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Fulltext Agents of change: The role of healthcare workers in the prevention of nosocomial and occupational tuberculosis

Nathavitharana RR, Bond P, Dramowski A, Kotze K, Lederer P, Oxley I, et al.

Presse Med, 2017 Mar;46(2 Pt 2):e53-e62.
PMID: 28256382 DOI: 10.1016/j.lpm.2017.01.014

Healthcare workers (HCWs) play a central role in global tuberculosis (TB) elimination efforts but their contributions are undermined by occupational TB. HCWs have higher rates of latent and active TB than the general population due to persistent occupational TB exposure, particularly in settings where there is a high prevalence of undiagnosed TB in healthcare facilities and TB infection control (TB-IC) programmes are absent or poorly implemented. Occupational health programmes in high TB burden settings are often weak or non-existent and thus data that record the extent of the increased risk of occupational TB globally are scarce. HCWs represent a limited resource in high TB burden settings and occupational TB can lead to workforce attrition. Stigma plays a role in delayed diagnosis, poor treatment outcomes and impaired well-being in HCWs who develop TB. Ensuring the prioritization and implementation of TB-IC interventions and occupational health programmes, which include robust monitoring and evaluation, is critical to reduce nosocomial TB transmission to patients and HCWs. The provision of preventive therapy for HCWs with latent TB infection (LTBI) can also prevent progression to active TB. Unlike other patient groups, HCWs are in a unique position to serve as agents of change to raise awareness, advocate for necessary resource allocation and implement TB-IC interventions, with appropriate support from dedicated TB-IC officers at the facility and national TB programme level. Students and community health workers (CHWs) must be engaged and involved in these efforts. Nosocomial TB transmission is an urgent public health problem and adopting rights-based approaches can be helpful. However, these efforts cannot succeed without increased political will, supportive legal frameworks and financial investments to support HCWs in efforts to decrease TB transmission.

Matched MeSH terms: Return to Work
Fulltext What is the best timing for health care workers infected with COVID-19 to return to work?

Wang J, Lee YF, Zhou M

Am J Infect Control, 2020 09;48(9):1128-1129.
PMID: 32628983 DOI: 10.1016/j.ajic.2020.06.217
Matched MeSH terms: Return to Work
Fulltext Protein solubility behaviour of fresh and frozen chicken meat in slaughtering and non slaughtering condition

Nahar, M.K., Hashim, U., Zakaria, Z.

International Food Research Journal, 2014;21(1):135-137.
MyJurnal

This work was investigated the protein solubility properties of meat from chicken in different
body part. The effects of fresh and freezing condition were studied on the protein solubility as
a functional property of slaughter and non slaughtering chicken meat. Solubility of proteins
was significantly reduced for slaughtering fresh meat and in contrast, non slaughtering fresh
meat shows the higher protein solubility. On the other hand, frozen storage meat showed the
difference amount of protein solubility between slaughtering and non slaughtering condition
meat. Freezing condition also showed that the different solubility of different body part meat.
The protein solubility of some parts was significantly increased and some were decreased
between the slaughtering and non slaughtering condition.

Matched MeSH terms: Work
Fulltext COVID-19 exit strategy: Transitioning towards a new normal

Jamaludin S, Azmir NA, Mohamad Ayob AF, Zainal N

Ann Med Surg (Lond), 2020 Nov;59:165-170.
PMID: 33024558 DOI: 10.1016/j.amsu.2020.09.046

The COVID-19 outbreak from the SARS-CoV-2 virus has shocking us with its fast transmission and deadly complication. Due to that, the movement restriction has been enforced to contain this pandemic. Recently, there is an increasing pressure to restart and resurrect social and economic sectors, and to allow people to get back to work. This must be well planned before the movement restriction is lifted. Because of that, this paper aims to review and make recommendations on the new normal for our daily activities and works. Firstly, the social and economic sectors must be opening in phases by emphasizing safety and health than an economic recovery. In the meantime, the WHO recommendations on social distancing and personal hygiene must be adapted and become a new normal. Because of that, the government and local authorities should develop a soft landing approach based on the WHO recommendations. Next, the community must be engaged and empowered to do their parts in preventing the spread of COVID-19. From the new normal recommendations, the people can continue their daily routines, and at the same time can reduce COVID-19 transmission. However, medical possibilities are not considered while compiling these new normals and procedures. The population must adapt and embrace the new normal to control, reduce and prevent the spreading of COVID-19, as it could be with us for a long time.

Matched MeSH terms: Return to Work
Fulltext Antimicrobial prophylaxis for melioidosis and leptospirosis for at risk rescue workers

Yew KL

Med J Malaysia, 2013;68(1):88.
PMID: 23466779
Matched MeSH terms: Rescue Work
Basic issues in marital and sexual counseling

Woon TH

Family Practitioner, 1984;7:49-50.

Marital and sexual counselling is an important aspect of the work of a primary care physician or family practitioner. The preventive aspect of this counselling is fairly obvious in the practice of family planning. The medical practitioners have to be aware of the socio-cultural background of his patients or refer to qualified allied health professionals.

Matched MeSH terms: Work
Fulltext Light Curing Units: Tips For Orthodontists

Radzi, Z., Yahya, N.A., Zamzam, N., Wood, D.J.

Ann Dent, 2004;11(1):-.
MyJurnal

Choosing the right light-curing unit can be a very difficult task for some orthodontists. Currently, there are various types of light curing units available in the market with various trade names and specifications. Most of the time information regarding light curing units is obtained from advertisements, websites or manufacturers’ catalogues. Sometimes such information can be misleading. This article attempts to provide several tips for orthodontists in selecting light curing units.

Matched MeSH terms: Work
Fulltext Environmental health and building related illnesses

Ambu, Stephen, Chu, Wan-Loy, Mak, Joon-Wah, Wong, Shew-Fung, Chan, Li-Li, Wong, Siew-Tung

International e-Journal of Science, Medicine & Education, 2008;2(3):-.
MyJurnal

Malaysia has good environmental laws to protect the outdoor environment and public health. However there are no laws governing indoor air quality (IAQ) and the knowledge among the public about its importance is also lacking. Environmental professionals think it is not a priority and this influences the policy decisions in the country. Therefore there is a need to create awareness by way of research, education and other promotional activities. What is much needed at this time is the establishment of standards for the conduct of risk assessment studies. To establish standards we need reliable data which can be used to develop appropriate guidelines for the purpose of mitigation and adaptation programmes. IAQ can have significant influence on health resulting in drop in productivity and economy of a country. It has been estimated that in the US, building related illnesses (BRI) symptoms have a relationship with decrease (3 to 5%) in work performance in an affected population resulting in an annual loss of US$60 billion in revenue. However, based on efficient management programmes they have also projected that the potential annual savings can be in the region of US$10 to 30 billion. This establishes that fact that good management programmes based on efficient guidelines is of economic value to a country and wellbeing of the population. The IMU has embarked on a research programme to collect the much-needed data for the framing of a good IAQ guideline for Malaysia.

Matched MeSH terms: Work Performance
Fulltext Lipid disorders among male factory shift workers in Kota Bharu, Kelantan

Nazri SM, Tengku MA, Winn T

Med J Malaysia, 2007 Jun;62(2):134-8.
PMID: 18705446 MyJurnal

Shift work is associated with various health problems and there is concern that shift workers are at higher risk to develop dyslipidaemia. A cross-sectional study was conducted from December 2003 to May 2004 to compare the prevalence of dyslipidaemia (hypercholesterolaemia, hypertriglyceridaemia, hyper-LDL and hypo-HDL-cholesterolaemia) and to examine the relationship between shift work and dyslipidaemia among 148 randomly selected male workers from one of the factories in Kota Bharu, Kelantan. Information on psychosocial and life-style factors, anthropometric and blood pressure measurement, fasting blood sugar and lipid profiles analyses were obtained. In multiple variable analysis, the presence of any abnormalities in the lipid profiles was regarded as having dyslipidaemia. The prevalence of hypercholesterolaemia (47.4%) and hypertriglyceridaemia (42.1%) were significantly higher among shift workers compared to day workers with p-value of 0.014 and 0.044 respectively. There was no significant different in the prevalence of hyper-LDL and hypo-HDL-cholesterolaemia and shift work was not significantly associated with dyslipidaemia, OR(adj) = 1.27; 95% CI 0.63-2.57.

Matched MeSH terms: Work Schedule Tolerance*
Fulltext The association of shift work and hypertension among male factory workers in Kota Bharu, Kelantan, Malaysia

Nazri SM, Tengku MA, Winn T

Southeast Asian J. Trop. Med. Public Health, 2008 Jan;39(1):176-83.
PMID: 18567459

Shift work associated with various health problems and there is concern that shift workers are at higher risk to develop hypertension. A cross-sectional study was conducted from December 2003 to May 2004 to compare the prevalence of hypertension and to examine the relationship between shift work and hypertension among 148 randomly selected male workers from one of the factories in Kota Bharu, Kelantan. Information on psychosocial and life-style factors, anthropometric and blood pressure measurements, and fasting blood sugar and lipid profiles analyses were obtained. The prevalence of hypertension was significantly higher among shift workers (22.4%) compared to day workers (4.2%), with p-value of 0.001. Shift work was significantly associated with hypertension (adjusted odds ratio 9.1; 95% CI 1.4-56.7).

Matched MeSH terms: Work Schedule Tolerance/physiology*
Employment status after traumatic brain injury and the effect of concomitant injuries on return to work

Thor JA, Mazlan M, Waran V

Brain Inj, 2021 07 03;35(8):949-956.
PMID: 34096426 DOI: 10.1080/02699052.2021.1934729

PURPOSE: This study aims to describe the employment status and pattern among survivors of traumatic brain injury after motor vehicle accidents, and to explore the effects of demographic, injury variables and concomitant injuries on the employment status .
METHOD: A retrospective analyses of 370 medical reports written for patients who sustained traumatic brain injury from motor vehicle accidents was conducted. To establish the employment pattern, the pre-injury employment history was compared to the latest employment status documented. Types and severity of concomitant injuries were rated according to Abbreviated Injury Scale criteria. All significant variables were further analyzed using logistic regression to explore predictors of employment.
RESULTS: Up to 87% of the patients sustained concomitant injuries, with more than two-thirds (72%) scoring ≤ 2 on the Abbreviated Injury Scale. One hundred and eighty-two patients (49.2%) successfully returned to work. Among those who returned to work, 34% returned to former employment with pre-injury job description. Severity of traumatic brain injury, length of acute hospital stay, ambulation status and cognitive status were found to be significant predictive factors for employment status post traumatic brain injury. Presence of concomitant extremity injuries was found to influence the employment pattern among traumatic brain injury survivors.
CONCLUSION: The return to work rate was somewhat low and was not influenced by presence of concomitant injuries. .

Matched MeSH terms: Return to Work*
The development of an enterococcal phage assay for water samples

Ngeow YF, Loh CL, Wang CW

JUMMEC, 1996;1:25-28.

Preliminary work was carried out f o r the development of a rapid method for the detection and enumeration of enterococcal phages in natural water. Eight enterococcal phages were isolated after amplification from water obtained from 2 local ponds. These were plaque-purified and used to test the phage susceptibility of 34 strains of enterococci isolated from pristine and polluted waters. Eight strains with the widest phage susceptibility were used as hosts in a double agar layer (DAL) and a single agar layer (SAL) assay for phage enumeration without pre-assay amplification. N o phages were obtained with the DAL method with all 8 hosts. Usingthe SALmethod, 2 phages were obtained with 1 of the 2 hosts used. Phage isolation was not improved by incubation at 44.5°C. For rapid quantitative testing, the sensitivity of the assays has to be increased to enable phage isolation without the need for prior amplification. KEYWORDS: Enterococci, phage, enumeration

Matched MeSH terms: Work
Fulltext Generation-y employees and their perceptions of work-life balance

Bahrain, Mos, Nur Fatihah Abdullah, Bandar, Surena, Sabil, Farida, Abdul Halim, Agatha Lamentan, Muda, Hana, Hamidi, et al.

Journal of Cognitive Sciences & Human Development, 2018;4(2):28-41.
MyJurnal

The objective of this study is to identify the perceptions of Generation Y employees regarding
work-life balance practices. As increasing numbers of Generation Y enter the workforce,
questions regarding how they perceive work, family and self-related issues, challenges and
coping strategies in balancing personal and professional commitments became issues of interests
for employers. This study uses interviews to collect data from six informants in Generation
Y and the data were analyzed through content analysis. The results indicate that Generation
Y employees do indeed have issues and challenges with balancing work and family.
However, unlike the older generation of employees, Generation Y employees perceive managing
work-life balance only through segmentation or separation strategies. This particular
finding indicates that if organizations want to attract and retain these employees they should
adapt a strategy specifically designed to target this employee group.

Matched MeSH terms: Work-Life Balance
Fatigue-related crashes involving express buses in Malaysia: will the proposed policy of banning the early-hour operation reduce fatigue-related crashes and benefit overall road safety?

Mohamed N, Mohd-Yusoff MF, Othman I, Zulkipli ZH, Osman MR, Voon WS

Accid Anal Prev, 2012 Mar;45 Suppl:45-9.
PMID: 22239931 DOI: 10.1016/j.aap.2011.09.025

Fatigue-related crashes have long been the topic of discussion and study worldwide. The relationship between fatigue-related crashes and time of day is well documented. In Malaysia, the possibility of banning express buses from operating during the early-hours of the morning has emerged as an important consideration for passenger safety. This paper highlights the findings of an impact assessment study. The study was conducted to determine all possible impacts prior to the government making any decision on the proposed banning. This study is an example of a simple and inexpensive approach that may influence future policy-making process. The impact assessment comprised two major steps. The first step involved profiling existing operation scenarios, gathering information on crashes involving public express buses and stakeholders' views. The second step involved a qualitative impact assessment analysis using all information gathered during the profiling stage to describe the possible impacts. Based on the assessment, the move to ban early-hour operations could possibly result in further negative impacts on the overall road safety agenda. These negative impacts may occur if the fundamental issues, such as driving and working hours, and the need for rest and sleep facilities for drivers, are not addressed. In addition, a safer and more accessible public transportation system as an alternative for those who choose to travel at night would be required. The proposed banning of early-hour operations is also not a feasible solution for sustainability of express bus operations in Malaysia, especially for those operating long journeys. The paper concludes by highlighting the need to design a more holistic approach for preventing fatigue-related crashes involving express buses in Malaysia.

Matched MeSH terms: Work Schedule Tolerance
Work right to right work: An automythology of chronic illness and work

Vijayasingham L

Chronic Illn, 2018 03;14(1):42-53.
PMID: 28441882 DOI: 10.1177/1742395317699450

Objectives Chronic illness is known to disrupt and redirect the usual course of work trajectories. This article aims to portray the longitudinal course of negotiating work after multiple sclerosis. Methods Using therapy and personal journals to reconstruct memories and experience, an autoethnography is produced and narrated within Campbell's "Hero's Journey" automythology framework. Results The narrative highlights the intrasubjectivity of illness meaning-the changing internal meaning-making and external behavior and decision-making dynamics. The journey of being inhibited to "Work Right", to "Looking for the Right" and ultimately, finding "Right Work" is charted; portrayed as a bittersweet maneuver to achieve work-illness equilibrium. Discussion This journey traverses a spectrum of negative coping-the exhibition of deviant work behaviors, disengagement and depression; to recalibration and renewal; culminating in living the "new normal", and finding moral and meaningful work engagements. Life trajectories with chronic illness are often skewed and redirected; but longitudinal narratives of normalization and coping also highlight the pursuits to secure and maintain a life of meaning and value.

Matched MeSH terms: Work/psychology*; Return to Work/psychology*
Fulltext The mediation effect of burnout and moderation effect of social support on work-family conflictturnover intention relationship among malaysian woman engineers: a proposed framework and methodology

Hamid RA, Ungku Ahmad UN

Journal of Advanced Research Design, 2015;15(1):19-35.
MyJurnal

An increasing number of women participate in the work force due to socio-economic development result a big impact to work and family institution. Failure to meet demand for both work and family lead to work-family conflict that may give negative consequences on work and family. An example of major work-related outcome is burnout which can lead to turnover intention. Social support has been identified as an important resources that can reduce work-family conflict and burnout. This paper aims to identify the relationship between work-family conflict and turnover intention and also the mediation effect of burnout on work-family conflict and turnover intention relationship. It is proposed that there will be a positive relationship between work-family conflict and turnover intention and there is an indirect relationship between work-family conflict and turnover intention through the mediation effect of burnout. Social support from work and family is proposed to moderate the relationship between work-family conflict and burnout. Furthermore it is proposed that the strength of relationship between work-family conflict and turnover intention depends on the mediation effect of burnout and moderating effect of social support.

Matched MeSH terms: Work-Life Balance*
The role of psychological detachment in burnout and depression: A longitudinal study of Malaysian workers

Muhamad Nasharudin NA, Idris MA, Loh MY, Tuckey M

Scand J Psychol, 2020 Jun;61(3):423-435.
PMID: 32079048 DOI: 10.1111/sjop.12622

The current study aimed to examine the role of psychological detachment in the relationship between working conditions and burnout and depression. First, the study proposed that job demands would increase burnout after four months but not depression. Second, it proposed that psychological detachment would moderate the impact of job demands and job resources on burnout and depression. Third, it was proposed that the interaction between job demands, job resources and psychological detachment would predict burnout and depression. The longitudinal study design involved 345 workers (at both Time 1 and Time 2). The hierarchical regression analysis showed that increasing psychological detachment reduced the negative relationship between physical demands and depression four months later. In contrast, high psychological detachment increased the negative association between emotional resources and burnout, but not between emotional resources and depression. Overall, this study, in its discovery of the impact of working conditions on psychological health, has made a new contribution to psychological detachment studies by using different sub-constructs of job demands and job resources (i.e., emotional and physical) with four-month gaps, as previous studies did not address the impact within this time frame.

Matched MeSH terms: Work Performance
Fulltext Supporting the Management of Patients with Heart Failure within Asia-Pacific, Middle East, and African Countries: A Toolbox for Healthcare Providers

Kabbani S, Al Habeeb W, Liew HB, Mohan JC, Ogola E, Sim D, et al.

Cardiology, 2019;142 Suppl 1:1-10.
PMID: 30947179 DOI: 10.1159/000496663

OBJECTIVES: The management of heart failure (HF) is most effective when established treatment guidelines and recommendations are followed. We aimed to develop a "Toolbox" of resources to facilitate the care of patients with acute HF and chronic HF with reduced ejection fraction delivered by healthcare professionals across Asia-Pacific, the Middle East and Africa (henceforth referred to as the "Region").
METHODS: We convened a group of cardiologists from across the Region to develop a set of checklists, algorithms, and other practical resources. These resources are based on our experiences, current evidence, and international guidelines.
RESULTS: The HF Toolbox comprises three simplified sets of resources for use in the Emergency Room (ER), hospital and outpatient settings. Resources include admission and discharge checklists, treatment algorithms, recommendations for forming a multidisciplinary team, patient education, and self-management materials, and key performance indicators to monitor whether standards of care are met or maintained, or should be improved.
CONCLUSIONS: The HF Toolbox provides practical resources to simplify the management of patients with HF and to support the formation of HF programs in the Region. The Toolbox is aligned with current guideline recommendations and can support the management of patients from presentation in the ER, through hospital admission to outpatient care.

Matched MeSH terms: Work Simplification
Fulltext Conservative Management of Calcaneal Fractures. ARetrospective Review of Treatment Outcome

Wong, H.Y., Vivek, A.S., To, BC Se

Malays Orthop J, 2008;2(1):28-32.
MyJurnal

Int roduction: Treatment of calcaneal fracture is still controversial and indication for surgery is not well
established. We are reporting the mid term outcome of calcanel fractures treated conservatively. Material and Methods: Patients admitted with calcaneal fractures from 1st November 2002 till 31st December 2004 and were treated conservatively were included in this study. The fractures were grouped according to Essex-Lopresti classification and their outcomes were assessed with the Maryland foot score. We also looked at time to weight bearing and returning to occupational activity. Results: Forty-four patients were included for evaluation. Patients with extraarticular calcaneal fractures had significantly higher rating scores compared to those with intraarticular fractures (98.2 and 88.8 respectively, with a p value = 0.0001). Generally, both group of patients had a good clinical outcome. 18 of the 44 patients (41%) started partial weight bearing before or at 6 weeks and 31 patients (72%) were able to start full weight bearing by 12 weeks. 31 patients (72%) were back to work 12 weeks after the injury. Conclusion: Conservative management for calcaneal fractures is an acceptable mode of treatment with satisfactory.

Matched MeSH terms: Return to Work
Fulltext How Is Work-Life Balance Arrangement Associated with Organisational Performance? A Meta-Analysis

Wong K, Chan AHS, Teh PL

Int J Environ Res Public Health, 2020 06 21;17(12).
PMID: 32575807 DOI: 10.3390/ijerph17124446

The impacts of the work-life balance arrangement on organisational performance is a growing concern amongst researchers and practitioners. This study synthesised 202 records from 58 published papers to evaluate the relationship between the work-life balance arrangement and organisational performance by means of a meta-analysis. The organisational performance was measured based on six perspectives, including career motivation, employee attendance, employee recruitment, employee retention, organisational commitment, and productivity. The results showed a positive relationship between the work-life balance arrangement and organisational performance (OR: 1.181, 95% CI: 1.125-1.240, p < 0.001). Of the six perspectives, only career motivation, employee attendance, employee recruitment, and employee retention were significantly associated with the work-life balance arrangement. The moderators affecting the relationship between the work-life balance arrangement and organisational performance were gender, sector, and employee hierarchy. The results provide theoretical suggestions on the effectiveness of the work-life balance arrangement in terms of the six perspectives related to organisational performance.

Matched MeSH terms: Work-Life Balance*

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