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2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

Arbeits- und

Arbeits- und Forschungsbericht 2011 und Planung 2012 diagnosis. Side projects: Biomonitoring of isocyanate metabolites in urine, toxicological kinetics of isocyanate excretion, characterization of the allergenic properties of isocyanates, field studies of isocyanate exposure in the workplace (directed by AG Occupational Toxicology and Immunology) Workplace investigations (AG Clinical Occupational Medicine) Conceptual design, analysis and evaluation of immunological and clinical aspects (Central Executive). Lung and Pleural Disorders caused by Asbestos The early detection of lung function changes after asbestos exposure is becoming extremely important because of the increasing frequency of asbestos-related diseases going to compensation. Also, asbestosis, with its asbestos-related pleural disorders and tumors, is becoming archetypical for restrictive lung disease and occupational cancer, so that a differentiated and sensitive early diagnosis is required. The ZfAM has been collaborating on the creation of a S2k guideline for the assessment and diagnosis of asbestos-related disorders as well as the refinement of these diagnoses by using NO diffusion, FeNO, lung compliance, etc. The project includes an extensive literature review, a meta-analysis and a WHO project. New questions incorporate the Statutory Health insurance concern about the effects of using the more predominant white asbestos (chrysotile) and the prognostic and insurance compensatory significance of carcinoma in situ of larynx and the bronchial system. The AG Occupational Epidemiology provides support in the selection and evaluation of publications, with overall control by the Central Executive. Side projects: Lung function tests of workers previously exposed to asbestos (directed by AG Clinical Occupational Medicine) Participation in Reviews (AG Occupational Epidemiology) Coordination of responsibilties and participation in reviews, development and implementation of the S2k Guideline "Assessment and diagnosis of asbestos-related diseases" (Central Executive) Stressprevention a) ashore, b) on board Stress and burnout risks in the ever-changing modern world of work are outstanding challenges and they are now a topic of lively scientific debate. A current focus of the ZfAM is the expression of this phenomenon in the shipping industry. In a comprehensive project for the prevention of stress led by the AG Maritime Medicine, a significant contribution to the promotion of occupational safety on board ship is being attempted. The scientific focus of this research project is designed to cover several years, from an initial hazard analysis of the working and living conditions on board to the development of practical prevention strategies. The AG Psychomental Stress participates conceptually. Side-projects: Survey of stress and burnout risk for seafarers on board ship (directed by AG Maritime Medicine, HPHC) Methodological advice on psychometric techniques and investigative tools (AG Psychomental Strain) Psychomental stress and strain in particular professions (directed by AG Psychomental Strain) Evaluation of the symptoms of the Burnout-Syndroms (AG Occupational Epidemiology 33

Working and Research Activities 2011 and Plans 2012 34

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