scholarly journals Work-related risk factors for ulnar nerve entrapment in the Northern Finland Birth Cohort of 1966

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Laura Miettinen ◽  
Jorma Ryhänen ◽  
Rahman Shiri ◽  
Jaro Karppinen ◽  
Jouko Miettunen ◽  
...  

AbstractUlnar nerve entrapment (UNE) is the second most common entrapment neuropathy in the upper extremity. The aetiology of UNE is multifactorial and is still not fully understood. The aim of the study was to identify occupational risk factors for UNE and to determine whether smoking modifies the effects of work-related factors on UNE. The study population consisted of the Northern Finland Birth Cohort of 1966 (NFBC1966). In total, 6325 individuals active in working life participated at baseline in 1997. Occupational risk factors were evaluated by a questionnaire at baseline. The data on hospitalizations due to UNE were obtained from the Care Register for Health Care between 1997 and 2018. The incidence rate of hospitalization due to UNE was 47.6 cases per 100,000 person-years. After adjusting for confounders, entrepreneurs (Hazard ratio (HR) = 3.68, 95% CI 1.20–11.27), smokers (HR = 2.51, 95% CI 1.43–4.41), workers exposed to temperature changes (HR = 1.72, 95% CI 1.00–2.93), workers with physically demanding jobs (HR = 3.02, 95% CI 1.39–6.58), and workers exposed to hand vibration (HR = 1.94, 95% CI 1.00–3.77) were at an increased risk of hospitalization for UNE. Exposure to work requiring arm elevation increased the risk of hospitalization due to UNE among smokers (HR = 2.62, 95% CI 1.13–6.07), but not among non-smokers. Work-related exposure to vibration and temperature changes, and physically demanding work increase the risk of hospitalization for UNE. Smoking may potentiate the adverse effects of work-related factors on UNE.

2021 ◽  
Author(s):  
Laura Miettinen ◽  
Jorma Ryhänen ◽  
Rahman Shiri ◽  
Jaro Karppinen ◽  
Jouko Miettunen ◽  
...  

Abstract Ulnar nerve entrapment (UNE) is the second most common entrapment neuropathy in the upper extremity. The aetiology of UNE is multifactorial and is still not fully understood. The aim of the study was to identify occupational risk factors for UNE and to determine whether smoking modifies the effects of work-related factors on UNE. The study population consisted of the Northern Finland Birth Cohort of 1966 (NFBC1966). In total, 6325 individuals active in working life participated in a 31-year follow-up study in 1997. Occupational risk factors were evaluated by a questionnaire at baseline in 1997. The data on hospitalizations due to UNE were obtained from the Care Register for Health Care between 1997 and 2018. The incidence rate of hospitalization due to UNE was 47.6 cases per 100 000 person-years. After adjusting for confounders, entrepreneurs (Hazard ratio (HR)=3.68, 95% CI 1.20-11.27), smokers (HR=2.51, 95% CI 1.43-4.41), workers exposed to temperature changes (HR=1.72, 95% CI 1.00-2.93), workers with physically demanding jobs (HR=3.02, 95% CI 1.39-6.58), and workers exposed to hand vibration (HR=1.94, 95% CI 1.00-3.77) were at an increased risk of hospitalization for UNE. Exposure to work requiring arm elevation increased the risk of hospitalization due to UNE among smokers (HR=2.62, 95% CI 1.13-6.07), but not among non-smokers. Work-related exposure to vibration and temperature changes, and physically demanding work increase the risk of hospitalization for UNE. Smoking may potentiate the adverse effects of work-related factors on UNE.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Sina Hulkkonen ◽  
Juha Auvinen ◽  
Jouko Miettunen ◽  
Jaro Karppinen ◽  
Jorma Ryhänen

2021 ◽  
pp. 173-185
Author(s):  
V.A. Loginova ◽  
◽  
Yu.N. Kas'kov ◽  
E.A. Zhidkova ◽  
K.G. Gurevich ◽  
...  

The present research is vital as it will allow increasing safety of working conditions for workers employed at railway transport due to reducing impacts exerted by occupational risk factors. Our research goal was to perform comparative analysis of requirements to labor protection provided for railway workers. Our research was performed via non-systemic analysis of literature that involved searching through Elibrary, Pubmed and Cochrane databases as per certain key words. As a result, we showed that railway traffic involved exposure to numerous occupational risk factors; due to it, a significant number of workplaces, including those of enginemen and other railway workers, belonged to the 3rd (adverse) hazard category. Basic occupational risk factors included noise and vibration; psychoemotional loads borne by engine team workers and traffic controllers; exposure to industrial aerosols; electromagnetic irradiation; fluctuations in microclimatic parameters in engines’ cabs. All these occupational factors influence not only workers who are directly employed at railways but also people who live in close proximity to them. Therefore, in most countries there is legislative basis on health protection for people who may be exposed to occupational factors related to railway traffic. Our analysis revealed that in general the existing legislation in Russia corresponded to foreign one. Bases for harmonization of the domestic legislation with foreign one are fixed by the Federal Law issued on December 27, 2002 No. 184-FZ «On technical regulation». Harmonization of domestic and foreign legislation on reducing total exposure to occupational risk factors allows preserving long-term working ability and preventing work-related diseases.


2007 ◽  
Vol 15 (4) ◽  
pp. 265-277 ◽  
Author(s):  
Joanna Jurewicz ◽  
Dimitris Kouimintzis ◽  
Alex Burdorf ◽  
Wojciech Hanke ◽  
Christos Chatzis ◽  
...  

2021 ◽  
pp. 173-185
Author(s):  
V.A. Loginova ◽  
◽  
Yu.N. Kas'kov ◽  
E.A. Zhidkova ◽  
K.G. Gurevich ◽  
...  

The present research is vital as it will allow increasing safety of working conditions for workers employed at railway transport due to reducing impacts exerted by occupational risk factors. Our research goal was to perform comparative analysis of requirements to labor protection provided for railway workers. Our research was performed via non-systemic analysis of literature that involved searching through Elibrary, Pubmed and Cochrane databases as per certain key words. As a result, we showed that railway traffic involved exposure to numerous occupational risk factors; due to it, a significant number of workplaces, including those of enginemen and other railway workers, belonged to the 3rd (adverse) hazard category. Basic occupational risk factors included noise and vibration; psychoemotional loads borne by engine team workers and traffic controllers; exposure to industrial aerosols; electromagnetic irradiation; fluctuations in microclimatic parameters in engines’ cabs. All these occupational factors influence not only workers who are directly employed at railways but also people who live in close proximity to them. Therefore, in most countries there is legislative basis on health protection for people who may be exposed to occupational factors related to railway traffic. Our analysis revealed that in general the existing legislation in Russia corresponded to foreign one. Bases for harmonization of the domestic legislation with foreign one are fixed by the Federal Law issued on December 27, 2002 No. 184-FZ «On technical regulation». Harmonization of domestic and foreign legislation on reducing total exposure to occupational risk factors allows preserving long-term working ability and preventing work-related diseases.


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