Science.gov

Sample records for health work force

  1. Evaluating the Environmental Health Work Force. Final Report.

    ERIC Educational Resources Information Center

    Levine Associates, Inc., Rockville, MD.

    This report contains all materials pertinent to an intensive evaluation of the environmental health work force conducted in 1986 and 1987. The materials relate to a workshop that was one of the key tools used in conducting the study to estimate environmental health personnel supply, demand, and need. The report begins with an overview and…

  2. The health work force, generalism, and the social contract.

    PubMed Central

    Sheldon, G F

    1995-01-01

    Since 1990, society has been evolving through a period of significant transformation. In response to an increasingly information-rich and knowledge-based environment, the work force for most of society is becoming more specialized. Medicine is one of the few areas developing a work force which emphasizes generalism. For our current needs, the transitional work force has overproduced physicians. Because the overproduction has been uneven by specialty, it is deceptive to evaluate growth collectively rather than by individual subspecialty. Future shifts in age and types of illness combined with enhanced technology will transform the public's expectations of the American health care system. The type and number of physicians that will be needed in the future will be substantially different than in the past, so current patterns in physician education may not address the population's future demands. Images Figure 1. PMID:7677453

  3. For the Health-Care Work Force, a Critical Prognosis

    ERIC Educational Resources Information Center

    Rahn, Daniel W.; Wartman, Steven A.

    2007-01-01

    The United States faces a looming shortage of many types of health-care professionals, including nurses, physicians, dentists, pharmacists, and allied-health and public-health workers. There may also be a shortage of faculty members in the health sciences. The results will be felt acutely within the next 10 years. Colleges and health-science…

  4. Observations on work force and training needs for assessing environmental health risks.

    PubMed Central

    DeRoos, R L; Anderson, P N; Berberich, N J; Maugans, B; Omenn, G S; Rentos, P G

    1988-01-01

    The continuing discoveries of hazardous waste sites have stimulated environmental health risk assessment efforts in State and local environmental health agencies. Elements of risk assessment are defined, showing how risk assessment interfaces with risk management. Environmental health risk assessment involves work components (tasks, activities, and technologies), the worker (position, classification, and occupation), and work organization (purpose, outputs, and objectives). Information from six State agencies was used to describe current State government experiences with environmental health risk assessment. Education and risk assessment are described, particularly as they relate to schools of public health and the role of continuing education for the public health work force. PMID:3136493

  5. Association of work-related stress with mental health problems in a special police force unit

    PubMed Central

    Garbarino, Sergio; Cuomo, Giovanni; Chiorri, Carlo; Magnavita, Nicola

    2013-01-01

    Objectives Law and order enforcement tasks may expose special force police officers to significant psychosocial risk factors. The aim of this work is to investigate the relationship between job stress and the presence of mental health symptoms while controlling sociodemographical, occupational and personality variables in special force police officers. Method At different time points, 292 of 294 members of the ‘VI Reparto Mobile’, a special police force engaged exclusively in the enforcement of law and order, responded to our invitation to complete questionnaires for the assessment of personality traits, work-related stress (using the Demand–Control–Support (DCS) and the Effort–Reward–Imbalance (ERI) models) and mental health problems such as depression, anxiety and burnout. Results Regression analyses showed that lower levels of support and reward and higher levels of effort and overcommitment were associated with higher levels of mental health symptoms. Psychological screening revealed 21 (7.3%) likely cases of mild depression (Beck Depression Inventory, BDI≥10). Officers who had experienced a discrepancy between work effort and rewards showed a marked increase in the risk of depression (OR 7.89, 95% CI 2.32 to 26.82) when compared with their counterparts who did not perceive themselves to be in a condition of distress. Conclusions The findings of this study suggest that work-related stress may play a role in the development of mental health problems in police officers. The prevalence of mental health symptoms in the cohort investigated here was low, but not negligible in the case of depression. Since special forces police officers have to perform sensitive tasks for which a healthy psychological functioning is needed, the results of this study suggest that steps should be taken to prevent distress and improve the mental well-being of these workers. PMID:23872288

  6. The Changing Work Force.

    ERIC Educational Resources Information Center

    Koehn, Hank E.

    1982-01-01

    Describes changes in employee characteristics and attitudes. Discusses changes in life-styles and the need to cope with change. Notes implications for education and suggests the development of new alternatives for the changing work force. (RC)

  7. Mental health issues in the workplace: maintaining a productive work force.

    PubMed

    Raderstorf, Mark; Kurtz, Jennifer

    2006-08-01

    Occupational health nurses must intervene early and validate the conditions and experiences of employees with psychiatric disabilities. Occupational health nurses must ensure employees are receiving appropriate treatment. They must be aware of and prepared to mitigate iatrogenic influences. Occupational health nurses can facilitate resolution of workplace conflicts and issues regarding changing supervisors or departments. They can also facilitate return to work by establishing clear restrictions and coordinating accommodations. compassionate and supportive, yet assertive, approach is key to managing mental health disability. It will, in most cases, facilitate successful return to full-time work. PMID:16921867

  8. Behavioral health in the Department of Defense Patient-Centered Medical Home: history, finance, policy, work force development, and evaluation.

    PubMed

    Hunter, Christopher L; Goodie, Jeffrey L

    2012-09-01

    Integrating behavioral health services into the patient-centered medical home (PCMH) is an important component for meeting the goals of easy access, whole person, coordinated, and integrated care. Unlike most PCMH initiatives, the Department of Defense's (DoD) Military Health System (MHS) launched its PCMH initiative with integrated behavioral health services. This integration facilitates the MHS's goal to meet its strategic imperatives under the "Quadruple Aim" of (1) maximizing readiness, (2) improving the health of the population, (3) enhancing the patient experience of care (including quality, access, and reliability), and (4) responsibly managing per capita cost of care. The MHS experience serves as a guide to other organizations. We discuss the historical underpinnings, funding, policy, and work force development strategies that contributed to integrated behavioral healthcare being a mandated component of the MHS's PCMH. PMID:24073135

  9. Mental health of a police force: estimating prevalence of work-related depression in Australia without a direct national measure.

    PubMed

    Lawson, Katrina J; Rodwell, John J; Noblet, Andrew J

    2012-06-01

    The risk of work-related depression in Australia was estimated based on a survey of 631 police officers. Psychological wellbeing and psychological distress items were mapped onto a measure of depression to identify optimal cutoff points. Based on a sample of police officers, Australian workers, in general, are at risk of depression when general psychological wellbeing is considerably compromised. Large-scale estimation of work-related depression in the broader population of employed persons in Australia is reasonable. The relatively high prevalence of depression among police officers emphasizes the need to examine prevalence rates of depression among Australian employees. PMID:22897081

  10. The Work, the Workplace, and the Work Force of Tomorrow.

    ERIC Educational Resources Information Center

    Allen, Claudia

    1995-01-01

    Ann McLaughlin, a former secretary of labor, discusses her views on the future of the workplace. She feels that to solve the impending problem of educational deficits among the work force, employers will begin their own educational programs, improving both employee loyalty and work force mobility. Includes predictions for future growth fields.…

  11. Creative work and health.

    PubMed

    Mirowsky, John; Ross, Catherine E

    2007-12-01

    Employees with greater control over their own activities have better health. People who are employed give up some control over their own activities for pay, yet employment is associated with better health. Perhaps paid jobs provide resources for productive self-expression that make up for the loss of autonomy. We find that paid employment is associated with lower autonomy but greater creativity of one's work or other main daily activities. Both have positive associations with health. Creativity's association is larger more statistically significant, and found in follow-up models as well as cross-sectional ones. The health advantage of being at the 60th versus the 40th percentile of creative work is equivalent to that of being 6.7 years younger or having two more years of education or 15 times greater household income. Education reduces the amount of autonomy lost in employment. Managerial authority and occupational attributes influence autonomy and creativity but otherwise have little or no association with health. PMID:18198686

  12. Health Effects of Shift Work

    PubMed Central

    LaDou, Joseph

    1982-01-01

    More than 13.5 million American workers, close to 20 percent of the work force, are assigned to evening or night shifts. In some industries such as automobile, petrochemical and textile manufacturing the proportion of shift workers is greater than 50 percent. As the popularity of shift work and other “alternative work schedules” grows, concern is increasing over the disturbance created in the lives of workers and their families by these economically and socially useful innovations. Twenty percent of workers are unable to tolerate shift work. Daily physiologic variations termed circadian rhythms are interactive and require a high degree of phase relationship to produce subjective feelings of wellbeing. Disturbance of these activities, circadian desynchronization, whether from passage over time zones or from shift rotation, results in health effects such as disturbance of the quantity and quality of sleep, disturbance of gastrointestinal and other organ system activities, and aggravation of diseases such as diabetes mellitus, epilepsy and thyrotoxicosis. Worker selection can reduce the number of health problems resulting from shift work. The periodic examination of shift workers is recommended. PMID:6962577

  13. Magnetic Force and Work: An Accessible Example

    ERIC Educational Resources Information Center

    Gates, Joshua

    2014-01-01

    Despite their physics instructors' arguments to the contrary, introductory students can observe situations in which there seems to be compelling evidence for magnetic force doing work. The counterarguments are often highly technical and require physics knowledge beyond the experience of novice students, however. A simple example is presented…

  14. Magnetic Force and Work: An Accessible Example

    ERIC Educational Resources Information Center

    Gates, Joshua

    2014-01-01

    Despite their physics instructors' arguments to the contrary, introductory students can observe situations in which there seems to be compelling evidence for magnetic force doing work. The counterarguments are often highly technical and require physics knowledge beyond the experience of novice students, however. A simple example is presented

  15. Creative Work and Health

    ERIC Educational Resources Information Center

    Mirowsky, John; Ross, Catherine E.

    2007-01-01

    Employees with greater control over their own activities have better health. People who are employed give up some control over their own activities for pay, yet employment is associated with better health. Perhaps paid jobs provide resources for productive self-expression that make up for the loss of autonomy. We find that paid employment is…

  16. Work and common health problems.

    PubMed

    Waddell, Gordon; Burton, Kim; Aylward, Mansel

    2007-01-01

    This paper reviews the evidence on the relationship between work and health. It concludes that, overall, the beneficial effects of work outweigh the risks of work, and are greater than the harmful effects of long-term worklessness. That contrasts with increasing trends of sickness absence, long-term incapacity and ill-health retirement attributed to common health problems. It suggests that there needs to be a fundamental shift in how we think about common health problems and work--in health care, the workplace and society. PMID:17941336

  17. Head Start Health Coordinators' Task Force Report.

    ERIC Educational Resources Information Center

    Administration for Children, Youth, and Families (DHHS), Washington, DC. Head Start Bureau.

    The Head Start Health Coordinator's Task Force (HCTF) was charged to study and make recommendations to strengthen Head Start's health component, which is a vital part of the child development program. Since its inception in 1965, Head Start has served over 12 million economically disadvantaged children. Through the health component, children have…

  18. Gendered work conditions, health, and work outcomes.

    PubMed

    Bond, Meg A; Punnett, Laura; Pyle, Jean L; Cazeca, Dianne; Cooperman, Manuela

    2004-01-01

    This cross-sectional study of nonfaculty university employees examined associations among gendered work conditions (e.g., sexism and discrimination), job demands, and employee job satisfaction and health. Organizational responsiveness and social support were examined as effect modifiers. Comparisons were made by gender and by the male-female ratio in each job category. The relationship of gendered conditions of work to outcomes differed on the basis of respondents' sex and the job sex ratio. Although the same predictors were hypothesized for job satisfaction, physical health, and psychological distress, there were some differing results. The strongest correlate of job satisfaction was social support; perceived sexism in the workplace also contributed for both men and women. Organizational factors associated with psychological distress differed between female- and male-dominated jobs. PMID:14700456

  19. Sexual health: working with women.

    PubMed

    Masiyiwa, E; Snowsill, F

    1994-01-01

    Sex and sexuality, as well as cultural traditions, can be very sensitive areas for health workers. In Zimbabwe, as in many other societies, it is unacceptable to discuss sex publicly. However, women can and do gather together to discuss sex. The Women's Action Group (WAG), a grassroots organization working with women from both rural and urban Zimbabwe, initiated the Women's Health Information Project, which aimed to work with women to research their health needs and to implement ways of improving their health. WAG conducted a health information needs assessment through thirteen workshops across Zimbabwe, involving women from different backgrounds. Women were asked about their health problems and how their health could be improved; what traditional practices had positive or negative effects on their health; and what areas they needed more information on. These workshops enabled WAG to tackle sensitive issues, such as sexual practices, STDs, reproductive health and related cancers. During the workshops, it was discovered that women lacked information on sexual health. As a result, WAG produced a series of self-help booklets entitled "Getting to know our bodies" with the purpose of enabling women to understand, prevent, and cope with conditions that affect their bodies and to appreciate conditions that might affect them and their partners. WAG has since conducted follow-up workshops to help women use the booklets and to find further ways in improving their sexual health. PMID:12222416

  20. Task Force on Health Care.

    PubMed

    1993-09-01

    The five leading issues identified, in order of importance, were 1. The need for treatment outcome and efficacy data. 2. The need for changes in clinical and academic preparation of entry-level practitioners. 3. The lack of inclusion or use of services for communication and related disorders in public and private health care programs. 4. The need for greater professional autonomy within the health care system. 5. The need to improve services to underserved populations with communication and related disorders. This report was forwarded to key National Office staff and appropriate ASHA boards, councils, and committees for the purposes of determining its feasibility and developing a national plan for action. The feasibility and action plan will detail completed, ongoing and future activities of the Association related to each issue, recommendation, and strategy. Periodic review of the actions taken and progress achieved will be monitored by the Executive Board, other appropriate boards and councils, and designated National Office staff. The plan represents a progressive view of needed change for the professions of speech-language pathology and audiology within the context of the broader health care delivery system. PMID:8216494

  1. Annual report on contractor work force restructuring, fiscal year 1997

    SciTech Connect

    1998-03-01

    This report summarizes work force restructuring and community transition activities at all sites. It outlines work force restructuring activity for FY 1997, changing separation patterns, cost savings and separation costs, program assessment, activities to mitigate restructuring impacts, community transition activities, status of displaced workers, lessons learned, and emerging issues in worker and community transition. Work force restructuring and community transition activities for defense nuclear sites are summarized, as are work force restructuring activities at non-defense sites.

  2. 40 CFR 35.936-14 - Force account work.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Force account work. 35.936-14 Section... Force account work. (a) A grantee must secure the project officer's prior written approval for use of the force account method for (1) any step 1 or step 2 work in excess of $10,000; (2) any...

  3. 40 CFR 35.936-14 - Force account work.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Force account work. 35.936-14 Section... Force account work. (a) A grantee must secure the project officer's prior written approval for use of the force account method for (1) any step 1 or step 2 work in excess of $10,000; (2) any...

  4. 40 CFR 35.936-14 - Force account work.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Force account work. 35.936-14 Section... Force account work. (a) A grantee must secure the project officer's prior written approval for use of the force account method for (1) any step 1 or step 2 work in excess of $10,000; (2) any...

  5. 40 CFR 35.936-14 - Force account work.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Force account work. 35.936-14 Section... Force account work. (a) A grantee must secure the project officer's prior written approval for use of the force account method for (1) any step 1 or step 2 work in excess of $10,000; (2) any...

  6. Ageing, musculoskeletal health and work

    PubMed Central

    Palmer, Keith; Goodson, Nicola

    2016-01-01

    Changing demographics mean that many patients with soft tissue rheumatism, osteoarthritis, inflammatory arthritis, large joint prostheses, and age-related co-morbidities are seeking to work beyond the traditional retirement age. In this chapter we review the evidence on musculoskeletal health and work at older ages. We conclude that musculoskeletal problems are common in older workers and have a substantial impact on their work capacity. Factors that influence their job retention are described, together with approaches that may extend working life. Many gaps in evidence were found, notably on the health risks and benefits of continued work in affected patients and on which interventions work best. The roles of physicians and managers are also considered. PMID:26612237

  7. Ageing, musculoskeletal health and work.

    PubMed

    Palmer, Keith T; Goodson, Nicola

    2015-06-01

    Changing demographics mean that many patients with soft tissue rheumatism, osteoarthritis, inflammatory arthritis, large joint prostheses and age-related co-morbidities are seeking to work beyond the traditional retirement age. In this chapter, we review the evidence on musculoskeletal health and work at older ages. We conclude that musculoskeletal problems are common in older workers and have a substantial impact on their work capacity. Factors that influence their job retention are described, together with approaches that may extend working life. Many gaps in evidence were found, notably on the health risks and benefits of continued work in affected patients and on which interventions work best. The roles of physicians and managers are also considered. PMID:26612237

  8. The Multicultural Work Force. Trends and Issues Alerts.

    ERIC Educational Resources Information Center

    Lankard, Bettina A.

    White males represent only 46 percent of the U.S. work force. Within a few years, 75 percent of those entering the labor force will be women and minorities, according to the U.S. Department of Labor. The work force is getting smaller as well as changing in nature. To attract and keep the most qualified and productive workers, businesses must make…

  9. Health Literacy and Social Work.

    ERIC Educational Resources Information Center

    Singleton, Kate

    Low health literacy is a societal problem, the significance of which has been increasingly recognized in recent years by the United States healthcare community and the federal government. However, its implications have thus far garnered little attention in the field of social work. This paper examines commonly accepted definitions of health…

  10. Interstate Migrant Education Task Force: Migrant Health.

    ERIC Educational Resources Information Center

    Education Commission of the States, Denver, CO.

    Because ill-clothed, sick, or hungry migrant children learn poorly, the Task Force has emphasized the migrant health situation in 1979. Migrant workers have a 33% shorter life expectancy, a 25% higher infant mortality rate, and a 25% higher death rate from tuberculosis and other communicable diseases than the national average. Common among…

  11. Work of gravediggers and health.

    PubMed

    Pinheiro, Fernando; Fischer, Frida Marina; Cobianchi, Claudio José

    2012-01-01

    Gravediggers have death as object of their work. Their activities are painful, physically and mental demanding, as well as unhealthy. Literature is scarce about this theme. The aim of this study is to evaluate gravediggers' work activities and health consequences. The methodological frame which guided this study was Dejours' psychic suffering and its association with the psychodynamic aspects of work. Data collection took place in April-May 2011 in one public and one private cemetery of São Paulo, Brazil. Four male workers, aged between 45 to 60 years old were interviewed. Their work activities were observed during a workday. Participants reported their life dreams, defense mechanisms and frustration. The discourse of gravediggers showed serious problems associated to physical and mental demands, public invisibility and/ or social devaluation of work. The most important physical symptom was body pain. In spite this is a preliminary study, it was possible to raise a number of work stressors and health outcomes of gravediggers, an "invisible" worker of our society. PMID:22317698

  12. Experience proves forced fracture closure works

    SciTech Connect

    Ely, J.W.

    1996-01-01

    Forced closure, or perhaps better-named ``reverse gravel packing,`` of fractures immediately following hydraulic fracturing with proppant and gelled fluids is a technique which, with rare exception, can be extremely beneficial to the success of almost every hydraulic fracture treatment. By proper planning of the rig-up to allow immediate flow-back, substantial quantities of polymer and load fluid can be removed while simultaneously negating undesirable proppant settling within fractures in the near wellbore area. Fracture smearing (dilution of proppant into an extending fracture) after shutdown can be negated. And in most cases, proppant production from the formation can be reduced. Discussions in the article explain why Ely and Associates has the confidence to make these claims after extensive hydraulic fracturing experience in many geographical areas.

  13. Individual and work factors related to perceived work ability and labor force outcomes.

    PubMed

    McGonagle, Alyssa K; Fisher, Gwenith G; Barnes-Farrell, Janet L; Grosch, James W

    2015-03-01

    Perceived work ability refers to a worker's assessment of his or her ability to continue working in his or her job, given characteristics of the job along with his or her resources. Perceived work ability is a critical variable to study in the United States, given an aging workforce, trends to delay retirement, and U.S. policy considerations to delay the age at which full Social Security retirement benefits may be obtained. Based on the job demands-resources model, cognitive appraisal theory of stress, and push/pull factors related to retirement, we proposed and tested a conceptual model of antecedents and outcomes of perceived work ability using 3 independent samples of U.S. working adults. Data regarding workers' job characteristics were from self-report and Occupational Information Network measures. Results from relative importance analysis indicated that health and sense of control were consistently and most strongly related to work ability perceptions relative to other job demands and job and personal resources when perceived work ability was measured concurrently or 2 weeks later in samples with varying occupations. Job demands (along with health and sense of control) were most strongly related to work ability perceptions when perceived work ability was measured in a manufacturing worker sample 1.6 years later. Perceived work ability also predicted lagged labor force outcomes (absence, retirement, and disability leave) while controlling for other known predictors of each. Consistent indirect effects were observed from health status and sense of control to all 3 of these outcomes via perceived work ability. PMID:25314364

  14. Individual and Work Factors Related to Perceived Work Ability and Labor Force Outcomes

    PubMed Central

    McGonagle, Alyssa K.; Fisher, Gwenith G.; Barnes-Farrell, Janet L.; Grosch, James W.

    2015-01-01

    Perceived work ability refers to a worker's assessment of his or her ability to continue working in his or her job, given characteristics of the job along with his or her personal resources. Perceived work ability is a critical variable to study in the U.S., given an aging workforce, trends to delay retirement, and U.S. policy considerations to delay the age at which full Social Security retirement benefits may be obtained. Based on the Job Demands-Resources Model, cognitive appraisal theory of stress and push/pull factors related to retirement, we proposed and tested a conceptual model of antecedents and outcomes of perceived work ability using three independent samples of U.S. working adults. Data regarding workers’ job characteristics were from self-report and O*NET measures. Results from relative importance analysis indicated that health and sense of control were consistently and most strongly related to work ability perceptions relative to other job demands and job resources when perceived work ability was measured concurrently or two weeks later in samples with varying occupations. Job demands (along with health and sense of control) were most strongly related to work ability perceptions when perceived work ability was measured in a manufacturing worker sample 1.6 years later. Perceived work ability also predicted lagged labor force outcomes (absence, retirement, and disability leave) while controlling for other known predictors of each. Consistent indirect effects were observed from health status and sense of control to all three of these outcomes via perceived work ability. PMID:25314364

  15. 48 CFR 223.570 - Drug-free work force.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Drug-free work force. 223..., DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS ENVIRONMENT, ENERGY AND WATER EFFICIENCY, RENEWABLE ENERGY TECHNOLOGIES, OCCUPATIONAL SAFETY, AND DRUG-FREE WORKPLACE Drug-Free Workplace 223.570 Drug-free work force....

  16. 48 CFR 223.570 - Drug-free work force.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Drug-free work force. 223..., DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS ENVIRONMENT, ENERGY AND WATER EFFICIENCY, RENEWABLE ENERGY TECHNOLOGIES, OCCUPATIONAL SAFETY, AND DRUG-FREE WORKPLACE Drug-Free Workplace 223.570 Drug-free work force....

  17. 48 CFR 223.570 - Drug-free work force.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Drug-free work force. 223..., DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS ENVIRONMENT, ENERGY AND WATER EFFICIENCY, RENEWABLE ENERGY TECHNOLOGIES, OCCUPATIONAL SAFETY, AND DRUG-FREE WORKPLACE Drug-Free Workplace 223.570 Drug-free work force....

  18. 48 CFR 223.570 - Drug-free work force.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Drug-free work force. 223..., DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS ENVIRONMENT, ENERGY AND WATER EFFICIENCY, RENEWABLE ENERGY TECHNOLOGIES, OCCUPATIONAL SAFETY, AND DRUG-FREE WORKPLACE Drug-Free Workplace 223.570 Drug-free work force....

  19. Honeywell's Working Parents Task Force. Final Report and Recommendations.

    ERIC Educational Resources Information Center

    Honeywell, Inc., Minneapolis, Minn.

    This publication provides a summary of the Honeywell Working Parent Task Force's recommendations on how to solve problems experienced by working parents. The Task Force consisted of three committees: the Employment Practices Committee (EPC); the Parent Education Committee (PEC); and the Child Care Facilities Committee (CCFC). After examining a…

  20. Women's Safety and Health Issues at Work

    MedlinePlus

    ... Publications and Products Programs Contact NIOSH NIOSH Women's Safety and Health Issues at Work Recommend on Facebook ... these issues and others facing women workers: Women's Safety and Health Issues at Work Agriculture Construction Health ...

  1. Investigation of applied forces in alphanumeric keyboard work.

    PubMed

    Armstrong, T J; Foulke, J A; Martin, B J; Gerson, J; Rempel, D M

    1994-01-01

    This paper considers one way that occupational health professionals can assess the force exerted by keyboard users and the possible relationship between that force and the key force-displacement relationship. First, three personal-computer keyboards with the standard QWERTY layouts were tested as described by the American National Standard for Human Factors Engineering of Visual Display workstations (ANSI/HFS 100-1988) to determine the peak forces, 0.47-0.89N; displacements prior to the "breakaway" force that acknowledges key registration, 2.0-2.5 mm; and total key travel, 3.3-4.3 mm. Second, keyboard reaction forces were recorded while 10 subjects typed 4 alphanumeric sentences on the keyboards. It was found that the peak forces corresponding to each keystroke were 2.5 to 3.9 times the required activation forces, indicating that the subjects consistently displaced the keys to their limits. The average of the peak forces for all keystrokes was lowest for the keyboard with the lowest required activation force. It was concluded that keyboard reaction forces can be used as an index of finger forces for keying tasks. Further studies are necessary to evaluate the relationship between keyboard reaction forces, fatigue, and chronic muscle, tendon, and nerve disorders. PMID:8116526

  2. Environmental education work force pipeline strategic plan

    SciTech Connect

    Ortega, S.U.; Jackson, E.R.

    1992-11-01

    This document describes an educational program designed to provide a pool of highly qualified administrative, technical, and managerial graduates that are familiar with the Hanford Site and business operations. The program is designed to provide work experience and mentoring to a culturally diverse student base which enhances affirmative employment goals. Short-term and long-term objectives of the program are outlined in the report, and current objectives are discussed in more detail. Goals to be completed by the year 2003 are aimed at defining the criteria necessary to establish partnerships between schools, community organizations, and human resources departments. Actions to be implemented includes providing instructors and equipment, enhancing skills of local teachers, and establishing collaboration with human resources organizations. Long-term goals of the program are to ensure a constant supply of qualified, trained workers to support industry missions. 6 refs., 1 tab.

  3. The Labor Force Participation of Older Women: Retired? Working? Both?

    ERIC Educational Resources Information Center

    Hill, Elizabeth T.

    2002-01-01

    Noneconomic factors such as level of education, job flexibility in work hours, and physical stress appear to influence older women's labor force participation resulting in many retired women who are employed. Some women classified as retired work nearly as many hours as those employed, although many employed older women work part time. (Contains…

  4. Round ceiling detail, note tension wires working against outward forces ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Round ceiling detail, note tension wires working against outward forces on the vertical columns while restoration of collapsed roof takes place. - Baltimore & Ohio Railroad, Mount Clare Passenger Car Shop, Southwest corner of Pratt & Poppleton Streets, Baltimore, Independent City, MD

  5. Flextime: A Modified Work Force Scheduling Technique for Selected Headquarters Air Force Logistics Command Organizations.

    ERIC Educational Resources Information Center

    Kimzey, Reed T.; Prince, Samuel M. O.

    The thesis discusses the advantages and disadvantages of one work force scheduling technique--flextime. The authors were interested in determining if a flextime schedule could be put into effect in a governmental organization such as Headquarters Air Force Logistics Command (AFLC). The study objectives were to determine the feasibility,…

  6. Report of the Task Force - Space for Health Sciences. Building Blocks. Volume III.

    ERIC Educational Resources Information Center

    Council of Ontario Universities, Toronto.

    The Task Force on Space for Health Sciences is one of four task forces established by the Committee on Capital Financing of the Council of Ontario Universities to work toward the development of a capital formula that would define space needs and building costs for Ontario universities. Each task force has a particular assignment related to the…

  7. The future of health social work.

    PubMed

    Pecukonis, Edward V; Cornelius, Llewellyn; Parrish, Margarete

    2003-01-01

    The practice of social work in health care is at a critical juncture, and laces an uncertain future. The authors provide an overview of the challenges facing social work practice within the health care setting, as well as recommendations for enhancing social work practice and education. Challenges discussed include economic factors, demographic changes, and technological advances influencing the practice of social work in health care. The need for a proactive stance among social work professionals and educators is promoted. The proposed changes are intended to stimulate discussion and an exchange of ideas needed to maintain Social Work's relevance and integrity in the evolving health care delivery system. PMID:14526873

  8. Diversity in the Work Force. The Highlight Zone: Research @ Work No. 4.

    ERIC Educational Resources Information Center

    Wentling, Rose Mary

    A literature review was conducted to identify critical work force diversity issues in today's changing workplace and identify ways organizations and career and technical education (CTE) practitioners can increase work force diversity. A broad, all-inclusive definition of diversity was developed that focuses on how diversity affects individuals and…

  9. The Culture-Work-Health Model and Work Stress.

    ERIC Educational Resources Information Center

    Peterson, Michael; Wilson, John F.

    2002-01-01

    Examines the role of organizational culture in the etiology of workplace stress through the framework of the Culture-Work- Health model. A review of relevant business and health literature indicates that culture is an important component of work stress and may be a key to creating effective organizational stress interventions. (SM)

  10. Imbalances in the health labour force: an assessment using data from three national health facility surveys.

    PubMed

    Barden-O'Fallon, Janine; Angeles, Gustavo; Tsui, Amy

    2006-03-01

    Accurate knowledge of the characteristics of the health labour force that can affect health care production is of critical importance to health planners and policymakers. This study uses health facility survey data to examine characteristics of the primary health care labour force in Nicaragua, Tanzania and Bangladesh. The characteristics examined are those that are likely to affect service provision, including urban/rural distribution, demographic characteristics, and experience and in-service training, for three types of providers (physicians, nurses and auxiliary nurses). The profiles suggest a pattern of urban/rural imbalances in Nicaragua and Tanzania. The Bangladesh facility survey did not include hospitals, thereby making concrete conclusions on the supply and distribution of providers difficult to make. Multivariate logistic regressions are used to assess the relationship between the urban/rural placement of providers by health need, population demand and facility characteristics. Health need, as measured by child mortality rates, does not have a significant association with the placement of providers in either country, unlike population size and annual growth rates. The mean number of years providers have worked at a facility is significantly associated with a decreased likelihood of rural placement for the three types of providers in Nicaragua. The mean age and percentage of female providers at each facility has a negative association with the placement of rural providers in Tanzania. The use of health facility data to profile the health care labour force is also discussed. PMID:16434424

  11. Force identification of dynamic systems using virtual work principle

    NASA Astrophysics Data System (ADS)

    Xu, Xun; Ou, Jinping

    2015-02-01

    One of the key inverse problems for estimating dynamic forces acting on a structure is to determine the force expansion and the corresponding solving method. This paper presents a moving least square (MLS) method for fitting dynamic forces, which improves the existing traditional methods. The simulation results show that the force expansion order has a tiny effect on the types of forces, which indicates the MLS method's excellent ability for local approximation and noise immunity as well as good fitting function. Then, the differential equation of motion for the system is transformed into an integral equation by using the virtual work principle, which can eliminate the structural acceleration response without introducing the calculation error. Besides, the transformation derives an expression of velocity by integrating by parts, which diminishes the error propagation of the velocity. Hence, the integral equation of motion for the system has a strong constraint to noise with zero mean value. Finally, this paper puts forward an optimization method to solve the equation. The numerical stability can be enhanced as the matrix inversion calculation is avoided. Illustrative examples involving different types of forces demonstrate that the transformation of the differential equation proposed through virtual work principle can eliminate interference efficiently and is robust for dynamic calculation.

  12. Work Force Preparation for Technician-Level Occupations.

    ERIC Educational Resources Information Center

    Harmon, Hobart L.

    The Tech Prep Associate Degree (TPAD) program must be clearly focused on technician-level occupations, which are expected to have the greatest occupational growth. Generally, the preparation required to enter the work force at the technician level is completion of an associate degree program that includes 50 percent theory and 50 percent applied…

  13. The Need for Work Force Education. Fastback 350.

    ERIC Educational Resources Information Center

    Gordon, Edward E.

    Educational problems underlie the crisis in the high-tech workplace. Insufficient expenditures for workplace education result in low productivity. Technology requires a skilled work force; the chief competitive advantage for a nation will be its skilled workers. Workplace literacy has been a half-hearted effort. Investment of billions by U.S.…

  14. 48 CFR 223.570 - Drug-free work force.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Drug-free work force. 223.570 Section 223.570 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS ENVIRONMENT, ENERGY AND WATER EFFICIENCY, RENEWABLE ENERGY TECHNOLOGIES, OCCUPATIONAL SAFETY,...

  15. Delivering Alert Messages to Members of a Work Force

    NASA Technical Reports Server (NTRS)

    Loftis, Julia; Nickens, Stephanie; Pell, Melissa; Pell, Vince

    2008-01-01

    Global Alert Resolution Network (GARNET) is a software system for delivering emergency alerts as well as less-urgent messages to members of the Goddard Space Flight Center work force via an intranet or the Internet, and can be adapted to similar use in other large organizations.

  16. Literacy in the Work Force. Report Number 947.

    ERIC Educational Resources Information Center

    Lund, Leonard; McGuire, E. Patrick

    Up to 10 percent of U.S. workers are either functionally illiterate or marginally literate. These workers increase the operational costs of their employers and restrain companies' flexibility. The high school graduates of the 1990s will exacerbate the problem by entering the work force with marginal literacy skills. A survey of 1,600 manufacturing…

  17. [Health work in MERCOSUR: a Brazilian approach].

    PubMed

    Machado, Maria Helena; Paula, Ada El-Khoury de; Aguiar Filho, Wilson

    2007-01-01

    MERCOSUR Member Countries (Brazil, Argentina, Paraguay, Uruguay, and Venezuela) have viewed the regional integration process and management of work and education in health as a concern for government, considering the health sector's specificities. Key issues are professional accreditation and harmonization of current legislation. This article discusses initiatives in the Permanent MERCOSUR Forum related to work in the health field. The Forum serves as a space for dialogue between various actors: Ministry of Health, health workers, and professional boards, with the aim of supporting the work by the Sub-Commission on Professional Development and Practice, under MERCOSUR Working Sub-Group 11, Health, aiding in the formulation of health management and education policies. The current challenge involves the creation of mechanisms for implementing joint actions to solve problems in the regulation of professional practice, especially in municipalities along the borders between MERCOSUR countries. PMID:17625655

  18. Improving the Health of Working Families: Research Connections Between Work and Health. NPA Report.

    ERIC Educational Resources Information Center

    Yen, Irene H.; Frank, John W.

    This document contains two papers on connections between work and health and policy options for improving the health of working families. "Foreword" (James A. Auerbach) places the two papers in the context of recent research on the connections between work, family, and health. Chapter 1's overview addresses the changing nature of work, the new…

  19. Work Force Diversity as a Special Needs Learner Issue in the American Work Place.

    ERIC Educational Resources Information Center

    Brown, James M.

    1997-01-01

    An increasingly diverse work force includes people with special learning needs. When addressing diversity issues, employers should consider accommodations for this population. Special needs educators should broaden their perspectives on training diverse learners for the workplace. (SK)

  20. Tractional Forces, Work and Energy Densities in the Human TMJ

    PubMed Central

    Nickel, Jeffrey C.; Iwasaki, Laura R.; Gallo, Luigi M.; Palla, Sandro; Marx, David B.

    2011-01-01

    The role of mechanics in degenerative joint disease of the temporomandibular joint (TMJ) is largely unknown. Objectives were to: 1) develop an empirical model to relate variables of cartilage mechanics and tractional forces; and 2) use the empirical model to estimate tractional forces for calculations of work done (mJ) and energy densities (mJ/mm3) in living human TMJs. Sixty-four porcine discs were statically, then dynamically loaded. Aspect ratios and velocities of stress-fields, compressive strains, and tractional forces were recorded and fit to a quadratic equation to derive the empirical model. Aspect ratios and velocities of stress-fields and cartilage thicknesses then were measured via dynamic stereometry in 15 humans with healthy TMJs and 11 with TMJ disc displacement. These data were used in the empirical model to estimate tractional forces for each TMJ, and then mechanical work done and energy densities were calculated. Mechanical work (mJ) was on average 20 times greater in TMJs with disc displacement than in healthy TMJs (P<0.02). TMJs with disc displacement showed 350% more mechanical work (mJ) and 180% higher energy densities in women compared to men (P<0.02). A power analysis (α=0.05, β=0.90) indicated that 40 women and 40 men would be required to detect a 50% difference in TMJ energy densities between genders. Mechanical work was significantly higher (P≤0.05) in TMJs with disc displacement compared to healthy TMJs, and mechanical work done and energy densities were significantly higher (P≤0.05) in TMJs with disc displacement in women compare to men. PMID:26549916

  1. [How to promote health competence at work].

    PubMed

    Eickholt, Clarissa; Hamacher, W; Lenartz, N

    2015-09-01

    Health competence is a key concept in occupational health and safety and workplace health promotion for maintaining and enhancing health resources. The effects of governmental or occupational measures to protect or improve health fall short of what is required with regard to the challenges of a changing workplace, e.g., due to the delimitation of work. To secure employability it is becoming more and more important to encourage the personal responsibility of employees. To offer new conclusions on how employers and employees can promote health competence, a survey is required of the research within the fields of health competence and competence development, and of the status quo in enterprises. In this context, a Delphi Study provides an important contribution, with a focus on small and medium-sized enterprises. The development of an extensive understanding of health competence is essential in a work-related context. Beyond knowledge-based health literacy, an action-oriented concept of competence implies the ability and willingness to act in a reasonable and creative manner in complex situations. The development of health competence requires learning embedded in working processes, which challenges competent behaviour. Enabling informal learning is a promising innovative approach and therefore coordinated operational activities are necessary. Ultimately, this is a matter of suitable organisational measures being implemented to meet the health competence needs of an enterprise. Even though the each individual employee bears his or her own health competence, the development potential lies largely within the prevailing working conditions. PMID:26159771

  2. A Safe and Healthful Work Environment

    PubMed Central

    McCullagh, Marjorie C.; Berry, Peggy

    2016-01-01

    Occupational health nursing focuses on promotion and restoration of health, prevention of illness and injury, protection from work-related and environmental hazards, and corporate profitability. Quality education about the relationship between work and health is critical for nurses’ success regardless of work setting, and is consistent with Healthy People 2020 goals, but is lacking or limited in some programs. This report introduces an innovative occupational health nursing curriculum for students enrolled in baccalaureate nursing programs. The process of designing and pilot testing this novel curriculum, its alignment with nursing competencies, and its format and learning activities are described. Preparing professional nurses to understand the role of the occupational health nurse and the relationship between work and health is an essential curricular consideration for contemporary nursing education. PMID:26077879

  3. Class position, work experience, and health.

    PubMed

    Schwalbe, M L; Staples, C L

    1986-01-01

    This paper develops a Marxist analysis of the relationships between class position, work experience, the psychological effects of this experience, and subsequent health outcomes. Specifically, it is argued that the structural imperatives of capitalist production make work for those in working-class positions subject to greater routinization and less control than work for those in other class positions. Routinization and control are argued, in turn, to predictably affect two key psychological variables, self-esteem and stress, which are further argued to affect health in predictable ways. Position in the capitalist labor process is thus linked to health via the psychological consequences of the immediate work experience it engenders. Survey data from workers, managers, supervisors, and semi-autonomous employees in five capitalist firms are used to test the descriptive adequacy of this model linking capitalism to ill health for those in working-class positions. PMID:3781716

  4. Home Health Agency Work Environments and Hospitalizations

    PubMed Central

    Flynn, Linda; Lake, Eileen T.; Aiken, Linda H.

    2014-01-01

    Background: An important goal of home health care is to assist patients to remain in community living arrangements. Yet home care often fails to prevent hospitalizations and to facilitate discharges to community living, thus putting patients at risk of additional health challenges and increasing care costs. Objectives: To determine the relationship between home health agency work environments and agency-level rates of acute hospitalization and discharges to community living. Methods and Design: Analysis of linked Center for Medicare and Medicaid Services Home Health Compare data and nurse survey data from 118 home health agencies. Robust regression models were used to estimate the effect of work environment ratings on between-agency variation in rates of acute hospitalization and community discharge. Results: Home health agencies with good work environments had lower rates of acute hospitalizations and higher rates of patient discharges to community living arrangements compared with home health agencies with poor work environments. Conclusion: Improved work environments in home health agencies hold promise for optimizing patient outcomes and reducing use of expensive hospital and institutional care. PMID:25215647

  5. Power, muscular work, and external forces in cycling.

    PubMed

    de Groot, G; Welbergen, E; Clijsen, L; Clarijs, J; Cabri, J; Antonis, J

    1994-01-01

    Cycling performance is affected by the interaction of a number of variables, including environment, mechanical, and human factors. Engineers have focused on the development of more efficient bicycles. Kinesiologists have examined cycling performance from a human perspective. This paper summarizes only certain aspects of human ergonomics of cycling, especially those which are important for the recent current research in our departments. Power is a key to performance of physical work. During locomotion an imaginary flow of energy takes place from the metabolism to the environment, with some efficiency. The 'useful' mechanical muscle power output might be used to perform movements and to do work against the environment. The external power is defined as the sum of joint powers, each calculated as the product of the joint (net) moment and angular velocity. This definition of external power is closely related to the mean external power as applied to exercise physiology: the sum of joint powers reflects all mechanical power which in principle can be used to fulfil a certain task. In this paper, the flow of energy for cycling is traced quantitatively as far as possible. Studies on the total lower limb can give insight into the contribution of individual muscles to external power. The muscle velocity (positive or negative) is obtained from the positions and orientations of body segments and a bar linkage model of the lower limb. The muscle activity can be measured by electromyography. In this way, positive and negative work regions in individual muscles are identified. Synergy between active agonistic/antagonistic muscle groups occurs in order to deliver external power. Maximum power is influenced by body position, geometry of the bicycle and pedalling rate. This has to be interpreted in terms of the length-tension and force-velocity-power relationships of the involved muscles. Flat road and uphill cycling at different saddle-tube angles is simulated on an ergometer. The measured pedal forces (magnitude and direction) are only dependent on the intersegmental orientation of saddle tube, crank position, upper and lower leg, and foot. The changed direction of the gravitational force with respect to the saddle-tube does not interfere with the co-ordinated force production pattern. During locomotory cycling at constant speed the external power is mainly used to overcome the aerodynamic friction force. This force and the rolling resistance are determined by coasting down experiments, yielding the external power.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:8112280

  6. When the work force shrinks, so does safety

    SciTech Connect

    Shapiro, D.E.

    1996-09-01

    The blues that accompany an organizational reduction in force can lead to safety hazards. Last May, two much-read association publications ran feature stories on the suffering that can result from downsizing. {open_quotes}Casualties of downsizing{close_quotes} were lamented in Robert W. Lucky`s IEEE Spectrum column. {open_quotes}Downsizing: a new form of abandonment{close_quotes} moaned the cover of the APA Monitor, the American Psychological Association`s monthly. For a number of reasons, when employees suffer, the workplace becomes less safe. Safety means more than not stepping into maintenance holes. Persons who work for a government or nonprofit entity are twice as likely to be threatened on the job as are employees of a for-profit business. Government workers constituted 18 percent of the work force but they accounted for 30 percent of homicide victims. Non-fatal assaults in the workplace are most commonly perpetrated by a fellow employee, not a stranger or someone known from outside work. There are other morale-related challenges to safety besides a disgruntled, imbalanced employee bringing a semiautomatic weapon to work. Some of these safety issues are discussed.

  7. Enhanced oil recovery. Reservoir engineer suggests working with capillary forces

    SciTech Connect

    Gill, D.

    1981-04-01

    Enhanced oil recovery (EOR) production results have been disappointing not only because of the low domestic prices that used to prevail, but also because technology has not been good enough. An entirely new EOR technology based on working with rather than against the natural capillary forces within a reservoir must be developed. There is a natural tendency of hydrocarbon fluids to flow under the twin forces of gravity and capillary action back into empty or watered-out sections of reservoirs that have already been produced to their economic limits. Mathematical models of how surfactants or solvents could be used to speed up this normal gravity resegregation of fluids in given types of reservoirs are being developed. The theory is that if solvents or surfactants are pumped into wells and allowed to speed up natural processes, gravity and natural capillary action will draw the oil into already depleted reservoirs so it can be pumped out.

  8. Health protection and promotion at work.

    PubMed Central

    Schilling, R S

    1989-01-01

    Official United Kingdom figures record annually 1400 deaths and 145,000 sufferers from chronic effects of occupational injury and disease. Evidence indicates that occupational disease directly due to work is underestimated. With more understanding of the multiple causes of disease, the concept of work related disorders has broadened to include four categories: work as a direct cause, a contributory cause, or an aggravating factor, and work offering easy access to potential dangers (alcohol). As an example, work factors that increase the risk of coronary heart disease are discussed. Evidence for work stress as a causal factor and the role of leadership are considered. Prevention depends on identifying risks, preferably before anyone is exposed, but more commonly through recognition of adverse effects on workers. The need for occupational health services to have health promotion programmes that include screening for disease and its precursors, counselling and education, is considered. The positive effects of work itself as a protector and promoter of health are discussed. Responsibility for improving health has to be shared by government, management, trade unions, health professionals, and the individual worker. PMID:2818956

  9. Alaska Interagency Ecosystem Health Work Group

    USGS Publications Warehouse

    Shasby, Mark

    2009-01-01

    The Alaska Interagency Ecosystem Health Work Group is a community of practice that recognizes the interconnections between the health of ecosystems, wildlife, and humans and meets to facilitate the exchange of ideas, data, and research opportunities. Membership includes the Alaska Native Tribal Health Consortium, U.S. Geological Survey, Alaska Department of Environmental Conservation, Alaska Department of Health and Social Services, Centers for Disease Control and Prevention, U.S. Fish and Wildlife Service, Alaska Sea Life Center, U.S. Environmental Protection Agency, and Alaska Department of Fish and Game.

  10. The Educational Dimensions of Mental Health Work.

    ERIC Educational Resources Information Center

    Bee, Elizabeth; Martin, Ian S.

    1997-01-01

    The growing interest in adult education and mental health work is an opportunity to return to adult education's roots in social purpose education and critical pedagogy. Although such work is often thought of as recreational or therapeutic, recasting it in terms of teaching and learning and empowerment reveals its educational dimensions. (SK)

  11. Human Health Effects, Task Force Assessment, Preliminary Report.

    ERIC Educational Resources Information Center

    Aronow, Wilbert S.; And Others

    Presented in this preliminary report is one of seven assessments conducted by a special task force of Project Clean Air, the Human Health Effects Task Force. The reports summarize assessments of the state of knowledge on various air pollution problems, particularly in California, and make tentative recommendations as to what the University of…

  12. [Working conditions and health status of railway cashiers].

    PubMed

    Pankova, V B; Kopirovskiĭ, K M; Poliakova, V A; Gipp, E K; Andreeva, I V

    2003-01-01

    The paper presents the data of clinical and hygienic studies of railway cashiers' health. The main deleterious factors of their working conditions are poor microclimatic conditions, bacterial inoculation of the working area air, a forced working posture, and a high vocal load under mental stress. There is a significant prevalence of nervous, obstetric, gynecological, thyroid, and vocal diseases and oral dysbacteriosis among the workers of this professional group. There is evidence for the necessity of including the job of a railway cashier into the List of decreed contingents for periodical medical examinations. PMID:12934277

  13. Bad Jobs, Bad Health? How Work and Working Conditions Contribute to Health Disparities

    PubMed Central

    Burgard, Sarah A.; Lin, Katherine Y.

    2013-01-01

    In this review, we touch on a broad array of ways that work is linked to health and health disparities for individuals and societies. First focusing on the health of individuals, we discuss the health differences between those who do and do not work for pay, and review key positive and negative exposures that can generate health disparities among the employed. These include both psychosocial factors like the benefits of a high status job or the burden of perceived job insecurity, as well as physical exposures to dangerous working conditions like asbestos or rotating shift work. We also provide a discussion of the ways differential exposure to these aspects of work contributes to social disparities in health within and across generations. Analytic complexities in assessing the link between work and health for individuals, such as health selection, are also discussed. We then touch on several contextual level associations between work and the health of populations, discussing the importance of the occupational structure in a given society, the policy environment that prevails there, and the oscillations of the macroeconomy for generating societal disparities in health. We close with a discussion of four areas and associated recommendations that draw on this corpus of knowledge but would push the research on work, health and inequality toward even greater scholarly and policy relevance. PMID:24187340

  14. Bad Jobs, Bad Health? How Work and Working Conditions Contribute to Health Disparities.

    PubMed

    Burgard, Sarah A; Lin, Katherine Y

    2013-08-01

    In this review, we touch on a broad array of ways that work is linked to health and health disparities for individuals and societies. First focusing on the health of individuals, we discuss the health differences between those who do and do not work for pay, and review key positive and negative exposures that can generate health disparities among the employed. These include both psychosocial factors like the benefits of a high status job or the burden of perceived job insecurity, as well as physical exposures to dangerous working conditions like asbestos or rotating shift work. We also provide a discussion of the ways differential exposure to these aspects of work contributes to social disparities in health within and across generations. Analytic complexities in assessing the link between work and health for individuals, such as health selection, are also discussed. We then touch on several contextual level associations between work and the health of populations, discussing the importance of the occupational structure in a given society, the policy environment that prevails there, and the oscillations of the macroeconomy for generating societal disparities in health. We close with a discussion of four areas and associated recommendations that draw on this corpus of knowledge but would push the research on work, health and inequality toward even greater scholarly and policy relevance. PMID:24187340

  15. A German survey of the abdominal transplantation surgical work force.

    PubMed

    Thomas, Michael N; Nadalin, Silvio; Schemmer, Peter; Pascher, Andreas; Kaiser, Gernot M; Braun, Felix; Becker, Thomas; Nashan, Björn; Guba, Markus

    2015-07-01

    This manuscript reports the results of a nationwide survey of transplant surgeons in Germany, including the demographics, training, position, individual case loads, center volumes, program structure, professional practice, grade of specialization, workload, work hours, salary, and career expectations. We contacted all 32 German transplant centers that perform liver, kidney, and pancreas transplantation. Surgeons engaged in transplantation were asked to reply to the survey. Eighty-five surgeons responded, with a mean age of 44 ± 8 years, 13% of whom were female. The median transplant frequency per active transplant surgeon was relatively low, with 16 liver transplants, 15 kidney transplants, and three pancreas transplants. The median reported center volumes were 45 liver transplants, 90 kidney transplants, and five pancreas transplants per year. Most of the surgeons reported a primary focus on hepato-pancreato-biliary surgery, and only 10% of effective work time was actually dedicated to perform transplant surgeries. The majority of respondents estimated their weekly work hours to be between 55 and 66 h. When asked about their career satisfaction and expectations, most respondents characterized their salaries as inappropriately low and their career prospects as inadequate. This survey provides a first impression of the transplant surgery work force in Germany. PMID:25800065

  16. Maternal and Child Health Issues and Female Labor Force Participation.

    ERIC Educational Resources Information Center

    Howze, Dorothy C.; And Others

    Reviewing health related "costs" of female labor force participation, this paper examines four highly salient maternal and child health issues. Discussion of acute illness in day care settings begins with an overview of studies on day care and illness and focuses on hepatitis A, appropriate sanitation, and indications of research on respiratory…

  17. The effect of a severe health shock on work behavior: Evidence from different health care regimes.

    PubMed

    Datta Gupta, Nabanita; Kleinjans, Kristin J; Larsen, Mona

    2015-07-01

    In this paper, we use the policy variation of two different types of health insurance in the US and in Denmark - employer-provided and universal insurance combined with substantial differences in expected and actual medical out-of-pocket expenditures - to explore the effect of new severe health shocks on the labor force participation of older workers. Our results not only provide insight into how relative disease risk affects labor force participation at older ages, but also into how different types of health care and health insurance systems affect individual decisions of labor force participation. Although employer-tied health insurance and greater out-of-pocket medical expenditures give US Americans greater incentives to continue to work, we find only small differences in the work response between the two countries. We provide compelling evidence that our somewhat counterintuitive finding is the result of differential mortality and baseline health differences coupled with distinct treatment regimes under the respective health care systems. PMID:25982868

  18. Work, Obesity, and Occupational Safety and Health

    PubMed Central

    Schulte, Paul A.; Wagner, Gregory R.; Ostry, Aleck; Blanciforti, Laura A.; Cutlip, Robert G.; Krajnak, Kristine M.; Luster, Michael; Munson, Albert E.; O’Callaghan, James P.; Parks, Christine G.; Simeonova, Petia P.; Miller, Diane B.

    2007-01-01

    There is increasing evidence that obesity and overweight may be related, in part, to adverse work conditions. In particular, the risk of obesity may increase in high-demand, low-control work environments, and for those who work long hours. In addition, obesity may modify the risk for vibration-induced injury and certain occupational musculoskeletal disorders. We hypothesized that obesity may also be a co–risk factor for the development of occupational asthma and cardiovascular disease that and it may modify the worker’s response to occupational stress, immune response to chemical exposures, and risk of disease from occupational neurotoxins. We developed 5 conceptual models of the interrelationship of work, obesity, and occupational safety and health and highlighted the ethical, legal, and social issues related to fuller consideration of obesity’s role in occupational health and safety. PMID:17267711

  19. Unpaid work in health economic evaluations.

    PubMed

    Krol, Marieke; Brouwer, Werner

    2015-11-01

    Given its societal importance, unpaid work should be included in economic evaluations of health care technology aiming to take a societal perspective. However, in practice this does not often appear to be the case. This paper provides an overview of the current place of unpaid work in economic evaluations in theory and in practice. It does so first by summarizing recommendations regarding the inclusion of unpaid labor reported in health economic textbooks and national guidelines for economic evaluations. In total, three prominent health economic text-books were studied and 28 national health economic guidelines. The paper, moreover, provides an overview of the instruments available to measure lost unpaid labor and reports on a review of the place of unpaid labor in applied economic evaluations in the area of rheumatoid arthritis. The review was conducted by examining methodology of evaluations published between 1 March 2008 and 1 March 2013. The results of this study show that little guidance is offered regarding the inclusion of unpaid labor in economic evaluations in textbooks and guidelines. The review identified five productivity costs instruments including questions about unpaid work and 33 economic evaluations of treatments for rheumatoid arthritis of which only one included unpaid work. The results indicate that unpaid work is rarely included in applied economic evaluations of treatments for rheumatoid arthritis, despite this disease expecting to be associated with lost unpaid work. Given the strong effects of certain diseases and treatments on the ability to perform unpaid work, unpaid work currently receives less attention in economic evaluations than it deserves. PMID:26421997

  20. Designing Work, Family & Health Organizational Change Initiatives.

    PubMed

    Kossek, Ellen Ernst; Hammer, Leslie B; Kelly, Erin L; Moen, Phyllis

    2014-01-01

    For decades, leaders and scholars have been advocating change efforts to improve work-life relationships. Yet most initiatives have lacked rigor and not been developed using scientific principles. This has created an evidence gap for employer support of work and personal life as a win-win for productivity and employees' well-being. This paper examines the approach used by the U.S. Work Family Health Network (WFRN) to develop an innovative workplace intervention to improve employee and family health. The change initiative was designed to reduce organizationally based work-family conflict in two contrasting contexts representative of major segments of today's U.S. workforce: health care employees and informational technology professionals. The WFRN Intervention (called STAR) had three theoretically based change elements. They were: 1) increase job control over work time and schedule; 2) increase supervisor social support for family and job effectiveness; and 3) improve organizational culture and job design processes to foster results orientation. Seven practical lessons for developing work-life interventions emerged from this groundbreaking endeavor. PMID:24683279

  1. Designing Work, Family & Health Organizational Change Initiatives

    PubMed Central

    Hammer, Leslie B.; Kelly, Erin L.; Moen, Phyllis

    2014-01-01

    Executive Summary For decades, leaders and scholars have been advocating change efforts to improve work-life relationships. Yet most initiatives have lacked rigor and not been developed using scientific principles. This has created an evidence gap for employer support of work and personal life as a win–win for productivity and employees’ well-being. This paper examines the approach used by the U.S. Work Family Health Network (WFRN) to develop an innovative workplace intervention to improve employee and family health. The change initiative was designed to reduce organizationally based work-family conflict in two contrasting contexts representative of major segments of today’s U.S. workforce: health care employees and informational technology professionals. The WFRN Intervention (called STAR) had three theoretically based change elements. They were: 1) increase job control over work time and schedule; 2) increase supervisor social support for family and job effectiveness; and 3) improve organizational culture and job design processes to foster results orientation. Seven practical lessons for developing work-life interventions emerged from this groundbreaking endeavor. PMID:24683279

  2. [Work and health: Two social rights].

    PubMed

    García Blanco, Lucía

    2015-01-01

    Work and health are two concepts whose formulation varies from one society to another depending on unique and temporal appreciation. Updating them to our time involves the challenge to understand their construction as part of consuming organized societies. Political and social processes during the last decades must be analyzed, and so must be the worker subject as a psychophysics unit. Health, as well, ought to be considered a universal right, from where to focus and understand pathological social behaviors impacting the workplace. The subject's social dimension and the health-work relationship are dynamic. And keeping this dynamic involves to continuously review principles, norms and regulations which need to fit reality, and specific communication and language modes, as well as working conditions and environmental aspects. These processes must be considered as taking part in Argentina's social imaginary worth highlighting: a shift in how the State's role is considered, the public policy's sense, the importance of working in a complementary and interdisciplinary way, redesigning the concept of health through the broadening of those under the State's care and considering and building the workplace as a healthy space. PMID:27089165

  3. Organizational change and health at work.

    PubMed

    Westlander, G

    1989-01-01

    The focus of this article is the link between organizational change and individual working conditions. In some organizational development projects health aspects may be left to chance, in others they may be to some extent respected, and in still others they are the main theme of the process and direction of change. Along this line, the author presents and discusses a number of Swedish cases. The analysis aims at emphasizing a necessary characteristic of occupational health experts, namely, to be sensitive to the differences between the goals of various projects in organizational development. Preventive work must be based on a careful identification of the sort of health aspects that are overlooked in every effort at organizational change. PMID:2714927

  4. Target: Alcohol Abuse in the Hard-to-Reach Work Force. Ideas and Resources for Responding to Problems of the Hard-to-Reach Work Force.

    ERIC Educational Resources Information Center

    Informatics, Inc., Rockville, MD.

    This guide is designed as a source of ideas and information for individuals and organizations interested in occupational alcoholism programs for the hard-to-reach work force. Following a brief overview of the problem and a report on progress in occupational alcoholism programming, a working definition of the hard-to-reach work force is offered;…

  5. The mental health of deployed UK maritime forces

    PubMed Central

    Whybrow, Dean; Jones, Norman; Evans, Charlotte; Minshall, Darren; Smith, Darren; Greenberg, Neil

    2016-01-01

    Objectives To establish the level of psychological symptoms and the risk factors for possible decreased mental health among deployed UK maritime forces. Methods A survey was completed by deployed Royal Navy (RN) personnel which measured the prevalence of common mental disorder (CMD), post-traumatic stress disorder (PTSD) and potential alcohol misuse. Military and operational characteristics were also measured including exposure to potentially traumatic events, problems occurring at home during the deployment, unit cohesion, leadership and morale. Associations between variables of interest were identified using binary logistic regression to generate ORs and 95% CIs adjusted for a range of potential confounding variables. Results In total, 41.2% (n=572/1387) of respondents reported probable CMD, 7.8% (n=109/1389) probable PTSD and 17.4% (n=242/1387) potentially harmful alcohol use. Lower morale, cohesion, leadership and problems at home were associated with CMD; lower morale, leadership, problems at home and exposure to potentially traumatic events were associated with probable PTSD; working in ships with a smaller crew size was associated with potentially harmful alcohol use. Conclusions CMD and PTSD were more frequently reported in the maritime environment than during recent land-based deployments. Rates of potentially harmful alcohol use have reduced but remain higher than the wider military. Experiencing problems at home and exposure to potentially traumatic events were associated with experiencing poorer mental health; higher morale, cohesion and better leadership with fewer psychological symptoms. PMID:26265671

  6. The World Health Organization Health and Work Performance Questionnaire (HPQ).

    PubMed

    Kessler, Ronald C; Barber, Catherine; Beck, Arne; Berglund, Patricia; Cleary, Paul D; McKenas, David; Pronk, Nico; Simon, Gregory; Stang, Paul; Ustun, T Bedirhan; Wang, Phillip

    2003-02-01

    This report describes the World Health Organization Health and Work Performance Questionnaire (HPQ), a self-report instrument designed to estimate the workplace costs of health problems in terms of reduced job performance, sickness absence, and work-related accidents-injuries. Calibration data are presented on the relationship between individual-level HPQ reports and archival measures of work performance and absenteeism obtained from employer archives in four groups: airline reservation agents (n = 441), customer service representatives (n = 505), automobile company executives (n = 554), and railroad engineers (n = 850). Good concordance is found between the HPQ and the archival measures in all four occupations. The paper closes with a brief discussion of the calibration methodology used to monetize HPQ reports and of future directions in substantive research based on the HPQ. PMID:12625231

  7. The Air Force health study: an epidemiologic retrospective.

    PubMed

    Buffler, Patricia A; Ginevan, Michael E; Mandel, Jack S; Watkins, Deborah K

    2011-09-01

    In 1979, the U.S. Air Force announced that an epidemiologic study would be undertaken to determine whether the Air Force personnel involved in Operation Ranch Hand-the program responsible for herbicide spraying in Vietnam-had experienced adverse health effects as a result of that service. In January 1982 the Air Force Health Study (AFHS) protocol was approved and the 20 year matched cohort study consisting of independent mortality, morbidity and reproductive health components was initiated. This controversial study has been criticized regarding the study's potential scientific limitations as well as some of the administrative aspects of its conduct. Now, almost 30 years since the implementation of the AFHS and nearly a decade since the final follow up examinations, an appraisal of the study indicates that the results of the AFHS do not provide evidence of disease in the Ranch Hand veterans caused by their elevated levels of exposure to Agent Orange. PMID:21441038

  8. Better jobs, better care: building the home care work force.

    PubMed

    Surpin, R; Haslanger, K; Dawson, S

    1994-08-01

    This paper focuses on providing quality care in the paraprofessional home care industry. Despite government policies that have encouraged home-based care for 20 years, home health care still remains relegated to second-class status by the rest of the health care industry. Home care is unique because it relies primarily on paraprofessional care delivered by a home care aide working alone, essentially as a guest in the client's home. The resulting interpersonal dynamic between patient and caregiver--which develops far from the eyes of the primary physician, regulators, and third-party payers--is one unlike any other patient-caregiver relationship in the health care system. The quality of care received by the client is linked directly to the quality of the paraprofessional's job: "good jobs" are prerequisite for "good service." Good jobs, however, are not enough. They must be supported by paraprofessional agencies that add real value to the home care service. Part I We define quality home care as meeting the client's needs. Unfortunately, since home care is provided in dispersed, minimally supervised settings, measuring quality of service is very difficult. For this reason, we suggest that it is the front-line employee--the home care aide who is present for hours every visit--who can best determine if the client's needs are being met, and who is best positioned to respond accordingly. Part II To best meet client needs, paraprofessional home care must be built around the home care aide. This requires that home care aides (1) be carefully selected during the hiring process, (2) be well trained, and (3) be empowered with considerable responsibility and capacity to respond to the daily needs of the clients. This Model, one that emphasizes the front-line employee, is in full keeping with the "total quality management" innovations that are currently reorganizing America's service industries. Unfortunately this model is not typically reflected in current paraprofessional home health care practice. Part III Building the home care service around home care aide requires redesigning the paraprofessinal's job in 5 ways: 1. Make work pay, by providing a minimum of $7.50 per hour and a decent benefits package.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:10137491

  9. Health Effects of Vanpooling to Work.

    PubMed

    Robbins, Wendie A; Berman, Barbara A; Stone, Dawn S

    2015-12-01

    Shared commutes to work, such as vanpooling, benefit the environment and provide economic gain for riders in terms of fuel costs, parking fees, and personal vehicle wear and tear. Although ride sharing is commonly believed to promote health through stress reduction, published evidence on this topic is limited, and findings vary. This study explored the perceived health and well-being of vanpoolers using a qualitative, descriptive design. Five focus groups of vanpoolers and two individual interviews with drivers were conducted (N=40 participants). Stress, change in sleep patterns, and interpersonal relationships emerged as major themes. Employee insights about the impact of vanpooling on work productivity and how employer commitment to the vanpool program influences the vanpool experience also were important findings. PMID:26419542

  10. Working together for health and human rights.

    PubMed

    Sidel, V W

    2000-01-01

    The right to a standard of living adequate for health and well-being is being denied to vast numbers of people all over the world through increasing disparities in income and in wealth. In the name of economic development, a number of international and national policies have increased the grossly uneven distribution of income, with ever-growing numbers of people living in poverty as well as in increasing depths of poverty. Globalization, crippling levels of external debt, and the 'structural adjustment' policies of international agencies have expanded the numbers and the suffering of people living in poverty and have resulted in the neglect of government-funded social programs, of regulations protecting the environment, and of human development. Access to medical care, an essential element in the protection of health, is difficult for many, including the 44 million people in the United States who lack insurance coverage for the cost of medical care services. Working together for health and human rights also requires promotion of the right to peace. The right to life and health is threatened not only by the existence and active deployment of weapons of mass destruction, including nuclear, chemical and biological weapons and anti-personnel landmines, but also other weapons. The twentieth century has been the bloodiest in human history, with an estimated 250 wars, more than 110 million people killed, countless people wounded and at the least 50 million refugees. Health workers must work together with people in our communities for the promotion of health and human rights, which, in Sandwell and elsewhere, are inextricably intertwined. PMID:11130630

  11. The Agricultural Work Force of 1985. A Statistical Profile. Agricultural Economic Report 582.

    ERIC Educational Resources Information Center

    Oliveira, Victor J.; Cox, E. Jane

    This report examines the demographic and employment characteristics, geographic distribution, and earnings of the agricultural work force in the United States as of 1985. Data are from the Agricultural Work Force Supplement to the December 1985 Current Population Survey. The three components of the agricultural work force--hired farmworkers, farm…

  12. 48 CFR 252.223-7004 - Drug-free work force.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Drug-free work force. 252... Provisions And Clauses 252.223-7004 Drug-free work force. As prescribed in 223.570-2, use the following clause: Drug-Free Work Force (SEP 1988) (a) Definitions. (1) Employee in a sensitive position, as used...

  13. 48 CFR 252.223-7004 - Drug-free work force.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Drug-free work force. 252... Provisions And Clauses 252.223-7004 Drug-free work force. As prescribed in 223.570-2, use the following clause: Drug-Free Work Force (SEP 1988) (a) Definitions. (1) Employee in a sensitive position, as used...

  14. 48 CFR 252.223-7004 - Drug-free work force.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Drug-free work force. 252... Provisions And Clauses 252.223-7004 Drug-free work force. As prescribed in 223.570-2, use the following clause: Drug-Free Work Force (SEP 1988) (a) Definitions. (1) Employee in a sensitive position, as used...

  15. 48 CFR 252.223-7004 - Drug-free work force.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Drug-free work force. 252... Provisions And Clauses 252.223-7004 Drug-free work force. As prescribed in 223.570-2, use the following clause: Drug-Free Work Force (SEP 1988) (a) Definitions. (1) Employee in a sensitive position, as used...

  16. 48 CFR 252.223-7004 - Drug-free work force.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Drug-free work force. 252... Provisions And Clauses 252.223-7004 Drug-free work force. As prescribed in 223.570-2, use the following clause: Drug-Free Work Force (SEP 1988) (a) Definitions. (1) Employee in a sensitive position, as used...

  17. Precarious employment, working hours, work-life conflict and health in hotel work.

    PubMed

    McNamara, Maria; Bohle, Philip; Quinlan, Michael

    2011-01-01

    Precarious or temporary work is associated with adverse outcomes including low control over working hours, work-life conflict and stress. The rise in precarious employment is most marked in the service sector but little research has been done on its health effects in this sector. This study compares permanent and temporary workers in the hotel industry, where working hours are highly variable. Survey data from 150 workers from eight 3-Star hotels in urban and regional areas around Sydney were analyzed. Forty-five per cent were male and 52 per cent were female. Fifty four per cent were permanent full-time and 46 per cent were temporary workers. The effects of employment status on perceived job security, control over working hours, and work-life conflict are investigated using PLS-Graph 3.0. The effects of control over working hours, on work-life conflict and subsequent health outcomes are also explored. Temporary workers perceived themselves as less in control of their working hours, than permanent workers (β = .27). However, they also reported lower levels of work intensity (β = .25) and working hours (β = .38). The effects of low hours control (β = .20), work intensity (β = .29), and excessive hours (β = .39) on work-life conflict (r² = .50), and subsequent health effects (r² = .30), are illustrated in the final structural equation model. PMID:20643398

  18. American Indians, Blacks, & Asians in Oregon's Work Force.

    ERIC Educational Resources Information Center

    Helvoigt, Ted L.

    Labor force issues do not take place in a vacuum. Most individuals base labor force decisions on a multitude of cultural and social factors, such as the environment in which they were reared, family obligations and responsibilities, divorce or the death of a spouse, or because of governmental policies. Sections in this document on demographics,…

  19. [Health, work and environment at the Brazilian rural].

    PubMed

    Peres, Frederico

    2009-01-01

    This manuscript discusses the implications of the productive paradigm changes in health and environment of rural area of Brazil. It analyzes production, economy and demography data, facing social and structural determinants with health and environmental reflexes, revealing a serious panorama that includes: a) environmental impacts associated to large productive chains, such as corn, soy-bean, cotton and sugar cane; b) chemical contamination of diverse environment compartments due to pesticides and fertilizers used in agriculture; c) the use of natural land in the expansion of agriculture and cattle farming activities; and d) the reflexes of these actions on individuals, workers or not, that are more and more forced to deal with extreme vulnerability situations because of the risk of rural work processes. Thus, the present article points that macro-determinants (or driven-forces) tends to configure the health status of Rural Brazil inhabitants which, day after day, face a series of challenges in order to guarantee dignity in their work and quality of life. PMID:20069168

  20. New market forces are special challenge to academic health centers.

    PubMed

    Golembesky, H E

    1995-10-01

    New market forces--insurer integration into the provider business, "mega-mergers, price and premium reductions, a scramble to create specialty carve-out networks, and the like--have emerged that are placing significant pressure on academic medical centers. All of these forces are accelerating the pace of managed care market maturation. In order to effectively compete in this new marketplace, academic health centers have substantial barriers to overcome. To do so will require the creation of a system to manage the health care of populations while minimizing system costs and maximizing quality. This will require the establishment of a unified medical center approach to markets and value management. Academic health centers will by necessity develop strategies to include strong primary care-based network affiliations in order to accomplish these tasks. PMID:10152203

  1. Practice guidelines for preventive care: the Canadian experience. Canadian Task Force on the Periodic Health Examination.

    PubMed Central

    Battista, R N

    1993-01-01

    The work of the Canadian Task Force on the Periodic Health Examination is described in the historical context of its creation and of its evolution. The initial mandate of the task force is presented and the methodology it created to examine scientific information and formulate practice recommendations is reviewed. The complexity of the implementation of practice guidelines in preventive care is examined by reviewing the several determinants of implementation: cognitive, sociodemographic and organizational factors. The actions taken in Canada to implement the guidelines since the publication of the first task force report are described. The importance of better coordinated clinical and population-based approaches to prevention is emphasized. PMID:8398248

  2. The changing face of health information and health information work: a conceptual framework.

    PubMed Central

    Bradley, J

    1996-01-01

    The purpose of this paper is to examine the changes in health information and health information work using a conceptual framework and to consider the implication of these changes for health sciences librarians. The notion of what constitutes information depends heavily on the perspective of those defining the term. In the health care domain, numerous established concepts of information exist, many clustering around disciplines and professions. Various information professions-for example, health sciences librarians, information-systems managers, and medical-records administrators--have differing core concepts of information. Although these established concepts of information may seem immutable, they are cultural facts and can and do change. Global networking and changes in health care delivery are just two of many environmental forces that are changing the way the health domain views health information and the way it values the patterns and practices traditionally associated with established types of information and information professions. As new concepts of information arise, the possibility for new expert work surrounding information also arises. Andrew Abbott's systems theory of professions, adapted to the health domain, suggests that some forms of established expert information work may diminish while new types may arise and that both established and new information professions will struggle with each other for official sanction, or jurisdiction, to perform new expert work. This competitive struggle is likely to produce a new balance of information work and roles among the information professions. The specialty areas of library and information science, the heartland of our knowledge base, are as relevant in the electronic environment as in the print environment. Our profession's challenge now is to redefine and communicate our jurisdictional place in the emerging health information environment. PMID:8938324

  3. Exposure assessment and the health of deployed forces.

    PubMed

    Still, Kenneth R; Jederberg, Warren W; Ritchie, Glenn D; Rossi, John

    2002-11-01

    The risk assessment process is a critical function for military Deployment Toxicology research objectives, emphasizing improved health protection of deployed forces. Reliable risk assessment methodology is essential for decision making related to risk reduction procedures during combat deployment, as well as during routine occupational activities. Such decision making must be based upon quality science that both guides sound judgments in risk characterization and management, and provides necessary health protection tools. The health and fitness of deployed forces must be considered for both acute and long-term issues. Exposure assessment specifies populations that might be exposed to injurious agents, identifies routes of exposure, and estimates the magnitude, duration, and timing of the doses that personnel may receive as a result of their exposure. Acute or short-term catastrophic risks for deployed forces are of immediate concern and must be addressed on a risk prioritization basis using Operational Risk Management (ORM) procedures. However, long-term effects of exposure to the same agents must be considered as part of the overall health concerns for deployed forces. In response to these needs, a number of military, federal government, academic and private sector organizations are currently developing new classes of biologically-based biosensors with the programmed capacity to detect the presence of virtually any environmental chemical or biological stressor with the capacity to induce health consequences in deployed personnel. A major objective of this engineering effort is development of biosensor systems that detect novel (previously unresearched) chemical or biological agents that might be used during international combat or terrorist attacks to induce acute or long-term health effects on military or civilian populations. A large portion of the discussion in this paper is devoted to describing the development, testing, and implementation of tissue-based biosensors (TBBs) that utilize small samples of living tissue from laboratory small animals for a wide range of human risk assessment applications. PMID:12378949

  4. 14 CFR 151.51 - Performance of construction work: Sponsor force account.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... force account. 151.51 Section 151.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Development Projects § 151.51 Performance of construction work: Sponsor force account. (a) Before undertaking any force account construction work, the sponsor (or any public agency acting as agent for the...

  5. 14 CFR 151.51 - Performance of construction work: Sponsor force account.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... force account. 151.51 Section 151.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Development Projects § 151.51 Performance of construction work: Sponsor force account. (a) Before undertaking any force account construction work, the sponsor (or any public agency acting as agent for the...

  6. 14 CFR 151.51 - Performance of construction work: Sponsor force account.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... force account. 151.51 Section 151.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Development Projects § 151.51 Performance of construction work: Sponsor force account. (a) Before undertaking any force account construction work, the sponsor (or any public agency acting as agent for the...

  7. 14 CFR 151.51 - Performance of construction work: Sponsor force account.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... force account. 151.51 Section 151.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Development Projects § 151.51 Performance of construction work: Sponsor force account. (a) Before undertaking any force account construction work, the sponsor (or any public agency acting as agent for the...

  8. Masked Symptoms: Mid-Life Women, Health, and Work

    ERIC Educational Resources Information Center

    Abramson, Zelda

    2007-01-01

    Data from the Canadian Labour Force Survey (1997) reveal that relatively few mid-life women offer ill health as a reason for leaving their job or downshifting to part-time employment, implying that the role of ill health may be inconsequential in effecting changing patterns in mid-life women's labour force activity. In contrast, interviews with 30…

  9. Workplace bullying, working environment and health.

    PubMed

    Oxenstierna, Gabriel; Elofsson, Stig; Gjerde, Maria; Magnusson Hanson, Linda; Theorell, Töres

    2012-01-01

    Improved work organisation could be of importance for decreased bullying in workplaces. Participants in the Swedish Longitudinal Occupational Survey of Health (SLOSH) responded to questions about work and workplace and whether they had been bullied during the past year in 2006. Those in worksites with at least five employees who did not report that they had been bullied in 2006 and without workplace change between 2006 and 2008 constituted the final sample (n=1,021 men and 1,182 women). Work characteristics and workplace factors in 2006 were used in multiple logistic regression as predictors of bullying in 2008. Separate analyses were performed for work characteristics and workplace factors respectively. Adjustments for demographic factors were made in all analyses. The question used for bullying was: "Are you exposed to personal persecution by means of vicious words or actions from your superiors or your workmates?" Such persecution any time during the past year was defined as bullying. For both genders organisational change and conflicting demands were identified as risk factors, and good decision authority as a protective factor. Dictatorial leadership, lack of procedural justice and attitude of expendability were male and lack of humanity a female risk factor for bullying. PMID:22453205

  10. Developing a Culturally Competent Work Force: An Opportunity for Collaboration.

    ERIC Educational Resources Information Center

    Jones, Mary Elaine; Bond, Mary Lou; Mancini, Mary E.

    1998-01-01

    To meet the health-care needs of a growing Hispanic population in Dallas, a nursing school used two strategies: short-term cultural immersion (language and cultural experiences in Mexico) and a nurse exchange program with a Mexican hospital. The importance of cultural-competence training for health-care personnel was affirmed. (SK)

  11. Forced movements of population and health hazards in tropical Africa.

    PubMed

    Prothero, R M

    1994-08-01

    Significant interactions between disease and population mobility have been demonstrated in tropical Africa in recent decades. Problems arising are greater than in the past. During the last two decades forced movements have become important. These are associated with refugees, coerced resettlement and victims of environmental catastrophe. The health hazards associated with them are reviewed from medical and social science literature for North East Africa (refugees and resettlement) and for West Africa (pastoralists affected by drought). Political, social and economic settings are of importance but tend to receive only limited attention. There is need for more social science input in studying and ameliorating problems arising from health hazards associated with and exacerbated by forced movements of population. PMID:8002177

  12. The Migrant Farm Work Force: Differences in Attachment to Farmwork.

    ERIC Educational Resources Information Center

    Whitener, Leslie A.

    1985-01-01

    Investigates extent of diversity and segmentation within United States migrant farm labor force by examining differences in migrants' attachment to farmwork. Finds three groups of migrants with differing levels of dependence on agriculture differentiated by demographic (age, minority status, region) and employment (earnings) variables. (NEC)

  13. Educating the Military Work Force: A Worldwide Initiative.

    ERIC Educational Resources Information Center

    Jones, Donald W.; Saltman, Lenore E.

    1989-01-01

    The Department of Defense, in cooperation with a number of colleges and universities, offers a variety of higher education opportunities to military personnel: the Community College of the Air Force, the Army and Navy's Servicemembers Opportunity Colleges, and Defense Activity for Nontraditional Education Support (DANTES). (SK)

  14. Health status of air force veterans occupationally exposed to herbicides in Vietnam: I. Physical health

    SciTech Connect

    Wolfe, W.H.; Michalek, J.E.; Miner, J.C. ); Rahe, A. ); Silva, J. ); Thomas, W.F.; Lustik, M.B.; Grubbs, W.D.; Roegner, R.H. ); Karrison, T.G. ); Williams, D.E. )

    1990-10-10

    The Air Force Health Study is a 20-year comprehensive assessment of the health of Air Force veterans of Operation Ranch Hand, the unit responsible for aerial spraying of herbicides in Vietnam. The study compares the health and noncombat mortality of Ranch Hand veterans with a comparison group of Air Force veterans primarily involved with cargo missions in Southeast Asia but who were not exposed to herbicides. This report summarizes the health of these veterans as determined at the third in a series of physical examinations. Nine hundred ninety-five Ranch Hands and 1,299 comparison subjects attended the second follow-up examination in 1987. The two groups were similar in reported health problems, diagnosed skin conditions, and hepatic, cardiovascular, and immune profiles. Ranch Hands have experienced significantly more basal cell carcinomas than comparison subjects. The two groups were not different with respect to melanoma and systemic cancer.

  15. Workplace-based health and wellness programs: the intersection of aging, work, and health.

    PubMed

    Pitt-Catsouphes, Marcie; James, Jacquelyn Boone; Matz-Costa, Christina

    2015-04-01

    Workplace-based health and wellness programs (HWPs) may be an obvious yet under-utilized strategy for promoting positive health-related behaviors among older workers and for increasing their ability to continue to work. Given the unprecedented number of older adults who extend their labor force attachment beyond traditional retirement ages, a new vision of older adults' economic security and overall quality-of-life should take into account the intersections of aging, work, and health. The purpose of this article is to: (a) discuss the workplace as an increasingly important setting that can expand the reach and effectiveness of health promotion efforts; (b) examine current knowledge of barriers and facilitators that can affect older workers' participation in workplace-based HWPs; and (c) suggest new incentive structures that may increase older workers' engagement in these programs. We develop a rationale for our proposition that sustained participation in HWPs may improve the health status of older workers and reduce health care costs. It is our conclusion that there is significant potential for workplace-based HWPs to support older adults who want to or need to work. PMID:26035602

  16. Multicultural Group Work: A Force for Developing and Healing

    ERIC Educational Resources Information Center

    Anderson, Donald

    2007-01-01

    Multicultural group work represents a powerful tool for helping and healing in the context of human diversity. This article summarizes multicultural group work, including task, psychoeducational, counseling, and psychotherapy groups, and describes a group work model for multicultural assessment, diagnosis, and treatment planning. Group work…

  17. Working towards a national health information system in Australia.

    PubMed

    Bomba, B; Cooper, J; Miller, M

    1995-01-01

    One of the major administrative dilemmas facing the Australian national health care system is the need to reform practices associated with massive data-information overload. The current system is burdened with paper-based administrative forms, patient record files, referral notes and other manual methods of data organisation. An integrated computer-based information system may be perceived as an attractive solution to such burdens. However, computerisation must not be seen as a panacea with the possibility of exacerbating information overload and accentuating privacy concerns. Recent surveys in Australia [1] and the US [2] indicate a perceived causal link between computers and privacy invasion. Any moves toward a national health information system must counter this perception through macro-level education schemes of affected parties and micro-level mechanisms such as the establishment of hospital privacy officers. Such concerns may be viewed as a subset of the wider privacy debate, and information policy development should address such considerations to develop policies to prevent unauthorized access to personal information and to avoid the extraction and sale of sensitive health data. Conservative in nature and slow to change the health care sector may be forced to adopt more efficient work practices through the increasing proliferation of information technology (IT) in health care delivery and an escalating emphasis upon accountability and efficiency of the public health care dollar. The economic rationalist stance taken by governments in Australia and other nations generally will also force health care workers to adopt and develop more efficient information management practices, health indicators and best practice care methods than presently employed by this sector The benefits of a national health information system are far reaching, particularly in developing a more effective health care system through better identifying and understanding community health care trends and in applying IT to the efficient collection of data for the development of more appropriate performance measures and statistical indicators. A coherent and integrated approach is called for in the design of a national health information system which incorporates the necessary and requisite security features to meet privacy concerns. Protecting information privacy poses complex political, economic, technological, legal and social problems for systems developers and health care providers alike [2]. According to Brannigan [3] there are three components involved in the formulation and implementation of privacy: public policy (What level of privacy does society want?); legal structure (Does the law adequately provide for society's privacy requirements?); and technical (how much privacy can technical tools provide, at what cost, and with what effects on the system?). Examining technical tools alone, it is apparent that the necessary technologies are available in Australia to provide the security of medical records required by public policy. Such tools may include encryption, user and data authentication methods, authorisation schemes and mechanisms for the prevention of data inference. While none of these available measures are infallible, it is suitable for most applications where the encryption mechanism can provide protection for a given length of time. Australia needs to develop a coherent national health information infrastructure policy to ultimately avoid fragmented, duplicated and incompatible systems that rely on different standards and protocols. Such a policy will only work by addressing the key issue of patient privacy within a technological framework. The application of IT to health care systems is a sensitive social experiment affecting many professions including general practitioners, medical administrators, politicians, lawyers, computer specialists, privacy advocates and patients whose records will ultimately reside in the system. (abstract trun PMID:8591519

  18. 3 CFR - White House Task Force on Middle-Class Working Families

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 3 The President 1 2010-01-01 2010-01-01 false White House Task Force on Middle-Class Working... Task Force on Middle-Class Working Families Memorandum for the Heads of Executive Departments and Agencies For many years, middle-class Americans have been working harder, yet not enjoying their fair...

  19. 14 CFR 151.51 - Performance of construction work: Sponsor force account.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Performance of construction work: Sponsor... Development Projects 151.51 Performance of construction work: Sponsor force account. (a) Before undertaking any force account construction work, the sponsor (or any public agency acting as agent for the...

  20. Blueprint for Business. Reaching a New Work Force.

    ERIC Educational Resources Information Center

    Hogan, Lyn A.; Erden, James Van; Mower, Eleanor; Patel, Apurva; Mitchell, Steve

    This guide is designed to help U.S. businesses successfully hire and retain individuals moving from welfare to work. Section 1 discusses the different circumstances created by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 and how those changes affect business. Section 2 reviews bottom-line benefits realized by…

  1. Work-Family Spillover and Daily Reports of Work and Family Stress in the Adult Labor Force.

    ERIC Educational Resources Information Center

    Grzywacz, Joseph G.; Almeida, David M.; McDonald, Daniel A.

    2002-01-01

    Data from two affiliated national surveys were used to examine distribution of work-family spillover among working adults. Analyses testing family life course hypotheses indicated self-reported negative and positive spillover between work and family were not randomly distributed within the labor force. Age was found to have a persistent

  2. Reduction in force perspectives--the occupational health nurse as the employee.

    PubMed

    Tompkins, Olga

    2009-06-01

    The occupational health nurse usually encounters reduction in force issues from a company perspective. This article discusses strategies for the occupational health nurse who is downsized. PMID:19552341

  3. Women and Work: Women's Occupational Health Education.

    ERIC Educational Resources Information Center

    Mansfield, Phyllis Kernoff

    1982-01-01

    The need for an occupational health education curriculum that informs women about job-related health hazards is discussed. Specific dangers of the workplace for women are pointed out, as is the need for reducing job-related stress. (PP)

  4. Armed Forces VIEW (Vital Information for Education and Work).

    ERIC Educational Resources Information Center

    Cox, Walter H.; Zerface, W. A., Ed.

    Armed Services VIEW (Vital Information for Education and Work) is described as a cooperative program with the Department of Defense which (1) introduces career opportunities and training available through volunteer service enlistment, (2) will be provided to senior high schools at no cost, and (3) presents materials in both printed and microfilm…

  5. Managing Diversity: The New Multicultural Work Force Requires a Simpatico Style.

    ERIC Educational Resources Information Center

    Piturro, Marlene; Mahoney, Sarah S.

    1992-01-01

    Some companies are finding ways to manage a culturally diverse work force: analyzing work force composition, increasing awareness of attitudinal differences and diversity issues, thinking interculturally about problems, mentoring diverse employees, making standards fluid enough for all achievers, and rewarding successful managers of diverse…

  6. The Prediction of the Work of Friction Force on the Arbitrary Path

    ERIC Educational Resources Information Center

    Matehkolaee, Mehdi Jafari; Majidian, Kourosh

    2013-01-01

    In this paper we have calculated the work of friction force on the arbitrary path. In our method didn't use from energy conservative conceptions any way. The distinction of this procedure is that at least do decrease measurement on the path once. Thus we can forecast the amount of work of friction force without information about speed of…

  7. NCCN Task Force Report: Bone Health in Cancer Care

    PubMed Central

    Gralow, Julie R.; Biermann, J. Sybil; Farooki, Azeez; Fornier, Monica N.; Gagel, Robert F.; Kumar, Rashmi N.; Shapiro, Charles L.; Shields, Andrew; Smith, Matthew R.; Srinivas, Sandy; Van Poznak, Catherine H.

    2011-01-01

    Bone health and maintenance of bone integrity are important components of comprehensive cancer care in both early and late stages of disease. Risk factors for osteoporosis are increased in patients with cancer, including women with chemotherapy-induced ovarian failure, those treated with aromatase inhibitors for breast cancer, men receiving androgen-deprivation therapy for prostate cancer, and patients undergoing glucocorticoid therapy. The skeleton is a common site of metastatic cancer recurrence, and skeletal-related events are the cause of significant morbidity. The National Comprehensive Cancer Network (NCCN) convened a multidisciplinary task force on Bone Health in Cancer Care to discuss the progress made in identifying effective screening and therapeutic options for management of treatment-related bone loss; understanding the factors that result in bone metastases; managing skeletal metastases; and evolving strategies to reduce bone recurrences. This report summarizes presentations made at the meeting. PMID:19555589

  8. Forced migration: health and human rights issues among refugee populations.

    PubMed

    Lori, Jody R; Boyle, Joyceen S

    2015-01-01

    Undocumented migration is a global phenomenon that is manifest in diverse contexts. In this article, we examine the situations that precipitate the movement of large numbers of people across several African countries, producing a unique type of undocumented migrant--the refugee. These refugee movements impact already fragile African health care systems and often involve human rights violations that are of particular concern, such as gender-based violence and child soldiers. We use examples from several countries in sub-Saharan Africa, including the Democratic Republic of the Congo, Rwanda, Liberia, Sierra Leone, and Mozambique. Drawing on key documents from the United Nations High Commissioner for Refugees, current research, and our personal international experiences, we provide an overview of forced migration and discuss implications and opportunities for nurses to impact research, practice, and policy related to refugee health. PMID:25645484

  9. The Quality of Work and Youth Mental Health.

    ERIC Educational Resources Information Center

    Mortimer, Jeylan T.; Harley, Carolyn; Staff, Jeremy

    2002-01-01

    Data from the Youth Development Study on adolescents who worked in high school were used to examine mental health, work stress, and work/school interactions. The quality of high school work experiences had significant consequences for mental states during high school, but had little effect on long-term mental health. (Contains 70 references.) (SK)

  10. Treatment of allergic rhinitis: effect on occupation productivity and work force costs.

    PubMed

    Fireman, P

    1997-01-01

    Allergic rhinitis, one of the most common chronic illnesses, can have a negative impact on occupational productivity in the work-place. Allergic rhinitis affects over 13 million workers (6.15 million men and 6.11 million women) of the United States work force. Work place productivity can be reduced in the several ways: (1) Employee works at suboptimal efficiency because of the disease or its treatment; (2) employee takes a sick day away from work because of allergic rhinitis or its complications; (3) employee takes time off from work to care for or transport a child or dependent who needs care for allergic rhinitis or its complications, and (4) worker takes time off because of a work-related injury related to the disease or the medication used to treat the illness. Although nonsedating antihistamines and intranasal anti-inflammatory medications have been developed as effective therapies and are available as prescription drugs, many workers (50%) indicate that they manage their allergic rhinitis with over-the-counter medications. Most of these over-the-counter medicines contain sedating antihistamines which are known to alter cognitive and motor function. To determine whether the medications used by 3394 members of a health maintenance organization were associated with incident work-related injury, they were compared to two control groups selected from the membership and matched for age, gender, and Standard Industrial Classification Code of their employer. Medication use was determined from pharmacy data. The injuries included 496 fractures on dislocations, 2728 open, crushing, or superficial injuries, 176 burns, and 63 internal injuries. The risk of injury was statistically significantly elevated among users of sedating antihistamines. Utilizing demographic data the annual cost of last productivity to employers and society as the result of allergic rhinitis and its therapy with the over-the-counter sedating antihistamines is estimated to be greater than $4 billion. PMID:9134061

  11. Work and Health among Latina Mothers in Farmworker Families

    PubMed Central

    Arcury, Thomas A.; Trejo, Grisel; Suerken, Cynthia K.; Grzywacz, Joseph G.; Ip, Edward H.; Quandt, Sara A.

    2014-01-01

    Background Work organization is important for the health of vulnerable workers, particularly women. This analysis describes work organization for Latinas in farmworker families and delineates the associations of work organization with health indicators. Methods 220 Latino women in farmworker families completed interviews from October 2012 - July 2013. Interviews addressed job structure, job demand, job control, and job support. Health measures included stress, depressive symptoms, physical activity, family conflict, and family economic security. Results Three-fifths of the women were employed. Several work organization dimensions, including shift, psychological demand, work safety climate, and benefits, were associated with participant health as expected, based on the work organization and job demands-control-support models. Conclusions Research should address women's health and specific work responsibilities. Occupational safety policy must consider the importance of work organization in the health of vulnerable workers. PMID:25742536

  12. Closing the Gap...in Social Work Manpower. Report of the Departmental Task Force on Social Work Education and Manpower.

    ERIC Educational Resources Information Center

    Department of Health, Education, and Welfare, Washington, DC. Office of the Under Secretary.

    The Task Force on Social Work Education and Manpower found that theory, practice, and administration within the social work field and public sanctions converge to identify the social worker as a person who, through knowledge, skill, and professional commitment, is equipped to assist individuals and groups enhance their social functioning or cope…

  13. WORKING AND CARING: THE SIMULTANEOUS DECISION OF LABOR FORCE PARTICIPATION AND INFORMAL ELDERLY AND CHILD SUPPORT ACT IVITIES IN MEXICO*

    PubMed Central

    van Gameren, Edwin; Velandia Naranjo, Durfari

    2016-01-01

    We analyze factors determining women’s decisions to participate in the labor market and provide elderly care and nonfinancial support to their (grand)children. We use data from the Mexican Health and Aging Study, a survey of people aged 50 and over, applying a three-equation, reduced-form SUR model. Results suggest that care needs are the driving force behind caregiving activities. Traditional roles also appear to be relevant in the labor force participation decision: women with a closer labor market connection when they were young are more likely to work. Simulations of demographic changes illustrate potential effects for future caregiving and participation rates. PMID:26924883

  14. Task Force Report on HIV/AIDS and Education for Public Health.

    ERIC Educational Resources Information Center

    Healton, Cheryl

    In September 1987, a task force met to review and prepare recommendations on the human immunodeficiency virus (HIV) training needs within the public health field. Representatives on the task force included public health leaders from academia, state agencies, city and local health departments, public health associations, and individuals with…

  15. Women's Health. Report of the Public Health Service Task Force on Women's Health Issues. Volume II.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD.

    This report identifies a broad spectrum of issues affecting women's health and is divided into four sections: (1) social factors affecting women's health; (2) women's physical health and well-being; (3) health concerns of older women; and (4) issues related to alcohol, drug use and abuse, and the mental health of women. The Public Health Service…

  16. Simultaneous current-, force-, and work-function measurement with atomic resolution

    NASA Astrophysics Data System (ADS)

    Herz, M.; Schiller, Ch.; Giessibl, F. J.; Mannhart, J.

    2005-04-01

    The local work function of a surface determines the spatial decay of the charge density at the Fermi level normal to the surface. Here, we present a method that enables simultaneous measurements of local work-function and tip-sample forces. A combined dynamic scanning tunneling microscope and atomic force microscope is used to measure the tunneling current between an oscillating tip and the sample in real time as a function of the cantilever's deflection. Atomically resolved work-function measurements on a silicon (111)-(7×7) surface are presented and related to concurrently recorded tunneling current and force measurements.

  17. Health complaints and working conditions experienced in relation to work and age.

    PubMed Central

    Broersen, J P; de Zwart, B C; van Dijk, F J; Meijman, T F; van Veldhoven, M

    1996-01-01

    OBJECTIVES--The main objective is to describe the potential health and work problems of the aging employees in the Dutch working population. In this way, we can identify groups at extra risk of specific health problems. METHODS--In The Netherlands, occupational health services gather questionnaire data about work and health as part of periodical occupational health surveys (POHSs). These data from the POHSs of complaints about health and working conditions, aggregated into occupational groups and age categories, are used to provide indications for groups at extra risk of specific health problems. These problems are assessed by overviews of the relation between age and complaints about health and working conditions. RESULTS--Almost all of the health questions show an increase in health complaints with increasing age. White collar workers, especially the high grade white collar workers, usually have lower complaint percentages on health questions than blue collar workers. Female employees have relatively high complaint percentages on the health questions. Differences between occupational groups in the complaints about work and working conditions reflect the differences in work demands and exposure. The relation between age and work complaints is generally inconsistent and weak. The complaint percentages on work questions of female employees tend to be equal to or lower than those of the male employees. CONCLUSIONS--The absence of a clear increase of work complaints with advancing age in the presence of a decrease in health and working capacity may be explained by a selective turnover in the working population, especially in demanding occupations. To enhance the work participation of older employees it may be necessary to reduce the work demands and to increase decision latitude. PMID:8563858

  18. Effect of force and acoustic feedback on object-insertion work by teleoperation

    NASA Astrophysics Data System (ADS)

    Cui, Zhenglie; Matsunaga, Katsuya; Shidoji, Kazunori

    2004-05-01

    The operating efficiency of teleoperation under stereoscopic video images has been reported to be inferior to that of using the naked eye at a real working environment. A human operator working at an actual work location is aided by force, tactile, and acoustic senses in addition to vision. Conventional teleoperated robots lack sense information, except vision, which may explain operators" inefficient cognition of the working space. Therefore, using stereoscopic video images, we intend to clarify effects of force and acoustic feedback information on the performance of the teleoperation work. Experiment 1 produces a system that can acquire touch-information by the site of the master robot; it elucidates the influence of force and acoustic feedback information in work. Human operators are required to pick up a cylindrical object and insert it into a hole. The experiment shows that feedback of simple touch-information by force and acoustic feedback was not effective to shorten the completion-time. Experiment 2, in force feedback conditions, directs a user to search a hole by sliding a cylindrical object on its surface. Experimental results indicate that the working efficiency was improved by force information using a sliding sense. Experiment 3 investigated effects of sound when the cylindrical object was oriented such that it could be inserted in a hole and the hole was approached in a state of contact. Experimental results demonstrate that working efficiency was not improved by presentation of acoustic information.

  19. Work, Family, and Mental Health: Testing Different Models of Work-Family Fit.

    ERIC Educational Resources Information Center

    Grzywacz, Joseph G.; Bass, Brenda L.

    2003-01-01

    Using family resilience theory, this study examined the effects of work-family conflict and work-family facilitation on mental health among working adults to gain a better understanding of work-family fit. Results suggest that family to work facilitation is a family protective factor that offsets and buffers the deleterious effects of work-family…

  20. Bending the curve: force health protection during the insertion phase of the Ebola outbreak response.

    PubMed

    Bailey, Mark S; Beaton, K; Bowley, D; Eardley, W; Hunt, P; Johnson, S; Round, J; Tarmey, N T; Williams, A

    2016-06-01

    After >10 years of enduring operations in Iraq and Afghanistan, Defence Strategic Direction is returning to a contingency posture. As the first post-Afghanistan operation, in September 2014, a UK Joint Inter-Agency Task Force deployed to Sierra Leone in response to the Ebola virus disease (EVD) epidemic in West Africa. The aims were expanding treatment capacity, assisting with training and supporting host nation resilience. The insertion phase of this deployment created a unique set of challenges for force health protection. In addition to the considerable risk of tropical disease and trauma, deployed personnel faced the risks of working in an EVD epidemic. This report explores how deployed medical assets overcame the difficulties of mounting a short-notice contingent operation in a region of the world with inherent major climatic and health challenges. PMID:26036821

  1. Exploring Work and Development Options to Reduce Early Labour Force Exit of Mature Aged Australians

    ERIC Educational Resources Information Center

    Pillay, Hitendra; Kelly, Kathy; Tones, Megan

    2008-01-01

    Early labour force exit is a significant challenge associated with the ageing workforce in Australia and many other developed countries. A reduction and increased flexibility of work hours has been suggested to improve labour force participation of the mature aged cohort. However, little is known about mature aged workers' aspirations for

  2. Exploring Work and Development Options to Reduce Early Labour Force Exit of Mature Aged Australians

    ERIC Educational Resources Information Center

    Pillay, Hitendra; Kelly, Kathy; Tones, Megan

    2008-01-01

    Early labour force exit is a significant challenge associated with the ageing workforce in Australia and many other developed countries. A reduction and increased flexibility of work hours has been suggested to improve labour force participation of the mature aged cohort. However, little is known about mature aged workers' aspirations for…

  3. Extrinsic Motivation as Correlates of Work Attitude of the Nigerian Police Force: Implications for Counselling

    ERIC Educational Resources Information Center

    Igun, Sylvester Nosakhare

    2008-01-01

    The study examined Extrinsic motivation as correlates of work attitude of the Nigeria Police Force and its implications for counselling. 300 Police personnel were selected by random sampling technique from six departments that make up police force Headquarters, Abuja. The personnel were selected from each department using simple sampling…

  4. Extrinsic Motivation as Correlates of Work Attitude of the Nigerian Police Force: Implications for Counselling

    ERIC Educational Resources Information Center

    Igun, Sylvester Nosakhare

    2008-01-01

    The study examined Extrinsic motivation as correlates of work attitude of the Nigeria Police Force and its implications for counselling. 300 Police personnel were selected by random sampling technique from six departments that make up police force Headquarters, Abuja. The personnel were selected from each department using simple sampling

  5. Lifelong Learning NCES Task Force: Final Report, Volume I. Working Paper Series.

    ERIC Educational Resources Information Center

    Binkley, Marilyn; Hudson, Lisa; Knepper, Paula; Kolstad, Andy; Stowe, Peter; Wirt, John

    In September 1998, the National Center for Education Statistics (NCES) established a 1-year task force to review the NCES's role concerning lifelong learning. The eight-member task force established a working definition of lifelong learning ("a process or system through which individuals are able and willing to learn at all stages of life, from…

  6. Thailand’s Work and Health Transition

    PubMed Central

    Kelly, Matthew; Strazdins, Lyndall; Dellora, Tarie; Khamman, Suwanee; Seubsman, Sam-ang; Sleigh, Adrian C

    2011-01-01

    Thailand has experienced a rapid economic transition from agriculture to industry and services, and from informal to formal employment. It has much less state regulation and worker representation relative to developed nations, who underwent these transitions more slowly and sequentially, decades earlier. We examine the strengthening of Thai government policy and legislation affecting worker’s health, responding to international norms, a new democratic constitution, fear of foreign importer embargos and several fatal workplace disasters. We identify key challenges remaining for Thai policy makers, including legislation enforcement and the measurement of impacts on worker’s mental and physical health. PMID:22318916

  7. Poultry Processing Work and Respiratory Health of Latino Men and Women in North Carolina

    PubMed Central

    Mirabelli, Maria C.; Chatterjee, Arjun B.; Arcury, Thomas A.; Mora, Dana C.; Blocker, Jill N.; Grzywacz, Joseph G.; Chen, Haiying; Marín, Antonio J.; Schulz, Mark R.; Quandt, Sara A.

    2015-01-01

    Objective To evaluate associations between poultry processing work and respiratory health among working Latino men and women in North Carolina. Methods Between May 2009 and November 2010, 402 poultry processing workers and 339 workers in a comparison population completed interviewer-administered questionnaires. Of these participants, 279 poultry processing workers and 222 workers in the comparison population also completed spirometry testing to provide measurements of forced expiratory volume in 1 second and forced vital capacity. Results Nine percent of poultry processing workers and 10% of workers in the comparison population reported current asthma. Relative to the comparison population, adjusted mean forced expiratory volume in 1 second and forced vital capacity were lower in the poultry processing population, particularly among men who reported sanitation job activities. Conclusions Despite the low prevalence of respiratory symptoms reported, poultry processing work may affect lung function. PMID:22237034

  8. Operational Stress and Correlates of Mental Health Among Joint Task Force Guantanamo Bay Military Personnel.

    PubMed

    Webb-Murphy, Jennifer A; De La Rosa, Gabriel M; Schmitz, Kimberly J; Vishnyak, Elizabeth J; Raducha, Stephanie C; Roesch, Scott C; Johnston, Scott L

    2015-12-01

    Military personnel deployed to Joint Task Force Guantanamo Bay (JTF-GTMO) faced numerous occupational stressors. As part of a program evaluation, personnel working at JTF-GTMO completed several validated self-report measures. Personnel were at the beginning, middle, or end of their deployment phase. This study presents data regarding symptoms of posttraumatic stress disorder, alcohol abuse, depression, and resilience among 498 U.S. military personnel deployed to JTF-GTMO in 2009. We also investigated individual and organizational correlates of mental health among these personnel. Findings indicated that tenure at JTF-GTMO was positively related to adverse mental health outcomes. Regression models including these variables had R2 values ranging from .02 to .11. Occupation at JTF-GTMO also related to mental health such that guards reported poorer mental health than medical staff. Reluctance to seek out mental health care was also related to mental health outcomes. Those who reported being most reluctant to seek out care tended to report poorer mental health than those who were more willing to seek out care. Results suggested that the JTF-GTMO deployment was associated with significant psychological stress, and that both job-related and attitude-related variables were important to understanding mental health symptoms in this sample. PMID:26595460

  9. Stigma and barriers to accessing mental health services perceived by Air Force nursing personnel.

    PubMed

    Hernandez, Stephen H A; Bedrick, Edward J; Parshall, Mark B

    2014-11-01

    We investigated perceptions of stigma and barriers associated with accessing mental health services among active component U.S. Air Force officer and enlisted nursing personnel (N = 211). The Britt and Hoge et al Stigma scale and Hoge et al Barriers to Care scale were administered via an anonymous, online survey. Stigma items pertained to concerns that might affect decisions to seek mental health treatment. Most of the sample agreed with the items "Members of my unit might have less confidence in me" and "My unit leadership might treat me differently." Approximately 20% to 46% agreed with the other four stigma items. Officer nursing personnel were significantly more likely than enlisted to agree that accessing mental health services would be embarrassing, harm their career, or cause leaders to blame them for the problem (p ≤ 0.03 for each comparison). Getting time off from work for treatment and scheduling appointments were perceived as barriers by 41% and 21% of respondents, respectively. We conclude that proportions of Air Force nursing personnel reporting concerns about potential stigmatizing consequences of seeking mental health care are substantial and similar to ranges previously reported by military service members screening positive for mental health problems after deployment. PMID:25373066

  10. Community Health Workers and Their Value to Social Work

    ERIC Educational Resources Information Center

    Spencer, Michael S.; Gunter, Kathryn E.; Palmisano, Gloria

    2010-01-01

    Community health workers (CHWs) play a vital and unique role in linking diverse and underserved populations to health and social service systems. Despite their effectiveness, as documented by empirical studies across various disciplines including public health, nursing, and biomedicine, the value and potential role of CHWs in the social work

  11. The Implicit Contract: Implications for Health Social Work

    ERIC Educational Resources Information Center

    McCoyd, Judith L. M.

    2010-01-01

    Identifying common patient dynamics is useful for developing social work practice sensitivity in health social work. This article draws on findings from a study of women who terminated desired pregnancies because of fetal anomalies and identifies dynamics that may be applicable to many health settings. Data suggest that women have expectations…

  12. [Immigration and health: social inequalities in health disparities in the health system, in welfare and work].

    PubMed

    Pullini, A

    2011-01-01

    Within the analysis of the socio-economic context and the data from hospital discharges, the themes of social inequalities, health disparities, determinants of health care are discussed. Regular immigrants versus irregular, wealthy people versus those in poverty, they have access to and receive different health treatments, besides presenting risk conditions significantly different in relation to their social situation. Through the analysis of hospital discharge records as well as data from injuries at work, besides underestimations in foreign people and the greater risk of injuries for immigrants, it is evident how the aspects of inequalities connected to socioeconomic determinants and the different access to health services are pivotal for our health and welfare and that a profound change is required to tackle them properly, focusing on intervention on health care system, according to models which take into account not only evidence based medicine, but also narrative medicine, not only health protection, but also health promotion, so that equity and quality of health care is warranted for everyone. PMID:22187915

  13. Pilot Mental Health: Expert Working Group Recommendations - Revised 2015.

    PubMed

    2016-05-01

    In September 2012, the Aerospace Medical Association published and distributed recommendations from its Pilot Mental Health Working Group to improve awareness and identification of pilot mental health issues during the aeromedical assessment of pilots. Following the crash of Germanwings Flight 9525 in March 2015 with pilot suicide as the probable cause, the Pilot Mental Health Working Group reconvened to review their recommendations. As a result, the working group revised the recommendations which are provided here and which were distributed worldwide. The Working Group continues to emphasize the importance of assessing and optimizing pilot mental health, while providing additional recommendations on building trust and rapport between the aeromedical examiner and the pilot, on utilizing aviation mental health and aeromedical specialists, and on the balance between medical confidentiality and risk to public safety. The working group encourages all organizations involved in flight safety to review and consider implementing these recommendations within their usual operations. PMID:27099091

  14. Shift work and employee fatigue: implications for occupational health nursing.

    PubMed

    Yumang-Ross, Doreen J; Burns, Candace

    2014-06-01

    Long work hours and irregular shifts are part of the nation's 24-hour society and contribute to employee fatigue. Factors affecting employee fatigue are circadian rhythm, sleep quality and quantity, individual health, the environment, and work tasks. Employee fatigue contributes to accidents and injuries, and affects occupational performance, safety, and health. These findings should be used by occupational health nurses to address fatigue management and develop comprehensive fatigue management programs. PMID:24971821

  15. Meaning and action in employed mothers' health work.

    PubMed

    Kushner, Kaysi Eastlick

    2007-02-01

    The purpose of this critical feminist study was to examine employed mothers' meanings of family and personal health as they frame the context of daily experience in caring for their families' and their own health. Twenty mothers employed in support staff positions with a large institution in Western Canada participated in repeat interviews over 2 years. Women considered individual family members and the family group as they emphasized everyday function and satisfaction, and the presence or absence of various attributes of health as a multifaceted and dynamic experience. Women's health work included keeping track, constructing routines, facing challenges, setting priorities, being there for each other, finding joy and fulfillment, and fostering personal development. A preliminary typology of four orientations to family health work is suggested. Common themes between women's and family health and congruence between women's health meanings and actions provide guidance to nurses in family health promotion practice. PMID:17220381

  16. Force.

    ERIC Educational Resources Information Center

    Gamble, Reed

    1989-01-01

    Discusses pupil misconceptions concerning forces. Summarizes some of Assessment of Performance Unit's findings on meaning of (1) force, (2) force and motion in one dimension and two dimensions, and (3) Newton's second law. (YP)

  17. Intrinsic and Extrinsic Work Motivators: Implications for the Incoming Air Force Officer Workforce. Posters.

    ERIC Educational Resources Information Center

    Johnson, Stephanie K.; Davis, Jason J.; Rate, Christopher

    This document contains three poster presentations from a conference on human resource development. "Intrinsic and Extrinsic Work Motivators: Implications for the Incoming Air Force Officer Workforce" (Stephanie K. Johnson, Jason J. Davis, Christopher Rate) reports on a study that explored the literature relating to work motivators to find Air…

  18. Occupational epidemiology and work related inequalities in health: a gender perspective for two complementary approaches to work and health research

    PubMed Central

    Artazcoz, Lucía; Borrell, Carme; Cortès, Imma; Escribà‐Agüir, Vicenta; Cascant, Lorena

    2007-01-01

    Objectives To provide a framework for epidemiological research on work and health that combines classic occupational epidemiology and the consideration of work in a structural perspective focused on gender inequalities in health. Methods Gaps and limitations in classic occupational epidemiology, when considered from a gender perspective, are described. Limitations in research on work related gender inequalities in health are identified. Finally, some recommendations for future research are proposed. Results Classic occupational epidemiology has paid less attention to women's problems than men's. Research into work related gender inequalities in health has rarely considered either social class or the impact of family demands on men's health. In addition, it has rarely taken into account the potential interactions between gender, social class, employment status and family roles and the differences in social determinants of health according to the health indicator analysed. Conclusions Occupational epidemiology should consider the role of sex and gender in examining exposures and associated health problems. Variables should be used that capture the specific work environments and health conditions of both sexes. The analysis of work and health from a gender perspective should take into account the complex interactions between gender, family roles, employment status and social class. PMID:18000116

  19. After the Baby: Work-Family Conflict and Working Mothers' Psychological Health

    ERIC Educational Resources Information Center

    Marshall, Nancy L.; Tracy, Allison J.

    2009-01-01

    This study examines work and family characteristics and depressive symptomatology among over 700 working mothers of infants. Working mothers in poorer quality jobs, as well as working mothers who were single or whose infant's health was poorer than that of other infants, reported greater depressive symptomatology. The effect of job quality on…

  20. How can magnetic forces do work? Investigating the problem with students

    NASA Astrophysics Data System (ADS)

    Onorato, Pasquale; De Ambrosis, Anna

    2013-11-01

    We present a sequence of activities aimed at promoting both learning about magnetic forces and students’ reflection about the conceptual bridge between magnetic forces on a moving charge and on a current-carrying wire in a magnetic field. The activity sequence, designed for students in high school or on introductory physics courses, has been tested with about 150 high school students and 50 pre-service teachers. Results indicate that students’ understanding of the direction and magnitude of the magnetic force improved markedly and that some typical difficulties were overcome. Comparison of the two types of forces and of their effects allowed focusing on their crucial difference with respect to the possibility of doing work and encouraged students to search for models that are able to link one force to another.

  1. Research in the Service of Mental Health: Report of the Research Task Force of the National Institute of Mental Health.

    ERIC Educational Resources Information Center

    Segal, Julius, Ed.; And Others

    Presented is a detailed account of the findings and recommendations of the National Institute of Mental Health (NIMH) Task Force on Research in the Service of Mental Health. Included are 15 chapters with the following titles: "Purpose and Organization of the Research Task Force", "An Organizational History of the NIMH Research Programs", "NIMH

  2. The impact of shift work and organizational work climate on health outcomes in nurses.

    PubMed

    von Treuer, Kathryn; Fuller-Tyszkiewicz, Matthew; Little, Glenn

    2014-10-01

    Shift workers have a higher rate of negative health outcomes than day shift workers. Few studies however, have examined the role of difference in workplace environment between shifts itself on such health measures. This study investigated variation in organizational climate across different types of shift work and health outcomes in nurses. Participants (n = 142) were nursing staff from a metropolitan Melbourne hospital. Demographic items elicited the type of shift worked, while the Work Environment Scale and the General Health Questionnaire measured organizational climate and health respectively. Analysis supported the hypotheses that different organizational climates occurred across different shifts, and that different organizational climate factors predicted poor health outcomes. Shift work alone was not found to predict health outcomes. Specifically, permanent night shift workers had significantly lower coworker cohesion scores compared with rotating day and evening shift workers and significantly higher managerial control scores compared with day shift workers. Further, coworker cohesion and involvement were found to be significant predictors of somatic problems. These findings suggest that differences in organizational climate between shifts accounts for the variation in health outcomes associated with shift work. Therefore, increased workplace cohesion and involvement, and decreased work pressure, may mitigate the negative health outcomes of shift workers. PMID:25151462

  3. Association of Returning to Work With Better Health in Working-Aged Adults: A Systematic Review

    PubMed Central

    Chambers, Lori; Wilson, Mike; Mustard, Cameron; Rourke, Sean B.; Bayoumi, Ahmed; Raboud, Janet; Lavis, John

    2012-01-01

    Objectives. We systematically reviewed the literature on the impact of returning to work on health among working-aged adults. Methods. We searched 6 electronic databases in 2005. We selected longitudinal studies that documented a transition from unemployment to employment and included a comparison group. Two reviewers independently appraised the retrieved literature for potential relevance and methodological quality. Results. Eighteen studies met our inclusion criteria, including 1 randomized controlled trial. Fifteen studies revealed a beneficial effect of returning to work on health, either demonstrating a significant improvement in health after reemployment or a significant decline in health attributed to continued unemployment. We also found evidence for health selection, suggesting that poor health interferes with people’s ability to go back to work. Some evidence suggested that earlier reemployment may be associated with better health. Conclusions. Beneficial health effects of returning to work have been documented in a variety of populations, times, and settings. Return-to-work programs may improve not only financial situations but also health. PMID:22390520

  4. Selected aspects of absence at work and work-related health problems in Polish enterprises

    PubMed Central

    Pęciłło, Małgorzata

    2015-01-01

    Workers’ working conditions, work-related health problems and sickness absence are interdependent factors. Both workers’ health problems and their absence are adverse events which generate significant costs for both Poland's Social Insurance Institution (ZUS) and employers. Despite the related burdens, it is difficult to assess the number of workers who experience work-related health problems, to indicate the share of those workers who have been unfit for work owing to such disorders and to indicate the types of workers’ disorders which are caused by factors the workers are exposed to in the working environment. This article presents the findings of surveys carried out in selected production and service-providing companies, assessing the scale and nature of work-related health problems and their links with workers’ sickness absence. PMID:26647948

  5. Selected aspects of absence at work and work-related health problems in Polish enterprises.

    PubMed

    Pęciłło, Małgorzata

    2015-01-01

    Workers' working conditions, work-related health problems and sickness absence are interdependent factors. Both workers' health problems and their absence are adverse events which generate significant costs for both Poland's Social Insurance Institution (ZUS) and employers. Despite the related burdens, it is difficult to assess the number of workers who experience work-related health problems, to indicate the share of those workers who have been unfit for work owing to such disorders and to indicate the types of workers' disorders which are caused by factors the workers are exposed to in the working environment. This article presents the findings of surveys carried out in selected production and service-providing companies, assessing the scale and nature of work-related health problems and their links with workers' sickness absence. PMID:26647948

  6. Enhancing interprofessional education: integrating public health and social work perspectives.

    PubMed

    Addy, Cheryl L; Browne, Teri; Blake, Elizabeth W; Bailey, Jennifer

    2015-03-01

    National stakeholders in health system improvement and patient safety including accreditation bodies have requested health professional educational programs to include multiple interprofessional experiences through didactic and experiential opportunities. Clinical and population health faculty at the University of South Carolina redesigned and expanded an introductory interprofessional course to include more than 500 students from public health, social work, medicine, pharmacy, and nursing. Students participated in 3 live class meetings and completed required online coursework to explore concepts related to social determinants of health and health disparities, health system improvement, patient safety, cultural competency, and ethics to address interprofessional education core competencies. Course modifications and expanded student enrollment improved understanding of key health concepts and appreciation of interprofessional collaboration. PMID:25706002

  7. Muscle force, work and cost: a novel technique to revisit the Fenn effect.

    PubMed

    Ortega, Justus O; Lindstedt, Stan L; Nelson, Frank E; Jubrias, Sharon A; Kushmerick, Martin J; Conley, Kevin E

    2015-07-01

    Muscle produces force by forming cross-bridges, using energy released from ATP. While the magnitude and duration of force production primarily determine the energy requirement, nearly a century ago Fenn observed that muscle shortening or lengthening influenced energetic cost of contraction. When work is done by the muscle, the energy cost is increased and when work is done on the muscle the energy cost is reduced. However, the magnitude of the 'Fenn effect' and its mirror ('negative Fenn effect') have not been quantitatively resolved. We describe a new technique coupling magnetic resonance spectroscopy with an in vivo force clamp that can directly quantify the Fenn effect [E=I+W, energy liberated (E) equals the energy cost of isometric force production (I) plus the work done (W)] and the negative Fenn effect (E=I-W) for one muscle, the first dorsal interosseous (FDI). ATP cost was measured during a series of contractions, each of which occurred at a constant force and for a constant duration, thus constant force-time integral (FTI). In all subjects, as the FTI increased with load, there was a proportional linear increase in energy cost. In addition, the cost of producing force greatly increased when the muscle shortened, and was slightly reduced during lengthening contraction. These results, though limited to a single muscle, contraction velocity and muscle length change, do quantitatively support the Fenn effect. We speculate that they also suggest that an elastic element within the FDI muscle functions to preserve the force generated within the cross-bridges. PMID:25964423

  8. The Education Deficit. A Staff Report Summarizing the Hearing on "Competitiveness and the Quality of the American Work Force," Prepared for the Use of the Subcommittee on Education and Health of the Joint Economic Committee. Congress of the United States, 101st Congress, First Session, December 14, 1988.

    ERIC Educational Resources Information Center

    Joint Economic Committee, Washington, DC.

    This staff report summarizes testimony on competitiveness and the quality of the American work force. The testimony was received during 9 days of hearings held between September 23 and December 3, 1987, that featured 52 witnesses including federal and state officials, educators, business and labor leaders, and scholars. Contents comprise prepared…

  9. HHS announces Text4Health task force recommendations

    Cancer.gov

    Today, the U.S. Department of Health and Human Services (HHS) announced new recommendations to support health text messaging and mobile health (mHealth) programs. The department has been actively exploring means to capitalize on the rapid proliferation of

  10. Changing Work, Changing Health: Can Real Work-Time Flexibility Promote Health Behaviors and Well-Being?

    PubMed Central

    Moen, Phyllis; Kelly, Erin L.; Tranby, Eric; Huang, Qinlei

    2012-01-01

    This article investigates a change in the structuring of work time, using a natural experiment to test whether participation in a corporate initiative (Results Only Work Environment; ROWE) predicts corresponding changes in health-related outcomes. Drawing on job strain and stress process models, we theorize greater schedule control and reduced work-family conflict as key mechanisms linking this initiative with health outcomes. Longitudinal survey data from 659 employees at a corporate headquarters shows that ROWE predicts changes in health-related behaviors, including almost an extra hour of sleep on work nights. Increasing employees’ schedule control and reducing their work-family conflict are key mechanisms linking the ROWE innovation with changes in employees’ health behaviors; they also predict changes in well-being measures, providing indirect links between ROWE and well-being. This study demonstrates that organizational changes in the structuring of time can promote employee wellness, particularly in terms of prevention behaviors. PMID:22144731

  11. Changing work, changing health: can real work-time flexibility promote health behaviors and well-being?

    PubMed

    Moen, Phyllis; Kelly, Erin L; Tranby, Eric; Huang, Qinlei

    2011-12-01

    This article investigates a change in the structuring of work time, using a natural experiment to test whether participation in a corporate initiative (Results Only Work Environment; ROWE) predicts corresponding changes in health-related outcomes. Drawing on job strain and stress process models, we theorize greater schedule control and reduced work-family conflict as key mechanisms linking this initiative with health outcomes. Longitudinal survey data from 659 employees at a corporate headquarters shows that ROWE predicts changes in health-related behaviors, including almost an extra hour of sleep on work nights. Increasing employees' schedule control and reducing their work-family conflict are key mechanisms linking the ROWE innovation with changes in employees' health behaviors; they also predict changes in well-being measures, providing indirect links between ROWE and well-being. This study demonstrates that organizational changes in the structuring of time can promote employee wellness, particularly in terms of prevention behaviors. PMID:22144731

  12. Health literacy: critical opportunities for social work leadership in health care and research.

    PubMed

    Liechty, Janet M

    2011-05-01

    One-third of U.S. adults do not have adequate health literacy to manage their health care needs; and low health literacy is a major concern due to its association with poor health outcomes, high health care costs, and health communication problems. Low health literacy is a potential driver of health disparities, and its alleviation is central to the values and concerns of the social work profession. Despite the extensive knowledge and skills that social workers can bring to bear to assist patients with low health literacy, the concept of health literacy is underused in social work scholarship.This gap reflects missed opportunities for social workers to contribute their expertise to the evolving field of health literacy and to strategically align their work with organizational and national priorities.To address this gap, this article provides an overview of health literacy, its relevance to social work, and its representation in disciplinary literature; and it outlines opportunities for health social workers to systematically incorporate health literacy concepts and tools into their practices with patients and families. Implications for a social work research and practice agenda in health literacy are discussed. PMID:21661299

  13. Incorporating Integrative Health Services in Social Work Education

    ERIC Educational Resources Information Center

    Gant, Larry; Benn, Rita; Gioia, Deborah; Seabury, Brett

    2009-01-01

    More than one third of Americans practice complementary and alternative medicine (CAM). Social workers continue to provide most first-line health, mental health, and psychological referral and direct practice services in the United States, despite a lack of systematic education and training opportunities in CAM. Schools of social work are…

  14. Health Coverage Instability for Mothers in Working Families

    ERIC Educational Resources Information Center

    Anderson, Steven G.; Eamon, Mary Keegan

    2004-01-01

    Using data from the National Longitudinal Survey of Youth, the authors examined the health insurance coverage stability of 1,667 women in working families over a three-year period (1995-1997). Findings revealed that coverage instability is common. Nearly one-half of low-income women experienced health coverage instability over the three-year study…

  15. Health promotion and work: prevention of shift work disorders in companies.

    PubMed

    Richter, Kneginja D; Acker, Jens; Scholz, Friederike; Niklewski, Günter

    2010-12-01

    Workplace health promotion is a strategy to improve the health and well-being of people at work. The measures aim at the personal, organisational and work environment. Shift work is one of many reasons provoking increased job stress. According to worldwide epidemiological data, up to 30% of the working population are employed in shifts. Taking into consideration that shift work causes a large number of somatic and psychiatric diseases which bear considerable negative consequences for the health status and the quality of life, it seems to be important to initiate health promotion strategies for shift workers in the companies. The results of recent studies indicate that well-scheduled und targeted health programmes can change the lifestyle of shift working employees and have an impact on the risk factors involved. One problem, though, is a considerable time lag till effects become apparent; therefore, the long-term economic effects of workplace health promotion have not been evaluated sufficiently to date. These definitely positive effects highlight the demand for trainings and workshops for people in shift work. We urgently suggest a speedy implementation of the recommended strategies by companies with shift work systems. In our view, this poses a challenge to the "infant" interdisciplinary field of sleep medicine that should be solved. PMID:23199115

  16. Women, Work and Health Hazards: A Fact Sheet and Cosmetologists: Health Risks at Work.

    ERIC Educational Resources Information Center

    National Commission on Working Women, Washington, DC.

    The first part of this document is a fact sheet that provides information on health hazards faced by employed women. It covers the Occupational Safety and Health Act (OSHA), job-related diseases suffered by workers in female-dominated occupations, employer responsibilities under OSHA, and the lack of statistical reporting on job-related disease.…

  17. Astronomy Resources for Intercurricular Elementary Science (ARIES): Exploring Motion and Forces. What Works Clearinghouse Intervention Report

    ERIC Educational Resources Information Center

    What Works Clearinghouse, 2012

    2012-01-01

    "ARIES: Exploring Motion and Forces" is a physical science curriculum for students in grades 5-8 that employs 18 inquiry-centered, hands-on lessons called "explorations." The curriculum draws upon students' curiosity to explore phenomena, allowing for a discovery-based learning process. Group-centered lab work is designed to help students build an…

  18. For Work-Force Training, a Plan to Give College Credit Where It's Due

    ERIC Educational Resources Information Center

    Sander, Libby

    2008-01-01

    After nearly three years of planning, Ohio's higher-education officials are finalizing an ambitious program to grant college credit for some technical courses offered at the state's adult-education centers. The program, called the Career-Technical Credit Transfer, is the latest in a string of state efforts to more closely link work-force training…

  19. Profile of a Rural Area Work Force: The Wyoming Uranium Industry.

    ERIC Educational Resources Information Center

    Dobbs, Thomas L.; Kiner, Phil E.

    1974-01-01

    Designed to provide insights into policies relative to human resource investments and employment information channels, the study's objectives were to: (1) relate types of employment in Wyoming's uranium mines and mills to work force participants; (2) determine employee earnings and relate those earnings to employment categories and…

  20. The Hired Farm Working Force of 1983: A Statistical Profile. Agricultural Economic Report No. 554.

    ERIC Educational Resources Information Center

    Pollack, Susan L.

    In 1983, about 2.6 million people 14 years of age and older did hired farmwork. Most of the woekers were White (73%), under 25 years old (50%), and male (78%). Hispanics made up 13% of the work force, and Blacks and other minority groups made up 14%. There were significant regional differences in racial/ethnic composition. Hispanic workers were…

  1. Preparing for an Aging Work Force: A Practical Guide for Employers.

    ERIC Educational Resources Information Center

    AARP, Washington, DC.

    This booklet, which is intended for human resource managers, provides practical guidance regarding preparing for an aging work force. Chapter 1 concerns the relationship between business practices and age neutrality and offers checklists that human resource managers can use to assess their company's general policy development, training,…

  2. Developing the Nation's Work Force: Yearbook 5 of the American Vocational Association.

    ERIC Educational Resources Information Center

    Strong, Merle E., Ed.

    Focusing on major issues related to the preparation of the nation's work force, the yearbook considers all sectors of manpower preparation--public and private schools, industry, military, and other agencies. Thirty contributing authors represent the broad fields of manpower and research. Section 1, The Opportunity for Leadership, contains chapters…

  3. For Work-Force Training, a Plan to Give College Credit Where It's Due

    ERIC Educational Resources Information Center

    Sander, Libby

    2008-01-01

    After nearly three years of planning, Ohio's higher-education officials are finalizing an ambitious program to grant college credit for some technical courses offered at the state's adult-education centers. The program, called the Career-Technical Credit Transfer, is the latest in a string of state efforts to more closely link work-force training

  4. Unaccompanied Asylum-Seeking Refugee Children’s Forced Repatriation: Social Workers’ and Police Officers’ Health and Job Characteristics

    PubMed Central

    Sundqvist, Johanna; Hansson, Jonas; Ghazinour, Mehdi; Ögren, Kenneth; Padyab, Mojgan

    2015-01-01

    During the past ten years the number of unaccompanied asylum-seeking refugee children has dramatically increased in Sweden. Some of them are permitted to stay in the receiving country, but some are forced back to their country of origin. Social workers and police officers are involved in these forced repatriations, and such complex situations may cause stressful working conditions. This study aimed to bridge the gap in knowledge of the relationship between general mental health and working with unaccompanied asylum-seeking refugee children who are due for forced repatriation. In addition, the role of psychosocial job characteristics in such relationships was investigated. A questionnaire including sociodemographic characteristics, the Swedish Demand-Control-Support Questionnaire, and the 12-item General Mental Health Questionnaire were distributed nationally. Univariate and multivariable regression models were used. Poorer mental health was associated with working with unaccompanied asylum-seeking refugee children among social workers but not among police officers. Psychological job demand was a significant predictor for general mental health among social workers, while psychological job demand, decision latitude, and marital status were predictors among police officers. Findings are discussed with special regard to the context of social work and police professions in Sweden. PMID:26153185

  5. Unaccompanied Asylum-Seeking Refugee Children's Forced Repatriation: Social Workers' and Police Officers' Health and Job Characteristics.

    PubMed

    Sundqvist, Johanna; Hansson, Jonas; Ghazinour, Mehdi; Ögren, Kenneth; Padyab, Mojgan

    2015-11-01

    During the past ten years the number of unaccompanied asylum-seeking refugee children has dramatically increased in Sweden. Some of them are permitted to stay in the receiving country, but some are forced back to their country of origin. Social workers and police officers are involved in these forced repatriations, and such complex situations may cause stressful working conditions. This study aimed to bridge the gap in knowledge of the relationship between general mental health and working with unaccompanied asylum-seeking refugee children who are due for forced repatriation. In addition, the role of psychosocial job characteristics in such relationships was investigated. A questionnaire including sociodemographic characteristics, the Swedish Demand-Control-Support Questionnaire, and the 12-item General Mental Health Questionnaire were distributed nationally. Univariate and multivariable regression models were used. Poorer mental health was associated with working with unaccompanied asylum-seeking refugee children among social workers but not among police officers. Psychological job demand was a significant predictor for general mental health among social workers, while psychological job demand, decision latitude, and marital status were predictors among police officers. Findings are discussed with special regard to the context of social work and police professions in Sweden. PMID:26153185

  6. Health, Economic Resources and the Work Decisions of Older Men

    PubMed Central

    Bound, John; Stinebrickner, Todd; Waidmann, Timothy

    2016-01-01

    We specify a dynamic programming model that addresses the interplay among health, financial resources, and the labor market behavior of men late in their working lives. We model health as a latent variable, for which self reported disability status is an indicator, and allow self-reported disability to be endogenous to labor market behavior. We use panel data from the Health and Retirement Study. While we find large impacts of health on behavior, they are substantially smaller than in models that treat self-reports as exogenous. We also simulate the impacts of several potential reforms to the Social Security program.

  7. A new occupational health agenda for a new work environment.

    PubMed

    Benach, Joan; Muntaner, Carles; Benavides, Fernando G; Amable, Marcelo; Jodar, Pere

    2002-06-01

    At the beginning of the 21st century, the emergence of new forms of work organization are transforming what had become standard types of work arrangements in industrialized countries. In this new labor market environment, new firms, types of workers, and risk factors are powerfully emerging. Contrary to common belief, emergent occupational health hazards should not be approached only as "technical" or "economic" value-free problems. Instead, many of the challenges faced by occupational health policy makers are predominantly related to professional values and to the political ideologies and economic interests of key stakeholders in the decision-making process. In this paper some of the key principles leading to efficient and equitable occupational health policies in the new work environment are discussed. An alternative is also proposed for dealing with the conditions and settings needed to meet the new challenges related to establishing an effective occupational health policy. PMID:12109559

  8. Critically Reflective Work Behavior of Health Care Professionals

    ERIC Educational Resources Information Center

    de Groot, Esther; Jaarsma, Debbie; Endedijk, Maaike; Mainhard, Tim; Lam, Ineke; Simons, Robert-Jan; van Beukelen, Peter

    2012-01-01

    Introduction: Better understanding of critically reflective work behavior (CRWB), an approach for work-related informal learning, is important in order to gain more profound insight in the continuing development of health care professionals. Methods: A survey, developed to measure CRWB and its predictors, was distributed to veterinary…

  9. Critically Reflective Work Behavior of Health Care Professionals

    ERIC Educational Resources Information Center

    de Groot, Esther; Jaarsma, Debbie; Endedijk, Maaike; Mainhard, Tim; Lam, Ineke; Simons, Robert-Jan; van Beukelen, Peter

    2012-01-01

    Introduction: Better understanding of critically reflective work behavior (CRWB), an approach for work-related informal learning, is important in order to gain more profound insight in the continuing development of health care professionals. Methods: A survey, developed to measure CRWB and its predictors, was distributed to veterinary

  10. Working-Class Jobs and New Parents' Mental Health

    ERIC Educational Resources Information Center

    Perry-Jenkins, Maureen; Smith, JuliAnna Z.; Goldberg, Abbie E.; Logan, Jade

    2011-01-01

    Little research has explored linkages between work conditions and mental health in working-class employed parents. The current study aims to address this gap, employing hierarchical linear modeling techniques to examine how levels of and changes in job autonomy, job urgency, supervisor support, and coworker support predicted parents' depressive

  11. Working-Class Jobs and New Parents' Mental Health

    ERIC Educational Resources Information Center

    Perry-Jenkins, Maureen; Smith, JuliAnna Z.; Goldberg, Abbie E.; Logan, Jade

    2011-01-01

    Little research has explored linkages between work conditions and mental health in working-class employed parents. The current study aims to address this gap, employing hierarchical linear modeling techniques to examine how levels of and changes in job autonomy, job urgency, supervisor support, and coworker support predicted parents' depressive…

  12. Barriers to Partnership Working in Public Health: A Qualitative Study

    PubMed Central

    Taylor-Robinson, David Carlton; Lloyd-Williams, Ffion; Orton, Lois; Moonan, May; O'Flaherty, Martin; Capewell, Simon

    2012-01-01

    Background Public health provision in England is undergoing dramatic changes. Currently established partnerships are thus likely to be significantly disrupted by the radical reforms outlined in the Public Health White Paper. We therefore explored the process of partnership working in public health, in order to better understand the potential opportunities and threats associated with the proposed changes. Methodology/Principal Findings 70 participants took part in an in-depth qualitative study involving 40 semi-structured interviews and three focus group discussions. Participants were senior and middle grade public health decision makers working in Primary Care Trusts, Local Authorities, Department of Health, academia, General Practice and Hospital Trusts and the third sector in England. Despite mature arrangements for partnership working in many areas, and much support for joint working in principle, many important barriers exist. These include cultural issues such as a lack of shared values and language, the inherent complexity of intersectoral collaboration for public health, and macro issues including political and resource constraints. There is particular uncertainty and anxiety about the future of joint working relating to the availability and distribution of scarce and diminishing financial resources. There is also the concern that existing effective collaborative networks may be completely disrupted as the proposed changes unfold. The extent to which the proposed reforms might mitigate or potentiate these issues remains unclear. However the threats currently remain more salient than opportunities. Conclusions The current re-organisation of public health offers real opportunity to address some of the barriers to partnership working identified in this study. However, significant threats exist. These include the breakup of established networks, and the risk of cost cutting on effective public health interventions. PMID:22238619

  13. Work-Related Violence, Lifestyle, and Health among Special Education Teachers Working in Finnish Basic Education

    ERIC Educational Resources Information Center

    Ervasti, Jenni; Kivimaki, Mika; Pentti, Jaana; Salmi, Venla; Suominen, Sakari; Vahtera, Jussi; Virtanen, Marianna

    2012-01-01

    Background: Studies have reported higher levels of absenteeism due to illness among special education teachers compared to other teachers, but it is not known which factors might contribute to this difference. We examined whether health, health behaviors, and exposure to violence at work differed between special education and general education…

  14. Health and Nutritional Status of Working and Non-Working Mothers in Poverty Groups.

    ERIC Educational Resources Information Center

    Roe, Daphne A.; Eickwort, Kathleen R.

    The aim of this study was to examine the health and nutritional status of low-income women in Upstate New York and to identify problems that interfere with their employment. Questionnaires on health and work, complete medical and employment histories, physical examination, laboratory tests, dental examination and diet recalls were obtained for 469…

  15. 75 FR 4051 - Defense Health Board; DoD Task Force on the Prevention of Suicide by Members of the Armed Forces...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-26

    ... of the Secretary Defense Health Board; DoD Task Force on the Prevention of Suicide by Members of the...)(2) of Public Law, the DoD Task Force on the Prevention of Suicide by Members of the Armed Forces (hereafter, Task Force) will meet on February 11, 2010, to gather information pertaining to suicide...

  16. Does health planning work anywhere, and if so, why?

    PubMed

    Blum, H L

    1978-07-01

    Beginning in 1976 the Department of Health Education and Welfare of the United States Government (DHEW) and the Pan American Health Organization, which is the regional office of the World Health Organization (PAHO-WHO), jointly developed a study of health planning as currently practiced around the world. This thrust to extend our understanding and capability of application of health planning was recognized at PAHO-WHO and DHEW as being long overdue, given the diversity of health planning efforts, the thinness of theory and the frequently unsatisfactory results of health sector planning in so many countries. In 1976 a series of descriptive-analytical studies were commissioned from 17 countries representing nearly every continent and every stage of development. These studies were further analyzed and abstracted and became the basis for a 5-day discussion in Copenhagen in 1977 among 35 practicing and academic health planners gathered from 16 countries, WHO, and DHEW. The thrust of the first assembly was to identify the determinants of (1) the establishment of formal health planning machinery, (2) the scope and content of concerns assigned to health planning, (3) the participants in the process, and (4) the relationships of planners to policy makers and implementors. In 1978 the second 5-day meeting was held in New Orleans to analyze the methodologies of health planning and to determine what could be generalized and disseminated as guidance to all countries. This was based on a new series of methodologically focused case studies which were abstracted and made available to each of the 53 health planning participants from 22 countries, PAHO-WHO, and DHEW. The four major foci of this conference were (1) the state of the art in health planning methodology, (2) how methods are being developed and adapted, (3) identification of major methodological shortcomings or constraints, and (4) surmounting the difficulties facing health planning in affecting major health-influencing forces which lie outside the territory traditionally considered to be part of the health sector. This article is a report on some of the things the author learned from participating in what he considers the two most informative planning meetings he ever attended. PMID:10308625

  17. Changing Work and Work-Family Conflict: Evidence from the Work, Family, and Health Network*

    PubMed Central

    Kelly, Erin L.; Moen, Phyllis; Oakes, J. Michael; Fan, Wen; Okechukwu, Cassandra; Davis, Kelly D.; Hammer, Leslie; Kossek, Ellen; King, Rosalind Berkowitz; Hanson, Ginger; Mierzwa, Frank; Casper, Lynne

    2013-01-01

    Schedule control and supervisor support for family and personal life are work resources that may help employees manage the work-family interface. However, existing data and designs have made it difficult to conclusively identify the effects of these work resources. This analysis utilizes a group-randomized trial in which some units in an information technology workplace were randomly assigned to participate in an initiative, called STAR, that targeted work practices, interactions, and expectations by (a) training supervisors on the value of demonstrating support for employees’ personal lives and (b) prompting employees to reconsider when and where they work. We find statistically significant, though modest, improvements in employees’ work-family conflict and family time adequacy and larger changes in schedule control and supervisor support for family and personal life. We find no evidence that this intervention increased work hours or perceived job demands, as might have happened with increased permeability of work across time and space. Subgroup analyses suggest the intervention brings greater benefits to employees more vulnerable to work-family conflict. This study advances our understanding of the impact of social structures on individual lives by investigating deliberate organizational changes and their effects on work resources and the work-family interface with a rigorous design. PMID:25349460

  18. Working on Sundayseffects on safety, health, and work-life balance.

    PubMed

    Wirtz, Anna; Nachreiner, Friedhelm; Rolfes, Katharina

    2011-05-01

    Several attributes of the work schedule can increase the risk of occupational injuries and accidents, health impairments, and reduced social participation. Although previous studies mainly focused on the effects of shiftwork and long working hours on employee health and safety, there is little evidence of a potential negative impact of working Sundays on the incidence of occupational accidents, health impairments, and work-life balance. A representative sample of employed workers in 31 member and associated states of the European Union (n?=?23,934) served as the database for a cross-sectional analysis. The sample was collected via face-to-face interviews in the year 2005. The association of the risks of occupational accidents, health impairments, and decreases in work-life balance with working Sundays was calculated using logistic regression models, controlling for potential confounders, such as shiftwork, workload, and demographic characteristics. The results indicated that working one or more Sundays/month was associated with increase both in the risk of reporting one or more health impairments (odds ratio [OR]: 1.17, 95% confidence interval [CI]: 1.06-1.29) and poorer work-life balance (OR: 1.15, 95% CI: 1.02-1.28). These effects remained after controlling for potentially confounding factors, such as other work schedule attributes, intensity of physical and mental workload, and individual characteristics. Furthermore, working Sundays was also related to increased risk of occupational accidents within the last year (OR: 1.34, 95% CI: 1.03-1.73). Controlling again for individual, workload, and working-time characteristics, a significant association with accident risk, however, remained only in work sectors with low a priori risk of occupational accidents (OR: 1.40, 95% CI: 1.02-1.91), although the increased risk could be observed for both medium and high a priori risk sectors working Sundays (without controlling for additional confounders). The results thus indicate that the detrimental effects of working Sundays on safety, health, and social well-being should be taken into account when designing work schedules. The potential hazards to employees' safety, health, and work-life balance, in particular, should be considered in discussions concerning extending work on Sundays in certain sectors, e.g., retail. PMID:21539428

  19. e-Labs and Work Objects: Towards Digital Health Economies

    NASA Astrophysics Data System (ADS)

    Ainsworth, John D.; Buchan, Iain E.

    The optimal provision of healthcare and public health services requires the synthesis of evidence from multiple disciplines. It is necessary to understand the genetic, environmental, behavioural and social determinants of disease and health-related states; to balance the effectiveness of interventions with their costs; to ensure the maximum safety and acceptability of interventions; and to provide fair access to care services for given populations. Ever expanding databases of knowledge and local health information, and the ability to employ computationally expensive methods, promises much for decisions to be both supported by best evidence and locally relevant. This promise will, however, not be realised without providing health professionals with the tools to make sense of this information rich environment and to collaborate across disciplines. We propose, as a solution to this problem, the e-Lab and Work Objects model as a sense-making platform for digital health economies - bringing together data, methods and people for timely health intelligence.

  20. Task Force Report on HIV/AIDS and Health Services Administration Education.

    ERIC Educational Resources Information Center

    Dunham, Nancy Cross

    In November 1987, a task force met to review the major organizational, structural, and policy-related issues for health care administration professionals related to the growing impact of Acquired Immune Deficiency Syndrome (AIDS) on the health care delivery system and to make recommendations on the training needs of persons within the health care…

  1. Work organization and the health of bank employees.

    PubMed

    Silva, Juliana Lemos; Navarro, Vera Lucia

    2012-01-01

    The Brazilian banking sector has undergone an intense restructuring process and taken a leading position in the incorporation of new technologies and organizational innovations. Computerization in the industry, in association with forms of work organization, has resulted in changes that reflect on the workers' health. Based on the theoretical and methodological frameworks of historical and dialectical materialism, this qualitative study investigates the work conditions of bank employees in order to identify the extent to which changes in work organization interfere with these workers' health. Data were collected through interviews held with 11 bank employees. In addition to physical sickening due to occupational diseases directly related to work intensification, the results also show an increased incidence of mental suffering and a feeling of loss of professional identity. Work-related frustration, instability and concerns related to psychological pressure resulting from the need to achieve goals predominated in the reports. PMID:22699722

  2. Social work management in emerging health care systems.

    PubMed

    Kenney, J J

    1990-02-01

    An overview of the health care industry's trend toward multihealth systems is presented and specific adaptive strategies for social work managers in health care are suggested. The challenges to social work leaders during this transition from largely free-standing, privately owned health care institutions to corporately owned, horizontally and vertically integrated delivery systems are discussed in terms of identity, style, and substance. Directors of social work departments in multihealth corporations will need to resolve issues of institutional versus corporate identity as well as those of corporate versus professional identity. A multioptional management style that incorporates networking and political expertise should be cultivated. Substantive demands in the areas of management information systems, productivity, quality assurance, and budgeting also must be addressed. The emergence of multihealth systems poses major challenges and unique opportunities to the social work profession. Awareness of managerial strategies and critical content areas can help social work leaders enhance the role and contribution of social work in these exciting and complex health care delivery systems. PMID:2318461

  3. [THE INFLUENCE OF SHIFT WORK ON WORKER'S HEALTH STATUS (REVIEW)].

    PubMed

    Chernikova, E F

    2015-01-01

    The article provides an overview of domestic and foreign works on the impact of the replaceable labor on the efficiency, general state of health, the health and the dream of workers. Many hours shifts and overtime work were found to disturb likely familiar rhythms (sleep, wakefulness, performance), change the metabolic and hormonal metabolisms, reducing the recovery period between duties, contribute to more rapid development of fatigue. The consequence of circadian dyschrony may be the development of diseases of the cardiovascular system and cancer incidence. Studies have shown that sleep disorders are associated with metabolic changes, and particularly, obesity. In persons working in shifts, there are more often registered as individual features of the metabolic syndrome and the whole syndrome. It is noted that persons forming this group are at higher risk of developing diseases of the gastrointestinal tract. Thus, the problem of shift work is presented to be very important. Knowledge of ways and mechanisms that explain the impact of shift work on health is necessary to evaluate the professional risk. In the system of health measures the attention should be given to the rationalization of work and rest regimens, prevention of fatigue, struggle with sleep disorders and obesity. PMID:26302558

  4. Working conditions and mental health: Results from the CARESUN study.

    PubMed

    Feola, Daniela; Pedata, Paola; D'Ancicco, Francesco; Santalucia, Laura; Sannolo, Nicola; Ascione, Eduardo; Nienhaus, Albert; Magliano, Lorenza; Lamberti, Monica

    2016-05-01

    The authors conducted a work-related stress surveillance study in 2013 on 6,558 public-sector employees in Italy, examining how they perceived their jobs, via the Job Content Questionnaire, and their mental health status, via the General Health Questionnaire 12 (GHQ-12). Of the 2,094 employees completing the questionnaires, 60% were male, 52% had a medium-level education, and 76% had a medium-level job. Three hundred and eighty-five employees (18%) had a GHQ-12 score >3 and were classified as GHQ-12 cases: these were more often female (54%), medium-to-highly educated (54%), and had more often reported health problems over the previous year (51%). Thus, GHQ-12 cases represented a significant percentage of the examined population, indicating that work-related stress surveillance programs are needed for the planning of psychosocial interventions aimed at the reintegration of individuals with mental health problems. PMID:26167870

  5. [Voluntary work: an alternative to promote health for the elderly].

    PubMed

    de Souza, Luccas Melo; Lautert, Liana

    2008-06-01

    This article is a thematic reflection. It aims at presenting volunteer work as an alternative for promoting health for elders in Brazil. Having as a starting point the definition of volunteer work, this study contextualizes this type of activity in Brazilian society, explaining it also as an instrument that makes possible for people to experience an active and healthy aging process. The text presents international studies with elders who volunteer and, as a result, have found a relationship between volunteering and satisfaction with their lives and have had less symptoms of depression and a more positive evaluation of life when compared to elderly who do not volunteer. The conclusion emphasizes the importance for health professionals to stimulate and facilitate the access of elders to volunteer work, considering this posture a creative and innovative challenge for the promotion of health for the elderly. PMID:18642751

  6. Process Evaluation of an Integrated Health Promotion/Occupational Health Model in WellWorks-2

    ERIC Educational Resources Information Center

    Hunt, Mary Kay; Lederman, Ruth; Stoddard, Anne M.; LaMontagne, Anthony D.; McLellan, Deborah; Combe, Candace; Barbeau, Elizabeth; Sorensen, Glorian

    2005-01-01

    Disparities in chronic disease risk by occupation call for new approaches to health promotion. WellWorks-2 was a randomized, controlled study comparing the effectiveness of a health promotion/occupational health program (HP/OHS) with a standard intervention (HP). Interventions in both studies were based on the same theoretical foundations. Results…

  7. Forces Pushing Prescription Psychotropic Drugs in College Mental Health

    ERIC Educational Resources Information Center

    Whitaker, Leighton C.

    2007-01-01

    A complex of forceful influences is greatly accelerating the use of what are usually referred to as "psychiatric drugs," although most prescribing is not done by psychiatrists. Many other clinicians, including other kinds of physicians, and recently psychologists, prescribe these medications. The influences contributing to this dramatic surge…

  8. Social capital in working life and the health of employees.

    PubMed

    Liukkonen, Virpi; Virtanen, Pekka; Kivimäki, Mika; Pentti, Jaana; Vahtera, Jussi

    2004-12-01

    It is commonly assumed that social capital influences health, but only few studies have examined this hypothesis in the context of the workplace. The present prospective cohort study of 6028 public sector employees in Finland investigated social capital as a workplace characteristic which potentially affects employee health. The two indicators of social capital were trust in the labour market, measured by security of the employment contract, and trust in co-worker support. Self-rated health status and psychological distress were used as indicators of health. The combination of subsidised job contract and low co-worker support (i.e. the lowest category of social capital) was associated with poorer health prospects than the combination of permanent employment and high support (the highest social capital category) in an age-adjusted model, but this association disappeared in logistic regression analysis adjusted by sociodemographic background factors and baseline health. Fixed-term employment predicted better self-rated health and less psychological distress when compared with permanent employment. Co-worker support was most common in permanent and least common in subsidised employees and it was associated with better self-rated health in women. Our findings suggest only partial support for the hypothesis of work-related social capital as a health resource. PMID:15474200

  9. A Safe and Healthful Work Environment: Development and Testing of an Undergraduate Occupational Health Nursing Curriculum.

    PubMed

    McCullagh, Marjorie C; Berry, Peggy

    2015-08-01

    Occupational health nursing focuses on promotion and restoration of health, prevention of illness and injury, protection from work-related and environmental hazards, and corporate profitability. Quality education about the relationship between work and health is critical for nurses' success regardless of work setting, and is consistent with Healthy People 2020 goals, but is lacking or limited in some programs. This report introduces an innovative occupational health nursing curriculum for students enrolled in baccalaureate nursing programs. The process of designing and pilot testing this novel curriculum, its alignment with nursing competencies, and its format and learning activities are described. Preparing professional nurses to understand the role of the occupational health nurse and the relationship between work and health is an essential curricular consideration for contemporary nursing education. PMID:26077879

  10. Leadership and quality of working life in home health care.

    PubMed

    Smith, H L; Hood, J N; Piland, N F

    1994-01-01

    Home health care has undergone startling changes in the past decade and, in the process, become a strategically important ingredient of health care delivery. However, the question remains whether home health care organizations can deliver the benefits anticipated for integrated care delivery systems. The answer to this question depends to a great extent on whether home health care organizations build vibrant, visionary leadership capable of transforming organizations and motivating staff to deliver high quality and low cost services. This paper examines a case study of transformational leadership as it relates to the quality of working life for nurses, homemakers, and staff. The findings indicate that leader behaviour is strongly associated with homemakers', and to a lesser extent staff members', job satisfaction, job involvement, and propensity to remain with the organization. These job attitudes have been shown to be related to higher job performance. The implications for leadership in home health agencies are discussed. PMID:10134028

  11. Managing professional work: three models of control for health organizations.

    PubMed Central

    Scott, W R

    1982-01-01

    Three arrangements for structuring the work of professional participants in professional organizations are described, contrasted and evaluated. Arguments are illustrated by application to the organization of physicians within hospitals. The primary rationale, the support structures that have fostered its development, the key structural features and the advantages and disadvantages of each arrangement are described. The effect on these arrangements of structures and forces external to any particular professional organization is emphasized. PMID:6749761

  12. Shift Work and Health: Current Problems and Preventive Actions

    PubMed Central

    2010-01-01

    The paper gives an overview of the problems to be tackled nowadays by occupational health with regards to shift work as well as the main guidelines at organizational and medical levels on how to protect workers' health and well-being. Working time organization is becoming a key factor on account of new technologies, market globalization, economic competition, and extension of social services to general populations, all of which involve more and more people in continuous assistance and control of work processes over the 24 hours in a day. The large increase of epidemiological and clinical studies on this issue document the severity of this risk factor on human health and well being, at both social and psychophysical levels, starting from a disruption of biological circadian rhythms and sleep/wake cycle and ending in several psychosomatic troubles and disorders, likely also including cancer, and extending to impairment of performance efficiency as well as family and social life. Appropriate interventions on the organization of shift schedules according to ergonomic criteria and careful health surveillance and social support for shift workers are important preventive and corrective measures that allow people to keep working without significant health impairment. PMID:22953171

  13. Health problems of Nepalese migrants working in three Gulf countries

    PubMed Central

    2011-01-01

    Background Nepal is one of the largest suppliers of labour to countries where there is a demand for cheap and low skilled workers. In the recent years the Gulf countries have collectively become the main destinations for international migration. This paper aims to explore the health problems and accidents experienced by a sample of Nepalese migrant in three Gulf countries. Methods A cross-sectional survey was conducted among 408 Nepalese migrants who had at least one period of work experience of at least six months in any of three Gulf countries: Qatar, Saudi Arabia and United Arab Emirates (UAE). Face to face questionnaire interviews were conducted applying a convenience technique to select the study participants. Results Nepalese migrants in these Gulf countries were generally young men between 26-35 years of age. Unskilled construction jobs including labourer, scaffolder, plumber and carpenter were the most common jobs. Health problems were widespread and one quarter of study participants reported experiencing injuries or accidents at work within the last 12 months. The rates of health problems and accidents reported were very similar in the three countries. Only one third of the respondents were provided with insurance for health services by their employer. Lack of leave for illness, cost and fear of losing their job were the barriers to accessing health care services. The study found that construction and agricultural workers were more likely to experience accidents at their workplace and health problems than other workers. Conclusion The findings suggest important messages for the migration policy makers in Nepal. There is a lack of adequate information for the migrants making them aware of their health risks and rights in relation to health services in the destination countries and we suggest that the government of Nepal should be responsible for providing this information. Employers should provide orientation on possible health risks and appropriate training for preventive measures and all necessary access to health care services to all their workers. PMID:21443802

  14. Where do students in the health professions want to work?

    PubMed Central

    Schofield, Deborah; Fletcher, Susan; Fuller, Jeffery; Birden, Hudson; Page, Sue

    2009-01-01

    Background Rural and remote areas of Australia are facing serious health workforce shortages. While a number of schemes have been developed to improve recruitment to and retention of the rural health workforce, they will be effective only if appropriately targeted. This study examines the factors that most encourage students attending rural clinical placements to work in rural Australia, and the regions they prefer. Methods The Careers in Rural Health Tracking Survey was used to examine the factors that most influence medical, nursing and allied health students' preference for practice locations and the locations preferred. Results Students showed a preference for working in large urban centres within one year, but would consider moving to a more rural location later in life. Only 10% of students surveyed said they would never work in a rural community with a population of less than 10 000. Almost half the sample (45%) reported wanting to work overseas within five years. The type of work available in rural areas was found to be the factor most likely to encourage students to practice rurally, followed by career opportunities and challenge Conclusion The decision to practise rurally is the result of a complex interaction between a number of factors including ethnicity, discipline, age and sex, among others. Incentives that aim to entice all students to rural practice while considering only one of these variables are likely to be inadequate. PMID:19686605

  15. [Gender, paid work, domestic chores and health in Spain].

    PubMed

    Artazcoz, Lucía; Escribà-Agüir, Vicenta; Cortès, Imma

    2004-01-01

    The present study reviews gender-related differences and inequalities in paid work and domestic chores in Spain. The impact of both types of work on health are analyzed and the main policies of the European Union (EU) and Spain to achieve gender equality at work are described. In Spain, fewer women are in paid work than in other EU countries. The labor market displays horizontal segregation (men and women work in different sectors), as well as vertical segregation (men hold more senior positions), leading to gender-related differences in employment conditions and exposure to occupational hazards. The precariousness of work is significantly higher in women (19% unemployment in women versus 9% in men) and women are more likely than men to have temporary contracts. Men are more frequently exposed to physical risks and suffer a greater number of occupational accidents; women, especially manual workers, are more frequently exposed to psychosocial risks. Most domestic chores continue to be performed by women, even by working women, which negatively affects their health. The EU has made an increase in female employment a priority, which means that from 2000-2010 Spain should create 3 million jobs for women and implement work/family policies. Achieving gender equality at work requires employment policies that would guarantee equal opportunities for both sexes, as well as shared responsibility for domestic chores between men and women. In Spain, moreover, there is an urgent need to significantly increase public childcare facilities and resources for the care of other dependent individuals. PMID:15171842

  16. Work engagement, work commitment and their association with well-being in health care.

    PubMed

    Kanste, Outi

    2011-12-01

    The aim was to examine whether work engagement and work commitment can be empirically discriminated and how they are associated with well-being. The terminology used in literature and in practice is confused by the interchangeable use of these terms. Only few studies, like Hallberg and Schaufeli's study, have examined the relationships between work engagement and work commitment systematically by using empirical data. In this study, the data were gathered via self-reported questionnaire from the healthcare staff working in 14 health centres and four hospitals in Finland. The data consisted of 435 responses. The material was analysed by using structural equation modelling (SEM) and correlations. The items of work engagement and work commitment dimensions (identification with organization, willingness to exert in organization's favour, occupational commitment and job involvement) loaded on their own latent variables in SEM analysis, so the data supported this five-factor model. Work engagement and work commitment dimensions were positively related, sharing between 2 and 33% of their variances. These constructs also displayed different correlations with some indicators of well-being measured as personal accomplishment, psychological well-being, mental resources, internal work motivation and willingness to stay on at work. Work engagement had moderate positive correlation to personal accomplishment (r = 0.68, p < 0.001). Identification with organization (r = 0.40, p < 0.001), willingness to exert in organization's favour (r =0.44, p < 0.001) and occupational commitment (r =0.37, p < 0.001) had low correlations to personal accomplishment. The results support the notion that work engagement can be empirically discriminated from work commitment. They are distinct, yet related constructs that complement each other, describing different aspects of positive attitudes towards work. The results can be utilized in interventions aimed at quality of working life in health care as well as in studies investigating discriminant and construct validity. PMID:21564150

  17. Public health and working children in twentieth-century America: an historical overview.

    PubMed

    Postol, T

    1993-01-01

    Throughout this century, concern for the health of America's youth has been a driving force in the long fight to regulate child labor. The prevalence of children in dangerous trades like mining and mill work at the start of the century was a major factor behind the creation of a national child labor reform movement. Not until the Fair Labor Standards Act of 1938, however, were reformers able to secure universal age, hour and health standards for working youngsters. In the decades following World War 2, child labor dramatically declined in the United States. But new waves of immigration in the 1980s, along with increased participation of high school students in the service sector, have contributed to a resurgence in juvenile employment and focused renewed attention on the health risks faced by minors in the workplace. PMID:8254008

  18. Initial Report of the Task Force on Cultural Competence Education in the Health Sciences

    ERIC Educational Resources Information Center

    New Mexico Higher Education Department, 2007

    2007-01-01

    This report summarizes the findings and recommendations of the Task Force on Cultural Competence Education and represents the distillation of the Task Force's efforts to fulfill its legislative charge. The report is intended to facilitate a statewide conversation about the health services provided to New Mexico's multicultural citizenry. It…

  19. The Association of Academic Health Sciences Libraries' legislative activities and the Joint Medical Library Association/Association of Academic Health Sciences Libraries Legislative Task Force

    PubMed Central

    Zenan, Joan S.

    2003-01-01

    The Association of Academic Health Sciences Libraries' (AAHSL's) involvement in national legislative activities and other advocacy initiatives has evolved and matured over the last twenty-five years. Some activities conducted by the Medical Library Association's (MLA's) Legislative Committee from 1976 to 1984 are highlighted to show the evolution of MLA's and AAHSL's interests in collaborating on national legislative issues, which resulted in an agreement to form a joint legislative task force. The history, work, challenges, and accomplishments of the Joint MLA/AAHSL Legislative Task Force, formed in 1985, are discussed. PMID:12883581

  20. The health care work environment and adverse health and safety consequences for nurses.

    PubMed

    Geiger-Brown, Jeanne; Lipscomb, Jane

    2010-01-01

    Nurses' working conditions are inextricably linked to the quality of care that is provided to patients and patients' safety. These same working conditions are associated with health and safety outcomes for nurses and other health care providers. This chapter describes aspects of the nursing work environment that have been linked to hazards and adverse exposures for nurses, as well as the most common health and safety outcomes of nursing work. We include studies from 2000 to the present by nurse researchers, studies of nurses as subjects, and studies of workers under similar working conditions that could translate to nurses' work environment. We explore a number of work organization factors including shift work and extended work hours, safety climate and culture, teamwork, and communication. We also describe environmental hazards, including chemical hazards (e.g., waste anesthetics, hazardous drugs, cleaning compounds) and airborne and bloodborne pathogen exposure. Nurses' health and safety outcomes include physical (e.g., musculoskeletal disorders, gastrointestinal, slips, trips and falls, physical assault) and psychosocial outcomes (e.g., burnout, work-family conflict). Finally, we present recommendations for future research to further protect nurses and all health care workers from a range of hazardous working conditions. PMID:21639028

  1. Accreditation of Health Educational Programs. Part II: Staff Working Papers.

    ERIC Educational Resources Information Center

    Study of Accreditation of Selected Health Educational Programs, Washington, DC.

    This publication contains a second set of working papers concerned with procedures of the accrediting agencies in the health fields, the accountability and social responsibility of accreditation, and the relationship of accreditation to certification, licensure, and registration. Texts of these papers are included: (1) "Dilemmas of Accreditation…

  2. Private and Public Initiatives: Working Together for Health and Education.

    ERIC Educational Resources Information Center

    Gaag, Jacques van der

    The World Bank helps countries to arrive at whatever combination of public and private control is best for their particular economic circumstances. This booklet describes that work and summarizes examples of private-sector involvement in health and education provision in the developing world today. The examples also illustrate what the World Bank…

  3. Justice at Work, Job Stress, and Employee Health

    ERIC Educational Resources Information Center

    Fujishiro, Kaori; Heaney, Catherine A.

    2009-01-01

    A small but growing literature has documented an association between justice at work and employee health. However, the pathways and mechanisms underlying this association are not well understood. This article proposes a conceptual framework that bridges the organizational justice, occupational stress, and occupational epidemiology literatures.

  4. Occupational health hazards resulting from elevated work rate situations.

    PubMed

    Ohara, H; Nakagiri, S; Itani, T; Wake, K; Aoyama, H

    1976-12-01

    Some occupational health hazards resulting from an elevated rate of work due to recent mechanization and automatization are discussed on the basis of results of health examinations. A rapid increase of a cervicobrachial disorder among young cash register and packing machine operators has been observed. Switching to the use of electronic cash registers has been shown to have only limited efficacy due to increased operation speed, and high-speed complex finger and hand movements of packer operators have also proven to be as hazardous as key-board operations. The high incidence of low-back pain, in particular gradually developing pain, among workers in electric power supply work has been suggested to be the result of quick and intensified work to meet increasing supply demand. Likewise, the workload of electric locomotive and bullet train drivers has increased in accordance with increased train speeds, and has been shown to have had significant effects on their health particularly in regards to neural strain, intra-cab environment such as air pressure change, vibration, and noise, and rotation on irregular shifts. New steps seem required therefore to meet the new health problems arising from a combination of modern technological changes and elevated working speeds. PMID:143492

  5. Justice at Work, Job Stress, and Employee Health

    ERIC Educational Resources Information Center

    Fujishiro, Kaori; Heaney, Catherine A.

    2009-01-01

    A small but growing literature has documented an association between justice at work and employee health. However, the pathways and mechanisms underlying this association are not well understood. This article proposes a conceptual framework that bridges the organizational justice, occupational stress, and occupational epidemiology literatures.…

  6. Tackling Work Related Stress in a National Health Service Trust

    ERIC Educational Resources Information Center

    Vick, Donna; Whyatt, Hilary

    2004-01-01

    The challenge of tackling the problem of coping with work related stress in a National Health Service (NHS) Trust was undertaken. Ideas were developed within the context of two different action learning sets and led to actions resulting in a large therapy Taster Session event and the establishment of a centre offering alternative therapies and…

  7. Labor Market Work and Home Care's Unpaid Caregivers: A Systematic Review of Labor Force Participation Rates, Predictors of Labor Market Withdrawal, and Hours of Work

    PubMed Central

    Lilly, Meredith B; Laporte, Audrey; Coyte, Peter C

    2007-01-01

    As people continue to age and receive complex health care services at home, concern has arisen about the availability of family caregivers and their ability to combine employment with caregiving. This article evaluates the international research on unpaid caregivers and their labor market choices, highlighting three conclusions: first, caregivers in general are equally as likely to be in the labor force as noncaregivers; second, caregivers are more likely to work fewer hours in the labor market than noncaregivers, particularly if their caring commitments are heavy; and finally, only those heavily involved in caregiving are significantly more likely to withdraw from the labor market than noncaregivers. Policy recommendations are targeting greater access to formal care for “intensive” caregivers and developing workplace policies for employed caregivers. PMID:18070333

  8. Gender, Work, and Health for Trans Health Providers: A Focus on Transmen

    PubMed Central

    MacDonnell, Judith A.; Grigorovich, Alisa

    2012-01-01

    Well-documented health research points to trans people's vulnerability to health inequities that are linked to deeply embedded structural and social determinants of health. Gender and work, as social determinants of health for trans people, both shape and are shaped by multiple factors such as support networks, social environments, income and social status, shelter, and personal health practices. There is a gap in the nursing literature in regards to research on work and health for diverse trans people and a virtual silence on the particular issues of trans-identified health providers. This qualitative study used comparative life history methodology and purposeful sampling to examine links among work, career, and health for transmen who are health providers. Semistructured interviews were completed with four Canadian transmen involved in health care professional and/or practice contexts with diverse professions, age, work, and transitioning experiences. Critical gender analysis showed that unique and gender-related critical events and influences shape continuities and discontinuities in their careerlives. This strength-based approach foregrounds how resilience and growth emerged through participants' articulation with everyday gender dynamics. These findings have implications for nursing research, education, and practice that include an understanding of how trans providers “do transgender work” and supporting them in that process. PMID:23316387

  9. Work of a nurse in a health centre treatment room

    PubMed Central

    Dixon, P. N.

    1969-01-01

    In six months there were 1,704 attendances at the treatment room of a small health centre. The attendance rate for the population registered with the health centre doctors was 448 per 1,000 patients per year. Females between 15 and 44 years and males under 15 had the highest attendance rates. There were 256 casual attenders, 58 (23%) of whom were referred to a doctor or hospital for further advice or treatment. It is suggested that in a health centre treatment room about six hours of nursing time a week for every 1,000 patients is required, and that a case can be made out for some of the routine work of casualty departments being done in health centres. PMID:5345942

  10. Nursing attrition and the work environment in South African health facilities.

    PubMed

    Hall, E J

    2004-11-01

    A number of media reports appeared on the shortages of professional health workers in the public health sector. Unsatisfactory working conditions in health facilities were mentioned as one of the key aspects responsible for the shortages. Literature indicates that stress caused by unsatisfactory work environments may play a major role in employees' decision to resign their jobs, in spite of enjoying the nature of their work. The aim of this article is to explore the current human resource situation in nursing i.e. to determine if a shortage of nursing skills exists, to establish the challenges that nurses have to face in performing their duties and to establish the potential effect of the work environment on attrition. Currently 155 484 nurses are practicing in South Africa at a rate of 343 nurses per 100 000 of the population, which compares favourably with the World Health Organisation minimum of 200:100 000. The lack of reliable data on the supply of and demand for nurses makes it difficult to determine whether real shortages exist. However the supply of nursing services is influenced by the uneven distribution of skills across regions and the outflow of professional skills. It seems that the existing situation will deteriorate because fewer people are interested in taking up or pursuing nursing as a career in South Africa. At the same time a need for more nurses was identified because of the growth in the population as well as a change in health care needs. Workplace conditions for health workers employed at hospitals and clinics in South Africa were explored as part of a recent national study on the impact of HIV/AIDS on the health sector. Health workers' opinions on aspects such as workload, staff morale and working hours were obtained during personal interviews, which were conducted at 222 health facilities. Nine hundred and twenty four professional nurses, enrolled nurses and nursing assistants, who were mostly employed in the public health sector, participated. A stressful work environment was identified in public hospitals and clinics. An increase in the number of patients visiting these facilities, accompanied by a lack of equipment, unsatisfactory work environment and a shortage of nurses were pointed out. Many patients cannot be accommodated elsewhere because of a lack of finance and alternative health care options. Nurses also indicated that they do not get much support from their employers. The effect of all these factors culminates in a stressed workforce who may be forced to consider alternative career options. This will be to the detriment of health care in the country. PMID:15712823

  11. The Social Determinants of Health in Military Forces of Iran: A Qualitative Study

    PubMed Central

    Bahadori, Mohammadkarim; Sanaeinasab, Hormoz; Ghanei, Mostafa; Mehrabi Tavana, Ali; Ravangard, Ramin; Karamali, Mazyar

    2015-01-01

    Providing effective health interventions and achieving equity in health need to apply the community-based approaches such as social determinants of health. In the military organizations, these determinants have received less attention from the military health researchers and policymakers. Therefore, this study aimed to identify and explain the social determinants affecting the health of military forces in Iran. This was a qualitative study which was conducted in 2014. The required data were collected through semistructured interviews and analyzed through Conventional Content Analysis. The studied sample consisted of 22 military health experts, policymakers, and senior managers selected using purposeful sampling method with maximum variation sampling. MAXQDA.2007 was used to analyze the collected data. After analyzing the collected data, two main contents, that is, “general social determinants of health” and “military social determinants of health,” with 22 themes and 90 subthemes were identified as the social determinants of military forces' health. Main themes were religious rule, spirituality promotion policies, international military factors, military command, and so forth. Given the role and importance of social factors determining the military forces' health, it can be recommended that the military organizations should pay more attention to these determinants in making policies and creating social, economic, and cultural structures for their forces. PMID:26379716

  12. Work engagement: a practical measure for workplace health promotion?

    PubMed

    Torp, S; Grimsmo, A; Hagen, S; Duran, A; Gudbergsson, S B

    2013-09-01

    The objectives of this study were to investigate whether psychological job demands, personal control and social support affect the negative health measure of depression differently than the positive measure of work engagement and to investigate whether work engagement mediates the effects of job demands and resources on the level of depression. We discuss the implications of using engagement as an outcome measure in workplace health promotion. We performed a cross-sectional questionnaire study among a general working population in Norway (n = 605). In the multivariate analysis, high psychological job demands as well as high control and social support correlated significantly with high work engagement. High demands as well as low control and social support correlated significantly with high levels of depression. When we included engagement as an independent variable together with demands, control and social support in the multivariate analysis, the positive correlation between demands and depression remained as well as the significant correlations between the level of depression and control and social support became non-significant. This indicates that engagement mediates the effects of control and social support on the level of depression. Encouraging enterprises to improve engagement in addition to focusing on preventing diseases may be worthwhile in workplace health promotion. Promoting engagement may have more positive organizational effects than a more traditional disease prevention focus, because engagement is contagious and closely related to good work performance and motivation. PMID:22692482

  13. Health Care Reform and Medical Education: Forces toward Generalism.

    ERIC Educational Resources Information Center

    O'Neil, Edward H.; Seifer, Sarena D.

    1995-01-01

    Health care reforms will dramatically change the culture of medical schools in areas of patient care, research, and education programs. Academic medical centers must construct mutually beneficial partnerships that will position them to take advantage of the opportunities rather than leave them without the diversity of resources needed to make…

  14. Depression in Working Adults: Comparing the Costs and Health Outcomes of Working When Ill

    PubMed Central

    Cocker, Fiona; Nicholson, Jan M.; Graves, Nicholas; Oldenburg, Brian; Palmer, Andrew J.; Martin, Angela; Scott, Jenn; Venn, Alison; Sanderson, Kristy

    2014-01-01

    Objective Working through a depressive illness can improve mental health but also carries risks and costs from reduced concentration, fatigue, and poor on-the-job performance. However, evidence-based recommendations for managing work attendance decisions, which benefit individuals and employers, are lacking. Therefore, this study has compared the costs and health outcomes of short-term absenteeism versus working while ill (“presenteeism”) amongst employed Australians reporting lifetime major depression. Methods Cohort simulation using state-transition Markov models simulated movement of a hypothetical cohort of workers, reporting lifetime major depression, between health states over one- and five-years according to probabilities derived from a quality epidemiological data source and existing clinical literature. Model outcomes were health service and employment-related costs, and quality-adjusted-life-years (QALYs), captured for absenteeism relative to presenteeism, and stratified by occupation (blue versus white-collar). Results Per employee with depression, absenteeism produced higher mean costs than presenteeism over one- and five-years ($42,573/5-years for absenteeism, $37,791/5-years for presenteeism). However, overlapping confidence intervals rendered differences non-significant. Employment-related costs (lost productive time, job turnover), and antidepressant medication and service use costs of absenteeism and presenteeism were significantly higher for white-collar workers. Health outcomes differed for absenteeism versus presenteeism amongst white-collar workers only. Conclusions Costs and health outcomes for absenteeism and presenteeism were not significantly different; service use costs excepted. Significant variation by occupation type was identified. These findings provide the first occupation-specific cost evidence which can be used by clinicians, employees, and employers to review their management of depression-related work attendance, and may suggest encouraging employees to continue working is warranted. PMID:25181469

  15. In Diversity Is Strength: Capitalizing on the New Work Force. 75th Anniversary Symposia Series. Report Number 994.

    ERIC Educational Resources Information Center

    Alster, Judith, Ed.; And Others

    This document, which is based on a symposium devoted to capitalizing on the new work force, contains five reports describing how major U.S. corporations are dealing with the demographic changes currently under way in the United States. "Whither the Work Force?" (Delores Wolf) discusses the proper role of corporations in coping with a lack of…

  16. AGU's new task force on scientific ethics and integrity begins work

    NASA Astrophysics Data System (ADS)

    Gleick, Peter; Townsend, Randy

    2011-11-01

    In support of the new strategic plan, AGU has established a new task force to review, evaluate, and update the Union's policies on scientific misconduct and the process for investigating and responding to allegations of possible misconduct by AGU members. As noted by AGU president Michael McPhaden, "AGU can only realize its vision of `collaboratively advancing and communicating science and its power to ensure a sustainable future' if we have the trust of the public and policy makers. That trust is earned by maintaining the highest standards of scientific integrity in all that we do. The work of the Task Force on Scientific Ethics is essential for defining norms of professional conduct that all our members can aspire to and that demonstrate AGU's unwavering commitment to excellence in Earth and space science."

  17. The integration of two health systems: social stratification, work and health in East and West Germany.

    PubMed

    Lüschen, G; Niemann, S; Apelt, P

    1997-03-01

    This is an analysis of system integration, social stratification and work for health status and health care in East and West Germany. It is based on aggregate data and representative survey data of random samples of 2554 adults in both subsystems. Findings show that there were marked differences in life-expectancy prior to unification. The integration of the two systems, which occurred almost totally with regard to terms of West German health care organization, shows adjustment problems in the East for the public Health-Care-Funds and few if any for ambulatory care. The work situation has an impact on health, but there are no significant differences for East versus West. Social stratification variables show an influence on subjective health status for education (East) and for income, social status (West), while physician utilization (despite a preference of specialists by those with higher status) is not significantly determined by stratification variables in either East or West Germany. Beyond the central focus on work and stratification determinants a major finding pertains to a comparatively worse health situation for the aged and for women in what was the former East Germany. System models of Capitalism versus Socialism fit the results and recent history of the two systems to only a limited degree, as the West German corporate health system shows clear limits in following free market principles. The East German system, regardless of its centralized organization and move towards a socialist system, never fully abandoned the traditional model of German health care. Unlike the East German health system, that of West Germany, with its general expansion to 92% of the population, shows an increasing effect for social redistribution. The latter may be a reason why standard indicators of social stratification show less of an impact on health and health care than expected, while conditions at work clearly determine the health of people-the latter being the case in both the former East and West Germany. PMID:9080569

  18. Migration and mental health in Europe (the state of the mental health in Europe working group: appendix 1)

    PubMed Central

    2005-01-01

    Background This paper is a part of the work of the group that carried out the report "The state of the mental health in Europe" (European Commission, DG Health and Consumer Protection, 2004) and deals with the mental health issues related to the migration in Europe. Methods The paper tries to describe the social, demographical and political context of the emigration in Europe and tries to indicate the needs and (mental) health problems of immigrants. A review of the literature concerning mental health risk in immigrant is also carried out. The work also faces the problem of the health policy toward immigrants and the access to health care services in Europe. Results Migration during the 1990s has been high and characterised by new migrations. Some countries in Europe, that have been traditionally exporters of migrants have shifted to become importers. Migration has been a key force in the demographic changes of the European population. The policy of closed borders do not stop migration, but rather seems to set up a new underclass of so-called "illegals" who are suppressed and highly exploited. In 2000 there were also 392.200 asylum applications. The reviewed literature among mental health risk in some immigrant groups in Europe concerns: 1) highest rate of schizophrenia; suicide; alcohol and drug abuse; access of psychiatric facilities; risk of anxiety and depression; mental health of EU immigrants once they returned to their country; early EU immigrants in today disadvantaged countries; refugees and mental health Due to the different condition of migration concerning variables as: motivation to migrations (e.g. settler, refugees, gastarbeiters); distance for the host culture; ability to develop mediating structures; legal residential status it is impossible to consider "migrants" as a homogeneous group concerning the risk for mental illness. In this sense, psychosocial studies should be undertaken to identify those factors which may under given conditions, imply an increased risk of psychiatric disorders and influence seeking for psychiatric care. Comments and Remarks Despite in the migrants some vulnerable groups were identified with respect to health problems, in many European countries there are migrants who fall outside the existing health and social services, something which is particularly true for asylum seekers and undocumented immigrants. In order to address these deficiencies, it is necessary to provide with an adequate financing and a continuity of the grants for research into the multicultural health demand. Finally, there is to highlight the importance of adopting an integrated approach to mental health care that moves away from psychiatric care only. PMID:16135246

  19. Black & Minority Health. Report of the Secretary's Task Force. Volume 1: Executive Summary.

    ERIC Educational Resources Information Center

    Department of Health and Human Services, Washington, DC.

    This volume presents major findings and recommendations of the Department of Health and Human Service's (DHHS) Task Force on Black and Minority Health. The recommendations, which are based on data collected from a number of sources, are intended to guide DHHS in developing programs and policies that address the continuing disparity in the burden…

  20. Working life and mental health - A challenge to psychiatry?

    PubMed Central

    LEVI, LENNART

    2005-01-01

    According to the World Health Organization, "mental health problems and stress-related disorders are the biggest overall cause of early death in Europe". Some of the root causes of this morbidity and mortality are related to living and working conditions that are accessible to preventive and therapeutic interventions, individual as well as collective ones. A political mandate for such interventions is now developing. Members of the WPA Section on Occupational Psychiatry have contributed to this development and we now invite the readers to join the Section in its endeavours. PMID:16633507

  1. [Work in mental health: a job satisfaction and work impact study].

    PubMed

    Rebouças, Denise; Abelha, Lúcia; Legay, Letícia Fortes; Lovisi, Giovanni Marcos

    2008-03-01

    Knowledge of job satisfaction and work impact among psychiatric staff is highly useful for policymakers and mental health professionals. Since there are few studies on this issue in Brazil, a cross-sectional study was carried out among mental health professionals. Data were collected for 133 professionals from 4 mental health services in Rio de Janeiro, using SATIS-BR and IMPACTO-BR scales and a socio-demographic questionnaire. Statistical associations were analyzed using the Mann-Whitney, Kruskal-Wallis, and chi-square tests and multiple linear regression. SPSS 10.1 for Windows was used for statistical analyses. Mean satisfaction was 3.30 and mean work impact was 2.08 (on a scale from 1 to 5). 62.4% of subjects reported moderate satisfaction. Mental health workers with less schooling showed higher satisfaction. Work impact was not associated with any explanatory variable. The results for job satisfaction were similar to those of other studies. Work impact was very low. Unlike studies from the United States and Europe, there were no differences between the community-based and in-hospital staff. PMID:18327450

  2. Presenteeism according to healthy behaviors, physical health, and work environment.

    PubMed

    Merrill, Ray M; Aldana, Steven G; Pope, James E; Anderson, David R; Coberley, Carter R; Whitmer, R William

    2012-10-01

    The objective of this study is to identify the contribution that selected demographic characteristics, health behaviors, physical health outcomes, and workplace environmental factors have on presenteeism (on-the-job productivity loss attributed to poor health and other personal issues). Analyses are based on a cross-sectional survey administered to 3 geographically diverse US companies in 2010. Work-related factors had the greatest influence on presenteeism (eg, too much to do but not enough time to do it, insufficient technological support/resources). Personal problems and financial stress/concerns also contributed substantially to presenteeism. Factors with less contribution to presenteeism included physical limitations, depression or anxiety, inadequate job training, and problems with supervisors and coworkers. Presenteeism was greatest for those ages 30-49, women, separated/divorced/widowed employees, and those with a high school degree or some college. Clerical/office workers and service workers had higher presenteeism. Managers and professionals had the highest level of presenteeism related to having too much to do but too little time to do it, and transportation workers had the greatest presenteeism because of physical health limitations. Lowering presenteeism will require that employers have realistic expectations of workers, help workers prioritize, and provide sufficient technological support. Financial stress and concerns may warrant financial planning services. Health promotion interventions aimed at improving nutrition and physical and mental health also may contribute to reducing presenteeism. PMID:22856386

  3. How society shapes the health gradient: work-related health inequalities in a comparative perspective.

    PubMed

    McLeod, Christopher B; Hall, Peter A; Siddiqi, Arjumand; Hertzman, Clyde

    2012-04-01

    Analyses in comparative political economy have the potential to contribute to understanding health inequalities within and between societies. This article uses a varieties of capitalism approach that groups high-income countries into coordinated market economies (CME) and liberal market economies (LME) with different labor market institutions and degrees of employment and unemployment protection that may give rise to or mediate work-related health inequalities. We illustrate this approach by presenting two longitudinal comparative studies of unemployment and health in Germany and the United States, an archetypical CME and LME. We find large differences in the relationship between unemployment and health across labor-market and institutional contexts, and these also vary by educational status. Unemployed Americans, especially of low education or not in receipt of unemployment benefits, have the poorest health outcomes. We argue for the development of a broader comparative research agenda on work-related health inequalities that incorporates life course perspectives. PMID:22429159

  4. Health and safety needs of older farmers: part I. Work habits and health status.

    PubMed

    Lizer, Shannon K; Petrea, Robert E

    2007-12-01

    Farming is an occupation that blends the work and home environments and traditionally involves active participation of all family members, including older farmers. The work patterns of older farmers, including typical work hours, range of activities, and health status, are not well documented. This study, surveying a random sample of older Illinois farmers (N=87), focused on these gaps in the literature. Older farmers were found to work long hours in many farm tasks, more than would be expected in other occupational groups. Further, older farmers were found to have several chronic diseases at higher rates than the general population of the same age and gender; mental health implications were also identified. Rural occupational health nurses are in an optimal position to positively impact older farmers' mental and physical health status. PMID:18183800

  5. Physical and psychosocial work environment factors and their association with health outcomes in Danish ambulance personnel – a cross-sectional study

    PubMed Central

    2012-01-01

    Background Reviews of the literature on the health and work environment of ambulance personnel have indicated an increased risk of work-related health problems in this occupation. The aim of this study was to compare health status and exposure to different work environmental factors among ambulance personnel and the core work force in Denmark. In addition, to examine the association between physical and psychosocial work environment factors and different measures of health among ambulance personnel. Methods Data were taken from a nationwide sample of ambulance personnel and fire fighters (n = 1,691) and was compared to reference samples of the Danish work force. The questionnaire contained measures of physical and psychosocial work environment as well as measures of musculoskeletal pain, mental health, self-rated health and sleep quality. Results Ambulance personnel have half the prevalence of poor self-rated health compared to the core work force (5% vs. 10%). Levels of mental health were the same across the two samples whereas a substantially higher proportion of the ambulance personnel reported musculoskeletal pain (42% vs. 29%). The ambulance personnel had higher levels of emotional demands and meaningfulness of and commitment to work, and substantially lower levels of quantitative demands and influence at work. Only one out of ten aspects of physical work environment was consistently associated with higher levels of musculoskeletal pain. Emotional demands was the only psychosocial work factor that was associated with both poorer mental health and worse sleep quality. Conclusions Ambulance personnel have similar levels of mental health but substantially higher levels of musculoskeletal pain than the work force in general. They are more exposed to emotional demands and these demands are associated with higher levels of poor mental health and poor sleep quality. To improve work environment, attention should be paid to musculoskeletal problems and the presence of positive organizational support mechanisms that can prevent negative effects from the high levels of emotional demands. PMID:22824415

  6. Audit of work force restructuring at the Fernald Environmental Management Project

    SciTech Connect

    1996-04-23

    The Department of Energy (Department) restructured its work force at the Fernald Environmental Management Project (Fernald Project) to reduce staffing levels and to modify the mix of workers` skills in response to budget cuts, facility closures, and changes in the Fernald Project`s mission. The objective of this audit was to determine whether the work force restructurings were effective in reducing staffing levels and in changing the mix of workers` skills. As of September 30, 1995, the restructurings were not effective in reducing staffing levels or in improving the mix of workers` skills. The Fernald Environmental Restoration Management Corporation (FERMCO) spent $2.9 million to separate 255 employees in October 1993. However, by September 30, 1994, all but 14 of the employees separated were either rehired or replaced by new employees with similar skills. The second restructuring began in October 1994 and is not expected to be completed until May 1996. The Department expects the second restructuring to reduce FERMCO`s work force by 476 employees at a cost of $12.9 million. However, since the second restructuring began, FERMCO has hired 265 new employees and at September 30, 1995, had open job announcements seeking 82 additional employees. Many of these new employees have essentially the same skills as employees who separated under the two restructurings. The Department`s objectives were not met because the Fernald Area Office did not (1) require FERMCO to perform the skills analysis necessary to identify which employees were needed to perform the Fernald Project`s current mission, and (2) effectively monitor FERMCO`s restructuring efforts to ensure that the Department`s objectives were met.

  7. New Forces at Work in Mining: Industry View of Critical Technologies

    SciTech Connect

    Peterson, D. J.; LaTourrette, Tom; Bartis, James T.

    2007-04-01

    RAND has just published a report entitled, "New Forces at Work in Mining: Industry Views of Critical Technologies," by D. J. Peterson, Tom LaTourrette, and James T. Bartis. The report presents the results of a series of in-depth discussions with leading mining industry representatives selected for their prominent position and their ability to think broadly about technology trends. The discussions highlighted the importance of collaborative technology research, development, and implementation strategies and the increasingly critical role of mine personnel in the utilization of new technologies.

  8. Social Norms about a Health Issue in Work Group Networks

    PubMed Central

    Frank, Lauren B.

    2015-01-01

    The purpose of this study is to advance theorizing about how small groups understand health issues through the use of social network analysis. To achieve this goal, an adapted cognitive social structure examines group social norms around a specific health issue, H1N1 flu prevention. As predicted, individual’s attitudes, self-efficacy, and perceived social norms were each positively associated with behavioral intentions for at least one of the H1N1 health behaviors studied. Moreover, collective norms of the whole group were also associated with behavioral intentions, even after controlling for how individual group members perceive those norms. For members of work groups in which pairs were perceived to agree in their support for H1N1 vaccination, the effect of individually perceived group norms on behavioral intentions was stronger than for groups with less agreement. PMID:26389934

  9. [Global changes and trends in work safety and health].

    PubMed

    Pinnagoda, C

    1996-01-01

    A description is given of the occupational health and safety problems which are common to workers all over the world, where these must be tackled with a view to achieving coherent and ongoing occupational safety for workers in their jobs. Occupational safety and health will continue to be priorities in international collaboration. Although the nature of the problems and solutions vary as a function of real priorities and needs, it is necessary to place greater emphasis on the application of overall activities concerning safety and health so that measures can be made and policies taken whose development is sustainable. International standards must be turned into actions on a national and company level with the active participation of social workers. The tripartite consensus will continue to be necessary for drawing up plans of action adapted to local situations, with a view to introducing improvements in work centres. PMID:8998697

  10. Social Norms about a Health Issue in Work Group Networks.

    PubMed

    Frank, Lauren B

    2015-09-01

    The purpose of this study is to advance theorizing about how small groups understand health issues through the use of social network analysis. To achieve this goal, an adapted cognitive social structure examines group social norms around a specific health issue, H1N1 flu prevention. As predicted, individual's attitudes, self-efficacy, and perceived social norms were each positively associated with behavioral intentions for at least one of the H1N1 health behaviors studied. Moreover, collective norms of the whole group were also associated with behavioral intentions, even after controlling for how individual group members perceive those norms. For members of work groups in which pairs were perceived to agree in their support for H1N1 vaccination, the effect of individually perceived group norms on behavioral intentions was stronger than for groups with less agreement. PMID:26389934

  11. [NIGHT SHIFT WORK AND HEALTH DISORDER RISK IN FEMALE WORKERS].

    PubMed

    Kukhtina, E G; Solionova, L G; Fedichkina, T P; Zykova, I E

    2015-01-01

    There was evaluated the risk to health in females employed in shift work, including night shifts. According to the data of periodical medical examinations health indices of 403 females employed in shift work, including night shifts, were compared with indices of 205 females--workers of administrative units of the same enterprise. Overall relative risk (RR) for the health disorder associated with the night shift was 1.2 (95%; confidence interval (CI): 1.09-1.28). A statistically significant increase in risk was observed in relation to uterine fibroids (OR 1.3; 95% CI: 1.06-1.54), mastopathy (OR 1.4; 95% CI: 1.2-1.6), inorganic sleep disorders (OR 8.8; 95% CI 2.6-29.8). At the boundary of the statistical significance there was the increase in the risk for obesity (OR 1.2; 95% C: 0.97-1.39), hypertension (OR 1.2; 95% CI, 0.9-1.5) and endometriosis (OR 1.5; 95% CI: 0.98-2.16). There was revealed an adverse effect of night shifts on the gestation course: ectopic pregnancy in the experimental group occurred 6.6 times more frequently than in the control group (95% CI: 0.87-50.2), and spontaneous abortion--1.7 times (95% CI: 0.95-3.22). The performed study has once again confirmed the negative impact of smoking on women's reproductive health: smoking women in the experimental group compared with the control group smokers had 2.7 times increased risk of uterine fibroids (within 1.06-7.0), the risk in non-smokers was significantly lower--1.2 (0.98-1.4). The findings suggest about a wide range of health problems related to employment on shift work, including night shifts, which indicates to the need for adoption of regulatory and preventive measures aimed to this professional group. PMID:26625625

  12. Does health promotion work in relation to noise?

    PubMed

    Borchgrevink, H M

    2003-01-01

    Noise is a health risk. The only scientifically established adverse health effect of noise is noise-induced hearing loss (NIHL). Besides noise may affect quality of life and cause annoyance and sleep disturbance. The present scientific evidence of potential non-auditory effects of noise on health is quite weak. Whether health promotion works in relation to noise may be reflected by permanent hearing threshold shift development in population studies. Hearing impairment continues to be the most prevalent disability in Western societies. The National Institute of Occupational Safety and Health (NIOSH) still rates noise induced hearing loss among the top ten work-related problems. Recent studies report that employees continue to develop noise induced hearing loss although to a lesser extent than before, in spite of occupational hearing conservation programmes. Besides socio-acusis and leisure noise seem to be an increasing hazard to hearing, also in young children and adolescents. This seems partly related to acute leisure noise exposure (e.g. toy pistols, amplified music). However, population studies increasingly find non-normal high-frequency hearing including the characteristic NIHL-"notch" around 6 kHz also in subjects who do not report noise exposure incidents or activities. Today 12.5% of US children 6-19 years show a noise-"notch" in one or both ears (n= 5249, Niskar et al 2001). A Norwegian county audiometry survey on adults >/= 20 years n=51.975) showed mean unscreened thresholds +10 dB at 6 kHz for both genders even or the youngest age group 20-24 years (Borchgrevink et al 2001). Accordingly, the present health promotion initiatives seem insufficient in relation to noise and noise-induced hearing loss. PMID:12631433

  13. Medical downgrading, self?perception of health, and psychological symptoms in the British Armed Forces

    PubMed Central

    Rona, R J; Hooper, R; Greenberg, N; Jones, M; Wessely, S

    2006-01-01

    Objective To investigate the contribution of psychological symptoms to limited employability for medical reasons in the British Armed Forces. Methods A sample of 4500 military personnel was randomly selected to receive either a full or an abridged questionnaire. The questionnaires asked whether the participant was medically downgraded and if yes, the reason for it. The full questionnaire included the General Health Questionnaire?12 (GHQ?12), the post?traumatic stress disorder (PTSD) checklist, 15 symptoms to assess somatisation, and selected items of the quality of life SF?36 questionnaire. The abridged questionnaire included the GHQ?4, a 14 item PTSD checklist, five symptoms, and the item on self?perception of health from the SF?36. Subjects above a threshold score for GHQ, PTSD, and symptoms were considered to have psychological symptoms. Results 12.4% of the participants were medically downgraded. The majority (70.4%) had social or work limitations. Medically downgraded personnel had higher odds ratios in comparison to non?downgraded personnel for psychological distress 1.84 (95% CI 1.43 to 2.37), PTSD 3.06 (95% CI 1.82 to 5.15), and number of symptoms 2.37 (95% CI 2.37 1.62 to 3.47). GHQ, PTSD, and symptoms scores were mainly, but not exclusively, related to chronic physical injury. Conclusions Psychological symptoms are common among medically downgraded personnel. Although the mechanisms involved are unclear, tackling issues of psychological symptoms among these subjects could contribute to faster restitution to full employability in the Armed Forces. PMID:16556744

  14. Discrimination, work and health in immigrant populations in Spain.

    PubMed

    Agudelo-Suárez, Andrés; Gil-González, Diana; Ronda-Pérez, Elena; Porthé, Victoria; Paramio-Pérez, Gema; García, Ana M; Garí, Aitana

    2009-05-01

    One of the most important social phenomena in the global context is the flow of immigration from developing countries, motivated by economic and employment related issues. Discrimination can be approached as a health risk factor within the immigrant population's working environment, especially for those immigrants at greater risk from social exclusion and marginalisation. The aim of this study is to research perceptions of discrimination and the specific relationship between discrimination in the workplace and health among Spain's immigrant population. A qualitative study was performed by means of 84 interviews and 12 focus groups held with immigrant workers in five cities in Spain receiving a large influx of immigrants (Madrid, Barcelona, Valencia, Alicante and Huelva), covering representative immigrant communities in Spain (Romanians, Moroccans, Ecuadorians, Colombians and Sub-Saharan Africans). Discourse narrative content analysis was performed using pre-established categories and gradually incorporating other emerging categories from the immigrant interviewees themselves. The participants reported instances of discrimination in their community and working life, characterised by experiences of racism, mistreatment and precarious working conditions in comparison to the Spanish-born population. They also talked about limitations in terms of accessible occupations (mainly construction, the hotel and restaurant trade, domestic service and agriculture), and described major difficulties accessing other types of work (for example public administration). They also identified political and legal structural barriers related with social institutions. Experiences of discrimination can affect their mental health and are decisive factors regarding access to healthcare services. Our results suggest the need to adopt integration policies in both the countries of origin and the host country, to acknowledge labour and social rights, and to conduct further research into individual and social factors that affect the health of the immigrant populations. PMID:19328608

  15. Improving housing, improving health: the need for collaborative working.

    PubMed

    Allen, Terry

    2006-04-01

    The impact of poor housing on health was recognized 150 years ago, and doing something about it was the first real public health initiative. Today, standards in much of the older housing stock continue to fall and, exacerbated by the current free market boom in fuel costs, many people cannot afford to heat or maintain their homes. In response to this crisis, there is an increasing amount of housing help available which would directly improve the health of patients but, apart from pockets of exemplary practice, most health practitioners seem to do little about it. Yet housing issues feature prominently in nurse training, as well as receiving increasing emphasis through the current national and regional fuel poverty initiatives. In exploring this paradox the author examines the mixed fortunes of an innovative project which tried to stimulate collaborative working between professions by providing a successful combined health and housing intervention. Drawing on his evaluation of this project over five years, he considers what some of the barriers to collaboration might be, how they arise and what needs to be done to overcome them. PMID:16723906

  16. Aviation safety. Serious problems concerning the Air Traffic Control work force

    SciTech Connect

    Not Available

    1986-03-01

    This report provides the results of an extensive study of the air traffic control work force and includes conclusions and recommendations. The report shows that the Federal Aviation Administration (FAA) has not met its goals for fully qualified (FPL) controllers at many major facilities, and that the growth in air traffic activity as caused controller work load to reach a point where controllers are stretched too thin. Controllers and their supervisors have expressed serious concerns about their ability to continue to maintain the proper margin of safety. We recommend that FAA impose restrictions on air traffic until both the number of FPL controllers and overtime requirements meet FAA's goals. Problems relating to both the number of FPLs and overtime are most acute at the air route traffic control centers and FAA must recognize this in deciding what restrictions to impose.

  17. Beryllium Health and Safety Committee Data Reporting Task Force

    SciTech Connect

    MacQueen, D H

    2007-02-21

    On December 8, 1999, the Department of Energy (DOE) published Title 10 CFR 850 (hereafter referred to as the Rule) to establish a chronic beryllium disease prevention program (CBDPP) to: {sm_bullet} reduce the number of workers currently exposed to beryllium in the course of their work at DOE facilities managed by DOE or its contractors, {sm_bullet} minimize the levels of, and potential for, expos exposure to beryllium, and {sm_bullet} establish medical surveillance requirements to ensure early detection of the disease.

  18. [Preventing mental health problems linked to work: a new public health challenge].

    PubMed

    Vézina, Michel

    2008-01-01

    Over the last few decades, the workplace environment has undergone profound changes that have been shown to be related to the development of mental health problems. Theoretical models have been developed and validated in order to identify specific psychosocial dimensions of the work environment which represent an occupational health risk. They are the "demand-autonomy-support" model and the "effort-reward imbalance" model. In addition to reducing the complexity of the psychosocial reality of work to a set of significant elements in terms of health risks, these models facilitate the development and implementation of effective organisational interventions in the workplace setting. Four theory-grounded and empirically supported adverse psychosocial occupational risk factors have been identified: high psychological demands, low scope for decision-making, low social support, and low reward. From a public health perspective, the implementation of preventive measures and reduction of psychosocial risk factors at work have been shown to be feasible and effective interventions. PMID:18773836

  19. Keeping the focus on public health: the struggles of a tobacco prevention task force.

    PubMed

    Shillis, Jacquie A; Hall, Beverly A; Sneden, Gail G; Gottlieb, Nell H

    2003-12-01

    This case study examines a nonlegislative task force as it struggled to reach internal consensus despite external political constraints. The study highlights the convergence of politics and science, revealing complex issues likely to be confronted by advocates and public health officials. Three themes capture participants' experiences: context, sizing up the opportunities and constraints; task force process, tacit strategy to operate outside the political context and play the science card; and aftermath, a glass half full. The task force took advantage of ambiguous parameters, crafting a comprehensive statewide plan to reduce tobacco use and breaking out of the common public health paradigm of allowing budget considerations to drive program design. These internal victories could not sustain a policy success in the legislature. However, the group's product sets science-based standards for future program development, and the task force's process provides valuable insights into other states developing tobacco prevention and control policies. PMID:14655869

  20. Work-Related Health Disorders among Saudi Computer Users

    PubMed Central

    Jomoah, Ibrahim M.

    2014-01-01

    The present study was conducted to investigate the prevalence of musculoskeletal disorders and eye and vision complaints among the computer users of King Abdulaziz University (KAU), Saudi Arabian Airlines (SAUDIA), and Saudi Telecom Company (STC). Stratified random samples of the work stations and operators at each of the studied institutions were selected and the ergonomics of the work stations were assessed and the operators' health complaints were investigated. The average ergonomic score of the studied work station at STC, KAU, and SAUDIA was 81.5%, 73.3%, and 70.3, respectively. Most of the examined operators use computers daily for ≤ 7 hours, yet they had some average incidences of general complaints (e.g., headache, body fatigue, and lack of concentration) and relatively high level of incidences of eye and vision complaints and musculoskeletal complaints. The incidences of the complaints have been found to increase with the (a) decrease in work station ergonomic score, (b) progress of age and duration of employment, (c) smoking, (d) use of computers, (e) lack of work satisfaction, and (f) history of operators' previous ailments. It has been recommended to improve the ergonomics of the work stations, set up training programs, and conduct preplacement and periodical examinations for operators. PMID:25383379

  1. Work-related health disorders among Saudi computer users.

    PubMed

    Jomoah, Ibrahim M

    2014-01-01

    The present study was conducted to investigate the prevalence of musculoskeletal disorders and eye and vision complaints among the computer users of King Abdulaziz University (KAU), Saudi Arabian Airlines (SAUDIA), and Saudi Telecom Company (STC). Stratified random samples of the work stations and operators at each of the studied institutions were selected and the ergonomics of the work stations were assessed and the operators' health complaints were investigated. The average ergonomic score of the studied work station at STC, KAU, and SAUDIA was 81.5%, 73.3%, and 70.3, respectively. Most of the examined operators use computers daily for ≤ 7 hours, yet they had some average incidences of general complaints (e.g., headache, body fatigue, and lack of concentration) and relatively high level of incidences of eye and vision complaints and musculoskeletal complaints. The incidences of the complaints have been found to increase with the (a) decrease in work station ergonomic score, (b) progress of age and duration of employment, (c) smoking, (d) use of computers, (e) lack of work satisfaction, and (f) history of operators' previous ailments. It has been recommended to improve the ergonomics of the work stations, set up training programs, and conduct preplacement and periodical examinations for operators. PMID:25383379

  2. The underdevelopment of health of working America: causes, consequences and possible solutions.

    PubMed Central

    Navarro, V

    1976-01-01

    This article presents the health conditions of working America, and provides an analysis of the causes of that situation. It is postulated that the main health problems in the U.S. are due not to prevalent life styles-as the behavioralists indicate-but to the dramatic maldistribution of economic and political power in our society, with the absence of control by the majority of the U.S. population-the working and lower-middle classes-over the work process with which they are involved, the economic wealth that they produce, and the political institutions that they pay for. The production of goods and wealth as well as the political institutions of the United States are dominated and controlled by a minority of our population-the corporate and upper-middle classes. Empirical information is presented to support this postulate. In light of this explanation, it is asserted that a major public health task is to deliberately and actively contribute to the political mobilization of forces aimed at bringing about profound changes in the pattern of control of our working insitutions and of the distribution of wealth and political power, changes which seek to shift that control from the few to the many. PMID:937599

  3. Working in Australia's heat: health promotion concerns for health and productivity.

    PubMed

    Singh, Sudhvir; Hanna, Elizabeth G; Kjellstrom, Tord

    2015-06-01

    This exploratory study describes the experiences arising from exposure to extreme summer heat, and the related health protection and promotion issues for working people in Australia. Twenty key informants representing different industry types and occupational groups or activities in Australia provided semi-structured interviews concerning: (i) perceptions of workplace heat exposure in the industry they represented, (ii) reported impacts on health and productivity, as well as (iii) actions taken to reduce exposure or effects of environmental heat exposure. All interviewees reported that excessive heat exposure presents a significant challenge for their industry or activity. People working in physically demanding jobs in temperatures>35°C frequently develop symptoms, and working beyond heat tolerance is common. To avoid potentially dangerous health impacts they must either slow down or change their work habits. Such health-preserving actions result in lost work capacity. Approximately one-third of baseline work productivity can be lost in physically demanding jobs when working at 40°C. Employers and workers consider that heat exposure is a 'natural hazard' in Australia that cannot easily be avoided and so must be accommodated or managed. Among participants in this study, the locus of responsibility for coping with heat lay with the individual, rather than the employer. Heat exposure during Australian summers commonly results in adverse health effects and productivity losses, although quantification studies are lacking. Lack of understanding of the hazardous nature of heat exposure exacerbates the serious risk of heat stress, as entrenched attitudinal barriers hamper amelioration or effective management of this increasing occupational health threat. Educational programmes and workplace heat guidelines are required. Without intervention, climate change in hot countries, such as Australia, can be expected to further exacerbate heat-related burden of disease and loss of productivity in many jobs. In light of projected continued global warming, and associated increase in heat waves, more attention needs to be given to environmental heat as a human health hazard in the Occupational Health and Safety arena. Without adoption of effective heat protective strategies economic output and fitness levels will diminish. Health protection and promotion activities should include strategies to reduce heat exposure, limit exposure duration, ensure access to hydration, and promote acclimatization and fitness programmes, and reorientate attitudes towards working in the heat. PMID:23690144

  4. Correlates of Injury-forced Work Reduction for Massage Therapists and Bodywork Practitioners†

    PubMed Central

    Blau, Gary; Monos, Christopher; Boyer, Ed; Davis, Kathleen; Flanagan, Richard; Lopez, Andrea; Tatum, Donna S.

    2013-01-01

    Background Injury-forced work reduction (IFWR) has been acknowledged as an all-too-common occurrence for massage therapists and bodywork practitioners (M & Bs). However, little prior research has specifically investigated demographic, work attitude, and perceptual correlates of IFWR among M & Bs. Purpose To test two hypotheses, H1 and H2. H1 is that the accumulated cost variables set ( e.g., accumulated costs, continuing education costs) will account for a significant amount of IFWR variance beyond control/demographic (e.g., social desirability response bias, gender, years in practice, highest education level) and work attitude/perception variables (e.g., job satisfaction, affective occupation commitment, occupation identification, limited occupation alternatives) sets. H2 is that the two exhaustion variables (i.e., physical exhaustion, work exhaustion) set will account for significant IFWR variance beyond control/demographic, work attitude/perception, and accumulated cost variables sets. Research Design and Participants An online survey sample of 2,079 complete-data M & Bs was collected. Stepwise regression analysis was used to test the study hypotheses. The research design first controlled for control/demographic (Step1) and work attitude/perception variables sets (Step 2), before then testing for the successive incremental impact of two variable sets, accumulated costs (Step 3) and exhaustion variables (Step 4) for explaining IFWR. Results Results supported both study hypotheses: accumulated cost variables set (H1) and exhaustion variables set (H2) each significantly explained IFWR after the control/demographic and work attitude/perception variables sets. The most important correlate for explaining IFWR was higher physical exhaustion, but work exhaustion was also significant. It is not just physical “wear and tear”, but also “mental fatigue”, that can lead to IFWR for M & Bs. Being female, having more years in practice, and having higher continuing education costs were also significant correlates of IFWR. Conclusions Lower overall levels of work exhaustion, physical exhaustion, and IFWR were found in the present sample. However, since both types of exhaustion significantly and positively impact IFWR, taking sufficient time between massages and, if possible, varying one’s massage technique to replenish one’s physical and mental energy seem important. Failure to take required continuing education units, due to high costs, also increases risk for IFWR. Study limitations and future research issues are discussed. PMID:24000304

  5. Spanning the Chasm: Corporate and Academic Cooperation To Improve Work-Force Preparation. Task Force on High-Performance Work and Workers: The Academic Connection.

    ERIC Educational Resources Information Center

    Business-Higher Education Forum, Washington, DC.

    This study, conducted by a task force that interviewed corporate and campus officials at 10 corporations and 12 universities and colleges during 1994-96, examined how well undergraduate, graduate, and professional students in the United States are being prepared to meet the demands of the modern high-performance workplace. The study found

  6. Uranium mining and milling work force characteristics in the western US

    SciTech Connect

    Rapp, D.A.

    1980-12-01

    This report presents the results of a survey of the socioeconomic characteristics associated with 11 uranium mine and mill operations in 5 Western States. Comparisons are made with the socioeconomic characteristics of construction and operating crews for coal mines and utility plants in eight Western States. Worker productivity also is compared with that in similar types of coal and uranium mining operations. We found that there existed no significant differences between the socioeconomic characteristics of construction and operating crews and the secondary employment impacts associated with uranium mines and mills when compared with those associated with coal mines and utility plants requiring similar skills at comparable locations. In addition, our survey includes a comparison of several characteristics associated with the households of basic and nonbasic work forces and concludes that significant changes have occurred in the last 5 yr. Accordingly, we recommend additional monitoring and updating of data used in several economic forecasting models to avoid unwarranted delays in achieving national energy goals.

  7. Integrated approach for managing health risks at work--the role of occupational health nurses.

    PubMed

    Marinescu, Luiza G

    2007-02-01

    Currently, many organizations are using a department-centered approach to manage health risks at work. In such a model, segregated departments are providing employee benefits such as health insurance, workers' compensation, and short- and long-term disability or benefits addressing work-life issues. In recent years, a new model has emerged: health and productivity management (HPM). This is an employee-centered, integrated approach, designed to increase efficiency, reduce competition for scarce resources, and increase employee participation in prevention activities. Evidence suggests that corporations using integrated HPM programs achieve better health outcomes for their employees, with consequent increased productivity and decreased absenteeism. Occupational health nurses are well positioned to assume leadership roles in their organizations by coordinating efforts and programs across departments that offer health, wellness, and safety benefits. To assume their role as change agents to improve employees' health, nurses should start using the language of business more often by improving their communication skills, computer skills, and ability to quantify and articulate results of programs and services to senior management. PMID:17323873

  8. Health and sexual outcomes of women who have experienced forced or coercive sex.

    PubMed

    Jozkowski, Kristen N; Sanders, Stephanie A

    2012-01-01

    Previous research has linked women's history of experiencing sexual assault with negative health outcomes; however, much of this research is over a decade old. Furthermore, little research has examined the relationship between sexual assault and women's sexuality. In the current study the authors aimed to assess the relation of experiencing sexual assault to women's health and sexuality and the relation of repeat victimization by multiple different perpetrators to such outcomes. Data were collected from a convenience sample of 2,915 women using an online questionnaire. Nearly half (n = 1,394, 47.8%) indicated having experienced forced or coercive sex. Women who had experienced forced or coercive sex were more likely to report negative health outcomes (Adj. OR = 1.56; 95% CI: 1.35-1.82, p < .001) and some negative sexual outcomes compared to women without a history of forced or coercive sex. Similarly, women who experienced repeat victimizations by multiple different perpetrators were even more likely to report negative health outcomes (Adj. OR = 1.43; 95% CI: 1.28-1.59, p < .001) as well as some negative sexual outcomes. Healthcare providers should be aware of the relation of sexual assault to health and sexuality and continue to address health and sexuality issues associated with sexual assault for their patients. PMID:22458288

  9. Do stigma and other perceived barriers to mental health care differ across Armed Forces?

    PubMed Central

    Gould, Matthew; Adler, Amy; Zamorski, Mark; Castro, Carl; Hanily, Natalie; Steele, Nicole; Kearney, Steve; Greenberg, Neil

    2010-01-01

    Summary Objectives Military organizations are keen to address barriers to mental health care yet stigma and barriers to care remain little understood, especially potential cultural differences between Armed Forces. The aim of this study was to compare data collected by the US, UK, Australian, New Zealand and Canadian militaries using Hoge et al.'s perceived stigma and barriers to care measure (Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. New Engl J Med 2004;351:13–22). Design Each member country identified data sources that had enquired about Hoge et al.'s perceived stigma and perceived barriers to care items in the re-deployment or immediate post-deployment period. Five relevant statements were included in the study. Setting US, UK Australian, New Zealand and Canadian Armed Forces. Results Concerns about stigma and barriers to care tended to be more prominent among personnel who met criteria for a mental health problem. The pattern of reported stigma and barriers to care was similar across the Armed Forces of all five nations. Conclusions Barriers to care continue to be a major issue for service personnel within Western military forces. Although there are policy, procedural and cultural differences between Armed Forces, the nations studied appear to share some similarities in terms of perceived stigma and barriers to psychological care. Further research to understand patterns of reporting and subgroup differences is required. PMID:20382906

  10. Health and safety at work in orthodontic practice.

    PubMed

    Lawrence, A J; Mordecai, R M

    1994-02-01

    Health and safety is now of major importance in general and specialist dental practice. Risk assessment and management is essential to ensure that practices are healthy and safe for staff, patients and visitors. Practitioners are required to do all that is reasonably practicable to ensure this. At the same time there is also the need to keep practising costs at an economic level. To comply requires a sound working knowledge of the law and regulations. It also involves turning general policies into specific surgery procedures that prevent accidents and promote good practice. Six new sets of regulations on health, safety and welfare were introduced in 1993 in the UK that brings us into step with matching regulations throughout The European Community. The general requirements, the new regulations and their background are discussed in the first of a two part article. Many of the specific problems related to orthodontic practice are discussed in the second article. Many problems can be addressed inexpensively by modifying working practice but this will need to involve the whole dental team. PMID:8199159

  11. Mental Health of Elementary Schoolteachers in Southern Brazil: Working Conditions and Health Consequences

    PubMed Central

    Cezar-Vaz, Marta Regina; Bonow, Clarice Alves; de Almeida, Marlise Capa Verde; Rocha, Laurelize Pereira; Borges, Anelise Miritz

    2015-01-01

    The mental health of educators is a growing problem in many countries. This study sought to identify self-reported stressful working conditions of elementary schoolteachers and the biopsychosocial consequences of those working conditions and then identify working conditions that promote well-being for teachers in the workplace. Exploratory study was done with 37 teachers. Data collection was performed using a structured interview with a questionnaire. Results show that stressful working conditions are related to inadequate salary, an excessive number of activities, and having to take work home. Biopsychosocial consequences include anxiety, stress, and sleep disorders. There was a statistically significant association between inadequate salary and anxiety (p = 0.01) and between an excessive number of activities and stress (p = 0.01). Teachers reported that a good relationship among colleagues is a working condition that promotes well-being in the workplace. The identification of stressful working conditions for teachers, the biopsychosocial consequences, and working conditions that promote well-being in the workplace are relevant to determining actions that improve the work environment and, consequently, the health of teachers. PMID:26366433

  12. A Guide for Health Professionals Working with Aboriginal Peoples: Executive Summary

    PubMed Central

    2013-01-01

    Objective to provide Canadian health professionals with a network of information and recommendations regarding Aboriginal health. Options health professionals working with Aboriginal individuals and communities in the area of women’s health care. Outcomes improved health status of Aboriginal peoples in Canada. Appropriateness and accessibility of women’s health services for Aboriginal peoples. Improved communication and clinical skills of health professionals in the area of Aboriginal health. Improved quality of relationship between health professionals and Aboriginal individuals and communities. Improved quality of relationship between health care professionals and Aboriginal individuals and communities. Evidence recommendations are based on expert opinion and a review of the literature. Published references were identified by a Medline search of all review articles, randomized clinical control trials, meta-analyses, and practice guidelines from 1966 to February 1999, using the MeSH headings “Indians, North American or Eskimos” and “Health.”* Subsequently published articles were brought to the attention of the authors in the process of writing and reviewing the document. Ancillary and unpublished references were recommended by members of the SOGC Aboriginal Health Issues Committee and the panel of expert reviewers. Values information collected was reviewed by the principal author. The social, cultural, political, and historic context of Aboriginal peoples in Canada, systemic barriers regarding the publication of information by Aboriginal authors, the diversity of Aboriginal peoples in Canada, and the need for a culturally appropriate and balanced presentation were carefully considered in addition to more traditional scientific evaluation. The majority of information collected consisted of descriptive health and social information and such evaluation tools as the evidence guidelines of the Canadian Task Force on the Periodic Health exam were not appropriate. Benefits, costs, and harms utilization of the information and recommendations by Canadian health professionals will enhance understanding, communication, and clinical skills in the area of Aboriginal health. The resulting enhancement of collaborative relationships between Aboriginal peoples and their women’s health providers may contribute to health services that are more appropriate, effective, efficient, and accessible for Aboriginal peoples in Canada. The educational process may require an initial investment of time from the health professional. Recommendations Recommendations were grouped according to four themes: sociocultural context, health concerns, cross-cultural understanding, and Aboriginal health resources. Health professionals are encouraged to learn the appropriate names, demographics, and traditional geographic territories and language groups of the various Aboriginal groups in Canada. In addition, sensitivity to the impact of colonization and current socioeconomic challenges to the health status of Aboriginal peoples is warranted. Health services for Aboriginal peoples should take place as close to home as possible. Governmental obligations and policies regarding determination are recognized. With respect to health concerns, holistic definitions of health, based on Aboriginal perspectives, are put forward. Aboriginal peoples continue to experience a disproportionate burden of health problems. Health professionals are encouraged to become familiar with several key areas of morbidity and mortality. Relationships between Aboriginal peoples and their care providers need to be based on a foundation of mutual respect. Gaps and barriers in the current health care system for Aboriginal peoples are identified. Health professionals are encouraged to work with Aboriginal individuals and communities to address these gaps and barriers. Aboriginal peoples require culturally appropriate health care, including treatment in their own languages when possible. This may require interpreters or Aboriginal health advocates. Health professionals are encouraged to recognize the importance of family and community roles, and to respect traditional medicines and healers. Health professionals can develop their sensitivities towards Aboriginal peoples by participating in workshops, making use of educational resources, and by spending time with Aboriginal peoples in their communities. Aboriginal communities and health professionals are encouraged to support community-based, community-directed health services and health research for Aboriginal peoples. In addition, the education of more Aboriginal health professionals is essential. The need for a preventative approach to health programming in Aboriginal communities is stressed. Validation recommendations were reviewed and revised by the SOGC Aboriginal Health Issues Committee, a panel of expert reviewers, and the SOGC Council. In addition, this document was also reviewed and supported by the Assembly of First Nations, Canadian Institute of Child Health, Canadian Paediatric Society, College of Family Physicians of Canada, Congress of Aboriginal Peoples, Federation of Medical Women of Canada, Inuit Tapirisat of Canada, Metis National Council, National Indian and Inuit Community Health Representatives Organization, and Pauktuutit Inuit Women’s Association. Sponsor Society of Obstetricians and Gynaecologists of Canada. PMID:23682204

  13. Making primary health care work: the case of Fundacao Esperanca.

    PubMed

    Offenheiser, R C

    1986-01-01

    For the past 15 years, the Fundac Esperanca, a private organization founded in Santarem by a North American Franciscan priest, has been working to provide the widely scattered rural residents in the mid-Amazon region of Brazil with effective health care. Early efforts focused on Esperanca's hospital boat, which traveled up and down the river to reach the remote settlements. During the 1st decade of operation, Esperanca vaccinated some 150,000 people and provided general medical and surgical services to countless others. Yet, by the late 1970s, the program's staff were beginning to question the longterm effectiveness of their efforts. In 1979, Esperanca decided it could have a longer lasting impact on health in the mid-Amazon region if it could mobilize rural communities to improve family diets and sanitary practices and carry out comprehensive vaccination campaigns. Supported by a grant from Private Agencies Collaborating Together (PACT), it launched its own primary health care program. This initiative began with a health survey of the region. The studies revealed that 1/3 of the children under age 6 were malnourished, 90% had untreated cavities, and 2/3 of the 10,000 people tested showed evidence of parasitosis. There were higher than normal incidences of malaria, anemia, tuberculosis, diphtheria, uterine cancer in women, smallpox, and visual problems. The social, cultural, and demographic characteristics of the region also were discouraging. Most people lived in widely scattered river villages and were illiterate, with little understanding of hygiene, nutrition, or public health. None of the settlements had formal health care systems. Esperanca chose to make the community paramedic the keystone of its program, stating clearly that the outreach worker is the conduit to clinical services in Santarem. In time, it was decided to phase out the hospital boat's activities. It had come to signal the wrong message, i.e., the doctors were coming and good health was on the way. Instead, Esperanca decided to help communities solve their own health problems. The relationship between the paramedic and the local health committee is the most obvious symbol of this new power to change the conditions of community life. Esperanca also has had a special project; it introduced wells, the benefits of clean water, in its 12 participating communities. Once they became available, the prospect of the wells started a minirevolution in the communities. After the wells were opened, parasitic diseases declined markedly. Esperanca's program continues to evolve. there are several hopeful signs of its success: the training program for paramedics is an ongoing effort; sensitization of medical professionals to the reality of rural health care and the need for alternative strategies; and the development of relationships with a whole range of public agencies. PMID:12269085

  14. Promoting Positive Emotional Health of Children of Transient Armed Forces Families

    ERIC Educational Resources Information Center

    Eodanable, Miranda; Lauchlan, Fraser

    2012-01-01

    The focus of this research was to promote emotional health in a small primary school (n = 180), with a highly transient pupil population of armed forces children (Service children). Negative effects of pupil mobility have been found to relate to academic attainment (Dobson, Henthorne, & Lynas, 2000; Mott, 2002), but its effect on social and…

  15. Promoting Positive Emotional Health of Children of Transient Armed Forces Families

    ERIC Educational Resources Information Center

    Eodanable, Miranda; Lauchlan, Fraser

    2012-01-01

    The focus of this research was to promote emotional health in a small primary school (n = 180), with a highly transient pupil population of armed forces children (Service children). Negative effects of pupil mobility have been found to relate to academic attainment (Dobson, Henthorne, & Lynas, 2000; Mott, 2002), but its effect on social and

  16. Health status of Air Force veterans occupationally exposed to herbicides in Vietnam: II. Mortality

    SciTech Connect

    Michalek, J.E.; Wolfe, W.H.; Miner, J.C. )

    1990-10-10

    The Air Force Health Study is a 20-year comprehensive assessment of the current health of Air Force veterans of Operation Ranch Hand, the unit responsible for aerial spraying of herbicides in Vietnam. This report compares the noncombat mortality of 1261 Ranch Hand veterans to that of a comparison population of 19,101 other Air Force veterans primarily involved in cargo missions in Southeast Asia but who were not exposed to herbicides. The indirectly standardized all-cause death rate among Ranch Hands is 2.5 deaths per 1,000 person-years, the same as that among comparison subjects. After adjustment for age, rank, and occupation, the all-cause standardized mortality ratio was 1.0. In adjusted cause-specific analyses, the authors found no significant group differences regarding accidental, malignant neoplasm, and circulatory deaths. These data are not supportive to a hypothesis of increases mortality among Ranch Hands.

  17. Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers

    PubMed Central

    WALLCRAFT, JAN; AMERING, MICHAELA; FREIDIN, JULIAN; DAVAR, BHARGAVI; FROGGATT, DIANE; JAFRI, HUSSAIN; JAVED, AFZAL; KATONTOKA, SYLVESTER; RAJA, SHOBA; RATAEMANE, SOLOMON; STEFFEN, SIGRID; TYANO, SAM; UNDERHILL, CHRISTPHER; WAHLBERG, HENRIK; WARNER, RICHARD; HERRMAN, HELEN

    2011-01-01

    WPA President M. Maj established the Task Force on Best Practice in Working with Service Users and Carers in 2008, chaired by H. Herrman. The Task Force had the remit to create recommendations for the international mental health community on how to develop successful partnership working. The work began with a review of literature on service user and carer involvement and partnership. This set out a range of considerations for good practice, including choice of appropriate terminology, clarifying the partnership process and identifying and reducing barriers to partnership working. Based on the literature review and on the shared knowledge in the Task Force, a set of ten recommendations for good practice was developed. These recommendations were the basis for a worldwide consultation of stakeholders with expertise as service users, families and carers, and the WPA Board and Council. The results showed a strong consensus across the international mental health community on the ten recommendations, with the strongest agreement coming from service users and carers. This general consensus gives a basis for Task Force plans to seek support for activities to promote shared work worldwide to identify best practice examples and create a resource to assist others to begin successful collaboration. PMID:21991284

  18. Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers.

    PubMed

    Wallcraft, Jan; Amering, Michaela; Freidin, Julian; Davar, Bhargavi; Froggatt, Diane; Jafri, Hussain; Javed, Afzal; Katontoka, Sylvester; Raja, Shoba; Rataemane, Solomon; Steffen, Sigrid; Tyano, Sam; Underhill, Christopher; Wahlberg, Henrik; Warner, Richard; Herrman, Helen

    2011-10-01

    WPA President M. Maj established the Task Force on Best Practice in Working with Service Users and Carers in 2008, chaired by H. Herrman. The Task Force had the remit to create recommendations for the international mental health community on how to develop successful partnership working. The work began with a review of literature on service user and carer involvement and partnership. This set out a range of considerations for good practice, including choice of appropriate terminology, clarifying the partnership process and identifying and reducing barriers to partnership working. Based on the literature review and on the shared knowledge in the Task Force, a set of ten recommendations for good practice was developed. These recommendations were the basis for a worldwide consultation of stakeholders with expertise as service users, families and carers, and the WPA Board and Council. The results showed a strong consensus across the international mental health community on the ten recommendations, with the strongest agreement coming from service users and carers. This general consensus gives a basis for Task Force plans to seek support for activities to promote shared work worldwide to identify best practice examples and create a resource to assist others to begin successful collaboration. PMID:21991284

  19. Health@Home: The Work of Health Information Management in the Household (HIMH): Implications for Consumer Health Informatics (CHI) Innovations

    PubMed Central

    Moen, Anne; Brennan, Patricia Flatley

    2005-01-01

    Objective: Contemporary health care places enormous health information management demands on laypeople. Insights into their skills and habits complements current developments in consumer health innovations, including personal health records. Using a five-element human factors model of work, health information management in the household (HIMH) is characterized by the tasks completed by individuals within household organizations, using certain tools and technologies in a given physical environment. Design: We conducted a descriptive-exploratory study of the work of HIMH, involving 49 community-dwelling volunteers from a rural Midwestern community. Measurements: During in-person interviews, we collected data using semistructured questionnaires and photographs of artifacts used for HIMH. Results: The work of HIMH is largely the responsibility of a single individual, primarily engaged in the tasks of acquiring, managing, and organizing a diverse set of health information. Paper-based tools are most common, and residents develop strategies for storing information in the household environment aligned with anticipated use. Affiliative relationships, e.g., parent-child or spousal, within the household serve as the organization that gives rise to health information management practices. Synthesis of these findings led to identification of several storage strategies employed in HIMH. These strategies are labeled “just-in-time,” “just-because,” “just-in-case,” and “just-at-hand,” reflecting location of the artifacts of health information and anticipated urgency in the need to retrieve it. Conclusion: Laypeople develop and employ robust, complex strategies for managing health information in the home. Capitalizing on these strategies will complement and extend current consumer health innovations to provide functional support to people who face increasing demands to manage personal health information. PMID:16049230

  20. Work and power outputs determined from pedalling and flywheel friction forces during brief maximal exertion on a cycle ergometer.

    PubMed

    Hibi, N; Fujinaga, H; Ishii, K

    1996-01-01

    Work and power outputs during short-term, maximal exertion on a friction loaded cycle ergometer are usually calculated from the friction force applied to the flywheel. The inertia of the flywheel is sometimes taken into consideration, but the effects of internal resistances and other factors have been ignored. The purpose of this study was to estimate their effects by comparing work or power output determined from the force exerted on the pedals (pedalling force) with work or power output determined from the friction force and the moment of inertia of the rotational parts. A group of 22 male college students accelerated a cycle ergometer as rapidly as possible for 3 s. The total work output determined from the pedalling force (TWp) was significantly greater than that calculated from the friction force and the moment of inertia (TWf). Power output determined from the pedalling force during each pedal stroke (SPp) was also significantly greater than that calculated from the friction force and the moment of inertia. Percentage difference (% diff), defined by % diff = ¿(TWp - TWf)/TWf¿ x 100, ranged from 16.8% to 49.3% with a mean value of 30.8 (SD 9.1)%. It was observed that % diff values were higher in subjects with greater TWp or greater maximal SPp. These results would indicate that internal resistances and other factors, such as the deformation of the chain and the vibrations of the entire system, may have significant effects on the measurements of work and power outputs. The effects appear to depend on the magnitudes of pedalling force and pedal velocity. PMID:8954291

  1. Exploring core competencies for mental health and addictions work within a Family Health Team setting.

    PubMed

    Rush, Brian; McPherson-Doe, Catherine; Behrooz, Reneé C; Cudmore, Alan

    2013-06-01

    Approximately 200 Family Health Teams (FHTs) have been implemented in Ontario to improve access to primary healthcare, including mental health and addiction. The objectives of this project were to examine, through a focus group and qualitative methodology with three FHTs, the profile of patients' mental health and addiction-related needs and to identify the implications for the development of core competencies in these innovative organisations. A spectrum of needs and service trajectories was identified, as well as the importance of a wide range of clinical skills and knowledge. The results indicate that 'core' competencies for mental health work in the context of an FHT go well beyond those required for an embedded mental health 'programme' or specialised mental health counsellors, but rather they relate to the core and discipline-specific competencies of members of the entire team. In addition to specific knowledge and skills, competencies include common attitudes and values relating to teamwork, good communication and collaboration. Challenges were noted with regard to working with some community service providers, especially addiction services. Implications for core competencies at the individual and organisational level were identified. PMID:24427175

  2. Do body weight and gender shape the work force? The case of Iceland.

    PubMed

    Asgeirsdottir, Tinna Laufey

    2011-03-01

    Most studies of the relationship between body weight - as well as its corollary, beauty - and labor-market outcomes have indicated that it is a function of a gender bias, the negative relationship between excess weight or obesity and labor-market outcomes being greater for women than for men. Iceland offers an exceptional opportunity to examine this hypothesis, given that it scores relatively well on an index of gender equality comprising economic, political, educational, labor-market, and health-based criteria. Equipped with an advanced level of educational attainment, on average, women are well represented in Iceland's labor force. When it comes to women's presence in the political sphere, Iceland is out of the ordinary as well; that Icelanders were the first in the world to elect a woman to be president may suggest a relatively gender-blind assessment in the labor market. In the current study, survey data collected by Gallup Iceland in 2002 are used to examine the relationship between weight and employment within this political and social setting. Point estimates indicate that, despite apparently lesser gender discrimination in Iceland than elsewhere, the bias against excess weight and obesity remains gender-based, showing a slightly negative relationship between weight and the employment rate of women, whereas a slightly positive relationship was found for men. PMID:21196135

  3. Latina Workers in North Carolina: Work Organization, Domestic Responsibilities, Health, and Family Life.

    PubMed

    Rodriguez, Guadalupe; Trejo, Grisel; Schiemann, Elizabeth; Quandt, Sara A; Daniel, Stephanie S; Sandberg, Joanne C; Arcury, Thomas A

    2016-06-01

    This analysis describes the work organization and domestic work experienced by migrant Latinas, and explores the linkage between work and health. Twenty Latina workers in North Carolina with at least one child under age 12 completed in-depth interviews focused on their work organization, domestic responsibilities, work-family conflict, health, and family health. Using a systematic qualitative analysis, these women described a demanding work organization that is contingent and exploitative, with little control or support. They also described demanding domestic roles, with gendered and unequal division of household work. The resulting work-family conflict affects their mental and physical health, and has negative effects on the care and health of their families. The findings from this study highlight that work stressors from an unfavorable work organization create work-family conflict, and that work-family conflict in this population has a negative influence on workers' health and health behaviors. PMID:26590923

  4. Assessing human resources for health: what can be learned from labour force surveys?

    PubMed Central

    Gupta, Neeru; Diallo, Khassoum; Zurn, Pascal; Dal Poz, Mario R

    2003-01-01

    Background Human resources are an essential element of a health system's inputs, and yet there is a huge disparity among countries in how human resource policies and strategies are developed and implemented. The analysis of the impacts of services on population health and well-being attracts more interest than analysis of the situation of the workforce in this area. This article presents an international comparison of the health workforce in terms of skill mix, sociodemographics and other labour force characteristics, in order to establish an evidence base for monitoring and evaluation of human resources for health. Methods Profiles of the health workforce are drawn for 18 countries with developed market and transitional economies, using data from labour force and income surveys compiled by the Luxembourg Income Study between 1989 and 1997. Further descriptive analyses of the health workforce are conducted for selected countries for which more detailed occupational information was available. Results Considerable cross-national variations were observed in terms of the share of the health workforce in the total labour market, with little discernible pattern by geographical region or type of economy. Increases in the share were found among most countries for which time-trend data were available. Large gender imbalances were often seen in terms of occupational distribution and earnings. In some cases, health professionals, especially physicians, were overrepresented among the foreign-born compared to the total labour force. Conclusions While differences across countries in the profile of the health workforce can be linked to the history and role of the health sector, at the same time some common patterns emerge, notably a growing trend of health occupations in the labour market. The evidence also suggests that gender inequity in the workforce remains an important shortcoming of many health systems. Certain unexpected patterns of occupational distribution and educational attainment were found that may be attributable to differences in health care delivery and education systems; however, definitional inconsistencies in the classification of health occupations across surveys were also apparent. PMID:12904250

  5. ‘The dangers attending these conditions are evident’: Public Health and the Working Environment of Lancashire Textile Communities, c.1870–1939

    PubMed Central

    Greenlees, Janet

    2013-01-01

    This article examines the position of the working environment within public health priorities and as a contributor to the health of a community. Using two Lancashire textile towns (Burnley and Blackburn) as case studies and drawing on a variety of sources, it highlights how, while legislation set the industry parameters for legal enforcement of working conditions, local public health priorities were pivotal in setting codes of practice. The complexities entwined with identifying the working environment as a cause of ill health and with improving it were entangled within the local community health context. In addition, the multiple understandings of Medical Officers of Health surrounding the remit of their responsibilities impacted the local health context. These did not always parallel national regulations. Indeed, it was these local, community specific forces that set the public health agenda, determined its path and the place of the working environment within this. PMID:24771979

  6. Workgroup Report: Developing Environmental Health Indicators for European Children: World Health Organization Working Group

    PubMed Central

    Pond, Kathy; Kim, Rokho; Carroquino, Maria-Jose; Pirard, Philippe; Gore, Fiona; Cucu, Alexandra; Nemer, Leda; MacKay, Morag; Smedje, Greta; Georgellis, Antonis; Dalbokova, Dafina; Krzyzanowski, Michal

    2007-01-01

    A working group coordinated by the World Health Organization developed a set of indicators to protect children’s health from environmental risks and to support current and future European policy needs. On the basis of identified policy needs, the group developed a core set of 29 indicators for implementation plus an extended set of eight additional indicators for future development, focusing on exposure, health effects, and action. As far as possible, the indicators were designed to use existing information and are flexible enough to be developed further to meet the needs of policy makers and changing health priorities. These indicators cover most of the priority topic areas specified in the Children’s Environment and Health Action Plan for Europe (CEHAPE) as adopted in the Fourth Ministerial Conference on Health and Environment in 2004, and will be used to monitor the implementation of CEHAPE. This effort can be viewed as an integral part of the Global Initiative on Children’s Environmental Health Indicators, launched at the World Summit on Sustainable Development in 2002. PMID:17805431

  7. Have Disability Transfers Caused the Decline in Older Male Labor Force Participation? A Work-Status Rational Choice Model.

    ERIC Educational Resources Information Center

    Haveman, Robert H.; Wolfe, Barbara L.

    This paper presents a decision-process model for explaining the growth in transfer recipiency (the receipt by working age people of disability income), the choice of work status, and the reduction in labor force participation of older workers. It is hypothesized that the attractiveness of disability income transfer options has led older male…

  8. Global e-health policy: a work in progress.

    PubMed

    Mars, Maurice; Scott, Richard E

    2010-02-01

    E-health (information and communication technology that facilitates health and health care) is expanding in developed, developing, and least-developed countries. E-health's ability to transcend sociopolitical boundaries holds the potential to create a borderless world for health systems and health care delivery. But the policy needed to guide e-health development is limited and just now emerging in developed countries. What's needed to foster e-health growth in the developing world is thoughtful policy to facilitate patient mobility and data exchange, across both international borders and regional boundaries within countries. PMID:20348067

  9. Cohort profile: The lidA Cohort Study—a German Cohort Study on Work, Age, Health and Work Participation

    PubMed Central

    Hasselhorn, Hans Martin; Peter, Richard; Rauch, Angela; Schröder, Helmut; Swart, Enno; Bender, Stefan; du Prel, Jean-Baptist; Ebener, Melanie; March, Stefanie; Trappmann, Mark; Steinwede, Jacob; Müller, Bernd Hans

    2014-01-01

    The lidA Cohort Study (German Cohort Study on Work, Age, Health and Work Participation) was set up to investigate and follow the effects of work and work context on the physical and psychological health of the ageing workforce in Germany and subsequently on work participation. Cohort participants are initially employed people subject to social security contributions and born in either 1959 (n = 2909) or 1965 (n = 3676). They were personally interviewed in their homes in 2011 and will be visited every 3 years. Data collection comprises socio-demographic data, work and private exposures, work ability, work and work participation attitudes, health, health-related behaviour, personality and attitudinal indicators. Employment biographies are assessed using register data. Subjective health reports and physical strength measures are complemented by health insurance claims data, where permission was given. A conceptual framework has been developed for the lidA Cohort Study within which three confirmatory sub-models assess the interdependencies of work and health considering age, gender and socioeconomic status. The first set of the data will be available to the scientific community by 2015. Access will be given by the Research Data Centre of the German Federal Employment Agency at the Institute for Employment Research (http://fdz.iab.de/en.aspx). PMID:24618186

  10. Cohort profile: the lidA Cohort Study-a German Cohort Study on Work, Age, Health and Work Participation.

    PubMed

    Hasselhorn, Hans Martin; Peter, Richard; Rauch, Angela; Schröder, Helmut; Swart, Enno; Bender, Stefan; du Prel, Jean-Baptist; Ebener, Melanie; March, Stefanie; Trappmann, Mark; Steinwede, Jacob; Müller, Bernd Hans

    2014-12-01

    The lidA Cohort Study (German Cohort Study on Work, Age, Health and Work Participation) was set up to investigate and follow the effects of work and work context on the physical and psychological health of the ageing workforce in Germany and subsequently on work participation. Cohort participants are initially employed people subject to social security contributions and born in either 1959 (n = 2909) or 1965 (n = 3676). They were personally interviewed in their homes in 2011 and will be visited every 3 years. Data collection comprises socio-demographic data, work and private exposures, work ability, work and work participation attitudes, health, health-related behaviour, personality and attitudinal indicators. Employment biographies are assessed using register data. Subjective health reports and physical strength measures are complemented by health insurance claims data, where permission was given. A conceptual framework has been developed for the lidA Cohort Study within which three confirmatory sub-models assess the interdependencies of work and health considering age, gender and socioeconomic status. The first set of the data will be available to the scientific community by 2015. Access will be given by the Research Data Centre of the German Federal Employment Agency at the Institute for Employment Research (http://fdz.iab.de/en.aspx). PMID:24618186

  11. Using conceptual work products of health care to design health IT.

    PubMed

    Berry, Andrew B L; Butler, Keith A; Harrington, Craig; Braxton, Melissa O; Walker, Amy J; Pete, Nikki; Johnson, Trevor; Oberle, Mark W; Haselkorn, Jodie; Paul Nichol, W; Haselkorn, Mark

    2016-02-01

    This paper introduces a new, model-based design method for interactive health information technology (IT) systems. This method extends workflow models with models of conceptual work products. When the health care work being modeled is substantially cognitive, tacit, and complex in nature, graphical workflow models can become too complex to be useful to designers. Conceptual models complement and simplify workflows by providing an explicit specification for the information product they must produce. We illustrate how conceptual work products can be modeled using standard software modeling language, which allows them to provide fundamental requirements for what the workflow must accomplish and the information that a new system should provide. Developers can use these specifications to envision how health IT could enable an effective cognitive strategy as a workflow with precise information requirements. We illustrate the new method with a study conducted in an outpatient multiple sclerosis (MS) clinic. This study shows specifically how the different phases of the method can be carried out, how the method allows for iteration across phases, and how the method generated a health IT design for case management of MS that is efficient and easy to use. PMID:26528606

  12. Perception of Weight and Health Status among Women Working at Health Centres of Tehran

    PubMed Central

    Dorosty, Ahmad Reza; Mehdikhani, Sepideh; Rahimi, Abbas; Koohdani, Fariba; Tehrani, Parastoo

    2014-01-01

    Perception of body-weight status is an important determinant of weight-related behaviours and may affect the burden of weight disturbances as a public-health problem. No study has assessed self-perception of the weight status regarding body-fat distribution among health workers to date. The aim of this study was to evaluate the association of the perception of weight and health status among 542 women working at health centres of Tehran. We assessed their perceived body-weight and health status and measured waist- and hip-circumference, weight, and height to calculate waist-to-hip ratio (WHR) as a measure of fat distribution and body mass index (BMI, kg/m2). Women reported their sociodemographic information, and the perceived weight and health status were compared with their actual fatness status, defined based on WHR and BMI, to determine misperception of weight status. Multivariate logistic regression models were performed to assess the predictive effects of various sociodemographic factors and actual fatness on the perception of weight and health status. The results showed that more than 40% of women with normal BMI overestimated their body-weight status while only 15.8% of these women had central obesity. BMI was the most important variable associated with misperceived weight status as normal-weight women had significantly more misperception (OR 8.16, 95% CI 4.82-13.82) than overweight/obese women. WHR did not show any significant relationships with perceived weight status. In addition, perception of health status was not associated with actual fatness indices. It is concluded, BMI was the main predictor of the perception of weight status in female employees. The importance of using body-fat distribution in the perceptions of weight and health status should be emphasized. PMID:24847594

  13. The Occupational Safety of Health Professionals Working at Community and Family Health Centers

    PubMed Central

    Ozturk, Havva; Babacan, Elif

    2014-01-01

    Background: Healthcare professionals encounter many medical risks while providing healthcare services to individuals and the community. Thus, occupational safety studies are very important in health care organizations. They involve studies performed to establish legal, technical, and medical measures that must be taken to prevent employees from sustaining physical or mental damage because of work hazards. Objectives: This study was conducted to determine if the occupational safety of health personnel at community and family health centers (CHC and FHC) has been achieved. Martials and Methods: The population of this cross-sectional study comprised 507 nurses, 199 physicians, and 237 other medical personnel working at a total of 18 family health centers (FHC) and community health centers (CHC) in Trabzon, Turkey. The sample consisted of a total of 418 nurses, 156 physicians, and 123 other medical personnel. Sampling method was not used, and the researchers tried to reach the whole population. Data were gathered with the Occupational Safety Scale (OSS) and a questionnaire regarding demographic characteristics and occupational safety. Results: According to the evaluations of all the medical personnel, the mean ± SD of total score of the OSS was 3.57 ± 0.98; of the OSS’s subscales, the mean ± SD of the health screening and registry systems was 2.76 ± 1.44, of occupational diseases and problems was 3.04 ± 1.3 and critical fields control was 3.12 ± 1.62. In addition, occupational safety was found more insufficient by nurses (F = 14.18; P < 0.001). Conclusions: All healthcare personnel, particularly nurses working in CHCs and FHCs found occupational safety to be insufficient as related to protective and supportive activities. PMID:25558383

  14. The Joint Commission has provided a tool to change your work force: are you paying attention?

    PubMed

    Decker, P J; Strader, M K

    1998-03-01

    Most health care managers wonder how to change employee "attitudes" so that their staff will be more accountable for patient satisfaction, cost reduction, and quality of care. Employees were trained to function in an industry where the power players were the physician and the administrator and now it is exceedingly difficult to get them to switch their attention to the patient and the payer in a market-driven economy. For hospital managers, the answer may be right at their fingertips: The Joint Commission on Accreditation of Healthcare Organizations' standards demanding that employee competence be objectively measured, proven, tracked & trended, improved, and age specific. A comprehensive competence assessment system can save the health care manager enormous work in measuring fewer things, focusing performance assessment on the 20 percent of things that are true problems, and helping to specifically define certain competencies such as customer focus and cost consciousness so that coaching, training, and giving performance feedback is easier. Developing a comprehensive competence assessment system is a powerful tool to change the culture of organizations. Consequently, it is important that managers be aware of those possibilities before they embark on developing "competencies" or before their organizations get too carried away on redesigning systems to satisfy standards. PMID:10177390

  15. The American Work Ethic and the Changing Work Force: An Historical Perspective. Contributions in Labor Studies, Number 52.

    ERIC Educational Resources Information Center

    Applebaum, Herbert

    During the colonial period, the ideology of work--the American work ethic--took root. Americans valued work and considered it an obligation to society, to oneself, and to one's family. The key to the agrarian culture was an ethic that recognized the importance of hard, physical labor within a framework of yearly cycles of tasks. The world of the…

  16. SIB health psychology in Brazil: The challenges for working in public health settings.

    PubMed

    Spink, Mary-Jane P; Brigagão, Jacqueline M; Menegon, Vera M; Vicentin, Maria-Cristina G

    2016-03-01

    Considering the diversity of theoretical approaches and settings for psychological practice, this editorial provides a background for the articles that have been included in this special issue concerning health psychology in the context of the Brazilian Unified Health System (Sistema Unico de Saude). We addressed issues concerning the national curricular outline for undergraduate training in psychology and historical data on the social movements that led to the creation of the Sistema Unico de Saude and the Psychiatric Reform which created an important area for psychological work absorbing a considerable number of psychologists. PMID:26987822

  17. Reliability and Effects of Arm Dominance on Upper Extremity Isokinetic Force, Work, and Power Using the Closed Chain Rider System

    PubMed Central

    Kovaleski, John E.; Heitman, Robert J.; Gurchiek, Larry R.; Trundle, Terry L.

    1999-01-01

    Objective: The purpose of our study was to assess the reliability of the Closed Chain Rider System between exercise sessions and to determine the effects of arm dominance using muscle force, work, and power measures during closed chain chest-press exercise. Design and Setting: Sitting subjects underwent identical testing on 2 occasions and performed 5 reciprocal chest-press movements at speeds of 51 and 76 cm/s. Subjects: Thirty-eight healthy college students. Measurements: Average force, total work, average power, and linear range of motion were recorded. Reliability was evaluated by calculating intraclass correlation coefficients. Mean differences between the dominant and nondominant arms for the measured variables were analyzed by dependent t tests. Results: For both the dominant and nondominant arms at the 51 and 76 cm/s speeds, reliabilities of average force (range = 0.85 to 0.91), total work (range = 0.88 to 0.92), and average power (range = 0.86 to 0.89) were clinically acceptable. The dominant arm produced significantly greater average force, total work, and average power compared with the nondominant arm. Conclusions: Our results provide clinically useful information about the reliability of force, work, and power measures during multijoint bilateral chest-press movement. Clinicians should be aware of measured differences between dominant and nondominant arms. Imagesp359-a PMID:16558589

  18. Periodic health examination, 1996 update: 2. Screening for chlamydial infections. Canadian Task Force on the Periodic Health Examination.

    PubMed Central

    Davies, H D; Wang, E E

    1996-01-01

    OBJECTIVE: To update the 1984 recommendations of the Canadian Task Force on the Periodic Health Examination on the routine screening of asymptomatic patients for infection with Chlamydia trachomatis. OPTIONS: Screening, with the use of culture or nonculture tests, of the general population, of certain high-risk groups or of all pregnant women; or no routine screening. OUTCOMES: Rates of asymptomatic and symptomatic chlamydial infection, perinatal complications, longterm complications of infection (i.e., pelvic inflammatory disease, infertility and ectopic pregnancy), coinfection with other sexually transmitted diseases, disease spread, hospital care, complications of therapy and costs of infection and of screening. EVIDENCE: Search of MEDLINE for articles published between Jan. 1, 1983, and Dec. 31, 1995, with the use of the major MeSH heading "chlamydial infections," references from recent review articles and recommendation by other organizations. VALUES: The evidence-based methods of the Canadian Task Force on the Periodic Health Examination were used. Advice from reviewers and experts and recommendations of other organizations were taken into consideration. Prevention of symptomatic disease and decreased overall costs were given high values. BENEFITS, HARMS AND COSTS: The greatest potential benefits of screening asymptomatic patients for chlamydial infections are the prevention of complications, especially infertility and perinatal complications, and the prevention of disease spread. There is no evidence that screening of the general population for chlamydial infections leads to a reduction in complications, and screening may increase costs. However, there is evidence that annual screening of selected high-risk groups and of pregnant women during the first trimester is beneficial in preventing symptoms and reducing the overall cost resulting from infection. RECOMMENDATIONS: There is fair evidence to support screening and treatment of pregnant women during the first trimester (grade B recommendation) as well as annual screening and treatment of high-risk groups (sexually active women less than 25 years of age, men or women with new or multiple sexual partners during the preceding year, women who use nonbarrier contraceptive methods and women who have symptoms of chlamydial infection: cervical friability, mucopurulent cervical discharge or intermenstrual bleeding; grade B recommendation). There is fair evidence to exclude routine screening of the general population (grade D recommendation). VALIDATION: These recommendations are similar to those of the US Preventive Services Task Force and the US Centers for Disease Control and Prevention, Atlanta. SPONSOR: These guidelines were developed and endorsed by the Canadian Task Force on the Periodic Health Examination, which is funded by Health Canada and the National Health Canada and the National Health Research and Development Program. The principal author (H.D.D.) was supported in part by the Ontario Ministry of Health and the Canadian Infectious Diseases Society Lilly Fellowship. PMID:8646651

  19. Behavioral Health Emergencies Managed by School Nurses Working with Adolescents

    ERIC Educational Resources Information Center

    Ramos, Mary M.; Greenberg, Cynthia; Sapien, Robert; Bauer-Creegan, Judith; Hine, Beverly; Geary, Cathy

    2013-01-01

    Background: As members of interdisciplinary teams, school nurses provide behavioral health services. Studies indicate that school nurses may lack sufficient continuing education in adolescent behavioral health and in the management of behavioral health emergencies, specifically. We conducted this study to describe the adolescent behavioral health

  20. Is Lifelong Knee Joint Force from Work, Home, and Sport Related to Knee Osteoarthritis?

    PubMed Central

    Ratzlaff, Charles R.; Koehoorn, Mieke; Cibere, Jolanda; Kopec, Jacek A.

    2012-01-01

    Purpose. To investigate the association of cumulative lifetime knee joint force on the risk of self-reported medically-diagnosed knee osteoarthritis (OA). Methods. Exposure data on lifetime physical activity type (occupational, household, sport/recreation) and dose (frequency, intensity, duration) were collected from 4,269 Canadian men and women as part of the Physical Activity and Joint Heath cohort study. Subjects were ranked in terms of the “cumulative peak force index”, a measure of lifetime mechanical knee force. Multivariable logistic regression was conducted to obtain adjusted effects for mean lifetime knee force on the risk of knee OA. Results. High levels of total lifetime, occupational and household-related force were associated with an increased in risk of OA, with odds ratio's ranging from approximately 1.3 to 2. Joint injury, high BMI and older age were related to risk of knee OA, consistent with previous studies. Conclusions. A newly developed measure of lifetime mechanical knee force from physical activity was employed to estimate the risk of self-reported, medically-diagnosed knee OA. While there are limitations, this paper suggests that high levels of total lifetime force (all domains combined), and occupational force in men and household force in women were risk factors for knee OA. PMID:22848225

  1. Perception and prevalence of work-related health hazards among health care workers in public health facilities in southern India

    PubMed Central

    Senthil, Arasi; Anandh, Balasubramanian; Jayachandran, Palsamy; Thangavel, Gurusamy; Josephin, Diana; Yamini, Ravindran; Kalpana, Balakrishnan

    2015-01-01

    Background: Health care workers (HCWs) are exposed to occupational related health hazards. Measuring worker perception and the prevalence of these hazards can help facilitate better risk management for HCWs, as these workers are envisaged to be the first point of contact, especially in resource poor settings. Objective: To describe the perception of occupational health hazards and self-reported exposure prevalence among HCWs in Southern India. Methods: We used cross sectional design with stratified random sampling of HCWs from different levels of health facilities and categories in a randomly selected district in Southern India. Data on perception and exposure prevalence were collected using a structured interview schedule developed by occupational health experts and administered by trained investigators. Results: A total of 482 HCWs participated. Thirty nine percent did not recognize work-related health hazards, but reported exposure to at least one hazard upon further probing. Among the 81·5% who reported exposure to biological hazard, 93·9% had direct skin contact with infectious materials. Among HCWs reporting needle stick injury, 70·5% had at least one in the previous three months. Ergonomic hazards included lifting heavy objects (42%) and standing for long hours (37%). Psychological hazards included negative feelings (20·3%) and verbal or physical abuse during work (20·5%). Conclusion: More than a third of HCWs failed to recognize work-related health hazards. Despite training in handling infectious materials, HCWs reported direct skin contact with infectious materials and needle stick injuries. Results indicate the need for training oriented toward behavioral change and provision of occupational health services. PMID:25482656

  2. Phthalate Exposure and Health-Related Outcomes in Specific Types of Work Environment

    PubMed Central

    Kolena, Branislav; Petrovicova, Ida; Pilka, Tomas; Pucherova, Zuzana; Munk, Michal; Matula, Bohumil; Vankova, Viera; Petlus, Peter; Jenisova, Zita; Rozova, Zdenka; Wimmerova, Sona; Trnovec, Tomas

    2014-01-01

    Many toxic substances in the workplace can modify human health and quality of life and there is still insufficient data on respiratory outcomes in adults exposed to phthalates. The aim of this work was to assess in waste management workers from the Nitra region of Slovakia (n = 30) the extent of exposure to phthalates and health-related outcomes. Four urinary phthalate metabolites mono(2-ethylhexyl) phthalate (MEHP), monobutyl phthalate (MnBP), monoethyl phthalate (MEP) and monoisononyl phthalate (MiNP) were determined by high-performance liquid chromatography with mass spectrometry (HPLC-MS/MS). Urinary concentration of MEHP was positively associated with ratio of forced expiratory volume in 1 s to forced vital capacity % (FEV1/FVC) (r = 0.431; p = 0.018) and MiNP with fat free mass index (FFMI) (r = 0.439; p = 0.015). The strongest predictor of pulmonary function was the pack/year index as smoking history that predicted a decrease of pulmonary parameters, the FEV1/FVC, % of predicted values of peak expiratory flow (PEF % of PV) and FEV1 % of PV. Unexpectedly, urinary MEHP and MINP were positively associated with pulmonary function expressed as PEF % of PV and FEV1/FVC. We hypothesize that occupational exposure to phthalates estimated from urinary metabolites (MEHP, MiNP) can modify pulmonary function on top of lifestyle factors. PMID:24865398

  3. Tricks of the trade in community mental health research: working with mental health services and clients.

    PubMed

    Dadich, Ann; Muir, Kristy

    2009-03-01

    The complexities of research in the community mental health sector are seldom acknowledged in existing literature; this article attempts to address this void. It presents the methodological challenges experienced in the longitudinal evaluation of the Housing and Accommodation Support Initiative-a program that supports people with chronic mental illness toward long-term recovery. The evaluation provides a case study for understanding methodological problems in community mental health research, which include working with organizations that experience high staff turnover; staff members who have large caseloads; and clients who have chronic mental illness. Although not applicable to all research designs, the suggested strategies highlight the importance of innovation, flexibility, and balance between research theory and practical limitations when conducting community mental health research. PMID:19116228

  4. How Can Magnetic Forces Do Work? Investigating the Problem with Students

    ERIC Educational Resources Information Center

    Onorato, Pasquale; De Ambrosis, Anna

    2013-01-01

    We present a sequence of activities aimed at promoting both learning about magnetic forces and students' reflection about the conceptual bridge between magnetic forces on a moving charge and on a current-carrying wire in a magnetic field. The activity sequence, designed for students in high school or on introductory physics courses, has been…

  5. The mental health of the UK Armed Forces: where facts meet fiction

    PubMed Central

    Hunt, Elizabeth J. F.; Wessely, Simon; Jones, Norman; Rona, Roberto J.; Greenberg, Neil

    2014-01-01

    A substantial amount of research has been conducted into the mental health of the UK military in recent years. This article summarises the results of the various studies and offers possible explanations for differences in findings between the UK and other allied nations. Post-traumatic stress disorder (PTSD) rates are perhaps surprisingly low amongst British forces, with prevalence rates of around 4% in personnel who have deployed, rising to 6% in combat troops, despite the high tempo of operations in recent years. The rates in personnel currently on operations are consistently lower than these. Explanations for the lower PTSD prevalence in British troops include variations in combat exposures, demographic differences, higher leader to enlisted soldier ratios, shorter operational tour lengths and differences in access to long-term health care between countries. Delayed-onset PTSD was recently found to be more common than previously supposed, accounting for nearly half of all PTSD cases; however, many of these had sub-syndromal PTSD predating the onset of the full disorder. Rates of common mental health disorders in UK troops are similar or higher to those of the general population, and overall operational deployments are not associated with an increase in mental health problems in UK regular forces. However, there does appear to be a correlation between both deployment and increased alcohol misuse and post-deployment violence in combat troops. Unlike for regular forces, there is an overall association between deployment and mental health problems in Reservists. There have been growing concerns regarding mild traumatic brain injury, though this appears to be low in British troops with an overall prevalence of 4.4% in comparison with 15% in the US military. The current strategies for detection and treatment of mental health problems in British forces are also described. The stance of the UK military is that psychological welfare of troops is primarily a chain of command responsibility, aided by medical advice when necessary, and to this end uses third location decompression, stress briefings, and Trauma Risk Management approaches. Outpatient treatment is provided by Field Mental Health Teams and military Departments of Community Mental Health, whilst inpatient care is given in specific NHS hospitals. PMID:25206948

  6. Disparities in the Geography of Mental Health: Implications for Social Work

    ERIC Educational Resources Information Center

    Hudson, Christopher G.

    2012-01-01

    This article reviews recent theory and research on geographic disparities in mental health and their implications for social work. It focuses on work emerging from the fields of mental health geography, psychiatric epidemiology, and social work, arguing that a wide range of spatial disparities in mental health are important to understand but that…

  7. Disparities in the Geography of Mental Health: Implications for Social Work

    ERIC Educational Resources Information Center

    Hudson, Christopher G.

    2012-01-01

    This article reviews recent theory and research on geographic disparities in mental health and their implications for social work. It focuses on work emerging from the fields of mental health geography, psychiatric epidemiology, and social work, arguing that a wide range of spatial disparities in mental health are important to understand but that

  8. Sticks, Not Carrots, May Work Best to Boost Employees' Health

    MedlinePlus

    ... He is an assistant professor of medicine and health care management at the University of Pennsylvania in Philadelphia. "We ... M.B.A., assistant professor of medicine and health care management, University of Pennsylvania, Philadelphia; Soeren Mattke, D.Sc., ...

  9. Statutory authorizations for the work of local health departments.

    PubMed Central

    Miller, C A; Gilbert, B; Warren, D G; Brooks, E F; DeFriese, G H; Jain, S C; Kavaler, F

    1977-01-01

    A study of public health statutes of the 50 states identifies 44 specific services or functions that are assigned to local health departments by all or some of the states. Authorizations are most commonly assigned conjointly both to local and state health departments; exceptions are identified. Data suggest striking inconsistencies between what local health departments are authorized to perform and the services they actually render with regard to a selected group of programs that involve personal health services. The full scope of authorizations for local health departments is not revealed by examination of public health statutes. For this reason, among others, development of up-to-date health codes for all states would be beneficial. PMID:911005

  10. Health and working conditions in carpenter's workshops in Armenia (Colombia).

    PubMed

    Gmeez, Milena E; Sanchez, Juan F; Cardona, Anglica M; Pioquinto, Jaime F; Torres, Paula; Sanchez, Deisy; Camargo, Lina M; Castaeda, Ren A; Villamizar, Rafael H; Cremades, Lzaro V

    2010-01-01

    We conducted a study of the health and working conditions in 10 carpenter's workshops in the municipality of Armenia (Colombia). In these workshops, all the most exposed workers to wood dust were surveyed at the areas of sanding, brushing, immunization and painting (workers with the highest risk to get chronic respiratory disease). They were 177 workers. The use of hard and soft woods for furniture was detected. Besides, some pesticides, volatile organic solvents, synthetic epoxy resins glues and paintings, were used for finishes, which increases the risk of acquiring some neurological diseases and damage to the nervous system. Occurrence of cancer in nostrils mainly due to the use of hardwoods is an additional risk. With regard to the basic lighting conditions, it was found that half of workshops had deficiencies in special carving areas, because they were below the minimum allowable lighting limit level (500 lux). With relation to noise, all the workshops exceeded the permissible maximum limit value (85 dBA). With respect to the occurrence of occupational events, no data were found in the companies, or analysis of employee absenteeism due to the exposure to particulate matter. PMID:20424355

  11. Generalized public health and industrial nurses work together. 1949.

    PubMed

    Schwem, Margaret A

    2009-01-01

    Occupational health has been considered a subset of public health nursing for years. The first industrial or occupational health nurses were employed by large companies in the 1890s but the role evolved quickly in the early 20(th) century. By mid-century, many large companies employed a physician and nurse(s) to provide examinations, screenings, episodic care, and trauma intervention for workers. Occupational health nurses faced different problems than community-based public health nurses in generalized nursing service. The intersection of public health and employee health was apparent, though, because large industries often constituted the main workplace for a smaller community and sickness could spread throughout a town if the occupational health nurse was not well-prepared in principles of infection control and health promotion. Excerpts from this July 1949 article about building relationship between public health and industrial nurses illustrate the benefits hoped for when they were formally connected to one another through cross-training and in-service education. The author, Margaret Schwem, was a supervisor at the Rensselaer County Department of Health in Troy, New York. In the original article, Schwem included a list of reference materials for those interested in public health and industrial nursing. PMID:19573217

  12. Community Health Workers and Their Value to Social Work

    ERIC Educational Resources Information Center

    Spencer, Michael S.; Gunter, Kathryn E.; Palmisano, Gloria

    2010-01-01

    Community health workers (CHWs) play a vital and unique role in linking diverse and underserved populations to health and social service systems. Despite their effectiveness, as documented by empirical studies across various disciplines including public health, nursing, and biomedicine, the value and potential role of CHWs in the social work…

  13. Making Health Communication Programs Work. A Planner's Guide.

    ERIC Educational Resources Information Center

    Arkin, Elaine Bratic

    This manual, designed to assist professionals in health and health-related agencies, offers guidance for planning a health communication program about cancer based on social marketing and other principles as well as the experiences of National Cancer Institute staff and other practitioners. The six chapters are arranged by sequentially ordered…

  14. The Trouble with Health Savings Accounts: A Social Work Perspective

    ERIC Educational Resources Information Center

    Gorin, Stephen

    2006-01-01

    In recent years, conservatives have promoted health savings accounts (HSAs) as a way of addressing the growing cost of health insurance. HSAs were introduced under the Medical Modernization Act of 2003 as "an alternative to traditional health insurance." They are at the heart of an effort to replace the current system of insurance with…

  15. Creating Sound Minds and Bodies: Health and Education Working Together.

    ERIC Educational Resources Information Center

    National Health Education Consortium, Washington, DC.

    Collaboration between health and education providers is essential to address the urgent needs of children and families most at risk of school failure and severe health problems. Collaboration represents a fundamental change in the way education and health systems think about, identify, and meet the needs of children, youth, and families utilizing…

  16. Behavioral Health Emergencies Managed by School Nurses Working with Adolescents

    ERIC Educational Resources Information Center

    Ramos, Mary M.; Greenberg, Cynthia; Sapien, Robert; Bauer-Creegan, Judith; Hine, Beverly; Geary, Cathy

    2013-01-01

    Background: As members of interdisciplinary teams, school nurses provide behavioral health services. Studies indicate that school nurses may lack sufficient continuing education in adolescent behavioral health and in the management of behavioral health emergencies, specifically. We conducted this study to describe the adolescent behavioral health…

  17. Health and Turnover of Working Mothers after Childbirth via the Work-Family Interface: An Analysis across Time

    ERIC Educational Resources Information Center

    Carlson, Dawn S.; Grzywacz, Joseph G.; Ferguson, Merideth; Hunter, Emily M.; Clinch, C. Randall; Arcury, Thomas A.

    2011-01-01

    This study examined organizational levers that impact work-family experiences, participant health, and subsequent turnover. Using a sample of 179 women returning to full-time work 4 months after childbirth, we examined the associations of 3 job resources (job security, skill discretion, and schedule control) with work-to-family enrichment and the…

  18. Health Literacy: Critical Opportunities for Social Work Leadership in Health Care and Research

    ERIC Educational Resources Information Center

    Liechty, Janet M.

    2011-01-01

    One-third of U. S. adults do not have adequate health literacy to manage their health care needs; and low health literacy is a major concern due to its association with poor health outcomes, high health care costs, and health communication problems. Low health literacy is a potential driver of health disparities, and its alleviation is central to…

  19. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers

    PubMed Central

    Papathanasiou, Ioanna V.

    2015-01-01

    Introduction: Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. Aim: The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. Material and Methods: The sample in this study consisted of 240 health care employees. The Greek version of Maslach’s Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers’ mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. Results: The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated with any SRSDA subscale. Conclusions: Burnout appears to implicate mental health status of healthcare providers in work index. Emotional exhaustion is the burnout dimension that is correlated the most with employees’ mental health. PMID:25870487

  20. The Australian Defence Force Mental Health Prevalence and Wellbeing Study: design and methods

    PubMed Central

    Hooff, Miranda Van; McFarlane, Alexander C.; Davies, Christopher E.; Searle, Amelia K.; Fairweather-Schmidt, A. Kate; Verhagen, Alan; Benassi, Helen; Hodson, Stephanie E.

    2014-01-01

    Background The Australian Defence Force (ADF) Mental Health Prevalence and Wellbeing Study (MHPWS) is the first study of mental disorder prevalence in an entire military population. Objective The MHPWS aims to establish mental disorder prevalence, refine current ADF mental health screening methods, and identify specific occupational factors that influence mental health. This paper describes the design, sampling strategies, and methodology used in this study. Method At Phase 1, approximately half of all regular Navy, Army, and Air Force personnel (n=24,481) completed self-report questionnaires. At Phase 2, a stratified sub-sample (n=1,798) completed a structured diagnostic interview to detect mental disorder. Based on data from non-responders, data were weighted to represent the entire ADF population (n=50,049). Results One in five ADF members met criteria for a 12-month mental disorder (22%). The most common disorder category was anxiety disorders (14.8%), followed by affective (9.5%) and alcohol disorders (5.2%). At risk ADF sub-groups were Army personnel, and those in the lower ranks. Deployment status did not have an impact on mental disorder rates. Conclusion This study has important implications for mental health service delivery for Australian and international military personnel as well as contemporary veterans. PMID:25206944

  1. Breastfeeding mothers returning to work: possibilities for information, anticipatory guidance and support from US health care professionals.

    PubMed

    Angeletti, Michelle A

    2009-05-01

    Today, more mothers in the United States are in the labor force, and returning to the workforce presents numerous challenges for the breastfeeding mother. Although it as been demonstrated that maternal employment is associated with a decrease in the length of time a mother continues to breastfeed, health care providers are in a unique position to enhance a mother's breastfeeding success as she transitions back into the workplace. This article describes various commonly perceived obstacles to combining breastfeeding and working and provides examples of information, anticipatory guidance, and support that health care providers can use to assist a breastfeeding mother with a successful return to the workforce. PMID:19136394

  2. 41 CFR 302-3.205 - If my transfer is involuntary (due to i.e., reduction in force, cessation, or transfer of work...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... TYPE Types of Transfers Reduction in Force Relocation § 302-3.205 If my transfer is involuntary (due to i.e., reduction in force, cessation, or transfer of work), is it considered to be in the interest of... involuntary (due to i.e., reduction in force, cessation, or transfer of work), is it considered to be in...

  3. Force, Velocity, and Work: The Effects of Different Contexts on Students' Understanding of Vector Concepts Using Isomorphic Problems

    ERIC Educational Resources Information Center

    Barniol, Pablo; Zavala, Genaro

    2014-01-01

    In this article we compare students' understanding of vector concepts in problems with no physical context, and with three mechanics contexts: force, velocity, and work. Based on our "Test of Understanding of Vectors," a multiple-choice test presented elsewhere, we designed two isomorphic shorter versions of 12 items each: a test

  4. Texas Quality Workforce Planning: 1993 Key Industries and Targeted Occupations for Texas' 24 Quality Work Force Planning Regions.

    ERIC Educational Resources Information Center

    Texas State Dept. of Commerce, Austin.

    In 1993, Texas' 24 quality work force planning committees used a state-developed targeted occupations planning methodology to identify key industries and targeted occupations with the greatest potential for job openings in their respective regions. Between 11 and 20 key industries (13.5 on average) were identified for each region. The following 10…

  5. The 21st Century at Work: Forces Shaping the Future Workforce and Workplace in the United States. Summary

    ERIC Educational Resources Information Center

    Karoly, Lynn A.; Panis, Constantijn W. A.

    2004-01-01

    What are the forces that will continue to shape the U.S. workforce and workplace over the next 10 to 15 years? With such inevitabilities as the proliferation and acceleration of technology worldwide, will more individuals work at home, will more businesses outsource their noncore functions -- and with what consequences? Answering such questions…

  6. A Measurement of the Effectiveness of the Airway Science Program To Meet Federal Aviation Administration Work Force Needs.

    ERIC Educational Resources Information Center

    Bowen, Brent D.

    This paper examines why the Airway Science Program, initiated by the Federal Aviation Administration (FAA) to develop college-educated and technically prepared personnel for FAA employment (primarily for air traffic control), has failed to meet its work force goals. Research data were gathered from interviews with Airway Science Program

  7. The 21st Century at Work: Forces Shaping the Future Workforce and Workplace in the United States

    ERIC Educational Resources Information Center

    Karoly, Lynn A.; Panis, Constantijn W. A.

    2004-01-01

    What are the forces that will continue to shape the U.S. workforce and workplace over the next 10 to 15 years? With such inevitabilities as the proliferation and acceleration of technology worldwide, will more individuals work at home, will more businesses outsource their noncore functions -- and with what consequences? Answering such questions…

  8. Force, Velocity, and Work: The Effects of Different Contexts on Students' Understanding of Vector Concepts Using Isomorphic Problems

    ERIC Educational Resources Information Center

    Barniol, Pablo; Zavala, Genaro

    2014-01-01

    In this article we compare students' understanding of vector concepts in problems with no physical context, and with three mechanics contexts: force, velocity, and work. Based on our "Test of Understanding of Vectors," a multiple-choice test presented elsewhere, we designed two isomorphic shorter versions of 12 items each: a test…

  9. 76 FR 63927 - Interagency Task Force on Antimicrobial Resistance (ITFAR): An Update on A Public Health Action...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... Resistance (ITFAR): An Update on A Public Health Action Plan to Combat Antimicrobial Resistance AGENCY... report on progress by Federal agencies in accomplishing activities outlined in A Public Health Action... (AR) in recognition of the increasing importance of AR as a public health threat. The Task Force is...

  10. 75 FR 52751 - Office of Global Health Affairs; Trans-Atlantic Task Force on Antimicrobial Resistance (TATFAR)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ... HUMAN SERVICES Office of Global Health Affairs; Trans-Atlantic Task Force on Antimicrobial Resistance (TATFAR) AGENCY: Office of Global Health Affairs, HHS. ACTION: Notice of public meeting and request for comments. SUMMARY: The Office of Global Health Affairs is seeking comments and ] suggestions from...

  11. A systematic review of resilience and mental health outcomes of conflict-driven adult forced migrants

    PubMed Central

    2014-01-01

    Background The rising global burden of forced migration due to armed conflict is increasingly recognised as an important issue in global health. Forced migrants are at a greater risk of developing mental disorders. However, resilience, defined as the ability of a person to successfully adapt to or recover from stressful and traumatic experiences, has been highlighted as a key potential protective factor. This study aimed to review systematically the global literature on the impact of resilience on the mental health of adult conflict-driven forced migrants. Methodology Both quantitative and qualitative studies that reported resilience and mental health outcomes among forcibly displaced persons (aged 18+) by way of exploring associations, links, pathways and causative mechanisms were included. Fourteen bibliographic databases and seven humanitarian study databases/websites were searched and a four stage screening process was followed. Results Twenty three studies were included in the final review. Ten qualitative studies identified highlighted family and community cohesion, family and community support, individual personal qualities, collective identity, supportive primary relationships and religion. Thirteen quantitative studies were identified, but only two attempted to link resilience with mental disorders, and three used a specific resilience measure. Over-reliance on cross-sectional designs was noted. Resilience was generally shown to be associated with better mental health in displaced populations, but the evidence on this and underlying mechanisms was limited. Discussion The review highlights the need for more epidemiological and qualitative evidence on resilience in forcibly displaced persons as a potential avenue for intervention development, particularly in resource-poor settings. PMID:25177360

  12. The Air Force Health Study Data and Specimens as a Resource for Researchers.

    PubMed

    Styka, Anne N; Butler, David A

    2015-10-01

    The Air Force Health Study (AFHS) is perhaps the most thorough longitudinal examination of both the health of military personnel and the health effects of herbicide exposure ever conducted. Data were collected through comprehensive physical examinations, questionnaires, and other records at six time points over a 20-year period; 2,758 subjects participated in at least one examination cycle. Data collected during physical examinations included indices of health status overall and specific endpoints for each organ system. Questionnaire data included sociodemographic information, marital and fertility history, health habits, recreation activities, toxic substances exposure, and military experience. Biospecimens were collected at each examination cycle; serum was collected at all six examinations while other biospecimens, such as semen and whole blood, were collected at one time. More than 200 clinical laboratory tests and measures were performed, with more than 60 of these measured at all six cycles. The vast amount of electronic data and the more than 91,000 unaliquoted biospecimens contained in the repository offer unique opportunities for new research on understanding determinants of health. The Institute of Medicine is the custodian of the AFHS materials and conducted a pilot research program to facilitate new research using the materials. An expert committee issued requests for proposals, created a Web-based form for submissions, reviewed and evaluated potential research studies, and made data and biospecimens available to qualified researchers. This article summarizes the experience of this initiative. PMID:26444896

  13. Scientific and popular health knowledge in the education work of community health agents in Rio de Janeiro shantytowns.

    PubMed

    Zanchetta, M S; Kolawole Salami, B; Perreault, M; Leite, L C

    2012-08-01

    Health education for socially marginalized populations challenges the efficacy of existing strategies and methods, and the pertinence of the educational and philosophical principles that underpin them. The Brazilian Community Health Agents Initiative (CHAI) hires residents of deprived marginalized communities to undertake health promotion and education in their communities. The ultimate goal of the CHAI is to connect populations with the public healthcare system by promoting social re-affiliation, protecting civil rights and enhancing equity of access to health services. In this article, we present the education work of community health agents through interplay between popular and scientific health knowledge in nine Rio de Janeiro shantytowns. A critical ethnographic research design, using thematic analysis, allowed us to explore agents' education work to enhance family health literacy in shantytowns. Local culture and social practices inspire Agents to create original strategies to reconcile forms of health knowledge in their work. PMID:22717941

  14. Mental Health Promotion and Work: Rumbalara Community's Roundtable Discussion 2002.

    ERIC Educational Resources Information Center

    Hoban, Rosemary

    2002-01-01

    The relationship between socioeconomic status and health is well established, with people at the lowest socioeconomic levels experiencing the highest rates of illnesses and death. While poverty, unemployment and limited access to adequate housing have a significant impact on the health and well being of the general population, Aboriginal people's…

  15. THE HISTORICAL DEVELOPMENT OF PUBLIC HEALTH WORK IN ENGLAND

    PubMed Central

    Newsholme, Arthur

    1919-01-01

    “There is much illness that might have been avoided if there had been an organized system of state medicine,” says Sir Arthur Newsholme, speaking of England. He would give a freer hand to the health officer who measures up to the standard. England's chief defect lies in the existence of small and inefficient local health bodies. PMID:18010211

  16. Russia's College Students: Work and Health

    ERIC Educational Resources Information Center

    Ivanova, L. Iu.

    2014-01-01

    Research on the effect of secondary employment on the sense of well-being of students in full-time education shows that the degree of fatigue and emotional stress on the job is affected by gender, the students' assessment of their own health, and their disposition to take care of their health.

  17. Child Health Inequality: Framing a Social Work Response

    ERIC Educational Resources Information Center

    Hernandez, Virginia Rondero; Montana, Salvador; Clarke, Kris

    2010-01-01

    Numerous studies acknowledge that the well-being of our nation hinges on the health of its people. There is specific concern about children because they represent the future. Ignoring children's health needs can compromise their educational preparedness, occupational pursuits, productivity, and longevity. Current science demonstrates that

  18. Child Health Inequality: Framing a Social Work Response

    ERIC Educational Resources Information Center

    Hernandez, Virginia Rondero; Montana, Salvador; Clarke, Kris

    2010-01-01

    Numerous studies acknowledge that the well-being of our nation hinges on the health of its people. There is specific concern about children because they represent the future. Ignoring children's health needs can compromise their educational preparedness, occupational pursuits, productivity, and longevity. Current science demonstrates that…

  19. INDIGENOUS PEOPLES’ FOOD SYSTEMS FOR HEALTH: FINDING INTERVENTIONS THAT WORK

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This is a short report of a “safari” held in conjunction with the International Congress of Nutrition in September, 2005, in Futululu, St. Lucia, South Africa. Participants were several members of the International Union of Nutritional Sciences Task Force on Indigenous Peoples’ Food Systems and Nutr...

  20. Four principles for expanding PEPFAR's role as a vital force in US health diplomacy abroad.

    PubMed

    Collins, Chris; Isbell, Michael; Sohn, Annette; Klindera, Kent

    2012-07-01

    The President's Emergency Plan for AIDS Relief (PEPFAR) is the leading platform for US health diplomacy and a symbol of American capacity to achieve constructive and beneficial change. The program now faces an evolving context for its work that includes, on the one hand, domestic fiscal pressures in the United States, but on the other, the potential for substantial gains against the AIDS epidemic around the world. Continued success in advancing America's humanitarian and diplomatic interests through global health requires the United States to maintain robust investments in PEPFAR; implement a strategic plan to achieve an AIDS-free generation; use the program as a foundation to strengthen health systems generally and enable them to address broader health issues, such as chronic and noncommunicable diseases; carefully manage the transition to country "ownership" of the fight against HIV; and achieve greater coherence in US government health-related policy. PMID:22778348

  1. [Subjectiveness and management: exploring psychosocial links on managerial and health work].

    PubMed

    Sá, Marilene de Castilho; Azevedo, Creuza da Silva

    2010-08-01

    This paper presents our theoretical perspective over health management, particularly on managerial and health work. To face the complex problems related to public health services management and health care quality - important challenges of Brazilian Sanitary Reform - we study the group/inter-subjective and unconscious characteristic of organizational processes, which has important effects over health services dynamics and their quality. For this purpose, we attempt to articulate three theoretical perspectives:(1) the French Psycho sociology approach on organizations and contemporary society; (2) the psychoanalytical theory on inter-subjective and group processes; and (3) the Work Psychodynamics, which focuses the relations between pleasure and suffering in work processes. Through this research process, we explore links and mediations among psychic, inter-subjective, group and social realities that are present in health organizations, managerial work and health work. Also, limits and possibilities these mediations set to leadership, cooperation, collective projects and health care quality are identified. PMID:20802868

  2. IS WORK-FAMILY CONFLICT A MULTILEVEL STRESSOR LINKING JOB CONDITIONS TO MENTAL HEALTH? EVIDENCE FROM THE WORK, FAMILY AND HEALTH NETWORK

    PubMed Central

    Moen, Phyllis; Kaduk, Anne; Kossek, Ellen Ernst; Hammer, Leslie; Buxton, Orfeu M.; O’Donnell, Emily; Almeida, David; Fox, Kimberly; Tranby, Eric; Oakes, J. Michael; Casper, Lynne

    2015-01-01

    Purpose Most research on the work conditions and family responsibilities associated with work-family conflict and other measures of mental health uses the individual employee as the unit of analysis. We argue that work conditions are both individual psychosocial assessments and objective characteristics of the proximal work environment, necessitating multilevel analyses of both individual- and team-level work conditions on mental health. Methodology/approach This study uses multilevel data on 748 high-tech professionals in 120 teams to investigate relationships between team- and individual-level job conditions, work-family conflict, and four mental health outcomes (job satisfaction, emotional exhaustion, perceived stress, and psychological distress). Findings We find that work-to-family conflict is socially patterned across teams, as are job satisfaction and emotional exhaustion. Team-level job conditions predict team-level outcomes, while individuals’ perceptions of their job conditions are better predictors of individuals’ work-to-family conflict and mental health. Work-to-family conflict operates as a partial mediator between job demands and mental health outcomes. Practical implications Our findings suggest that organizational leaders concerned about presenteeism, sickness absences, and productivity would do well to focus on changing job conditions in ways that reduce job demands and work-to-family conflict in order to promote employees’ mental health. Originality/value of the chapter We show that both work-to-family conflict and job conditions can be fruitfully framed as team characteristics, shared appraisals held in common by team members. This challenges the framing of work-to-family conflict as a “private trouble” and provides support for work-to-family conflict as a structural mismatch grounded in the social and temporal organization of work. PMID:25866431

  3. The mental health of the UK Armed Forces in the 21st century: resilience in the face of adversity.

    PubMed

    MacManus, Deirdre; Jones, N; Wessely, S; Fear, N T; Jones, E; Greenberg, N

    2014-06-01

    The recent conflicts in Iraq and Afghanistan have attracted considerable political and media interest in the mental health of UK military personnel. As a result of the close operational collaboration between US and UK forces, there have inevitably been many comparisons drawn between the mental health status of the two forces. Considerable research activity suggests that the mental health of UK forces appear to have remained relatively resilient in spite of their considerable exposure to traumatic events; one stark exception to this is the high rates of alcohol misuse which seem to be related to deployment. This paper explores the recently published literature relating to UK military forces and attempts to draw conclusions about the reasons for the apparent resilience shown by the majority of the regular forces. PMID:24574105

  4. Integrating Education on Addressing Health Disparities into the Graduate Social Work Curriculum

    ERIC Educational Resources Information Center

    Mitchell, Jamie Ann

    2012-01-01

    The purpose of this article is to propose an elective social work course as a means of better preparing social workers entering practice in healthcare to meet the challenges of promoting health and reducing health disparities in minority and underserved communities. Course offerings specifically targeting health or medical social work training…

  5. Understanding Job Satisfaction and Turnover in the Home Aide Work Force.

    ERIC Educational Resources Information Center

    Feldman, Penny Hollander; Sapienza, Alice M.

    Increasing demands for home health aides to the frail elderly and disabled, coupled with a high rate of turnover among these aides, has led to growing concerns over worker recruitment and retention in the home care industry. This paper therefore describes a model developed to explain job satisfaction and turnover among home health aides. The model…

  6. First Lady praises California for work in health care debate.

    PubMed

    Clinton, H R

    1993-01-01

    Hillary Rodham Clinton called California's health care delivery system a model for the nation during a live teleconference at the CAHHS Annual Meeting Oct. 13 in San Diego. In her first-ever address before a state hospital association, the first lady told nearly 1,000 people that California "has its own place of honor in the health care debate" and praised the state for being "years ahead of Washington (D.C.) in recognizing what's right about American health care." What follows is the transcript from her address. PMID:10130730

  7. Video: Animals; Electric Current; Force; Science Activities. Learning in Science Project. Working Papers 51-54.

    ERIC Educational Resources Information Center

    Bell, Beverley; And Others

    Four papers to be used in conjunction with video-tapes developed by the Learning in Science Project are presented. Topic areas of the papers focus on: (1) animals; (2) electric current; (3) force; and (4) science activities. The first paper presents transcripts of class discussions focusing on the scientific meaning of the word animal. The second…

  8. Wives' Relative Wages, Husbands' Paid Work Hours, and Wives' Labor-Force Exit

    ERIC Educational Resources Information Center

    Shafer, Emily Fitzgibbons

    2011-01-01

    Economic theories predict that women are more likely to exit the labor force if their partners' earnings are higher and if their own wage rate is lower. In this article, I use the National Longitudinal Survey of Youth (N = 2,254) and discrete-time event-history analysis to show that wives' relative wages are more predictive of their exit than are…

  9. Black Women in the Labor Force. Facts on Working Women No. 90-4.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    During the 1980s, the population of black women aged 16 years and older in the United States increased by 17.2%, and labor force participation for black women increased by 29%. In 1987, black women accounted for 50% of total black employment. The unemployment rate for black teenagers in 1990 was 30% (versus 10.8% for all black women). Labor force…

  10. Labor Force Participation Rates among Working-Age Individuals with Visual Impairments

    ERIC Educational Resources Information Center

    Kelly, Stacy M.

    2013-01-01

    The present study analyzes four consecutive years of monthly labor force participation rates reported by the Current Population Survey that included nationally representative samples of the general U.S. population and nationally representative samples of the U.S. population with specifically identified disabilities. Visual impairment is one of the

  11. Labor Force Participation, Work Experience, and the Pay Gap Between Men and Women.

    ERIC Educational Resources Information Center

    Mallan, Lucy B.

    1982-01-01

    The major finding of this study is that the rise in female labor force participation rates from 1956 to 1975 did not lower the overall level of experience. The widening gap between male and female earnings is attributed to the effects of discrimination and role differentiation. (SK)

  12. Wives' Relative Wages, Husbands' Paid Work Hours, and Wives' Labor-Force Exit

    ERIC Educational Resources Information Center

    Shafer, Emily Fitzgibbons

    2011-01-01

    Economic theories predict that women are more likely to exit the labor force if their partners' earnings are higher and if their own wage rate is lower. In this article, I use the National Longitudinal Survey of Youth (N = 2,254) and discrete-time event-history analysis to show that wives' relative wages are more predictive of their exit than are

  13. The Redistribution of the Black Work Force in the South by Industry.

    ERIC Educational Resources Information Center

    Rhee, Jong Mo

    The exodus of blacks from the south is connected to their abandonment of farming as a way of life. Since 1860 there has been a gradual move by the black population out of the rural south to the urban north from which stems a remarkable shift of the black labor force into industry. The black population from 1940 to 1970 has progressed from…

  14. Labor Force Participation Rates among Working-Age Individuals with Visual Impairments

    ERIC Educational Resources Information Center

    Kelly, Stacy M.

    2013-01-01

    The present study analyzes four consecutive years of monthly labor force participation rates reported by the Current Population Survey that included nationally representative samples of the general U.S. population and nationally representative samples of the U.S. population with specifically identified disabilities. Visual impairment is one of the…

  15. Perspectives: Reforming American Higher Education--Implications for a Vibrant Work Force and a Healthy Democracy

    ERIC Educational Resources Information Center

    Kolb, Charles

    2011-01-01

    The forces of globalization are finally hitting American postsecondary education. For nearly three decades, since the 1983 publication of "A Nation At Risk" launched a sustained focus on the mediocre, if not failing, K-12 system, American postsecondary education has avoided the accountability spotlight. Postsecondary policy debates have focused…

  16. Determinants of child and forced marriage in Morocco: stakeholder perspectives on health, policies and human rights

    PubMed Central

    2013-01-01

    Background In Morocco, the social and legal framework surrounding sexual and reproductive health has transformed greatly in the past decade, especially with the introduction of the new Family Law or Moudawana. Yet, despite raising the minimum age of marriage for girls and stipulating equal rights in the family, child and forced marriage is widespread. The objective of this research study was to explore perspectives of a broad range of professionals on factors that contribute to the occurrence of child and forced marriage in Morocco. Methods A qualitative approach was used to generate both primary and secondary data for the analysis. Primary data consist of individual semi-structured interviews that were conducted with 22 professionals from various sectors: health, legal, education, NGO’s and government. Sources of secondary data include academic papers, government and NGO reports, various legal documents and media reports. Data were analyzed using thematic qualitative analysis. Results Four major themes arose from the data, indicating that the following elements contribute to child and forced marriage: (1) the legal and social divergence in conceptualizing forced and child marriage; (2) the impact of legislation; (3) the role of education; and (4) the economic factor. Emphasis was especially placed on the new Family Code or Moudawana as having the greatest influence on advancement of women's rights in the sphere of marriage. However, participants pointed out that embedded patriarchal attitudes and behaviours limit its effectiveness. Conclusion The study provided a comprehensive understanding of the factors that compound the problem of child and forced marriage in Morocco. From the viewpoint of professionals, who are closely involved in tackling the issue, policy measures and the law have the greatest potential to bring child and forced marriage to a halt. However, the implementation of new legal tools is facing barriers and resistance. Additionally, the legal and policy framework should go hand in hand with both education and increased economic opportunities. Education and awareness-raising of all ages is considered essential, seeing that parents and the extended family play a huge role in marrying off girls and young women. PMID:24131501

  17. Preparation of Mental Health Clinicians to Work with Children with Co-Occurring Autism Spectrum Disorders and Mental Health Needs

    ERIC Educational Resources Information Center

    Williams, Marian E.; Haranin, Emily C.

    2016-01-01

    Up to 70% of children with autism spectrum disorders (ASD) have a co-occurring mental health disorder; however, many clinicians feel unprepared to serve children with complex co-occurring conditions. This study surveyed 64 mental health clinicians working in 21 publically-funded mental health agencies in a large urban setting to explore their…

  18. Universal access: making health systems work for women

    PubMed Central

    2012-01-01

    Universal coverage by health services is one of the core obligations that any legitimate government should fulfil vis-à-vis its citizens. However, universal coverage may not in itself ensure universal access to health care. Among the many challenges to ensuring universal coverage as well as access to health care are structural inequalities by caste, race, ethnicity and gender. Based on a review of published literature and applying a gender-analysis framework, this paper highlights ways in which the policies aimed at promoting universal coverage may not benefit women to the same extent as men because of gender-based differentials and inequalities in societies. It also explores how ‘gender-blind’ organisation and delivery of health care services may deny universal access to women even when universal coverage has been nominally achieved. The paper then makes recommendations for addressing these. PMID:22992384

  19. Between the Cracks: Access to Physical Health Care in Children of the Working Poor.

    ERIC Educational Resources Information Center

    Tinsley, Barbara J.; Wang, Shirley J.; Kwasman, Alan; Green, Delores

    This study examined the demographic and psychological characteristics of the parents of a group of children with no access to health care, due to their status as "working poor" and thus denied either public or private health insurance whose children were referred for treatment for an acute health problem by a volunteer health care program for…

  20. Empowering nurses for work engagement and health in hospital settings.

    PubMed

    Laschinger, Heather K Spence; Finegan, Joan

    2005-10-01

    Employee empowerment has become an increasingly important factor in determining employee health and wellbeing in restructured healthcare settings. The authors tested a theoretical model which specified the relationships among structural empowerment, 6 areas of worklife that promote employee engagement, and staff nurses' physical and mental health. A predictive, non-experimental design was used to test the model in a random sample of staff nurses. The authors discuss their findings and the implication for nurse administrators. PMID:16220057

  1. Looking after your health. 2. Avoiding constipation at work.

    PubMed

    Randall, Sara

    2015-01-01

    This article is to summarise key concepts for the health of the midwife, with particular focus on constipation. This is often a taboo subject even amongst women whi aren't midwives, so they do not always freely discuss the issue. It is a key discussion when talking through iron supplementation, hormonal changes and nutrition within the realm of the midwife. Raising awareness and taking care of your own bowel habits is key to enjoying future health and wellbeing. PMID:26310091

  2. Preparing for Global Womens Health Work

    PubMed Central

    Nour, Nawal M

    2013-01-01

    Interest in global maternal health has steadily increased over the past decade. Medical schools are offering courses on this subject, residencies are incorporating international elective rotations into their practices, and retiring practitioners are opting to spend a year or two in low-resource settings. Although interest is growing, sometimes wellmeaning health practitioners are not entirely prepared for their new experience. Prior to departure, a multistep process is necessary to prepare physicians for living and practicing overseas. PMID:24358408

  3. [The aspects of health of forced migrants in the Western Siberia].

    PubMed

    Doshchilin YuP; Lapin, N N

    1997-01-01

    A sociohygienic and medicodemographic characterization of the health status of forced migrants (refugees) was made on a model of a large industrial city in West Siberia. Morbidity for the most informative disease classes was studied using interviews and medical examinations of a random sampling of a representative group of refugees aged over 16 years. Each group of refugees from certain regions (Kazakhstan, Uzbekistan, Kirghizstan, and Tajikistan) is characterized by specific features in the structure of certain disease incidence. Nervous and mental disorders are an exclusion: their prevalence is 7 to 14.5 times higher than in the local controls in all refugees, except those from Kirghizstan. PMID:9244583

  4. [Climatic change and public health: scenarios after the coming into force of the Kyoto Protocol].

    PubMed

    Ballester, Ferran; Díaz, Julio; Moreno, José Manuel

    2006-03-01

    According to the reports of the intergovernmental panel for climatic change (IPCC) human beings of the present and near future are going to experiment, in fact we are already experimenting, important changes in the world climate. Conscious of the magnitude of the problem, international organizations have taken a series of initiatives headed to stop the climatic change and to reduce its impact. This willingness has been shaped into the agreements established in the Kyoto protocol, where countries commit to reduce greenhouse-effect gas emissions. Kyoto protocol has come into force on February 16th 2005 with the support of 141 signing countries. Among the major worries are the effects which climatic change may have upon health, such as: 1) changes in the morbidity- mortality related to temperature; 2) Effects on health related with extreme meteorological events (tornados, storms, hurricanes and extreme raining); 3) Air pollution and increase of associated health effects; d) Diseases transmitted by food and water and 4) Infectious diseases transmitted by vectors and by rodents. Even if all the countries in the world committed to the Kyoto Protocol, some consequences of the climatic change will be inevitable; among them some will have a negative impact on health. It would be necessary to adapt a key response strategy to minimize the impacts of climatic change and to reduce, at minimum cost, its adverse effects on health. From the Public Health position, a relevant role can and must be played concerning the understanding of the risks for health of such climatic changes, the design of surveillance systems to evaluate possible impacts, and the establishment of systems to prevent or reduce damages as well as the identification and development of investigation needs. PMID:16539979

  5. Developing Future Health Professionals' Capacities for Working with Aboriginal and Torres Strait Islander Peoples

    ERIC Educational Resources Information Center

    Hendrick, Antonia; Britton, Katherine Frances; Hoffman, Julie; Kickett, Marion

    2014-01-01

    This article details reflections of an interdisciplinary team of educators working with groups of health sciences students in preparing them for working with Aboriginal and Torres Strait Islander peoples. The first-year common core unit discussed here is one attempt to equip future health practitioners with skills and knowledges to work adequately…

  6. An Exploration of the Working Alliance in Mental Health Case Management

    ERIC Educational Resources Information Center

    Kondrat, David C.; Early, Theresa J.

    2010-01-01

    The working alliance between clients and helpers has been identified as a common factor of treatment effectiveness, yet very little research has explored variables associated with working alliance between mental health case managers and their consumers. This study explored the potential covariates of working alliance within community mental health

  7. Public health insurance eligibility and labor force participation of low-income childless adults.

    PubMed

    Guy, Gery P; Atherly, Adam; Adams, E Kathleen

    2012-12-01

    The Affordable Care Act aims to substantially increase public health insurance eligibility among low-income childless adults. The literature suggests that public health insurance may have important implications for labor market participation. With data from the March supplement to the Current Population Survey, difference-in-difference multivariable regression modeling is used to examine the association between state-level public health insurance expansions and the likelihood of full-time employment, part-time employment, and not working among eligible childless adults. Results indicate that public health insurance eligibility is associated with a 2.2 percentage point decrease in full-time employment, a 0.8 percentage point increase in the likelihood of part-time employment, and a 1.4 percentage point increase in the likelihood of not working. These associations were greatest among those with worse health and those aged from 50 to 64 years. This analysis provides important insights into the potential labor market repercussions of health insurance expansions under the Affordable Care Act. PMID:22922636

  8. Cellular Tug-of-War: Forces at Work and DNA Stretching in Mitosis

    NASA Astrophysics Data System (ADS)

    Griffin, Brian; Kilfoil, Maria L.

    2013-03-01

    In the microscopic world of the cell dominated by thermal noise, a cell must be able to successfully segregate its DNA with high fidelity in order to pass its genetic information on to its progeny. In this process of mitosis in eukaryotes, driving forces act on the cytoskeleton-based architecture called the mitotic spindle to promote this division. Our preliminary data demonstrates that the dynamics of this process in yeast cells is universal. Moreover, the dynamics suggest an increasing load as the chromosomes are pulled apart. To investigate this, we use three-dimensional imaging to track the dynamics of the poles of this architecture and the points of attachment to chromosomes simultaneously and with high spatial resolution. We analyze the relative motions of chromosomes as they are organized before segregation and as they are pulled apart, using this data to investigate the force-response behavior of this cytoskeleton-chromosome polymer system.

  9. The effects of finger rest positions on hand muscle load and pinch force in simulated dental hygiene work.

    PubMed

    Dong, Hui; Barr, Alan; Loomer, Peter; Rempel, David

    2005-04-01

    One of the techniques taught in dental and dental hygiene programs is to use finger rests to stabilize the instrument while performing dental scaling or other types of dental work. It is believed that finger rests may also reduce muscle stress and prevent injury due to muscle fatigue. In this study the effects of three different finger rest positions on hand muscle activity and thumb pinch force were compared. Twelve predental students performed simulated dental scaling tasks on a manikin using three different finger rest positions: 1) no finger rest, 2) one finger rest, and 3) two finger rests. Muscle activity and thumb pinch force were measured by surface electromyography and a pressure sensor, respectively. Using two finger rests was always associated with reduced thumb pinch force and muscle activity, as compared to not using any finger rests (p<0.05), while using one finger rest reduced thumb pinch force and muscle activity in most cases. Hence, using finger rests plays an important role in reducing the muscle load of the hand in students performing simulated dental hygiene work. It is concluded that dental and dental hygiene students may benefit from instructions for using finger rests at an early stage of their clinical training. Including biomechanical and ergonomic principles in dental and dental hygiene curricula will raise awareness of ergonomics among dental practitioners and help them incorporate these principles into daily practice. PMID:15800259

  10. Effects of war exposure on Air Force personnel’s mental health, job burnout and other organizational related outcomes

    PubMed Central

    Vinokur, Amiram D.; Pierce, Penny F.; Lewandowski-Romps, Lisa; Hobfoll, Stevan E.; Galea, Sandro

    2011-01-01

    Longitudinal data from a stratified representative sample of U.S. Air Force personnel (N = 1009) deployed to the wars in Iraq, Afghanistan, and other locations were analyzed in this study. Using structural equation models, we examined the effects of war exposure on traumatic experiences, Post Traumatic Stress (PTS) symptoms, resource loss, and on subsequent functioning, perceived health, and on job and organizationally relevant outcomes. The job and organizational outcomes included job burnout, job involvement, job strain, job satisfaction, work-family conflict, organizational commitment, deployment readiness, and intention to reenlist. We found that deployment to the theater of the war increased risk of exposure to trauma, which in turn, predicted elevated PTS symptoms and resource loss. PTS symptoms predicted later loss of resources and deterioration in perceived health and functioning. In turn, resource loss predicted negative job and organizational outcomes. Exposure to trauma fully mediated the effects of deployment to the theater of war on PTS symptoms and resource loss and had additional significant indirect effects on several job and organizational relevant outcomes. For returning veterans, deployment to the theater of war, exposure to trauma, PTS symptoms, and resource loss represents a ‘cascading’ chain of events that over time results in a decline of health and functioning as well as in adverse job and organizationally relevant outcomes that may affect organizational effectiveness. PMID:21280941

  11. Electron work functions of ferrite and austenite phases in a duplex stainless steel and their adhesive forces with AFM silicon probe

    NASA Astrophysics Data System (ADS)

    Guo, Liqiu; Hua, Guomin; Yang, Binjie; Lu, Hao; Qiao, Lijie; Yan, Xianguo; Li, Dongyang

    2016-02-01

    Local electron work function, adhesive force, modulus and deformation of ferrite and austenite phases in a duplex stainless steel were analyzed by scanning force microscopy. It is demonstrated that the austenite has a higher electron work function than the ferrite, corresponding to higher modulus, smaller deformation and larger adhesive force. Relevant first-principles calculations were conducted to elucidate the mechanism behind. It is demonstrated that the difference in the properties between austenite and ferrite is intrinsically related to their electron work functions.

  12. [Human resources and health work: challenges for a research agenda].

    PubMed

    Assuno, Ada Avila; Belisrio, Soraya Almeida; Campos, Francisco Eduardo; D'Avila, Luciana Souza

    2007-01-01

    This article discusses several key concepts for human resources policy in health in the context of Latin America's regional integration efforts. The article focuses on different concepts of integration to emphasize the analytical distinction between regional and conceptual integration. It also presents labor and human resources concepts before discussing, in the final analysis, the challenges that a common research agenda faces in the context of current health sector reforms in Latin America. The conclusion emphasizes the need to develop a technology and research system capable of supporting the agenda for exchange between MERCOSUR member countries. PMID:17625646

  13. Risk and resilience: health inequalities, working conditions and sickness benefit arrangements: an analysis of the 2010 European Working Conditions survey.

    PubMed

    van der Wel, Kjetil A; Bambra, Clare; Dragano, Nico; Eikemo, Terje A; Lunau, Thorsten

    2015-11-01

    In this article we ask whether the level of sickness benefit provision protects the health of employees, particularly those who are most exposed to hazardous working conditions or who have a little education. The study uses the European Working Condition Survey that includes information on 20,626 individuals from 28 countries. Health was measured by self-reported mental wellbeing and self-rated general health. Country-level sickness benefit provision was constructed using spending data from Eurostat. Group-specific associations were fitted using cross-level interaction terms between sickness benefit provision and physical and psychosocial working conditions respectively, as well as those with little education. The mental wellbeing of employees exposed to psychosocial job strain and physical hazards, or who had little education, was better in countries that offer more generous sickness benefit. These results were found in both men and women and were robust to the inclusion of GDP and country fixed effects. In the analyses of self-reported general health, few group-specific associations were found. This article concludes that generous sickness benefit provision may strengthen employee's resilience against mental health risks at work and risks associated with little education. Consequently, in countries with a generous provision of sickness benefit, social inequalities in mental health are smaller. PMID:26094941

  14. Challenges and Opportunities for Advancing Work on Climate Change and Public Health

    PubMed Central

    Gould, Solange; Rudolph, Linda

    2015-01-01

    Climate change poses a major threat to public health. Strategies that address climate change have considerable potential to benefit health and decrease health inequities, yet public health engagement at the intersection of public health, equity, and climate change has been limited. This research seeks to understand the barriers to and opportunities for advancing work at this nexus. We conducted semi-structured in-depth interviews (N = 113) with public health and climate change professionals and thematic analysis. Barriers to public health engagement in addressing climate change include individual perceptions that climate change is not urgent or solvable and insufficient understanding of climate change’s health impacts and programmatic connections. Institutional barriers include a lack of public health capacity, authority, and leadership; a narrow framework for public health practice that limits work on the root causes of climate change and health; and compartmentalization within and across sectors. Opportunities include integrating climate change into current public health practice; providing inter-sectoral support for climate solutions with health co-benefits; and using a health frame to engage and mobilize communities. Efforts to increase public health sector engagement should focus on education and communications, building leadership and funding, and increasing work on the shared root causes of climate change and health inequities. PMID:26690194

  15. Challenges and Opportunities for Advancing Work on Climate Change and Public Health.

    PubMed

    Gould, Solange; Rudolph, Linda

    2015-12-01

    Climate change poses a major threat to public health. Strategies that address climate change have considerable potential to benefit health and decrease health inequities, yet public health engagement at the intersection of public health, equity, and climate change has been limited. This research seeks to understand the barriers to and opportunities for advancing work at this nexus. We conducted semi-structured in-depth interviews (N = 113) with public health and climate change professionals and thematic analysis. Barriers to public health engagement in addressing climate change include individual perceptions that climate change is not urgent or solvable and insufficient understanding of climate change's health impacts and programmatic connections. Institutional barriers include a lack of public health capacity, authority, and leadership; a narrow framework for public health practice that limits work on the root causes of climate change and health; and compartmentalization within and across sectors. Opportunities include integrating climate change into current public health practice; providing inter-sectoral support for climate solutions with health co-benefits; and using a health frame to engage and mobilize communities. Efforts to increase public health sector engagement should focus on education and communications, building leadership and funding, and increasing work on the shared root causes of climate change and health inequities. PMID:26690194

  16. A good training based on insufficiency: Work in health care as an ethics.

    PubMed

    Casetto, Sidnei J; Henz, Alexandre O; Garcia, Maurício L; Aguiar, Fernanda B; Montenegro, Julia T; Unzueta, Leandro B; Capozzolo, Angela A

    2016-03-01

    The article discusses psychology training in health care at the Federal University of São Paulo. It places curriculum guidelines in a changing movement of training for health professions, proposing Work in Health Care as one of its common axes. In the Baixada Santista campus, the course is based on learning by experience, public health services and multidisciplinary team work. Three vectors derived from the experience in this project and its assessment are discussed: a common clinic, work in health care as an ethics and the idea of good training by insufficiency. PMID:26987824

  17. Distraction: an assessment of smartphone usage in health care work settings

    PubMed Central

    Gill, Preetinder S; Kamath, Ashwini; Gill, Tejkaran S

    2012-01-01

    Smartphone use in health care work settings presents both opportunities and challenges. The benefits could be severely undermined if abuse and overuse are not kept in check. This practice-focused research paper examines the current panorama of health software applications. Findings from existing research are consolidated to elucidate the level and effects of distraction in health care work settings due to smartphone use. A conceptual framework for crafting guidelines to regulate the use of smartphones in health care work settings is then presented. Finally, specific guidelines are delineated to assist in creating policies for the use of smartphones in a health care workplace. PMID:22969308

  18. Working with the private sector for child health.

    PubMed

    Waters, Hugh; Hatt, Laurel; Peters, David

    2003-06-01

    Private sector providers are the most commonly consulted source of care for child illnesses in many countries, offering significant opportunities to expand the reach of essential child health services and products. Yet collaboration with private providers presents major challenges - the suitability and quality of the services they provide is often questionable and governments' capacity to regulate them is limited. This article assesses the actual and potential contributions of the private sector to child health, and classifies and evaluates public sector strategies to promote and rationalize the contributions of private sector actors. Governments and international organizations can use a variety of strategies to collaborate with and influence private sector actors to improve child health - including contracting, regulating, financing and social marketing, training, coordinating and informing the public. These mutually reinforcing strategies can both improve the quality of services currently delivered in the private sector, and expand and rationalize the coverage of these services. One lesson from this review is that the private sector is very heterogeneous. At the country level, feasible strategies depend on the potential of the different components of the private sector and the capacity of governments and their partners for collaboration. To date, experience with private sector strategies offers considerable promise for children's health, but also raises many questions about the feasibility and impact of these strategies. Where possible, future interventions should be designed as experiments, with careful assessment of the intervention design and the environment in which they are implemented. PMID:12740317

  19. Deriving the Work Done by an Inverse Square Force in Non-Calculus-Based Introductory Physics Courses

    ERIC Educational Resources Information Center

    Hu, Ben Yu-Kuang

    2012-01-01

    I describe a method of evaluating the integral of 1/r[superscript 2] with respect to r that uses only algebra and the concept of area underneath a curve, and which does not formally employ any calculus. This is useful for algebra-based introductory physics classes (where the use of calculus is forbidden) to derive the work done by the force of one…

  20. Telecommuters: The Stay-at-home Work Force of the Future.

    ERIC Educational Resources Information Center

    Eder, Peter F.

    1983-01-01

    Much of the work in the coming information society will be done by teleworkers who stay home and "commute" to work via telecommunications. Technological problems, societal barriers, and marketing problems--three issues which determine growth and spread of teleworking--are discussed. A scenario for teleworking is described. (NW)

  1. Soft Skills and the Minority Work Force: A Guide for Informed Discussion.

    ERIC Educational Resources Information Center

    Conrad, Cecilia A.

    This publication analyzes issues that lead to a working definition of soft working skills. Data come from research by the Joint Center for Political and Economic Studies. At a workshop, scholars, practitioners, and representatives from various job sites discussed the impact of soft skills on access to jobs and long-term employment among minority…

  2. Beryllium Health and Safety Committee Data Reporting Task Force White Paper #2 -- Uses of Uncensored Data

    SciTech Connect

    MacQueen, D H

    2007-10-10

    On December 8, 1999, the Department of Energy (DOE) published Title 10 CFR 850 (hereafter referred to as the Rule) to establish a chronic beryllium disease prevention program (CBDPP) to: (1) reduce the number of workers currently exposed to beryllium in the course of their work at DOE facilities managed by DOE or its contractors; (2) minimize the levels of, and potential for, exposure to beryllium; and (3) establish medical surveillance requirements to ensure early detection of the disease. On January 4, 2001, DOE issued DOE G 440.1-7A, Implementation Guide for use with 10 CFR 850, Chronic Beryllium Disease Prevention Program, to assist line managers in meeting their responsibilities for implementing the CBDPP. That guide describes methods and techniques that DOE considers acceptable in complying with the Rule. In 2005 a draft DOE Technical Standard ''Management of Items and Areas Containing Low Levels of Beryllium'' (SAFT 0103; hereafter referred to as the ''TS'') was circulated for comment (http://www.hss.energy.gov/NuclearSafety/techstds/tsdrafts/saft-0103.pdf). DOE technical standards are voluntary consensus standards developed when industry standards do not exist (see http://www.hss.energy.gov/NuclearSafety/techstds/index.html for more information). DOE does not require its field elements to implement DOE technical standards, but field elements may choose to adopt these standards to meet specific needs. This beryllium TS is intended to provide best practices and lessons learned for manageing items and areas that contain low levels of beryllium, which has been a costly and technically challenging component of CBDPPs. The TS is also intended to provide guidance for determining if the Rule's housekeeping and release criteria are met. On challenge the TS addressed was the statistical interpretation of data sets with non-detected results, a topic for which no strong consensus exists. Among the many comments on the draft TS was a suggestion that certain of the statistical comparisons described in the TS could be better implemented if analytical results, even when below a reporting limit, were to be reported by analytical laboratories. See Appendix 1 for a review of terminology related to reporting limits. The Beryllium Health and Safety Committee (BHSC) formed a Sampling and Analysis Subcommittee (SAS) in 2003. The SAS established a working group on accreditation and reporting limits. By 2006 it had become evident that the issues extended to data reporting as a whole. The SAS proposed to the BHSC the formation of a Data Reporting Task Force (DRTF) to consider issues related to data reporting. The BHSC Board agreed, and requested that the DRTF generate a white paper, to be offered by the BHSC to potential interested parties such as the DOE policy office that is responsible for beryllium health and safety policy. It was noted that additional products could include detailed guidance and potentially a journal article in the future. The SAS proposed that DRTF membership represent the affected disciplines (chemists, industrial hygiene professionals and statisticians, and the DOE office that is responsible for beryllium health and safety policy). The BHSC Board decided that DRTF membership should come from DOE sites, since the focus would be on reporting in the context of the TS and the Rule. The DRTF came into existence in late 2006. The DRTF membership includes industrial hygienists, analytical chemists and laboratory managers, members of the regulatory and oversight community, and environmental statisticians. A first White Paper, ''Summary of Issues and Path Forward'', was reviewed by the BHSC in March 2007 and issued by the DRTF in June 2007. It describes the charter of the DRTF, introduces some basic terminology (reproduced here in Appendix 1), lays out the issues the DRTF is expected to address, and describes a path forward for the DRTF's work. This first White Paper is available through the BHSC web site. This White Paper presents recommendations developed by the DRTF following the process laid out in that first White Paper.

  3. [Demographic, socioeconomic, and health profile of working and non-working Brazilian children and adolescents: an analysis of inequalities].

    PubMed

    Miquilin, Isabella de Oliveira Campos; Marín-León, Leticia; Luz, Verônica Gronau; La-Rotta, Ehideé Isabel Gómez; Corrêa Filho, Heleno Rodrigues

    2015-09-01

    The objectives of this study were to describe the work done by Brazilian children and adolescents and compare the socioeconomic and health profile of those that worked (or were looking for work) versus non-working youngsters. Based on the 2008 Brazilian National Sample Household Survey (PNAD/2008), we selected children and adolescents 5 to 17 years of age, divided into two analytical categories: "workers" (working or looking for employment) and "non-workers". We calculated prevalence rates for the characteristics of their main work, as well as socioeconomic and health variables comparing the two categories. Poisson regression was used to estimate prevalence ratios, adjusted by health characteristics, with "non-workers" as the reference category. Compared to "non-workers", the "workers" category was associated with a higher proportion of boys; age 14 to 17 years; black or brown skin color; lower school attendance; and worse housing conditions. Child labor was associated with worse self-rated health; chronic backache; arthritis or rheumatism; and depression. Effective policies to support families need to be strengthened to effectively fight child labor. PMID:26578011

  4. Sexual health of adults working in pornographic films.

    PubMed

    Coyne, K M; Banks, A; Heggie, C; Scott, C J; Grover, D; Evans, C; Mandalia, S; McLean, K A; Cohen, C E

    2009-07-01

    We report the frequency of sexually transmitted infections (STIs) diagnosed in performers in the adult pornographic film industry. Over a 13 month period, 445 STI screens were performed in 115 patients, 56 women and 59 men. All reported unprotected sex during filming. Seventy-five percent (86) had at least one sexual partner outside work, and 90% used condoms inconsistently with them. Women worked exclusively with women (23%), men only (38%) or both genders (39%). Almost all men (97%) worked exclusively heterosexually. Thirty-eight percent (44/115) were diagnosed with 77 STIs, including non-specific urethritis (51), gonorrhoea (10), chlamydia (6) and genital warts (6). Gonorrhoea was found exclusively at the pharynx in three heterosexual men. There were no cases of HIV, syphilis, hepatitis B or hepatitis C. Monthly screening and certification is a working requirement for this population but STIs are common in an industry where unprotected sex is the norm. PMID:19541897

  5. Genomic information as a behavioral health intervention: can it work?

    PubMed Central

    Bloss, Cinnamon S; Madlensky, Lisa; Schork, Nicholas J; Topol, Eric J

    2011-01-01

    Individuals can now obtain their personal genomic information via direct-to-consumer genetic testing, but what, if any, impact will this have on their lifestyle and health? A recent longitudinal cohort study of individuals who underwent consumer genome scanning found minimal impacts of testing on risk-reducing lifestyle behaviors, such as diet and exercise. These results raise an important question: is personal genomic information likely to beneficially impact public health through motivation of lifestyle behavioral change? In this article, we review the literature on lifestyle behavioral change in response to genetic testing for common disease susceptibility variants. We find that only a few studies have been carried out, and that those that have been done have yielded little evidence to suggest that the mere provision of genetic information alone results in widespread changes in lifestyle health behaviors. We suggest that further study of this issue is needed, in particular studies that examine response to multiplex testing for multiple genetic markers and conditions. This will be critical as we anticipate the wide availability of whole-genome sequencing and more comprehensive phenotyping of individuals. We also note that while simple communication of genomic information and disease susceptibility may be sufficient to catalyze lifestyle changes in some highly motivated groups of individuals, for others, additional strategies may be required to prompt changes, including more sophisticated means of risk communication (e.g., in the context of social norm feedback) either alone or in combination with other promising interventions (e.g., real-time wireless health monitoring devices). PMID:22199991

  6. Globalisation, rural restructuring and health service delivery in Australia: policy failure and the role of social work?

    PubMed

    Alston, Margaret

    2007-05-01

    The impacts of globalisation and rural restructuring on health service delivery in rural Australia have been significant. In the present paper, it is argued that declining health service access represents a failure of policy. Rural communities across the world are in a state of flux, and Australia is no different: rural communities are ageing at faster rates than urban communities and young people are out-migrating in large numbers. During the past 5 years, rural Australia has also experienced a severe and widespread drought that has exacerbated rural poverty, and impacted on the health and well-being of rural Australians. Australian governments have responded to globalising forces by introducing neoliberal policy initiatives favouring market solutions and championing the need for self-reliance among citizens. The result for rural Australia has been a withdrawal of services at a time of increased need. This paper addresses the social work response to these changes. PMID:17444982

  7. The social gradient in work and health: a cross-sectional study exploring the relationship between working conditions and health inequalities

    PubMed Central

    2013-01-01

    Background Social inequalities in health are widely examined. But the reasons behind this phenomenon still remain unclear in parts. It is undisputed that the work environment plays a crucial role in this regard. However, the contribution of psychosocial factors at work is unclear and inconsistent, and most studies are limited with regard to work factors and health outcomes. This study, therefore, aimed to explore the role and contribution of various physical and psychosocial working conditions to explaining social inequalities in different self-reported health outcomes. Methods Data from a postal survey among the workforces of four medium-sized and large companies from diverse industries of the secondary sector in Switzerland were used and analysed. The study sample covered 1,846 employees aged 20 and 64 and included significant proportions of unskilled manual workers and highly qualified non-manual workers. Cross tabulations and logistic regression analyses were performed to study multiple associations between social status, work factors and health outcomes. Combinations of educational level and occupational position wee used as a measure of social status or class. Results Clear social gradients were observed for almost all adverse working conditions and poor health outcomes studied, but in different directions. While physical workloads and other typical blue-collar job characteristics not suprisingly, were found to be much more common among the lower classes, most psychosocial work demands and job resources were more prevalent in the higher classes. Furthermore, workers in lower classes, i.e. with lower educational and occupational status, were more likely to report poor self-rated health, limited physical functioning and long sickness absence, but at the same time were less likely to experience increased stress feelings and burnout symptoms showing a reversed health gradient. Finally, blue-collar job characteristics contributed substantially to the social gradient found in general and physical health outcomes. In contrast, white-collar job characteristics made no contribution to explaining the gradient in these health outcomes, but instead largely explained the reversed social gradient observed for the mental health outcomes. Conclusion The findings suggest a more differentiated pattern of the commonly found social gradient in health and the differential role of work in this respect. PMID:24330543

  8. Beyond workers' compensation: men's mental health in and out of work.

    PubMed

    Oliffe, John L; Han, Christina S E

    2014-01-01

    The mental health of men is an important issue with significant direct and indirect costs emerging from work-related depression and suicide. Although the merits of men's community-based and workplace mental health promotion initiatives have been endorsed, few programs are mandated or formally evaluated and reported on. Conspicuously absent also are gender analyses detailing connections between masculinities and men's work-related depression and suicide on which to build men-centered mental health promotion programs. This article provides an overview of four interconnected issues, (a) masculinities and men's health, (b) men and work, (c) men's work-related depression and suicide, and (d) men's mental health promotion, in the context of men's diverse relationships to work (including job insecurity and unemployment). Based on the review, recommendations are made for advancing the well-being of men who are in as well as of those out of work. PMID:23727792

  9. Beyond workers' compensation: men's mental health in and out of work.

    TOXLINE Toxicology Bibliographic Information

    Oliffe JL; Han CS

    2014-01-01

    The mental health of men is an important issue with significant direct and indirect costs emerging from work-related depression and suicide. Although the merits of men's community-based and workplace mental health promotion initiatives have been endorsed, few programs are mandated or formally evaluated and reported on. Conspicuously absent also are gender analyses detailing connections between masculinities and men's work-related depression and suicide on which to build men-centered mental health promotion programs. This article provides an overview of four interconnected issues, (a) masculinities and men's health, (b) men and work, (c) men's work-related depression and suicide, and (d) men's mental health promotion, in the context of men's diverse relationships to work (including job insecurity and unemployment). Based on the review, recommendations are made for advancing the well-being of men who are in as well as of those out of work.

  10. Periodic health examination, 1995 update: 2. Prevention of dental caries. The Canadian Task Force on the Periodic Health Examination.

    PubMed Central

    Lewis, D W; Ismail, A I

    1995-01-01

    OBJECTIVE: To make recommendations, based on current evidence, for practising physicians and dentists on interventions for the prevention of dental caries in their patients. OPTIONS: Systemic fluoride administration, professionally administered fluoride, use of fluoride mouth rinses, fissure sealants, oral-hygiene practices, dietary practices, identification of groups at a high risk of dental caries, and early diagnosis and treatment. OUTCOMES: Reduced prevalence of dental caries and fluorosis, longer retention of teeth and lower treatment costs. EVIDENCE: Several MEDLINE searches were conducted for articles published from January 1980 to December 1992, including relevant review articles. VALUES: Relevant clinical findings were evaluated and categorized with the use of the evidence-based methods and values of the Canadian Task Force on the Periodic Health Examination. Recommendations were developed for each method of caries prevention, with reduced incidence of dental caries and improved prevalence of caries-free teeth given high values. BENEFITS, HARMS AND COSTS: The potential benefits of these measures in the long-term are a lower incidence of tooth decay, longer retention of teeth and prevention of fluorosis. The cost saving can be considerable for patients and insurers; however, implementation of some recommendations will be difficult, since the traditional preventive practices of dentists and dental hygienists are not easily changed. RECOMMENDATIONS: There is good evidence that the following manoeuvres are effective in preventing dental caries: use of dentifrices containing fluoride, fluoridation of drinking water, fluoride supplements for patients in areas where there is a low level (0.3 ppm or less) of fluoride in the drinking water, professionally applied topical fluoride and the use of fluoride mouth rinses for patients with very active decay or at a high risk of dental caries and selective use of professionally applied fissure sealants on permanent molar teeth. There is poor evidence that the following manoeuvres are effective in preventing dental caries: professionally applied topical fluoride and the use of fluoride mouth rinses for patients with a low risk of caries, toothbrushing (without a dentifrice containing fluoride) and flossing, cleaning of teeth by a dentist or dental hygienist before topical application of fluoride or at a dental visit and dietary counselling for the general population. There is good evidence to recommend against the use of over-the-counter fluoride mouth rinses by the general population. VALIDATION: These guidelines are compatible with those of the US Preventive Services Task Force. SPONSOR: These guidelines were developed and endorsed by the task force, which is funded by Health Canada. Major funding was provided by the Faculty of Dentistry of the University of Toronto, Toronto and the Faculty of Dentistry of Dalhousie University, Halifax. PMID:7697577

  11. Research in the Service of Mental Health: Summary Report of the Research Task Force of the National Institute of Mental Health.

    ERIC Educational Resources Information Center

    Segal, Julius, Ed.; Boomer, Donald S., Ed.

    Presented is a summary of the findings and recommendations of the National Institute of Mental Health (NIMH) Task Force on Research in the Service of Mental Health. Research is discussed on topics which include background and organization of NIMH research programs; biological, psychological, and sociocultural influences on behavior; role and

  12. Working towards Men's Health: Findings from the Sefton Men's Health Project

    ERIC Educational Resources Information Center

    Robinson, Mark; Robertson, Steve; McCullagh, Jo; Hacking, Sue

    2010-01-01

    Objective: To evaluate a health improvement initiative aimed at enhancing the health of men in deprived areas. Design: A healthy lifestyle programme was undertaken with men to increase their health knowledge, and encourage behaviour modification and access to health improvement services. A peer mentoring programme was implemented and a training…

  13. Health Workforce and International Migration: Can New Zealand Compete? OECD Health Working Papers No. 33

    ERIC Educational Resources Information Center

    Zurn, Pascal; Dumont, Jean-Christophe

    2008-01-01

    This paper examines health workforce and migration policies in New Zealand, with a special focus on the international recruitment of doctors and nurses. The health workforce in New Zealand, as in all OECD countries, plays a central role in the health system. Nonetheless, maybe more than for any other OECD country, the health workforce in New…

  14. Working towards Men's Health: Findings from the Sefton Men's Health Project

    ERIC Educational Resources Information Center

    Robinson, Mark; Robertson, Steve; McCullagh, Jo; Hacking, Sue

    2010-01-01

    Objective: To evaluate a health improvement initiative aimed at enhancing the health of men in deprived areas. Design: A healthy lifestyle programme was undertaken with men to increase their health knowledge, and encourage behaviour modification and access to health improvement services. A peer mentoring programme was implemented and a training

  15. Rethinking work-health models for the new global economy: a qualitative analysis of emerging dimensions of work.

    PubMed

    Polanyi, Michael; Tompa, Emile

    2004-01-01

    Technology change, rising international trade and investment, and increased competition are changing the organization, distribution and nature of work in industrialized countries. To enhance productivity, employers are striving to increase innovation while minimizing costs. This is leading to an intensification of work demands on core employees and the outsourcing or casualization of more marginal tasks, often to contingent workers. The two prevailing models of work and health - demand-control and effort-reward imbalance - may not capture the full range of experiences of workers in today's increasingly flexible and competitive economies. To explore this proposition, we conducted a secondary qualitative analysis of interviews with 120 American workers [6]. Our analysis identifies aspects of work affecting the quality of workers' experiences that are largely overlooked by popular work-health models: the nature of social interactions with customers and clients; workers' belief in, and perception of, the importance of the product of their work. We suggest that the quality of work experiences is partly determined by the objective characteristics of the work environment, but also by the fit of the work environment with the worker's needs, interests, desires and personality, something not adequately captured in current models. PMID:15328458

  16. How private, voluntary health insurance can work in developing countries.

    PubMed

    Pauly, Mark V; Blavin, Frederic E; Meghan, Sudha

    2009-01-01

    Could voluntary insurance markets exist in developing countries? We used data from the World Health Survey for eleven countries to estimate, at different income levels, variation in total medical spending and spending for hospitals, physicians, and outpatient drugs. The goal was to generate estimates of risk premiums that consumers might pay for insurance coverage and to calculate likely insurance administrative costs. We conclude that insurance covering either hospital spending or total spending is feasible for much of the population, but not insurance for physician services or medicines. Spending varies by income, so insurance markets should be segmented by income. PMID:19887419

  17. Behavioral Health and Performance (BHP) Work-Rest Cycles

    NASA Technical Reports Server (NTRS)

    Leveton, Lauren B.; Whitmire, Alexandra

    2011-01-01

    BHP Program Element Goal: Identify, characterize, and prevent or reduce behavioral health and performance risks associated with space travel, exploration and return to terrestrial life. BHP Requirements: a) Characterize and assess risks (e.g., likelihood and consequences). b) Develop tools and technologies to prevent, monitor, and treat adverse outcomes. c) Inform standards. d) Develop technologies to: 1) reduce risks and human systems resource requirements (e.g., crew time, mass, volume, power) and 2) ensure effective human-system integration across exploration mission.

  18. What is a health worker? How spa therapists in a Norwegian health hotel understand their work.

    PubMed

    Anderssen, Jorid

    2016-04-01

    In Norway, as in many other wealthy countries, the number of health-related services that are being offered outside of the health sector is increasing. The present paper is based on qualitative interviews that were conducted with providers of health-related services at a commercial health hotel in Norway. The hotel is marketed as a health hotel - that is, a place for people with health problems and for those who need relaxation and an escape from their stressful everyday lives. The paper discusses whether the providers of this kind of service consider it a health service or if they distinguish and distance themselves from the health system. The interviews showed that they consider themselves health workers and refer to themselves as therapists. Even though they use therapy in the health sector as a model, they distinguish themselves from therapists in the health sector. They do not want to treat what they call sick people. Most of their therapy is directed toward cultivating or improving people's bodies and souls. These service providers think that they contribute to improving their guests' health by teaching them how to take care of themselves; enjoying oneself (for instance, by receiving skin treatment or a massage) is an important aspect of good health. According to the therapists, modern-day women, in particular, are often worn-out, and they deserve, and are entitled, to enjoy themselves. In these ways, the therapists use health to legitimize their services, and they challenge the current understanding of health. PMID:26324995

  19. Does Occupational Mobility Influence Health among Working Women? Comparing Objective and Subjective Measures of Work Trajectories

    ERIC Educational Resources Information Center

    Wilkinson, Lindsay R.; Shippee, Tetyana P.; Ferraro, Kenneth F.

    2012-01-01

    Occupational mobility is highly valued in American society, but is it consequential to women's health? Previous studies have yielded inconsistent results, but most measured occupational mobility by identifying transitions across occupational categories. Drawing from cumulative inequality theory, this study (1) compares objective and subjective…

  20. Information and Health. Report on a Working Group (Luxembourg, Belgium, November 4-7, 1980).

    ERIC Educational Resources Information Center

    World Health Organization, Copenhagen (Denmark). Regional Office for Europe.

    A Working Group, convened by the World Health Organization (WHO), proposed a clearer definition of the essential role of health information and suggested the most appropriate means of communication between governments and the mass media, between the media and health services, and between patients and doctors. The Group urged all WHO Member States…

  1. Health promotion in the maritime work environment--training of leaders.

    PubMed

    Jezewska, Maria; Jaremin, Bogdan; Leszczy?ska, Irena

    2007-01-01

    The essence of the project of pro-health attitudes promotion is the assumption that they contribute to a successful occupational career and reduce health and life hazards in the maritime work environment. The method chosen was to train students of the Maritime Academy in Gdynia, the future officers and potential health leaders among maritime employees. PMID:18350982

  2. What Can Education Teach Child Mental Health Services? Practitioners' Perceptions of Training and Joint Working

    ERIC Educational Resources Information Center

    Vostanis, Panos; O'Reilly, Michelle; Taylor, Helen; Day, Crispin; Street, Cathy; Wolpert, Miranda; Edwards, Ruth

    2012-01-01

    The importance of joint working between educational and child mental health professionals is well documented but there are numerous challenges and only limited training models. While the evidence base and training programmes for educationalists regarding child mental health is growing, training mental health professionals about education is more…

  3. Downsizing of the nation's labor force and a needed social work response.

    PubMed

    Raber, M

    1996-01-01

    While employers recognize that downsizings are not cyclical but rather strategic business decisions, there is not sufficient recognition of the importance of these human resources in the profitability and service quality in their organizations. The author highlights the challenge to the social work profession to sensitize management to the needs of their employees, both the released workers and the survivors. The author recommends strategies to sensitize employers to implement processes to humanize the consolidations occurring increasingly in the workforce. An emphasis is placed on the challenges to the social work profession in providing programs and services to America's businesses and employees. PMID:10157887

  4. Impact of School Staff Health on Work Productivity in Secondary Schools in Massachusetts

    ERIC Educational Resources Information Center

    Alker, Heather J.; Wang, Monica L.; Pbert, Lori; Thorsen, Nancy; Lemon, Stephenie C.

    2015-01-01

    Background: Healthy, productive employees are an integral part of school health programs. There have been few assessments of work productivity among secondary school staff. This study describes the frequency of 3 common health risk factors--obesity, depressive symptoms, and smoking--and their impact on work productivity in secondary school

  5. The Hidden Health Toll: A Cost of Work to the American Woman

    ERIC Educational Resources Information Center

    Stellman, Jeanne M.

    1977-01-01

    Large numbers of women work at jobs that present serious health hazards, although most people associate workplace hazards with traditionally "male" jobs. Physical dangers, stress, and fatigue lead to manifold health problems among working women. These problems should be investigated and conditions improved for workers of both sexes. (Author/GC)

  6. Impact of School Staff Health on Work Productivity in Secondary Schools in Massachusetts

    ERIC Educational Resources Information Center

    Alker, Heather J.; Wang, Monica L.; Pbert, Lori; Thorsen, Nancy; Lemon, Stephenie C.

    2015-01-01

    Background: Healthy, productive employees are an integral part of school health programs. There have been few assessments of work productivity among secondary school staff. This study describes the frequency of 3 common health risk factors--obesity, depressive symptoms, and smoking--and their impact on work productivity in secondary school…

  7. Human health and the water environment: using the DPSEEA framework to identify the driving forces of disease.

    PubMed

    Gentry-Shields, Jennifer; Bartram, Jamie

    2014-01-15

    There is a growing awareness of global forces that threaten human health via the water environment. A better understanding of the dynamic between human health and the water environment would enable prediction of the significant driving forces and effective strategies for coping with or preventing them. This report details the use of the Driving Force-Pressure-State-Exposure-Effect-Action (DPSEEA) framework to explore the linkage between water-related diseases and their significant driving forces. The DPSEEA frameworks indicate that a select group of driving forces, including population growth, agriculture, infrastructure (dams and irrigation), and climate change, is at the root cause of key global disease burdens. Construction of the DPSEEA frameworks also allows for the evaluation of public health interventions. Sanitation was found to be a widely applicable and effective intervention, targeting the driver/pressure linkage of most of the water-related diseases examined. Ultimately, the DPSEEA frameworks offer a platform for constituents in both the health and environmental fields to collaborate and commit to a common goal targeting the same driving forces. PMID:24036221

  8. To What Extent Do Financial Strain and Labour Force Status Explain Social Class Inequalities in Self-Rated Health? Analysis of 20 Countries in the European Social Survey

    PubMed Central

    Shaw, Richard J.; Benzeval, Michaela; Popham, Frank

    2014-01-01

    Introduction Nordic countries do not have the smallest health inequalities despite egalitarian social policies. A possible explanation for this is that drivers of class differences in health such as financial strain and labour force status remain socially patterned in Nordic countries. Methods Our analyses used data for working age (25–59) men (n = 48,249) and women (n = 52,654) for 20 countries from five rounds (2002–2010) of the European Social Survey. The outcome was self-rated health in 5 categories. Stratified by gender we used fixed effects linear regression models and marginal standardisation to instigate how countries varied in the degree to which class inequalities were attenuated by financial strain and labour force status. Results and Discussion Before adjustment, Nordic countries had large inequalities in self-rated health relative to other European countries. For example the regression coefficient for the difference in health between working class and professional men living in Norway was 0.34 (95% CI 0.26 to 0.42), while the comparable figure for Spain was 0.15 (95% CI 0.08 to 0.22). Adjusting for financial strain and labour force status led to attenuation of health inequalities in all countries. However, unlike some countries such as Spain, where after adjustment the regression coefficient for working class men was only 0.02 (95% CI −0.05 to 0.10), health inequalities persisted after adjustment for Nordic countries. For Norway the adjusted coefficient was 0.17 (95% CI 0.10 to 0.25). Results for women and men were similar. However, in comparison to men, class inequalities tended to be stronger for women and more persistent after adjustment. Conclusions Adjusting for financial security and labour force status attenuates a high proportion of health inequalities in some counties, particularly Southern European countries, but attenuation in Nordic countries was modest and did not improve their relative position. PMID:25313462

  9. Work strain, health, and absenteeism: a meta-analysis.

    PubMed

    Darr, Wendy; Johns, Gary

    2008-10-01

    Work strain has been argued to be a significant cause of absenteeism in the popular and academic press. However, definitive evidence for associations between absenteeism and strain is currently lacking. A theory focused meta-analysis of 275 effects from 153 studies revealed positive but small associations between absenteeism and work strain, psychological illness, and physical illness. Structural equation modeling results suggested that the strain-absence connection may be mediated by psychological and physical symptoms. Little support was received for the purported volitional distinction between absence frequency and time lost absence measures on the basis of illness. Among the moderators examined, common measurement, midterm and stable sources of variance, and publication year received support. PMID:18837626

  10. Preparing a Twenty-First Century Work Force: Innovations in Programs and Practices.

    ERIC Educational Resources Information Center

    Scott, David, Ed.

    This document describes 54 successful and effective community college programs that focus on innovative strategies for meeting current and future workforce developments and requirements. This handbook was prepared in response to an initiative to work in partnership with national and international companies and agencies committed to workforce…

  11. Work Force Education: Beyond Technical Skills. Trends and Issues Alert No. 1.

    ERIC Educational Resources Information Center

    Imel, Susan

    This brief suggests that during the past 2 decades, the skills needed to succeed in the workplace have changed significantly. Technical skills remain important, but, increasingly, employers recognize another category of skills crucial to a worker's ability to work "smarter, not harder." These "soft,""core,""nontechnical,""essential,""generic," and

  12. Economic and Work Force Development. New Directions for Community Colleges, Number 75.

    ERIC Educational Resources Information Center

    Waddell, Geneva, Ed.

    1991-01-01

    Among the factors reshaping the American workforce are diversity, demands of work and family, global competition, the growing importance of strategic human resource planning, the need to reeducate employees for new technologies and more demanding jobs, and renewed interest in ethics and social responsibility. This collection of articles examines…

  13. Re-Forming the Teaching Work Force: The Case of the Academic Coach

    ERIC Educational Resources Information Center

    Hall, Christine; Youens, Bernadette

    2007-01-01

    This article reports the findings of a study of the experiences and expectations of a cohort of 13 "Academic Coaches", appointed to temporary teaching support roles in challenging inner city secondary schools. The discussion of this particular initiative is located in a broader consideration of the work and conditions of para-professionals as the…

  14. Effect of a changing health care environment on social work leaders: obstacles and opportunities in hospital social work.

    PubMed

    Mizrahi, T; Berger, C S

    2001-04-01

    The health care system is undergoing dramatic change in auspice, structure, and services delivery in response to an emphasis on market-driven, cost-containment strategies. Consequently, many hospital social work directors either have lost some of their administrative responsibilities or have expanded their span of control beyond social work services. This article examines the responses of social work administrators to the breadth of changes occurring throughout their hospitals; the major accomplishments of social work services within their facilities; and the failures, frustrations, and obstacles in the delivery of social work services. As a result of examining the relationship between their actual and anticipated behavior and changes in the hospital and external environment, the authors found that social work leaders in hospitals understand the complexities and challenges of the world around them. Overall, they have exhibited commitment, competence, and confidence in shaping organizational change. PMID:11329646

  15. The use of a website as an interaction and training device in health, gender and work in schools.

    PubMed

    Brito, Jussara; Neves, Mary Yale; Hyppolito, Amanda Ornela; Alvarez, Denise; da Silva, Edil Ferreira; Muniz, Hélder; de Souza, Kátia Reis; França, Maristela; Athayde, Milton

    2012-01-01

    The objective of this paper is to introduce the Website "Encontros sobre a vida, a saúde e o trabalho nas escolas públicas" (Encounters of life, health and work in public schools). It was designed viewing to contribute to the generation of changes regarding the meanings attributed to work done by all professionals acting in Brazilian public schools, in their relationship to health. We have tried to create a space conducive to reflection and invention of different ways of action towards the struggle for health of the protagonists of the school units. We present the Website's different ambients, such as the one for availability of Training materials, Discussion Forums and the Observatory of facts and events related to the topic. We point out the analysis of a dialogue between the Formaction Program in Health, Gender and Work at Schools. Through the displaying of dialogs that mobilized the training participants we observed a process of collective analysis of the situations that occur at meetings, allowing other interpretation possibilities by the different parties. In the case focused, a nursery assistant (male), in the dialogue, is forced to review his description of the activity, initially, portrayed as simple. PMID:22317438

  16. Task Force Report 5. Report of the Task Force on Family Medicine’s Role in Shaping the Future Health Care Delivery System

    PubMed Central

    Roberts, Richard G.; Snape, Pam S.; Burke, Kevin

    2004-01-01

    BACKGROUND Recognizing that the implementation of needed changes within family medicine will be enhanced through a concurrent effort to transform the broader health care system, this Future of Family Medicine task force was charged with determining family medicine’s leadership role in shaping the future health care delivery system. METHODS After reviewing the changes taking place within family medicine and the broader health care system, this task force identified 6 priorities for fostering necessary modifications in the health care system. In addressing the leadership challenge facing the discipline, the task force presents a 3-dimensional matrix that provides a useful framework for describing the audiences that should be targeted, the strategic priorities that should be pursued, and the specific recommendations that should be addressed. Noting that leadership is part of the heritage of family medicine, the task force reviewed past successes by the discipline as important lessons that can be instructive as family physicians begin advocating for needed changes. MAJOR FINDINGS Effective leadership is an essential ingredient that will determine, to a large extent, the success of family medicine in advocating for needed change in the health care system overall and in the specialty. It is vitally important to groom leaders within family medicine and to create venues where policy makers and influence leaders can look beyond their usual constituencies and horizons to a comprehensive view of health care. A central concept being proposed is that of a relationship-centered personal medical home. This medical home serves as the focal point through which all individuals—regardless of age, gender, race, ethnicity, or socioeconomic status—receive a basket of acute, chronic, and preventive medical care services that are accessible, accountable, comprehensive, integrated, patient-centered, safe, scientifically valid, and satisfying to both patients and their physicians. CONCLUSION Family medicine has and will continue to have an important leadership role in health system change. It has been most successful when it has been able to identify a high-priority goal through consensus within the discipline, to focus and coordinate local and national resources, and to use a multipronged approach in addressing the priority. Although the Future of Family Medicine project has provided an important impetus for the identification of key priorities across the discipline, for the FFM project ultimately to be a success, implementation steps will need to be identified and prioritized. The leadership matrix presented in this report can provide a useful structuring tool to identify, understand, and coordinate change efforts more effectively. Strategic alliances with primary care groups and others also will be critical to the success of change initiatives.

  17. THE CRITICAL CARE WORK ENVIRONMENT AND NURSE-REPORTED HEALTH CARE–ASSOCIATED INFECTIONS

    PubMed Central

    Kelly, Deena; Kutney-Lee, Ann; Lake, Eileen T.; Aiken, Linda H.

    2014-01-01

    Background Critically ill patients are susceptible to health care–associated infections because of their illnesses and the need for intravenous access and invasive monitoring. The critical care work environment may influence the likelihood of infection in these patients. Objective To determine whether or not the critical care nurse work environment is predictive of nurse-reported health care–associated infections. Methods A retrospective, cross-sectional design was used with linked nurse and hospital survey data. Nurses assessed the critical care work environment and provided the frequencies of ventilator-associated pneumonias, urinary tract infections, and infections associated with central catheters. Logistic regression models were used to determine if critical care work environments were predictive of nurse-reported frequent health care–associated infections, with controls for nurse and hospital characteristics. Results The final sample consisted of 3217 critical care nurses in 320 hospitals. Compared with nurses working in poor work environments, nurses working in better work environments were 36% to 41% less likely to report that health care–associated infections occurred frequently. Conclusion Health care–associated infections are less likely in favorable critical care work environments. These findings, based on the largest sample of critical care nurses to date, substantiate efforts to focus on the quality of the work environment as a way to minimize the frequency of health care–associated infections. PMID:24186818

  18. [Objectives and activities of the German Federal Working Group on migration and public health].

    PubMed

    Grieger, D; Gardemann, J

    2003-12-01

    The 53rd scientific congress of the Federal association of physicians and dentists in the public health services addressed the interdependence of migration and health under the motto "health unlimited" in May, 2003. Manifold interactions between migration and health contribute to the public health services' everyday experiences. Immigrants often encounter manifold obstacles to their access to health services in Germany. These barriers are often of communicative or administrative nature. The system of public health administration and services has, by its very nature, opportunities and assignment a special obligation to support the immigrant population. The public health services will increasingly become guarantors of equal health opportunities in times of cumulative migration and social inequalities. In cooperation with the German Federal Commissioner for Migration, Refugees and Integration the German Federal Working Group on Migration and Public Health acts as facilitator and advocate for health of immigrants to Germany since 1994. A very close co-operation with the public health services and an interdisciplinary, intercultural, population-oriented and health-promoting approach are core elements of the working group that is lobbying the health of a multinational population within the borders of Germany. PMID:14685921

  19. Periodic health examination, 1994 update: 2. Screening strategies for colorectal cancer. Canadian Task Force on the Periodic Health Examination.

    PubMed Central

    Solomon, M J; McLeod, R S

    1994-01-01

    OBJECTIVE: To make recommendations on the effectiveness of screening for colorectal cancer in asymptomatic patients over 40 years of age. OPTIONS: Multiphase screening that begins with test for fecal occult blood, uniphase screening with sigmoidoscopy and uniphase screening with colonoscopy. Options included screening repeated at different intervals and different procedures for patients with selected risk factors. OUTCOMES: Rates of death, death from cancer and cancer detection; compliance, feasibility and accuracy of each manoeuvre. EVIDENCE: A MEDLINE search for articles published between January 1966 and June 1993 with the use of MeSH terms "screening" and "colorectal neoplasia," a check with the reference sections of review articles published before June 1993 and a survey of content experts. Articles were weighted according to the Canadian Task Force on the Periodic Health Examination levels of evidence. VALUES: The highest value was assigned to manoeuvres that lowered the rate of death from cancer and had a low rate of false-positive results and acceptable cost and compliance. Recommendations were determined by consensus of the authors, members of the task force and colorectal cancer experts. BENEFITS, HARMS AND COSTS: There is evidence that annual fecal occult blood testing with the use of the rehydrated Hemoccult test has a small but significant benefit in lowering the rate of death from cancer after more than 10 years of screening; however, the high rate of false-positive results (9.8%) and the poor sensitivity of annual (49%) and biennial (38%) screening make this a poor method for detecting colorectal cancer. There is fair evidence that screening with sigmoidoscopy may improve survival rates; however, this may be due to volunteer bias. The high cost of and poor compliance with colonoscopic screening make this an unfeasible strategy. PMID:7980760

  20. Competing conceptualizations of decent work at the intersection of health, social and economic discourses.

    PubMed

    Di Ruggiero, Erica; Cohen, Joanna E; Cole, Donald C; Forman, Lisa

    2015-05-01

    According to the International Labour Organization (ILO), decent work is critical to economic and social progress and well-being. The ILO's Decent Work Agenda outlines four directions (creating jobs, guaranteeing rights at work, extending social protection, promoting social dialogue) (ILO, 2015). While the Agenda's existence may imply consensus about its meaning, we contend that several conceptualizations of decent work exist in the global policy arena. Different institutional perspectives must be negotiated, and political, economic, social and health considerations balanced in its pursuit. This paper reports findings from a critical discourse analysis of 10 policy texts that aimed to reveal different health, economic, and social claims about decent work and how these are shaped by the work policy agendas of the ILO, World Health Organization, and World Bank. Themes emerging from the discourse analysis include the: challenges and realities of promoting "one" agenda; complex intersection between decent work, health and health equity concepts; emphasis on economic and pro-market interests versus the social dimensions of work; and, relative emphasis on individual versus collective responsibility for decent work. To our knowledge, this is a first attempt to contrast different conceptualizations of decent work involving these institutions. Our findings suggest that decent work is a contested notion, and that more than one "agenda" is operating in the face of vested institutional interests. Broader discourses are contributing to a reframing of decent work in economic, social and/or health terms and these are impacting which dimensions of work are taken up in policy texts over others. Results show how the language of economics acts as a disciplinary and regulatory power and its role as a normalizing discourse. We call for research that deepens understanding of how a social, economic and health phenomenon like work is discursively re-interpreted through different global institutional interests. PMID:25864148

  1. Constrained choices? Linking employees' and spouses' work time to health behaviors.

    PubMed

    Fan, Wen; Lam, Jack; Moen, Phyllis; Kelly, Erin; King, Rosalind; McHale, Susan

    2015-02-01

    There are extensive literatures on work conditions and health and on family contexts and health, but less research asking how a spouse or partners' work conditions may affect health behaviors. Drawing on the constrained choices framework, we theorized health behaviors as a product of one's own time and spouses' work time as well as gender expectations. We examined fast food consumption and exercise behaviors using survey data from 429 employees in an Information Technology (IT) division of a U.S. Fortune 500 firm and from their spouses. We found fast food consumption is affected by men's work hours-both male employees' own work hours and the hours worked by husbands of women respondents-in a nonlinear way. The groups most likely to eat fast food are men working 50 h/week and women whose husbands work 45-50 h/week. Second, exercise is better explained if work time is conceptualized at the couple, rather than individual, level. In particular, neo-traditional arrangements (where husbands work longer than their wives) constrain women's ability to engage in exercise but increase odds of men exercising. Women in couples where both partners are working long hours have the highest odds of exercise. In addition, women working long hours with high schedule control are more apt to exercise and men working long hours whose wives have high schedule flexibility are as well. Our findings suggest different health behaviors may have distinct antecedents but gendered work-family expectations shape time allocations in ways that promote men's and constrain women's health behaviors. They also suggest the need to expand the constrained choices framework to recognize that long hours may encourage exercise if both partners are looking to sustain long work hours and that work resources, specifically schedule control, of one partner may expand the choices of the other. PMID:25531550

  2. Constrained Choices? Linking Employees' and Spouses' Work Time to Health Behaviors

    PubMed Central

    Fan, Wen; Lam, Jack; Moen, Phyllis; Kelly, Erin; King, Rosalind; McHale, Susan

    2014-01-01

    There are extensive literatures on work conditions and health and on family contexts and health, but less research asking how a spouse or partners' work conditions may affect health behaviors. Drawing on the constrained choices framework, we theorized health behaviors as a product of one's own time and spouses' work time as well as gender expectations. We examined fast food consumption and exercise behaviors using survey data from 429 employees in an Information Technology (IT) division of a U.S. Fortune 500 firm and from their spouses. We found fast food consumption is affected by men's work hours—both male employees' own work hours and the hours worked by husbands of women respondents—in a nonlinear way. The groups most likely to eat fast food are men working 50 hours/week and women whose husbands work 45-50 hours/week. Second, exercise is better explained if work time is conceptualized at the couple, rather than individual, level. In particular, neo-traditional arrangements (where husbands work longer than their wives) constrain women's ability to engage in exercise but increase odds of men exercising. Women in couples where both partners are working long hours have the highest odds of exercise. In addition, women working long hours with high schedule control are more apt to exercise and men working long hours whose wives have high schedule flexibility are as well. Our findings suggest different health behaviors may have distinct antecedents but gendered work-family expectations shape time allocations in ways that promote men's and constrain women's health behaviors. They also suggest the need to expand the constrained choices framework to recognize that long hours may encourage exercise if both partners are looking to sustain long work hours and that work resources, specifically schedule control, of one partner may expand the choices of the other. PMID:25531550

  3. Star wars and strategic defense initiatives: work activity and health symptoms of unionized bank tellers during work reorganization.

    PubMed

    Seifert, A M; Messing, K; Dumais, L

    1997-01-01

    Work activity and health symptoms of bank tellers whose work was undergoing reorganization were examined during a university-union study of the health effects of work in women's traditional jobs. Data were gathered through collective and individual interviews, analysis of work activity, and a questionnaire administered to 305 tellers. Employees worked in a standing posture over 80 percent of the time. More than two-thirds frequently suffered pain in back, legs, and feet. The average teller had been involved in 3.7 robberies as a direct victim and six as a witness. Work required feats of memory and concentration. In order to meet job demands, tellers engaged in supportive activities and teamwork. The introduction of individualized objectives threatened the employees' ability to collaborate and induced distress. More than twice as many tellers as other female workers in Québec experience psychological distress (Ilfeld scale), related to: robbery during the past two years (odds ratio = 1.7; confidence interval = 1.0-2.9); difficult relations with superiors (O.R. = 2.6; C.I. = 1.3-5.3); and full-time work (O.R. = 2.3; C.I. = 1.3-3.9). Diverse methods enriched the analysis, and union participation allowed the proposal of concrete correction measures. PMID:9285277

  4. Adaptation to Work: An Analysis of Employee Health, Withdrawal and Change. Working Paper 82-19.

    ERIC Educational Resources Information Center

    Rosse, Joseph G.

    According to an employee withdrawal model suggested by Miller and Rosse (1982), workers engage in a variety of integrated behaviors that are intended to place physical and psychological distance between themselves and a noxious work environment. To investigate the relationship of job satisfaction and employee withdrawal behaviors, 48 newly hired,…

  5. National plan for reliable tuberculosis laboratory services using a systems approach. Recommendations from CDC and the Association of Public Health Laboratories Task Force on Tuberculosis Laboratory Services.

    PubMed

    Shinnick, Thomas M; Iademarco, Michael F; Ridderhof, John C

    2005-04-15

    Since the mid-1990s, public health laboratories have improved tuberculosis (TB) test performance, which has contributed to the resumption of the decline in TB incidence in the United States. However, to eliminate TB in the United States, further improvements are needed in laboratory services to support TB treatment, prevention, and control. A critical step is the development of an integrated system that ensures prompt and reliable laboratory testing and flow of information among laboratorians, clinicians, and TB-control officials. Challenges to developing such a system include 1) establishing lines of communication among laboratorians, clinicians, and TB-control officials; 2) expediting reporting of laboratory results, which can avoid delayed or inappropriate treatment and missed opportunities to prevent transmission; 3) developing evidence-based recommendations for use of new laboratory technologies; 4) maintaining staff proficiency in light of declining numbers of specimens to test, workforce shortages, and loss of laboratory expertise; and 5) upgrading laboratory information systems and connecting all partners. The report of the Association of Public Health Laboratories Task Force presents a framework to improve the future of TB laboratory services and describes the role of the laboratory in TB treatment and control, Task Force processes, general principles and benchmarks, and steps for the dissemination of the Task Force recommendations. This MMWR expands on the Task Force report by describing specific actions and performance measures to guide development and implementation of an integrated system for providing TB laboratory services. CDC and the Association of Public Health Laboratories have developed these guidelines so that laboratorians, clinicians, public health officials, administrators, and funding entities can work together to ensure that health-care providers and TB-control officials have the information needed to treat TB patients, prevent TB transmission, and ultimately eliminate TB in the United States. PMID:15829862

  6. The importance of work organization on workload and musculoskeletal health--Grocery store work as a model.

    PubMed

    Balogh, I; Ohlsson, K; Nordander, C; Björk, J; Hansson, G-Å

    2016-03-01

    We have evaluated the consequences of work organization on musculoskeletal health. Using a postal questionnaire, answered by 1600 female grocery store workers, their main work tasks were identified and four work groups were defined (cashier, picking, and delicatessen work, and a mixed group, who performed a mix of these tasks). The crude odds ratios (ORs) for neck/shoulder complaints were 1.5 (95% CI 1.0-2.2), 1.1 (0.7-1.5) and 1.6 (1.1-2.3), respectively, compared to mixed work. Adjusting for individual and psychosocial factors had no effect on these ORs. For elbows/hands, no significant differences were found. Technical measurements of the workload showed large differences between the work groups. Picking work was the most strenuous, while cashier work showed low loads. Quantitative measures of variation revealed for mixed work high between minutes variation and the highest between/within minutes variation. Combining work tasks with different physical exposure levels increases the variation and may reduce the risk of musculoskeletal complaints. PMID:26464034

  7. Perceived unfairness in working conditions: The case of public health services in Tanzania

    PubMed Central

    2011-01-01

    Background The focus on the determinants of the quality of health services in low-income countries is increasing. Health workers' motivation has emerged as a topic of substantial interest in this context. The main objective of this article is to explore health workers' experience of working conditions, linked to motivation to work. Working conditions have been pointed out as a key factor in ensuring a motivated and well performing staff. The empirical focus is on rural public health services in Tanzania. The study aims to situate the results in a broader historical context in order to enhance our understanding of the health worker discourse on working conditions. Methods The study has a qualitative study design to elicit detailed information on health workers' experience of their working conditions. The data comprise focus group discussions (FGDs) and in-depth interviews (IDIs) with administrators, clinicians and nursing staff in the public health services in a rural district in Tanzania. The study has an ethnographic backdrop based on earlier long-term fieldwork in the same part of Tanzania. Results The article provides insights into health workers' understanding and assessment of their working conditions. An experience of unsatisfactory working conditions as well as a perceived lack of fundamental fairness dominated the FGDs and IDIs. Informants reported unfairness with reference to factors such as salary, promotion, recognition of work experience, allocation of allowances and access to training as well as to human resource management. The study also revealed that many health workers lack information or knowledge about factors that influence their working conditions. Conclusions The article calls for attention to the importance of locating the discourse of unfairness related to working conditions in a broader historical/political context. Tanzanian history has been characterised by an ambiguous and shifting landscape of state regulation, economic reforms, decentralisation and emerging democratic sentiments. Such a historic contextualisation enhances our understanding of the strong sentiments of unfairness revealed in this study and assists us in considering potential ways forward. PMID:21314985

  8. [The migratory process, working conditions and health in immigrant workers in Spain (the ITSAL project)].

    TOXLINE Toxicology Bibliographic Information

    Agudelo-Suárez AA; Ronda-Pérez E; Gil-González D; Vives-Cases C; García AM; García-Benavides F; Ruiz-Frutos C; López-Jacob MJ; Porthé V; Sousa E; por el proyecto ITSAL

    2009-12-01

    OBJECTIVE: To describe the migratory process (reasons for migrating, time of residence), legal status and the personal, working and health characteristics of the immigrants with work experience in Spain.METHODS: We performed a cross sectional survey in a sample stratified by country of origin (Colombia, Ecuador, Morocco and Romania), legal status and sex. Personal interviews were conducted with 2434 workers (57.4% men). Information on the migratory process, working conditions, health profile, and work and life expectations was analyzed. A frequency comparison by country of origin was carried out.RESULTS: Ninety percent of the sample was aged<45 years and most had secondary education (51%). Most of the people surveyed had migrated for economic and working reasons and 63% had economic dependents. They were working in jobs that were below their educational level and reported problems concerning the type of contract, salaries, and the length of the working week, which was often more than 40 hours. The immigrants frequently reported general health problems (18%), mental health problems (27%), absence from work due to health problems (48%) and occupational injuries requiring medical care (23%). A 51% of them wanted to stay in Spain and 48% reported that their expectations of emigration to Spain had been met.CONCLUSIONS: The immigrant workers included in this study had limited opportunities for work and experienced precarious conditions and social vulnerability. The data varied by country of origin. The special needs of this collective should be taken into account to establish public health policies and strategies.

  9. Mental health/illness and prisons as place: frontline clinicians׳ perspectives of mental health work in a penal setting.

    PubMed

    Wright, Nicola; Jordan, Melanie; Kane, Eddie

    2014-09-01

    This article takes mental health and prisons as its two foci. It explores the links between social and structural aspects of the penal setting, the provision of mental healthcare in prisons, and mental health work in this environment. This analysis utilises qualitative interview data from prison-based fieldwork undertaken in Her Majesty׳s Prison Service, England. Two themes are discussed: (1) the desire and practicalities of doing mental health work and (2) prison staff as mental health work allies. Concepts covered include equivalence, training, ownership, informal communication, mental health knowledge, service gatekeepers, case identification, and unmet need. Implications for practice are (1) the mental health knowledge and understanding of prison wing staff could be appraised and developed to improve mental healthcare and address unmet need. Their role as observers and gatekeepers could be considered. (2) The realities of frontline mental health work for clinicians in the penal environment should be embraced and used to produce and implement improved policy and practice guidance, which is in better accord with the actuality of the context - both socially and structurally. PMID:25124166

  10. Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study.

    PubMed

    Wu, Shengwei; Xuan, Zhengzheng; Li, Fei; Xiao, Wei; Fu, Xiuqiong; Jiang, Pingping; Chen, Jieyu; Xiang, Lei; Liu, Yanyan; Nie, Xiaoli; Luo, Ren; Sun, Xiaomin; Kwan, Hiuyee; Zhao, Xiaoshan

    2016-01-01

    Suboptimal health status (SHS)-an intermediate state between health and illness-refers to functional somatic symptoms that are medically undiagnosed. Although SHS has become a great challenge for global public health, very little about its etiology and mechanisms are known. Work-recreation balance is a part of work-life balance, and is related to stress which greatly influences health status. We therefore carried out a cross-sectional investigation between 2012 and 2013 within a clustered sample of 24,475 individuals aged 15-60 years from a population in southern China. In so doing, we hoped to illuminate the associations between work-recreation balance conditions, healthy lifestyles, and SHS. Work-recreation balance conditions were categorically defined by frequency ("rarely, sometimes, or always"). Health-Promoting Lifestyle Profile (HPLP-II) was used to evaluate the level of healthy lifestyles, and the medical examination report and Sub-Health Measurement Scale V1.0 (SHMS V1.0) were both used to evaluate health status. The ratio of SHS (46.3%) is higher than health status (18.4%) or disease status (35.3%). Overall, 4.9% of respondents reported the lowest level of work-recreation balance, and they scored lower on both the HPLP-II and SHMS V1.0 compared with those who frequently maintained a work-recreation balance. Significant association was found between work-recreation balance behaviors and healthy lifestyles (p < 0.001) after demographic adjustment. In comparison with those reporting a frequent work-recreation balance, individuals whose work-recreation balance was categorically "rare" were 1.69 times as likely to develop SHS (odds ratio (OR): 1.69, 95% confidence interval (CI): 1.49-1.92), and those with infrequent work-recreation balance ("sometimes") were 1.71 times more likely to develop SHS (OR: 1.71, 95% CI: 1.62-1.81). These findings suggest that work-recreation balance conditions are significantly associated with, and seem to be accurate behavioral indicia of a healthy lifestyle. Poor work-recreation balance is associated with increased risk for SHS; thus, a healthier lifestyle that maintains a work-recreation balance should be promoted in order to reduce the development of SHS or disease in southern China. PMID:27007383

  11. New respirator fit test panels representing the current U.S. civilian work force.

    PubMed

    Zhuang, Ziqing; Bradtmiller, Bruce; Shaffer, Ronald E

    2007-09-01

    The fit test panels currently used for respirator research, design, and certification are 25-subject panels developed by Los Alamos National Laboratory (LANL) and are based on data from the 1967 and 1968 anthropometric surveys of U.S. Air Force personnel. Military data do not represent the great diversity in face size and shape seen in civilian populations. In addition, the demographics of the U.S. population have changed over the last 30 years. Thus, it is necessary to assess and refine the LANL fit test panels. This paper presents the development of new respirator fit test panels representative of current U.S. civilian workers based on an anthropometric survey of 3,997 respirator users conducted in 2003. One panel was developed using face length and face width (bivariate approach) and weighting subjects to match the age and race distribution of the U.S. population as determined from the 2000 census. Another panel was developed using the first two principal components obtained from a set of 10 facial dimensions (age and race adjusted). These 10 dimensions are associated with respirator fit and leakage and can predict the remaining face dimensions well. Respirators designed to fit these panels are expected to accommodate more than 95% of the current U.S. civilian workers. Both panels are more representative of the U.S. population than the existing LANL panel and may be appropriate for testing both half-masks and full-face piece respirators. Respirator manufacturers, standards development organizations, and government respirator certification bodies need to select the appropriate fit test panel for their particular needs. The bivariate panel is simpler to use than the principal component analysis (PCA) panel and is most similar to the LANL panel currently used. The inclusion of the eight additional facial measurements allows the PCA panel to provide better criteria for excluding extreme face sizes from being used. Because the boundaries of the two new panels are significantly different from the LANL panel, it may be necessary to develop new respirator sizing systems. A new five-category sizing system is proposed. PMID:17613722

  12. Social work in health care when conventional meets complementary: nonspecific back pain and massage therapy.

    PubMed

    McEwen, Shelly

    2015-02-01

    Through years of engagement within health, the profession of social work has worked diligently to influence and incorporate the professional values of holism and biopsychosocial-spiritual approaches into mainstream health care to support health care consumers. Continuing education supports social workers' specialized knowledge of health conditions as well as issues affecting health care systems and delivery. Two pressing and current issues in health of concern to social work are (1) nonspecific back pain and (2) the fastest growing consumer trend in North America--integration of complementary and alternative medicine. This article offers information relevant to social workers in practice about the complex and multifactoral condition of chronic nonspecific back pain and the integration of complementary and alternative medicine, in particular, massage therapy, as an effective evidence-based integrated approach. PMID:25665287

  13. Force generation and work production by covalently cross-linked actin-myosin cross-bridges in rabbit muscle fibers.

    PubMed

    Bershitsky, S Y; Tsaturyan, A K

    1995-09-01

    To separate a fraction of the myosin cross-bridges that are attached to the thin filaments and that participate in the mechanical responses, muscle fibers were cross-linked with 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide and then immersed in high-salt relaxing solution (HSRS) of 0.6 M ionic strength for detaching the unlinked myosin heads. The mechanical properties and force-generating ability of the cross-linked cross-bridges were tested with step length changes (L-steps) and temperature jumps (T-jumps) from 6-10 degrees C to 30-40 degrees C. After partial cross-linking, when instantaneous stiffness in HSRS was 25-40% of that in rigor, the mechanical behavior of the fibers was similar to that during active contraction. The kinetics of the T-jump-induced tension transients as well as the rate of the fast phase of tension recovery after length steps were close to those in unlinked fibers during activation. Under feedback force control, the T-jump initiated fiber shortening by up to 4 nm/half-sarcomere. Work produced by a cross-linked myosin head after the T-jump was up to 30 x 10(-21) J. When the extent of cross-linking was increased and fiber stiffness in HSRS approached that in rigor, the fibers lost their viscoelastic properties and ability to generate force with a rise in temperature. PMID:8519956

  14. Force generation and work production by covalently cross-linked actin-myosin cross-bridges in rabbit muscle fibers.

    PubMed Central

    Bershitsky, S Y; Tsaturyan, A K

    1995-01-01

    To separate a fraction of the myosin cross-bridges that are attached to the thin filaments and that participate in the mechanical responses, muscle fibers were cross-linked with 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide and then immersed in high-salt relaxing solution (HSRS) of 0.6 M ionic strength for detaching the unlinked myosin heads. The mechanical properties and force-generating ability of the cross-linked cross-bridges were tested with step length changes (L-steps) and temperature jumps (T-jumps) from 6-10 degrees C to 30-40 degrees C. After partial cross-linking, when instantaneous stiffness in HSRS was 25-40% of that in rigor, the mechanical behavior of the fibers was similar to that during active contraction. The kinetics of the T-jump-induced tension transients as well as the rate of the fast phase of tension recovery after length steps were close to those in unlinked fibers during activation. Under feedback force control, the T-jump initiated fiber shortening by up to 4 nm/half-sarcomere. Work produced by a cross-linked myosin head after the T-jump was up to 30 x 10(-21) J. When the extent of cross-linking was increased and fiber stiffness in HSRS approached that in rigor, the fibers lost their viscoelastic properties and ability to generate force with a rise in temperature. PMID:8519956

  15. Empowerment in the field of health promotion: recognizing challenges in working toward equity.

    PubMed

    Berry, Nicole S; Murphy, Jill; Coser, Larissa

    2014-12-01

    Over the last 25 years, the language of empowerment has been woven into the guiding missions and descriptions of institutions, funding and projects globally. Although theoretical understandings of empowerment within the domain of health promotion remain contentious, we have little idea of how a shift toward an empowerment agenda has affected the daily work of those in the field of health promotion. A systematic examination of the implementation of the empowerment agenda is important as it can help us understand how redistributive agendas are received within the multiple institutional contexts in which health promotion work is carried out. The goal of this study, therefore, was to try to understand the empowerment agenda within the context of everyday health promotion. We conducted semi-structured interviews with health promoters from a variety of geographical regions, institutional backgrounds, and job capacities. Essentially we found that empowerment remains conceptually dear to health promoters' understanding of their work, yet at the same time, mainstreaming empowerment is at odds with central trends and initiatives that govern this work. We argue that many of the stumbling blocks that have hindered this specific agenda are actually central stumbling blocks for the wider field of health promotion. We examine some of the barriers to implementing transformational change. Overcoming the primary limitations uncovered in this exploration of empowerment is actually crucial to progressive work in health promotion in general, particularly work that would seek to lessen inequities. PMID:24812101

  16. Psychosocial Work Characteristics Predict Cardiovascular Disease Risk Factors and Health Functioning in Rural Women: The Wisconsin Rural Women's Health Study

    ERIC Educational Resources Information Center

    Chikani, Vatsal; Reding, Douglas; Gunderson, Paul; McCarty, Catherine A.

    2005-01-01

    Background: The aim of the present study is to investigate the association between psychosocial work characteristics and health functioning and cardiovascular disease risk factors among rural women of central Wisconsin and compare psychosocial work characteristics between farm and nonfarm women. Methods: Stratified sampling was used to select a

  17. Health Care Mentors: A Work-Based Approach to Developing the Health Care Workforce of Tomorrow. [Fourth Edition]. Career Exploration.

    ERIC Educational Resources Information Center

    GMS Partners, Inc. Silver Spring, MD.

    Designed as the final step in a carefully articulated work-readiness program, Mentors provides students interested in health care careers with an opportunity to develop superior employability skills, while striking a balance between work and school. The Mentors program links the school community, the student, and host organizations in a mutually…

  18. Psychosocial Work Characteristics Predict Cardiovascular Disease Risk Factors and Health Functioning in Rural Women: The Wisconsin Rural Women's Health Study

    ERIC Educational Resources Information Center

    Chikani, Vatsal; Reding, Douglas; Gunderson, Paul; McCarty, Catherine A.

    2005-01-01

    Background: The aim of the present study is to investigate the association between psychosocial work characteristics and health functioning and cardiovascular disease risk factors among rural women of central Wisconsin and compare psychosocial work characteristics between farm and nonfarm women. Methods: Stratified sampling was used to select a…

  19. Transforming consumer health informatics through a patient work framework: connecting patients to context.

    PubMed

    Valdez, Rupa S; Holden, Richard J; Novak, Laurie L; Veinot, Tiffany C

    2015-01-01

    Designing patient-centered consumer health informatics (CHI) applications requires understanding and creating alignment with patients' and their family members' health-related activities, referred to here as 'patient work'. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients' biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients' health management in larger processes and contexts and prioritizes patients' perspectives on illness management. Future research is required to advance (1) theories of patient work, (2) methods for assessing patient work, and (3) techniques for translating knowledge of patient work into CHI application design. Advancing a patient work approach within CHI is integral to developing and deploying consumer-facing technologies that are integrated with patients' everyday lives. PMID:25125685

  20. Stress at work and mental health status among female hospital workers.

    PubMed Central

    Estryn-Behar, M; Kaminski, M; Peigne, E; Bonnet, N; Vaichere, E; Gozlan, C; Azoulay, S; Giorgi, M

    1990-01-01

    Relations between working conditions and mental health status of female hospital workers were studied in a sample of 1505 women: 43% were nurses, 32% auxiliaries, and 7% ancillary staff; 13% were other qualified health care staff, mainly head nurses; 5% had occupations other than direct health care; 63% worked on the morning, 20% on the afternoon, and 17% on the night shift. Data were collected at the annual routine medical visit by the occupational health practitioner, using self administered questionnaires and clinical assessments. Five health indicators were considered: a high score to the general health questionnaire (GHQ); fatigue; sleep impairment; use of antidepressants, sleeping pills, or sedatives; and diagnosis of psychiatric morbidity at clinical assessment. Four indices of stress at work were defined: job stress, mental load, insufficiency in internal training and discussion, and strain caused by schedule. The analysis was conducted by multiple logistic regression, controlling for type of occupation, shift, number of years of work in hospital, daily travel time to work, age, marital status, number of children, and wish to move house. Sleep impairment was mostly linked to shift and strain due to schedule. For all other indicators of mental health impairment and especially high GHQ scores, the adjusted odds ratios increased significantly with the levels of job stress, mental load, and strain due to schedule. This evidence of association between work involving an excessive cumulation of stress factors and mental wellbeing should be considered in interventions aimed at improving the working conditions of hospital workers. PMID:2310704

  1. Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study

    PubMed Central

    Wu, Shengwei; Xuan, Zhengzheng; Li, Fei; Xiao, Wei; Fu, Xiuqiong; Jiang, Pingping; Chen, Jieyu; Xiang, Lei; Liu, Yanyan; Nie, Xiaoli; Luo, Ren; Sun, Xiaomin; Kwan, Hiuyee; Zhao, Xiaoshan

    2016-01-01

    Suboptimal health status (SHS)—an intermediate state between health and illness—refers to functional somatic symptoms that are medically undiagnosed. Although SHS has become a great challenge for global public health, very little about its etiology and mechanisms are known. Work-recreation balance is a part of work−life balance, and is related to stress which greatly influences health status. We therefore carried out a cross-sectional investigation between 2012 and 2013 within a clustered sample of 24,475 individuals aged 15−60 years from a population in southern China. In so doing, we hoped to illuminate the associations between work-recreation balance conditions, healthy lifestyles, and SHS. Work-recreation balance conditions were categorically defined by frequency (“rarely, sometimes, or always”). Health-Promoting Lifestyle Profile (HPLP-II) was used to evaluate the level of healthy lifestyles, and the medical examination report and Sub-Health Measurement Scale V1.0 (SHMS V1.0) were both used to evaluate health status. The ratio of SHS (46.3%) is higher than health status (18.4%) or disease status (35.3%). Overall, 4.9% of respondents reported the lowest level of work-recreation balance, and they scored lower on both the HPLP-II and SHMS V1.0 compared with those who frequently maintained a work-recreation balance. Significant association was found between work-recreation balance behaviors and healthy lifestyles (p < 0.001) after demographic adjustment. In comparison with those reporting a frequent work-recreation balance, individuals whose work-recreation balance was categorically “rare” were 1.69 times as likely to develop SHS (odds ratio (OR): 1.69, 95% confidence interval (CI): 1.49–1.92), and those with infrequent work-recreation balance (“sometimes”) were 1.71 times more likely to develop SHS (OR: 1.71, 95% CI: 1.62–1.81). These findings suggest that work-recreation balance conditions are significantly associated with, and seem to be accurate behavioral indicia of a healthy lifestyle. Poor work-recreation balance is associated with increased risk for SHS; thus, a healthier lifestyle that maintains a work-recreation balance should be promoted in order to reduce the development of SHS or disease in southern China. PMID:27007383

  2. Physicians' Plan for a healthy Minnesota. The MMA proposal for health care reform. The report of the Minnesota Medical Association Health Care Reform Task Force.

    PubMed

    2005-03-01

    The health care system in the United States, according to some, is on the verge of imploding. The rapidly rising cost of services is causing more and more Minnesotans to forego needed care. At the same time, the increasing costs are placing additional pressure on families, businesses, and state and local government budgets. The Minnesota Medical Association's (MMA) Health Care Reform Task Force has proposed a bold new approach that seeks to ensure affordable health care for all Minnesotans. The proposal is a roadmap to provide all Minnesotans with affordable insurance for essential health care services. In creating this plan, the task force strove to achieve three common reform goals: expand access to care, improve quality, and control costs. To achieve those ends, it has proposed a model built on four key features: (1) A strong public health system, (2) A reformed insurance market that delivers universal coverage, (3) A reformed health care delivery market that creates incentives for increasing value, (4) Systems that fully support the delivery of high-quality care. The task force believes that these elements will provide the foundation for a system that serves everyone and allows Minnesotans to purchase better health care at a relatively lower price. Why health care reform again? The average annual cost of health care for an average Minnesota household is about 11,000 dollars--an amount that's projected to double by 2010, if current trends continue. Real wages are not growing fast enough to absorb such cost increases. If unabated, these trends portend a reduction in access to and quality of care, and a heavier economic burden on individuals, employers, and the government. Furthermore, Minnesota and the United States are not getting the best value for their health care dollars. The United States spends 50 percent more per capita than any other country on health care but lags far behind other countries in the health measures of its population. PMID:15853031

  3. Labor force participation and health-related quality of life in HIV-positive men who have sex with men: The Multicenter AIDS Cohort Study

    PubMed Central

    Rueda, Sergio; Raboud, Janet; Plankey, Michael; Ostrow, David; Mustard, Cameron; Rourke, Sean B.; Jacobson, Lisa P.; Bekele, Tsegaye; Bayoumi, Ahmed; Lavis, John; Detels, Roger; Silvestre, Anthony J.

    2013-01-01

    Too many people with HIV have left the job market permanently and those with reduced work capacity have been unable to keep their jobs. There is a need to examine the health effects of labor force participation in people with HIV. This study presents longitudinal data from 1,415 HIV-positive men who have sex with men taking part in the Multicenter AIDS Cohort Study. Generalized Estimating Equations show that employment is associated with better physical and mental health quality of life and suggests that there may be an adaptation process to the experience of unemployment. Post-hoc analyses also suggest that people who are more physically vulnerable may undergo steeper health declines due to job loss than those who are generally healthier. However, this may also be the result of a selection effect whereby poor physical health contributes to unemployment. Policies that promote labor force participation may not only increase employment rates but also improve the health of people living with HIV. PMID:22814570

  4. Relationship of Work Hours with Selected Health Behaviors and Academic Progress among a College Student Cohort

    ERIC Educational Resources Information Center

    Miller, Kim; Danner, Fred; Staten, Ruth

    2008-01-01

    Approximately 57% of college students work while attending school. Health risks related to working while in college have not been widely studied. Objective: The authors' purpose in this study was to determine associations between hours worked, binge drinking, sleep habits, and academic performance among a college student cohort. Participants and…

  5. An Exploration of the Working Alliance in Mental Health Case Management

    ERIC Educational Resources Information Center

    Kondrat, David C.; Early, Theresa J.

    2010-01-01

    The working alliance between clients and helpers has been identified as a common factor of treatment effectiveness, yet very little research has explored variables associated with working alliance between mental health case managers and their consumers. This study explored the potential covariates of working alliance within community mental health…

  6. Gendered emotion work around physical health problems in mid- and later-life marriages.

    PubMed

    Thomeer, Mieke Beth; Reczek, Corinne; Umberson, Debra

    2015-01-01

    The provision and receipt of emotion work-defined as intentional activities done to promote another's emotional well-being-are central dimensions of marriage. However, emotion work in response to physical health problems is a largely unexplored, yet likely important, aspect of the marital experience. We analyze dyadic in-depth interviews with husbands and wives in 21 mid- to later-life couples to examine the ways that health-impaired people and their spouses provide, interpret, and explain emotion work. Because physical health problems, emotion work, and marital dynamics are gendered, we consider how these processes differ for women and men. We find that wives provide emotion work regardless of their own health status. Husbands provide emotion work less consistently, typically only when the husbands see themselves as their wife's primary source of stability or when the husbands view their marriage as balanced. Notions of traditional masculinity preclude some husbands from providing emotion work even when their wife is health-impaired. This study articulates emotion work around physical health problems as one factor that sustains and exacerbates gender inequalities in marriage with implications for emotional and physical well-being. PMID:25661852

  7. Towards a unified taxonomy of health indicators: academic health centers and communities working together to improve population health.

    PubMed

    Aguilar-Gaxiola, Sergio; Ahmed, Syed; Franco, Zeno; Kissack, Anne; Gabriel, Davera; Hurd, Thelma; Ziegahn, Linda; Bates, Nancy J; Calhoun, Karen; Carter-Edwards, Lori; Corbie-Smith, Giselle; Eder, Milton Mickey; Ferrans, Carol; Hacker, Karen; Rumala, Bernice B; Strelnick, A Hal; Wallerstein, Nina

    2014-04-01

    The Clinical and Translational Science Awards (CTSA) program represents a significant public investment. To realize its major goal of improving the public's health and reducing health disparities, the CTSA Consortium's Community Engagement Key Function Committee has undertaken the challenge of developing a taxonomy of community health indicators. The objective is to initiate a unified approach for monitoring progress in improving population health outcomes. Such outcomes include, importantly, the interests and priorities of community stakeholders, plus the multiple, overlapping interests of universities and of the public health and health care professions involved in the development and use of local health care indicators.The emerging taxonomy of community health indicators that the authors propose supports alignment of CTSA activities and facilitates comparative effectiveness research across CTSAs, thereby improving the health of communities and reducing health disparities. The proposed taxonomy starts at the broadest level, determinants of health; subsequently moves to more finite categories of community health indicators; and, finally, addresses specific quantifiable measures. To illustrate the taxonomy's application, the authors have synthesized 21 health indicator projects from the literature and categorized them into international, national, or local/special jurisdictions. They furthered categorized the projects within the taxonomy by ranking indicators with the greatest representation among projects and by ranking the frequency of specific measures. They intend for the taxonomy to provide common metrics for measuring changes to population health and, thus, extend the utility of the CTSA Community Engagement Logic Model. The input of community partners will ultimately improve population health. PMID:24556775

  8. Many flaked particles generated by electric field stress working as an impulsive force in mass-production plasma etching equipment

    NASA Astrophysics Data System (ADS)

    Kasashima, Yuji; Uesugi, Fumihiko

    2015-09-01

    Particles generated in plasma etching significantly lower production yield. In plasma etching, etching reaction products adhere to the inner chamber walls, gradually forming films, and particles are generated by flaking of the deposited films due to electric field stress that acts boundary between the inner wall and the film. In this study, we have investigated the mechanism of instantaneous generation of many flaked particles using the mass-production reactive ion etching equipment. Particles, which flake off from the films on the ground electrode, are detected by the in-situ particle monitoring system using a sheet-shaped laser beam. The results indicate that the deposited films are severely damaged and flake off as numerous particles when the floating potential at the inner wall suddenly changes. This is because the rapid change in floating potential, observed when unusual wafer movement and micro-arc discharge occur, causes electric field stress working as an impulsive force. The films are easily detached by the impulsive force and many flaked particles are instantaneously generated. This mechanism can occur on not only a ground electrode but a chamber walls, and cause serious contamination in mass-production line. This work was partially supported by JSPS KAKENHI Grant Number B 26870903.

  9. Self rated health and working conditions of small-scale enterprisers in Sweden.

    PubMed

    Gunnarsson, Kristina; Vingård, Eva; Josephson, Malin

    2007-12-01

    This study was an investigation of prevalence and associations between self-rated health and working conditions for small-scale enterprisers in a county in Sweden. A postal questionnaire was answered by 340 male and 153 female small-scale enterprisers in different sectors, with a response rate of 66%. For comparative purposes, data from a population study of 1,699 employees in private companies was included in the analyses. Differences were tested by Chi(2)-test and associations were presented as odds ratios (OR) with a 95% confidence interval (95% CI). The frequency of health problems in male enterprisers was higher than in employees in the private sector, while the frequency of health problems in female enterprisers was equal to that of the control employees. The main findings highlighted that male enterprisers reported higher rate of health problems and female enterprisers equal rate compared with employees in the private sector. Enterprisers stated musculoskeletal pain (women 59%, men 56%) and mental health problems (women 47%, men 45%) as the most frequent health problems. Poor job satisfaction, reported by 17% of the females and 20% of the male enterprisers, revealed an OR of 10.42 (95% CI 5.78-18.77) for poor general health. For the enterprisers, the most frequent complaints, musculoskeletal pain and mental health problems, were associated with poor job satisfaction and poor physical work environment. An association between poor general health and working as an enterpriser remained after adjusting for working conditions, sex and age. PMID:18212472

  10. Consumer Health: Does Advertising Work on You? and Evaluating a Product's Health Claims.

    ERIC Educational Resources Information Center

    Cox, Carolyn C.

    This paper describes lessons for teaching middle and high school students how to determine if they are influenced by the power of advertising and how to evaluate a product's health claims. To determine the influence of advertising, teachers have high school students discuss what their latest health product/service purchase was, why they bought it,…

  11. Healthy Workplaces: The Effects of Nature Contact at Work on Employee Stress and Health

    PubMed Central

    Largo-Wight, Erin; Chen, W. William; Dodd, Virginia; Weiler, Robert

    2011-01-01

    Objectives. Cultivating healthy workplaces is a critical aspect of comprehensive worksite health promotion. The influence of healthy workplace exposures on employee health outcomes warrants research attention. To date, it is unknown if nature contact in the workplace is related to employee stress and health. This study was designed to examine the effects of nature contact experienced at work on employee stress and health. Methods. Office staff at a southeastern university (n=503, 30% response rate) participated in the cross-sectional study. We used a 16-item workplace environment questionnaire, the Nature Contact Questionnaire, to comprehensively measure, for the first time, nature contact at work. The Perceived Stress Questionnaire and 13 established health and behavioral items assessed the dependent variables, general perceived stress, stress-related health behaviors, and stress-related health outcomes. Results. There was a significant, negative association between nature contact and stress and nature contact and general health complaints. The results indicate that as workday nature contact increased, perceived stress and generalized health complaints decreased. Conclusions. The findings suggest that nature contact is a healthy workplace exposure. Increasing nature contact at work may offer a simple population-based approach to enhance workplace health promotion efforts. Future researchers should test the efficacy of nature-contact workplace stress interventions. PMID:21563720

  12. International experts’ perspectives on a curriculum for psychologists working in primary health care: implication for Indonesia

    PubMed Central

    Setiyawati, Diana; Colucci, Erminia; Blashki, Grant; Wraith, Ruth; Minas, Harry

    2014-01-01

    Enhancing primary health care to incorporate mental health services is a key strategy for closing the treatment gap for people with mental disorders. The integration of psychological care into primary health care is a critical step in addressing poor access to mental health specialists. As the psychology profession is increasingly called upon to prepare psychologists for primary health care settings, an international experts' consensus is valuable in guiding the development of a high-quality curriculum for psychologists working in the primary health care context. A Delphi method was used to gain a consensus on the most appropriate roles and training for psychologists. Initial constructs and themes were derived from a detailed literature review and sent to 114 international experts in primary mental health care from five continents. Overall, 52 experts who participated agreed that psychologists should have wide-ranging roles and skills including clinical, health promotion and advocacy skills. This study has identified the specific roles and training needed by psychologists to enable them to work more effectively in primary health care settings. The consensus will inform the development of a curriculum for psychologists working in primary health care in Indonesia, and is part of a broader suite of studies. PMID:25750818

  13. Transforming consumer health informatics through a patient work framework: connecting patients to context

    PubMed Central

    Valdez, Rupa S; Holden, Richard J; Novak, Laurie L; Veinot, Tiffany C

    2015-01-01

    Designing patient-centered consumer health informatics (CHI) applications requires understanding and creating alignment with patients’ and their family members’ health-related activities, referred to here as ‘patient work’. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients’ biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients’ health management in larger processes and contexts and prioritizes patients’ perspectives on illness management. Future research is required to advance (1) theories of patient work, (2) methods for assessing patient work, and (3) techniques for translating knowledge of patient work into CHI application design. Advancing a patient work approach within CHI is integral to developing and deploying consumer-facing technologies that are integrated with patients’ everyday lives. PMID:25125685

  14. Working Atmosphere and Job Satisfaction of Health Care Staff in Kenya: An Exploratory Study

    PubMed Central

    Goetz, Katja; Marx, Michael; Marx, Irmgard; Brodowski, Marc; Nafula, Maureen; Prytherch, Helen; Omogi Awour, Irene K. E.; Szecsenyi, Joachim

    2015-01-01

    Background. Job satisfaction and working atmosphere are important for optimal health care delivery. The study aimed to document working atmosphere and job satisfaction of health care professionals in Kenya and to explore associations between job satisfaction, staff characteristics, and working atmosphere. Methods. Data from the integrated quality management system (IQMS) for the health sector in Kenya were used. Job satisfaction was measured with 10 items and with additional 5 items adapted to job situation in Kenya. Working atmosphere was measured with 13 item questionnaire. A stepwise linear regression analysis was performed with overall job satisfaction and working atmosphere, aspects of job satisfaction, and individual characteristics. Results. Out of 832 questionnaires handed out, 435 questionnaires were completed (response rate: 52.3%). Health care staff indicated high commitment to provide quality services and low levels regarding the adequacy and functionality of equipment at their work station. The aspect “support of the ministry of health” (β = 0.577) showed the highest score of explained variance (32.9%) regarding overall job satisfaction. Conclusions. IQMS which also evaluates job satisfaction and working atmosphere of health care staff provides a good opportunity for strengthening the recruitment and retention of health care staff as well as improving the provision of good quality of care. PMID:26504793

  15. A conceptual model of work and health disparities in the United States.

    PubMed

    Lipscomb, Hester J; Loomis, Dana; McDonald, Mary Anne; Argue, Robin A; Wing, Steve

    2006-01-01

    Recent research in medicine and public health highlights differences in health related to race, ethnicity, socioeconomic status, and gender. These inequalities, often labeled "disparities," are pervasive and pertain to the major causes of morbidity, mortality, and lost life years. Often ignored in discussions of health disparities is the complex role of work, including not only occupational exposures and working conditions, but also benefits associated with work, effects of work on families and communities, and policies that determine where and how people work. The authors argue that work should be considered explicitly as a determinant of health disparities. Their conceptual model and empirical evidence, built on previous contributions, describe how work contributes to disparities in health on multiple levels. The examples focus on the United States, but many of the key conceptual features can also be applied to other countries. The model emphasizes behaviors and characteristics of institutions rather than individual workers. This approach avoids a focus on individual responsibility alone, which may lead to victim blaming and failure to emphasize policies and institutional factors that affect large populations and systematically create and maintain racial, gender, and socioeconomic disparities in health. PMID:16524164

  16. Gendered emotion work around physical health problems in mid- and later-life marriages☆

    PubMed Central

    Thomeer, Mieke Beth; Reczek, Corinne; Umberson, Debra

    2015-01-01

    The provision and receipt of emotion work—defined as intentional activities done to promote another’s emotional well-being—are central dimensions of marriage. However, emotion work in response to physical health problems is a largely unexplored, yet likely important, aspect of the marital experience. We analyze dyadic in-depth interviews with husbands and wives in 21 mid-to later-life couples to examine the ways that health-impaired people and their spouses provide, interpret, and explain emotion work. Because physical health problems, emotion work, and marital dynamics are gendered, we consider how these processes differ for women and men. We find that wives provide emotion work regardless of their own health status. Husbands provide emotion work less consistently, typically only when the husbands see themselves as their wife’s primary source of stability or when the husbands view their marriage as balanced. Notions of traditional masculinity preclude some husbands from providing emotion work even when their wife is health-impaired. This study articulates emotion work around physical health problems as one factor that sustains and exacerbates gender inequalities in marriage with implications for emotional and physical well-being. PMID:25661852

  17. Health promotion and surveillance: the establishment of an IUHPE global working group.

    PubMed

    Campostrini, Stefano; McQueen, David V; Evans, Linnea

    2009-12-01

    Following a series of international meetings on behavioral monitoring and surveillance, in 2007 the Italian Ministry of Health (Ministerio della Salute) and the Institute for Health (Istituto Superiore della Sanit) hosted the 5(th) International Conference on Behavioral Risk Factor Surveillance (BRFS) in Rome. A key focus of the conference was on how current surveillance systems could be applied to the field of health promotion, particularly in building the evidence base for health promotion practice. As a result of these discussions, the World Alliance for Risk Factor Surveillance (WARFS), an IUHPE Global Working Group, was formed to work toward providing knowledge and expertise in surveillance as a tool for advancing health promotion. For those IUHPE members interested in participation, this article provides an overview on the strategic direction of WARFS and the newly formed sub-working groups. PMID:20028670

  18. Ethics beyond borders: how health professionals experience ethics in humanitarian assistance and development work.

    PubMed

    Hunt, Matthew R

    2008-08-01

    Health professionals are involved in humanitarian assistance and development work in many regions of the world. They participate in primary health care, immunization campaigns, clinic- and hospital-based care, rehabilitation and feeding programs. In the course of this work, clinicians are frequently exposed to complex ethical issues. This paper examines how health workers experience ethics in the course of humanitarian assistance and development work. A qualitative study was conducted to consider this question. Five core themes emerged from the data, including: tension between respecting local customs and imposing values; obstacles to providing adequate care; differing understandings of health and illness; questions of identity for health workers; and issues of trust and distrust. Recommendations are made for organizational strategies that could help aid agencies support and equip their staff as they respond to ethical issues. PMID:19143083

  19. Electron work functions of ferrite and austenite phases in a duplex stainless steel and their adhesive forces with AFM silicon probe.

    PubMed

    Guo, Liqiu; Hua, Guomin; Yang, Binjie; Lu, Hao; Qiao, Lijie; Yan, Xianguo; Li, Dongyang

    2016-01-01

    Local electron work function, adhesive force, modulus and deformation of ferrite and austenite phases in a duplex stainless steel were analyzed by scanning force microscopy. It is demonstrated that the austenite has a higher electron work function than the ferrite, corresponding to higher modulus, smaller deformation and larger adhesive force. Relevant first-principles calculations were conducted to elucidate the mechanism behind. It is demonstrated that the difference in the properties between austenite and ferrite is intrinsically related to their electron work functions. PMID:26868719

  20. Electron work functions of ferrite and austenite phases in a duplex stainless steel and their adhesive forces with AFM silicon probe

    PubMed Central

    Guo, Liqiu; Hua, Guomin; Yang, Binjie; Lu, Hao; Qiao, Lijie; Yan, Xianguo; Li, Dongyang

    2016-01-01

    Local electron work function, adhesive force, modulus and deformation of ferrite and austenite phases in a duplex stainless steel were analyzed by scanning force microscopy. It is demonstrated that the austenite has a higher electron work function than the ferrite, corresponding to higher modulus, smaller deformation and larger adhesive force. Relevant first-principles calculations were conducted to elucidate the mechanism behind. It is demonstrated that the difference in the properties between austenite and ferrite is intrinsically related to their electron work functions. PMID:26868719

  1. Indonesian experts' perspectives on a curriculum for psychologists working in primary health care in Indonesia

    PubMed Central

    Setiyawati, Diana; Blashki, Grant; Wraith, Ruth; Colucci, Erminia; Minas, Harry

    2014-01-01

    Mental health is a critical issue in Indonesia, since its population ranks among the top five in the world and the prevalence of common mental disorders is 11.6% of the adult population. However, the need to build an effective mental health-care system that is accessible to the whole population has only been recently addressed. The Aceh tsunami in 2004 brought to the forefront an unexpected window of opportunity to build a mental health-care system. Integration of mental health care into primary health care is a key strategy to close the treatment gap for people with mental disorders. Existing integration of psychologists into primary health care is a big step to meet the shortage of mental health-care specialists. As primary mental health care is an emerging field, the perspectives of Indonesian experts on Indonesian mental health care are needed to develop a curriculum for training psychologists to work in primary health care. In this study, data have been collected through semi-structured interviews with 24 Indonesian mental health experts, and three focus group discussions with 26 psychologists. Overall, experts agreed that to be able to work in primary health-care psychologists should have roles and training ranging from clinical to advocacy skills. Participants also agreed that psychologists should work in the community and contribute to primary health care as service providers and that strong collaborations between psychologists and other primary health-care providers are the key; these can be developed partly through referral and by respecting each other's unique strengths. PMID:25750806

  2. [Problems of work world and its impact on health. Current financial crisis].

    PubMed

    Tomasina, Fernando

    2012-06-01

    Health and work are complex processes. Besides, they are multiple considering the forms they take. These two processes are linked to each other and they are influenced by each other. According to this, it is possible to establish that work world is extremely complex and heterogeneous. In this world, "old" or traditional risks coexist with "modern risks", derived from the new models of work organization and the incorporation of new technologies. Unemployment, work relationships precariousness and work risks outsourcing are results of neoliberal strategies. Some negative results of health-sickness process derived from transformation in work world and current global economic crisis have been noticed in current work conditions. Finally, the need for reconstructing policies focusing on this situation derived from work world is suggested. PMID:23258747

  3. Understanding the bond-energy, hardness, and adhesive force from the phase diagram via the electron work function

    SciTech Connect

    Lu, Hao; Huang, Xiaochen; Li, Dongyang

    2014-11-07

    Properties of metallic materials are intrinsically determined by their electron behavior. However, relevant theoretical treatment involving quantum mechanics is complicated and difficult to be applied in materials design. Electron work function (EWF) has been demonstrated to be a simple but fundamental parameter which well correlates properties of materials with their electron behavior and could thus be used to predict material properties from the aspect of electron activities in a relatively easy manner. In this article, we propose a method to extract the electron work functions of binary solid solutions or alloys from their phase diagrams and use this simple approach to predict their mechanical strength and surface properties, such as adhesion. Two alloys, Fe-Ni and Cu-Zn, are used as samples for the study. EWFs extracted from phase diagrams show same trends as experimentally observed ones, based on which hardness and surface adhesive force of the alloys are predicted. This new methodology provides an alternative approach to predict material properties based on the work function, which is extractable from the phase diagram. This work may also help maximize the power of phase diagram for materials design and development.

  4. Understanding the bond-energy, hardness, and adhesive force from the phase diagram via the electron work function

    NASA Astrophysics Data System (ADS)

    Lu, Hao; Huang, Xiaochen; Li, Dongyang

    2014-11-01

    Properties of metallic materials are intrinsically determined by their electron behavior. However, relevant theoretical treatment involving quantum mechanics is complicated and difficult to be applied in materials design. Electron work function (EWF) has been demonstrated to be a simple but fundamental parameter which well correlates properties of materials with their electron behavior and could thus be used to predict material properties from the aspect of electron activities in a relatively easy manner. In this article, we propose a method to extract the electron work functions of binary solid solutions or alloys from their phase diagrams and use this simple approach to predict their mechanical strength and surface properties, such as adhesion. Two alloys, Fe-Ni and Cu-Zn, are used as samples for the study. EWFs extracted from phase diagrams show same trends as experimentally observed ones, based on which hardness and surface adhesive force of the alloys are predicted. This new methodology provides an alternative approach to predict material properties based on the work function, which is extractable from the phase diagram. This work may also help maximize the power of phase diagram for materials design and development.

  5. The Role of Labor Unions in Creating Working Conditions That Promote Public Health.

    PubMed

    Hagedorn, Jenn; Paras, Claudia Alexandra; Greenwich, Howard; Hagopian, Amy

    2016-06-01

    We sought to portray how collective bargaining contracts promote public health, beyond their known effect on individual, family, and community well-being. In November 2014, we created an abstraction tool to identify health-related elements in 16 union contracts from industries in the Pacific Northwest. After enumerating the contract-protected benefits and working conditions, we interviewed union organizers and members to learn how these promoted health. Labor union contracts create higher wage and benefit standards, working hours limits, workplace hazards protections, and other factors. Unions also promote well-being by encouraging democratic participation and a sense of community among workers. Labor union contracts are largely underutilized, but a potentially fertile ground for public health innovation. Public health practitioners and labor unions would benefit by partnering to create sophisticated contracts to address social determinants of health. PMID:27077343

  6. Information needs and seeking behaviour among health professionals working at public hospital and health centres in Bahir Dar, Ethiopia

    PubMed Central

    2013-01-01

    Background Universal access to information for health professionals is a need to achieve “health for all strategy.” A large proportion of the population including health professionals have limited access to health information in resource limited countries. The aim of this study is to assess information needs among Ethiopian health professionals. Methods A cross sectional quantitative study design complemented with qualitative method was conducted among 350 health care workers in Feburary26-June5/2012. Pretested self-administered questionnaire and observation checklist were used to collect data on different variables. Data entry and data analysis were done using Epi-Info version 3.5.1 and by SPSS version19, respectively. Descriptive statistics and multivariate regression analyses were applied to describe study objectives and identify the determinants of information seeking behaviours respectively. Odds ratio with 95% CI was used to assess the association between a factor and an outcome variable. Results The majority of the respondents acknowledged the need of health information to their routine activities. About 54.0% of respondents lacked access to health information. Only 42.8% of respondents have access to internet sources. Important barriers to access information were geographical, organizational, personal, economic, educational status and time. About 58.0% of the respondents accessed information by referring their hard copies and asking senior staff. Age, sex, income, computer literacy and access, patient size, work experience and working site were significantly associated with information needs and seeking behaviour. Conclusions The health information seeking behaviour of health professional was significant. The heaklth facilities had neither informationcenter such as library, nor internet facilities. Conducting training on managing health information, accessing computer and improving infrastructures are important interventions to facilitate evidence based descions. PMID:24373296

  7. Reproductive Health in the United States: A Review of the Recent Social Work Literature.

    PubMed

    Wright, Rachel L; Bird, Melissa; Frost, Caren J

    2015-10-01

    Reproductive health is an important area affecting a woman's overall health and well-being. The examination of reproductive health and barriers to care is pertinent to the social work profession and should be a focus of social work practice, education, research, and advocacy. The authors conducted a literature search of articles published in the social work literature from 2010 to 2014. The findings reveal important published articles that increase our knowledge of the reproductive health of women in the United States. Most published articles focused on pregnancy and birth outcomes. Articles also addressed sexually transmitted infections; abortion; intimate partner violence; prostitution; access to care; cancer screening; views toward contraception; hysterectomies; breastfeeding; menopause; and the intersection of reproductive rights, religion, and social justice. This review also identified unexamined areas that require further social work attention and consideration. PMID:26489350

  8. Preparing Social Work Students for Interprofessional Practice in Geriatric Health Care: Insights from Two Approaches

    ERIC Educational Resources Information Center

    Bonifas, Robin P.; Gray, Amanda K.

    2013-01-01

    Although several interprofessional education projects have addressed training allied health students for effective teamwork in geriatrics, few curriculum evaluation studies have examined differences in learning outcomes between interprofessional and traditional uniprofessional approaches, especially for social work students. This paper compares

  9. Preparing Social Work Students for Interprofessional Practice in Geriatric Health Care: Insights from Two Approaches

    ERIC Educational Resources Information Center

    Bonifas, Robin P.; Gray, Amanda K.

    2013-01-01

    Although several interprofessional education projects have addressed training allied health students for effective teamwork in geriatrics, few curriculum evaluation studies have examined differences in learning outcomes between interprofessional and traditional uniprofessional approaches, especially for social work students. This paper compares…

  10. Work Environment and Its Relationship to Quality Improvement: Health Care Providers' Perspectives.

    PubMed

    Hussein, Azza Hassan Mohamed; Abou Hashish, Ebtsam Aly

    2016-01-01

    There is a gap in understanding how work environment contributes to hospitals' readiness for quality improvement (QI) in developing countries; thus, diagnosing work environment problems in health care organizations is the initial step in designing strategies for QI in organizations. This study examines the relationship between nurses' and physicians' perspectives of the work environments and hospitals' climate for QI. Study results indicate that work environment is positively associated with hospitals' readiness for QI. PMID:27191372

  11. The FORCE Fitness Profile--Adding a Measure of Health-Related Fitness to the Canadian Armed Forces Operational Fitness Evaluation.

    PubMed

    Gagnon, Patrick; Spivock, Michael; Reilly, Tara; Mattie, Paige; Stockbrugger, Barry

    2015-11-01

    In 2013, the Canadian Armed Forces (CAF) implemented the Fitness for Operational Requirements of Canadian Armed Forces Employment (FORCE), a field expedient fitness test designed to predict the physical requirements of completing common military tasks. Given that attaining this minimal physical fitness standard may not represent a challenge to some personnel, a fitness incentive program was requested by the chain of command to recognize and reward fitness over and above the minimal standard. At the same time, it was determined that the CAF would benefit from a measure of general health-related fitness, in addition to this measure of operational fitness. The resulting incentive program structure is based on gender and 8 age categories. The results on the 4 elements of the FORCE evaluation were converted to a point scale from which normative scores were derived, where the median score corresponds to the bronze level, and silver, gold, and platinum correspond to a score which is 1, 2, and 3 SDs above this median, respectively. A suite of rewards including merit board point toward promotions and recognition on the uniform and material rewards was developed. A separate group rewards program was also tabled, to recognize achievements in fitness at the unit level. For general fitness, oxygen capacity was derived from FORCE evaluation results and combined with a measure of abdominal circumference. Fitness categories were determined based on relative risks of mortality and morbidity for each age and gender group. Pilot testing of this entire program was performed with 624 participants to assess participants' reactions to the enhanced test, and also to verify logistical aspects of the electronic data capture, calculation, and transfer system. The newly dubbed fitness profile program was subsequently approved by the senior leadership of the CAF and is scheduled to begin a phased implementation in June 2015. PMID:26506187

  12. [Mental health and work: a discussion on the connection between work and diagnosis, based on daily practice].

    PubMed

    Glina, D M; Rocha, L E; Batista, M L; Mendonça, M G

    2001-01-01

    Seven cases of workers selected among 150 who had undergone psychiatric treatment at the Workers' Health Reference Centers in Santo Amaro and André Gabois from 1994 to 1997 were presented for a detailed analysis characterizing work situations and discussing definition of the diagnosis and causal connections with work. The qualitative case study provides a thematic analysis of the patient history and files. Work situations are characterized by: unhealthy working conditions, problems related to work organization, inadequate human resources management, and urban violence. Symptoms included: fear, anxiety, depression, nervousness, tension, fatigue, malaise, loss of appetite, sleep disorders, and psychosomatic disorders (gastritis, hypertension); in addition, workers were unable to forget about work while off the job. Diagnosis varied. Three cases involved post-traumatic syndrome. Two cases involved organic psychosis linked to accidents or exposure to neurotoxic chemical products. Cases also included neurotic syndromes of fatigue, depression, and paranoia, as well as adaptation and reaction to acute stress. In all of the cases it was possible to relate the clinical picture to the work situation. PMID:11395797

  13. Health effects of supplemental work from home in the European Union.

    PubMed

    Arlinghaus, Anna; Nachreiner, Friedhelm

    2014-12-01

    Internationalization and technological developments have changed the work organization in developed and developing industrial economies. Information and communication technologies, such as computers and smartphones, are increasingly used, allowing more temporal and spatial flexibility of work. This may lead to an increase in supplemental work, i.e. constant availability or working in addition to contractually agreed work hours. This in turn extends work hours and leads to work hours in evenings and weekends, causing interferences of work hours with biological and social rhythms for sleep, recovery and social interaction. However, empirical findings on the effects of supplemental work and work hours on occupational health are rather scarce. Therefore, the aim of this study was to investigate the association between (1) work-related contacts outside of regular work hours and (2) working in the free time with self-reported work-related health impairments in the fourth and fifth European Working Conditions Surveys (EWCS 2005, EWCS 2010). Out of these cross-sectional, large-scale surveys, data on n = 22 836 and n = 34 399 employed workers were used for weighted logistic regression analyses. About half of the sample reported at least occasional supplemental work. The results showed an increased risk of reporting at least one health problem for employees who had been contacted by their employer (EWCS 2005), or worked in their free time to meet work demands (EWCS 2010) in the last 12 months, compared to those reporting no supplemental work or work-related contacts during free time. These results were controlled for demographic variables, physical and mental work load, worker autonomy, and several work hours characteristics (e.g. hours per week, unusual and variable hours). The risk of reporting health problems was increased by being contacted both sometimes (Odds Ratio [OR] 1.26, 95% Confidence Interval [CI] 1.14-1.39) and often (OR 1.13, 95% CI 1.02-1.25), whereas the frequency of working in the free time showed a clear dose-response effect (sometimes: OR 1.14, 95% CI 1.04-1.24; often: OR 1.60, 95% CI 1.47-1.75), both compared to the category "never". The findings, thus, indicate that even a small amount of supplemental work beyond contractually agreed work hours may increase the risk of work-related health impairments. Working in the free time was associated with a substantial risk increase and might be a better indicator for actual work load than being contacted by the employer outside of contractually agreed work hours. Thus, in order to minimize negative health effects, availability requirements for employees outside their regular work hours should be minimized. While these effects definitely need further study, especially regarding a quantification of actual supplemental work and its temporal location, addressing the company culture and using incentives and policies might be options to reduce the amount of supplemental work and maintain the risks of health impairments in the working population at a lower level. PMID:25229274

  14. The Community Health Worker. Working Guide. Guidelines for Training. Guidelines for Adaptation.

    ERIC Educational Resources Information Center

    World Health Organization, Geneva (Switzerland).

    This book is a revised and enlarged edition of "The Primary Health Worker," a standard teaching text and reference manual developed for community health workers and their trainers and supervisors. The new edition has been updated with practical knowledge gained during the extensive field use of the previous work. The book also incorporates new…

  15. Work-Related Health Limitations, Education, and the Risk of Marital Disruption

    ERIC Educational Resources Information Center

    Teachman, Jay

    2010-01-01

    Despite progress in identifying the covariates of divorce, there remain substantial gaps in the knowledge. One of these gaps is the relationship between health and risk of marital dissolution. I extend prior research by examining the linkages between work-related health limitations and divorce using 25 years of data (N = 7919) taken from the 1979

  16. Bachelor of Social Work Students and Mental Health Stigma: Understanding Student Attitudes

    ERIC Educational Resources Information Center

    Zellmann, Karen T.; Madden, Elissa E.; Aguiniga, Donna M.

    2014-01-01

    Bachelor-level social work students (n = 198) at a midsized Midwestern public university were surveyed to evaluate their attitudes toward those with mental health concerns. Additionally, students were surveyed regarding their willingness to seek treatment for their own mental health needs. Results of the analyses suggest that the majority of…

  17. Work-Related Health Limitations, Education, and the Risk of Marital Disruption

    ERIC Educational Resources Information Center

    Teachman, Jay

    2010-01-01

    Despite progress in identifying the covariates of divorce, there remain substantial gaps in the knowledge. One of these gaps is the relationship between health and risk of marital dissolution. I extend prior research by examining the linkages between work-related health limitations and divorce using 25 years of data (N = 7919) taken from the 1979…

  18. The Health of Women at Work. A Bibliography. Occasional Papers No. 2.

    ERIC Educational Resources Information Center

    Hunt, Vilma R.

    Both English and foreign language articles and books, most of them published since 1950, are cited in this bibliography on the health of women in the workplace. Citations were selected to represent the efforts that have been made by health professionals, statisticians, historians, and social scientists in this area. The designation "at work"…

  19. Clocking in: The Organization of Work Time and Health in the United States

    ERIC Educational Resources Information Center

    Kleiner, Sibyl; Pavalko, Eliza K.

    2010-01-01

    This article assesses the health implications of emerging patterns in the organization of work time. Using data from the National Longitudinal Survey of Youth 1979, we examine general mental and physical health (SF-12 scores), psychological distress (CESD score), clinical levels of obesity, and the presence of medical conditions, at age 40.…

  20. Developing the Health Care Workforce: A Comparison of Two Work-Based Learning Models

    ERIC Educational Resources Information Center

    Brown, Barbara Alice; Harte, Jacqui; Warnes, Anne-Marie

    2007-01-01

    Purpose: The purpose of this paper is to share practice on how two approaches to work-based learning (WBL) are used to develop the knowledge and skills of health care staff with different levels of experience and educational attainment within the Department of Nursing and the Department of Allied Health Professions at a post-1992 university…

  1. 75 FR 52355 - Draft National Conversation on Public Health and Chemical Exposures Work Group Reports...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-25

    ...The National Conversation on Public Health and Chemical Exposures is a collaborative initiative through which many organizations and individuals are helping develop an action agenda for strengthening the nation's approach to protecting the public's health from harmful chemical exposures. This notice announces the availability of draft National Conversation work group reports for public review......

  2. Clocking in: The Organization of Work Time and Health in the United States

    ERIC Educational Resources Information Center

    Kleiner, Sibyl; Pavalko, Eliza K.

    2010-01-01

    This article assesses the health implications of emerging patterns in the organization of work time. Using data from the National Longitudinal Survey of Youth 1979, we examine general mental and physical health (SF-12 scores), psychological distress (CESD score), clinical levels of obesity, and the presence of medical conditions, at age 40.

  3. Labor Force

    ERIC Educational Resources Information Center

    Occupational Outlook Quarterly, 2012

    2012-01-01

    The labor force is the number of people ages 16 or older who are either working or looking for work. It does not include active-duty military personnel or the institutionalized population, such as prison inmates. Determining the size of the labor force is a way of determining how big the economy can get. The size of the labor force depends on two…

  4. Health Inequalities among Workers with a Foreign Background in Sweden: Do Working Conditions Matter?

    PubMed Central

    Dunlavy, Andrea C.; Rostila, Mikael

    2013-01-01

    Employment and working conditions are key social determinants of health, yet current information is lacking regarding relationships between foreign background status, working conditions and health among workers in Sweden. This study utilized cross-sectional data from the 2010 Swedish Level of Living Survey (LNU) and the Level of Living Survey for Foreign Born Persons and their Children (LNU-UFB) to assess whether or not health inequalities exist between native Swedish and foreign background workers and if exposure to adverse psychosocial and physical working conditions contributes to the risk for poor health among foreign background workers. A sub-sample of 4,021 employed individuals aged 18–65 was analyzed using logistic regression. Eastern European, Latin American and Other Non-Western workers had an increased risk of both poor self-rated health and mental distress compared to native Swedish workers. Exposure to adverse working conditions only minimally influenced the risk of poor health. Further research should examine workers who are less integrated or who have less secure labor market attachments and also investigate how additional working conditions may influence associations between health and foreign background status. PMID:23846669

  5. Work-related factors of presenteeism: The mediating role of mental and physical health.

    PubMed

    Pohling, Rico; Buruck, Gabriele; Jungbauer, Kevin-Lim; Leiter, Michael P

    2016-04-01

    Even though work-related factors have been found to play a crucial role in predicting presenteeism, studies investigating established theoretical frameworks of job design features and, in particular, underlying mechanisms are still very scarce. The objective of this study was to investigate the influence of the areas of work life according to the Areas of Worklife Scale (AWS; Leiter & Maslach, 2004) on presenteeism. We examined mental and physical health as the underlying process of this relationship and assessed 2 presenteeism outcome measures and their relationship to each other-that is, the frequency of acts of presenteeism and work productivity. Using a cross-sectional design, the study was conducted in a sample of 885 employees from German public service. Results showed that the influence of some, but not all, areas of work life (workload, control, reward, and values) on both acts of presenteeism and health-related lost productivity was mediated by health indicators (well-being and musculoskeletal complaints). Moreover, we found a relationship between health-related lost productivity and acts of presenteeism. The present research clarifies the importance of work-related factors as antecedents of sickness presenteeism. The findings of our study also emphasize the necessity to include both acts of presenteeism and health-related lost productivity in presenteeism research and prevention. Presenteeism should be included as a measure in health prevention interventions because it reflects a crucial part of employee health that is not covered by other measures. (PsycINFO Database Record PMID:26322439

  6. Health inequalities among workers with a foreign background in Sweden: do working conditions matter?

    PubMed

    Dunlavy, Andrea C; Rostila, Mikael

    2013-07-01

    Employment and working conditions are key social determinants of health, yet current information is lacking regarding relationships between foreign background status, working conditions and health among workers in Sweden. This study utilized cross-sectional data from the 2010 Swedish Level of Living Survey (LNU) and the Level of Living Survey for Foreign Born Persons and their Children (LNU-UFB) to assess whether or not health inequalities exist between native Swedish and foreign background workers and if exposure to adverse psychosocial and physical working conditions contributes to the risk for poor health among foreign background workers. A sub-sample of 4,021 employed individuals aged 18-65 was analyzed using logistic regression. Eastern European, Latin American and Other Non-Western workers had an increased risk of both poor self-rated health and mental distress compared to native Swedish workers. Exposure to adverse working conditions only minimally influenced the risk of poor health. Further research should examine workers who are less integrated or who have less secure labor market attachments and also investigate how additional working conditions may influence associations between health and foreign background status. PMID:23846669

  7. Final Report of the National Black Health Providers Task Force on High Blood Pressure Education and Control.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD.

    This is the final report of National Black Health Providers Task Force (NBHPTF) on High Blood Pressure Education and Control. The first chapter of the report recounts the history of the NBHPTF and its objectives. In the second chapter epidemiological evidence is presented to demonstrate the need for a suggested 20 year plan aimed at controlling…

  8. Vulnerable families: a study of health visitors' prioritization of their work.

    PubMed

    Williams, D M

    1997-01-01

    Changes in the NHS have supported the idea of targeting health services to those in greatest need. This has meant that health visitors are increasingly having to identify 'vulnerable' families in need of increased health visiting intervention. This paper reports on a qualitative study undertaken in order to explore the ways in which health visitors plan and organize their work in relation to the concept of vulnerability. Focus groups and semi-structured interviews were carried out with health visitors from two separate geographical areas, one an inner city area and the other suburban, in order to explore the criteria by which health visitors define vulnerability and decide to increase their levels of intervention to particular families. It was found that vulnerability was extremely difficult to define but that the health visitors used criteria which were appropriate to the particular localities in which they worked to identify vulnerable families and to increase their levels of intervention to those families. Health visitors were targeting their services within a framework of a basic minimum service to all and were assessing the health needs of individuals or families rather than planning their work on the basis of community or practice profiles. PMID:9146200

  9. Towards a Unified Taxonomy of Health Indicators: Academic Health Centers and Communities Working Together to Improve Population Health

    PubMed Central

    Aguilar-Gaxiola, Sergio; Ahmed, Syed; Franco, Zeno; Kissack, Anne; Gabriel, Davera; Hurd, Thelma; Ziegahn, Linda; Bates, Nancy J.; Calhoun, Karen; Carter-Edwards, Lori; Corbie-Smith, Giselle; Eder, Milton “Mickey”; Ferrans, Carol; Hacker, Karen; Rumala, Bernice B.; Strelnick, A. Hal; Wallerstein, Nina

    2014-01-01

    The Clinical Translational Science Awards (CTSA) Program represents a significant public investment. To realize its major goal of improving the public’s health and reducing health disparities, the CTSA Consortium’s Community Engagement Key Function Committee has undertaken the challenge of developing a taxonomy of community health indicators. The objective is to initiate a unified approach for monitoring progress in improving population health outcomes. Such outcomes include, importantly, the interests and priorities of community stakeholders, plus the multiple, overlapping interests of universities and of the public health and health care professions involved in the development and use of local health care indicators. The emerging taxonomy of community health indicators that the authors propose supports alignment of CTSA activities and facilitates comparative effectiveness research across CTSAs, thereby improving the health of communities and reducing health disparities. The proposed taxonomy starts at the broadest level, determinants of health; subsequently moves to more finite categories of community health indicators; and, finally, addresses specific quantifiable measures. To illustrate the taxonomy’s application, the authors have synthesized 21 health indicator projects from the literature and categorized them into international, national, or local/special jurisdictions. They furthered categorized the projects within the taxonomy by ranking indicators with the greatest representation among projects and by ranking the frequency of specific measures. They intend for the taxonomy to provide common metrics for measuring changes to population health and, thus, extend the utility of the CTSA Community Engagement Logic Model. The input of community partners will ultimately improve population health. PMID:24556775

  10. Childhood exposure to violence and lifelong health: Clinical intervention science and stress biology research join forces

    PubMed Central

    Moffitt, Terrie E.

    2013-01-01

    Many young people who are mistreated by an adult, victimized by bullies, criminally assaulted, or who witness domestic violence react to this violence exposure by developing behavioral, emotional, or learning problems. What is less well known is that adverse experiences like violence exposure can lead to hidden physical alterations inside a child’s body, alterations which may have adverse effects on life-long health. We discuss why this is important for the field of developmental psychopathology and for society, and we recommend that stress-biology research and intervention science join forces to tackle the problem. We examine the evidence base in relation to stress-sensitive measures for the body (inflammatory reactions, telomere erosion, epigenetic methylation, and gene expression) and brain (mental disorders, neuroimaging, and neuropsychological testing). We also review promising interventions for families, couples, and children that have been designed to reduce the effects of childhood violence exposure. We invite intervention scientists and stress-biology researchers to collaborate in adding stress-biology measures to randomized clinical trials of interventions intended to reduce effects of violence exposure and other traumas on young people. PMID:24342859

  11. Proceedings: The Conference of the University/Urban Schools National Task Force: What Works in Urban Schools (3rd, San Francisco, CA, July 9-10, 1982).

    ERIC Educational Resources Information Center

    Bossone, Richard M., Ed.

    Proceedings of the University/Urban Schools Task Force conference on what works in urban schools are summarized in this report. The future direction of the Task Force, articulated by conference participants, is described as a move toward the conceptualization and design of programs to teach thinking skills versus programs that mainly teach subject…

  12. Hope and despair: community health assistants’ experiences of working in a rural district in Zambia

    PubMed Central

    2014-01-01

    Background In order to address the challenges facing the community-based health workforce in Zambia, the Ministry of Health implemented the national community health assistant strategy in 2010. The strategy aims to address the challenges by creating a new group of workers called community health assistants (CHAs) and integrating them into the health system. The first group started working in August 2012. The objective of this paper is to document their motivation to become a CHA, their experiences of working in a rural district, and how these experiences affected their motivation to work. Methods A phenomenological approach was used to examine CHAs’ experiences. Data collected through in-depth interviews with 12 CHAs in Kapiri Mposhi district and observations were analysed using a thematic analysis approach. Results Personal characteristics such as previous experience and knowledge, passion to serve the community and a desire to improve skills motivated people to become CHAs. Health systems characteristics such as an inclusive work culture in some health posts motivated CHAs to work. Conversely, a non-inclusive work culture created a social structure which constrained CHAs’ ability to learn, to be innovative and to effectively conduct their duties. Further, limited supervision, misconceptions about CHA roles, poor prioritisation of CHA tasks by some supervisors, as well as non- and irregular payment of incentives also adversely affected CHAs’ ability to work effectively. In addition, negative feedback from some colleagues at the health posts affected CHA’s self-confidence and professional outlook. In the community, respect and support provided to CHAs by community members instilled a sense of recognition, appreciation and belonging in CHAs which inspired them to work. On the other hand, limited drug supplies and support from other community-based health workers due to their exclusion from the government payroll inhibited CHAs’ ability to deliver services. Conclusions Programmes aimed at integrating community-based health workers into health systems should adequately consider multiple incentives, effective management, supervision and support from the district. These should be tailored towards enhancing the individual, health system and community characteristics that positively impact work motivation at the local level if such programmes are to effectively contribute towards improved primary healthcare. PMID:24886146

  13. Working toward financial sustainability of integrated behavioral health services in a public health care system.

    PubMed

    Monson, Samantha Pelican; Sheldon, J Christopher; Ivey, Laurie C; Kinman, Carissa R; Beacham, Abbie O

    2012-06-01

    The need, benefit, and desirability of behavioral health integration in primary care is generally accepted and has acquired widespread positive regard. However, in many health care settings the economics, business aspects, and financial sustainability of practice in integrated care settings remains an unsolved puzzle. Organizational administrators may be reluctant to expand behavioral health services without evidence that such programs offer clear financial benefits and financial sustainability. The tendency among mental health professionals is to consider positive clinical outcomes (e.g., reduced depression) as being globally valued indicators of program success. Although such outcomes may be highly valued by primary care providers and patients, administrative decision makers may require demonstration of more tangible financial outcomes. These differing views require program developers and evaluators to consider multiple outcome domains including clinical/psychological symptom reduction, potential cost benefit, and cost offset. The authors describe a process by which a pilot demonstration project is being implemented to demonstrate programmatic outcomes with a focus on the following: 1) clinician efficiency, 2) improved health outcomes, and 3) direct revenue generation associated with the inclusion of integrated primary care in a public health care system. The authors subsequently offer specific future directions and commentary regarding financial evaluation in each of these domains. PMID:22563727

  14. Work demands are related to mental health problems for older engine room officers.

    PubMed

    Rydstedt, Leif W; Lundh, Monica

    2012-01-01

    The aim of the present study was to analyse the main and interaction effects of age and psychosocial work demands on mental wellbeing in a sample (N = 685; age M = 47 years) of engine room officers in the Swedish merchant fleet. As expected, work demands were highly related to general mental health as well as to perceived stress, while the main effect of age only related significantly to perceived stress. The interaction effects between high work demands and high age significantly explained the variance of general mental health as well as perceived stress. The results can be understood as a consequence of the rapid technological and organisational development in the shipping industry and suggest that it ought be of high priority to provide older employees with work-related resources to support their long-term work performance as well as their health and wellbeing. PMID:24595972

  15. Effects of extended work shifts on employee fatigue, health, satisfaction, work/family balance, and patient safety.

    PubMed

    Estryn-Béhar, Madeleine; Van der Heijden, Beatrice I J M

    2012-01-01

    12-hour shifts are quickly spreading in Europe. From our multivariate analysis concerning 25,924 European nurses, including twenty explanatory variables simultaneously, we found that work schedule itself is not a major determinant factor. Nurses aim to choose or accept night shifts or 12-hour shift in order to reduce their work/home conflicts, however, at the expense of the patient's safety, as well as their own health and safety. Therefore, it is important to develop measures, such as extended child care, association of nurses to the elaboration of their rota, 9- or 10-hour shifts in the afternoon, allowing naps during night shifts, and reduction of changing shifts with short notice. Work schedules must be organized in order to allow time for shift handover, social support and team building. PMID:22317378

  16. Women of Hispanic Origin in the Labor Force. Facts on Working Women No. 89-1 = La mujer de origen hispano en la fuerza laboral. Facts on Working Women Num. 89-1S.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    Data on Hispanic women in the labor force between 1978 and 1988 show the following: (1) 6.5 percent of the women in the work force in 1988 were of Hispanic origin (3.6 million); (2) the median age of Hispanic women was 26.1 years, 2-5 years younger than Black or White women; (3) 66 percent of Hispanic women participate in the labor force, a higher…

  17. [Environmental investigation of ground water contamination at Wright- Patterson Air Force Base, Ohio]. Volume 4, Health and Safety Plan (HSP); Phase 1, Task 4 Field Investigation report: Draft

    SciTech Connect

    Not Available

    1991-10-01

    This Health and Safety Plan (HSP) was developed for the Environmental Investigation of Ground-water Contamination Investigation at Wright-Patterson Air Force Base near Dayton, Ohio, based on the projected scope of work for the Phase 1, Task 4 Field Investigation. The HSP describes hazards that may be encountered during the investigation, assesses the hazards, and indicates what type of personal protective equipment is to be used for each task performed. The HSP also addresses the medical monitoring program, decontamination procedures, air monitoring, training, site control, accident prevention, and emergency response.

  18. Health services market testing--the experience of the community services review team in British Forces Germany.

    PubMed

    Leach, A J; Whitmore, M K; Schofield, J; Morris, G

    1996-06-01

    During 1993-1995 the health services in British Forces Germany were subjected to a market testing process by which the primary, community and acute health services for the British Servicemen and women, their families and attached civilian staff, a population of 70,000, were put out to competitive tender with the then current provider, the Defence Medical Services, as one tenderer for the contract. This paper outlines the methodology developed by the Health Alliance Community Services Review team in formulating a successful bid. It is considered that the process outlined could be of value to those involved in future market tests, commissioning projects or performance improvement programmes. PMID:8819035

  19. The effects of a health promotion-health protection intervention on behavior change: the WellWorks Study.

    PubMed Central

    Sorensen, G; Stoddard, A; Hunt, M K; Hebert, J R; Ockene, J K; Avrunin, J S; Himmelstein, J; Hammond, S K

    1998-01-01

    OBJECTIVES: This study assessed the effects of a 2-year integrated health promotion-health protection work-site intervention on changes in dietary habits and cigarette smoking. METHODS: A randomized, controlled intervention study used the work site as the unit of intervention and analysis; it included 24 predominantly manufacturing work sites in Massachusetts (250-2500 workers per site). Behaviors were assessed in self-administered surveys (n = 2386; completion rates = 61% at baseline, 62% at final). Three key intervention elements targeted health behavior change: (1) joint worker-management participation in program planning and implementation, (2) consultation with management on work-site environmental changes, and (3) health education programs. RESULTS: Significant differences between intervention and control work sites included reductions in the percentage of calories consumed as fat (2.3% vs 1.5% kcal) and increases in servings of fruit and vegetables (10% vs 4% increase). The intervention had a significant effect on fiber consumption among skilled and unskilled laborers. No significant effects were observed for smoking cessation. CONCLUSIONS: Although the size of the effects of this intervention are modest, on a populationwide basis effects of this size could have a large impact on cancer-related and coronary heart disease end points. PMID:9807537

  20. Health and social care futures in Ireland: the need for cross-boundary work.

    PubMed

    Mcilfatrick, Sonia; McKenna, Hugh; Gray, Ann-Marie; Hinds, Mary

    2002-05-01

    Fundamental changes are taking place in health and social care. The drivers for these changes include new discoveries, new treatments and globalization and the need to examine and consider cross-boundary work. This paper will outline some of the issues generated from a research project that aimed to provide an all-Ireland perspective on health and social care futures and to examine the implications of these trends both for nursing specifically and health and social care generally. Cross-boundary working is important in relation to health and social care futures. This incorporates cross-boundary working to include interprofessional, intraprofessional and interagency but also cross-border working with the Republic of Ireland. There is a great potential for cross-boundary work in nursing as we look towards the future. Nonetheless, it needs to be acknowledged that working across sectors, departments and even borders is not easy and barriers do exist. Some of the implications for nursing include the need to re-examine nursing roles and span the boundaries of our profession with the increasing development of nurse-led services. In addition nurses need to develop ways of "working together" strategically with others to achieve the public health agenda. PMID:12010532