Impact Of Occupation Research Articles

Municipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexico

BackgroundPolice constitute a structural determinant of health and HIV risk of people who inject drugs (PWID), and negative encounters with law enforcement present significant barriers to PWID access to harm reduction services. Conversely, police may facilitate access via officer-led referrals, potentiating prevention of HIV, overdose, and drug-related harms. We aimed to identify police characteristics associated with support for officer-led referrals to addiction treatment services and syringe service programs (SSP). We hypothesized that officers who believe harm reduction services are contradictory to policing priorities in terms of safety and crime reduction will be less likely to support police referrals.MethodsBetween January and June 2018, police officers (n = 305) in Tijuana, Mexico, completed self-administered surveys about referrals to harm reduction services during the 24-month follow-up visit as part of the SHIELD police training and longitudinal cohort study. Log-binomial regression was used to estimate adjusted prevalence ratios and model policing characteristics and attitudes related to officers’ support for including addiction treatment and SSP in referrals.ResultsRespondents were primarily male (89%), patrol officers (86%) with a median age of 38 years (IQR 33–43). Overall, 89% endorsed referral to addiction services, whereas 53% endorsed SSP as acceptable targets of referrals. Officers endorsing addiction services were less likely to be assigned to high drug use districts (adjusted prevalence ratio [APR] = 0.50, 95% CI 0.24, 1.08) and more likely to agree that methadone programs reduce crime (APR = 4.66, 95% CI 2.05, 9.18) than officers who did not support addiction services. Officers endorsing SSPs were younger (adjusted prevalence ratio [APR] = 0.96 95% CI 0.93, 0.98), less likely to be assigned to high drug use districts (APR = 0.50, 95% CI 0.29, 0.87), more likely to believe that methadone programs reduce crime (APR = 2.43, 95% CI 1.30, 4.55), and less likely to believe that SSPs increase risk of needlestick injury for police (APR = 0.44, 0.27, 0.71).ConclusionsBeliefs related to the occupational impact of harm reduction services in terms of officer safety and crime reduction are associated with support for referral to related harm reduction services. Efforts to deflect PWID from carceral systems toward harm reduction by frontline police should include measures to improve officer knowledge and attitudes about harm reduction services as they relate to occupational safety and law enforcement priorities.Trial Registration: NCT02444403.

Exploring the barriers and facilitators to menstrual hygiene management for women experiencing homelessness

ABSTRACT Introduction: Menstrual hygiene management (MHM) is often overlooked in research despite being an occupation for many people, including adolescent and adult women as well as transgender and gender non-binary individuals. Available research shows that menstrual symptoms can decrease participation in other occupations, including work and education. The available research also suggests that marginalized groups, such as the homeless population, have limited access to hygiene and environmental resources needed for their MHM. Due to the limited research on MHM needs among the homeless population, the purposes of this study were 1) to learn about facilitators and barriers to MHM among the homeless population and 2) to understand the occupational impact of menstruation and MHM for women experiencing homelessness. Methods: Participants were recruited from three homeless service agencies in the greater St. Louis area to participate in a survey and focus groups. Data were analyzed using qualitative content analysis and descriptive statistics were generated. Results: Five themes were identified, describing participants’ experiences with MHM while homeless. Themes were grouped into three categories—barriers, facilitators, and occupational impact of MHM. Themes illuminate factors both intrinsic to participants and within their external contexts that impacted participants’ MHM performance and wider occupational engagement. Implications: Women face additional barriers to MHM during homelessness which can further disrupt participation and performance in several areas of occupation such as ADLs, work/school, and social participation. MHM can exacerbate existing issues of occupational injustice for this population. Facilitators to MHM for women experiencing homelessness were identified to inform the development of occupation-based programs for this population.

A numerical study of strong-post double-faced W-beam and Thrie-beam guardrails under impacts of vehicles of multiple size classes

Median barrier systems are safety features between opposite travel lanes to redirect or prevent errant vehicles from intruding into oncoming traffic lanes. Different barriers systems have been developed and used for decades. In this study, finite element (FE) modeling and simulations were adopted to study the performance of double-faced W-beam and Thrie-beam guardrails at 29- and 31-inch installation heights. The in-service guardrail performance was evaluated under impacts of multiple sized vehicles at Test Level 4 and Test Level 5 conditions specified in Manual for Assessing Safety Hardware (MASH). The effectiveness of the guardrails was assessed using guardrail dynamic deflections, vehicle responses, and vehicle redirection characteristics. The MASH exit box criterion, MASH evaluation criterion F (roll and pitch angle limit), and MASH evaluation criterion N (vehicle trajectory) were adopted in the evaluations. Additionally, occupant safety and injury risk were determined using occupant impact velocities (OIVs), occupant ridedown accelerations (ORAs), and acceleration severity indices (ASIs). The crash simulation results showed that both W-beam and Thrie-beam guardrails could retain all test vehicles and prevent them from getting into oncoming travel lanes. All the guardrails were considered generally effective in terms of occupant risk factors and vehicle impact responses. It was also observed that in certain cases, the installation height and the type of guardrail blockout could affect the impact severity for small-sized vehicles.

Deaths, Disparities, and Cumulative (Dis)Advantage: How Social Inequities Produce an Impairment Paradox in Later Life.

BackgroundResearch on health across the life course consistently documents widening racial and socioeconomic disparities from childhood through adulthood, followed by stabilization or convergence in later life. This pattern appears to contradict expectations set by cumulative (dis)advantage (CAD) theory. Informed by the punctuated equilibrium perspective, we examine the relationship between midlife health and subsequent health change and mortality and consider the impact of earlier socioeconomic exposures on observed disparities.MethodsUsing the Health and Retirement Study, we characterize the functional impairment histories of a nationally representative sample of 8464 older adults between 1994 and 2016. We employ nonparametric and discrete outcome multinomial logistic regression to examine the competing risks of mortality, health change, and attrition.ResultsExposures to disadvantages are associated with poorer functional health in midlife and mortality. However, a higher number of functional limitations in midlife is negatively associated with the accumulation of subsequent limitations for White men and women and for Black women. The impact of educational attainment, occupation, wealth, and marriage on later-life health differs across race and gender groups.ConclusionsObserved stability or convergence in later-life functional health disparities is not a departure from the dynamics posited by CAD, but rather a result of the differential impact of racial and socioeconomic inequities on mortality and health at older ages. Higher exposure to disadvantages and a lower protective impact of advantageous exposures lead to higher mortality among Black Americans, a pattern which masks persistent health inequities later in life.

Cómo ha afectado la pandemia COVID-19 en la formación de los MIR de Endocrinología y Nutrición. Resultados de una encuesta de la Sociedad Española de Endocrinología y Nutrición

IntroductionCOVID-19 disease has become a priority for our healthcare system. The resident physicians training in endocrinology and nutrition (E&N residents) have been integrated into the COVID-19 teams. This study has been designed with the aim of analysing the educational, occupational and health impact on E&N residents. Material and methodsCross-sectional observational study via a web survey, aimed at E&N residents who are members of the SEEN, carried out in November 2020. The following data were analysed: demographic variables, number of beds in the training hospital, alteration of rotations, integration in COVID-19 teams, participation in telemedicine, scientific activity and impact on physical and emotional health. Results87 responses were obtained (27% of all E&N residents), 67.8% women, 28.1±1.8 years, 60% 4th year E&N residents. 84% participated in COVID-19 teams and 93% in the telemedicine consultations of their service. Most have had their rotations interrupted. 97.7% have participated in scientific meetings or virtual congresses and a third of them have collaborated in scientific work on COVID-19 in relation to endocrinology and nutrition. Overall, 75.8% think the pandemic has affected their mood a lot or quite a lot, and 73.8% think that the pandemic has negatively impacted their training. ConclusionsThe SARS-CoV-2 pandemic has compromised the training, work activity and health of E&N residents. They have been integrated both in COVID-19 teams and in the restructured activity of their departments. However, they have managed to continue their training in virtual format and have participated in scientific work.

Measuring the Occupational Impact of AI: Tasks, Cognitive Abilities and AI Benchmarks

In this paper we develop a framework for analysing the impact of Artificial Intelligence (AI) on occupations. This framework maps 59 generic tasks from worker surveys and an occupational database to 14 cognitive abilities (that we extract from the cognitive science literature) and these to a comprehensive list of 328 AI benchmarks used to evaluate research intensity across a broad range of different AI areas. The use of cognitive abilities as an intermediate layer, instead of mapping work tasks to AI benchmarks directly, allows for an identification of potential AI exposure for tasks for which AI applications have not been explicitly created. An application of our framework to occupational databases gives insights into the abilities through which AI is most likely to affect jobs and allows for a ranking of occupations with respect to AI exposure. Moreover, we show that some jobs that were not known to be affected by previous waves of automation may now be subject to higher AI exposure. Finally, we find that some of the abilities where AI research is currently very intense are linked to tasks with comparatively limited labour input in the labour markets of advanced economies (e.g., visual and auditory processing using deep learning, and sensorimotor interaction through (deep) reinforcement learning).
 This article appears in the special track on AI and Society.

Prediction of office building electricity demand using artificial neural network by splitting the time horizon for different occupancy rates

Due to the impact of occupants’ activities in buildings, the relationship between electricity demand and ambient temperature will show different trends in the long-term and short-term, which show seasonal variation and hourly variation, respectively. This makes it difficult for conventional data fitting methods to accurately predict the long-term and short-term power demand of buildings at the same time. In order to solve this problem, this paper proposes two approaches for fitting and predicting the electricity demand of office buildings. The first proposed approach splits the electricity demand data into fixed time periods, containing working hours and non-working hours, to reduce the impact of occupants’ activities. After finding the most sensitive weather variable to non-working hour electricity demand, the building baseload and occupant activities can be predicted separately. The second proposed approach uses the artificial neural network (ANN) and fuzzy logic techniques to fit the building baseload, peak load, and occupancy rate with multi-variables of weather variables. In this approach, the power demand data is split into a narrower time range as no-occupancy hours, full-occupancy hours, and fuzzy hours between them, in which the occupancy rate is varying depending on the time and weather variables. The proposed approaches are verified by the real data from the University of Glasgow as a case study. The simulation results show that, compared with the traditional ANN method, both proposed approaches have less root-mean-square-error (RMSE) in predicting electricity demand. In addition, the proposed working and non-working hour based regression approach reduces the average RMSE by 35%, while the ANN with fuzzy hours based approach reduces the average RMSE by 42%, comparing with the traditional power demand prediction method. In addition, the second proposed approach can provide more information for building energy management, including the predicted baseload, peak load, and occupancy rate, without requiring additional building parameters.

Factors Affecting Occupants’ Satisfaction in Governmental Buildings: The Case of the Kingdom of Bahrain

Satisfaction is a very important factor in improving productivity and performance in the work environment. This study aims to investigate the levels of occupants’ satisfaction with the indoor environmental quality (IEQ) in the governmental buildings in the Kingdom of Bahrain and to investigate the impact of occupants’ demographics and building attributes (non-IEQ factors) on these levels. For these purposes, the study used a questionnaire that has 17 indoor environmental quality (IEQ) factors in addition to a group of non-IEQ factors. The questionnaire was distributed by hand or using email to 279 employees in the Bahraini governmental sector. The findings of the study revealed that occupants in the Bahraini governmental buildings are not strongly satisfied with IEQ factors, especially with sound privacy, followed by visual privacy and amount of space, and then noise levels. The findings also showed that for most IEQ factors, men are more satisfied than women are, those who work in enclosed private offices are more satisfied than those who work in open-plan offices, and those who have central air-conditioning at their workplace are more than those who have a wall-mounted air conditioner. The impact of age, nature of work, duration of working in the current building and at the current workstation, weekly working hours, and proximity to the window were also investigated. Accordingly, a group of recommendations was suggested aiming to improve the levels of occupants’ satisfaction.

Correlation between simulations and measurements of an eco-house design for Mongolia

Mongolia is experiencing unprecedented urbanization along with recent economic growth. Ulaanbaatar is known to be the coldest capital in the world and heating demand is very high during the long winter season. Due to the increase of coal burning to provide heat, there is an urgent need to improve housing and to reduce energy use and air pollution. Currently, there is a revitalization of the Ger area of Mongolia and this presents a good opportunity to redevelop the region into an ecologically designed district with sustainable housing. Such a redesign will result in energy saving and air pollution reduction. With this goal in mind, a pilot project called Create Accord Living Environment (CALE), was developed to demonstrate living conditions with a new house design that is cost effective for Mongolia. This paper presents the house performance using an energy simulation and the results are correlated with measurement data taken during the wintertime. The average energy use intensity (EUI) for 5 CALE houses was found to be 112 kWh/m2/yr. This is a 71% energy savings compared to a typical detached house with a modern and efficient house design. If it is possible to redevelop 1000 houses in the Ger area, an estimated 6.5 kton/yr in carbon emission can be saved. In addition, a parametric study was conducted to investigate the impact of different construction materials, craftsmanship quality, and occupants' behavior on the house's energy efficiency. The proposed housing structures, which provide a comfortable living space with significantly reduced energy utilization, serves as a potential model for development both within Mongolia as well as for other similar climates.

Increase of early syphilis cases during the COVID-19 pandemic in the Czech Republic

Myocarditis, simply defined as inflammation of the heart muscle, is a commonly encountered cardiac disease in primary and secondary care, both in the UK and on Operational deployments. In the...

Research on the Tufts Be Well at Work Program for Employees With Depression: 2005-2020.

Although depression is a prevalent and costly health problem exacting a large toll on work productivity, interventions targeting occupational functioning are rare. This article describes the development of the Tufts Be Well at Work intervention, a brief telephonic program designed to improve occupational functioning among employees with depression and reduce depression symptom severity. Results from 15 years of research are summarized evaluating the occupational, clinical, and economic impact of Be Well at Work. The design, methods, and results of all six Tufts Be Well at Work studies are reported. Studies included an initial workplace pilot study, two workplace randomized clinical trials (RCTs), one RCT in a health care system, and two pilot implementation studies conducted in a workplace and in an academic medical center. RCTs compared Tufts Be Well at Work to usual care. Tufts Be Well at Work consistently and significantly improved occupational functioning, work productivity, and depression symptom severity. Employees randomly assigned to usual care experienced smaller gains. The program also delivered a positive return on investment. Evidence suggests that Tufts Be Well at Work is an effective intervention for improving occupational and clinical functioning. Its relatively low cost and its impact on work productivity contribute to its positive economic impact.

COVID-19 induced impact on informal migrants in Bangladesh: a qualitative study

PurposeThis study intends to explore the impact of occupation and income on informal migrants in the face of COVID-19 induced lockdown in Bangladesh and their coping strategies to survive the pandemic situation.Design/methodology/approachThe study adopted a qualitative research design in which four urban areas were chosen purposively from various parts of Dhaka city. The authors conducted 21 semi-structured in-depth interviews, four FGDs and eight months over participant observation for achieving study objectives. The four stages of data analysis used a thematic approach in the interpretive phenomenological analysis.FindingsThe results showed that respondents were massively affected due to loss of income and occupation in the period of induced lockdown. Besides, most people lost their earning sources entirely in this amid pandemic which bound them starvation in the mealtime along with several dynamic complications. The findings also revealed that they followed some surviving strategies such as taking loans, reducing expenses, consuming less food, selling land, jewelry, and goods, relatives and neighbor support, and government relief. Although these strategies somewhat supported them to struggle with the situation, their livelihood features became fragile immensely.Research limitations/implicationsThe findings will be an important guiding principle for the policymakers, aid organizations and development practitioners to prepare development policies for vulnerable informal migrants in developing countries like Bangladesh.Originality/valueThis is the first study that explores the informal migrants’ occupation and income during COVID-19 induced lockdown in Bangladesh. This research also highlights coping strategies of the informal migrants to survive the pandemic situation.

CENTURIATED LUCERIA: A LATIN COLONY AND ITS TERRITORY

The extensive traces of Roman centuriation and its associated farms identified from aerial photographs near Lucera, ancient Luceria, in the plain of northern Apulia, have generally been attributed to the Gracchan agrarian reforms of the 130s/120s BC. However, the dating of these land divisions, on the basis of the excavation of the farms and centuriation roads by John Bradford and Barri Jones in 1949–50 and 1962–3, is of questionable reliability, and their work at Luceria was never properly published. This study reanalyses the scattered records and dating evidence from the excavation of seven farms of Bradford and Jones and three other sites surveyed by Bradford in the ager Lucerinus. This study argues that the farms and associated grids belong to Rome's establishment of a Latin colony at Luceria in 326 or 315/314 BC during the Second Samnite War, and that the farms were abandoned due to the Hannibalic War. This study therefore presents the earliest certain Roman centuriation for a colony, and it observes the devastating impact of Hannibal's invasion and prolonged occupation on landholding in southeastern Italy, which has been doubted in recent work on Italian agrarian history. In no other part of Italy does there exist a coherent group of nearby excavated small-scale farms, which provides new insight into Roman colonization in Apulia and the consequences of the Hannibalic War.

Epidemiological Characteristics and Survival Analysis of Patients With Nasopharyngeal Cancer in Western Greece.

PurposeThe purpose of this study is to assess the overall survival (OS) of patients with nasopharyngeal cancer and the factors affecting the survival rates.MethodsA retrospective cohort study was performed, including 77 patients with nasopharyngeal cancer diagnosed and treated in the Otorhinolaryngology Clinic of the University Hospital of Patras during 1990-2017. The prognostic impact of age, gender, occupation, smoking/alcohol, and TNM staging were evaluated using Kaplan-Meier analysis.ResultsDuring the last 28 years, nasopharyngeal cancer (NPC) was higher in men (80.5% of patients) than women (19.5%) (mean age 56-years). Most patients were smokers (64.9%, mean 70 pack-years) and 35 (45.5%) of them were alcohol users. Postoperative staging indicated 39% stage-III, 26% stage-IV, and 26% stage-I. Histologically, 70.1% of the volumes were WHO-III, 20.8% WHO-II, and 5.2% WHO-I. Also, 98.7% of patients received radiotherapy, 85.7% chemotherapy, and 20.8% surgery. More than half were farmers (26%), self-employed (16.9%), and workers (14.3). During the follow-up (mean 66 months), 38 (49.5%) patients died, 88.9% from disease-related causes. The 5-year survival was 58.8%, 74.5% for non-smokers, and 49.1% for smokers, and 10-year survival was 43.6%, 63.4%, and 31.6%, respectively (p=0.016). Moreover, significant statistical differences were observed in age (p=0.054), time period of diagnosis and treatment (p=0.002), cause of death (p=0.033), and metastatic disease (p=0.023).ConclusionsAge, stage in disease detection, tumor characteristics, treatment, and tobacco abuse are important factors that affect the OS of patients with NPC during the three last decades.

Containing the good idea fairy: A deep dive into Navy firearms restriction policy

ABSTRACT Statement of Problem: US Navy suicide is an ongoing concern, with more than half of suicide deaths each year related to firearms. Although decreasing firearms access by those who are at risk for suicide has been well-established as a tactic for reducing risk, implementation of firearms restrictions has a significant cultural and occupational impact among service members that may increase the stigma of seeking mental health care. During a recent Deep Dive review of all previous year suicide deaths, subject matter experts from across the US Navy identified significant variability in command utilization of firearms restriction. Methodology: Based on this finding, a review was conducted to identify best practice for firearms restriction related to suicide risk across the US military services and municipal police departments. Findings: Findings from this review suggested that the Department of the Navy may benefit from adopting consistent standards for disarming and rearming service members at risk for suicide, base decisions on objective suicide risk rather than routine stressors, decrease access primarily when service members are off duty, and engage with service members to decrease core drivers of suicide behavior through command channels. Implications: Implementing these recommendations may be a crucial step in balancing precautions to decrease suicide risk with the stigma of firearms restriction in military settings.

Financial and occupational impact of low anterior resection syndrome in rectal cancer survivors.

The aim of this study was to assess bowel-related financial stress and strain and to evaluate its association with global quality of life. This was a retrospective cohort study with cross-sectional follow-up including consecutive patients who underwent restorative proctectomy for neoplastic disease of the rectum at a single university-affiliated hospital in Montreal, Quebec, Canada. Bowel-related financial impact and occupational impact were compared between patients with major low anterior resection syndrome (LARS) and those with minor/no LARS. The association between LARS, bowel-related financial impact and global quality of life (QoL) was then assessed in a multiple logistic regression model. Of 180 eligible rectal cancer survivors who were contacted, 154 completed the questionnaires (response rate 47.1%) at a median follow-up of 57.5months (interquartile range 34.1-98.1) after proctectomy. Individuals with major LARS reported a higher prevalence of bowel-related financial stress (53.2% vs 5.6%, p<0.001) and strain (42.2% vs 5.6%, p<0.001) compared with those with minor/no LARS. Among those who were working preoperatively (n=100), the majority of participants with major LARS reported an impact of their new bowel function on their ability to work (70.6%), including delayed return to work (44.1%), the need to change schedules (35.3%) or roles (20.6%), and complete long-term medical absence from work (14.7%). On multiple logistic regression, major LARS with financial impact (OR 4.50, 95% CI 1.57-13.77) was associated with low global QoL compared with minor/no LARS. Major LARS was associated with considerable financial stress and strain and difficulties in returning to work.

Are long-term care jobs harmful? Evidence from Germany.

Like many OECD countries, Germany is currently facing a shortage of long-term care (LTC) workers. This situation is concerning in the context of the ageing of the German population. A potential reason why Germany fails to recruit and retain LTC workers is that LTC jobs are particularly demanding (physical and psychological strain) which may be harmful to health. However, there is a lack of empirical evidence demonstrating this effect. This article fills the gap in the literature by exploring to what extent LTC jobs reduce workers' health over time. We estimate a dynamic panel data model on the German Socio-Economic Panel (v.35; 1984-2018), which allows adressing selectionissues into occupations. Our paper provides innovative findings on the impact of LTC occupations on workers' health. We confirm that LTC jobs have a negative impact on self-reported health. Our results have strong policy implications: we emphasize the need to provide sufficient assistance to LTC workers, who are at risk of facing more health issues than other workers. This issue is key to increase the attractiveness of LTC jobs and reduce turnover in the LTC workforce.

Psychological and occupational impact of the COVID-19 pandemic on UK surgeons: a qualitative investigation

BackgroundThe COVID-19 pandemic represents the greatest biopsychosocial emergency the world has faced for a century. The pandemic has changed how individuals live and work, and in particular, frontline healthcare professionals...

Impact of land use and occupation on potential groundwater recharge in a Brazilian savannah watershed

ABSTRACT This study evaluates the impact of land use and occupation changes on potential groundwater recharge in a Brazilian savannah watershed. The results show that potential groundwater recharge was directly influenced by changing scenarios in the watershed. The impact of land use and occupation changes was assessed by considering current land use and the replacement of all agricultural crops by soybeans (scenario 1) and natural savannah (scenario 2). We conclude that the processes of land occupation of the watershed should be understood in order to minimize reductions in the potential groundwater recharge in a watershed located in the Brazilian savannah biome.

Land-use change and its impact on physical and mechanical properties of Archaeological Black Earth in the Amazon rainforest

The intense pressure of anthropic actions to change the use and management can promote the degradation of anthropogenic soils with high natural fertility and high content of organic matter such as the Archaeological Black Earths of the Brazilian Amazon. Therefore, this study aimed to quantify the impact of land use and occupation in the Amazon biome on the physical and mechanical properties of Archaeological Black Earth. The research was carried out in the municipality of Novo Aripuanã, in the south of Amazonas State (Brazil), in a Chromic, Pretic, Acrisol with native forest, pasture, and pigeon pea. The soil properties of bulk density, mean weighted diameter, soil resistance to penetration, macroporosity, microporosity, particle size distribution (sand, silt, and clay), water-dispersible clay, flocculation index, total organic carbon, and preconsolidation pressure were assessed in the 0.0–0.1 and 0.1–0.2 m soil layers. Archaeological black earth under native forest showed better soil structural properties such as greater macroporosity and lower bulk density and resistance to penetration. The conversion to other uses promotes soil compaction and increases the resistance to compression. However, the greatest negative impacts on soil properties occurred when the land-use change was for pasture than for pigeon pea. The pigeon pea crop promoted the increase of soil total organic carbon in the 0.0–0.1 m layer. The soil mechanical behavior showed a greater load-bearing capacity in the native forest area for the surface layer than the subsurface layer. The preconsolidation pressure allowed to determine that the pasture land-use has a greater occurrence of compaction and might suffer additional compaction if the applied pressures on the soil during grazing are larger than the higher limit of the confidence interval of load-bearing capacity models when compared to the pigeon pea land-use.