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Preventive Actions (preventive + action)
Selected AbstractsBurnout intervention among Dutch dentists: long-term effectsEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 6 2001Hans Te Brake The aim of the present study was to determine the long-term effects of a burnout-intervention program among Dutch dentists using a longitudinal design. Using the Maslach Burnout Inventory (Dutch version: MBI-NL), at the initial measurement in 1997 a ,burnout risk group' (n=171) was identified. This group received feedback on their scores and was invited to participate in an intervention program. Of the total group, 19 dentists participated in an intervention program. After the end of the intervention program, 92 dentists (the 19 participants and a control group) responded to a post-intervention survey in 1998. These dentists were approached once more 1 yr later, and this time 78 dentists (84.8%) returned a questionnaire. While demonstrating an improvement on all subscales of the MBI-NL at the first post-test, results show that the program participants showed a relapse at the second post-test. Controls who took action on their own initiative, on the other hand, reported a beneficial effect in the long run. Finally, controls that did not take any preventive action showed little or no progress. Possible causes for these findings are discussed, including the influence of coping style, perceived control, confounding factors, demand characteristics, and the necessity of post-intervention follow-up. [source] In Search of Better Quality of EU Regulations for Prompt Transposition: The Brussels PerspectiveEUROPEAN LAW JOURNAL, Issue 5 2008Michael Kaeding The quality of EU regulation is crucial to ensuring that Community law is promptly transposed into national law within the prescribed deadlines. But good quality transposition (clear, simple, and effective) goes beyond pre-legislative consultation processes and more frequent use of impact assessments as agreed in the 2003 Interinstitutional Agreement on Better Lawmaking. Presenting new data that covers the full population of all EU transport directives from 1995 to 2004,including the national implementing instruments of France, Germany, Greece, Italy, Ireland, Spain, Sweden, the Netherlands and the UK,this study shows that elements of the EU directives delay transposition. The binding time limit for transposition, the EU directive's level of discretion, its level of detail, its nature and further characteristics of the directive's policy-making process are all factors. These determining factors are crucial to explaining why Member States miss deadlines when transposing EU Internal Market directives. Brussels' efforts to simplify and improve the regulatory environment have to go beyond more preventive action to strengthen the enforcement of EU legislation at the member-state level if they want to address the Internal Market constraining effects of Member States' non-compliance. This study argues that far-reaching decisions made in the European Commission's drafting and EU policy-making phase have the greatest effect on the European regulatory framework in which businesses operate and the free movement of goods, persons, services, and capital is at stake. Implementation should be part of the design. [source] Workers are people too: Societal aspects of occupational health disparities,an ecosocial perspectiveAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2010Nancy Krieger PhD Abstract Workers are people too. What else is new? This seemingly self-evident proposition, however, takes on new meaning when considering the challenging and deeply important issue of occupational health disparities,the topic that is the focus of 12 articles in this special issue of the American Journal of Industrial Medicine. In this commentary, I highlight some of the myriad ways that societal determinants of health intertwine with each and every aspect of occupation-related health inequities, as analyzed from an ecosocial perspective. The engagement extends from basic surveillance to etiologic research, from conceptualization and measurement of variables to analysis and interpretation of data, from causal inference to preventive action, and from the political economy of work to the political economy of health. A basic point is that who is employed (or not) in what kinds of jobs, with what kinds of exposures, what kinds of treatment, and what kinds of job stability, benefits, and pay,as well as what evidence exists about these conditions and what action is taken to address them,depends on societal context. At issue are diverse aspects of people's social location within their societies, in relation to their jointly experienced,and embodied,realities of socioeconomic position, race/ethnicity, nationality, nativity, immigration and citizen status, age, gender, and sexuality, among others. Reviewing the papers' findings, I discuss the scientific and real-world action challenges they pose. Recommendations include better conceptualization and measurement of socioeconomic position and race/ethnicity and also use of the health and human rights framework to further the public health mission of ensuring the conditions that enable people,including workers,to live healthy and dignified lives. Am. J. Ind. Med. 53:104,115 2010. © 2009 Wiley-Liss, Inc. [source] Nested case-control analysis of high pesticide exposure events from the Agricultural Health StudyAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 6 2001Michael C. R. Alavanja Abstract Background A nested case-control analysis of high pesticide exposure events (HPEEs) was conducted using the Iowa farmers enrolled in the Agricultural Health Study (AHS). Methods In the 12 months of the study, 36 of the 5,970 farmer applicators randomly chosen from the AHS cohort (six per 1,000 farmer applicators per year) met our definition of an HPEE, by reporting "an incident with fertilizers, weed killers, or other pesticides that caused an unusually high personal exposure" resulting in physical symptoms or a visit to a health care provider or hospital. Eligibility criteria were met by 25 HPEE cases and 603 randomly selected controls. Results Significant risk factors for an HPEE included: poor financial condition of the farm which limited the purchase of rollover protective structures OR,=,4.6 (1.5,16.6), and having a high score on a risk acceptance scale OR,=,3.8 (1.4,11.2). Other non-significant factors were also identified. Conclusions The limited statistical power of this study necessitates replication of these analyses with a larger sample. Nonetheless, the observed elevated odds ratios of an HPEE provide hypotheses for future studies that may lead to preventive action. Am. J. Ind. Med. 39:557,563, 2001. © 2001 Wiley-Liss, Inc. [source] End-to-end availability considerations for services over IMSBELL LABS TECHNICAL JOURNAL, Issue 3 2006Abhaya Asthana Lucent IP Multimedia Subsystem (IMS) architecture provides an open framework for multimedia applications that support blended text, voice, and video services. Providing objectives for service downtime and failure rates, which reflect the end customer perspective, can be used to drive corrective and preventive action that better satisfy end customer expectations. However, the frameworks and techniques to do this on an end-to-end basis for network solutions of the complexity and size of IMS are not well established. In this paper we address the questions of specifying, estimating, and verifying the end-to-end availability for services over IMS. The purpose of this paper is to present a framework for establishing availability requirements and service failure rate metrics, and for performing "end-to-end" service downtime analysis. The framework can be used to guide network design and evaluate end-to-end performance in the field. © 2006 Lucent Technologies Inc. [source] The antioxidative function, preventive action on disease and utilization of proanthocyanidinsBIOFACTORS, Issue 1-4 2004Toshiaki Ariga Abstract Proanthocyanidins, which belong to a class of polyphenols, are widely distributed throughout the plant kingdom. Most people ingest trace amounts of proanthocyanidins through foods such as red wine and cranberry juice. However, the functional properties of proanthocyanidins have been little understood. Since 1983, we have studied the antioxidative functions, preventive actions on diseases and utilization of proanthocyanidins. The antioxidative activities of proanthocyanidins were found to be much stronger than vitamin C or vitamin E in aqueous systems. The mechanisms for their antioxidative actions were shown to involve radical scavenging, quenching, and enzyme-inhibiting actions. The preventive actions of proanthcyanidins on diseases relating to reactive oxygen species was examined using animal tests. Proanthocyanidin-rich grape seed extract was showed to have preventive actions on diseases such as atherosclerosis, gastric ulcer, large bowel cancer, cataracts and diabetes. In human intervention trials, grape seed extract was shown to have preventive effects on the increase in lipid peroxides in human plasma after exercise and on muscle fatigue after training. The uses and manufacturing techniques of proanthocyanidin products were subsequently developed. The products were launched as antioxidants in food additives, ingredients in nutritional supplements, and cosmetics. [source] Should we beware of the Precautionary Principle?ECONOMIC POLICY, Issue 33 2001Christian Gollier How should society deal with risks when there is scientific uncertainty about the size of these risks? There has been much recent discussion of the Precautionary Principle, which states that lack of full scientific knowledge should not be used as a reason to postpone cost,effective preventive measures. We show in this paper that the Precautionary Principle contradicts one important intuition about the right way to act in the face of risk, namely the principle of ,looking before you leap'. When we expect to learn more about the future, the effectiveness of our preventive measures will be greater if we learn before we act. However, a number of other ways of taking uncertainty into account are consistent with a reasonable interpretation of the Precautionary Principle. First, postponing preventive measures may increase our vulnerability to damage, which induces a precautionary motive for risk,prevention, similar to the precautionary savings motive. Secondly, stronger preventive actions often yield more flexibility for the future, so that acting early has an option value. Thirdly, when better information comes from a process of learning,by,doing, the risk associated with early events is amplified by the information they yield about the future. This plays a role analogous to that of an increase in risk aversion, making us more cautious. Fourthly, because imperfect knowledge of the risk makes it difficult to insure, the social cost of risk should include a risk premium. Finally, uncertainty about the economic environment enjoyed by future generations should be taken into account. This raises the benefit of acting early to prevent long,term risks. If the Precautionary Principle sometimes gives good and sometimes gives bad advice, there is no escape from the need to undertake a careful cost,benefit analysis. We show that standard cost,benefit analysis can be refined to take account of scientific uncertainty, in ways that balance the Precautionary Principle against the benefits of waiting to learn before we act. Furthermore, it is important that they be used to do so, for instinct is an unreliable guide in such circumstances. Abandoning cost,benefit analysis in favour of simple maxims can result in some seriously misleading conclusions. [source] Primary prevention of eating disorders: characteristics of effective programmes and how to bring them to broader disseminationEUROPEAN EATING DISORDERS REVIEW, Issue 3 2008Uwe Berger Abstract Objective Based upon the observation of advances in the primary prevention of eating disorders (ED), it is summarized that school-based programmes, focusing on risk factors for females with interactive elements, dissonance induction and booster sessions yield significant effects even under strong methodological conditions. However, beyond the presented research findings it remains often unclear, if and how programmes can be brought to a broader dissemination within a community, region or country. Method Introducing the programme PriMa (German school-based programme for the primary prevention of anorexia nervosa (AN) for girls up to the age of 12), we describe the process of programme evaluation (including 1.006 girls from 42 schools in Thuringia, Germany, who participated in a controlled study using a pre-post-design and a 3 months follow-up), programme implementation and development of follow-up programmes, including an intervention for boys and flanking secondary preventive actions (such as a telephone hotline). Results Using standardized measures, the girls in the intervention group of PriMa reported significant improvements in body self esteem, figure dissatisfaction, knowledge and eating attitudes. The teachers, who conducted the programme, felt well qualified and were evaluated significantly positive by their students. Based upon the PriMa evaluation, we established a comprehensive health promotion programme at 60 Thuringian schools within the last 3 years, which could function as a model of a fruitful cooperation between a governmental institution (Thuringian Ministry of Culture) and a research institution (University Hospital Jena). Conclusions Existing programmes have the potential for effective prevention of ED. To confirm these effects under ,real world conditions' within a given community will still be a great challenge that often requires methodological and organizational concessions and compromises. Copyright © 2008 John Wiley & Sons, Ltd and Eating Disorders Association. [source] Epidemiological aspects of oral and pharyngeal cancers in the Basque CountryJOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 9 2001M. Isabel Izarzugaza Abstract: Oral and pharyngeal cancer is an entity constituted by a group of tumours that arise in several heterogeneous anatomical sites, and for this reason it is difficult to establish comparisons. The aim of the study was to describe the characteristics of oropharyngeal cancer in the Basque Autonomous Community (BAC), to learn the incidence rate and to establish comparisons. Data of cases are from the Basque Country Cancer Registry for the period 1986,1994, and the methodology used is descriptive. We included 2548 cases, and the sex ratio was 7.4:1. Diagnosis was made by histology in most cases (99%). The crude incidence rate was 24.1/100,000 population for men and 3.1/100,000 for women. Higher incidence rates were found in the tongue (6.6), lip (5.8) and oropharynx (4.9). No variation was found in the incidence during the period. In comparison with other Spanish registries, there is a high incidence in men of cancer in the oral cavity. The results obtained show the characteristics of oral and pharyngeal cancer in the BAC and its magnitude, highlighting the importance of future preventive actions. [source] The management lessons learned from sediment remediation in the Detroit River , western Lake Erie watershedLAKES & RESERVOIRS: RESEARCH AND MANAGEMENT, Issue 3-4 2004John H. Hartig Abstract During the 1970s,1990s, considerable emphasis was placed on minimizing the inputs of polychlorinated biphenyls (PCBs) from active sources. In addition, between 1993 and 2001, , $US130 × 106 was spent for sediment remediation within the western Lake Erie , Detroit River basin. In general, although PCB contamination of the Detroit River and Lake Erie declined significantly between the 1970s and mid-1990s, it has remained fairly stable over the past 10 years. Control of PCBs and other contaminants at their source remains a primary imperative for action. Remediation of contaminated sediments is growing in importance, however, as greater levels of source control are achieved. From a sediment management perspective, it is estimated that between 1993 and 2001 a substantially higher mass of PCBs (over two orders of magnitude higher) was removed as a result of contaminated sediment remediation, as compared to navigational dredging of shipping channels. In addition, there is a strong and compelling rationale for moving expeditiously to remediate severely contaminated sediment while it is still relatively contained in a small geographical area. The cost of not acting in a timely manner might be to exacerbate environmental problems including increased deformities and reproductive problems in wildlife, delayed ecosystem recovery and increased costs, or even preclusion of future sediment remediation. Based on discussions at a United States of America,Canada workshop held in 2002, key management advice includes continued emphasis to be placed on remediating contaminated sediment hot spots (including evaluating the effectiveness of projects), integrated monitoring efforts to be focused on beneficial use restoration and a high priority to be placed on sustaining and building upon modelling efforts, in order to be able to accurately predict and evaluate ecosystem responses to remedial and preventive actions. [source] Pharmacological doses of dietary curcumin increase colon epithelial cell proliferation in vivo in ratsPHYTOTHERAPY RESEARCH, Issue 10 2007Sylvia Jeewon Kim Abstract Although curcumin has preventive actions in animal models of colon cancer, whether the mechanism of action is through anti-proliferation in normal environment is not clearly understood. Here, we studied the effects of chemopreventive doses of curcumin on the proliferation rate of colon epithelial cells (CEC), using a recently developed stable isotope , mass spectrometric method for measuring DNA synthesis rate. Adult male F344 rats were given diets containing 0, 2 and 4% curcumin for 5 weeks. 4% 2H2O was given in drinking water to label DNA, after a priming bolus, for 4 days prior to sacrifice. The isotopic enrichment of the deoxyribose moiety of deoxyadenosine from DNA was measured by gas chromatography , mass spectrometry. Cell cycle analysis was performed after propidium iodide staining of CECs. Curcumin administration did not reduce but instead resulted in dose-dependent increases in CEC proliferation rate (p < 0.05) for 2% and 4% curcumin vs 0%). The length of the colon crypts and the fraction of cells in S-phase were also increased in the 2% and 4% curcumin groups (p < 0.05). Thus, pharmacological doses of curcumin increase CEC proliferation rate and pool size in normal rats. Reduction of CEC proliferation therefore cannot explain the proposed chemopreventive actions of curcumin in colon cancer. Copyright © 2007 John Wiley & Sons, Ltd. [source] Predictors of Perceived Susceptibility to Sport-Related Injury among Competitive Runners: The Role of Previous Experience, Neuroticism, and Passion for RunningAPPLIED PSYCHOLOGY, Issue 4 2009Yannick Stephan Whether individuals take steps to protect themselves against sport-related injury may depend on their perceived susceptibility to injury (Williams-Avery & MacKinnon, 1996). However, little is known about the determinants of perceived susceptibility to sport-related injury. The purpose of the present study is to identify the relations of previous experiences with injury, neuroticism, and passion with perceived susceptibility to sport-related injury among competitive runners. One hundred and seventy competitive runners reported the number of injuries sustained during the last year and completed the neuroticism scale of the NEO-PIR and the Passion Scale. Separate regression analysis revealed that previous experiences with injury, neuroticism, and obsessive passion were significant positive predictors of perceived susceptibility, whereas harmonious passion was significantly and negatively related to perceived susceptibility. When considered simultaneously, previous experiences, neuroticism, and obsessive passion explained unique variance in perceived susceptibility to sport-related injury. This study revealed that perceived susceptibility to sport-related injury is dependent on several distinct variables. Thus, to be effective, injury preventive actions aimed at runners' behaviour modification need to take into account that runners' perceived susceptibility to sport has multiple predictors. L'adoption par les individus de comportements de prévention de la blessure en sport est liée à leur vulnérabilité perçue à celle-ci (Williams-Avery & MacKinnon, 1996). Cependant, aucune étude ne s'est intéressée aux déterminants de cette dimension dans le contexte sportif. L'objectif de cette étude était d'identifier les relations entre les expériences passées avec une ou plusieurs blessures, le névrosisme, et la passion pour l'activité et la vulnérabilité perçue à la blessure chez des coureurs à pied. 170 coureurs compétitifs ont reporté le nombre de blessures contractées lors de la saison précédente, et ont répondu à l'échelle de névrosisme du NEO-PIR, et à l'échelle de passion en sport. Des analyses de régression séparées révèlent une contribution positive des expériences passées avec la blessure, du névrosisme, et de la passion obsessionnelle sur la vulnérabilité perçue, alors que la passion harmonieuse contribue négativement à cette dimension. Une analyse de régression multiple intégrant l'ensemble des prédicteurs révèle un lien significatif et positif entre les expériences passées, le névrosisme, la passion obsessionnelle et la vulnérabilité perçue à la blessure. Cette étude confirme que la perception de vulnérabilité est dépendante de dimensions variées et distinctes. Les actions de prévention de la blessure axées sur les changements de perception de vulnérabilitéà la blessure à des fins de modification des comportements doivent prendre en considération les prédicteurs de cette dimension afin d'être efficaces. [source] The antioxidative function, preventive action on disease and utilization of proanthocyanidinsBIOFACTORS, Issue 1-4 2004Toshiaki Ariga Abstract Proanthocyanidins, which belong to a class of polyphenols, are widely distributed throughout the plant kingdom. Most people ingest trace amounts of proanthocyanidins through foods such as red wine and cranberry juice. However, the functional properties of proanthocyanidins have been little understood. Since 1983, we have studied the antioxidative functions, preventive actions on diseases and utilization of proanthocyanidins. The antioxidative activities of proanthocyanidins were found to be much stronger than vitamin C or vitamin E in aqueous systems. The mechanisms for their antioxidative actions were shown to involve radical scavenging, quenching, and enzyme-inhibiting actions. The preventive actions of proanthcyanidins on diseases relating to reactive oxygen species was examined using animal tests. Proanthocyanidin-rich grape seed extract was showed to have preventive actions on diseases such as atherosclerosis, gastric ulcer, large bowel cancer, cataracts and diabetes. In human intervention trials, grape seed extract was shown to have preventive effects on the increase in lipid peroxides in human plasma after exercise and on muscle fatigue after training. The uses and manufacturing techniques of proanthocyanidin products were subsequently developed. The products were launched as antioxidants in food additives, ingredients in nutritional supplements, and cosmetics. [source] HUVECs from newborns with a strong family history of myocardial infarction overexpress adhesion molecules and react abnormally to stimulating agentsCLINICAL & EXPERIMENTAL IMMUNOLOGY, Issue 3 2005A. Paez Summary Atherosclerosis is a complex disease involved in major fatal events such as myocardial infarction and stroke. It is the result of interactions between metabolic, dietetic and environmental risk factors acting on a genetic background that could result in endothelial susceptibility. Our aim was to determine the patterns of expression of adhesion molecules and whether phosphatidylserine is translocated to the cell surface of human umbilical vein endothelial cells (HUVECs) isolated from healthy newborns born to parents with a strong family history of myocardial infarction under TNF-, or oxLDL stimulated conditions. Compared to control HUVECs, experimental cords showed: (a) a four-fold increase in VCAM-1 expression under basal conditions, which showed no change after stimulation with the pro-atherogenic factors; (b) a two-fold increase in basal P-selectin expression that reached a 10-fold increase with any of the pro-atherogenic factors; (c) a basal ICAM-1 expression similar to P-selectin that was not modified by the pro-atherogenic molecules; (d) a similar PECAM-1 expression. Unexpectedly, phospathidylserine expression in experimental cord HUVECs was significantly increased (211 817 versus 3354 TFU) but was not associated to apoptotic death as the percentage of dead cells induced by TNF-, treatment was very low (0·55 versus 9·87% in control HUVECs). The latter result was corroborated by TUNEL staining. T cell adherence to HUVECs was highly up-regulated in the genetically predisposed samples. The analysis of nonpooled HUVECs, from newborns to family predisposed myocardial-infarction individuals, might represent a useful strategy to identify phenotypical and functional alterations, and hopefully, to take early preventive actions. [source] | |||||||||||||