Work and health in early arthritis

Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic inflammation of the joints, which may result in joint damage. Any joint may be affected, but most commonly small joints in the hands and feet, wrists, elbows, and knees are involved. The onset of RA increases with age, and ri

The relationship between strategic human resource management practices and the employment of vulnerable workers:A two-wave study among employers

PurposeTo improve the inclusion of vulnerable workers in the labor market, employer behavior is key. However, little is known about the effectiveness of strategic Human Resource Management (HRM) practices that employers use to employ vulnerable workers. Therefore, this exploratory study investigates the association between strategic HRM practices (based on social legitimacy, economic rationality and employee well-being) and the actual and intended employment of vulnerable workers in the future. MethodsIn total, 438 organizations included in the Netherlands Employers Work Survey participated in a two-wave study with a nine-month follow-up period. Logistic regression models were used to estimate the relationship between strategic HRM practices (T0) with the employment of vulnerable workers (T1) and intentions to hire vulnerable workers (T1), while controlling for organizational size, sector, and employment of vulnerable workers at baseline.ResultsEmployers who applied strategic HRM practices based on social legitimacy (e.g., inclusive mission statement or inclusive recruitment) or economic rationality (e.g., making use of reimbursements, trial placements, or subsidies) at T0 were more likely to employ vulnerable workers and to intend to hire additional vulnerable workers at T1. No significant results were found for practices related to employee well-being. ConclusionSince different types of strategic HRM practices contribute to the inclusion of vulnerable workers, employers can build on their strategic priorities and strengths to create inclusive HRM approaches. Future research is needed to study whether these strategic HRM domains also relate to sustainable employment of vulnerable workers.</p

Методы минимизации энергопотребления при проектировании КМОП БИС

Представлены основные методы, позволяющие уменьшить величину рассеиваемой мощности на этапах проектирования КМОП БИС. Приведена классификация источников рассеиваемой мощности

Health and prolonging working lives: an advisory report of the Health Council of The Netherlands

Objective This paper summarizes the main findings and recommendations of an advisory report on health and prolonging working life, which was requested by the Dutch Minister of Social Affairs and Employment. Methods The advisory report was compiled by a multidisciplinary committee of ten scientists appointed by the Health Council of The Netherlands. The committee's aims were to (i) describe the health of the ageing population, (ii) describe how prolonging working life influences health, (iii) describe determinants, besides health, for prolonging working lives, and (iv) review the literature on interventions aimed at retaining or improving employability of older workers. Results The report was presented to the Minister on 26 June 2018. As the likelihood of health problems increases with age, prolonging working life may be difficult. In general, life expectancy increases and gains in life years and health seem mainly attributable to people aged >75 years. Work is good for mental health. However, it may be beneficial for mental health to stop working around the retirement age. Besides health, financial factors, lifestyle, motivation to work, and working conditions play a role in prolonging working life. A systematic review of the evidence indicated that interventions such as worksite health promotion or career development workshops can support older workers in this matter. Conclusions The Health Council advised the Dutch Government to focus on worksite health promotion and career development interventions as well as the improvement of their implementation. This requires a tailored approach as there is a large diversity in health among older workers and particularly between low- and higheducated people. With this in mind, it was further recommended to explore whether flexible pension schemes might better suit this diversit

История развития физической культуры и спорта на Урале в дореволюционный период

На сегодняшний день становится чрезвычайно актуальным рассмотрение феномена физической культуры и спорта сквозь призму принципа историзма. Существует еще много неизвестного в истории физической культуры, что требует переоценки событий, фактов с позиции современност

Work and health in early arthritis [werk en gerzondheid bij vroege inflammatoire gewrichtsklachten]

Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic inflammation of the joints, which may result in joint damage. Any joint may be affected, but most commonly small joints in the hands and feet, wrists, elbows, and knees are involved. The onset of RA increases with age, and rises substantially from the ages of 40 to 50 years onwards. The prevalence is about 1% in the Western world, and women are two to three times more likely to be affected than men1. Important consequences of RA are pain and disability. Disability may range from limitations in executing a simple task to restrictions in societal roles, including participation in paid employment

Predictors of working beyond retirement in older workers with and without a chronic disease: Results from data linkage of Dutch questionnaire and registry data

Contains fulltext : 192027.pdf (publisher's version ) (Open Access)Background: An increasing number of retirees continue to work beyond retirement despite being eligible to retire. As the prevalence of chronic disease increases with age, working beyond retirement may go along with having a chronic disease. Working beyond retirement may be different for retirees with and without chronic disease. We aim to investigate whether demographic, socioeconomic and work characteristics, health and social factors predict working beyond retirement, in workers with and without a chronic disease. Methods: Employees aged 56–64 years were selected from the Study on Transitions in Employment, Ability and Motivation (N = 1125). Questionnaire data on demographic and work characteristics, health, social factors, and working beyond retirement were linked to registry data from Statistics Netherlands on socioeconomic characteristics. Separate prediction models were built for retirees with and without chronic disease using multivariate logistic regression analyses. Results: Workers without chronic disease were more likely to work beyond retirement compared to workers with chronic disease (27% vs 23%). In retirees with chronic disease, work and health factors predicted working beyond retirement, while in retirees without a chronic disease, work, health and social factors predicted working beyond retirement. In the final model for workers with chronic disease, healthcare work, better physical health, higher body height, lower physical load and no permanent contract were positively predictive of working beyond retirement. In the final model for workers without chronic disease, feeling full of life and being intensively physically active for > = 2 days per week were positively predictive of working beyond retirement; while manual labor, better recovery, and a partner who did not support working until the statutory retirement age, were negatively predictive of working beyond retirement. Conclusions: Work and health factors independently predicted working beyond retirement in workers with and without chronic disease, whereas social factors only did so among workers without chronic disease. Demographic and socioeconomic characteristics did not independently contribute to prediction of working beyond retirement in any group. As prediction of working beyond retirement was more difficult among workers with a chronic disease, future research is needed in this group.12 p

Clear associations between demographic and psychosocial factors and health-related quality of life in patients with early inflammatory joint complaints.

Contains fulltext : 69587.pdf (publisher's version ) (Closed access)OBJECTIVE: Objective. To identify demographic and psychosocial characteristics associated with health-related quality of life (HRQOL) in patients with early inflammatory joint complaints. METHODS: In this cross-sectional study, patients had inflammatory joint complaints for less than 12 months. Data were collected on clinical characteristics, demographics, lifestyle, behavioral coping, perceived health control, and social support. HRQOL was assessed by 8 dimensions of the Medical Outcome Study Short Form-36 Health Survey. Multiple regression analysis was used to determine the associations between clinical, demographic, lifestyle, and psychosocial characteristics with HRQOL. RESULTS: In total, 359 patients were included, of which 24% were classified as RA, 34% as mono- or oligo-poly arthritis, and 42% as inflammatory joint complaints without clinical synovitis. Among all patients, the health dimensions physical function, physical role functioning, and bodily pain were most affected. The diagnostic group, erythrocyte sedimentation rate, disease duration, and comorbidity explained 4%-9% of the variance in HRQOL dimensions, whereas the combined demographic and psychosocial characteristics explained an additional 21%-29% of HRQOL. HRQOL was negatively associated with younger age, lower education, non-Dutch origin, passive behavioral coping with pain, lower perceived health control, and low social support. Passive behavioral coping with pain had the strongest association with HRQOL. CONCLUSION: In patients with early inflammatory joint complaints, HRQOL was associated more strongly with personal characteristics than with clinical characteristics. From the time of onset of complaints onwards, physicians should take psychosocial factors and demographics into account to obtain an optimal disease outcome

Night work and breast cancer risk in a general population prospective cohort study in the Netherlands

Experimental studies in animals indicate that disruption of the circadian rhythm is carcinogenic, and night work has been suggested to be a probable breast cancer cause in humans. Findings among humans, however are inconsistent, often gathered with retrospective study designs, and only based on specific populations, such as nurses. We used data on night work collected in the Dutch Labor Force Surveys of 1996 until 2009, and individually linked these with National registers on hospital admission. Among 285,723 women without breast cancer at baseline, 2,531 had a hospital admission for breast cancer during an average of 7 years of follow up in the registers. Occasional and regular night work were not associated with the risk of hospital admission for breast cancer (adjusted hazard ratios 1.04; 95 % confidence interval 0.85-1.27, and 0.87; 0.72-1.05, respectively). Working more hours per week, or more years in a job entailing night work did not show increased breast cancer risks. Hazard ratios neither differed between nurses and women with other occupations. Our results show no association of night work with incident breast cancer, and suggest that night work generally does not increase the risk of breast cancer among women in the Dutch working population