Indian journal of occupational and environmental medicine (Indian J Occup Environ Med )

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  • ISSN
    0973-2284

Publications in this journal

  • Indian journal of occupational and environmental medicine 05/2013; 17(2):39-40.
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    ABSTRACT: Low back pain affects up to 90% of the world's population at some point in their lives. Until date no questionnaire has been designed for back pain in the garment industry workers. Therefore, the objective of this study is to design a questionnaire to determine the prevalence, risk factors, impact, health care service utilization and back pain features in the garment industry workers and gain preliminary experience of its use. The content validity and reliability of the questionnaire was established. Items showing acceptable internal consistency and moderate to high test re-test reliability were retained in the questionnaire. Items showing unacceptable internal consistency, low test re-test reliability or poor differentiation were reworded, redrafted and re-tested on the workers. It took 20 min to complete one interview schedule. Environmental factors such as the absence of the garment industry owner/supervisor or co-workers at the time of the interview and interview during leisure hours need to be standardized. Thus, final questionnaire is ready for use after necessary amendments and will be used on the larger sample size in the main study.
    Indian journal of occupational and environmental medicine 05/2013; 17(2):48-57.
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    ABSTRACT: Silica exposure has been implicated with the development of various connective tissue diseases. We report a case of 32-year-old stone crusher who developed silicosis with mixed connective tissue disorder (MCTD) 6 years after exposure to silica. This association of silicosis with MCTD has never been reported from the Indian subcontinent, although the problem of this pneumoconiosis remains rampant. This rare association urges us to report this case.
    Indian journal of occupational and environmental medicine 05/2013; 17(2):76-7.
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    ABSTRACT: Ocular trauma is a worldwide cause of visual morbidity, a significant proportion of which occurs in the industrial workplace and includes a spectrum of simple ocular surface foreign bodies, abrasions to devastating perforating injuries causing blindness. Being preventable is of social and medical concern. A prospective case series study, to know the profile of ocular trauma at a hospital caters exclusively to factory employees and their families, to co-relate their demographic and clinical profile and to identify the risk factors. Patients with ocular trauma who presented at ESIC Model hospital, Rajajinagar, Bangalore, from June 2010 to May 2011 were taken a detailed demographic data, nature and cause of injury, time interval between the time of injury and presentation along with any treatment received. Ocular evaluation including visual acuity, anterior and posterior segment findings, intra-ocular pressure and gonio-scopy in closed globe injuries, X-rays for intraocular foreign body, B-scan and CT scan were done. Data analyzed as per the ocular trauma classification group. The rehabilitation undertaken medically or surgically was analyzed. At follow-up, the final best corrected visual acuity was noted. A total of 306 cases of ocular trauma were reported; predominantly in 20-40 year age group (72.2%) and in men (75%). The work place related cases were 50.7%and of these, fall of foreign bodies led the list. Visual prognosis was poorer in road traffic accidents rather than work place injuries owing to higher occurrence of open globe injuries and optic neuropathy. Finally, 11% of injured cases ended up with poor vision. Targeting groups most at risk, providing effective eye protection, and developing workplace safety cultures may together reduce occupational eye injuries.
    Indian journal of occupational and environmental medicine 05/2013; 17(2):66-70.
  • Indian journal of occupational and environmental medicine 05/2013; 17(2):80-1.
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    ABSTRACT: Cutaneous mercury granuloma is rarely encountered. Clinically it may pose difficulty in diagnosis. Here, we report a 23-year-old male presented with erythematous, nodular lesions over the forearm and anterior aspect of chest wall. Metallic mercury in tissue sections appear as dark black, opaque, spherical globules of varying size and number. They are surrounded by granulomatous foreign-body reaction. It is composed of foreign body giant cells and mixed inflammatory infiltrate composed of histiocytes, lymphocytes, plasma cells, and few eosinophils.
    Indian journal of occupational and environmental medicine 01/2013; 17(1):22-24.
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    ABSTRACT: Avian influenza (AI) is a viral disease of domestic and wild birds. The recent pandemics caused by highly pathogenic AIA (H5N1) in domestic poultry is currently rated phase 3 by the World Health Organization on the pandemicalert scale. A pretested and semistructured survey instrument was administered to both live bird market and poultry farm workers in two most populous cities in Karnataka in South India to collect data on demographics, knowledge, attitude, and practices among them. The mean age was similar among both population groups (31.5 years). There was a higher level of biosecurity practices adopted in poultry farms compared with those adopted in live bird market. Knowledge regarding AI was acceptable but poorly correlated with actual biosecurity practices. Live bird market and poultry farm workers have been identified as the weakest link in the prevention and control of the spread of AI in the two most populous cities studied in Karnataka. Risk reduction models of behavior change targeting these groups are important toward the control and prevention of AI spread.
    Indian journal of occupational and environmental medicine 01/2013; 17(1):16-21.
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    ABSTRACT: SILICOSIS IN COIMBATORE DISTRICT OF TAMIL NADU: A passive surveillance study. This study was done to describe the level of preventive measures and level of awareness among the patients diagnosed with silicosis during a one-year period. Coimbatore Medical College Hospital. This is a passive surveillance study based on patients diagnosed with silicosis in our outpatient facility for a one-year period between January 1, 2012 and December 31, 2012. Seventeen cases of silicosis were diagnosed based on history of exposure to silica and radiological features. The mean age was 55 years with 16 males and one female. The average duration of exposure was 22 years. A protective mask was used by 29% of the patients and one patient had awareness about the risks of exposure to silica. Active tuberculosis was found in 12% and old tuberculosis in 47% of patients; 59% of the patients were smokers. Spirometry showed a restrictive pattern in 59% of the patients. Radiologically nodular opacities with upper-zone predominance was found in majority of the cases. Most patients are exposed to silica in unorganized industries. Majority of the patients lack awareness about the disease and there is a low implementation of preventive and control measures. As this study was a passive surveillance, it represents only the tip of iceberg and an active field-level surveillance could reveal the true prevalence of this disease.
    Indian journal of occupational and environmental medicine 01/2013; 17(1):25-28.
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    ABSTRACT: Hemkund Sahib is a popular pilgrimage located at 4,330 m in the Garhwal range of the Indian Himalayas. Many travelers to the region have observed pilgrims exhibiting Acute Mountain Sickness (AMS)-like symptoms. However, no systematic study on its prevalence at Hemkund has been conducted. We surveyed 25 adults. AMS rates were determined using a standard Lake Louise Score (LLS). Responses to questions related to awareness of AMS, the perceived difficulty of the trek, and physiological data including arterial oxygen saturation (SpO2) and pulse rate, amongst others, were collected. Overall prevalence of AMS was 28% (mild AMS 20%, severe AMS 8%). Borg Rating of Perceived Exertion (RPE) was 3.9/10. Water consumption for the 4-5 hour trek to Hemkund was only 0.9 L and 20% of pilgrims consumed no water at all. Nine pilgrims claimed to be aware of AMS although only one had taken prophylactic medication. SpO2 was 82.2 ± 1.2% and pulse rate was 106.5 ± 2.9 bpm (mean ± SEM). There were no differences in non-LLS-related parameters when pilgrims were subdivided by presence or absence of AMS. This pilot study has, for the first time, documented the prevalence of AMS amongst pilgrims to Hemkund Sahib in the Indian Himalayas.
    Indian journal of occupational and environmental medicine 01/2013; 17(1):12-15.
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    ABSTRACT: Radar workers are exposed to pulsed high frequency electromagnetic fields. In this study, health effects of these radiations in personnel who routinely work with radar systems are investigated. The 28-item General Health Questionnaire was used as a self-administered tool for assessment of general mental health and mental distress. One hundred workers occupationally exposed to radar radiations (14-18 GHz) participated in the study. Visual reaction time was recorded with a simple blind computer-assisted-visual reaction time test. To assess the short-term memory, Wechsler Memory Scale-III test was performed. Twenty to 39% of the radar workers reported different problems such as needing a good tonic, feeling run down and out of sorts, headache, tightness or pressure in the head, insomnia, getting edgy and bad-tempered. Furthermore, 47% of the radar workers reported feeling under strain. In response to this question that if they have been able to enjoy their normal day-to-day activities, 31% responded less than usual. It was also shown that work experience had significant relationships with reaction time and short-term memory indices i.e., forward digit span, reverse digit span, word recognition and paired words. To the best of our knowledge, this is the first study to show that occupational exposure to radar microwave radiation leads to changes in somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression. Altogether these results indicate that occupational exposure to radar microwave radiations may be linked to some adverse health effects.
    Indian journal of occupational and environmental medicine 01/2013; 17(1):7-11.
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    ABSTRACT: Stress is one of the most common problems; one manifestation of stress is burnout. Burnout and other stress-related illnesses among medical professionals are receiving increased attention and have been described in many branches of medical practice including dentists, nurses, etc., The purpose of this study was to measure the prevalence of stress and burnout in medical professionals in Rajasthan. The Maslach Burnout Inventory-Human Service Survey (MBI-HSS) and a demographic questionnaire of our own design were sent to 1,735 medical professional of various branches and different location throughout the state of Rajasthan. In response to that, 627 (36%) surveys were returned, of which 576 (92%) were found complete for analysis so later group constitute as sample for analysis. 29.16% of medical professional showed high level of emotional exhaustion (EE), 20% showed high level of depersonalization (DP), and 17.9% showed low personal accomplishment (PA). Young professionals showed more sensitivity towards burnout (r = -0.122, P < 0.003). Females were more prone to burnout (40%) as compared to males (27%). Burnout is an important problem in medical professionals in Rajasthan. Difference in approach to work and perceived environment at workplace, unrewarding career, unsupported behavior of peer group, balance between work and family needs appear to be important factors in burnout.
    Indian journal of occupational and environmental medicine 01/2013; 17(1):2-6.
  • Indian journal of occupational and environmental medicine 01/2013; 17(1):1.
  • Indian journal of occupational and environmental medicine 09/2012; 16(3):149.
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    ABSTRACT: Keeping in view of rapid industrialization and growing Indian economy, there has been a substantial increase in the workforce in India. Currently there is no organized workplace model for promoting health of industrial workers in India. To develop and implement a healthy workplace model in three industrial settings of North India. An operations research was conducted for 12 months in purposively selected three industries of Chandigarh. In phase I, a multi-stakeholder workshop was conducted to finalize the components and tools for the healthy workplace model. NCD risk factors were assessed in 947 employees in these three industries. In phase II, the healthy workplace model was implemented on pilot basis for a period of 12 months in these three industries to finalize the model. Healthy workplace committee with involvement of representatives of management, labor union and research organization was formed in three industries. Various tools like comprehensive and rapid healthy workplace assessment forms, NCD work-lite format for risk factors surveillance and monitoring and evaluation format were developed. The prevalence of tobacco use, ever alcoholics was found to be 17.8% and 47%, respectively. Around one-third (28%) of employees complained of back pain in the past 12 months. Healthy workplace model with focus on three key components (physical environment, psychosocial work environment, and promoting healthy habits) was developed, implemented on pilot basis, and finalized based on experience in participating industries. A stepwise approach for model with a core, expanded, and optional components were also suggested. An accreditation system is also required for promoting healthy workplace program. Integrated healthy workplace model is feasible, could be implemented in industrial setting in northern India and needs to be pilot tested in other parts of the country.
    Indian journal of occupational and environmental medicine 09/2012; 16(3):108-13.

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