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    Wyświetlanie 1-17 z 17
    Tytuł:
    Workplace bullying and mental health among teachers in relation to psychosocial job characteristics and burnout
    Autorzy:
    Bernotaite, Lina
    Malinauskiene, Vilija
    Powiązania:
    https://bibliotekanauki.pl/articles/2161908.pdf
    Data publikacji:
    2017-06-19
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    teachers
    psychosocial job characteristics
    psychological distress
    workplace bullying
    occupational epidemiology
    occupational burnout
    Opis:
    Objectives The objective of the study has been to assess the associations between psychological distress and exposure to workplace bullying, taking into account possible influence of adverse psychosocial job characteristics and occupational burnout in a sample of Kaunas (Lithuania) teachers. Material and Methods The study sample included 517 teachers from 13 secondary schools and was conducted in 2014. The participants filled in the anonymous questionnaire (response rate 71.3%). Twenty-two-item Negative Acts Questionnaire (H. Hoel and S. Einarsen) was used for measuring the exposure to workplace bullying, Goldberg 12-item General Health Questionnaire (GHQ-12) – psychological distress, Maslach Burnout Inventory (MBI) – occupational burnout, Karasek Demand-Control questionnaire – psychosocial job stressors. The IBM SPSS Statistics version 20.0 was used for performing the statistical analysis. Associations between psychological distress, exposure to workplace bullying, psychosocial job characteristics and occupational burnout were analyzed in the logistic regression and expressed in terms of odds ratios (OR). Statistical significance was determined using the 95% confidence interval (CI) level. Results Workplace bullying was prevalent among Kaunas teachers (occasional – 8.3%, severe – 2.9%). Twenty-five percent of teachers suffered from psychological distress. High emotional exhaustion was found in 25.6% of them, high depersonalization in 10.6% and low personal achievement in 33.7% of cases. Almost a half of respondents (47.4%) reported job strain and 59.6% – low social support at work. Occasional and severe bullying was associated with psychological distress after adjusting to job strain, social support and emotional exhaustion, depersonalization, personal accomplishment (adjusted OR was 3.27, 95% CI: 1.56–6.84 for occasional and 4.98, 95% CI: 1.27–19.62 for severe bullying). Conclusions Occasional and severe bullying were strong predictors for psychological distress. Burnout did not mediate those associations. The effect of job strain and low social support decreased to the insignificant level in the final model. Preventive measures are necessary to improve psychosocial working conditions in secondary education institutions. Int J Occup Med Environ Health 2017;30(4):629–640
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2017, 30, 4; 629-640
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ischaemic heart disease among workers in occupations associated with heavy lifting
    Autorzy:
    Hannerz, Harald
    Holtermann, Andreas
    Powiązania:
    https://bibliotekanauki.pl/articles/2177445.pdf
    Data publikacji:
    2015-09-15
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational epidemiology
    cohort studies
    heavy lifting
    cardiovascular disease
    hospital treatment
    Mortality
    Opis:
    Objectives To investigate a hypothesized positive association between employment in occupations where heavy lifting is likely to occur, and the risk of ischaemic heart disease (IHD). Material and Methods Male blue-collar workers from Denmark (N = 516 180) were monitored with respect to hospital treatment or death due to IHD, through national registers over the years 2001–2010. Poisson regression was used to estimate relative rates of IHD between “workers in occupations which, according to an expert opinion, are likely to involve heavy lifting” and “other blue-collar workers.” Prevalent cases were excluded from the analysis. Results The rate ratio was estimated at 0.97 (95% confidence interval (CI): 0.94–1.00) for deaths or hospitalizations due to IHD and 1.07 (95% CI: 0.94–1.21) for deaths due to IHD. Conclusions The results do not support the hypothesis that occupational heavy lifting is an important risk factor for IHD.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2016, 29, 1; 129-136
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The prevalence of asthma work relatedness: Preliminary data
    Autorzy:
    Dudek, Wojciech
    Kupryś-Lipińska, Izabela
    Wittczak, Tomasz
    Świerczyńska-Machura, Dominika
    Kupczyk, Maciej
    Walusiak-Skorupa, Jolanta
    Kuna, Piotr
    Pałczyński, Cezary
    Powiązania:
    https://bibliotekanauki.pl/articles/2177104.pdf
    Data publikacji:
    2015-08-06
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    asthma
    occupational diseases
    epidemiology
    Opis:
    Objectives About 5–10% of asthmatics do not respond well to standard treatment plan. Occupational exposure may be one of the factors that can be linked with treatment failure. The aim of the study was to assess the prevalence of work-related asthma (WRA) among adult asthmatics under follow up in an outpatient allergy clinic and to create a useful tool for detecting individuals with possible WRA. Material and Methods Preliminary 5-question questionnaire designed to recognize WRA was presented to 300 asthmatics. All patients with positive preliminary verification along with 50 subjects from control group were asked to fill up a detailed questionnaire. The WRA was diagnosed by positive match for asthma symptoms in combination with workplace exposure indicated in the detailed WRA questionnaire followed by confirmation of each WRA case by detailed exposure analysis. Results Work-related asthma was recognized in 63 subjects (21% of study group). The preliminary questionnaire has 76.9% sensitivity and 94% specificity in recognition of WRA. Occupational exposure to irritants is a risk factor of WRA recognition (relative risk (RR) = 2.09 (1.44:3.03)). Working in exposure-free environment is a factor against WRA recognition (RR = 0.38 (0.24:0.61)). Among subjects with work-related asthma, the uncontrolled course of the disease is significantly more frequent (p = 0.012). Subjects with WRA more often report sickness absenteeism due to asthma than those without WRA (9.6% vs. 3.2%, respectively), but the observed differences did not reach the statistical significance. Conclusions Short 5-question questionnaire seems to be a promising tool to detect individuals with possible work-related asthma in the outpatient setting for further evaluation and additional attention.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2015, 28, 6; 1025-1029
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Epidemiology of silicosis reported to the central register of occupational diseases over last 20 years in Poland
    Autorzy:
    Nowak-Pasternak, Joanna
    Lipińska-Ojrzanowska, Agnieszka
    Świątkowska, Beata
    Powiązania:
    https://bibliotekanauki.pl/articles/2152952.pdf
    Data publikacji:
    2022
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    Polska
    occupational diseases
    epidemiology
    silica
    silicosis
    pneumoconioses
    Opis:
    Objectives The aim of the study was to investigate and assess the incidence of silicosis cases acknowledged as occupational diseases in Poland in 2000–2019. Material and Methods The cases of all medically recognized pneumoconioses, including silicoses, certified as occupational diseases were studied. The records were extracted from the Central Register of Occupational Diseases, the only official Polish central electronic data base of occupational diseases. Results During the period 2000–2019, 2066 confirmed cases of silicoses and 10 665 cases of other pneumoconioses including asbestosis and coal workers’ pneumoconiosis were reported to the Central Register of Occupational Diseases. Silicoses accounted for 12.8–21.2% of all pneumoconioses. The number of confirmed silicoses cases was growing along with the length of latency period and was the highest for the period of ≥40 years (513 cases). Over 70% of silicoses cases occurred after occupational exposure >20 years. The most workers who evolved silicosis were employed in manufacturing, predominantly casting of iron, mining and quarrying and construction. Conclusions The number of confirmed cases of silicosis in Poland decreased in 2000–2019 but the disease still remains an important health problem. Prevention is crucial to reduce further disease incidence. The medical monitoring standards of exposed workers should be improved. Developing new diagnosing guidelines with the use of other imaging examinations, like high-resolution computed tomography, has to be considered. The analysis should contribute into the implementation of silicosis preventative programmes, both at the enterprise and national level.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2022, 35, 5; 561-570
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Neuropathic pain and chronic pain as an underestimated interdisciplinary problem
    Autorzy:
    Szewczyk, Anna K.
    Jamroz-Wiśniewska, Anna
    Haratym, Natalia
    Rejdak, Konrad
    Powiązania:
    https://bibliotekanauki.pl/articles/2084915.pdf
    Data publikacji:
    2022-06-08
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    treatment
    epidemiology
    chronic pain
    neuropathic pain
    occupational disorders
    musculoskeletal pain
    Opis:
    Neuropathic pain and chronic pain constitute an interdisciplinary problem on the border of medicine, psychology, sociology and economics. While it seems to be underestimated, the scale of this problem will continue to increase due to the population aging and the growing incidence of lifestyle disorders. People employed in various occupational sectors may also wrestle with these disease units, which affect the quality of their life, mental health and work productivity. A narrative review provided an overview of neuropathic pain and chronic pain, and their relationship to such factors as job type, work absenteeism and productivity decline, as well mental well-being. A systematic literature search was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to identify appropriate literature by searching the electronic databases: PubMed/MEDLINE, Pain Journal and the Cochrane Database of Systematic Reviews. Studies were published in Polish, English and French. Research shows an increasing number of musculoskeletal diseases in professionally active people, which lead to disability or provoke work absences. However, sickness presenteeism and/or absenteeism caused by pain not only leads to economic burdens, but also to burnout, fatigue and depression syndromes in employees. These disorders may require specialized effective interventions to support the return to work or maintaining employment despite experiencing pain. Every patient with chronic or neuropathic pain should be correctly assessed to determine the best method of treatment and its effectiveness.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2022, 35, 3; 249-264
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational exposure to asbestos is associated with increased mortality in men recruited for a population-based study in Germany
    Autorzy:
    Repp, Katja
    Lorbeer, Roberto
    Ittermann, Till
    Gläser, Sven
    John, Ulrich
    Hoffmann, Wolfgang
    Völzke, Henry
    Powiązania:
    https://bibliotekanauki.pl/articles/2177225.pdf
    Data publikacji:
    2015-07-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    Occupational exposure to asbestos
    Mortality
    cancer
    Population based
    epidemiology
    asbestos
    Opis:
    Objectives Occupational exposure to asbestos is associated with increased mortality which, however, has not been thoroughly validated in a general population. We have aimed at exploring whether this association may be confirmed within a population-based setting after adjustment for confounders. Furthermore, the impact of tobacco consumption on the association between occupational exposure to asbestos and mortality is assessed. Material and Methods We used data from 2072 (224 exposed) male participants of the Study of Health in Pomerania. Information on exposure to asbestos is based on a selfreport. Median follow-up time was 11.3 years. All-cause mortality and cause-specific mortality of exposed and non-exposed men were compared using mortality rate ratios, Kaplan-Meier analyses and multivariable Cox regression. Results During the follow-up, 52 (23.2%) exposed and 320 (17.3%) non-exposed participants deceased. Exposed subjects had increased hazard ratios (HR) for all-cause mortality (HR=1.48, 95% CI: 1.1–2), benign lung disease mortality (HR=3, 95% CI: 1.18– 7.62) and stomach cancer mortality (HR=4.59, 95% CI: 1.53–13.76). The duration of exposure (per 10 years) was associated with all-cause (HR=1.21, 95% CI: 1.07–1.36) and benign lung disease mortality (HR=1.68, 95% CI: 1.26–2.22). Smokers occupationally exposed to asbestos had the highest risk for all-cause (HR=3.70, 95% CI: 2.19–6.27) and cancer mortality (HR=4.56, 95% CI: 1.99–10.48) as compared to non-asbestos exposed non-smokers. Conclusions Our results confirm associations of occupational exposure to asbestos with all-cause, benign lung disease, and stomach cancer mortality and underline the impact of joint effects of asbestos and smoking on mortality.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2015, 28, 5; 849-862
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Concept of health surveillance programme for workers exposed to respirable crystalline silica at present and in the past
    Autorzy:
    Nowak-Pasternak, Joanna
    Świątkowska, Beata
    Lipińska-Ojrzanowska, Agnieszka
    Powiązania:
    https://bibliotekanauki.pl/articles/23388842.pdf
    Data publikacji:
    2023-11-14
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    epidemiology
    silicosis
    lung diseases
    occupational diseases
    prevention and control
    silicon dioxide
    Opis:
    In the paper authors present general assumptions of health surveillance programme concept for workers employed in respirable crystalline silica (RCS) exposure at present and in the past. There is no effective treatment for silicosis thus disease prevention is of paramount significance. For decades efforts of World Health Organization (WHO) and International Work Organization (ILO) have been focused on eliminating silicosis globally. Unfortunately silicosis is still one of the most lethal occupational diseases and the preventative programmes have not yet been successful. The authors identify main steps to complete an overview of RCS exposure and suggest lines of actions to be taken before launching the health surveillance programme. Introduction of the health surveillance programme would increase awareness of harmful health effects of the RCS exposure, emphasize the significance of preventive medical check-ups and early diagnostics of occupational diseases as well as the importance of using appropriate protective equipment. The programme development on a national level might be carried out with the cooperation of multiple backgrounds and institutions. This would allow for detailed planning, implementation, monitoring and effective evaluation of its results. Having a better and updated knowledge of silicosis epidemiology, early diagnostics, the possible sources of RCS occupational exposure and evaluation of undertaken preventive actions are crucial factors in disease prevention. The programme introduction would be of educational significance for all the stakeholders and the groups engaged in the project implementation, which would contribute to high effectiveness of the preventive activities and their improvement in the future.
    Źródło:
    Medycyna Pracy. Workers’ Health and Safety; 2023, 74, 4; 341-346
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy. Workers’ Health and Safety
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Clinical and epidemiological characteristics of COVID-19 during the early phase of the SARS-CoV-2 pandemic: a cross-sectional study among medical school physicians and residents employed in a regional reference teaching hospital in Northern Italy
    Autorzy:
    Dini, Guglielmo
    Montecucco, Alfredo
    Rahmani, Alborz
    Barletta, Chiara
    Pellegrini, Luca
    Debarbieri, Nicoletta
    Orsi, Andrea
    Caligiuri, Patrizia
    Varesano, Serena
    Manca, Alessia
    Vargiu, Maria Paola
    Di Carlo, Pia
    Massa, Emanuela
    Icardi, Giancarlo
    Durando, Paolo
    Powiązania:
    https://bibliotekanauki.pl/articles/2086076.pdf
    Data publikacji:
    2021-05-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational health
    epidemiology
    healthcare workers
    clinical characteristics
    COVID‑19
    SARS-CoV-2
    Opis:
    ObjectivesThe aim of the study was to evaluate the clinical presentation and burden of SARS-CoV-2 infections among medical school physicians and residents, mainly young medical doctors. The awareness of COVID‑19 clinical manifestations can improve the early detection of mild cases, possibly reducing further transmission to colleagues and patients.Material and MethodsThe study was carried out in March–May 2020, involving medical school physicians in a teaching hospital in northern Italy, with a working population of 881 medical doctors. Data collection was performed using a structured form investigating clinical and epidemiological information.ResultsOne hundred sixty-two medical doctors contacted the Occupational Health Service reporting acute respiratory symptoms or close contact exposure to a confirmed COVID‑19 case. Among the confirmed COVID‑19 cases, most were male doctors during residency, and 85% presented a mild clinical picture. Fever (70.3%) and cough (51.4%) represented the most prevalent symptoms of COVID‑19. As revealed by the univariate analysis, the prevalence of real-time reverse transcriptase-polymerase chain reaction (RT-PCR) positivity increased with age (OR = 1.08, 95% CI: 1.02–1.14, p = 0.012), working in a COVID‑19 ward (OR = 3.33, 95% CI: 1.09–10.21, p = 0.031), presenting alteration or loss of smell/taste (OR = 10.00, 95%CI: 2.80–35.69, p < 0.001) and myalgia (OR = 3.20, 95% CI: 1.00–10.26, p = 0.046), while being a resident (OR = 0.20, 95% CI: 0.05–0.80, p = 0.030) was associated with reduced odds of being infected, compared to staff physicians. Age and loss of smell/taste were the only factors independently associated with RT-PCR positivity.ConclusionsThe majority of COVID‑19 cases showed a mild clinical syndrome, ranging from absence or paucity of symptoms to common cold or influenza-like symptoms. The findings of the present study increase the accuracy of the clinical diagnosis for the prompt identification and management of suspected COVID‑19 cases, being particularly useful during resurges of the SARS-CoV-2 pandemic.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2021, 34, 2; 189-201
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Spatial and temporal variability of idiopathic pulmonary fibrosis cases in Silesian Voivodeship in years 2006–2010
    Autorzy:
    Niewiadomska, Ewa
    Kowalska, Małgorzata
    Zejda, Jan E.
    Powiązania:
    https://bibliotekanauki.pl/articles/2161900.pdf
    Data publikacji:
    2017-06-19
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational exposure
    idiopathic pulmonary fibrosis
    maps
    incidence rate
    descriptive epidemiology
    hospitalization rate
    Opis:
    Objectives Idiopathic pulmonary fibrosis (IPF) (J84.1 by the International Statistical Classification of Diseases and Related Health Problems, 10th revision – ICD-10) is a rare disease of unknown cause. Among many risk factors, occupational exposure to metal dust is enumerated. Because of metal industry concentration in the Silesian Voivodeship, Poland, an attempt of spatial and temporal variability of the idiopathic pulmonary fibrosis occurrence evaluation in 2006–2010 is made. Material and Methods The research is a descriptive analysis. Data of the number of new treated cases and firsttime hospitalization due to idiopathic pulmonary fibrosis in the years 2006–2010 was obtained from the National Health Found (Narodowy Fundusz Zdrowia – NFZ). We also assessed spatial and temporal variability of both rates. Data concerned adults aged ≥ 19 years old inhabited the Silesian Voivodeship. Results The standardized incidence rate due to idiopathic pulmonary fibrosis increased in the study period and was in the range of 2.9–3.8/100 000 population. The highest values of incidence were observed in districts localized in the centre of the Silesian Voivodeship. Conclusions Incidence of idiopathic pulmonary fibrosis is not so high in the Silesian Voivodeship but the number of newly treated cases slightly increased in 2006–2010. Spatial and temporal variability of incidence rates for treated registered cases of idiopathic pulmonary fibrosis in the Silesian Voivodeship was observed. It could be an effect of occupational exposure to metal dust, however, final conclusions need more precise studies to the extent of analytical epidemiology. Int J Occup Med Environ Health 2017;30(4):593–601
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2017, 30, 4; 593-601
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occurrence of cases of borreliosis certified as an occupational disease in the province of Wielkopolska [Poland]
    Autorzy:
    Bilski, B
    Powiązania:
    https://bibliotekanauki.pl/articles/49798.pdf
    Data publikacji:
    2009
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    Polska
    Wielkopolska region
    occupational disease
    occurrence
    borreliosis
    epidemiology
    Borrelia burgdorferi
    agriculture
    forestry
    worker
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2009, 16, 2; 211-217
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Occupational diseases among farmers in Poland
    Choroby zawodowe rolników w Polsce
    Autorzy:
    Szeszenia-Dąbrowska, Neonila
    Świątkowska, Beata
    Wilczyńska, Urszula
    Powiązania:
    https://bibliotekanauki.pl/articles/2164408.pdf
    Data publikacji:
    2016-04-29
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    choroby zawodowe
    epidemiologia
    borelioza
    zapadalność
    rolnictwo
    pracownicy
    occupational diseases
    epidemiology
    borreliosis
    incidence
    agriculture
    employees
    Opis:
    Background The study’s objective is to present epidemiological situation concerning the incidence of occupational diseases among farmers in Poland. Material and Methods All 3438 cases of occupational diseases diagnosed among farmers and obligatorily reported to the Central Register of Occupational Diseases (covering all the national territory and all the cases of occupational diseases diagnosed in Poland after 1970) over the years 2000–2014 were subjected to analysis. Results The annual incidence in the analyzed period ranged 5–14 per 100 000 farmers. The analysis showed that about 90% of pathologies were induced by the biological agents. Almost every third pathology due to biological agents had allergic origin. Infectious and parasitic diseases accounted for 62% of the cases. Among them the diseases carried by ticks (93%) – borreliosis (85.8%) and tick-borne encephalitis (7.2%) were the most frequent ones. The age of farmers, in the case of whom bronchial asthma and allergic rhinitis were diagnosed, was significantly higher than the age of remaining employees of the national economy, in which these occupational diseases were recognized. Conclusions The study indicates the necessity to introduce periodic health examinations programs focusing on agricultural workers to monitor health and well-being and improve working conditions and the working environment. Med Pr 2016;67(2):163–171
    Wstęp Celem pracy jest przedstawienie sytuacji epidemiologicznej rolników w Polsce dotyczącej zapadalności na choroby zawodowe. Materiał i metody Przeanalizowano 3438 przypadków chorób zawodowych, stwierdzonych zgodnie z obowiązującym w Polsce systemem orzeczniczym i obligatoryjnie zgłoszonych w latach 2000–2014 do Centralnego Rejestru Chorób Zawodowych (obejmującego terytorium całej Polski od roku 1970). Wyniki Zapadalność roczna w analizowanym okresie wynosiła 5–14 przypadków na 100 000 pracujących. Około 90% stwierdzonych patologii wywołały czynniki biologiczne, a niemal co trzecia z tych patologii miała podłoże alergiczne. Choroby zakaźne i pasożytnicze stanowiły 62% zgłoszonych przypadków. Wśród nich najczęstsze były choroby przenoszone przez kleszcze (93%) – borelioza (85,8%) i kleszczowe zapalenie mózgu (7,2%). Wiek rolników, u których stwierdzono astmę oskrzelową i alergiczny nieżyt nosa, był o ok. 10 lat wyższy niż wiek pracowników z tymi chorobami zawodowymi w pozostałych sektorach gospodarki narodowej. Wnioski Należy wprowadzić programy okresowych badań profilaktycznych skierowane do osób pracujących w rolnictwie w celu poprawy warunków środowiska ich pracy oraz monitorowania stanu ich zdrowia. Med. Pr. 2016;67(2):163–171
    Źródło:
    Medycyna Pracy; 2016, 67, 2; 163-171
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ocena częstości występowania boreliozy wśród pracowników leśnictwa
    Prevalence of Lyme disease among forestry workers
    Autorzy:
    Kocbach, Piotr P.
    Kocbach, Bartłomiej P.
    Powiązania:
    https://bibliotekanauki.pl/articles/2166234.pdf
    Data publikacji:
    2014-10-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    borelioza
    epidemiologia
    serologia
    pracownicy lasów
    choroba zawodowa
    Lyme disease
    epidemiology
    serology
    forestry workers
    occupational disease
    Opis:
    Wstęp: Celem prezentowanej pracy jest ocena występowania boreliozy, ustalonej diagnozy na podstawie wywiadu, objawów klinicznych i badań serologicznych, okresu narażenia w miejscu pracy oraz orzecznictwa o chorobie zawodowej wśród pracowników wybranych nadleśnictw województwa warmińsko-mazurskiego. Materiał i metody: Corocznym badaniom przesiewowym poddano 332 pracowników 6 nadleśnictw, objętych opieką profilaktyczną przez Centrum Zdrowia Medica w Ostródzie. U wszystkich osób wykonano badania serologiczne, a poziomy przeciwciał klasy IgG oraz IgM w próbkach surowicy krwi oznaczono testem ELISA. Wynik dodatni kwalifikował pacjenta do wykonania testu potwierdzającego Western-blot oraz ewentualnego ustalenia rozpoznania boreliozy na podstawie wywiadu i objawów klinicznych choroby. Dane przedstawiono z uwzględnieniem podziału na wybrane nadleśnictwa, płeć, okres narażenia w miejscu pracy oraz genogatunki krętków Borrelia wywołujące chorobę. Wyniki: We wszystkich nadleśnictwach objętych badaniem stwierdzono zachorowania na boreliozę. Ogółem dodatnie wyniki badań Western-blot ustalono u 120 osób (63,1% badanych), jednak rozpoznanie boreliozy po szczegółowym wywiadzie i badaniu przedmiotowym ustalono u 91 pacjentów (27,4% badanych). W grupie pacjentów z rozpoznaną chorobą obecność przeciwciał w klasie IgG stwierdzono u 76 osób, w klasie IgM u 25 osób, z czego u 10 osób – w obu klasach. Wykazano także zmienności w udziale genogatunków wywołujących chorobę, z czego 46% stanowiły krętki B. afzeli dla przeciwciał IgG, natomiast w klasie IgM krętki z rodzaju B. burgdorferi stanowiły 50% wszystkich przypadków. Jednocześnie potwierdzono zależność między wydłużeniem okresu narażenia w miejscu pracy na ukąszenia przez kleszcze a zwiększoną zachorowalnością na boreliozę, która wskazała na grupę z ponad 25-letnim stażem pracy. Wnioski: Praca zawodowa w leśnictwie stwarza szczególnie niebezpieczne warunki ekspozycji na ukąszenia przez kleszcze, a jednocześnie długość stażu pracy znamiennie zwiększa ryzyko zachorowania na boreliozę. Analiza wyników badań serologicznych wskazuje na różnice reaktywności klas przeciwciał IgG oraz IgM w stosunku do badanych antygenów, potwierdzając tym samym korelację objawów klinicznych boreliozy względem rozpoznanych genogatunków krętków Borrelia. Med. Pr. 2014;(65):335–341
    Background: The aim of the study is to assess the incidence of Lyme disease, established diagnosis based on medical history and clinical symptoms, serology, duration of exposure in the workplace and occupational disease certification among forestry workers in selected districts of the Warmia and Mazury region. Material and Methods: The study consisted of annual screening of 332 employees in 6 forest districts under the supervision of the Health Center Medica in Ostróda. Serological tests were performed in all serum samples and IgG and IgM antibodies were determined by ELISA test. Positive results were confirmed by Western-blot test. Diagnosis was made based on medical history and clinical symptoms. Results were presented by the division of selected forest districts, gender, duration of exposure in the workplace and genospecies of spirochete Borrelia responsible for the disease development. Results: Lyme disease incidence was found in all selected forest districts. Positive results in Western-blot test were determined in 120 people (63.1% of all the surveyed). However, after taking a detailed medical history of the patients Lyme disease was diagnosed in 91 people which makes 27.4% of all the examined. Among patients with diagnosed disease, IgG antibodies were found in 76 people, IgM in 25 people, while both IgM and IgG in 10 people. There was also variation in the involvement of genospecies generating the disease; spirochete B. afzeli – 46% for IgG antibodies, whereas spirochete B. burgdorferi – 50% of all cases for IgM antibodies. At the same time the relationship between the extended duration of occupational exposure to tick bites and the increased incidence of Lyme disease was confirmed, indicating the group of workers employed for at least 25 years. Conclusions: Forestry districts of the Warmia and Mazury region, creates extremely dangerous occupational conditions because of exposure to tick bites. At the same time the duration of employment significantly increases the risk of Lyme. The analysis of serological tests results indicated differences in the reactivity of IgG and IgM classes and confirmed the correlation between clinical symptoms of Lyme disease and the variation of genospecies inducing the disease. Med Pr 2014;65(3):335–341
    Źródło:
    Medycyna Pracy; 2014, 65, 3; 335-341
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Non-malignant respiratory diseases and occupational exposure to wood dust. Part II. Dry wood industry
    Autorzy:
    Jacobsen, G
    Schaumburg, I.
    Sigsgaard, T.
    Schlunssen, V.
    Powiązania:
    https://bibliotekanauki.pl/articles/51313.pdf
    Data publikacji:
    2010
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    wood dust
    dust
    wood industry
    dry wood industry
    non-malignant respiratory disease
    occupational exposure
    epidemiology
    lung function
    asthma
    occupational asthma
    chronic bronchitis
    bronchitis
    rhinitis
    occupational rhinitis
    respiratory symptom
    Denmark
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2010, 17, 1; 29-44
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Choroby nowotworowe pochodzenia zawodowego – epidemiologia i aspekty orzecznicze
    Occupational cancers – Epidemiology and certification
    Autorzy:
    Wiszniewska, Marta
    Lipińska-Ojrzanowska, Agnieszka
    Witkowska, Anna
    Tymoszuk, Diana
    Kleniewska, Aneta
    Kluszczyński, Dariusz
    Walusiak-Skorupa, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/2162584.pdf
    Data publikacji:
    2017-12-05
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    nowotwory zawodowe
    epidemiologia
    orzecznictwo
    wytyczne
    czynniki rakotwórcze
    środowisko pracy
    occupational cancers
    epidemiology
    medical certification
    guidelines
    carcinogens
    workplace
    Opis:
    Etiologia chorób nowotworowych jest wieloczynnikowa. Nowotwory złośliwe powstałe w następstwie działania czynników występujących w środowisku pracy, uznanych za rakotwórcze dla ludzi, mogą być rozpoznane jako choroba zawodowa. Analiza danych epidemiologicznych wskazuje na istotne niedoszacowanie nowotworów zawodowych, czego główną przyczyną jest długi okres latencji tych schorzeń. Publikacja zawiera wytyczne do orzekania o zawodowej etiologii nowotworów złośliwych przygotowane na podstawie obowiązujących aktów prawnych, publikacji medycznych i doświadczeń własnych autorów pracy. W publikacji przedstawiono epidemiologię chorób nowotworowych, w tym pochodzenia zawodowego, czynniki ryzyka chorób nowotworowych i czynniki rakotwórcze w miejscu pracy. Podano też zasady orzekania o nowotworach zawodowych. Med. Pr. 2018;69(1):93–108
    The etiology of cancer is multifactorial. Malignant tumors caused by factors occurring in the work environment, classified as carcinogenic in humans, can be recognized as an occupational disease. Analysis of epidemiological data indicates a significant underestimation of occupational cancer, mainly due to long latency period of these diseases. This publication provides guidance to certify occupational etiology of malignant tumors, based on the reviews of existing legislation and medical literature, as well as on the experience of their authors. The publication presents the epidemiology of cancers, including occupational cancers, risk factors, occupational carcinogens and presents the principles of occupational cancer certification. Med Pr 2018;69(1):93–108
    Źródło:
    Medycyna Pracy; 2018, 69, 1; 93-108
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Non-malignant respiratory diseases and occupational exposure to wood dust. Part I. Fresh wood and mixed wood industry
    Autorzy:
    Jacobsen, G
    Schaumburg, I.
    Sigsgaard, T.
    Schlunssen, V.
    Powiązania:
    https://bibliotekanauki.pl/articles/49513.pdf
    Data publikacji:
    2010
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    non-malignant respiratory disease
    occupational exposure
    wood dust
    dust
    wood industry
    epidemiology
    lung function
    occupational asthma
    asthma
    chronic bronchitis
    rhinitis
    occupational rhinitis
    respiratory symptom
    Denmark
    fresh wood industry
    mixed wood industry
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2010, 17, 1; 15-28
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Back and neck pain disability and upper limb symptoms of home healthcare workers: A case-control study from Northern Italy
    Autorzy:
    Riccò, Matteo
    Pezzetti, Federica
    Signorelli, Carlo
    Powiązania:
    https://bibliotekanauki.pl/articles/2161851.pdf
    Data publikacji:
    2017-03-30
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    occupational health
    females
    low back pain – diagnosis
    moving and lifting patients
    lifting – adverse effects
    musculoskeletal diseases – epidemiology
    Opis:
    Objectives Work-related musculoskeletal disorders (MSD) are quite frequent in healthcare workers (HCWs), but data about MSD in home-based healthcare workers (HHWs) are lacking. In this study we describe the prevalence of MSD among Italian HHWs. Material and Methods A case-control study was carried out among 300 random-selected female HCWs, the sample comprising 100 HHWs, 100 HCWs with a low exposure to patient handling (MAPO – Movimentazione e Assistenza Pazienti Ospedalizzati – Movement and Assistance of Hospital Patients index 0–5) and 100 HCWs with high exposure to patient handling (MAPO index ≥ 5.01). As a negative control group, 200 visual display unit workers were also randomly selected. Musculoskeletal disorder cases were collected using a standardized case definition. A multivariate logistic regression analysis was performed comparing the MSD prevalence in the 4 groups. Results The overall prevalence of MSD was 17% in the reference group and 28.3% for HCWs. HHWs and HCWs with MAPO index ≥ 5.01 had similar prevalence of neck pain (9% and 11%, respectively), whereas lumbosacral pain prevalence was higher in the HHWs group (31%), with similar results in residential HCWs groups (21% in MAPO index 0–5 group and 25% in MAPO index ≥ 5.01 group). HCWs of group MAPO index ≥ 5.01 and HHWs showed the higher prevalence of upper limb complaints, with a prevalence of 20% and 10%, respectively. In multivariate regression analysis, prevalence of MSD complaints was quite similar in HHWs (adjusted odds ratio ($\text{OR}_\text{adj}$) = 2.335, 95% confidence interval (CI): 1.318–4.138) and in HCWs of the group MAPO ≥ 5.01 ($\text{OR}_\text{adj}$ = 2.729, 95% CI: 1.552–4.797). Conclusions The prevalence of MSD in the examined HCWs was relatively high, with HHWs appearing as a particularly high-risk group for lumbosacral back pain. In higher exposed HCWs, upper-limb symptoms were particularly frequent, probably reflecting the different tasks required to manage residential and homebased patients. In conclusion, this study reaffirms the high prevalence of MSD in HHWs, seemly similar to high-risk residential groups. Int J Occup Med Environ Health 2017;30(2):291–304
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2017, 30, 2; 291-304
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analiza zapadalności na boreliozę z Lyme w wybranych grupach pracowników leśnictwa w województwie zachodniopomorskim w latach 2005–2014
    Studies on Lyme disease incidence rates in selected groups of forestry workers in West Pomerania, 2005–2014
    Autorzy:
    Stawicki, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2164118.pdf
    Data publikacji:
    2017-03-24
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    borelioza
    choroby zawodowe
    epidemiologia
    zapadalność
    zatrudnieni w leśnictwie
    sektor publiczny
    Lyme disease
    occupational diseases
    epidemiology
    incidence rate
    employed in forestry
    public sector
    Opis:
    Wstęp Analizie poddano dane ze stacji sanitarno-epidemiologicznych z województwa zachodniopomorskiego z lat 2005–2014 w celu określenia zapadalności na boreliozę z Lyme u pracowników zawodowo narażonych na ukłucia kleszczy. Materiał i metody W metodyce badań przyjęto, że niezbędnym warunkiem poprawności oceny trendu zmian zapadalności na boreliozę z Lyme, jednocześnie uwzględniającym realną skalę narażenia zawodowego, jest właściwe skonfrontowanie oficjalnych danych epidemiologicznych z danymi dotyczącymi liczby osób narażonych. Badaniami objęto wytypowaną grupę pracowników sektora leśnego, tj. zatrudnionych na stanowiskach nierobotniczych w jednostkach organizacyjnych Lasów Państwowych z siedzibami leżącymi w granicach administracyjnych województwa zachodniopomorskiego. Realizacja postulatów badawczych polegała na analizie i opracowaniu danych, o które wnioskowano do powiatowych stacji sanitarno-epidemiologicznych, a które zgodnie z wnioskiem miały dotyczyć zatrudnionych w leśnictwie oraz wskazywać na zajmowane stanowisko pracy. Wyniki W latach objętych badaniami zarejestrowano ogółem 282 przypadki choroby zawodowej, które dotyczyły głównie osób zatrudnionych na stanowiskach leśniczego, podleśniczego i specjalisty służby leśnej. Uzyskane wartości współczynnika zapadalności charakteryzowały się dużą zmiennością, przy wiodącym udziale przypadków z lat 2008–2010, stanowiących łącznie 61,8% ogółu rozpatrywanych zdarzeń. Współczynnik zapadalności w latach 2008, 2009 i 2010 wynosił, odpowiednio: 2418, 2828 i 2646 przypadków na 100 tys. zatrudnionych. Wnioski Wyniki badań wskazują, że dotychczas publikowane informacje o zapadalności na boreliozę z Lyme w sektorze rolnictwa, leśnictwa i łowiectwa mogą nie oddawać w pełni rzeczywistej skali ryzyka zawodowego. Med. Pr. 2017;68(2):211–220
    Background The data collected by sanitary-epidemiological stations in 2005–2014 were analyzed to determine the incidence rates of borreliosis Lyme disease in the West Pomerania group of workers exposed to tick bites. Material and Methods It was assumed that an adequate comparison of official epidemiological data with the data concerning the number of exposed people, is an indispensable condition for assessing properly the trend in Lyme disease incidence rates, concerning at the same time a real scale of occupational exposure. The study covered a selected group of forestry workers, i.e., white-collar staff employed in different units of the State Forests National Forest Holding with their seats in West Pomerania. The aim of the research was to process and analyze the data on workers employed in the forest sector and their positions, requested from district sanitary-epidemiological stations. Results In the years concerned 282 cases of the occupational disease were recorded mainly in the groups of forest rangers, junior foresters and forest service inspectors. The values of the incidence factor exhibit high variability with the major share of cases recorded in the years 2008–2010 that accounted for 61.8% of the total occurrences concerned. The incidence in the years 2008, 2009 and 2010 amounted to 2418, 2828 and 2646 cases per 100 000 employees, respectively. Conclusions The results show that previously published information about the incidence of Lyme disease in the agriculture, forestry and hunting sector, did not fully illustrate a real scale of occupational risk. Med Pr 2017;68(2):211–220
    Źródło:
    Medycyna Pracy; 2017, 68, 2; 211-220
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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