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Tytuł:
Entry into vocational rehabilitation program following work-related hand injury: Potential candidates
Autorzy:
Chen, Yueh-Hsia
Hsu, Chung-Yin
Lien, Shwu-Huei
Yu, Shu-Jung
Chang, Jen-Mu
Su, Shanq-Wen
Chao, Yuan-Hung
Powiązania:
https://bibliotekanauki.pl/articles/2177083.pdf
Data publikacji:
2015-09-23
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
rehabilitation
vocational
return to work
occupational injuries
hand injuries
Opis:
Objectives This case-control study aimed to investigate the predictors of return to work (RTW) following work-related major forearm, wrist or hand injury at the preparation stage of return to work. Material and Methods A total of 80 clients were recruited and divided into 2 groups depending on their readiness of RTW. The groups were compared with each other with regard to their demographics, compensation status, hand injury severity, health perception, and time off work (TOW) using correlation coefficient. Predictors of RTW were measured by logistic regression analysis. Results There were no significant differences in demographics and the severity of hand injury between 2 groups. Self-perceived physical functioning (p = 0.04), vitality (p = 0.01), mental health (p = 0.03) and TOW (p = 0.001) were significantly different between Action group and Preparation group. With binary logistic regression analysis, self-perceived vitality (odds ratio (OR) = 1.041) and TOW (OR = 0.996) were shown to be strongly predictive of RTW at the preparation stage of return to work. Conclusions This study has shown that shorter TOW and better self-perceived vitality could predict early readiness for RTW after major work-related forearm, wrist or hand injury.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 1; 101-111
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A case-crossover study of sleep, fatigue, and other transient exposures at workplace and the risk of non-fatal occupational injuries among the employees of an Italian academic hospital
Autorzy:
Valent, Francesca
Mariuz, Marika
Liva, Giulia
Bellomo, Fabrizio
De Corti, Daniela
Degan, Stefania
Ferrazzano, Alberto
Brusaferro, Silvio
Powiązania:
https://bibliotekanauki.pl/articles/2168391.pdf
Data publikacji:
2016-11-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
fatigue
sleep duration
case-crossover
occupational injuries
academic hospital
Italy
Opis:
Objectives Transient exposure with acute effect has been shown to affect the risk of occupational injuries in various industrial settings and at the healthcare workplace. The objective of this study has been to identify transient exposures related to occupational injury risk in an Italian teaching hospital. Material and Methods A case-crossover study was conducted among the employees of the University Hospital of Udine who reported an occupational injury, commuting accident, or incident involving biological risk in a 15-month period in the years 2013 and 2014. The matched-pair interval approach was used to assess the role of acute sleep deprivation whereas the usual frequency approach was used for other 13 transient exposures. Results Sleep hours were not associated with the risk of injuries whereas a significant risk increase was associated with fatigue, rush, distraction, emergency situations, teaching to or being taught by someone, non-compliant patients, bloody operative/work field, excess noise, complex procedures, and anger. Conclusions We identified transient exposures that increased the risk of occupational injuries in an Italian teaching hospital, providing indications for interventions to increase workers’ safety at the healthcare workplace. Int J Occup Med Environ Health 2016;29(6):1001–1009
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 6; 1001-1009
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ethnic background and risk perception in construction workers: development and validation of an exploratory tool
Autorzy:
Ricci, Federico
Modenese, Alberto
Bravo, Giulia
De Pasquale, Fabrizio
Ferrari, Davide
Bello, Massimo
Carozza, Lorenzo
Longhi, Francesca
Favero, Gianluca
Soddu, Sergio
Gobba, Fabriziomaria
Powiązania:
https://bibliotekanauki.pl/articles/2116646.pdf
Data publikacji:
2020-03-13
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
migrant workers
risk perception
occupational risk
occupational injuries
construction workers
safety culture
Opis:
ObjectivesAmong occupational sectors, construction is still one of the branches with the highest reported numbers of work-related injuries and diseases, which can even lead to death and in many cases induce permanent health consequences. The vast majority of these occupational injuries and diseases are preventable; accordingly, an improvement in preventive strategies, also through a better knowledge of the main factors involved in these events, is one of the most important objectives for better occupational health and safety in the construction sector. Considering the individual factors associated with a higher risk of work-related adverse health effects in workers, an inadequate perception of occupational risks is among the most relevant issues. Risk perception can vary according to different cultural backgrounds, highly influenced by ethnicity, and it affects the relations between workers in the work environment, and the way by with they undergo the specific occupational tasks and manage risky situations frequently occurring on construction sites. Accordingly, the aim of the authors was to develop a new tool for the assessment of risk perception in construction workers with different ethnic backgrounds.Material and MethodsA team of health and safety experts involved in the training of construction workers from various ethnic backgrounds and in different regions of Italy developed and validated a questionnaire-based tool for the evaluation of their risk perception. Furthermore, through a factor analysis, a reference model defining various dimensions of occupational risk perception, relevant for the different ethnicities, was identified.ResultsThe final tool included 12 items aimed to assess the associations between the ethnic background and occupational risk perception of construction workers. The authors identified 4 relevant dimensions: behavioral control, work conditions, safety climate and personal attitude.ConclusionsThe proposed tool should be considered to explore the appropriate ways for the development of effective preventive strategies for construction workers with different ethnic backgrounds in Italy.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2020, 33, 2; 163-172
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Level of disability and associated factors with musculoskeletal disorders among supermarket cashiers
Autorzy:
Algarni, Fahad S.
Alkhaldi, Hatem A.
Zafar, Hamayun
Alhammad, Saad A.
Al-Shenqiti, Abdullah M.
Altowaijri, Abdulrahman M.
Powiązania:
https://bibliotekanauki.pl/articles/2085745.pdf
Data publikacji:
2022-08-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
associated factors
occupational injuries
work-related disabilities
supermarkets
cashiers
musculoskeletal diseases
Opis:
ObjectivesThis study aimed to determine the severity of symptoms and the level of disability or difficulty associated with MSDs in the neck, shoulders, upper limbs, lower back, and lower limbs as well as the factors associated with MSDs.Material and MethodsThis investigation collected demographic, health (36-Item Short Form Survey [SF-36]), and occupational related-factors for supermarket cashiers through the administration of several questionnaires, including the Oswestry Disability Index (ODI), Disabilities of the Arm, Shoulder and Hand (DASH), Neck Disability Index (NDI), Lower Extremity Functional Scale (LEFS), and Numeric Rating Scale (NRS) for pain.ResultsOne hundred ninety-three supermarket cashiers participated in this study. The mean scores for disability levels included NDI (M±SD 18.62±14.57), ODI (M±SD 20.74±13.89), DASH (M±SD 15.08±13.90), and LEFS (M±SD 63.06±14.24). Regression analyses demonstrated the existence of significant relationships between the experience of MSDs and several other factors, including the number of working days per week, the preferred working position, marital status and the need for awkward positions.ConclusionsThe results indicate MSDs that signified a mild disability level among young participants. The number of working days per week, the preferred working position, the need to assume awkward positions, and marital status were significantly associated with MSDs. The findings indicated the need for preventive to avoid or minimize the prevalence of MSDs among supermarket cashiers.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 4; 407-423
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Air temperature exposure and agricultural occupational injuries in the Autonomous Province of Trento (2000–2013, North-Eastern Italy)
Autorzy:
Riccò, Matteo
Powiązania:
https://bibliotekanauki.pl/articles/2159913.pdf
Data publikacji:
2017-12-21
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
agricultural workers
climate change
heat exposure
occupational injuries
hot weather
heat wave
Opis:
Objectives The aim of this study was to evaluate the relationship between high air temperatures and occupational injuries (OIs) occurred during the summer seasons 2000–2013 in agricultural workers from the Autonomous Province of Trento (APT), North-Eastern Italy. Material and Methods Data about OIs for the APT from 2000 to 2013 occurring during the warm season (N = 7325) was provided by the National Institute of Insurance for Occupational Illness and Injury. Daily average and daily maximum temperatures values for the specific geographical site of events were retrieved. Daily temperatures were then assessed in 3 time lags: for the day of the event (lag 0), and for the previous 24 h (lag 1) and 48 h (lag 2). Daily temperatures were then categorized in 3 exposure groups (< 75th, 75–95th and > 95th percentiles). The risk of OIs was assessed as odds ratio (OR) calculated through a Poisson regression model controlled for age, sex, ethnicity and time period, and assuming OI rates for days on which temperature was comprised in < 75th percentile exposure groups as the referent ones. Results Estimated incidence of OIs during the study period was 3.4±2.3 events/day. The peak of work-related accidents occurred on days characterized by severe thermal conditions, and in particular during heat waves (incidence rate ratio = 1.09, 95% confidence interval (CI): 1.02–1.17, p = 0.0165). Days having temperatures higher than 95th percentile, assessed as daily average, both on current days (OR = 1.119, 95% CI: 1.008–1.242) and in lag 1 (OR = 1.125, 95% CI: 1.013–1.249), as well as daily maximum temperatures, were at the highest risk of work-related injuries (OR = 1.144, 95% CI: 1.029–1.272). Conclusions In conclusion, presented findings recommend policymakers to develop appropriate warning/alert systems for agricultural workers regarding high environmental temperatures. Int J Occup Med Environ Health 2018;31(3):317–331
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 3; 317-331
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An ecological study on the association between characteristics of hospital units and the risk of occupational injuries and adverse events on the example of an Italian teaching hospital
Autorzy:
Valent, Francesca
Liva, Giulia
Bellomo, Fabrizio
de Corti, Daniela
Degan, Stefania
Cattani, Giovanni
Rosa, Ilaria
Mizza, Agnese
Brusaferro, Silvio
Powiązania:
https://bibliotekanauki.pl/articles/2177091.pdf
Data publikacji:
2015-09-24
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
teaching hospital
occupational injuries
hospital incident reporting
ecological study
accidental falls
medication errors
Opis:
Objectives We explored the association of workplace characteristics with occupational injuries and adverse events in an Italian teaching hospital. Material and Methods This ecological study was conducted using data routinely collected in the University Hospital of Udine, Northeastern Italy. Poisson regression models were used to investigate, at the hospital unit level, the association between 5 outcomes, including: occupational injuries, patient falls, medication errors, other adverse events and near-misses, and various characteristics of the units. Results The proportion of female workers in a unit, the average number of sick-leave days and of overtime hours, the number of medical examinations requested by employees, and being a surgical unit were significantly associated with some of the outcomes. Conclusions Despite ecological nature of the study, which does not allow for inferences to be drawn at the individual level, the results of our study provide useful clues to support strategies and interventions directed towards healthier work environments and better patient care in hospitals.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 1; 149-159
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Investigation and analysis of occupational physical injuries among healthcare staffs during allopatric medical aid for the fight against COVID-19
Autorzy:
Gao, Chaona
Ma, Guanzhong
Jiao, Dongdong
Guo, Jinli
Zhang, Yonggang
Zhu, Liping
Li, Jianli
Lou, Yanli
Dong, Honglin
Powiązania:
https://bibliotekanauki.pl/articles/2082514.pdf
Data publikacji:
2022-06-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
risk factors
personal protective equipment
emergencies
surveys and questionnaires
SARS-CoV-2
occupational injuries
Opis:
Background: Occupational health impairment of medical personnel manifested as a prominent problem in COVID-19. The aim of this study is to investigate the occupational physical injuries of front-line medical staffs in Hubei province during the fight against COVID-19. Material and Methods: questionnaire survey was conducted among 476 medical staffs from 3 regions of Hubei Province, including general characteristics and the physical discomfort/damage suffered in the isolation wards during working hours. Results: A total of 457 valid questionnaires were collected. The common physical discomfort/damage included skin injuries (22.76%), conjunctivitis (15.10%), falls (9.19%), intolerant unwell symptoms (8.53%) and sharp injuries (6.13%). Logistic regression analysis showed that: lack of protective work experience (OR = 2.049, 95% CI: 1.071–3.921), continuous working for 4 h (OR = 3.771, 95% CI: 1.858–7.654), and working >4 h (OR = 7.076, 95% CI: 3.197–15.663) were high-risk factors for skin injuries. Working continuously for 4 h (OR = 3.248, 95% CI: 1.484–7.110) and working >4 h (OR = 3.096, 95% CI: 1.232–7.772) were high-risk factors for conjunctivitis. Lack of protective work experience was a high risk factor for falls (OR = 5.508, 95% CI: 1.299–23.354). The high risk factors for intolerant unwell symptoms were continuous working for 4 h (OR = 5.372, 95% CI: 1.239–23.301) and working >4 h (OR = 8.608, 95% CI: 1.843–40.217). Working in a COVID-19 critical care unit (OR = 3.249, 95% CI: 1.344–7.854) and implementation of nursing (OR = 9.766, 95% CI: 1.307–72.984) were high risk factors for sharp injuries. Conclusions: Occupational physical injuries are universal in the COVID-19 ward. Those who take up nursing, work in a critical care ward, with no experience in an isolation ward for infectious diseases, and work continuously for ≥4 h on the same day should get more attention.
Źródło:
Medycyna Pracy; 2022, 73, 3; 209-218
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fatal accidents at work in agriculture associated with alcohol intoxication in Lower Silesia in Poland
Śmiertelne wypadki przy pracy w rolnictwie na Dolnym Śląsku w Polsce związane z upojeniem alkoholowym
Autorzy:
Jurek, Tomasz
Rorat, Marta
Powiązania:
https://bibliotekanauki.pl/articles/2164169.pdf
Data publikacji:
2017-02-28
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
alkohol
rolnictwo
wypadki przy pracy
stężenie alkoholu we krwi
toksykologia sądowa
zgony związane z pracą
alcohol
agriculture
occupational injuries
blood alcohol concentration
forensic toxicology
work-related deaths
Opis:
Background Determining the prevalence of alcohol intoxication and the level of intoxication in victims of fatal occupational accidents is necessary to improve work safety. The circumstances of the accident and the time between alcohol consumption and death are important factors. Material and Methods A retrospective review of 18 935 medico-legal autopsy reports and toxicological reports performed in the Department of Forensic Medicine at the Wroclaw Medical University, Poland, in the years 1991–2014. The study protocol included circumstances, time and cause of death, injuries, quantitative testing for the presence of ethyl alcohol, gender and age. Results There were 98 farm-related fatalities. There were 41.8% (N = 41) of victims who had been intoxicated – 95.1% (N = 39) of them were males aged 19–70 years old, 4,9% (N = 2) were females aged 37–65 years old. In 8 cases the blood alcohol concentration (BAC) was 50–150 mg/dl; in 15 cases it was 150–250 mg/dl and in 18 cases it was > 250 mg/dl. In 21 cases, the BAC was determined using alternative material and 76% (N = 16) victims were in the alcohol elimination phase with 19% (N = 4) victims in the alcohol absorption phase. The most common causes of death were traffic accidents, drowning and deaths resulting from being caught in or hit by moving parts of machinery or equipment. Conclusions Alcohol consumption is a crucial risk factor in fatal agricultural accidents. In order to establish the time of alcohol consumption, all victims of agricultural accidents should be tested for alcohol concentration in their blood and urine or vitreous. Improving safety at work requires that the sobriety of employees should be monitored before and during work. Med Pr 2017;68(1):23–30
Wstęp W celu poprawy poziomu bezpieczeństwa pracy w rolnictwie konieczne są gromadzenie i analiza danych dotyczących liczby osób w stanie nietrzeźwości, które ulegają śmiertelnym wypadkom, poziomu alkoholu w ich organizmie, okoliczności śmierci i czasu między konsumpcją alkoholu a zgonem. Materiał i metody Przeprowadzono retrospektywną analizę wyników 18 935 sądowo-lekarskich sekcji zwłok i raportów toksykologicznych wykonanych w Katedrze Medycyny Sądowej na Uniwersytecie Medycznym we Wrocławiu w latach 1991–2014. Protokół badania obejmował okoliczności, czas i przyczynę zgonu, obrażenia, wynik badania ilościowego na zawartość alkoholu, płeć i wiek badanych. Wyniki Stwierdzono 98 wypadków śmiertelnych przy pracy w rolnictwie. Pod wpływem alkoholu było 41,8% (N = 41) ofiar wypadków, w tym 95,1% (N = 39) mężczyzn w wieku 19–70 lat i 4,9% (N = 2) kobiet w wieku 37–65 lat. W przypadku 8 osób stężenie alkoholu we krwi wynosiło 0,5–1,5‰, u 15 osób – 1,5–2,5‰, a u 18 osób – powyżej 2,5‰. U 21 ofiar wypadków poziom alkoholu oznaczono w materiale alternatywnym i ustalono, że 76% (N = 16) z nich znajdowało się w fazie eliminacji alkoholu z organizmu, a 19% (N = 4) w fazie wchłaniania. Najczęstszymi okolicznościami śmierci były wypadki drogowe, utonięcia i urazy związane z pochwyceniem lub uderzeniem przez poruszające się elementy maszyn rolniczych. Wnioski Spożycie alkoholu jest istotnym czynnikiem ryzyka śmiertelnych wypadków w rolnictwie. W celu ustalenia czasu konsumpcji alkoholu przez ofiary wypadków należy oznaczać u nich stężenie alkoholu we krwi i w moczu lub szklistce. Poprawa bezpieczeństwa w miejscu pracy wymaga monitorowania trzeźwości pracowników zarówno przed rozpoczęciem pracy, jak i w jej trakcie. Med. Pr. 2017;68(1):23–30
Źródło:
Medycyna Pracy; 2017, 68, 1; 23-30
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Miners’ return to work following injuries in coal mines
Powrót do pracy górników poszkodowanych w wypadkach w kopalni węgla
Autorzy:
Bhattacherjee, Ashis
Kunar, Bijay M.
Powiązania:
https://bibliotekanauki.pl/articles/2164232.pdf
Data publikacji:
2016-12-22
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
czynniki ryzyka
urazy związane z pracą
powrót do pracy
modele proporcjonalnego hazardu Coxa
estymator Kaplana-Meiera
górnictwo węgla
risk factors
occupational injuries
return to work
Cox proportional hazards models
Kaplan-Meier estimate
coal mining
Opis:
Background The occupational injuries in mines are common and result in severe socio-economical consequences. Earlier studies have revealed the role of multiple factors such as demographic factors, behavioral factors, health-related factors, working environment, and working conditions for mine injuries. However, there is a dearth of information about the role of some of these factors in delayed return to work (RTW) following a miner’s injury. These factors may likely include personal characteristics of injured persons and his or her family, the injured person’s social and economic status, and job characteristics. This study was conducted to assess the role of some of these factors for the return to work following coal miners’ injuries. Material and Methods A study was conducted for 109 injured workers from an underground coal mine in the years 2000–2009. A questionnaire, which was completed by the personnel interviews, included among others age, height, weight, seniority, alcohol consumption, sleeping duration, presence of diseases, job stress, job satisfaction, and injury type. The data was analyzed using the Kaplan-Meier estimates and the Cox proportional hazard model. Results According to Kaplan-Meier estimate it was revealed that a lower number of dependents, longer sleep duration, no job stress, no disease, no alcohol addiction, and higher monthly income have a great impact on early return to work after injury. The Cox regression analysis revealed that the significant risk factors which influenced miners’ return to work included presence of disease, job satisfaction and injury type. Conclusions The mine management should pay attention to significant risk factors for injuries in order to develop effective preventive measures. Med Pr 2016;67(6):729–742
Wstęp Podczas pracy w kopalni często dochodzi do urazów, które powodują poważne konsekwencje społeczno-ekonomiczne. Wcześniej przeprowadzone badania wykazały, że powstanie urazów u górników wynika z wielu czynników – demograficznych i behawioralnych, a także związanych ze zdrowiem zatrudnionych oraz środowiskiem pracy i jej warunkami. Brakuje jednak informacji na temat wpływu niektórych z tych czynników na opóźniony czas powrotu do pracy poszkodowanego w wypadku. Mogą się do tego przyczyniać cechy osobowe pracownika i jego rodziny, jego status społeczny i ekonomiczny, a także warunki pracy. Celem badania była ocena wpływu niektórych z ww. czynników na powrót do pracy poszkodowanego w wypadku w kopalni. Materiał i metody Grupę badaną stanowiło 109 pracowników podziemnej kopalni węgla, którzy ulegli wypadkowi w latach 2000–2009. W wyniku przeprowadzonego badania kwestionariuszowego uzyskano m.in. następujące dane: datę urodzenia, wzrost i masę ciała, staż w zawodzie, spożycie alkoholu, czas trwania snu, choroby, stres w pracy, satysfakcję z pracy i typ urazu. Do analizy wyników użyto estymatorów Kaplana-Meiera i modelu proporcjonalnego hazardu Coxa. Wyniki Obliczenia wykonane z wykorzystaniem metody Kaplana-Meiera wykazały, że duży wpływ na szybki powrót do pracy po urazie ma mniejsza liczba członków rodziny, dłuższy czas snu, brak stresu w pracy, niewystępowanie chorób, brak uzależnienia od alkoholu i wyższy dochód miesięczny. Natomiast analiza regresji Coxa wykazała, że istotnymi czynnikami ryzyka, które wpływają na czas powrotu górników do pracy, były występowanie choroby, satysfakcja z pracy i typ urazu. Wnioski Kierownictwo kopalni powinno zwracać uwagę na istotne czynniki ryzyka urazów w celu opracowania efektywnych środków prewencyjnych. Med. Pr. 2016;67(6):729–742
Źródło:
Medycyna Pracy; 2016, 67, 6; 729-742
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occupational exposure to sharp injuries among medical and dental house officers in Nigeria
Autorzy:
Osazuwa-Peters, Nosayaba
Obarisiagbon, Aimuamwosa
Azodo, Clement C.
Ehizele, Adebola O.
Obuekwe, Ozoemene N.
Powiązania:
https://bibliotekanauki.pl/articles/2179782.pdf
Data publikacji:
2013-04-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposures
sharp injuries
needlestick injuries
medical and dental house officers
underreporting
Nigeria
Opis:
Objective: Sharp injuries constitute important occupational exposure in hospital environment, and perhaps the newly graduated medical and dental students, known as House Officers, in the first twelve months of their practice, are the most vulnerable of all health workers. This study was designed to examine the nature and prevalence of occupational injuries among medical and dental house officers and factors associated with reporting these injuries. Materials and Methods: A self-administered questionnaire was used to obtain information on demography, types of exposure, and barriers to official reporting of occupational injuries. One hundred and forty-four medical and dental house officers in 3 government owned hospitals in Edo State, Nigeria participated in the study, between April and May, 2010. Descriptive and multivariable analyses were performed. Results: The overall response rate was 96%. Out of all participants, 69.4% were male; 82.6% were medical house officers. Prevalence of percutaneous injury was 56.9%; where needlestick injury constituted one-third of all injuries. Mean frequency of injury was 1.86±2.24, with medicals having more injuries (p = 0.043). The ward was the most common location for the injury and 14.8% of exposures occurred as a result of lapse in concentration. At least 77.0% did not formally report their injury and perceived low injury risk was the most common reason given (51.67%). Conclusion: This study shows that a substantial number of House Officers are exposed to occupational injuries and that the majority of them does not formally report these. Safer work environment may be achieved by implementing adequate educational programs tailored specifically to house officers, and policies encouraging exposure reporting should be developed.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 2; 283-290
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sharps injuries among medical students in the faculty of medicine, Colombo, Sri Lanka
Autorzy:
Liyanage, Isurujith K.
Caldera, Tskrd
Rwma, Rajapaksha
Liyange, C. K.
De Silva, Pubudu
Karunathilake, I. M.
Powiązania:
https://bibliotekanauki.pl/articles/2180090.pdf
Data publikacji:
2012-06-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
sharps injury
medical students occupational safety
needle-stick injuries
Opis:
Introduction: Medical students undertake clinical procedures which carry a risk of sharps injuries exposing them to bloodborne infections. Objectives: To study the prevalence and correlates of sharps injuries among 4th-year medical students in the Faculty of Medicine, University of Colombo, Sri Lanka. Materials and Methods: The survey was conducted among 4th-year medical students to find out the incidence of injuries during high-risk procedures, associated factors and practice and perceptions regarding standard precautions. A self-administered questionnaire was administered to a batch of 197 4th-year medical students. Results: A total of 168 medical students responded. One or more injury was experienced by 95% (N = 159) of the students. The majority (89%) occurred during suturing; 23% during venipuncture and 14% while assisting in deliveries. Most of the incidents (49%) occurred during Obstetrics and Gynecology attachments. Recapping needles led to 8.6% of the injuries. Thirty-five percent of students believed they were inadequately protected. In this group, adequate protection was not available in 21% of the incidences and 24% thought protection was not needed. Following the injury, 47% completely ignored the event and only 5.7% followed the accepted post-exposure management. Only 34% of the students knew about post-exposure management at the time of the incident. Only 15% stated that their knowledge regarding prevention and management was adequate. The majority (97%) believed that curriculum should put more emphasis on improving the knowledge and practice regarding sharps injuries. Conclusions: The incidence of sharps injuries was high in this setting. Safer methods of suturing should be taught and practiced. The practice of standard precautions and post-injury management should be taught.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2012, 25, 3; 275-280
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Needlestick and sharps injuries at a German university hospital: epidemiology, causes and preventive potential – a descriptive analysis
Autorzy:
Kaur, Manmeet
Mohr, Sonja
Andersen, Gabriele
Kuhnigk, Olaf
Powiązania:
https://bibliotekanauki.pl/articles/2085760.pdf
Data publikacji:
2022-08-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational safety
sharps injuries
care workers
needlestick injuries
exposures to body fluids
safety-engineered device
Opis:
Objectives To analyze the number, epidemiology and circumstances of needlestick and sharps injuries (NSSI) and exposures to body fluids and to identify further preventive measures to improve the occupational safety of health care workers (HCW). Material and Methods Setting: German university tertiary-care referral center. Retrospective study based on injury documentation sheets of the hospital’s staff and faculty health service and, if given, on reports by continuity doctors and by the accident and emergency department in January 2014–June 2016. Results Altogether, 567 injuries were registered with a significant decrease of cases over the study period. The majority of accidents occurred in the operating theater (35%). Stress, time pressure, overstrain, carelessness and distraction were found to be the main reasons for injuries. At least 30% of the cases were preventable, mainly by wearing personal protective equipment (PPE), by proper disposal of an item and by early replacement of overfilled sharps containers (SC). In 20% of the cases involving an item, the injury was caused by a safety-engineered device (SED). Almost one-third of these injuries were attributable to an improper use of the SED. Conclusions Despite many efforts made to reduce their number, NSSI still occur. Health care workers and students should be offered regular trainings to be sensitized to this topic and to learn the appropriate use of SED. Moreover, organizational measures must be taken, such as the provision of suitable PPE and safe SC. Strategies need to be established to improve the working conditions and reduce the stress level of HCW.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 4; 497-507
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occupational health hazards of street cleaners – a literature review considering prevention practices at the workplace
Autorzy:
van Kampen, Vera
Hoffmeyer, Frank
Seifert, Christoph
Brüning, Thomas
Bünger, Jürgen
Powiązania:
https://bibliotekanauki.pl/articles/2116505.pdf
Data publikacji:
2020-10-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational health
hazards
musculoskeletal disorders
respiratory disorders
injuries
street cleaner/sweeper
Opis:
Street cleaning is an integral part of the solid waste management system. There are different ways to achieve clean streets depending on the availability of equipment, the type and magnitude of dirt, the surface conditions encountered or traffic conditions. In general, hand sweeping by an individual worker or a group, hose flushing, or machine sweeping or flushing are applied. In order to obtain information about the occurrence and relevance of occupational health hazards of street cleaners, the current international literature, as well as corresponding German regulations, were reviewed and evaluated. Street cleaning includes a variety of health hazards for employees. These can be subdivided into effects of occupational tasks and effects of working conditions such as weather or road traffic. The hazards result from physical, chemical and biological exposures, but may also be due to physiological and psychological burden or inadequate safety aspects. The most commonly reported work-related complaints are musculoskeletal and respiratory disorders, cuts, slips, and road traffic accidents. In developing countries, street cleaners seem to be still heavily exposed to dust and, in most cases, no suitable protective measures are available. Especially in industrialized countries there exist a number of standards and recommendations for waste workers that aim to reduce their occupational health impacts.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2020, 33, 6; 701-732
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Did safety-engineered device implementation contribute to reducing the risk of needlestick and sharps injuries? Retrospective investigation of 20 years of observation in a specialist tertiary referral hospital
Autorzy:
Szczypta, Anna
Różańska, Anna
Siewierska, Małgorzata
Drożdż, Kamil
Szura, Mirosław
Talaga-Ćwiertnia, Katarzyna
Powiązania:
https://bibliotekanauki.pl/articles/31341055.pdf
Data publikacji:
2024-05-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
needlestick and sharps injuries
safety-engineered device
healthcare workers
implementation of European Union Council Directive
2010/32/EU
Opis:
Objectives In Poland, there are numerous cases of injuries caused by sharp instruments annually, still significantly more than in other European Union countries. The aim of this study was to analyze work-related injuries among healthcare workers in a selected hospital before and after the implementation of safety-engineered devices (SED). Material and Methods Retrospective analysis of medical documentation regarding occupational needlestick and sharps injuries (NSSI) in a tertiary referral surgical hospital in 1998–2018. The study group consisted of nurses and doctors who had been injured and reported the incident. The frequency of injury reports, injury rate, and characterization of circumstances surrounding NSSI are presented. Results Over the period of 20 years, a total of 257 NSSI incidents were reported. The average injury rate was statistically significant for nurses (p = 0.004) and was higher before the introduction of SED. Moreover, the number of injuries among nurses showed a downward trend during the study period. However, for doctors, there was no statistically significant difference in the median puncture rate (p = 0.099), and the number of injuries showed an increasing trend. Conclusions In this study, the authors’ have demonstrated not only the occurrence of injuries and punctures in the daily work of medical personnel but also the potential for their reduction through the use of safety equipment at every workstation where healthcare services are provided using sharp medical instruments.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2024, 37, 2; 234-243
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pech czy powszechna rzeczywistość? Liczne ekspozycje pielęgniarki na materiał potencjalnie zakaźny: opis przypadku
Bad luck or a common reality? Multiple exposures a nurse to potentially infectious material: a case report
Autorzy:
Bożejko, Mateusz
Olech, Karolina
Powiązania:
https://bibliotekanauki.pl/articles/31340366.pdf
Data publikacji:
2024-05-21
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
HIV
AIDS
narażenie zawodowe
zapalenie wątroby
rany i urazy
środki przeciw HIV
acquired immunodeficiency syndrome
occupational exposure
hepatitis
wounds and injuries
anti-HIV agents
Opis:
Opisano przypadek pielęgniarki, u której między grudniem 2020 r. a czerwcem 2022 r. czterokrotnie wystąpiła ekspozycja zawodowa na materiał potencjalnie zakaźny. W 2 przypadkach pacjent źródłowy był nieznany, więc wdrożono farmakologiczną profilaktykę poekspozycyjną HIV (w jednym z tych przypadków u pielęgniarki wystąpiło osłabienie i nasilone objawy dyspeptyczne, co spowodowało konieczność zmiany stosowanych leków przeciwretrowirusowych). W czasie zbierania wywiadu pielęgniarka zgłosiła, że wielokrotne ekspozycje na materiał potencjalnie zakaźny są powszechne w jej środowisku pracy, jednak większość z nich nie jest raportowana. Potwierdzają to wyniki kilku badań poświęconych problemowi niezgłaszania przypadków ekspozycji zawodowych przez pracowników ochrony zdrowia. Ich wyniki są znacząco rozbieżne, co może wynikać z różnej metodyki. Autorzy niniejszego artykułu uważają, że po 10 latach od wejścia w życie rozporządzenia Ministra Zdrowia ujednolicającego procedury postępowania po zranieniu ostrymi narzędziami używanymi przy udzielaniu świadczeń zdrowotnych poważnym problemem pozostaje niezgłaszanie przypadków przez pracowników (skutkiem tego jest brak profilaktyki poekspozycyjnej). Autorzy postulują wprowadzenie ogólnopolskiego systemu raportowania. Konieczne jest również zwiększenie znaczenia profilaktyki zakłuć oraz poprawa jakości szkolenia personelu medycznego w zakresie procedur profilaktyki poekspozycyjnej.
Presented is the case of a nurse who had 4 occupational exposures to potentially infectious material between December 2020 and June 2022. In 2 of the cases, the source patient was unknown, so pharmacological HIV post-exposure prophylaxis was implemented (in 1 of these cases, the nurse developed weakness and increased dyspeptic symptoms, necessitating a change in the antiretroviral medications used). During the interview collection, the nurse reported that multiple exposures to potentially infectious material are common in her work environment, but most of these are not reported. This is supported by the results of several studies devoted to the problem of non-reporting of occupational exposures by health care workers. However, there is significant discrepancy in the results of these studies, which may be due to different methods. The authors of this article believe that after 10 years since the entry into force of the regulation of the Minister of Health standardizing procedures for dealing with injuries caused by sharp instruments used in the provision of health care services, a serious problem remains of non-reporting of cases by employees (resulting in a lack of post-exposure prophylaxis). The authors call for the introduction of a nationwide reporting system. There is also a need to increase the importance of prophylaxis of stabbings and to improve the quality of training of medical personnel in post-exposure prophylaxis procedures.
Źródło:
Medycyna Pracy. Workers’ Health and Safety; 2024, 75, 2; 173-179
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy. Workers’ Health and Safety
Dostawca treści:
Biblioteka Nauki
Artykuł
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