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Biomedical subjects

P Knauth

Publications and source records attributed to P Knauth.

53 records · Page 3Linked to original sources

[The effect of an on the job training program -- stairclimbing -- on the physical working capacity of employees (author's transl)].

Following medical screening and physical fitness testing (W170) 52 voltuntary employees in a 31-story administration building were formed into matched pairs and randomly allocated into intervention (stairclimbing) and control (lift) groups. The intervention group was asked to climb at least 25 floors/workday or 125 floors/week. the control group was asked to use only the lift. The intervention time was 10 weeks. The physiological measurements were made before and after the intervention. The number of stairs climbed was recorded daily in a diary. The heart rate was recorded continuously over one workday before and during the interventions. The average quantity of training in the final intervention group (n = 19) was 29.9 floors/workday or 36,790 kpm/week and in the control group 4.6 and 5980 correspondingly. The average training frequency was 4.3 in intervention and 1.4 climbs/workday in the control group. The average number of continuous floors used during climbing was 7.0 in intervention and 3.4 in control group. The average number of minutes on heart rate level of 130-159 beats/min during one workday was 7.8 in intervention and 1.6 in control group. The W170 (W/kg) increased 17.8% and the predicted VO2max (ml/min/kg) 15.1% in intervention group. The difference between the intervention group and the control group was significant (p less than 0.01). It was concluded, that stairclimbing is a suitable on the job physical activity program for middle-aged, untrained men.

Employment↗

Biomedical and psychosocial aspects of shift work. A review.

A survey of the different types of shift-work systems in use, and the incidence of shift work in different industries and countries, is followed by a discussion of (a) the effects of shift work on health and (b) the physiological problems raised by the phase-shifting of the circadian cycle in night workers. Summaries of the existing knowledge of the effects of shift work on performance efficiency, accidents, and family and social life are then given, and a set of criteria for designing optimal shift systems is proposed. Next, the questions of selection for shift work and the provision of health services for shiftworkers are discussed. Finally, the need for further research on the problems of shift work is explained, and suggestions are offered on the lines such research should follow.

Accidents↗

Ties that bind.

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Attitude to Health↗

The design of shift systems.

All shift systems have advantages and drawbacks. There is no single 'optimum shift system' which can be used in industry or commerce at all work places. However, there are shift systems which are more favourable, and others which are less favourable, in the context of physiological, psychological, and social recommendations for the design of shift systems. This article discusses the following recommendations: (1) Nightwork should be reduced as much as possible. If this is not possible, quickly rotating shift systems are preferable to slowly rotating ones. Permanent nightwork does not seem to be advisable for the majority of shiftworkers. (2) Extended workdays (9-12 h) should only be contemplated, if the nature of work and the workload are suitable; the shift system is designed to minimize the accumulation of fatigue; there are adequate arrangements for cover of absentees; overtime will not be added; toxic exposure is limited; and if it is likely that a complete recovery after work and a high acceptance of the working time arrangement are possible. (3) An early start for the morning shift should be avoided. In all shiftsystems flexible working time arrangements are realizable. The highest flexibility is possible in 'time autonomous groups'. (4) Quick changeovers (e.g., from night to afternoon shift at the same day or from afternoon to morning shift) must be avoided. The number of consecutive working days should be limited to 5-7 days. Every shift system should include some free weekends with at least two successive full days off. (5) The forward rotation of shifts (phase delay, clockwise rotation) would seem to be recommendable at least in continuous shift systems. Besides the design of a shift system, implementation strategy is of particular importance for the acceptance of the shift system.

Circadian Rhythm↗

A 14-h night-shift in the control room of a fire brigade.

All 29 operators in the control room of a fire brigade performed test sessions during work and leisure time at 2-h intervals on a day with a 14-h night-shift, a day off and a day with a 10-h morning shift. The test sessions consisted of a visual search choice reaction time test and two Sternberg memory search tests (1 or 5 letters had to be memorized). Furthermore, the operators recorded their oral temperature and their subjective alertness before each test session. The subject also kept a diary of work and sleep times for 14 days. The circadian rhythm of body temperature was hardly changed by a single night-shift. Parallel to the body temperature, the subjective alertness fell significantly during the night-shift reaching a minimum value at 06:00 h. The mean reaction times increased non-significantly at the end of the night-shift and the results of the two Sternberg memory search tests showed no significant trends. The sleep of the operators after the night-shift was on average reduced to 5 hs 34 min. The results of subjective rating of alertness and reaction time test are interpreted as effects of the combined influences of circadian rhythmicity, sleep loss and time on professional task. Most results support the conclusion that a 14-h night-shift without extensive breaks is not acceptable.

Adult↗

The revolving door.

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Female↗