Publications by authors named "Shlomo Moshe"

Background: Occupational skin disease (OSD), such as contact dermatitis, is widespread among dental professionals; however, reports regarding its prevalence have inconsistent findings and methodology. Therefore, we conducted a cross-sectional survey using a self-reported questionnaire to estimate the prevalence of work-related and occupational exposure-induced skin diseases.

Methodology: A self-administered questionnaire, based on the validated Nordic Occupational Skin Questionnaire-2002, was distributed to 15 dental clinics in Israel in the first half of 2022.

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Background: Physical and psychosocial demands (e.g., serving, cleaning, fulfilling orders) can lead to work-related musculoskeletal pain (WRMSP).

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Background: Occupational Health Services (OHS) are comprehensive, multidisciplinary services supplied by various trained workers, including occupational physicians (OP), whose specialty is focused on workers' health.

Aims: Our study questions are whether the OP/worker ratio may reflect the scope and availability of OHS.

Methods: This comparative study, conducted on globally different OHS, was based on literature analysis of peer-reviewed articles published in journals covering topics of occupational medicine and public health that addressed parameters on the type and scope of OHS provision.

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Article Synopsis
  • - Contact dermatitis is a widespread condition affecting about 20% of people globally, primarily classified into irritant (80%) and allergic types (20%), and is especially prevalent in military settings.
  • - A study in Israel compared allergic contact dermatitis (ACD) between 1800 civilians and 750 soldiers, revealing that soldiers had higher rates of positive occupational allergic reactions and more extensive dermatitis.
  • - The findings suggest that military personnel's occupational exposure and characteristics differ from civilians, emphasizing the need for tailored workplace evaluations to prevent ACD.
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Objectives: To investigate the annual rate of NIHL in Israel, a modern economy with relatively low industrial hazardous noise exposure. To review international protocols of hearing surveillance. To recommend an effective, efficient, hearing screening frequency protocol.

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Background: The exposure patterns of respirable crystalline silica based on environmental records, as well as the link to different diseases, are not well described.

Aims And Objectives: In this study, we evaluated the risk for various diseases in relation to occupational silica exposure, including Silicosis, pulmonary tuberculosis (TB), Autoimmune disorders (AIDs) and Renal diseases.

Methods: We assessed the relationship between silica exposure and the rate of various diseases such as silicosis, pulmonary TB, AIDs and renal diseases in a cross-sectional study.

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Background: Occupational contact dermatitis may progress to a chronic course with an unfavorable prognosis. Dupilumab has been shown to be effective as a treatment for moderate-to-severe atopic dermatitis as well as other types of dermatitis.

Objectives: The aim of the study was to describe cases of chronic recalcitrant occupational contact dermatitis treated with dupilumab and with long-term follow-up.

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Article Synopsis
  • The study investigates whether individuals with atopic diseases have a different risk of developing allergic contact dermatitis (ACD) compared to non-atopic individuals, addressing conflicting data on this issue.
  • A total of 301 patients were evaluated for ACD, revealing that 59% had at least one positive patch test reaction, with a slightly higher occurrence among those with a history of atopy.
  • Although the findings suggest a trend linking atopy to ACD, the differences were not statistically significant, highlighting the need for further research in larger populations to better understand this association.
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Objective: To study the long-term effectiveness of case-management rehabilitation intervention on vocational reintegration of patients after myocardial infarction (MI).

Design: Blinded simple randomization was used to construct an intervention and control groups that were followed up for two years.

Subjects And Setting: 151 patients, aged 50.

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Purpose: To examine the implementation, clinical effects, and adherence of occupational physicians to the clinical practice guidelines (CPG) published in 2003 in Israel, regarding return to work following acute myocardial infarction (AMI).

Methods: We analyzed 3 populations referred to Maccabi Health Services occupational clinics for fitness for work examinations following AMI, either before the guidelines were published (group 1), after their first publications in 2003 (group 2) or after they were re-published in Harefuah Journal in 2007 (group3).

Results: The documentation among groups 1,2,3 of different parameters like years of education (18.

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Diabetes mellitus is one of the most significant and prevalent chronic diseases. Individuals with diabetes can still encounter substantial difficulties in finding and keeping their job because of their condition. The purpose of this study was to examine the scope of diabetes-related absence from work and its relationship with variables such as type of employer, workload, the severity of illness, and type of treatment.

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Background And Purpose: Diabetes control measures were shown to improve, following multidisciplinary intervention managed by a nurse in short-term follow-ups. However, there is a lack of data regarding the long-term effects of such interventions. We assessed long-term diabetes management and control measures in a central multidisciplinary primary care clinic, following a brief intervention conducted by a community nurse.

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Study Design: An analytical cross-sectional computed tomography (CT) study.

Objective: To investigate the association of the cross-sectional area (CSA) and density of neck muscles (sternocleidomastoid, upper trapezius, levator scapulae, anterior scalene, longus coli, longus capitis) with upper quadrant pain and disability.

Summary Of Background Data: Neck pain, a common condition, causes substantial disability to individuals.

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Objective: Amongst the many intricacies engendered by the COVID-19 pandemic was the posed risk of exposure to SARS-COV2 infections among workers and the need to evaluate fitness for work (FFW) of individuals in high exposure groups or those with background morbidity. A designated task force of the Israeli Association of Occupational Medicine has evaluated the relevant literature and published guidelines concerning medical work restrictions for employees in high-risk occupations during the epidemic of novel COVID-19.

Methods: The study depicts a case series of 17 FFW evaluations performed in Maccabi Health Services occupational clinics using the guidelines formulated by the Israeli Occupational Medicine Association.

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Objectives: Fibromyalgia (FM) is a central pain syndrome characterised by widespread pain, fatigue, unrefreshing sleep, memory impairment and cognitive changes, predominantly in women, and is a cause for disability and frequent sick leave. So far, no assessment has been made of the use of the American College of Rheumatology (ACR) 2010 questionnaire in the fitness for work (FFW) assessment of FM patients. To assess the correlation between the severity of FM as measured by the ACR questionnaire and other parameters and FFW.

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Background: The reported prevalence of spondylolysis (SL) in the adult population is 6-7%. Data concerning adolescent-onset spondylolisthesis (SLS) and the impact of certain activities on it is scarce. We examined the risk of clinical progression of SL and SLS as a function of primary severity and occupational strain among military recruits.

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Objective: One of the tools to assess depression severity is the Patient Health Questionnaire (PHQ-9). Our aim was to investigate the correlation between PHQ-9 scores and fitness for work (FFW) in major depressive disorder (MDD).

Methods: A cross-sectional study in patients who were evaluated for their FFW and later compared with PHQ-9.

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Occupational health in Israel is unique as it was originally established as a socialized service which anchored in extensive legislation and is accessible to all employees and employers without copayment. We review historical processes and legal basis that led to current structure of public occupational medicine services in Israel. Some of these go back a century and others extend way back to biblical times.

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The lens of the eye is among the most sensitive organs to ionizing radiation in the human body. The cataract is the earliest documented side effect of ionizing radiation, first reported in lab animals in 1897, only a year after the discovery of X-rays, and in 1906 among human radiation technicians. However, the exact mechanisms underlining this pathology have yet to be uncovered.

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Background And Objectives: Allergic contact dermatitis is a common dermatosis among military personnel. Given the unique military demands, it is not surprising that shoe dermatitis and textile dermatitis are common. Our study aimed to compare the clinical and demographic parameters between military personnel and civilians evaluated for the suspicion of shoe and textile dermatitis in a tertiary clinic in Israel.

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Background: Episodes of low back pain (LBP) are very common among workers. A number of occupational risk factors have been shown to increase the risk for LBP. One of these risk factors is exposure to whole body vibration, which is a known characteristic in driving professions.

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