Ergonomics and Beyond: Understanding How Chemical and Heat Exposures and Physical Exertions at Work Affect Functional Ability, Injury, and Long-Term Health.

Ergonomics and Beyond: Understanding How Chemical and Heat Exposures and Physical Exertions at Work Affect Functional Ability, Injury, and Long-Term Health.
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DOI:
10.1177/0018720816645457
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发表时间:
2016-08
期刊:
影响因子:
3.3
通讯作者:
Bhattacharya A
Bhattacharya A
中科院分区:
心理学3区
文献类型:
--
作者:
Ross JA;Shipp EM;Trueblood AB;Bhattacharya A

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为了纪念汤姆·沃特斯在新兴职业健康问题上的工作,我们回顾了有关物理和化学暴露及其对功能结果影响的文献。许多职业都有机会接触多种危险因素,包括物理和化学因素。然而,人们对这些不同因素如何影响功能能力和损伤知之甚少。本次综述的目的是检查这些暴露、神经肌肉和肌肉骨骼系统损伤、功能结果和健康问题之间的关系,重点关注急性损伤。文献是通过在线数据库确定的,包括 PubMed、Ovid Medline 和 Google Scholar。搜索了所包含文章的参考文献以查找其他相关文章。本综述记录了有限的现有文献,这些文献讨论了物理暴露(热和重复负荷)和化学暴露(农药、挥发性有机化合物 [VOC] 和重金属)的神经毒性导致的认知障碍和功能障碍。本次审查支持,工人接触的物理和化学接触会对健康产生负面影响,包括功能障碍和伤害。对于开发风险评估模型并最终制定预防措施,尤其需要在量化这些不同暴露的联合暴露方面进行暴露评估创新。在评估功能能力和职业相关伤害时,除了物理暴露之外,还需要单独或组合考虑化学暴露。
To honor Tom Waters’s work on emerging occupational health issues, we review the literature on physical along with chemical exposures and their impact on functional outcomes. Many occupations present the opportunity for exposure to multiple hazardous exposures, including both physical and chemical factors. However, little is known about how these different factors affect functional ability and injury. The goal of this review is to examine the relationships between these exposures, impairment of the neuromuscular and musculoskeletal systems, functional outcomes, and health problems with a focus on acute injury. Literature was identified using online databases, including PubMed, Ovid Medline, and Google Scholar. References from included articles were searched for additional relevant articles. This review documented the limited existing literature that discussed cognitive impairment and functional disorders via neurotoxicity for physical exposures (heat and repetitive loading) and chemical exposures (pesticides, volatile organic compounds [VOCs], and heavy metals). This review supports that workers are exposed to physical and chemical exposures that are associated with negative health effects, including functional impairment and injury. Innovation in exposure assessment with respect to quantifying the joint exposure to these different exposures is especially needed for developing risk assessment models and, ultimately, preventive measures. Along with physical exposures, chemical exposures need to be considered, alone and in combination, in assessing functional ability and occupationally related injuries.
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