Abstract:
:Of the various overlapping approaches used to define outcome in ergonomic-epidemiologic studies of work-related musculoskeletal disorders, the most widely used are clinical diagnostic entities, whose criteria derive either from clinical examination (consisting of clinical tests in conjunction with symptoms and clinical history) or from findings of special investigations, such as nerve conduction testing. Problems with the use of clinical diagnostic entities as surveillance tools relate to their high definitional variability, to the unknown test attributes and performance in worker populations, and to their lack of field utility. Other approaches to define outcome such as impairment and disability evaluations are seldom used; there are problems with existing instruments in disentangling multiple determinants. The use of subjective measures (self-reported pain) may be the most valuable approach to measuring outcome in population-based surveys. This approach has high capacity (can be used in large populations) and good field utility, has been supported by evidence of construct validity in some ergonomic-epidemiologic studies, and is able to assimilate the diverse and overlapping symptom patterns characteristic of some work-related musculoskeletal disorders. Traditional biases against subjective measures are evident in the literature, but these measures have also been badly used in many studies, with insufficient attention being paid to potential confounders and effect modifiers. Measurement of factors that influence pain perception and reporting need to be incorporated in ergonomic-epidemiologic studies and controlled for in analysis. Outcome definitions should be made more explicit.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Schierhout GH,Myers JEdoi
10.1002/(SICI)1097-0274(199607)30:1<93::AID-AJIM16subject
Has Abstractpub_date
1996-07-01 00:00:00pages
93-8issue
1eissn
0271-3586issn
1097-0274pii
10.1002/(SICI)1097-0274(199607)30:1<93::AID-AJIM16journal_volume
30pub_type
杂志文章,评审abstract:BACKGROUND:Respirable crystalline silica (RCS) can potentially cause silicosis, lung cancer, and renal failure. The current study estimates the percentages of workers potentially overexposed to concentrations of RCS dust and silicosis proportional mortality rates (PMRs) by industry. METHODS:Occupational Safety and Hea...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.23109
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:Few Canadian data sources allow the examination of disparities by ethnicity, language, or immigrant status in occupational exposures or health outcomes. However, it is possible to document the mechanisms that can create disparities, such as the over-representation of population groups in high-risk jobs. We e...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20845
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:We investigated how night shift duration and sleep problems were jointly associated with disabling low back pain (LBP) among workers in different occupations. METHODS:An online-survey was conducted regarding work schedules, disabling LBP, sleep problems, and other relevant factors in 5,008 workers who were ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22493
更新日期:2015-12-01 00:00:00
abstract::Several studies on the mortality of chemists have revealed a lower overall mortality but an excess of deaths from certain diseases, in particular, cancers. This study determined the causes of mortality of 4,012 chemists among 14,884 members of The Royal Society of Chemistry who were followed for a period of 25 years. ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700230409
更新日期:1993-04-01 00:00:00
abstract::Animal studies show that antimony may cause lung cancer and heart and lung disease in rodents. In exposed humans, ECG abnormalities and heart and lung disease have been reported. This mortality study of 1,014 men employed between 1937 and 1971 in a Texas antimony smelter consisted primarily of workers of Spanish ances...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700270510
更新日期:1995-05-01 00:00:00
abstract::We conducted a comparative study of pulmonary dysfunction among workers who were exposed to silica, asbestos, or coalmine dust. The results showed that all three groups of dust-exposed workers, even those without radiographic signs of pneumoconiosis, had decreased spirometric parameters and diffusing capacity (DLco) i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199705)31:5<495::aid-ajim2
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND:Demographic, labor market and economic forces are combining to produce increases in the number and percentage of U.S. workers 55 and older. In some ways these workers will be our most skilled and productive employees but in others the most vulnerable. METHODS:The literature on aging and work was reviewed, i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.20569
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:This study examines the prevalence of physician-diagnosed respiratory conditions and mental health symptoms in firefighters and emergency medical service workers up to 9 years after rescue/recovery efforts at the World Trade Center (WTC). METHODS:We analyzed Fire Department of New York (FDNY) physician and ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20993
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Existing research suggests that workplace injuries can have significant economic and social consequences for workers; but there are no quantitative studies on complete populations. METHODS:The British Columbia Linked Health Database (BCLHD) was used to examine 1994 injured workers who lost work time due to ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20503
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:The etiology of breast cancer is not well understood and the role of occupational exposures in breast carcinogenesis is still uncertain. METHODS:The population-based case-control study included 2,386 incident breast cancer cases diagnosed in 2000-2003, and 2,502 controls. Lifetime occupational histories and...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20420
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:OSHA regulations require that workers receive medical clearance prior to respirator use, and recently, a detailed questionnaire has been provided to assist with this purpose. However, there are limited published data on the sensitivity and specificity of self-administered questionnaires for identifying indiv...
journal_title:American journal of industrial medicine
pub_type: 临床试验,杂志文章
doi:10.1002/(sici)1097-0274(199904)35:4<395::aid-ajim1
更新日期:1999-04-01 00:00:00
abstract:AIMS:To examine the pattern of psychosocial risk exposures at work among wage-earners in Spain in 2005 and 2010, and to analyze changes in exposure inequalities by gender and job category. METHODS:Psychosocial exposures were compared using the COPSOQ-ISTAS21 method, based on two surveys representative of the Spanish w...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22334
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Production of asbestos-cement products in Brazil started in the 1940s, peaked in the 60-70s and is still an active industry. This study was designed to assess the non-malignant effects of asbestos exposure in the asbestos-cement industry in Brazil. METHODS:A group of 828 former asbestos-cement workers enrol...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.1095
更新日期:2001-09-01 00:00:00
abstract::A study of 67 subjects in a small titanium oxide paint factory in Nigeria showed 50-54% frequency for airway symptoms, 20-40% for neurological symptoms, and 10-27% for other symptoms. The symptoms were well correlated with exposure (p less than .05) and pulmonary function tests (PFTs). The directly exposed subjects ha...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700120206
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:In recent decades, the use of artificial nails including methacrylates (MAs) has increased. This study presents the first two clinical cases of occupational asthma (OA) caused by sculptured nails containing MAs. METHODS:In both cases, OA was diagnosed on the basis of a work simulation test combined with the...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20633
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Cigarette smoke and asbestos are recognized causes of lung carcinoma and together promote carcinogenesis. Adenocarcinoma is currently the most common cause of lung cancer in the USA and it has been linked to both smoking and asbestos exposure. Mutations in the epidermal growth factor gene receptor (EGFR) occ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22691
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Because of the rarity of peritoneal mesothelioma, occupational risks associated with it have seldom been studied, particularly among women. In this respect, death certificates databases may provide numbers large enough for analysis, although the International Classification of Diseases, 9th revision (ICD-9) ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199901)35:1<9::aid-ajim2>3
更新日期:1999-01-01 00:00:00
abstract::The use and maintenance of firearms is a common and often preventable source of adult lead exposure that is often poorly understood by medical professionals. This case describes an elevated blood lead level (BLL) in an adult man due to the exposure sources of ammunition reloading and indoor target shooting in the base...
journal_title:American journal of industrial medicine
pub_type:
doi:10.1002/ajim.23119
更新日期:2020-08-01 00:00:00
abstract::To understand better the effects of noise levels associated with dairy farming, we randomly selected 49 full-time dairy farmers from an established cohort. Medical and occupational histories were taken and standard audiometric testing was done. Forty-six males (94%) and three females (6%) with a mean age of 43.5 (+/- ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700180315
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Climate change is a natural phenomenon that has been intensified due to increased emissions of greenhouse gases (GHG). It has become an indispensable issue in international negotiations related to global sustainability and is deeply related to the overall status of environmental health in our planet. METHOD...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22051
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:First-line health care providers are the primary access point for workers' benefits. However, little is known about their impact on quality of care and return-to-work. Our objective was to critically compare literature on the practices of first-line providers for workers with musculoskeletal injuries in Onta...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.22972
更新日期:2019-07-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22688
更新日期:2017-09-01 00:00:00
abstract::Dust exposure on farms can be prevented by changes in work practices and by informing and educating farmers. Ventilation control during handling and prevention of growth of microbes are feasible measures and could be included in regulation schemes. Apart from information on existing work practices, an increased awaren...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700100307
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:The community of Libby, Montana has recently been the focus of national attention secondary to widespread amphibole contamination associated with vermiculite mining and processing. METHODS:Patients who had occupational and non-occupational exposure to amphibole asbestos in Libby, Montana were evaluated for ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20053
更新日期:2004-09-01 00:00:00
abstract::Boatbuilding is a complex, chemically intensive industry which employs approximately 43,000 workers in the United States, 77% of them in shops with fewer than 20 workers. Boatbuilders and repairers are at high risk of occupational injury from falls, lacerations, low back trauma, repetitive motion, noise, burns, fires,...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700080303
更新日期:1985-01-01 00:00:00
abstract::In it's worker health and safety training program, the California-Arizona Consortium aims to promote worker action to improve health and safety conditions. To assess action on worker-identified health and safety problems, 278 trainees were interviewed 3-8 months after training. Associations with three outcomes were an...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0274(199612)30:6<730::AID-AJIM1
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:In studies in men, risk estimates on occupation and bladder cancer are distorted by about 10% when not adjusting for smoking. We examined the degree to which occupational risk estimates for bladder cancer in women are confounded by smoking, and the degree of residual confounding by inadequate control of this...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,meta分析
doi:10.1002/(sici)1097-0274(199907)36:1<75::aid-ajim11
更新日期:1999-07-01 00:00:00
abstract::A series of 206 necropsies in Western Australia (WA) have had routine counts made of asbestos bodies in samples of lung tissue using conventional light microscopy. Thirty-two cases had worked in the asbestos industry at Wittenoom, WA and (log) counts of asbestos bodies in their lung tissue correlated well with estimat...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700280405
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:Hotel room cleaners have physically demanding jobs that place them at high risk for shoulder pain. Psychosocial work factors may also play a role in shoulder pain, but their independent role has not been studied in this group. METHODS:Seventy-four percent (941 of 1,276) of hotel room cleaners from five Las ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20832
更新日期:2010-07-01 00:00:00
abstract::The National Research Council's report "Protecting Youth at Work" addresses the health and safety consequences of work by youth in the United States. The report finds that a higher proportion of U.S. youth work than in any other developed nation and that as much as 80% of youth will have worked during their high schoo...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199911)36:5<579::aid-ajim1
更新日期:1999-11-01 00:00:00