scholarly journals Do aggravating rhinologic symptoms at work indicate occupational exposure? A cross-sectional outpatient clinic study

2022 ◽  
Keyword(s):  
Occupational Exposure ◽  
Outpatient Clinic ◽  
Cross Sectional ◽  
Clinic Study

Repeated Occupational Exposure to Low-level Blast in the Canadian Armed Forces: Effects on Hearing, Balance, and Ataxia

2021 ◽  
Author(s):  
Ann Nakashima ◽  
Oshin Vartanian ◽  
Shawn G Rhind ◽  
Kristen King ◽  
Catherine Tenn ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Occupational Exposure ◽  
Armed Forces ◽  
Cross Sectional ◽  
Low Level ◽  
Additional Information ◽  
Adverse Health Effects ◽  
Blast Overpressure ◽  
Blast Exposure

ABSTRACT Introduction Recently, there has been increasing concern about the adverse health effects of long-term occupational exposure to low-level blast in military personnel. Occupational blast exposure occurs routinely in garrison through use of armaments and controlled blast detonations. In the current study, we focused on a population of breaching instructors and range staff. Breaching is a tactical technique that is used to gain entry into closed spaces, often through the use of explosives. Materials and Methods Initial measurements of blast overpressure collected during breaching courses found that up to 10% of the blasts for range staff and up to 32% of the blasts for instructors exceeded the recommended 3 psi exposure limit. Using a cross-sectional design, we used tests of balance, ataxia, and hearing to compare a sample of breachers (n = 19) to age-and sex-matched military controls (n = 19). Results There were no significant differences between the two groups on the balance and ataxia tests, although the average scores of both groups were lower than would be expected in a normative population. The prevalence of hearing loss was low in the breacher group (4 of 19), and hearing thresholds were not significantly different from the controls. However, the prevalence of self-reported tinnitus was significantly higher in the breacher group (12 of 19) compared with the controls (4 of 19), and all breachers who were identified as having hearing loss also reported tinnitus. Conclusions Our results suggest that basic tests of balance, ataxia, and hearing on their own were not sensitive to the effects of long-term occupational exposure to low-level blast. Some of the blast exposure levels exceeded limits, and there was a significant association of exposure with tinnitus. Future studies should supplement with additional information including exposure history and functional hearing assessments. These findings should be considered in the design of future acute and longitudinal studies of low-level blast exposure.

scholarly journals Is Environmental and Occupational Particulate Air Pollution Exposure Related to Type-2 Diabetes and Dementia? A Cross-Sectional Analysis of the UK Biobank

2020 ◽  
Vol 17 (24) ◽  
pp. 9581
Author(s):  
Eirini Dimakakou ◽  
Helinor J. Johnston ◽  
George Streftaris ◽  
John W. Cherrie
Keyword(s):  
Air Pollution ◽  
Occupational Exposure ◽  
Environmental Exposure ◽  
Uk Biobank ◽  
Job Exposure Matrix ◽  
Cross Sectional ◽  
Particulate Air Pollution ◽  
The Uk ◽  
Sectional Analysis

Human exposure to particulate air pollution (e.g., PM2.5) can lead to adverse health effects, with compelling evidence that it can increase morbidity and mortality from respiratory and cardiovascular disease. More recently, there has also been evidence that long-term environmental exposure to particulate air pollution is associated with type-2 diabetes mellitus (T2DM) and dementia. There are many occupations that may expose workers to airborne particles and that some exposures in the workplace are very similar to environmental particulate pollution. We conducted a cross-sectional analysis of the UK Biobank cohort to verify the association between environmental particulate air pollution (PM2.5) exposure and T2DM and dementia, and to investigate if occupational exposure to particulates that are similar to those found in environmental air pollution could increase the odds of developing these diseases. The UK Biobank dataset comprises of over 500,000 participants from all over the UK. Environmental exposure variables were used from the UK Biobank. To estimate occupational exposure both the UK Biobank’s data and information from a job exposure matrix, specifically developed for UK Biobank (Airborne Chemical Exposure–Job Exposure Matrix (ACE JEM)), were used. The outcome measures were participants with T2DM and dementia. In appropriately adjusted models, environmental exposure to PM2.5 was associated with an odds ratio (OR) of 1.02 (95% CI 1.00 to 1.03) per unit exposure for developing T2DM, while PM2.5 was associated with an odds ratio of 1.06 (95% CI 0.96 to 1.16) per unit exposure for developing dementia. These environmental results align with existing findings in the published literature. Five occupational exposures (dust, fumes, diesel, mineral, and biological dust in the most recent job estimated with the ACE JEM) were investigated and the risks for most exposures for T2DM and for all the exposures for dementia were not significantly increased in the adjusted models. This was confirmed in a subgroup of participants where a full occupational history was available allowed an estimate of workplace exposures. However, when not adjusting for gender, some of the associations become significant, which suggests that there might be a bias between the occupational assessments for men and women. The results of the present study do not provide clear evidence of an association between occupational exposure to particulate matter and T2DM or dementia.

Do regulations protect workers from occupational exposures to carcinogenic, mutagenic and reprotoxic (CMR) agents in France?

2017 ◽  
Vol 75 (5) ◽  
pp. 389-397
Author(s):  
Nathalie Havet ◽  
Alexis Penot ◽  
Morgane Plantier ◽  
Barbara Charbotel ◽  
Magali Morelle ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Occupational Exposures ◽  
International Agency ◽  
The European Union ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Protection Measures ◽  
Limit Value ◽  
Logistic Regressions ◽  
The Impact

ObjectiveThis article explores the impact of regulations on the implementation of collective protections in France to occupational exposure to carcinogenic, mutagenic and reprotoxic (CMR) agents.MethodsIndividual data from the French national cross-sectional survey of occupational hazards conducted in 2010 were analysed. We investigated whether stricter regulations and longer exposures were associated with higher level of collective protection using multivariate logistic regressions.ResultsGeneral ventilation, for which effect is limited as collective protection for CMR products, was present in 19% of situations involving CMR agents while isolation chambers, the most effective form of protection, were only very rarely implemented. Multilevel logistic regressions show that exposure situations to products classified as category 1 or 2 by the European Union do not have a higher probability of benefiting from a collective protection measures. Exposures to products with a Binding Occupational Exposure Limit Value selectively benefited from a better level of protection. Exposures to agents entered on the International Agency for Research on Cancer (IARC) list of proven or probable carcinogens benefited more from effective collective protections than products suspected to be carcinogens but not yet classified by IARC.ConclusionsThese results suggest that the dissemination of evaluations of carcinogens by the IARC translate into improved protective measures even though the IARC classification has no mandatory impact on regulations.

Contraceptive method use among HIV-positive women in a US urban outpatient clinic: an exploratory cross-sectional study

Contraception ◽  
2018 ◽  
Vol 98 (6) ◽  
pp. 492-497 ◽  
Author(s):  
K.M. Tote ◽  
V.T. Raziano ◽  
K.M. Wall ◽  
S. Cordes ◽  
I. Ofotokun ◽  
...  
Keyword(s):  
Outpatient Clinic ◽  
Contraceptive Method ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women

scholarly journals Investigation of Noise Pollution Distribution in Different Parts of Yazd Textile Factories

2021 ◽  
Author(s):  
Mohammad Javad Zare Sakhvidi ◽  
Hamideh Bidel ◽  
Ahmad Ali Kheirandish
Keyword(s):  
Occupational Exposure ◽  
Sound Pressure Level ◽  
Textile Industry ◽  
Sound Pressure ◽  
Noise Pollution ◽  
Sound Level ◽  
Pressure Level ◽  
Cross Sectional ◽  
Sound Pressure Levels ◽  
Different Parts

 Background: Chronic occupational exposure to noise is an unavoidable reality in the country's textile industry and even other countries. The aim of this study was to compare the sound pressure level in different parts of the textile industry in Yazd and in different parts of the textile industry. Methods: This cross-sectional study was performed on 930 textile workers in Yazd. A questionnaire was used to obtain demographic information and how to use protective equipment. Then, to obtain the sound pressure level of each unit and device and to use the measurement principles, a calibrated sound level meter was used. Then the results were analyzed using SPSS Ver.29 software. Results: The participants in this study were 714 males and 216 females with a mean age of 35.27 and 33.63 years, respectively. Seven hundred fifty-six participants (81.29%) were exposed to sound pressure levels higher than 85 dB. Among the participants, only 18.39% of the people used a protective phone permanently. Except for factory E, with an average sound pressure level of 77.78 dB, the rest of the factories had an average sound pressure level higher than the occupational exposure limit. The sound measurement results of different devices show that the sound pressure levels above 90 dB are related to the parts of Dolatab, Ring, Kinetting (knitting), Chanel, Autoconer, Dolakni, Open End, MultiLakni, Tabandegi, Texture, and Poy. Conclusion: Based on the results of the present study, noise above 90 dB is considered as one of the main risk factors in most parts of the textile industry (spinning and weaving), which in the absence of engineering, managerial or individual controls on it causes hearing loss in becoming employees of this industry

scholarly journals The Frequency of Malnutrition in Patients with Type 2 Diabetes

2021 ◽  
Author(s):  
Miraç Vural Keskinler ◽  
Güneş Feyizoğlu ◽  
Kübra Yıldız ◽  
Aytekin Oğuz
Keyword(s):  
Type 2 Diabetes ◽  
Outpatient Clinic ◽  
High Body Mass Index ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Significant Difference ◽  
Nrs 2002

Objective: Obesity is one of the most common comorbidities of diabetes mellitus (DM) whose frequency is rapidly increasing nowadays. Although obesity caused by excessive and unbalanced nutrition often accompanies diabetes; malnutrition is another complication of diabetes. This study was conducted to investigate the frequency of malnutrition in individuals with diabetes. Method: This study is a cross-sectional study. The patients with type 2 diabetes followed up in the diabetes outpatient clinic of a university hospital between February and March 2018 were included in the study. Anthropometric measurements of the patients and “Nutritional Risk Screening-2002” (NRS-2002) scores were recorded. Results: A total of 222 (F: 132 59.4%) patients were included in the study. When two groups with higher NRS (≥3) and lower NRS (<3) scores less than 3 were compared, any significant difference was not detected between two groups in terms of age, waist circumference and HbA1c values. Only BMI was found to be lower in the group with malnutrition risk (p: 0.030). When the patients were evaluated in terms of diabetes treatments and risk of malnutrition, any significant intergroup difference was not found (p: 0.847). Conclusion: It was found that there is a risk of malnutrition in one of every seven diabetics with a high body mass index who were being followed up in the diabetes outpatient clinic.

scholarly journals Waterpipe Smoking among Bladder Cancer Patients: A Cross-Sectional Study of Lebanese and Jordanian Populations

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Elio Jabra ◽  
Amal Al-Omari ◽  
Fadi Haddadin ◽  
Walid Alam ◽  
Khawlah Ammar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bladder Cancer ◽  
Occupational Exposure ◽  
Cancer Patients ◽  
Positive Family History ◽  
Cross Sectional Study ◽  
Significant Finding ◽  
Waterpipe Smoking ◽  
Sectional Study ◽  
Cross Sectional

Background. Bladder cancer (BC) is the second most reported cancer in Lebanon and the fifth in Jordan. Its risk factors are mainly smoking and occupational exposure to aromatic amines. In these countries where smoking and bladder cancer are highly prevalent, the role of waterpipe smoking (WPS) in bladder cancer is less investigated. We aim to compare two sets of patients between Lebanon and Jordan, focusing on their smoking habits, WP use, occupational exposure, and the grade/invasiveness of their bladder cancer. Methods. This is a cross-sectional study that compares the smoking culture between two sets of populations with bladder cancer, from two different countries. We recruited 274 bladder cancer patients over the 18 years of age at the American University of Beirut Medical Center (AUBMC), and 158 bladder cancer patients over the age of 18 years at the King Hussein Cancer Center (KHCC). Results. 7.7% of Lebanese patients had significantly more positive family history of bladder cancer compared to 13.9% of Jordanian patients ( p = 0.045 ). Another significant finding is that the majority of Lebanese patients 70.7% reported being frequently exposed to secondhand smoking, mainly cigarettes, versus only 48.6% of Jordanian patients ( p < 0.001 ). The increasing smoking trend among Lebanese females is remarkably the highest in the region, which contributed to the overall increase in smoking rates in the country. 17.1% of the Lebanese smoking patients are mainly but not exclusively WP smokers of which 6.3% are daily WP smokers, similarly 17.1% of the Jordanian patients of which 3.2% are daily WP smokers. There were 71.5% of Lebanese patients who had a noninvasive BC versus 40% of Jordanian patients ( p < 0.001 ), and more than one-third reported an occupational exposure to one of the risk factors of BC in both groups. Conclusions. Bladder cancer incidence is on the rise in both Jordan and Lebanon along with different smoking types. It is necessary to impose prevention policies to prevent and control the high smoking prevalence. Bladder cancer invasiveness is higher in Jordan compared to universal data.

scholarly journals A study on length of stay and its predictors among dengue patients in a tertiary care institute in Lucknow

2019 ◽  
Vol 6 (11) ◽  
pp. 4870
Author(s):  
Sandhya Mishra ◽  
Deepak Chopra ◽  
Nidhi Jauhari ◽  
Ausaf Ahmad
Keyword(s):  
Occupational Exposure ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Case Fatality ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Early Arrival

Background: Dengue virus infection is a growing health problem and is prevalent throughout India. Research focusing on length of hospital stay and its predictors is scarce from India. This is important considering the burden of the disease during epidemics and impact on hospital admissions. Hence the study was conducted with the objectives to find out the factors influencing the length of stay in hospital of dengue patients.Methods: A cross sectional retrospective observational study conducted at a tertiary care hospital from August 2016 to October 2016. Data was retrieved from case sheets at Medical Record Department of 350 lab confirmed adult dengue patients admitted in the hospital.Results: The majority of patients admitted were of economically productive age group of 18-45 years and males indicating the occupational exposure to the vector of dengue. The study found that majority had length of stay of less than a week and as age increases the length of stay also increases (statistically significant). The nil case fatality and lesser number of mean days of symptoms before admission possibly indicate that early arrival of patients to hospital can lead to very low fatality rates. Further research required to find out the other predictors of length of stay.Conclusions: The study concludes that the dengue affects the economically productive age group and more males thereby indicating occupational exposure to the vector. The age of the patient can be used as an indicator to the length of stay in the hospital.

scholarly journals Association Between Occupational Exposure to Domestic Solid Waste and Dental Caries: A Cross Sectional Study

2021 ◽  
Author(s):  
Mariana Andrade ◽  
Nara Araujo ◽  
Maria Isabel Vianna ◽  
Maria Cristina Cangussu ◽  
Isaac Gomes-Filho ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Solid Waste ◽  
Direct Contact ◽  
Dental Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Missing Teeth ◽  
Cross Sectional ◽  
Dmft Index ◽  
Domestic Solid Waste

Abstract This cross-sectional study evaluated the dental caries and its associated factors among domestic waste collectors. A total of 301 adult men who worked for a waste collection corporation were included; 171 men worked in direct contact with domestic solid waste and 130 did not. Sociodemographic data, working and medical history were assessed. The decayed, missing, and filled permanent teeth (DMFT) index was examined. Logistic regression analysis was used to identify factors associated with dental status with a significance level of 5%. The overall mean DMFT score was 8.36 ± 5.64. The mean DMFT, missing teeth (MT), and filled teeth (FT) were significantly higher in workers who did not have any direct contact with waste (p ≤ 0.04). In the logistic analysis, DMFT ≥ 8 was only associated with older age (OR = 8.41 [95% confidence interval (95%CI), 5.01–14.12], p < 0.001). Decayed teeth (DT) ≥ 2 was associated with no previous oral hygiene instruction (OR = 2.70 [1.50–4.81], p = 0.001) and no daily dental flossing (OR = 4.26 [1.92–9.43], p < 0.001). MT ≥ 9 was associated with lower education level (OR = 3.33 [1.57–7.10], p = 0.002). FT ≥ 3 had a negative association with low income (OR = 0.42 [0.25–0.70], p < 0.001) and no daily flossing (OR = 0.42 [0.23–0.76], p = 0.004). Occupational exposure to domestic solid waste was not associated with poor dental status. Instead, age, education, income level, and oral hygiene were associated with dental health status. Missing teeth constituted the major component of the DMFT index. Therefore, prevention and oral rehabilitation programs are necessary to improve dental health.

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