Search Results (420)

Voluntary HIV testing and counselling (VCT) in the workplace could reach population groups who may be at risk for HIV but may not readily seek out testing from other services. We conducted a scoping review to understand (a) the nature of evidence related to initiatives and interventions for vocationally active adults on VCT in occupational settings, and (b) any facilitators and barriers to the delivery of and/or engagement with VCT initiatives/interventions in the workplace. JBI scoping review methodology was followed. The protocol was pre-registered. Included studies focused on vocationally active adults (population), VCT interventions or initiatives (concept), and workplaces in any sector or country (context). The review included studies published after 2000, in English, and of any research design. Studies relating to mandatory workplace HIV screening were excluded. MEDLINE, CINAHL, Scopus, PsycINFO, and the Cochrane Central Register of Control Trials were searched. Sources of grey literature included Google Scholar and governmental and organisational websites. One reviewer screened titles and abstracts; a second reviewer independently screened 10%. Data extraction utilised a modified JBI data extraction tool. We identified 17 studies reporting on 12 workplace VCT interventions (20,985 participants, 15–70 years). Studies were conducted in eight countries between 2001 and 2022. Interventions were delivered in organisations of different types, sizes and sectors. Testing included rapid blood tests and oral fluid self-tests. Where reported, the average on-site HIV testing uptake rate was 63%, and the average linkage to care rate was 86.85%. Views of workers, employers and service providers were largely positive. Barriers included being male, masculinity-driven workplace culture, HIV-related stigma, poor knowledge, low risk perceptions, lack of time and low support. Facilitators included on-site testing for convenience and accessibility, rapid and free tests, organisational, managerial and peer support, and embedding HIV tests within general health checks. Evaluation methods varied, although randomised trial designs were uncommon. Despite the limited number of studies, the workplace appears to be a viable route to the delivery of community-based VCT, albeit barriers should be addressed. Reporting quality of interventions and associated evaluations is variable and could be improved with the use of appropriate checklists. Full article

Background: Complications due to frailty and injury after falls are a significant problem for people living in residential aged care. This can lead to a range of negative outcomes including poor physical, social, and psychological well-being. The Australian Royal Commission into Aged Care Quality and Safety highlighted many aspects of care in residential aged care homes requiring improvement, leading to specific recommendations aimed at improving the outcomes in this area. This contributed to four recommendations calling for increased allied health interventions to meet the unmet needs in residential aged care. This intervention aims to implement and evaluate evidence-based allied health interventions for people living in residential aged care specifically relating to frailty, preventing falls, and maintaining engagement in everyday activities. Method: This is a pragmatic, non-randomised, pre–post design study where six groups of up to 10 residents of an aged care home will start the intervention at staggered times. The EAHOP intervention is an integrated application of a suite of allied health services (occupational therapy, physiotherapy, dietetics, speech pathology, pharmacy, and optometry), with general practitioner involvement, using allied health assistants in an integrated transdisciplinary model of care. The baseline period is 6 weeks, and intervention is a maximum of 36 weeks with follow-up at 12 and 24 weeks. Primary outcomes measure changes in falls, frailty, and quality of life. A qualitative program evaluation will be completed as well as an economic analysis. Conclusion: The results of the study will provide information about the clinical, implementation, and effectiveness outcomes of this integrated, transdisciplinary allied health service model for people living in residential aged care. The results will be used to develop evidence-informed guidelines for residential aged care providers on the delivery of allied health services. Full article

Background/Objectives: Mental health challenges significantly impact employee productivity, especially in high-stress industries like technology. This study aims to investigate the factors influencing the intention to use psychological support services among Romanian tech employees, focusing on barriers and motivators related to availability, accessibility, affordability, and acceptability. Methods: A cross-sectional survey was conducted among 372 Romanian tech employees using a structured online questionnaire. The survey assessed socio-demographic data, prior experience with mental health services, perceived distress levels, and barriers categorized into four dimensions. Data were analyzed using descriptive statistics and inferential analysis to identify key predictors of the intention to use these services. Results: Key factors influencing the use of psychological support services included prior experience with mental health services, the need to take time off work, and the absence of a companion. Barriers such as cost, transportation, awareness of services, and stigma were not significant. The regression model explained 8.4% of the variance in the likelihood of using these services, suggesting that additional factors may need further exploration. Conclusions: Addressing practical barriers, such as time constraints and the absence of support during access, is essential to improving accessibility of these services. Leveraging positive past experiences with mental health services can enhance engagement. These findings can guide the development of targeted interventions to promote the uptake of psychological support services in the tech sector, contributing to a healthier and more productive workforce. Full article

This paper provides a comprehensive comparative analysis of smart building solution providers within Europe, emphasizing the technological advancements and market strategies employed by companies selected for the study. As energy efficiency becomes a critical focus due to rising global energy demands and climate change concerns, smart building technologies have emerged as pivotal in optimizing energy use and enhancing occupant comfort. This study examines 19 products from 15 prominent manufacturers, categorized into six product categories: smart thermostats, smart valves, HVAC control, data acquisition and energy management software, smart home ecosystems, and home energy management systems. Using a comparative assessment matrix and SWOT analysis, the paper evaluates these products across five key areas: service impacts, market penetration, investment topics, business models, and value propositions. Findings highlight a strong focus of manufacturers in energy efficiency and comfort services, while identifying opportunities for improvement in energy flexibility and health integration. This analysis aims to guide stakeholders in strategic planning and decision-making, offering insights into the current and future landscape of the smart building solutions market. Full article

Objective: Exposure of emergency service personnel to disasters can lead to significant mental health challenges. The psychological impact of intentionally caused disasters, such as terrorist attacks, tends to be more severe than that of natural disasters. While much research has focused on terrorist attacks, little is known about the effects of intentional vehicular assaults (IVAs). This study examines the impact of an IVA on the mental health of firefighters. We hypothesized that firefighters deployed to the scene (deployed group (DG)) would experience more mental health problems compared to those not on duty (comparison group (CG)). Methods: The study included n = 115 firefighters, with 60 in the DG and 55 in the CG from the same units. Validated psychometric tools were used to assess anxiety, panic attacks (PHQ-D), and post-traumatic stress symptoms (PCL-5). Participation was voluntary, and informed consent was obtained. The study received approval from the Charité Berlin Ethics Committee (number: EA4/085/18). Results: A significantly higher prevalence of panic attacks was found in the DG (12.5%) compared to the CG (1.8%), with an odds ratio of 8.0 (95% CI: 1.0–67.3). Correlation analysis revealed a significant positive relationship between non-occupational tasks and hostility (r = 0.312, p = 0.015, n = 60), while parenthood had no significant effect on panic attacks or generalized anxiety. Conclusion: These results highlight the severe mental health impact of intentional disasters like IVAs on firefighters, emphasizing the need for targeted psychological support and interventions. Future research should focus on tailored interventions to address the high prevalence of panic attacks among this population. Full article

Background/Objectives: The connection between nutrition and mental health has become a point of growing interest. In response, nutritional psychiatry research has emerged as a field dedicated to understanding these interactions. A bibliometric analysis was conducted to map the growth and trends in this area, providing insights into its evolving scope and key research contributions. Methods: A literature search was conducted within the Web of Science Core Collection. Data analysis was performed using the result analysis and citation report options of Web of Science as well as the visualization software VOSviewer (Version 1.6.20). Results: A total of 31,556 articles on nutrition and mental health were published from 2000 to 2024 across various WoS categories, mainly in “Psychiatry”, “Public, Environmental & Occupational Health”, and “Nutrition & Dietetics”. The most prolific research groups are based in North America. Recent publications mainly cover seven clusters: (1) public health and social factors, (2) interventions and biological mechanisms, (3) the health of the elderly, (4) nutrition-related illnesses, (5) lifestyle behavior, (6) observational studies, and (7) pregnancy and the postpartum period. Conclusions: In view of the increasing research activities and growing allocation of resources in nutritional psychiatry research, it is important to define research priorities in close collaboration with service users and stakeholders. Research should be approached in a holistic manner through multidisciplinary research consortia to ensure comprehensive and impactful outcomes. Full article

Background/Objectives: Occupational burnout poses a significant burden to healthcare personnel, institutions, and service users. Anesthesia technologists and technicians work in the shadow of the perioperative team, and a lack of attention to anesthesia support personnel may pose a significant risk to their wellbeing and the quality of care delivered. To date, only a few studies have investigated the prevalence of burnout among anesthesia technologists and technicians worldwide and in Saudi Arabia. Thus, the aim of this cross-sectional study was to assess the prevalence and contributing factors to burnout among anesthesia technologists and technicians in a single tertiary hospital in Saudi Arabia. Methods: The study utilized the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) to assess burnout and a 10-point scale to assess stress levels. The MBI-HSS inventory consists of three subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Univariate and multivariate linear regression analyses were used to identify correlates of each burnout subscale. Gender was included in the multivariable regression analysis in addition to significant variables from univariable analysis. Results: A total of 89 participants completed the survey. Based on each subscale of the MBI-HSS, more than 60% of the participants reported high to moderate EE, and more than half reported high to moderate DP. For PA, only 25.8% of participants reported low PA. We found that age (β = −0.58, 95% CI: −0.95, −0.20; p = 0.003) and stress (β = 3.3, 95% CI: 2.1, 4.5; p < 0.001) were independently associated with EE. In addition, night shift (β = 3.3, 95% CI: 0.44, 6.1; p = 0.024) and stress (β = 0.73, 95% CI: 0.13, 1.3; p = 0.017) were independently associated with DP. Independent factors for PA were identified including night shifts (β = 6.6, 95% CI: 1.4, 12; p = 0.014) and stress levels (β = −1.3, 95% CI: −2.4, −0.12; p = 0.03). Conclusions: This research underscores the alarmingly high prevalence of burnout and the strong link between elevated EE and DP rates and workplace stress, emphasizing the necessity to identify and mitigate these stressors. It is therefore crucial to evaluate the effectiveness of the current wellbeing and mental health initiatives and programs in Saudi Arabia to ensure that they address evolving challenges and the overall mental health of healthcare personnel. Full article

In the rapidly evolving landscape of digital connectivity, airlines have integrated these advancements as indispensable tools for a seamless consumer experience. However, digitisation has increased the scope of risk in the cyber realm. Limited studies have systematically investigated cybersecurity risks in the airline industry. In this context, we propose a novel questionnaire model to investigate consumers’ perceptions regarding the cybersecurity of airlines. Data were collected from 470 Chinese participants in Nanjing City. The analytical approach encompassed a range of statistical techniques, including descriptive statistics, exploratory factor analysis, difference analysis, and correlation. The constructs based on Maddux’s Protective Motivation Theory and Becker’s Health Belief Model were reliable, indicating the suitability of the proposed scales for further research. The results indicate that gender significantly influences passengers’ perceptions of airline cybersecurity, leading to variations in their awareness and response to cybersecurity threats. Additionally, occupation affects passengers’ information protection behaviour and security awareness. On the other hand, factors such as age, education level, and Frequent Flyer Program participation have minimal impact on passengers’ cybersecurity perceptions. Based on questionnaire content and data analysis, we propose three recommendations for airlines to enhance consumer cybersecurity perception. First, airlines should provide personalised network security services tailored to different occupations and genders. Second, they should engage in regular activities to disseminate knowledge and notices related to network security, thereby increasing passengers’ attention to cybersecurity. Third, increased resources should be allocated to cybersecurity to establish a safer cyber environment. This study aims to improve the quality of transportation policy and bridge the gap between theory and practice in addressing cybersecurity risks in the aviation sector. Full article

Background: Sleep disturbances affect about 40% of the global population and are a common issue among patients seeking medical consultation. There is limited research on sleep disturbances in Taiwan’s traditional industry workforce. Objective: This study aims to investigate the correlations between work patterns, health promotion behaviors, occupational burnout, and sleep disturbances among employees in traditional industries. Methods: A cross-sectional study was conducted to collect data on the work patterns, health promotion behaviors, occupational burnout, and sleep disturbances within a traditional industry. The study period was from May to June 2023. Data analysis was performed using chi-square tests, independent sample t-tests, and logistic regression. Result: Data from a total of 365 employees were collected, with 63.3% of the study subjects working in shifts and 47.9% experiencing sleep disturbances. Factors associated with sleep disturbances included personal burnout (OR = 1.07 (95% CI 1.06, 1.09); p < 0.001), shift work (OR = 2.67 (95% CI 1.53, 4.65); p < 0.001), health responsibility behavior (OR = 0.50 (95% CI 0.33, 0.77); p = 0.001), and life appreciation behavior (OR = 0.47 (95% CI 0.29, 0.76); p = 0.002). Conclusion: Occupational health nurses should regularly assess employees’ sleep status and provide psychological counseling services and health promotion programs to help employees alleviate sleep disturbances. Full article

With growing concerns over energy and heat-related mortality/morbidity rates, enhancing building performances is key to improving the health and well-being of building occupants while reducing CO₂ emissions, in line with the UK Government’s Net-Zero targets. This study investigates the impacts of different retrofitting scenarios on overheating risk and energy performance in social housing for current and future climate conditions. Dynamic thermal simulations were carried out using Design Summer Year (DSY) weather files in DesignBuilder software for selected case study buildings. Winter performance was analysed using the Predicted Mean Vote (PMV) index, while summer results were assessed according to the Chartered Institution of Building Services Engineers Technical Memorandum 59 (CIBSE TM59) guidelines. The findings revealed that bedrooms, especially those facing south, were at high risk of overheating. Factors such as building construction, the number of exposed surfaces, and window area influenced the risks. External wall insulation outperformed internal wall insulation in improving summer comfort. In the winter, Passivhaus standards with natural ventilation ensured thermal comfort across all zones, with a 41–53% reduction in heating energy consumption under current weather conditions. The risk of overheating and associated health issues significantly increased for the future weather scenarios. Further investigation into ventilation strategies, occupant behaviour, and passive design is required to mitigate overheating risks while reducing energy consumption in buildings. Full article

Background and aims: The COVID-19 pandemic significantly impacted the mental health of healthcare professionals, especially those working in Psychosocial Care Centers (CAPS), which are crucial services in the Brazilian mental health system. This study aimed to investigate the association between job satisfaction, workload, and psychological distress among CAPS professionals during the pandemic. Methods: A cross-sectional study was conducted with 53 professionals from seven CAPS. The Workload Impact Scale (IMPACTO-BR) and Job Satisfaction Scale (SATIS-BR), the General Health Questionnaire (GHQ-12), and a sociodemographic questionnaire were used. Descriptive and analytical statistical analyses were performed. Multiple linear regression analysis was conducted to examine the relationship between job satisfaction, workload, and psychological distress. Results: Professionals reported moderate satisfaction (3.67 ± 0.45) and mild workload (1.82 ± 0.63). One-third of the sample showed scores indicative of psychological distress. Multiple linear regression analysis revealed that workload (p = 0.0025) and low job satisfaction (p = 0.0495) were significantly associated with psychological distress. Conclusions: Low job satisfaction and high professional workload were predictive variables of psychological distress. These findings highlight the need for investments in promoting the quality of life at work for mental health professionals, especially during crises. The implications for human resource management and public policy development emphasize the importance of an integrated approach that considers the well-being of professionals for the effectiveness and sustainability of the psychosocial care model. Full article

Introduction: The objective of this narrative review is to examine the health risks associated with informal mining in Sub-Saharan Africa (SSA), with a particular focus on HIV prevention. It aims to review existing interventions targeting this population and identify challenges and opportunities for improvement. Methods: A comprehensive literature review was conducted using databases such as Google Scholar, PubMed, ScienceDirect, and Cochrane Library. Studies and reports published between 2000 and 2023 that focused on occupational health risks and HIV prevention interventions in the informal mining sector of SSA were included in the analysis. Results: Informal mining in SSA presents significant health risks to workers, including exposure to hazardous substances, poor working conditions, and limited access to healthcare. These factors, combined with the high prevalence of HIV/AIDS in the region, make informal miners particularly vulnerable to infection. The review identified several key themes related to occupational health risks, such as poor environmental and sanitation conditions, increased vulnerability due to factors like poverty and lack of education, and limited access to healthcare services. A variety of interventions have been implemented to address HIV prevention among informal miners in SSA. These include behavioral strategies like peer education and social marketing campaigns, as well as biomedical interventions such as counseling, testing, and pre-exposure prophylaxis (PrEP). However, challenges persist in delivering effective HIV prevention services to this population. These challenges include restricted access to healthcare, the high mobility of miners, limited resources, and stigma associated with HIV. Conclusions: The findings of this review highlight the urgent need for integrated health services and tailored interventions that address the specific issues faced by informal miners in SSA. Community-based and culturally sensitive programs, developed in collaboration with mining communities, are essential for effective HIV prevention. Future research should evaluate the long-term impact of interventions and explore their scalability. To improve intervention effectiveness and sustainability, stakeholders should focus on community engagement, strengthening health systems, and addressing structural barriers. A multi-sectoral approach is necessary to tackle the broader determinants of health in mining communities. Full article

Background/Objectives: Clinical studies show that SARS-CoV-2 vaccination sometimes entails a severe and disabling chronic syndrome termed post-acute-COVID-19-vaccination syndrome (PACVS). PACVS shares similarities with long COVID. Today, PACVS is still not officially recognised as a disease. In contrast, long COVID was registered by health authorities in December 2021. Here, we address possible reasons for that discrepancy. Methods: We analyse whether common symptoms of PACVS have been registered by European pharmacovigilance as adverse vaccination reactions and which consequences have been drawn thereof. Results: (i) PACVS is distinguished from normal vaccination reactions solely by prolonged duration. (ii) Symptom duration is poorly monitored by post-authorisation pharmacovigilance. (iii) PACVS-specific signals were faithfully recorded by pharmacovigilance systems but have not prompted appropriate reactions of health authorities. (iv) The most widely applied SARS-CoV-2 mRNA-vaccine has been modified after roll-out without renewed phase III evaluation; the modification has increased DNA contaminations suspected to extend the spectrum of adverse events. (v) Crossing of pharmacovigilance data with corresponding estimates of applied vaccine doses suggest a PACVS prevalence of 0.003% in the general population. In contrast, occupational surveillance studies suggest a PACVS prevalence of 0.9% in young and middle-aged persons. Conclusions: (a) Denial of official recognition of PACVS is unjustified. (b) PACVS seems to target preferentially young and middle-aged persons. (c) Without official disease recognition, access to public healthcare and welfare services is made difficult for PACVS-affected persons, which creates considerable socio-economic problems. (d) Without official disease recognition, development and evaluation of PACVS therapies is impaired. Full article

Introduction: The SARS-CoV-2 pandemic presented unique challenges to the health-care system and prehospital emergency medical services. An increasing prevalence of burnout has been described, which in turn is associated with mental illness. The aim of this paper was to evaluate burnout through a sex comparison and to analyze associations of burnout with personality traits during the SARS-CoV-2 pandemic. Methods: Eighty-eight emergency physicians and field shearers of Kharkiv City (Ukraine) emergency medical services (52% women) participated in the quantitative cross-sectional study. In addition to sociodemographic and occupational data, the Maslach Burnout Inventory (MBI) and the Freiburg Personality Inventory (FPI) were applied and analyzed in the sex comparison. Correlation analyses were performed to describe the relationships between the MBI dimensions and FPI traits. Results: The average age of the respondents was 35.1 ± 13.5 years. The prevalence of burnout during the pandemic was 6.5% in women and 2.4% in men. Only the scores on the MBI dimension cynicism were significantly (p = 0.027) higher in women than in men. Two personality traits differed between sexes: inhibition and male/female self-reports. Predominantly moderate correlations were found between the FPI traits and the MBI dimensions. Conclusions: Although the prevalence of burnout in this occupational group during the pandemic was similar to prepandemic figures reported in the literature, more than half of the male and female paramedics showed average-to-high scores on the three MBI dimensions. Because burnout is associated with other mental illnesses and prolonged incapacity, workplace-based interventions should be implemented. Full article

Epoxy adhesives possess excellent mechanical properties, durability, and stability in harsh environments, making them suitable for producing engineering materials. This study selects four commercially available epoxy adhesives in Saudi Arabia: Epotec YD 128; Sikadur^®-52 LP; Sikadur^®-31 CF; and Sikadur^®-42 MP Slow. Firstly, a comparison of their storage, application, and service temperatures was made, detailing the hazard identification and prevention measures established in accordance with the Occupational Safety and Health Administration (OSHA) guidelines. Subsequently, test samples of the four adhesives were produced, and tensile, compressive, and shear tests were conducted to compare their fundamental mechanical properties. Finally, a gas analyzer assessed the major harmful gases emitted by these epoxy adhesives 120 min after mixing the epoxy resins and curing agents. The results show that Sika 42 exhibits the highest tensile and compressive strengths among other types of adhesives, reaching 75.7 MPa and 133.8 MPa, respectively. It also has the longest pot life of 48 min at elevated temperatures (40 °C), making it suitable for the climatic conditions in Saudi Arabia. However, as a three-component adhesive, its application is complex and associated with the most identified hazards. Sika 31 presents a tensile modulus of up to 10.4 GPa, at least 3.8 times higher than the other adhesives, making it practical for controlling tensile deformation. Additionally, its ultimate shear strain reaches 10.7%, at least 6.6 times higher than the other samples, highlighting its suitability for constructing ductile bonds. After mixing of epoxy resins with curing agents, the presence of NO₂ and SO₂ were detected. However, no harmful gases were detected after 120 min, possibly due to the complete curing of the adhesives. Full article