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[Protection of workers' health against occupational psycho-social hazards--theoretical models].

Occupational Health Service are not yet equipped with tools which could permit them to include protection of workers' health against occupational psycho-social hazards into their prophylactic activities. The authors present a model of such a system, its objectives and conditions which should be satisfied in order to put the system into operation. The model discussed is somewhat an ideal solution which does not necessarily adhere to the reality but it sets tasks and identifies lines of activities to be carried out at the Department of Occupational Psychology, the Nofer Institute of Occupational Medicine, Lodz. These activities are aimed at monitoring and evaluating of health risk generated by psycho-social factors.

Environmental Monitoring↗

[Epidemiologic evaluation of health program in perinatology. I. Region rhône-Alpes 1972-1975 (author's transl)].

In 1971, a Health Project was established in order to organize some actions destined for the prevention of perinatal mortality and morbidity. A first examination of these actions was studied in the Rhône-Alpes Region by comparing the results of two surveys, one carried out in 1972 and the other in 1975, both on a representative sample of births. This article successively examines the evolution of morbidity and prevention. The authors note an important improvement in the quality of prevention and a slight progress in the results: perinatal morbidity declined as well as certain signs of fetal distress, while on the other hand, the term and birth weight showed no significant change. In the second part of this article the authors studied the relationships between the socio-cultural characteristics of the parents and the use of prevention measures. They found that certain social inequalities observed in 1972 had decreased while some others increased, new measures seem to be adopted sooner by the higher social classes when they were first envisioned for the interest of better protecting the lower social classes. However, the inequalities diminished for certain fundamental elements of prenatal surveillance, such as the respect for the minimum number of prenatal consultations.

Delivery, Obstetric↗

[Physician's duty to secrecy in social legislation].

It is reported on the physicians duty of secrecy in social legislation for the protection of individuals claiming or receiving social security, on the penalty regulations of unauthorized revelation of the medical secret, on the authorized revelation of the secret, on the duty of secrecy by the medical expert, on the right of the physician to refuse insurance institutions (AOK,LVA,BfA,BG etc.), and on official help among the social insurance institutions.

Confidentiality↗

Social interactions and resource ownership in two private protected areas of Paraguay.

This paper describes the results of field research to dissect how social interactions differ between two reserves in Paraguay having very different styles of governance. The two reserves were Mbaracayú Natural Forest Reserve (Reserva Natural del Bosque de Mbaracayú, RNBM) and San Rafael Managed Resource Reserve (Reserva de Recursos Manejados San Rafael, RRMSR). RNBM is a private reserve owned by a non-governmental organisation, while RRMSR is a publicly-managed reserve, albeit with a substantial degree of private land ownership. Both reserves are intended to protect Atlantic Forest, one of the five world biodiversity 'hotspots', and also one of the most highly threatened. Each reserve and its buffer zone comprises a set of stakeholders, including indigenous communities and farmers, and the paper explores the interactions between these and the management regime. Indeed, while the management regimes of the two reserves are different, one being highly top-down (RNBM) and the other more socially inclusive (RRMSR), the issues that they have to deal with are much the same. However, while both management regimes will readily acknowledge the need to address poverty, inequality appears to be a far more sensitive issue. Whereas this may be expected for the privately-owned RNBM it is perhaps more surprising in RRMSR even when allowing for the fact that much of the land in the latter is in private hands. It is argued that the origins of this sensitivity rest within the broader features of Paraguayan society, and the prevalence of private land ownership. Yet ironically, it is the inequality in land ownership that is perhaps the most significant threat to conservation in both reserves. Therefore, while reserve-level analyses can provide some insight into the driving forces at play in the interaction between conservation and sustainable management, larger scales may be necessary to gain a fuller appreciation of the dynamics operating at site level. Even in a society with a history of centralised control these dynamics may be surprising.

Conservation of Natural Resources↗

Protective processes in adolescence: matching stressors with social resources.

Working within the "matching theory" of social supports, this research focuses on depressed mood and examines how resilience to stress during adolescence is shaped by developmental constraints on the use of support for coping with problems in the family, peer, and personal arenas. The sample is 1,036 adolescents systematically drawn from 3 community high schools in the Boston area. Predictions center on the efficacy of peer and family supports, and two intraindividual protective factors: sense of mastery and sense of social integration. Findings indicate little evidence of cross-domain stress buffering (where family support buffers the effects of peer stress on mood, and vice versa), suggesting that family and peer domains are more distinct during this stage of development. Protective effects for friendship stresses are evidenced, but boys are more able than girls to marshal their personal and support resources in managing friendship problems. Discussion centers on matching theory and the role of development in shaping coping responses to stress.

Adaptation, Psychological↗