T. Dibbern, M. Serafim, I. Rampasso, Dirceu Silva, T. Atvars, W. Leal Filho, R. Anholon
BACKGROUND Remote work was evidenced in the pandemic and studies in this area increased. Most studies focus on professionals of companies or professors/students in the academic environment. At the same time, non-academic staff, that provide all the support required for the core activities of the institutions (research/teaching/extension activities) have been neglected. OBJECTIVE This article aims to exploratory analyse which variables (interruptions when working remotely (1), health concerns (2) and fear of contracting coronavirus (3), anxiety and concern about professional career (4), frustration to have cancelled plans and missed opportunities (5) and gender (6)) can impact feelings of sadness and depression experienced by non-academic staff of a university working remotely. METHODS Using a database on behaviour and feelings of non-academic staff from a Brazilian university working remotely during the COVID-19 pandemic, a binary logistic regression model was structured. In an exploratory manner, six independent variables (presented in the previous item) were analysed in terms of their ability to predict the dependent variable (feelings of sadness and depression). RESULTS The results presented the prediction power of the independent variables for the dependent variable. The variables regarding concern with their health, increased anxiety and concern about their career presented Odds Ratios of 3.6 (1.4-8.5 -95% C.I.) and 3.3 (2.2-5.0 -95% C.I.), respectively, standing out from the other variables. CONCLUSIONS These results focus on staff at one institution, but they can contribute to better understand feelings and behaviours experienced by professionals working remotely and provide information for debates on the field of COVID-19-related changes of work.
{"title":"Predictive variables for feelings of sadness and depression while working remotely in Brazil during the COVID-19 pandemic.","authors":"T. Dibbern, M. Serafim, I. Rampasso, Dirceu Silva, T. Atvars, W. Leal Filho, R. Anholon","doi":"10.3233/WOR-210846","DOIUrl":"https://doi.org/10.3233/WOR-210846","url":null,"abstract":"BACKGROUND\u0000Remote work was evidenced in the pandemic and studies in this area increased. Most studies focus on professionals of companies or professors/students in the academic environment. At the same time, non-academic staff, that provide all the support required for the core activities of the institutions (research/teaching/extension activities) have been neglected.\u0000\u0000\u0000OBJECTIVE\u0000This article aims to exploratory analyse which variables (interruptions when working remotely (1), health concerns (2) and fear of contracting coronavirus (3), anxiety and concern about professional career (4), frustration to have cancelled plans and missed opportunities (5) and gender (6)) can impact feelings of sadness and depression experienced by non-academic staff of a university working remotely.\u0000\u0000\u0000METHODS\u0000Using a database on behaviour and feelings of non-academic staff from a Brazilian university working remotely during the COVID-19 pandemic, a binary logistic regression model was structured. In an exploratory manner, six independent variables (presented in the previous item) were analysed in terms of their ability to predict the dependent variable (feelings of sadness and depression).\u0000\u0000\u0000RESULTS\u0000The results presented the prediction power of the independent variables for the dependent variable. The variables regarding concern with their health, increased anxiety and concern about their career presented Odds Ratios of 3.6 (1.4-8.5 -95% C.I.) and 3.3 (2.2-5.0 -95% C.I.), respectively, standing out from the other variables.\u0000\u0000\u0000CONCLUSIONS\u0000These results focus on staff at one institution, but they can contribute to better understand feelings and behaviours experienced by professionals working remotely and provide information for debates on the field of COVID-19-related changes of work.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72749527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND Call center workers are highly susceptible to work-related musculoskeletal disorders (WRMSDs) as well as mental stress. Nonetheless, there has been a surprising paucity in the body of the research regarding interventions among call center workers. OBJECTIVE The purpose of this paper is to investigate the effectiveness of a multicomponent ergonomic intervention program on mental workload, mental fatigue and WRMSDs of call center employees. METHOD A non-randomized interventional study with a single group pretest-posttest design was conducted among 84 call center workers of a private telecommunication company in the city of Tehran, Iran. At the baseline, data regarding WRMSDs prevalence, mental workload and mental fatigue were collected by means of standard Nordic, NASA-TLX and SOFI questionnaires, respectively. Then, subjects participated in a multifaceted intervention program including comprehensive office ergonomic training, work layout improvement, supervised on-site face to face visits, and provision of quality break time encompassing regular exercise program. Follow-up assessment was carried out after 6 months. RESULTS After the intervention, prevalence of WMSDs in the neck (10% , P = 0.022), lower back (8.4% , P = 0.04), and knees (9.5% , P = 0.02) decreased significantly, while improvements in other body areas remained insignificant. Results also showed a significant decrease in overall score of mental demand (P = 0.000) as well as three of its subscales including performance (P = 0.02), effort (P = 0.001), and frustration (P = 0.025). Additionally, positive effect of the intervention was also observable on overall mental fatigue of call center workers (P = 0.016). As for its subscales, Lack of energy was reported to decrease meaningfully (P = 0.007) while lack of motivation did not change significantly (P = 0.240). CONCLUSION Although the primary focus of many ergonomic interventions has remained to measure physical outcomes of the work place, our findings show that multicomponent interventions are indeed capable of boosting cognitive aspects of the work as well. The future studies should consider investigating such outcomes.
{"title":"Improvements in musculoskeletal symptoms, mental workload and mental fatigue: Effects of a multicomponent ergonomic intervention among call center workers.","authors":"Ali Seyed Sharifi, M. K. Danesh, Reza Gholamniya","doi":"10.3233/WOR-213641","DOIUrl":"https://doi.org/10.3233/WOR-213641","url":null,"abstract":"BACKGROUND\u0000Call center workers are highly susceptible to work-related musculoskeletal disorders (WRMSDs) as well as mental stress. Nonetheless, there has been a surprising paucity in the body of the research regarding interventions among call center workers.\u0000\u0000\u0000OBJECTIVE\u0000The purpose of this paper is to investigate the effectiveness of a multicomponent ergonomic intervention program on mental workload, mental fatigue and WRMSDs of call center employees.\u0000\u0000\u0000METHOD\u0000A non-randomized interventional study with a single group pretest-posttest design was conducted among 84 call center workers of a private telecommunication company in the city of Tehran, Iran. At the baseline, data regarding WRMSDs prevalence, mental workload and mental fatigue were collected by means of standard Nordic, NASA-TLX and SOFI questionnaires, respectively. Then, subjects participated in a multifaceted intervention program including comprehensive office ergonomic training, work layout improvement, supervised on-site face to face visits, and provision of quality break time encompassing regular exercise program. Follow-up assessment was carried out after 6 months.\u0000\u0000\u0000RESULTS\u0000After the intervention, prevalence of WMSDs in the neck (10% , P = 0.022), lower back (8.4% , P = 0.04), and knees (9.5% , P = 0.02) decreased significantly, while improvements in other body areas remained insignificant. Results also showed a significant decrease in overall score of mental demand (P = 0.000) as well as three of its subscales including performance (P = 0.02), effort (P = 0.001), and frustration (P = 0.025). Additionally, positive effect of the intervention was also observable on overall mental fatigue of call center workers (P = 0.016). As for its subscales, Lack of energy was reported to decrease meaningfully (P = 0.007) while lack of motivation did not change significantly (P = 0.240).\u0000\u0000\u0000CONCLUSION\u0000Although the primary focus of many ergonomic interventions has remained to measure physical outcomes of the work place, our findings show that multicomponent interventions are indeed capable of boosting cognitive aspects of the work as well. The future studies should consider investigating such outcomes.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89712120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Adedoyin, C. Mbada, Oladotun K Ajayi, O. Idowu, S. Oghumu, K. Oke, H. Moda, F. Fatoye
BACKGROUND Typically, bricklayers in developing countries' contexts manually lay bricks, concrete blocks and other similar materials to construct walls and buildings which make them susceptible to work-related musculoskeletal disorders (WRMSDs). The burden of WRMSDs among this high-risk group seems has not been well documented. OBJECTIVES This study examined the prevalence of WRMSDs among bricklayers in Nigeria. METHODS A cross-sectional survey of 118 consenting bricklayers from a Nigerian setting was carried out. The standardized Nordic musculoskeletal disorder questionnaire and a proforma were used to profile the prevalence of WRMSDs and socio-demographic information of the respondents. Data was analyzed using descriptive and inferential statistics. Alpha level was set at p < 0.05. RESULTS The 12-months and 7-days prevalence of WRMSDs were 87.3% and 67.4% . Shoulder (61.0%) and the low-back (59.3%) were the two most affected anatomical sites based on 12-month prevalence. WRMSDs affecting the knees (6.8%) was the most disabling in carrying normal work routines. Working for less than 10 years was significantly associated with high prevalence of WRMSDs in the shoulder (odd ratio (OR) = 0.27, 95% confidence interval (CI) = 0.09 to 0.87) and wrist region (OR = 0.24, 95% CI 0.08 to 0.73). Having neck pain led to higher odds (OR = 0.29, 95% CI 0.13 to 0.68) of taking a break from work among the bricklayers. CONCLUSIONS WRMSDs were high among Nigerian bricklayers. Years of work experience was associated with high prevalence of WRMSDs in the shoulder and wrist. In addition, taking work breaks was associated with neck pain.
发展中国家的砌砖工人通常手工砌砖、混凝土块和其他类似材料来建造墙壁和建筑物，这使他们容易患上与工作有关的肌肉骨骼疾病(WRMSDs)。wrmsd在这一高危人群中的负担似乎没有得到很好的记录。目的:本研究调查了尼日利亚砖瓦工中wrmsd的患病率。方法对118名来自尼日利亚的砖瓦工进行了横断面调查。标准化北欧肌肉骨骼疾病问卷和形式表格用于描述wrmsd的患病率和受访者的社会人口统计信息。数据分析采用描述性和推断性统计。α水平设为p < 0.05。结果12个月和7天WRMSDs患病率分别为87.3%和67.4%。肩部(61.0%)和下背部(59.3%)是12个月患病率最高的两个解剖部位。影响膝盖的wrmsd(6.8%)在正常工作中最具致残性。工作少于10年与肩部wrmsd的高患病率显著相关(奇比(OR) = 0.27, 95%可信区间(CI) = 0.09至0.87)和手腕区域wrmsd的高患病率(OR = 0.24, 95% CI 0.08至0.73)。在砌砖工人中，颈部疼痛导致休息的几率更高(OR = 0.29, 95% CI 0.13至0.68)。结论尼日利亚砌砖工人的swrmsds较高。多年的工作经验与肩部和腕部wrmsd的高发率有关。此外，工作休息与颈部疼痛有关。
{"title":"Prevalence and pattern of work-related musculoskeletal disorders among nigerian bricklayers.","authors":"A. Adedoyin, C. Mbada, Oladotun K Ajayi, O. Idowu, S. Oghumu, K. Oke, H. Moda, F. Fatoye","doi":"10.3233/WOR-205240","DOIUrl":"https://doi.org/10.3233/WOR-205240","url":null,"abstract":"BACKGROUND\u0000Typically, bricklayers in developing countries' contexts manually lay bricks, concrete blocks and other similar materials to construct walls and buildings which make them susceptible to work-related musculoskeletal disorders (WRMSDs). The burden of WRMSDs among this high-risk group seems has not been well documented.\u0000\u0000\u0000OBJECTIVES\u0000This study examined the prevalence of WRMSDs among bricklayers in Nigeria.\u0000\u0000\u0000METHODS\u0000A cross-sectional survey of 118 consenting bricklayers from a Nigerian setting was carried out. The standardized Nordic musculoskeletal disorder questionnaire and a proforma were used to profile the prevalence of WRMSDs and socio-demographic information of the respondents. Data was analyzed using descriptive and inferential statistics. Alpha level was set at p < 0.05.\u0000\u0000\u0000RESULTS\u0000The 12-months and 7-days prevalence of WRMSDs were 87.3% and 67.4% . Shoulder (61.0%) and the low-back (59.3%) were the two most affected anatomical sites based on 12-month prevalence. WRMSDs affecting the knees (6.8%) was the most disabling in carrying normal work routines. Working for less than 10 years was significantly associated with high prevalence of WRMSDs in the shoulder (odd ratio (OR) = 0.27, 95% confidence interval (CI) = 0.09 to 0.87) and wrist region (OR = 0.24, 95% CI 0.08 to 0.73). Having neck pain led to higher odds (OR = 0.29, 95% CI 0.13 to 0.68) of taking a break from work among the bricklayers.\u0000\u0000\u0000CONCLUSIONS\u0000WRMSDs were high among Nigerian bricklayers. Years of work experience was associated with high prevalence of WRMSDs in the shoulder and wrist. In addition, taking work breaks was associated with neck pain.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86188248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Zakerian, S. Masjoodi, B. Makkiabadi, Ali Arabian
BACKGROUND Due to the rapid growth of metropolises and the insufficiency of public transportation, nowadays, many people travel on these vehicles in a standing position. This position leads to discomfort and the risk of falling or non-collision incidents for the passengers. OBJECTIVE The present study was conducted to analyze an innovative sit-standing seat to prevent falls and non-collision injuries in standing passengers. METHODS A total of sixteen participated in this study. EMG signal and Borg scale were used to assess muscle activity and discomfort, respectively. RESULTS The mean Borg scale score for perceived discomfort was lower in the sit-standing position than the standing position in all body organs, except for the hips. Also, in the sit-standing position, the muscle activity of the soleus and medial gastrocnemius muscles was significantly lower in the constant velocity and entire phases in both legs, lower in the right leg in the acceleration phase and lower in the left leg in the deceleration phase. CONCLUSIONS So this seat can be used as an innovative idea to improve the ergonomic condition of standing passengers to prevent falls and non-collision injuries on transit buses.
{"title":"An innovative sit-standing seat in urban buses: A new design to prevent falls and non-collision injuries.","authors":"S. Zakerian, S. Masjoodi, B. Makkiabadi, Ali Arabian","doi":"10.3233/WOR-210515","DOIUrl":"https://doi.org/10.3233/WOR-210515","url":null,"abstract":"BACKGROUND\u0000Due to the rapid growth of metropolises and the insufficiency of public transportation, nowadays, many people travel on these vehicles in a standing position. This position leads to discomfort and the risk of falling or non-collision incidents for the passengers.\u0000\u0000\u0000OBJECTIVE\u0000The present study was conducted to analyze an innovative sit-standing seat to prevent falls and non-collision injuries in standing passengers.\u0000\u0000\u0000METHODS\u0000A total of sixteen participated in this study. EMG signal and Borg scale were used to assess muscle activity and discomfort, respectively.\u0000\u0000\u0000RESULTS\u0000The mean Borg scale score for perceived discomfort was lower in the sit-standing position than the standing position in all body organs, except for the hips. Also, in the sit-standing position, the muscle activity of the soleus and medial gastrocnemius muscles was significantly lower in the constant velocity and entire phases in both legs, lower in the right leg in the acceleration phase and lower in the left leg in the deceleration phase.\u0000\u0000\u0000CONCLUSIONS\u0000So this seat can be used as an innovative idea to improve the ergonomic condition of standing passengers to prevent falls and non-collision injuries on transit buses.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90584736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wilza Karla dos Santos Leite, Anísio José da Silva Araújo, L. B. da Silva, E. L. de Souza, Jonhatan Magno Norte da Silva, I. Bolis, Merlayne Pâmela de Oliveira e Silva, Robson da Fonseca Neves, G. Colaço
BACKGROUND Studies on illness in the footwear industry have prioritized specific work sectors and diseases. OBJECTIVES To analyze the main factors related to sickness absence and the indicators of illness in terms of recurrence and workdays lost among workers at a footwear company, ranging from storage of raw material to distribution of the final product. METHODS A total of 9072 cases of absence from work were investigated in shoe production units from 2014 to 2017. Univariate models estimated the risk of bodily dysfunction (physiological and psychological) and the severity of recurrence and work days lost. RESULTS (1) Most production units and work sectors were related to one or more affected bodily functions; (2) Neuromusculoskeletal and movement-related functions and the work sectors of prefabrication; cutting, assembly and finishing; and quality inspection of the final product required a longer recovery time before return to work and had a greater recurrence of leave; and (3) Women seemed to be more affected than men in terms of the reappearance of symptoms. CONCLUSIONS Illness differs according to occupational sectors. The production sectors present more serious situations due to physical overload, intense rhythm and concentration, monotony and low autonomy.
{"title":"Sickness absence from work in the footwear industry: A longitudinal study.","authors":"Wilza Karla dos Santos Leite, Anísio José da Silva Araújo, L. B. da Silva, E. L. de Souza, Jonhatan Magno Norte da Silva, I. Bolis, Merlayne Pâmela de Oliveira e Silva, Robson da Fonseca Neves, G. Colaço","doi":"10.3233/wor-205312","DOIUrl":"https://doi.org/10.3233/wor-205312","url":null,"abstract":"BACKGROUND\u0000Studies on illness in the footwear industry have prioritized specific work sectors and diseases.\u0000\u0000\u0000OBJECTIVES\u0000To analyze the main factors related to sickness absence and the indicators of illness in terms of recurrence and workdays lost among workers at a footwear company, ranging from storage of raw material to distribution of the final product.\u0000\u0000\u0000METHODS\u0000A total of 9072 cases of absence from work were investigated in shoe production units from 2014 to 2017. Univariate models estimated the risk of bodily dysfunction (physiological and psychological) and the severity of recurrence and work days lost.\u0000\u0000\u0000RESULTS\u0000(1) Most production units and work sectors were related to one or more affected bodily functions; (2) Neuromusculoskeletal and movement-related functions and the work sectors of prefabrication; cutting, assembly and finishing; and quality inspection of the final product required a longer recovery time before return to work and had a greater recurrence of leave; and (3) Women seemed to be more affected than men in terms of the reappearance of symptoms.\u0000\u0000\u0000CONCLUSIONS\u0000Illness differs according to occupational sectors. The production sectors present more serious situations due to physical overload, intense rhythm and concentration, monotony and low autonomy.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80331844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernardes M F Sarah, Ana Assunção, Fujão Carlos, Carnide Filomena
BACKGROUND The aging of the workforce is changing, but working conditions have not changed at the same exponential growth rate for senior workers. Such a situation can compromise the worker's physical and cognitive capability, reducing the ability to perform work activities. OBJECTIVES This study aims to understand the main functional capacity changes in senior workers in the automotive industry and to determine the contribution of working conditions on the decline of the functional capacity in senior workers. METHODS To achieve the objectives of the study, a set of questionnaires (Sociodemographic Data, COPSOC, Nordic Questionnaire, and Par-Q) and a battery of 4 functional capacity tests were used. RESULTS Work conditions, namely awkward postures, force demands and material manual handling, and age, were statistically associated to the functional decline in workers. Additionally, multiple linear regression showed that height, weight, seniority, and strength have predictive value to the handgrip decline (both positions HG2 and HG5). CONCLUSION These results suggest that workers' handgrip assessment should be considered as a future measure as an indicator of strength ability in the occupational field.
{"title":"The role of work conditions on the functional decline in senior workers in the automotive industry.","authors":"Bernardes M F Sarah, Ana Assunção, Fujão Carlos, Carnide Filomena","doi":"10.3233/WOR-213638","DOIUrl":"https://doi.org/10.3233/WOR-213638","url":null,"abstract":"BACKGROUND\u0000The aging of the workforce is changing, but working conditions have not changed at the same exponential growth rate for senior workers. Such a situation can compromise the worker's physical and cognitive capability, reducing the ability to perform work activities.\u0000\u0000\u0000OBJECTIVES\u0000This study aims to understand the main functional capacity changes in senior workers in the automotive industry and to determine the contribution of working conditions on the decline of the functional capacity in senior workers.\u0000\u0000\u0000METHODS\u0000To achieve the objectives of the study, a set of questionnaires (Sociodemographic Data, COPSOC, Nordic Questionnaire, and Par-Q) and a battery of 4 functional capacity tests were used.\u0000\u0000\u0000RESULTS\u0000Work conditions, namely awkward postures, force demands and material manual handling, and age, were statistically associated to the functional decline in workers. Additionally, multiple linear regression showed that height, weight, seniority, and strength have predictive value to the handgrip decline (both positions HG2 and HG5).\u0000\u0000\u0000CONCLUSION\u0000These results suggest that workers' handgrip assessment should be considered as a future measure as an indicator of strength ability in the occupational field.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90480320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sousa-Uva, António Manuel Fonseca, B. Nunes, A. Sousa-Uva, Ana Paula Rodrigues, C. Matias-Dias
BACKGROUND Despite the actual demographic trends and the global burden of cardiovascular diseases, there is little knowledge concerning the effects of retirement on this health outcome. OBJECTIVE We aimed to quantify the associations between retirement, and retirement age, with cardiovascular disease (heart disease and stroke) in the Portuguese population. METHODS We used data from the first Portuguese wave of the Survey of Health Ageing and Retirement in Europe. Logistic regression was applied to quantify the associations. The major risk factors for cardiovascular diseases and several features of retirement were considered as possible confounders or effect modifiers. Analysis was restricted to retirees in retirement process (retired for 5 years or less) and not retired because of illness. RESULTS An opposite direction of the association between retirement and heart disease was observed according to hypertension status, although not significant. Early retirement increased the odds of having a stroke, merely in individuals without heart disease (OR = 8.87; 95% CI 1.63-48.26). On the contrary, in individuals with heart disease, decreased the odds of having a stroke in (OR = 0.08; 95% CI 0.01-0.68). CONCLUSIONS Our findings suggest that retirement and retirement age may be beneficial or harmful, respectively, in the presence or absence of major risk factors for heart disease and stroke. We suggest that work-related stress affecting differently workers with and without these risk factors may eventually explain these findings.
尽管有实际的人口趋势和心血管疾病的全球负担，但关于退休对这一健康结果的影响知之甚少。目的:我们旨在量化葡萄牙人口中退休和退休年龄与心血管疾病(心脏病和中风)之间的关系。方法:我们使用了欧洲健康老龄化和退休调查的第一波葡萄牙数据。应用逻辑回归对相关性进行量化。心血管疾病的主要危险因素和退休的几个特征被认为是可能的混杂因素或影响调节因素。分析仅限于退休过程中的退休人员(退休时间不超过5年)和非因病退休人员。结果在不同的高血压状态下，退休与心脏病的关系呈相反方向，但不显著。仅在没有心脏病的人群中，提前退休增加了患中风的几率(OR = 8.87;95% ci 1.63-48.26)。相反，在患有心脏病的个体中，降低了患中风的几率(OR = 0.08;95% ci 0.01-0.68)。结论研究结果表明，在心脏病和中风的主要危险因素存在或不存在的情况下，退休和退休年龄可能分别是有益的或有害的。我们认为，工作压力对有或没有这些风险因素的不同员工的影响可能最终解释了这些发现。
{"title":"The modifying role of major cardiovascular risk factors in the association between retirement and cardiovascular disease: Results from SHARE Portugal.","authors":"M. Sousa-Uva, António Manuel Fonseca, B. Nunes, A. Sousa-Uva, Ana Paula Rodrigues, C. Matias-Dias","doi":"10.3233/WOR-205224","DOIUrl":"https://doi.org/10.3233/WOR-205224","url":null,"abstract":"BACKGROUND\u0000Despite the actual demographic trends and the global burden of cardiovascular diseases, there is little knowledge concerning the effects of retirement on this health outcome.\u0000\u0000\u0000OBJECTIVE\u0000We aimed to quantify the associations between retirement, and retirement age, with cardiovascular disease (heart disease and stroke) in the Portuguese population.\u0000\u0000\u0000METHODS\u0000We used data from the first Portuguese wave of the Survey of Health Ageing and Retirement in Europe. Logistic regression was applied to quantify the associations. The major risk factors for cardiovascular diseases and several features of retirement were considered as possible confounders or effect modifiers. Analysis was restricted to retirees in retirement process (retired for 5 years or less) and not retired because of illness.\u0000\u0000\u0000RESULTS\u0000An opposite direction of the association between retirement and heart disease was observed according to hypertension status, although not significant. Early retirement increased the odds of having a stroke, merely in individuals without heart disease (OR = 8.87; 95% CI 1.63-48.26). On the contrary, in individuals with heart disease, decreased the odds of having a stroke in (OR = 0.08; 95% CI 0.01-0.68).\u0000\u0000\u0000CONCLUSIONS\u0000Our findings suggest that retirement and retirement age may be beneficial or harmful, respectively, in the presence or absence of major risk factors for heart disease and stroke. We suggest that work-related stress affecting differently workers with and without these risk factors may eventually explain these findings.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76880501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eva Petersson, D. Hange, C. Udo, C. Björkelund, I. Svenningsson
BACKGROUND Collaborative care with a care manager in primary care improves care. OBJECTIVE To study whether care manager support leads to improved work ability, decreased job strain and reduced time of sick leave among primary care patients with depression. METHODS A clinical effectiveness study of care managers for depression patients seeking care in primary care was conducted in a RCT 2014 -2016. Patients in the intervention group were assigned a care manager. In the 12-month follow-up, patients with employment (n = 269; intervention n = 142, control n = 127) were studied concerning work ability, job strain and sick leave. RESULTS An association was shown between reduction of depressive symptoms and improved work ability for the entire group. At 12-month follow-up a statistically significant difference of reduction of depressive symptoms was seen between the groups (MADRS-S: intervention 10.8 vs control 13.1, p = 0.05) as well as increased quality of life (EQ-5D: intervention 0.77 vs control 0.70, p = 0.04). In the intervention group, a concordance was found between the patient's prediction of return to work and the actual return to work (91%for intervention and 68 %for control group, p = 0.047). CONCLUSIONS Compared to usual care, the care manager does not seem to further improve perception of work ability, job strain or perception of social support per se among the patients despite a long-term effect on depression symptoms. The lack of a long-term effect regarding these aspects may be due to the fact that care manager support was only provided during the first three months.
{"title":"Long-term effect of a care manager on work ability for patients with depression -the PRIM-CARE RCT.","authors":"Eva Petersson, D. Hange, C. Udo, C. Björkelund, I. Svenningsson","doi":"10.3233/WOR-205272","DOIUrl":"https://doi.org/10.3233/WOR-205272","url":null,"abstract":"BACKGROUND\u0000Collaborative care with a care manager in primary care improves care.\u0000\u0000\u0000OBJECTIVE\u0000To study whether care manager support leads to improved work ability, decreased job strain and reduced time of sick leave among primary care patients with depression.\u0000\u0000\u0000METHODS\u0000A clinical effectiveness study of care managers for depression patients seeking care in primary care was conducted in a RCT 2014 -2016. Patients in the intervention group were assigned a care manager. In the 12-month follow-up, patients with employment (n = 269; intervention n = 142, control n = 127) were studied concerning work ability, job strain and sick leave.\u0000\u0000\u0000RESULTS\u0000An association was shown between reduction of depressive symptoms and improved work ability for the entire group. At 12-month follow-up a statistically significant difference of reduction of depressive symptoms was seen between the groups (MADRS-S: intervention 10.8 vs control 13.1, p = 0.05) as well as increased quality of life (EQ-5D: intervention 0.77 vs control 0.70, p = 0.04). In the intervention group, a concordance was found between the patient's prediction of return to work and the actual return to work (91%for intervention and 68 %for control group, p = 0.047).\u0000\u0000\u0000CONCLUSIONS\u0000Compared to usual care, the care manager does not seem to further improve perception of work ability, job strain or perception of social support per se among the patients despite a long-term effect on depression symptoms. The lack of a long-term effect regarding these aspects may be due to the fact that care manager support was only provided during the first three months.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83396524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lee-Ann Juliana Jacobs-Nzuzi Khuabi, E. Swart, Mogammad Shaheed Soeker
BACKGROUND This article describes the model components of a study that applied a two-phased approach towards the development of an occupational resilience model. OBJECTIVE The occupational therapy practice model that is proposed seeks to facilitate high school re-entry and school participation post traumatic brain injury (TBI). The study's first phase generated results on participants' experiences of high school re-entry and school participation post TBI. These findings contributed to the second phase of developing a practice model to improve upon school transition practice for learners post TBI. METHODS The study's first phase comprised a qualitative multi-case study of eight cases. Data collection involved semi-structured interviews, participant and contextual observation, and document analysis. Data analysis was performed via an inductive process combined with cross-case synthesis. Phase 2 employed theory generation, suggesting an occupational therapy practice model for facilitating high school participation post TBI. RESULTS Participant responses revealed, following the onset of the TBI, a need for adolescents to display resilience in order to re-participate in school. This was displayed by adolescents adapting through drawing upon personal and environmental resources as well as preparing for and engaging in occupation. CONCLUSION A deeper understanding of the experiences of key role players involved in the school transition post TBI, combined with theory generation, formed the basis of developing the proposed model of occupational resilience. Occupational resilience, through a series of resilience-promoting tasks, is offered as a mechanism to increase learners' capacity to adapt to occupational challenges and meaningfully participate in school post TBI.
{"title":"Towards occupational resilience: A model to facilitate high school participation post traumatic brain injury.","authors":"Lee-Ann Juliana Jacobs-Nzuzi Khuabi, E. Swart, Mogammad Shaheed Soeker","doi":"10.3233/WOR-205200","DOIUrl":"https://doi.org/10.3233/WOR-205200","url":null,"abstract":"BACKGROUND\u0000This article describes the model components of a study that applied a two-phased approach towards the development of an occupational resilience model.\u0000\u0000\u0000OBJECTIVE\u0000The occupational therapy practice model that is proposed seeks to facilitate high school re-entry and school participation post traumatic brain injury (TBI). The study's first phase generated results on participants' experiences of high school re-entry and school participation post TBI. These findings contributed to the second phase of developing a practice model to improve upon school transition practice for learners post TBI.\u0000\u0000\u0000METHODS\u0000The study's first phase comprised a qualitative multi-case study of eight cases. Data collection involved semi-structured interviews, participant and contextual observation, and document analysis. Data analysis was performed via an inductive process combined with cross-case synthesis. Phase 2 employed theory generation, suggesting an occupational therapy practice model for facilitating high school participation post TBI.\u0000\u0000\u0000RESULTS\u0000Participant responses revealed, following the onset of the TBI, a need for adolescents to display resilience in order to re-participate in school. This was displayed by adolescents adapting through drawing upon personal and environmental resources as well as preparing for and engaging in occupation.\u0000\u0000\u0000CONCLUSION\u0000A deeper understanding of the experiences of key role players involved in the school transition post TBI, combined with theory generation, formed the basis of developing the proposed model of occupational resilience. Occupational resilience, through a series of resilience-promoting tasks, is offered as a mechanism to increase learners' capacity to adapt to occupational challenges and meaningfully participate in school post TBI.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76436052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro P. Senna, Augusto da Cunha Reis, Igor Leão Santos, Ana Cláudia Dias
BACKGROUND Public Hospital Managers in Rio de Janeiro must deal with severe budget costs, which is the only source of income of public hospitals. In this sense, Systematic Supply Chain Risk Management can contribute to identifying such risks, assessing their severity, and developing mitigating plans, or even revealing the lack of such plans. Private hospital networks must also map their risks since they are facing a diminishing of demand given that unemployment in Brazil, which is growing in the past years, generates an impossibility of affording private Healthcare. OBJECTIVES The purpose of this paper is to investigate how Supply Chain Risk Management is being applied in Healthcare Supply Chains from Rio de Janeiro -Brazil. This study considers Supply Chains located in the state of Rio de Janeiro. To accomplish this objective, we provide answers to two Research Questions: RQ1 - Is SCRM known as a concept among Rio de Janeiro Healthcare Supply Chains? RQ2 - How are risk identification, risk assessment, and risk mitigation being implemented by companies from the healthcare supply chains in Rio de Janeiro -Brazil? METHODS Our research design is based on four steps: i) Research design; ii) Case selection: iii) Data collection (11 cases selected); iv) Data analysis. RESULTS The interviews revealed that SCRM is an entirely unknown concept among Healthcare Supply Chains from Rio de Janeiro -Brazil. Managers have empirical knowledge of the risks, and they can identify the most hazardous risks and can come up with solutions to mitigate them, nevertheless, in many situations they do not have the authority or the manpower to implement the solutions, at most, managers implement local risk mitigation initiatives that do not consider the supply chains broader context. CONCLUSIONS The healthcare organizations studied by this paper do not apply SCRM. They only apply local isolated solutions not considering a supply chain scope. This can become hazardous since isolated risk mitigation initiatives are often innocuous and have the potential to generate other risks.
{"title":"Healthcare supply chain risk management in Rio de Janeiro, Brazil: What is the current situation?","authors":"Pedro P. Senna, Augusto da Cunha Reis, Igor Leão Santos, Ana Cláudia Dias","doi":"10.3233/WOR-205216","DOIUrl":"https://doi.org/10.3233/WOR-205216","url":null,"abstract":"BACKGROUND\u0000Public Hospital Managers in Rio de Janeiro must deal with severe budget costs, which is the only source of income of public hospitals. In this sense, Systematic Supply Chain Risk Management can contribute to identifying such risks, assessing their severity, and developing mitigating plans, or even revealing the lack of such plans. Private hospital networks must also map their risks since they are facing a diminishing of demand given that unemployment in Brazil, which is growing in the past years, generates an impossibility of affording private Healthcare.\u0000\u0000\u0000OBJECTIVES\u0000The purpose of this paper is to investigate how Supply Chain Risk Management is being applied in Healthcare Supply Chains from Rio de Janeiro -Brazil. This study considers Supply Chains located in the state of Rio de Janeiro. To accomplish this objective, we provide answers to two Research Questions: RQ1 - Is SCRM known as a concept among Rio de Janeiro Healthcare Supply Chains? RQ2 - How are risk identification, risk assessment, and risk mitigation being implemented by companies from the healthcare supply chains in Rio de Janeiro -Brazil?\u0000\u0000\u0000METHODS\u0000Our research design is based on four steps: i) Research design; ii) Case selection: iii) Data collection (11 cases selected); iv) Data analysis.\u0000\u0000\u0000RESULTS\u0000The interviews revealed that SCRM is an entirely unknown concept among Healthcare Supply Chains from Rio de Janeiro -Brazil. Managers have empirical knowledge of the risks, and they can identify the most hazardous risks and can come up with solutions to mitigate them, nevertheless, in many situations they do not have the authority or the manpower to implement the solutions, at most, managers implement local risk mitigation initiatives that do not consider the supply chains broader context.\u0000\u0000\u0000CONCLUSIONS\u0000The healthcare organizations studied by this paper do not apply SCRM. They only apply local isolated solutions not considering a supply chain scope. This can become hazardous since isolated risk mitigation initiatives are often innocuous and have the potential to generate other risks.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74581093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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