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Tytuł:
Healthcare workers’ occupational exposure to bloodborne pathogens: A 5-year observation in selected hospitals of the Małopolska province
Autorzy:
Różańska, Anna
Szczypta, Anna
Baran, Magda
Synowiec, Edyta
Bulanda, Małgorzata
Wałaszek, Marta
Powiązania:
https://bibliotekanauki.pl/articles/2178886.pdf
Data publikacji:
2014-10-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Health care workers
occupational exposure
bloodborne pathogens
Opis:
Objectives: The study presents data concerning occupational exposures among the staff of 5 hospitals in the Małopolska province in 2008–2012, taking into account the frequency and circumstances of exposure formation, occupational groups of hospital workers, as well as diversification of the reported rates in subsequent years between the hospitals and in each of them. An additional objective of the analysis was to assess the practical usefulness of the reported data for planning and evaluation of the effectiveness of procedures serving to minimize the risk of healthcare workers’ exposure to pathogens transmitted through blood. Material and Methods: Data were derived from occupational exposure registries kept by 5 hospitals of varying sizes and operational profiles from the Małopolska province from the years 2008–2012. Results: Seven hundred and seventy-five cases of exposure were found in a group of 3165 potentially exposed workers in the analyzed period. Most cases were observed in nurses (68%) and these were mainly various types of needlestick injuries (78%). Exposure rates with respect to all workers ranged from 2.6% to 8.3% in individual hospitals, but the differences in their values registered in the hospitals in subsequent years did not bear any statistical significance, in a way similar to the rates calculated separately for each occupational group. Conclusions: There was no upward or downward trend in the number of reported cases of exposure to bloodborne pathogens in the studied period in any of the hospitals. Statistically significant differences in the percentages of exposures were reported between individual hospitals in some years of the analyzed period, which confirms the need for registries in individual units in order to plan and evaluate the effectiveness of preventative measures.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2014, 27, 5; 747-756
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occupational exposure to bisphenol A (BPA) in a plastic injection molding factory in Malaysia
Autorzy:
Kouidhi, Wided
Thannimalay, Letchumi
Soon, Chen Sau
Ali Mohd, Mustafa
Powiązania:
https://bibliotekanauki.pl/articles/2161888.pdf
Data publikacji:
2017-07-14
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
BPA
plastic factory
environmental exposures
Malaysian workers
molding process
Opis:
Objectives The purpose of this study has been to assess ambient bisphenol A (BPA) levels in workplaces and urine levels of workers and to establish a BPA database for different populations in Malaysia. Material and Methods Urine samples were collected from plastic factory workers and from control subjects after their shift. Air samples were collected using gas analyzers from 5 sampling positions in the injection molding unit work area and from ambient air. The level of BPA in airborne and urine samples was quantified by the gas chromatography mass spectrometry – selected ion monitoring (GCMS-SIM) analysis. Results Bisphenol A was detected in the median range of 8–28.3 ng/m³ and 2.4–3.59 ng/m³ for the 5 sampling points in the plastic molding factory and in the ambient air respectively. The median urinary BPA concentration was significantly higher in the workers (3.81 ng/ml) than in control subjects (0.73 ng/ml). The urinary BPA concentration was significantly associated with airborne BPA levels (ρ = 0.55, p < 0.01). Conclusions Our findings provide the first evidence that workers in a molding factory in Malaysia are occupationally exposed to BPA. Int J Occup Med Environ Health 2017;30(5):743–750
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 5; 743-750
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A cytogenetic approach to the effects of low levels of ionizing radiation (IR) on the exposed Tunisian hospital workers
Autorzy:
Bouraoui, Sana
Mougou, Soumaya
Drira, Afef
Tabka, Faten
Bouali, Nouha
Mrizek, Najib
Elghezal, Hatem
Saad, Ali
Powiązania:
https://bibliotekanauki.pl/articles/2179799.pdf
Data publikacji:
2013-03-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
centromere-micronucleus assay
occupational radiation exposure
hospital workers
centromere negative micronuculei
Opis:
Objectives: The aim of this study is to assess chromosomal damage in Tunisian hospital workers occupationally exposed to low levels of ionizing radiation (IR). Materials and Methods: The cytokinesis-block micronucleus (CBMN) assay in the peripheral lymphocytes of 67 exposed workers compared to 43 controls matched for gender, age and smoking habits was used. The clastogenic/aneugenic effect of IR was evaluated using the CBMN assay in combination with fluorescence in situ hybridization with human pan-centromeric DNA in all the exposed subjects and controls. Results: The study showed a signifi cant increase of the micronucleus (MN) frequency in the lymphocytes of the exposed workers compared to the control group (13.63±4.9‰ vs. 6.52±4.21‰, p < 0.05). The centromere analysis performed in our study showed that MNs in hospital staff were predominantly centromere negative (72%) and the mean negative labeled micronucleus (C–MN) frequency was signifi cantly higher in the exposed subjects than in the controls (9.04±4.57‰ vs. 1.17±0.77‰). The multivariate regression analysis, taking into account all confounding factors, showed that only the time of exposure to IR had a signifi cant effect on the level of MNs and C–MN. Conclusion: The present study shows that chromosomal damage leading to the formation of micronucleated lymphocytes is more frequent in the hospital workers exposed to IR than in the controls, despite the low levels of exposure. The results of the study confi rm the well-known clastogenic properties of ionizing radiation. In regards to health monitoring, detection of early genotoxic effects may allow for the adoption of preventive biological control measures, such as hygienic improvements in the workplace or reduction of hours of occupational exposure.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 1; 144-154
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endotoxin exposure and changes in short-term pulmonary function among sewage workers
Autorzy:
Cyprowski, Marcin
Sobala, Wojciech
Buczyńska, Alina
Szadkowska-Stańczyk, Irena
Powiązania:
https://bibliotekanauki.pl/articles/2177186.pdf
Data publikacji:
2015-06-25
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
sewage workers
endotoxin exposure
inhalable dust
smoking
lung function
regression analysis
Opis:
Objectives The inhaled endotoxin is considered as a causative factor in the process of acute bronchial obstruction, which can be measured by a decrease in forced expiratory volume in 1 s (FEV₁). The aim of this study was to assess endotoxin exposure among sewage treatment plant workers (STPW) and its effect on across-shift changes in respiratory airflow. Material and Methods A group of 78 STPW from a large sewage treatment plant was studied. Inhalable dust for endotoxin assessment was collected using personal aerosol samplers. Endotoxin was assayed with the kinetic, chromogenic Limulus amebocyte lysate test. Across-shift spirometric measurements were performed on Mondays, after 2-days absence from work, with the use of portable spirometer. The forced vital capacity (FVC), and FEV₁ parameters were analyzed. Multifactor regression modeling was performed to determine parameters significantly associated with endotoxin exposure. Results The concentration of inhalable dust and endotoxin ranged from 0.01–1.38 mg/m³ and 0.68–214 endotoxin units per cubic meter of air (EU/m³), respectively. Endotoxins were characterized with the skewed distribution (arithmetic mean (AM) = 38.8 EU/m³, geometric mean (GM) = 15.4 EU/m³, geometric standard deviation (GSD) = 4.21). Through the use of multifactor analysis, which excluded the main confounders (inhalable dust and smoking habit) it was found that, despite low levels of endotoxin, it had significant impact on the observed across-shift decline in FEV₁ (p = 0.044). For this parameter, the regression slope was additionally calculated (r = –0.017, p = 0.071). Conclusions Relatively low levels of endotoxin among sewage treatment plant workers may cause small, but significant across-shift declines in FEV₁. The observed relationship was independent of organic dust concentrations and smoking habit. The respiratory protection should be provided for STPW.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 5; 803-811
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Exposure to self-reported occupational noise and diabetes – A cross-sectional relationship in 7th European Social Survey (ESS7, 2014)
Autorzy:
Dzhambov, Angel M.
Powiązania:
https://bibliotekanauki.pl/articles/2161901.pdf
Data publikacji:
2017-06-19
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
noise
diabetes mellitus
occupational exposure
gender differences
white-collar workers
cross sectional
Opis:
Objectives Almost nothing is known about the effect of occupational noise on diabetes, and this is particularly relevant given the wide spread of both noise exposure and diabetes. This study has aimed to determine whether occupational noise exposure is associated with higher risk of diabetes in Europe. Material and Methods This study is based on 7th European Social Survey (ESS7, 2014) – a multi-country population-based questionnaire survey, which covered 28 221 Europeans aged ≥ 15 years old. Data on self-reported noise exposure, diabetes and other sociodemographic and work-related factors was available. The odds of prevalent diabetes were explored using unconditional logistic regression. Results In the total sample (N = 23 486), participants ever exposed to very loud noise had no substantive increase in the odds of diabetes (odds ratio (OR) = 1.01, 95% confidence interval (CI): 0.78–1.32). There were subgroups with non-significantly increased odds: men (OR = 1.12, 95% CI: 0.87–1.45), the elderly (OR = 1.09, 95% CI: 0.91–1.31), ethnic minority members (OR = 1.55, 95% CI: 0.91–2.62), those with secondary education (OR = 1.05, 95% CI: 0.78–1.41) and those living in small cities/towns (OR = 1.07, 95% CI: 0.89–1.29). Low-skilled white-collar workers had OR = 1.34 (95% CI: 1.09–1.64). Among participants employed during the preceding 5 years the odds were OR = 1.24 (95% CI: 0.95–1.61). Conclusions Self-reported occupational noise was not associated with increased odds of prevalent diabetes in the total sample. Sensitivity analyses revealed some subgroups with non-significantly higher odds. Our results suggest that further delve into the relationship between occupational noise and diabetes is feasible and warranted. Int J Occup Med Environ Health 2017;30(4):537–551
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 4; 537-551
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Cytostatics as hazardous chemicals in healthcare workers’ environment
Autorzy:
Pałaszewska-Tkacz, Anna
Czerczak, Sławomir
Konieczko, Katarzyna
Kupczewska-Dobecka, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2161986.pdf
Data publikacji:
2019-04-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
carcinogenic agents
safety data sheets
healthcare workers
OEL
cytostatic
occupational exposure limits
Opis:
Cytostatics not only induce significant side-effects in patients treated oncologically but also pose a threat to the health of occupationally exposed healthcare workers: pharmacists, physicians, nurses and other personnel. Since the 1970s numerous reports from various countries have documented the contamination of working areas with cytostatics and the presence of drugs/metabolites in the urine or blood of healthcare employees, which directly indicates the occurrence of occupational exposure to these drugs. In Poland the significant scale of occupational exposure to cytostatics is also confirmed by the data collected in the central register of occupational carcinogens/mutagens kept by the Nofer Institute of Occupational Medicine. The assessment of occupational exposure to cytostatics and health risks constitutes employers’ obligation. Unfortunately, the assessment of occupational risk resulting from exposure to cytostatics raises a number of concerns. Provisions governing the problem of workers’ health protection are not unequivocal because they derive from a variety of law areas, especially in a matter of hazard classification and safety data sheets for cytostatics. Moreover, no legally binding occupational exposure limits have been set for cytostatics or their active compounds, and analytical methods for these substances airborne and biological concentrations are lacking. Consequently, the correct assessment of occupational exposure to cytostatics, the evaluation of health hazards and the development of the proper preventive strategy appear difficult. The authors of this article described and discussed the amendments to the European provisions concerning chemicals in the light of employers’ obligations in the field of employees’ heath protection against the consequences of exposure to cytostatics. Some modifications aimed at a more effective health protection of workers occupationally exposed to cytostatics were also proposed. Int J Occup Med Environ Health. 2019;32(2):141–59
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2019, 32, 2; 141-159
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:
Menometrorrhagia in magnetic resonance imaging operators with copper intrauterine contraceptive devices (IUDS): A case report
Autorzy:
Gobba, Fabriziomaria
Bianchi, Nadia
Verga, Paolo
Contessa, Gian M.
Rossi, Paolo
Powiązania:
https://bibliotekanauki.pl/articles/2180120.pdf
Data publikacji:
2012-03-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
static magnetic fields
occupational exposure
induced currents
workers at particular risk
menometrorrhagia
Opis:
The paper describes the cases of 3 female health operators with implanted copper IUDs, developing menometrorrhagia some months after an increase of the working time in a Magnetic Resonance Imaging (MRI) Unit (1.5 T), that progressively disappeared when the previous organization, involving discontinuous work shifts at MRI, was re-established. No known factors possibly related to menometrorrhagia were evidenced in the 3 operators, supporting the hypothesis of a role of the exposure to the electromagnetic fields (EMF) induced by the MRI system in symptoms induction. The possible mechanism remains unsettled, but menometrorrhagia might be triggered by a phlogistic stimulus caused by EMF, possibly the lowfrequency currents induced in the wires of the IUD during the movements of the operator inside the static magnetic field generated by the MRI permanent magnet. Until now, the problem of possible interactions between copper IUDs and EMF induced by MRI has been considered in patients undergoing imaging, but the possible risk in MRI Units operators has been largely neglected. To our knowledge, the occurrence of menometrorrhagia is not routinely checked in health surveillance of MRI operators, so these symptoms can pass unnoticed, especially if they are transitory. Therefore, underreporting is rather possible. The cases described here support the need for further research on this topic, especially considering the progressive diffusion of more powerful MRI scanners (3 T and more), and of the interventional magnetic resonance imaging, both potentially involving higher EMF exposures, and a large number of MRI female operators, possibly using IUDs. The possibility that MRI operators with implanted metallic IUDs can be included in the group of “workers at particular risk” according to the EU Directive 2004/40/EC should be considered.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2012, 25, 1; 97-102
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pleural mesothelioma in household members of asbestos-exposed workers in Friuli Venezia Giulia, Italy
Autorzy:
D'Agostin, Flavia
de Michieli, Paola
Negro, Corrado
Powiązania:
https://bibliotekanauki.pl/articles/2161879.pdf
Data publikacji:
2017-05-08
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
latency time
asbestos workers
family members
household exposure
pleural mesothelioma
mesothelioma register
Opis:
Objectives Malignant mesothelioma is closely associated to asbestos exposure. One such exposure may occur through contact with occupationally exposed household members and their belongings. This study examines the features of pleural mesothelioma attributable only to asbestos brought home by another family member. Material and Methods The data sources were 1063 mesothelioma cases diagnosed between 1995 and 2014, from the Friuli Venezia Giulia Mesothelioma Register. In all cases the diagnosis of mesothelioma was based on the pathology report. Exposure information and demographic data were acquired by an occupational medical standardized questionnaire/interview. Results Household-exposure mesothelioma cases included 33 women and 2 men. Relationships were: wives (N = 22), daughters (N = 9), sons (N = 2), and mothers (N = 2). Asbestos exposure in the workers predominantly occurred in shipyards. Out of the 35 pleural cases, 19 were epithelial, 9 biphasic, 3 sarcomatoid, and 4 not specified. The mean age at diagnosis was 77 years old. The mean latency was 59 years, with wives having a significant shorter latency than offspring. Latency was not significantly related to morphology and asbestosis. The overall mean survival was 16 months (median 11 months) but treatment was beneficial (mean 16 months vs. 7 months). Biphasic/sarcomatoid histology and presence of asbestosis were associated with a decreased survival, although not with statistical significance. Conclusions Our data confirms that household exposure increases the risk for pleural mesothelioma amongst women with no history of occupational asbestos exposure. This is an ongoing problem in many countries, as well as in Italy, where the evaluation of a framework for the compensation of these cases is under debate. Int J Occup Med Environ Health 2017;30(3):419–431
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 3; 419-431
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analysis of the prevalence of anti-SARS-CoV-2 antibodies in groups of medical and non-medical professions
Autorzy:
Biernacka, Paulina
Piekarska, Anna
Berkan-Kawińska, Aleksandra
Powiązania:
https://bibliotekanauki.pl/articles/21375382.pdf
Data publikacji:
2023-11-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
seroprevalence
exposure
occupational risk
COVID-19
healthcare workers
anti-SARS-CoV-2 antibodies
Opis:
Objectives The assessment of the prevalence of anti-SARS-CoV-2 antibodies in various professional groups is very important. Hence, the purpose of the following study was to analyze the seroprevalence of anti-SARS-CoV-2 antibodies among employees performing both medical and nonmedical professions before the launch of SARS-CoV-2 vaccination. Material and Methods The study was conducted among employers of 1 of the institutions: The Provincial Specialist Hospital of Władysław Biegański in Łódź, Poland, Radio Łódź and the Border Guards of Łódź Airport. Blood samples were collected in December 2020–February 2021. Patients were screened for the presence of SARS-CoV-2 antibodies. Simultaneously respondents were asked to complete a self-designed questionnaire including demographic data, detailed profession, history of SARS-CoV-2 infection and willingness to be vaccinated against COVID-19. Results Seroprevalence was significantly higher in the group of rural residents (p < 0.012), participants who declared previous COVID-19 infection (p < 0.001) and healthcare workers (HCWs) (p = 0.002), especially nurses (35.5%, p = 0.003) and medics worked in areas dedicated to COVID-19 than in other specialties (38.7% vs. 26.8%, respectively, p = 0.017). There was no association between the presence of antibodies and the gender (p = 0.118), age (p = 0.559) or BMI (p = 0.998). Conclusions Healthcare workers, in particular nurses, are at high risk of contracting COVID-19 in the workplace. Occupational infections can occur during occur not only during contact with the patient, but also with members of the medical team who do not show typical symptoms of the disease. Shortages in medical staff may also increase the number of infections among HCWs. Medical and hospital staff providing health services during the COVID-19 epidemic in Poland, may seek compensation in the event of consequences related to SARS-CoV-2 infection. The effectiveness of education and self-discipline in complying to safety rules among HCWs should also be constantly monitored.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2023, 36, 5; 643-655
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of the safety of users of active implantable medical devices (AIMD) in the working environment in terms of exposure to electromagnetic fields – Practical approach to the requirements of European Directive 2013/35/EU
Autorzy:
Zradziński, Patryk
Karpowicz, Jolanta
Gryz, Krzysztof
Leszko, Wiesław
Powiązania:
https://bibliotekanauki.pl/articles/2162037.pdf
Data publikacji:
2018-12-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
workers’ safety
cardiac pacemakers
implanted defibrillators
exposure effects
electromagnetic interference
wearable insulin pump
Opis:
Objectives Electromagnetic fields (EMF) may cause malfunctions in electronic devices, in particular in active implantable medical devices (AIMD), along with discomfort or health hazards to users. The use of AIMD by workers is increasing (especially cardiac pacemakers, implantable cardioverter defibrillators and wearable insulin infusion pumps). Electromagnetic fields may be much stronger in the working environment than applied in basic immunity tests of AIMD (based on EN 60601- 1-2:2015 and EN 50527-1:2016). European Directive 2013/35/EU regarding the safety of workers exposed to EMF considered the AIMD users to be “workers at particular risk” who need an individual evaluation of EMF hazards. The study aimed at evaluating the safety of users of AIMD in medical and industrial working environments exposed to EMF Material and Methods Near the common sources of strong EMF applied in medical and industrial use, the “standard safety distances” (SSD) for AIMD users were evaluated (i.e., distances from the EMF source, where exposure drops below limits from Recommendation 1999/519/EC and AIMD safety may be expected). The analysis is based on the results of measurements of magnetic and electric field strengths near 127 typical devices, in their normal use. Results The longest electric field related SSD was identified near dielectric sealers (up to 180 cm), and the longest magnetic field related SSD – near induction heaters (up to 450 cm). Conclusions Electromagnetic fields related AIMD malfunctions need to be considered up to several meters from EMF sources. The “individual safety distance,” that is sufficient to ensure the safety of a particular AIMD user may be significantly different (usually shorter) from the presented SSD, but needs to be considered in the context of detailed safety data from the AIMD manufacturer (if available). The labelling indicating the location of the area of a strong EMF increases safety of AIMD users in the work environment. Int J Occup Med Environ Health 2018;31(6):795–808
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 6; 795-808
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analiza ekspozycji zawodowej pracowników medycznych w latach 1998–2013 na patogeny przenoszone drogą krwi na przykładzie szpitala o profilu zabiegowym
Analysis of occupational exposure of healthcare workers in the years 1998–2013 for bloodborne pathogens on the example of the hospital of the surgical profile
Autorzy:
Szczypta, Anna
Różańska, Anna
Bulanda, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/2166197.pdf
Data publikacji:
2015-02-25
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
ekspozycja zawodowa
patogeny przenoszone drogą krwi
bezpieczeństwo pracowników
postępowanie poekspozycyjne
HBV
HCV
occupational exposure
bloodborne pathogens
workers’ safety
post-exposure procedure
Opis:
Wstęp: Celem niniejszej pracy była analiza danych o ekspozycjach zawodowych na patogeny przenoszone drogą krwi wśród pracowników 130-łóżkowego szpitala o profilu zabiegowym w województwie małopolskim. Materiał i metody: W analizie uwzględniono współczynniki ekspozycji (liczba zdarzeń / liczba narażonych ×100%) oraz odsetek ekspozycji uwzględniający okoliczności, grupy zawodowe pracowników szpitala, miejsca świadczenia usług oraz ich rodzaj w latach 1998–2013. Wyniki: Współczynniki ekspozycji ogółem dla wszystkich pracowników szpitala, niezależnie od zatrudniającej ich jednostki organizacyjnej (oddziału), wahały się w poszczególnych latach od 4,3% (rok 2006) do 12,6% (rok 2013), a średnia wartość współczynnika ekspozycji w całym analizowanym okresie wyniosła 7,3% (±2,39). Najwięcej przypadków ekspozycji odnotowano wśród pielęgniarek – średni odsetek zdarzeń w analizowanym okresie dla tej grupy zawodowej wyniósł 67,8%. Wśród lekarzy wynosił on 29,7%, a najmniejszy był wśród pozostałych pracowników – 1,5%. Odsetek ekspozycji w badanym okresie wykazywał trend spadkowy w przypadku pielęgniarek (p = 0,001) i wzrostowy w przypadku lekarzy (p < 0,001). Współczynnik ekspozycji ogółem w latach 1998–2013 nie prezentował istotnego trendu spadkowego (p = 0,356). W grupie lekarzy w analizowanym okresie odnotowano istotny trend wzrostowy o charakterze wykładniczym (p = 0,002). Wśród innych pracowników nie obserwowano istotnych zmian w badanym okresie. Zaobserwowano istotny malejący trend udziału ekspozycji w postaci zakłuć igłami, natomiast trend rosnący dotyczył ekspozycji w trakcie zabiegu operacyjnego. Wnioski: Odnotowane trendy zgłaszanych ekspozycji w analizowanym okresie miały związek z wprowadzaniem w ciągu ostatnich kilku lata sprzętu z mechanizmem zabezpieczającym przed zranieniem oraz ze wzrostem liczby raportowanych przypadków ekspozycji przez lekarzy. Ze względu na zróżnicowaną specyfikę jednostek ochrony zdrowia niezbędne jest rzetelne prowadzenie indywidualnych rejestrów ekspozycji. Med. Pr. Med. Pr. 2014;65(6):723–732
Background: To analyze occupational exposures to blood-borne pathogens among workers of a 130-bed hospital of surgical profile in the Małopolska province. Material and Methods: All cases of occupational exposure recorded in the hospital in the years 1998–2013 were analyzed, taking into account exposure rates (no. of incidents / no. of exposed workers ×100%) and the frequency, circumstances, professional groups, hospital staff, the place of rendered services and type of exposure. Results: Average rates of exposure for all workers, regardless of the wards, ranged in different years from 4.3% (2006) to 12.6% (2013), and the average value in the whole period was 7.3% (±2.39). The majority of exposure cases were reported among nurses – 67.8%, followed by physicians – 29.7%, the lowest number of cases was found among other employees – 1.5%. The proportion of injuries in the years 1998–2013 did not show a significant decreasing trend (p = 0.356). Among physicians there was a significant trend of an exponential character (p = 0.002). Among other workers no significant change was observed in the period under consideration. Over the analyzed period the distribution of exposure showed a downward trend for nurses (p = 0.001) and upward trend for physicians (p < 0.001). There was a significant downward trend in the percentage of needle-sticks, and an upward trend in exposures during surgery. Conclusions: The reported trends were linked with the recent introduction of safe equipment and the increased number of surgeons’ reports on exposure incidents. Due to differences between health care units there is a necessity to keep reliable records of exposure by individual units. Med Pr 2014;65(6):723–732
Źródło:
Medycyna Pracy; 2014, 65, 6; 723-732
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Chemical risk assessment in hospital settings: A comparison of workers perceptions, expert opinions, and occupational hygiene measurements
Autorzy:
Coşkun Beyan, Ayşe
Tuna, Gamze
Emerce, Esra
İşlekel, Gül
Powiązania:
https://bibliotekanauki.pl/articles/22391038.pdf
Data publikacji:
2023-11-14
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational exposure
risk perception
chemical risk
quantitative assessment
health care workers
occupational hygiene measurement
Opis:
Background Harmful chemicals are used in various forms from different sources in hospital settings. The standard gold method in risk control studies still determines exposure by personal or ambient measurements. In the absence of trained personnel, resources, or sufficient time, qualitative methods should be used to assess exposure. This study aims to compare quantitative and qualitative results of chemical risk exposure. Material and Methods Both qualitative (perceptions without monitoring data of the workers and experts) and quantitative perceptions (perceptions with monitoring data) were recorded. Two experts were asked to evaluate exposure intensity in pathology department workers, secretary workers, and cleaning workers. Occupational hygiene measurements were taken based on the occupational health and safety department risk assessment results, expert job analysis, and pilot study measurements. Results While most workers reported feeling highly exposed to chemical risks, the majority of experts reported medium-risk exposures and high-risk exposures. Three occupational hygiene measurements (3/45: 6.6%) exceeded the permissible time-weighted average, and the other results were within the acceptable range. Conclusions There was a significant difference between the estimated exposure and the measured exposure in hospital settings. A correlation was not found between workers’ perceptions of chemical risk exposure and the chemical risk levels measured in this study.
Źródło:
Medycyna Pracy. Workers’ Health and Safety; 2023, 74, 4; 241-250
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy. Workers’ Health and Safety
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Aerozole bakteryjne i grzybowe w środowisku pracy firm sprzątających
Bacterial and fungal aerosols in the work environment of cleaners
Autorzy:
Gołofit-Szymczak, Małgorzata
Górny, Rafał L.
Ławniczek-Wałczyk, Anna
Cyprowski, Marcin
Stobnicka, Agata
Powiązania:
https://bibliotekanauki.pl/articles/2164365.pdf
Data publikacji:
2015-12-09
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
narażenie zawodowe
bioaerozol
bakterie
grzyby
personel sprzątający
impaktor Andersena
occupational exposure
bioaerosol
bacteria
fungi
cleaning workers
Andersen sampler
Opis:
Wstęp Prace porządkowe są prowadzone w niemal wszystkich gałęziach gospodarki. Pracownicy firm sprzątających są narażeni na działanie różnego rodzaju szkodliwych czynników biologicznych, charakterystycznych nie tylko dla czynności, jakie wykonują, ale i dla sektora, w którym pracują. Celem pracy była ocena narażenia pracowników firm sprzątających na szkodliwe czynniki biologiczne w oparciu o ilościowe i jakościowe badania mikroflory powietrza. Materiał i metody Badania bioaerozoli przeprowadzono z wykorzystaniem 6-stopniowego impaktora typu Andersena. Powierzchnię wychwytu stanowiły standardowe płytki Petriego, wypełnione agarem tryptozowo-sojowy lub agarem słodowym, do oznaczania bakterii lub grzybów. Próbki powietrza pobierano na stanowiskach pracy personelu sprzątającego podczas typowego cyklu pracy w budynkach biurowych, szkołach, placówkach służby zdrowia, warsztatach samochodowych i sklepach wielkopowierzchniowych. Wyniki Średnie stężenie aerozolu bakteryjnego i grzybowego na badanych stanowiskach pracy personelu sprzątającego było niższe od wartości dopuszczalnych dla stężeń bakterii i grzybów w pomieszczeniach użyteczności publicznej. Wśród wyizolowanych bakterii dominowały ziarniaki Gram-dodatnie (głównie z rodzajów Micrococcus i Staphylococcus), laseczek Gram-dodatnich (głównie z rodzaju Bacillus). Wśród grzybów dominowały pleśnie z rodzajów Aspergillus i Penicillium. Na podstawie danych uzyskanych w niniejszym badaniu o rozkładach ziarnowych można stwierdzić, że bioaerozol obecny na badanych stanowiskach pracy w sklepach, szkołach i warsztatach samochodowych może być przyczyną podrażnienia błon śluzowych nosa i oczu oraz występowania reakcji alergicznych w postaci np. astmy lub alergicznego zapalenia wśród personelu sprzątającego. Wnioski Z przeprowadzonych badań wynika, że działalność zawodowa pracowników firm sprzątających jest związana z narażeniem na występujące w powietrzu szkodliwe czynniki biologiczne, zaklasyfikowane do 1. i 2. grupy zagrożenia, które stwarzają zagrożenie dla układu oddechowego. Med. Pr. 2015;66(6):779–791
Background Cleaning services are carried out in almost all sectors and branches of industry. Due to the above, cleaners are exposed to various harmful biological agents, depending on the tasks performed and the commercial sector involved. The aim of this study was to assess the exposure of cleaning workers to biological agents based on quantitative and qualitative characteristics of airborne microflora. Material and Methods A six-stage Andersen sampler was used to collect bioaerosols during the cleaning activities in different workplaces, including schools, offices, car services, healthy services and shops. Standard Petri dishes filled with blood trypticase soy agar and malt extract agar were used for bacterial and fungal sampling, respectively. Results The bioaerosol concentration values obtained during testing of selected workposts of cleaners were lower than the Polish recommended threshold limit values for microorganisms concentrations in public service. The most prevalent bacterial species in studied places were Gram-positive cocci (mainly of genera Micrococcus, Staphylococcus) and endospore-forming Gram-positive rods (mainly of genera Bacillus). Among the most common fungal species were those from genera Penicillium and Aspergillus. The size distribution analysis revealed that bioaerosols present in the air of workposts at shops, schools and car services may be responsible for nose and eye mucosa irritation and allergic reactions in the form of asthma or allergic inflammation in the cleaning workers. Conclusions The study shows that occupational activities of cleaning workers are associated with exposure to airborne biological agents classified into risk groups, 1. and 2., according to their level of infection risk, posing respiratory hazard. Med Pr 2015;66(6):779–791
Źródło:
Medycyna Pracy; 2015, 66, 6; 779-791
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Work safety among Polish health care workers in respect of exposure to bloodborne pathogens
Bezpieczeństwo pracy polskich pracowników ochrony zdrowia w kontekście narażenia na materiał krwiopochodny
Autorzy:
Rybacki, Marcin
Piekarska, Anna
Wiszniewska, Marta
Walusiak-Skorupa, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/2168394.pdf
Data publikacji:
2014-10-29
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
pracownicy ochrony zdrowia
urazy z ukłucia igłą
patogeny krwiopochodne
zgłoszenie ekspozycji
healthcare workers
needlestick injuries
bloodborne pathogens
exposure notification
Opis:
Objectives: Viral hepatitis is the second most often identified infectious illness acquired at work and it is mostly registered among health care personnel. This group of workers is at greater risk of exposure to blood and bloodborne pathogens, including hepatitis B and C viruses. The aims of this study were to evaluate the efficacy of methods promoting work safety in healthcare settings, to assess the frequency of exposures in the last 12 months prior to the study and to determine a rate of reporting them to appropriate authorities. Methods: A total of 1138 Polish healthcare workers were interviewed during the study period (between 2009 and 2010). Results: Sustaining accidental occupational percutaneous exposure during last 12 months was declared by 242 workers (21% of the whole group). Only in 146 cases these incidents were reported to authorities. Exposure incidents were associated with self-perception of high risk of exposure (OR = 3.69, p = 0.0027), employment in out-patient (vs. hospital-based) healthcare setting (OR = 1.71, p = 0.0089), conviction that the level of information about bloodborne infections conveyed at work was insufficient, lack of both exposure reporting system and knowledge about the ways of reporting. Conclusions: Despite the different established proposals of the post-exposure procedures, it turns out that particularly in small, not providing 24 hours service healthcare settings these procedures are not known or are not respected. More attention should be given to education, especially in regard to the risk of infection, advantages of post-exposure prophylaxis and reporting exposure incidents. Med Pr 2013;64(1):1–10
Wstęp: Wirusowe zapalenie wątroby jest drugą najczęściej stwierdzaną zakaźną chorobą zawodową i rozpoznawaną głównie u pracowników ochrony zdrowia. Ta grupa zawodowa jest najbardziej narażona w miejscu pracy na ryzyko ekspozycji na patogeny krwiopochodne, w tym wirusy HBV i HCV. Celem badania była ocena skuteczności działań ukierunkowanych na bezpieczeństwo pracy w placówkach ochrony zdrowia, częstości incydentów ekspozycji na materiał biologiczny w ostatnich 12 miesiącach poprzedzających badanie oraz ich zgłaszalności. Materiał i metody: Do analizy użyto badania kwestionariuszowego przeprowadzonego w latach 2009-2010 wśród 1138 pracowników ochrony zdrowia. Wyniki: Ekspozycja na materiał biologiczny miała miejsce u 242 pracowników (21% całej grupy). Tylko 146 osób zgłosiło te zdarzenia odpowiednim służbom. Przypadkowe przerwanie ciągłości tkanek miało związek z postrzeganiem pracy jako obarczonej wysokim stopniem narażenia (OR = 3,69, p = 0,0027), zatrudnieniem w ambulatoryjnych (w porównaniu ze stacjonarnymi) placówkach ochrony zdrowia (OR = 1,71, p = 0,0089), przekonaniem o niewystarczającym poziomie przekazywanych przez zakład pracy informacji na temat zakażeń krwiopochodnych oraz brakiem procedur i wiedzy dotyczących raportowania ekspozycji. Wnioski: Mimo prezentowania w różnych publikacjach wytycznych dotyczących postępowania poekspozycyjnego, szczególnie w placówkach nieświadczących usług całodobowych, procedury te są nieznane bądź nieprzestrzegane. Powinien być kładziony większy nacisk na szkolenie pracowników, szczególnie w zakresie ryzyka transmisji zakażeń oraz korzyści płynących z przestrzegania procedur poekspozycyjnych i zgłaszania przypadków ekspozycji. Med. Pr. 2013;64(1):1-10
Źródło:
Medycyna Pracy; 2013, 64, 1; 1-10
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 18

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