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[Individual typological characteristics of the cardiovascular reaction to partial body cooling in workers on field-watch assignments].

Due to the use of a cluster analysis 5 types of the individual cardiovascular response to hand local cooling and of cold thermosensitivity were identified. The following groups were determined: I. non-cold-adapted group with elevated cold thermosensitivity and vascular response to local cooling, young age and short-term length of service on watch; 2. the group with different levels of thermal adaptation on the verge of the 3-year period of work, the age being similar; 3. the group with extremely low cold thermosensitivity and moderate vascular response to local cold. The group is characterized by long-term length of service and positive forecast as to individual work under subextreme conditions of being on dispatch watch.

Acclimatization↗

Ambulatory ECG monitoring in workers exposed to electromagnetic fields.

The aim of this study was to evaluate the function of the circulatory system in workers occupationally exposed to medium frequency electromagnetic fields. The subjects were 71 workers at four AM broadcast stations [0.738-1.503 MHz] aged 20-68 (mean 46.9 +/- 13.1) years and 22 workers at radio link stations aged 23-67 (mean 48.2 +/- 17.4) years. Workers at AM broadcast stations experienced 2-40 (mean 18.6 +/- 12.1) years' exposure to electromagnetic fields (average daily exposure dose about 115 Vh m-1, maximum exposure levels during shift about 165 V m-1), workers at radio link stations had no history of regular exposure to electromagnetic fields. In all the subjects a general medical examination, resting ECG and 24 h Holter monitoring were performed. The work organization, work period structure, age, lifestyle, nutritional habits and health status in both groups remained fairly similar. The electrocardiographic abnormalities detected in the resting and/ or 24 h ECG were significantly more frequent (p = 0.006) in workers exposed to electromagnetic fields than in non-exposed subjects (75% versus 25%). A clear tendency for a higher number of rhythm disturbances (mostly ExV) was observed in AM broadcast station workers.

Adult↗

Lymphoma and multiple myeloma mortality in relation to magnetic field exposure among electric utility workers.

Associations between occupational magnetic field exposure and non-Hodgkin's lymphoma (NHL), Hodgkin's disease, and multiple myeloma mortality were evaluated in 138,905 electrical utility workers. A job-exposure matrix based on measured magnetic fields was used to derive individual exposure estimates. There was a small positive association between all NHL and low-grade NHL and duration of employment in any magnetic field-exposed job, but only up to 20 years. Cumulative magnetic field exposure was associated with a rising, then falling, risk of NHL. Rate ratios for intermediate/high-grade lymphoma were increased for the highest levels of lifetime cumulative exposure (RR = 3.7 and RR = 2.3), and were most pronounced for those exposures occurring 10-20 years previously. Hodgkin's disease and multiple myeloma mortality did not appear to be associated with exposure. Associations were stronger for NHL subgroups, suggesting that further analysis by subgroup may be warranted, but the absence of dose-response gradients diminishes the likelihood that associations represent causal relationships.

Cohort Studies↗

Quantitative process evaluation of a community-based HIV/AIDS behavioural intervention in rural Uganda.

This paper describes the implementation of a large community-based HIV/AIDS behavioural intervention in rural Uganda and presents 4 years' worth of quantitative process data. The intervention involved 560 field-based workers (57% male, 76% subsistence farmers, mean age 35 years), supervised by six central staff. Intervention channels included drama and video shows, Community Educators (CEs), as well as leaflet and condom distribution. Activities focused on one or more of 16 key topics. In total, 392 000 attendances (51% female) were recorded--a mean of over 6 for each of the 64 000 target adults--at 81 000 activities, with CEs attracting 71% of the total attendance; 164 000 leaflets and 242 000 condoms were also distributed. The annual cost of the intervention per target individual was approximately US$1.76. Our voluntary workforce experienced an annual attrition rate of 11%, with 'stable' workers more likely to be older, married or opinion leaders in their community than those who dropped out. We calculate that even a significant increase in the proportion of female field workers would have made little difference either to the sex ratio of attendees or to overall attendance. In spite of some initial resistance to the intervention, particularly in relation to condoms, we have demonstrated that people in rural Africa can accept and actively participate in the dissemination of HIV/AIDS prevention messages throughout their own communities.

Adolescent↗