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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
Work-Related Risk Factors of Knee Meniscal Tears in Korean Farmers: A Cross-Sectional Study (Original Article)</text>
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                <text>agriculture, farmers, magnetic resonance imaging, meniscus, tear</text>
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                <text>Background: Meniscal tears are among the major risk factors for knee osteoarthritis progression. This&#13;
study aimed to investigate the relationship between meniscal tears and work-related factors in the&#13;
farming occupation.&#13;
Methods: The participants included 486 farmers (238 men and 248 women), aged 40e69 years, who&#13;
were among the 550 farmers registered in the Korea Farmer's Knee Cohort (KFKC). Data such as those on gender, age, body mass index (BMI), mechanical axis, cumulative heavy-lifting working time (CLWT), cumulative squatting working time (CSWT), and previous knee injury history were collected from the questionnaire, along with whole leg radiographic findings. Two radiologists assessed the magnetic resonance images of both knees to confirm the presence of meniscal tears. The factors related to meniscal tears were analyzed by multiple logistic regression.&#13;
Results: A total of 54.5% of the farmers (48.7% of men and 60.1% of women) had meniscal tears. These tears were associated with gender, age, and BMI. We also identified an association between meniscal tears and CSWT, an especially important factor in farming [10,000e19,999 working hours, odds ratio 1⁄4 2.16, 95% confidence interval (CI): 1.14-4.07, 20,000 working hours, odds ratio 1⁄4 2.35, 1.45-3.80]. However, mechanical axis, knee injury history, and CLWT were not significantly related to meniscal tears.&#13;
Conclusion: This study's findings show that squatting for long periods, as an occupational factor, is related to meniscal tears.</text>
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                <text>Chae Young Hong, Chul Gab Lee, Dong Hwi Kim, Yong Soo Cho, Kweon Young Kim, So Yeon Ryu, Han Soo Song </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020</text>
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        <name>Jurnal Internasional Keperawatan</name>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
Work Conditions and Practices in Norwegian Fire Departments From 1950 Until Today: A Survey on Factors Potentially Influencing Carcinogen Exposure (Original Article)</text>
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                <text>Background: Meta-analyses have shown firefighters to be at an increased risk of several cancer types.&#13;
Occupational carcinogen exposure may explain these increased risks. This study aims to describe Norwegian fire departments' work conditions from 1950 until today, focusing on factors relevant for potential occupational carcinogen exposure.&#13;
Methods: With the help of a reference group, we developed a questionnaire on topics related to occupational exposure to carcinogens for the period 1950e2018. Selected Norwegian fire departments provided department-specific responses.&#13;
Results: Sixteen departments, providing fire services for 48% of the Norwegian population as of 2019 and mainly consisting of professional firefighters, responded to our questionnaire. The introduction of synthetic firefighting foams, more regular live fire training, the introduction of chemical diving, and a higher number of diesel-driven fire service vehicles were identified as changes thought to increase exposure to&#13;
occupational carcinogens. Changes thought to decrease exposure included the switch from negative to positive pressure self-contained breathing apparatuses, the use of self-contained breathing apparatuses during all phases of firefighting, the use of ventilating fans during firefighting, increased attention to flammable materials used during live fire training, increased attention to handling and cleaning of turnout gear and other equipment, and installment of exhaust removal systems in apparatus bays.&#13;
Conclusion: Norwegian fire departments' work conditions have seen several changes since 1950, and this could influence firefighters' occupational carcinogen exposure. A peak of carcinogen exposure may have occurred in the 1970s and 1980s before recent changes have reduced exposure. </text>
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                <text>Jarle Jakobsen, Ronnie Babigumira, Marie Danielsen, Tom K. Grimsrud, Raymond Olsen, Cecilie Rosting, Marit B. Veierød, Kristina Kjærheim </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
The Relationships Between Control Measures and Absenteeism in the Context of Internal Control (Original Article)</text>
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                <text>Background: The study tries to show the effect of Occupational Health and Safety (OHS) legislation&#13;
implemented via plan-do-check-act methodology on accident and sickness absenteeism.&#13;
Methods: The data for the study gathered via a questionnaire from a large-sized organization operates in production and maintenance of passenger coaches in FebruaryeMarch 2019 in Turkey. The data analyzed via structural equation model analysis.&#13;
Results: The results showed that there are statistically meaningful relationships between OHS protective measures, training and informing of employees, and employee participation and accident and sickness absenteeism. In addition, a meaningful relationship between internal control and accident and sickness absenteeism was determined. Statistically meaningful relationships between emergency measures, and health surveillance and internal control, and accident and sickness absenteeism could not be determined.&#13;
Conclusion: It is concluded that the actions implemented by organizations to reduce absenteeism should be as per OHS legislation.</text>
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                <text>Metin Bayram, Huseyin Burgazoglu</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
The Need for Developing Technology-Enabled, Safe, and Ethical Workforce for Healthcare Delivery (Short Communication)</text>
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                <text>Ethical capacity building, Ethical digital health, Fourth industrial revolution, Occupational health and safety, Technology-enabled human resources  for health</text>
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                <text>Strengthening of the health system is a safety imperative, especially in a crisis as caused by the ongoing COVID-19 pandemic. While there is a need for enhancing the number and skill sets of the public health professionals, especially the frontline workers, it will be prudent to use the digital health technologies, including artificial intelligence, in enhancing the capacity of the healthcare professional education and delivery. However, it has to be ensured that an ethical and safe approach is adopted to develop and use digital health technology and, ethically appropriate training is imparted, to enhance the capacity of the human resources for health, leading to an overall health system strengthening. </text>
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                <text>Suptendra N. Sarbadhikari, Keerti B. Pradhan</text>
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Self-Reported Variables as Determinants of Upper Limb Musculoskeletal Symptoms in Assembly Line Workers (Original Article)</text>
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                <text>Background: Assembly lines work is frequently associated to work-related upper limb musculoskeletal disorders. The related disability and absenteeism make it important to implement efficient health surveillance systems. The main objective of this study was to identify self-reported variables that can determine work-related upper limb musculoskeletal symptoms-discomfort/pain-during a 6-month follow-up.&#13;
Methods: This was a prospective study with a 6-month follow-up period, performed in an assembly line. Upper limb musculoskeletal discomfort/pain was assessed through the presence of self-reported&#13;
symptoms. Uni- and multivariate logistic regression analyses were used to evaluate which self-reported variables were associated to upper limb symptoms after 6 months at the present and to upper limbs symptoms in the past month.&#13;
Results: Of the 200 workers at baseline, 145 replied to the survey after 6 months. For both outcomes,&#13;
“having upper limb symptoms during the previous 6 months” and “education” were possible predictors.&#13;
Conclusion: Our results suggest that having previous upper limb symptoms was related to its maintenance after 6 months, sustaining it as a specific determinant. It can be a hypothesis that this population had mainly workers with chronic symptoms, although our results give only limited support to self-reported indicators as determinants for upper limb symptoms. Nevertheless, the development of an efficient health surveillance system for high demanding jobs should implicate self-reported indicators, but also clinical and work conditions assessment should be accounted on the future.</text>
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                <text>Marisa M. Guerreiro, Florentino Serranheira, Eduardo B. Cruz, António Sousa-Uva </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
Scale Development and Validation to Measure Occupational Health Literacy Among Thai Informal Workers (Original Article)</text>
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                <text>Background: The high incidence of work-related diseases and injuries among day-laborers and workers with no legal contracts (informal workers) has received the attention of the Thai authorities. Workers 'low occupational health literacy (OHL) has been reasoned as one contributing factor. Absence of a valid tool has prevented assessment of informal workers' OHL. The aim of this study was to create a valid and reliable Occupational Health Literacy Scale within the context of Thai working culture (TOHLS-IF).&#13;
Methods: This study used the mixed method approach to develop TOHLS-IF. Questions were generated using in-depth interviews and an extensive review of the literature. Experts' assessment confirmed the content validity of TOHLS-IF. The scales of its psychometric properties were assessed in a sample of 400 informal workers using cluster random sampling.&#13;
Results: The final version of the TOHLS-IF comprises 38 items within 4 dimensions: Ability to Gain Access, Understanding, Evaluation, and Use of occupational health and safety information. Factor analysis identified items explaining 50.22% of the total variance. The final confirmatory analysis confirmed the model estimates were satisfactory for the construct. TOHLS-IF demonstrated a high internal consistency and satisfactory reliability (Cronbach's alpha 1⁄4 .98).&#13;
Conclusion: The TOHLS-IF is a valid and reliable instrument to assess informal workers' OHL. The&#13;
structural dimensions of this instrument are based on the concept of health literacy and Thai culture.&#13;
Thai health professionals are encouraged to benefit from this instrument to assess their workers' OHL&#13;
and apply findings as guidelines for effective occupational health and safety interventions.</text>
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                <text>Weeraporn Suthakorn, Wanpen Songkham, Kunlayanee Tantranont, Wichit Srisuphan, Pokin Sakarinkhul, Jakkapob Dhatsuwan </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
Relationship Between Job Training and Subjective Well-being In Accordance With Work Creativity, Task Variety, and Occupation (Original Article)</text>
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                <text>Background: Job training influences the overall working environment and worker's well-being. The&#13;
purpose of this study is to find the relationship between job training and subjective well-being in&#13;
accordance with occupations and understand the influence of task characteristicsdwork creativity and task variety (WCTV)don the effect of training.&#13;
Methods: A cross-sectional study based on the Fifth Korean Working Conditions Survey was conducted&#13;
on 50,205 workers in the Republic of Korea. The World Health Oorganizatione5 well-being index was used to measure their subjective well-being. The relationship between job training and subjective well-being was divided in accordance with the level of WCTV.&#13;
Results: Training paid for by employer showed a negative effect on subjective well-being when received for more than 3 days (OR 0.88, p&lt;0.01) in the last 12 months. Training paid for by oneself showed a positive linkage with well-being when the level of training was 1e3 days (Odds ratio 1⁄4 1.55, p&lt;0.001). This result showed different aspects in accordance with the level of WCTV. For the high WCTV group, the aforementioned results were reaffirmed, but for the group with low WCTV, job training did not show a statistically significant result on well-being. On-the-job training was not related to subjective well-being regardless of the level of WCTV.&#13;
Conclusion: Job training had different effects on subjective well-being depending on the type and frequency of training, as well as the WCTV. It is imperative to comprehensively apply different types of job training in accordance with the characteristics of occupations to uplift workers' well-being. </text>
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                <text>Min Gwan Shin, Young-Ki Kim, Se-Yeoung Kim, Dong Mug Kang </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020</text>
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                  <text>Safety and Health at Work Vol. 11 Issue 4 2020</text>
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                <text>Safety and Health at Work Vol. 11 Issue 4 2020&#13;
Psychosocial Risks Assessment in Cryopreservation Laboratories (Original Article)</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Artificial neural networks, Cryopreservation laboratories, Health and safety management, Psychosocial risks, Risk assessment</text>
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                <text>Background: Psychosocial risks are increasingly a type of risk analyzed in organizations beyond chemical, physical, and biological risks. To this type of risk, a greater attention has been given following the update of ISO 9001: 2015, more precisely the requirement 7.1.4 for the process operation environment. The update of this normative reference was intended to approximate OHSAS 18001: 2007 reference updated in 2018 with the publication of ISO 45001. Thus, the organizations are increasingly committed to achieving and demonstrating good occupational health and safety performance. &#13;
Methods: The aim of this study was to characterize the psychosocial risks in a cryopreservation labo-&#13;
ratory and to develop a predictive model for psychosocial risk management. The methodology followed to collect the information was the inquiry by questionnaire that was applied to a sample comprising 200 employees.&#13;
Results: The results show that most of the respondents are aware of the psychosocial risks, identifying interpersonal relationships and emotional feelings as the main factors that lead to this type of risks. Furthermore, terms such as lack of resources, working hours, lab equipment, stress, and precariousness show strong correlation with psychosocial risks. The model presented in this study, based on artificial neural networks, exhibited good performance in the prediction of the psychosocial risks. &#13;
Conclusion: This work presents the development of an intelligent system that allows identifying the&#13;
weaknesses of the organization and contributing to the enhancement of the psychosocial risks&#13;
management. </text>
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                <text>Sri Wahyuni</text>
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Psychosocial Risk Management in the Teaching Profession: A Systematic Review (Review Article)</text>
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                <text>Teachers are facing various job demands with psychosocial aspects being fundamental due to the nature of the occupation. Although teachers' work is associated with different psychosocial health risks, little is known on how to identify and tackle those. Thus, a systematic literature search as per the PRISMA statement was conducted via MEDLINE (PubMed), PSYNDEX (PubPsych), and ScienceDirect. Two reviewers independently screened 2261 titles and abstracts and 169 full-texts. According to the inclusion criteria established a priori, articles from peer-reviewed journals (English or German) on psychosocial risk management in teachers were incorporated.&#13;
Despite a comprehensive and sensitive search, only four publications could be identified, outlining a&#13;
process to implement risk management and different assessment tools. Taken together, data presented in the articles were scarce.&#13;
Recommendations for process steps and the assessment of psychosocial risks can be derived from the findings. To implement effective psychosocial risk management in the teaching profession, further research is needed, though. Effective and practicable approaches, which are accepted by the target group, should be further developed and investigated. Relevant causes of occupational strain in the teaching profession must be identified and assessed reliably. Low-threshold interventions should be implemented, and the outcome must be evaluated afterward. </text>
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                <text>Elisabeth Wischlitzki, Nadja Amler, Julia Hiller, Hans Drexler</text>
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                <text>Sri Wahyuni</text>
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Organizational Climate Effects on the Relationship Between Emotional Labor and Turnover Intention in Korean Firefighters (Original Article)</text>
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                <text>Background: The purpose of this study is to examine the combined effects of organizational climate (OC)&#13;
with emotional labor (EL) on turnover intention in Korean firefighters.&#13;
Methods: The data were obtained from the study Firefighters Research: Enhancement of Safety and&#13;
Health. A total of 4,860 firefighters whose main duty was providing “emergency medical aid” were&#13;
included. To examine the effects of OC on the relationships between five subscales of EL and turnover intention, four groups were created using various combinations of OC (“good” vs. “bad”) and EL (“normal” vs. “risk”): (1) “good” and “normal” (Group I), (2) “bad” and “normal” (Group II), (3) “good” and “risk” (Group III), and (4) “bad” and “risk” (Group IV). Multivariate logistic regression analyses were performed to estimate the risk of turnover intention for the combinations of OC and EL.&#13;
Results: The results showed turnover intention was significantly higher in the group with “bad” OC&#13;
(17.7%) than in that with “good” OC (7.6%). Combined effects of OC and EL on turnover intention were found in all five subscales with the exception of Group I for emotional demands and regulation. Groups II, III, and IV were more likely to experience risks of turnover intention than Group I (p for trend &lt;0.001).&#13;
Conclusions: A positive and cooperative OC plays a role in decreasing the risk of turnover intention and in attenuating the negative effects of EL on turnover intention in firefighters. </text>
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                <text>Hye-Yoon Ryu, Dae-Sung Hyun, Da-Yee Jeung, Chang-Soo Kim, Sei-Jin Chang</text>
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                <text>Sri Wahyuni</text>
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