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Δευτέρα, 07.28.2014, 11:44pm

 

 

Medical Marijuana in the Workplace: Challenges and Management Options for Occupational Physicians
Παρασκευή, 05.01.2015, 03:00am
Although possession and use of marijuana is prohibited by federal law, legalization in four states (Alaska, Colorado, Oregon, and Washington) and allowance for palliation and therapy in 19 others may reposition the drug away from the fringes of society. This evolving legal environment, and growing scientific evidence of its effectiveness for select health conditions, requires assessment of the safety and appropriateness of marijuana within the American workforce. Although studies have suggested that marijuana may be used with reasonable safety in some controlled environments, there are potential consequences to its use that necessitate employer scrutiny and concern. Several drug characteristics must be considered, including Δ9-tetrahydrocannabinol (Δ9-THC, or THC) concentration, route of administration, dose and frequency, and pharmacokinetics, as well as the risks inherent to particular workplace environments.
Integrating Health and Safety in the Workplace: How Closely Aligning Health and Safety Strategies Can Yield Measurable Benefits
Παρασκευή, 05.01.2015, 03:00am
Objective: To better understand how integrating health and safety strategies in the workplace has evolved and establish a replicable, scalable framework for advancing the concept with a system of health and safety metrics, modeled after the Dow Jones Sustainability Index.Methods: Seven leading national and international programs aimed at creating a culture of health and safety in the workplace were compared and contrasted.Results: A list of forty variables was selected, making it clear there is a wide variety of approaches to integration of health and safety in the workplace.Conclusion: Depending on how well developed the culture of health and safety is within a company, there are unique routes to operationalize and institutionalize the integration of health and safety strategies to achieve measurable benefits to enhance the overall health and well-being of workers, their families, and the community.
Corporate America and Community Health: Exploring the Business Case for Investment
Παρασκευή, 05.01.2015, 03:00am
Objectives: The principal aim of this project was to learn from corporate executives about the most important components of a business case for employer leadership in improving community health.Methods: We used dialogue sessions to gain insight into this issue.Results: The strongest elements included metrics and measurement, return on investment, communications, shared values, shared vision, shared definitions, and leadership. Important barriers included lack of understanding, lack of clear strategy, complexity of the problem, trust, lack of resources and leadership, policies and regulations, and leadership philosophy. Substantial variability was observed in the degree of understanding of the relationship between corporate health and community health.Conclusions: The business case for intentional and strategic corporate investment in community health occurs along a continuum has a set of clearly defined elements that address why investment may make sense, but also asks questions about the “what-to-do” and the “how-to-do-it.”
Aerosol Transmission of Infectious Disease
Παρασκευή, 05.01.2015, 03:00am
Objective: The concept of aerosol transmission is developed to resolve limitations in conventional definitions of airborne and droplet transmission.Methods: The method was literature review.Results: An infectious aerosol is a collection of pathogen-laden particles in air. Aerosol particles may deposit onto or be inhaled by a susceptible person. Aerosol transmission is biologically plausible when infectious aerosols are generated by or from an infectious person, the pathogen remains viable in the environment for some period of time, and the target tissues in which the pathogen initiates infection are accessible to the aerosol. Biological plausibility of aerosol transmission is evaluated for Severe Acute Respiratory Syndrome coronavirus and norovirus and discussed for Mycobacterium tuberculosis, influenza, and Ebola virus.Conclusions: Aerosol transmission reflects a modern understanding of aerosol science and allows physically appropriate explanation and intervention selection for infectious diseases.
Musculoskeletal Ultrasound in American Occupational Medicine Residency Programs: A Survey of Program Directors
Παρασκευή, 05.01.2015, 03:00am
No abstract available
Development and Validity of a Scale to Measure Workplace Culture of Health
Παρασκευή, 05.01.2015, 03:00am
Objective: To describe the development of and test the validity and reliability of the Workplace Culture of Health (COH) scale.Methods: Exploratory factor analysis and confirmatory factor analysis were performed on data from a health care organization (N = 627). To verify the factor structure, confirmatory factor analysis was performed on a second data set from a medical equipment manufacturer (N = 226).Results: The COH scale included a structure of five orthogonal factors: senior leadership and polices, programs and rewards, quality assurance, supervisor support, and coworker support. With regard to construct validity (convergent and discriminant) and reliability, two different US companies showed the same factorial structure, satisfactory fit statistics, and suitable internal and external consistency.Conclusions: The COH scale represents a reliable and valid scale to assess the workplace environment and culture for supporting health.
Is There a Two-Way Relationship Between Cynicism and Job Strain? Evidence From a Prospective Population-Based Study
Παρασκευή, 05.01.2015, 03:00am
Objective: To examine the bidirectional relationship between job strain and cynicism.Methods: The study sample was obtained from the Young Finns study and comprised 757 participants (399 women, 53%). The bidirectional association between cynicism and job strain over a 6-year-follow-up was examined with a cross-lagged structural equation model, controlling for a number of demographic variables.Results: High job strain (β = 0.08; P = 0.007) was associated with higher baseline-adjusted cynicism 6 years later. Nevertheless, cynicism was not associated with baseline-adjusted job strain. The additional analysis showed that cynicism mediated 21.5% of the relationship between job strain and depression.Conclusions: Perceptions of having a highly strenuous job may elicit mistrustful and cynical attitudes in employees, which in turn may lead to mental health problems.
Ζωγραφική και γλυπτική ασπίδες προστασίας κατά του Αλτσχάιμερ
Πέπμτη, 04.16.2015, 01:25am
Οι ερευνητές της Mayo Clinic της Minnesota διαπίστωσαν σε μια νέα μελέτη που έκαναν σε 256 άτομα άνω των 85 ετών, ότι οι καλλιτεχνικές δραστηριότητες ενεργοποιούν το μυαλό και εξασκούν την επιδεξιότητα κινήσεων μειώνοντας την εμφάνιση κάποιας μορφής άνοιας.
Το ξενύχτι κάνει κακό στην υγεία
Πέπμτη, 04.16.2015, 01:25am
Έρευνα που έγινε από την Ιατρικής Σχολή του Πανεπιστημίου της Κορέας σε πάνω από 1.600 άντρες και γυναίκες, ηλικίας 40-50 ετών, έδειξε ότι όσοι ξενυχτούν κινδυνεύουν να εμφανίσουν διαβήτη. Ο λόγος είναι ότι με το ξενύχτι διαταράσσεται ο μεταβολισμός και η λειτουργία του οργανισμού, ενώ οι διατροφικές επιλογές γίνονται πιο ανθυγιεινές καθώς οι ξενύχτηδες αποκτούν κακές συνήθειες.
Το ύψος του ανθρώπου συνδέεται με την εμφάνιση στεφανιαίας νόσου
Πέπμτη, 04.16.2015, 01:25am
Μελέτη που έγινε στα γενετικά δεδομένα 200.000 ατόμων με ή χωρίς στεφανιαία νόσο έδειξε ότι όσο πιο κοντό είναι ένα άτομο τόσο περισσότερο κινδυνεύει να παρουσιάσει στεφανιαία νόσο.
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  » Marijuana in the Workplace: Guidance for Occupational Health Professionals and Employers: Joint Guidance Statement of the American Association of Occupational Health Nurses and the American College of Occupational and Environmental Medicine
  » Health Risk Change as a Predictor of Productivity Change
  » Outcomes of a Pilot Hand Hygiene Randomized Cluster Trial to Reduce Communicable Infections Among US Office-Based Employees