1.Relationship between working duration and work-related musculoskeletal disorders among Internet enterprise employees
Yikang WU ; Zhehua ZHOU ; Daming WU
Journal of Preventive Medicine 2022;34(12):1262-1266
Objective:
To investigate the relationship between working duration and work-related musculoskeletal disorders (WMSDs) among Internet enterprise employees.
Methods:
Employees were randomly sampled from five Internet enterprises in Jiaxing City of Zhejiang Province using the cluster sampling method. Participants' demographics and working duration were collected using questionnaire surveys, and the fatigue accumulation and WMSDs were assessed using the Self-diagnosis Questionnaire for Fatigue Accumulation and the Musculoskeletal Disorders Questionnaire. The working duration per week was classified into 40 h and less, 40 to 48 h, 48 to 56 h and 56 h and longer, and more than 40 h working duration per week was defined as long working duration. The association between working duration and WMSDs was examined with a multivariable logistic regression model.
Results:
Among 334 questionnaires recovered, 280 were valid, with an effective recovery rate of 83.83%. The participants included 211 men (75.36%) and 69 women (24.64%), and there were 204 participants at ages of less than 36 years (72.86%) and 234 participants with long working duration (83.57%). The detection of fatigue accumulation and WMSDs was 33.21% and 65.36% among the participants, with the highest prevalence of WMSDs detected in the neck (52.50%). Multivariable logistic regression analysis showed that weekly working duration correlated with WMSDs (>40 to 48 h, OR=2.199, 95%CI: 1.083-4.468; >56 h, OR=6.688, 95%CI: 1.902-23.520) after adjustment for gender, marital status and sleep disorders. If fatigue accumulation was included in the model, there was no statistical correlation between weekly working duration and WMSDs (P>0.05).
Conclusion
Long working duration may increase the risk of WMSDs among Internet enterprise employees, and fatigue accumulation may play a mediating role.
2.THE LIPID COMPOSITION OF BOVINE COLOSTRUM
Yiqian YAN ; Che FANG ; Weiling YE ; Zhehua ZHOU
Acta Nutrimenta Sinica 1956;0(03):-
An investigation on lipid composition of cow milk in shanghai has been successively made on the day 1,5,8(colostrum) and 45(mature milk) after parturition. The results were as follows; 1. The contents of total lipid, fatty acid, triglyceride, cholesterol and fat soluble vitamin A,E,D3 and (3 -carotene were highest on the 1st day, signinificantly different from the 45th d-ay(p
3.Effect of noise on hearing loss among workers in a fastener manufacturing enterprise
MENG Pan ; WU Yikang ; HU Zan ; WU Daming ; SHI Zhihao ; ZHOU Zhehua
Journal of Preventive Medicine 2023;35(11):957-960, 965
Objective :
To investigate the current status of hearing loss in a fastener manufacturing enterprise, and to analyze its influencing factors, so as to provide insights into occupational disease prevention and control.
Methods:
The occupational health examination data of noise exposed workers and the workplace occupational disease hazard factors detection data in a fastener manufacturing enterprise in Jiaxing City in 2022 were collected through the Occupational Disease and Occupational Health Hazard Factors Detection System of China Disease Prevention and Control Information System, and factors affecting the development of high-frequency noise-induced hearing loss (HFNIHL) and speech-frequency noise-induced hearing loss (SFNIHL) were analyzed.
Results:
Totally 625 workers were investigated, with a median age of 44.00 (interquartile range, 13.00) years and a median length of service of 8.00 (interquartile range, 9.00) years, and including 519 men (83.04%) and 106 women (16.96%). There were 309 workers with single noise exposure (49.44%) and 316 workers with joint noise exposure (50.56%), and 518 workers exposed to noise with the normalized continuous A-weighted sound pressure level equivalent to a 40 h working week (LEX,40 h) that exceeded the national standard (82.88%). The detection rates of HFNIHL and SFNIHL were 49.12% and 35.04%, respectively. Multivariable logistic regression analysis indicated that males (OR=10.528, 95%CI: 5.271-21.025), length of service of 10 years and longer (OR=2.451, 95%CI: 1.599-3.759), LEX,40 h of >85 dB (A) (OR=2.227, 95%CI: 1.318-3.764) and joint noise exposure (OR=3.002, 95%CI: 2.080-4.334) were associated with an increased risk of HFNIHL, and male (OR=9.400, 95%CI: 4.211-20.985), LEX,40 h of >85 dB (A) (OR=2.305, 95%CI: 1.345-3.951), and joint noise exposure (OR=3.880, 95%CI: 2.677-5.623) were associated with an increased risk of SFNIHL.
Conclusion
Gender, length of service, noise intensity and exposure mode are factors affecting the risk of HFNIHL, while gender, noise intensity and exposure mode are factors affecting the risk of SFNIHL.
4.Investigation and analysis of resource allocation for diagnostic radiology/radiotherapy and radiation protection in Jiaxing city
Zhenggui DING ; Zan HU ; Zhehua ZHOU ; Zhonghua XIA
Chinese Journal of Radiological Medicine and Protection 2018;38(6):443-447
Objective To analyze the diagnostic radiology equipment number,radiological staff structure,protection allocated at the medical institutes in Jiaxing city,with the purpose to provide basic data for the further optimization of resource allocation.Methods As required by the national radiation health monitoring program and using the stratified random sampling method,a total of 111 hospitals at grades Ⅲ,Ⅱ,Ⅰand other types were used to select 50%radiological institutions in Jiaxing.Unified questionnaires were used to investigate the basic situation in these hospitals,such as diagnostic radiology equipment,configurable protection equipment,radiation worker number and diagnostic frequency.Results The hospital number at grades Ⅲ,Ⅱ,Ⅰand other types accounted separately for 13.5%,21.6%,46.9%and 18.0%of the total.The equipment numbers for radiotherapy,nuclear medicine,interventional radiology and X-ray imaging at grade Ⅲ hospitals accounted for 100%,100%,57.9%and 38.0%,respectively,significantly higher than others.The numbers of conventional photofluorography and fluoroscopy equipment at grades Ⅰhospitals accounted for 34.2%and 50%,slightly higher than others ;CT and mammography devices were distributed at the grades ⅡandⅢhospitals.The frequencies at X-ray diagnosis,CT diagnosis and interventional therapy and diagnosis,radiotherapy,and nuclear medicine diagnosis and therapy were 178.9,157.5,3.1,1.5,2.2 and 0.1 per thousand person-year in Nanhu district,which were higher than in the other areas of Jiaxing city.Conclusions Grade Ⅲhospitals have more diagnostic radiology devices and radiation workers than in non-grade-Ⅲ hospitals.These hospitals were all equipped with adequate amount of protection equipment.The frequency of diagnostic radiology in Nanhu district hospital was significantly higher than that in other district hospitals.
5.Association between atmospheric particulate matters and outpatient visits for respiratory disorders in Jiaxing City of Zhejiang Province from 2019 to 2021: a time series analysis
Weiwei HONG ; Zhehua ZHOU ; Guoying ZHU ; Ze ZHU ; Xibei WANG ; Yikang WU
Shanghai Journal of Preventive Medicine 2023;35(2):148-153
ObjectiveTo explore the effect of exposure to atmospheric particulate matters on the outpatient visits of respiratory disorders in Jiaxing City,Zhejiang Province. MethodsDaily air pollutant monitoring data,meteorological data and outpatient visits of respiratory disorders in Jiaxing City from 2019 to 2021 were collected.A generalized additive model was applied to evaluate the effect and laggeel effect of the concentrations of atmospheric particulates for outpatient visits of respiratory disorders after adjusting for secular trend, day-of-the-week effect, holiday effect, and meteorological variables. ResultsThe daily average concentrations of PM2.5, PM10, O3 and NO2 exceeded the standard, and the proportion of days exceeding the standard was 3.4%, 1.3%, 11.0% and 0.8%, respectively. Every 10 μg·m-3 increase in PM2.5 concentration showed the strongest effects on the daily outpatient visits of respiratory disorders, adult and childhood respiratory disorders all on lag07 with ER(95%CI) being 2.29%(1.35%‒3.24%), 2.31% (1.39%‒3.23%) and 2.65 % (1.36%‒3.96%), respectively. The maximum ER of outpatient visits for respiratory disorders in children was higher than that in adults. Every 10 μg·m-3 increase in PM10 concentration showed the strongest effects on the daily outpatient visits of respiratory disorders on lag07, adult respiratory disorders on lag06 and childhood respiratory disorders on lag07 with ER(95%CI) being 1.42% (0.87%‒1.96%), 1.49%(0.99%‒1.99%) and 1.61% (0.87%‒2.36%), respectively. The results of double-pollutant model showed that the effect of atmospheric particulate reduced after O3 was introduced into the model. ConclusionThere are a short-term effect and a laggeel effect of atmospheric particulate on the outpatient visits of respiratory disorders. It is necessary to strengthen the health protection of the respiratory system of the population, especially the children.