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Tytuł:
Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey
Autorzy:
Persechino, Benedetta
Fontana, Luca
Buresti, Giuliana
Rondinone, Bruna M.
Laurano, Patrizia
Imbriani, Marcello
Iavicoli, Sergio
Powiązania:
https://bibliotekanauki.pl/articles/2168359.pdf
Data publikacji:
2016-07-26
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
survey
occupational medicine
questionnaire
occupational medicine physician
information demand and need
continuing medical education
Opis:
Objectives Occupational medicine is a discipline continually evolving in response to technological advances, changes in workplaces and production processes, emergence of new occupational risks and diseases and modifications in regulatory framework for occupational health and safety. Therefore, the recurrent revaluation of professional activity, information demands and education and training needs of occupational physicians is essential in order to identify methodologies and tools that may contribute to improvement of their professional knowledge and competency. In this regard, we conducted the first large-scale national survey of Italian occupational medicine physicians to define their demographic and professional activity and to assess their information demands, training and updating needs. Material and Methods A random sample of occupational physicians, listed in the national register of the Italian Ministry of Health, was selected to complete a voluntary survey. Subjects recruited in this study were asked to complete 3 different sections (personal and professional information, training and updating needs, professional activity and practice characteristics) of a questionnaire for a total of 35 questions. Results Most of participants were specialized in occupational medicine, worked for a large number of companies and carried out health surveillance on a total number of workers that exceeds 1500. Occupational physicians would like to have a higher training offer towards practical aspects of health surveillance, risks assessment, manual handling of loads, chemical substances and upper limb biomechanical overload. Interestingly, statistically significant differences were observed subdividing the sample into different groups according to the legal requirements to perform the professional activity of occupational physicians in Italy or according to particular aspects of their professional activity. Conclusions This study has provided interesting findings that may help to guide future discussion on alternative and additional instruments and/or methodologies that may be adopted to implement the quality and effectiveness of occupational medicine practice. Int J Occup Med Environ Health 2016;29(5):837–858
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 5; 837-858
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Causation in different scientific disciplines: A comparison of standards in occupational medicine and particle physics
Autorzy:
Dale, Jack R.
Powiązania:
https://bibliotekanauki.pl/articles/23388841.pdf
Data publikacji:
2023-11-14
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational medicine
evidence-based medicine
causation
particle physics
levels of evidence
Bradford Hill criteria
Opis:
Occupational medical research involves the collection and analysis of data to draw conclusions about the causes and prevention of workplace injuries and diseases. However, there has been criticism that some studies lack rigour in determining causation. This article examines the similarities and differences between occupational medical research and particle physics in terms of their approach to hypothesis testing, statistical methods, and confounder control. The article also explores the use of criteria such as the Bradford Hill criteria to determine causation in occupational medical research. While particle physics is often viewed as a highly rigorous science, occupational medical research also employs rigorous scientific methods to ensure findings are accurate and reliable. However, there is room for improvement in determining causation in occupational medical research, particularly in the use of criteria such as the Bradford Hill criteria to guide the development of more robust studies. It is essential for occupational medical research to adhere to rigorous scientific methods to deliver findings that can help reduce workplace injuries and diseases. The use of criteria such as the Bradford Hill criteria can ensure that the conclusions drawn.
Źródło:
Medycyna Pracy. Workers’ Health and Safety; 2023, 74, 4; 333-339
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy. Workers’ Health and Safety
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Medicine students and exposure to environmental tobacco smoke
Autorzy:
Szumska, Magdalena
Tyrpień, Krystyna
Kowalska, Małgorzata
Wielkoszyński, Tomasz
Dobosz, Cezary
Powiązania:
https://bibliotekanauki.pl/articles/2179786.pdf
Data publikacji:
2013-04-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
medicine students
tobacco
biomarkers
ELISA
TLC
Opis:
Objective: Although medicine students express positive attitudes toward providing lifestyle counseling, they require more instruction in many areas of health behavior in order to be helpful to their patients. The presented study included the students' questionnaires analysis regarding their lifestyle and exposure to tobacco smoke. The aim of this study was to examine students' exposure to chosen xenobiotics by determination of selected biomarkers in urine samples, which underlay the basis for exposure assessment towards tobacco smoke. Materials and Methods: The investigated group consisted of first- and second-year medicine students from the Silesian Medical University (N = 133). Data obtained from a questionnaire survey was compared with the results of chosen biomarkers determined in urine samples. The analyses of the main nicotine metabolites were carried out firstly with use of ELISA, followed by the TLC technique with densitometry. Results: According to questionnaires, every third student examined was exposed to passive smoking. The mean concentration of the main nicotine metabolites determined by ELISA in urine samples of smoking students was 1293.52±396.70 μg/g creatinine. The results of the TLC analysis in the group of smoking students were as follows: for cotinine - 523.10±68.10 μg/g creatinine and for trans-3'-hydroxycotinine - 653.81±62.30 μg/g creatinine. Conclusions: Medicine students, regardless of their area of study, are a highly-exposed part of the population to tobacco smoke, not only actively but also passively. Tobacco smoke exposure can be assessed by ELISA as a screening method as well as by more specific TLC technique with densitometry.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 2; 313-320
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Bedside examination for vestibular screening in occupational medicine
Autorzy:
Zamysłowska-Szmytke, Ewa
Szostek-Rogula, Sylwia
Śliwińska-Kowalska, Mariola
Powiązania:
https://bibliotekanauki.pl/articles/2177393.pdf
Data publikacji:
2015-03-16
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
balance
videonystagmography
posturography
occupational medicine
vertigo
Opis:
Objectives The aim of the study was to assess the usefulness of bedside examination for screening of vestibular and balance system for occupational medicine purposes. Study group comprised 165 patients referred to Audiology and Phoniatric Clinic due to vestibular and/or balance problems. Caloric canal paresis of 19% was the cut off value to divide patients into 43 caloric-positive vestibular subjects and 122 caloric-negative patients. The latter group comprised 79 subjects revealing abnormalities of videonystagmographic (VNG) oculomotor tests (central group) and 43 subjects with normal VNG. Material and Methods Vestibular and balance symptoms were collected. Five tests were included to bedside examination: Romberg and Unterberger tests, Head Impulse Test (HIT), Dynamic Visual Acuity (DVA) and gaze nystagmus assessment. Results Vestibular and balance symptoms were reported by 82% of vestibular, 73% of central and 40% of VNG-normal patients. Thirteen out of 18 VNG-normal but symptomatic subjects (73%) had abnormal tests in clinical assessment. The sensitivity of bedside test set for vestibular pathology was 88% as compared to caloric test and 68% for central pathology as compared to VNG oculomotor tests. Conclusions The combination of 5 bedside tests reveal satisfactory sensitivity to detect vestibular abnormalities. Bedside examination abnormalities are highly correlated with vestibular/balance symptoms, regardless the normal results of VNG. Thus, this method should be recommended for occupational medicine purposes.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 2; 379-387
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A need for holistic approach to the occupational health developing (in Serbia)
Autorzy:
Arandjelovic, Mirjana
Powiązania:
https://bibliotekanauki.pl/articles/2185391.pdf
Data publikacji:
2011-09-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
holistic medicine
quality of life
philosophy of medicine
occupational health
salutogenesis
health promotion at workplace
transition
Opis:
Countries in transition, such as Serbia, have been going through obligatory system reforms, including the reform of the healthcare system. As a rule, occupational health becomes marginalized by the authorities who decide on medical care. In spite of the fact that this branch of medicine cares for working population that mostly carries the burden of transition, when material situation equals the existential minimum, its potentials are not recognized. On the other hand, the World Health Organization makes a remark that such population’s health is undermined now more than ever, and adopts a binding global plan for member countries and their experts in occupational health to take urgent measures for overall working people’s health according to their needs. It seems that former work method of biomedicine specialists could not realize such ambition. This paper discusses the possibilities of occupational health future orientation toward holistic medicine, for the sake of workers’ well-being and better quality of their lives, then creation of more humane society and vocational affirmation. Health promotion at workplace and salutogenic concept may have crucial roles. This concept is a huge challenge for academic public and vocational practitioners in poor countries in transition that are already burdened with the current economic and financial crisis. Each in their own way, helped by self-education and education, without big material investments, together they may take their countries to the road of health, the road still rarely taken, yet more secure.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2011, 24, 3; 229-240
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Exposure to ionizing radiation by service personnel working with cyclotrons used to produce radiopharmaceuticals in PET diagnostics
Autorzy:
Biegała, Michał
Jakubowska, Teresa
Wrzesień, Małgorzata
Albiniak, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/2152980.pdf
Data publikacji:
2022
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
nuclear medicine
PET
equivalent dose
service
radiological protection
cyclotron
Opis:
Objectives While working with cyclotrons used for the production of radiopharmaceuticals, workers can experience significant exposure to the adverse effects of ionizing radiation. The aim of this paper was to determine the typical level of such exposure received by such personnel while servicing cyclotrons. Material and Methods Exposure was assessed using TLD detectors placed in an anthropomorphic phantom, as well as dose meter to determine whole body and eye lens exposure. The phantom was placed in locations receiving the greatest exposure to ionizing radiation during service activities. The time spent by employees during servicing was assessed based on routine visits by service technicians. The obtained results were compared with readings of detectors worn by employees during service activities. Results The highest equivalent doses in the thoracic area were found to be received by the lungs (211.16 μSv/year). In the head and neck area, the highest dose was measured in the eye lens (3410 μSv/year). The effective dose for the whole body was found to be 1154.4 μSv/year, based on the phantom, and 149 μSv per service visit (1192 μSv/year), based on the dose meters carried by the workers. Conclusions Service workers are exposed to significant doses of ionizing radiation, representing a clear radiological protection issue. To reduce exposure to eye lenses, it is recommended to use protective goggles when working with highly-radioactive elements.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 6; 753-760
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pleural mesothelioma: Case-report of uncommon occupational asbestos exposure in a small furniture industry
Autorzy:
Oddone, Enrico
Imbriani, Marcello
Powiązania:
https://bibliotekanauki.pl/articles/2177056.pdf
Data publikacji:
2015-11-23
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
asbestos
furniture industry
carpenter
mesothelioma
occupational medicine
Opis:
The relationship between asbestos exposure and malignant mesothelioma is no longer disputed, although it is not always easy to trace past occupational exposure. This report describes a case of uncommon asbestos exposure of a small furniture industry worker, who subsequently died of pleural malignant mesothelioma, to stress the crucial importance of a full reconstruction of the occupational history, both for legal and compensation purposes. Sarcomatoid pleural mesothelioma was diagnosed in a 70-year-old man, who was previously employed as a carpenter in a small furniture industry. He worked for about 6 years in the small factory, was exposed to asbestos during the assembly of the furniture inspired by classical architecture, in which asbestos cement tubes were used to reproduce classical columns. During this production process no specific work safety measures were applied, nor masks or local aspirators. No extra-professional exposure to asbestos was identified. This mesothelioma case was investigated by the Public Prosecutor’s assignment that commissioned expert evidence on the legal accountability for the disease. Despite its uncommon expositive circumstance, the length of latency (about 30 years), the duration of exposure, the clinical and histochemical features are all consistent with literature evidence, accounting for the occupational origin of this malignancy.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 3; 523-526
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The prevalence of dyspnea in the adult Polish population
Autorzy:
Undrunas, Aleksandra
Bandosz, Piotr
Rutkowski, Marcin
Puch-Walczak, Aleksandra
Kuziemski, Krzysztof
Zdrojewski, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/2152981.pdf
Data publikacji:
2022
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
epidemiology
prevalence
dyspnea
internal medicine
shortness of breath
breathlessness
Opis:
Objectives Dyspnea is one of the most predominant symptom in clinical practice. There is a lack of data about incidents of dyspnea among Polish adults therefore it would be important to establish prevalence of this symptom before COVID-19 pandemic to assess the impact of this infection on the functioning of the adult Polish population in the future. The aim of the study was to establish prevalence of dyspnea in adult Polish population. Material and Methods It was an observational-cross-sectional study, with representative sample of adult Poles aged 18–79 years. The 2413 participants were surveyed. Responders were asked if and when dyspnea occurs and what is its severity in relation to one of four categories (A, B, C, and D) describing the impact of dyspnea on reduced exercise tolerance and daily activities. Results The 67.1% of the respondents answered negatively to all question about experiencing dyspnea (females (F) 61% vs. males (M) 74%, p < 0.05). Dyspnea only during intense physical exertion (A), was reported by 22.8% (F 26.2% vs. M 19.2%, p = 0.07). Dyspnea limiting daily activities (B, C and D) was reported by 10.1% (F 13.1% vs. M 7%, p < 0.05). Significant differences in the severity of dyspnea were found between the age groups. People diagnosed with chronic heart failure or lung diseases significantly more often reported dyspnea than people without these conditions. Conclusions Every tenth Pole reported dyspnea limiting performing activities of daily living. Additionally, about 20% of Poles experienced dyspnea considered as "gray area," only during intense physical exertion, that requires deepening and clarifying the medical history.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 6; 747-752
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of occupational physical load during 6-month international crisis management operation
Autorzy:
Pihlainen, Kai
Santtila, Matti
Vasankari, Tommi
Häkkinen, Keijo
Kyröläinen, Heikki
Powiązania:
https://bibliotekanauki.pl/articles/2161784.pdf
Data publikacji:
2017-11-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
workload
military personnel
physical exertion
occupational health
military medicine
accelerometry
Opis:
Objectives Generally, operational military duties are associated with a variety of stressors, such as prolonged physical activity (PA). However, limited information is available on the occupational workload or changes in PA during international military operations. Thus, the aim of the study was to investigate the changes in body composition, stress biomarkers, PA, and heart rate (HR) responses of 79 male soldiers during a 6-month international crisis management operation. Material and Methods Measurements were conducted 3 times in South-Lebanon during the operation. Body composition was assessed by the bioelectrical impedance method. Blood samples were analyzed for serum testosterone, sex-hormone binding globulin (SHBG), cortisol and insulin-like growth factor. Saliva sampling was used for analyzing stress biomarkers, cortisol and α-amylase. Heart rate and physical activity were monitored by a recordable belt and tri-axial accelerometer, respectively. Results Increases in muscle mass (39.2±4.1 vs. 39.5±4.2 kg, p < 0.05) and testosterone (15.9±4.6 vs. 17.2±4 nmol/l, p < 0.01), and reductions in PA variables (e.g., daily step count 9472±2547 vs. 8321±2720, p < 0.05) were observed during the first half (i.e., PRE-MID) of the study. The increase in muscle mass remained significant during the latter half (PRE-POST, 39.2±4.1 vs. 39.6±4.4 kg, p < 0.05), but also fat mass increased (MID-POST, 10.6±4.6 vs. 11.0±4.7 kg, p < 0.05) while SHBG (MID-POST, 31.8±12.1 vs. 26.6±13.2 nmol/l, p < 0.01) and cortisol (MID-POST, 445±116 vs. 400±123 nmol/l, p < 0.05) decreased. With the exception of increased concentration of salivary α-amylase (PRE-POST, 36.5±33.7 vs. 55.1±39.7 U/ml), the acute stress biomarkers and HR responses remained unchanged. Furthermore, the low quantity of PA, low HR values and subjective ratings of exertion refer to rather light physical workload. Conclusions Due to the operatively calm nature of the working environment, the present soldiers did not express any significant signs of physical overload during the study period. Int J Occup Med Environ Health 2018;31(2):185–197
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 2; 185-197
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Influence of the CPRmeter on angular position of elbows and generated forces during cardiopulmonary resuscitation
Autorzy:
Kopacz, Karolina
Fronczek-Wojciechowska, Magdalena
Jaźwińska, Anna
Padula, Gianluca
Nowak, Dariusz
Gaszyński, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/2161843.pdf
Data publikacji:
2017-10-06
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
emergency medicine
paramedics
cardiopulmonary resuscitation
force
objective movement analysis
CPRmeter
Opis:
Objectives It is commonly known that ergonomics in emergency medical services (EMS) is very important. Emergency medical services workers are exposed to different conditions and they should perform a variety of tasks. Material and Methods The aim of the work has been to analyze the angular position of elbows and forces generated by the upper limbs during cardiopulmonary resuscitation with and without the CPRmeter based on feedback technology. Ten male paramedics and 10 male non-paramedics, in a kneeling position, performed cardiopulmonary resuscitation (CPR) on an Ambu Megacode manikin placed on the ground. Measurements were taken after 1 min and 4 min following the beginning of the trial. The angular position of the elbows was evaluated with a BTS Smart DX 7000 motion capture system. Kistler platforms 9286BA were used for measuring forces. Results In the paramedic group, one statistically significant difference was observed in the mean difference between maximal and minimal right elbow angle in the 1st min without the device vs. the mean difference in the 4th min without the device. In the paramedic group, a 25% force decrease was observed after 4 min of resuscitation in trials without the CPRmeter in comparison to the 1st min. In trials with the CPRmeter, the force parameters were similar in the 1st and 4th min and more stable. No statistically significant differences were noticed in the control group. Conclusions The CPRmeter has influence on the magnitude of the forces applied by the upper limbs and on the optimization of the rescuer effort during cardiopulmonary resuscitation. The CPRmeter had no influence on the position of the upper part of the kinematic chain. Int J Occup Med Environ Health 2017;30(6):909–916
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 6; 909-916
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Calibration of thermoluminescent detectors in Hp(0.07) units by using an X-ray tube and a ¹³⁷Cs source
Autorzy:
Wrzesień, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2164013.pdf
Data publikacji:
2019-12-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
thermoluminescence
Hp(0.07)
calibration
X-ray
Dosimetry
nuclear medicine
Opis:
Background The method of measuring doses based on the thermoluminescence phenomenon is not an absolute method. For this reason, to obtain correct results, it is necessary to calibrate detectors in the known radiation field. This paper presents a method for calibrating thermoluminescent detectors used in the measurement of personal dose equivalents (Hp(0.07)) obtained by nuclear medicine facility personnel when handling the $\text{}^{99m} \text{Tc}$ radionuclide. Material and Methods The authors used self-developed high-sensitivity thermoluminescent detectors and a HF320C X-ray unit, as well as a rod phantom. Dosimeters were calibrated in accordance with the ISO 4037-3 standard. During the measurements a vial containing a $\text{}^{99m} \text{Tc}$ radionuclide with well-known activity was also used. The energy characteristics were supplemented by using a ¹³⁷Cs source (irradiator ⁶⁰Co/¹³⁷Cs). Results The value of the calibration coefficient for 118 keV energy energy was (1.90±0.02)×10⁻⁵ mSv/imp. Taking into account the correction factor specified for of 140 keV energy at 0.962, the value of the calibration coefficient for 140 keV energy was determined as (1.83±0.02)×10⁻⁵ mSv/imp. Conclusions Verification of the calibration coefficient determined for 140 keV energy carried out with a vial containing a $\text{}^{99m} \text{Tc}$ radionuclide confirmed the correctness of the procedure. Med Pr. 2019;70(6):669–73
Źródło:
Medycyna Pracy; 2019, 70, 6; 669-673
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Self-employment in joinery: An occupational risk facor?
Autorzy:
Lesage, Francois-Xavier
Salles, Julie
Deschamps, Frederic
Powiązania:
https://bibliotekanauki.pl/articles/2178845.pdf
Data publikacji:
2014-06-21
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
risk factor
craftsmen
self-employed workers
woodworking
joiners
occupational medicine
Opis:
Objectives: Only a few studies have analyzed the health of self-employed workers. This cross-sectional study is the first to compare health status among craftsmen joiners and paid joiners. Material and Methods: Clinical and paraclinical data for self-employed craftsmen and employees were collected by occupational health doctors according to a standardized protocol and compared. Health data and professional status relationships were analyzed by logistic regression. Results: A total of 171 craftsmen and 196 paid workers were included. Craftsmen had more dermatologic pathologies (odds ratio (OR) = 2.67, p < 0.05), ear/nose/throat symptoms (OR = 3.38, p < 0.001), pulmonary symptoms (OR = 2.46, p < 0.05), musculoskeletal symptoms (OR = 3.09, p < 0.001), and abnormal audiogram (OR = 3.50, p < 0.001). The FEV₁ was significantly lower among craftsmen (p < 0.01), independently of tobacco smoke exposure. Conclusions: This survey highlights a high morbidity rate among self-employed craftsmen, suggesting that among woodworkers, professional status can be a risk factor for health. The preventive medical system for craftsmen has to be rethought to guarantee better safety for this population.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2014, 27, 3; 355-363
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity
Autorzy:
Szafran-Dobrowolska, Joanna
Renke, Marcin
Wołyniec, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/2085499.pdf
Data publikacji:
2020-03-30
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
telemedicine
emergency responders
naval medicine
ships
maritime rescue system
Opis:
BackgroundIn the 1960s, the International Labour Organization passed a convention under which all countries with national shipping were obliged to create a 24-h telemedicine center for ships. In accordance with the convention, Telemedical Assistance Service centers were to provide permanent access to medical advice given by qualified doctors and to create an international platform for the exchange of information and experience. In Poland, the Telemedical Maritime Assistance Service (TMAS) was established in 2012, and its duties in a 24-h system are carried out by doctors from the University Center of Maritime and Tropical Medicine (UCMTM) in Gdynia. The aim of this work was to determine the reasons for medical officers reporting for help from the TMAS doctor on duty and to create a database of the most common diagnoses and actions undertaken, and in particular evacuation.Material and MethodsIn the presented work, the authors analyzed TMAS telephony and e-mail advice provided by doctors of the UCMTM in Gdynia, in the period from October 2012 to the end of 2018.ResultsIn the 6-year period, UCMTM doctors provided TMAS advice 225 times, recommending evacuation in over 20% of these cases. Infectious diseases were the most common cause of contact in the entire period under analysis – 61 cases were recorded, accounting for as many as 27% of all applications. Injuries were the second most frequent reason for seeking help from TMAS, and 20% of TMAS applications (44 cases) were related to trauma.ConclusionsThe obtained data show that TMAS doctors face various medical problems; therefore, providing proper medical assistance to patients requires a close multidisciplinary cooperation between medical officers, TMAS doctors and emergency services.
Źródło:
Medycyna Pracy; 2020, 71, 2; 121-125
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Molecular bio-dosimetry for carcinogenic risk assessment in survivors of Bhopal gas tragedy
Autorzy:
Mishra, Pradyumna K.
Raghuram, Gorantla V.
Bunkar, Neha
Bhargava, Arpit
Khare, Naveen K.
Powiązania:
https://bibliotekanauki.pl/articles/2177037.pdf
Data publikacji:
2015-07-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
biomarkers
occupational health
methyl isocyanate
cancer risk
environmental medicine
translational oncology
Opis:
December 2014 marked the 30th year anniversary of Bhopal gas tragedy. This sudden and accidental leakage of deadly poisonous methyl isocyanate (MIC) gas instigated research efforts to understand the nature, severity of health damage and sufferings of 570 000 ailing survivors of this tragedy. In a decade-long period, our systematic laboratory investigations coupled with long-term molecular surveillance studies have comprehensively demonstrated that the risk of developing an environmental associated aberrant disease phenotype, including cancer, involves complex interplay of genomic and epigenetic reprogramming. These findings poised us to translate this knowledge into an investigative framework of “molecular biodosimetry” in a strictly selected cohort of MIC exposed individuals. A pragmatic cancer risk-assessment strategy pursued in concert with a large-scale epidemiological study might unfold molecular underpinnings of host-susceptibility and exposureresponse relationship. The challenges are enormous, but we postulate that the study will be necessary to establish a direct initiation-promotion paradigm of environmental carcinogenesis. Given that mitochondrial retrograde signaling-induced epigenetic reprogramming is apparently linked to neoplasticity, a cutting-edge tailored approach by an expert pool of biomedical researchers will be fundamental to drive these strategies from planning to execution. Validating the epigenomic signatures will hopefully result in the development of biomarkers to better protect human lives in an overburdened ecosystem, such as India, which is continuously challenged to meet population demands. Besides, delineating the mechanistic links between MIC exposure and cancer morbidity, our investigative strategy might help to formulate suitable regulatory policies and measures to reduce the overall burden of occupational and environmental carcinogenesis.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 6; 921-939
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A survey of spatial disorientation incidence in Polish military pilots
Autorzy:
Lewkowicz, Rafał
Biernacki, Marcin P.
Powiązania:
https://bibliotekanauki.pl/articles/2116494.pdf
Data publikacji:
2020-10-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
aviation medicine
human error
simulation and training
illusions
aviation safety
military aviation
Opis:
ObjectivesThe study aimed to establish the current incidence and severity of spatial disorientation (SD) in Polish military pilots when flying different aircraft types over their entire careers, and to determine how SD training and pilots’ flight experience might benefit their recognition of situations that may cause SD.Material and MethodsOverall, 176 military Polish pilots (aged 33.8±7.72 years, the number of flying hours: 1194±941) flying different aircraft types, who attended the aviation medicine course, were surveyed and asked to report their episodes of SD. To collect anonymous data, a postal SD questionnaire (INFO PUB 61/117/5) was used.ResultsIn the overall incidence rate of SD (96%), the most commonly experienced SD illusion was “loss of horizon due to atmospheric conditions” (81%). More SD incidents were reported by pilots who had received SD training. Some differences in the categories of the most commonly experienced SD illusion episodes between aircraft types were found. A severe episode adversely affecting flight safety was categorized by 10% of the respondents.ConclusionsIn Polish military aviation, episodes of SD are a significant threat to aviation safety. There is evidence for the beneficial effects of SD training in the improvement of pilots’ ability to recognize those factors that lead to SD.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2020, 33, 6; 791-810
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
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