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[Influence of working conditions on the health status of the female worker].

The AA. examines different aspects concerning the health of female workers. The following aspects are taken into consideration: sex distribution, general and specific morbidity, work pathology, work accidents, sickness and maternity absences, family life. The AA. recalls the importance of appropriate preventive measures, such as organization of apprenticeship and health education programs. In this connection, the AA. puts forward some proposals which might be useful for a new regulation in the matter and, as a conclusion, stresses the importance of an efficient Public Health Service expecially in this field.

Environmental Exposure↗

Airborne endotoxin concentrations in different work conditions.

Workers from various occupations have described symptoms of upper respiratory tract, gastrointestinal tract as well as eye and skin irritation. Exposure to endotoxins may cause these symptoms. Structural differences of endotoxins from different working environments are present on the sources of Gram-negative bacteria.

Air Microbiology↗

[Sanitary-hygienic characteristics of work conditions and health status of workers in nitric acid production industry].

Workers engaged in thin nitric acid manufacturing are exhibited to the combined action of both physical and chemical factors (noise, heating microclimate, nitric oxides, ammonia). Within the working hours, ECG changes and arterial blood pressure instability are displayed in operators and technicians. Influenza, acute respiratory disorders and osseo-muscular diseases present the main causes of morbidity with temporary disability. Technicians are characterized by a markedly greater morbidity rate. Ammonia and nitric oxides, as aggressive media, lead to higher rates of oral mucoid, hard dental tissues and periodontium lesions. Health-related labour conditions improvement measures are proposed.

Air Pollutants, Occupational↗

Health-related quality of life, psychosocial work conditions, and absenteeism in an industrial sample of blue- and white-collar employees: a comparison of potential predictors.

PROBLEM: There is a scarcity of data simultaneously evaluating the relationship of health behavior, health perception, work characteristics, and demographic variables with sickness absenteeism in industrial employees. METHOD: Predictors and possible confounders (smoking, physical activity, alcohol intake, age, gender, body mass index, income) were regressed against frequency indices and the time lost index derived from the day-to-day absence data of 1524 employees at a manufacturing plant in Germany. Frequency indices were the number of sick-leave spells of 1, 2-3, 4-5, and >5 days within 1 year. RESULTS/CONCLUSION: Effort-reward imbalance, lack of support by supervisors or coworkers, negative affectivity, exhaustion, and impaired health perception were significantly associated with absence spells and the time lost index. Job demands and job control as well as overcommitment were unrelated to absenteeism indices. Multivariate models suggest mediation through impaired health-related quality of life.

Adaptation, Psychological↗

[Current objectives for the improvement of work conditions and prevention of occupational diseases among miners].

Workers engaged into deep mining are subjected to occupational factors intensity of which is significantly higher than the allowable. Changing the mining enterprises involves deterioration of the working environment, increase in occupational morbidity. Features of the working environment, parameters of main occupational entities, recent social instability at mining enterprises necessitate further investigations on the problem.

Health Promotion↗

Working conditions and fatigue in professional truck drivers at Israeli ports.

BACKGROUND: Trucks represent 6% of all vehicles, but truck crashes account for 20% of road deaths in Israel, even though travel distances are usually short (<200 km) and overnight travel is uncommon. OBJECTIVE: To determine occupational and individual predictors of fatigue, falling asleep at the wheel, and involvement in crashes with injuries and deaths in truck drivers. SETTING AND METHODS: We carried out field interviews of 160 port truck drivers regarding driver characteristics, workplace and driving conditions, employer-employee relations, medical conditions, sleep quality and fatigue, falling asleep at the wheel, and involvement in road crashes. RESULTS: One day before interview, 38.1% of the drivers had worked more than the 12 hour legal limit. More than 30% reported falling asleep at the wheel recently, and 13% had prior involvement in a sleep related crash. Sixty seven (41.9%) drivers said that their employer forced them to work beyond the legal 12 hour daily limit. Involvement in a crash with casualties was associated with poor sleep quality (adjusted OR = 2.9; p = 0.042) and frequent difficulty finding parking when tired (OR = 3.7; p = 0.049). Self assessment of fatigue underestimated fatigue from the Pittsburgh Sleep Quality Questionnaire. However fatigue occurred in many drivers without sleep problems and many crashes occurred without fatigue. CONCLUSIONS: Prevention requires measures to reduce work stresses, screening drivers, speed control, and modal shifts. The work risks and adverse outcomes of truck drivers in large countries with long overnight journeys occur in a small country with small distances, relatively short work journeys, and little overnight travel.

Accident Prevention↗

Monitoring of benzene-exposed workers for genotoxic effects of benzene: improved-working-condition-related decrease in the frequencies of chromosomal aberrations in peripheral blood lymphocytes.

The genotoxic effects of benzene were assessed in peripheral blood lymphocytes of 49 workers occupationally exposed to benzene (3-68.7 mg/m3 in the work environment) for 0-2, 2-10 and more than 10 years (10, 22 and 17 workers, respectively). Chromosomal aberrations, SCEs and UV-induced DNA synthesis were used as indicators of genotoxic effects. Most of the workers were followed up in 1991 and 1992, while the benzene concentrations were reduced to 1-18.4 mg/m3 air. Considered overall, in the "exposed" groups, the frequencies of chromosomal aberrations were significantly higher than in controls thus providing evidence for the clastogenic effects of benzene. However, there seems to be no correlation between aberration frequencies and the duration of prior exposure to benzene. In 1991 and 1992, when the benzene concentrations were brought down, there was a concomitant decrease in the frequencies of chromosomal aberrations; in 1992 the decrease reached one third to one half of the initial frequencies, values still higher than in the controls. With the other genotoxic end-points, the changes were small and not consistent.

Air Pollutants, Occupational↗

[Multivariate analysis on the relationship between subjective symptoms and risk factors for the development of symptoms including working conditions, life habits and physical status in forestry workers using chain saw].

To determine the risk factors of the subjective symptoms experienced by chain saw workers, we surveyed 206 forestry workers using this device in their work. The strength of the relationship between their symptoms and such potential risk factors as occupational, behavioral, and physical factors was evaluated by a multiple logistic regression model. It was found that many years of chain saw operation, and numerous hours of chain saw operation per day, increased the risk of white finger, numbness of hands and arms, chillness of hands and arms and difficulty in joint movement, indicating that these symptoms were closely related to vibration exposure. Many years of forestry work before chain saw work also increased the risk of joint pain, suggesting that bone and joint disorders are related to heavy manual work not using a chain saw. A second job involving manual labor increased the risk of weakness in the arms, stiffness of the shoulders, and lumbago. Infrequent bathing was associated with increased risk of pain in hands and arms and lumbago. Older workers had a higher prevalence of stomach discomfort. No risk factor was found to significantly increase the risk of easy fatigability, forgetfulness and sleep disorder. It was found that not only exposure to vibration but also other factors contributed to the prevalence of pain in hands and arms, joint pain, weakness in arms, stiffness of shoulder, and lumbago. Second job and infrequent bathing appeared to be related to the occurrence of certain subjective symptoms. These contributory factors should be taken into account when evaluating subjective symptoms encountered in field studies of forestry workers.

Behavior↗