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Frontiers in Public Health 2022
Topics: Occupational Health; Surveys and Questionnaires
PubMed: 35968465
DOI: 10.3389/fpubh.2022.975534 -
American Journal of Public Health May 2020
Topics: Built Environment; Environmental Medicine; Humans; Occupational Diseases; Occupational Exposure; Occupational Health; Occupational Medicine; Safety Management; Workplace
PubMed: 32267744
DOI: 10.2105/AJPH.2020.305625 -
Epidemiology and Health 2018Radiation epidemiology has developed as a specialized field and has unique characteristics compared to the other fields of epidemiology. Radiation exposure assessment is...
Radiation epidemiology has developed as a specialized field and has unique characteristics compared to the other fields of epidemiology. Radiation exposure assessment is highly quantified and health risk assessment can yield precise risks per unit dose in each organ. At the same time, radiation epidemiology also emphasizes the uncertainty of the estimated doses and risks. More radiation epidemiologists work in radiation societies rather than those of epidemiology. This specialization deepens the research of radiation studies but also results in fragmentation from general epidemiology. In addition to continued involvement with radiation-related sciences, therefore, more efforts to communicate with the other fields of epidemiology are necessary for radiation epidemiology.
Topics: Environmental Exposure; Epidemiology; Humans; Radiation; Risk Assessment; Specialization
PubMed: 30428641
DOI: 10.4178/epih.e2018057 -
Revista Brasileira de Medicina Do... 2023Fibromyalgia is a chronic pain syndrome with a complex multifactorial etiopathogenesis that more frequently affects women. Although widespread pain is the dominant...
Fibromyalgia is a chronic pain syndrome with a complex multifactorial etiopathogenesis that more frequently affects women. Although widespread pain is the dominant feature, fibromyalgia incorporates a wide variety of symptoms, such as fatigue, unrefreshed sleep, and cognitive and mood disorders. Central sensitization to pain is a key element in the pathophysiology of this syndrome. Due to its prevalence and repercussions on quality of life and work productivity, fibromyalgia is a common condition in occupational medicine outpatient clinics. Thus, physicians must be attentive to its symptoms to facilitate diagnosis and management. This article will address basic topics about fibromyalgia, including: epidemiology, predisposing factors, pathophysiological considerations, clinical manifestations, classification criteria, differential diagnosis, basic principles of treatment, and the contribution of occupational physicians.
PubMed: 38313087
DOI: 10.47626/1679-4435-2022-870 -
Annals of Global Health 2015In the period of transition from a centralized economy to the market economy, occupational health services in Kyrgyzstan have survived through dramatic, detrimental... (Review)
Review
BACKGROUND
In the period of transition from a centralized economy to the market economy, occupational health services in Kyrgyzstan have survived through dramatic, detrimental changes. It is common for occupational health regulations to be ignored and for basic occupational health services across many industrial enterprises and farms to be neglected.
OBJECTIVE
The aim of this study was to demonstrate the present situation and challenges facing occupational health services in Kyrgyzstan.
FINDINGS
The transition from centralized to the market economy in Kyrgyzstan has led to increased layoffs of workers and unemployment. These threats are followed by increased workload, and the health and safety of workers becomes of little concern. Private employers ignore occupational health and safety; consequently, there is under-reporting of occupational diseases and accidents. The majority of enterprises, especially those of small or medium size, are unsanitary, and the health status of workers remains largely unknown. The low official rates of occupational diseases are the result of data being deliberately hidden; lack of coverage of working personnel by medical checkups; incompetent management; and the poor quality of staff, facilities, and equipment. Because Kyrgyzstan is a mountainous country, the main environmental and occupational factor of enterprises is hypoxia. Occupational health specialists have greatly contributed to the development of occupational medicine in the mountains through science and practice.
CONCLUSIONS
The enforcement of existing strong occupational health legislation and increased financing of occupational health services are needed. The maintenance of credible health monitoring and effective health services for workers, re-establishment of medical services and sanitary-hygienic laboratories in industrial enterprises, and support for scientific investigations on occupational risk assessment will increase the role of occupational health services in improving the health of the working population.
Topics: Altitude Sickness; Data Accuracy; Government Regulation; Health Policy; Humans; Kyrgyzstan; Occupational Diseases; Occupational Health; Occupational Health Services; Occupational Medicine
PubMed: 26709285
DOI: 10.1016/j.aogh.2015.08.017 -
La Medicina Del Lavoro Apr 2020In the past, science has had a conflicting relationship with the philosophy from which it has detached itself due to the scientific method of Galileo Galilei, but...
In the past, science has had a conflicting relationship with the philosophy from which it has detached itself due to the scientific method of Galileo Galilei, but anti-scientific atti-tudes and thoughts still persist in every field of knowledge. Occupational Medicine, like other medical disciplines, increasingly needs to have a scientific foundation that guaran-tees evidence and appropriateness for its varied professional activities. Guidance tools for occupational physicians and, in particular, the Guidelines of Scientific Societies repre-sent an indispensable contribution to correct professional practice. In many countries, in addition to the International Society of Reference and International Commission of Occu-pational Health (ICOH), there are National Societies of Occupational Medicine and many of these, such as the Italian Society of Occupational Medicine, regularly publish policy tools and guidelines for the occupational physician. It is not always possible to base the Guidelines in the field of occupational medicine exclusively on consolidated scientific ev-idence but it is still necessary to increase research and publications aimed at evaluating the effectiveness of specific interventions in the preventive, clinical and rehabilitative field of occupational medicine in order to guide occupational physicians to an increasingly appropriate practice. In Italy, a recent law allows the production of Guidelines that partially exempt criminal lia-bility for inexperience through a System of Guidelines produced by accredited Scientific Societies.
Topics: Evidence-Based Medicine; Italy; Occupational Medicine; Practice Guidelines as Topic
PubMed: 32352422
DOI: 10.23749/mdl.v111i2.9348 -
Brazilian Journal of Otorhinolaryngology 2015Dysphonia is the main symptom of the disorders of oral communication. However, voice disorders also present with other symptoms such as difficulty in maintaining the... (Review)
Review
INTRODUCTION
Dysphonia is the main symptom of the disorders of oral communication. However, voice disorders also present with other symptoms such as difficulty in maintaining the voice (asthenia), vocal fatigue, variation in habitual vocal fundamental frequency, hoarseness, lack of vocal volume and projection, loss of vocal efficiency, and weakness when speaking. There are several proposals for the etiologic classification of dysphonia: functional, organofunctional, organic, and work-related voice disorder (WRVD).
OBJECTIVE
To conduct a literature review on WRVD and on the current Brazilian labor legislation.
METHODS
This was a review article with bibliographical research conducted on the PubMed and Bireme databases, using the terms "work-related voice disorder", "occupational dysphonia", "dysphonia and labor legislation", and a review of labor and social security relevant laws.
CONCLUSION
WRVD is a situation that frequently is listed as a reason for work absenteeism, functional rehabilitation, or for prolonged absence from work. Currently, forensic physicians have no comparative parameters to help with the analysis of vocal disorders. In certain situations WRVD may cause, work disability. This disorder may be labor-related, or be an adjuvant factor to work-related diseases.
Topics: Absenteeism; Brazil; Dysphonia; Humans; Occupational Diseases; Occupational Medicine; Risk Factors; Voice Quality
PubMed: 25458260
DOI: 10.1016/j.bjorl.2014.03.003 -
La Medicina Del Lavoro Dec 2019.
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Topics: Academies and Institutes; History, 20th Century; Humans; Italy; Occupational Health; Occupational Medicine; Workplace
PubMed: 31846446
DOI: 10.23749/mdl.v110iS1.9009 -
Scandinavian Journal of Work,... Nov 2022
Topics: Humans; Occupational Diseases; Occupational Health; Neoplasms; Occupational Medicine; Occupational Exposure
PubMed: 36228312
DOI: 10.5271/sjweh.4067 -
Journal of Environmental and Public... 2021Noise is one of the most common worldwide environmental pollutants, especially in occupational fields. As a stressor, it affects not only the ear but also the entire...
INTRODUCTION
Noise is one of the most common worldwide environmental pollutants, especially in occupational fields. As a stressor, it affects not only the ear but also the entire body. Its physiological and psychological impacts have been well established in many conditions such as cardiovascular diseases. However, there is a dearth of evidence regarding diabetes risk related to noises.
AIM
To evaluate the relationship between occupational exposure to noise and the risk of developing diabetes.
METHODS
This is a cross-sectional analytical study enrolling two groups of 151 workers each. The first group (noise exposed group: EG) included the employees of a Tunisian power plant, who worked during the day shift and had a permanent position. The second group (unexposed to noise group: NEG) included workers assigned to two academic institutions, who were randomly selected in the Occupational Medicine Department of the Farhat Hached University Hospital in Sousse, during periodical fitness to work visits. Both populations (exposed and unexposed) were matched by age and gender. Data collection was based on a preestablished questionnaire, a physical examination, a biological assessment, and a sonometric study.
RESULTS
The mean equivalent continuous sound level was 89 dB for the EG and 44.6 dB for the NEG. Diabetes was diagnosed in 24 workers from EG (15.9%) and 14 workers from NEG (9.3%), with no statistically significant difference (=0.08). After multiple binary logistic regression, including variables of interest, noise did not appear to be associated with diabetes.
CONCLUSION
Our results did not reveal a higher risk of developing diabetes in workers exposed to noise. Further studies assessing both level and duration of noise exposure are needed before any definitive conclusion.
Topics: Adult; Diabetes Mellitus; Humans; Logistic Models; Male; Middle Aged; Noise, Occupational; Occupational Exposure
PubMed: 33828593
DOI: 10.1155/2021/1804616