Background:People working outdoors in the Map Ta Phut pollution control area of Thailand require comprehen-sive health monitoring.In the past,studies have been done on the health effects of pollutants.However,there ar...Background:People working outdoors in the Map Ta Phut pollution control area of Thailand require comprehen-sive health monitoring.In the past,studies have been done on the health effects of pollutants.However,there are few studies on musculoskeletal disorders(MSDs),and Thailand is struggling to meet the Sustainable Development Goals.Methods:This cross-sectional study examines access to health services and factors affecting MSDs among outdoor pollution workers(OPWs).The sample group includes OPWs,including local fisherman,street vendors,public car drivers,and traffic police.We studied 50 people from each of these groups,for a total of 200 people.Data were analyzed with inferential statistics using Chi-square test,McNemar test,and Univariate logistic regression.Results:The OPWs reported experiencing significantly more total MSDs pain than they did in the past(P<0.05).Factors affecting current MSDs pain,including occupation and working days per week,were significant(P<0.05).The street vendor group and public car driver group had(odds ratio[OR]=2.253,95%confidence interval[CI]:1.101 to 5.019)and(OR=2.681,95%CI:1.191 to 6.032)times higher risks of MSDs pain,respectively.OPWs who work>5 days per week had a(OR=1.464,95%CI:1.093 to 2.704)times higher risk of MSDs pain.52.7%of OPWs with MSDs,pain(n=110)had received an annual health check-up.In the past year,50.9%had minor illnesses and 21.8%had severe illnesses.OPWs receiving free treatment and visiting health service stations for no cost comprised 77.3%and 51.8%,respectively.60.9%used their right to receive treatment with universal health insurance cards.Conclusions:The study indicates that occupational groups with MSDs pain problems should exercise this right,according to the worker protection law.Local health agencies should organize activities or create accessible media to promote preventive medicine services,as many OPWs believe that health services can only be accessed when illness occurs.展开更多
BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confid...BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors.展开更多
Background: Obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity occurs as a result of an imbalance in diet (energy intake) and physical activity (energy expended), mu...Background: Obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity occurs as a result of an imbalance in diet (energy intake) and physical activity (energy expended), multifactorial diseases due to obesogenic environment (availability of convenience food, media influence, etc.), psycho-social factors (social support systems, cultural/environmental influence, etc.) and genetic variants. Other causes are a subgroup of etiological factors (medications, diseases, immobilization, iatrogenic procedures, monogenic disease/genetic syndrome). Obesity is measured clinically by several common tools apart from body mass index (BMI), such as waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio, and neck circumference. WC and WHR are common tools for measuring central obesity while BMI measures generalized obesity. Aims: The goal of this study is to assess the prevalence of obesity amongst health workers of David Umahi Federal University Teaching Hospital, Uburu, Ebonyi state, Southeast Nigeria and to note the prevailing factors. A reliable estimate of the prevalence of obesity among health workers will contribute to the statistics needed to sway policymakers in the country to take urgent and substantial action on the increasing prevalence of obesity, especially in the healthcare industry. Methodology: The study was carried out between May 2024 and June 2024 at the David Umahi Federal University Teaching Hospital situated in Uburu, Ohaozara Local government area of Ebonyi state, Southeast Nigeria. The questionnaire was designed using the Finnish diabetic risk score (FINDRISC). It contained basic comprehending questions on age, gender, exposure to high blood pressure medication, and anthropometric measurement amongst others. Weight was taken with a portable weighing scale and height, with a stadiometer. Both were taken with shoes and headgear removed. The BMI was calculated using the weight (kg) divided by the square of the height (m2). Result: Generally, the prevalence of obesity (>30 kg/m2) in this study was low 17.6% (38), Overweight (BMI 25 - 30), 38.9%, (84) healthy Weight, (BMI 18.5 - 24.9), 43.5% (94). The study revealed that a family history of diabetes was significantly related to higher BMI, with participants more likely to be overweight or obese (p = 0.00030). Similarly, participants with a personal history of diabetes were predominantly in the obese category (p = 0.00038). Waist circumference also showed a strong association with BMI, as larger waist measurements were more common among obese individuals (p = 9.2 × 10−8). In contrast, the analysis found no significant relationships between BMI and age, gender, high blood pressure, or exercise habits. Conclusion: The socio-demographic determinants of obesity in this study were gender, age < 45 years and exposure to exercise. These determinants should form the areas of focus for interventions such as health education and the design of work environments as environments designed to promote physical activities while working will reduce the prevalence of obesity in tertiary institutions.展开更多
Objectives: To propose the improvements measures by analysing the influencing factors of hand hygiene (HH) compliance by observing the behaviour of health care workers (HCWs). Method: The observational study was condu...Objectives: To propose the improvements measures by analysing the influencing factors of hand hygiene (HH) compliance by observing the behaviour of health care workers (HCWs). Method: The observational study was conducted at a public tertiary hospital in Zhejiang, China, from September 2018 to March 2021. A total of 58 HH observers were trained to conduct a direct observation on the HH behaviors of personnel in the hospital amongst the health care workers. We have observed over 9000 hand hygiene opportunities. The collected data were classified according to time factors, department parameters, and profession conduct of the observed. Hand hygiene (HH) compliance rates were calculated for each category, and a chi-square test was used to analyze differences of the HH compliance rates. Furthermore, binary logistic regression was used for multivariate analysis in each of the hand hygiene moments. Results: The HH compliance rates of HCWs were statistically different before and after the Corona Virus Disease 2019 (COVID-19) pandemic, in the morning and the afternoon, this was observed per parameters stated into objectives on weekdays vs non weekdays. And we found that HH compliance rates drop off a cliff from weekdays to non-weekdays. Conclusions: COVID-19, departments, professions, and weekdays were all factors that influence HH compliance amongst HCWs. However, the influencing factors were not all present in every HH behavior, and had different intensities of influence on HH compliance amongst the HCWs. These findings provide some reference for us to propose improvement measures.展开更多
BACKGROUND Burnout syndrome is a significant issue among healthcare professionals worldwide,marked by depersonalization,emotional exhaustion,and a reduced sense of personal achievement.This psychological and physical ...BACKGROUND Burnout syndrome is a significant issue among healthcare professionals worldwide,marked by depersonalization,emotional exhaustion,and a reduced sense of personal achievement.This psychological and physical burden profoundly affects healthcare professionals'quality of care and overall well-being.In Somalia,where the healthcare system faces numerous challenges,the escalating demand for medical services and inadequate resources,coupled with overwhelming workloads,long hours,and high-stress levels,make healthcare providers particularly vulnerable to burnout syndrome.This,in turn,affects both the mental health of healthcare personnel and the quality of care they provide.AIM To examine the prevalence and determinants of burnout syndrome among healthcare practitioners in Mogadishu,Somalia.METHODS This cross-sectional prospective study was performed among 246 healthcare providers employed at a tertiary care hospital in Mogadishu,Somalia,who were recruited via random sampling.Data were collected using questionnaires that covered sociodemographic,psychological,work-related characteristics,and burnout syndrome.Bivariate and multivariate logistic regression analyses were performed to identify the variables that correlated with burnout syndrome.The results were presented using adjusted odds ratios(AORs),95%CIs,and P values,with a cutoff of 0.05 for identifying significant associations.RESULTS Among the participants,24%(95%CI:18.8%–29.8%)exhibited symptoms of burnout syndrome.Factors associated with burnout included female gender(AOR=6.60;95%CI:2.29-19.04),being married(AOR=3.07;95%CI:1.14-8.28),being divorced or widowed(AOR=5.84;95%CI:1.35-25.35),working more than 7 night shifts(AOR=3.19;95%CI:1.30–7.82),having less than 5 years of job experience(AOR=5.28;95%CI:1.29-21.65),experiencing poor sleep quality(AOR=5.29;95%CI:1.88-14.89),and exhibiting depressive(AOR=4.46;95%CI:1.59-12.53)and anxiety symptoms(AOR=7.34;95%CI:2.49-21.60).CONCLUSION This study found that nearly one in four healthcare professionals suffers from burnout syndrome.Improving sleep quality,monitoring,and providing mental health support could enhance their well-being and patient care.展开更多
Objective This study explored the job choice preferences of Center for Disease Prevention and Control(CDC)workers to provide CDC management information and recommendations for optimizing employee retention and motivat...Objective This study explored the job choice preferences of Center for Disease Prevention and Control(CDC)workers to provide CDC management information and recommendations for optimizing employee retention and motivation policies.Methods A discrete choice experiment was conducted in nine provinces across China.Seven key attributes were identified to analyze the job preferences of CDC workers.Mixed logit models,latent class models,and policy simulation tools were used.Results A valid sample of 5,944 cases was included in the analysis.All seven attributes significantly influenced the job choices of CDC workers.Heterogeneity analyses identified two main groups based on different levels of preference for attribute utility.Income-prioritizers were concerned with income and opportunities for career development,whereas bianzhi-prioritizers were concerned with bianzhi and welfare benefits.The policy simulation analysis revealed that income-prioritizers had a relatively higher sensitivity to multiple job preference incentives.Conclusion Income and bianzhi were the two key attributes influencing the job choices and retention preferences of CDC workers.Heterogeneity in job preferences was also identified.Based on the preference characteristics of different subgroups,policy content should be skewed to differentiate the importance of incentives.展开更多
Objectives:Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals.This study aimed to explore the challenges that community health workers...Objectives:Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals.This study aimed to explore the challenges that community health workers(CHWs)encounter while providing mental health services in the community.Methods:Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers(PHCs)among three cites of Indonesia.Focus group discussions were used to collect data.All of data were analyzed using the interpretive phenomenological analysis method.Results:Considering the participants’voluntary CHW role,the results were organized into five themes.These comprised two themes of challengesdfamily stigma and limited understanding of mental disorders,and three themes regarding efforts to overcome the challengesdmaintaining self-motivation,fostering self-efficacy,and using communication skills when approaching families and patients.Conclusions:Upskilling and empowering CHWs helps to enhance community mental health.Thus,it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.展开更多
In this editorial we comment on the article by Mohamed et al published in the recent issue of World Journal of Psychiatry.Globally,health care workers are facing a major problem called burnout syndrome,which is charac...In this editorial we comment on the article by Mohamed et al published in the recent issue of World Journal of Psychiatry.Globally,health care workers are facing a major problem called burnout syndrome,which is characterized by emotional alienation,burnout,and decreased personal fulfillment.This physical and mental stress has a significant impact on the quality of care and health of medical per-sonnel.This study delves into the challenges facing Somalia’s healthcare system,such as lack of resources,heavy workloads,long working hours,and high-pressure environments that make healthcare personnel particularly vulnerable to burnout.This situation further affects their mental health and the quality of care services.Research shows that about 25%of healthcare professionals are affected by burnout syndrome.By improving the quality of sleep,strengthening monitoring,and providing mental health support,the health status of medical personnel and patient care can be effectively improved.The findings highlight the need for interventions including improved sleep quality,enhanced mental health monitoring and support,appropriate workload management,a supportive work climate,and effective time management strategies in the workplace to enhance health staff well-being and the quality of patient care.These measures are critical to addressing the current challenges of the healthcare system,improving patient care and prioritizing the well-being of frontline healthcare staff.展开更多
In an aircraft final assembly line(AFAL),the rational scheduling of assembly workers to complete tasks in an orderly manner is crucial for enhancing production efficiency.This paper addresses the multi-skilled worker ...In an aircraft final assembly line(AFAL),the rational scheduling of assembly workers to complete tasks in an orderly manner is crucial for enhancing production efficiency.This paper addresses the multi-skilled worker scheduling problem in the AFAL,where the processing time of each task varies due to the assigned workers’skill levels,referred to as variable duration.The objective is to minimize the makespan,i.e.,the total time required for all workers to complete all tasks.A mixed integer linear programming model is formulated under complex constraints including assembly precedence relations,skill requirements,worker skill capabilities,and workspace capacities.To solve the model effectively,a multi-pass priority rule-based heuristic(MPRH)algorithm is proposed.This algorithm integrates 14 activity priority rules and nine worker priority rules with worker weights.Extensive experiments iteratively the best-performing priority rules,and the most effective rule subsets are integrated through a lightweight multi-pass mechanism to enhance its efficiency.The computational results demonstrate that the MPRH can find high-quality solutions effectively within very short central processing unit central processing unit(CPU)time compared to GUROBI.A case study based on real data obtained from an AFAL confirms the necessity and the feasibility of the approach in practical applications.Sensitivity analyses provide valuable insights to real production scenarios.展开更多
Objective:Sick building syndrome(SBS)is a significant health concern among healthcare workers,exacerbated by prolonged exposure to indoor air pollutants and inadequate environmental conditions.Our study aims to explor...Objective:Sick building syndrome(SBS)is a significant health concern among healthcare workers,exacerbated by prolonged exposure to indoor air pollutants and inadequate environmental conditions.Our study aims to explore the prevalence of SBS and its association with indoor air quality and workplace environments among healthcare workers in five hospital departments in Nakhon Si Thammarat,Thailand.Methods:Indoor air quality was assessed over eight days,measuring microbial concentrations(bacteria,fungi),temperature,humidity,and carbon dioxide levels.Demographic data and SBS symptoms were also collected from healthcare workers.Results:The findings revealed that fungal concentrations were highest in the pharmacy(51.95±37.59)colony forming units(CFU)per m^(3),while bacterial concentrations peaked in the outpatient department(265.06±49.46)CFU/m3.The study identified Staphylococcus hominis and Micrococcus luteus as the dominant microbial species in the air environment.A moderate positive correlation was found between bacterial concentrations and humidity(r=0.43,P=0.046).SBS symptoms were prevalent among healthcare workers,with 75.58%reporting issues like dry eyes and fatigue.The total complaint score for SBS correlated positively with indoor pollutant levels,especially fungi(r=0.38,P<0.001).Frequent cleaning reduced SBS complaints significantly(P<0.001).Conclusion:Hospital departments with more frequent cleaning practices exhibited lower SBS complaints,highlighting the importance of cleaning frequency in reducing SBS-related issues.These findings provide actionable insights for improving workplace safety and indoor air quality in healthcare settings.展开更多
BACKGROUND In the initial stages of the coronavirus disease 2019(COVID-19)pandemic,healthcare workers(HCWs)who were immunologically naive to COVID-19,were exposed to a highly transmissible virus.AIM To compare infecti...BACKGROUND In the initial stages of the coronavirus disease 2019(COVID-19)pandemic,healthcare workers(HCWs)who were immunologically naive to COVID-19,were exposed to a highly transmissible virus.AIM To compare infection risk among HCWs in high-risk(HR)and low-risk(LR)areas.METHODS Data on reverse transcriptase-polymerase chain reaction confirmed clinical infection and samples for nucleocapsid,and spike protein antibodies were collected at five time-points(T1 to T5)from HCWs in the emergency department and intensive care unit(HR group)and pre-clinical and para-clinical areas(LR).For the sero-study,only participants who provided at least one baseline sample and one during the second wave(T4 or T5)were analysed.Since CovishieldTM elicits only spike protein antibodies,subclinical infection was diagnosed if asymptomatic unvaccinated and CovishieldTM vaccinated individuals tested positive for nucleocapsid antibody.RESULTS Overall,by T5,clinical infection rate was similar in the HR(120/366,32.8%)and LR(22/82,26.8%)groups(P=0.17).However,before vaccination(T3),more HCWs in the HR group developed COVID-19 infection(21.9%vs 8.8%,P=0.046).In the sero-study group,clinical infection occurred in 31.5%(45/143)and 23.7%(14/59)in the HR and LR groups respectively(P=0.23).Spike antibody was detected in 140/143(97.9%)and 56/59(94.9%)and nucleocapsid antibody was positive in 95/143(66.4%)and 35/59(59.3%)in the HR and LR groups respectively(P=0.34).Subclinical infection rate(HR 34.9%,LR 35.6%,P=0.37)and hospitalization rate were similar.There was no mortality.CONCLUSION Before vaccination,HCWs in HR areas had a higher risk of infection.Seroprevalence studies suggest that subclinical infection was not uncommon.展开更多
Objective:This study assessed heat exposure,physiological responses,and the risk of chronic kidney disease among outdoor agricultural workers in Pak Chong,Thailand,and developed a predictive model for Wet Bulb Globe T...Objective:This study assessed heat exposure,physiological responses,and the risk of chronic kidney disease among outdoor agricultural workers in Pak Chong,Thailand,and developed a predictive model for Wet Bulb Globe Temperature(WBGT).Methods:A cross-sectional study was conducted among 170 agricultural workers.Field WBGT was measured at 33 locations in April and July and corrected for Clothing Adjustment Factor to determine effective WBGT.Core temperature,skin temperature,heart rate,blood pressure,and body weight were monitored before,during,and after work shifts.Urine dipstick and microalbumin tests were performed to evaluate dehydration and kidney disorder.Workloads were classified according to American Conference of Governmental Industrial Hygienists(ACGIH)metabolic rate categories.Meteorological data were used to train machine learning models—including linear regression,decision tree,random forest,and extreme gradient boosting—to predict WBGT values.Results:Effective WBGT at fruit gardens and field crops sites frequently exceeded ACGIH limits for moderateto-heavy work.Workers’systolic/diastolic blood pressure and heart rate increased during work(transient cardiovascular strain)while body temperature remained stable.Post-shift,34.7%showed moderate dehydration;microalbumin screening was positive in 31/170(18.2%)suggesting possible early renal involvement but not chronic kidney disease diagnosis.Among the predictive models,extreme gradient boosting achieved the best performance(root mean square error=0.798℃,mean absolute error=0.576℃,R^(2)=0.81).The most influential predictors were air temperature,sunshine duration,and site-specific factors.Conclusions:Agricultural workers in Pak Chong are frequently exposed to heat stress that exceeds ACGIH standards,predisposing them to dehydration and kidney impairment.The findings support evidence-based preventive strategies such as regulated work–rest cycles,hydration management,and medical surveillance.Moreover,the validated WBGT prediction tool offers a practical approach for real-time monitoring and proactive climate adaptation to protect outdoor workers in heat-prone environments.展开更多
BACKGROUND Gastric motility is an essential gastrointestinal function.It can be influenced by age,gender,body composition,and metabolic status.However,published data on these associations remains limited.AIM To assess...BACKGROUND Gastric motility is an essential gastrointestinal function.It can be influenced by age,gender,body composition,and metabolic status.However,published data on these associations remains limited.AIM To assess the relationship between gastric motility and adiposity,and metabolic indicators in a cohort of Sri Lankan office workers.METHODS A cross-sectional study was conducted among 130 office workers(58.5%females)aged 20-50 years(mean 36.81,SD 8.85 years)of the University of Kelaniya,Sri Lanka.Gastric motility was assessed by real-time ultrasonography,using a previously validated method.Fasting antral area(FAA),postprandial antral areas at 1 minutes and 15 minutes(AA1,AA15),and antral contraction frequency(FAC)were measured,and gastric emptying rate(GER)and antral motility index were calculated.Anthropometric parameters were obtained using sensitive scales.Glycated hemoglobin,lipid profile,and liver enzyme levels were measured at an accredited laboratory.RESULTS The mean body mass index(BMI)was 24.36(SD 4.09)kg/m^(2),and 39.2%were overweight or obese.Increased abdominal adiposity was detected in 29.2%and 40.8%had high waist-to-hip ratios.Prediabetes/diabetes were observed in 20.0%,hypercholesterolemia in 47.7%,hypertriglyceridemia in 14.7%,high low-density lipoproteins in 39.2%,and elevated aspartate transaminase and alanine transaminase in 5.4%and 21.5%respectively.FAA had a weak negative correlation with high-density lipoprotein level(r=-0.227,P=0.009),and a positive correlation with waist circumference(r=0.235,P=0.007),and waist-to-hip ratio(r=0.244,P=0.005).GER and AA1 correlated weakly with triglyceride(GER:r=0.174,P=0.048;AA1:r=0.194,P=0.027)and VLDL levels(GER:r=0.183,P=0.038;AA1:r=0.195,P=0.026).In females,AA1 positively correlated with triglycerides(r=0.333,P=0.003),and VLDL levels(r=0.337,P=0.003),and AA15 with BMI(r=0.284,P=0.013)and hip circumference(r=0.229,P=0.047).FAC negatively correlated with BMI(r=-0.234,P=0.042)and hip circumference(r=-0.247,P=0.032).CONCLUSION Gastric motility parameters showed weak associations with metabolic indicators,particularly lipid profiles,and to a lesser extent,with adiposity indicators.The greater number of correlations observed in females suggests the possibility of sex-specific differences in these associations.These findings highlight potential relationships that require confirmation through longitudinal studies.展开更多
Objective: To understand the HIV/AIDS-related knowledge, attitudes and behaviors (KAB) among immigrant female factory workers(IFFW). Methods: A cross-sectional study was conducted among IFFWs sampled from several join...Objective: To understand the HIV/AIDS-related knowledge, attitudes and behaviors (KAB) among immigrant female factory workers(IFFW). Methods: A cross-sectional study was conducted among IFFWs sampled from several joint- venture and private factories in Dongguan city. Results: Out of 175 sampled workers, 165 qualified for inclusion and the median age was 22. The results showed that the IFFWs had low levels of knowledge about HIV/AIDS, and held many misconceptions. Thirty three of 76 (43.4%) unmarried IFFWs had premarital sexual contact, and more than half of these contacts were one-night stands (54.5%) . More than one quarter of the women(25.9%) never used condoms, 49.4% sometimes used condoms and 24.7% used condoms every time. Twenty-eight women (31.8%) had an induced abortion because of an unexpected pregnancy. Fourteen (14.9%) had been infected with STDs, and four IFFWs(2.8%)had tried drugs before the interview. Conclusion: In order to empower the IFFWs in the city to protect themselves from HIV, and to contain the rapid spread of HIV in our province, targeted HIV/ AIDS health promotion programs should be urgently implemented among IFFWs in Dongguan city. The programs should be designed to improve the knowledge of HIV, to promote condom use, and to reduce risky behaviors.展开更多
The research selected 13 factors from individual and family characters, construction site characters and work characters and analyzed the influences on the willingness of purchasing houses on construction sites with L...The research selected 13 factors from individual and family characters, construction site characters and work characters and analyzed the influences on the willingness of purchasing houses on construction sites with Logistic regression mod- el. The results showed that gender, age differences, personality, willingness on fami- ly land conversion, management of enterprises on construction sites, relatives and friends on construction lands, and Job satisfaction were approved by significant testing, but marital status, annual household income, the rate of migrant worker in a household, transportation in work city, and corporate reputation were not approved by significant testing.展开更多
基金grant Fundamental Fund of National Science Research and Innovation Fund(NSRF)via Burapha University of Thailand(Grant number 52/2024).
文摘Background:People working outdoors in the Map Ta Phut pollution control area of Thailand require comprehen-sive health monitoring.In the past,studies have been done on the health effects of pollutants.However,there are few studies on musculoskeletal disorders(MSDs),and Thailand is struggling to meet the Sustainable Development Goals.Methods:This cross-sectional study examines access to health services and factors affecting MSDs among outdoor pollution workers(OPWs).The sample group includes OPWs,including local fisherman,street vendors,public car drivers,and traffic police.We studied 50 people from each of these groups,for a total of 200 people.Data were analyzed with inferential statistics using Chi-square test,McNemar test,and Univariate logistic regression.Results:The OPWs reported experiencing significantly more total MSDs pain than they did in the past(P<0.05).Factors affecting current MSDs pain,including occupation and working days per week,were significant(P<0.05).The street vendor group and public car driver group had(odds ratio[OR]=2.253,95%confidence interval[CI]:1.101 to 5.019)and(OR=2.681,95%CI:1.191 to 6.032)times higher risks of MSDs pain,respectively.OPWs who work>5 days per week had a(OR=1.464,95%CI:1.093 to 2.704)times higher risk of MSDs pain.52.7%of OPWs with MSDs,pain(n=110)had received an annual health check-up.In the past year,50.9%had minor illnesses and 21.8%had severe illnesses.OPWs receiving free treatment and visiting health service stations for no cost comprised 77.3%and 51.8%,respectively.60.9%used their right to receive treatment with universal health insurance cards.Conclusions:The study indicates that occupational groups with MSDs pain problems should exercise this right,according to the worker protection law.Local health agencies should organize activities or create accessible media to promote preventive medicine services,as many OPWs believe that health services can only be accessed when illness occurs.
文摘BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors.
文摘Background: Obesity is a chronic complex disease defined by excessive fat deposits that can impair health. Obesity occurs as a result of an imbalance in diet (energy intake) and physical activity (energy expended), multifactorial diseases due to obesogenic environment (availability of convenience food, media influence, etc.), psycho-social factors (social support systems, cultural/environmental influence, etc.) and genetic variants. Other causes are a subgroup of etiological factors (medications, diseases, immobilization, iatrogenic procedures, monogenic disease/genetic syndrome). Obesity is measured clinically by several common tools apart from body mass index (BMI), such as waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio, and neck circumference. WC and WHR are common tools for measuring central obesity while BMI measures generalized obesity. Aims: The goal of this study is to assess the prevalence of obesity amongst health workers of David Umahi Federal University Teaching Hospital, Uburu, Ebonyi state, Southeast Nigeria and to note the prevailing factors. A reliable estimate of the prevalence of obesity among health workers will contribute to the statistics needed to sway policymakers in the country to take urgent and substantial action on the increasing prevalence of obesity, especially in the healthcare industry. Methodology: The study was carried out between May 2024 and June 2024 at the David Umahi Federal University Teaching Hospital situated in Uburu, Ohaozara Local government area of Ebonyi state, Southeast Nigeria. The questionnaire was designed using the Finnish diabetic risk score (FINDRISC). It contained basic comprehending questions on age, gender, exposure to high blood pressure medication, and anthropometric measurement amongst others. Weight was taken with a portable weighing scale and height, with a stadiometer. Both were taken with shoes and headgear removed. The BMI was calculated using the weight (kg) divided by the square of the height (m2). Result: Generally, the prevalence of obesity (>30 kg/m2) in this study was low 17.6% (38), Overweight (BMI 25 - 30), 38.9%, (84) healthy Weight, (BMI 18.5 - 24.9), 43.5% (94). The study revealed that a family history of diabetes was significantly related to higher BMI, with participants more likely to be overweight or obese (p = 0.00030). Similarly, participants with a personal history of diabetes were predominantly in the obese category (p = 0.00038). Waist circumference also showed a strong association with BMI, as larger waist measurements were more common among obese individuals (p = 9.2 × 10−8). In contrast, the analysis found no significant relationships between BMI and age, gender, high blood pressure, or exercise habits. Conclusion: The socio-demographic determinants of obesity in this study were gender, age < 45 years and exposure to exercise. These determinants should form the areas of focus for interventions such as health education and the design of work environments as environments designed to promote physical activities while working will reduce the prevalence of obesity in tertiary institutions.
文摘Objectives: To propose the improvements measures by analysing the influencing factors of hand hygiene (HH) compliance by observing the behaviour of health care workers (HCWs). Method: The observational study was conducted at a public tertiary hospital in Zhejiang, China, from September 2018 to March 2021. A total of 58 HH observers were trained to conduct a direct observation on the HH behaviors of personnel in the hospital amongst the health care workers. We have observed over 9000 hand hygiene opportunities. The collected data were classified according to time factors, department parameters, and profession conduct of the observed. Hand hygiene (HH) compliance rates were calculated for each category, and a chi-square test was used to analyze differences of the HH compliance rates. Furthermore, binary logistic regression was used for multivariate analysis in each of the hand hygiene moments. Results: The HH compliance rates of HCWs were statistically different before and after the Corona Virus Disease 2019 (COVID-19) pandemic, in the morning and the afternoon, this was observed per parameters stated into objectives on weekdays vs non weekdays. And we found that HH compliance rates drop off a cliff from weekdays to non-weekdays. Conclusions: COVID-19, departments, professions, and weekdays were all factors that influence HH compliance amongst HCWs. However, the influencing factors were not all present in every HH behavior, and had different intensities of influence on HH compliance amongst the HCWs. These findings provide some reference for us to propose improvement measures.
文摘BACKGROUND Burnout syndrome is a significant issue among healthcare professionals worldwide,marked by depersonalization,emotional exhaustion,and a reduced sense of personal achievement.This psychological and physical burden profoundly affects healthcare professionals'quality of care and overall well-being.In Somalia,where the healthcare system faces numerous challenges,the escalating demand for medical services and inadequate resources,coupled with overwhelming workloads,long hours,and high-stress levels,make healthcare providers particularly vulnerable to burnout syndrome.This,in turn,affects both the mental health of healthcare personnel and the quality of care they provide.AIM To examine the prevalence and determinants of burnout syndrome among healthcare practitioners in Mogadishu,Somalia.METHODS This cross-sectional prospective study was performed among 246 healthcare providers employed at a tertiary care hospital in Mogadishu,Somalia,who were recruited via random sampling.Data were collected using questionnaires that covered sociodemographic,psychological,work-related characteristics,and burnout syndrome.Bivariate and multivariate logistic regression analyses were performed to identify the variables that correlated with burnout syndrome.The results were presented using adjusted odds ratios(AORs),95%CIs,and P values,with a cutoff of 0.05 for identifying significant associations.RESULTS Among the participants,24%(95%CI:18.8%–29.8%)exhibited symptoms of burnout syndrome.Factors associated with burnout included female gender(AOR=6.60;95%CI:2.29-19.04),being married(AOR=3.07;95%CI:1.14-8.28),being divorced or widowed(AOR=5.84;95%CI:1.35-25.35),working more than 7 night shifts(AOR=3.19;95%CI:1.30–7.82),having less than 5 years of job experience(AOR=5.28;95%CI:1.29-21.65),experiencing poor sleep quality(AOR=5.29;95%CI:1.88-14.89),and exhibiting depressive(AOR=4.46;95%CI:1.59-12.53)and anxiety symptoms(AOR=7.34;95%CI:2.49-21.60).CONCLUSION This study found that nearly one in four healthcare professionals suffers from burnout syndrome.Improving sleep quality,monitoring,and providing mental health support could enhance their well-being and patient care.
基金supported by the Major Program of the National Social Science Foundation of China(no.2022YFC3600801)the Operation of Public Health Emergency Response Mechanisms of the Chinese Center for Disease Control and Prevention(no.102393220020010000017)。
文摘Objective This study explored the job choice preferences of Center for Disease Prevention and Control(CDC)workers to provide CDC management information and recommendations for optimizing employee retention and motivation policies.Methods A discrete choice experiment was conducted in nine provinces across China.Seven key attributes were identified to analyze the job preferences of CDC workers.Mixed logit models,latent class models,and policy simulation tools were used.Results A valid sample of 5,944 cases was included in the analysis.All seven attributes significantly influenced the job choices of CDC workers.Heterogeneity analyses identified two main groups based on different levels of preference for attribute utility.Income-prioritizers were concerned with income and opportunities for career development,whereas bianzhi-prioritizers were concerned with bianzhi and welfare benefits.The policy simulation analysis revealed that income-prioritizers had a relatively higher sensitivity to multiple job preference incentives.Conclusion Income and bianzhi were the two key attributes influencing the job choices and retention preferences of CDC workers.Heterogeneity in job preferences was also identified.Based on the preference characteristics of different subgroups,policy content should be skewed to differentiate the importance of incentives.
基金This research(study design,data collection and analysis)was funded by Program Riset Kolaborasi Indonesia(RKI)-World Class University(WCU)Lembaga Penelitian dan Pengabdian Masyarakat Universitas Airlangga Indonesia in 2023 with the number:974/UN3.LPPM/PT.01.03/2023.
文摘Objectives:Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals.This study aimed to explore the challenges that community health workers(CHWs)encounter while providing mental health services in the community.Methods:Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers(PHCs)among three cites of Indonesia.Focus group discussions were used to collect data.All of data were analyzed using the interpretive phenomenological analysis method.Results:Considering the participants’voluntary CHW role,the results were organized into five themes.These comprised two themes of challengesdfamily stigma and limited understanding of mental disorders,and three themes regarding efforts to overcome the challengesdmaintaining self-motivation,fostering self-efficacy,and using communication skills when approaching families and patients.Conclusions:Upskilling and empowering CHWs helps to enhance community mental health.Thus,it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.
基金Supported by the Science and Technology Program of Nantong City,No.Key003Nantong Young Medical Expert,No.46+2 种基金Science and Technology Program of Nantong Health Committee,No.MA2019003,No.MA2021017 and No.MSZ2024038Science and Technology Program of Nantong City,No.JCZ2022040Kangda College of Nanjing Medical University,No.KD2021JYYJYB025,No.KD2022KYJJZD022,and No.KD2024KYJJ289.
文摘In this editorial we comment on the article by Mohamed et al published in the recent issue of World Journal of Psychiatry.Globally,health care workers are facing a major problem called burnout syndrome,which is characterized by emotional alienation,burnout,and decreased personal fulfillment.This physical and mental stress has a significant impact on the quality of care and health of medical per-sonnel.This study delves into the challenges facing Somalia’s healthcare system,such as lack of resources,heavy workloads,long working hours,and high-pressure environments that make healthcare personnel particularly vulnerable to burnout.This situation further affects their mental health and the quality of care services.Research shows that about 25%of healthcare professionals are affected by burnout syndrome.By improving the quality of sleep,strengthening monitoring,and providing mental health support,the health status of medical personnel and patient care can be effectively improved.The findings highlight the need for interventions including improved sleep quality,enhanced mental health monitoring and support,appropriate workload management,a supportive work climate,and effective time management strategies in the workplace to enhance health staff well-being and the quality of patient care.These measures are critical to addressing the current challenges of the healthcare system,improving patient care and prioritizing the well-being of frontline healthcare staff.
基金supported by the National Natural Science Foundation of China(52175475).
文摘In an aircraft final assembly line(AFAL),the rational scheduling of assembly workers to complete tasks in an orderly manner is crucial for enhancing production efficiency.This paper addresses the multi-skilled worker scheduling problem in the AFAL,where the processing time of each task varies due to the assigned workers’skill levels,referred to as variable duration.The objective is to minimize the makespan,i.e.,the total time required for all workers to complete all tasks.A mixed integer linear programming model is formulated under complex constraints including assembly precedence relations,skill requirements,worker skill capabilities,and workspace capacities.To solve the model effectively,a multi-pass priority rule-based heuristic(MPRH)algorithm is proposed.This algorithm integrates 14 activity priority rules and nine worker priority rules with worker weights.Extensive experiments iteratively the best-performing priority rules,and the most effective rule subsets are integrated through a lightweight multi-pass mechanism to enhance its efficiency.The computational results demonstrate that the MPRH can find high-quality solutions effectively within very short central processing unit central processing unit(CPU)time compared to GUROBI.A case study based on real data obtained from an AFAL confirms the necessity and the feasibility of the approach in practical applications.Sensitivity analyses provide valuable insights to real production scenarios.
基金Undergraduate Research Grants,Walailak University.
文摘Objective:Sick building syndrome(SBS)is a significant health concern among healthcare workers,exacerbated by prolonged exposure to indoor air pollutants and inadequate environmental conditions.Our study aims to explore the prevalence of SBS and its association with indoor air quality and workplace environments among healthcare workers in five hospital departments in Nakhon Si Thammarat,Thailand.Methods:Indoor air quality was assessed over eight days,measuring microbial concentrations(bacteria,fungi),temperature,humidity,and carbon dioxide levels.Demographic data and SBS symptoms were also collected from healthcare workers.Results:The findings revealed that fungal concentrations were highest in the pharmacy(51.95±37.59)colony forming units(CFU)per m^(3),while bacterial concentrations peaked in the outpatient department(265.06±49.46)CFU/m3.The study identified Staphylococcus hominis and Micrococcus luteus as the dominant microbial species in the air environment.A moderate positive correlation was found between bacterial concentrations and humidity(r=0.43,P=0.046).SBS symptoms were prevalent among healthcare workers,with 75.58%reporting issues like dry eyes and fatigue.The total complaint score for SBS correlated positively with indoor pollutant levels,especially fungi(r=0.38,P<0.001).Frequent cleaning reduced SBS complaints significantly(P<0.001).Conclusion:Hospital departments with more frequent cleaning practices exhibited lower SBS complaints,highlighting the importance of cleaning frequency in reducing SBS-related issues.These findings provide actionable insights for improving workplace safety and indoor air quality in healthcare settings.
基金Supported by Internal Institutional Research Fund.
文摘BACKGROUND In the initial stages of the coronavirus disease 2019(COVID-19)pandemic,healthcare workers(HCWs)who were immunologically naive to COVID-19,were exposed to a highly transmissible virus.AIM To compare infection risk among HCWs in high-risk(HR)and low-risk(LR)areas.METHODS Data on reverse transcriptase-polymerase chain reaction confirmed clinical infection and samples for nucleocapsid,and spike protein antibodies were collected at five time-points(T1 to T5)from HCWs in the emergency department and intensive care unit(HR group)and pre-clinical and para-clinical areas(LR).For the sero-study,only participants who provided at least one baseline sample and one during the second wave(T4 or T5)were analysed.Since CovishieldTM elicits only spike protein antibodies,subclinical infection was diagnosed if asymptomatic unvaccinated and CovishieldTM vaccinated individuals tested positive for nucleocapsid antibody.RESULTS Overall,by T5,clinical infection rate was similar in the HR(120/366,32.8%)and LR(22/82,26.8%)groups(P=0.17).However,before vaccination(T3),more HCWs in the HR group developed COVID-19 infection(21.9%vs 8.8%,P=0.046).In the sero-study group,clinical infection occurred in 31.5%(45/143)and 23.7%(14/59)in the HR and LR groups respectively(P=0.23).Spike antibody was detected in 140/143(97.9%)and 56/59(94.9%)and nucleocapsid antibody was positive in 95/143(66.4%)and 35/59(59.3%)in the HR and LR groups respectively(P=0.34).Subclinical infection rate(HR 34.9%,LR 35.6%,P=0.37)and hospitalization rate were similar.There was no mortality.CONCLUSION Before vaccination,HCWs in HR areas had a higher risk of infection.Seroprevalence studies suggest that subclinical infection was not uncommon.
基金supported by Suranaree University of Technology,the National Science,Research and Innovation Fundthe Program Management Unit for Human Resources&Institutional Development,Research and Innovation,Fiscal Year 2024.
文摘Objective:This study assessed heat exposure,physiological responses,and the risk of chronic kidney disease among outdoor agricultural workers in Pak Chong,Thailand,and developed a predictive model for Wet Bulb Globe Temperature(WBGT).Methods:A cross-sectional study was conducted among 170 agricultural workers.Field WBGT was measured at 33 locations in April and July and corrected for Clothing Adjustment Factor to determine effective WBGT.Core temperature,skin temperature,heart rate,blood pressure,and body weight were monitored before,during,and after work shifts.Urine dipstick and microalbumin tests were performed to evaluate dehydration and kidney disorder.Workloads were classified according to American Conference of Governmental Industrial Hygienists(ACGIH)metabolic rate categories.Meteorological data were used to train machine learning models—including linear regression,decision tree,random forest,and extreme gradient boosting—to predict WBGT values.Results:Effective WBGT at fruit gardens and field crops sites frequently exceeded ACGIH limits for moderateto-heavy work.Workers’systolic/diastolic blood pressure and heart rate increased during work(transient cardiovascular strain)while body temperature remained stable.Post-shift,34.7%showed moderate dehydration;microalbumin screening was positive in 31/170(18.2%)suggesting possible early renal involvement but not chronic kidney disease diagnosis.Among the predictive models,extreme gradient boosting achieved the best performance(root mean square error=0.798℃,mean absolute error=0.576℃,R^(2)=0.81).The most influential predictors were air temperature,sunshine duration,and site-specific factors.Conclusions:Agricultural workers in Pak Chong are frequently exposed to heat stress that exceeds ACGIH standards,predisposing them to dehydration and kidney impairment.The findings support evidence-based preventive strategies such as regulated work–rest cycles,hydration management,and medical surveillance.Moreover,the validated WBGT prediction tool offers a practical approach for real-time monitoring and proactive climate adaptation to protect outdoor workers in heat-prone environments.
基金Supported by the University of Kelaniya,Sri Lanka,Research Grant,No.RP/03/04/03/01/2022.
文摘BACKGROUND Gastric motility is an essential gastrointestinal function.It can be influenced by age,gender,body composition,and metabolic status.However,published data on these associations remains limited.AIM To assess the relationship between gastric motility and adiposity,and metabolic indicators in a cohort of Sri Lankan office workers.METHODS A cross-sectional study was conducted among 130 office workers(58.5%females)aged 20-50 years(mean 36.81,SD 8.85 years)of the University of Kelaniya,Sri Lanka.Gastric motility was assessed by real-time ultrasonography,using a previously validated method.Fasting antral area(FAA),postprandial antral areas at 1 minutes and 15 minutes(AA1,AA15),and antral contraction frequency(FAC)were measured,and gastric emptying rate(GER)and antral motility index were calculated.Anthropometric parameters were obtained using sensitive scales.Glycated hemoglobin,lipid profile,and liver enzyme levels were measured at an accredited laboratory.RESULTS The mean body mass index(BMI)was 24.36(SD 4.09)kg/m^(2),and 39.2%were overweight or obese.Increased abdominal adiposity was detected in 29.2%and 40.8%had high waist-to-hip ratios.Prediabetes/diabetes were observed in 20.0%,hypercholesterolemia in 47.7%,hypertriglyceridemia in 14.7%,high low-density lipoproteins in 39.2%,and elevated aspartate transaminase and alanine transaminase in 5.4%and 21.5%respectively.FAA had a weak negative correlation with high-density lipoprotein level(r=-0.227,P=0.009),and a positive correlation with waist circumference(r=0.235,P=0.007),and waist-to-hip ratio(r=0.244,P=0.005).GER and AA1 correlated weakly with triglyceride(GER:r=0.174,P=0.048;AA1:r=0.194,P=0.027)and VLDL levels(GER:r=0.183,P=0.038;AA1:r=0.195,P=0.026).In females,AA1 positively correlated with triglycerides(r=0.333,P=0.003),and VLDL levels(r=0.337,P=0.003),and AA15 with BMI(r=0.284,P=0.013)and hip circumference(r=0.229,P=0.047).FAC negatively correlated with BMI(r=-0.234,P=0.042)and hip circumference(r=-0.247,P=0.032).CONCLUSION Gastric motility parameters showed weak associations with metabolic indicators,particularly lipid profiles,and to a lesser extent,with adiposity indicators.The greater number of correlations observed in females suggests the possibility of sex-specific differences in these associations.These findings highlight potential relationships that require confirmation through longitudinal studies.
文摘Objective: To understand the HIV/AIDS-related knowledge, attitudes and behaviors (KAB) among immigrant female factory workers(IFFW). Methods: A cross-sectional study was conducted among IFFWs sampled from several joint- venture and private factories in Dongguan city. Results: Out of 175 sampled workers, 165 qualified for inclusion and the median age was 22. The results showed that the IFFWs had low levels of knowledge about HIV/AIDS, and held many misconceptions. Thirty three of 76 (43.4%) unmarried IFFWs had premarital sexual contact, and more than half of these contacts were one-night stands (54.5%) . More than one quarter of the women(25.9%) never used condoms, 49.4% sometimes used condoms and 24.7% used condoms every time. Twenty-eight women (31.8%) had an induced abortion because of an unexpected pregnancy. Fourteen (14.9%) had been infected with STDs, and four IFFWs(2.8%)had tried drugs before the interview. Conclusion: In order to empower the IFFWs in the city to protect themselves from HIV, and to contain the rapid spread of HIV in our province, targeted HIV/ AIDS health promotion programs should be urgently implemented among IFFWs in Dongguan city. The programs should be designed to improve the knowledge of HIV, to promote condom use, and to reduce risky behaviors.
基金Supported by National Natural Science Foundation of China(71363027)Humanities and Social Sciences of Ministry of Education(11YJA790088)Jiangxi Humanities and Social Sciences(10YJ17)~~
文摘The research selected 13 factors from individual and family characters, construction site characters and work characters and analyzed the influences on the willingness of purchasing houses on construction sites with Logistic regression mod- el. The results showed that gender, age differences, personality, willingness on fami- ly land conversion, management of enterprises on construction sites, relatives and friends on construction lands, and Job satisfaction were approved by significant testing, but marital status, annual household income, the rate of migrant worker in a household, transportation in work city, and corporate reputation were not approved by significant testing.
