scholarly journals Consideration of information that occupational physicians should obtain from employers for use in providing employees’ healthcare

2021 ◽  
Author(s):  
Rina Minohara ◽  
Yuichi Kobayashi ◽  
Hitomi Fujise ◽  
Suo Taira ◽  
Kota Fukai ◽  
...  
Keyword(s):  
Occupational Physicians

scholarly journals Occupational Physicians' Role Regarding Return to Work of Workers with Acquired Disability

2002 ◽  
Vol 24 (3) ◽  
pp. 327-336 ◽  
Author(s):  
Takao TSUTSUI ◽  
Seichi HORIE ◽  
Hiroshi KAJI
Keyword(s):  
Return To Work ◽  
Acquired Disability ◽  
Occupational Physicians

scholarly journals Sooty bark disease of maples: the risk for hypersensitivity pneumonitis by fungal spores not only for woodman

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Markus Braun ◽  
Doris Klingelhöfer ◽  
David A. Groneberg
Keyword(s):  
Hypersensitivity Pneumonitis ◽  
Correct Diagnosis ◽  
Fungal Spores ◽  
Paper Mill ◽  
Complete Recovery ◽  
Interstitial Lung Diseases ◽  
Acer Pseudoplatanus ◽  
Occupational Physicians ◽  
Mould Fungus ◽  
Public Areas

AbstractIn the middle of the twentieth century, the from North America sooty bark disease (SBD) of maples was first discovered in England and has spread in the last decades in Central Europe, in particular. The trigger of SBD is the mould fungus Cryptostroma (C.) corticale. The most common infested maple is the sycamore, Acer pseudoplatanus, a common tree in woods and parks. The disease is characterised by peeling of the outer layer of the bark and brownish-black spores under the peeled off bark. These spores can cause maple bark disease (MBD) in humans, a hypersensitivity pneumonitis (HP) with similar symptoms like COPD, allergic asthma, influenza or flu-like infections and interstitial pneumonia. Persons who have intensive respectively occupational contact with infested trees or wood, e.g., woodman, foresters, sawyers or paper mill workers, are at risk in particular. Since C. corticale favours hot summers and host trees weakened by drought, SBD will increasingly spread in the future due to ongoing climate change. Consequently, the risk of developing MBD will increase, too. As with all HPs, e.g., farmer’s lung and pigeon breeder’s disease, the diagnosis of MBD is intricate because it has no clear distinguishing characteristics compared to other interstitial lung diseases. Therefore, the establishment of consistent diagnosis guidelines is required. For correct diagnosis and successful therapy, multidisciplinary expertise including pulmonologists, radiologists, pathologists and occupational physicians is recommended. If MBD is diagnosed in time, the removal of the triggering fungus or the infested maple wood leads to complete recovery in most cases. Chronic HP can lead to lung fibrosis and a total loss of lung function culminating in death. HP and, thus, MBD, is a disease with a very high occupational amount. To avoid contact with spores of C. corticale, persons working on infested wood or trees have to wear personal protective equipment. To protect the public, areas with infested maples have to be cordoned off, and the trees should be removed. This is also for impeding further spreading of the spores.

scholarly journals Musculoskeletal Disorders’ Classification Proposal for Application in Occupational Medicine

2021 ◽  
Vol 18 (15) ◽  
pp. 8223
Author(s):  
Pablo Monteiro Pereira ◽  
João Amaro ◽  
Bruno Tillmann Ribeiro ◽  
Ana Gomes ◽  
Paulo De De Oliveira ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Development Process ◽  
Clinical Pathology ◽  
Clinical Activity ◽  
Occupational Physicians ◽  
Work Related ◽  
Therapeutic Measures ◽  
Clinical Questions ◽  
Four Levels ◽  
Tissue Alterations

Occupational-specific classifications of musculoskeletal disorders (MSD) are scarce and do not answer specific clinical questions. Thus, a specific classification was developed and proposed, covering criteria applicable to daily clinical activity. It was considered that the disorder development process is the same across all work-related MSDs (WRMSDs). Concepts of clinical pathology were applied to the characteristics of WRMSDs pathophysiology, cellular and tissue alterations. Then, the correlation of the inflammatory mechanisms with the injury onset mode was graded into four levels (MSDs 0–3). Criteria of legal, occupational and internal medicine, semiology, physiology and orthopaedics, image medicine and diagnostics were applied. Next, the classification was analysed by experts, two occupational physicians, two physiatrists and occupational physicians and one orthopaedist. This approach will allow WRMSD prevention and improve therapeutic management, preventing injuries from becoming chronic and facilitating communication between occupational health physicians and the other specialities. The four levels tool relate aetiopathogenic, clinical, occupational and radiological concepts into a single classification. This allows for improving the ability to determine a WRMSD and understanding what preventive and therapeutic measures should be taken, avoiding chronicity. The developed tool is straightforward, easy to understand and suitable for WRMSDs, facilitating communication between occupational physicians and physicians from other specialities.

scholarly journals Interest of a Joint Use of Two Diagnostic Tools of Burnout: Comparison between the Oldenburg Burnout Inventory and the Early Detection Tool of Burnout Completed by Physicians

2021 ◽  
Vol 18 (19) ◽  
pp. 10544
Author(s):  
Céline Leclercq ◽  
Lutgart Braeckman ◽  
Pierre Firket ◽  
Audrey Babic ◽  
Isabelle Hansez
Keyword(s):  
Early Detection ◽  
Diagnostic Accuracy ◽  
General Practitioners ◽  
The Self ◽  
Added Value ◽  
Diagnostic Tools ◽  
Occupational Physicians ◽  
Detection Tool ◽  
Interview Guide ◽  
Oldenburg Burnout Inventory

Most research on burnout is based on self-reported questionnaires. Nevertheless, as far as the clinical judgement is concerned, a lack of consensus about burnout diagnosis constitutes a risk of misdiagnosis. Hence, this study aims to assess the added value of a joint use of two tools and compare their diagnostic accuracy: (1) the early detection tool of burnout, a structured interview guide, and (2) the Oldenburg burnout inventory, a self-reported questionnaire. The interview guide was tested in 2019 by general practitioners and occupational physicians among 123 Belgian patients, who also completed the self-reported questionnaire. A receiver operating characteristic curve analysis allowed the identification of a cut-off score for the self-reported questionnaire. Diagnostic accuracy was then contrasted by a McNemar chi-squared test. The interview guide has a significantly higher sensitivity (0.76) than the self-reported questionnaire (0.70), even by comparing the self-reported questionnaires with the interviews of general practitioners and occupational physicians separately. However, both tools have a similar specificity (respectively, 0.60–0.67), except for the occupational physicians’ interviews, where the specificity (0.68) was significantly lower than the self-reported questionnaire (0.70). In conclusion, the early detection tool of burnout is more sensitive than the Oldenburg burnout inventory, but seems less specific. However, by crossing diagnoses reported by patients and by physicians, they both seem useful to support burnout diagnosis.

scholarly journals Occupational Physicians' Concern and Fact-finding Methods regarding Cardio-pulmonary Resuscitation Education for Employees in the Workplace

1995 ◽  
Vol 17 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Kazuaki KOHRIYAMA ◽  
Masayuki KAMOCHI ◽  
Keiji AIBARA ◽  
Takeyosi SATA ◽  
Akio SHIGEMATU
Keyword(s):  
Occupational Physicians ◽  
Cardio Pulmonary Resuscitation ◽  
Fact Finding

In a controlled trial training general practitioners and occupational physicians to collaborate did not influence sickleave of patients with low back pain

2005 ◽  
Vol 58 (1) ◽  
pp. 75-82 ◽  
Author(s):  
E. Faber ◽  
S.M.A. Bierma-Zeinstra ◽  
A. Burdorf ◽  
A.P. Nauta ◽  
C.T.J. Hulshof ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
General Practitioners ◽  
Controlled Trial ◽  
Low Back ◽  
Occupational Physicians

Structure of Medical Care Services in the U.S.S.R.

1972 ◽  
Vol 2 (2) ◽  
pp. 239-242
Author(s):  
J. Fry
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Rural Areas ◽  
Free Choice ◽  
Work Load ◽  
Master Plan ◽  
Medical Assistants ◽  
Occupational Physicians ◽  
Care Services ◽  
Primary Physicians

The health services of the U.S.S.R. are organized and administered on a master plan based on central and monolithic planning according to Marxist socioeconomic principles. The health services have provided good available and accessible medical care to all its peoples. This has been a great and remarkable achievement. Primary medical services in the U.S.S.R. are provided by a series of specialists— uchastok (neighborhood) pediatricians, therapists (internists), occupational physicians, and dentists. Each has an allocated geographic locality and there is no free choice of physician. The uchastok physicians work from polyclinics with specialists. They also carry out daily home visits. There are no hospital facilities. The nature of the work and the work load is similar to that of primary physicians in other systems. In rural areas because of dispersal of populations, primary medical care is carried out by medical assistants (feldshers) who work under the supervision of physicians.

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