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Health care services - 1,917 entries found

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  • Health care services

2010

CIS 11-0500 Fernandez A.R., Crawford J.M., Studnek J.R., Wilkins J.R.
Hearing problems among a cohort of nationally certified EMS professionals
The objectives of this study were to estimate the prevalence of hearing problems among a national cohort of emergency medical service (EMS) professionals, determine factors associated with hearing problems, and estimate the percentage of EMS professionals who utilize hearing protection. Utilizing results from a questionnaire, individuals who reported hearing problems were compared to individuals who had not. Multivariable logistic regression was performed to identify variables associated with hearing problems. Finally, items regarding use of hearing protection were assessed to estimate the percentage of usage among EMS professionals. In total, 1,024 participants completed the questionnaire. There were 153 (14.9%) cases of self-reported hearing problems. Findings are discussed.
American Journal of Industrial Medicine, 2010, Vol.53, p.264-275. Illus. 44 ref.

CIS 11-0579 Orriols Ramos R.M., Cortés Domènech M., Alonso Espadalé R.M.
Biological hazards: Methodology for evaluating the risks from sharp and cutting equipment with built-in biosafety features
Riesgo biológico: metodología para la evaluación de equipos cortopunzantes con dispositivos de bioseguridad [in Spanish]
The objective of this technical note is to guide health care professionals in the selection of sharps designed to maximize biological safety. A methodology for assessing the degree of safety of equipment with built-in biosafety is proposed.
Instituto Nacional de Seguridad e Higiene en el Trabajo, Ediciones y Publicaciones, c/Torrelaguna 73, 28027 Madrid, Spain, 2010. 6p. 14 ref.
NTP_875.pdf [in Spanish]

CIS 11-0477 Gillen M., Cisternas M.G., Yen I.H., Swig L., Rugulies R., Frank J., Blanc P.D.
Functional recovery following musculoskeletal injury in hospital workers
Hospital workers are at high risk of work-related musculoskeletal disorders (WRMSDs), but outcomes following such injuries have not been well studied longitudinally. The objective of this study was to ascertain functional recovery in hospital workers in the United States following incident WRMSDs and to identify predictors of functional status. Cases (incident WRMSD) and matched referents from two hospitals were studied at baseline and at two-year follow-up for health status, lost workdays, self-rated work effectiveness and work status change (job change or work cessation). Predictors included WRMSD and baseline demographics, socio-economic status (SES), job-related strain and effort-reward imbalance. Logistic regression analysis tested longitudinal predictors of adverse functional status. Baseline functional deficits associated with incident WRMSDs were largely resolved within the two-year follow-up. Nonetheless, lower SES and higher combined job strain/effort-reward imbalance predicted adverse outcomes, controlling for WRMSDs.
Occupational Medicine, Oct. 2010, Vol.60, No.7, p.532-539. Illus. 30 ref.

CIS 11-0352 Massari S., Bianchi A.R., Binazzi A., Branchi C., di Marzio D., Marinaccio A., Scano P., Scarselli A., Iavicoli S.
Occupational cancer registry: The ISPESL experience
Il registro dei tumori di sospetta origine professionale: l'esperienza dell'ISPESL [in Italian]
In Italy, legislation governing the collection of data on occupational cancer cases has been recently updated. The data collected by the Italian Institute for Occupational Safety and Prevention (ISPESL) has been recoded to match the new requirements. For the period 1994-2007, 1042 cases of occupational cancer were notified to the ISPESL, mainly regarding men. The most frequent cancer sites were the lung, pleura and nasal cavity. The most affected activity sectors were basic metals and the metal industry, construction, and health care and social services. The most represented carcinogenic agents were asbestos, polycyclic aromatic hydrocarbons and silica.
Prevenzione oggi, Jan.-June 2010, Vol.6, No.1/2, p.43-59. Illus. 51 ref.

CIS 11-0313 Rossel Farrás M.G., Muñoz Martinez A.
General ventilation in hospitals
Ventilación general en hospitales [in Spanish]
In hospitals, ventilation must ensure appropriate sanitary conditions by reducing contaminant levels in ambient air in order to protect patients and staff. This information note examines the requirements of the various applicable standards concerning air quality as a function of the type of premises.
Instituto Nacional de Seguridad e Higiene en el Trabajo, Ediciones y Publicaciones, c/Torrelaguna 73, 28027 Madrid, Spain, 2010. 6p. 6 ref.
NTP_859.pdf [in Spanish]

CIS 11-0440 Tucker P., Brown M., Dahlgren A., Davies G., Ebden P., Folkard S., Hutchings H., Åkerstedt T.
The impact of junior doctors' worktime arrangements on their fatigue and well-being
Many doctors report working excessively demanding schedules. This study compared groups of junior doctors working on different schedules in order to identify which features of schedule design most negatively affected their fatigue and well-being in recent weeks. Completed by 336 doctors, the questionnaires focused on the respondents' personal circumstances, work situation, work schedules, sleep, and perceptions of fatigue, work-life balance and psychological strain. Working seven consecutive nights was associated with greater accumulated fatigue and greater work-life interference, compared with working just 3 or 4 nights. Having only one rest day after working nights was associated with increased fatigue. Working a weekend on-call between two consecutive working weeks was associated with increased work-life interference. Working frequent on-calls (either on weekends or during the week) was associated with increased work-life interference and psychological strain. Inter-shift intervals of <10 hours were associated with shorter periods of sleep and increased fatigue. The number of hours worked per week was positively associated with work-life interference and fatigue on night shifts.
Scandinavian Journal of Work, Environment and Health, Nov. 2010, Vol.36, No.6, p.458-465. Illus. 34 ref.

CIS 11-0439 Madsen I.E., Diderichsen F., Burr H., Rugulies R.
Person-related work and incident use of antidepressants: Relations and mediating factors from the Danish work environment cohort study
Previous Danish studies have shown that employees who work with people are at increased risk of hospitalization with a diagnosis of depression. This study examines whether person-related work is associated with incident use of antidepressants, and whether this association is mediated by several work environment exposures. Self-reported data from 4958 participants in the Danish work environment cohort study in 2000 were linked with the use of antidepressants between 2001 and 2006. Compared to employees doing non-person-related work, the use of antidepressants was increased statistically significantly for healthcare workers and statistically non-significantly for educational workers. The use of antidepressants was not elevated for social or customer service workers, or those doing other types of person-related work. The increased risks of antidepressant-use for healthcare and educational workers were attenuated when adjusted for emotional demands at work. Implications of these findings are discussed.
Scandinavian Journal of Work, Environment and Health, Nov. 2010, Vol.36, No.6, p.435-444. 63 ref.

CIS 11-0170 Turhan O., Senol Y., Baykul T., Saba R., Yalçin A.N.
Knowledge, attitudes, and behaviour of students from a medicine faculty, dentistry faculty, and medical technology vocational training school towards HIV/AIDS
With increasing numbers of HIV/AIDS patients, physicians, dentists, and nurses taking care of these patients should have sufficient knowledge of the disease and consequently adopt suitable precautionary behaviour. The aim of this study was to examine the level of knowledge about HIV/AIDS among students from a medicine faculty, dentistry faculty and medical technology vocational training school, to investigate attitudes and behaviour, and possible differences between first-year and final-year students. A questionnaire was administered to 357 students. Findings are discussed. Overall, they highlight an obvious lack of education among all three student groups.
International Journal of Occupational Medicine and Environmental Health, 2010, Vol.23, No.2, p.153-160. Illus. 23 ref.
Knowledge.pdf [in English]

CIS 11-0168 Vaz K., McGrowder D., Crawford T., Alexander-Lindo R.L., Irving R.
Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies
This cross sectional study was conducted in September and October 2007 at the University Hospital of the West Indies. A 28-item self-administered questionnaire was provided to 200 health care workers including medical doctors, medical technologists, nurses and assistants to assess knowledge and practices regarding universal precautions, prevalence of injuries and incidence of accidents and compliance with post-exposure prophylaxis. Splashes from body fluids, needle stick injuries and cuts from other objects were quite prevalent among health care workers. At the same time, the study found that the majority of health care workers was aware of policies and procedures for reporting accidents. Implications of these findings are discussed.
International Journal of Occupational Medicine and Environmental Health, 2010, Vol.23, No.2, p.133-143. 41 ref.
Prevalence_of_injuries.pdf [in English]

CIS 11-0195 Jaworek M., Marek T., Karwowski W., Andrzejczak C., Genaidy A.M.
Burnout syndrome as mediator for the effect of work-related factors on musculoskeletal complaints among hospital nurses
The present study tested the hypothesis that burnout syndrome mediates effects of work-related factors, factors such as work demands and work stimuli, on the frequency of musculoskeletal complaints among hospital nurses. The sample was composed of 237 nurses from various wards across four hospitals located in southwestern Poland. Data was collected through three questionnaires. One of the questionnaires measured work-related factors and contained elements that afforded factor analysis. Results of structural equation modeling with a mediating effect showed that work demands were positively related to burnout syndrome and musculoskeletal complaints, higher work stimuli were associated with lower burnout, but with higher musculoskeletal complaints, and burnout was positively associated with musculoskeletal complaints.
International Journal of Industrial Ergonomics, 2010, Vol.40, p.368-375. Illus. 59 ref.

CIS 11-0194 Burnett D.R., Campbell-Kyureghyan N.H.
Quantification of scan-specific ergonomic risk-factors in medical sonography
Medical sonographers are known to be at an increased risk of developing occupationally related musculoskeletal pain or injury. However, scan-specific, on-site ergonomic job evaluations which also include a quantitative analysis of upper extremity joint biomechanics are not the norm. The objective of the study is to identify and quantify scan-specific risk-factors for upper extremity work-related musculoskeletal pain in sonography. Seven subjects participated in the study which used a combination of self-reported and measured job analyses to specifically address risk-factors related to diagnostic medical sonography. 86% of sonographers reported upper extremity musculoskeletal pain. Ergonomic evaluation revealed that changes should be made soon. Shoulder abduction and wrist deviation angles were quantified and found to be greater than previously published acceptable limits.
International Journal of Industrial Ergonomics, 2010, Vol.40, p.306-314. Illus. 39 ref.

CIS 11-0212 Myers D.J., Lipscomb H.J.
Informal social status among coworkers and risk of work-related injury among nurse aides in long-term care
A social network measure was used to explore whether one's rank in an informal social hierarchy of nurse aides employed in a long-term care facility was associated with risk of work-related injury. Six months of administrative staff schedule data and self-reported injury records were examined. Survey data were used to establish informal social status. Conditional logistic regression was used to model the effect of social status on injury risk; cases were matched to controls consisting of coworkers present on the floor, shift, and date of the injury event. This allowed for a comparison of social status rank within social groups among workers with the same job title. Findings support a theoretical framework suggesting that patterns of social relations between individuals based on informal social status in the workplace may contribute to differences in work-related injury risk among individuals with the same job title.
American Journal of Industrial Medicine, 2010, Vol.53, p.514-523. Illus. 46 ref.

CIS 11-0278 Nabe-Nielsen K., Kecklund G., Ingre M., Skotte J., Diderichsen F., Garde A.H.
The importance of individual preferences when evaluating the associations between working hours and indicators of health and well-being
Previous studies indicate that the effect of a given shift schedule may depend on individual factors. The aim of the present study was to investigate whether a misfit between individual preferences and actual working hours affected the association between working hours and self-reported indicators of health and well-being. The study population consisted of 173 female elderly care workers who mainly worked day or evening shifts. Self-reported questionnaire data on preferences were combined with actual work schedules during a four-week period. Findings are discussed.
Applied Ergonomics, Oct. 2010, Vol.41, No.6, p.779-786. 33 ref.

CIS 11-0140 Aguiar Coelho J.
Prevention of psychosocial hazards in hospitals
Prevenção de riscos psicosocialais no trabalho en hospitais [in Portuguese]
The prevention of occupational psychosocial risks is now a legal requirement in Portuguese hospitals. Research efforts and scientific publications highlight the fact that psychosocial hazards are much higher in health care than in other sectors of activity, a situation that is particularly true for hospitals. The objective of this thesis is to define a theoretical framework for the prevention of occupational psychosocial hazards; it presents a model for the organization of prevention and the management of psychosocial hazards in hospitals.
Edições Universidade Fernando Pessoa, Praça 9 de Abril 349, 4249-004 Porto, Portugal, 2010. 297p. Approx. 450 ref. Price: 10.00 EUR.

CIS 11-0068 Hakola T., Paukkonen M., Pohjonen T.
Less quick returns - Greater well-being
The aim of this study was to design ergonomically-improved shift schedules for nurses in primary health care shift work in order to enhance their health and well-being. The main change made was the reduction of quick returns (morning shifts immediately after an evening shift) in order to ensure more recovery time between work shifts. Six Finnish municipal hospital units and 75 nurses participated in the intervention. The aim was to maintain or improve the well-being and work ability of aged workers. Subjects were divided into three age groups: 20-40, 41-52 and 53-62 years. The introduction of more recovery time between evening and morning shifts significantly improved the subjects' sleep and alertness, well-being at work, perceived health and leisure-time activities independently of their age. The effect on social and family life was also positive. Other findings are discussed.
Industrial Health, July 2010, Vol.48, No.4, p.390-394. 10 ref.

CIS 11-0067 Paterson J.L., Dorrian J., Pincombe J., Grech C., Dawson D.
Mood change and perception of workload in Australian midwives
Twenty midwives in an Australian metropolitan hospital completed logbooks assessing daily fluctuations in subjective mood and workload. Participants also provided information about history of psychopathology and sleep quality. Workload factors significantly predicted mood at work. Specifically, when participants felt that their work was more demanding and frustrating and required more effort, or when they felt that they could not accomplish all that was expected, mood was negatively influenced. This supports the connection between workload and negative mood change in healthcare. Given the potential for mood to influence a multitude of functions relevant to safety, performance and psychosocial wellbeing it is important to understand the factors which influence mood, particularly in light of the current shortfall in the Australian healthcare workforce.
Industrial Health, July 2010, Vol.48, No.4, p.381-389. Illus. 39 ref.
Mood_change.pdf [in English]

CIS 11-0133 Belayachi J., Berrechid K., Amlaiky F., Zekraoui A., Abouqal R.
Violence towards physicians in emergency departments of Morocco: Prevalence, predictive factors, and psychological impact
The aim of this study was to determine the frequency of exposure, characteristics, and psychological impact of violence toward hospital-based emergency physicians in Morocco. It involved a survey among 60 physicians who were assigned to emergency service during the previous fortnight. The variables studied included those related to the victim as well as those related to aggressors. The Spielberg State Trait Anxiety Inventory (STAI) questionnaire was also administered to all participants. Findings are discussed.
Journal of Occupational Medicine and Toxicology, 2010, 5:27, 7p. Illus. 32 ref.
Violence_towards_physicians.pdf [in English]

CIS 10-0876 Kim H., Kriebel D., Quinn M.M., Davis L.
The snowman: A model of injuries and near-misses for the prevention of sharps injuries
Sharps injuries (SI) and other blood/body fluid exposures (BBFE) present bloodborne pathogen risks for home healthcare (HHC) workers. In this study, a new conceptual model for using near-misses for SI and BBFE was developed and its utility in statistical analyses of SI and BBFE risk factors was evaluated. It involved surveying 787 HHC nurses and 282 aides. Questions focused on the circumstances leading up to the SI, BBFE, and near-misses. After evaluating the hypothesis that near-misses and events lie along the same causal pathway, these outcomes were combined to estimate their association with employment status. There were similar frequencies of risk factors for the events SI, BBFE, and their near-misses, suggesting that they may share common causal pathways. Combined data on events and near-misses confirmed that part-time and temporary HHC aides were at higher risk than full-timers.
American Journal of Industrial Medicine, Nov. 2010, Vol.53, No.11, p.1119-1127. Illus. 34 ref.

CIS 10-0818 Mehrdad R., Dennerlein J.T., Haghighat M., Aminian O.
Association between psychosocial factors and musculoskeletal symptoms among Iranian nurses
The aim of this cross-sectional study is to assess and evaluate the prevalence of musculoskeletal symptoms and to assess their relationships with psychosocial factors among nurses in Iran. A total of 347 hospital nurses completed a self-reported questionnaire containing the Standardized Nordic questionnaire for musculoskeletal symptoms and the General Nordic questionnaire for Psychological and Social factors at work. Prevalence of low back pain, knee pain, shoulder pain, and neck pain were 73.2%, 68.7%, 48.6%, and 46.3%, respectively. Middle and high stress groups had higher crude and adjusted odds than the low stress group for all body sites. The association for neck, wrist/hand, and upper back and ankle/foot reports (adjusted odds ratio for high stress ranging from 2.4 to 3.0) were statistically significant. Overall, high prevalences of self-reported musculoskeletal symptoms at a number of body sites were observed, which were associated with psychosocial factors, and specifically with stress.
American Journal of Industrial Medicine, Oct. 2010, Vol.53, No.10, p.1032-1039. Illus. 29 ref.

CIS 10-0815 Tak S., Alterman T., Baron S., Calvert G.M.
Racial and ethnic disparities in work-related injuries and socio-economic resources among nursing assistants employed in US nursing homes
The objective of this study was to estimate the proportion of nursing assistants (NAs) in the United States with work-related injuries and insufficient socio-economic resources by race/ethnicity. Data from the 2004 National Nursing Assistant Survey were analyzed. Among 2,880 participants, 44% reported "scratch, open wounds, or cuts" followed by "back injuries" (17%), "black eyes or other types of bruising" (16%), and "human bites" (12%). When compared to non-Hispanic white NAs, the adjusted rate ratio (RR) for wound/cut was 0.74 for non-Hispanic black NAs. RRs for black eyes/bruises were 0.18 for non-Hispanic black NAs and 0.55 for Hispanic NAs. Minority racial and ethnic groups were less likely to report having experienced injuries compared with non-Hispanic white NAs. Implications of these findings are discussed.
American Journal of Industrial Medicine, Oct. 2010, Vol.53, No.10, p.951-959. 37 ref.

CIS 10-0685 NIOSH list of antineoplastic and other hazardous drugs in healthcare settings 2010
The area of new drug development is rapidly evolving as unique approaches are being taken to treat cancer and other serious diseases. This booklet presents the standard precautions to be taken when handling antineoplastic drugs safely. Contents: general approach to handling hazardous drugs; defining hazardous drugs; definition of hazardous drugs by the American Society of Health-System Pharmacists (ASHP); NIOSH revision of the ASHP definition; determining whether a drug is hazardous; how to generate your own list of hazardous drugs; where to find information related to drug toxicity; examples of hazardous drugs; sample list of drugs that should be considered hazardous.
Publications Dissemination, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, Cincinnati, OH 45226-2001, USA, Sep. 2010. 11p. Illus. 20 ref.
NIOSH_Publication_2010-167.pdf [in English]

CIS 10-0550 Connor T.H., DeBord D.G., Pretty J.R., Oliver M.S., Roth T.S., Lees P.S.J., Krieg E.F., Rogers B., Escalante C.P., Toennis C.A., Clark J.C., Johnson B.C., McDiarmid M.A.
Evaluation of antineoplastic drug exposure of health care workers at three university-based US cancer centers
This cross-sectional study evaluated health care worker exposure to antineoplastic drugs. Environmental samples from pharmacy and nursing areas were examined. Descriptions of tasks involving the handling of these drugs were recorded in a diary during six weeks. Urine was analyzed for two specific drugs, and blood samples were analyzed by the comet assay. Sixty-eight exposed and 53 non-exposed workers were studied. Exposed workers recorded 10,000 drug-handling events during the 6-week period. Sixty percent of wipe samples were positive for at least one of the five drugs measured. Cyclophosphamide was most commonly detected, followed by 5-fluorouracil. Three of the 68 urine samples were positive for one drug. No genetic damage was detected in exposed workers using the comet assay. Despite following recommended safe-handling practices, workplace contamination with antineoplastic drugs in pharmacy and nursing areas continues at these locations.
Journal of Occupational and Environmental Medicine, Oct. 2010, Vol.52, No.10, p.1019-1027. 73 ref.

CIS 10-0534 NIOSH Hazard Review - Occupational hazards in home healthcare
An aging population and rising hospital costs have created new and increasing demand for innovative healthcare delivery systems in the United States. Home healthcare provides vital medical assistance to ill, elderly, convalescent, or disabled persons who live in their own homes instead of a healthcare facility, and is one of the most rapidly expanding industries. It is forecast that home healthcare employment will grow 55% between 2006 and 2016, making it the fastest growing occupation of the next decade. Home healthcare workers, while contributing greatly to the well-being of others, face unique risks on the job to their own personal safety and health. Home healthcare workers are frequently exposed to a variety of potentially serious or even life-threatening hazards. These dangers include overexertion; stress; guns and other weapons; illegal drugs; verbal abuse and other forms of violence in the home or community; bloodborne pathogens; needlestick injuries; latex sensitivity; temperature extremes; unhygienic conditions, including lack of water, unclean or hostile animals, and animal waste. Long commutes from worksite to worksite also expose the home healthcare worker to transportation-related risks. During 2007, 27,400 recorded injuries occurred among more than 896,800 home healthcare workers. This guide aims to raise awareness and increase understanding of the safety and health risks involved in home healthcare and suggests prevention strategies to reduce the number of injuries, illnesses, and fatalities among workers in this sector.
Publications Dissemination, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, Cincinnati, OH 45226-2001, USA, Jan. 2010. PDF document. x, 54p. Illus. Bibl.ref.
DHHS_(NIOSH)_Publication_No.2010-125.pdf [in English]

CIS 10-0597 Buddeberg-Fischer B., Stamm M., Buddeberg C., Klaghofer R.
Chronic stress experience in young physicians: Impact of person- and workplace-related factors
The objectives of this study were to investigate and compare the relative impact of workplace-related factors and personal characteristics on chronic psychosocial stress experience in young physicians. A cohort of Swiss medical school graduates was followed up, beginning in 2001. In their fourth and eighth year after graduation, 443 physicians answered a questionnaire addressing their workplace conditions, effort-reward imbalance, professional and emotional support and personal characteristics. The chronic stress experience was measured by the Trier Inventory for the Assessment of Chronic Stress-Screening Subscale of Chronic Stress (TICS-SCSS), seven years after graduation. The model of influencing factors on chronic stress experience was tested with a hierarchical regression analysis. Findings are discussed. It is a matter of concern that young physicians report feeling chronically stressed early in their professional career.
International Archives of Occupational and Environmental Health, Apr. 2010, Vol.83, No.4, p.373-379. 44 ref.

CIS 10-0580 Boal W.L., Leiss J.K., Ratcliffe J.M, Sousa S., Lyden J.T., Li J., Jagger J.
The national study to prevent blood exposure in paramedics: Rates of exposure to blood
The purpose of this analysis is to present incidence rates of exposure to blood among paramedics in the United States by selected variables and to compare all percutaneous exposure rates among different types of healthcare workers. A survey on blood exposure was mailed in 2002-2003 to a national sample of paramedics. Results for California paramedics were analyzed with the national sample and also separately. The incidence rate for needlestick/lancet injuries was 100/1,000 employee-years among the national sample and 26/1,000 employee-years for the California sample. The highest exposure rate was for non-intact skin, 230/1,000 employee-years. The rate for all exposures was 465/1,000 employee-years. California needlestick/lancet rates, but not national, were substantially lower than rates in earlier studies of paramedics. Rates for all percutaneous injuries among paramedics were similar to the mid to high range of rates reported for most hospital-based healthcare workers.
International Archives of Occupational and Environmental Health, Feb. 2010, Vol.83, No.2, p.191-199. 33 ref.

CIS 10-0596 Wu H., Zhao Y., Wang J.N., Wang L.
Factors associated with occupational stress among Chinese doctors: A cross-sectional survey
The aim of this study was to explore factors associated with occupational stress among Chinese doctors in public hospitals. A cross-sectional study was conducted during the period of May/June 2008. The study population comprised 1989 doctors registered and working in the 20 national hospitals in a Chinese province, who were given a questionnaire pertaining to occupational stress that was assessed based on the Chinese Version Personal Strain Questionnaire (PSQ), demographic characteristics, work situations, occupational roles and personal resources. The response rate was 79.8% (1587 respondents; 673 men, 914 women). The general linear model (GLM) was employed to explore the factors related to occupational stress. All data analysis was performed separately in men and women. Findings are discussed. The results indicate that the major factors associated with occupational stress differ between male and female doctors in China.
International Archives of Occupational and Environmental Health, Feb. 2010, Vol.83, No.2, p.155-164. 42 ref.

CIS 10-0579 Rapparini C., Lui Reinhardt E.
Ministério do Trabalho e Emprego
Implementation manual - Programme for the prevention of accidents caused by sharps in health services
Manual de implementação - Programa de prevenção de acidentes com materiais perfurocortantes em serviços de saúde [in Portuguese]
This manual contains practical information to help health services develop, implement and evaluate a programme to prevent accidents caused by sharps. Contents: information on the manual; risk of accidents with needles or sharps and their prevention among health care workers; description of the six stages of the programme; procedures to be implemented. In appendices: various models of forms for collecting data about the programme, questionnaires and other documents for analysing and evaluating the programme.
Fundacentro, Rua Capote Valente 710, São Paulo, SP 06409-002, Brazil, 2010. 161p. Illus. 146 ref.
Manual_de_implementação.pdf [in Portuguese]

CIS 10-0351 Choobineh A., Movahed M., Tabatabaie S.H., Kumashiro M.
Perceived demands and musculoskeletal disorders in operating room nurses of Shiraz City hospitals
Excessive demands on operation room nurses may result in high rates of musculoskeletal disorders (MSDs). This study was conducted among Shiraz city hospital nurses to determine the prevalence of MSDs and to examine the relationship between perceived demands and reported MSDs. In this cross-sectional study, 375 operating room nurses participated (response rate: 80%). Data were collected by means of the Nordic Musculoskeletal Disorders Questionnaire and the Job Content Questionnaire. Lower back symptoms were found to be the most prevalent problem, with a past year prevalence of 60.6%. Perceived physical demands were significantly associated with musculoskeletal symptoms (odds ratio ranged from 2.04 to 7.24). Manual material handling (MMH) activities were most frequently associated with reported symptoms. Association was also found between perceived psychological demands and reported symptoms (odds ratio 1.68 or higher). Based on the findings, it is concluded that operating theatres are not only physically, but also psychologically demanding environments. Any interventional program for preventing or reducing MSDs among nurses should focus on reducing physical demands, particularly excessive MMH demands as well as considering psychological aspects of the working environment.
Industrial Health, Jan. 2010, Vol.48, No.1, p.74-84. 47 ref.
Perceived_demands_and_musculoskeletal_disorders.pdf [in English]

CIS 10-0381 Pacenti M., Dugheri S., Boccalon P., Arcangeli G., Dolara P., Cupelli V.
Air monitoring and assessment of occupational exposure to peracetic acid in a hospital environment
A new automated method based upon solid phase micro-extraction (SPME)/fast gas chromatography-mass spectrometry (GC-MS) was used in the regional hospital of Florence for the quantitative determination of airborne peracetic acid (PAA). The method is suitable for the quick assessment of brief acute exposure as well as for long-term environmental monitoring of PAA and can assist in improving safety and environmental quality in workplaces where disinfectants are used. During a monitoring campaign in Italy, the 8h average air concentration of PAA was 1/10 of the threshold limit value of time weighted average in 87% of the clinical units tested. However, the application of the new SPME method showed that short-term exposure to PAA could be relatively elevated in some hospital units with poor ventilation, allowing prompt intervention in order to reduce worker exposure to this potentially toxic compound.
Industrial Health, Mar. 2010, Vol.48, No.2, p.217-221. Illus. 14 ref.
Air_monitoring_and_assessment.pdf [in English]

CIS 10-0423 Kim S.L., Lee J.E.
Development of an intervention to prevent work-related musculoskeletal disorders among hospital nurses based on the participatory approach
The purpose of this study was to develop an intervention to prevent work-related musculoskeletal disorders in hospital nurses using the participatory approach. The multidisciplinary team conducted the trainer workshops in a Korean hospital to develop a comprehensive intervention protocol, which yielded several practical and low-cost solutions to reduce the risk factors for musculoskeletal disorders. Structured tools that were focused on the hospital environment were developed. The developed action checklist consisted of 43 items that were focused on five areas of nursing tasks (patient care and treatment; safe handling of drugs, medical devices and equipment; workstation design; physical environment; welfare facilities and administration). The final intervention protocol consisted of a series of structured participant workshops, follow-up visits and presentation of achievements.
Applied Ergonomics, May 2010, Vol.41, No.4, p.454-460. Illus. 23 ref.

CIS 10-0342 Occupational rhinosinusitis due to etoposide, an antineoplastic agent
This article reports a rare case of an occupational hypersensitivity reaction to an antineoplastic agent in a 45-year-old nurse who developed throat irritation and chronic nasal congestion followed by sinusitis shortly after beginning work at an oncological out-patient clinic. The symptoms disappeared upon leaving the clinic two years later, but they returned when she resumed work at the oncology unit of a hospital in Denmark, handling chemotherapy on a daily basis. In vitro histamine release tests were performed against nine suspected antineoplastic agents. The patient's histamine release test against the antineoplastic agent etoposide was positive; the other test results were negative. The histamine release test against etoposide using passive sensitization was also negative. Upon leaving the oncology department, the symptoms of the nurse disappeared once again. She was given a diagnosis of rhinosinusitis.
Scandinavian Journal of Work, Environment and Health, May 2010, Vol.36, No.3, p.266-267. 7 ref.

CIS 10-0361 Henwood N., Niu S., Michell K., Mwakini N.K., Kaoneka B.K., Lekei E., Rwako A.J., Matee J.J., Jemneh T.A., Pääkkönen T.
Health care workers
Collection of articles on the safety and health of health care workers of relevance to African countries. Contents: ILO list of occupational diseases and health care workers; protection of health care workers with a focus on respiratory health; hepatitis in the context of Botswana. Other topics: safety implications of pesticide use in vegetable cultivation among small-scale farmers in Tanzania; Ethiopian migrant workers' perceptions of the United Kingdom health and safety regulations; review of a conference on well-being held in February 2010 in Helsinki, Finland.
African Newsletter on Occupational Health and Safety, Apr. 2010, Vol.20, No.4, p.1-23 (whole issue). Illus. Bibl.ref.
Health_care_workers.pdf [in English]

CIS 10-0208 Kawakami T., Siang L.H., Tan A., Kim E.A., Kang S.Y., Niu S., Leman A.M., Omar A.R., Rahman K.A., Yusof M.Z.M., Kogi K.
Injury and disease reporting systems
Collection of articles on injury and disease reporting systems of relevance to Asian countries. Contents: Singapore's framework for reporting occupational accidents, injuries and diseases; reporting system for occupational injuries and illness in Korea; ILO list of occupational diseases and health care workers; reporting of occupational injury and occupational disease in Malaysia. Other topics: presentation of an occupational safety and health database; review of a new publication on ergonomics in developing countries, conference announcements.
Asian-Pacific Newsletter on Occupational Health and Safety, Sep. 2010, Vol.17, No.2, p.27-43 (whole issue). Illus. Bibl.ref.
Injury_and_disease_reporting_systems.pdf [in English]

CIS 10-0286 Ishihama K., Sumioka S., Sakurada K., Kogo M.
Floating aerial blood mists in the operating room
High-speed surgical instruments and electric coagulator devices produce contaminated particles and aerosols. This study aimed to investigate the presence of blood-contaminated aerosol in an operating room environment. Test filters were fitted to the extract ducts of a standard central air conditioning system, and were left in place for one, two or four weeks. In a separate experiment to analyze contributing factors, the test filters were changed following every operation. Green dots showing a reaction with leucomalachite green method were counted. In the accumulation experiment, the number of positive dots tended to increase over time (26, 60, and 143 dots after one, two and four weeks, respectively). Surgical procedures performed with these devices produce aerosolized blood in the operating room. Implications are discussed.
Journal of Hazardous Materials, Sep. 2010, Vol.181, No.1-3, p.1179-1181. Illus. 9 ref.

CIS 10-0280 Quarcoo D., de Roux A., Wicker S., Rabenau H.F., Groneberg D.A., Gottschalk R.
Occupationally-acquired infections among health care workers: Respiratory diseases
Arbeitsbedingte Infektionen bei Mitarbeitern des Gesundheitswesens - eine Serie - respiratorische Erkrankungen [in German]
Due to the contact with infectious patients, health care workers are at risk of work-related infectious diseases. This article on respiratory diseases is the first of a series of four on occupationally acquired infections among health care workers. It reviews literature data on viral and bacterial infections (SARS, influenza, para-influenza and respiratory syncytial viruses, adenoviruses, tuberculosis, pertussi and other infectious agents) and describes the preventive measures to be taken by health care workers (wearing a mask, personal hygiene, infection control). Health care workers dealing with patients infected with highly pathogenic agents (SARS, avian flu) should be specially trained. See also ISN 110617, ISN 110619 and ISN 110620.
Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, Mar. 2009, Vol.59, No.3, p.81-91. Illus. 41 ref.

CIS 10-0164 Topping J.
A dose of surgical spirit
This article describes how the National Health Service (NHS) of the United Kingdom, which is the service responsible for operating all public hospitals, is responding to the need to provide safety and health training to its employees. Such training is particularly important because the hospitals operate 24h per day during which employees may be exposed to poisons, radiation, sharps, a variety of pathogens and contaminated waste. Topics addressed: induction training; on-the-job training; job-specific training; refresher training; training of senior management; role of safety and health managers; record-keeping.
Safety and Health Practitioner, Aug. 2010, Vol.28, No.8, p.50-53. Illus. 2 ref.

CIS 10-0162 Tei-Tominaga M., Miki A.
A longitudinal study of factors associated with intentions to leave among newly graduated nurses in eight advanced treatment hospitals in Japan
This study examined the factors associated with intentions to leave among newly graduated nurses (NGNs). Self-administered questionnaires were distributed to 567 NGNs in eight advanced treatment hospitals in Japan on two separate occasions approximately 6 months apart. The questionnaire items addressed individual attributes, employment and organizational characteristics and subjective health, and also included the 22-item Job Content Questionnaire, a scale of intentions to leave and a novel 21-item job readiness scale. Data from 301 NGNs who had participated in both questionnaire instances were used and subjected to hierarchical multiple regression analyses. Findings showed that while psychological distress was a more important predictor of intentions to leave during the first survey, cumulative fatigue was a more important predictor during the second survey. Other findings are discussed.
Industrial Health, May 2010, Vol.48, No.3, p.305-316. 46 ref.

CIS 10-0074 Aptel M., Bonneterre V., De Gaudemaris R., Paris C., Lasfargues G., Chamoux A.
National occupational disease surveillance and prevention network (RNV3P): A standing network of experts for the advancement of occupational safety and health
Le Réseau national de vigilance et de prévention des pathologies professionnelles (RNV3P) [in French]
This article describes the structure and approach adopted by the National occupational disease surveillance and prevention network (French acronym RNV3P), based on the centers for occupational disease consultation (French acronym CCPP) of university hospitals. The network comprises 32 CCPPs, spread across the territory of France.
2nd Quarter 2010, No.122, p.167-183. Illus. 25 ref.
http://www.dmt-prevention.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TC%20132/$File/TC132.pdf [in French]

CIS 10-0070 Pürro S., Heinss U., Melchers S., Merz B., Jost M., Jaun K.
Commission fédérale de coordination pour la sécurité au travail (CFST)
Occupational safety and health in home care
Les conditions de travail dans le secteur des services d'aide et de soins à domicile (Spitex) [in French]
Topics addressed in this collection of articles on occupational safety and health in the public heath sector in Switzerland: working conditions in the home care sector (Spitex); prevention of blood-borne infectious diseases in the health care sector; safe handling of substances in the health care sector; approach developed by Swiss hospitals for occupational safety and health in the health care sector.
Communications de la CFST, May 2010, No.69, p.3-14. Illus.

CIS 10-0032 Lindfors P.
Work-related well-being of Finnish anesthesiologists
In this study of the work-related well-being of Finnish anaesthesiologists, data were obtained by means of a postal questionnaire addressed to all 550 working Finnish anaesthesiologists in 2004; the response rate was 60%. Issues examined included well-being, workload, stress, organizational problems, state of health, burnout, suicidal tendencies and sickness absenteeism. Findings are discussed.
Finnish Institute of Occupational Health, FIOH-Bookstore, Topeliuksenkatu 41 a A, 00250 Helsinki, Finland, 2010. 119p. Illus. Bibl.ref. Price: EUR 20.00.
https://oa.doria.fi/bitstream/handle/10024/59465/workrela.pdf?sequence=1 [in English]

CIS 10-0084 Vander Hulst K., Kerre S., Goossens A.
Occupational allergic contact dermatitis from tetrazepam in nurses
Tetrazepam is a muscle relaxant belonging to the benzodiazepine group. Drug eruptions following ingestion of tetrazepam tablets are well known. The objective of this study was to draw the attention to occupational airborne dermatitis and/or hand dermatitis among nurses involved in crushing of tablets for elderly or disabled people. Since 2003, 16 nurses with facial (eyelid) and/or hand dermatitis, suspected to be of occupational origin, were patch tested in the dermatology department of a Belgian hospital with the medication they handled during work. Ten nurses presented with a positive patch test reaction to tablets containing tetrazepam, 14 controls remaining negative. Some of them also reacted to other drugs. Implications of these findings are discussed.
Contact Dermatitis, May 2010, Vol.62, No.5, p.303-308. Illus. 21 ref.

CIS 09-1282 Brasseur G., Gayet C., Fellmann A., Ravallec C., Vaudoux D.
Personal care services - Caring for one's self as one would for others
Services à la personne - Veiller sur soi comme sur les autres [in French]
Personal care services such as the care of elderly persons or children employ over two million workers in France. This special feature on personal care services addresses the following topics: variety of jobs and occupational hazards; high level of accidents; training of personnel; care services in rural settings; the experience of Quebec; care of children; ergotherapy.
Travail et sécurité, Jan. 2010, No.702, p.18-33. Illus. 5 ref.
http://www.travail-et-securite.fr/archivests/archivests.nsf/(alldocparref)/TS702page18_1/$file/TS702page18.pdf?openelement [in French]

2009

CIS 12-0149 The ECRES method - Qualitative evaluation of the risk of exposure to silica - Dental laboratories
Método ECRES - Evaluación cualitativa del riesgo de exposición a sílice - Laboratorios dentales [in Spanish]
This document shows how to apply the ECRES method for the qualitative evaluation of the risk of exposure to silica applied to dental laboratories. The method allows the identification of priority areas for action by means of filling-in check lists addressing the following issues: legal aspects; aspects that contribute towards better management; plaster mould preparation; flasking; housekeeping; miscellaneous.
Instituto de Salud Pública de Chile, Departamento Salud Ocupacional y Contaminación Ambiental, av. Marathon 1000, Ñuñoa, Santiago 7780050, Chile, July 2009, 32p. Illus.
Método_ECRES_Laboratorios_dentales_[INTERNET_FREE_ACCESS] [in Spanish]

CIS 11-0055 Ortiz Castañeda D.M., González Robayo M.P.
Incidence of musculoskeletal pathologies in the dominant upper limb associated with the work of physiotherapists working in health care institutions of secondary level in Bogotá D.C.
Incidencia de patologías osteomusculares en miembro superior dominante asociadas a labor de terapeutas físicas y ocupacionales que laboran en IPS de segundo nivel de atención en Bogotá D.C. [in Spanish]
This study aimed to determine the incidence of musculoskeletal disorders in the dominant upper limb of 114 physiotherapists working in rehabilitation centers in Bogota, Colombia, using a checklist. The most frequent disorders were tendonitis, epicondylitis and carpal tunnel syndrome. Findings are discussed.
Salud, Trabajo y Ambiente, 3rd quarter 2009, Vol.16, No. 61. p.8-16. Illus. 15 ref.

CIS 10-0890 Chen W.C., Hwu H.G., Wang J.D.
Hospital staff responses to workplace violence in a psychiatric hospital in Taiwan
A survey of 222 nurses, nursing assistants and clerks at a psychiatric hospital in Taiwan was conducted on responses to workplace violence, treatment of violent patients and reporting behavior. Staff reported 78 incidents of physical violence (PV), 113 of verbal abuse (VA), 35 of bullying/ mobbing (BM), 21 of sexual harassment (SH), and 10 of racial harassment (RH) over the course of one year. Among affected staff, only 31% of those experiencing PV and less than 10% of those experiencing other categories of violence completed a formal report. Highest levels of reporting to senior staff were among those affected by SH. Patients who were physically violent were more likely to be injected with medication than patients showing other violent behaviors. More VA-affected staff considered the incident not important enough to report. Other reasons for not reporting the incident were fear of negative consequences, especially for BM, and shame for SH.
International Journal of Occupational and Environmental Health, 2nd quarter 2009, Vol. 15, No.2, p.173-179. 48 ref.

CIS 10-0570 Bird P.
Reducing manual handling workers compensation claims in a public health facility
This article describes the implementation of a manual handling programme in various healthcare facilities in the region of Canberra, the capital of Australia. The programme involved consultation of the employees, hazard identification, hazard evaluation, engineering controls, behavioural controls, training systems and supporting management systems. A systematic approach was followed, with well-defined strategies for the various stages of pre-implementation, implementation and post-implementation. From 2005 to 2008, compensation claims were reduced by between 60% and 80%, time lost due to claims by between 79% and 98%, and costs by between 70% and 99%.
Journal of Occupational Health and Safety - Australia and New Zealand, Dec. 2009, Vol.25, No.6, p.451-459. Illus. 14 ref.

CIS 10-0537 Torrado del Rey S., Rosell Farrás M.G., Guardino Solá X.
Control of occupational exposure of health care personnel when handling cytostatics
Control de la exposición laboral del personal sanitario durante la manipulación de citostáticos [in Spanish]
Health care workers handling cytostatic agents may be contaminated during the preparation or the administration of the drug. This article describes the prevention and protection measures to be adopted when handling cytostatic agents. It points out that the high levels of contamination which are found on working surfaces and on vials in hospitals are due to the contamination of the external surfaces of vials arising during the production of the drugs. It urges manufacturers to act in order to avoid this problem at the source.
Seguridad y Salud en el Trabajo, May 2009, No.52, p.6-13. Illus. 25 ref.

CIS 10-0374 Nielsen K., Albertsen K., Brenner S.O., Smith-Hansen L.
Comparing working conditions and physical and psychological health complaints in four occupational groups working in female-dominated workplaces
This article examines the associations between psychosocial factors and physical and psychological health complaints while at the same time taking into account differences between occupational groups in female-dominated professions. Four female-dominated occupational groups were included: nurses, health care assistants, cleaners and dairy industry workers. The relationships between influence, emotional and quantitative demands, social support, back pain, and behavioural stress were examined using structural equation modelling. The study confirmed the importance of differentiating between female-dominated occupations rather than talking about women's working conditions as such. The study also emphasized the importance of considering psychosocial risk factors when examining physical health, in this case back pain.
International Archives of Occupational and Environmental Health, Nov. 2009, Vol.92, No.10, p.1229-1239. Illus. 51 ref.

CIS 10-0284 Wicker S., Rabenau H.F., Groneberg D.A., Gottschalk R.
Occupationally-acquired infections among health care workers: Children's diseases
Arbeitsbedingte Infektionen bei Mitarbeitern des Gesundheitswesens: Kinderkrankheiten [in German]
Infections professionnelles chez les soignants: maladies infantiles [in French]
Infectious childrens' diseases can cause substantial illness and complications among non-immune health care workers, and present a significant risk for pregnant women. This article reviews literature data on children's diseases (measles, mumps, rubella, chickenpox and parvovirus B 19) and describes the preventive measures to be taken by health care workers to reduce the risk of transmission of these infectious diseases. See also ISN 110616, ISN 110617 and ISN 110619.
Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, Dec. 2009, Vol.59, No.12, p.370-381. Illus. 43 ref.

CIS 10-0283 Wicker S., Rabenau H.F., Groneberg D.A., Gottschalk R.
Occupationally-acquired infections among health care workers: Gastroenterological diseases
Arbeitsbedingte Infektionen bei Mitarbeitern des Gesundheitswesens: Gastroenterologische Erkrankungen [in German]
Due to the contact with infectious patients, health care workers are at risk of work-related infectious diseases. This article reviews literature data on viral and bacterial gastroenterological infections (hepatitis A and E, rotaviruses, noroviruses, salmonella, shigella, campylobacter, Helicobacter pylori and other) and describes the preventive measures to be taken by health care workers. Breaking the chain of infection can be efficiently achieved by means of suitable hand and surface disinfection. A multiple choice questionnaire on gastroenterological infections is included. See also ISN 110616, ISN 110617 and ISN 110620.
Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, July 2009, Vol.59, No.7, p.204-214. Illus. 47 ref.

CIS 10-0281 Wicker S., Rabenau H.F., Groneberg D.A, Gottschalk R.
Occupationally acquired infections among health care workers: Bloodborne transmission
Arbeitsbedingte Infektionen bei Mitarbeitern des Gesundheitswesens: Blutübertragbare Erkrankungen [in German]
Due to the contact with infectious patients, health care workers are at risk of work-related infectious diseases. This article reviews literature data on bloodborne transmissible infections (hepatitis B and C, HIV and other) and describes the preventive measures and the measures to be taken by health care workers in case of possible infection due to needle-stick injury or contamination due to skin, eye or oromucosal damage. A multiple choice questionnaire on bloodborne transmitted infections is included. See also ISN 110616, ISN 110619 and ISN 110620.
Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, May 2009, Vol.59, No.5, p.138-150. Illus. 46 ref.

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