Developing a suicide postvention framework for staff in primary healthcare
The sudden death of a work colleague is likely to be shocking, distressing and destabilizing. A death by suicide can have a wide-ranging impact on co-workers and their well-being and functioning can be seriously impaired. A sensitive, compassionate and supportive approach is therefore required to help people and organizations adjust and recover. (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

William Hogarth, A Harlot ’s Progress Plate IV, 1732
William Hogarth (1697 –1764) completed his six oil paintings ofA Harlot ’s Progress in 1731 and issued his copperplate engravings in 1732 [1]. Hogarth sold the paintings to William Beckford, but in 1755 they were destroyed by fire along with Beckford ’s Elizabethan mansion [2]. Narrative accounts ofA Harlot ’s Progress are thus based on engravings. The example accompanying this article is an engraving by Thomas Cook first published inHogarth Restored: The Whole Works of the celebrated William Hogarth (1808). The book includes anecdotes from Hogarth and explanatory descriptions of his designs [3]. (S...
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

The carpal tunnel syndrome
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

Is it time for all companies to have a ‘medicus primus’?
We think and are taught in occupational medicine that Bernardino Ramazzini wrote the first comprehensive occupational health textbook De Morbis Artificum Diatriba (Diseases of Workers) in 1700 describing the effects of work on health for some 50 professions [1]. (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

Safety, Health and Environmental Auditing: A Practical Guide, 2nd Edition
PainSimon Watson. Published by CRC Taylor& Francis Group, Boca Raton, 2018. ISBN: 978-1-138-55715-4. Price: £95.99 (Hb). 272 pp. (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

Dr David Antony Douglas Slattery (1930-2020)
David died at home in Wapping Quay, Liverpool, in the early hours of Boxing Day 2020. He was almost 91 and suffering from chronic obstructive pulmonary disease (COPD). COVID-19 brought his life to an end, surprisingly peacefully. (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

Occupational Medicine Calendar
Due to the rapidly changing situation relating to the Coronavirus the calendar will be removed until further notice. (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

The Cambridge Companion to Presenteeism at Work
CooperCary L. and LuLuo. Published by Cambridge University Press, Cambridge, 2018. ISBN: 978-1-107-18378-0. Price: £71.99 (hb). 322 pp. (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

In This Issue of Occupational Medicine
We are now well into the second year of the COVID-19 pandemic and although there have been remarkable advances, particularly with vaccines, there is still a long way to go. Remaining receptive to scientific developments has been central to delivering effective pandemic response and doubtless will remain so. We have several interesting contributions related to COVID-19 in the current issue. Groteet al. bring to our attention the singular challenge mask wearing has presented to D/deaf healthcare professionals, who rely on lip reading and facial expression for communication [1]. The majority of questionnaire respondents repor...
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

Response to letter from Dr M. D. O ’Brien
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - August 20, 2021 Category: Respiratory Medicine Source Type: research

Underreporting of mesothelioma, asbestosis and pleural plaques in Brazil
ConclusionsOne-third of underreported ARD deaths in the universal SIM is unacceptably high and, apparently, it has not been improving substantially over time. After recoveries from multiple databases, the number of cases is still below, which could be expected based on asbestos consumption. Interoperability of multiple information systems could enhance case detection and improve the precision of mortality estimates, which are crucial for surveillance and for evaluation of remedial policies. (Source: Occupational Medicine)
Source: Occupational Medicine - July 22, 2021 Category: Respiratory Medicine Source Type: research

Brief trauma therapy for occupational trauma-related PTSD/CPTSD in UK police
ConclusionsBrief trauma-focused interventions are potentially effective in reducing symptoms of PTSD, depression and anxiety in police with CPTSD and PTSD. Further research is needed to establish whether additional CPTSD symptoms (affect dysregulation, self-perception and relational difficulties) are also reduced. (Source: Occupational Medicine)
Source: Occupational Medicine - July 17, 2021 Category: Respiratory Medicine Source Type: research

Occupational Medicine Calendar
Due to the rapidly changing situation relating to the Coronavirus the calendar will be removed until further notice. (Source: Occupational Medicine)
Source: Occupational Medicine - June 16, 2021 Category: Respiratory Medicine Source Type: research

Common challenges in returning to work after brain injury
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - June 16, 2021 Category: Respiratory Medicine Source Type: research

In This Issue of Occupational Medicine
In the field of occupational health and safety, the problem of subjects directly exposed to the specific risk of contact with SARS-CoV-2 is prominent, in particular for healthcare workers (HCWs), universally recognized as those most deeply affected by the infection. In this issue, Keleset al. [1] investigated the underlying characteristics of nurses who died due to COVID-19, carrying out a study on grey literature and collecting data on 1518 reported COVID-19-related nurse deaths in 50 countries, as of 1 September 2020. They found that the median age of the deceased nurses was 56 years, and that the majority of deaths were...
Source: Occupational Medicine - June 16, 2021 Category: Respiratory Medicine Source Type: research

Primary Care Mental Health, Second Edition
Edited by Linda Gask, Tony Kendrick, Robert Peveler and Carolyn A. Chew-Graham. Published by Cambridge University Press, Cambridge, 20 September 2018. ISBN: 978-1-911623-02-1. Price: £39.99. 485 pp. (Source: Occupational Medicine)
Source: Occupational Medicine - June 16, 2021 Category: Respiratory Medicine Source Type: research

Occupational Health Law
Diana Kloss MBE. Published by John Wiley& Sons Ltd - Wiley Blackwell, West Sussex, UK, 6th edition, 2020. ISBN: 978-1-118-93625-2. Price: £83.99. 369 pp. (Source: Occupational Medicine)
Source: Occupational Medicine - June 16, 2021 Category: Respiratory Medicine Source Type: research

Minoan Art, The ‘Saffron Gatherers’, c1650 BC
Akrotiri, Thera, Greece Luisa Ricciarini/Bridgeman Images (Source: Occupational Medicine)
Source: Occupational Medicine - June 16, 2021 Category: Respiratory Medicine Source Type: research

Hand –arm vibration and outcomes of surgery for Dupuytren’s contracture
AbstractBackgroundDupuytren ’s contracture was recently designated a prescribed occupational disease when it occurs in patients with previous hand–arm vibration (HAV) exposure.AimsThe aims of this study were to describe the impact of self-reported HAV exposure on upper limb function and satisfaction following surgery for Dupuytren ’s contracture.MethodsPaired pre- and postoperative Quick version of Disabilities of the Arm, Shoulder and Hand (QuickDASH) and patient satisfaction questionnaires were prospectively collected from all patients undergoing surgery for Dupuytren ’s contracture over a 6-year ...
Source: Occupational Medicine - June 9, 2021 Category: Respiratory Medicine Source Type: research

Giant cell reparative granuloma of the phalanx in a violinist
We present the first case of a GCRG of the distal phalanx of the left little finger in a professional violinist. (Source: Occupational Medicine)
Source: Occupational Medicine - June 9, 2021 Category: Respiratory Medicine Source Type: research

SARS-CoV-2 IgG response in symptomatic and asymptomatic COVID-19-infected healthcare workers
AbstractBackgroundHealthcare workers (HCWs) accounted for a significant proportion of COVID-19 infections worldwide. Retrospective seroprevalence surveys are often used to screen for unidentified previous infection with SARS-CoV-2. However, the rate of humoral response in HCWs affected by COVID-19 is not well-defined.AimsTo assess the specific IgG humoral response in symptomatic and asymptomatic SARS-CoV-2-infected HCWs and identify potential factors associated with humoral response.MethodsWe prospectively recruited 204 HCWs with RT-PCR-confirmed COVID-19 infection to evaluate SARS-CoV-2 humoral response. Serum-IgG antibod...
Source: Occupational Medicine - May 19, 2021 Category: Respiratory Medicine Source Type: research

COVID-19 vaccination intent among London healthcare workers
ConclusionsOur study finds COVID-19 vaccinate hesitancy is prevalent among healthcare workers at a London Hospital Trust. It is particularly concerning that hesitancy was highest amongst groups most exposed to COVID-19 and most at risk of severe disease. Reasons behind disparities in uptake must be addressed to protect staff and prevent deepening inequalities within the healthcare workforce. (Source: Occupational Medicine)
Source: Occupational Medicine - May 18, 2021 Category: Respiratory Medicine Source Type: research

Exploring Hong Kong nurses ’ decision-making processes around presenteeism
ConclusionsPresenteeism was a familiar behaviour among Hong Kong nurses in our study. We found both overlap and divergence with prior presenteeism research in the domains and themes identified. Loyalty to colleagues, written and unwritten rules and professional identity as nurses all seemed to encourage presenteeism among Hong Kong nurses. Organizations seeking to discourage presenteeism should evaluate policies such as sick leave certificates, ensure appropriate coverage for all nurse ranks and address subcultural norms encouraging presenteeism. (Source: Occupational Medicine)
Source: Occupational Medicine - May 8, 2021 Category: Respiratory Medicine Source Type: research

HSE Management Standards and burnout dimensions among rehabilitation professionals
ConclusionsThis preliminary study showed the HSE-IT subscales are sensitive to burnout risk as measured by the MBI. The association found between the HSE-IT ‘demands’, ‘role’ and ‘control’ subscales and the MBI dimensions is significant but small. These findings might inform targeted burnout prevention. (Source: Occupational Medicine)
Source: Occupational Medicine - May 5, 2021 Category: Respiratory Medicine Source Type: research

Occupational health management of work-related stress: guidelines versus practice
ConclusionsIn the absence of a specific occupational medical guideline for the management of WRSAD, the OH interventions may be guided by clinical guidelines, individual risk assessment, the client ’s circumstances or the experience, expertise and preferences of the OHDs. In the study group, OH interventions were under-utilized and not consistently applied. Our findings support the argument for OH guideline for WRSAD to improve the consistency and effectiveness of OH interventions. This is i mportant given the scale of the problem and the recent increase in WRSAD during the COVID-19 pandemic. (Source: Occupational Medicine)
Source: Occupational Medicine - April 30, 2021 Category: Respiratory Medicine Source Type: research

The experience of D/deaf healthcare professionals during the coronavirus pandemic
ConclusionsD/deaf HCPs felt left behind, isolated and frustrated by a lack of transparent masks and reasonable adjustments to meet their communication needs. Loss of experienced, qualified HCPs has a significant economic and workforce impact, particularly during a pandemic. Urgent action is needed to ensure D/deaf HCPs are provided with the workplace support required under the Equality Act (2010). (Source: Occupational Medicine)
Source: Occupational Medicine - April 27, 2021 Category: Respiratory Medicine Source Type: research

Age profile of NHS workers in occupational physician clinics
ConclusionsThis study suggested that older workers, aged between 41 and 60 years, may be more likely to be referred for assessment by an OP than younger workers. The only occupational outcome linked to age was ill-health retirement, which was more likely for workers over 50 years of age. (Source: Occupational Medicine)
Source: Occupational Medicine - April 13, 2021 Category: Respiratory Medicine Source Type: research

Management of Vulnerability to Occupational Hazards (Covid-19)
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Working through COVID-19: ‘Zoom’ gloom and ‘Zoom’ fatigue
The COVID-19 pandemic has had a significant impact on the way in which we work across the world. Work is now undertaken at home, in bedrooms, kitchens and living rooms using one of the many video platforms including ‘Zoom’, ‘Webex’, ‘MS Teams’ and ‘Skype’ to name but a few. Whereas many of us were aware of such technology before the pandemic, the rise in usage of these platforms in 2020 (by a reported 360% in the case of ‘Zoom’) has been encouraged by both Government and employer messages to stay and work at home to control the spread of the SARS-CoV-2 virus. (Sou...
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Call for papers: Shift work, sleep and fatigue
The effects of shift work on physical and mental healthand wellbeing are not entirely well understood. Some of the effects are linked to sleep and fatigue. Shift work, sleep and fatigue – both in combination and separately - are areas ripe for research. The effect of sleep on health and wellbeing and the impact on work is still a rapidly developing area. We would therefore like to invite authors to submit papers for a special themed issue on shift work, sleep and fatigue. (Source: Occupational Medicine)
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

In This Issue of Occupational Medicine
This issue ofOccupational Medicine, the journal of the Society of Occupational Medicine (SOM), continues to reflect society ’s concerns (both the SOM and our society more generally) about the direct and indirect effects of the COVID-19 pandemic. But the good news is that there is also editorial space in the journal to include more traditional concerns of occupational medicine, such as traumatic brain injuries in firefi ghters and health risks to information technology workers. Hopefully, this return to a broader OM focus heralds a turning point in the pandemic and an approaching normalcy, albeit slower than many of u...
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Peer review of non-specialist occupational physician reports
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Reply
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Wearable technology and health improvement
Wearable technologies ( ‘wearables’) describe electronic devices which can be worn on, or implanted in, the body. Wearables encompass a wide range of technologies, from pedometers which count steps to research-stage ‘smart tattoos’ which could monitor cardiac rhythm. Twenty years ago, wearables were commonly basic LCD-screened pedometers. Today, even mid-range wearables often estimate heart rate and rhythm. Options for wearables go beyond the wrist, such as the Oura ring, and the nascent emergence of a smart clothing market. Measurements which wearables record also go beyond external measurements; c...
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Henri de Toulouse-Lautrec, La Blanchisseuse, 1888
La Blanchisseuse orThe Laundress (1888) created by Henri de Toulouse-Lautrec (1864 –1901) measures approximately 76 × 63 cm and is owned by the Cleveland Museum of Art in Ohio, USA [1]. A year earlier he completed an oil painting of the same name; this depicted a laundress gazing thoughtfully out of a window. In 2005, that painting achieved a record auction price for a work by the artist when it was sold for $22.4 million by Christies, New York [2]. At first glance, the work featured in this article might appear to be a pencil or a charcoal drawing, especially when considering that it was produced, along with o...
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Occupational Medicine Calendar
Due to the rapidly changing situation relating to the Coronavirus the calendar will be removed until further notice. (Source: Occupational Medicine)
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Breaking & amp; Mending: A junior doctor ’s stories of compassion & amp; burnout
CannonJoanna. Published by Wellcome Collection, London, 2019. ISBN: 1788160576. Price: £12.99. 111 pp. (Source: Occupational Medicine)
Source: Occupational Medicine - April 9, 2021 Category: Respiratory Medicine Source Type: research

Creating a return to work Medical Readers ’ Theatre
ConclusionsThe themes reinforced that challenges in return to work are not always medical in nature. This Readers ’ Theatre adopts perspectives of patients, physicians and other stakeholders whilst focusing on return to work with the goal of providing engagement in reflective and purposeful discussion. (Source: Occupational Medicine)
Source: Occupational Medicine - April 8, 2021 Category: Respiratory Medicine Source Type: research

Persistent post-covid symptoms in healthcare workers
ConclusionsOur data suggest that about a third of HCW who responded to the survey were still struggling to cope with the symptoms of what is now known aslong covid several months after the acute COVID-19 infections. The overwhelming majority of this group seem to be reluctant to neither seek medical advice nor take sick leave. (Source: Occupational Medicine)
Source: Occupational Medicine - April 8, 2021 Category: Respiratory Medicine Source Type: research

Long Covid Implications for the workplace
The prolonged illness experienced by many patients following acute SARS-CoV2 infection has been termed ‘Long Covid’ (LC) by the self-organized patient groups formed on platforms like Facebook. Some of these patients have now been symptomatic for over a year. LC impacts on ability to work, which has implications for employers, occupational health (OH) services and the wider economy. (Source: Occupational Medicine)
Source: Occupational Medicine - April 3, 2021 Category: Respiratory Medicine Source Type: research

Covid-19 and Leadership in Occupational Medicine for Trainees
The current pandemic has illustrated the value of occupational health and of the advice given by occupational health professionals including from trainees in occupational medicine. This has been achieved by the visibility of leaders in the specialty, leaders whose numbers need to expand and whose succession needs to be planned if continuing levels of influence are to be maintained. (Source: Occupational Medicine)
Source: Occupational Medicine - March 30, 2021 Category: Respiratory Medicine Source Type: research

COVID-19 deaths among nurses: a cross-sectional study
ConclusionsThe predominance of deceased mental health nurses among nursing departments can be examined in future studies. Supportive health policies can be developed to increase the motivation of nurses. (Source: Occupational Medicine)
Source: Occupational Medicine - March 24, 2021 Category: Respiratory Medicine Source Type: research

Healthcare workers and protection against inhalable SARS-CoV-2 aerosols
By February 2021 expert groups in several countries had lobbied governments for proper recognition of the risk of aerosol transmission of SARS-CoV-2 and specific strategies to reduce this, including upgrades of respiratory protection (RPE) for healthcare workers (HCWs). This becomes particularly relevant with the emergence of more transmissible strains of SARS-CoV-2 and another wave of disease. Despite overwhelming evidence supporting aerosol transmission of SARS-CoV-2 [1 –3], this has not translated into appropriate, consistent policies on RPE for HCWs. Partly, this is attributable to nations and organizations not s...
Source: Occupational Medicine - March 18, 2021 Category: Respiratory Medicine Source Type: research

The vaccination clinic 2021
At the time of writing (November 2020), we appear to be near to the global discovery, manufacture and, ultimately, mass deployment of a successful vaccine for SARS-CoV-2. (Source: Occupational Medicine)
Source: Occupational Medicine - March 18, 2021 Category: Respiratory Medicine Source Type: research

An evaluation of REACTMH mental health training for healthcare supervisors
AbstractBackgroundHealthcare workers (HCWs) are vulnerable to developing mental ill-health. Prior research has shown those in managerial or supervisory positions have pivotal roles in creating a healthy work environment, as well as recognizing and supporting HCWs with mental health symptoms to improve occupational outcomes and reduce sickness absence.AimsTo evaluate the effectiveness of active listening skills training (REACTMH) for UK healthcare managers.MethodsManagers of HCWs were voluntarily enrolled on a REACTMH active listening skills training package. Attendees anonymously completed questionnaires before and immedia...
Source: Occupational Medicine - March 16, 2021 Category: Respiratory Medicine Source Type: research

An evaluation of influenza vaccine uptake in UK medical students
AbstractBackgroundThe annual influenza vaccination is recommended for all front-line healthcare workers in the UK and is a crucial way of reducing mortality for vulnerable patient groups. However, to date the UK government has never explicitly monitored influenza vaccine uptake in medical students. This is important to ascertain, as students regularly move between clinical areas and are both a perfect vector for the spread of influenza and at an increased risk of contracting influenza themselves.AimsThis service evaluation was designed to evaluate the effectiveness of an influenza vaccination programme in one UK medical sc...
Source: Occupational Medicine - February 18, 2021 Category: Respiratory Medicine Source Type: research

Psychological distress and line-of-duty head injuries in firefighters
ConclusionsWe found that firefighters who reported at least one line-of-duty head injury had significantly higher levels of PTSD and depression symptoms than firefighters who reported no head injuries. Our findings also suggest head injuries sustained outside of fire service could have less of an impact on the firefighter ’s PTSD symptom severity than head injuries that occur as a direct result of their job. (Source: Occupational Medicine)
Source: Occupational Medicine - February 18, 2021 Category: Respiratory Medicine Source Type: research

Covid-19 shelter-at-home and work, lifestyle and well-being in desk workers
AbstractBackgroundEmerging cross-sectional reports find that the COVID-19 pandemic and related social restrictions negatively affect lifestyle behaviours and mental health in general populations.AimsTo study the longitudinal impact of COVID-19 on work practices, lifestyle and well-being among desk workers during shelter-at-home restrictions.MethodsWe added follow-up after completion of a clinical trial among desk workers to longitudinally measure sedentary behaviour, physical activity, sleep, diet, mood, quality of life and work-related health using validated questionnaires and surveys. We compared outcomes assessed before...
Source: Occupational Medicine - February 18, 2021 Category: Respiratory Medicine Source Type: research

Self-reported pain or injury from equipment used on military deployment
ConclusionsKnowledge of the nature of pain or injury related to equipment used on deployment may help inform improved designs and practices to reduce or prevent avoidable harm to serving personnel. (Source: Occupational Medicine)
Source: Occupational Medicine - February 18, 2021 Category: Respiratory Medicine Source Type: research

COVID-19 and vulnerable workers
Dear Sir, (Source: Occupational Medicine)
Source: Occupational Medicine - February 15, 2021 Category: Respiratory Medicine Source Type: research