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191.
The musculoskeletal health among 57 operators at 1 call centre in Sweden was studied with 10 monthly follow-ups, parallel to a reference group of 1,226 professional computer users in other occupations. Operators at this call centre were more symptom-loaded than the other professional computer users in spite of their younger age and shorter exposure to computer work. Symptoms were long-lasting or recurrent. Muscle tenderness and nerve affections in the neck- shoulder region were the most common specific findings and diagnoses at medical examination of incident symptom cases. More extensive studies should be done on the working conditions and health status among call centre workers.  相似文献   
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Vidon, Philippe, Craig Allan, Douglas Burns, Tim P. Duval, Noel Gurwick, Shreeram Inamdar, Richard Lowrance, Judy Okay, Durelle Scott, and Steve Sebestyen, 2010. Hot Spots and Hot Moments in Riparian Zones: Potential for Improved Water Quality Management. Journal of the American Water Resources Association (JAWRA) 46(2):278-298. DOI: 10.1111/j.1752-1688.2010.00420.x Abstract: Biogeochemical and hydrological processes in riparian zones regulate contaminant movement to receiving waters and often mitigate the impact of upland sources of contaminants on water quality. These heterogeneous processes have recently been conceptualized as “hot spots and moments” of retention, degradation, or production. Nevertheless, studies investigating the importance of hot phenomena (spots and moments) in riparian zones have thus far largely focused on nitrogen (N) despite compelling evidence that a variety of elements, chemicals, and particulate contaminant cycles are subject to the influence of both biogeochemical and transport hot spots and moments. In addition to N, this review summarizes current knowledge for phosphorus, organic matter, pesticides, and mercury across riparian zones, identifies variables controlling the occurrence and magnitude of hot phenomena in riparian zones for these contaminants, and discusses the implications for riparian zone management of recognizing the importance of hot phenomena in annual solute budgets at the watershed scale. Examples are presented to show that biogeochemical process-driven hot spots and moments occur along the stream/riparian zone/upland interface for a wide variety of constituents. A basic understanding of the possible co-occurrence of hot spots and moments for a variety of contaminants in riparian systems will increase our understanding of the influence of riparian zones on water quality and guide management strategies to enhance nutrient or pollutant removal at the landscape scale.  相似文献   
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A method is described to combine the ultrasound marker nuchal translucency (NT) with serum markers so that they can be used together in prenatal screening for Down syndrome in twin pregnancies. For monochorionic twin pregnancies (taken as monozygous), the two fetus-specific NT measurements are averaged before risk is calculated and before the contribution of the serum markers is incorporated. For dichorionic twin pregnancies (taken as dizygous), the risk for each fetus based on the individual NT measurements is calculated, the two fetus-specific risks are added together, and then the contribution of the serum markers is incorporated. In this way, all the screening markers can be used in combination to produce a pregnancy-specific ‘pseudo-risk’, rather than a fetus-specific pseudo-risk. We refer to pseudo-risk because in the absence of sufficient data on the screening markers in affected twin pregnancies, a true risk estimate cannot be calculated. Tentative estimates are given of screening performance in twins using NT, the combined test (NT with first-trimester serum markers), and the integrated test (NT with first- and second-trimester serum markers), all interpreted with maternal age. Copyright © 2003 John Wiley & Sons, Ltd.  相似文献   
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The complexity of relationships between social change and natural resource management has generated interest in the identification of indicators that might provide more streamlined means for monitoring and planning. In the case of Australia's National Land and Water Resources Audit, interest has focused on the capacity of resource managers to implement more sustainable resource-use practices. This paper reports on an attempt to develop indicators of 'capacity for change' that are statistically reliable and both meaningful and useful to resource managers at a variety of scales. It will be argued, however, that social, spatial and temporal variability in change processes means that no discrete list of social indicators can achieve this task. At the same time that rigorous testing is needed to challenge common-sense assumptions about who is capable of change and where to target capacity-building programmes, data collection and interpretation must be embedded in processes of ongoing negotiation and adaptation among all those involved in, or affected by, resource management.  相似文献   
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