COVID-19 Trials and Tribulations by Rebecca Gliksman MD MPH
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

Balancing Health and Economic Factors When Reopening Business in the Age of COVID-19
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

Healthcare Workers With Diabetes: Need for More Attention in COVID-19 Outbreak
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

Commercial Transport During a Pandemic: Network Analysis to Reconcile COVID-19 Diffusion and Vital Supply Chain Resilience
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

How did Occupational and Employee Health Services Strengthen Their Health System to Meet the Challenge Presented by the COVID-19 Pandemic?
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: OCCUPATIONAL MEDICINE FORUM Source Type: research

How do we Find a “New Normal” for Industry and Business After COVID-19 Shut Downs?
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: OCCUPATIONAL MEDICINE FORUM Source Type: research

Biomonitoring of DNA Damage in Photocopiers’ Workers From Peshawar, Khyber Pakhtunkhwa, Pakistan
Objectives: The study was performed to know about the extent of occupational DNA damage in photocopiers’ workers. Methods: Blood samples were collected from 136 exposed group and 74 control group. Comet assay was performed to assess the DNA damage caused by emissions from photocopiers. Results: The results indicated that there was a significant increase (P  (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as Inflammatory Markers in Patients With Welders’ Lung Disease
Objective: To investigate neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in patients with welders’ lung disease (PWLD) and its relation with pulmonary function parameters. Methods: One hundred sixteen male PWLD and 118 healthy non-exposed individuals were recruited. Pulmonary function tests (PFTs), complete blood count, erythrocyte sedimentation rate (SED), c-reactive protein (CRP), NLR and PLR of both groups were retrospectively analyzed. Results: NLR, PLR, WBC, ESR, and CRP were significantly higher in PWLD compared to controls (all P  (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Do Injured Workers Receive Opioid Prescriptions Outside the Workers’ Compensation System?: The Case of Private Group Health Insurances
Conclusion: Workplace injury could be a risk factor for both short and long-term prescription opioid use. Studies that use only workers’ compensation medical claim data likely underestimate the magnitude of the impact of workplace injuries on opioid prescriptions. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Fire Service Organizational-Level Characteristics Are Associated With Adherence to Contamination Control Practices in Florida Fire Departments: Evidence From the Firefighter Cancer Initiative
Conclusion: Health and safety officers may have a positive impact on the number of contamination control practices followed in Florida fire departments. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Association of Co-Exposure to Psychosocial Factors With Depression and Anxiety in Korean Workers
Conclusion: Employers should reduce depression and anxiety in their workers by providing comprehensive interventions that protect them from co-exposure to work stressors. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Longitudinal Changes in Prevalence of Colorectal Cancer in Farm and Non-Farm Residents of Saskatchewan
Conclusions: Longitudinal changes in prevalence of CRC among farm and non-farm residents appear to depend on a complex combination of individual and contextual factors. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Lumbar Discectomy and Reoperation Among Workers’ Compensation Cases in Florida and New York: Are Treatment Trends Similar to Other Payer Types?
Objective: The aim of this study was to better understand current treatment trends and revision rates for lumbar disc herniation (LDH) in the workers’ compensation (WC) population compared with other payer types. Methods: This was a retrospective analysis of outpatient claims data from Florida and New York during 2014 to 2016. Results: WC patients were less likely to undergo discectomy in Florida (15% vs 19%; P  (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Safely Returning America to Work: Part I: General Guidance for Employers
Businesses are struggling to re-open as the world continues to deal with the coronavirus 2019 (COVID-19) pandemic. The reopening of businesses will require employers to implement safe return-to-work strategies through evaluation, testing, work modifications, and development of appropriate workplace policies. There will be unique challenges along the way as no one approach will be ideal for all workplaces and industries. This document is intended to provide return-to-work guidance for both employers and the occupational and environmental medicine physicians who will be supporting businesses in implementing safe return-to-wo...
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ACOEM GUIDANCE STATEMENT Source Type: research

The Impact of an Urban Scrapyard Fire on Respiratory-Related Pediatric Emergency Department Visits
Conclusion: A localized, transient increase in PM2.5 was associated with increased pediatric emergency department visits for asthma among patients living downwind of the fire. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Cardiovascular Health Risk Behaviors by Occupation in the NYC Labor Force
Objective: We explored associations between occupation and cardiovascular disease (CVD) risk behaviors including: attempted weight loss, physical activity, smoking, and restaurant meal and sugary beverage consumption. Methods: We used NYC Health and Nutrition Examination Survey 2013 to 2014 data, and coded free-text, occupational question responses using 2010 US Census Bureau Classification. CVD risk behaviors were compared across occupational categories, using regression to adjust for demographics. Results: There were health behavior differences across occupational categories. Construction/transportation/maintenan...
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

A Population-Based Survey of the Workplace Costs for Caregivers of Persons With Treatment-Resistant Depression Compared With Other Health Conditions
Conclusions: TRD exacts a toll on caregivers and their employers exceeding that for other caregivers. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Does Midlife Forgetfulness Influence Positive and Negative Aspects of Social Relations at Work?: Results From the Danish Working Environment Cohort Study
Conclusions: Our findings did not support the hypothesis that memory problems such as midlife forgetfulness negatively affect SRW. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Employee Musculoskeletal Complaints and Supervisor Support: Implications for Behavioral Stress Reactions
Conclusions: Supervisor support for employees with musculoskeletal complaints both weakens and strengthens behavioral stress reactions, depending on employment status. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Reliability of an Assessment Tool and Outcomes of a Comprehensive Worksite Wellness Intervention
Conclusions: Improvements predominantly included creating a wellness committee, assessing needs, and developing goals. There was a lack of policy and systems level improvements at the worksite. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

No Observed Effect Level (NOEL) for Systemic Inflammation by Copper and Zinc in Welding Fumes
In this study the no observed effect levels (NOEL) for welding fumes containing either copper or zinc were assessed. Fifteen healthy male volunteers participated in an exposure. Each subject was exposed to two different concentrations of both, copper and zinc containing welding fumes. Exposure was performed in the Aachen Workplace Simulation Lab. The NOEL was found at metal concentrations between 0.2 and 0.3 mg/m3 for copper and between 0.8 and 1.2 mg/m3 for zinc. The NOEL identified in this study was about a factor of 10 higher than the German workplace threshold limit values (TLV). However, TLV in other countries ...
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

The Impact of Adherence to Clinical Practice Guidelines on Medical Costs
Conclusions: Our results demonstrate that failure to adhere to a subset of CPG indicators significantly predicts increased medical and indemnity spending for two important occupational injuries. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

The Association Between PHQ-9 and Fitness for Work Among Depressive Patients
Objective: One of the tools to assess depression severity is the Patient Health Questionnaire (PHQ-9). Our aim was to investigate the correlation between PHQ-9 scores and fitness for work (FFW) in major depressive disorder (MDD). Methods: A cross-sectional study in patients who were evaluated for their FFW and later compared with PHQ-9. Results: Questionnaires were collected for 125 patients. A negative correlation between depression severity and absolute working ability (WA) was found for both women (β = –0.4, P  (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Morphine Equivalent Dose-Days (MED-D): Predicting the Impact of Opioid Prescription on Total Workers’ Compensation Claim Costs for Acute Low Back Pain
Conclusion: MED-D is a better predictor of total cost in acute LBP claims than MED alone. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: FAST TRACK ARTICLES Source Type: research

Evaluating Covid-19 Injury Claims With a Focus on Workers’ Compensation
COVID-19 illness can cause multiorgan illness. Some States have passed legislation granting a rebuttable presumption of causation by workplace exposure in certain occupations. This paper summarizes methodology for evaluating claimants utilizing known science and as well as information from the American Medical Association Guides resources. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: FAST TRACK ARTICLES Source Type: research

Job Insecurity and Financial Concern During the COVID-19 Pandemic Are Associated With Worse Mental Health
Conclusions: Findings suggest that employers should aim to reduce job insecurity and financial concern among employees during the COVID-19 pandemic to address the associated mental health consequences. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: FAST TRACK ARTICLES Source Type: research

Prevalence of Burnout in Occupational and Environmental Medicine Physicians in the United States
Conclusions: Although the overall burnout prevalence is lower in Occupational Medicine physicians compared with most specialties, the rate varies significantly by practice setting (15% to 48%) affirming the impact of organizational factors. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Follow-Up of Occupational Health Issues and Measures Taken in Fukushima Daiichi Nuclear Power Plant Where Decommissioning Work Has Continued Over 6 Years Since 2014
Conclusions: Improvement in the autonomy of contractors and their ability to respond to environmental changes is necessary. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Longitudinal Assessment of Health Symptoms in Relation to Neurotoxicant Exposures in 1991 Gulf War Veterans: The Ft. Devens Cohort
Conclusion: This longitudinal analysis demonstrated an association between neurotoxicant exposures and increased odds of cognitive/mood, fatigue, and neurological symptoms. In addition, most symptoms increased over time since deployment regardless of exposure. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - September 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

New Highlights
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: PEOPLE AND EVENTS Source Type: research

Lack of Effective Communication to Injured Workers
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

Preparing Occupational Health Services for Pandemic: Lessons From the Bronx
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

The Strategy for Return to Work After the COVID-19 Pandemic on Small and Medium-Sized Enterprises
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

Insights From COVID-Related Accommodation Requests (Alternate Work Assignments) by Clinical Staff at an Academic Medical Center
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: LETTERS TO THE EDITOR Source Type: research

24th Collegium Ramazzini Statement: Prevention of Work-Related Infection in the COVID-19 Pandemic
Conclusion: Governments and employers have legal obligations to protect worker health. They are not relieved of these duties during pandemics. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: EDITORIAL Source Type: research

Recommendations From the 2019 Symposium on Including Functional Status Measurement in Standard Patient Care
No abstract available (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: JOINT GUIDANCE STATEMENT Source Type: research

Cost-Effectiveness and Return-on-Investment of the Dynamic Work Intervention Compared With Usual Practice to Reduce Sedentary Behavior
Conclusion: The intervention may be considered cost-effective from the societal perspective depending on the willingness-to-pay. From the employer perspective, the intervention seems cost-beneficial. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLE Source Type: research

Sleep Apnea Screening for Commercial Drivers: A Retrospective Comparison of the 2016 FMCSA MRB Recommendations and the 2006 Joint Task Force Consensus Guidelines
Conclusions: The combined use of the 2016 FMCSA and 2006 JTF OSA screening criteria in series has a higher screening yield than using either guideline individually. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: FAST TRACK ARTICLE Source Type: research

Increased Spinal Cord Stimulator Use and Continued Opioid Treatment Among Injured Workers: A Regional Pilot Study
Objective: To determine the rate, characteristics, and costs of Spinal Cord Stimulator (SCS) placements among claimants at a Texas-based workers’ compensation carrier. Methods: Indemnity claims occurring between January 1, 2008 and December 31, 2018 were assessed longitudinally. Results: While there was annual variability in rates of SCS placement, the rate of SCS placement increased from 0.21 to 1.56 per 1000 serviced claims. The average total paid claim cost of a trial and permanent placement was $141,288 and $197,813, respectively. Chronic opioid use (more than 3 months) following trial (73.0%) and permane...
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Respiratory Disorders Resulting From Exposure to Low Concentrations of Ammonia: A 5-Year Historical Cohort Study
This study aimed to investigate respiratory disorders associated with exposure to low concentrations of ammonia. Method: This cohort study was conducted on 122 industrial workers. Data gathering were based on the officially registered data, the NMAM 6016 and the American Thoracic Society and European Respiratory Society protocols. Results: The prevalence rate of respiratory disorders significantly increased in the exposure group over 5 years (P  (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Mental Health Stigma and Wellbeing Among Commercial Construction Workers: A Mixed Methods Study
Conclusion: Stigma poses a barrier to addressing mental health among workers; peer support and improved human resources may be promising. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: FAST TRACK ARTICLE Source Type: research

The Mediating Effect of Unhealthy Behaviors and Body Mass Index in the Relation Between High Physical Workload and Self-Rated Poor Health in Male Construction Workers
Conclusion: The pathway of high physical workload and poor health through unhealthy behaviors and BMI was not supported. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Assessing Workplace Clinic Utilization and Performance: Lessons and Implications for Care Delivery
This study aims to quantify on-site clinic return on investment (ROI) associated with the avoidance of direct healthcare expenditures for preventive, urgent care and occupational medical services at an international beverage company. A multivariable linear regression model indicated there was a significant association between the ROI and increasing penetration rates, number of employees, and clinic age (P  (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Associations Between the Breakroom Built Environment, Worker Health Habits, and Worker Health Outcomes: A Pilot Study Among Public Transit Rail Operators
Conclusions: This cross-sectional study demonstrates an association between the quality of the breakroom built environment and worker health, specifically depression and medical disability days. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

The Impact of Challenge and Hindrance Demands on Burnout, Work Engagement, and Presenteeism. A Cross-Sectional Study Using the Job Demands–Resources Model
Conclusion: Future research on larger nation-wide samples is needed to further explore the differentiating effects of job demands on presenteeism via burnout and work engagement. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Education and Training to Build Capacity in Total Worker Health®: Proposed Competencies for an Emerging Field
Conclusions: Proposed set of core competencies will help standardize education and training for professionals being trained in Total Worker Health. It serves as an invitation for further input from stakeholders in academia, business, labor, and government. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Allergy and Lung Injury Among Rescue Workers Exposed to the World Trade Center Disaster Assessed 17 Years After Exposure to Ground Zero
Conclusion: Following exposure to the WTC disaster, the patients in our cohort developed allergic hypersensitivity and severe lung injury with only partial reversibility. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

The Impact of Diabetes Status on Presenteeism in Japan
Conclusions: Presenteeism loss may occur among diabetic workers in Japan and can be caused by diabetes treatment. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Implementation of Physical Employment Standards for Physically Demanding Occupations
Conclusions: This paper describes the processes involved in implementing a physical capability management procedure, for the administration of routine in-service physical employment standards and tests in the UK Fire & Rescue Service. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Association Between Overtime-Working Environment and Psychological Distress Among Japanese Workers: A Multilevel Analysis
Conclusions: OWE was associated with the psychological distress of workers. It is necessary to create a non-OWE at workplaces to prevent psychological distress for workers. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - August 1, 2020 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research