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[PMID]: 28232635 [Au] Autor: Lalloo D; Demou E; Stevenson M; Gaffney M; Macdonald EB [Ad] Endereço: Healthy Working Lives Group, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK drushca@hotmail.com. [Ti] Título: Comparison of competency priorities between UK occupational physicians and occupational health nurses. [So] Source: Occup Environ Med;74(5):384-386, 2017 May. [Is] ISSN: 1470-7926 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVES: The competencies required of occupational physicians (OPs) and occupational health nurses (OHNs) separately have been studied in various countries but little research has made direct comparisons between these two key occupational health (OH) professional groups. The aim of this study was to compare current competency priorities between UK OPs and OHNs. METHODS: A modified Delphi study conducted among professional organisations and networks of UK OPs and OHNs. This formed part of a larger Delphi, including international OPs. It was undertaken in two rounds (round 1-'rating', round 2-'ranking'), using a questionnaire based on available OH competency guidance, the literature, expert panel reviews and conference discussions. RESULTS: In each round (rating/ranking), 57/49 and 48/54 responses were received for OPs and OHNs respectively. The principle domain (PD) competency ranks were very highly correlated (Spearman's r=0.972) with the same PDs featuring in the top four and bottom three positions. OPs and OHNs ranked identically for the top two PDs (good clinical care and general principles of assessment and management of occupational hazards to health). Research methods was ranked lowest by both groups. CONCLUSIONS: This study has observed a high level of agreement among UK OPs and OHNs on current competency priorities. The 'clinically focused' competency priorities likely reflect that although OH practice will broaden in response to various factors, traditional 'core' OH activities will still be required. These mutually identified priorities can serve to strengthen collaboration between these groups, develop joint education/training programmes and identify common professional development opportunities. [Mh] Termos MeSH primário: Competência Clínica Enfermagem do Trabalho/normas Médicos do Trabalho/normas [Mh] Termos MeSH secundário: Técnica Delfos Feminino Seres Humanos Masculino Saúde do Trabalhador Serviços de Saúde do Trabalhador Inquéritos e Questionários Reino Unido [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170801 [Lr] Data última revisão: 170801 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170225 [St] Status: MEDLINE [do] DOI: 10.1136/oemed-2016-104049

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[PMID]: 27939136 [Au] Autor: Slottje P; van Moorselaar I; van Strien R; Vermeulen R; Kromhout H; Huss A [Ad] Endereço: Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands; Department of General Practice and Elderly Care Medicine, EMGO+ Institute, VU University Medical Center, Amsterdam, The Netherlands. [Ti] Título: Electromagnetic hypersensitivity (EHS) in occupational and primary health care: A nation-wide survey among general practitioners, occupational physicians and hygienists in the Netherlands. [So] Source: Int J Hyg Environ Health;220(2 Pt B):395-400, 2017 Apr. [Is] ISSN: 1618-131X [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: Subjects who attribute health complaints to every day levels of non-ionizing electromagnetic fields (EMF) have been referred to as electrohypersensitive (EHS). Previous surveys in Europe showed that 68-75% of general practitioners had ever been consulted on EHS. Given the lack of data on EHS in the Netherlands in the general population and on EHS in occupational settings, we performed a national survey among three professional groups that are likely in the first line of being consulted by EHS individuals. Results show that about one third of occupational hygienists, occupational physicians and general practitioners had ever been consulted by one or more EHS subjects. Many of these professionals considered a causal relationship between EMF and health complaints to some degree plausible, and their approach often included exposure reduction advice. Given the lack of scientific evidence for EHS and how low level EMF exposure could cause reported health complaints and given the finding that the majority of these professionals felt insufficiently informed about EMF and health, targeted information campaigns might assist them in their evidence based dealing with subjects who attribute symptoms to EMF. [Mh] Termos MeSH primário: Atitude do Pessoal de Saúde Campos Eletromagnéticos/efeitos adversos [Mh] Termos MeSH secundário: Adulto Feminino Clínicos Gerais Seres Humanos Masculino Meia-Idade Países Baixos Saúde do Trabalhador Médicos do Trabalho Percepção Atenção Primária à Saúde Risco Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170911 [Lr] Data última revisão: 170911 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161213 [St] Status: MEDLINE

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[PMID]: 27733729 [Au] Autor: Persechino B; Fontana L; Buresti G; Rondinone BM; Laurano P; Fortuna G; Valenti A; Iavicoli S [Ad] Endereço: INAIL, Italian Workers' Compensation Authority, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italy. [Ti] Título: Collaboration of occupational physicians with national health system and general practitioners in Italy. [So] Source: Ind Health;55(2):180-191, 2017 Apr 07. [Is] ISSN: 1880-8026 [Cp] País de publicação: Japan [La] Idioma: eng [Ab] Resumo: A good cooperation between occupational physicians and other healthcare professionals is essential in order to achieve an overall improvement of workers/patients' well-being. Unfortunately, collaboration between occupational physicians and other physicians is often lacking or very poor. In this context, using a self-administered questionnaire, we investigated the cooperation of Italian occupational physicians with the National Health System (NHS) facilities and with the general practitioners in order to identify any potential critical issues that may hinder an effective and collaborative relationships between these professionals. The survey was conducted from October 2013 to January 2014. Nearly all of the interviewed occupational physicians have had contacts with colleagues of the Departments for Prevention and Occupational Health and Safety of the NHS. Regarding the relationship between occupational physicians and general practitioners findings showed that their cooperation is quite difficult and it would not seem a two-way collaboration. Cooperation between occupational physicians and NHS would benefit from the development of communication strategies and tools enhancing the support and assistance functions of the NHS facilities. The elaboration and subsequent application of operational guidelines and standardized procedures of communication would also improve collaboration between occupational physicians and general practitioners that is currently considered rather insufficient and incomplete. [Mh] Termos MeSH primário: Clínicos Gerais Comunicação Interdisciplinar Médicos do Trabalho/estatística & dados numéricos Medicina Estatal/organização & administração [Mh] Termos MeSH secundário: Adulto Idoso Feminino Seres Humanos Itália Masculino Meia-Idade Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170925 [Lr] Data última revisão: 170925 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161014 [St] Status: MEDLINE [do] DOI: 10.2486/indhealth.2016-0101

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[PMID]: 27725348 [Au] Autor: Ikegami K; Nozawa H; Michii S; Sugano R; Ando H; Hasegawa M; Kitamura H; Ogami A [Ad] Endereço: Department of Works Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health. [Ti] Título: Investigation of the working behavior of part-time occupational physicians using practical recording sheets. [So] Source: Sangyo Eiseigaku Zasshi;58(6):251-259, 2016 12 03. [Is] ISSN: 1349-533X [Cp] País de publicação: Japan [La] Idioma: jpn [Ab] Resumo: OBJECTIVES: We investigated the working behavior of part-time occupational physicians using practical recording sheets to clarify issues of occupational physicians' activities according to industrial groups or size of business. METHODS: We collected 561 recording sheets in 96 industries from 11 part-time occupational physicians as collaborators, who volunteered to be a part of this research. We collected a variety of information from the practical recording sheets, including the industry in which each occupational physician was employed, the annual number of times of work attendance, occupational physician-conducted workplace patrol, and employee health management. We investigated their annual practices regarding work environment management, work management, health management, and general occupational health management. In addition, we analyzed the differences between the secondary and tertiary industry groups and between the group of offices employing 100 people or fewer (≤100 group) and 101 people and above (≥101 group) in each industry group. RESULTS: The median work attendance by all occupational physicians was four times a year; the tertiary industry group had a significantly lower rate of work attendance than the secondary industry group. The occupational physicians' participation in risk assessment, mental health measures or overwork prevention, and the formulation of the occupational health management system and the annual plan were significantly lower in the tertiary industry group than in the secondary industry group. We observed that for the annual number of times of work attendance, occupational physician-conducted workplace patrol was significantly lower in the ≤100 group than in the ≥101 group in each industry group. CONCLUSIONS: These findings show that occupational physicians' activities have not been conducted enough in tertiary industries and small-sized offices employing ≤100 people. It would be necessary to evaluate how to provide occupational health service or appropriate occupational physicians' activities for small-sized offices or tertiary industries. Thereafter, it would likely be beneficial to construct a system to support the activities of part-time occupational physicians as well as the activity of occupational health at workplaces. [Mh] Termos MeSH primário: Médicos do Trabalho Serviços de Saúde do Trabalhador/estatística & dados numéricos Admissão e Escalonamento de Pessoal Trabalho/estatística & dados numéricos [Mh] Termos MeSH secundário: Comportamento Bases de Dados como Assunto Seres Humanos Indústrias/recursos humanos Indústrias/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1702 [Cu] Atualização por classe: 171016 [Lr] Data última revisão: 171016 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161012 [St] Status: MEDLINE

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[PMID]: 27311142 [Au] Autor: Mucci N; Giorgi G; Gonnelli IM; Garbarino S; Cupelli V; Arcangelil G [Ti] Título: [The operational role of the occupational health physician in the assessment and management of health risks related to night risks]. [Ti] Título: Il ruolo del medico del lavoro nella valutazione e nella gestione dei rischi correlati al lavoro notturno alla luce della disciplina nazionale e comunitaria.. [So] Source: G Ital Med Lav Ergon;38(1):22-9, 2016 Jan-Mar. [Is] ISSN: 1592-7830 [Cp] País de publicação: Italy [La] Idioma: ita [Ab] Resumo: The operational role of the occupational health physician in the assessment and management of health risks related to night work. Night work, in the last 30-40 years, has been extended to almost all areas of employment. The potential effects on workers' health--related to the disruption of circadian rhythms--are now well defined and studied in the Literature. All issues about the protection of safety and health for night workers are governed by the Italian Legislative Decree no. 66/2003 and subsequent amendments. The management of night work hasn't been included into the main Law on Occupational Safety and Health (Italian Legislative Decree no. 81/2008 and subsequent amendments) and a coordination between the two disciplines is desirable. The occupational health physician, as a global consultant for the protection of all health issues into a company, has to evaluate the potential effects of night work on health, both individually and as a group of workers. In this way, the physician may use either traditional tools (history, physical examination, blood tests) or innovative tools (questionnaires, health promotion programs, interventions on shift schedules). In the management of night work is useful to employ schedules that respect both psychophysical integrity and social welfare of workers and the needs of the production. The occupational health physician plays a significant role in information and training of workers, both individually and as a group of workers, and in the organization of health promotion programs (whit a voluntary participation by the workers). [Mh] Termos MeSH primário: Médicos do Trabalho/organização & administração Saúde do Trabalhador Gestão de Riscos/métodos Tolerância ao Trabalho Programado [Mh] Termos MeSH secundário: Ritmo Circadiano/fisiologia Promoção da Saúde/métodos Seres Humanos Itália Saúde do Trabalhador/legislação & jurisprudência Papel do Médico Medição de Risco/métodos Inquéritos e Questionários [Pt] Tipo de publicação: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Mês de entrada: 1609 [Cu] Atualização por classe: 160617 [Lr] Data última revisão: 160617 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160618 [St] Status: MEDLINE

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[PMID]: 27302732 [Au] Autor: Ikegami K; Eguchi M; Osaki Y; Nakao T; Nakamoto K; Hiro H [Ad] Endereço: Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan. [Ti] Título: [Problems in Providing Care to Young Workers with Mental Health Disturbance - A Survey Using of the Cases of Workers Who Had Taken Sick Leave Due to Mental Health Disturbance]. [So] Source: J UOEH;38(2):185-97, 2016 Jun 01. [Is] ISSN: 0387-821X [Cp] País de publicação: Japan [La] Idioma: jpn [Ab] Resumo: In this study we discuss the measures of providing care to young workers with mental health disturbance by analyzing the cases of workers who had taken sick leave due to mental health disturbance. We analyzed 36 cases, collected from 11 occupational physicians, of workers who had taken sick leave due to mental health disturbance, and discuss measures for providing care to such young workers. We organized and classified data containing the details of the care provided to the workers and analyzed the main aspects and problems in providing it. We compared two age groups of workers: a below age 30 group, and an age 30 and above group. We observed that occupational nurses were more frequently the primary persons who dealt with workplace consultations in the below age 30 group (before sick leave: 38.9%; during sick leave: 38.9%) compared to the age 30 and above group (before sick leave: 16.7%, during sick leave: 11.1%). Most of the case providers expressed the opinion that a support system is necessary to help the workers return to work and it is an important factor in providing care to workers who have taken sick leave due to mental health disturbance. Coordination with the families of the workers was also important in the below age 30 group. It might be difficult to assign young workers to suitable workplaces or duties because of their inadequate job skills, lack of sufficient experience, and influence of personal factors on mental health. Our results suggest that it is important to provide appropriate care for young workers with mental health disturbance, such as support by occupational nurses, and to strengthen the collaboration between their families and the workplace staff. [Mh] Termos MeSH primário: Transtornos Mentais/psicologia [Mh] Termos MeSH secundário: Adulto Fatores Etários Feminino Seres Humanos Masculino Meia-Idade Enfermagem do Trabalho Médicos do Trabalho/utilização Licença Médica Apoio Social Inquéritos e Questionários [Pt] Tipo de publicação: COMPARATIVE STUDY; ENGLISH ABSTRACT; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1608 [Cu] Atualização por classe: 160615 [Lr] Data última revisão: 160615 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160616 [St] Status: MEDLINE [do] DOI: 10.7888/juoeh.38.185

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[PMID]: 27108644 [Au] Autor: Nagata M; Mori K; Ishikawa A; Nagata T [Ad] Endereço: Occupational Health Training Center, University of Occupational and Environmental Health. [Ti] Título: Surveys on minimum practical abilities required by nonspecialist occupational physicians in Japan. [So] Source: J Occup Health;58(3):276-88, 2016 Jun 16. [Is] ISSN: 1348-9585 [Cp] País de publicação: Japan [La] Idioma: eng [Ab] Resumo: OBJECTIVES: This study aimed to identify the practical abilities required by nonspecialist occupational physicians and specify the priorities for training programs. METHODS: A practical abilities list was developed through a focus group meeting of specialists. We created a survey questionnaire and asked three groups, namely, occupational physicians, occupational health nurses, and health officers, to rate the importance of each practical ability. RESULTS: The mean scores for all 45 items were greater than 4, i.e., in the middle of the 7-point Likert scale, for all the three groups. The occupational physicians' responses had a correlation with the other groups' responses. However, there were differences with regard to some practical abilities between the three groups. Five practical abilities from the top quartile were marked "A" by all the three groups: "Submit opinions on fitness for duty and work accommodation on the basis of data from health examination," "Respect employee privacy," "Submit opinion on fitness for duty and work accommodation on the basis of data from face-to-face interviews with employees," "Submit opinions on fitness for duty and work accommodation on the basis of data from health surveillance," and "Implement face-to-face interviews for employees who have worked overtime and evaluate the subjects' conditions including mental and physical health status, degree of accumulated fatigue, and depression." CONCLUSIONS: This study resulted in a rank-ordered list of 45 practical abilities that are required by nonspecialist occupational physicians. This result may be useful to review and redesign the existing training program for nonspecialist occupational physicians. [Mh] Termos MeSH primário: Competência Clínica/normas Enfermagem do Trabalho Médicos do Trabalho Serviços de Saúde do Trabalhador/normas Medicina do Trabalho/educação [Mh] Termos MeSH secundário: Adulto Educação Médica Feminino Grupos Focais Seres Humanos Japão Masculino Meia-Idade Inquéritos e Questionários Adulto Jovem [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170613 [Lr] Data última revisão: 170613 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160426 [St] Status: MEDLINE [do] DOI: 10.1539/joh.15-0224-OA

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[PMID]: 26892705 [Au] Autor: Descatha A; Loeb T; Despréaux T [Ad] Endereço: AP-HP, Occupational Health Unit, University Hospital of West Suburb of Paris, Garches, France Versailles St-Quentin University UVSQ Inserm, Villejuif, France AP-HP, EMS92 (SAMU92), University Hospital of West Suburb of Paris, Garches, France. [Ti] Título: Attack in Paris and occupational health. [So] Source: Occup Environ Med;73(4):287, 2016 Apr. [Is] ISSN: 1470-7926 [Cp] País de publicação: England [La] Idioma: eng [Mh] Termos MeSH primário: Defesa Civil Saúde do Trabalhador Terapia Ocupacional Retorno ao Trabalho Estresse Psicológico Terrorismo [Mh] Termos MeSH secundário: Socorristas Emoções Seres Humanos Médicos do Trabalho Paris [Pt] Tipo de publicação: LETTER [Em] Mês de entrada: 1607 [Cu] Atualização por classe: 160317 [Lr] Data última revisão: 160317 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160220 [St] Status: MEDLINE [do] DOI: 10.1136/oemed-2015-103500

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[PMID]: 26888376 [Au] Autor: Vanmeerbeek M; Govers P; Schippers N; Rieppi S; Mortelmans K; Mairiaux P [Ad] Endereço: Department of General Practice/Family Medicine, University of Liege, Quartier Hôpital, Avenue Hippocrate 13, CHU B23, Liege, 4000, Belgium. marc.vanmeerbeek@ulg.ac.be. [Ti] Título: Searching for consensus among physicians involved in the management of sick-listed workers in the Belgian health care sector: a qualitative study among practitioners and stakeholders. [So] Source: BMC Public Health;16:164, 2016 Feb 17. [Is] ISSN: 1471-2458 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: In Belgium, the management of sick leave involves general practitioners (GPs), occupational health physicians (OPs) and social insurance physicians (SIPs). A dysfunctional relationship among these physicians can impede a patient's ability to return to work. The objective of this study was to identify ways to improve these physicians' mutual collaboration. METHODS: Two consensus techniques were successively performed among the three professional groups. Eight nominal groups (NGs) gathered 74 field practitioners, and a two-round Delphi process involved 32 stakeholders. RESULTS: From the results, it appears that two areas (reciprocal knowledge and evolution of the legal and regulatory framework) are objects of consensus among the three medical group that were surveyed. Information transfer, particularly electronic transfer, was stressed as an important way to improve. The consensual proposals regarding interdisciplinary collaboration indicate specific and practical changes to be implemented when professionals are managing workers who are on sick leave. The collaboration process appeared to be currently more problematic, but the participants correctly identified the need for common training. CONCLUSIONS: The three physician groups all agree regarding several inter-physician collaboration proposals. The study also revealed a latent conflict situation among the analysed professionals that can arise from a lack of mutual recognition. Practical changes or improvements must be included in an extended framework that involves the different determinants of interdisciplinary collaboration that are shown by theoretical models. Collaboration is a product of the actions and behaviours of various partners, which requires reciprocal knowledge and trust; collaboration also implies political and economic structures that are led by public health authorities. [Mh] Termos MeSH primário: Clínicos Gerais/psicologia Setor de Assistência à Saúde Médicos do Trabalho/psicologia Previdência Social/organização & administração Avaliação da Capacidade de Trabalho [Mh] Termos MeSH secundário: Adulto Atitude do Pessoal de Saúde Bélgica/epidemiologia Comportamento Cooperativo Técnica Delfos Feminino Clínicos Gerais/legislação & jurisprudência Seres Humanos Masculino Meia-Idade Médicos do Trabalho/legislação & jurisprudência Pesquisa Qualitativa Licença Médica Previdência Social/legislação & jurisprudência Trabalho [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1609 [Cu] Atualização por classe: 160221 [Lr] Data última revisão: 160221 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160219 [St] Status: MEDLINE [do] DOI: 10.1186/s12889-016-2696-7

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[PMID]: 26259728 [Au] Autor: Moßhammer D; Michaelis M; Mehne J; Wilm S; Rieger MA [Ad] Endereço: Institute of General Practice/Family Medicine, University Hospital Tübingen, Österbergstraße 9, 72074, Tübingen, Germany. dirk.mosshammer@uni-tuebingen.de. [Ti] Título: General practitioners' and occupational health physicians' views on their cooperation: a cross-sectional postal survey. [So] Source: Int Arch Occup Environ Health;89(3):449-59, 2016 Apr. [Is] ISSN: 1432-1246 [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: PURPOSE: Prevention, rehabilitation and reintegration into the workplace are examples of overlapping work fields of general practitioners (GPs) and occupational health physicians (OPs). In Germany, however, cooperation between GPs and OPs is often lacking or suboptimal. In this article, we present GPs' and OPs' views on a variety of aspects of their cooperation and differences between them. METHODS: Survey questionnaire was developed on the basis of literature research and results of focus group interviews. Cross-sectional postal survey among GPs (n = 1000) and OPs (n = 383) was performed in the federal state of Baden-Württemberg, Germany. Explorative descriptive and logistic regression analyses were carried out (controlling for potential confounders). RESULTS: Response rates were 31 and 48 %, respectively. Mutual telephone calls were the most frequent contact medium (49 and 91 %, respectively). Both groups considered themselves to have clearly separate areas of responsibility (median = 4, rating scale from 1 "agree not at all" to 5 "agree definitely"). Necessity to cooperate and need to improve cooperation were both rated as 4 (by GPs) and 5 (by OPs), respectively (p < 0.001, Wilcoxon test). Several variables were found to be different by logistic regression analysis of answers from the two groups (e.g. in regard to importance of rehabilitation, primary prevention services, caring for chronically ill workers or changing of workplace conditions). Sensitive topics (e.g. concerning mutual rivalry, remuneration or adherence to medical confidentiality) were also found to be rated differently. CONCLUSION: The data show potential interest of both physicians groups to develop cooperation. As the ratings often differed significantly, particularly in regard to statements presented, answers influenced by social desirability are generally unlikely. [Mh] Termos MeSH primário: Atitude do Pessoal de Saúde Comportamento Cooperativo Clínicos Gerais/psicologia Relações Interprofissionais Médicos do Trabalho/psicologia [Mh] Termos MeSH secundário: Estudos Transversais Feminino Grupos Focais Alemanha Seres Humanos Masculino Meia-Idade Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1612 [Cu] Atualização por classe: 171005 [Lr] Data última revisão: 171005 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 150812 [St] Status: MEDLINE [do] DOI: 10.1007/s00420-015-1084-4

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