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PubMed1983

[Poisoning wit organic solvents based on data of the Clinic of the Institute of Occupational Medicine in Lódź 1971-1980].

During 1971-1980, 128 patients were hospitalized at the Clinic of Occupational Diseases, Institute of Occupational Medicine, Lódź, for disease resulting from chronic exposure to organic solvents. The authors analyzed diseases syndromes, exposure duration prior to the disease occurrence, and professions and workplaces constituting sources of exposure to solvents. Most significant in occupational health were found to be: benzene and its homologues, chlorinated hydrocarbons and naphtha. However, exposure to solvents occurs not only in industry but also in small service and cottage--work workshops, which fairly hampers preventive measures.

Adult↗
PubMed1987

Professional organisations of allied health-disciplines assessments: a review of four disciplines.

Quality assurance developments in The Netherlands among physical therapists, speech-therapists, dietitians and occupational therapists in The Netherlands are discussed emphasising profession-dependent characteristics. A general introduction will precede a short outline of "the state of the art" of each discipline. Some experiences with the implementation of peer review among speech-therapists and a proposal to integrate quality of care concepts in educational curricula, will conclude this review.

Dietetics↗
PubMed1998

Manager or medic: the role of the occupational health professional.

Occupational health professionals originate from either the medical or the nursing professions (both traditional areas with their own established codes of practice) and work in an industrial setting alongside, for instance, managers, who also have an established, if different code of practice. Occupational health professionals are therefore confronted with the task of integrating their medical role within a managerial context. This paper aims to explore how occupational health professionals overcome the problems inherent in balancing medical with managerial values.

Attitude of Health Personnel↗
PubMed1996

[Methodological aspects of pharmacological regulation of emotional stress in persons with dangerous occupations].

The significance of the emotional stress problem for persons of dangerous professions makes it necessary to search for the optimal procedure for emotional status correction. However, taking into account the specific features of military specialists' professional activity, it is highly difficult to choose a single drug. The authors apply a differential approach to solving the problem by considering the efficacy of tranquilizers, stimulants, adrenergic blocking agents, and adaptogens. The use of anxiolytics corrects an emotional response to the level which has marked adaptational sense. A combination of tranquilizers with stimulants is beneficial for the prevention or abortion of fatigue states. beta-adrenergic blockers act as stress protective agents in the cases when the implementation of highly coordinated skills is of crucial importance. By evoking physiological and biochemical changes in the body, adaptogens are involved in the elaboration of an adequate behavioral pattern and in adaptive rearrangement under the influence of unfavourable factors of the environment and activities.

Adrenergic Antagonists↗
PubMedDate not supplied

Occupational differences in job strain and physiological stress: female nurses and school teachers in Hawaii.

OBJECTIVES: The two objectives are to test the hypothesis that women in a profession with low decision latitude will have greater catecholamine excretion and higher blood pressure than women in a profession with greater decision latitude, and to assess the influence of ethnicity on the occupational comparison. METHODS: Premenopausal women who were either full-time teachers in public schools (teachers; N = 92) or nurses or nurse's aides (nurses; N = 55) in East Hawaii who were not currently taking antihypertensive medication had ambulatory blood pressure (BP) and urinary catecholamine excretion measured over an approximate 4-hour period at work and home and over an approximate 8-hour period overnight. The women also filled out the Job Content Questionnaire (JCQ). RESULTS: The nurses had significantly lower scores on the "decision latitude" subscale of the JCQ. After controlling for the effects of ethnicity, age, body mass index, JCQ subscale scores, smoking habits, and menopausal status in regression analyses, the nurses also had significantly higher mean systolic and diastolic BP both in work and home settings and higher mean rates of both norepinephrine and epinephrine excretion in all daily settings (p < .05). There were no significant ethnic differences in scores on the JCQ subscales, but Asian-Americans had significantly higher systolic BP in all daily settings and higher diastolic BP overnight (p < .05) than Euro-Americans. CONCLUSIONS: These results suggest that among professional women, physiological stress responses are significantly greater when occupation-related decision latitude is low (nurses) than when it is high (teachers). The physiological response to stress is carried over into the home and overnight settings when occupation-related decision latitude is low (nurses). Individual scores on the JCQ were not significantly related to physiological measures in this study, however. Inclusion of contrasting occupations may be necessary to properly evaluate the relationships between individually reported job strain and heightened physiological stress responses in studies of working women.

Asian↗
PubMedDate not supplied

Occupational hygiene: where from and to?

Occupational Hygiene was born in the forties in the USA, from the need to focus on the causes of the occupational diseases from a scientific and technical point of view. In other words this is to understand how to detect, how to evaluate and how to control the chronic risks at the workplace. The discipline developed very well from that time up to the nineties thank to a strong commitment of dedicated people and professional societies supported by international organizations such as the ILO and the WHO. Nowadays the situation of Occupational Hygiene differs considerably between countries which can arbitrarily be categorized according to the "culture and tradition" they have in this field. The development of this science has decreased in the countries where it has been very well established. This is probably due to the fact that the field of Occupational Health has been enlarged very much in the last decade so that Occupational Hygiene has to struggle more than before to defend its ecological niche (specificity) in this vast domain. In some countries the discipline is mixed with safety or environmental protection or even with the quality management and there is no curricula for Occupational Hygiene only. In many countries it simply does not exist. What will be the future of Occupational Hygiene? It is not possible to answer this question but there are clear opportunities to show the importance of Occupational Hygiene such as the REACH regulation in Europe which full comply with the core competencies of this profession. Other opportunities such as the elaboration of simple tools to assess and control the occupational hazards (toolkits) may also lead to a decrease in the need of well educated professionals since these tools will not require a long training to be used. In conclusion, the future will depend on the way the actual occupational hygienists will work to become more visible and to be considered as essential partners to reach the main goal of Occupational Health which is to build up healthy workplaces, for healthy companies in a healthy economy. The Occupational Hygiene Societies at the national level and the IOHA (International Occupational Hygiene Association) at the international level, will have a key role to play in this future evolution.

Developed Countries↗
PubMed1991

[Methodology problems of in-depth studies of occupational diseases].

The article sets forth some methodological issues related to the substantial analysis of occupational morbidity. Confirmed is the necessity of stratifying the morbidity along the line of individual professions and professional groups, of inviting scientists from technical research centres, practical physicians for elaborating preventive measures in occupational medicine.

Adult↗
PubMedDate not supplied

[Is there any correlation between psychiatric disease and the teaching profession?].

BACKGROUND: Some professional categories are at risk for burnout due to job-related stressors. Burnout is characterized by physical and emotional exhaustion, apathy, cynical attitude, low personal accomplishment and reduced self-control. Several studies on occupational stress have demonstrated that burnout has a strong impact on certain professions and in particular on teachers. OBJECTIVES: The purpose of the study was to highlight and compare differences among clinical disorders diagnosed in four different classes of workers in the Public Administration sector, with particular focus on job-related and mental disorders. MATERIALS AND METHODS: Based on the data collected in 3,447 medical examinations, performed by the Milan Health District from January 1992 to December 2003, in order to assess work fitness, researchers compared four categories of state employees (teachers, clerks, health care professionals and blue collars). RESULTS: The findings revealed that the risk of teachers to develop psychiatric disorders is 2-, 2.5-, and 3-fold higher than that of clerks, health care professionals and blue collars, respectively. Age or sex did not represent a confounding factor for increased rate of psychiatric disorders. Interestingly, teachers also presented an approximately 1.5-2 fold higher risk of developing neoplasms, compared with clerks and blue collars. CONCLUSIONS: The increased prevalence of psychiatric disorders among teachers that was detected in this cohort of state employees applying for a disability pension is striking and warrants further investigation. This finding points to the need for job-related interventions aimed at preventing teachers' psychiatric disorders, a multidimensional issue which requires active debate among institutions, unions, school authorities, the scientific community, professional associations and, last but not least, students and their families.

Adult↗
PubMedDate not supplied

Increased cancer incidence in physicians, dentists, and health care workers.

Some earlier reports have indicated increased incidence or mortality of specific tumor types in various health care professions. In this study we have evaluated cancer incidence in physicians, dentists, and other health care workers using the Swedish Cancer Environment Register (CER), which was formed by record-linkage between the 1970 census on current occupation and Cancer Register incidence data in 1971-84. In all three profession categories studied an increased risk was found, as well for all malignant tumors combined, as for specific tumor types regarding the different occupations. Possible etiological factors responsible for these risks are discussed.

Allied Health Personnel↗
PubMed2000

Risk assessment of the occupational contact with ammonium.

The aim of the cohort retrospective study was to analyze and evaluate the influence of certain factors (age, profession, smoking) on the characteristics and the incidence rate of the upper respiratory tract diseases (URTDs) in the occupational contact with ammonium. Subjects were 180 men, divided into 3 professional groups. The average shift concentrations of ammonium were measured in the permanent work places and individually by personal passive dosemeters. The URTDs were classified into 15 groups according to localization and the stage of the inflammatory process. The relationships "time-response" and "dose (concentration)-response" were determined. The factor "cumulative exposure" was used in order to evaluate the actual noxious effect of NH3 on the mucose of the upper respiratory tract (URT). There was a statistically reliable difference found in the incidence rate of atrophic rhinitis, hypertrophic pharyngitis and laryngitis, and neoplasms of the URT in the workers with the highest cumulative exposure. For this group relative risk was 4.00, 2.22, 3.20 and 4.00, respectively, with 95% Cl. The "cumulative exposure" factor gives the best proofs for the toxic effect of ammonium and a possibility for assessment of the relative risk.

Adult↗
PubMed2003

[Veterinarian: a healthy profession?].

Data of the insurance company Movir reveals that veterinarians are more often occupationally disabled compared to other occupations. The causes for this disability are: problems with the locomotion apparatus, accidents and psychological problems. Regarding the complaints of the locomotion apparatus is found that proportionally between 51 and 65 years there are more vets disabled. In absolute numbers the majority of the problems at Movir involves the farm animal vet. About the relative importance or indemnities of other insurance companies no statements can be made. The localisation of the affections are: lower back, knees, shoulders, neck and wrist/hand. Regarding the accidents is found that a lot of problems happen in the private situation, but that the high percentage of disability caused by accidents compared with other professions is probably caused by the profession related accidents. From the numbers of Movir comes forth that especially working with horses is dangerous, but there is no specific veterinarian skill very risky. Regarding the psychological problems comes forth that there are no differences between men and women. Proportionally from 46 years until 65 years there is a higher incidence of burnout then at younger ages. In absolute numbers more companion animal vets are burnout, but no statements can be made about the relative importance. There is no difference at Movir between the solopractice and the partnership regarding burnout. The professional circumstances playing a role in developing burnout are: a too high workload, problems with colleagues within the partnership, irregular shifts, organisation and management and financial management. The personal aspects of these veterinarians that play a role in burnout are: high expectations and demands, perfectionism and insecurity about the own abilities. In many of the files there were also problems within the private situation.

Accidents↗