PhareSST (Institut de recherche Robert-Sauvé)
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Engaging patients through education: A modified-Delphi consultation to develop recommendations for patient education interventions in the management of subacromial pain syndrome in physical therapy
No full textPurpose: To develop recommendations to support the range of patient education interventions relevant in the management of patients with subacromial pain syndrome (SAPS) in physical therapy. Materials and methods: A 3-round modified Delphi consultation was used to obtain consensus agreement on the relevance of 12 preliminary recommendations. These were developed from a literature review and an expert consultation on general educational strategies and specific patient education interventions for the management of SAPS. The analysis assessed the rate of consensus on the relevance of these recommendations. Delphi panelists were rehabilitation professionals including physical (n = 21) and occupational therapists (n = 1) with SAPS experience, and patient-partners (n = 2) presenting shoulder pain. Results: The Delphi consultation resulted in 13 revised consensus recommendations. Six consensus recommendations addressed general educational strategies to facilitate patient education, including teaching methods and materials, and seven addressed specific educational interventions, including teaching symptom self-management and tailoring activities and participation. These recommendations were incorporated into a clinical decision-making tool to support the selection of the most relevant patient education interventions. Conclusion: The recommendations developed in this study are relevant to guide physical therapist’s clinical decisions making regarding interventions using patient education for SAPS. They promote active engagement and empowerment of individuals with SAPS. © 2024 Informa UK Limited, trading as Taylor & Francis Group
Follow-up biomonitoring study of metal exposure in apprentice welders in Montreal, Quebec, during gas metal arc welding (GMAW)
Full text linkWelding activities are known to expose workers to metal fumes, but few studies have focused on assessing the internal exposure of apprentices in learning environments. This study aimed at determining internal doses of metals in apprentices performing gas metal arc welding (GMAW) during their training course. A total of 85 apprentice welders were assessed, and multi-elements were measured in urine, hair, fingernail, and toenail samples collected at the beginning of the program, and at the beginning and end of GMAW practical training. Concentrations of welding fumes and metals were also determined in personal respirable air samples. Serial measurements of metal concentrations in urine and hair, which reflect more recent exposure, showed an increase in arsenic (As), chromium (Cr), iron (Fe), and manganese (Mn) (and to a lesser extent nickel (Ni)) levels at the end of the GMAW process. Metal concentrations in fingernails and toenails showed a time-dependent increase in Fe, Mn, and Ni (and to a lesser extent cobalt (Co)) levels, reflecting cumulative exposure. Levels of Mn and Fe were high in personal air samples with respective median concentrations (95th percentiles) of 21 (300) and 230 (1900) µg/m3. Results show that even short-term exposure to welding fumes in a learning environment leads to a significant increase in absorbed metal doses, particularly for Fe and Mn. This follow-up study confirmed the interest and usefulness of measuring multi-elements in multiple matrices to assess internal exposure to welding fumes and its applicability to occupational or even population exposure to metals. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024
L’industrie du recyclage : quand l\u27ambition verte masque des réalités plus sombres
No full textCette conférence présente les risques variés au sein des industries de recyclage, qu\u27il s\u27agisse de recyclage domestique, commercial ou électronique. La précarité de l’emploi ainsi que les diverses situations de vulnérabilité auxquelles sont confrontés les travailleuses et travailleurs de ce secteur seront également discutées lors de cette conférence conjointe
La gestion des matières résiduelles : bien plus complexe que compter un, deux, trois
No full textCette conférence propose un survol des implications que pose la gestion des matières résiduelles en santé et sécurité du travail. Comment l’objectif de réduction du déchet ultime influence la SST
A quantitative method to guide the integration of textile inductive electrodes in automotive applications for respiratory monitoring
Full text linkInduction-based breathing sensors in automobiles enable unobtrusive respiratory rate monitoring as an indicator of a driver’s alertness and health. This paper introduces a quantitative method based on signal quality to guide the integration of textile inductive electrodes in automotive applications. A case study with a simplified setup illustrated the ability of the method to successfully provide basic design rules about where and how to integrate the electrodes on seat belts and seat backs to gather good quality respiratory signals in an automobile. The best signals came from the subject’s waist, then from the chest, then from the upper back, and finally from the lower back. Furthermore, folding the electrodes before their integration on a seat back improves the signal quality for both the upper and lower back. This analysis provided guidelines with three design rules to increase the chance of acquiring good quality signals: (1) use a multi-electrode acquisition approach, (2) place the electrodes in locations that maximize breathing-induced body displacement, and (3) use a mechanical amplifying method such as folding the electrodes in locations with little potential for breathing-induced displacement
Prevalent occupational exposures and risk of lung cancer among women: Results from the application of the Canadian Job-Exposure Matrix (CANJEM) to a combined set of ten case–control studies
No full textBackground: Worldwide, lung cancer is the second leading cause of cancer death in women. The present study explored associations between occupational exposures that are prevalent among women, and lung cancer. Methods: Data from 10 case–control studies of lung cancer from Europe, Canada, and New Zealand conducted between 1988 and 2008 were combined. Lifetime occupational history and information on nonoccupational factors including smoking were available for 3040 incident lung cancer cases and 4187 controls. We linked each reported job to the Canadian Job-Exposure Matrix (CANJEM), which provided estimates of probability, intensity, and frequency of exposure to each selected agent in each job. For this analysis, we selected 15 agents (cleaning agents, biocides, cotton dust, synthetic fibers, formaldehyde, cooking fumes, organic solvents, cellulose, polycyclic aromatic hydrocarbons from petroleum, ammonia, metallic dust, alkanes C18+, iron compounds, isopropanol, and calcium carbonate) that had lifetime exposure prevalence of at least 5% in the combined study population. For each agent, we estimated lung cancer risk in each study center for ever-exposure, by duration of exposure, and by cumulative exposure, using separate logistic regression models adjusted for smoking and other covariates. We then estimated the meta-odds ratios using random-effects meta-analysis. Results and Conclusions: None of the agents assessed showed consistent and compelling associations with lung cancer among women. The following agents showed elevated odds ratio in some analyses: metallic dust, iron compounds, isopropanol, and organic solvents. Future research into occupational lung cancer risk factors among women should prioritize these agents. © 2024 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC
Design and validation of a wind tunnel for viral aerosol filtration testing
No full textFace masks were heavily used during the SARS-CoV-2 pandemic to reduce the transmission of the virus by aerosols. These facial barriers are tested in laboratory against particles and bacteria, but their efficiency is not tested for viruses. This study presents a wind tunnel designed to evaluate the filtration efficiency of different material use in face masks against particulates, total viral genomes and assess filtration impact on viral infectivity. The test bench was validated theoretically by mathematical modeling and experimentally by testing the performance of standardized masks against particles and MS2 viruses (Emesvirus zinderi). Results demonstrate that the data obtained for particle filtration was reliable and that filtration efficiency against viruses can be measured with the device. Copyright © 2024 American Association for Aerosol Research. © 2024 American Association for Aerosol Research
Personalizing rehabilitation for individuals with musculoskeletal impairments: Feasibility of implementation of the Measures Associated to Prognostic (MAPS) tool
No full textIntroduction
The Measures Associated to PrognoStic (MAPS) tool is a standardized questionnaire that integrates validated prognostic tools to detect the presence of biopsychosocial prognostic factors in patients consulting for musculoskeletal disorders.
Purpose
The objectives were to assess the: 1) feasibility of implementation of the MAPS tool, 2) clinicians’ acceptability of the dashboard, and 3) patients’ acceptability of the MAPS tool.
Methods
Twenty physiotherapists and two occupational therapists from seven outpatient musculoskeletal clinics were recruited to implement the MAPS tool during a 3-month timeframe, where new patients completed the questionnaire upon initial assessment. The results were presented to the clinicians via a dashboard. Surveys and semi-structured interviews were conducted to measure feasibility and acceptability.
Results
Six out of 11 feasibility criteria (55%) and 21 out of 24 acceptability criteria (88%) reached the a priori threshold for success. The interviews allowed us to identify three main themes to facilitate implementation: 1) limiting the burden, 2) ensuring patients’ understanding of the tool’s purpose, and 3) integrating the dashboard as a clinical information tool.
Conclusion
Our quantitative and qualitative results support the feasibility of implementation and acceptability of the MAPS tool pending minor adjustments. Depicting the patients’ prognostic profile has the potential to help clinicians optimize their interventions for patients presenting with musculoskeletal disorders