What Shelters Can Do About Euthanasia-Related Stress: An Examination of Recommendations From Those on the Front Line

Shelter employees with euthanasia responsibilities are an at-risk population for a variety of psychological and emotional ailments. This study surveyed 305 employees from 62 shelters throughout the United States to gather first-hand perspectives on what should be done to assist shelter workers in dealing with euthanasia-related stress. Researchers conducted a qualitative analysis of 359 improvement suggestions to identify broad common themes and sorted the suggestions into 26 thematic categories. The most common participant suggestion concerned management supportive-ness (13.17% of participants). Some other issues raised involved providing counseling, job rotation, assistance or more help, breaks and time off, support groups and meetings, better communication, skills-based training, stress and coping seminars, and employee appreciation and morale-boosting initiatives.     

Work and stress in workers in Tokyo--its actual state, and anti-stress countermeasures taken by employers.

With the objective of clarifying the actual state of stress and overwork in employees in Tokyo, the representative city of Japan, the characteristics of urban outpatients visiting my stress clinic were studied, and countermeasures (anti-stress programs) taken by their companies were investigated by questionnaire. Overwork state in urban workers consisted primarily of psychological fatigue due to job-related stress. The results of the questionnaire revealed that companies are aggressively performing stress management as part of the health care provided to their employees, rather than taking mere countermeasures against disease, such as psychosis.     

Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees

ObjectiveTo examine the association between work stress, according to the job strain model and the effort-reward imbalance model, and the risk of death from cardiovascular disease.DesignProspective cohort study. Baseline examination in 1973 determined cases of cardiovascular disease, behavioural and biological risks, and stressful characteristics of work. Biological risks were measured at 5 year and 10 year follow up.SettingStaff of a company in the metal industry in Finland.Participants812 employees (545 men, 267 women) who were free from cardiovascular diseases at baseline.ResultsMean length of follow up was 25.6 years. After adjustment for age and sex, employees with high job strain, a combination of high demands at work and low job control, had a 2.2-fold (95% confidence interval 1.2 to 4.2) cardiovascular mortality risk compared with their colleagues with low job strain. The corresponding risk ratio for employees with effort-reward imbalance (low salary, lack of social approval, and few career opportunities relative to efforts required at work) was 2.4 (1.3 to 4.4). These ratios remained significant after additional adjustment for occupational group and biological and behavioural risks at baseline. High job strain was associated with increased serum total cholesterol at the 5 year follow up. Effort-reward imbalance predicted increased body mass index at the 10 year follow up.ConclusionsHigh job strain and effort-reward imbalance seem to increase the risk of cardiovascular mortality. The evidence from industrial employees suggests that attention should be paid to the prevention of work stress.

What is already known on this topic

Job strain (high demands and low job control) and effort-reward imbalance (high demands, low security, few career opportunities) elicit stress at workTheir status as risk factors for cardiovascular mortality has, however, remained uncertain

What this study adds

Job strain and effort-reward imbalance were each associated with a doubling of the risk of cardiovascular death among employees who were free from overt cardiovascular diseases at baselineJob strain and effort-reward imbalance also predicted adverse changes in biological factors such as cholesterol concentration and body mass index     

Paradoxical experience of hypnotic analgesia in low hypnotizable fibromyalgic patients

The study investigated the differences in pain perception in highly (Highs) and low (Lows) hypnotizable patients with chronic benign pain undergoing hypnotic suggestions of analgesia. Self reports of pain intensity were collected in different groups of fibromyalgic patients: (1) Highs and Lows during pre-hypnosis, neutral hypnosis, suggestions for analgesia, posthypnotic conditions; (2) Lows during suggestions for analgesia administered after a mental stress instead of neutral hypnosis; (3) healthy Lows receiving nociceptive stimulation during hypnotic relaxation and suggestions of analgesia. The results showed that Highs and Lows differed in their response to suggestions, but significant analgesia was reported also by Lows. These individuals did not report any difference in pain perception between the sessions including mental stress and hypnotic relaxation. No change in pain perception was observed in healthy Lows during nociceptive stimulation associated with relaxation and suggestions for analgesia. In conclusion, the presence of chronic pain seems to be responsible for the paradoxical response of non hypnotizable patients to hypnotic suggestions.     

Employee Attitudes about the Impact of Visitation Dogs on a College Campus

Therapy and visitation dogs are becoming more common on college campuses to provide comfort and support to students, but little attention has been given to the concerns of faculty and staff who share space with the dogs in their workplaces. The purpose of this study was to assess the perceptions of faculty and staff with regard to both the benefits and the hazards (e.g., dander, bites, fleas) and risks associated with the presence of visitation dogs in their workplaces. One hundred and thirty-eight employees who worked in buildings with resident visitation dogs completed an online survey about their perceptions of the hazards and risks of the dogs and the effects of dogs on the wellbeing of both students and employees. In general, employees perceived that the dogs presented minimal risks, and most employees believed that they can reduce stress and provide comfort to students on campus. There were a few employees, however, who reported that the dogs did not improve the work environment and conferred no benefits to the staff or students. The findings of the present survey support the mostly positive attitudes that people have for dogs in the workplace, but they also highlight a potential challenge: accommodating individuals who believe very strongly that dogs do not belong in work environments.     

Efficiency and the Public's Health

The Governor''s Survey on Efficiency and Cost Control, established by Governor Reagan''s executive order, was a non-profit, bipartisan, privately financed management analysis of State administration conducted by private citizens, including physicians, during 1967 for the purpose of achieving improvement in administrative procedure and operating economies in State government.State employees and appointed department heads offered many valuable suggestions and cooperated fully with the survey team.Two hundred recommendations were submitted to the Governor for improvement in the Departments of Public Health and Mental Hygiene, the Office of Health Care Services and the organizations under the Secretary of Human Relations.The recommendations for the health-related administrative units concerned reorganization and consolidation of departments and units, improvement in administrative and operating methods and improvement of services. Annual savings of several hundred million dollars could result.None of the recommendations were for reduction in services and none concerned individual employees or appointees.Assistance in and support for the implementation of the recommendations will be needed from legislators, responsible citizens and organizations interested in efficient and economical government.     

A questionnaire technique for assessing the stress at work

Subjective perception of the stress at work is a phenomenon reflecting the experience-mediated relationship between the sum of objective conditions of work and the sum of individual's traits available to cope with demands of the work environment. This relationship is mirrored in the function of the whole organism and can be described using the formula S = f (E, D), where S = the state of the organism, E = exposure (i.e. the sum of all stressors the organism is exposed to), and D = disposition (i.e. the sum of traits the organism has available to cope with these stressors). Based on these theoretical considerations, a questionnaire has been developed as a tool for assessing the work stress in different groups of occupations. This "Work Stress Assessment" (WSA) questionnaire was used in a group of 4800 female employees from various branches of the printing industry. Of a total of 160 questionnaire items, 98 items were selected and used to assess the workload in these employees, using a 5-point rating scale of evaluation. The responses were processed statistically, separately for 3531 blue-collar and 1269 white-collar respondents. The use of the factor analysis method revealed that the two groups of jobs had 16 factors in common, 3 factors were specific for blue-collar and 2 factors for white-collar jobs. Judged by factor components, the responses of subjects were well structured and the perceived stress at work turned out to well reflect the reality of conditions of work, which confirms the construct validity of this methodical approach based on the subjective perception of occupational stress. High coefficients of consistency (0.959 for blue-collar and 0.946 for white-collar occupations) point to the reliability of this questionnaire technique. Thus, the WSA questionnaire appears to suitably complement the other methodical approaches aimed at assessing the stress at work in different groups of occupations.     

Status and Reproduction in Humans: New Evidence for the Validity of Evolutionary Explanations on Basis of a University Sample

A strong positive relationship between reproductive success (offspring count) and status (position in the institutional hierarchy) is demonstrated in a contemporary sample of male university employees (n = 2693). Male academics in leading positions have more children than do other male employees. In female university employees (n = 2073), a negative relationship between status and reproductive success was found, but only if childless women were included in the analysis. Although a positive relationship between male status and offspring count has been predicted by evolutionary theory and was found in animal species and ‘traditional’ human societies, in modern societies most of the studies found no or even a negative relationship between status and reproductive success in males. We suggest that status may be a more important dimension for particular subsamples of modern society than for samples representing entire societies, so that associations might actually differ among subsamples. We suggest that analyses on a small and rather uniform level using modern large‐scale hierarchical organizations (such as universities) are candidates for the investigation of appropriate ‘society subsets’. Our results may stress the importance of evolutionary predictions and may be of relevance for theoretical and empirical considerations at the levels of economics and administration.     

香根草逆境生理生态适应研究进展

综述了香根草对高温干旱、重金属、水分、养分等胁迫的生理生态响应,并对今后香根草的研究工作提出了建议。     

植物叶片衰老与氧化胁迫

叶片衰老是叶片生长发育进程中的最后阶段,与活性氧伤害有着密切的关系。介绍了植物叶片衰老过程中活性氧产生及清除系统的变化,讨论了对水分胁迫与氧化胁迫的交叉抗性,并对下一步的研究作出了展望     

植物叶片衰老与氧化胁迫

叶片衰老是叶片生长发育进程中的最后阶段,与活性氧伤害有着密切的关系。介绍了植物叶片衰老过程中活性氧产生及清除系统的变化,讨论了对水分胁迫与氧化胁迫的交叉抗性,并对下一步的研究作出了展望。     

植物抗旱相关基因研究进展

遭遇极端温度、干旱、高盐等胁迫时,植物需要调控多种基因,通过多种途径来抵御非生物胁迫的伤害。综述了植物在干旱胁迫发生时,信号传导和转录因子相关调控基因以及在水分运输、抗脱水、渗透调节以调节气孔开关等功能相关基因克隆的研究进展,并提出了今后开展植物抗逆研究的建议。     

Prenatal stress and increased fluctuating asymmetry in the parietal bones of neonatal rats

Recent studies have reported increased fluctuating dental and long bone asymmetry in neonates as a function of prenatal stress. The present study was designed to assess the effects of prenatal stress on a third calcium-dependent system, membranous bone. Pregnant rats were exposed to cold, heat, or noise from conception through parturition. Bilateral parietal bone lengths were measured in the term neonates. Levels of fluctuating asymmetry were found to be significantly increased (p less than .001) in all three stressed groups compared to unstressed controls. Results support the concept of a generalized stress response, and suggestions are offered for human osteological application.     

木麻黄逆境生理研究进展(综述)

本文综述水分、盐分、重金属和酸雨等逆境条件对木麻黄生长发育及生理生化等方面的影响,指出木麻黄造林的主要逆境因素是水分和盐分,并对今后的研究工作提出建议。     

Poststress levels of lysozyme and cortisol in adult rainbow trout: heritabilities and genetic correlations

Lysozyme response in stressed rainbow trout was compared with measurements of poststress cortisol activity. Estimates of heritability of lysozyme and cortisol were both moderate-to-high and both traits displayed positive genetic correlations in pair-wise comparisons of stress exposures. Genetic correlations between lysozyme and cortisol in stressed rainbow trout tended to be negative, although insignificant. Neither lysozyme, nor cortisol exhibited significant correlations with serum haemolytic activity. It is concluded that the data do not confirm earlier suggestions that lysozyme should be superior to cortisol in consistency of stress response in rainbow trout.     

荔枝逆境生理研究进展(综述)

综述了荔枝在温度、水分、矿质营养和环境污染等的逆境条件下生长发育、生理生化等的变化,指出荔枝对逆境适应性脆弱是低产的主要原因,并对今后的研究工作提出建议。     

Organisational downsizing,sickness absence,and mortality: 10-town prospective cohort study

Objective To examine whether downsizing, the reduction of personnel in organisations, is a predictor of increased sickness absence and mortality among employees.Design Prospective cohort study over 7.5 years of employees grouped into categories on the basis of reductions of personnel in their occupation and workplace: no downsizing (< 8% reduction), minor downsizing (8-18%), and major downsizing (> 18%).Setting Four towns in Finland.Participants 5909 male and 16 521 female municipal employees, aged 19-62 years, who kept their jobs.Main outcome measures Annual sickness absence rate based on employers'' records before and after downsizing by employment contract; all cause and cause specific mortality obtained from the national mortality register.Results Major downsizing was associated with an increase in sickness absence (P for trend < 0.001) in permanent employees but not in temporary employees. The extent of downsizing was also associated with cardiovascular deaths (P for trend < 0.01) but not with deaths from other causes. Cardiovascular mortality was 2.0 (95% confidence interval 1.0 to 3.9) times higher after major downsizing than after no downsizing. Splitting the follow up period into two halves showed a 5.1 (1.4 to 19.3) times increase in cardiovascular mortality for major downsizing during the first four years after downsizing. The corresponding hazard ratio was 1.4 (0.6 to 3.1) during the second half of follow up.Conclusion Organisational downsizing may increase sickness absence and the risk of death from cardiovascular disease in employees who keep their jobs.     

Friendship Patterns and Culture: The Control of Organizational Diversity

Organizational culture is often described as a management control device, but this view obscures the importance of informal social interactions for the emergence and modification of culture. We elicited seven cultural dimensions used by employees to predict and make sense of the behavior patterns of others in an entrepreneurial firm. Forty-seven key employees rated each other on these dimensions. Consistent with predictions, friends, relative to nonfriends, made similar attributions about fellow employees across the seven dimensions. The pattern of results remained significant even controlling for demographic and positional similarities. Further, the more people disagreed with their friends, the more they tended to be dissatisfied with their jobs. The control of organizational diversity may be as much an interpersonal initiative as it is a prerogative of management manipulation.     

Bio-psycho-social medicine is a comprehensive form of medicine bridging clinical medicine and public health

This article introduces key concepts of work-related stress relevant to the clinical and research fields of psychosomatic medicine. Stress is a term used to describe the body's physiological and/or psychological reaction to circumstances that require behavioral adjustment. According to the Japanese National Survey of Health, the most frequent stressors are work-related problems, followed by health-related and then financial problems. Conceptually, work-related stress includes a variety of conditions, such as overwork, unemployment or job insecurity, and lack of work-family balance. Job stress has been linked to a range of adverse physical and mental health outcomes, such as cardiovascular disease, insomnia, depression, and anxiety. Stressful working conditions can also impact employee well-being indirectly by directly contributing to negative health behaviors or by limiting an individual's ability to make positive changes to lifestyle behaviors, such as smoking and sedentary behavior. Over the past two decades, two major job stress models have dominated the occupational health literature: the job demand-control-support model and the effort-reward imbalance model. In both models, standardized questionnaires have been developed and frequently used to assess job stress. Unemployment has also been reported to be associated with increased mortality and morbidity, such as by cardiovascular disease, stroke, and suicide. During the past two decades, a trend toward more flexible labor markets has emerged in the private and public sectors of developed countries, and temporary employment arrangements have increased. Temporary workers often complain that they are more productive but receive less compensation than permanent workers. A significant body of research reveals that temporary workers have reported chronic work-related stress for years. The Japanese government has urged all employers to implement four approaches to comprehensive mind/body health care for stress management in the workplace: focusing on individuals, utilizing supervisory lines, enlisting company health care staff, and referring to medical resources outside the company. Good communications between occupational health practitioners and physicians in charge in hospitals/clinics help employees with psychosomatic distress to return to work, and it is critical for psychosomatic practitioners and researchers to understand the basic ideas of work-related stress from the viewpoint of occupational health.