scholarly journals Nature-Based Stress Management Course for Individuals at Risk of Adverse Health Effects from Work-Related Stress—Effects on Stress Related Symptoms, Workability and Sick Leave

2014 ◽  
Vol 11 (6) ◽  
pp. 6586-6611 ◽  
Author(s):  
Eva Sahlin ◽  
Gunnar Ahlborg ◽  
Josefa Matuszczyk ◽  
Patrik Grahn
2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
K Holmgren ◽  
C Sandheimer ◽  
A-C Mårdby ◽  
MEH Larsson ◽  
D Hange ◽  
...  

1987 ◽  
Vol 15 (4) ◽  
pp. 411-420 ◽  
Author(s):  
J. L. Plummer ◽  
C. H. Sandison ◽  
A. H. Ilsley ◽  
M. J. Cousins

A survey was conducted to investigate the attitudes of anaesthetists and nurses to anaesthetic pollution. In order that the results could be viewed in context, attitudes to other possible occupational hazards, including radiation exposure and work-related stress, were also investigated. Four hundred (66%) completed questionnaires were returned. All the anaesthetists (n = 81) thought that their work involved some exposure to anaesthetic gases or vapours; however, 21 (7%) of the 319 nurses believed they were not exposed although they spent some time in operating theatres or recovery rooms. Fourteen per cent of anaesthetists and 24% of nurses were ‘quite concerned’ or ‘very concerned’ about possible effects of anaesthetic pollution on their health. Levels of concern were similar for radiation exposure; however, both occupational groups expressed higher levels of concern about work-related stress. Seventeen (21%) anaesthetists and 46 (14%) nurses reported having suffered adverse health effects which they thought were due to anaesthetic pollution. The most frequent complaints were headache and fatigue.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Kristina Holmgren ◽  
Christine Sandheimer ◽  
Ann-Charlotte Mårdby ◽  
Maria E. H. Larsson ◽  
Ute Bültmann ◽  
...  

Abstract Background Early identification of persons at risk of sickness absence due to work-related stress is a crucial problem for society in general, and primary health care in particular. Tho date, no established method to do this exists. This project’s aim is to evaluate whether systematic early identification of work-related stress can prevent sickness absence. This paper presents the study design, procedure and outcome measurements, as well as allocation and baseline characteristics of the study population. Method/design The study is a two-armed randomized controlled trial with follow-up at 3, 6 and 12 months. Non-sick-listed employed women and men, aged 18 to 64 years, who had mental and physical health complaints and sought care at primary health care centers (PHCC) were eligible to participate. At baseline work-related stress was measured by the Work Stress Questionnaire (WSQ), combined with feedback at consultation, at PHCC. The preventive intervention included early identification of work-related stress by the WSQ, GP training in the use of WSQ, GP feedback at consultation and finding suitable preventive measures. A process evaluation was used to explore how to facilitate future implementation and structural use of the WSQ at the PHCC. The primary outcome to compare the preventive sick leave intervention by the general practitioner (GP) versus treatment as usual is sick leave data obtained from the Swedish Social Insurance Agency register. Discussion Early screening for sick leave due to work-related stress makes it possible not only to identify those at risk for sick leave, but also to put focus on the patient’s specific work-related stress problems, which can be helpful in finding suitable preventive measures. This study investigates if use of the WSQ by GPs at PHCCs, combined with feedback at consultation, prevents future sickness absence. Trial registration ClinicalTrials.gov. Identifier: NCT02480855. Registered 20 May 2015


2014 ◽  
Vol 52 (3) ◽  
pp. 216-224 ◽  
Author(s):  
Maritta KINNUNEN-AMOROSO ◽  
Juha LIIRA

2016 ◽  
Vol 71 (3) ◽  
Author(s):  
F.J. De Serres ◽  
I. Blanco ◽  
E. Fernández-Bustillo

Background. AAT deficiency is not a rare disease, but one of the most common congenital disorders increasing susceptibility of individuals with this deficiency to both lung and liver disease as well as other several adverse health effects. Studies to develop accurate estimates of the magnitude of this genetic disorder in any given country is critical for the development of screening programs for detection, diagnosis, and treatment of those individuals and/or families at risk. In the present study, estimates of the prevalence of the two major deficiency alleles PI S and PI Z were estimated for 25 countries in the Caribbean and North, Central, and South America to supplement our previous studies on 69 countries worldwide. Method. Using data on the prevalence of the two most common deficiency alleles PI S and PIZ in the mother countries that provided the majority of immigrants to these 25 countries, as well as genetic epidemiological studies on various genetic subgroups indigenous to the Caribbean and North, Central and South America it was possible to develop new formulas to estimate the numbers in each of five phenotypic classes, namely PI MS, PI MZ, PI SS, PI SZ and PI ZZ for each country. Results. When these 25 countries were grouped into six different geographic regions, the present study demonstrated striking differences when comparisons were made in numeric tables, maps and figures. Highly significant numbers of individuals at risk for AAT Deficiency were found in both the European, Mestizo and Mulatto populations for most of the 25 countries studied in the Caribbean and North, Central and South America. Conclusions. Our studies demonstrated striking differences in the prevalence of both the PIS and PIZ alleles among these 25 countries in the Caribbean and North, Central and South America and significant numbers of individuals at risk for adverse health effects associated with AAT Deficiency in a given country. When these data are added to the results from our earlier studies on 69 countries, we now have data on AAT Deficiency in 94 of the 193 countries worldwide listed in the CIA FactBook.


2021 ◽  
pp. 074823372097741
Author(s):  
A Seif Eldin ◽  
Dina Sabry ◽  
Marwa Abdelgwad ◽  
Mona Abdallah Ramadan

Occupational stress is a major health problem among nurses. Critical care nurses appear to experience more stress at work compared to others. Stress is associated with multiple system disorders, hormonal, and immunological disturbances, and genetic effects. The aim of our study was the detection of health effects of work-related stress and to investigate the link between stress and immune response, alterations of hormones, and expression of micro-RNA (miRNA) among critical care nurses. An exposed 80 critical care nurses matched to 80 controls were involved in our study. Full history, psychological assessment using the General Health Questionnaire (GHQ12) and a complete clinical examination were done for both groups. Serum interleukin (IL)-6, IL-10, luteinizing hormone (LH), follicle-stimulating hormone, thyroid-stimulating hormone (TSH), free triiodothyronine, and free thyroxine (FT4) were measured by enzyme-linked immunosorbent assay, micro-RNA26, and 142 extractions. The exposed group had a mean age of 41 ± 10 years old and mean work duration of 22 ± 9.7 years, matched to 80 controls. The exposed group (32.5%) was associated with severe psychological distress (GHQ scores > 20) compared to only 5% among controls. In addition, the exposed group had a significantly higher level of miRNA 26, miRNA 142, TSH, LH, and IL-6 when compared to the control group. However, there a significantly lower level of FT4 among the exposed group compared to the control group, there were no statistically significant differences between the studied participants regarging FT3,FSH and IL-10 levels. Stress is prevalent among critical care nurses and is reflected on their psychological health with an increase in inflammatory cytokines and disturbances in endocrine functions.


2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
A-M Hultén ◽  
P Bjerkeli ◽  
K Holmgren

Abstract Background General practitioners (GPs) play an important role for early identification and prevention of sick leave among patients perceiving ill health due to work-relates stress. In order to fulfil the role, they need adequate methodologies and tools. This study aimed to evaluate the effectiveness of a brief intervention in primary health care including early identification of work-related stress combined with feedback at consultation on the number of self-reported sick leave days. Methods A randomised controlled trial was performed at seven primary health care centres in western Sweden. Self-reported sick leave data collected between November 2015 and January 2017 were analysed prospectively. The study included 271 employed, non-sick-listed patients aged 18-64 years seeking care for mental and/or physical health complaints. The intervention group received a brief intervention about work-related stress, including training for GPs, screening of patients' work-related stress, feedback to patients on screening results and discussion of measures at GP consultation. The control group received treatment as usual. Results At 6-month follow-up 59/105 (56%) in the intervention group and 61/115 (53%) in the control group reported no sick leave. At 12-month follow-up the corresponding numbers were 61/119 (51%) and 57/122 (47%) respectively. There were no statistically significant differences between the intervention group and the control group in the median number of self-reported sick leave days. Conclusions The brief intervention showed no effect on the numbers of self-reported sick leave days. However, using sick leave as an outcome measure was difficult, as sick leave is multifactorial and the data has a non-normal distribution. In addition, sick leave might be used as an indicator as well as a possible treatment of ill health. Other actions and interventions to address patients perceiving ill health due to work-related stress should be explored. Key messages Sick leave is used as an indicator and as a treatment of ill health, which can complicate the evaluation of studies. The complexity of primary health care trials calls for other evaluation methods.


2021 ◽  
Author(s):  
◽  
Jarred Butler

<p>Regularly being exposed to the types of mould spores that can grow in houses has been shown to lead to adverse health effects such as respiratory diseases, and the exacerbation of asthma. While susceptible groups such as children, the elderly, and atopic persons are more susceptible to these effects, adverse health effects from mould spores have been shown to affect non-topic populations.  The 2015 Building Research Association of New Zealand House Condition Survey found that 46% of owner-occupied properties, and 54% of rented properties in a representative sample of the New Zealand housing stock have some form of mould in them. This means that a large portion of the population could be at risk of suffering from the adverse health effects associated with mould growth in houses. Increased air-tightness in new houses could also be at risk of being under-ventilated, potentially exacerbating this mould issue.  It is unknown whether the current New Zealand Building Code, at the time of writing, provides sufficient ventilation requirements to prevent new houses from being under-ventilated. It also does not consider existing houses, which is where most of the mould in the HCS was found.  This study explored whether data from the House Condition Survey and WuFi-Bio could be used to test mould mitigation strategies in New Zealand residential bathrooms. This was done by modelling a subset of houses from the House Condition Survey in WuFi-Pro, estimating the risk of mould in them with WuFi-Bio, and comparing this to the observations from the House Condition Survey. Parameters in the models were then changed to reflect the impact that strategies would have on the humidity and temperature in the bathrooms. The aim of this was to develop a hierarchy of recommendations that could help home occupiers and designers determine the most appropriate methods they could use to prevent mould from growing in their homes/designs.  However, the results did not align with the observations from the House Condition Survey, and testing the validity of the models by exploring the impact of assumptions showed they had no significant impact. The cause of this misalignment could not be determined, however a lack of internal condition time-series data and information about how observed mould from the House Condition Survey were identified of areas of uncertainty and prevented further exploration.  The exploration that was conducted revealed the importance of having enough data to understand the conditions that lead to any observed mould if an existing bathroom is being assessed using WuFi-Bio. It was concluded that attempting to assess a large number of houses with little data using WuFi-Bio was impractical. A controlled experimental study aimed at understanding a few houses in-depth would be a more appropriate method to test mould mitigation strategies, and help address the mould issue in New Zealand houses.</p>


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