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Global Health Journal 2020年第2期4卷 33-41页

作者： Min Zhang Jorma Rantanen School of Public Health Chinese Academy of Medical Sciences and Peking Union Medical College9 Dongdan San TiaoBeijing 100730China Department of Public Health/occupational Health University of HelsinkiP.O.BOX 20(Tukholmankatu 8 B)FIN-00014 HelsinkiFinland

A healthy workforce is fundamental for China to pursue its Healthy China 2030 strategy and the UN Sustainable Development *** Law of the People’s Republic of China on the Prevention and Control of occupational diseases(the Chinese OD Law),which has been amended four times since its adoption in 2002,is the core and cornerstone of the entire regulatory system for occupational *** addition to discussing the new institutional reforms,which are relevant to China’s regulatory system for occupational diseases(ODs)because of their marked impact on healthcare system reform,we present further evidence,mainly drawn from desk and field *** study focuses on the barriers that employers face in complying with the Chinese OD Law and explores the optimized employer-initiated management system,which requires further amendments to the Chinese OD Law,as the State Council of China has prioritized this issue as a top *** first summarize the key characteristics of the Chinese OD Law and illustrate employers’essential obligations,and then analyze the critical challenges that employers face regarding OD prevention and *** demonstrate good practices and experiences in China,and,finally,propose recommendations for further amendments to the Chinese OD Law in the near *** recommendations can be achieved only through integrating the healthcare system reform with mechanism innovation.

关键词： occupational diseases occupational health Law Employer China

COVID-19 vaccination and associated factors in Turkish healthcare workers practicing chest medicine

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Asian Pacific Journal of Tropical Medicine 2023年第3期16卷 110-118页

作者： Abdulsamet Sandal Aylin Güngör Cifci Peri M Arbak occupational diseases Clinic Ankara Gazi Mustafa Kemal Occupational and Environmental Diseases HospitalAnkaraTurkey Division of occupational Medicine Department of Chest DiseasesFaculty of MedicineDokuz Eylul UniversityIzmirTurkey Department of Chest diseases Faculty of MedicineDuzce UniversityDuzceTurkey

Objective: To evaluate the COVID-19 vaccination status and related characteristics of Turkish healthcare workers practicing chest ***: A cross-sectional online survey was conducted among the Turkish Thoracic Society members. The survey was started on May 17, 2021, and kept open for seven weeks. The 39-item survey included the COVID-19 vaccination status and demographic, clinical, and occupational characteristics. Results: Of 378 healthcare workers participated in the survey, 354(93.7%) reported receiving at least one dose of the COVID-19 vaccine. A total of 323(91.2%) healthcare workers received CoronaVac vs. BioNTech/Pfizer in 31(8.8%). In the CoronaVac group, 77(23.8%) contracted COVID-19 when not fully vaccinated, and 13(4.0%) when fully vaccinated;however, 16(51.6%) healthcare workers in the BioNTech/Pfizer group got COVID-19 when not fully vaccinated, but any fully vaccinated participants did not contract COVID-19(P=0.003). Regarding vaccine dosing, 328(86.8%) were fully vaccinated, while 50(13.2%) were not. Multiple regression analysis for being a non-fully vaccinated healthcare worker demonstrated a significant relationship with having any SARS-CoV-2 infection history(adjusted OR 9.57, 95% CI 3.93-23.26, Poccupational and non-occupational characteristics were related to being non-fully vaccinated. Active surveillance regarding the COVID-19 vaccination in healthcare workers is necessary to address specific parameters as barriers to vaccination.

关键词： COVID-19 Vaccine Health personnel occupational medicine occupational diseases

Clinical and epidemiological features of patients with clonorchiasis

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World Journal of Gastroenterology 2004年第3期10卷 446-448页

作者： Ke-XiaWang Rong-BoZhang Yu-BaoCui YeTian RuCai Chao-PinLi DepartmentofEtiologyandImmunology SchoolofMedicineAnhuiUniversityofScienceandTechnologyHuainan232001AnhuiProvinceChina

AIM:To study the clinical and epidemiological features of patients with clonorchiasis so as to provide scientific evidences for the diagnosis and prevention of clonorchiasis. METHODS:Stools from 282 subjects suspected of having clonorchiasis were examined for helminth eggs with modified Kato's thick smear and sedimentation methods,and their sera were tested for HAV-DNA,HBV-DNA,HCV-RNA,HDV- RNA and HEV-RNA with polymerase chain reaction (PCR). Clinical symptoms of patients with clonorchiasis only were analyzed,and their blood samples were tested for circulating antigen (CAg) with Dot-ELISA,esoinophilic granulocyte count, and alanine aminotransferase (ALT).Meanwhile,they were asked to provide data of occupation,eating habit,hygienic habit and knowledge of *** addition,the ecosystem of the environment in epidemic areas was surveyed. RESULTS:Among the 282 patients,61 (21.43%) were infected with clonorchis sinensis only,97 (34.64%) were co-infected with clonorchis sinensis and other pathogens, 92 (32.86%) were infected with hepatitis virus only and 31 (11.07%) neither with clonorchis sinensis nor hepatitis virus. Among the 61 patients with clonorchiasis only,there were 14 (22.95%) subjects with discomfort over hepatic region or epigasfrium,12 (19.67%) with general malaise or discomfort and inertia in total body,6 (9.84%) with anorexia,indigestion and nausea,4 (6.56%) with fever,dizziness and headache (6.56%),and 25 (40.98%) without any symptoms;sixty one (100%) with CAg (+),98.33% (59160) with eosinophilic granulocytes increased and 65.00% (39/60) with ALT increased.B-mode ultrasonography revealed 61 cases with dilated and thickened walls of intrahepatic bile duct,and blurred patchy echo acoustic image in ***-six cases had stones in the bile duct,39 cases had slightly enlarged liver with diffuse coarse spots in liver *** cases had enlarged gallbladder with thickened coarse wall and image of floating plagues,9 cases had slightly enlarged

关键词： Adolescent Adult Aged Animals Child Clonorchiasis control Clonorchis sinensis Diet Female Fisheries Health Knowledge, Attitudes, Practice Humans Incidence Male Middle Aged occupational diseases

Modelling Pathways for Outbreaks in Field occupational Epidemiology

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Open Journal of Preventive Medicine 2021年第4期11卷 91-112页

作者： Jerónimo Maqueda Agustín Silva Rosa-Ana Cortés María-Fe Gamo Health Promotion and occupational Epidemiology Department National Institute of Safety and Health at Work Madrid Spain Faculty of Medicine and Health Sciences Alcalá de Henares University Madrid Spain National School of occupational Medicine Institute of Health Carlos III Madrid Spain

Background: The investigation of an occupational outbreak, once the index case has been identified, triggers a stress situation to epidemiologists. Modelling occupational outbreaks will be useful to guide the field investigation. Objective: To identify standard pathways for occupational epidemic outbreaks. Methods: In-depth critical appraisal of 57 occupational outbreaks. Standard pathways of occupational outbreaks were identified by analysing the similarity between out-breaks. The model’s accuracy and homogeneity were established through Fisher’s exact test and the Kappa Index. Results: The analysis allowed synthesizing the occupational outbreaks variability in 4 pathways. 92.98% of the analysed outbreaks could be allocated to one of those 4 types. The theoretical patterns showed a good adjustment with the analysed out-breaks: Type I (Kappa = 0.94 - 0.60), Type II (Kappa = 1.00), Type III (Kappa = 1.00 - 0.68) and Type IV (Kappa = 0.94 - 0.87). The probability of a given outbreak fitting with its three components in any of the theoretical pathways was 0.83. Conclusions: The incorporation of those pathways to the field occupational epidemiology will allow: 1) to provide early guidance to epidemiological, clinical and environmental studies focused on specific hypothesis of causality;2) to anticipate preventive measures;3) to contribute to an earlier and more efficient outbreak resolution.

关键词： occupational Outbreak occupational diseases Working Exposure Field Epidemiology