Indian Journal of Occupational and Environmental Medicine   Official publication of Indian Association of  0ccupational  Health  
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   2013| January-April  | Volume 17 | Issue 1  
    Online since August 12, 2013

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Is medicine turning into unhappy profession?
Rajeev Khanna, Rashmi Khanna
January-April 2013, 17(1):2-6
DOI:10.4103/0019-5278.116363  PMID:24082640
Background: Stress is one of the most common problems; one manifestation of stress is burnout. Burnout and other stress-related illnesses among medical professionals are receiving increased attention and have been described in many branches of medical practice including dentists, nurses, etc., The purpose of this study was to measure the prevalence of stress and burnout in medical professionals in Rajasthan. Materials and Methods: The Maslach Burnout Inventory-Human Service Survey (MBI-HSS) and a demographic questionnaire of our own design were sent to 1,735 medical professional of various branches and different location throughout the state of Rajasthan. In response to that, 627 (36%) surveys were returned, of which 576 (92%) were found complete for analysis so later group constitute as sample for analysis. Result: 29.16% of medical professional showed high level of emotional exhaustion (EE), 20% showed high level of depersonalization (DP), and 17.9% showed low personal accomplishment (PA). Young professionals showed more sensitivity towards burnout (r = −0.122, P < 0.003). Females were more prone to burnout (40%) as compared to males (27%). Conclusion: Burnout is an important problem in medical professionals in Rajasthan. Difference in approach to work and perceived environment at workplace, unrewarding career, unsupported behavior of peer group, balance between work and family needs appear to be important factors in burnout.
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Knowledge, attitudes, and poultry-handling practices of poultry workers in relation to avian influenza in India
Sudhir C Kumar, Naveen Ramesh, Srinand Sreevatsan, Bobby Joseph, Prashanth Alle, Kumar G Belani, Michael T Osterholm
January-April 2013, 17(1):16-21
DOI:10.4103/0019-5278.116368  PMID:24082643
Avian influenza (AI) is a viral disease of domestic and wild birds. The recent pandemics caused by highly pathogenic AIA (H5N1) in domestic poultry is currently rated phase 3 by the World Health Organization on the pandemic alert scale. Materials and Methods: A pretested and semistructured survey instrument was administered to both live bird market and poultry farm workers in two most populous cities in Karnataka in South India to collect data on demographics, knowledge, attitude, and practices among them. Results: The mean age was similar among both population groups (31.5 years). There was a higher level of biosecurity practices adopted in poultry farms compared with those adopted in live bird market. Knowledge regarding AI was acceptable but poorly correlated with actual biosecurity practices. Discussion: Live bird market and poultry farm workers have been identified as the weakest link in the prevention and control of the spread of AI in the two most populous cities studied in Karnataka. Conclusion: Risk reduction models of behavior change targeting these groups are important toward the control and prevention of AI spread.
  2 3,994 94
Silicosis in Coimbatore district of Tamil Nadu: A passive surveillance study
Keerthivasan Sivanmani, Vani Rajathinakar
January-April 2013, 17(1):25-28
DOI:10.4103/0019-5278.116370  PMID:24082645
Introduction: Silicosis in Coimbatore district of Tamil Nadu: A passive surveillance study. Aim: This study was done to describe the level of preventive measures and level of awareness among the patients diagnosed with silicosis during a one-year period. Settings and Design: Coimbatore Medical College Hospital. Materials and Methods: This is a passive surveillance study based on patients diagnosed with silicosis in our outpatient facility for a one-year period between January 1, 2012 and December 31, 2012. Results: Seventeen cases of silicosis were diagnosed based on history of exposure to silica and radiological features. The mean age was 55 years with 16 males and one female. The average duration of exposure was 22 years. A protective mask was used by 29% of the patients and one patient had awareness about the risks of exposure to silica. Active tuberculosis was found in 12% and old tuberculosis in 47% of patients; 59% of the patients were smokers. Spirometry showed a restrictive pattern in 59% of the patients. Radiologically nodular opacities with upper-zone predominance was found in majority of the cases. Conclusion: Most patients are exposed to silica in unorganized industries. Majority of the patients lack awareness about the disease and there is a low implementation of preventive and control measures. As this study was a passive surveillance, it represents only the tip of iceberg and an active field-level surveillance could reveal the true prevalence of this disease.
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Occupational history: A neglected component of history taking
Reginald Alex, Mark Francis, HR Prashanth, Abhilash Kundavaram
January-April 2013, 17(1):29-30
DOI:10.4103/0019-5278.116371  PMID:24082646
  1 2,757 102
Adverse health effects of occupational exposure to radiofrequency radiation in airport surveillance radar operators
Naser Dehghan, Shahram Taeb
January-April 2013, 17(1):7-11
DOI:10.4103/0019-5278.116365  PMID:24082641
Introduction: Radar workers are exposed to pulsed high frequency electromagnetic fields. In this study, health effects of these radiations in personnel who routinely work with radar systems are investigated. Materials and Methods: The 28-item General Health Questionnaire was used as a self-administered tool for assessment of general mental health and mental distress. One hundred workers occupationally exposed to radar radiations (14-18 GHz) participated in the study. Visual reaction time was recorded with a simple blind computer-assisted-visual reaction time test. To assess the short-term memory, Wechsler Memory Scale-III test was performed. Results: Twenty to 39% of the radar workers reported different problems such as needing a good tonic, feeling run down and out of sorts, headache, tightness or pressure in the head, insomnia, getting edgy and bad-tempered. Furthermore, 47% of the radar workers reported feeling under strain. In response to this question that if they have been able to enjoy their normal day-to-day activities, 31% responded "less than usual". It was also shown that work experience had significant relationships with reaction time and short-term memory indices i.e., forward digit span, reverse digit span, word recognition and paired words. Conclusion: To the best of our knowledge, this is the first study to show that occupational exposure to radar microwave radiation leads to changes in somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression. Altogether these results indicate that occupational exposure to radar microwave radiations may be linked to some adverse health effects.
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Cutaneous mercury granuloma
Kalpana A Bothale, Sadhana D Mahore, Sushil Pande, Trupti Dongre
January-April 2013, 17(1):22-24
DOI:10.4103/0019-5278.116369  PMID:24082644
Cutaneous mercury granuloma is rarely encountered. Clinically it may pose difficulty in diagnosis. Here, we report a 23-year-old male presented with erythematous, nodular lesions over the forearm and anterior aspect of chest wall. Metallic mercury in tissue sections appear as dark black, opaque, spherical globules of varying size and number. They are surrounded by granulomatous foreign-body reaction. It is composed of foreign body giant cells and mixed inflammatory infiltrate composed of histiocytes, lymphocytes, plasma cells, and few eosinophils.
  - 3,219 50
Occupational health nursing-growing influence at workplace in India
Xivananda Priolcar
January-April 2013, 17(1):1-1
DOI:10.4103/0019-5278.116362  PMID:24082639
  - 2,643 107
A pilot study on the prevalence of acute mountain sickness at the sikh pilgrimage of hemkund sahib in the Indian Himalayas
Inderjeet S Sahota, Nidhi S Panwar
January-April 2013, 17(1):12-15
DOI:10.4103/0019-5278.116366  PMID:24082642
Background: Hemkund Sahib is a popular pilgrimage located at 4,330 m in the Garhwal range of the Indian Himalayas. Many travelers to the region have observed pilgrims exhibiting Acute Mountain Sickness (AMS)-like symptoms. However, no systematic study on its prevalence at Hemkund has been conducted. Materials and Methods: We surveyed 25 adults. AMS rates were determined using a standard Lake Louise Score (LLS). Responses to questions related to awareness of AMS, the perceived difficulty of the trek, and physiological data including arterial oxygen saturation (SpO 2 ) and pulse rate, amongst others, were collected. Results: Overall prevalence of AMS was 28% (mild AMS 20%, severe AMS 8%). Borg Rating of Perceived Exertion (RPE) was 3.9/10. Water consumption for the 4-5 hour trek to Hemkund was only 0.9 L and 20% of pilgrims consumed no water at all. Nine pilgrims claimed to be aware of AMS although only one had taken prophylactic medication. SpO 2 was 82.2 ± 1.2% and pulse rate was 106.5 ± 2.9 bpm (mean ± SEM). There were no differences in non-LLS-related parameters when pilgrims were subdivided by presence or absence of AMS. Conclusion: This pilot study has, for the first time, documented the prevalence of AMS amongst pilgrims to Hemkund Sahib in the Indian Himalayas.
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