| 31. |
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| 32. |
- Nakata, Minori, et al.
(författare)
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Evaluation of workload in ambulance personnel - A preliminary study
- 2002
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Ingår i: Humans in a Complex Environment. - 9173734438
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Konferensbidrag (refereegranskat)abstract
- Musculotendinous tenderness was evaluated in ambulance personnel, and their working load was studied by means of biomechanical analysis of the standard loading and unloading the `stretcher+patient' in and from the vehicle. Swedish and Japanese subjects were tested. The medical examination demonstrated increased tenderness of selected muscles active in work related movement tasks, as well as in spinous processes in both populations. However, a number ofparticular tests suggested higher Ievel of tenderness in the Swedish, as compared with the Japanese personnel. Biomechanical analysis of working tasks demonstrated similar forces, but higher LS-SI, hip and shoulder torques acting in Swedish personnel. This difference appears to be caused by the differences in stretcher construction. Specifically, the Swedish stretcher requires separate lifting of each stretcher side starting from a squat body position, while the Japanese system requires only pushing the stretcher in and pulling it out from the vehicle. We conclude that differences in working technique imposed by available working equipment could contribute to the observed differences in muscle tenderness especially around the shoulders between the two tested populations. However, further studies are needed to elaborate working load and muscle activity while performing standard tasks of ambulance personnel, as well as to explore other possible causes of increased musculotendinous tenderness. Keywords: Ambulance, Muculoskeletal disorders, Muscle tenderness, Spinous process, Biomechanical analyses
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| 33. |
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| 34. |
- Söderfjell, Stefan, 1970-, et al.
(författare)
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Musculoskeletal pain complaints and performance on cognitive tasks over the adult life span
- 2006
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Ingår i: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 47:5, s. 349-359
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Tidskriftsartikel (refereegranskat)abstract
- The present study aimed at comparing participants with and without self reported musculoskeletal pain in a normal population with regard to performance on a range of tests for episodic memory, semantic memory, and other cognitive functions and to see if expected differences interacted with age. The results showed that participants with pain performed worse on a range of tasks as compared to participants without pain, and that these differences occurred regardless of age. The most robust effects of pain were displayed on tests for vocabulary and construction ability as these were the only effects that remained significant after controlling for years of education and reported depression in separate analyses. When depression and education were controlled for in the same analysis, even these effects were eliminated, suggesting interplay between pain, depressive status, and educational level in the negative effects on cognitive functioning.
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| 35. |
- Westerståhl, M, et al.
(författare)
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Low physical activity among adolescents in practical education.
- 2005
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Ingår i: Scandinavian Journal of Medicine and Science in Sports. - : Wiley. - 0905-7188 .- 1600-0838. ; 15:5, s. 287-297
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate physical activity levels and factors related to physical activity among 16-year old girls and boys in secondary school practical and theoretical programs. An additional aim was to identify factors contributing to differences in physical activity patterns between the educational programs. Sixteen-year old students in the first year of secondary school in Sweden (n = 585) were systematically selected and 93% agreed to complete a questionnaire. Compared with students in theoretical programs, those in practical programs spent less time and energy per day in physical activity. Girls in practical programs were the least physically active, and boys in theoretical programs the most physically active students. Statistical analysis showed that, among students in practical programs, the influence of educational program on physical activit y level was explained by lower socio-econornic level, less parental support, lower perceived health level, and negative attitudes towards outdoor physical activities. These data suggest that promotion of physical activity should focus on students, especially girls, in practical programs. Because the difference in physical activity levels between educational programs was partly an effect of less positive parental influence, school-based programs may be especially influential in increasing physical activity levels among secondary school students.
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| 36. |
- Wiitavaara, Birgitta, et al.
(författare)
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Experiences of illness, wellness and work environment of male ambulance personnel
- 2005
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Ingår i: Proceedings of the 37th Annual Conference of the Nordic Ergonomics Society. ; , s. 266-270
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Konferensbidrag (refereegranskat)abstract
- This study explored experiences of illness, wellness and work environment of male ambulance personnel with musculoskeletal symptoms. A Grounded theory approach was applied with interviews with ten ambulance men parallel to analysis. Illness was experienced as threefold, with experiences of getting too vulnerable/hardened and getting worn-out beside experiences of bodily illness. Wellness was closely connected to their identity as both individuals and ambulance workers. To create stability and make sense of their illness experiences, the men performed an inner reasoning about extenuating circumstances to make illness acceptable; they also consciously worked out a strategy for handling their problems.
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| 37. |
- Wiitavaara, Birgitta, et al.
(författare)
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Striking a balance - health experiences of male ambulance personnel with musculoskeletal symptoms : a grounded theory
- 2007
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Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 44:5, s. 770-779
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Tidskriftsartikel (refereegranskat)abstract
- Background: Musculoskeletal disorders (MSD) are a dominant cause to long-term sick leave and early retirement. Some occupational groups are more affected than others and ambulance personnel are among them. Despite a vast amount of research, only a small part focuses the experiences of the affected.Objectives: The aim of the study was to explore the experience of illness and wellness in ambulance personnel with musculoskeletal symptoms.Design: An emerging design was used in accordance with Grounded Theory.Participants: Informants in the study were ten men with musculoskeletal symptoms, working as ambulance personnel at an ambulance station located in a mid-sized city in Sweden.Methods: Narrative interviews were performed, parallel to a constant comparative analysis.Results: The study resulted in a model, which describes the experience of illness and wellness as characterised by an effort to strike a balance. Wellness through nurturing appeared parallel to encountering illness as an experience and a threat. Accepting and handling illness was of importance to maintaining wellness, and wellness through nurturing was the motivation for accepting and handling illness.Conclusions: Enhancing the understanding of wellness and illness makes it possible to avoid undermining the meaningfulness that support accepting and handling illness, and by understanding different aspects of illness prevention can become facilitated. This is of importance as other aspects than solely physical have shown to be similarly important in the development of MSD.
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| 38. |
- Wiitavaara, Birgitta, et al.
(författare)
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Striving for balance : a grounded theory study of health experiences of nurses with musculoskeletal problems
- 2007
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Ingår i: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; 44:8, s. 1379-1390
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Tidskriftsartikel (refereegranskat)abstract
- Background: Musculoskeletal disorders (MSD) are one of the major causes of the high levels of long-term sickleave and early retirement, and healthcare personnel are among the occupational groups most affected. Only limited research in the area has focused on the experiences of those affected, and to increase the understanding of MSD, all dimensions of the health experiences need to be taken into consideration.Objectives: The aim of this paper was to explore the experiences of illness and wellness among female healthcare personnel with musculoskeletal symptoms.Design: A qualitative grounded theory approach guided the study in data collection and analysis.Settings: Medical and surgical ward units at three hospitals; one university hospital and two minor hospitals.Participants: Eight women, registered nurses and nursing aides, with neck, shoulder and/or back problems in early stages.Methods: A grounded theory approach was used with narrative thematic interviews and parallel data analysis with constant comparisons.Results: The analysis revealed a process of striving to reach a balance between illness and wellness, through accepting and handling illness. Illness appeared as a threat and an experience, while experiences of wellness were simultaneously nurtured. The informants were striving for balance through an inner reasoning leading to acceptance and by handling illness in various ways depending on the character of the illness.Conclusion: This paper indicates the diversity of the illness experience, the parallel importance of wellness, and the process of balancing these two in order to feel well enough. As previous research has shown that MSD has a multifactorial cause, a holistic view of health promotion, prevention and rehabilitation may provide a more effective tool than the bodily physical focus most frequently used today.
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| 39. |
- Wiitavaara, Birgitta, et al.
(författare)
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When the body makes itself heard : the experience of bodily illness among people with neck-shoulder problems
- 2008
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 10:2, s. 85-94
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the experience of bodily illness among people with musculoskeletal disorders (MSDs) in the neck/shoulder region. The study had a grounded theory approach, with constant comparisons and simultaneous data collection and analysis. Initially, parts of interviews about health experiences related to MSDs previously performed among men and women with musculoskeletal symptoms in the neck/shoulder and/or back were analysed. Next, complementary semi-structured interviews among men and women with neck/shoulder problems were performed, focusing on the experience of bodily illness, until saturation was reached. The results describe the experiences of bodily illness among people with MSDs in the neck/shoulder region as being characterized by uncontrollable fluctuations. The experiences are presented as a model of the disease course as experienced by the affected. The process usually developed from a beginning with insidious symptoms to a state of constant discomfort. Along the line of this development, periods of intermittent events of increasing illness occurred with peaks of consuming intensity. A variety of different symptoms was present during the process, which are presented in this paper. An increased knowledge of the disease course can be useful in prevention and treatment as communication about the disorder can be more specific.
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