Thyroid hormones modulate the toxicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD).

These experiments examine the role of thyroxine (T4) and triiodothyronine (T3) on the toxicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). The first experiment is a continuation of a study reported previously (Rozman et al., 1984). In this experiment, 60 male Sprague-Dawley rats were divided into 6 equal groups. Four groups of rats were thyroidectomized by 3 mCi Na131 l/kg rat. Five weeks later 2 of the thyroidectomized and 1 of the nonthyroidectomized groups of rats received ip 100 μg TCDD/kg body weight in corn oil/acetone, whereas 3 corresponding groups of rats served as vehicle controls. Two days after dosing and every 7 d thereafter, 1 thyroidectomized control group and 1 thyroidectomized TCDD-dosed group were given ip 105 μg T4/kg body weight. Mortality and body weight were monitored. The course of TCDD toxicity was similar in nonthyroidectomized and thyroidectomized T4-treated rats but was different in thyroidectomized animals without T4 replacement therapy. At d 90 after TCDD dosage, mortality was still lower and the mean time to death was increased (p < 0.01) in this group of rats compared to nonthyroidectomized or thyroidectomized T4-treated rats. However, administration of T4 starting at d 91 after dosing with TCDD resulted within 2 wk in the same final mortality in thyroidectomized rats as in nonthyroidectomized or thyroidectomized T4-treated animals, indicating that thyroid hormones modulate the time course of the wasting syndrome but do not affect the ultimate mortality figure. Body weight loss was much slower in thyroidectomized (~ 1 g/d) than in nonthyroidectomized or thyroidectomized T4-treated rats (~ 8 g/d). In the second experiment the 3 vehicle control groups of the first experiment were used. Nonthyroidectomized vehicle controls and thyroidectomized T4-treated controls were maintained as before, whereas thyroidectomized controls received T3 at 5 μg/kg daily. One month later each rat was dosed with TCDD at 100 μg/kg in corn oil/acetone. Toxicity of TCDD was similar in nonthyroidectomized, thyroidectomized T4-treated, and thyroidectomized T3-treated rats as judged by mortality, body weight, and food intake, indicating no difference between T3 and T4 in the modulation of TCDD toxicity

Arbetsmiljöarbete och effekter en kunskapsöversikt

Work environment improvements and effects a literature review This report addresses the question 'Do work-environment improvements have any effects?' The aim was to produce a summary of knowledge that includes the methodological problems of measuring and evaluating effects, as well as literature reviews of effects from work environment improvement efforts on musculoskeletal health, health promotion, and economy. Results show that published literature reviews do not give unambiguous support for health benefits of interventions against musculoskeletal problems, when only studies using natural science criteria with experimental or quasi-experimental design are included. There are, on the other hand, many case studies in the so called 'grey' literature that report positive effects. Further, results show that health promotion interventions, and especially physical activity, have a positive effect on low back pain. Workplace interventions to increase physical activity are effective and lead to increased physical activity amongst employees. More studies are needed, however, at the organisational level. There is some support for the profitability of work-environment investments at the organisational level; even though there are few studies and methodological problems. The review also indicates that the financial benefits come mostly from quality and productivity improvements and, to a lesser extent from reductions in costs related to sickness absenteeism. While more recent literature reviews of the effects of health promotion interventions seem to show a stronger effect than older studies, comparisons of older versus more recent studies of interventions against musculoskeletal problems give a more ambiguous picture. Often, the focus of these reviews is on study design with less priority on the quality of the interventions themselves. Multifactorial interventions are particularly difficult to evaluate. At the same time, many studies and research reviews emphasise the need for multifactorial approaches as necessary for successful intervention. Inclusion criteria in literature reviews that only consider experimental designs in organisational interventions exclude studies with good interventions that can't be evaluated with traditional experimental methods. Difficulties in proving the effectiveness of interventions depends on views of what constitutes good scientific quality in the studies. This shows a need for a critical examination of the assumptions used for knowledge generation in this area. Conclusions are that work-environment improvement efforts have effects that are clear in some cases but are difficult to show in others. Effect evaluation poses large methodological challenges. These difficulties are considered to be an important cause of the lack of clear evidence, especially in the area of interventions against musculoskeletal problems. There is a need for new non-experimental research strategies that are suited to today's complex systems and an increased focus on practical, well conducted multifactorial interventions. Key words: Intervention, health promotion, ergonomics, economy, methodology, researchDetta arbete har inriktats mot frågeställningen om arbetsmiljöarbete har några effekter. Syftet har varit att göra en kunskapssammanställning som omfattar en beskrivning och problematisering av metodiken att mäta eller utvärdera effekter, samt litteraturöversikter om vad arbetsmiljöarbete har för belastningsergonomiska, hälsofrämjande och ekonomiska effekter. Resultaten visar att publicerade litteraturöversikter inte ger säkra belägg för att belastningsergonomiska interventioner har effekter på besvärsförekomst, i de fall enbart studier inkluderats utifrån naturvetenskapliga kriterier med krav på experimentell eller kvasi-experimentell metodik. Däremot finns ett flertal fallstudier och så kallad grå litteratur som i högre grad rapporterar positiva effekter. Vidare framgår det att hälsofrämjande interventioner, och speciellt fysisk aktivitet har en positiv effekt på ländryggsbesvär. Interventioner på arbetsplatser för att öka den fysiska aktiviteten är effektiva och ger en ökad fysisk aktivitet hos arbetstagarna. Fler studier behövs emellertid på organisationsnivå. Det finns visst belägg för att arbetsmiljösatsningar ofta är lönsamma på organisationsnivå, även om studierna är få och uppvisar metodbrister. Det finns flera indikationer på att lönsamheten i huvudsak härrör från produktivitets- och kvalitetsförbättringar, och i mindre grad från minskade frånvarokostnader. Nya litteraturöversikter om hälsofrämjande interventioner tycks uppvisa starkare effekter än gamla, medan jämförelser mellan äldre och nyare studier om belastningsergonomiska interventioner ger en mer mångtydig bild. Ofta ligger fokus på utvärderingsdesign, samtidigt som kvaliteten hos interventionens genomförande och utformning i sig inte ges samma prioritet. Interventioner med multifaktoriella insatser blir synnerligen svåra och komplexa att utvärdera, samtidigt som det i många studier och forskningsöversikter betonas att en förutsättning för framgång i förändringsarbetet är att man arbetar med en mångfald av insatser. Inklusionskriterier i litteraturöversikter som förutsätter experimentella upplägg i organisationsinterventioner selekterar bort studier med goda interventioner som inte kan utvärderas med traditionella metoder. Svårigheten att identifiera effekter av interventioner bedöms bero på synen om vad som utmärker god vetenskaplig kvalitet hos studier. Detta visar på behovet att närmare kritiskt granska förutsättningarna för kunskapsbildning inom området. Slutsatsen är att arbetsmiljöarbete i vissa fall har effekter men att det i andra fall är svårt att påvisa effekter. Effektutvärdering innebär stora metodologiska svårigheter. Dessa svårigheter bedöms vara en viktig orsak till bristen på underlag, speciellt inom det belastningsergonomiska området. Det finns ett stort behov av nya icke experimentella undersökningsstrategier som är anpassade till dagens komplexa system, såväl som ett behov av starkare fokus på praktiskt väl genomförda multifaktoriella interventioner