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  1. Mirmohammadi M, Ibrahim MH, Ahmad A, Kadir MO, Mohammadyan M, Mirashrafi SB
    Indian J Occup Environ Med, 2009 Apr;13(1):38-42.
    PMID: 20165612 DOI: 10.4103/0019-5278.50723
    Today many raw materials used in factories may have a dangerous effect on the physiological system of workers. One of them, which is widely used in the polyurethane factories, is diisocyanates. These compounds are widely used in surface coatings, polyurethane foams, adhesives, resins, elastomers, binders, and sealants. Exposure to diisocyanates causes irritation to the skin, mucous membranes, eyes, and respiratory tract. Methylene dianiline (MDA) is a metabolite of methylene diphenyle diisocyanate (MDI), an excretory material of worker's urine who are exposed to MDI. Around 100 air samples were collected among five factories by the Midget Impinger, which contained DMSO absorbent as a solvent and Tryptamine as a reagent. Samples were analyzed by high-performance liquid chromatography with an EC\UV detector using the NIOSH 5522 method of sampling and analysis. Also, fifty urine samples were collected from workers by using William's biological analysis method. The concentration of MDI in all air samples was more than 88 mug/m(3), showing a high concentration of the pollutant in the workplaces in comparison with the NIOSH standard, and all the worker's urine was contaminated by MDA. The correlation and regression tests were used to obtain statistical model for MDI and MDA that is useful for prediction of diisocyanates pollution situation in the polyurethane factories.
  2. Sayapathi BS, Rowther S
    Indian J Occup Environ Med, 2022 09 26;26(3):201-203.
    PMID: 36408431 DOI: 10.4103/ijoem.ijoem_314_21
    The diagnosis of occupational noise-induced hearing loss is rarely made in a video editor, although there is a high prevalence of hearing loss. A 37-year-old woman experienced gradual hearing loss associated with tinnitus for the past 3 years. Audiometry showed mild-to-severe sensorineural hearing loss in the right ear and mild-to-moderate sensorineural hearing loss in the left ear. There is a dip at 2 kHz, which is more pronounced in the right ear with recovery at 8 kHz. The portable listening devices risk causing hearing loss from high-output noise damaging the cochlear structures. The amplitudes on otoacoustic emission levels are decreased by using these devices, especially among long-time users. Incessant tinnitus may cause adverse effects on the quality of life. Sound therapy devices such as digital signal processing devices through hearing aids may assist this group of patients by distracting their attention from tinnitus.
  3. Madhwani KP, Nag PK
    Indian J Occup Environ Med, 2017 Jan-Apr;21(1):18-22.
    PMID: 29391743 DOI: 10.4103/ijoem.IJOEM_145_17
    Aims: The purpose of this study was to evaluate web-based Knowledge, Attitude and Practice (KAP) intervention on office ergonomics - a unique method for prevention of musculoskeletal discomfort (MSD) - in corporate offices that influences behavior modification.

    Background: With the increasing use of computers, laptops and hand-held communication devices globally among office employees, creating awareness on office ergonomics has become a top priority. Emphasis needs to be given on maintaining ideal work postures, ergonomic arrangement of workstations, optimizing chair functions, as well as performing desk stretches to reduce MSD arising from the use of these equipment, thereby promoting safe work practices at offices and home, as in the current scenario many employees work from home with flexible work hours. Hence, this justifies the importance of our study.

    Objective: To promote safe working by exploring cost-effective communication methods to achieve behavior change at distant sites when an on-site visit may not be feasible.

    Materials and Methods: An invitation was sent by the Medical and Occupational Health Team of a multinational corporation to all employees at their offices in Sri Lanka, Singapore, and Malaysia to take up an online Nordic questionnaire, a screening tool for musculoskeletal symptoms, shared in local languages on two occasions - baseline evaluation (n = 240) and a follow-up evaluation after 3 months (n = 203). After completing the baseline questionnaire, employees were immediately trained on correct postures and office ergonomics with animation graphics. The same questionnaire was sent again after a 12-week gap only to those employees who responded to the baseline questionnaire on initial assessment.

    Statistical Analysis Used: Data collected were analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.0 software and variables were compared using odds ratio as well as Chi-square test.

    Results: Of the 203 employees who responded, 47.35% had some musculoskeletal symptoms. Among them 58.7% had lower back pain, 46.9% had upper back pain, 44.1% had wrist pain, 39.5% had shoulder pain, and 37% had knee pain. The percentages are high as some participants had multiple complaints i.e. 2 or 3 complaints. However, only 40% of these employees had ongoing symptoms at the time of evaluation (past 7 days). A subsequent 3-month evaluation after web-based intervention showed a significant 41-50% decline in ongoing symptoms.

    Conclusions: We conclude that newer technology using web-based animation graphics is a highly efficient technique to create office ergonomics awareness and has the potential to become a best practice in countries where language is a communication barrier and an on-site visit may not be feasible due to meagre resources.
  4. Madhwani KP, Nag PK
    Indian J Occup Environ Med, 2017 May-Aug;21(2):77-83.
    PMID: 29540968 DOI: 10.4103/ijoem.IJOEM_151_17
    Background: Use of laptops and hand-held devices increase the risk of musculoskeletal disorders (MSDs). More time spent on this activity adopting faulty postures, higher the risk of developing such injuries. This study addresses training on office ergonomics with emphasis on sustainable behavior change among employees to work in safe postures, as this is a top priority in the corporate environment, today.

    Aim: To explore training intervention methods that ensure wider coverage of awareness on office ergonomics, thereby promoting safer working and suggesting sustainable programs for behavior change and job enrichment.

    Materials and Methods: A cross-sectional study was conducted (2012 - 2017), encompassing corporate office employees of multinational corporations selected from India, Dubai (U.A.E), Nairobi (East Africa), Durban (South Africa), South East Asian countries (Philippines, Vietnam, Indonesia, Singapore, Malaysia, Thailand and Sri Lanka).Participant employees (n= 3503) were divided into two groups to study the effect of interventions'; i.e., (a) deep training: 40 minute lecture by the investigator with a power point presentation (n= 1765) using a mock workstation and (b) quick training: live demonstrations of 10 minutes (n= 1738) using a live workstation.

    Results: While deep training enhanced awareness in 95.51% and quick training in 96.59% globally, the latterwas much appreciated and educated maximum employees. From statistical analysis, quick training was found superior in providing comprehensive training and influencing behavior modification in India, but all over the world it was found highly superior in knowledge enlargement, skills enrichment in addition to providing comprehensive training (P< 0.05). In countries, located to West of India, it significantly influenced behavior modification.

    Conclusion: As because few employees attend deep training lectures, the quick 10-minute program is highly promising as it is practical, replicable, yields increased awareness with wider employee coverage in a much shorter time, instilling a feeling of caring and confidence amongst them towards a robust office ergonomics program. This could lead to propose as a best practice for corporate offices globally.
  5. Sayapathi BS, Rowther S
    Indian J Occup Environ Med, 2023;27(3):271-273.
    PMID: 38047178 DOI: 10.4103/ijoem.ijoem_314_22
    According to the American Industrial Hygiene Association (AIHA), tests of functional capacity evaluation (FCE) have an insignificant relationship with the actual tasks performed and the on-job assessment is required. Commuting accidents have been an increasing trend. A 34-year-old gentleman was referred following severe traumatic brain injury with cerebral edema and multiple fractures. He was evaluated with the Chessington Occupational Therapy Neurological Assessment Battery (COTNAB) where his visual perception performance has improved. The performance of visual and spoken instructions is within normal limits. He has improved on the upper extremity functional scale measure activities with an affected limb from 60 to 68 and also improved on the lower extremity functional scale from 43 to 51. He managed to cover a distance of 2 km in 42 minutes after a short break and accomplished to climb 200 steps after a mini-break through maximum capacity evaluation. The patient is fit as a clerk after going through various sessions to improve the cognition and function of extremities. FCE is precisely measured behavioral tests and should be inferred from the patient's personal and environmental setting.
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