Rupture of a cerebral aneurysm and the resulting subarachnoid hemorrhage often lead to early and long-term neurological deficits. These impairments significantly limit daily functioning and hinder return to work. The ability and timing of return to work after interventional treatment depend on multiple clinical and individual factors. The aim of the study was to review evidence on return to work among patients following surgical and endovascular treatment of ruptured cerebral aneurysms. The review included 27 publications from 1999-2025 on return to work after aneurysmal subarachnoid hemorrhage. The findings indicate that neurological outcomes, severity of persistent symptoms, age, and mental health are the main factors determining return to work. Type of occupation also play a significant role. Systematic monitoring of return-to-work outcomes after treatment of ruptured cerebral aneurysms appears to be an important component of treatment evaluation. It may facilitate identification of barriers that hinder the return to work and support the development of more targeted and effective therapeutic interventions. Med Pr Work Health Saf. 2026;77(6).

As civilization progress, the number of older people is constantly growing. Furthermore, they suffer a higher burden of comorbidity and polipharmacy, which has a significant impact on the overall well-being of people in this age group. Elderly people are at risk of vitamin D deficiency, which is necessary for the proper functioning of the human body by regulating the calcium-phosphate metabolism. The presented studies indicate the importance of adequate levels of 25-hydroxyvitamin D [25(OH)D] in the prevention of bone fractures. Literature analysis also indicates an increased risk of cardiovascular diseases and hypertension in subjects with significant vitamin D deficiencies. Promising are also the results showing the antiproliferative effect of vitamin D on cells of certain cancers. The study aims to identify the importance of maintaining proper levels of 25(OH)D in the blood serum of elderly people through an appropriate diet, sun exposure, and supplementation. Med Pr Work Health Saf. 2026;77(4).

Burnout is a multidimensional occupational syndrome characterized by emotional exhaustion (EE), depersonalization, and low personal accomplishment. Nurses are particularly vulnerable due to sustained physical, emotional, and organizational stressors. Physical activity (PA) and cardiorespiratory fitness (CRF) have been proposed as protective factors; however, evidence remains inconsistent, and burnout is often analyzed as a single global construct. This review aimed to synthesize evidence on the association between burnout and PA or CRF in nurses, with emphasis on burnout dimensions, underlying mechanisms, epidemiological findings, measurement considerations, and occupational health implications. A literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar for English-language studies published up to 2025. Observational and interventional studies, as well as systematic reviews, examining burnout in relation to PA or CRF were included. Evidence was synthesized narratively without quantitative meta-analysis. Burnout prevalence among nurses is high, particularly for EE. Most studies demonstrate an inverse association between PA and burnout, with some evidence of dose-response relationships. However, PA is predominantly self-reported, and objective CRF assessment in nurses is scarce. Burnout dimensions are inconsistently analyzed, with many studies relying on total scores rather than dimension-specific evaluation. Mechanistically, PA and CRF may reduce burnout risk through improved stress regulation, autonomic balance, recovery processes, and enhanced functional work capacity. To conclude, PA appears protective against burnout in nurses, whereas the role of objectively measured CRF remains underexplored. Future longitudinal research incorporating dimension-specific burnout analysis and objective CRF assessment is needed to inform targeted occupational health interventions. Med Pr Work Health Saf. 2026;77(3):255-269.

Modern coffee processing generates a complex, co-localized mixture of respiratory hazards, such as carbon monoxide (CO), volatile α-diketones (principally diacetyl and 2,3-pentanedione), and bio-reactive coffee dust, that challenge single-agent risk paradigms. This systematic review synthesizes quantitative exposure data, exposure-response relationships, mechanistic plausibility, and control efficacy to characterize the occupational respiratory burden associated with simultaneous exposure to these agents. A systematic search of literature (in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses - PRISMA 2020) was conducted choosing eligible studies reported quantitative exposure metrics (CO in ppm, α-diketones in ppb, particulate matter in mg/m[3]) and respiratory health outcomes among coffee industry workers. Task-based monitoring identified grinding, flavoring, and packaging as peak emission events. Epidemiological findings included sentinel clusters of obliterative bronchiolitis, increased prevalence of obstructive spirometric abnormalities, and measurable forced expiratory volume (FEV1) declines associated with cumulative α-diketone exposure; organic dust exposure correlated with chronic cough, dyspnea, and reduced FEV1/forced vital capacity. Co-exposure to CO, α-diketones, and coffee dust in roasting, grinding, and packaging operations produces a substantive occupational respiratory risk profile, including both acute systemic hazards and chronic small-airway injury. Preventing occupational risk requires prioritizing engineering controls, task-specific ventilation design for peak emissions, and longitudinal exposure and health surveillance to define dose-response relationships for complex mixtures and to inform evidence-based occupational exposure limits.

During hospitalization, older patients are exposed to an environment that differs from their home environment, which is particularly difficult for them. This article is a descriptive review of articles concerning the identification of factors relevant to the well-being of older people requiring hospitalization, covering data from the PubMed database 2015-2025. These factors included aspects of the hospital environment (such as interior design, furniture, lighting, music, the presence of friends or family), leisure activities, physical activity, adequate sleeping conditions and a sense of security. New technologies, such as smartphones and wearable devices, can help to achieve these goals. Elderly-friendly hospitals should recognise the specific needs of older people and provide them with security, well-being and privacy. Ultimately, improving the comfort of elderly patients in hospital leads to better treatment outcomes. Med Pr Work Health Saf. 2026;77(4).