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61.
The aim of an ergonomics intervention conducted in the tire manufacturing industry was to improve working conditions. Before the start, a senior manager supported the intervention. Participants were divided into teams and trained. After observing the overall performance of the teams, over 100 improvements were successfully implemented. After the improvements, there were statistically significant differences in annual and weekly prevalence of, and annual disability reported for, the upper back, the lower back, knees and wrists between before and after intervention. The annual prevalence of upper back, lower back, knee and wrist complaints decreased from, respectively, 60.3%, 50.2%, 28.9%, 25.8% before the intervention to 31.3%, 35.9%, 17.1%, 20.7% after the intervention. Significant factors were training and supportive environment based on full commitment of the top management. 相似文献
62.
Sohel Q. Saikat Joy E. Carter Aradhana Mehra Barry Smith Alex Stewart 《Environmental geochemistry and health》2004,26(3-4):395-401
Endemic goitre was prevalent in the population of Derbyshire in the UK for many centuries until it declined from the 1930s. A contemporary medical survey showed that endemicity of goitre was particularly higher in the Carboniferous limestone areas of the Derbyshire-Peak District. Unlike classical goitrous areas of the world, where the distribution of goitre has been found to be related to the iodine content in the environment, there is no such relationship reported for the Derbyshire-Peak District area. The present study reviews the presence of endemic goitre in this area with reference to iodine in different environmental media using past and present data. In comparison with the world average values, the iodine contents in the soil and sediment in the Peak District are not deficient, but compared to England, Wales and Scotland averages, these levels are low. As no information on the mobility and bioavailability of iodine of this area is available, a cautious approach is necessary before any assumption is made on the aetiology of endemic goitre. The study also discusses some hypotheses relating to the possible cause of endemic goitre in the limestone areas. Further research needs are suggested depending on the land use and geochemistry of the Peak District to determine the underlying causes of the former endemic goitre in this area. 相似文献
63.
This paper uses a public health approach to examine briefly: (a) the progress of universal salt iodisation (USI) in Sudan; (b) the roles of the main actors involved; and (c) the main issues around accelerating USI. The literature, especially that coming from the UN agencies, is analysed and experiences from the recently revitalised USI programme, and related relevant meetings, are distilled. In Sudan the prevalence of goitre is 22 per cent. It is assumed that productivity among the people affected is reduced by 5–25 per cent. Little apparent progress has been made with USI. The Government of Sudan, UN multilateral agencies, international consultative groups, bilateral agencies, global and national non-governmental organisations and, increasingly, the private sector must work together to find innovative approaches to increase awareness of the broader social, public health and nutritional contexts, and to advocate for increased national nd international funding. 相似文献
64.
An attempt is made to summarize as completely as possible what is known about the prenatal diagnosis of amino– and organic acidurias by direct measurement of characteristic metabolites in amniotic fluid, and to indicate which disorders can potentially be diagnosed prenatally by direct quantitation of metabolites. Furthermore, the disorders are mentioned in which the prenatal diagnosis was proven to be unsuccessful by this approach. The prenatal diagnoses of a case of propionic acidemia and a case of tyrosinemia type I in the 11th and 12th week of gestational age, respectively, are reported and the prospects of performing amniocentesis in the first trimester for prenatal diagnosis are discussed. 相似文献
65.
L. Dallaire J. Michaud S. B. Melancon M. Potter M. Lambert G. Mitchell J. Boisvert 《黑龙江环境通报》1991,11(8):629-635
During a follow-up study of 19 790 pregnancies at risk for a genetic disease, from 1968 to 1989, 1083 fetuses were found to have an anomaly during the second trimester, leading to 977 terminations of pregnancy. Neural tube defects (31.4 per cent), chromosomal disorders (27.1 per cent), and Mendelian or multifactorial diseases (10.6 per cent) were the main causes of fetal anomaly. More than half (52.9 per cent) of the fetal anomalies were detected by routine ultrasound examination. Forty-two per cent of cystic hygromas were secondary to a chromosomal defect. We stress the importance of a comprehensive fetal and newborn examination to ensure an accurate diagnosis so that subsequently accurate counselling can be provided. 相似文献
66.
Alireza Tafazzol Samin Aref Majid Mardani Omid Haddad Mohamad Parnianpour 《International journal of occupational safety and ergonomics》2016,22(2):218-227
Objectives. Musculoskeletal disorders (MSDs) are prevalent among airline baggage handlers due to manual materials handling. In this study, the Nordic musculoskeletal questionnaire (NMQ), the revised National Institute for Occupational Safety and Health (NIOSH) lifting equation, and the University of Michigan 3D Static Strength Prediction Program? (3DSSPP) were used to analyze MSDs among baggage handlers. Methods. The NMQ was filled out by 209 baggage handlers and 46 arbitrarily selected baggage handlers were evaluated using the NIOSH method and 3DSSPP. Results. The obtained results showed that the most common MSDs occurred in the lower back region. The next risky regions included knees, neck, and upper back, respectively. The NIOSH results confirmed that the subjects lifted loads heavier than the permitted limit and their lifting postures were inappropriate. The results of the 3DSSPP also indicated that compression forces exceeded the NIOSH limit in these awkward postures. Conclusions. Relying on this study, holding compulsory ergonomic lifting training courses could be proposed for workers and regulations adjusting an upper limit for maximum baggage weight must be also enacted in order to improve occupational health and prevent the prevalence of increasing MSDs. 相似文献
67.
Tahereh Gholami Mahdi Akbarzadeh Majid Motamedzade Rashid Heidari Moghaddam 《International journal of occupational safety and ergonomics》2016,22(2):283-290
This study examined the hypothesis that burnout syndrome mediates effects of psychosocial risk factors and intensity of musculoskeletal disorders (MSDs) among hospital nurses. The sample was composed of 415 nurses from various wards across five hospitals of Iran's Hamedan University of Medical Sciences. Data were collected through three questionnaires: job content questionnaire, Maslach burnout inventory and visual analogue scale. Results of structural equation modeling with a mediating effect showed that psychosocial risk factors were significantly related to changes in burnout, which in turn affects intensity of MSDs. 相似文献
68.
M. R. Sijimol S. Jyothy A. P. Pradeepkumar M. S. Shylesh Chandran S. Shabin Ghouse 《Environmental Forensics》2015,16(2):125-134
Several issues regarding the adverse impacts of the chemical—perchlorate—have been identified recently. Perchlorate is a persistent chemical, and remains in water and soil, thereby accumulating in plants and animals. Fetuses suffer the most from perchlorate contamination. There are ongoing debates about the impacts, toxicity and health effects of perchlorate. Many studies have been conducted on its ecotoxicity and its effects, but standards do not exist for perchlorate. This study aims to review the sources, impacts, fate, transport and remediation of perchlorate. 相似文献
69.
Sri Lanka provides an ideal opportunity for the study of the effect of geology on human health. The vast majority of the people
of Sri Lanka still live in rural areas within areas termed geochemical provinces. Very broadly, one could say that a geochemical
province has characteristic chemical composition in soil, water stream sediments and rocks, enabling their delineation from
others. The chemical composition is presumed to be have an impact on the health of the inhabitants of the particular geochemical
province, particularly because of the fact that their food and water are obtained mostly from the terrain itself. This leads
to the concept of “diseases of geochemical origin”. Among these are dental fluorosis, iodine deficiency disorders (IDDs) and
selenium-based diseases. The Dry Zone of Sri Lanka has several areas rich in groundwater fluoride, the ingestion of which
leads to dental fluorosis. Iodine deficiency diseases are more common in the Wet Zone, though their aetiologies are more complicated.
Interestingly, it has also been observed that significant proportions of the female population of Sri Lanka are selenium-deficient,
which could well be related to the geological environment. Chronic renal failure (CRF) has been observed in some areas of
the Dry Zone of Sri Lanka, where there is a relationship of CRF with the mineral content of drinking water. This subject matter
falls under the auspices of Medical Geology, a scientific discipline still in its infancy, and much more concerted studies
are needed to attract the attention of medical research. 相似文献