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Musculoskeletal disorders are prevalent among agricultural workers, increasing the risk of work-related diseases due to manual labor, repetitive tasks, and prolonged postures. This study evaluates the association between physical behaviors during work and non-work, measured objectively, and musculoskeletal pain in the neck, upper back, and lower back in viticulture workers. A cross-sectional quantitative study was conducted with 75 viticulturists of both sexes aged 18 years or older. An accelerometer measured physical behaviors (lying down, sitting, standing, moving, walking, and sleeping) during work and non-work periods. Pain intensity was quantified using a 0–10 scale and categorized as "Low" and "High" pain intensity. Binary logistic regression tested the association between pain and time spent on physical behaviors. Results indicated a high prevalence of pain: 46.7% cervical, 52% upper back, and 60% lower back. Standing was the most common behavior during work, while lying and sitting were predominant during non-work. An increased sleeping time was associated with a decreased probability of experiencing high-intensity neck pain. Increased time spent lying down during non-work hours was associated with an increased probability of experiencing high-intensity upper back pain. No physical behavior was associated with high-intensity lower back pain. In conclusion, sedentary behaviors worsen upper back pain, and sleep reduces neck pain in viticulture workers. [ABSTRACT FROM AUTHOR]

Background: The Second Victim Phenomenon (SVP) significantly impacts the well-being of healthcare professionals and patient safety. While the SVP has been explored in various healthcare settings, there are limited data on its prevalence and associated factors among nurses in Austria. This study investigates the prevalence, symptomatology, and preferred support measures for SVP among Austrian nurses. Methods: A nationwide, cross-sectional, anonymous online survey was conducted September to December 2023 using the SeViD questionnaire (Second Victims in German-speaking Countries), which includes the Big Five Inventory-10 (BFI-10). Statistical analyses included binary logistic regression and multiple linear regression using the bias-corrected and accelerated (BCa) bootstrapping method based on 5000 bootstrap samples. Results: A total of 928 participants responded to the questionnaire with a response rate of 15.47%. The participants were on average 42.42 years old and were mainly women (79.63%). Among the respondents, 81.58% (744/912) identified as Second Victims (SVs). The primary cause of becoming an SV was aggressive behavior from patients or relatives. Females reported a higher symptom load than males, and higher agreeableness was linked to increased symptom severity. Notably, 92.47% of SVs who sought help preferred support from colleagues, and the most pronounced desire among participants was to process the event for better understanding. Conclusions: The prevalence of SVP among Austrian nurses is alarmingly high, with aggressive behavior identified as a significant trigger. The findings emphasize the necessity for tailored support strategies, including peer support and systematic organizational interventions to mitigate the impact of SVP on nurses and to improve overall patient care. Further research should focus on developing and implementing effective prevention and intervention programs for healthcare professionals in similar settings. [ABSTRACT FROM AUTHOR]

This study aims to provide a review of the existing literature regarding the use of extended reality technologies and the metaverse focusing on virtual reality (VR), augmented reality (AR), and mixed reality (MR) in safety training. Based on the outcomes, VR was predominantly used in the context of safety training with immersive VR yielding the best outcomes. In comparison, only recently has AR been introduced in safety training but with positive outcomes. Both AR and VR can be effectively adopted and integrated in safety training and render the learning experiences and environments more realistic, secure, intense, interactive, and personalized, which are crucial aspects to ensure high-quality safety training. Their ability to provide safe virtual learning environments in which individuals can practice and develop their skills and knowledge in real-life simulated working settings that do not involve any risks emerged as one of the main benefits. Their ability to support social and collaborative learning and offer experiential learning significantly contributed to the learning outcomes. Therefore, it was concluded that VR and AR emerged as effective tools that can support and enrich safety training and, in turn, increase occupational health and safety. [ABSTRACT FROM AUTHOR]

Background and Objectives: This scoping review evaluates the use of wearable sensor technologies for workplace safety and health monitoring in industrial settings. The aim is to synthesize evidence on the impact of these sensors and their application in high-risk environments. Materials and Methods: Following the PRISMA guidelines, a systematic search across four international electronic databases yielded 59 studies, of which 17 were included in the final review. The selection criteria involved studies that specifically utilized wearable sensors to monitor various health and environmental parameters relevant to industrial workers. Results: The analysis categorizes wearable technologies into five distinct groups based on their function: gas monitoring technologies, heart rate and physiological data collection, fatigue and activity monitoring, comprehensive environmental and physiological monitoring, and advanced sensing and data collection systems. These devices demonstrated substantial benefits in terms of early detection of health risks and enhancement of safety protocols. Conclusions: The review concludes that wearable sensor technologies significantly contribute to workplace safety by providing real-time, data-driven insights into environmental hazards and workers' physiological status, thus supporting proactive health management practices in industrial settings. Further research is recommended to address the challenges of data privacy, sensor reliability, and cost-effective integration to maximize their potential in occupational health safety. [ABSTRACT FROM AUTHOR]

Asbestos, also known by its commercial name "amianthus", has been widely used in various industries due to its unique properties. However, the extensive use of asbestos has had serious consequences for human health, most notably asbestosis, an irreversible chronic lung disease. Asbestosis increases the risk of lung cancer and malignant mesothelioma, both of which are fatal. Applied sciences such as microscopy (optical and scanning electron microscopy) and geochemistry have been fundamental in characterizing the mineral fibers of asbestos to understand its role in human health. We previously used these techniques to characterize these fibers; in this study, we explored the issues associated with asbestos and asbestosis, as well as the challenges facing science communication strategies in effectively informing society and workers about these risks. The lack of scientific culture, in general, has led to a lack of public awareness of the risks of asbestos. As such, effective communication and outreach plans and strategies, including the visualization of the fibers to demonstrate why problems arise if inhaled, must be implemented to address these challenges. Educational campaigns, guidelines, and plans that are informative and actionable, teaching workers, communities, and the public about the risks of asbestos are crucial. A general knowledge of mineralogy and geochemistry is needed, and providing and disseminating proper scientific communication may help to close the knowledge gap. We use examples and experience from Spain and Italy to illustrate this matter, as we have been working on the characterization of ultramafic complexes in these countries for more than ten years. Additionally, because these countries have strict laws for asbestos-containing materials, they are currently involved in retiring and demolishing buildings and infrastructure that contain asbestos. [ABSTRACT FROM AUTHOR]

Objectives: This study investigated workplace violence (WPV) toward frontline health workers under comprehensive interventions to improve the occupational safety and health management system in a Chinese infectious disease hospital. Methods: The risk assessment of WPV using an international questionnaire was conducted in 2018 and 2021 to compare the perceived levels of exposure to WPV and intervention measures before and after the intensification of anti-violence measures in the hospital context. Additionally, qualitative data were collected in 2021 through semi-structured and unstructured interviews, providing complementary information about WPV toward frontline health workers (HWs). Results: After establishing the occupational safety and health management system (OSHMS), the total incidence rate of WPV decreased from 60.90% in 2018 to 34.44% in 2021. Psychological violence declined significantly from 60.90% in 2018 to 33.89% in 2021. The endorsement of precautionary measures increased significantly from 2018 to 2021, including patient screening recognition, patient protocol, shift or rota changes, etc. A thematic analysis of several subthemes shows that HWs had an in-depth understanding of WPV, recognizing its multifaceted consequences in the context of complex risk factors. Conclusions: This study demonstrates a significant decrease in WPV, psychological violence, verbal abuse, bullying/mobbing, and ethnic discrimination after implementing the comprehensive OSHMS. [ABSTRACT FROM AUTHOR]

Background: Polycyclic aromatic hydrocarbons (PAHs) have toxic potential, especially as carcinogens, neurotoxins, and endocrine disruptors. The objective of this study is to know the impact of exposure to PAHs on the reproductive health of male workers who operate in solar thermal plants. Methods: Case–control study. A total of 61 men were included: 32 workers exposed to PAH at a solar thermal plant and 29 unexposed people. Seminal quality was studied both at the cellular level (quantity and quality of sperm) and at the biochemical level (magnitudes of oxidative stress in seminal plasma). Results: In exposure to PAHs, a significantly higher seminal leukocyte infiltration was observed, as well as lower activity in seminal plasma of superoxide dismutase (SOD) and a reduced glutathione/oxidised glutathione (GSH/GSSG) ratio. The oxidative stress parameters of seminal plasma did not show a relationship with sperm cellularity, neither in those exposed nor in those not exposed to PAH. Conclusion: One year of exposure to PAH in a solar thermal plant does not have a negative impact on the sperm cellularity of the worker, either quantitatively (sperm count) or qualitatively (motility, vitality, morphology, or cellular DNA fragmentation). However, PAH exposure is associated with lower antioxidant capacity and higher leukocyte infiltration in seminal plasma. [ABSTRACT FROM AUTHOR]

Military burn pits, used for waste disposal in combat zones, involve the open-air burning of waste materials, including plastics, metals, chemicals, and medical waste. The pits release a complex mixture of occupational toxic substances, including particulate matter (PM), volatile organic compounds (VOCs), heavy metals, dioxins, and polycyclic aromatic hydrocarbons (PAHs). Air pollution significantly impacts brain health through mechanisms involving neuroinflammation. Pollutants penetrate the respiratory system, enter the bloodstream, and cross the blood–brain barrier (BBB), triggering inflammatory responses in the central nervous system (CNS). Chronic environmental exposures result in sustained inflammation, oxidative stress, and neuronal damage, contributing to neurodegenerative diseases and cognitive impairment. Veterans exposed to burn pit toxins are particularly at risk, reporting higher rates of respiratory issues, neurological conditions, cognitive impairments, and mental health disorders. Studies demonstrate that Veterans exposed to these toxins have higher rates of neuroinflammatory markers, accelerated cognitive decline, and increased risks of neurodegenerative diseases. This narrative review synthesizes the research linking airborne pollutants such as PM, VOCs, and heavy metals to neuroinflammatory processes and cognitive effects. There is a need for targeted interventions to mitigate the harmful and escalating effects of environmental air pollution exposures on the CNS, improving public health outcomes for vulnerable populations, especially for Veterans exposed to military burn pit toxins. [ABSTRACT FROM AUTHOR]

Neck pain can induce specific motor responses and alterations in muscle strength. Therefore, this study aimed to investigate and compare the progression of cervical muscle strength within and between students with and without neck pain over the course of their first semester of clinical training. We used an online Nordic Musculoskeletal Questionnaire for group allocation, and neck strength in flexion, extension, and lateral flexion on both sides was measured using the KForce Bubble Pro hand-held dynamometer. Forty-four students were divided into neck pain (n = 21) and asymptomatic (n = 23) groups. Both groups increased neck strength by the end of the semester in flexion, extension, and left and right lateral flexion (p < 0.001). Students experiencing neck pain showed a significantly lesser degree of improvement (p = 0.036) in right lateral flexion. The agonist/antagonist ratios revealed an enhanced role of neck extensors across both groups. Dental students showed overall increased cervical strength in their first semester of clinical training. Those with neck pain exhibited a diminished rate of strength gain in right lateral flexion when compared with students without pain by the semester's end, suggesting different neuromuscular adjustments to clinical practice in students experiencing pain, which may lead to functional impairments in later training stages. [ABSTRACT FROM AUTHOR]

Background: In the aftermath of the Coronavirus pandemic and the resulting lockdown and social distancing policies, a new form of work, already existing in the past, has been further enlarged. Teleworking is "full- or part-time electronic work, on-line or off-line, performed at home by self-employed or office workers" and today represents an important lever for companies, including for sustainability, allowing employees to work flexibly, efficiently and remotely. The relationship between telework and sustainability in economic, social, and environmental aspects is also being questioned. The aim of this systematic review is to investigate the effects this has had on workers' mental health. Methods: PRISMA guidelines were followed. The research was performed on Pubmed and Scopus without restrictions on study type and time limits. The methodological quality of the studies included was assessed using AMSTAR-2, INSA and NOS scales. A meta-analysis of the main adverse effects found in observational studies was also carried out. Results: A total of 38 articles were included in the systematic review. A large proportion of the studies examined showed a correlation between teleworking and worsening mental health. The meta-analysis showed increased levels of mental ill-health (38.8%), stress (28.4%), isolation (6.3%), anxiety (23%), depression (22.6%), work–family conflicts (19.5%), poor sleep quality (56.4%), fatigue (16.1%) and irritability (39.6%). Conclusions: Although most of the works analyzed show a deterioration in the mental health of workers, positive effects were noted in some. There is the need for more studies to optimally investigate the cause–effect relationship between teleworking and mental health deterioration. [ABSTRACT FROM AUTHOR]

Vietnam is a country most at risk for experiencing climate change effects, especially increasing temperatures. Agricultural production is one of the biggest contributors to Vietnam's economy. Recent research has explored how climate change will impact agriculture in Vietnam. However, the impact of climate change to the health, safety, and wellbeing of Vietnamese farmers is often overlooked. In this study, we conducted five focus groups with 46 farmers representing three provinces of Vietnam. We used a convergent mixed-methods design and a Total Worker Health® framework to assess how farmers in Vietnam experience climate-change-related hazards and describe how famers associate these hazards with impacts to their health, safety, and wellbeing. Multi-dimensional scaling suggests farmers conceptualize hazards separately from health, safety, and wellbeing outcomes, but a thematic analysis of our data indicated that farmers perceive both direct and indirect impacts of climate change to their health, safety, and wellbeing. Direct impacts of climate change described included physical health effects such as heat stress. Indirect impacts included mental health stressors due to productivity demands. Gaps in available health and safety trainings for farmers were also identified. This project demonstrates the need to co-develop safety and health trainings with farmers. System-level approaches both at the societal and community levels are needed. The local governments, cooperatives, Women's Unions, and Farmers' Unions are trusted sources of information that could implement and disseminate these trainings. [ABSTRACT FROM AUTHOR]

The occupational health and safety of agricultural workers is a topic that has a direct impact on the agricultural sector worldwide. For this reason, investigations into ergonomic factors are relevant to the health and safety of agricultural workers. In this study, nine variables of the physical–ergonomic dimension were analyzed to determine which factors represent occupational risks for agricultural workers in Mayo Valley, Mexico. A sample of 200 people was considered. The sample was separated by gender and divided into groups according to age. A closed-ended survey was developed and validated to assess physical ergonomics variables using a five-level Likert scale. Using Principal Component Analysis, it was found that there are physical ergonomic variables that affect male agricultural workers more than female workers (the risk of carrying heavy objects, PE3, and the risk of performing repetitive movements, PE4). It was also found that certain physical ergonomic variables are not perceived as hazardous by agricultural workers (the risk of using inappropriate materials, PE9). In addition, various research findings are discussed to determine the implications and recommendations for improving the occupational health and safety of agricultural workers in Mayo Valley, Mexico. [ABSTRACT FROM AUTHOR]

Wildland firefighting represents a physically and mentally demanding endeavour fraught with various risk factors. The primary aim of this study is to delineate occupational chemical exposure within the firefighting work environment on the firefront and its implications for firefighters' health status. A systematic literature review was conducted utilising diverse keyword combinations across Scopus, Web of Science, Academic Search Complete, and ScienceDirect databases. Only English-language journal articles, real-world monitoring reports, and studies featuring samples of firefighters were considered for inclusion. Forty-one studies were analysed, with 26 focusing on firefighters' occupational exposure to chemical agents during wildland firefighting and 15 addressing the health impairments of wildland firefighting activities. Polycyclic aromatic hydrocarbons (PAHs), VOCs, and particulates emerged as the most prevalent chemical agents in the exposure profiles of frontline firefighters. They were shown to be the main incidents of cardiovascular disease, respiratory disease, and work-related cancer. The rigorous demands of wildland firefighting have been demonstrated to significantly impact firefighter health, resulting in a notable prevalence of fatalities and illnesses. Given that an elevated number of health issues are common in this occupation, adopting advanced assessment technologies is imperative. [ABSTRACT FROM AUTHOR]

Background: Law professionals are understudied, and little is known about their mental health. This cross-sectional study aimed to assess the relationship between the amount of physical activity and depressive symptoms. Methods: A sample of 681 law professionals completed a survey that assessed mental health conditions and activities to promote well-being. Crude and adjusted odds ratios (ORs) and 95% confidence interval (95% CI) were calculated for the relationship between the number of days of an hour or more of physical activity and two levels of depression from the patient health questionnaire-9 (PHQ-9). Results: Law professionals were found to have significantly more depressive symptoms, mild or worse and moderate or worse, when reporting 0 days of physical activity when compared to 7 days, with OR of 6.07 (95% CI 2.55–14.48) and 8.64 (95% CI 1.97–37.82) and adjusted ORs of 3.91 (95% CI 1.58–9.68) and 6.32 (95% CI 1.4–28.33), respectively. A dose response was also noted. Conclusions: There was a statistically significant relationship found between amounts of physical activity and depressive symptoms in law professionals. We recommend future research be conducted to better understand this relationship. [ABSTRACT FROM AUTHOR]

Dental practitioners, as part of their work, are exposed to a variety of hazards. This highlights the ongoing need for attention to occupational health in the dental field. A cross-sectional study was organised to investigate the range, prevalence, and associated factors for occupational health problems related to dental practice among Cambodian dentists. Participants underwent a face-to-face interview to explore dentists work-related health problems; 106 Cambodian dentists participated in this study, of which 68.9% were male. Ages ranged from 29 to 71 years, averaging 36.1 years, with the majority (77.4%) in the 29–40 age group. They had 5 to 18 years of practice experience, and worked an average of 52.2 h per week. Commonly reported health issues included back pain (88.7%), headaches (81.1%), shoulder pain (78.3%), arm/hand pain (57.5%), and eye problems (48.1%). Additionally, 38.7% of participants felt stressed and 19.8% depressed. Some reported suicidal thoughts and taking medication for depression. Despite these challenges, 91.5% enjoyed practicing dentistry. These findings highlight the need for interventions and strategies to address the physical and mental well-being of Cambodian dentists. By addressing these issues, steps can be taken to enhance the working conditions and professional satisfaction of dental professionals, ultimately benefiting both the practitioners and their patients. [ABSTRACT FROM AUTHOR]

The work of wildland firefighters, especially of the so-called 'Brigadas de Refuerzo contra Incendios Forestales', is characterised by high physical demands and extreme operating conditions. These professionals face long workdays (12 h), walking with heavy loads (~25 kg), being exposed to high temperatures (>30 °C), and handling specialised tools in high-risk environments. This study aimed to describe the prevalence of occupational injuries among members of the 'Brigadas de Refuerzo contra Incendios Forestales' and its relationship to variables such as age and work experience. A total of 217 wildland firefighters (18 female and 199 male) correctly answered a questionnaire developed on an ad hoc basis to meet the study's objectives. A high prevalence of occupational injuries was observed among them (~76%). Age and work experience were shown to be significantly associated with injuries. Individuals over 35 years of age with more than 10 years' experience had a higher probability of injury (OR = 2.14, CI = 1.12–4.06 and OR = 2.46, CI = 1.30–4.67, respectively). Injuries occurred mainly during physical training (~46%), followed by preventive work (~33%) and forest fires (~20%). The most common injuries were tendonitis and muscle pain (~44% and ~21% respectively), followed by sprains (~21%). The results underline the need for physical activity programmes adapted to help wildland firefighters, especially older and more experienced individuals. The identification of risk factors such as age and work experience can contribute to the prevention and management of occupational injuries among this group of highly specialised forestry workers. Specific preventative measures during training are required to mitigate the risk of injury among these crews, who play a crucial role in protecting the environment and public safety. [ABSTRACT FROM AUTHOR]

Background: Undergraduate dental curricula and courses containing ergonomic principles are introduced to students from the very beginning of dental education. Still, dentists present a high prevalence of musculoskeletal disorders, which are a direct burden on quality of life, leading to early retirement from the profession. This study aimed to assess the state of students' knowledge and awareness regarding the role of ergonomics in dentistry and its practical implementation. Methods: a cross-sectional study using a predesigned self-administered questionnaire was conducted among fourth- and fifth-year dental students of the Medical University of Silesia in Katowice, Poland (response rate of 69.2%). Results: A total of 94.6% of students declared a good, fair, or moderate level of knowledge of the subject, with a significant difference in favor of the fifth-year students (p = 0.008). Moreover, 76.1% of respondents showed a good or very good attitude toward ergonomics as a university curriculum subject. A total of 72.3% of respondents declared that the practical application of ergonomic rules in clinical dentistry is very important (five in a five-point scale). Women found dental ergonomics more important than men (p < 0.001). However, 79.3% of participants admitted not following basic ergonomic principles during clinical procedures. Conclusion: The research revealed a discrepancy between theoretical knowledge and awareness and the practical application of ergonomics in a clinical environment. Only by inculcating correct occupational standards and abiding by them from the commencement of dental education can consistency between theory and practice be achieved. This will hopefully ensure the health and well-being of dental team members throughout their professional lives. [ABSTRACT FROM AUTHOR]

Psychosocial risks seem to have a great impact on non-university teachers, giving rise to consequences such as burnout, health problems, and lack of engagement. These consequences result from high levels of stress, caused by an imbalance between demands and resources at work. Socio-cultural differences between Spain and Mexico, such as fewer educational resources and higher job insecurity in Mexico, can lead to a disparity in burnout rates, disproportionately impacting the occupational health in teachers from these countries. Thus, this study aims to (1) analyse psychosocial risks in two samples; (2) evaluate the relationships between demands, resources, and consequences; and (3) study the moderating effect of country on these relationships. Participants were 169 Spanish teachers and 218 Mexican teachers. Results showed that Spanish teachers experienced more role conflict, interpersonal conflict, work overload, and job insecurity. In both countries, work overload was the strongest predictor of burnout and health problems. Engagement was positively influenced by social support and autonomy in both contexts, with autonomy being the strongest predictor in Mexico. The type of country only moderated the relationship between job insecurity and burnout, being stronger in the case of Mexico. These findings provide crucial insights for the development of intervention programs aimed at reducing workload, managing conflicts, and enhancing social support, thus contributing to the social sustainability of the teaching profession. [ABSTRACT FROM AUTHOR]

Background: In this study, we hypothesized that safety footwear (SF) impacts gait patterns, potentially contributing to the podiatric symptoms reported by workers. The purpose of this work was to compare the gait analyses of workers wearing SF and sneakers using inertial sensors while also examining the occurrence of foot problems. Methods: A consecutive cohort of workers from different occupational sectors who wore SF during their work shifts were prospectively assessed through a gait analysis. The gait analysis was conducted under two conditions: first, while wearing SF, and second, while wearing sneakers. In both conditions, inertial sensors were used (Wiva® MOB). Participants also underwent a podiatric physical examination to evaluate foot problems. Results: This study shows that SF resulted in a worsening gait pattern compared to sneakers in both genders. The impact was particularly pronounced in female participants, resulting in a significant decline in walking speed and cadence. Discomfort was reported by 83.3% of participants, with a higher prevalence in females (46.6% vs. 36.6%). The SF group exhibited an elevated prevalence of foot problems, with no significant gender variations. It seems that foot problems are more likely to occur when a foot deformity, such as flat or cavus foot or hallux valgus, is present. Conclusions: This study suggests that SF may contribute to the reported podiatric symptoms among workers. Certain footwear characteristics, including weight, mis-fit, and inadequate design, may be factors associated with footwear discomfort and adverse gait patterns, potentially leading to increased foot problems among workers. [ABSTRACT FROM AUTHOR]

Dysfunctional work environments are characterized by the presence of psycho-social risks, such as workplace bullying (WB): hostile, systematic, and planned behaviors toward other workers in order to get them to leave the organization they work for. The aims of this study are (1) to analyze the prevalence of WB in a sample of teachers and (2) to determine the relationship between socio-demographic and socio-labor variables in relation to three study groups: teacher victims of WB, violent behaviors, and null or low violence. The sample consists of 3442 teachers working in publicly regulated educational centers located in the province of Valencia (Spain). Estimated frequencies, cross-tabulations, and effect sizes were analyzed using SPSS 24. The following results were obtained: (1) 12.26% were potential WB cases, and (2) potential victims of WB were not influenced by the socio-demographic and socio-labor variables proposed. The results obtained did not make it possible to determine a single profile of a teacher victim of WB. It is recommended that training protocols be developed to help teachers recognize and manage WB more effectively. This will improve their health, well-being, and performance in educational centers. [ABSTRACT FROM AUTHOR]

Despite advances in legislation and social attitudes, workplace discrimination against sexual and gender minority populations remains prevalent, posing significant psychosocial risks. This study aims to explore the occupational health challenges faced by LGBTQIA+ populations, examining factors of discrimination, support, and prevention strategies. Methods: A narrative review of articles from the Scopus, PubMed, and Web of Science databases was carried out, focusing on studies published between 2011 and 2024. Articles in English, Spanish, and Portuguese were considered. Results: 359 studies were identified, and 11 articles were selected for analysis. The findings reveal pervasive discrimination experienced by LGBTQIA+ workers in the workplace, impacting their mental health and job satisfaction. Factors influencing disclosure of sexual or gender identity at work were identified, including workplace characteristics and anti-discrimination policies. Conclusions: Promoting inclusive and supportive work environments is crucial to the well-being of LGBTQIA+ employees. Recommendations include strengthening anti-discrimination protections, improving education and training on LGBTQIA+ issues, and promoting explicit communication about support and equality. Despite progress, more research is needed to address gaps in understanding and effectively promote the occupational health of sexual and gender minority populations. [ABSTRACT FROM AUTHOR]

Healthcare workers often have irregular work schedules and experience significant stress, which can lead to poor sleep quality and frequent mental health issues, especially in the context of the COVID-19 pandemic. In this cross-sectional study, we aimed to assess the prevalence of poor sleep hygiene and mental health complaints among healthcare workers and examine their associations. We investigated participants' typical sleep–wake patterns on workdays and free days as indicators of sleep hygiene. Sleep efficiency and social jetlag were calculated as the ratio of mean sleep duration to time spent in bed, while sleep rebound was defined as the difference in mean sleep duration between workdays and free days. Social jetlag was determined as the difference in mid-sleep timing between workdays and free days, with mid-sleep defined as the midpoint between bedtime and wake-up time. Insomnia severity was assessed using the Insomnia Severity Index (ISI), daytime sleepiness using the Epworth Sleepiness Scale (ESS), and symptoms of anxiety and depression using the Patient Health Questionnaire 4 (PHQ-4). Fatigue was measured using a single item inspired by the Maslach Burnout Inventory (MBI). A total of 1562 participants (80.5% women, mean age 40.0 years) were included in the study. The results revealed that 25.9% of participants slept less than 6 h, 24.3% had a sleep efficiency of less than 85%, 27.3% experienced a sleep rebound of more than 2 h, and 11.5% reported a social jetlag exceeding 2 h. Additionally, 33.9% of participants reported insomnia, 45.1% reported excessive daytime sleepiness, 13.1% reported fatigue, 16.5% reported symptoms of depression, and 35.7% reported symptoms of anxiety. After adjustment, mean sleep duration and sleep efficiency were associated with most mental health complaints. Sleep rebound and social jetlag were associated with significant insomnia but not with anxiety or depression symptoms. Our findings underscore the high prevalence of poor sleep hygiene and mental health complaints among healthcare workers, exacerbated by the COVID-19 crisis. We advocate for the promotion of sleep health through behavioral sleep strategies to safeguard the well-being of healthcare professionals. [ABSTRACT FROM AUTHOR]

Caregivers experience lower back pain due to patient transfer. Foot position is an important and adjustable posture for reducing lumbar loads during patient transfer. Specifically, a suitable foot position provides the use of the lower limbs instead of the lumbar region in patient handling. Thus, we have developed a monitoring and feedback system for foot positioning using wearable sensors to instruct suitable foot positions. However, existing measurement methods require multiple specific wearable sensors. In addition, the existing method has not been evaluated in patient transfer, including twisting and lowering. Thus, the objective of this study was to develop and evaluate a measurement method using only a smartphone-installed inertial sensor for foot position during patient transfer, including twisting and lowering. The smartphone attached to the trunk measures the acceleration, angular velocity, and geomagnetic field. The proposed method recognizes anteroposterior and mediolateral foot positions by machine learning using inertial data. The proposed method was tested using simulated patient transfer motions, including horizontal rotation. The results showed that the proposed method could recognize the two foot positions with more than 90% accuracy. These results indicate that the proposed method can be applied to wearable monitoring and feedback systems to prevent lower back pain caused by patient transfer. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic presents unique requirements for accessible, reliable testing, and many testing platforms and sampling techniques have been developed over the course of the pandemic. Not all test methods have been systematically compared to each other or a common gold standard, and the performance of tests developed in the early epidemic have not been consistently re-evaluated in the context of new variants. We conducted a repeated measures study with adult healthcare workers presenting for SARS-CoV-2 testing. Participants were tested using seven testing modalities. Test sensitivity was compared using any positive PCR test as the gold standard. A total of 325 individuals participated in the study. PCR tests were the most sensitive (saliva PCR 0.957 ± 0.048, nasopharyngeal PCR 0.877 ± 0.075, oropharyngeal PCR 0.849 ± 0.082). Standard nasal rapid antigen tests were less sensitive but roughly equivalent (BinaxNOW 0.613 ± 0.110, iHealth 0.627 ± 0.109). Oropharyngeal rapid antigen tests were the least sensitive (BinaxNOW 0.400 ± 0.111, iHealth brands 0.311 ± 0.105). PCR remains the most sensitive testing modality for the diagnosis of COVID-19 and saliva PCR is significantly more sensitive than oropharyngeal PCR and equivalent to nasopharyngeal PCR. Nasal AgRDTs are less sensitive than PCR but have benefits in convenience and accessibility. Saliva-based PCR testing is a viable alternative to traditional swab-based PCR testing for the diagnosis of COVID-19. [ABSTRACT FROM AUTHOR]

COVID-19 vaccines represent effective public health measures in contrasting the pandemic worldwide. However, protection at the individual-level, which is of crucial importance from an occupational health perspective, is commonly assessed by a serological correlate of protection (CoP) for SARS-CoV-2, which has not yet been determined. The emergence of variants of concern (VOCs) that have shown high rates of breakthrough infections has further complicated the understanding of immune protection against infection. To define a potential serological correlate of protection induced by the COVID-19 vaccination, a systematic review and meta-analysis was performed to summarize the evidence concerning the binding antibody concentration corresponding to a protective effect. Eighteen and four studies were included in the qualitative and quantitative analyses, respectively. The protection against infection was shown for anti-receptor-binding domain (RBD) titers ranging from 154 to 168.2 binding antibody units (BAU)/mL during the pre-Omicron period, while ranging from 1235 to 3035 BAU/mL in the Omicron period. Pooling the results from the studies concerning anti-RBD and anti-Spike antibody titer, we found a mean of 1341.5 BAU/mL and 1400.1 BAU/mL, respectively. These findings suggest that although a fixed serological threshold corresponding to protection against different SARS-CoV-2 variants is not yet definable, higher binding antibody concentrations are associated with increased protective effects. [ABSTRACT FROM AUTHOR]

Repetitive tasks can lead to long-term cardiovascular problems due to continuous strain and inadequate recovery. The automobile operators on the assembly line are exposed to these risks when workload volume changes according to the workstation type. However, the current ergonomic assessments focus primarily on observational and, in some cases, biomechanical methods that are subjective and time-consuming, overlooking cardiorespiratory adaptations. This study aimed to analyze the cardiorespiratory response to distinct workload volumes and ergonomic risk (ER) scores for an automotive assembly line. Sixteen male operators (age = 38 ± 8 years; BMI = 25 ± 3 kg·m2) volunteered from three workstations (H1, H2, and H3) with specific work cycle duration (1, 3, and 5 min respectively). Electrocardiogram (ECG), respiratory inductance plethysmography (RIP), and accelerometer (ACC) data were collected during their shift. The results showed significant differences from the first to the last 10 min, where H3 had its SDRRi reduced (p = 0.014), H1's phase synchrony and H2's coordination between thoracic and abdominal movements decreased (p < 0.001, p = 0.039). In terms of ergonomic risk, the moderate-high rank showed a reduction in SDRRi (p = 0.037) and moderate-risk activities had diminished phase synchrony (p = 0.018) and correlation (p = 0.004). Thus, the explored parameters could have the potential to develop personalized workplace adaptation and risk assessment systems. [ABSTRACT FROM AUTHOR]

Occupational health and safety aims to promote and maintain optimal physical, mental, and social health for workers in their occupations. Within Saudi Arabia, adequate information must be gathered to address the various factors influencing occupational health and safety among nursing students to minimize occupational health hazards and ensure a safe clinical environment. This cross-sectional study was conducted in Riyadh, Saudi Arabia, between April and September 2023, involving 150 nursing students. Data collection included questions to gather sociodemographic information, and contained an instrument assessing the participants' knowledge of occupational health and safety and evaluation of risk control in clinical environments. Blood and other bodily fluids, workplace violence, needle-stick injuries, and injuries caused by sharp instrument tools were identified as the most prevalent occupational risks among the participants. Most nursing students were aware of occupational health and safety, with a high level of compliance with occupational health and safety measures and personal protective equipment use. We also identified a statistically significant correlation between occupational health and safety knowledge and risk control evaluation among nursing students. To ensure a safe and beneficial clinical training area, student nurses must complete extensive occupational health and safety courses before moving to clinical areas to reduce potential hazards that may affect their lives. [ABSTRACT FROM AUTHOR]

This study aimed to develop a problem-based learning program for occupational health nursing using smart learning, and to report the program's effects on occupational health knowledge and nursing professionalism. A quasi-experimental study was performed using a non-equivalent control group pre-test–post-test design. An occupational health nursing problem-based learning program using smart learning was developed, and students produced videos containing problem-solving strategies in groups. The experimental and control groups consisted of 34 and 29 participants, respectively. To collect data, an online survey was conducted before and immediately after the intervention. The experimental and control group's mean scores for occupational health knowledge before the intervention were 5.74 and 7.41, respectively. Additionally, the mean scores for nursing professionalism were 3.45 and 3.66. After the intervention, both the knowledge on occupational health and nursing professionalism score improved to 8.26 and 3.64 in the experimental group. This study reported significant improvements after conducting the occupational health nursing education program. These results demonstrate the need to develop a nursing education program for problem-based learning utilizing smart learning. Moreover, filming videos in cooperation with students can improve the effectiveness of education by improving knowledge. [ABSTRACT FROM AUTHOR]

The Campus of the Sapienza University of Rome, frequented daily by several thousands of students and workers, collects allergenic airborne pollen from many sources. Here, we report the results of detailed pollen monitoring of 49 pollen types within the University Campus, allowing us to trace the main local and regional sources of airborne pollen throughout the year. The amount of allergenic pollen has been calculated for each daily record to evaluate the risk of exposure for students and workers on Campus in relation to academic activities and to suggest possible mitigation measures. Our results show that the maximum pollen concentrations are recorded from March to May, and the highest floristic richness occurs in April–June. We distinguish massive local pollen producers from pollen of regional origin and local ornamental and invasive taxa. Pollen with extreme allergenicity is dominant from mid-January to mid-March and in May with Cupressaceae/Taxaceae, Corylus and Olea; high allergenicity from late March to late April with Platanus, Ostrya, Ginkgo and Moraceae; and medium allergenicity from late April to the beginning of May with Quercus and Pinus. In August–December, pollen concentration is relatively low. Diversified mitigation actions are suggested in relation to the provenance, allergenicity and emission period of pollen. [ABSTRACT FROM AUTHOR]

Occupational health and safety (OHS) is a largely technical field, still guided by a biomedical model of health that seeks to isolate factors that cause injury. Despite a growing literature on organisational and managerial factors influencing occupational health, their full integration into the OHS concept has been slow. A broader understanding is still needed to recognise the restructuring of work and the link between well-being at work and management style. In the context of a rapidly changing world of work, increasing workforce diversity, and inequality, OHS needs to take account of the social sciences and humanities to broaden its reductionist vision. Occupational illnesses, distress, and suffering, especially in relation to relational or organisational issues, have no initial cause or specific ontology; they result from a long-standing process or repetitive relational pattern that needs to be exposed and understood in greater depth, considering contextual factors and dynamics. Using the authors' anthropological backgrounds and the basic principles of the double bind theory developed many decades ago by Gregory Bateson and his colleagues at the Palo Alto School of Communication, we propose a reflection on pragmatic paradoxes or double bind situations in the workplace (which can be briefly defined as the presence of contradictory or conflicting demands or messages), their potential impact on workers' health and well-being, and how to resolve them. This paper sought to explore the world of pragmatic paradoxes and double binds by discussing different categories, types, or forms of paradoxes/double binds that occur in the context of occupational health and their underlying mechanisms. It also includes a discussion of the possible link to the concept of super-diversity, as it too is associated with migration channels, employment, gendered flows, and local systems. Finally, we discuss the practical implications of this understanding for health professionals, researchers, and policymakers, from a perspective of promoting more holistic and context-sensitive interactional approaches to occupational health. [ABSTRACT FROM AUTHOR]

The primary sources of ultrafine particulate matter are linked to human activity. Certain particulate emissions, particularly those of a finer nature, can significantly impact human health, making them one of the most concerning pollutants. Ultrafine particles (UFPs), which have a diameter of less than 100 nm, are of particular concern due to their impact on human health and the difficulty in controlling them. The concentration of ultrafine particles (UFPs) in the workplace is a growing concern and is classified as an emerging risk. Workers may be exposed to UFPs through inhalation, skin absorption, ingestion, or a combination of these routes. This study aims to determine the levels of UFP exposure among workers in environments with varying direct particle emission patterns. Measurements were conducted to compare the results with the levels recommended by the WHO. The study monitored industrial workplaces with direct particulate matter emissions, such as a carpentry workshop and a bakery, as well as social sector sites without or almost without direct particle emissions, such as a school and a health clinic. One conclusion drawn from this study is that all tasks and occupations are susceptible to high levels of UFPs, exceeding WHO recommended values in virtually all monitored environments. Therefore, monitoring and controlling UFPs is crucial. Further in-depth studies on this subject are also necessary. [ABSTRACT FROM AUTHOR]

Background: Given the lack of previous studies on adverse events (AEs) in the area of occupational healthcare in Spain, it is very important to begin to understand this phenomenon in order to act on it. The objective was to accurately quantify AE occurring in occupational healthcare in MC Mutual during May 2021. Methods: We conducted a review of a representative random sample of 250 clinical records to identify AEs through an active search audit, focused on the frequency, type, severity, and preventability of these events, categorized using standardized scales. Results: We detected seven AEs in the sample of clinical records, representing 3% AEs per clinical record, while in the APEAS Spanish Study, they were detected in 10% of patients. The most frequent AE type was postoperative, followed by medication and diagnostic delay. The AEs were of intermediate severity and high severity and with a variable degree of being preventable. Conclusions: The detection of AEs has been useful in the development of projects and action plans such as specific training courses, safety patient newsletters, ambulatory risk maps, and treatment plans framed in the official certification of patient safety. These results should be evaluated in other companies similar to MC Mutual. [ABSTRACT FROM AUTHOR]

Lower back pain (LBP) describes pain of indeterminate duration between the lower edge of the ribs and the buttocks. LBP hinders movement, quality of life, and mental well-being, and limits work activities and engagement with family and friends. LBP represents a public health problem, and most workers are expected to experience LBP symptoms throughout their working lives. The study's main objective was to characterize LBP in the hospitality population of the province of León, Spain, determining the risk factors. A pilot study with a cross-sectional observational design was developed following the guidelines of Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) for 150 Spanish hotel workers. Sociodemographic and lifestyle, occupational, and clinical data related to LBP were obtained through surveys. The annual prevalence of LBP in this study was 87.1% which was higher in women. A significant relationship (p < 0.05) was obtained between sex, income, smoking, sleep quality, and all labor variables with LBP. In addition, the Fear Avoidance Beliefs Questionnaire (FABQ) results revealed that 49% of the participants had a score > 14. Also, 83.3% of patients with >6 annual LBP crises suffered from sciatica. Once the results were known, preventive intervention would be needed to reduce these main risk factors for LBP for hospitality workers. [ABSTRACT FROM AUTHOR]

Maintaining mental health is essential for professions with higher stress levels and challenging environments, including emergency specializations. In this study, the occurrence of distress, anxiety, and depression among a group of ambulance and hospital emergency care professionals was assessed (n = 202). A cross-sectional, quantitative, descriptive online survey was conducted, including the internationally validated Beck depression inventory (BDI), the perceived stress scale (PSS-14), and the State–Trait Anxiety Inventory (STAI). Statistical analyses involved descriptive statistics, the χ2-test, Mann–Whitney U test, Kruskal–Wallis test, Dunn–Bonferroni test, logistic regression (LR), Cramer coefficient (Cramer's V), Kolmogorov–Smirnov test, and Spearman's rank correlation coefficient (rs). Based on the results, female professionals are more likely to have depressive symptoms (OR = 2.6, 95% CI = 1.3–5.1), perceived stress (OR = 1.2, 95% CI = 1.2–4.1), and anxiety (OR = 2.1, 95% CI = 1.0–4.1) than male professionals. Perceived stress levels decreased proportionally with increasing years spent working in healthcare (OR = 7.4, 95% CI = 7.1–8.3). Extended work shifts of 12 or 24 h increase the risk of perceived stress and anxiety in emergency care workers (p = 0.02). Customized stress management interventions are needed to mitigate the amplified mental strain associated with gender, working years, and longer shifts in the emergency care sector to sustain their mental health and well-being. [ABSTRACT FROM AUTHOR]

The northern region of Portugal has the largest number of companies manufacturing granite and stone products, which has become the region's trademark. In the municipalities of Marco de Canaveses and Penafiel, the economic activity of this area is important. However, the lack of attractiveness of this activity, combined with the high prevalence of silicosis and tuberculosis in this population, has led to a growing shortage of labor. In order for this project to be the result of collaborative, integral work centered on the people who are the target of health promotion, we used the Participatory Health Research (PHR) approach, based on the PRECEDE-PROCEED model, to implement a mixed-methods study, including participant observation, interviews and document analysis. These data were used to co-create a study design. In 2021, a total of 102 interviews were carried out and self-completion surveys were distributed: the Fantastic Lifestyle Questionnaire (FLQ) and the EQ-5D-3L. Within the scope of occupational health nursing and in the field of action of public health nurses, with the interviews and self-completed surveys carried out, we identified potential focuses for occupational health nursing intervention to promote the health of stone industry workers: adherence to protective measures, energy balance deficit, tobacco and alcohol consumption and access to health services. Data analysis made it possible to assess the prevalence of risk behaviors by order and to involve managers and workers in the co-creation of a health promotion program. The accurate identification of the focuses for nursing intervention not only improves the effectiveness of occupational health services, allowing for targeted interventions adapted to workers' needs, but also contributes considerably to health promotion in the workplace, resulting in safer working environments, a reduction in occupational diseases and, consequently, a healthier and more productive workforce. This protocol of this study was not registered. [ABSTRACT FROM AUTHOR]

Background and Objectives: Despite the importance of nutritional status and a healthy lifestyle in shaping overall well-being, little is known about examining gender-specific differences and trends in health, lifestyle, and nutritional status. The present study aimed to evaluate blood levels of micronutrients, homocysteine, and CoQ10, as well as physical activity (PA) levels and sedentary behavior, among a cohort of Austrian bank staff, with a particular focus on identifying gender differences as well as gender-specific nutritional deficiencies compared to the reference ranges. Materials and Methods: Following a cross-sectional study design, 123 Austrian bank staff (mean age: 43 years; 51% females) participated in this study. Blood samples were collected to evaluate participants' micronutrient status and serum levels of homocysteine and CoQ10. Whole-blood values of macronutrients were compared to gender-specific reference ranges and categorized into three groups: below, within, or over the range. The WHO's Global Physical Activity Questionnaire was used to assess PA levels and sedentary behaviors. Results: No significant difference between males and females was found for diet types, PA levels, sedentary time, homocysteine levels, or CoQ10 values (p > 0.05). A high PA level was reported by 64% of males and 58% of females. 71% of females and 56% of males were found to have a vitamin D deficiency. 63–98% of females and 72–97% of males showed normal blood levels for the remaining micronutrients, including potassium, calcium, magnesium, copper, iron, zinc, selenium, manganese, molybdenum, B6, B9, and B12. Conclusions: The findings highlight the necessity of implementing tailored strategies to foster healthy lifestyle behaviors, thereby enhancing the overall state of health, particularly in the context of occupational health. [ABSTRACT FROM AUTHOR]

Together with (physical and mental) exercise, diet, and social activities, sleep is a key health behavior that occupies one third of our lives, yet remains neglected. In the first part of this review, we present the current knowledge on how sleep promotes body, brain, mental, occupational, and social health as well as creativity, productivity, and well-being. In the second part, we discuss how good sleep and screening for sleep–wake disorders may improve health and reduce the burden of brain, mental, cardiovascular, metabolic disorders and cancer. We also review the literature on measurements of sleep health and present the Bernese Sleep Health Questionnaire, a new and simple tool to assess sleep health and screen for sleep–wake circadian disorders in clinical practice. [ABSTRACT FROM AUTHOR]

While there is burgeoning interest in the influence of human resource management (HRM) on sustainability organizational outcomes (SOO), the intricate interplay with Occupational Health and Safety (OHS) has not yet been explored, particularly in manufacturing firms' contexts. Therefore, this study aims to probe the symbiotic relationship between HRM practices, OHS, and SOO, spotlighting manufacturing firms. Data collection was conducted by utilizing a cross-sectional survey, convenience sampling technique, and a web-based form among the 256 respondents from an industrial company (Balexco) in Bahrain. Structural Equation Modeling (SEM) by Smart-PLS was used to analyze the collected data. Our analysis highlighted a significant positive relationship between HRM, SOO, and OHS. Moreover, this study highlighted the dual impact of direct and indirect HRM on SOO, mediated by OHS. These multi-layered insights reinforce the assumption that a comprehensive approach to HRM, aligning performance aspirations with employee well-being, is instrumental in improving SOO. This study is a novel contribution to the literature because, by uncovering the intricate interplay of HRM, OHS, and SOO, practical implications and limitations were provided. [ABSTRACT FROM AUTHOR]

Background: Complete decongestive therapy is the standard treatment for lymphedema. Manual lymphatic drainage and short-stretch multilayer compression bandaging are two daily stages of complete decongestive therapy during which physiotherapists work with patients. Objective: The aim of this study was to assess the risks of musculoskeletal disorders to which physiotherapists are exposed during these two phases. Method: Five physiotherapists performed five 20 min manual lymphatic drainages, followed by the compression bandaging phase. From the video recordings, 8477 postures defined by 13 joint angles were grouped into clusters using hierarchical cluster analysis. The risk of musculoskeletal disorders in physiotherapists' postures was assessed using ergonomic tools. Results: Seven clusters, called generic postures (GP), were identified and defined throughout the mean joint angle values and standard deviation. Four seated GPs were found for the drainage phase, and three standing GPs were identified for the bandaging phase. This phase corresponded to a quarter of the total duration. The GP's ergonomic scores ranged from 4.51 to 5.63 and from 5.08 to 7.12, respectively, for the Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA). GP1, GP3, and GP4 presented the highest ergonomic scores (RULA scores: 5.27 to 5.63; REBA scores: 6.25 to 7.12). The most affected areas were the neck (flexion > 20° for all GPs), trunk (flexion between 25 and 30° for GP2, and GP7 during the bandaging phase and GP4 during the drainage phase), and shoulder (flexion and abduction >20° for all GPs except GP5). Conclusions: These results highlighted that the two complete decongestive therapy phases could be described as a combination of GP. Ergonomic assessment showed that compression bandaging as well as drainage phases expose physiotherapists to moderate musculoskeletal disorder risks that require "further investigation and change soon". [ABSTRACT FROM AUTHOR]

This quantitative observational cross-sectional study assessed the prevalence and level of risk scores for varicose veins among nurses, and the association between varicose veins and sociodemographic, occupational, and lifestyle risk factors. Using simple random sampling, from August–December 2022, 250 nurses from different departments at King Khalid University Hospital completed a validated self-administered questionnaire and underwent an observational physical examination. Most nurses (191) had low-risk scores for varicose veins, 46 nurses had moderate-risk scores, and 13 nurses had high-risk scores. From the outpatient clinics, 61.5% of nurses had significant high-risk scores for varicose veins. Those with a statistically significant association had a family history of varicose veins (p < 0.001) and other chronic medical conditions (p = 0.04). Physical activity, especially race-walking/running (p = 0.006), showed a statistically significant association with the varicose veins score. The years as a staff nurse were statistically significant among the occupational risk factors (p = 0.003). The adjusted multivariable regression model showed three significant predictors: a positive family history, running/walking, and total years as a staff nurse (p < 0.001, p = 0.02, and p < 0.001, respectively). Nurses working at outpatient clinics, positive family history, years as a staff nurse, and other chronic conditions are risk factors for varicose veins, while race-walking/running is a protective factor. [ABSTRACT FROM AUTHOR]

Police officers are part of a demanding professional activity with a high risk of occupational health and work–family conflict, and this is a topic of relevance to understanding occupational health sustainability. Based on this, this study developed and tested a mediation model that accounts for the work–family conflict (WFC) in the relationship between work–family boundary segmentation and well-being (i.e., burnout and engagement). A sample of 291 police officers from Portugal was used, and the hypotheses were tested by using structural equation modeling methods implemented with Mplus. The results indicated that over nonstandard work schedules and unpredictable working hours, family–work segmentation was negatively related to WFC, and work–family segmentation was negatively related to family-to-work conflict. Moreover, WFC fully mediated the relationship between segmentation and engagement but only partially mediated the relationship between segmentation and burnout. Conversely, family-to-work conflict fully mediated the relationship between segmentation and burnout but was not related to engagement. Such results suggest that the occupational health of these professionals is interdependent on their opportunity to enact the segmentation strategy to manage the boundary between work and family domains. In terms of its practical implications, this study sheds light on the environmental conditions of police officers that can foster and sustain their well-being. [ABSTRACT FROM AUTHOR]

(1) Background: In 2022, monkeypox (Mpox) was declared a public health emergency. The European Medicines Agency has authorized the use of Imvanex/Jynneos, a smallpox vaccine, for coverage against pox. Healthcare workers (HCWs) are all considered by the European Centre for Disease Prevention and Control to be at risk, but in Italy, vaccination was offered only to laboratory personnel. The present study aims to investigate smallpox vaccination coverage (VC) that provides protection against Mpox among HCWs in an Italian university hospital and to assess HCWs' attitudes towards the possibility of getting vaccinated against Mpox. (2) Methods: We conducted a cross-sectional survey. 336 HCWs from selected wards were asked to fill out a self-declaration to collect their sex, profession, ward, vaccination status, and attitude toward Mpox vaccination. (3) Results: 60.71% of HCWs involved provided the requested data; 38.7% of them were previously vaccinated against smallpox, which corresponds to 23.5% of the total HCWs in the wards considered. Considering those born before 1979 as vaccinated, VC increases from 23.5% to 41.7%; the percentage of HCWs who adhered to vaccination is 23%; laboratory technicians showed a lower willingness to be vaccinated. The ward with the highest willingness to vaccinate is proctological surgery. (4) Conclusions: Based on our experience, a variability in smallpox VC and in willingness to vaccination has emerged both among different job titles and age categories and across the wards analyzed. Additionally, our survey reveals that vaccination attitudes are higher among HCWs from wards that currently do not have free access to such vaccinations. [ABSTRACT FROM AUTHOR]

This study aims to explore the differences in the psychological impact of COVID-19 on physicians, specifically those who volunteered or were contractually obligated to provide care for COVID-19 patients. While previous research has predominantly focused on the physical health consequences and risk of exposure for healthcare workers, limited attention has been given to their work conditions. This sample comprised 300 physicians, with 68.0% of them men (mean age = 54.67 years; SD = 12.44; range: 23–73). Participants completed measurements including the State-Trait Anxiety Inventory (STAI), Coping Inventory in Stressful Situations (CISS), and Coronavirus Anxiety Scale (C.A.S.). Pearson's correlations were conducted to examine the relationships between the variables of interest. This study employed multivariate models to test the differences between work conditions: (a) involvement in COVID-19 patient care, (b) volunteering for COVID-19 patient management, (c) contractual obligation to care for COVID-19 patients, and (d) COVID-19 contraction in the workplace. The results of the multivariate analysis revealed that direct exposure to COVID-19 patients and contractual obligation to care for them significantly predicted state anxiety and dysfunctional coping strategies [Wilks' Lambda = 0.917 F = 3.254 p < 0.001]. In contrast, volunteering or being affected by COVID-19 did not emerge as significant predictors for anxiety or dysfunctional coping strategies. The findings emphasize the importance of addressing the psychological well-being of physicians involved in COVID-19 care and highlight the need for targeted interventions to support their mental and occupational health. [ABSTRACT FROM AUTHOR]

In response to new developments of work and employment in high-income countries (HICs), psychosocial aspects of work and health have received increased attention. In contrast, middle-income countries (MICs) are mainly concerned with severe challenges of noxious- and dangerous-material work environments, poor employment conditions, and deficient social policies, which leaves the psychosocial aspects with a marginal role, at best, in occupational health. More recently, differences between these two worlds were even aggravated by the COVID-19 pandemic. Yet, with economic globalisation and the growing worldwide interconnectivity, the world of work in MICs is being rapidly transformed, starting to share several concerns with the modern Western societies. In this process, psychosocial occupational health will become an increasingly pressing issue. This contribution explores the extent to which psychosocial aspects of work and health are already addressed in research originating from MICs. Using a narrative review approach, a selective focus on recent findings from two regions, Asia Pacific and Latin America, revealed an increasing interest in work stress-related problems, but a restricted impact of the respective research findings. It is hoped that future scientific developments in MICs will enrich the international state of the art in this field. [ABSTRACT FROM AUTHOR]

The purpose of this research was to propose safety measures and enhance worker health in building construction to minimize risks. The methodology followed a basic approach with a non-experimental, cross-sectional, and correlational design at a quantitative level involving a sample of 45 workers. This research employed methods such as direct observation, interviews, and documentary exploration, as well as tools including a comparison list, the SPSS program, and an impact evaluation. Scores, ranges, and levels of health and safety were determined, resulting in a score of 105 and dimensions ranging from 6 to 40. Similarly, for construction-related risks, a score of 105 was achieved, and the dimensions ranged between 6 and 40 points. The study's findings indicated that, concerning health and safety distribution, 8.89% considered the proposal as poor, 24.44% perceived it as average, and 66.67% regarded it as good. In terms of construction risks distribution, 33.33% perceived them as low, 31.11% as moderate, and 35.56% as high. This underscores the necessity of adhering to protective measures during construction projects to address the risks and uncertainties of prevention. [ABSTRACT FROM AUTHOR]

There has been an insurgence of allergic respiratory diseases such as asthma and rhinitis in industrialized countries in the last few decades as a result of the interaction between air pollutants and pollen, which has become a global and dramatic health problem. Air pollutants such as nitrogen dioxide, sulfur dioxide, ozone, and carbon dioxide affect the physical, chemical and biological properties of pollen such as the pollen content, production, and allergenicity, exacerbating symptoms in vulnerable subjects. When investigating these interactions and their effects, the environmental impact of climate change, weather variables and urbanization should be taken into account as well as the pollen species, type of pollutant, conditions of exposure, and individual susceptibility. Up to 25% of asthma adult cases are work-related, because several categories of workers in different sectors are exposed to aeroallergens and outdoor air pollutants. Thus, in this study, we evaluated the significant impacts of occupational allergies on worker's health and quality of life. In summary, to assess the effect of interactions between air pollutants and pollen on public and occupational health, all the factors that play a role in this context will be investigated, including environmental factors, individual susceptibility in relation to pollen species, type of pollutants, and conditions of exposure. [ABSTRACT FROM AUTHOR]

Background: The effectiveness of the immunity provided by SARS-CoV-2 vaccines is an important public health issue. We analyzed the determinants of 12-month serology in a multicenter European cohort of vaccinated healthcare workers (HCW). Methods: We analyzed the sociodemographic characteristics and levels of anti-SARS-CoV-2 spike antibodies (IgG) in a cohort of 16,101 vaccinated HCW from eleven centers in Germany, Italy, Romania, Slovakia and Spain. Considering the skewness of the distribution, the serological levels were transformed using log or cubic standardization and normalized by dividing them by center-specific standard errors. We fitted center-specific multivariate regression models to estimate the cohort-specific relative risks (RR) of an increase of one standard deviation of log or cubic antibody level and the corresponding 95% confidence interval (CI) for different factors and combined them in random-effects meta-analyses. Results: We included 16,101 HCW in the analysis. A high antibody level was positively associated with age (RR = 1.04, 95% CI = 1.00–1.08 per 10-year increase), previous infection (RR = 1.78, 95% CI 1.29–2.45) and use of Spikevax [Moderna] with combinations compared to Comirnaty [BioNTech/Pfizer] (RR = 1.07, 95% CI 0.97–1.19) and was negatively associated with the time since last vaccine (RR = 0.94, 95% CI 0.91–0.98 per 30-day increase). Conclusions: These results provide insight about vaccine-induced immunity to SARS-CoV-2, an analysis of its determinants and quantification of the antibody decay trend with time since vaccination. [ABSTRACT FROM AUTHOR]

Reproductive health is a considerable concern among US female law enforcement officers (LEOs). Miscarriage and preterm birth rates are significantly higher in women firefighters than published US averages. Since law enforcement and firefighting share occupational conditions and practices, adverse birth outcomes were hypothesized to be greater in female law enforcement officers (LEOs) than the US averages. Occupational hazards may place pregnant LEOs at a higher risk for complicated pregnancies and adverse birth outcomes. This study quantified pregnancy outcomes in female LEOs using a cross-sectional survey and compared them to US averages and large prospective studies. The participants (N = 162, 72.2% aged 31–49, 85.2% Caucasian) averaged 2.5 ± 1.4 pregnancies. Stress (59.1%) and shiftwork (59.8%) were the most common reported exposures. Miscarriage and preterm birth rates were 19.1% and 16.4%, respectively. Miscarriages were significantly greater among participants compared to prospective studies [χ2 (1, N = 911,971) = 20.51, p < 0.001]. Female LEOs of childbearing age should receive education about potential reproductive health hazards and take precautions against them. Moreover, policymakers, human resources, and healthcare providers should understand how law enforcement work might affect maternal health. [ABSTRACT FROM AUTHOR]

This review aims to characterize the current landscape of exoskeletons designed to promote medical care and occupational safety in industrial settings. Extensive exploration of scientific databases spanning industries, health, and medicine informs the classification of exoskeletons according to their distinctive attributes and specific footholds on the human physique. Within the scope of this review, a comprehensive analysis is presented, contextualizing the integration of exoskeletons based on different work activities. The reviewers extracted the most relevant articles published between 2008 and 2023 from IEEE, Proquest, PubMed, Science Direct, Scopus, Web of Science, and other databases. In this review, the PRISMA-ScR checklist was used, and a Cohen's kappa coefficient of 0.642 was applied, implying moderate agreement among the reviewers; 75 primary studies were extracted from a total of 344. The future of exoskeletons in contributing to occupational health and safety will depend on continued collaboration between researchers, designers, healthcare professionals, and industries. With the continued development of technologies and an increasing understanding of how these devices interact with the human body, exoskeletons will likely remain valuable for improving working conditions and safety in various work environments. [ABSTRACT FROM AUTHOR]

Introduction, objectives: Although cardiovascular events have been traditionally associated mainly with men, some data reflect an increase in women, which may even exceed their male counterparts, constituting the leading cause of death in working women in Spain. The objective of this present study was to analyze the level of cardiovascular risk in Spanish working women by assessing the influence of age, type of work, and tobacco consumption. Material, methods: A descriptive cross-sectional study was carried out in 172,282 working women from different Spanish geographical areas and from different companies between January 2018 and June 2020. A range of variables and risk factors were assessed and various cardiovascular risk scales were used to analyze the data. Results: An increase in cardiovascular risk was observed in the least qualified work groups, mainly corresponding to blue-collar workers, when using the SCORE or REGICOR risk equation. The prevalence of altered values for all the parameters analyzed (overweight and obesity, hypertension, dyslipidemia, diabetes, fatty liver, hepatic fibrosis, atherogenic indexes, and cardiovascular risk scales) was higher among blue-collar women. Age was the only factor that influenced all the cardiovascular risk scales studied, increasing risk when comparing the group of women aged 50 years and older with the others. Conclusions: Aging and belonging to the blue-collar job category meant worse results in the cardiovascular risk scales and in all the parameters analyzed. This is in line with numerous studies that argue that age and zip code are more influential than genetic code. [ABSTRACT FROM AUTHOR]