was useful for the countermeasures; promoting awareness-raising activities to prevent infection, ventilation methods, and infection control while eating. Approximately 6.6% of enterprises were reluctant to share information about infection status among employees with OPs, and 34.5% of OPs were reluctant to share it with OHS officers. Moreover, about the ratio of enterprises whose employees had COVID-19, we found a difference between enterprises (39.4%)and OPs (28.2%). In free descriptions, some enterprises complained that OPs focused on COVID-19-related OHS and neglected conventional OHS. CONCLUSIONS: The survey revealed the OHS during the pandemic in some local cities and different perceptions about infection status between enterprises and OPs. To prepare for future pandemics, official organizations and academic conferences should provide guidelines for sharing information between OPs and enterprises. We believe this survey will lead to further cooperation between the two and better OHS combining COVID-19-related and conventional OHS.

9.
Artigo em Inglês | MEDLINE | ID: mdl-36078398

RESUMO

The study aimed to investigate the tobacco smoking prevalence, habits and awareness among a cohort of healthcare students from a university hospital in southern Italy and the associations with socio-demographic determinants. A secondary outcome was to estimate the educational needs to receive information on smoking-related risk factors. Five hundred and forty-nine students completed a self-administered questionnaire (180 male and 369 female, average age 25 yo, ±5.9 SD), enrolled from October 2018 to November 2019 at the University of Naples 'Luigi Vanvitelli', and the collected data were analysed by descriptive and inferential statistical analysis. The sample's prevalence of current smokers was 25.3%, without a significant sex difference. The multiple logistic regression model showed the link between smoking habits and alcoholic beverage consumption (p < 0.001) and living with smokers (p = 0.003). The enrolled cohort does not seem to need more information about the risks of cigarette smoking (p = 0.028). The data analysis and the comparison with the current literature allowed the authors to hypothesise a training model to be adopted within a workplace health promotion programme managed by an occupational physician. This model included targeted training for smoking dissuasion, focusing on sex and gender, cohabitant's influence, and combined addiction management. Further research will focus on the effectiveness of these proposed models.


Assuntos
Fumar Cigarros , Abandono do Hábito de Fumar , Estudantes de Medicina , Adulto , Fumar Cigarros/epidemiologia , Estudos Transversais , Feminino , Promoção da Saúde , Humanos , Itália/epidemiologia , Masculino , Projetos Piloto , Prevalência , Inquéritos e Questionários , Local de Trabalho
10.
Artigo em Inglês | MEDLINE | ID: mdl-36078669

RESUMO

The psychological health and work challenges of nurses working in prisons during the COVID-19 pandemic are understudied. We evaluated the work and wellbeing characteristics of a California prison nurse group, with a comparison to those of a community nurse group. From May to November 2020, an online survey measured psychosocial and organizational work factors, sleep habits, psychological characteristics, COVID-19 impacts, and pre-pandemic recall among 62 prison nurses and 47 community nurses. Prison nurses had significantly longer work hours (54.73 ± 14.52, p < 0.0001), higher pandemic-related work demands, and less sleep hours (5.36 ± 1.30, p < 0.0001) than community nurses. Community nurses had significantly higher pandemic-related fear levels (work infection: p = 0.0115, general: p = 0.0025) and lower perceived personal protective equipment (PPE) supply (p = 0.0103). Between pre-pandemic and pandemic periods, both groups had significantly increased night shift assignments and decreased sleep hours, but the prison group had increased work hours. Although not statistically significant, both groups had high occupational stress and prevalence of post-traumatic stress symptoms. Our results indicate that prison nurses experienced work and wellbeing challenges during the pandemic. Future research and practice ought to address nurses' workload, PPE, and psychological resources in correctional facilities and healthcare organizations.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Estresse Ocupacional , COVID-19/epidemiologia , Humanos , Estresse Ocupacional/epidemiologia , Pandemias , Prisões
11.
Artigo em Inglês | MEDLINE | ID: mdl-36078779

RESUMO

OBJECTIVE: This study aims to determine the occupational health status of workers exposed to dust and the risk factors of lung function decline, to provide a basis for formulating corresponding occupational disease-prevention strategies. METHODS: Data on 2045 workers exposed to dust, including their age, gender, exposure time, chest X-ray test results, and pulmonary function test results, were obtained from a key occupational disease monitoring project in Chongqing, China, in 2021. Chi-square tests and multifactorial logistic regression, and other methods, were used for statistical analysis. RESULTS: The prevalence of pneumoconiosis-like changes was 0.83% (17/2045), and the prevalence of abnormal forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC was 4.25% (87/2045), 12.81% (262/2045), and 1.47% (30/2045), respectively. With increasing worker's age, the prevalence of abnormal pneumoconiosis-like changes (p = 0.0065), FEV1 (p = 0.0002), FVC (p < 0.0001), and FEV1/FVC (p = 0.0055) all increased. Factors such as age, exposure duration, enterprise size, and dust exposure concentration were associated with abnormal lung function. CONCLUSIONS: Workers exposed to occupational dust have a high rate of abnormal lung function. The government, enterprises, and individuals should pay attention to occupational dust exposure, and various effective measures should be actively taken to protect the life and health of workers.


Assuntos
Doenças Profissionais , Exposição Ocupacional , Pneumoconiose , Estudos Transversais , Poeira/análise , Volume Expiratório Forçado , Humanos , Pulmão , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/análise , Pneumoconiose/epidemiologia , Pneumoconiose/etiologia , Capacidade Vital
13.
Artigo em Inglês | MEDLINE | ID: mdl-36141696

RESUMO

Healthcare workers bear a high risk of infection during epidemics and pandemics such as the current SARS-CoV-2 pandemic. Various new vaccines have been approved. We investigated the influence of the time elapsed since vaccination, as well as of vaccination schema, on health workers' spike antibody levels following their second vaccination. Blood samples were obtained from employees working at a German hospital between August 2021 and December 2021 on average half a year (range 130-280 days) after their second vaccination. Levels of SARS-CoV-2-IgG antibodies (spike and nucleocapsid protein) were qualitatively detected via chemiluminescent immunoassays (CLIAs). A previous infection with SARS-CoV-2 was an exclusion criterion. In total, 545 persons were included in this cross-sectional study. Most participants (97.8%) showed elevated anti-spike concentrations. Anti-spike levels differed significantly among vaccination schemas. Repeated vector vaccinations resulted in lower protective antibody levels. Higher age levels, immunosuppression and a longer time period since the second vaccination resulted in lower anti-spike levels. Women's antibody levels were higher, but not significantly. Since anti-spike levels drop after vaccination, further boosters are required to increase immunoreactivity. If two vector vaccines have been administered, it is possible that an mRNA booster might increase the anti-spike level.


Assuntos
COVID-19 , Glicoproteína da Espícula de Coronavírus , Anticorpos Antivirais , COVID-19/prevenção & controle , Estudos Transversais , Feminino , Pessoal de Saúde , Humanos , Imunoglobulina G , Proteínas do Nucleocapsídeo , RNA Mensageiro , SARS-CoV-2 , Vacinação , Proteínas do Envelope Viral/genética , Proteínas do Envelope Viral/metabolismo
14.
Artigo em Inglês | MEDLINE | ID: mdl-36141855

RESUMO

The COVID-19 pandemic has seen a considerable expansion in the way work settings are structured, with a continuum emerging between working fully in-person and from home. The pandemic has also exacerbated many risk factors for poor mental health in the workplace, especially in public-facing jobs. Therefore, we sought to test the potential relationship between work setting and self-rated mental health. To do so, we modeled the association of work setting (only working from home, only in-person, hybrid) on self-rated mental health (Excellent/Very Good/Good vs. Fair/Poor) in an online survey of Canadian workers during the third wave of COVID-19. The mediating effects of vaccination, masking, and distancing were explored due to the potential effect of COVID-19-related stress on mental health among those working in-person. Among 1576 workers, most reported hybrid work (77.2%). Most also reported good self-rated mental health (80.7%). Exclusive work from home (aOR: 2.79, 95%CI: 1.90, 4.07) and exclusive in-person work (aOR: 2.79, 95%CI: 1.83, 4.26) were associated with poorer self-rated mental health than hybrid work. Vaccine status mediated only a small proportion of this relationship (7%), while masking and physical distancing were not mediators. We conclude that hybrid work arrangements were associated with positive self-rated mental health. Compliance with vaccination, masking, and distancing recommendations did not meaningfully mediate this relationship.


Assuntos
COVID-19 , Vacinas , COVID-19/epidemiologia , Canadá/epidemiologia , Estudos Transversais , Humanos , Saúde Mental , Pandemias/prevenção & controle , SARS-CoV-2
15.
Artigo em Inglês | MEDLINE | ID: mdl-36141999

RESUMO

Teachers' health is a key factor of any successful education system, but available data are conflicting. To evaluate to what extent teachers' health could be at risk, we used pre-pandemic data from the CONSTANCES population-based French cohort (inclusion phase: 2012-2019) and compared teachers (n = 12,839) included in the cohort with a random subsample selected among all other employees (n = 32,837) on four self-reported health indicators: perceived general health, depressive symptoms (CES-D scale), functional limitations in the last six months, and persistent neck/back troubles (Nordic questionnaire). We further restricted our comparison group to the State employees (n = 3583), who share more occupational similarities with teachers. Lastly, we focused on teachers and evaluated how their health status might differ across teaching levels (primary, secondary, and higher education). As compared to non-teacher employees, and even after adjusting for important demographic, socioeconomic, lifestyle, and occupational confounders, teachers were less likely to report bad perceived health and depressive symptoms but were more likely to present functional limitations. Trends were similar in the analyses restricted to State employees. Within the teaching population, secondary school teachers were more likely to report depressive symptoms but less frequently declared persistent neck/back troubles than primary school teachers. Our descriptive cross-sectional study based on a probability sampling procedure (secondary use of CONSTANCES inclusion data) did not support the idea that teachers' health in France was particularly at risk in the pre-pandemic period. Both cross-cultural and longitudinal studies are needed to further gain information on the topic of teachers' health around the world and to monitor its evolution over time, particularly during crises impacting the education system such as the COVID-19 pandemic.


Assuntos
COVID-19 , Pandemias , Estudos Transversais , Nível de Saúde , Humanos , Professores Escolares
16.
J Pharm Biomed Anal ; 221: 115046, 2022 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-36152489

RESUMO

Modern therapy strategies are based on patient-specific treatment where the drug and dose are optimally adapted to the patient's needs. In recent drugs, monoclonal antibodies (mAbs) are increasingly used as active ingredients. Their patient-specific formulations are not part of the pharmaceutical industry's manufacturing process but are prepared from concentrates by pharmaceutical personnel. During the manufacturing process, however, active pharmaceutical ingredients are released in trace amounts or, in the case of accidents and spills, also in high concentrations. Regardless of the source of entry, mAbs can become airborne, be inhaled, and cause undesirable side-effects such as sensitization. To assess the risk for pharmaceutical personnel, a personal air sampling method was developed and validated for bevacizumab, cetuximab, daratumumab, omalizumab, rituximab and trastuzumab. The method is based on the combination of high-performance liquid chromatography with tandem mass spectrometry (HPLC-MS/MS). The analytical method achieves a limit of detection of 0.30-8.8 ng mL-1, recoveries of 83-96 % (intra-day assay) and 75-89 % (inter-day assay), with no detectable carry-over. A polycarbonate filter proved suitable for sampling airborne monoclonal antibodies, as it achieved 80-104 % recovery across all mAbs. It also showed concentration-independent desorption efficiency. The sampling duration can be up to 480 min without negatively affecting the recovery. MAbs are stable on the polycarbonate filter at 5 °C for 3 days (recovery: 94 % ± 5 %) and at - 20 °C for 14 days (recovery: 97 % ± 4 %). Our method demonstrated that there is a potential for release when handling monoclonal antibodies. However, this can be reduced below the limit of detection by using pressure equalization systems (spikes).

17.
Healthcare (Basel) ; 10(9)2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-36141388

RESUMO

Public safety personnel (PSP) and healthcare workers (HCWs) are frequently exposed to traumatic events and experience an increased rate of adverse mental health outcomes compared to the public. Some organizations have implemented wellness programming to mitigate this issue. To our knowledge, no programs were developed collaboratively by researchers and knowledge users considering knowledge translation and implementation science frameworks to include all evidence-informed elements of posttraumatic stress prevention. The Social Support, Tracking Distress, Education, and Discussion Community (STEADY) Program was developed to fill this gap. It includes (1) peer partnering; (2) distress tracking; (3) psychoeducation; (4) peer support groups and voluntary psychological debriefing following critical incidents; (5) community-building activities. This paper reports on the narrative literature review that framed the development of the STEADY framework and introduces its key elements. If successful, STEADY has the potential to improve the mental well-being of PSP and HCWs across Canada and internationally.

18.
Front Public Health ; 10: 992515, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36072372

RESUMO

Culture is an essential influence on effectiveness of workplace health promotion, which can promote occupational health protection behavior. The aim of this research was to develop and validate an occupational health culture scale available to Chinese workers. Occupational health culture scale (OHCS) was developed based on elements of health culture and safety culture in workplace. Nine techniques steps of scale development were used, including a 15-member expert group, 10 workers for cognitive interview, and 1,119 questionnaires (from 710 miners and 409 construction workers) for formal investigation. Welch's variance analysis, independent samples t-test, Kruskal-Wallis test, Spearman correlation analysis was employed, respectively, to verified nine hypotheses about impact relationship on OHCS score. After the analysis reliability and validity, the final scale consisted of 21 items in five domains: leadership support, co-workers support, values, policy and norms, employee involvement, physical environment. Moreover, respirable dust concentration from individual sampler had the largest negative correlation coefficient on OHCS score, -0.469 (p < 0.01). The development of an occupational health culture among Chinese workers is necessary for the sustainability of human resources and the implementation of corporate responsibility.


Assuntos
Indústria da Construção , Saúde do Trabalhador , Humanos , Reprodutibilidade dos Testes , Gestão da Segurança , Local de Trabalho
19.
J Contemp Hist ; 57(4): 959-974, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36091490

RESUMO

Since the 1980s, some commercial airline pilots and flight crews in the United States, United Kingdom and Australia began to report an illness they believed was caused by exposure to contaminated cabin air. Despite a body of scientific research and health activism calling for this condition, termed Aerotoxic Syndrome (AS), to be classified an occupational illness, it has not been accepted as a clinical entity because its causation remains contested. This article contends that debates over the recognition of AS have been shaped by the politics of science and what can be considered evidence of a causal link; the burden of proof lay with survivors and their allies rather than with airlines and manufacturers. The history of AS shows the challenges of reacting to health risks in a global industry that provides an important form of transportation, and enjoys considerable political and economic influence. It also reveals that at the heart of commercial jet air travel remains an unresolved public health issue, and those who claim to be suffering from AS expected prompt recognition, reform and assistance in light of scientific research and personal testimony, as well as a range of chemical, medical, legal and air safety reports.

20.
Work ; 2022 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-36093668

RESUMO

BACKGROUND: It is well known that psychosocial health status of paramedics may be altered by their job demands. However, it is unknown whether psychosocial health status can affect occupational performance. OBJECTIVE: The goal of this study was to explore whether a paramedic's symptom severity of Occupational Stress Injury (OSI) was related to simulated patient-care performance. METHODS: Nineteen paramedics with 15.0±8.7 years of paramedic experience participated in this study. Participants completed both an OSI symptom severity questionnaires, and a patient-care simulation. Vagal activity was also collected during the patient-care simulation. The simulation was used to assess experienced paramedics in a realistic stressful setting. Based on the provincial standard in New Brunswick, an experienced paramedic instructor graded the patient-care simulation using the provincial standard charts, observing performance videos and assessing data from the manikin. RESULTS: The current study suggests that paramedics who self-reported elevated symptoms of OSI were less likely to successfully complete the simulated patient-care scenario. CONCLUSION: This research suggests that the presence of self-reported elevated symptoms of OSI negatively impacts paramedics' performance during a stressful work task simulation. Therefore, to help paramedics maintain optimal performance, it may be important to ensure that paramedics have access to appropriate resources to monitor and improve their psychosocial health.

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