Practising evidence-based occupational healthin workers' groups: how to prevent sickness absence caused by influenza

Grandi, P. De; Franco, Giuliano

doi:10.1093/occmed/kqi010

Cited by 8 publications

(8 citation statements)

References 11 publications

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“…the patient or population or problem being addressed, the intervention or exposure being considered, comparison intervention or exposure when relevant, and the outcome of intervention or exposure 24,25) . Originally the PICO was developed for clinical studies 24,26) ; however, it is now being used in other fields 27,28) . For non-intervention studies, researchers have suggested that the intervention component of the PICO should be replaced with the exposure component because the former is a planned procedure while the exposure is an unintentional occurrence 22) ; for example physiotherapists' unintended exposure to RF EMFs from therapeutic diathermy devices.…”

Section: Methodsmentioning

confidence: 99%

Systematic Literature Review of Adverse Reproductive Outcomes Associated with Physiotherapists' Occupational Exposures to Non‐ionising Radiation

Shah

Farrow

2014

Journal of Occupational Health

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Systematic Literature Review of Adverse Reproductive Outcomes Associated with Physiotherapists' Occupational Exposures to Non‐ionising Radiation: Syed Ghulam Sarwar SHAH, et al. School of Health Sciences and Social Care, Brunel University London, UK— Objectives To review empirical research on adverse health and pregnancy outcomes associated with physiotherapists' occupational exposure to radiofrequency electromagnetic fields (RF EMFs) from shortwave (SWD) and microwave (MWD) diathermy devices. Methods A systematic review of peer reviewed literature published from 1990 to 2010 in the English language searched in eight online bibliographic databases: CINAHL, EBSCOhost, ISI Web of Knowledge, Medline, OSH UPDATE, PubMed Central, Science Direct, and Scopus. Results Findings suggest that physiotherapists' occupational exposure to SWD was statistically significantly associated with delayed time to pregnancy (>6 months), still birth, altered gender ratio (low ratio of boys to girls), congenital malformations and low birth weight (<2,500 g) among physiotherapists' offspring. Physiotherapists' exposure to MWD was also found to be statistically significantly associated with spontaneous abortion. However, causal mechanisms for these statistical associations are unknown. The present systematic review has found these adverse reproductive outcomes and health effects associations with RF EMFs from therapeutic diathermy devices to be inconsistent. Conclusions A number of studies did not find statistically significant results to replicate associations with such adverse outcomes, and therefore further research, preferably prospective studies of cohorts of physiotherapists, is warranted.

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Section: Methodsmentioning

confidence: 99%

Systematic Literature Review of Adverse Reproductive Outcomes Associated with Physiotherapists' Occupational Exposures to Non‐ionising Radiation

Shah

Farrow

2014

Journal of Occupational Health

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“…Recent initiatives in the application of EBM in daily occupational health practice are promising and show that there is more field-relevant evidence available in e.g. Medline than is generally assumed by OPs [15][16][17][18] . Moreover, a cohort study and two controlled trials with occupational health guidelines on low back pain and mental health problems confirmed their favourable effect on sick leave and prevention of disability [19][20][21] .…”

Section: Original Articlementioning

confidence: 99%

Evidence-Based Practice Guidelines in OHS: Are They Agree-Able?

Hulshof

Hoenen²

2007

Ind Health

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The purpose of this study was to evaluate the acceptance, validity, reliability and feasibility of the AGREE (Appraisal of Guidelines and REsearch and Evaluation) instrument to assess the quality of evidence-based practice guidelines for occupational physicians. In total, 6 practice guidelines of the Netherlands Society of Occupational Medicine (NVAB) were appraised by 20 occupational health professionals and experts in guideline development or implementation. Although appraisers often disagreed on individual item scores, the internal consistency and interrater reliability for most domains was sufficient. The AGREE criteria were in general considered relevant and no major suggestions for additional items for use in the context of occupational health were brought up. The domain scores for the individual guidelines show a wide variety: 'applicability' had on average the lowest mean score (53%) while 'scope and purpose' had the highest one (87%). Low scores indicate where improvements are possible and necessary, e.g. by providing more information about the development. Key experts in occupational health report that AGREE is a relevant and easy to use instrument to evaluate quality aspects and the included criteria provide a good framework to develop or update evidence-based practice guidelines in the field of occupational health.

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“…Vaccination indeed is an effective instrument for reducing absence from work and interrupting the contagion chain between patients and HCW, who often continue to work despite the risk of transmitting influenza to sick people, more fragile and exposed to complications than average. 1 A systematic vaccination of the hospital employees is useful for a good management of resources, as proven by several studies;…”

Section: Introductionmentioning

confidence: 99%

Prevalence of influenza vaccination among nurses and ancillary workers in Italy: Systematic review and meta analysis

Torre¹,

Mannocci²,

Ursillo³

et al. 2011

Human Vaccines

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Practising evidence-based occupational healthin workers' groups: how to prevent sickness absence caused by influenza

Abstract: The case study shows that, as for other clinicians, the occupational physician can use the EBM paradigm according to the PICO model as a tool for providing appropriate solutions for the group of workers.

Cited by 8 publications

References 11 publications

Systematic Literature Review of Adverse Reproductive Outcomes Associated with Physiotherapists' Occupational Exposures to Non‐ionising Radiation

Systematic Literature Review of Adverse Reproductive Outcomes Associated with Physiotherapists' Occupational Exposures to Non‐ionising Radiation

Evidence-Based Practice Guidelines in OHS: Are They Agree-Able?

Prevalence of influenza vaccination among nurses and ancillary workers in Italy: Systematic review and meta analysis

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