1.Meta analysis of the prevalence and influencing factors of WMSDs among dentists in China.
Xiang Xiang HAN ; Jin LI ; Rong Yin SUN ; Shun Hang LI ; Jing LI ; Xin XU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2023;41(5):358-363
Objective: To explore the relevant factors of work-related musculoskeletal disorders (WMSDs) among dentists through Meta analysis, providing a basis for the prevention and control of WMSDs among dentists. Methods: In April 2022, cross-sectional research literatures on the prevalence correlation of WMSDs among Chinese dentists were searched in databases such as China National Knowledge Infrastructure, Wanfang, VIP, PubMed, Web of Science, and Em Base database. The search was conducted from the establishment of the database until April 2022, literatures were selected using keywords such as musculoskeletal disorders and dentists. To extract gender, age, length of service, disease classification and other related influencing factors as indicator, and prevalence was selected as the outcome indicator. After evaluating the quality of the literatures, RevMan 5.3 software was used to calculate the combined RD (95%CI) values of the included literatures. Results: A total of 15 articles were included, with a total sample size of 3646 people. Meta analysis results showed that the prevalence of WMSDs among dentists in China was 80%, and the top three parts of the incidence rates were 65% of the waist, 58% of the neck, and 50% of the back. Gender, age, length of service, region and disease classification all increased the risk of WMSDs, and the combined effect size were 75%, 78%, 71%, 77% and 82% respectively (P<0.05) . Conclusion: The occurrence of WMSDs among dentists in China is related to multiple factors such as gender, age, length of service and disease classification. The above risk factors should be taken into account in the workplace and preventive measures should be actively implemented to prolong the working life of dentists.
Humans
;
Prevalence
;
Cross-Sectional Studies
;
Occupational Diseases/epidemiology*
;
Surveys and Questionnaires
;
Musculoskeletal Diseases/epidemiology*
;
Risk Factors
;
China/epidemiology*
;
Dentists
2.Zooming in and out of ferroptosis in human disease.
Xue WANG ; Ye ZHOU ; Junxia MIN ; Fudi WANG
Frontiers of Medicine 2023;17(2):173-206
Ferroptosis is defined as an iron-dependent regulated form of cell death driven by lipid peroxidation. In the past decade, it has been implicated in the pathogenesis of various diseases that together involve almost every organ of the body, including various cancers, neurodegenerative diseases, cardiovascular diseases, lung diseases, liver diseases, kidney diseases, endocrine metabolic diseases, iron-overload-related diseases, orthopedic diseases and autoimmune diseases. Understanding the underlying molecular mechanisms of ferroptosis and its regulatory pathways could provide additional strategies for the management of these disease conditions. Indeed, there are an expanding number of studies suggesting that ferroptosis serves as a bona-fide target for the prevention and treatment of these diseases in relevant pre-clinical models. In this review, we summarize the progress in the research into ferroptosis and its regulatory mechanisms in human disease, while providing evidence in support of ferroptosis as a target for the treatment of these diseases. We also discuss our perspectives on the future directions in the targeting of ferroptosis in human disease.
Humans
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Ferroptosis
;
Autoimmune Diseases
;
Cardiovascular Diseases
;
Iron
;
Musculoskeletal Diseases
3.THE ASSOCIATION BETWEEN ORGANIZATIONAL PSYCHOSOCIAL FACTORS WITH MUSCULOSKELETAL DISORDERS AMONG NURSES AT TERTIARY UNIVERSITY HOSPITAL
Faiz Baharudin ; Marzuki Isahak ; Hazreen Abdul Majid
Journal of University of Malaya Medical Centre 2023;26(1):82-89
Introduction:
Musculoskeletal disorders (MSDs) was found to be high among nurses especially those working in the hospital. One of the risk factors of MSDs is psychosocial factors apart from physical and ergonomic factors. However, limited study was found specifically looking at this association among nurses working at tertiary university hospital especially in Malaysia. Hence, the objective of this study is to assess the association between organizational psychosocial risk factors with MSDs among nurses working at tertiary university hospital.
Methods:
A cross-sectional study was conducted with a total of 550 respondents among nurses in University Malaya Medical Centre working from all nursing working department. Samples was selected using Stratified Random Sampling based on nursing working location ratio. A multiple logistic regression was conducted to determine the association between organizational psychosocial factors with MSDs among study population.
Results:
Multiple logistic regression revealed that supervisors support was associated with MSDs (AOR 0.309, 95%CI 0.133-0.716) even after controlled with confounders such as age, number of children, income, history of musculoskeletal disease, employment grade, total employment duration, work schedule type and selected ergonomic factors. On the other hand, other psychosocial factors which includes decision latitude, psychological job demand, co-worker support, and job insecurity were found not be significant.
Conclusion
The findings highlighted the relationships between organizational psychosocial factors and MSDs among nurses at tertiary university hospital specifically the role of supervisor support as a protective factor against MSDs among this working population. Hence, hospital top management should incorporate this element as one of the components in their program to reduce MSDs among nurses in the hospital.
Musculoskeletal Diseases
4.Neck musculoskeletal disorders and their influence factors among welders in an automobile factory.
Yan YAO ; Hai Rong LI ; Zhou LI ; Yong MEI ; Hao MA ; Jia Bing WU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(1):28-32
Objective: To explore the prevalence and risk factors of neck musculoskeletal diseases (MSDs) of welders among an automobile factory. Methods: In June 2019, a cluster random sampling method was used to select 677 electric welders from an automobile manufacturing plant in Shiyan City as the survey objects, and a questionnaire survey was conducted using the "Musculoskeletal Disorders Questionnaire" to analyze the prevalence and influencing factors of neck MSDs, and used logistic regression to analyze the relationship between the influencing factors and the prevalence of cervical MSDs. Results: The prevalence rate of MSDs in neck of welders was 54.8% (371/677) . The exposure rate of occupational factors, from high to low, were neckin a bent formord porsure was 71.6% (486/677) , repetitive head movements was 55.1% (373/677) , working in uncomfortable postures was 48.7% (330/677) and neck twisted was 46.8% (317/677) respectively. Sex, age, educational level, length of service, smoking, neck tilt, neck twist, working in uncomfortable posture and head repetitive movements were the risk factors of neck MSDs (P<0.05) . Multiple logistic regression analysis showed that, the main influencing factors of neck MSDs were sex, education level, age, length of service, smoking, neck tilt, working in uncomfortable posture (OR = 2.11, 2.03, 1.83, 1.21, 1.78, 1.90, 1.58, 95%CI: 1.28~3.48、1.47~2.81、1.33~2.52、1.03~1.41、1.22~2.60、1.28~2.83、1.11~2.27, P<0.05) , rest had protective effect on neck MSDs (OR= 0.38, 95%CI: 0.17~0.88, P<0.05) . Conclusion: Welders in automobile factory was highly exposed to occupational risk factors for neck MSDs. Occupational risk factors such as neck in a bent forward posture, working in an uncomfortable posture, prolonged siting, repetitive head movement should be the focus of intervention.
Automobiles
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Cross-Sectional Studies
;
Humans
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Metal Workers
;
Musculoskeletal Diseases/epidemiology*
;
Occupational Diseases/epidemiology*
;
Prevalence
;
Risk Factors
;
Surveys and Questionnaires
6.Comparative analysis of work-related musculoskeletal disorders catalogues.
Teng Long YAN ; Chu Yi ZHANG ; Xiao Jun ZHU ; Dong Sheng NIU ; Ting Ting XIE ; Xiao Wen DING ; Bao Long LIU ; Jue LI
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(4):311-315
Work-related musculoskeletal disorders (WMSDs) refer to musculoskeletal disorders caused by work or work as the main cause, which are characterized by high prevalence and heavy burden of disease as a global problem. The classification and catalog of occupational diseases is of great significance for guiding the prevention and control of occupational diseases and safeguarding the rights and interests of workers. The types of WMSDs included in the list of occupational diseases vary greatly from country to country, and the regulations on specific pathogenic factors are also inconsistent. By sorting out and analyzing the lists and characteristics of WMSDs at home and abroad, and using the International Statistical Classification of Diseases and Related Health Problems (ICD-10) in occupational health to standardize of WMSDs in various countries, which would lay the foundation for future multi-country WMSDs occupational health registration and disease burden research, and provide a reference for China to revise the WMSDs list.
Humans
;
Musculoskeletal Diseases/prevention & control*
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Occupational Diseases/prevention & control*
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Prevalence
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Risk Factors
;
Surveys and Questionnaires
7.Effect of exercise intervention on musculoskeletal disorders in nursing staff.
Xin JIANG ; Shuang Feng ZHENG ; Xuan Xuan YANG ; Anniwa REZI WANGULI ; Ya Jie CHE ; Ping YAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(9):677-681
Objective: To evaluate the effects of exercise intervention on musculoskeletal disorders (MSD) in nursing staff. Methods: In september 2021, we searched the articles on exercise intervention for nurses with musculoskeletal diseases in Embase, PubMed, ClinicalTrails, Wanfang, CNKI and other databases in September 2021, and the search period was from database creation to August 2021. The quality of article was evaluated by Cochrane bias risk assessment tool and MINORS. The systematic review method with narrative synthesis was used to analyze the research results. Results: A total of 7 studies were included, including 6 randomized controlled trials and 1 quasi-experiment. The sample size of the experimental group was 276, and the control group was 273. Depending on the type of exercise intervention, muscle strength training, muscle strength training+stretch/flexibility training, Back School program can reduce the local pain of nursing staff. Among them, muscle strength training can improve the nursing staff's muscle function and quality of life, muscle strength training+stretching/flexibility training can increase muscle strength, range of physical activity and self-efficacy, the Back School program is effective for improving poor posture. Conclusion: Exercise intervention is effective on controlling musculoskeletal disorder symptoms in nursing staff, managers can develop exercise strategies for different MSD symptoms.
Exercise Therapy/methods*
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Humans
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Muscle Strength/physiology*
;
Musculoskeletal Diseases
;
Nursing Staff
;
Quality of Life
8.Effects of individual factors and labor organization on neck pain in auto assembler.
Kang Kang ZHANG ; Rong Bin SUN ; Jia Bing WU ; Li Hua DING ; Ning XU ; Rui Jie LING
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(9):710-714
Objective: To investigate the influence of individual factors and labor organization on the prevalence of neck pain (hereinafter referred to as neck pain) in automotive assemblers, and to provide a basis for enterprises to optimize neck pain interventions. Methods: A cluster random sampling method was taken in January 2021, at an automobile manufacturing plant in Shiyan, 656 assemblers with ≥1.0 years of service were selected, the "Musculoskeletal Disorder Questionnaire" was used to investigate the incidence and influencing factors of neck pain. Pearson χ(2) test or trend χ(2) test was used to compare the data rates. The influencing factors of neck pain were analyzed by multivariate logistic regression. Results: The prevalence rate of neck pain (hereinafter referred to as the prevalence rate of neck pain) of automobile assemblers within one year was 53.94% (342/634) . The prevalence of neck pain in women was higher than that in men (69.1% vs 48.6%, P<0.01) . The prevalence of neck pain was related to length of service, self-assessment of fatigue, working hours per week, working in the same workshop, rest days per shift, and accumulated rest time per shift (P<0.05) . Multivariate logistic regression analysis showed that the risk of neck pain in women was 2.434 times higher than that in men; The risk of neck pain increased by 18.9% for each hour of work per week; Rest during work was a protective factor for neck pain. The number of rest per shift increased and the risk of neck pain decreased (r=0.405, 0.311, 0.302, 95%CI=0.205~0.803, 0.169~0.572, 0.142~0.642, P<0.05) . Conclusion: The annual prevalence of neck pain was higher in automobile assemblers. Enterprises should fully consider the influencing factors such as gender, working hours per week and the number of breaks when arranging production.
Female
;
Humans
;
Male
;
Musculoskeletal Diseases/epidemiology*
;
Neck Pain/epidemiology*
;
Occupational Diseases/epidemiology*
;
Prevalence
;
Risk Factors
;
Surveys and Questionnaires
9.The prevalence and influence factors of work-related musculoskeletal disorders of dental nurse.
Lu GAN ; Xiu E LI ; Qian LU ; Li Chuan ZHANG
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(10):756-760
Objective: To investigate the prevalence and Influence factors of work-related musculoskeletal disorders (WMSDs) among dental nurses in tertiary stomatology hospitals. Methods: From June to July 2020, 1321 dental nurses from 18 tertiary stomatology hospitals in 18 provinces of China were enrolled as research subjects through a phased sampling method. The cross-sectional study was performed with validated instruments including the basic information questionnaire, Effort-Reward Imbalance Questionnaire, Nurse-Physician Collaboration Scale, and Chinese Musculoskeletal Questionnaire, so as to get the information about the social demography information, nursing-physician cooperation, work stress and the incidence of WMSDs. The influenang factors of WMSDs was analyzed. Results: The past prevalence, annual prevalence, and weekly prevalence of WMSDs were 80.8% (1067/1321) , 68.7% and 43.7% (575/1321) . 58.4% (771/1321) of nurses had WMSDs in three or more body parts. Neck (51.4%) , waist (42.2%) and shoulder (41.6%) were the top three body regions in the past year. The absenteeism rate due to musculoskeletal disorders ranged from 3.5% to 9.0%, waist (8.9%) and neck (8.0%) were the top two body regions. Working more than 40 hours per week (OR=1.74, P<0.001) and effect/reward>1 (OR=1.50, P=0.002) were risk factors of WMSDs (OR=1.74, 95% CI: 1.32~2.30; OR=1.50, 95%CI: 1.17~1.92, P<0.05) , while regular physical exercise every week (≥30 min per times) was the protective factor (OR=0.74, 95%CI: 0.56~0.97, P=0.030) . Conclusion: The prevalence rate of WMSDs of dental nurses in China was high, and most of the nurses suffered with many body parts. Thus, we should reduce controllable occupational stresso, ensuring adequate rest and strengthening physical exercise to reduce the incidence of WMSDs.
Humans
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Prevalence
;
Cross-Sectional Studies
;
Occupational Diseases/epidemiology*
;
Dental Assistants
;
Musculoskeletal Diseases/epidemiology*
;
Surveys and Questionnaires
;
Risk Factors


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