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The association between burnout and multiple roles at work and in the family among female Japanese nurses: a cross-sectional study. 日本女护士职业倦怠与工作和家庭多重角色的关系:一项横断面研究。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.2021-0280
Ryohei Kida, Keiko Fujinami, Yoshie Yumoto, Taisuke Togari, Yasuko Ogata

Female nurses experience work-family conflict due to performing multiple roles, leading to burnout. Thus, this study aimed to verify the association between burnout and the multiple work and family roles performed among Japanese female nurses. The data for 2,255 nurses at 23 Japanese hospitals obtained from the Work Environment for Nurses Study in Japan were used. The variables included burnout, demographic information, additional work roles, and child-rearing or caregiving. Half of the nurses were categorized under the "no-role" group (NRG), approximately a quarter under the "work-role" group (WRG), 16% under the "family-role" group (FRG), and 7.3% under the "multiple-role" group (MRG). Compared to the NRG, the FRG and MRG showed statistically lower emotional exhaustion (B=-0.79, p<0.05; B=-0.94, p<0.05, respectively) and depersonalization (B=-0.80, p<0.05; B=-1.09, p<0.05, respectively). Personal accomplishment was not statistically different among the four groups. Burnout was relatively low among nurses with family roles, suggesting that family roles may have a positive spillover effect on work-related emotions.

女护士由于承担多重角色而产生工作家庭冲突,导致职业倦怠。因此,本研究旨在验证日本女护士职业倦怠与多重工作和家庭角色之间的关系。研究使用了日本23家医院的2255名护士的数据,这些数据来自日本护士工作环境研究。这些变量包括职业倦怠、人口统计信息、额外的工作角色、抚养孩子或照顾孩子。一半的护士属于“无角色”组(NRG),约四分之一的护士属于“工作角色”组(WRG), 16%的护士属于“家庭角色”组(FRG), 7.3%的护士属于“多角色”组(MRG)。与NRG相比,FRG和MRG表现出更低的情绪耗竭(B=-0.79, p
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引用次数: 2
Development and validation of tools to screen occupational mental health and workplace factors influencing it: for the Indian workforce. 为印度劳动力开发和验证筛查职业心理健康及其工作场所影响因素的工具。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 Epub Date: 2023-03-07 DOI: 10.2486/indhealth.2022-0019
Rakesh Balachandar, Asha Ketharam, Srikala Bharath

An imbalance in the key organizational psychology constructs viz. "Workload", "Reward", "Community", "Control", "Values" and "Fairness" are potential factors leading to negative occupational mental health, i.e. burnout. Burnout, a psychological syndrome is the combination of emotional exhaustion, sense of reduced compassion and accomplishment. To note, the concept of occupational mental health in a nation with second largest workforce is nascent. Further, the utility of existing western tools in Indian subcontinent is limited by culturally inappropriateness, patented, less comprehensible and other factors. Present study attempted to develop tools to screen occupational mental health and workplace areas. Conventional steps involved in psychological tool development, viz. construct identification, drafting of pertinent questions, content validation, field testing of questions and others were adopted. After series of steps, tools for screening occupational mental health and key constructs influencing mental health at workplace (workplace assessment) were developed. The screening tools exhibited adequate test-retest reliability, internal consistency/reliability (cronbach's α>0.73) and correlation (correlation coefficient >0.6) with the general mental health in larger evaluation of 153 consenting workers. The proposed simple and easy to administer tool requires development of normative scores thereby aiding early diagnosis and management of those requiring intervention.

组织心理学的关键结构,即 "工作量"、"报酬"、"社区"、"控制"、"价值观 "和 "公平 "的失衡是导致消极职业心理健康,即职业倦怠的潜在因素。职业倦怠是一种心理综合征,是情绪衰竭、同情心和成就感降低的综合表现。值得注意的是,在一个拥有第二大劳动力人口的国家,职业心理健康的概念刚刚起步。此外,现有的西方工具在印度次大陆的实用性受到文化不相适应、专利、不易理解和其他因素的限制。本研究试图开发用于筛查职业心理健康和工作场所领域的工具。研究采用了心理工具开发的常规步骤,即确定结构、起草相关问题、内容验证、对问题进行实地测试等。经过一系列步骤,开发出了职业心理健康筛查工具和影响工作场所心理健康的关键构念(工作场所评估)。在对 153 名同意的工人进行的大规模评估中,这些筛查工具显示出足够的重测可靠性、内部一致性/可靠性(克朗巴赫系数α>0.73)以及与一般心理健康的相关性(相关系数>0.6)。所建议的工具简单易用,需要开发标准分数,从而有助于对需要干预的人群进行早期诊断和管理。
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引用次数: 0
Research on the relationship between the centerline velocity, aspect ratio and exhaust airflow rate for a slot and a rectangular capture hood in an local exhaust ventilation system. 局部排风系统中槽式和矩形捕集罩中心线速度、展弦比与排风量的关系研究。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.2022-0045
Boyuan Tian, Yuji Kubota, Masaru Murata

When using a local exhaust hood to remove harmful substances from the production process, the exhaust airflow rate must be calculated according to the capturing velocity specified by the relevant regulations. The Numano and American Conference of Governmental Industrial Hygienists (ACGIH) equations are used in Japan and the US, respectively, for estimating the exhaust airflow rate of slot hoods. However, these equations differ from each other, and when using these equations to calculate the exhaust airflow rate of the capture hood, whether using Japan's equation or ACGIH, the hood type (slot or rectangular hood) should be distinguished at first. Therefore, this study performs experiments and a computational fluid dynamics (CFD) simulation to investigate the relationship between the centerline velocity and the aspect ratio for five types of capture hoods. The results showed good agreement between simulated and experimental centerline velocities when the distance from the hood face. A dimensionless velocity was introduced and a significant difference in the relationship between the centerline velocity and the distance from the hood face with different aspect ratios was found. A unified equation was obtained that can express the relationship between exhaust airflow rate and centerline velocity regardless of the aspect ratio of the hood face of the free-standing capture hood.

在使用局部排风罩清除生产过程中的有害物质时,必须按照有关规定规定的捕集速度计算排风量。日本和美国分别使用了Numano和美国政府工业卫生学家会议(ACGIH)方程来估计槽式通风柜的排气气流速率。但这些方程各不相同,在使用这些方程计算捕集罩排气风量时,无论是使用日本的方程还是ACGIH,首先要区分罩型(槽式还是矩形罩)。因此,本研究通过实验和计算流体动力学(CFD)模拟来研究五种类型的捕集罩中心线速度与展弦比的关系。结果表明,在距离罩面一定距离时,模拟中心线速度与实验中心线速度吻合较好。引入无量纲速度,发现不同宽高比下中心线速度与距罩面距离的关系存在显著差异。得到了一个统一的方程,可以表达在不考虑独立捕集罩面展弦比的情况下排气流量与中心线速度的关系。
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引用次数: 1
Remote work and well-being in the post-COVID-19 era. 后covid -19时代的远程工作与福祉。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.61_300
Tomohiro Takami
The COVID-19 pandemic has considerably affected people’s lives worldwide. For example, although Japan’s unemployment rate did not remarkably rise during the pandemic, the number of employed individuals not at work temporarily increased, peaking in April 2020. The expansion of remote work was a characteristic phenomenon of the pandemic. The implementation rate of remote work increased remarkably in April 2020, when the national government declared its first state of emergency in response to the pandemic’s first wave; however, remote work was often not continued after that declaration was lifted1–3). Furthermore, not everyone switched to remote work during the pandemic, and there were disparities in remote work rates depending on the industry, occupation, company size, and region of residence2, 3). Therefore, methods to evaluate such work style changes regarding people’s well-being became essential. Under the spread of infection, reducing commuting via remote work could be positively evaluated for people’s health as contributing to a reduced risk of infection. Furthermore, well-being can be assessed in terms of health and diverse aspects, such as daily time use, quality of work, and subjective well-being4). From this perspective, we offer a few thoughts on the following. First, we examine how remote work could be evaluated regarding its impact on people’s time use and worklife balance. Concerning the time allocation in daily life, changes in housework/childcare, and leisure hours during the pandemic were confirmed in several studies5–7). Some studies noted the increased burden of housework/childcare for women5); however, other studies indicated increased involvement in housework and childcare among men who work remotely6, 7). Time constraints are one of the primary reasons why Japanese men are less likely to share housework and childcare responsibilities; therefore, this change can be positively evaluated for work-life balance. The heavy workload inherent in remote work should be avoided to balance work and life. As suggested before the pandemic, the temporal boundaries between work and nonwork can quickly become blurred in remote work, leading to overworking where work interferes with the sphere of daily life8). Evidence shows that remote work during the pandemic increased life satisfaction, but not when working longer hours7). Next, we investigate how remote work might be evaluated in terms of quality of work. During the pandemic, the application of remote work resulted in reduced productivity due to inadequate remote work set-ups and communication difficulties9). Furthermore, the reduction in face-to-face communication with supervisors and colleagues through remote work generally leads to isolation and loneliness among employees. It has been speculated that the psychological impacts of remote work, such as satisfaction and anxiety, are not uniform and may vary depending on workers’ personality characteristics. An empirical study showed that chan
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引用次数: 0
Managing office worker presenteeism by providing financial aid for acupuncture therapy: a pragmatic multicenter randomized comparative study. 通过资助针灸治疗来管理办公室员工的出勤:一项实用的多中心随机比较研究。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.2021-0186
Yoichi Minakawa, Shogo Miyazaki, Kenta Sawazaki, Kaori Iimura, Hideaki Waki, Naruto Yoshida

To evaluate whether financial aid for acupuncture therapy is beneficial for non-manufacturing job workers (office workers) who are aware of reduced job performance due to health issues (presenteeism), a four-wk pragmatic multicenter randomized controlled trial was conducted with office workers who were aware of their presenteeism. The control group only implemented the workplace-recommended presenteeism measures, whereas the intervention group received financial aid for acupuncture therapy of up to 8,000 JPY (Japanese yen) in addition to implementing the presenteeism measures recommended by each workplace. The major outcome measure was the World Health Organization Health and Work Performance Questionnaire relative presenteeism score. A total of 203 patients were assigned to the intervention (n=103) and control (n=108) groups. The intervention group underwent a median of 1.0 (interquartile range [IQR], 1.0 to 2.0) sessions of acupuncture for neck disorders (64%), back disorders (16%), and depressed mood/anxiety/irritation (5%), among others. Results showed that the intervention group had slightly better job performance than the control group (effect size [r]=0.15, p=0.03). Financial aid for acupuncture therapy may help compensate for losses incurred by enterprises in the form of 14,117 JPY per worker a month.

为了评估针灸治疗的经济援助是否对意识到由于健康问题(出勤)而导致工作绩效下降的非制造业工作人员(办公室工作人员)有益,我们对意识到自己出勤的办公室工作人员进行了为期四周的多中心随机对照试验。对照组只执行工作场所推荐的出勤措施,而干预组除了执行每个工作场所推荐的出勤措施外,还获得高达8,000日元(日元)的针灸治疗资助。主要的结果测量是世界卫生组织健康和工作表现问卷的相对出勤得分。203例患者被分为干预组(n=103)和对照组(n=108)。干预组针对颈部疾病(64%)、背部疾病(16%)和抑郁情绪/焦虑/刺激(5%)等进行了中位数为1.0(四分位间距[IQR], 1.0至2.0)次的针灸治疗。结果显示,干预组的工作绩效略好于对照组(效应量[r]=0.15, p=0.03)。针灸治疗的财政援助可以帮助补偿企业遭受的损失,其形式是每个工人每月14,117日元。
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引用次数: 0
Association of open-plan offices and sick leave-a systematic review and meta-analysis. 开放式办公室和病假的关联——系统回顾和荟萃分析。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.2022-0053
Daniel Mauss, Marc N Jarczok, Bernd Genser, Raphael Herr

We aimed to systematically review and meta-analyze the association of employees working in various kinds of open-plan offices with sick leave data, compared to those working in traditional cell offices. Databases of PubMed, PubPsych, and Psyndex were systematically searched following the PRISMA statement. Pooled summary estimates of odds ratio (OR) were calculated comparing sick leave of employees in cell offices with those working in small open-plan offices (4-9 people), and those in various open-plan office solutions (≥4 people). We used Forest plots visualizing study-specific estimates and the pooled fixed and random effects estimators. Five studies were identified (2008-2020) with a total of 13,277 (range 469-6,328) participants. Compared with employees working in cell offices, those working in small open-plan offices were associated with higher odds of sick leave days (OR=1.27; 95% CI 0.99-1.54; p=0.046) as well as those working in various kinds of open-plan offices with ≥4 colleagues (OR=1.24; 95% CI 0.96-1.51; p=0.004). Our results are consistent with those of earlier reviews focusing on other effects of open-plan office solutions such as health and well-being. Different solutions for office design and architectural lay-out should be the focus of future studies to balance pros and cons of open-plan offices.

我们的目标是系统地回顾和荟萃分析在各种开放式办公室工作的员工与在传统格子办公室工作的员工的病假数据之间的关系。根据PRISMA声明系统地检索PubMed、PubPsych和Psyndex数据库。对单间办公室、小型开放式办公室(4-9人)和各种开放式办公室方案(≥4人)员工的病假进行汇总汇总估计,计算比值比(OR)。我们使用Forest图来可视化研究特定的估计值,以及混合固定和随机效应估计值。五项研究(2008-2020年)共有13277名参与者(范围469- 6328)。与在格子办公室工作的员工相比,在小型开放式办公室工作的员工请病假的几率更高(OR=1.27;95% ci 0.99-1.54;p=0.046),以及在各类开放式办公室工作,且同事人数≥4人(OR=1.24;95% ci 0.96-1.51;p = 0.004)。我们的研究结果与之前关注开放式办公室解决方案的其他影响(如健康和幸福感)的研究结果一致。办公室设计和建筑布局的不同解决方案应该是未来研究的重点,以平衡开放式办公室的利弊。
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引用次数: 1
Effects of different bed heights on the physical burden of physiotherapists during manual therapy: an experimental study. 不同床高对物理治疗师在手工治疗过程中身体负担的影响:一项实验研究。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.2022-0038
Shuji Tsuji, Hiroji Tsujimura, Shin-Ichi Shirahoshi, Kazushi Taoda, Teruyo Kitahara

This study aimed to determine the effect of physiotherapists' physical burden caused by different bed heights during manual therapy. Thirty-three male physiotherapists performed tasks simulating lumbar massage and passive hip abduction range-of-motion exercise (ROM) on the beds with low height (LH) and adjusted height (AH), with each task performed three times. The anterior inclination angle of the physiotherapist's trunk was measured, the surface electromyograms of the erector spinae and trapezius muscles were recorded, and perceived stress was assessed. The indexes obtained were statistically compared for different bed heights. Additionally, the lumbar disc compression force and flexion torque were estimated. The lumbar burden caused by the excessive bending and the biomechanical burden and perceived stress were stronger at LH than AH. In ROM tasks using the right hand, the muscle activity was lower at the left lumbar region at LH than at AH. At LH, the anterior inclination angle increased and the lumbar muscle activity declined as the number of tasks increased. The burden on the shoulders was not significantly different by bed heights. Our results showed that, when physiotherapists perform manual therapy, it is necessary to adjust the bed height to reduce physical burden and ensure higher quality of service.

本研究旨在探讨不同床高对物理治疗师在手工治疗过程中身体负担的影响。33名男性物理治疗师在低高度(LH)和调节高度(AH)床上进行模拟腰椎按摩和被动髋关节外展活动范围练习(ROM)的任务,每个任务进行3次。测量物理治疗师的躯干前倾角,记录竖脊肌和斜方肌的表面肌电图,并评估感知应激。对不同床层高度得到的各项指标进行了统计比较。此外,评估腰椎间盘压缩力和屈曲力矩。过度弯曲引起的腰椎负担、生物力学负担和感知应力在LH时比AH时更强。在使用右手的ROM任务中,左腰椎区域的肌肉活动在LH时比在AH时低。在LH时,随着任务数量的增加,前倾角增加,腰肌活动下降。床高不同,患者肩上负担差异不显著。我们的研究结果表明,物理治疗师在进行手工治疗时,有必要调整床高,以减轻身体负担,确保更高的服务质量。
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引用次数: 0
Commitment profiles among nurses: combinations of organizational commitment forms and work engagement, psychological distress, and turnover intention. 护理人员的承诺概况:组织承诺形式与工作投入、心理困扰、离职倾向的组合。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-06-03 DOI: 10.2486/indhealth.2021-0237
Toshiki Fukuzaki, Shinya Takeda, Noboru Iwata, Sawako Ooba, Masahiko Inoue

To clarify the combined effect of the sub-factors of organizational commitment, this study examined the relationships between organizational commitment profiles and work engagement, psychological distress, and turnover intention among nurses. A cross-sectional survey was conducted; 455 nurses (38 men and 417 women) were included in the statistical analysis. We extracted six clusters through k-means cluster analysis and applied a one-way analysis of variance and χ2 test for work engagement, psychological distress, and turnover intention. Consequently, significant differences were found in work engagement and turnover intention (both p<0.05), and no significant difference was found in psychological distress. These results indicate the formation of affective and normative commitment among nurses in working energetically or preventing turnover. Additionally, no negative effects related to increases in continuance commitment were identified in this study.

为了阐明组织承诺子因素的综合作用,本研究考察了护士组织承诺概况与工作投入、心理困扰和离职倾向的关系。进行了横断面调查;共纳入455名护士,其中男38名,女417名。我们通过k-means聚类分析提取了6个聚类,并对工作投入、心理困扰和离职倾向进行了单向方差分析和χ2检验。因此,在工作投入和离职倾向上发现了显著差异(p
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引用次数: 1
Observation of the same asbestos body by both phase contrast microscope and analytical transmission electron microscope. 用相差显微镜和透射电镜观察同一石棉体。
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0269
Sachiko Iijima, Shigeo Takahashi, Norihiko Kohyama

The amount of asbestos body (AB) in the human lungs is used as an index to assess asbestos lung cancer (ALC). This study reports a new method to observe the same AB previously observed by analytical transmission electron microscope (ATEM) by phase contrast microscope (PCM) or the contrary order. Four kinds of specimens were prepared from the lung tissue of an asbestos related worker: ordinary PCM specimen (A); PCM specimen (B) of which the cover glass was stripped off and ashed at a low temperature; transmission electron microscope (TEM) specimen (C); and PCM specimen (D) covered a TEM specimen (C) with immersion liquid and cover glass. These specimens were all observed by PCM, and the specimen (C) by analytical TEM (ATEM). The results showed that the TEM specimen (C) is transparent in visible light and we can also see the particles by PCM. The image by PCM of the TEM specimen (C) showed very similar features to that of PCM specimens (A) and (B). Accordingly, we could observe various same particles by both ATEM and PCM. In conclusion, the method observing the same AB by both PCM and ATEM will contribute to standardize the recognition of AB for PCM analysts.

人体肺中石棉体(AB)的数量是评估石棉肺癌(ALC)的一个指标。本研究报道了一种新的方法来观察相同的AB以前的分析透射电子显微镜(ATEM)观察与相对比显微镜(PCM)或相反的顺序。从石棉相关工人的肺组织中制备了四种标本:普通PCM标本(A);剥去盖板玻璃,低温灰化的PCM试样(B);透射电镜(TEM)试样(C);PCM试样(D)用浸没液和覆盖玻璃覆盖TEM试样(C)。样品(C)采用分析透射电镜(TEM)观察。结果表明,透射电镜样品(C)在可见光下是透明的,PCM也能看到颗粒。TEM样品(C)的PCM图像与PCM样品(A)和(B)的特征非常相似,因此,我们可以通过ATEM和PCM观察到各种相同的颗粒。总之,在PCM和ATEM中观察相同AB的方法将有助于PCM分析人员对AB的识别标准化。
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引用次数: 0
Comparative study of the effect of N95 facemask and Powered Air-purifying Respirator (2 fans, N95 filter) on cardiovascular parameters of healthy individuals during exercise. N95口罩与电动空气净化呼吸器(2个风扇,N95过滤器)对运动中健康人心血管参数影响的比较研究
IF 2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2023-04-01 DOI: 10.2486/indhealth.2021-0279
Abhijith K Anil, Raihan Mannan, K Shanmugasundaram, Geetanjali Bade, Anjana Talwar, Kishore K Deepak

N95 masks filter 95% of the small particles and respiratory droplets (>0.3 µm diameter). Therefore, they are widely used both by general public and health workers during pandemic. When physical activity or exercise is performed wearing N95 mask, it induces hypercapnic environment. The heat burden is also increased leading to discomfort and reduced compliance. This study was done to compare physiological effects and subjective perceptions while wearing N95 mask and powered air-purifying respirator (PAPR) (2 fans, N95 filter) during incremental exercise. ECG, respiratory movement, SpO2, temperature inside the mask were recorded and perception of discomfort was also assessed. Heart rate variability (HRV) values during baseline were within normal limits in both the mask conditions signifying that cardiac autonomic tone is comparable. During incremental exercise, fall in SpO2 was significantly lesser in PAPR as compared to N95 mask at 60-70% and 70-80% of maximum achievable heart rate. The temperatures inside both the mask conditions were significantly higher than ambient temperature. The scores of humid, hot, breath resistance and fatigue were significantly lower in PAPR than N95 mask. In conditions where prolonged use of mask is required with strenuous physical exertion or exercise, PAPR could be preferred over N95 mask.

N95口罩可过滤95%的小颗粒和呼吸道飞沫(>0.3µm直径)。因此,在大流行期间,它们被公众和卫生工作者广泛使用。佩戴N95口罩进行体力活动或运动时,会诱发高碳酸血症环境。热负担也增加,导致不适和降低依从性。本研究比较了佩戴N95口罩和动力空气净化呼吸器(2个风扇,N95过滤器)进行增量运动时的生理效果和主观感受。记录心电图、呼吸运动、SpO2、口罩内体温,并评估患者的不适感。在两种情况下,心率变异性(HRV)值在基线期间都在正常范围内,这表明心脏自主张力是可比的。在增加运动期间,与N95面罩相比,在最大可达到心率的60-70%和70-80%时,PAPR中SpO2的下降明显小于N95面罩。两种掩模条件下的内部温度都明显高于环境温度。与N95口罩相比,PAPR的湿、热、呼吸阻力和疲劳评分显著降低。在需要长时间使用口罩并进行剧烈体力消耗或运动的情况下,PAPR口罩优于N95口罩。
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引用次数: 1
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