Abstract:
:Cytostatics not only induce significant side-effects in patients treated oncologically but also pose a threat to the health of occupationally exposed healthcare workers: pharmacists, physicians, nurses and other personnel. Since the 1970s numerous reports from various countries have documented the contamination of working areas with cytostatics and the presence of drugs/metabolites in the urine or blood of healthcare employees, which directly indicates the occurrence of occupational exposure to these drugs. In Poland the significant scale of occupational exposure to cytostatics is also confirmed by the data collected in the central register of occupational carcinogens/mutagens kept by the Nofer Institute of Occupational Medicine. The assessment of occupational exposure to cytostatics and health risks constitutes employers' obligation. Unfortunately, the assessment of occupational risk resulting from exposure to cytostatics raises a number of concerns. Provisions governing the problem of workers' health protection are not unequivocal because they derive from a variety of law areas, especially in a matter of hazard classification and safety data sheets for cytostatics. Moreover, no legally binding occupational exposure limits have been set for cytostatics or their active compounds, and analytical methods for these substances airborne and biological concentrations are lacking. Consequently, the correct assessment of occupational exposure to cytostatics, the evaluation of health hazards and the development of the proper preventive strategy appear difficult. The authors of this article described and discussed the amendments to the European provisions concerning chemicals in the light of employers' obligations in the field of employees' heath protection against the consequences of exposure to cytostatics. Some modifications aimed at a more effective health protection of workers occupationally exposed to cytostatics were also proposed. Int J Occup Med Environ Health. 2019;32(2):141-59.
journal_name
Int J Occup Med Environ Healthauthors
Pałaszewska-Tkacz A,Czerczak S,Konieczko K,Kupczewska-Dobecka Mdoi
10.13075/ijomeh.1896.01248subject
Has Abstractpub_date
2019-04-03 00:00:00pages
141-159issue
2eissn
1232-1087issn
1896-494Xpii
94032journal_volume
32pub_type
杂志文章,评审abstract:OBJECTIVES:Work-related musculoskeletal disorders in the neck and shoulder regions are common among carpet weavers. Working for prolonged hours in a static and awkward posture could result in an increased muscle activity and may lead to musculoskeletal disorders. Ergonomic workstation improvements can reduce muscle fat...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00589
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To identify factors in favor of or against establishing and working in private practice, to determine the quality of life and work-related behavior and experience patterns of German physicians working in private practice, and to analyze the correlation of those factors. MATERIAL AND METHODS:A representative...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00775
更新日期:2017-05-08 00:00:00
abstract::The authors studied 140 women, selected at random, aged 22-55, divided into two groups. Group I (control) included 50 women, mean age 40.1 +/- 1.7 years. Group II included 90 women, mean age 39.7 +/- 2.1 years, chronically exposed to 15.6 - 21.84 mg/m3 of carbon disulphide from 0.5 to over 20 years. It was found that ...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVES:The method for the determination of As, Al, Cd, Ni, Pb (toxic elements) and Cr, Co, Cu, Fe, Mn, Zn (essential elements) in human urine by the use of Inductively Coupled Plasma Mass Spectrometry (quadrupole ICP-MS DRCe Elan, Perkin Elmer) with the dynamic reaction cell (DRC) was developed. MATERIALS AND METH...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-013-0106-2
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:Subchondral carpometacarpal cysts are classic and almost pathognomonic lesions found in workers using vibrating instruments over prolonged periods of time. MATERIALS AND METHODS:We present the case of a 53-year-old woman who worked for 30 years sewing shoe uppers, a task which required grasping firmly a pea...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-011-0042-y
更新日期:2011-12-01 00:00:00
abstract::The world's worst industrial disaster, at Union Carbide, Bhopal, India, took place on 2-3 December 1984, leading to the leakage of poisonous methyl-isocyanate into the environment, causing thousands of deaths, pregnancy loss and for some, incapacitation for life. More than a quarter of a century later, the Indian Coun...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:10.2478/s13382-013-0110-6
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:The objective of the study has been to assess the associations between psychological distress and exposure to workplace bullying, taking into account possible influence of adverse psychosocial job characteristics and occupational burnout in a sample of Kaunas (Lithuania) teachers. MATERIAL AND METHODS:The s...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00943
更新日期:2017-06-19 00:00:00
abstract:OBJECTIVES:This study measures the association between hospital staff's job strain (JS), mental quality of life (MQL) and how they are influenced by the organization models within emergency and critical care units. MATERIAL AND METHODS:This study describes workers employed in emergency departments and intensive care u...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00121
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:There is a growing body of data showing that low frequency noise (LFN), defined as broadband noise with dominant content of low frequencies (10-250 Hz) differs in its nature from other environmental noises at comparable levels. The aim of the study was to investigate whether exposure to LFN at levels normall...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2005-01-01 00:00:00
abstract::The incidence of malignant lymphoma, especially non-Hodgkin's lymphoma has increased over the last few decades. This statement is true despite the fact that methods for diagnosing malignant lymphoma have changed and misclassification has become a problem. The present review is mainly concerned with occupational aspect...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:The authors formulated a hypothesis that, on completion of the training program by cadets, their vestibular habituation would increase, measured by the time of the duration of the test on the unlocked looping, in contrast to the initial values and the control group. MATERIAL AND METHODS:The research involve...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01515
更新日期:2020-06-16 00:00:00
abstract::The authors aimed to characterize the current evidence base regarding musicians' musculoskeletal symptoms (MSS), in order to identify gaps for future research. A systematic search was conducted to identify peer-review studies published in English in 2007-2016 that investigated musicians' MSS. Narrative reviews, case r...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01340
更新日期:2019-06-14 00:00:00
abstract:OBJECTIVES:To describe blood lead (Pb-B), cadmium (Cd-B) and mercury (Hg-B) levels in children living in urban, industrial and rural areas in Fez city (north of Morocco) and to identify the determinants and some renal effects of exposure. MATERIAL AND METHODS:The study was conducted from June 2007 to January 2008 in 2...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-014-0275-7
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION:The study aimed at measuring exhaled breath malondialdehyde (EBC-MDA) in workers exposed to dust containing silica and at its comparison with the non-exposed control group. MATERIAL AND METHODS:The cross sectional, case-control study (N = 50) was performed in a tile and ceramics production factory in Yazd...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00262
更新日期:2015-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVES:The objective of our study was to examine the impact of income, education chronic diseases and self-rated health on health behavior (smoking, alcohol consumption, physical activity, diet) in a large urban population of Poland. MATERIALS AND METHODS:The data were collected in Lódź, a large industrial city of...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:It is still uncertain if having at least moderate physical fitness is a necessary and sufficient condition for lowering the risk of death. The aforementioned statement constituted the basis for undertaking the study concerning the effect of particular health-related behaviours on the likelihood of survival...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-013-0112-4
更新日期:2013-08-01 00:00:00
abstract::A precise diagnosis of initial reticular forms of pneumoconioses is very difficult. The present study focuses on 30 patients with initial reticular forms of silicosis, asbestos induced interstitial lung fibrosis, mixed dust pneumoconioses and pneumoconioses of electrowelders. The anterior-posterior chest radiography (...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00367
更新日期:2015-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01045
更新日期:2018-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/v10001-008-0020-1
更新日期:2008-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01262
更新日期:2018-12-20 00:00:00
abstract::Many etiologies are held accountable for nasal septum perforations. Topical nasal drug usage, previous surgeries, trauma, nose picking, squamous cell carcinoma, some rheumatological disorders such as granulomatosis with polyangiitis (Wegener granulomatosis), some infectious diseases such as syphilis and leprosy are am...
journal_title:International journal of occupational medicine and environmental health
pub_type:
doi:10.13075/ijomeh.1896.01019
更新日期:2017-10-06 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/v10001-010-0034-3
更新日期:2010-01-01 00:00:00
abstract::The study includes a detailed analysis of patients' exposure to ionising radiation resulting from diagnostic radiology in Poland. Data concerning the number and types of examinations were collected by wide-range questionnaire surveys conducted in 1986 and 1995. As the result, the number of examinations per 1000 inhabi...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,随机对照试验
doi:10.2478/s13382-012-0011-0
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to recommend methods for assessing low frequency noise (LFN) in the occupational environment to prevent annoyance and its effects on work performance. Three different evaluating methods and corresponding admissible values were proposed: (i) method I--frequency analysis in 1/3-octave ...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/v10001-006-0022-9
更新日期:2006-01-01 00:00:00
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journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01264
更新日期:2018-10-23 00:00:00
abstract:Objectives:Over the last 20 years, tertiary institutions have been subjected to several changes. This has resulted in increased workloads for academics. Some academics have started to experience symptoms that are related to chronic fatigue syndrome and burnout. Researchers, however, cannot agree whether the 2 syndromes...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01274
更新日期:2019-02-27 00:00:00
abstract:OBJECTIVES:Exposure to environmental tobacco smoke (ETS) constitutes a threat to the health of many people. In order to diminish ETS exposure, countries (including Poland) implemented legal restrictions of smoking in public places and worksites. Currently more attention is also paid to reduce overall and residential ET...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00435
更新日期:2016-01-01 00:00:00