جستجوی مقالات مرتبط با کلیدواژه "occupational diseases" در نشریات گروه "پزشکی"
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Background
Acupressure is a branch of complementary medicine that is non-pharmacological and non-invasive. We conducted this technique to see its effect on pulmonary function in Rafsanjan Sarcheshmeh Copper Complex workers.
Materials and MethodsThis study was a randomized controlled clinical trial conducted on 82 workers with abnormal spirometry results. Respondents were selected by convenient sampling and then randomly divided into the two groups of 41 people. In the intervention group, after acupressure training, the participants were asked to stimulate 2 points first on one side of the body and then on the other side. The Two points were LU7 and LU9. The pressure was applied using fingers for 2 minutes at each point, at a specific time, and for 5 days by the participants themselves. In the control group, acupressure was used at ineffective points that the samples did not know about. FVC, FEV1 indices, and six-minute walk test (6MWT) in both groups were measured and compared before and after the intervention.
ResultsNo significant difference was observed between the control and intervention groups before the study based on FVC, FEV1 and 6MWT scors. There was also no difference in the control group before and after the study based on these indices. However, in the treatment group, the FEV1 and FEV1/FVC ratios significantly increased after the intervention (P<0.05).
ConclusionsAcupressure can effectively improve the functional parameters of the lungs, especially in workers who suffer from pulmonary dysfunction due to occupational diseases.
Keywords: Occupational Diseases, Acupressure, Spirometry -
زمینه و هدف
کارکنان تصفیه خانه های فاضلاب در معرض عوامل مختلف زیان آور محیط کار بوده که می توانند تهدید کننده سلامت آنها باشند. در این پژوهش وضعیت سلامت کارکنان تصفیه خانه های فاضلاب مشهد مورد ارزیابی قرار گرفته تا با طراحی برنامه های مداخله ای منجر به ارتقاء سلامت کارکنان شود.
روش بررسیدر این مطالعه توصیفی- تحلیلی پارامترهای بیو آیروسل ها، پرتوهای UV، استرس حرارتی و گاز H2S در5 تصفیه خانه شهر مشهد اندازه گیری شدند. همچنین کلیه داده های وضعیت سلامتی، آزمایشات بالینی و استرس شغلی در دو گروه کارکنان عملیاتی و اداری مورد مقایسه تحلیلی قرار گرفتند. بمنظور بررسی وضعیت استرس شغلی از پرسشنامه استاندارد استرس شغلی HSE استفاده گردید و تجزیه و تحلیل داده ها به کمک نرم افزار SPSS 20 انجام گردید.
یافته هامیزان کلیه پارامترها بجز گاز H2S از سطح مجاز کشوری پایین تر بودند. تعداد افراد سیگاری، دیابتی، دارای مشکل زانو درد و کاهش شنوایی در کارکنان عملیاتی بیشتر از اداری بود و فشار خون بالا، افزایش کلسترول، کمردرد و بیماری پوستی نیز در کارکنان اداری بیشتر از عملیاتی بود ولی اختلاف آماری معنی دار نداشتند. چاقی و اضافه وزن (0/009<p) و افزایش تری گلیسرید (0/05<p) در کارکنان اداری بیشتر از عملیاتی بودند و اختلاف آماری معنی دار داشتند. استرس شغلی در کارکنان عملیاتی در مقایسه با اداری در محورهای نقش (0/018<p) و ارتباط (0/002<p) از نظر آماری معنی دار شد.
نتیجه گیریمداخلات مناسب بهداشت حرفه ای به منظور کاهش آلاینده ها، اجرای برنامه های ارگونومی و بهبود تغذیه و افزایش فعالیت فیزیکی و مدیریت استرس می تواند نقش موثری در ارتقاء سلامت کارکنان این واحدها داشته باشد.
کلید واژگان: آلاینده ها, سلامت کارکنان, تصفیه خانه فاضلاب, بیماری های عمومی, بیماری های شغلیBackground and ObjectiveEmployees of wastewater treatment plants are exposed to various harmful factors in the work environment that can threaten their health. In this research, the health status of the employees of Mashhad sewage treatment plants has been evaluated to help by implementing intervention programs to improve the health of employees.
Materials and MethodsIn this descriptive-analytical study, (bioaerosols, UV rays, heat stress, and hydrogen disulfide gas) were measured in 5 treatment plants in Mashhad. All study variables, including health status, clinical tests, and job stress, were analyzed analytically in two operational and administrative employee groups. The standard HSE occupational stress questionnaire was used to investigate the state of occupational stress. All data were transferred to the computer and data analysis was done with the help of software SPSS20.
ResultsThe amount of pollutants except H2S gas was lower than the national occupational exposure limit. The number of smokers, diabetics, knee pain, and hearing loss was higher among operational than administrative employees, and hypertension, increased cholesterol, back pain, and skin disease were also more common in office workers than operational workers, but there were no statistically significant differences. Obesity and overweight (p<0.009) and increased triglycerides (p<0.05) were more common in administrative than operational workers, which had statistically significant differences. The state of job stress in operational employees was statistically significant compared to administrative employees regarding role (p<0.018) and communication (p<0.002).
ConclusionAppropriate occupational health interventions to reduce pollutants, implement ergonomic programs and improve nutrition and increase physical activity and stress management can play an effective role in improving the health of employees of these units.
Keywords: Pollutants, Employee health, Wastewater treatment plant, General diseases, Occupational diseases -
Background
hypertension is one of the most dangerous chronic diseases, and it is always considered one of the lifelong causes of mortalities and disabilities all over the world.
MethodsIn this research, 3147 files of periodic examinations in 1397 of various industries located in Iranian Kaveh Industrial Zone were examined. the principal object of the cross-sectional study was to elucidate the prevalence of high blood pressure in a massive number of people who work in one of the most significant Iranian industrial zones and to predict the exact proportion of demographic factors like income, work experience, age, sex, BMI, etc., in determining blood pressure and to elucidate whether these variables make the people vulnerable to such a devastating disease.
ResultsAccording to this research, around 5% of the population in the investigation were hypertensive. The results showed that there is a significant relationship between HTN type demographic characteristics (p< 0.001). Fisher test showed a significant relationship between age and HTN (p< 0.001). Also, the lowest percentage of accidents is in workers with 25-30 years of experience. The results of the Chi-square test showed no significant relationship between hypertension and Marital status and sex. Linear regression analysis showed that the factors identified in this study, 23.3% predict blood pressure (r: 0.233) and BMI factor most predictive variable (B = 0.148) among the variables.
ConclusionsThe result suggests it should be considered the dramatic role of predictive factors and bringing out the new strategy to deal with HTN in the industrial workplace in order to improve health level in workers as they work and spend a lot of time in the factories.
Keywords: High blood pressure, Hypertension, Workplace, Demographic Factors, Occupational diseases -
Background
A large portion of Iranian Working Population (IWP) is becoming at risk of Occupational Noise-Induced Hearing Loss (ONIHL). Several primary studies have evaluated the prevalence of ONIHL in Iran with a variety of prevalence rates. We aimed to estimate the prevalence of ONIHL in the IWP using data from relevant studies.
MethodsThe present study is a meta-analysis and systematic review of previously published studies on ONIHL in Iran. Accordingly, the relevant articles published until Sep 1, 2021 were searched through PubMed, Scopus, and Google Scholar, together with Iranian scientific electronic databases. Heterogeneity between among the studies and data analysis was assessed using the I2 test and Random-Effect Model (REM) respectively.
ResultsHaving performed a quality assessment, the meta-analysis was performed on the data from twenty-six studies involving a total of 85685 participants. The prevalence of ONIHL was observed to range from 12.9% to 60.5% in the reviewed studies. Moreover, after combining the results from the primary research by the Random Effects Model (REM) approach, the prevalence of ONIHL among IWP was estimated to be 34.69% (95% CI: 29.10, 40.28).
ConclusionONIHL is a significant concern with regard to public and occupational health in Iran. The results also highlighted the urgent need for taking appropriate preventive and control measures in the workplaces; particularly by encouraging the employers and health-related policymakers to focus on preventive noise control techniques along with administrative and legislative approaches to mitigate the risk of developing ONIHL.
Keywords: Noise-induced hearing loss, Occupational diseases, Prevalence, Iran -
Introduction
Total antioxidant capacity (TAC) is an important marker to be measured to explore the effect of oil fume on oral tissue. This study examined the effect of longtime exposure to oil fume on oral and periodontal tissue.
Materials and MethodsA total of 52 participants consisted of four groups of 13 participants each. Oral examination and periodontal indices were taken. TAC was analyzed.
ResultsThe study groups showed highly significant differences in plaque, gingival index, and clinical attachment level (P < 0.001) compared to the control. The older workers have shown the highest total antioxidant capacity levels. The oil group has expressed a significant lowest total antioxidant capacity level (P > 0.05) in comparison to the control. Oral lesions including ulcerations and white and red patches were absent in workers.
ConclusionTotal antioxidant capacity is an important biomarker in the diagnosis of oral and periodontal diseases.
Keywords: Occupational diseases, oil refinery, oral lesions, periodontal disease, total antioxidant -
Background and Objectives
The present study examined the relationship between the total score of the voice handicap index (VHI) and the total score and scores of the three factors of the vocal fatigue index (VFI) with the medical history of Melli bank workers working in Tehran and Kurdistan privences.
MethodsThe research is a descriptive-analytical cross-sectional study that was conducted on 444 clerks of Melli Bank branches in Iran (76% male and 24% female with a mean age of 42.3). A demographic questionnaire, the medical history checklist, and the Persian version of VHI and VFI were used to collect data.
ResultsThe voice handicap index had a significant relationship with a history of neurological (P=0.030) and head and neck (P=0.048) disorders, speech and language disorders (P=0.001), and reflux (P=0.041). Regarding vocal fatigue index, the total score had a significant relationship with head and neck (P=0.006) and speech and language disorders (P<0.001); the first factor with diseases of the head and neck (P=0.018), pharynx and larynx (P=0.005) and speech and language disorders (P=0.001), the second factor with neurological (P=0.020), head and neck (P=0.006), and speech and language disorders (P<0.001), and allergies (P=0.032), and finally, the third factor with neurological (0.044), pharynx and larynx (P=0.031), speech and language disorders (P=0.044), and reflux (P=0.021).
ConclusionRegardless of the respiratory system, suffering from diseases of the speech and language system can have a significant effect on the scores of the VHI and VFI indices. Meanwhile, the history of speech and language problems and head and neck disorders affect the total score of most factors of the VFI.
Keywords: Voice Disorders, Voice Fatigue, Occupational Groups, Occupational Diseases -
مقدمه
علیرغم افزایش تعداد و شدت بروز بیماریها، حوادث شغلی و زیست محیطی در سازمانها بسیاری از مدیران پیاده سازی الزامات HSE را هزینه بر دانسته و بر سودآوری حاصل از اجرای آنها توجه ندارند.
روش کاردر این پروژه با هدف بررسی سودآوری اجرای الزامات HSE با رویکردی متفاوت، به تلفیق هزینه های HSE محاسبه شده با روابط اقتصاد مهندسی پرداخته شد. هزینه های بیماریها، حوادث شغلی و زیست محیطی 2207 مورد محاسبه و عدم هزینه کردشان به عنوان درآمد برای سیستم لحاظ شده است، با تعیین همبستگی و محاسبه P value میان آنها و هزینه های مترتبه مدل رگرسیونی آن برازش گردید. سرمایه گذاری در حوزه HSE طی سالهای 91-95 برآورد و نرخ بازگشت سرمایه (ROI) و ارزش فعلی خالص (NPV) محاسبه و ارتباط میان ROI و نرخ تکرار بیماریها، حوادث شغلی و زیست محیطی بررسی شد.
یافته هاهزینه بهداشت با p-value= 0.03تاثیر معناداری بر نرخ بروز بیماری دارد و با افزایش یک واحد نرخ بروز بیماری e-15 1.432 برابر می شود.هزینه حوادث با p-value= 0.048تاثیر معناداری بر نرخ بروز حوادث شغلی داشت و با افزایش یک واحد، نرخ تکرار e -13 9.183 برابر میشود.ارتباط معناداری میان حوادث زیست محیطی و نرخ بروز یافت نشد.
نتیجه گیرینتایج حاکی از آنست که صرفا سرمایه گذاری با اولویت اجرای الزامات در حوزه HSE در سودآوری موثر نبوده بلکه بایستی هدفمند و متاثر از نتایج بررسی علل ریشه ای حوادث، بیماریها و ارزیابی ریسک های سازمان باشد.
کلید واژگان: آثار اقتصادی, HSE, بیماری شغلی, حوادث شغلی و زیست محیطی, NPV, ROI, سرمایه گذاریIntroductionEven with the rising number of diseases and their severity as well as occupational-environmental accidents occurring within organizations, most managers do not still care about the profitability of implementing the health, safety, and environment (HSE) management system requirements.
Material and MethodsAccordingly, the integration of the HSE costs calculated through engineering-economics relations was investigated to evaluate the given profitability using a different approach. For this purpose, costs of diseases and occupational-environmental accidents were computed (n=2207), and then lack of their spending was considered as system income. By determining the correlation and calculating the P-value as well as the associated costs, the regression model was subsequently fitted. Investment in the HSE management system was further examined, and return on investment (ROI) and net present value (NPV) were calculated. Afterwards, the relationship between ROI and disease recurrence rates together with occupational-environmental accidents was explored.
Resultshealth costs with a P-value=0.03 had a significant effect on disease recurrence rates, so that the incidence rate was equal to 1.432 e-15 as it increased by one unit. The costs of accidents with a P-value=0.048 also had a substantial impact on the occurrence of occupational accidents and a growth by one unit, wherein the accident recurrence rates were 9.183 e. However, no significant association was found between environmental accidents and disease incidence rates.
ConclusionThe results implied that investment in HSE management systems is not just in accordance with implementing profitability requirements, but it should be targeted and based on priorities, influenced by the results of examining root causes of diseases and accidents as well as assessing risks facing organizations.
Keywords: Economic effects, HSE, Occupational Diseases, Occupational, Environmental Incidents, NPV, ROI, Investment -
مقدمه
بیماری های شغلی هزینه های فراوانی برای سازمان ها دارد، ازاین رو شناسایی آن ها لازم است. مطالعه حاضر باهدف بررسی روند تغییرات نتایج معاینات شغلی دوره ای و عوامل موثر آن طی چهار سال گذشته در یک صنعت فولاد در شهر کاشان انجام شد.
روش بررسیمطالعه طولی حاضر در صنعت فولاد در سال 1397 انجام شد. به منظور بررسی روند تغییرات نتایج معاینات شغلی دوره ای در این صنعت پرونده های معاینات شغلی سالیانه طی 4 سال گذشته از سال 1394 تا 1397 موردبررسی قرار گرفت. فشارخون، قند خون، شنوایی سنجی، بینایی سنجی، بررسی عملکرد سیستم تنفسی و آنزیم های کبدی بررسی شدند. نتایج پرونده های پزشکی با نرم افزار SPSS21 تجزیه وتحلیل شد.
یافته هامیانگین سنی، سابقه کاری و شاخص توده بدنی افراد به ترتیب 19/38 سال، 45/9 سال و 58/27 بود. نتایج مطالعه نشان داد شایع ترین بیماری افت شنوایی بود. ابتلا به قند و کلسترول بالا طی این چهار سال افزایش چشمگیری داشته است. همچنین تنها میزان آنزیم AST و ALT در سال 94 بین افراد روزکار و نوبت کار اختلاف معنی داری نشان داد (05/0 <P).
نتیجه گیرینتایج نشان می دهد که برخی بیماری ها به دلیل عدم توجه به کنترل های بهداشتی و همچنین ماهیت کاری شیوع بالاتری داشتند. همچنین نتایج این مطالعه می تواند برای بهبود شرایط شغلی و انتخاب اقدامات کنترلی مناسب بیماری های شغلی کمک کند.
کلید واژگان: بیماری های شغلی, شنوایی سنجی, صنعت فولاد, نوبت کاریIntroductionSince occupational diseases are costly and have a direct impact on workers’ health, their identification and investigation are necessary. The purpose of this study was to investigate changes in the results of periodic occupational examinations and their effective factors over the last four years in Steel Industry of Kashan City.
MethodsThis longitudinal study was conducted in a steel company in 2018. In order to investigate the changes, the results of periodic occupational examinations in this company were reviewed from 2014 to 2018. Blood pressure, blood glucose, audiometry, optometry, spirometry, and liver enzymes were evaluated. The results of medical records were analyzed by SPSS software version 21.
ResultsThe mean age, work experience, and body mass index of participants were 19.19 years, 9.45 years, and 27.58, respectively. The results showed that the most common disease was hearing loss. High levels of glucose and high cholesterol increased dramatically over the studied period. A significant difference was observed between AST and ALT in 2014 (P <0.05).
ConclusionThe results showed that some diseases were more prevalent among the staff due to the lack of attention to occupational health controls, the nature of work, and lack of proper control of occupational stress. Moreover, the results of this study can be used to improve the working conditions and choose the appropriate control measures for occupational diseases.
Keywords: Occupational diseases, Audiometry, Steel industry, Sift work -
مقدمه
معاینات شاغلین یکی از الزامات نظام مراقبت سلامت شغلی میباشد. هدف این مطالعه بررسی وضعیت فعلی و ارتقاء سطح سلامت کارکنان، نظارت و پایش سلامت نیروی کار به منظور پیشگیری از بروز بیماریها و پیگیری و درمان به موقع می باشد.
روش بررسیمطالعه توصیفی-تحلیلی به صورت مقطعی طرح پایش سلامت94 نفر از پرسنل خدماتی یکی از شرکتهای گاز انجام شد، اطلاعات در فرم 4 برگی معاینات شغلی حاوی مشخصات فردی، وضعیت سلامت عمومی(فشارخون، مصرف سیگار، سابقه آلرژی، عمل جراحی، حوادث شغلی، BMI)، سیستم قلبی عروقی، اسکلتی عضلانی،کبدی، کلیه، گوارش، معاینه بالینی و ارزیابی پاراکلینیکی غدد داخلی، کلسترول، تری گلیسیرید، آنزیم های کبدی، سیستم هماتو پوئتیک بررسی و تحلیل داده ها از نرم افزار 25SPSS انجام شد.
یافته هادر این مطالعه تمامی افراد مرد بودند، میانگین(انحراف معیار) سن و BMI به ترتیب (00/8 ± 96/42) و BMI(08/4± 83/26) بود، بررسی BMI نشان داد 45 نفر(38/48 درصد) اضافه وزن،15 نفر(12/16 درصد) درمحدوده چاق هستند، 3/22 درصدسابقه استعمال دخانیات،7/27 درصدکلسترول بالای 200 و 5/8 درصد تری گلیسیرید بالای 300 داشتند. 80/25 درصد دچار نقص در دید دور ، 5/24 درصد اختلالات اسکلتی عضلانی، 6/9 درصد فشارخون ، 4/56 درصد (غلظت خون بالا، پلاکت خون پایین)، 4/7 درصد قند خون، 1/1 درصد مشکلات قلبی عروقی، 8/12 درصد مشکلات کلیه دارند.
نتیجه گیریبا توجه به اجرای منظم سالیانه برنامه معاینات شغلی، تا کنون گزارش جامع و بازخورد مناسب از معاینات به پرسنل وجود نداشته است. ضروری است تمرکز بیشتر به پیگیری نتایج معاینات و آزمایش ها و موارد ارجاع به متخصص ریه، داخلی جهت موارد چربی خون، چشم پزشک، در اولویت قرار گیرد.
کلید واژگان: معاینات شغلی, غربالگری, پرونده های پزشکی, بیماریهای شغلی, طب کارBackgroundEmployee examination is one of the requirements of the occupational health care system. The present study aimed to evaluate the current health status of the staff working in an Iranian gas company to prevent, follow-up, and treat the disease.
MethodsThis cross-sectional descriptive-analytical study was conducted on the data collected from health screening of 94 service personnel in one of the gas companies in Iran. Data were collected by the 4-sheet forms of occupational examinations containing the following information: demographic data, general health status (blood pressure, smoking, allergy history, surgery, occupational accidents, body mass index), cardiovascular system, musculoskeletal, liver, kidney, gastrointestinal, clinical examination, paraclinical evaluations of the internal gland, cholesterol, triglycerides, liver enzymes, and hematopoietic system (CBC). Data were analyzed using SPSS 25.
ResultsAll participants were male with an average (Standard Deviation) age and BMI of 42.96 ± 8.00 and26.83 ± 4.08, respectively. The participants' body mass index indicated that 45 staff (48.38%) were overweight and 15 individuals (16.12%) were in the range of obesity. The participants had history of smoking (22.3%), cholesterol above 200 (27.7%), and triglycerides above 300 (8/5%). The rate of hypermetropia, musculoskeletal disease, hypertension, high blood concentration and low blood platelets, hyperglycemia, cardiovascular disease, and kidney disease were 25.80%, 24.5%, 9.6%, 56.4%, 7.4%, 1.1%, and 12.8%, respectively.
ConclusionAlthough the studied company has a yearly occupational medical examination, the workers have not been provided with a comprehensive report and appropriate feedback. Therefore, it is essential to follow up the health reports and examinations and refer the patients to the related physicians.
Keywords: Occupational examinations, Screening, Medical records, Occupational diseases, Occupational medicine -
Epidemiologists have recently declared coal workers’ pneumoconiosis, more commonly known as “black lung disease”, an epidemic in the economically underserved areas of eastern Kentucky, southwestern Virginia and southern West Virginia. The epidemic was declared after black lung cases increased significantly after decades of declining estimates. The circumstances associated with verifying the presence of black lung disease and obtaining subsequent compensation benefits have a long-standing and controversial history clouded by allegations of bias and corruption. In the article, I question the accuracy of government reported estimates and discuss why true estimates of black lung disease likely are greatly underestimated due to a combination of poor data collection methodologies and unique social, cultural, economic and political factors surrounding underserved and vulnerable coal miners in Appalachia.
Keywords: Environmental health, Epidemiology, Occupational Diseases, Population Surveillance, Prevalence, Rural, Poverty, Appalachian Region -
Background
At workplaces, the workers exposed to several harmful agents such as physical, chemical, and biological pollutant that cause occupational diseases. There are a lot of jobs that not allow a certain pattern of exposure to this agent. In this article, we introduce a technology named radio‑frequency identification (RFID) to estimate the exposure time of workers to harmful agent.
Materials and MethodsThis applied study was carried out experimentally in an industry in Isfahan province, Iran. Twenty‑nine participants selected from the workers without a fixed pattern of exposure. Two methods used to measure the exposure time of them. The first method was based on a self‑made RFID device and conducted by the workers. The second method performed by stopwatch, which was carried out by the occupational hygienist. The results were analyzed using SPSS 20 and descriptive statistics, Spearman correlation coefficient, and paired samples t‑test.
ResultsThe mean age of the participants was 36.48 ± 5.889 and job experience was 9.06 ± 6.316 years. Spearman correlation coefficient shows that there is a significant correlation between the exposure times measured by the workers and occupational hygienist (R in all zones was higher than 0.9, P < 0.05). Paired samples t‑test shows that there are no significant differences between the mean exposure times measured by the workers and occupational hygienist in each zone and in all the zones (P > 0.05).
ConclusionRFID technology is an appropriate method to evaluate the exposure time of workers without fixed pattern of exposure to causative factors of occupational diseases. It can also be used in other fields of occupational health engineering.
Keywords: Exposure time, occupational diseases, radio‑frequency identification, time study -
BackgroundThe present study describes the burden of occupational diseases in Iran based on the results of the Global Burden of Disease study conducted in 2010 (GBD 2010). This study aimed to determine the burden of occupational diseases in Iran based on the results of GBD 2010. It is a cross‑sectional study.MethodsDisability‑adjusted life years (DALYs) of occupational diseases were calculated based on the prevalence rates obtained through model estimation, as well as GBD 2010 disability weights and mortality rates obtained from different data registry systems of Iran. Causal association criteria application to select risk outcome pairs, estimation of exposure to each risk factor in the population, estimation of etiological effect size, selection of a counterfactual exposure distribution, risk assessment, and identifcation of burden attributable to each risk factor were the main conducted statistical steps.ResultsThere was an increasing trend of DALYs (710.08/100,000 people in 1990 and 833.00/100,000 people in 2005) followed by a slight decrease (833.00/100,000 in 2005784.55/100,000 people in 2010). A total of 50.4% and 36% of total DALYs per 100,000 people were due to the adverse effects of musculoskeletal disorders and work‑related injuries, respectively.ConclusionsMusculoskeletal disorders and work‑related injuries are the most important adverse consequences of work‑related risks that require urgent interventions to be controlled. Male workers (1525 years and over 60) with the highest DALYs and mortality rates need more training programs, safety regulations, and higher level of protection support. In spite the decreasing trend of occupational disease related DALYs and death rates in Iran in recent years, a long‑term effort is required to maintain the currently decreasing trend.Keywords: Global burden of diseases, Iran, occupational diseases
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International Journal of Occupational and Environmental Medicine, Volume:9 Issue: 2, Apr 2018, PP 69 -78BackgroundEmotional distress is becoming a great concern and is more common in both developed and developing countries. It is associated with several disease conditions.ObjectiveTo determine the prevalence of self-perceived emotional distress and its relation to work-related musculoskeletal disorders (WRMSDs) in nurses.MethodsA self-administered questionnaire survey was carried out on 660 female nurses working in public hospitals in the Klang Valley, Malaysia. The validated Malay version of the standardized Nordic musculoskeletal questionnaire (M-SNMQ) was used to identify the annual prevalence of WRMSDs; perceived emotional distress was assessed using the validated Malay short version, depression, anxiety, and stress (M-DASS) instrument. In addition, socio-demographic and occupational profiles of the participants were considered. Factors associated with WRMSDs were identified using logistic regression analysis.ResultsA total of 376 nurses completed the survey (response rate 83.3%). 73.1% of the nursing staffs experienced WRMSDs in at least one anatomical site 12 months prior to the study. 75% of nurses expressed emotional distress. Of these, over half also reported anxiety and stress. Multiple logistic regression analysis showed that stress and anxiety significantly increased the risk of WRMSDs by approximately twofold.ConclusionThere were significant associations between emotional distress and WRMSDs. Future longitudinal studies are therefore needed to investigate and identify the sources of emotional distress (non-occupational and occupational) to be used to establish preventive strategies to reduce the risk of WRMSDs.Keywords: Stress, psychological, Musculoskeletal diseases, Occupational diseases, Nurses, Malaysia
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Background andPurposeIt is likely that industrial workplaces increase the chance of developing obesity and cardiovascular disease risk factors in the employees. The aim of this study was to compare obesity and some health markers between male employees of gas refinery (first exposure group) and petrochemical staff (second exposure group) compared to non-industrial male employees of general population (non-exposure group).MethodSeventy five male employees of a petrochemical plant in Assaluyeh, eighty eight male employee of a gas refinery, and eighty six non-industrial male employees of the general population participated in this study. Weight, height, waist circumference, fasting blood glucose, blood pressure, and serum total cholesterol and triglyceride were measured in all the participants. Statistical analyses were performed using the SPSS Software, version 16 (SPSS Inc., Chicago, IL, USA).ResultsThe mean body mass index, waist circumference, fasting blood glucose, and serum triglyceride level were significantly higher in gas refinery staff compared to petrochemical employees, and non-industrial employees (P-valuesConclusionThe results of this study showed that obesity, high fasting blood glucose and hypertriglyceridemia were significantly higher in gas refinery staff. It is recommended to develop a health promotion program for weight management and prevention of obesity in the industrial work place staff.Keywords: Occupational Health, Body weight, Occupational Diseases
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Occupational cancers account for a major part of cancers. So far, various occupational factors have been recognized as a risk factor involved in the development of different occupational cancers. Prostate cancer is one of the cancers on which various studies have been carried out to examine the role of occupational exposures. The studies have introduced numerous occupational factors and jobs regarding this cancer. The results of studies in this regard have some contradictions. In this short review, occupational risk factors in the development of occupational cancers have been studied. The focus of this study is mainly on the factors, while occupations have not been examined in depth.Keywords: Prostate cancer, Occupational exposure, Occupational epidemiology, Occupational diseases
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International Journal of Occupational and Environmental Medicine, Volume:8 Issue: 4, Oct 2017, P 241Occupational exposure to certain substances would cause cancer. Herein, we report on a case of a 58-year-old former orthoprostethist who died from a lung adenocarcinoma. He had a 3 pack-year history of smoking and a single exposure to asbestos during his professional career. Between 1979 and 2010, he used vermiculite plaques daily to build medical prostheses, using no personal protective equipment. Contamination of vermiculite with amphibole asbestos has been described in Libby, Montana. Expert opinion on this case has raised the hypothesis of the use of this kind of vermiculite during this period and the occupational etiology of this cancer. It seems important to point out the possibility of vermiculite-related lung cancers in unusual occupations in order to better document such cases in the future.Keywords: Vermiculite, Asbestos, Lung neoplasms, Occupational diseases
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International Journal of Occupational and Environmental Medicine, Volume:8 Issue: 4, Oct 2017, P 191BackgroundBladder cancer is the most common cancer of the urinary tract, with known occupational causes. The most effective way to prevent occupational cancers of the urinary tract is to prevent exposure to known carcinogens.ObjectiveTo examine the relationship between occupation and the risk of bladder cancer.MethodsThis case-control study was performed on 200 patients with bladder cancer and 200 healthy individuals in Yazd. Data were collected using a researcher-made questionnaire and based on interviews with patients and controls.ResultsThe mean age of cases and controls were 61.5 (SD 13.6) and 61.5 (13.3) years, respectively. Level of education, type of occupation, family history of bladder cancer in the first-degree relatives, and history of chronic and recurrent urinary tract infection, kidney and bladder stones, and using hair dye, were considered the main predictors for bladder cancer.ConclusionThere was a significant difference between cases and controls in terms of type of occupation. The risk of bladder cancer was higher among those working in high-risk occupationsmetal working, textile, driving, farming, and construction.Keywords: Urinary bladder neoplasms, Occupations, Risk factors, Occupational exposure, Occupational diseases
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BackgroundErysipelothrix rhusiopathiae (E. rhusiopathiae) is generally transmitted into the gastrointestinal tract of animals by the intake of contaminated food or water and causes great economic loss in agriculture worldwide. Some of the Erysipelothrix spp. are the causative agents of erysipeloid, which is an occupational infection in humans. The aim of the present study was to isolate E. rhusiopathiae from animals as well as the hands of the butchers working in Ahvaz, Iran, and to determine their susceptibility to antibiotics.MethodsTotally, 150 samples were taken from slaughterhouse workers, fishermen, and livers and hearts of sheep and calves by the swabbing method. Phenotypical methods and polymerase chain reaction (PCR) were used for the isolation and identification of E. rhusiopathiae. The isolates were tested for their susceptibility to commonly used antimicrobial agents using the disk diffusion protocol described by the Clinical and Laboratory Standards Institute.ResultsOut of the 150 samples examined via phenotypical and biochemical tests, 16 samples were positive as putative Erysipelothrix spp. twelve cases out of the 16 putative Erysipelothrix spp. were confirmed by PCR. The tested isolates were highly sensitive to the antibiotics used. The results of the sensitivity and specificity of PCR revealed that the sensitivity and specificity of indirect PCR were higher than those of direct PCR.ConclusionE. rhusiopathiae is widely distributed on seafood and presents as a commensal pathogen in nature and animals. Infection with this microorganism should be emphasized because it is a rare organism causing severe infections such as infectious endocarditis and polyarthritis following localized infections.Keywords: Erysipelothrix rhusiopathiae, Erysipeloid, Occupational diseases, Polymerase chain reaction
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مقدمهارتقاء سطح سلامت پرسنل بیمارستان ها و پیشگیری از بیماری های ناشی از کار به عنوان جزئی از سطح دوم پیشگیری از بیماری ها مطرح است. هدف این مطالعه بررسی نتایج پایش سلامت شغلی پرسنل به تفکیک گروه های جنسی، سنی و شغلی مختلف می باشد.روش کاراین پژوهش به صورت توصیفی تحلیلی در سال 94 بر روی 224 نفر از پرسنل بیمارستان منطقه ای اصفهان انجام شده است. اطلاعات حاصل از پرونده های پایش سلامت در دو گروه شغلی بالینی و غیر بالینی و 4 رسته کاری، به تفکیک متغیرهای کمی و کیفی جمع آوری و توسط SPSS نسخه 23 در سه گروه جنسی، سنی و شغلی مورد تجریه و تحلیل قرار گرفت.یافته هادر این مطالعه مردان 9/67 % با میانگین سنی 7/6± 2/39 سال و زنان 1/32 % با میانگین سنی 5/8 ± 5/36 سال بررسی شدند. میانگین BMI در مردان32/±58/ 26 و در زنان42/0±72/22بود.6/4 % از مردان سابقه مصرف سیگار داشتند. تفاوت های معنی داری در بین متغیرهای کیفی در نیدل استیک، اختلالات دندان، بینایی و شنوایی و در متغیرهای کمی در مورد BMI، فشار خون و کلسترول تام در گروه بندی های مورد بررسی بدست آمد.نتیجه گیریاین مطالعه که جهت ارزیابی سطح سلامت پرسنل در راستای پیشگیری و شناسایی به موقع بیماری های شغلی و کاهش هزینه های درمانی و ارتقاء روند پایش سلامت در پرسنل درمانی بود مشخص کرد که بین متغیرهای کمی و کیفی مرتبط با سطح سلامت پرسنل در گروه های جنسی، سنی و شغلی مختلف ارتباط وجود دارد، همچنین با توجه به تعدیل متغیرهای مخدوشگر نتایج مورد بررسی قرار گرفت.کلید واژگان: معاینات پایش سلامت, وضعیت سلامتی, بیماری های شغلی, کارکنان خدمات درمانیIntroductionHealth promotion and work related disease prevention is proposed as a part of the second prevention of diseases. The aim of this study was to evaluate occupational health monitoring among personnel in sex, age and occupational groups separately.MethodsThis cross-sectional study was conducted among 224 staff in regional hospitals of Isfahan. Data collected from health monitoring records in clinical and non-clinical occupational groups and four categories of work, in qualitative and quantitative variables and analyzed by SPSS version 23 in three genders, age and employment group.ResultsThe 67.9% men, with mean age 39.2±6.7and32.1% women with an average age of 36.5±8.5enrolled to the study. The BMI average in men and women were 26.58±0.32 and 22.72 ± 0.42respectively.4.6% of men had a smoking history. Significant differences were seen among qualitative variables including needle stick, tooth disorder, vision and hearing and among quantitative variables on BMI, blood pressure and cholesterol at each grouping survey.ConclusionThis study which was performed for the evaluation of personnel health along with the timely prevention and early identification of occupational disease and reducing health care costs and promotion of health monitoring process among health care workers, determined that there is a meaningful connection between quantitative and qualitative variables related to personnel health which is separated to sex, age and occupational groups; furthermore, after considering variables, all results were investigated thoroughly.Keywords: Examination Health Monitoring, Health condition, Occupational diseases, Health care workers
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International Journal of Occupational and Environmental Medicine, Volume:7 Issue: 4, Oct 2016, PP 221 -226BackgroundBrucellosis is the most common bacterial zoonosis worldwide. Greece has the highest reported incidence among EU countries. However, occupational risk factors have not been well described.ObjectiveTo determine the incidence patterns and exposure risk factors of brucellosis in Greece.MethodsWe used national-level surveillance and occupational denominator data to estimate the incidence patterns and exposure risk factors of brucellosis in Greece, with particular emphasis on occupation.ResultsBetween November 2003 and December 2015 a total of 2159 human brucellosis cases was reported. The mean incidence rate was 1.62 per 100 000 population per year. A large majority of cases (77.1%) reported consumption of unpasteurized milk or contact with livestock animals. Most cases occured in farmers and livestock breeders (1079 [87.7%] of 1231 cases reporting their occupation), corresponding to an annual incidence of 7.1 per 100 000. However, there were other occupations with a similar or higher risk: butchers and abattoir workers (12.7 per 100 000), laboratory personnel (3.1 per 100 000), while the highest risk was for veterinarians (53.2 per 100 000).ConclusionBrucellosis incidence in specific occupational groups was much higher than in the general population. These results underline the importance of collecting information on occupation, both during the diagnostic process and in the surveillance system. Besides efforts to control brucellosis in animals, organized prevention efforts are needed within an occupational health framework, especially for the most vulnerable workers.Keywords: Brucella, Brucellosis, Occupational exposure, Communicable diseases, Occupational diseases, Epidemiology
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