scholarly journals Occupational risk factors for shoulder chronic tendinous pathology in the Spanish automotive manufacturing sector: a case-control study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Beatriz Rodriguez Diez-Caballero ◽  
Joaquín Alfonso-Beltrán ◽  
Iker J. Bautista ◽  
Carlos Barrios
Keyword(s):  
Risk Factors ◽  
Psychosocial Factors ◽  
Musculoskeletal Diseases ◽  
Manufacturing Sector ◽  
Individual Risk ◽  
Predictive Values ◽  
Occupational Risk Factors ◽  
Automotive Manufacturing ◽  
Multiple Variables ◽  
Load Handling

Abstract Background Musculoskeletal Diseases (MSDs) are among the most prevalent health problems encountered in the workforce in Europe. Multiple risk factors contribute to their onset. In the present study, different individual risk factors for chronic tendinous pathology affecting the shoulder were analysed in a sample of workers from the automotive manufacturing sector. Methods An observational retrospective study was conducted with 73 cases of officially recognised and compensated occupational diseases and 94 aleatory cases of healthy workers from the same car assembly company. The experimental group comprised individuals with tendinous chronic pathology of the rotator cuff. Multiple variables that identified the risks present in the job were assessed along with participants clinical evaluation. Furthermore, two standardised guidelines for risk factors assessment were also used: the Spanish National Institute of Social Security (INSS) and the American Occupational Information Network (O*Net). Both descriptive statistical analysis and Odds ratios calculations considering the occupational disease as a dependent variable were performed. Results The use of hand tools, exposure to mechanical pressure in the upper limbs and awkward postures were the most prevalent risk factors. Pressure on the palm of the hand and the hand tool impacting the hand were also important risk factors. Some psychosocial factors such as lack of autonomy and mental workload were also associated shoulder tendinous diseases. The association of age, load handling, and awkward postures were the core risk factors responsible for most of the tendinous chronic injuries of the shoulder in this sample of car assembly workers. Conclusions Both ergonomic and psychosocial factors were present and increased the risk of developing occupational chronic tendinopathies at the shoulder in this sample of workers. Aging, load handling, and awkward postures showed the strongest predictive values. Greater knowledge of how risk factors interact would facilitate the design of better preventive workplace strategies.

scholarly journals Occupational risk factors for shoulder chronic tendinous pathology in the Spanish automotive manufacturing sector: a case-control study.

2020 ◽  
Author(s):  
BEATRIZ RODRIGUEZ DIEZ-CABALLERO ◽  
Joaquin Alfonso-Beltran ◽  
Iker J. Bautista ◽  
Carlos Barrios Pitarque
Keyword(s):  
Risk Factors ◽  
Psychosocial Factors ◽  
Musculoskeletal Diseases ◽  
Manufacturing Sector ◽  
Individual Risk ◽  
Predictive Values ◽  
Occupational Risk Factors ◽  
Automotive Manufacturing ◽  
Multiple Variables ◽  
Load Handling

Abstract Background: Musculoskeletal Diseases (MSDs) are among the most prevalent health problems encountered in the workforce in Europe. Multiple risk factors contribute to their onset. In the present study, different individual risk factors for chronic tendinous pathology affecting the shoulder were analysed in a sample of workers from the automotive manufacturing sector. Methods: An observational retrospective study was conducted with 73 cases of officially recognised and compensated occupational diseases and 94 aleatory cases of healthy workers from the same car assembly company. The experimental group comprised individuals with tendinous chronic pathology of the rotator cuff. Multiple variables that identified the risks present in the job were assessed along with participants clinical evaluation. Furthermore, two standardised guidelines for risk factors assessment were also used: the Spanish National Institute of Social Security (INSS) and the American Occupational Information Network (O*Net). Both descriptive statistical analysis and Odds ratios calculations considering the occupational disease as a dependent variable were performed. Results: The use of hand tools, exposure to mechanical pressure in the upper limbs and awkward postures were the most prevalent risk factors. Pressure on the palm of the hand and the hand tool impacting the hand were also important risk factors. Some psychosocial factors such as lack of autonomy and mental workload were also associated shoulder tendinous diseases. The association of age, load handling, and awkward postures were the core risk factors responsible for most of the tendinous chronic injuries of the shoulder in this sample of car assembly workers.Conclusions: Both ergonomic and psychosocial factors were present and increased the risk of developing occupational chronic tendinopathies at the shoulder in this sample of workers. Aging, load handling, and awkward postures showed the strongest predictive values. Greater knowledge of how risk factors interact would facilitate the design of better preventive workplace strategies.

scholarly journals Occupational risk factors for shoulder chronic tendinous pathology in the Spanish automotive manufacturing sector: a case-control study.

2020 ◽  
Author(s):  
BEATRIZ RODRIGUEZ DIEZ-CABALLERO ◽  
Joaquin Alfonso-Beltran ◽  
Iker J. Bautista ◽  
Carlos Barrios
Keyword(s):  
Risk Factors ◽  
Psychosocial Factors ◽  
Musculoskeletal Diseases ◽  
Manufacturing Sector ◽  
Individual Risk ◽  
Predictive Values ◽  
Occupational Risk Factors ◽  
Automotive Manufacturing ◽  
Multiple Variables ◽  
Load Handling

Abstract Background: Musculoskeletal Diseases (MSDs) are among the most prevalent health problems encountered in the workforce in Europe. Multiple risk factors contribute to their onset. In the present study, different individual risk factors for chronic tendinous pathology affecting the shoulder were analysed in a sample of workers from the automotive manufacturing sector.Methods: An observational retrospective study was conducted with 73 cases of officially recognised and compensated occupational diseases and 94 aleatory cases of healthy workers from the same car assembly company. The experimental group comprised individuals with tendinous chronic pathology of the rotator cuff. Multiple variables that identified the risks present in the job were assessed along with participants clinical evaluation. Furthermore, two standardised guidelines for risk factors assessment were also used: the Spanish National Institute of Social Security (INSS) and the American Occupational Information Network (O*Net). Both descriptive statistical analysis and Odds ratios calculations considering the occupational disease as a dependent variable were performed.Results: The use of hand tools, exposure to mechanical pressure in the upper limbs and awkward postures were the most prevalent risk factors. Pressure on the palm of the hand and the hand tool impacting the hand were also important risk factors. Some psychosocial factors such as lack of autonomy and mental workload were also associated shoulder tendinous diseases. The association of age, load handling, and awkward postures were the core risk factors responsible for most of the tendinous chronic injuries of the shoulder in this sample of car assembly workers.Conclusions: Both ergonomic and psychosocial factors were present and increased the risk of developing occupational chronic tendinopathies at the shoulder in this sample of workers. Aging, load handling, and awkward postures showed the strongest predictive values. Greater knowledge of how risk factors interact would facilitate the design of better preventive workplace strategies.

scholarly journals Occupational risk factors for shoulder chronic tendinous pathology in the Spanish automotive manufacturing sector: a case-control study.

2020 ◽  
Author(s):  
BEATRIZ RODRIGUEZ DIEZ-CABALLERO ◽  
Joaquin Alfonso-Beltran ◽  
Iker J. Bautista ◽  
Carlos Barrios Pitarque
Keyword(s):  
Risk Factors ◽  
Psychosocial Factors ◽  
Manufacturing Sector ◽  
Univariate Analysis ◽  
Individual Risk ◽  
Predictive Values ◽  
Occupational Risk Factors ◽  
Automotive Manufacturing ◽  
Multiple Variables ◽  
Load Handling

Abstract Introduction: Musculoskeletal Diseases (MSDs) are among the most prevalent health problems encountered in the workforce in Europe. Multiple risk factors contribute to their onset. In the present study, different individual risk factors for chronic tendinous pathology affecting the shoulder were analysed in a sample of workers from the automotive manufacturing sector. Methods: An observational retrospective study was conducted with 73 cases of officially recognised and compensated occupational diseases and 94 aleatory cases of healthy workers from the same car assembly company. The experimental group comprised individuals with tendinous chronic pathology of the rotator cuff. Multiple variables that identified the risks present in the job were assessed along with participants clinical evaluation. Furthermore, two standardised guidelines for risk factors assessment were also used: the Spanish National Institute of Social Security (INSS) and the American Occupational Information Network (O*Net). Both descriptive statistical analysis and Odds ratios calculations considering the occupational disease as a dependent variable were performed. Results: Using univariate analysis, the use of hand tools, exposure to mechanical pressure in the upper limbs and awkward postures were the most prevalent risk factors. Pressure on the palm of the hand and the hand tool impacting the hand were also important risk factors. Some psychosocial factors such as lack of autonomy and mental workload were also associated shoulder tendinous diseases. In the logistic regression model, age, load handling, and awkward postures were the core risk factors responsible for most of the tendinous chronic injuries of the shoulder in this sample of car assembly workers.Conclusions: Both ergonomic and psychosocial factors were present and increased the risk of developing occupational chronic tendinopathies at the shoulder in this sample of workers. Aging, load handling, and awkward postures showed the strongest predictive values. Greater knowledge of how risk factors interact would facilitate the design of better preventive workplace strategies.

scholarly journals Occupational risk factors for shoulder diseases in the Spanish automotive manufacturing sector: a case-control study.

2020 ◽  
Author(s):  
BEATRIZ RODRIGUEZ DIEZ-CABALLERO ◽  
Joaquin Alfonso-Beltran ◽  
Carlos Barrios Pitarque
Keyword(s):  
Risk Factors ◽  
Psychosocial Factors ◽  
Occupational Diseases ◽  
Musculoskeletal Diseases ◽  
Manufacturing Sector ◽  
Individual Risk ◽  
Control Group ◽  
Occupational Risk Factors ◽  
Automotive Manufacturing ◽  
Multiple Variables

Abstract Background : Musculoskeletal Diseases (MSDs) are among the most prevalent health problems encountered in the workforce in Europe. Multiple risk factors contribute to their onset. In the present study, different individual risk factors for MSDs affecting the shoulder were analysed in a sample of workers from the automotive manufacturing sector. Methods: An observational retrospective study was conducted with 73 cases of officially recognised occupational diseases and 94 cases of healthy workers. The experimental group comprised individuals with shoulder impingement disease. Another group of healthy individuals working in the same jobs was included as a control group. Multiple variables that identified the risks present in the job were assessed along with participants´ evaluation of said risks. Furthermore, two standardised information sources: the Spanish National Institute of Social Security (INSS) and the American Occupational Information Network (O*Net), were used to evaluate the risk factors present in each job. Both descriptive and multivariate statistical analyses were performed. Results: The use of hand tools, exposure to mechanical pressure in the upper limbs and awkward postures were the most prevalent risk factors. The multivariate analysis revealed that pressure on the palm of the hand and the hand tool impacting the hand were the most important risk factors, alongside handling loads and certain awkward postures. Longer exposure times also increased the risk of injury, as did psychosocial factors such as lack of autonomy and mental workload. Conclusions: Both ergonomic and psychosocial factors were present and increased the risk of developing occupational diseases of the shoulder in this sample of workers. Greater knowledge of how risk factors interact would facilitate the design of better preventive workplace strategies.

scholarly journals Use of the laboratory in prediction of outcome in the high-risk newborn

1997 ◽  
Vol 43 (1) ◽  
pp. 243-248 ◽  
Author(s):  
Anne R Synnes
Keyword(s):  
Risk Factors ◽  
Chromosomal Abnormalities ◽  
Neurodevelopmental Outcome ◽  
Individual Risk ◽  
Newborn Period ◽  
Inborn Errors ◽  
Additional Information ◽  
Disease States ◽  
Laboratory Services ◽  
Multiple Variables

Abstract This paper reviews our ability to predict survival and neurodevelopmental outcome in the newborn period. Traditionally, prognosis is based on individual risk factors or disease states. The laboratory plays an important role in diagnosing some of these. For example, prenatal and newborn screening are important in the diagnosis of chromosomal abnormalities and inborn errors of metabolism. Abnormal bilirubin, glucose, and pH values in the newborn period are risk factors for death and abnormal neurodevelopment, and the degree of abnormality imparts additional information. Many newborns have multisystem disorders, and it is only when multiple variables are considered that outcome can be predicted. Three neonatal scores that incorporate multiple variables are discussed. Methodologic difficulties in determining outcome are reviewed and illustrated with survival and morbidity rates of very premature babies. The laboratory is one of many prognostic variables. The evaluation of how laboratory services are provided is difficult but important.

scholarly journals Dorsopathy in urban public transport drivers in relation to occupational risks and workloads

2021 ◽  
Vol 342 ◽  
pp. 01018
Author(s):  
Delia Mihăilă ◽  
Raluca Maria Iordache ◽  
Viorica Petreanu
Keyword(s):  
Risk Factors ◽  
Public Transport ◽  
Musculoskeletal Diseases ◽  
Cross Sectional Study ◽  
Professional Activity ◽  
Health State ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Occupational Risk Factors ◽  
Urban Public Transport

Drivers in urban public transport are exposed to specific risks and workloads with both somatic and psychological effects on their health. The most common somatic disorders are musculoskeletal diseases (MSDs), especially those of the spine, and some of them can be occupational diseases. The present paper represents a sequence from an ample study that has followed the effects of this professional activity on work aptitude and workers’ state of health and then has established prevention measures, respectively measures for reduction of identified risk factors. An ergonomic, complex and multidimensional methodology has been used. The health state analysis has been performed through a prevalence, cross-sectional study on three cohorts (bus, tram, trolleybus drivers). In all groups, a high percentage of spinal pathology has been found, especially lumbosacral. The highest percentage of dorsopathies has been registered in the group of the trolleybus drivers (48%), followed by the tram (43%) and the bus (42%). In all three cohorts, a significant percentage in disc herniation in the age group 36-45 years old has been found, which can indicate premature wear. The identification of occupational risk factors has allowed for the establishment of a set of prevention / reduction measures.

A Model for Analyzing Suicide Prevention

Crisis ◽  
2000 ◽  
Vol 21 (2) ◽  
pp. 80-89 ◽  
Author(s):  
Maila Upanne
Keyword(s):  
Risk Factors ◽  
Theoretical Model ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Practical Work ◽  
Individual Risk ◽  
Self Assessment ◽  
Prevention Project ◽  
Individual Risk Factors

This study monitored the evolution of psychologists' (n = 31) conceptions of suicide prevention over the 9-year course of the National Suicide Prevention Project in Finland and assessed the feasibility of the theoretical model for analyzing suicide prevention developed in earlier studies [ Upanne, 1999a , b ]. The study was formulated as a retrospective self-assessment where participants compared their earlier descriptions of suicide prevention with their current views. The changes in conceptions were analyzed and interpreted using both the model and the explanations given by the subjects themselves. The analysis proved the model to be a useful framework for revealing the essential features of prevention. The results showed that the freely-formulated ideas on prevention were more comprehensive than those evolved in practical work. Compared to the earlier findings, the conceptions among the group had shifted toward emphasizing a curative approach and the significance of individual risk factors. In particular, greater priority was focused on the acute suicide risk phase as a preventive target. Nonetheless, the overall structure of prevention ideology remained comprehensive and multifactorial, stressing multistage influencing. Promotive aims (protective factors) also remained part of the prevention paradigm. Practical working experiences enhanced the psychologists' sense of the difficulties of suicide prevention as well as their criticism and feeling of powerlessness.

Therapeutic options in male osteoporosis

2013 ◽  
Vol 22 (04) ◽  
pp. 271-276 ◽  
Author(s):  
P. Farahmand ◽  
J. D. Ringe
Keyword(s):  
Risk Factors ◽  
Vitamin D ◽  
Public Health Problem ◽  
Male Osteoporosis ◽  
Individual Risk ◽  
Modes Of Action ◽  
Increased Risk ◽  
Study Results ◽  
Long Term Treatment ◽  
Male Patients

SummaryOsteoporosis in men is increasingly recognized as an important public health problem but affected patients are still under-diagnosed and -treated. As in women the diagnostic and therapeutic strategy has to be adapted to the individual case. In the practical management it is very important to detect possible causes of secondary osteoporosis, to explain the possibilities of basic therapy counteracting individual risk factors and communicate that osteoporosis is a chronic disease and adherence to a long-term treatment is crucial. In established severe osteoporosis a careful analgesic therapy is important to avoid further bone loss related to immobility. In elderly men with increased risk of falling insufficient Vitamin D supply or impaired activation of Vitamin D due to renal insufficiency must be taken into consideration. Specific medications available today for the treatment of male osteoporosis comprise among antiresorptive drugs the bis phosphonates alendronate, risedronate and zoledronic acid. Denosumab, the first biological therapy is approved for men with androgen deprivation therapy for prostate cancer. An important advantage of this potent antiresorptive drug is the increased adherence due to the comfortable application by sixmonthly subcutaneous injections. Study results from the 2-year multi-center randomized controlled ADAMO-Study will very soon allow the use of denosumab in all types of male osteoporosis. Teriparatide, the 34 N-terminal amino acid sequence of parathyroid hormone was approved for men with osteoporosis as an anabolic agent based on proven efficacy by different studies. Among drugs with other modes of action the D-hormone pro-drug alfacalcidol can be used in men alone or in combination with the advantage of pleiotropic effects on calcium absorption, parathyroids, bone and muscle. Recently also Strontium-ranelate was approved for male patients with the limitation to exclude men with clinical relevant cardiovascular risk factors. In general the possibilities to treat male osteoporosis have considerably improved during recent years. Today there is a choice of a spectrum of drugs from mild to strong potency with different modes of action on bone turnover to design strategies for individual male patients.

Sign in / Sign up

Export Citation Format

Share Document