Background:Skin, respiratory, and musculoskeletal diseases in greenhouse workers are frequently observed due to exposure to plant products and pesticides in enclosed conditions and ergonomic risks. Current studies on occupational health risks of greenhouse workers in Turkey are insufficient.Objectives:The aim of the present study was to assess work-related skin, respiratory, and musculoskeletal diseases in greenhouse workers in the Erdemli province, Mersin, an area with a workforce predominantly active as greenhouse workers.Methods:The study population consists of adult greenhouse workers, who visited their family physician between June 12–14, 2017 and were diagnosed with dermatological, respiratory, and musculoskeletal diseases. Immediately after this consultation, occupational physicians conducted face-to-face interviews, asking questions about sociodemographic features and occupational factors including current and previous work, current exposures and relation of current symptoms with work.Results:In total, 423 workers with 555 diagnoses were included in the study. Percentages of diagnoses were 30.1%, 21.6% and 48.3%, for skin, respiratory and musculoskeletal diseases respectively. Nearly half of participants had taken an absence from work due to those diseases. Mean age of onset for greenhouse working was 15.5 years. Almost all participants (96.2%) reported contact with chemicals, and usage of respiratory protection was low (17.3%). Pesticides were regarded as a risk factor by nearly two-thirds of workers with skin or respiratory system disorders. Participants’ answers to questions regarding the relationship between their diseases and their work was positive for more than half of patients and patients with skin and respiratory diseases. Nearly half of the patients with musculoskeletal diseases attributed their complaints to physical overload at work.Conclusions:We found evidence of work-relatedness in almost half of the 555 greenhouse workers with dermatological, respiratory and musculoskeletal diseases. These findings are helpful in creating an awareness program. There is a need for a more detailed assessment of the cases and the related working conditions to start a tailored prevention program.

1 Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno 2 Oddělení klinické a experimentální patologie, Masarykův onkologický ústav, Brno 3 Centrum molekulární bio logie a genové terapie, Interní hematologická a onkologická klinika LF MU a FN Brno 4 Oddělení radiologie, Masarykův onkologický ústav, Brno SouhrnVýchodiska: Ewingův sarkom bývá nejčastěji dia gnostikován u adolescentů a mladých dospělých s vrcholem incidence kolem 15. roku věku. Vychází nejčastěji ze skeletu dlouhých kostí a hrudní stěny. Vzácné je primární extraoseální postižení. Tvoří 11-24 % z celkové incidence, výskyt stoupá s věkem. Popis případu: Předkládáme kazuistiku 57leté pa cientky s lokálně pokročilým tumorem děložního čípku klinického stadia IIB. Na základě histologického a molekulárně-genetického vyšetření s nálezem přestavby EWS-ERG byl dia gnostikován Ewingův sarkom. CT trupu dále odhalilo patologickou pánevní lymfadenopatii a vícečetná plicní ložiska oboustranně, scintigrafi e skeletu neprokázala kostní postižení. Pa cientka absolvovala dvoufázovou intenzivní chemoterapii režimy VIDE (vinkristin, ifosfamid, doxorubicin, etoposid) a VAI (vinkristin, aktinomycin D, ifosfamid). V rámci druhé fáze proběhla konkomitantní radioterapie pánve. Bylo dosaženo kompletní remise onemocnění podle PET/ CT. V rámci konsolidace byla léčba doplněna velkoobjemovým ozářením plic. Závěr: Primární Ewingův sarkom děložního čípku je extrémně vzácné onemocnění. Dosud bylo zaznamenáno pouze 12 případů s průměrným věkem v době dia gnózy 35 let, na rozdíl od naší kazuistiky bez iniciálního průkazu vzdálených metastáz. Léčba byla vedena podle protokolu Ewing 2008 navrženého pro primárně kostní formu Ewingova sarkomu. Aktuálně je pa cientka 18 měsíců po ukončení léčby bez známek onemocnění, dlouhodobé sledování je nezbytné. Klíčová slova Ewingův sarkom -děložní čípek -cytogenetika -EWS-ERG -chemoterapie -radioterapie SummaryBackground: Ewing's sarcoma is usually dia gnosed in adolescents and young adults, peak of incidence is around 15 years of age. Primary localization is mostly in the skeleton of long bones and chest wall. Primary extraosseous involvement rarely occurs, incidence increases with age. Case: We present a case report of a 57-year-old patient with locally advanced tumors of the cervix, clinical stage IIB. Due to histological and molecular genetic examination revealing EWS-ERG fusion gene, Ewing's sarcoma was dia gnosed. CT revealed pathological pelvic lymphadenopathy and multiple pulmonary bilateral methastases, scintigraphy did not prove any aff ection of skeleton. The patient underwent a two-stage intensive chemotherapy regimens VIDE (vincristine, ifosfamide, doxorubicin, etoposide) and VAI (vincristine, actinomycin D, ifosfamide). During the second phase, concomitant radiotherapy of pelvis was aplied. According to PET/ CT, complete remission was achieved. Whole-lung irradiation was applied in consolidation of the result. Conclusion: Primary Ewing's sarcoma of the cervix is an extremely rare disease. To our knowledge, only 12 case...

Background Occurrence and underreporting of needlesticks and other sharps injuries (NSIs) are still immediate concerns among nursing students. This study examined the relationship between occupational health and safety (OHS) awareness and empowerment levels of nursing students and the occurrence and reporting of NSIs. Methods This cross-sectional study was conducted among purposively selected 840 students in a nursing school in 2018–2019. A self-report questionnaire was used to collect data about students’ sociodemographic characteristics, OHS awareness and empowerment levels, and NSIs characteristics. After bivariate analyses, multivariate logistic regression was used. Results The number of evaluated questionnaires was 469, for a response rate of 55.8%. Participants, 21.2% ( n = 99), had suffered NSIs, and 47.8% had reported their injuries. The NSIs were statistically related to age, academic year, working night shift, OHS awareness level of students, and the number of clinical placements completed by students. The odds of experiencing NSIs was 2.3 (95% confidence interval [CI] = [1.0, 5.3]) times higher in male students, 4.3 (95% CI = [2.4, 7.4]) times higher in those beyond the second academic year, and 2.5 (95% CI = [1.4, 4.4]) times higher in those who had received OHS training for a shorter period than the average duration. Conclusion/Application to practice The levels of awareness and empowerment were higher in students who received OHS and NSIs prevention training and those who received OHS training for the above-average duration. Increasing awareness and empowerment levels of nursing students through training can reduce the occurrence and the underreporting of NSIs.

Filigree (wirework) is a handicraft used in the jewelry industry as a manufacturing and decoration technique. In the silver filigree art, human factor and manual labour have an important position. Working conditions in this sector include many risk factors such as recurrent movements, improper body positions and exposure to chemicals. These risks faced by workers in the jewelry sector, particularly by those using filigree technique result in workrelated diseases such as musculoskeletal, respiratory and skin diseases and visual problems. It is necessary to do researches towards the preservation of workers' health and safety and definition of workrelated diseases in this sector, which is considered hazardous.