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Reinoso-Barbero L, Pardillos L, Romero-Paredes MC, Díaz-Garrido R, Mendiguren JM, Gieco A, Gómez-Gallego F. Occupational injuries in workers of a Spanish bank. Occup Med (Lond) 2023; 73:512-517. [PMID: 38029440 DOI: 10.1093/occmed/kqad116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND In 2017, 69 108 work-related traffic injuries with medical leave were documented, constituting 12% of all occupational injuries (OI) in Spain. AIMS The aim of this study was to describe OI within a Spanish bank company during 2017. METHODS A cross-sectional analysis was conducted using the company's mandatory OI records, presenting data in both absolute (n) and relative (%) frequencies. The chi-square test was employed for comparisons. RESULTS Among the company's 10 399 employees, 176 OI cases were recorded. Most were minor musculoskeletal incidents, with one severe myocardial infarction and one mild anxiety episode. Lower limb injuries were the most prevalent. Injuries of the trunk (P < 0.001), neck (P < 0.05), and upper limbs (P < 0.001) were linked to workplace factors. Approximately 62% of OI occurred outside the workplace and resulted in more extended medical leave (P < 0.01). Traffic-related injuries accounted for 39% of OI cases and caused 49% of days lost due to OI (P < 0.001).Female gender (P < 0.001) and age over 40 years (P < 0.05) were significantly associated with OI. CONCLUSIONS In our study, musculoskeletal injuries were the most common, with a single cardiovascular event being the most severe. OI occurring outside the workplace was more frequent and led to longer medical leaves. Notably, traffic-related injuries were especially significant, exceeding official statistics 4-fold.
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Affiliation(s)
- L Reinoso-Barbero
- SUMMA112, Medical Emergency Service, Comunidad de Madrid, Madrid 28045, Spain
- Occupational Medicine Service, Grupo Banco Santander, Madrid 28027, Spain
- UNIR Health Science Department, Universidad Internacional de La Rioja, Logroño 26006, Spain
| | - L Pardillos
- SUMMA112, Medical Emergency Service, Comunidad de Madrid, Madrid 28045, Spain
| | - M-C Romero-Paredes
- Maritime Health Service, Instituto Social de la Marina, Madrid 28004, Spain
| | - R Díaz-Garrido
- Occupational Medicine Service, Grupo Banco Santander, Madrid 28027, Spain
| | - J-M Mendiguren
- Occupational Medicine Service, Grupo Banco Santander, Madrid 28027, Spain
| | - A Gieco
- UNIR Health Science Department, Universidad Internacional de La Rioja, Logroño 26006, Spain
| | - F Gómez-Gallego
- Health Science Department, Universidad Rey Juan Carlos, Madrid 28933, Spain
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Partida-Hanon A, Díaz-Garrido R, Mendiguren-Santiago JM, Gómez-Paredes L, Muñoz-Gutiérrrez J, Miguel-Rodríguez MA, Reinoso-Barbero L. Successful pandemic management through computer science: a case study of a financial corporation with workers on premises. Front Public Health 2023; 11:1208751. [PMID: 38045981 PMCID: PMC10691253 DOI: 10.3389/fpubh.2023.1208751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 10/23/2023] [Indexed: 12/05/2023] Open
Abstract
Background In November 2019, an infectious agent that caused a severe acute respiratory illness was first detected in China. Its rapid spread resulted in a global lockdown with negative economic impacts. In this regard, we expose the solutions proposed by a multinational financial institution that maintained their workers on premises, so this methodology can be applied to possible future health crisis. Objectives To ensure a secure workplace for the personnel on premises employing biomedical prevention measures and computational tools. Methods Professionals were subjected to recurrent COVID-19 diagnostic tests during the pandemic. The sanitary team implemented an individual following to all personnel and introduced the information in databases. The data collected were used for clustering algorithms, decision trees, and networking diagrams to predict outbreaks in the workplace. Individualized control panels assisted the decision-making process to increase, maintain, or relax restrictive measures. Results 55,789 diagnostic tests were performed. A positive correlation was observed between the cumulative incidence reported by Madrid's Ministry of Health and the headcount. No correlation was observed for occupational infections, representing 1.9% of the total positives. An overall 1.7% of the cases continued testing positive for COVID-19 after 14 days of quarantine. Conclusion Based on a combined approach of medical and computational science tools, we propose a management model that can be extended to other industries that can be applied to possible future health crises. This work shows that this model resulted in a safe workplace with a low probability of infection among workers during the pandemic.
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Affiliation(s)
- Angélica Partida-Hanon
- Department of Advanced Analytics, Santander Corporate and Investment Banking, Madrid, Spain
- Department of Quantitative Methods, Universidad Loyola Andalucía, Córdoba, Spain
| | - Ramón Díaz-Garrido
- Department of Health and Occupational Risk Prevention, Banco Santander, Madrid, Spain
| | | | - Laura Gómez-Paredes
- Department of Health and Occupational Risk Prevention, Banco Santander, Madrid, Spain
| | - Juan Muñoz-Gutiérrrez
- Department of Health and Occupational Risk Prevention, Banco Santander, Madrid, Spain
| | | | - Luis Reinoso-Barbero
- Department of Health and Occupational Risk Prevention, Banco Santander, Madrid, Spain
- Faculty of Health Sciences, International University of La Rioja, La Rioja, Spain
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3
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Navarro-Font X, Kales SN, Vicente-Herrero MT, Rueda-Garrido JC, Del Campo MT, Reinoso-Barbero L, Fernandez-Montero A. Association Between the "COVID-19 Occupational Vulnerability Index" and COVID-19 Severity and Sequelae Among Hospital Employees. J Occup Environ Med 2021; 63:895-900. [PMID: 33973932 PMCID: PMC8478090 DOI: 10.1097/jom.0000000000002253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES In addition to personal and health related factors, healthcare workers have an increased risk due to their work. We assessed the association of the score of the Occupational Vulnerability Index with the risk of suffering a severe COVID-19 and sequelae. METHODS Retrospective observational study carried out in healthcare workers. Among 119 employees infected, the COVID-19 Occupational Vulnerability Index (composed of 29 items regarding personal health, working conditions, and ability to comply with preventive measures) was calculated and correlated with COVID-19 severity/sequelae. RESULTS Workers with higher scores (six to seven points) had a significantly increased risk of developing severe disease (OR = 9.73; 95% CI, 1.53 to 35.56) and clinical sequelae (OR = 5.22; 95% CI, 1.80 to 15.16) than those with lower scores (0 to 3). CONCLUSION The "COVID-19 Occupational Vulnerability Index" may predict the risk of severe COVID-19 disease and clinical sequelae among healthcare workers.
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Affiliation(s)
- Xavier Navarro-Font
- Department of Occupational Medicine, Universidad de Navarra, Navarra (Mr Navarro-Font, Dr Fernandez-Montero); Department of Environmental Health, Harvard University T.H. Chan School of Public Health, Boston (Dr Kales, Dr Fernandez-Montero); Department of Occupational Medicine, Cambridge Health Alliance, Harvard Medical School, Cambridge (Dr Kales), Massachusetts; Asociación Española de Especialistas en Medicina del Trabajo (Dr Vicente-Herrero, Dr Rueda-Garrido, Dr Campo, Dr Reinoso-Barbero, Dr Fernandez-Montero); Occupational Health and safety Services of Correos, Valencia (Dr Vicente-Herrero); Saudi Basic Industries Corporation Medical Services, Cartagena (Dr Rueda-Garrido); Department of Occupational and Prevention at University Hospital Fundación Jiménez Díaz, Universidad Autónoma de Madrid (Dr Campo), Madrid; Faculty of Health Sciences, Universidad Internacional de la Rioja, La Rioja (Dr Reinoso-Barbero); Navarra Institute for Health Research (IdisNa), Navarra (Dr Fernandez-Montero), Spain
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Martín García A, Mitroi C, Mazón Ramos P, García Sanz R, Virizuela JA, Arenas M, Egocheaga Cabello I, Albert D, Anguita Sánchez M, Arrarte Esteban VI, Ayala de la Peña F, Bonanand Lozano C, Castro A, Castro Fernández A, Córdoba R, Cosín-Sales J, Chaparro-Muñoz M, Dalmau R, Drak Hernández Y, Deiros Bronte L, Díez-Villanueva P, Escobar Cervantes C, Fernández Redondo C, García Rodríguez E, Lozano T, Marco Vera P, Martínez Monzonis A, Mesa D, Oristrell G, Palma Gámiz JL, Pedreira M, Reinoso-Barbero L, Rodríguez I, Serrano Antolín JM, Toral B, Torres Royo L, Velasco Del Castillo S, Vicente-Herrero T, Zatarain-Nicolás E, Tamargo J, López Fernández T. Stratification and management of cardiovascular risk in cancer patients. A consensus document of the SEC, FEC, SEOM, SEOR, SEHH, SEMG, AEEMT, AEEC, and AECC. ACTA ACUST UNITED AC 2021; 74:438-448. [PMID: 33712348 DOI: 10.1016/j.rec.2020.11.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 11/12/2020] [Indexed: 12/12/2022]
Abstract
Both cancer treatment and survival have significantly improved, but these advances have highlighted the deleterious effects of vascular complications associated with anticancer therapy. This consensus document aims to provide a coordinated, multidisciplinary and practical approach to the stratification, monitoring and treatment of cardiovascular risk in cancer patients. The document is promoted by the Working Group on Cardio Oncology of the Spanish Society of Cardiology (SEC) and was drafted in collaboration with experts from distinct areas of expertise of the SEC and the Spanish Society of Hematology and Hemotherapy (SEHH), the Spanish Society of Medical Oncology (SEOM), the Spanish Society of Radiation Oncology (SEOR), the Spanish Society of General and Family Physicians (SEMG), the Spanish Association of Specialists in Occupational Medicine (AEEMT), the Spanish Association of Cardiovascular Nursing (AEEC), the Spanish Heart Foundation (FEC), and the Spanish Cancer Association (AECC).
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Affiliation(s)
- Ana Martín García
- Servicio de Cardiología, Complejo Asistencial Universitario de Salamanca (CAUSA), IBSAL, USAL, Salamanca, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain.
| | - Cristina Mitroi
- Servicio de Cardiología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain
| | - Pilar Mazón Ramos
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | - Ramón García Sanz
- Servicio de Hematología, Complejo Asistencial Universitario de Salamanca (CAUSA), IBSAL, Salamanca, Spain; Centro de Investigación Biomédica en Red de Cáncer (CIBERONC-ISCIII), Spain
| | | | - Meritxell Arenas
- Servicio de Oncología Radioterápica, Hospital Universitario San Juan de Reus, Universidad Rovira i Virgili, Reus, Tarragona, Spain
| | | | - Dimpna Albert
- Servicio de Cardiología Pediátrica, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | | | | | | | | | - Almudena Castro
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | | | - Raúl Córdoba
- Servicio de Hematología, Fundación Jiménez Díaz, Madrid, Spain
| | - Juan Cosín-Sales
- Servicio de Cardiología, Hospital Arnau de Vilanova, Valencia, Spain
| | | | - Regina Dalmau
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | | | - Lucía Deiros Bronte
- Servicio de Cardiología Pediátrica, Hospital Universitario La Paz, Madrid, Spain
| | | | - Carlos Escobar Cervantes
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | | | | | - Teresa Lozano
- Servicio de Cardiología, Hospital General Universitario de Alicante, ISABIAL, Alicante, Spain
| | - Pascual Marco Vera
- Servicio de Hematología y Hemoterapia, Hospital General Universitario de Alicante, ISABIAL, Alicante, Spain
| | - Amparo Martínez Monzonis
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | - Dolores Mesa
- Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain
| | - Gerard Oristrell
- Servicio de Cardiología, Hospital Universitario Vall d'Hebron, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | | | - Milagros Pedreira
- Servicio de Cardiología, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | | | - Isabel Rodríguez
- Servicio de Oncología Radioterápica, Hospital Universitario La Paz, Madrid, Spain
| | | | - Belén Toral
- Servicio de Cardiología Pediátrica, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Laura Torres Royo
- Servicio de Oncología Radioterápica, Hospital Universitario San Juan de Reus, Universidad Rovira i Virgili, Reus, Tarragona, Spain
| | | | | | - Eduardo Zatarain-Nicolás
- Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | - Juan Tamargo
- Departamento de Farmacología, Facultad de Medicina, Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
| | - Teresa López Fernández
- Servicio de Cardiología, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV-ISCIII), Spain
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Rueda-Garrido JC, Vicente-Herrero MT, Del Campo MT, Reinoso-Barbero L, de la Hoz RE, Delclos GL, Kales SN, Fernandez-Montero A. Return to work guidelines for the COVID-19 pandemic. Occup Med (Lond) 2020; 70:300-305. [PMID: 32476022 PMCID: PMC7313801 DOI: 10.1093/occmed/kqaa099] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Affiliation(s)
- Juan Carlos Rueda-Garrido
- SABIC Medical Services, Cartagena, Spain.,Asociación Española de Especialistas en Medicina del Trabajo, Madrid, Spain
| | - Mª Teofila Vicente-Herrero
- Asociación Española de Especialistas en Medicina del Trabajo, Madrid, Spain.,Occupational Health and Safety Services of Correos, Valencia, Spain
| | - Mª Teresa Del Campo
- Asociación Española de Especialistas en Medicina del Trabajo, Madrid, Spain.,Department of Occupational and Prevention at University Hospital Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, Spain
| | - Luis Reinoso-Barbero
- Asociación Española de Especialistas en Medicina del Trabajo, Madrid, Spain.,Occupational Medicine Service Grupo Banco Santander, Madrid, Spain.,Faculty of Health Sciences, Universidad Internacional de la Rioja, La Rioja, Spain
| | - Rafael E de la Hoz
- Division of Occupational and Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - George L Delclos
- Southwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA
| | - Stefanos N Kales
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.,Department of Occupational Medicine, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
| | - Alejandro Fernandez-Montero
- Asociación Española de Especialistas en Medicina del Trabajo, Madrid, Spain.,Department of Occupational Medicine, Universidad de Navarra, Navarra, Spain
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Romero-Paredes MDC, Reinoso-Barbero L, González-Gómez MF, Bandrés-Moya F. Improving cardiovascular health in Spanish seafarers. Int Marit Health 2017; 67:3-8. [PMID: 27029922 DOI: 10.5603/imh.2016.0002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Accepted: 03/22/2016] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND AND AIM There is a high prevalence in the Spanish general population of some cardiovascular risk factors like overweight, obesity and hypercholesterolaemia. But there is lack of research on Spanish seafarers. On the other hand, there is strong evidence of the cardiovascular risk predictive value of some biomarkers. The purpose of this work was to study the convenience of the introduction of detailed diet questionnaires and the measurement of some biomarkers in the pre-embarkation medical examination. MATERIALS AND METHODS Seafarers undergoing medical checkup during 2011 in Madrid, Spain (n = 334). Overweight and obese subjects received general advice on healthy diet and physical activity. Seventy-four of them were followed up in 2012 and 2013. Glycated haemoglobin (HbA1c), high-sensitivity C-reactive protein (hs-CRP), thyrotropin (TSH) and microalbuminuria were measured in two selected groups of patients in 2011. RESULTS Overweight and obesity were present in 207 (62%) individuals of the studied population. Those followed up in 2012 and 2013 showed a reduction of body mass index, waist circumference and total cholesterol values. We observed risk value of HbA1c in 60 (35.5%) individuals with significant association to other cardiovascular risk factors. Microalbuminuria appeared in subjects with high blood pressure. High TSH and hs-CRP were not significantly present in our population. CONCLUSIONS 1. Measurement of HbA1c during medical checkups improves early detection of cardiovascular risk in seafarers. 2. Individuals with overweight and obesity responded positively to medical advice and diminished their risk factors, thus it may be more effective to introduce detailed questionnaires on this issue.
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Affiliation(s)
- Maria del Carmen Romero-Paredes
- Instituto Social de la Marina, Maritime Health Service in Madrid, Spain Toxicology and Medical Legislation Department, Faculty of Medicine, Complutense University of Madrid, Spain.
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7
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Verde Z, González-Moro JMR, Chicharro LM, Reinoso-Barbero L, Bandrés F, Gómez-Gallego F, Santiago C. A Paradox: α-Klotho Levels and Smoking Intensity. Lung 2016; 195:53-57. [PMID: 27752830 DOI: 10.1007/s00408-016-9944-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 09/12/2016] [Indexed: 11/26/2022]
Abstract
Reports regarding smoking differences in α-klotho expression have provided conflicting results. In the current study we focused on the influence of smoking intensity to serum levels of the aging molecule α-klotho in healthy smokers. 40 middle aged healthy smokers without airway obstruction or restriction were selected for the analysis. Serum levels of soluble α-klotho were significantly higher in heavy smokers (P < 0.001). These results are in agreement with the possibility that α-klotho acts as anti-inflammatory molecule and strengthen the hypothesis that an increase of serum levels of α-klotho might be a compensatory response to smoking stress in healthy population.
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Affiliation(s)
- Zoraida Verde
- Department of Biomedical Sciences, Universidad Europea, 28670, Villaviciosa de Odón, Madrid, Spain.
| | | | - Luis M Chicharro
- Cátedra Complutense Diagnostic and Innovation, Universidad Complutense, Madrid, Spain
| | - Luis Reinoso-Barbero
- Department of Biomedical Sciences, Universidad Europea, 28670, Villaviciosa de Odón, Madrid, Spain
- Occupational Medicine, Grupo Banco Popular, Madrid, Spain
| | - Fernando Bandrés
- Department of Toxicology and Health Sanitary, Universidad Complutense, Madrid, Spain
| | | | - Catalina Santiago
- School of Doctoral Studies & Research, Universidad Europea, Madrid, Spain
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8
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Reinoso-Barbero L, Díaz-Garrido R, González-Gómez MF, Fernández-Fernández M, Capapé-Aguilar A, Garrido-Astray MC. [Work-related motor vehicle injuries among workers at a banking institution (2007-2013)]. Arch Prev Riesgos Labor 2016; 18:185-91. [PMID: 27250520 DOI: 10.12961/aprl.2015.18.4.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Accepted: 09/08/2015] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE To study physical harm caused by road accidents (LATT in Spanish) among employees of a Spanish financial institution from 2007 to 2013. Additionally, we tried to define damage features in each sex and at different ages in hurt patients, as well as work disability caused by this type of injury. METHODS Cross-sectional study of labor injuries verified by the occupational medical service of the bank. Absolute (n) and relative (%) frequencies related to interesting variables were described. Chi-square test was used to assess correlation. RESULTS Along the mentioned period of time, 1.517 traumatic occupational injuries were recorded on a population of 14.541 workers. 27% of them were LATT. 1,3% of these were fatal or seriously harmful, significantly associated to sex and age (p < 0,05). Co-driver damage, LATT in itinere and twist or sprain were more common in women. LATT at work and closed fractures were more frequent in men.Work disability caused by LATT was higher than other traumatic occupational injuries. CONCLUSIONS LATT in the studied sample were almost three times higher than LATT are among general Spanish population, but serious lesions in our group were less common.We observed differences in LATT distribution by sexes and ages in workers included in this study, and also a higher incidence of work disability compared to the whole traumatic occupational injuries. Public health and occupational health authorities must find efficient strategies in order to diminish the incidence of these LATT-associated injuries.
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Affiliation(s)
- Luis Reinoso-Barbero
- Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales, Grupo Banco Popular (GBP), Madrid, Spain.
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9
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Reinoso-Barbero L, Díaz-Garrido R, González-Gómez MF, Olarrea J, Gómez-Gallego F, Bandrés F. [Occupational semicircular lipoatrophy associated with serum adipokine abnormalities]. Med Clin (Barc) 2015; 145:338-40. [PMID: 25794769 DOI: 10.1016/j.medcli.2014.12.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2014] [Revised: 12/05/2014] [Accepted: 12/11/2014] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The aim of this study was to examine the relationship between semicircular lipoatrophy (SL), inflammation marker (high sensibility C-reactive protein [hs-CRP]), adipokines (leptine, chemerine and vaspine) and autoimmune markers (rheumatoid factor [RF], C3 and C4 complement fractions, antinuclear antibodies [ANA], HLA DR3, and DR4). Chemerine is an adipokine, but also is an immunity marker. METHODS A case-control study was performed in May 2013; 21 cases were included. The closest healthy coworker to each case was used as a control. We calculated Kruskal-Wallis nonparametric test. RESULTS We found statistical significance (P<.05) between SL and raised hs-CRP, raised leptine and low chemerine. CONCLUSIONS i) There seems to be an underlying inflammatory component (raised hs-CRP) in SL; ii) adipokine alteration (raised leptine and low chemerine) supports the idea that adipocytic differentiation is affected in SL, and iii) we have not found any immune marker associated with SL, except chemerine itself, which could explain a possible association between SL and immunity.
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Affiliation(s)
- Luis Reinoso-Barbero
- Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales, Grupo Banco Popular (GBP), Madrid, España; Departamento de Ciencias Morfológicas y Biomedicina, Facultad de Ciencias de la Salud, Universidad Europea de Madrid (UEM), Villaviciosa de Odón, Madrid, España.
| | - Ramón Díaz-Garrido
- Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales, Grupo Banco Popular (GBP), Madrid, España
| | | | - José Olarrea
- Departamento de Matemática Aplicada y Estadística, Escuela Técnica Superior de Ingenieros Aeronáuticos, Universidad Politécnica de Madrid (UPM), Madrid, España
| | - Félix Gómez-Gallego
- Departamento de Ciencias Morfológicas y Biomedicina, Facultad de Ciencias de la Salud, Universidad Europea de Madrid (UEM), Villaviciosa de Odón, Madrid, España
| | - Fernando Bandrés
- Departamento de Toxicología y Legislación Sanitaria, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid, España
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10
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Reinoso-Barbero L, Díaz-Garrido R, González-Gómez MF, Jaureguizar-Cervera E, Piñaga-Solé M, Reyes-García R. Non work-related sickness absence in 2013 in a Spanish banking sector company. Arch Prev Riesgos Labor 2015; 18:130-5. [DOI: 10.12961/aprl.2015.18.3.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Accepted: 03/10/2015] [Indexed: 10/22/2022] Open
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Reinoso-Barbero L, Díaz-Garrido R, Fernández-Fernández M, Capapé-Aguilar A, Romero-Paredes C, Aguado-Benedí MJ. Pulmonary thromboembolism in Occupational Medicine. Arch Prev Riesgos Labor 2015; 18:143-5. [DOI: 10.12961/aprl.2015.18.3.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Accepted: 04/16/2015] [Indexed: 10/22/2022] Open
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Verde Z, Reinoso-Barbero L, Chicharro L, Garatachea N, Resano P, Sánchez-Hernández I, Rodríguez González-Moro JM, Bandrés F, Santiago C, Gómez-Gallego F. Effects of cigarette smoking and nicotine metabolite ratio on leukocyte telomere length. Environ Res 2015; 140:488-94. [PMID: 25996625 DOI: 10.1016/j.envres.2015.05.008] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Revised: 04/28/2015] [Accepted: 05/06/2015] [Indexed: 06/04/2023]
Abstract
Studies of the effects of smoking on leukocyte telomere length (LTL) using cigarettes smoked per day or pack years smoked (PYS) present limitations. Reported high levels of smoking may not increase toxin exposure levels proportionally. Nicotine metabolism ratio (NMR) predicts total cigarette puff volume and overall exposure based on total N-nitrosamines, is highly reproducible and independent of time since the last cigarette. We hypothesized that smokers with higher NMRs will exhibit increased total puff volume, reflecting efforts to extract more nicotine from their cigarettes and increasing toxin exposure. In addition, higher levels of smoking could cause a gross damage in LTL. The urinary cotinine, 3-OH cotinine and nicotine levels of 147 smokers were analyzed using a LC/MS system Triple-Q6410. LTL and CYP2A6 genotype was determined by PCR in blood samples. We found a significant association between NMR and CYP2A6 genotype. Reduction in LTL was seen in relation to accumulated tobacco consumption and years smoking when we adjusted for age and gender. However, there were no significant differences between NMR values and LTL. In our study the higher exposure was associated with lower number of PYS. Smokers with reduced cigarette consumption may exhibit compensatory smoking behavior that results in no reduced tobacco toxin exposure. Our results suggest that lifetime accumulated smoking exposure could cause a gross damage in LTL rather than NMR or PYS. Nevertheless, a combination of smoking topography (NMR) and consumption (PYS) measures may provide useful information about smoking effects on health outcomes.
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Affiliation(s)
- Zoraida Verde
- Department of Morphological Sciences and Biomedicine, Universidad Europea, Madrid, Spain.
| | - Luis Reinoso-Barbero
- Department of Morphological Sciences and Biomedicine, Universidad Europea, Madrid, Spain; Occupational Medicine, Grupo Banco Popular, Madrid, Spain
| | - Luis Chicharro
- Department of Morphological Sciences and Biomedicine, Universidad Europea, Madrid, Spain
| | - Nuria Garatachea
- Faculty of Health and Sport Sciences, Universidad de Zaragoza, Huesca, Spain
| | - Pilar Resano
- Department of Neumology, Hospital Guadalajara, Guadalajara, Spain
| | | | | | - Fernando Bandrés
- Department of Toxicology and Health Sanitary, Universidad Complutense, Madrid, Spain
| | - Catalina Santiago
- School of Doctoral Studies & Research, Universidad Europea, Madrid, Spain
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Verde Z, Reinoso-Barbero L, Chicharro L, Resano P, Sánchez-Hernández I, Rodríguez González-Moro JM, Bandrés F, Gómez-Gallego F, Santiago C. The Effect of Polymorphisms in DNA Repair Genes and Carcinogen Metabolizers on Leukocyte Telomere Length: A Cohort of Healthy Spanish Smokers. Nicotine Tob Res 2015; 18:447-52. [PMID: 25987675 DOI: 10.1093/ntr/ntv106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2015] [Accepted: 05/08/2015] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Smoking implies exposure to carcinogenic agents that causes DNA damage, which could be suspected to enhance telomere attrition. To protect and deal with DNA damage, cells possess mechanisms that repair and neutralize harmful substances. Polymorphisms altering DNA repair capacity or carcinogen metabolism may lead to synergistic effects with tobacco carcinogen-induced shorter telomere length independently of cancer interaction. The aim of this study was to explore the association between leukocyte telomere length (LTL) and several genetic polymorphisms in DNA repair genes and carcinogen metabolizers in a cohort of healthy smokers. METHODS We evaluated the effect of six genetic polymorphisms in cytochrome P1A1 (Ile462Val), XRCC1 (Arg399Gln), APEX1 (Asp148Glu), XRCC3 (Thr241Met), and XPD (Asp312Asn; Lys751Gln) on LTL in a cohort of 145 healthy smokers in addition to smoking habits. RESULTS Logistic regression analysis showed an association between XRCC1 399Gln allele and shorter telomere length (OR = 5.03, 95% CI = 1.08% to 23.36%). There were not association between the rest of polymorphisms analyzed and LTL. CONCLUSIONS Continuous exposure to tobacco could overwhelm the DNA repair machinery, making the effect of the polymorphisms that reduce repair capacity more pronounced. Analyzing the function of smoking-induced DNA-repair genes and LTL is an important goal in order to identify therapeutic targets to treat smoking-induced diseases.
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Affiliation(s)
- Zoraida Verde
- Department of Biomedical Sciences, Universidad Europea, Madrid, Spain;
| | - Luis Reinoso-Barbero
- Department of Biomedical Sciences, Universidad Europea, Madrid, Spain; Department of Occupational Medicine, Grupo Banco Popular, Madrid, Spain
| | - Luis Chicharro
- Department of Biomedical Sciences, Universidad Europea, Madrid, Spain
| | - Pilar Resano
- Department of Neumology, Hospital Guadalajara, Guadalajara, Spain
| | | | | | - Fernando Bandrés
- Department of Toxicology and Health Sanitary, Universidad Complutense, Madrid, Spain
| | | | - Catalina Santiago
- School of Doctoral Studies and Research, Universidad Europea, Madrid, Spain
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Reinoso-Barbero L, Díaz-Garrido R, Reyes-García R, Fernández-Fernández M, Garrido-Astray MC, Muñoz-Ruipérez C. [Anorexia nervosa in a worker: a case report]. Arch Prev Riesgos Labor 2015; 18:17-8. [PMID: 25584877 DOI: 10.12961/aprl.2015.18.1.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Accepted: 10/28/2014] [Indexed: 10/23/2022] Open
Abstract
We describe the management of a case of anorexia nervosa (body mass index, -BMI-, 13,6 Kg/m2) in a bank teller. The case was detected through routine occupational health surveillance. After being evaluated by different specialists (general practitioner, psychiatrist and endocrinologist) and being closely monitored (by psychology, nursing, and occupational medicine), the worker regained weight to a near normal BMI (17 Kg/m2) in less than a year and a half. Eating disorders are a common pathology (non-occupationally related), but their high prevalence (5% of the population over a lifetime) and social and job-related impact (affecting more than 20% of cases), make them a necessary focus of attention for health promotion in the workplace. Health prevention, promotion and surveillance may be also reinforced at the workplace.
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Reinoso-Barbero L, Fernández-Fernández M, Capapé-Aguilar A, Aguado-Benedí MJ. [Job profile diagram and working aptitude. Occupational Medicine]. Med Clin (Barc) 2014; 143:565-6. [PMID: 24855901 DOI: 10.1016/j.medcli.2014.02.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Accepted: 02/13/2014] [Indexed: 10/25/2022]
Affiliation(s)
- Luis Reinoso-Barbero
- Medicina del Trabajo, Servicio de Prevención de Riesgos Laborales, Grupo Banco Popular, Madrid, España; Departamento de Ciencias Morfológicas y Biomedicina, Facultad de Ciencias de la Salud, Universidad Europea de Madrid, Madrid, España.
| | - Miguel Fernández-Fernández
- Departamento de Ciencias Morfológicas y Biomedicina, Facultad de Ciencias de la Salud, Universidad Europea de Madrid, Madrid, España; Departamento de Toxicología y Legislación Sanitaria, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
| | - Ana Capapé-Aguilar
- Departamento de Toxicología y Legislación Sanitaria, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
| | - María-José Aguado-Benedí
- Departamento de Toxicología y Legislación Sanitaria, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Equipo de Valoración de Incapacidades, Unidad Médica de la Dirección Provincial del Instituto Nacional de la Seguridad Social, Toledo, España
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Reinoso-Barbero L, Capapé-Aguilar A, Díaz-Garrido R, Santiago Dorrego C, Gómez-Gallego F, Bandrés Moya F. CARDIOVASCULAR RISK PREDICTION AND ITS RELATIONSHIP WITH METABOLIC SYNDROME AND EMERGING SERUM MARKERS IN OCCUPATIONAL HEALTH SURVEILLANCE. Arch Prev Riesgos Labor 2014; 17:91-6. [DOI: 10.12961/aprl.2014.17.2.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 03/06/2014] [Indexed: 10/25/2022] Open
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Reinoso-Barbero L, Díaz-Garrido R, Piñaga-Solé M, Fernández-Fernández M, Belanger-Quintana D, Gómez-Gallego F. [Screening in occupational medicine: prevention and research]. Arch Prev Riesgos Labor 2014; 17:33-4. [PMID: 24458209 DOI: 10.12961/aprl.2014.17.1.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Affiliation(s)
- Luis Reinoso-Barbero
- Medicina del Trabajo, Servicio Prevención Riesgos Laborales, Grupo Banco Popular, Madrid, Spain
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Reinoso-Barbero L, Díaz-Garrido R, Piñaga-Solé M, Fernández-Fernández M, Belanger-Quintana D, Gómez-Gallego F. [Four year follow-up of a screening program for prostate cancer in workers]. Arch Prev Riesgos Labor 2013; 16:125-9. [PMID: 23828118 DOI: 10.12961/aprl.2012.16.3.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 01/03/2013] [Accepted: 04/25/2013] [Indexed: 09/29/2022]
Abstract
OBJECTIVES To analyze our four-year follow-up experience (2008-2011) with a prostate cancer screening program offered to employees of a banking company. METHODS Data were obtained from the health examinations carried out by the bank's in-house occupational health service (with centers in Barcelona, Madrid and Valencia). PSA (prostate-specific antigen) blood levels were measured and cases with high levels (>4 ng/ml) were followed through diagnosis and treatment, including a telephone survey of confirmed cases. Personal and occupational characteristics of the participants were analyzed as well. RESULTS 750 workers (99% with administrative and/or commercial jobs) met the inclusion criteria for the screening program. Of these, 110 had elevated PSA levels on at least one occasion. The diagnosis of prostate cancer was confirmed in 21 cases. There were no associations between a diagnosis of cancer and the remaining analyzed variables. Urology and pathology records were retrieved for 76% of the contacted cases. The most frequent histological type was adenocarcinoma (98%), the most common Gleason grade at diagnosis was 6-7% (88%), and the majority of cases were treated surgically (90%).With respect to adverse effects, 48% of cases described erectile dysfunction and 33% reported urinary incontinence. CONCLUSIONS In our program the observed prevalence of prostate cancer was above that expected (respectively, 21 confirmed cases vs. 12 expected). The identified cases unanimously expressed their support for the screening program.
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Affiliation(s)
- Luis Reinoso-Barbero
- Medicina del Trabajo, Servicio Prevención Riesgos Laborales, Grupo Banco Popular, Madrid, Spain.
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Reinoso-Barbero L, Díaz-Garrido R, Piñaga-Solé M, Fernández-Fernández M, Belanger-Quintana D, Gómez-Gallego F. FOUR YEAR FOLLOW-UP OF A SCREENING PROGRAM FOR PROSTATE CANCER IN WORKERS. Arch Prev Riesgos Labor 2013. [DOI: 10.12961/aprl.2013.16.3.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Reinoso-Barbero L, González-Gómez MF, Bélanger-Quintana D, Piñaga-Solé M, Fernández-Fernández M, Garrido-Astray MC, Capapé-Aguilar A, Mota-Olmeda A, Díaz-Garrido R, Gómez-Gallego F, Bandrés-Moya F, Sanz-González J. Case-control study of semicircular lipoatrophy, a new occupational disease in office workers. J Occup Health 2013; 55:149-57. [PMID: 23648474 DOI: 10.1539/joh.12-0269-oa] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Semicircular lipoatrophy (SL) is an emerging occupational pathology. Its etiology is poorly understood. We intend to establish the probable risk factors and estimate the relative risk. METHODS A case-control study was performed. Our company had 55 diagnosed cases. As controls, we used the 3 closest healthy coworkers to each case. We calculated the chi square, odds ratio and logistic regression for different exposures, during the 3 years from September 2007 to August 2010. RESULTS There was 100% participation for the cases and 70.9% for the controls (ratio 1 : 2.1 case-control). The only risk variables found were female gender (p<0.02) and exposure to leaning on the edge of a table (p<0.01). In addition, a breakdown by sex objectifies a much stronger association with leaning on the edge of a table in women (p<0.01) than men (p 0.67). CONCLUSIONS Female gender and leaning on the edge of a table (repeated microtrauma), especially in women, are risk factors for development of SL. Other variables seem to be confounding factors associated with female gender. There were no SL cases showing statistically significant relations with history of cancer or autoimmune diseases. There was also no significance with regard to wearing jeans. There is therefore a new risk for office staff in addition to the more traditional disorders (musculoskeletal, ocular, and psychosocial). Further studies are necessary to evaluate what we consider an underdiagnosed condition, since there is a large percentage of people that are potentially exposed and we found very little information in the literature on the matter.
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