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Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes.

Stress-related illnesses, such as mental, behavioral, and cardiovascular diseases, are common causes for sick-leave absences. It is generally assumed that burnout, the chronic stress syndrome, also leads to absenteeism and poor health, but this assumption has rarely been tested. The authors investigated the prospective effect of burnout on registered sick leaves and their causes in industrial employees. We collected the number of medically certified (> 3 days) absence episodes and their causes (according to the International Statistical Classification of Diseases-10 diagnostic categories) of 3,895 industrial employees from a company register during 1995 to 1998. Burnout was measured in 1996 with the Maslach Burnout Inventory-General Survey, which defines burnout as a 3-dimensional syndrome consisting of components of exhaustion, cynicism, and lack of professional efficacy. In Poisson regression models, the total burnout score increased the risk for future all-cause absences after adjustment for age, sex, occupation, and baseline absence. Burnout increased the risk of future absences because of mental and behavioral disorders, diseases of the circulatory system, diseases of the respiratory system, and diseases of the musculoskeletal system. Of the separate components of burnout, exhaustion was strongly related to future diseases of the circulatory system, whereas cynicism was strongly related to future diseases of the digestive system. Other differentiated effects were also found. The results of this study show that burnout is related to increased risk of future illness. This implies that burnout prevention can reduce future absenteeism and has a major economic impact on work life and health care.

Absenteeism↗

Evidence of Rickettsia helvetica infection in humans, eastern France.

A 37-year-old man living in eastern France seroconverted to Rickettsia helvetica in August 1997, 4 weeks after the onset of an unexplained febrile illness. Results of a serosurvey of forest workers from the area where the patient lived showed a 9.2% seroprevalence against R. helvetica. This organism may pose a threat for populations exposed to Ixodes ricinus ticks.

Adult↗

Species diversity of polyporoid and corticioid fungi in northern hardwood forests with differing management histories.

Effects of forest management on fungal diversity were investigated by sampling fruit bodies of polyporoid and corticioid fungi in forest stands that have different management histories. Fruit bodies were sampled in 15 northern hardwood stands in northern Wisconsin and the upper peninsula of Michigan. Sampling was conducted in five old-growth stands, five uneven-age stands, three even-age unthinned stands and two even-age thinned stands. Plots 100 m x 60 m were established and 3000 m2 within each plot was sampled during the summers of 1996 and 1997. A total of 255 polyporoid and corticioid morphological species were identified, 46 (18%) of which could not be assigned to a described species. Species accumulation curves for sites and management classes differed from straight lines, although variability from year to year suggests that more than 2 y of sampling are needed to characterize annual variation. Mean species richness and diversity index values did not vary significantly by management class, although mean richness on large diameter wood (> or = 15 cm diam) varied with moderate significance. Richness values on small diameter debris varied significantly by year, indicating that a large part of year-to-year variability in total species richness is due to small diameter debris. Ten species had abundance levels that varied by management class. Two of these species. Changes in the diversity and species composition of the wood-inhabiting fungal community could have significant implications for the diversity, health and productivity of forest ecosystems.

Acer↗

Effects of coldness on the protective performance of earmuffs.

The type test of hearing protectors (HPD) for certification purposes will be conducted in laboratory at room temperature. Optionally, the mechanical durability of HPDs will be tested in cold environment by a drop test. The purpose of this study was to find out the relevance of the drop test, the change of performance in HPD protection, and finally to estimate the possible change of protection efficiency against noise in cold environment. In total, 22 HPDs were selected to the measurements: 18 earmuffs, and 4 earmuffs attached to an industrial helmet. Attenuation of each earmuff cup was measured by applying insertion loss method for the test subjects in cold. The change of attenuation and temperature of cushion ring was followed up to nine minutes using 30-second intervals for sampling. Three HPDs were damaged in the test. The replaceable cushion was broken in two earmuffs and in one helmet-mounted HPD. The replaceable parts were replaced, and the HPD with attachment failure was removed from insertion loss measurement. In nine HPDs the relative change was less than 3 dB, and was at worst 10 dB. This change was typically at low frequencies, 125 Hz at the beginning when cooled HPDs were placed. In various HPDs the time to get the attenuation levelled varied from 1.5 minutes to 8 minutes. The recovery was dependent on the temperature of the cushion ring. In all cases the temperature of the full attenuation was achieved when the cushion ring reached 7 degrees C. This temporary decrease in attenuation will have a minor effect to the protection efficiency, when the HPD is used full time during the whole exposure duration. A typical group of forest workers will have their exposure interrupted. The chain saws have to refuel, and the chain needs to be sharpened about every 40 minutes. During 6 hour daily operational time there will be about 9-10 minute break, long enough to cool the cushion ring back to below zero at -10 degrees C, if the helmet mounted earmuffs are placed in stand-by position. In the worst case this will cause 1.6 dB increase in daily exposure level to noise.

Cold Temperature↗

Short report: simultaneous occurrence of Dobrava, Puumala, and Tula Hantaviruses in Slovakia.

The prevalence of antibody to hantaviruses in Slovakia (serum panel n = 2,133) was lower in the western part (0.54%) and higher in the eastern part (1.91%) of the country and was found to be significantly enhanced in a group of forest workers from eastern Slovakia (5.88%). One-third of the IgM-negative convalescent phase sera from patients with hemorrhagic fever with renal syndrome exhibited antibodies reacting predominantly with Puumala virus antigen, while two-thirds had antibodies directed mainly against Hantaan virus antigen. Fine analysis of two Hantaan virus-reactive sera by a focus reduction neutralization test showed that Dobrava hantavirus was the source of these human infections. Initial results of rodent screening indicated the circulation of Dobrava virus in populations of striped field mice (Apodemus agrarius) in eastern Slovakia.

Animals↗

Validity of self-reported physical work load in epidemiologic studies on musculoskeletal disorders.

OBJECTIVES: This study assessed the validity of self-reported physical work load by questionnaire and logbook against task analysis and observation. It also investigated factors (job type and low-back or neck pain) affecting the self-assessment of physical work load and compared the assessments between the questionnaire and the logbook. METHODS: A self-administered questionnaire including 10 questions (ordinal scales) on physical work load and musculoskeletal symptoms was filled out by 2756 men in the forest industry. From this population, 36 men were selected for task analysis and observation. Logbooks including 10 continuous variables were analyzed for 386 men. RESULTS: The Spearman rank correlation coefficients between the self-assessments and observations for the frequency of manual handling, duration of trunk flexion, neck rotation, hand above shoulder level, and squatting or kneeling ranged between 0.42 and 0.55. The correlation coefficients for the questionnaire items were higher in general, and the accuracy better, for those with no low-back pain than for those with pain. The duration of trunk flexion, neck flexion and hand above shoulder level was overestimated in the questionnaires and less so in the logbooks. CONCLUSIONS: Self-administered questionnaires may help to classify groups with heterogeneous occupational tasks according to some work-load factors. The accuracy of the assessments is not good for studying quantitative exposure-effect relationships, however. The logbook method might give more valid information. The perception of musculoskeletal pain may bias the self-assessment of work load.

Adult↗

Predictors and consequences of unemployment in construction and forest work during a 5-year follow-up.

OBJECTIVES: The study investigated whether indicators of health, work conditions, or life-style predict subsequent unemployment and also the unemployment consequences related to health or life-style. METHODS: A questionnaire was administered to 781 male construction and 877 male forest workers (aged 20-49 years and working at the beginning of the study) in 1989 and 1994. Employment status during follow-up was ranked into the following 4 categories according to the employment status and unemployment time: continuously employed, re-employed, short-term (< or = 24 months) unemployed and long-term (> or =24 months) unemployed. RESULTS: The following base-line factors were associated with long-term unemployment during follow-up among the construction workers: age >40 years, poor subjective health, smoking, frequent heavy use of alcohol, low job satisfaction, marital status (single), and unemployment during the year preceding the initial survey. Among the forest workers, age >40 years, frequent stress symptoms, and preceding unemployment entered the model. In addition smoking predicted unemployment among the forest workers with no preceding unemployment. The proportion of regular smokers decreased among the long-term unemployed. Physical exercise was more frequent at the time of follow-up than it was initially, particularly among the unemployed. Stress symptoms increased among the construction workers, but musculoskeletal symptoms decreased significantly among the long-term unemployed. Among the forest workers stress symptoms decreased among the continuously employed and re-employed persons, but musculoskeletal symptoms decreased significantly for them all. CONCLUSIONS: Unemployment among construction workers is to some extent dependent on life-style, health, and job satisfaction in addition to age, marital status, and unemployment history. For forest workers, unemployment is less determined by individual factors. Changes in distress and musculoskeletal symptoms are dependent on employment, particularly among construction workers.

Adult↗

Comparison of expert-rater methods for assessing psychosocial job strain.

OBJECTIVES: This study tested the reliability and validity of industry- and mill-level expert methods for measuring psychosocial work conditions in British Columbia sawmills using the demand-control model. METHODS: In the industry-level method 4 sawmill job evaluators estimated psychosocial work conditions at a generic sawmill. In the mill-level method panels of experienced sawmill workers estimated psychosocial work conditions at 3 sawmills. Scores for psychosocial work conditions were developed using both expert methods and applied to job titles in a sawmill worker database containing self-reported health status and heart disease. The interrater reliability and the concurrent and predictive validity of the expert rater methods were assessed. RESULTS: The interrater reliability and concurrent reliability were higher for the mill-level method than for the industry-level method. For all the psychosocial variables the reliability for the mill-level method was greater than 0.90. The predictive validity results were inconclusive. CONCLUSIONS: The greater reliability and concurrent validity of the mill-level method indicates that panels of experienced workers should be considered as potential experts in future studies measuring psychosocial work conditions.

Adult↗

Effective injury prevention using surveillance data: helicopter logging, Alaska, 1992-1995.

BACKGROUND AND PURPOSE: To reduce the fatality rate in helicopter sling-load logging in Alaska. These operations--on rugged terrain, due to environmental restrictions and economics--are an emerging technology application worldwide. During 1992 and 1993, crashes during these operations in Alaska resulted in multiple fatalities. METHODS: During 1992, comprehensive surveillance for these events was established, combining electronic media and interagency notification with active investigation to identify preventable risk factors. These data were applied in mid-1993 by an interagency working group, which included representatives of the Alaska Department of Health and Social Services, Alaska Department of Labor, Federal Aviation Administration, National Transportation, Safety Board, U.S. Coast Guard, Occupational Safety and Health Administration, U.S. Forest Service, and National Institute for Occupational Safety and Health. In response to surveillance data, consensus safety recommendations were developed. Working closely with industry, immediate improvements were made in worker training, work/rest cycles, and oversight. Surveillance results are being used to evaluate the effectiveness of interventions. On March 1-2, 1995, an international workshop was convened in Ketchikan, Alaska, to involve industry and government agencies in planning for durable prevention in this industry. RESULTS: In Alaska between January 1, 1992, and June 30, 1993, there were 6 helicopter crashes, with 9 fatal (4 in pilots) and 10 severe nonfatal injuries, out of only 25 helicopters flying in helicopter logging operations. Alaska logging helicopters thus had the extraordinarily high annual crash rate of 16% and a catastrophic pilot fatality rate of 5,000/100,000/year. Investigation revealed that all crashes involved improper operational and/or maintenance practices. Since these recommendations were implemented in July 1993, there have been no additional helicopter logging fatalities in Alaska through 1995. The 1995 meeting resulted in further recommendations, including more vigorous oversight; development of rigorous voluntary industry standards for equipment, maintenance, and training; exclusive use of multi-engine rotocraft; and more vigorous controls on alcohol and drug use in this industry.

Accidents, Occupational↗

The wild side of EMS.

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Emergency Medical Services↗

Physiological variability arising from in vitro propagation of Nothofagus obliqua.

As with cuttings, the microcuttings produced from in vitro generated shoots could be affected by topophysis. Very little research has been done about such in vitro effect. This paper reports the influence of the topophysis on the regeneration response (shoot multiplication, microcutting rooting and plantlet acclimation) of explants on the in vitro culture of juvenile N. obliqua trees. The results showed that the main responsible of the physiological variability arising from all the in vitro propagation stages is topophysis. This influence was found in the first culture and can be extended to the next subculture (multiplication stage). Growth of the obtained plants was also affected (rooting of microcuttings and plantlet acclimation). The multiplication rate was lower in apical portion (1:3.66) than basal portion (1:5.8) while rooting was 48.6% and 27.0% respectively. By the way, length of acclimated explants was 52.4 mm in the apical rooted explants and 28.7 mm in the basal ones at the 30th day. In order to reduce such variability, it is necessary to take into account the initial position of the explants during the establishment and multiplication stages of micropropagation of forest trees.

Culture Techniques↗

A method for monitoring deposited matter in forest ecosystems.

Systematic and elaborate multidisciplinary research of pedunculate oak and common hornbeam began in the Forest Research Institute in Jastrebarsko in 1991. That led to a development of a method for monitoring deposition in forest ecosystems which is now closely related to the International Co-operative Programme on Assessment and Monitoring of Air Pollution Effects on Forest. Several forest communities on the territory of Croatia were monitored for Cl-, SO4(2-)-S, NH4(+)-N, NO3(-)-N, Na+, K+, Ca2+, and Mg2+ using that method. Samples were collected by funnels (bulks). Plastic lysimeters were placed in the soil at the depth of 10 cm or beneath the humus layer. They served to collect liquid that seeped into the soil (seepage). Sampling was carried out once a month or once in three months. The results show that the monitored forest ecosystems absorbed more deposited particles (wet and dry sedimentation) than control areas.

Croatia↗

Micropropagation of Sapindus mukorossi Gaertn.

Bud break and multiple shoots were induced in apical and axillary meristems derived from one month old seedlings of S. mukorossi on Murashige and Skoog (MS) medium supplemented with benzylamino purine (BAP) 0.4 microM or 0.8 microM alone. A combination of BAP and gibberellic acid (GA3) 0.4 microM and 2.8 microM produced elongated multiple shoots from both types of explants. Excised shoots were rooted on MS medium respectively with indole-3-butyric acid (IBA) 3.4 microM or 2.4 microM. The regenerated plantlets were successfully acclimatized and transferred to soil.

Adenine↗