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[PMID]: 29203748 [Au] Autor: Pashkov VM; Batyhina OM; Trotska MV [Ad] Endereço: Poltava Law Institute Of Yaroslav The Wise National Law University, Poltava, Ukraine. [Ti] Título: International legal regulation of impact of occupational injuries and diseases on agricultural workers' health. [So] Source: Wiad Lek;70(5):953-958, 2017. [Is] ISSN: 0043-5147 [Cp] País de publicação: Poland [La] Idioma: eng [Ab] Resumo: INTRODUCTION: Agricultural workers' health depends on many factors: working conditions, security arrangements, medicine, quality of drugs, the environment, etc. Occupational injuries and diseases are also among the factors that can negatively affect their health. THE AIM: To analyze provisions of the international legislation and scientific literature concerning existence of restrictions on impact of occupational injuries and diseases on agricultural workers' health. MATERIALS AND METHODS: International acts, data of international organizations and conclusions of scientists have been examined and used in the study. The article also integrates information from scientific journals and monographs from a medical and legal point of view with scientific methods. This article is based on dialectical, comparative, analytic, synthetic and comprehensive research methods. Impact of occupational injuries and diseases on agricultural workers' health has been studied within the system approach, as well as analysis and synthesis. CONCLUSIONS: The level of occupational morbidity, traumatism and above all standard of agricultural workers' health depends on the way of occupational safety organization. Working conditions and safety in agricultural industry and therefore the appropriate standard of health remain unsatisfactory in many countries. [Mh] Termos MeSH primário: Saúde do Trabalhador/legislação & jurisprudência Traumatismos Ocupacionais/terapia Medicina do Trabalho/legislação & jurisprudência Indenização aos Trabalhadores/legislação & jurisprudência [Mh] Termos MeSH secundário: Agricultura/legislação & jurisprudência Eficiência Organizacional/legislação & jurisprudência Feminino Seres Humanos Masculino Indicadores de Qualidade em Assistência à Saúde Local de Trabalho/legislação & jurisprudência [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171206 [St] Status: MEDLINE

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[PMID]: 28708961 [Au] Autor: Sullivan M [Ad] Endereço: 1 Department of Public Health, William Paterson University, Wayne, NJ, USA. [Ti] Título: Hamilton and Hardy: Mentoring and Friendship in the Service of Occupational Health. [So] Source: Public Health Rep;132(5):539-544, 2017 Sep/Oct. [Is] ISSN: 1468-2877 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: This article explores the mentoring relationship between Alice Hamilton and Harriet Hardy, two female physician-researchers who had a tremendous impact on the development of the field of occupational health in the United States during the 20th century. The article relies on letters the women wrote to each other. Hamilton, the elder, supported and furthered Hardy's career by asking her to coauthor the second edition of a seminal occupational health text. After beginning this intellectual collaboration, Hamilton remained a mentor to Hardy, and a decades-long friendship ensued. The article explores their relationship within the historical, political, and social context in which the women worked and made remarkable contributions to public health. [Mh] Termos MeSH primário: Tutoria Saúde do Trabalhador/história Medicina do Trabalho/história Toxicologia/história [Mh] Termos MeSH secundário: História do Século XIX História do Século XX Seres Humanos Estados Unidos [Pt] Tipo de publicação: BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE [Ps] Nome de pessoa como assunto: Hamilton A; Hardy H [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170929 [Lr] Data última revisão: 170929 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170715 [St] Status: MEDLINE [do] DOI: 10.1177/0033354917717487

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[PMID]: 28669968 [Au] Autor: Aston I [Ad] Endereço: Nottingham University Hospitals, Nottingham NG7 2UH, UK. [Ti] Título: Challenges affecting training in occupational medicine. [So] Source: BMJ;357:j3088, 2017 07 02. [Is] ISSN: 1756-1833 [Cp] País de publicação: England [La] Idioma: eng [Mh] Termos MeSH primário: Currículo Medicina do Trabalho/educação [Mh] Termos MeSH secundário: Seres Humanos Saúde Pública/educação [Pt] Tipo de publicação: LETTER; COMMENT [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171113 [Lr] Data última revisão: 171113 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170704 [St] Status: MEDLINE [do] DOI: 10.1136/bmj.j3088

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[PMID]: 28481374 [Au] Autor: Santos J; Carvalhais C; Ramos C; Coelho T; Monteiro PRR; Vaz MAP [Ad] Endereço: Polytechnic Institute of Porto, Porto, Portugal (Scientific Area of Environmental Health and Research Centre on Health and Environment (CISA), School of Health (ESS - P.Porto)). jds@ess.ipp.pt. [Ti] Título: Portuguese version of the Swedish Occupational Fatigue Inventory (SOFI) among assembly workers: Cultural adaptation, reliability and validity. [So] Source: Int J Occup Med Environ Health;30(3):407-417, 2017 May 08. [Is] ISSN: 1896-494X [Cp] País de publicação: Poland [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Reliable and valid instruments are essential for understanding fatigue in occupational settings. This study analyzed the psychometric properties of the Portuguese version of the Swedish Occupational Fatigue Inventory (SOFI). MATERIAL AND METHODS: A cross-sectional study was conducted with 218 workers from an automotive industry involved in assembly tasks for fabrication of mechanical cables. Convergent and discriminant validity, internal consistency reliability and confirmatory factor analysis were performed. RESULTS: Results showed adequate fit to data, yielding a 20-item, 5-factor structure (all intercorrelated): Chi2/df (ratio Chi2 and degrees of freedom) = 2.530, confirmatory fit index (CFI) = 0.919, goodness of fit index (GFI) = 0.845, root mean square error of approximation (RMSEA) = 0.084. The SOFI presented an adequate internal consistency, with the sub-scales and total scale presenting good reliability values (Cronbach's α values from 0.742 to 0.903 and 0.943 respectively). CONCLUSIONS: Findings suggest that the Portuguese version of the SOFI may be a useful tool to assess fatigue and prevent work-related injuries. In future research, other instruments should be used as an external criterion to correlate with the SOFI dimensions. Int J Occup Med Environ Health 2017;30(3):407-417. [Mh] Termos MeSH primário: Características Culturais Fadiga/diagnóstico Medicina do Trabalho/métodos Inquéritos e Questionários [Mh] Termos MeSH secundário: Adolescente Adulto Estudos Transversais Análise Fatorial Feminino Seres Humanos Linguagem Masculino Meia-Idade Portugal Psicometria Reprodutibilidade dos Testes [Pt] Tipo de publicação: JOURNAL ARTICLE; VALIDATION STUDIES [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170829 [Lr] Data última revisão: 170829 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170509 [St] Status: MEDLINE

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[PMID]: 28383611 [Au] Autor: Cegolon L; Heymann WC; Xodo C; Lange JH [Ad] Endereço: IRCCS Burlo Garofolo, Scientific Directorate, Trieste, Italy. [Ti] Título: Training in Occupational Medicine: Jurisprudential Malfunctions in the Italian System and European Perspectives. [So] Source: Ann Ig;29(3):197-205, 2017 May-Jun. [Is] ISSN: 1120-9135 [Cp] País de publicação: Italy [La] Idioma: eng [Ab] Resumo: BACKGROUND: To practice occupational health in Europe, a medical doctor must qualify in occupational medicine. This requires a period of postgraduate specialist medical training lasting a minimum of four years, in conformity with European regulations, to obtain a certificate of completion of training which is then mutually recognized within the entire European Union. DISCUSSION: In 2002 an Italian law allowed doctors specialized in public health medicine and legal/forensic medicine to also practice as consultants in occupational medicine in the country. However a subsequent law in 2008 determined that only physicians specialized in occupational medicine could freely practice as consultants in this discipline. The other two categories (consultants in public health medicine and consultants in legal/forensic medicine) were required to undertake additional training (a Master course) to qualify as consultants in occupational medicine. CONCLUSIONS: Doctors who entered postgraduate training in public health or legal/forensic medicine before 2008, with the option to practice also as consultants in occupational medicine upon completion of their training, suffered an unprecedented and legally questionable retroactive application of this new law which stripped them of previously acquired rights. Moreover, even after qualifying by undertaking this extra training in occupational medicine, the latter two categories of doctors do not have their training recognized in other member states of the European Union. To disallow the rights of doctors qualified in occupational medicine to work as consultants in the latter medical discipline elsewhere within the European Union seems a clear violation of professional rights and, as such, legal action could be taken to submit this issue to European attention. [Mh] Termos MeSH primário: Medicina do Trabalho/educação Medicina do Trabalho/legislação & jurisprudência [Mh] Termos MeSH secundário: Certificação União Europeia Itália [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171004 [Lr] Data última revisão: 171004 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170407 [St] Status: MEDLINE [do] DOI: 10.7416/ai.2017.2147

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[PMID]: 28366957 [Au] Autor: Chiang CL; Liao CY; Kuo HW [Ad] Endereço: China Medical University, Taichung, Taiwan (College of Public Health, Institute of Environmental Health). greenideas@greenideas.com.tw. [Ti] Título: Postures of upper extremity correlated with carpal tunnel syndrome (CTS). [So] Source: Int J Occup Med Environ Health;30(2):281-290, 2017 Mar 30. [Is] ISSN: 1896-494X [Cp] País de publicação: Poland [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Non-medical hospital staff members are in frequent contact with patients and therefore are required to perform a wide variety of repetitive and high-frequency activities. The objective of this study was to assess the relationships between upper extremity activity and carpal tunnel syndrome (CTS) among non-medical hospital staff members. MATERIAL AND METHODS: Carpal tunnel syndrome in 144 non-medical hospital staff members was diagnosed using the Nordic Musculoskeletal Questionnaire (NMQ), a physician's diagnosis, physical examination (Tinel's signs and Phalen test) and a nerve conduction velocity (NCV) test. In addition, an ergonomic assessment was performed and a video camera was used to record the physical activities at work. RESULTS: The prevalence rate of CTS was highest for the NMQ (51.9%), followed by physician's diagnosis (49.5% for the right hand, 29.9% for the left hand), physical examination (54.7%), and nerve conduction test (motor nerve 27.5% and 25%, sensory nerve 21.7% and 15%, for right and left hands, respectively). Based on logistic regression models for the NMQ and physician's diagnoses, there was a dose-dependently higher risk of CTS with the upper extremity index among participants, but this was non-significant based on the physical examination and nerve conduction tests. CONCLUSIONS: Nerve conduction velocity is the gold standard in diagnosis of CTS, but use of NMQ and physician's diagnosis may overestimate the incidence of CTS in workers who have been engaging in repetitive stress activities for a relatively short time. Int J Occup Med Environ Health 2017;30(2):281-290. [Mh] Termos MeSH primário: Síndrome do Túnel Carpal/diagnóstico Técnicas de Diagnóstico Neurológico Ergonomia Postura Extremidade Superior [Mh] Termos MeSH secundário: Adulto Hospitais de Ensino Seres Humanos Condução Nervosa Medicina do Trabalho Recursos Humanos em Hospital Exame Físico Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 171116 [Lr] Data última revisão: 171116 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170404 [St] Status: MEDLINE

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[PMID]: 28277702 [Au] Autor: Waszczuk MA; Li X; Bromet EJ; Gonzalez A; Zvolensky MJ; Ruggero C; Luft BJ; Kotov R [Ad] Endereço: Department of Psychiatry, Stony Brook University. [Ti] Título: Pathway from PTSD to respiratory health: Longitudinal evidence from a psychosocial intervention. [So] Source: Health Psychol;36(5):429-437, 2017 05. [Is] ISSN: 1930-7810 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: Respiratory illness and posttraumatic stress disorder (PTSD) are common debilitating conditions that frequently co-occur. Observational studies indicate that PTSD, independently of smoking, is a major risk and maintenance factor for lower respiratory symptoms (LRS). The current study experimentally tested this etiologic pathway by investigating whether LRS can be reduced by treating PTSD symptoms. METHOD: Ninety daily smokers exposed to the World Trade Center (WTC) disaster (mean age 50 years, 28% female; 68% White) completed 8-session group-based weekly comprehensive trauma management and smoking cessation treatment that focused on skills to alleviate PTSD symptoms. LRS, PTSD symptoms, and smoking were assessed weekly. Data was analyzed using multilevel models of within-person associations between LRS, PTSD symptoms, smoking, and treatment dose across 8 weekly sessions with concurrent and lagged outcomes. RESULTS: LRS improved significantly with treatment (reduction of .50 standard deviations). Reduction in PTSD symptoms uniquely predicted improvement in LRS at consecutive sessions 1 week apart and fully accounted for the treatment effect on LRS. The effect of PTSD symptoms was stronger than that of smoking, and the only effect to remain significant when both entered the model. Notably, reduction in LRS did not predict future improvement in PTSD symptoms. CONCLUSIONS: The results are in line with the etiologic pathway suggesting that PTSD symptoms are a risk and maintenance factor for chronic LRS and that treatment of PTSD can help to alleviate LRS in trauma-exposed populations. PTSD is emerging as a novel and important treatment target for chronic respiratory problems. (PsycINFO Database Record [Mh] Termos MeSH primário: Medicina do Trabalho/métodos Infecções Respiratórias/psicologia Abandono do Hábito de Fumar/métodos Transtornos de Estresse Pós-Traumáticos/psicologia [Mh] Termos MeSH secundário: Comorbidade Feminino Seres Humanos Masculino Meia-Idade Risco [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170914 [Lr] Data última revisão: 170914 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170310 [Cl] Clinical Trial: ClinicalTrial [St] Status: MEDLINE [do] DOI: 10.1037/hea0000472

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[PMID]: 28245009 [Au] Autor: Jarosiewicz M; Bukowska B [Ad] Endereço: Uniwersytet Lódzki / University of Lodz, Lódz, Poland (Wydzial Biologii i Ochrony Srodowiska, Katedra Biofizyki Skazen Srodowiska / Department of Environmental Pollution Biophysics, Faculty of Biology and Environmental Protection). mcyrkler@biol.uni.lodz.pl. [Ti] Título: [Tetrabromobisphenol A - Toxicity, environmental and occupational exposures]. [Ti] Título: Tetrabromobisfenol A ­ toksycznosc, narazenie srodowiskowe i zawodowe.. [So] Source: Med Pr;68(1):121-134, 2017 Feb 28. [Is] ISSN: 0465-5893 [Cp] País de publicação: Poland [La] Idioma: pol [Ab] Resumo: Brominated flame retardants (BFR), including tetrabromobisphenol A (TBBPA) represents 25% of the global market of flame retardants. Among them, TBBPA is used on the largest scale (approx. 60%) because of its firebreak properties and widespread occurrence in every day products such as furniture, upholstery, adhesives and electronic equipment. A broad application of TBBPA can contribute to environmental pollution. Tetrabromobisphenol A has been determined in soil, water, river sediments and the atmosphere. Tetrabromobisphenol A is characterized by a high value of coefficient n-octanol/water (log P = 4.5), low acidity, and it may exist in undissociated or dissociated form. Due to the high hydrophobicity, TBBPA may accumulate in living organisms, including humans at different food chain levels. The occurrence of TBBPA in humans, e.g., in blood, fat tissue and mother milk, has been reported. Tetrabromobisphenol A is classified as hazard statements (H) H400/H410, which means that it is toxic to aquatic biota, causing long-term changes in these organisms. Up to now, only a few studies have been conducted to assess potential toxicity of high doses of TBBPA to mammals. Although many people are occupationally exposed to TBBPA during production or processing of this substance in their workplaces, there are only a few studies that have assessed the real hazard associated with TBPPA exposure. The aim of the study was to discuss the latest literature (mainly from the years 2010-2016) referring to the presence of TBBPA in the environment and its effects to living organisms. Data concerning occupational exposure to TBBPA were also presented. Med Pr 2017;68(1):121-134. [Mh] Termos MeSH primário: Exposição por Inalação/prevenção & controle Exposição Ocupacional/efeitos adversos Exposição Ocupacional/prevenção & controle Bifenil Polibromatos/efeitos adversos [Mh] Termos MeSH secundário: Acidentes de Trabalho/prevenção & controle Seres Humanos Medicina do Trabalho [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Nm] Nome de substância: 0 (Polybrominated Biphenyls); FQI02RFC3A (tetrabromobisphenol A) [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170616 [Lr] Data última revisão: 170616 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170301 [St] Status: MEDLINE

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[PMID]: 28245008 [Au] Autor: Marcinkiewicz A; Wojda M; Walusiak-Skorupa J; Hanke W; Rydzynski K [Ad] Endereço: Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Lódz, Poland (Klinika Chorób Zawodowych i Zdrowia Srodowiskowego, Pracownia Polityki Zdrowotnej / Departament of Occupational Diseases and Environmental Health, Occupational Diseases Outpatient Clinic). andrzej.m [Ti] Título: [Analysis of tasks of occupational health services accomplished in Poland, 1997-2014. Do we exploit the full potential of prophylactic examinations of workers?] [Ti] Título: Analiza zadan sluzby medycyny pracy realizowanych w Polsce w latach 1997­2014. Czy w pelni wykorzystujemy potencjal badan profilaktycznych?. [So] Source: Med Pr;68(1):105-119, 2017 Feb 28. [Is] ISSN: 0465-5893 [Cp] País de publicação: Poland [La] Idioma: pol [Ab] Resumo: BACKGROUND: Mandatory medical reports can be used to evaluate the scope of activity of occupational health services (OHS), including the number and kind of services. MATERIAL AND METHODS: The analysis comprised data for the period 1997-2014, derived from mandatory reports MZ-35A submitted by OHS units. RESULTS: During the analyzed period the number of occupational medicine physicians decreased from 8507 to 6741, while the number of OHS units - responsible for prophylactic care - increased from 4967 to 6261. In the years under report 3,961 million mandatory health check-ups were performed, of which 99.3% resulted in issuing fitness for work certificates. Pre-employment examinations made 38.8%, while periodical ones - 52.8% and control ones - 6.7% of all check-ups. Moreover, 336 700 examinations of apprentices, students, vocational courses attendants and Ph.D. students were performed to evaluate any contradictions for vocational training. In 2014, there were 1871 workers provided with preventive care per 1 occupational physician. It was estimated that despite legal obligation, only 22.2% of employers had signed agreements with OHS units. CONCLUSIONS: The analysis of the number and kind of services provided by OHS units revealed high but not fully exploited potential for efficient prophylaxis of both directly occupational work-related and indirectly work-exacerbated diseases. Med Pr 2017;68(1):105-119. [Mh] Termos MeSH primário: Doenças Profissionais/prevenção & controle Serviços de Saúde do Trabalhador/organização & administração Medicina do Trabalho/organização & administração Prevenção Primária/organização & administração Local de Trabalho/estatística & dados numéricos [Mh] Termos MeSH secundário: Seres Humanos Doenças Profissionais/epidemiologia Exposição Ocupacional/prevenção & controle Polônia Padrões de Prática Médica/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170616 [Lr] Data última revisão: 170616 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170301 [St] Status: MEDLINE

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[PMID]: 28128788 [Au] Autor: Soteriades ES [Ad] Endereço: Department of Occupational and Environmental Medicine, Cyprus Institute of Biomedical Sciences (CIBS), Nicosia, Cyprus. [Ti] Título: A workplace modified duty program for employees in an oncology center. [So] Source: Work;56(1):157-164, 2017. [Is] ISSN: 1875-9270 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: BACKGROUND: Workplace modified duty programs may provide reasonable accommodations to employees who have partial temporary job disability and could work on duty accommodations until they fully recover. However, little is known about the implementation barriers and effectiveness of such programs. OBJECTIVE: This study is aimed at evaluating the implementation of a modified duty program for employees in an oncology center. METHODS: A modified duty program for employees working at the Bank of Cyprus Oncology Center, a non profit organization with 200 employees located in the Republic of Cyprus was evaluated based on the health records of the occupational medicine department. RESULTS: Employees' participation in the program was 3%. A total of 12 employees participated (6 each year). The participants were all women and the mean participation period was 21.6 days (range 10 - 65 days). The two most frequent reasons for a modified duty assignment were pregnancy and back pain. Employees were assigned either on limited duties or on a combination of limited duties and reduced work hours. Employees reported being very satisfied with their participation based on a follow-up narrative oral assessment. CONCLUSION: The small participation rate does not allow for advanced statistical analyses. Further studies from larger organizations are urgently needed to evaluate the effectiveness of modified duty programs. The development of a legal framework for such modified duty programs in Cyprus as well as internationally may promote their implementation in order to facilitate the effective management of temporary partial job disability for the benefit of both employees and businesses. [Mh] Termos MeSH primário: Medicina do Trabalho/métodos Serviço Hospitalar de Oncologia/recursos humanos Desenvolvimento de Programas/normas Carga de Trabalho/normas [Mh] Termos MeSH secundário: Adulto Chipre Feminino Seres Humanos Meia-Idade Serviço Hospitalar de Oncologia/organização & administração Desenvolvimento de Programas/métodos Licença Médica/economia Licença Médica/tendências [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170828 [Lr] Data última revisão: 170828 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170128 [St] Status: MEDLINE [do] DOI: 10.3233/WOR-162478

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