高原地区672例尘肺患者死因分析

为了探讨高原地区尘肺患者死因特点及其规律,对青海省1955—2005年间诊断的2 942例尘肺患者有关资料进行了回顾性收集,并采用SPSS10.0软件进行统计分析。结果显示,青海省共有7种尘肺,其中矽肺和煤工尘肺占尘肺总数的93.88%。至2005年底,共有672例已死亡,尘肺病死率为22.84%。尘肺患者死亡年龄集中在40~49岁、50~59岁、60~岁组,占整个死亡总数的92.26%。平均死亡年龄为60.24岁,并且随着年代的推移而延长。尘肺患者平均寿命损失为15年。对死因分析后发现,前3位死因依次为:肺心病、尘肺和肺结核。探讨、分析及研究的结果表明,高原地区尘肺患者的首位死因为肺心病,提示在今后高原地区尘肺病防治工作中应加以重视。     

Mental Workload and Health: A Latent Threat

The aim of this study is to investigate changes in cardiovascular activity associated with a high mental workload. The reported experiments, carried out in naturalistic settings, point to information load and information processing under time pressure as main risk factors. This kind of occupational stress had to be dealt with by two of the three groups under investigation: brokers and simultaneous interpreters; it was not experienced by lecturing university professors. The pattern of cardiovascular activity of the two former groups consisted of overmobilization of cardiovascular activity at the beginning of work, and only partial normalization of task-evoked changes in cardiovascular activity at the end of work. Substantial elevations of diastolic blood pressure and tachycardia, which followed earlier overmobilization, resemble a miniature copy of changes seen in the development of cardiovascular diseases.     

Circadian Rhythm of Heart Rate,Urinary Cortisol Excretion,and Sleep in Civil Air Traffic Controllers

The examination of Air Traffic Controllers (ATCs) from the Warsaw Airport (Poland) included 24-hr ECG monitoring. The participants were 10 civil ATCs, 9 males and 1 woman. The study was carried out on a group of 19 ATCs during their duty periods, 14 of them working 12-hr shifts and 5 performing 24-hr duties. The participants collected urine every 4 hrs, and Cortisol concentration was determined. Further, the survey included the quality and duration of sleep, and subjective fatigue in the 62 participants.

In ATCs, shift work modifies natural rhythms of the circulatory system and decreases the ability for intensified mental work at night. In consequence ATCs experience frequent sleep disorders.     

A Heart Rate Evaluation Approach to Determine Cost-Effectiveness an Ergonomics Intervention

This paper describes a hear-rate methodology to determine the cost-effectiveness of an ergonomics intervention to reduce workload and improve working conditions. This is a practical approach as opposed to the energy expenditure technique that is difficult to implement in natural settings. This was a laboratory study using a large excavator cabin with devices to simulate excavation operations. Mean heart rate was used to calculate the required rest time during a shift with or without air-conditioning. The criterion for evaluation was differences in required rest time during a shift under these 2 conditions. The simplicity and objectivity of this approach invites use to solve the problem of the economic evaluation of ergonomics interventions.