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PubMedDate not supplied

Byssinosis in a Bombay textile mill.

BACKGROUND: Till a national campaign against dust-related lung diseases was launched by a voluntary agency in Ahmedabad in 1992, government records for the 150-year-old textile industry showed no cases of byssinosis--the disabling occupational disease caused by cotton dust. The worldwide incidence of byssinosis among workers in the dusty sections of textile mills is nearly 40%. We assessed the prevalence of byssinosis in a Bombay mill so that the Employees State Insurance Scheme would start conducting medical checks in all the 55 textile mills in Bombay and officially recognize the disease. METHODS: The study was conducted under the auspices of the Occupational Health and Safety Centre, a voluntary organization. Textile workers were called to a camp conducted over 3 nights and 3 days. We asked them to answer a questionnaire and tested their lung function using a Wright's ventilometer. The diagnosis of byssinosis was made if there was a feeling of chest tightness on exposure to cotton dust, and if the FEV1 was less than 60% of the expected result or the FEV1/FVC was less than 75%. RESULTS: Of the total 1075 workers in the mill only 273 came to the camp; 54 (30%) of the 179 individuals working in the dusty sections of the mill had byssinosis. In the non-dusty departments, 16 (17%) out of the 94 workers were affected. Among those working for less than 10 years in textile mills, 24% had byssinosis and among those working for more than 30 years, 45% had the disease. CONCLUSION: We found a prevalence of byssinosis among textile workers which is similar to that reported worldwide. The disease affected those who worked in both the dusty and non-dusty sections of the mill. There are an estimated 40,000 affected workers in Bombay and we suggest that the disease be recognized by the Employees State Insurance Scheme, and that the textile mill workers be compensated if they are affected by byssinosis.

Adult↗
PubMed1990

Applied psychophysiology and biofeedback of event-related potentials (brain waves): historical perspective, review, future directions.

This paper reviews the efforts of workers in the 1960s-1980s to demonstrate voluntary control of exogenously evoked (event-related) potentials in visual, somatic sensory, and auditory systems in rats, cats, and humans. The first part of the paper reviews the conceptual foundation and development of the work--it actually arose from traditional sensory coding and neural correlates of behavior studies. The second part summarizes recent applications of the method in the area of pain control. In reviewing these matters, the major effort is directed at revealing how the ideas unfolded in very human, day-to-day, anecdotal terms. There is not much of an attempt to formally review the literature, which is cited for consultation elsewhere. In the same spirit, many possible future experiments are suggested by way of elucidating the key remaining questions in the area.

Animals↗
PubMed2004

Effects of illness and disability on job separation.

Effects of illness and disability on job separation result from both voluntary and involuntary processes. Voluntary processes range from the reasoned actions of workers who weigh illness and disability in their decision-making, to reactive stress-avoidance responses. Involuntary processes include employer discrimination against ill or disabled workers. Analyses of the effects of illness and disability that differentiate reasons for job separation can illuminate the processes involved. This paper reports on an evaluation of effects of illness and disability on job separation predicted by theories of reasoned action, stress, and employer discrimination against ill and disabled workers. Effects of four illness/disability conditions on the rate of job separation for 12 reasons are estimated using data from a longitudinal study of a representative sample of the Canadian population-the Survey of Labour and Income Dynamics (SLID). Two of the four effects that are statistically significant (under conservative Bayesian criteria for statistical significance) are consistent with the idea that workers weigh illness and disability as costs, and calculate the costs and benefits of continuing to work with an illness or disability: (1) disabling illness increases the hazard of leaving a job in order to engage in caregiving, and (2) work-related disability increases the hazard of leaving a job due to poor pay. The other two significant effects indicate that: (3) disabling illness decreases the hazard of layoff, and (4) non-work disability increases the hazard of leaving one job to take a different job. This last effect is consistent with a stress-interruption process. Other effects are statistically significant under conventional criteria for statistical significance, and most of these effects are also consistent with cost-benefit and stress theories. Some effects of illness and disability are sex and age-specific, and reasons for the specificity of these effects are discussed.

Adolescent↗
PubMed1990

Goal instability and later life adjustment.

A series of analyses on the goal instability personality construct, as measured by the Goal Instability Scale (GIS), was conducted to establish the construct validity of goal instability as it relates to older adults. This construct was derived from Heinz Kohut's psychology of the self. The sample consisted of a total of 157 voluntary early retirees representing a cross section of worker types from a manufacturing industry. In the first analysis, a series of confirmatory factor analyses supported the hypothesis that the 10-item GIS measures a unitary construct. In the second analysis, GIS was found to be similar across age groups. These findings enhance the conceptual clarity of the goal instability construct and its relevance with regard to older adults. Goal instability may represent 1 negative aspect of a quest for self-continuity.

Adaptation, Psychological↗
PubMed2003

Attitudes to HIV voluntary counselling and testing among mineworkers in South Africa: will availability of antiretroviral therapy encourage testing?

We conducted a study to identify attitudes that influence uptake of HIV voluntary counselling and testing (VCT) amongst gold mine workers in South Africa; 105 healthy men were interviewed. The level of basic knowledge of HIV was high, but reported awareness of the extent of HIV infection in the workforce and perceived personal risk of HIV infection was low. Health issues were considered the most important indication for HIV testing and one-third had been tested. Fear of testing positive for HIV and the potential consequences, particularly stigmatization, disease and death, were the major identified barriers to VCT. Half of the participants felt workplace education programmes needed to be improved to promote VCT access. Twenty-six per cent became more favourably inclined towards HIV testing in response to information on improvements that have been made to the confidentiality and convenience of the company's VCT service. Only 14% then indicated that they would be more likely to access VCT if antiretroviral therapy became available. A vigorous community education programme is essential if the introduction of ART is to be effective in promoting uptake of VCT.

Adult↗
PubMed2003

Blood transfusion related paediatric HIV/AIDS in Ile-Ife, Nigeria.

This prospective study was aimed at determining the contribution of blood transfusion to paediatric HIV infection in Ile-lfe, Nigeria. It involved HIV screening of consecutive children presenting at the Obafemi Awolowo University Teaching Hospital (OAUTH), Ile-Ife, between March 1996 and March 2001, with any of the signs in the WHO clinical case definition for paediatric AIDS. The HIV serostatus of blood donors at the OAUTH was also extracted from the blood bank records. Of the 263 children who met the criteria for HIV screening, 35 (13.3%) were HIV-positive. Eighteen of the 263 children screened had a history of blood transfusion and 12 (66.7%) of the 18 were HIV-positive. Eleven (91.7%) of the 12 HIV-positive patients were transfused in private hospitals with blood collected from private laboratories. The blood with which the HIV-positive children were transfused was unscreened in three, screened in two and the HIV status unknown in the others. The sole voluntary donor was an HIV-positive father whose child received his unscreened blood. Only two (16. 7%) of the mothers of the previously transfused HIV-positive children were also HIV-positive. 'Paid'donors accounted for 94.3% of total donors in OAUTH blood bank records and cumulative HIV-positivity was statistically significantly higher in 'paid' donors than in voluntary donors (p = 0.005). Wl conclude that transfusion with unsafe blood is an important route for HIV infection in symptomatic children and that HIV-positivity is higher among paid donors. recommend the establishment of a national blood transfusion service, which is presently non-existent in Nigeria, and the enforcement of laws guiding blood transfusion. Voluntary blood donation should been encouraged and health workers in the private sectors educated on the link between blood transfusion and HIV infection.

Acquired Immunodeficiency Syndrome↗
PubMed1994

Small, blue collar work site hypertension screening: a cost-effectiveness study.

This study determined the cost-effectiveness of one- versus two-stage hypertension screening at small to medium-sized blue collar, multicultural work sites using voluntary health organization and public health unit personnel. Workers with diastolic blood pressure (DBP) > or = 90 mm Hg were randomly allocated to one- or two-stage screening with differing physician referral protocols based on blood pressure level and treatment status. At first screening of 7856 workers, 12.5% had DBP > or = 90 mm Hg or < 90 and on medication with 64% aware of having hypertension, 42% on medication and 30% controlled (DBP < 90 mm Hg). One year later, there were no significant differences in effects or cost-effectiveness between groups. Both had significant DBP decrease (8.5 mm Hg), 54% had seen a physician within the recommended time, and 50% were controlled on medication or any treatment. One-stage screening, being easier to implement, is the preferred option.

Adult↗
PubMedDate not supplied

The emotional needs of allergic and asthmatic patients and their families.

This article describes the emotional needs of allergic and asthmatic patients and their families that must addressed if optimal management and well-being is to be achieved. Health care professionals need to recognize the psychosocial issues of patients and parents, which include the effect of stressors, illness perceptions, fears, and concerns and that the management of asthma and allergies requires a team effort, involving a wide variety of health care professionals, e.g., physicians, nurses, social workers, psychologists, teachers, as well as involvement of voluntary health organizations and local support groups. Asthma self-management educational programs address these emotional needs and provide the foundation for gaining control.

Adaptation, Psychological↗
PubMed1999

Outflow uropathy: occupational disorder?

This paper alerts physicians, health care workers, and employers to a probable connection between voluntary, infrequent voiding and urinary dysfunction. The dysfunction includes abnormal uroflow patterns, increased urethral resistance, abnormal post-void residuals, chronic trigonitis, and urethrovesical inflammatory polyps. A review of intermittent uroflow and obstructive uroflow patterns reveals that all females in this study worked long hours without voiding.

Adult↗
PubMed1987

Postural load and the development of musculo-skeletal illness.

Early in the 1970s, high rates of sick-leave due to musculo-skeletal complaints were frequently recorded among workers at Standard Telefon and Kabelfabrik's (STK's) factory in Norway. Workstations were redesigned according to ergonomics principles that allowed workers a wider choice of working postures and following their introduction in 1975, there was a marked reduction in sickness absence. Postural load was studied in groups of female workers in well defined assembly tasks. Trapezius load was recorded by electromyography (EMG). Simultaneously, postural angles of the upper arm in the shoulder joint and flexion/extension of head/neck and back were measured by using pendulum potentiometers. A quantitative relationship was found for the group between its median value of static trapezius load and the development of musculo-skeletal sick-leave, as a function of length of employment. Further support for a relationship between musculo-skeletal injury and trapezius load was found for the same subjects who suffered less musculo-skeletal sick-leave, consistent with the reduced trapezius load when working at the redesigned work stands. The relationship between postural load and musculo-skeletal injury was studied in comparable groups of the female workers with respect to age, working hours per day and time of employment. Psychosocial problems, spare time activities and living habits of workers did not show any significant difference across the groups. Postural load, both in terms of the magnitude of the flexion angle of the upper arm in the shoulder joint and the distribution of the work load between flexors and extensors, appeared to influence the incidence of load-related musculo-skeletal illness in the upper part of the body. The incidence of musculo-skeletal sick-leave in a group of workers with a median static trapezius load of about 1 to 2% MVC (Maximum Voluntary Contraction) for most of the work day, was approximately the same as for a group of comparable female workers without continuous work load. This suggests that a static trapezius load level of about 1% MVC is acceptable for the major part of the work day if adequate breaks in the load pattern are allowed when needed. At the same time, a median arm flexion of 15 degrees and a median arm abduction less than 10 degrees indicate the amplitude of these angles for 50% of the recording time. No details about the work-pause pattern was obtained, therefore these limits are only a rough indication of an acceptable arm position.

Absenteeism↗
PubMed1994

Employee turnover in community mental health organization: a developmental stages study.

The purpose of this study was to examine the reasons for employee turnover in community mental-health residential services, and to determine the relationship of workers' developmental stage to those reasons. Three types of variables were collected in the study: 1) Demographics, including tenure and income; 2) Workers' ratings of their effectiveness, satisfaction, desired responsibility, expectancy of leaving the organization, morale, and competence; 3) Workers' ranking of the most important turnover factors for them, at the time of the study. Other personnel data was compiled by the organization for the use of this study. Significant findings were found in all interest areas of this study. The studied organization reached 50% yearly voluntary turnover, and 72% separation rate for the same year. Workers' stages of development found to have significant relationships with the choices workers would make in their selection of turnover factors. Workers in higher stages of development tended to choose "higher order" turnover factors like rewards and organizational factors. Nevertheless, the most significant factor in a decision to leave a CMH organization was low pay.

Adult↗
PubMed1999

Older people's health information needs.

This paper, originally given at the Health Libraries Group conference 'First aid for the front line' in September 1998, argues that older people's health information needs are in many respects little different to anyone else's. It looks at different formats of information that may be helpful for older people, and at the needs of two specific groups, carers and elders from ethnic groups. Direct user involvement in the development of information is seen as important. It is emphasized that there is a particular need for primary care workers to know how other services, such as those within social care and the voluntary sector, operate. The paper ends by looking at the information professional's role in providing resources and training to such workers, and suggests a broader remit for the profession as a whole, to help to ensure social inclusion for older people.

Aged↗
PubMed2006

Parental experience of child protection intervention: a qualitative study.

OBJECTIVE: To explore the ways in which parents experience and negotiate child protection intervention. METHOD: A qualitative grounded theory approach was used. In-depth qualitative interviews explored the experiences of 18 parents who had received child protection services. Grounded theory methods were used to build a model representing the ways these parents perceived and reacted to intervention. RESULTS: The ways parents perceive workers using power was shown to be the primary influence shaping parents' views of intervention and their reactions to it. Two perceptions of power emerged: parents perceived power being used over them as a form of control or power with them as a form of support. Three ways of responding to intervention emerged: parents fought workers by openly opposing them, "played the game" by feigning co-operation, or worked with them in collaborative relationships. Parents experiencing power being used over them tended to fight or play the game while parents experiencing power being used with them tended to work with intervention. No evidence was found linking case type (non-voluntary or voluntary cases) to whether parents perceived power being used by workers over them or with them. CONCLUSIONS: Findings highlight the importance of practitioners and policy makers being aware of the impact power has on worker-parent interaction. Doubts are raised about the viability of policies separating policing and helping in child protection through differential response systems.

Adult↗
PubMed2005

Psychosocial effects of the 2001 UK foot and mouth disease epidemic in a rural population: qualitative diary based study.

OBJECTIVES: To understand the health and social consequences of the 2001 foot and mouth disease epidemic for a rural population. DESIGN: Longitudinal qualitative analysis. SETTING: North Cumbria, the worst affected area in Britain. SAMPLE: Purposive sample of 54 respondents divided in six demographically balanced rural occupational and population groups. MAIN OUTCOME MEASURES: 3071 weekly diaries contributed over 18 months; 72 semistructured interviews (with the 54 diarists and 18 others); 12 group discussions with diarists RESULTS: The disease epidemic was a human tragedy, not just an animal one. Respondents' reports showed that life after the foot and mouth disease epidemic was accompanied by distress, feelings of bereavement, fear of a new disaster, loss of trust in authority and systems of control, and the undermining of the value of local knowledge. Distress was experienced across diverse groups well beyond the farming community. Many of these effects continued to feature in the diaries throughout the 18 month period. CONCLUSIONS: The use of a rural citizens' panel allowed data capture from a wide spectrum of the rural population and showed that a greater number of workers and residents had traumatic experiences than has previously been reported. Recommendations for future disaster management include joint service reviews of what counts as a disaster, regular NHS and voluntary sector sharing of intelligence, debriefing and peer support for front line workers, increased community involvement in disposal site or disaster management, and wider, more flexible access to regeneration funding and rural health outreach work.

Agricultural Workers' Diseases↗
PubMed1988

Ergonomic on-the-job training of assembly workers. Arm-neck-shoulder complaints drastically reduced amongst beginners.

Assembly workers at a chain saw factory in Sweden were ergonomically instructed with the purpose of adjusting their movement patterns so that the muscular load on their upper extremities was kept below the critical level, defined as 10% of the maximum voluntary contraction. The study included two separate categories of subjects: new workers without previous experience of assembly work, and workers with at least one year's experience. As a result of the ergonomic instruction, the number of days lost through arm-neck-shoulder complaints was reduced by half in the test group consisting of new workers, compared with the corresponding control group with no ergonomic training. Amongst the experienced workers, however, the difference between the test group and the control group was statistically non-significant. The study showed that ergonomic monitoring and training are necessary to benefit fully from improved workplaces and tools. Considering the results accomplished amongst the new workers and given the extent of sick leave for the upper extremities, it seems that ergonomic interventions to prevent arm-neck-shoulder complaints at an early stage are extremely worthwhile.

Journal Article↗
PubMed2001

Interprofessional collaboration: a stakeholder approach to evaluation of voluntary participation in community partnerships.

A major goal of community coalitions is to engage the community in large-scale systems change. This paper examines how five interprofessional partnerships in South Africa involved their local communities as well as a variety of voluntary agencies in the long-term planning and delivery of health care. The obstacles and difficulties encountered by the volunteers who participate in the partnerships are highlighted. The paper compares the views of 427 participants from four stakeholders: the community health workers; the projects' core staff; 'solo' community members; and representatives of voluntary agencies, community-based agencies and non-governmental organisations. This article considers the benefits and costs of participation as well as satisfaction, ownership, representation, contributions, and commitment. The findings suggest that while the stakeholders value their partnerships, some of the costs associated with their participation may affect their satisfaction and commitment. The challenges of working in partnerships with volunteers in a community setting are discussed and strategies for addressing them are considered. The implications for coalition functioning and the lessons for future community involvement in the planning of local health services by way of interprofessional partnerships are also addressed.

Adult↗
PubMed1998

Emotional exhaustion as a predictor of job performance and voluntary turnover.

Recent research suggests that a better understanding of emotional exhaustion requires the development of new theoretical perspectives. To that end, with the conservation of resources model (COR) as the theoretical framework, the present 1-year longitudinal study was undertaken. Composed of 52 social welfare workers, this research examined the relationship of emotional exhaustion to job satisfaction, voluntary turnover, and job performance. Positive affectivity (PA) and negative affectivity (NA) were used as control variables. Whereas emotional exhaustion was unrelated to job satisfaction, it was associated with both performance and subsequent turnover. In addition, the relationship between emotional exhaustion and performance and also between emotional exhaustion and turnover remained significant above and beyond the effects of PA and NA. Future research directions and implications of the findings are introduced.

Adult↗