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The present study used longitudinal data from an alternative keyboard intervention study to test pathways between physical, work organization/psychosocial, stress and musculoskeletal symptom factors postulated by Sauter and Swanson in their ecological model of musculoskeletal disorders in office work. Data on work organization, stress and musculoskeletal symptoms were collected from 189 office workers at baseline and 1 year later. After baseline, an alternative keyboard was provided to half of the participants, while the remaining participants continued using a conventional keyboard. Regression analyses on the Year 1–baseline difference scores revealed significant relationships for keyboard condition and musculoskeletal symptoms, keyboard condition and work organization and work organization and stress. However, the relationships between work organization and musculoskeletal symptoms, keyboard condition and stress and stress and musculoskeletal symptoms were not significant. Thus, the analyses provided partial support for the tested pathways. [ABSTRACT FROM AUTHOR]

Work-related musculoskeletal disorders (WRMDs) are increasingly becoming more prevalent in the US workforce. The introduction of computer-based technology seems to have been accompanied by an increase in WRMDs. Computer-based technology seems to intensify work so much as to create stressful and unhealthy working conditions. In this paper, the role and impact of various psychosocial work stressors, including teamwork, in work organization interventions aimed at reducing and/or preventing WRMDs among office/computer workers are examined. Both the process and the content of the work organization interventions rely on teamwork. The results show the importance of teamwork in influencing stress and musculoskeletal discomfort. In particular, the psychosocial factors of open group process and group cohesiveness were among the most important predictors of anxiety and musculoskeletal discomfort. The results show that teamwork affects both psychosocial stress outcomes (anxiety) as well as musculoskeletal discomfort. [ABSTRACT FROM AUTHOR]

Objectives: Although active smoking has been reported to be associated with poor self-rated health (SRH), its association with secondhand smoke (SHS) is not well understood. Study design: A cross-sectional study was conducted to examine the association of active smoking and SHS exposure with SRH. Methods: A total of 2558 workers (1899 men and 689 women), aged 16-83 (mean 45) years, in 296 small and medium-sized enterprises were surveyed by means of a self-administered questionnaire. Smoking status and exposure levels to SHS (no, occasional or regular) among lifetime non-smokers were assessed separately at work and at home. SRH was assessed with the question: How would you describe your health during the past 1-year period (very poor, poor, good, very good)? SRH was dichotomized into suboptimal (poor, very poor) and optimal (good, very good). Odds ratios (ORs) with 95% confidence intervals (CIs) for reporting suboptimal vs optimal SRH according to smoking status and smoke exposure were calculated. Results: Current heavy smokers (20+ cigarettes/day) had a significantly increased suboptimal SRH than lifetime non-smokers after adjusting for sociodemographic, lifestyle, physical and occupational factors (OR 1.34, 95% CI 1.06-1.69). Similarly, lifetime non-smokers occasionally exposed to SHS at work alone had worse SRH than their unexposed counterparts (OR 1.50, 95% CI 1.02-2.11 ). In contrast, lifetime nonsmokers exposed at home alone had no significant increase in suboptimal SRH. Conclusions: The present study indicates an increase in suboptimal SRH among current heavy smokers, and suggests that SHS exposure at work is a possible risk factor for non-smokers. Whether or not the association is causal, control of smoking at work may protect workers from developing future health conditions. [ABSTRACT FROM AUTHOR]

This study examined the effects of supplementary rest breaks on musculoskeletal discomfort, eyestrain, mood, and performance in data-entry workers. Two rest break schedules were compared in a within-subjects design. Workers alternated between a 'conventional' and a 'supplementary' schedule in 4-week intervals. The conventional schedule contained a 15-min break during the first half of the work shift and a 15-min break during the second half of the shift. The supplementary schedule contained the same two 15-min breaks, and a 5-min break during each hour which otherwise did not contain a break, for a total of 20 extra minutes of break time. Results are based on data from 42 workers. They indicated that discomfort in several areas of the body, and eyestrain, were significantly lower under the supplementary than under the conventional schedule. While symptoms increased from pre- to post-work periods under both schedules, the magnitude of the increases was significantly less under the supplementary schedule. In addition, increases in discomfort of the right forearm, wrist and hand over the course of the work week under the conventional schedule were eliminated under the supplementary schedule. These beneficial effects were obtained without reductions in data-entry performance.

Occupational stress is a growing problem in US workplaces and may be a problem of particular magnitude for working women, in part because of sex-specific job stressors (sex discrimination and difficulties combining work and family). Although such stressors have received little research attention until recent years, new research indicates that these stressors may have a negative impact on health and well-being above and beyond the effects of general job stressors (work overload, skill underutilization, etc). A number of stress-reduction strategies have been shown to be useful for working women, ranging from the more common individual stress management techniques to higher-level interventions focused on removing the sources of occupational stress. This article provides a brief overview of occupational stress as it affects working women and presents research on approaches for reducing the negative effects of job stress.

Symptoms drive health care utilization. Therefore, health care costs are reduced by reducing musculoskeletal injuries through job redesign, ergonomics, or changes in work scheduling.

The authors examined the impact of a number of job stressors, including sexual harassment and gender-based discrimination, on female construction workers' level of job satisfaction and psychological and physical health. Results from a telephone survey with 211 female laborers indicated that having responsibility for others' safety and having support from supervisors and male coworkers was related to greater job satisfaction. Increased reported psychological symptoms were also related to increased responsibility, as well as skill underutilization, experiencing sexual harassment and gender-based discrimination from supervisors and coworkers, and having to overcompensate at work. Perceptions of overcompensation at work and job uncertainty were positively associated with self-reports of insomnia. Finally, sexual harassment and gender discrimination were positively related to reports of increased nausea and headaches.

Objectives: The purpose of this study was to investigate work climate factors and structural job aspects as predictors of workplace violence, with particular attention to the relative influence of both sets of factors., Methods: Telephone survey data collected by a large midwestern insurance company were analyzed. Interviewers asked 598 full-time workers about their work climate, structural job aspects, and subject and workplace demographics, all of which were used as predictor variables in regression analyses. The participants were also asked about incidents of threats, harassment, physical attacks, and fear of becoming a victim of workplace violence, all of which were used as outcome measures., Results: Separate logistic regressions were carried out for each of the outcome measures. The study identified a variety of factors which appear to place workers at risk of nonfatal occupational violence. Work climate variables, such as co-worker support and work group harmony, were predictive of threats, harassment, and fear of becoming a victim of violence. Structural aspects of the job, such as work schedule, were also significant in predicting threats and fear of becoming a victim of violence, but they were not predictive of harassment., Conclusions: This is the first study which suggests that both work climate and structural aspects of work may be important in promoting workplace violence. This finding suggests that intervention strategies should consider organizational and climate issues in addition to basic security measures.

Concerns have arisen that the keyboard is a causal factor in the development of work-related musculoskeletal disorders (WRMDs) among video display terminal (VDT) operators. A number of alternative keyboard designs have been developed with altered geometry in an effort to improve comfort in keyboard operation. However, few data are available to substantiate whether these new keyboard designs are actually effective in reducing discomfort and musculoskeletal problems in users. The purpose of this study was to provide data on the efficacy of certain alternative keyboard design features (e.g. splitting the keyboard in half, and laterally inclining the keyboard halves) in reducing fatigue and musculoskeletal discomfort among keyboard operators. The study also explored the effects of these design features on performance. Fifty subjects performed a text-entry task for one day on a standard keyboard, then were assigned to one of five keyboard conditions for an evaluation period of two days (i.e. 10 subjects/condition). Outcome measures included performance (i.e. keystrokes/h, errors/h) and self-report measures of discomfort and fatigue. The results indicated an initial decline in productivity when subjects began typing on two of the alternative keyboards, but these productivity losses were recovered within the two-day evaluation period. The results also indicated no significant differences between keyboard conditions in discomfort and fatigue. These results suggest a minimal impact of the keyboard design features examined in this study on productivity, comfort and fatigue, at least after two days of exposure.

During nasal breathing, heat and humidity are exchanged over a 160 cm(2) area of mucous membrane. This capacity is not sufficient for airway comfort during cold air breathing. Similarly, airway discomfort and constriction may be experienced during exercise-induced mouth breathing in marginally cold temperatures. In asthmatics and sensitive persons such airway discomfort rapidly transforms to broncho-constriction and related breathing problems. The Lungplus mouth-held breathing aid contains a coil of corrugated aluminium foil that provides a heat and moisture exchange area of 1200 cm(2) (Model 1) with a minimal breathing resistance. The present experiment was designed to quantify improved airway comfort using the device. Ninety-one subjects were exposed to each of three rooms with average air temperatures of +20, +3 and -15 degrees C, with a corresponding relative humidity of 50, 70 and 90%. For each condition, subjects gave subjective numerical assessments of the airway sensation during nose, mouth and Lungplus breathing, respectively. At each room temperature, mouth breathing resulted in a less comfortable airway rating than did breathing through the nose, which in turn resulted in a less comfortable rating than the Lungplus breathing condition.

A temporal distinctiveness theory of contextually cued retrieval from memory is presented and applied to recency and modality effects. According to this theory, one part of the mnemonic trace of an item is a representation of the item's time of presentation. Time of presentation may be encoded with a coarse grain (so that it is consistent with a wide range of times) or with a fine grain (so that it is consistent with a narrow range of times). Retrieval proceeds by constructing temporally defined search sets that include representations of items consistent with the temporal bounds of the search set. The temporal width of the search set increases as the retention interval increases. Recency effects arise from retrieval of recently presented items from narrow search sets that include representations of few items; within the context of the search set, these items are distinctive and recalled well. Superiority in recall of recently presented auditory information in comparison with recently presented visual information is attributed to differences in the grain of time of presentation representations for aurally (fine grain) and visually (coarse grain) presented information. Four experiments confirm qualitative and quantitative predictions of the theory, including the prediction of auditory superiority at the beginning of the list when the initial items are temporally distinct.