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Biomedical subjects

H Bøggild

Publications and source records attributed to H Bøggild.

24 records · Page 2Linked to original sources

[Occupational environment and strain induced gout. A review of epidemiological studies of the connection between occupational environment and coxarthrosis].

Osteoarthrosis of the hip is a frequent complaint with multifactorial causal relations. The causes have hitherto not been associated with the work environment. Through a systematic literature search 15 epidemiological studies dealing with the relation between occupation or factors in the work environment and coxarthrosis were found. A critical evaluation finds that farmers and construction workers have an increased risk of contracting coxarthrosis. Work that is strenuous for the hip such as lifting and ladder climbing might also be risk factors. Prevention of heavy work involving the hip is proposed as a consequence of this knowledge. The Danish Workers Compensation Act should also take these findings into consideration.

Cumulative Trauma Disorders↗

Regulations as Prevention Strategies for Shiftwork Problems.

The study examines how the Danish system of regulations stemming from collective agreements and legislation and its associated participatory structures operate at the local level in relation to shiftwork and health and safety issues in a regional hospital system consisting of seven hospitals. The study analyzed ward reports of each employee's employment and working hours, local agreements about working time for deviations from legislation, and accounts from meetings in Co-operation Committees and Health and Safety Committees with respect to shiftwork issues from 1980 to 1994. The results showed that part-time employment, especially for those working on fixed evening and night shifts, was a dominant feature in the shiftwork arrangements. A majority of wards were found to have mixtures of employees working rotating or fixed shifts. Each hospital had local agreements that extended the number of work days between periods with days off and reduced the daily resting period to its minimum. None of the meetings of the Health and Safety Committees dealt with shiftwork, and when shiftwork and working time were on the agendas of the Co-operation Committees, health and safety aspects did not feature in the conclusions. The absence of consideration of health and safety aspects is discussed in relation to the uncertainty of the general regulatory principles for work organization and scheduling. The paper concludes that in order to utilize the potential af the participatory structures in developing prevention strategies for shiftwork problems, it is important to clarify responsibilities and cooperation between the two participatory committees.

Journal Article↗

Occupation, employment status and chronic inflammatory bowel disease in Denmark.

BACKGROUND: Certain occupational groups have formerly been identified as having higher risks of suffering from chronic inflammatory bowel diseases. These were evaluated in an independent data set. METHODS: A cohort, comprising all 2 273 872 male and female Danes aged 20-59 years on 1 January 1986 were followed up for hospitalizations due to chronic inflammatory bowel disease until 31 December 1990. RESULTS: From 1981 to 1990 6296 first time admissions occurred. The incidence increased from 1981-1985 to 1986-1990. Of 363 male and 213 female occupational groups eight and five groups respectively had statistically significant raised standardized hospitalization ratios. Among 15 groups previously found to have significant odds ratios only female office staff and health occupations were found to have statistically significant raised standardized hospitalization ratios. Ratios for occupational groups with non-daytime work were not statistically significant. Compared to occupations without sedentary work occupations with predominantly sedentary work had a standardized hospitalization ratio of 125 (95% confidence interval [95% CI] : 116.9-133.1). Self-employed had low hospitalization rates, while 'other salaried staff' and 'not economically active' had high rates. CONCLUSIONS: We found no consistent pattern of occupations at increased risk except that sedentary work may increase the risk of attracting chronic inflammatory bowel disease.

Adult↗

Persistent atrial fibrillation following electrical injury.

Supraventricular arrhythmias are seen following non-fatal electrical injuries. They are believed to be transient, but this has never been confirmed. We report a case of fixed atrial fibrillation that has persisted for 20 years after an electrical injury at work.

Accidents, Occupational↗

Shiftwork and cardiovascular disease: review of disease mechanisms.

This paper reviews the main findings concerning mechanisms explaining the increased risk of coronary heart disease (CHD) in shiftworkers. We discuss a conceptual model, in which three main shiftwork pathways to CHD are postulated--social problems, behavioral change, and disturbed circadian rhythm. Social problems that are associated with shiftwork might lead to stress. Significant shiftwork-related behavioral problems are smoking and unhealthy food habits. Disturbed circadian rhythm might result in sleep deprivation. Unphysiologic timing of physical activity and food intake in relation to circadian rhythms is another possible explanation for the negative impact on the cardiovascular system.

Cardiovascular Diseases↗