Does Aerobic Exercise Increase 24-Hour Ambulatory Blood Pressure Among Workers With High Occupational Physical Activity?-A RCT.

ObjectiveHigh occupational physical activity (OPA) increases cardiovascular risk and aerobic exercise has been recommended for reducing this risk. This paper investigates the effects of an aerobic exercise intervention on 24-hour ambulatory blood pressure (ABP) among cleaners with high OPA.MethodsHundred and sixteen cleaners between 18 and 65 years were randomized. During the 4-month intervention period, the aerobic exercise group (AE) (n = 57) performed worksite aerobic exercise (2 × 30 minutes/week), while the reference group (REF) (n = 59) attended lectures. Between-group differences in 4-month ABP changes were evaluated by intention-to-treat analysis using a repeated-measure 2 × 2 multiadjusted mixed-models design.ResultsRelative to REF, 24-hour ABP significantly increased in AE: systolic 3.6 mm Hg (95% confidence interval (CI) 1.6-5.7) and diastolic 2.3 mm Hg (95% CI 0.9-3.8). Cleaners with high aerobic workload exhibited particularly high 24-hour ABP increases: systolic 6.0 mm Hg (95% CI 2.4-9.6), and diastolic 3.8 mm Hg (95% CI 1.3-6.4).ConclusionAerobic exercise increased 24-hour ABP among cleaners. This adverse effect raises questions about the safety and intended benefits of aerobic exercise, especially among workers with high OPA and a demanding aerobic workload. http://www.controlled-trials.com/ISRCTN86682076. Unique identifier ISRCTN86682076.Clinical trial registrationTrial Number ISRCTN86682076

Environmental management as situated practice

We propose an analysis of environmental management (EM) as work and as practical activity. This approach enables empirical studies of the diverse ways in which professionals, scientists, NGO staffers, and activists achieve the partial manageability of specific “environments”. In this introduction, we sketch the debates in Human Geography, Management Studies, Science and Technology Studies to which this special issue contributes. We identify the limits of understanding EM though the framework of ecological modernization, and show how political ecology and work- place studies provide important departures towards a more critical approach. Developing these further, into a cosmopolitical direction, we propose studying EM as sets of socially and materially situated practices. This enables a shift away from established approaches which treat EM either as a toolbox whose efficiency has to be assessed, or as simply the implementation of dominant projects and the materialisation of hegemonic discourse. Such a shift renders EM as always messy practices of engagement, critique and improvisation. We conclude that studying the distributed and situated managing agencies, actors and their practices allows to imagine new forms of critical interventions

The Integrated Polarization of Spiral Galaxy Disks

We present integrated polarization properties of nearby spiral galaxies at 4.8 GHz, and models for the integrated polarization of spiral galaxy disks as a function of inclination. Spiral galaxies in our sample have observed integrated fractional polarization in the range < 1% to 17.6%. At inclinations less than 50 degrees, the fractional polarization depends mostly on the ratio of random to regular magnetic field strength. At higher inclinations, Faraday depolarization associated with the regular magnetic field becomes more important. The observed degree of polarization is lower (<4%) for more luminous galaxies, in particular those with L_{4.8} > 2 x 10^{21} W/Hz. The polarization angle of the integrated emission is aligned with the apparent minor axis of the disk for galaxies without a bar. In our axially symmetric models, the polarization angle of the integrated emission is independent of wavelength. Simulated distributions of fractional polarization for randomly oriented spiral galaxies at 4.8 GHz and 1.4 GHz are presented. We conclude that polarization measurements, e.g. with the SKA, of unresolved spiral galaxies allow statistical studies of the magnetic field in disk galaxies using large samples in the local universe and at high redshift. As these galaxies behave as idealized background sources without internal Faraday rotation, they can be used to detect large-scale magnetic fields in the intergalactic medium.Comment: 13 pages, 6 figures; Accepted for publication in The Astrophysical Journa

Blood Pressure Changes After a Health Promotion Program Among Mexican Workers

Background: Cardiovascular disease is becoming increasingly prevalent in low and middle-income countries (LMIC), and high blood pressure (BP) is one of the main risk factors. The efficacy and sustainability of worksite health promotion (WHP) programs for BP reduction in LMIC have yet to be determined.Methods: This non-randomized company-based trial evaluated 6- and 12-months effects of a WHP intervention on BP among 2,002 participating workers from seven Mexican companies. Intervention and control groups were assigned at the company level. The intervention included nutrition counseling, physical exercise, and stress management components. Mixed models assessed differences in BP change between intervention and control companies in intent-to-treat (ITT), per-protocol (PerP), and as-treated (AsTr) analyses, and also within-group changes stratified by company, intervention component, and baseline cardiovascular risk factor levels. All analyses were adjusted for potential confounders. We accounted for missing data and loss to follow-up using inverse probability of censoring weighting.Results: ITT analyses revealed mean BP change differences of −1.1 mmHg at 12 months (95% CI: −2.9; 0.6) in intervention companies relative to control companies. PerP and AsTr analyses confirmed this finding. Within-group analyses showed consistent BP reductions at both 6 and 12 months. Substantial differences in BP changes ranging from diastolic −6.1 mmHg, (95% CI: −11.2; −1.2) to systolic −13.0 mmHg (95% CI: −16.0; −10.1) were found among individuals with diabetes at baseline in intervention companies relative to control companies.Conclusion: After 1 year, WHP was associated with modest but uncertain BP reductions. Substantial reductions were mainly observed among diabetic workers

Associations between occupational relative aerobic workload and resting blood pressure among different age groups:A cross-sectional analysis in the DPhacto study

Objective: High levels of occupational physical activity (OPA) increase heart rate, blood pressure (BP) and the risk of hypertension. Older workers may be more vulnerable to high levels of OPA due to age-related degeneration of the cardiovascular system and cardiorespiratory fitness. This study investigates the association of relative aerobic workload (RAW) with resting BP and examines if this relation is moderated by age. Design: Cross-sectional epidemiological study. Setting: Data were collected among employees of 15 Danish companies in the cleaning, manufacturing and transport sectors. Participants: 2107 employees were invited for participation, of these 1087 accepted and 562 (42% female and 4% non-Westerns) were included in the analysis based on the criteria of being non-pregnant, no allergy to bandages, sufficient amount of heart rate data corresponding to >= 4 work hours per workday or 75% of average work hours, and no missing outcome and confounder values. Primary and secondary outcome measures: The primary outcome measure was BP. Results: Heart rate reserve was estimated from ambulatory 24-hour heart rate measures covering 2.5 workdays per participant (SD 1.0 day). Age significantly moderated the association between RAW and BP. Mean intensity and duration of high RAW (>= 30% heart rate reserve) showed positive associations with diastolic BP and negative associations with pulse pressure (PP) among participants >= 47 years old. Tendencies towards negative associations between RAW and BP were seen among participants <47 years old. Conclusions: Mean intensity and duration of RAW increased diastolic BP among participants >= 47 years old. Negative associations with PP may be due to healthy worker selection bias. Prevention of hypertension should consider reductions in RAW for ageing workers

The Radio Continuum-Star Formation Rate Relation in WSRT SINGS Galaxies

This is an author-created, un-copyedited version of an article accepted for published in The Astronomical Journal. IOP Publishing Ltd is not responsible for any errors or omissions in this version of the manuscript or any version derived from it. The Version of Record is available online at https://doi.org/10.1088/0004-6256/147/5/103.We present a study of the spatially resolved radio continuum–star formation rate (RC–SFR) relation using stateof-the-art star formation tracers in a sample of 17 THINGS galaxies. We use SFR surface density (ΣSFR) maps created by a linear combination of GALEX far-UV (FUV) and Spitzer 24μm maps. We use RC maps at λλ22 and 18 cm from the WSRT SINGS survey and Hα emission maps to correct for thermal RC emission. We compare azimuthally averaged radial profiles of the RC and FUV/mid-IR (MIR) based ΣSFR maps and study pixel-by-pixel correlations at fixed linear scales of 1.2 and 0.7 kpc. The ratio of the integrated SFRs from the RC emission to that of the FUV/MIR-based SF tracers is Rint = 0.78 ± 0.38, consistent with the relation by Condon. We find a tight correlation between the radial profiles of the radio and FUV/MIR-based ΣSFR for the entire extent of the disk. The ratio R of the azimuthally averaged radio to FUV/MIR-based ΣSFR agrees with the integrated ratio and has only quasi-random fluctuations with galactocentric radius that are relatively small (25%). Pixel-by-pixel plots show a tight correlation in log-log diagrams of radio to FUV/MIR-based ΣSFR, with a typical standard deviation of a factor of two. Averaged over our sample we find (ΣSFR)RC ∝ (ΣSFR) 0.63±0.25 hyb , implying that data points with high ΣSFR are relatively radio dim, whereas the reverse is true for low ΣSFR. We interpret this as a result of spectral aging of cosmic-ray electrons (CREs), which are diffusing away from the star formation sites where they are injected into the interstellar medium. This is supported by our finding that the radio spectral index is a second parameter in pixel-by-pixel plots: those data points dominated by young CREs are relatively radio dim, while those dominated by old CREs are slightly more RC bright than what would be expected from a linear extrapolation. We studied the ratio R of radio to FUV/MIR-based integrated SFR as a function of global galaxy parameters and found no clear correlation. This suggests that we can use RC emission as a universal star formation tracer for galaxies with a similar degree of accuracy as other tracers, if we restrict ourselves to global or azimuthally averaged measurements. We can reconcile our finding of an almost linear RC–SFR relation and sub-linear resolved (on 1 kpc scale) RC–ΣSFR relation by proposing a non-linear magnetic field–SFR relation, B ∝ SFR0.30±0.02 hyb , which holds both globally and locally.Peer reviewe

Return-to-Work Self-Efficacy:Development and Validation of a Scale in Claimants with Musculoskeletal Disorders

Introduction We report on the development and validation of a 10-item scale assessing self-efficacy within the return-to-work context, the Return-to-Work Self-Efficacy (RTWSE) scale. Methods Lost-time claimants completed a telephone survey 1 month (n = 632) and 6 months (n = 446) after a work-related musculoskeletal injury. Exploratory (Varimax and Promax rotation) and confirmatory factor analyses of self-efficacy items were conducted with two separate subsamples at both time points. Construct validity was examined by comparing scale measurements and theoretically derived constructs, and the phase specificity of RTWSE was studied by examining changes in strength of relationships between the RTWSE Subscales and the other constructs at both time measures. Results Factor analyses supported three underlying factors: (1) Obtaining help from supervisor, (2) Coping with pain (3) Obtaining help from co-workers. Internal consistency (alpha) for the three subscales ranged from 0.66 to 0.93. The total variance explained was 68% at 1-month follow-up and 76% at 6-month follow-up. Confirmatory factor analyses had satisfactory fit indices to confirm the initial model. With regard to construct validity: relationships of RTWSE with depressive symptoms, fear-avoidance, pain, and general health, were generally in the hypothesized direction. However, the hypothesis that less advanced stages of change on the Readiness for RTW scale would be associated with lower RTWSE could not be completely confirmed: on all RTWSE subscales, RTWSE decreased significantly for a subset of participants who started working again. Moreover, only Pain RTWSE was significantly associated with RTW status and duration of work disability. With regard to the phase specificity, the strength of association between RTWSE and other constructs was stronger at 6 months post-injury compared to 1 month post-injury. Conclusions A final 10-item version of the RTWSE has adequate internal consistency and validity to assess the confidence of injured workers to obtain help from supervisor and co-workers and to cope with pain. With regard to phase specificity, stronger associations between RTWSE and other constructs at 6-month follow-up suggest that the association between these psychological constructs consolidates over time after the disruptive event of the injury

Measuring interstellar magnetic fields by radio synchrotron emission

Radio synchrotron emission, its polarization and its Faraday rotation are powerful tools to study the strength and structure of interstellar magnetic fields. The total intensity traces the strength and distribution of total magnetic fields. Total fields in gas-rich spiral arms and bars of nearby galaxies have strengths of 20-30 $\mu$Gauss, due to the amplification of turbulent fields, and are dynamically important. In the Milky Way, the total field strength is about 6 $\mu$G near the Sun and several 100 $\mu$G in filaments near the Galactic Center. -- The polarized intensity measures ordered fields with a preferred orientation, which can be regular or anisotropic fields. Ordered fields with spiral structure exist in grand-design, barred, flocculent and even in irregular galaxies. The strongest ordered fields are found in interarm regions, sometimes forming "magnetic spiral arms" between the optical arms. Halo fields are X-shaped, probably due to outflows. -- The Faraday rotation of the polarization vectors traces coherent regular fields which have a preferred direction. In some galaxies Faraday rotation reveals large-scale patterns which are signatures of dynamo fields. However, in most galaxies the field has a complicated structure and interacts with local gas flows. In the Milky Way, diffuse polarized radio emission and Faraday rotation of the polarized emission from pulsars and background sources show many small-scale and large-scale magnetic features, but the overall field structure in our Galaxy is still under debate.Comment: 10 pages, 5 figures. To be published in "Cosmic Magnetic Fields: From Planets, to Stars and Galaxies", K.G. Strassmeier, A.G. Kosovichev & J.E. Beckman, eds., Proc. IAU Symp. 259, CU