Πέμπτη 14 Νοεμβρίου 2019


Is burn-out finally a disease or not?
In May 2019, WHO has stated that burn-out should be considered as a disease in the new version of the International Classification of Diseases (ICD-11). This information was widely disseminated in the news media. However, a few hours later, the international organisation stepped back. All this confusion brings us to that question: what exactly is burn-out? Moreover, should it be considered a disease or not? Freudenberger defined burn-out as ‘a state of fatigue or frustration brought about devotion...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis
We aim to quantitatively synthesise available epidemiological evidence on the prevalence rates of workplace violence (WPV) by patients and visitors against healthcare workers. We systematically searched PubMed, Embase and Web of Science from their inception to October 2018, as well as the reference lists of all included studies. Two authors independently assessed studies for inclusion. Data were double-extracted and discrepancies were resolved by discussion. The overall percentage of healthcare worker...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Environmental exposures in young adults with declining kidney function in a population at risk of Mesoamerican nephropathy
ObjectivesThere is an epidemic of Mesoamerican nephropathy (MeN) in Central America, where sugarcane production is prominent. Numerous causes are proposed, but to date limited evidence supports any one hypothesis. A nested case–control study using biosamples from a rural, community-based follow-up study of 350 young adults from Northwest Nicaragua at risk of MeN was conducted with the aim of characterising the associations between urinary concentrations of metals, pesticides and mycotoxins from samples...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Mesothelioma mortality in Great Britain: how much longer will dockyards dominate?
ObjectivesWe aimed to investigate whether there has been a geographic shift in the distribution of mesothelioma deaths in Great Britain given the decline of shipbuilding and progressive exposure regulation. MethodsWe calculated age-adjusted mesothelioma mortality rates and estimated rate ratios for areas with and without a dockyard. We compared spatial autocorrelation statistics (Moran’s I) for age-adjusted rates at local authority district level for 2002–2008 and 2009–2015. We measured the mean...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Accelerated lung function decline in an aluminium manufacturing industry cohort exposed to PM2.5: an application of the parametric g-formula
ObjectiveOccupational dust exposure has been associated with accelerated lung function decline, which in turn is associated with overall morbidity and mortality. In the current study, we assess potential benefits on lung function of hypothetical interventions that would reduce occupational exposure to fine particulate matter (PM2.5) while adjusting for the healthy worker survivor effect. MethodsAnalyses were performed in a cohort of 6485 hourly male workers in an aluminium manufacturing company...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Differential effect of Hurricane Sandy exposure on PTSD symptom severity: comparison of community members and responders
ObjectivesTo evaluate whether the association between Hurricane Sandy exposures and post-traumatic stress disorder (PTSD) symptom severity was greater for exposed community members compared with responders. MethodsData were analysed from three existing studies with similar methodologies (N=1648): two community studies, Leaders in Gathering Hope Together (n=531) and Project Restoration (n=763); and the Sandy/World Trade Center Responders Study (n=354). Sandy-related PTSD symptoms were measured using...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Functional, inflammatory and interstitial impairment due to artificial stone dust ultrafine particles exposure
ObjectiveArtificial stone dust (ASD) contains high levels of ultrafine particles (UFP <1 µm) which penetrate deeply into the lungs. This study aimed to demonstrate the direct effect of UFP in the lungs of ASD-exposed workers on functional inflammatory and imaging parameters. Methods68 workers with up to 20 years of ASD exposure at the workplace were recruited from small enterprises throughout the country and compared with 48 non-exposed individuals. Pulmonary function test (PFT), CT, induced...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Effects of nationwide implementation of work-related medical rehabilitation in Germany: propensity score matched analysis
ObjectivesSince 2014, the Federal German Pension Insurance has approved several departments to implement work-related medical rehabilitation programmes across Germany. Our cohort study was launched to assess the effects of work-related medical rehabilitation under real-life conditions. MethodsParticipants received either a common or a work-related medical rehabilitation programme. Propensity score matching was used to identify controls that were comparable to work-related medical rehabilitation...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Value of occupational health research
Most readers of this journal would recognise that occupational health (OH) research is valuable. The Society of Occupational Medicine (SOM), a UK-based organisation for healthcare professionals working in or with an interest in OH, recently released a report where the objective was to assess the value of OH research.1 To do this, they undertook a scoping review of economic evaluations of OH interventions (one aspect of OH research) and conducted a series of nine interviews with academic experts,...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Perceived and content-related emotional demands at work and risk of long-term sickness absence in the Danish workforce: a cohort study of 26 410 Danish employees
ObjectivesThis study aimed to examine whether high emotional demands at work predict long-term sickness absence (LTSA) in the Danish workforce and whether associations differ by perceived and content-related emotional demands. MethodsWe included 26 410 individuals from the Work Environment and Health in Denmark Study, a nationwide sample of the Danish workforce. Emotional demands at work were measured with two items: one assessing perceived emotional demands (asking how often respondents were emotionally...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35
Occupational exposure to wood dust and risk of lung cancer: the ICARE study
ObjectivesIn a previous analysis of data from a French population-based case–control study (the Investigation of occupational and environmental CAuses of REspiratory cancers (ICARE) study), ‘having ever worked’ in wood-related occupations was associated with excess lung cancer risk after adjusting for smoking but not for occupational factors. The present study aimed to investigate the relationship between lung cancer risk and wood dust exposure after adjusting for occupational exposures. MethodsData...
Occupational and Environmental Medicine current issue
Thu Nov 14, 2019 12:35

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