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Video display terminal workstation improvement program: I. Baseline associations between musculoskeletal discomfort and ergonomic features of workstations.

Associations between selected sites of musculoskeletal discomfort and ergonomic characteristics of the video display terminal (VDT) workstation were assessed in analyses controlling for demographic, psychosocial stress, and VDT use factors in 273 VDT users from a large administrative department. Significant associations with wrist/hand discomfort were seen for female gender; working 7+ hours at a VDT; low job satisfaction; poor keyboard position; use of new, adjustable furniture; and layout of the workstation. Significantly increased odds ratios for neck/shoulder discomfort were observed for 7+ hours at a VDT, less than complete job control, older age (40 to 49 years), and never/infrequent breaks. Lower back discomfort was related marginally to working 7+ hours at a VDT. These results demonstrate that some characteristics of VDT workstations, after accounting for psychosocial stress, can be correlated with musculoskeletal discomfort.

Adult↗

Assessment of subjective stress in video display terminal workers.

Stress assessment in the workplace has been focused on its environmental, psychological and biological aspects. We carried out an evaluation of the subjective components of stress in a working population of 60 subjects employed in a large Public Service, 30 Video Display Terminal (VDT) workers (15 men and 15 woman) and 30 office-workers not assigned to VDT (15 men and 15 woman), by using the "Rapid Stress Assessment Scale": a short questionnaire of easy administration in work environment. VDT workers of both sexes showed higher total stress score vs. office workers (respectively p<0.05, p<0.05). Gender differences were present: female VDT workers showed higher scores of clusters anxiety (p<0.001) and aggressiveness (p<0.05); male VDT workers' score were significantly higher in somatization (p<0.05) and aggressiveness cluster. Our results showed that in VDT workers are experienced greater subjective response to stress than "office workers" and confirm the gender differences in stress experiencing.

Adult↗

Effects of long-term visual display terminal usage on visual functions.

Since their rapid introduction into the workplace visual display terminals (VDT's) have been the source of a number of studies aimed at detecting effects on office workers. The published studies have been either short-term or cross-sectional, with one exception. The results have shown varying degrees of relation but by not having a comparable control group all have been limited in their value. We set out to monitor at regular intervals over a 2-year period specific visual functions that have been reported to be affected by VDT usage, and to compare VDT and non-VDT users in the same office environment. By assessing the VDT operators from the time the systems were introduced we have an accurate baseline to work from when assessing change due to the introduction of the VDT.

Accommodation, Ocular↗

[Effects of short-term VDT usage on visual functions].

OBJECTIVE: To evaluate the effects of short-term VDT usage on visual functions. METHODS: Visual function of the video display terminal (VDT) operators before and after 1 hour VDT usage were assessed. These included refraction, amplitude of accommodation, near point of convergence, AC/A, phorias, fusional convergence and divergence, tear film break time (BUT) and aberrations. And the same situation was compared was the non-VDT usage. RESULTS: In comparison with pre-VDT use, amplitude of accommodation, BUT were significantly decreased (P < 0.05), near point of convergence, near lateral exophoria were significantly increased after VDT use (P < 0.05). Total, high order, 4th and 5th order aberrations were significantly greater after VDT use (P < 0.05). CONCLUSIONS: Short-term VDT work does have a significantly greater temporarily effect on visual function, tear film quality and visual quality.

Adolescent↗

An analysis of VDT monitor placement and daily hours of use for female bifocal users.

A population of 72 bifocal wearers was studied to determine the relationship between VDT (video display terminal) placement for those who reported musculoskeletal pain and those who did not. The mean hours worked was 50.4 minutes (p=0.003) greater for those who reported head/neck pain versus those who did not and 48.6 minutes (p=0.004) greater for those who reported shoulder/arm pain that those who did not. There was no statistically significant difference between the means of monitor height, distance, or angle for those who reported pain symptoms versus those who did not. This study indicates that, self reported pain symptoms are correlated with hours of VDT work and that there appears to be a threshold at approximately five hours for pain symptoms among bifocal wearers. No such correlation can be made for monitor placement

Adult↗

Exposure to video display terminals and risk of spontaneous abortion.

Clusters of spontaneous abortion among video display terminal (VDT) users in North America and Canada in the late 1970s aroused suspicion about the potential risk of an association between VDT. exposure and pregnancy outcome. This case-control study considered the association between VDT use and the risk of miscarriage. Cases were 508 women admitted for spontaneous abortion to the Clinica Luigi Mangiagalli and a network of obstetric departments in the Milan area. Controls were 1,148 women who gave birth at term to healthy infants on randomly selected days at the same hospitals where cases were identified. No association emerged between VDT exposure and spontaneous abortion, the estimated odds ratio being 1.0 (95% CI: 0.8-1.2). This evidence agrees with studies conducted in different countries by various authors.

Abortion, Spontaneous↗

Gene structure conservation aids similarity based gene prediction.

One of the primary tasks in deciphering the functional contents of a newly sequenced genome is the identification of its protein coding genes. Existing computational methods for gene prediction include ab initio methods which use the DNA sequence itself as the only source of information, comparative methods using multiple genomic sequences, and similarity based methods which employ the cDNA or protein sequences of related genes to aid the gene prediction. We present here an algorithm implemented in a computer program called Projector which combines comparative and similarity approaches. Projector employs similarity information at the genomic DNA level by directly using known genes annotated on one DNA sequence to predict the corresponding related genes on another DNA sequence. It therefore makes explicit use of the conservation of the exon-intron structure between two related genes in addition to the similarity of their encoded amino acid sequences. We evaluate the performance of Projector by comparing it with the program Genewise on a test set of 491 pairs of independently confirmed mouse and human genes. It is more accurate than Genewise for genes whose proteins are <80% identical, and is suitable for use in a combined gene prediction system where other methods identify well conserved and non-conserved genes, and pseudogenes.

Algorithms↗

Work environment and health in VDT use. An ergonomic approach.

Work-related health complaints were analysed in 90 operators of visual display terminals (VDT) and in 130 control office workers in regard to their assessment of environmental factors and work organization. The most common work-environment-related complaints concerned dry or stuffy or smoky air, poor ventilation, passive smoking and high temperature (14-71%). Fatigue (78%), headache (53%) and eye disturbances (48%) were more pronounced in VDT operators than in the other workers. Among the complaints relating to work organization the most important were lack of autonomy for both groups (26-34%) and the pressure to be productive for VDT operators. Physical factors accounted for 11.5-41% of the variation in the work-related health problems; VDT use accounted for only 1.9-7.5%. The high rate of work-related complaints and health symptoms seemed to be related more to personal, environmental and organizational characteristics than to VDT use.

Adult↗

Sitting posture and neck and shoulder muscle activities at different screen height settings of the visual display terminal.

The effects of the VDT screen height on working posture and electromyographic (EMG) activities of the neck and shoulder muscles were determined in 10 healthy subjects. The subjects performed a mouse-driven interactive task at the screen height settings of 80, 100 and 120 cm. Changes in body positions were measured by video image and frame analysis. Surface EMG recordings were done on the neck extensor muscle and the descending part of the trapezius muscle, both on the right side. The results of the postural analysis showed that at higher screen height settings, the neck became significantly more erect. The subjects also assumed a more backward-leaning trunk position at higher screen heights. The EMG activities of the neck and shoulder muscles were related to the neck angle and trunk inclination, respectively. A more flexed neck produced significantly higher neck extensor muscle activities. A backward-leaning trunk was also noted to decrease trapezius muscle activity in some subjects.

Adult↗

The influence of VDT work on musculoskeletal disorders.

Relationships between visual display terminal (VDT) use and musculoskeletal problems were examined in a group of 353 office workers, using data from medical and workplace investigations as well as questionnaires. There were no general differences between VDT and non-VDT users as to the occurrence of muscle problems. Combinations of specific VDT work situations such as data entry work or work with a VDT for more than 20 h/week and the presence of some other factors were, however, associated with excess risks of certain muscle problems. The extraneous factors involved in the definitions of such risk groups were: use of bifocal or progressive glasses at a VDT; stomach-related stress reactions; limited rest break opportunity; repetitive movements; non-use of lower arm support; and possibly the vertical position of the keyboard; and presence of specular glare.

Cohort Studies↗

Skin symptoms and disease during work with visual display terminals.

A cross-sectional study on 353 routine office workers was performed in order to investigate relationships between skin diseases, signs or reported symptoms and work at visual display terminals. Skin diseases and signs were ascertained by dermatological examination. Skin symptoms as well as details of VDT work and other work conditions were obtained from a questionnaire. Measurements of the physical environment were made at each work place. The results were subjected to a multivariate analysis. There was a tendency for increased occurrence of seborrhoeic eczema, nonspecific erythema and symptoms among VDT compared to non-VDT users. Organizational conditions during VDT work, such as a perceived high work pace or work load, and inability to take rest breaks, were found to be associated with reported skin symptoms and nonspecific erythema. A low relative humidity was associated with a diagnosis of seborrhoeic eczema. No associations were found in this study between current field levels of electric or magnetic fields and skin diseases, signs or reported symptoms.

Acne Vulgaris↗

Job task and psychosocial risk factors for work-related musculoskeletal disorders among newspaper employees.

OBJECTIVES: A cross-sectional study was conducted to assess the association of upper extremity musculoskeletal disorders and work-related factors among employees using video display terminals at a large metropolitan newspaper. METHODS: The study included 1050 randomly selected workers from four departments. The workers were asked to complete questionnaires on symptoms, job tasks, and psychosocial and work organization conditions. Musculoskeletal disorders of the upper extremities were defined by frequency, duration, and intensity of symptoms not attributable to acute injury. Data were analyzed with the use of logistic regression. RESULTS: A total of 973 workers completed the survey. The one-year period prevalence rate for any musculoskeletal disorder of the upper extremities was 41%. Neck symptoms (26%) were the most frequently reported, followed by hand or wrist (22%), shoulder (17%), and elbow (10%) symptoms. Greater time working at the video display station was associated with increased hand or wrist symptoms in a dose-response relationship. In addition, variables corresponding to increased work-load demands (eg, increased time working under deadline and increased job pressure) were associated with increased neck, shoulder, and hand or wrist disorders. Women were more likely to report symptoms in several areas, but this finding may reflect the concentration of women in jobs involving more risk factors. CONCLUSIONS: The results suggest a high prevalence of musculoskeletal disorders of the upper extremities among newspaper employees, and they provide additional evidence that increased work load, time pressure, and greater hours of computer use are related to the occurrence of work-related musculoskeletal disorders among these workers, particularly for disorders in the hand or wrist area.

Adult↗

Fetal growth, preterm birth and infant mortality in relation to work with video display terminals during pregnancy.

Through register linkage between a trade union file and public health registers 24,352 pregnancy outcomes were selected from a source population of 214,108 commercial and clerical employees. In a case-base study including all recorded cases and a randomly selected base sample, the potential effect of video display terminal (VDT) use in pregnancy on the risk of low birthweight, preterm birth, light weight for delivery date, stillborn, perinatal death, and infant death was investigated. Data on VDT use and potential confounders were collected from postal questionnaires sent to 6312 women and 426 employers. The rate ratio for women exposed to any degree of use was 0.88 for low birthweight [95% confidence interval (95% CI) 0.67-1.16], 1.11 for preterm birth (95% CI 0.87-1.47), 0.99 for light weight for delivery date (95% CI 0.80-1.21), 0.73 for stillborn (95% CI 0.36-1.48), 1.10 for perinatal death (95% CI 0.62-1.94), and 0.20 for infant death (95% CI 0.04-1.03). In conclusion, this investigation did not show an increased risk of the studied adverse pregnancy outcomes among women with VDT use.

Adolescent↗

[Exposure to low-frequency electromagnetic fields and pregnancy outcome: a review of the literature with particular attention to exposure to video terminals].

Exposure to extremely low frequency electromagnetic field (EMF) is very common and concern about its harmful effects has been raised. Video display terminals (VDT) in the office are among the most important sources of exposure. Animal studies have shown adverse effects on reproduction, but the role of EMF in human reproduction is not clear. Twelve papers considering the effects of VDT and other EMF exposure on pregnancy outcome are reviewed. Concerning VDT exposure, the pooled OR for spontaneous abortion was 1.0 (95% Confidence Interval, CI, 0.9-1.0). There was no significative trend in risk with exposure intensity. No significative risk emerged for low birth weight nor for congenital malformations. Regarding other sources of EMF (electric blankets, heated waterbeds, ceiling cable electric heat and power lines), some studies have suggested that spontaneous abortion, growth retardation and congenital defects are more frequent during the coldest month of the year (when the exposure to these EMF would have been higher). However, data on the issue are scanty.

Animals↗

Analysis of ocular surface area for comfortable VDT workstation layout.

This paper proposes a comfortable visual display terminal (VDT) workstation layout based on an analysis of ocular surface area (OSA). A large OSA induces eye irritation and eye fatigue because the eye surface is highly sensitive to various stimuli. The authors considered that OSA must be one of the useful indices of visual ergonomics and applied it to evaluate VDT workstation layout. Each subject was asked to perform a word processing task using four different VDT workstation layouts. It was found that the main factor affecting OSA was not cathode ray tube (CRT) height itself but the distance between the CRT and keyboard. Thus the following workstation layout is recommended to realize comfortable VDT operation: (1) the desk height should be adjusted to the user's height; and (2) the CRT display should be set closer to the keyboard to provide a smaller OSA.

Adult↗

Skin changes in patients claiming to suffer from "screen dermatitis": a two-case open-field provocation study.

An open-field provocation, in front of an ordinary TV set, of 2 patients regarding themselves as suffering from skin problems due to work at video display terminals (VDTs) is presented. Using immunohistochemistry, in combination with a wide range of antisera directed towards cellular and neurochemical markers, we were able to show a high-to-very high number of somatostatin-immunoreactive dendritic cells as well as histamine-positive mast cells in skin biopsies from the anterior neck taken before the start of the provocation. At the end of the provocation the number of mast cells was unchanged; however, the somatostatin-positive cells had seemingly disappeared. The reason for this latter findings is discussed in terms of loss of immunoreactivity, increase of breakdown, etc. The high number of mast cells present may explain the clinical symptoms of itch, pain, edema and erythema. Naturally, in view of the present public debate, the observed results are highly provocative and, we believe, have to be taken seriously.

Adult↗

Fecundity and the use of video display terminals.

The association between prolonged waiting time to pregnancy and the use of a video display terminal (VDT) was investigated among commercial and clerical employees in Denmark. Information on 24,352 pregnancies was obtained through register linkage with two national registers. A random sample of 2252 pregnancies was drawn, and the women were asked for information on waiting time to pregnancy, occupational exposures, and life-style factors. The overall exposure to a VDT indicated a slightly increased association with prolonged waiting time to pregnancy. The relative risks for waiting more than one year were 1.23, 0.77, and 1.61 for the women who worked with a VDT for 1-10, 11-20, and > or = 21 h per week, respectively. Only the last relative risk was statistically significant. The results could be explained by methodological shortcomings such as recall bias or confounding by alternative factors that might affect time to pregnancy, or simply by the lack of statistical power.

Adolescent↗

Upper extremity musculoskeletal symptoms among female office workers: associations with video display terminal use and occupational psychosocial stressors.

The relationships between musculoskeletal symptoms and both video display terminal (VDT) use and occupational psychosocial stress were assessed among women office workers by self-administered questionnaires. Significantly increased odds ratios for neck or shoulder symptoms were observed for subjects who had ever used a VDT, had less job security, and had more stressful work during the 2 weeks prior to completion of the questionnaire. Significantly increased odds ratios for arm and hand symptoms were observed for subjects who had used a VDT for more than 6 years, reported a very crowded workplace, or reported very stressful work during the 2 weeks prior to completion of the questionnaire. Among current non-users, those who previously used VDTs were more likely to report upper extremity musculoskeletal symptoms than those who had never used VDTs. This suggests that individuals with symptoms may be more likely to reduce their VDT usage, distorting results of cross-sectional studies.

Adult↗