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Health care services - 1,917 entries found

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2009

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.

CIS 09-1416 Merecz D., Drabek M., Mościcka A.
Aggression at the workplace - Psychological consequences of abusive encounter with coworkers and clients
The aim of the study was to evaluate the consequences of workplace aggression from coworkers and the public among nurses and public service workers in a Polish locality. Data on violent incidents, burnout, physical health, mental health and work satisfaction were obtained by means of questionnaires and subjected to multiple regression models. It was found that employees experiencing workplace aggression were less satisfied with work, showed symptoms of burnout and their general health was poorer. The effect of aggression by coworkers was stronger than that by the public. Aggression from the public usually resulted in compassion of peers, and it was perceived as the organizational problem that should be solved, while dealing with an aggressive co-worker was usually perceived as the employee's own problem, resulting in isolation and a sense of unfairness.
International Journal of Occupational Medicine and Environmental Health, 3rd quarter 2009, Vol.22, No.3, p.243-260. 25 ref.

CIS 09-1357 Zielinski J.M., Garner M.J., Band P.R., Krewski D., Shilnikova N.S., Jiang H., Ashmore P.J., Sont W.N., Fair M.E., Letourneau E.G., Semenciw R.
Health outcomes of low-dose ionizing radiation exposure among medical workers: A cohort study of the Canadian national dose registry of radiation workers
The objective of this study was to determine the occupational doses of ionizing radiation and examine possible associations with mortality rates and cancer incidence in a cohort of 67,562 Canadian medical workers over the period of 1951-1987. Standardized mortality and incidence ratios (SMR and SIR, respectively) were ascertained by linking data from the national dose registry with the Canadian mortality and cancer incidence databases. Mortalities from cancer and non-cancer causes were generally below those of the general Canadian population. However thyroid cancer incidence was significantly elevated among both men and women. Other findings are discussed.
International Journal of Occupational Medicine and Environmental Health, 2nd quarter 2009, Vol.22, No.2, p.149-156. Illus. 25 ref.

CIS 09-1226 Kjaer T.K., Hansen J.
Cancer incidence among a large cohort of female Danish registered nurses
This study investigated the risks for 21 types of cancer in a large cohort of 92,140 Danish nurses. Each nurse was followed-up from 1980-2003 with reference to the Danish Cancer Registry. Standardized incidence ratios (SIR) were calculated and Poisson regression models were used to make internal comparisons in subgroups of nurses, adjusting for potential confounders. A total of 8410 cancers were documented during follow-up, with significantly increased SIRs for breast cancer (SIR 1.1), cancers of the brain and nervous system (SIR 1.2), melanoma (SIR 1.2) and other skin cancers (SIR 1.2). Other findings are discussed.
Scandinavian Journal of Work, Environment and Health, Nov. 2009, Vol.35, No.6, p.446-453. 40 ref.

CIS 09-1257 Matterne U., Apfelbacher C.J., Soder S., Diepgen T.L., Weisshaar E.
Health-related quality of life in health care workers with work-related skin diseases
The objective of this study was to describe health-related quality of life among health care workers with suspected occupational skin diseases. Data were collected by means of questionnaires from 278 health care workers with suspected occupational skin diseases. Although these workers display considerable health-related quality of life impairments, their general physical functioning and general health perception appear less affected than expected. Other findings are discussed.
Contact Dermatitis, Sep. 2009, Vol.61, No.3, p.145-151. 30 ref.

CIS 09-1385 DeArmond S., Chen P.Y.
Occupational safety: The role of workplace sleepiness
This study explored safety behaviour as a mediator of the relationship between workplace sleepiness and occupational injuries. A survey was conducted among certified nursing assistants working in long-term care facilities. Data were obtained through focus groups and interviewer-administered questionnaires. A negative relationship was found between workplace sleepiness and safety behaviour, together with positive relationships between workplace sleepiness and occupational injuries, and pain frequency and severity.
Accident Analysis and Prevention, Sep. 2009, Vol.41, No.5, p.976-984. 99 ref.

CIS 09-1356 Gauron C.
Medicine and ionizing radiation: Data sheet aimed at helping hazard evaluation in exobuccal dentistry radiology
Médecine et rayonnements ionisants: fiche d'aide ŕ l'analyse des risques en radiologie dentaire exobuccale [in French]
Based on the findings of a survey conducted in the Ile-de-France region, a multidisciplinary working group developed a series of information sheets aimed at helping evaluate the hazards related to the use of radiology in dental services. This data sheet presents an overview of useful information applicable to exobuccal dentistry. Contents: personnel concerned; sequence of steps and filming; hazards; "ionizing radiation" hazard identification; hazard evaluation and determination of exposure levels; risk management strategies; evaluation of the risk management system; other hazards.
Documents pour le médecin du travail, 3rd Quarter 2009, No.119, p.291-297. 19 ref.
http://www.dmt-prevention.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TC%20127/$File/TC127.pdf [in French]

CIS 09-1284 Walstisperger D., Camus I.
Exposure to occupational hazards among health care personnel in 2003
Les expositions aux risques professionnels des personnels soignants en 2003 [in French]
According to the findings of the SUMER survey of 2003, non-medical health care occupations (mainly nurses and assistant nurses), consisting mostly of women, are specifically characterized by the cumulative constraints of work schedules and organizational factors. They are exposed to the risks of verbal and physical violence, as well as to carcinogenic chemicals and radiation. Biological hazards resulting from contact with patients and accidental exposure to blood are also among the risks which are characteristic of these occupations.
Documents pour le médecin du travail, 4nd Quarter 2009, No.120, p.453-458. 4 ref.
http://www.dmt-prevention.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TF%20184/$File/TF184.pdf [in French]

CIS 09-1355 Gauron C.
Medicine and ionizing radiation: Sheet aimed at helping hazard evaluation in high-dose curietherapy
Médecine et rayonnements ionisants: fiche d'aide ŕ l'analyse des risques en curiethérapie ŕ haut débit [in French]
Based on the findings of a survey conducted in the Ile-de-France region, a multidisciplinary working group developed a series of information sheets aimed at helping evaluate the hazards related to radiotherapy. This data sheet presents an overview of useful information applicable to high-dose curietherapy. Contents: personnel concerned; sequence of steps and filming; hazards; "ionizing radiation" hazard identification; hazard evaluation and determination of exposure levels; risk management strategies; evaluation of the risk management system; other hazards.
Documents pour le médecin du travail, 4nd Quarter 2009, No.120, p.411-429.
http://www.dmt-prevention.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TC%20129/$File/TC129.pdf [in French]

CIS 09-1396 Vandenberghe C., Stordeur S., D'Hoore W.
An examination of the effects of job decision latitude, emotional exhaustion, and job satisfaction on absenteeism in nursing units
Une analyse des effets de la latitude de décision, de l'épuisement émotionnel et de la satisfaction au travail sur l'absentéisme au sein des unités de soins infirmiers [in French]
This study examined the role of work satisfaction, emotional exhaustion and job decision latitude as predictive variables of absenteeism among nursing staff at a Belgian university hospital. Usable data were collected from 625 nurses from 51 care units. Data were subjected to logistic regression analyses. In univariate models, absenteeism was found to be significantly related to emotional exhaustion, job satisfaction and job decision latitude. In multivariate logistic regression models however, emotional exhaustion was no longer related to absenteeism, contrary to job decision latitude and job satisfaction. These relationships were examined in greater detail by means of causal pathway analyses. The best fit was found for the model in which job decision latitude and job satisfaction were the determinants of absenteeism. The implications of these findings are discussed.
Travail humain, July 2009, Vol.72, No.3, p.209-228. Illus. 73 ref.

CIS 09-1311 Kerre S., Goossens A.
Allergic contact dermatitis to ethylene oxide
A 35-year-old nurse presented at the dermatology department of a Belgian hospital with a two-month history of contact dermatitis affecting both forearms. Patch tests were carried out with standard series and specific products, including one piece of surgical gown sterilized and another piece not sterilized with ethylene oxide. A positive reaction was found to the sterilized gown.
Contact Dermatitis, July 2009, Vol.61, No.1, p.47-48. 6 ref.

CIS 09-1405 van Daalen G., Willemsen T.M., Sanders K., van Veldhoven M.J.P.M.
Emotional exhaustion and mental health problems among employees doing "people work": The impact of job demands, job resources and family-to-work conflict
This study investigated the relationship between various job characteristics and family-to-work conflict, and emotional exhaustion and mental health problems. Multiple regression analyses were performed using data from 1,008 employees of ten Dutch mental care institutions. It was found that different job characteristics as well as family-to-work conflict were associated with emotional exhaustion and mental health problems in each job type. The relationship between family-to-work conflict and emotional exhaustion was furthermore mitigated by social support from colleagues for those who worked in low patient interaction jobs. Other findings are discussed.
International Archives of Occupational and Environmental Health, Feb. 2009, Vol.82, No.3, p.291-303. 65 ref.

CIS 09-1378 Sng J., Koh D., Koh G
Influenza A (H1N1) infections among healthcare workers: A cause for cautious optimism
This editorial argues that the relatively low number of confirmed cases of influenza A (H1N1) among healthcare workers is largely due to improved precautions and preparedness introduced since the avian influenza pandemic threat several years earlier, particularly in countries of South-East Asia.
Occupational and Environmental Medicine, Sep. 2009, Vol.66, No.9, p.569-570. 13 ref.

CIS 09-1383 Koppelaar E., Knibbe J.J., Miedema H.S., Burdorf A.
Determinants of implementation of primary preventive interventions on patient handling in healthcare: A systematic review
The objectives of this literature survey were to identify barriers and facilitators to the implementation of preventive interventions in the area of patient handling in healthcare and their influence on the effectiveness of these interventions. Barriers and facilitators were classified into individual and environmental factors. The most important factors were "convenience and easy accessibility" (cited in 56% of the papers studied), "supportive management climate" (18%) and "patient-related factors" (11%). An important individual factor was motivation (63%). Various factors influence the implementation of primary preventive interventions, but data were lacking for evaluating the effectiveness of the interventions.
Occupational and Environmental Medicine, June 2009, Vol.66, No.6, p.353-360. Illus. 36 ref.

CIS 09-1253 Arif A.A., Delclos G.L., Serra C.
Occupational exposures and asthma among nursing professionals
To identify occupational risk factors associated with the development of new-onset asthma and bronchial hyper-responsiveness (BHR) in nurses, a cross-sectional survey was administered to a sample of licensed Texas nurses and compared to three other healthcare professional groups. Occupational exposures were ascertained through a job-exposure matrix. Self-reported asthma was significantly greater among nursing professionals involved in medical instrument cleaning (odds ratio (OR) 1.67), exposed to cleaning products and disinfectants (OR 1.72), using powdered latex gloves (OR 1.60) and exposed to solvents (OR 2.00). Risks of BHR symptoms were significantly greater among nursing professionals exposed to cleaning products and disinfectants (OR 1.57) ant to solvents (OR 1.51).
Occupational and Environmental Medicine, Apr. 2009, Vol.66, No.4, p.274-278. 23 ref.

CIS 09-1167 Jost M., Merz B., Colombo C., Francioli P., Ruef C., Iten A., Jost J., Cartier B., Rüegger M., Käslin E.
Prevention of blood-borne infections in the health care sector
Verhütung blutübertragbarer Infektionen im Gesundheitswesen [in German]
Prevenzione delle malattie infettive trasmesse per via ematica in ambito sanitario [in Italian]
Prévention des maladies infectieuses transmises par voie sanguine dans le secteur sanitaire [in French]
In the course of their activities, health care workers are exposed not only to chemical or physical hazards, but also to various infectious agents. The aim of this publication is to present the current state of knowledge with respect to the hazards of blood-borne infections for health care workers, to provide practical recommendations on technical, organizational and behavioural preventive measures, and finally to explain various aspects of occupational medicine and compensation in Switzerland. This fully-revised edition replaces earlier versions, in particular that analyzed under reference CIS 08-1213. Changes concern primarily the chapters describing blood-borne infections, epidemiological data on infection hazards, the use of safety equipment and the updating of post-infection prevention.
Suva, Abteilung Arbeitsmedizin, Postfach, 6002 Luzern, Switzerland, 14th ed., 2009. 105p. Illus. 157 ref.
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_30_i.pdf [in Italian]
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_30_d.pdf [in German]
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_30_f.pdf [in French]

CIS 09-1060 Lin C.M., Li C.Y.
Prevalence of cardiovascular risk factors in Taiwanese healthcare workers
The aim of this study was to investigate the prevalence of cardiovascular risk factors in a sample of 2034 employees of a Taiwanese hospital. Subjects were classified into four job categories: physicians, nursing staff, medical technicians and non-medical workers. Various cardiovascular risk factors, including blood biochemical parameters, body-mass index and blood pressure were measured for each worker. Data were subjected to multivariate logistic regression analyses. Overweight and obesity were independently associated with an increased prevalence of cardiovascular risk factors. Additionally, compared to non-medical workers, medical technicians had a significantly greater prevalence of hypertension. Other findings are discussed.
Industrial Health, July 2009, Vol.47, No.4, p.411-418. 33 ref.

CIS 09-1052 Lipscomb H.J., Dement J.M., Silverstein B., Kucera K.L., Cameron W.
Health care utilization for musculoskeletal back disorders, Washington State union carpenters, 1989-2003
Private health care utilization rates for musculoskeletal back disorders were contrasted to rates of all work-related injuries or disorders for a large cohort of union carpenters over a 15-year period. It was found that private health care utilization rates were over twice as high in 2003 as in 1989 whereas compensation rates declined substantially. Utilization was higher among carpenters with less union tenure and increased with the number of work-related injuries. Implications of these findings are discussed.
Journal of Occupational and Environmental Medicine, May 2009, Vol.51, No.5, p.604-611. Illus. 27 ref.

CIS 09-1059 Shirangi A., Fritschi L., Holman C.D.J., Bower C.
Birth defects in offspring of female veterinarians
To investigate the risk of birth defects in offspring of female veterinarians exposed to occupational hazards such as radiation, anesthetic gases and pesticides, a questionnaire survey was conducted among of all graduates from Australian veterinary schools from 1960 to 2000. In a multiple logistic regression controlling for the potential confounders, the study showed an increased risk of birth defects in offspring of female veterinarians after occupational exposure to high doses of radiation (taking more than 10 X-ray films per week, odds ratio 5.73) and to pesticides (exposure at least once per week, odds ratio 2.39).
Journal of Occupational and Environmental Medicine, May 2009, Vol.51, No.5, p.525-533. 53 ref.

CIS 09-1020 Bonde J.P., Munch-Hansen T., Agerbo E., Suadicani P., Wieclaw J., Westergaard-Nielsen N.
Job strain and ischemic heart disease: A prospective study using a new approach for exposure assessment
This cohort study analyzed the association between psychosocial workload and risk of ischaemic heart disease (IHD), using a new approach allocating measures of psychosocial load to individuals based on their estimated average exposure levels. Subjects consisted of 18,258 Danish public service workers in 1106 work units (79% women) who responded to a questionnaire at baseline and were who were followed during the period 2002 to 2007, during which 101 were admitted to a hospital due to IHD. Neither job strain nor general job dissatisfaction was found to be a determinant of IHD risk among this Danish population of predominantly female public service workers.
Journal of Occupational and Environmental Medicine, June 2009, Vol.51, No.6, p.732-738. 42 ref.

CIS 09-844 Brower M.A., Earle-Richardson G.B., May J.J., Jenkins P.L.
Occupational injury and treatment patterns of migrant and seasonal farmworkers
The objective of this study was to determine the proportion of migrant farm workers using migrant health centers (MHCs) versus other sources of occupational health care. It was carried out by means of a survey of migrant and seasonal farmworkers in two sites: the Finger Lakes Region of New York and the apple, broccoli, and blueberry regions of Maine. Researchers also conducted MHC and hospital emergency service reviews in these regions. Proportions of occupational morbidity by treatment location were calculated from the survey. Findings are discussed.
Journal of Agromedicine, 2nd Quarter 2009, Vol.14, No.2, p.172-178. 20 ref.

CIS 09-987 Wassell J.T.
Workplace violence intervention effectiveness: A systematic literature review
This systematic review of literature published since 1992 was carried out to determine the effectiveness of interventions in preventing workplace violence and to suggest specific interventions warranting further research. The health care sector was the topic of 54% of the papers, followed by the retail sector industry with 11% of the papers. A first group of papers discussed in this review evaluates interventions to prevent robbery and violence to workers in the retail sector. A second group of papers is about interventions to prevent violence to health care workers, mostly training in techniques for dealing with combative patients.
Safety Science, Oct. 2009, Vol.47, No.8, p.1049-1055. 58 ref.

CIS 09-774 Carlos-Rivera F., Aguilar-Madrid G., Gómez-Montenegro P.A., Juárez-Pérez C.A., Sánchez-Román F.R., Durcudoy Montandon J.E.A., Borja-Aburto V.H.
Estimation of health-care costs for work-related injuries in the Mexican Institute of Social Security
The objective of this study was to assess the direct heath care costs of work-related accidents in the Mexican Institute of Social Security, a health insurance institution covering over 12 million workers and their families. The costs of treatment for 295,594 reported occupational injuries in 2005 were analysed. The occupational injury rate was 2.9 per 100 workers. Average cost per case was USD 2059. The total cost of the health care of officially-recognized injured workers was USD 753 million (corrected to USD 791 million for underreporting). If the same costs are applied for informal workers who represent approximately half of the working population of Mexico, the cost of healthcare for occupational injuries reaches about 1% of the gross domestic product.
American Journal of Industrial Medicine, Mar. 2009, Vol.52, No.3, p.195-201. Illus. 30 ref.

CIS 09-949 Leiss J.K., Lyden J.T., Mathews R., Sitzman K.L., Vanderpuije A., Mav D., Kendra M.A., Klein C., Humphrey C.J.
Blood exposure incidence rates from the North Carolina study of home care and hospice nurses
A mail survey on blood exposure incidents was conducted in 2006 among 1473 home care and hospice nurses in North Carolina; the response rate was 69%. Nine percent of nurses reported at least one exposure per year. Overall incidence among home care nurses was 27.4/100,000 visits. Nurses who had worked in home care five years or less had higher incidence rates than other nurses, seven times higher for needlestick injuries and 3.5 times higher for non-intact skin exposures. Nurses who worked part time/contract had higher exposure rates than nurses who worked full time, seven times higher for needlestick injuries and 1.5 times higher for non-intact skin exposures. If these results are representative of other U.S. states, then approximately 12,000 home care or hospice nurses are exposed each year in the United States.
American Journal of Industrial Medicine, Feb. 2009, Vol.52, No.2, p.99-104. 32 ref.

CIS 09-762 Alamgir H., Yu S., Gorman E., Ngan K., Guzman J.
Near miss and minor occupational injury: Does it share a common causal pathway with major injury?
An essential assumption of injury prevention programs is the common cause hypothesis that the causal pathways of near misses and minor injuries are similar to those of major injuries. The rates of near miss, minor injury and major injury of all reported incidents and musculoskeletal incidents among heath care workers were calculated for three Canadian regions using information from a surveillance database and productive hours from payroll data. The relative distribution of individual causes and activities involved in near miss, minor injury and major injury were then compared. For all reported incidents, there were significant differences in the relative distribution of causes for near miss, minor, and major injury. However, the relative distribution of causes and activities involved in minor and major musculoskeletal injuries were similar. Implications are discussed.
American Journal of Industrial Medicine, Jan. 2009, Vol.52, No.1, p.69-75. Illus. 21 ref.

CIS 09-856 Ott M.G., Oberlinner C., Lang S., Hoffmann G., Nasterlack M., Pluto R.P., Trauth B., Messerer P., Zober A.
Health and safety protection for chemical industry employees in a rotating shift system: Program design and acute injury and illness experience at work
This article describes a comprehensive health protection programme for rotating shift employees adopted by a large German chemical enterprise, and evaluates its effectiveness in injury and illness prevention. For 14,128 shift and 17,218 day workers, occupational medical records were linked to job assignment records and studied over an 11-year period. Between 1995 and 2005, initiatives aimed at shift workers contributed to their greater participation in medical examinations and health seminar days by 59% and 100%, respectively, compared to day workers. Injury rates declined over time and with increasing employee age and were not elevated among shift workers compared to day workers. Clinic visit rates for acute illnesses were generally higher for day workers. Other findings are discussed.
Journal of Occupational and Environmental Medicine, Feb. 2009, Vol.51, No.2, p.221-231. Illus. 15 ref.

CIS 09-954 Sheikhzadeh A., Gore C., Zuckerman J.D., Nordin M.
Perioperating nurses and technicians' perceptions of ergonomic risk factors in the surgical environment
The aim of this study was to identify the magnitude and characteristics of work-related musculoskeletal complaints among perioperative nurses and technicians (PNT) and to determine the associated ergonomic risk factors in the operating room (OR) environment based on self-reports and focus group discussions. The 50 PNTs who participated in the study completed a self-report survey for musculoskeletal symptoms, the Job Description Questionnaire and the Psychometric Evaluation Questionnaire, and participated in focus groups to discuss potential OR ergonomic risk factors. The results of the study demonstrated a high prevalence of work-related musculoskeletal disorders among PNTs, with lower back pain being the most prevalent (84%) complaint, followed by ankle/foot (74%) and shoulder (74%) pain. The two former MSDs were also found to be the main causes of absenteeism from work. Participants suggested simple ergonomic and engineering solutions that could be adopted to improve their work environment.
Applied Ergonomics, Sep. 2009, Vol.40, No.5, p.833-839. Illus. 27 ref.

CIS 09-823 Leggat P.A., Smith D.R., Speare R.
Hand dermatitis among veterinarians from Queensland, Australia
Although hand dermatitis (HD) represents a frequent occupational issue for many health professionals, little is known about the prevalence and distribution of HD among veterinarians, particularly in Australia. A questionnaire on HD was mailed to 1094 veterinarians registered with the Veterinary Surgeons Board of Queensland during 2006 (64.0% response rate). The overall prevalence rate of HD during this study was 15.9%. HD prevalence was significantly higher in those with current allergic disease, among female veterinarians and those reporting latex allergy in the past 12 months. Overall, this study suggests that HD may be more prevalent among veterinarians in Queensland than among their counterparts studied elsewhere. Results are commented.
Contact Dermatitis, June 2009, Vol.60, No.6, p.336-338. 22 ref.

CIS 09-968 Tokuda Y, Hayano K., Ozaki M., Bito S., Yanai H., Koizumi S.
The interrelationships between working conditions, job satisfaction, burnout and mental health among hospital physicians in Japan: A path analysis
In Japan, a growing number of physicians are leaving their hospitals because of difficult working conditions in hospitals. A cross-sectional survey was conducted in 2007 for hospital physicians throughout Japan to analyze the interrelationships between working conditions, job satisfaction, burnout and mental health among physicians using various standardized questionnaires. Of 336 physicians invited to participate in the study, 236 responded (response rate 70%). Sixty physicians (25.4%) were women with a mean age of 41 years. In the path analysis, burnout and poor mental health were related directly to job dissatisfaction and short sleeping time, while they were related indirectly to poor work control and heavy on-call duty. In the multi-group path analysis of both genders, sleeping time was related to job satisfaction more likely among female physicians but less among male physicians. Immediate, extensive and decisive measures need to be implemented to improve work condition and to reduce overwork among hospital physicians.
Industrial Health, Mar. 2009, Vol.47, No.2, p.166-172. Illus. 24 ref.
http://www.jstage.jst.go.jp/article/indhealth/47/2/166/_pdf/-char/ja/ [in English]

CIS 09-948 Leiss J.K., Sousa S., Boal W.L.
Circumstances surrounding occupational blood exposure events in the national study to prevent blood exposure in paramedics
The objective of this study was to describe blood exposure events among U.S. paramedics. A mail survey was conducted in 2002-2003 among a nationally representative sample of licensed paramedics. Eighty percent of needle/lancet sticks involved non-safety devices. A third of mucous membrane exposures occurred even though the paramedic was wearing eye or face protection; in half of the events, the exposures were caused by the patient vomiting, spitting, or coughing up blood; in a third of the events, the patient was being uncooperative or combative. In 83% of the non-intact skin exposures, the paramedic was wearing disposable gloves. Findings are discussed.
Industrial Health, Mar. 2009, Vol.47, No.2, p.139-144. 21 ref.
http://www.jstage.jst.go.jp/article/indhealth/47/2/139/_pdf/-char/ja/ [in English]

CIS 09-967 Phelps A., Lloyd D., Creamer M., Forbes D.
Caring for carers in the aftermath of trauma
The potential impact on psychological well-being of working in the caring professions in the aftermath of trauma and disaster has been recognized for many years. These stress-related conditions include burnout, compassion fatigue and vicarious traumatization. Although prevalent, these conditions do not affect all workers in the field. Various studies have investigated potential risk and protective factors. It is argued that the outcomes of this research should be used to guide practical interventions in the workplace designed to minimize stress-related problems. A framework that incorporates interventions at the primary, secondary, and tertiary prevention levels is outlined, and research investigating the efficacy of interventions at each of these levels is recommended.
Journal of Aggression, Maltreatment & Trauma, Apr.-May 2009, Vol.18, No.3, p.313-330. 72 ref.

CIS 09-960 Warming S., Precht D.H., Suadicani P., Ebbehřj N.E.
Musculoskeletal complaints among nurses related to patient handling tasks and psychosocial factors - Based on logbook registrations
The aim of this study was to evaluate the reliability of self-recording musculoskeletal symptoms, patient handling tasks and psychosocial factors by nurses as a means of understanding the complex interaction between these factors. Logbooks were filled for three consecutive days by 148 nurses at a university hospital in Denmark, recording the incidence of low back pain (LBP), neck/shoulder pain (NSP), knee pain (KP), psychosocial factors (time pressure, stress, conscience of the quality of work) and patient transfers and care tasks. The numbers of nurses reporting musculoskeletal symptoms and the level of pain increased significantly during the three working days and decreased on the day off. Stress and transfer tasks were associated to low back pain and transfer tasks with knee pain. Results show that logbooks can be a useful means of understanding the complex interaction between working conditions and musculoskeletal symptoms.
Applied Ergonomics, July 2009, Vol.40, No.4, p.569-576. Illus. 46 ref.

CIS 09-946 Anikeeva O., Braunack-Mayer A., Rogers W.
Requiring influenza vaccination for health care workers
Annual influenza vaccination for health care workers has the potential to benefit health care professionals, their patients and their families by reducing the transmission of influenza in health care settings. Furthermore, staff vaccination programmes are cost-effective for health care institutions because of reduced staff illness and absenteeism. However, rates of vaccination remain low. This study analysed the ethical implications of a variety of efforts to increase vaccination rates, including mandatory influenza vaccination. It is concluded that a programme of incentives and sanctions may increase health care worker compliance with fewer ethical impediments than mandatory vaccination.
American Journal of Public Health, Jan. 2009, Vol. 99, No.1, p.24-29. 32 ref.

CIS 09-797 Vidal L., LeBlanc W.G., McCollister K.E., Arheart K.L., Chung-Bridges K., Christ S., Caban-Martinez A.J., Lewis J.E., Lee D.J., Clark J., Davila E.P., Fleming L.E.
Cancer screening in US workers
Regular cancer screening can prevent the development of some cancers and increase patient survival for other cancers. This study evaluated the reported cancer screening prevalence among a nationally representative sample of all workers in the United States with data from surveys conducted in 2000 and 2005 Overall, workers with the lowest rates of health insurance coverage (in particular, Hispanic workers, agricultural workers, and construction workers) reported the lowest cancer screening. There was no significant improvement from 2000 to 2005.
American Journal of Public Health, Jan. 2009, Vol. 99, No.1, p.59-65. 18 ref.

CIS 09-619 Healthcare and social assistance - Advancing priorities through research and partnerships
Healthcare and social assistance workers are exposed to many hazards that can affect their health and well-being, including life threatening infections, such as SARS, HIV and hepatitis. They work with highly toxic cancer-treating drugs and various chemical agents. They perform physically demanding tasks, such as lifting patients. This information sheet describes some of the hazards faced by these workers and invites interested parties among industry and research institutions to participate in identified research needs for which government funding is available.
Publications Dissemination, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, Cincinnati, OH 45226-2001, USA, June 2009. 2p. Illus. 1 ref.
http://www.cdc.gov/niosh/docs/2009-149/pdfs/2009-149.pdf [in English]

CIS 09-675 Gauron C.
Medicine and ionizing radiation: Guidance note on risk analysis in intraoral dental radiology and applicable texts
Médecine et rayonnements ionisants: fiche d'aide ŕ l'analyse des risques en radiologie dentaire endobuccale et textes applicables [in French]
Contents of this guidance note on risk analysis in intraoral dental radiology: personnel affected; radiography procedure sequence; hazards; risk of direct or indirect radiation exposure; hazard evaluation and determination of exposure levels; risk management strategy; risk management evaluation; other hazards. An update of an information sheet on applicable French regulations on radiation protection in the medical field is also included.
Documents pour le médecin du travail, 1st Quarter 2009, No.117, p.7-18. Illus.
http://www.inrs.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TC%20123/22.06File/TC123.pdf [in French]

CIS 09-674 Morghen I., Turola M.C., Forini E., Di Pasquale P., Zanatta P., Matarazzo T.
Ill-lighting syndrome: Prevalence in shift-work personnel in the anaesthesiology and intensive care department of three Italian hospitals
In order to identify any signs and symptoms of the so-called "ill-lighting syndrome", this study was carried out on a sample of anaesthetists and nurses employed in the operating theatres and intensive care departments of three Italian hospitals. Data on the subjective emotional discomfort (stress) experienced by these subjects were collected by means of questionnaires. Workplace illumination levels were measured and correlations between discomfort and illumination were analysed using logistic regression. It was found that the percentage of high stress was reduced as the exposure to luminance was increased, although this finding was not statistically significant. The stress levels were found to be more heavily influenced by non-occupational factors and working conditions than by ambient lighting.
Journal of Occupational Medicine and Toxicology, Mar. 2009, Vol.4, No.6, 6p. Illus. 15 ref.
http://www.occup-med.com/content/pdf/1745-6673-4-6.pdf [in English]

CIS 09-732 Harling M., Strehmel P., Schablon A., Nienhaus A.
Psychosocial stress, demoralization and the consumption of tobacco, alcohol and medical drugs by veterinarians
In this cross-sectional study, the association between psychosocial stress, demoralization and the consumption of psychotropic substances in veterinarians was examined using data from a sample of 1,060 subjects having responded to a questionnaire. Multiple logistic regression models were used to determine risk factors for psychosocial stress, demoralization, tobacco consumption, alcohol consumption and regular medical drug intake. Practicing veterinarians are more frequently affected by psychosocial stress and have a greater risk of alcohol or drug consumption than veterinarians working in a non-clinical area (government services, industry). The findings support the hypothesis of complex interrelationships between psychosocial stress, demoralization and the consumption of psychotropic substances in the veterinary profession.
Journal of Occupational Medicine and Toxicology, Feb. 2009, Vol.4, No.4, 11p. 35 ref.
http://www.occup-med.com/content/pdf/1745-6673-4-4.pdf [in English]

CIS 09-577 Schablon A., Beckmann G., Harling M., Diel R., Nienhaus A.
Prevalence of latent tuberculosis infection among health care workers in a hospital for pulmonary diseases
The study was designed to estimate prevalence of latent tuberculosis infections (LTBI) among 270 health care workers (HCW) in a hospital specialized in pulmonary diseases, using both Interferon-gamma release assay (IGRA) and tuberculin skin test (TST) methods. The prevalence of LTBI was 7.2%. In HCW younger than 30 years LTBI prevalence was 3.5% and in those older than 50 years 22%. Physicians and nurses showed a higher prevalence (10.8%) than other professions (4.5%). The risk factors for LTBI were age >50 years (odds ratio OR 9.3), working as physicians/nurses (OR 3.2) and no previous TST in medical history (OR 4.4) when compared to those with a negative TST. The higher LTBI prevalence in older HCWs might be due to the cohort effect or the longer time at risk.
Journal of Occupational Medicine and Toxicology, Jan. 2009, Vol.4, No.1, 7p. 31 ref.
http://www.occup-med.com/content/pdf/1745-6673-4-1.pdf [in English]

CIS 09-568 Apfelbacher C.J., Soder S., Diepgen T.L., Weisshaar E.
The impact of measures for secondary individual prevention of work-related skin diseases in health care workers: 1-year follow-up study
The objective of this study was to investigate the outcome of occupational skin disease among health care workers (HCW) one year after attendance of a secondary individual prevention (SIP) course. Two hundred and fifty-three HCW participated in a secondary individual prevention course and were contacted by telephone one year after attendance. The follow-up rate was 81%. The proportion of participants reporting skin lesions decreased significantly (68% at follow-up compared with 77% at baseline). Seventy-two per cent reported that their skin lesions had improved. Nine per cent reported having left their occupation due to their skin disease. Skin care and skin protection had improved, while the frequency of reported hand washing was reduced. Twenty-seven per cent said their quality of life was impaired due to the skin disease, compared with 54% at baseline. These findings indicate a positive impact of SIP courses.
Contact Dermatitis, Mar. 2009, Vol.60, No.3, p.144-149. Illus. 18 ref.

CIS 09-567 Skudlik C., Dulon M., Wendeler D.., John S.M., Nienhaus A.
Hand eczema in geriatric nurses in Germany - Prevalence and risk factors
The aim of this cross-sectional study was to collect data on the prevalence of hand eczema and relevant risk factors in geriatric nurses in Germany. 1375 geriatric nurses from 86 nursing homes were examined. Hand eczema was diagnosed in 243 nurses, corresponding to a point prevalence of 18%. In most cases (71%), the skin changes were only mild. Two thirds of the geriatric nurses who reported skin changes stated that they had developed hand eczema after starting this occupation. In most cases (85%), the clinical course was described as chronic. Risk factors associated with hand eczema were a lifelong tendency for dry skin (odds ratios (OR) 2.76) and a history of allergic rhinoconjunctivitis (OR 1.50). There was no association between the amount of wet work and hand eczema (OR 1.18). The results indicate that it is necessary to provide geriatric nurses with specific skin care advice as part of their training.
Contact Dermatitis, Mar. 2009, Vol.60, No.3, p.136-143. 42 ref.

CIS 09-414 Murali R., Bhalla A., Singh D., Singh S.
Acute pesticide poisoning: 15 years experience of a large North-West Indian hospital
Acute pesticide poisoning is an important cause of morbidity and mortality in developing countries. This retrospective study covered 15 years (1990 to 2004) of acute pesticide poisoning experience at a large hospital in Chandigarh, India. A total of 2884 patients with acute poisoning were admitted during the study period (1918 men). The commonest agents were anticholinesterases (35.1%) and aluminium phosphide (26.1%). Though the incidence of acute pesticide poisoning increased over several decades, there was an overall decline in mortality. There is still need for measures such as integrated pesticide management, development of safer formulations and the training of farmers in spraying techniques.
Clinical Toxicology, Jan. 2009, Vol.47, No.1, p.35-38. Illus. 23 ref.

CIS 08-1217 What to do in the case of a suspected case of infection by the emergent A(H1N1) virus
Conduite ŕ suivre en cas d'infection suspecté au virus émergent H1N1 (A/H1N1/California/04/2009) [in French]
Contents of this information note: definition of cases; recommendations for action (how to deal with patients, people who have been in contact with them, protection of health care and or other personnel exposed to the patients). In annex: contact information of concerned hospitals and laboratories in France; recommended antiviral drug régime.
Ministčre de la santé et des sports, 14, avenue Duquesne, 75350 Paris 07 SP, France, 2009. 7p.
http://www.sante-sports.gouv.fr/IMG//pdf/cat_suspicion_h1n1_280409.pdf [in French]

CIS 08-1216 Interim guidance for infection control for care of patients with confirmed or suspected swine influenza A(H1N1) virus infection in a healthcare setting
Influenza H1N1 (gripe porcina) [in Spanish]
This document provides interim guidance for healthcare facilities (e.g., hospitals, long-term care and outpatient facilities and other settings where healthcare is provided). Contents: background, implementation of respiratory hygiene/cough etiquette, implementation of facility contingency plans, interim infection control recommendations, infection control of ill persons in a healthcare setting, surveillance management of healthcare personnel, management of ill healthcare personnel, environmental infection control, administration of the current 2008-2009 seasonal influenza vaccine.
Internet document, Centers for Disease Control and Prevention, USA, 2009.
http://www.cdc.gov/h1n1flu/guidelines_infection_control.htm [in English]
http://www.cdc.gov/h1n1flu/espanol/ [in Spanish]

CIS 08-1213 Jost M., Francioli P., Iten A., Jost J., Colombo C., Cartier B., Rüegger M., Gutzwiller A.
Prevention of blood-borne infections in the health care sector
Verhütung blutübertragbarer Infektionen im Gesundheitswesen [in German]
Prevenzione delle malattie infettive trasmesse per via ematica in ambito sanitario [in Italian]
In the course of their activities, health care workers are exposed not only to chemical or physical hazards, but also to various infectious agents. Besides the prevention against certain occupational transmissible viral diseases such as German measles or chickenpox in paediatric services and tuberculosis, which is resurgent due to the emergence of multi-resistant mycobacteria, the prevention of bloodborne infections such as the human immunodeficiency virus or the hepatitis B and C viruses are the object of much attention. Employers and health care personnel need to undertake every effort to reduce these types of hazards. Contents of this booklet on the prevention of blood-borne infections aimed at health care workers: risk to health care personnel of being infected by a bloodborne pathogen; technical, organizational and personal measures; additional recommendations for certain specific workplaces; primary prevention at the occupational physician level, and vaccination of staff against hepatitis B; secondary prevention and occupational medicine; disposal of potentially-infectious material; insurance law aspects. Update of CIS 98-975.
Suva, Gesundheitsschutz, Postfach, 6002 Luzern, Switzerland, 14th updated edition, 2009. 105p. Illus. 106 ref.
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_30_f.pdf [in French]
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_30_i.pdf [in Italian]
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_30_d.pdf [in German]

2008

CIS 11-0673 Dellve L., Skagert K., Eklöf M.
The impact of systematic occupational health and safety management for occupational disorders and long-term work attendance
The aim of this study was to investigate the importance of systematic occupational health and safety management (SOHSM), considering structured routines and participation processes, for the incidence of occupational disorders and the prevalence of long-term work attendance among home care workers (HCWs). Municipal human service organizations were compared concerning their structured routines and participation processes for SOHSM and their five-year incidence of occupational disorders and prevalence of absenteeism among HCWs. National register-based data from the whole population of HCWs were linked to register-data of occupational disorders and prevalence of long-term work attendance. The top managers and safety representatives in selected high- and low-incidence organizations answered a questionnaire about structure and participation process of SOHSM. The results showed that prevalence of long-term work attendance was higher where structure and routines for SOHSM (policy, goals and plans for action) were well organized. Highly structured SOHSM and human resource management were also related to high organizational incidence of reported occupational disorders. Allocated budget and routines related to HCWs' influence in decisions concerning performance of care were also related to long-term work attendance. The participation processes had a weak effect on occupational disorders and work attendance among HCWs.
Social Science and Medicine, 2008, Vol.67, p.965-970. 23 ref.
The_impact.pdf [in English]

CIS 11-0286 Leah C., Birtles M.
Health and Safety Executive
Musculoskeletal disorders in podiatry and chiropody professionals - Reducing the risk
Previous research recognized risks of musculoskeletal ill health within working podiatrists, as an area where interventions may be effective in improving podiatrists working postures by reducing their exposure to musculoskeletal risks. The main objective of this project was to introduce some portable equipment for podiatrists to use on domiciliary visits and highlight any improvements that the equipment has on the working postures when podiatrists are performing treatments. During observations of the podiatrists using this equipment for client's treatments, opinions were noted and the podiatrists working postures were filmed for analysis. Posture analysis showed that the equipment significantly improved the podiatrists working postures during domiciliary visits. Recommendations are made for improving the equipment. These are mainly related to the equipment's current limited range of adjustability. Recommendations are also made for the correct way of introducing this equipment into the podiatry sector, transporting the equipment and eliminating cross contamination between patients.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 2WA, United Kingdom, 2008. viii, 15p. Illus. 3 ref.
HSE_Research_Report_647.pdf [in English]

CIS 11-0062 Peretz C., Rozani V.
Morbidity of Israeli nurses in comparison to their female siblings: A retrospective cohort study
This study of nurses' risk of selected chronic diseases in the context of potential biological exposure compares the health status of nurses to that of their female siblings. Self-report questionnaires distributed to each participating nurse were administered to a historical cohort of 491 female nurses aged @+=50 years. Questionnaires covered work and health history of the nurses and the control group of 232 of their age-matched female siblings. A semi-quantitative exposure matrix was developed based on workplaces to describe biological exposure. Risk for coronary heart diseases, high blood pressure, dislipidemia, and thyroid and liver disease was significantly higher among the nurses compared to the controls. Total cancer and diabetes risks were similar for both groups. Cumulative biological exposure was associated with liver disease. Employment as a nurse may pose a risk for cardiovascular, thyroid and liver diseases.
International Journal of Occupational and Environmental Health, 3rd quarter 2008, Vol.14, No.3, p.206-209. 23 ref.

CIS 10-0285 Wicker S., Jung J., Allwinn R., Gottschalk R., Rabenau H.F.
Prevalence and prevention of needlestick injuries among health care workers in a German university hospital
Health care workers (HCWs) are exposed to various bloodborne pathogens through job-related risk factors including needlestick injuries. The purpose of this study was to investigate the frequency and causes of needlestick injuries in a German university hospital. Data were obtained by an anonymous, self-reporting questionnaire. The share of reported needlestick injuries which could have been prevented by using safety devices was estimated. 31.4% of participant HCWs had sustained at least one needlestick injury in the last 12 months. A wide variation in the number of reported needlestick injuries was evident across disciplines, ranging from 46.9% among medical staff in surgery and 18.7% among HCWs in pediatrics. Of all occupational groups, physicians have the highest risk to experience needlestick injuries (55.1%). On average 34% of all needlestick injuries could have been avoided by the use of safety devices. Other findings are discussed.
International Archives of Occupational and Environmental Health, Jan. 2008, Vol.81, No.3, p.347-354. Illus. 37 ref.

CIS 10-0298 Wada K., Sakata Y., Theriault G., Aratake Y., Shimizu M., Tsutsumi A., Tanaka K., Aizawa Y.
Effort-reward imbalance and social support are associated with chronic fatigue among medical residents in Japan
The purpose of this study was to determine the associations of effort-reward imbalance and social support with chronic fatigue among medical residents in Japan. A total of 104 men and 42 women at 14 teaching hospitals participated in this study. Data on chronic fatigue, effort, reward, overcommitment and social support were collected by means of questionnaires. Sleeping hours for the last 30 days were estimated based on the number of overnight shifts worked, the average number of sleeping hours, and the number of hours of napping during overnight work. Multiple regression analysis was used to examine the relationships between these variables and chronic fatigue. In both men and women, effort-reward imbalance was positively associated, and higher social support was negatively associated with chronic fatigue. Other findings are discussed.
International Archives of Occupational and Environmental Health, Jan. 2008, Vol.81, No.3, p.331-336. Illus. 29 ref.

CIS 10-0297 Eriksen W., Bjorvatn B., Bruusgaard D., Knardahl S.
Work factors as predictors of poor sleep in nurses' aides
The aim was to identify work factors that predict poor sleep in assistant nurses. The study was based on questionnaire responses of a randomly selected sample of over 5000 Norwegian assistant nurses, as well as responses to a second questionnaire three months later. A wide spectrum of work factors was assessed at baseline by questions from the General Nordic Questionnaire for Psychological and Social factors at Work. Subjective sleep quality during the previous three months was measured at baseline and follow-up by a question from the Basic Nordic Sleep Questionnaire. Medium and high demands, a high demand-control ratio, frequent exposure to role conflicts, and frequent exposure to threats and violence at work were associated with increased odds of poor sleep during the successive three months, after adjustments for sleep quality during the three months before baseline, other work factors and background factors. High support from immediate superior, frequent rewards for well-done work and a high level of control were associated with reduced odds of poor sleep.
International Archives of Occupational and Environmental Health, Jan. 2008, Vol.81, No.3, p.301-310. 42 ref.

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