scholarly journals Occupation and risk of severe COVID-19: prospective cohort study of 120 075 UK Biobank participants

2020 ◽  
pp. oemed-2020-106731 ◽  
Author(s):  
Miriam Mutambudzi ◽  
Claire Niedwiedz ◽  
Ewan Beaton Macdonald ◽  
Alastair Leyland ◽  
Frances Mair ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Test Results ◽  
Uk Biobank ◽  
Personal Service ◽  
Occupational Classification ◽  
Work Related ◽  
Related Risk ◽  
Transport Workers ◽  
Risk Ratios ◽  
Baseline Demographic

ObjectivesTo investigate severe COVID-19 risk by occupational group.MethodsBaseline UK Biobank data (2006–10) for England were linked to SARS-CoV-2 test results from Public Health England (16 March to 26 July 2020). Included participants were employed or self-employed at baseline, alive and aged <65 years in 2020. Poisson regression models were adjusted sequentially for baseline demographic, socioeconomic, work-related, health, and lifestyle-related risk factors to assess risk ratios (RRs) for testing positive in hospital or death due to COVID-19 by three occupational classification schemes (including Standard Occupation Classification (SOC) 2000).ResultsOf 120 075 participants, 271 had severe COVID-19. Relative to non-essential workers, healthcare workers (RR 7.43, 95% CI 5.52 to 10.00), social and education workers (RR 1.84, 95% CI 1.21 to 2.82) and other essential workers (RR 1.60, 95% CI 1.05 to 2.45) had a higher risk of severe COVID-19. Using more detailed groupings, medical support staff (RR 8.70, 95% CI 4.87 to 15.55), social care (RR 2.46, 95% CI 1.47 to 4.14) and transport workers (RR 2.20, 95% CI 1.21 to 4.00) had the highest risk within the broader groups. Compared with white non-essential workers, non-white non-essential workers had a higher risk (RR 3.27, 95% CI 1.90 to 5.62) and non-white essential workers had the highest risk (RR 8.34, 95% CI 5.17 to 13.47). Using SOC 2000 major groups, associate professional and technical occupations, personal service occupations and plant and machine operatives had a higher risk, compared with managers and senior officials.ConclusionsEssential workers have a higher risk of severe COVID-19. These findings underscore the need for national and organisational policies and practices that protect and support workers with an elevated risk of severe COVID-19.

scholarly journals Occupation and risk of severe COVID-19: prospective cohort study of 120,075 UK Biobank participants

2020 ◽  
Author(s):  
Miriam Mutambudzi ◽  
Claire L Niedzwiedz ◽  
Ewan B Macdonald ◽  
Alastair H Leyland ◽  
Frances S Mair ◽  
...  
Keyword(s):  
Test Results ◽  
Uk Biobank ◽  
Occupational Classification ◽  
Organizational Policies ◽  
Work Related ◽  
Related Risk ◽  
Group Methods ◽  
Transport Workers ◽  
Risk Ratios ◽  
Baseline Demographic

Objectives: To investigate severe COVID-19 risk by occupational group. Methods: Baseline UK Biobank data (2006-10) for England were linked to SARS-CoV-2 test results from Public Health England (16 March to 26 July 2020). Included participants were employed or self-employed at baseline, alive and aged less than 65 years in 2020. Poisson regression models adjusted sequentially for baseline demographic, socioeconomic, work-related, health, and lifestyle-related risk factors to assess risk ratios (RRs) for testing positive in hospital or death due to COVID-19 by three occupational classification schemes (including Standard Occupation Classification 2000). Results: Of 120,075 participants, 271 had severe COVID-19. Relative to non-essential workers, healthcare workers (RR 7.43, 95% CI:5.52,10.00), social and education workers (RR 1.84, 95% CI:1.21,2.82) and other essential workers (RR=1.60, 95% CI:1.05,2.45) had higher risk of severe COVID-19. Using more detailed groupings, medical support staff (RR 8.70, 95% CI:4.87,15.55), social care (RR 2.46, 95% CI:1.47,4.14) and transport workers (RR= 2.20, 95% CI:1.21,4.00) had highest risk within the broader groups. Compared to white non-essential workers, non-white non-essential workers had a higher risk (RR 3.27, 95% CI: 1.90,5.62) and non-white essential workers had the highest risk (RR 8.34, 95% CI:5.17,13.47). Using SOC2000 major groups, associate professional and technical occupations, personal service occupations and plant and machine operatives had higher risk, compared to managers and senior officials. Conclusions: Essential workers have higher risk of severe COVID-19. These findings underscore the need for national and organizational policies and practices that protect and support workers with elevated risk of severe COVID-19.

scholarly journals Work-Related Risk Factors for Rotator Cuff Syndrome in a Prospective Study of Manufacturing and Healthcare Workers

2021 ◽  
pp. 001872082110221
Author(s):  
Alysha R. Meyers ◽  
Steven J. Wurzelbacher ◽  
Edward F. Krieg ◽  
Jessica G. Ramsey ◽  
Kenneth Crombie ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Prospective Study ◽  
Musculoskeletal Disorders ◽  
Healthcare Workers ◽  
Upper Arm ◽  
Work Related ◽  
Related Risk ◽  
Increased Risk ◽  
Arm Elevation ◽  
A Prospective Study

Objective This prospective study assessed the risk of developing rotator cuff syndrome (RCS) with separate or specific combinations of biomechanical exposures measures, controlling for individual confounders. Background Compared with other musculoskeletal disorders, rates of work-related shoulder musculoskeletal disorders have been declining more slowly. Method We conducted up to 2 years of individual, annual assessments of covariates, exposures, and health outcomes for 393 U.S. manufacturing and healthcare workers without RCS at baseline. Task-level biomechanical exposures assessed exposure to forceful exertions (level, exertion rates, duty cycles), vibration, and upper arm postures (flexion, abduction). Hazard ratios (HRs) were calculated with Cox proportional hazard models. Results We observed 39 incident RCS cases in 694 person-years (incidence rate = 5.62 per 100 person-years). Adjusting for confounders, we found increased risk of incident RCS associated with forceful hand exertions per minute for three upper arm posture tertiles: flexion ≥45° (≥28.2% time, HR = 1.11, CI [1.01, 1.22]), abduction ≥30° (11.9–21.2%-time, HR = 1.18, CI [1.04, 1.34]), and abduction >60° (≥4.8% time, HR = 1.16, CI [1.04, 1.29]). We failed to observe statistically significant effects for other interactions or any separate measures of biomechanical exposure. Conclusion This study highlights the importance of assessing combinations of exposure to forceful repetition and upper arm elevation when developing interventions for preventing RCS. Application Based on these results, interventions that reduce exposure to forceful repetition (i.e., lower force levels and/or slower exertion rates) may reduce the risk of RCS, especially when upper arm elevation cannot be avoided.

scholarly journals STRES KERJA SHIFT MALAM DAN KINERJA PERAWAT PELAKSANA DI RUANG RAWAT INAP

2017 ◽  
Vol 1 (2) ◽  
pp. 93
Author(s):  
Ahsan . ◽  
Humaera Hafi D
Keyword(s):  
Shift Work ◽  
Nursing Care ◽  
Healthcare Workers ◽  
Night Shift ◽  
Test Results ◽  
Work Related Stress ◽  
Exact Test ◽  
Work Related ◽  
Correlational Design ◽  
Related Stress

ABSTRAKTujuan penelitian: Tujuan penelitian ini ialah mengetahui adanya hubungan antara stres kerja shiftmalam dan kinerja perawat pelaksana di ruang rawat inap Rumah Sakit Wava Husada Kepanjen,Kabupaten Malang. Metode: Desain penelitian ini ialah penelitian korelasional dengan sampel30 perawat yang bekerja di ruang rawat inap RS Wava Husada tahun 2014, menggunakan teknikpurpose sampling. Hasil data dianalisis dengan uji statistik, yaitu Fisher probability exact test. Hasil:Sebagian besar perawat shift malam berada pada klasifi kasi stres ringan, yaitu 16 perawat atausebanyak 53,3 persen. Sebagian besar berada pada klasifi kasi baik (23 perawat atau sebanyak76,7 persen). Diskusi: Petugas kesehatan disarankan untuk mengetahui efek stres kerja terhadapkinerja perawat sebagai upaya untuk meningkatkan kinerja perawat. Simpulan: Ada hubunganantara stres kerja shift malam dan kinerja perawat pelaksana.Kata Kunci : kinerja, shift malam, stres kerja.ABSTRACTObjective: This study is aimed at identifying the correlation between stress due to night-shift workand nurse performance in providing nursing care at inpatient wards of Wava Husada Hospital,Kepanjen, Malang Regency. Methods: This study employed correlational design with a sample sizeof 30 nurses working at inpatient wards of Wava Husada Hospital in 2014 and taken using purposesampling. Data were analyzed with using Fisher probability exact test. Results: This study indicatedthat 16 nurses (53.3%) working the night-shift were low level of stress. Most of nurses (23 nurses or76.7%) were in the category of good. Discuss: It is recommended that healthcare workers knowthe effects of work-related stress on nurse performance in order to increase nurse performance.Conclusion: It can be concluded that there is a correlation between stress due to night-shift workand nurse performance.Keywords: performance, night-shift, work-related stress.

scholarly journals Tai Chi and workplace wellness for health care workers: a systematic review

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Dorelli ◽  
R A Cocchiara ◽  
G Gholamalishahi ◽  
W Longo ◽  
E Musumeci ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Observational Study ◽  
Methodological Quality ◽  
Healthcare Workers ◽  
Tai Chi ◽  
Work Related Stress ◽  
Work Related ◽  
Positive Effects ◽  
Related Stress

Abstract Background Several studies show positive effects of new non-medical therapies known as complementary and alternative medicines, such as the discipline of tai chi. As healthcare professions are among the most vulnerable for work-related stress, this systematic review aims to investigate the relationship between tai chi practice and wellness of healthcare workers. Methods Cinahl, Scopus, Web of Science and PubMed were searched in September 2019. Full-text articles, written in English and published after 1995, were recruited if they focused on positive effects of tai chi on the psychophysical wellbeing of healthcare workers, in comparison with alternative techniques (such as yoga or traditional care). Outcomes were reduced work-related stress, better physical and psychological function, improvement in attention and/or productivity; no restrictions about study design were applied. Quality assessment was performed with the Newcastle-Ottawa Scale on cohort/cross-sectional studies, the Jadad scale for randomized clinical trial, AMSTAR for systematic reviews and CASE REPORT scale for case study. Results 6/111 papers were included: 3 clinical trials, 1 observational study, 1 systematic review and 1 case report. The methodological quality was of medium level. 2/3 trials found a significant increase in individuals' wellbeing and improvements in stress levels and nursing staff’s motivation in their work. In the observational study tai chi was a prevalent mind-body practice to reduce stress. The systematic review suggested that tai chi could be a useful tool to reduce stress-related chronic pain. In case report the effectiveness was observed in medical students. Conclusions This study highlights the full potential and possible benefits derived from tai chi but its application to improve health professionals' wellbeing is still limited, and the absence of a standardized intervention impacts on the methodological quality and reduces the robustness of the retrieved evidence. Key messages Tai chi can improve many pathological conditions and reduce work-related stress. Further research is needed to gain robust evidence of its efficacy for wellbeing of healthcare workers.

scholarly journals Fit Testing Retrofitted Full-Face Snorkel Masks as a Form of Novel Personal Protective Equipment During the COVID-19 Pandemic

2021 ◽  
pp. 1-16
Author(s):  
Stephanie Toigo ◽  
Michel Jacques ◽  
Tarek Razek ◽  
Ewa Rajda ◽  
Sidney Omelon ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Health Centre ◽  
Disease Outbreaks ◽  
Protective Equipment ◽  
Test Results ◽  
Passing Rate ◽  
Fit Testing ◽  
Full Face ◽  
Medical Grade

ABSTRACT Objective: Bottlenecks in the personal protective equipment (PPE) supply chain have contributed to shortages of PPE during the COVID-19 pandemic, resulting in fractures in the functionality of healthcare systems. This study was conducted with the aim of determining the effectiveness of retrofitted commercial snorkel masks as an alternative respirator for healthcare workers during infectious disease outbreaks. Methods: A retrospective analysis was performed, analyzing qualitative and quantitative fit test results of the retrofitted Aria Ocean Reef® full-face snorkeling mask on healthcare workers at the McGill University Health Centre between April-June 2020. Historical fit test results, using medical-grade respirators, for healthcare workers were also analyzed. Results: During the study period, 71 participants volunteered for fit testing, 60.6% of which were nurses. The overall fit test passing rate using the snorkel mask was 83.1%. Of the participants who did not previously pass fit testing with medical-grade respirators, 80% achieved a passing fit test with the snorkel respirator. Conclusions: The results suggest that this novel respirator may be an effective and feasible alternative solution to address PPE shortages, while still providing healthcare workers with ample protection. Additional robust testing will be required to ensure that respirator fit is maintained, after numerous rounds of disinfection.

The moral construction of worry about radiation exposure: Emotion, knowledge, and tests

2017 ◽  
Vol 28 (6) ◽  
pp. 635-656 ◽  
Author(s):  
Aug Nishizaka
Keyword(s):  
Radiation Exposure ◽  
Conversation Analysis ◽  
Internal Exposure ◽  
Test Results ◽  
Communication Tool ◽  
Work Related ◽  
Video Recordings ◽  
Moral Construction ◽  
Fukushima Disaster ◽  
Do So

In the analysis of video recordings of the interactions between a doctor and the examinees following internal radiation exposure tests at a hospital in Fukushima Prefecture, I explore how the participants address one of the most serious consequences of the Fukushima disaster, that is, their concerns about radioactive materials. To do so, this study employs conversation analysis. The doctor’s presentation of the test results provides the examinees with a place to express relief and also makes relevant the justification work related to the expression of relief. In conclusion, I consider how the internal exposure tests also function as a communication tool in the context in which residents from affected areas face potential difficulties in expressing their worry about radiation.

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