Work Absenteeism Research Articles

An Enquiry Into Modes of Non-Existence

After the many symmetries (subject-object, truth-falsity, etc.) that science and technology studies (STS) has explored, one symmetry seems unaddressed: the symmetry of explaining non-existence from the same kind of causes as existence. A social-constructivist perspective that articulates the work required to bring about existence cannot uncritically take for granted that the absence of such work simply explains non-existence. Rather, some non-existences are just as much “made,” and these non-existences “could have been otherwise.” In this article, I attempt to systematize this construction of non-existence under the notion of stifling. I first explore how the production of forms of non-existence has been thematized in scholarship in STS. I take non-things, non-knowledge, and non-people as the main classes to organize the arguments. I then propose a systematic approach to the ontological work performed through stifling and, notably, the consequences for what kind of futures this renders thinkable and unthinkable. Stifling then emerges as an important dynamic through which modal power is exercised and an indispensable element of ontological politics.

Insomnia Prevalence and Mental Health Correlates Among 18,646 Users of an Internet-Based Cognitive-Behavioural Therapy Website: Archival Real-World Data from the United States, 2017–2019

Sleep problems were examined in archival data from 18,646 users of a commercial service that provided online health risk screening, educational resources, and self-guided computerized therapy lessons for insomnia and other mental health disorders. The sample was split between college students and working adults and represents a growing modern segment of adults who voluntarily seek out digital support for common behavioral issues. The goals were to explore the prevalence and possible correlates of insomnia among this unique sample. The cognitive behavioral-based therapy from this service has evidence of its clinical effectiveness and value to users in past research. Results revealed that 36% of all users were at risk for a clinical insomnia disorder. The severity of insomnia was significantly (all _p _<.001) associated with the severity of depression (_r_ =.65; 43% clinical); anxiety (_r_ =.54; 40% clinical); stress (_r_ =.54; 25% clinical); social phobia (_r_ =.34; 27% clinical); and general health status (_r_ = -.26; 15% clinical). Younger age was weakly associated with insomnia (_r_ = -.14; avg. 32 years; range 18-83), while both gender (_r_ = -.05; 76% female) and race (_r_ =.00; 81% White) were unrelated to insomnia. More severe insomnia was associated with lower work performance and greater work absenteeism (_r_ = -.30; _r_ =.17, respectively). The conclusions are that insomnia was commonly experienced among users of digital tools, often comorbid with other common mental health conditions, and linked to work performance problems. Thus, online self-help health and related digital services should screen for multiple disorders, including insomnia, rather than focusing on the specific disorder emphasized in the care program.

Nature, predictors, and outcomes of Nurses' trajectories of harmonious and obsessive passion

AbstractThis study sought to achieve a dynamic person‐centered understanding of the various harmonious and obsessive work passion trajectories observed among a sample of nurses, as well as the connections between these two types of work passion trajectories. Moreover, it sought to document the predictive role of workload, unfairness, harassment, and supervisor support in relation to these harmonious and obsessive passion trajectories, as well as the implications of these trajectories for a variety of outcomes related to attitude (i.e., turnover intention), psychological health (i.e., perceived psychological health and work fatigue), and behaviors (i.e., work performance, presenteeism, and absenteeism). A sample of 622 nurses was surveyed six times over a period of five months. Our results revealed that harmonious and obsessive passion trajectories matched five primary profiles, similar across the two types of work passion. Workload, unfairness, harassment, and supervisor support were associated with these trajectories in a way that mainly supported our expectations. Trajectories characterized by higher levels of harmonious passion and lower levels of obsessive passion were associated with higher levels of perceived psychological health and work performance, and with lower levels of work fatigue, turnover intention, presenteeism, and absenteeism. Conversely, trajectories characterized by lower levels of harmonious passion and higher levels of obsessive passion were associated with the most negative outcomes.

The economic burden of diagnostic uncertainty on rare disease patients

BackgroundIt often takes a long time before a rare disease is diagnosed. Without a diagnosis, the right therapy often cannot be carried out and without the right therapy, the patients are denied the opportunity for a cure or relief from their symptoms.In addition, rare diseases can also have economic consequences for those affected. This study aimed to investigate the extent to which a rare disease affects the income and work performance of the patients concerned and whether the use of AI in diagnostics would have the potential to reduce economic losses.MethodsThe work performance and income of 71 patients of the outpatient clinic for rare inflammatory systemic diseases with renal involvement at Hannover Medical School were analyzed during the course of the disease. The WHO Health and Work Performance Questionnaire (HPQ) was used to collect data. During the patient interviews, the questionnaire was completed four times: at the onset of the first symptoms, when a diagnostic decision support system (DDSS) would have suggested the correct diagnosis, at the time of diagnosis and at the current status.ResultsWith the onset of the diagnostic odyssey, the monthly net income of the patients under study dropped by an average of 5.32% due to lower work performance or work absenteeism. With the correct diagnosis, the original or even a better income of 11.92% could be achieved. Loss of income due to illness was more massive in patients with a rare disease with joint, muscle and connective tissue involvement than in patients with rare vasculitides. If a DDSS had been used, the loss of income would have been 2.66% instead of the actual 5.32%.ConclusionRare diseases resulted in temporary or existing income losses in 28.17% of the patients. Losses in work performance and income were related to the type of disease and were more pronounced in patients with joint, muscle or connective tissue disease than in patients with rare vasculitides.The use of a DDSS may have the potential to reduce the negative income effects of patients through earlier correct diagnosis.Trial registrationRetrospectively registered.

Impact of chronic constipation symptoms on work productivity and daily activity: A large-scale internet survey.

Chronic constipation negatively impacts work productivity and patients' quality of life. This retrospective study assessed the correlation between symptoms of chronic constipation and work/activity impairment with and without the use of laxative treatment. This cross-sectional, observational, web-based survey was conducted using the Work Productivity and Activity Impairment-Chronic Constipation Questionnaire and included Japanese patients with chronic constipation receiving prescribed medication. Outcomes of interest included total work productivity and activity impairment and their correlation with constipation symptoms. Among the 2351 analyzed patients (mean [SD] age, 51.7 [13.8] years), 80.7% were females, 63.3% had a disease duration of ≥10 years, and 1424 were working. The averages of total activity impairment, total work productivity impairment, presenteeism, and absenteeism were 39.2%, 33.9%, 31.2%, and 5.0%, respectively. The annual work productivity loss per patient was estimated to be 1.343 million Japanese Yen. Symptoms that had a statistically significant positive correlation with total work impairment (P < 0.05) were abdominal discomfort/nausea, abdominal pain, abdominal bloating, and unpredictable defecation timing. Total activity impairment was significantly (P < 0.05) affected by abdominal discomfort/nausea, abdominal bloating, abdominal pain, incomplete defecation, unpredictable defecation timing, loss of defecation desire, and straining. Work productivity and daily activity had improved in 71.2% and 72.6% of patients, respectively, after they received treatment. Symptoms of constipation, particularly abdominal symptoms and unpredictable defecation timing, can have a negative impact on work productivity and daily activity. Treatment focused on these symptoms may reduce the socio-economic burden of chronic constipation in Japan.

Effectiveness of a Sugar Consumption Prevention Program in the First Year of Life on the Occurrence of Early Childhood Caries: A Multicentric Randomized Trial in Brazil

Plain Language SummaryTeeth with cavities, known as dental caries, are widespread, affecting more than half of children in most countries. These cavities can cause significant discomfort, disrupting the routine of children and their parents’ lives, leading to sleep problems and work absences. The primary cause of these cavities is the frequent consumption of foods and drinks with added sugar, a practice that is not recommended before the child reaches 2 years of age. To address this issue, our study investigated the effect of advising mothers about healthy feeding practices during the first year of the child’s life on preventing caries and reducing sugar consumption at 6 and 12 months. Our findings showed that the nutritional guidance reduced sugar consumption significantly after comparing groups of mothers who received nutritional advice with those who did not. Still, it was ineffective in preventing the occurrence of caries in the child’s first year of life.

Systematic review of reviews: occupational exposures and work disability

Abstract Background Occupational exposures significantly impact workers’ health and may lead to temporary or permanent work absence. Although the effect of occupational exposures on work participation has been studied extensively, research remains fragmented in covering different exposures and outcomes. This review investigates the evidence on the associations between occupational exposures and work disability. Methods Following PRISMA guidelines, a systematic review of reviews was conducted using PubMed, Scopus, and Web of Science. Reviews and meta-analyses of observational studies examining associations between occupational exposures and self- or physician-assessed sickness absence or disability retirement, published until 2023, were included. The review findings were supplemented with an additional search for original studies published after 2012 focusing on exposures less covered by the reviews. Quality assessment was performed using AMSTAR and the NH quality assessment tools. Results A total of 21 reviews and meta-analyses and 35 complementing original studies were included. While 10 reviews covered psychosocial exposures and 19 reviews focused on temporary work disability, fewer examined other exposures like chemicals (3 reviews, 7 original studies) or permanent work disability (8 reviews, 17 original studies). Next, we’ll further synthesize these studies to evaluate the levels of the evidence. Conclusions Our review found that published studies primarily focused on work-related psychosocial exposures and temporary work disability, revealing gaps in research on other occupational exposures like chemicals and permanent work disability. Key messages • There’s a need to explore a wider range of occupational exposures and their impact on work disability beyond psychosocial exposures. • The focus of prior reviews on occupational exposures and temporary work disability underscores the importance of studying the impact of these exposures on permanent work disability in future research.

Clinical and Humanistic Burden of IgAN in Adult Patients: A Global Real-World Survey.

Immunoglobulin A nephropathy (IgAN) is a chronic, progressive kidney disease in which proteinuria, reduced estimated glomerular filtration rate (eGFR), pain and fatigue are common. How symptoms interact and impact patient quality of life (QoL) in real-world practice is poorly studied. This study investigated how patient and physician symptom perceptions differ and how proteinuria and eGFR correlate with pain, fatigue, and QoL in adult IgAN patients. Data were drawn from the Adelphi IgAN Disease Specific Programme™, a cross-sectional survey of physicians and their biopsy confirmed IgAN patients in China, France, Germany, Italy, Spain, the United Kingdom, United States, and Japan, from June-October 2021. Physicians provided demographics and clinical characteristics, including pain and fatigue severity. The same patients completed a self-completion form containing questions on symptom severity, the EQ-5D-5L, Kidney Disease Quality of Life, and Work Productivity and Activity Impairment questionnaires. Symptom scores were grouped by severity and patients grouped by proteinuria and eGFR. Analysis of variance, chi-squared or Fisher's exact tests were performed as appropriate and Dunn's multiple comparisons with Bonferroni adjustment for pair-wise comparisons. Overall, 1515 patients were included (mean [standard deviation] age: 43 [15] years, 60% [n=903] male, 70% [n=1020/1459] diagnosed >1 year ago). Pain was reported by 46% (n=374) of physicians and 47% (n=384) of patients and fatigue by 65% (n=530) of physicians and 76% (n=620) of patients. Both pain and fatigue increased with increased proteinuria and reduced eGFR (all p<0.001). Finally, patients with increased proteinuria and reduced eGFR experienced worse (p<0.05) QoL and work productivity across all measures (except work absenteeism). Patients with higher proteinuria and lower eGFR face higher symptom burden and reduced QoL than their counterparts. Physicians underestimated fatigue levels faced by patients. In order to improve QoL, more effective treatments are needed to prevent high proteinuria and preserve eGFR.

Could resistance training prevent or improve work-related musculoskeletal disorders among surgeons?

Studies have demonstrated the negative impact that work-related musculoskeletal disorders (WMSDs) have on surgeons. These are also likely to affect some allied healthcare professionals such as interventional radiologists. Problems from WMSDs include pain, diminished technical and cognitive performance, and work absence. These could contribute to burnout, to which surgeons are already vulnerable owing to other working practices such as shift patterns and long hours. WMSDs could negatively affect working performance, and lead to poorer surgical outcomes and patient care. Surgeons are at risk of WMSDs of the neck and back that result from fixed and damaging postures while operating. Some have reduced their operation numbers and working days as result of WMSDs. Theatre ergonomics (e.g. table positioning, operating stools and monitors), intraoperative breaks and stretching may improve WMSDs for some. Strength/resistance training (RT) may be used to prevent or mitigate WMSDs. RT can also enhance general health and concentration, and combat intraoperative fatigue. Low engagement times of moderate-intensity RT of 20 minutes, twice a week, improve neck and back pain from WMSDs. Moreover, RT has been shown to reduce all-cause mortality by up to 15%, increase bone density, improve proprioception and reduce the fear of movement due to pain. Alongside ergonomic improvement and stretching, we recommend RT as an activity to improve general health and WMSDs.

Exploring health worker absenteeism at public healthcare facilities in Chhattisgarh, India.

This study aims to assess the health worker absenteeism and factors associated with it in a high-focus district in Chhattisgarh, India. Human resources for health are among the key foundations to build resilient healthcare systems. Chhattisgarh is a high-focus Indian state with a severe shortage of health care workers, and absenteeism further aggravates the shortage. This study was conducted as a mixed-methods study employing sequential explanatory design. Absenteeism was defined as the absence of health worker in the designated position without a formal leave or official reason in two different unannounced visits. A facility survey across all the public healthcare facilities in Jashpur district, Chhattisgarh, was conducted through random, unannounced visits employing a checklist developed based on Indian Public Health Standards. Twelve participants were purposively sampled and interviewed from healthcare facilities to explore factors associated with absenteeism. Survey data were analysed descriptively, and thematic analysis was employed to analyse qualitative interviews. Among all the positions filled at primary health centre level (n = 339), close to 8% (n = 27) were absent, whereas among the positions filled at community health centre level (n = 285), only 1.14% (n = 4) were absent. Absenteeism was not found in the district hospital. Qualitative interviews reveal that macro-level (geographical location and lack of connectivity), meso-level (lack of equipment and amenities, makeshift health facilities, doctor shortage, and poor patient turnover), and micro-level (unmet expectations) factors contribute to health worker absenteeism. Health worker absenteeism was more at PHC level. Systemic challenges, human resource shortages, and infrastructural shortcomings contributed to health worker absenteeism.

Workplace Stress as a Predictor of Absenteeism of the Employees of Selected Manufacturing Firms in Lagos State, Nigeria

Absenteeism whether voluntary or involuntary is a manifestation of continued stress whose outcome is highly negatively engender poor results as well as low delivery of tasks among employees. One hundred and fifty (150) employees of five selected manufacturing firms in Lagos State served as respondents for the study through purposive and convenience sampling methods. Findings revealed that a significant and positive nexus was found between emotional exhaustion and voluntary absenteeism with “0.743&gt;0.5”; also, a strong and positive correlation existed between psychological consequences and involuntary absenteeism with “0.913&gt;0.5”. The study concluded that activities in the manufacturing environment is massive and has huge propensity to induce stress and high burnout rate thus culminating into high level of work alienation and absenteeism. Therefore, management should on a constant basis lookout for activities that poses stress on employees, such should be given rapt attention and curtailed to avoid work estrangement within and among employees.

One-time low concentration betadine eye wash: A novel treatment for epidemic viral conjunctivitis for accelerated recovery.

This study aims to renew the management of viral epidemic conjunctivitis by introducing a one-time, low-concentration ocular surface povidone-iodine (LOS-pI) wash. Among the 3,002 patients screened, 1,328 with acute conjunctivitis were categorized into two groups. Group A (664 patients) underwent a 1% betadine wash in addition to the standard treatment protocol (Eye Lubricant + Moxifloxacin 0.5% eyedrops), while Group B (664 patients) followed the standard protocol alone. In cases of membranous conjunctivitis, manual membrane removal was performed. Treatment responses were observed daily for three days, followed by weekly assessments for two additional weeks. Co-infection of adenovirus with enterovirus was found to be the main cause, often accompanied by staphylococcal superinfection. Group A showed complete resolution of conjunctival inflammation, with a remarkable 76.05% of patients experiencing improvement within an average of 2.6±0.51 days, in contrast to Group B's average of 7.5±1.1 days (p <0.05). Additionally, 13% of Group B patients with recalcitrant conjunctivitis significantly recovered following the 1% betadine wash. Complications (subconjunctival hemorrhage: 34.04%, superficial punctate keratitis: 6.02%) were more prevalent in Group B. The authors hypothesized that a single wash with betadine is sufficient to reduce disease duration and prevent secondary infections and complications. The core strength of our study lies in its substantial sample size. To our knowledge, no similar previous research has been conducted, on such a larger scale. Viral conjunctivitis brings discomfort, work absenteeism, and financial burden. A single low-concentration betadine wash expedites recovery and reduces complications in acute infective conjunctivitis. This approach significantly enhances patient outcomes and alleviates the socioeconomic impact of the condition.

6962 Natural History of Menstrual Pain and Associated Risk Factors in Early Adolescence

Abstract Disclosure: M. Sofia: None. R. Modarelli: None. S. Molsberry: None. S. Denslow: None. D. Zaccaro: None. C. Kamoun: None. N.D. Shaw: None. Background: Primary dysmenorrhea (PD), or menstrual pain of uterine origin without pelvic pathology, affects up to 93% of adolescents and is a leading cause of school and work absenteeism. The theory that PD only occurs when progesterone levels fall in the late-luteal phase, triggering production of uterine prostaglandins, has dominated the literature. However, recent studies identifying PD among girls with anovulatory cycles cast doubt on this theory. We took advantage of an ongoing longitudinal study of healthy early post-menarchal girls to test the hypothesis that ovulation is associated with increased PD and to explore other participant factors associated with PD. Methods: Participants contributed daily urine samples to measure Cr-corrected LH, estrone conjugates, and pregnanediol-3-glucuronide [PdG], completed menstrual diaries, and reported dysmenorrhea symptoms using the 24-item Menstrual Symptom Questionnaire (MSQ) approximately biannually. A cycle was defined as ovulatory if peak PdG &amp;gt;2500 ng/mg Cr. Scores were natural log-transformed and modeled to assess associations with gynecologic age, ovulation, anxiety, depression, and physical activity exposures using generalized estimating equations with a normal distribution and autoregressive covariance structure. Models were adjusted for age at menarche, baseline BMI Z-score, race, ethnicity, maternal age at menarche, parental education and employment, and gynecologic age (ovulation models only). Results: The 43 participants were 12.38 ± 1.06 years old (mean ± SD) with a gynecologic age of 2.99 ± 2.22 months. The majority were non-Hispanic White and of normal weight. Average maternal age at menarche was 12.64 ± 1.09 years. Among parents of participants, most were both at least college-educated and nearly 50% were both employed. Participants completed 155 MSQs (1-9/participant). Dysmenorrhea scores increased over time (scores 1.14x higher for every 1-year increase in gynecologic age, p&amp;lt;0.001). Dysmenorrhea scores were 1.12x higher (p=0.03) if the preceding cycle was ovulatory vs. anovulatory and 1.11x higher if all cycles in the preceding 6 months were ovulatory vs all anovulatory (p=0.11). Gynecologic age remained significant in models with ovulation-based exposures, and maternal age at menarche was inversely associated with dysmenorrhea score (beta -0.08, p=0.04) in the model with gynecologic age as the exposure. Conclusion: In early-postmenarchal girls, dysmenorrhea scores were higher when associated with ovulatory cycles but also increased over time independent of ovulatory status, suggesting a pathophysiologic role for progesterone and other unknown factors. There was no association between age at menarche, BMI, race/ethnicity, and dysmenorrhea scores whereas maternal age at menarche was inversely associated with dysmenorrhea scores. Presentation: 6/1/2024

Knowledge-Based Flipped Classroom Model to Improve Physics Learning Outcomes

Abstract The goal of studying physics is to produce individuals who can use their knowledge and comprehension to tackle complicated challenges in daily life. This is partly influenced by the absence of practical work in the laboratory. Therefore, a learning model is needed that can overcome this problem. This journal presents a model for implementing a Knowledge-Based Flipped Classroom approach in the context of physics education. Traditional classroom settings often rely on passive consumption of information, limiting student engagement and depth of understanding. In contrast, the flipped classroom model emphasizes active learning, where students engage with the course material before class begins, allowing in-class time for deeper exploration, discussion, and application of concepts. This research uses a mixed-methods research methodology, to evaluate the effectiveness of the Knowledge-Based Flipped Classroom model in physics teaching. This paper proposes a structured framework for designing flipped physics classrooms, integrating multimedia resources, interactive activities, and collaborative learning experiences. Using this strategy, instructors can improve student learning outcomes by developing critical thinking, problem-solving abilities, and conceptual knowledge. The adoption of the Knowledge Based Flipped Classroom paradigm has been proven to improve learning outcomes in Sensor Technology courses, according to the study’s findings. It is advised that this learning approach be applied in Sensor Technology courses as an alternative to traditional instruction.

Mental health in a post-pandemic perspective: economic and social costs

The COVID-19 pandemic has caused a significant increase in the number of mental health disorders, such as depression, anxiety, and PTSD, leading to higher treatment costs and placing a burden on social insurance systems. The aim of this literature review was to examine the economic costs of the pandemic related to mental health and assess its impact on social insurance systems. The review also analyzed the growing demand for mental health services during different phases of the pandemic. The methodology included an analysis of scientific literature from 2020-2023, with sources from databases like PubMed, Scopus, and JSTOR. The focus was on studies that provided a detailed examination of the economic aspects of the pandemic in the context of mental health, including both direct costs (consultations, medications) and indirect costs (reduced productivity, work absences). The findings indicate significant economic burdens for both healthcare and social insurance systems. The COVID-19 pandemic has increased the cost of treating mental health disorders globally. Both WHO and OECD highlight that global indirect costs related to lost productivity amount to approximately $1 trillion annually. Additionally, the pandemic exposed weaknesses in social insurance systems, which need to be reformed to address new health challenges. Key conclusions emphasize the need for further investment in mental health care, particularly in prevention and early intervention. Such investments could lead to significant economic savings by reducing treatment costs and improving productivity. Reforming social insurance systems is also recommended to better accommodate the needs of individuals suffering from mental health disorders.

Trombone as a solo instrument in the light of organology and historiography

Problem statement. In contemporary instrumentology, the primary task is to identify not only technical but also semantic (artistic) qualities of instruments that belong to the general concept of “instrument style”. This regards trombone artistry, the study of which extends beyond instrumentation and intersects with issues in philosophy, aesthetics, and culture studies. Such contextual understanding of trombone style is presented in this article, which is dedicated to studying the least researched aspects of trombone creativity and performance — solo trombone. The purpose of this paper is to identify the organology characteristics of the instrument within the context of researching the solo trombone. The relevance of the article lies in the demand for comprehensive developments of instrumental styles, including trombone, in contemporary theoretical musicology, as well as the absence of works dedicated to incorporating the corresponding musical material required for developing a similar theme. The results. From the perspective of organology as a comprehensive science of instruments as “organs”, “tools” of musical thinking, trombone is a melodic instrument of the brass aerophones group, which, thanks to its slide, can reproduce segments of the chromatic scale within three octaves with the possibility of natural glissando. The trombone’s acoustic and semantic resources are combined in its stylistic image, allowing for multifunctional use of this instrument in various music genres. The article outlines the path of forming the solo qualities of the trombone, presents classification of the types of trombone soloing, among which solo unaccompanied works for the trombone are highlighted. These mostly include miniatures of both programmatic and non-programmatic content, as well as sonatas for the trombone presented in the works by both foreign and Ukrainian authors. The specificity of such works is concluded in the combination of concert characteristics (the principle of soloing) and chamber characteristics (reproduction in a single voice of ensemble functions with equally potent voices-registers). This layer of trombone creativity is the least researched and therefore requires separate study, the beginning of which is laid out in this article. The scientific novelty of the research. Solo trombone music becomes an autonomous center containing everything characteristic of the trombone image and, within its competence, demonstrates all genres that exist or have existed in it. The proper qualities of the solo trombone are revealed in unaccompanied miniatures, the characteristics of which are illuminated for the first time in this article. Therefore, the issue of involving self-sufficient solo trombone works into musicological discourse pertains not only to the technical aspect but also contributes to a new perspective on the aesthetics and poetics of this instrument, its new philosophy, as demonstrated by the music of the Modern era.

Does child abuse predict a population segment with large economic burden?

ObjectivesThe enormous societal and individual consequences of mental health disorders and detrimental health behaviours in the general population are of paramount concern. Many argue that ‘prevention is the best cure’, pushing for the implementation of early (preventive) interventions. Key questions regarding early interventions include which population segment to target for screenings and what information these screenings should focus on. In line with previous efforts, this study aimed to identify which population segment holds the majority (≥ 80 %) of different economically costly outcomes in society, and whether child abuse before the age of 16 years predicts being part of that population segment. Study designEpidemiological cohort study. MethodsThis study used the Netherlands Mental Health Survey and Incidence Study-2, a Dutch epidemiological cohort study including 6646 adults aged 18–64 years at baseline, spanning four timepoints from 2007 to 2018. Cumulative distributions were computed to identify high-cost population segments of economically costly outcomes in adulthood (i.e., mental and physical health [behaviours], unemployment and work absenteeism). Child abuse was examined as a potential predictor of these segments and the risk of multiple high-cost population segment membership was investigated by conducting Poisson regressions. ResultsA 20 % population segment carried between 42 % and 100 % of economically costly outcomes. Being exposed to more child abuse predicted being in a high-cost population segment, albeit with small effect sizes. Being exposed to more child abuse also predicted belonging to multiple high-cost population segments across different economically costly outcomes. ConclusionsThe study findings have implications for policy makers. Emphasis should be placed on prevention aimed at identifying potential members of multiple high-cost population segments.

ESMO Resilience Task Force recommendations to manage psychosocial risks, optimise well-being, and reduce burnout in oncology

Burnout in health care professionals (HCPs) results from exposure to psychosocial risks at work. Left unaddressed, burnout can lead to chronic health problems, increased staff turnover, reduced work hours, absenteeism, and early retirement from clinical practice, thus impacting patient care. The European Society for Medical Oncology (ESMO) Resilience Task Force (RTF) was established in December 2019 to support the well-being of oncology HCPs globally. This ESMO RTF position paper aims to provide a set of recommendations to optimise well-being and mitigate burnout in oncology, and to help individuals and institutions maintain the delivery of optimal cancer care. Recommendations were developed by a diverse multinational panel of interprofessional experts based on the key findings from three previously reported ESMO RTF surveys. Several recurrent work-related psychosocial risks in oncology were identified; in particular, concerns about workload and professional development. The need for flexible work patterns, continued use of virtual resources, well-being resources, and targeted support for at-risk groups were highlighted as key considerations to safeguard HCPs' health and prevent burnout. In total, 11 recommendations relating to three priority themes were developed: (i) information and training; (ii) resources; (iii) activism and advocacy. Optimising the well-being of oncology HCPs is essential for the provision of high-quality, sustainable care for patients globally. The ESMO RTF will continue its mission and is rolling out several initiatives and activities to support the implementation of these recommendations.

Simulation model to analyze the impact of work on absenteeism

AbstractShoe manufacturing companies often use overtime work but neglect the impacts and importance of physical recovery time. Ergonomic methods aim to analyze this, but they focus on deterministic aspects, which limits their ability to evaluate working conditions amid variations over time. This research explores how a simulation model can mitigate these limitations and enhance analysis of overtime and physical recovery on worker absenteeism. The objective was developed a simulation model using System Dynamics (SD) to represent working conditions and assess the influence of overtime and recovery time in Brazil's footwear industry. An Ergonomic Analysis of Work was conducted in a large company's production cell. Using SD, were constructed a causal and simulation model to analyze three scenarios. An additional hour of work increased physical overload by 44%, leading to 5, 4 leave requests, and 48 days of absenteeism per year. Increasing recovery time by 15 min reduced overload to 38,96%, resulting in 4, 9 leave requests and 13,68 days of absenteeism. The SD simulation model mitigated the limitations of ergonomic methods in understanding the dynamic relationships over time, emphasizing the importance of actively managing overtime and physical recovery time.

Effects of Psychosocial Risks on the Performance of Teacher-Researchers: Moroccan Context

In recent years, the concept of psychosocial risks has assumed enormous importance in working life. Indeed, PSR at work has become almost synonymous with work life and more specifically work stress, and it is widely accepted that work experiences can have a major impact on the psychological health of employees. Psychological risks are the human pressures that arise as a result of implementing an organization's strategy, and take different forms such as anxiety, pressure, violence, mental load and poor communication, musculoskeletal disorders and other pressures that are transmitted differently among employees depending on their position in the organization. Thus, mental health is an integral part of health and a state of happiness. In this state, a person can achieve self-actualization, overcome the normal pressures of life, engage in productive work and contribute to community life. Its degree is determined by social, psychological and biological factors. In the workplace, it is associated with psychosocial risk (PSR), which can cause a variety of discomforts and negative emotions about work. The assessment of PSR in the workplace is necessary, their identification allows to take preventive measures to have an objective impact on absenteeism, performance, productivity and health of workers and organizations In this sense, the objective of this work is to evaluate the prevalence of work-related psychological organizational constraints in the group of practicing teachers based on the Karasek model. This is a cross-sectional survey with data from 100 qualified teachers in elementary school, secondary schools and universities. The respondents were informed in advance of the purpose of the survey and the anonymity of the data. They are teachers, men and women of all ages, different learning levels, different cycles, different teaching professions and different levels of experience.