The positive effect of workplace accommodations on employment five years after a cancer diagnosis

Abstract Background Each year, almost 400,000 new individuals are diagnosed with cancer in France and nearly half of them are in the working age. The disease was found to have a negative impact on professional life, especially for the most vulnerable cancer survivors. Literature reviews have pointed out the lack of studies focusing on the evaluation of interventions. In France, workstation layouts are recommended by the French law, but not mandatory to facilitate return to work. The aim of this study was to explore the effect of having a workstation layout after a cancer diagnosis on maintenance in employment five years after diagnosis. Methods We used the French VICAN survey carried out in 2015/2016 on living conditions five years after a cancer diagnosis. Using propensity score matching, we matched two subsamples (with and without workstation layout) to investigate the effect of workstation layout taking into account the characteristics associated with the access to these arrangements. Results Among the 1,514 individuals aged between 18 and 54 at diagnosis and employed in a salaried job at this time, three in five (61.2%) had a workstation layout within the five years following the diagnosis: 35.5% had a position type layout, 41.5% had a schedule layout, and 49.2% had a working time layout. Among those who had a workstation layout, 89.7% were still in employment five years after diagnosis against only 77.8% of those who did not so (p.value<0,001). After matching, having a workstation layout increased maintenance in employment from 77.8% to 95.0% (Average workstation layout effect on the treated of 0.172, 95% CI = [0.114; 0.229]). Conclusions Having a workstation layout after a cancer diagnosis strongly increases maintenance in employment of five years cancer survivors. More research is needed to better understand the differences in access to these arrangements and the related selection effect. Key messages Workstation layout increases maintenance in employment of survivors five years after a cancer diagnosis. Therefore, it should be used more systematically to facilitate work with a chronic disease. Having a workstation layout may constitute a disadvantageous selection bias for more vulnerable workers. It can also lead to discrimination feelings.

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The role of production and non-production factors in the formation of male mortality (on the example of two Arctic single-industry towns)

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2020-60-11-738-741 ◽

2020 ◽

Vol 60 (11) ◽

pp. 738-741

Author(s):

Maria S. Bryleva

Keyword(s):

Negative Impact ◽

Well Being ◽

Malignant Neoplasms ◽

Male Mortality ◽

Occupational Factors ◽

Copper Nickel ◽

Production Factors ◽

Single Industry ◽

Working Age ◽

Quality Of Medical Care

Introduction. One of the priority socio-economic and medical-demographic problems in Russia is the high mortality. The study aim is to identify the most significant factors that determine the mortality on the example of two single-industry towns. Materials and methods. Mortality in two single-industry towns specializing in copper-nickel production, differenced in climate, environmental, and socio-economic indicators, was studied using age-standardized indicators averaged over 8 years (2010-2017). Results. In Monchegorsk, compared to Russia, with similar non-production characteristics, working-age mortality from cardiovascular diseases (CVD) was higher by 49.0%, from malignant neoplasms (MN) by 34.7%, from diseases of the digestive system by 35.5%, which confirms the negative impact of occupational factors on the mortality of the population of a single-industry city. In Norilsk city, with the worst characteristics of the environment and climate, compared to Monchegorsk, mortality from CVD was lower in working age by 40.6%, in post-working age by 41.4%; from MN - in working age lower by 37.2% that shows the compensating influence of socio-economic factors on mortality. Conclusion. Risk factors for increased mortality rates in single-industry towns with copper-nickel enterprises are the influence of harmful occupational factors, as well as environmental pollution. Along with primary prevention, an effective mechanism for reducing mortality is to improve socio-economic well-being, and the quality of medical care.

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CHANGES IN THE GENEALOGICAL STRUCTURE OF THE BREEDING STOCK OF THE YAROSLAVL BREED IN THE VOLOGDA REGION

Molochnoe i miasnoe skotovodstvo ◽

10.33943/mms.2020.66.62.006 ◽

2020 ◽

pp. 24-29

Author(s):

N.I. ABRAMOVA ◽

G.S. VLASOVA ◽

O.L. KHROMOVA

Keyword(s):

Protein Content ◽

Negative Impact ◽

Breeding Stock ◽

Holstein Breed ◽

Vologda Region ◽

Ideal Line ◽

Productivity Potential ◽

New Generation ◽

Modern Population ◽

Positive Effect

Проведен сопоставительный анализ генеалогической структуры племенного поголовья ярославской породы Вологодской области по данным 2005 и 2018 годов. Установлено, что в 2005 году в структуру породы входили 8 отечественных генеалогических линий. В результате скрещивания с голштинской породой произошли значительные изменения. Доля животных, принадлежащих к линиям ярославской породы, уменьшилась со 100% в 2005 году до 35,3% в 2018 году. В генеалогическую структуру современной популяции добавились 3 линии голштинской селекции, к которым на 1.01.2019 года относится большая часть маточного поголовья: к линии Рефлекшн Соверинга 198998 — 42,9%, Вис Бэк Айдиала 1013415 — 13%, Монтвик Чифтейна 95679 — 8,8%. Скрещивание с голштинской породой оказало положительное влияние на повышение молочной продуктивности животных ярославской породы. Средний надой на 1 корову увеличился на 1670 кг молока, доля коров с продуктивностью более 6000 кг молока выросла на 35%. В результате расчета корреляционной зависимости между кровностью по голштинской породе и массовой долей жира и белка в молоке установлено, что скрещивание не ухудшило качественные показатели молока коров ярославской породы (степень кровности с МДЖ — r=-0,01; с МДБ — r=0,09; P<0,01), но в то же время отразилось отрицательно на продолжительности хозяйственного использования животных в стаде (r=-0,27; P<0,001). Для дальнейшего совершенствования породы следует определить оптимальную степень прилития крови голштинской породы. А с целью сохранения генофонда необходимо получение нового поколения чистопородных быков ярославской породы с более высоким потенциалом продуктивности. The authors conduct a comparative analysis of the genealogical structure of the breeding stock of the Yaroslavl breed in the Vologda region on the basis of the data for 2005 and 2018. It is established that in 2005 the structure of the breed included 8 domestic genealogical lines. As a result of the crossing with the Holstein breed, significant changes occurred. The share of animals of the Yaroslavl breed lines decreased from 100% in 2005 to 35.3% in 2018. The genealogical structure of the modern population got 3 added lines of the Holstein selection which as of 1.01.2019 include most of the breeding stock: Reflection Sovering line 198998 - 42.9%, Vis Back Ideal line 1013415 - 13%, and Montwick Chieftain line 95679 - 8.8%. The crossing with the Holstein breed had a positive effect on the increase in the milk productivity of the Yaroslavl breed animals. The average milk yield per 1 cow increased by 1670 kg of milk and the share of cows with the productivity of more than 6000 kg of milk increased by 35%. The results of the calculations of the correlation between the Holstein thoroughbredness and the fat and protein content in the milk showed that the crossing did not impair the quality indicators of the milk the Yaroslavl breed cows (thoroughbredness degree with the fat content r=-0.01; with the protein content r=0.09 P<0.01), but at the same time had a negative impact on the duration of the economic use of the animals in the herd (r=-0.27; P<0.001). For further improvement of the breed, there is a need to determine the optimal degree of crossing with the Holstein breed. Also, in order to preserve the gene pool, there is a need to obtain a new generation of purebred bulls of the Yaroslavl breed with a higher productivity potential.

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Survivors’ Dilemma: Young Adult Cancer Survivors’ Perspectives of Work-Related Goals

Workplace Health & Safety ◽

10.1177/21650799211012675 ◽

2021 ◽

pp. 216507992110126

Author(s):

Lauren Victoria Ghazal ◽

John Merriman ◽

Sheila Judge Santacroce ◽

Victoria Vaughan Dickson

Keyword(s):

Content Analysis ◽

Young Adult ◽

Cancer Survivors ◽

Cancer Diagnosis ◽

Financial Toxicity ◽

Self Identity ◽

Work Related ◽

Young Adult Cancer Survivors ◽

Adult Cancer Survivors ◽

Young Adult Cancer

Background: Young adult cancer survivors have significant work-related challenges, including interruptions to education and employment milestones, which may affect work-related goals (WRGs). The study purpose was to explore posttreatment perspectives of WRGs in a sample of young adult hematologic cancer survivors. Methods: This qualitative descriptive study used social media to recruit eligible cancer survivors (young adults working or in school at the time of cancer diagnosis). Data were collected through telephone semi-structured interviews and analyzed using directed content analysis, followed by thematic content analysis to identify themes. Findings: The sample ( N = 40) were mostly female (63.5%), White (75%), and diagnosed with Hodgkin lymphoma (57.5%); most worked in professional (40%) or health care (23%) roles. The overarching theme, “Survivors’ Dilemma,” highlights a changed perspective on work-related fulfillment and financial obligations, capturing survivors’ decision-making process regarding work. Three subthemes illustrated questions that participants contemplated as they examined how their WRGs had changed: (a) Self-identity: Do I want to do this work? (b) Perceived health and work ability: Can I do this work? and (c) Financial toxicity: Can I afford to/not to do this work? Conclusions/Application to Practice: Participants experienced a state of dilemma around their WRGs, weighing areas around self-identity, perceived health and work ability, and financial toxicity. Findings suggest occupational health nurses should be aware of challenges surrounding WRGs, including how goals may change following a cancer diagnosis and treatment, and the potential stressors involved in the Survivors’ Dilemma. Occupational health nurses should assess for these issues and refer young survivors to employee and financial assistance programs, as necessary.

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Efficacy of the Treatment of Developmental Language Disorder: A Systematic Review

Brain Sciences ◽

10.3390/brainsci11030407 ◽

2021 ◽

Vol 11 (3) ◽

pp. 407

Author(s):

Sara Rinaldi ◽

Maria Cristina Caselli ◽

Valentina Cofelice ◽

Simonetta D’Amico ◽

Anna Giulia De Cagno ◽

...

Keyword(s):

Language Disorder ◽

Negative Impact ◽

Receptive Vocabulary ◽

Primary School Children ◽

Control Group ◽

Developmental Language Disorder ◽

Expressive Vocabulary ◽

Phonological Skills ◽

Syntactic Skills ◽

Positive Effect

Background. Language disorder is the most frequent developmental disorder in childhood and it has a significant negative impact on children’s development. The goal of the present review was to systematically analyze the effectiveness of interventions in children with developmental language disorder (DLD) from an evidence-based perspective. Methods. We considered systematic reviews, meta-analyses of randomized controlled trials (RCTs), control group cohort studies on any type of intervention aimed at improving children’s skills in the phono-articulatory, phonological, semantic-lexical, and morpho-syntactic fields in preschool and primary school children (up to eight years of age) that were diagnosed with DLD. We identified 27 full-length studies, 26 RCT and one review. Results. Early intensive intervention in three- and four-year-old children has a positive effect on phonological expressive and receptive skills and acquisitions are maintained in the medium term. Less evidence is available on the treatment of expressive vocabulary (and no evidence on receptive vocabulary). Intervention on morphological and syntactic skills has effective results on expressive (but not receptive) skills; however, a number of inconsistent results have also been reported. Only one study reports a positive effect of treatment on inferential narrative skills. Limited evidence is also available on the treatment of meta-phonological skills. More studies investigated the effectiveness of interventions on general language skills, which now appears as a promising area of investigation, even though results are not all consistent. Conclusions. The effectiveness of interventions over expressive and receptive phonological skills, morpho-syntactic skills, as well as inferential skills in narrative context underscores the importance that these trainings be implemented in children with DLD.

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Physical Comorbidities and Depression in Recent and Long-Term Adult Cancer Survivors: NHANES 2007–2018

Cancers ◽

10.3390/cancers13133368 ◽

2021 ◽

Vol 13 (13) ◽

pp. 3368

Author(s):

Dafina Petrova ◽

Andrés Catena ◽

Miguel Rodríguez-Barranco ◽

Daniel Redondo-Sánchez ◽

Eloísa Bayo-Lozano ◽

...

Keyword(s):

Cancer Survivors ◽

Cancer Patients ◽

Cancer Diagnosis ◽

Depression Symptoms ◽

Depression Risk ◽

Adult Cancer Survivors ◽

Before And After ◽

Nationally Representative ◽

Risk Of Cancer

Many adult cancer patients present one or more physical comorbidities. Besides interfering with treatment and prognosis, physical comorbidities could also increase the already heightened psychological risk of cancer patients. To test this possibility, we investigated the relationship between physical comorbidities with depression symptoms in a sample of 2073 adult cancer survivors drawn from the nationally representative National Health and Nutrition Examination Survey (NHANES) (2007–2018) in the U.S. Based on information regarding 16 chronic conditions, the number of comorbidities diagnosed before and after the cancer diagnosis was calculated. The number of comorbidities present at the moment of cancer diagnosis was significantly related to depression risk in recent but not in long-term survivors. Recent survivors who suffered multimorbidity had 3.48 (95% CI 1.26–9.55) times the odds of reporting significant depressive symptoms up to 5 years after the cancer diagnosis. The effect of comorbidities was strongest among survivors of breast cancer. The comorbidities with strongest influence on depression risk were stroke, kidney disease, hypertension, obesity, asthma, and arthritis. Information about comorbidities is usually readily available and could be useful in streamlining depression screening or targeting prevention efforts in cancer patients and survivors. A multidimensional model of the interaction between cancer and other physical comorbidities on mental health is proposed.

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Long-Term Employment Outcomes among Female Cancer Survivors

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17082751 ◽

2020 ◽

Vol 17 (8) ◽

pp. 2751 ◽

Cited By ~ 2

Author(s):

Christine C. Ekenga ◽

Eunsun Kwon ◽

BoRin Kim ◽

Sojung Park

Keyword(s):

Cancer Survivors ◽

Employment Status ◽

The United States ◽

Employment Outcomes ◽

Hours Worked ◽

Professional Workers ◽

Working Age ◽

The Impact ◽

Female Cancer Survivors

Advances in early detection and treatment have led to a growing population of female cancer survivors, many of whom are of working age. We examined the relationship between cancer and long-term (>5 years) employment outcomes in a nationally representative sample of working-age women in the United States. Data from nine waves of the Health and Retirement Study were used to examine employment status and weekly hours worked among cancer survivors (n = 483) and women without cancer (n = 6605). We used random slope regression models to estimate the impact of cancer and occupation type on employment outcomes. There was no difference in employment status between cancer survivors and women without cancer at baseline; however, during follow-up, cancer survivors were more likely to be employed than women without cancer (odds ratio (OR) = 1.33, 95% confidence interval (CI): 1.11–1.58). Among 6–10-year survivors, professional workers were less likely (OR = 0.40, 95% CI: 0.21–0.74) to be employed than manual workers. Among >10-year survivors, professional workers averaged fewer weekly hours worked (−2.4 h, 95% CI: −4.4–−0.47) than manual workers. The impact of cancer on long-term employment outcomes may differ by occupation type. Identifying the occupation-specific mechanisms associated with the return to work will be critical to developing targeted strategies to promote employment in the growing female cancer survivor population.

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Sewage Sludge as a Tool in Limiting the Content of Trace Elements in Avena sativa L. on the Soil Polluted with Diesel Oil

Materials ◽

10.3390/ma14144003 ◽

2021 ◽

Vol 14 (14) ◽

pp. 4003

Author(s):

Mirosław Wyszkowski ◽

Jadwiga Wyszkowska ◽

Agata Borowik ◽

Natalia Kordala

Keyword(s):

Trace Elements ◽

Sewage Sludge ◽

Soil Contamination ◽

Avena Sativa ◽

Negative Impact ◽

Diesel Oil ◽

Average Content ◽

Nickel Copper ◽

Copper Manganese ◽

Positive Effect

The aim of the research was to determine the effect of soil contamination with diesel oil (0; 5; 10 and 15 cm3 kg−1 of soil) on the content of trace elements in the aboveground parts of oat (Avena sativa L.). Stabilised sewage sludge was used to mitigate the likely negative impact of diesel oil on the plant. Growing soil contamination with diesel oil had a significant impact on the content of trace elements in the aboveground biomass of oat. In the series without sewage sludge, the contents of the analysed elements, except for chromium, zinc, copper and cobalt, were positively correlated with the increasing doses of diesel oil. The largest increase in the content was recorded in the case of manganese. The sewage sludge used to reduce the influence of diesel oil on the chemical composition of oat had a positive effect on the content of the analysed trace elements. Compared to the series without the addition of a stabilised sewage sludge, it contributed to a reduction in the average content of chromium, nickel, copper, manganese and cobalt in the aboveground parts of oat plants. No significant effect of the applied remediation treatment was noted for cadmium, and the results were equivocal for iron.

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Chronic Pain Has a Negative Impact on Sexuality in Testis Cancer Survivors

Journal of Andrology ◽

10.2164/jandrol.110.012500 ◽

2011 ◽

Vol 33 (5) ◽

pp. 886-893 ◽

Cited By ~ 19

Author(s):

G. Puhse ◽

J. U. Wachsmuth ◽

S. Kemper ◽

I. W. Husstedt ◽

S. Evers ◽

...

Keyword(s):

Chronic Pain ◽

Cancer Survivors ◽

Negative Impact ◽

Testis Cancer

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Complementary and Alternative Medicine Use among Norwegian Cancer Survivors: Gender-Specific Prevalence and Associations for Use

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2013/318781 ◽

2013 ◽

Vol 2013 ◽

pp. 1-10 ◽

Cited By ~ 17

Author(s):

Agnete E. Kristoffersen ◽

Arne J. Norheim ◽

Vinjar M. Fønnebø

Keyword(s):

Cancer Survivors ◽

Cancer Diagnosis ◽

Health Issues ◽

Men And Women ◽

Male And Female ◽

Factors Associated ◽

Female Survivors ◽

Cam Use ◽

University Degree ◽

The Relationship

The associations for CAM use are only occasionally differentiated by gender in populations where both male and female cancer survivors occur. The aim of this study is to describe the prevalence of CAM use in individuals with a previous cancer diagnosis and to investigate gender differences regard to factors associated with use. A total of 12982 men and women filled in a questionnaire with questions about life style and health issues. Eight hundred of those had a previous cancer diagnosis of whom 630 answered three questions concerning CAM use in the last 12 months. A total of 33.8% of all cancer survivors reported CAM use, 39.4% of the women and 27.9% of the men (). The relationship between the demographic variables and being a CAM user differed significantly between men and women with regard to age (), education (), and income (). Female CAM users were more likely to have a university degree than the nonusers, while male CAM users were more likely to have a lower income than the nonusers. According to this study, prevalence and factors associated with CAM use differ significantly between male and female survivors of cancer.

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